Artigos em revistas internacionais
Permanent URI for this collection
Browse
Browsing Artigos em revistas internacionais by Field of Science and Technology (FOS) "Ciências Médicas::Medicina Clínica"
Now showing 1 - 3 of 3
Results Per Page
Sort Options
- Intracranial carotid occlusionsPublication . Pero, Guglielmo; Dória, Hugo Mota; Piano, Mariangela; Macera, Antonio; Quilici, Luca; Cervo, Amedeo; Martins, Hugo Filipe Mota DóriaPurpose Specific decisions made by neurointerventionists are often lost behind the data of large-scale trials, and many of these studies have taken place before the development of new techniques and devices. This study compares the stent-retriever assisted vacuum-locked extraction (SAVE) technique with a direct aspiration first pass (ADAPT), as well as the use of a balloon guide catheter (BGC), in intracranial internal carotid artery (IC-ICA) occlusions. Methods Observational and retrospective study from an Italian hospital, including patients who underwent thrombectomy for IC-ICA occlusion between 1 January 2019 and 31 March 2021. Results Out of 91 IC-ICA occlusions, the ADAPT was the first choice in 20 (22%) and the SAVE in 71 (78%). A BGC was used in 32 (35%) cases, always in conjunction with the SAVE technique. The use of SAVE technique without BGC was associated with the least risk of distal embolization (DE) in the territory occluded (44% vs. 75% when ADAPT technique was used; p= 0.03) and achieved first pass effect (FPE) more frequently (51% vs. 25%, p= 0.09). When the SAVE technique was used, BGC (BGC-SAVE) compared to no BGC (NoBGC-SAVE) was associated with a tendency for less DE (31% vs. 44%, p= 0.3), more FPE (63% vs. 51%, p= 0.5), the same median number of passes (1, p= 0.8) and similar groin-to-recanalization times (36.5 vs. 35.5min, p= 0.5), none of which reached statistical significance. Conclusion Our findings support the use of SAVE technique for IC-ICA occlusions; the added benefit of BGC compared to long sheaths was not remarkable in this sample.
- The relationship between healthcare satisfaction after miscarriage and perinatal grief symptoms: a cross-sectional study on Portugal residentsPublication . Mendes, Diana C. G.; Fonseca, Ana; Cameirão, Mónica S.; Cameirão, MónicaObjective: 15–20% of identified pregnancies result in miscarriage, which may lead to persistent symptoms of psychological morbidities in some women. Healthcare satisfaction is among the factors believed to influence such negative psychological responses. Here, we present the results of a study conducted in Portugal that analyzes the relationship between healthcare satisfaction, information and support provision and perinatal grief symptoms. Methods: In a cross-sectional study, symptoms of perinatal grief, degree of satisfaction with healthcare received, and information and support provision data were collected through an online survey aimed at women in Portugal who suffered a miscarriage. 873 were considered eligible. Correlations were performed between perinatal grief scores and healthcare satisfaction rates. Finally, the proportions of information and support received were compared after distributing the sample in groups according to their perinatal grief levels. Results: Healthcare satisfaction correlated significantly with perinatal grief scores, the latter increasing as satisfaction levels decreased. 61.1% of our sample received information about the physical consequences of miscarriage and showed a significantly lower rate of above-threshold perinatal grief symptoms in this group. 18.2% received information about its mental health consequences, with no significant differences in above threshold symptom rates. 11.7% were offered or recommended mental health support, but no significant dif ferences in above-threshold symptom rates were found. Conclusion: Healthcare satisfaction and information on after-miscarriage physical changes correlated significantly with reduced perinatal grief rates after miscarriage. However, any effects of mental health information and psychological support provision need further studies. Training for healthcare providers dealing with pregnancy loss, implementing national guidelines that include follow-up on the parents’ physical and psychological health, and including a specialized area in medical structures are advised.
- Underlying features of prostate cancer—Statistics, risk factors, and emerging methods for Its diagnosisPublication . Berenguer, Cristina V.; Pereira, Ferdinando; Câmara, José S.; Pereira, Jorge A. M.; Berenguer, Cristina; Câmara, José; Augusto Machado Pereira, JorgeProstate cancer (PCa) is the most frequently occurring type of malignant tumor and a leading cause of oncological death in men. PCa is very heterogeneous in terms of grade, phenotypes, and genetics, displaying complex features. This tumor often has indolent growth, not compromising the patient’s quality of life, while its more aggressive forms can manifest rapid growth with progression to adjacent organs and spread to lymph nodes and bones. Nevertheless, the overtreatment of PCa patients leads to important physical, mental, and economic burdens, which can be avoided with careful monitoring. Early detection, even in the cases of locally advanced and metastatic tumors, provides a higher chance of cure, and patients can thus go through less aggressive treatments with fewer side effects. Furthermore, it is important to offer knowledge about how modifiable risk factors can be an effective method for reducing cancer risk. Innovations in PCa diagnostics and therapy are still required to overcome some of the limitations of the current screening techniques, in terms of specificity and sensitivity. In this context, this review provides a brief overview of PCa statistics, reporting its incidence and mortality rates worldwide, risk factors, and emerging screening strategies.