32 documents found, page 1 of 4
Prognostic Markers in Pediatric Acute Liver Failure
Nogueira, Andreia Filipa; Teixeira, Catarina; Fernandes, Carla; Moinho, Rita; Gonçalves, Isabel; Pinto, Carla Regina; Carvalho, LeonorIntroduction: Acute liver failure (ALF), although rare in children, is a complex progressive pathology, with multisystem involvement and high mortality. Isolated variables or those included in prognostic scores have been studied, to optimize organ allocation. However, its validation is challenging. This study aimed to assess the accuracy of several biomarkers and scores as predictors of prognosis in pediatric A...
Greenwashing: The difference between “being” and “seeming”
Carvalho, LeonorAt a time when there is a growing awareness of environmental issues and a greater importance placed on the concept of "sustainability," we are also seeing an increase in "Greenwashing," a term that has gained strength in recent times. Throughout this article, there will be an introduction to the meaning of "Greenwashing" followed by a brief history of its emergence and its causes. It will also discuss the sever...
Progressive back pain due to epidural cerebrospinal fluid collection: a rare co...
Simões, Ana Sofia; Penteado, Raquel; Carvalho, Leonor; Dias, AndreaLumbar puncture is commonly performed in Pediatrics. Common complications include headache and mild pain at the puncture site. Uncommon complications after the procedure, such as epidural cerebrospinal fluid collection, have rarely been described in children and adolescents. The authors present the clinical report of an adolescent with symptomatic epidural cerebrospinal fluid collection following a non-traumati...
Progressive back pain due to epidural cerebrospinal fluid collection: a rare co...
Simões, Ana Sofia; Penteado, Raquel; Carvalho, Leonor; Dias, AndreaLumbar puncture is commonly performed in Pediatrics. Common complications include headache and mild pain at the puncture site. Uncommon complications after the procedure, such as epidural cerebrospinal fluid collection, have rarely been described in children and adolescents. The authors present the clinical report of an adolescent with symptomatic epidural cerebrospinal fluid collection following a non-traumati...
Lesão renal aguda numa Unidade de Cuidados Intensivos Pediátricos
Martins, João Rio; Pereira, Catarina; Aquino, Carolina; Pinto, Carla; Dias, Andrea; Carvalho, LeonorIntrodução: A lesão renal aguda (LRA) é um problema frequente em cuidados intensivos pediátricos, estando associada a morbilidade e mortalidade aumentadas. O objetivo deste estudo foi caracterizar a incidência, fatores de risco e prognóstico da LRA numa Unidade de Cuidados Intensivos Pediátricos (UCIP). Materiais e Métodos: Foi efetuado um estudo exploratório com colheita prospetiva de dados entre julho e dezem...
Cardiac Arrest Post Voluntary Intoxication with Propafenone
Matos, Eugénia Martins de; Dionísio, Teresa; Dinis, Alexandra; Milet, Igor; Pires, António; Carvalho, LeonorWe report the case of a 17-year-old girl, observed in the emergency room 1.5 hours after voluntary ingestion of 6 grams of propafenone and 1.5 grams of ibuprofen. On arrival, she was conscious and without arrhythmias noted in the electrocardiogram. Gastric lavage was performed and activated charcoal administered. Fifteen minutes later, a convulsive episode was followed by sudden asystole, from which she recover...
[Ultrasound Assessment of Ventilator-induced Diaphragmatic Dysfunction in Paedi...
Dionísio, Maria Teresa; Rebelo, Armanda; Pinto, Carla; Carvalho, Leonor; Neves, José FarelaIntrodução: A ventilação mecânica invasiva condiciona disfunção diafragmática, atrasando a extubação e aumentando a mortalidade em adultos. Em pediatria, apesar de eventualmente mais relevante, essa disfunção não é sistematicamente avaliada. A ecografia diafragmática tem sido proposta como uma técnica não invasiva e segura para esse fim. O objetivo deste estudo foi descrever a evolução dos índices ecográficos d...
O planeamento da empresa: Modelos de programação
Carvalho, Leonor; Marques, Carlos; Siqueira de Carvalho, Nuno; Mansinho, MariaNesta secção ocupamo-nos dos métodos de programação, em especial na sua aplicação ao planeamento da empresa agrícola. Deve lembrar-se que o conceito de planeamento tem grande amplitude: pode ser entendido quer a nível das empresas, quer a nível regional ou nacional. Mas é o primeiro aspecto que aqui sobressai. Nos nossos dias são inúmeros os desenvolvimentos da Programação Linear constituindo mé...
Ultrasound Assessment of Ventilator-induced Diaphragmatic Dysfunction in Paedia...
Dionisio, Maria Teresa; Rebelo, Armanda; Pinto, Carla; Carvalho, Leonor; Neves, José FarelaIntroduction: Invasive mechanical ventilation contributes to ventilator-induced diaphragmatic dysfunction, delaying extubation and increasing mortality in adults. Despite the possibility of having a higher impact in paediatrics, this dysfunction is not routinely monitored. Diaphragm ultrasound has been proposed as a safe and non-invasive technique for this purpose. The aim of this study was to describe the evol...
Acute Necrotizing Encephalopathy – A Rare Complication of H1N1 Infection
Martins, Andreia Alves; Dias, Inês; Dias, Andrea; Moinho, Rita; Pinto, Carla; Carvalho, LeonorAcute necrotizing encephalopathy is a rare complication of H1N1 influenza infection, more prevalent in preschool children. It is characterized by a rapid neurological deterioration with progressive decline on the level of consciousness in the context of a febrile disease, associated with multifocal symmetric brain lesions. The cases of two children (two and four years old) admitted due to an altered level of co...