ABSTRACT Atrial fibrillation is highly prevalent in patients with end‑stage kidney disease. For patients with atrial fibrillation but normal kidney function, the net clinical benefit of oral anticoagulation with vitamin K antagonists and non‑vitamin K oral anticoagulants in preventing stroke against the hemorrhagic risk is well‑known. However, dialysis patients present unique risk factors that increase ischemic...
ABSTRACT Introduction: It has been suggested that cystatin C levels are modified by obesity and inflammation. Furthermore, cystatin C has been associated with cardiovascular events and mortality outcomes. Aim: To study the association of cystatin C with the metabolic profile and cardiovascular disease of peritoneal dialysis patients. Methods: Data collected included clinical, laboratorial, and multifrequency bi...
Introdução: A síndroma de polipose adenomatosa familiar (PAF), na sua forma clássica, é autossómica dominante. Os indivíduos afetados podem permanecer assintomáticos por vários anos, pelo que se houver história familiar de PAF dever-se-á manter suspeição clínica. Assim, este relato de caso pretende reforçar o papel do médico de família na abordagem desta patologia rara e realçar a necessidade de um trabalho em ...
Background and objectives: To evaluate RRT benefits and risks and to inform patients and their families about ESRD treatment options, we have developed a prognostic score to predict 6-month mortality in elderly ESRD patients initiating dialysis. Five independent predictors were identified and a point system was constructed: age 75 years or older (2 points), coronary artery disease (2 points), cerebrovascular di...
ABSTRACT Introduction: Chronic kidney disease (CKD) is an independent risk factor for several unfavorable outcomes including cardiovascular disease (CVD), particularly in the elderly, who represent the most rapidly growing segment of the end-stage kidney disease (ESKD) population. Portugal has the highest European unadjusted incidence and prevalence rates of ESKD. In 2012, we started to follow a cohort of elder...
Abstract The occurrence of ascites after Renal Transplant (RT) is infrequent, and may be a consequence of surgical or medical complications. Case report: 61 year-old, male, history of arterial hypertension, tongue carcinoma and alcoholic habits 12-20g/day. He had chronic kidney disease secondary to autosomal dominant polycystic kidney disease, without hepatic polycystic disease. He underwent cadaver donor RT in...
Objetivos: Avaliar a demonstração prática e a descrição oral da utilização do inalador pressurizado e inalador em pó seco de médicos e profissionais de farmácia. Tipo de estudo: Observacional, multicêntrico, analítico, transversal. Local: Centros de saúde, serviços de pediatria e medicina interna e farmácias de quatro ilhas dos Açores. População: Médicos e profissionais de farmácia. Métodos: Nos médicos foi efe...
Objectivos: Determinar a efectividade e segurança da administração da vacina anti-pneumocócia polissacárida em idosos. Fontes de Dados: National Guideline Clearing House, Canadian Medical Association, Cochrane Library, TRIP database, Pubmed, Bandolier, Dare e Índex de Revistas Médicas Portuguesas. Métodos de revisão: Pesquisa de normas de orientação clínicas, metanálises, revisões sistemáticas e ensaios clínico...
This study aimed to quantify the association between adequacy of prenatal care and prevalence of folic acid, iron, and multivitamin intake during pregnancy. Data were obtained on socio-demographics, prenatal care, pregnancy complications, and use of vitamin/mineral supplements for 836 women, using a postpartum interview. Associations with the use of vitamin/mineral supplements were quantified with risk ratios (...