Introduction: Pectus excavatum (PE) is the most common congenital chest wall deformity, with an incidence of 1 in 400 births. Surgical approaches vary depending on the severity of the condition. Recently, the taulinoplasty approach - "Pectus Up®" - was described as an alternative to lift the sternum through external traction, avoiding invading the mediastinum or pleural cavity. We describe our progressively mod...
Background: The feasibility of trials in liver surgery using a single-component clinical endpoint is low because single endpoints require large samples due to their low incidence. The current study sought to develop and validate a novel composite endpoint of liver surgery (CELS) to facilitate the generation of more feasible and robust high-level evidence in the field of liver surgery. Methods: Patients who unde...
Current policy trajectories integrate energy poverty into decarbonisation policy agendas; the links between energy poverty, building efficiency, and energy prices justify this approach. Energy poverty, however, is a multidimensional condition which intersects several policy sectors. This paper employs a participatory systems mapping method to develop a Causal Loop Diagram depicting the Portuguese energy poverty...
People with lung cancer who require surgery as a form of treatment generally experience a decline in their functionality and respiratory capacity. Respiratory rehabilitation programs benefit the person being cared for by reducing exacerbations and recovering or maintaining lung function, with an impact on independence and quality of life. To analyze the effect of the rehabilitation nursing program on people und...
A doença renal crónica (DRC) é um importante problema de saúde pública que está associada ao aumento da morbimortalidade global e é um fator de risco significativo para a doença cardiovascular. A prevalência da DRC tem aumentado exponencialmente em todo o mundo. A sua prevalência em Portugal é de 20,9% nos estádios 1 a 5 da DRC e de 9,8% para os estádios ≥G3a/A1 da DRC, pelo que é de extrema importância que est...
As pessoas com doença oncológica pulmonar submetidos a cirurgia torácica apresentam, genericamente, declínio da sua funcionalidade e capacidade respiratória. Os programas de reabilitação respiratória têm sob a pessoa alvo de cuidados, benefícios na redução de exacerbações, na recuperação ou manutenção da função pulmonar, com impacto na independência e qualidade de vida. O enfermeiro especialista de enfermagem d...
Desmoid tumors are soft tissue neoplasms arising from fascial and muscle-aponeurotic structure. These tumors are locally aggressive and have a high recurrence rate, even after complete resection. We present the case of a female with a giant intrathoracic desmoid tumor. She underwent complete surgical resection with no disease recurrence. Desmoid tumors’ natural history is not well defined and is often enigmatic...
Introduction – Myopia is a common condition with onset at school age. It is a multifactorial refractive anomaly associated with excessive axial length growth. Environmental risk factors are related to near work, number of years of schooling, and reduced outdoor activity. The age of onset of myopia is a risk factor for faster progression and risk of high myopia (≤-5.00diopters, D). Aims – To study the relationsh...
Introdução – A miopia é uma condição comum que geralmente começa em idade escolar, sendo uma anomalia refrativa multifatorial associada sobretudo ao crescimento excessivo do comprimento axial do globo ocular. Os fatores de risco ambientais relacionam-se com longos períodos de realização de tarefas de perto, número de anos de escolaridade e reduzida atividade ao ar livre. A idade de início da miopia é um fator d...