14 documents found, page 1 of 2
Riscos psicossociais: prevenção e controlo do stress ocupacional
Farias,Paula; Santos,Catarina; Pinho,Rita; Pereira,Marta; Teixeira,Iara; Ferreira,ManuelaResumo Enquadramento: os riscos psicossociais condicionam significativamente a saúde mental dos trabalhadores podendo levar ao aparecimento do stress como principal fator de risco no ambiente laboral. O stress é considerado como o segundo problema de saúde mais reportado na Europa. É essencial investir em medidas de prevenção e de promoção da saúde no local de trabalho de modo a assegurar elevados níveis de saú...
Rituximab in glomerular diseases: a case series and narrative review
Duarte,Inês; Oliveira,João; Outerelo,Cristina; Godinho,Iolanda; Pereira,Marta; Fernandes,Paulo; Jorge,Sofia; Gameiro,JoanaAbstract Introduction: The use of Rituximab (RTX) in glomerular diseases (GD) has increased in the past years, although it is still only used in a small fraction of patients. Methods: A single center retrospective study of adult patients with membranous nephropathy (MN), focal segmental glomerulosclerosis (FSGS), lupus nephritis (LN), and vasculitis treated with RTX as first or second-line therapy was conducted...
Identification of clusters of asthma control: A preliminary analysis of the Ins...
Jácome,Cristina; Amaral,Rita; Almeida,Rute; Pereira,Ana Margarida; Couto,Mariana; Araújo,Luís; Alves-Correia,Magna; Pereira,MarianaAims: To identify distinct asthma control clusters based on Control of Allergic Rhinitis and Asthma Test (CARAT) and to compare patients characteristics among these clusters. Methods: Adults and adolescents (≥13 years) with persistent asthma were recruited at 29 Portuguese hospital outpatient clinics, in the context of two observational studies of the INSPIRERS project. Demographic and clinical characteristics...
Current guidelines in peritoneal dialysis - Part II
Ferreira,Ana Carina; Borges,Andreia; Abreu,Cristina Pinto; Costa,Fernando Teixeira e; Pereira,Marta; Castro,Rui; Barreto,SaraA successful peritoneal dialysis program depends on knowledge of the current recommendations and on evidence-based practice guidelines. In this second article, we review the dialysis prescription and the nutritional and cardiovascular management of peritoneal dialysis patients in the light of the existing guidelines advocated by different international societies.
Intestinal obstruction in a patient on chronic hemodialysis
Vieira,Miguel Bigotte; Pereira,Marta; Pinto de Abreu,CristinaEncapsulating peritoneal sclerosis (EPS) is an uncommon but serious complication of peritoneal dialysis (PD). We present a case report of EPS and a brief description of the disease. A previously stable 47-year-old male patient on hemodialysis (HD) presented to the hospital with weight loss, fever, anorexia, increased abdominal volume, anemia, increased inflammatory markers, septated hemoperitoneum, and peritone...
Persistent knee pain in a patient with systemic lupus erythematosus
Vieira,Miguel Bigotte; Dias,Joana Monteiro; Romeu,José Carlos; Pereira,Marta; Abreu,Cristina Pinto deThe evaluation of chronic kidney disease-mineral and bone disorder (CKD-MBD) is based on clinical, laboratory, radiology and histological data. However, these data may not always be entirely concordant, leading to significant doubt over therapeutic options. We present a challenging CKD-MBD case report. A 26-year-old female patient presented a past medical history of systemic erythematosus lupus and end-stage re...
Perioperative approach of patient with takotsubo syndrome
Barros,Joana; Gomes,Diana; Caramelo,Susana; Pereira,MartaAbstract Introduction: Takotsubo cardiomyopathy (TCM) is a stress-induced cardiomyopathy. It is characterized by an acute onset of symptoms and electrocardiographic abnormalities mimicking an acute coronary syndrome in the absence of obstructive coronary artery disease. Any anesthetic-surgical event corresponds to a stressful situation, so the anesthetic management of patients with TCM requires special care thr...
Life-saving vascular access in vascular capital exhaustion: single center exper...
Pereira,Marta; Lopez,Noélia; Godinho,Iolanda; Jorge,Sofia; Nogueira,Estela; Neves,Fernando; Fortes,Alice; Costa,António G.Abstract Introduction: Intra-atrial catheter (IAC) placement through an open surgical approach has emerged as a life-saving technique in hemodialysis (HD) patients with vascular access exhaustion. Objective: To assess the complications of IAC placement, as well as patient and vascular access survival after this procedure. Methods: The authors retrospectively analyzed all seven patients with vascular capital exh...
The Influence of Organizational Reconciliation Policies and Culture on Workers ...
Monteiro,Rosa; Pereira,Marta; Daniel,Fernanda; Silva,Alexandre Gomes da; Matos,Fátima Regina NeyAbstract Work-family reconciliation plays a crucial role in the well-being of employees, having impacts at the individual, social and organizational level. Studies concluded that poor work-life balance as one of the ten predictors of psychosocial risks at work. A family-friendly culture relates to how an organization values and allows the articulation of the various spheres of its workers’ life. We intended to ...
Growing up with chronic renal disease - The road remains rocky
Rodrigues,Natacha; Pereira,Marta; Neves,Fernando; Jorge,Sofia; Almeida,Margarida; Stone,Rosário; da Costa,GomesBackground: Understanding the aetiology and approach to management of chronic kidney disease presenting in the paediatric age range continues to represent a true challenge. With the improvement of paediatric care, the number of patients reaching adulthood has increased in recent decades, and it is well known that the transition period from paediatric to adult care is critical; it is associated with a high rate ...