22 documents found, page 1 of 3
SARS-CoV-2 antibody responses in infection-naive or previously infected periton...
Silva,Rui; Silva,Filipa; Mendonça,Luís; Pereira,Luciano; Oliveira,Ana; Ramos,Angélica; Cardoso,Maria João; Malheiro,Ana; Guimarães,João TiagoABSTRACT Dialysis-associated immune dysfunction makes chronic kidney disease patients both susceptible to severe Coronavirus disease 19 (Covid19) and to a weaker response to vaccination. Previously infected patients are thought to sustain stronger and more durable humoral responses than vaccinated patients. Four months after a two dose-regimen of the Pfizer/BioNTech SARS-CoV-2 mRNA vaccine (BNT162b2), we evalua...
Aliança de trabalho em aconselhamento de carreira: Fatores dos/as psicólogos/as...
Taveira,Maria do Céu; Cardoso,Paulo; Pereira,Soraia; Silva,FilipaResumo A aliança de trabalho é um preditor da eficácia da intervenção psicológica e envolve o trabalho colaborativo entre psicólogo/a e cliente. Neste estudo, analisa-se em que medida a experiência profissional dos/as psicólogos/as, o rendimento económico e a (in)decisão do/da cliente predizem a aliança de trabalho inicial e se esses fatores e a aliança inicial predizem a aliança final. Participaram 49 clientes...
Association between severe chronic kidney disease defined by cystatin-c and cre...
Tavares,Joana; Santos,Josefina; Silva,Filipa; Oliveira,João; Malheiro,Jorge; Campos,Andreia; Cabrita,AntónioABSTRACT Introduction: Estimated glomerular filtration rate (eGFR) based on serum cystatin-C (sCys) seems as accurate as when based on serum creatinine (sCr), but sCys seems a better predictor of adverse outcomes. We aimed to study whether sCys could be a reliable tool for the prediction of adverse outcomes in elderly patients with severe chronic kidney disease (CKD). Methods: A group of 348 elderly patients wi...
Presumed cytomegalovirus retinitis late after kidney transplant
Silva,Filipa; Ficher,Klaus Nunes; Viana,Laila; Coelho,Inês; Rezende,Juliana Toniato; Wagner,Daniel; Vaz,Maria Lúcia; Foresto,RenatoAbstract Cytomegalovirus (CMV) retinitis is a rare manifestation of CMV invasive disease and potentially threatening to vision in immunocompromised individuals. Clinical suspicion is fundamental since it is an unusual entity with a progressive and often asymptomatic installation over a long period. The authors report a 70-year-old man with diabetic nephropathy who underwent a kidney transplant (KT) in August 20...
Acute hyperammonemic encephalopathy - an indication for an extracorporeal depur...
Silva,Filipa; Tavares,Joana; Castro,Ana; Guimas,Arlindo; Freitas,Cristina; Pimentel,João Pedro; Cabrita,AntónioABSTRACT Introduction: Ammonia is a resultant molecule from the protein metabolism that can be neurotoxic when present in high concentrations, causing brain edema and encephalopathy. Extracorporeal blood purification technique (EBPT) can play a role in reducing both ammonia and urea blood levels. However, there are no specific guidelines for its use in hyperammonemia, due to its low incidence and scarce literat...
Does Cystatin C have a role as metabolic surrogate in peritoneal dialysis beyon...
Moreira,Carla Leal; Cunha,Liliana; Correia,Sofia; Silva,Filipa; Castro,Ana; Tavares,Joana; Carvalho,Maria João; Oliveira,José Carlos; Santos,OlíviaABSTRACT 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...
Urgent-Start Peritoneal Dialysis - a viable option?: A case report and literatu...
Tavares,Joana; Silva,Filipa; Lima,Anna; Carvalho,Maria João; Cabrita,António; Rodrigues,AnabelaBackground: Many patients with end-stage renal disease start renal replacement therapy in an unplanned manner. The vast majority initiate hemodialysis by a central venous catheter, since its use is more widespread and available. This technique is associated with a high risk of infection and damage of the vascular patrimony associated with the use of central veins. Urgent-start peritoneal dialysis comes as an al...
SARS-CoV-2 infection in hemodialysis patients: Preliminary data from a Portugue...
Tavares,Joana; Dias,Bruno Fraga; Oliveira,João Pedro; Sala,Inês; Silva,Filipa; Castro,Ana; Freitas,Cristina; Fonseca,Tomás; Pimentel,João PedroBackground: In December 2019, a new form of coronavirus was identified (COVID-19) and quickly became a worldwide pandemic. Previous data reported a more severe disease in older patients, with high comorbidities, which are common features in hemodialysis patients. Scarce data is available about the clinical presentation and outcomes in this population. For this reason, we aim to report the characteristics of COV...
Refractory ascites and graft dysfunction in early renal transplantation
Eusébio,Catarina Pereira; Correia,Sofia; Silva,Filipa; Almeida,Manuela; Pedroso,Sofia; Martins,La Salete; Diais,Leonídio; Queirós,JoséAbstract 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...
Reconciliação Terapêutica: Auditoria numa Enfermaria de Medicina Interna
Figueira,Mafalda Corrêa; Brigas,Daniela; Silva,Filipa; Madeira,Margarida; Carneiro,Patrícia; Lobão,Bárbara; Pedroso,ErmelindaIntrodução: O envelhecimento populacional associa-se a um perfil de doentes caracterizado pelas múltiplas comorbilidades, polimedicação e vulnerabilidade quanto à segurança farmacológica. As discrepâncias de medicação, em conjunto com a ausência de um procedimento de reconciliação terapêutica que implemente as recomendações da Direção Geral de Saúde, levam a consequências negativas como as interações medicament...