17 documents found, page 1 of 2

Significado Clínico da Elevação Extrema da Velocidade de Sedimentação: Diagnóst...

Introdução: O nosso objetivo foi estudar a associação entre elevações extremas da velocidade de sedimentação (VS) (>100 mm/h) e a distribuição por categorias de doenças, doenças, idade, sexo, níveis de proteína C-reactiva e sobrevida a 5 anos. Métodos: Estudo retrospetivo de todos os doentes com elevação extrema da VS avaliados num hospital português de 1 de Janeiro de 2008 a 31 de Dezembro de 2012. Variávei...

The SARS-CoV-2/COVID-19 Pandemic: Controversies in the Light of the Scientific ...

The SARS-CoV-2/COVID-19 pandemic triggers antagonistic reactions, between those who consider this to be a benign infection and those who classify it as a severe one, some who find the measures excessive and some that believe them to be insufficient. This infection is usually asymptomatic or mild, and only rarely is severe or critical, with lethality rates that are two to three times those of the seasonal flu. N...

Troponin Elevation and Myocardial Injury in Patients Admitted to an Internal Me...

Introduction: An elevated troponin is often found in patients admitted to the hospital. The meaning and the classifications of patients with this elevation (myocardial injury, either acute or chronic, versus acute myocardial infarction, either type 1 or type 2) remains unclear. The aim of our study was to assess the meaning and to classify the patients admitted to an internal medicine department with an elevate...

Proton Pump Inhibitors Use for Stress Ulcer Prophylaxis in Non-Critically Ill P...

Introduction: The use of proton pump inhibitors (PPIs) hasa well-established role in the prophylaxis of gastrointestinalbleeding in critically care patients; however, its use in non-intensive care patients is controversial. The authors proposed toevaluate the prescription of PPIs as gastrointestinal bleedingprophylaxis during hospitalization of non-critically ill patients,including the indication and costs.Mate...

Fluid Responsiveness is Not the Same as Fluid Benefit

Fluid responsiveness has been a hot topic for some time.Although with an easy conceptual definition (responding tovolume expansion by increasing cardiac output), its practicalassessment has been the subject of research, debate andsome controversy, for the past 15 to 20 years. The problemis that fluid responsiveness is not the same as fluid benefit.And we have been wasting time researching in ways to predict flu...

Safety of Transesophageal Echocardiography in Acute Stroke Patients

Introduction: Transesophageal echocardiography (TEE) is a method increasingly used in cardiology and it is considered semi-invasive and very safe. Recommendations on the management of acute stroke consider TEE as an essential exam in same patients, emphasizing the increasing use of TEE in a wider spectrum of patients. The purpose of this study was to evaluate a single-center experience of the safety of TEE in a...

Electronic medical records: a critical evaluation of the ALERT system

Background: electronic medical records (EMR) are computerized systems with a potential beneficial effect in health care, in terms of improving quality and minimizing error. The ALERT system is a rapidly growing EMR in the whole world, and is the most used EMR in public hospitals in Portugal.Methods: we reviewed current articles on information technology benefits to health care carrying out a critical evaluation...

Can carotid ultrasound predict the presence of complex atheromatosis of the aor...

Background: The diagnosis of complex atheromatosis of the aortic arch, a potential source of cerebral emboli, is made by transoesophageal echocardiography (TEE). Although a correlation has been found between carotid and aortic atherosclerosis, it is not known how reliably the results of the carotid ultrasound evaluation can predict the presence of atheromatosis of the aortic arch. Methods: We prospectively stud...

How to diagnostic mediterranean apotted fever?

How to diagnose mediterranean spotted fever in patients with fever and rash: a ...

Background: Mediterranean spotted fever (MSF) has a high incidence in Portugal, especially in the Alentejo region, where its mortality can reach 4.5%. Although diagnosis is clinical, the predictive value of the associated signs and symptoms is unknown.Objectives: To identify clinical and laboratory features, possible to obtain in the Emergency Room, that correlate with a diagnosis of MSF, in patients with fever...