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Saraiva RO, Gamelas V, Canha MI, Carvalho D, Loureiro R, Coimbra J. Hepatobiliary and Pancreatic: An unusual cause of biliary obstruction. J Gastroenterol Hepatol 2022; 37:2030. [PMID: 36217251 PMCID: PMC9828722 DOI: 10.1111/jgh.16009] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/01/2022] [Accepted: 09/19/2022] [Indexed: 01/12/2023]
Affiliation(s)
- RO Saraiva
- Department of Gastroenterology, Centro Hospitalar Universitário de Lisboa Central, E.P.EHospital de Santo António dos Capuchos – CHULC, Alameda de Santo António dos CapuchosLisboaPortugal
| | - V Gamelas
- Department of Gastroenterology, Centro Hospitalar Universitário de Lisboa Central, E.P.EHospital de Santo António dos Capuchos – CHULC, Alameda de Santo António dos CapuchosLisboaPortugal
| | - MI Canha
- Department of Gastroenterology, Centro Hospitalar Universitário de Lisboa Central, E.P.EHospital de Santo António dos Capuchos – CHULC, Alameda de Santo António dos CapuchosLisboaPortugal
| | - D Carvalho
- Department of Gastroenterology, Centro Hospitalar Universitário de Lisboa Central, E.P.EHospital de Santo António dos Capuchos – CHULC, Alameda de Santo António dos CapuchosLisboaPortugal
| | - R Loureiro
- Department of Gastroenterology, Centro Hospitalar Universitário de Lisboa Central, E.P.EHospital de Santo António dos Capuchos – CHULC, Alameda de Santo António dos CapuchosLisboaPortugal
| | - J Coimbra
- Department of Gastroenterology, Centro Hospitalar Universitário de Lisboa Central, E.P.EHospital de Santo António dos Capuchos – CHULC, Alameda de Santo António dos CapuchosLisboaPortugal
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Oldfrey B, Tchorzewska A, Jackson R, Croysdale M, Loureiro R, Holloway C, Miodownik M. Additive manufacturing techniques for smart prosthetic liners. Med Eng Phys 2020; 87:45-55. [PMID: 33461673 DOI: 10.1016/j.medengphy.2020.11.006] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/26/2020] [Revised: 10/16/2020] [Accepted: 11/11/2020] [Indexed: 10/23/2022]
Abstract
Elastomeric liners are commonly worn between the prosthetic socket and the limb. A number of improvements to the state of the art of liner technology are required to address outstanding problems. A liner that conforms to the residuum more accurately, may improve the skin health at the stump-socket interface. Previous work has shown that for effective thermal management of the socket environment, an active heat removal system is required, yet this is not available. Volume tracking of the stump could be used as a diagnostic tool for looking at the changes that occur across the day for all users, which depend on activity level, position, and the interaction forces of the prosthetic socket with the limb. We believe that it would be advantageous to embed these devices into a smart liner, which could be replaced and repaired more easily than the highly costly and labour-intensive custom-made socket. This paper presents the work to develop these capabilities in soft material technology, with: the development of a printable nanocomposite stretch sensor system; a low-cost digital method for casting bespoke prosthetic liners; a liner with an embedded stretch sensor for growth / volume tracking; a model liner with an embedded active cooling system.
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Affiliation(s)
- B Oldfrey
- Department of Mechanical Engineering, UCL, London, UK; Institute of Making, UCL, UK; Global Disability Innovation Hub, UCL, UK.
| | - A Tchorzewska
- Department of Mechanical Engineering, UCL, London, UK
| | | | - M Croysdale
- Royal National Orthopaedic Hospital, Stanmore, UK; Aspire Create, Department of Orthopaedics and Musculoskeletal Science, UCL, UK
| | - R Loureiro
- Royal National Orthopaedic Hospital, Stanmore, UK; Aspire Create, Department of Orthopaedics and Musculoskeletal Science, UCL, UK
| | - C Holloway
- Global Disability Innovation Hub, UCL, UK; UCLIC, UCL, UK
| | - M Miodownik
- Department of Mechanical Engineering, UCL, London, UK; Institute of Making, UCL, UK
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Costa Santos M, Cunha C, Velho S, Ferreira AO, Costa F, Ferreira R, Loureiro R, Santos AA, Maio R, Cravo M. Preoperative biliary drainage in patients performing pancreaticoduodenectomy : guidelines and real-life practice. Acta Gastroenterol Belg 2019; 82:389-395. [PMID: 31566326] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
BACKGROUND AND AIM Preoperative biliary drainage (PBD) in patients with pancreatic cancer remains debatable. The aim of this study was to analyse the indications for PBD in patients performing pancreaticoduodenectomy (PD) and to evaluate the impact of this procedure on postoperative outcome. METHODS Observational retrospective cohort study of patients undergoing PD for pancreatic cancer. Clinical data and postoperative outcome, namely complications and 90-day mortality, were prospectively collected and compared between patients performing PBD or direct surgery (DS). RESULTS Eighty-two patients were included: 40 underwent PBD and 42 performed DS. Major complications (27.5% vs 33.3%, P=0.156) and 90-day mortality (10% vs 16.7%, P=0.376) were similar between the two groups. There was a trend for higher mean total bilirubin in patients with PBD (P=0.073). The indication for PBD was suspicion of cholangitis/choledocholithiasis or need to perform neoadjuvant chemotherapy in 24 (60%) patients. In the remaining, elevated bilirubin was probably the only reason to perform PBD. Length of hospital stay was longer in PBD group (P=0.003). On multiple logistic regression, 90-day mortality was not related with preoperative bilirubin levels, biliary drainage or its indication, but solely with age (OR 1.15, 95%CI 1.05-1.31, P=0.008). CONCLUSIONS PBD is often performed in patients undergoing PD without a formal indication, mainly due to high bilirubin levels. No increased morbidity/mortality was observed but length of hospital stay was prolonged in patients performing PBD.
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Affiliation(s)
- M Costa Santos
- Gastroenterology Service, Hospital Beatriz Ângelo, Loures, Portugal
| | - C Cunha
- Surgery Department, Hospital Beatriz Ângelo, Loures, Portugal
| | - S Velho
- Nutrition Service, Hospital Beatriz Ângelo, Loures, Portugal
| | - A O Ferreira
- Gastroenterology Service, Hospital Beatriz Ângelo, Loures, Portugal
| | - F Costa
- Oncology Service, Hospital da Luz, Lisboa, Portugal
| | - R Ferreira
- Gastroenterology Service, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
| | - R Loureiro
- Gastroenterology Service, Hospital Beatriz Ângelo, Loures, Portugal
| | - A A Santos
- Gastroenterology Service, Hospital Beatriz Ângelo, Loures, Portugal
| | - R Maio
- Head of Surgery Department, Hospital Beatriz Ângelo, Loures, Portugal
| | - M Cravo
- Head of Gastroenterology Service, Hospital Beatriz Ângelo, Loures, Portugal
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Silva AC, Dixe MA, Loureiro R, Simões J. O17 The Capacity of Learning in the Quality of Life of the Informal Caregiver. Eur J Public Health 2019. [DOI: 10.1093/eurpub/ckz096.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Affiliation(s)
- A C Silva
- Health Higher School, Polytechnic Institute of Leiria, Leiria, PORTUGAL
| | - M A Dixe
- Health Higher School, Polytechnic Institute of Leiria, Leiria, PORTUGAL
| | - R Loureiro
- Management and Technology Higher School, Polytechnic Institute of Santarém, Santarém, PORTUGAL
| | - J Simões
- Management Higher School, Polytechnic Institute of Tomar, Tomar, PORTUGAL
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Silva R, Torrent T, Loureiro R, Travassos A, De Abreu JRF. Bilateral Cnv Associated with Optic Nerve Drusen Treated with Photodynamic Therapy with Verteporfin. Eur J Ophthalmol 2018. [DOI: 10.1177/112067210401400512] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Purpose To report a case of bilateral choroidal neovascularization (CNV) associated with optic nerve drusen (OND) treated with photodynamic therapy (PDT) with verteporfin. Methods A 10-year-old girl with juxtapapillary CNV in the right eye and juxtapapillary and juxtafoveal CNV in the left eye associated with OND underwent PDT with verteporfin in both eyes. Results Visual acuity increased from 20/160 to 20/25 in the right eye and from 20/1000 to 20/25 in the left eye after two sessions of PDT and 2 years of follow-up. CNV showed no leakage after two PDT sessions in both eyes and no recurrence was observed. Conclusions Subfoveal CNV is an uncommon complication of OND and excellent anatomic and functional results can be obtained with PDT.
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Affiliation(s)
- R. Silva
- Ophthalmology Department, Hospital of the University of Coimbra, Coimbra
| | - T. Torrent
- Ophthalmology Department, Hospital of the University of Coimbra, Coimbra
| | - R. Loureiro
- Ophthalmology Department, Hospital Center of Coimbra, Coimbra
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Pereira C, Loureiro R, Amaral O, Veiga N. Maternal health factors and lifestyles among a sample of Portuguese children. Eur J Public Health 2016. [DOI: 10.1093/eurpub/ckw174.262] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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Loureiro R, Velis D, Beun A, Gaitatzis A. Teaching Video NeuroImages: An adult patient with rhythmic movement disorder. Neurology 2015; 84:e89. [DOI: 10.1212/wnl.0000000000001389] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
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8
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Loureiro R, Queiroz MJRP, Moreno AJM. 35 Protective action of synthetic diarylamines on mitochondrial permeability transition pore. Heart 2011. [DOI: 10.1136/heartjnl-2011-301156.35] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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Junqueira FP, Macedo R, Coutinho AC, Loureiro R, De Pontes PV, Domingues RC, Gasparetto EL. Myocardial delayed enhancement in patients with pulmonary hypertension and right ventricular failure: evaluation by cardiac MRI. Br J Radiol 2009; 82:821-6. [PMID: 19398466 DOI: 10.1259/bjr/28241773] [Citation(s) in RCA: 28] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
In this study, we evaluated patients with pulmonary arterial hypertension (PAH) and impaired right ventricular function. We used cardiac MRI for the detection of myocardial delayed enhancement (MDE) and its possible association with other clinical variables. 20 patients (6 males and 14 females, aged 44.5+/-11 years; 15 New York Heart Association class III, 5 class IV) with known PAH (13 idiopathic, 7 resulting from chronic pulmonary embolism) were evaluated for the detection of MDE. Short-axis cine images of the heart were made for ventricular function assessment using a steady-state free precession sequence. For MDE evaluation, a short-axis phase-sensitive inversion recovery sequence was performed 10 min after intravenous administration of 0.2 mmol kg(-1) gadodiamide. Right ventricle (RV) systolic dysfunction, RV enlargement and RV hypertrophy were present in 20 patients (RV ejection fraction, 21.5+/-7.2%; RV diastolic diameter, 5.97+/-0.79 cm; RV wall thickness, 0.73+/-0.10 cm). 13 of the 20 patients (65%) were positive for MDE (10 anterior, 12 inferior). All 13 positive patients with MDE demonstrated small hyperintense areas at the insertion points of the RV free wall in the interventricular septum. We found no significant correlation between MDE and ejection fraction or other haemodynamic variables. In this study, MDE correlated positively only with the duration of disease. We found that septal MDE can be present in patients with PAH and impaired ventricular function. However, further studies are necessary to investigate this possible association and its prognostic implication.
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Affiliation(s)
- F P Junqueira
- Clínica de Diagnóstico Por Imagem, Av. das Américas 4666 sala 325, Barra da Tijuca, Rio de Janeiro-RJ, Brazil.
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Campos R, Lopes N, Neves M, Trindade F, Henriques F, Loureiro R. 649 Adénome hypophysaire : à propos d’un cas. J Fr Ophtalmol 2008. [DOI: 10.1016/s0181-5512(08)71248-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Belda-Lois J, Martinez-Reyero A, Castillo A, Rocon E, Pons J, Loureiro R, Manto M, Normie L, Soede M. Controllable mechanical tremor reduction. Assessment of two orthoses. ACTA ACUST UNITED AC 2008. [DOI: 10.3233/tad-2007-19402] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Affiliation(s)
| | | | - A. Castillo
- Hospital General Universitario de Valencia, Valencia, Spain
| | - E. Rocon
- Insituto de Automática Industrial
| | | | - R. Loureiro
- Department of Cybernetics, University of Reading, Reading, UK
| | - M. Manto
- Univerisité Libre de Bruxelles, Belgium
| | - L. Normie
- GeronTech – The Israeli Center for Assistive Technology and Aging, Israel
| | - M. Soede
- iRv. Institute for Rehabilitation Research, Hoensbroek, The Netherlands
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Silva R, Torrent T, Loureiro R, Travassos A, de Abreu JRF. Bilateral CNV associated with optic nerve drusen treated with photodynamic therapy with verteporfin. Eur J Ophthalmol 2004; 14:434-7. [PMID: 15506607] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/01/2023]
Abstract
PURPOSE To report a case of bilateral choroidal neovascularization (CNV) associated with optic nerve drusen (OND) treated with photodynamic therapy (PDT) with verteporfin. METHODS A 10-year-old girl with juxtapapillary CNV in the right eye and juxtapapillary and juxtafoveal CNV in the left eye associated with OND underwent PDT with verteporfin in both eyes. RESULTS Visual acuity increased from 20/160 to 20/25 in the right eye and from 20/1000 to 20/25 in the left eye after two sessions of PDT and 2 years of follow-up. CNV showed no leakage after two PDT sessions in both eyes and no recurrence was observed. CONCLUSIONS Subfoveal CNV is an uncommon complication of OND and excellent anatomic and functional results can be obtained with PDT.
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Affiliation(s)
- R Silva
- Ophthalmology Department, Hospital of the University of Coimbra, Coimbra--Portugal.
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Parente S, Loureiro R. [Total quality management in healthcare. The European Foundation for Quality Management Model]. ACTA MEDICA PORT 1998; 11:979-88. [PMID: 10021798] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/10/2023]
Abstract
After presenting the quality model adapted by the health authorities, the authors refer to the development of quality methodology to the present day, and the importance of the self assessment of Quality focusing on the one according to the European Foundation For Quality Management (EFQM) adapted by healthcare organisations. Each criteria of the EFQM model is presented and its potential as a motivation for change by means of self assessment is discussed.
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Affiliation(s)
- S Parente
- Hospital de São Francisco Xavier, Faculdade de Farmácia da Universidade de Lisboa
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Bongertz V, Costa CI, Guimarães ML, Soares-da-Costa MF, Grinsztejn B, Bastos FI, Pilotto JH, João Filho EC, Loureiro R, Chequer P, Telles PR, Galvão-Castro B, Morgado MG. HIV specific humoral immune response in Rio de Janeiro, Brazil. The HEC/Fiocruz AIDS Clinical Research Group. Mem Inst Oswaldo Cruz 1998; 93:391-8. [PMID: 9698875 DOI: 10.1590/s0074-02761998000300022] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/08/2023] Open
Abstract
Efforts to characterize HIV-1 polymorphism and anti-HIV immune response are being made in areas where anti-HIV/AIDS vaccines are to be employed. Anti-HIV-1 humoral immune response is being studied in infected individuals residents in Rio de Janeiro, in distinct cohorts involving recent seroconvertors, pregnant women or intravenous drug users (IDU). Comparative analyses of specificity of antibody response towards epitopes important for anti-HIV-1 immune response indicate quantitative differences between cohorts, with an exceptionally strong response in IDUs and weakest response in pregnant women. However, a comparative analysis between pregnant women cohorts from Rio de Janeiro and Rio Grande do Sul indicated an even lower response (with exception of the anti-V3-C clade peptide recognition) for the southern cohort. Studies analysing the immune function of the humoral response indicate a quite elevated occurrence of antibodies capable for neutralizing heterologous primary HIV-1 isolates from Rio de Janeiro. Attempts to correlate seroreactivity with HIV-1 neutralization with respect to HIV-1 polymorphism were not very successful: while the Brazilian B clade B " variant could be recognized by binding assays, no significant distinction of HIV-1 clades/variants was observed in viral neutralization assays.
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Affiliation(s)
- V Bongertz
- Departamento de Imunologia, Instituto Oswaldo Cruz, Rio de Janeiro, RJ, Brasil.
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Loureiro R. [Saturnism. Prevention in a graphics industry]. Hospital (Rio J) 1968; 73:549-55. [PMID: 5311354] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/14/2023]
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