Thrombus aspiration in patients with ST-elevation myocardial infarction: results of a national registry of interventional cardiology

BACKGROUND: We aimed to evaluate the impact of thrombus aspiration (TA) during primary percutaneous coronary intervention (P-PCI) in 'real-world' settings. METHODS: We performed a retrospective study, using data from the National Registry of Interventional Cardiology (RNCI 2006-2012, Portugal) with ST-elevation myocardial infarction (STEMI) patients treated with P-PCI. The primary outcome, in-hospital mortality, was analysed through adjusted odds ratio (aOR) and 95% confidence intervals (95%CI). RESULTS: We assessed data for 9458 STEMI patients that undergone P-PCI (35% treated with TA). The risk of in-hospital mortality with TA (aOR 0.93, 95%CI:0.54-1.60) was not significantly decreased. After matching patients through the propensity score, TA reduced significantly the risk of in-hospital mortality (OR 0.58, 95%CI:0.35-0.98; 3500 patients). CONCLUSIONS: The whole cohort data does not support the routine use of TA in P-PCI, but the results of the propensity-score matched cohort suggests that the use of selective TA may improve the short-term risks of STEMI..info:eu-repo/semantics/publishedVersio

O império dos mil anos e a arte do "tempo barroco": a águia bicéfala como emblema da Cristandade

The article reveals that between the mid-17th century and the mid-18th century, in the ecclesiastical world of the religious orders (Jesuits, franciscans, Carmelites, Cistercians, Augustinian, etc.) and the episcopate, there was the progressive adoption of the imperial symbol, the double-headed eagle, attribute of the Christian Empire, the germanic Holy Roman Empire emblem. However, in the religious field, this imperial eagle of the baroque time appears without the political insignia (sword, scepter and the imperial orb), adorning altars, monstrances, trumphal archs, facades of temples, doors, walls, domes, pulpits, sacred washbasins, sculptures and paintings of the Virgin and Child, liturgical robes, etc.; therefore related to the cult and the dogmas of the Catholic faith - in artistic works, the association between the double eagle and the flesh-spirit or human-divine unity, axial principle of the Catholic faith, represented by Virgin-Mother and Christ, is often indicated directly. The research has located and identified numerous remnants of the double eagle emblem in religious field in Portugal and Spain and in their conquests and dominions in America, Asia and Africa, and also in Italy, and the historiography on painful birth of the modern era in the West has never realized this phenomenon. Symbolizing absolute power, universal power, these works with sacred significance, as the ecclesiastical discourse of the time, demonstrate movement occurred in religious plane. With the aim to assert not only spiritual but also temporal power of Christ and his mystical body, the Church was impelled by the idea of restoring the "Republica Christiana" or Christendon - disrupted by conflicts of power and faith - and of introducing a Universal Apostolic Monarchy extended to all mankind: the Empire of the Last Days, the Empire of Christ in the world, the fifth Empire

History of Portugal /

A completely rewritten and enlarged version in Portuguese was published in 1972- under title História de Portugal.Bibliography: v. 1, p. [481]-507; v. 2, p. [263]-272.1. From Lusitania to empire2. From empire to corporate stat

Apontamentos sobre a publicação de História da vida privada em Portugal: entrevista com José Mattoso Notes on the publication of the History of private life in Portugal: an interview with José Mattoso

Entrevista concedida a Leandro Alves Teodoro por José Mattoso, professor catedrático da Universidade Nova de Lisboa, renomado medievalista autor de várias obras importantes na historiografia portuguesa. Recentemente, coordenou a publicação de História da vida privada em Portugal, obra que abrange da Idade Média aos nossos tempos, abordando o campo de estudos dos comportamentos e das mentalidades, que até então era apenas tateado pelos historiadores portugueses. Com o objetivo de delinear uma perspectiva historiográfica concernente aos usos da história das mentalidades em Portugal, foi elencada uma série de perguntas a Mattoso sobre os interesses que o levaram a organizar tal conjunto de ensaios inéditos.<br>Interview given to Leandro Alves by José Teodoro Mattoso, professor at the New University of Lisbon, a renowned medievalist and author of several important works on Portuguese historiography. He recently coordinated the publication of the History of private life in Portugal, a work encompassing the Middle Ages through to the present day, addressing the field of study of behaviors and mentalities, which until then had barely been touched upon by Portuguese historians. Seeking to outline a historiographical perspective regarding the use of the history of mentalities in Portugal, a series of questions were prepared to put to Mattoso about the interests that led him to organize such a collection of unpublished essays

Perante a Pneumônica: a epidemia e as respostas das autoridades de saúde pública e dos agentes políticos em Portugal (1918-1919) Tackling the Flu: the epidemic and the responses from the public health officers and the political agents in Portugal (1918-1919)

A epidemia de gripe pneumónica ocorreu em Portugal num momento em que o país que enfrentava enormes dificuldades de natureza económica, política e sanitária. Chega a um país rural e pobre, envolvido na Grande Guerra de 1914-18, e que se debate com a carência de géneros e a carestia de vida, e com uma fortíssima crise social e política. Apesar de o país estar habituado a sucessivas epidemias, o carácter imprevisto e violento da pneumónica (estima-se que tenha provocado quase 140 mil mortos num país com cerca de 6 milhões de habitantes) fez com que a resposta dos agentes políticos e sanitários fosse marcada por factores ligados à conjuntura (crise económica, social e política) e de tipo estrutural (condições higiénicas e sanitárias deficientes, falta de meios em capital económico, de médicos e de medicamentos, impotência do conhecimento médico para debelar a epidemia).<br>The Spanish influenza epidemic occurred in Portugal when this country faced enormous economic, political and sanitary problems. The country was poor, living mainly from agriculture and was involved in the First World War. There were food shortages, a high cost of living, as well as a strong social and political crisis. Although people were used to deal with successive epidemic diseases, the sudden and violent character of the Spanish influenza took everybody by surprise. According to some estimation it killed about 140 thousand in a 6 million person's countryThe answer of the political and sanitary agents was marked by contextual factors (the economic, social and political crisis) as well as by structural ones (very poor hygienic and sanitary conditions, lack of financial resources, of doctors and medicines, impotence of medical knowledge in dealing with the pandemic)