Prognosis after Myocardial Infarction - A Deep Look into Myocardial Tissue

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Resposta à Carta ao Editor «Shunt Residual Devido a Perfuração Espontânea da Membrana de Álcool Polivinílico de um Dispositivo de Encerramento de CIA. O que Sucede Após o Diagnóstico?»

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Popeye Deformity: a Red Flag for Wild-Type Transthyretin Amyloidosis

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The future of the aeronautics: 360º reskilling and upskilling approach

The solution to challenges in aeronautics involves shifting traditional learning and development into reskilling and upskilling. However, some see it as a responsibility of industries, others as a responsibility of educational institutes, and some others as a responsibility of workers themselves. We review each stakeholder’s role, importance, and actions to take, applied to the aeronautics sector. The pathway to overcome the skills challenge is through an interconnected action, where all stakeholders work in synergy, and consider other pressing challenges, such as age/gender inclusion, with benefits for both single business growth and for prosperity of Aeronautics in post-covid times.info:eu-repo/semantics/publishedVersio

Cardiac Magnetic Resonance in the Assessment of Pericardial Abnormalities: a Case Series

Background: Cardiac magnetic resonance (CMR) has a unique role in evaluating pericardial disease, permitting non-invasive tissue analysis, and haemodynamic assessment. Case summary: In Case 1 of recurrent pericarditis, CMR confirmed reactivation of inflammation with late gadolinium enhancement and native T1/T2 mapping techniques, prompting therapeutic changes. In constrictive pericarditis, CMR is the only modality capable of differentiating a subacute potentially reversible form (Case 2), from a chronic, burnt out irreversible phase characterized by constrictive physiology (Case 3). Discussion: Cardiac magnetic resonance is an effective tool to tailor individual therapy, particularly in cases of recurrent and constrictive pericarditis. Late gadolinium enhancement provides diagnostic and prognostic information, and multiparametric mapping has emerged as a promising tool with incremental diagnostic value.info:eu-repo/semantics/publishedVersio

Cardiovascular Primary Prevention - Directed Approach for Individual Features

Cardiovascular diseases (CVD) remain the leading cause of morbimortality globally. Despite substantial improvement in outcomes, alarming increases in obesity, diabetes mellitus and other risk factors have been noted in recent years. Despite the majority of CVD being preventable and primary prevention being cost-effective, preventive approaches are poorly implemented in the population at large as well as in individual patients. The pillar of prevention is lifestyle changes (diet, weight, smoking and exercise) followed by, when appropriate, targeting of the main cardiovascular risk factors with pharmacotherapy: lipid lowering therapy, blood-pressure treatment and blood glucose control. Low-dose aspirin as “one-dose-fits-all strategy” remains controversial as primary prevention due to the increased bleeding risk. New scoring systems or further application of imaging techniques (for example, coronary calcium score) are necessary for better risk stratification.info:eu-repo/semantics/publishedVersio

Loeffler Endocarditis in a Patient with Non-Hodgkin's Lymphoma

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Pesquisa de agentes entomopatogénicos na Ilha Terceira (Açores).

IX Expedição Científica do Departamento de Biologia - Terceira 1994.Durante a "Expedição Científica Terceira 1994" fez-se a recolha de amostras de solo para pesquisa de nemátodos e fungos entomopatogénicos no âmbito do projecto de colecção e caracterização da variabilidade genética de agentes entomopatogénicos nos Açores. Com o designado "Galleria trap method" isolaram-se 4 nemátodos do género Heterorhabditis, todos morfologicamente próximos de Heterorhabditis bacteriophora, e 1 fungo, identificado como Beauveria bassiana

Temperature inversion symmetry in the Casimir effect with an antiperiodic boundary condition

We present explicitly another example of a temperature inversion symmetry in the Casimir effect for a nonsymmetric boundary condition. We also give an interpretation for our result.Comment: 4 page

Doentes Oncológicos com Síndrome Coronária Aguda Não Têm Maior Risco Hemorrágico Quando Comparados com Doentes com Características Similares - Uma Análise de Emparelhamento de Score de Propensão do Registo ProACS

Introduction: The management of acute coronary syndrome (ACS) in malignancy is challenging due to higher bleeding risk. Methods: We analyzed patients with cancer (active or in the previous five years) prospectively included in the ProACS registry between 2010 and 2019. Our aim was to assess safety (major bleeding, primary endpoint) and secondary efficacy endpoints (in-hospital mortality and combined in-hospital mortality, reinfarction and ischemic stroke) of ACS treatment. Propensity score matching analysis (1:1) was further performed to better understand predictors of outcomes. Results: We found 934 (5%) cancer patients out of a total of 18 845 patients with ACS. Cancer patients had more events: major bleeding (2.9% vs. 1.5%), in-hospital mortality (5.8% vs. 3.4%) and the combined endpoint (7.4% vs. 4.9%). The primary endpoint was related to cancer diagnosis (OR 1.97), previous bleeding (OR 7.09), hemoglobin level (OR 4.94), atrial fibrillation (OR 3.50), oral anticoagulation (OR 3.67) and renal dysfunction. Mortality and the combined secondary endpoint were associated with lower use of invasive coronary angiography and antiplatelet and neurohormonal blocker therapy. After propensity score matching (350 patients), there were no statistically significant differences in endpoints between the populations. Conclusion: Bleeding risk was not significant higher in the cancer population compared to patients with similar characteristics, nor were mortality or ischemic risk. The presence of cancer should not preclude simultaneous ACS treatment.info:eu-repo/semantics/publishedVersio