Browsing by Author "Dias, A."
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- Benefits of pulmonary rehabilitation in patients with chronic obstructive pulmonary disease and interstitial lung disease with the same dyspnea severityPublication . Pedro, P. I.; Santos, L. Maia; Forte, C. Braço; Dias, A.; Cruz, C.; Rodrigues, Fabio RibeiroPulmonary rehabilitation (PR) programs improve exercise capacity in patients with chronic obstructive pulmonary disease (COPD) and interstitial lung disease (ILD), but few studies compare results between both pathologies. It is not yet obvious whether gains in 6-min walk distance (6MWD) accomplished by patients with ILD are comparable to those with COPD, because existing studies have yielded conflicting results. There are studies that reported similar improvement in exercise tolerance and quality of life in patients with COPD and non-obstructive lung disease. However, the duration of benefit may be shorter lived than that seen after PR among patients with COPD. Also, the type and severity of ILD may also influence outcomes of PR. A recent systematic review and meta-analysis on the impact of pulmonary rehabilitation in patients with idiopathic pulmonary fibrosis showed a growing body of evidence of its benefit in exercise tolerance and quality of life. The aim of our study was to evaluate the effect of PR on exercise capacity using 6-min walk test (6MWT) within and between COPD and ILD patients. Outcomes were the change in 6MWD and maximum heart rate (HRmax), and the comparison of these changes between groups according to dyspnea level classified by modified Medical Research Council scale (mMRC).
- SIC PTCON0029 CABEÇÃO. Proposta de Relatório Final. Cartografia de Habitats Naturais e Seminaturais e Flora dos Sítios Classificados no Âmbito da Diretiva Habitats – Cart-Pg Rn2000 (Operação Poseur-03-2215-Fc-000005)Publication . Ribeiro, S.; Pena, S.; Caraça, R.; Dias, A.; Dalila Espírito Santo, Maria
- SIC PTCON0029 CABEÇÃO. Relatório Final. Cartografia de Habitats Naturais e Seminaturais e Flora dos Sítios Classificados no Âmbito da Diretiva Habitats – Cart-Pg Rn2000 (Operação Poseur-03-2215-Fc-000005)Publication . Ribeiro, S.; Pena, S.; Caraça, R.; Dias, A.; Espírito-Santo, D.
- SIC PTCON0031 MONFURADO. Proposta de Relatório Final. Cartografia de Habitats Naturais e Seminaturais e Flora dos Sítios Classificados no Âmbito da Diretiva Habitats – Cart-Pg Rn2000 (Operação Poseur-03-2215-Fc-000005)Publication . Ribeiro, S.; Pena, S.; Pereira, M.; Caraça, R.; Dias, A.; Oliveira, H.; Espírito-Santo, D.
- SIC PTCON0031 MONFURADO. Relatório Final. Cartografia de Habitats Naturais e Seminaturais e Flora dos Sítios Classificados no Âmbito da Diretiva Habitats – Cart-Pg Rn2000 (Operação Poseur-03-2215-Fc-000005)Publication . Ribeiro, S.; Pena, S.; Pereira, M.; Caraça, R.; Dias, A.; Oliveira, H.; Espírito-Santo, D.
- SIC PTCON0033 CABRELA. Proposta de Relatório Final. Cartografia de Habitats Naturais e Seminaturais e Flora dos Sítios Classificados no Âmbito da Diretiva Habitats – Cart-Pg Rn2000 (Operação Poseur-03-2215-Fc-000005)Publication . Ribeiro, S.; Pena, S.; Pereira, M.; Costa, F.; Caraça, R.; Dias, A.; Xavier, P.; Pina, A.; Miguel, C.; Franco, L.; Veloso, S.; Dalila Espírito Santo, Maria
- SIC PTCON0033 CABRELA. Relatório Final. Cartografia de Habitats Naturais e Seminaturais e Flora dos Sítios Classificados no Âmbito da Diretiva Habitats – Cart-Pg Rn2000 (Operação Poseur-03-2215-Fc-000005)Publication . Ribeiro, S.; Pena, S.; Pereira, M.; Costa, F.; Caraça, R.; Dias, A.; Xavier, P.; Pina, A.; Miguel, C.; Franco, L.; Veloso, S.; Espírito-Santo, D.
- The typical presentation of an atypical pathogen during an outbreak of Legionnaires’ disease in Vila Franca de Xira, Portugal, 2014Publication . Dias, A.; Cysneiros, A.; Lopes, F. T.; von Amann, B.; Costa, C.; Dionísio, P.; Carvalho, J.; Durão, V.; Carvalho, G.; Paula, F.; Serrado, M.; Nunes, B.; Marques, T.; Froes, F.; Bárbara, C.Background: An outbreak of Legionella pneumophila serogroup 1, with 403 cases was identified on the 7th November 2014 in Vila Franca de Xira, Portugal. Outbreak source was the wet cooling system of a local factory. Hospital Pulido Valente was one of the hospitals receiving patients with Legionnaires' disease (LD). Methods: We describe the clinical findings and diagnostic methods used among the 43 confirmed or probable cases admitted to our department. Results: 60.5% were male, mean age was 56.1±13.5 years and tobacco smoking was the most frequent risk factor (76.7%). All patients had fever, 62.8% ≥39.5°C, 72.1% had chills and myalgia/arthralgia and 62.8% had dry cough. Extra pulmonary symptoms were frequent: confusion and headache occurred in 34.9% and gastrointestinal symptoms in 20.9%. High C-Reactive Protein (55.8% ≥30mg/dL) and hyponatremia (62.8%) were the laboratorial abnormalities most commonly found. Hypoxemia occurred in 55.8% and hypocapnia in 93%. Urinary Antigen Test (UAT) was positive in 83.7% of the cases. Conclusions: Although not specific, a combination of risk factors, symptoms and laboratory findings can be highly suggestive of LD, even in an outbreak. This should prompt diagnosis confirmation. Routine use of UAT in less severe cases of community acquired pneumonia might contribute to earlier diagnosis.
- Thinking outside the thorax for patients difficult to wean from non-invasive ventilation : amyotrophic lateral sclerosis diagnosis and management in a Respiratory Intermediate Care UnitPublication . Dias, A.; Faria, I.; Santos, A. C.; Bárbara, C.