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  1. Book ; Online: Chapter Pulse approach

    Lopes, Luciana / Alvelos, Heitor / Parente, Cristina

    Integral design project management to empower transformative processes

    2023  

    Keywords Product design ; Contemporary wisdom ; Integral design project management ; Design and spirituality ; Souths communities ; Pulse Approach
    Language English
    Size 1 electronic resource (5 pages)
    Publisher Academia Press
    Publishing place Ghent
    Document type Book ; Online
    Note English
    HBZ-ID HT030647273
    ISBN 9789401496476 ; 9401496471
    Database ZB MED Catalogue: Medicine, Health, Nutrition, Environment, Agriculture

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  2. Article ; Online: Peri-operative management of a patient with an ectodermal dysplasia (Rapp-Hodgkin) syndrome.

    Marialva, J / Lopes, L / Moura, F / Cardoso, H / Cruz, L

    Anaesthesia reports

    2023  Volume 11, Issue 1, Page(s) e12210

    Abstract: We present the case of a 41-year-old man with Rapp-Hodgkin syndrome who underwent nasal septum deviation surgery under general anaesthesia. This syndrome is rare, with approximately 70 cases reported worldwide. It is one of a group of ectodermal ... ...

    Abstract We present the case of a 41-year-old man with Rapp-Hodgkin syndrome who underwent nasal septum deviation surgery under general anaesthesia. This syndrome is rare, with approximately 70 cases reported worldwide. It is one of a group of ectodermal dysplasia syndromes and results from the aberrant development of ectoderm during fetal development. Some of the clinical features may affect anaesthetic management. The most important considerations are potentially difficult airway management, the need for meticulous temperature control, and the importance of skin protection. This case was uneventful, but as there are few case reports on the management of patients with ectodermal dysplasia syndromes undergoing anaesthesia this report contributes useful knowledge. The pathogenesis and clinical features of Rapp-Hodgkin syndrome and the anaesthetic management for this patient are described.
    Language English
    Publishing date 2023-01-09
    Publishing country England
    Document type Case Reports
    ISSN 2637-3726
    ISSN (online) 2637-3726
    DOI 10.1002/anr3.12210
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Ketamine in Chronic Pain: A Review.

    Faísco, Ana / Dinis, Rita / Seixas, Tânia / Lopes, Luís

    Cureus

    2024  Volume 16, Issue 2, Page(s) e53365

    Abstract: Ketamine has been used in the treatment of several pain syndromes, particularly those with a relevant neuropathic component. Sub-anesthetic doses of ketamine produce a potent analgesic effect, due to its inhibition of N-methyl-D-aspartate receptors and ... ...

    Abstract Ketamine has been used in the treatment of several pain syndromes, particularly those with a relevant neuropathic component. Sub-anesthetic doses of ketamine produce a potent analgesic effect, due to its inhibition of N-methyl-D-aspartate receptors and enhancement of descending inhibitory pathways. Its short-term analgesic effect is well-documented perioperatively, with an associated reduction in postoperative chronic pain and opioid consumption. Despite some evidence regarding its long-term benefits, the number of clinical studies is still limited. In addition to its analgesic effects, ketamine also possesses an anti-depressive action, which might be useful in the treatment of chronic pain patients. Several side effects have been described, the psychomimetic ones being the most relevant due to their impact on treatment adhesion. At present, co-administration of ketamine and benzodiazepines or α2-agonists facilitates its clinical application. Despite current evidence and increasing use, further investigation is still needed regarding its long-term safety profile and clearer risk-benefit analysis.
    Language English
    Publishing date 2024-02-01
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 2747273-5
    ISSN 2168-8184
    ISSN 2168-8184
    DOI 10.7759/cureus.53365
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Integrating movement in the classroom as a COVID-19 post-pandemic response.

    Santos, Rute / Lopes, Luís

    Child: care, health and development

    2022  Volume 48, Issue 6, Page(s) 1136–1137

    MeSH term(s) COVID-19/epidemiology ; Humans ; Pandemics ; SARS-CoV-2
    Language English
    Publishing date 2022-10-12
    Publishing country England
    Document type Letter ; Research Support, Non-U.S. Gov't
    ZDB-ID 223039-2
    ISSN 1365-2214 ; 0305-1862
    ISSN (online) 1365-2214
    ISSN 0305-1862
    DOI 10.1111/cch.12972
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 1307: Show issues Location:
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    Jg. 1995 - 2021: Lesesall (1.OG)
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  5. Article: Giant thoracic aorta aneurysm below an endovascular stent - An unexpected finding during linear endoscopic ultrasound.

    Tarrio, Isabel / Araújo, Tarcísio / Fernandes, João / Lopes, Luís

    Revista espanola de enfermedades digestivas

    2023  

    Abstract: A 50-year-old woman with a history of bicuspid aortic valve (BAV) and ascending aorta dissection was referred for endoscopic ultrasound (EUS) for suspected choledocholithiasis. Twelve years earlier she had undergone a Bentall-de Bone procedure and 7 ... ...

    Abstract A 50-year-old woman with a history of bicuspid aortic valve (BAV) and ascending aorta dissection was referred for endoscopic ultrasound (EUS) for suspected choledocholithiasis. Twelve years earlier she had undergone a Bentall-de Bone procedure and 7 years earlier a thoracic aorta aneurysm (TAA) was repaired with an endovascular prosthesis. EUS confirmed choledocholithiasis, however a large aneurysm (60 mm of diameter), was incidentally detected at the distal end of the aortic endoprosthesis. Computed tomography (CT) later confirmed the aneurysm, extending 4.5 cm above the renal arteries. The patient underwent a successful new endovascular repair. This rare incidental finding underscores the usefulness of a systematic approach when performing EUS, enabling the detection of significant abnormalities beyond the initial indication and allowing for early intervention in TTA patients.
    Language English
    Publishing date 2023-11-30
    Publishing country Spain
    Document type Journal Article
    ZDB-ID 1070381-0
    ISSN 1130-0108 ; 0212-7512
    ISSN 1130-0108 ; 0212-7512
    DOI 10.17235/reed.2023.10086/2023
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.B 199: Show issues Location:
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  6. Article: Spinal Anesthesia in Hemodynamic Instability: A Case Report.

    Lopes, Luciana / Marialva, Joana / Cardoso, Helder

    Cureus

    2023  Volume 15, Issue 1, Page(s) e33821

    Abstract: Anesthetic dilemmas are not rare in daily practice. Frequently, patients present with comorbid conditions that make general anesthesia risky (e.g., difficult airway and severe pulmonary dysfunction) and contraindications to neuraxial anesthesia at the ... ...

    Abstract Anesthetic dilemmas are not rare in daily practice. Frequently, patients present with comorbid conditions that make general anesthesia risky (e.g., difficult airway and severe pulmonary dysfunction) and contraindications to neuraxial anesthesia at the same time. Reports on the successful anesthetic management of these patients can provide useful information. We report a case of a patient with severe hemodynamic instability who underwent spinal anesthesia for surgical hip debridement. General anesthesia and airway manipulation were avoided because the patient had recently recovered from SARS-CoV-2 pneumonia amid the first wave of the coronavirus disease 2019 (COVID-19) pandemic when very little was known about the disease and no ventilators were available for postoperative care. We explain in detail the continuous spinal anesthesia technique using a conventional epidural catheter and prophylactic norepinephrine when cardiovascular instability was the major concern.
    Language English
    Publishing date 2023-01-16
    Publishing country United States
    Document type Case Reports
    ZDB-ID 2747273-5
    ISSN 2168-8184
    ISSN 2168-8184
    DOI 10.7759/cureus.33821
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article: EUS-Guided Choledochoduodenostomy after Failed Endoscopic Retrograde Cholangiopancreatography in Distal Malignant Biliary Obstruction.

    Tarrio, Isabel / Moreira, Marta / Araújo, Tarcísio / Lopes, Luís

    GE Portuguese journal of gastroenterology

    2023  Volume 30, Issue Suppl 1, Page(s) 65–73

    Abstract: Introduction: Malignant biliary obstruction drainage is essential, since jaundice is associated with morbidity and mortality. Endoscopic retrograde cholangiopancreatography (ERCP) is the recommended procedure for biliary drainage, with percutaneous ... ...

    Abstract Introduction: Malignant biliary obstruction drainage is essential, since jaundice is associated with morbidity and mortality. Endoscopic retrograde cholangiopancreatography (ERCP) is the recommended procedure for biliary drainage, with percutaneous biliary drainage being the classic alternative in cases of unsuccessful ERCP. Recently, endoscopic ultrasound-guided biliary drainage has been emerged as a new option, with EUS-guided choledochoduodenostomy (EUS-CDS) being considered an effective and safe method in the drainage of distal obstructions of the common bile duct.
    Aim: The aim of the study was to evaluate the efficacy and safety of EUS-CDS performed in patients with distal malignant biliary obstructions, after failed ERCP.
    Methods: Single-center retrospective cohort study between July 2017 and June 2022 including all consecutive patients submitted to EUS-CDS in our center. The primary outcomes were "technical success" and "clinical success," defined as "resolution of jaundice or improvement in total serum bilirubin level above 50% at 7th day and above 75% at 30th day after the procedure." Secondary outcomes were procedure-related adverse events, endoscopic reintervention, and survival time.
    Results: EUS-CDS was performed in 20 patients (65.0% male; median age 76 years). The most frequent etiology for the biliary obstruction was pancreatic adenocarcinoma (
    Conclusion: EUS-CDS was effective in biliary decompression of malignant obstructions of the common bile duct, with high clinical success and a favorable safety profile.
    Language English
    Publishing date 2023-03-13
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2835774-7
    ISSN 2387-1954 ; 2341-4545
    ISSN (online) 2387-1954
    ISSN 2341-4545
    DOI 10.1159/000528808
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article: Acute Pancreatitis and Cholangitis due to Biliary Parasites: A Snailing Endoscopic Retrograde Cholangiopancreatography.

    Carvalho, Ana Catarina / Moreira, Marta / Lopes, Luís

    GE Portuguese journal of gastroenterology

    2023  Volume 31, Issue 1, Page(s) 65–66

    Language English
    Publishing date 2023-06-08
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2835774-7
    ISSN 2387-1954 ; 2341-4545
    ISSN (online) 2387-1954
    ISSN 2341-4545
    DOI 10.1159/000528978
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Book ; Online: New Horizons in Health-Promoting Technologies: From Development to Rational Use

    Cruz Lopes, Luciane / De Cássia Bergamaschi, Cristiane / Barberato-Filho, Silvio / Tolentino Silva, Marcus / Godman, Brian

    2020  

    Keywords Science: general issues ; Pharmacology ; health technology assessment ; new horizon ; rational use of medicines ; implementation ; drug utilization research
    Size 1 electronic resource (357 pages)
    Publisher Frontiers Media SA
    Document type Book ; Online
    Note English ; Open Access
    HBZ-ID HT021231298
    ISBN 9782889660438 ; 2889660435
    Database ZB MED Catalogue: Medicine, Health, Nutrition, Environment, Agriculture

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  10. Article ; Conference proceedings: Large duodenal perforation after complex endoscopic ampulectomy – the usefulness of combining several advanced therapeutic procedures

    Tarrio, I. / Moreira, M. / Ramada, J. / Araújo, T. / Lopes, L.

    Endoscopy

    2023  Volume 55, Issue S 02

    Event/congress ESGE Days 2023, Dublin, Ireland, 2023-04-20
    Language English
    Publishing date 2023-04-01
    Publisher Georg Thieme Verlag KG
    Publishing place Stuttgart ; New York
    Document type Article ; Conference proceedings
    ZDB-ID 80120-3
    ISSN 1438-8812 ; 0013-726X
    ISSN (online) 1438-8812
    ISSN 0013-726X
    DOI 10.1055/s-0043-1765786
    Database Thieme publisher's database

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 669: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
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    Zs.MO 162: Show issues

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