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Study protocol for a pilot randomised controlled trial evaluating the feasibility and effectiveness of non-pharmacological interventions to recover functionality after a transient ischaemic attack or a minor stroke: the 'Back to Normal trial
This study was approved by the Ethics Committee of the Local Health Unit of Matosinhos (Ref. 75/CES/JAS). Written informed consent will be required from all the participants; data protection and confidentiality will be also ensured. The findings of this project are expected to be submitted for publication in scientific articles, and the main results will be presented at relevant scientific meetings. Trial registration number NCT05369637.
Source: BMJ Open - April 28, 2023 Category: General Medicine Authors: Goncalves, M., Lima, M. J., Fonseca, A., Duque, C., Costa, A. R., Cruz, V. T. Tags: Open access, Neurology Source Type: research

Premature acute coronary syndrome: understanding the early onset
Introduction Acute coronary syndrome (ACS) is less frequent in young adults, but it has become a significant health problem, associated with the increasing prevalence of modifiable risk factors. Objectives To characterize patients admitted with premature ACS, comparing with those with nonpremature ACS. Methods We performed a retrospective study encompassing patients of the Portuguese Registry (ProACS), comparing two groups: one composed of men less than 55 and women less than 65 years old; and other with men ≥55 and women ≥65 years old at the ACS admission. The primary endpoint was the composite o...
Source: Coronary Artery Disease - August 1, 2022 Category: Cardiology Tags: Original Research Source Type: research

The European Portuguese version of the Oxford Cognitive Screening (OCS-Pt): a screening test for acute stroke patients
AbstractIn Portugal, there is no gold standard test to assess acute stroke patients in the hospital context. However, cognitive deficits are common after a stroke episode and are followed by a negative impact on a patient ’s quality of life and rehabilitation. Here, we first aimed to adapt the Oxford Cognitive Screening to European Portuguese speakers (OCS-Pt), develop normative data cut-offs, and report the psychometric properties of the OCS-Pt. The second aim was to test the incidence of impairments in acute stro ke patients. We tested 137 healthy participants aged between 25 and 92 years old, and we report normative ...
Source: Neurological Sciences - January 13, 2022 Category: Neurology Source Type: research

Etiologic Evaluation of Ischemic Stroke in Young Adults: A Comparative Study between Two European Centers
Introduction: Identifying the cause of ischemic stroke in young adults is often difficult. Our objective was to compare the etiologic diagnostic strategy for ischemic stroke in young adults between 2 European centers and investigate the influence of workup variations in the diagnosed etiologies. Patients and Methods: We included patients aged 18-55 years admitted for ischemic stroke or transient ischemic attack to the stroke units of Santa Maria Hospital in Lisbon, Portugal, and Innsbruck University Hospital in Innsbruck, Austria, between 2014 and 2016.
Source: Journal of Stroke and Cerebrovascular Diseases - February 13, 2019 Category: Neurology Authors: Bernardo Crespo Pimentel, Johann Willeit, Thomas T öll, Stefan Kiechl, Teresa Pinho e Melo, Patrícia Canhão, Catarina Fonseca, José Ferro Source Type: research

Late Hospital Arrival for Thrombolysis after Stroke in Southern Portugal: Who Is at Risk?
Background: Delayed hospital arrival remains the main reason for the low rates of thrombolysis in eligible acute ischemic stroke (AIS) patients. The role of socioeconomic and clinical factors for the prehospital delay of AIS remains poor and has never been studied in Portugal. Objectives: Describe the socioeconomic and clinical factors leading to delayed hospital admission of AIS patients eligible to thrombolysis. Methods: A case-control study with a consecutive thrombolyzed AIS patients from 2010 to 2015.
Source: Journal of Stroke and Cerebrovascular Diseases - December 31, 2018 Category: Neurology Authors: Sofia Sobral, Isabel Taveira, Rui Seixas, Ana Cl áudia Vicente, Josiana Duarte, Ana Teresa Goes, David Durán, João Lopes, Henrique Rita, Hipólito Nzwalo Source Type: research

Response to Commentary on “Short-Term Outcome of Spontaneous Intracerebral Hemorrhage in Algarve, Portugal: Retrospective Hospital-Based Study”
We appreciate the correspondence by Safiri and Ashrafi-Asgarabad regarding our article “Short-Term Outcome of Spontaneous Intracerebral Hemorrhage in Algarve, Portugal: Retrospective Hospital-Based Study” recently published in Journal of Stroke and Cerebrovascular Diseases.1 It appears as if the methods and objectives of our study were misinterpreted. The main objective was to ide ntify the 30-day in-hospital predictors of death based on demographic, clinical, and radiological variables and for that, multivariate analysis was performed.
Source: Journal of Stroke and Cerebrovascular Diseases - March 19, 2018 Category: Neurology Authors: Hipolito Nzwalo, Ana Marreiros, Nicola Logallo Tags: Letter to the Editor Source Type: research

Comments on “Short-Term Outcome of Spontaneous Intracerebral Hemorrhage in Algarve, Portugal: Retrospective Hospital-Based Study”
We were interested to read the paper by Nzwalo et  al that was published in the Journal of Stroke and Cerebrovascular Diseases in 2018.1 The study was conducted to determine the predictors of 30-day in-hospital spontaneous intracerebral hemorrhage mortality in Algarve, the southernmost region of Portugal. It is clear that an interesting study has been conducted, but some methodological issues need to be taken into account.
Source: Journal of Stroke and Cerebrovascular Diseases - February 6, 2018 Category: Neurology Authors: Saeid Safiri, Ahad Ashrafi-Asgarabad Tags: Letter to the Editor Source Type: research

Fragmented Ambulance Services in Sri Lanka Evolve into A Modern System
Fragmented ambulance services evolve into a modern system Situated in the Indian Ocean, separated from India by the Palk Strait, Sri Lanka is the 25th largest island in the world (See Figure 1). Its complex geographical features-peaks, plateaus, valleys, rivers and tropical forests-are subject to a variety of natural hazards, including floods, landslides, cyclones and tsunamis.1 With ancient cultural roots going back to the 6th century B.C., Sri Lanka's modern colonial history began with Portuguese, Dutch and British settlements in the 16th century. By 1815, Britain was the sole colonial power. In 1948, Sri Lanka became an...
Source: JEMS Operations - November 2, 2017 Category: Emergency Medicine Authors: Nuwan Chamara Ekanayaka, EMT-I Tags: International Operations Source Type: news

Short-Term Outcome of Spontaneous Intracerebral Hemorrhage in Algarve, Portugal: Retrospective Hospital-Based Study
The objective of this study was to describe the predictors of 30-day in-hospital SICH mortality in Algarve, the southernmost region of Portugal.
Source: Journal of Stroke and Cerebrovascular Diseases - October 25, 2017 Category: Neurology Authors: Hipolito Nzwalo, Jerina Nogueira, Ana Catarina F élix, Patrícia Guilherme, Pedro Abreu, Teresa Figueiredo, Fátima Ferreira, Ana Marreiros, Lars Thomassen, Nicola Logallo Source Type: research

Smoking behaviour trends among Portuguese physicians: are they role models? A conference-based survey
This study explores smoking behaviour among Portuguese physicians and addresses the research question: Do Portuguese physicians act as role models by smoking less than the general population or reporting willingness to quit? This was an exploratory questionnaire-based cross-sectional study conducted in 2009 during two major national medical conferences, and reproducing previous survey methodology. Self-administered questionnaires were delivered and collected during the Stroke Society Annual Conference (all 450 physicians in attendance) and the GP Society Annual Conference (33% systematic random sample out of 1500 participa...
Source: Public Health - December 19, 2013 Category: Global & Universal Authors: S.B. Ravara, M. Castelo-Branco, P. Aguiar, J.M. Calheiros Tags: Short Communications Source Type: research