16 results on '"Veiga, Pedro Mota"'
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2. Human resource management in ambidextrous organisations – A systematic literature review.
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Varandas, Cristina, Fernandes, Cristina I., and Veiga, Pedro Mota
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The objective of this study involves identifying the key pillars and strategies for managing human resources in ambidextrous organisations. This seeks to grasp how these organisations foster sustainability, success and high levels of organisational performance in response to the demands raised by competitive markets. This correspondingly applied the systematic literature review technique to the Web of Science database. Following the identification of 121 articles, we applied the co-citation and bibliographic coupling analytical techniques in accordance with VOSviewer. This process identified four pillars to the strategic management of human resources in ambidextrous organisations: ambidextrous leadership, ambidextrous management systems, ambidextrous learning and ambidextrous organisational culture that, in turn, highlight various organisational strategies. In academic terms, this generates deep reflections on future lines of research and a better understanding of the relevance of the strategic management of human resources in ambidextrous organisations in addition to clearly portraying a structure underpinning the relationships identified among the pillars and strategies capable of attaining success. • Identification of the basic structures, i.e. their pillars and the strategies that underpin this relationship, in order to promote sustainability, success and high organisational performance by responding to the competitive demands of the markets by creating innovative exploration and exploitation activities. • Systematic literature review. • Four pillars were identified: i) ambidextrous leadership, ii) ambidextrous management systems, iii) ambidextrous learning and iv) ambidextrous organisational culture. [ABSTRACT FROM AUTHOR]
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- 2024
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3. Humoral immunogenicity and tolerability of heterologous ChAd/BNT compared with homologous BNT/BNT and ChAd/ChAd SARS-CoV-2 vaccination in hemodialysis patients
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Haase, Michael, Lesny, Paul, Anderson, Mark, Cloherty, Gavin, Stec, Michael, Haase-Fielitz, Anja, Haarhaus, Mathias, Santos-Araújo, Carla, Veiga, Pedro Mota, and Macario, Fernando
- Abstract
Background: After the reports of severe adverse reactions to the AstraZeneca ChAdOx1-S-nCoV-19 vaccine, patients who had received one dose of ChAdOx1-S-nCoV-19 vaccine were recommended a second dose of Pfizer’s BNT162b2 vaccine. In hemodialysis patients, we compared the humoral immunogenicity and tolerability of homologous vaccination with ChAdOx1-nCoV-19/ChAdOx1-nCoV-19 (ChAd/ChAd) and BNT162b2/BNT162b2 (BNT/BNT) with heterologous vaccination of first dose of ChAdOx1-nCoV-19 and a second dose with BNT162b2 (ChAd/BNT). Methods: In a multicenter prospective observational study, SARS-CoV-2 spike-IgG antibody levels, Nucleocapsid-protein-IgG-antibodies, and vaccine tolerability were assessed 6 weeks after second SARS-CoV-2 vaccination in 137 hemodialysis patients and 24 immunocompetent medical personnel. Results: In COVID-19-naïve hemodialysis patients, significantly higher median SARS-CoV-2-spike IgG levels were found after ChAd/BNT (N = 16) compared to BNT/BNT (N = 100) or ChAd/ChAd (N = 10) (1744 [25th–75th percentile 276–2840] BAU/mL versus 361 [25th–75th percentile 120–936] BAU/mL; p = 0.009; 1744 [25th–75th percentile 276–2840] BAU/mL versus 100 [25th–75th percentile 41–346] BAU/mL; p = 0.017, respectively). Vaccinated, COVID-19-naïve medical personnel had median SARS-CoV-2 spike-IgG levels of 650 (25th–75th percentile 217–1402) BAU/mL and vaccinated hemodialysis patients with prior COVID-19 7047 (25th–75th percentile 685–10,794) BAU/mL (N = 11). In multivariable regression analysis, heterologous vaccination (ChAd/BNT) of COVID-19-naïve hemodialysis patients was independently associated with SARS-CoV-2 spike-IgG levels. The first dose of ChAd and the second dose of BNT after the first vaccination with ChAd (heterologous vaccination, ChAd/BNT) were associated with more frequent but manageable side effects compared with homologous BNT. Conclusions: Within the limitations of this study, heterologous vaccination with ChAd/BNT appears to induce stronger humoral immunity and more frequent but manageable side effects than homologous vaccination with BNT/BNT or with ChAd/ChAd in COVID-19-naïve hemodialysis patients. Graphical abstract:
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- 2022
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4. The effects of knowledge spillovers, digital capabilities, and innovation on firm performance: A moderated mediation model.
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Ferreira, João J.M., Fernandes, Cristina I., and Veiga, Pedro Mota
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EXTERNALITIES ,TECHNOLOGICAL innovations ,DIGITAL technology ,ECONOMIC development ,VALUE creation - Abstract
Despite the growing importance of implementing digital technologies in business contexts, empirical research relating to digital capabilities, innovation, and business performance still remains scarce, particularly relevant in these times of disruption. This study proposes a mediated-moderated framework to describe, according to the level of economic development of the country of firm location, the direct and indirect effects (mediated by digital capabilities and innovation) of knowledge spillovers on firm performance. We carried out a quantitative study deploying the longitudinal World Bank Enterprise Surveys for 2019, 2020 and 2021 in a dataset that included 27,727 firms from 41 countries and territories. We applied the partial least square structural equation modelling (PLS-SEM) methodological approach to test the mediated-moderated model that explains business performance. The results identify how knowledge spillovers positively influence firm performance through digital capabilities and innovation. Furthermore, we empirically demonstrate that the national level of economic development moderates the direct and indirect impacts of knowledge spillovers on firm performance. • Our study advances on knowledge spillover theory. • We present a mediated-moderated framework to assist the effects of knowledge spillovers on firm performance. • This study examines how digital capabilities impact the relationship between knowledge spillovers and company performance. • Our research shows how knowledge spillovers drive innovation and improve firms' performance, leading to value creation. [ABSTRACT FROM AUTHOR]
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- 2024
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5. The Relationship between Entrepreneurial Ecosystems and Digital Transformation
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Guimarães, Jaiandra da Silva, Fernandes, Cristina, Veiga, Pedro Mota, and Ramadani, Veland
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Given the growing importance of digital transformation, on the one hand, and the recognized importance of Entrepreneurial Ecosystems (EE) on the other, we find that these are two fragmented fields in the literature and that they lack a systematization of the literature. Our research aims to develop a systematic literature review, in which we will study the relationship between entrepreneurial ecosystems and digital transformation, at the micro, meso and macro levels. For this, we used the Web of Science to collect our database, and we analysed 73 articles that were included in our study for their purpose. In our analysis, we were able to identify the characteristics of the environments of entrepreneurial ecosystems, the actions of digital technology approaches to digital transformation and the necessary skills in the scenario of entrepreneurship. Thus, we proposed a conceptual model with the presentation of the relationship between entrepreneurial ecosystems and digital transformation, which may be useful in future studies. The greatest contribution of our investigation is the offer of this systematization to this field of study, allowing us to see the different paths of investigation.
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- 2024
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6. Does sustainable innovation respond to SME's growth? European empirical evidence
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Fernandes, Cristina I., Ferreira, João J. M., Veiga, Pedro Mota, Kraus, Sascha, and Jones, Paul
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There is an ongoing scholarly debate regarding the compatibility of sustained high levels of firm-level growth with today's environmental sustainability goals, which include targets for limiting carbon emissions and avoiding further biodiversity loss. In this study, we aim to explore this issue through a quantitative analysis of the relationship between firm-level growth and sustainable innovation (i.e., all innovations with benefits for the environment) within an international sample of small- and medium-sized enterprises (SMEs). To accomplish this, we utilise micro-data from the Community Innovation Survey, based on the conceptual framework provided by the Oslo Manual. By employing econometric models, we demonstrate that sustainable innovations promote SME growth. Specifically, we find that SMEs implementing sustainable innovations experience higher growth compared to those that do not practice them. Our research not only contributes to the existing literature in economics and management by providing more extensive knowledge but it also identifies several policy and management implications. Furthermore, we seek to offer novel insights into the importance of sustainable innovations adopted by growth-oriented SMEs.
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- 2024
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7. Outcomes of Different Methods for Analysis of Biliary Brush Cytology and of Factors Associated with Positive Diagnosis in an Age-Dependent Retrospective Review
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Costa, Mariana, Canena, Jorge, Mascarenhas-Lemos, Luís, Loureiro, Rafaela, Silva, Mário, Carvalho, Diana, Capela, Tiago, Russo, Pedro, Ramos, Gonçalo, Mateus-Dias, António, Ferraz-Oliveira, Mário, Veiga, Pedro Mota, and Coimbra, João
- Abstract
Background and Aims:Brush cytology during endoscopic retrograde cholangiopancreatography (ERCP) is the most frequently used strategy for obtaining a tissue sample from an indeterminate biliary stricture. A recent study reported that age is a factor associated with positive yields, but further analysis of how age influences the results was lacking. We aimed to evaluate clinical effectiveness of biliary cytology and prognostic factors for a positive outcome, especially age. Methods:This study was a single-center, retrospective, clinical study of 77 consecutive patients who underwent brush cytology during ERCP to obtain a diagnosis of an indeterminate biliary stricture. We compared 2 routine cytology techniques: A (smear); B (centrifugation of the cytological material collected and the cut-off brush + cell block when sufficient amount of material was available). The data were collected aiming to compare the accuracy of the different techniques used and the prognostic factors affecting the outcome, with a particular focus on age. The yield for brush cytology was compared with the gold standard defined as either definitive histology or the long-term clinical course. Results:The overall accuracy of the 2 used methods was 75.3%. Sensitivity was 52.5%, specificity was 100%, positive predictive value was 100%, and negative predictive value was 66.1%. Although not statistically significant, there was a trend toward accuracy for method B compared with method A (80.4 vs. 65.4%; p= 0.153). Multiple logistic regression analysis showed that younger age was the only independent prognostic factor associated with a positive diagnosis (OR 0.95; 95% CI 0.90–0.99; p= 0.039). Receiver operating characteristic curves for age yielded an area under the curve value of 68.2%. On the basis of the Youden index, 69 years was found to be the optimal cutoff for age. Conclusions:In this series, the accuracy of routine biliary brush cytology was not equal for all methods and ages; in particular, younger patients (below 69 years) tended to have a higher probability of a correct diagnosis.
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- 2018
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8. Entrepreneurial intention of sports students in the higher education context - Can gender make a difference?
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da Costa, Carla D.M., Miragaia, Dina A.M., and Veiga, Pedro Mota
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INTENTION ,COLLEGE curriculum ,BUSINESSWOMEN ,HIGHER education ,EDUCATION students ,BUSINESSPEOPLE - Abstract
Entrepreneurship has been indicated as a fundamental approach to solve a number of social and economic problems. For that reason, it is important to understand the factors that influence the entrepreneurial intention, particularly at moments in life when people have to make decisions about their careers. This study aims to analyse the entrepreneurial intention of higher education students, particularly in the area of sport, and analyse whether this entrepreneurial intention is affected by gender. A quantitative study was carried out, by applying a questionnaire to 332 students on Sport degree courses provided by higher education institutions in Portugal. The results indicate that students have confidence and are positive regarding their entrepreneurial capacities and competences, they are greatly attracted by this career option and are willing to take on the risks associated with entrepreneurial activity. Analysing entrepreneurial intention according to gender, male students show greater interest in being entrepreneurs, and more confidence in their entrepreneurial skills and competences than females. Concerning the value society gives to the entrepreneurial career, this dimension is found to have a negative influence on women's entrepreneurial intention. This result is no surprise, as society does not yet look favourably on female entrepreneurs, the idea persisting that this is a career for men. Therefore, the study suggests reflecting on entrepreneurship education and the need to update curricula in the field of sport, aiming to contribute to higher rates of entrepreneurship, particularly among women. [ABSTRACT FROM AUTHOR]
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- 2023
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9. The interactions of entrepreneurial attitudes, abilities and aspirations in the (twin) environmental and digital transitions? A dynamic panel data approach.
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Ferreira, Joao J., Fernandes, Cristina I., Veiga, Pedro Mota, and Caputo, Andrea
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COLUMNS ,ATTITUDE (Psychology) ,CLIMATE change ,ECONOMIC development ,PANEL analysis - Abstract
Given the challenges faced by companies and society in general in terms of mitigating the effects of climate change and digitalisation, fostering and supporting digital and sustainable entrepreneurship represents a fundamental goal. Our research seeks to study the impact of national entrepreneurship systems (NESs) on what is known as the twin transition. Through recourse to dynamic panel econometric techniques applied to various databases (Eurostat, FAO, GEM, UN, and World Bank), we were able to evaluate the effect of the entrepreneurial attitudes, abilities and aspirations, and components of NESs, on the twin transition (digital and environmental). Globally, our results stand out for the positive interactions established by the entrepreneurial attitudes, abilities and aspirations, as pillars of NESs, with the digital and environmental transitions. Furthermore, the level of national economic development returns a positive moderating effect on the relationship between the NES components and the twin transitions. • National entrepreneurship systems impact on the twin transitions. • Entrepreneurial attitudes, abilities and aspirations effects on twin transitions. • National economic development level returns a moderating effect on twin transition. • Entrepreneurship impacts the sustainability and digitalisation of countries. [ABSTRACT FROM AUTHOR]
- Published
- 2022
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10. The impact of the financial crisis and financial assistance in Portuguese competitiveness: micro and macro foundations
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Veiga, Pedro Mota, Ferreira, JoÁ£o J., and Faria, JoÁ£o R.
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This study analyses factors that influence the competitiveness of countries and the Portuguese competitiveness in comparison with European Union countries, in particular with Greece and Ireland. We also present a formal model of Porter Diamond model and its generalisation. The data come from Global Competitiveness Index from 2006 to 2013 for 144 countries. The methodology is based on factorial analyses, regression analyses and cluster analyses. The methodology used is innovative and the regression analysis allows us to estimate competitiveness levels. The results shows that political institutions, social infrastructure and microeconomic competitiveness have an impact on competitiveness and monetary and fiscal policies are irrelevant for the competitiveness of the countries. Portugal lies in the group of middle-high competitiveness countries and Portuguese competitiveness is average in the European Union, however it is inferior to Ireland and superior to Greece. The main limitation of this research article is that the dataset is limited to the Global Competitiveness Index.
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- 2017
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11. Digital entrepreneurship platforms: Mapping the field and looking towards a holistic approach.
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Fernandes, Cristina, Ferreira, João J., Veiga, Pedro Mota, Kraus, Sascha, and Dabić, Marina
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DIGITAL technology ,SMART cities ,THEMATIC analysis ,COINTEGRATION ,ECONOMIC expansion ,CONTENT analysis - Abstract
Entrepreneurship is widely advocated as a driver of innovation and economic growth. Given today's technological and digital challenges, digital entrepreneurship in particular is a phenomenon on the rise, both through the digitization of existing businesses and the creation of digital enterprises. Debates on the relevance of digital entrepreneurship have been published in a range of journals that vary in terms of their purpose and readership. As such, scholarly contributions to this topic remain largely fragmented. To address this gap, this review aims to map academic literature on digital entrepreneurship in order to facilitate a better understanding of antecedents and future work. This study combines bibliometric approaches to examine literature on digital entrepreneurship platforms, forming a holistic picture of the field's different aspects and trends. The content and thematic analysis of 97 articles allows us to identify five approaches: i) Digital Entrepreneurship Success Factors, ii) Digital Entrepreneurial Ecosystems and Smart Cities, iii) Digital Entrepeneurial Models, iv) Sharing Entrepreneurial Platforms, and v) Digital Platforms about Entrepreneurship Co-creation. Our findings further highlight the various gaps in digital entrepreneurship literature and raise some research questions that warrant future academic research. Our holistic model holds several implications for the theory and practice of the different aspects of digital entrepreneurship. • Entrepreneurship is a driver of innovation and economic growth. • Debates on the relevance of digital entrepreneurship have been published in a range of journals. • This study combines bibliometric approaches to examine literature on digital entrepreneurship platforms, forming a holistic picture of the field's different aspects and trends. • The content and thematic analysis of 97 articles allows us to identify five approaches: i) Digital Entrepreneurship Success Factors, ii) Digital Entrepreneurial Ecosystems and Smart Cities, iii) Digital Entrepeneurial Models, iv) Sharing Entrepreneurial Platforms, and v) Digital Platforms about Entrepreneurship Co-creation. [ABSTRACT FROM AUTHOR]
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- 2022
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12. A non-randomized study in consecutive patients with postcholecystectomy refractory biliary leaks who were managed endoscopically with the use of multiple plastic stents or fully covered self-expandable metal stents (with videos)
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Canena, Jorge, Liberato, Manuel, Meireles, Liliane, Marques, Inês, Romão, Carlos, Coutinho, António Pereira, Neves, Beatriz Costa, and Veiga, Pedro Mota
- Abstract
Background Endoscopic management of postcholecystectomy biliary leaks is widely accepted as the treatment of choice. However, refractory biliary leaks after a combination of biliary sphincterotomy and the placement of a large-bore (10F) plastic stent can occur, and the optimal rescue endotherapy for this situation is unclear. Objective To compare the clinical effectiveness of the use of a fully covered self-expandable metal stent (FCSEMS) with the placement of multiple plastic stents (MPS) for the treatment of postcholecystectomy refractory biliary leaks. Design Prospective study. Setting Two tertiary-care referral academic centers and one general district hospital. Patients Forty consecutive patients with refractory biliary leaks who underwent endoscopic management. Interventions Temporary placement of MPS (n = 20) or FCSEMSs (n = 20). Main Outcome Measurements Clinical outcomes of endotherapy as well as the technical success, adverse events, need for reinterventions, and prognostic factors for clinical success. Results Endotherapy was possible in all patients. After endotherapy, closure of the leak was accomplished in 13 patients (65%) who received MPS and in 20 patients (100%) who received FCSEMSs ( P = .004). The Kaplan-Meier (log-rank) leak-free survival analysis showed a statistically significant difference between the 2 patient populations (χ 2 [1] = 8.30; P < .01) in favor of the FCSEMS group. Use of <3 plastic stents ( P = .024), a plastic stent diameter <20F ( P = .006), and a high-grade biliary leak ( P = .015) were shown to be significant predictors of treatment failure with MPS. The 7 patients in whom placement of MPS failed were retreated with FCSEMSs, resulting in closure of the leaks in all cases. Limitations Non-randomized design. Conclusion In our series, the results of the temporary placement of FCSEMSs for postcholecystectomy refractory biliary leaks were superior to those from the use of MPS. A randomized study is needed to confirm our results before further recommendations. [ABSTRACT FROM AUTHOR]
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- 2015
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13. A non-randomized study in consecutive patients with postcholecystectomy refractory biliary leaks who were managed endoscopically with the use of multiple plastic stents or fully covered self-expandable metal stents (with videos).
- Author
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Canena, Jorge, Liberato, Manuel, Meireles, Liliane, Marques, Inês, Romão, Carlos, Coutinho, António Pereira, Neves, Beatriz Costa, and Veiga, Pedro Mota
- Abstract
Background Endoscopic management of postcholecystectomy biliary leaks is widely accepted as the treatment of choice. However, refractory biliary leaks after a combination of biliary sphincterotomy and the placement of a large-bore (10F) plastic stent can occur, and the optimal rescue endotherapy for this situation is unclear. Objective To compare the clinical effectiveness of the use of a fully covered self-expandable metal stent (FCSEMS) with the placement of multiple plastic stents (MPS) for the treatment of postcholecystectomy refractory biliary leaks. Design Prospective study. Setting Two tertiary-care referral academic centers and one general district hospital. Patients Forty consecutive patients with refractory biliary leaks who underwent endoscopic management. Interventions Temporary placement of MPS (n = 20) or FCSEMSs (n = 20). Main Outcome Measurements Clinical outcomes of endotherapy as well as the technical success, adverse events, need for reinterventions, and prognostic factors for clinical success. Results Endotherapy was possible in all patients. After endotherapy, closure of the leak was accomplished in 13 patients (65%) who received MPS and in 20 patients (100%) who received FCSEMSs ( P = .004). The Kaplan-Meier (log-rank) leak-free survival analysis showed a statistically significant difference between the 2 patient populations (χ 2 [1] = 8.30; P < .01) in favor of the FCSEMS group. Use of <3 plastic stents ( P = .024), a plastic stent diameter <20F ( P = .006), and a high-grade biliary leak ( P = .015) were shown to be significant predictors of treatment failure with MPS. The 7 patients in whom placement of MPS failed were retreated with FCSEMSs, resulting in closure of the leaks in all cases. Limitations Non-randomized design. Conclusion In our series, the results of the temporary placement of FCSEMSs for postcholecystectomy refractory biliary leaks were superior to those from the use of MPS. A randomized study is needed to confirm our results before further recommendations. [ABSTRACT FROM AUTHOR]
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- 2015
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14. Predictive value of cholangioscopy after endoscopic management of early postcholecystectomy bile duct strictures with an increasing number of plastic stents: a prospective study (with videos)
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Canena, Jorge, Liberato, Manuel, Coutinho, António Pereira, Marques, Inês, Romão, Carlos, Veiga, Pedro Mota, and Neves, Beatriz Costa
- Abstract
Background: Endotherapy of postcholecystectomy bile duct stricture (PCBS) has been established as an alternative treatment to surgery. Several studies have reported conflicting results regarding the predictors of success or failure of endotherapy. Objective: To evaluate the different cholangioscopic appearances of PCBS after endotherapy with an increasing number of plastic stents and the predictive values of these appearances for the outcome. Design: Prospective study with a long-term follow-up. Setting: Two academic tertiary referral centers. Patients: Twenty consecutive patients with major bile duct injury, with a bile leak, and a PCBS who underwent therapeutic ERCP. Interventions: Closure of the leak followed by temporary placement of multiple plastic stents for the treatment of PCBS, followed by cholangioscopy at the end of endotherapy. Main Outcome Measurements: To analyze the predictive value of cholangioscopy, other predictors of stricture recurrence after endotherapy, and long-term clinical success. Results: Closure of the leak was achieved in all patients. The median duration of endotherapy was 12 months (range 7-18 months). After endoscopic stenting, the PCBS was considered to be appropriately dilated in all patients. After endotherapy, 3 different findings were noted on cholangioscopy: (1) no lesion or minor defect (n = 10), (2) minor stricture with a fibrous ring (n = 6), and (3) presence of tissue hyperplasia (n = 4). During follow-up, stricture recurrence developed in 4 of 20 patients. All 4 patients were successfully retreated by an additional period of stenting and remained free of cholestasis after a median follow-up period of 44 months. By Kaplan-Meier (log-rank) and univariate analyses, the cholangioscopic pattern of tissue hyperplasia was significantly associated with stricture recurrence (P < .01). Limitations: Small sample size. Conclusions: Endoscopic stenting should be regarded as the primary treatment of choice because of the successful long-term outcome after 1 or more additional periods of treatment. However, the cholangioscopic pattern of tissue hyperplasia at the time of stent removal is a strong predictor of stricture recurrence, and this observation may lead to an additional period of endotherapy or other treatment modalities. [ABSTRACT FROM AUTHOR]
- Published
- 2014
- Full Text
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15. Predictive value of cholangioscopy after endoscopic management of early postcholecystectomy bile duct strictures with an increasing number of plastic stents: a prospective study (with videos).
- Author
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Canena, Jorge, Liberato, Manuel, Coutinho, António Pereira, Marques, Inês, Romão, Carlos, Veiga, Pedro Mota, and Neves, Beatriz Costa
- Abstract
Background: Endotherapy of postcholecystectomy bile duct stricture (PCBS) has been established as an alternative treatment to surgery. Several studies have reported conflicting results regarding the predictors of success or failure of endotherapy. Objective: To evaluate the different cholangioscopic appearances of PCBS after endotherapy with an increasing number of plastic stents and the predictive values of these appearances for the outcome. Design: Prospective study with a long-term follow-up. Setting: Two academic tertiary referral centers. Patients: Twenty consecutive patients with major bile duct injury, with a bile leak, and a PCBS who underwent therapeutic ERCP. Interventions: Closure of the leak followed by temporary placement of multiple plastic stents for the treatment of PCBS, followed by cholangioscopy at the end of endotherapy. Main Outcome Measurements: To analyze the predictive value of cholangioscopy, other predictors of stricture recurrence after endotherapy, and long-term clinical success. Results: Closure of the leak was achieved in all patients. The median duration of endotherapy was 12 months (range 7-18 months). After endoscopic stenting, the PCBS was considered to be appropriately dilated in all patients. After endotherapy, 3 different findings were noted on cholangioscopy: (1) no lesion or minor defect (n = 10), (2) minor stricture with a fibrous ring (n = 6), and (3) presence of tissue hyperplasia (n = 4). During follow-up, stricture recurrence developed in 4 of 20 patients. All 4 patients were successfully retreated by an additional period of stenting and remained free of cholestasis after a median follow-up period of 44 months. By Kaplan-Meier (log-rank) and univariate analyses, the cholangioscopic pattern of tissue hyperplasia was significantly associated with stricture recurrence (P < .01). Limitations: Small sample size. Conclusions: Endoscopic stenting should be regarded as the primary treatment of choice because of the successful long-term outcome after 1 or more additional periods of treatment. However, the cholangioscopic pattern of tissue hyperplasia at the time of stent removal is a strong predictor of stricture recurrence, and this observation may lead to an additional period of endotherapy or other treatment modalities. [Copyright &y& Elsevier]
- Published
- 2014
- Full Text
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16. The Perceived Risk of Hospitalization in Primary Health Care – The Importance of Multidimensional Assessment
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Santos, Sara, Veiga, Pedro Mota, and Paúl, Constança
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Ageing has increased the use of health services, with a corresponding rise in avoidable hospitalizations. We aimed to assess and characterize the perceived risk of hospitalization in primary health care (PHC). 118 individuals aged ≥65 years, PHC patients, were assessed using the Community Risk Assessment Instrument by their General Practitioner, who identified their perceived risk of hospitalization, at one year. The instrument is composed of three domains (mental state, daily living activities (ADLs) state and medical state). Multivariate logistic regression was used to identify the best model to predict the risk of hospitalization. Four models were estimated, one for each domain and one with all the variables of the instrument. 58.5% were identified as being at risk of hospitalization. The best predictive models are those that include functionality assessment variables (ADL model and Community Assessment of Risk Instrument model). The model that includes all the variables of three domains presents the best predictive value. Mobility problems (Odds Ratio (OR) 16.18 [CI: 1.63–160.53]), meal preparation (OR 10.93 [CI: 1.59–75.13]), communication (OR 6.91 [CI: 1.37–34.80]) and palliative care (OR 4.84 [CI: 1.14–20.58]) are the best predictors of hospitalization risk. The use of multidimensional assessment tools can allow the timely identification of people at risk, contributing to a reduction in hospitalizations.
- Published
- 2021
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