Publications by authors named "Inês Medeiros"

6 Publications

  • Page 1 of 1

Risk behaviors in adolescence - a study in a Portuguese health unit.

Int J Adolesc Med Health 2018 Oct 24;33(1). Epub 2018 Oct 24.

Health Unit, ACES Cávado I, Braga, Portugal.

Introduction: Adolescence is a time of social and self-affirmation, search of autonomy and pleasure. An early sexual debut and substance use are still public health problems.

Objectives: To assess the prevalence of illicit drug use and sexual behavior of adolescents, ages 15- 17, followed in a Portuguese Family Health Unit.

Material And Methods: This was a cross sectional descriptive study of a random convenience sample. Data were obtained from an anonymous and confidential questionnaire, given to patients at adolescent consultation, between the months of May and July 2016. Statistical significance p < 0.05.

Results: This study involved a sample of 134 adolescents, 54.5% girls. It was revealed that 73.1% of adolescents have tried alcohol, from which 18.7% experienced intoxication at least once. Regarding tobacco, 35.1% have tried it, 23.4% are regular users. Regarding cannabinoids, 7.5% of adolescents stated to have tried them once, or to consume them regularly. Adolescents start to experiment with tobacco earlier than with alcohol (9 years old vs. 11 years old), with a mean age of 15 years old. Regarding sexual behavior, 23.8% are sexually active, from which 9.4% do not use any form of contraception. Smoking behavior was a predictor of the consumption of illicit drugs, and it was found a significantly statistic association between sexual activity and substance use, p = 0.04.

Discussion: By descending order, the alcohol, tobacco and illicit drugs consumption are still worrisome and can affect the life of adolescents. Primarily health care and pediatric consultation should provide strategies for prevention and promotion of a healthy lifestyle for adolescents.
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http://dx.doi.org/10.1515/ijamh-2018-0040DOI Listing
October 2018

Meningococcemia: rare but life-threatening.

BMJ Case Rep 2018 Oct 17;2018. Epub 2018 Oct 17.

Pediatric Intensive Care, Centro Hospitalar de São João, Porto, Portugal.

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http://dx.doi.org/10.1136/bcr-2018-226914DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6254450PMC
October 2018

Herpes simplex virus type 1: an atypical presentation of primary infection.

BMJ Case Rep 2018 Apr 27;2018. Epub 2018 Apr 27.

Paediatrics Department, Hospital de Braga, Braga, Portugal.

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http://dx.doi.org/10.1136/bcr-2018-224967DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5926598PMC
April 2018

Odynophagia and neck pain after exercise.

BMJ Case Rep 2018 Apr 11;2018. Epub 2018 Apr 11.

Pediatric Department, Hospital de Braga, Braga, Portugal.

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http://dx.doi.org/10.1136/bcr-2018-224581DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5898280PMC
April 2018

Teenage pregnancy - a study in São Tomé and Príncipe.

Int J Adolesc Med Health 2017 Aug 22;32(1). Epub 2017 Aug 22.

Unit of Adolescent Medicine, Pediatrics Department of Hospital de Braga, Braga, Portugal.

Introduction The increasing number of pregnant teenagers in São Tomé and Príncipe (STP) represents a serious public health issue. The aim of this study was to characterize the population of pregnant adolescents followed in a health facility dedicated to maternal health in STP. Methods A cross-sectional survey was conducted among pregnant teenagers that attended the Mother and Child Protection Center during the first quarter of 2017. The survey contained questions on sociodemographic characteristics, sexual and risk behaviors, family, partners and health support. Results The mean age of the 51 pregnant teenagers included was 16.37 ± 0.8 years. Eight girls reported that they had planned to fall pregnant. Teenagers whose pregnancy was unplanned usually present with a previous family history of adolescent pregnancy. About 59% of girls engaged in sexual activity before 16 years of age with a mean number of sexual partners of 1.84 ± 0.88. In this study, 51% of the girls do not use any contraceptive method, usually because their partner refuses to do so. The preferred contraceptive method are condoms. Information on contraception is given mainly at school. Pregnant girls' first medical consultation was at a mean gestational age of 6 weeks. Abortion was considered by 51% of girls after pregnancy was confirmed. Conclusion Teenage pregnancy imposes health problems for the mother and child and contributes to educational and socioeconomic disadvantages. The collaboration of healthcare providers, teachers and parents is needed to enhance sexual health education. This is the first study in STP on teenage pregnancy; although the sample is small, the authors believe that the results are representative of the general population.
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http://dx.doi.org/10.1515/ijamh-2017-0088DOI Listing
August 2017

Prevalence of iron deficiency anemia and iron deficiency in a pediatric population with inflammatory bowel disease.

Scand J Gastroenterol 2017 Oct 23;52(10):1099-1103. Epub 2017 Jun 23.

a Gastroenterology, Hepatology and Nutrition Unit, Pediatrics Department , Hospital de Braga , Braga , Portugal.

Objectives: Iron deficiency is the most common cause of anemia in children with inflammatory bowel disease, although the real prevalence is unknown. Intravenous iron is suggested as the first line treatment. This study aims to determine the prevalence of iron deficiency anemia in children with inflammatory bowel disease followed in a Pediatric Gastroenterology Unit of a tertiary center and to evaluate this unit's experience with intravenous iron.

Materials And Methods: A retrospective cohort study was designed involving children with inflammatory bowel disease followed in that unit between January 2001 and April 2016. Laboratory results were collected at the moment of diagnosis, after one-year follow-up and prior each IV iron administration performed during the study period. Anemia was defined according to World Health Organization criteria and the iron deficiency was defined using recent guidelines.

Results: Were studied 69 patients 71% had CD and 29% UC. 50.7% were female. Mean patient age at diagnosis was 13.3 years (range 1--17 years). Prevalence of ID and IDA at diagnosis was 76.8% and 43.5%, respectively. After one year follow-up, those values decreased to 68.1% (p = .182) and 21.7% (p = .002), respectively. Hemoglobin significantly increased (p < .001). Intravenous iron was administered to 92.8% of patients. No adverse reactions were reported.

Conclusions: Intravenous iron is the first line in the treatment of Iron deficiency anemia in Inflammatory Bowel disease and it is safe and effective. Persistent anemia and iron deficiency are common.
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http://dx.doi.org/10.1080/00365521.2017.1342137DOI Listing
October 2017
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