Dr. Pascoal Moleiro, MD - Serviço de Pediatria do Centro Hospitalar de Leiria - Dr.

Dr. Pascoal Moleiro

MD

Serviço de Pediatria do Centro Hospitalar de Leiria

Dr.

Leiria, Leiria | Portugal

Main Specialties: Adolescent Medicine, Pediatrics

Additional Specialties: Pediatrics; Adolescent Medicine

ORCID logohttps://orcid.org/0000-0003-4370-0595

Dr. Pascoal Moleiro, MD - Serviço de Pediatria do Centro Hospitalar de Leiria - Dr.

Dr. Pascoal Moleiro

MD

Introduction

Licenciado em Medicina pela Faculdade de Medicina de Lisboa em 1997. Estágio em Medicina do Adolescente no Serviço de Medicina para Adolescentes do Hospital de Bicêtre, França (2004).

Assistente Graduado de Pediatria no Centro Hospitalar de Leiria desde 2005. Grau de Consultor de Carreira Médica em 2015. Responsável pela Unidade de Saúde e Medicina do Adolescente (USMA) do Serviço de Pediatria do Centro Hospitalar Leiria; Coordenador da Unidade Funcional Consulta Externa de Pediatria e da USMA.

Pós-Graduação (Diplomatura) em “Adolescencia desde un Abordage Integral” do Comité de Adolescencia de la Asociación Latinoamerica de Pediatría em 2011/2012. Equiparação ao Ciclo de Estudos Especiais em Medicina do Adolescente.

Presidente da Sociedade Portuguesa de Medicina do Adolescente da SPP desde 2015 (http://www.spp.pt/conteudos/default.asp?ID=260)

Presidente da Confederacion de Adolescencia y Juventud de Iberoamérica, Italia y el Caribe (CODAGIC: http://www.codajic.org/) desde 2017

Instrutor do Grupo de Reanimação Pediátrica.

Membro do Grupo de Reflexão do Centro de Investigação do CHL.

Membro do conselho editorial e revisor em revistas médicas nacionais e internacionais.

Publicações em revistas médicas nacionais e internacionais e capítulos de livros. Prémios por trabalhos científicos. (https://www.researchgate.net/profile/Pascoal_Moleiro)

Funções anteriores: Direção da SPMA-SPP (Vogal em 2008 e Vice-Presidente 2009 a 2015). Direção da CODAJIC (Vogal 2013-2015). Docência no Instituto Politécnico de Leiria.

Primary Affiliation: Serviço de Pediatria do Centro Hospitalar de Leiria - Leiria, Leiria , Portugal

Specialties:

Additional Specialties:

Education

Jan 1991 - Jan 1997
Universidade de Lisboa Faculdade de Medicina
M´D

Experience

Mar 2005
Centro Hospitalar Leiria
Assistente Hospitalar Graduado de Pediatria
Serviço de Pediatria

Publications

16Publications

267Reads

18Profile Views

3PubMed Central Citations

What are the most frequent diagnoses in adolescence? The reality of an Adolescent Medicine Clinic.

Einstein (Sao Paulo) 2018 Jun 28;16(2):eAO4225. Epub 2018 Jun 28.

Centro Hospitalar Leiria, Leiria, Portugal.

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http://dx.doi.org/10.1590/S1679-45082018AO4225DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6019239PMC
June 2018
52 Reads

Teens and the internet: patterns os (ab)use

Revista Adolescência & Saúde 06/2014; 11(2):7-18.

Revista Adolescência & Saúde

ABSTRACT OBJECTIVE: To assess the prevalence and characteristics of Internet use among adolescents in Leiria, exploring the prevalence of pathological Internet use. METHODS: Cross-sectional study based on an anonymous questionnaire completed by pupils between 12 and 18 years old at seven schools in Leiria, Portugal. The questions addressed: Internet use characteristics and the application of Young's Internet Addiction Scale (YIAS). RESULTS: There were 638 validated replies, 57% from girls with an average age of 15 years old. All the pupils were Internet users, 82% for more than two years (82%). Most (96%) of them usually accessed the Internet from home, 51% on a daily basis and 58% for more than an hour, with home rules on Internet use documented in 28%. The primary purpose of accessing the Internet was to socialize. For online communications: 32% reported chatting with strangers and 20% assumed different identities. For online exposure: 89% disclosed their names, 63% their ages, 67% published photos on social networks and 8% admitted to dates with people they met online. According to the YIAS, 18% reached borderline Internet use and 1.2% engaged in pathological use. CONCLUSION: The teenagers in this study present high-risk online behaviors and alarming Internet usage patterns. Although abusive Internet use reached a low percentage compared to other countries, there was a significant proportion of borderline use, indicating an urgent need for preventive measures.

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June 2014
6 Reads

Menstruation disorders in adolescents with eating disorders-target body mass index percentiles for their resolution.

Einstein (Sao Paulo) 2014 Apr;12(2):175-80

Centro Hospitalar de Leiria, Leiria, Portugal.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4891159PMC
April 2014
174 Reads
1 Citation

Sun protection in Portuguese adolescents

Adolesc. Saude, Rio de Janeiro, v. 10, n. 3, p. 14-21, jul/set 2013

Adolescência & Saúde

Objective: To evaluate the frequency of sunburns and the adoption of photoprotection measures in a sample of Portuguese adolescents. Methods: Transversal analytical study conducted between April and May of 2010 by application of an anonymous questionnaire answered by adolescents, between 11 to 18 years old, attending public school. Statistical analysis: Chi-square test of independence (p<0.05). Results: 292 questionnaires were validated. 40% of adolescents presented 1 or more sunburns in the previous summer. A higher frequency was associated to: group age 16 to 18 years old (p=0.001), skin phototype i to iV (p=0.000), when "all/many friends become sun tanned" (p=0.005), feeling "healthier when sun tanned" (p=0.013) and think that "it’s worth to burn to become sun tanned" (p=0.002). The regular use of light protective clothes (p=0.002) and the search for a shadow (p=0.015) were associated to a lower frequency of sunburn and no statistical relation was verifi ed with the use of sunscreen (p=0.197). The regular use of light protective clothes was the photoprotection measure more referred (63%). About 50% of adolescents used sunscreen on regular basis, but only 16% correctly. None of the photoprotection measures adopted were related to the skin phototype (p>0.05). Conclusion: about 40% of adolescents had at least 1 sunburn in the previous summer, with higher frequency in the group 16 to 18 years old (61%). There was a reduction on the regular use of photoprotection measures with increasing age. It is evident in the behavior and attitudes of the adolescents their peer infl uence and preference towards a sun tan.

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July 2013
4 Reads

Short stature as a manifestation of chromosomopathy – two cases

Acta Pediatr Port 2013;44(6):330-2

Acta Pediatr Port

Adolescents who have a height below the 3rd percentile are mostly healthy, but some will have a pathological etiology for their short stature. We present two cases of short stature with abnormal cytogenetic findings. Despite genetic alterations are a rare cause of short stature, karyotyping should be part of the preliminary investigation of short stature in girls. Its identification in order to obtain an accurate diagnosis was important to guide medical treatment and to offer a prognosis and counseling to adolescents and their families. Key words: short stature, chromosomopathy, dysmorphisms

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January 2013
7 Reads

Clinicians´ knowledge and attitudes towards ethical- legal issues in adolescent health care

Acta Pediatr Port 2012;43(4):154-61

Acta Pediatr Port

Introduction: Adolescence is a period of increasing maturity and autonomy. Confidentiality and participation in decision making are major issues in adolescent health care and must be guaranteed by professionals to promote their autonomy. Portuguese legislation addressing ethical and legal issues in adolescent health care is vast and contradictory. Objectives: To ascertain the knowledge and attitudes of portuguese doctors towards ethical-legal issues in adolescent health care, according to current law. Methods: Cross-sectional descriptive study, based on an electronic and anonymous questionnaire, design to be answered by doctors (trainees and specialists), available online from 28th July to 18th of August 2010. Questions concerned: confidentiality, informed consent and therapeutic decision. Results: There were 327 validated answers, 62% (202) corresponded to paediatricians (P), 24% (80) to general practitioners (GP) and 6% (20) to gynecologists/obstetricians (GO). Of these respondents, 69% were less than 40 years old and 77% were female. About 75% of professionals regularly attended adolescents in their practice and confidentiality issues were discussed both with adolescents and their parents (54%). Almost a third of the respondents appear not to know the boundaries of confidentiality (28%), failing to identify situations generically foreseen by law as exceptions to breach confidentiality. Respondents answered correctly an average of 3,9/6 questions addressing the issues of right to autonomy and confidentiality (P 3,9; GO 4,1; GP 3,7). No statistical significance was found between specialties. Questions addressing therapeutic decision making were answered correctly in an average of 10,6/14 questions (P 10,7; GO 10,6; GP 10,6). Conclusion: Respondents showed a reasonable level of knowledge of adolescent´s health care rights, in addressing confidentiality, informed consent and therapeutic decision making, however these issues continue to be subject of many doubts. Key words: Ethics, Portuguese legislation, Adolescent Medicine, Adolescents, Confidentiality.

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July 2012
4 Reads

[Eating disorders in adolescents - what to look for?].

Acta Med Port 2010 Sep-Oct;23(5):777-84. Epub 2010 Oct 22.

Serviço de Pediatria, Hospital de Santo André, Leiria.

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March 2011
7 Reads
1 Citation

Reidratação em Pediatria

Saúde Infantil, 2009// 31 (3): 133-136

Saúde Infantil

A GEA é a causa mais frequente de desidratação na idade pediátrica. As orientações presentes neste protocolo visam a reidratação nesse contexto. Palavras-chave: reidratação, hidratação, pediatria.

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December 2009
8 Reads

[Adolescents in Santo André Hospital: health needs].

Acta Med Port 2008 Nov-Dec;21(6):547-52. Epub 2009 Mar 24.

Serviço de Pediatria do Hospital Santo André, Leiria.

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May 2009
10 Reads
1 Citation

Gastroenterite aguda no ambulat—ório. Consensos na orientaçã‹o?

Saúde Infantil 2004 26,1:5-16

Saúde Infantil

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June 2004
6 Reads

ABDOMINAL RECURRENT SYMPTOMS IN A PREMATURE BABY: WHAT DIAGNOSIS?

Nascer e Crescer 2004; 13 (1): 27-29

NASCER E CRESCER

The authors present the case of a 605g body weight premature baby whose clinical course was characterised by recurrent clinical instability and abdominal symptoms during his first 3 months. The difficulty in establishing the final diagnosis is discussed. Alert for the role of inguinal hernia as co-morbidity factor in the extre- mely premature baby is also highlighted.

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May 2004
48 Reads

Gastroenterite aguda no ambulat—rio. Consensos na orientaçã‹o?

Saúœde Infantil 2004 26;1:5-16

Saúde Infantil

Aims: 1. To analyse management practices regarding diet, rehydration, drug therapy, admission criteria and investigations among doctors dealing with children and adolescents with acute gastroenteritis. 2. To challenge these practices with current guidelines. Methods: Anonymous questionnaire regarding management of acute gastroenteritis Ð dietary, hydration, and drug therapy recommendations as well as admission criteria and investigations carried out. Questionnaire applied to general practitioners working within the geographical boundaries of Santo AndrŽÕs Hospital Ð Leiria as well as paediatrians and paediatric residents working in eight different hospitals. Results: One hundred and twenty eight doctors replied: 51% were general practitioners, 36% were paediatricians and 13% were paediatric residents. A nil-by-mouth regimen was advised by 65,6% of the participants, with 57% of these recommending a period of less than six hours. A light diet, particularly Ô rice and carrot soup was advised by 90,6%. The Oral Rehydration Solution and water were the fluids most often prescribed for hydration purposes, 82,6% and 75,6%, respectively. Antibiotics were prescribed by 41,4%, anti-emetics by 26,6% and anti-spasmodics by 14,8%. The main criteria for admission was the existence of dehydration signs (95,3%) as well as for diagnostic investigational purposes (24,2%). Conclusion: It is necessary to revise and apply standardised and up to date guidelines, particularly in general practices. Keywords: acute gastroenteritis, oral rehydration solution, general practice.

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May 2004
6 Reads

Transporte de crianças em automó—vel. O que fazem os nossos pais?

Saœde Infantil 2003 26; 2:25-37

Saúde Infantil

Motor vehicle accidents are the leading cause of dead and temporary and definitive incapacity for children in Portugal. Objectives: To assess parents‘ knowledge in child vehicle transportation and the behaviors associated with their sonsÕ transportation. Methods: Cross sectional study. Two questionnaires were applied to children‘ parents attending ER Service/Outpatient Unit and Newborns of St¼ AndrŽ Hospital, Leiria. Children age and gender, parentsÕ age and degree of education, knowledge and behavior about child safety were evaluated. Results: 464 questionnaires were evaluated. The majority of parents, 84%, refer motor vehicle accidents as the leading cause of pediatric mortality. Previous information was considered satisfactory in 84% and the media was identified as the main source in 76%. Seat car and/or safe support alcove were considered the safest restraint systems for 98% of newborn parents‘; in newborn discharge from hospital the car seat was used by 69% of them and safe support alcove by 14% .Of the parents‘ of older children, 93% use a restraint system, but not always 19%. The highest rate of correct restraint occurred in infant from18 months to 3 years (90%) and the lowest above 18 months (54%) and from 4 to 14 years (41%). Conclusion: Parents‘ knowledge about child safety transport isn't enough; additional efforts are required to change behaviors. Keywords: motor vehicles accidents, car, newborns, children, restraint systems.

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February 2003
6 Reads

Top co-authors

Beatriz Vale
Beatriz Vale

Centro Hospitalar Universitário de Coimbra

1
Raquel Santos
Raquel Santos

Center for Alzheimer's Disease

1
Alexandra Luz
Alexandra Luz

Hospital Pediátrico de Coimbra

1
Mafalda Cascais
Mafalda Cascais

Leiria Hospital Center

1