3,846 results match your criteria Acta medica portuguesa[Journal]


Bilateral Mastodynia: An Unusual Presentation of Calciphylaxis.

Acta Med Port 2019 Feb 1;32(1):86. Epub 2019 Feb 1.

Senology Unit. Department of Gynecology and Obstetrics. Setúbal Medical Centre. Setúbal. Portugal.

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http://dx.doi.org/10.20344/amp.10495DOI Listing
February 2019
1 Read

[Vaccination Controversies: An Adult Case of Post-Vaccinal Acute Disseminated Encephalomyelitis].

Acta Med Port 2019 Feb 1;32(1):81-85. Epub 2019 Feb 1.

Departamento de Neurologia. Hospital da Luz. Lisboa. Portugal.

Acute disseminated encephalomyelitis is a rare inflammatory demyelinating multifocal disease of the central nervous system that typically occurs in children following vaccination or exanthematous viral infections and conveys an elevated risk of neurological sequelae unless promptly recognized and treated. We describe an adult case of acute disseminated encephalomyelitis following vaccination against Mumps, Measles and Rubella, presenting with fever and progressive neurological deficits which improved under systemic corticosteroid therapy. Considering the ongoing public debate regarding universal vaccination and the surge of previously controlled infectious diseases, we aim not only to underline the need for a rigorous assessment of vaccination safety on adult patients in order to prevent misguidance of public opinion, but also to alert clinicians for an early diagnosis of acute disseminated encephalomyelitis in these patients, the incidence of which we speculate may be rising. Read More

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http://dx.doi.org/10.20344/amp.9809DOI Listing
February 2019
1 Read

[Epstein-Barr Virus-Associated Hemophagocytic Lymphohistiocytosis: Rarity and Severity in an Immunocompetent Adult].

Acta Med Port 2019 Feb 1;32(1):78-80. Epub 2019 Feb 1.

Serviço de Medicina Interna. Centro Hospitalar de Trás-os-Montes e Alto Douro. Vila Real. Portugal.

Hemophagocytic lymphohistiocytosis is a rare, aggressive and life-threatening syndrome, characterized by an excessive immune activation. It is triggered by multiple stimuli, with infections having an important role. The most common infectious trigger is viral infection, particularly by Epstein-Barr virus. Read More

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http://dx.doi.org/10.20344/amp.9474DOI Listing
February 2019
1 Read

[Schizophrenia: What Non-Psychiatrist Physicians Need to Know].

Acta Med Port 2019 Feb 1;32(1):70-77. Epub 2019 Feb 1.

Serviço de Psiquiatria. Hospital de Santa Maria. Centro Hospitalar Lisboa Norte. Lisboa. Departamento de Psiquiatria. Faculdade de Medicina. Universidade de Lisboa. Lisboa. Portugal.

Schizophrenia is a disabling and severe mental illness that affects all social classes and racial and ethnic groups, spreading across every part of the world. It's more frequent in males and it usually manifests itself in late adolescence or early adulthood and its early detection by all clinicians is important so that there is a proper referral to specialized psychiatric care. This article intends to update the knowledge regarding the diagnosis, treatment and prognosis of schizophrenia, with an emphasis on the warning signs for a timely referral to psychiatric evaluation. Read More

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http://dx.doi.org/10.20344/amp.10768DOI Listing
February 2019
1 Read

[Informed Consent - Vision and Perspectives of Adolescents, Parents and Professionals: Multicentric Study in Six Hospitals].

Acta Med Port 2019 Feb 1;32(1):61-69. Epub 2019 Feb 1.

Consultora Independente para os Direitos da Criança. Portugal.

Introduction: According to the Convention on the Rights of Children and the national standards of the Portuguese Directorate-General for Health, adolescents have the right to make decisions about their own health. The aim of this study was to identify the dynamics of the implementation of assent and informed consent in hospital settings.

Material And Methods: Cross-sectional and multicentre study based on surveys, which included adolescents from 14 to 18 years and their parents. Read More

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http://dx.doi.org/10.20344/amp.10826DOI Listing
February 2019
1 Read

[Obtaining Informed Consent for Anesthesia in Elective Surgery at a Tertiary-Care Hospital: Practices and Ethical-Legal Context].

Acta Med Port 2019 Feb 1;32(1):53-60. Epub 2019 Feb 1.

Serviço de Anestesiologia. Centro Hospitalar São João. Porto. Departamento de Anestesiologia. Faculdade de Medicina. Universidade do Porto. Porto. Portugal.

Introduction: Informed consent is an active process of the doctor-patient relationship, based on ethical and legal principles. The anesthetic act has inherent risks, which should be subject of specific consent. The aim of this study was to evaluate the degree of implementation of written specific informed consent for anesthesia in the context of elective surgery. Read More

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http://dx.doi.org/10.20344/amp.10592DOI Listing
February 2019

[Multimorbidity and Disease Severity Measured by the Charlson Index in Portuguese Hospitalised Patients During the Year 2015: A Cross-Sectional Study].

Acta Med Port 2019 Feb 1;32(1):38-46. Epub 2019 Feb 1.

Departamento de Saúde Pública. Escola Nacional de Saúde Pública. Universidade NOVA de Lisboa. Lisboa. Portugal.

Introduction: The association between multimorbidity and disease severity is not well established. The objectives were to characterise multimorbidity and determine disease severity (trough Charlson), as well as to verify if there is an association between the number and type of disease and the Charlson index.

Material And Methods: A cross-sectional study based on exported data from the Portuguese National Health Service hospitalisations database, during the year 2015. Read More

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http://dx.doi.org/10.20344/amp.9728DOI Listing
February 2019
1 Read

[Multimorbidity in Portugal: Results from The First National Health Examination Survey].

Acta Med Port 2019 Feb 1;32(1):30-37. Epub 2019 Feb 1.

Departamento de Epidemiologia. Instituto Nacional de Saúde Doutor Ricardo Jorge. Lisboa. Centro de Investigação em Saúde Pública (CISP). Escola Nacional de Saúde Pública. Universidade NOVA de Lisboa. Lisboa. Portugal.

Introduction: The simultaneous presence of multiple chronic diseases in the same individual is recognized as an important public health problem. Patients with multimorbidity have greater healthcare needs, which represents a higher burden on health services. Although there is no consensual definition of this concept, multimorbidity is usually defined as the presence of two or more chronic diseases in the same patient. Read More

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http://dx.doi.org/10.20344/amp.11227DOI Listing
February 2019

[Medically Assisted Reproduction in Natural Cycle: Outcome Evaluation of a Reproductive Medicine Department].

Acta Med Port 2019 Feb 1;32(1):25-29. Epub 2019 Feb 1.

Departamento de Ginecologia/Obstetrícia. Faculdade de Medicina. Universidade de Coimbra. Coimbra. Portugal.

Introduction: Medically assisted reproduction in natural cycle has been investigated, especially in women with poor response to conventional ovarian stimulation, with endometrial receptivity improvement, lower cost and possibility of successive cycles. The disadvantages are: lower profitability per treatment cycle and higher cancellation rate. The aim of this study was to determine the rate of clinical pregnancy in infertile women subjected to medically assisted reproduction in natural cycle. Read More

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February 2019
2 Reads

[The Impact of Prolonged Use of Continuous Subcutaneous Insulin Infusion in the Control of Type-1 Diabetes].

Acta Med Port 2019 Feb 1;32(1):17-24. Epub 2019 Feb 1.

Serviço de Endocrinologia, Diabetes e Metabolismo. Centro Hospitalar e Universitário de Coimbra. Coimbra. Portugal.

Introduction: The use of continuous subcutaneous insulin infusion therapy in type 1 diabetes mellitus has increased due to its benefits on glycemic control and on the lifestyle flexibility. The aim of this study was to assess the impact of continuous subcutaneous insulin infusion therapy on glycemic control, body mass index, total daily dose of insulin and complications associated with this therapy, during 20 years of experience in Centro Hospitalar e Universitário de Coimbra.

Material And Methods: This retrospective study included patients with type 1 diabetes mellitus who started continuous subcutaneous insulin infusion therapy up until 2005, followed at Centro Hospitalar e Universitário de Coimbra. Read More

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http://dx.doi.org/10.20344/amp.10778DOI Listing
February 2019
1 Read

Refugee Resettlement I: Challenges for Mental Healthcare Services in Portugal.

Acta Med Port 2019 Feb 1;32(1):14-16. Epub 2019 Feb 1.

Transcultural Research and Intervention Team (TRIT). Division of Social and Transcultural Psychiatry. McGill University. Montreal. Canadá.

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http://dx.doi.org/10.20344/amp.10206DOI Listing
February 2019

[Medical Student Secrecy, its Link to the Duty of Confidentiality and the Right to Access and Reuse Health Information].

Acta Med Port 2019 Feb 1;32(1):11-13. Epub 2019 Feb 1.

CISPFEM - Department of Public Health and Forensic Sciences and Medical Education. Faculty of Medicine. University of Porto. Porto. Dean. Faculty of Medicine. University of Porto. Porto. Coordinator. Council of Portuguese Medical Schools. Porto. Portugal.

The authors address the legal void that exists regarding medical student access to clinical records and health information that local healthcare organizations hold under legal and institutional custody. They develop a legal thesis that configures the creation of medical student professional secrecy and its connection with the duty of confidentiality as assumptions that underlie the medical student's right to access and reuse health information. Medical students have the legitimacy to access health information and clinical records, as they bear an unequivocal informational, legitimate, constitutionally protected and sufficiently relevant need. Read More

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http://dx.doi.org/10.20344/amp.10958DOI Listing
February 2019
1 Read

[Health in Europe and in Portugal - A Commentary on the 'Health at a Glance: Europe 2018' Report].

Acta Med Port 2019 Feb 1;32(1):7-10. Epub 2019 Feb 1.

Escola Nacional de Saúde Pública. Universidade Nova de Lisboa. Lisboa, Portugal.

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http://dx.doi.org/10.20344/amp.11786DOI Listing
February 2019

[Thank You, Reviewers of Acta Médica Portuguesa].

Acta Med Port 2019 Feb 1;32(1):1-6. Epub 2019 Feb 1.

Editor-Chefe. Acta Médica Portuguesa. Lisboa; Médico de Família. Unidade de Saúde Familiar Reynaldo dos Santos. Póvoa de Santa Iria. Portugal.

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February 2019

[The European Specialty Examination in Gastroenterology and Hepatology].

Authors:
Isabelle Cremers

Acta Med Port 2018 Dec 28;31(12):797-798. Epub 2018 Dec 28.

Serviço de Gastrenterologia. Hospital de S. Bernardo. Setúbal; Secretária-Geral. Secção Europeia de Gastroenterologia e Hepatologia. Lisboa; Presidente Eleita. Board Europeu de Gastrenterologia e Hepatologia. Lisboa. Portugal.

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http://dx.doi.org/10.20344/amp.11665DOI Listing
December 2018

[Letter to the Editor: The Opioid Prescribing Scenario in Portugal. A Contribution towards Good Clinical Practice].

Acta Med Port 2018 Dec 28;31(12):796-797. Epub 2018 Dec 28.

Serviço de Medicina Física e de Reabilitação. Hospital de Braga. Braga Portugal.

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http://dx.doi.org/10.20344/amp.11663DOI Listing
December 2018

[Work-Family Conflict in the Medical Profession].

Authors:
Pedro Afonso

Acta Med Port 2018 Dec 28;31(12):796. Epub 2018 Dec 28.

Clínica Universitária de Psiquiatria e Psicologia Médica. Faculdade de Medicina. Universidade de Lisboa. Lisboa. Portugal.

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http://dx.doi.org/10.20344/amp.11621DOI Listing
December 2018
1 Read

[Recommendations About Multiple Sclerosis Management During Pregnancy, Partum and Post-Partum: Consensus Position of The Portuguese Multiple Sclerosis Study Group and The Portuguese Society of Obstetrics and Maternal-Fetal Medicine].

Acta Med Port 2018 Dec 28;31(12):785-795. Epub 2018 Dec 28.

Serviço de Neurologia. Hospital Beatriz Ângelo. Loures. Portugal.

Multiple sclerosis typically affects young women of reproductive age. Therefore, all healthcare providers involved in the follow-up of multiple sclerosis patients must be prepared to discuss pregnancy and breastfeeding issues, and provide the best possible counselling. However, there are still many doubts and heterogeneous clinical approaches partly due to the lack of consensus and guidelines. Read More

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http://dx.doi.org/10.20344/amp.10752DOI Listing
December 2018

Constrictive Pericarditis: Pathognomonic Image.

Acta Med Port 2018 Dec 28;31(12):784. Epub 2018 Dec 28.

Serviço de Medicina Interna A. Centro Hospitalar e Universitário de Coimbra. Coimbra Portugal.

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http://dx.doi.org/10.20344/amp.10703DOI Listing
December 2018
4 Reads

A Rare Case of Spontaneous Remission and Relapse of a Primary Central Nervous System Lymphoma.

Acta Med Port 2018 Dec 28;31(12):777-783. Epub 2018 Dec 28.

Departamento de Neurocirurgia. Hospital de Braga. Braga. Portugal.

Primary central nervous system lymphoma remission after steroid treatment is a well-known phenomenon, but remission without any type of treatment is extremely rare. We present a rare case of spontaneous remission of a diffuse large B-cell lymphoma of the central nervous system as well as its subsequent reappearance in another location. The atypical presentation misled the neurosurgeons and neurologists, delaying diagnosis and treatment. Read More

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http://dx.doi.org/10.20344/amp.10198DOI Listing
December 2018
5 Reads

From the Pharynx to the Abdomen: A Case of Primary Peritonitis.

Acta Med Port 2018 Dec 28;31(12):774-777. Epub 2018 Dec 28.

Serviço de Medicina Intensiva 1. Centro Hospitalar Universitário do Algarve. Unidade de Faro. Faro. Portugal.

Primary peritonitis usually occurs in patients with comorbidities previously diagnosed with ascites. However, a primary peritoneal infection in previously healthy patients may also ensue. There has been an increase in reported cases of primary peritonitis due to Streptococcus pyogenes affecting mostly women. Read More

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http://dx.doi.org/10.20344/amp.10053DOI Listing
December 2018
4 Reads

[Subclinical Hypothyroidism on the Elderly].

Acta Med Port 2018 Dec 28;31(12):766-773. Epub 2018 Dec 28.

Serviço de Endocrinologia. Hospital de Braga. Braga. Portugal.

Introduction: Subclinical hypothyroidism, defined as an increase of thyroid stimulating hormone levels with normal levels of thyroid hormones, could have a multiorgan impact. There seem to be differences in the elderly (over 65 years of age) which indicate that there should be a different approach in terms of diagnosis and the treatment.

Material And Methods: Electronic database search and narrative bibliographical review. Read More

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December 2018
1 Read

[CoFI - Consensus on Infant Formulas: The Opinion of Portuguese Experts on Their Composition and Indications].

Acta Med Port 2018 Dec 28;31(12):754-765. Epub 2018 Dec 28.

Hospital Pediátrico de Coimbra. Centro Hospitalar e Universitário de Coimbra. Coimbra. Portugal.

Introduction: Breastfeeding has unique health benefits. Exclusive breastfeeding is recommended during the first six months of life and should be maintained during complementary feeding. Alternatively, infant formulas, which are designed to mimic human breastmilk to promote similar metabolic and growth profiles, can be used. Read More

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http://dx.doi.org/10.20344/amp.10620DOI Listing
December 2018

[Training of Human Resources for Health in the Republic of Guinea-Bissau: Evolution of Structures and Processes in a Fragile State].

Acta Med Port 2018 Dec 28;31(12):742-753. Epub 2018 Dec 28.

Centro Colaborador da Organização Mundial de Saúde para Políticas e Planeamento da Força de Trabalho em Saúde. Instituto de Higiene e Medicina Tropical. Universidade NOVA de Lisboa. Lisboa. Global Health and Tropical Medicine. Instituto de Higiene e Medicina Tropical. Universidade NOVA de Lisboa. Lisboa. Portugal.

Introduction: In the context of fragility that characterizes the Republic of Guinea-Bissau, there is an absence of effective management of human resources for Health, which begs reflection regarding training that is provided. The purpose of this study was to analyse the training of human resources for Health in the Republic of Guinea-Bissau since 1974, placing it in the national context and relating the analysis to the situation described for Fragile States.

Material And Methods: Using the content analysis of the results of semi-structured interviews, focus group and documentary analysis, we analysed the training offer on human resources for Health in two pillars - at the level of the structures / training institutions; and at the level of processes. Read More

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http://dx.doi.org/10.20344/amp.11120DOI Listing
December 2018
1 Read

Enabling Cape Verde to Perform Total Hip Replacement: Cost-Benefit Study.

Acta Med Port 2018 Dec 28;31(12):738-741. Epub 2018 Dec 28.

Orthopaedics and Trauma Department. Hospital Dr. Baptista de Sousa. Mindelo. São Vicente. Cape Verde.

Introduction: Cape Verde is a middle-income country benefiting from a health agreement with Portugal. The purpose of this study is to conduct a cost-benefit analysis on the enablement of Cape Verde to perform total hip replacement.

Material And Methods: We assessed records from the Orthopaedic Department of Baptista de Sousa Hospital and the Portuguese Directorate-General of Health regarding hip fracture with indication for total hip replacement and hip arthritis cases evacuated to Portugal. Read More

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http://dx.doi.org/10.20344/amp.10405DOI Listing
December 2018
5 Reads

[Are Socioeconomic Inequalities in the Process of Registration with Family Physicians Decreasing in Portugal?]

Acta Med Port 2018 Dec 28;31(12):730-737. Epub 2018 Dec 28.

Nova School of Business and Economics. Universidade Nova de Lisboa. Lisboa. Portugal; Center for Economic Policy Research - CEPR. London. United Kingdom.

Introduction: The percentage of citizens who were not registered with a family physician in Portugal reached 16.6% in 2011. In 2012 the Ministry of Health implemented several measures aiming at improving access to family physicians. Read More

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http://dx.doi.org/10.20344/amp.9873DOI Listing
December 2018
1 Read

[Prescription of Yellow Fever Vaccine: The Experience of the International Vaccination Centre of the Loures-Odivelas Health Centre Group].

Acta Med Port 2018 Dec 28;31(12):724-729. Epub 2018 Dec 28.

Unidade de Saúde Pública. Agrupamento de Centros de Saúde Loures-Odivelas. Loures. Instituto de Medicina Preventiva e Saúde Pública. Faculdade de Medicina. Universidade de Lisboa. Lisboa. Portugal.

Introduction: Yellow fever is a vector-borne disease in sub-Saharan Africa and tropical South America regions which is preventable by an effective and safe vaccine. In some cases, it may cause serious adverse effects and should therefore be prescribed only to individuals at risk of exposure to the yellow fever virus or those traveling to countries requiring proof of vaccination. The aim of this study was to analyze the prescriptions of yellow fever vaccine, based on travel destination and type of referring consultation, according to the international recommendations of the World Health Organization. Read More

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http://dx.doi.org/10.20344/amp.10309DOI Listing
December 2018
5 Reads

[What do Portuguese Travellers Know About Malaria? Pre-Travel Medicine Appointment Evaluation].

Acta Med Port 2018 Dec 28;31(12):714-723. Epub 2018 Dec 28.

Serviço de Doenças Infeciosas. Centro Hospitalar São João. Faculdade de Medicina. Universidade do Porto. Porto. Departamento de Medicina. Instituto de Inovação e Investigação em Saúde (i3S). Porto. Instituto Nacional de Engenharia Biomédica (INEB). Porto. Portugal.

Introduction: The knowledge of transmission, prevention and symptoms of malaria is essential for travellers' safety. In real life, what do Portuguese travellers know about malaria before a Travel Medicine consultation? How can we, through this consultation, improve their knowledge?

Material And Methods: Before an appointment with a specialist in Travel Medicine, 80 adult travellers filled a questionnaire that included demographic aspects, characteristics of the trip and knowledge about malaria. Data were analysed using descriptive statistics and multifactorial variance analysis. Read More

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http://dx.doi.org/10.20344/amp.10656DOI Listing
December 2018
2 Reads

[Fluorescence-Guided Sentinel Lymph Node Biopsy in Breast Cancer: Detection Rate and Diagnostic Accuracy].

Acta Med Port 2018 Dec 28;31(12):706-713. Epub 2018 Dec 28.

Centro de Epidemiologia Hospitalar. Centro Hospitalar de São João. Porto. Portugal; Unidade de Epidemiologia. EPIUnit, Instituto de Saúde Pública. Universidade do Porto. Porto. Portugal; Departamento de Ciências da Saúde Pública e Forenses, e Educação Médica. Faculdade de Medicina. Universidade do Porto. Porto. Portugal.

Introduction: Sentinel lymph node biopsy is currently the standard surgical procedure for lymph node staging in patients with early stage breast cancer. It is performed using different techniques, such as the injection of vital dyes and / or radioisotopes and, more recently, guided by fluorescence using Indocyanine green. The aim of this study is to assess the detection rate of sentinel lymph node using Indocyanine green in breast cancer patients according to factors related to the patient and the tumor. Read More

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http://dx.doi.org/10.20344/amp.10395DOI Listing
December 2018

The ABCD of COPD… For Patients.

Acta Med Port 2018 Dec 28;31(12):703-705. Epub 2018 Dec 28.

Departamento do Tórax. Hospital Pulido Valente. Centro Hospitalar Lisboa Norte. Lisboa. Portugal.

Chronic obstructive pulmonary disease is a chronic condition that requires the engagement of our patients in lifestyle changes and pharmacological treatment. Although there are guidelines on many aspects of chronic obstructive pulmonary disease management, the challenge of engaging our patients persists. We propose a simple mnemonic that we hope will make it easier for patients and clinicians to achieve this goal together. Read More

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http://dx.doi.org/10.20344/amp.11010DOI Listing
December 2018
1 Read

Erratum to "Letter to the Editor about the Article: "Still Regarding Anxiety, Depression and Academic Performance: A Study Amongst Portuguese Medical Students Versus Non-Medical Students", by João Moreira de Sousa, Cátia A. Moreira, Diogo Telles-Correia. Acta Med Port. 2018;31:454-62. ".

Acta Med Port 2018 11;31(11):702

Hospital Júlio de Matos. Centro Hospitalar Psiquiátrico de Lisboa. Lisboa; Clínica de Psiquiatria e Psicologia Médica. Faculdade de Medicina. Universidade de Lisboa. Lisboa. Portugal.

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http://dx.doi.org/10.20344/amp.11594DOI Listing
November 2018
4 Reads

[Letter to the Editor: Choosing Wisely Portugal].

Acta Med Port 2018 Nov 30;31(11):700-701. Epub 2018 Nov 30.

Serviço de Radiologia. Hospital de Vila Franca de Xira. Vila Franca de Xira. Portugal.

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http://dx.doi.org/10.20344/amp.11549DOI Listing
November 2018
3 Reads

[The New Medical Licensing Examination in Portugal: It Is Just the Beginning but We Are on The Right Path].

Acta Med Port 2018 Nov 30;31(11):699-700. Epub 2018 Nov 30.

Editor-chefe. Acta Médica Portuguesa. Lisboa. Editor Associado. BMJ e BMJ Open. Londres. Reino Unido. Portugal.

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http://dx.doi.org/10.20344/amp.11530DOI Listing
November 2018
3 Reads

Letter to the Editor: The Opioid Prescribing Scenario in Portugal from a Primary Care Perspective.

Acta Med Port 2018 Nov 30;31(11):698-699. Epub 2018 Nov 30.

Unidade de Saúde Familiar Dafundo. Agrupamento de Centros de Saúde de Lisboa Ocidental e Oeiras. Oeiras. Portugal.

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http://dx.doi.org/10.20344/amp.11499DOI Listing
November 2018
11 Reads

Letter to The Editor: Access to Opioids, A Global Challenge - Impressions of The Brazilian Scenario.

Authors:
Carolina Neiva

Acta Med Port 2018 Nov 30;31(11):698. Epub 2018 Nov 30.

Serviço de Cuidados Paliativos. Instituto de Assistência ao Servidor Público Estadual. São Paulo. Brazil.

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http://dx.doi.org/10.20344/amp.11489DOI Listing
November 2018
13 Reads

African Kaposi's Sarcoma.

Acta Med Port 2018 Nov 30;31(11):697. Epub 2018 Nov 30.

Department of Dermatology. Santa Maria University Hospital. Lisbon. Institute for Hygiene and Tropical Medicine. Universidade NOVA. Lisbon. Faculdade de Medicina. Universidade de Lisboa. Lisboa. Portugal.

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http://dx.doi.org/10.20344/amp.9754DOI Listing
November 2018
5 Reads

Aggressive Angiomyxoma: A Rare Tumor of Male Pelvic Cavity.

Acta Med Port 2018 Nov 30;31(11):693-696. Epub 2018 Nov 30.

Department of General Surgery. Ankara University School of Medicine. Ankara. Turkey.

Aggressive angiomyxoma is an uncommon, benign, slow-growing, and locally infiltrative soft tissue neoplasm which is located primarily in the genital region and pelviperineal interstitial tissue of female patient in the fourth decade of life. Its occurrence in male patients is even more unusual and commonly appears at a later age. The mainstay of treatment typically involves surgical excision with tumor-free margins, and despite complete resection, local recurrences are common. Read More

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http://dx.doi.org/10.20344/amp.9062DOI Listing
November 2018
12 Reads

[Foodbourne Botulism: A Forgotten Disease].

Acta Med Port 2018 Nov 30;31(11):691-693. Epub 2018 Nov 30.

Serviço de Medicina Interna. Hospital Sousa Martins. Guarda. Portugal.

Botulism is a serious illness caused by exposure to botulinum toxin. It is manifested by flaccid, paralysis, symmetric and in descending pattern affecting cranial and peripheral nerves. Given the frequent need for invasive mechanical ventilation, these patients should be approached in an intensive care setting. Read More

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http://dx.doi.org/10.20344/amp.9453DOI Listing
November 2018
2 Reads

[The Role of Testosterone in The Improvement of Sexual Desire in Postmenopausal Women: An Evidence-Based Clinical Review].

Acta Med Port 2018 Nov 30;31(11):680-690. Epub 2018 Nov 30.

Unidade de Saúde Familiar S. Julião. Agrupamento de Centros de Saúde de Lisboa Ocidental e Oeiras. Lisboa. Portugal.

Introduction: Female sexual dysfunction is a common problem, affecting more than 1/3 of women during their lives. The aim of this review is to review the evidence for the effectiveness of testosterone in sexual dysfunction in postmenopausal women, particularly in the improvement of sexual desire.

Material And Methods: The authors searched in international databases National Guidelines Clearinghouse, Guidelines Finder, Cochrane Library and MEDLINE/PubMed, for guidelines, systematic reviews, meta-analysis and randomized controlled trials, published between January 2005 and February 2017, using the MeSH terms 'testosterone', 'androgens', 'libido', 'sexual dysfunctions' and 'menopause'. Read More

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http://dx.doi.org/10.20344/amp.9277DOI Listing
November 2018
15 Reads

[Evaluation of The Medical Board Exam in Portugal].

Acta Med Port 2018 Nov 30;31(11):670-679. Epub 2018 Nov 30.

Faculdade de Medicina. Universidade de Coimbra. Coimbra. Serviço de Otorrinolaringologia. Centro Hospitalar e Universitário de Coimbra. Coimbra. Coimbra Institute for Clinical and Biomedical Research (iCBR). Coimbra. Portugal.

Introduction: There is a high heterogeneity in the structure of postgraduate medical training evaluation worldwide. However, in contrast to other countries, there have been no scientific studies of the final medical board examination, in Portugal. The present study aimed to evaluate the adequacy of the medical board examination including its validity as measured by its association with medical school grade average and national seriation examination. Read More

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http://dx.doi.org/10.20344/amp.10646DOI Listing
November 2018
11 Reads

Molecular Staging of Patients with Colon Cancer. The C-Closer-II Study: A Multicentre Study in Portugal.

Acta Med Port 2018 Nov 30;31(11):661-669. Epub 2018 Nov 30.

Serviço de Cirurgia Geral. Hospital Garcia de Orta. Almada. Portugal.

Introduction: Approximately 20% - 30% of histological lymph node-negative patients with colorectal cancer relapse at five years after surgical treatment. This recurrence is likely due to occult nodal disease undetected by standard histopathological practice which has implications in terms of the clinical management of patients.

Material And Methods: Lymph nodes were collected from colectomy specimens. Read More

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http://dx.doi.org/10.20344/amp.9696DOI Listing
November 2018
3 Reads

Supportive Care Network: Evaluation of Its Impact on the Performance of a Urology Department.

Acta Med Port 2018 Nov 30;31(11):656-660. Epub 2018 Nov 30.

Urology and Renal Transplantation Department. Coimbra University Hospital Center. Coimbra. Portugal.

Introduction: Hospitals are dealing with patients who may have clinical discharge but cannot return to their home due to non-medical issues.

Material And Methods: Cross-sectional analysis of all the cases referred to the Integrated Care Network during the year 2016. Evaluation of waiting times, typology, reason for referral and clinical parameters. Read More

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http://dx.doi.org/10.20344/amp.9940DOI Listing
November 2018
14 Reads

[Morbidity in Prematurity Associated with Fetal Growth Restriction: Experience of a Tertiary Care Center].

Acta Med Port 2018 Nov 30;31(11):648-655. Epub 2018 Nov 30.

Serviço de Neonatologia. Departamento de Pediatria. Hospital Universitário de Santa Maria. Centro Hospitalar Lisboa Norte. Lisboa. Clínica Universitária de Pediatria. Faculdade de Medicina. Universidade de Lisboa. Lisboa. Portugal.

Introduction: Prematurity and low birth weight have been associated with increased neonatal morbidity and mortality. This study aimed to evaluate possible risk factors for prematurity associated with fetal growth restriction and being small for gestational age and to determine the incidence of morbidity in these two groups of infants.

Material And Methods: Retrospective case-control study of newborns with gestational age of less than 32 weeks, with obstetric diagnosis of fetal growth restriction and with the clinical diagnosis of small for gestational age, admitted to the Neonatal Intensive Care Unit of a tertiary hospital for a period of six years. Read More

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http://dx.doi.org/10.20344/amp.9599DOI Listing
November 2018
4 Reads

Histological Subtypes and Clinical Behavior Evaluation of Salivary Gland Tumors.

Acta Med Port 2018 Nov 30;31(11):641-647. Epub 2018 Nov 30.

Department of Pathology. Centro Hospitalar São João. Porto. Unit of Pathology and Oncology. Department of Pathology. Faculdade de Medicina. Universidade do Porto. Porto. Portugal.

Introduction: Salivary gland tumors include a wide spectrum of histological subtypes and clinical behavior, which we aim to evaluate.

Material And Methods: We performed a retrospective study of all salivary gland tumors diagnosed and treated at the Centro Hospitalar São João, Porto, between 2005 and 2015. Histological re- evaluation was performed in all cases and patient files were reviewed and both clinical and follow-up data were collected. Read More

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http://dx.doi.org/10.20344/amp.9023DOI Listing
November 2018
17 Reads

[Problematic Eating Behaviors after Bariatric Surgery: A National Study with a Portuguese Sample].

Acta Med Port 2018 Nov 30;31(11):633-640. Epub 2018 Nov 30.

Centro de Investigação em Psicologia. Escola de Psicologia. Universidade do Minho. Braga. Portugal.

Introduction: Bariatric surgery is the most effective method for the treatment of morbid obesity. However, the development of eating psychopathology and the emergence of problematic eating behaviours have been reported in the literature. The aim of this crosssectional study was to characterize the post-bariatric population in terms of the frequency of problematic eating behaviours over time and to understand the related psychological features. Read More

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http://dx.doi.org/10.20344/amp.9237DOI Listing
November 2018
15 Reads

[Chronic Pain After Outpatient Inguinal Hernioplasty: Retrospective Cohort Study].

Acta Med Port 2018 Nov 30;31(11):624-632. Epub 2018 Nov 30.

Unidade da Dor. Serviço de Anestesiologia. Hospital de Santo António. Centro Hospitalar do Porto. Porto. Portugal.

Introduction: Chronic postoperative pain is the most frequent late complication of inguinal hernia repair surgery. The aim of this study is to evaluate the incidence of chronic post-hernioplasty pain in outpatient care at Centro Hospitalar do Porto, describe it, analyse its relation with other variables defined in the literature and study its functional interference.

Material And Methods: We performed a retrospective cohort study between February and May 2016, using a structured telephone interview composed of questions from the authors and sections of published questionnaires, two of which are validated for the Portuguese language and culture. Read More

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http://dx.doi.org/10.20344/amp.9381DOI Listing
November 2018
6 Reads

Reasons for Declining Venom Immunotherapy.

Acta Med Port 2018 Nov 30;31(11):618-623. Epub 2018 Nov 30.

Serviço de Imunoalergologia. Centro Hospitalar de São João. Porto. Portugal.

Introduction: Hymenoptera venom allergy is associated with significant morbidity and deterioration in health-related quality of life, and risk of fatal systemic reactions. Although venom immunotherapy is safe and the only effective treatment in allergic individuals, some patients prefer not to pursue this treatment. Since 2011, when the 50% reimbursement was stopped, patients must fully support the cost of immunotherapy. Read More

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http://dx.doi.org/10.20344/amp.9695DOI Listing
November 2018
5 Reads

The Added Value of a Vasculitis Clinic in a Tertiary Referral Hospital.

Acta Med Port 2018 Nov 30;31(11):614-617. Epub 2018 Nov 30.

Rheumatology Department. Hospital de Santa Maria. Centro Hospitalar Lisboa Norte. Lisbon Academic Medical Centre. Lisbon. Portugal.

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http://dx.doi.org/10.20344/amp.9875DOI Listing
November 2018
15 Reads

What Do You Do With a Doctor that Does Not Make It into Specialist Training?

Acta Med Port 2018 Nov 30;31(11):612-613. Epub 2018 Nov 30.

Family Medicine. University of Toronto. Toronto. Canada.

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http://dx.doi.org/10.20344/amp.11299DOI Listing
November 2018
3 Reads