3,881 results match your criteria Acta medica portuguesa[Journal]


Letter to the Editor Regarding the Article: "Inappropriate Prescribing to Elderly Patients in an Internal Medicine Ward".

Acta Med Port 2019 Mar 29;32(3):249. Epub 2019 Mar 29.

Unidade Universitária de Geriatria. Faculdade de Medicina. Universidade de Lisboa. Lisboa. Centro Académico Médico de Lisboa. Centro Hospitalar Lisboa Norte. Lisboa. Portugal.

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http://dx.doi.org/10.20344/amp.12078DOI Listing
March 2019
1 Read

[Coordination between Primary Care and Education in order to enhance the General Population's Knowledge about Basic Life Support].

Authors:
Marta Bernardo

Acta Med Port 2019 Mar 29;32(3):248. Epub 2019 Mar 29.

Unidade de Saúde Familiar Andreas. Mafra. Portugal.

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http://dx.doi.org/10.20344/amp.12076DOI Listing

[Anonymity, Access and Information Sharing in Gamete Donation in Portugal: What Are the Views of Reproductive Medicine Professionals?]

Acta Med Port 2019 Mar 29;32(3):246-248. Epub 2019 Mar 29.

EPIUnit - Instituto de Saúde Pública. Universidade do Porto. Porto. Departamento de Ciências da Saúde Pública e Forenses e Educação Médica. Faculdade de Medicina. Universidade do Porto. Porto. Centro de Investigação e Estudos de Sociologia. Instituto Universitário de Lisboa (ISCTE-IUL). Lisboa. Portugal.

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http://dx.doi.org/10.20344/amp.11956DOI Listing
March 2019
1 Read

[The Challenge of Treating Elderly People with Cancer].

Authors:
Paulo Luz

Acta Med Port 2019 Mar 29;32(3):245. Epub 2019 Mar 29.

Serviço de Oncologia Médica. Centro Hospitalar Universitário do Algarve. Faro. Portugal.

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http://dx.doi.org/10.20344/amp.11965DOI Listing
March 2019
3 Reads

Papuloerythroderma of Ofuji: First Case Report in Portugal.

Acta Med Port 2019 Mar 29;32(3):244. Epub 2019 Mar 29.

Department of Dermatology. Centro Hospitalar do Porto. Porto. Instituto de Ciências Biomédicas Abel Salazar. University of Porto. Porto. Dermatology Research Unit. Centro Hospitalar do Porto. Porto. Portugal.

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http://dx.doi.org/10.20344/amp.10694DOI Listing

Small Bowel Obstruction by Broad Ligament Hernia: Three Case Reports, Management and Outcomes.

Acta Med Port 2019 Mar 29;32(3):240-243. Epub 2019 Mar 29.

Departamento de Cirurgia. Centro Hospitalar Tondela-Viseu. Viseu. Portugal.

Internal hernias are a rare cause of bowel obstruction (1%) and can be caused by broad ligament defects in 4% to 7% of the cases. These defects may be congenital or acquired and are classified according to its anatomical location. This paper reports three cases of small bowel obstruction by broad ligament hernia. Read More

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http://dx.doi.org/10.20344/amp.10951DOI Listing
March 2019
3 Reads

Interstitial Lung Disease Induced by Crizotinib in Non-Small-Cell Lung Cancer.

Acta Med Port 2019 Mar 29;32(3):236-239. Epub 2019 Mar 29.

Serviço de Medicina Interna. Hospital Prof Doutor Fernando da Fonseca. Amadora. Portugal.

The treatment of advanced non-small-cell lung cancer shifted with the development of molecular-targeted therapies, like the tyrosine kinase inhibitors. One example of tyrosine kinase inhibitors is crizotinib, an anaplastic lymphoma tyrosine kinase inhibitor, which targets an echinoderm microtubule-associated protein-like-4-anaplastic lymphoma kinase gene fusion. This mutation is found in only 2% to 7% of non-small-cell lung cancer cases. Read More

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http://dx.doi.org/10.20344/amp.9456DOI Listing
March 2019
3 Reads

[Stages for Undertaking a Systematic Review].

Acta Med Port 2019 Mar 29;32(3):227-235. Epub 2019 Mar 29.

Serviço de Otorrinolaringologia. Hospital de Egas Moniz. Centro Hospitalar de Lisboa Ocidental. Lisboa. Portugal.

There has been an increase in the use of systematic review as a research methodology to compile and analyze large datasets of existing studies. With this increase, the recommendations to conduct this type of research also increased. The aim of this article is to provide a guide for understanding and/or undertaking a systematic review for publication across all stages of the review process. Read More

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http://dx.doi.org/10.20344/amp.11923DOI Listing

Advanced Maternal Age: Adverse Outcomes of Pregnancy, A Meta-Analysis.

Acta Med Port 2019 Mar 29;32(3):219-226. Epub 2019 Mar 29.

Documentation Service. Centro Hospitalar e Universitário de Coimbra. Coimbra. Portugal.

Introduction: The risks of pregnancy in women of advanced maternal age are not consensual amongst studies. The aim of this metaanalysis  was to determine whether women of advanced maternal age (≥ 35 years old) had worse obstetrical and perinatal outcomes than non- advanced maternal age women (20 - 34 years old) in singleton, naturally-conceived pregnancies.

Material And Methods: We searched PubMed/ MEDLINE, IndexRMP and the Cochrane Database of Systematic Reviews. Read More

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http://dx.doi.org/10.20344/amp.11057DOI Listing
March 2019
18 Reads

Ustekinumab in Real-Life Practice: Experience in 116 Patients with Moderate-To-Severe Psoriasis.

Acta Med Port 2019 Mar 29;32(3):214-218. Epub 2019 Mar 29.

Department of Dermatology. Centro Hospitalar do Porto. Porto. Instituto de Ciências Biomédicas Abel Salazar. University of Porto. Porto. Dermatology Research Unit. Centro Hospitalar do Porto. Porto. Portugal.

Introduction: Ustekinumab is a monoclonal antibody directed against the p40 subunit common to both IL-12 and IL-23 cytokines. Although the evidence of ustekinumab efficacy and safety in clinical trials is extensively recognized, data on its use in clinical practice is limited. Our objective is to report on the real-life experience of two Portuguese dermatology departments with ustekinumab in patients with moderate to severe psoriasis, and to identify the clinical characteristics associated with a weaker clinical response. Read More

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http://dx.doi.org/10.20344/amp.10728DOI Listing
March 2019
2 Reads

Non-Tuberculous Mycobacteria: Seven-Year Experience of a Tertiary Hospital.

Acta Med Port 2019 Mar 29;32(3):208-213. Epub 2019 Mar 29.

Department of Infectious Diseases. Hospital Egas Moniz. Centro Hospitalar de Lisboa Ocidental. Lisbon. Portugal.

Introduction: Non-tuberculous mycobacteria are ubiquitous organisms. Precise determination of infection numbers is difficult, since reporting them to public health departments is frequently not mandatory; furthermore, isolating a non-tuberculous mycobacteria does not necessarily translate into disease. The aims of this study were to ascertain non-tuberculous mycobacteria data of a tertiary hospital, determine the incidence and approach to colonization versus disease, and the incidence of predisposing comorbidities. Read More

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http://dx.doi.org/10.20344/amp.10932DOI Listing
March 2019
4 Reads

Lipoprotein(a) in the Evaluation of Cardiovascular Risk in the Portuguese Population.

Acta Med Port 2019 Mar 29;32(3):202-207. Epub 2019 Mar 29.

Francisco R. Rocha-Gonçalves Faculty of Medicine. University of Porto. Porto. Portugal.

Introduction: High values of lipoprotein(a), related to atherosclerosis progression, are often considered a marker of thrombosis. We assessed the lipoprotein(a) profile in a group of patients with high vascular risk and no cardiovascular events, established its correlation with other cardiovascular risk factors and inferred the results for patients with metabolic disorders and, at least, two risk factors.

Material And Methods: This longitudinal observational study included 516 patients, who had at least two cardiovascular risk factors and regularly attended, for at least two years, the outpatient consultations at a clinic of metabolism and vascular risk for primary prevention. Read More

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http://dx.doi.org/10.20344/amp.10251DOI Listing

[Clinical Validation of The Portuguese Version of the Children's Sleep Habits Questionnaire (CSHQ-PT) in Children with Sleep Disorder and ADHD].

Acta Med Port 2019 Mar 29;32(3):195-201. Epub 2019 Mar 29.

Unidade de Neurodesenvolvimento. Centro da Criança e do Adolescente. CUF Descobertas Hospital. Lisboa. Portugal.

Introduction: The Portuguese version of the Children's Sleep Habits Questionnaire showed adequate psychometric properties in a community sample but the American cut-off seemed inadequate. This study aimed to validate this questionnaire in clinical populations of children with sleep disorders and with attention deficit/ hyperactivity disorder.

Material And Methods: The study sample included 148 Portuguese children aged 2 to 10 years old that where divided in 3 groups: 1. Read More

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http://dx.doi.org/10.20344/amp.10906DOI Listing
March 2019
5 Reads

Experience of a Portuguese Center: Effectiveness of Direct-Acting Antiviral Therapy for Hepatitis C.

Acta Med Port 2019 Mar 29;32(3):189-194. Epub 2019 Mar 29.

Pharmacy and Therapeutics Committee. Centro Hospitalar de Lisboa Ocidental. Lisboa. Portugal.

Introduction: In late 2014, Portugal implemented a national program for the treatment of patients with chronic hepatitis C with directacting antiviral agents. This program has made Portugal one of the first European countries to implement a structured measure of treatment to eliminate this serious public health problem. The aim of this study was to assess the effectiveness of direct-acting antiviral therapy in the treatment of patients with chronic hepatitis C virus infection. Read More

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http://dx.doi.org/10.20344/amp.10655DOI Listing
March 2019
1 Read

Addictive Video Game Use: An Emerging Pediatric Problem?

Acta Med Port 2019 Mar 29;32(3):183-188. Epub 2019 Mar 29.

Centro da Criança e do Adolescente. CUF Descobertas Hospital. Lisboa. Portugal.

Introduction: The excessive use of video games is an emerging problem that has been studied in the context of addictive behaviors. The aim of this study was to determine the prevalence of use of addictive video games in a group of children and to identify risk factors, protective factors and potential consequences of these behaviors.

Material And Methods: Observational and cross-sectional study of children from the sixth grade using an anonymous questionnaire. Read More

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http://dx.doi.org/10.20344/amp.10985DOI Listing
March 2019
9 Reads

Late Ophthalmologic Referral of Anisometropic Amblyopia: A Retrospective Study of Different Amblyopia Subtypes.

Acta Med Port 2019 Mar 29;32(3):179-182. Epub 2019 Mar 29.

Centro Cirúrgico de Coimbra. Coimbra. IBILI. Faculty of Medicine. University of Coimbra. Coimbra. Department of Ophthalmology. Centro Hospitalar Lisboa Norte. Lisbon. Portugal.

Introduction: Amblyopia requires a timely diagnosis and treatment to attain maximum vision recovery. Specialty literature is lacking on how early amblyopia is referred. We aimed to understand if there are mean age differences at first referral for ophthalmologic tertiary center consultation among non-amblyopic and different types of amblyopia, in a context of lack of population screening. Read More

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http://dx.doi.org/10.20344/amp.10623DOI Listing

Nutri-Score: A Public Health Tool to Improve Eating Habits in Portugal.

Acta Med Port 2019 Mar 29;32(3):175-178. Epub 2019 Mar 29.

Faculty of Medicine. Porto University. Porto. Serviço de Imuno-hemoterapia. Centro Hospitalar Universitário São João. Porto. Portugal.

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http://dx.doi.org/10.20344/amp.11627DOI Listing
March 2019
1 Read

[We Are All 3868].

Authors:
Rui Tato Marinho

Acta Med Port 2019 Mar 29;32(3):173-174. Epub 2019 Mar 29.

Serviço de Gastrenterologia e Hepatologia. Hospital de Santa Maria. Centro Hospitalar de Lisboa Norte. Lisboa. Portugal.

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http://dx.doi.org/10.20344/amp.12021DOI Listing

A Vibrant Community of Readers, Authors and Reviewers: A Medical Editors' Necessity and a Challenge for Medical Education.

Acta Med Port 2019 Mar 29;32(3):171-172. Epub 2019 Mar 29.

Editor-Chefe. Acta Médica Portuguesa. Lisboa. Portugal.

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http://dx.doi.org/10.20344/amp.12020DOI Listing

[Lithium in Drinking Water in Portugal].

Authors:
Filipe Prazeres

Acta Med Port 2019 Feb 28;32(2):170. Epub 2019 Feb 28.

Unidade de Saúde Familiar Beira Ria. Gafanha da Nazaré. Faculdade de Ciências da Saúde. Universidade da Beira Interior. Covilhã. Portugal.

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http://dx.doi.org/10.20344/amp.11945DOI Listing
February 2019
1 Read

[Raising awareness about Secondary Schizophrenia].

Acta Med Port 2019 Feb 28;32(2):169. Epub 2019 Feb 28.

Hospital Júlio de Matos, Centro Hospitalar Psiquiátrico de Lisboa. Lisboa. 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.11935DOI Listing
February 2019
2 Reads

[Post-Graduate Medical Training and Informed Consent].

Acta Med Port 2019 Feb 28;32(2):168-169. Epub 2019 Feb 28.

Unidade de Saúde Familiar Novo Mirante. Lisboa. Portugal.

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http://dx.doi.org/10.20344/amp.11929DOI Listing
February 2019

[Optimizing Patients' Pathways in International Cooperation, by Doing Value Based Healthcare (VBHC)].

Acta Med Port 2019 Feb 28;32(2):167-168. Epub 2019 Feb 28.

Centro de Investigação. Instituto Português de Oncologia do Porto. Porto. Luz Saúde. Porto. Portugal.

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http://dx.doi.org/10.20344/amp.11858DOI Listing
February 2019

[Proportionate Universalism in Family Medicine - Comment on "Are Socioeconomic Inequalities in the Process of Registration with Family Physicians Decreasing in Portugal?"]

Authors:
Filipe Prazeres

Acta Med Port 2019 Feb 28;32(2):166. Epub 2019 Feb 28.

Unidade de Saúde Familiar Beira Ria. Gafanha da Nazaré; Faculdade de Ciências da Saúde. Universidade da Beira Interior. Covilhã. Portugal.

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http://dx.doi.org/10.20344/amp.11862DOI Listing
February 2019

Chronic Venous Insufficiency and Dystrophic Subcutaneous Calcification.

Acta Med Port 2019 Feb 28;32(2):165. Epub 2019 Feb 28.

Serviço de Medicina Interna. Hospital Pedro Hispano. Matosinhos. Portugal.

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http://dx.doi.org/10.20344/amp.11110DOI Listing
February 2019
1 Read

[Human Psittacosis: A Case Report].

Acta Med Port 2019 Feb 28;32(2):161-164. Epub 2019 Feb 28.

Serviço de Doenças Infeciosas. Centro Hospitalar do Porto. Porto. Portugal.

Psittacosis is a rare disease caused by Chlamydophila psittaci, an intracellular bacteria transmitted by contaminated birds. The clinical and radiological presentations are nonspecific. We describe a case of a 42-year-old woman, with known exposure to birds, who presented to the emergency department with one-week evolution of myalgia, polyarthritis, and respiratory symptoms. Read More

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http://dx.doi.org/10.20344/amp.10079DOI Listing
February 2019
1 Read

[H Factor Deficiency: A Case with an Atypical Presentation].

Acta Med Port 2019 Feb 28;32(2):158-161. Epub 2019 Feb 28.

Unidade de Imunodeficiências Primárias. Serviço de Pediatria. Hospital Dona Estefânia. Centro Hospitalar Lisboa Central. Lisboa. Chronic Diseases Research Center. NOVA Medical School. Lisboa. Portugal.

We report a case of an 18-month-old boy with H factor deficiency with atypical presentation: recurrent acute otitis media and several maternal family members with autoimmune disorders (vitiligo, thyroiditis and immune trombocytopenia). Blood tests revealed low C3 and AH50, as well as low properdin and H factor. I factor was normal. Read More

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http://dx.doi.org/10.20344/amp.10301DOI Listing
February 2019
5 Reads

[Tremor: A Clinical Guide For The Non-Neurologist].

Acta Med Port 2019 Feb 28;32(2):149-157. Epub 2019 Feb 28.

Unidade de Doenças do Movimento e Cirurgia Funcional. Serviço de Neurologia. Centro Hospitalar Universitário de São João. Porto. Departamento de Neurociências Clínicas e Saúde Mental. Faculdade de Medicina. Universidade do Porto. Porto. Portugal.

Tremor is the commonest involuntary movement. The differential diagnosis is wide, and can be challenging even for experienced neurologists. Nonetheless, many tremors have a benign etiology and clinical course and, in many cases, non-neurologists are able to clinically manage these situations. Read More

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http://dx.doi.org/10.20344/amp.11352DOI Listing
February 2019
2 Reads

Inappropriate Prescribing to Elderly Patients in an Internal Medicine Ward.

Acta Med Port 2019 Feb 28;32(2):141-148. Epub 2019 Feb 28.

Departamento de Medicina Interna. Hospital Professor Doutor Fernando Fonseca. Amadora. Portugal.

Introduction: Polypharmacy is often observed in elderly patients and is associated with an increased risk of adverse drug reactions, side effects and interactions. Clinicians should be alert to inappropriate drug prescribing and reduce polypharmacy.

Material And Methods: Observational, longitudinal, retrospective and descriptive study in an internal medicine ward in a Portuguese hospital. Read More

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http://dx.doi.org/10.20344/amp.10683DOI Listing
February 2019
2 Reads

Chronic Urticaria in the Real-Life Clinical Practice Setting in Portugal: Baseline Results from the Non-Interventional Multicentre AWARE Study.

Acta Med Port 2019 Feb 28;32(2):133-140. Epub 2019 Feb 28.

Novartis Farma - Produtos Farmacêuticos, S.A. Porto Salvo. Portugal.

Introduction: There is a paucity of information regarding chronic urticaria patients' care in a real-world setting. The objective of this study was to report and evaluate the baseline characteristics of Portuguese chronic urticaria patients refractory to H1-antihistamines included in the AWARE study.

Material And Methods: This is a non-interventional cohort study. Read More

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http://dx.doi.org/10.20344/amp.9496DOI Listing
February 2019
3 Reads

[Initial Experience of a TAVI Program: Analysis of the Anesthetic Decision and its Evolution].

Acta Med Port 2019 Feb 28;32(2):126-132. Epub 2019 Feb 28.

Serviço de Anestesiologia. Hospital de Santa Marta. Centro Hospitalar de Lisboa Central. Lisboa. Portugal.

Introduction: Transcatheter aortic valve implantation is a less invasive option for aortic valve replacement. The number of transcatheter aortic valve implantations under local anesthesia with sedation has been increasing as the team's experience increases and less invasive accesses are used. The aim of this study is to describe the evolution of the anesthetic technique in patients undergoing transcatheter aortic valve implantation at our center over the years, as which was compared. Read More

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http://dx.doi.org/10.20344/amp.10982DOI Listing
February 2019
6 Reads

[Prescribing of Non-Steroidal Anti-Inflammatory Drugs to Patients with Diabetes Mellitus in Portugal].

Acta Med Port 2019 Feb 28;32(2):119-125. Epub 2019 Feb 28.

Departamento de Nefrologia. Hospital Curry Cabral. Centro Hospitalar Universitário de Lisboa Central. Lisboa. Portugal.

Introduction: Portugal presents the highest incidence of stage 5 chronic kidney disease in Europe. It is speculated that a high consumption of non-steroidal anti-inflammatory drugs (NSAIDS) may contribute to this high incidence. Our aim was to characterize the prescription of non-steroidal anti-inflammatory drugs to patients with diabetes mellitus in Portugal. Read More

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http://dx.doi.org/10.20344/amp.10815DOI Listing
February 2019
1 Read

General Public's Knowledge Regarding Basic Life Support: A Pilot Study with a Portuguese Sample.

Acta Med Port 2019 Feb 28;32(2):111-118. Epub 2019 Feb 28.

Biomedical Simulation Center. Faculty of Medicine. University of Porto. Porto. Center for Health Technology and Services Research (CINTESIS). Faculty of Medicine. University of Porto. Porto. Faculty of Engineering. University of Porto. Porto. Portugal.

Introduction: Basic life support is a key manoeuvre in a cardiac arrest situation that can often save a victim's life. This study investigates the general public's knowledge about the fundamentals of basic life support, and its association with previous training/education on basic life support and self-perception of knowledge. A secondary goal is to assess the opinion on training needs. Read More

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http://dx.doi.org/10.20344/amp.10971DOI Listing
February 2019
2 Reads

[Antibiotic Prescribing in Ambulatory Care of Pediatric Patients with Respiratory Infections].

Acta Med Port 2019 Feb 28;32(2):101-110. Epub 2019 Feb 28.

Departamento de Medicina Geral e Familiar. Unidade de Saúde Familiar Viseu-Cidade. Agrupamento Centros de Saúde Dão Lafões. Viseu. Portugal.

Introduction: Respiratory tract infections represent the most frequent conditions in pediatric clinical practice that motivate antibiotic prescribing. The objective was to identify the frequency and pattern of antibacterial prescribing in respiratory diseases.

Material And Methods: Over a period of two years (divided by the presentation of the clinical guideline standards) data was collected from clinical records of children with respiratory disease. Read More

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http://dx.doi.org/10.20344/amp.11111DOI Listing
February 2019
1 Read

Anaphylactic Reactions in the Emergency Department of a Portuguese Tertiary Hospital: Clinical Characterization and Disease Notification.

Acta Med Port 2019 Feb 28;32(2):91-100. Epub 2019 Feb 28.

Unidade de Cuidados Intensivos Polivalente. Hospital de Santo António. Centro Hospitalar Universitário do Porto. Porto. Portugal.

Introduction: Anaphylaxis is significantly underdiagnosed, and the medical community's knowledge about it is precarious. The aim of this study is to characterize the patient population and the Emergency Department approach of anaphylaxis.

Material And Methods: Retrospective study of adult patients attending the Emergency Department of a tertiary care Portuguese hospital, over a year, with anaphylaxis. Read More

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http://dx.doi.org/10.20344/amp.10820DOI Listing
February 2019
3 Reads

[The Clinical Toxicology Perspective on the Therapeutic Use of Cannabis and Cannabinoids].

Acta Med Port 2019 Feb 28;32(2):87-90. Epub 2019 Feb 28.

Department of Public Health and Forensic Sciences, and Medical Education. Faculty of Medicine. University of Porto. Porto; Institute of Research and Advanced Training in Health Sciences and Technologies. Department of Sciences. University Institute of Health Sciences. Gandra; Laboratory of Toxicology. Department of Biological Sciences. Faculty of Pharmacy. University of Porto. Porto.

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https://www.actamedicaportuguesa.com/revista/index.php/amp/a
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http://dx.doi.org/10.20344/amp.10896DOI Listing
February 2019
3 Reads

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
2 Reads

[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
3 Reads

[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
6 Reads

[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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https://actamedicaportuguesa.com/revista/index.php/amp/artic
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http://dx.doi.org/10.20344/amp.10826DOI Listing
February 2019
12 Reads

[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
1 Read

[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
2 Reads

[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
1 Read

[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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http://dx.doi.org/10.20344/amp.10195DOI Listing
February 2019
8 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
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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
5 Reads

[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