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Acta Médica Portuguesa

Ana Isabel Oliveira Costa, Hélder Morgado, Sofia Vasconcelos-Castro, Carlos Mariz, José Manuel Estevão-Costa
No abstract text is available yet for this article.
May 2016: Acta Médica Portuguesa
Sandro Gaspar, José Dias, Francisco Martins, Tomé Lopes
No abstract text is available yet for this article.
May 2016: Acta Médica Portuguesa
Samuel Costa, Margarida Ferreira, Bruno Gonçalves, Raquel Gonçalves
No abstract text is available yet for this article.
May 2016: Acta Médica Portuguesa
Miguel Pinto da Costa, Henrique Pimenta Coelho
The authors present a case of a 60-year-old male patient, previously diagnosed with B-cell chronic lymphocytic leukemia, who was admitted to the Emergency Room with dyspnea. The initial evaluation revealed severe anemia (Hgb = 5.0 g/dL) with hyperleukocytosis (800.000/µL), nearly all of the cells being mature lymphocytes, a normal chest X-ray and a low arterial oxygen saturation (89%; pulse oximetry). After red blood cell transfusion, Hgb values rose (9.0 g/dL) and there was a complete reversion of the dyspnea...
May 2016: Acta Médica Portuguesa
Cátia Oliveira Matos, Manuel Mário Sousa
Foreign body aspiration is common in children and in the elderly, who may present with subtle symptoms. Clinical suspicion is crucial and bronchoscopy is the main diagnostic and therapeutic procedure available. This is the case of a man, 78 years old, with a history of chronic obstructive pulmonary disease, who presented with respiratory distress following oral intake of tablets. History taking and physical examination raised suspicion. The diagnosis was confirmed with flexible bronchoscopy and rigid bronchoscopy was carried out for treatment...
May 2016: Acta Médica Portuguesa
Inês Pinto, Simon Wilkinson, Daniel Virella, Marta Alves, Conceição Calhau, Rui Coelho
INTRODUCTION: Quality of the parent-infant relationship influences the mechanisms of development of the child's physiological stress regulation. This study explored associations between attachment strategies and both cortisol and thyroid stimulating hormone, hypothesized to be respectively a potential mediator and a potential intervening variable of the mother-child relationship in obese children. MATERIAL AND METHODS: A sample of 83 obese children (46 boys), aged 10...
May 2016: Acta Médica Portuguesa
Luis Roque Reis, Rita Lameiras, Pedro Cavilhas, Pedro Escada
INTRODUCTION: Vertigo is one of the most frequent motives in seeking specialized medical care in an emergency. The aim of this study was to evaluate the relevance of balance disorders in the Otorhinolaryngology urgency, the epidemiological characteristics and the possible seasonality. It was used a sample of patients who were assisted in a health care emergency department of this specialty, of a universitary hospital and during a period of four years. MATERIAL AND METHODS: The project was conceived as a descriptive epidemiological study of population type, retrospective, during the period from 2010 to 2013...
May 2016: Acta Médica Portuguesa
Joaquim Soares do Brito, António Tirado, Pedro Fernandes
INTRODUCTION: The term spondylodiscitis aims to describe any spinal infection. Medical treatment is the gold standard; nevertheless, surgical treatment can be indicated. The aim of this work was to study the epidemiological profile in a group of patients with spondylodiscitis surgically treated in the same medical institution between 1997 and 2013. MATERIAL AND METHODS: Eighty five patients with spondylodiscitis were surgically treated in this period. The authors analysed clinical data and image studies for each patient...
May 2016: Acta Médica Portuguesa
Joana Martins, Adriana Rua, Nuno Vila Chã
INTRODUCTION: Parkinson's disease is associated with high hospital mortality. Male gender, late age at onset, higher disability and the coexistence of cognitive impairment or depression have been suggested to be risk factors of death. Pneumonia and cardiovascular diseases are the leading causes of death. OBJECTIVE: To characterize the mortality (causes of hospital admission and death) of Parkinson's disease patients in a tertiary hospital, as well as demographic and clinical characteristics...
May 2016: Acta Médica Portuguesa
Rui Machado, Luís Loureiro, Inês Antunes, Jorge Coutinho, Rui Almeida
INTRODUCTION: Comparatively to open repair, endovascular aneurysm repair has reduced transfusion rates but thereâs no recommendation about number of red blood cells units to be crossmatched preoperatively. Our aim is contribute to the analysis of red blood cells units needs in endovascular and hybrid aortic aneurysm repair and developing a protocol for maximum surgical blood orders schedule. MATERIAL AND METHODS: We retrospectively analyzed our prospective database of elective endovascular aneurysm repair from 2001 to 2012...
May 2016: Acta Médica Portuguesa
Pedro Grilo Diogo, Afonso Moreira, Ana Coimbra, Ana Coelho Silva, Artur Nixon Martins, Carlos Mendonça, Constança Carvalho, Gonçalo Almeida, Hugo Almeida, Inês Garcia Moreira, Marta Rodrigues, Miguel Goulão, Rafael Vasconcelos, Rodrigo Vicente, Sara Magano
INTRODUCTION: Experiences of clinical and nonclinical learning environments, as well as assessment and study environments influence student satisfaction with their medical schools. Student-tutor ratios may impact on their perception of clinical learning environments. The aim of this study was to analyze medical students' satisfaction and student-tutor ratios in relation to medical schools' number of admissions. MATERIALS AND METHODS: A questionnaire was created, regarding learning, assessment and study environments in eight medical schools...
May 2016: Acta Médica Portuguesa
Daniela Linhares, Nuno Neves, Manuel Ribeiro da Silva, João Almeida Fonseca
Traumatic fractures of the thoracic and lumbar spine are common causes of spine surgery. Pedicle screw fixation is usually chosen, using monosegmentar, short or long segment instrumentations, with or without bone graft. This review aims to evaluate the effect of transpedicular fixation in traumatic fractures of the thoracic and lumbar spine. A systematic search on controlled, randomized or quasi-randomized trials comparing different methods of surgical treatment of this fractures was performed, followed by a process of article selection, data extraction and bias assessment by 3 independent authors...
May 2016: Acta Médica Portuguesa
Miguel Ramalho, Mamdoh AlObaidy, António P Matos, Richard C Semelka
No abstract text is available yet for this article.
May 2016: Acta Médica Portuguesa
Pedro Câmara Pestana, Ana Rita Ramalho, Joana Revés
No abstract text is available yet for this article.
May 2016: Acta Médica Portuguesa
Joaquim Soares do Brito, Paulo Almeida, José Portela
No abstract text is available yet for this article.
April 2016: Acta Médica Portuguesa
Joao N Beato, Maria J Espinar, Luís Figueira, Yuliana O Eremina, Manuela Ribeiro, Raúl Moreira, Fernando Falcão-Reis
A 47-year-old man presented to our emergency department complaining of acute ocular pain and redness of his left eye. Ophthalmological antecedents included use of semi-rigid contact lens and primary open-angle glaucoma. Slit-lamp examination revealed a small central corneal ulcer associated with stromal inflammatory infiltrate. Scraping from the corneal ulcer was positive for Elizabethkingia meningoseptica. He was empirically treated with topical 0.5% levofloxacin and 0.3% gentamicin, and five weeks later the infection had resolved...
April 2016: Acta Médica Portuguesa
André Cruz, Luís Bretes, Carlos Reis, Irene Furtado
Inferior vena cava leiomyosarcoma is a very rare tumor, accounting for only 0.5% of all soft tissue sarcomas. As the other leyomiosarcomas of vascular origin, they have a poor prognosis, and radical resection with surgical margins free of tumor is the only potentially curative treatment. We present a case of a 46 year-old woman with metastatic inferior vena cava leiomyosarcoma who progressed after anthracyclines and ifosfamide and achieved a complete and sustained response with trabectedin. Beyond progression, the patient started third line treatment with pazopanib...
April 2016: Acta Médica Portuguesa
Luís Malheiro, Sofia Correia Pinto, Antonio Sarmento, Lurdes Santos
As we approach the third decade since the WHO started addressing the eradication of poliomyelitis and leprosy, a reflection of the previous campaigns efficacy and an evaluation of further elimination feasibility is important to adapt and intensify the next steps. We performed a critical review of the poliomyelitis and leprosy eradication campaigns to evaluate their technical and operational feasibilities. Vaccination and active case search are highly effective tools against poliomyelitis. If political stability and good vaccination coverage is achieved, poliomyelitis will be an easy target for eradication...
April 2016: Acta Médica Portuguesa
Isabel Rodrigues, José Estevão-Costa, Ana Catarina Fragoso
INTRODUCTION: The surgical management of complete ureteral duplication anomalies is not consensual. OBJECTIVE: To characterize the pediatric population who underwent surgery for complete ureteral duplication and assess the outcomes of different approaches. MATERIAL AND METHODS: Clinical records from patients treated between January 2008 and June 2014 were retrospectively reviewed. Epidemiology, diagnosis, clinical manifestations and surgical procedures were collected and analysed...
April 2016: Acta Médica Portuguesa
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