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Acta Médica Portuguesa

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https://www.readbyqxmd.com/read/28555564/-letter-to-the-editor-urticaria-in-the-emergency-room-recommendations-for-diagnostic-and-therapeutic-approach
#1
LETTER
Célia Costa, Margarida Gonçalo
No abstract text is available yet for this article.
April 28, 2017: Acta Médica Portuguesa
https://www.readbyqxmd.com/read/28555563/-genetic-study-of-primary-dystonias-recommendations-from-the-centro-hospitalar-s%C3%A3-o-jo%C3%A3-o-neurogenetics-group
#2
Ana Monteiro, João Massano, Miguel Leão, Carolina Garrett
The primary dystonias are a particular group of dystonias of presumed genetic origin, with a wide age of onset and variable progression. The diagnosis is, therefore, a challenge and the issue of the genetic investigation presents frequently in clinical practice. In the past few years several gene mutations have been identified as causative of primary dystonias. The choice of molecular testing is complex, given the clinical specificities and low frequency of these entities and the cost of genetic testing. It must follow observation by specialized clinicians highly differentiated in this area and be supported by a rational plan of investigation...
April 28, 2017: Acta Médica Portuguesa
https://www.readbyqxmd.com/read/28555562/diplopia-as-rare-initial-manifestation-of-gastric-cancer
#3
Helena Temido, Filipe Vilão, Francisco Parente
No abstract text is available yet for this article.
April 28, 2017: Acta Médica Portuguesa
https://www.readbyqxmd.com/read/28555561/intragastric-penetration-of-the-connecting-tube-after-laparoscopic-adjustable-gastric-banding
#4
Samuel Costa, Artur Machado, Bruno Gonçalves, José Maia Costa, Raquel Gonçalves
No abstract text is available yet for this article.
April 28, 2017: Acta Médica Portuguesa
https://www.readbyqxmd.com/read/28555560/bilateral-deep-vein-thrombosis-associated-with-inferior-vena-cava-agenesis-in-a-young-patient-manifesting-as-low-back-pain
#5
Felipe Langer, Daiane Dos Santos, Gustavo Suertegaray, Carlos Haygert
Congenital absence of the inferior vena cava is a rare vascular anomaly, and most cases are asymptomatic. Nevertheless, patients with inferior vena cava malformations may have increased risk of deep venous thrombosis. Particularly, cases of bilateral deep venous thrombosis may arise owing to an insufficient collateral venous drainage from the lower limbs. We hereby describe a case of a previously healthy young male patient presenting with bilateral lower limb deep venous thrombosis as the initial clinical manifestation of congenital inferior vena cava agenesis...
April 28, 2017: Acta Médica Portuguesa
https://www.readbyqxmd.com/read/28555559/-bisalbuminemia-a-rare-variant-of-albumin
#6
Carla Garcez, Susana Carvalho
INTRODUCTION: Bisalbuminemia is a qualitative disorder of albumin and it is defined by the coexistence in the same individual of two types of serum albumin with different electrophoretic mobility. There are two forms: hereditary and permanent, or acquired and transient. CASE REPORT: Girl, 17-years-old, referenced to the hospital consult after incidental finding of bisalbuminemia detected in plasma protein electrophoresis performed within the investigation of diminished muscular tone in the lower limbs...
April 28, 2017: Acta Médica Portuguesa
https://www.readbyqxmd.com/read/28555558/surgical-treatment-of-rotator-cuff-tears-after-65-years-of-age-a-systematic-review
#7
REVIEW
Bruno Mota Silva, António Cartucho, Marco Sarmento, Nuno Moura
INTRODUCTION: The objective of this study was to analyze current evidence regarding surgical management of rotator cuff tears in patients of 65 years of age and above. Our hypothesis was that surgical repair of rotator cuff tears, in patients older than 65 years, conveys good outcome scores. We have not found a similar systematic review in current literature. MATERIAL AND METHODS: Medline®, PubMed, Scopus, and the Cochrane Register of Controlled Trials were searched from January 1999 unto December 2015 for studies, regardless of language, including the words 'rotator cuff' and '65 years' or '70 years'...
April 28, 2017: Acta Médica Portuguesa
https://www.readbyqxmd.com/read/28555557/-psychological-treatments-for-borderline-personality-disorder-a-review-of-cognitive-behavioral-oriented-therapies
#8
REVIEW
Sofia Marques, Daniel Barrocas, Daniel Rijo
INTRODUCTION: Borderline personality disorder is the most common personality disorder, with a global prevalence rate between 1.6% and 6%. It is characterized by affective disturbance and impulsivity, which lead to a high number of self-harm behaviors and great amount of health services use. International guidelines recommend psychotherapy as the primary treatment for borderline personality disorder. This paper reviews evidence about the effects and efficacy of cognitive-behavioral oriented psychological treatments for borderline personality disorder...
April 28, 2017: Acta Médica Portuguesa
https://www.readbyqxmd.com/read/28555556/playing-related-musculoskeletal-disorders-of-professional-orchestra-musicians-from-the-north-of-portugal-comparing-string-and-wind-musicians
#9
Cláudia Maria Sousa, Jorge Pereira Machado, Henry Johannes Greten, Daniela Coimbra
INTRODUCTION: It is well known that musicians are a group prone to suffer from playing-related musculoskeletal disorders. Professional orchestra musicians play for several hours a week and have to fight against pain caused by their profession. The aim of this study was to explore and describe self-reported complaints among professional orchestra musicians and to compare its intensity and the prevalence between string and wind instruments. MATERIAL AND METHODS: Hundred and twelve professional orchestra musicians from the three main professional orchestras from the North of Portugal were individually interviewed about the prevalence and the intensity (measured by verbal numerical scale for pain) of their playing-related musculoskeletal disorders...
April 28, 2017: Acta Médica Portuguesa
https://www.readbyqxmd.com/read/28555555/-relevant-factors-on-cognitive-evaluation-of-the-portuguese-population
#10
Catarina Resende Oliveira, Anabela Mota-Pinto, Vítor Rodrigues, Catarina Alves
INTRODUCTION: Aging is an inevitable process that has a social impact in the forecoming decades, and it will present a great challenge regarding public health. An efficient health system requires a reflection on the preventive measures to be implemented. MATERIAL AND METHODS: The study population comprised a total number of 2672 individuals of both genders, aged 55 years and over, residents in continental Portugal, to whom a questionnaire was applied that included the following sections: Social network; Locomotion; Physical autonomy; Instrumental autonomy; Cognitive assessment; Physical activity...
April 28, 2017: Acta Médica Portuguesa
https://www.readbyqxmd.com/read/28555554/-graduate-students-in-medicine-course-motivation-socialization-and-academic-recognition
#11
Cristina Magalhães-Alves, Joselina Barbosa, Laura Ribeiro, Maria Amélia Ferreira
INTRODUCTION: Students with a previous degree have personal and professional experiences that can contribute to a different academic path during the medical course. This study aims to: 1) analyze both satisfaction and impact of academic recognition; 2) investigate whether motivations and expectations at entrance are maintained along the course; 3) to evaluate socialization after regress to higher education. MATERIAL AND METHODS: To accomplish the first objective a questionnaire was administered to 82 students who entered the medical school from 2011/2012 to 2013/2014...
April 28, 2017: Acta Médica Portuguesa
https://www.readbyqxmd.com/read/28555553/efficacy-and-safety-of-foley-catheter-balloon-for-cervix-priming-in-term-pregnancy
#12
Catarina Policiano, Mariana Pimenta, Diana Martins, Nuno Clode
INTRODUCTION: Foley catheter promotes cervix priming by a direct mechanical effect of distension. MATERIAL AND METHODS: A prospective observational study was conducted at a tertiary hospital, including all cases of induction of labor with Foley catheter between September 1, 2013 and November 30, 2015. Women were eligible if they had a singleton pregnancy with a Bishop score < 6 and a gestational age ≥ 41 weeks or a medical indication for induction of labor...
April 28, 2017: Acta Médica Portuguesa
https://www.readbyqxmd.com/read/28555552/anxiety-family-functioning-and-neuroendocrine-biomarkers-in-obese-children
#13
Inês Pinto, Simon Wilkinson, Daniel Virella, Marta Alves, Conceição Calhau, Rui Coelho
INTRODUCTION: This observational study explores potential links between obese children's cortisol, and parental mental state, family functioning, and the children's symptoms of anxiety and depression. MATERIAL AND METHODS: A non-random sample of 104 obese children (55 boys), mean age 10.9 years (standard deviation 1.76), was recruited from a childhood obesity clinic. Obesity was defined as body mass index above the 95th age- and gender-specific percentiles. Neuroendocrine biomarkers were measured...
April 28, 2017: Acta Médica Portuguesa
https://www.readbyqxmd.com/read/28555551/-economic-crisis-and-portuguese-national-health-service-physicians-findings-from-a-descriptive-study-of-their-perceptions-and-reactions-from-health-care-units-in-the-greater-lisbon-area
#14
Inês Rego, Giuliano Russo, Luzia Gonçalves, Julian Perelman, Pedro Pita Barros
INTRODUCTION: In Europe, scant scientific evidence exists on the impact of economic crisis on physicians. This study aims at understanding the adjustments made by public sector physicians to the changing conditions, and their perceptions on the market for medical services in the Lisbon metropolitan area. MATERIAL AND METHODS: A random sample of 484 physicians from São José Hospital and health center groups in Cascais and Amadora, to explore their perceptions of the economic crisis, and the changes brought to their workload...
April 28, 2017: Acta Médica Portuguesa
https://www.readbyqxmd.com/read/28555550/-implementation-of-telemedicine-in-cape-verde-influencing-factors
#15
Artur Correia, Vanda Azevedo, Luís Velez Lapão
INTRODUCTION: Telemedicine is the provision of health services, where distance is a critical factor, using information and communication technologies. Cape Verde has bet on using this tool to increase access of the population of its islands to specialized care. MATERIAL AND METHODS: Qualitative study, covering the period between 2013 and 2014. It uses document analysis, semi-structured interviews and focus groups to collect data and analysis of content for their analysis...
April 28, 2017: Acta Médica Portuguesa
https://www.readbyqxmd.com/read/28555549/-coimbra-telemedicine-service-improves-access-to-pediatric-cardiology-in-cape-verde
#16
EDITORIAL
Eduardo Castela
No abstract text is available yet for this article.
April 28, 2017: Acta Médica Portuguesa
https://www.readbyqxmd.com/read/28550837/endoscopy-induced-gastric-pneumatosis
#17
Carlos Bilreiro, Jorge Brito
No abstract text is available yet for this article.
March 31, 2017: Acta Médica Portuguesa
https://www.readbyqxmd.com/read/28550836/urethral-foreign-body-an-uncommon-cause-for-hematuria
#18
Tiago Ribeiro Oliveira, Pedro Simões Oliveira, João Lemos Almeida
No abstract text is available yet for this article.
March 31, 2017: Acta Médica Portuguesa
https://www.readbyqxmd.com/read/28550835/-severe-interstitial-lung-disease-and-manic-symptoms-secondary-to-corticosteroids-in-a-patient-with-systemic-lupus-erythematosus-and-secondary-sj%C3%A3-gren-s-syndrome
#19
Sofia Silvério Serra, Teresa Pedrosa, Sandra Falcão, Jaime Cunha Branco
Interstitial lung disease occurs in up to 25% of patients with Sjögren's syndrome and 2% - 8 % of patients with systemic lupus erythematosus. Corticosteroid therapy remains the main treatment for systemic lupus erythematosus. However, it can be associated with several neuropsychiatric disorders especially with prednisolone at a dose of more than 40 mg/day. We present the case of a 51-year-old patient with systemic lupus erythematosus and secondary Sjögren's syndrome with severe pulmonary involvement four years after the diagnosis...
March 31, 2017: Acta Médica Portuguesa
https://www.readbyqxmd.com/read/28550834/-bullous-pemphigoid-successfully-treated-with-rituximab
#20
Nuno Silva, Andreia Costa, Fernando Salvador, Elisa Serradeiro
Bullous pemphigoid is an autoimmune disease characterized by subepidermal blister formation. Can be self-limiting but when necessary treatment includes the use of corticosteroids, immunosuppressants, and biological agents. We present the case of a 37 year old patient with a severe and refractory presentation of bullous pemphigoid. After about a month of treatment with various first line drugs and with no response, we chose to start rituximab and clear improvement of the lesions was observed. The authors aim to highlight the usefulness and effectiveness of this drug in this disease...
March 31, 2017: Acta Médica Portuguesa
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