Gazeta Medica最新文献_第8页

Doença de Still: Um Diagnóstico de Exclusão 斯蒂尔病：排除诊断

Gazeta Medica Pub Date : 2022-02-15 DOI: 10.29315/gm.v1i1.516

Paula Ferreira, P. Oliveira, Filipe Breda, M. Sequeira

引用次数: 0

The Impact of COVID-19 Pandemic on the Surgical Treatment of Orthopedic Trauma in a Tertiary Hospital in Portugal 新冠肺炎大流行对葡萄牙一家三级医院骨科创伤手术治疗的影响

Gazeta Medica Pub Date : 2022-02-14 DOI: 10.29315/gm.v1i1.515

D. Ferreira, F. Ramos, J. Pinheiro, Joaquim Soares do Brito, S. Martins, M. Sarmento

{"title":"The Impact of COVID-19 Pandemic on the Surgical Treatment of Orthopedic Trauma in a Tertiary Hospital in Portugal","authors":"D. Ferreira, F. Ramos, J. Pinheiro, Joaquim Soares do Brito, S. Martins, M. Sarmento","doi":"10.29315/gm.v1i1.515","DOIUrl":"https://doi.org/10.29315/gm.v1i1.515","url":null,"abstract":"INTRODUCTION: The impact of the COVID-19 pandemic on orthopedic trauma surgery is not well characterized in the literature. We provided an evaluation of such impact in a tertiary hospital in Portugal.MATERIAL AND METHODS: Retrospective analysis of the patients admitted for surgical treatment due to acute orthopedic trauma from March to December of 2019 and March to December of 2020.RESULTS: A total of 794 patients in 2019 and 728 in 2020 were included. Although the mean time to surgery was shorter the hospital stay was longer in 2020. Infected patients had a longer hospital stay and longer time until surgery compared to non-infected. There was no significant difference between the mortality and need for treatment in the intensive care unit (ICU) in both years. There was a significant increase in the number of polytrauma patients treated in our institution in 2020 compared to 2019.CONCLUSION: Orthopedic trauma surgery was globally influenced by the pandemic. Safe and effective measures should be adopted in the treatment of trauma patients, to reduce the clinical and economic impact.","PeriodicalId":32321,"journal":{"name":"Gazeta Medica","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46493745","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Epidemiologia Desconhecida da Psoríase 银屑病的未知流行病学

Gazeta Medica Pub Date : 2022-02-04 DOI: 10.29315/gm.v1i1.540

Ana Sofia Davim de Sousa Pinto

{"title":"A Epidemiologia Desconhecida da Psoríase","authors":"Ana Sofia Davim de Sousa Pinto","doi":"10.29315/gm.v1i1.540","DOIUrl":"https://doi.org/10.29315/gm.v1i1.540","url":null,"abstract":"A psori?ase e? uma doenc?a cuta?nea cro?nica, sem etiologia identificada ou cura, de distribuic?a?o mundial e com um predomi?nio no sexo masculino. As doenc?as da pele contribuem com 1,79% para a carga global da doenc?a medida em anos de vida ajustados por incapacidade (DALYs) colocando-as na 18ª posic?a?o. É a terceira das doenc?as da pele com maior carga total. Nos dados ate? ao momento, que incluem 68 artigos e relato?rios integrais de 20 pai?ses, estimaram que a prevale?ncia mundial da psori?ase varia entre 0,09% e 11,4%, o equivalente a pelo menos 100 milho?es de indivi?duos afetados. Na maioria dos pai?ses desenvolvidos, a prevale?ncia situa-se entre 1,5% e 5%, sendo a Noruega o pai?s que apresenta maior prevale?ncia. O único estudo realizado em Portugal, foi publicado em 1994, com uma amostra de 1037 participantes de todas as idades e concluiu uma prevale?ncia de psori?ase em Portugal de 1,9%. Observam-se diferentes metodologias, diferenc?as na definic?a?o de prevale?ncia, na definic?a?o de caso, nas idades das populac?o?es estudadas e nas te?cnicas de amostragem. Os dados de prevale?ncia disponi?veis contemplam somente 20 pai?ses, o que significa que se desconhece por completo a epidemiologia desta doenc?a noutros locais. Há uma diminuta proporc?a?o de estudos realizada em pai?ses em desenvolvimento, contribuindo para uma maior desigualdade nos resultados publicados. A qualidade dos dados epidemiolo?gicos obtidos e? essencial para compreender melhor o tamanho e a distribuic?a?o do problema, para a gesta?o desta doenc?a cro?nica e para o adequado planeamento dos cuidados de sau?de.","PeriodicalId":32321,"journal":{"name":"Gazeta Medica","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41703378","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Parsonage-Turner Syndrome Revisited: Four Case Reports and Literature Review 牧师-特纳综合征重访:四例报告及文献回顾

Gazeta Medica Pub Date : 2022-02-04 DOI: 10.29315/gm.v1i1.503

Sara Monteiro, Diogo Silva Gomes, N. Moura, M. Sarmento, A. Cartucho

{"title":"Parsonage-Turner Syndrome Revisited: Four Case Reports and Literature Review","authors":"Sara Monteiro, Diogo Silva Gomes, N. Moura, M. Sarmento, A. Cartucho","doi":"10.29315/gm.v1i1.503","DOIUrl":"https://doi.org/10.29315/gm.v1i1.503","url":null,"abstract":"INTRODUCTION: Parsonage-Turner syndrome is a rare disease characterized by acute and severe shoulder pain followed by upper extremity paralysis, that is severely underdiagnosed in clinical practice. The objective is to describe four illustrative clinical cases and provide a summary review of the topic.CASE REPORTS: Four patients (aged 56 to 84 years-old) diagnosed with Parsonage-Turner syndrome were followed up for functional recovery and patient satisfaction after conservative treatment. Despite presenting with typical sudden-onset pain in the shoulder region, followed by weakness in the shoulder/arm, all patients had delayed diagnosis. Only one patient reported a preceding viral infection, which is the most common trigger. Pain subsided after 3-8 days, but shoulder/arm weakness persisted. All patients recovered, totally or partially, with pain management and physical therapy. Recovery took 6-15 months and was monitored through clinical evaluation and electromyography. At last follow-up, all patients were satisfied.CONCLUSION: Parsonage-Turner syndrome has a higher incidence than previously assumed and is frequently underdiagnosed. It must be considered in the differential diagnosis of the painful shoulder, especially if muscle weakness is present. Despite being a self-limited condition, recovery is usually slow, and a prompt diagnosis is key for patient’s reassurance and starting adequate supportive treatment.","PeriodicalId":32321,"journal":{"name":"Gazeta Medica","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45663265","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Importância do Diagnóstico e Tratamento da Depressão Major em Doentes Oncológicos em Cuidados Paliativos 癌症患者重度抑郁症诊治在姑息治疗中的重要性

Gazeta Medica Pub Date : 2022-02-01 DOI: 10.29315/gm.v9i2.565

P. Afonso

引用次数: 0

Arterite de Takayasu: A Apresentação Atípica de uma Doença Rara 大动脉炎：一种罕见疾病的非典型表现

Gazeta Medica Pub Date : 2022-01-27 DOI: 10.29315/gm.v1i1.445

Cristiana Fernandes, C. Marques, A. Ogando, A. Barroso, C. Oliveira

引用次数: 0

Renal Neoformation: A Diagnosis to Consider 肾新生肿瘤:一个需要考虑的诊断

Gazeta Medica Pub Date : 2022-01-17 DOI: 10.29315/gm.v1i1.546

J. Miranda, P. Coelho, Céu Rosinha, Eduarda Marques