{"title":"Letter to the Editor: \"Aphasia Screening Test (TeRAp): Construction and Validation for European Portuguese\".","authors":"Cláudia Mourato Silva","doi":"10.20344/amp.22777","DOIUrl":"https://doi.org/10.20344/amp.22777","url":null,"abstract":"","PeriodicalId":7059,"journal":{"name":"Acta medica portuguesa","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143363187","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Joana Silva, Nelson Teixeira, Nuno Ramos, Sância Ramos
{"title":"Warthin's Tumor: A Rare Case Report of a Bilateral Multifocal Parotid Tumor Associated with an Ectopic Tumor.","authors":"Joana Silva, Nelson Teixeira, Nuno Ramos, Sância Ramos","doi":"10.20344/amp.22147","DOIUrl":"10.20344/amp.22147","url":null,"abstract":"<p><p>Warthin's tumor is the second most common benign neoplasm of the parotid gland and frequently presents with multifocal and bilateral involvement, either synchronously or metachronously, up to 20% - 30% of cases. More rarely, extraparotid locations may also occur. This case report describes a Warthin's tumor presenting synchronously as a multifocal bilateral parotid tumor in association with an extraparotid localization, which, according to the existing literature, appears to be a rare event. This low incidence is likely underestimated and could be explained by several reasons. Increased awareness of this potentially higher incidence may aid physicians in better evaluating and treating their patients.</p>","PeriodicalId":7059,"journal":{"name":"Acta medica portuguesa","volume":" ","pages":"112-116"},"PeriodicalIF":0.8,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142789447","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ana Cochicho Ramalho, Madalena Costa, Pedro Gaspar Da Costa, Simão C Rodeia, Philip Fortuna
{"title":"[Preserving the Autonomy in Intensive Care Units: Patients Voting for General Elections in Portugal].","authors":"Ana Cochicho Ramalho, Madalena Costa, Pedro Gaspar Da Costa, Simão C Rodeia, Philip Fortuna","doi":"10.20344/amp.22168","DOIUrl":"10.20344/amp.22168","url":null,"abstract":"","PeriodicalId":7059,"journal":{"name":"Acta medica portuguesa","volume":" ","pages":"127-128"},"PeriodicalIF":0.8,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142851995","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Equity in Access to Health Care in Portugal: What Do We Know?]","authors":"Joana Fernandes, Cláudia Furtado, João Pereira","doi":"10.20344/amp.21668","DOIUrl":"10.20344/amp.21668","url":null,"abstract":"<p><p>In Portugal, constitutional and legal norms stipulate that the healthcare system should be organized to ensure equity in access to healthcare. To guarantee this objective, it is usually assumed that individuals from different socio-economic groups presenting equal levels of need should have access to the same level of care. The present narrative review describes current knowledge on this topic. It provides a brief overview of the characteristics of the Portuguese healthcare system, which may influence the achievement of the objective of equity in health care access. The empirical evidence on this issue is also presented. In Portugal, equity in access has not been achieved for most types of health care. Particularly in the case of specialized health care, better-off groups of the population used more care for a given level of need. The situations where inequity exists should be examined and corrected; potential access barriers within the National Health Service should be considered, as the public healthcare system bears the responsibility for ensuring equity.</p>","PeriodicalId":7059,"journal":{"name":"Acta medica portuguesa","volume":" ","pages":"104-111"},"PeriodicalIF":0.8,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142798939","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Alexandra Ramos Rodrigues, Ana Luísa Matos, Carlos Pedro Mendes
{"title":"Cutaneous Manifestations Related to Glycemic Control.","authors":"Alexandra Ramos Rodrigues, Ana Luísa Matos, Carlos Pedro Mendes","doi":"10.20344/amp.22239","DOIUrl":"https://doi.org/10.20344/amp.22239","url":null,"abstract":"","PeriodicalId":7059,"journal":{"name":"Acta medica portuguesa","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143073268","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sofia Seabra Vieira, Diana Bernardo, Susana Machado
{"title":"[Approach to Scabies in Children: An Update].","authors":"Sofia Seabra Vieira, Diana Bernardo, Susana Machado","doi":"10.20344/amp.22450","DOIUrl":"https://doi.org/10.20344/amp.22450","url":null,"abstract":"<p><p>Scabies is a common dermatological infection that globally affects more than 200 million people. It is caused by the parasite Sarcoptes scabiei var. hominis and its transmission primarily occurs through direct contact. Symptoms typically appear three to six weeks after infestation, with intense itching being the most characteristic manifestation. Lesions most commonly appear on the hands, wrists, armpits, periumbilical area, buttocks, and genital region, although the clinical manifestations vary with age. In infants and children, they also affect the face, scalp, palms, soles, ankles, and chest. Therefore, diagnosis is clinical but challenging due to the diversity of manifestations. Treatment aims to eliminate the parasite and relieve symptoms, using options such as topical 5% permethrin, benzyl benzoate, sulfur sulfate, or systemic ivermectin. Permethrin is recommended as the first-line treatment for children over two months, while ivermectin is used in more severe cases. Adherence to treatment and the disinfestation of clothing and bedding are crucial to prevent reinfestation. Early recognition and effective treatment are essential given its prevalence and significant impact on public health, particularly in pediatric populations.</p>","PeriodicalId":7059,"journal":{"name":"Acta medica portuguesa","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143063115","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Meningitis Due to Haemophilus influenzae Serotype A and Adenovirus: A Rare Case of Co-Infection in a Six-Month-Old Infant].","authors":"Inês Mazeda, Joana Ventura Lourenço, David Nascimento Moreira, Gracinda Oliveira, Isabel Mendes","doi":"10.20344/amp.21725","DOIUrl":"https://doi.org/10.20344/amp.21725","url":null,"abstract":"<p><p>Haemophilus influenzae serotype A is a rare cause of meningitis and invasive disease in pediatric patients. A six-month-old infant presented to the emergency room with fever, cough and nasal drip. On admission, the infant was alert and hemodynamically stable but progressively became more lethargic with bulging of the fontanelle. The blood tests revealed a normal leukocyte count and elevated C-reactive protein. Cytology and biochemistry of the cerebrospinal fluid were consistent with bacterial meningitis and treatment with ceftriaxone was initiated. Both blood and cerebrospinal fluid cultures were positive for Haemophilus influenzae. Serotyping of the strain identified Haemophilus influenzae serotype A. Viral detection in cerebrospinal fluid and nasopharyngeal aspirate tested positive for adenovirus. The infant completed 10 days of antibiotic therapy and was fully recovered upon discharge. Although cases of Haemophilus influenzae serotype a meningitis are rare, invasive disease caused by non-B serotypes as well as non-encapsulated isolates have been increasing, emphasizing the need for monitoring and continuous epidemiological surveillance.</p>","PeriodicalId":7059,"journal":{"name":"Acta medica portuguesa","volume":"38 1","pages":"49-51"},"PeriodicalIF":0.8,"publicationDate":"2025-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142918942","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}