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[Review of Reviews (Umbrella Reviews): Step-by-Step Guide]. [审查评论（伞状评论）：分步指南]。
IF 0.8 4区 医学
Acta medica portuguesa Pub Date : 2024-07-01 DOI: 10.20344/amp.21796
Helena Donato, Mariana Donato
{"title":"[Review of Reviews (Umbrella Reviews): Step-by-Step Guide].","authors":"Helena Donato, Mariana Donato","doi":"10.20344/amp.21796","DOIUrl":"10.20344/amp.21796","url":null,"abstract":"<p><p>In recent years, as a result of the dramatic increase in the number of systematic reviews, a new type of systematic review, the 'systematic reviews of systematic reviews', also known as umbrella reviews, reviews of reviews, meta-reviews or synthesis of review, was developed. The aim of this article is to provide recommendations on how this type of systematic review should be conducted and reported to ensure its quality and usefulness. These reviews are designed to compile evidence from multiple systematic reviews of interventions into an accessible and usable document and are one of the highest levels of evidence synthesis.</p>","PeriodicalId":7059,"journal":{"name":"Acta medica portuguesa","volume":"37 7-8","pages":"547-555"},"PeriodicalIF":0.8,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141475683","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}
引用次数: 0
Letter to the Editor Regarding the Paper "Coping with Gender Dysphoria in a Rural Environment during Adolescence". 就论文 "在农村环境中应对青春期性别异常 "致编辑的信。
IF 0.8 4区 医学
Acta medica portuguesa Pub Date : 2024-07-01 DOI: 10.20344/amp.21757
André Ribeirinho Marques
{"title":"Letter to the Editor Regarding the Paper \"Coping with Gender Dysphoria in a Rural Environment during Adolescence\".","authors":"André Ribeirinho Marques","doi":"10.20344/amp.21757","DOIUrl":"https://doi.org/10.20344/amp.21757","url":null,"abstract":"","PeriodicalId":7059,"journal":{"name":"Acta medica portuguesa","volume":"37 7-8","pages":"569"},"PeriodicalIF":0.8,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141475690","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}
引用次数: 0
Melanoma of the Nail Unit. 指甲黑色素瘤
IF 0.8 4区 医学
Acta medica portuguesa Pub Date : 2024-07-01 DOI: 10.20344/amp.20805
Laís Catizani Lopes, Mariana Castro Guimarães, Joana Pimenta Marques, André Lencastre
{"title":"Melanoma of the Nail Unit.","authors":"Laís Catizani Lopes, Mariana Castro Guimarães, Joana Pimenta Marques, André Lencastre","doi":"10.20344/amp.20805","DOIUrl":"10.20344/amp.20805","url":null,"abstract":"","PeriodicalId":7059,"journal":{"name":"Acta medica portuguesa","volume":" ","pages":"560-561"},"PeriodicalIF":0.8,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140955373","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}
引用次数: 0
Early Mobilization Decision after an Acute Ischemic Stroke: Protocol for an Umbrella Review. 急性缺血性脑卒中后的早期动员决策：总括审查协议》。
IF 0.8 4区 医学
Acta medica portuguesa Pub Date : 2024-07-01 DOI: 10.20344/amp.20715
Catarina Fernandes, João André Sousa, Sara Bernardo-Castro, Fernando Silva, Helena Donato, João Sargento-Freitas
{"title":"Early Mobilization Decision after an Acute Ischemic Stroke: Protocol for an Umbrella Review.","authors":"Catarina Fernandes, João André Sousa, Sara Bernardo-Castro, Fernando Silva, Helena Donato, João Sargento-Freitas","doi":"10.20344/amp.20715","DOIUrl":"10.20344/amp.20715","url":null,"abstract":"<p><strong>Introduction: </strong>Stroke is considered one of the greatest public health challenges worldwide, with the ischemic subtype being the most prevalent. Various acute stroke clinical guidelines recommend early rehabilitation interventions, including very early mobilization. However, despite the studies conducted in recent years regarding when to initiate mobilization after an acute stroke, there are few systematic and personalized protocols based on the factors for which patient mobilization should ideally be performed. We aim to conduct an umbrella review of systematic reviews and meta-analyses to study the early mobilization decision after an acute ischemic stroke in comparison with conventional care and correlate the different approaches with patient clinical outcomes.</p><p><strong>Methods and analysis: </strong>We will perform a systematic search on PubMed/MEDLINE, EMBASE, Cochrane Database of Systematic Reviews, Epistemonikos and Web of Science Core Collection databases. Retrieved studies will be independently reviewed by two authors and any discrepancies will be resolved by consensus or with a third reviewer. Reviewers will extract the data and assess the risk of bias in the selected studies. We will use the 16-item Assessment of Multiple Systematic Reviews 2 (AMSTAR2) checklist as the critical appraisal tool to assess cumulative evidence and risk of bias of the different studies. This will be the first umbrella review that compares early mobilization approaches in post-acute ischemic stroke. This study may help to define the optimal early mobilization strategy in stroke patients. PROSPERO registration number: CRD42023430494.</p>","PeriodicalId":7059,"journal":{"name":"Acta medica portuguesa","volume":" ","pages":"541-546"},"PeriodicalIF":0.8,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140136335","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}
引用次数: 0
[Contraceptive Implant: A Challenging Removal]. [避孕植入物：具有挑战性的移除]。
IF 0.8 4区 医学
Acta medica portuguesa Pub Date : 2024-07-01 DOI: 10.20344/amp.21636
Gabriela Oliveira, Ana Luísa Pereira, Laura Igreja, José Luís Franqueira
{"title":"[Contraceptive Implant: A Challenging Removal].","authors":"Gabriela Oliveira, Ana Luísa Pereira, Laura Igreja, José Luís Franqueira","doi":"10.20344/amp.21636","DOIUrl":"10.20344/amp.21636","url":null,"abstract":"","PeriodicalId":7059,"journal":{"name":"Acta medica portuguesa","volume":"37 7-8","pages":"567-568"},"PeriodicalIF":0.8,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141475679","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}
引用次数: 0
[Mother Baby Units: Are They the Ideal Answer for The Baby of a Psychiatrically Ill Mother?] [母婴病房：它们是精神病母亲的孩子的理想选择吗？］
IF 0.8 4区 医学
Acta medica portuguesa Pub Date : 2024-07-01 DOI: 10.20344/amp.21536
Maria João Lobarinhas, Catarina Cordovil, Inês Pinto
{"title":"[Mother Baby Units: Are They the Ideal Answer for The Baby of a Psychiatrically Ill Mother?]","authors":"Maria João Lobarinhas, Catarina Cordovil, Inês Pinto","doi":"10.20344/amp.21536","DOIUrl":"https://doi.org/10.20344/amp.21536","url":null,"abstract":"","PeriodicalId":7059,"journal":{"name":"Acta medica portuguesa","volume":"37 7-8","pages":"562-563"},"PeriodicalIF":0.8,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141475681","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}
引用次数: 0
Adolescence and Sexually Transmitted Infections: A Portuguese Single-Center Report. 青春期与性传播感染：葡萄牙单中心报告
IF 0.8 4区 医学
Acta medica portuguesa Pub Date : 2024-07-01 DOI: 10.20344/amp.21479
Beatriz Parreira de Andrade, Adriano Pereira, Ana Bandeira Santos, Paula Fonseca
{"title":"Adolescence and Sexually Transmitted Infections: A Portuguese Single-Center Report.","authors":"Beatriz Parreira de Andrade, Adriano Pereira, Ana Bandeira Santos, Paula Fonseca","doi":"10.20344/amp.21479","DOIUrl":"10.20344/amp.21479","url":null,"abstract":"","PeriodicalId":7059,"journal":{"name":"Acta medica portuguesa","volume":"37 7-8","pages":"570-571"},"PeriodicalIF":0.8,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141475687","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}
引用次数: 0
Operation Volume in Pancreatic Cancer Surgery: How Long Will We Keep Looking the Other Way? 胰腺癌手术的手术量：我们还要睁一只眼闭一只眼多久？
IF 0.8 4区 医学
Acta medica portuguesa Pub Date : 2024-07-01 DOI: 10.20344/amp.21621
Tiago Bouça Machado, Humberto Gigante Cristino, Jan Sven David Mieog, Michael Bau Mortensen, Gil Gonçalves
{"title":"Operation Volume in Pancreatic Cancer Surgery: How Long Will We Keep Looking the Other Way?","authors":"Tiago Bouça Machado, Humberto Gigante Cristino, Jan Sven David Mieog, Michael Bau Mortensen, Gil Gonçalves","doi":"10.20344/amp.21621","DOIUrl":"https://doi.org/10.20344/amp.21621","url":null,"abstract":"","PeriodicalId":7059,"journal":{"name":"Acta medica portuguesa","volume":"37 7-8","pages":"565-566"},"PeriodicalIF":0.8,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141475691","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}
引用次数: 0
Efficacy, Complications and Effects of Alcides Pereira's Sutures in the Management of Uterine Atony: A Retrospective Study. 阿尔西德斯-佩雷拉缝合术治疗子宫无楔形的疗效、并发症和影响：回顾性研究。
IF 0.8 4区 医学
Acta medica portuguesa Pub Date : 2024-07-01 DOI: 10.20344/amp.20429
Beatriz Cordeiro Féria, Patrícia Nazaré, Joana Figueiredo, Inês Neves Gomes, Alcides Pereira
{"title":"Efficacy, Complications and Effects of Alcides Pereira's Sutures in the Management of Uterine Atony: A Retrospective Study.","authors":"Beatriz Cordeiro Féria, Patrícia Nazaré, Joana Figueiredo, Inês Neves Gomes, Alcides Pereira","doi":"10.20344/amp.20429","DOIUrl":"10.20344/amp.20429","url":null,"abstract":"<p><strong>Introduction: </strong>Uterine compressive sutures are conservative measures applied in cases of severe postpartum hemorrhage unresponsive to uterotonics. Pereira's suture was introduced in 2005 and consists of two longitudinal and three transverse non-transfixes sutures. Previous studies reported favorable results, highlighting its benefits and value. The aim of this study was to assess the efficacy, complications, and impact on fertility and future pregnancies of Pereira's suture applied in cases of uterine atony and postpartum hemorrhage.</p><p><strong>Methods: </strong>An observational retrospective study was performed by consulting the medical records of women treated with Pereira's compressive sutures in a tertiary center between January 2013 and December 2022. We registered demographic data, pregnancy outcomes, short-term complications, and outcomes of subsequent pregnancies.</p><p><strong>Results: </strong>A total of 50 women were treated with Pereira's suture. The overall success rate was 96% and no hysterectomies were performed. Women who had sutures performed during an intra-cesarean section had better outcomes than those who had an after-cesarean section. Complications were reported in 12% (n = 6) of women, with the most frequent being pelvic infection (n = 3) and abdominal pain (n = 3). Regarding fertility, all women desiring a future pregnancy (n = 5) were able to conceive, resulting in three live births.</p><p><strong>Conclusion: </strong>Pereira's suture is a type of suture that provides numerous advantages and should be considered when first-line medical treatment fails. When applied at an early stage, the sutures may prevent maternal morbidity. The Alcides Pereira's suture is a safe technique and appears to preserve fertility.</p>","PeriodicalId":7059,"journal":{"name":"Acta medica portuguesa","volume":" ","pages":"518-525"},"PeriodicalIF":0.8,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140048507","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}
引用次数: 0
Atypical Esophageal Metastasis in the Thoracic Wall. 胸壁上的非典型食管转移瘤
IF 0.8 4区 医学
Acta medica portuguesa Pub Date : 2024-07-01 DOI: 10.20344/amp.21388
Sofia R Lopes, Mafalda Baptista, Carla Gonçalves, Inês Vicente, Salete Valente
{"title":"Atypical Esophageal Metastasis in the Thoracic Wall.","authors":"Sofia R Lopes, Mafalda Baptista, Carla Gonçalves, Inês Vicente, Salete Valente","doi":"10.20344/amp.21388","DOIUrl":"10.20344/amp.21388","url":null,"abstract":"","PeriodicalId":7059,"journal":{"name":"Acta medica portuguesa","volume":"37 7-8","pages":"572-573"},"PeriodicalIF":0.8,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141475688","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}
引用次数: 0
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