Acta medica portuguesa最新文献

{"title":"[Delayed Cutaneous Reaction to a Jellyfish Sting].","authors":"Manuel Bernardo Rodrigues Costa, Ana Filipa Silva, Alberto Mota","doi":"10.20344/amp.24463","DOIUrl":"https://doi.org/10.20344/amp.24463","url":null,"abstract":"","PeriodicalId":7059,"journal":{"name":"Acta medica portuguesa","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147759511","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":"Measuring Antimicrobial Prescribing Quality and Driving Behavioral Change: A Call to Action Against Antimicrobial Resistance.","authors":"Carlos Palos, Paulo Sousa, José-Artur Paiva","doi":"10.20344/amp.24396","DOIUrl":"https://doi.org/10.20344/amp.24396","url":null,"abstract":"","PeriodicalId":7059,"journal":{"name":"Acta medica portuguesa","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147759463","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":"[Greener Lisbon: The Role of Tree Planting in Mitigating the Effects of Heat].","authors":"Diogo Neves, Henrique Rosado, João Tiago Correia","doi":"10.20344/amp.24375","DOIUrl":"https://doi.org/10.20344/amp.24375","url":null,"abstract":"","PeriodicalId":7059,"journal":{"name":"Acta medica portuguesa","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147727971","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":"[Insomnia Management in the Burn Unit: What Options Are Left?]","authors":"Marta Moura Neves, Daniel Henriques, Inês Amado, Vítor Santos","doi":"10.20344/amp.24482","DOIUrl":"https://doi.org/10.20344/amp.24482","url":null,"abstract":"","PeriodicalId":7059,"journal":{"name":"Acta medica portuguesa","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147697084","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":"Long-Acting Reversible Contraception in Primary Care: A Cross-Sectional Study on the Perspectives of Portuguese Family Physicians.","authors":"Ana Beatriz De Almeida, Ana Sofia De Sá Monteiro, Daniel Bertoluci Brito, Pedro Gouveia, Joaquim Santos, Rosa Zulmira Macedo","doi":"10.20344/amp.24370","DOIUrl":"https://doi.org/10.20344/amp.24370","url":null,"abstract":"<p><p>Long-acting reversible contraceptives (LARC) are recommended as first-line methods due to high efficacy and safety. Family Medicine (FM) physicians are ideally positioned to provide counseling and LARC-related services; however, their implementation in primary care is hindered by multiple constraints. The aim of this nationwide cross-sectional study was to characterize family planning practices among FM physicians in Portugal, to identify the main obstacles to LARC provision, and to propose strategies to enhance clinical autonomy. In this manner, an anonymous online questionnaire was distributed among FM physicians (specialists and residents), currently working within the Portuguese National Health Service. A total of 220 responses were collected over six weeks. While nearly all physicians (99.5%) routinely conducted family planning consultations, only 31.8% of respondents reported feeling fully prepared to perform LARC insertions autonomously. Among those who rarely insert LARC (18.7%), the main barriers identified were related to organizational constraints (38.0%) and gaps in practical training (37.0%). The majority (98.2%) expressed interest in further training, particularly in practical insertion/removal techniques. In conclusion, this study highlighted a significant gap in confidence among Portuguese FM physicians regarding LARC provision. Strengthening simulation-based training and promoting structured mentorship with gynecology specialists may help overcome these barriers.</p>","PeriodicalId":7059,"journal":{"name":"Acta medica portuguesa","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147653424","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":"[Use of Natriuretic Peptides in the Diagnosis of Heart Failure in Primary Healthcare in Portugal: A Proposal from Clinical and Laboratory Experts].","authors":"Mário Santos, Cristina Gavina, Elisabete Martins, Irene Marques, André Biscaia, Filipe Cabral, Jorge Nunes Oliveira, Manuel Cirne Carvalho, Margarida Albuquerque, Rui Pinto, Célia Ramalho, Eduardo Calçada","doi":"10.20344/amp.23998","DOIUrl":"10.20344/amp.23998","url":null,"abstract":"<p><p>Heart failure (HF) remains a major clinical and public health challenge in Portugal, associated with high morbidity, mortality, and economic burden. Despite notable therapeutic advances, the degree of underdiagnosis in Portugal remains substantial, as evidenced by findings from the recent Portuguese Heart Failure Prevalence Observational Study (PORTHOS), which estimated that 90% of identified cases corresponded to new diagnoses. Early detection of HF in primary care (PC) is crucial for the implementation of cost-effective strategies capable of modifying the disease course. Natriuretic peptides, particularly NT-proBNP, have consistently demonstrated robust utility as a tool for ruling-out HF diagnosis and are recommended by leading international societies for outpatient use due to their reliability and analytical stability. In Portugal, however, several barriers hinder their systematic use in primary care, including the absence of specific NT proBNP coding within prescribing and laboratory reporting systems, as well as persistent uncertainty regarding appropriate reference values. To address these gaps, a multidisciplinary working group was convened, including representatives from Cardiology, Internal Medicine, and General Practice/Family Medicine, in collaboration with the Portuguese Society of Cardiology and its Heart Failure Working Group, the Heart Failure Study Group of the Portuguese Society of Internal Medicine, the Portuguese Association of Family Medicine, the National Association of Family Health Units, the National Association of Clinical Laboratories, and the Portuguese Association of Clinical Analysts. This document, resulting from a literature review and structured expert consensus, proposes three technical recommendations to foster the appropriate and standardized use of NT-proBNP in Portuguese PC: (1) the use of NT-proBNP as the preferred biomarker for HF diagnosis in primary care; (2) the adoption of NT-proBNP cut-off values for exclusion (rule-out) and confirmation (rule-in) of HF, in alignment with international recommendations; and (3) the implementation of specific reporting guidance for clinical laboratories. Furthermore, it calls upon national health authorities to effectively integrate NT-proBNP into the National Health System, thereby contributing to reducing HF underdiagnosis in Portugal and improving health outcomes.</p>","PeriodicalId":7059,"journal":{"name":"Acta medica portuguesa","volume":" ","pages":"305-311"},"PeriodicalIF":1.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146163470","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":"Novel SERPING1 Genetic Variant in Two Family Members with Hereditary Angioedema.","authors":"Sofia Cosme Ferreira, Alexandra Rosa, Filipa Sousa, Alejandro Mendoza-Alvarez, Rafaela González-Montelongo, Ariel Callero, Carlos Flores, Rita Câmara","doi":"10.20344/amp.24214","DOIUrl":"10.20344/amp.24214","url":null,"abstract":"<p><p>Hereditary angioedema is a rare, autosomal dominant, genetic disorder characterized by recurrent episodes of angioedema. Over 800 SERPING1 gene variants have been reported, and their clinical profiles and causal genetic variants are highly heterogeneous. We report two cases of hereditary angioedema (HAE) in a Portuguese family: a 27-year-old male, under lanadelumab, and his 57-year-old father, kept on on-demand treatment. Genetic testing was performed following international guidelines. The Hereditary Angioedema Database Annotation highlighted a heterozygous insertion at exon 3 (c.336_337insC). This variant predicts a frameshift of the transcript, with the introduction of a premature STOP codon in C1-INH protein (p.Ser113LeufsTer20). We report the identification of a novel pathogenic SERPING1 variant in a family with HAE type 1, assisted by the Hereditary Angioedema Database Annotation variant prioritization tool. Our results may contribute to the identification of additional families with the same variant and can further enhance the knowledge about this condition.</p>","PeriodicalId":7059,"journal":{"name":"Acta medica portuguesa","volume":" ","pages":"299-302"},"PeriodicalIF":1.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146148696","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":"[Primary Health Care and the Potential for Coordination with Human Milk Banks].","authors":"Mafalda Fabrício de Almeida, Ana Lúcia Torgal, Israel Macedo, Cristiano Figueiredo","doi":"10.20344/amp.24187","DOIUrl":"https://doi.org/10.20344/amp.24187","url":null,"abstract":"","PeriodicalId":7059,"journal":{"name":"Acta medica portuguesa","volume":"39 4","pages":"243-245"},"PeriodicalIF":1.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147632225","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":"Skin, Uterus, and Genes: When Painful Skin Lesions Tell a Familial Syndrome.","authors":"Ivânia Soares, Inês Pereira-Amaral, Pedro De Vasconcelos, Paulo Filipe","doi":"10.20344/amp.24215","DOIUrl":"https://doi.org/10.20344/amp.24215","url":null,"abstract":"","PeriodicalId":7059,"journal":{"name":"Acta medica portuguesa","volume":"39 4","pages":"321-322"},"PeriodicalIF":1.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147632487","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":"Maternal Knowledge of Sudden Infant Death Syndrome Prevention in the Immediate Postpartum Period: Sociodemographic Disparities.","authors":"Brenda Maria Toro, Maria Vieira, Joana Vasconcelos, Catarina Almeida, Iuliana Lascu, Mariana Nunes, Mariana Soares, Joana Saldanha","doi":"10.20344/amp.23840","DOIUrl":"https://doi.org/10.20344/amp.23840","url":null,"abstract":"<p><strong>Introduction: </strong>Sudden infant death syndrome remains a leading cause of post-neonatal infant mortality. Maternal knowledge of risk reduction strategies is essential, particularly during the immediate postpartum period when infant care routines are being established. The aims of this study were to evaluate maternal knowledge of sudden infant death syndrome prevention measures during the immediate postpartum period, identify sociodemographic disparities to guide future education strategies and provide mothers with an educational intervention.</p><p><strong>Methods: </strong>This is a cross-sectional questionnaire-based study conducted among 139 postpartum mothers at a Portuguese urban maternity hospital. The survey included sociodemographic data and a 10-item knowledge assessment based on international guidelines. Targeted counselling was delivered immediately after survey completion.</p><p><strong>Results: </strong>The median knowledge score was 7/10 (IQR = 2). Mothers with one previous child (versus a different number of previous children) and those born in Portugal (versus born in a foreign country) scored significantly higher (p = 0.035 and p = 0.031, respectively) on a question regarding tummy time. Key knowledge gaps included baby positioning on the crib and crib toy use. Multivariable analysis showed parity and maternal origin significantly predicted knowledge (R2 = 0.118).</p><p><strong>Conclusion: </strong>Although there is general awareness on how to prevent sudden infant death syndrome, knowledge gaps persist and are associated with cultural and experiential factors. Tailored educational interventions during the postpartum period are needed. Maternal knowledge is a necessary precursor to safe sleep behaviors, but bridging the gap between knowledge and practice requires addressing cultural norms and misinformation, reducing preventable mortality.</p>","PeriodicalId":7059,"journal":{"name":"Acta medica portuguesa","volume":"39 4","pages":"259-270"},"PeriodicalIF":1.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147632335","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}