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Performance of ChatGPT in the Portuguese National Residency Access Examination. ChatGPT 在葡萄牙国家住院医师准入考试中的表现。
IF 0.8 4区 医学
Acta medica portuguesa Pub Date : 2025-03-03 Epub Date: 2024-12-20 DOI: 10.20344/amp.22506
Gonçalo Ferraz-Costa, Mafalda Griné, Manuel Oliveira-Santos, Rogério Teixeira
{"title":"Performance of ChatGPT in the Portuguese National Residency Access Examination.","authors":"Gonçalo Ferraz-Costa, Mafalda Griné, Manuel Oliveira-Santos, Rogério Teixeira","doi":"10.20344/amp.22506","DOIUrl":"10.20344/amp.22506","url":null,"abstract":"<p><p>ChatGPT, a language model developed by OpenAI, has been tested in several medical board examinations. This study aims to evaluate the performance of ChatGPT on the Portuguese National Residency Access Examination, a mandatory test for medical residency in Portugal. The study specifically compares the capabilities of ChatGPT versions 3.5 and 4o across five examination editions from 2019 to 2023. A total of 750 multiple-choice questions were submitted to both versions, and their answers were evaluated against the official responses. The findings revealed that ChatGPT 4o significantly outperformed ChatGPT 3.5, with a median examination score of 127 compared to 106 (p = 0.048). Notably, ChatGPT 4o achieved scores within the top 1% in two examination editions and exceeded the median performance of human candidates in all editions. Additionally, ChatGPT 4o's scores were high enough to qualify for any specialty. In conclusion, ChatGPT 4o can be a valuable tool for medical education and decision-making, but human oversight remains essential to ensure safe and accurate clinical practice.</p>","PeriodicalId":7059,"journal":{"name":"Acta medica portuguesa","volume":" ","pages":"170-174"},"PeriodicalIF":0.8,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142862940","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: "Aphasia Screening Test (TeRAp): Construction and Validation for European Portuguese".
IF 0.8 4区 医学
Acta medica portuguesa Pub Date : 2025-03-03 Epub Date: 2025-02-07 DOI: 10.20344/amp.22777
Cláudia Mourato Silva
{"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":"10.20344/amp.22777","url":null,"abstract":"","PeriodicalId":7059,"journal":{"name":"Acta medica portuguesa","volume":" ","pages":"201"},"PeriodicalIF":0.8,"publicationDate":"2025-03-03","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}
引用次数: 0
The Increasing Prevalence of Food Allergies in the Pediatric Populations: A Rising Concern.
IF 0.8 4区 医学
Acta medica portuguesa Pub Date : 2025-03-03 Epub Date: 2025-02-12 DOI: 10.20344/amp.22498
Beatriz Parreira de Andrade, Filipa Almeida, Jorge Romariz, Herculano Costa, Cláudia Pedrosa
{"title":"The Increasing Prevalence of Food Allergies in the Pediatric Populations: A Rising Concern.","authors":"Beatriz Parreira de Andrade, Filipa Almeida, Jorge Romariz, Herculano Costa, Cláudia Pedrosa","doi":"10.20344/amp.22498","DOIUrl":"10.20344/amp.22498","url":null,"abstract":"","PeriodicalId":7059,"journal":{"name":"Acta medica portuguesa","volume":" ","pages":"197-198"},"PeriodicalIF":0.8,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143405128","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
Attention Deficit/Hyperactivity Disorder in Adults: Position of Portuguese Experts on Diagnosis and Treatment.
IF 0.8 4区 医学
Acta medica portuguesa Pub Date : 2025-03-03 DOI: 10.20344/amp.22149
Nuno Madeira, Gustavo França, Gustavo Jesus, João M Fernandes, Susana S Almeida, Carlos N Filipe
{"title":"Attention Deficit/Hyperactivity Disorder in Adults: Position of Portuguese Experts on Diagnosis and Treatment.","authors":"Nuno Madeira, Gustavo França, Gustavo Jesus, João M Fernandes, Susana S Almeida, Carlos N Filipe","doi":"10.20344/amp.22149","DOIUrl":"https://doi.org/10.20344/amp.22149","url":null,"abstract":"<p><p>Attention deficit/hyperactivity disorder (ADHD) is a neurodevelopmental disorder that often persists into adulthood, affecting approximately 1.5% - 3% of the adult population in Portugal. Untreated ADHD in adults is associated with increased risks of substance abuse, criminality, poor academic and professional performance. Less than 20% of adults with ADHD are properly diagnosed and treated due to overlapping symptoms with other psychopathological comorbidities, lack of awareness, and prejudice surrounding this disorder. This position paper results from expert meetings involving six Portuguese experts in managing adult ADHD. It aims to guide diagnostic and treatment strategies, as well as address the main barriers and limitations in managing these patients within the Portuguese context, specifically regarding diagnosis and treatment. Furthermore, it seeks to clarify and demystify associated misconceptions, increase medical awareness, and promote discussion for the development of guidelines to improve the diagnosis, treatment, and quality of life of adults with ADHD in Portugal.</p>","PeriodicalId":7059,"journal":{"name":"Acta medica portuguesa","volume":"38 3","pages":"187-196"},"PeriodicalIF":0.8,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143603290","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
Cutaneous Metastasis in Advanced Gastric Cancer.
IF 0.8 4区 医学
Acta medica portuguesa Pub Date : 2025-03-03 Epub Date: 2025-01-30 DOI: 10.20344/amp.22555
André Silva, Nuno Monteiro, Estanislau Mateia, Isa Santos, Margarida Correia
{"title":"Cutaneous Metastasis in Advanced Gastric Cancer.","authors":"André Silva, Nuno Monteiro, Estanislau Mateia, Isa Santos, Margarida Correia","doi":"10.20344/amp.22555","DOIUrl":"10.20344/amp.22555","url":null,"abstract":"","PeriodicalId":7059,"journal":{"name":"Acta medica portuguesa","volume":" ","pages":"202-203"},"PeriodicalIF":0.8,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143063124","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
Three Scales of Mental Health-Related Stigma: Additional Evidence on its Psychometric Properties in the Portuguese Population.
IF 0.8 4区 医学
Acta medica portuguesa Pub Date : 2025-03-03 DOI: 10.20344/amp.22377
Beatriz Lourenço, Ana Mina, Maria Moreno, Pedro Mateus, Pedro Aguiar, Teresa Maia, Ana Rita Goes
{"title":"Three Scales of Mental Health-Related Stigma: Additional Evidence on its Psychometric Properties in the Portuguese Population.","authors":"Beatriz Lourenço, Ana Mina, Maria Moreno, Pedro Mateus, Pedro Aguiar, Teresa Maia, Ana Rita Goes","doi":"10.20344/amp.22377","DOIUrl":"https://doi.org/10.20344/amp.22377","url":null,"abstract":"<p><strong>Introduction: </strong>The aim of this study was to provide additional evidence on the psychometric properties in the Portuguese population of three stigma scales: Mental Health Knowledge Schedule (MAKS), Scaling Community Attitudes Toward the Mentally Ill 12 (CAMI-12), and Reported and Intended Behaviour Scale (RIBS).</p><p><strong>Methods: </strong>A total of 3556 participants were recruited and completed the three scales online. The study includes confirmatory factor analysis, internal consistency analysis, test-retest reliability, convergent validity, and known-groups validity tests.</p><p><strong>Results: </strong>The results suggest that the European Portuguese RIBS version appears to be a valid measure of stigma in the Portuguese population, as well as the CAMI-12 \"Prejudice and Exclusion\" subscale and a modified version of MAKS. The results corroborate the existing evidence of a positive correlation between mental health-related stigma and low educational status, as well as reduced contact with someone with mental illness.</p><p><strong>Conclusion: </strong>The findings of this study contribute with additional evidence on the validity and reliability of the proposed European Portuguese versions of these three scales.</p>","PeriodicalId":7059,"journal":{"name":"Acta medica portuguesa","volume":"38 3","pages":"160-169"},"PeriodicalIF":0.8,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143603332","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
Penile Skin as a Rare Location of Melanoma in the Balkan Region: A Case Report. 巴尔干地区罕见的黑色素瘤发病部位--阴茎皮肤：病例报告。
IF 0.8 4区 医学
Acta medica portuguesa Pub Date : 2025-02-28 DOI: 10.20344/amp.22254
Jasna Gacic, Aleksandar Lazarov, Marijana Lazarov Bandic, Jadran Bandic, Srdjan Nikolovski, Marko Nikolic
{"title":"Penile Skin as a Rare Location of Melanoma in the Balkan Region: A Case Report.","authors":"Jasna Gacic, Aleksandar Lazarov, Marijana Lazarov Bandic, Jadran Bandic, Srdjan Nikolovski, Marko Nikolic","doi":"10.20344/amp.22254","DOIUrl":"https://doi.org/10.20344/amp.22254","url":null,"abstract":"<p><p>Skin melanoma is very rarely found in the genital region. Additionally, out of all penile skin malignancies, melanoma is one of the rarest, with no cases reported before in the Balkan region. A 68-year-old male presented with atypical and irregular pigmented skin lesions on his left flank and penile shaft. After dermoscopy and radiological work-up, both lesions were completely excised, with pathological examination revealing a high-grade dysplastic nevus with nodular melanoma in the penile location. Wide re-excision was performed one month later, followed by skin reconstruction with a rotation cutaneous flap. No postoperative complications, long-term recurrence signs, nor local or distant metastases were observed. As a very rare case of this kind of condition in the Balkan region and globally, this is the first case of penile skin melanoma described in Serbia, additionally emphasizing the importance of thorough systematic clinical examination and conducting organ-preserving surgery.</p>","PeriodicalId":7059,"journal":{"name":"Acta medica portuguesa","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143522419","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
PRIMARY-HF: Heart Failure Screening in Primary Care using Point-of-Care.
IF 0.8 4区 医学
Acta medica portuguesa Pub Date : 2025-02-24 DOI: 10.20344/amp.22463
Jonathan Dos Santos, João Pedro Nobre, João Pedro Ferreira, Maria Inês M Marques, Miguel Henriques, Nuno Cardim, Tiago Villanueva, Alexandra Gonçalves
{"title":"PRIMARY-HF: Heart Failure Screening in Primary Care using Point-of-Care.","authors":"Jonathan Dos Santos, João Pedro Nobre, João Pedro Ferreira, Maria Inês M Marques, Miguel Henriques, Nuno Cardim, Tiago Villanueva, Alexandra Gonçalves","doi":"10.20344/amp.22463","DOIUrl":"https://doi.org/10.20344/amp.22463","url":null,"abstract":"<p><strong>Introduction: </strong>Heart failure is a major health challenge with high morbidity and socioeconomic burden, especially when diagnosis is delayed. In primary care, HF detection can be challenging due to symptoms overlapping with other conditions, limited access to diagnostic tools, and resource constraints. This study explores the use of natriuretic peptides (NT-proBNP) and point-of-care ultrasound (POCUS) with artificial intelligence integration as tools to improve HF screening and management in primary care. This study aims to determine whether NT-proBNP testing alone or combined with cardiac POCUS improves heart failure diagnosis and management in primary care settings, and to evaluate the cost-effectiveness of this approach.</p><p><strong>Methods: </strong>This randomized controlled trial will involve patients aged 50 or older with suspected HF or cardiovascular risk factors, recruited across four primary care centers. Participants will be randomly assigned to one of four groups: standard of care (SoC), SoC with NT-proBNP, SoC with NT-proBNP and POCUS, and SoC with POCUS. Primary outcomes include new HF diagnosis, initiation of guideline-directed medical therapy, and improvement in health-related quality of life. Secondary outcomes include cost-effectiveness and the quality assessment of POCUS performed by trained primary care physicians. The integration of NT-proBNP and POCUS in primary care may enhance early heart failure diagnosis, optimize therapy, improve patient quality of life, and reduce healthcare costs associated with heart failure misdiagnosis and delayed treatment. This study could support the broader adoption of accessible diagnostic tools to improve heart failure management in primary care.</p>","PeriodicalId":7059,"journal":{"name":"Acta medica portuguesa","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143490347","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
How do Children Play Nowadays? Habits and Strategies for Promoting Healthy Development.
IF 0.8 4区 医学
Acta medica portuguesa Pub Date : 2025-02-03 DOI: 10.20344/amp.22577
Maria Francisca Santos, Ana C Pinto, Marta Barros, Maria Adriana Rangel
{"title":"How do Children Play Nowadays? Habits and Strategies for Promoting Healthy Development.","authors":"Maria Francisca Santos, Ana C Pinto, Marta Barros, Maria Adriana Rangel","doi":"10.20344/amp.22577","DOIUrl":"https://doi.org/10.20344/amp.22577","url":null,"abstract":"","PeriodicalId":7059,"journal":{"name":"Acta medica portuguesa","volume":"38 2","pages":"133-134"},"PeriodicalIF":0.8,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143397733","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
Warthin's Tumor: A Rare Case Report of a Bilateral Multifocal Parotid Tumor Associated with an Ectopic Tumor. 沃辛氏肿瘤：一例罕见的双侧多灶性腮腺肿瘤合并异位肿瘤。
IF 0.8 4区 医学
Acta medica portuguesa Pub Date : 2025-02-03 Epub Date: 2024-12-06 DOI: 10.20344/amp.22147
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}
引用次数: 0
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