Acta medica portuguesa最新文献

{"title":"The Perspective of Psychiatry and Child and Adolescent Psychiatry Residents About Psychotherapy Training in Portugal.","authors":"Rui M Salgado, Orlando Von Doellinger","doi":"10.20344/amp.23076","DOIUrl":"https://doi.org/10.20344/amp.23076","url":null,"abstract":"<p><strong>Introduction: </strong>Psychotherapy is an effective treatment for various mental disorders. Most recommendations advocate training in psychotherapy for psychiatry and child and adolescent psychiatry residents. However, incorporating psychotherapy training into the curricula of psychiatric residency programs has proven difficult. In Portugal, competence in psychotherapy is not mandatory to become a psychiatrist or a child and adolescent psychiatrist. Our study aims to describe the perspectives of psychiatry and child and adolescent psychiatry residents on psychotherapy training in Portugal.</p><p><strong>Methods: </strong>The authors developed a voluntary, anonymous, online self-reported questionnaire to be applied to psychiatry and child and adolescent psychiatry residents. Data was collected during 2023.</p><p><strong>Results: </strong>The response rate was 29.9%. The main results were that most Portuguese psychiatry and child and adolescent psychiatry trainees stated that their institution did not provide psychotherapy training (95.2%) and were dissatisfied with the psychotherapy training provided by their residency centers (96.8%). All residents agreed that psychotherapy training involves a significant financial investment, and almost all (96.8%) believed it involved a substantial investment in terms of time in the long term. Likewise, most trainees (94.4%) considered psychotherapy training should be included within the residency work schedule. Crucially, psychiatry and child and adolescent psychiatry residents were interested in psychotherapy training (93.6%), and most regarded psychotherapy as a mandatory competence of the residency training program (85.7%). More than two-thirds (70.6%) of residents considered initiating or continuing psychotherapy training after residency. Regarding the modalities that should be included in the residency program, residents pointed out cognitive-behavioral therapy, family therapy, interpersonal psychotherapy, psychodynamic psychotherapy, and support psychotherapy. About 40% of respondents mentioned they were in personal psychotherapy during the residency.</p><p><strong>Conclusion: </strong>Modifications in residency curricula should seriously be considered so that future psychiatrists can be qualified to provide effective psychotherapy treatment. The authors believe they provided relevant data pooled from future psychiatrists and child and adolescent psychiatrists which can be useful to help define training in a perceived essential competence.</p>","PeriodicalId":7059,"journal":{"name":"Acta medica portuguesa","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144493368","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":"Kaposi's Sarcoma: Demographic and Clinical Features, Histopathology, Treatment, and Outcomes in a 10-Year Lisbon Hospital Study.","authors":"Inês Pereira Amaral, Ivânia Soares, Madalena Pupo Correia, Inês Tribolet Abreu, Filipe Monteiro, Joana Antunes, Nuno Manso, Pedro De Vasconcelos, Luís Soares de Almeida, Paulo Filipe","doi":"10.20344/amp.17991","DOIUrl":"10.20344/amp.17991","url":null,"abstract":"<p><strong>Introduction: </strong>Kaposi's sarcoma (KS) is a rare angioproliferative neoplasm associated with human herpesvirus 8 infection, presenting as four subtypes: classic, endemic, iatrogenic, and epidemic. While well documented globally, comprehensive data on KS in Portugal remain scarce. The aim of this retrospective study was to provide a detailed analysis of KS cases diagnosed at Hospital Santa Maria, in Lisbon, between 2014 and 2023.</p><p><strong>Methods: </strong>A total of 113 histopathologically confirmed KS cases were included, focusing on demographic, clinical, and histopathological characteristics, as well as treatment strategies and outcomes.</p><p><strong>Results: </strong>The mean age at diagnosis was 59.4 years, with a male-to-female ratio of 4.4:1. Most patients (50.4%) were of African origin. Epidemic KS (45.1%) was the most prevalent subtype. Lesions mainly affected the lower limbs (47.8%), and disseminated, mucosal, and extracutaneous involvement were more common in HIV-positive patients. Tumor-stage lesions were frequent (59.3%). Single-modality treatment was used in 53.1% of cases, while 40.7% required combined therapies. Relapse rates were highest in endemic (39.1%) and iatrogenic KS (28.6%) subtypes. The disease-specific mortality rate was 8%.</p><p><strong>Conclusion: </strong>Our findings suggest that KS remains a significant concern, particularly in immunosuppressed patients. Early diagnosis and multidisciplinary management are essential to improve outcomes. However, limitations such as potential biases from its retrospective design and the single-center scope should be considered.</p>","PeriodicalId":7059,"journal":{"name":"Acta medica portuguesa","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144332301","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":"Gender Incongruence in Adolescents: Experience of a Tertiary Care Center in Portugal.","authors":"Joana Glória, Joana Vieira de Melo, Ana Raquel Henriques, Carla Pereira, Maria de Lurdes Sampaio","doi":"10.20344/amp.22705","DOIUrl":"https://doi.org/10.20344/amp.22705","url":null,"abstract":"","PeriodicalId":7059,"journal":{"name":"Acta medica portuguesa","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144281954","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":"Value-Based Geriatric Care: Good News from Portugal.","authors":"Mariana Alves, Lia Marques, Lucimere Bohn, Fernando Osório, Gonçalo Sarmento, Catarina Bekerman, Adelaide Belo, Ana Farinha, Ana Viegas, Rui Buzaco, Sofia Duque","doi":"10.20344/amp.22655","DOIUrl":"https://doi.org/10.20344/amp.22655","url":null,"abstract":"","PeriodicalId":7059,"journal":{"name":"Acta medica portuguesa","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144273854","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":"Commentary on \"Anxiety and Generalized Anxiety Disorder in Elite Athletes\".","authors":"Marcelo Andrade Silami, Elisa Melo Ferreira","doi":"10.20344/amp.23189","DOIUrl":"https://doi.org/10.20344/amp.23189","url":null,"abstract":"","PeriodicalId":7059,"journal":{"name":"Acta medica portuguesa","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144245601","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":"Purpura Fulminans and Rickettsia Conorii Israeli Tick Typhus Infection.","authors":"Filipe Monteiro, Inês Tribolet de Abreu, Pedro De Vasconcelos, Miguel Alpalhão, Paulo Filipe","doi":"10.20344/amp.23068","DOIUrl":"https://doi.org/10.20344/amp.23068","url":null,"abstract":"","PeriodicalId":7059,"journal":{"name":"Acta medica portuguesa","volume":"38 6-7","pages":"427-428"},"PeriodicalIF":0.8,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144525964","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":"Spinocerebellar Ataxia Type 27B (SCA27B): A Hereditary Ataxia in Portugal.","authors":"Vítor Mendes Ferreira, Marta Magriço, Bruna Meira, Raquel Barbosa","doi":"10.20344/amp.22232","DOIUrl":"10.20344/amp.22232","url":null,"abstract":"<p><p>Spinocerebellar ataxia type 27B (SCA27B) is a recently discovered hereditary disease caused by (GAA)≥250 repeat expansion in the fibroblast growth factor 14 (FGF14) gene, and multiple studies have recognized it as one of the most common causes of autosomal dominant ataxia in the European population. We present the case of a 62-year-old Portuguese patient who developed a slowly progressive gait impairment associated with wide-base ataxic gait, dysarthria, left upper limb dysmetria, and dysdiadochokinesia. This pure cerebellar phenotype had an episodic worsening induced by intense physical activity and alcohol intake. The patient had an older brother with a late-onset cerebellar ataxia of unknown cause. Genetic testing detected a heterozygotic intronic FGF14 repeat expansion with complete penetrance (> 360 repeats), confirming the diagnosis of SCA27B. To our knowledge, we present the first reported case of SCA27B in the Portuguese population.</p>","PeriodicalId":7059,"journal":{"name":"Acta medica portuguesa","volume":" ","pages":"408-411"},"PeriodicalIF":0.8,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142405887","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":"[Correction to the Article \"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.23337","DOIUrl":"https://doi.org/10.20344/amp.23337","url":null,"abstract":"","PeriodicalId":7059,"journal":{"name":"Acta medica portuguesa","volume":"38 6-7","pages":"433"},"PeriodicalIF":0.8,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144525955","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":"Artificial Intelligence in Healthcare Literacy: Promise, Gaps, and Guardrails.","authors":"Diogo Medina","doi":"10.20344/amp.23286","DOIUrl":"https://doi.org/10.20344/amp.23286","url":null,"abstract":"","PeriodicalId":7059,"journal":{"name":"Acta medica portuguesa","volume":"38 6-7","pages":"363-365"},"PeriodicalIF":0.8,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144525959","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":"Nonfatal Strongyloides Stercoralis Hyperinfection Secondary to Pemphigus Vulgaris Immunosuppressant Treatment: Case Report and Brief Literature Review.","authors":"Inês Tribolet de Abreu, Pedro De Vasconcelos, Rafael Moiteiro da Cruz, Luís Soares-Almeida, Paulo Filipe","doi":"10.20344/amp.22948","DOIUrl":"https://doi.org/10.20344/amp.22948","url":null,"abstract":"","PeriodicalId":7059,"journal":{"name":"Acta medica portuguesa","volume":"38 6-7","pages":"431-432"},"PeriodicalIF":0.8,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144525962","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}