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[Cutaneous Metastases of Renal Cell Carcinoma: Report of Two Clinical Cases]. [肾细胞癌的皮肤转移：两个临床病例的报告]。
IF 0.8 4区 医学
Acta medica portuguesa Pub Date : 2025-02-03 Epub Date: 2024-12-13 DOI: 10.20344/amp.22440
Mélissa M de Carvalho, Margarida Moura Valejo Coelho, Rui Bajanca
{"title":"[Cutaneous Metastases of Renal Cell Carcinoma: Report of Two Clinical Cases].","authors":"Mélissa M de Carvalho, Margarida Moura Valejo Coelho, Rui Bajanca","doi":"10.20344/amp.22440","DOIUrl":"10.20344/amp.22440","url":null,"abstract":"","PeriodicalId":7059,"journal":{"name":"Acta medica portuguesa","volume":" ","pages":"125-126"},"PeriodicalIF":0.8,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142821760","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
[Preserving the Autonomy in Intensive Care Units: Patients Voting for General Elections in Portugal]. [保护重症监护病房的自主权：葡萄牙大选的患者投票]。
IF 0.8 4区 医学
Acta medica portuguesa Pub Date : 2025-02-03 Epub Date: 2024-12-18 DOI: 10.20344/amp.22168
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}
引用次数: 0
Aquagenic Wrinkling of the Palms in a Patient with Cystic Fibrosis.
IF 0.8 4区 医学
Acta medica portuguesa Pub Date : 2025-02-03 DOI: 10.20344/amp.21948
Inês Aparício Martins, Miguel Santos-Coelho, Cândida Fernandes
{"title":"Aquagenic Wrinkling of the Palms in a Patient with Cystic Fibrosis.","authors":"Inês Aparício Martins, Miguel Santos-Coelho, Cândida Fernandes","doi":"10.20344/amp.21948","DOIUrl":"https://doi.org/10.20344/amp.21948","url":null,"abstract":"","PeriodicalId":7059,"journal":{"name":"Acta medica portuguesa","volume":"38 2","pages":"117-118"},"PeriodicalIF":0.8,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143397730","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 Concerning "Childhood Obesity: The Reality of a Health Center"].
IF 0.8 4区 医学
Acta medica portuguesa Pub Date : 2025-02-03 DOI: 10.20344/amp.22569
Beatriz Morais Pinto, Cristiana Reis, Elsa Neves
{"title":"[Letter to the Editor Concerning \"Childhood Obesity: The Reality of a Health Center\"].","authors":"Beatriz Morais Pinto, Cristiana Reis, Elsa Neves","doi":"10.20344/amp.22569","DOIUrl":"https://doi.org/10.20344/amp.22569","url":null,"abstract":"","PeriodicalId":7059,"journal":{"name":"Acta medica portuguesa","volume":"38 2","pages":"130"},"PeriodicalIF":0.8,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143397726","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
[What Skills Should Be Acquired in Pre-School Education?]
IF 0.8 4区 医学
Acta medica portuguesa Pub Date : 2025-02-03 Epub Date: 2025-01-06 DOI: 10.20344/amp.22114
Maria Branca Cunha, Joana Queirós, Inês Vaz Matos, Diana Gonzaga, Ana Carvalho Vaz, Catarina Prior, Sara Soares
{"title":"[What Skills Should Be Acquired in Pre-School Education?]","authors":"Maria Branca Cunha, Joana Queirós, Inês Vaz Matos, Diana Gonzaga, Ana Carvalho Vaz, Catarina Prior, Sara Soares","doi":"10.20344/amp.22114","DOIUrl":"https://doi.org/10.20344/amp.22114","url":null,"abstract":"","PeriodicalId":7059,"journal":{"name":"Acta medica portuguesa","volume":"38 2","pages":"71-74"},"PeriodicalIF":0.8,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143370227","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
[Equity in Access to Health Care in Portugal: What Do We Know?] [公平获得医疗保健在葡萄牙：我们知道什么？］
IF 0.8 4区 医学
Acta medica portuguesa Pub Date : 2025-02-03 Epub Date: 2024-12-09 DOI: 10.20344/amp.21668
Joana Fernandes, Cláudia Furtado, João Pereira
{"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}
引用次数: 0
Advancing Towards a Targeted Surveillance Strategy in Traumatic Brain Injury.
IF 0.8 4区 医学
Acta medica portuguesa Pub Date : 2025-02-03 DOI: 10.20344/amp.22775
Ví Tor Moura Gonçalves
{"title":"Advancing Towards a Targeted Surveillance Strategy in Traumatic Brain Injury.","authors":"Ví Tor Moura Gonçalves","doi":"10.20344/amp.22775","DOIUrl":"https://doi.org/10.20344/amp.22775","url":null,"abstract":"","PeriodicalId":7059,"journal":{"name":"Acta medica portuguesa","volume":"38 2","pages":"68-70"},"PeriodicalIF":0.8,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143397729","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
Double Aortic Arch: The Importance of Computed Tomography Diagnosis.
IF 0.8 4区 医学
Acta medica portuguesa Pub Date : 2025-02-03 DOI: 10.20344/amp.22376
Maria Júlia Nicolau Vieira, Clara Rosa Ventura, Júlia Mamprim de Arruda Monteiro, Thaís Nogueira Dantas Gastaldi, Márcio Luí S Duarte
{"title":"Double Aortic Arch: The Importance of Computed Tomography Diagnosis.","authors":"Maria Júlia Nicolau Vieira, Clara Rosa Ventura, Júlia Mamprim de Arruda Monteiro, Thaís Nogueira Dantas Gastaldi, Márcio Luí S Duarte","doi":"10.20344/amp.22376","DOIUrl":"https://doi.org/10.20344/amp.22376","url":null,"abstract":"","PeriodicalId":7059,"journal":{"name":"Acta medica portuguesa","volume":"38 2","pages":"131-132"},"PeriodicalIF":0.8,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143397732","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
Urinary Tract Infections in Children: Changing Trends in Etiology and Local Resistance Patterns over a Three-Year Period.
IF 0.8 4区 医学
Acta medica portuguesa Pub Date : 2025-02-03 DOI: 10.20344/amp.21630
Patrícia Sousa, Lucinda Delgado, Susana Correia-de-Oliveira, Cecília Pereira, Ângela Dias, Ana Cláudia Tavares
{"title":"Urinary Tract Infections in Children: Changing Trends in Etiology and Local Resistance Patterns over a Three-Year Period.","authors":"Patrícia Sousa, Lucinda Delgado, Susana Correia-de-Oliveira, Cecília Pereira, Ângela Dias, Ana Cláudia Tavares","doi":"10.20344/amp.21630","DOIUrl":"https://doi.org/10.20344/amp.21630","url":null,"abstract":"<p><strong>Introduction: </strong>Urinary tract infections are common in pediatrics. Knowledge of local resistance patterns is crucial to guide empirical antibiotic therapy. We aimed to review the pathogens implicated in urinary tract infections, local resistance patterns, and the impact of switching first-line empirical antibiotic regimens.</p><p><strong>Methods: </strong>We conducted a cross-sectional study including pediatric patients performing urine cultures in a hospital in northern Portugal over two periods: 2019 (group 1) and 2022 (group 2). Between time periods, an internal guideline was implemented recommending cefuroxime as the first-line choice for empirical treatment of urinary tract infections, according to local resistance patterns. Uropathogens, empirical antibiotic choices and resistance patterns were compared among groups.</p><p><strong>Results: </strong>The final sample included 402 cases of urinary tract infections in group 1 and 398 in group 2. Escherichia coli was the most common uropathogen (79.4 - 83.3%), followed by Proteus mirabilis and Klebsiella spp. The most common empirical antibiotic in group 1 was amoxicillin-clavulanate (A-C), as opposed to cefuroxime in group 2 (p < 0.001). The most common resistance was to ampicillin (39.3% - 39.7%). Resistance to A-C slightly decreased (33.1% vs 27.4%, p = 0.079), while resistance to cefuroxime (4.7% vs 3.3%, p = 0.292) and trimethoprim-sulfamethoxazole (TMP-SMX) remained similar (15.2% vs 14.1%, p = 0.659). Resistances to nitrofurantoin (9.0% vs 0.3%, p < 0.001) and fosfomycin (1.7% vs 0.3%, p < 0.036) significantly decreased from group 1 to group 2.</p><p><strong>Conclusion: </strong>E.coli remains the predominant pathogen in pediatric urinary tract infections. Resistance to A-C in our sample was high (33.1%). The switch from A-C to cefuroxime as first-line agent resulted in a decreasing trend in A-C resistance, while cefuroxime resistance remained low and even slightly lower.</p>","PeriodicalId":7059,"journal":{"name":"Acta medica portuguesa","volume":"38 2","pages":"79-87"},"PeriodicalIF":0.8,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143397736","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 Manifestations Related to Glycemic Control.
IF 0.8 4区 医学
Acta medica portuguesa Pub Date : 2025-01-31 DOI: 10.20344/amp.22239
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}
引用次数: 0
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