Acta medica portuguesa最新文献

{"title":"Pyogenic Granuloma of the Upper Eyelid during Pregnancy.","authors":"Mafalda Florenciano, Maria Pulido Valente","doi":"10.20344/amp.23432","DOIUrl":"https://doi.org/10.20344/amp.23432","url":null,"abstract":"","PeriodicalId":7059,"journal":{"name":"Acta medica portuguesa","volume":"38 10","pages":"676-677"},"PeriodicalIF":1.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145228481","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":"Dorsal Hand Involvement in Porphyria Cutanea Tarda.","authors":"Gilberto Pires da Rosa, Manuel Bernardo Costa, Alberto Mota","doi":"10.20344/amp.23220","DOIUrl":"10.20344/amp.23220","url":null,"abstract":"","PeriodicalId":7059,"journal":{"name":"Acta medica portuguesa","volume":" ","pages":"652-653"},"PeriodicalIF":1.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144938521","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":"[Giving Voice to Parents in Neonatal Intensive Care].","authors":"Maria Teresa Dionísio, Ana Ferraz, Alexandra Dinis","doi":"10.20344/amp.23780","DOIUrl":"https://doi.org/10.20344/amp.23780","url":null,"abstract":"","PeriodicalId":7059,"journal":{"name":"Acta medica portuguesa","volume":"38 10","pages":"603-604"},"PeriodicalIF":1.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145228485","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":"Intentional Use of Known Allergens for Self-Harm Behavior.","authors":"André Justino Alberto, Ana Raquel Pinto, João Guerra, Eva Rebelo Gomes","doi":"10.20344/amp.23180","DOIUrl":"https://doi.org/10.20344/amp.23180","url":null,"abstract":"","PeriodicalId":7059,"journal":{"name":"Acta medica portuguesa","volume":"38 10","pages":"680-681"},"PeriodicalIF":1.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145228507","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":"The Eyes Never Lie: A Rare Cutaneous Manifestation of Hematological Malignancy.","authors":"Gustavo Almeida-Silva, Lanyu Sun, Joana Antunes","doi":"10.20344/amp.23335","DOIUrl":"https://doi.org/10.20344/amp.23335","url":null,"abstract":"","PeriodicalId":7059,"journal":{"name":"Acta medica portuguesa","volume":"38 10","pages":"678-679"},"PeriodicalIF":1.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145228554","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":"Development and Validation of the \"Physical Functional Impact Index on Chronic Pain\" (PFIICP): A Formative Model Approach.","authors":"Filipe Antunes, Nuno Sousa, Pedro Teixeira","doi":"10.20344/amp.23516","DOIUrl":"https://doi.org/10.20344/amp.23516","url":null,"abstract":"<p><strong>Introduction: </strong>The development and validation of reliable and valid instruments to assess chronic pain and its impact on daily functioning are crucial in both clinical and research settings. The aim of this study was to develop and validate the scale 'Physical Function Impact Index on Chronic Pain' - PFIICP, a novel 12-item questionnaire designed to evaluate the physical functional impact of chronic pain.</p><p><strong>Methods: </strong>A formative measurement model was used. In comparison with other established scales that have emotional, cognitive and social considerations, PFIICP is designed to be more objective, as it focuses only on the relationship between physical performance and the subject's pain.</p><p><strong>Results: </strong>Data were collected from n = 285 patients at baseline and n = 58 patients at follow-up (3 - 6 months later). Spearman's rho correlations between the 12 items ranged from 0.153 to 0.793, all statistically significant (p < 0.05), indicating that each item contributes uniquely to the construct. The intraclass correlation coefficient (ICC) for test-retest reliability was 0.788 (95% CI: 0.731 - 0.833), demonstrating good stability over time. Convergent validity was supported by strong Pearson correlations with established measures, including the Brief Pain Inventory (BPI; r = 0.739, p < 0.05) and the Pain Disability Index (PDI; r = 0.739, p < 0.05).</p><p><strong>Conclusion: </strong>These findings suggest that the PFIICP is a robust tool for assessing the functional impact of chronic pain through a formative model approach.</p>","PeriodicalId":7059,"journal":{"name":"Acta medica portuguesa","volume":"38 10","pages":"629-634"},"PeriodicalIF":1.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145228493","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":"[Letter to the Editor Concerning the Article \"What Skills Should be Acquired in Pre-School Education?\"]","authors":"Caroline Maçaira de Lemos","doi":"10.20344/amp.23083","DOIUrl":"https://doi.org/10.20344/amp.23083","url":null,"abstract":"","PeriodicalId":7059,"journal":{"name":"Acta medica portuguesa","volume":"38 10","pages":"682"},"PeriodicalIF":1.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145228474","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":"[Parvovirus B19 in Adolescents and Adults: A Case Series of Clinical Mimicry].","authors":"Inês Tribolet de Abreu, Ivânia Soares, Filipe Silva Monteiro, Gustavo Almeida-Silva, Paulo Filipe","doi":"10.20344/amp.23424","DOIUrl":"10.20344/amp.23424","url":null,"abstract":"<p><p>Parvovirus B19 (PvB19), the etiological agent of erythema infectiosum, can manifest in diverse clinical forms. This study underscores the virus's capacity to mimic other diseases, as illustrated by the diagnostic challenges encountered across five cases. The first three cases correspond to an overlap of papulo-purpuric gloves and socks syndrome with petechial exanthema with periflexural and periorificial distribution, the first initially diagnosed as a drug eruption, the second as scarlet fever, and the third as autoimmune thrombocytopenia. The remaining two cases correspond to leukocytoclastic vasculitis that, only after thorough investigation, were associated with Parvovirus B19 infection. This case series emphasizes the need for healthcare professionals to be alert to this important imitator and be mindful of this differential diagnosis when approaching exanthemas and vasculitis.</p>","PeriodicalId":7059,"journal":{"name":"Acta medica portuguesa","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145184557","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":"Health Professionals' Perspectives on the Referral Process in Mild Cognitive Impairment: Facilitators, Barriers, and Solutions.","authors":"Magda Fonseca, Natália Araújo, Luís Ruano, Mariana Amorim","doi":"10.20344/amp.23241","DOIUrl":"https://doi.org/10.20344/amp.23241","url":null,"abstract":"<p><strong>Introduction: </strong>Early detection and referral of patients with mild cognitive impairment or early-stage dementia can contribute to improved outcomes for both patients and caregivers. Few studies explore the quality and underlying context of referral decision-making by Primary Care Clinicians. This study aimed to explore the perspectives of healthcare professionals from Northern Portugal regarding the facilitators, barriers, and solutions within the referral process to the Neurology service for patients suspected of having mild cognitive impairment.</p><p><strong>Methods: </strong>Two face-to-face focus groups were conducted with 11 primary and secondary care professionals from Northern Portugal, with experience in the field of dementia, selected and recruited through an email invitation. The discussion focused on the benefits of referrals, the strengths and challenges faced at different levels of care, and possible improvement strategies. Data were analyzed using inductive and deductive thematic analysis, with triangulation employed to ensure research rigor.</p><p><strong>Results: </strong>The study identified facilitators and barriers at the levels of patients and caregivers, healthcare professionals, and the healthcare system. This process is influenced by interconnected factors, including the sociodemographic and literacy context of patients and caregivers, clinical practice regarding the application of referral criteria, and the organizational and research context of the local healthcare system concerning dementia. Solutions were proposed to overcome the highlighted barriers, whose implementation is supported by many of the facilitators described.</p><p><strong>Conclusion: </strong>A deeper understanding of the interplay between sociodemographic, clinical, and organizational factors can lead to more objective and effective referral decisions, ultimately supporting timely diagnosis and enhancing quality of life. The findings of this study are valuable for optimizing local referral processes and may be useful in similar healthcare contexts. It is recommended that future research include the perspectives of patients and caregivers to enhance the approach to the national dementia strategy.</p>","PeriodicalId":7059,"journal":{"name":"Acta medica portuguesa","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145172102","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":"[Practical Recommendations from Clinical Experts for Optimizing Screening, Diagnosis, and Treatment of Iron Deficiency during Pregnancy in Portugal].","authors":"João Mairos, Nina Monteiro, Nuno Clode, Tiago Maricoto, Rúben Catarino, Bruno Fidaldo Dias","doi":"10.20344/amp.23610","DOIUrl":"https://doi.org/10.20344/amp.23610","url":null,"abstract":"<p><p>Iron deficiency is a clinical condition characterized by the depletion of iron stores, potentially affecting up to 95% of pregnant women in Portugal. If not identified and treated early, this condition can progress from fatigue, tiredness and reduced work productivity to anemia, increasing the risk of maternal-fetal complications. Therefore, early detection of iron deficiency during pregnancy is crucial for promptly addressing iron deficits and preventing complications during childbirth and the postpartum period. Scientific evidence and international guidelines recognize serum ferritin as the most reliable marker for detecting iron deficiency. However, in Portugal, its measurement is not currently standardized in the pregnancy monitoring guidelines for any trimester. This lack of formal recommendation leads to a heterogeneous clinical approach, contributing to the underdiagnosis and undertreatment of iron deficiency, with a significant negative impact on maternal and fetal health. To address this gap, the Portuguese Association of Family Medicine, the Portuguese Society of Obstetrics and Maternal-Fetal Medicine, and the Anemia Working Group Portugal established a working group of four clinical experts. This group convened to develop a set of practical guidelines aimed at standardizing serum ferritin measurements across all three trimesters of pregnancy in the national healthcare system. Through these recommendations, experts aim to raise awareness among key stakeholders involved in pregnancy monitoring in Portugal and to urge national health authorities to incorporate this indicator into the digital IT systems used for pregnancy surveillance in primary healthcare. The aim of this initiative is to ensure a more effective approach to gestational iron deficiency and reduce its burden on maternal and fetal health.</p>","PeriodicalId":7059,"journal":{"name":"Acta medica portuguesa","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145147402","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}