Acta medica portuguesa最新文献

{"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}

{"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}

{"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}

{"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}

{"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}

{"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}

{"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}

{"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}

{"title":"[Determinants of Adolescent Pregnancy in the Municipality of Malanje, Angola: A Case-Control Study].","authors":"Kalonesse Aragão, Euclides Sacomboio, Cristina Teixeira, Joaquim Van-Dúnem, Paulo Campos","doi":"10.20344/amp.22407","DOIUrl":"https://doi.org/10.20344/amp.22407","url":null,"abstract":"<p><strong>Introduction: </strong>Adolescent pregnancy is a global public health problem, with some of the highest rates observed in Sub-Saharan Africa. This phenomenon contributes to maternal and neonatal mortality and may result in diverse economic and psychological consequences. Knowledge of its determinants can help decision-makers to design local policies of sexual and reproductive health. Therefore, the aim of this study was to analyze the determinant factors of adolescent pregnancy in the municipality of Malanje, Angola.</p><p><strong>Methods: </strong>A case-control study was conducted from August to October, 2022. A sample of 411 adolescent women (137 pregnant and 274 non-pregnant) was compared in terms of socio-demographic, behavioral, family, and extra-family factors. Descriptive statistics, binary univariate and multivariate logistic analysis were applied, with p-values ≤ 0.05 indicating statistical significance. Adjusted odds ratio (AOR) and the respective 95% confidence interval (95% CI) were obtained.</p><p><strong>Results: </strong>The multivariable analysis showed that a higher risk of adolescent pregnancy was associated with living in a de facto union or being married (AOR = 10.37; 95% CI = 1.05 - 102.83), having 0 - 4 (AOR = 7.40; 95% CI = 1.25 - 43.77) or 5 - 8 years of schooling (AOR = 5.21; 95% CI = 1.25 - 21.77), and a lower risk was related with having a family history of adolescent pregnancy (AOR = 0.30; 95% CI = 0.11 - 0.80) for women aged 15 - 17. For those aged 18 - 19, a higher risk of pregnancy was associated with early sex initiation (AOR = 3.75; 95% CI = 1.05 - 13.43), having multiple sexual partners (AOR = 3.02; 95% CI = 1.23 - 7.44), while a lower risk was related with peer pressure (AOR = 0.35; 95% CI = 0.15 - 0.82). In both groups, the likelihood of pregnancy was significantly increased for irregular or non-use of contraceptive methods.</p><p><strong>Conclusion: </strong>In Malanje, adolescent pregnancy is a multifactorial phenomenon, and preventive strategies must consider the adolescents' age. Among adolescents aged 15 - 17, early marriages, should be reduced, through the promotion of education and the creation of specific laws. For older adolescents, preventive strategies should be focused on avoiding risky behaviors such as early initiation of sexual activity and multiple sexual partners. Comprehensive sexual education, including knowledge about contraceptive methods should be promoted.</p>","PeriodicalId":7059,"journal":{"name":"Acta medica portuguesa","volume":"38 2","pages":"88-98"},"PeriodicalIF":0.8,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143397725","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 Hidden Cost of Medical Training: Resident Burnout].","authors":"Ana Pedro Costa, Ana Matos Pires","doi":"10.20344/amp.22543","DOIUrl":"https://doi.org/10.20344/amp.22543","url":null,"abstract":"","PeriodicalId":7059,"journal":{"name":"Acta medica portuguesa","volume":"38 2","pages":"129"},"PeriodicalIF":0.8,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143397727","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}