Acta medica portuguesa最新文献_第5页

Alopecia Neoplastica from Breast Carcinoma: When Hair Loss Hides Something Else. 乳腺癌的肿瘤性脱发：当脱发隐藏了其他东西。

IF 1.2 4区医学

Acta medica portuguesa Pub Date : 2026-09-01 Epub Date: 2026-06-22 DOI: 10.20344/amp.24469

António Magarreiro-Silva, Joana Nogueira, Ângela Roda

引用次数: 0

Postgraduate Education in Artificial Intelligence: A Proposal from the Artificial Intelligence Commission of the Portuguese Medical Association. 人工智能研究生教育：葡萄牙医学协会人工智能委员会的建议。

IF 1.2 4区医学

Acta medica portuguesa Pub Date : 2026-08-28 DOI: 10.20344/amp.25177

João Frutuoso, Ana Rita Maria, Helena Donato, António Vaz Carneiro

{"title":"Postgraduate Education in Artificial Intelligence: A Proposal from the Artificial Intelligence Commission of the Portuguese Medical Association.","authors":"João Frutuoso, Ana Rita Maria, Helena Donato, António Vaz Carneiro","doi":"10.20344/amp.25177","DOIUrl":"https://doi.org/10.20344/amp.25177","url":null,"abstract":"Artificial intelligence (AI) is entering clinical practice through decision-support systems, predictive tools, generative models, and clinical documentation solutions. Since February 2025, the European AI Act has required providers and deployers of AI systems to ensure that staff and other people operating or using such systems on their behalf have an adequate level of AI literacy. This creates a new educational requirement: physicians need to acquire minimum competencies to use, appraise, supervise, and reject AI outputs when appropriate. This state-of-the-art review examined AI competencies relevant to postgraduate medical training, focusing on literature published since 2022. The reviewed literature suggests thematic convergence around six core domains: foundational AI literacy, critical appraisal of AI tools, safe clinical application, ethics/law/governance, patient communication, and health data literacy. Other domains, such as institutional implementation, multidisciplinary collaboration, and AI leadership, appear as intermediate or advanced competencies. We propose a three-tier curricular organization: baseline competencies for all physicians; proficient competencies for physicians involved in local appraisal and implementation of AI systems; and advanced competencies for clinician-scientists, institutional leaders, and professionals with formal responsibilities in AI governance. In the Portuguese context, this structure may support the development of transversal training for residents and specialists, aligned with technological change, European regulatory requirements, and the need to preserve human clinical responsibility. This proposal should be understood as a conceptual basis for multidisciplinary consensus validation.","PeriodicalId":7059,"journal":{"name":"Acta medica portuguesa","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2026-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148838842","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

[Translation, Cultural Adaptation and Validation of the Diabetes Burnout Scale to European Portuguese]. [欧洲葡萄牙语糖尿病倦怠量表的翻译、文化适应和验证]。

IF 1.2 4区医学

Acta medica portuguesa Pub Date : 2026-08-03 DOI: 10.20344/amp.24263

Luís De Magalhães Ribeiro, Luiz Miguel Santiago, Ilda Massano Cardoso

{"title":"[Translation, Cultural Adaptation and Validation of the Diabetes Burnout Scale to European Portuguese].","authors":"Luís De Magalhães Ribeiro, Luiz Miguel Santiago, Ilda Massano Cardoso","doi":"10.20344/amp.24263","DOIUrl":"https://doi.org/10.20344/amp.24263","url":null,"abstract":"Introduction: Diabetes mellitus (DM) is associated with negative psychological conditions, specifically burnout, in cases where there is less glycemic control and longer illness time. The aim of this study was to adapt and validate the Diabetes Burnout Scale [DBS, Escala do Burnout na Diabetes (EBD)] into European Portuguese, as an evaluation measure tailored to the Portuguese context.Methods: The scale was translated, retranslated and adapted. This study resorted to online and in-person collection of a convenience sample of people with DM. Reliability tests and convergent validation tests were performed, using the EQ-5D-5L and Problem Areas in Diabetes Scale 5 (PAID-5) as reference. Factor structure was evaluated using fit and invariance tests. Associations between the total score of the scale and variables like the respondents' most recent glycated hemoglobin (HbA1c) and socioeconomic index were analyzed.Results: A total of 1070 people with DM participated, 50.6% male and 49.3% female, with an average age of 56.0 ± 15.7 years and an average time since diagnosis of 20 ± 12.3 years. A three-factor structure was ascertained with a good fit: exhaustion, detachment and loss of control - invariant by sex and DM type. The internal consistency, as given by Cronbach's Alpha, was 0.885. Spearman's correlation showed the relation between EBD total score and EQ-5D-5L utility index (ρ = -0.382, p < 0.001), PAID-5 total score (ρ = 0.638, p < 0.001), and most recent HbA1c (ρ = 0.295, p < 0.001).Conclusion: The EBD scale was successfully adapted and validated for European Portuguese.","PeriodicalId":7059,"journal":{"name":"Acta medica portuguesa","volume":"39 8","pages":"448-457"},"PeriodicalIF":1.2,"publicationDate":"2026-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148676696","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

Ultrasound Characterization of 'To-and-Fro' Waves with Point-of-Care Ultrasound (POCUS) in the Emergency Department Setting. 在急诊科设置的“往返”波的超声特征与护理点超声（POCUS）

IF 1.2 4区医学

Acta medica portuguesa Pub Date : 2026-08-03 Epub Date: 2026-06-17 DOI: 10.20344/amp.24445

Luís Faria, José Pedro Pinto, André Goulart, Daniela Machado, Renato Bessa de Melo

引用次数: 0

[Presence of Dermatologists on Social Media: Perception of the Portuguese Population]. [皮肤科医生在社交媒体上的存在：对葡萄牙人口的看法]。

IF 1.2 4区医学

Acta medica portuguesa Pub Date : 2026-08-03 Epub Date: 2026-07-03 DOI: 10.20344/amp.24345

Hugo J Leme, Marcelo Silva, Joana Margarida Reis, José Alberto Ramos, António Magarreiro Silva, Ana Isabel Gouveia, João Alves

{"title":"[Presence of Dermatologists on Social Media: Perception of the Portuguese Population].","authors":"Hugo J Leme, Marcelo Silva, Joana Margarida Reis, José Alberto Ramos, António Magarreiro Silva, Ana Isabel Gouveia, João Alves","doi":"10.20344/amp.24345","DOIUrl":"10.20344/amp.24345","url":null,"abstract":"The use of social media has transformed the way medical information is disseminated, introducing new ethical challenges. The presence of dermatologists on these platforms remains limited, with much of the dermatology-related content being produced by non-medical or non-specialist sources. We conducted a cross-sectional observational study based on an online questionnaire distributed to the general population between 27th August and 10th September 2025. A total of 600 participants were included, 62.2% of whom were female. Only 24.7% reported following dermatologists on social media, with Instagram being the most frequently used platform (91.2%). Women and younger participants (< 35 years) were more receptive to the perceived positive impact of social media, whereas healthcare professionals showed a more critical attitude, more frequently associating physicians' online presence with excessive self-promotion (p < 0.001). Higher levels of education were associated with greater refusal or discomfort regarding the use of clinical images (p < 0.001). Overall, the presence of dermatologists on social media is well accepted by the population and represents a relevant opportunity to promote health literacy, strengthen the doctor-patient relationship and enhance trust in the specialty.","PeriodicalId":7059,"journal":{"name":"Acta medica portuguesa","volume":" ","pages":"458-461"},"PeriodicalIF":1.2,"publicationDate":"2026-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148374281","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

[Allergy to Αlpha-1 Adrenergic Agonists in Different Formulations: A Case Report]. [对不同配方的Αlpha-1肾上腺素能激动剂过敏：一例报告]。

IF 1.2 4区医学

Acta medica portuguesa Pub Date : 2026-08-03 Epub Date: 2026-07-06 DOI: 10.20344/amp.24746

Pedro Samuel Figueiredo, Fátima Cabral Duarte, Manuel Branco Ferreira

引用次数: 0

[From Consolidation to Recognition: Acta Médica Portuguesa in the Second Quartile of the Journal Citation Reports]. [从整合到认可：《期刊引文报告》第二四分之一的葡萄牙文献学报]。

IF 1.2 4区医学

Acta medica portuguesa Pub Date : 2026-08-03 DOI: 10.20344/amp.25302

Helena Donato, Tiago Villanueva

引用次数: 0

[Mental Health Among Adolescents with a Migration Background: A Descriptive Study]. [具有移民背景的青少年心理健康：一项描述性研究]。

IF 1.2 4区医学

Acta medica portuguesa Pub Date : 2026-08-03 Epub Date: 2026-05-27 DOI: 10.20344/amp.24480

Carolina Bayam, Marisa Tomé, Laura Rodrigues, Francisca Bayam, Teresa Cartaxo

{"title":"[Mental Health Among Adolescents with a Migration Background: A Descriptive Study].","authors":"Carolina Bayam, Marisa Tomé, Laura Rodrigues, Francisca Bayam, Teresa Cartaxo","doi":"10.20344/amp.24480","DOIUrl":"10.20344/amp.24480","url":null,"abstract":"Migration may be associated with psychosocial challenges affecting adolescent mental health. This retrospective study described psychiatric hospitalizations of adolescents with a migration background in a child and adolescent psychiatry inpatient unit between December 2016 and June 2024. Forty-four adolescents were identified, accounting for 51 hospitalization episodes. Most patients were female (66%), with a mean age of 15.34 ± 1.47 years, and 91% were first-generation migrants. Suicidal ideation was the most frequent reason for admission (31.38%). Most admissions originated from the emergency department (84.32%), with a mean length of stay of 18.47 ± 10.62 days. At discharge, the most frequent diagnoses included depressive disorders (36.36%), trauma- and stressor-related disorders (22.73%), and schizophrenia spectrum and other psychotic disorders (13.64%). Most adolescents had no previous contact with mental health services (63.6%). These findings highlight the clinical relevance of this population and the need for early intervention strategies and improved coordination between healthcare, education and community services.","PeriodicalId":7059,"journal":{"name":"Acta medica portuguesa","volume":" ","pages":"466-469"},"PeriodicalIF":1.2,"publicationDate":"2026-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148040411","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

[Management of Antidiabetic Therapy in Patients Undergoing [18F]FDG PET]. [18F]FDG PET患者的降糖治疗管理]。

IF 1.2 4区医学

Acta medica portuguesa Pub Date : 2026-08-03 Epub Date: 2026-05-25 DOI: 10.20344/amp.24274

Helena Urbano Ferreira, Mafalda Canudas Costa, Marta Canha, Elisabete Rodrigues, Maria do Sameiro Lemos, Paula Soeiro, Maria Teresa Faria, Joana Queirós

{"title":"[Management of Antidiabetic Therapy in Patients Undergoing [18F]FDG PET].","authors":"Helena Urbano Ferreira, Mafalda Canudas Costa, Marta Canha, Elisabete Rodrigues, Maria do Sameiro Lemos, Paula Soeiro, Maria Teresa Faria, Joana Queirós","doi":"10.20344/amp.24274","DOIUrl":"10.20344/amp.24274","url":null,"abstract":"Positron emission tomography (PET) with fluorodeoxyglucose {[18F]FDG} is a technique used to identify areas of increased glycolytic metabolism, aiding in the diagnosis, staging, and follow-up of neoplastic, infectious, or inflammatory disease. In people with diabetes mellitus (DM), hyperglycemia and hyperinsulinemia alter the radiotracer biodistribution, compromising the diagnostic accuracy of this test. The absence of clear guidelines may result in inadequate patient preparation and the need to postpone or repeat the test, causing harm to the patient and the institution. This clinical practice guideline results from a review of available evidence and a multidisciplinary consensus process between the Endocrinology and Nuclear Medicine services of Unidade Local de Saúde São João, aiming to establish recommendations applicable to the Portuguese hospital context. The document includes detailed recommendations on the management of antidiabetic drugs before performing [18F]FDG PET, organized by specific clinical scenarios: 1) type 2 DM; 2) type 1 DM, including patients with continuous subcutaneous insulin infusion systems; and 3) diabetes secondary to corticosteroid therapy. In case of hyperglycemia between 200 - 350 mg/dL on the day of the test, the guideline includes the administration of insulin according to a personalized scheme, adapted to body mass index and renal function. The implementation of this guideline aims to standardize the preparation of people with diabetes for [18F]FDG PET and minimize the need to postpone or repeat tests, allowing for the optimization of hospital resource management.","PeriodicalId":7059,"journal":{"name":"Acta medica portuguesa","volume":" ","pages":"486-491"},"PeriodicalIF":1.2,"publicationDate":"2026-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148012914","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

Benign Ethnic Neutropenia: An Avoidable Obstacle to Clozapine Use. 良性种族中性粒细胞减少症：氯氮平使用的可避免障碍。

IF 1.2 4区医学

Acta medica portuguesa Pub Date : 2026-08-03 DOI: 10.20344/amp.24904

Joana Romão, Rodrigo Saraiva, Ricardo Coentre

引用次数: 0