Acta medica portuguesa最新文献

{"title":"Isolated Alopecia of the Upper Limbs: An Uncommon Presentation of Cutaneous Lupus.","authors":"Carlos M Nogueira, André Coelho, Sofia Lopes","doi":"10.20344/amp.23047","DOIUrl":"10.20344/amp.23047","url":null,"abstract":"","PeriodicalId":7059,"journal":{"name":"Acta medica portuguesa","volume":" ","pages":"502-503"},"PeriodicalIF":1.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144109355","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 Contribution of Simulated Patients to Undergraduate Medical Education: A Pathway to Educational Excellence.","authors":"Paulo Oom","doi":"10.20344/amp.22902","DOIUrl":"10.20344/amp.22902","url":null,"abstract":"<p><p>The aim of this narrative review is to explore the state of the art in using simulated patients' methodology, highlighting its benefits and advocating for its widespread adoption as a cornerstone of excellence in training. The use of patients in undergraduate medical education is essential and recommended at an early stage of medical training. However, using real patients is accompanied by several difficulties, such as patient privacy and the unpredictability of patient conditions. Simulated patients are now an integral part of medical school faculty. They should be viewed as some of their most valuable collaborators as their spectrum of activity has been progressively expanding, and they are taking on new challenges and responsibilities. Its efficient use leads to the development of technical competence in performing procedures and the ability to make decisions about diagnosis or treatment. They are also essential in training the ability to communicate efficiently with patients and work as a team. The use of simulated patients to teach physical examination has dramatically expanded its use, with emphasis on training in gynecological or breast examination in women or genital and rectal examination in men. The possibility for the student to receive feedback from the simulated patient during or after the simulation represents a unique opportunity for the student to understand the 'patient's' point of view and reflect on their limitations and opportunities for improvement. Using simulated patients in medical assessment ensures that students are exposed to the same clinical scenario and evaluated according to the same criteria. The simulated patient, acting as a performance evaluator, provides a level of reliability identical to that of clinical evaluators, enhancing the credibility of the assessment process. The development of hybrid scenarios allows the combined use of simulated patients and simulators to increase the realism of the simulation scenario. From an administrative perspective, using simulated patients in medical education involves recruitment and training, and the biggest challenge is the financial resources it requires. [...].</p>","PeriodicalId":7059,"journal":{"name":"Acta medica portuguesa","volume":" ","pages":"484-490"},"PeriodicalIF":1.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144504388","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}

{"title":"Hospitalizations for Infective Endocarditis in Children: 15-Year Analysis.","authors":"Margarida Dias, Rita Amorim, Ana Luísa Correia, Marisa Pereira, Ana Correia-Costa, Ana Reis-Melo, Margarida Tavares","doi":"10.20344/amp.22196","DOIUrl":"https://doi.org/10.20344/amp.22196","url":null,"abstract":"<p><strong>Introduction: </strong>Infective endocarditis (IE) is a challenging diagnosis with high morbidity and mortality. The aim of this study was to provide a comprehensive analysis of hospitalizations for infective endocarditis in pediatric population at a tertiary hospital.</p><p><strong>Methods: </strong>A retrospective study examining hospitalizations for IE in pediatric population between 2008 and 2022 at Centro Hospitalar Universitário de São João - Unidade Local de Saúde São João, EPE was conducted. Clinical presentation, treatment, complications, and outcomes of IE, as well as underlying microorganisms were reviewed.</p><p><strong>Results: </strong>During this period, there were 27 hospitalizations for IE in children. In recent years, an increase in hospitalizations due to infective endocarditis has been observed, with the number fluctuating between zero and two per year from 2008 to 2017, and between one and five per year from 2018 to 2022. The mean age was 9.2 years (± 5.8), the length of hospitalization had a mean duration of 44 days (± 25.4) with a maximum of 113 days, and two deaths occurred. Heart disease was present in 88.9% (n = 24) of patients, of which 95.8% (23/24) was congenital, 59.3% (16/27) of the patients had prosthetic material and, of these, 18.8% (3/16) had a mechanical valve. Regarding diagnosis, 33.3% of patients had no vegetation in imaging tests. In 25.9% of cases, positron emission tomography was performed. Complications occurred in 51.9% of patients, with 44.4% having cerebral or pulmonary emboli. Regarding underlying organisms, Staphylococcus aureus (48.1%), Staphylococcus epidermidis (14.8%), and Streptococcus (14.8%) were the most frequent. One patient had a culture-negative IE. The mean duration of antibiotic therapy was 6.8 weeks, and 29.6% (8/27) underwent surgery.</p><p><strong>Conclusion: </strong>Throughout the study period, our hospital observed a trend towards an increase in hospitalizations for infective endocarditis in the pediatric population. Streptococci are still described as the most prevalent etiology, but Staphylococci are known to become more frequent, as shown in our sample. Awareness of IE in patients with heart disease and implanted prosthetic material is crucial.</p>","PeriodicalId":7059,"journal":{"name":"Acta medica portuguesa","volume":"38 6-7","pages":"377-384"},"PeriodicalIF":0.8,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144525960","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":"Ileocolic Intussusception in Adults: A Rare Presentation of an Underlying Malignancy.","authors":"Catarina Rolo Santos, Frederico Nazareth, Zara Maria Caetano","doi":"10.20344/amp.23111","DOIUrl":"https://doi.org/10.20344/amp.23111","url":null,"abstract":"","PeriodicalId":7059,"journal":{"name":"Acta medica portuguesa","volume":"38 6-7","pages":"412-413"},"PeriodicalIF":0.8,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144525961","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":"Portuguese Public Attitudes Regarding Contact Between Healthcare Professionals and Patient's Relatives for Genetic Risk Disclosure: A Cross-Sectional Study.","authors":"Iara Ribeiro, João Tavares, Liliana Sousa, Álvaro Mendes","doi":"10.20344/amp.22204","DOIUrl":"https://doi.org/10.20344/amp.22204","url":null,"abstract":"<p><p>Hereditary diseases can affect patients and their biological relatives, who may be at risk of developing these conditions or transmitting them to their descendants. This study explores the attitudes of a sample of Portuguese people towards receiving information about genetic risks and policies on the disclosure of such risks. An online survey using 5-point Likert scale statements (from 1 - \"totally disagree\" to 5 - \"totally agree\") was distributed through social media and in public places, resulting in a sample of 1034 respondents with a mean (M) age of 38.58 (standard-deviation, SD = 14.91) years old; 75.4% were women, 74.4% had higher education, and 55.5% were childless. The main findings suggest that participants strongly prefer to be informed about genetic risks by a doctor rather than not being informed at all (M = 4.75; SD = 0.67), are less supportive of learning of genetic risks first by a close relative (M = 3.94; SD = 1.11), favor legislation allowing healthcare professionals to contact them even if their relatives do not wish to disclose the information (M = 4.47; SD = 0.87), and are less favorable towards laws requiring individuals to inform their direct family members of their genetic risks (M = 3.88; SD = 1.27). These findings could inform ongoing discussions about the roles and responsibilities of healthcare professionals in conveying relevant information to at-risk relatives.</p>","PeriodicalId":7059,"journal":{"name":"Acta medica portuguesa","volume":"38 6-7","pages":"393-397"},"PeriodicalIF":0.8,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144525963","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}