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Guidelines for the Management of Venous Thromboembolism in End-of-Life Cancer P...

Mourão, Natacha; Liz-Pimenta, Joana; Pinto, Ricardo; Fernandes, Ricardo; Godinho, João; Teixeira Tavares, Nuno; Luís, Michael; Malheiro, Mariana

Venous thromboembolism is a common complication in cancer patients, particularly in advanced stages, where the presence of metastatic disease can increase the risk of thrombosis by approximately 20 times compared to early stages, with this risk being even higher in end-of-life patients. Despite its high prevalence, there are significant gaps in the evidence guiding venous thromboembolism management during this ...

Date: 2026   |   Origin: Acta Médica Portuguesa

Relational Needs in Grief Scale: Development and Psychometric Validation

Coelho, Alexandra; Albuquerque, Sara; Neto, David Dias; Barbosa, Miguel

The disruption of attachment bonds through bereavement often leads to unfulfilled relational needs, emphasizing the importance of evaluating these processes systematically. Based on Erskine and Payàs’s conceptualization of relational needs, the present study aims to develop and psychometrically validate the Relational Needs in Grief Scale (RNGS). Data from 354 bereaved participants in an online cross-sectional ...


Effect of Anticoagulation and Individualized Fluid Therapy on Graft Outcomes in...

Batista, Maria E; Barbosa, Miguel; Oliveira, Pedro; Isidoro Duarte, Tiago; Casimiro, José; Cardoso, Sofia; Germano, Nuno

Background Simultaneous pancreas-kidney (SPK) transplantation is the preferred treatment for type 1 diabetes mellitus with end-stage renal disease. Early graft loss, especially from pancreatic thrombosis, remains a major challenge. Optimal anticoagulation and fluid strategies are critical but not standardized. Methodology We retrospectively reviewed 64 SPK transplants in our center. Group 1 (n = 28) received li...


“It’s a breech, and what now?”: A decision-aid tool to help clinicians counsel ...

Pinto, Luisa; Ayres-de-Campos, Diogo; Barbosa, Miguel

Objective: Management options for breech presentation near term include vaginal breech delivery, cesarean delivery, and external cephalic version. Shared decision-making in this context involves conveying detailed information about each procedure, including success rates, potential discomforts, risks, recovery periods, and necessary follow-up. The complexity of this information can make discussions challenging....


Multi-Sensor Comparison for Nutritional Diagnosis in Olive Plants

Manuelito, Catarina; Deus, João de; Damásio, Miguel; Leitão, André; Conceição, Luís Alcino; Arias-Calderón, Rocío; Inês, Carla; Cordeiro, António Manuel

The intensification of olive growing has raised environmental concerns, particularly regarding nutrient loss from excessive fertiliser use. In line with the European Union’s Farm to Fork strategy, which aims to halve the soil nutrient losses by 2030, this study evaluates the effectiveness of two sensor-based approaches—proximal sensing with a FLAME spectrometer and remote sensing via UAV-mounted multispectral i...


Euthanasia and prolonged grief

Silva, Maria Vera; Santos, Ricardo R.; Barbosa, Miguel


Paraganglioma – Predictors factors of major aggressivity

Teixeira, Carina; Barbosa, Miguel; Ribeiro, Maria João; Fernandes, Catarina

Paragangliomas are rare neuroendocrine tumors whose clinic and presentation depend on secretory profile, size, and location. About 40% of paragangliomas are associated with genetic syndromes with the succinate dehydrogenase enzyme complex (SDH) mutation being the most frequent. Mutation in SDHB is associated with a worse prognosis and increased risk of metastatic disease. We present a clinical case of a 45-year...


Recomendações Nacionais do Grupo de Estudos do Cancro Associado a Trombose para...

Liz Pimenta, Joana; Augusto, Joana; Godinho, João Godinho; Malheiro, Mariana; Barroso, Sérgio; Barbosa, Miguel

Os doentes oncológicos apresentam uma maior probabilidade de desenvolver trombose, especificamente Tromboembolismo Venoso (TEV), uma complicação grave e comum que constitui a segunda principal causa de mortalidade nesta população. Consequentemente, é crucial que os profissionais de saúde possuam conhecimentos atualizados sobre TEV. A investigação em Trombose Associada ao Cancro está em constante evolução, com u...


AT LAST! It was not a progression!

Paulinetti Camara, Raquel; Lopes, Kelly; Barbosa, Miguel; Sucena, Inês; Simão, Carla; Mota, Paulo; Matias, Dina; Sequeira, Telma; Almodovar, Teresa

Introduction: Nivolumab is approved in Portugal for non-small cell metastatic lung cancer, as one of the indications, after progressing on chemotherapy. As an immune checkpoint inhibitor (ICI) immune-related adverse events (irAE) are possible reactions. Case report: A 64-year-old man with stage III lung adenocarcinoma who progressed after chemoradiotherapy and first line metastatic chemotherapy started nivoluma...


Attachment and mother-infant interactions in dyads with infants born full-term,...

Fuertes, Marina; Martelo, Inês; Almeida, Rita; Gonçalves, Joana L.; Barbosa, Miguel

Background: The impact of prematurity status on attachment quality remains indeterminate. Some studies found no differences between infants born preterm (PT) and infants born full-term (FT), while other investigations present opposite results. Aims: We aim to contribute to this body of research by studying mother-infant interactive behaviors and quality of attachment in 3 independent samples: Full-Term (FT), Mo...


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