12 documents found, page 1 of 2

The 2021 Portuguese Society of Ophthalmology Joint Guidelines with Paediatric R...

Aim: To develop the first Ophthalmology joint guidelines with Paediatric Rheumatology with recommendations on the screening, monitoring and medical treatment of juvenile idiopathic arthritis-associated uveitis (JIA-U), endorsed by the Portuguese Society of Ophthalmology (SPO). Methods: A systematic literature review was conducted to include publications up to July 14th 2020, with no language restrictions, in or...

Choosing Wisely Portugal: a Visão dos Médicos Portugueses

Association Between Alcohol Intake and Cardiac Remodeling

Background: Alcohol-induced cardiotoxicity is incompletely understood. Specifically, the long-term impact of alcohol use on ventricular remodeling or dysfunction, its modulators, and effect thresholds among young adults remain controversial. Objectives: The authors sought to evaluate a potential relationship between alcohol intake and cardiac remodeling, assessed by echocardiography, over 20 years of follow-up....

Choosing Wisely Portugal - Wise Health Decisions

Career Satisfaction of Medical Residents in Portugal

INTRODUCTION: The satisfaction with the medical profession has been identified as an essential factor for the quality of care, the wellbeing of patients and the healthcare systems' stability. Recent studies have emphasized a growing discontent of physicians, mainly as a result of changes in labor relations. OBJECTIVES: To assess the perception of Portuguese medical residents about: correspondence of residency w...

The Role of Psychological Adjustment in the Decision-Making Process for Volunta...

BACKGROUND: This study's objective was to evaluate the role of psychological adjustment in the decision-making process to have an abortion and explore individual variables that might influence this decision. METHODS: In this cross-sectional study, we sequentially enrolled 150 women who made the decision to voluntarily terminate a pregnancy in Maternity Dr. Alfredo da Costa, in Lisbon, Portugal, between Septembe...

Síndroma Nefrótico Corticorresistente

Os autores apresentam o caso clínico de uma criança de 18 meses, sexo masculino, raça branca,internada na Unidade de Nefrologia com o diagnóstico de síndroma nefrótico - crise inaugural. Atendendo à idade, aos parâmetros bioquímicos e estudo imunológico negativo, admite-se síndroma nefrótico de lesões mínimas e inicia corticoterapia na dose 60mg/m2/dia. Porqua às seis semanas mantinha edema refractário e compor...

Anemia Megaloblástica Aguda por Inalação de Óxido Nitroso em Doente com Patolog...

As anemias megaloblásticas são habitualmente vistas como doenças crónicas de aparecimento insidioso. No entanto, um estado megaloblástico pode aparecer em apenas alguns dias devido à deficiência aguda de ácido fólico ou vitamina B12. Uma das causas mais comuns, embora pouco relatada, é acção tissular do óxido nitroso (NO2), substancia volátil utilizada comummente em anestesia. Efectivamente, o N02 inactiva a me...

Acute megaloblastic anemia caused by inhalation of nitrous oxide in a patient w...

Although megaloblastic anemias are generally regarded as chronic conditions of insidious appearance, a megaloblastic state can arise over the course of only a few days due to acute folate or vitamin B12 deficiency. One of the most common causes, though seldom reported, is the nitrous oxide (N02) action in tissue. In fact N02, a volatile substance commonly used in anaesthesia, destroys methylcobalamin, leading t...

Enterocolite Necrosante com Perfuração e Drenagem Peritoneal no Recém-Nascido d...

A enterocolite necrosante (ECN) constitui o problema gastrointestinal mais grave e mais frequente no recém-nascido (RN) de baixo peso. A melhoria na taxa de sobrevivência tem sido atribuída ao diagnóstico mais precoce e à experiência adquirida no tratamento do recém-nascido pré-termo em estado crítico. Desde 1977 que a drenagem peritoneal como actuação prioritária nos quadros de ECN tem sido preconizada nos rec...