14 documents found, page 1 of 2

Gender Dysphoria: Concepts, Diagnosis and Clinical Management

Gender dysphoria is defined as a condition characterized by mental suffering associated with the incongruence between one's experienced gender and their birth-assigned sex. Gender as a construct and gender dysphoria as a condition in need of multidisciplinary intervention have developed as swiftly as their visibility in society, making it mandatory to promote the literacy and education of all healthcare profess...

Severe Acute Hepatitis E in a Woman with an Autoimmune Background

Hepatitis E virus genotype 3 infections are normally asymptomatic in immunocompetent individuals. Symptomatic cases of acute icteric hepatitis E are seldom observed among women, younger men and children but are particularly seen in middle-aged/elderly men. We report a case of severe acute hepatitis E caused by genotype 3 in an immunocompetent 40-year-old woman that required prolonged hospitalization. Her medica...

Hepatitis E Virus Genotype 1 Cases Imported to Portugal from India, 2016

Hepatitis E in industrialized countries is mainly associated with genotype 3 hepatitis E virus (HEV) and normally causes a sporadic self-limiting disease in immunocompetent individuals. Unlike genotype 3, genotypes 1 and 2 circulate in developing countries, produce severe disease and occur in the epidemic form. Hepatitis E occurring in travellers returning from endemic areas in developing countries is not a nov...

Selection of sugar cane families by using BLUP and multi-diverse analyses for p...

This study evaluated different strategies to select sugar cane families and obtain clones adapted to the conditions of the Brazilian savannah. Specifically, 7 experiments were conducted, with 10 full sib families, and 2 witnesses in common to all experiments, in each experiment. The plants were grown in random blocks, with witnesses in common (incomplete blocks), and 6 repetitions of each experiment. The data w...

Regularized quantile regression applied to genome-enabled prediction of quantit...

Genomic selection (GS) is a variant of marker-assisted selection, in which genetic markers covering the whole genome predict individual genetic merits for breeding. GS increases the accuracy of breeding values (BV) prediction. Although a variety of statistical models have been proposed to estimate BV in GS, few methodologies have examined statistical challenges based on non-normal phenotypic distributions, e.g....

Mania de Bell - conceptualização a propósito de um caso clínico

Introdução: A mania de Bell (ou “mania delirante”) constitui um quadro clínico grave, que consiste sucintamente na sobreposição de sintomas de delirium e de mania. Vários autores deram contributos para a definição desta entidade nosológica, não obstante este ser um quadro clínico ainda mal compreendido, não existindo guidelines diagnósticas e terapêuticas, nem se conhecendo muito da sua etiopatogénese. Objectiv...

Avaliação da Capacidade de Decisão em Psiquiatria de Ligação

Introdução: Entre as funções do psiquiatra de ligação, encontra-se a avaliação da capacidade de decidir. Esta envolve a capacidade de fazer escolhas de forma autónoma e surge de forma relevante na prática clínica diária como pré-condição ao consentimento informado. Objetivos: Os autores pretendem rever o processo subjacente à avaliação da capacidade de decisão, assim como outra informação relevante publicada a ...

Serviço Social: Importância das visitas domiciliárias no Centro Multidisciplina...

Cabeças femorais de grande diâmetro em próteses totais primárias da anca – um e...

Introdução As próteses totais primárias da anca tem vindo a registar avanços significativos, nomeadamente no que diz respeito ao seu desenho e dimensões dos implantes. Assim, o diâmetro da cabeça femoral é um factor a levar em linha de conta, uma vez que os grandes diâmetros podem contribuir para um risco mais baixo de luxação no período de convalescença. Para além da estabilidade articular, outras variáveis sã...

Favorable outcome of total hip arthroplasty with insufficient bone coverage of ...

A 59-year-old male patient underwent a total hip arthroplasty for the treatment of end-stage dysplastic osteoarthritis. A roof reinforcement ring, a cemented polyethylene cup, and a cementless stem were used. Extensive superolateral portion of the ring was uncovered by host bone. Morsellized autogenous femoral-head graft was impacted to fill the space between superolateral border of the ring and superior part o...