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Horner's Syndrome as a Complication of Ultrasound-Guided Central Cannulation: A...

Silva, L; Junqueira, AF; Pato, R; Farraposo, S; Cruz, AR; Rocha, T

Cannulation of the internal jugular vein is often necessary for the management of critically ill patients. Despite being a very common procedure and performed more and more safely, several complications still occur. Horner's Syndrome (HS) is one of those complications described before the use of ultrasound as a method of guidance. HS is caused by functional interruption of sympathetic nerve supply to the eye, l...


Foreign bodies in the tracheobronchial tree. 12 years' experience.

Agostinho, M; Estevão, H M; Boavida, E; Pires, J; Pato, R; Isaac, J B; Coelho, A; Barroso, A

During a period of twelve years--January 1983 to December 1994, 371 children suspected of foreign body inhalation were admitted in Hospital Pediatric of Coimbra. The diagnosis was confirmed in 200 of them (54%), and this group was analysed. The incidence has increased until 1989 and stabilized in the last 5 years with a median of 18 cases/year. Two third of the children were boys and 84% were under three years ...

Date: 1997   |   Origin: Acta Médica Portuguesa

The effect of left ventricular dysfunction on nocturnal desaturation in patient...

dos Santos, J M; Marques, A L; Moita, J; Pato, R

The possibility of nocturnal oxygen desaturation (NOD) in patients with chronic bronchitis and emphysema (CBE) even with basal hypoxemia greater that 55 mmHg is well recognised. Nocturnal hypoventilation is admitted as the main cause for this NOD. In this study we evaluate how the presence of left ventricular dysfunction (LVD) could aggravate NOD. Thirty-six patients with CBE and basal stabilised PaO2 55-70 mmH...

Date: 1997   |   Origin: Acta Médica Portuguesa

A structural analysis of the entrance exams for specialist interns from 1994 to...

Morgado, V; da Costa, A G; Correia, A; Pereira, A; Pinho, A C; de Araújo, A T; Ramalho, F; Gouveia, J; Quininha, J; Nogueira, J B; Romãozinho, J M

In order to obtain specialist training in Portugal, doctors must pass a multiple-choice examination. The aim of this article is to present a structural and mathematical analysis of the examinations in the last three years. We based our work on the calculation of reliability coefficient of the examinations, and the difficulty and discrimination index of the questions and the examinations as a whole. A detailed a...

Date: 1997   |   Origin: Acta Médica Portuguesa

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