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RPMGF and its collateral readers

Prostate cancer screening in the light of person-centered medicine

For several years, there has been debate regarding the cost effectiveness of prostate cancer screening. In 2012 the U.S. Preventive Services Task Force (USPSTF) recommended against screening for prostate cancer, concluding that there is considerable evidence that this is not beneficial. The impact of the recommendations of USPSTF may be noted in the guidelines produced by other scientific societies. Clinicians ...

Quinary prevention: preventing harm to the patient by helping the physician

Prevenção quinquenária: prevenir o dano para o paciente, actuando no médico

Iodine supplementation before conception and during pregnancy and lactation: re...

The Primary Care Frequent Attender Profile

Introduction: Frequent attenders are believed to represent a problem in Primary Care, with human, economic and social impact. The present study aimed to describe these patients’ sociodemographic and pathological characteristics. Material and Methods: A cross-sectional study with analytical component was conducted in the population of frequent attenders in a Portuguese Primary Health Care Practice, between Janua...

Iodine supplementation before and during pregnancy and breastfeeding: recommend...

In August 2013, the Portuguese Directorate General of Health published a recommendation for supplementation with potassium iodide (150-200 µg/day) before and during pregnancy and breastfeeding. This recommendation joins to the recommendations of the World Health Organization, the American Thyroid Association, and the results of observational studies. One of these studies was conducted in Portugal with 3631 preg...

Antihistamines in the common cold: A common prescription for a common condition

ANTIHISTAMINES IN THE COMMON COLD: A COMMON PRESCRIPTON FOR A COMMON CONDITION Goals: Antihistamines are popular among doctors for treatment of symptoms of the common cold. The aim of this paper is to review the evidence for the effectiveness and safety of antihistamines as the sole treatment for symptoms of the common cold in children and adults. Data sources:Medline, evidence-based medicine internet sites, In...

Another kind of home visit

Introduction: Internet social networks may cause significant invasion of privacy. However, these networks may also provide medically useful information. Case Description: Ana was19 year old patient and was part of a single parent family. She had a past history of an anxiety disorder since age 14 when her parents divorced. She had a number of emergency room visits after threats of suicide, interpreted as cries f...

The Epley maneuver for benign paroxysmal positional vertigo: A review of the li...

Goal: The objective of this study is to review the evidence on the efficacy and safety of the Epley maneuver (EM) in the treatment of posterior canal benign paroxysmal positional vertigo (BPPV). Data sources: Medline, evidence-based medicine websites, the Index of Portuguese Medical Journals, and references of selected arti- cles. Review methods: Guidelines, systematic reviews, meta-analyses and randomized cont...

Smoking cessation: An acrobatic jump

Introduction: Smoking cessation is like an acrobatic jump. The general practitioner has the opportunity to create the running track (in successive appointments), to provide a trampoline (specific therapy) and then watch the athlete (the smoker) jump over (smoking cessation) the bar (dependence). Case Description: The patient was a 46 year-old female smoker. She came to a smoking cessation consultation. She was ...