14 documents found, page 1 of 2

Competences of internal medicine specialists for the management of patients wit...

Patients with multimorbidity increasingly impact healthcare systems, both in primary care and in hospitals. This is particularly true in Internal Medicine. This population associates with higher mortality rates, polypharmacy, hospital readmissions, post-discharge syndrome, anxiety, depression, accelerated age-related functional decline, and development of geriatric syndromes, amongst others. Internists and Hosp...

Acute kidney injury: a strong risk factor for hypoglycaemia in hospitalized pat...

Aims Acute kidney injury (AKI) is highly prevalent during hospitalization of patients with type 2 diabetes (T2D). We aimed to assess the impact of AKI and its severity and duration on the risk of hypoglycaemia in hospitalized patients with T2D. Methods Retrospective cohort analysis of patients with T2D, admitted at a University Hospital in 2018–2019. AKI was defined as an increase in serum creatinine by ≥ 0.3 m...

Spontaneous Bacterial Peritonitis in Cirrhotic Patients: A Shift in the Microbi...

Introduction: Over the last decade, a shift in the spontaneous bacterial peritonitis (SBP) microbial pattern toward an increasing incidence of gram-positive and multidrug-resistant (MDR) bacteria has been reported. Systematic surveillance of the local microbiological scenario and antibiotic resistance is crucial to SBP treatment success. The main objective of this study was to evaluate the microbiological profi...

COVID-19 Pandemic’s Impact on Emergency Department’s Mortality

Introduction: Official data shows increased excess all- -cause mortality in 2020 compared to 2019. Fear of exposure constrained medical evaluations which were delayed by either choice or imposition. Going to the emergency department (ED) was no exception. Our objective was to compare demographic, clinical and analytical characteristics of patients who died in a COVID-19 dedicated ED with the same period of 2019...

Aprendizagem Assistida por Pares: Uma Alternativa Pedagógica no Ensino de Compe...

Introdução: O treino de competências técnicas é fundamental para a prática clínica, mas pouco explorado no currículo médico pré- -graduado. Neste contexto, o método de aprendizagem assistida por pares tem surgido como uma alternativa válida para contrariar esta insuficiência formativa. Neste estudo pretende-se avaliar o impacto, nos estudantes, de um programa de aprendizagem assistida por pares em técnicas cirú...

Hospitalization Costs Due to Hypoglycemia in Patients with Diabetes: A Microcos...

Introduction: Hypoglycemia leading to hospitalization is associated with adverse economic outcomes, although the real burden is unknown. The HIPOS-WARD (Hypoglycemia In Portugal Observational Study-Ward) aimed to characterize ward admissions due to hypoglycemia episodes in treated patients with diabetes and assess their economic impact to the National Health System. Methods: Observational, cross-sectional study...

Development of a Healthy Lifestyle Assessment Toolkit for the General Public

The prevalence of age-related non-communicable chronic diseases has increased worldwide, being the leading causes of morbidity and death in many world regions, including in Europe. Innovative models and strategies focused on preventive care, including early identification of risk factors underlying disease onset and progression, and proper modification of lifestyle habits and behaviors, might contribute to prom...

Internal Medicine in Pre-Graduate Education

Exercise echocardiography for the assessment of pulmonary hypertension in syste...

Background: Pulmonary arterial hypertension (PAH) complicates the course of systemic sclerosis (SSc) and is associated with poor prognosis. The elevation of systolic pulmonary arterial pressure (sPAP) during exercise in patients with SSc with normal resting haemodynamics may anticipate the development of PAH. Exercise echocardiography (ExEcho) has been proposed as a useful technique to identify exercise-induced...

Diagnosis Recommendations for Late-onset Pompe Disease

Introduction: Pompe disease is a progressive and debilitating autossomal recessive myopathy due to mutations in lysossomal acid-α-glucosidase. Its late-onset form has a heterogeneous presentation mimicking other neuromuscular diseases, leading to diagnostic challenge.Objective: To develop consensus based recommendations for the diagnosis of late-onset Pompe Disease.Material and Methods: Bibliographic review and...