Abstract:
:Leprosy represented, until a few decades ago, an important public health problem in mainland Portugal. According to the data of the General Directorate of Primary Health Care, the incidence and prevalence rates of the disease have been decreasing progressively and in a significant way during the last years. In view of the fact that it is an endemic disease in regression, we decided to estimate if there were significative changes in the clinical manifestations of the new cases. Therefore, we carried out a comparative study based on the clinical data of 18 patients (13 males and 5 females) with Leprosy who were being followed up in the Dermatology Clinics of Coimbra University Hospital. We differentiated two groups: patients with the diagnosis of the disease before 1990 (old patients), and those diagnosed after 1990 (new patients). The first group had only 8 subjects while the second group had the other 10. We recorded the patients' age, sex, nationality and residence, age at the onset of the disease, number of cases that began before the age of 20, clinical manifestations (according to Ridley and Jopling's classification), and the presence of incapacity determined by the consequences of the disease. We carried out the Student's-t test to appreciate some of the study parameters. We verified that the old patients were on average 11 years younger than the new patients. Leprosy in new patients occurred 11 years later than in the old patients and this difference was statistically significant after the Student's-t test (p < 0.05). Almost one half of the new cases (4 patients in 10) were possible cases of leprosy brought from Brazil, while all the old individuals had an autochthonous origin. The multibacillary forms were predominant in both groups, representing 89% of all patients. The frequency of handicaps was similar in both groups. Although it is based on a small number of patients, our study suggests that the clinical and epidemiological manifestations of leprosy have been changing significantly in the last years and that the changes observed in the form of presentation of the new cases are consistent with the present epidemiological situation. Our study also seems to suggest an increase in the importance of leprosy imported by immigrants from leprosy endemic countries. We point out that this phenomenon, as in the case of AIDS, can theoretically create the conditions for a recrudescence of leprosy, as currently observed with tuberculosis.
journal_name
Acta Med Portjournal_title
Acta medica portuguesaauthors
Sequeira J,Martins C,Marques C,Machado A,Baptista APsubject
Has Abstractpub_date
2000-01-01 00:00:00pages
13-7issue
1-2eissn
0870-399Xissn
1646-0758journal_volume
13pub_type
杂志文章abstract:INTRODUCTION:There is no international consensus regarding gestational diabetes mellitus diagnostic criteria. In Portugal, the Carpenter and Coustan criteria were replaced by an adaptation of the International Association of Diabetes and Pregnancy Study Groups criteria. Our aim was to compare the incidence and outcomes...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:10.20344/amp.10135
更新日期:2018-08-31 00:00:00
abstract::Biomedical simulation is an effective educational complement for healthcare training, both at undergraduate and postgraduate level. It enables knowledge, skills and attitudes to be acquired in a safe, educationally orientated and efficient manner. In this context, simulation provides skills and experience that facilit...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:10.20344/amp.8403
更新日期:2016-12-30 00:00:00
abstract::In the Portuguese National Health Service, little attention has been paid to oral health care. The almost nonexistence of a dentistry network raises concern about accessibility to services, and justifies the need to call on a predominantly private provision of services. The coexistence between the public and private s...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:10.20344/amp.11964
更新日期:2019-06-28 00:00:00
abstract::The authors report a case of 32-week-old newborn, admitted to the Intensive Care Unit for Newborns. Mechanical ventilation was needed from the first day of life. The patient was treated with indomethacin on the second day of life due to patent ductus arteriosus. On the seventh day pneumoperitoneum was diagnosed, emerg...
journal_title:Acta medica portuguesa
pub_type: 杂志文章,评审
doi:
更新日期:1998-12-01 00:00:00
abstract:INTRODUCTION:Accurate recognition of omental infarction has resulted in increasing supporters of non-operative approach. In order to assess the efficacy and safety of conservative management, we surveyed the cases of omental infarction treated at a single institution. MATERIAL AND METHODS:Primary omental infarction tr...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:10.20344/amp.4996
更新日期:2014-07-01 00:00:00
abstract::Referring to examples from the poetry of Fernando Pessoa and Mário de Sá Carneiro, we draw attention to the narcissistic relationship between mother and baby, to the role of the mirror-image of the mother's face, and to the organization of a false self caused by a deficiency both of that function, and of the narcissis...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:1992-12-01 00:00:00
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journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:2000-09-01 00:00:00
abstract:INTRODUCTION:The disruption of esophageal motility that characterizes achalasia typically provokes dysphagia, pain, loss of weight and malnutrition. Therefore, patients frequently report a reduction in quality of life and negative emotional states. Laparoscopic Heller myotomy proved to be an effective therapy, enabling...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:10.20344/amp.6758
更新日期:2016-02-01 00:00:00
abstract:INTRODUCTION:The growing concern surrounding health safety issues makes it essential that everyone, in particular the elderly due to their commonly prescribed multiple drugs, has a complete and up to date list of prescriptions. We planned to assess the quality of the electronic records of prolonged medication. MATERIA...
journal_title:Acta medica portuguesa
pub_type: 杂志文章,多中心研究
doi:
更新日期:2014-09-01 00:00:00
abstract::Labour is very important in breech presentation and it is associated to significant morbidity and mortality enhancement in recent years. The authors made a retrospective study of breech presentation and labour with this kind of fetal presentation, in Santa Maria Hospital in 1993 and analysed the following data: matern...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:1999-04-01 00:00:00
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journal_title:Acta medica portuguesa
pub_type: 杂志文章,评审
doi:10.20344/amp.7095
更新日期:2016-06-01 00:00:00
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journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:10.20344/amp.8656
更新日期:2018-01-31 00:00:00
abstract::Multiple sclerosis (MS) is a chronic neuroinflammatory autoimmune disease believed to arise from complex interactions of both environmental and genetic factors. As in other complex diseases with autoimmune features, a genetic association with the human leukocyte antigen (HLA) complex is well documented. Association...
journal_title:Acta medica portuguesa
pub_type: 杂志文章,评审
doi:
更新日期:2012-07-01 00:00:00
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journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:1997-10-01 00:00:00
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journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:10.20344/amp.8579
更新日期:2017-10-31 00:00:00
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journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:10.20344/amp.11730
更新日期:2019-09-02 00:00:00
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journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:2011-09-01 00:00:00
abstract::Diaphragmatic Pacing was used to treat ventilatory failure in a young boy with bilateral diaphragmatic palsy secondary to cervical cord injury, on chronic mechanical ventilation for 6 months. The indications for diaphragmatic pacing in ventilatory failure were discussed, as well as the assessment of phrenic nerve inte...
journal_title:Acta medica portuguesa
pub_type: 杂志文章,评审
doi:
更新日期:1995-11-01 00:00:00
abstract:INTRODUCTION:The concept of resilience refers to the possibility of individuals to develop positively when exposed to situations of adversity or stress. This is a complex process involving the interaction of vulnerability and protection factors. Researching resilience only makes sense when applied to populations consid...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:2011-12-01 00:00:00
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journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:10.20344/amp.11922
更新日期:2020-09-01 00:00:00
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journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:1998-08-01 00:00:00
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journal_title:Acta medica portuguesa
pub_type: 杂志文章,评审
doi:
更新日期:2010-01-01 00:00:00
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journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:10.20344/amp.11088
更新日期:2019-08-01 00:00:00
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journal_title:Acta medica portuguesa
pub_type: 杂志文章,评审
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更新日期:2015-05-01 00:00:00
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journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:2004-09-01 00:00:00
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journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:2013-05-01 00:00:00
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journal_title:Acta medica portuguesa
pub_type: 临床试验,杂志文章
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更新日期:2002-09-01 00:00:00
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journal_title:Acta medica portuguesa
pub_type: 杂志文章
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更新日期:2000-05-01 00:00:00
abstract:INTRODUCTION:Perfectionism and intolerance to frustration are the main factors of vulnerability to psychological stress observed in students of the Integrated Master Degree in Medicine of the Faculty of Medicine, University of Coimbra, a study claims. We aimed to ascertain their reasons, seeking for their prevention. ...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:10.20344/amp.9976
更新日期:2018-10-31 00:00:00
abstract::Two types of platelet alloantigens are considered: type I, which refers to platelet alloantigens shared by platelets and other cells; and type II, which comprises the platelet-specific alloantigens. The Human Platelet Alloantigens (HPA) System consists of five diallelic alloantigens and eleven low frequency antigens. ...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:2000-09-01 00:00:00