Abstract:
:Gastrointestinal Bleeding (GIB) is a complication in patients with Chronic Renal Failure (CRF) on regular hemodialysis (HD). To analyse the importance of GIB we studied, retrospectively, the causes of hospitalization in 301 patients, all on HD in the same Unit in January 1990. The average age was 57.4 +/- 14.2 years (17 to 87), time on HD 58.3 +/- 44.9 months, male = 166, female = 135. Of a total of 169 hospitalizations, the infectious disease were the most frequent cause with 37 admissions (21.9%), followed by gastrointestinal diseases with 34 admissions (21.1%). Of these, 23 (13.6%) were due to GIB (Upper GIB = 19, Lower GIB = 4). The etiologies of Upper GIB were: Peptic Ulcer = 9, erosive Gastritis/Duodenitis = 7. Angiodysplasia = 1, Mallory Weiss = 1 and unknown = 1. The etiologies of Lower GIB were: Angiodysplasia of the colon = 3, Cancer of the colon = 1. Non-steroid anti-inflammatory drugs (NSAID) had a positive correlation (p less than 0.01) with Upper GIB due to erosive Gastritis/Duodenitis. Surgery was necessary in a 8 cases of GIB, 7 of them due to Peptic Ulcer. GIB is an important cause of morbidity in patients with CRF on HD. Peptic Ulcer and erosive Gastritis/Duodenitis were the most frequent causes of GIB in the population studied. Angiodysplasia of the colon was the most important cause of Lower GIB. NSAID appear to be a risk factor for GIB from erosive Gastritis and or Duodenitis.
journal_name
Acta Med Portjournal_title
Acta medica portuguesaauthors
Oliveira C,Frazão JM,Pires C,Silva JG,Carrera Fsubject
Has Abstractpub_date
1992-02-01 00:00:00pages
71-4issue
2eissn
0870-399Xissn
1646-0758journal_volume
5pub_type
杂志文章abstract::The Bartter syndrome is a rare hereditary salt-wasting tubulopathy, characterized by metabolic alkalosis, hypokalemia, hyperreninemia and hyperaldosteronemia of varying severity. Indomethacin and high doses of oral potassium have been until now the therapeutic strategies used, with high risk of gastrointestinal injury...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:2011-12-01 00:00:00
abstract:INTRODUCTION:Medically assisted reproduction in natural cycle has been investigated, especially in women with poor response to conventional ovarian stimulation, with endometrial receptivity improvement, lower cost and possibility of successive cycles. The disadvantages are: lower profitability per treatment cycle and h...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:10.20344/amp.10195
更新日期:2019-02-01 00:00:00
abstract::The prevalence of the hepatitis A virus in a population determines the degree of morbidity associated with this illness, that is, the higher the morbidity, the lower the prevalence. This study aims to obtain the prevalence of total antibody to the hepatitis A virus in children, 5 and 8 years of age, and in adolescents...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:2004-05-01 00:00:00
abstract:OBJECTIVE:To compare the haemodynamic measurements of cardiac output (CO), central venous pressure (CVP), pulmonary capillary wedge pressure (Pw) and pulmonary artery systolic pressure (PASP), obtained by Swan-Ganz catheter and transthoracic echocardiography. MATERIAL AND METHODS:Prospective study in a Medical/Surgica...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:2006-05-01 00:00:00
abstract:INTRODUCTION:Functional foods are those that promote health and well-being and/or decrease the risk of certain chronic diseases. It is known that young people' knowledge about functional foods is low. The aim of this study is to assess the psychometric proprieties of the "Attitudes towards Functional Foods Scale" in a ...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:10.20344/amp.9284
更新日期:2019-04-30 00:00:00
abstract:PURPOSE:To evaluate importance of homocysteinemia as risk factor of thrombotic cerebrovascular disease, in terms of age and homocysteinemia levels. METHODS:A group of patients under 55 years old (n = 35, 21 males) that had suffered a stroke 3 months to 1 year before the study, defined by clinical criteria and the pres...
journal_title:Acta medica portuguesa
pub_type: 临床试验,杂志文章,评审
doi:
更新日期:1996-01-01 00:00:00
abstract::A case of angiosarcoma, Raynaud's disease and arteriovenous malformation of the intestinal tract is presented. We propose the association of these three vascular diseases, which has not yet been described. The study of more cases is important in order to understand the physiopathological mechanisms involved. ...
journal_title:Acta medica portuguesa
pub_type: 杂志文章,评审
doi:
更新日期:1994-02-01 00:00:00
abstract::There is a wide acknowledgement of obesity as a relevant clinical entity. Such relevance can be inferred by the huge worldwide amount of research and related health promotion and clinical efforts. Though the evidence sustains some cues for the therapeutic success, the overall long-term effectiveness of obesity treatme...
journal_title:Acta medica portuguesa
pub_type: 杂志文章,评审
doi:
更新日期:2014-01-01 00:00:00
abstract:INTRODUCTION:Menopause is a biological process that occurs as part of aging in women. The increase in average life expectancy and the decline in mortality have caused the aging of global population and, currently, women live about a third of their life in postmenopausal. The General Physician (GP) is usually the first ...
journal_title:Acta medica portuguesa
pub_type: 杂志文章,评审
doi:
更新日期:2010-03-01 00:00:00
abstract::In a housing estate population with a high prevalence of tuberculosis, the authors conducted tuberculosis screening with the tuberculin test, and an investigation with three purposes: evaluation of tuberculosis infection (defined as > 10 mm on tuberculin test), evaluation of BCG effect on tuberculin test, and evaluati...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:1998-12-01 00:00:00
abstract:INTRODUCTION:To evaluate the safety and impact on visual acuity, retinal and choroidal morphology of simultaneous cataract surgery and intravitreal anti-vascular endothelial growth factor on patients with visually significant cataracts and previously treated exudative age-related macular degeneration. MATERIAL AND MET...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:10.20344/amp.7850
更新日期:2017-02-27 00:00:00
abstract::Stevens-Johnson syndrome and toxic epidermal necrolysis are potentially life-threatening adverse cutaneous drug reactions. Clinically, it manifests as a rash, often morbilliform, or atypical target lesions that evolve to epidermal detachment. There is mucosal involvement in almost all patients. The loss of skin's barr...
journal_title:Acta medica portuguesa
pub_type: 杂志文章,评审
doi:
更新日期:2011-12-01 00:00:00
abstract:INTRODUCTION:Progressive multifocal leukoencephalopathy is a demyelinating disease of the central nervous system caused by John Cunningham virus, mostly associated with immunodeficiency conditions, such as the human immunodeficiency virus infection. Progressive multifocal leukoencephalopathy can have multiple clinical ...
journal_title:Acta medica portuguesa
pub_type: 杂志文章,评审
doi:10.20344/amp.5950
更新日期:2015-05-01 00:00:00
abstract::The authors discuss the indications for radiotherapy in late breast cancer, retrospectively analysing the experience of the Radiotherapy Department of the Portuguese Institute of Oncology in Lisbon. Treatment results of locally advanced cancer (T4a-b-c) with megavoltage machines (telecobalt therapy) using two differen...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:1993-05-01 00:00:00
abstract::Selected medical students for undergraduate medical courses in Portugal exhibit each year substantial deficiencies in chemistry. The group of students admitted to the Faculty of Medicine of Lisbon in 1989/1990 were selected by admission criteria apparently more restrictive than before. The aim of this study was to eva...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:1991-01-01 00:00:00
abstract::The Sclerosing Mesenteritis is a rare idiopathic disease. It represents the final stadium of progression of the chronic inflammatory illnesses of the intestinal mesentery, with predominance of fibrosis. The clinical manifestations are varied and unspecific. Diagnosis, that demands high degree of suspicion, can be pres...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:2009-11-01 00:00:00
abstract::The recent improvement in surgical of therapy of carriers of hepatocellular carcinoma is due to both an early diagnosis of the illness and in the evaluation of set of prognostic and resectability factors. On describing a clinical case of a hepatocellular carcinoma localized on the left lobe of a healthy liver, the imp...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:1989-05-01 00:00:00
abstract:INTRODUCTION:Children who visit emergency departments and leave without being seen represent a multifactorial problem. We aimed to compare the sociodemographic characteristics of children who left and of those who did not leave, as well as to evaluate parental reasoning, subsequent use of medical care and patient outco...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:10.20344/amp.9962
更新日期:2018-02-28 00:00:00
abstract::In order to clarify the early systolic partial closure (notching) of aortic valve in patients (pts) with dilated cardiomyopathy (DC), authors (AA) evaluated the M-mode echocardiograms corresponding to 41 pts with DC. Pts were separated in two groups, according to the presence of systolic notching: group A (18 pts) pre...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:1989-03-01 00:00:00
abstract::We describe a case of extra-lobar pulmonary sequestration with broncho-esophageal fistula in a newborn male who presented respiratory distress, cyanosis and feeding difficulties. The diagnosis was made with a swallowed contrast examination, nuclear magnetic resonance, digital subtraction angiography and confirmed by g...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:1998-07-01 00:00:00
abstract::The case of a 31 man with acute disautonomia envolving the parasympathetic and sympathetic systems but sparing sympathetic cholinergic division is presented. A Hodgkin lymphoma was diagnosed allowing the diagnosis of a paraneoplastic syndrome. ...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:2002-03-01 00:00:00
abstract::In order to assess the weight of Rheumatic Diseases, the Authors retrospectively studied 117 patients admitted to the Internal Medicine Service of the Faro District Hospital over a 3 year period (1989-1991). The selection criterion comprised the final rheumatological diagnosis. The diseases were arranged in nosologica...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:1993-07-01 00:00:00
abstract::Differential diagnosis concerning Crohn's Disease and intestinal tuberculosis is often difficult. The authors present an illustrative case with ileal tuberculosis and secondary amyloidosis. Diagnostic tools and therapeutic measures are described. Literature review and theoretical discussion of both pathologies are inc...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:1993-08-01 00:00:00
abstract::Pleural effusions can be a manifestation of several nosological entities. Etiologic diagnosis involves a good clinical history, followed by thoracocentesis with pleural biopsy and eventually bronchoscopy or thoracoscopy. The differentiation between transudates and exudates, by the biochemical characteristics of the pl...
journal_title:Acta medica portuguesa
pub_type: 杂志文章,评审
doi:
更新日期:1995-10-01 00:00:00
abstract::Spinal arachnoiditis, an inflammatory process involving all three meningeal layers as well as the nerve roots, is a cause of persistent symptoms in 6% to 16% of postoperative patients. Although spinal surgery is the most common antecedent associated with arachnoiditis, multiple causes have been reported, including inf...
journal_title:Acta medica portuguesa
pub_type: 杂志文章,评审
doi:
更新日期:1998-01-01 00:00:00
abstract:INTRODUCTION:PFAPA syndrome (Periodic Fever, Aphthous stomatitis, Pharyngitis, Adenitis) is a benign sporadic syndrome of unknown cause and an important diagnosis to consider in the child with recurrent fever and tonsillitis. OBJECTIVES:To describe the presentation, age of onset, time until diagnosed, episode duration...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:2011-01-01 00:00:00
abstract::From 1984 until 1994 there were 7 cases of newborn with esophageal atresia without fistulae, five of which were treated through primary anastomosis and two of these presented exceptional long gaps. This article is an analysis of these 7 newborns, their post-operative complications and the therapeutics used. Two deaths...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:1997-02-01 00:00:00
abstract:INTRODUCTION:The immediate identification of infectious tuberculosis and implementation of effective isolation measures, are a priority of the national policies for disease control. OBJECTIVES:To identify clinical predictor's factors related with sputum smear-positive, in patients with pulmonary tuberculosis diagnosis...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:2010-07-01 00:00:00
abstract:INTRODUCTION:The percentage of citizens who were not registered with a family physician in Portugal reached 16.6% in 2011. In 2012 the Ministry of Health implemented several measures aiming at improving access to family physicians. One clear objective was that all individuals would be registered with a family physician...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:10.20344/amp.9873
更新日期:2018-12-28 00:00:00
abstract::Nowadays, prostate cancer is very frequent in men. The evolution of the possibilities of early diagnosis and the results obtained with radical therapeutics have brought this pathology to our attention. The physicians involved, either general practitioners or specialists in internal medicine or urology, must pay maximu...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:1999-01-01 00:00:00