Abstract:
:This paper summons to contest some of the bonds that will be severed, probably, by the new eugenics, and may be repaired by narrative-based medicine, two of the most extreme and contradictory challenges to today's--and tomorrow's--medical practice. Accordingly, I intend to frame its development into the unbounded mathesis of biomedicine with the hindsight intention of questioning the foundations both of the ethical basis of the beginning of life medical decisions and of the end of life medical decisions. I will defend that, since clinical experience always embodies existential and anthropological density, and always has moral value, medical decision making seems not to be totally reducible to any algorithm or to the genetization of the live world.
journal_name
Acta Med Portjournal_title
Acta medica portuguesaauthors
Marques MSsubject
Has Abstractpub_date
2005-09-01 00:00:00pages
353-69issue
5eissn
0870-399Xissn
1646-0758journal_volume
18pub_type
杂志文章abstract::The sacroiliitis accounts for about 1.5% - 10% of all cases of septic arthritis and it is strongly associated with gynaecological infections, pelvic trauma or drug abuse (3.4% - 12.8% of cases occur during the postpartum period). Early diagnosis is difficult because the symptoms are nonspecific in pregnancy and in the...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:10.20344/amp.7062
更新日期:2016-08-01 00:00:00
abstract:BACKGROUND:Some families fulfilling the Amsterdam Criteria (AC) differ from the Lynch syndrome (LS) in that colorectal cancers (CRC) do not present microsatellite instability (MSI) and DNA mismatch repair gene mutations are not found. These families have been designated as Familial Colorectal Cancer type X (XS) and the...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:2009-05-01 00:00:00
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::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...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:2000-01-01 00:00:00
abstract::A case of acute ischemia of the right inferior limb after anti-tuberculous therapy in a 42-Year old woman is reported. This complication was confirmed by artheriography and the investigation revealed vasculitis and anti-histone antibodies. Drug-induced lupus was then diagnosed. A brief review about this subject is als...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:2003-07-01 00:00:00
abstract::Free radicals are highly reactive molecules, and therefore transient, which have an odd number of electrons and are generated in vivo as byproducts of normal metabolism. In this review we survey basic concepts on the chemistry of oxygen free radicals, their cellular sources and the reactions they can undergo. We also ...
journal_title:Acta medica portuguesa
pub_type: 杂志文章,评审
doi:
更新日期:1989-05-01 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::The Authors retrospectively studied 17 patients who have been admitted to the Infectious Diseases Clinic of Coimbra University Hospital during a four year period and whose final diagnosis was brucellar spondylitis. Clinical, epidemiological, laboratory and imaging features are analyzed, as well as those related to the...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:1992-09-01 00:00:00
abstract::Neurocysticercosis (NCC) is the most frequent parasitic disease of the central nervous system. Other Portuguese works showed it to be endemic in the north of our country. The purpose of this paper is to aid the characterization of NCC in the geographic area of our Institution. We retrospectively reviewed the findings ...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:1994-05-01 00:00:00
abstract::As a growing number of people suffer from obesity, understanding the mechanisms by which various hormones and neurotransmitters have influence on energy balance has been the subject of intensive research. Recent experimental studies have implicated leptin as a crucial controller of body weight. Leptin is a 167-aminoac...
journal_title:Acta medica portuguesa
pub_type: 杂志文章,评审
doi:
更新日期:2009-05-01 00:00:00
abstract:INTRODUCTION:Intertrochanteric fractures incidence has been increasing over the past few years and therefore so have all the problems associated with it. It is important to search for possible ways to reduce comorbidities as well as postoperative mortality. We decided to assess the impact of some routine pre-operative ...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:10.20344/amp.4280
更新日期:2014-03-01 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::Ankle injuries are the most frequently encountered injuries in clinical practice. They are often managed by general practicians, and not only by orthopaedic or physiatric physicians. This injury is usually non-complicated, but some care should be taken to assure an adequate management and to exclude severe lesions. Th...
journal_title:Acta medica portuguesa
pub_type: 杂志文章,评审
doi:
更新日期:2008-05-01 00:00:00
abstract::During pregnancy immunological, metabolic, hormonal and vascular changes occur, and can cause specific skin diseases. The specific dermatoses of pregnancy have undergone numerous changes in nomenclature and classification, partly due to advances in the knowledge of the pathogenesis of these skin diseases. Currently th...
journal_title:Acta medica portuguesa
pub_type: 杂志文章,评审
doi:
更新日期:2013-09-01 00:00:00
abstract::A new case of nephrotoxic effect of Maneb is related. The patient used this product as fungicide and developed a progressive illness with acute renal failure. The study by light and electron microscopy revealed severe tubular lesions that disappeared some months later with tubular cell regeneration. However, in spite ...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:1989-08-01 00:00:00
abstract::The availability of scientific information is growing exponentially. Healthcare professionals who wish to keep up-to-date with scientific literature and find the best information should spend their time finding resources that summarize the best available evidence. This manuscript aims to provide bibliographic research...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:2013-07-01 00:00:00
abstract:INTRODUCTION:Adolescents are a target group for reproductive health intervention. Family physicians, gynecologists and pediatricians are the main providers of contraceptive counseling. MATERIAL AND METHODS:Correlational, cross-sectional study, approved by the ethics committee of Leiria Hospital, Portugal. Data was col...
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
abstract:INTRODUCTION:Approximately 20% - 30% of histological lymph node-negative patients with colorectal cancer relapse at five years after surgical treatment. This recurrence is likely due to occult nodal disease undetected by standard histopathological practice which has implications in terms of the clinical management of p...
journal_title:Acta medica portuguesa
pub_type: 杂志文章,多中心研究
doi:10.20344/amp.9696
更新日期:2018-11-30 00:00:00
abstract::Histology records from 63 nephrectomies were reviewed; 22 patients had unilateral totally dysplastic kidneys and 5 had polar or segmental dysplasia. A clinicopathological study of these cases was undertaken. In the first group, there was a slight male preponderance and 75% of the patients presented were under two year...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:1992-05-01 00:00:00
abstract::A retrospective epidemiological study was made based on 1,768 burn patients admitted either to the Burns Unit or the general wards of the Plastic Surgery Department of Prelada Hospital in Oporto, from October 1988 until November 1997, corresponding to almost 8.5% of the overall patients admitted. The average age of th...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:1998-03-01 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
abstract::The occurrence of metastases is documented in a varied number of hepato-cellular carcinomas (HCC). The indicative metastasis is very rarely the form of clinical presentation of the disease. Two cases of HCC which were clinically presented in a secondary location, in the bone and skeletal muscle respectively, are descr...
journal_title:Acta medica portuguesa
pub_type: 杂志文章,评审
doi:
更新日期:1995-04-01 00:00:00
abstract::Our study centred on the research of Pelvic Endometriosis prevalence, in 134 women, who were submitted to diagnostic or surgical laparoscopy in our department, from April 1991 to November 1994. According to the admission causes, the women were divided in four groups: Pelvic pain/infertility/Anexial tumours/Optional tu...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:1997-10-01 00:00:00
abstract:INTRODUCTION:The relationship between lymphomas and autoimmune diseases has been reported as bi-directional, however there is a few data in pediatric population. The aim of this work is to evaluate the prevalence of autoimmune diseases in children and adolescents with Hodgkin's lymphoma followed in a Pediatric Oncology...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:10.20344/amp.6207
更新日期:2015-11-01 00:00:00
abstract::Hidrosadenitis supurativa is a chronic inflammatory disease with great physical and psychological impact. Although conservative treatments may be effective in mild forms of the disease, extensive surgical resection and reconstruction are necessary in more severe forms of the disease. The purpose of this paper is to de...
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::A growing number of thyroid nodules are detected incidentally during imaging tests performed for unrelated reasons and constitute both a clinical and public health problem. Due to scarce information and lack of long term follow-up studies of individuals with subclinical nodules, there are no consensual guidelines for ...
journal_title:Acta medica portuguesa
pub_type: 杂志文章,评审
doi:
更新日期:2006-07-01 00:00:00
abstract::The isolation of nontuberculous mycobacteria was considered for many years as a result of contamination or transient colonization. The role of these bacteria in human disease was recognized only after 1950. They were present almost exclusively in patients with underlying pulmonary pathology and were rare. The prevalen...
journal_title:Acta medica portuguesa
pub_type: 杂志文章,评审
doi:
更新日期:1999-12-01 00:00:00
abstract::Fever and rash are a common combination of symptoms in the young adult patient. The etiologic investigation is usually oriented towards the most common diseases, but atypical presentations of less frequent conditions should also be recalled. We describe the case of a 44 year-old Portuguese woman who presented with fev...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:10.20344/amp.9776
更新日期:2018-06-29 00:00:00
abstract::The circumstances preceding the future revision of the medical curriculum are analysed, main internal and external stimuli are described, and sources of resistance to changes in medical training require new educational philosophy, privileging oriented training during undergraduation, as a preliminary phase of medical ...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:1993-10-01 00:00:00
abstract::The authors describe the case of a 49 year-old caucasian male with left pleural effusion. The etiology of the effusion was exsudative with a preponderance of neutrophils. Ten days after admission and on empirical antibiotic therapy, the patient still had fever and the pleural effusion that became purulent. The thoraci...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:2000-09-01 00:00:00