Abstract:
INTRODUCTION:Disciplinary actions may have a significant impact in medical doctors' and patients' lives. The objective of this study was the assessment of the disciplinary actions in Obstetrics and Gynecology that occurred in the north of Portugal in years 2008 to 2012. MATERIAL AND METHODS:Retrospective descriptive study based on the anonymized data contained in the annual activity reports of Conselho Disciplinar da Seção Regional Norte da Ordem dos Médicos from 2008 to 2012. We calculated the proportion of disciplinary actions in Obstetrics and Gynaecology over the total number of registered specialists in that speciality. We also analysed the type of complainers, accused, institutions, complaints and decisions. For statistical inference proportions with 95% confidence intervals were estimated. RESULTS:From years 2008 to 2012, we registered 1040 complaints in all medical specialities in the north of Portugal. Obstetrics and Gynecology was the forth most affected specialty, with a total of 54 complaints. Forty-three complaints were related with medical malpractice and if we only consider this type of complaint Obstetrics and Gynecology was the most affected specialty. The most frequent complainers and accused were, respectively, patients themselves and female physicians, with 41 to 60 years of age. Fifty-two complaints were archived without punishment while two still await conclusion. DISCUSSION:The overall results of this study are in agreement with those reported by other authors. CONCLUSIONS:Obstetrics and Gynecology was the forth speciality with highest risk for any disciplinary action in the north of Portugal in years 2008 to 2012 and the first one in relation with alleged negligence. All presented and already concluded complaints were archived without penalty, except two that are still under evaluation. :Introdução: As ações disciplinares podem ter um impacto significativo na vida dos médicos e dos doentes. O objetivo deste trabalho foi a avaliação das ações disciplinares em Ginecologia e Obstetrícia ocorridas na região norte de Portugal nos anos 2008 a 2012.Material e Métodos: Estudo descritivo retrospetivo baseado nos dados anonimizados disponíveis nos relatórios anuais de atividades do Conselho Disciplinar da Seção Regional Norte da Ordem dos Médicos dos anos 2008 a 2012. Calculámos a proporção de ações disciplinares em Ginecologia e Obstetrícia sobre o número total de especialistas inscritos. Avaliámos também os tipos de queixoso, de arguido, de instituição, de queixa e de decisão envolvidos. Para comparação de proporções utilizámos intervalos de confiança de 95%.Resultados: De 2008 a 2012, registou-se um total de 1040 ações disciplinares na região norte de Portugal. A Ginecologia e Obstetrícia foi a quarta especialidade mais afetada, com 54 queixas, 43 das quais relacionadas com alegada negligência médica e a mais afetada, se considerarmos apenas este tipo de queixa. Os queixosos e os arguidos mais frequentes foram, respetivamente, doentes em nome próprio e profissionais do sexo feminino, com idade compreendida entre os 41 e 60 anos. Das 54 ações disciplinares registadas, 52 foram concluídas sem penalização e duas aguardam decisão.Discussão: Os resultados estão genericamente de acordo com os de outros autores.Conclusões: A Ginecologia e Obstetrícia foi a quarta especialidade com maior risco de ação disciplinar na região norte de Portugal nos anos 2008 a 2012 e a primeira se considerarmos só as queixas de alegada negligência médica. Todas as ações disciplinares foram arquivadas, sem penalização dos médicos visados, com exceção de duas que se encontram ainda em avaliação.
journal_name
Acta Med Portjournal_title
Acta medica portuguesaauthors
Silva F,Rodrigues E Rodrigues M,Bernardes Jsubject
Has Abstractpub_date
2015-03-01 00:00:00pages
194-203issue
2eissn
0870-399Xissn
1646-0758journal_volume
28pub_type
杂志文章abstract:INTRODUCTION:Meningococcal disease has a wide spectrum of clinical presentation. Occult bacteremia is not easily diagnosed and may have good prognostic. CLINIC REPORT:Three year-old African boy with fever, gonalgia and gait disorder with 24 hours of evolution. Observation was unremarkable. He presented leukocytosis (2...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:2006-03-01 00:00:00
abstract:INTRODUCTION:The purpose of postoperative surveillance programs after curative treatment for colorectal cancer is to detect asymptomatic recurrences with the premise that an important rate will be eligible for curative resection, improving overall survival. We have implemented a surveillance program for patients with c...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:10.20344/amp.7889
更新日期:2017-09-29 00:00:00
abstract::Before the age of 8 in females and 9 in males, the presence of pubic hair can be the first sign of a gonadal or adrenal disease. In order to identify the late onset type of congenital adrenal hyperplasia in premature pubescence, we did the adrenal short stimulation test with Synacthen, on 30 children. Five girls and o...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:1991-07-01 00:00:00
abstract:INTRODUCTION:Since dysphagia may be one of the brain post-stroke consequences, the objective of this study was to analyze the average recovery time of patients with cerebrovascular accident and dysphagia subjected to speech therapy in a hospital bed. MATERIAL AND METHODS:Systematic review performed following the 'Pref...
journal_title:Acta medica portuguesa
pub_type: 杂志文章,评审
doi:10.20344/amp.9183
更新日期:2017-12-29 00:00:00
abstract:INTRODUCTION:Visceral leishmaniasis is an endemic disseminated infection, considered to be the third most frequent opportunistic parasitic infection in Europe. It is especially prevalent in patients co-infected with human immunodeficiency virus, in whom it poses a great therapeutic challenge due to increased risk of re...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:10.20344/amp.8291
更新日期:2017-06-30 00:00:00
abstract:OBJECTIVES:To determine the prevalence of infertility in Porto and to assess the association between infertility and women's year of birth and socioeconomic status. MATERIAL AND METHODS:In a cross-sectional study were evaluated in Porto, in 1999-2003, 1540 women aged 18-90 years. Structured face-to-face interviews com...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:2011-09-01 00:00:00
abstract:OBJECTIVES:This study was undertaken to assess the value of Cockroft-Gault Formula (FCG) in the patients of an Internal Medicine ward. METHODS:FCG was compared with creatinine clearance (DC) adjusted for corporal area. Serum creatinine was measured after 24 h urine collection and 8 h fast. By the subtraction of FCG fr...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:1998-08-01 00:00:00
abstract::Spontaneous ileopsoas hematoma is a rare and potentially lethal complication of liver cirrhosis, with exceptional mention in medical literature. In this article we present a clinical case diagnosed in a patient with alcoholic liver cirrhosis. ...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:2012-01-01 00:00:00
abstract:INTRODUCTION:MEN2A is an autossomal dominant cancer syndrome characterised by the presence of medullary thyroid cancer, pheochromocytoma and primary hyperparathyroidism. Germline mutations of the RET protooncogene constitute the molecular defect and can be identified in affected individuals. Genetic screening of family...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:2003-07-01 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::Congenital absence of the inferior vena cava is a rare vascular anomaly, and most cases are asymptomatic. Nevertheless, patients with inferior vena cava malformations may have increased risk of deep venous thrombosis. Particularly, cases of bilateral deep venous thrombosis may arise owing to an insufficient collateral...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:10.20344/amp.7744
更新日期:2017-04-28 00:00:00
abstract::The effects of immunodepression on several disease states have constituted an important area of research, leading to the identification of relevant associations between immunodepression and a vast set of comorbidities, including infectious diseases, cardiovascular diseases and cancer. Research on the effects of immuno...
journal_title:Acta medica portuguesa
pub_type: 杂志文章,评审
doi:10.20344/amp.7997
更新日期:2017-01-31 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::Cutaneous cytomegalovirus (CMV) infection has been observed in a variety of nonspecific skin lesions. Because of this fact, its diagnosis is rare and frequently accidental. The presence of the virus has also been observed in apparently normal skin, from both a clinical and histological point of view. In this context, ...
journal_title:Acta medica portuguesa
pub_type: 杂志文章,评审
doi:
更新日期:1997-06-01 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::We reviewed all the cases of Squamous Cell Carcinoma in people under 40 years of age, diagnosed histologically at the Dermatopathology Laboratory of the Santa Maria Hospital, from January 1985 to December 1993. The 19 cases detected were analysed for age, sex, occupation, anatomical site of the tumor, evolution, smoke...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:1997-11-01 00:00:00
abstract::The aim of the study was to assess, in patients with non insulin dependent diabetes mellitus (NIDDM), either with previous failure to sulphonylureas or insulin treated since the disease started, if the combination of gliclazide to insulin therapy might induce a reduction of daily insulin requirement. 30 caucasian type...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:1991-03-01 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::The purpose of this study was to determine if the feeding competencies influence the nutritional status in a group of Portuguese children with cerebral palsy (CP). One hundred and five children, aged between 4 and 12 years, were studied. Nutritional status was determined through BMI for age (BMI_y), and subescapular (...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:2007-01-01 00:00:00
abstract:INTRODUCTION:Scabies outbreaks in healthcare institutions are an emerging problem. To determine the best management strategy is a topical matter. We analyzed two hospital scabies outbreaks and reviewed the management strategy of institutional scabies outbreaks. MATERIAL AND METHODS:We performed an observational retros...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:10.20344/amp.12840
更新日期:2020-12-02 00:00:00
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 (...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:1992-02-01 00:00:00
abstract::Hidradenocarcinoma is a rare neoplasm of the eccrine cells of the sweat glands, usually asymptomatic with slow growing and higher incidence between 50 and 80 years, occurring in both sexes and preferentially located in the palmar, plantar, frontal, axillary and nuchal regions. It has an aggressive behavior, with high ...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:10.20344/amp.9017
更新日期:2018-03-29 00:00:00
abstract::The authors present a retrospective study of medical records of patients with lung cancer, admitted at the Service 1 of Internal Medicine of Santo António dos Capuchos Hospital during a 12 year period (1978-1989). Of the 112 selected patients, 50% had histologic diagnosis, the remaining had strong clinical radiographi...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:1992-07-01 00:00:00
abstract:INTRODUCTION:Amyotrophic lateral sclerosis is a rare neurodegenerative disease affecting motor neurons. Patients present with progressive physical impairment, respiratory failure being the main cause of death. A significant portion of patients presents neurobehavioral problems as well. As severe impairment occurs, pati...
journal_title:Acta medica portuguesa
pub_type: 杂志文章,评审
doi:10.20344/amp.6590
更新日期:2016-01-01 00:00:00
abstract::The authors report the importance of not only all over the world but also in Portugal and, particularly, in Dona Estefânia Hospital. Some considerations are made about the usefulness of molecular biology methods in prenatal diagnosis. With this tool can also be do the origins and migrations of populations, which contr...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:1995-06-01 00:00:00
abstract::This is a case report of a 29-year-old white female patient with Kikuchi's disease, presenting fever, polyarthritis, lymph gland enlargement, anemia, leucopenia with a relative lymphocytosis, altered liver function tests and circulating immune complexes. A literature review is made with emphasis on the etiology, clini...
journal_title:Acta medica portuguesa
pub_type: 杂志文章,评审
doi:
更新日期:1997-01-01 00:00:00
abstract:INTRODUCTION:The recent occurrence of a number of outbreaks of dengue in Portuguese speaking countries with no previous disease, aroused curiosity about the competing factors for the phenomenon and a need for better knowledge of the pathology. We review the dengue-related situation in Portuguese speaking countries, lin...
journal_title:Acta medica portuguesa
pub_type: 杂志文章,评审
doi:
更新日期:2014-07-01 00:00:00
abstract::The Internal Medicine consultation plays an important part in the activity of the Medicine Department. This activity is seldom quantified and is usually underestimated. In order to assess the work load represented by this service, the authors designed a prospective study to quantify and analyse the characteristics of ...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:2004-07-01 00:00:00
abstract::The objective of this manuscript is to discuss the existing barriers for the dissemination of medical guidelines, and to present strategies that facilitate the adaptation of the recommendations into clinical practice. The literature shows that it usually takes several years until new scientific evidence is adopted in ...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:2009-01-01 00:00:00
abstract::Schistosomiasis is a major cause of liver damage and portal hypertension, especially in tropical countries, affecting about 200 million people in the world. We report the cases of two patients presenting persistent alterations of serum liver enzymes. We enhance the importance of considering the history of past travels...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:1998-10-01 00:00:00