Abstract：
:We report 3 years of experience with operative ultrasonography on 200 patients who underwent cholecystectomy for biliary lithiasis. Intraoperative ultrasonography and intraoperative cholangiography were performed on all of these patients and compared with the operative findings. The diagnostic accuracy of sonography was 98% and that of cholangiography 96% in the whole patient group. The predictive value of a positive ultrasonography was 92.5% while that of a positive cholangiogram was lower at 81.5%. In 32 patients who underwent surgical exploration of the common duct the use of these two intraoperative screening tests together led to a positive common duct exploration in 75% of the patients. Overall morbidity in this series was 4.8% against 12.8% (common duct exploration) and retained stones following duct exploration were present in 1 patient in intra-hepatic situation. The overall mortality rate of the entire patient group was 0%. Operative ultrasonography of the biliary tract as a screening procedure is a reliable method, a possible substitute for operative cholangiography, but perhaps in reality both methods are complementary.
journal_name
Acta Med Portjournal_title
Acta medica portuguesaauthors
Garcia JP,Sousa JT,Silva E,Soares E,Pedroso C,Cid MOsubject
Has Abstractpub_date
1993-03-01 00:00:00pages
123-8issue
3-4eissn
0870-399Xissn
1646-0758journal_volume
6pub_type
杂志文章abstract：:Embalming is a chemical process that aims the preservation and sanitization of the human body indefinitely. The technique of embalming is an important tool in teaching and research in anatomy enabling the preservation of cadaveric material in good conditions (lessening any significant structural changes and maintainin...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：2013-05-01 00:00:00
abstract：:Brain radiotherapy aims at controlling the pathological lesion(s) as well as avoiding damaging critical structures. However, side effects may occur. Neurocognitive function is often involved impairing quality of life. This dysfunction is among the most frequent complications of brain irradiation. Sparing as much as fe...
journal_title：Acta medica portuguesa
pub_type： 杂志文章,评审
doi：
更新日期：2010-01-01 00:00:00
abstract：INTRODUCTION:To evaluate sleep deprivation and its effects on young physicians in relation to concentration capacity and psychomotor performance. MATERIAL AND METHODS:Eighteen physicians aged 26 - 33 years were divided into 2 groups: non-sleep deprived group (with no night work) and sleep deprived group (minimum 12 ho...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：10.20344/amp.5777
更新日期：2015-07-01 00:00:00
abstract：INTRODUCTION:To analyze the cesarean section rate evolution in a tertiary hospital and the main indications for cesarean section. MATERIAL AND METHODS:A retrospective study was conducted at a major academic hospital and included 5 751 women who had a cesarean section from 2005 to 2011. The rates of overall, primary an...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：2013-11-01 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：: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：: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：:In the literature, there are few reports of posterior cerebral artery aneurysms resulting from isolated dissections. In these cases the treatment is still a matter of discussion and includes anticoagulation, surgical intervention, endovascular techniques and conservative management. We present five cases of Posterior ...
journal_title：Acta medica portuguesa
pub_type： 杂志文章,评审
doi：
更新日期：2001-01-01 00:00:00
abstract：:The authors join the celebrations of the Centenary of the establishment of the Faculdade de Medicina da Universidade de Lisboa, on the 22(nd) April 2011, through the historical account of one of its main pilasters, the Institute of Anatomy. It is discussed the scope of its creation at the time, the important work done...
journal_title：Acta medica portuguesa
pub_type： 历史文章,杂志文章
doi：
更新日期：2011-07-01 00:00:00
abstract：OBJECTIVE:The purpose of this study was to determine the safety and efficacy in the first sixteen patients operated by endoscopic third ventriculostomy for triventricular obstructive hydrocephalus in the Hospital of S. João-Porto. METHODS:Operated from December 1998 to December 1999, there were one adult, one teenager...
journal_title：Acta medica portuguesa
pub_type： 临床试验,杂志文章
doi：
更新日期：2002-09-01 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：INTRODUCTION:Crohn's disease (CD), Ulcerative Colitis (UC) and Indeterminate Colitis (IC), commonly known as Inflammatory Bowel Disease (IBD) represent a heterogeneous group of chronic diseases of unknown origin and varying course, diagnosed in pediatric age at 25 to 30% of cases. Epidemiological international studies ...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：2011-12-01 00:00:00
abstract：:The alexithymia construct was introduced by Nemiah and Sifneos in the early 70s. It is a multifaceted personality construct that has been recognized associated with various conditions of health disorders. Nonetheless, despite the abundant literature, due to methodological weaknesses, a great share of the studies has b...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：2009-11-01 00:00:00
abstract：:Sympathetic and parasympathetic nervous system evaluation was performed in 21 patients with rheumatoid arthritis. Every patient had autonomic nervous system (ANS) dysfunction, the parasympathetic involvement being the most frequent. ANS dysfunction may explain some manifestations and may well be the expression of a la...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：1993-06-01 00:00:00
abstract：:Cardiotocographic signals, used as a perinatal diagnostic tool, comprise fetal heart beat signals (FHR), uterine contractions (UC) and fetal movements (FM). Visual inspection of these three signals is limited, subjective, time consuming and with low reproducibility. The present paper illustrates an application of sign...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：1992-01-01 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：INTRODUCTION:Deep brain stimulation (DBS) is effective in advanced Parkinson's disease (PD), improving motor symptoms, fluctuations and quality of life. However, adverse psychiatric outcomes have been reported, albeit variably and in an unstandardized fashion. We aimed to summarize the published evidence on the outcome...
journal_title：Acta medica portuguesa
pub_type： 杂志文章,meta分析,评审
doi：10.20344/amp.4928
更新日期：2014-05-01 00:00:00
abstract：BACKGROUND:The large wounds of the body wall, due to traumas, removal of tumors or prolonged laparostomies are a difficult surgical challenge with complex treatment. This paper presents the efficacy of the closure of large surgical wounds using rubber elastic bands. METHODS:One or two circular rubber elastic bands wer...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：2011-05-01 00:00:00
abstract：:Our study included 42 patients with obstructive sleep apnea (OSAS) confirmed by polysomnography. In these patients we investigated the clinical manifestations, the results of the laboratory examinations, including polysomnography, ORL observations and tests of pulmonary function, as well as the therapeutic results. Ou...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：1994-12-01 00:00:00
abstract：:The correct practice of specialized Clinical Pathology is dependent on the acquired aptitude and capacity gained by residents during their specialization. So, the adopted program for residents must be practical and detailed, obviously exceeding the simple and routine execution of laboratory methods and techniques. In ...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：1990-11-01 00:00:00
abstract：:New generation oral anticoagulants - rivaroxaban, apixaban and edoxaban - represent an important medical achievement. Their therapeutic effectiveness and ease of use make them essential in the management of thromboembolic conditions. However, as warfarin, they have known haemorrhagic risks. This paper reports the case...
journal_title：Acta medica portuguesa
pub_type：
doi：10.20344/amp.9397
更新日期：2019-06-28 00:00:00
abstract：:Testicular microlithiasis is a rare entity, usually asymptomatic and bilateral. There are however reports that until 40% of the cases may be related with testicular tumours. We report an 11-year-old boy, with a four-month history of left testicular mass. Sonography showed increased volume of left testis and bilateral ...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：2005-11-01 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：:In an attempt to discern the paradigms underlying our medical practice (more specifically paediatrics) over the last 30 years, it was found that these are rather similar to the ones prevailing at the beginning of this period--all wrong-doings were attributed to outside forces which had to be neutralized; the obsession...
journal_title：Acta medica portuguesa
pub_type： 历史文章,杂志文章
doi：
更新日期：2000-07-01 00:00:00
abstract：INTRODUCTION:The aim of the study described in this paper is to screen medical curricula in relation to the attention paid to intimate partner violence, by applying a framework derived from the international literature. MATERIAL AND METHODS:We screened curricula of five Mozambican medical schools based on a state-of-t...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：10.20344/amp.12049
更新日期：2020-01-03 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 this review of cochlear otosclerosis 14 cases were studied by CT scan aiming to establish a densitometric pattern of the capsular foci and relating it to the hearing and vestibule dysfunctions. Severe demineralization with characteristics of probable activity (increased lucency of 30-40%) was demonstrated in the ca...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：1994-09-01 00:00:00
abstract：:The pathogenesis of cholestasis, bilirubin encephalopathy, and Alzheimer's disease appears to result from accumulation of diverse cytotoxic agents, which in turn may cause apoptotic cell death. In addition, mitochondria has lately been considered as a central executioner of programmed cell death, through the release o...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：2002-07-01 00:00:00
abstract：:The Portuguese population is affected by the highest mortality rates in all the countries of the European Union. The highest mortality rates occur in some districts on the north coast where, in 1995, the rates standardised by age were above 200/100,000/annum, with the lowest figures in some districts in the interior a...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：1997-08-01 00:00:00
abstract：BACKGROUND:Abdominal trauma is a major cause of morbi-mortality all over the world which makes it essential an approach focused on rapid diagnosis and treatment. The main goals of this study are to identify global epidemiologic data of abdominal trauma in our tertiary trauma center and to study traumatic lesions, treat...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：2013-11-01 00:00:00
