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

authors： Campos MM,Fernández E,Marques MJ,Cordeiro A

更新日期：2000-09-01 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

authors： Vanzeller M,Sapage JM,Shiang T,Rodrigues F

更新日期：2000-09-01 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

authors： Da Mota HC

更新日期：2000-07-01 00:00:00

abstract：:Endometriosis was first described by Russel more than one-hundred years ago and still remains a clinical entity of difficult comprehension, with totally aberrant symptomatology, particularly in extra-genital situations. The present article describes a clinical case of recurring right-sided catamenial pneumothorax in a...

journal_title：Acta medica portuguesa

authors： Coimbra H,Brancho EC,Falcão F,De Oliveira HM

更新日期：2000-05-01 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

authors： Sequeira J,Martins C,Marques C,Machado A,Baptista AP

更新日期：2000-01-01 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

authors： Sarmento e Castro RS,Vasconcelos O,Horta AA,Rodrigues F,Pereira MF,Rocha-Marques A

更新日期：1999-12-01 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

authors： Neves J,Santos PJ,Azevedo I,Arteaga MP,Cruz AS

更新日期：1999-04-01 00:00:00

abstract：:After defining U.I. as a symptom, sign and condition, the author claims, through epidemiological studies, that this reflects a major medical, social and economic problem. On the other hand the physiopathology of U.I. can be explained in a context of balance between the retention and emptying forces during the filling ...

journal_title：Acta medica portuguesa

authors： Santos VV

更新日期：1999-01-01 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

authors： Ruah J

更新日期：1999-01-01 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

authors： Pina AN

更新日期：1998-12-01 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

authors： Simão C,Gonçalves M,Guerreiro O

更新日期：1998-12-01 00:00:00

abstract：:In Portugal, piroxicam is one of the most prescribed non-steroidal anti-inflammatory agents (NSAIDs) and is frequently associated to photosensitivity skin reactions, well known by all dermatologists. The authors review the physiopathology and clinical patterns of this adverse drug reaction. Importance is given to the ...

journal_title：Acta medica portuguesa

authors： Varela P,Amorim I,Sanches M,Massa A,Santos E

更新日期：1998-11-01 00:00:00

abstract：:The authors present the experience of 63 clinical cases of microsurgical reconstruction of the head and neck. These reconstructions were accomplished by different microvascular free flaps which were selected according to the type, size and location of the defects. Fasciocutaneous, osteofasciocutaneous, adipofascial, m...

journal_title：Acta medica portuguesa

authors： Costa H,Guimarães I,Cunha C,Conde A,Luz M,Pinto A,Pinho C,Freitas A,Rodrígues J,Guimarães A,Trigo J,Rangel C,Cruzeiro C,Almeida JE,Ferreira AC,Soutar D

更新日期：1998-10-01 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

authors： Fernandes N,Macedo G,Queiroz H,Ribeiro T

更新日期：1998-10-01 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

authors： Alcântara P,Gonçalves F,Moreira C,Gonzalez MA

更新日期：1998-08-01 00:00:00

abstract：:A correlation between urinary tract infection, vesicoureteral reflux and voiding disorders has increasingly been reported. Voiding dysfunction increases the incidence of recurrent urinary tract infection, induces and perpetuates vesicoureteral reflux, even after surgical antireflux treatment, and may result in permane...

journal_title：Acta medica portuguesa

authors： Castro I,Soares E,Casimiro A,Nogueira G

更新日期：1998-07-01 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

authors： Pedroso H,Anjos R,Lino JS,Nunes AM,Bispo MA,Palminha JM

更新日期：1998-07-01 00:00:00

abstract：:The authors, using the Cancer Registry data of S. Antonio General Hospital in Oporto, selected the cancer cases from 1981 to 1993. Distribution according to age, sex, topography and morphology is presented. Seven point nine percent of the 12,124 cases mentioned in the Registry were skin cancers (n = 883). They were mo...

journal_title：Acta medica portuguesa

authors： Amado J,Oliveira M,Velho GC,Costa V,Torres FO,Massa A

更新日期：1998-06-01 00:00:00

abstract：:The authors report the clinical case of a woman exposed to ionizing radiotherapy, for the treatment of breast carcinoma, in whom a pemphigus lesion developed within the area of irradiation. This is, to the authors' knowledge, the 14th case of ionizing radiation-induced pemphigus. ...

journal_title：Acta medica portuguesa

authors： Correia MP,Santos D,Jorge M,Coutinho S

更新日期：1998-06-01 00:00:00

abstract：:The authors review and discuss the medical treatment in the prehospital phase of acute myocardial infarction while working at the Referral Centre for Emergency Patients of the National Institute for Medical Emergencies (CODU-INEM). The diagnosis of myocardial infarction should be suspected immediately by the doctor on...

journal_title：Acta medica portuguesa

authors： Mesquita A,Santos I,Rato F,Martins C

更新日期：1998-05-01 00:00:00

abstract：:Many workers in the textile industry have respiratory symptoms that are related to their work environment. In this study we observed the dust level conditions of eleven textile industries of the North of Portugal. The dust levels determined were between 0.1 mg/m3 and 1.25 mg/m3, in many cases above the Portuguese stan...

journal_title：Acta medica portuguesa

authors： Da Costa JT,Barros H,Macedo JA,Ribeiro H,Mayan O,Pinto AS

更新日期：1998-04-01 00:00:00

abstract：:Atrial septum aneurysms are an uncommon condition, underestimated before the routine use of echocardiography. Their clinical importance has increased after being associated with thromboembolic events. The authors made a review of clinical, diagnostic and therapeutic features of this entity after reporting six clinical...

journal_title：Acta medica portuguesa

authors： Teixeira H,Noronha D,Marcão I

更新日期：1998-04-01 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

authors： Ferraro A

更新日期：1998-03-01 00:00:00

abstract：:The authors present their clinical experience of leg and foot reconstruction with 227 clinical cases. Based on these cases the authors analyse the use of 18 musculocutaneous, 53 axial, 72 septocutaneous and 84 free flaps, totalling 29 different kinds of flaps performed. Although no definitive conclusions can be drawn ...

journal_title：Acta medica portuguesa

authors： Amarante J,Reis J,Malheiro E,Comba AS,Silva A,Pereira MC

更新日期：1998-02-01 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

authors： Ribeiro C,Reis FC

更新日期：1998-01-01 00:00:00

abstract：:As far as we know, there is no experience of quality management in mental health care in Portugal. This study fills a gap in the area of consultation-liaison psychiatry. Due to its multidisciplinarity and to the complexity of the problems it deals with, consultation-liaison psychiatry seems a privileged field for the ...

journal_title：Acta medica portuguesa

authors： Cardoso G,Correia TM,Luís A

更新日期：1997-12-01 00:00:00

abstract：:Many studies have shown that social support is related with psychological disorders and both are high consumers of health service resources. A study was carried out by the author to identify psychological disorder relationships with social support and how they change in presence or absence of life events. An inquiry b...

journal_title：Acta medica portuguesa

authors： Neto M

更新日期：1997-12-01 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

authors： Marta AS,Correia M,Garcia E Silva L

更新日期：1997-11-01 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

authors： Arraiano MB,Gama I

更新日期：1997-10-01 00:00:00

abstract：:Chorioangioma is the most frequent nontrophoblastic tumour of the placenta, with a reported incidence ranging from 0.01% to 1.3%. The authors describe three cases of placental chorioangiomas, two of these diagnosed prenatally by ultrasound, and the clinical implications for both mother and fetus. Premature delivery an...

journal_title：Acta medica portuguesa

authors： Azevedo M,Barbosa A,Valente F

更新日期：1997-10-01 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

authors： Falcão JM,Valente P

更新日期：1997-08-01 00:00:00

abstract：:The diagnosis of cerebral cardioembolism requires, apart from evidence of an embolic cardiopathy, a cause-effect relation to be established between the potential cardioembolic source and the occurrence of ischemic stroke. There are several arguments in favour of this reaction, namely the neurologic aspects put forward...

journal_title：Acta medica portuguesa

authors： Henriques I

更新日期：1997-08-01 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

authors： Franca I,Poiares-Baptista A,Pais MJ,Araújo C,Chorão M,Ricardo JL,Mansinho K

更新日期：1997-06-01 00:00:00

abstract：:Significative enhancement of free radical formation (FRO) in vivo is an important feature of hypertensive disorders of pregnancy (HDP), namely preeclampsia (PIH). The latest investigations about the pathology of HDP, showed the contribution of placental circulation to the development and evolution of such disease. The...

journal_title：Acta medica portuguesa

authors： Neves J,Cruz AS,Azevedo I,Vaz AC,Vasco P,Santos PJ,Bicho MP

更新日期：1997-05-01 00:00:00

abstract：:The exercise tolerance test (ETT) is the ancillary test of choice for the evaluation of the patient with ischaemic heart disease. When faced with complaints suggestive of angina pectoris, ETT is useful in confirming or excluding such a diagnosis, frequently reproducing the complaints while recording the tell-tale elec...

journal_title：Acta medica portuguesa

authors： Monteiro J

更新日期：1997-04-01 00:00:00

abstract：OBJECTIVE:To evaluate, in an elderly Portuguese population, the diagnostic capacities of the most popular treadmill stress test protocols. DESIGN:Retrospective study of an elderly Portuguese population submitted to a stress test. PATIENTS AND METHODS:A population of 45 patients (35 male), aged 65 or more years, conse...

journal_title：Acta medica portuguesa

authors： Aguiar J,Reis RP,Caria R,Nunes H,de Almeida AR,Tavares J,Veiga C,Simões R,Romano H,d'Almeida VC

更新日期：1997-04-01 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

authors： Rosinha MC,Silva JC,Monteiro J,Souto A,Monteiro B

更新日期：1997-02-01 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

authors： Moraes MF,da Graça JP,Araújo C,de Matos AA,de Lacerda MJ,Abecasis P

更新日期：1997-01-01 00:00:00

abstract：:Some workers in the textile industry have respiratory symptoms related to their occupation. This study is aimed at evaluating the frequency of respiratory symptoms in textile industries in the North of Portugal. We evaluated 3529 workers from 20 factories (19 deal with synthetic fibres and cotton and the other deals w...

journal_title：Acta medica portuguesa

authors： da Costa JT,Barros H,Macedo JA,Ribeiro H,Mayan O,Pinto AS

更新日期：1997-01-01 00:00:00

abstract：:Sepsis is a common pathology during the neonatal period. Low-birth weight is the most important isolated risk factor. With the purpose of determining the prevalence of nosocomial infection in newborns of very low birth weight (VLBW), finding the microbial flora and the mortality of these patients, the authors retrospe...

journal_title：Acta medica portuguesa

authors： Costa A,Guimarães H,Souto A,Martins A,d'Orey C,Mateus M,Silva G,Santos NT

更新日期：1996-10-01 00:00:00