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Search Results: 1 - 10 of 1747 matches for " Tiago Alpoim "
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Multiple Synchronous Tumours: A Peculiar Clinical Case  [PDF]
Maria Leit?o, Tiago Alpoim, Manuela Machado
Journal of Cancer Therapy (JCT) , 2019, DOI: 10.4236/jct.2019.107049
Abstract: Background: Due to improvements in diagnosis, the better outcomes of oncological patients and the increase in the average age, the incidence of synchronous tumours is likely to increase. Aim: To reflect on the challenges of a case with multiple integrated diagnostic and therapeutic approaches and to bring to consideration the increasing prevalence of similar situations. Case Presentation: In this clinical case, the authors describe the evolution of an asymptomatic patient with several synchronous tumours (a GEJ primary adenocarcinoma, a low grade urothelial carcinoma in situ, a localized squamous cell lung carcinoma and 2 IPMNs). Conclusion: The challenge of this case lies in the difficult diagnostic approach, the assembly of a multidisciplinary and time-sensitive treatment plan and the individualized follow-up, due to lack of guidelines. More research is needed in this area.
A Single Case of Two Synchronous Metastatic Tumours  [PDF]
Filipa Pereira, Tiago Alpoim, Maria Leit?o, Manuela Machado
Journal of Cancer Therapy (JCT) , 2019, DOI: 10.4236/jct.2019.108055
Abstract: The incidence of multiple primary tumours increases with age and due to multiple other factors as environmental and genetic predisposition. The authors describe a case of a 77-year-old female patient with diagnosis in September 2009 of colon mucinous adenocarcinoma. She was submitted to surgery, considered R1 and adjuvant chemotherapy. Six months after treatment she had abdominal recurrence on a nodular lesion in peritoneal fat. The patient was submitted to surgery and did multiple courses of systemic treatment. She underwent cytoreductive surgery with hyperthermic chemotherapy, too. In December 2014 she presented a nodular lesion on the bladder and after excision, the histology confirmed a high-grade transitional cell carcinoma and she maintains treatment with endovesical BCG instillations. After that, she had no evidence of peritoneal disease progression. Besides the bad prognosis associated to peritoneal disease, our case report describes
Primeira descri??o epidemiológica da leishmaniose visceral em Campo Grande, Estado de Mato Grosso do Sul
Botelho, Andrea Cristina Alpoim;Natal, Delsio;
Revista da Sociedade Brasileira de Medicina Tropical , 2009, DOI: 10.1590/S0037-86822009000500006
Abstract: an epidemiological study was conducted on cases of visceral leishmaniasis that were notified in campo grande between 2001 and 2006, using data from the brazilian information system for notifiable diseases (sistema de informa??o de agravos de notifica??o, sinan). in 2001, 577 cases were notified, giving an incidence of 1.47 cases/100,000. this rose to 20.98 cases/100,000 in 2006. from 2002 onwards, new cases were notified every month. children up to nine years of age accounted for 40% of the cases. males accounted for 64% of the cases and females, 36%. the death rate ranged from 5 to 11%, with a mean of 8%. among the 44 deaths, 33 (75%) were male cases and 11 (25%) were female cases. although elderly people accounted for 9% of the cases, mortality among them reached 39%. there were 27 cases of leishmania /hiv coinfection (5%), with a mortality rate of 15%, mostly among men aged 20 to 49 years. a process of disease endemization with a high rate of incidence was observed.
Luxa??o glenoumeral anterior bilateral: caso clínico
Silva, Luís Pires;Sousa, Cristina Varino;Rodrigues, Elisa;Alpoim, Bruno;Leal, Miguel;
Revista Brasileira de Ortopedia , 2011, DOI: 10.1590/S0102-36162011000300016
Abstract: bilateral anterior glenohumeral dislocation is a rare occurrence. we present a case of bilateral anterior glenohumeral dislocation caused by a fall. the interest in publishing this case is that this is a clinical rarity with few cases reported in the literature. an 89-year-old female patient was brought to the emergency department after a fall, complaining of intense pain in both shoulders and inability to move them. objective examination showed clinical signs giving the suspicion of bilateral anterior glenohumeral dislocation, which was confirmed by x-ray imaging. both dislocations were successfully reduced in the emergency department using the modified milch technique. when a synchronous and symmetrical force has acted on both shoulders and these are painful with significant functional limitation, the suspicion of bilateral glenohumeral dislocation is a differential diagnosis to be considered, even though it is rare.
Fracturing of revision of a cobalt-chrome femoral head after fracturing of a ceramic femoral head, with diffuse metallosis. Case report
Pedro Miguel Dantas Costa Marques,António Félix,Bruno Alpoim,Maria Elisa Rodrigues
Revista Brasileira de Ortopedia , 2013,
Abstract: We presente a case of a fracture of a cobalt-chrome femoral head after revision of a hip total prosthesis with ceramic femoral head fracture. During surgery we found the cobalt-chrome femoral head fracture, wear of the polyethylene and massive metallosis in muscular and cartilaginous tissue. Both femoral stem and acetabular cup were stable and without apparent wearing. After surgical debridement, we promoted the substitution of the femoral head and the acetabular polyethylene by similar ones. After 12 months of follow-up, the patient has no pain complaints, function limit or systemic signs associated with malign metallosis
Family Medicine, the specialty of the future: the Portuguese situation within the European context
Tiago Villanueva
International Archives of Medicine , 2009, DOI: 10.1186/1755-7682-2-36
Abstract: General Practice/Family holds tremendous latent potential, and is thus a specialty with a bright future ahead. It could well establish itself as the specialty of the future if it is able to overcome the barriers that currently make of General Practice/Family Medicine an unpopular career choice. It is important to train confident, competent and polyvalent family physicians, but it is also necessary to overhaul payment schemes, to invest in primary care infra-structure and organization, and to continue to attract more and more bright and motivated trainees.In the 24th January 2009 issue of the Portuguese weekly newspaper "Expresso", Dr Luís Pisco, then President of the Portuguese Association of General Practitioners said: "today's freshers are the most brilliant students from their schools, and wish to pursue a technologically-driven specialty and make substantial amounts of money[1]."This isn't a new phenomenon. General Practice has always lagged behind hospital specialties in terms of pulling power for the future generations of specialists.In a recent article, Dr Juan Gérvas defined Primary Health Care as "all the accessible and comprehensive services available to citizens for the follow-up of their health problems. Specialists, Hospitals and emergency departments provide services focused on problems, whereas primary health care is focused on person-centred care[2]."According to the European Society of General Practice/Family Medicine (WONCA Europe), "General practitioners/family doctors are specialist physicians trained in the principles of the discipline. They are personal doctors, primarily responsible for the provision of comprehensive and continuing care to every individual seeking medical care regardless of age, sex and illness[3]. "Core competencies of General practitioners/family doctors include primary care management, person-centred care, specific problem solving skills, comprehensive approach, community orientation, and a holistic approach[3].The clinical
An open-system approach to medical professionalism: a controversy within the sociology of professions
Correia, Tiago;
Interface - Comunica??o, Saúde, Educa??o , 2011, DOI: 10.1590/S1414-32832011000300013
Abstract: this article focuses on a specific debate within theories of professions. despite different trends, there has been difficulty in theorizing some dimensions of the dominant perspectives because of predominant institutional attention. the aim here was to reinforce the debate with complementary conceptualization of professionalism and, consequently, to foster new understandings of professional relationships. the argument lies in shifting the analytical level from the professions to professionals, as a basic step in conceptualizing individual action within professional contexts. this concern becomes increasingly important as the professional discretion structurally held by individuals becomes greater, since the ability to choose leads more explicitly to internal differentiation of professions. systemic influence is felt given that social structures are intrinsically involved in actions, which represent exteriorizations of individually internalized processes. consequently, it becomes necessary to consider the reasons for behaviors and the meanings individually conferred on professional dimensions.
Processos de parceria e resultados em projectos locais de promo??o do emprego
Carrilho,Tiago;
Economia Global e Gest?o , 2008,
Abstract: this article studies partnership processes and respective results in three local projects, à medida, formart e le cheile, analysed on the basis of case study methodology. the analysis considers two principles: processes and results interaction, and combination of quantitative and qualitative studies. partnership work emerges in project design, in actors? involvement in making resources available and task co-ordination, and in organizational change in terms of projects and origin institutions. this foundation makes it possible to use and combine resources which generate quantitative and qualitative results in terms of local employment promotion and social inclusion.
Research proposal: evaluation of the ART approach in elderly patients
Rabello, Tiago;
Journal of Applied Oral Science , 2006, DOI: 10.1590/S1678-77572006000700007
Abstract: with the increase of life expectancy in the world's population, oral health care of elderly people has attracted considerably more attention over the last years. many elderly may benefit from oral health promotion measures that involve the atraumatic restorative treatment (art) approach. the purpose of this study will be to evaluate, over 3 years of follow-up, the clinical behavior of atraumatic restorations placed in elderly patients. the study will comprise a structured interview, intraoral clinical examination, oral hygiene instructions and the atraumatic restorative treatment. intraoral examination will be carried out as recommended by the world health organization (who). small to medium size class i, ii or v cavities without pulp involvement and spontaneous painful symptomatology will be selected to undergo the atraumatic restorative treatment. the restorations will be evaluated by direct observation at baseline and after 6, 12, 24 and 36 months, using modified usphs criteria. two dentists with training and expertise in the art approach, but who will not participate in the art procedures, will evaluate the restorations.
A defesa institucional numa institui??o total: o caso de um centro de internamento de menores delinquentes
Neves,Tiago;
Análise Social , 2007,
Abstract: this essay is based on ethnographic work carried out over about a year in an institution for the internment and re-education of under-age delinquents - the centro educativo de santo antónio (st. anthony's educational centre). the essay analyses and discusses the linkages between institutional defence, identified as a core process in the day-to-day organization of the education centre, and the re-education process, which is an integral part of the institution's objectives. this idea of institutional defence is rooted in adolphe prins' social defence project, in weber's concept of bureaucracy and in the logic of managerialism, which is important currently not only in the sphere of juvenile law-making as in the educational sphere.
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