Acta médica portuguesa
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Acta médica portuguesa · Dec 1999
[Activities at an Infectious Disease Intensive Care Unit (1988-1997)].
The practice of an Infectious Diseases Intensive Care Unit for a period of ten years (1988-1997) is reviewed. In this time 1,191 patients were treated--822 had more than 15 years of age and 369 were younger. The occupation rate ranged between 74.4% and 90.8%, and the mean patient stay in the UCI ranged between 6.7 and 12.5 days. ⋯ The morbidity and mortality of different pathologies admitted to the Intensive Care Unit are presented. The mortality rate of the two most common diseases (meningitis and tetanus) is discussed. The need for Intensive Care in the field of Infectious Diseases is stressed.
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Acta médica portuguesa · Apr 1999
Review Case Reports[Type-II dyserythropoietic anemia. A partial form of the glycoprotein degradation syndrome?].
The authors present a case of a boy, aged 8 years and 11 months, yellow race, with dyserythropoietic anemia type II, diagnosed at two months of age. Screening for partial form of carbohydrate deficient glycoprotein syndrome was normal. This result did not confirm the publication by Fukuda in 1990.
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Acta médica portuguesa · Apr 1999
[The range of congenital malformations associated with cleft lip and palate].
The congenital malformations associated to cleft lip and cleft palate cover a wide range of pathologies with incidence and acuteness that vary according to the authors. In the 284 patients followed and/or referred to the Cleft Consultation of Dona Estefânia Hospital, 78 had associated malformations (27.5%). In three cases there was consanguinity in parents. ⋯ In what concerns the association of syndromes with the type of cleft, primary, secondary or total palate, those of the secondary were the most frequent, particularly that of the Pierre Robin sequence (S. P. R.)--19 in 36 secondary cleft palate.
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Acta médica portuguesa · Dec 1998
Comparative Study[The initial loss of consciousness in spontaneous subarachnoid hemorrhage. What does it mean?].
Poor outcome and rebleeding, after admission to hospital of patients with spontaneous subarachnoid hemorrhage (SAH) has been found to be predicted by loss of consciousness at ictus (LOCi). In this study, we assessed the clinical and neuro-radiological significance of the LOCi in non-traumatic SAH. ⋯ In this study, LOCi has independent predictive power for a poor neurologic condition on admission and for the finding of aneurysm on angiogram. Loss of consciousness at ictus may be explained by the direct impact of the initial hemorrhage on the brain from a large tear in the aneurysmal wall, causing a quick rise in intracranial pressure (with LOCi) but a relatively short bleeding time.