Acta Medica Port
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Case Reports
The Role of Molecular Allergens in the Diagnosis of Cat-Pork Syndrome: An Unusual Case Report.
Cat-pork syndrome is a rare condition, with few cases reported in the literature. This syndrome is justified by the homology between serum albumins from cat and pork. ⋯ We report a well-documented case report of a patient with cat-pork syndrome, with initial mild and non-specific manifestations to well-cooked pork that were overlooked. Component resolved diagnosis was essential to establish the diagnosis, which confirmed the involvement of Fed 2 and Sus s 1, but less relevant in helping to define avoidance diets, since the sensitization profile was not in accordance with clinical manifestations.
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Observational Study
[Attitudes, Knowledge and Views of Portuguese Physicians regarding Complementary and Alternative Medicine: A Cross-sectional Study].
The widespread use of complementary and alternative medicine and the fact that these are not innocuous makes it important for physicians to be familiar with it in order to properly advise their patients. The aim of this study was to identify attitudes, knowledge and views of Portuguese physicians about complementary and alternative medicine. ⋯ Portuguese doctors seem to have a low level of knowledge about complementary and alternative medicine, and a relevantpart of them does not feel prepared to advise their patients about it.
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Dabigatran is a direct oral anticoagulant used to prevent stroke and systemic embolism in patients with atrial fibrillation. In situations that require the urgent reversal of its anticoagulant activity, such as in the case of severe bleeding that is life-threatening; urgent/ emergent surgery or invasive procedures with significant bleeding risk; and the need for thrombolysis in a patient with ischemic stroke, several measures can be taken, including the use of its specific reversal agent, idarucizumab. Based on the guidelines for the use of reversal agents for oral anticoagulants, and on the clinical experience of reversal of dabigatran, a practical guide is presented for use in clinical situations where reversal of dabigatran anticoagulation is required, including the use of idarucizumab. The adoption of this type of guideline contributes to therapeutic optimization and, consequently, greater reversal efficiency and a better resource management.