Ahead of Print

  • Pé Diabético: Muito Além da Lesão Superficial

    Diabetic Foot: Far Beyond a Superficial Wound

    Sandra Raquel Sousa, Raquel Sousa
    Date: 2024-09-27
  • Infeção Urinária em Pediatria: Etiologia e Sensibilidade Antimicrobiana num Serviço de Urgência Pediátrica

    Urinary Tract Infection in Pediatrics: Etiology and Antimicrobial Sensitivity in a Pediatric Emergency Service

    Natalia Andrea Oviedo Ramirez, Inês Silva Costa
    Abstract

    Introduction: Urinary tract infection (UTI) is one of the most common bacterial infections in pediatrics, with a wide spectrum of clinical manifestations, which can be the sentinel event for congenital anomalies of the urinary tract. Given its relevance in the emergency setting, representing up to 5%-10% of causes of fever of unknown origin, the aim was to characterize the process of urine sample collection and testing from patients suspected of UTI in a Pediatric Emergency Service (PES).
    Methods: Retrospective review of urine cultures collected in the service between March 2020 and January 2024.
    Results: A total of 745 urinary screenings were conducted, with a median age of 2.8 years, 60.7% of whom were female. Sample processing took an average of 1.3±0.6 days. The positivity rate in aseptic methods was 17.4%, ranging from 23% for midstream voiding to 50% for bladder puncture. Although Escherichia coli was the most frequent isolate (70.7%), it also exhibited one of the highest resistance rates to amoxicillin-clavulanic acid (33%). Other isolated germs were: Proteus at 20.7%, Staphylococcus saprophyticus at 2.3%, Klebsiella and Enterococcus at 1.5% each, and other germs at 2.3%. Resistance to cefuroxime was observed in 1.5%.
    Conclusion: In this study, E. coli remains the predominant pathogen in UTI, and the increasing resistance to penicillins in our population is concerning. Cefuroxime is an effective option in empirical treatment of UTI.

    Date: 2024-09-27
  • Enhancing Comfort in End-of-Life Care: The Crucial Role of Nursing

    Melhorar o Conforto em Cuidados de Fim-de-Vida: O Papel Crucial da Enfermagem

    Jorge Miguel Pereira
    Date: 2024-09-13
  • A Importância dos Registos Clínicos e dos Relatórios Periciais na Medicina dos Seguros: Da Previsão à Provisão

    The Importance of Clinical Records and Expert Reports in Insurance Medicine: From Prediction to Provision

    Carlos Henrique Durão
    Abstract

    This article aims to raise awareness about the proper completion of medical records in the clinical process, discussing the various medico-legal repercussions that this information represents not only in the clinical evolution, but also in the medical-legal documentation that it represents in Court when assessing the Criminal Law, Labor Law, Civil Law, among others.

    Date: 2024-09-13
  • Transforming Surgical Practices with Computer Vision: Recent Developments and Clinical Applications

    Transformando a Prática Cirúrgica com Visão Computacional: Desenvolvimentos Recentes e Aplicações Clínicas

    Tiago Cunha Reis
    Abstract

    Computer vision has emerged as a transformative technology with the potential to significantly enhance surgical practices' safety, efficiency, precision, and training. By leveraging advanced algorithms and artificial intelligence, computer vision applications offer real-time analysis of visual data during surgical procedures, enabling automated decision support, performance assessment, and intraoperative guidance. This article delves into the recent developments in computer vision technology within the realm of surgery, particularly focusing on its application in minimally invasive procedures. It also discusses the current state of computer vision in surgery while exploring its practical applications. The article highlights the challenges that must be overcome for widespread clinical adoption, emphasizing the crucial role of collective efforts in addressing these obstacles. With a balanced focus on both the technical advancements and the practical implications, this manuscript provides a comprehensive overview of the role of computer vision in modern surgery.

    Date: 2024-09-12
  • A Comunicação Eficaz na Base da Educação Terapêutica

    Effective Communication at the Basis of Therapeutic Education

    Paula Sofia Ribeiro Martins, Catarina Campos Pinto
    Date: 2024-09-05
  • NeuroPOCUS: Uma Ferramenta Útil a Desenvolver

    NeuroPOCUS: An Usefool Tool to Develop

    Diogo Dias, Ana Coelho Santos Tenreiro, Andreia Bernardino
    Date: 2024-07-30