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Acta Medica Portuguesa

Vírus Zika: Revisão para Clínicos

O vírus Zika é um flavivírus filogeneticamente relacionado com o vírus dengue, vírus da febre-amarela e vírus do Nilo Ocidental. É considerado uma arbovirose emergente transmitida por mosquitos do género Aedes. A sua descoberta deu-se em 1947 na floresta Zika no Uganda, isolado em macaco Rhesus que servia de isco para estudo do vírus da febre-amarela.
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Observational studies in the era of evidence based medicine: Short review on their relevance, taxonomy and designs

In this review of the literature, we distinguish between experimental and observational studies, highlighting the importance that the later have gained in the era of evidence-based medicine. We further analyze the value of observational studies in light of experimental studies. We present a taxonomy for observational studies based on units of observation and measurement (cross-sectional or longitudinal). We distinguish between descriptive studies and analytical studies.
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EPIDEMIOLOGY OF LEISHMANIASES IN PORTUGAL

Leishmaniases, caused by the intracellular protozoan Leishmania infantum, are an endemic zoonosis in the Mediterranean basin. Dogs are considered the major host for these parasites, and the main reservoir for human visceral infection.
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Lean na Gestão da Saúde: Uma Oportunidade para Fomentar a Centralidade do Doente, o Respeito pelos Profissionais e a Qualidade nos Serviços de Saúde

Os casos de Flinders Medical Center (Austrália), Royal Bolton (UK), ThedaCare e Virginia Mason (USA) são exemplos de hospitais que conseguiram melhorar o seu desempenho através da utilização de metodologias Lean. Todavia, nem sempre o processo é tão fácil como aparenta. Não é que a aplicação do Lean seja difícil mas exige condições especiais.
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Thioridazine: an old neuroleptic effective against totally drug resistant tuberculosis

Globally, tuberculosis infections continue to increase their resistance to antibiotics. Multidrug resistant tuberculosis infections (MDR TB) have progressed to extensively drug resistance status (XDR TB) and the latter have evolved in some parts of the world to totally drug resistant (TDR TB) infections.
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Giardia duodenalis and chronic malnutrition in children under five from a rural area of Guinea-Bissau

A case-control study that included 109 children aged 0 to 59 months of a rural community in Guinea-Bissau was conducted. The anthropometric assessment of children in the study identified 31 cases of chronic malnutrition (z-score height for age < -2) and 78 controls (z-score height for age ≥ -2). Microscopic examination of stools was performed for detection and identification of G. duodenalis and other parasites.
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Skin cancer in kidney transplant recipients: incidence and association with clinical and demographic factors

Organ transplanted recipients have a higher risk of non melanoma skin cancer. Our objectives were to determine incidence of skin cancer and search for associations with clinical or demographic factors in a series of kidney transplant recipients.
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Realities and professional expectations of medical students attending Guinea Bissau’s medical school in 2007 school year.

In Guinea Bissau, the majority of university level professionals are still being trained abroad and most of them do not return to their country. This was a major incentive for creating Guinea Bissau’s Medical School.
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