Context Medically unexplained physical symptoms (MUPS) are frequently encountered in family medic... more Context Medically unexplained physical symptoms (MUPS) are frequently encountered in family medicine, and lead to disability, discomfort, medicalisation, iatrogenesis and economic costs. They cause professionals to feel insecure and frustrated and patients to feel dissatisfied and misunderstood. Doctors seek answers for rather than with the patient. Objectives This study aimed to explore patients' explanations of the medically unexplained physical symptoms that they were experiencing by eliciting their own explanations for their complaints, their associated fears, their expectations of the consultation, changes in their ideas of causality, and the therapeutic approach that they considered would be useful. Methodology A qualitative analysis was under-taken of interviews with 15 patients with MUPS in a family medicine unit, 6 months after diagnosis. Results Experience is crucial in construction of the meaning of symptoms and illness behaviour. Many patients identify psychosocial c...
rEsumo A melhoria da qualidade dos cuidados pre-natais e dos cuidados intensivos neonatais result... more rEsumo A melhoria da qualidade dos cuidados pre-natais e dos cuidados intensivos neonatais resultaram, nas ultimas decadas, numa continuada diminuicao da morbilidade e da mortalidade perinatais e infantis, particularmente de recem-nascidos muito pre-termo. No entanto, ha uma grande variabilidade entre unidades de saude na decisao sobre procedimentos e intervencoes, quer a nivel nacional quer internacional, que se pode refletir em desigualdades nos resultados em saude e que importa aBstract In the last decades, the improvement of antenatal and neonatal care led to a continued decrease in perinatal and infant morbidity and mortality, particularly for very preterm infants. However, there is a great variability in medical procedures and interventions across health units, both at national and international levels, which can result in avoidable inequalities in health outcomes. This study intends to describe (1) the European project " Effective Perinatal Intensive Care in Europe "...
The identification of the characteristics necessary for the performance, quality, functions guidi... more The identification of the characteristics necessary for the performance, quality, functions guiding postgraduate medical training is a necessity of proper training and the institutions responsible for their professional qualification. It thus define a Competency Profile of guiding doctors in training which meets the needs of a training process (specialization) that arises primarily in the context of real work. To define the Skills Profile, the authors conducted a screening exercise of the functions and tasks of the advisor, identifying the skills that support your performance. The profile identified was submitted to a group of professionals for validation and, at all stages of development, the assessment of external auditors. In this profile to identify and systematize the characteristics of the supervisor in three types: prerequisites, attributes and teaching skills. The Competency Profile, constituting a useful tool for self-assessment, also allows the institutions responsible for...
Paediatric and perinatal epidemiology, Jan 22, 2018
The World Health Organization recommends exclusive breast milk feeding until 6 months and continu... more The World Health Organization recommends exclusive breast milk feeding until 6 months and continuing up to 2 years of age; little is known about whether very preterm infants are fed in accordance with these recommendations. We aimed to describe the prevalence and duration of breast milk feeding in very preterm children and to systematically review internationally published data. We evaluated breast milk feeding initiation and duration in very preterm children born in 2 Portuguese regions (2011-2012) enrolled in the EPICE cohort and followed-up to the age of 3 (n = 466). We searched PubMed from inception to January 2017 to identify original studies reporting the prevalence and/or duration of breast milk feeding in very preterm children. 91.0% of children received some breast milk feeding and 65.3% were exclusively breast fed with a median duration of 2 months for exclusive and 3 months for any breast milk; only 9.9% received exclusive breast milk for at least 6 months, 10.2% received...
The G antigen belongs to the Rh system and is present on most D-positive red blood cells (RBC) an... more The G antigen belongs to the Rh system and is present on most D-positive red blood cells (RBC) and on most C-positive RBC1. For this reason, the true specificity of serum that apparently has anti-D and anti-C specificity when tested with the usual panels for the identification of irregular antibodies could correspond to one of the five possible combinations: anti-D and anti-C (D+C), anti-D and anti-G (D+G), anti-D and anti-C and anti-G (D+C+G), anti-C and anti-G (C+G), and anti-G2. The correct identification of the specificity and, in particular, the determination of whether anti-D is present or not are of paramount clinical importance in different clinical settings. In pregnant women, the presence of anti-D excludes the need for the administration of prophylactic anti-D immunoglobulin (RhIG). In addition, the exclusion of the presence of anti-D in samples from D-negative women with D-negative partners or from D-negative recipients of D-negative blood components can avoid potential social or medico-legal complications2. We describe here a simple approach that enables us to determine whether anti-D is present or not in serum presumed to contain anti-D and anti-C specificity. This protocol was employed in the study of 32 samples with presumed anti-D+C specificity confirming the utility of this simple and less time-consuming strategy.
Context Medically unexplained physical symptoms (MUPS) are frequently encountered in family medic... more Context Medically unexplained physical symptoms (MUPS) are frequently encountered in family medicine, and lead to disability, discomfort, medicalisation, iatrogenesis and economic costs. They cause professionals to feel insecure and frustrated and patients to feel dissatisfied and misunderstood. Doctors seek answers for rather than with the patient. Objectives This study aimed to explore patients' explanations of the medically unexplained physical symptoms that they were experiencing by eliciting their own explanations for their complaints, their associated fears, their expectations of the consultation, changes in their ideas of causality, and the therapeutic approach that they considered would be useful. Methodology A qualitative analysis was under-taken of interviews with 15 patients with MUPS in a family medicine unit, 6 months after diagnosis. Results Experience is crucial in construction of the meaning of symptoms and illness behaviour. Many patients identify psychosocial c...
rEsumo A melhoria da qualidade dos cuidados pre-natais e dos cuidados intensivos neonatais result... more rEsumo A melhoria da qualidade dos cuidados pre-natais e dos cuidados intensivos neonatais resultaram, nas ultimas decadas, numa continuada diminuicao da morbilidade e da mortalidade perinatais e infantis, particularmente de recem-nascidos muito pre-termo. No entanto, ha uma grande variabilidade entre unidades de saude na decisao sobre procedimentos e intervencoes, quer a nivel nacional quer internacional, que se pode refletir em desigualdades nos resultados em saude e que importa aBstract In the last decades, the improvement of antenatal and neonatal care led to a continued decrease in perinatal and infant morbidity and mortality, particularly for very preterm infants. However, there is a great variability in medical procedures and interventions across health units, both at national and international levels, which can result in avoidable inequalities in health outcomes. This study intends to describe (1) the European project " Effective Perinatal Intensive Care in Europe "...
The identification of the characteristics necessary for the performance, quality, functions guidi... more The identification of the characteristics necessary for the performance, quality, functions guiding postgraduate medical training is a necessity of proper training and the institutions responsible for their professional qualification. It thus define a Competency Profile of guiding doctors in training which meets the needs of a training process (specialization) that arises primarily in the context of real work. To define the Skills Profile, the authors conducted a screening exercise of the functions and tasks of the advisor, identifying the skills that support your performance. The profile identified was submitted to a group of professionals for validation and, at all stages of development, the assessment of external auditors. In this profile to identify and systematize the characteristics of the supervisor in three types: prerequisites, attributes and teaching skills. The Competency Profile, constituting a useful tool for self-assessment, also allows the institutions responsible for...
Paediatric and perinatal epidemiology, Jan 22, 2018
The World Health Organization recommends exclusive breast milk feeding until 6 months and continu... more The World Health Organization recommends exclusive breast milk feeding until 6 months and continuing up to 2 years of age; little is known about whether very preterm infants are fed in accordance with these recommendations. We aimed to describe the prevalence and duration of breast milk feeding in very preterm children and to systematically review internationally published data. We evaluated breast milk feeding initiation and duration in very preterm children born in 2 Portuguese regions (2011-2012) enrolled in the EPICE cohort and followed-up to the age of 3 (n = 466). We searched PubMed from inception to January 2017 to identify original studies reporting the prevalence and/or duration of breast milk feeding in very preterm children. 91.0% of children received some breast milk feeding and 65.3% were exclusively breast fed with a median duration of 2 months for exclusive and 3 months for any breast milk; only 9.9% received exclusive breast milk for at least 6 months, 10.2% received...
The G antigen belongs to the Rh system and is present on most D-positive red blood cells (RBC) an... more The G antigen belongs to the Rh system and is present on most D-positive red blood cells (RBC) and on most C-positive RBC1. For this reason, the true specificity of serum that apparently has anti-D and anti-C specificity when tested with the usual panels for the identification of irregular antibodies could correspond to one of the five possible combinations: anti-D and anti-C (D+C), anti-D and anti-G (D+G), anti-D and anti-C and anti-G (D+C+G), anti-C and anti-G (C+G), and anti-G2. The correct identification of the specificity and, in particular, the determination of whether anti-D is present or not are of paramount clinical importance in different clinical settings. In pregnant women, the presence of anti-D excludes the need for the administration of prophylactic anti-D immunoglobulin (RhIG). In addition, the exclusion of the presence of anti-D in samples from D-negative women with D-negative partners or from D-negative recipients of D-negative blood components can avoid potential social or medico-legal complications2. We describe here a simple approach that enables us to determine whether anti-D is present or not in serum presumed to contain anti-D and anti-C specificity. This protocol was employed in the study of 32 samples with presumed anti-D+C specificity confirming the utility of this simple and less time-consuming strategy.
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Papers by Teresa Ventura