Patient-Centered Medicine and Self-Care of Patients with Type 2 Diabetes: A Cross-Sectional Study.

Introduction: Even though the prevalence rate of diabetes in Portugal is one of the highest in Europe, no studies on the association between patient centered medicine, diabetes self-care, and glycemic control have been published. Assuming that patient centered medicine increases adherence to treatment through the improvement of the doctor-patient relationship, the aim of this study was to assess the influence of patient-centered medicine on the self-care of patients with type 2 diabetes patients' (T2DM) in two Family Health Units in Central Portugal, according to gender and age.

Material And Methods: A cross-sectional study was conducted in two Family Health Units in Central Portugal between the 25th November 2021 and the 15th January 2022.

The Influence of Abdominal Adiposity and Physical Fitness on Obesity Status of Portuguese Adolescents.

The aim of this study was to verify the relationship between abdominal adiposity and physical fitness in the obesity status of Portuguese adolescents. BMI, abdominal adiposity, and physical fitness tests from the FITescola were evaluated in a total of 654 Portuguese adolescents, aged 10-19 years old-male: = 334 (51%), female: = 320 (49%). For the final model, BMI was positively related with age ( 0.

[Endovascular management of an infectious and ruptured abdominal aortic aneurysm. Clinical report].

Infectious aneurysms are about 1-3% of all aneurysms of the infrarenal aorta. Its treatment is challenging and the best strategy is far from consensual. The authors report a case of a HIV + patient with multiple other co-morbidities, which was seen in the emergency department with fever and left back pain.

[Complications of vascular access for hemodialysis - limits, imagination and commitment].

Terminal chronic kidney disease courses with high mortality and is a serious public health problem on a global scale. In Portugal, it involves about 14,000 patients of whom 5,000 are transplanted. The remaining require permanent renal replacement techniques.

[Cubital artery aneurysm and hypothenar hammer syndrome. Report of an unusual case].

Hypothenar hammer syndrome (HHS) is a rare condition and is a term used to described an aneurysm or thrombosis of the ulnar artery. It is considered an occupational or recreational injury and usually results of repetitive trauma to the hypothenar region, where th unique anatomy after the artery leaves the Guyon canal, allows the arterial injury. Clinical manifestations are more often unilateral, involving the dominant hand.

Primary idiopathic chylopericardium.

Chylopericardium is a rare entity which is usually associated with trauma (thoracic duct lesions), neoplasia or filaria infection. Primary forms are even rarer and are caused by lymphatic circulation malformations. We present the case of a 52-year-old male patient with primary chylopericardium.

[Phlegmasia caerulea dolens: therapeutic considerations].

Phlegmasia caerulea dolens is a rare complication of a deep venous thrombosis and is the result of a massive occlusion of all venous outflow of the extremity. Diagnosis must be made early in the course of the process for treatment effectiveness although it can only produce modest results. The authors analyse retrospectively 3 cases that were treated between 2001 and 2005.

[Valvular transposition in patients with ulcers of the lower limbs following post thrombotic syndromes].

Venous ulcers in patients with post thrombotic syndromes are complex situations with multiple therapeutic options. They are responsible for high morbidity rates, conservative treatment is very slow and recurrences are very common. Deep venous reconstructive surgery is an alternative, but it should be based on the morphologic and functional aspects of the venous system and only adopted after a very careful study, including venography.

[Post-traumatic pseudo aneurysm of the infrarenal aorta. A clinical report].

Abdominal aortic pseudoaneurysms are rare, particularly when they are related to blunt abdominal trauma. The authors report the clinical case of a 65 years old man with an abdominal aortic pseudoaneurysm related to a blunt abdominal trauma, that occurred three years ago. The patient complained of a diffuse abdominal pain, increased while walking.

[Iatrogenic traumatic lesions of femoral veins during varicose veins surgery].

Traumatic lesions of the femoral veins during varicose veins surgery are very uncommon and they raise several therapeutic difficulties. They occur in 1/1000 cases of varicose veins operated. The authors describe four cases of lesions of this type that were seen and treated for the last six years, probably because there was an increase in the number of varicose veins operated on in the Lisbon area.

[Sclerotherapy of female varicocele].

The female varicocile is associated to the pelvic congestion syndrome that is described. Five patients 31 to 52 years old are presented. Four of them have continuous pelvic pain and the fifth had huge vaginal and vulvar varices.