Browsing by Author "Costa, Margarida"
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- Dental abscess and “unexpected death”...Publication . Costa, Margarida; Henriques de Gouveia, Rosa; Simoes Da Silva, Beatriz; Monsanto, Paula Venâncio; Cordeiro, Cristina; Corte Real, F.Even though we are living in an era of major technical-scientific advances and effective antimicrobial and antiviral therapy,dental infections are still the most important predisposing factors for head and neck infections. Odontogenic infections can cause severe complications, e.g. compromised airways, tissue necrosis, deep neck infections, mediastinitis, endocarditis and sepsis. These severe odontogenic infections can be potentially life-threatening. Usually odontogenic infections respond well to a combination of surgical treatment (incision, rainage) and antibiotic therapy. However, especially when the medico-surgical therapy is installed late, cases may evolve unfavourably and be fatal. The authors report a case of a 30-year-old man who was observed on three consecutive occasions by the General Practitioner in a District Hospital, for a decayed tooth with abscess and was, then, referred to a Central Hospital. There, he was examined for the fourth time, this one by a Stomatologist at the Emergency Department, where he died. The post mortem examination revealed bacterial (Gram +) acute neutrophilic (purulent) infection of soft tissues of the mandibular region and neck with para-tracheal extension, as well as thrombosis ofthe left jugular vein. Circumstantial clinical information, post mortem findings, pathophysiology (including complications andprogression of the disease to death) are discussed, highlighting the relevance of accurate and timely diagnosis and treatmentto avoid malpractice and mortality.
- Hildegard Peplau - Teoria das Relações Interpessoais: revisão narrativa da literaturaPublication . Colaço, Márcia; Costa, Margarida; Paulino, Rafael; Santos, Alexandra; Santos, Ana; Santos, Mónica; Loureiro, Fernanda
- Indicadores de Saúde da Área Metropolitana de LisboaPublication . Costa, Margarida; Paulino, Rafael; Santos, Alexandra; Santos, Ana; Santos, Mónica; Oliveira, Paula Sarreira de
- Intraventricular brain tumor: report of three casesPublication . Costa, Margarida; Henriques de Gouveia, Rosa; Simoes da Silva, BeatrizIntroduction: Colloid cysts are considered congenital non invasive benign lesions, enlarging very slowly. They account for less than 1% of symptomatic brain tumors, being the most common tumor of the 3rd ventricle (...)
- Posttraumatic growth in adult cancer patients: an updated systematic reviewPublication . Ramos, Catarina; Pimenta, Filipa; Patrão, Ivone; Costa, Margarida; Santos, Ana Isabel; Rudnicki, Tânia; Leal, IsabelThe current systematic review is an updated analysis of studies with adult cancer patients, regarding factors associated with posttraumatic growth (PTG), which is defined as perceived positive changes after traumatic event, such as cancer. A systematic review was conducted according to the PRISMA Statement guidelines. Seven electronic databases were searched. Quantitative studies with or without psychosocial group intervention that assessed PTG or similar construct (benefit finding [BF], positive life changes, stress-related growth, growth) as main outcome were included. The initial systematic search yielded 659 papers, published between 2006 and 2015. From those, 81 studies fulfilled the inclusion criteria: 73 studies without intervention and 8 entailing an intervention program. The results suggested that socio-demographic (e.g. age, educational level, household income), clinical (e.g. stage of cancer), cognitive (e.g. intrusiveness, challenge to core beliefs), coping-related (e.g. positive reframing, religious coping) and other psychosocial variables (e.g. social support, optimism, spirituality) are positively associated with PTG. BF is associated with gender, marital status, cancer stage, both cancer and treatment type, positive active coping, positive reappraisal, social support and optimism. Psychosocial group interventions with cancer patients show significant effect on the increase of growth reported (PTG or BF). As conclusion, Growth following a cancer experience is an effect of several variables which might be targeted and promoted in the context of multidisciplinary teams, in hospital and clinical settings. Group interventions are a favorable context to the development of PTG after cancer, but interventions that assess PTG as primary outcome are still needed to evaluate the effect of group on PTG’ facilitation.