SESARAM - G/O - Artigos
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- Is it Ethical to Offer ART in Transplant Patients? (mini review)Publication . Abreu Dos Santos, Filipa; Câmara, Sara; Reis, Filipa; Pestana, C; Ledo, Marta; Pinto, PaulaNumerous medical and surgical innovations have improved transplant recipient outcomes and this improved survival has led to an increased focus on their quality of life issues. This renewed focus includes controlling fertility and breeding. However, not all reproductive-age transplant recipients are able to conceive naturally. For this women in fertility is considered a threat to their quality of life. The decision to use Assisted Reproduction Techniques (ART) to help solid organ transplant female patients become pregnant raises unique medical and ethical concerns .
- Electrocardiography versus photoplethysmography in assessment of maternal heart rate variability during laborPublication . Gonçalves, Hernâni; Pinto, Paula; Silva, Manuela; Ayres-de-Campos, Diogo; Bernardes, JoãoEvaluation of maternal heart rate (MHR) variability provides useful information on the maternal-fetal clinical state. Electrocardiography (ECG) is the most accurate method to monitor MHR but it may not always be available, and pulse oximetry using photoplethysmography (PPG) can be an alternative. In this study we compared ECG and PPG signals, obtained with conventional fetal monitors, to evaluate signal loss, MHR variability indices, and the ability of the latter to predict fetal acidemia and operative delivery.
- Cancro Hereditário dados da RAMPublication . Câmara, Sara
- Infeções respiratórias na grávidaPublication . Calhau, Ana
- Short and long acting reversible contraceptivePublication . Câmara, SaraOverview: The daily pill, a short-acting reversible contraceptive (SARC), is more used than long-acting reversible contraceptives (LARC) though these are highly effective, safe and less dependent on women use. It is important to identify which differences between SARC or LARC users can justify this choice.Aims: Describe and compare the two types of contraceptive methods users (age, marital status, previous history of pregnancy, level of education, age at which the method was started, level and source of knowledge, medical advice and level of satisfaction with the information received). As a secondary objective, we aimed to identify the existence of myths and misbeliefs about contraception and the reasons for choosing or discontinuation of the contraceptive method.Study Design: Observational and retrospective. Population:Women who use or had used contraception, aged 18 -50 years. Methods: A self-report and anonymous questionnaire, available in primary health care centers and hospitals. Results:In a group of 300 women, with a median of 35,6 years (18 - 50 years; s = 8,3 years), 68% (203/300) were using a contraceptive method and 28% (83/300) were no longer using it . Among these, 75% were using SARC or these corresponded to the last method used. Single women prevailed in the SARC group (p=0,002) and those with a previous pregnancy prevailed in the LARC group (p=0,002). No other statistically significant differences were identified. 86% (237/274) had a medical consultation before beginning to use a contraceptive, and 59% (139/237) were very satisfied with the information received. The control of the menstrual cycle was important for SARC users whether the using facility was important for LARC users. Conclusions:Although effective and safe,LARC where less prevalent in our study. History of previous pregnancy was the only clinically significant difference between SARC and LARC users..
- The added value of diffusion-weighted imaging in the preoperative assessment of endometrial cancerPublication . Gil, Rui Tiago; Cunha, Teresa Margarida; Horta, Mariana; Alves, InesTo evaluate the added value of diffusion-weighted imaging (DWI) in the preoperative assessment of myometrial invasion in endometrial cancer, in comparison with T2-weighted imaging (T2WI) and dynamic contrast-enhanced magnetic resonance imaging (DCE-MRI).
- Age-related expression of TGF beta family receptors in human cumulus oophorus cellsPublication . Ribeiro, A.; Freitas, C.; Matos, L.; Gouveia, A.; Gomes, F.; Silva Carvalho, J. L.; Almeida, H.During ovarian follicle growth, local cellular interactions are essential for oocyte quality acquisition and successful fertilization. While cumulus cells (CCs) nurture oocytes, they also deliver oocyte-secreted factors (OSFs) that activate receptors on CCs. We hypothesized that disturbance of those interactions contributes to age-related lower reproductive success in women submitted to assisted reproductive technology treatments.
- Métodos contracetivos reversíveis de curta e longa duração - estudo observacionalPublication . Câmara, Sara; Abreu-dos-Santos, F; Freitas, CAbstract:Overview: The daily pill, a short-acting reversible contraceptive (SARC), is more used than long-acting reversible contraceptives (LARC) though these are highly effective, safe and less dependent on women use. It is important to identify which differences between SARC or LARC users can justify this choice. Aims: Describe and compare the two types of contraceptive methods users (age, marital status, previous history of pregnancy, level of education, age at which the method was started, level and source of knowledge, medical advice and level of satisfaction with the information received). As a secondary objective, we aimed to identify the existence of myths and misbeliefs about contraception and the reasons for choosing or discontinuation of the contraceptive method. Study Design: Observational and retrospective. Population: Women who use or had used contraception, aged 18 -50 years. Methods: A self-report and anonymous questionnaire, available in primary health care centers and hospitals. Results: In a group of 300 women, with a median of 35,6 years (18 - 50 years; s = 8,3 years), 68% (203/300) were using a contraceptive method and 28% (83/300) were no longer using it . Among these, 75% were using SARC or these corresponded to the last method used. Single women prevailed in the SARC group (p=0,002) and those with a previous pregnancy prevailed in the LARC group (p=0,002). No other statistically significant differences were identified. 86% (237/274) had a medical consultation before beginning to use a contraceptive, and 59% (139/237) were very satisfied with the information received. The control of the menstrual cycle was important for SARC users whether the using facility was important for LARC users. Conclusions: Although effective and safe, LARC where less prevalent in our study. History of previous pregnancy was the only clinically significant difference between SARC and LARC users..
- Métodos contracetivos reversíveis de curta e longa duraçãoPublication . Câmara, Sara; Abreu-dos-Santos, Filipa; Freitas, CláudiaABSTRACT Overview: The daily pill, a short-acting reversible contraceptive (SARC), is more used than long-acting reversible contraceptives (LARC) though these are highly effective, safe and less dependent on women use. It is important to identify which differences between SARC or LARC users can justify this choice. Aims: Describe and compare the two types of contraceptive methods users (age, marital status, previous history of pregnancy, level of education, age at which the method was started, level and source of knowledge, medical advice and level of satisfaction with the information received). As a secondary objective, we aimed to identify the existence of myths and misbeliefs about contraception and the reasons for choosing or discontinuation of the contraceptive method. Study Design: Observational and retrospective. Population: Women who use or had used contraception, aged 18 -50 years. Methods: A self-report and anonymous questionnaire, available in primary health care centers and hospitals. Results: In a group of 300 women, with a median of 35,6 years (18 - 50 years; s = 8,3 years), 68% (203/300) were using a contraceptive method and 28% (83/300) were no longer using it . Among these, 75% were using SARC or these corresponded to the last method used. Single women prevailed in the SARC group (p=0,002) and those with a previous pregnancy prevailed in the LARC group (p=0,002). No other statistically significant differences were identified. 86% (237/274) had a medical consultation before beginning to use a contraceptive, and 59% (139/237) were very satisfied with the information received. The control of the menstrual cycle was important for SARC users whether the using facility was important for LARC users. Conclusions: Although effective and safe, LARC where less prevalent in our study. History of previous pregnancy was the only clinically significant difference between SARC and LARC users..
- Vulvar Lobular Capillary Hemangioma: A Rare Location for a Frequent EntityPublication . Abreu-dos-Santos, F.; Câmara, S.; Reis, F.; Freitas, T.; Gaspar, H.; Cordeiro, M.Lobular capillary hemangioma, or pyogenic granuloma, is an acquired hemorrhagic benign vascular lesion of the skin and mucous membranes. The pyogenic granuloma of the vulva is a rare finding and a limited number of case reports are available in the literature. To the best of our knowledge this is the first case described as a single pyogenic granuloma on the vulva.
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