Introduction Portugal is located in the south-west of Europe. The mainland has an area of 91 900 km2; the country also includes the archipelagos of Açores and Madeira. The capital of Portugal is Lisbon and the official language is Portuguese. The total population has seen a 5% increase over the last decade. While in the 1970s only 38.8% of the...
READ MOREImproving the quality of healthcare and patient safety are priority health policy goals globally. Despite half a century of antibiotic use, re-emerging and new infectious diseases, partially caused by the rise of antimicrobial resistance, have become important problems. This increasing prevalence of resistance results in escalating healthcare costs,...
READ MOREArchitecture and design have been influenced by industrial societies for decades, and as a result, public buildings such as airports and hospitals have often been designed to function and look like factories. Clinical practice in hospitals focuses mainly on treating illness while often neglecting a patient’s psychological, social and spiritual needs....
READ MOREParamedics found a 50 year-old man in his apartment, disheveled and with altered mental status. Mildly hypothermic and hypotensive, he was brought into the emergency room where a brief initial cardiovascular physical survey found no pulmonary rales, wheezing, cardiac gallops or murmurs. The patient was intubated for airway protection. A three-minute...
READ MOREAccurate First Impressions Crucial Obtaining an accurate initial diagnostic assessment is the goal of every clinician, but has particular life and cost savings in the patient who presents acutely ill or in a remote location. Perhaps due to revealing features unique to the presentation and to optimise patient throughput, our initial patient assessment...
READ MOREResults of a recent study published on bmj.com (British Medical Journal) suggest that patients with vascular disease such as angina and heart disease can benefit from including an internet-based treatment programme on top of usual care. Patients with vascular disease are at higher risk of suffering a further event or death. Treatment of vascular risk...
READ MORENew recommendations on devices, drugs and diagnosis in heart failure were launched at the Heart Failure Congress 2012, 19-22 May, in Belgrade, Serbia, and published in the European Heart Journal. The ESC Guidelines for the Diagnosis and Treatment of Acute and Chronic Heart Failure 2012 were developed by the European Society of Cardiology (ESC) in...
READ MORENew recommendations on devices, drugs and diagnosis in heart failure were launched at the Heart Failure Congress 2012, 19-22 May, in Belgrade, Serbia, and published in the European Heart Journal. The ESC Guidelines for the Diagnosis and Treatment of Acute and Chronic Heart Failure 2012 were developed by the European Society of Cardiology (ESC) in...
READ MORE"Beam me up, Scotty" is a catchphrase that made its way into popular culture from the science fiction television series Star Trek. Thanks to his chief engineer Montgomery "Scotty" Scott, the commander, Captain Kirk, could be transported anywhere from the Starship Enterprise. We are, of course, interested in facts, not science fiction. How can a cardiologist...
READ MORETen years of data analysis, observations and research work preceded the recently completed study, “Expenditures and economic efficiency of the hugarian accident insurance practice in an international context” in Hungary, which highlights the characteristics and challenges of the Hungarian occupational accident medical care practices. For comparisons...
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