Lusiadas Scientific Journal

Cystic Degeneration of the Peroneus Brevi - Ultrasound Diagnosiss Tendon

Bruno Werner Rezende Casimiro — 2024-12-30

Ectopic Pregnancy: MRI Diagnosis

Márcio Duarte — 2024-12-30

Transformations in Scientific Publishing Driven by Artificial Intelligence

Helena Donato — 2024-12-30

Robotics and Artificial Intelligence in Healthcare

Paulo Amado — 2024-12-30

Revolutionizing Healthcare: Embracing Compassion in Medicine

Paula Cerqueira — 2024-12-30

The humanization of medical care emphasizes the integration of empathy, compassion, and respect into healthcare, counteracting the growing depersonalization often found in modern medical practice. This approach views patients as whole individuals with unique needs rather than mere cases or conditions. Humanized care is built on core principles, including holistic treatment, effective communication, and cultural sensitivity, which foster deeper connections between patients and caregivers. While technology plays an increasingly significant role in healthcare, its integration should complement, not replace, human interaction. The benefits of humanized care extend beyond patient satisfaction to improved clinical outcomes and reduced healthcare provider burnout. Despite challenges such as time constraints and system pressures, leadership support and patient feedback can help embed humanization into healthcare practice. Ultimately, humanizing medical care is both a moral imperative and a practical strategy for delivering quality care in an increasingly complex healthcare landscape.

An Adolescent with Headache: The Power of Anamnesis

Inês Silva Costa — 2024-12-30

Headaches are a frequent reason for medical observation in adolescents. This clinical case illustrates the importance of careful anamnesis, both semiologically and biopsychosocial.

We describe a case of a 15-year-old male, with headaches during weekend sports matches. A migraine induced by physical activity was first diagnosed, and the trigger was suspended after medical recommendation, with the resolution of symptoms.

He later showed demotivation since he stopped extracurricular sports, adding that he fasted before the matches because of performance anxiety. No episodes were registered during physical education classes and headaches relapsed during the holidays when he skipped breakfast. A migraine induced by prolonged fasting was proposed, with follow-up confirming it.

A simple diagnosis can be made upon clinical interview, deeply impacting the patient´s quality of life. Addressing the adolescent’s complaints helped unravel the diagnosis of the correct trigger factor and allowed him to return to his extracurricular activities with better management of his condition.

Sequential Implantation of Micra and TriClip for Massive Tricuspid Regurgitation and Sick Sinus Syndrome

Nuno Moreno — 2024-12-30

Severe tricuspid valve regurgitation (TR) is associated with high cardiovascular mortality. Safe and feasible interventional approaches to treat TR are of clinical relevance. Tricuspid transcatheter edge-to-edge repair (TEER) is a promising therapy for severe tricuspid regurgitation. Herein, we report an 81-year-old woman, with a history of double valve replacement, with recurrent symptomatic massive tricuspid regurgitation and sinus node dysfunction, in need of a permanent pacemaker. After the Heart Team discussion, we considered implanting a leadless pacemaker since such a device would not interfere with TEER. The procedure was successfully performed using the TriClip® device and tricuspid regurgitation was reduced to a moderate degree. In conclusion, TEER, in combination with a leadless pacemaker, is an alternative option for patients with an indication for a permanent pacemaker and massive tricuspid regurgitation to undergo a less invasive treatment rather than a potentially higher-risk reoperation.