Justice is needed!

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Love, Joy, and Intimacy:: One Family's Response to 550 Days of Lockdown

Two parents and their middle school aged child reflect back on 550 days of COVID-19 lockdown.  Using a Poem in 3 Voices platform, each of them respond in conversation-style about their love of each other, their love of learning, and the joy and healing they found in common everyday things like reading, writing, cooking, music, and gardening.  Their playful banter seeks to speak to the intimacy they intentionally built with each other during the pain of the pandemic and their unspeakable losses.  The purpose of this aesthetic work is to illuminate that not all of lockdown was despair and that, in the midst of pain, there can also be moments of love, joy, and intimacy

Where Should Medical Journals Stand?

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The outcomes of psychotherapy in mixed features personality disorders: a systematic review

Mixed features personality disorders (PDs) are highly prevalent and associated with significant burden of disease. Despite that, it has been an overlooked diagnostic category with respect to clinical research. This study aims to review empirical evidence about psychotherapy delivery available for these patients. We present a systematic review of clinical trials investigating the outcomes of psychotherapeutic interventions in adults with a primary diagnosis of mixed features PDs. Data were obtained from Medline/PubMed, Embase and PsycINFO. Seven studies met inclusion criteria; in one of them the whole sample was of this diagnostic group; two studies analysed psychotherapeutic intervention outcomes in this population, among other types of PDs, yet drawing specific conclusions on mixed features PDs patients; remaining studies addressed patient samples with different PDs types, mixed features included, where specific findings in this group of patients were not described – nonetheless, they included representative numbers of subjects with the diagnosis of interest. Available studies suggest that mixed features personality pathology per se does not seem to be an impediment to benefit from psychotherapeutic treatment, and improvement in different areas of life is possible for patients undergoing psychotherapy. The extant literature is marked by multiple challenges and inconsistencies across studies

Stages for Undertaking a Systematic Review

Tem-se verificado crescente aumento do uso da revisão sistemática como metodologia de investigação para compilar e analisar grandes conjuntos de dados de estudos existentes. Com este aumento também aumentaram as recomendações para conduzir este tipo de investigação. O objectivo deste artigo é fornecer um guia para compreender e/ou realizar uma revisão sistemática para publicação, indicando todas as etapas do processo de revisão. Ao fazerem uma revisão sistemática da literatura, os autores tornam-se conhecedores do tema e, embora consuma muito tempo, podem desenvolver um conjunto de competências incluindo a de pesquisa da literatura e de redacção científica. A revisão sistemática, comparada com a investigação primária, requer relativamente poucos recursos, permitindo que os clínicos normalmente não envolvidos em investigação produzam artigos clinicamente relevantes e de alta qualidade

Presente e Futuro da Revista da Sociedade Portuguesa de Dermatologia e Venereologia

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Educação médica em Portugal

Copyright © Ordem dos Médicos 2016Medical education is an always evolving métier and mission. More than just emphasizing scientific knowledge, it is nowadays expected that it incorporates clinical reasoning, practical skills, and stimulates the development of character, compassion, and integrity. Most medical schools education results chiefly from tradition rather than evidence, and little has changed with regard to delivering top notch professionals in healthcare.info:eu-repo/semantics/publishedVersio

Uma Comunidade Vibrante de Leitores, Autores e Revisores: Uma Necessidade dos Editores Médicos e um Desafio para a Educação Médica

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A Protocol for Systematic Review

This work is financed by national funds through the FCT—Foundation for Science and Technology, I.P., under the project UIDB/04585/2020.Obstructive sleep apnea is a sleep disorder with a high prevalence in the world population. The mandibular advancement device is one of the options for treating obstructive sleep apnea. Neck computed tomography and drug-induced sleep endoscopy are complementary diagnostic tests that may help predict the effectiveness of mandibular advancement devices. This study aims to analyze the best method for predicting the effectiveness of mandibular advancement devices in the therapeutic approach to obstructive sleep apnea. PubMed, Embase, Cochrane Central Register of Controlled Trials (CENTRAL), and Web of Science Core Collection databases will be comprehensively searched. We will include randomized clinical trials, non-randomized prospective or retrospective clinical studies, case controls, cohort studies, and case series. Two authors will independently conduct data extraction and assess the literature quality of the studies. The analysis of the included literature will be conducted by Revman 5.3 software. The outcomes that will be analyzed are craniofacial characteristics, cephalometric assessments, site and type of obstruction of the upper airway, mean values of the apnea-hypopnea index, and SaO2 verified in the initial and follow-up polysomnography. This study will provide reliable, evidence-based support for the clinical application of mandibular advancement devices for obstructive sleep apnea.publishersversionpublishe