Miguel Melo
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View article: Incidência da Diabetes Mellitus Gestacional no Município de Araripe-CE de 2018 a 2025: um Estudo Epidemiológico Retrospectivo
Incidência da Diabetes Mellitus Gestacional no Município de Araripe-CE de 2018 a 2025: um Estudo Epidemiológico Retrospectivo Open
A Diabetes Mellitus Gestacional (DMG) é caracterizada como uma forma de hiperglicemia diagnosticada pela primeira vez durante a gestação, independentemente da presença de sintomas ou da necessidade de tratamento medicamentoso. Nas últimas …
View article: rhPTH(1-84) for hypoparathyroidism: a randomized study of patient-reported outcomes
rhPTH(1-84) for hypoparathyroidism: a randomized study of patient-reported outcomes Open
Objective To assess the impact of recombinant human parathyroid hormone (1-84) [rhPTH(1-84)] compared with placebo, in combination with conventional therapy with vitamin D and/or calcium supplements, on health-related quality of life (HRQo…
View article: Relato de caso: Encefalomielite Disseminada Aguda (ADEM) causada pelo vírus Chikungunya em paciente idoso
Relato de caso: Encefalomielite Disseminada Aguda (ADEM) causada pelo vírus Chikungunya em paciente idoso Open
Introdução: A febre do Chikungunya é causada por um togavírus e é transmitida aos seres humanos pelo mosquito Aedes. As complicações neurológicas do Chikungunya geralmente ocorrem no vigésimo dia após o início dos sintomas. Dentre essas co…
View article: Comparative analysis of follicular cell- derived thyroid carcinoma: assessing the impact of high-grade features in an advanced disease cohort
Comparative analysis of follicular cell- derived thyroid carcinoma: assessing the impact of high-grade features in an advanced disease cohort Open
The 5th edition of the WHO Classification of Tumors of Endocrine Organs introduced the term Differentiated High-Grade Thyroid Carcinoma (DHGTC) to identify cases of differentiated follicular cell-derived thyroid carcinomas (DFCDTC) with a …
View article: Trends in antidiabetic drug use in Portugal: 8 years real‐world data from a nationwide retrospective observational study (2017–2024) ( <scp>TREND</scp> ‐8 study)
Trends in antidiabetic drug use in Portugal: 8 years real‐world data from a nationwide retrospective observational study (2017–2024) ( <span>TREND</span> ‐8 study) Open
View article: O Ensino de Filosofia, a sociedade de controle e a criação em Deleuze: o problema da filosofia no contexto da escola neoliberal
O Ensino de Filosofia, a sociedade de controle e a criação em Deleuze: o problema da filosofia no contexto da escola neoliberal Open
View article: Genomic profiling of lymph node and distant metastases from papillary and poorly differentiated thyroid carcinomas
Genomic profiling of lymph node and distant metastases from papillary and poorly differentiated thyroid carcinomas Open
View article: Genomic profiling of lymph node and distant metastases from papillary and poorly differentiated thyroid carcinomas
Genomic profiling of lymph node and distant metastases from papillary and poorly differentiated thyroid carcinomas Open
Purpose: To perform a molecular profiling of the metastases from papillary thyroid carcinomas (PTCs) and poorly differentiated thyroid carcinomas (PDTCs). Methods: We retrieved and analyzed the molecular and clinical features of 136 metast…
View article: Pharmacological and therapeutic treatment of total pain in patients with metastatic breast cancer: narrative review on the importance of interdisciplinary intervention
Pharmacological and therapeutic treatment of total pain in patients with metastatic breast cancer: narrative review on the importance of interdisciplinary intervention Open
BACKGROUND AND OBJECTIVES: Considering the great impact suffered by women with metastatic breast cancer, manifested in physical and/or psychological symptoms, this study seeks to understand the impact of total pain on these patients and to…
View article: Genetic architecture of congenital hypogonadotropic hypogonadism: insights from analysis of a Portuguese cohort
Genetic architecture of congenital hypogonadotropic hypogonadism: insights from analysis of a Portuguese cohort Open
STUDY QUESTION What is the contribution of genetic defects in Portuguese patients with congenital hypogonadotropic hypogonadism (CHH)? SUMMARY ANSWER Approximately one-third of patients with CHH were found to have a genetic cause for their…
View article: From Bariatric Surgery to Conception: The Ideal Timing to Optimize Fetal Weight
From Bariatric Surgery to Conception: The Ideal Timing to Optimize Fetal Weight Open
Purpose Bariatric surgery (BS) increases the risk of small for gestational age (SGA) neonates. Guidelines recommend postponing pregnancy for 12–24 months, but optimal surgery-to-conception interval (BSCI) remains uncertain. We aimed to eva…
View article: Acute kidney injury: a strong risk factor for hypoglycaemia in hospitalized patients with type 2 diabetes
Acute kidney injury: a strong risk factor for hypoglycaemia in hospitalized patients with type 2 diabetes Open
Aims Acute kidney injury (AKI) is highly prevalent during hospitalization of patients with type 2 diabetes (T2D). We aimed to assess the impact of AKI and its severity and duration on the risk of hypoglycaemia in hospitalized patients with…
View article: Pregnancy Outcomes After Bariatric Surgery: Should We Favour Restrictive Procedures in Women of Reproductive Age?
Pregnancy Outcomes After Bariatric Surgery: Should We Favour Restrictive Procedures in Women of Reproductive Age? Open
Introduction: Bariatric surgery (BS) is frequently performed in women of reproductive age, and is often associated with nutritional deficiencies and increased risk of adverse outcomes during pregnancy, such as small for gestational age (SG…
View article: Hypoglycemia unawareness in type 1 diabetes patients using intermittent continuous glucose monitoring: Identification of risk factors and glycemic patterns
Hypoglycemia unawareness in type 1 diabetes patients using intermittent continuous glucose monitoring: Identification of risk factors and glycemic patterns Open
Our sample had a significative prevalence of hypoglycemia unawareness which increased with longer diabetes duration. iCGM data can be indicative of this problem, with a mean hypoglycemia duration ≥106.5 min being suggestive, albeit unspeci…
View article: Correction to: Flash glucose monitoring and glycemic control in type 1 diabetes with subcutaneous insulin infusion
Correction to: Flash glucose monitoring and glycemic control in type 1 diabetes with subcutaneous insulin infusion Open
View article: Heterogeneity amongst GLP-1 RA cardiovascular outcome trials results: can definition of established cardiovascular disease be the missing link?
Heterogeneity amongst GLP-1 RA cardiovascular outcome trials results: can definition of established cardiovascular disease be the missing link? Open
View article: Genetic Determinants for Prediction of Outcome of Patients with Papillary Thyroid Carcinoma
Genetic Determinants for Prediction of Outcome of Patients with Papillary Thyroid Carcinoma Open
Papillary thyroid carcinoma (PTC) usually presents an excellent prognosis, but some patients present with aggressive metastatic disease. BRAF, RAS, and TERT promoter (TERTp) genes are altered in PTC, and their impact on patient outcomes re…
View article: Adult-onset autoimmune diabetes: comparative analysis of classical and latent presentation
Adult-onset autoimmune diabetes: comparative analysis of classical and latent presentation Open
View article: Adult-onset autoimmune diabetes: comparative analysis of classical and latent presentation
Adult-onset autoimmune diabetes: comparative analysis of classical and latent presentation Open
Introduction: Adult-onset autoimmune diabetes (AID) has two different phenotypes: classic type 1 diabetes mellitus (T1DM), with insulin requirement just after diagnosis, and latent autoimmune diabetes in adults (LADA). The purpose of this …
View article: Clinicopathological Features as Prognostic Predictors of Poor Outcome in Papillary Thyroid Carcinoma
Clinicopathological Features as Prognostic Predictors of Poor Outcome in Papillary Thyroid Carcinoma Open
Papillary thyroid cancer (PTC) has an indolent nature and usually excellent prognosis. Some PTC clinicopathological features may contribute to the development of aggressive metastatic disease. In this work, we want to evaluate PTC clinicop…
View article: Tecnologias de realidade virtual imersivas como ferramenta terapêutica para o isolamento social em tempos de pandemia
Tecnologias de realidade virtual imersivas como ferramenta terapêutica para o isolamento social em tempos de pandemia Open
O ano de 2020 apresentou-nos novosdesafios que nunca pensaríamos atravessar.Nomeadamente, uma epidemia global devidoao novo coronavívurs CoViD-19 que impôso isolamento social a uma grande partedo mundo, senão a todo o mundo mesmo.Sendo que…
View article: Positioning sulphonylureas in a modern treatment algorithm for patients with type 2 diabetes: Expert opinion from a European consensus panel
Positioning sulphonylureas in a modern treatment algorithm for patients with type 2 diabetes: Expert opinion from a European consensus panel Open
The large number of pharmacological agents available to treat type 2 diabetes (T2D) makes choosing the optimal drug for any given patient a complex task. Because newer agents offer several advantages, whether and when sulphonylureas (SUs) …
View article: Portuguese-Brazilian evidence-based guideline on the management of hyperglycemia in type 2 diabetes mellitus
Portuguese-Brazilian evidence-based guideline on the management of hyperglycemia in type 2 diabetes mellitus Open
View article: Maturity-Onset Diabetes of the Young (MODY) in Portugal: Novel GCK, HNFA1 and HNFA4 Mutations
Maturity-Onset Diabetes of the Young (MODY) in Portugal: Novel GCK, HNFA1 and HNFA4 Mutations Open
Maturity-onset diabetes of the young (MODY) is a frequently misdiagnosed type of diabetes, which is characterized by early onset, autosomal dominant inheritance, and absence of insulin dependence. The most frequent subtypes are due to muta…
View article: Efeito da empagliflozina para além do controlo glicémico: benefício cardiovascular em doentes com DMT2 e doença cardiovascular estabelecida
Efeito da empagliflozina para além do controlo glicémico: benefício cardiovascular em doentes com DMT2 e doença cardiovascular estabelecida Open
The prevalence of type 2 diabetes (T2D) continues to increase, and its association with cardiovascular (CV) disease has led to the inclusion of CV endpoints in clinical trials on the treatment of T2D. This article explores the various tria…
View article: Outcome and long-term follow-up of adrenal lesions in multiple endocrine neoplasia type 1
Outcome and long-term follow-up of adrenal lesions in multiple endocrine neoplasia type 1 Open
Adrenal tumours are a common feature of MEN1 that can affect more than half of the patients. Most of the tumours are bilateral non-functional lesions, but hormonal secretion may occur and should be promptly identified to reduce the morbidi…
View article: Bifocal germinoma in a patient with 16p11.2 microdeletion syndrome
Bifocal germinoma in a patient with 16p11.2 microdeletion syndrome Open
Summary Intracranial germinomas are rare tumors affecting mostly patients at young age. Therefore, molecular data on its etiopathogenesis are scarce. We present a clinical case of a male patient of 25 years with an intracranial germinoma a…
View article: Impacto do Uso Prolongado da Terapêutica Subcutânea Contínua com Insulina no Controlo da Diabetes Mellitus Tipo 1
Impacto do Uso Prolongado da Terapêutica Subcutânea Contínua com Insulina no Controlo da Diabetes Mellitus Tipo 1 Open
Introdução: O uso da terapêutica com perfusão subcutânea contínua de insulina na diabetes mellitus tipo 1 é cada vez mais frequente devido aos seus efeitos benéficos no controlo glicémico e na flexibilidade do estilo de vida. Constituiu ob…
View article: Outcome and long-term follow-up of adrenal lesions in multiple endocrine neoplasia type 1
Outcome and long-term follow-up of adrenal lesions in multiple endocrine neoplasia type 1 Open
Objective To describe the prevalence, clinical characteristics and outcome of adrenal lesions in long-term follow-up of Multiple endocrine neoplasia type 1 (MEN1) patients. Subjects and methods We retrospectively studied sixteen patients f…
View article: Addison’s disease in antiphospholipid syndrome: a rare complication
Addison’s disease in antiphospholipid syndrome: a rare complication Open
Summary Addison’s disease (AD) is the most common endocrine manifestation of antiphospholipid syndrome (APS), but it remains a very rare complication of the syndrome. It is caused by adrenal venous thrombosis and consequent hemorrhagic inf…