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Massive Blood Loss from Urethrorrhage in a 16-year-old boy: Case Report and Rev...

Ascensão, J; Sobral, MC; Lima, S; Vaz Silva, A; Pratas Vital, V; Cardoso, D; Alves, F; Alves, R

Urethral varices and hemangiomas are rare, underreported conditions that can be asymptomatic or present with intermittent urethrorrhage that can start or worsen with erection, sexual intercourse and ejaculation. Diagnosis can be made with urethroscopy and there are a wide variety of possible treatments that can suit both conditions. We present a case of a pediatric patient with severe blood loss from urethral v...


Valentino Syndrome: Case Report

Sacras, ML; Reino Pires, P; Ladeira, C; Knoblich, M; Pereira, S; Alves, R

Abdominal pain is a common complaint in the pediatric emergency department. Perforation of a peptic ulcer is a rare occurrence in children and is a commonly overlooked etiology. This study presents a case of a previously healthy 16-yearold male presenting with right lower quadrant abdominal pain. Physical examination, laboratory test, and ultrasound results were suggestive of acute appendicitis. The laparoscopy...



Left Hepatic Trisegmentectomy vwith Partial Inferior Vena Cava Resection an Rig...

Sobral, MC; Kyt, CC; Oliveira Souza, G; Alves, R; Marques, HP

O carcinoma hepatocelular representa cerca de 20% dos tumores malignos hepáticos em idade pediátrica. Constitui um grupo de tumores de tratamento difícil por serem tumores volumosos, muitas vezes irressecáveis, tipicamente na adolescência.


Healthy eating: a privilege for the better-off?

Alves, R; Lopes, C; Perelman, J

Background Food subsidies for healthier foods and higher taxes for less healthy alternatives have been increasingly used to promote a healthy diet. Yet, some have argued that the fiscal burden on unhealthy products would fall disproportionately on the worse-off, raising equity concerns. This study estimates the association between income and the consumption of key food groups linked to the Mediterranean diet in...


Hepatocellular Carcinoma: An Unusual Presentation of this Rare Clinical Entity ...

Martins, M; Cardosa, MF; Calhau, P; Caldas, G; Alves, R

Malignant hepatic tumors are rare in children and hepatocellular carcinomas only represent 20% of cases. A previously healthy 10 year-old male was admitted for sudden abdominal pain. Ultrasound imaging showed an ileo-ileal intussusception with spontaneous resolution, but in the face of worsening pain, fever, and a palpable epigastric mass, abdominal magnetic resonance imaging was performed, showing a liver lesi...



Chronic Gastric Volvulus

Santos, E; Morão, S; Knoblich, M; Alves, R



Adhering to a Mediterranean diet in a Mediterranean country: an excess cost for...

Alves, R; Lopes C; Rodrigues, Sara; Perelman, J

<jats:title>Abstract</jats:title> <jats:sec id="S0007114521002518_as1"> <jats:title>Background:</jats:title> <jats:p>Adherence to the Mediterranean diet has been decreasing in southern Europe, which could be linked to several cultural or educational factors. Our aim is to evaluate the extent to which economic aspects may also play a role, exploring the relationship between food prices in Portugal and adherence ...


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