A 63-year-old male, with type 2 diabetes, hypertension and atrial fibrillation, presented with complaints of typical angina. The electrocardiogram and transthoracic echocar diogram were unremarkable. He began antianginal drugs and was referred for an elective coronary angiography that showed multiple giant aneurysms on both coronary arteries (Figure 1, panels A and B). A computed tomography coronary angiography...
Introduction and objective: Several scoring systems have been developed for risk stratification in patients with acute pulmonary embolism (PE). The Pulmonary Embolism Severity Index (PESI) and its simplified version (sPESI) are among the most used, however the high number of variables hinder its application. Our aim was to derive an easy-to-perform score based on simple parameters obtained at admission to predi...
Introdução: A pandemia COVID-19 promoveu o ensino híbrido. O principal objetivo deste estudo é compará-lo com o ensino presencial a nível da aquisição de conhecimento e competências na abordagem da via aérea. Secundariamente, avaliar a opinião dos participantes relativamente aos dois formatos de aprendizagem. Finalmente, criar e validar uma ferramenta de avaliação das competências de abordagem da via aérea. Mét...
Introduction: Recently, simulation as an educational method has gained increasing importance in Medicine. However, medical education has favored the acquisition of individual knowledge and skills, while overlooking the development of teamwork skills. Since most errors in clinical practice are due to human factors, i.e., non-technical skills, the aim of this study was to assess the impact that training in a simu...
Introdução e objetivos Nos últimos anos, a simulação como meio de ensino tem ganho destaque em Medicina. Contudo, o ensino médico tem privilegiado a aquisição de conhecimentos e competências individuais, desvalorizando o desenvolvimento de competências de trabalho em equipa. Sendo a maioria dos erros cometidos em Medicina devido ao fator humano, ou seja, às competências não técnicas, pretendemos estudar o impac...
The benefits of new technologies almost always come at a cost, often creating new problems, for which new solutions must be sought. The development of coronary stents is a perfect example of this. The first bare-metal stents (BMS) revolutionized percutaneous coronary intervention, since they overcame the acute and late elastic recoil seen after balloon angioplasty, thus significantly reducing the risk of resten...
Introduction: Clinical presentation of spondylodiscitis is heterogeneous. Its diagnosis is sometimes challenging. The authors characterize and evaluate the prevalence of spondylodiscitis in a Department of Internal Medicine (DIM).Population/Methods: Observational retrospective study of allpatients with spondylodiscitis diagnosis at discharge from2007 to 2016. Demographic variables, presentation symptoms, risk f...
The response of tobacco plants genetically engineered with the AtTPS1 gene to stress induced by excess Cu and Cd was evaluated in hydroponic solution (100 and 400 lM Cu and 50 and 200 lM Cd) after a 48 h exposure. Two transgenic lines, transformed with the AtTPS1 (trehalose-6-phosphate synthase) gene from Arabidopsis, with different levels of trehalose-6-phosphate synthase expression (B5H, higher and B1F, lower...
The context of globalization and continuous change in which we move, is generating new opportunities and threats and puts the ability to compete as one of the main requirements for the development of enterprises and economies in general. Apart from issues related to building competitiveness, is also the fundamental importance of sustainability in a longitudinal perspective, given the breathtaking speed at which...