Kidney supportive care (KSC) incorporates palliative care principles into nephrology, encompassing the full spectrum of kidney disease. Dialysis withdrawal, a component of kidney supportive care (KSC), presents a challenging, complex, and emotionally demanding therapeutic option. As patients experience increasing physical dependence on treatment, healthcare professionals may avoid or defer discussions regarding...
Autosomal dominant tubulointerstitial kidney disease (ADTKD) accounts for approximately 2%‑5% of monogenic causes of chronic kidney disease (CKD) and remains frequently underrecognized due to its heterogeneous clinical presentation. We report the case of a 37‑year‑old pregnant woman diagnosed with CKD, initially attributed to chronic pyelonephritis. She presented with bilateral renal cysts, electrolyte abnormal...
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An 18-year-old boy presented to our emergency department with a 1-month history of a painful left eye, photophobia, and progressive blurring of vision. His past ocular history included a penetrating left globe injury, surgically repaired 1 year before. Biomicroscopy revealed a scar in the inferior cornea and a huge epithelial iris cyst, reaching the visual axis (Panel A). BCVA of the left eye was 20/320, and in...
Introduction: Although the risk of urethral trauma while treating bladder stones is worrisome, evidence about the best treatment approach is scarce. The aim of this study is to compare the safety and efficacy of transurethral cystolithotomy and percutaneous suprapubic cystolithotomy in adults´ bladder lithiasis treatment. Methods: We retrospectively evaluated 120 patients (January 2012 to December 2017) who wer...
Postural control is a complex dynamic mechanism, which integrates information from visual, vestibular and somatosensory systems. Idiopathic Parkinson's disease (IPD) patients are unable to produce appropriate reflexive responses to changing environmental conditions. Still, it is controversial what is due to voluntary or involuntary postural control, even less what is the effect of levodopa. We aimed to evaluate...
As atuais projeções indicam que são necessários esforços adicionais para atingir os objetivos de mitigação acordados para 2030 bem como a ambição de reduzir as emissões de gases com efeito de estufa da UE em 80 a 95% em 2050, face a 1990, sendo este o objetivo necessário a longo prazo para descarbonizar o sistema energético e industrial Europeu consentâneo com uma trajetória de estabilização climática do Planet...
Background: Postural stability requires the integration of multisensory input information and translation into appropriate motor responses. Surprisingly, few previous studies have addressed the role of auditory input on postural stability in healthy subjects, and none has investigated this in Alzheimer's disease (AD).Objective: To assess the influence of the visual and auditory systems on postural stability in ...
Actualmente a importância da Língua Inglesa é indiscutível nos mais diversos sectores, nomeadamente a nível económico, cultural e profissional. As Forças Armadas Portuguesas reconhecem igualmente a importância da Língua Inglesa na carreira dos Oficiais dos Quadros Permanentes. É também um facto que os futuros Oficiais do Exército e da GNR têm como parte integrante do seu currículo durante o curso da Academia Mi...