Abstract We present a case of a 32-year-old woman with a spontaneous quadruplet pregnancy, managed with careful prenatal care. Despite the inherent risks of multiple gestations, including gestational diabetes and preterm labor, the patient declined multifetal pregnancy reduction. Comprehensive monitoring, including biweekly ultrasounds, early intervention for cervical shortening, and the administration of betam...
O objetivo deste estudo foi conhecer os hábitos de saúde e fatores de risco dos turistas que frequentam os cruzeiros no rio Douro com a finalidade de promover estratégias que favoreçam a saúde, a segurança e o conforto dos turistas dos cruzeiros. O estudo foi realizado através de questionários face-a-face junto dos turistas que realizaram cruzeiros no rio Douro na empresa Barcadouro, entre abril e outubro de ...
O objetivo deste estudo foi avaliar indicadores de saúde dos turistas dos cruzeiros do rio Douro acerca da sua saúde e da presença a bordo de profissionais de saúde. O estudo foi realizado através da entrega de questionários face-a-face aos turistas que realizaram cruzeiros no rio Douro na empresa Barcadouro, de abril a outubro de 2018. Participaram 1086 pessoas entre os 18 e os 89 anos de 36 nacionalidades. ...
Background/Aims: Dysphagia due to benign pharyngoesophageal strictures (PES) often requires repeated dilations; however, a uniform definition for the therapeutic efficacy of this technique has not been yet established. We aimed to assess the overall efficacy of endoscopic dilation of pharyngoesophageal anastomotic or post-radiotherapy (post-RT) strictures. Methods: The data of 48 patients with post-RT (n = 29) ...
Introduction: The use of self-expandable metal stents (SEMS) for the treatment of postoperative leaks of the upper gastrointestinal tract is already established. However, there are discrepancies between the relatively small caliber of the esophageal stents available and the postsurgical luminal size, which may determine an inadequate juxtaposition. As colonic stents have a bigger diameter, they might be more ad...
Gastroschisis is a congenital abdominal wall defect in which bowel and other abdominal contents are herniated. The eviscerated loops are directly exposed to amniotic fluid which causes intestinal damage and neonatal mortality. Unless there is an obstetrical contraindication, delivery timing of gastroschisis foetuses should be extended at least to 37 weeks of gestation. Early elective delivery may result in prol...