13 documents found, page 1 of 2
Endoscopic Sleeve Gastroplasty as Facilitatorfor Renal Transplantation in Patie...
Patrício Correia, Vítor; Pereira, Teresa; Miranda, Carlos; Lalanda, Raquel; Nogueira, Helena Filipa; Marques, Pedro; Costa Gomes, Olavo; Craciun, AnaIntroduction: Obesity is a major barrier to kidney transplantation, associated with increased perioperative complications and reduced graft survival. Traditional bariatric surgeries have shown effectiveness in weight reduction but present challenges in pharmacokinetics and nutritional status. Endoscopic sleeve gastroplasty has emerged as a less invasive alternative, potentially suitable as a bridge to renal tra...
ASSYMTPOMATIC GIANT GASTROINTESTINAL STROMAL TUMOR (GIST): CLINICAL CASE REPORT
Valente, Sofia; Miranda, Carlos; Coutinho, JoãoGISTs are rare mesenchymal tumors, which may present as millimetric lesions or bulky masses. They are usually clinically silent until they reach a significant size, so their finding is often incidental. We report the case of a 92 – year – old female patient admitted to the Emergency Department due to clinical symptoms of right hypochondrium (RH) pain, nausea and vomiting, developing within a few hours. Clinical...
PRIMARY PNEUMOCOCCAL PERITONITIS IN A HEALTHY WOMAN: CASE REPORT AND A LITERATU...
Fernandes, Sara; Freire-Gomes, Ana; Girão, José; Miranda, Carlos; Coutinho, JoãoPrimary peritonitis usually occurs in patients with comorbidities but very rarely can also occur in healthy patients. These rare cases have been published in increasing number and have higher incidence in women. This article refers to the case of a previously healthy 47-year-old woman who presented to the emergency room with acute abdomen, fever, and diarrhea that rapidly progressed to septic shock. She underwe...
Pancreas angiosarcoma : case report of a rare cause of abdominal pain
Faria, Aldara; Alpoim Lopes, Filipe; Figueira, Alberto; Miranda, Carlos; Coutinho, JoaoIntroduction: Pancreas angiosarcoma is a very aggressive malignant neoplasm. The symptoms are nonspecific and it is usually diagnosed at an advanced stage, which confers a poor prognosis. Presentation of case: We present a 56-year-old woman with abdominal epigastric pain and nausea. The abdominal CT-scan showed a 7 cm mass within the head of the pancreas and the pathology and immunochemistry analysis were posit...
Legal clinics, a challenge for the teaching of law
Anjos, Maria do Rosário; Miranda, Carlos; Mimoso, Maria JoãoThe teaching of law has experienced new challenges, especially with globalisation and the changes introduced by the Bologna process. However, it has been difficult to implement them before the insistence of the traditional methodology of expository lessons, deeply rooted in the cycles of law. One of the current challenging methodologies is the legal clinics, as a dynamic and providing tool for active learning a...
Inclusive education at higher education in law
Anjos, Maria do Rosário; Miranda, Carlos; Mimoso, Maria JoãoThe enrollment of students with special educational needs (SEN) in higher education has been increasing and is a reality of the 21st century. This increase is visible in all areas of higher education, including the teaching of law. This new reality is a challenge and an imperative of human rights. However, the realization of this fundamental right makes it necessary to deepen the reflection on inclusive educati...
Students in higher education as consumers of services provided by the University
Anjos, Maria do Rosário; Miranda, Carlos; Mimoso, Maria JoãoThe purpose of this study is to understand the scope of applicability of the norms foreseen in the Consumer Protection Law to the relations established between the Portuguese higher education institutions, public and private, and the students who attend them. We critically analyze the fact that the jurisprudence considers the relationship of the student with a public higher education institution as a tax relati...
Trabalho Livre nº 20 - Uma Abordagem mais Conservadora do Pé Diabético
Fernandes, Sara; Batista, Lucas; Miranda, Carlos; Alves, Alexandra; Coutinho, JoãoO pé diabético constitui a causa mais frequente de amputação não-traumática do membro inferior e de internamento hospitalar dos doentes diabéticos, implicando elevados custos socioeconómicos e psicológicos. Nos últimos anos, em virtude de uma abordagem multidisciplinar, desenvolveram-se inúmeras opções terapêuticas que têm contribuído para alterar o seu prognóstico.
Technical aspects of distal pancreatectomy with splenic preservation
Rocha, Artur Jorge de Barros; Coutinho, João Manuel; Ruivo, António; Miranda, CarlosDue to increased experience in laparoscopic surgery and the availability of new technological devices, Laparoscopic distal pancreatectomy (LDP) has gained worldwide acceptance, and is currently accepted as an alternative to the open thecnique in the treatment of distal pancreatic tumors. In patients with benign or low grade malignancies, LDP is described as a feasible and safe procedure. Decreased blood loss an...
Globalização e diversidade cultural na atividade cinematográfica
Miranda, CarlosEm contexto de profunda globalização, o cinema permanece como uma das indústrias culturais mais apreciadas e lucrativas, com um alcance potencialmente mundial. Comporta e difunde representações, valores e significados que reforçam a importância da diversidade cultural nesta forma de expressão artística. A discussão teórica tem-se repartido essencialmente entre os autores que vêem na disseminação massificada dos...