Abstract Introduction: Aortoesophageal fistula (AEF) is a rare and potentially fatal cause of upper gastrointestinal bleeding. The classic Chiari’s triad of symptoms and typical endoscopic findings are not present in all patients, making diagnosis challenging. Case Presentation: An 86-year-old man was admitted to the emergency room for melena and hematemesis with hemodynamic instability. He had a previous hospita...
Abstract In Pediatrics, functional etiology accounts for the vast majority of constipation cases, while neoplastic etiology is rare. The authors describe the case of a 14-year-old male with a history of constipation that progressively worsened and became refractory to medical treatment. On physical examination, the patient had a distended and painful abdomen with a palpable mass in the hypogastric region. An ab...
Abstract Sodium-glucose cotransporter 2 inhibitors (SGLT2i), originally developed as innovative antihyperglycemic agents, have demonstrated significant benefits in improving metabolic markers and protecting the kidneys and heart in patients with or without type 2 diabetes mellitus. The mechanisms behind these unexpected cardiorenal benefits cannot be attributed solely to improved glycemic control. Recent data s...
Abstract Introduction: With the emergence of the COVID-19 pandemic, several non-pharmacological measures were adopted to prevent and control the transmission of SARS-CoV-2. Objective: To compare pediatric hospitalizations for acute respiratory infections (ARIs) before and after the emergence of SARS-CoV-2. Materials and Methods: This was a retrospective, observational study of admissions for ARIs in the pediatr...
Abstract Introduction: SARS-CoV-2 may have several clinical presentations infection in children, with some requiring hospitalization. The published evidence is still scarce regarding the best approach and treatment for these cases. Objective: To describe pediatric hospitalizations due to SARS-CoV-2 respiratory infection in a tertiary centre. Material and methods: Retrospective observational study of SARS-CoV-2 ...
Abstract Introduction: Parsonage-Turner syndrome is a rare disease characterized by acute and severe shoulder pain followed by upper extremity paralysis, that is severely underdiagnosed in clinical practice. The objective is to describe four illustrative clinical cases and provide a summary review of the topic. Case Reports: Four patients (aged 56 to 84 years-old) diagnosed with Parsonage-Turner syndrome were f...
ABSTRACT Objective The aim of this study was to evaluate the impact of pre-pregnancy body mass index (BMI) on pregnancy outcomes in women with gestational diabetes (GD). Subjects and methods Retrospective multicenter study using data from the Portuguese National Register. We included women with GD with a singleton pregnancy. GD diagnosis was according to the International Association of the Diabetes and Pregnan...
A presente revisão de literatura teve por objectivo esclarecer quanto à adequação das medidas psicométricas de religiosidade e espiritualidade, desenvolvidas ou adaptadas para o contexto português. Procedeu-se a uma pesquisa sistemática conduzida em Dezembro de 2018 e actualizada em Junho de 2019 nas seguintes bases de dados: EBSCO (Fonte Académica, Psyc Artcles, Psychology and Behavioral Sciences, e PsycINFO);...
The present study examines a new factor structure and the convergent validity of the Portuguese version of the Patient Health Questionnaire-9 (PHQ-9) with college students. This measure has been used to evaluate depressive symptoms in adults. The total sample included 958 college students. Data were collected from a Web-based survey carried out in schools forming the Polytechnic Institute of Coimbra. Students c...
Abstract The 10-item Kessler Psychological Distress Scale (K10) has been presented as a valid measure to assess psychological distress levels in population surveys but its dimensional structure was not consensual. Our main objective was to provide a Portuguese version of the K10 exploring the reliability and factor structure of this measure. This cross-sectional study included 694 adults collected from a web-ba...