- Gastrointestinal disorders and treatments
- Colorectal Cancer Screening and Detection
- Helicobacter pylori-related gastroenterology studies
- Gastrointestinal Bleeding Diagnosis and Treatment
- Gallbladder and Bile Duct Disorders
- Pediatric Hepatobiliary Diseases and Treatments
- Airway Management and Intubation Techniques
- Cardiac, Anesthesia and Surgical Outcomes
- Esophageal and GI Pathology
- Clinical practice guidelines implementation
- Pancreatic and Hepatic Oncology Research
- Gastric Cancer Management and Outcomes
- Gastrointestinal Tumor Research and Treatment
- Infection Control and Ventilation
- Tracheal and airway disorders
- Infectious Diseases and Tuberculosis
- Pancreatitis Pathology and Treatment
- Foreign Body Medical Cases
- Blood Pressure and Hypertension Studies
- Health Systems, Economic Evaluations, Quality of Life
- Healthcare professionals’ stress and burnout
- Stoma care and complications
- Science and Education Research
- Metastasis and carcinoma case studies
- Amoebic Infections and Treatments
Hospitais da Universidade de Coimbra
2019-2023
Hospital de Santa Maria
2023
University of Coimbra
1994-2021
ISPA - Instituto Universitário
2019
Polytechnic Institute of Bragança
2018
Deutsches Herzzentrum der Charité
2013
<b><i>Background:</i></b> <i>Chlamydia trachomatis</i>-lymphogranuloma venereum (LGV) is a sexually transmitted infection (STI) and an uncommon cause of proctitis. The diagnosis requires high index clinical suspicion, since the clinical, imaging, endoscopic, histological findings can mimic multiple benign or malignant conditions like inflammatory bowel disease rectal neoplasms. <b><i>Case Presentation:</i></b> We present case...
Abstract: A 6‐year‐old girl had congenital sensory neuropathy with anhidrosis (CSNA), one of the five variants a group very rare genetic disorders peripheral nervous system—hereditary neuropathies (HSN). Clinical, laboratory, and physiopathologic aspects are discussed. Dermatologic findings self‐mutilation suggest diagnosis.
Introduction The term burn-out or burnout, means 'burn to exhaustion', this was first used by Herbert Freundenberg. According Freundenberg, burnout is a 'state of physical and mental exhaustion conditioned the individual's professional activity'. That manifested through set signs symptoms associated with emotional breakdown that result from total energy lack resources forces 'help' others.Objectives Assess occurrence in Portuguese gastroenterologists understand how certain sociodemographic...
<i>Klebsiella pneumoniae</i> is a gram-negative pathogen that common cause of severe infections, including pyogenic liver abscess. Dissemination <i>K. to other organs, the eye, associated with significant morbidity and mortality. In particular case endogenous endophthalmitis (EE) by prognosis poor. We report middle-aged female The patient developed metastatic was aggressively treated systemic antibiotics. abscess resolved antimicrobials percutaneous transhepatic drainage,...
Haemobilia is an unusual but significant cause of upper gastrointestinal bleeding. Two-thirds haemobilia cases are secondary to invasive hepato-biliopancreatic procedures. Biliary angiodysplasia exceptionally unusual, with only three reported. Herein, we report the case autonomous 80-year-old woman a history cholecystectomy 5 years ago and cardiovascular disease—hypertension, heart failure, acute myocardial infarction, stroke non-valvular atrial fibrillation, anticoagulated apixaban 2.5 mg...
Technological transformation is at the center of changes that affect current forms work organization in different sectors activity [1]. However, its introduction never standard. On contrary, it depends on dynamics each sector, company's history, and territory. In contrast to a deterministic view assumes direct relationship between technology productivity, an indirect one when comes guaranteeing collective individual well-being, analysis conducted domain psychology ergonomics has uncovered...
An 89-year-old man presented to the emergency department with a 1-month history of upper right quadrant pain, worsened in last 3 days and accompanied by fever chills. On physical examination, he had scleral icterus tenderness. Laboratory findings showed hyperbilirubinemia, elevated liver enzymes C reactive protein. The patient was admitted, suspecting an acute cholangitis started on antibiotics. gastrointestinal endoscopy revealed presence juxtapapillary diverticulum second portion duodenum,...
Maior frequência coital tem-se associado a maior desvio padrão da cardíaca, um parâmetro variabilidade cardíaca (VFC) que pode expressar actividade simpática e parassimpática. No presente estudo examinaram-se associações de diversos parâmetros VFC com satisfação sexual vários comportamentos sexuais. Sessenta homens 85 mulheres relataram sua respectiva subescala LiSat (Life Satisfaction) scale qual em dias no mês precedente coito vaginal, sexo não masturbação. Os foram calculados partir cinco...
Iron-deficiency anemia is a prevalent condition usually treated with iron supplementation. Iron pill-induced gastritis an under-recognized, albeit serious potential complication of pill ingestion in the upper gastrointestinal tract. This entity must be identified by healthcare providers who prescribe iron. The diagnosis this unusual drug-induced disease based on endoscopic findings and histopathological examination, because clinical symptoms are vague non-specific. Herein we report case...
Clinical practice guidelines (CPG) contain recommendations that aim to guide physicians in the diagnosis of and therapeutic approach toward patients affected by gastrointestinal (GI) pathologies. These CPG systematically combine scientific evidence clinical judgment, culminating have been shown improve patient care.European North American published area gastroenterology 2018 2019 were considered for inclusion. To standardize results, only used GRADE as an system included. Thus, end, 1,233...
Objectives: Postoperative percutaneous dilatational tracheostomy (PDT) is a low risk procedure that can be performed at the bedside in patients who require prolonged mechanical ventilation due to respiratory insufficiency. PDT known significantly reduce duration of artificial and length ICU stay. However, after total aortic arch repair with extraanatomic reconstruction supraaortic branches bares potential for graft perforation.
According to the guideline published by ESGE/UEG, a high-quality esophagogastroduodenoscopy (EGD) implies application of some criteria that enable better healthcare outcomes. Although intra-procedural performance measures are dependent on patient factors, there is no reference sedation practices in mentioned above.
Aims The authors present 3 cases of successful endoscopic resection small bowel lymphangiomas after a full evaluation anaemia.
As atividades de investigação proporcionam uma forma abordar e aprender com compreensão os diferentes saberes disciplinares. Este texto apresenta aspetos um estudo exploratório desenvolvido no estágio profissional, âmbito do Mestrado em ensino 1.º 2.º ciclo básico, que se assumiu a grande importância das processo aprendizagem. O estudo, enquadrado por abordagem qualitativa interpretativa, pretendeu identificar analisar perceções dos alunos sobre realizadas grupo. Os participantes foram 4.º,...
Aims Burnout syndrome can affect several elements of a clinical team, compromising their health and leading to additional difficulties in current activity.
Introdução:A sintomatologia gastrointestinal é um motivo frequente de consulta nos cuidados saúde primários. Para melhor esclarecimento determinadas queixas gastrointestinais pode ser necessário o pedido exames endoscópicos. Os relatórios destes devem cumprir critérios qualidade definidos em recomendações internacionais. Estudos anteriores concluíram que muitos ainda são redigidos forma incompleta. Objetivos:Avaliar qual a relevância os médicos Medicina Geral e Familiar (MGF) atribuem aos...
Helicobacter pylori (H. pylori) infection is highly prevalent in Portugal and its eradication formally recommended. However, the indiscriminate use of antimicrobials has led to a drastic rise antibiotic resistance, with failure traditional schemes. A single-capsule bismuth-based quadruple therapy became recently available Portugal. This study aims evaluate efficacy safety as second-line or rescue therapy.This was multicentric study. All consecutive patients that were treated therapy, salvage...
Case 1 An 80-year-old man with multiple comorbidities underwent colonoscopy identifying a 30mm mixed granular-nodular LST in region of diverticula sigmoid colon. Almost complete fragmented mucosectomy was performed, except small pericentimetric area that involved diverticular orifice. 2 A 68-year-old man, diabetic, obese liver transplantation 40mm hepatic flexure submitted to incomplete due central without elevation. Both residual lesions were resected combining full-thickness resection...
Aims Current guidelines recommend resection and histopathological analyses of all colorectal polyps. Real-time optical diagnosis can obviate non-neoplastic polyp (“diagnose-and-leave-behind”) diminutive polyps (“predict-resect-and-discard”) reducing healthcare cost burden. We aimed to evaluate the diagnostic accuracy computer-aided using CADEYE (Fujifilm, Germany) in real-time characterization compared endoscopic with histopathology as gold-standard.