Acute upper airway obstruction (AUAO) due to benign thyroid disease is a rare but life-threatening condition. We report case of an 82-year-old woman with toxic multinodular goitre who presented the emergency department confusion and noisy breathing. Despite being initially stable, she developed progressive stridor hypoxemia. A neck CT revealed significant tracheal compression goitre. Immediate intubation corticosteroid treatment were followed by urgent total thyroidectomy tracheostomy. She...

Novos modelos organizacionais, o incremento de TICs e os desafios à liderança estratégica são questões contemporâneas potencialmente abstratas presentes nas organizações que buscam competitividade. Com base nisso, uma pesquisa bibliográfica foi realizada bases dados do Scielo, Scolus, CAPES Google Scholar, após reunião Focus Group com nove especialistas em gerenciamento virtual estratégia organizacional, moldando a bibliográfica. Diante disso, essa buscou descrever as implicações uso das...

ABSTRACT Sclerosing angiomatoid nodular transformation (SANT) is a rare nonneoplastic splenic disorder of unknown etiopathogenesis. This condition usually found incidentally on imaging studies. Because its similar features, SANT can wrongly be described as metastatic carcinoma. A 61-year-old Caucasian male was referred to our general surgery outpatient clinic regarding unusual formations in routine abdominal ultrasound. All diagnostic exams performed confirmed lesions, but no primary tumor...

Cholecystoenteric fistulas occur as a result of chronic inflammatory insult involving the gallbladder and erosion both its wall bowel segment. When fistula develops, it creates pathway for gallstones to migrate cause an intestinal obstruction, known gallstone ileus. obstructs gastric outlet, proximal variant ileus occurs, Bouveret's syndrome. A 65-year-old man presented emergency department with three-day history epigastric right upper quadrant pain persistent vomiting, preceded by...

Abstract Purpose Gastric cancer is the fifth most common malignant tumor worldwide. Many attempts have been made over years to investigate relationship between markers and risk of recurrence. This study aims explore predictive value measured in peritoneal washing during staging laparoscopy, regarding carcinomatosis mortality within 1 year. Methods Patients with locally advanced gastric cancer, staged as at least usT2anyNM0 were submitted laparoscopy a Portuguese single center. CA 19.9, CEA,...

Teaching Point: Although inguinal hernias are very common, stomach entrapment within an hernia is rare.

O trabalho teve como objetivo principal analisar na Universidade Federal do Estado Rio de Janeiro - UNIRIO a influência percebida da execução pós-doutorado, em um cenário ‘antes’/‘depois’ sua efetivação, produção científica e tecnológica seus pesquisadores, à luz teoria Espiral Conhecimento. Foi realizada uma computação censitária das produções dos pesquisadores sistema pós-graduação Stricto sensu UNIRIO, que realizaram o pós-doutoramento ao longo história com finalidade os cenários antes...

Sclerosing mesenteritis is a chronic disease that primarily affects the mesenteric adipose tissue and encompasses range of fibrotic inflammatory pathologies. Due to its low incidence, etiology remains unclear, though various factors are thought contribute onset. Clinical manifestations nonspecific, ranging from asymptomatic cases persistent abdominal pain, which most common symptom. Incidental findings on imaging have increased with widespread use computed tomography (CT) scans. However,...

Esse trabalho busca através da revisão literatura apresenta casos concretos, identificar alguns dos diferentes eixos da(s) diversidade(s) (geracional, racial, gênero, por orientação sexual, deficiência física e cultural-imigracional). Dessa forma, a gestão possibilita novos desafios oportunidades aos profissionais que estiverem capacitados lidar com essa realidade se descortina para as organizações. Esses segmentos sociais, tem demandas específicas, tanto ofertar agentes organizações, assim...

Anorexia nervosa (AN) is an eating disorder often accompanied by complicated medical conditions. It results in increased serum levels of liver enzymes, especially transaminases, and affects both males females. Here, we describe the cases two patients admitted to our District General Hospital. The presented with malnourishment secondary AN severely deranged function tests. According literature review, who are malnourished particularly susceptible injury, small insults can amount exaggerated...

Abstract Endometrial carcinoma is one of the most common gynaecologic malignancies in western society. Treatment recurrent disease became more refined, with study molecular and hormonal receptors playing a central role. A 76-year-old caucasian woman presented to emergency department growing tiredness, melaena. Past medical history included an endometrioid adenocarcinoma. The patient had undergone hysterectomy bilateral salpingo-oophorectomy pelvic paraaortic lymphadenectomy was disease-free...

This article aims to present Civil Procedural Law of notes related the institute "Execution", investigating main changes implemented with advent new Procedure Code 2015.According nature data, research is classified as qualitative, contemplating literature.The relevance this study lies in its contribution construction knowledge Procedure, especially harvest affects "execution" and a scientific-pedagogical exercise envisioned development tool interest major innovations brought by New civil,...

O trabalho introduz o debate da gestão da(s) diversidade(s) nos cursos de administração, pois este tem sido um dos mais procurados em instituições ensino superior. Contextualiza a descrição metodologia empregada no trabalho, suas limitações e os critérios amostra. A amostra foi catalogada, definida estabelecida sua trajetória histórica. Avançou-se na caracterização paradigmática ideológica, até exposição resultados obtidos. Buscou-se interface com as práticas gerenciais, para estão...

Este estudio examina el debate sobre los grupos desfavorecidos y la valoración de diversidad en un sector específico del sindicalismo brasileño, formado por asociaciones docentes sindicatos instituciones públicas federales educación superior. Se abordan algunas cuestiones clave, como proceso a través cual mencionado anteriormente se ha incorporado las agendas estas sindicatos; modernización reflexión desigualdad sociedad brasileña; dependencia protagonismo individuos vinculados vulnerables;...