The AST ALT ratio as a predictor of cirrhosis in C282Y-associated hereditary hemochromatosis

WOS: 00007977840511

Zigomicose após transplante hepático em adultos: relato de três casos Zygomycosis following liver transplantation in adults: report of three cases

Relatam-se três casos de zigomicose após transplante hepático em uma série de 300 pacientes. O diagnóstico foi anatomopatológico (dois casos à necropsia e um à cirurgia). A doença manifestou-se de diferentes formas: rinomaxilar, gastrointestinal e, em um paciente, comprometeu a anastomose da artéria hepática. Neste caso, retirada cirúrgica da região comprometida e uso de anfotericina-B possibilitaram a cura.<br>We report three cases of zygomycosis following liver transplant in a series of 300 patients. Diagnosis was determined via anatomicopathological examination (on necropsy in two cases and during surgery in one case). The disease had different manifestations: rhinomaxillary, gastrointestinal and, in one case, it compromised the liver artery anastomosis. In this case, surgical removal of the affected region and use of amphotericin B achieved resolution

Psychological functioning and life experiences in adults with congenital heart disease

The number of adults with congenital heart disease is growing rapidly and this population requires highly specialized medical and also psychosocial care. The aim of this chapter is to provide an overview of the psychosocial aspects of adults with congenital heart disease, by focusing on psychological functioning, factors associated with psychological distress, coping strategies and life experiences in this population. In the literature, it is outlined how psychological and social aspects, more than the more objective medical ones, play an important role in the psychological wellbeing of these patients who struggle to lead a life which is as \u201cnormal\u201d as possible. Finally, a clinical case study regarding the provision of support to an adult with congenital heart disease, immediately after cardiac surgery, is reported at the end of the chapter. In this case study, elements regarding the referral to the psychologist are described, and it is shown how the issues reported in the literature emerge in a subjective life experience