Tonsillar ulceration as manifestation of disseminated African histoplasmosis in an immunocompetent Portuguese host

Free PMC Article: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5466580/Histoplasmosis is a systemic mycosis caused by Histoplasma capsulatum. Rare in Europe but endemic in some regions of Brazil, United States, Africa and Asia. Most of the cases are asymptomatic. Disseminated form is defined by the presence of an extra-pulmonary focus, particularly associated with immunosuppression. We report a case of an unilateral persisted tonsillar ulceration, in an immunocompetent Portuguese host, as manifestation of disseminated African histoplasmosis 45 years later after living 3 years in Africa.info:eu-repo/semantics/publishedVersio

Tonsillar ulceration as manifestation of disseminated African histoplasmosis in an immunocompetent Portuguese host

Free PMC Article: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5466580/Histoplasmosis is a systemic mycosis caused by Histoplasma capsulatum. Rare in Europe but endemic in some regions of Brazil, United States, Africa and Asia. Most of the cases are asymptomatic. Disseminated form is defined by the presence of an extra-pulmonary focus, particularly associated with immunosuppression. We report a case of an unilateral persisted tonsillar ulceration, in an immunocompetent Portuguese host, as manifestation of disseminated African histoplasmosis 45 years later after living 3 years in Africa.info:eu-repo/semantics/publishedVersio

Actividade Científica e de Investigação num Hospital Central: Análise Retrospectiva de Dez Anos

Introdução: A actividade científica faz parte do desempenho de um clínico da carreira médica hospitalar e os hospitais centrais devem ser a sede privilegiada da investigação clínica hospitalar. O objectivo do presente trabalho é o de avaliar retrospectivamente a actividade científica e de investigação de um hospital central, o Hospital de Dona Estefânia. Métodos: Foram avaliados, de 1993 a 2002 (dez anos), os resumos do Anuário do Hospital de Dona Estefânia, publicação anual que colige os trabalhos realizados pelo seu corpo clínico. O estudo incluiu a análise do tipo de trabalhos, a sua forma de divulgação e a produção científica, por intermédio da taxa de trabalhos por médico e por área de assistência. Resultados: Nos dez anos em análise foram incluídos 1821 trabalhos científicos, sendo 49.7% de investigação; a produção média anual do Hospital foi de 182 trabalhos, 165 comunicações e 24.5 publicações. Em 2002 foram considerados 312 médicos em 24 áreas de assistência, calculando-se uma razão por médico de 0.73 trabalhos científicos, dos quais 0.29 trabalhos de investigação. Discussão: O Anuário constituiu um excelente instrumento para medição directa da actividade científica e de investigação, abrangendo não só trabalhos publicados, mas também os não publicados. Embora não haja dados nacionais similares para comparação, seria de esperar uma maior produção científica do que a que consta no Anuário, tratando-se de um hospital central. Para tal facto podem ter contribuído a sobrecarga assistencial e o valor exíguo atribuído à actividade científica e, particularmente à investigação, na legislação que regula a contratação do corpo clínico nos hospitais portugueses

Arthropod community associated with the canopy of Attalea phalerata Mart. (Arecaceae) during the flood period of the Pantanal of Poconé, Mato Grosso, Brazil

Six trees of the palm species Attalea phalerata Mart. were sampled during high water (aquatic phase) of the Pantanal of Mato Grosso (February 2001), by canopy fogging. The composition, structure, and biomass of the arthropod community associated with their canopies were analysed, as well as the influence the flood pulse renders on it. Each tree was fogged once, followed by three consecutive collections. A total of 63,657 arthropods (643.0 ± 259.87 ind/m2) were collected, representing 25 orders in the classes Insecta, Arachnida, Diplopoda and Crustacea. The dominant groups were Acari (40.0%; 257.2 ± 116.50 ind./m2), Coleoptera (12.0%; 77.5 ± 64.93 ind./m2), Psocoptera (9.2%; 59.0 ± 38.00 ind./m2), Diptera (8.4%; 54.1 ± 18.72 ind./m2), Collembola (8.3%; 53.4 ± 26.24 ind./m2) and Hymenoptera (7.9%; 50.6 ± 21.40 ind./m2), the latter mostly represented by Formicidae (49.2%). Arthropod biomass amounted to 8.86 g dry weight and 0.18 mg/m2. Coleoptera, Blattodea, Orthoptera, Araneae and Hymenoptera were the most representative taxa. The hydrological regime (flood pulse), as well as seasonality, appear to strongly affect the composition and structure of this canopy community

P-1186 - The recovery process of persons living with psychiatric disabilities: values and principles of nova aurora community association psychosocial rehabilitation program

The Nova Aurora Community Association psychosocial rehabilitation program was developed based in the most current values of Psychosocial Rehabilitation. Some nuclear assumptions were considered, such as a) suppressing the disease stigma, b) defocusing from the mental ill role, promoting empowerment and self-determination, c) developing personal competencies directly related to the individuals’ social integration specific context (readiness, cognitive, social, emotional stress management, employability).info:eu-repo/semantics/publishedVersio