Hematuria

Acta Med Port. 1999 Jan-Mar;12(1-3):13-7. [Hematuria]. [Article in Portuguese] Milheiro A, Prisco R. Serviço de Urologia, Hospital Geral de Santo António, Porto. Abstract Patients referred for hematuria work-up are frequently seen in the urologic practice. The initial evaluation does not require the participation of a urologist or nephrologist, due to the false sense of security in the evaluation of an asymptomatic and persistent hematuria. In fact, an adequate history and physical followed by urinalysis and radiologic tests, such as IVP and ultrasonography, must be made in the initial evaluation to exclude any serious urologic/nephrologic disease. PMID: 10423867 [PubMed - indexed for MEDLINE

Jogos Eletrónicos e Saúde Mental

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Severe Mucositis Without a Rash Induced by a Mycoplasma Pneumoniae Infection

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Combined low-carbohydrate diet and long-term exercise in hypoxia in type 2 diabetes: A randomized controlled trial protocol to assess glycemic control, cardiovascular risk factors and body composition

Background: Cardiovascular disease is the leading cause of mortality associated with diabetes, which is characterized by chronic hyperglycemia. Low-carbohydrate diet has gained popularity as an intervention in patients with type 2 diabetes mellitus, acting to improve glycemic profile and serum lipids. In its turn, exercise in hypoxia induces specific adaptations, mostly modulated via hypoxia-induced transcription factor signaling cascade, which increases with exposure to altitude, and promotes angiogenesis, glycogen supply, glucose tolerance, and raises GLUT-4 expression. Aim: Given that hyperglycemia decreases HIF-1 and it is better controlled when following a low-carbohydrate diet, this study aims to examine the hypothesis that a combination of both low-carbohydrate diet and chronic exercise in hypoxia in type 2 diabetes mellitus is associated with improved glycemic control and cardiovascular parameters, whose protocol is described. Methods: Patients with type 2 diabetes mellitus ( n=48) will be recruited and randomized into one of the three groups: (a) Control group: Control diet (low-fat and moderate-carbohydrate diet)+exercise in normoxia; (2) exercise in hypoxia group: Control diet+exercise in hypoxia; (3) intervention group: Low-carbohydrate diet (low-carbohydrate and high-fat diet)+exercise in hypoxia. Before and after 8 weeks of interventions, cardiopulmonary tests (Bruce protocol), body composition and blood pressure will be evaluated. Blood samples will be collected to measure hypoxia-induced transcription factor, C-reactive protein, glycemic and lipid profiles. Summary: This will be the first trial to examine the isolated and combined effect of chronic exercise in hypoxia and low-carbohydrate diet in type 2 diabetes mellitus. This trial will help to fill a significant research gap, guide future research and contribute to the combined nutrition and exercise approach to type 2 diabetes mellitus. </jats:p

Severe community-acquired pneumonia in the intensive care unit

Introduction Community-acquired pneumonia remains a common condition worldwide. It is associated with significant morbidity and mortality. The aim of this study was to evaluate conditions that could predict a poor outcome

Transient Symptomatic Zinc Deficiency: A Case Report

O défice de zinco no lactente pode ocorrer por aumento das necessidades ou diminuição do aporte. A deficiência sintomática transitória de zinco resulta de uma alteração no transportador de zinco a nível da glândula mamária, conduzindo a níveis reduzidos de zinco no leite materno. Lactentes sob aleitamento materno exclusivo apresentam, nestes casos, um défice de aporte. As manifestações clínicas clássicas de défice de zinco traduzem-se por lesões cutâneas acrais e periorificiais, alopecia e diarreia, sendo indistinguíveis de outras causas de défice de zinco. Verifica-se, contudo, uma remissão das manifestações após o início de diversificação alimentar. O diagnóstico precoce e início de suplementação com zinco adquirem um papel fulcral na prevenção de alterações por défice de zinco a longo prazo.info:eu-repo/semantics/publishedVersio