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Browsing by Issue Date, starting with "2024-04-23"

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  • Turismo inclusivo: A experiência Turística e a Terapêutica na Demência
    Publication . Rosa, Marlene; Martins, Rui; Silva, Emanuel
    [Introdução] Numa era marcada por desafios sem precedentes, a demência emerge como uma pandemia silenciosa, transpondo barreiras e convocando a necessidade de iniciar uma jornada por entendimento e respostas. Não limitada a fronteiras geográficas ou sociais, esta condição afeta uma parcela substancial da população mundial, sendo cada vez mais reconhecida como uma crise de saúde pública que exige uma resposta coordenada e compassiva. [Conclusão] Este guia foi meticulosamente concebido para fornecer orientações específicas e valiosas a diversos grupos que interagem com pessoas que vivem com demência, permitindo planear e realizar viagens seguras e confortáveis, e garantindo que as experiências turísticas sejam acessíveis e enriquecedoras para todos.
    2024-04-23Report Open access Show more
  • “A double twist” presentation – a case report of purulent cardiac tamponade following a rare complication of small-cell lung cancer radiotherapy
    Publication . Feijó, Salvato; Morais, João; Saraiva, Fátima; Silva, Sónia; Cabral, Margarida; Miguel Gonçalves, Carolina; Amorim, Diana
    Background: Small cell lung cancer is an aggressive tumor with a poor prognosis that requires prompt treatment. While radiotherapy may enhance survival when superior vena cava syndrome is present, radiation therapy–induced pericardial disease can be a potential complication. Case Report: A 55-year-old man, who recently underwent radiotherapy for stage IV small-cell lung cancer complicated by superior vena cava syndrome, presented with chest pain and dyspnea. In the emergency room, he was dyspneic, hypotensive, and tachycardic. Pulmonary auscultation revealed the absence of lung sounds on the right. The initial electrocardiogram showed ST-segment elevation in lateral leads and in lead DII, with reciprocal changes in lead DIII. A bedside transthoracic echocardiogram revealed cardiac tamponade and emergent pericardiocentesis was performed, removing 500 ml of purulent fluid, resulting in an immediate clinical improvement. Thoracentesis was also performed, showing no empyema. Large spectrum empirical antibiotic therapy was started. Cultures from the pericardial fluid and peripheral blood grew multi-sensitive Streptococcus pneumoniae. Cytological analysis of the pericardial fluid was consistent with infection. The patient improved after 2 weeks of targeted antibiotic therapy and underwent the first cycle of chemotherapy. He was discharged with an early scheduled pulmonology appointment. Conclusions: Although the most common causes of pericardial effusion in lung cancer are malignant, non-malignant etiologies should also be considered. This patient had an infectious pericardial effusion most probably due to a pericardial-mediastinal mass fistula caused by radiotherapy. This was a diagnostic challenge, both in the emergency room as well in the inpatient setting.
    2024-04-23Journal article Open access Show more