Epigastric pain: incarceration or rotation?

Introduction: Acute intrathoracic gastric volvulus occurs when the stomach has a twist mesenteroaxial/organoaxial or chest cavity resulting in a dilatation or rupture of the diaphragmatic hiatus or diaphragmatic hernia. The purpose of this work is to show a interesting case of gastric volvulus in a patient with several comorbidities. Case Report: A 77-year-old female with past history of hiatal hernia and mental disease associated with diabetes and atrial fibrillation. Patient went to the emergency department due to vomiting associated with blood. Analytical parameters (WBC, HGB, PCR, metabolic panel and liver function), showed no significant alterations. Thoracic X-ray revealed an enlarged mediastinum due to herniation of the stomach. A computed tomography (CT) scan confirmed intrathoracic localization of the gastric antrum with twist. Patient’s symptoms were relieved by nasogastric intubation and analgesia. After six months, the patient is still asymptomatic. Conclusion: In general, the treatment of an acute gastric volvulus requires an emergent surgical repair. In patients who are not surgical candidates (with comorbidities or an inability to tolerate anesthesia), endoscopic reduction should be attempted. Chronic gastric volvulus may be treated non-emergently, and surgical treatment is increasingly being performed using a laparoscopic approach. In this case, it is a chronic form that was solved with the placement of the nasogastric tube. A nasogastric decompression is an option in the chronic form of hiatal hernia associated to gastric volvulus in patients with serious comorbidities.

Chemical characterization and bioactive properties of Prunus avium L.: The widely studied fruits and the unexplored stems

The aim of this study was to characterize sweet cherry regarding nutritional composition of the fruits, and individual phytochemicals and bioactive properties of fruits and stems. The chromatographic profiles in sugars, organic acids, fatty acids, tocopherols and phenolic compounds were established. All the preparations (extracts, infusions and decoctions) obtained using stems revealed higher antioxidant potential than the fruits extract, which is certainly related with its higher phenolic compounds (phenolic acids and flavonoids) concentration. The fruits extract was the only one showing antitumor potential, revealing selectivity against HCT-15 (colon carcinoma) (GI50~74 μg/mL). This could be related with anthocyanins that were only found in fruits and not in stems. None of the preparations have shown hepatotoxicity against normal primary cells. Overall, this study reports innovative results regarding chemical and bioactive properties of sweet cherry stems, and confirmed the nutritional and antioxidant characteristics of their fruits.

Escava��ões arqueol��gicas no Mosteiro de S. Martinho de Tibães: campanha de janeiro de 1997 a fevereiro de 1998: Terreiro de S. João, claustro do refeitório e claustro do cemitério: relatório científico

Entre Janeiro de 1997 e Fevereiro de 1998 decorreu mais uma campanha de escava��ões arqueol��gicas no mosteiro de S. Martinho de Tibães. Conforme explicitado em relatórios e memorandos anteriores, a intervenção arqueol��gica visa fundamentalmente minimizar o impacte das amplas obras de consolida��ão, restauro e adapta��ão de que o edificado é objeto e que decorrerão até ao ano 2000. Subsidiariamente, os trabalhos arqueol��gicos visam a recolha de dados que permitam aumentar o conhecimento sobre a evolução arquitetónica do mosteiro.

“Fantasia Lusitana���, de João Canijo: O Portugal ficcional vs. o pa��s real. O Estado Novo e a ‘portugalidade’. A construção da identidade

ISBN: 978-989-96858-3-3

João de Guimarães Golias, o homem e o diplomata (1599-1653)

Disserta��ão de mestrado em História

Development of a poly(L-Lactic acid) based drug release system

Disserta��ão de mestrado em Biofísica e Bionanossistemas