aortoenteric fistula is a rare but significant clinical entity associated with high morbidity and mortality if remain untreated. clinical presentation and imaging findings may be subtle and prompt diagnosis can be difficult. herein, we present a patient who initially presented with abdominal pain and computed tomography showed an aortic aneurysm compressing duodenum without any air bubbles. one...

the association of takayasu arthritis (ta) and inflammatory bowel disease is rare. early diagnosis and treatment may influence patient survival. this report describes a 35-year-old woman who had been treated for ulcerative colitis (uc) that manifested with weight loss, upper limb cluadication and vertigo. the diagnosis of ta was made according to the american college of rheumatology criteria. t...

BACKGROUND Patient surveys typically have variable response rates between organizations, leading to concerns that such differences may affect the validity of performance comparisons. OBJECTIVE To explore the size and likely sources of associations between hospital-level survey response rates and patient experience. RESEARCH DESIGN, SUBJECTS, AND MEASURES Cross-sectional mail survey includin...

The global trend of ageing populations is present in Brazil. Brazilian society is going through an intensive process of transformation, where young adults are increasingly fewer, thus raising the question of who will take care of the elderly in the 21st Century? There is an urgent need to establish care networks for the elderly, covering primary care, including care with housing (Healthy Housin...

Although bone and soft-tissue sarcomas are rare, early diagnosis and prompt referral to a specialised unit offers the best chance of a successful outcome both in terms of survival and surgical resection. This paper highlights the clinical and radiological features that might suggest the possibility of a bone or soft-tissue sarcoma and suggests a succinct management pathway for establishing whet...