Introduction:The scale Satisfaction with Amplification in Daily Life uses a simple and easily administered questionnaire to evaluate the adaptation of individuals to their hearing aids. The objective of this study is to validate the scale for European Portuguese speakers, by means of translation and cultural adaptation of the questionnaire. The study includes an evaluation of reproducibility and a description of the results of the administration of the questionnaire to patients fitted with hearing aids. Material and Methods:We invited 147 individuals fitted with hearing aids (uni-or bilateral) to participate in the study. Participants had used a hearing aid for at least six weeks and were patients of the Department of Otolaryngology at the Egas Moniz Hospital (Lisbon). The consent as well the guidelines for translation from and into the English language were obtained from the author of the scale, and the translation from and into, and cultural adaptation were carried out, along with an evaluation of reproducibility and internal consistency. Results:The participants were 54% male and 46% female, aged between 16 and 93 (66.09 ± 17.41 years). The results of the study showed an overall level of satisfaction of 5.4 among hearing aids users. The sub-scale satisfaction levels were: positive effects 5.88, service and cost 5.25, negative effects 4.24, and self-image 5.57. The Cronbach α score was 0.75 which indicates good internal consistency. Furthermore, the questionnaire's overall and sub-scale average scores did not differ significantly from the results obtained under the American scale. The inter-examiner reproducibility was also good. Discussion: This study provides reliable results of the scale for the Portuguese of Portugal and adequate internal consistency, with significant age variability in the sample. Conclusion:This adaptation of the Satisfaction with Amplification in Daily Life questionnaire for European Portuguese speakers should be considered a good tool for evaluation of the level of satisfaction of hearing aid users, and until now, is the only available scale for speakers of European Portuguese.

We present a case of reactive amyloidosis that developed secondary to common variable immunodeficiency and rheumatoid arthritis. A 66-year-old woman, with prior history of common variable immunodeficiency and rheumatoid arthritis, was referred to our clinic for chronic diarrhea investigation. The patient was submitted to colonoscopy with ileoscopy, which did not show relevant endoscopic alterations. However, undertaken biopsies revealed amyloid deposition. Since amyloidosis with GI involvement is a rare cause of chronic diarrhea, this pathology should be considered in etiologic investigation, especially when associated with chronic inflammatory diseases.

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Introduction: Pediatric readmissions have received increased attention in the past few years. Distinguishing between planned and unplanned readmissions and between preventable and unpreventable ones constitutes an important target to better understand this thematic. The aim of this study was to analyze the readmission rate and characterize the population readmitted within a 30-day period after discharge in the pediatric ward of a level II hospital.Material and Methods: Observational retrospective single center study of the pediatric patients who were discharged from a level II hospital, between 2009 and 2019, and had at least one readmission within 30 days after discharge. Clinical and demographic data were obtained from the analysis of the patient’s medical records. We considered as potentially preventable all the unplanned readmissions that were related with the index admission.Results: From the 6879 admissions during the study period, 4.8% resulted in readmissions within the next 30 days. Excluding the planned readmissions, the seven, 15 and 30-day readmission rates were respectively 1.7%, 2.7% and 3.9%. Most of the unplanned readmissions (77%) were considered as potentially preventable. Patients reevaluated in the Pediatric Day Hospital after discharge had shorter intervals to readmission. Readmissions due to decompensation of chronic disease were more likely related with the index admission. Patients with chronic disease, as well as patients with neurological impairment were more likely to have multiple readmissions.Conclusion: We found a low overall readmission rate, but a higher percentage of potentially preventable readmissions, when compared with the available literature.