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Hyperchloremic acidosis is a late frequent complication of augmentation ileocystoplasty, but only rarely patients develop symptomatic acidemia. A 64-year-old woman, with history of augmentation ileocystoplasty three months before, was admitted in the emergency department complaining of fatigue, abdominal pain, nausea and vomits. Analytical evaluation presented an elevation of the inflammatory parameters, renal dysfunction and a slight elevation of serum amylase and lipase, as well as severe hyperchloremic acidemia. The first diagnosis hypothesis was thought to be acute pancreatitis. However, attending to the differential diagnosis of metabolic acidemia with normal anion gap and due to bicarbonate loss, the hypothesis of acidemia after ileocystoplasty was more consistent. Treatment with endovenous and oral bicarbonate was instituted and clinical and analytical improvement were observed. It is essential to foresee the metabolic complications of this procedure and consider all possible diagnoses in order to diagnose and treat early, preventing associated morbidity., Medicina Interna, Vol. 24 N.º 3 (2017): Julho/ Setembro

Background Millions of people worldwide have been diagnosed with coronavirus disease 2019 (COVID‐19), which has impacted maternal mental health and mother–infant relationships during the postpartum period. Objectives To explore how mothers' anxious and depressive symptoms, parenting stress, mindful parenting, and mother–infant bonding vary as a function of the moment of the baby's birth (pre‐COVID‐19 or post‐COVID‐19) and to examine the contribution of those variables to mother–infant bonding. Methods The sample was recruited online and comprises 567 mothers (18–46 years) with an infant aged between 0 and 12 months old. Results Approximately 27.5% of the mothers presented clinically significant levels of anxious and depressive symptoms. Mothers who gave birth during the COVID‐19 pandemic presented lower levels of Emotional Awareness of the Child and a more impaired mother–infant bonding than mothers who gave birth before the pandemic started. Approximately 49% of the mother–infant bonding variance was explained by parenting stress and by several dimensions of mindful parenting. Conclusion Our findings provide important insights into the impact of COVID‐19 on maternal mental health and parenting.

Background: Physical inactivity is an issue that needs to be addressed and nature visits could be a key health promotion strategy, contributing to increased levels of physical activity (PA). Purpose: Explore the differences in physical activity and pro-environmental behaviors accordingly the nature visit frequency. Methods: We recruited a sample of 219 individuals (77 men and 142 women). A self-administered questionnaire was used to measure nature visits and PEB���s. Physical activity was measured using ActiGraph accelerometers (wGT3X-BT). Kruskal-Wallis test was performed to explore the differences on total PA, moderate-vigorous PA, steps/day and PEB���s through the nature visit frequency (never, once a week, 2-3 times/week and ���4 times/week). Results: There was a significant difference between groups with respect to moderate-vigorous PA ( p=0.01), steps/day ( p=0.02) and PEB���s ( p=0.04) according to the number of visits to natural spaces. Individuals who visit nature 2-3 times/week achieved higher levels of moderate-vigorous PA and performed a greater number of daily steps, compared to those who visited natural spaces only once time/week or never visit. It was the individuals who visited nature ���4 times/week those who adopted a greater number of PEB's. Conclusions: Individuals who visited natural spaces 2-3 times per week tended to achieve higher levels of moderate-vigorous PA, perform a greater number of steps, and adopt a greater number of environmentally friendly behaviors. Funding: This work is supported by National Funds by FCT-Portuguese Foundation for Science and Technology, under the projects UIDB/04033/2020, UID04045/2020 and UIDB/00073/2020. The investigation was also supported by European funding program Interreg Atlantic Area, under the project (EAPA_772/2018-Triple-C)., The Health & Fitness Journal of Canada, Vol. 14 No. 3 (2021): Proceedings from the 8th International Society for Physical Activity and Health Congress

Background: The literature suggests that dog ownership may improve physical activity (PA) and nature visits, however, most previous studies used self reported PA measures. The association between owning a dog and adopting pro-environmental behaviors (PEB���s) is also under researched. Purpose: Explore the differences between dog owners and non-dog owners concerning objectively measured physical activity, nature visits and pro-environmental behaviors. Methods: Our sample was comprised 219 individuals, 64.8% female and mean age of 40.63 (��15.35) years, divided into the following groups: dog owners (DO) and nondog owners (NDO). PA was measured using ActiGraph accelerometers (wGT3X-BT). Dog ownership, nature visits and PEB���s were assessed by questionnaire. The data were analyzed using the Sudent���s T test or the Mann-Whitney U test. Results: Approximately 33% of a sample reported having a dog. The TPA ( p=0.02), steps/day ( p=0.03) and nature visits (p, The Health & Fitness Journal of Canada, Vol. 14 No. 3 (2021): Proceedings from the 8th International Society for Physical Activity and Health Congress

Background: It has been suggested that nature visits are positively associated with higher levels of physical activity (PA) and generates greater respect and responsibility for the natural environment. These benefits may differ between men and women, making this gender differentiation required. Purpose: Analyze, in both genders, the influence of age and PA on nature visits and pro-environmental behaviors (PEB���s). Methods: We recruited a sample of 219 individuals (77 men and 142 women) and a self-administered questionnaire was used to measure nature visits, PEB���s and obtain some demographic variables. PA was measured using ActiGraph accelerometers (wGT3X-BT). Pearson���s correlation and logistic regression analysis was used to analyze the data. Results: The results showed a gender differences in nature visits (p, The Health & Fitness Journal of Canada, Vol. 14 No. 3 (2021): Proceedings from the 8th International Society for Physical Activity and Health Congress

Background: Natural environments may influence individual physical activity (PA) and subsequently body composition, reducing obesity and improving community health. Purpose: Examine, in both genders, the differences in body composition, PA, nature visits and pro-environmental behaviors (PEB���s) according to the settings privileged for the PA practice. Methods: We studied 216 individuals (77 men and 139 women). Participants wore the Actigraph GT3X accelerometer to collect information concerning to total PA, moderate-vigorous PA and steps/day. Body composition variables were assessed by octopolar bioimpedance (InBody 720). The contexts for PA, nature visits and PEB���s were self-reported. The data were analyzed using the Student���s T test or the Mann-Whitney U test. Statistical significance was set at p���0.05. Results: More than half of the male and female sample (59.7% and 52.1% respectively) privileged outdoor spaces for the PA practice, preference reported particularly by older individuals. Only in men, the preference for outdoor settings contributed to the increase in visitation to nature. Women with higher levels of central adiposity have a preference for these outdoor spaces for PA practice ( p=0.01). Non-significant differences were observed in the remaining variables. Conclusions: The parks/outdoor spaces are the privileged contexts for PA practice by older people, regardless of gender. The same applies to women whit high central adiposity. In both genders, the preference for natural outdoor environments does not seem to translate into higher levels of PA. Funding: This work is supported by National Funds by FCT-Portuguese Foundation for Science and Technology, under the projects UIDB/04033/2020, UID04045/2020 and UIDB/00073/2020. The investigation was also supported by European funding program Interreg Atlantic Area, under the project (EAPA_772/2018-Triple-C)., The Health & Fitness Journal of Canada, Vol. 14 No. 3 (2021): Proceedings from the 8th International Society for Physical Activity and Health Congress

Supplemental Material for Pro-Environmental Behaviors: Relationship With Nature Visits, Connectedness to Nature and Physical Activity by Andreia Teixeira, Ronaldo Gabriel, José Martinho, Mário Santos, Aurélio Faria, Irene Oliveira and Helena Moreira in American Journal of Health Promotion

Additional file 1. Supplementary Figures of Manuscript. Supplementary tables and figures required for the better comprehension of the manuscript.