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Gill A, Meadows L, Ashbourne J, Kaasalainen S, Shamon S, Pereira J. 'Confidence and fulfillment': a qualitative descriptive study exploring the impact of palliative care training for long-term care physicians and nurses. Palliat Care Soc Pract 2024; 18:26323524241235180. [PMID: 38449569 PMCID: PMC10916492 DOI: 10.1177/26323524241235180] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/16/2023] [Accepted: 02/08/2024] [Indexed: 03/08/2024] Open
Abstract
Objective To explore the impact of a 2-day, in-person interprofessional palliative care course for staff working in long-term care (LTC) homes. Methods A qualitative descriptive study design was employed. LTC staff who had participated in Pallium Canada's Learning Essential Approaches to Palliative Care LTC Course in Ontario, Canada between 2017 and 2019 were approached. Semi-structured interviews were conducted, using an online videoconferencing platform in mid-2021 in Ontario, Canada. These were done online, recorded, and transcribed. Data were coded inductively. Results Ten persons were interviewed: four registered practical nurses, three registered nurses, one nurse practitioner, and two physicians. Some held leadership roles. Participants described ongoing impact on themselves and their ability to provide end-of-life (EOL) care (micro-level), their services and institutions (meso-level), and their healthcare systems (macro-level). At a micro-level, participants described increased knowledge and confidence to support residents and families, and increased work fulfillment. At the meso-level, their teams gained increased collective knowledge and greater interprofessional collaboration to provide palliative care. At the macro level, some participants connected with other LTC homes and external stakeholders to improve palliative care across the sector. Training provided much-needed preparedness to respond to the impact of the COVID-19 pandemic, including undertaking advance care planning and EOL conversations. The pandemic caused staff burnout and shortages, creating challenges to applying course learnings. Significance of results The impact of palliative care training had ripple effects several years after completing the training, and equipped staff with key skills to provide care during the COVID-19 pandemic. Palliative care education of staff remains a critical element of an overall strategy to improve the integration of palliative care in LTC.
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Affiliation(s)
- Ashlinder Gill
- Division of Palliative Care, Department of Family Medicine, McMaster University, 5th Floor, 100 Main Street West, Hamilton, ON, Canada L8P 1H6
| | - Lynn Meadows
- Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada
| | - Jessica Ashbourne
- Division of Palliative Care, Department of Family Medicine, McMaster University, Hamilton, ON, Canada
| | - Sharon Kaasalainen
- Faculty of Health Sciences, Division of Palliative Care, Department of Family Medicine, School of Nursing, McMaster University, Hamilton, ON, Canada
| | - Sandy Shamon
- Division of Palliative Care, Department of Family Medicine, McMaster University, Hamilton, ON, Canada
- Temmy Latner Centre for Palliative Care, Toronto, ON, Canada
| | - José Pereira
- Division of Palliative Care, Department of Family Medicine, McMaster University, Hamilton, ON, Canada
- Pallium Canada, Ottawa, ON, Canada
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Pereira J, Klinger C, Seow H, Marshall D, Herx L. Are We Consulting, Sharing Care, or Taking Over? A Conceptual Framework. Palliat Med Rep 2024; 5:104-115. [PMID: 38415077 PMCID: PMC10898231 DOI: 10.1089/pmr.2023.0079] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/09/2024] [Indexed: 02/29/2024] Open
Abstract
Background Primary- and specialist-level palliative care services are needed. They should work collaboratively and synergistically. Although several service models have been described, these remain open to different interpretations and deployment. Aim This article describes a conceptual framework, the Consultation-Shared Care-Takeover (C-S-T) Framework, its evolution and its applications. Design An iterative process informed the development of the Framework. This included a symposium, literature searches, results from three studies, and real-life applications. Results The C-S-T Framework represents a spectrum anchored by the Consultation model at one end, the Takeover model at the other end, and the Shared Care model in the center. Indicators, divided into five domains, help differentiate one model from the other. The domains are (1) Scope (What aspects of care are addressed by the palliative care clinician?); (2) Prescriber (Who prescribes the treatments?); (3) Communication (What communication occurs between the palliative care clinician and the patient's attending clinician?); (4) Follow-up (Who provides the follow-up visits and what is their frequency?); and (5) Most responsible practitioner (MRP) (Who is identified as MRP?). Each model demonstrates strengths, limitations, uses, and roles. Conclusions The C-S-T Framework can be used to better describe, understand, assess, and monitor models being used by specialist palliative care teams in their interactions with primary care providers and other specialist services. Large studies are needed to test the application of the Framework on a broader scale in health care systems.
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Affiliation(s)
- José Pereira
- Division of Palliative Care, Department of Family Medicine, McMaster University, Hamilton, Ontario, Canada
- Faculty of Medicine, University of Navarra, Pamplona, Navarra, Spain
- Pallium Canada, Ottawa, Ontario, Canada
| | - Christopher Klinger
- Division of Palliative Care, Department of Family Medicine, McMaster University, Hamilton, Ontario, Canada
- Pallium Canada, Ottawa, Ontario, Canada
| | - Hsien Seow
- Department of Oncology, McMaster University, Hamilton, Ontario, Canada
| | - Denise Marshall
- Division of Palliative Care, Department of Family Medicine, McMaster University, Hamilton, Ontario, Canada
| | - Leonie Herx
- Department of Pediatrics, University of Calgary, Calgary, Alberta, Canada
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Pereira J, Souza R, Lima R, Moreira A, Moita A. An Overview of the Recent Advances in Pool Boiling Enhancement Materials, Structrure, and Devices. Micromachines (Basel) 2024; 15:281. [PMID: 38399009 PMCID: PMC10891924 DOI: 10.3390/mi15020281] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/11/2023] [Revised: 02/11/2024] [Accepted: 02/13/2024] [Indexed: 02/25/2024]
Abstract
This review attempts to provide a comprehensive assessment of recent methodologies, structures, and devices for pool boiling heat transfer enhancement. Several enhancement approaches relating to the underlying fluid route and the capability to eliminate incipient boiling hysteresis, augment the nucleate boiling heat transfer coefficient, and improve the critical heat flux are assessed. Hence, this study addresses the most relevant issues related to active and passive enhancement techniques and compound enhancement schemes. Passive heat transfer enhancement techniques encompass multiscale surface modification of the heating surface, such as modification with nanoparticles, tunnels, grooves, porous coatings, and enhanced nanostructured surfaces. Also, there are already studies on the employment of a wide range of passive enhancement techniques, like displaced enhancement, swirl flow aids, and bi-thermally conductive surfaces. Moreover, the combined usage of two or more enhancement techniques, commonly known as compound enhancement approaches, is also addressed in this survey. Additionally, the present work highlights the existing scarcity of sufficiently large available databases for a given enhancement methodology regarding the influencing factors derived from the implementation of innovative thermal management systems for temperature-sensitive electronic and power devices, for instance, material, morphology, relative positioning and orientation of the boiling surface, and nucleate boiling heat transfer enhancement pattern and scale. Such scarcity means the available findings are not totally accurate and suitable for the design and implementation of new thermal management systems. The analysis of more than 100 studies in this field shows that all such improvement methodologies aim to enhance the nucleate boiling heat transfer parameters of the critical heat flux and nucleate heat transfer coefficient in pool boiling scenarios. Finally, diverse challenges and prospects for further studies are also pointed out, aimed at developing important in-depth knowledge of the underlying enhancement mechanisms of such techniques.
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Affiliation(s)
- José Pereira
- IN+ Center for Innovation, Technology and Policy Research, Instituto Superior Técnico, University of Lisbon, Avenida Rovisco Pais, 1049-001 Lisbon, Portugal; (R.S.); (A.M.); (A.M.)
| | - Reinaldo Souza
- IN+ Center for Innovation, Technology and Policy Research, Instituto Superior Técnico, University of Lisbon, Avenida Rovisco Pais, 1049-001 Lisbon, Portugal; (R.S.); (A.M.); (A.M.)
| | - Rui Lima
- Mechanical Engineering and Resource Sustainability Center (MEtRICs), Mechanical Engineering Department, University of Minho, Campus de Azurém, 4800-058 Guimarães, Portugal;
| | - António Moreira
- IN+ Center for Innovation, Technology and Policy Research, Instituto Superior Técnico, University of Lisbon, Avenida Rovisco Pais, 1049-001 Lisbon, Portugal; (R.S.); (A.M.); (A.M.)
| | - Ana Moita
- IN+ Center for Innovation, Technology and Policy Research, Instituto Superior Técnico, University of Lisbon, Avenida Rovisco Pais, 1049-001 Lisbon, Portugal; (R.S.); (A.M.); (A.M.)
- Centro de Investigação Desenvolvimento e Inovação da Academia Militar (CINAMIL), Academia Militar, Instituto Universitário Militar, Rua Gomes Freire, 1169-203 Lisboa, Portugal
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Del Barrio LG, Rodríguez-Díez C, Gea A, Arbea L, Pereira J, Díez N. Impact of a longitudinal course on medical professionalism on the empathy of medical students. Patient Educ Couns 2024; 119:108042. [PMID: 37978022 DOI: 10.1016/j.pec.2023.108042] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/20/2023] [Revised: 07/08/2023] [Accepted: 10/28/2023] [Indexed: 11/19/2023]
Abstract
OBJECTIVE Medical education should enhance empathy. We examined, using self-assessment instruments and standardized patients (SPs), the impact on empathy, of a multi-year intervention (years 4-6 of medical training) that uses reflective learning approaches. METHODS 241 final-year medical students participated; 110 from the 2018 graduation class (non-intervention group) and 131 from the 2019 graduation class (intervention group). Participants completed two self-reported empathy questionnaires - the Jefferson Scale of Empathy-Students (JSE-S) and the Interpersonal Reactivity Index (IRI) - and a personality questionnaire, the NEO Five-Factor Inventory. Additionally, SPs in a simulated station assessed participants' empathy with two patient-reported instruments: the Consultation and Relational Empathy (CARE) scale and the Jefferson Scale of Patient Perceptions of Physician Empathy (JSPPPE). RESULTS Empathy scores were significantly higher in the intervention group compared to the non-intervention group when assessed by the SP (p < 0.001). No differences were found in self-reported questionnaires between the two groups. CONCLUSION A longitudinal, multi-year reflection-based intervention enhanced empathy amongst medical students as assessed by SPs, but not when assessed by student self-reported measures. PRACTICE IMPLICATIONS Multi-year reflective learning interventions during clinical training nurture empathy in medical students. Assessments completed by SPs or patients may enhance the evaluation of empathy.
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Affiliation(s)
- Loreto García Del Barrio
- Department of Radiology, Clínica Universidad de Navarra, Pamplona, Spain; Department of Medical Education, Universidad de Navarra, Pamplona, Spain
| | | | - Alfredo Gea
- Department of Medical Education, Universidad de Navarra, Pamplona, Spain; Department of Preventive Medicine and Public Health, Universidad de Navarra, Pamplona, Spain
| | - Leire Arbea
- Department of Medical Education, Universidad de Navarra, Pamplona, Spain; Department of Oncology, Clínica Universidad de Navarra, Pamplona, Spain
| | - José Pereira
- Department of Medical Education, Universidad de Navarra, Pamplona, Spain; Department of Family Medicine, McMaster University, Canada
| | - Nieves Díez
- Department of Medical Education, Universidad de Navarra, Pamplona, Spain; Department of Pathology, Anatomy and Physiology, Universidad de Navarra, Pamplona, Spain.
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Tomé I, Alves-Pimenta S, Sargo R, Pereira J, Colaço B, Brancal H, Costa L, Ginja M. Mechanical osteoarthritis of the hip in a one medicine concept: a narrative review. BMC Vet Res 2023; 19:222. [PMID: 37875898 PMCID: PMC10599070 DOI: 10.1186/s12917-023-03777-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2023] [Accepted: 10/06/2023] [Indexed: 10/26/2023] Open
Abstract
Human and veterinary medicine have historically presented many medical areas of potential synergy and convergence. Mechanical osteoarthritis (MOA) is characterized by a gradual complex imbalance between cartilage production, loss, and derangement. Any joint instability that results in an abnormal overload of the joint surface can trigger MOA. As MOA has a prevailing mechanical aetiology, treatment effectiveness can only be accomplished if altered joint mechanics and mechanosensitive pathways are normalized and restored. Otherwise, the inflammatory cascade of osteoarthritis will be initiated, and the changes may become irreversible. The management of the disease using non-steroidal anti-inflammatory drugs, analgesics, physical therapy, diet changes, or nutraceuticals is conservative and less effective. MOA is a determinant factor for the development of hip dysplasia in both humans and dogs. Hip dysplasia is a hereditary disease with a high incidence and, therefore, of great clinical importance due to the associated discomfort and significant functional limitations. Furthermore, on account of analogous human and canine hip dysplasia disease and under the One Medicine concept, unifying veterinary and human research could improve the well-being and health of both species, increasing the acknowledgement of shared diseases. Great success has been accomplished in humans regarding preventive conservative management of hip dysplasia and following One Medicine concept, similar measures would benefit dogs. Moreover, animal models have long been used to better understand the different diseases' mechanisms. Current research in animal models was addressed and the role of rabbit models in pathophysiologic studies and of the dog as a spontaneous animal model were highlighted, denoting the inexistence of rabbit functional models to investigate therapeutic approaches in hip MOA.
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Affiliation(s)
- I Tomé
- Department of Veterinary Sciences, University of Trás-Os-Montes E Alto Douro, Vila Real, 5000-801, Portugal.
- CECAV, Centre for Animal Sciences and Veterinary Studies, Associate Laboratory for Animal and Veterinary Science - AL4AnimalS, University of Trás-Os-Montes E Alto Douro, Vila Real, Portugal.
| | - S Alves-Pimenta
- CECAV, Centre for Animal Sciences and Veterinary Studies, Associate Laboratory for Animal and Veterinary Science - AL4AnimalS, University of Trás-Os-Montes E Alto Douro, Vila Real, Portugal
- Department of Animal Science, University of Trás-Os-Montes E Alto Douro, Vila Real, Portugal
| | - R Sargo
- Department of Veterinary Sciences, University of Trás-Os-Montes E Alto Douro, Vila Real, 5000-801, Portugal
- CECAV, Centre for Animal Sciences and Veterinary Studies, Associate Laboratory for Animal and Veterinary Science - AL4AnimalS, University of Trás-Os-Montes E Alto Douro, Vila Real, Portugal
| | - J Pereira
- Department of Veterinary Sciences, University of Trás-Os-Montes E Alto Douro, Vila Real, 5000-801, Portugal
- CECAV, Centre for Animal Sciences and Veterinary Studies, Associate Laboratory for Animal and Veterinary Science - AL4AnimalS, University of Trás-Os-Montes E Alto Douro, Vila Real, Portugal
| | - B Colaço
- CECAV, Centre for Animal Sciences and Veterinary Studies, Associate Laboratory for Animal and Veterinary Science - AL4AnimalS, University of Trás-Os-Montes E Alto Douro, Vila Real, Portugal
- Department of Animal Science, University of Trás-Os-Montes E Alto Douro, Vila Real, Portugal
| | - H Brancal
- Clínica Veterinária da Covilhã, Covilhã, 6200-289, Portugal
| | - L Costa
- Department of Veterinary Sciences, University of Trás-Os-Montes E Alto Douro, Vila Real, 5000-801, Portugal
- CECAV, Centre for Animal Sciences and Veterinary Studies, Associate Laboratory for Animal and Veterinary Science - AL4AnimalS, University of Trás-Os-Montes E Alto Douro, Vila Real, Portugal
| | - M Ginja
- Department of Veterinary Sciences, University of Trás-Os-Montes E Alto Douro, Vila Real, 5000-801, Portugal
- CECAV, Centre for Animal Sciences and Veterinary Studies, Associate Laboratory for Animal and Veterinary Science - AL4AnimalS, University of Trás-Os-Montes E Alto Douro, Vila Real, Portugal
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Vieira E Brito D, Fereira A, Pereira J, Pereira-Lourenço M, Godinho R, Pereira B, Peralta P, Conceiçao P, Reis Mario A, Paula Rabaça C. Prior MRI-imaging impact of patients submitted to brachytherapy for prostate cancer. Actas Urol Esp 2023; 47:503-508. [PMID: 37086843 DOI: 10.1016/j.acuroe.2023.04.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2023] [Revised: 03/05/2023] [Accepted: 03/06/2023] [Indexed: 04/24/2023]
Abstract
INTRODUCTION Brachytherapy for the treatment of prostate cancer is a well-established option. Use of Multiparametric Magnetic Resonance Imaging (mpMRI) for staging and diagnosis of prostate cancer has come to change the current paradigm. In this study we aim to assess the impact of performing mpMRI to evaluate the presence of extracapsular lesions before brachytherapy in patients with prostate cancer concerning biochemical recurrence and time to nadir. METHODS Review data from 73 patients submitted to brachytherapy. The following factors were evaluated: age, initial PSA, MRI local staging results, ISUP, nadir, time to nadir, PSA at one-year, biochemical recurrence, and time to recurrence. RESULTS Median age was 68 years (51-72) and median follow-up 53 months (30-72). Concerning imaging modality 30,1% (n = 22) patients performed mpMRI. In the mpMRI group, 90.9% (n = 20) had at least one suspect lesion on mpMRI. Time to nadir was 27 months (3-64) in patients where mpMRI was not performed and 23.5 months (2-48) in patients submitted to mpMRI (P = .244). The median value of nadir was 0.42 ng/mL (<0.001-2) in patients submitted to mpMRI and vs 0.28 ng/mL (<0.001-4) in patients without MRI (P = .062) Recurrence utilizing Phoenix criteria was 9% (n = 2) in patients with MRI and 9.2% (n = 5) without mpMRI (P = .456), median follow-up of 43 months (12-72) for the MRI group with 58 months (30-78) for the non-mpMRI group. Both groups were statistically similar. CONCLUSION Our results allow us to conclude that in our series MRI did not influence biochemical recurrence, time to nadir, or nadir value.
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Affiliation(s)
- D Vieira E Brito
- Servicio de Urología, Instituto Portugués de Oncología, Coimbra, Portugal.
| | - A Fereira
- Servicio de Urología, Instituto Portugués de Oncología, Coimbra, Portugal
| | - J Pereira
- Servicio de Urología, Instituto Portugués de Oncología, Coimbra, Portugal
| | - M Pereira-Lourenço
- Servicio de Urología, Instituto Portugués de Oncología, Coimbra, Portugal
| | - R Godinho
- Servicio de Urología, Instituto Portugués de Oncología, Coimbra, Portugal
| | - B Pereira
- Servicio de Urología, Instituto Portugués de Oncología, Coimbra, Portugal
| | - P Peralta
- Servicio de Urología, Instituto Portugués de Oncología, Coimbra, Portugal
| | - P Conceiçao
- Servicio de Urología, Instituto Portugués de Oncología, Coimbra, Portugal
| | - A Reis Mario
- Servicio de Urología, Instituto Portugués de Oncología, Coimbra, Portugal; Servicio de Radioterapia, Instituto Portugués de Oncología, Coimbra, Portugal
| | - C Paula Rabaça
- Servicio de Urología, Instituto Portugués de Oncología, Coimbra, Portugal
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Tomé I, Alves-Pimenta S, Costa L, Pereira J, Sargo R, Brancal H, Ginja M, Colaço B. Establishment of an ultrasound-guided protocol for the assessment of hip joint osteoarthritis in rabbits-A sonoanatomic study. PLoS One 2023; 18:e0291177. [PMID: 37708238 PMCID: PMC10501586 DOI: 10.1371/journal.pone.0291177] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/23/2023] [Accepted: 08/23/2023] [Indexed: 09/16/2023] Open
Abstract
Ultrasound (US) has emerged as one of the most applied imaging tools to diagnose musculoskeletal disorders and assist in guided intra-articular administrations. Nevertheless, in evaluating the rabbit hip joint, there is a need for an ultrasonographic approach. Therefore, this study aimed to describe the hip sonoanatomy, develop and validate a US-guided protocol to assess the hip joint in rabbits and apply this protocol in vivo. This study was carried out in three phases, phase I: a pilot cadaveric study, to assess the applicability of different US approaches in the hip of rabbits and, consequently, develop a detailed US-guided protocol (2 rabbit cadavers, n = 4 hips); phase II: validation of the established US-guided protocol through a numerical scoring system in healthy joints (11 rabbit cadavers, n = 22 hips), and, lastly, phase III: application of the US-guided protocol in vivo in osteoarthritic joints (5 rabbits, n = 5 hips). A total of six planes were validated, two in the ventral approach and four in the dorsal approach. The ventral transverse plane was deemed more informative regarding the hip joint sonoanatomy, enabling the identification of a greater number of structures when compared to the other planes. Nevertheless, this study suggested that the isolated application of a plane was deemed insufficient for a complete and detailed evaluation of the hip joint anatomy, rendering it necessary to employ other planes complementarily. Furthermore, the established US-guided protocol allowed a definitive diagnosis of OA, and osteophytes and capsular hypertrophy were among the defects most frequently detected. This novel study provided US anatomical landmarks for forthcoming therapeutic research and monitoring of OA development, granting the accurate identification of osseous and cartilaginous defects.
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Affiliation(s)
- Inês Tomé
- Department of Veterinary Sciences, University of Trás-os-Montes e Alto Douro, Vila Real, Portugal
- CECAV, Centre for Animal Sciences and Veterinary Studies, Associate Laboratory for Animal and Veterinary Science—AL4AnimalS, University of Trás-os-Montes e Alto Douro, Vila Real, Portugal
| | - Sofia Alves-Pimenta
- CECAV, Centre for Animal Sciences and Veterinary Studies, Associate Laboratory for Animal and Veterinary Science—AL4AnimalS, University of Trás-os-Montes e Alto Douro, Vila Real, Portugal
- Department of Animal Science, University of Trás-os-Montes e Alto Douro, Vila Real, Portugal
| | - Luís Costa
- Department of Veterinary Sciences, University of Trás-os-Montes e Alto Douro, Vila Real, Portugal
- CECAV, Centre for Animal Sciences and Veterinary Studies, Associate Laboratory for Animal and Veterinary Science—AL4AnimalS, University of Trás-os-Montes e Alto Douro, Vila Real, Portugal
| | - José Pereira
- Department of Veterinary Sciences, University of Trás-os-Montes e Alto Douro, Vila Real, Portugal
- CECAV, Centre for Animal Sciences and Veterinary Studies, Associate Laboratory for Animal and Veterinary Science—AL4AnimalS, University of Trás-os-Montes e Alto Douro, Vila Real, Portugal
| | - Roberto Sargo
- Department of Veterinary Sciences, University of Trás-os-Montes e Alto Douro, Vila Real, Portugal
- CECAV, Centre for Animal Sciences and Veterinary Studies, Associate Laboratory for Animal and Veterinary Science—AL4AnimalS, University of Trás-os-Montes e Alto Douro, Vila Real, Portugal
| | - Hugo Brancal
- Clínica Veterinária da Covilhã, Covilhã, Portugal
| | - Mário Ginja
- Department of Veterinary Sciences, University of Trás-os-Montes e Alto Douro, Vila Real, Portugal
- CECAV, Centre for Animal Sciences and Veterinary Studies, Associate Laboratory for Animal and Veterinary Science—AL4AnimalS, University of Trás-os-Montes e Alto Douro, Vila Real, Portugal
| | - Bruno Colaço
- CECAV, Centre for Animal Sciences and Veterinary Studies, Associate Laboratory for Animal and Veterinary Science—AL4AnimalS, University of Trás-os-Montes e Alto Douro, Vila Real, Portugal
- Department of Animal Science, University of Trás-os-Montes e Alto Douro, Vila Real, Portugal
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Pereira J, Antunes N, Rosa J, Ferreira JC, Mogo S, Pereira M. Intelligent Clinical Decision Support System for Managing COPD Patients. J Pers Med 2023; 13:1359. [PMID: 37763127 PMCID: PMC10532899 DOI: 10.3390/jpm13091359] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2023] [Revised: 08/30/2023] [Accepted: 08/30/2023] [Indexed: 09/29/2023] Open
Abstract
Chronic obstructive pulmonary disease (COPD) is the third leading cause of death worldwide. Health remote monitoring systems (HRMSs) play a crucial role in managing COPD patients by identifying anomalies in their biometric signs and alerting healthcare professionals. By analyzing the relationships between biometric signs and environmental factors, it is possible to develop artificial intelligence models that are capable of inferring patients' future health deterioration risks. In this research work, we review recent works in this area and develop an intelligent clinical decision support system (CIDSS) that is capable of providing early information concerning patient health evolution and risk analysis in order to support the treatment of COPD patients. The present work's CIDSS is composed of two main modules: the vital signs prediction module and the early warning score calculation module, which generate the patient health information and deterioration risks, respectively. Additionally, the CIDSS generates alerts whenever a biometric sign measurement falls outside the allowed range for a patient or in case a basal value changes significantly. Finally, the system was implemented and assessed in a real case and validated in clinical terms through an evaluation survey answered by healthcare professionals involved in the project. In conclusion, the CIDSS proves to be a useful and valuable tool for medical and healthcare professionals, enabling proactive intervention and facilitating adjustments to the medical treatment of patients.
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Affiliation(s)
- José Pereira
- INOV Inesc Inovação—Instituto de Novas Tecnologias, 1000-029 Lisbon, Portugal; (J.P.); (N.A.); (J.R.)
- Instituto Universitário de Lisboa (ISCTE-IUL), ISTAR (Information Sciences, Technologies and Architecture Research Center), 1649-026 Lisboa, Portugal
| | - Nuno Antunes
- INOV Inesc Inovação—Instituto de Novas Tecnologias, 1000-029 Lisbon, Portugal; (J.P.); (N.A.); (J.R.)
| | - Joana Rosa
- INOV Inesc Inovação—Instituto de Novas Tecnologias, 1000-029 Lisbon, Portugal; (J.P.); (N.A.); (J.R.)
| | - João C. Ferreira
- INOV Inesc Inovação—Instituto de Novas Tecnologias, 1000-029 Lisbon, Portugal; (J.P.); (N.A.); (J.R.)
- Instituto Universitário de Lisboa (ISCTE-IUL), ISTAR (Information Sciences, Technologies and Architecture Research Center), 1649-026 Lisboa, Portugal
- Logistics, Molde University College, NO-6410 Molde, Norway
| | - Sandra Mogo
- Departamento de Física, Universidade da Beira Interior, 6201-001 Covilhã, Portugal;
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Gouveia R, Madureira S, Elias C, Neves A, Soares PR, Soares-Carreira M, Pereira J, Ribeiro A, Amorim M, Almeida J, Araújo J, Lourenco P. Lower low density lipoprotein cholesterol associates to higher mortality in non-diabetic heart failure patients. Int J Cardiol Cardiovasc Risk Prev 2023; 18:200197. [PMID: 37521244 PMCID: PMC10374454 DOI: 10.1016/j.ijcrp.2023.200197] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/28/2023] [Revised: 06/17/2023] [Accepted: 07/13/2023] [Indexed: 08/01/2023]
Abstract
Background In patients with established heart failure (HF) low total cholesterol levels associate with worse prognosis. Evidence concerning the impact of Low-density lipoprotein cholesterol (LDL-c) in HF is scarce. We aimed to evaluate the prognostic impact of LDL-c in patients with HF, both with and without diabetes mellitus (DM). Methods We retrospectively analyzed outpatients with chronic HF with systolic dysfunction followed in our HF clinic from January/2012 to May/2018. LDL-c was calculated using the Friedewald's formula. Patients without a complete lipid profile were excluded. The endpoint under analysis was all-cause mortality. Patients were followed until January/2021. A Cox-regression analysis was used to study the prognostic impact of LDL-c. The LDL-c cut-off used was 100 mg/dL (mean value). Analysis was stratified according to the coexistence of DM. Multivariate models were built adjusting for age, sex, coronary artery disease, atherosclerotic non-coronary artery disease, arterial hypertension, smoking status, statin use, severity of systolic dysfunction, creatinine clearance and evidence-based therapy. Results We studied 522 chronic HF patients, mean age was 70 years, 66.5% males. Severe systolic dysfunction was present in 42.7%, 30.5% had coronary heart disease, 60.5% had arterial hypertension, 41.6% had DM. A total of 92.0% were treated with beta blocker, 87.5% with an ACEi/ARB and 29.1% with a MRA. During a median follow-up of 53 (interquartile range 33-73) months, 235 (45%) patients died. Patients with LDL-c ≤100 mg/dL presented increased multivariate-adjusted risk of all-cause mortality: HR = 1.58 (95% CI: 1.08-2.30), p = 0.02. When patients were stratified according to DM, LDL-c ≤100 mg/dL was independently associated with increased death risk - HR = 1.55 (95% CI:1.05-2.30), p = 0.03 in patients without DM; in patients with DM no association was detected - multivariate-adjusted HR = 1.18 (95% CI: 0.77-1.80), p = 0.44. Conclusion Non-DM HF patients with LDL-c>100 mg/dL have a 35% reduction in the mortality risk when compared with those with lower values. The "cholesterol paradox" in HF also applies to LDL-c in non-DM patients.
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Affiliation(s)
- R. Gouveia
- Internal Medicine Department, Centro Hospitalar e Universitário de São João, Porto, Portugal
- Heart Failure Clinic, Internal Medicine Department, Centro Hospitalar Universitário de São João, Porto, Portugal
| | - S. Madureira
- Internal Medicine Department, Centro Hospitalar e Universitário de São João, Porto, Portugal
- Heart Failure Clinic, Internal Medicine Department, Centro Hospitalar Universitário de São João, Porto, Portugal
| | - C. Elias
- Internal Medicine Department, Centro Hospitalar e Universitário de São João, Porto, Portugal
- Heart Failure Clinic, Internal Medicine Department, Centro Hospitalar Universitário de São João, Porto, Portugal
| | - A. Neves
- Internal Medicine Department, Centro Hospitalar e Universitário de São João, Porto, Portugal
- Heart Failure Clinic, Internal Medicine Department, Centro Hospitalar Universitário de São João, Porto, Portugal
| | - P. Ribeirinho Soares
- Internal Medicine Department, Centro Hospitalar e Universitário de São João, Porto, Portugal
- Heart Failure Clinic, Internal Medicine Department, Centro Hospitalar Universitário de São João, Porto, Portugal
| | - M. Soares-Carreira
- Internal Medicine Department, Centro Hospitalar e Universitário de São João, Porto, Portugal
- Heart Failure Clinic, Internal Medicine Department, Centro Hospitalar Universitário de São João, Porto, Portugal
| | - J. Pereira
- Internal Medicine Department, Centro Hospitalar e Universitário de São João, Porto, Portugal
- Heart Failure Clinic, Internal Medicine Department, Centro Hospitalar Universitário de São João, Porto, Portugal
- Faculty of Medicine, Porto University, Portugal
| | - A. Ribeiro
- Internal Medicine Department, Centro Hospitalar e Universitário de São João, Porto, Portugal
- Heart Failure Clinic, Internal Medicine Department, Centro Hospitalar Universitário de São João, Porto, Portugal
| | - M. Amorim
- Internal Medicine Department, Centro Hospitalar e Universitário de São João, Porto, Portugal
- Heart Failure Clinic, Internal Medicine Department, Centro Hospitalar Universitário de São João, Porto, Portugal
| | - J. Almeida
- Internal Medicine Department, Centro Hospitalar e Universitário de São João, Porto, Portugal
- Cardiovascular R&D Centre, Faculty of Medicine, Porto University, Portugal
| | - J.P. Araújo
- Faculty of Medicine, Porto University, Portugal
- Cardiovascular R&D Centre, Faculty of Medicine, Porto University, Portugal
| | - P. Lourenco
- Internal Medicine Department, Centro Hospitalar e Universitário de São João, Porto, Portugal
- Heart Failure Clinic, Internal Medicine Department, Centro Hospitalar Universitário de São João, Porto, Portugal
- Faculty of Medicine, Porto University, Portugal
- Cardiovascular R&D Centre, Faculty of Medicine, Porto University, Portugal
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Pereira J, Moita A, Moreira A. An Overview of the Nano-Enhanced Phase Change Materials for Energy Harvesting and Conversion. Molecules 2023; 28:5763. [PMID: 37570732 PMCID: PMC10421084 DOI: 10.3390/molecules28155763] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/25/2023] [Revised: 07/24/2023] [Accepted: 07/27/2023] [Indexed: 08/13/2023] Open
Abstract
This review offers a critical survey of the published studies concerning nano-enhanced phase change materials to be applied in energy harvesting and conversion. Also, the main thermophysical characteristics of nano-enhanced phase change materials are discussed in detail. In addition, we carried out an analysis of the thermophysical properties of these types of materials as well as of some specific characteristics like the phase change duration and the phase change temperature. Moreover, the fundamental improving techniques for the phase change materials for solar thermal applications are described in detail, including the use of nano-enhanced phase change materials, foam skeleton-reinforced phase change materials, phase change materials with extended surfaces, and the inclusion of high-thermal-conductivity nanoparticles in nano-enhanced phase change materials, among others. Those improvement techniques can increase the thermal conductivity of the systems by up to 100%. Furthermore, it is also reported that the exploration of phase change materials enhances the overall efficiency of solar thermal energy storage systems and photovoltaic-nano-enhanced phase change materials systems. Finally, the main limitations and guidelines for future research in the field of nano-enhanced phase change materials are summarized.
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Affiliation(s)
- José Pereira
- IN+ Center for Innovation, Technology and Policy Research, Instituto Superior Técnico, Universidade de Lisboa, Av. Rovisco Pais, 1049-001 Lisbon, Portugal; (A.M.); (A.M.)
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Berni M, Mota J, Bressan D, Ribeiro L, Martins G, Pereira J, Ramos I, Nunes-da-Fonseca R, Araujo H. A pro-BMP function exerted by Rhodnius prolixus short gastrulation reveals great diversity in the role of BMP modulators during embryonic patterning. Open Biol 2023; 13:230023. [PMID: 37403495 DOI: 10.1098/rsob.230023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/06/2023] Open
Abstract
Dorsal-ventral (DV) patterning is regulated by the bone morphogenetic pathway (BMP) in Bilateria. In insect DV patterning, the Toll pathway also plays a role, in addition to BMPs. Variations in the relative importance of each pathway for DV patterning have been reported using single species of coleopteran, hymenopteran, hemipteran and orthopteran insects. To investigate if the molecular control of DV patterning is conserved inside an insect order, the emergent model hemiptera species Rhodnius prolixus was studied. We found that R. prolixus BMP pathway controls the entire DV axis, with a broader effect respective to Toll, as shown for the hemiptera Oncopeltus fasciatus. Different from O. fasciatus, the unique R. prolixus short gastrulation (sog) and the twisted gastrulation (tsg) orthologues do not antagonize, but rather favour embryonic BMP signalling. Our results reinforce the hypothesis that hemiptera rely preferentially on BMPs for DV patterning but that, surprisingly, in R. prolixus Sog and Tsg proteins exert only a positive role to establish a dorsal-to-ventral BMP gradient. Since sog has been reported to be lost from orthopteran and hymenopteran genomes, our results indicate that Sog's role to modify BMP activity varies greatly in different insect species.
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Affiliation(s)
- M Berni
- Institute for Biomedical Sciences, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil
- Instituto Nacional de Ciência e Tecnologia em Entomologia Molecular, Brazil (INCT-EM)
| | - J Mota
- Institute for Biomedical Sciences, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil
- Post-graduate Program in Morphological Sciences (PCM), Federal University of Rio de Janeiro
| | - D Bressan
- Institute for Biomedical Sciences, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil
| | - L Ribeiro
- Institute of Biodiversity and Sustainability (NUPEM), Federal University of Rio de Janeiro, Campus Macaé, Rio de Janeiro
| | - G Martins
- Institute for Biomedical Sciences, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil
- Post-graduate Program in Morphological Sciences (PCM), Federal University of Rio de Janeiro
| | - J Pereira
- Institute for Medical Biochemistry, Federal University of Rio de Janeiro
| | - I Ramos
- Institute for Medical Biochemistry, Federal University of Rio de Janeiro
- Instituto Nacional de Ciência e Tecnologia em Entomologia Molecular, Brazil (INCT-EM)
| | - R Nunes-da-Fonseca
- Institute of Biodiversity and Sustainability (NUPEM), Federal University of Rio de Janeiro, Campus Macaé, Rio de Janeiro
- Instituto Nacional de Ciência e Tecnologia em Entomologia Molecular, Brazil (INCT-EM)
| | - H Araujo
- Institute for Biomedical Sciences, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil
- Instituto Nacional de Ciência e Tecnologia em Entomologia Molecular, Brazil (INCT-EM)
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Shamon S, Gill A, Meadows L, Kruizinga J, Kaasalainen S, Pereira J. Providing palliative and end-of-life care in long-term care during the COVID-19 pandemic: a qualitative study of clinicians' lived experiences. CMAJ Open 2023; 11:E745-E753. [PMID: 37607749 PMCID: PMC10449019 DOI: 10.9778/cmajo.20220238] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 08/24/2023] Open
Abstract
BACKGROUND A disproportionate number of COVID-19-related deaths in Canada occurred in long-term care homes, affecting residents, families and staff alike. This study explored the experiences of long-term care clinicians with respect to providing palliative and end-of-life care during the COVID-19 pandemic. METHODS We used a qualitative research approach. Long-term care physicians and nurse practitioners (NPs) in Ontario, Canada, participated in semistructured interviews between August and September of 2021. Interviews were undertaken virtually, and results were analyzed using thematic analysis. RESULTS Twelve clinicians (7 physicians and 5 NPs) were interviewed. We identified 5 themes, each with several subthemes: providing a palliative approach to care, increased work demands and changing roles, communication and collaboration, impact of isolation and visitation restrictions, and impact on the providers' personal lives. Clinicians described facing several concurrent challenges, including the uncertainty of COVID-19 illness, staffing and supply shortages, witnessing many deaths, and distress caused by isolation. These resulted in burnout and feelings of moral distress. Previous training and integration of the palliative care approach in the long-term care home, access to resources, increased communication and interprofessional collaboration, and strong leadership mitigated the impact and led to improved palliative care and a sense of pride while facing these challenges. INTERPRETATION The pandemic had a considerable impact on clinicians caring for residents in long-term care homes at the end of life. It is important to address these lived experiences and use the lessons learned to identify strategies to improve palliative care in long-term care homes and reduce the impact of future pandemics with respect to palliative care.
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Affiliation(s)
- Sandy Shamon
- Division of Palliative Care (Shamon, Gill, Pereira), Department of Family Medicine, Faculty of Health Sciences, McMaster University, Hamilton, Ont.; Department of Community Health Sciences, Cumming School of Medicine (Meadows), University of Calgary, Calgary, Alta.; School of Nursing (Kruizinga, Kaasalainen), Faculty of Health Sciences, McMaster University, Hamilton, Ont.; Pallium Canada (Pereira), Ottawa, Ont.
| | - Ashlinder Gill
- Division of Palliative Care (Shamon, Gill, Pereira), Department of Family Medicine, Faculty of Health Sciences, McMaster University, Hamilton, Ont.; Department of Community Health Sciences, Cumming School of Medicine (Meadows), University of Calgary, Calgary, Alta.; School of Nursing (Kruizinga, Kaasalainen), Faculty of Health Sciences, McMaster University, Hamilton, Ont.; Pallium Canada (Pereira), Ottawa, Ont
| | - Lynn Meadows
- Division of Palliative Care (Shamon, Gill, Pereira), Department of Family Medicine, Faculty of Health Sciences, McMaster University, Hamilton, Ont.; Department of Community Health Sciences, Cumming School of Medicine (Meadows), University of Calgary, Calgary, Alta.; School of Nursing (Kruizinga, Kaasalainen), Faculty of Health Sciences, McMaster University, Hamilton, Ont.; Pallium Canada (Pereira), Ottawa, Ont
| | - Julia Kruizinga
- Division of Palliative Care (Shamon, Gill, Pereira), Department of Family Medicine, Faculty of Health Sciences, McMaster University, Hamilton, Ont.; Department of Community Health Sciences, Cumming School of Medicine (Meadows), University of Calgary, Calgary, Alta.; School of Nursing (Kruizinga, Kaasalainen), Faculty of Health Sciences, McMaster University, Hamilton, Ont.; Pallium Canada (Pereira), Ottawa, Ont
| | - Sharon Kaasalainen
- Division of Palliative Care (Shamon, Gill, Pereira), Department of Family Medicine, Faculty of Health Sciences, McMaster University, Hamilton, Ont.; Department of Community Health Sciences, Cumming School of Medicine (Meadows), University of Calgary, Calgary, Alta.; School of Nursing (Kruizinga, Kaasalainen), Faculty of Health Sciences, McMaster University, Hamilton, Ont.; Pallium Canada (Pereira), Ottawa, Ont
| | - José Pereira
- Division of Palliative Care (Shamon, Gill, Pereira), Department of Family Medicine, Faculty of Health Sciences, McMaster University, Hamilton, Ont.; Department of Community Health Sciences, Cumming School of Medicine (Meadows), University of Calgary, Calgary, Alta.; School of Nursing (Kruizinga, Kaasalainen), Faculty of Health Sciences, McMaster University, Hamilton, Ont.; Pallium Canada (Pereira), Ottawa, Ont
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Giraud S, Zamora JC, Zegers RGT, Bazin D, Ayyad Y, Bacca S, Beceiro-Novo S, Brown BA, Carls A, Chen J, Cortesi M, DeNudt M, Hagen G, Hultquist C, Maher C, Mittig W, Ndayisabye F, Noji S, Novario SJ, Pereira J, Rahman Z, Schmitt J, Serikow M, Sun LJ, Surbrook J, Watwood N, Wheeler T. β^{+} Gamow-Teller Strengths from Unstable ^{14}O via the (d,^{2}He) Reaction in Inverse Kinematics. Phys Rev Lett 2023; 130:232301. [PMID: 37354417 DOI: 10.1103/physrevlett.130.232301] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/27/2022] [Revised: 04/14/2023] [Accepted: 05/05/2023] [Indexed: 06/26/2023]
Abstract
For the first time, the (d,^{2}He) reaction was successfully used in inverse kinematics to extract the Gamow-Teller transition strength in the β^{+} direction from an unstable nucleus. The new technique was made possible by the use of an active-target time-projection chamber and a magnetic spectrometer, and opens a path to addressing a range of scientific challenges, including in astrophysics and neutrino physics. In this Letter, the nucleus studied was ^{14}O, and the Gamow-Teller transition strength to ^{14}N was extracted up to an excitation energy of 22 MeV. The data were compared to shell-model and state-of-the-art coupled-cluster calculations. Shell-model calculations reproduce the measured Gamow-Teller strength distribution up to about 15 MeV reasonably well, after the application of a phenomenological quenching factor. In a significant step forward to better understand this quenching, the coupled-cluster calculation reproduces the full strength distribution well without such quenching, owing to the large model space, the inclusion of strong correlations, and the coupling of the weak interaction to two nucleons through two-body currents.
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Affiliation(s)
- S Giraud
- Facility for Rare Isotope Beams, Michigan State University, East Lansing, Michigan 48824, USA
- Joint Institute for Nuclear Astrophysics: Center for the Evolution of the Elements, Michigan State University, East Lansing, Michigan 48824, USA
- Department of Physics and Astronomy, Michigan State University, East Lansing, Michigan 48824, USA
| | - J C Zamora
- Facility for Rare Isotope Beams, Michigan State University, East Lansing, Michigan 48824, USA
| | - R G T Zegers
- Facility for Rare Isotope Beams, Michigan State University, East Lansing, Michigan 48824, USA
- Joint Institute for Nuclear Astrophysics: Center for the Evolution of the Elements, Michigan State University, East Lansing, Michigan 48824, USA
- Department of Physics and Astronomy, Michigan State University, East Lansing, Michigan 48824, USA
| | - D Bazin
- Facility for Rare Isotope Beams, Michigan State University, East Lansing, Michigan 48824, USA
- Department of Physics and Astronomy, Michigan State University, East Lansing, Michigan 48824, USA
| | - Y Ayyad
- Facility for Rare Isotope Beams, Michigan State University, East Lansing, Michigan 48824, USA
- IGFAE, Universidade de Santiago de Compostela, E-15782 Santiago de Compostela, Spain
| | - S Bacca
- Institut für Kernphysik and PRISMA+ Cluster of Excellence, Johannes Gutenberg-Universität, 55128 Mainz, Germany
- Helmholtz-Institut Mainz, Johannes Gutenberg-Universität Mainz, D-55099 Mainz, Germany
| | - S Beceiro-Novo
- Department of Physics and Astronomy, Michigan State University, East Lansing, Michigan 48824, USA
- CITENI, Campus Industrial de Ferrol, Universidade da Coruña, Campus de Esteiro, 15403 Ferrol, Spain
| | - B A Brown
- Facility for Rare Isotope Beams, Michigan State University, East Lansing, Michigan 48824, USA
- Joint Institute for Nuclear Astrophysics: Center for the Evolution of the Elements, Michigan State University, East Lansing, Michigan 48824, USA
- Department of Physics and Astronomy, Michigan State University, East Lansing, Michigan 48824, USA
| | - A Carls
- Facility for Rare Isotope Beams, Michigan State University, East Lansing, Michigan 48824, USA
- Joint Institute for Nuclear Astrophysics: Center for the Evolution of the Elements, Michigan State University, East Lansing, Michigan 48824, USA
- Department of Physics and Astronomy, Michigan State University, East Lansing, Michigan 48824, USA
| | - J Chen
- Facility for Rare Isotope Beams, Michigan State University, East Lansing, Michigan 48824, USA
- Physics Division, Argonne National Laboratory, Lemont, Illinois 60439, USA
| | - M Cortesi
- Facility for Rare Isotope Beams, Michigan State University, East Lansing, Michigan 48824, USA
| | - M DeNudt
- Facility for Rare Isotope Beams, Michigan State University, East Lansing, Michigan 48824, USA
- Joint Institute for Nuclear Astrophysics: Center for the Evolution of the Elements, Michigan State University, East Lansing, Michigan 48824, USA
- Department of Physics and Astronomy, Michigan State University, East Lansing, Michigan 48824, USA
| | - G Hagen
- Physics Division, Oak Ridge National Laboratory, Oak Ridge, Tennessee 37831, USA
- Department of Physics and Astronomy, University of Tennessee, Knoxville, Tennessee 37996, USA
| | - C Hultquist
- Facility for Rare Isotope Beams, Michigan State University, East Lansing, Michigan 48824, USA
- Joint Institute for Nuclear Astrophysics: Center for the Evolution of the Elements, Michigan State University, East Lansing, Michigan 48824, USA
- Department of Physics and Astronomy, Michigan State University, East Lansing, Michigan 48824, USA
| | - C Maher
- Facility for Rare Isotope Beams, Michigan State University, East Lansing, Michigan 48824, USA
- Joint Institute for Nuclear Astrophysics: Center for the Evolution of the Elements, Michigan State University, East Lansing, Michigan 48824, USA
- Department of Physics and Astronomy, Michigan State University, East Lansing, Michigan 48824, USA
| | - W Mittig
- Facility for Rare Isotope Beams, Michigan State University, East Lansing, Michigan 48824, USA
- Department of Physics and Astronomy, Michigan State University, East Lansing, Michigan 48824, USA
| | - F Ndayisabye
- Facility for Rare Isotope Beams, Michigan State University, East Lansing, Michigan 48824, USA
- Joint Institute for Nuclear Astrophysics: Center for the Evolution of the Elements, Michigan State University, East Lansing, Michigan 48824, USA
- Department of Physics and Astronomy, Michigan State University, East Lansing, Michigan 48824, USA
| | - S Noji
- Facility for Rare Isotope Beams, Michigan State University, East Lansing, Michigan 48824, USA
| | - S J Novario
- Physics Division, Oak Ridge National Laboratory, Oak Ridge, Tennessee 37831, USA
- Department of Physics and Astronomy, University of Tennessee, Knoxville, Tennessee 37996, USA
| | - J Pereira
- Facility for Rare Isotope Beams, Michigan State University, East Lansing, Michigan 48824, USA
- Joint Institute for Nuclear Astrophysics: Center for the Evolution of the Elements, Michigan State University, East Lansing, Michigan 48824, USA
| | - Z Rahman
- Facility for Rare Isotope Beams, Michigan State University, East Lansing, Michigan 48824, USA
- Joint Institute for Nuclear Astrophysics: Center for the Evolution of the Elements, Michigan State University, East Lansing, Michigan 48824, USA
- Department of Physics and Astronomy, Michigan State University, East Lansing, Michigan 48824, USA
| | - J Schmitt
- Facility for Rare Isotope Beams, Michigan State University, East Lansing, Michigan 48824, USA
- Joint Institute for Nuclear Astrophysics: Center for the Evolution of the Elements, Michigan State University, East Lansing, Michigan 48824, USA
- Department of Physics and Astronomy, Michigan State University, East Lansing, Michigan 48824, USA
| | - M Serikow
- Facility for Rare Isotope Beams, Michigan State University, East Lansing, Michigan 48824, USA
- Joint Institute for Nuclear Astrophysics: Center for the Evolution of the Elements, Michigan State University, East Lansing, Michigan 48824, USA
- Department of Physics and Astronomy, Michigan State University, East Lansing, Michigan 48824, USA
| | - L J Sun
- Facility for Rare Isotope Beams, Michigan State University, East Lansing, Michigan 48824, USA
- Joint Institute for Nuclear Astrophysics: Center for the Evolution of the Elements, Michigan State University, East Lansing, Michigan 48824, USA
| | - J Surbrook
- Facility for Rare Isotope Beams, Michigan State University, East Lansing, Michigan 48824, USA
- Joint Institute for Nuclear Astrophysics: Center for the Evolution of the Elements, Michigan State University, East Lansing, Michigan 48824, USA
- Department of Physics and Astronomy, Michigan State University, East Lansing, Michigan 48824, USA
| | - N Watwood
- Facility for Rare Isotope Beams, Michigan State University, East Lansing, Michigan 48824, USA
- Joint Institute for Nuclear Astrophysics: Center for the Evolution of the Elements, Michigan State University, East Lansing, Michigan 48824, USA
- Department of Physics and Astronomy, Michigan State University, East Lansing, Michigan 48824, USA
| | - T Wheeler
- Facility for Rare Isotope Beams, Michigan State University, East Lansing, Michigan 48824, USA
- Joint Institute for Nuclear Astrophysics: Center for the Evolution of the Elements, Michigan State University, East Lansing, Michigan 48824, USA
- Department of Physics and Astronomy, Michigan State University, East Lansing, Michigan 48824, USA
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Simões PB, Silva J, Pereira J, Picado B, Salvado C. [Letter to the Editor About the Usefulness of the SAPS II Score in an Intermediate Care Unit]. ACTA MEDICA PORT 2023; 36:374-375. [PMID: 37018373 DOI: 10.20344/amp.19556] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/31/2022] [Accepted: 03/15/2023] [Indexed: 04/06/2023]
Affiliation(s)
- Pilar Burillo Simões
- Unidade de Cuidados Intermédios Médicos. Hospital de Santo António dos Capuchos. Centro Hospitalar Universitário de Lisboa Central. Lisboa. Portugal
| | - João Silva
- Unidade de Cuidados Intermédios Médicos. Hospital de Santo António dos Capuchos. Centro Hospitalar Universitário de Lisboa Central. Lisboa. Portugal
| | - José Pereira
- Serviço de Radiologia. Hospital Garcia de Orta. Almada. Portugal
| | - Bárbara Picado
- Unidade de Cuidados Intermédios Médicos. Hospital de Santo António dos Capuchos. Centro Hospitalar Universitário de Lisboa Central. Lisboa. Portugal
| | - Catarina Salvado
- Unidade de Cuidados Intermédios Médicos. Hospital de Santo António dos Capuchos. Centro Hospitalar Universitário de Lisboa Central. Lisboa. Portugal
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Sallam I, Pereira J, Amira G, Downey S, Down S, Leeper A, El Ayyan R. P239 Multi-institutional Experience of Modified Lateral Intercostal Artery Perforator (LICAP) Flap Operation: Surgical and Patient Reported Outcomes (PROMs). Breast 2023. [DOI: 10.1016/s0960-9776(23)00357-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/18/2023] Open
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Koppiker C, Kelkar D, Kulkarni M, Pai M, Dhar U, Deshmukh C, Varghese B, Jumle N, Zamre V, Kadu S, Joshi A, Unde R, Banale R, Namewar N, Vaid P, Thomas G, Nare S, Pereira J, Badve S. P225 Impact Of Oncoplasty in Increasing Breast Conservation Rates Post Neo-Adjuvant Chemotherapy. Breast 2023. [DOI: 10.1016/s0960-9776(23)00343-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/16/2023] Open
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Vieira e Brito D, Fereira A, Pereira J, Pereira-Lourenço M, Godinho R, Pereira B, Peralta P, Conceiçao P, Reis Mario A, Paula Rabaça C. Impacto de la realización de RMmp antes de la braquiterapia en pacientes con cáncer de próstata. Actas Urol Esp 2023. [DOI: 10.1016/j.acuro.2023.03.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/03/2023]
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Azevedo P, Gomes B, Macedo J, Ferreira S, Pereira J, Pires A. Debilidad muscular en pacientes críticos: efectos de un programa de rehabilitación sistematizado de enfermería. Enfermería Clínica 2023. [DOI: 10.1016/j.enfcli.2022.11.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/21/2023]
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Mongelós AB, Barreto Spandonari C, Re L, Pereira J, Agüero F, Aldama A. Scrofuloderma in a pediatric patient. An Fac Cienc Méd (Asunción) 2022. [DOI: 10.18004/anales/2022.055.03.133] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
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Cortesi M, Dziubinski S, Gade A, Zegers R, Pereira J, Asciutto J, Lidia S, Bazin D. Design and construction of a novel energy-loss optical scintillation system (ELOSS) for heavy-ion particle identification. Rev Sci Instrum 2022; 93:123305. [PMID: 36586929 DOI: 10.1063/5.0124846] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/08/2022] [Accepted: 11/18/2022] [Indexed: 06/17/2023]
Abstract
We present the development of a novel heavy-ion particle-identification (PID) device based on an energy-loss measurement to be implemented in the focal plane of the S800 spectrograph of the Facility for Rare Isotope Beams (FRIB). The new instrument consists of a multi-segmented optical detector [energy-loss optical scintillation system (ELOSS)] that is filled with xenon at pressures ranging from 400 to 800 Torr. The gas volume is surrounded by arrays of photomultiplier tubes and placed along the direction of the beam for recording the prompt scintillation light. The number of detected photons, which is proportional to the energy deposited by the beam particle along its track in the detector volume, allows one to identify the corresponding atomic number (Z). The ELOSS technology is expected to provide high-resolution ΔE measurements (≤0.6% σ) at a high counting rate (>50 kHz). In addition, it has the capability of providing timing information with around 150 ps resolution (σ) compared to the lack of useable timing information of the conventional ionization chamber relying on drifting charges. The development of fast, accurate ΔE measurement techniques for present and future nuclear science facilities will have a high impact on the design and implementation of rare-isotope beam experiments at FRIB and their scientific outcome. As such, ELOSS also represents a prototype for the development of PID detector systems of other planned and future spectrometers, such as the high rigidity spectrometer at FRIB.
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Affiliation(s)
- M Cortesi
- Facility for Rare Isotope Beams, Michigan State University, East Lansing, Michigan 48824, USA
| | - S Dziubinski
- Facility for Rare Isotope Beams, Michigan State University, East Lansing, Michigan 48824, USA
| | - A Gade
- Facility for Rare Isotope Beams, Michigan State University, East Lansing, Michigan 48824, USA
| | - R Zegers
- Facility for Rare Isotope Beams, Michigan State University, East Lansing, Michigan 48824, USA
| | - J Pereira
- Facility for Rare Isotope Beams, Michigan State University, East Lansing, Michigan 48824, USA
| | - J Asciutto
- Facility for Rare Isotope Beams, Michigan State University, East Lansing, Michigan 48824, USA
| | - S Lidia
- Facility for Rare Isotope Beams, Michigan State University, East Lansing, Michigan 48824, USA
| | - D Bazin
- Facility for Rare Isotope Beams, Michigan State University, East Lansing, Michigan 48824, USA
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Pereira J, Moita A, Moreira A. The Pool-Boiling-Induced Deposition of Nanoparticles as the Transient Game Changer-A Review. Nanomaterials (Basel) 2022; 12:4270. [PMID: 36500893 PMCID: PMC9740853 DOI: 10.3390/nano12234270] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 10/10/2022] [Revised: 11/21/2022] [Accepted: 11/24/2022] [Indexed: 06/17/2023]
Abstract
It is widely known by the scientific community that the suspended nanoparticles of nanofluids can enhance the thermophysical properties of base fluids and maximize pool-boiling heat transfer. However, the nanoparticles may undergo extended boiling times and deposit onto the heating surfaces under pool-boiling conditions, thus altering their intrinsic characteristics such as wettability and roughness over time. The present study reviews the fundamental mechanisms and characteristics of nanoparticle deposition, and its impact on surface roughness and wettability, density of vaporized core points, and thermal resistance, among other factors. Moreover, the effect of the nanoparticle layer in long-term thermal boiling performance parameters such as the heat transfer coefficient and critical heat flux is also discussed. This work attempts to highlight, in a comprehensive manner, the pros and cons of nanoparticle deposition after extended pool-boiling periods, leading the scientific community toward further investigation studies of pool-boiling heat-transfer enhancement using nanofluids. This review also attempts to clarify the inconsistent results of studies on heat transfer parameters using nanofluids.
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Affiliation(s)
- José Pereira
- IN+, Center for Innovation, Technology and Policy Research, Instituto Superior Técnico, Universidade de Lisboa, Av. Rovisco Pais, 1049-001 Lisboa, Portugal
| | - Ana Moita
- IN+, Center for Innovation, Technology and Policy Research, Instituto Superior Técnico, Universidade de Lisboa, Av. Rovisco Pais, 1049-001 Lisboa, Portugal
- CINAMIL—Centro de Investigação Desenvolvimento e Inovação da Academia Militar, Academia Militar, Instituto Universitário Militar, Rua Gomes Freire, 1169-203 Lisboa, Portugal
| | - António Moreira
- IN+, Center for Innovation, Technology and Policy Research, Instituto Superior Técnico, Universidade de Lisboa, Av. Rovisco Pais, 1049-001 Lisboa, Portugal
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Oliveira A, Pereira J, Sarmento S, Pereira M, Cardoso J, Santos L, Alves J, Santos J. Study on the dose profile in CT-fluoroscopy. Appl Radiat Isot 2022; 190:110516. [DOI: 10.1016/j.apradiso.2022.110516] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/10/2022] [Revised: 10/03/2022] [Accepted: 10/12/2022] [Indexed: 11/02/2022]
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Azevedo P, Gomes B, Macedo J, Ferreira S, Pereira J, Pires A. Muscle weakness in critically ill patients: Effects of a systematized rehabilitation nursing program. Enferm Clin (Engl Ed) 2022:S2445-1479(22)00125-4. [PMID: 36400166 DOI: 10.1016/j.enfcle.2022.11.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/03/2022] [Accepted: 11/01/2022] [Indexed: 05/17/2023]
Abstract
OBJECTIVE Intensive care unit-acquired muscle weakness (ICUAW) in critically ill patients is frequent and associated with negative outcomes. Early rehabilitation is a strategy to improve outcomes. The aim was to assess the effects of a rehabilitation nursing programme at discharge from intensive care unit. METHODS Quasi-experimental study with the comparison between two groups: one enrolled in a systematized nursing rehabilitation program and the other with usual nursing rehabilitation care. A non-probabilistic sample, sequential, of 42 critically ill ventilated patients, 21 patients in the control group and 21 patients the intervention group (June 2017 to June 2019), in three intensive care units of one large Portuguese teaching hospital. Mann-Whitney test was performed to compare Medical Research Council Sum Score (MRC-SS) values between groups. RESULTS Patients undergoing the rehabilitation program had a decrease in ICUAW (at ICU discharge mean MRC-SS = 38 vs. mean MRC-SS = 42.7, p = 0.043, U = 152,5). There was a decrease in severe muscle weakness (9.5% vs. 28.6%) and significant muscle weakness (42.9% vs. 52.4%) and an increase without muscle weakness (47,6% vs. 19%). CONCLUSIONS The systematic rehabilitation nursing program can improve muscle strength and reduce functional disability at the time of discharge from intensive care.
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Affiliation(s)
- Paulo Azevedo
- Portuguese Red Cross Northern Health School, Rua da Cruz Vermelha, Cidacos, 3720-126 Oliveira de Azeméis, Portugal.
| | | | - José Macedo
- Centro Hospitalar São João, Unidade de Cuidados Intensivos Polivalente Geral, Porto, Portugal
| | - Soraia Ferreira
- Centro Hospitalar São João, Unidade de Cuidados Intensivos Polivalente da Urgência, Porto, Portugal
| | - José Pereira
- Centro Hospitalar São João, Serviço de Neurocríticos, Porto, Portugal
| | - Ana Pires
- Centro Hospitalar São João, Unidade de Cuidados Intensivos Polivalente Geral, Porto, Portugal
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Lage LAPC, Soares VA, Meneguin TD, Culler HF, Reichert CO, Costa RO, Reis DGC, Zerbini MCN, Rocha V, Pereira J. WHOLE BRAIN RADIOTHERAPY IS AN EFFECTIVE AND SAFE STRATEGY TO CONSOLIDATE PRIMARY CENTRAL NERVOUS SYSTEM LYMPHOMA PATIENTS IN MIDDLE-INCOME COUNTRIES: A REAL-LIFE EXPERIENCE FROM BRAZIL. Hematol Transfus Cell Ther 2022. [DOI: 10.1016/j.htct.2022.09.162] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
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Chiattone C, Miranda E, Gonzaga Y, Dias M, Salvino MA, Baptista RLR, Bortucchi D, Christofoletti T, Duffles G, Bellesso M, Pereira J, Brasil SAB, Castro NS, Cecyn KZ, Schaffel R, Tavares JV, Figueiredo VLP, Nogueira FL, Silva NAHL, Silva GF, Cunha-Junior AD, Gaiolla R, Duarte FB, Souza RR, Hallack-Neto A, Cordeiro A, Rabelo YS, Delamain MT, Federico M, Souza CA. A PREVENÇÃO DEVE SER A MELHOR ESTRATÉGIA PARA ENFRENTAR A LEUCEMIA/LINFOMA DE CÉLULAS-T DE ADULTO DO PROJETO T-CELL BRASIL. Hematol Transfus Cell Ther 2022. [DOI: 10.1016/j.htct.2022.09.152] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022] Open
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Lage LAPC, Barreto GC, Culler HF, Cavalcanti JB, Reichert CO, Levy D, Costa RO, Zerbini MCN, Rocha V, Pereira J. HIGH TUMOR MUTATION BURDEN IN EPIGENETIC REGULATORY GENES PREDICTS DECREASED OVERALL SURVIVAL IN NODAL PERIPHERAL T-CELL LYMPHOMAS. Hematol Transfus Cell Ther 2022. [DOI: 10.1016/j.htct.2022.09.164] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
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Lage LAPC, Vita RN, Alves LBO, Jacomassi MD, Culler HF, Reichert CO, Costa RO, Siqueira SAC, Rocha V, Pereira J. AGE 75 YEARS, CLINICAL STAGE III/IV, NEUTROPHILIA AND HIGH LYMPHOCYTE/MONOCYTE RATIO PREDICT DECREASED OVERALL SURVIVAL IN ELDERLY PATIENTS WITH DLBCL, NOS OLDER THAN 70 YEARS. Hematol Transfus Cell Ther 2022. [DOI: 10.1016/j.htct.2022.09.163] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
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Marques KS, Pereira J, Casseb JSDR, Rocha VG, Nukui Y. PERFIL DE PACIENTES COM HTLV-1, PREVALÊNCIA DE ATLL E A RELAÇÃO DA VIA PERINATAL/AMAMENTAÇÃO COMO A PRINCIPAL PARA TRANSMISSÃO VIRAL EM PACIENTES COM ATLL ACOMPANHADOS NO AMBULATÓRIO DE HTLV DA DISCIPLINA DE HEMATOLOGIA E HEMOTERAPIA DO HCFMUSP. Hematol Transfus Cell Ther 2022. [DOI: 10.1016/j.htct.2022.09.202] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022] Open
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Chiattone CS, Miranda E, Pereira J, Cecyn KZ, Castro NS, Brasil SAB, Farias DFC, Bellesso M, Duffles G, Borducchi D, Gonzaga Y, Baptista RLR, Vilarim CC, Macedo CCG, Dias M, Salvino MA, Tavares JV, Nabhan S, Cunha-Junior AD, Zing N, Silva GF, Ribeiro GN, Negreiros E, Schaffel R, Figueiredo VLP, Souto-Filho JTD, Radtke PPG, Pont MD, Nogueira FL, Hamerschlak N, Cle DV, Gaiolla R, Duarte FB, Souza RR, Mo S, Hallack-Neto A, Rabelo YS, Ribeiro EFO, Cordeiro A, Perini G, Bueno ND, Matedi MAL, Cury P, Delamain MT, Federico M, Souza CA. PROJETO T-CELL BRASIL: ATUALIZAÇÃO DO PROJETO PIONEIRO DE COLETA DE DADOS DE PACIENTES COM LNH DE CÉLULAS T NAS CINCO REGIÕES BRASILEIRAS. Hematol Transfus Cell Ther 2022. [DOI: 10.1016/j.htct.2022.09.153] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022] Open
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Silva CA, Pereira J, Rego EM, Rocha V, Silva WF. RISK FACTORS FOR ACUTE KIDNEY INJURY IN OUTPATIENT ADMINISTRATION OF HIGH-DOSE METHOTREXATE IN ADULTS WITHOUT DRUG MONITORING. Hematol Transfus Cell Ther 2022. [DOI: 10.1016/j.htct.2022.09.301] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Lage LAPC, Machado PPF, Reichert CO, Miranda E, Culler HF, Souza CA, Federico M, Rocha V, Pereira J, Chiattone CS. CLINICAL OUTCOMES, PROGNOSTIC FACTORS AND THERAPEUTIC MANAGEMENT IN EXTRANODAL NATURAL-KILLER/T-CELL LYMPHOMA, NASAL-TYPE (ENKTL-NT) – RESULTS OF THE MULTICENTER T-CELL BRAZIL PROJECT. Hematol Transfus Cell Ther 2022. [DOI: 10.1016/j.htct.2022.09.165] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
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Samudio T, Aguilar G, Sued O, López G, Jordan A, Cáceres DH, Ovelar P, Cardozo M, Vicenti C, Lezcano V, Pereira J, Rios-Gonzalez C, Munoz S, Figueredo J, Taboada A, Chiller T, Benítez G. P258 Incidence of Histoplasmosis, Cryptococcosis, and TB Among People Living with HIV in Paraguay-Preliminary Report. Med Mycol 2022. [PMCID: PMC9509961 DOI: 10.1093/mmy/myac072.p258] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Poster session 2, September 22, 2022, 12:30 PM - 1:30 PM Objectives Endemic fungal infections such as Histoplasmosis and Cryptococcosis as well as tuberculosis (TB) are important causes of mortality among people living with HIV (PLHIV) in Latin America. Rapid diagnostic assays (RDAs) could decrease the time to diagnosis and treatment of these infections, resulting in a reduction in mortality. The objectives of this study were to determine the incidence of Histoplasmosis, Cryptococcosis, and TB using RDAs in PLHIV with advanced HIV disease (AHD) and calculate 30-day mortality. Methods PLHIV 18 years and older, treated at the Institute of Tropical Medicine hospital in Asuncion, Paraguay, not receiving ART and presenting CD4 count ≤ 200 cells/μL or clinical symptoms suggestive of WHO stage 3 or 4 diseases were enrolled and followed for 30 days. Detection of Histoplasma Ag (HisAg) in urine was performed by enzyme immunoassay (EIA), Cryptococcus Ag (CrAg) detection in serum and cerebrospinal fluid specimens by lateral flow assay (LFA), and liparabinomannan (LAM) detection in urine by LFA (TB LAM) (limited to those patients with CD4 counts ≤ 100 cells/μL) and by GeneXpert (limited to patients with respiratory symptoms). Results From August 2021 to 25 March 2022, a total of 335 PLHIV were enrolled. Patient median age was 37 years [Interquartile Range (IQR) 16 years], median CD4 count at enrollment was 91 cells/μL (IQR 147 cell/μL). A total of 80% (n = 269) of patients were symptomatic for one or more of the three diseases being screened for. Ag positivity rate was 20% (40/196) for TB-LAM, 10% (32/314) for HisAg, and 11% (35/329) for CrAg (15 diagnosed with cryptococcal meningitis). GeneXpert testing showed a positivity of 14% (15/108), and six of these patients with positive GeneXpert also tested positive for TB-LAM. In total, 100/335 (30%) of patients tested had a positive result and coinfections were observed among 14/335 (4.2%) patients (Table 1). Histoplasmosis + TB was the most frequent co-infection observed 12/335 (3.6%). Mortality among those who completed 30-day follow-up was 12.6% (32/254) and 11% among those with an OI (11/102) Conclusions Preliminary results show that TB and fungal opportunistic infections, including co-infection were common in people with advanced HIV. Longitudinal follow-up will help to evaluate the feasibility and cost of implementing RDAs for the early detection of opportunistic infections in PLHIV with AHD in Paraguay. Early diagnosis could impact mortality reduction.
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Affiliation(s)
- Tania Samudio
- Advisor Research Communicable Diseases Freddy Perez, Panamerican Health Organization , Washington DC , United States
| | - Gloria Aguilar
- Advisor Research Communicable Diseases Freddy Perez, Panamerican Health Organization , Washington DC , United States
| | - Omar Sued
- Advisor Research Communicable Diseases Freddy Perez, Panamerican Health Organization , Washington DC , United States
| | - Gladys López
- Advisor Research Communicable Diseases Freddy Perez, Panamerican Health Organization , Washington DC , United States
| | - Alexander Jordan
- Advisor Research Communicable Diseases Freddy Perez, Panamerican Health Organization , Washington DC , United States
| | - Diego H. Cáceres
- Advisor Research Communicable Diseases Freddy Perez, Panamerican Health Organization , Washington DC , United States
| | - Patricia Ovelar
- Advisor Research Communicable Diseases Freddy Perez, Panamerican Health Organization , Washington DC , United States
| | - Miguel Cardozo
- Advisor Research Communicable Diseases Freddy Perez, Panamerican Health Organization , Washington DC , United States
| | - Cristina Vicenti
- Advisor Research Communicable Diseases Freddy Perez, Panamerican Health Organization , Washington DC , United States
| | - Virgilio Lezcano
- Advisor Research Communicable Diseases Freddy Perez, Panamerican Health Organization , Washington DC , United States
| | - José Pereira
- Advisor Research Communicable Diseases Freddy Perez, Panamerican Health Organization , Washington DC , United States
| | - Carlos Rios-Gonzalez
- Advisor Research Communicable Diseases Freddy Perez, Panamerican Health Organization , Washington DC , United States
| | - Sergio Munoz
- Advisor Research Communicable Diseases Freddy Perez, Panamerican Health Organization , Washington DC , United States
| | - Juan Figueredo
- Advisor Research Communicable Diseases Freddy Perez, Panamerican Health Organization , Washington DC , United States
| | - Aurelia Taboada
- Advisor Research Communicable Diseases Freddy Perez, Panamerican Health Organization , Washington DC , United States
| | - Tom Chiller
- Advisor Research Communicable Diseases Freddy Perez, Panamerican Health Organization , Washington DC , United States
| | - Gustavo Benítez
- Advisor Research Communicable Diseases Freddy Perez, Panamerican Health Organization , Washington DC , United States
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Goralczyk A, Pereira J, Torres LO, Iskandar A, van der Toor M, Talikka M, Luettich K, Marescotti D. P01-02 AOP-based in vitro assay development for assessment of inhalational toxicants — oxidative stress leading to decreased lung function. Toxicol Lett 2022. [DOI: 10.1016/j.toxlet.2022.07.246] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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Pereira J, Durairaj J, Pantolini L, Studer G, Robin X, Waterhouse A, Bienert S, Tauriello G, Schwede T. How predicted protein models help to illuminate the full protein universe. Acta Cryst Sect A 2022. [DOI: 10.1107/s2053273322096024] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 03/19/2023]
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Afonso IS, Pereira J, Ribeiro AE, Amaral JS, Rodrigues N, Gomes JR, Lima R, Ribeiro J. Analysis of a Vegetable Oil Performance in a Milling Process by MQL Lubrication. Micromachines 2022; 13:mi13081254. [PMID: 36014176 PMCID: PMC9416305 DOI: 10.3390/mi13081254] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/12/2022] [Revised: 07/28/2022] [Accepted: 07/30/2022] [Indexed: 11/16/2022]
Abstract
In this work, we carried out a comparison between the dry machining of an aluminum block with conventional cutting oil and a block with vegetable oil. The two oils had different flow rates. Using the Taguchi method, it was possible to determine the matrices for optimizing the best parameters for each group of tests. Then, we studied the utility of using vegetable oil as a cutting lubricant. We found that the vegetable oil studied in this work had good properties in terms of reducing cutting temperatures but was less effective than conventional cutting oil in reducing the surface roughness of the machined part. Tribological tests were carried out to understand the influence of the selected lubricants in reducing friction and wear. After the sliding experiments, which were performed without lubrication in the presence of the same lubricants that were used in the machining tests and in the presence of distilled water, we concluded that vegetable oil has satisfactory lubricating properties that are similar to those of the conventional cutting fluid, indicating a potential for consideration as an effective alternative to the conventional cutting fluid, with economic, environmental, and health advantages.
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Affiliation(s)
- Inês S. Afonso
- Instituto Politécnico de Bragança, Campus de Santa Apolónia, 5300-253 Bragança, Portugal
| | - José Pereira
- Instituto Politécnico de Bragança, Campus de Santa Apolónia, 5300-253 Bragança, Portugal
| | - António E. Ribeiro
- Instituto Politécnico de Bragança, Campus de Santa Apolónia, 5300-253 Bragança, Portugal
- Centro de Investigação de Montanha (CIMO), Instituto Politécnico de Bragança, Campus de Santa Apolónia, 5300-253 Bragança, Portugal
- Laboratório Associado para a Sustentabilidade e Tecnologia em Regiões de Montanha (SusTEC), Instituto Politécnico de Bragança, Campus de Santa Apolónia, 5300-253 Bragança, Portugal
| | - Joana S. Amaral
- Instituto Politécnico de Bragança, Campus de Santa Apolónia, 5300-253 Bragança, Portugal
- Centro de Investigação de Montanha (CIMO), Instituto Politécnico de Bragança, Campus de Santa Apolónia, 5300-253 Bragança, Portugal
- Laboratório Associado para a Sustentabilidade e Tecnologia em Regiões de Montanha (SusTEC), Instituto Politécnico de Bragança, Campus de Santa Apolónia, 5300-253 Bragança, Portugal
| | - Nuno Rodrigues
- Instituto Politécnico de Bragança, Campus de Santa Apolónia, 5300-253 Bragança, Portugal
- Centro de Investigação de Montanha (CIMO), Instituto Politécnico de Bragança, Campus de Santa Apolónia, 5300-253 Bragança, Portugal
- Laboratório Associado para a Sustentabilidade e Tecnologia em Regiões de Montanha (SusTEC), Instituto Politécnico de Bragança, Campus de Santa Apolónia, 5300-253 Bragança, Portugal
| | - José R. Gomes
- CMEMS–UMinho, Universidade do Minho, 4800-058 Guimarães, Portugal
- LABBELS–Associate Laboratory, 4800-058 Guimarães, Portugal
| | - Rui Lima
- MEtRICs, Mechanical Engineering Department, University of Minho, Campus de Azurém, 4800-058 Guimarães, Portugal
- CEFT, Faculdade de Engenharia da Universidade do Porto (FEUP), Rua Roberto Frias, 4200-465 Porto, Portugal
- ALiCE, Faculty of Engineering, University of Porto, 4200-465 Porto, Portugal
| | - João Ribeiro
- Instituto Politécnico de Bragança, Campus de Santa Apolónia, 5300-253 Bragança, Portugal
- Centro de Investigação de Montanha (CIMO), Instituto Politécnico de Bragança, Campus de Santa Apolónia, 5300-253 Bragança, Portugal
- Laboratório Associado para a Sustentabilidade e Tecnologia em Regiões de Montanha (SusTEC), Instituto Politécnico de Bragança, Campus de Santa Apolónia, 5300-253 Bragança, Portugal
- Correspondence:
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Ayyad Y, Mittig W, Tang T, Olaizola B, Potel G, Rijal N, Watwood N, Alvarez-Pol H, Bazin D, Caamaño M, Chen J, Cortesi M, Fernández-Domínguez B, Giraud S, Gueye P, Heinitz S, Jain R, Kay BP, Maugeri EA, Monteagudo B, Ndayisabye F, Paneru SN, Pereira J, Rubino E, Santamaria C, Schumann D, Surbrook J, Wagner L, Zamora JC, Zelevinsky V. Evidence of a Near-Threshold Resonance in ^{11}B Relevant to the β-Delayed Proton Emission of ^{11}Be. Phys Rev Lett 2022; 129:012501. [PMID: 35841541 DOI: 10.1103/physrevlett.129.012501] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/11/2022] [Revised: 04/29/2022] [Accepted: 06/01/2022] [Indexed: 06/15/2023]
Abstract
A narrow near-threshold proton-emitting resonance (E_{x}=11.4 MeV, J^{π}=1/2^{+}, and Γ_{p}=4.4 keV) was directly observed in ^{11}B via proton resonance scattering. This resonance was previously inferred in the β-delayed proton emission of the neutron halo nucleus ^{11}Be. The good agreement between both experimental results serves as a ground to confirm the existence of such exotic decay and the particular behavior of weakly bound nuclei coupled to the continuum. R-matrix analysis shows a sizable partial decay width for both, proton and α (Γ_{α}=11 keV) emission channels.
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Affiliation(s)
- Y Ayyad
- IGFAE, Universidade de Santiago de Compostela, E-15782 Santiago de Compostela, Spain
- Facility for Rare Isotope Beams, Michigan State University, East Lansing, Michigan 48824, USA
| | - W Mittig
- Facility for Rare Isotope Beams, Michigan State University, East Lansing, Michigan 48824, USA
- Department of Physics and Astronomy, Michigan State University, East Lansing, Michigan 48824, USA
| | - T Tang
- Facility for Rare Isotope Beams, Michigan State University, East Lansing, Michigan 48824, USA
| | - B Olaizola
- ISOLDE-EP, CERN, CH-1211 Geneva 23, Switzerland
| | - G Potel
- Lawrence Livermore National Lab., P.O. Box 808, Livermore, California 94550, USA
| | - N Rijal
- Facility for Rare Isotope Beams, Michigan State University, East Lansing, Michigan 48824, USA
| | - N Watwood
- Facility for Rare Isotope Beams, Michigan State University, East Lansing, Michigan 48824, USA
| | - H Alvarez-Pol
- IGFAE, Universidade de Santiago de Compostela, E-15782 Santiago de Compostela, Spain
| | - D Bazin
- Facility for Rare Isotope Beams, Michigan State University, East Lansing, Michigan 48824, USA
- Department of Physics and Astronomy, Michigan State University, East Lansing, Michigan 48824, USA
| | - M Caamaño
- IGFAE, Universidade de Santiago de Compostela, E-15782 Santiago de Compostela, Spain
| | - J Chen
- Physics Division, Argonne National Laboratory, Argonne, Illinois 60439, USA
| | - M Cortesi
- Facility for Rare Isotope Beams, Michigan State University, East Lansing, Michigan 48824, USA
| | - B Fernández-Domínguez
- IGFAE, Universidade de Santiago de Compostela, E-15782 Santiago de Compostela, Spain
| | - S Giraud
- Facility for Rare Isotope Beams, Michigan State University, East Lansing, Michigan 48824, USA
| | - P Gueye
- Facility for Rare Isotope Beams, Michigan State University, East Lansing, Michigan 48824, USA
- Department of Physics and Astronomy, Michigan State University, East Lansing, Michigan 48824, USA
| | - S Heinitz
- Laboratory of Radiochemistry, Paul Scherrer Institute, Forschungsstrasse 111, 5232 Villigen PSI, Switzerland
| | - R Jain
- Facility for Rare Isotope Beams, Michigan State University, East Lansing, Michigan 48824, USA
- Department of Physics and Astronomy, Michigan State University, East Lansing, Michigan 48824, USA
| | - B P Kay
- Physics Division, Argonne National Laboratory, Argonne, Illinois 60439, USA
| | - E A Maugeri
- Laboratory of Radiochemistry, Paul Scherrer Institute, Forschungsstrasse 111, 5232 Villigen PSI, Switzerland
| | - B Monteagudo
- Facility for Rare Isotope Beams, Michigan State University, East Lansing, Michigan 48824, USA
| | - F Ndayisabye
- Facility for Rare Isotope Beams, Michigan State University, East Lansing, Michigan 48824, USA
- Department of Physics and Astronomy, Michigan State University, East Lansing, Michigan 48824, USA
| | - S N Paneru
- Facility for Rare Isotope Beams, Michigan State University, East Lansing, Michigan 48824, USA
| | - J Pereira
- Facility for Rare Isotope Beams, Michigan State University, East Lansing, Michigan 48824, USA
| | - E Rubino
- Facility for Rare Isotope Beams, Michigan State University, East Lansing, Michigan 48824, USA
| | - C Santamaria
- Facility for Rare Isotope Beams, Michigan State University, East Lansing, Michigan 48824, USA
| | - D Schumann
- Laboratory of Radiochemistry, Paul Scherrer Institute, Forschungsstrasse 111, 5232 Villigen PSI, Switzerland
| | - J Surbrook
- Facility for Rare Isotope Beams, Michigan State University, East Lansing, Michigan 48824, USA
- Department of Physics and Astronomy, Michigan State University, East Lansing, Michigan 48824, USA
| | - L Wagner
- Facility for Rare Isotope Beams, Michigan State University, East Lansing, Michigan 48824, USA
| | - J C Zamora
- Facility for Rare Isotope Beams, Michigan State University, East Lansing, Michigan 48824, USA
| | - V Zelevinsky
- Facility for Rare Isotope Beams, Michigan State University, East Lansing, Michigan 48824, USA
- Department of Physics and Astronomy, Michigan State University, East Lansing, Michigan 48824, USA
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Santos H, Dornelles E, Pereira J, Vieira A. What is the Pisa Syndrome? A review. Eur Psychiatry 2022. [PMCID: PMC9567206 DOI: 10.1192/j.eurpsy.2022.1872] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
Introduction
Pisa syndrome (PS) is a type of dystonia of rare occurrence, first described in 1972 as an adverse effect of neuroleptic agents. It is used to describe a postural abnormality that includes trunk flexion in the coronal plane and axial rotation, which improves in the supine position.
Objectives
In this work, we aim to conduct a brief review of Pisa Syndrome aetiology, pathophysiology and treatment.
Methods
A non-systematic search was conducted through the PubMed database for “pisa syndrome”. Articles were screened for relevant information on PS aetiology, pathophysiology and treatment.
Results
Pisa syndrome has been associated as an adverse effect of multiple drugs from different classes, mainly antipsychotics, dopaminergic agents and cholinesterase inhibitors. The underlying mechanisms are not yet fully understood. Nevertheless, one of the most consensual hypothesis considers PS as a consequence of a cholinergic-dopaminergic imbalance that can be caused by antipsychotic treatment. Some factors have been associated with increased risk for developing PS such as old age and polypharmacy. PS appears to be better treated with the reduction or interruption of the agent(s) associated with its onset.
Conclusions
Despite its low incidence, Pisa syndrome can occur as a side effect of a number of different medications and the identification of the trigger-drug is fundamental so it can be reduced or interrupted in order to treat this condition.
Disclosure
No significant relationships.
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Vasques A, Baleiras M, Ferreira A, Duarte T, Branco V, Pereira J, Lobo-Martins S, Pinto M, Martins A. P-59 Real-world data of trastuzumab in metastatic cancer. Ann Oncol 2022. [DOI: 10.1016/j.annonc.2022.04.149] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
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Quinchard G, Poletti T, Zakhama R, Pereira J, Larrue A, Badano G, Licitra C, de Lamaestre RE, Reverchon JL, Delga A. Revisiting the Fabry-Perot reflectivity method for mid-infrared optical index measurement: case study of InGaAs, AlInAs, and InP. Appl Opt 2022; 61:4079-4086. [PMID: 36256083 DOI: 10.1364/ao.456827] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/22/2022] [Accepted: 04/19/2022] [Indexed: 06/16/2023]
Abstract
We revisit the Fabry-Perot (FP) reflectivity method to measure optical indices in the mid-infrared spectrum. This simple approach can be readily implemented using a standard Fourier transform infrared spectrometer. Measuring samples with multiple heights allows for enhanced precision of the measurement, making the FP method consistent in values and uncertainties with more advanced ellipsometric measurements. An extensive discussion about experimental errors is carried out. Results between 4 and 12 µm for AlInAs, n-doped InGaAs, and InP, which are the most standard materials for quantum cascade lasers, are given.
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Pereira J, Meadows L, Kljujic D, Strudsholm T, Parsons H, Riordan B, Faulkner J, Fisher K. Learner Experiences Matter in Interprofessional Palliative Care Education: A Mixed Methods Study. J Pain Symptom Manage 2022; 63:698-710. [PMID: 34998952 DOI: 10.1016/j.jpainsymman.2021.12.034] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/06/2021] [Revised: 12/09/2021] [Accepted: 12/31/2021] [Indexed: 12/17/2022]
Abstract
CONTEXT Interprofessional collaboration is needed in palliative care and many other areas in health care. Pallium Canada's two-day interprofessional Learning Essential Approaches to Palliative care Core courses aim to equip primary care providers from different professions with core palliative care skills. OBJECTIVES Explore the learning experience of learners from different professions who participated in Learning Essential Approaches to Palliative care Core courses from April 2015 to March 2017. METHODS This mixed methods study was designed as a secondary analysis of existing data. Learners had completed a standardized course evaluation survey online immediately post-course. The survey explored the learning experience across several domains and consisted of seven closed ended (Likert Scales; 1 = "Total Disagree", 5 = "Totally Agree") and three open-ended questions. Quantitative data were analyzed using descriptive statistics and Kruskal-Wallis non-parametric test tests, and qualitative data underwent thematic analysis. RESULTS During the study period, 244 courses were delivered; 3045 of 4636 participants responded (response rate 66%); physicians (662), nurses (1973), pharmacists (74), social workers (80), and other professions (256). Overall, a large majority of learners (96%) selected "Totally Agree" or "Agree" for the statement "the course was relevant to my practice". A significant difference was noted across profession groups; X2 (4) = 138; p < 0.001. Post-hoc analysis found the differences to exist between physicians and pharmacists (X2 = -4.75; p < 0.001), and physicians and social workers (X2 = -6.63; p < 0.001). No significant differences were found between physicians and nurses (X2 = 1.31; p = 1.00), and pharmacists and social workers (X2 = -1.25; p = 1.00). Similar results were noted for five of the other statements. CONCLUSION Learners from across profession groups reported this interprofessional course highly across several learning experience parameters, including relevancy for their respective professions. Ongoing curriculum design is needed to fully accommodate the specific learning needs of some of the professions.
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Affiliation(s)
- José Pereira
- Pallium (J.P., B.R., J.F.), Ontario, Canada; Division of Palliative Care, Department of Family Medicine (J.P.), McMaster University, Hamilton, Canada; Institute for Culture and Society (ICS) (J.P.), University of Navara, Pamplona, Spain.
| | - Lynn Meadows
- Department of Community Health Sciences (L.M.), Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada
| | - Dragan Kljujic
- Database Manager and Analyst (D.K.), Independent Consultant, Brampton, Canada
| | - Tina Strudsholm
- School of Health Sciences (T.S.), University of Northern British Columbia, Prince George, Canada
| | - Henrique Parsons
- Division of Palliative Care (H.P.), Department of Medicine, University of Ottawa; The Ottawa Hospital Research Institute Clinical Epidemiology Program; Bruyere Research Institute, Ontario, Canada
| | | | | | - Kathryn Fisher
- School of Nursing, Faculty of Health Sciences (K.F.), McMaster University, Hamilton, Canada
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de Sousa Magalhães R, Chálim Rebelo C, Sousa-Pinto B, Pereira J, Boal Carvalho P, Rosa B, Moreira MJ, Duarte MA, Cotter J. CC-CLEAR (Colon Capsule Cleansing Assessment and Report): the novel scale to evaluate the clinical impact of bowel preparation in capsule colonoscopy - a multicentric validation study. Scand J Gastroenterol 2022; 57:625-632. [PMID: 35068293 DOI: 10.1080/00365521.2022.2026463] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
BACKGROUND Colon Capsule Cleansing Assessment and Report (CC-CLEAR) is a novel quantitative bowel preparation scale for colon capsule. AIM The aim of this study is to validate the association between CC-CLEAR's classification and major CC outcomes: lesion detection rate, surveillance recommendations and post-CC endoscopic treatment. METHODS Multicentric cohort of consecutive CCs. An expert's panel decided post-CC recommendations. Data included CC-CLEAR and Leighton-REX scales. Major CC outcomes were associated with the different cleansing grades. RESULTS From 168 CC's included, findings were reported in 123 (73.2%), 67 (54.4%) of those being colorectal polyps. CC-CLEAR influenced CC's lesion detection (OR 1.25 95% IC [1.07-1.46], p-value .004) and polyp detection rate (OR 1.22 95% IC [1.04-1.43], p-value.014). Thirty-two (19%) post-CC colonoscopies were recommended, including 22 (68.75%) with at least one polypectomy. CC-CLEAR was associated with post-CC colonoscopy treatment (OR 1.40 95% IC [1.07-1.84], p-value .015). Regarding surveillance, CC-CLEAR influenced the decision for immediate CC repetition (OR 0.21 95% IC [0.12-0.36], p-value < .001) and the recommendation for CC in 3-5 years' time (OR 1.47 95% IC [1.50-1.86], p-value < .002). The Leighton-Rex scale was not correlated with major CC outcomes. CONCLUSION CC-CLEAR impacts major CC outcomes: lesion detection, surveillance recommendations and post-CC endoscopic treatment.
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Affiliation(s)
- Rui de Sousa Magalhães
- Department of Gastroenterology, Hospital Senhora da Oliveira, Guimarães, Portugal.,Life and Health Sciences Research Institute (ICVS), School of Medicine, University of Minho, Braga, Portugal.,ICVS/3B's, PT Government Associate Laboratory, Guimarães/Braga, Portugal
| | - Carolina Chálim Rebelo
- Department of Gastroenterology, Hospital do Divino Espírito Santo de Ponta Delgada, EPER, Ponta Delgada, Portugal
| | - Bernardo Sousa-Pinto
- MEDCIDS - Department of Community Medicine, Information and Health Decision Sciences, Faculty of Medicine, University of Porto, Porto, Portugal.,CINTESIS - Centre for Health Technology and Services Research, University of Porto, Porto, Portugal
| | - José Pereira
- Department of Gastroenterology, Hospital do Divino Espírito Santo de Ponta Delgada, EPER, Ponta Delgada, Portugal
| | - Pedro Boal Carvalho
- Department of Gastroenterology, Hospital Senhora da Oliveira, Guimarães, Portugal.,Life and Health Sciences Research Institute (ICVS), School of Medicine, University of Minho, Braga, Portugal.,ICVS/3B's, PT Government Associate Laboratory, Guimarães/Braga, Portugal
| | - Bruno Rosa
- Department of Gastroenterology, Hospital Senhora da Oliveira, Guimarães, Portugal.,Life and Health Sciences Research Institute (ICVS), School of Medicine, University of Minho, Braga, Portugal.,ICVS/3B's, PT Government Associate Laboratory, Guimarães/Braga, Portugal
| | - Maria J Moreira
- Department of Gastroenterology, Hospital Senhora da Oliveira, Guimarães, Portugal.,Life and Health Sciences Research Institute (ICVS), School of Medicine, University of Minho, Braga, Portugal.,ICVS/3B's, PT Government Associate Laboratory, Guimarães/Braga, Portugal
| | - Maria A Duarte
- Department of Gastroenterology, Hospital do Divino Espírito Santo de Ponta Delgada, EPER, Ponta Delgada, Portugal
| | - José Cotter
- Department of Gastroenterology, Hospital Senhora da Oliveira, Guimarães, Portugal.,Life and Health Sciences Research Institute (ICVS), School of Medicine, University of Minho, Braga, Portugal.,ICVS/3B's, PT Government Associate Laboratory, Guimarães/Braga, Portugal
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Abstract
BACKGROUND Palliative care educators should incorporate strategies that enhance application into practice by learners. Commitment-to-change is an approach to reinforce learning and encourage application into practice; immediately post-course learners commit to making changes in their practices as a result of participating in the course ("statements") and then several weeks or months later are prompted to reflect on their commitments ("reflections"). AIM Explore if and how learners implemented into practice what they learned in a palliative care course, using commitment-to-change reflections. DESIGN Secondary analysis of post-course commitment statements and 4-months post-course commitment reflections submitted online by learners who participated in Pallium Canada's interprofessional, 2-day, Learning Essential Approaches to Palliative Care (LEAP) Core courses. SETTING/PARTICIPANTS Primary care providers from across Canada and different profession who attended LEAP Core courses from 1 April 2015 to 31 March 2017. RESULTS About 1063 of 4636 learners (22.9%) who participated in the 244 courses delivered during the study period submitted a total of 4250 reflections 4 months post-course. Of these commitments, 3081 (72.5%) were implemented. The most common implemented commitments related to initiating palliative care early across diseases, pain and symptom management, use of clinical instruments, advance care planning, and interprofessional collaboration. Impact extended to patients, services, and colleagues. Barriers to implementation into practice included lack of time, and system-level factors such as lack of support by managers and untrained colleagues. CONCLUSIONS Examples of benefits to patients, families, services, colleagues, and themselves were described as a result of participating in the courses.
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Affiliation(s)
- José Pereira
- Pallium Canada, Ottawa, Canada (Non-profit Foundation).,Division of Palliative Care, Department of Family Medicine, McMaster University, Hamilton, Canada.,Institute for Culture and Society (ICS), University of Navara, Spain
| | - Lynn Meadows
- Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada
| | | | - Tina Strudsholm
- School of Health Sciences, University of Northern British Columbia, Prince George, BC, Canada
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Braga S, Barreto J, Torgal A, Pereira J, Leão A, Gonçalves N, Araújo L. T170 Three cases of endocrine immune-related adverse events caused by immune checkpoint inhibitor therapy. Clin Chim Acta 2022. [DOI: 10.1016/j.cca.2022.04.649] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Bühning F, Miguel Telega L, Tong Y, Pereira J, Coenen V, Döbrössy M. Electrophysiological and molecular effects of bilateral deep brain stimulation of the medial forebrain bundle in a rodent model of depression. Exp Neurol 2022; 355:114122. [DOI: 10.1016/j.expneurol.2022.114122] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/26/2022] [Revised: 05/10/2022] [Accepted: 05/18/2022] [Indexed: 11/04/2022]
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Grilo C, Afonso BC, Afonso F, Alexandre M, Aliácar S, Almeida A, Alonso IP, Álvares F, Alves P, Alves PC, Alves P, Amado A, Amendoeira V, Amorim F, da Silva Aparício G, Araújo R, Ascensão F, Augusto M, Bandeira V, Barbosa AM, Barbosa S, Barbosa S, Barreiro S, Barros P, Barros T, Barros F, Basto M, Bernardino J, Bicho S, Biedma LE, Borges M, Braz L, Brito JC, Brito T, Cabral JA, Calzada J, Camarinha C, Carapuço M, Cardoso P, Carmo M, Carrapato C, da Silva Carrilho M, C S Carvalho DFT, Carvalho F, Carvalho J, Castro D, Castro G, Castro J, Castro LR, Catry FX, Cerveira AM, Cid A, Clarke R, Conde C, Conde J, Costa J, Costa M, Costa P, Costa C, do Couto AP, Craveiro J, Dias M, Dias S, Duarte B, Duro V, Encarnação C, Eufrázio S, Fael A, Falé JS, Faria S, Fernandes C, Fernandes M, da Costa GF, Ferreira C, Ferreira DF, Ferreira E, Ferreira JP, Ferreira J, Ferreira D, Fonseca C, Fontes I, Fragoso R, Franco C, Freitas T, Gabriel SI, Gibb R, Gil P, Jorge Gomes CP, Horta P, Gomes P, Gomes V, Grilo F, Guedes A, Guilherme F, Gutiérrez I, Harper H, Herrera JM, Hipólito D, Infante S, Jesus J, Jones KE, Laborde MI, de Oliveira LL, Leitão I, Lemos R, Lima C, Linck P, Lopes H, Lopes S, López-Baucells A, Loureiro A, Loureiro F, Lourenço R, Lourenço S, Lucas P, Magalhães A, Maldonado C, Marcolin F, Marques S, Marques JT, Marques C, Marques P, Marrecas PC, Martins F, Martins R, Mascarenhas M, Mata VA, Mateus AR, Matos M, Medinas D, Mendes T, Mendes G, Mestre F, Milhinhas C, Mira A, Monarca RI, Monteiro N, Monteiro B, Monterroso P, Nakamura M, Negrões N, Nóbrega EK, Nóvoa M, Nunes M, Nunes NJ, Oliveira F, Oliveira JM, Palmeirim JM, Pargana J, Paula A, Paupério J, Pedroso NM, Pereira G, Pereira PF, Pereira J, Ramos Pereira MJ, Petrucci-Fonseca F, Pimenta M, Pinto S, Pinto N, Pires R, Pita R, Pontes C, Quaresma M, Queirós J, Queirós L, Rainho A, da Graça Ramalhinho M, Ramalho P, Raposeira H, Rasteiro F, Rebelo H, Regala FT, Reto D, Ribeiro SB, Rio-Maior H, Rocha R, Rocha RG, Rodrigues L, Román J, Roque S, Rosalino LM, do Rosário IT, Rossa M, Russo D, Sá P, Sabino-Marques H, Salgueiro V, Santos H, Santos J, Santos JPV, Santos N, Santos S, Santos CP, Santos-Reis M, Serronha A, Sierra P, Silva B, Silva CSGM, Silva C, Silva D, da Silva LP, Silva R, Silva C, da Silva Júnior FMR, Sousa P, Sousa-Guedes D, Spadoni G, Tapisso JT, Teixeira D, Teixeira S, Teixeira N, Torres RT, Travassos P, Vale-Gonçalves H, Cidraes-Vieira N, von Merten S, da Luz Mathias M. MAMMALS IN PORTUGAL: A data set of terrestrial, volant, and marine mammal occurrences in Portugal. Ecology 2022; 103:e3654. [PMID: 35132618 DOI: 10.1002/ecy.3654] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/11/2021] [Revised: 07/16/2021] [Accepted: 08/20/2021] [Indexed: 11/08/2022]
Abstract
Mammals are threatened worldwide, with ca. 26% of all species being included in the IUCN threatened categories. This overall pattern is primarily associated to habitat loss or degradation, and human persecution for terrestrial mammals, and pollution, open net fishing, climate change and prey depletion for marine mammals. Mammals play a key role in maintaining ecosystems functionality and resilience, and therefore information on their distribution is crucial to delineate and support conservation actions. MAMMALS IN PORTUGAL is a publicly available data set compiling unpublished geo-referenced occurrence records of 92 terrestrial, volant, and marine mammals in mainland Portugal and archipelagos of Azores and Madeira that includes 107,852 data entries between 1873 and 2021 (72% of the data occurring in 2000 and 2021). The methods used to collect the data were: live observations/captures (42%), sign surveys (38%), camera trapping (16%), bioacoustics surveys (4%) and radio-tracking and inquiries that represent less than 1% of the records. The data set includes 13 types of records: 1) burrows | soil mounds | tunnel, 2) capture, 3) colony, 4) dead animal | hair | skulls | jaws, 5) genetic confirmation, 6) inquiries, 7) observation of live animal, 8), observation in shelters, 9) photo trapping | video, 10), predators diet | pellets | pine cones/nuts, 11) scat | track | ditch, 12) telemetry and 13) vocalization | echolocation. The spatial uncertainty of most records ranges between 0 and 100 m (76%). Rodentia (n = 34,754) has the highest number of records followed by Chiroptera (n = 18,858), Carnivora (n = 18,594), Lagomorpha (n = 17,679), Cetartiodactyla (n = 11,568) and Eulipotyphla (n = 6400). The data set includes records of species classified by the IUCN as threatened (e.g., Oryctolagus cuniculus (n = 12,407), Monachus monachus (n = 1512), and Lynx pardinus (n = 197)]. We believe that this data set may stimulate the publication of other European countries data sets which would certainly contribute to ecology and conservation-related research, and therefore assisting on the development of more accurate and tailored conservation management strategies for each species. There are no copyright restrictions; please cite this data paper when the data are used in publications.
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Affiliation(s)
- Clara Grilo
- CESAM - Centro de Estudos do Ambiente e do Mar, Departamento de Biologia Animal, Faculdade de Ciências, Universidade de Lisboa, Lisbon, Portugal.,Setor Ecologia/Departamento de Biologia Universidade Federal de Lavras 37200 000 Minas Gerais, Brazil
| | - Beatriz C Afonso
- cE3c - Centre for Ecology, Evolution and Environmental Changes and Departamento de Biologia Animal. Faculdade de Ciências da Universidade de Lisboa, Ed. C2, Campo Grande, Lisbon, Portugal.,Departamento de Biologia Universidade de Évora Pólo da Mitra Apartado 94 7002-554 Évora, Portugal
| | - Filipe Afonso
- Faculdade de Ciências de Lisboa, Universidade de Lisboa, Lisbon, Portugal
| | - Marta Alexandre
- CESAM - Centro de Estudos do Ambiente e do Mar, Departamento de Biologia Animal, Faculdade de Ciências, Universidade de Lisboa, Lisbon, Portugal
| | | | - Ana Almeida
- Departmento de Biologia, Universidade de Aveiro, Campus Universitário de Santiago, Aveiro, Portugal
| | | | - Francisco Álvares
- CIBIO/InBIO, Centro de Investigação em Biodiversidade e Recursos Genéticos, Universidade do Porto, Campus de Vairão, 4485-661, Vairão, Portugal
| | - Paulo Alves
- Quercus - Associação Nacional de Conservação da Natureza, Portugal
| | - Paulo Célio Alves
- CIBIO/InBIO, Centro de Investigação em Biodiversidade e Recursos Genéticos, Universidade do Porto, Campus de Vairão, 4485-661, Vairão, Portugal.,Departamento de Biologia, Faculdade de Ciências, Universidade do Porto, Rua do Campo Alegre s/n, Porto, Portugal
| | - Pedro Alves
- GPS - Grupo Protecção Sicó, Portugal.,Plecotus, Lda, Portugal
| | | | | | - Francisco Amorim
- CIBIO/InBIO, Centro de Investigação em Biodiversidade e Recursos Genéticos, Universidade do Porto, Campus de Vairão, 4485-661, Vairão, Portugal.,CIBIO/InBIO, Centro de Investigação em Biodiversidade e Recursos Genéticos- Instituto Superior de Agronomia, Universidade de Lisboa Tapada da Ajuda, Lisbon, Portugal
| | - Guilherme da Silva Aparício
- CESAM - Centro de Estudos do Ambiente e do Mar, Departamento de Biologia Animal, Faculdade de Ciências, Universidade de Lisboa, Lisbon, Portugal
| | | | - Fernando Ascensão
- cE3c - Centre for Ecology, Evolution and Environmental Changes and Departamento de Biologia Animal. Faculdade de Ciências da Universidade de Lisboa, Ed. C2, Campo Grande, Lisbon, Portugal
| | - Margarida Augusto
- Bioinsight - Ambiente & Biodiversidade, Lda. Rua Antero de Quental, Odivelas, Portugal.,CEAE-LPN - Centro de Estudos e Actividades Especiais da Liga para a Protecção da Natureza, Portugal
| | - Victor Bandeira
- CESAM - Centro de Estudos do Ambiente e do Mar, Departamento de Biologia, Universidade de Aveiro, Campus Universitário de Santiago, Aveiro, Portugal
| | - A Márcia Barbosa
- CICGE - Centre for Research in Geo-Spatial Sciences, Faculdade de Ciências da Universidade do Porto, Alameda do Monte da Virgem, Vila Nova de Gaia, Portugal
| | - Soraia Barbosa
- CIBIO/InBIO, Centro de Investigação em Biodiversidade e Recursos Genéticos, Universidade do Porto, Campus de Vairão, 4485-661, Vairão, Portugal.,Department of Fish and Wildlife Sciences, College of Natural Resources, University of Idaho, 875 Perimeter Drive, , Moscow, Idaho, United States
| | - Sérgio Barbosa
- CEAE-LPN - Centro de Estudos e Actividades Especiais da Liga para a Protecção da Natureza, Portugal
| | - Silvia Barreiro
- MED - Mediterranean Institute for Agriculture, Environment and Development, Universidade de Évora, Évora, Portugal
| | - Paulo Barros
- Centre for the Research and Technology of Agro-Environment and Biological Sciences (CITAB), University of Trás-os-Montes and Alto Douro (UTAD), Vila Real, Portugal.,Laboratory of Applied Ecology, University of Trás-os-Montes and Alto Douro (UTAD), Vila Real, Portugal
| | - Tânia Barros
- CESAM - Centro de Estudos do Ambiente e do Mar, Departamento de Biologia, Universidade de Aveiro, Campus Universitário de Santiago, Aveiro, Portugal
| | - Filomena Barros
- CRASM-Centro de Recuperação de Animais Selvagens do Montejunto Morada:Rua 1° de Maio, n°10, 2550-076 Tojeira, Cadaval, Portugal
| | - Mafalda Basto
- cE3c - Centre for Ecology, Evolution and Environmental Changes and Departamento de Biologia Animal. Faculdade de Ciências da Universidade de Lisboa, Ed. C2, Campo Grande, Lisbon, Portugal
| | - Joana Bernardino
- CIBIO/InBIO, Centro de Investigação em Biodiversidade e Recursos Genéticos, Universidade do Porto, Campus de Vairão, 4485-661, Vairão, Portugal
| | | | - Luis Eduardo Biedma
- Department of Integrated Sciences, Faculty of Experimental Sciences, University of Huelva, Avenida de las Fuerzas Armadas, S/N, 21007, Huelva, Spain
| | - Marta Borges
- GEM - Grupo de Espeleologia e Montanhismo, Portugal
| | - Luis Braz
- Centre for the Research and Technology of Agro-Environment and Biological Sciences (CITAB), University of Trás-os-Montes and Alto Douro (UTAD), Vila Real, Portugal.,Laboratory of Applied Ecology, University of Trás-os-Montes and Alto Douro (UTAD), Vila Real, Portugal
| | - José Carlos Brito
- CIBIO/InBIO, Centro de Investigação em Biodiversidade e Recursos Genéticos, Universidade do Porto, Campus de Vairão, 4485-661, Vairão, Portugal
| | | | - João Alexandre Cabral
- Centre for the Research and Technology of Agro-Environment and Biological Sciences (CITAB), University of Trás-os-Montes and Alto Douro (UTAD), Vila Real, Portugal.,Laboratory of Applied Ecology, University of Trás-os-Montes and Alto Douro (UTAD), Vila Real, Portugal
| | - Javier Calzada
- Department of Integrated Sciences, Faculty of Experimental Sciences, University of Huelva, Avenida de las Fuerzas Armadas, S/N, 21007, Huelva, Spain
| | - Cláudia Camarinha
- cE3c - Centre for Ecology, Evolution and Environmental Changes and Departamento de Biologia Animal. Faculdade de Ciências da Universidade de Lisboa, Ed. C2, Campo Grande, Lisbon, Portugal
| | | | - Paulo Cardoso
- Bioinsight - Ambiente & Biodiversidade, Lda. Rua Antero de Quental, Odivelas, Portugal
| | - Mário Carmo
- Mário Carmo - Your Biodiversity and Ecosystem Consultant, Portugal
| | - Carlos Carrapato
- Instituto da Conservação da Natureza e das Florestas-ICNF, Portugal
| | - Maílis da Silva Carrilho
- CESAM - Centro de Estudos do Ambiente e do Mar, Departamento de Biologia Animal, Faculdade de Ciências, Universidade de Lisboa, Lisbon, Portugal
| | - Diogo Filipe T C S Carvalho
- Centre for the Research and Technology of Agro-Environment and Biological Sciences (CITAB), University of Trás-os-Montes and Alto Douro (UTAD), Vila Real, Portugal.,Laboratory of Applied Ecology, University of Trás-os-Montes and Alto Douro (UTAD), Vila Real, Portugal
| | - Filipe Carvalho
- CIBIO/InBIO, Centro de Investigação em Biodiversidade e Recursos Genéticos, Universidade do Porto, Campus de Vairão, 4485-661, Vairão, Portugal.,Department of Zoology and Entomology, School of Biological and Environmental Sciences, University of Fort Hare, Private Bag X1314, Alice, South Africa
| | - João Carvalho
- CESAM - Centro de Estudos do Ambiente e do Mar, Departamento de Biologia, Universidade de Aveiro, Campus Universitário de Santiago, Aveiro, Portugal
| | - Diana Castro
- CIBIO/InBIO, Centro de Investigação em Biodiversidade e Recursos Genéticos, Universidade do Porto, Campus de Vairão, 4485-661, Vairão, Portugal
| | - Guilherme Castro
- CESAM - Centro de Estudos do Ambiente e do Mar, Departamento de Biologia, Universidade de Aveiro, Campus Universitário de Santiago, Aveiro, Portugal
| | - Joana Castro
- AIMM - Associação para a Investigação do Meio Marinho, Portugal.,MARE - Marine and Environmental Sciences Centre, Faculty of Sciences, University of Lisbon, Campo Grande, Lisbon, Portugal
| | - Luis Roma Castro
- Instituto da Conservação da Natureza e das Florestas-ICNF, Portugal
| | - Filipe Xavier Catry
- Centre for Applied Ecology/Research Network in Biodiversity and Evolutionary Biology (CEABN/InBIO), School of Agriculture, University of Lisbon (ISA, UL), Lisbon, Portugal
| | - Ana M Cerveira
- CESAM - Centro de Estudos do Ambiente e do Mar, Departamento de Biologia Animal, Faculdade de Ciências, Universidade de Lisboa, Lisbon, Portugal.,Departmento de Biologia, Universidade de Aveiro, Campus Universitário de Santiago, Aveiro, Portugal
| | - André Cid
- AIMM - Associação para a Investigação do Meio Marinho, Portugal
| | | | - Conceição Conde
- Instituto da Conservação da Natureza e das Florestas-ICNF, Portugal
| | - José Conde
- Município de Seia, Centro de Interpretação da Serra da Estrela, Portugal
| | | | - Mafalda Costa
- OnE - Organisms and Environment Division, School of Biosciences, Cardiff University, Wales, UK
| | | | - Cristina Costa
- Instituto da Conservação da Natureza e das Florestas-ICNF, Portugal
| | | | - João Craveiro
- MED - Mediterranean Institute for Agriculture, Environment and Development, Departamento de Biologia, Escola de Ciências e Tecnologia, Universidade de Évora
| | - Marta Dias
- cE3c - Centre for Ecology, Evolution and Environmental Changes and Departamento de Biologia Animal. Faculdade de Ciências da Universidade de Lisboa, Ed. C2, Campo Grande, Lisbon, Portugal
| | | | - Beatriz Duarte
- Departmento de Biologia, Universidade de Aveiro, Campus Universitário de Santiago, Aveiro, Portugal
| | - Virginia Duro
- Laboratory of Applied Ecology, University of Trás-os-Montes and Alto Douro (UTAD), Vila Real, Portugal
| | - Cláudia Encarnação
- Almargem - Associação de Defesa do Património Cultural e Ambiental do Algarve, Portugal.,Departamento de Biologia, Unidade de Biologia da Conservação, Escola de Ciências e Tecnologia, Universidade de Évora, Núcleo da Mitra, Ap. 94, 7006-554, Évora, Portugal
| | - Sofia Eufrázio
- MED - Mediterranean Institute for Agriculture, Environment and Development, Instituto de Investigação e Formação Avançada, Universidade de Évora, Pólo da Mitra, Ap. 94, 7006-554, Évora, Portugal
| | - António Fael
- Bioinsight - Ambiente & Biodiversidade, Lda. Rua Antero de Quental, Odivelas, Portugal.,Núcleo de Espeleologia de Leiria, Portugal
| | - João Salvador Falé
- CRASM-Centro de Recuperação de Animais Selvagens do Montejunto Morada:Rua 1° de Maio, n°10, 2550-076 Tojeira, Cadaval, Portugal
| | - Sandra Faria
- Laboratory of Applied Ecology, University of Trás-os-Montes and Alto Douro (UTAD), Vila Real, Portugal
| | - Carlos Fernandes
- cE3c - Centre for Ecology, Evolution and Environmental Changes and Departamento de Biologia Animal. Faculdade de Ciências da Universidade de Lisboa, Ed. C2, Campo Grande, Lisbon, Portugal.,Faculdade de Psicologia, Universidade de Lisboa, Alameda da Universidade, Lisbon, Portugal
| | | | - Gonçalo Ferrão da Costa
- Bioinsight - Ambiente & Biodiversidade, Lda. Rua Antero de Quental, Odivelas, Portugal.,CESAM - Centro de Estudos do Ambiente e do Mar, Departamento de Biologia, Universidade de Aveiro, Campus Universitário de Santiago, Aveiro, Portugal
| | - Clara Ferreira
- CIBIO/InBIO, Centro de Investigação em Biodiversidade e Recursos Genéticos, Universidade do Porto, Campus de Vairão, 4485-661, Vairão, Portugal.,Animal Ecology, Institute for Biochemistry and Biology, University of Potsdam, Potsdam, Germany
| | - Diogo F Ferreira
- CIBIO/InBIO, Centro de Investigação em Biodiversidade e Recursos Genéticos, Universidade do Porto, Campus de Vairão, 4485-661, Vairão, Portugal.,Department of Genetics, Evolution and Environment, Centre for Biodiversity and Environment Research, University College London, London, UK.,Madeira Interactive Technologies Institute, Polo Científico e Tecnológico da Madeira, Caminho da Penteada, Funchal, Portugal
| | - Eduardo Ferreira
- CESAM - Centro de Estudos do Ambiente e do Mar, Departamento de Biologia, Universidade de Aveiro, Campus Universitário de Santiago, Aveiro, Portugal
| | - Joaquim Pedro Ferreira
- CESAM - Centro de Estudos do Ambiente e do Mar, Departamento de Biologia, Universidade de Aveiro, Campus Universitário de Santiago, Aveiro, Portugal
| | | | - Diana Ferreira
- Departmento de Biologia, Universidade de Aveiro, Campus Universitário de Santiago, Aveiro, Portugal
| | - Carlos Fonseca
- CESAM - Centro de Estudos do Ambiente e do Mar, Departamento de Biologia, Universidade de Aveiro, Campus Universitário de Santiago, Aveiro, Portugal.,ForestWISE - Collaborative Laboratory for Integrated Forest & Fire Management, Quinta de Prados, Vila Real, Portugal
| | - Inês Fontes
- Departamento de Biologia Universidade de Évora Pólo da Mitra Apartado 94 7002-554 Évora, Portugal
| | - Ricardo Fragoso
- Instituto da Conservação da Natureza e das Florestas-ICNF, Portugal
| | | | - Tamira Freitas
- Universidade da Madeira, Faculdade de Ciências da Vida, Portugal
| | - Sofia I Gabriel
- CESAM - Centro de Estudos do Ambiente e do Mar, Departamento de Biologia Animal, Faculdade de Ciências, Universidade de Lisboa, Lisbon, Portugal.,CESAM - Centro de Estudos do Ambiente e do Mar, Departamento de Biologia, Universidade de Aveiro, Campus Universitário de Santiago, Aveiro, Portugal
| | - Rory Gibb
- Department of Genetics, Evolution and Environment, Centre for Biodiversity and Environment Research, University College London, London, UK
| | - Patricia Gil
- CIBIO/InBIO, Centro de Investigação em Biodiversidade e Recursos Genéticos, Universidade do Porto, Campus de Vairão, 4485-661, Vairão, Portugal
| | - Carla Patricia Jorge Gomes
- Centre for the Research and Technology of Agro-Environment and Biological Sciences (CITAB), University of Trás-os-Montes and Alto Douro (UTAD), Vila Real, Portugal.,Laboratory of Applied Ecology, University of Trás-os-Montes and Alto Douro (UTAD), Vila Real, Portugal
| | - Pedro Horta
- CIBIO/InBIO, Centro de Investigação em Biodiversidade e Recursos Genéticos, Universidade do Porto, Campus de Vairão, 4485-661, Vairão, Portugal.,Departamento de Biologia, Faculdade de Ciências, Universidade do Porto, Rua do Campo Alegre s/n, Porto, Portugal.,CIBIO/InBIO, Centro de Investigação em Biodiversidade e Recursos Genéticos- Instituto Superior de Agronomia, Universidade de Lisboa Tapada da Ajuda, Lisbon, Portugal.,OII - Observatório Inovação Investigação, Seia, Portugal
| | - Pedro Gomes
- CESAM - Centro de Estudos do Ambiente e do Mar, Departamento de Biologia, Universidade de Aveiro, Campus Universitário de Santiago, Aveiro, Portugal
| | - Verónica Gomes
- CIBIO/InBIO, Centro de Investigação em Biodiversidade e Recursos Genéticos, Universidade do Porto, Campus de Vairão, 4485-661, Vairão, Portugal
| | - Filipa Grilo
- cE3c - Centre for Ecology, Evolution and Environmental Changes and Departamento de Biologia Animal. Faculdade de Ciências da Universidade de Lisboa, Ed. C2, Campo Grande, Lisbon, Portugal
| | - Américo Guedes
- Palombar - Conservação da Natureza e do Património Rural, Antiga Escola Primária, Uva, Vimioso, Portugal
| | - Filipa Guilherme
- CIBIO/InBIO, Centro de Investigação em Biodiversidade e Recursos Genéticos, Universidade do Porto, Campus de Vairão, 4485-661, Vairão, Portugal
| | - Iván Gutiérrez
- Palombar - Conservação da Natureza e do Património Rural, Antiga Escola Primária, Uva, Vimioso, Portugal
| | - Henry Harper
- AIMM - Associação para a Investigação do Meio Marinho, Portugal
| | - José M Herrera
- MED - Mediterranean Institute for Agriculture, Environment and Development, Universidade de Évora, Évora, Portugal
| | - Dário Hipólito
- CESAM - Centro de Estudos do Ambiente e do Mar, Departamento de Biologia, Universidade de Aveiro, Campus Universitário de Santiago, Aveiro, Portugal.,Department of Biology, Faculty of Veterinary Medicine, University of Zagreb, Heinzelova, Zagreb, Croatia
| | - Samuel Infante
- Quercus - Associação Nacional de Conservação da Natureza, Portugal
| | - José Jesus
- Universidade da Madeira, Faculdade de Ciências da Vida, Portugal
| | - Kate E Jones
- Department of Genetics, Evolution and Environment, Centre for Biodiversity and Environment Research, University College London, London, UK
| | - Marina I Laborde
- AIMM - Associação para a Investigação do Meio Marinho, Portugal.,MARE - Marine and Environmental Sciences Centre, Faculty of Sciences, University of Lisbon, Campo Grande, Lisbon, Portugal
| | - Luís Lamas de Oliveira
- Laboratory of Applied Ecology, University of Trás-os-Montes and Alto Douro (UTAD), Vila Real, Portugal
| | - Inês Leitão
- Faculdade de Ciências de Lisboa, Universidade de Lisboa, Lisbon, Portugal
| | | | - Cátia Lima
- CESAM - Centro de Estudos do Ambiente e do Mar, Departamento de Biologia, Universidade de Aveiro, Campus Universitário de Santiago, Aveiro, Portugal
| | - Paloma Linck
- CESAM - Centro de Estudos do Ambiente e do Mar, Departamento de Biologia, Universidade de Aveiro, Campus Universitário de Santiago, Aveiro, Portugal
| | - Hugo Lopes
- CRASM-Centro de Recuperação de Animais Selvagens do Montejunto Morada:Rua 1° de Maio, n°10, 2550-076 Tojeira, Cadaval, Portugal
| | - Susana Lopes
- CIBIO/InBIO, Centro de Investigação em Biodiversidade e Recursos Genéticos, Universidade do Porto, Campus de Vairão, 4485-661, Vairão, Portugal
| | - Adrià López-Baucells
- Natural Sciences Museum of Granollers, Palaudàries 102, Jardins Antoni Jonch Cuspinera, Granollers, Catalonia, Spain
| | - Armando Loureiro
- Instituto da Conservação da Natureza e das Florestas-ICNF, Portugal
| | - Filipa Loureiro
- cE3c - Centre for Ecology, Evolution and Environmental Changes and Departamento de Biologia Animal. Faculdade de Ciências da Universidade de Lisboa, Ed. C2, Campo Grande, Lisbon, Portugal
| | - Rui Lourenço
- MED - Mediterranean Institute for Agriculture, Environment and Development, LabOr Laboratório de Ornitologia, IIFA, Universidade de Évora, Pólo da Mitra, Apartado 94, Évora, Portugal
| | | | - Paula Lucas
- CRASM-Centro de Recuperação de Animais Selvagens do Montejunto Morada:Rua 1° de Maio, n°10, 2550-076 Tojeira, Cadaval, Portugal
| | - Ana Magalhães
- CESAM - Centro de Estudos do Ambiente e do Mar, Departamento de Biologia, Universidade de Aveiro, Campus Universitário de Santiago, Aveiro, Portugal
| | - Cristina Maldonado
- Faculdade de Ciências de Lisboa, Universidade de Lisboa, Lisbon, Portugal
| | - Fabio Marcolin
- Centro de Estudos Florestais, Instituto Superior de Agronomia, Universidade de Lisboa, Portugal
| | - Sara Marques
- CESAM - Centro de Estudos do Ambiente e do Mar, Departamento de Biologia, Universidade de Aveiro, Campus Universitário de Santiago, Aveiro, Portugal
| | - J Tiago Marques
- MED - Mediterranean Institute for Agriculture, Environment and Development, Departamento de Biologia, Escola de Ciências e Tecnologia, Universidade de Évora
| | - Carina Marques
- SPVS - Sociedade Portuguesa de Vida Selvagem, Portugal.,ARCM - Alto Relevo Clube de Montanhismo, Portugal
| | - Paulo Marques
- EDIA - Empresa de Desenvolvimento e Infraestruturas do Alqueva S.A., Portugal
| | | | - Frederico Martins
- MED - Mediterranean Institute for Agriculture, Environment and Development, Departamento de Biologia, Escola de Ciências e Tecnologia, Universidade de Évora
| | - Raquel Martins
- CESAM - Centro de Estudos do Ambiente e do Mar, Departamento de Biologia, Universidade de Aveiro, Campus Universitário de Santiago, Aveiro, Portugal
| | - Miguel Mascarenhas
- Bioinsight - Ambiente & Biodiversidade, Lda. Rua Antero de Quental, Odivelas, Portugal
| | - Vanessa A Mata
- CIBIO/InBIO, Centro de Investigação em Biodiversidade e Recursos Genéticos, Universidade do Porto, Campus de Vairão, 4485-661, Vairão, Portugal
| | - Ana Rita Mateus
- Faculdade de Ciências de Lisboa, Universidade de Lisboa, Lisbon, Portugal
| | - Milene Matos
- Associação BioLiving, Rua do Outeiro, Frossos 3850-635 Albergaria-a-Velha, Portugal.,Município de Lousada Pr. Dr. Francisco Sá Carneiro 4620-695 Lousada, Portugal
| | - Denis Medinas
- CIBIO/InBIO-UE, Research Centre in Biodiversity and Genetic Resources, University of Évora, Rua Dr. Joaquim Henrique da Fonseca, 2nd, Évora, Portugal
| | - Tiago Mendes
- MED - Mediterranean Institute for Agriculture, Environment and Development, Departamento de Biologia, Escola de Ciências e Tecnologia, Universidade de Évora
| | | | - Frederico Mestre
- MED - Mediterranean Institute for Agriculture, Environment and Development, Universidade de Évora, Évora, Portugal.,Cátedra "Rui Nabeiro" de Biodiversidade, Rua Dr. Joaquim Henrique da Fonseca 7000 - 890 Évora, Portugal
| | - Catarina Milhinhas
- MED - Mediterranean Institute for Agriculture, Environment and Development, Departamento de Biologia, Escola de Ciências e Tecnologia, Universidade de Évora
| | - António Mira
- MED - Mediterranean Institute for Agriculture, Environment and Development, Departamento de Biologia, Escola de Ciências e Tecnologia, Universidade de Évora
| | - Rita I Monarca
- CESAM - Centro de Estudos do Ambiente e do Mar, Departamento de Biologia Animal, Faculdade de Ciências, Universidade de Lisboa, Lisbon, Portugal
| | | | | | - Pedro Monterroso
- CIBIO/InBIO, Centro de Investigação em Biodiversidade e Recursos Genéticos, Universidade do Porto, Campus de Vairão, 4485-661, Vairão, Portugal
| | - Mónia Nakamura
- CIBIO/InBIO, Centro de Investigação em Biodiversidade e Recursos Genéticos, Universidade do Porto, Campus de Vairão, 4485-661, Vairão, Portugal.,Departamento de Biologia, Faculdade de Ciências, Universidade do Porto, Rua do Campo Alegre s/n, Porto, Portugal
| | - Nuno Negrões
- CESAM - Centro de Estudos do Ambiente e do Mar, Departamento de Biologia, Universidade de Aveiro, Campus Universitário de Santiago, Aveiro, Portugal
| | - Eva K Nóbrega
- Universitat Autònoma de Barcelona, Campus de la UAB, Plaça Cívica, 08193 Bellaterra, , Barcelona, Spain
| | - Miguel Nóvoa
- Palombar - Conservação da Natureza e do Património Rural, Antiga Escola Primária, Uva, Vimioso, Portugal.,AEPGA - Associação para o Estudo e Proteção do Gado Asinino, Atenor, Miranda do Douro, Portugal
| | - Manuel Nunes
- Município de Lousada Pr. Dr. Francisco Sá Carneiro 4620-695 Lousada, Portugal
| | - Nuno Jardim Nunes
- Instituto Superior Técnico de Lisboa, University of Lisbon & ITI/LARSyS, Portugal
| | - Flávio Oliveira
- CESAM - Centro de Estudos do Ambiente e do Mar, Departamento de Biologia Animal, Faculdade de Ciências, Universidade de Lisboa, Lisbon, Portugal
| | | | - Jorge M Palmeirim
- cE3c - Centre for Ecology, Evolution and Environmental Changes and Departamento de Biologia Animal. Faculdade de Ciências da Universidade de Lisboa, Ed. C2, Campo Grande, Lisbon, Portugal
| | - João Pargana
- Instituto da Conservação da Natureza e das Florestas-ICNF, Portugal
| | - Anabela Paula
- Bioinsight - Ambiente & Biodiversidade, Lda. Rua Antero de Quental, Odivelas, Portugal
| | - Joana Paupério
- CIBIO/InBIO, Centro de Investigação em Biodiversidade e Recursos Genéticos, Universidade do Porto, Campus de Vairão, 4485-661, Vairão, Portugal
| | - Nuno M Pedroso
- MED - Mediterranean Institute for Agriculture, Environment and Development, Instituto de Investigação e Formação Avançada, Universidade de Évora, Pólo da Mitra, Ap. 94, 7006-554, Évora, Portugal
| | - Guilherme Pereira
- cE3c - Centre for Ecology, Evolution and Environmental Changes and Departamento de Biologia Animal. Faculdade de Ciências da Universidade de Lisboa, Ed. C2, Campo Grande, Lisbon, Portugal
| | - Pedro F Pereira
- Bioinsight - Ambiente & Biodiversidade, Lda. Rua Antero de Quental, Odivelas, Portugal.,MED - Mediterranean Institute for Agriculture, Environment and Development, LabOr Laboratório de Ornitologia, IIFA, Universidade de Évora, Pólo da Mitra, Apartado 94, Évora, Portugal
| | - José Pereira
- Palombar - Conservação da Natureza e do Património Rural, Antiga Escola Primária, Uva, Vimioso, Portugal
| | - Maria João Ramos Pereira
- CESAM - Centro de Estudos do Ambiente e do Mar, Departamento de Biologia, Universidade de Aveiro, Campus Universitário de Santiago, Aveiro, Portugal.,Departamento de Zoologia, Instituto Biociencias, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil
| | - Francisco Petrucci-Fonseca
- cE3c - Centre for Ecology, Evolution and Environmental Changes and Departamento de Biologia Animal. Faculdade de Ciências da Universidade de Lisboa, Ed. C2, Campo Grande, Lisbon, Portugal
| | - Miguel Pimenta
- Instituto da Conservação da Natureza e das Florestas-ICNF, Portugal
| | - Sara Pinto
- Palombar - Conservação da Natureza e do Património Rural, Antiga Escola Primária, Uva, Vimioso, Portugal.,AEPGA - Associação para o Estudo e Proteção do Gado Asinino, Atenor, Miranda do Douro, Portugal
| | - Nuno Pinto
- CESAM - Centro de Estudos do Ambiente e do Mar, Departamento de Biologia, Universidade de Aveiro, Campus Universitário de Santiago, Aveiro, Portugal.,Associação BioLiving, Rua do Outeiro, Frossos 3850-635 Albergaria-a-Velha, Portugal
| | - Rosa Pires
- Instituto das Florestas e Conservação da Natureza, IP-RAM
| | - Ricardo Pita
- MED - Mediterranean Institute for Agriculture, Environment and Development, Instituto de Investigação e Formação Avançada & Unidade de Biologia da Conservação, Departamento de Biologia, Universidade de Évora, Pólo da Mitra, Ap. 94, 7006-554, Évora, Portugal
| | | | - Marisa Quaresma
- Instituto da Conservação da Natureza e das Florestas-ICNF, Portugal
| | - João Queirós
- CIBIO/InBIO, Centro de Investigação em Biodiversidade e Recursos Genéticos, Universidade do Porto, Campus de Vairão, 4485-661, Vairão, Portugal
| | - Luís Queirós
- Palombar - Conservação da Natureza e do Património Rural, Antiga Escola Primária, Uva, Vimioso, Portugal
| | - Ana Rainho
- cE3c - Centre for Ecology, Evolution and Environmental Changes and Departamento de Biologia Animal. Faculdade de Ciências da Universidade de Lisboa, Ed. C2, Campo Grande, Lisbon, Portugal
| | - Maria da Graça Ramalhinho
- CESAM - Centro de Estudos do Ambiente e do Mar, Departamento de Biologia Animal, Faculdade de Ciências, Universidade de Lisboa, Lisbon, Portugal.,Museu Nacional de História Natural e da Ciência, Universidade de Lisboa, Lisbon, Portugal
| | - Patrícia Ramalho
- Almargem - Associação de Defesa do Património Cultural e Ambiental do Algarve, Portugal.,Câmara Municipal de Loulé, Portugal
| | - Helena Raposeira
- CIBIO/InBIO, Centro de Investigação em Biodiversidade e Recursos Genéticos, Universidade do Porto, Campus de Vairão, 4485-661, Vairão, Portugal.,Departamento de Biologia, Faculdade de Ciências, Universidade do Porto, Rua do Campo Alegre s/n, Porto, Portugal.,CIBIO/InBIO, Centro de Investigação em Biodiversidade e Recursos Genéticos- Instituto Superior de Agronomia, Universidade de Lisboa Tapada da Ajuda, Lisbon, Portugal.,OII - Observatório Inovação Investigação, Seia, Portugal
| | | | - Hugo Rebelo
- CIBIO/InBIO, Centro de Investigação em Biodiversidade e Recursos Genéticos, Universidade do Porto, Campus de Vairão, 4485-661, Vairão, Portugal.,CIBIO/InBIO, Centro de Investigação em Biodiversidade e Recursos Genéticos- Instituto Superior de Agronomia, Universidade de Lisboa Tapada da Ajuda, Lisbon, Portugal
| | | | - Dyana Reto
- Faculdade de Ciências de Lisboa, Universidade de Lisboa, Lisbon, Portugal
| | | | - Helena Rio-Maior
- CIBIO/InBIO, Centro de Investigação em Biodiversidade e Recursos Genéticos, Universidade do Porto, Campus de Vairão, 4485-661, Vairão, Portugal
| | - Ricardo Rocha
- CIBIO/InBIO, Centro de Investigação em Biodiversidade e Recursos Genéticos, Universidade do Porto, Campus de Vairão, 4485-661, Vairão, Portugal.,CIBIO/InBIO, Centro de Investigação em Biodiversidade e Recursos Genéticos- Instituto Superior de Agronomia, Universidade de Lisboa Tapada da Ajuda, Lisbon, Portugal
| | - Rita Gomes Rocha
- CIBIO/InBIO, Centro de Investigação em Biodiversidade e Recursos Genéticos, Universidade do Porto, Campus de Vairão, 4485-661, Vairão, Portugal
| | - Luísa Rodrigues
- Instituto da Conservação da Natureza e das Florestas-ICNF, Portugal
| | - Jacinto Román
- Department of Conservation Biology, Doñana Biological Station, CSIC, C. Américo Vespucio 26, Sevilla, Spain
| | - Sara Roque
- Faculdade de Ciências de Lisboa, Universidade de Lisboa, Lisbon, Portugal
| | - Luís Miguel Rosalino
- cE3c - Centre for Ecology, Evolution and Environmental Changes and Departamento de Biologia Animal. Faculdade de Ciências da Universidade de Lisboa, Ed. C2, Campo Grande, Lisbon, Portugal
| | - Inês T do Rosário
- cE3c - Centre for Ecology, Evolution and Environmental Changes and Departamento de Biologia Animal. Faculdade de Ciências da Universidade de Lisboa, Ed. C2, Campo Grande, Lisbon, Portugal
| | - Mariana Rossa
- CESAM - Centro de Estudos do Ambiente e do Mar, Departamento de Biologia, Universidade de Aveiro, Campus Universitário de Santiago, Aveiro, Portugal
| | - Danilo Russo
- Wildlife Research Unit, Dipartimento di Agraria, Università degli Studi di Napoli Federico II, Italy
| | - Pedro Sá
- Associação BioLiving, Rua do Outeiro, Frossos 3850-635 Albergaria-a-Velha, Portugal.,Município de Lousada Pr. Dr. Francisco Sá Carneiro 4620-695 Lousada, Portugal
| | - Helena Sabino-Marques
- Departamento de Biologia, Unidade de Biologia da Conservação, Escola de Ciências e Tecnologia, Universidade de Évora, Núcleo da Mitra, Ap. 94, 7006-554, Évora, Portugal
| | | | - Helena Santos
- CIBIO/InBIO, Centro de Investigação em Biodiversidade e Recursos Genéticos, Universidade do Porto, Campus de Vairão, 4485-661, Vairão, Portugal.,CIBIO/InBIO, Centro de Investigação em Biodiversidade e Recursos Genéticos- Instituto Superior de Agronomia, Universidade de Lisboa Tapada da Ajuda, Lisbon, Portugal
| | - Joana Santos
- Bioinsight - Ambiente & Biodiversidade, Lda. Rua Antero de Quental, Odivelas, Portugal
| | - João P V Santos
- CESAM - Centro de Estudos do Ambiente e do Mar, Departamento de Biologia, Universidade de Aveiro, Campus Universitário de Santiago, Aveiro, Portugal.,Palombar - Conservação da Natureza e do Património Rural, Antiga Escola Primária, Uva, Vimioso, Portugal.,Sanidad y Biotecnología (SaBio), Instituto de Investigación en Recursos Cinegéticos (IREC, UCLM-CSIC-JCCM), Ciudad Real, Spain
| | - Nuno Santos
- CIBIO/InBIO, Centro de Investigação em Biodiversidade e Recursos Genéticos, Universidade do Porto, Campus de Vairão, 4485-661, Vairão, Portugal
| | - Sara Santos
- MED - Mediterranean Institute for Agriculture, Environment and Development, Instituto de Investigação e Formação Avançada & Unidade de Biologia da Conservação, Departamento de Biologia, Universidade de Évora, Pólo da Mitra, Ap. 94, 7006-554, Évora, Portugal
| | | | - Margarida Santos-Reis
- cE3c - Centre for Ecology, Evolution and Environmental Changes and Departamento de Biologia Animal. Faculdade de Ciências da Universidade de Lisboa, Ed. C2, Campo Grande, Lisbon, Portugal
| | - Ana Serronha
- CIBIO/InBIO, Centro de Investigação em Biodiversidade e Recursos Genéticos, Universidade do Porto, Campus de Vairão, 4485-661, Vairão, Portugal
| | | | - Bruno Silva
- MED - Mediterranean Institute for Agriculture, Environment and Development, Universidade de Évora, Évora, Portugal
| | - Carla S G M Silva
- Direção Regional do Ambiente e Alterações Climáticas, Secretaria Regional do Ambiente e Alterações Climáticas - Governo Regional dos Açores, Portugal
| | - Clara Silva
- Rua Professor Moisés Amzalak n.8, Lisbon, Portugal
| | - Diogo Silva
- CESAM - Centro de Estudos do Ambiente e do Mar, Departamento de Biologia, Universidade de Aveiro, Campus Universitário de Santiago, Aveiro, Portugal
| | - Luís P da Silva
- CIBIO/InBIO, Centro de Investigação em Biodiversidade e Recursos Genéticos, Universidade do Porto, Campus de Vairão, 4485-661, Vairão, Portugal
| | - Ricardo Silva
- CESAM - Centro de Estudos do Ambiente e do Mar, Departamento de Biologia Animal, Faculdade de Ciências, Universidade de Lisboa, Lisbon, Portugal
| | | | | | - Pedro Sousa
- CIBIO/InBIO, Centro de Investigação em Biodiversidade e Recursos Genéticos, Universidade do Porto, Campus de Vairão, 4485-661, Vairão, Portugal
| | - Diana Sousa-Guedes
- CESAM - Centro de Estudos do Ambiente e do Mar, Departamento de Biologia, Universidade de Aveiro, Campus Universitário de Santiago, Aveiro, Portugal.,CICGE - Centre for Research in Geo-Spatial Sciences, Faculdade de Ciências da Universidade do Porto, Alameda do Monte da Virgem, Vila Nova de Gaia, Portugal
| | | | - Joaquim T Tapisso
- CESAM - Centro de Estudos do Ambiente e do Mar, Departamento de Biologia Animal, Faculdade de Ciências, Universidade de Lisboa, Lisbon, Portugal
| | - Daniela Teixeira
- CESAM - Centro de Estudos do Ambiente e do Mar, Departamento de Biologia, Universidade de Aveiro, Campus Universitário de Santiago, Aveiro, Portugal
| | - Sérgio Teixeira
- Universidade da Madeira, Faculdade de Ciências da Vida, Portugal.,EUROBATS Madeira Focal Point (IFCN, IP-RAM), United States.,Madeira Fauna & Flora - Biologia e Conservação, Rua Ponta da Cruz, C. C. Centromar, Loja 9, Madeira, Portugal
| | - Nuno Teixeira
- Ecosativa, Rua do Moinho de Vento Lote 11 1° F, 7645-909 Vila Nova de Milfontes, Portugal
| | - Rita T Torres
- CESAM - Centro de Estudos do Ambiente e do Mar, Departamento de Biologia, Universidade de Aveiro, Campus Universitário de Santiago, Aveiro, Portugal
| | - Paulo Travassos
- Centre for the Research and Technology of Agro-Environment and Biological Sciences (CITAB), University of Trás-os-Montes and Alto Douro (UTAD), Vila Real, Portugal.,Laboratory of Applied Ecology, University of Trás-os-Montes and Alto Douro (UTAD), Vila Real, Portugal
| | - Hélia Vale-Gonçalves
- Centre for the Research and Technology of Agro-Environment and Biological Sciences (CITAB), University of Trás-os-Montes and Alto Douro (UTAD), Vila Real, Portugal.,Laboratory of Applied Ecology, University of Trás-os-Montes and Alto Douro (UTAD), Vila Real, Portugal
| | | | - Sophie von Merten
- CESAM - Centro de Estudos do Ambiente e do Mar, Departamento de Biologia Animal, Faculdade de Ciências, Universidade de Lisboa, Lisbon, Portugal
| | - Maria da Luz Mathias
- CESAM - Centro de Estudos do Ambiente e do Mar, Departamento de Biologia Animal, Faculdade de Ciências, Universidade de Lisboa, Lisbon, Portugal
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Pereira J, Hogg W, Graves E, Kljujic D, Archibald D, Oandasan I, Glazier RH. Practice Profiles and Patterns of Ontario Family Medicine Residents 5 Years After Residency Examinations: An Exploratory Study. Fam Med 2022; 54:97-106. [DOI: 10.22454/fammed.2022.758906] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
Background and Objectives: The primary goal of family medicine residency training is for graduates to provide high-quality, safe, and effective patient care for the population they serve when they enter practice. This study explores (a) the practice profiles, 5 years into practice, of residents who completed family medicine training in Ontario, Canada; and (b) relationships between performance on the College of Family Physicians of Canada’s (CFPC) Certification Examination in Family Medicine and quality of care provided 5 years into practice.
Methods: We performed a retrospective study with secondary data analysis. We merged CFPC examination data sets with the ICES (Institute for Clinical Evaluative Sciences) administrative database. We included physicians who passed the examination between the years 2000 and 2010 and practiced in Ontario after graduation. Practice profile indicators included practice type, continuity and comprehensiveness of care, patient rostering and panel size, and rurality index. We explored 11 indicators related to management of diabetes and cancer screening.
Results: We included a total of 1,983 physicians in the analyses. Five years after the examinations, 74.3% of the physicians were working in major urban centers, and 67.3% of the physicians were providing comprehensive primary care. We noted significant differences across the six medical schools in multiple practice profile indicators, and three indicators showed significant differences across the examination score quintiles.
Conclusions: Graduates of Ontario family medicine residency programs were providing care to a broad spectrum of the population 5 years after passing the examination, and they performed similarly across quality-of-care indicators regardless of examination scores.
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Affiliation(s)
- José Pereira
- Division of Palliative Care, Department of Family Medicine, McMaster University, Canada
| | - William Hogg
- Department of Family Medicine, University of Ottawa, Canada
| | - Erin Graves
- Institutes of Clinical Evaluative Sciences, Ontario, Canada
| | - Dragan Kljujic
- Research Department, College of Family Physicians of Canada
| | - Douglas Archibald
- Department of Family Medicine, University of Ottawa, Ottawa, Ontario, Canada
| | - Ivy Oandasan
- Education Department, College of Family Physicians of Canada
- Department of Family and Community Medicine, University of Toronto, Canada
| | - Richard H. Glazier
- Department of Family & Community Medicine, University of Toronto, Canada
- St. Michael’s Hospital, Toronto, Canada
- and ICES, Toronto, Canada
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Rodrigues Vieira AC, Monteiro Ferra JR, Vicente De Carvalho JS, Melo N, Mota P, E Bastos H, Pereira J, Moura C, Morais A. Pleuroparenchymal fibroelastosis as a complication of chemotherapy: A case report. Mol Clin Oncol 2022; 16:71. [DOI: 10.3892/mco.2022.2504] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2019] [Accepted: 01/29/2021] [Indexed: 11/06/2022] Open
Affiliation(s)
| | | | | | - Natália Melo
- Pulmonology Department, Hospital Center of São João, 4200‑319 Porto, Portugal
| | - Patrícia Mota
- Pulmonology Department, Hospital Center of São João, 4200‑319 Porto, Portugal
| | - Hélder E Bastos
- Pulmonology Department, Hospital Center of São João, 4200‑319 Porto, Portugal
| | - José Pereira
- Imaging Department, Hospital Center of São João, 4200‑319 Porto, Portugal
| | - Conceição Moura
- Pathology Department, Hospital Center of São João, 4200‑319 Porto, Portugal
| | - António Morais
- Pulmonology Department, Hospital Center of São João, 4200‑319 Porto, Portugal
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Abstract
Colchicine is used in the treatment of multiple diseases such as gout and auto-immune diseases. Although cases of multiorgan failure have been described in adults with doses usually higher than 0.8 mg/kg, the epidemiology data are scarce and the intoxication mechanisms are not well-known. The authors present the case of a 66-year-old male patient, with a medical history of depression, admitted to the emergency room (ER) due to intentional colchicine ingestion after taking 90 mg (approximately 1.125 mg/kg) 12 hours prior to medical evaluation. Besides some dizziness and sleepiness, he showed no other alteration in the physical examination. After the administration of activated charcoal, he was transferred to the intensive care unit (ICU). The laboratory findings showed mild hepatic dysfunction, acute kidney injury, and metabolic lactic acidosis. Despite treatment, severe clinical worsening with multiorgan failure, including respiratory failure complicated with multiple episodes of cardiac dysrhythmias and finally with persistent cardiac arrest, lead to the patient’s death after 13 hours of admission in the ER. Among drug intoxications, high doses of colchicine ingestion can lead to rapid multiorgan dysfunction, and patients with a severe overdose can experience irreversible multiorgan failure without presenting the typical initial gastrointestinal symptoms. Thus, it is necessary for the physicians to be alert to these situations and to be aware of the epidemiological data and clinical profile of this specific poisoning that should be managed in ICU. The authors perform a review of the cases of colchicine poisoning reported in adults between 2017 and 2019 and the differences in clinical management and outcomes.
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Affiliation(s)
- Rui Seixas
- Internal Medicine, Unidade Local Saúde Litoral Alentejano, Santiago do Cacém, PRT
| | - Diogo Lopes
- Clinical Pharmacology Unit, Centro Hospitalar Universitário de São João, Porto, PRT
| | - Marta Couto
- Emergency and Intensive Care Department, Centro Hospitalar Universitário de São João, Porto, PRT.,Clinical Pharmacology Unit, Centro Hospitalar Universitário de São João, Porto, PRT
| | - José Pereira
- Emergency and Intensive Care Department, Centro Hospitalar Universitário de São João, Porto, PRT.,Medicine Department, Faculty of Medicine of University of Porto, Porto, PRT.,Infection and Sepsis Group, Centro Hospitalar Universitário de São João, Porto, PRT
| | - José Paiva
- Emergency and Intensive Care Department, Centro Hospitalar Universitário de São João, Porto, PRT.,Medicine Department, Faculty of Medicine of University of Porto, Porto, PRT.,Infection and Sepsis Group, Centro Hospitalar Universitário de São João, Porto, PRT
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49
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Catarino R, Alves L, Pereira J, Pereira D, Costa G, Cardoso A, Braga I, Freitas R, Correia T, Cerqueira M, Carmo Reis F, Lobo F, Morais A, Silva V, Magalhães S, Prisco R. Neoadjuvant chemotherapy in patients with urothelial bladder cancer. EUR UROL SUPPL 2021. [DOI: 10.1016/s2666-1683(21)03227-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
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50
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Silva C, Ferrao D, Soares P, Nogueira F, Oliveira D, Ferreira A, Silva J, Lume M, Melo N, Pereira J, Araujo J, Lourenco P. The monocyte/high-density lipoprotein ratio predicts coronary artery disease in heart failure. Eur Heart J 2021. [DOI: 10.1093/eurheartj/ehab724.0797] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Background
The monocyte/high density lipoprotein ratio (MHR) is a combined inflammatory marker implicated in atherosclerosis. MHR predicts cerebrovascular disease (CVD) and chronic kidney disease (CKD); it correlates with coronary artery disease (CAD) severity and has been shown to be a prognostic predictor in patients with myocardial infarction. The role of MHR in chronic heart failure (HF) is largely unknown.
Purpose
Assess the ability of MHR to predict CAD in patients with HF
Methods
We conducted a retrospective cohort study in ambulatory patients with HF with left ventricular systolic dysfunction (LVSD) that were followed in our HF clinic from January/2012 to May/2018. We selected all the patients that had performed a diagnostic/therapeutic coronary angiography. Patients with missing data concerning monocyte counts or high-density lipoprotein levels were excluded. The endpoint under analysis was the presence of CAD on coronary angiography. A ROC curve was used to study the ability of MHR to predict CAD. The association of MHR with CAD was assessed by a logistic-regression analysis. A multivariate model was built accounting for age, sex, comorbidities [hypertension, diabetes, peripheral artery disease (PAD), CVD, CKD and inflammatory/auto-immune disease], low-density lipoprotein value, haemoglobin, brain-type natriuretic peptide (BNP), severe LVSD and segmental contractility defects in the echocardiogram. MHR was analysed both as continuous and categorical variable; the cut-off of 16 was chosen based on the ROC curve.
Results
We studied 295 chronic HF patients with LSVD who underwent coronary angiography. Mean age was 67±12 years, 70.8% men and 55.9% with CAD. Patients with CAD were older (69 against 64 years), had significantly higher MHR (19±9 vs. 16±7), higher prevalence of hypertension, diabetes, PAD and CVD, and worse renal function. The area under the curve for the association between MHR and CAD was 0.68 (0.62–0.74), p<0.001. The best MHR cut-off for CAD prediction was 16 - sensitivity: 66.7%, specificity: 65.4%, positive predictive value: 71.0% and negative predictive value: 60.8%. This association was independent of potential confounders. Patients with MHR≥16 had a multivariate-adjusted OR of having CAD of 5.41 (95% CI: 2.40–12.20), p<0.001 when compared to those with lower MHR. When MHR was analysed as a continuous variable the association remained significant.
Conclusions
The MHR is an independent predictor of CAD in chronic HF. Patients with MHR ≥16 have a 71% probability of presenting CAD and a more than 5-fold higher risk compared with those with lower MHR. It is sometimes difficult to ascertain ischemic disease/aetiology in HF patients, particularly in the elderly, frail and/or with advanced CKD. This simple, inexpensive and harmless marker can help clinicians identify patients most likely to have CAD and decide treatment in accordance.
Funding Acknowledgement
Type of funding sources: None.
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Affiliation(s)
- C.M Silva
- Centro Hospitalar Universitario Sao Joao, Internal Medicine, Porto, Portugal
| | - D Ferrao
- Centro Hospitalar Universitario Sao Joao, Internal Medicine, Porto, Portugal
| | - P.R Soares
- Centro Hospitalar Universitario Sao Joao, Internal Medicine, Porto, Portugal
| | - F Nogueira
- Centro Hospitalar Universitario Sao Joao, Internal Medicine, Porto, Portugal
| | - D.M Oliveira
- Centro Hospitalar Universitario Sao Joao, Internal Medicine, Porto, Portugal
| | - A.I Ferreira
- Centro Hospitalar Universitario Sao Joao, Internal Medicine, Porto, Portugal
| | - J.E Silva
- Centro Hospitalar Universitario Sao Joao, Internal Medicine, Porto, Portugal
| | - M.J Lume
- Centro Hospitalar Universitario Sao Joao, Internal Medicine, Porto, Portugal
| | - N Melo
- Centro Hospitalar Universitario Sao Joao, Internal Medicine, Porto, Portugal
| | - J Pereira
- Centro Hospitalar Universitario Sao Joao, Internal Medicine, Porto, Portugal
| | - J.P Araujo
- Centro Hospitalar Universitario Sao Joao, Heart Failure Clinic of the Internal Medicine Department, Porto, Portugal
| | - P Lourenco
- Centro Hospitalar Universitario Sao Joao, Heart Failure Clinic of the Internal Medicine Department, Porto, Portugal
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