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Carneiro JP, Carvalho JC, Carneiro SP, Eloi I, Silva C, Silva L, Hummel T, Ribeiro JC. The "Sniffin' Kids-PT" test: A smell test variant for Portuguese children. Eur Ann Otorhinolaryngol Head Neck Dis 2024; 141:69-75. [PMID: 38238186 DOI: 10.1016/j.anorl.2023.12.003] [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: 04/22/2023] [Revised: 08/31/2023] [Accepted: 12/05/2023] [Indexed: 03/19/2024]
Abstract
OBJECTIVE Olfactory tests tailored for children are essential, as diagnosing olfactory dysfunction at these ages can be challenging. The 16-item "Sniffin' Sticks" is reliable and easy to perform. To the best of our knowledge, there is currently no validated olfactory test for the Portuguese pediatric population. This study aimed to adapt and validate the "Sniffin' Sticks" olfactory test for the Portuguese pediatric population. METHODS Between August 2020 and September 2021, 354 children aged between 6 and 17years old enrolled in the study, 336 healthy children with a normal sense of smell, and 18 anosmic children with Kallmann syndrome. The study consisted of two parts. Firstly, the "Sniffin' Sticks" olfactory identification test was applied to healthy children and the odors with statistically significant low identification rates were excluded. A modified version of "Sniffin' Sticks" was defined and named "Sniffin' Kids-PT" test. Secondly, normative data were assessed and test-retest and validation tests were performed. RESULTS Apple and Cloves odors were identified with a low rate and were excluded from the "Sniffin' Sticks" olfactory test. In the modified 14-item "Sniffin' Kids-PT", scoring <6 (from 6-8years old), <7 (from 9-11years old) or <8 (from 12-14years old and 15-17years old) was indicative of olfactory dysfunction. The test-retest reliability was good (r=0.81; P<0.001) and the differences between scores of healthy children and anosmic children were statistically significant (U213=13.00; P<0.001). CONCLUSION The modified "Sniffin' Kids-PT" is a reliable test to discriminate between normosmia and olfactory dysfunction in Portuguese children over 5years old.
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Affiliation(s)
- J P Carneiro
- Otorhinolaryngology Unit, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal.
| | - J C Carvalho
- Allergy and Clinical Immunology Department, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
| | | | - I Eloi
- Otorhinolaryngology Unit, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
| | - C Silva
- Otorhinolaryngology Unit, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
| | - L Silva
- Otorhinolaryngology Unit, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
| | - T Hummel
- Smell & Taste Clinic, Department of Otorhinolaryngology, University Hospital Carl Gustav Carus, Technische Universität (TU) Dresden, Dresden, Germany
| | - J C Ribeiro
- Otorhinolaryngology Unit, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
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Nogueira C, Pereira C, Silva L, Laranjeira M, Lopes A, Neiva R, Rodrigues E, Campos T, Martins E, Bandeira A, Coelho M, Magalhães M, Damásio J, Gaspar A, Janeiro P, Gomes AL, Ferreira AC, Jacinto S, Vieira JP, Diogo L, Santos H, Mendonça C, Vilarinho L. The genetic landscape of mitochondrial diseases in the next-generation sequencing era: a Portuguese cohort study. Front Cell Dev Biol 2024; 12:1331351. [PMID: 38465286 PMCID: PMC10920333 DOI: 10.3389/fcell.2024.1331351] [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: 10/31/2023] [Accepted: 01/30/2024] [Indexed: 03/12/2024] Open
Abstract
Introduction: Rare disorders that are genetically and clinically heterogeneous, such as mitochondrial diseases (MDs), have a challenging diagnosis. Nuclear genes codify most proteins involved in mitochondrial biogenesis, despite all mitochondria having their own DNA. The development of next-generation sequencing (NGS) technologies has revolutionized the understanding of many genes involved in the pathogenesis of MDs. In this new genetic era, using the NGS approach, we aimed to identify the genetic etiology for a suspected MD in a cohort of 450 Portuguese patients. Methods: We examined 450 patients using a combined NGS strategy, starting with the analysis of a targeted mitochondrial panel of 213 nuclear genes, and then proceeding to analyze the whole mitochondrial DNA. Results and Discussion: In this study, we identified disease-related variants in 134 (30%) analyzed patients, 88 with nuclear DNA (nDNA) and 46 with mitochondrial DNA (mtDNA) variants, most of them being pediatric patients (66%), of which 77% were identified in nDNA and 23% in mtDNA. The molecular analysis of this cohort revealed 72 already described pathogenic and 20 novel, probably pathogenic, variants, as well as 62 variants of unknown significance. For this cohort of patients with suspected MDs, the use of a customized gene panel provided a molecular diagnosis in a timely and cost-effective manner. Patients who cannot be diagnosed after this initial approach will be further selected for whole-exome sequencing. Conclusion: As a national laboratory for the study and research of MDs, we demonstrated the power of NGS to achieve a molecular etiology, expanding the mutational spectrum and proposing accurate genetic counseling in this group of heterogeneous diseases without therapeutic options.
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Affiliation(s)
- C. Nogueira
- Research & Development Unit, Human Genetics Department, National Institute of Health Doutor Ricardo Jorge, Lisbon, Portugal
- Newborn Screening, Metabolism & Genetics Unit, Human Genetics Department, National Institute of Health Doutor Ricardo Jorge, Lisbon, Portugal
| | - C. Pereira
- Newborn Screening, Metabolism & Genetics Unit, Human Genetics Department, National Institute of Health Doutor Ricardo Jorge, Lisbon, Portugal
| | - L. Silva
- Research & Development Unit, Human Genetics Department, National Institute of Health Doutor Ricardo Jorge, Lisbon, Portugal
- Newborn Screening, Metabolism & Genetics Unit, Human Genetics Department, National Institute of Health Doutor Ricardo Jorge, Lisbon, Portugal
| | - Mateus Laranjeira
- Research & Development Unit, Human Genetics Department, National Institute of Health Doutor Ricardo Jorge, Lisbon, Portugal
| | - A. Lopes
- Newborn Screening, Metabolism & Genetics Unit, Human Genetics Department, National Institute of Health Doutor Ricardo Jorge, Lisbon, Portugal
| | - R. Neiva
- Newborn Screening, Metabolism & Genetics Unit, Human Genetics Department, National Institute of Health Doutor Ricardo Jorge, Lisbon, Portugal
| | - E. Rodrigues
- Inherited Metabolic Diseases Reference Centre, São João Hospital University Centre, Porto, Portugal
| | - T. Campos
- Inherited Metabolic Diseases Reference Centre, São João Hospital University Centre, Porto, Portugal
| | - E. Martins
- Inherited Metabolic Diseases Reference Centre, Santo António Hospital University Centre, Porto, Portugal
| | - A. Bandeira
- Inherited Metabolic Diseases Reference Centre, Santo António Hospital University Centre, Porto, Portugal
| | - M. Coelho
- Inherited Metabolic Diseases Reference Centre, Santo António Hospital University Centre, Porto, Portugal
| | - M. Magalhães
- Neurology Department, Santo António Hospital University Centre, Porto, Portugal
| | - J. Damásio
- Neurology Department, Santo António Hospital University Centre, Porto, Portugal
| | - A. Gaspar
- Inherited Metabolic Diseases Reference Centre, Lisboa Norte Hospital University Centre, Lisboa, Portugal
| | - P Janeiro
- Inherited Metabolic Diseases Reference Centre, Lisboa Norte Hospital University Centre, Lisboa, Portugal
| | - A. Levy Gomes
- Neurology Department, Lisboa Norte Hospital University Centre, Lisboa, Portugal
| | - A. C. Ferreira
- Inherited Metabolic Diseases Reference Centre, Lisboa Central Hospital Centre, Lisboa, Portugal
| | - S. Jacinto
- Inherited Metabolic Diseases Reference Centre, Lisboa Central Hospital Centre, Lisboa, Portugal
| | - J. P. Vieira
- Inherited Metabolic Diseases Reference Centre, Lisboa Central Hospital Centre, Lisboa, Portugal
| | - L. Diogo
- Inherited Metabolic Diseases Reference Centre, Coimbra Hospital and University Centre, Coimbra, Portugal
| | - H. Santos
- Inherited Metabolic Diseases Reference Centre, Vila Nova de Gaia Hospital Centre, Vila Nova de Gaia, Portugal
| | - C. Mendonça
- Pediatric Department, Faro Hospital and University Centre, Faro, Portugal
| | - L. Vilarinho
- Research & Development Unit, Human Genetics Department, National Institute of Health Doutor Ricardo Jorge, Lisbon, Portugal
- Newborn Screening, Metabolism & Genetics Unit, Human Genetics Department, National Institute of Health Doutor Ricardo Jorge, Lisbon, Portugal
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Nechaeva T, Verra L, Pucek J, Ranc L, Bergamaschi M, Zevi Della Porta G, Muggli P, Agnello R, Ahdida CC, Amoedo C, Andrebe Y, Apsimon O, Apsimon R, Arnesano JM, Bencini V, Blanchard P, Burrows PN, Buttenschön B, Caldwell A, Chung M, Cooke DA, Davut C, Demeter G, Dexter AC, Doebert S, Farmer J, Fasoli A, Fonseca R, Furno I, Granados E, Granetzny M, Graubner T, Grulke O, Gschwendtner E, Guran E, Henderson J, Kedves MÁ, Kim SY, Kraus F, Krupa M, Lefevre T, Liang L, Liu S, Lopes N, Lotov K, Martinez Calderon M, Mazzoni S, Moon K, Morales Guzmán PI, Moreira M, Okhotnikov N, Pakuza C, Pannell F, Pardons A, Pepitone K, Poimenidou E, Pukhov A, Rey S, Rossel R, Saberi H, Schmitz O, Senes E, Silva F, Silva L, Spear B, Stollberg C, Sublet A, Swain C, Topaloudis A, Torrado N, Turner M, Velotti F, Verzilov V, Vieira J, Welsch C, Wendt M, Wing M, Wolfenden J, Woolley B, Xia G, Yarygova V, Zepp M. Hosing of a Long Relativistic Particle Bunch in Plasma. Phys Rev Lett 2024; 132:075001. [PMID: 38427892 DOI: 10.1103/physrevlett.132.075001] [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: 09/08/2023] [Accepted: 01/16/2024] [Indexed: 03/03/2024]
Abstract
Experimental results show that hosing of a long particle bunch in plasma can be induced by wakefields driven by a short, misaligned preceding bunch. Hosing develops in the plane of misalignment, self-modulation in the perpendicular plane, at frequencies close to the plasma electron frequency, and are reproducible. Development of hosing depends on misalignment direction, its growth on misalignment extent and on proton bunch charge. Results have the main characteristics of a theoretical model, are relevant to other plasma-based accelerators and represent the first characterization of hosing.
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Affiliation(s)
- T Nechaeva
- Max Planck Institute for Physics, 80805 Munich, Germany
| | - L Verra
- CERN, 1211 Geneva 23, Switzerland
| | - J Pucek
- Max Planck Institute for Physics, 80805 Munich, Germany
| | - L Ranc
- Max Planck Institute for Physics, 80805 Munich, Germany
| | - M Bergamaschi
- Max Planck Institute for Physics, 80805 Munich, Germany
| | - G Zevi Della Porta
- Max Planck Institute for Physics, 80805 Munich, Germany
- CERN, 1211 Geneva 23, Switzerland
| | - P Muggli
- Max Planck Institute for Physics, 80805 Munich, Germany
| | - R Agnello
- Ecole Polytechnique Federale de Lausanne (EPFL), Swiss Plasma Center (SPC), 1015 Lausanne, Switzerland
| | | | - C Amoedo
- CERN, 1211 Geneva 23, Switzerland
| | - Y Andrebe
- Ecole Polytechnique Federale de Lausanne (EPFL), Swiss Plasma Center (SPC), 1015 Lausanne, Switzerland
| | - O Apsimon
- University of Manchester M13 9PL, Manchester M13 9PL, United Kingdom
- Cockcroft Institute, Warrington WA4 4AD, United Kingdom
| | - R Apsimon
- Cockcroft Institute, Warrington WA4 4AD, United Kingdom
- Lancaster University, Lancaster LA1 4YB, United Kingdom
| | | | - V Bencini
- CERN, 1211 Geneva 23, Switzerland
- John Adams Institute, Oxford University, Oxford OX1 3RH, United Kingdom
| | - P Blanchard
- Ecole Polytechnique Federale de Lausanne (EPFL), Swiss Plasma Center (SPC), 1015 Lausanne, Switzerland
| | - P N Burrows
- John Adams Institute, Oxford University, Oxford OX1 3RH, United Kingdom
| | - B Buttenschön
- Max Planck Institute for Plasma Physics, 17491 Greifswald, Germany
| | - A Caldwell
- Max Planck Institute for Physics, 80805 Munich, Germany
| | - M Chung
- UNIST, Ulsan 44919, Republic of Korea
| | | | - C Davut
- University of Manchester M13 9PL, Manchester M13 9PL, United Kingdom
- Cockcroft Institute, Warrington WA4 4AD, United Kingdom
| | - G Demeter
- Wigner Research Centre for Physics, 1121 Budapest, Hungary
| | - A C Dexter
- Cockcroft Institute, Warrington WA4 4AD, United Kingdom
- Lancaster University, Lancaster LA1 4YB, United Kingdom
| | | | - J Farmer
- Max Planck Institute for Physics, 80805 Munich, Germany
| | - A Fasoli
- Ecole Polytechnique Federale de Lausanne (EPFL), Swiss Plasma Center (SPC), 1015 Lausanne, Switzerland
| | - R Fonseca
- ISCTE - Instituto Universitéario de Lisboa, 1049-001 Lisbon, Portugal
- GoLP/Instituto de Plasmas e Fusáo Nuclear, Instituto Superior Técnico, Universidade de Lisboa, 1049-001 Lisbon, Portugal
| | - I Furno
- Ecole Polytechnique Federale de Lausanne (EPFL), Swiss Plasma Center (SPC), 1015 Lausanne, Switzerland
| | | | - M Granetzny
- University of Wisconsin, Madison, Wisconsin 53706, USA
| | - T Graubner
- Philipps-Universität Marburg, 35032 Marburg, Germany
| | - O Grulke
- Max Planck Institute for Plasma Physics, 17491 Greifswald, Germany
- Technical University of Denmark, 2800 Kgs. Lyngby, Denmark
| | | | - E Guran
- CERN, 1211 Geneva 23, Switzerland
| | - J Henderson
- Cockcroft Institute, Warrington WA4 4AD, United Kingdom
- STFC/ASTeC, Daresbury Laboratory, Warrington WA4 4AD, United Kingdom
| | - M Á Kedves
- Wigner Research Centre for Physics, 1121 Budapest, Hungary
| | - S-Y Kim
- CERN, 1211 Geneva 23, Switzerland
- UNIST, Ulsan 44919, Republic of Korea
| | - F Kraus
- Philipps-Universität Marburg, 35032 Marburg, Germany
| | - M Krupa
- CERN, 1211 Geneva 23, Switzerland
| | | | - L Liang
- University of Manchester M13 9PL, Manchester M13 9PL, United Kingdom
- Cockcroft Institute, Warrington WA4 4AD, United Kingdom
| | - S Liu
- TRIUMF, Vancouver, British Columbia V6T 2A3, Canada
| | - N Lopes
- GoLP/Instituto de Plasmas e Fusáo Nuclear, Instituto Superior Técnico, Universidade de Lisboa, 1049-001 Lisbon, Portugal
| | - K Lotov
- Budker Institute of Nuclear Physics SB RAS, 630090 Novosibirsk, Russia
- Novosibirsk State University, 630090 Novosibirsk, Russia
| | | | | | - K Moon
- UNIST, Ulsan 44919, Republic of Korea
| | | | - M Moreira
- GoLP/Instituto de Plasmas e Fusáo Nuclear, Instituto Superior Técnico, Universidade de Lisboa, 1049-001 Lisbon, Portugal
| | - N Okhotnikov
- Budker Institute of Nuclear Physics SB RAS, 630090 Novosibirsk, Russia
- Novosibirsk State University, 630090 Novosibirsk, Russia
| | - C Pakuza
- John Adams Institute, Oxford University, Oxford OX1 3RH, United Kingdom
| | | | | | - K Pepitone
- Angstrom Laboratory, Department of Physics and Astronomy, 752 37 Uppsala, Sweden
| | | | - A Pukhov
- John Adams Institute, Oxford University, Oxford OX1 3RH, United Kingdom
- Heinrich-Heine-Universität Düsseldorf, 40225 Düsseldorf, Germany
| | - S Rey
- CERN, 1211 Geneva 23, Switzerland
| | - R Rossel
- CERN, 1211 Geneva 23, Switzerland
| | - H Saberi
- University of Manchester M13 9PL, Manchester M13 9PL, United Kingdom
- Cockcroft Institute, Warrington WA4 4AD, United Kingdom
| | - O Schmitz
- University of Wisconsin, Madison, Wisconsin 53706, USA
| | - E Senes
- CERN, 1211 Geneva 23, Switzerland
| | - F Silva
- INESC-ID, Instituto Superior Técnico, Universidade de Lisboa, 1049-001 Lisbon, Portugal
| | - L Silva
- GoLP/Instituto de Plasmas e Fusáo Nuclear, Instituto Superior Técnico, Universidade de Lisboa, 1049-001 Lisbon, Portugal
| | - B Spear
- John Adams Institute, Oxford University, Oxford OX1 3RH, United Kingdom
| | - C Stollberg
- Ecole Polytechnique Federale de Lausanne (EPFL), Swiss Plasma Center (SPC), 1015 Lausanne, Switzerland
| | - A Sublet
- CERN, 1211 Geneva 23, Switzerland
| | - C Swain
- Cockcroft Institute, Warrington WA4 4AD, United Kingdom
- University of Liverpool, Liverpool L69 7ZE, United Kingdom
| | | | - N Torrado
- CERN, 1211 Geneva 23, Switzerland
- GoLP/Instituto de Plasmas e Fusáo Nuclear, Instituto Superior Técnico, Universidade de Lisboa, 1049-001 Lisbon, Portugal
| | - M Turner
- CERN, 1211 Geneva 23, Switzerland
| | | | - V Verzilov
- TRIUMF, Vancouver, British Columbia V6T 2A3, Canada
| | - J Vieira
- GoLP/Instituto de Plasmas e Fusáo Nuclear, Instituto Superior Técnico, Universidade de Lisboa, 1049-001 Lisbon, Portugal
| | - C Welsch
- Cockcroft Institute, Warrington WA4 4AD, United Kingdom
- University of Liverpool, Liverpool L69 7ZE, United Kingdom
| | - M Wendt
- CERN, 1211 Geneva 23, Switzerland
| | - M Wing
- UCL, London WC1 6BT, United Kingdom
| | - J Wolfenden
- Cockcroft Institute, Warrington WA4 4AD, United Kingdom
- University of Liverpool, Liverpool L69 7ZE, United Kingdom
| | | | - G Xia
- University of Manchester M13 9PL, Manchester M13 9PL, United Kingdom
- Cockcroft Institute, Warrington WA4 4AD, United Kingdom
| | - V Yarygova
- Budker Institute of Nuclear Physics SB RAS, 630090 Novosibirsk, Russia
- Novosibirsk State University, 630090 Novosibirsk, Russia
| | - M Zepp
- University of Wisconsin, Madison, Wisconsin 53706, USA
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Duarte AC, Fernandes BM, Bernardes M, Tenazinha C, Martins P, Mazeda C, Mendes B, Guimarães F, Gago L, Correia AM, Valido A, Silva L, Brites L, Meirinhos T, Araújo F, Nero P, Cruz M, Teixeira L, Santos MJ. Lung disease in rheumatoid arthritis: Results from a national cohort. Pulmonology 2024; 30:87-89. [PMID: 37394340 DOI: 10.1016/j.pulmoe.2023.05.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/14/2023] [Revised: 05/19/2023] [Accepted: 05/24/2023] [Indexed: 07/04/2023] Open
Affiliation(s)
- A C Duarte
- Serviço de Reumatologia, Hospital Garcia de Orta, Avenida Torrado da Silva, 2805-267 Almada, Portugal.
| | - B M Fernandes
- Serviço de Reumatologia, Centro Hospitalar Universitário São João, Alameda Prof. Hernâni Monteiro, 4200-319 Porto, Portugal
| | - M Bernardes
- Serviço de Reumatologia, Centro Hospitalar Universitário São João, Alameda Prof. Hernâni Monteiro, 4200-319 Porto, Portugal; Departamento de Medicina, Faculdade de Medicina, Universidade do Porto, Alameda Prof. Hernâni Monteiro, 4200-319 Porto, Portugal
| | - C Tenazinha
- Serviço de Reumatologia e Doenças Ósseas Metabólicas, Centro Hospitalar Lisboa Norte, Avenida Professor Egas Moniz, 1649-035 Lisboa, Portugal; Unidade de Investigação em Reumatologia, Instituto de Medicina Molecular, Faculdade de Medicina, Universidade de Lisboa, Avenida Professor Egas Moniz, 1649-028 Lisboa, Portugal
| | - P Martins
- Serviço de Reumatologia e Doenças Ósseas Metabólicas, Centro Hospitalar Lisboa Norte, Avenida Professor Egas Moniz, 1649-035 Lisboa, Portugal; Unidade de Investigação em Reumatologia, Instituto de Medicina Molecular, Faculdade de Medicina, Universidade de Lisboa, Avenida Professor Egas Moniz, 1649-028 Lisboa, Portugal
| | - C Mazeda
- Serviço de Reumatologia, Centro Hospitalar do Baixo Vouga, Avenida Artur Ravara, 3814-501 Aveiro, Portugal
| | - B Mendes
- Serviço de Reumatologia, Centro Hospitalar e Universitário de Coimbra, Praceta Prof. Mota Pinto, 3004-561 Coimbra, Portugal
| | - F Guimarães
- Serviço de Reumatologia, Unidade Local de Saúde do Alto Minho, Rua Conde de Bertiandos, 4990-041 Ponte de Lima, Portugal
| | - L Gago
- Serviço de Reumatologia, Centro Hospitalar de Lisboa Ocidental, Hospital Egas Moniz, Rua da Junqueira 126, 1349-019 Lisboa, Portugal
| | - A M Correia
- Serviço de Reumatologia, Hospital de Braga, Sete Fontes - São Victor, 4710-243 Braga, Portugal
| | - A Valido
- Serviço de Reumatologia, Unidade Local de Saúde do Litoral Alentejano, Monte do Gilbardinho, 7540-230 Santiago do Cacém, Portugal
| | - L Silva
- Serviço de Reumatologia, Centro Hospitalar de Trás-os-Montes e Alto Douro, Avenida Noruega/Lordelo, 5000-508 Vila Rela, Portugal
| | - L Brites
- Serviço de Reumatologia, Centro Hospitalar de Leiria, Rua de Santo André, 2410-197 Leiria, Portugal
| | - T Meirinhos
- Serviço de Reumatologia, Centro Hospitalar do Tâmega e Sousa, Av. do Hospital Padre Américo 210, 4564-007 Guilhufe, Portugal
| | - F Araújo
- Serviço de Reumatologia, Hospital Ortopédico de Sant`Ana, Rua de Benguela 2779-501 Parede, Portugal
| | - P Nero
- Serviço de Reumatologia, Hospital CUF Descobertas, Rua Mário Botas, 1998-018 Lisboa, Portugal
| | - M Cruz
- Serviço de Reumatologia, Centro Hospitalar de S. Francisco, Rua Fonte Cabeço d'El Rei 15, Leiria, Portugal
| | - L Teixeira
- Serviço de Reumatologia, Hospital Central do Funchal, Avenida Luís de Camões, nº 57 9004-514 Funchal, Portugal
| | - M J Santos
- Serviço de Reumatologia, Hospital Garcia de Orta, Avenida Torrado da Silva, 2805-267 Almada, Portugal; Unidade de Investigação em Reumatologia, Instituto de Medicina Molecular, Faculdade de Medicina, Universidade de Lisboa, Avenida Professor Egas Moniz, 1649-028 Lisboa, Portugal
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de Alcantara Viana JV, Campos Duarte R, Vieira C, Augusto Poleto Antiqueira P, Bach A, de Mello G, Silva L, Rabelo Oliveira Leal C, Quevedo Romero G. Author Correction: Crypsis by background matching and disruptive coloration as drivers of substrate occupation in sympatric Amazonian bark praying mantises. Sci Rep 2023; 13:22338. [PMID: 38102179 PMCID: PMC10724220 DOI: 10.1038/s41598-023-49317-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/17/2023] Open
Affiliation(s)
- João Vitor de Alcantara Viana
- Programa de Pós-Graduação em Ecologia, Instituto de Biologia, Universidade Estadual de Campinas, Campinas, São Paulo, Brazil.
- Laboratório de Interações Multitróficas e Biodiversidade, Departamento de Biologia Animal, Instituto de Biologia, Universidade Estadual de Campinas (UNICAMP), CP 6109, Campinas, São Paulo, CEP 13083-970, Brazil.
| | - Rafael Campos Duarte
- Universidade Federal Do ABC, São Bernardo Do Campo, São Paulo, CEP 09606-045, Brazil
- Centre for Ecology and Conservation, College of Life and Environmental Sciences, University of Exeter, Penryn Campus, Penryn, TR10 9FE, UK
| | - Camila Vieira
- Departamento de Ciências Básicas, Universidade de São Paulo (USP), Campus de Pirassununga, Pirassununga, São Paulo, CEP 13635-900, Brazil
| | - Pablo Augusto Poleto Antiqueira
- Laboratório de Interações Multitróficas e Biodiversidade, Departamento de Biologia Animal, Instituto de Biologia, Universidade Estadual de Campinas (UNICAMP), CP 6109, Campinas, São Paulo, CEP 13083-970, Brazil
| | - Andressa Bach
- Programa de Pós-Graduação Em Ecologia E Conservação da Biodiversidade, Instituto de Biociências, Universidade Federal de Mato Grosso, Avenida Fernando Corrêa da Costa, N° 2367, Boa Esperança, Cuiabá, 78060900, Brazil
| | - Gabriel de Mello
- Programa de Pós-Graduação Em Ecologia E Conservação da Biodiversidade, Instituto de Biociências, Universidade Federal de Mato Grosso, Avenida Fernando Corrêa da Costa, N° 2367, Boa Esperança, Cuiabá, 78060900, Brazil
| | - Lorhaine Silva
- Programa de Pós-Graduação Em Ecologia E Conservação da Biodiversidade, Instituto de Biociências, Universidade Federal de Mato Grosso, Avenida Fernando Corrêa da Costa, N° 2367, Boa Esperança, Cuiabá, 78060900, Brazil
| | - Camila Rabelo Oliveira Leal
- Laboratório de Interações Multitróficas e Biodiversidade, Departamento de Biologia Animal, Instituto de Biologia, Universidade Estadual de Campinas (UNICAMP), CP 6109, Campinas, São Paulo, CEP 13083-970, Brazil
| | - Gustavo Quevedo Romero
- Laboratório de Interações Multitróficas e Biodiversidade, Departamento de Biologia Animal, Instituto de Biologia, Universidade Estadual de Campinas (UNICAMP), CP 6109, Campinas, São Paulo, CEP 13083-970, Brazil
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de Alcantara Viana JV, Campos Duarte R, Vieira C, Augusto Poleto Antiqueira P, Bach A, de Mello G, Silva L, Rabelo Oliveira Leal C, Quevedo Romero G. Crypsis by background matching and disruptive coloration as drivers of substrate occupation in sympatric Amazonian bark praying mantises. Sci Rep 2023; 13:19985. [PMID: 37968331 PMCID: PMC10652001 DOI: 10.1038/s41598-023-46204-x] [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: 08/02/2023] [Accepted: 10/29/2023] [Indexed: 11/17/2023] Open
Abstract
Background matching and disruptive coloration are common camouflage strategies in nature, but few studies have accurately measured their protective value in living organisms. Amazon's Bark praying mantises exhibit colour patterns matching whitish and greenish-brown tree trunks. We tested the functional significance of background matching and disruptive coloration of different praying mantis morphospecies (white, grey and green) detected by DNA barcoding. Through image analysis, avian visual models and field experiments using humans as potential predators, we explored whether the background occupation of mantises provides camouflage against predation. Data were obtained for individuals against their occupied tree trunks (whitish or greenish-brown) and microhabitats (lichen or bryophyte patches), compared to non-occupied trunks. White and grey mantises showed lower colour contrasts against occupied trunks at the scale of tree trunk, with no differences in luminance contrasts. Conversely, green mantises showed lower colour and luminance contrasts against microhabitats and also exhibited high edge disruption against greenish-brown trunks. The camouflage of white and green mantis models against colour-matching trunks increased search time and reduced encounter distance of human predators. We highlight the importance of camouflage strategies at different spatial scales to enhance individual survival against predators. Specifically, we present a stunning study system to investigate the relationship of phylogenetically related species that use camouflage in sympatry.
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Affiliation(s)
- João Vitor de Alcantara Viana
- Programa de Pós-Graduação em Ecologia, Instituto de Biologia, Universidade Estadual de Campinas, Campinas, São Paulo, Brazil.
- Laboratório de Interações Multitróficas e Biodiversidade, Departamento de Biologia Animal, Instituto de Biologia, Universidade Estadual de Campinas (UNICAMP), CP 6109, Campinas, São Paulo, CEP 13083-970, Brazil.
| | - Rafael Campos Duarte
- Universidade Federal Do ABC, São Bernardo Do Campo, São Paulo, CEP 09606-045, Brazil
- Centre for Ecology and Conservation, College of Life and Environmental Sciences, University of Exeter, Penryn Campus, Penryn, TR10 9FE, UK
| | - Camila Vieira
- Departamento de Ciências Básicas, Universidade de São Paulo (USP), Campus de Pirassununga, Pirassununga, São Paulo, CEP 13635-900, Brazil
| | - Pablo Augusto Poleto Antiqueira
- Laboratório de Interações Multitróficas e Biodiversidade, Departamento de Biologia Animal, Instituto de Biologia, Universidade Estadual de Campinas (UNICAMP), CP 6109, Campinas, São Paulo, CEP 13083-970, Brazil
| | - Andressa Bach
- Programa de Pós-Graduação Em Ecologia E Conservação da Biodiversidade, Instituto de Biociências, Universidade Federal de Mato Grosso, Avenida Fernando Corrêa da Costa, N° 2367, Boa Esperança, Cuiabá, 78060900, Brazil
| | - Gabriel de Mello
- Programa de Pós-Graduação Em Ecologia E Conservação da Biodiversidade, Instituto de Biociências, Universidade Federal de Mato Grosso, Avenida Fernando Corrêa da Costa, N° 2367, Boa Esperança, Cuiabá, 78060900, Brazil
| | - Lorhaine Silva
- Programa de Pós-Graduação Em Ecologia E Conservação da Biodiversidade, Instituto de Biociências, Universidade Federal de Mato Grosso, Avenida Fernando Corrêa da Costa, N° 2367, Boa Esperança, Cuiabá, 78060900, Brazil
| | - Camila Rabelo Oliveira Leal
- Laboratório de Interações Multitróficas e Biodiversidade, Departamento de Biologia Animal, Instituto de Biologia, Universidade Estadual de Campinas (UNICAMP), CP 6109, Campinas, São Paulo, CEP 13083-970, Brazil
| | - Gustavo Quevedo Romero
- Laboratório de Interações Multitróficas e Biodiversidade, Departamento de Biologia Animal, Instituto de Biologia, Universidade Estadual de Campinas (UNICAMP), CP 6109, Campinas, São Paulo, CEP 13083-970, Brazil
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Correia AF, Silva L. Hyperpigmentation induced by ECG electrodes: unexpected finding one year after surgical intervention. Rev Esp Anestesiol Reanim (Engl Ed) 2023; 70:547. [PMID: 37678454 DOI: 10.1016/j.redare.2022.03.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/09/2022] [Accepted: 03/11/2022] [Indexed: 09/09/2023]
Affiliation(s)
- A F Correia
- Centro Hospitalar Universitário de Coimbra, Coimbra, Portugal.
| | - L Silva
- Centro Hospitalar Universitário de Coimbra, Coimbra, Portugal.
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Díaz-Rodríguez A, Limeres-Posse J, Albuquerque R, Brailo V, Cook R, Fricain JC, Lodi G, Monteiro L, Silva L, Carey B, Diniz-Freitas M. Assessment of the quality of oral biopsy procedure videos shared on YouTube. Oral Dis 2023. [PMID: 37485590 DOI: 10.1111/odi.14690] [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: 03/01/2023] [Revised: 06/30/2023] [Accepted: 07/10/2023] [Indexed: 07/25/2023]
Abstract
OBJECTIVE The aim of this study was to assess the quality of free-to-access videos on oral biopsy procedures on the YouTube platform. MATERIALS AND METHODS We conducted a search on YouTube using the term "oral biopsy" and selected the first 100 videos in order of relevance. The following exclusion criteria were applied: language other than English, videos that did not cover oral biopsy techniques, videos on nonhuman specimens, postoperative instructions, personal experiences, exfoliative cytology, or "brush biopsy." Forty-seven selected videos were classified based on their duration, country of origin, date of upload to the system, author, information source and number of views, and likes and dislikes. Video quality was analyzed using DISCERN, the Global Quality Scale (GQS), and the Video Information and Quality Index (VIQI). RESULTS The majority (78.7%) of analyzed videos were uploaded by dentists, originating from India (48.9%), with a mean duration of 11.8 min (SD, 20.4), with 104.5 likes (SD, 186.4) and 7.1 dislikes (SD, 10.55). The mean values for DISCERN, GQS, and VIQI were 1.3 (SD, 0.52), 2.1 (SD, 1.04), and 9.62 (SD, 1.69), respectively. CONCLUSION The majority of videos on oral biopsy published on YouTube are of low quality.
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Affiliation(s)
- A Díaz-Rodríguez
- Oral Medicine Unit, School of Medicine and Dentistry, University Santiago de Compostela, Santiago de Compostela, Spain
| | - J Limeres-Posse
- Special Care Dentistry Unit, School of Medicine and Dentistry, University Santiago de Compostela, Santiago de Compostela, Spain
| | - R Albuquerque
- Guy's Hospital, Faculty of Dentistry, Oral Craniofacial Sciences, King's College London, London, UK
| | - V Brailo
- Oral Medicine Department, School of Dental Medicine, University of Zagreb, Zagreb, Croatia
| | - R Cook
- Guy's Hospital, Faculty of Dentistry, Oral Craniofacial Sciences, King's College London, London, UK
| | - J C Fricain
- Oral Surgery Department, University of Bordeaux, Bordeaux, France
| | - G Lodi
- Dipartimento di ScienzeBiomediche, Chirurgiche e odontoiatriche, UniversitàdegliStudi di Milano, Milan, Italy
| | - L Monteiro
- Oral Medicine and Oral Surgery Department, University Institute of Health Sciences (IUCS), UNIPRO, CESPU, Gandra, Portugal
| | - L Silva
- Oral Medicine and Oral Surgery Department, University Institute of Health Sciences (IUCS), UNIPRO, CESPU, Gandra, Portugal
| | - B Carey
- Guy's Hospital, Faculty of Dentistry, Oral Craniofacial Sciences, King's College London, London, UK
| | - M Diniz-Freitas
- Special Care Dentistry Unit, School of Medicine and Dentistry, University Santiago de Compostela, Santiago de Compostela, Spain
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Kong Cardoso B, Silva L, Magalhães AM, Farinha SM, Antunes T, Mourato C, Tomaz E, Inácio F. Primary care doctors' attitude towards drug allergy in Portugal: a questionnaire. Eur Ann Allergy Clin Immunol 2023; 55:57-67. [PMID: 33980004 DOI: 10.23822/eurannaci.1764-1489.216] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Summary Background. The aim of the study was to learn about perception of drug allergy by general practitioners (GP) from continental Portugal, identify difficulties and educational needs for its management. Methods. A total of 372 answers were obtained. A questionnaire was addressed to GPs. Results. The most commonly identified drugs were antibiotics for 65.3% of the GPs and skin was the most commonly affected organ for 65.8%. Drug allergy was considered as very important in clinical practice by 73.7%, but difficulties in recognizing it were stated by 70.2%. Further education in this field wouldbe welcome by 97.8% of the doctors. The collaboration of Immunoallergology centers was considered non satisfactory by 39.8% of GPs and 45.7% of them stated that two-thirds of the suspected reactions were not investigated. Conclusions. These points deserve consideration in future health educational and organizational strategies.
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Affiliation(s)
- B Kong Cardoso
- Immunoallergology Service, Hospital Center of Setúbal, Setúbal, Portugal
| | - L Silva
- USF Luísa Todi, ACES Arrábida, Lisbon and Tagus Valley Regional Health Administration (ARSLVT), Lisbon and Tagus Valley, Lisbon, Portugal
| | - A M Magalhães
- USF Santiago, ACES Arrábida, Lisbon and Tagus Valley Regional Health Administration (ARSLVT), Lisbon and Tagus Valley, Lisbon, Portugal
| | - S M Farinha
- Immunoallergology Service, Hospital Center of Setúbal, Setúbal, Portugal
| | - T Antunes
- USF Santiago, ACES Arrábida, Lisbon and Tagus Valley Regional Health Administration (ARSLVT), Lisbon and Tagus Valley, Lisbon, Portugal
| | - C Mourato
- USF Luísa Todi, ACES Arrábida, Lisbon and Tagus Valley Regional Health Administration (ARSLVT), Lisbon and Tagus Valley, Lisbon, Portugal
| | - E Tomaz
- Immunoallergology Service, Hospital Center of Setúbal, Setúbal, Portugal
| | - F Inácio
- Immunoallergology Service, Hospital Center of Setúbal, Setúbal, Portugal
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Nadarajah R, Ludman P, Appelman Y, Brugaletta S, Budaj A, Bueno H, Huber K, Kunadian V, Leonardi S, Lettino M, Milasinovic D, Gale CP, Budaj A, Dagres N, Danchin N, Delgado V, Emberson J, Friberg O, Gale CP, Heyndrickx G, Iung B, James S, Kappetein AP, Maggioni AP, Maniadakis N, Nagy KV, Parati G, Petronio AS, Pietila M, Prescott E, Ruschitzka F, Van de Werf F, Weidinger F, Zeymer U, Gale CP, Beleslin B, Budaj A, Chioncel O, Dagres N, Danchin N, Emberson J, Erlinge D, Glikson M, Gray A, Kayikcioglu M, Maggioni AP, Nagy KV, Nedoshivin A, Petronio AP, Roos-Hesselink JW, Wallentin L, Zeymer U, Popescu BA, Adlam D, Caforio ALP, Capodanno D, Dweck M, Erlinge D, Glikson M, Hausleiter J, Iung B, Kayikcioglu M, Ludman P, Lund L, Maggioni AP, Matskeplishvili S, Meder B, Nagy KV, Nedoshivin A, Neglia D, Pasquet AA, Roos-Hesselink JW, Rossello FJ, Shaheen SM, Torbica A, Gale CP, Ludman PF, Lettino M, Bueno H, Huber K, Leonardi S, Budaj A, Milasinovic (Serbia) D, Brugaletta S, Appelman Y, Kunadian V, Al Mahmeed WAR, Kzhdryan H, Dumont C, Geppert A, Bajramovic NS, Cader FA, Beauloye C, Quesada D, Hlinomaz O, Liebetrau C, Marandi T, Shokry K, Bueno H, Kovacevic M, Crnomarkovic B, Cankovic M, Dabovic D, Jarakovic M, Pantic T, Trajkovic M, Pupic L, Ruzicic D, Cvetanovic D, Mansourati J, Obradovic I, Stankovic M, Loh PH, Kong W, Poh KK, Sia CH, Saw K, Liška D, Brozmannová D, Gbur M, Gale CP, Maxian R, Kovacic D, Poznic NG, Keric T, Kotnik G, Cercek M, Steblovnik K, Sustersic M, Cercek AC, Djokic I, Maisuradze D, Drnovsek B, Lipar L, Mocilnik M, Pleskovic A, Lainscak M, Crncic D, Nikojajevic I, Tibaut M, Cigut M, Leskovar B, Sinanis T, Furlan T, Grilj V, Rezun M, Mateo VM, Anguita MJF, Bustinza ICM, Quintana RB, Cimadevilla OCF, Fuertes J, Lopez F, Dharma S, Martin MD, Martinez L, Barrabes JA, Bañeras J, Belahnech Y, Ferreira-Gonzalez I, Jordan P, Lidon RM, Mila L, Sambola A, Orvin K, Sionis A, Bragagnini W, Cambra AD, Simon C, Burdeus MV, Ariza-Solé A, Alegre O, Alsina M, Ferrando JIL, Bosch X, Sinha A, Vidal P, Izquierdo M, Marin F, Esteve-Pastor MA, Tello-Montoliu A, Lopez-Garcia C, Rivera-Caravaca JM, Gil-Pérez P, Nicolas-Franco S, Keituqwa I, Farhan HA, Silva L, Blasco A, Escudier JM, Ortega J, Zamorano JL, Sanmartin M, Pereda DC, Rincon LM, Gonzalez P, Casado T, Sadeghipour P, Lopez-Sendon JL, Manjavacas AMI, Marin LAM, Sotelo LR, Rodriguez SOR, Bueno H, Martin R, Maruri R, Moreno G, Moris C, Gudmundsdottir I, Avanzas P, Ayesta A, Junco-Vicente A, Cubero-Gallego H, Pascual I, Sola NB, Rodriguez OA, Malagon L, Martinez-Basterra J, Arizcuren AM, Indolfi C, Romero J, Calleja AG, Fuertes DG, Crespín Crespín M, Bernal FJC, Ojeda FB, Padron AL, Cabeza MM, Vargas CM, Yanes G, Kitai T, Gonzalez MJG, Gonzalez Gonzalez J, Jorge P, De La Fuente B, Bermúdez MG, Perez-Lopez CMB, Basiero AB, Ruiz AC, Pamias RF, Chamero PS, Mirrakhimov E, Hidalgo-Urbano R, Garcia-Rubira JC, Seoane-Garcia T, Arroyo-Monino DF, Ruiz AB, Sanz-Girgas E, Bonet G, Rodríguez-López J, Scardino C, De Sousa D, Gustiene O, Elbasheer E, Humida A, Mahmoud H, Mohamed A, Hamid E, Hussein S, Abdelhameed M, Ali T, Ali Y, Eltayeb M, Philippe F, Ali M, Almubarak E, Badri M, Altaher S, Alla MD, Dellborg M, Dellborg H, Hultsberg-Olsson G, Marjeh YB, Abdin A, Erglis A, Alhussein F, Mgazeel F, Hammami R, Abid L, Bahloul A, Charfeddine S, Ellouze T, Canpolat U, Oksul M, Muderrisoglu H, Popovici M, Karacaglar E, Akgun A, Ari H, Ari S, Can V, Tuncay B, Kaya H, Dursun L, Kalenderoglu K, Tasar O, Kalpak O, Kilic S, Kucukosmanoglu M, Aytekin V, Baydar O, Demirci Y, Gürsoy E, Kilic A, Yildiz Ö, Arat-Ozkan A, Sinan UY, Dagva M, Gungor B, Sekerci SS, Zeren G, Erturk M, Demir AR, Yildirim C, Can C, Kayikcioglu M, Yagmur B, Oney S, Xuereb RG, Sabanoglu C, Inanc IH, Ziyrek M, Sen T, Astarcioglu MA, Kahraman F, Utku O, Celik A, Surmeli AO, Basaran O, Ahmad WAW, Demirbag R, Besli F, Gungoren F, Ingabire P, Mondo C, Ssemanda S, Semu T, Mulla AA, Atos JS, Wajid I, Appelman Y, Al Mahmeed WAR, Atallah B, Bakr K, Garrod R, Makia F, Eldeeb F, Abdekader R, Gomaa A, Kandasamy S, Maruthanayagam R, Nadar SK, Nakad G, Nair R, Mota P, Prior P, Mcdonald S, Rand J, Schumacher N, Abraheem A, Clark M, Coulding M, Qamar N, Turner V, Negahban AQ, Crew A, Hope S, Howson J, Jones S, Lancaster N, Nicholson A, Wray G, Donnelly P, Gierlotka M, Hammond L, Hammond S, Regan S, Watkin R, Papadopoulos C, Ludman P, Hutton K, Macdonald S, Nilsson A, Roberts S, Monteiro S, Garg S, Balachandran K, Mcdonald J, Singh R, Marsden K, Davies K, Desai H, Goddard W, Iqbal N, Chalil S, Dan GA, Galasko G, Assaf O, Benham L, Brown J, Collins S, Fleming C, Glen J, Mitchell M, Preston S, Uttley A, Radovanovic M, Lindsay S, Akhtar N, Atkinson C, Vinod M, Wilson A, Clifford P, Firoozan S, Yashoman M, Bowers N, Chaplin J, Reznik EV, Harvey S, Kononen M, Lopesdesousa G, Saraiva F, Sharma S, Cruddas E, Law J, Young E, Hoye A, Harper P, Balghith M, Rowe K, Been M, Cummins H, French E, Gibson C, Abraham JA, Hobson S, Kay A, Kent M, Wilkinson A, Mohamed A, Clark S, Duncan L, Ahmed IM, Khatiwada D, Mccarrick A, Wanda I, Read P, Afsar A, Rivers V, Theobald T, Cercek M, Bell S, Buckman C, Francis R, Peters G, Stables R, Morgan M, Noorzadeh M, Taylor B, Twiss S, Widdows P, Brozmannová D, Wilkinson V, Black M, Clark A, Clarkson N, Currie J, George L, Mcgee C, Izzat L, Lewis T, Omar Z, Aytekin V, Phillips S, Ahmed F, Mackie S, Oommen A, Phillips H, Sherwood M, Aleti S, Charles T, Jose M, Kolakaluri L, Ingabire P, Karoudi RA, Deery J, Hazelton T, Knight A, Price C, Turney S, Kardos A, Williams F, Wren L, Bega G, Alyavi B, Scaletta D, Kunadian V, Cullen K, Jones S, Kirkup E, Ripley DP, Matthews IG, Mcleod A, Runnett C, Thomas HE, Cartasegna L, Gunarathne A, Burton J, King R, Quinn J, Sobolewska J, Munt S, Porter J, Christenssen V, Leng K, Peachey T, Gomez VN, Temple N, Wells K, Viswanathan G, Taneja A, Cann E, Eglinton C, Hyams B, Jones E, Reed F, Smith J, Beltrano C, Affleck DC, Turner A, Ward T, Wilmshurst N, Stirrup J, Brunton M, Whyte A, Smith S, Murray V, Walker R, Novas V, Weston C, Brown C, Collier D, Curtis K, Dixon K, Wells T, Trim F, Ghosh J, Mavuri M, Barman L, Dumont C, Elliott K, Harrison R, Mallinson J, Neale T, Smith J, Toohie J, Turnbull A, Parker E, Hossain R, Cheeseman M, Balparda H, Hill J, Hood M, Hutchinson D, Mellows K, Pendlebury C, Storey RF, Barker J, Birchall K, Denney H, Housley K, Cardona M, Middle J, Kukreja N, Gati S, Kirk P, Lynch M, Srinivasan M, Szygula J, Baker P, Cruz C, Derigay J, Cigalini C, Lamb K, Nembhard S, Price A, Mamas M, Massey I, Wain J, Delaney J, Junejo S, Martin K, Obaid D, Hoyle V, Brinkworth E, Davies C, Evans D, Richards S, Thomas C, Williams M, Dayer M, Mills H, Roberts K, Goodchild F, Dámaso ES, Greig N, Kundu S, Donaldson D, Tonks L, Beekes M, Button H, Hurford F, Motherwell N, Summers-Wall J, Felmeden D, Tapia V, Keeling P, Sheikh U, Yonis A, Felmeden L, Hughes D, Micklewright L, Summerhayes A, Sutton J, Panoulas V, Prendergast C, Poghosyan K, Rogers P, Barker LN, Batin P, Conway D, Exley D, Fletcher A, Wright J, Nageh T, Hadebe B, Kunhunny S, Mkhitaryan S, Mshengu E, Karthikeyan VJ, Hamdan H, Cooper J, Dandy C, Parkinson V, Paterson P, Reddington S, Taylor T, Tierney C, Adamyan M, Jones KV, Broadley A, Beesley K, Buckley C, Hellyer C, Pippard L, Pitt-Kerby T, Azam J, Hayes C, Freshwater K, Boyadjian S, Johnson L, Mcgill Y, Redfearn H, Russell M, Alyavi A, Alyavi B, Uzokov J, Hayrapetyan H, Azaryan K, Tadevosyan M, Poghosyan H, Kzhdryan H, Vardanyan A, Huber K, Geppert A, Ahmed A, Weidinger F, Derntl M, Hasun M, Schuh-Eiring T, Riegler L, Haq MM, Cader FA, Dewan MAM, Fatema ME, Hasan AS, Islam MM, Khandoker F, Mayedah R, Nizam SU, Azam MG, Arefin MM, Jahan J, Schelfaut D, De Raedt H, Wouters S, Aerts S, Batjoens H, Beauloye C, Dechamps M, Pierard S, Van Caenegem O, Sinnaeve F, Claeys MJ, Snepvangers M, Somers V, Gevaert S, Schaubroek H, Vervaet P, Buysse M, Renders F, Dumoulein M, Hiltrop N, De Coninck M, Naessens S, Senesael I, Hoffer E, Pourbaix S, Beckers J, Dugauquier C, Jacquet S, Malmendier D, Massoz M, Evrard P, Collard L, Brunner P, Carlier S, Blockmans M, Mayne D, Timiras E, Guédès A, Demeure F, Hanet C, Domange J, Jourdan K, Begic E, Custovic F, Dozic A, Hrvat E, Kurbasic I, Mackic D, Subo A, Durak-Nalbantic A, Dzubur A, Rebic D, Hamzic-Mehmedbasic A, Redzepovic A, Djokic-Vejzovic A, Hodzic E, Hujdur M, Musija E, Gljiva-Gogic Z, Serdarevic N, Bajramovic NS, Brigic L, Halilcevic M, Cibo M, Hadžibegic N, Kukavica N, Begic A, Iglica A, Osmanagic A, Resic N, Grgurevic MV, Zvizdic F, Pojskic B, Mujaric E, Selimovic H, Ejubovic M, Pojskic L, Stimjanin E, Sut M, Zapata PS, Munoz CG, Andrade LAF, Upegui MPT, Perez LE, Chavarria J, Quesada D, Alvarado K, Zaputovic L, Tomulic V, Gobic D, Jakljevic T, Lulic D, Bacic G, Bastiancic L, Avraamides P, Eftychiou C, Eteocleous N, Ioannou A, Lambrianidi C, Drakomathioulakis M, Groch L, Hlinomaz O, Rezek M, Semenka J, Sitar J, Beranova M, Kramarikova P, Pesl L, Sindelarova S, Tousek F, Warda HM, Ghaly I, Habiba S, Habib A, Gergis MN, Bahaa H, Samir A, Taha HSE, Adel M, Algamal HM, Mamdouh M, Shaker AF, Shokry K, Konsoah A, Mostafa AM, Ibrahim A, Imam A, Hafez B, Zahran A, Abdelhamid M, Mahmoud K, Mostafa A, Samir A, Abdrabou M, Kamal A, Sallam S, Ali A, Maghraby K, Atta AR, Saad A, Ali M, Lotman EM, Lubi R, Kaljumäe H, Uuetoa T, Kiitam U, Durier C, Ressencourt O, El Din AA, Guiatni A, Bras ML, Mougenot E, Labeque JN, Banos JL, Capendeguy O, Mansourati J, Fofana A, Augagneur M, Bahon L, Pape AL, Batias-Moreau L, Fluttaz A, Good F, Prieur F, Boiffard E, Derien AS, Drapeau I, Roy N, Perret T, Dubreuil O, Ranc S, Rio S, Bonnet JL, Bonnet G, Cuisset T, Deharo P, Mouret JP, Spychaj JC, Blondelon A, Delarche N, Decalf V, Guillard N, Hakme A, Roger MP, Biron Y, Druelles P, Loubeyre C, Lucon A, Hery P, Nejjari M, Digne F, Huchet F, Neykova A, Tzvetkov B, Larrieu M, Quaino G, Armangau P, Sauguet A, Bonfils L, Dumonteil N, Fajadet J, Farah B, Honton B, Monteil B, Philippart R, Tchetche D, Cottin M, Petit F, Piquart A, Popovic B, Varlot J, Maisuradze D, Sagirashvili E, Kereselidze Z, Totladze L, Ginturi T, Lagvilava D, Hamm C, Liebetrau C, Haas M, Hamm C, Koerschgen T, Weferling M, Wolter JS, Maier K, Nickenig G, Sedaghat A, Zachoval C, Lampropoulos K, Mpatsouli A, Sakellaropoulou A, Tyrovolas K, Zibounoumi N, Argyropoulos K, Toulgaridis F, Kolyviras A, Tzanis G, Tzifos V, Milkas A, Papaioannou S, Kyriazopoulos K, Pylarinou V, Kontonassakis I, Kotakos C, Kourgiannidis G, Ntoliou P, Parzakonis N, Pipertzi A, Sakalidis A, Ververeli CL, Kafkala K, Sinanis T, Diakakis G, Grammatikopoulos K, Papoutsaki E, Patialiatos T, Mamaloukaki M, Papadaki ST, Kanellos IE, Antoniou A, Tsinopoulos G, Goudis C, Giannadaki M, Daios S, Petridou M, Skantzis P, Koukis P, Dimitriadis F, Savvidis M, Styliadis I, Sachpekidis V, Pilalidou A, Stamatiadis N, Fotoglidis A, Karakanas A, Ruzsa Z, Becker D, Nowotta F, Gudmundsdottir I, Libungan B, Skuladottir FB, Halldorsdottir H, Shetty R, Iyengar S, Bs C, G S, Lakshmana S, S R, Tripathy N, Sinha A, Choudhary B, Kumar A, Kumar A, Raj R, Roy RS, Dharma S, Siswanto BB, Farhan HA, Yaseen IF, Al-Zaidi M, Dakhil Z, Amen S, Rasool B, Rajeeb A, Amber K, Ali HH, Al-Kinani T, Almyahi MH, Al-Obaidi F, Masoumi G, Sadeghi M, Heshmat-Ghahdarijani K, Roohafza H, Sarrafzadegan N, Shafeie M, Teimouri-Jervekani Z, Noori F, Kyavar M, Sadeghipour P, Firouzi A, Alemzadeh-Ansari MJ, Ghadrdoost B, Golpira R, Ghorbani A, Ahangari F, Salarifar M, Jenab Y, Biria A, Haghighi S, Mansouri P, Yadangi S, Kornowski R, Orvin K, Eisen A, Oginetz N, Vizel R, Kfir H, Pasquale GD, Casella G, Cardelli LS, Filippini E, Zagnoni S, Donazzan L, Ermacora D, Indolfi C, Polimeni A, Curcio A, Mongiardo A, De Rosa S, Sorrentino S, Spaccarotella C, Landolina M, Marino M, Cacucci M, Vailati L, Bernabò P, Montisci R, Meloni L, Marchetti MF, Biddau M, Garau E, Barbato E, Morisco C, Strisciuglio T, Canciello G, Lorenzoni G, Casu G, Merella P, Novo G, D'Agostino A, Di Lisi D, Di Palermo A, Evola S, Immordino F, Rossetto L, Spica G, Pavan D, Mattia AD, Belfiore R, Grandis U, Vendrametto F, Spagnolo C, Carniel L, Sonego E, Gaudio C, Barillà F, Biccire FG, Bruno N, Ferrari I, Paravati V, Torromeo C, Galasso G, Peluso A, Prota C, Radano I, Benvenga RM, Ferraioli D, Anselmi M, Frigo GM, Sinagra G, Merlo M, Perkan A, Ramani F, Altinier A, Fabris E, Rinaldi M, Usmiani T, Checco L, Frea S, Mussida M, Matsukawa R, Sugi K, Kitai T, Furukawa Y, Masumoto A, Miyoshi Y, Nishino S, Assembekov B, Amirov B, Chernokurova Y, Ibragimova F, Mirrakhimov E, Ibraimova A, Murataliev T, Radzhapova Z, Uulu ES, Zhanyshbekova N, Zventsova V, Erglis A, Bondare L, Zaliunas R, Gustiene O, Dirsiene R, Marcinkeviciene J, Sakalyte G, Virbickiene A, Baksyte G, Bardauskiene L, Gelmaniene R, Salkauskaite A, Ziubryte G, Kupstyte-Kristapone N, Badariene J, Balciute S, Kapleriene L, Lizaitis M, Marinskiene J, Navickaite A, Pilkiene A, Ramanauskaite D, Serpytis R, Silinskiene D, Simbelyte T, Staigyte J, Philippe F, Degrell P, Camus E, Ahmad WAW, Kassim ZA, Xuereb RG, Buttigieg LL, Camilleri W, Pllaha E, Xuereb S, Popovici M, Ivanov V, Plugaru A, Moscalu V, Popovici I, Abras M, Ciobanu L, Litvinenco N, Fuior S, Dumanschi C, Ivanov M, Danila T, Grib L, Filimon S, Cardaniuc L, Batrinac A, Tasnic M, Cozma C, Revenco V, Sorici G, Dagva M, Choijiljav G, Dandar E, Khurelbaatar MU, Tsognemekh B, Appelman Y, Den Hartog A, Kolste HJT, Van Den Buijs D, Van'T Hof A, Pustjens T, Houben V, Kasperski I, Ten Berg J, Azzahhafi J, Bor W, Yin DCP, Mbakwem A, Amadi C, Kushimo O, Kilasho M, Oronsaye E, Bakracheski N, Bashuroska EK, Mojsovska V, Tupare S, Dejan M, Jovanoska J, Razmoski D, Marinoski T, Antovski A, Jovanovski Z, Kocho S, Markovski R, Ristovski V, Samir AB, Biserka S, Kalpak O, Peovska IM, Taleska BZ, Pejkov H, Busljetik O, Zimbakov Z, Grueva E, Bojovski I, Tutic M, Poposka L, Vavlukis M, Al-Riyami A, Nadar SK, Abdelmottaleb W, Ahmed S, Mujtaba MS, Al-Mashari S, Al-Riyami H, Laghari AH, Faheem O, Ahmed SW, Qamar N, Furnaz S, Kazmi K, Saghir T, Aneel A, Asim A, Madiha F, Sobkowicz B, Tycinska A, Kazimierczyk E, Szyszkowska A, Mizia-Stec K, Wybraniec M, Bednarek A, Glowacki K, Prokopczuk J, Babinski W, Blachut A, Kosiak M, Kusinska A, Samborski S, Stachura J, Szastok H, Wester A, Bartoszewska D, Sosnowska-Pasiarska B, Krzysiek M, Legutko J, Nawrotek B, Kasprzak JD, Klosinska M, Wiklo K, Kurpesa M, Rechcinski T, Cieslik-Guerra U, Gierlotka M, Bugajski J, Feusette P, Sacha J, Przybylo P, Krzesinski P, Ryczek R, Karasek A, Kazmierczak-Dziuk A, Mielniczuk M, Betkier-Lipinska K, Roik M, Labyk A, Krakowian M, Machowski M, Paczynska M, Potepa M, Pruszczyk P, Budaj A, Ambroziak M, Omelanczuk-Wiech E, Torun A, Opolski G, Glowczynska R, Fojt A, Kowalik R, Huczek Z, Jedrzejczyk S, Roleder T, Brust K, Gasior M, Desperak P, Hawranek M, Farto-Abreu P, Santos M, Baptista S, Brizida L, Faria D, Loureiro J, Magno P, Monteiro C, Nédio M, Tavares J, Sousa C, Almeida I, Almeida S, Miranda H, Santos H, Santos AP, Goncalves L, Monteiro S, Baptista R, Ferreira C, Ferreira J, Goncalves F, Lourenço C, Monteiro P, Picarra B, Santos AR, Guerreiro RA, Carias M, Carrington M, Pais J, de Figueiredo MP, Rocha AR, Mimoso J, De Jesus I, Fernandes R, Guedes J, Mota T, Mendes M, Ferreira J, Tralhão A, Aguiar CT, Strong C, Da Gama FF, Pais G, Timóteo AT, Rosa SAO, Mano T, Reis J, Selas M, Mendes DE, Satendra M, Pinto P, Queirós C, Oliveira I, Reis L, Cruz I, Fernandes R, Torres S, Luz A, Campinas A, Costa R, Frias A, Oliveira M, Martins V, Castilho B, Coelho C, Moura AR, Cotrim N, Dos Santos RC, Custodio P, Duarte R, Gomes R, Matias F, Mendonca C, Neiva J, Rabacal C, Almeida AR, Caeiro D, Queiroz P, Silva G, Pop-Moldovan AL, Darabantiu D, Mercea S, Dan GA, Dan AR, Dobranici M, Popescu RA, Adam C, Sinescu CJ, Andrei CL, Brezeanu R, Samoila N, Baluta MM, Pop D, Tomoaia R, Istratoaie O, Donoiu I, Cojocaru A, Oprita OC, Rocsoreanu A, Grecu M, Ailoaei S, Popescu MI, Cozma A, Babes EE, Rus M, Ardelean A, Larisa R, Moisi M, Ban E, Buzle A, Filimon G, Dobreanu D, Lupu S, Mitre A, Rudzik R, Sus I, Opris D, Somkereki C, Mornos C, Petrescu L, Betiu A, Volcescu A, Ioan O, Luca C, Maximov D, Mosteoru S, Pascalau L, Roman C, Brie D, Crisan S, Erimescu C, Falnita L, Gaita D, Gheorghiu M, Levashov S, Redkina M, Novitskii N, Dementiev E, Baglikov A, Zateyshchikov D, Zubova E, Rogozhina A, Salikov A, Nikitin I, Reznik EV, Komissarova MS, Shebzukhova M, Shitaya K, Stolbova S, Larina V, Akhmatova F, Chuvarayan G, Arefyev MN, Averkov OV, Volkova AL, Sepkhanyan MS, Vecherko VI, Meray I, Babaeva L, Goreva L, Pisaryuk A, Potapov P, Teterina M, Ageev F, Silvestrova G, Fedulaev Y, Pinchuk T, Staroverov I, Kalimullin D, Sukhinina T, Zhukova N, Ryabov V, Kruchinkina E, Vorobeva D, Shevchenko I, Budyak V, Elistratova O, Fetisova E, Islamov R, Ponomareva E, Khalaf H, Shaimaa AA, Kamal W, Alrahimi J, Elshiekh A, Balghith M, Ahmed A, Attia N, Jamiel AA, Potpara T, Marinkovic M, Mihajlovic M, Mujovic N, Kocijancic A, Mijatovic Z, Radovanovic M, Matic D, Milosevic A, Savic L, Subotic I, Uscumlic A, Zlatic N, Antonijevic J, Vesic O, Vucic R, Martinovic SS, Kostic T, Atanaskovic V, Mitic V, Stanojevic D, Petrovic M. Cohort profile: the ESC EURObservational Research Programme Non-ST-segment elevation myocardial infraction (NSTEMI) Registry. Eur Heart J Qual Care Clin Outcomes 2022; 9:8-15. [PMID: 36259751 DOI: 10.1093/ehjqcco/qcac067] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/07/2022] [Accepted: 10/11/2022] [Indexed: 11/12/2022]
Abstract
AIMS The European Society of Cardiology (ESC) EURObservational Research Programme (EORP) Non-ST-segment elevation myocardial infarction (NSTEMI) Registry aims to identify international patterns in NSTEMI management in clinical practice and outcomes against the 2015 ESC Guidelines for the management of acute coronary syndromes in patients presenting without ST-segment-elevation. METHODS AND RESULTS Consecutively hospitalised adult NSTEMI patients (n = 3620) were enrolled between 11 March 2019 and 6 March 2021, and individual patient data prospectively collected at 287 centres in 59 participating countries during a two-week enrolment period per centre. The registry collected data relating to baseline characteristics, major outcomes (in-hospital death, acute heart failure, cardiogenic shock, bleeding, stroke/transient ischaemic attack, and 30-day mortality) and guideline-recommended NSTEMI care interventions: electrocardiogram pre- or in-hospital, pre-hospitalization receipt of aspirin, echocardiography, coronary angiography, referral to cardiac rehabilitation, smoking cessation advice, dietary advice, and prescription on discharge of aspirin, P2Y12 inhibition, angiotensin converting enzyme inhibitor (ACEi)/angiotensin receptor blocker (ARB), beta-blocker, and statin. CONCLUSION The EORP NSTEMI Registry is an international, prospective registry of care and outcomes of patients treated for NSTEMI, which will provide unique insights into the contemporary management of hospitalised NSTEMI patients, compliance with ESC 2015 NSTEMI Guidelines, and identify potential barriers to optimal management of this common clinical presentation associated with significant morbidity and mortality.
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Affiliation(s)
- Ramesh Nadarajah
- Leeds Institute for Cardiovascular and Metabolic Medicine, University of Leeds, LS2 9JT Leeds, UK.,Leeds Institute of Data Analytics, University of Leeds, LS2 9JT Leeds, UK.,Department of Cardiology, Leeds Teaching Hospitals NHS Trust, LS1 3EX Leeds, UK
| | - Peter Ludman
- Institute of Cardiovascular Sciences, University of Birmingham, Birmingham, UK
| | - Yolande Appelman
- Department of Cardiology, Amsterdam UMC-Vrije Universiteit, Amsterdam Cardiovascular Sciences, Amsterdam, Netherlands
| | - Salvatore Brugaletta
- Hospital Clinic de Barcelona, Barcelona, Spain.,Institut d'Investigacions Biomèdiques August Pi i Sunyer, Barcelona, Spain
| | - Andrzej Budaj
- Department of Cardiology, Center of Postgraduate Medical Education, Grochowski Hospital, Warsaw, Poland
| | - Hector Bueno
- Cardiology Department, Hospital Universitario 12 de Octubre and Instituto de Investigación Sanitaria Hospital 12 de Octubre (imas12), Madrid, Spain.,Centro Nacional de Investigaciones Cardiovasculares (CNIC), Madrid, Spain.,Facultad de Medicina, Universidad Complutense de Madrid, Madrid, Spain
| | - Kurt Huber
- 3rd Medical Department, Cardiology and Intensive Care Medicine, Clinic Ottakring (Wilhelminenhospital), Vienna, Austria.,Medical Faculty, Sigmund Freud University, Vienna, Austria
| | - Vijay Kunadian
- Translational and Clinical Research Institute, Faculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, UK.,Cardiothoracic Centre, Freeman Hospital, Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, UK
| | - Sergio Leonardi
- University of Pavia, Pavia, Italy.,Fondazione IRCCS Policlinico S.Matteo, Pavia, Italy
| | - Maddalena Lettino
- Cardio-Thoracic and Vascular Department, San Gerardo Hospital, ASST-Monza, Monza, Italy
| | - Dejan Milasinovic
- Department of Cardiology, University Clinical Center of Serbia and Faculty of Medicine, University of Belgrade, Belgrade, Serbia
| | - Chris P Gale
- Leeds Institute for Cardiovascular and Metabolic Medicine, University of Leeds, LS2 9JT Leeds, UK.,Leeds Institute of Data Analytics, University of Leeds, LS2 9JT Leeds, UK.,Department of Cardiology, Leeds Teaching Hospitals NHS Trust, LS1 3EX Leeds, UK
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Vareda R, Valente J, Alho AM, Carmona A, Chaves D, Silva L, Ribeiro S, Paixão M, Leite A. Multisectoral approach to address Female Genital Mutilation: a case study from Portugal. Eur J Public Health 2022. [DOI: 10.1093/eurpub/ckac131.460] [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] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Abstract
Issue
Female genital mutilation (FGM) comprises all procedures that injury female genital organs for non-medical reasons, with several health impacts. Due to global migration, FGM has been increasingly recognised as a healthcare issue in Europe, affecting nearly 1 million women. In Portugal it is estimated that 5483 migrant women have undergone FGM in the Lisbon region. Intervention is required to tackle this issue.
Description
Portugal launched the “Healthy Practices: End of FGM”, a multiagency project targeting Lisbon and Tagus Valley region. Project implementation started in Nov 2018 at 5 local public health units (PHU) and was scaled-up to 5 more in Feb 2020. Project comprises 3 main axes: 1) inclusion in public policy instruments; 2) professionals’ education and awareness; and 3) community intervention. We describe inclusion of FGM in public policy, professionals training and changes in FGM recording before and after intervention.
Results
Between 2018-2022, inclusion of FGM in municipalities’ migration policies doubled. Between 2019-2021, 110 training sessions (n = 1722 professionals) were promoted. During pandemic years, only 344 (2020) and 202 (2021) were trained. Raising awareness and empowerment to risk communities happened mainly through local/online open sessions, workshops, flyer distribution, video projections. These occurred in all 10 PHU, mostly through partnerships with Non-Governmental Organizations and municipalities. According to the Portuguese Health Records, until 2018 there were only 300 women registered with FGM. Between 2019-2021, 363 more were added.
Lessons
The multisectoral approach allowed PHU professionals to collaborate directly with external organizations from different society sectors. COVID-19 pandemic posed a challenge to implementation, especially in the community intervention axis. Notification numbers increased after interventions, though causality could not be established and impact evaluation is yet to be performed.
Key messages
• Multisectoral projects for FGM intervention have specific implementation challenges, including how to justify and evaluate them, that must be considered in each setting.
• Training health professionals might increase identification and notification of FGM, but the impact in preventing FGM in the Portuguese reality is still largely unknown.
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Affiliation(s)
- R Vareda
- Lisbon Public Health Unit, Lisbon and Tagus Valley Regional Health Administration Northern , Lisbon, Portugal
| | - J Valente
- Department of Public Health, Lisbon and Tagus Valley Regional Health Administration , Lisbon, Portugal
| | - AM Alho
- Lisbon Public Health Unit, Lisbon and Tagus Valley Regional Health Administration Northern , Lisbon, Portugal
| | - A Carmona
- Luz Public Health Unit of Amadora, Lisbon and Tagus Valley Regional Health Administration António , Lisbon, Portugal
| | - D Chaves
- Ribeirinho Public Health Unit, Lisbon and Tagus Valley Regional Health Administration Arco , Lisbon, Portugal
| | - L Silva
- Sintra Public Health Unit, Lisbon and Tagus Valley Regional Health Administration , Lisbon, Portugal
| | - S Ribeiro
- Central Lisbon Public Health Unit, Lisbon and Tagus Valley Regional Health Administration , Lisbon, Portugal
| | - M Paixão
- Luz Public Health Unit of Amadora, Lisbon and Tagus Valley Regional Health Administration António , Lisbon, Portugal
| | - A Leite
- Comprehensive Health Research Center, Universidade NOVA de Lisboa , Lisbon, Portugal
- Public Health Research Center, NOVA National School of Public Health, Universidade NOVA de Lisboa , Lisbon, Portugal
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12
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Silva L, Crole Rees C, Watts T, Bisson J, Cornish JA. SP4.2.2 Recovery after Emergency Laparotomy – what do patients want? Br J Surg 2022. [DOI: 10.1093/bjs/znac247.046] [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] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
Abstract
Aim
Recent focus on Emergency Laparotomy outcomes has improved mortality, but little attention has been given to recovery. The aim of this qualitative study was to explore recovery after EmLap.
Method
A focus group was established of ten EmLap patients. Inclusion criteria: EmLap<5 years ago, non-palliative. Patients were selected to provide balance of age, sex and pathology. Thematic qualitative analysis was performed by two researchers.
Results
Several key themes were highlighted;
Lack of communication on diagnosis/expectations after surgery. Little continuity of care. Long delays in seeing doctors after surgery and no way to contact them and GPs unable to help.
Financial consequences are significant, with no guidance. Took longer to recover than expected, difficult to explain to employer. Led to early retirement or change of hours/role.
Hernias; Some patients aware of hernia risk but given conflicting advice, e.g avoid lifting and rest for 6 weeks, others told to exercise regularly. Difficult to access support garments.
Diet – Conflicting advice on what they could/couldn't eat, especially fibre. Felt more by patients who had stoma or bowel resection. Poor quality food in hospital and lack of options for diet (e.g. vegan, coeliac).
Poor mental health after surgery with anxiety, depression and loss of confidence all having large impact, especially on relationships and intimacy. Key issues lack of access to services and waiting times. Too ‘complex’ for primary care.
Conclusions
The impact of emergency surgery on patients is significant, particularly mental health and financial impact. Recommend standardised information (leaflets/website/signposting) and key support worker.
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Affiliation(s)
- L Silva
- Cardiff and Vale University Health Board
- Cardiff University
| | | | | | - J Bisson
- Cardiff University
- Cardiff and Vale University Health Board
| | - JA Cornish
- Cardiff and Vale University Health Board
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13
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Cunha L, Bonfim L, Lima G, Silva R, Silva L, Lima P, Oliveira-Bahia V, Freitas J, Burbano R, Rocha C. In vivo evaluation of the potential protective effects of prolactin against damage caused by methylmercury. Braz J Med Biol Res 2022; 55:e11976. [PMID: 35857996 PMCID: PMC9296129 DOI: 10.1590/1414-431x2022e11976] [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] [Received: 02/24/2022] [Accepted: 05/17/2022] [Indexed: 11/30/2022] Open
Abstract
Non-biodegradable metals such as mercury accumulate in living organisms during
life (bioaccumulation) and also within trophic webs (biomagnification) and may
reach high concentrations in humans. The contamination of humans by mercury in
drinking water and food may be common, in particular in riverside communities
that have a diet rich in fish. In vitro studies of human cell
lines exposed to the cytotoxic and mutagenic effects of methylmercury have shown
that prolactin has potential cytoprotective properties and may act as a
co-mitogenic factor and inhibitor of apoptosis. The present in
vivo study investigated the protective potential of prolactin
against the toxic effects of methylmercury in the mammal Mus
musculus. Histological and biochemical analyses, together with
biomarker of genotoxicity, were used to verify the protective potential of
prolactin in mice exposed to methylmercury. The reduction in kidney and liver
tissue damage was not significant. However, results of biochemical and genotoxic
analyses were excellent. After prolactin treatment, a significant reduction was
observed in biochemical parameters and mutagenic effects of methylmercury. The
study results therefore indicated that prolactin has protective effects against
the toxicity of methylmercury and allowed us to suggest the continuation of
research to propose prolactin in the future, as an alternative to prevent the
damage caused by mercury, especially in populations that are more exposed.
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Affiliation(s)
- L Cunha
- Laboratório de Citogenética Humana, Universidade Federal do Pará, Belém, PA, Brasil
| | - L Bonfim
- Laboratório de Citogenética Humana, Universidade Federal do Pará, Belém, PA, Brasil
| | - G Lima
- Laboratório Multidisciplinar de Morfofisiologia Animal, Universidade Federal do Pará, Belém, PA, Brasil
| | - R Silva
- Laboratório de Morfofisiologia Aplicada à Saúde, Universidade do Estado do Pará, Belém, PA, Brasil
| | - L Silva
- Laboratório de Morfofisiologia Aplicada à Saúde, Universidade do Estado do Pará, Belém, PA, Brasil
| | - P Lima
- Laboratório de Citogenética, Universidade do Estado do Pará, Belém, PA, Brasil
| | - V Oliveira-Bahia
- Laboratório Multidisciplinar de Morfofisiologia Animal, Universidade Federal do Pará, Belém, PA, Brasil
| | - J Freitas
- Laboratório de Morfofisiologia Aplicada à Saúde, Universidade do Estado do Pará, Belém, PA, Brasil
| | - R Burbano
- Laboratório de Biologia Molecular, Hospital Ophir Loyola, Belém, PA, Brasil
| | - C Rocha
- Instituto Federal de Educação, Ciência e Tecnologia do Pará, Diretoria de Pós-Graduação, Pesquisa e Inovação (DPI), Belém, PA, Brasil
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14
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Silva L, Mohammed SA, Strong P, Watts T, Torkington J, Cornish J. O040 Patient reported outcomes and experiences following emergency laparotomy: a mixed methods patient survey. Br J Surg 2022. [DOI: 10.1093/bjs/znac242.040] [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] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
Abstract
Introduction
Emergency laparotomy (EmLap) is a “life-saving” procedure, but little is known about how “life-changing” it can be. This study aims to establish the impact of EmLap on PROMs and PREMs.
Methods
All surviving patients who had an EmLap from 2016–2019 were included. Eligible patients were invited to complete a postal questionnaire. Responses underwent qualitative and logistical regression analysis.
Results
Response rate was 42.6% (n=310). 11.3% reported that they had not resumed intimacy post-op. Patients were less likely to resume intimacy if they were >80 years (OR 10.500, p0.003), had a return to theatre (OR 5.111, p0.017), IBD diagnosis (OR 5.00, p0.009) or stoma (OR 4.906, p0.003). Patients were more likely to change employment if female (OR 2.858, p0.009), more comorbid (ASA3 OR 5.000, p0.024), had a stoma (OR 4.006, p<0.001), or incisional hernia (OR 4.228, p<0.001). Qualitative analysis revealed deconditioning, lack of employer support, and delays to reconstructive surgery were the main reasons for not returning to work. Qualitative analysis of experience exposed a number of unmet needs: surgical “debrief” and “what to expect” (33.6%), surgical aftercare (25.2%), mental-health support (22.6%) and timely restorative surgery (11.7%). 88.1% felt a specialist nurse would have improved their experience. Patients were more likely to have reported a negative experience if they had benign disease (p0.010).
Conclusion
This is the first study to describe PROMS and PREMS following EmLap, and also to identify patients at risk of poor outcome. It advocates the need for an EmLap specialist nurse to facilitate holistic care.
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Affiliation(s)
- L Silva
- Cardiff & Vale University Health Board
| | | | - P Strong
- Cardiff & Vale University Health Board
| | - T Watts
- Cardiff & Vale University Health Board
| | | | - J Cornish
- Cardiff & Vale University Health Board
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15
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Verra L, Zevi Della Porta G, Pucek J, Nechaeva T, Wyler S, Bergamaschi M, Senes E, Guran E, Moody JT, Kedves MÁ, Gschwendtner E, Muggli P, Agnello R, Ahdida CC, Goncalves MCA, Andrebe Y, Apsimon O, Apsimon R, Arnesano JM, Bachmann AM, Barrientos D, Batsch F, Bencini V, Blanchard P, Burrows PN, Buttenschön B, Caldwell A, Chappell J, Chevallay E, Chung M, Cooke DA, Davut C, Demeter G, Dexter AC, Doebert S, Elverson FA, Farmer J, Fasoli A, Fedosseev V, Fonseca R, Furno I, Gorn A, Granados E, Granetzny M, Graubner T, Grulke O, Hafych V, Henderson J, Hüther M, Khudiakov V, Kim SY, Kraus F, Krupa M, Lefevre T, Liang L, Liu S, Lopes N, Lotov K, Martinez Calderon M, Mazzoni S, Medina Godoy D, Moon K, Morales Guzmán PI, Moreira M, Nowak E, Pakuza C, Panuganti H, Pardons A, Pepitone K, Perera A, Pukhov A, Ramjiawan RL, Rey S, Schmitz O, Silva F, Silva L, Stollberg C, Sublet A, Swain C, Topaloudis A, Torrado N, Tuev P, Velotti F, Verzilov V, Vieira J, Weidl M, Welsch C, Wendt M, Wing M, Wolfenden J, Woolley B, Xia G, Yarygova V, Zepp M. Controlled Growth of the Self-Modulation of a Relativistic Proton Bunch in Plasma. Phys Rev Lett 2022; 129:024802. [PMID: 35867433 DOI: 10.1103/physrevlett.129.024802] [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] [Subscribe] [Scholar Register] [Received: 03/25/2022] [Accepted: 05/12/2022] [Indexed: 06/15/2023]
Abstract
A long, narrow, relativistic charged particle bunch propagating in plasma is subject to the self-modulation (SM) instability. We show that SM of a proton bunch can be seeded by the wakefields driven by a preceding electron bunch. SM timing reproducibility and control are at the level of a small fraction of the modulation period. With this seeding method, we independently control the amplitude of the seed wakefields with the charge of the electron bunch and the growth rate of SM with the charge of the proton bunch. Seeding leads to larger growth of the wakefields than in the instability case.
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Affiliation(s)
| | | | | | | | | | | | | | | | | | | | | | | | - R Agnello
- Ecole Polytechnique Federale de Lausanne (EPFL), Swiss Plasma Center (SPC), 1015 Lausanne, Switzerland
| | | | | | - Y Andrebe
- Ecole Polytechnique Federale de Lausanne (EPFL), Swiss Plasma Center (SPC), 1015 Lausanne, Switzerland
| | - O Apsimon
- University of Liverpool, Liverpool L69 7ZE, United Kingdom
- Cockcroft Institute, Warrington WA4 4AD, United Kingdom
| | - R Apsimon
- Cockcroft Institute, Warrington WA4 4AD, United Kingdom
- Lancaster University, Lancaster LA1 4YB, United Kingdom
| | | | - A-M Bachmann
- Max Planck Institute for Physics, 80805 Munich, Germany
| | | | - F Batsch
- Max Planck Institute for Physics, 80805 Munich, Germany
| | - V Bencini
- CERN, 1211 Geneva 23, Switzerland
- John Adams Institute, Oxford University, Oxford OX1 3RH, United Kingdom
| | - P Blanchard
- Ecole Polytechnique Federale de Lausanne (EPFL), Swiss Plasma Center (SPC), 1015 Lausanne, Switzerland
| | - P N Burrows
- John Adams Institute, Oxford University, Oxford OX1 3RH, United Kingdom
| | - B Buttenschön
- Max Planck Institute for Plasma Physics, 17491 Greifswald, Germany
| | - A Caldwell
- Max Planck Institute for Physics, 80805 Munich, Germany
| | | | | | - M Chung
- UNIST, Ulsan 44919, Republic of Korea
| | | | - C Davut
- Cockcroft Institute, Warrington WA4 4AD, United Kingdom
- University of Manchester, Manchester M13 9PL, United Kingdom
| | - G Demeter
- Wigner Research Centre for Physics, 1121 Budapest, Hungary
| | - A C Dexter
- Cockcroft Institute, Warrington WA4 4AD, United Kingdom
- Lancaster University, Lancaster LA1 4YB, United Kingdom
| | | | | | - J Farmer
- CERN, 1211 Geneva 23, Switzerland
- Max Planck Institute for Physics, 80805 Munich, Germany
| | - A Fasoli
- Ecole Polytechnique Federale de Lausanne (EPFL), Swiss Plasma Center (SPC), 1015 Lausanne, Switzerland
| | | | - R Fonseca
- ISCTE-Instituto Universitéario de Lisboa, 1049-001 Lisbon, Portugal
- GoLP/Instituto de Plasmas e Fusão Nuclear, Instituto Superior Técnico, Universidade de Lisboa, 1049-001 Lisbon, Portugal
| | - I Furno
- Ecole Polytechnique Federale de Lausanne (EPFL), Swiss Plasma Center (SPC), 1015 Lausanne, Switzerland
| | - A Gorn
- Budker Institute of Nuclear Physics SB RAS, 630090 Novosibirsk, Russia
- Novosibirsk State University, 630090 Novosibirsk , Russia
| | | | - M Granetzny
- University of Wisconsin, Madison, Wisconsin 53706, USA
| | - T Graubner
- Philipps-Universität Marburg, 35032 Marburg, Germany
| | - O Grulke
- Max Planck Institute for Plasma Physics, 17491 Greifswald, Germany
- Technical University of Denmark, 2800 Kgs. Lyngby, Denmark
| | - V Hafych
- Max Planck Institute for Physics, 80805 Munich, Germany
| | - J Henderson
- Cockcroft Institute, Warrington WA4 4AD, United Kingdom
- Accelerator Science and Technology Centre, ASTeC, STFC Daresbury Laboratory, Warrington WA4 4AD, United Kingdom
| | - M Hüther
- Max Planck Institute for Physics, 80805 Munich, Germany
| | - V Khudiakov
- Budker Institute of Nuclear Physics SB RAS, 630090 Novosibirsk, Russia
- Heinrich-Heine-Universität Düsseldorf, 40225 Düsseldorf, Germany
| | - S-Y Kim
- CERN, 1211 Geneva 23, Switzerland
- UNIST, Ulsan 44919, Republic of Korea
| | - F Kraus
- Philipps-Universität Marburg, 35032 Marburg, Germany
| | - M Krupa
- CERN, 1211 Geneva 23, Switzerland
| | | | - L Liang
- Cockcroft Institute, Warrington WA4 4AD, United Kingdom
- University of Manchester, Manchester M13 9PL, United Kingdom
| | - S Liu
- TRIUMF, Vancouver, Canada
| | - N Lopes
- GoLP/Instituto de Plasmas e Fusão Nuclear, Instituto Superior Técnico, Universidade de Lisboa, 1049-001 Lisbon, Portugal
| | - K Lotov
- Budker Institute of Nuclear Physics SB RAS, 630090 Novosibirsk, Russia
- Novosibirsk State University, 630090 Novosibirsk , Russia
| | | | | | | | - K Moon
- UNIST, Ulsan 44919, Republic of Korea
| | | | - M Moreira
- GoLP/Instituto de Plasmas e Fusão Nuclear, Instituto Superior Técnico, Universidade de Lisboa, 1049-001 Lisbon, Portugal
| | - E Nowak
- CERN, 1211 Geneva 23, Switzerland
| | - C Pakuza
- John Adams Institute, Oxford University, Oxford OX1 3RH, United Kingdom
| | | | | | - K Pepitone
- Angstrom Laboratory, Department of Physics and Astronomy, 752 37 Uppsala, Sweden
| | - A Perera
- University of Liverpool, Liverpool L69 7ZE, United Kingdom
- Cockcroft Institute, Warrington WA4 4AD, United Kingdom
| | - A Pukhov
- Heinrich-Heine-Universität Düsseldorf, 40225 Düsseldorf, Germany
| | - R L Ramjiawan
- CERN, 1211 Geneva 23, Switzerland
- John Adams Institute, Oxford University, Oxford OX1 3RH, United Kingdom
| | - S Rey
- CERN, 1211 Geneva 23, Switzerland
| | - O Schmitz
- University of Wisconsin, Madison, Wisconsin 53706, USA
| | - F Silva
- INESC-ID, Instituto Superior Técnico, Universidade de Lisboa, 1049-001 Lisbon, Portugal
| | - L Silva
- GoLP/Instituto de Plasmas e Fusão Nuclear, Instituto Superior Técnico, Universidade de Lisboa, 1049-001 Lisbon, Portugal
| | - C Stollberg
- Ecole Polytechnique Federale de Lausanne (EPFL), Swiss Plasma Center (SPC), 1015 Lausanne, Switzerland
| | - A Sublet
- CERN, 1211 Geneva 23, Switzerland
| | - C Swain
- University of Liverpool, Liverpool L69 7ZE, United Kingdom
- Cockcroft Institute, Warrington WA4 4AD, United Kingdom
| | | | - N Torrado
- GoLP/Instituto de Plasmas e Fusão Nuclear, Instituto Superior Técnico, Universidade de Lisboa, 1049-001 Lisbon, Portugal
| | - P Tuev
- Budker Institute of Nuclear Physics SB RAS, 630090 Novosibirsk, Russia
- Novosibirsk State University, 630090 Novosibirsk , Russia
| | | | | | - J Vieira
- GoLP/Instituto de Plasmas e Fusão Nuclear, Instituto Superior Técnico, Universidade de Lisboa, 1049-001 Lisbon, Portugal
| | - M Weidl
- Max Planck Institute for Plasma Physics, 80805 Munich, Germany
| | - C Welsch
- University of Liverpool, Liverpool L69 7ZE, United Kingdom
- Cockcroft Institute, Warrington WA4 4AD, United Kingdom
| | - M Wendt
- CERN, 1211 Geneva 23, Switzerland
| | - M Wing
- UCL, London WC1 6BT, United Kingdom
| | - J Wolfenden
- University of Liverpool, Liverpool L69 7ZE, United Kingdom
- Cockcroft Institute, Warrington WA4 4AD, United Kingdom
| | | | - G Xia
- Cockcroft Institute, Warrington WA4 4AD, United Kingdom
- University of Manchester, Manchester M13 9PL, United Kingdom
| | - V Yarygova
- Budker Institute of Nuclear Physics SB RAS, 630090 Novosibirsk, Russia
- Novosibirsk State University, 630090 Novosibirsk , Russia
| | - M Zepp
- University of Wisconsin, Madison, Wisconsin 53706, USA
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16
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Antunes R, Souza M, Souza M, Mancebo A, Raupp V, Sequeira F, Silva L, Barbeitas A, Arêas P, Vaz B, Souza A. P-661 dydrogesterone as an alternative to supress LH surge in single stimulus protocols with follitropin delta. Hum Reprod 2022. [DOI: 10.1093/humrep/deac107.610] [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] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Study question
Is oral dydrogesterone (DYG) 30 mg daily efficient on prevention of premature luteinizing hormone (LH) surge in ART cycles?
Summary answer
Oral dydrogesterone demonstrated to be as safe and effective as GnRH-ant in IVF/ICSI cycles intended to freeze-all / PGT-A, oocyte preservation and embryo banking programs
What is known already
The use of progesterone (PG) to inhibit pituitary LH surge during ovarian stimulation have been described over the last decades. Due to its harmful effect on the endometrium, PG suppression is mainly reserved for freeze-all cycles. Dydrogesterone (DYG), a known and safe synthetic progesterone, has been tested for this purpose based on the concept of its more selective PG receptors activity, which could reduce the inconveniences of side effects with less relevant androgenic, estrogenic, glyco or mineralocorticoid activity. Accordind to some recent work, DYG would be an effective tool both in cycles intended to freeze-all or in oocyte preservation strategies.
Study design, size, duration
Observational, comparative single center study, comparing the effect of DYG and gonadotropin releasing hormone (GnRH) antagonists on prevention of premature luteinizing hormone (LH) surge as well as to evaluate the number of metaphase II oocytes. From January 2019 to January 2020, 143 no age restrictions patients underwent both IVF/ICSI or oocyte preservation, all of them receiving the same single stimulus protocol with follitropin delta (Rekovelle).
Participants/materials, setting, methods
92 IVF/ICSI plus 51 oocyte cryopreservation cycles underwent deltafollitropin (Rekovelle®, Ferring Pharmaceuticals) in a fixed daily and individualized SC-dose. Clinical decision led to a GnRH-antagonist (CTA-Cetrorelix acetate, Cetrotide®, Merck) 0,25 mg/d initiated in a flexible schedule in presence of one follicle ≥14 mm and continued throughout the stimulation period (48 cycles) or dydrogesterone (DYG), 10mg 8/8 hours (Duphaston®, Abbott) combined to gonadotrophin from the beginning of stimulation until the day after the trigger (95 cycles).
Main results and the role of chance
DYG-group had a mean age significantly higher (37.8 x 35.8-p 0.002) but there were no differences in mean parameters of BMI (24.08 x 24.81), days of stimulation (9.95 x 10.08), AMH (2.30 x 2.52), AFC (14.6 x 16.2). In the same way, no differences were observed between follicles 15 mm to 18 mm (3.06 x 3.68) and ≥ 18 mm (4.56 x 3.9), with a tendency for a greater number of larger follicles in the DYG-group. Metaphase II oocytes (7.48 x 7.33) was similar in both groups. One patient from each group experienced a premature LH surge (3.54 x 3.06) and one case in the DYG-group had no oocyte in a single 20mm aspirated follicle. There happened no cancelling. No patients experienced moderate to severe ovarian hyper stimulation syndrome, even when AMH>3 ng/mL. Cancelling criteria: no follicles with a diameter 17 mm by day 15. Oocyte retrieval took place 36 hours after trigging. Primary outcome was the incidence of premature LH surge. Secondary outcomes included follicles ≥ 15 mm and < 18 mm and ≥ 18 mm on hCG day, metaphase II oocytes, number of cancelled cycles and OHSS symptoms. Statistics were performed by Mann-Whitney test.
Limitations, reasons for caution
The main limitation point is the small number of patients. Despite having relative experience with the use of DYG, in this work we limited the sample to consider only one type of stimulus protocol, making the groups more homogeneous for the analysis.
Wider implications of the findings
Dydrogesterone is as effective as GnRH-ant in reducing premature LH surge. It can be considered for IVF/ICSI cycles intended to freeze-all / PGT-A, oocyte preservation and for embryo banking strategies, representing lower costs in these cases.
Trial registration number
not applicable
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Affiliation(s)
- R Antunes
- FERTIPRAXIS, Human Reproduction Center , Rio de Janeiro, Brazil
| | - M.C Souza
- FERTIPRAXIS, Human Reproduction Center , Rio de Janeiro, Brazil
| | - M Souza
- FERTIPRAXIS, Human Reproduction Center , Rio de Janeiro, Brazil
| | - A.C Mancebo
- FERTIPRAXIS, Human Reproduction Center , Rio de Janeiro, Brazil
| | - V Raupp
- FERTIPRAXIS, Human Reproduction Center , Rio de Janeiro, Brazil
| | - F Sequeira
- FERTIPRAXIS, Human Reproduction Center , Rio de Janeiro, Brazil
| | - L Silva
- FERTIPRAXIS, Human Reproduction Center , Rio de Janeiro, Brazil
| | - A.L Barbeitas
- FERTIPRAXIS, Human Reproduction Center , Rio de Janeiro, Brazil
| | - P Arêas
- FERTIPRAXIS, Human Reproduction Center , Rio de Janeiro, Brazil
| | - B Vaz
- FERTIPRAXIS, Human Reproduction Center , Rio de Janeiro, Brazil
| | - A.L Souza
- FERTIPRAXIS, Human Reproduction Center , Rio de Janeiro, Brazil
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17
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Ribeiro S, Peixoto Sales L, Silva L, Caparbo V, Takayama L, Pereira RM. POS1152 BONE AND MUSCLE IMPAIRMENT AND HIGHER VISCERAL ADIPOSE TISSUE MASS IN WOMEN WITH LONG-TERM POLYARTICULAR JUVENIL IDIOPATHIC ARTHRITIS. Ann Rheum Dis 2022. [DOI: 10.1136/annrheumdis-2022-eular.3616] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
BackgroundSome studies suggest that patients with juvenile idiopathic arthritis (JIA) may have reduced bone parameters and muscle mass. Despite those considerations, there is no validated consensus about this topic in the literature as the population and the methods for bone and muscle evaluation are often heterogeneous and not standardized.ObjectivesTo assess bone parameters and body composition of women with long-term polyarticular JIA and compare them to healthy controls.MethodsTwenty-seven women with long-term polyarticular JIA were compared with twenty-seven healthy controls, matched by sex, age, and body mass index (BMI). Dual-energy X-ray absorptiometry (DXA) was performed to evaluate the lean mass, body fat percentage (% Fat), and visceral adipose tissue mass (VATm). High resolution peripheral quantitative computed tomography (HR-pQCT) at the distal radius and tibia was performed to assess trabecular (Tb.) and cortical (Ct.) volumetric bone mineral density (v.BMD) and strength bone parameters (stiffness - S; estimated fail load - FL). Group means were compared using Student’s t-test.ResultsPolyarticular JIA patients have a lower trabecular and cortical volumetric bone density, a lower bone strength, and a lower lean mass compared to healthy controls. Moreover, long-term JIA patients have a higher visceral adipose tissue mass (Table 1).Table 1.Bone parameters using high resolution peripheral quantitative computed tomography (HR-pQCT) and body composition in long-term polyarticular patients and healthy controls.Polyarticular JIA n=27Healthy controls n=27p-valueAge, years31.8 ± 7.633 ± 8.20.597BMI, Kg/m224 ± 4.824.6 ± 4.70.931Disease duration, years22 ± 10-----Remission or low activity, n (%)16 (59)-----Use of prednisone, n (%)5 (18)-----Rheumatoid factor9 (33)0 (0)Lean mass, kg35.7 ± 4.739 ± 7.2<0.001%Fat, %39 ± 837 ± 70.364VATm, kg588 ± 538212 ± 2090.001HR-pQCT at the distal radiusTb.v.BMD, mg HA/cm3125 ± 32159 ± 38<0.001Ct.v.BMD, mg HA/cm3994 ± 461035 ± 43<0.001S, kN/mm64 ± 1178 ± 180.001FL, N3174 ± 8793710 ± 827<0.001HR-pQCT at the distal tibiaTb.vBMD, mg HA/cm3128 ± 48162 ± 320.003Ct.vBMD, mg HA/cm3990 ± 57993 ± 520.811S, kN/mm179 ± 39212 ± 40<0.001FL, N8519 ± 17739675 ± 25250.004Data expressed as mean ± standard deviation or frequency (percentage). Tb.vBMD – trabecular volumetric bone mineral density, Ct.vBMD – cortical volumetric bone mineral density; S - stiffness; FL - estimated fail loadConclusionPre-menopausal women with long-term polyarticular JIA have an impairment of bone mineral density at peripheral sites in addition to lower muscle mass and higher visceral adipose tissue. These findings may contribute to the increasing osteoporosis/fractures and cardiovascular risk in this population, suggesting that measures should be considered to prevent these damages.References[1]Bechtold S, Ripperger P, Dalla Pozza R, Schmidt H, Häfner R, Schwarz HP. Musculoskeletal and functional muscle-bone analysis in children with rheumatic disease using peripheral quantitative computed tomography. Osteoporos Int a J Establ as result Coop between Eur Found Osteoporos Natl Osteoporos Found USA. 2005 Jul;16(7):757–63.[2]Burnham JM, Shults J, Sembhi H, Zemel BS, Leonard MB. The dysfunctional muscle-bone unit in juvenile idiopathic arthritis. J Musculoskelet Neuronal Interact. 2006;6(4):351–2.[3]Felin EMO, Prahalad S, Askew EW, Moyer-Mileur LJ. Musculoskeletal abnormalities of the tibia in juvenile rheumatoid arthritis. Arthritis Rheum. 2007 Mar;56(3):984–94.[4]Roth J, Linge M, Tzaribachev N, Schweizer R, Kuemmerle-Deschner J. Musculoskeletal abnormalities in juvenile idiopathic arthritis - A 4-year longitudinal study. Rheumatology. 2007 Jul;46(7):1180–4.5.Disclosure of InterestsNone declared
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Azevedo F, André R, Silva L, Medinas R, Almeida C. Acceptance and Commitment Therapy for Psychosis. What’s the evidence? Eur Psychiatry 2022. [PMCID: PMC9568257 DOI: 10.1192/j.eurpsy.2022.1922] [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 Cognitive behavioural therapy for psychosis as an adjuvant to pharmacological treatment has been been shown to be one of the most effective interventions for schizophrenia with benefits noted in even treatment resistant schizophrenia. Benefits have been mostly registered in the positive symptoms domain of schizophrenia. Acceptance and commitment therapy is a third generation Cognitive-Behavioural Therapy, empirically supported for a range of symptoms and conditions, including psychosis, with quickly increasing data. It targets experiential avoidance, which seems to be closely related with psychopathology. Its ability to also target affective symptoms can be an important advantage in the adjuvant treatment of psychosis. Objectives To critically review the evidence of acceptance and commitment therapy in psychosis. Methods Non-systematic review of the literature with selection of scientific articles published in the past 10 years; by searching Pubmed and Medscape databases using the combination of MeSH descriptors. The following MeSH terms were used: “schizophrenia”, “acceptance and commitment therapy”. Results Very few studies have been published on ACT and psychosis, with even less controlled trials and systematic reviews. So far there is convincing evidence for ACT reducing the frequency of hallucinations, increasing the outcomes of traumatic events associated with psychosis and having measurable effects on anxiety and help seeking behaviour. Conclusions As Acceptance and Commitment therapy evolves and more evidence arises a new kind of therapy with possible effects on both affective and positive symptoms in schizophrenia can emerge, allowing us to know what works for patients with psychosis and through what mechanisms and permitting the improvement of treatment strategies. Disclosure No significant relationships.
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Silva L, Bravo L. Possible Therapeutics Effects of Ayahuasca, a Psychedelic Compound. Eur Psychiatry 2022. [PMCID: PMC9567539 DOI: 10.1192/j.eurpsy.2022.2260] [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
Ayahuasca is an hallucinogenic tea prepared from the Amazonian vine Banisteriopsis caapi and the leaves of the plant Psychotria Viridis. Banisteriopsis caapi contains monoamine oxidase inhibitors (MAO) that render the N, N-dimethyltryptamine (DMT) of Psychotria Viridis active. This brew is being used as a sacrament in syncretic religions in urban areas of Brazil and worldwide with the purpose of enabling a spiritual experience as well as healing for a variety of conditions such as drug addiction, depression and anxiety disorders.
Objectives
This work aims to provide an understanding on the potential benefits of ayahuasca in psychiatric symptoms, as well as its neuropsychological functioning, neuroimaging and adverse events.
Methods
A non-systematic review was performed on PubMed database and Google Scholar, using the key words “Ayahuasca, Drug Addiction, Psychedelics, DMT, Neuroplasticity”. The review included experimental studies in humans, observational studies, systemic review articles and clinical trials.
Results
In a randomized placebo-controlled trial, ayahuasca had a significant antidepressant effect when compared to the placebo group. Long term ayahuasca usage was associated with structural alterations in the medial parts of the brain with no evidence of increased psychopathology or worse neuropsychological functioning. According to reviewed studies the incident of prolonged psychotic reaction among ayahuasca users is rare and the causal relation with ayahuasca is sometimes difficult to establish.
Conclusions
Despite the promising results, more controlled double-blinded studies with larger populations are necessary to better understand the therapeutic potentials and side effects of ayahuasca.
Disclosure
No significant relationships.
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Silva L, Bravo L. Does LSD Have Any Therapeutical Value In Mental Disorders? A Non-Systemic Review. Eur Psychiatry 2022. [PMCID: PMC9567923 DOI: 10.1192/j.eurpsy.2022.2272] [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: 11/29/2022] Open
Abstract
Introduction Lysergic acid diethylamide (LSD) a semi synthetic hallucinogen, was first synthetized by Albert Hofmann in 1938 and its psychological properties were not discovered until 1943. There was a brief renaissance of its use in psychiatry, specifically in assisted psychotherapy for the treatment of alcoholism, neurosis and psychosomatic disorders. However, research with LSD and others psychedelics substances rapidly came to an end with its broad international prohibition in the 1970´s. Objectives This work aims to provide an understanding on the potential benefits of LSD in mental disorders, as well as its mechanism of action and effects on human brain. Methods A non-systematic review was performed on PubMed database, using the key words “LSD, mental disorder, neuroimaging, cerebral plasticity, psychedelics, substance use disorder”. Websites of the Berkley Foundation and Multidisciplinary Association For Psychedelic Studies (MAPS) were also searched. Results Significant evidence has emerged that LSD may have a role in the treatment for some mental disorder, including drug and alcohol dependence and anxiety associated with life threatening diseases. Evidence based on modern neuroimaging technique suggest that LSD alters the brain blood flow, electrical activity, and network communication patterns. Preclinical evidence also demonstrated that psychedelics affect neuroplasticity after acute and chronic administration. Conclusions Based on the available evidence LSD when administered safely in a methodologically supervised psychotherapeutic setting can have a potential use for certain psychiatric conditions, suggesting that larger controlled studies are warranted Disclosure No significant relationships.
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Azevedo F, Silva L, Quintão A, Moura N, Duarte P. Group therapy in Schizophrenia. What’s the evidence? Eur Psychiatry 2022. [PMCID: PMC9567596 DOI: 10.1192/j.eurpsy.2022.1924] [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: 11/30/2022] Open
Abstract
Introduction The American Psychiatric Association and NICE’s Guidelines for schizophrenia recommend psychosocial interventions as adjuvants to pharmacological treatment, highlighting the role of cognitive behavioral therapy for psychosis, psychoeducation, family intervention, cognitive remediation, autonomy training, social skills training, and supported employment. Although highly recommended in their individual forms current guidelines make no definitive statement about their group applicability. Objectives The goal of this work was to critically review the evidence of group interventions in schizophrenia Methods Non-systematic review of the literature with selection of scientific articles published in the past 10 years; by searching Pubmed and Medscape databases using the combination of MeSH descriptors. The following MeSH terms were used: “schizophrenia”, “group therapy”. Results Group therapy has shown important benefits in different conditions over the years, likely through mechanisms such as peer motivation, controlled confrontation, increased insight and even a tendency to homogenous results between group participants through peer influence. These results have been reproduced in schizophrenia though the benefits of applying group concepts to structured psychosocial interventions is still under study. Conclusions Recent evidence suggests some evidence-based interventions can be applicable in group form, namely social skills training, cognitive remediation, psychoeducation, and multifamily groups, synergizing the already known benefits with newer therapy models and decreasing costs for patients and healthcare systems. Adequate controlled studies between individual and group therapy will shed further light on this matter. Disclosure No significant relationships.
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Machado PM, Schaefer M, Mahil S, Dand N, Gianfrancesco M, Lawson-Tovey S, Yiu Z, Yates M, Hyrich K, Gossec L, Carmona L, Mateus E, Wiek D, Bhana S, Gore-Massy M, Grainger R, Hausmann J, Sufka P, Sirotich E, Wallace Z, Olofsson T, Lomater C, Romeo N, Wendling D, Pham T, Miceli Richard C, Fautrel B, Silva L, Santos H, Martins FR, Hasseli R, Pfeil A, Regierer A, Isnardi C, Soriano E, Quintana R, Omura F, Machado Ribeiro F, Pinheiro M, Bautista-Molano W, Alpizar-Rodriguez D, Saad C, Dubreuil M, Haroon N, Gensler LS, Dau J, Jacobsohn L, Liew J, Strangfeld A, Barker J, Griffiths CEM, Robinson P, Yazdany J, Smith C. OP0249 CHARACTERISTICS ASSOCIATED WITH POOR COVID-19 OUTCOMES IN PEOPLE WITH PSORIASIS AND SPONDYLOARTHRITIS: DATA FROM THE COVID-19 PsoProtect AND GLOBAL RHEUMATOLOGY ALLIANCE PHYSICIAN-REPORTED REGISTRIES. Ann Rheum Dis 2022. [DOI: 10.1136/annrheumdis-2022-eular.1753] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
BackgroundSome factors associated with severe COVID-19 outcomes have been identified in patients with psoriasis (PsO) and inflammatory/autoimmune rheumatic diseases, namely older age, male sex, comorbidity burden, higher disease activity, and certain medications such as rituximab. However, information about specificities of patients with PsO, psoriatic arthritis (PsA) and axial spondyloarthritis (axSpA), including disease modifying anti-rheumatic drugs (DMARDs) specifically licensed for these conditions, such as IL-17 inhibitors (IL-17i), IL-23/IL-12 + 23 inhibitors (IL-23/IL-12 + 23i), and apremilast, is lacking.ObjectivesTo determine characteristics associated with severe COVID-19 outcomes in people with PsO, PsA and axSpA.MethodsThis study was a pooled analysis of data from two physician-reported registries: the Psoriasis Patient Registry for Outcomes, Therapy and Epidemiology of COVID-19 Infection (PsoProtect), comprising patients with PsO/PsA, and the COVID-19 Global Rheumatology Alliance (GRA) registry, comprising patients with PsA/axSpA. Data from the beginning of the pandemic up to 25 October, 2021 were included. An ordinal severity outcome was defined as: 1) not hospitalised, 2) hospitalised without death, and 3) death. A multivariable ordinal logistic regression model was constructed to assess the relationship between COVID-19 severity and demographic characteristics (age, sex, time period of infection), comorbidities (hypertension, other cardiovascular disease [CVD], chronic obstructive lung disease [COPD], asthma, other chronic lung disease, chronic kidney disease, cancer, smoking, obesity, diabetes mellitus [DM]), rheumatic/skin disease (PsO, PsA, axSpA), physician-reported disease activity, and medication exposure (methotrexate, leflunomide, sulfasalazine, TNFi, IL17i, IL-23/IL-12 + 23i, Janus kinase inhibitors (JAKi), apremilast, glucocorticoids [GC] and NSAIDs). Age-adjustment was performed employing four-knot restricted cubic splines. Country-adjustment was performed using random effects.ResultsA total of 5008 individuals with PsO (n=921), PsA (n=2263) and axSpA (n=1824) were included. Mean age was 50 years (SD 13.5) and 51.8% were male. Hospitalisation (without death) was observed in 14.6% of cases and 1.8% died. In the multivariable model, the following variables were associated with severe COVID-19 outcomes: older age (Figure 1), male sex (OR 1.53, 95%CI 1.29-1.82), CVD (hypertension alone: 1.26, 1.02-1.56; other CVD alone: 1.89, 1.22-2.94; vs no hypertension and no other CVD), COPD or asthma (1.75, 1.32-2.32), other lung disease (2.56, 1.66-3.97), chronic kidney disease (2.32, 1.50-3.59), obesity and DM (obesity alone: 1.36, 1.07-1.71; DM alone: 1.85, 1.39-2.47; obesity and DM: 1.89, 1.34-2.67; vs no obesity and no DM), higher disease activity and GC intake (remission/low disease activity and GC intake: 1.96, 1.36-2.82; moderate/severe disease activity and no GC intake: 1.35, 1.05-1.72; moderate/severe disease activity and GC intake 2.30, 1.41-3.74; vs remission/low disease activity and no GC intake). Conversely, the following variables were associated with less severe COVID-19 outcomes: time period after 15 June 2020 (16 June 2020-31 December 2020: 0.42, 0.34-0.51; 1 January 2021 onwards: 0.52, 0.41-0.67; vs time period until 15 June 2020), a diagnosis of PsO (without arthritis) (0.49, 0.37-0.65; vs PsA), and exposure to TNFi (0.58, 0.45-0.75; vs no DMARDs), IL17i (0.63, 0.45-0.88; vs no DMARDs), IL-23/IL-12 + 23i (0.68, 0.46-0.997; vs no DMARDs) and NSAIDs (0.77, 0.60-0.98; vs no NSAIDs).ConclusionMore severe COVID-19 outcomes in PsO, PsA and axSpA are largely driven by demographic factors (age, sex), comorbidities, and active disease. None of the DMARDs typically used in PsO, PsA and axSpA, were associated with severe COVID-19 outcomes, including IL-17i, IL-23/IL-12 + 23i, JAKi and apremilast.AcknowledgementsWe thank all the contributors to the COVID-19 PsoProtect, GRA and EULAR Registries.Disclosure of InterestsNone declared
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Fox A, Widmer F, Barreiro A, Jongen M, Musyoki M, Vieira Â, Zimmermann J, Cruz C, Dimitrova-Mårtensson LM, Rasche F, Silva L, Lüscher A. Small-scale agricultural grassland management can affect soil fungal community structure as much as continental scale geographic patterns. FEMS Microbiol Ecol 2021; 97:6430861. [PMID: 34792119 PMCID: PMC8684450 DOI: 10.1093/femsec/fiab148] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2021] [Accepted: 11/16/2021] [Indexed: 11/25/2022] Open
Abstract
A European transect was established, ranging from Sweden to the Azores, to determine the relative influence of geographic factors and agricultural small-scale management on the grassland soil microbiome. Within each of five countries (factor ‘Country’), which maximized a range of geographic factors, two differing growth condition regions (factor ‘GCR’) were selected: a favorable region with conditions allowing for high plant biomass production and a contrasting less favorable region with a markedly lower potential. Within each region, grasslands of contrasting management intensities (factor ‘MI’) were defined: intensive and extensive, from which soil samples were collected. Across the transect, ‘MI’ was a strong differentiator of fungal community structure, having a comparable effect to continental scale geographic factors (‘Country’). ‘MI’ was also a highly significant driver of bacterial community structure, but ‘Country’ was clearly the stronger driver. For both, ‘GCR’ was the weakest driver. Also at the regional level, strong effects of MI occurred on various measures of the soil microbiome (i.e. OTU richness, management-associated indicator OTUs), though the effects were largely regional-specific. Our results illustrate the decisive influence of grassland MI on soil microbial community structure, over both regional and continental scales, and, thus, highlight the importance of preserving rare extensive grasslands.
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Affiliation(s)
- A Fox
- Forage Production and Grassland Systems, Agroscope, Reckenholzstrasse 191, Zürich, Switzerland.,Molecular Ecology, Agroscope, Reckenholzstrasse 191, Zürich, Switzerland
| | - F Widmer
- Molecular Ecology, Agroscope, Reckenholzstrasse 191, Zürich, Switzerland
| | - A Barreiro
- Swedish University of Agricultural Sciences, Department of Biosystems and Technology, P.O. Box 103, SE-230 53 Alnarp, Sweden
| | - M Jongen
- Centro de Ciência e Tecnologia do Ambiente e do Mar (MARETEC), Instituto Superior Técnico, Universidade de Lisboa, Av. Rovisco Pais, 1, 1049-001 Lisboa, Portugal
| | - M Musyoki
- University of Hohenheim, Hans-Ruthenberg-Institute, Garbenstr. 13, 70599 Stuttgart, Germany
| | - Â Vieira
- InBIO - Research Network in Biodiversity and Evolutionary Biology, Associate Laboratory, CIBIO-Açores, Faculty of Sciences and Technology, University of the Azores, Campus de Ponta Delgada, Rua da Mãe de Deus, 9500-321 Ponta Delgada, Portugal
| | - J Zimmermann
- University of Hohenheim, Hans-Ruthenberg-Institute, Garbenstr. 13, 70599 Stuttgart, Germany
| | - C Cruz
- Centro de Ecologia, Evolução e Alterações Ambientais, (cE3c), FCUL, Campo Grande, Universidade de Lisboa, 1749-016 Lisboa, Portugal
| | - L-M Dimitrova-Mårtensson
- Swedish University of Agricultural Sciences, Department of Biosystems and Technology, P.O. Box 103, SE-230 53 Alnarp, Sweden
| | - F Rasche
- University of Hohenheim, Hans-Ruthenberg-Institute, Garbenstr. 13, 70599 Stuttgart, Germany
| | - L Silva
- InBIO - Research Network in Biodiversity and Evolutionary Biology, Associate Laboratory, CIBIO-Açores, Faculty of Sciences and Technology, University of the Azores, Campus de Ponta Delgada, Rua da Mãe de Deus, 9500-321 Ponta Delgada, Portugal
| | - A Lüscher
- Forage Production and Grassland Systems, Agroscope, Reckenholzstrasse 191, Zürich, Switzerland
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Folchini N, Silva L, Alves R, Consentini C, Silva M, Silva T, Acosta-Galindez J, Drum J, Motta J, Gonzales B, Sartori R. 167 Ovarian response and embryo production of cows superstimulated with different FSH regimens and inseminated with conventional or sex-sorted spermatozoa. Reprod Fertil Dev 2021; 34:322. [PMID: 35231376 DOI: 10.1071/rdv34n2ab167] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Affiliation(s)
- N Folchini
- University of São Paulo, Piracicaba, SP, Brazil
| | - L Silva
- University of São Paulo, Piracicaba, SP, Brazil
| | - R Alves
- University of São Paulo, Piracicaba, SP, Brazil
| | | | - M Silva
- University of São Paulo, Piracicaba, SP, Brazil
| | - T Silva
- University of São Paulo, Piracicaba, SP, Brazil
| | | | - J Drum
- University of Missouri, Columbia, MO, USA
| | - J Motta
- The Ohio State University, Columbus, OH, USA
| | | | - R Sartori
- University of São Paulo, Piracicaba, SP, Brazil
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Mohamed SA, Silva L, Strong P, Dietrich A, Cornish J. SP3.1.14 NELA; what happens after discharge? Br J Surg 2021. [DOI: 10.1093/bjs/znab361.065] [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] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
Abstract
Abstract
Aims
NELA has been instrumental at improving perioperative care and 30–day mortality following emergency laparotomy (EmLap); long-term outcomes and follow-up are less well reported. This study aims to establish the unscheduled and scheduled service use of EmLap patients after discharge.
Methods
This is a single-centre service evaluation. Patients were included if they had an EmLap recorded from 2016-2019 at our local institute and were alive on discharge. Outcomes were 30-day readmission rate and outpatient follow-up.
Results
944 patients were included. 11.9% re-presented to the surgical department within 30-days; 58.0% of these needed readmissions. The most common causes for re-presentation (n = 112) were management of a wound issue (15.2%), ongoing pain without evidence of complication (10.7%) and ongoing intra-abdominal sepsis (9.8%).
1-year survival was 81.4%. Of these (n = 856); 74.3% were invited to outpatients; DNA rate was 8.8%, with only 67.8% of patients having a follow-up review. Median time to follow up was 9 weeks. Patients were more likely to be invited for outpatient review if they had a new stoma (OR 2.56, 95% CI 1.81 – 3.56), and less likely if adhesiolysis was the primary procedure (OR 0.55, 95% 0.39-0.76).
Patients who failed to attend an appointment were significantly younger (median age 53 vs. 60 years, p = 0.0033) and from more deprived areas (average WIMD 673.6 vs 977.3, p = 0.002).
Conclusion
This study demonstrates higher levels of unscheduled care and lower levels of scheduled care than expected. Care standards should be extended beyond the 30-day milestone to fully appreciate the morbidity associated from EmLap.
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Tang AM, Chandler S, Reeves N, Silva L, Harris DA, Dhruva Rao PK. SP4.1.5The use of Faecal Immunochemical Testing (FIT) and Minimal Preparation Computed Tomography (MPCT) during COVID-19 for Urgent Suspected Cancer (USC) referrals in patients with lower gastro-intestinal symptoms. Br J Surg 2021. [PMCID: PMC8574423 DOI: 10.1093/bjs/znab361.085] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/03/2022]
Abstract
Aims The COVID-19 pandemic necessitated introduction of revised diagnostic pathways for assessing Urgent Suspected Cancer (USC) referrals. Combinations of FIT and MPCT were used to manage referrals and prioritise access to clinical services or invasive tests. The effectiveness of these pathways are evaluated in this study. Methods All consecutive patients referred from primary care on the USC pathway between 15th March – 15th June 2020 were included to reflect the effect of full lockdown measures. Data collected included demographics, presenting symptom(s), investigations and timelines and patient outcomes up to 90 days following initial referral. Results 816 patients across 8 sites in Wales were included in this initial analysis. 52.7% of patients were female with median age 69 (21 – 97) years. Of the 50.7% who had first-line clinical review, 70.5% were virtual consultations. 49.3% had primary investigations, with FIT in 31% of patients and MPCT in 18.3%. This was compliant with locally agreed pathways for 77.3% of referrals. COVID-response pathways achieved a 28.5% reduction in use of colonoscopy as first-line investigation and 84.3% of patients avoided face-to-face consultations altogether during this first wave of the pandemic. Overall, 5.6% of USC referrals were diagnosed with CRC. Median timescale from diagnosis to treatment for CRC was 82 (4 – 175) days. The NPV for FIT in this cohort was 99.5%. MPCT as the first modality had a NPV of 99%. Conclusion A modified investigation pathway maintained cancer diagnosis during the pandemic with improved resource utilisation to that used previously.
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Affiliation(s)
- A M Tang
- Swansea Bay University Health Board
| | | | - N Reeves
- Cardiff and Vale University Health Board
| | - L Silva
- Cardiff and Vale University Health Board
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Silva L, Moreira HT, Oliveira MM, Cintra LSS, Schmidt A, Salgado HC, Fazan Jr R, Tinos R, Rassi Jr A, Marin-Neto JA. Heart rate variability as a biomarker in chronic chagas cardiomyopathy patients with or without concomitant digestive involvement, for prediction of rassi score risk classes. Eur Heart J 2021. [DOI: 10.1093/eurheartj/ehab724.1819] [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
Introduction
The pathogenesis of Chronic Chagas Cardiomyopathy (CCC) is not yet fully elucidated. However, dysautonomia is one of the factors involved, in addition to being the essential mechanism in the pathogenesis of the Digestive Form of Chagas Disease (DFCD). The prognostic value of dysautonomia remains speculative, and there are no correlative studies of dysautonomia in CCC and DFCD.
Purpose
This study has three aims: a) to investigate in patients with CCC the relationship between cardiac dysautonomia, indirectly studied by heart rate variability (HRV), and the prognostic stratification assessed by the Rassi score; b) to compare the HRV in groups with isolated CCC and with the mixed form, i.e. CCC associated with DFCD; c) to evaluate the power of combining HRV indices to predict the risk class of each patient, using machine learning.
Methods
Thirty-one patients with CCC were classified into three risk groups (low, intermediate and high) according to their Rassi score and had two electrocardiograms (ECG) recorded, i.e. the conventional 12-lead and a single lead, the latter for a period of 10 to 20 minutes. From the single lead ECG, two equally sized RR series were generated and 31 HRV indices were calculated from each. The HRV was then compared between the three risk groups and also regarding the presence or not of concomitant digestive impairment. Taking HRV indices as inputs, four machine learning models were compared in its ability to predict the risk class of each patient. A previous step of attribute selection (sequential feature selection) was applied to identify the most relevant HRV indices for each algorithm.
Results
Comparing the HRV indices in the three risk groups obtained with the Rassi score, the phase entropy is decreased [0.91 (0.90, 0.91) vs 0.87 (0.86, 0.89); p=0.039] and the percentage of inflection points is increased [66.4 (63.5, 71.2) vs 58.2 (53.4, 63.3); p=0.032] in patients in the high-risk group, compared to the low-risk group. Of the 31 patients with CCC, 14 had the mixed form of the disease, i.e. with associated digestive impairment. In the latter, the triangular interpolation of the RR interval histogram decreased significantly [78.1 (62.5, 101.6) vs 121.1 (80.1, 146.5), p=0.046], while the absolute power in the low-frequency band decreased with strong trend to statistical significance [28.5 (17.1, 97.5) vs 86.9 (44.1, 171.7), p=0.06]. The best predictive model for each risk group was obtained with the Support Vector Machine, reaching an overall F1-score of 0.61.
Conclusions
The worst prognosis, indicated by the Rassi score, is associated with increased heart rate fragmentation. The combination of HRV indices enhanced the accuracy of the risk stratification. Compared to CCC the mixed form of Chagas' disease displays a decrease in the components of slow heart rate oscillation, suggesting a higher degree of sympathetic autonomic denervation associated with parasympathetic impairment.
Funding Acknowledgement
Type of funding sources: Foundation. Main funding source(s): São Paulo Research Foundation (FAPESP)
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Affiliation(s)
- L Silva
- Medical School of Ribeirao Preto, Ribeirao Preto, Brazil
| | - H T Moreira
- Medical School of Ribeirao Preto, Ribeirao Preto, Brazil
| | - M M Oliveira
- Medical School of Ribeirao Preto, Ribeirao Preto, Brazil
| | - L S S Cintra
- Medical School of Ribeirao Preto, Ribeirao Preto, Brazil
| | - A Schmidt
- Medical School of Ribeirao Preto, Ribeirao Preto, Brazil
| | - H C Salgado
- Medical School of Ribeirao Preto, Ribeirao Preto, Brazil
| | - R Fazan Jr
- Medical School of Ribeirao Preto, Ribeirao Preto, Brazil
| | - R Tinos
- Ribeirão Preto School of Philosophy, Science and Literature, Ribeirão Preto, Brazil
| | | | - J A Marin-Neto
- Medical School of Ribeirao Preto, Ribeirao Preto, Brazil
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Purakal J, Seidenfeld J, Tupetz A, Vissoci J, Silva L, Fiorino C, Phillips A, Limkakeng A, Staton C. 94EMF COVID-19 Infection Experiences and Social Determinants of Health in North Carolina: A Qualitative Analysis. Ann Emerg Med 2021. [PMCID: PMC8536271 DOI: 10.1016/j.annemergmed.2021.09.103] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Silva L, Vieira B, Castilha L, Takahashi S, Avila A, Souza C, Cella P, Broch J, Nunes R. Partial replacement of DL-Methionine and methionine hydroxy analogue with betaine in diets for broiler chickens. S AFR J ANIM SCI 2021. [DOI: 10.4314/sajas.v51i4.14] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
The study evaluated the effects on the growth performance and carcass characteristics of broiler chickens of DL-Methionine (DL-Met) and methionine hydroxy analogue (MHA) supplementation and their partial replacement with betaine (Bet). Two experiments were performed from day 1 to 21 and from day 22 to 42. Broiler chickens were assigned to six treatments, in a completely randomized design and a 2 × 2 + 2 factorial arrangement, consisting of two Met sources (DL-Met and MHA), with or without Bet, and two negative controls. The six treatments consisted of i) NC-DLM: negative control for DL-Met with 7% reduction in DL-Met; ii) NC-MHA: negative control for MHA with 7% reduction of MHA, iii) DLM100: without Bet, supplemented exclusively with DL-Met reaching 100% of requirements, iv) MHA100: without Bet supplemented exclusively with MHA reaching 100% of requirements, v) DLM93+Bet: DL-Met at 93% of recommended level plus betaine; vi) MHA93+Bet: MHA at 93% of recommended level plus betaine. Growth from day 1 to 21 was not altered by methionine source or betaine supplementation. However, the negative controls had numerically less weight gain and feed conversion ratio (FCR) . Between days and 42 there were no effects on growth. Betaine could partially replace methionine without altering the growth of broiler chickens. In addition, the partial replacement of DL-Met with betaine increased body crude protein content. However, its use increased body fat content regardless of methionine source.
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Purakal J, Seidenfeld J, Tupetz A, Vissoci J, Silva L, Limkakeng A, Fiorino C, Phillips A, Staton C. 30EMF COVID-19 Infection Experiences and Social Determinants of Health in North Carolina: A Qualitative Analysis. Ann Emerg Med 2021. [PMCID: PMC8335433 DOI: 10.1016/j.annemergmed.2021.07.031] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Purakal J, Silva L, Tupetz A, Seidenfeld J, Limkakeng A, Staton C, Vissoci J. 27EMF Social Determinants of Health and COVID-19 Infection in North Carolina: A Geospatial Analysis. Ann Emerg Med 2021. [PMCID: PMC8335497 DOI: 10.1016/j.annemergmed.2021.07.028] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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Pinto AS, Cunha M, Oliveira Pinheiro F, Bernardes M, Assunção H, Martinho J, Tenazinha MC, Duarte Monteiro AM, Silva S, Martins FR, Silva L, Couto M, Faria M, Araújo F, Fontes T, Faria D, Tavares-Costa J. POS0640 EFFECTIVENESS AND SAFETY OF ORIGINAL AND BIOSIMILAR ETANERCEPT IN bDMARD-NAÏVE PATIENTS IN A REAL-WORLD COHORT OF PORTUGAL. Ann Rheum Dis 2021. [DOI: 10.1136/annrheumdis-2021-eular.3706] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
Background:The patent expiration of the original etanercept in Europe has facilitated the development of biosimilar products. Non-significant differences in efficacy and safety were noted in clinical trials which are not expected to influence clinical performance. Nonetheless, daily practice data should be gathered to support the claim for biosimilarity.Objectives:To compare the effectiveness and safety of original and biosimilar etanercept, in biological-Disease Modifying Antirheumatic Drug (bDMARD)-naïve patients.Methods:A retrospective multicenter non-interventional study, using data collected prospectively from Reuma.pt (The Rheumatic Diseases Portuguese Register) was done, including patients with: age ≥ 18 years old; diagnosis of Rheumatoid Arthritis (RA), Psoriatic Arthritis (PsA) or Spondyloarthritis (SpA) (axial or peripheral); active disease who initiated treatment with etanercept as first line of biological treatment after 2010. Kaplan-Meyer was used to calculate the persistence rate in treatment. Disease activity at baseline and follow-up data at 6, 12, 18 and 24 months of treatment was compared using the chi-square for categorical variables and t-student or Mann-Whitney tests for continuous variables. Reasons for discontinuing therapy were summarized using descriptive statistics. Statistical significance was assumed for 2-sided p-values >0.05.Results:We included 1694 patients (413 on biosimilar and 1280 on original etanercept) 864 with RA, 335 with PsA and 494 with SpA. The population’s baseline characteristics were not significantly different among both groups, except concomitant treatment in RA (higher use of conventional DMARDs in biosimilar group and higher use of NSAIDs in original group) and in SpA patients (higher use of corticosteroids in original group).At baseline, a higher joint count was found in patients treated with original etanercept with a statistical difference for swollen (p=0.03) and tender (p=0.01) joints count (SJC and TJC, respectively) in RA and in TJC in SpA patients (p=0.02). In RA patients, CDAI and SDAI were higher in patients who started original (p=0.03; p=0.04, respectively). Pain measured by visual analogic scale was higher in SpA patients treated with biosimilar (p=0.03).The 3-year PR was not significantly different between both treatment groups in RA, PsA and SpA (Figure1). In RA, PR in biosimilar was 72.6%, with a median time-on-drug (TOD) of 28.3 months; for original etanercept PR was 63.6%, with a median TOD of 27.4 months (p=0.566). In PsA patients, the PR for biosimilar was 70.6%, with a median TOD of 27.6 months, and in original drug 67.0%, with a median TOD of 28.1 months (p=0.743). In SpA patients, the PR were 78.4% for biosimilar (median TOD of 27.4 months) and 71.5% for original treatment (median TOD of 28.0 months (p=0.816)).Figure 1.Drug survival in biosimilar and original etanercept in Rheumatoid Arthritis, Psoriatic Arthritis and SpondyloarthritisIn RA patients, we did not find differences between the two treatment groups for the proportion of patients in remission or low disease activity by CDAI ≤10, SDAI≤11 or DAS28 <3.2 at 6, 12, 18 and 24 months of treatment. For PsA, no differences were found in the same timelines for DAPSA≤14, DAS28<3.2, BASDAI<4, ASDAS<2.1 or PsARC response. Also, in SpA patients, no differences were found in BASDAI<4, BASFI<4, ASDAS<2.1, ASDAS response and BASDAI response in all the timelines with the exception of BASDAI response at 18 months, which was achieved in fewer patients in biosimilar therapy (p=0.02).Overall, 535 (31.6%) patients stopped etanercept (428 patients on original and 107 patients on biosimilar). Discontinuations due to inefficacy were the most frequent, but there were no significant differences between both groups as for adverse events. Discontinuations due to “other reasons” were higher for the original group, both in RA (p=0.01) and in SpA (p=0.04).Conclusion:Biosimilar and original used as first-line biological treatment showed similar effectiveness and safety in our long-term cohort of patients with RA, PsA, and SpADisclosure of Interests:None declared
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Queirós C, Silva L, Miroux Catarino A, Labareda J, Catorze G, Viana I. Topical imiquimod as neoadjuvant therapy before Mohs micrographic surgery for basal cell carcinoma in the head and neck region: findings from a large retrospective study. Br J Dermatol 2021; 185:851-853. [PMID: 33997952 DOI: 10.1111/bjd.20487] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Subscribe] [Scholar Register] [Accepted: 05/13/2021] [Indexed: 11/27/2022]
Affiliation(s)
- C Queirós
- Serviço de Dermatologia, Hospital de Santa Maria, Centro Hospitalar e Universitário de Lisboa Norte, Portugal
| | - L Silva
- Serviço de Dermatologia, Hospital Egas Moniz, Centro Hospitalar de Lisboa Ocidental, Portugal
| | - A Miroux Catarino
- Serviço de Dermatologia, Hospital Egas Moniz, Centro Hospitalar de Lisboa Ocidental, Portugal
| | - J Labareda
- Serviço de Dermatologia, Hospital Egas Moniz, Centro Hospitalar de Lisboa Ocidental, Portugal
| | - G Catorze
- Serviço de Dermatologia, Hospital Egas Moniz, Centro Hospitalar de Lisboa Ocidental, Portugal
| | - I Viana
- Serviço de Dermatologia, Hospital Egas Moniz, Centro Hospitalar de Lisboa Ocidental, Portugal
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Silva L, Bernal N, Tuca M, Espinosa M, de la Fuente G. A narrow intercondylar gap favours anterior cruciate ligament (ACL) rupture in patients with an immature skeleton. Rev Esp Cir Ortop Traumatol (Engl Ed) 2021. [DOI: 10.1016/j.recote.2020.08.005] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [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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Torres A, Mignano A, Viseu I, Rodrigues L, Herdeiro T, Silva L, Afreixo V. Neuroleptic malignant syndrome associated with second-generation antipsychotics (SGA): An analysis of reported cases in eudravigilance database, 2017-2020. Eur Psychiatry 2021. [PMCID: PMC9480265 DOI: 10.1192/j.eurpsy.2021.2151] [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 Antipsychotic drugs are the cornerstone of the pharmacological treatment of psychotic disorders; however, even with Second-generation antipsychotics (SGA), adverse effects continue to be extremely accentuated and the treatment effectiveness is compromised by low adherence of the patient. Objectives Taking into consideration the importance of adverse effects for psychotic therapeutics, this study aims to analyze the adverse effect of the Neuroleptic Malignant Syndrome (NMS) reported in EudraVigilance Database, associated with 3 widely used SGA, Risperidone, Quetiapine, and Clozapine. Methods The EudraVigilance Database was analyzed from 09/01/2017 to 31/10/2020 about NMS, associated with Risperidone, Quetiapine, and Clozapine. NMS is the second most reported adverse effect inside the Nervous System Disorders SOC (System Organ Class). There were just considered NMS as suspected adverse effect. Results It was observed a general tendency of reduction of NMS reports from 2017 to 2020 (most of them performed by healthcare professionals). Risperidone presented the highest level of reports during this period (more than 350), followed by Quetiapine and Clozapine. The NMS reports were predominantly referred to the male sex, from 18 to 64 years old. Risperidone presented the lowest number of fatal cases of NMS (1), in contrast with 3 reported with Quetiapine and Clozapine. A significant number of patients with Schizophrenia recovered from NMS. Conclusions It is important to do clinical monitoring of the NMS, because it is rare, although it has life-threatening consequences. Pharmacovigilance databases are important tools to evaluate the safety of drugs and it must be more widely and efficiently promoted for healthcare and patients use. Disclosure No significant relationships.
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Pacheco P, Pacheco M, Marinho D, Oliveira T, Marques A, Souza K, Franco E, Maia J, Silva L, Molini-Avejonas D. Impacts of social distancing during the covid19 pandemic on the development of children with autism in Brazil. Eur Psychiatry 2021. [PMCID: PMC9528258 DOI: 10.1192/j.eurpsy.2021.704] [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
COVID-19 is a respiratory disease and its main symptoms are fever, dry cough and difficulty breathing. It spread to several countries, which led the World Health Organization to decree, on March 11, 2020, a pandemic state that deeply affected Brazil. Due to the impossibility of leaving the house, the routine of children with autism was changed. Children in Autism Spectrum Disorder (ASD) have a qualitative deficit in social interaction. Clinical and daily observations reinforce several scientific studies that defend the importance of maintaining a routine as stable as possible for people with ASD, without this stability they may become emotionally disorganized, feel discomfort or even irritability.ObjectivesInvestigate the impact caused by social distancing on the development of children and adolescents with autism.MethodsAn online questionnaire based on the DIR/Floortime basic map of emotional functional capacity development was distributed in Brazil from April to May, 2020. The results were analyzed using SPSS software.ResultsResults obtained from 122 questionnaires showed that after 30 days of quarantine 20% of children no longer had the characteristic of being able to remain calm and organized for at least 2 minutes; 11% no longer initiates interactions with their parents; 27% demonstrated more protests and anger than before the social distancing; 18% demonstrated more emotions such as anger, fear and intimacy, 28% began to understand their limits and 12% of the children are using greater facial expression during the social distancing.ConclusionsThis study brings results that can help to understand the processes in a child with autism.
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Miranda J, Silva L, Almeida C, Figueiredo I, Machado D, Fonseca S. Bleuler’s a or autism spectrum disorder in adults? Eur Psychiatry 2021. [PMCID: PMC9475672 DOI: 10.1192/j.eurpsy.2021.1442] [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: 12/05/2022] Open
Abstract
Introduction Nowadays we know that autism spectrum disorders (ASD) and Schizophrenic spectrum (SS) are different types of disorders in their etiology, symptoms and prognosis, but the clinical distinction is often difficult to make due to comorbidity and similar symptoms. Objectives With this project, the authors intend to explore the differential diagnosis between ASD and SS specially when we talk about critical ages of onset. Methods An analysis of articles searched on Pubmed (articles between 2010-2020) with the key words “adult autism”, “childhood onset schizophrenia”, “childhood psychosis”. Results Early-onset schizophrenia (EOS) is defined as occurring before age 18 years. The condition share key diagnostic symptoms with adult-onset schizophrenia (AOS) but his prognoses and comorbidities differ. Autism spectrum disorder (ASD) is a common neurodevelopmental disorder characterized by difficulties since early childhood across reciprocal social communication and restricted interests and behaviors. ASD is a lifelong neurodevelopmental disorder, however there is a lack of answers and research for adults with ASD. There are shared aspects of odd thinking, rigid behaviors and impaired socialization in schizophrenia and ASD and COS seems to have a strong relationship with ASD, being comorbid in up to 50% of cases. Conclusions Usually the evaluation of the developmental history of the person, prodrome and onset, its course and the presence of positive symptoms of schizophrenia is enough to help us find a diagnosis. Unfortunately, in some ages the conclusion is not so easy to find. However is essential to determine whether the clinical manifestations belong to the autistic spectrum, the schizophrenic or result from comorbidity.
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Montecinos S, Tognana S, Pereyra M, Silva L, Tomba JP. Study of a stream in Argentina with a high concentration of microplastics: Preliminary analysis of the methodology. Sci Total Environ 2021; 760:143390. [PMID: 33213909 DOI: 10.1016/j.scitotenv.2020.143390] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/21/2020] [Revised: 10/06/2020] [Accepted: 10/20/2020] [Indexed: 05/05/2023]
Abstract
This study presents for the first time results about the microplastic concentration and their origin in a stream of the Pampas region in Argentina, receiving wastewater of an intermediate city. The most appropriate procedure to analyze and quantify the microplastics in the studied system is the use of an oxidative digestion process using a 30% H2O2 solution to eliminate the organic matter in the samples. A high quantity of MPs, on the order of millions of microplastics per m3 of water, was estimated in the Langueyú stream. 56% of the microplastics correspond to fibers with diameters between 10 and 15 μm and lengths less than 500 μm, while 44% are fragments with sizes of tens of micrometers. Raman microspectroscopy was used to identify the type of fibers. The characteristics of the microplastic fibers released in a wash load test are comparable with those observed in the Langueyú stream, in particular, the average sizes and the distribution of the diameters of the MPFs are similar. The processes in the sewage treatment plant, prior to their discharge in the stream, would affect the color of the fibers and their length.
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Affiliation(s)
- S Montecinos
- IFIMAT-Facultad de Ciencias Exactas, Universidad Nacional del Centro de la Provincia de Buenos Aires, Pinto 399, 7000 Tandil, Argentina; CIFICEN (UNCPBA-CONICET-CICPBA), Facultad de Ciencias Exactas, Universidad Nacional del Centro de la Provincia de Buenos Aires, Pinto 399, 7000 Tandil, Argentina; Consejo Nacional de Investigaciones Científicas y Técnicas CONICET, Godoy Cruz 2290, C1425FQB Buenos Aires, Argentina.
| | - S Tognana
- IFIMAT-Facultad de Ciencias Exactas, Universidad Nacional del Centro de la Provincia de Buenos Aires, Pinto 399, 7000 Tandil, Argentina; CIFICEN (UNCPBA-CONICET-CICPBA), Facultad de Ciencias Exactas, Universidad Nacional del Centro de la Provincia de Buenos Aires, Pinto 399, 7000 Tandil, Argentina; Comisión de Investigaciones Científicas de la Provincia de Bs. As, Calle 526 e/ 10 y 11, 1900 La Plata, Argentina
| | - M Pereyra
- CIFICEN (UNCPBA-CONICET-CICPBA), Facultad de Ciencias Exactas, Universidad Nacional del Centro de la Provincia de Buenos Aires, Pinto 399, 7000 Tandil, Argentina; Instituto R. Graton IFAS -Facultad de Ciencias Exactas, Universidad Nacional del Centro de la Provincia de Buenos Aires, Pinto 399, 7000 Tandil, Argentina
| | - L Silva
- Consejo Nacional de Investigaciones Científicas y Técnicas CONICET, Godoy Cruz 2290, C1425FQB Buenos Aires, Argentina; Instituto de Investigaciones en Ciencia y Tecnología de Materiales (INTEMA), Universidad Nacional de Mar del Plata (UNMDP)-CONICET, Avenida Colón 10850, 7600 Mar del Plata, Argentina
| | - J Pablo Tomba
- Consejo Nacional de Investigaciones Científicas y Técnicas CONICET, Godoy Cruz 2290, C1425FQB Buenos Aires, Argentina; Instituto de Investigaciones en Ciencia y Tecnología de Materiales (INTEMA), Universidad Nacional de Mar del Plata (UNMDP)-CONICET, Avenida Colón 10850, 7600 Mar del Plata, Argentina
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Silva L, Queirós C, Borges-Costa J, Barreto R, Filipe P, Melo-Cristino J. Chlamydia trachomatis Infections in a Tertiary Care Portuguese Hospital: An 11-Year Retrospective Study. Actas Dermosifiliogr 2021. [PMID: 34088478 DOI: 10.1016/j.adengl.2021.03.001] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
Abstract
BACKGROUND Chlamydia trachomatis infections remain a burden worldwide. The goals of this study were to determine the number of C. trachomatis infections per year, characterize the demographic traits of the infected population and identify the associated sexually transmitted infections (STI), over the last 11 years, in Lisbon main Hospital Centre. MATERIALS AND METHODS Laboratorial confirmed C. trachomatis infections diagnosed between January 1st, 2009 and December 31st, 2019 were evaluated. RESULTS A total of 6404 samples were collected, with 602 being positive for C. trachomatis, corresponding to 550 patients. 60% of diagnoses were made by dermatovenereologists and most cases occurred in males (n = 371; 67.5%), with a median age of 26.1 years (standard deviation 7.98), ranging from 13 to 68 years. More than half the cases (51.3%) occurred below the age of 25 years. In 87 patients (15.8%) there was previous history of STI, in 198 patients (36%) a concomitant STI was present and 43 patients (7.8%) developed a posterior STI. Concerning follow-up, 196 patients (corresponding to 35.6% of total patients) did not show for a re-evaluation after the diagnosis was made. CONCLUSION Confirmed cases of C. trachomatis infection have risen along the years, affecting mainly people younger than 25 years. C. trachomatis infection is especially associated with Neisseria gonorrhoeae infection, but other STI are also very prevalent. Considering the potential complications of C. trachomatis infection, screening and treatment are necessary. The high percentage of diagnoses made by dermatovenereologists support the pivotal role of dermatovenereology in diagnosing C. trachomatis infections.
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Affiliation(s)
- L Silva
- Dermatology Department, Hospital de Egas Moniz, Centro Hospitalar de Lisboa Ocidental, Lisboa, Portugal.
| | - C Queirós
- Dermatology Department, Hospital de Santa Maria, Centro Hospitalar Universitário de Lisboa Norte, Lisboa, Portugal
| | - J Borges-Costa
- Dermatology Department, Hospital de Santa Maria, Centro Hospitalar Universitário de Lisboa Norte, Lisboa, Portugal; Faculdade de Medicina, Lisboa, Portugal
| | - R Barreto
- Anatomical Pathology Department, Hospital de Santa Maria, Centro Hospitalar Universitário de Lisboa Norte, Lisboa, Portugal
| | - P Filipe
- Dermatology Department, Hospital de Santa Maria, Centro Hospitalar Universitário de Lisboa Norte, Lisboa, Portugal; Faculdade de Medicina, Lisboa, Portugal
| | - J Melo-Cristino
- Faculdade de Medicina, Lisboa, Portugal; Anatomical Pathology Department, Hospital de Santa Maria, Centro Hospitalar Universitário de Lisboa Norte, Lisboa, Portugal
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Rotow J, Patel J, Hanley M, Yu H, Goldman J, Nechustan H, Scheffler M, Awad M, Clifford S, Santucci A, Silva L, Tupper R, Oxnard G, Kherani J, Drilon A. FP14.07 Combination Osimertinib plus Selpercatinib for EGFR-mutant Non-Small Cell Lung Cancer (NSCLC) with Acquired RET fusions. J Thorac Oncol 2021. [DOI: 10.1016/j.jtho.2021.01.150] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Silva L, Queirós C, Borges-Costa J, Barreto R, Filipe P, Melo-Cristino J. Chlamydia trachomatis Infections in a Tertiary Care Portuguese Hospital: An 11-Year Retrospective Study. Actas Dermosifiliogr 2021. [PMID: 33582074 DOI: 10.1016/j.ad.2021.01.002] [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] [Indexed: 11/26/2022] Open
Abstract
BACKGROUND Chlamydia trachomatis infections remain a burden worldwide. The goals of this study were to determine the number of C.trachomatis infections per year, characterize the demographic traits of the infected population and identify the associated sexually transmitted infections (STI), over the last 11years, in Lisbon main Hospital Centre. MATERIALS AND METHODS Laboratorial confirmed C.trachomatis infections diagnosed between January 1st, 2009 and December 31st, 2019 were evaluated. RESULTS A total of 6404 samples were collected, with 602 being positive for C.trachomatis, corresponding to 550 patients. 60% of diagnoses were made by dermatovenereologists and most cases occurred in males (n=371; 67.5%), with a median age of 26.1years (standard deviation 7.98), ranging from 13 to 68years. More than half the cases (51.3%) occurred below the age of 25years. In 87 patients (15.8%) there was previous history of STI, in 198 patients (36%) a concomitant STI was present and 43 patients (7.8%) developed a posterior STI. Concerning follow-up, 196 patients (corresponding to 35.6% of total patients) did not show for a re-evaluation after the diagnosis was made. CONCLUSION Confirmed cases of C.trachomatis infection have risen along the years, affecting mainly people younger than 25 years. C.trachomatis infection is especially associated with Neisseriagonorrhoeae infection, but other STI are also very prevalent. Considering the potential complications of C.trachomatis infection, screening and treatment are necessary. The high percentage of diagnoses made by dermatovenereologists support the pivotal role of dermatovenereology in diagnosing C.trachomatis infections.
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Affiliation(s)
- L Silva
- Servicio de Dermatología, Hospital de Egas Moniz, Centro Hospitalario de Lisboa Ocidental, Lisboa, Portugal.
| | - C Queirós
- Servicio de Dermatología, Hospital de Santa Maria, Centro Hospitalario y Universitario de Lisboa Norte, Lisboa, Portugal
| | - J Borges-Costa
- Servicio de Dermatología, Hospital de Santa Maria, Centro Hospitalario y Universitario de Lisboa Norte, Lisboa, Portugal; Facultad de Medicina, Universidad de Lisboa, Lisboa, Portugal
| | - R Barreto
- Servicio de Anatomía Patológica, Hospital de Santa Maria, Centro Hospitalario y Universitario de Lisboa Norte, Lisboa, Portugal
| | - P Filipe
- Servicio de Dermatología, Hospital de Santa Maria, Centro Hospitalario y Universitario de Lisboa Norte, Lisboa, Portugal; Facultad de Medicina, Universidad de Lisboa, Lisboa, Portugal
| | - J Melo-Cristino
- Facultad de Medicina, Universidad de Lisboa, Lisboa, Portugal; Servicio de Anatomía Patológica, Hospital de Santa Maria, Centro Hospitalario y Universitario de Lisboa Norte, Lisboa, Portugal
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Silva L, Bernal N, Tuca M, Espinosa M, de la Fuente G. A narrow intercondylar gap favours anterior cruciate ligament (ACL) rupture in patients with an immature skeleton. Rev Esp Cir Ortop Traumatol (Engl Ed) 2021; 65:201-206. [PMID: 33455882 DOI: 10.1016/j.recot.2020.08.004] [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: 07/13/2020] [Revised: 08/12/2020] [Accepted: 08/18/2020] [Indexed: 10/22/2022] Open
Abstract
OBJECTIVE Anatomical risk factors predisposing to anterior cruciate ligament (ACL) and/or avulsion fractures of tibial spines (AFET) have been reported in paediatric patients with controversial results. Our aim is to compare morphometric parameters in magnetic resonance imaging (MRI) of patients with immature skeleton presenting AFET or ACL rupture versus healthy controls. METHODS Observational study of a transverse cohort where all those patients with immature skeleton presenting ACL rupture or AFET were collected consecutively. A control group of patients with open physis and MRI reported without lesions was added. A trained observer measured in each MRI with previously standardized technique: a)the width of the intercondylar femoral notch, and b)the opening angle of the intercondylar femoral notch. RESULTS The sample was composed of 11 patients with ACL rupture, 11 patients with TEA and 11 normal controls. The opening angle of the intercondylar femoral notch, measured in axial and coronal sections, was significantly lower in those patients with ACL rupture versus healthy controls (P=.0256 and P=.0097). The rest of the variables studied did not present significant differences between groups. CONCLUSION In patients with an immature skeleton, a narrower femoral intercondylar notch is associated with ACL rupture, while those with an ETF do not present a distinctive bone anatomy versus healthy controls. These findings suggest that bone morphometric parameters are associated with a lesional or other pattern in open-knee.
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Affiliation(s)
- L Silva
- Clínica Alemana Santiago, Universidad del Desarrollo, Santiago, Chile.
| | - N Bernal
- Clínica Alemana Santiago, Universidad del Desarrollo, Santiago, Chile
| | - M Tuca
- Clínica Alemana Santiago, Universidad del Desarrollo, Santiago, Chile
| | - M Espinosa
- Clínica Alemana Santiago, Universidad del Desarrollo, Santiago, Chile
| | - G de la Fuente
- Clínica Alemana Santiago, Universidad del Desarrollo, Santiago, Chile
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43
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Adamczewski-Musch J, Arnold O, Behnke C, Belounnas A, Belyaev A, Berger-Chen JC, Blanco A, Blume C, Böhmer M, Bordalo P, Chernenko S, Chlad L, Ciepal I, Deveaux C, Dreyer J, Epple E, Fabbietti L, Fateev O, Filip P, Fonte P, Franco C, Friese J, Fröhlich I, Galatyuk T, Garzón JA, Gernhäuser R, Golosov O, Golubeva M, Greifenhagen R, Guber F, Gumberidze M, Harabasz S, Heinz T, Hennino T, Hlavac S, Höhne C, Holzmann R, Ierusalimov A, Ivashkin A, Kämpfer B, Karavicheva T, Kardan B, Koenig I, Koenig W, Kohls M, Kolb BW, Korcyl G, Kornakov G, Kornas F, Kotte R, Kugler A, Kunz T, Kurepin A, Kurilkin A, Kurilkin P, Ladygin V, Lalik R, Lapidus K, Lebedev A, Lopes L, Lorenz M, Mahmoud T, Maier L, Malige A, Mamaev M, Mangiarotti A, Markert J, Matulewicz T, Maurus S, Metag V, Michel J, Mihaylov DM, Morozov S, Müntz C, Münzer R, Naumann L, Nowakowski K, Parpottas Y, Pechenov V, Pechenova O, Petukhov O, Piasecki K, Pietraszko J, Przygoda W, Pysz K, Ramos S, Ramstein B, Rathod N, Reshetin A, Rodriguez-Ramos P, Rosier P, Rost A, Rustamov A, Sadovsky A, Salabura P, Scheib T, Schuldes H, Schwab E, Scozzi F, Seck F, Sellheim P, Selyuzhenkov I, Siebenson J, Silva L, Singh U, Smyrski J, Sobolev YG, Spataro S, Spies S, Ströbele H, Stroth J, Sturm C, Svoboda O, Szala M, Tlusty P, Traxler M, Tsertos H, Usenko E, Wagner V, Wendisch C, Wiebusch MG, Wirth J, Wójcik D, Zanevsky Y, Zumbruch P. Directed, Elliptic, and Higher Order Flow Harmonics of Protons, Deuterons, and Tritons in Au+Au Collisions at sqrt[s_{NN}]=2.4 GeV. Phys Rev Lett 2020; 125:262301. [PMID: 33449792 DOI: 10.1103/physrevlett.125.262301] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/26/2020] [Revised: 10/07/2020] [Accepted: 11/29/2020] [Indexed: 06/12/2023]
Abstract
Flow coefficients v_{n} of the orders n=1-6 are measured with the High-Acceptance DiElectron Spectrometer (HADES) at GSI for protons, deuterons, and tritons as a function of centrality, transverse momentum, and rapidity in Au+Au collisions at sqrt[s_{NN}]=2.4 GeV. Combining the information from the flow coefficients of all orders allows us to construct for the first time, at collision energies of a few GeV, a multidifferential picture of the angular emission pattern of these particles. It reflects the complicated interplay between the effect of the central fireball pressure on the emission of particles and their subsequent interaction with spectator matter. The high precision information on higher order flow coefficients is a major step forward in constraining the equation of state of dense baryonic matter.
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Affiliation(s)
- J Adamczewski-Musch
- GSI Helmholtzzentrum für Schwerionenforschung GmbH, 64291 Darmstadt, Germany
| | - O Arnold
- Excellence Cluster "Origin and Structure of the Universe," 85748 Garching, Germany
- Physik Department E62, Technische Universität München, 85748 Garching, Germany
| | - C Behnke
- Institut für Kernphysik, Goethe-Universität, 60438 Frankfurt, Germany
| | - A Belounnas
- Laboratoire de Physique des 2 infinis Irène Joliot-Curie, Université Paris-Saclay, CNRS-IN2P3, F-91405 Orsay, France
| | - A Belyaev
- Joint Institute of Nuclear Research, 141980 Dubna, Russia
| | - J C Berger-Chen
- Excellence Cluster "Origin and Structure of the Universe," 85748 Garching, Germany
- Physik Department E62, Technische Universität München, 85748 Garching, Germany
| | - A Blanco
- LIP-Laboratório de Instrumentação e Física Experimental de Partículas, 3004-516 Coimbra, Portugal
| | - C Blume
- Institut für Kernphysik, Goethe-Universität, 60438 Frankfurt, Germany
| | - M Böhmer
- Physik Department E62, Technische Universität München, 85748 Garching, Germany
| | - P Bordalo
- LIP-Laboratório de Instrumentação e Física Experimental de Partículas, 3004-516 Coimbra, Portugal
| | - S Chernenko
- Joint Institute of Nuclear Research, 141980 Dubna, Russia
| | - L Chlad
- Nuclear Physics Institute, The Czech Academy of Sciences, 25068 Rez, Czech Republic
| | - I Ciepal
- Institute of Nuclear Physics, Polish Academy of Sciences, 31342 Kraków, Poland
| | - C Deveaux
- II.Physikalisches Institut, Justus Liebig Universität Giessen, 35392 Giessen, Germany
| | - J Dreyer
- Institut für Strahlenphysik, Helmholtz-Zentrum Dresden-Rossendorf, 01314 Dresden, Germany
| | - E Epple
- Excellence Cluster "Origin and Structure of the Universe," 85748 Garching, Germany
- Physik Department E62, Technische Universität München, 85748 Garching, Germany
| | - L Fabbietti
- Excellence Cluster "Origin and Structure of the Universe," 85748 Garching, Germany
- Physik Department E62, Technische Universität München, 85748 Garching, Germany
| | - O Fateev
- Joint Institute of Nuclear Research, 141980 Dubna, Russia
| | - P Filip
- Institute of Physics, Slovak Academy of Sciences, 84228 Bratislava, Slovakia
| | - P Fonte
- LIP-Laboratório de Instrumentação e Física Experimental de Partículas, 3004-516 Coimbra, Portugal
| | - C Franco
- LIP-Laboratório de Instrumentação e Física Experimental de Partículas, 3004-516 Coimbra, Portugal
| | - J Friese
- Physik Department E62, Technische Universität München, 85748 Garching, Germany
| | - I Fröhlich
- Institut für Kernphysik, Goethe-Universität, 60438 Frankfurt, Germany
| | - T Galatyuk
- GSI Helmholtzzentrum für Schwerionenforschung GmbH, 64291 Darmstadt, Germany
- Technische Universität Darmstadt, 64289 Darmstadt, Germany
| | - J A Garzón
- LabCAF. F. Física, Universidad de Santiago de Compostela, 15706 Santiago de Compostela, Spain
| | - R Gernhäuser
- Physik Department E62, Technische Universität München, 85748 Garching, Germany
| | - O Golosov
- National Research Nuclear University MEPhI (Moscow Engineering Physics Institute), 115409 Moscow, Russia
| | - M Golubeva
- Institute for Nuclear Research, Russian Academy of Science, 117312 Moscow, Russia
| | - R Greifenhagen
- Institut für Strahlenphysik, Helmholtz-Zentrum Dresden-Rossendorf, 01314 Dresden, Germany
| | - F Guber
- Institute for Nuclear Research, Russian Academy of Science, 117312 Moscow, Russia
| | - M Gumberidze
- GSI Helmholtzzentrum für Schwerionenforschung GmbH, 64291 Darmstadt, Germany
- Technische Universität Darmstadt, 64289 Darmstadt, Germany
| | - S Harabasz
- Smoluchowski Institute of Physics, Jagiellonian University of Cracow, 30-059 Kraków, Poland
- Technische Universität Darmstadt, 64289 Darmstadt, Germany
| | - T Heinz
- GSI Helmholtzzentrum für Schwerionenforschung GmbH, 64291 Darmstadt, Germany
| | - T Hennino
- Laboratoire de Physique des 2 infinis Irène Joliot-Curie, Université Paris-Saclay, CNRS-IN2P3, F-91405 Orsay, France
| | - S Hlavac
- Institute of Physics, Slovak Academy of Sciences, 84228 Bratislava, Slovakia
| | - C Höhne
- GSI Helmholtzzentrum für Schwerionenforschung GmbH, 64291 Darmstadt, Germany
- II.Physikalisches Institut, Justus Liebig Universität Giessen, 35392 Giessen, Germany
| | - R Holzmann
- GSI Helmholtzzentrum für Schwerionenforschung GmbH, 64291 Darmstadt, Germany
| | - A Ierusalimov
- Joint Institute of Nuclear Research, 141980 Dubna, Russia
| | - A Ivashkin
- Institute for Nuclear Research, Russian Academy of Science, 117312 Moscow, Russia
| | - B Kämpfer
- Institut für Strahlenphysik, Helmholtz-Zentrum Dresden-Rossendorf, 01314 Dresden, Germany
| | - T Karavicheva
- Institute for Nuclear Research, Russian Academy of Science, 117312 Moscow, Russia
| | - B Kardan
- Institut für Kernphysik, Goethe-Universität, 60438 Frankfurt, Germany
| | - I Koenig
- GSI Helmholtzzentrum für Schwerionenforschung GmbH, 64291 Darmstadt, Germany
| | - W Koenig
- GSI Helmholtzzentrum für Schwerionenforschung GmbH, 64291 Darmstadt, Germany
| | - M Kohls
- Institut für Kernphysik, Goethe-Universität, 60438 Frankfurt, Germany
| | - B W Kolb
- GSI Helmholtzzentrum für Schwerionenforschung GmbH, 64291 Darmstadt, Germany
| | - G Korcyl
- Smoluchowski Institute of Physics, Jagiellonian University of Cracow, 30-059 Kraków, Poland
| | - G Kornakov
- Technische Universität Darmstadt, 64289 Darmstadt, Germany
| | - F Kornas
- Technische Universität Darmstadt, 64289 Darmstadt, Germany
| | - R Kotte
- Institut für Strahlenphysik, Helmholtz-Zentrum Dresden-Rossendorf, 01314 Dresden, Germany
| | - A Kugler
- Nuclear Physics Institute, The Czech Academy of Sciences, 25068 Rez, Czech Republic
| | - T Kunz
- Physik Department E62, Technische Universität München, 85748 Garching, Germany
| | - A Kurepin
- Institute for Nuclear Research, Russian Academy of Science, 117312 Moscow, Russia
| | - A Kurilkin
- Joint Institute of Nuclear Research, 141980 Dubna, Russia
| | - P Kurilkin
- Joint Institute of Nuclear Research, 141980 Dubna, Russia
| | - V Ladygin
- Joint Institute of Nuclear Research, 141980 Dubna, Russia
| | - R Lalik
- Smoluchowski Institute of Physics, Jagiellonian University of Cracow, 30-059 Kraków, Poland
| | - K Lapidus
- Excellence Cluster "Origin and Structure of the Universe," 85748 Garching, Germany
- Physik Department E62, Technische Universität München, 85748 Garching, Germany
| | - A Lebedev
- Institute of Theoretical and Experimental Physics, 117218 Moscow, Russia
| | - L Lopes
- LIP-Laboratório de Instrumentação e Física Experimental de Partículas, 3004-516 Coimbra, Portugal
| | - M Lorenz
- Institut für Kernphysik, Goethe-Universität, 60438 Frankfurt, Germany
| | - T Mahmoud
- II.Physikalisches Institut, Justus Liebig Universität Giessen, 35392 Giessen, Germany
| | - L Maier
- Physik Department E62, Technische Universität München, 85748 Garching, Germany
| | - A Malige
- Smoluchowski Institute of Physics, Jagiellonian University of Cracow, 30-059 Kraków, Poland
| | - M Mamaev
- National Research Nuclear University MEPhI (Moscow Engineering Physics Institute), 115409 Moscow, Russia
| | - A Mangiarotti
- LIP-Laboratório de Instrumentação e Física Experimental de Partículas, 3004-516 Coimbra, Portugal
| | - J Markert
- GSI Helmholtzzentrum für Schwerionenforschung GmbH, 64291 Darmstadt, Germany
| | - T Matulewicz
- Uniwersytet Warszawski, Wydział Fizyki, Instytut Fizyki Doświadczalnej, 02-093 Warszawa, Poland
| | - S Maurus
- Physik Department E62, Technische Universität München, 85748 Garching, Germany
| | - V Metag
- II.Physikalisches Institut, Justus Liebig Universität Giessen, 35392 Giessen, Germany
| | - J Michel
- Institut für Kernphysik, Goethe-Universität, 60438 Frankfurt, Germany
| | - D M Mihaylov
- Excellence Cluster "Origin and Structure of the Universe," 85748 Garching, Germany
- Physik Department E62, Technische Universität München, 85748 Garching, Germany
| | - S Morozov
- Institute for Nuclear Research, Russian Academy of Science, 117312 Moscow, Russia
- National Research Nuclear University MEPhI (Moscow Engineering Physics Institute), 115409 Moscow, Russia
| | - C Müntz
- Institut für Kernphysik, Goethe-Universität, 60438 Frankfurt, Germany
| | - R Münzer
- Excellence Cluster "Origin and Structure of the Universe," 85748 Garching, Germany
- Physik Department E62, Technische Universität München, 85748 Garching, Germany
| | - L Naumann
- Institut für Strahlenphysik, Helmholtz-Zentrum Dresden-Rossendorf, 01314 Dresden, Germany
| | - K Nowakowski
- Smoluchowski Institute of Physics, Jagiellonian University of Cracow, 30-059 Kraków, Poland
| | - Y Parpottas
- Department of Physics, University of Cyprus, 1678 Nicosia, Cyprus
| | - V Pechenov
- GSI Helmholtzzentrum für Schwerionenforschung GmbH, 64291 Darmstadt, Germany
| | - O Pechenova
- GSI Helmholtzzentrum für Schwerionenforschung GmbH, 64291 Darmstadt, Germany
| | - O Petukhov
- Institute for Nuclear Research, Russian Academy of Science, 117312 Moscow, Russia
| | - K Piasecki
- Uniwersytet Warszawski, Wydział Fizyki, Instytut Fizyki Doświadczalnej, 02-093 Warszawa, Poland
| | - J Pietraszko
- GSI Helmholtzzentrum für Schwerionenforschung GmbH, 64291 Darmstadt, Germany
| | - W Przygoda
- Smoluchowski Institute of Physics, Jagiellonian University of Cracow, 30-059 Kraków, Poland
| | - K Pysz
- Institute of Nuclear Physics, Polish Academy of Sciences, 31342 Kraków, Poland
| | - S Ramos
- LIP-Laboratório de Instrumentação e Física Experimental de Partículas, 3004-516 Coimbra, Portugal
| | - B Ramstein
- Laboratoire de Physique des 2 infinis Irène Joliot-Curie, Université Paris-Saclay, CNRS-IN2P3, F-91405 Orsay, France
| | - N Rathod
- Smoluchowski Institute of Physics, Jagiellonian University of Cracow, 30-059 Kraków, Poland
| | - A Reshetin
- Institute for Nuclear Research, Russian Academy of Science, 117312 Moscow, Russia
| | - P Rodriguez-Ramos
- Nuclear Physics Institute, The Czech Academy of Sciences, 25068 Rez, Czech Republic
| | - P Rosier
- Laboratoire de Physique des 2 infinis Irène Joliot-Curie, Université Paris-Saclay, CNRS-IN2P3, F-91405 Orsay, France
| | - A Rost
- Technische Universität Darmstadt, 64289 Darmstadt, Germany
| | - A Rustamov
- GSI Helmholtzzentrum für Schwerionenforschung GmbH, 64291 Darmstadt, Germany
| | - A Sadovsky
- Institute for Nuclear Research, Russian Academy of Science, 117312 Moscow, Russia
| | - P Salabura
- Smoluchowski Institute of Physics, Jagiellonian University of Cracow, 30-059 Kraków, Poland
| | - T Scheib
- Institut für Kernphysik, Goethe-Universität, 60438 Frankfurt, Germany
| | - H Schuldes
- Institut für Kernphysik, Goethe-Universität, 60438 Frankfurt, Germany
| | - E Schwab
- GSI Helmholtzzentrum für Schwerionenforschung GmbH, 64291 Darmstadt, Germany
| | - F Scozzi
- Technische Universität Darmstadt, 64289 Darmstadt, Germany
- Laboratoire de Physique des 2 infinis Irène Joliot-Curie, Université Paris-Saclay, CNRS-IN2P3, F-91405 Orsay, France
| | - F Seck
- Technische Universität Darmstadt, 64289 Darmstadt, Germany
| | - P Sellheim
- Institut für Kernphysik, Goethe-Universität, 60438 Frankfurt, Germany
| | - I Selyuzhenkov
- GSI Helmholtzzentrum für Schwerionenforschung GmbH, 64291 Darmstadt, Germany
- National Research Nuclear University MEPhI (Moscow Engineering Physics Institute), 115409 Moscow, Russia
| | - J Siebenson
- Physik Department E62, Technische Universität München, 85748 Garching, Germany
| | - L Silva
- LIP-Laboratório de Instrumentação e Física Experimental de Partículas, 3004-516 Coimbra, Portugal
| | - U Singh
- Smoluchowski Institute of Physics, Jagiellonian University of Cracow, 30-059 Kraków, Poland
| | - J Smyrski
- Smoluchowski Institute of Physics, Jagiellonian University of Cracow, 30-059 Kraków, Poland
| | - Yu G Sobolev
- Nuclear Physics Institute, The Czech Academy of Sciences, 25068 Rez, Czech Republic
| | - S Spataro
- Dipartimento di Fisica and INFN, Università di Torino, 10125 Torino, Italy
| | - S Spies
- Institut für Kernphysik, Goethe-Universität, 60438 Frankfurt, Germany
| | - H Ströbele
- Institut für Kernphysik, Goethe-Universität, 60438 Frankfurt, Germany
| | - J Stroth
- GSI Helmholtzzentrum für Schwerionenforschung GmbH, 64291 Darmstadt, Germany
- Institut für Kernphysik, Goethe-Universität, 60438 Frankfurt, Germany
| | - C Sturm
- GSI Helmholtzzentrum für Schwerionenforschung GmbH, 64291 Darmstadt, Germany
| | - O Svoboda
- Nuclear Physics Institute, The Czech Academy of Sciences, 25068 Rez, Czech Republic
| | - M Szala
- Institut für Kernphysik, Goethe-Universität, 60438 Frankfurt, Germany
| | - P Tlusty
- Nuclear Physics Institute, The Czech Academy of Sciences, 25068 Rez, Czech Republic
| | - M Traxler
- GSI Helmholtzzentrum für Schwerionenforschung GmbH, 64291 Darmstadt, Germany
| | - H Tsertos
- Department of Physics, University of Cyprus, 1678 Nicosia, Cyprus
| | - E Usenko
- Institute for Nuclear Research, Russian Academy of Science, 117312 Moscow, Russia
| | - V Wagner
- Nuclear Physics Institute, The Czech Academy of Sciences, 25068 Rez, Czech Republic
| | - C Wendisch
- GSI Helmholtzzentrum für Schwerionenforschung GmbH, 64291 Darmstadt, Germany
| | - M G Wiebusch
- GSI Helmholtzzentrum für Schwerionenforschung GmbH, 64291 Darmstadt, Germany
| | - J Wirth
- Excellence Cluster "Origin and Structure of the Universe," 85748 Garching, Germany
- Physik Department E62, Technische Universität München, 85748 Garching, Germany
| | - D Wójcik
- Uniwersytet Warszawski, Wydział Fizyki, Instytut Fizyki Doświadczalnej, 02-093 Warszawa, Poland
| | - Y Zanevsky
- Joint Institute of Nuclear Research, 141980 Dubna, Russia
| | - P Zumbruch
- GSI Helmholtzzentrum für Schwerionenforschung GmbH, 64291 Darmstadt, Germany
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Nehrbass-Ahles C, Shin J, Schmitt J, Bereiter B, Joos F, Schilt A, Schmidely L, Silva L, Teste G, Grilli R, Chappellaz J, Hodell D, Fischer H, Stocker TF. Abrupt CO 2 release to the atmosphere under glacial and early interglacial climate conditions. Science 2020; 369:1000-1005. [PMID: 32820127 DOI: 10.1126/science.aay8178] [Citation(s) in RCA: 23] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/02/2019] [Accepted: 07/09/2020] [Indexed: 11/02/2022]
Abstract
Pulse-like carbon dioxide release to the atmosphere on centennial time scales has only been identified for the most recent glacial and deglacial periods and is thought to be absent during warmer climate conditions. Here, we present a high-resolution carbon dioxide record from 330,000 to 450,000 years before present, revealing pronounced carbon dioxide jumps (CDJ) under cold and warm climate conditions. CDJ come in two varieties that we attribute to invigoration or weakening of the Atlantic meridional overturning circulation (AMOC) and associated northward and southward shifts of the intertropical convergence zone, respectively. We find that CDJ are pervasive features of the carbon cycle that can occur during interglacial climate conditions if land ice masses are sufficiently extended to be able to disturb the AMOC by freshwater input.
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Affiliation(s)
- C Nehrbass-Ahles
- Climate and Environmental Physics, Physics Institute, University of Bern, Bern, Switzerland. .,Oeschger Centre for Climate Change Research, University of Bern, Bern, Switzerland.,Godwin Laboratory for Palaeoclimate Research, Department of Earth Sciences, University of Cambridge, Cambridge, UK
| | - J Shin
- Institute of Environmental Geosciences (IGE), Grenoble INP, IRD, CNRS, Université Grenoble Alpes, Grenoble, France
| | - J Schmitt
- Climate and Environmental Physics, Physics Institute, University of Bern, Bern, Switzerland.,Oeschger Centre for Climate Change Research, University of Bern, Bern, Switzerland
| | - B Bereiter
- Climate and Environmental Physics, Physics Institute, University of Bern, Bern, Switzerland.,Oeschger Centre for Climate Change Research, University of Bern, Bern, Switzerland.,Laboratory for Air Pollution/Environmental Technology, Empa-Swiss Federal Laboratories for Materials Science and Technology, Dübendorf, Switzerland
| | - F Joos
- Climate and Environmental Physics, Physics Institute, University of Bern, Bern, Switzerland.,Oeschger Centre for Climate Change Research, University of Bern, Bern, Switzerland
| | - A Schilt
- Climate and Environmental Physics, Physics Institute, University of Bern, Bern, Switzerland.,Oeschger Centre for Climate Change Research, University of Bern, Bern, Switzerland
| | - L Schmidely
- Climate and Environmental Physics, Physics Institute, University of Bern, Bern, Switzerland.,Oeschger Centre for Climate Change Research, University of Bern, Bern, Switzerland
| | - L Silva
- Climate and Environmental Physics, Physics Institute, University of Bern, Bern, Switzerland.,Oeschger Centre for Climate Change Research, University of Bern, Bern, Switzerland
| | - G Teste
- Institute of Environmental Geosciences (IGE), Grenoble INP, IRD, CNRS, Université Grenoble Alpes, Grenoble, France
| | - R Grilli
- Institute of Environmental Geosciences (IGE), Grenoble INP, IRD, CNRS, Université Grenoble Alpes, Grenoble, France
| | - J Chappellaz
- Institute of Environmental Geosciences (IGE), Grenoble INP, IRD, CNRS, Université Grenoble Alpes, Grenoble, France
| | - D Hodell
- Godwin Laboratory for Palaeoclimate Research, Department of Earth Sciences, University of Cambridge, Cambridge, UK
| | - H Fischer
- Climate and Environmental Physics, Physics Institute, University of Bern, Bern, Switzerland.,Oeschger Centre for Climate Change Research, University of Bern, Bern, Switzerland
| | - T F Stocker
- Climate and Environmental Physics, Physics Institute, University of Bern, Bern, Switzerland.,Oeschger Centre for Climate Change Research, University of Bern, Bern, Switzerland
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Silva L, Miroux-Catarino A, Pimentel B, Catorze G, Labareda J, Viana I. 6 Years’ Experience of Mohs Micrographic Surgery in a Portuguese Hospital. SPDV 2020. [DOI: 10.29021/spdv.78.2.1202] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Abstract
Introduction: Mohs micrographic surgery (MMS) is a surgical method of treating skin tumors that consists of histological control of the tumor margins using horizontal slices in thin, freshly frozen layers. This technique is a preferred indication for cutaneous facial tumors (basal and squamous cell carcinoma, among others) associated with higher risk of recurrence, recurrent tumors, tumors with undefined clinical margins, when there is perivascular and perineural involvement or with aggressive histological subtypes.
Methods: The authors carried out a retrospective study of a 6-year period (from July 2012 until June 2018) at a Portuguese hospital – Egas Moniz hospital, to define the characteristics of patients undergoing Mohs micrographic surgery and to evaluate the advantages of this technique. The following factors were analyzed: age, gender, provenience, diagnosis, tumor location, number of stages of MMS, type of reconstruction of the surgical defect, follow-up and recurrences. Results: A total of 835 tumors were excised, 459 in male patients and 376 in female patients. The mean age at surgery was 71 years old (range 23- 95 years). Most of the lesions submitted to MMS were basal cell carcinomas (87%) and the most common location was the nasal pyramid (43%). In 44% of the cases, it was necessary to perform more than one micrographic stage. Half of the surgical defect closures were performed by graft or skin flap. Considering patients with a follow up equal or superior to 3 years, the recurrence rate was 4.9%.
Discussion: The most frequent diagnosis was basal cell carcinoma, reflecting the importance of MMS in this type of skin malignancy, in both primary and persistent/recurrent lesions. Compared to other European surgery reviews, our recurrence rate is within normal range. This fact is particularly relevant, if we consider that our institution receives patients sent from hospitals and dermatologists from all over the country, specially selected for tumor aggressiveness or previous relapse. More than half of these patients were referred from other centers and consisted of persistent/recurrent basal cell carcinomas. The follow-up at recurrence for MMS was 27.9 months, supporting that a long follow-up of these patients is necessary.
Conclusion: MMS allows lower rates of recurrence compared to simple surgical excision, so its practice should be encouraged in selected tumors. The surgical control of the margins instead of the “blind margins” is an advantage in saving healthy tissue and allows the complete excision of the tumor in the same surgical time.
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Porta Etessam J, González N, García-Azorín D, Silva L. Bilateral vestibular hypofunction occurring between migraine attacks: towards an integrative hypothesis. Neurología (English Edition) 2020. [DOI: 10.1016/j.nrleng.2018.03.011] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
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Porta Etessam J, González N, García-Azorín D, Silva L. Bilateral vestibular hypofunction occurring between migraine attacks: toward an integrative hypothesis. Neurologia 2020; 35:448-449. [PMID: 29784472 DOI: 10.1016/j.nrl.2018.03.010] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2018] [Accepted: 03/01/2018] [Indexed: 11/28/2022] Open
Affiliation(s)
- J Porta Etessam
- Unidad de Cefaleas, Servicio de Neurología, Hospital Clínico San Carlos, Madrid, España.
| | - N González
- Unidad de Cefaleas, Servicio de Neurología, Hospital Clínico San Carlos, Madrid, España
| | - D García-Azorín
- Unidad de Cefaleas, Servicio de Neurología, Hospital Clínico de Valladolid, Valladolid, España
| | - L Silva
- Unidad de Cefaleas, Servicio de Neurología, Hospital Clínico San Carlos, Madrid, España
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Silva T, Silva L, Silva K, Silva S, Silva D, Lins C, Coriolano M. Effects of mental practice strategies associated to physiotherapy on gait and risk of falls in Parkinson’s disease: a pilot study of a randomized clinical trial. Eur J Public Health 2020. [DOI: 10.1093/eurpub/ckaa040.037] [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] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Introduction Parkinson’s Disease (PD) is a degenerative disorder that interferes with the voluntary movements due to dysfunction of the basal ganglia and presenting with motor signals, such as the reduction of gait speed. This contributes to an increased risk of falls. In rehabilitation, mental practice (MP) has been shown to promote plastic modulation of neural circuits and improve motor learning, but the results of research with MP in PD are still ambiguous due to the diversity of intervention strategies.
Objectives To compare the effects of MP strategies associated to physiotherapy in gait and risk of falls in PD patients.
Methodology We performed a pilot study of a clinical randomized, single blind, trial, conducted in accordance with the consort checklist. Patients with idiopathic PD were included and allocated to four groups: Control group (CG); Group with mental practice guided by images (MPI); Group with mental practice guided by audio (MPA); group with mental practice without a guide (MPWG). The subjects of the experimental groups were submitted to 15 sessions of physiotherapy and mental practice, while the CG received only physiotherapy. The sessions were held 2 times per week, 40 minutes for physiotherapy and approximately 5-10 minutes for the corresponding mental practice protocol. Spatial-temporal parameters of gait were assessed with the 10 meters Walking Test (TC10m), and the risk of falls was evaluated with the Timed Up and Go (TUG) test.
Results The MPI group showed significant results for the parameters time (p = 0.027) and speed (p = 0.025) when compared with the results of the CG. No main effects for the group were observed concerning cadence and risk of falls had. Groups MPWG and MPA showed no significant results for the TC10m and TUG when compared with the CG.
Conclusion The results of this pilot study suggest that MP guided by images associated to physical therapy was more effective to increase the gait speed than the alternative strategies.
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Affiliation(s)
- T Silva
- UFPE – Universidade Federal de Pernambuco/ Programa de Pós-graduação em Gerontologia., Brazil
| | - L Silva
- UFPE – Universidade Federal de Pernambuco/ Programa de Pós-graduação em Gerontologia., Brazil
| | - K Silva
- UFPE – Universidade Federal de Pernambuco/ Programa de Pós-graduação em Gerontologia., Brazil
| | - S Silva
- UFPE – Universidade Federal de Pernambuco/ Programa de Pós-graduação em Gerontologia., Brazil
| | - D Silva
- UFPE – Universidade Federal de Pernambuco/ Programa de Pós-graduação em Gerontologia., Brazil
| | - C Lins
- UFPE – Universidade Federal de Pernambuco/ Programa de Pós-graduação em Gerontologia., Brazil
| | - M Coriolano
- UFPE – Universidade Federal de Pernambuco/ Programa de Pós-graduação em Gerontologia., Brazil
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Coelho T, Halicki P, Silva L, Menezes Vicenti J, Gonçalves B, Almeida da Silva P, Ramos D. Metal‐based antimicrobial strategies against intramacrophageMycobacterium tuberculosis. Lett Appl Microbiol 2020; 71:146-153. [DOI: 10.1111/lam.13298] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/03/2020] [Revised: 04/02/2020] [Accepted: 04/03/2020] [Indexed: 12/16/2022]
Affiliation(s)
- T.S. Coelho
- Núcleo de Pesquisa em Microbiologia Médica Faculdade de Medicina Universidade Federal do Rio Grande – FURG Rio Grande Brazil
| | - P.C.B. Halicki
- Núcleo de Pesquisa em Microbiologia Médica Faculdade de Medicina Universidade Federal do Rio Grande – FURG Rio Grande Brazil
- Núcleo de Desenvolvimento de Novos Fármacos Faculdade de Medicina Universidade Federal do Rio Grande – FURG Rio Grande Brazil
| | - L. Silva
- Núcleo de Pesquisa em Microbiologia Médica Faculdade de Medicina Universidade Federal do Rio Grande – FURG Rio Grande Brazil
- Núcleo de Desenvolvimento de Novos Fármacos Faculdade de Medicina Universidade Federal do Rio Grande – FURG Rio Grande Brazil
| | - J.R. Menezes Vicenti
- Escola de Química de Alimentos Universidade Federal do Rio Grande – FURG Rio Grande Brazil
| | - B.L. Gonçalves
- Escola de Química de Alimentos Universidade Federal do Rio Grande – FURG Rio Grande Brazil
| | - P.E. Almeida da Silva
- Núcleo de Pesquisa em Microbiologia Médica Faculdade de Medicina Universidade Federal do Rio Grande – FURG Rio Grande Brazil
- Núcleo de Desenvolvimento de Novos Fármacos Faculdade de Medicina Universidade Federal do Rio Grande – FURG Rio Grande Brazil
| | - D.F. Ramos
- Núcleo de Pesquisa em Microbiologia Médica Faculdade de Medicina Universidade Federal do Rio Grande – FURG Rio Grande Brazil
- Núcleo de Desenvolvimento de Novos Fármacos Faculdade de Medicina Universidade Federal do Rio Grande – FURG Rio Grande Brazil
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Silva L, Celhay M, Chaussin M, Monneraud S, Godart P. Premiers pas d’une Équipe Mobile pour les Jeunes en Souffrance Psychique à Pau. Eur Psychiatry 2020. [DOI: 10.1016/j.eurpsy.2014.09.193] [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] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/27/2022] Open
Abstract
Les jeunes en difficulté constituent un problème important de société et de santé publique. Une étude a été conduite par les Centres d’Examens de Santé de l’Assurance Maladie et les Missions Locales pour mieux connaître la santé mentale des jeunes [1]. Cette étude établit l’existence de fortes corrélations entre la précarité, des traumatismes vécus dans l’enfance et des troubles psychiques. Elle souligne l’importance de considérer la souffrance des jeunes dans une approche globale de leurs difficultés. Plus le jeune est en souffrance, moins il semble enclin à demander de l’aide. Les manifestations de sa souffrance et de ses troubles se déposent dans les lieux dits du social, ou bien souvent, restent enkystées dans sa famille. Dans la filiation des EMPP [2], une Équipe Mobile pour les Jeunes en Souffrance Psychique (EMJSP) a été crée et mise en place dans l’établissement psychiatrique du Centre Hospitalier des Pyrénées de Pau (64), en juin 2013. Cette équipe pluridisciplinaire – composée d’une psychiatre, d’une psychologue, d’une assistante sociale et d’une infirmière – intervient auprès des jeunes (18–25 ans) qui sont en situation de précarité et/ou qui présentent des troubles psychiques. L’EMJSP rencontre le jeune dans son environnement (institution, rue, famille), dans une posture de proximité, là où il a été identifié par un partenaire ou par sa famille. Les objectifs sont alors de prévenir l’émergence des troubles psychiques, de faciliter l’accès aux soins et de préserver le risque de rechute. Les jeunes accompagnés vers le soin présentent des troubles mentaux, des troubles de la personnalité et du comportement. Il s’agit donc d’expliciter les premiers pas d’une équipe mobile spécialisée pour les jeunes et conçue pour répondre à la complexité de leur situation intriquant des problématiques sociales, éducatives, familiales et psychiatriques ; tout comme l’a développé le Dr Tordjman [3] pour les adolescents.
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