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Castilla M, Pérez S, Guevara R, Alemany J, Campos M, Pla M, Ortega C, Falo C, Benítez A, Bajen M, Pérez L, Valdivielso A, Martínez E, Plana ML, Pérez H, Petit A, Soler T, Taco C, Ponce J, García A. P085 Target axillary disecction in cN2 breast cancer patients after neoadjuvant chemotherapy. Preliminary results. Breast 2023. [DOI: 10.1016/s0960-9776(23)00202-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/16/2023] Open
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Otero L, Zetola N, Campos M, Zunt J, Bayer A, Curisinche M, Ochoa T, Reyes M, Vega V, Van der Stuyft P, Sterling TR. Isoniazid preventive therapy completion in children under 5 years old who are contacts of tuberculosis cases in Lima, Peru: study protocol for an open-label, cluster-randomized superiority trial. Trials 2023; 24:54. [PMID: 36694242 PMCID: PMC9871424 DOI: 10.1186/s13063-022-07062-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/15/2022] [Accepted: 12/30/2022] [Indexed: 01/25/2023] Open
Abstract
BACKGROUND Children < 5 years old in contact with TB cases are at high risk for developing severe and fatal forms of TB. Contact investigation, BCG vaccination, and isoniazid preventive therapy (IPT) are the most effective strategies to prevent TB among children. However, the implementation of IPT faces challenges at several stages of the cascade of care of TB infection among children, particularly those less than 5 years old. In Peru, a large proportion of children do not complete IPT, which highlights the need to design effective interventions that enhance preventive therapy adherence and completion. Although the body of evidence for such interventions has grown, interventions in medium TB incidence settings are lacking. This study aims to test the effectiveness, acceptability, and feasibility of an intervention package to increase information and motivation to complete IPT among children < 5 who have been prescribed IPT. METHODS An open-label, cluster-randomized superiority trial will be conducted in two districts in South Lima, Peru. Thirty health facilities will be randomized as clusters, 10 to the intervention and 20 to control (standard of care). We aim to recruit 10 children from different households in each cluster. Participants will be caretakers of children aged < 5 years old who initiated IPT. The intervention consists of educational material, and short message services (SMS) reminders and motivators. The primary outcomes will be the proportion of children who picked up > 90% of the 24 weeks of IPT (22 pick-ups) and the proportion of children who picked up the 24 weeks of IPT. The standard of care is a weekly pick-up with monthly check-ups in a health facility. Feasibility and acceptability of the intervention will be assessed through an interview with the caretaker. DISCUSSION Unfavorable outcomes of TB in young children, high effectiveness of IPT, and low rates of IPT completion highlight the need to enhance adherence and completion of IPT among children < 5 years old. Testing of a context-adapted intervention is needed to improve IPT completion rates and therefore TB prevention in young children. TRIAL REGISTRATION ClinicalTrials.gov NCT03881228. Registered on March 19, 2019.
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Affiliation(s)
- L. Otero
- grid.11100.310000 0001 0673 9488Facultad de Medicina, Universidad Peruana Cayetano Heredia, Lima, Peru ,grid.11100.310000 0001 0673 9488Instituto de Medicina Tropical Alexander Von Humboldt, Universidad Peruana Cayetano Heredia, Lima, Peru ,grid.11505.300000 0001 2153 5088Unit of General Epidemiology and Disease Control, Department of Public Health, Institute of Tropical Medicine, Antwerp, Belgium
| | - N. Zetola
- grid.410427.40000 0001 2284 9329Division of Pulmonary and Critical Care, Augusta University, Augusta, GA USA
| | - M. Campos
- grid.11100.310000 0001 0673 9488Facultad de Medicina, Universidad Peruana Cayetano Heredia, Lima, Peru ,grid.11100.310000 0001 0673 9488Facultad de Ciencias, Universidad Peruana Cayetano Heredia, Lima, Peru
| | - J. Zunt
- grid.34477.330000000122986657Department of Neurology, University of Washington School of Medicine, WA Seattle, USA
| | - A. Bayer
- grid.11100.310000 0001 0673 9488Facultad de Salud Pública, Universidad Peruana Cayetano Heredia, Lima, Peru
| | - M. Curisinche
- grid.419858.90000 0004 0371 3700Dirección de Prevención Y Control de Tuberculosis, Ministerio de Salud, Lima, Peru ,grid.419228.40000 0004 0636 549XCentro Nacional de Salud Pública, Instituto Nacional de Salud, Lima, Peru
| | - T. Ochoa
- grid.11100.310000 0001 0673 9488Facultad de Medicina, Universidad Peruana Cayetano Heredia, Lima, Peru ,grid.11100.310000 0001 0673 9488Instituto de Medicina Tropical Alexander Von Humboldt, Universidad Peruana Cayetano Heredia, Lima, Peru
| | - M. Reyes
- grid.11100.310000 0001 0673 9488Instituto de Medicina Tropical Alexander Von Humboldt, Universidad Peruana Cayetano Heredia, Lima, Peru
| | - V. Vega
- grid.11100.310000 0001 0673 9488Instituto de Medicina Tropical Alexander Von Humboldt, Universidad Peruana Cayetano Heredia, Lima, Peru
| | - P. Van der Stuyft
- grid.5342.00000 0001 2069 7798Department of Public Health, Faculty of Medicine, Ghent University, Ghent, Belgium
| | - TR. Sterling
- grid.152326.10000 0001 2264 7217Vanderbilt University School of Medicine, Nashville, TN USA
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Rodríguez-Morilla B, del Río G, García L, Campos M, Rol M, Martínez-Madrid M, Madrid J. Validation of the wearable device Kronowise™ (KW) for the assessment of sleep in children by comparison with PSG. Sleep Med 2022. [DOI: 10.1016/j.sleep.2022.05.566] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
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Campos M, Lobato-Bailón L, Merciai R, Cabezón O, Torres-Blas I, Araujo R, Migura-Garcia L. Clearance and persistence of Escherichia coli in the freshwater mussel Unio mancus. Sci Rep 2022; 12:12382. [PMID: 35858973 PMCID: PMC9300608 DOI: 10.1038/s41598-022-16491-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] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/28/2021] [Accepted: 07/11/2022] [Indexed: 11/09/2022] Open
Abstract
The excessive use of antibiotics has led to the emergence of resistant bacteria, mainly from the Enterobacterales group, with high pathogenic/zoonotic potentials that can lead to problems in public health. The increasing presence in freshwater ecosystems highlights the need to evaluate potential sentinel species as risk indicators for both ecosystem and human health. The freshwater mussels provide several ecosystem services, may represent potential sentinel species due to their ability to filter water and retain both organic and inorganic particles. We tested the capability of U. mancus to retain Escherichia coli as a model bacterial organism. Under experimental conditions, the mussels could clear suspended E. coli, facilitating its rapid elimination from water within the first 24 h after exposure. The species also presented a maximum retention time of 4 days. We also provide allometric equations correlating the filtering capacity with the length and the weight of mussel body parts often used in biometric studies. We provide a first assessment of the potential of the bivalve Unio mancus to act as a sentinel species for the detection of Enterobacterales and demonstrate the ability to act as a water cleaner.
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Affiliation(s)
- M Campos
- Wildlife Conservation Medicine Research Group (WildCoM), Departament de Medicina i Cirurgia Animals, Universitat Autònoma de Barcelona, 08193, Bellaterra, Spain. .,Freshwater Mussel Breeding Laboratory of Lake Banyoles, Consorci de l'Estany, Plaça dels Estudis 2, 17820, Banyoles, Spain.
| | - L Lobato-Bailón
- Wildlife Conservation Medicine Research Group (WildCoM), Departament de Medicina i Cirurgia Animals, Universitat Autònoma de Barcelona, 08193, Bellaterra, Spain.,Research and Conservation Department, Zoo de Barcelona, Parc de la Ciutadella s/n, 08003, Barcelona, Spain
| | - R Merciai
- Freshwater Mussel Breeding Laboratory of Lake Banyoles, Consorci de l'Estany, Plaça dels Estudis 2, 17820, Banyoles, Spain
| | - O Cabezón
- Wildlife Conservation Medicine Research Group (WildCoM), Departament de Medicina i Cirurgia Animals, Universitat Autònoma de Barcelona, 08193, Bellaterra, Spain.,UAB, Centre de Recerca en Sanitat Animal (CReSA, IRTA-UAB), Campus de la Universitat Autònoma de Barcelona, 08193, Bellaterra, Spain
| | - I Torres-Blas
- Wildlife Conservation Medicine Research Group (WildCoM), Departament de Medicina i Cirurgia Animals, Universitat Autònoma de Barcelona, 08193, Bellaterra, Spain.,Research and Conservation Department, Zoo de Barcelona, Parc de la Ciutadella s/n, 08003, Barcelona, Spain
| | - R Araujo
- MNCN, Museo Nacional de Ciencias Naturales-CSIC, C/José Gutiérrez Abascal 2, 28006, Madrid, Spain
| | - L Migura-Garcia
- Unitat mixta d'Investigació IRTA-UAB en Sanitat Animal, Centre de Recerca en Sanitat Animal (CReSA), Campus de la Universitat Autònoma de Barcelona (UAB), 08193, Bellaterra, Spain.,IRTA, Programa de Sanitat Animal, Centre de Recerca en Sanitat Animal (CReSA), Campus de la Universitat Autònoma de Barcelona (UAB), 08193, Bellaterra, Spain
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Varanda C, Campos M. Interventive psychodiagnosis of children through online orientation of parents in a University Clinical Practice in Brazil: an alternative for underserved populations during the COVID-19 pandemic. Eur Psychiatry 2022. [PMCID: PMC9566903 DOI: 10.1192/j.eurpsy.2022.1470] [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 A private university in Santos offers a free psychological service for assessing and intervening in chilhood psychological problems through a internship program which had to be delivered online due to the COVID-19 pandemic. The interns were only allowed to attend their parents online, instead of their children. Objectives Evaluating this new online service is the aim of this work. Methods
24 parents of 34 children aged 4-10 years were attended by pairs or trios of 52 interns. The were modules made up of assessment, intervention and feedback, using different instruments such as interviews, screening questionnaires and the observation of 5-minute free play in domestic environment and of a family collage through a video recorded by parents. Feedback and intervention happened in various moments. The interns created a storybook using metaphoric narrative as a feedback tool in which a synthesis of the psychodiagnostic process and orientation was presented to the children. Results There was progress and decrease or elimination of symptons in 19 of the 34 children. Among the children who did not improve, one of them did not present any difficulties; 7 of them had many absences and the other 7 were referred to further assessment for reasons related to the complexity of their difficulties or a probable unsuitability of the online orientation. Conclusions The orientation was helpful for 55,89% of the children, showing to be a valid alternative for families who do not have financial resources for attending private clinics or fail to access public health services or even during social distance measures. Disclosure No significant relationships.
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Mortier P, Vilagut G, Alayo I, Ferrer M, Amigo F, Aragonès E, Aragón-Peña A, Asúnsolo del Barco A, Campos M, Espuga M, González-Pinto A, Haro J, López Fresneña N, Martínez de Salázar A, Molina J, Ortí-Lucas R, Parellada M, Pelayo-Terán J, Pérez-Gómez B, Pérez-Zapata A, Pijoan J, Plana N, Polentinos-Castro E, Portillo-Van Diest A, Puig M, Rius C, Sanz F, Serra C, Urreta-Barallobre I, Kessler R, Bruffaerts R, Vieta E, Pérez-Solá V, Alonso J, Alayo I, Alonso M, Álvarez M, Amann B, Amigo FF, Anmella G, Aragón A, Aragonés N, Aragonès E, Arizón AI, Asunsolo A, Ayora A, Ballester L, Barbas P, Basora J, Bereciartua E, Ignasi Bolibar IB, Bonfill X, Cotillas A, Cuartero A, de Paz C, Cura ID, Jesus del Yerro M, Diaz D, Domingo JL, Emparanza JI, Espallargues M, Espuga M, Estevan P, Fernandez MI, Fernandez T, Ferrer M, Ferreres Y, Fico G, Forjaz MJ, Barranco RG, Garcia TorrecillasC. Garcia-Ribera JM, Garrido A, Gil E, Gomez M, Gomez J, Pinto AG, Haro JM, Hernando M, Insigna MG, Iriberri M, Jimenez N, Jimenez X, Larrauri A, Leon F, Lopez-Fresneña N, Lopez C, Lopez-Atanes Juan Antonio Lopez-Rodriguez M, Lopez-Cortacans G, Marcos A, Martin J, Martin V, Martinez-Cortés M, Martinez-Martinez R, Martinez de Salazar AD, Martinez I, Marzola M, Mata N, Molina JM, de Dios Molina J, Molinero E, Mortier P, Muñoz C, Murru A, Olmedo J, Ortí RM, Padrós R, Pallejà M, Parra R, Pascual J, Pelayo JM, Pla R, Plana N, Aznar CP, Gomez BP, Zapata AP, Pijoan JI, Polentinos E, Puertolas B, Puig MT, Quílez A, Quintana MJ, Quiroga A, Rentero D, Rey C, Rius C, Rodriguez-Blazquez C, Rojas MJ, Romero Y, Rubio G, Rumayor M, Ruiz P, Saenz M, Sanchez J, Sanchez-Arcilla I, Sanz F, Serra C, Serra-Sutton V, Serrano M, Sola S, Solera S, Soto M, Tarrago A, Tolosa N, Vazquez M, Viciola M, Vieta E, Vilagut G, Yago S, Yañez J, Zapico Y, Zorita LM, Zorrilla I, Zurbano SL, Perez-Solá V. Four-month incidence of suicidal thoughts and behaviors among healthcare workers after the first wave of the Spain COVID-19 pandemic. J Psychiatr Res 2022; 149:10-17. [PMID: 35217315 PMCID: PMC8852847 DOI: 10.1016/j.jpsychires.2022.02.009] [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] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/13/2021] [Revised: 02/08/2022] [Accepted: 02/14/2022] [Indexed: 12/22/2022]
Abstract
Healthcare workers (HCW) are at high risk for suicide, yet little is known about the onset of suicidal thoughts and behaviors (STB) in this important segment of the population in conjunction with the COVID-19 pandemic. We conducted a multicenter, prospective cohort study of Spanish HCW active during the COVID-9 pandemic. A total of n = 4809 HCW participated at baseline (May-September 2020; i.e., just after the first wave of the pandemic) and at a four-month follow-up assessment (October-December 2020) using web-based surveys. Logistic regression assessed the individual- and population-level associations of separate proximal (pandemic) risk factors with four-month STB incidence (i.e., 30-day STB among HCW negative for 30-day STB at baseline), each time adjusting for distal (pre-pandemic) factors. STB incidence was estimated at 4.2% (SE = 0.5; n = 1 suicide attempt). Adjusted for distal factors, proximal risk factors most strongly associated with STB incidence were various sources of interpersonal stress (scaled 0-4; odds ratio [OR] range = 1.23-1.57) followed by personal health-related stress and stress related to the health of loved ones (scaled 0-4; OR range 1.30-1.32), and the perceived lack of healthcare center preparedness (scaled 0-4; OR = 1.34). Population-attributable risk proportions for these proximal risk factors were in the range 45.3-57.6%. Other significant risk factors were financial stressors (OR range 1.26-1.81), isolation/quarantine due to COVID-19 (OR = 1.53) and having changed to a specific COVID-19 related work location (OR = 1.72). Among other interventions, our findings call for healthcare systems to implement adequate conflict communication and resolution strategies and to improve family-work balance embedded in organizational justice strategies.
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Affiliation(s)
- P. Mortier
- Health Services Research Unit, IMIM-Institut Hospital del Mar d’Investigacions Mèdiques, Barcelona, Spain,CIBER Epidemiología y Salud Pública (CIBERESP), Spain,Corresponding author. IMIM, PRBB Building. Carrer del Doctor Aiguader 88, 08003, Barcelona, Spain
| | - G. Vilagut
- Health Services Research Unit, IMIM-Institut Hospital del Mar d’Investigacions Mèdiques, Barcelona, Spain,CIBER Epidemiología y Salud Pública (CIBERESP), Spain
| | - I. Alayo
- Health Services Research Unit, IMIM-Institut Hospital del Mar d’Investigacions Mèdiques, Barcelona, Spain,CIBER Epidemiología y Salud Pública (CIBERESP), Spain
| | - M. Ferrer
- Health Services Research Unit, IMIM-Institut Hospital del Mar d’Investigacions Mèdiques, Barcelona, Spain,CIBER Epidemiología y Salud Pública (CIBERESP), Spain,Department of Experimental and Health Sciences, Pompeu Fabra University, Barcelona, Spain
| | - F. Amigo
- Health Services Research Unit, IMIM-Institut Hospital del Mar d’Investigacions Mèdiques, Barcelona, Spain,CIBER Epidemiología y Salud Pública (CIBERESP), Spain
| | - E. Aragonès
- Institut d’Investigació en Atenció Primària IDIAP Jordi Gol, Barcelona, Spain,Atenció Primària Camp de Tarragona, Institut Català de la Salut, Spain
| | - A. Aragón-Peña
- Epidemiology Unit, Regional Ministry of Health, Community of Madrid, Madrid, Spain,Fundación Investigación e Innovación Biosanitaria de AP, Comunidad de Madrid, Madrid, Spain
| | - A. Asúnsolo del Barco
- Department of Surgery, Medical and Social Sciences, Faculty of Medicine and Health Sciences, University of Alcala, Alcalá de Henares, Spain,Ramón y Cajal Institute of Sanitary Research (IRYCIS), Madrid, Spain,Department of Epidemiology and Biostatistics, Graduate School of Public Health and Health Policy, The City University of New York, New York, NY, United States
| | - M. Campos
- Service of Prevention of Labor Risks, Medical Emergencies System, Generalitat de Catalunya, Spain
| | - M. Espuga
- Occupational Health Service. Hospital Universitari Vall d’Hebron, Barcelona, Spain
| | - A. González-Pinto
- Hospital Universitario Araba-Santiago, Vitoria-Gasteiz, Spain,CIBER Salud Mental (CIBERSAM), Madrid, Spain
| | - J.M. Haro
- CIBER Salud Mental (CIBERSAM), Madrid, Spain,Parc Sanitari Sant Joan de Déu, Barcelona, Spain,Universitat Autònoma de Barcelona (UAB), Barcelona, Spain
| | | | | | - J.D. Molina
- CIBER Salud Mental (CIBERSAM), Madrid, Spain,Villaverde Mental Health Center. Clinical Management Area of Psychiatry and Mental Health, Psychiatric Service, Hospital Universitario 12 de Octubre, Madrid, Spain,Research Institute Hospital 12 de Octubre (i+12), Madrid, Spain,Faculty of Health Sciences, Universidad Francisco de Vitoria, Madrid, Spain
| | | | - M. Parellada
- CIBER Salud Mental (CIBERSAM), Madrid, Spain,Hospital General Universitario Gregorio Marañón, Madrid, Spain
| | - J.M. Pelayo-Terán
- CIBER Salud Mental (CIBERSAM), Madrid, Spain,Servicio de Psiquiatría y Salud Mental. Hospital el Bierzo, Gerencia de Asistencia Sanitaria del Bierzo (GASBI), Gerencia Regional de Salud de Castilla y Leon (SACYL), Ponferrada, León, Spain,Area de Medicina Preventiva y Salud Pública. Universidad de León, León, Spain
| | - B. Pérez-Gómez
- CIBER Epidemiología y Salud Pública (CIBERESP), Spain,National Center of Epidemiology, Instituto de Salud Carlos III (ISCIII), Madrid, Spain
| | - A. Pérez-Zapata
- Príncipe de Asturias University Hospital, Alcalá de Henares, Madrid, Spain
| | - J.I. Pijoan
- CIBER Epidemiología y Salud Pública (CIBERESP), Spain,Hospital Universitario Cruces/ OSI EEC, Bilbao, Spain, Biocruces-Bizkaia Health Research Institute
| | - N. Plana
- CIBER Epidemiología y Salud Pública (CIBERESP), Spain,Príncipe de Asturias University Hospital, Alcalá de Henares, Madrid, Spain
| | - E. Polentinos-Castro
- Fundación Investigación e Innovación Biosanitaria de AP, Comunidad de Madrid, Madrid, Spain,Research Unit. Primary Care Management. Madrid Health Service, Madrid, Spain,Department of Medical Specialities and Public Health. King Juan Carlos University, Madrid, Spain,Health Services Research Network on Chronic Diseases (REDISSEC), Madrid, Spain
| | - A. Portillo-Van Diest
- Health Services Research Unit, IMIM-Institut Hospital del Mar d’Investigacions Mèdiques, Barcelona, Spain,CIBER Epidemiología y Salud Pública (CIBERESP), Spain
| | - M.T. Puig
- Universitat Autònoma de Barcelona (UAB), Barcelona, Spain,Department of Epidemiology and Public Health, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain,Biomedical Research Institute Sant Pau (IIB Sant Pau), Barcelona, Spain,CIBER Enfermedades Cardiovasculares (CIBERCV), Madrid, Spain
| | - C. Rius
- CIBER Epidemiología y Salud Pública (CIBERESP), Spain,Agència de Salut Pública de Barcelona, Barcelona, Spain
| | - F. Sanz
- Department of Experimental and Health Sciences, Pompeu Fabra University, Barcelona, Spain,Research Progamme on Biomedical Informatics (GRIB), Hospital del Mar Medical Research Institute (IMIM), Barcelona, Spain,Instituto Nacional de Bioinformatica - ELIXIR-ES, Barcelona, Spain
| | - C. Serra
- CIBER Epidemiología y Salud Pública (CIBERESP), Spain,Parc de Salut Mar PSMAR, Barcelona, Spain,CiSAL-Centro de Investigación en Salud Laboral, IMIM/UPF, Barcelona, Spain
| | - I. Urreta-Barallobre
- CIBER Epidemiología y Salud Pública (CIBERESP), Spain,Osakidetza Basque Health Service, Donostialdea Integrated Health Organisation, Donostia University Hospital, Clinical Epidemiology Unit, San Sebastián, Spain,Biodonostia Health Research Institute, Clinical Epidemiology, San Sebastián, Spain
| | - R.C. Kessler
- Department of Health Care Policy, Harvard Medical School, Boston, MA, USA
| | - R. Bruffaerts
- Center for Public Health Psychiatry, Universitair Psychiatrisch Centrum, KU Leuven, Leuven, Belgium
| | - E. Vieta
- CIBER Salud Mental (CIBERSAM), Madrid, Spain,Institute of Neuroscience, Hospital Clinic, University of Barcelona, IDIBAPS, Barcelona, Spain
| | - V. Pérez-Solá
- CIBER Salud Mental (CIBERSAM), Madrid, Spain,Universitat Autònoma de Barcelona (UAB), Barcelona, Spain,Parc de Salut Mar PSMAR, Barcelona, Spain
| | - J. Alonso
- Health Services Research Unit, IMIM-Institut Hospital del Mar d’Investigacions Mèdiques, Barcelona, Spain,CIBER Epidemiología y Salud Pública (CIBERESP), Spain,Department of Experimental and Health Sciences, Pompeu Fabra University, Barcelona, Spain
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Campos M, Sempere JM, Galán JC, Moya A, Llorens C, de-Los-Angeles C, Baquero-Artigao F, Cantón R, Baquero F. Simulating the impact of non-pharmaceutical interventions limiting transmission in COVID-19 epidemics using a membrane computing model. ACTA ACUST UNITED AC 2021; 2:uqab011. [PMID: 34642663 PMCID: PMC8499911 DOI: 10.1093/femsml/uqab011] [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: 08/06/2021] [Accepted: 09/03/2021] [Indexed: 01/08/2023]
Abstract
Epidemics caused by microbial organisms are part of the natural phenomena of increasing biological complexity. The heterogeneity and constant variability of hosts, in terms of age, immunological status, family structure, lifestyle, work activities, social and leisure habits, daily division of time and other demographic characteristics make it extremely difficult to predict the evolution of epidemics. Such prediction is, however, critical for implementing intervention measures in due time and with appropriate intensity. General conclusions should be precluded, given that local parameters dominate the flow of local epidemics. Membrane computing models allows us to reproduce the objects (viruses and hosts) and their interactions (stochastic but also with defined probabilities) with an unprecedented level of detail. Our LOIMOS model helps reproduce the demographics and social aspects of a hypothetical town of 10 320 inhabitants in an average European country where COVID-19 is imported from the outside. The above-mentioned characteristics of hosts and their lifestyle are minutely considered. For the data in the Hospital and the ICU we took advantage of the observations at the Nursery Intensive Care Unit of the Consortium University General Hospital, Valencia, Spain (included as author). The dynamics of the epidemics are reproduced and include the effects on viral transmission of innate and acquired immunity at various ages. The model predicts the consequences of delaying the adoption of non-pharmaceutical interventions (between 15 and 45 days after the first reported cases) and the effect of those interventions on infection and mortality rates (reducing transmission by 20, 50 and 80%) in immunological response groups. The lockdown for the elderly population as a single intervention appears to be effective. This modeling exercise exemplifies the application of membrane computing for designing appropriate multilateral interventions in epidemic situations.
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Affiliation(s)
- M Campos
- Department of Microbiology, Ramón y Cajal University Hospital, M-607, km 9,1 28034 Madrid, Spain
| | - J M Sempere
- Valencian Research Institute for Artificial Intelligence (VRAIN), Universitat Politècnica de Valencia, Camí de Vera s/n, 46022 Valencia, Spain
| | - J C Galán
- Department of Microbiology, Ramón y Cajal University Hospital, M-607, km 9,1 28034 Madrid, Spain
| | - A Moya
- Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública, M-607, km 9,1. 28034 Madrid, Spain
| | - C Llorens
- Biotechvana, Valencia, CEEI Building, Valencia Technological Park., C. agustín Escardino 9, 46980, Paterna, Valencia, Spain
| | - C de-Los-Angeles
- Nursery Unit, Intensive Care Unit and Pain Therapy, Consortium University General Hospital (CHGUV)., Av. Tres Cruces 2, 46014 Valencia, Spain
| | - F Baquero-Artigao
- Department of Infectious Diseases and Tropical Pediatrics, La Paz University Hospital., Av. Monforte de Lemos 2D, 28029 Madrid, Spain
| | - R Cantón
- Department of Microbiology, Ramón y Cajal University Hospital, M-607, km 9,1 28034 Madrid, Spain
| | - F Baquero
- Department of Microbiology, Ramón y Cajal University Hospital, M-607, km 9,1 28034 Madrid, Spain
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Portugal F, Araújo A, Silva C, Campos M, Valentim A. Combination gel of 2% amitriptyline and 0.5% ketamine to treat refractory erythromelalgia pain - a case report of pain control success. Rev Esp Anestesiol Reanim (Engl Ed) 2021; 68:293-296. [PMID: 33358428 DOI: 10.1016/j.redar.2020.05.018] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/04/2020] [Revised: 05/18/2020] [Accepted: 05/21/2020] [Indexed: 06/12/2023]
Abstract
Erythromelalgia (EM) is a rare autosomal dominant neuropathy characterized by the combination of severe burning pain and erythematous warm extremities. Chronic pain control is most often unsuccessful and a completely effective therapy is yet to be identified. Recent studies have reported significant improvements in pain management using a combination of amitriptyline and ketamine in a topical formulation. We describe a 1-year follow-up pain control success case of a male patient with EM, proposed for topical use of a 2% Amitriptyline and 0.5% Ketamine gel.
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Affiliation(s)
- F Portugal
- Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal; Chronic Pain Unit, Department of Anaesthesiology, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal.
| | - A Araújo
- Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal; Chronic Pain Unit, Department of Anaesthesiology, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
| | - C Silva
- Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal; Chronic Pain Unit, Department of Anaesthesiology, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
| | - M Campos
- Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal; Chronic Pain Unit, Department of Anaesthesiology, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
| | - A Valentim
- Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal; Chronic Pain Unit, Department of Anaesthesiology, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
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Portugal F, Araújo A, Silva C, Campos M, Valentim A. Combination gel of 2% amitriptyline and 0.5% ketamine to treat refractory erythromelalgia pain - a case report of pain control success. Rev Esp Anestesiol Reanim (Engl Ed) 2021; 68:293-296. [PMID: 34140126 DOI: 10.1016/j.redare.2020.05.023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/04/2020] [Accepted: 05/21/2020] [Indexed: 06/12/2023]
Abstract
Erythromelalgia (EM) is a rare autosomal dominant neuropathy characterized by the combination of severe burning pain and erythematous warm extremities. Chronic pain control is most often unsuccessful and a completely effective therapy is yet to be identified. Recent studies have reported significant improvements in pain management using a combination of amitriptyline and ketamine in a topical formulation. We describe a 1-year follow-up pain control success case of a male patient with EM, proposed for topical use of a 2% Amitriptyline and 0.5% Ketamine gel.
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Affiliation(s)
- F Portugal
- Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal; Chronic Pain Unit, Department of Anaesthesiology, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal.
| | - A Araújo
- Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal; Chronic Pain Unit, Department of Anaesthesiology, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
| | - C Silva
- Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal; Chronic Pain Unit, Department of Anaesthesiology, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
| | - M Campos
- Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal; Chronic Pain Unit, Department of Anaesthesiology, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
| | - A Valentim
- Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal; Chronic Pain Unit, Department of Anaesthesiology, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
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Campos M, Varanda C. Online psychological therapy for kids during social distancing: A study case in a brazilian clinical setting. Eur Psychiatry 2021. [PMCID: PMC9471508 DOI: 10.1192/j.eurpsy.2021.800] [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 In response to the spread of COVID-19, many Brazilian therapists faced the challenge of taking their practices online considering legal and ethical issues, besides learning to handle new technologies in a way the therapeutic setting was maintained. The cooperation of the family is fundamental for the creation and maintenance of an adequate therapeutic setting. Children are not sufficiently mature to speak clearly about what bothers them or to talk about how they feel and why, so, drawing, pretend playing, story telling, playing games are the common tools for children’s communication during therapy. Objectives Evaluating if online therapy for children can support therapeutic play tools and be effective in a virtual environment preserving the therapeutic setting. Methods Two children aged 6 to 11 attended the psychological sessions that were conducted through video calls.The family should provide a silent and private room for those sessions. The children were free to choose the toy they would like to play with and that was available at home such as board games, comic and story books. Mimicry, drawing, an adaptation of the Winnicott Squiggle Game were used, as well as electronic games through screen sharing. Results The emotional conflicts were expressed either through conventional games and play or electronic games. Playing with children online was possible as well as maintaining the therapeutic alliance in order to carry on with the treatment in a proper therapeutic setting. Conclusions Online therapy for kids showed to be an effective form of service delivery, under strict measures of social distancing in Brazil.
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Campos M, Pomeroy J, Mays MH, Lopez A, Palacios C. Intervention to promote physical activation and improve sleep and response feeding in infants for preventing obesity early in life, the baby-act trial: Rationale and design. Contemp Clin Trials 2020; 99:106185. [PMID: 33099015 PMCID: PMC7860210 DOI: 10.1016/j.cct.2020.106185] [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] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2020] [Revised: 09/15/2020] [Accepted: 10/15/2020] [Indexed: 11/18/2022]
Abstract
Infant obesity is increasing in the US, particularly among Hispanics. Rapid weight gain during infancy increases the risk of obesity later in life and could be prevented through multi-modal interventions addressing multiple risk factors through population-level programs. OBJECTIVES 1) determine the extent to which the intervention, compared with the usual care control condition, improves healthy weight gain and specific behaviors (physical activity, sleep, diet) in the first year of life and 2) evaluate the cost of the intervention as a modification of the current WIC standard of care. METHODS The lifestyle intervention focuses on age-appropriate infant physical activation, healthy sleep and sedentary patterns, and response feeding, by improving parenting skills delivered through a combination of technology (web-platform and text messages) and phone counseling. It is being tested among caregivers of infant participants of the Puerto Rico WIC program through a cluster-randomized controlled trial in 14 WIC clinics in San Juan starting in pregnancy until the infant is 12 months of age. The main outcome is infant rate of weight gain at 12 months; secondary outcomes include objectively measured hours of infant movement, sedentary behaviors and sleep, diet quality score and response feeding behaviors. We are also recording fees, time and personnel involved in the intervention development, maintenance and dissemination. CONCLUSIONS If successful, the intervention could be incorporated as a 'best practice' through WIC policy as a means to strengthen obesity prevention efforts to improve minority health and eliminate health disparities among Hispanics and possibly other at-risk groups beyond the childhood period. Clinicaltrials.gov registration: NCT03517891.
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Affiliation(s)
- M Campos
- Dental and Craniofacial Genomics Core, Endocrinology Section School of Medicine, University of Puerto Rico, San Juan 00936-5067, Puerto Rico.
| | - J Pomeroy
- Clinical Research Center, Marshfield Clinic Research Institute, Marshfield Clinic Health System, Marshfield, WI, USA.
| | - M H Mays
- Biomedical Informatics Core, Puerto Rico Clinical and Translational Research Consortium, San Juan, Puerto Rico.
| | - A Lopez
- Sports and Leisure Management program and Adapted Physical Education program, School of Education, Metropolitan University, San Juan Puerto Rico.
| | - C Palacios
- Dietetics and Nutrition Department, Robert Stempel College of Public Health & Social Work, Florida International University, Miami USA.
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Arraras J, Illarramendi J, Manterola A, De la Cruz S, Asin G, Salgado E, Campos M, Barrado M, Ibañez B, Zarandona U, Rico M, Dominguez M, Sola A, Martinez E. Quality of life (QL) in elderly breast cancer survivors. Effects of surgery. Global QL determinants. Eur J Cancer 2020. [DOI: 10.1016/s0959-8049(20)30682-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Tusman G, Campos M, Gogniat E. COVID-19: How to transform a noninvasive ventilation device in a critical care ventilator. Revista Española de Anestesiología y Reanimación (English Edition) 2020. [PMCID: PMC7402214 DOI: 10.1016/j.redare.2020.05.008] [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] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
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Campos M, Rêgo G, Staton C, Vissoci J R, Gerardo C. Snake envenomation clinical outcome measures vary widely and are not patient-centered: A systematic review of clinical studies. Toxicon 2020. [DOI: 10.1016/j.toxicon.2020.04.040] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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Campos M, Campos S, Campos M. GEOTECNOLOGIAS APLICADA NOS CONFLITOS DE USO DO SOLO EM ÁREAS DE PRESERVAÇÃO PERMANENTE NO MUNICÍPIO DE BARRA BONITA/SP. Revista Brasileira de Engenharia de Biossistemas 2020. [DOI: 10.18011/bioeng2020v14n2p140-151] [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: 11/01/2022] Open
Abstract
As áreas de conflito são definidas pelo mau uso do solo pelo homem e vem causando sérios problemas ao meio ambiente, resultando em desequilíbrio ecológico e desgaste dos recursos naturais, especialmente quando se refere às áreas de preservação permanente, que têm importância fundamental para os ecossistemas de equilíbrio e preservação dos recursos hídricos. O planejamento é um fator chave para o controle dos impactos ambientais ao meio ambiente. As áreas de preservação permanente evitam o assoreamento e erosão proporcionando uma proteção natural, principalmente em áreas das nascentes. Os serviços ambientais prestados auxiliam a proteção da flora e fauna, na preservação dos corredores ecológicos, e na continuação das espécies ali presentes. Este estudo teve por objetivo avaliar os conflitos de uso e ocupação da terra em áreas de Preservação Permanente do município de Barra Bonita/SP, utilizando como base cartográfica, o Sistema de Informação Geográfica (SIG) e imagem de satélite Sentinel 2-A de 2017, em escala 1:10.000. Os resultados mostraram que quase ¾ da área é ocupado com cana-de-açúcar (72,72%) e que as áreas de preservação permanente estão sendo usados inadequadamente por cana-de-açúcar (72,75%). O SIG ArcGis e as técnicas de geoprocessamento demonstraram agilidade e eficiência na identificação, quantificação e edição de mapas de uso do solo, preservação permanente e de conflitos em áreas de preservação permanente.
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Affiliation(s)
- M. Campos
- Faculdade de Ciências Agronômicas/UNESP, Câmpus de Botucatu- SP Brasil
| | - S. Campos
- Faculdade de Ciências Agronômicas/UNESP, Câmpus de Botucatu- SP Brasil
| | - M. Campos
- Faculdade de Ciências e Engenharia/UNESP, Câmpus de Tupã- Sp Brasil
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Campos M, Balteiro J, Rocha C. Non-adhesion to therapy in the elderly, in Tábua. Eur J Public Health 2020. [DOI: 10.1093/eurpub/ckaa040.018] [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
Introduction Most medicines are taken by the elderly because they suffer natural changes, which lead to chronic and degenerative diseases. Older people often have increasingly complex medication regimens, which may lead to errors with dosing and administration and to non-adherence to therapy. Non-adherence to therapy leads to a decrease in therapeutic efficacy, an increase in morbidity, suffering, and health costs. It is influenced by several factors that can and should be driven to improve health status.
Objectives The objective of this study was to determine and evaluate the medication regimen complexity in an elderly population, in Tábua, and verify its relation with adherence to therapy.
Methodology Surveys were applied to elderly people in order to collect the medication data. The study lasted for 5 months and took place at a pharmacy (n = 337). Only people with ≥65 years were included. Medication regimen complexity was assessed using the Brazilian translation for the Medication Regimen Complexity Index (MRCI) and adhesion to therapy was measured by MAT scale. Data was analysed with SPSS statistical program, version 24.0.
Results Our study showed a high percentage of adhesion to therapy (65%) and also of polypharmacy among the elderly (84,9%). Most medication that elderly take belong to the cardiovascular system pharmaceutical group (94,1%). Still, people described some difficulties to adhesion to therapy, mainly forgetfulness (73,66%). Data also revealed that individuals with more literacy and those who are not under polypharmacy showed more adherence to therapy (p = 0.000 and p = 0.012). The most significant result from our study was that MRCI and non-adherence are correlated statistically, that is, a higher MRCI leads to an increase in non-adherence to therapy (p = 0.001).
Conclusion Healthcare professionals should be aware that high levels of medication regimen complexity suggest bad outcomes and non-adherence to therapy. They should assist the elderly, help avoid errors, and find solutions to improve adherence to therapy, whenever possible.
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Affiliation(s)
- M Campos
- Instituto Politécnico de Coimbra, ESTeSC – Coimbra Health School, Farmácia, Portugal
| | - J Balteiro
- Instituto Politécnico de Coimbra, ESTeSC – Coimbra Health School, Farmácia, Portugal
| | - C Rocha
- Instituto Politécnico de Coimbra, ESTeSC – Coimbra Health School, Farmácia, Portugal
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Valdivielso-Ramos M, Torrelo A, Martin-Santiago A, Hernández-Nuñez A, Azaña JM, Campos M, Berenguer B, Garnacho G, Moreno R, Colmenero I. Histopathological hallmarks of cutaneous lesions of capillary malformation-arteriovenous malformation syndrome. J Eur Acad Dermatol Venereol 2020; 34:2428-2435. [PMID: 32124491 DOI: 10.1111/jdv.16326] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/04/2019] [Accepted: 02/06/2020] [Indexed: 01/15/2023]
Abstract
IMPORTANCE Capillary malformation-arteriovenous malformation (CM-AVM) syndrome is a recently described syndrome with distinctive cutaneous lesions. Very little is known about the histopathology of these lesions. OBJECTIVE The purpose of the study was to evaluate the histopathological characteristics of the pink macules of the CM-AVM syndrome and to investigate if these pink macules could be classified as capillary malformations or arteriovenous malformations based on their histopathological features. DESIGN-SETTINGS-PARTICIPANTS We conducted a retrospective multicenter study involving eight hospitals in Spain. Fifteen biopsies from pink macules of the CM-AVM syndrome were analysed and compared with five biopsies of diverse capillary malformations and three stage I arteriovenous malformations. RESULTS Pink macules' biopsies of the CM-AVM syndrome showed similar features including a high vascular density encompassing capillaries and numerous thick-walled arterioles mainly located in the superficial dermis, a predominance of elongated over round vessels, scarce or absent erythrocytes within the lumina and discrete perivascular inflammation. CMs were characterized by an increased number of capillary-type vessels mostly rounded and located in the upper dermis. AVMs were composed by highly increased numbers of vessels with a branching pattern involving the full thickness of the dermis, without erythrocytes within the lumina. Wilms tumour 1 protein was positive in the endothelial cells both in pink macules of the CM-AVM and in arteriovenous malformations. CONCLUSIONS AND RELEVANCE Pink macules of the CM-AVM syndrome seem to be different from capillary malformations. Our results suggest that histologically and immunohistochemically they are closer to incipient arteriovenous malformations than to capillary malformations. A deepened knowledge about the nature of these skin lesions will contribute to the better understanding of capillary malformation-arteriovenous malformation syndrome, and will open the possibility of new and more specific treatments in the future.
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Affiliation(s)
| | - A Torrelo
- Dermatology Department, Hospital Niño Jesus, Madrid, Spain
| | | | | | - J M Azaña
- Dermatology Department, Hospital Albacete, Albacete, Spain
| | - M Campos
- Dermatology Department, Hospital Gregorio Marañón, Madrid, Spain
| | - B Berenguer
- Plastic Surgery Department, Hospital Gregorio Marañón, Madrid, Spain
| | - G Garnacho
- Dermatology Department, Hospital Reina Sofia, Córdoba, Spain
| | - R Moreno
- Dermatology Department, Hospital del Henares, Madrid, Spain
| | - I Colmenero
- Pathology Department, Hospital Niño Jesus, Madrid, Spain
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Tusman G, Campos M, Gogniat E. [COVID-19: how to transform a noninvasive ventilation device in a critical care ventilator]. ACTA ACUST UNITED AC 2020; 67:367-373. [PMID: 32419705 PMCID: PMC7225690 DOI: 10.1016/j.redar.2020.05.002] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [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: 04/05/2020] [Accepted: 05/10/2020] [Indexed: 01/09/2023]
Abstract
La pandemia del COVID-19 ha hecho estragos, no solo en el número de víctimas fatales sino también en la infraestructura de los hospitales y unidades de cuidados intensivos. El número limitado de respiradores es una preocupación de toda la comunidad dada la demanda masiva y a muy corto plazo de estos equipos. Esta presentación tiene como fin dar soluciones sencillas para ventilar pacientes intubados de modo mandatorio utilizando equipos de ventilación no invasiva. Las soluciones propuestas permiten 2 estrategias claras frente al COVID-19: Reemplazar las máquinas de anestesia para disponer de ellas en pacientes. Usar la opción de equipos de ventilación no invasiva para pacientes con COVID-19 a modo de «puente» y a la espera de la liberación de un respirador específico en la unidad de cuidados críticos.
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Affiliation(s)
- G Tusman
- Departamento de Anestesia, Hospital Privado de Comunidad, Mar del Plata, Argentina.
| | - M Campos
- Departamento de Anestesia, Sanatorio Finochietto, Buenos Aires, Argentina; Centro de Simulación, Asociación de Anestesia, Analgesia y Reanimación de Buenos Aires, Buenos Aires, Argentina
| | - E Gogniat
- Kinesiólogo Respiratorio, Miembro del Capítulo de kinesiología Intensivista y Comité de Neumonología Crítica, Sociedad Argentina de Terapia Intensiva, Buenos Aires, Argentina
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Garcia YM, Campos S, Tagliarini FSN, Campos M, Rodrigues BT. DECLIVIDADE E POTENCIAL PARA MECANIZAÇÃO AGRÍCOLA DA BACIA HIDROGRÁFICA DO RIBEIRÃO PEDERNEIRAS - PEDERNEIRAS/SP. Revista Brasileira de Engenharia de Biossistemas 2020. [DOI: 10.18011/bioeng2020v14n1p62-72] [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: 11/01/2022] Open
Abstract
A declividade do terreno contribui para o escoamento das águas, pois quanto maior for o trecho em declive, maior será o escoamento da água pela superfície, arrastando outros materiais para os recursos hídricos superficiais, influenciando a qualidade da água e a infiltração e nos processos erosivos fluviais e pluviais, assim como na tipologia da vegetação, bem como contribui para a formação do solo e serve de indicador na definição de áreas de risco e restrição de uso. A declividade dos rios pode ser associada à velocidade do escoamento, transporte de sedimentos e conformação das áreas de preservação permanentes. Este trabalho teve como objetivo analisar a declividade do terreno na bacia hidrográfica do ribeirão Pederneiras, estado de São Paulo e classificá-la quanto as áreas aptas e inaptas à mecanização agrícola. A área de estudo está localizada entre as coordenadas geográficas 22°20' e 22°26' de latitude S e 48°44' e 48°56' de longitude W Gr., situadas nos municípios de Agudos e Pederneiras, do estado de São Paulo, com uma área de 14918,28 ha. Os mapas de declividade foram elaborados por meio de técnicas de geoprocessamento, tendo-se como base cartográfica: as cartas planialtimétricas do Instituto Brasileiro de Geografia e Estatística e a imagem do satélite Sentinel-2 em ambiente de Sistema de Informação Geográfica – ArcGis 10.4.1. As classes de declividade do solo foram classificadas como relevo plano (0 – 3%), suave ondulado (3 – 8%), ondulado (8 – 20%), forte ondulado (20 – 45%), montanhoso (45 – 75%) e escarpado (> 75%) e áreas para mecanização agrícola como aptas (áreas mecanizáveis) e inaptas (áreas não mecanizáveis). Os resultados mostraram que o relevo plano e suavemente ondulado predominou em quase 89% da área, enquadrando-as em áreas aptas à mecanização com pequenas restrições.
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Affiliation(s)
- Y. M. Garcia
- Faculdade de Ciências Agronômicas/UNESP, Botucatu – SP. Brasil
| | - S. Campos
- Faculdade de Ciências Agronômicas/UNESP, Botucatu – SP. Brasil
| | | | - M. Campos
- Faculdade de Ciências e Engenharia/UNESP, Tupã – SP, Brasil
| | - B. T. Rodrigues
- Faculdade de Ciências Agronômicas/UNESP, Botucatu – SP. Brasil
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Falo C, Fernández S, Garrigós E, Casado ACV, Vázquez S, Stradella A, Recalde S, Pla M, Campos M, Gumà A, Ortega R, Petit A, Soler T, Perez J, Fernandez E, Bergamino M, Simon SP, Gil M, Ponce J, Tejedor AG. Residual cancer burden as a prognostic factor in a large series of neoadjuvant chemotherapy. Subgroup analysis per molecular surrogated subtypes. Ann Oncol 2019. [DOI: 10.1093/annonc/mdz240.065] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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21
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Campos M, Rocha C, Balteiro J. Medication Regimen Complexity in elderly people, in the county of Tábua. Eur J Public Health 2019. [DOI: 10.1093/eurpub/ckz035.032] [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: 11/13/2022] Open
Affiliation(s)
- M Campos
- ESTeSC - Coimbra Health School, Instituto Politécnico de Coimbra, Portugal
| | - C Rocha
- ESTeSC - Coimbra Health School, Instituto Politécnico de Coimbra, Portugal
| | - J Balteiro
- ESTeSC - Coimbra Health School, Instituto Politécnico de Coimbra, Portugal
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Bonini Neto A, Bonini C, Putti F, Campos M, Gabriel Filho L, Chacur M, Piazentin JC. MODELO AUTOMÁTICO DE CLASSIFICAÇÃO DE BOVINOS PARA O ABATE VIA REDES NEURAIS ARTIFICIAIS. Revista Brasileira de Engenharia de Biossistemas 2019. [DOI: 10.18011/bioeng2019v13n1p1-11] [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: 11/01/2022] Open
Abstract
Hoje em dia, a busca por ferramentas que facilitam e até mesmo substituem o trabalho humano têm ganhado grande destaque mundial. As redes neurais artificiais (RNAs) é uma dessas ferramentas, pois apresentam uma quantidade de aplicações, principalmente quando se trata de classificação de dados, reconhecimento de padrões, análise de imagens, entre outros. Com este intuito, o objetivo deste trabalho foi desenvolver uma ferramenta de classificação automática de bovinos por intermédio de uma Rede Neural Artificial (RNA) de três camadas. Essa rede é conhecida como Multilayer Perceptron (MLP), aqui do tipo feed forward (sem realimentação) e com algoritmo de treinamento backpropagation (retropropagação do erro) com treinamento supervisionado. A ideia foi identificar os grupos de abate e os que requerem alimentação mais intensiva, utilizando como variáveis de entrada da rede massa e altura e como variável de saída, o índice de massa corporal (IMC). Os dados utilizados neste trabalho foram obtidos de um rebanho de 147 vacas Nelore, localizadas na cidade de Santa Rita do Pardo - Mato Grosso do Sul (MS). Dos resultados, a rede obteve um excelente desempenho na fase de treinamento (100 amostras), com erro quadrado médio em torno de 10-5. Já na fase do diagnóstico (operação da rede), foi submetida à rede as 47 amostras restantes dos dados de vacas Nelore que não fizeram parte do treinamento da mesma, desses resultados, a rede apresentou em média, um erro em torno de 0,6% em relação à saída desejada (dados normalizados), o que acarretou num erro de 1 amostra das 47 analisadas.
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Affiliation(s)
- A. Bonini Neto
- UNESP - Universidade Estadual Paulista, Faculdade de Ciências e Engenharia (FCE), Tupã, SP, Brasil
| | - C.S.B. Bonini
- UNESP - Universidade Estadual Paulista, Faculdade de Ciências Agronômicas e Tecnológicas (FCAT), Dracena, SP, Brasil
| | - F.F. Putti
- UNESP - Universidade Estadual Paulista, Faculdade de Ciências e Engenharia (FCE), Tupã, SP, Brasil
| | - M. Campos
- UNESP - Universidade Estadual Paulista, Faculdade de Ciências e Engenharia (FCE), Tupã, SP, Brasil
| | - L.R. Gabriel Filho
- UNESP - Universidade Estadual Paulista, Faculdade de Ciências e Engenharia (FCE), Tupã, SP, Brasil
| | - M.G.M. Chacur
- UNOESTE - Universidade do Oeste Paulista, Pró-Reitoria de Pesquisa e Pós-Graduação, Faculdade de Ciências Agrárias, Laboratório de Reprodução Animal, Presidente Prudente, SP, Brasil
| | - J. C. Piazentin
- UNESP – Universidade Estadual Paulista, Faculdade de Ciências Agronômicas (FCA), Botucatu, SP, Brasil
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Campos M, Azevedo J, Mendes L, Rebelo H. Pectoral nerve block as a single anesthetic technique for breast surgery and sentinel lymph node investigation. Rev Esp Anestesiol Reanim (Engl Ed) 2018; 65:534-536. [PMID: 30037430 DOI: 10.1016/j.redar.2018.05.005] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/03/2018] [Revised: 05/26/2018] [Accepted: 05/30/2018] [Indexed: 06/08/2023]
Abstract
Breast cancer surgery is usually performed under general anesthesia or, more recently, combined with conventional regional techniques. Pectoral nerves (PECs) block appears as an analgesic alternative in these procedures, but few studies refer to it as a single anesthetic technique1-3. In this case report, we describe a 56-year-old female patient, BMI 31kg/m2, ASA IV, admitted for elective tumorectomy of the left upper quadrant of the breast and sentinel node investigation. Given the multiple comorbidities and the high anesthetic and surgical risk, the anaesthetic plan consisted in ultrasound guided PECs II block as a single anesthetic technique. The authors report a successful anesthetic and pain management without complications in breast surgery. PECs block, as a single anesthetic technique, may be safe, advantageous and effective with haemodynamic stability and few side effects in high risk cardiac patients.
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Affiliation(s)
- M Campos
- Department of Anesthesiology, Centro Hospitalar de São João, Oporto, Portugal.
| | - J Azevedo
- Department of Anesthesiology, Centro Hospitalar de São João, Oporto, Portugal
| | - L Mendes
- Department of Anesthesiology, Centro Hospitalar de São João, Oporto, Portugal
| | - H Rebelo
- Department of Anesthesiology, Centro Hospitalar de São João, Oporto, Portugal
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Martinez-Nicolas A, Madrid JA, García FJ, Campos M, Moreno-Casbas MT, Almaida-Pagán PF, Lucas-Sánchez A, Rol MA. Circadian monitoring as an aging predictor. Sci Rep 2018; 8:15027. [PMID: 30301951 PMCID: PMC6177481 DOI: 10.1038/s41598-018-33195-3] [Citation(s) in RCA: 26] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2018] [Accepted: 09/25/2018] [Indexed: 12/14/2022] Open
Abstract
The ageing process is associated with sleep and circadian rhythm (SCR) frailty, as well as greater sensitivity to chronodisruption. This is essentially due to reduced day/night contrast, decreased sensitivity to light, napping and a more sedentary lifestyle. Thus, the aim of this study is to develop an algorithm to identify a SCR phenotype as belonging to young or aged subjects. To do this, 44 young and 44 aged subjects were recruited, and their distal skin temperature (DST), activity, body position, light, environmental temperature and the integrated variable TAP rhythms were recorded under free-living conditions for five consecutive workdays. Each variable yielded an individual decision tree to differentiate between young and elderly subjects (DST, activity, position, light, environmental temperature and TAP), with agreement rates of between 76.1% (light) and 92% (TAP). These decision trees were combined into a unique decision tree that reached an agreement rate of 95.3% (4 errors out of 88, all of them around the cut-off point). Age-related SCR changes were very significant, thus allowing to discriminate accurately between young and aged people when implemented in decision trees. This is useful to identify chronodisrupted populations that could benefit from chronoenhancement strategies.
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Affiliation(s)
- A Martinez-Nicolas
- Chronobiology Lab, Department of Physiology, College of Biology, University of Murcia, Mare Nostrum Campus, IUIE, IMIB-Arrixaca, Murcia, Spain
- Ciber Fragilidad y Envejecimiento Saludable (CIBERFES), Madrid, Spain
| | - J A Madrid
- Chronobiology Lab, Department of Physiology, College of Biology, University of Murcia, Mare Nostrum Campus, IUIE, IMIB-Arrixaca, Murcia, Spain
- Ciber Fragilidad y Envejecimiento Saludable (CIBERFES), Madrid, Spain
| | - F J García
- Ciber Fragilidad y Envejecimiento Saludable (CIBERFES), Madrid, Spain
- Geriatrics Section, Hospital Virgen del Valle, Toledo, Spain
| | - M Campos
- Department of Computer Science and Systems, University of Murcia, IMIB-Arrixaca, Murcia, Spain
| | - M T Moreno-Casbas
- Ciber Fragilidad y Envejecimiento Saludable (CIBERFES), Madrid, Spain
- Nursing and Healthcare Research Unit (Investén-isciii), Madrid, Spain
| | - P F Almaida-Pagán
- Chronobiology Lab, Department of Physiology, College of Biology, University of Murcia, Mare Nostrum Campus, IUIE, IMIB-Arrixaca, Murcia, Spain
- Ciber Fragilidad y Envejecimiento Saludable (CIBERFES), Madrid, Spain
| | - A Lucas-Sánchez
- Chronobiology Lab, Department of Physiology, College of Biology, University of Murcia, Mare Nostrum Campus, IUIE, IMIB-Arrixaca, Murcia, Spain
- Ciber Fragilidad y Envejecimiento Saludable (CIBERFES), Madrid, Spain
| | - M A Rol
- Chronobiology Lab, Department of Physiology, College of Biology, University of Murcia, Mare Nostrum Campus, IUIE, IMIB-Arrixaca, Murcia, Spain.
- Ciber Fragilidad y Envejecimiento Saludable (CIBERFES), Madrid, Spain.
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Rodríguez E, González M, Paredes D, Campos M, Benítez E. Selecting native perennial plants for ecological intensification in Mediterranean greenhouse horticulture. Bull Entomol Res 2018; 108:694-704. [PMID: 29198200 DOI: 10.1017/s0007485317001237] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
Natural control by predators and parasitoids provides an important and often unnoticed ecosystem service to agricultural landscapes by reducing pest populations in crops. The current model of horticultural intensification in south-eastern Spain produces high yields but has also resulted in a landscape almost completely covered by plastic. Promoting natural areas among greenhouses could enhance biodiversity, by being beneficial insects, and reduce pest pressure outdoors. The first step is to ascertain how pests and their natural enemies (NEs) use Mediterranean vegetation for selecting the best plants for pest suppression outdoors. The abundance of the two major horticultural pests, the tobacco whitefly, Bemisia tabaci, and the western flower thrips, Frankliniella occidentalis, together with their NEs, were assayed in 22 flowering perennial plants, which were newly planted in an experimental field surrounded by greenhouses. Eight plant species were identified as the most critical species for sustaining pest populations outdoors. A set of five plant species supported a medium level of pests, and another set of ten plant species supported the lowest level of both pests. Tobacco whitefly occurred in a few plants species, whereas western flower thrips occurred on almost all the plant species studied, and was favoured by the presence of flowers in perennial plants. The results suggest that plant diversity may provide relatively few acceptable host plants for tobacco whitefly than for western flower thrips. NEs were generally collected in plants that also supported abundance of pests, indicating that host/prey availability, more than food resources from flowers, was a stronger predictor of NE abundance in perennial plants. Field trials using the plants with the lowest host acceptance by pests are needed in order to ascertain whether pest abundance outdoors is reduced.
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Affiliation(s)
| | - M González
- Cajamar- Experimental Station 'Las Palmerillas',El Ejido,Almería,Spain
| | - D Paredes
- Department of Environmental Protection,Zaidín-Experimental Station (EEZ),CSIC,Granada,Spain
| | - M Campos
- Department of Environmental Protection,Zaidín-Experimental Station (EEZ),CSIC,Granada,Spain
| | - E Benítez
- Department of Environmental Protection,Zaidín-Experimental Station (EEZ),CSIC,Granada,Spain
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Campos M, Pereira N, Laranjo M, Nascimento B, Brites G, Piñeiro M, Botelho M. PO-422 Disagregation in biological medium of promising theranostic agents for cancer. ESMO Open 2018. [DOI: 10.1136/esmoopen-2018-eacr25.448] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
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Brites G, Laranjo M, Pereira N, Campos M, Oliveira A, Piñeiro M, Botelho M. PO-423 Novel 4,5,6,7-tetrahydropyrazolo[1,5-a] pyridine fused chlorins as very active photosensitizers against melanoma and bladder cancer cells. ESMO Open 2018. [DOI: 10.1136/esmoopen-2018-eacr25.449] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
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McCune E, Johnson B, O'Meara T, Theiner S, Campos M, Heditsian D, Brain S, Esserman L, Campbell M. Abstract P1-05-01: Breast cancer and the human microbiome. Cancer Res 2018. [DOI: 10.1158/1538-7445.sabcs17-p1-05-01] [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: 11/16/2022]
Abstract
Abstract
The human body harbors ten times more bacterial cells than human cells – a stunning figure that suggests a likely dynamic between our bodies and the bacteria we carry, both in health and disease. In this study, we characterized and compared the gut, oral, and breast tissue microbiomes from women with invasive breast cancer, women with ductal carcinoma in situ (DCIS), and healthy women. Samples were collected prior to any systemic therapy to avoid therapy-associated effects on the microbiomes studied. Kits containing materials for collecting oral and stool swab samples were distributed to patients for self-collection. DNA was isolated from these samples and bacterial 16S rRNA was PCR amplified and sequenced. Based on the sequencing results, bacterial taxa present in the samples were enumerated. In our analyses, we looked at microbial diversity and differential relative abundance of bacterial taxa across the three cohorts. Oral and gut microbial diversity at various taxa levels were assessed using Shannon and Simpson diversity indices. The oral microbiome did not show any significant difference in microbial diversity across the three cohorts. In the gut microbiome, the invasive cohort showed a significant decrease in microbial diversity when compared to the healthy cohort. Differences in phylogenetic and relative abundance of bacterial taxa across the three cohorts were measured using a T-test analysis with a p value less than 0.05 considered significant. In the oral microbiome, there were no significant differences in the relative abundance of bacteria across the three cohorts. In the gut microbiome, there were significant differences in the relative abundance of bacteria within each cohort on the phylum, family, and genus levels. The genus Fusicanterbacter (associated with the Lachnospiracaea family and Firmicutes phylum) was significantly overabundant in gut microbiomes of healthy women when compared to the gut microbiomes of women with DCIS or invasive breast cancer. Meanwhile, the genus Bacteriodes (associated with the Bacteroidaceae family and Bacteriodetes phylum) was significantly overabundant in the gut microbiomes of women with invasive breast cancer when compared to the gut microbiomes of healthy women. Although tissues are often thought of as sterile, there is emerging data indicating that different tissues may harbor their own unique microbiomes. We obtained breast tissue microbiome data from a small subset of our breast cancer and DCIS cohorts, as well as healthy breast tissue from reduction mammaplasty specimens. At the genus level, we observed an enrichment of Lactococcus, Lactobacillus, and Halomonas in healthy breast tissues compared to breast cancer tissues and an enrichment of Hyphomicrobium in breast cancer tissues compared to healthy breast tissues. Understanding how gut, oral, and tissue microbiomes relate to breast cancer may open up new opportunities for the development of novel markers for early detection (or markers of susceptibility) as well as new strategies for prevention and/or treatment.
Citation Format: McCune E, Johnson B, O'Meara T, Theiner S, Campos M, Heditsian D, Brain S, Esserman L, Campbell M. Breast cancer and the human microbiome [abstract]. In: Proceedings of the 2017 San Antonio Breast Cancer Symposium; 2017 Dec 5-9; San Antonio, TX. Philadelphia (PA): AACR; Cancer Res 2018;78(4 Suppl):Abstract nr P1-05-01.
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Affiliation(s)
- E McCune
- University of California, San Francisco, San Francisco, CA
| | - B Johnson
- University of California, San Francisco, San Francisco, CA
| | - T O'Meara
- University of California, San Francisco, San Francisco, CA
| | - S Theiner
- University of California, San Francisco, San Francisco, CA
| | - M Campos
- University of California, San Francisco, San Francisco, CA
| | - D Heditsian
- University of California, San Francisco, San Francisco, CA
| | - S Brain
- University of California, San Francisco, San Francisco, CA
| | - L Esserman
- University of California, San Francisco, San Francisco, CA
| | - M Campbell
- University of California, San Francisco, San Francisco, CA
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Leal R, Pinto H, Galvão A, Rodrigues L, Santos L, Romãozinho C, Macário F, Alves R, Campos M, Mota A, Figueiredo A. Early Rehospitalization Post-Kidney Transplant Due to Infectious Complications: Can We Predict the Patients at Risk? Transplant Proc 2017; 49:783-786. [PMID: 28457394 DOI: 10.1016/j.transproceed.2017.01.062] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/02/2023]
Abstract
INTRODUCTION Rehospitalization early post-kidney transplant is common and has a negative impact in morbidity, graft survival, and health costs. Infection is one the most common causes, and identifying the risk factors for early readmission due to infectious complications may guide a preventive program and improve outcome. The aim of this study was to evaluate the incidence, characterize the population, and identify the risk factors associated with early readmission for infectious complications post-kidney transplantation. METHODS We performed a retrospective cohort study of all the kidney transplants performed during 2015. The primary outcome was readmission in the first 3 months post-transplant due to infectious causes defined by clinical and laboratory parameters. RESULTS We evaluated 141 kidney transplants; 71% of subjects were men, with an overall mean age of 50.8 ± 15.4 years. Prior to transplant, 98% of the patients were dialysis dependent and 2% underwent pre-emptive living donor kidney transplant. The global readmission rate was 49%, of which 65% were for infectious complications. The most frequent infection was urinary tract infection (n = 28, 62%) and the most common agent detected by blood and urine cultures was Klebsiella pneumonia (n = 18, 40%). The risk factors significantly associated with readmission were higher body mass index (P = .03), diabetes mellitus (P = .02), older donor (P = .007), and longer cold ischemia time (P = .04). There were 3 graft losses, but none due to infectious complications. CONCLUSION There was a high incidence of early rehospitalization due to infectious complications, especially urinary tract infections to nosocomial agents. The risk factors identified were similar to other series.
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Affiliation(s)
- R Leal
- Nephrology Department, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
| | - H Pinto
- Nephrology Department, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal.
| | - A Galvão
- Nephrology Department, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
| | - L Rodrigues
- Nephrology Department, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
| | - L Santos
- Nephrology Department, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
| | - C Romãozinho
- Nephrology Department, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
| | - F Macário
- Nephrology Department, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
| | - R Alves
- Nephrology Department, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
| | - M Campos
- Nephrology Department, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
| | - A Mota
- Urology and Kidney Transplantation Department, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
| | - A Figueiredo
- Urology and Kidney Transplantation Department, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
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Costa JS, Ferreira E, Leal R, Bota N, Romãozinho C, Sousa V, Marinho C, Santos L, Macário F, Alves R, Pratas J, Campos M, Figueiredo A. Polyomavirus Nephropathy: Ten-Year Experience. Transplant Proc 2017; 49:803-808. [PMID: 28457399 DOI: 10.1016/j.transproceed.2017.01.072] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
BACKGROUND Polyomavirus nephropathy (BKVN) is an important cause of chronic allograft dysfunction (CAD). Recipient determinants (male sex, white race, and older age), deceased donation, high-dose immunosuppression, diabetes, delayed graft function (DGF), cytomegalovirus infection, and acute rejection (AR) are risk factors. Reducing immunosuppression is the best strategy in BKVN. The objective of our study was to evaluate CAD progression after therapeutic strategies in BKVN and risk factors for graft loss (GL). METHODS Retrospective analysis of 23 biopsies, from patients with CAD and histological evidence of BKVN, conducted over a period of 10 years. Glomerular filtration rate was <30 mL/min in 16 patients at the time of the BKVN diagnosis. RESULTS BKVN was histologically diagnosed in 23 recipients (19 men, 4 women). All patients were white, with age of 51.2 ± 12.1 years (6 patients, age >60 years), and 22 had a deceased donor. Diabetes affected 4 patients, DGF occurred in 3, cytomegalovirus infection in 2, and AR in 15. All patients were medicated with calcineurin inhibitors (CNI) (95.7% tacrolimus) and corticoids, and 16 also received an antimetabolite. One year after antimetabolite reduction/discontinuation and/or CNI reduction/switching and/or antiviral agents, graft function was decreased in 11 patients, increased/stabilized in 10, and unknown in 2. GL occurred in 9 patients. Older age (hazard ratio, 1.76; 95% confidence interval, 0.94-3.28) and DGF (hazard ratio, 2.60; 95% confidence interval, 0.54-12.64) were the main risk factors for GL. The lower GFR at the time of the BKVN diagnosis was associated with an increased risk of initiation of dialysis. CONCLUSIONS GL occurred in 39.1% of patients with BKVN and DGF; older age and lower GFR at the time of diagnosis were important risk factors. Early diagnosis of BKVN is essential to prevent GL.
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Affiliation(s)
- J S Costa
- Department of Nephrology, Coimbra Hospital and Universitary Center, Coimbra, Portugal.
| | - E Ferreira
- Department of Nephrology, Coimbra Hospital and Universitary Center, Coimbra, Portugal
| | - R Leal
- Department of Nephrology, Coimbra Hospital and Universitary Center, Coimbra, Portugal
| | - N Bota
- Department of Nephrology, Clínica Sagrada Esperança, Luanda, Angola
| | - C Romãozinho
- Department of Nephrology, Coimbra Hospital and Universitary Center, Coimbra, Portugal
| | - V Sousa
- Department of Anatomic Pathology, Coimbra Hospital and Universitary Center, Coimbra, Portugal
| | - C Marinho
- Department of Anatomic Pathology, Coimbra Hospital and Universitary Center, Coimbra, Portugal
| | - L Santos
- Department of Nephrology, Coimbra Hospital and Universitary Center, Coimbra, Portugal
| | - F Macário
- Department of Nephrology, Coimbra Hospital and Universitary Center, Coimbra, Portugal
| | - R Alves
- Department of Nephrology, Coimbra Hospital and Universitary Center, Coimbra, Portugal
| | - J Pratas
- Department of Nephrology, Coimbra Hospital and Universitary Center, Coimbra, Portugal
| | - M Campos
- Department of Nephrology, Coimbra Hospital and Universitary Center, Coimbra, Portugal
| | - A Figueiredo
- Department of Urology and Kidney Transplantation, Coimbra Hospital and Universitary Center, Coimbra, Portugal
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Rodríguez-Morilla B, Estivill E, Estivill-Domènech C, Albares J, Segarra F, Campos M, Rol M, Madrid J. Application of machine learning methods to ambulatory circadian monitoring (ACM) for the discrimination of sleep and circadian disorders. Sleep Med 2017. [DOI: 10.1016/j.sleep.2017.11.822] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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Cristofolini A, Fiorimanti M, Campos M, Sanchis E, Diaz T, Moschetti E, Merkis C. Morphometric study of the porcine placental vascularization. Reprod Domest Anim 2017; 53:217-225. [DOI: 10.1111/rda.13095] [Citation(s) in RCA: 2] [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: 08/08/2017] [Accepted: 09/14/2017] [Indexed: 11/28/2022]
Affiliation(s)
- A Cristofolini
- Area of Electron Microscopy; School of Agronomy and Veterinary; National University of Río Cuarto; Rio Cuarto Argentina
- National Scientific and Technical Research Council (CONICET); Rio Cuarto Argentina
| | - M Fiorimanti
- Area of Electron Microscopy; School of Agronomy and Veterinary; National University of Río Cuarto; Rio Cuarto Argentina
- National Scientific and Technical Research Council (CONICET); Rio Cuarto Argentina
| | - M Campos
- Area of Electron Microscopy; School of Agronomy and Veterinary; National University of Río Cuarto; Rio Cuarto Argentina
| | - E Sanchis
- Area of Electron Microscopy; School of Agronomy and Veterinary; National University of Río Cuarto; Rio Cuarto Argentina
| | - T Diaz
- Area of Electron Microscopy; School of Agronomy and Veterinary; National University of Río Cuarto; Rio Cuarto Argentina
| | - E Moschetti
- Area of Electron Microscopy; School of Agronomy and Veterinary; National University of Río Cuarto; Rio Cuarto Argentina
| | - C Merkis
- Area of Electron Microscopy; School of Agronomy and Veterinary; National University of Río Cuarto; Rio Cuarto Argentina
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Zamora T, Palma J, Andia M, Garcia P, Wozniak A, Solar A, Campos M. Effect of Propionibacterium acnes (PA) injection on intervertebral disc degeneration in a rat model: Does it mimic modic changes? Orthop Traumatol Surg Res 2017; 103:795-799. [PMID: 28552835 DOI: 10.1016/j.otsr.2017.04.005] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/10/2016] [Revised: 04/04/2017] [Accepted: 04/11/2017] [Indexed: 02/02/2023]
Abstract
INTRODUCTION Multiple reports of bacterial isolates in human disc tissue have suggested a role of low-grade infection on intervertebral disc degeneration and modic changes (MC) generation. Animal models have been extensively used to study IDD; however, until recently, no consideration had been given to eventual infectious processes. To reproduce the phenomena by inoculating an infecting agent would support the infectious hypothesis. Therefore, we studied the effect of Propionibacterium acnes (PA) inoculation on rat-tails and determined whether it would produce MCs on the adjacent endplates. HYPOTHESIS Disc infection with PA would accelerate IDD compared with the standard model and would also lead to MCs on the adjacent endplates. METHODS Twelve Sprague-Dawley rats were randomized to receive a needle puncture in a caudal tail disc with either saline (control) or an inoculum of 5×107 CFU of strain 1a PA. Twelve weeks later, the rats were euthanized and the tails were analyzed. The main assessment criteria were obtained from the post-mortem MRI: T2 values of punctured discs and adjacent endplates, as well as disc volumes. A histological grading score for IDD was also used, measuring the morphology and cellularity of the nucleus and annulus, as well as endplate disruption. RESULTS The median T2 value and disc volume were smaller in PA-punctured discs [T2 value: 30ms (23-44) vs. 61ms (38-132), respectively, P=0.01; 0.01mm3 (0.01-0.05) vs. 0.5mm3 (0.01-5.35), respectively; P=0.049]. There was no change in the adjacent endplates. There was no significant difference in histological grading between the test and control [13 (10-14) vs. 10.5 (6-13); P=0.05]. DISCUSSION Inoculation of caudal discs with PA generated increased degeneration; however, no MCs were observed on the adjacent endplates. A better understanding of low-grade disc infections is still needed. LEVEL OF EVIDENCE V (animal study).
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Affiliation(s)
- T Zamora
- Department of Orthopaedic Surgery, School of Medicine, Pontificia Universidad Catolica de Chile, 362, Diagonal Paraguay, 8330077 Santiago, Chile
| | - J Palma
- Department of Orthopaedic Surgery, School of Medicine, Pontificia Universidad Catolica de Chile, 362, Diagonal Paraguay, 8330077 Santiago, Chile
| | - M Andia
- Department of Radiology, School of Medicine, Pontificia Universidad Catolica de Chile, Santiago, Chile
| | - P Garcia
- Department of Clinical Laboratories, School of Medicine, Pontificia Universidad Catolica de Chile, Santiago, Chile
| | - A Wozniak
- Department of Clinical Laboratories, School of Medicine, Pontificia Universidad Catolica de Chile, Santiago, Chile
| | - A Solar
- Department of Pathology, School of Medicine, Pontificia Universidad Catolica de Chile, Santiago, Chile
| | - M Campos
- Department of Orthopaedic Surgery, School of Medicine, Pontificia Universidad Catolica de Chile, 362, Diagonal Paraguay, 8330077 Santiago, Chile.
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Pinto H, Leal R, Rodrigues L, Santos L, Romãozinho C, Macário F, Alves R, Pratas J, Sousa V, Marinho C, Prado E Castro L, Costa F, Campos M, Mota A, Figueiredo A. What Can We Do When All Collapses? Fatal Outcome of Collapsing Glomerulopathy and Systemic Lupus Erythematosus With Diffuse Alveolar Hemorrhage: Case Report. Transplant Proc 2017; 49:913-915. [PMID: 28457424 DOI: 10.1016/j.transproceed.2017.03.007] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
INTRODUCTION Collapsing glomerulopathy (CG) is a rare form of glomerular injury. Although commonly associated with human immunodeficiency virus (HIV) infection, it can occur in association with systemic lupus erythematosus (SLE). CASE REPORT We present the case of a 50-year-old man, with chronic kidney disease secondary to focal and segmental glomerulosclerosis, who received a cadaveric kidney transplant in 2007. There were no relevant intercurrences until May 2015, when he presented with nephrotic range proteinuria (± 4 g/d). A graft biopsy was performed and it did not show any significant pathological changes. In September, he developed a full nephrotic syndrome (proteinuria 19 g/d) and a graft biopsy was repeated. CG features were evident with a rich immunofluorescence. Antinuclear antibodies (ANA) and anti-double-stranded DNA (anti-dsDNA) antibodies were positive; the remaining immunologic study was normal. Viral markers for HIV, hepatitis C virus (HCV), and hepatitis B virus (HBV) were negative. The patient was treated with corticosteroid pulses and plasmapheresis (seven treatments). A rapid deterioration of kidney function was seen and he became dialysis dependent. He was discharged with a low-dose immunosuppressive treatment. In October, he was hospitalized with diffuse alveolar hemorrhage (DAH). The auto-immune study was repeated, revealing complement consumption and positive titers of ANA and Anti-dsDNA antibodies. Anti-neutrophil cytoplasmic antibodies (ANCAs) and antiglomerular basement membrane antibody (anti-GBM) were negative. Treatment with intravenous corticosteroids, plasmapheresis, and human immunoglobulin was ineffective and the outcome was fatal. CONCLUSION This case report highlights the possible association of CG and SLE. To our knowledge, it is the first case of SLE presenting with CG and DAH, with the singularity of occurring in a kidney transplant recipient receiving immunosuppression.
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Affiliation(s)
- H Pinto
- Nephrology Department, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal.
| | - R Leal
- Nephrology Department, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
| | - L Rodrigues
- Nephrology Department, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
| | - L Santos
- Nephrology Department, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
| | - C Romãozinho
- Nephrology Department, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
| | - F Macário
- Nephrology Department, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
| | - R Alves
- Nephrology Department, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
| | - J Pratas
- Nephrology Department, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
| | - V Sousa
- Pathology Department, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
| | - C Marinho
- Pathology Department, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
| | - L Prado E Castro
- Pathology Department, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
| | - F Costa
- Nephrology Department, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
| | - M Campos
- Nephrology Department, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
| | - A Mota
- Urology and Renal Transplantation Department, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
| | - A Figueiredo
- Urology and Renal Transplantation Department, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
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Pinto H, Leal R, Rodrigues L, Santos L, Romãozinho C, Macário F, Alves R, Bastos C, Roseiro A, Costa F, Campos M, Mota A, Figueiredo A. Surgical Complications in Early Post-transplant Kidney Recipients. Transplant Proc 2017; 49:821-823. [DOI: 10.1016/j.transproceed.2017.03.010] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/17/2022]
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Fuentes I, Campos M, Repetto G, Morandé P, Yubero MJ, Gonzalez S, Klausegger A, Schnitzhofer P, Pohla-Gubo G, Bauer J, Palisson F. Molecular epidemiology of junctional epidermolysis bullosa: discovery of novel and frequent LAMB3 mutations in Chilean patients with diagnostic significance. Br J Dermatol 2017; 176:1090-1092. [PMID: 27480391 DOI: 10.1111/bjd.14920] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/11/2022]
Affiliation(s)
- I Fuentes
- Fundación DEBRA Chile, Santiago, Chile
- Centro de Genética y Genómica, Facultad de Medicina, Clínica Alemana Universidad del Desarrollo, Santiago, Chile
| | - M Campos
- Centro de Genética y Genómica, Facultad de Medicina, Clínica Alemana Universidad del Desarrollo, Santiago, Chile
| | - G Repetto
- Centro de Genética y Genómica, Facultad de Medicina, Clínica Alemana Universidad del Desarrollo, Santiago, Chile
| | - P Morandé
- Fundación DEBRA Chile, Santiago, Chile
| | - M J Yubero
- Fundación DEBRA Chile, Santiago, Chile
- Facultad de Medicina, Clínica Alemana Universidad del Desarrollo, Santiago, Chile
| | - S Gonzalez
- Departamento de Patología, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile
| | - A Klausegger
- Department of Dermatology, EBHouse Austria, Paracelsus Medical University, Salzburg, 5020, Austria
| | - P Schnitzhofer
- Department of Dermatology, EBHouse Austria, Paracelsus Medical University, Salzburg, 5020, Austria
| | - G Pohla-Gubo
- Department of Dermatology, EBHouse Austria, Paracelsus Medical University, Salzburg, 5020, Austria
| | - J Bauer
- Department of Dermatology, EBHouse Austria, Paracelsus Medical University, Salzburg, 5020, Austria
| | - F Palisson
- Fundación DEBRA Chile, Santiago, Chile
- Facultad de Medicina, Clínica Alemana Universidad del Desarrollo, Santiago, Chile
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Campos M, Perruchon C, Karas PA, Karavasilis D, Diez MC, Karpouzas DG. Bioaugmentation and rhizosphere-assisted biodegradation as strategies for optimization of the dissipation capacity of biobeds. J Environ Manage 2017; 187:103-110. [PMID: 27886583 DOI: 10.1016/j.jenvman.2016.11.031] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/12/2016] [Revised: 10/12/2016] [Accepted: 11/14/2016] [Indexed: 06/06/2023]
Abstract
Biobeds are on-farm biodepuration systems whose efficiency rely on their high pesticide biodegradation capacity. We evaluated two optimization strategies, bioaugmentation and/or rhizosphere-assisted biodegradation, to maximize the dissipation capacity of biobeds. Iprodione was used as a model pesticide. Its dissipation and metabolism was determined in a biobed packing material inoculated with an iprodione-degrading Arthrobacter strain C1 (bioaugmentation, treatments B+C1) and/or seeded with ryegrass (rhizosphere-assisted biodegradation, treatments B+P). The impact of those strategies on the activity and composition of the microbial community was determined. Bioaugmentation accelerated the dissipation of iprodione which was further enhanced in the bioaugmented, rhizosphere-assisted treatment (treatment B+P+C1, Half-life (DT50) = 3.4 d), compared to the non-bioaugmented, non rhizosphere-assisted control (DT50 = 9.5 d, treatment B). Bioaugmentation resulted in the earlier formation of intermediate formation of metabolites I (3,5-dichlorophenyl-carboxamide), II (3,5-dichlorophenylurea acetate) and 3,5-dichloroaniline (3,5-DCA). The latter was further dissipated by the indigenous microbial community. Acid phosphatase (AP) and β-glucosidase (GLU) were temporarily stimulated in rhizosphere-assisted treatments, whereas a stimulation of the fluorescein diacetate (FDA) hydrolytic activity in the bioaugmented treatments coincided with the hydrolysis of iprodione. q-PCR showed that changes in the abundance of alpha-proteobacteria and firmicutes was driven by the presence of rhizosphere while bioaugmentation had no significant effect.
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Affiliation(s)
- M Campos
- Biotechnological Research Center Applied to the Environment (CIBAMA), Universidad de La Frontera, Temuco, Chile
| | - C Perruchon
- Department of Biochemistry and Biotechnology, University of Thessaly, Larissa, Viopolis 41500, Greece
| | - P A Karas
- Department of Biochemistry and Biotechnology, University of Thessaly, Larissa, Viopolis 41500, Greece
| | - D Karavasilis
- Department of Biochemistry and Biotechnology, University of Thessaly, Larissa, Viopolis 41500, Greece
| | - M C Diez
- Chemical Engineering Department, Universidad de La Frontera, Chile
| | - D G Karpouzas
- Department of Biochemistry and Biotechnology, University of Thessaly, Larissa, Viopolis 41500, Greece.
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Campos S, Campos M, Nardini R, Rodrigues B, Rodrigues M, Tagliarini F, Traficante D. GEOTECNOLOGIA APLICADA NA OBTENÇÃO DAS SUBCLASSES DE CAPACIDADE DE USO DAS TERRAS DE UMA MICROBACIA, VISANDO A CONSERVAÇÃO DOS RECURSOS NATURAIS. Revista Brasileira de Engenharia de Biossistemas 2016. [DOI: 10.18011/bioeng2016v10n3p339-348] [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: 11/01/2022] Open
Abstract
A exploração da terra para produzir alimentos para o sustento do homem quase sempre foi de forma desordenada e sem planejamento.Aconsequência dessa exploração predatória foi oempobrecimento do solo por erosão intensa, assoreamento de cursos d’água, desertificação, entre outros. O trabalho objetivou a utilização de geotecnologias na elaboração dos mapas de classes de declive, de solos e da capacidade de uso do solo numa microbacia, de forma a contribuirno processo de gestão ambiental e na tomada de decisões por parte dos Administradores Públicos.A microbacia do Ribeirão das Agulhas, Botucatu (SP) apresenta uma área de 1.429,28ha e está localizada entre os paralelos 22o47'05" a 22o05'55" de latitude S e 48o28'10” a 48o30'04" de longitude W Gr. Os resultados permitiram inferir que a subclasse mais significativa foi a IIIs,e(44,50%)e orelevo ondulado (57,59%). Assubclasses de capacidade de uso IIIs, IIIs,e,IVs, IVs,e e IVeocuparam 89,36% da área, mostrando o grande potencial de uso para culturas anuais, perenes, pastagens e reflorestamentos. O Sistema de Informações Geográficas (SIG)mostrou-se uma excelente ferramenta para determinação da capacidade de uso da terra, demonstrando que a utilização do geoprocessamento facilita e dá maior rapidez no cruzamento dos dados digitais, permitindo seu armazenamento, que poderão ser utilizados para outras análises em futuros planejamentos geoambientais.
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Affiliation(s)
- S. Campos
- UNESP –Univ Estadual Paulista, Departamento de Engenharia Rural, Faculdade de Ciências Agronômicas,FCA,Botucatu, SP, Brasil
| | - M. Campos
- UNESP –Univ Estadual Paulista, Faculdade de Ciências e Engenharia, FCE,Tupã, SP, Brasil
| | - R.C. Nardini
- UEL -UnivEstadual de Londrina, Departamento de Geociência, Londrina, PR, Brasil
| | - B.T. Rodrigues
- UNESP –Univ Estadual Paulista, Departamento de Engenharia Rural, Faculdade de Ciências Agronômicas,FCA,Botucatu, SP, Brasil
| | - M.T. Rodrigues
- UNESP –Univ Estadual Paulista, Departamento de Engenharia Rural, Faculdade de Ciências Agronômicas,FCA,Botucatu, SP, Brasil
| | - F.S.N. Tagliarini
- UNESP –Univ Estadual Paulista, Departamento de Engenharia Rural, Faculdade de Ciências Agronômicas,FCA,Botucatu, SP, Brasil
| | - D.P. Traficante
- UNESP –Univ Estadual Paulista, Departamento de Engenharia Rural, Faculdade de Ciências Agronômicas,FCA,Botucatu, SP, Brasil
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Nardini R, Campos S, Gomes L, Ribeiro F, Pissarra T, Campos M. TÉCNICAS DE GEOPROCESSAMENTO PARA ANÁLISE MORFOMÉTRICA DA MICROBACIA DO RIBEIRÃO ALTO ÁGUA FRIA – BOFETE (SP). Revista Brasileira de Engenharia de Biossistemas 2016. [DOI: 10.18011/bioeng2016v10n2p170-180] [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: 11/01/2022] Open
Abstract
Técnicas de geoprocessamento foram realizadas para a caracterização morfométrica da microbacia do Ribeirão Alto Água Fria – Bofete (SP) pelo Sistema de Informação Geográfica, visando à preservação, racionalização do seu uso e recuperação ambiental. A microbacia apresenta uma área de 4012,17 ha e está localizada entre as coordenadas geográficas: 22o 57’ 41” a 23o 02’ 42” S e 48o 11’ 29” a 48o 20’ 09” WGR. A base cartográfica utilizada foi a carta planialtimétrica de Bofete (SP) para extração das curvas de nível e hidrografia, para determinação dos índices morfométricos. Os resultados apresentaram que os baixos valores da densidade de drenagem, associados à presença de rochas permeáveis, facilitam a infiltração da água no solo, diminuindo o escoamento superficial e o risco de erosão e da degradação ambiental. Os baixos valores do fator de forma e do índice de circularidade indica que a microbacia tende a ser mais alongada com menor susceptibilidade à ocorrência de enchentes mais acentuadas. O parâmetro ambiental, coeficiente de rugosidade, permitiu classificar a microbacia para vocação com agricultura.
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Affiliation(s)
- R.C. Nardini
- UEL - Univ Estadual de Londrina, Departamento de Geociência, Londrina, PR, Brasil
| | - S. Campos
- UNESP – Univ Estadual Paulista, Departamento de Engenharia Rural, Faculdade de Ciências Agronômicas, FCA, Botucatu, SP, Brasil
| | - L.N. Gomes
- UEL - Univ Estadual de Londrina, Departamento de Geociência, Londrina, PR, Brasil
| | - F.L. Ribeiro
- UEL - Univ Estadual de Londrina, Departamento de Geociência, Londrina, PR, Brasil
| | - T.C.T. Pissarra
- UNESP – Univ Estadual Paulista, Departamento de Engenharia Rural, Faculdade de Ciências Agrárias e Veterinárias, FCAV, Jaboticabal, SP, Brasil
| | - M. Campos
- UNESP – Univ Estadual Paulista, Faculdade de Ciências e Engenharia, FCE, Tupã, SP, Brasil
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Nave A, Gonçalves F, Crespí AL, Campos M, Torres L. Evaluation of native plant flower characteristics for conservation biological control of Prays oleae. Bull Entomol Res 2016; 106:249-257. [PMID: 26780918 DOI: 10.1017/s0007485315001091] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Abstract
Several studies have shown that manipulating flowering weeds within an agroecosystem can have an important role in pest control by natural enemies, by providing them nectar and pollen, which are significant sources of nutrition for adults. The aim of this study was to assess if the olive moth, Prays oleae (Bernard, 1788) (Lepidoptera: Praydidae), and five of its main natural enemies, the parasitoid species Chelonus elaeaphilus Silvestri (Hymenoptera: Braconidae), Apanteles xanthostigma (Haliday) (Hymenoptera: Braconidae), Ageniaspis fuscicollis (Dalman) (Hymenoptera: Encyrtidae) and Elasmus flabellatus (Fonscolombe) (Hymenoptera: Eulophidae), as well as the predator Chrysoperla carnea (Stephens) (Neuroptera: Chrysopidae), can theoretically access the nectar from 21 flowering weeds that naturally occur in olive groves. Thus, the architecture of the flowers as well as the mouthpart structure and/or the head and thorax width of the pest and its enemies were analyzed. The results suggested that all beneficial insects were able to reach nectar of the plant species from Apiaceae family, i.e. Conopodium majus (Gouan) Loret, Daucus carota L. and Foeniculum vulgare Mill., as well as Asparagus acutifolius L., Echium plantagineum L., Capsella bursa-pastoris (L.) Medik., Raphanus raphanistrum L., Lonicera hispanica Boiss. et Reut., Silene gallica L., Spergula arvensis L., Hypericum perforatum L., Calamintha baetica Boiss. et Reut, Malva neglecta Wallr. and Linaria saxatilis (L.) Chaz. P. oleae was not able to access nectar from five plant species, namely: Andryala integrifolia L., Chondrilla juncea L., Dittrichia viscosa (L.) Greuter, Sonchus asper (L.) Hill and Lavandula stoechas L.
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Affiliation(s)
- A Nave
- Centre for the Research and Technology of Agro-Environmental and Biological Sciences,CITAB,University of Trás-os-Montes and Alto Douro,UTAD,Quinta de Prados, 5001-801,Vila Real,Portugal
| | - F Gonçalves
- Centre for the Research and Technology of Agro-Environmental and Biological Sciences,CITAB,University of Trás-os-Montes and Alto Douro,UTAD,Quinta de Prados, 5001-801,Vila Real,Portugal
| | - A L Crespí
- Centre for the Research and Technology of Agro-Environmental and Biological Sciences,CITAB,University of Trás-os-Montes and Alto Douro,UTAD,Quinta de Prados, 5001-801,Vila Real,Portugal
| | - M Campos
- Department of Environmental Protection,Estación Experimental de Zaidín,CSIC,Profesor Albareda n° 1,18008 - Granada,Spain
| | - L Torres
- Centre for the Research and Technology of Agro-Environmental and Biological Sciences,CITAB,University of Trás-os-Montes and Alto Douro,UTAD,Quinta de Prados, 5001-801,Vila Real,Portugal
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Santos T, Aguiar B, Santos L, Romaozinho C, Tome R, Macario F, Alves R, Campos M, Mota A. Invasive Fungal Infections After Kidney Transplantation: A Single-center Experience. Transplant Proc 2016; 47:971-5. [PMID: 26036497 DOI: 10.1016/j.transproceed.2015.03.040] [Citation(s) in RCA: 31] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
Abstract
INTRODUCTION Invasive fungal infections (IFI) affecting transplant recipients are associated with increased mortality and graft dysfunction. OBJECTIVE Describe the frequency, clinical features, and outcomes of IFI (except pneumocystis infection) in kidney transplant recipients. METHOD Single-center descriptive study including every kidney transplant recipient with a culture-proven or probable IFI between 2003 and 2013, according to the EORTC-MSG criteria. RESULTS We identified 45 IFI. There were 13 cases of invasive candidiasis (C. albicans: 6 and non-C. albicans candidial spp.: 7), 11 cases of pulmonary aspergillosis (A. fumigatus: 9 and A. flavus: 2); 11 cases of subcutaneous mycosis (Alternaria spp.: 9, Paecilomyces spp.: 1, and Pseudallescheria spp.: 1); 7 cases of cryptococcosis; 2 cases of pneumonia by non-Aspergillus molds (Mucor spp.: 1 and Cunninghamella spp.: 1); and 1 case of Geotrichum capitatum pneumonia. All patients were recipients from deceased donors. Six cases occurred in the first 3 months post-transplant, 15 cases between the third and twelfth months, and 21 cases after the twelfth month. Treatment options were fluconazole for Candida infections, voriconazole or caspofungin for aspergillosis, liposomal amphotericin for cryptococcosis, and itraconazole plus excision or cryotherapy for subcutaneous mycosis. Fifteen patients died (33%). Mortality rates were 15% for invasive candidiasis, 45% for aspergillosis, 71% for cryptococcosis, 100% for non-Aspergillus molds and G. capitatum pneumonia, and 0% for subcutaneous mycosis. Six patients who survived (14%) started regular hemodialysis. CONCLUSION IFI still have a high mortality and morbidity in kidney transplant recipients, as verified in this report. We reinforce the need for a high index of suspicion and prompt treatment.
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Affiliation(s)
- T Santos
- Kidney Transplant Unit, Urology and Kidney Transplant Department, Coimbra University Hospital, Coimbra, Portugal.
| | - B Aguiar
- Kidney Transplant Unit, Urology and Kidney Transplant Department, Coimbra University Hospital, Coimbra, Portugal
| | - L Santos
- Kidney Transplant Unit, Urology and Kidney Transplant Department, Coimbra University Hospital, Coimbra, Portugal
| | - C Romaozinho
- Kidney Transplant Unit, Urology and Kidney Transplant Department, Coimbra University Hospital, Coimbra, Portugal
| | - R Tome
- Clinical Pathology Department, Coimbra University Hospital, Coimbra, Portugal
| | - F Macario
- Kidney Transplant Unit, Urology and Kidney Transplant Department, Coimbra University Hospital, Coimbra, Portugal
| | - R Alves
- Kidney Transplant Unit, Urology and Kidney Transplant Department, Coimbra University Hospital, Coimbra, Portugal
| | - M Campos
- Nephrology Department, Coimbra University Hospital, Coimbra, Portugal
| | - A Mota
- Kidney Transplant Unit, Urology and Kidney Transplant Department, Coimbra University Hospital, Coimbra, Portugal
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Costa FHS, Campos M, da Silva MAA. The universal growth rate behavior and regime transition in adherent cell colonies. J Theor Biol 2015; 387:181-8. [PMID: 26471071 DOI: 10.1016/j.jtbi.2015.09.035] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [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: 02/28/2015] [Revised: 09/17/2015] [Accepted: 09/25/2015] [Indexed: 11/16/2022]
Abstract
In this work, we used five cell lineages, cultivated in vitro, to show they follow a common functional form to the growth rate: a sigmoidal curve, suggesting that competition and cooperation (usual mechanisms for systems with this behavior) might be present. Both theoretical and experimental investigations, on the causes of this behavior, are challenging for the research field; since the sigmoidal form to the growth rate seems to absorb important properties of such systems, e.g., cell deformation and statistical interactions. We shed some light on this subject by showing how cell spreading affects the radius behavior of the growing colonies. Doing numerical time derivatives of the experimental data, we obtained the growth rates. Using reduced variables for the time and rates, we obtained the collapse of all colonies growth rates onto one curve with sigmoidal shape. This suggests a universal-type behavior, with regime transition related to a morphological transition of adherent cell colonies.
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Affiliation(s)
- F H S Costa
- Departamento de Física, FFCLRP; Universidade de São Paulo, 14040-901; Ribeirão Preto, São Paulo, Brazil.
| | - M Campos
- Departamento de Química e Ciências Ambientais, IBILCE, Universidade Estadual Paulista Júlio de Mesquita Filho, 15054-000 São José do Rio Preto, São Paulo, Brazil
| | - M A A da Silva
- Departamento de Física, FFCLRP; Universidade de São Paulo, 14040-901; Ribeirão Preto, São Paulo, Brazil; Departamento de Física e Química, FCFRP; Universidade de São Paulo, 14040-903; Ribeirão Preto, São Paulo, Brazil.
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Barreto SM, Campos M, Malta DC, Giatti L. Experimentation and Use of Cigarette and other Tobacco Products among Brazilian Adolescents. National Research of School Health, 2012. Int J Epidemiol 2015. [DOI: 10.1093/ije/dyv096.517] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Giatti L, Campos M, Andrade S, Crespo C, Barreto SG. Adolescent Labor and Health Vulnerability: Brazilian Survey on High School Health (PeNSE 2012). Int J Epidemiol 2015. [DOI: 10.1093/ije/dyv097.050] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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Ladron-De-Guevara D, Zuñiga-Fajuri A, Campos M, Rios L, Solari F, Kuester G, Martinez D, Sepulveda M, Galvez M, Las Heras F, Perez C, Alvarez C, Fabres L, Varela X, Otayza F, Contreras A, Rojas G. Diagnostic value of pre-surgical F18-FDG PET/CT and MRI in refractory focal epilepsy. Histopathological and surgical outcome correlation. J Neurol Sci 2015. [DOI: 10.1016/j.jns.2015.08.144] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Giacaman A, Knöpfel N, Campos M, Martín-Santiago A. Acquired Facial Hyperpigmented Macules in Children: 3 New Cases. Actas Dermosifiliogr 2015; 107:81-3. [PMID: 26344736 DOI: 10.1016/j.ad.2015.05.012] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/26/2015] [Revised: 05/08/2015] [Accepted: 05/19/2015] [Indexed: 10/23/2022] Open
Affiliation(s)
- A Giacaman
- Servicio de Dermatología, Hospital Universitario Son Espases, Palma de Mallorca, España.
| | - N Knöpfel
- Servicio de Dermatología, Hospital Universitario Son Espases, Palma de Mallorca, España
| | - M Campos
- Hospital General Universitario Gregorio Marañón, Madrid, España
| | - A Martín-Santiago
- Servicio de Dermatología, Hospital Universitario Son Espases, Palma de Mallorca, España
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48
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Kreuz W, Escuriola Ettingshausen C, Vdovin V, Zozulya N, Plyushch O, Svirin P, Andreeva T, Bubanská E, Campos M, Benedik-Dolničar M, Jiménez-Yuste V, Kitanovski L, Klukowska A, Momot A, Osmulskaya N, Prieto M, Šalek SZ, Velasco F, Pavlova A, Oldenburg J, Knaub S, Jansen M, Belyanskaya L, Walter O. First prospective report on immune tolerance in poor risk haemophilia A inhibitor patients with a single factor VIII/von Willebrand factor concentrate in an observational immune tolerance induction study. Haemophilia 2015. [PMID: 26202305 DOI: 10.1111/hae.12774] [Citation(s) in RCA: 39] [Impact Index Per Article: 4.3] [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: 01/22/2023]
Abstract
INTRODUCTION/BACKGROUND Development of neutralizing inhibitors against factor VIII (FVIII) is a major complication of haemophilia A treatment. AIM The ongoing, international, open-label, uncontrolled, observational immune tolerance induction (ObsITI) study evaluates ITI, the standard of care in patients with inhibitors. PATIENTS/METHODS Forty-eight prospective patients in this interim analysis received a single plasma-derived, von Willebrand factor-stabilized, FVIII concentrate (pdFVIII/VWF) for ITI. According to recommended Bonn protocol, 'low responders' at ITI start (<5 BU) received 50-100 IU FVIII kg(-1) daily, or every other day; 'high responders' (≥5 BU) received 100 IU FVIII kg(-1) every 12 h. RESULTS Forty of 48 patients (83.3%), had at least one risk factor for poor ITI-prognosis at ITI start (i.e. age ≥7 years, >2 years since inhibitor diagnosis, inhibitor titre ≥10 BU at the start of ITI, or prior ITI failure). Nonetheless, 34 patients (70.8%) achieved complete success, 3 (6.3%) partial success, 1 (2.1%) partial response; ITI failed in 10 patients (20.8%), all with poor prognosis factors. All six low responders achieved complete success. ITI outcome was significantly associated with inhibitor titre level at ITI start (P = 0.0068), number of poor prognosis factors for ITI success (P = 0.0187), monthly bleeding rate during ITI (P = 0.0005) and peak inhibitor titre during ITI (P = 0.0007). Twenty-two of 35 high responder patients (62.9%) with ≥1 poor prognosis factor achieved complete success. CONCLUSION Treatment with a single pdFVIII/VWF concentrate, mainly according to the Bonn protocol, resulted in a high ITI success rate in haemophilia A patients with inhibitors and poor prognosis for ITI success.
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Affiliation(s)
- W Kreuz
- HZRM, Hämophilie-Zentrum Rhein Main Frankfurt-Mörfelden, Mörfelden-Walldorf, Germany
| | | | - V Vdovin
- Izmaylovo Children's Hospital Haematological Centre, Moscow, Russia
| | - N Zozulya
- The State Haematological Scientific Centre RAMS, Moscow, Russia
| | - O Plyushch
- The State Haematological Scientific Centre RAMS, Moscow, Russia
| | - P Svirin
- Izmaylovo Children's Hospital Haematological Centre, Moscow, Russia
| | - T Andreeva
- St. Petersburg State Healthcare Institution, St. Petersburg, Russia
| | - E Bubanská
- Children Faculty Hospital with Policlinic, Banská Bystrica, Slovakia
| | - M Campos
- Centro Hospitalar Porto, Hospital de Santo António, Porto, Portugal
| | - M Benedik-Dolničar
- Children's Hospital Oncology-Hematology Unit, University Medical Center Ljubljana, Ljubljana, Slovenia
| | | | - L Kitanovski
- Children's Hospital Oncology-Hematology Unit, University Medical Center Ljubljana, Ljubljana, Slovenia
| | | | - A Momot
- Altai Hematological Center, Altai, Russia
| | - N Osmulskaya
- State Healthcare Institution of Omsk Region, Omsk, Russia
| | - M Prieto
- Hospital General Yagüe, Castilla Leon, Spain
| | - S Z Šalek
- University Hospital REBRO, Zagreb, Croatia
| | - F Velasco
- Hospital Reina Sofía, Córdoba, Spain
| | - A Pavlova
- Institute of Experimental Haematology and Transfusion Medicine, University Clinic Bonn, Bonn, Germany
| | - J Oldenburg
- Institute of Experimental Haematology and Transfusion Medicine, University Clinic Bonn, Bonn, Germany
| | - S Knaub
- Octapharma AG, Lachen, Switzerland
| | - M Jansen
- Octapharma Pharmazeutika Produktionsges.mbH, Vienna, Austria
| | | | - O Walter
- Octapharma AG, Lachen, Switzerland
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49
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Cruz A, Machado P, Hill J, Campos M, Apóstolo J, Marques A, Malcata A, Ndosi M. CROSS-CULTURAL VALIDATION OF THE PORTUGUESE VERSION OF THE EDUCATIONAL NEEDS ASSESSMENT TOOL (PortENAT). Acta Reumatol Port 2015; 40:242-253. [PMID: 24879909] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
OBJECTIVES To undertake a cross-cultural adaptation and validation of the educational needs assessment tool (ENAT) into Portuguese. METHODS The first phase of this research (cross-cultural adaptation) utilised a well-established translation method comprising five sequential steps: forward-translation, synthesis of translations, back-translation, expert committee and field-testing of the adapted version. The second phase involved collecting data from 123 patients and subjecting them to Rasch analysis for validity testing including cross-cultural invariance. RESULTS The translation and field-testing phase went smoothly giving rise to minor adjustments in the phrasing of some items. The preliminary analysis of the 39 items, revealed some deviations from the model with the overall item-person interaction fit statistics 2(df) = 56.025 (39), p = 0.038. Significant item-item correlations caused artificial inflation of the internal consistency, therefore violating the model assumption of local independence of items. To correct this, all locally dependent items were then grouped into their respective domains, creating a 7 testlet-scale which demonstrated a good fit to the Rasch model, 2(df) = 2.625 (7), p = 0.917 and internal consistency PSI = 0.975. Analysis of the pooled (Portuguese and the English) data revealed cross-cultural DIF, requiring adjustments in two testlets: 'treatments' and 'support' which ensured cross-cultural equivalence. CONCLUSIONS This study confirms the Portuguese ENAT is a robust unidimensional tool with which to assess the educational needs of Portuguese people with RA. Cross-cultural adjustments are required only if the data from Portugal and the UK are pooled or compared. The tool is now available for use in clinical practice and research.
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Santos T, Santos L, Macário F, Romãozinho C, Alves R, Campos M, Mota A. New Recipes With Known Ingredients: Combined Therapy of Everolimus and Low-dose Tacrolimus in De Novo Renal Allograft Recipients. Transplant Proc 2015; 47:906-10. [PMID: 26036483 DOI: 10.1016/j.transproceed.2015.03.042] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Abstract
BACKGROUND Calcineurin inhibitors (CNIs) are the cornerstones of immunosuppressive management in renal allograft recipients even though their nephrotoxicity may contribute to a reduced long-term graft survival. This has created a great interest in improving immunosuppressive strategies in the early post-transplantation period. Proliferation signal inhibitors (PSIs), such as everolimus, are promising alternatives, although their side effects may have a drawback in de novo renal transplant recipients, for instance, delaying renal function in the presence of renal ischemia/acute tubular necrosis and predisposing to lymphocele development. STUDY AND METHODS A retrospective study was developed to compare the combined therapy of low-dose tacrolimus and everolimus (study group) with mycophenolate mofetil/mycophenolic acid and standard-dose tacrolimus (control group) in the first 3 months post-transplantation. The study's end-points concerned renal graft function, proteinuria, incidence of biopsy-proven acute rejection, surgical complication rates, and incidence of new-onset diabetes after renal transplantation. RESULTS There was no more delayed graft function in the study group and graft function distribution was similar between groups. Median serum creatinine and eGFR were comparable as well as proteinuria levels. Generally, adverse events were rare in both groups and there were no significant statistical differences between them in terms of biopsy-proven acute rejection, surgical complication, and new-onset diabetes after renal transplantation rates. CONCLUSION Despite the slightly lower tendency for serum creatinine in the study group, renal allograft function wasn't statistically different between groups. Moreover, there weren't more metabolic or surgical complications in the study group. Everolimus may be a choice in tacrolimus-sparing strategies, but a larger study and a longer follow-up are still required.
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Affiliation(s)
- T Santos
- Nephrology Department, CHUC, Coimbra, Portugal.
| | - L Santos
- Nephrology Department, CHUC, Coimbra, Portugal
| | - F Macário
- Nephrology Department, CHUC, Coimbra, Portugal
| | | | - R Alves
- Nephrology Department, CHUC, Coimbra, Portugal
| | - M Campos
- Nephrology Department, CHUC, Coimbra, Portugal
| | - A Mota
- Urology and Kidney Transplantation Department, CHUC, Coimbra, Portugal
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