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Russo MA, Ruivo L, Carvalho D, Martins N, Monteiro A. Decarbonizing the energy supply one pandemic at a time. Energy Policy 2021; 159:112644. [PMID: 36246728 PMCID: PMC9554235 DOI: 10.1016/j.enpol.2021.112644] [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] [Figures] [Subscribe] [Scholar Register] [Received: 05/21/2021] [Revised: 09/17/2021] [Accepted: 09/30/2021] [Indexed: 06/16/2023]
Abstract
This study explores different energy consumption vectors during the first year of the COVID-19 pandemic in Portugal. Most of the workforce started working from home and resource consumption significantly shifted towards the domestic sector. The ensuing confinement protocols caused a shift in everyday life, which in turn significantly altered the energy supply and demand landscape. This event, although catastrophic in terms of loss of human life and economic development, can provide us with valuable data to study the potential of new strategies to achieve EU 2050 Energy goals. It was investigated whether the pandemic has opened a path and provided us with a partial answer to decarbonization in the form of home office practices as a possible energy efficiency measure. The present study shows that, in Portugal, there was a 15.7% reduction of primary energy consumption (accounting for electricity, natural gas and transport fuels) compared to 2019. The data suggest that actions targeting reduced mobility, such as home office practices and the decentralization of the workforce, could be a relevant energy efficiency measure.
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Affiliation(s)
- M A Russo
- CESAM and Department of Environment and Planning, University of Aveiro, Portugal
| | - L Ruivo
- CICECO and Department of Materials and Ceramic Engineering, University of Aveiro, Portugal
| | - D Carvalho
- CESAM and Department of Physics, University of Aveiro, Portugal
| | - N Martins
- TEMA and Department of Mechanical Engineering, University of Aveiro, Portugal
| | - A Monteiro
- CESAM and Department of Environment and Planning, University of Aveiro, Portugal
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2
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Clarke S, Alves F, Martins N, Ahmed M, Sanchez L, Donovan J, Kouranos V, Wechalekar K. Blood ketone measurement as a test for dietary compliance in cardiac sarcoid patients undergoing 18f-fluorodeoxyglucose positron emission tomography. Eur Heart J Cardiovasc Imaging 2021. [DOI: 10.1093/ehjci/jeab111.074] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Funding Acknowledgements
Type of funding sources: None.
Background
Imaging with 18F-fluorodeoxyglucose (18F-FDG) positron emission tomography (PET) is used as part of diagnosis and monitoring response to therapy in patients with cardiac sarcoidosis. In order to supress myocardial uptake of 18F-FDG patients prepare with a low carbohydrate diet followed by an 18-hour overnight fast. Failure to comply with the protocol results in diffuse myocardial 18F-FDG uptake which confounds diagnostic interpretation.
Purpose
To assess if point of care blood ketones could be used as a marker of dietary compliance and association with suppression of myocardial 18F-FDG uptake on PET scan.
Method
Patients (n = 26, 57 ± 4 years, 65% Male) from a single centre were instructed to follow standard preparation protocol prior to 18F-FDG PET/CT. After confirmation of dietary compliance, blood glucose and blood ketones were recorded using point of care devices. Images were graded based on the pattern of myocardial 18F-FDG uptake.
Results
There was no clear correlation between blood ketones in relation to dietary compliance or myocardial 18F-fluorodeoxyglucose uptake. In those with myocardial 18F-FDG uptake maximum standardized uptake value (SUV max) within the myocardium ranged from 2.3 to 9.8 (Mean 5.3) and ketone from 0.1 – 0.7 (normal <0.6).
Non-diabetic patients and those on steroids achieved adequate fasting glucose without significant rise in blood ketones. 60% of diabetic patients demonstrated mildly elevated ketones between 0.6-1.5mmol/L.
Conclusion
Current protocol with low carbohydrate diet and 18-hour fast achieves adequate quality of images in majority of patients, without significant change in blood ketones. Therefore, blood ketones cannot be used to confirm dietary compliance. Diabetic patients on insulin may benefit from ketone measurement due to risk of diabetic ketoacidosis.
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Affiliation(s)
- S Clarke
- Royal Brompton and Harefield Hospital, Nuclear Medicine, London, United Kingdom of Great Britain & Northern Ireland
| | - F Alves
- Royal Brompton and Harefield Hospital, Nuclear Medicine, London, United Kingdom of Great Britain & Northern Ireland
| | - N Martins
- Royal Brompton and Harefield Hospital, Nuclear Medicine, London, United Kingdom of Great Britain & Northern Ireland
| | - M Ahmed
- Royal Brompton and Harefield Hospital, Nuclear Medicine, London, United Kingdom of Great Britain & Northern Ireland
| | - L Sanchez
- Royal Brompton and Harefield Hospital, Nuclear Medicine, London, United Kingdom of Great Britain & Northern Ireland
| | - J Donovan
- Royal Brompton and Harefield Hospital, Clinical Biochemistry, London, United Kingdom of Great Britain & Northern Ireland
| | - V Kouranos
- Royal Brompton and Harefield Hospital, Interstitial Lung Disease Unit, London, United Kingdom of Great Britain & Northern Ireland
| | - K Wechalekar
- Royal Brompton and Harefield Hospital, Nuclear Medicine, London, United Kingdom of Great Britain & Northern Ireland
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3
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Serino M, van Zeller M, Martins N, Drummond M. Severe asthma intervention in adult obese patients. Pulmonology 2020; 26:325-327. [PMID: 32553823 DOI: 10.1016/j.pulmoe.2020.04.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/11/2019] [Revised: 04/08/2020] [Accepted: 04/09/2020] [Indexed: 10/24/2022] Open
Affiliation(s)
- M Serino
- Pulmonology Department, Centro Hospitalar Universitário São João, Porto, Portugal.
| | - M van Zeller
- Pulmonology Department, Centro Hospitalar Universitário São João, Porto, Portugal; Faculty of Medicine, University of Porto, Portugal
| | - N Martins
- Pulmonology Department, Centro Hospitalar Universitário São João, Porto, Portugal; Faculty of Medicine, University of Porto, Portugal; Institute for Research and Innovation in Health, University of Porto, Portugal
| | - M Drummond
- Pulmonology Department, Centro Hospitalar Universitário São João, Porto, Portugal; Faculty of Medicine, University of Porto, Portugal
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Sousa CS, Teixeira V, Pereira V, Pinheiro RB, Seixas S, Martins N. A rare case of pulmonary disease combining alpha-1-antitrypsin deficiency and common variable immunodeficiency. Pulmonology 2020; 26:406-409. [PMID: 32518030 DOI: 10.1016/j.pulmoe.2020.04.016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/22/2019] [Revised: 04/20/2020] [Accepted: 04/20/2020] [Indexed: 11/20/2022] Open
Affiliation(s)
- C S Sousa
- Pulmonology Department, Hospital Central do Funchal, Portugal.
| | - V Teixeira
- Pulmonology Department, Hospital Central do Funchal, Portugal
| | - V Pereira
- Gastroenterology Department, Hospital Central do Funchal, Portugal
| | - R B Pinheiro
- Pulmonology Department, Hospital Central do Funchal, Portugal
| | - S Seixas
- Instituto de Investigação e Inovação em Saúde, Universidade do Porto (i3S), Porto, Portugal; Institute of Molecular Pathology and Immunology of the University of Porto (IPATIMUP), Porto, Portugal
| | - N Martins
- Instituto de Investigação e Inovação em Saúde, Universidade do Porto (i3S), Porto, Portugal; Faculty of Medicine, University of Porto, Portugal; Pulmonology Department, Centro Hospitalar Universitário de São João, Portugal
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5
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Freitas C, Martins N, Novais-Bastos H, Morais A, Fernandes G, Magalhães A. The role of interventional bronchoscopy in the management of post-intubation tracheal stenosis: A 20-year experience. Pulmonology 2019; 27:296-304. [PMID: 31901372 DOI: 10.1016/j.pulmoe.2019.12.004] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2019] [Revised: 11/27/2019] [Accepted: 12/10/2019] [Indexed: 10/25/2022] Open
Abstract
PURPOSE Benign tracheal stenosis management is still controversial, and there is no international consensus on the best treatment option. Thus, we aimed to look into the history of PITS and the different strategies used in its treatment. The importance of bronchoscopic treatment was also defined, and its effectiveness and safety were assessed. METHODS Retrospective study of patients diagnosed with PITS, who were referred to the Bronchology Department between January 1996 and December 2016. RESULTS Of 115 patients enrolled (mean age 48.5±17.6 years, 53% males), 66.1% had complex stenosis. The most common causes of intubation were respiratory (29.9%), neurological (26.8%) and surgical (19.6%). Complex stenosis was caused by longer intubation, and was more frequent among previously tracheostomized patients. The most common location was the upper third of trachea (60.9%). Most cases were initially treated by interventional bronchoscopy, and although serial dilations were effective in some complex PITS, a higher proportion of simple stenosis was successfully managed with this treatment option. Long-term recurrence after serial dilation was observed in 25.0% of cases. Stent placement was required (19.1%) only for complex PITS. Stent-related complications were frequent (61.9%) and linked to the stenting time (p<0.001). Overall, there were no procedure-related complications. Surgical intervention was also performed (30.0%), always with complex PITS. Post-surgical recurrences were observed in 24.2% of cases. CONCLUSIONS Interventional bronchoscopy is an efficient and safe modality in PITS management. Further studies are needed for better classification and improved knowledge of PITS pathogenesis, and to achieve international consensus of definition to guide clinicians in their practice.
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Affiliation(s)
- C Freitas
- Department of Pulmonology, Centro Hospitalar e Universitário São João, Alameda Prof. Hernani Monteiro, 4200-319 Porto, Portugal; Faculty of Medicine, University of Porto, Alameda Prof. Hernani Monteiro, 4200-319 Porto, Portugal.
| | - N Martins
- Department of Pulmonology, Centro Hospitalar e Universitário São João, Alameda Prof. Hernani Monteiro, 4200-319 Porto, Portugal; Faculty of Medicine, University of Porto, Alameda Prof. Hernani Monteiro, 4200-319 Porto, Portugal; Institute for Research and Innovation in Health, University of Porto, Rua Alfredo Allen, 208, 4200-136 Porto, Portugal
| | - H Novais-Bastos
- Department of Pulmonology, Centro Hospitalar e Universitário São João, Alameda Prof. Hernani Monteiro, 4200-319 Porto, Portugal; Faculty of Medicine, University of Porto, Alameda Prof. Hernani Monteiro, 4200-319 Porto, Portugal; Institute for Research and Innovation in Health, University of Porto, Rua Alfredo Allen, 208, 4200-136 Porto, Portugal
| | - A Morais
- Department of Pulmonology, Centro Hospitalar e Universitário São João, Alameda Prof. Hernani Monteiro, 4200-319 Porto, Portugal; Faculty of Medicine, University of Porto, Alameda Prof. Hernani Monteiro, 4200-319 Porto, Portugal
| | - G Fernandes
- Department of Pulmonology, Centro Hospitalar e Universitário São João, Alameda Prof. Hernani Monteiro, 4200-319 Porto, Portugal; Faculty of Medicine, University of Porto, Alameda Prof. Hernani Monteiro, 4200-319 Porto, Portugal
| | - A Magalhães
- Department of Pulmonology, Centro Hospitalar e Universitário São João, Alameda Prof. Hernani Monteiro, 4200-319 Porto, Portugal
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Moreira AA, Martins N, Drummond M. Impact of non-invasive ventilatory support in an obstructive sleep apnea cohort of patients: a 10-years follow-up study on cardiovascular events incidence. Sleep Med 2019. [DOI: 10.1016/j.sleep.2019.11.040] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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7
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Murphy DJ, Royle L, Chalampalakis Z, Alves L, Martins N, Bassett P, Breen R, Nair A, Bille A, Chicklore S, Cook GJ, Subesinghe M. The effect of a novel Bayesian penalised likelihood PET reconstruction algorithm on the assessment of malignancy risk in solitary pulmonary nodules according to the British Thoracic Society guidelines. Eur J Radiol 2019; 117:149-155. [PMID: 31307640 DOI: 10.1016/j.ejrad.2019.06.005] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [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: 01/14/2019] [Revised: 05/21/2019] [Accepted: 06/09/2019] [Indexed: 11/17/2022]
Abstract
PURPOSE British Thoracic Society (BTS) guidelines advocate using FDG PET-CT with the Herder model to estimate malignancy risk in solitary pulmonary nodules (SPNs). Qualitative and semi-quantitative assessment of SPN uptake is based upon analysis of Ordered Subset Expected Maximisation (OSEM) PET images. Our aim was to assess the effect of a Bayesian Penalised Likelihood (BPL) PET reconstruction on the assessment of SPN FDG uptake and estimation of malignancy risk (Herder score). METHODS Subjects with SPNs who underwent FDG PET-CT between 2014-2017, with histological confirmation of malignancy or histological/imaging follow-up confirmation of benignity were included. Two blinded readers independently classified SPN uptake on both OSEM and BPL (BTS score; 1 = none; 2 = ≤ mediastinal blood pool (MBP); 3 = >MBP but ≤ 2x liver; 4 = >2x liver), with resultant calculation of the Herder score (%) for both reconstructions. RESULTS 97 subjects with 75 (77%) malignant SPNs were included. BPL increased the BTS score in 25 (26%) SPNs; 9 SPNs (7 malignant) increased from BTS score 2 to 3, 16 (13 malignant) from BTS score 3 to 4, with a mean Herder score increase of 18 ± 22%. The mean Herder score for all SPNs with BPL was higher than OSEM (73 ± 29 vs 68 ± 32%, p = 0.001). There was no difference in Herder model diagnostic performance between BPL and OSEM, with similar areas under the curve (0.84 vs 0.83, p = 0.39). CONCLUSION BPL increases the Herder score in 26% of SPNs compared to OSEM but does not alter the diagnostic performance of the Herder model.
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Affiliation(s)
- D J Murphy
- King's College London & Guy's and St. Thomas' PET Centre, St. Thomas' Hospital, London, UK; Department of Cancer Imaging, School of Biomedical Engineering and Imaging Sciences, King's College London, London, UK.
| | - L Royle
- Department of Radiology, Guy's and St. Thomas' NHS Foundation Trust, London, UK
| | - Z Chalampalakis
- King's College London & Guy's and St. Thomas' PET Centre, St. Thomas' Hospital, London, UK
| | - L Alves
- King's College London & Guy's and St. Thomas' PET Centre, St. Thomas' Hospital, London, UK
| | - N Martins
- King's College London & Guy's and St. Thomas' PET Centre, St. Thomas' Hospital, London, UK
| | | | - R Breen
- Department of Respiratory Medicine, Guy's and St. Thomas' NHS Foundation Trust, London, UK
| | - A Nair
- Department of Radiology, Guy's and St. Thomas' NHS Foundation Trust, London, UK
| | - A Bille
- Department of Cardiothoracic Surgery, Guy's and St. Thomas' NHS Foundation Trust, London, UK
| | - S Chicklore
- King's College London & Guy's and St. Thomas' PET Centre, St. Thomas' Hospital, London, UK; Department of Cancer Imaging, School of Biomedical Engineering and Imaging Sciences, King's College London, London, UK
| | - G J Cook
- King's College London & Guy's and St. Thomas' PET Centre, St. Thomas' Hospital, London, UK; Department of Cancer Imaging, School of Biomedical Engineering and Imaging Sciences, King's College London, London, UK
| | - M Subesinghe
- King's College London & Guy's and St. Thomas' PET Centre, St. Thomas' Hospital, London, UK; Department of Cancer Imaging, School of Biomedical Engineering and Imaging Sciences, King's College London, London, UK
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Bassôa L, Trevizol L, Fraga I, Martins N, Variani F, Pochmann D, Dani C, Elsner V. Grape juice consumption-induced physical functional performance improvement alone or combined with therapeutic exercise in elderly women. Comparative Exercise Physiology 2019. [DOI: 10.3920/cep190027] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
Abstract
This study aimed to examine the effects of grape juice consumption during 4 weeks alone or combined with a therapeutic exercise protocol on quality of life (SF-36), handgrip strength (dynamometry) and physical function performance evaluated through Berg Balance Scale (BBS), Timed Up and Go, Six-Minute Walk Test (6MWT) in elderly women. Nineteen healthy elderly women were distributed in Grape Juice Group (GJG, n=9) and Grape Juice + Exercise Group (GJEG, n=10). A significant improvement in handgrip strength and BBS were observed in GJG. Both groups showed increased values in 6MWT and the quality of life was significantly improved after intervention in GJEG. Daily grape juice consumption is able to improve some physical functional parameters in elderly women; however, when in combination with therapeutic exercise intervention may provide a more effective strategy to positively affect the quality of life.
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Affiliation(s)
- L. Bassôa
- Curso de Fisioterapia do Centro Universitário Metodista-IPA, Rua Coronel Joaquim Pedro Salgado 80, Rio Branco, Porto Alegre, RS, CEP 90420-060, Brasil
| | - L. Trevizol
- Curso de Fisioterapia do Centro Universitário Metodista-IPA, Rua Coronel Joaquim Pedro Salgado 80, Rio Branco, Porto Alegre, RS, CEP 90420-060, Brasil
| | - I. Fraga
- Curso de Fisioterapia do Centro Universitário Metodista-IPA, Rua Coronel Joaquim Pedro Salgado 80, Rio Branco, Porto Alegre, RS, CEP 90420-060, Brasil
| | - N.C. Martins
- Programa de Pós-Graduação em Biociências e Reabilitação do Centro Universitário Metodista-IPA, Rua Coronel Joaquim Pedro Salgado 80, Rio Branco, Porto Alegre, RS, CEP 90420-060, Brasil
| | - F. Variani
- Curso de Fisioterapia do Centro Universitário Metodista-IPA, Rua Coronel Joaquim Pedro Salgado 80, Rio Branco, Porto Alegre, RS, CEP 90420-060, Brasil
| | - D. Pochmann
- Programa de Pós-Graduação em Biociências e Reabilitação do Centro Universitário Metodista-IPA, Rua Coronel Joaquim Pedro Salgado 80, Rio Branco, Porto Alegre, RS, CEP 90420-060, Brasil
| | - C. Dani
- Programa de Pós-Graduação em Biociências e Reabilitação do Centro Universitário Metodista-IPA, Rua Coronel Joaquim Pedro Salgado 80, Rio Branco, Porto Alegre, RS, CEP 90420-060, Brasil
| | - V.R. Elsner
- Curso de Fisioterapia do Centro Universitário Metodista-IPA, Rua Coronel Joaquim Pedro Salgado 80, Rio Branco, Porto Alegre, RS, CEP 90420-060, Brasil
- Programa de Pós-Graduação em Biociências e Reabilitação do Centro Universitário Metodista-IPA, Rua Coronel Joaquim Pedro Salgado 80, Rio Branco, Porto Alegre, RS, CEP 90420-060, Brasil
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Cardoso J, Castro A, Martins N, Oliveira P, Dias J, Lopes T, Martins F. HP-06-006 Multiple transverse dorsal incisions patched with Tachosil® in the surgical treatment of Peyronie's Disease: Preliminar results. J Sex Med 2019. [DOI: 10.1016/j.jsxm.2019.03.146] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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10
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Conde B, Martins N, Brandão M, Pimenta AC, Winck JC. Upper Airway Video Endoscopy: Assessment of the response to positive pressure ventilation and mechanical in-exsufflation. Pulmonology 2019; 25:299-304. [PMID: 31000441 DOI: 10.1016/j.pulmoe.2019.02.008] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [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: 10/30/2018] [Revised: 01/25/2019] [Accepted: 02/26/2019] [Indexed: 12/13/2022] Open
Abstract
Upper airways (UA) include the nasal cavities, pharynx, and larynx, and its main function is to warm and filter the inspired air. UA dysfunction is in the pathogenesis of various disorders, such as obstructive sleep apnea syndrome (OSAS) and vocal cord dysfunction. In addition, in some neurodegenerative diseases (e.g. Amyotrophic Lateral Sclerosis - ALS), UA dysfunction may also compromise the effective use of ventilatory support (VS). In this context, the endoscopic evaluation of UA may be useful in understanding the OSAS mechanisms, in determining the causes for treatment-induced airway obstruction and even in helping to titrate noninvasive ventilation (NIV) in ALS patients with bulbar or pseudo-bulbar (spastic) dysfunction. Specifically, in OSAS patients, when residual obstructive events persist, although an optimal ventilatory mode has been apparently achieved, along with interface and equipment, the endoscopic evaluation of UA seems to be a valuable tool in understanding its mechanisms, even assisting adjustments to NIV parameters. In addition, it has also been described as being useful in laryngeal response to mechanical in-exsufflation (MI-E) and Exercise-Induced Laryngeal Obstruction (EILO). However, no protocol has yet been published or validated for this. For this reason, a literature review was conducted on UA function and its response to positive pressure and MI-E. Special emphasis has also been given to the current indication for video endoscopy in chronically ventilated patients.
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Affiliation(s)
- B Conde
- Centro Hospitalar Trás-os-Montes e Alto Douro, EPE, Vila Real, Portugal.
| | - N Martins
- Faculdade de Medicina da Universidade do Porto, Porto, Portugal; Institute for Research and Innovation in Health (i3S), Porto, Portugal
| | - M Brandão
- Centro Hospitalar Trás-os-Montes e Alto Douro, EPE, Vila Real, Portugal
| | - A C Pimenta
- Centro Hospitalar Trás-os-Montes e Alto Douro, EPE, Vila Real, Portugal
| | - J C Winck
- Faculdade de Medicina da Universidade do Porto, Porto, Portugal
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Ajeeb WA, Oliveira MSA, Martins N, Abreu B. Experimental and Numerical Study of Convective Heat Transfer and Laminar Flow of a MWCNTs Nanofluid in a Horizontal Tube. j nanofluids 2019. [DOI: 10.1166/jon.2019.1565] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
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Lima K, Martins N, Pereira W, Oliveira L. Triceps surae elasticity modulus measured by shear wave elastography is not correlated to the plantar flexion torque. Muscles Ligaments Tendons J 2019. [DOI: 10.32098/mltj.02.2017.19] [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: 11/05/2022]
Affiliation(s)
- K. Lima
- Laboratory of Biomechanics of the Biomedical Engineering Program, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil
| | - N. Martins
- Laboratory of Biomechanics of the Biomedical Engineering Program, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil
| | - W. Pereira
- Laboratory of Ultrasound of the Biomedical Engineering Program, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil
| | - L. Oliveira
- Laboratory of Biomechanics of the Biomedical Engineering Program, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil
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Takeda F, Moro A, Martins N. Thermographic Images to Measure Health Risks of Workers Exposed to Artificially Refrigerated Environments. Braz J Poult Sci 2018. [DOI: 10.1590/1806-9061-2017-0552] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Affiliation(s)
- F Takeda
- Universidade Federal de Santa Catarina, Brazil
| | - A Moro
- Universidade Federal de Santa Catarina, Brazil
| | - N Martins
- Universidade Federal de Santa Catarina, Brazil
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Petropoulos S, Karkanis A, Martins N, Ferreira I. Edible halophytes of the Mediterranean basin: Potential candidates for novel food products. Trends Food Sci Technol 2018. [DOI: 10.1016/j.tifs.2018.02.006] [Citation(s) in RCA: 77] [Impact Index Per Article: 12.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/27/2023]
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15
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Tol WA, Rees SJ, Tay AK, Tam N, da Costa Saldanha Segurado A, da Costa ZM, da Costa Soares ES, da Costa Alves A, Martins N, Silove DM. Cohort Profile: Maternal mental health and child development in situations of past violent conflict and ongoing adversity: the DILI birth cohort study. Int J Epidemiol 2018; 47:17-17h. [PMID: 29471471 DOI: 10.1093/ije/dyw130] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/30/2016] [Indexed: 11/12/2022] Open
Affiliation(s)
- W A Tol
- Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA
| | - S J Rees
- Psychiatry Research and Teaching Unit, University of New South Wales, and Academic Mental Health Unit, Sydney South West Local Health District, Sydney, NSW, Australia
| | - A K Tay
- Psychiatry Research and Teaching Unit, University of New South Wales, and Academic Mental Health Unit, Sydney South West Local Health District, Sydney, NSW, Australia
| | - N Tam
- Psychiatry Research and Teaching Unit, University of New South Wales, and Academic Mental Health Unit, Sydney South West Local Health District, Sydney, NSW, Australia.,Alola Foundation, Dili, Timor-Leste
| | | | - Z M da Costa
- Psychiatry Research and Teaching Unit, University of New South Wales, and Academic Mental Health Unit, Sydney South West Local Health District, Sydney, NSW, Australia.,Alola Foundation, Dili, Timor-Leste
| | - E S da Costa Soares
- Psychiatry Research and Teaching Unit, University of New South Wales, and Academic Mental Health Unit, Sydney South West Local Health District, Sydney, NSW, Australia.,Alola Foundation, Dili, Timor-Leste
| | - A da Costa Alves
- Psychiatry Research and Teaching Unit, University of New South Wales, and Academic Mental Health Unit, Sydney South West Local Health District, Sydney, NSW, Australia.,Alola Foundation, Dili, Timor-Leste
| | - N Martins
- Faculty of Medicine & Health Science, Universidade Nacional Timor Lorosa'e, Dili, Timor-Leste
| | - D M Silove
- Psychiatry Research and Teaching Unit, University of New South Wales, and Academic Mental Health Unit, Sydney South West Local Health District, Sydney, NSW, Australia
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Weber S, Martins R, Martins N. Risk factors for respiratory complications after adenotonsillectomy in OSA children. Sleep Med 2017. [DOI: 10.1016/j.sleep.2017.11.1016] [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: 10/18/2022]
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Santos C, Augusto JB, Santos M, Ferreira H, Martins N, Faria D, Roque D, Urzal J, Faustino M, Faustino N, Madeira F, Morais C. P1520Evaluation of a score to predict the need for permanent pacemaker in the emergency department based on atrioventricular blocking drugs and kalemia. Europace 2017. [DOI: 10.1093/ehjci/eux158.146] [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: 11/13/2022] Open
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Ferreira H, Augusto JB, Santos M, Martins N, Santos C, Faria D, Roque D, Urzal J, Faustino M, Cabanelas N, Madeira F, Morais C. P1076Validation of a score to predict the need for permanent pacemaker in the emergency department in patients with atrioventricular blocking drugs. Europace 2017. [DOI: 10.1093/ehjci/eux151.255] [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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Angulo JC, Arance I, Esquinas C, Nikolavsky D, Martins N, Martins F. Treatment of long anterior urethral stricture associated to lichen sclerosus. Actas Urol Esp 2017; 41:123-131. [PMID: 27816211 DOI: 10.1016/j.acuro.2016.09.002] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2016] [Revised: 08/30/2016] [Accepted: 09/01/2016] [Indexed: 12/30/2022]
Abstract
INTRODUCTION Panurethral stricture associated with lichen sclerosus is a therapeutic challenge. We present the analysis of our results using two urethroplasty techniques based on oral mucosa graft. MATERIAL AND METHOD Retrospective study in patients with long anterior urethral stricture (>8cm) associated with lichen sclerosus. Patients received urethroplasty with oral mucosa graft technique according Kulkarni (n=25) or two-step Johanson-Bracka urethroplasty (n=15). Demographics, operative time, complications (Clavien-Dindo), hospital stay, days with catheter, EAV postoperative pain, failure rate, need for retreatment and functional data including IPSS, QoL, Qmax, post void residual (PVR) are evaluated. RESULTS In all cases there was involvement of glandular and penile urethra, and in 75% of bulbar urethra. A single graft was used in 22.5%, two in 72.5% and three in 5%. Patients treated at a single step were younger (P=.007). Although the length of the stenosis was equivalent in both techniques (P=.96), relapse and complication rates were higher in two-step surgery (P=.05 and P=.03; respectively) and so was operative time (P<.0001) and overall stay (P=.0002). There were no differences in preoperative IPSS, QoL, Qmax or PVR, neither in postoperative values of IPSS or Qmax; but there was a difference in QoL (P=.006) and PVR (P=.03) favouring single-step urethroplasty. VAS pain on postoperative day 1 was also lower in Kulkarni urethroplasty than in the first step of Johanson-Bracka technique (P<.0001). CONCLUSIONS In patients with lichen sclerosus and long anterior urethral stricture Kulkarni urethroplasty provides more efficient and better patient reported outcomes than Johanson-Bracka urethroplasty. It also prevents cosmetic, sexual and voiding temporary deterioration inherent to 2-step surgery.
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Affiliation(s)
- J C Angulo
- Departamento Clínico, Facultad de Ciencias Biomédicas y de la Salud, Universidad Europea de Madrid, Laureate Universities, Madrid, España; Servicio de Urología, Hospital Universitario de Getafe, Madrid, España.
| | - I Arance
- Departamento Clínico, Facultad de Ciencias Biomédicas y de la Salud, Universidad Europea de Madrid, Laureate Universities, Madrid, España
| | - C Esquinas
- Departamento Clínico, Facultad de Ciencias Biomédicas y de la Salud, Universidad Europea de Madrid, Laureate Universities, Madrid, España
| | - D Nikolavsky
- Departmento de Urología, State University of New York Upstate Medical University, Syracuse, NY, EE.UU
| | - N Martins
- Departamento de Urología, Universidad de Lisboa, Hospital de Santa María, Lisboa, Portugal
| | - F Martins
- Departamento de Urología, Universidad de Lisboa, Hospital de Santa María, Lisboa, Portugal
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Martins N, Wenke R, Cercal F. Efeitos da Aplicação da Bandagem Elástica em Sedentários com Alteração Postural, Hipermobilidade Lombar e Hérnia de Disco. Rev UNIANDRADE 2016. [DOI: 10.18024/1519-5694/revuniandrade.v17n3p114-120] [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: 11/03/2022] Open
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Karkanis A, Martins N, Petropoulos S, Ferreira I. Phytochemical composition, health effects, and crop management of liquorice (Glycyrrhiza glabraL.): Α medicinal plant. Food Reviews International 2016. [DOI: 10.1080/87559129.2016.1261300] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/20/2022]
Affiliation(s)
- A. Karkanis
- Department of Agriculture Crop Production and Rural Environment, University of Thessaly, Nea Ionia, Magnesia, Greece
| | - N. Martins
- Mountain Research Centre (CIMO), ESA, Polytechnic Institute of Bragança, Bragança, Portugal
| | - S.A. Petropoulos
- Department of Agriculture Crop Production and Rural Environment, University of Thessaly, Nea Ionia, Magnesia, Greece
| | - I.C.F.R. Ferreira
- Mountain Research Centre (CIMO), ESA, Polytechnic Institute of Bragança, Bragança, Portugal
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Moura R, Quaresma C, Vieira A, Gonçalves M, Polido-Pereira J, Romão V, Martins N, Canhão H, Fonseca J. AB0024 B-Cell Markers Expression Is Affected by TNF-Inhibitors and Tocilizumab Treatment in Rheumatoid Arthritis. Ann Rheum Dis 2016. [DOI: 10.1136/annrheumdis-2016-eular.5045] [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]
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Martins N, Polido-Pereira J, Rodrigues AM, Soares F, Batista P, Pereira da Silva JA. The use of the color Doppler ultrasonography in the diagnosis and monitoring of an atypical case of giant-cell arteritis. Acta Reumatol Port 2016; 41:165-166. [PMID: 27606478] [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: 06/06/2023]
Abstract
Giant Cell Arteritis (GCA) is a large vessels vasculitis that is typically characterised by headache, scalp tenderness, jaw claudication and visual disturbances. Temporal arteries color Doppler ultrasonography (CDUS) is a sensitive and non-invasive image technique used in the diagnosis of this disease. This work highlights the importance of CDUS in the diagnostic workup of GCA and also demonstrates it´s usefullness in the evaluation and documentation of the response to corticosteroids therapy in an atypical case of ACG.
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Moura RA, Quaresma C, Vieira AR, Gonçalves MJ, Polido-Pereira J, Romão V, Martins N, Canhão H, Fonseca JE. A2.12 Increased CXCR5 B cell expression, CXCL13 and SCD23 serum levels in untreated early rheumatoid arthritis patients support B cell activation since the initial phase of the disease. Ann Rheum Dis 2016. [DOI: 10.1136/annrheumdis-2016-209124.47] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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Moura RA, Quaresma C, Vieira A, Gonçalves MJ, Polido-Pereira J, Romão V, Martins N, Canhão H, Fonseca JE. A1.12 B-cell markers expression is affected by TNF-inhibitors and tocilizumab treatment in rheumatoid arthritis. Ann Rheum Dis 2015. [DOI: 10.1136/annrheumdis-2015-207259.12] [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]
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Martins N, Dias J. Camera calibration using reflections in planar mirrors and object reconstruction using volume carving method. The Imaging Science Journal 2013. [DOI: 10.1179/136821904225011609] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/31/2022]
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Coelho-Souza T, Reis JN, Martins N, Martins IS, Menezes AO, Reis MG, Silva NO, Dias RCS, Riley LW, Moreira BM. Longitudinal surveillance for meningitis by Acinetobacter in a large urban setting in Brazil. Clin Microbiol Infect 2013; 19:E241-4. [PMID: 23398654 DOI: 10.1111/1469-0691.12145] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/13/2012] [Revised: 12/15/2012] [Accepted: 12/28/2012] [Indexed: 11/30/2022]
Abstract
The study aim was to describe the emergence of carbapenem resistance and clonal complexes (CC), defined by multilocus sequence typing (MLST), in Acinetobacter baumannii in a surveillance system for meningitis. Starting in 1996 in an urban setting of Brazil, surveillance detected meningitis by Acinetobacter sp for the first time in 2002. Up to 2008, 35 isolates were saved. Carbapenem resistance emerged in 2006, reaching 70% of A. baumannii isolates in 2008, including one that was colistin resistant. A. baumannii belonged to CC113/79 (University of Oxford/Institute Pasteur schemes), CC235/162 and CC103/15. Dissemination of infections resistant to all antimicrobial agents may occur in the future.
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Affiliation(s)
- T Coelho-Souza
- Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil
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Martins N, Pereira R, Abrantes N, Pereira J, Gonçalves F, Marques CR. Ecotoxicological effects of ciprofloxacin on freshwater species: data integration and derivation of toxicity thresholds for risk assessment. Ecotoxicology 2012; 21:1167-76. [PMID: 22373897 DOI: 10.1007/s10646-012-0871-x] [Citation(s) in RCA: 84] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 02/09/2012] [Indexed: 05/22/2023]
Abstract
Although antibiotics have been increasingly used and detected in natural samples, their ecotoxicological effects on aquatic wildlife are not yet extensively studied. Considering the environmental threat posed by the biological activity of antibiotics it is quite relevant to assess the resulting impact, especially on sub-lethal endpoints. As such, this study evaluated the effects of ciprofloxacin on Pseudokirchneriella subcapitata and Lemna minor growth, on the survival and reproduction of Daphnia magna and on Gambusia holbrooki survival. The risks associated with ciprofloxacin effects on non-target organisms were quantified through the calculation of the PEC/PNEC ratio. Overall, the toxicity values obtained (at the mg L(-1) level) were higher than the environmental concentrations. P. subcapitata and L. minor were more sensitive under short-term exposures than D. magna and G. holbrooki. No acute toxicity was observed for fish. The chronic assay with D. magna evidenced that long term exposures to lower concentrations of this antibiotic induced impairments on its life-history parameters. Such outcome may pre-empt potential damages on the long-term maintenance of natural populations continuously exposed to the input of antibiotics. Indeed, the PEC/PNEC ratios showed that ciprofloxacin represents a risk for the most sensitive aquatic organisms, since the defined threshold of an acceptable risk was considerably surpassed.
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Affiliation(s)
- N Martins
- Department of Biology & CESAM, University of Aveiro, Campus Universitário de Santiago, Aveiro, Portugal
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Martins N, Martins IS, de Freitas WV, de Matos JA, Magalhães ACG, Girão VBC, Dias RCS, de Souza TC, Pellegrino FLPC, Costa LD, Boasquevisque CHR, Nouér SA, Riley LW, Santoro-Lopes G, Moreira BM. Severe infection in a lung transplant recipient caused by donor-transmitted carbapenem-resistant Acinetobacter baumannii. Transpl Infect Dis 2011; 14:316-20. [PMID: 22168176 DOI: 10.1111/j.1399-3062.2011.00701.x] [Citation(s) in RCA: 49] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/18/2011] [Revised: 07/22/2011] [Accepted: 09/25/2011] [Indexed: 01/12/2023]
Abstract
We describe a case of proven donor transmission of carbapenem-resistant Acinetobacter baumannii, which resulted in severe infectious complications after lung transplantation. A single bla(OXA-23) positive strain, belonging to a new multilocus sequence type (ST231), was isolated from donor and recipient, who died 65 days after transplantation. This report highlights the current challenges associated with the potential transmission of multidrug-resistant infections through organ transplantation.
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Affiliation(s)
- N Martins
- Instituto de Microbiologia, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil
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Barbosa A, Martins N, Leitao J, Sarmento H, Campanico J. Temporal interaction patterns in the offensive process in the Spanish League 2010/2011 season. Br J Sports Med 2011. [DOI: 10.1136/bjsports-2011-090606.29] [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]
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Barbosa A, Martins N, Leitao J, Campanico J, Sarmento H. Analysis of the existence of patterns related to counter-attack and fast attack in the Spanish League 2010/2011 season. Br J Sports Med 2011. [DOI: 10.1136/bjsports-2011-090606.37] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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Silva Pinto C, Fidalgo T, Salvado R, Marques D, Gonçalves E, Martinho P, Markoff A, Martins N, Letícia Ribeiro M. Molecular diagnosis of haemophilia A at Centro Hospitalar de Coimbra in Portugal: study of 103 families--15 new mutations. Haemophilia 2011; 18:129-38. [PMID: 21645180 DOI: 10.1111/j.1365-2516.2011.02570.x] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/26/2023]
Abstract
Haemophilia A (HA), the most commonly inherited bleeding disorder, has well known phenotype heterogeneity, influenced by the type of mutation, modulating factors and development of inhibitors. Nowadays, new technologies in association with bioinformatics tools allow a better genotype/phenotype correlation. With the main objective of identifying familial carrier women and to offer prenatal diagnosis, 141 HA patients belonging to 103 families, followed or referred to the Haemophilia Centre of CHC, E.P.E., were studied. Molecular diagnosis strategy was based on HA severity: IVS22 and IVS1 inversions, direct sequencing and MLPA technique. New missense and splicing mutations were further analyzed using molecular modelling. Genotype/phenotype correlation was assessed taking into account the known modulating factors. During this study, mutations were detected in 102/103 families, carrier status was determined in 83 women and 14 prenatal diagnoses were performed. In a total of 46 different mutations identified, 15 have not been reported previously by the HAMSTeRS and HGMD. Genotype/phenotype correlation revealed two cases with a clinical picture less severe than expected by the type of mutation identified. Six patients developed inhibitors: five severe (IVS22, IVS1, large deletion) and one mild (p. Gln2265Lys). The adopted strategy allowed the identification of 99% of the molecular alterations underlying the HA phenotype (98% detection rate for severe and 100% for moderate and mild). Evaluation of genotype-phenotype correlation was complemented with structural protein modelling of newly identified missense mutations, contributing to better understanding of the disease-causing mechanisms and to deepening knowledge on protein structure-function.
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Affiliation(s)
- C Silva Pinto
- Centro Hospitalar de Coimbra, EPE, Hematologia, Coimbra, Portugal
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Pärgmäe P, Martins N, Rodríguez D, Christopoulos P, Werner H. European Working Time Directive: Implementation across -Europe and consequences upon training in obstetrics and -gynaecology. Facts Views Vis Obgyn 2011; 3:46-50. [PMID: 24753848 PMCID: PMC3991408] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022] Open
Abstract
OBJECTIVE To review the compliance of the European Working Time Directive (EWTD) in different teaching hospitals across Europe and its consequences upon training. STUDY DESIGN It is an observational, descriptive, cross-sectional study. The sample is constituted by the answers from trainees selected by the representatives of 29 European Network of Trainees in Ob/Gyn (ENTOG) member countries to a survey designed by ENTOG Executive. The survey content was based on a joint survey by the Royal College of Obstetricians and Gynaecologists (RCOG) and the Royal College for Paediatrics (RCP), carried out in 2008, but adapted for use on a European level. RESULTS An answer rate of 75% was obtained. Only 5 countries out of 29 were compliant with EWTD two months before the compulsory adherence. Countries needed to introduce 1 to 4 changes to the system to make the rotas -compliant. Positive effect on work and private life balance was noticed in 87% from all responses. Trainees notice the need to further improve training programmes in order to have the same quality of training and continuous care of patients. CONCLUSIONS Steps forward to implement EWTD are being made. Trainees should be involved with the introduction to optimize training conditions under the EWTD. Countries that still struggle to introduce the directive may learn from countries that already are compliant. It is suggested to organize a survey on senior society level to gain additional information to further investigate the effects on training quality and patient care.
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Affiliation(s)
- P. Pärgmäe
- Department of Obstetrics and Gynaecology. East Tallinn Central Hospital, Tallinn, Estonia.
| | - N. Martins
- Department of Obstetrics and Gynaecology. Hospital de São Teotónio, Viseu, Portugal.
| | - D. Rodríguez
- Department of Obstetrics and Gynaecology. Hospital Sant Joan de Deu, Barcelona, Spain.
| | - P. Christopoulos
- Second Department of Obstetrics and Gynaecology. Athens University Medical School, Athens, Greece.
| | - H.M.J. Werner
- Obstetrics and Gynaecology Department, Haukeland University Hospital, Bergen, Norway.
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Martins N, Gonçalves S, Romano A. Germination requirements of Plantago algarbiensis seeds, an endangered species endemic to the Algarve region (South of Portugal). J Biotechnol 2010. [DOI: 10.1016/j.jbiotec.2010.09.737] [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: 11/25/2022]
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Nurden AT, Kunicki T, Nurden P, Fiore M, Martins N, Heilig R, Pillois X. Mutation analysis for a patient with Glanzmann thrombasthenia who produced a landmark isoantibody to the αIIbβ3 integrin. J Thromb Haemost 2010; 8:1866-8. [PMID: 20492470 DOI: 10.1111/j.1538-7836.2010.03920.x] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Martins N, Pärgmäe P, Pavlova E, Rodríguez D, Christopoulos P. ENTOG, European Network of Trainees in Obstetrics and Gynaecology. Facts Views Vis Obgyn 2010; 2:59-61. [PMID: 25206967 PMCID: PMC4154339] [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] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
ENTOG is the European Network of Trainees in Obstetrics and Gynaecology. This organization aims to represent all European trainee organisations in obstetrics and gynaecology and speaks out on their behalf. Trainees in obstetrics and gynaecology have officially organised meetings for European trainees since 1992, but it was only in 1997 in Athens, that the first ENTOG Council took place. In order to understand each other better and appreciate differences in training, an annual four-day exchange program and a meeting were created to discuss topics related to training and harmonisation, which is the core activity of ENTOG. With the continuous support from the European Board & College of -Obstetrics and Gynaecology (EBCOG), the network had an exponential growth in the past few years, as shown by the increasing number of countries and trainees represented by ENTOG, as well as by all the training-related published material and newly developed projects for trainees, including those of an intercontinental nature.
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Affiliation(s)
- N. Martins
- Hospital de Sao Teotonio, Avenida Rei Dom Duarte, 3504 Viseu, Portugal.
| | - P. Pärgmäe
- East Tallinn Central Hospital, Ravi tn 18, Tallinn 10138, Estonia.
| | - E. Pavlova
- Maichin Dom University Hospital in ObGyn, Zdrave str. 2, 1431 Sofia, Bulgaria.
| | - D. Rodríguez
- Hospital de Sant Joan de Deu, 08950 Esplugues de Llobregat, Barcelona, Spain.
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Silva AM, Vieira H, Martins N, Granja ATS, Vale MJ, Vale FF. Viral and bacterial contamination in recreational waters: a case study in the Lisbon bay area. J Appl Microbiol 2009; 108:1023-1031. [PMID: 19761463 DOI: 10.1111/j.1365-2672.2009.04503.x] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
AIMS To assess the presence of viral pathogens in bathing water samples and to evaluate the interdependency of bacterial indicator counts and viral detection. METHODS AND RESULTS Bathing water samples of 16 beaches collected along a Portuguese Coastal area were screened for the hepatitis A virus (HAV) and norovirus genogroup I (NVGI) using RT-PCR technique. Bacteriological water quality was also assessed, according to European regulations. HAV and NVGI were detected in 95% and 27% of the water samples, respectively, whereas bacteriological quality was good in all but one sample, according to current water quality regulations. CONCLUSIONS All water samples would be considered of excellent quality according to the most recent European regulations. No relationship between viral detection and regulatory-based bacterial indicators was found. SIGNIFICANCE AND IMPACT OF THE STUDY The current results reinforce the importance of increased surveillance for pathogenic viruses in bathing waters.
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Affiliation(s)
- A M Silva
- Faculty of Engineering, Catholic University of Portugal, Estrada Octávio Pato, Rio de Mouro, Portugal
| | - H Vieira
- BIOALVO SA, Edifício ICAT, Campus da FCUL, Lisbon, Portugal
| | - N Martins
- Faculty of Engineering, Catholic University of Portugal, Estrada Octávio Pato, Rio de Mouro, Portugal
| | - A T S Granja
- Faculty of Engineering, Catholic University of Portugal, Estrada Octávio Pato, Rio de Mouro, Portugal
| | - M J Vale
- Faculty of Engineering, Catholic University of Portugal, Estrada Octávio Pato, Rio de Mouro, Portugal
| | - F F Vale
- Faculty of Engineering, Catholic University of Portugal, Estrada Octávio Pato, Rio de Mouro, Portugal
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Martins N, Grace J, Kelly PM. An ethnographic study of barriers to and enabling factors for tuberculosis treatment adherence in Timor Leste. Int J Tuberc Lung Dis 2008; 12:532-537. [PMID: 18419889] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/26/2023] Open
Abstract
BACKGROUND Tuberculosis (TB) is a major public health problem in Timor Leste; treatment adherence was identified by the National TB Control Programme (NTP) as an impediment to TB control. OBJECTIVE To identify barriers to and enabling factors for the successful implementation of the DOTS strategy in Timor Leste. METHOD Qualitative research was carried out in the two districts (one rural and one urban) with the lowest treatment completion rates. Semi-structured interviews and focus group discussions were conducted with patients, health workers and community members in eight villages. RESULT Good knowledge of TB, including a correct understanding of how it is cured, together with the provision of incentives, were important factors contributing to treatment completion. Defaulting patients and community members had less knowledge of TB. TB nurses had a good understanding of, and a high level of commitment to implementing the DOTS strategy. Obstacles to treatment completion included preference for traditional medicine, economic difficulties and geographic remoteness. CONCLUSION Local cultural practices and knowledge as well as socio-economic factors contribute to less than optimal adherence to TB treatment. This study has assisted Timor Leste's NTP in modifying its DOTS expansion strategies to overcome barriers to treatment completion.
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Affiliation(s)
- N Martins
- Menzies School of Health Research, Darwin, Australia
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Eckardt AJ, Swales C, Bhattacharya K, Wassef WY, Phelan NP, Zubair S, Martins N, Patel S, Moquin B, Anwar N, Leung K, Levey JM. Open access colonoscopy in the training setting: which factors affect patient satisfaction and pain? Endoscopy 2008; 40:98-105. [PMID: 18253904 DOI: 10.1055/s-2007-995469] [Citation(s) in RCA: 34] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
Abstract
BACKGROUND AND STUDY AIM Patient satisfaction with colonoscopy is important for quality assurance; it may be affected by various factors, including patient characteristics, physician training level, and procedural or organizational features. We aimed to analyze how these factors influenced patient satisfaction and pain in an outpatient training setting. METHODS Consecutive patients for open access colonoscopy (OAC) were enrolled in a prospective, single-blinded, controlled study. Primary and secondary outcomes were satisfaction and pain scores with and without trainee participation. A multivariate analysis was designed to achieve an 80 % power with an alpha value of 0.05. RESULTS 368 patients were enrolled. Satisfaction with the procedure was high (mean score 1.36; 1 = best to 5 = worst). In the multivariate analysis only waiting time in the endoscopy suite was significantly associated with lower satisfaction scores ( P = 0.024). Satisfaction was unaffected by patient factors (gender, American Society of Anesthesiologists' [ASA] score, anxiety, etc). Higher pain scores were associated with higher anxiety levels ( P = 0.02), female gender ( P = 0.02), longer procedure ( P< 0.001), and lower sedation levels ( P = 0.001); trainee involvement (49 % of procedures) did not adversely affect satisfaction or pain scores. CONCLUSIONS Patient satisfaction with OAC using sedation appears to depend primarily on organizational factors (waiting time beforehand). In contrast, pain is associated with patient characteristics (female gender, anxiety) and procedural factors (lower sedation, longer procedure). Trainee participation did not affect satisfaction or pain scores, a finding which may help to reassure patients undergoing OAC with trainee participation.
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Affiliation(s)
- A J Eckardt
- Division of Gastroenterology and Hepatology, UMass Memorial Medical Center, Worcester, Massachusetts, United States.
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Martins N, Heldal E, Sarmento J, Araujo RM, Rolandsen EB, Kelly PM. Tuberculosis control in conflict-affected East Timor, 1996-2004. Int J Tuberc Lung Dis 2006; 10:975-81. [PMID: 16964787] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/11/2023] Open
Abstract
SETTING East Timor has undergone major political changes in the past 10 years. Tuberculosis (TB) control has flourished, despite chronic low tension conflict, a brief but intense period of high-level conflict and post-conflict reconstruction. OBJECTIVE To assess TB control in East Timor from 1996 to 2004. DESIGN Data were collected from a variety of sources. Key TB programme indicators were analysed with reference to WHO targets to assess the performance of the three TB control programmes that operated during the study period. RESULTS Before 1999, a non-governmental TB control programme was established in several districts in parallel with the government TB programme, and showed optimistic results. External donor funds, technical assistance and local control strategies were key components. In 1999, conflict led to complete disruption of both programmes. In 2000, a National Tuberculosis Control Programme (NTP) was established from the non-governmental programme in collaboration with other partners. The smear-positive TB case notification rate of 108 per 100000 population is the highest in the region and reflects high population coverage. The cure rate of 81% is close to reaching the WHO target. CONCLUSION High-quality TB control has been introduced in conflict-affected East Timor. Further research is needed to examine Timorese approaches to inform other, similar settings.
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Affiliation(s)
- N Martins
- Menzies School of Health Research, Darwin, Northern Territory, Australia
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Armstrong PK, Anstey NM, Kelly PM, Currie BJ, Martins N, Dasari P, Krause V. Seroprevalence of Burkholderia pseudomallei in East Timorese refugees: implications for healthcare in East Timor. Southeast Asian J Trop Med Public Health 2005; 36:1496-502. [PMID: 16610652] [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] [Subscribe] [Scholar Register] [Indexed: 05/08/2023]
Abstract
Melioidosis is a disease with protean clinical manifestations caused by the bacterium Burkholderia pseudomallei. It is endemic in countries surrounding the newly independent East Timor, but has yet to be isolated or demonstrated serologically in that country. One illness that can be clinically indistinguishable from melioidosis is pulmonary tuberculosis, a condition with a very high prevalence in East Timor. We used an indirect hemagglutination test (IHA) to measure antibodies to B. pseudomallei in 407 East Timorese evacuated to Darwin, Australia, in September 1999. Assuming a positive IHA titer as > or = 1:40, the overall seroprevalence rate was 17.0%, in keeping with other seroprevalence studies from the region. The IHA titres ranged up to 1:320. After adjusting for age, females were 2.5 times more likely to be seropositive than males (p = 0.0001). There was an inverse relationship between seropositivity and age. This study shows that exposure to B. pseudomallei occurs in East Timor melioidosis is also likely to occur. Due to the lack of laboratory facilities at present, it may be some time before a laboratory-confirmed case proves that melioidosis occurs. In the meantime, clinicians in East Timor should include melioidosis in the differential diagnosis of the many conditions that it may mimic.
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Affiliation(s)
- P K Armstrong
- Center for Disease Control, Casuarina, Northern Territory, Australia.
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Martins N, Lopes I, Guilhermino L, Bebianno MJ, Ribeiro R. Lack of evidence for metallothionein role in tolerance to copper by natural populations of Daphnia longispina. Bull Environ Contam Toxicol 2005; 74:761-8. [PMID: 16094892 DOI: 10.1007/s00128-005-0647-6] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/03/2023]
Affiliation(s)
- N Martins
- Instituto do Ambiente e Vida, Departamento de Zoologia, Universidade de Coimbra, Largo Marquês de Pombal, 3004-517 Coimbra, Portugal
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Martins N, Lopes I, Brehm A, Ribeiro R. Cytochrome B gene partial sequence and RAPD analysis of two Daphnia longispina lineages differing in their resistance to copper. Bull Environ Contam Toxicol 2005; 74:755-60. [PMID: 16094891 DOI: 10.1007/s00128-005-0646-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/03/2023]
Affiliation(s)
- N Martins
- Instituto do Ambiente e Vida, Departamento de Zoologia, Universidade de Coimbra, Largo Marquês de Pombal, 3004-517 Coimbra, Portugal
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Rathahao E, Peiro G, Martins N, Alary J, Guéraud F, Debrauwer L. Liquid chromatography-multistage tandem mass spectrometry for the quantification of dihydroxynonene mercapturic acid (DHN-MA), a urinary end-metabolite of 4-hydroxynonenal. Anal Bioanal Chem 2005; 381:1532-9. [PMID: 15770473 DOI: 10.1007/s00216-005-3095-6] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/05/2004] [Revised: 01/04/2005] [Accepted: 01/16/2005] [Indexed: 10/25/2022]
Abstract
The mercapturic acid conjugate of 1,4-dihydroxynonene (DHN-MA) is a urinary metabolite of 4-hydroxynonenal (4-HNE), one of the main lipid peroxidation products occurring in vivo. To determine its level in urine, a combination of liquid chromatography with positive electrospray-multistage tandem mass spectrometry has been developed. A deuterated analog of the target compound (DHN-MA) with six deuterium atoms was synthesized and used as the internal standard. Three-stage tandem mass spectrometry was used, providing good selectivity for the detection of DHN-MA. The response of the system to DHN-MA was linear in the 5-100 ng range. Urine samples spiked with different levels of standard DHN-MA were used to evaluate the influence of matrix effects on the linearity. The repeatability of the method was also determined by using repeated 5 ng injections of DHN-MA, providing a RSD of 10%. The method was then applied to the determination of DHN-MA in rat urine samples; increased levels of urinary DHN-MA in urine from rats treated with BrCCl3 indicates that lipid peroxidation processes take place in such rats.
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Affiliation(s)
- E Rathahao
- UMR 1089 Xénobiotiques, INRA/ENVT, BP 3, 31931 Toulouse Cedex 9, France
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Abstract
Those organisations which do not change according to environmental pressures, suffer from organisational inertia. The purpose of this study is to explore the manifestation of organisational inertia in the target organisation. The target population for this study was a group of trainees, representing the geographic and demographic levels of a particular state department. In South Africa, surveys of this nature were only executed in the corporate sector. The results indicate that organisational inertia is a phenomenon that affects both corporate and governmental organisations. Opsomming Organisasies wat nie ooreenkomstig omgewingsdruk verander nie, ly aan organisasietraagheid. Die doel van die studie is om organisasietraagheid te konseptualiseer en die manifestasie daarvan in die teikenorganisasie te ondersoek. Die teikenpopulasie bestaan uit ’n groep kursusgangers wat die demografiese en geografiese samestelling van ‘n tipiese staatsdepartement verteenwoordig. In Suid -Afrika is navorsing van hierdie aard nog net in die korporatiewe sektor uitgevoer. Die resultate toon aan dat organisasietraagheid ‘n faktor is wat beide die korporatiewe omgewing en staatsorganisasies beïnvloed.
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Gusmão L, Prata MJ, Sánchez-Diz P, Lareu MV, Carracedo A, Alves C, Martins N, Amorim A. STR data for the AmpFlSTR profiler plus loci from Macau (China). Forensic Sci Int 2001; 123:74-5. [PMID: 11731201 DOI: 10.1016/s0379-0738(01)00514-x] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.3] [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: 11/30/2022]
Abstract
Allele frequencies for the nine STRs included in the AmpFlSTR profiler plus kit (D3S1358, VWA, FGA, D8S1179, D21S11, D18S51, D5S818, D13S317 and D7S820) were estimated from a sample of 87 unrelated individuals living in the region of Macau, a territory located in the southeastern coast of China.
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Affiliation(s)
- L Gusmão
- IPATIMUP, R. Dr. Roberto Frias, s/n, 4200 Porto, Portugal
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Gastro-Correia J, Coutinho MF, Maria J, da Silva AC, Rosas V, Martins N, Prézia F. [Solar radiation and choroidal neovascularization. An epidemiologic study]. Ophtalmologie 1988; 2:177-9. [PMID: 2470011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
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Martins N. [Incidence of intestinal and bladder parasiteses in metropolitan military personnel who made their military service in Mozambique]. An Inst Hig Med Trop (Lisb) 1973; 1:243-6. [PMID: 4805670] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/12/2023]
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