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Figueiredo J, Murari A, Perez Von Thun C, Marocco D, Tardocchi M, Belli F, García Muñoz M, Silva A, Craciunescu T, Blanchard P, Balboa I, Hawkes N, Carvalho IS, Tal B, Bernardo J, Zychor I. JET diagnostic enhancements testing and commissioning in preparation for DT scientific campaigns. THE REVIEW OF SCIENTIFIC INSTRUMENTS 2018; 89:10K119. [PMID: 30399696 DOI: 10.1063/1.5038548] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/03/2018] [Accepted: 06/29/2018] [Indexed: 06/08/2023]
Abstract
In order to optimize the scientific exploitation of JET (Joint European Torus) during the upcoming deuterium-tritium experiments, a set of diagnostic systems is being enhanced. These upgrades focus mainly on the experimental and operational conditions expected during tritium campaigns. It should be stressed that measurements relevant for burning plasmas are specifically targeted. Previously non-available capabilities, such as a current measurement system fully covering all poloidal field circuits, are described in detail. Instrument descriptions, performance prediction, testing, and initial commissioning results of these systems are presented.
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Silva A, Vianna M, Mendonça R, Zanoteli E. INFLAMMATORY MYOPATHIES. Neuromuscul Disord 2018. [DOI: 10.1016/j.nmd.2018.06.184] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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103
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Mendonça R, Silva A, Velasco O, Cardeal D, Conti-reed U, Zanoteli E. SMA THERAPIES I. Neuromuscul Disord 2018. [DOI: 10.1016/j.nmd.2018.06.202] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Silva A, Vianna M, Esteves H, Comello F, Zanoteli E. INFLAMMATORY MYOPATHIES. Neuromuscul Disord 2018. [DOI: 10.1016/j.nmd.2018.06.191] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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105
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Varela P, Silva A, Belo JH. Testing of the ITER plasma position reflectometry high-field side in-vessel antenna assembly prototype. THE REVIEW OF SCIENTIFIC INSTRUMENTS 2018; 89:10H102. [PMID: 30399703 DOI: 10.1063/1.5036743] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
The ITER plasma position reflectometry diagnostic aims to provide measurements of the edge plasma to correct or supplement the magnetics for plasma position control. It consists of five reflectometers, two of which have components installed inside the vessel. One of these systems probes the plasma from the high-field side using a bistatic array of small pyramidal horns located in the gap between two blankets. Electromagnetic simulations have shown that the blankets shape the radiation pattern and need to be considered as part of the antenna. Full-wave plasma simulations have confirmed these results and have also shown that the first-wall geometry may induce measurement errors above the required margin. To further address these issues, we manufactured a prototype of the high-field side antenna, which includes a mock-up of the blanket modules. Here, we present the results of the prototype tests, with and without the blankets, using a metallic mirror as a target. The signals reflected from the mirror are used to derive the mirror distance and assess the precision of the measurements under different arrangements. The sensitivity to the blankets' installation tolerances is also assessed by changing the antennas' position with respect to the blankets' surfaces and cut-outs.
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Silva A, Mendonça R, Soares D, Callegaro D, Caldas V, Carvalho M, Zanoteli E. METABOLIC MYOPATHIES I. Neuromuscul Disord 2018. [DOI: 10.1016/j.nmd.2018.06.325] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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107
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Silva A, Antunes J, Peixoto J, Gonçalves M, Alves F, Silva J, Garrido N, Matos M. Domestic Violence: The Impact of a Nature-Based Holistic Development Program on Victims' Well-Being. ECOPSYCHOLOGY 2018. [DOI: 10.1089/eco.2018.0019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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108
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Mehrkens D, Dohr JK, Mollenhauer M, Kochen M, Silva A, Sengle G, Rudolph V, Klinke A, Adam M, Baldus S. P4551Myeloperoxidase activity aggravates aortic wall remodeling and participates in aneurysm development in Marfan Syndrome. Eur Heart J 2018. [DOI: 10.1093/eurheartj/ehy563.p4551] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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109
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Silva A, Magalhães H, Vieira C, Ferreira A, Dinis J, Soares M. Gastrointestinal stromal tumours: Retrospective review of an institution. Ann Oncol 2018. [DOI: 10.1093/annonc/mdy151.022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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110
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Silva A, Baronio CA, Galzer ECW, Garcia MS, Botton M. Development and reprotuction of Spodoptera eridania on natural hosts and artificial diet. BRAZ J BIOL 2018; 79:80-86. [PMID: 29641638 DOI: 10.1590/1519-6984.177219] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/18/2017] [Accepted: 08/03/2017] [Indexed: 11/21/2022] Open
Abstract
The development and reproductive potential of Spodoptera eridania (Stoll, 1782) (Lepidoptera, Noctuidae) was compared on natural and artificial diets. Its biology was determined under laboratory conditions, providing an artificial diet, leaves of white clover and the peach cultivar 'Chimarrita' and fruits and leaves of the apple cultivar 'Gala'. Larvae of S. eridania could not complete their biological cycle when fed on apple fruits or peach leaves. The artificial diet provided the shortest development time, with a cycle of 28.5±0.14 days from egg to adult and 37.3% total viability. Apple leaves led to a longer development time from egg to adult (62.8±1.22 days) and lower total viability (23%) and white clover provided the highest total viability (54.3%). The results showed that S. eridania can use white clover and apple leaves to develop normally in apple orchards. The reduction of food sources such as white clover used by the larvae results in infestation and damage to fruits from "test bites".
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Asensio M, Silva A, Armenteros M, Caballero D, Martín N, Lorido L, Sánchez-Montero L, Fernandez C, Noguera J, Ramos M. Evaluación de la calidad de las paletas curados de diferentes líneas genéticas de cerdos Ibéricos. ARCHIVOS DE ZOOTECNIA 2018. [DOI: 10.21071/az.v67isupplement.3594] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
En este trabajo se estudió la calidad comparativa de las paletas curados de diferentes líneas genéticas: Retinto x Entrepelado RxT (n = 6), TxT Torbiscal (n = 6), Entrepelado ExE (n = 10), Retinto RxR (n = 6) Y Entrepelado x Torbiscal TxE/ExT (n = 8). Las paletas curadas se evaluaron con el método EVACAL, un método original del SiPA. Este método incluye análisis físico-químicos (humedad, grasa intramuscular, proteínas, NaCl, mioglobina, perfil de ácidos grasos, compuestos volátiles y oxidación de lípidos), análisis instrumental (color instrumental, pH y textura) y análisis sensorial. Los resultados obtenidos revelaron que el lote RxR muestra una relación más alta en oleico / estérico y MUFA/SAT, que se relaciona con una alta calidad. Esto se confirmó en el análisis sensorial con altas puntuaciones de fluidez grasa y brillo del magro. El lote TxE/ExT se caracteriza por presentar unos valores elevados de mioglobina que producen grandes cantidades de compuestos volátiles a partir de aminoácidos (2-metilbutanal y 3-metilbutanal). Esto hecho se mostró en los resultados del análisis sensorial con una mayor persistencia de sabor y mayor jugosidad en comparación con los otros lotes. Por otra parte, el lote RxE revela una gran cantidad de grasa intramuscular y mayores puntuaciones en atributos sensoriales en cuanto a la apariencia (fluidez grasa), textura (jugosidad) e intensidad de olor en comparación con los otros lotes. Podemos concluir que existen tres líneas genéticas que pueden producir productos de alta calidad. La conveniencia de utilizar uno de estos depende de otros aspectos como la prolificidad.
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Campos LF, Silva A, Barros A. Independent Component Analysis and Neural Networks Applied for Classification of Malignant, Benign and Normal Tissue in Digital Mammography. Methods Inf Med 2018. [DOI: 10.1055/s-0038-1625409] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
Abstract
Summary
Objectives
: This paper proposes an efficient method for the discrimination and classification of mammograms with benign, malignant and normal tissues.
Methods
: The proposed method consists of selection of tissues, feature extraction using independent component analysis, feature selection by the foiward- selection technique and classification of the tissue by the multilayer perceptron.
Results
: The method is tested for a mammogram set of the MIAS database, resulting in a 97.83% success rate, with 98.0% specificity and 97.5% sensitivity.
Conclusion
: The proposed method showed a good classification rate. The method will be useful for early cancer diagnosis.
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Vala H, Pina R, Cruz R, Venancio C, Esteves F, Silva A, Mesquita J, Ortiz A, Ferreira D. Hepatic Histopathological Lesions in Acute Controlled Haemorrhage Followed by Volume Replacement With A Crystalloid or Colloid Solution. J Comp Pathol 2018. [DOI: 10.1016/j.jcpa.2017.10.119] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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114
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Ribeiro PVM, Silva A, Almeida AP, Hermsdorff HH, Alfenas RC. Effect of chronic consumption of pistachios (Pistacia vera L.) on glucose metabolism in pre-diabetics and type 2 diabetics: A systematic review. Crit Rev Food Sci Nutr 2017; 59:1115-1123. [DOI: 10.1080/10408398.2017.1392290] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/17/2022]
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115
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Clairet F, Bottereau C, Medvedeva A, Molina D, Conway GD, Silva A, Stroth U. 1 μs broadband frequency sweeping reflectometry for plasma density and fluctuation profile measurements. THE REVIEW OF SCIENTIFIC INSTRUMENTS 2017; 88:113506. [PMID: 29195393 DOI: 10.1063/1.4991789] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
Frequency swept reflectometry has reached the symbolic value of 1 μs sweeping time; this performance has been made possible, thanks to an improved control of the ramp voltage driving the frequency source. In parallel, the memory depth of the acquisition system has been upgraded and can provide up to 200 000 signals during a plasma discharge. Additional improvements regarding the trigger delay determination of the acquisition and the voltage ramp linearity required by this ultra-fast technique have been set. While this diagnostic is traditionally dedicated to the plasma electron density profile measurement, such a fast sweeping rate can provide the study of fast plasma events and turbulence with unprecedented time and radial resolution from the edge to the core. Experimental results obtained on ASDEX Upgrade plasmas are presented to demonstrate the performances of the diagnostic.
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Santos J, Guimarãis L, Rapson C, Santos G, Silva A, Treutterer W, Zilker M. Real-time reflectometry – An ASDEX Upgrade DCS plugin App for plasma position and shape feedback control. FUSION ENGINEERING AND DESIGN 2017. [DOI: 10.1016/j.fusengdes.2017.03.016] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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117
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Maia J, Almada M, Silva A, Correia-da-Silva G, Teixeira N, Sá SI, Fonseca BM. The endocannabinoid system expression in the female reproductive tract is modulated by estrogen. J Steroid Biochem Mol Biol 2017; 174:40-47. [PMID: 28743542 DOI: 10.1016/j.jsbmb.2017.07.023] [Citation(s) in RCA: 29] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/17/2017] [Revised: 07/13/2017] [Accepted: 07/19/2017] [Indexed: 01/10/2023]
Abstract
The endocannabinoid system (ECS) is involved in several physiological events that resulted in a growing interest in its modulation. Moreover, the uterine levels of anandamide (AEA), the major endocannabinoid, must be tightly regulated to create proper embryo implantation conditions. However, there are no evidences about the regulation of AEA in uterus by estrogen. Thus, the aim of this study is to elucidate whether estradiol benzoate (EB) and tamoxifen (TAM) administration to ovariectomized (OVX) rats can induce changes in the expression of cannabinoid receptors and AEA-metabolic enzymes in uterus by evaluating gene transcription and protein levels by qPCR, Western blot and immunohistochemistry. Moreover, the plasmatic and uterine levels of AEA and of prostaglandin E2 (PGE2) and prostaglandin F2α (PGF2α), the major cyclooxygenase-2 (COX-2) products, were determined by UPLC-MS/MS. The immunohistochemistry showed that cannabinoid receptors, as well as AEA-metabolic enzymes are mainly located in the epithelial cells of both lumen and glands and, to a lesser extent, in the muscle cells. Moreover, EB administration to OVX rats significantly increased CB1, CB2, NAPE-PLD, FAAH and COX-2 expression and transcription. These effects were absent in TAM and TAM+EB treatments showing that this response is estrogen receptor dependent. Additionally, although uterine levels of AEA remained unchanged in EB or TAM treated animals, they showed a rise with EB treatment in plasma. The latter also produced a decrease in uterine PGE2 levels. In summary, these data collectively indicate that the expression of ECS components, as well as, the AEA and PGE2 levels in rat uterus is modulated by EB. Thus, estradiol may have a direct regulatory role in the modulation of ECS in female reproductive tissues.
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Rashid M, Toh T, Abdullah N, Silva A, Zhang Y, Tan P, Teh A, Karnani N, Jha S, Ho CM, Chng W, Dean H, Chow EH. Globally optimizing therapeutic combinations against bortezomib-resistant multiple myeloma using a quantitative parabolic optimization platform (QPOP). Ann Oncol 2017. [DOI: 10.1093/annonc/mdx390.053] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
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119
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Lopes N, Long S, Resende D, Kijjoa A, Silva A, Pina A, Fernández-Marcelo T, Vasconcelos MH, Pinto M, Sousa E. Synthesis and tumor cell growth inhibitory effects of the marine product analogues of fiscalin B: PS196. Porto Biomed J 2017; 2:224. [PMID: 32258726 DOI: 10.1016/j.pbj.2017.07.114] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
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120
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Vanek T, Silva A, Halecky M, Paca J, Ruzickova I, Kozliak E, Jones K. Biodegradation of airborne acetone/styrene mixtures in a bubble column reactor. JOURNAL OF ENVIRONMENTAL SCIENCE AND HEALTH. PART A, TOXIC/HAZARDOUS SUBSTANCES & ENVIRONMENTAL ENGINEERING 2017; 52:905-915. [PMID: 28489975 DOI: 10.1080/10934529.2017.1318629] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
The ability of a bubble column reactor (BCR) to biodegrade a mixture of styrene and acetone vapors was evaluated to determine the factors limiting the process efficiency, with a particular emphasis on the presence of degradation intermediates and oxygen levels. The results obtained under varied loadings and ratios were matched with the dissolved oxygen levels and kinetics of oxygen mass transfer, which was assessed by determination of kLa coefficients. A 1.5-L laboratory-scale BCR was operated under a constant air flow of 1.0 L.min-1, using a defined mixed microbial population as a biocatalyst. Maximum values of elimination capacities/maximum overall specific degradation rates of 75.5 gC.m-3.h-1/0.197 gC.gdw-1.h-1, 66.0 gC.m-3.h-1/0.059 gC.gdw-1.h-1, and 45.8 gC.m-3.h-1/0.027 gC.gdw-1.h-1 were observed for styrene/acetone 2:1, styrene-rich and acetone-rich mixtures, respectively, indicating significant substrate interactions and rate limitation by biological factors. The BCR removed both acetone and styrene near-quantitatively up to a relatively high organic load of 50 g.m-3.h-1. From this point, the removal efficiencies declined under increasing loading rates, accompanied by a significant drop in the dissolved oxygen concentration, showing a process transition to oxygen-limited conditions. However, the relatively efficient pollutant removal from air continued, due to significant oxygen mass transfer, up to a threshold loading rate when the accumulation of acetone and degradation intermediates in the aqueous medium became significant. These observations demonstrate that oxygen availability is the limiting factor for efficient pollutant degradation and that accumulation of intermediates may serve as an indicator of oxygen limitation. Microbial (activated sludge) analyses revealed the presence of amoebae and active nematodes that were not affected by variations in operational conditions.
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Monteiro D, Silva I, Egipto P, Magalhães A, Filipe R, Silva A, Rodrigues A, Costa J. Inhalation injury in a burn unit: a retrospective review of prognostic factors. ANNALS OF BURNS AND FIRE DISASTERS 2017; 30:121-125. [PMID: 29021724 PMCID: PMC5627549] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Received: 03/14/2017] [Accepted: 03/18/2017] [Indexed: 06/07/2023]
Abstract
Inhalation injury (InI) is known to seriously affect the prognosis of burn patients, as it is strongly associated with high morbidity and mortality. Despite major advances in the treatment of burn patients in the past years, advances in the treatment of smoke InI have been somewhat limited; mortality reduction mostly results from improvements in critical care. It is difficult to separate the contribution of InI from other mechanisms that also affect respiratory tract and lungs. The aim of this study was to compare patients with and without InI and to identify prognostic factors among patients with smoke InI. Patients with InI displayed higher total body surface area (TBSA) burned, higher incidence of pneumonia and acute respiratory distress syndrome (ARDS), a higher rate of positive blood cultures and a significantly higher death rate. We could conclude that older age, higher TBSA, ARDS and pneumonia were independent predictive factors for mortality in our global study population. Older age and higher TBSA were the only independent factors found to be predictive of mortality in patients with InI.
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Argilés G, Saro J, Segal N, Melero I, Ros W, Marabelle A, Rodriguez M, Albanell J, Calvo E, Moreno V, Cleary J, Eder P, Paz-Ares L, Hurwitz H, Bacac M, Perro M, Bouseida S, Sandoval F, Sabanes Bove D, Sreckovic S, Jamois C, Silva A, Klein C, Umana P, Karanikas V, Tabernero J. Novel carcinoembryonic antigen T-cell bispecific (CEA-TCB) antibody: Preliminary clinical data as a single agent and in combination with atezolizumab in patients with metastatic colorectal cancer (mCRC). Ann Oncol 2017. [DOI: 10.1093/annonc/mdx302.003] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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123
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Pinto SA, Coelho R, Silva A. Depression and multiple sclerosis–pathophysiological links: From biology to treatment. Eur Psychiatry 2017. [DOI: 10.1016/j.eurpsy.2017.01.691] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
Abstract
IntroductionDepressive disorders (DD) are the second cause of disability worldwide. DD affect predominantly working age individuals, recurring in 75% of cases. DD pathophysiology is intricate and multi-factorial. Several inflammatory diseases have been linked to mood disorders. Amidst these conditions is multiple sclerosis (MS), a chronic inflammatory disease of the central nervous system, characterized by frequent exacerbations and progressive functional loss.ObjectiveTo review the current knowledge on DD and MS as comorbidities and the underlying pathophysiologic mechanisms.MethodsWe performed a bibliographic search in Pubmed–publications released in the last 5 years, written in English, Portuguese and Spanish, containing the keywords depression, inflammatory disorders, multiple sclerosis.ResultsThe inflammatory hypothesis of depression provides a strong foundation to explain its close link with multiple sclerosis. The incidence and prevalence of DD is significantly higher in MS, especially in men. Functional imaging studies have shown that depressive symptoms are closely linked to the extension of inflammatory lesions, especially on the frontal and parietal regions, with particular emphasis to those affecting the grey matter. On the one hand, the clinical course and response to treatment of MS may be hindered by DD; on the other hand, the evolution of MS lesions leads to fluctuations in mood, with significant improvement of DD with successful MS treatment, independently of physical improvement.ConclusionsThere appears to be a biological link between DD and MS, with a bidirectional interference in the clinical course, prognosis and treatment response. Thus, both conditions must be correctly identified and treated.Disclosure of interestThe authors have not supplied their declaration of competing interest.
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Daniel F, Ferreira A, Espírito-Santo H, Monteiro R, Massano-Cardoso I, Silva A. Quality of life related to the health and socio-economic resources of the elderly. Eur Psychiatry 2017. [DOI: 10.1016/j.eurpsy.2017.01.1222] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
Abstract
IntroductionAging is a very heterogeneous and dissimilar process, full of asymmetries. There is evidence that socio-economic differences determine disadvantages and inequalities in old ages. Older people face particular inequalities in healthiness especially with more complex and vulnerable long-term conditions, being more likely to need support from social care services.AimTo evaluate the quality of life (well-being) related to the health of the elderly according to socio-economic indicators.MethodCross-sectional quantitative study was performed. A total of 316 elderly people (M = 74.78; SD = 9.78 years of age) was interviewed with the Portuguese version of the EQ-5D-3L scale for health-related quality of life.ResultsThe interaction between income and the type of residential follow-up (alone vs. accompanied) was not statistically significant [F (2.310) = .910, P < .407; Ƞp2 = .006]. Differences in health status index were statistically significant for income [F (2.310) = 5.518, P < .004; Ƞp2 = .034]. Post-hoc comparisons indicated that the mean score for those with insufficient income for their expenses (M = .39, SD = .27) was significantly different from those with income reaching their expenses (M = .50, SD = .25) as well as those with income covering their expenses sufficiently (M = .60, SD = .21). The main effect for the type of follow-up (alone vs. accompanied) did not reach statistical significance [F (2.310) = .224, P < .636, Ƞp2 = .672].ConclusionsIncome has an impact on health-related quality of life. Health in aging as a social phenomenon is not neutral to economic differences and is exposed to these structural disadvantages.Disclosure of interestThe authors have not supplied their declaration of competing interest.
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Azevedo Pinto S, Soares J, Silva A, Curral R. Complicated grief: Is there a place in psychiatry? Eur Psychiatry 2017. [DOI: 10.1016/j.eurpsy.2017.01.499] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
Abstract
IntroductionGrief is as normal reactive to a significant personal loss. It is characterized by affective, cognitive, behavioural and physiological symptoms. The grieving process is usually divided in five different stages, but in most cases presents a benign course, with decreased suffering and better adaptation to the new context. However, when high levels of emotional suffering or disability persist over a long time period, it becomes a case of complicated grief (CG), which should be adequately addressed.ObjectivesTo review the characteristics of CG, the evidence that supports it as an individual pathological entity, and its place in current classification systems.MethodsWe performed a bibliographic search in Pubmed and PsychInfo, of articles written in English, Portuguese and Spanish, containing the key words: grief, bereavement, psychiatry, classification.ResultsThe main issue regarding grief is the degree to which it is reasonable to interfere with a usually benign process. Since DSM-III bereavement has been referred to as an adaptive reaction to an important loss, which should not be diagnosed as major depressive disorder or adjustment disorder. However, DSM-5 has stated persistent complex bereavement disorder as an independent entity. In fact, CG fulfils the general criteria of every psychiatric syndrome, namely regarding specific diagnosis criteria, differential diagnosis from depressive disorders and post-traumatic stress disorder, and improvement with adequate treatment.ConclusionIt is important to correctly approach CG, since it presents with characteristic diagnosis features and much improvement may be achieved once adequate treatment is provided.Disclosure of interestThe authors have not supplied their declaration of competing interest.
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