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Fernandes AL, Pinto J, Figueiredo C, Santos N, Campos V, Nascimento AC, Bento C, Costa L, Werneck F, Moura P. ANEMIA APLÁSTICA EM PEDIATRIA: DIAGNÓSTICO E TRATAMENTO. Hematol Transfus Cell Ther 2022. [DOI: 10.1016/j.htct.2022.09.601] [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: 11/06/2022] Open
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Naqvi S, Cantu Y, Ong Uti S, Cavazos D, Johnson A, Salazar CI, Morrow G, Camden T, Santos N, Armitige L, Ringsdorf L, Taylor BS. Successes and challenges of latent TB screening and treatment in a high-prevalence US region. Int J Tuberc Lung Dis 2022; 26:720-726. [PMID: 35898127 DOI: 10.5588/ijtld.21.0454] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND: South Texas has higher TB disease incidence than much of the United States. We evaluated a multi-site South Texas interferon-gamma release assay (IGRA)-based testing and latent TB infection (LTBI) treatment program targeting high-risk populations.METHODS: Number of IGRA tests, test results, LTBI confirmation, and treatment outcomes were collected over 2.5 years. Sixteen semi-structured patient interviews and 10 site-based focus groups were conducted with providers, nurses, and administrators. Grounded theory identified themes associated with successful outcomes.RESULTS: Of 9,050 IGRA tests, 687 (8%) were positive; 340 (49%) confirmed as LTBI; 191 initiated LTBI treatment; and 130 (68% of initiators) completed treatment. Patient barriers to treatment completion included lack of knowledge, misconceptions, and treatment toxicities. Clinic staff concurred that toxicity was a barrier to treatment and requiring new processes with limited resources were implementation barriers.CONCLUSIONS: Over 9,000 patients were screened with a high prevalence of IGRA positivity, but confirming LTBI, initiating, and completing treatment were challenging. Qualitative evaluation supports low literacy patient education on LTBI and toxicities and expanded support for process implementation and provider training. These findings highlight challenges at all levels of the LTBI care cascade and provide patient, staff, and provider perspectives on implementation of these programs.
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Affiliation(s)
- S Naqvi
- Primary Care Internal Medicine Residency Program, Brigham and Women´s Hospital, Boston, MA
| | - Y Cantu
- Public Health Region 8, Texas Department of State Health Services, San Antonio, TX
| | - S Ong Uti
- Division of Infectious Diseases, Stanford University School of Medicine, Stanford, CA
| | - D Cavazos
- School of Nursing, University of Texas Health San Antonio, San Antonio, TX
| | | | | | - G Morrow
- Public Health Region 8, Texas Department of State Health Services, San Antonio, TX
| | - T Camden
- San Antonio Metropolitan Health District, San Antonio, TX
| | - N Santos
- San Antonio Metropolitan Health District, San Antonio, TX
| | - L Armitige
- Heartland National TB Center, San Antonio, TX
| | - L Ringsdorf
- Public Health Region 8, Texas Department of State Health Services, San Antonio, TX
| | - B S Taylor
- Division of Infectious Diseases, Department of Medicine, Joe R. and Teresa Lozano Long School of Medicine, UT Health San Antonio, San Antonio, TX, USA
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Ferreira F, Figueiredo I, Ferreira T, Viegas F, Santos N, Tomé C, Maia T. The forbidden fruit – the thin line between belief, religion, and severe psychopathology: A case report. Eur Psychiatry 2021. [PMCID: PMC9480325 DOI: 10.1192/j.eurpsy.2021.1820] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
Introduction Religious obsessions constitute an interesting component of the phenomenology of obsessive-compulsive disorder(OCD). Scrupulosity can be phenomenologically similar to other OCD subtypes but the ultimate feared consequence is religious or moral in nature. Objectives To develop a reflexion about religion, belief and its interaction with psychopathology, focusing on a clinical case. Methods Review of the clinical case and literature. Results
37-year-old female patient with 4 prior psychiatric admissions. Stable until May 2020. After a brief online relationship patient develops subsequent guilt, anxiety and obsessive images with religious/sexual content. Abruptly, on the day of admission to the ER, the patient eats garlic in penitence and self-flagellate. At inpatient-unit she presented in mutism and total oral refusal, needing nasogastric tube for feeding and medication administration. She was medicated with diazepam and olanzapine, being added fluoxetine later on. In later interviews, a primordial idea based on the prevailing religious beliefs was found: “sex before marriage is a mortal sin”. This itself generated doubt “have I been forgiven” with compulsions of verification/purification (eg. repeated confession) and punishment, and this doubt almost reached a delirious character during the acute episode. Partial egodistonia, lived with suffering although with some continuity with her beliefs. At discharge patient showed insight for the unrealism of this dyad, though the primary idea remained immovable. Conclusions Although the pharmacological approach managed to control the most disturbing symptoms presented by the patient, it’s worthwhile to review and to reflect on this report in a wider perspective, within in the light of the relevance to the clinical practice. Disclosure No significant relationships.
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Magalhães D, Ferreira F, Ferreira T, Figueiredo I, Martinho F, Felício R, Santos N. Influenza and schizophrenia: How can we shed a light in the new virus from an old association? Eur Psychiatry 2021. [PMCID: PMC9471829 DOI: 10.1192/j.eurpsy.2021.447] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
Introduction COVID-19 raises serious concerns regarding its unknown consequences for health, including psychiatric long term outcomes. Historically, influenza virus has been responsible for pandemics associated with schizophrenia. Epidemiological studies showed increased risk for schizophrenia in children of mothers exposed to the 1957 influenza A2 pandemic. Controversy remains concerning the mechanisms of pathogenesis underlying this risk. Objectives We aim to review the evidence for the association between influenza infection and schizophrenia risk, the possible pathogenic mechanisms underlying and correlate these findings with the schizophrenia hypothesis of neurodevelopment. Methods We reviewed literature regarding evidence from epidemiological, translational animal models and serological studies using medline database. Results The biological mechanisms likely to be relevant account to the effects of infection-induced maternal immune activation, microglial activation, infection-induced neuronal autoimmunity, molecular mimicry of the influenza virus, neuronal surface autoantibodies and psychosis with potential infectious antecedents. Influenza infection may fit into the theory of the neurodevelopment of schizophrenia as a factor that alters the normal maturation processes of the brain (possible second or third hit). Conclusions Influenza infection has multiple pathogenic pathways in both pre and post natal processes that might increase the risk of schizophrenia or psychosis. The existing evidence regarding the relationship between influenza virus and psychosis might help us draw similar long-term concerns of COVID-19. Disclosure No significant relationships.
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Jácome C, Almeida R, Pereira AM, Araújo L, Correia MA, Pereira M, Couto M, Lopes C, Chaves Loureiro C, Catarata MJ, Santos LM, Ramos B, Mendes A, Pedro E, Cidrais Rodrigues JC, Oliveira G, Aguiar AP, Arrobas AM, Costa J, Dias J, Todo Bom A, Azevedo J, Ribeiro C, Alves M, Pinto PL, Neuparth N, Palhinha A, Marques JG, Martins P, Trincão D, Neves A, Todo Bom F, Santos MA, Branco J, Loyoza C, Costa A, Silva Neto A, Silva D, Vasconcelos MJ, Teixeira MF, Ferreira-Magalhães M, Taborda Barata L, Carvalhal C, Santos N, Sofia Pinto C, Rodrigues Alves R, Moreira AS, Morais Silva P, Fernandes R, Ferreira R, Alves C, Câmara R, Ferraz de Oliveira J, Bordalo D, Calix MJ, Marques A, Nunes C, Menezes F, Gomes R, Almeida Fonseca J. Asthma App Use and Interest Among Patients With Asthma: A Multicenter Study. J Investig Allergol Clin Immunol 2021; 30:137-140. [PMID: 32327403 DOI: 10.18176/jiaci.0456] [Citation(s) in RCA: 12] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Affiliation(s)
- C Jácome
- Center for Health Technology and Services Research (CINTESIS), Faculty of Medicine, University of Porto (FMUP), Porto, Portugal
| | - R Almeida
- Center for Health Technology and Services Research (CINTESIS), Faculty of Medicine, University of Porto (FMUP), Porto, Portugal
| | - A M Pereira
- Center for Health Technology and Services Research (CINTESIS), Faculty of Medicine, University of Porto (FMUP), Porto, Portugal.,Allergy Unit, Instituto and Hospital CUF, Porto, Portugal
| | - L Araújo
- Allergy Unit, Instituto and Hospital CUF, Porto, Portugal
| | - M A Correia
- Allergy Unit, Instituto and Hospital CUF, Porto, Portugal
| | - M Pereira
- Center for Health Technology and Services Research (CINTESIS), Faculty of Medicine, University of Porto (FMUP), Porto, Portugal.,MEDIDA - Medicina, Educação, Investigação, Desenvolvimento e Avaliação, Porto, Portugal
| | - M Couto
- Allergy Unit, Instituto and Hospital CUF, Porto, Portugal
| | - C Lopes
- Unidade de Imunoalergologia, Hospital Pedro Hispano, Unidade Local de Saúde de Matosinhos, Matosinhos, Portugal.,Imunologia Básica e Clínica, Faculdade de Medicina, Universidade do Porto, Porto, Portugal
| | - C Chaves Loureiro
- Serviço de Pneumologia A, Hospital Universitário de Coimbra, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
| | - M J Catarata
- Serviço de Pneumologia A, Hospital Universitário de Coimbra, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
| | - L M Santos
- Serviço de Pneumologia A, Hospital Universitário de Coimbra, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
| | - B Ramos
- Serviço de Pneumologia A, Hospital Universitário de Coimbra, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
| | - A Mendes
- Serviço de Imunoalergologia, Hospital de Santa Maria, Centro Hospitalar Lisboa Norte, Lisboa, Portugal
| | - E Pedro
- Serviço de Imunoalergologia, Hospital de Santa Maria, Centro Hospitalar Lisboa Norte, Lisboa, Portugal
| | - J C Cidrais Rodrigues
- Serviço de Pediatria, Hospital Pedro Hispano, Unidade Local de Saúde de Matosinhos, Matosinhos, Portugal
| | - G Oliveira
- Serviço de Pediatria, Hospital Pedro Hispano, Unidade Local de Saúde de Matosinhos, Matosinhos, Portugal
| | - A P Aguiar
- Serviço de Pediatria, Hospital Pedro Hispano, Unidade Local de Saúde de Matosinhos, Matosinhos, Portugal
| | - A M Arrobas
- Serviço de Pneumologia B, Hospital Geral, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
| | - J Costa
- Serviço de Pneumologia B, Hospital Geral, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
| | - J Dias
- Serviço de Pneumologia B, Hospital Geral, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
| | - A Todo Bom
- Serviço de Imunoalergologia, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
| | - J Azevedo
- Serviço de Imunoalergologia, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
| | - C Ribeiro
- Serviço de Imunoalergologia, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
| | - M Alves
- Serviço de Imunoalergologia, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
| | - P L Pinto
- Serviço de Imunoalergologia, Hospital de Dona Estefânia, Centro Hospitalar Universitário de Lisboa Central, Lisboa, Portugal
| | - N Neuparth
- Serviço de Imunoalergologia, Hospital de Dona Estefânia, Centro Hospitalar Universitário de Lisboa Central, Lisboa, Portugal.,Pathophysiology, CEDOC, Integrated Pathophysiological Mechanisms Research Group, Nova Medical School, Lisboa, Portugal
| | - A Palhinha
- Serviço de Imunoalergologia, Hospital de Dona Estefânia, Centro Hospitalar Universitário de Lisboa Central, Lisboa, Portugal
| | - J G Marques
- Serviço de Imunoalergologia, Hospital de Dona Estefânia, Centro Hospitalar Universitário de Lisboa Central, Lisboa, Portugal
| | - P Martins
- Serviço de Imunoalergologia, Hospital de Dona Estefânia, Centro Hospitalar Universitário de Lisboa Central, Lisboa, Portugal.,Pathophysiology, CEDOC, Integrated Pathophysiological Mechanisms Research Group, Nova Medical School, Lisboa, Portugal
| | - D Trincão
- Serviço de Imunoalergologia, Hospital de Dona Estefânia, Centro Hospitalar Universitário de Lisboa Central, Lisboa, Portugal
| | - A Neves
- Serviço de Imunoalergologia, Hospital de Dona Estefânia, Centro Hospitalar Universitário de Lisboa Central, Lisboa, Portugal
| | - F Todo Bom
- Serviço de Pneumologia, Hospital Beatriz Ângelo, Loures, Portugal
| | - M A Santos
- Serviço de Pneumologia, Hospital Beatriz Ângelo, Loures, Portugal
| | - J Branco
- Serviço de Pneumologia, Hospital Beatriz Ângelo, Loures, Portugal
| | - C Loyoza
- Serviço de Imunoalergologia, Hospital Amato Lusitano, Unidade Local de Saúde de Castelo Branco, Castelo Branco, Portugal
| | - A Costa
- Serviço de Pediatria, Hospital da Senhora da Oliveira, Guimarães, Portugal
| | - A Silva Neto
- Serviço de Pediatria, Hospital da Senhora da Oliveira, Guimarães, Portugal
| | - D Silva
- Serviço de Imunoalergologia, Centro Hospitalar Universitário de São João, Porto, Portugal
| | - M J Vasconcelos
- Serviço de Imunoalergologia, Centro Hospitalar Universitário de São João, Porto, Portugal
| | - M F Teixeira
- Serviço de Pediatria, Centro Materno Infantil do Norte, Centro Hospitalar Universitário do Porto, Porto, Portugal
| | - M Ferreira-Magalhães
- Center for Health Technology and Services Research (CINTESIS), Faculty of Medicine, University of Porto (FMUP), Porto, Portugal.,Serviço de Pediatria, Centro Materno Infantil do Norte, Centro Hospitalar Universitário do Porto, Porto, Portugal
| | - L Taborda Barata
- Serviço de Imunoalergologia, Hospital Pêro da Covilhã, Centro Hospitalar Universitário Cova da Beira, Covilhã, Portugal
| | - C Carvalhal
- Serviço de Imunoalergologia, Hospital Pêro da Covilhã, Centro Hospitalar Universitário Cova da Beira, Covilhã, Portugal
| | - N Santos
- Serviço de Imunoalergologia, Centro Hospitalar Universitário do Algarve, Portimão, Portugal
| | - C Sofia Pinto
- Serviço de Pneumologia, Hospital São Pedro de Vila Real, Centro Hospitalar de Trás-os-Montes e Alto Douro, Vila Real, Portugal
| | - R Rodrigues Alves
- Unidade de Imunoalergologia, Hospital do Divino Espirito Santo, Ponta Delgada, Portugal
| | - A S Moreira
- Unidade de Imunoalergologia, Hospital do Divino Espirito Santo, Ponta Delgada, Portugal
| | | | - R Fernandes
- Serviço de Pediatria, Departamento de Pediatria, Hospital de Santa Maria, Centro Hospitalar Universitário de Lisboa Norte, Lisboa, Portugal.,Laboratório de Farmacologia Clínica e Terapêutica, Instituto de Medicina Molecular, Faculdade de Medicina, Universidade de Lisboa, Portugal
| | - R Ferreira
- Serviço de Pediatria, Departamento de Pediatria, Hospital de Santa Maria, Centro Hospitalar Universitário de Lisboa Norte, Lisboa, Portugal
| | - C Alves
- Serviço de Pneumologia, Hospital Nossa Senhora do Rosário, Centro Hospitalar Barreiro Montijo, Barreiro, Portugal
| | - R Câmara
- Serviço de Pneumologia, Hospital Nossa Senhora do Rosário, Centro Hospitalar Barreiro Montijo, Barreiro, Portugal
| | | | - D Bordalo
- Serviço de Pediatria, Unidade Hospitalar de Famalicão, Centro Hospitalar do Médio Ave, Vila Nova de Famalicão, Portugal
| | - M J Calix
- Serviço de Pediatria, Hospital de São Teotónio, Centro Hospitalar Tondela-Viseu, Viseu, Portugal
| | - A Marques
- Serviço de Pediatria, Hospital de São Teotónio, Centro Hospitalar Tondela-Viseu, Viseu, Portugal
| | - C Nunes
- Imunoalergologia, Centro de Imunoalergologia do Algarve, Portimão, Portugal
| | - F Menezes
- Serviço de Pneumologia, Hospital Garcia de Orta, Almada, Portugal
| | - R Gomes
- Serviço de Pneumologia, Hospital Garcia de Orta, Almada, Portugal
| | - J Almeida Fonseca
- Center for Health Technology and Services Research (CINTESIS), Faculty of Medicine, University of Porto (FMUP), Porto, Portugal.,Allergy Unit, Instituto and Hospital CUF, Porto, Portugal.,MEDIDA - Medicina, Educação, Investigação, Desenvolvimento e Avaliação, Porto, Portugal.,Department of Community Medicine, Information and Health Decision Sciences (MEDCIDS), Faculty of Medicine, University of Porto, Porto, Portugal
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Giráldez F, Santos N, Santos A, Valdés C, López S, Andrés S. Fattening lambs with divergent residual feed intakes and weight gains: Unravelling mechanisms driving feed efficiency. Anim Feed Sci Technol 2021. [DOI: 10.1016/j.anifeedsci.2021.114821] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/16/2023]
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Gaspar A, Santos N, Faria E, Câmara R, Rodrigues-Alves R, Carrapatoso I, Gomes E, Pereira AM, Carneiro-Leão L, Morais-Almeida M, Delgado L, Pedro E, Branco-Ferreira M. Anaphylaxis: A Decade of a Nationwide Allergy Society Registry. J Investig Allergol Clin Immunol 2021; 32:23-32. [PMID: 32732188 DOI: 10.18176/jiaci.0515] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
BACKGROUND AND OBJECTIVES Anaphylaxis is an acute, life-threatening, multiorgan hypersensitivity reaction. Objective: The aim of this study was to identify the causes of anaphylaxis in Portugal in order to improve our knowledge of epidemiology and management. METHODS We implemented a nationwide notification system for anaphylaxis over a 10-year period, with voluntary reporting by allergists. Data on 1783 patients with anaphylaxis were included. Etiopathogenesis, manifestations, and clinical management were characterized in detail for both children and adults. RESULTS The mean age was 32.7 (20.3) years, and 30% were under 18 years of age; 58% were female. The mean age at the first anaphylaxis episode was 27.5 (20.4) years (ranging from 1 month to 88 years). The main culprits of anaphylaxis were foods (48%), drugs (37%) (main trigger in adults, 48%), and hymenoptera venom (7%). The main culprit foods were shellfish (27%), fresh fruit (17%), cow's milk (16%), tree nuts (15%), fish (8%), egg (7%), and peanut (7%). The main drugs were nonsteroidal anti-inflammatory drugs (43%), antibiotics (39%), and anesthetic agents (6%). Other causes included exercise (3%), latex (2%), cold-induced anaphylaxis (2%), and idiopathic anaphylaxis (2%). Most patients (80%) were admitted to the emergency department; only 43% received adrenaline. Anaphylaxis recurred in 41% of patients (21% with ≥3 anaphylactic episodes); 7% used an adrenaline autoinjector device. CONCLUSION Food is the leading cause of anaphylaxis in Portugal, while drugs were the main elicitors in adults. We emphasize undertreatment with adrenaline and recurrent episodes, highlighting the need to improve diagnostic and therapeutic approaches to anaphylaxis.
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Affiliation(s)
- A Gaspar
- Immunoallergy Department, Hospital da Luz Lisboa, Portugal
| | - N Santos
- Immunoallergy Department, Centro Hospitalar Universitário Algarve, Portugal
| | - E Faria
- Immunoallergy Department, Centro Hospitalar Universitário Coimbra, Portugal
| | - R Câmara
- Immunoallergology Unit, Hospital Dr. Nélio Mendonça, Funchal, Portugal
| | - R Rodrigues-Alves
- Immunoallergology Unit, Hospital Divino Espírito Santo, Ponta Delgada, Portugal
| | - I Carrapatoso
- Immunoallergy Department, Hospital da Luz Lisboa, Portugal
| | - E Gomes
- Immunoallergy Department, Centro Hospitalar Universitário do Porto, Portugal
| | - A M Pereira
- Immunoallergology Unit, Hospital CUF Porto and Instituto CUF Porto, Portugal
| | - L Carneiro-Leão
- Immunoallergy Department, Centro Hospitalar São João, Porto, Portugal
| | - M Morais-Almeida
- Immunoallergy Department, CUF Descobertas Hospital, Lisbon, Portugal
| | - L Delgado
- Immunoallergology Unit, Hospital CUF Porto and Instituto CUF Porto, Portugal.,Immunoallergy Department, Centro Hospitalar São João, Porto, Portugal.,Basic and Clinical Immunology Unit, Department of Pathology, Faculty of Medicine, University of Porto, Portugal
| | - E Pedro
- Immunoallergy Department, Hospital Santa Maria, Centro Hospitalar Lisboa Norte, Portugal
| | - M Branco-Ferreira
- Immunoallergy Department, Hospital Santa Maria, Centro Hospitalar Lisboa Norte, Portugal.,Immunoallergology University Clinic, Faculty of Medicine of the University of Lisbon, Portugal
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Ribeirinho Marques A, Souto Braz M, Ferreira L, Gasparinho R, Martins M, Santos N, Alho A, Malhadas Martins J, Pereira C, Rosa A, Sampaio M, Abdo C. O-01 “Chemsex” : Drug or Sex Addiction? J Sex Med 2020. [DOI: 10.1016/j.jsxm.2020.07.022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Jácome C, Pereira R, Almeida R, Amaral R, Correia MA, Mendes S, Vieira-Marques P, Ferreira JA, Lopes I, Gomes J, Vidal C, López Freire S, Méndez Brea P, Arrobas A, Valério M, Chaves Loureiro C, Santos LM, Couto M, Araujo L, Todo Bom A, Azevedo JP, Cardoso J, Emiliano M, Gerardo R, Lozoya C, Pinto PL, Castro Neves A, Pinto N, Palhinha A, Teixeira F, Ferreira-Magalhães M, Alves C, Coelho D, Santos N, Menezes F, Gomes R, Cidrais Rodrigues JC, Oliveira G, Carvalho J, Rodrigues Alves R, Moreira AS, Costa A, Abreu C, Silva R, Morête A, Falcão H, Marques ML, Câmara R, Cálix MJ, Bordalo D, Silva D, Vasconcelos MJ, Fernandes RM, Ferreira R, Freitas P, Lopes F, Almeida Fonseca J. Validation of App and Phone Versions of the Control of Allergic Rhinitis and Asthma Test (CARAT). J Investig Allergol Clin Immunol 2020; 31:270-273. [PMID: 32856596 DOI: 10.18176/jiaci.0640] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Affiliation(s)
- C Jácome
- Center for Health Technology and Services Research (CINTESIS), Faculty of Medicine, University of Porto, Porto, Portugal.,Department of Community Medicine, Information and Health Decision Sciences (MEDCIDS), Faculty of Medicine, University of Porto, Porto, Portugal
| | - R Pereira
- Department of Community Medicine, Information and Health Decision Sciences (MEDCIDS), Faculty of Medicine, University of Porto, Porto, Portugal.,Allergy Unit, Instituto and Hospital CUF, Porto, Portugal
| | - R Almeida
- Center for Health Technology and Services Research (CINTESIS), Faculty of Medicine, University of Porto, Porto, Portugal.,Department of Community Medicine, Information and Health Decision Sciences (MEDCIDS), Faculty of Medicine, University of Porto, Porto, Portugal
| | - R Amaral
- Center for Health Technology and Services Research (CINTESIS), Faculty of Medicine, University of Porto, Porto, Portugal.,Dept. of Cardiovascular and Respiratory Sciences, Porto Health School, Polytechnic Institute of Porto, Porto, Portugal
| | - M A Correia
- Allergy Unit, Instituto and Hospital CUF, Porto, Portugal
| | - S Mendes
- Center for Health Technology and Services Research (CINTESIS), Faculty of Medicine, University of Porto, Porto, Portugal
| | - P Vieira-Marques
- Center for Health Technology and Services Research (CINTESIS), Faculty of Medicine, University of Porto, Porto, Portugal
| | - J A Ferreira
- Serviço de Imunoalergologia, Centro Hospitalar Vila Nova de Gaia/Espinho, Vila Nova de Gaia, Portugal
| | - I Lopes
- Serviço de Imunoalergologia, Centro Hospitalar Vila Nova de Gaia/Espinho, Vila Nova de Gaia, Portugal
| | - J Gomes
- Serviço de Imunoalergologia, Centro Hospitalar Vila Nova de Gaia/Espinho, Vila Nova de Gaia, Portugal
| | - C Vidal
- Servicio de Alergia, Complejo Hospitalario Universitario de Santiago, Santiago De Compostela, Spain
| | - S López Freire
- Servicio de Alergia, Complejo Hospitalario Universitario de Santiago, Santiago De Compostela, Spain
| | - P Méndez Brea
- Servicio de Alergia, Complejo Hospitalario Universitario de Santiago, Santiago De Compostela, Spain
| | - A Arrobas
- Serviço de Pneumologia, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
| | - M Valério
- Serviço de Pneumologia, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
| | - C Chaves Loureiro
- Serviço de Pneumologia, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
| | - L M Santos
- Serviço de Pneumologia, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
| | - M Couto
- Allergy Unit, Instituto and Hospital CUF, Porto, Portugal
| | - L Araujo
- Allergy Unit, Instituto and Hospital CUF, Porto, Portugal
| | - A Todo Bom
- Serviço de Imunoalergologia, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
| | - J P Azevedo
- Imunoalergologia, Centro Hospitalar de Leiria, Leiria, Portugal
| | - J Cardoso
- Serviço de Pneumologia, Hospital Santa Marta, Centro Hospitalar Universitário de Lisboa Central, Lisboa, Portugal
| | - M Emiliano
- Serviço de Pneumologia, Hospital Santa Marta, Centro Hospitalar Universitário de Lisboa Central, Lisboa, Portugal
| | - R Gerardo
- Serviço de Pneumologia, Hospital Santa Marta, Centro Hospitalar Universitário de Lisboa Central, Lisboa, Portugal
| | - C Lozoya
- Serviço de Imunoalergologia, Hospital Amato Lusitano, Unidade Local de Saúde de Castelo Branco, Castelo Branco, Portugal
| | - P L Pinto
- Serviço de Imunoalergologia, Hospital de Dona Estefânia, Centro Hospitalar Universitário de Lisboa Central, Lisboa, Portugal
| | - A Castro Neves
- Serviço de Imunoalergologia, Hospital de Dona Estefânia, Centro Hospitalar Universitário de Lisboa Central, Lisboa, Portugal
| | - N Pinto
- Serviço de Imunoalergologia, Hospital de Dona Estefânia, Centro Hospitalar Universitário de Lisboa Central, Lisboa, Portugal
| | - A Palhinha
- Serviço de Imunoalergologia, Hospital de Dona Estefânia, Centro Hospitalar Universitário de Lisboa Central, Lisboa, Portugal
| | - F Teixeira
- Serviço de Pediatria, Centro Materno Infantil do Norte, Centro Hospitalar Universitário do Porto, Porto, Portugal
| | - M Ferreira-Magalhães
- Serviço de Pediatria, Centro Materno Infantil do Norte, Centro Hospitalar Universitário do Porto, Porto, Portugal
| | - C Alves
- Serviço de Pneumologia, Hospital Nossa Senhora do Rosário, Centro Hospitalar Barreiro Montijo, Barreiro, Portugal
| | - D Coelho
- Serviço de Pneumologia, Hospital Nossa Senhora do Rosário, Centro Hospitalar Barreiro Montijo, Barreiro, Portugal
| | - N Santos
- Serviço de Imunoalergologia, Centro Hospitalar Universitário do Algarve, Portimão, Portugal
| | - F Menezes
- Serviço de Pneumologia, Hospital Garcia de Orta, Almada, Portugal
| | - R Gomes
- Serviço de Pneumologia, Hospital Garcia de Orta, Almada, Portugal
| | - J C Cidrais Rodrigues
- Serviço de Pediatria, Hospital Pedro Hispano, Unidade Local de Saúde de Matosinhos, Matosinhos, Portugal
| | - G Oliveira
- Serviço de Pediatria, Hospital Pedro Hispano, Unidade Local de Saúde de Matosinhos, Matosinhos, Portugal
| | - J Carvalho
- Serviço de Pediatria, Hospital Pedro Hispano, Unidade Local de Saúde de Matosinhos, Matosinhos, Portugal
| | - R Rodrigues Alves
- Serviço de Imunoalergologia, Hospital do Divino Espirito Santo, Ponta Delgada, Portugal
| | - A S Moreira
- Serviço de Imunoalergologia, Hospital do Divino Espirito Santo, Ponta Delgada, Portugal
| | - A Costa
- Serviço de Pediatria, Hospital da Senhora da Oliveira, Guimarães, Portugal
| | - C Abreu
- Serviço de Imunoalergologia, Hospital São Pedro de Vila Real, Centro Hospitalar De Trás-Os-Montes E Alto Douro, Vila Real, Portugal
| | - R Silva
- Serviço de Imunoalergologia, Hospital São Pedro de Vila Real, Centro Hospitalar De Trás-Os-Montes E Alto Douro, Vila Real, Portugal
| | - A Morête
- Serviço de Imunoalergologia, Hospital Infante D. Pedro, Centro Hospitalar Baixo Vouga, Aveiro, Portugal
| | - H Falcão
- Serviço de Imunoalergologia, Centro Hospitalar Universitário do Porto, Porto, Portugal
| | - M L Marques
- Serviço de Imunoalergologia, Centro Hospitalar Universitário do Porto, Porto, Portugal
| | - R Câmara
- Serviço de Imunoalergologia, Serviço de Saúde da Região Autónoma da Madeira, Funchal, Portugal
| | - M J Cálix
- Serviço de Pediatria, Hospital de São Teotónio, Centro Hospitalar Tondela-Viseu, Viseu, Portugal
| | - D Bordalo
- Serviço de Pediatria, Unidade Hospitalar de Famalicão, Centro Hospitalar do Médio Ave, Vila Nova de Famalicão, Portugal
| | - D Silva
- Serviço de Imunoalergologia, Centro Hospitalar Universitário de São João, E.P.E., Porto, Portugal
| | - M J Vasconcelos
- Serviço de Imunoalergologia, Centro Hospitalar Universitário de São João, E.P.E., Porto, Portugal
| | - R M Fernandes
- Departamento de Pediatria, Hospital de Santa Maria, Centro Hospitalar Universitário Lisboa Norte, Lisboa, Portugal.,Farmacologia Clínica e Terapêutica, Faculdade de Medicina, Universidade de Lisboa, Lisboa, Portugal
| | - R Ferreira
- Departamento de Pediatria, Hospital de Santa Maria, Centro Hospitalar Universitário Lisboa Norte, Lisboa, Portugal.,Clínica Universitária de Pediatria, Faculdade de Medicina, Universidade de Lisboa, Lisboa, Portugal
| | - P Freitas
- Bloco operatório, Centro Hospitalar Vila Nova de Gaia/Espinho, Vila Nova de Gaia, Portugal
| | - F Lopes
- MEDIDA - Medicina, Educação, Investigação, Desenvolvimento e Avaliação, Porto, Portugal
| | - J Almeida Fonseca
- Center for Health Technology and Services Research (CINTESIS), Faculty of Medicine, University of Porto, Porto, Portugal.,Department of Community Medicine, Information and Health Decision Sciences (MEDCIDS), Faculty of Medicine, University of Porto, Porto, Portugal.,Allergy Unit, Instituto and Hospital CUF, Porto, Portugal.,MEDIDA - Medicina, Educação, Investigação, Desenvolvimento e Avaliação, Porto, Portugal
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Limão R, Spínola Santos A, Araújo L, Cosme J, Inácio F, Tomaz E, Ferrão A, Santos N, Sokolova A, Môrete A, Falcão H, Cunha L, Ferreira A, Bras A, Ribeiro F, Lozoya C, Leiria Pinto P, Prates S, Plácido J, Coimbra A, Taborda-Barata L, Pereira Santos MC, Pereira Barbosa M, Pineda F. Molecular Sensitization Profile to Dermatophagoides pteronyssinus Dust Mite in Portugal. J Investig Allergol Clin Immunol 2020; 32:33-39. [PMID: 32732183 DOI: 10.18176/jiaci.0533] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
OBJECTIVE To analyze component resolved diagnosis to Dermatophagoides pteronyssinus (Der p) in patients with respiratory allergy and its relationship with clinical severity in different geographical areas. METHODS 217 patients (mean age 25.85±12.7 years; 51.16% females) were included, selected from 13 centers in Portugal (5 from North, n=65). All had allergic rhinitis, with or without asthma, and had positive skin prick tests to at least one dust mite. Specific IgE (sIgE) to Der p, Dermatophagoides farinae, Lepidoglyphus destructor, Der p1, Der p 2, Der p 10 and Der p 23 were determined by ImmunoCAP. Statistical analysis (Mann Whitney U test) compared patients with rhinitis vs rhinitis and asthma; mild vsmoderate-to-severe rhinitis; North vs South. RESULTS Prevalence of sensitization was 98.2% to Der p, and 72.4%, 89.4%, 9.7% and 77% to Der p 1, Der p 2, Der p 10 and Der p 23, respectively. Corresponding median sIgE levelswere 8.56, 17.7, 0.01 and 3.95 kUA/L. sIgE to all allergens was higher in patients with moderate-to-severe rhinitis and rhinitis with asthma but not statistically significant (NSS). sIgE to Der p 2 was significantly higher in the South when compared with the North (p=0.0496). CONCLUSIONS sensitization to Der p is the most common in Portugal. Der p 2 had the highest prevalence and median sIgE levels. All sIgE to molecular components were higher in more symptomatic patients (NSS). sIgE to Der p 2 was higher in the South, which may be related to the warmer temperature and/or the larger sample size.
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Affiliation(s)
- R Limão
- Immunoallergology Department, Hospital de Santa Maria, Centro Hospitalar Universitário Lisboa Norte, Portugal.,Allergen and Immunotherapy Interest Group, Sociedade Portuguesa de Alergologia e Imunologia Clínica, Portugal
| | - A Spínola Santos
- Immunoallergology Department, Hospital de Santa Maria, Centro Hospitalar Universitário Lisboa Norte, Portugal.,Allergen and Immunotherapy Interest Group, Sociedade Portuguesa de Alergologia e Imunologia Clínica, Portugal
| | - L Araújo
- Allergen and Immunotherapy Interest Group, Sociedade Portuguesa de Alergologia e Imunologia Clínica, Portugal.,Immunoallergology Department, Faculdade de Medicina da Universidade do Porto, Portugal
| | - J Cosme
- Immunoallergology Department, Hospital de Santa Maria, Centro Hospitalar Universitário Lisboa Norte, Portugal.,Allergen and Immunotherapy Interest Group, Sociedade Portuguesa de Alergologia e Imunologia Clínica, Portugal
| | - F Inácio
- Allergen and Immunotherapy Interest Group, Sociedade Portuguesa de Alergologia e Imunologia Clínica, Portugal.,Immunoallergology Department, Hospital de São Bernardo, Setúbal, Portugal
| | - E Tomaz
- Immunoallergology Department, Hospital de São Bernardo, Setúbal, Portugal
| | - A Ferrão
- Immunoallergology Unit, Hospital do Espírito Santo de Évora, Portugal
| | - N Santos
- Immunoallergology Unit, Hospital de Portimão, Centro Hospitalar Universitário do Algarve, Portugal
| | - A Sokolova
- Allergen and Immunotherapy Interest Group, Sociedade Portuguesa de Alergologia e Imunologia Clínica, Portugal.,Immunoallergology Unit, Hospital Professor Doutor Fernando Fonseca, Amadora-Sintra, Portugal
| | - A Môrete
- Immunoallergology Unit, Hospital de Aveiro, Centro Hospitalar Baixo Vouga, Portugal
| | - H Falcão
- Immunoallergology Department, Hospital de Santo António, Centro Hospitalar do Porto, Portugal
| | - L Cunha
- Immunoallergology Department, Hospital de Santo António, Centro Hospitalar do Porto, Portugal
| | - A Ferreira
- Immunoallergology Unit, Hospital das Forças Armadas, Lisboa, Portugal
| | - A Bras
- Immunoallergology Unit, Hospital de Faro, Centro Hospitalar Universitário do Algarve, Portugal
| | - F Ribeiro
- Immunoallergology Unit, Hospital de Faro, Centro Hospitalar Universitário do Algarve, Portugal
| | - C Lozoya
- Immunoallergology Unit, Unidade Local de Saúde de Castelo Branco, Portugal
| | - P Leiria Pinto
- Immunoallergology Department, Hospital Dona Estefânia, Centro Hospitalar Universitário de Lisboa Central, Portugal
| | - S Prates
- Immunoallergology Department, Hospital Dona Estefânia, Centro Hospitalar Universitário de Lisboa Central, Portugal
| | - J Plácido
- Immunoallergology Department, Centro Hospitalar Universitário de São João, Porto, Portugal
| | - A Coimbra
- Immunoallergology Department, Centro Hospitalar Universitário de São João, Porto, Portugal
| | - L Taborda-Barata
- Immunoallergology Department, Centro Hospitalar Universitário Cova da Beira, Covilhã, Portugal
| | - M C Pereira Santos
- Allergen and Immunotherapy Interest Group, Sociedade Portuguesa de Alergologia e Imunologia Clínica, Portugal.,Clinical Immunology Laboratory, Faculdade de Medicina, Instituto de Medicina Molecular, Universidade de Lisboa, Portugal
| | - M Pereira Barbosa
- Immunoallergology Department, Hospital de Santa Maria, Centro Hospitalar Universitário Lisboa Norte, Portugal.,Clinical Immunology Laboratory, Faculdade de Medicina, Instituto de Medicina Molecular, Universidade de Lisboa, Portugal.,University Clinic of Immunoallergology, Faculdade de Medicina da Universidade de Lisboa, Portugal
| | - F Pineda
- Diater Laboratorio de Diagnostico y Aplicaciones Terapeuticas SA, Madrid, Spain
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Santos LO, Laranjeira R, Borborema MEBDA, Sotero-Caio CG, Duarte ADR, Araújo J, de Azevedo Silva J, Santos N. Vitamin D receptor (VDR) gene polymorphisms and expression profile influence upon the immunological imbalance in Turner syndrome. J Endocrinol Invest 2020; 43:505-513. [PMID: 31686401 DOI: 10.1007/s40618-019-01135-1] [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] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/04/2019] [Accepted: 10/24/2019] [Indexed: 01/10/2023]
Abstract
PURPOSE Turner syndrome (TS) patients display considerable immune misregulation, and it is hypothesized that Vitamin D (VTD) activity may fluctuate according to Vitamin D receptor (VDR) polymorphisms and/or expression profile. To uncover a possible relationship between VDR genotype and clinical conditions in TS patients, we investigated two functional VDR variants (Cdx-2 and FokI) for allele and genotype frequencies, as well as expression profile in TS individuals versus healthy controls (HC). METHODS We performed a genetic association study including 100 TS patients and 116 HC. Genotyping for VDR Cdx-2 G > A (rs11568820) and FokI C > T (rs2228570) was performed using Taqman Genotyping Assays. VDR gene expression was also evaluated in 15 TS and 15 HC, using fluorogenic probes by qPCR. Statistical analyses were performed using nonparametric Mann-Whitney test, with a 5% significance level (p < 0.05) to uncover differences between groups. In addition, we investigated whether shifted VDR mRNA levels were associated with Cdx-2 and FokI variants in TS patients. RESULTS We detected a significantly higher frequency of T allele (p = 0.006) as well as T/T genotype (p = 0.01) for FokI in TS patients when compared to HC. When assessing VDR expression, we identified a downregulation in TS woman (- 2.84 FC) versus HC (p < 0.001). Furthermore, C/T (11.24 FC; p = 0.01) and T/T (9.20 FC; p = 0.01) FokI genotypes were upregulated when compared to C/C reference genotype. CONCLUSION TS patients show different distribution of FokI polymorphism. Downregulation of VDR gene expression may contribute to immunological imbalance in TS.
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Affiliation(s)
- L O Santos
- Department of Genetics, Federal University of Pernambuco, Av. da Engenharia, s/n, Cidade Universitária, Recife, Pernambuco, 50740-600, Brazil
| | - R Laranjeira
- Department of Genetics, Federal University of Pernambuco, Av. da Engenharia, s/n, Cidade Universitária, Recife, Pernambuco, 50740-600, Brazil
| | - M E B de A Borborema
- Department of Genetics, Federal University of Pernambuco, Av. da Engenharia, s/n, Cidade Universitária, Recife, Pernambuco, 50740-600, Brazil
| | - C G Sotero-Caio
- Department of Genetics, Federal University of Pernambuco, Av. da Engenharia, s/n, Cidade Universitária, Recife, Pernambuco, 50740-600, Brazil
- Department of Ecology, Faculty of Science, Charles University, Vinicna 7, Praha 2, 128 44, Prague, Czech Republic
| | - A de R Duarte
- Medical Genetic Service, Institute of Integral Medicine Professor Fernando Figueira, Rua dos Coelhos, 300, Boa Vista, Recife, Pernambuco, 50070-050, Brazil
| | - J Araújo
- Pediatric Endocrinology Service at Clinical Hospital, Federal University of Pernambuco, Av. da Engenharia, s/n, Cidade Universitária, Recife, Pernambuco, 50740-600, Brazil
| | - J de Azevedo Silva
- Department of Genetics, Federal University of Pernambuco, Av. da Engenharia, s/n, Cidade Universitária, Recife, Pernambuco, 50740-600, Brazil
- Laboratory of Immunopathology Keizo Asami, LIKA, Federal University of Pernambuco, Av. Prof. Moraes Rego, Cidade Universitária, Recife, Pernambuco, 52171-011, Brazil
| | - N Santos
- Department of Genetics, Federal University of Pernambuco, Av. da Engenharia, s/n, Cidade Universitária, Recife, Pernambuco, 50740-600, Brazil.
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Santos N, Almeida T, Janeiro MC, Martins D. Pulmonary artery sling: a rare cause of stridor and respiratory distress. BMJ Case Rep 2020; 13:13/2/e233793. [PMID: 32051151 PMCID: PMC7035802 DOI: 10.1136/bcr-2019-233793] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
Affiliation(s)
- Nádia Santos
- Department of Pediatrics, Hospital do Espirito Santo EPE, Evora, Portugal
| | - Teresa Almeida
- Department of Pediatrics, Hospital do Espirito Santo EPE, Evora, Portugal
| | - Maria Carlos Janeiro
- Department of Pediatrics, Hospital Professor Doutor Fernando Fonseca EPE, Amadora, Lisboa, Portugal
| | - Duarte Martins
- Paediatric Cardiology, Centro Hospitalar de Lisboa Ocidental EPE, Lisboa, Portugal
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Vazi E, Holanda F, Santos N, Cardoso C, Bachi A, Martins M, Bondan E. Extensive Astrogliosis Induced by Short-term Methotrexate Administration. J Comp Pathol 2020. [DOI: 10.1016/j.jcpa.2019.10.054] [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: 11/30/2022]
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Tribst J, de Araújo R, Ramanzine N, Santos N, Dal Piva AO, Borges A, da Silva J. Mechanical behavior of implant assisted removable partial denture for Kennedy class II. J Clin Exp Dent 2020. [PMID: 31976042 PMCID: PMC6969961 DOI: 10.4317/jced.56533] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022] Open
Abstract
Background This study evaluated the mechanical response of a removable partial denture (RPD) in Kennedy Class II according to being associated or not with implants.
Material and Methods Four RPDs were manufactured for a Kennedy Class II: CRPD - Conventional RPD, RPD+1M, RPD+2M and RPD+12M, respectively, signifying implant assisted RPDs with the implant installed in the first molar, second molar, and in the first and second molars. The finite element method was used to determine the most damaged support tooth under compressive load (300N, 10s) and strain gauge analysis was used to evaluate the microstrain. All groups were submitted to a retentive force analysis (0.5 mm/mm, 100kgf). Microstrain and retentive force data were submitted to One-way ANOVA and the Tukey test, all with α=5%.
Results High microstrain was observed in the second premolar adjacent to the edentulous space under compression load (p< 0.01). RPD+12M presented lower microstrain, however being similar to RPD+2M. RPD+1M presented a higher mean value of retentive force, but similar to RPD+12M. FEM showed RPD assisted by implants concentrates less stress in the periodontal ligament. The association of two implants was sufficient to decrease the stress generated in the implants. The most stressed region for the o-ring abutment was the threads, and the group with two implants showed the lowest stress concentration.
Conclusions In cases of Kennedy Class II, the association of RPD with implants in the molar region is a favorable option for patient rehabilitation, reducing the movement of the direct retainer adjacent to the edentulous space, increasing the removal force and decreasing the stress magnitude in the periodontal ligament. Key words:Removable partial denture, Finite element analysis, Prosthetic dentistry, Implant-assisted RPD, Distal extension RPD considerations.
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Puigmarti C, Santos N, Mostacedo S, Gonzalez Y. Prevention of dental complications in patients with multiple myeloma (MM) receiving bisphosphonates treatment. Ann Oncol 2019. [DOI: 10.1093/annonc/mdz276.012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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16
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Costa R, Franco C, Santos N, Maio P, Vieira F, Antunes S, Martins L, Tuna ML. [Metabolic Bone Disease of Prematurity in Very Low Birthweight Infants: Retrospective Observational Study]. ACTA MEDICA PORT 2019; 32:536-541. [PMID: 31445534 DOI: 10.20344/amp.10994] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/27/2018] [Accepted: 04/05/2019] [Indexed: 11/20/2022]
Abstract
INTRODUCTION Metabolic bone disease of prematurity consists in a decrease of bone matrix mineral content, in comparison with the level expected for gestational age. Screening of this condition is based on serum alkaline phosphatase and phosphate levels. The aim of this study is to evaluate the prevalence of metabolic bone disease of prematurity, to assess the aspects associated with a higher risk of this disease and to describe the growth of newborns with birth weight below 1500 g and metabolic bone disease of prematurity. MATERIAL AND METHODS Observational, retrospective, multicenter and descriptive study in three neonatal intensive care units in Portugal, from May 1st 2016 to April 30th 2017. A convenience sample of very low birthweight newborns was obtained. Demographic, clinical, and laboratory variables were described in newborns with and without metabolic bone disease of prematurity. RESULTS A total of 53 newborns were included in this study: 30 males, 16 with gestational age ≤ 28 weeks. Five cases of metabolic bone disease of prematurity were diagnosed. In this group, the majority of patients was male and presented a lower gestational age and birth weight, in comparison with the group without metabolic bone disease of prematurity. The average duration of parenteral nutrition was higher in newborns with metabolic bone disease of prematurity and the calcium/phosphate ratio was lower than the recommended values. Growth was similar in both groups. No patient with metabolic bone disease of prematurity underwent physical rehabilitation. DISCUSSION The prevalence of metabolic bone disease of prematurity was 9.43%, which is lower than what is described in the literature. However, only 50% of newborns completed the screening according to the recommendations. The main risk factors identified concur with the literature. CONCLUSION Metabolic bone disease of prematurity is a frequent but underdiagnosed comorbidity in very low birthweight newborns. It is essential to screen newborns at risk for this condition, using biochemical markers, as well as structure nutritional interventions and physical stimulation in order to avoid short and long-term consequences of this disease.
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Affiliation(s)
- Raquel Costa
- Serviço de Pediatria. Hospital Espírito Santo de Évora. Évora. Portugal
| | - Catarina Franco
- Serviço de Pediatria. Hospital Divino Espírito Santo. Ponta Delgada. Portugal
| | - Nádia Santos
- Serviço de Pediatria. Hospital Espírito Santo de Évora. Évora. Portugal
| | - Patrícia Maio
- Serviço de Pediatria. Hospital Espírito Santo de Évora. Évora. Portugal
| | - Filipa Vieira
- Serviço de Pediatria. Hospital São Francisco Xavier. Centro Hospitalar Lisboa Ocidental. Lisboa. Portugal
| | - Sónia Antunes
- Serviço de Neonatologia. Hospital Espírito Santo de Évora. Évora. Portugal
| | - Laura Martins
- Serviço de Neonatologia. Hospital Espírito Santo de Évora. Évora. Portugal
| | - Madalena Lopo Tuna
- Serviço de Neonatologia. Hospital São Francisco Xavier. Centro Hospitalar Lisboa Ocidental. Lisboa. Portugal
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Linhares E, Cavadas B, Guimarães C, Maurício D, Rosário D, Alves I, Dias M, Santos MP, Mota ML, José M, Santos N. O38 A research about food habits done by higher education students with special educative needs. Eur J Public Health 2019. [DOI: 10.1093/eurpub/ckz096.014] [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: 11/12/2022] Open
Affiliation(s)
- E Linhares
- School of Education, Polytechnic Institute of Santarém, Santarém, PORTUGAL
- Research and Intervention Unit in Education and Training (UIDEF), Universidade de Lisboa, Lisbon, PORTUGAL
| | - B Cavadas
- School of Education, Polytechnic Institute of Santarém, Santarém, PORTUGAL
- Interdisciplinary Research Centre for Education and Development (CeiED), Lusophone University, Lisbon, PORTUGAL
| | - C Guimarães
- School of Education, Polytechnic Institute of Santarém, Santarém, PORTUGAL
| | - D Maurício
- School of Education, Polytechnic Institute of Santarém, Santarém, PORTUGAL
| | - D Rosário
- School of Education, Polytechnic Institute of Santarém, Santarém, PORTUGAL
| | - I Alves
- School of Education, Polytechnic Institute of Santarém, Santarém, PORTUGAL
| | - M Dias
- School of Education, Polytechnic Institute of Santarém, Santarém, PORTUGAL
| | - M P Santos
- School of Education, Polytechnic Institute of Santarém, Santarém, PORTUGAL
| | - M L Mota
- School of Education, Polytechnic Institute of Santarém, Santarém, PORTUGAL
| | - M José
- School of Education, Polytechnic Institute of Santarém, Santarém, PORTUGAL
| | - N Santos
- School of Education, Polytechnic Institute of Santarém, Santarém, PORTUGAL
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Seruca M, Carias E, Fragoso A, Martins LN, Loureiro A, Milet T, Calçada D, Neves PL, Santos N. Electrophoresis in diagnostic approach to proteinuria – A case report. Clin Chim Acta 2019. [DOI: 10.1016/j.cca.2019.03.462] [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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Santos N, Meira L. Ten-year evaluation of congenital syphilis in the state of Bahia, Brazil. Int J Infect Dis 2018. [DOI: 10.1016/j.ijid.2018.04.3897] [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: 12/01/2022] Open
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Amorim AR, Mendes GS, Pena GPA, Santos N. Hepatitis E virus infection of slaughtered healthy pigs in Brazil. Zoonoses Public Health 2018; 65:501-504. [PMID: 29441690 DOI: 10.1111/zph.12455] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/24/2017] [Indexed: 12/27/2022]
Abstract
Hepatitis E virus (HEV) is an emerging pathogen that can be transmitted through contaminated raw or undercooked meat derived from domestic pigs. HEV infections have been documented among pig herds, pig products and environmental samples raising concern about the spread of the virus. HEV genotypes 3 and 4 are considered zoonotic and have been linked to human cases. HEV was detected in 51 of 335 bile samples (15.2%) from healthy pigs in Minas Gerais, Brazil. Phylogenetic analysis of partial sequences from ORF1 and ORF2 regions yielded discordant results, assigning isolates to subtypes 3c and 3i, respectively, suggesting intragenotypic HEV recombination.
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Affiliation(s)
- A R Amorim
- Instituto de Microbiologia Paulo de Góes, Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, Brasil
| | - G S Mendes
- Instituto de Microbiologia Paulo de Góes, Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, Brasil
| | - G P A Pena
- Instituto de Microbiologia Paulo de Góes, Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, Brasil
| | - N Santos
- Instituto de Microbiologia Paulo de Góes, Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, Brasil
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Rouco C, Abrantes J, Serronha A, Lopes AM, Maio E, Magalhães MJ, Blanco E, Bárcena J, Esteves PJ, Santos N, Alves PC, Monterroso P. Epidemiology of RHDV2 (Lagovirus europaeus/GI.2) in free-living wild European rabbits in Portugal. Transbound Emerg Dis 2017; 65:e373-e382. [DOI: 10.1111/tbed.12767] [Citation(s) in RCA: 29] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/14/2017] [Indexed: 01/29/2023]
Affiliation(s)
- C. Rouco
- Departamento de Zoología; Facultad de Ciencias de la Universidad de Córdoba; Córdoba Spain
| | - J. Abrantes
- CIBIO/InBio; Centro de Investigação em Biodiversidade e Recursos Genéticos; Universidade do Porto; Vairão Portugal
| | - A. Serronha
- CIBIO/InBio; Centro de Investigação em Biodiversidade e Recursos Genéticos; Universidade do Porto; Vairão Portugal
| | - A. M. Lopes
- CIBIO/InBio; Centro de Investigação em Biodiversidade e Recursos Genéticos; Universidade do Porto; Vairão Portugal
- Instituto de Ciências Biomédicas Abel Salazar (ICBAS)/Unidade Multidisciplinar de Investigação Biomédica (UMIB); Universidade do Porto; Porto Portugal
| | - E. Maio
- CIBIO/InBio; Centro de Investigação em Biodiversidade e Recursos Genéticos; Universidade do Porto; Vairão Portugal
| | - M. J. Magalhães
- CIBIO/InBio; Centro de Investigação em Biodiversidade e Recursos Genéticos; Universidade do Porto; Vairão Portugal
| | - E. Blanco
- Centro de Investigación en Sanidad Animal (INIA-CISA); Valdeolmos Madrid Spain
| | - J. Bárcena
- Centro de Investigación en Sanidad Animal (INIA-CISA); Valdeolmos Madrid Spain
| | - P. J. Esteves
- CIBIO/InBio; Centro de Investigação em Biodiversidade e Recursos Genéticos; Universidade do Porto; Vairão Portugal
- Departamento de Biologia; Faculdade de Ciências da Universidade do Porto; Porto Portugal
| | - N. Santos
- CIBIO/InBio; Centro de Investigação em Biodiversidade e Recursos Genéticos; Universidade do Porto; Vairão Portugal
| | - P. C. Alves
- CIBIO/InBio; Centro de Investigação em Biodiversidade e Recursos Genéticos; Universidade do Porto; Vairão Portugal
- Departamento de Biologia; Faculdade de Ciências da Universidade do Porto; Porto Portugal
- Wildlife Biology Program; University of Montana; Missoula MT USA
| | - P. Monterroso
- CIBIO/InBio; Centro de Investigação em Biodiversidade e Recursos Genéticos; Universidade do Porto; Vairão Portugal
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Jarinova O, Daoud H, Ghani M, Potter R, Ordorica S, Haslett V, Santos N, Derksen H, Lahey D, McGill M, Trudel V, Antoniuk B, Vasli N, Chisholm C, Mettler G, Sinclair-Bourque L, McGowan-Jordan J, Smith A, Roberts R. NEXT GENERATION SEQUENCING FOR INHERITED CARDIOMYOPATHIES: IMPLICATIONS FOR CLINICAL PRACTICES. Can J Cardiol 2017. [DOI: 10.1016/j.cjca.2017.07.058] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022] Open
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Sousa J, Monteiro J, Neto M, Correia A, Rodrigues R, Pereira E, Gomes S, Pereira A, Faria A, Silva B, Caires G, Freitas D, Santos N, Serrao M, Pereira D. P6488Diabetes mellitus and acute coronary syndrome: prognostic impact at 5-year follow-up. Eur Heart J 2017. [DOI: 10.1093/eurheartj/ehx493.p6488] [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: 11/13/2022] Open
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Sousa J, Monteiro J, Neto M, Correia A, Rodrigues R, Pereira E, Pereira A, Gomes S, Faria A, Santos N, Serrao M, Silva B, Caires G, Freitas D, Pereira D. P6450Haemorrhagic risk in patients presenting with acute coronary syndrome and renal dysfunction: which score is a better predictor of bleeding risk on a daily-basis? Eur Heart J 2017. [DOI: 10.1093/eurheartj/ehx493.p6450] [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: 11/14/2022] Open
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Rodrigues Neto M, Correia A, Sousa J, Ponte Monteiro J, Rodrigues R, Serrao M, Santos N, Pereira A, Silva G, Gomes S, Drumond Freitas A, Pereira D. P6439Acute coronary syndromes and high bleeding risk: impact on clinical and invasive management and on long term prognosis. Eur Heart J 2017. [DOI: 10.1093/eurheartj/ehx493.p6439] [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: 11/13/2022] Open
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Miranda M, Santos N, Gomes S, Constantino C. Recurrent hemifacial oedema. BMJ Case Rep 2017; 2017:bcr-2017-220523. [PMID: 28667169 DOI: 10.1136/bcr-2017-220523] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022] Open
Affiliation(s)
- Mariana Miranda
- Pediatric Department, Hospital do Espírito Santo EPE, Evora, Portugal
| | - Nádia Santos
- Pediatric Department, Hospital do Espírito Santo EPE, Evora, Portugal
| | - Susana Gomes
- Pediatric Department, Hospital do Espírito Santo EPE, Evora, Portugal
| | - Cláudia Constantino
- Pediatric Oncology, Instituto Português de Oncologia de Lisboa Francisco Gentil EPE, Lisboa, Lisboa, Portugal
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Silva D, Pereira AM, Santos N, Amaral L, Delgado L, Oude Elberink JN, Coimbra A. The Vespid Allergy Quality of Life Questionnaire - cultural adaptation and translation to Portuguese. Eur Ann Allergy Clin Immunol 2017; 49:114-121. [PMID: 28497674] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
A cross-cultural translation of the Vespid Allergy Quality of Life Questionnaire (VQLQ) to the Portuguese population (VQLQ-P) was performed, assessing its applicability in wasp and in non-beekeeper bee venom allergic patients. Additionally, we evaluated a Visual Analogue Scale (VAS) to estimate hymenoptera allergy interference with daily life. Methods. Cross-cultural translation was performed according to recommendations. The final VQLQ-P version, the Expectation of Outcome questionnaire (EoQ), EQ-5D and VAS were applied to wasp (n = 19) and non-beekeeper bee venom allergic patients (n = 30). Results. VQLQ-P significantly correlated with EoQ, (r = 0.76, p < 0.01), EQ-5D (usual activities and anxiety / depression dimensions) and VAS, with a good internal consistency (Cronbach α = 0.88) in wasp allergic individuals. VQLQ-P and EoQ correlation was also high (r = 0.67, p < 0.01) in bee allergy. Conclusion. The VQLQ-P is a valuable tool to evaluate quality of life impairment in Portuguese hymenoptera venom allergic individuals.
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Affiliation(s)
- D Silva
- Serviço de Imunoalergologia, Centro Hospitalar de São João E.P.E., Porto, Portugal. E-mail: Phone: 919 078 179. Laboratory of Immunology, Basic and Clinical Immunology Unit, Faculty of Medicine, University of Porto, Portugal
| | - A M Pereira
- Allergy Unit, CUF-Porto Hospital and Institute, Porto, Portugal. CINTESIS - Center for Research in Health Technologies and Information Systems, Porto, Portugal
| | - N Santos
- Serviço de Imunoalergologia, Centro Hospitalar de São João E.P.E., Porto, Portugal
| | - L Amaral
- Serviço de Imunoalergologia, Centro Hospitalar de São João E.P.E., Porto, Portugal
| | - L Delgado
- Serviço de Imunoalergologia, Centro Hospitalar de São João E.P.E., Porto, Portugal. Laboratory of Immunology, Basic and Clinical Immunology Unit, Faculty of Medicine, University of Porto, Portugal. CINTESIS - Center for Research in Health Technologies and Information Systems, Porto, Portugal. Immunology Lab / Clinical Pathology Department, Centro Hospitalar de São João E.P.E., Porto, Portugal
| | - J N Oude Elberink
- Department of Allergology, University of Groningen, University Medical Center of Groningen, Groningen Research Institute Asthma and COPD (GRIAC, Groningen), the Netherlands
| | - A Coimbra
- Serviço de Imunoalergologia, Centro Hospitalar de São João E.P.E., Porto, Portugal
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Almeida C, Paulino S, Croca M, Santos N. Benzodiazepines Intake at Youth–Experience from Adolescent Consultation at Centro Hospitalar Lisboa Norte. Eur Psychiatry 2017. [DOI: 10.1016/j.eurpsy.2017.01.1917] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
Abstract
IntroductionThe increasing intake of psychotropic medication by children and adolescents is a reality that worries many mental health professionals. Recently, european school survey project on alcohol and other drugs showed that tranquillizers and sedatives were mainly consumed by Portuguese youth, without medical prescription, bringing this topic to medical and health stakeholders’ attention.ObjectivesCharacterize benzodiazepine prescription in the youth population followed in a psychiatric consultation at centro hospitalar Lisboa Norte psychiatric department.AimsDiscuss Portuguese trends in mental health among youths.MethodsAnalysis of 127 adolescents, seen for the first time from January to December of 2015, using Microsoft office excel.ResultsOur sample is comprised by adolescents from 12 to 20 years old, 81 female and 46 male. Only 16% of the adolescents were medicated with benzodiazepines, although low neuroleptic doses were often required, and 30% carried out psychotherapy. Sixty-five per cent of the diagnosis corresponds to anxiety, depressive and impulse control disorders.ConclusionAlthough trends in Portuguese youth mental health seem to be encouraging, as highlighted by local reports, European Union Joint Action on Mental Health and Well-Being recommends community and school active roles in primary and secondary prevention. Our experience shows that benzodiazepines’ use is rarely necessary and symptoms as anxiety, impulsivity and insomnia decreased with other strategies. Coping strategies must be discussed with the adolescents, in formal psychotherapy or in a supportive and containing therapeutic relationship, as well as discussed in family interventions. Community initiatives promotion and increased mental health care services accessibility should be priorities.Disclosure of interestThe authors have not supplied their declaration of competing interest.
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Paulino S, Almeida C, Croca M, Santos N. Paradigm Shift in the Educational System of Adolescents with Disabilities. Eur Psychiatry 2017. [DOI: 10.1016/j.eurpsy.2017.01.2208] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
Abstract
IntroductionIn the last years, there has been a paradigm shift in the educational system of young people with disabilities. Regular schools associated with specific support plans have become the destination of choice for these adolescents, instead of schools with special education. This integrated teaching seeks to reduce stigma and to promote tolerance but frequently these students become easy targets of psychological and physical violence or discrimination.ObjectiveTo evaluate the integration of adolescents with disabilities in mainstream education compared to special teaching.MethodsAnalysis of 32 patients with disabilities from the adolescence consultation of the psychiatry service of hospital de Santa Maria, between January 2015 and September 2016.ResultsAbout 30% of the adolescents with disabilities who attend regular schools with special support complains of poor adjustment associated with some kind of mistreatment by peers.ConclusionViolence among students in school is a current problem very difficult to fight. Young people with disabilities often find themselves in a significant minority presenting less efficient defense mechanisms. If unprotected, they may easily develop school phobia or refusal. These situations must be identified and avoided to prevent the associated suffering.Disclosure of interestThe authors have not supplied their declaration of competing interest.
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Paulino S, Santos N, Almeida A. Must we fear antidepressants in adolescents? Eur Psychiatry 2017. [DOI: 10.1016/j.eurpsy.2017.01.476] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
Abstract
IntroductionEpidemiological studies have established that teenager's prevalence rates of major depression are significant (10%). The media has given a good deal of attention to the potential risks of antidepressants and their connection to increased suicidality (especially in children and adolescents). These concerns have had a significant impact on both the prescribing of antidepressants and the parental fears about their use. It is interesting to note that in large groups’ studies of adolescents treated with selective serotonin reuptake inhibitors there have been no evidence of increased suicidal risk.ObjectiveUnderstand if there is a significant association between antidepressant treatment and suicidality in a 3-months follow-up study of the adolescent's consultation of Centro Hospitalar Lisboa Norte.MethodsAnalysis of 81 adolescents with an initial diagnosis of major depression treated with an antidepressant for at least 3 months.ResultsAfter the follow-up period there has been an improvement in sadness in 92.6% of the adolescents, a remission of death thoughts in 98.8% and an absence of suicides attempts. In 61.7%, it was necessary to introduce also an antipsychotic in a low dose and in 12.3% another antidepressant with a hypnotic effect.ConclusionIt is clear that untreated major depression carries significant suffering and disability. Although treatment with antidepressants may take several weeks before clinical improvement appear and depression may worsen in the first days, its therapeutic effect should not be underestimated even if becomes necessary to add another medication in the first days. In evaluating these kinds of concerns, we must always differentiate between media hype and scientific data.Disclosure of interestThe authors have not supplied their declaration of competing interest.
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Fauquert JL, Jedrzejczak-Czechowicz M, Rondon C, Calder V, Silva D, Kvenshagen BK, Callebaut I, Allegri P, Santos N, Doan S, Perez Formigo D, Chiambaretta F, Delgado L, Leonardi A. Conjunctival allergen provocation test : guidelines for daily practice. Allergy 2017; 72:43-54. [PMID: 27430124 DOI: 10.1111/all.12986] [Citation(s) in RCA: 57] [Impact Index Per Article: 8.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/14/2016] [Indexed: 01/15/2023]
Abstract
Conjunctival allergen provocation test (CAPT) reproduces the events occurring by instilling an allergen on the ocular surface. This paper is the compilation of a task force focussed on practical aspects of this technique based on the analysis of 131 papers. Main mechanisms involved are reviewed. Indications are diagnosing the allergen(s)-triggering symptoms in IgE-mediated ocular allergy in seasonal, acute or perennial forms of allergic conjunctivitis, especially when the relevance of the allergen is not obvious or in polysensitized patients. Contraindications are limited to ongoing systemic severe pathology, asthma and eye diseases. CAPT should be delayed if receiving systemic steroids or antihistamines. Local treatment should be interrupted according to the half-life of each drug. Prerequisites are as follows: obtaining informed consent; evidencing of an allergen by skin prick tests and/or serum-specific IgE dosages; being able to deal with an unlikely event such as acute asthma exacerbation, urticaria or anaphylaxis, or an exacerbation of allergic conjunctivitis. Allergen extracts should be diluted locally prior to administration. Positive criteria are based on itching or quoted according to a composite score. An alternative scoring is based on itching. CAPT remains underused in daily practice, although it is a safe and simple procedure which can provide valuable clinical information.
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Affiliation(s)
- J.-L. Fauquert
- Unité d'Allergologie de l'enfant; CHU Estaing; Clermont-Ferrand Cedex 1 France
| | | | - C. Rondon
- Allergy Unit; Regional University Hospital of Malaga; IBIMA; UMA; Malaga Spain
| | - V. Calder
- Department of Ocular Biology & Therapeutics (ORBIT); UCL Institute of Ophthalmology; London UK
| | - D. Silva
- Serviço de Imunoalergologia; Centro Hospitalar São João; E.P.E.; Porto Portugal
| | - B. K. Kvenshagen
- Pediatric Department; Oestfold Hospital Trust; Fredrikstad Norway
| | - I. Callebaut
- Clinical Immunology; Department of Microbiology and Immunology; Catholic University of Leuven; Leuven Belgium
| | - P. Allegri
- Allergic Conjunctivitis Unit; Ocular Inflammatory Diseases Referral Center; Rapallo Hospital Ophthalmological Dep.; Genova Italy
| | - N. Santos
- Serviço de Imunoalergologia; Centro Hospitalar São João; E.P.E.; Porto Portugal
| | - S. Doan
- Service d'Ophtalmologie; Hôpital Bichat and Fondation A. de Rothschild; Paris France
| | - D. Perez Formigo
- Servicio de Oftalmologia; Hospital Universitario de Torrejon; Madrid Spain
| | - F. Chiambaretta
- Service d'Ophtalmologie; CHU Montpied; Clermont-Ferrand Cedex 1 France
| | - L. Delgado
- Department of Immunology; Faculty of Medicine; University of Porto; Porto Portugal
| | - A. Leonardi
- Ophthalmology Unit; Department of Neuroscience; University of Padua; Padua Italy
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Duchenne J, Michalski BW, Valente F, Bianco F, Almeida Morais L, Ricci F, Darmon A, Bezy S, Claus P, Pagourelias E, Gheysens O, Rega F, Voigt JU, Stankovic I, Paqourelias E, Faber L, Ciarka A, Aarones M, Winter S, Aakhus S, Fehske W, Voigt JU, Ruiz-Munoz A, Galian L, Dux-Santoy L, Pizzi N, Aguade S, Otaegui I, Huguet M, Sao-Avilez A, Gutierrez L, Maldonado G, Gonzalez-Alujas T, Garcia-Dorado D, Evangelista A, Rodriguez-Palomares JF, Bucciarelli V, Ricci F, Aquilani R, Di Pace GG, Miniera E, De Caterina R, Gallina S, Santos N, Moura Branco L, Galrinho A, Aguiar Rosa S, Rodrigues I, Portugal G, Pinto-Teixeira P, Viveiros-Monteiro A, Cruz-Ferreira R, Aquilani R, Dipace G, Bucciarelli V, Bianco F, Miniero E, Gallina S, Verdonk C, Lepage L, Cimadevilla C, Nataf P, Vahanian A, Messika-Zeitoun D. HIT moderated posters session: imaging of tomorrowP88Contribution of LV dilatation and left bundle branch block to functional mitral regurgitation in DCM heartsP89Can we predict improvement of secondary mitral regurgitation after CRT?P90Dual-energy computed tomography myocardial perfusion to detect coronary artery disease and predict need of revascularizationP91Prognostic role of ventricular-arterial coupling after cardiac surgeryP93Long-term prognostic determinants in valvular aortic stenosis - is optimized medical therapy an option?P94Diagnostic performance and prognostic value of cardiopulmonary ultrasound for the early diagnosis of postoperative heart failure after cardiac surgeryP95Does tricuspid annuloplasty increases surgical mortality and morbidity during mitral valve replacement? Eur Heart J Cardiovasc Imaging 2016. [DOI: 10.1093/ehjci/jew232] [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: 11/12/2022] Open
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Santos N, Bugalho de Almeida A, Covas A, Prates L, Morais-Almeida M. Trends of asthma hospitalization and hospital mortality in mainland Portugal. Eur Ann Allergy Clin Immunol 2016; 48:237-241. [PMID: 27852429] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
AIM To evaluate nationwide asthma hospitalizations and hospital mortality from the year 2000 to 2010. METHODS Data from the Health Services Central Administration of the Portuguese Ministry of Health on hospital admissions and hospital mortality in the National Health Service in mainland Portugal, from January 1st 2000 to December 31st 2010, were analysed. Cases with bronchial asthma as a main diagnosis were selected. RESULTS We found a mean frequency of asthma hospitalizations of 2.5 / 1000 hospital admissions, 28.1 / 100,000 inhabitants (66.6/100,000 in < 19 years old). The global frequency of hospital admissions decreased 18.6% from 2000 to 2010 (r = -0.85, p = 0.002), and 47.0% in those aged 0 to 2 years old (r = -0.77, p = 0.008). There were 261 hospital deaths attributed to asthma (68.5% > 65 years old), accounting for an in-hospital mortality of 8.0 / 1000 asthma hospitalizations and 2.4 / 1,000,000 inhabitants, with no change throughout the years. CONCLUSION Asthma hospitalization rates have decreased, especially in younger children. Mortality remained unchanged, particularly in the elderly; this might be explained by deficient control in this age group.
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Affiliation(s)
- N Santos
- Immunoallergy Department, CUF Descobertas Hospital and CUF Infante Santo, Lisbon, Portugal
| | - A Bugalho de Almeida
- Immunoallergy Department, CUF Descobertas Hospital and CUF Infante Santo, Lisbon, Portugal
| | - A Covas
- Administração Central dos Serviços de Saúde / Health Services Central Administration, Portugal
| | - L Prates
- Administração Central dos Serviços de Saúde / Health Services Central Administration, Portugal
| | - M Morais-Almeida
- Immunoallergy Department, CUF Descobertas Hospital and CUF Infante Santo, Lisbon, Portugal. Center for Research in Health Technologies and Information Systems, Faculty of Medicine, University of Porto, Porto, Portugal. E-mail:
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Santos Carvalho A, Fontes A, Santos N, Araújo A, Guedes P, Cavadas C, Carvalho F, Ferreira S. 5F-PB-22 and XLR-11, two consumed synthetic cannabinoids, present a distinct toxicity profile in neuronal, hepatic and cardiac cells. Toxicol Lett 2016. [DOI: 10.1016/j.toxlet.2016.06.1507] [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: 10/21/2022]
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Marconi A, Di Marcantonio P, D'Odorico V, Cristiani S, Maiolino R, Oliva E, Origlia L, Riva M, Valenziano L, Zerbi FM, Abreu M, Adibekyan V, Allende Prieto C, Amado PJ, Benz W, Boisse I, Bonfils X, Bouchy F, Buchhave L, Buscher D, Cabral A, Canto Martins BL, Chiavassa A, Coelho J, Christensen LB, Delgado-Mena E, de Medeiros JR, Di Varano I, Figueira P, Fisher M, Fynbo JPU, Glasse ACH, Haehnelt M, Haniff C, Hansen CJ, Hatzes A, Huke P, Korn AJ, Leão IC, Liske J, Lovis C, Maslowski P, Matute I, McCracken RA, Martins CJAP, Monteiro MJPFG, Morris S, Morris T, Nicklas H, Niedzielski A, Nunes NJ, Palle E, Parr-Burman PM, Parro V, Parry I, Pepe F, Piskunov N, Queloz D, Quirrenbach A, Rebolo Lopez R, Reiners A, Reid DT, Santos N, Seifert W, Sousa S, Stempels HC, Strassmeier K, Sun X, Udry S, Vanzi L, Vestergaard M, Weber M, Zackrisson E. EELT-HIRES the high-resolution spectrograph for the E-ELT. ACTA ACUST UNITED AC 2016. [DOI: 10.1117/12.2231653] [Citation(s) in RCA: 28] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
Affiliation(s)
| | | | - V. D'Odorico
- INAF - Osservatorio Astronomico di Trieste (Italy)
| | - S. Cristiani
- INAF - Osservatorio Astronomico di Trieste (Italy)
| | | | - E. Oliva
- INAF - Osservatorio Astrofisico di Arcetri (Italy)
| | - L. Origlia
- INAF - Osservatorio Astronomico di Bologna (Italy)
| | - M. Riva
- INAF - Osservatorio Astronomico di Brera (Italy)
| | | | | | | | | | | | - P. J. Amado
- Instituto de Astrofísica de Andalucía (Spain)
| | | | - I. Boisse
- Lab. d'Astrophysique de Marseille (France)
| | - X. Bonfils
- Observatoire de Science de l'Univ. de Grenoble (France)
| | | | | | | | | | | | - A. Chiavassa
- Lab. Lagrange, Univ. Côte d'Azur, Observatoire de la Côte d'Azur (France)
| | | | | | | | | | - I. Di Varano
- Leibniz-Institut für Astrophysik Potsdam (Germany)
| | | | | | | | | | | | | | | | - A. Hatzes
- Thüringer Landessternwarte Tautenburg (Germany)
| | - P. Huke
- Univ. of Göttingen (Germany)
| | | | - I. C. Leão
- Federal Univ. of Rio Grande do Norte (Brazil)
| | | | | | | | | | | | | | | | | | | | | | | | | | - E. Palle
- Instituto de Astrofísica de Canarias (Spain)
| | | | - V. Parro
- Instituto Mauá de Tecnologia (Brazil)
| | - I. Parry
- Univ. of Cambridge (United Kingdom)
| | - F. Pepe
- Univ. de Genève (Switzerland)
| | | | | | | | | | | | | | | | | | | | | | | | - X. Sun
- Univ. of Cambridge (United Kingdom)
| | - S. Udry
- Univ. de Genève (Switzerland)
| | - L. Vanzi
- Pontificia Univ. Católica de Chile (Chile)
| | | | - M. Weber
- Leibniz-Institut für Astrophysik Potsdam (Germany)
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Schoenell M, Alberton C, Tiggemann C, Noll M, Costa R, Santos N, Kruel L. Effects of Single Vs. Multiple Sets during 10 Weeks of Water-based Resistance Training on Neuromuscular Adaptations in Young Women. Int J Sports Med 2016; 37:813-8. [DOI: 10.1055/s-0042-106299] [Citation(s) in RCA: 4] [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] [Indexed: 10/21/2022]
Affiliation(s)
- M. Schoenell
- School of Physical Education, Federal University of Rio Grande do Sul (UFRGS), Porto Alegre, Brazil
| | - C. Alberton
- School of Physical Education, Federal University of Pelotas, Pelotas, Brazil
| | - C. Tiggemann
- Physical Education, University Center Univates, Lajeado, Brazil
| | - M. Noll
- Physical Education, Instituto Federal Goiano, Ceres, Brazil
| | - R. Costa
- School of Physical Education, Federal University of Rio Grande do Sul (UFRGS), Porto Alegre, Brazil
| | - N. Santos
- School of Physical Education, Federal University of Rio Grande do Sul (UFRGS), Porto Alegre, Brazil
| | - L. Kruel
- Physical Education, Federal University of Rio Grande do Sul, Porto Alegre, Brazil
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Gaspar Â, Santos N, Piedade S, Santa-Marta C, Pires G, Sampaio G, Arêde C, Borrego LM, Morais-Almeida M. One-year survey of paediatric anaphylaxis in an allergy department. Eur Ann Allergy Clin Immunol 2015; 47:197-205. [PMID: 26549337] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Abstract
AIM To determine the frequency of anaphylaxis in an allergy outpatient department, allowing a better understanding regarding aetiology, clinical manifestations and management, in children and adolescents. METHODS From among 3646 patients up to 18 years old observed during one-year period, we included those with history of anaphylaxis reported by allergists. RESULTS Sixty-four children had history of anaphylaxis (prevalence of 1.8%), with mean age 8.1±5.5 years, 61% being male. Median age of the first anaphylactic episode was 3 years (1 month-17 years). The majority of patients had food-induced anaphylaxis (84%): milk 22, egg 7, peanut 6, tree nuts 6, fresh fruits 6, crustaceans 4, fish 4 and wheat 2. Food-associated exercise-induced anaphylaxis was reported in 2 adolescents. Drug-induced anaphylaxis occurred in 8%: 4 non-steroidal anti-inflammatory drugs and 1 amoxicillin. Three children had cold-induced anaphylaxis, one adolescent had anaphylaxis to latex and one child had anaphylaxis to insect sting. The majority (73%) had no previous diagnosis of the etiologic factor. Symptoms reported were mainly mucocutaneous (94%) and respiratory (84%), followed by gastrointestinal (42%) and cardiovascular (25%). Fifty-one patients were admitted to the emergency department, although only 33% were treated with epinephrine. Recurrence of anaphylaxis occurred in 26 patients (3 or more episodes in 14). CONCLUSIONS In our paediatric population, the main triggering agent of anaphylaxis was IgE-mediated food allergy. Epinephrine is underused, as reported by others. Often, children have several episodes before being assessed by an allergist. We stress the importance of systematic notification and improvement of educational programmes in order to achieve a better preventive and therapeutic management of this life-threatening entity.
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Affiliation(s)
- Â Gaspar
- Immunoallergy Department CUF Descobertas Hospital 1998-018 Lisbon, Portugal. E-mail:
| | - N Santos
- Immunoallergy Department, Centro Hospitalar de São João, Porto, Portugal
| | - S Piedade
- Immunoallergy Department, CUF Descobertas Hospital, Lisbon, Portugal
| | - C Santa-Marta
- Immunoallergy Department, CUF Descobertas Hospital, Lisbon, Portugal
| | - G Pires
- Immunoallergy Department, CUF Descobertas Hospital, Lisbon, Portugal
| | - G Sampaio
- Immunoallergy Department, CUF Descobertas Hospital, Lisbon, Portugal
| | - C Arêde
- Immunoallergy Department, CUF Descobertas Hospital, Lisbon, Portugal
| | - L M Borrego
- Immunoallergy Department, CUF Descobertas Hospital, Lisbon, Portugal. CEDOC, NOVA Medical School, Lisbon, Portugal
| | - M Morais-Almeida
- Immunoallergy Department, CUF Descobertas Hospital, Lisbon, Portugal. CINTESIS, Center for Research in Health Technologies and Information Systems, Porto, Portugal
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Lemos-Pinto MMP, Cadena M, Santos N, Fernandes TS, Borges E, Amaral A. A dose-response curve for biodosimetry from a 6 MV electron linear accelerator. ACTA ACUST UNITED AC 2015; 48:908-14. [PMID: 26445334 PMCID: PMC4617117 DOI: 10.1590/1414-431x20154470] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/22/2014] [Accepted: 02/03/2015] [Indexed: 11/22/2022]
Abstract
Biological dosimetry (biodosimetry) is based on the investigation of radiation-induced biological effects (biomarkers), mainly dicentric chromosomes, in order to correlate them with radiation dose. To interpret the dicentric score in terms of absorbed dose, a calibration curve is needed. Each curve should be constructed with respect to basic physical parameters, such as the type of ionizing radiation characterized by low or high linear energy transfer (LET) and dose rate. This study was designed to obtain dose calibration curves by scoring of dicentric chromosomes in peripheral blood lymphocytes irradiated in vitro with a 6 MV electron linear accelerator (Mevatron M, Siemens, USA). Two software programs, CABAS (Chromosomal Aberration Calculation Software) and Dose Estimate, were used to generate the curve. The two software programs are discussed; the results obtained were compared with each other and with other published low LET radiation curves. Both software programs resulted in identical linear and quadratic terms for the curve presented here, which was in good agreement with published curves for similar radiation quality and dose rates.
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Affiliation(s)
- M M P Lemos-Pinto
- Departamento de Energia Nuclear, Universidade Federal de Pernambuco, Recife, PE, BR
| | - M Cadena
- Departamento de Energia Nuclear, Universidade Federal de Pernambuco, Recife, PE, BR
| | - N Santos
- Departamento de Energia Nuclear, Universidade Federal de Pernambuco, Recife, PE, BR
| | - T S Fernandes
- Departamento de Energia Nuclear, Universidade Federal de Pernambuco, Recife, PE, BR
| | - E Borges
- Departamento de Energia Nuclear, Universidade Federal de Pernambuco, Recife, PE, BR
| | - A Amaral
- Departamento de Energia Nuclear, Universidade Federal de Pernambuco, Recife, PE, BR
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Borges P, Fontaine E, Maenhoudt C, Payan‐Carreira R, Santos N, Leblond E, Fontaine C, Fontbonne A. Fertility in Adult Bitches Previously Treated with a 4.7 mg Subcutaneous Deslorelin Implant. Reprod Domest Anim 2015; 50:965-71. [DOI: 10.1111/rda.12616] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/07/2015] [Accepted: 08/27/2015] [Indexed: 11/28/2022]
Affiliation(s)
- P Borges
- Centre d'Etudes de Reproduction des Carnivores (CERCA) Ecole Nationale Vétérinaire d'Alfort (ENVA) Paris France
| | - E Fontaine
- Centre d'Etudes de Reproduction des Carnivores (CERCA) Ecole Nationale Vétérinaire d'Alfort (ENVA) Paris France
| | - C Maenhoudt
- Centre d'Etudes de Reproduction des Carnivores (CERCA) Ecole Nationale Vétérinaire d'Alfort (ENVA) Paris France
| | - R Payan‐Carreira
- CECAV Universidade de Trás‐os‐Montes e Alto Douro Vila Real Portugal
| | - N Santos
- Centre d'Etudes de Reproduction des Carnivores (CERCA) Ecole Nationale Vétérinaire d'Alfort (ENVA) Paris France
| | - E Leblond
- Centre d'Etudes de Reproduction des Carnivores (CERCA) Ecole Nationale Vétérinaire d'Alfort (ENVA) Paris France
| | | | - A Fontbonne
- Centre d'Etudes de Reproduction des Carnivores (CERCA) Ecole Nationale Vétérinaire d'Alfort (ENVA) Paris France
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Lugue A, Santos N, McConnell C, Bovoonsunthonchai S, Limroongreungrat W, Rayothee P, Sasaki K. Effects of socket alignment perturbations on the muscle activity and comfort of unilateral transfemoral amputees during level surface ambulation. Physiotherapy 2015. [DOI: 10.1016/j.physio.2015.03.1751] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Santos N, Mendes GS, Silva RC, Pena GA, Rojas M, Amorim AR, Lima DP. Salivirus and aichivirus A infections in children with gastroenteritis in Brazil. Clin Microbiol Infect 2015; 21:799.e1-3. [PMID: 25889358 DOI: 10.1016/j.cmi.2015.04.004] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/25/2015] [Accepted: 04/07/2015] [Indexed: 10/23/2022]
Abstract
Stool samples were obtained from healthy children and children with diarrhoea in Rio de Janeiro, Brazil, and analysed for aichivirus A and salivirus by reverse transcription PCR. Aichivirus A was detected in 5 (0.8%) and salivirus in 10 (1.7%) of the samples obtained from children with diarrhoea. None of the healthy children tested positive for these viruses. The results demonstrate that these viruses continuously circulate in the country, although at a low frequency.
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Affiliation(s)
- N Santos
- Instituto de Microbiologia Paulo de Góes, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil.
| | - G S Mendes
- Instituto de Microbiologia Paulo de Góes, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil
| | - R C Silva
- Instituto de Microbiologia Paulo de Góes, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil
| | - G A Pena
- Instituto de Microbiologia Paulo de Góes, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil
| | - M Rojas
- Instituto de Microbiologia Paulo de Góes, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil
| | - A R Amorim
- Instituto de Microbiologia Paulo de Góes, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil
| | - D P Lima
- Instituto de Microbiologia Paulo de Góes, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil
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Santos N, Gaspar A, Borrego L, Morais-Almeida M. Successful oral tolerance induction to cow's milk in a child with allergy to extensively hydrolysed formula. Allergol Immunopathol (Madr) 2015; 43:216-8. [PMID: 24657135 DOI: 10.1016/j.aller.2013.11.005] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/07/2013] [Accepted: 11/09/2013] [Indexed: 10/25/2022]
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Santos N, Pereira AM, Silva R, Torres da Costa J, Plácido JL. Characterisation of systemic reactions to subcutaneous immunotherapy with airborne allergens and classification according to WAO 2010. Allergol Immunopathol (Madr) 2015; 43:25-31. [PMID: 24661594 DOI: 10.1016/j.aller.2013.10.006] [Citation(s) in RCA: 8] [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: 06/04/2013] [Accepted: 10/04/2013] [Indexed: 11/17/2022]
Abstract
BACKGROUND Systemic reactions (SR) to subcutaneous immunotherapy (SCIT) are rare but potentially severe. The use of different definitions and classifications hampered comparability between studies. AIMS To determine the frequency of SR to SCIT with airborne allergens, and to characterise and classify them according to the WAO 2010 recommendations. METHODS Cross-sectional, retrospective study. Data on patients, immunotherapy and SR to SCIT were collected from the SCIT record forms. During the study period, 22,332 SCIT injections were administered (3732 patients). RESULTS A total of 26 SR (0.1% of administrations) were recorded in 16 (0.6%) patients (median age 22 years, nine males, all with rhinitis and nine with asthma). Twenty-one (81%) SR occurred during the induction phase; eight (31%) in the first hour after administration. According to the WAO 2010 classification, 12 (46%) were grade 1 and 14 (54%) were grade 2. Most grade 2 reactions occurred in asthmatics, presented as mild asthma symptoms and resolved without need for medical observation. Only two individuals without asthma presented grade 2 reactions, both with concurrent cutaneous and low respiratory symptoms; both required medical observation and treatment despite late onset; 82% (n=12) of grade 2 reactions were late. No grade 3-5 reactions were registered and only one patient needed adrenaline treatment. No risk factors for SR to SCIT were identified in this study. CONCLUSIONS SCIT is a safe treatment when administered by trained staff. The WAO 2010 classification might be useful for retrospectively classifying the severity of reactions, although its usefulness in treatment decision needs further research.
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Affiliation(s)
- N Santos
- Centro Hospitalar São João, E.P.E., Serviço de Imunoalergologia, Porto, Portugal.
| | - A M Pereira
- Centro Hospitalar São João, E.P.E., Serviço de Imunoalergologia, Porto, Portugal
| | - R Silva
- Centro Hospitalar São João, E.P.E., Serviço de Imunoalergologia, Porto, Portugal
| | - J Torres da Costa
- Centro Hospitalar São João, E.P.E., Serviço de Imunoalergologia, Porto, Portugal
| | - J L Plácido
- Centro Hospitalar São João, E.P.E., Serviço de Imunoalergologia, Porto, Portugal
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Santos N, Iraola V, Plácido JL. Tetranychus urticae allergy in a population without occupational exposure. Eur Ann Allergy Clin Immunol 2014; 46:137-141. [PMID: 25053630] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
BACKGROUND Tetranychus urticae is a phytophagus mite found in the leaves of numerous plants. High sensitization rates have been demonstrated, however, provocation tests have only been performed in an occupational setting. OBJECTIVE To assess accuracy of skin prick tests and clinical relevance of T. urticae sensitization by means of conjunctival provocation tests (CPT) in a population without occupational exposure and to evaluate possible environmental risk factors for T. urticae allergy. METHODS Patients ≥ 18 years old sensitized to T. urticae (n = 12) and a non-sensitized control group (n = 12) were invited to perform CPT with T. urticae and fulfill a questionnaire including demographic data, questions on environmental exposure to T. urticae and allergy symptoms/diagnosis. A single-blinded placebo-controlled CPT with T. urticae (Leti®) was performed with increasing concentrations (0.002, 0.02, 0.2 and 2 mg/mL) and considered positive if conjunctival hyperemia, palpebral edema or lacrimation were observed in the tested eye. RESULTS Of T. urticae sensitized patients (mean wheal 4.4 ± 1.5 mm), 9 had a positive CPT, including 3 monosensitized. A good diagnostic accuracy was found for skin prick tests: AUC = 0.952, sensitivity = 100%, specificity = 80%, positive likelihood ratio = 5 and negative likelihood ratio = 0 for a 3 mm wheal. No differences were found between allergic and non-allergic subjects regarding atopy, allergic disease or farming activities. CONCLUSIONS A high prevalence of allergy to Tetranychus urticae was found in the north of Portugal. Future studies with a larger number of patients are needed to evaluate its relation to clinical symptoms and the impact of environmental factors.
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Affiliation(s)
- N Santos
- Serviço de Imunoalergologia, Centro Hospitalar São João, E.P.E., Porto, Portugal,
| | - V Iraola
- Departamento de Investigación y Desarrollo, Unidad de Alergia, Laboratorios Leti
| | - J L Plácido
- Serviço de Imunoalergologia, Centro Hospitalar São João, E.P.E., Porto, Portugal
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Vanikar AV, Trivedi HL, Dave SD, Kute VB, Rawal MN, Patel HV, Gumber MR, Afghahi H, Pirouzifard M, Svensson AM, Eliasson B, Svensson MK, Dumann K, Horrmann B, Lammert A, Rheinberger M, Gorski M, Kramer BK, Heid IM, Boger CA, Demirtas L, Akbas EM, Timuroglu A, Ozcicek F, Turkmen K, Fernandez-Fernandez B, Sanchez-Nino MD, Martin-Cleary C, Izquierdo MC, Elewa U, Ortiz A, Petrica L, Vlad A, Gluhovschi G, Gadalean F, Dumitrascu V, Gluhovschi C, Velciov S, Bob F, Vlad D, Popescu R, Petrica M, Jianu DC, Milas O, Izvernari O, Ursoniu S, Makino Y, Konoshita T, Nyumura I, Babazono T, Yoshida N, Uchigata Y, Handisurya A, Kerscher C, Tura A, Werzowa J, Heinzl H, Ristl R, Kautzky-Willer A, Pacini G, Saemann M, Schmidt A, Halbesma N, Metcalfe W, Bulum T, Prka in I, Blaslov K, Zibar K, Duvnjak L, Idorn T, Knop FK, Jorgensen MB, Christensen M, Holst JJ, Hornum M, Feldt-Rasmussen B, Naess H, Hartmann A, Jenssen TG, Holdaas H, Horneland R, Grzyb K, Bitter J, Midtvedt K, Yoshida N, Babazono T, Uchigata Y, Timar R, Gluhovschi G, Gadalean F, Velciov S, Petrica L, Timar B, Gluhovschi C, Soro-Paavonen A, Fleming T, Forsblom C, Gordin D, Tolonen N, Harjutsalo V, Nawroth PP, Groop PH, Tsuda A, Ishimura E, Uedono H, Yasumoto M, Nakatani S, Ichii M, Ohno Y, Ochi A, Mori K, Fukumoto S, Emoto M, Inaba M, Rheinberger M, Hormann B, Lammert A, Dumann K, Gorski M, Heid IM, Kramer BK, Boger CA, Siddaramaiah NH, Tez DK, Linker NJ, Bilous M, Winship S, Marshall SM, Bilous RW, Lampropoulou IT, Papagianni A, Stangou M, Didangelos T, Iliadis F, Efstratiadis G, Esposito P, Debarbieri G, Mereu R, Ditoro A, Montagna F, Groop PH, Bernardi L, Dal Canton A, Garland JS, Holden R, Morton R, Ross R, Adams M, Pruss C, Akbas EM, Demirtas L, Timuroglu A, Ozcicek F, Turkmen K, Bulum T, Prka in I, Blaslov K, Zibar K, Duvnjak L, Theodoridis M, Panagoutsos S, Bounta T, Roumeliotis S, Kantartzi K, Pouloutidis G, Passadakis P, Polaina Rusillo M, Borrego Utiel FJ, Ortega Anguiano S, Liebana Canada A, Gaber EW, Abdel Rehim WM, Ibrahim NA, Mahmoud BF, Silva AP, Fragoso A, Tavares N, Silva C, Santos N, Camacho A, Neves P, Rodriguez R, Porrini E, Gonzalez-Rinne A, De Vries A, Torres A, Salido E, Kato S, Makino H, Uzu T, Koya D, Nishiyama A, Imai E, Ando M, Jorgensen MB, Knop FK, Idorn T, Holst JJ, Hornum M, Feldt-Rasmussen B, Vaduva C, Popa S, Mitrea A, Mota M, Mota E, Theodoridis M, Panagoutsos S, Roumeliotis S, Bounta T, Kriki P, Roumeliotis A, Passadakis P, Ogawa T, Okazaki S, Hatano M, Hara H, Inamura M, Kiba T, Iwashita T, Shimizu T, Tayama Y, Kanozawa K, Kato H, Matsuda A, Hasegawa H, Elewa U, Fernandez B, Egido J, Ortiz A, Rottembourg J, Guerin A, Diaconita M, Dansaert A, Chakraborty J, Prabhu R, Nagaraju SP, Bairy M, Satyamoorthy K, Kosuru S, Parthasarathy R, Tomilina N, Zhilinskaya T, Stolyarevich E, Silva AP, Fragoso A, Guilherme P, Silva C, Santos N, Rato F, Camacho A, Neves P, Pasko N, Strakosha A, Toti F, Dedej T, Marku N, Petrela E, Zekollari E, Kacorri V, Thereska N, Roumeliotis SK, Roumeliotis AK, Theodoridis M, Tavridou A, Panagoutsos S, Passadakis P, Vargemezis V, Kim IY, Lee SB, Lee DW, Kim MJ, Shin MJ, Rhee H, Yang BY, Song SH, Seong EY, Kwak IS, Celebi K, Sengul E, Cekmen MB, Yilmaz A, Sonikian M, Dona A, Skarakis J, Miha T, Trompouki S, Karaitianou A, Spiliopoulou C, Dimas GG, Iliadis FS, Tegos TJ, Spiroglou SG, Kanellos IE, Fotiadis SD, Didaggelos TP, Savopoulos CG, Hatzitolios AI, Grekas DM, Hsu YH, Huang MC, Chang HY, Shin SJ, Wahlqvist ML, Chang YL, Hsu KC, Hsu CC, Miarka P, Grabowska-Polanowska B, Faber J, Skowron M, Pietrzycka A, Walus-Miarka M, Sliwka I, Sulowicz W. DIABETES CLINICAL. Nephrol Dial Transplant 2014. [DOI: 10.1093/ndt/gfu169] [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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Carrola J, Santos N, Rocha MJ, Fontainhas-Fernandes A, Pardal MA, Monteiro RAF, Rocha E. Frequency of micronuclei and of other nuclear abnormalities in erythrocytes of the grey mullet from the Mondego, Douro and Ave estuaries--Portugal. Environ Sci Pollut Res Int 2014; 21:6057-6068. [PMID: 24469770 DOI: 10.1007/s11356-014-2537-0] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/30/2013] [Accepted: 01/08/2014] [Indexed: 06/03/2023]
Abstract
Fish are bioindicators of water pollution, and an increased rate of their erythrocyte nuclear morphological abnormalities (ENMAs)-and particularly of erythrocyte micronuclei (EMN)-is used as a genotoxicity biomarker. Despite the potential value of ENMAs and MN, there is scarce information about fish captured in Iberian estuaries. This is the case of the Portuguese estuaries of the Mondego, Douro and Ave, suffering from different levels of environmental stress and where chemical surveys have been disclosing significant amounts of certain pollutants. So, the aim of this study was to evaluate genotoxicants impacts and infer about the exposure at those ecosystems, using the grey mullet (Mugil cephalus) as bioindicator and considering the type and frequency of nuclear abnormalities of erythrocytes as proxies of genotoxicity. Sampling of mullets was done throughout the year in the important Mondego, Douro and Ave River estuaries (centre and north-western Portugal). The fish (total n = 242) were caught in campaigns made in spring-summer and autumn-winter, using nets or fishing rods. The sampled mullets were comparable between locations in terms of the basic biometric parameters. Blood smears were stained with Diff-Quik to assess the frequencies of six types of ENMAs and MN (given per 1,000 erythrocytes). Some basic water physicochemical parameters were recorded to search for fluctuations matching the ENMAs. Overall, the most frequent nucleus abnormality was the polymorphic type, sequentially followed by the blebbed/lobed/notched, segmented, kidney shaped, vacuolated, MN and binucleated. The total average frequency of the ENMAs ranged from 73 ‰ in the Mondego to 108 ‰ in the Ave. The polymorphic type was typically ≥50 % of the total ENMAs, averaging about 51 ‰, when considering all three estuaries. The most serious lesion-the MN-in fish from Mondego and Douro had a similar frequency (≈0.38 ‰), which was significantly lower than that in the Ave (0.75 ‰). No significant seasonal differences existed as to the MN rates and seasonal differences existed almost only in the Douro, with the higher values in AW. In general, the pattern of ENMAs frequencies was unrelated with the water physicochemical parameters. Considering the data for both the total ENMAs and for each specific abnormality, and bearing in mind that values of MN in fish erythrocytes >0.3 ‰ usually reflect pollution by genotoxicants, it is suggested that mullets were likely being chronically exposed to such compounds, even in the allegedly less polluted ecosystem (Mondego). Moreover, data supported the following pollution exposure gradient: Mondego < Douro < Ave. The scenario and inferences nicely agree with the published data from chemical monitoring.
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Affiliation(s)
- João Carrola
- UTAD-University of Trás-os-Montes e Alto Douro, ECVA-School of Life and Environmental Sciences, CITAB-Centre for the Research and Technology of Agro-Environmental and Biological Sciences, Quinta de Prados, Apartado 1013, 5001-801, Vila Real, Portugal
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Silva D, Pereira A, Santos N, Plácido JL. Costs of treatment affect compliance to specific subcutaneous immunotherapy. Eur Ann Allergy Clin Immunol 2014; 46:87-94. [PMID: 24739128] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
BACKGROUND Specific subcutaneous immunotherapy (SCIT) is cost-effective; however its economical burden can lead to non-adherence. We aimed to identify the reported reasons, patient's personal or socio-demographic characteristics and SCIT-related factors associated with non-adherence to SCIT. METHODS This is a cross-sectional, observational study held in a Portuguese University Hospital. All records from patients starting SCIT in the last 4 years were reviewed in July 2011. Those without registry of SCIT administration in the previous 3 months were included (n = 181). A telephonic survey was performed and 56 were confirmed as non-adherent; reasons for discontinuation were assessed. Univariate and multiple logistic regression models were developed using characteristics previously described as being associated with non-adhesion. RESULTS Economical burden of SCIT was the most important factor leading to treatment discontinuation (40%). In the univariate analysis, presence of family history of allergic disease treated with immunotherapy was associated with decreased OR of non-adherence to SCIT (OR [95%CI] = 0.31 [0.11- 0.88]). In the multiple logistic regression model, none of the factors was significantly associated with non-adherence. CONCLUSION Adherence is influenced by economic factors. More attention should be given to the impact of economic changes in allergic patient's treatment.
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Affiliation(s)
| | | | | | - J L Plácido
- Serviço de Imunoalergologia, Centro Hospitalar São João, E.P.E., Porto, Portugal
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Morais-Almeida M, Santos N, Pereira AM, Branco-Ferreira M, Nunes C, Bousquet J, Fonseca JA. Prevalence and classification of rhinitis in preschool children in Portugal: a nationwide study. Allergy 2013; 68:1278-88. [PMID: 24053488 DOI: 10.1111/all.12221] [Citation(s) in RCA: 57] [Impact Index Per Article: 5.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/12/2013] [Indexed: 01/20/2023]
Abstract
BACKGROUND Information on rhinitis epidemiology in preschool children is scarce. OBJECTIVES To estimate, in children with 3-5 years of age, current rhinitis prevalence, to describe rhinitis symptoms and associated sociodemographic characteristics, and to report allergic rhinitis and its impact on asthma (ARIA) classification. METHODS Cross-sectional, nationwide, population-based study including children aged 3-5 years. A multistep selection strategy was used to obtain a representative sample. Data were collected at kindergartens and parish centers by face-to-face interview to caregivers, using an adapted ISAAC questionnaire. 'Current rhinitis' (CR) was defined as the presence of ≥1 rhinitis symptom (repeated sneezing and/or itchy nose, blocked nose for >1 h, or runny nose without having a cold/flu) in the last year. Rhinitis lasting ≥4 days/week and ≥4 consecutive weeks was classified as persistent. Moderate-severe disease interfered 'a moderate amount' or 'a lot' in daily activities. RESULTS Five thousand and eighteen children were included. CR prevalence was 43.4% [95% CI (42.0-44.8%); n = 2179] and that of physician-diagnosed rhinitis was 11.7% [95% CI (10.8-12.6%); n = 588]. Of children with CR, 67% reported blocked nose, 48% rhinorrhea, and 46% sneezing/itchy nose. Considering ARIA classification, 30% of the population had mild intermittent, 3% mild persistent, 7% moderate-severe intermittent, and 3% moderate-severe persistent rhinitis. Children with CR had more current wheezing, physician-diagnosed asthma, self-reported food allergy, and family history of allergic disease. These characteristics were also associated with persistent and moderate-severe rhinitis. CONCLUSIONS This is the first nationwide population-based study reporting rhinitis prevalence and ARIA classification in preschool children. In this age-group, rhinitis is frequent and underdiagnosed. About 25% children with rhinitis presented moderate-severe disease.
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Affiliation(s)
| | | | | | | | | | - J. Bousquet
- Department of Allergy and Respiratory Diseases; University Hospital and INSERM; Montpellier; France
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Costa Rodrigues R, Correia A, Serrao MG, Cafe H, Santos N, Gomes S, Silva B, Alves AC, Freitas A, Pereira DH. Estimation of glomerular filtration rate in acute coronary syndromes: comparison between cockcroft-gault, modification of diet in renal disease and chronic kidney disease epidemiology collaboration. Eur Heart J 2013. [DOI: 10.1093/eurheartj/eht309.p3085] [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: 11/13/2022] Open
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Correia A, Rodrigues R, Gomes Serrao M, Silva B, Santos N, Cafe H, Gomes S, Faria P, Freitas D, Pereira D. Impact of arterial hypertension in patients with acute myocardial infarction. Eur Heart J 2013. [DOI: 10.1093/eurheartj/eht308.p2360] [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: 11/12/2022] Open
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