1
|
Duque BR, Bruno SF, Ferreira V, Guedes TB, Machado C, Hamdan B. Venomous snakes of medical importance in the Brazilian state of Rio de Janeiro: habitat and taxonomy against ophidism. BRAZ J BIOL 2023; 83:e272811. [PMID: 37909585 DOI: 10.1590/1519-6984.272811] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/10/2023] [Accepted: 08/19/2023] [Indexed: 11/03/2023] Open
Abstract
Snakebite envenoming is a major global health problem that kills or disables half a million people in the world's poorest countries. Identifying the biting snake and its habitat use is key to understanding snakebite eco-epidemiology and optimizing its clinical management. To prevent and combat the neglected snakebite disease, we characterize the morphology, geographic distribution, habitat use, and snakebites of medically important venomous snakes in the state of Rio de Janeiro (Brazil). Despite Philodryas spp. not being considered of medical importance by the Brazilian Ministry of Health, we also explore their data once the bites may require medical intervention, may cause death, and their consequences are underestimated. Methods: We assessed taxonomy and geographic data from specimens housed in scientific collections, the literature, and the Notifiable Diseases Information System. Our data revealed fragility in the morphological characters recommended to distinguish Bothrops jararaca from B. jararacussu, identify the subspecies of Crotalus durissus and distinguish the species of Philodryas. To help identify these species, we present an identification key to the venomous snake species from Rio de Janeiro based on the morphological data collected. We record the genera Bothrops and Micrurus in all mesoregions of the state. Here, we provide the first record of C. durissus in the Serrana region, supporting the hypothesis of geographic expansion of the species in the state. The crotalic antivenom must not be missing in Médio Paraíba, Centro-Sul Fluminense, and Serrana, where the rattlesnake C. durissus occurs. Bothrops bilineatus and Lachesis muta have historical records presented for the first time herein. However, these species are likely endangered or extinct in the state. There were 7,483 snakebites reported between 2001 and 2019, with an annual average of 393.8 cases. The Bothrops genus is responsible for the majority of accidents. The highest number of cases occurred in the Serrana region, the largest pole of family agriculture in Rio de Janeiro. We improve the identification of venomous snake species, better delimit their distribution, and update the number of cases of snakebites, thus providing greater precision in the attention to this problem in Rio de Janeiro. We emphasize the importance of clinical studies to test using bothropic-crotalic antivenom and heparin in all mesoregions to treat B. jararacussu envenomation; and mechanical ventilation, atropine, and anticholinesterases in the emergency health centers in the Metropolitana and Norte Fluminense regions due to the occurrence of the coral M. lemniscatus in these areas.
Collapse
Affiliation(s)
- B R Duque
- Instituto Vital Brazil - IVB, Laboratório de Coleções Biológicas e Biodiversidade, Diretoria Científica, Niterói, RJ, Brasil
- Universidade Federal do Estado do Rio de Janeiro - UNIRIO, Programa de Pós-graduação em Ecoturismo e Conservação, Rio de Janeiro, RJ, Brasil
| | - S F Bruno
- Universidade Federal Fluminense - UFF, Faculdade de Veterinária, Niterói, RJ, Brasil
| | - V Ferreira
- Instituto Vital Brazil - IVB, Laboratório de Coleções Biológicas e Biodiversidade, Diretoria Científica, Niterói, RJ, Brasil
| | - T B Guedes
- Universidade Estadual de Campinas - UNICAMP, Instituto de Biologia, Departamento de Biologia Animal, Campinas, SP, Brasil
- University of Gothenburg, Gothenburg Global Biodiversity Center - GGBC, Department of Biological and Environmental Sciences, Göteborg, Sweden
| | - C Machado
- Instituto Vital Brazil - IVB, Laboratório de Coleções Biológicas e Biodiversidade, Diretoria Científica, Niterói, RJ, Brasil
| | - B Hamdan
- Instituto Vital Brazil - IVB, Laboratório de Coleções Biológicas e Biodiversidade, Diretoria Científica, Niterói, RJ, Brasil
- Universidade Federal do Rio de Janeiro - UFRJ, Instituto de Bioquímica Médica Leopoldo de Meis, Laboratório de Hemostase e Venenos, Rio de Janeiro, RJ, Brasil
| |
Collapse
|
2
|
Porché M, Dumurgier J, Blaise C, Machado C, Reyes S, Paquet C. Inaugural late-onset temporal lobe epilepsy as a new non-cognitive Alzheimer's disease phenotype. Rev Neurol (Paris) 2023; 179:927-929. [PMID: 37598090 DOI: 10.1016/j.neurol.2023.04.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/15/2023] [Revised: 04/19/2023] [Accepted: 04/23/2023] [Indexed: 08/21/2023]
Affiliation(s)
- M Porché
- Department of Neurology, Lariboisière Hospital, AP-HP, 2, rue Ambroise-Paré, 75010 Paris, France.
| | - J Dumurgier
- Center of Cognitive Neurology, Fernand-Widal Hospital, AP-HP, 200, rue du Faubourg Saint-Denis, 75010 Paris, France.
| | - C Blaise
- Department of Neurology, Lariboisière Hospital, AP-HP, 2, rue Ambroise-Paré, 75010 Paris, France.
| | - C Machado
- Department of Neurology, Lariboisière Hospital, AP-HP, 2, rue Ambroise-Paré, 75010 Paris, France.
| | - S Reyes
- Department of Neurology, Lariboisière Hospital, AP-HP, 2, rue Ambroise-Paré, 75010 Paris, France.
| | - C Paquet
- Center of Cognitive Neurology, Fernand-Widal Hospital, AP-HP, 200, rue du Faubourg Saint-Denis, 75010 Paris, France.
| |
Collapse
|
3
|
Reyes S, Jabouley A, Alili N, De Sanctis MH, Machado C, Taleb A, Herve D, Dias-Gastellier N, Chabriat H. Psychological impact of COVID-19 containment on CADASIL patients. J Neurol 2023; 270:2370-2379. [PMID: 36869886 PMCID: PMC9985090 DOI: 10.1007/s00415-023-11648-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/16/2023] [Revised: 02/22/2023] [Accepted: 02/23/2023] [Indexed: 03/05/2023]
Abstract
INTRODUCTION COVID-19 restrictive containment was responsible for major psychological distress and alteration of quality of life (QoL) in the general population. Their impact in a group of patients having cerebral small vessel disease (SVD) and at high risk of stroke and disability was unknown. OBJECTIVE We aimed to determine the potential psychological impact of strict containment during the COVID-19 pandemic in a sample of CADASIL patients, a rare SVD caused by NOTCH3 gene mutations. METHODS Interviews of 135 CADASIL patients were obtained just after the end of the strict containment in France. Depression, QoL and negative subjective experience of the containment were analysed, as well as predictors of posttraumatic and stressor-related manifestations, defined as an Impact Event Scale-Revised score ≥ 24, using multivariable logistic analysis. RESULTS Only 9% of patients showed a depressive episode. A similar proportion had significant posttraumatic and stressor-related disorder manifestations independently associated only with socio-environment factors, rather than clinical ones: living alone outside a couple (OR 7.86 (1.87-38.32), unemployment (OR 4.73 (1.17-18.70)) and the presence of 2 or more children at home (OR 6.34 (1.35-38.34). CONCLUSION Psychological impact of the containment was limited in CADASIL patients and did not appear related to the disease status. About 9% of patients presented with significant posttraumatic and stressor-related disorder manifestations which were predicted by living alone, unemployment, or exhaustion related to parental burden.
Collapse
Affiliation(s)
- S Reyes
- CNVT and Department of Neurology and Referral Center for Rare Vascular Diseases of the Brain and Retina (CERVCO), Hopital Universitaire Lariboisière, Assistance Publique des Hôpitaux de Paris, GHU-Paris-Nord, APHP, 2 Rue Ambroise Paré, 75010, Paris, France
| | - A Jabouley
- CNVT and Department of Neurology and Referral Center for Rare Vascular Diseases of the Brain and Retina (CERVCO), Hopital Universitaire Lariboisière, Assistance Publique des Hôpitaux de Paris, GHU-Paris-Nord, APHP, 2 Rue Ambroise Paré, 75010, Paris, France
| | - N Alili
- CNVT and Department of Neurology and Referral Center for Rare Vascular Diseases of the Brain and Retina (CERVCO), Hopital Universitaire Lariboisière, Assistance Publique des Hôpitaux de Paris, GHU-Paris-Nord, APHP, 2 Rue Ambroise Paré, 75010, Paris, France
| | - M H De Sanctis
- CNVT and Department of Neurology and Referral Center for Rare Vascular Diseases of the Brain and Retina (CERVCO), Hopital Universitaire Lariboisière, Assistance Publique des Hôpitaux de Paris, GHU-Paris-Nord, APHP, 2 Rue Ambroise Paré, 75010, Paris, France
| | - C Machado
- CNVT and Department of Neurology and Referral Center for Rare Vascular Diseases of the Brain and Retina (CERVCO), Hopital Universitaire Lariboisière, Assistance Publique des Hôpitaux de Paris, GHU-Paris-Nord, APHP, 2 Rue Ambroise Paré, 75010, Paris, France
| | - A Taleb
- CNVT and Department of Neurology and Referral Center for Rare Vascular Diseases of the Brain and Retina (CERVCO), Hopital Universitaire Lariboisière, Assistance Publique des Hôpitaux de Paris, GHU-Paris-Nord, APHP, 2 Rue Ambroise Paré, 75010, Paris, France
| | - D Herve
- CNVT and Department of Neurology and Referral Center for Rare Vascular Diseases of the Brain and Retina (CERVCO), Hopital Universitaire Lariboisière, Assistance Publique des Hôpitaux de Paris, GHU-Paris-Nord, APHP, 2 Rue Ambroise Paré, 75010, Paris, France
| | - N Dias-Gastellier
- CNVT and Department of Neurology and Referral Center for Rare Vascular Diseases of the Brain and Retina (CERVCO), Hopital Universitaire Lariboisière, Assistance Publique des Hôpitaux de Paris, GHU-Paris-Nord, APHP, 2 Rue Ambroise Paré, 75010, Paris, France
| | - H Chabriat
- CNVT and Department of Neurology and Referral Center for Rare Vascular Diseases of the Brain and Retina (CERVCO), Hopital Universitaire Lariboisière, Assistance Publique des Hôpitaux de Paris, GHU-Paris-Nord, APHP, 2 Rue Ambroise Paré, 75010, Paris, France. .,INSERM U1141-FHU-NeuroVasc, Paris, France.
| |
Collapse
|
4
|
Engelmann AM, Bueno A, Barbosa NV, Machado C, Correa D, Cargnelutti JF, de Andrade CM. Effectiveness of ozonized saline solution in the treatment of Proteus spp. bacterial cystitis. Med Gas Res 2022; 13:155-158. [PMID: 36571382 PMCID: PMC9979206 DOI: 10.4103/2045-9912.350861] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/27/2022] Open
Abstract
Bacterial cystitis is a common clinical problem among cats and dogs and is one of the main reasons for the administration of antimicrobials. This can cause serious damage to public and animal health, as this practice facilitates the selection of bacteria that are multidrug-resistant to antibiotics. In this context, it is urgent to understand and validate therapeutic modalities that complement antimicrobial treatment in cystitis cases. Ozone therapy has been proposed by scientists owing to the various mechanisms of action in a range of pathologies, both in human and animal medicine. This paper describes the bactericidal action of two different protocols of bladder irrigation with ozonized saline solution (59 μg/mL) in a paraplegic canine with recurrent bacterial cystitis caused by Proteus spp. In the first protocol, the bladder instillations were applied once a day for three consecutive days while in the second, successive lavages were performed throughout the day until a significant reduction in the presence of bacteria in the urine sediment. In this study, we were able to demonstrate that repeated bladder instillation within 24 hours was the most effective treatment for Proteus compared to a single instillation on successive days.
Collapse
Affiliation(s)
- Ana Martiele Engelmann
- Department of Small Animal Clinic, Veterinary Hospital, Federal University of Santa Maria, Santa Maria, RS, Brazil,Correspondence to: Ana Martiele Engelmann, E-mail:
| | - Andressa Bueno
- Department of Small Animal Clinic, Veterinary Hospital, Federal University of Santa Maria, Santa Maria, RS, Brazil
| | - Nathalia Viana Barbosa
- Department of Small Animal Clinic, Veterinary Hospital, Federal University of Santa Maria, Santa Maria, RS, Brazil
| | - Carolina Machado
- Department of Preventive Veterinary Medicine, Health Sciences Center (CCS), Federal University of Santa Maria, Santa Maria, RS, Brazil
| | - Diego Correa
- Department of Preventive Veterinary Medicine, Health Sciences Center (CCS), Federal University of Santa Maria, Santa Maria, RS, Brazil
| | - Juliana Felipetto Cargnelutti
- Department of Preventive Veterinary Medicine, Health Sciences Center (CCS), Federal University of Santa Maria, Santa Maria, RS, Brazil
| | - Cinthia Melazzo de Andrade
- Department of Small Animal Clinic, Veterinary Hospital, Federal University of Santa Maria, Santa Maria, RS, Brazil
| |
Collapse
|
5
|
Barradas M, Duarte F, Coutinho Dos Santos I, Resendes De Oliveira L, Serena C, Xavier Fontes A, Viveiros Monteiro A, Machado C, Dourado R, Santos E, Pelicano N, Pacheco M, Tavares A, Martins D. Physical activity and heart failure: a forgotten indicator. Eur Heart J 2022. [DOI: 10.1093/eurheartj/ehac544.2437] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Introduction
Low physical activity may be associated with comorbidities, sedentary lifestyle or clinical worsening in heart failure (HF) patients. Cardiovascular implantable electronic devices (CIEDs) detect and analyse physical activity data that is often integrated in multifactorial algorithms for predicting HF decompensations, but its potential is probably underestimated.
Purpose
We hypothesized that low physical-activity levels, obtained from remote monitoring of CIEDs, help predict clinical outcomes in HF patients, independently from multifactorial algorithms.
Methods
We retrospectively evaluated consecutive patients with HF and CIEDs through clinical assessments and remote monitoring (two monitoring systems were used). Low activity was defined as <1 hour/day of physical activity and two groups of patients were defined: patients with low activity alerts (group 1) and patients without low activity alerts (group 2). Primary outcome was defined as death by all causes and secondary outcome as HF hospitalizations and sustained ventricular tachycardia (VT) or ventricular fibrillation (VF) episodes.
Results
From 121 patients with RPM, physical activity data was obtained in 104 (85,9%). Mean age was 63,98±12,44 years, 70,2% were males and follow-up was 59,19±38,491 months. Fifty-four (51,9%) had implantable cardiac resynchronization therapy (CRT) defibrillator (CRT-D), 46 (44,2%) transvenous implantable cardioverter defibrillator (ICD), and 4 (3,8%) CRT pacemaker (CRT-P). The aetiology was idiopathic in 42,5% and ischemic in 40,2%. Mean left ventricular ejection fraction was 34,08±11,40% and mean physical activity duration was 2,25±1,84 hours/day. Forty-eight (53,7%) had low activity alerts (group 1) and 56 (46,3%) had no low activity alerts (group 2). In group 1 mean period of low activity was 52,978±15,75 days/year. Patients from group 1 were older (p=0,001), had more oncological disease (p=0,041) and peripheral artery disease (p=0,028). Three deaths occurred in total, all in group 1 (p=0,039) and HF hospitalizations were more frequent in group 1 (1,68±2,59 vs 0,69±1,32, p=0,005). Low activity burden was also associated with atrial fibrillation burden (r=0,473, p<0,05) and number of episodes of VT or VF (r=0,267, p=0,007). A decrease of 50% or more in mean duration of physical activity, but above 1 hour/day, was associated with increase HF hospitalizations (1,83±2,13 vs 1,05±1,95, p=0,006).
Conclusion
Low physical activity data obtained from CIEDs was associated with HF hospitalizations, arrhythmic events and death by all causes, independently of multifactorial algorithms. A decrease in basal activity even above alert threshold, was associated with HF hospitalizations and may be an even earlier sign of HF decompensations.
Funding Acknowledgement
Type of funding sources: None.
Collapse
Affiliation(s)
- M Barradas
- Hospital Divino Espirito Santo , Ponta Delgada , Portugal
| | - F Duarte
- Hospital Divino Espirito Santo , Ponta Delgada , Portugal
| | | | | | - C Serena
- Hospital Divino Espirito Santo , Ponta Delgada , Portugal
| | | | | | - C Machado
- Hospital Divino Espirito Santo , Ponta Delgada , Portugal
| | - R Dourado
- Hospital Divino Espirito Santo , Ponta Delgada , Portugal
| | - E Santos
- Hospital Divino Espirito Santo , Ponta Delgada , Portugal
| | - N Pelicano
- Hospital Divino Espirito Santo , Ponta Delgada , Portugal
| | - M Pacheco
- Hospital Divino Espirito Santo , Ponta Delgada , Portugal
| | - A Tavares
- Hospital Divino Espirito Santo , Ponta Delgada , Portugal
| | - D Martins
- Hospital Divino Espirito Santo , Ponta Delgada , Portugal
| |
Collapse
|
6
|
Barradas M, Duarte F, Coutinho Dos Santos I, Resendes De Oliveira L, Serena C, Xavier Fontes A, Viveiros Monteiro A, Machado C, Dourado R, Santos E, Pelicano N, Pacheco M, Tavares A, Martins D. Lower rate limit in cardiac resynchronization therapy defibrillators. Eur Heart J 2022. [DOI: 10.1093/eurheartj/ehac544.1002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Abstract
Background
There is few data about programmed lower rate limit (LRL) in real world heart failure (HF) patients with cardiac resynchronization therapy–defibrillators (CRT-Ds) and its influence in clinical outcomes. Heart rate score (HRS) is the percentage of all atrial-paced and sensed events in the single tallest 10 beats/min device histogram bin and may indicate impaired heart rate variability.
Purpose
We hypothesized that higher LRL programming is associated with worse clinical outcomes as arrhythmic events and HF decompensations in chronic HF patients with CRT-Ds.
Methods
LRL was evaluated and HRS was calculated from remote monitoring in 126 HF patients with CRT-D. Primary outcome was defined as HF hospitalizations and related admissions to the emergency department and secondary outcome as number of device therapies, sustained ventricular tachycardia (VT) and ventricular fibrillation (VF).
Results
Mean age was 69,03±10,39 years, 81 (64,3%) were males and mean follow-up was 53,72±46,13 months. Mean left ventricular ejection fraction was 30,31±8,33% and 29 (23,0%) were in NYHA III–IV. HF aetiology was idiopathic in 39 (43,3%), ischemic in 32 (25,4%) and alcoholic cardiomyopathy in 8 (6,3%). Thirty-seven (29,4%) patients had atrial fibrillation and 33 (26,2%) coronary disease. LRL ranged from to 40 to 80 bpm and mean LRL was 52,64±9,64 and mean HRS 49,60±23,17%. Programmed LRL was higher in women (p=0,014), patients with atrial fibrillation (AF) (p=0,012) and coronary disease (p=0,015). Higher LRL correlated with HF hospitalizations and related admissions to the emergency department (ED) (r=0,541, p=0,001), VT or VF episodes (r=0,337, p=0,005) and CRT-D number of therapies (r=0,342, p=0,004) and higher HRS (r=0,547, p<0,05).
Conclusion
Higher LRL programming was associated with higher HRS, HF decompensations with hospitalization or admission to the emergency department, VT or VF episodes and CRT-D therapies in a real world population. More studies are required but lower LRL may be preferred in HF patients.
Funding Acknowledgement
Type of funding sources: None.
Collapse
Affiliation(s)
- M Barradas
- Hospital Divino Espirito Santo , Ponta Delgada , Portugal
| | - F Duarte
- Hospital Divino Espirito Santo , Ponta Delgada , Portugal
| | | | | | - C Serena
- Hospital Divino Espirito Santo , Ponta Delgada , Portugal
| | | | | | - C Machado
- Hospital Divino Espirito Santo , Ponta Delgada , Portugal
| | - R Dourado
- Hospital Divino Espirito Santo , Ponta Delgada , Portugal
| | - E Santos
- Hospital Divino Espirito Santo , Ponta Delgada , Portugal
| | - N Pelicano
- Hospital Divino Espirito Santo , Ponta Delgada , Portugal
| | - M Pacheco
- Hospital Divino Espirito Santo , Ponta Delgada , Portugal
| | - A Tavares
- Hospital Divino Espirito Santo , Ponta Delgada , Portugal
| | - D Martins
- Hospital Divino Espirito Santo , Ponta Delgada , Portugal
| |
Collapse
|
7
|
Barradas M, Duarte F, Coutinho Dos Santos I, Resendes De Oliveira L, Serena C, Xavier Fontes A, Viveiros Monteiro A, Machado C, Dourado R, Santos E, Pelicano N, Pacheco M, Tavares A, Martins D. Biventricular or left univentricular pacing in heart failure patients: is there a better strategy. Eur Heart J 2022. [DOI: 10.1093/eurheartj/ehac544.1003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Abstract
Background
Cardiac resynchronization therapy (CRT) is a cornerstone in treatment of heart failure (HF) with reduced left ventricular ejection fraction (LVEF) and ventricular dyssynchrony. Biventricular (BiV) pacing is often the preferred method and corrects electrical and mechanical dyssynchrony but Left ventricular (LV) preferential pacing is may preserve conduction via the right bundle branch, preventing deleterious effects from right ventricular. The evidence is sparse and there is doubts whether which programming strategy is better.
Purpose
We hypothesized that BiV is non-inferior to preferential LV pacing in HF patients with reduced LVEF and CRT devices in cardiovascular death and HF hospitalizations.
Methods
We retrospectively evaluated 147 patients with HF patients with reduced LVEF and CRT devices. Two groups were defined: LV pacing (group 1) and BiV pacing (group 2). Primary outcome was defined as cardiovascular death and secondary outcome as HF hospitalizations and NYHA class after CRT.
Results
Mean age was 70,26±10,6 years, 68,1% were males and follow-up was 52,22±44,51 months. One hundred and twenty six (85,7%) patients had implantable cardiac resynchronization therapy (CRT) defibrillator (CRT-D) and 21 (14,3%) CRT pacemaker (CRT-P). Mean LVEF was 31,1±8,5% and mean QRS duration before CRT implantation was 149,5±48,6 ms. Thirty-nine (36,4%) patients were in NYHA III–IV. HF aetiology was idiopathic in 51 (47,2%), ischemic in 36 (33,3%) and alcoholic cardiomyopathy in 9 (8,3%). Forty-five (40,5%) patients had atrial fibrillation and 37 (35,6%) coronary disease. Patients in group 2 were more frequently males than group 1 patients (46 (78,0%) vs 32 (56,1%) respectively, p=0,012). There were no differences in regard to age, LVEF, HF aetiology or other comorbidities between groups. In 57 (49,1%) CRT was programming in preferential LV pacing and 50 (50,9%) in BiV pacing. There were 2 deaths in group 1 and 3 in group 2 (OR 0.80, 95% CI 0.27–2.40). There were 0,98±3,17 hospitalizations per patient and there were no differences in HF hospitalizations between groups (OR 1.01, 95% CI 0.92–1.18) or NYHA after 6 months of CRT (p=0,364).
Conclusion
BiV pacing was not inferior to LV-only pacing in regard to cardiovascular death, HF hospitalizations and NYHA class improvement. There was no clear advantage for one pacing strategy over the other but more studies are still required.
Funding Acknowledgement
Type of funding sources: None.
Collapse
Affiliation(s)
- M Barradas
- Hospital Divino Espirito Santo , Ponta Delgada , Portugal
| | - F Duarte
- Hospital Divino Espirito Santo , Ponta Delgada , Portugal
| | | | | | - C Serena
- Hospital Divino Espirito Santo , Ponta Delgada , Portugal
| | | | | | - C Machado
- Hospital Divino Espirito Santo , Ponta Delgada , Portugal
| | - R Dourado
- Hospital Divino Espirito Santo , Ponta Delgada , Portugal
| | - E Santos
- Hospital Divino Espirito Santo , Ponta Delgada , Portugal
| | - N Pelicano
- Hospital Divino Espirito Santo , Ponta Delgada , Portugal
| | - M Pacheco
- Hospital Divino Espirito Santo , Ponta Delgada , Portugal
| | - A Tavares
- Hospital Divino Espirito Santo , Ponta Delgada , Portugal
| | - D Martins
- Hospital Divino Espirito Santo , Ponta Delgada , Portugal
| |
Collapse
|
8
|
Barradas M, Duarte F, Coutinho Dos Santos I, Resendes De Oliveira L, Serena C, Xavier Fontes A, Viveiros Monteiro A, Machado C, Dourado R, Santos E, Pelicano N, Pacheco M, Tavares A, Martins D. Suboptimal coronary flow after PCI in STEMI patients: clinical implications and predictors. Eur Heart J 2022. [DOI: 10.1093/eurheartj/ehac544.1253] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Background
Even in experienced angioplasty centers, percutaneous coronary intervention (PCI) in the acute setting of ST-elevation myocardial infarctions (STEMI) is associated with a low, but still significant rate of suboptimal coronary flow. Identification of its clinical impact and potential modifiable risk factors is important.
Purpose
To evaluate the clinical impact of suboptimal coronary flow after PCI in STEMI patients and to access potential predictors of suboptimal coronary flow.
Methods
We retrospectively evaluated 103 hospitalized patients with acute STEMI who were admitted to our center between 2018 and 2019 and underwent PCI. Coronary flow was accessed using the Thrombolysis in myocardial infarction (TIMI) Flow Grading System. Patients were divided into suboptimal patency of the culprit-vessel, defined as TIMI flow ≤2 (group 1, n=8 (7,8%)) and optimal patency of the culprit-vessel defined as TIMI flow 3 (group 2, n=95 (92,2%)). Glomerular filtration rate (GFR) was calculated using the Modification of Diet in Renal Disease (MDRD) formula.
Results
Mean age 58,15±12,6 years and 85,4% were males. Seventy-eight patients (75,7%) had history of smoking, 45 (43,7%) dyslipidemia, 20 (19,4%) previous acute coronary syndrome, 18 (17,5%) diabetes, 17 (15,5%) were obese and 4 (3,9%) had chronic kidney disease. The revascularization strategy was primary PCI in 55 (54,4%) patients and fibrinolytic therapy with facilitated PCI in 48 (46,6%) patients. Infarct-related artery was the left anterior descending artery in 45 (45,5%) and multivessel disease was present in 38 (38,0%). Angiographic no-reflow after PCI was 3,0%. Intrahospital cardiovascular death occurred in 4 (3,9%) patients and was significantly associated with suboptimal flow (p=0,036) and there was no association with stent thrombosis. Predictors of suboptimal flow were higher blood urea nitrogen, creatinine and GFR at hospital admission (p=0,017 and p=0,012), peak creatinine (p=0,012) and stent length (p=0,038). Suboptimal flow was associated with higher Zwolle score (p=0,010) and ischemic Paris score (p=0,036).
Conclusion
Failure to achieve optimal culprit-vessel patency after PCI in STEMI patients, although infrequent, is associated with increased hospital cardiovascular death. Longer stents could be and important modified risk factor. Renal dysfunction is an important comorbidity that should be promptly identified and could be partially improved with medical treatment.
Funding Acknowledgement
Type of funding sources: None.
Collapse
Affiliation(s)
- M Barradas
- Hospital Divino Espirito Santo , Ponta Delgada , Portugal
| | - F Duarte
- Hospital Divino Espirito Santo , Ponta Delgada , Portugal
| | | | | | - C Serena
- Hospital Divino Espirito Santo , Ponta Delgada , Portugal
| | | | | | - C Machado
- Hospital Divino Espirito Santo , Ponta Delgada , Portugal
| | - R Dourado
- Hospital Divino Espirito Santo , Ponta Delgada , Portugal
| | - E Santos
- Hospital Divino Espirito Santo , Ponta Delgada , Portugal
| | - N Pelicano
- Hospital Divino Espirito Santo , Ponta Delgada , Portugal
| | - M Pacheco
- Hospital Divino Espirito Santo , Ponta Delgada , Portugal
| | - A Tavares
- Hospital Divino Espirito Santo , Ponta Delgada , Portugal
| | - D Martins
- Hospital Divino Espirito Santo , Ponta Delgada , Portugal
| |
Collapse
|
9
|
Moura‐Alves M, Machado C, Silva JA, Saraiva C. Shelf‐life determination of an egg‐based cake, relating sensory attributes microbiological characteristics and physico‐chemical properties. Int J Food Sci Technol 2022. [DOI: 10.1111/ijfs.16001] [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: 11/29/2022]
Affiliation(s)
- Márcio Moura‐Alves
- Veterinary and Animal Research Centre (CECAV) University of Trás‐os‐Montes e Alto Douro (UTAD) 5000‐801 Vila Real Portugal
- Associate Laboratory for Animal and Veterinary Sciences (AL4AnimalS) Portugal
| | - Carolina Machado
- Department of Veterinary Sciences School of Agrarian and Veterinary Sciences (ECAV), University of Trás‐os‐Montes e Alto Douro (UTAD) 5000‐801 Vila Real Portugal
| | - José A. Silva
- Veterinary and Animal Research Centre (CECAV) University of Trás‐os‐Montes e Alto Douro (UTAD) 5000‐801 Vila Real Portugal
- Associate Laboratory for Animal and Veterinary Sciences (AL4AnimalS) Portugal
| | - Cristina Saraiva
- Veterinary and Animal Research Centre (CECAV) University of Trás‐os‐Montes e Alto Douro (UTAD) 5000‐801 Vila Real Portugal
- Associate Laboratory for Animal and Veterinary Sciences (AL4AnimalS) Portugal
| |
Collapse
|
10
|
Duarte F, Coutinho I, Barradas MI, Oliveira L, Serena C, Fontes A, Monteiro A, Machado C, Santos E, Pelicano N, Pacheco M, Tavares A, Martins D. Acute ST-elevation myocardial infarction: are men and women particular cases of STEMI ? Eur J Cardiovasc Nurs 2022. [DOI: 10.1093/eurjcn/zvac060.021] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
Abstract
Abstract
Funding Acknowledgements
Type of funding sources: None.
Background
ST-segment elevation myocardial infarction (STEMI) has high levels of morbidity and mortality. Multiple risk factors may contribute to clinical outcomes and some studies demonstrate gender-related differences in baseline characteristics and in-hospital management.
Purpose
To access the difference in clinical characteristics and prognostic outcomes between men and women who were admitted in our Cardiac Intensive Care Unit with STEMI diagnosis.
Methods
We retrospectively analyzed 121 non-consecutive patients with STEMI during a mean follow-up period 135 ± 31 weeks.
We accessed baseline characteristics and time course of events (symptom onset-to-door admission; time to first EKG; time to fibrinolytic therapy; door-to-cath lab time and time from fibrinolytic therapy to PCI (for patients transferred from another centers).
Primary endpoint (PE) was a composite of in-hospital cardiovascular death, arrhythmic events or STEMI evolution in Killip-Kimbal III or IV.
Secondary endpoint (SE) was in-hospital major bleeding events, considered intracerebral hemorrhage, cases of hemodynamic compromise or requiring a blood transfusion.
Tertiary endpoint (TE) included admissions to the emergency department or hospitalization by heart failure decompensation, acute or chronic coronary syndromes and all-cause mortality.
Results
Of the 121 patients, 102 were male (84.3%) and 19 (15.7%) female. The mean age was 58.3 ± 12.7 years and women had a superior mean age (69.8 ± 12.2 years) vs. Men mean age 56 ± 11.6 years.
Hypertension was more prevalent in women (84.2% vs. 47.1%, respectively; p 0.003) and also diabetes – 36.8% of women had type 2 diabetes (vs 10.8% of men) and 5.3% of these female patients requires insulin therapy (vs 2% of men; p 0.021).
According to Charlson Comorbidity Index (CCI), women had a higher disease burden with 73.7% of them included into the moderate or severe group of mortality risk, compared to 42.2% of men (p 0.014).
Conversely, less women smoke (31.6% vs. 82.2%; p <0.001) and less frequently chest pain was the onset symptom (78.9% vs. 95.1%; p 0.04).
Time since symptom onset to door admission was estimated on 510 ± 1149 minutes and the mean women delay was superior (557 ± 858 minutes).
Regarding to in-hospital hemorrhagic events (secondary endpoint), female patients had a statistically significant higher risk (22.2% vs. 7.1%, p 0.045), independently of hypertension, diabetes or anticoagulant therapy (r=0.249; ANOVA p-value < 0.005), but it was associated with higher CCI (p 0.033). No other gender differences in outcomes or survival function were observed.
Conclusion
Our study demonstrates gender-related differences among patients with STEMI. Indeed, women were older, had more clinical cardiovascular risk factors and tend to delay hospital admission after symptoms onset. Secondary endpoint was statistically more frequent in women, but no other differences in outcomes were observed.
Collapse
Affiliation(s)
- F Duarte
- Hospital Divino Espirito Santo , Ponta Delgada , Portugal
| | - I Coutinho
- Hospital Divino Espirito Santo , Ponta Delgada , Portugal
| | - M I Barradas
- Hospital Divino Espirito Santo , Ponta Delgada , Portugal
| | - L Oliveira
- Hospital Divino Espirito Santo , Ponta Delgada , Portugal
| | - C Serena
- Hospital Divino Espirito Santo , Ponta Delgada , Portugal
| | - A Fontes
- Hospital Divino Espirito Santo , Ponta Delgada , Portugal
| | - A Monteiro
- Hospital Divino Espirito Santo , Ponta Delgada , Portugal
| | - C Machado
- Hospital Divino Espirito Santo , Ponta Delgada , Portugal
| | - E Santos
- Hospital Divino Espirito Santo , Ponta Delgada , Portugal
| | - N Pelicano
- Hospital Divino Espirito Santo , Ponta Delgada , Portugal
| | - M Pacheco
- Hospital Divino Espirito Santo , Ponta Delgada , Portugal
| | - A Tavares
- Hospital Divino Espirito Santo , Ponta Delgada , Portugal
| | - D Martins
- Hospital Divino Espirito Santo , Ponta Delgada , Portugal
| |
Collapse
|
11
|
Tonella LH, Ruaro R, Daga VS, Garcia DAZ, Vitorino OB, Lobato-de Magalhães T, Dos Reis RE, Di Dario F, Petry AC, Mincarone MM, de Assis Montag LF, Pompeu PS, Teixeira AAM, Carmassi AL, Sánchez AJ, Giraldo Pérez A, Bono A, Datovo A, Flecker AS, Sanches A, Godinho AL, Matthiensen A, Peressin A, Hilsdorf AWS, Barufatti A, Hirschmann A, Jung A, Cruz-Ramírez AK, Braga Silva A, Cunico AM, Saldanha Barbosa A, de Castro Barradas A, Rêgo ACL, Franco ACS, Costa APL, Vidotto-Magnoni AP, Ferreira A, Kassner Filho A, Nobile AB, Magalhães ALB, da Silva AT, Bialetzki A, Dos Santos Maroclo Gomes AC, Nobre AB, Casimiro ACR, Angulo Sibaja A, Dos Santos AAC, de Araújo ÁR, Frota A, Quirino BA, Ferreira BM, Albuquerque BW, Meneses BA, Oliveira BT, Torres Parahyba Campos BA, Gonçalves BB, Kubiak BB, da Silveira Prudente B, de Araujo Passos Pacheco BG, Nakagawa BK, do Nascimento BTM, Maia C, Cantagallo Devids C, Rezende CF, Muñoz-Mendoza C, Peres CA, de Sousa Rodrigues Filho CA, de Lucena CAS, Fernandes CA, Kasper CB, Donascimiento C, Emidio C, Carrillo-Moreno C, Machado C, Pera C, Hartmann C, Pringle CM, Leal CG, Jézéquel C, Harrod C, da Rosa CA, Quezada-Romegialli C, Pott CM, Larentis C, Nascimento CAS, da Silva Gonçalves C, da Cunha CJ, Pisicchio CM, de Carvalho DC, Galiano D, Gomez-Uchida D, Santana DO, Salas Johnson D, Petsch DK, de Freitas DTH, Bailly D, Machado DF, de Carvalho DR, Topan DH, Cañas-Rojas D, da Silva D, Freitas-Souza D, Lima-Júnior DP, Piscor D, Moraes DP, Viana D, Caetano DLF, Gubiani ÉA, Okada EK, do Amaral EC, Brambilla EM, Cunha ER, Kashiwaqui EAL, Rocha EA, Barp EA, da Costa Fraga E, D'Bastiani E, Zandonà E, Dary EP, Benedito E, Barba-Macías E, Calvache Uvidia EV, Fonseca FL, Ferreira FS, Lima F, Maffei F, Porto-Foresti F, Teresa FB, de Andrade Frehse F, Oliveira FJM, da Silva FP, de Lima FP, do Prado FD, Jerep FC, Vieira FEG, Gertum Becker F, de Carvalho FR, Ubaid FK, Teixeira FK, Provenzano Rizzi F, Severo-Neto F, Villamarín F, de Mello FT, Keppeler FW, de Avila Batista G, de Menezes Yazbeck G, Tesitore G, Salvador GN, Soteroruda Brito GJ, Carmassi GR, Kurchevski G, Goyenola G, Pereira HR, Alvez HJFS, do Prado HA, Pinho HLL, Sousa HL, Bornatowski H, de Oliveira Barbosa H, Tobes I, de Paiva Affonso I, Queiroz IR, Vila I, Negrete IVJ, Prado IG, Vitule JRS, Figueiredo-Filho J, Gonzalez JA, de Faria Falcão JC, Teixeira JV, Pincheira-Ulbrich J, da Silva JC, de Araujo Filho JA, da Silva JFM, Genova JG, Giovanelli JGR, Andriola JVP, Alves J, Valdiviezo-Rivera J, Brito J, Botero JIS, Liotta J, Ramirez JL, Marinho JR, Birindelli JLO, Novaes JLC, Hawes JE, Ribolli J, Rivadeneira JF, Schmitter-Soto JJ, Assis JC, da Silva JP, Dos Santos JS, Wingert J, Wojciechowski J, Bogoni JA, Ferrer J, Solórzano JCJ, Sá-Oliveira JC, Vaini JO, Contreras Palma K, Orlandi Bonato K, de Lima Pereira KD, Dos Santos Sousa K, Borja-Acosta KG, Carneiro L, Faria L, de Oliveira LB, Resende LC, da Silva Ingenito LF, Oliveira Silva L, Rodrigues LN, Guarderas-Flores L, Martins L, Tonini L, Braga LTMD, Gomes LC, de Fries L, da Silva LG, Jarduli LR, Lima LB, Gomes Fischer L, Wolff LL, Dos Santos LN, Bezerra LAV, Sarmento Soares LM, Manna LR, Duboc LF, Dos Santos Ribas LG, Malabarba LR, Brito MFG, Braga MR, de Almeida MS, Sily MC, Barros MC, do Nascimento MHS, de Souza Delapieve ML, Piedade MTF, Tagliaferro M, de Pinna MCC, Yánez-Muñoz MH, Orsi ML, da Rosa MF, Bastiani M, Stefani MS, Buenaño-Carriel M, Moreno MEV, de Carvalho MM, Kütter MT, Freitas MO, Cañas-Merino M, Cetra M, Herrera-Madrid M, Petrucio MM, Galetti M, Salcedo MÁ, Pascual M, Ribeiro MC, Abelha MCF, da Silva MA, de Araujo MP, Dias MS, Guimaraes Sales N, Benone NL, Sartor N, Fontoura NF, de Souza Trigueiro NS, Álvarez-Pliego N, Shibatta OA, Tedesco PA, Lehmann Albornoz PC, Santos PHF, Freitas PV, Fagundes PC, de Freitas PD, Mena-Valenzuela P, Tufiño P, Catelani PA, Peixoto P, Ilha P, de Aquino PDPU, Gerhard P, Carvalho PH, Jiménez-Prado P, Galetti PM, Borges PP, Nitschke PP, Manoel PS, Bernardes Perônico P, Soares PT, Piana PA, de Oliveira Cunha P, Plesley P, de Souza RCR, Rosa RR, El-Sabaawi RW, Rodrigues RR, Covain R, Loures RC, Braga RR, Ré R, Bigorne R, Cassemiro Biagioni R, Silvano RAM, Dala-Corte RB, Martins RT, Rosa R, Sartorello R, de Almeida Nobre R, Bassar RD, Gurgel-Lourenço RC, Pinheiro RFM, Carneiro RL, Florido R, Mazzoni R, Silva-Santos R, de Paula Santos R, Delariva RL, Hartz SM, Brosse S, Althoff SL, Nóbrega Marinho Furtado S, Lima-Junior SE, Lustosa Costa SY, Arrolho S, Auer SK, Bellay S, de Fátima Ramos Guimarães T, Francisco TM, Mantovano T, Gomes T, Ramos TPA, de Assis Volpi T, Emiliano TM, Barbosa TAP, Balbi TJ, da Silva Campos TN, Silva TT, Occhi TVT, Garcia TO, da Silva Freitas TM, Begot TO, da Silveira TLR, Lopes U, Schulz UH, Fagundes V, da Silva VFB, Azevedo-Santos VM, Ribeiro V, Tibúrcio VG, de Almeida VLL, Isaac-Nahum VJ, Abilhoa V, Campos VF, Kütter VT, de Mello Cionek V, Prodocimo V, Vicentin W, Martins WP, de Moraes Pires WM, da Graça WJ, Smith WS, Dáttilo W, Aguirre Maldonado WE, de Carvalho Rocha YGP, Súarez YR, de Lucena ZMS. NEOTROPICAL FRESHWATER FISHES: A dataset of occurrence and abundance of freshwater fishes in the Neotropics. Ecology 2022; 104:e3713. [PMID: 35476708 DOI: 10.1002/ecy.3713] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/21/2020] [Revised: 10/31/2020] [Accepted: 11/24/2020] [Indexed: 11/06/2022]
Abstract
The Neotropical region hosts 4225 freshwater fish species, ranking first among the world's most diverse regions for freshwater fishes. Our NEOTROPICAL FRESHWATER FISHES data set is the first to produce a large-scale Neotropical freshwater fish inventory, covering the entire Neotropical region from Mexico and the Caribbean in the north to the southern limits in Argentina, Paraguay, Chile, and Uruguay. We compiled 185,787 distribution records, with unique georeferenced coordinates, for the 4225 species, represented by occurrence and abundance data. The number of species for the most numerous orders are as follows: Characiformes (1289), Siluriformes (1384), Cichliformes (354), Cyprinodontiformes (245), and Gymnotiformes (135). The most recorded species was the characid Astyanax fasciatus (4696 records). We registered 116,802 distribution records for native species, compared to 1802 distribution records for nonnative species. The main aim of the NEOTROPICAL FRESHWATER FISHES data set was to make these occurrence and abundance data accessible for international researchers to develop ecological and macroecological studies, from local to regional scales, with focal fish species, families, or orders. We anticipate that the NEOTROPICAL FRESHWATER FISHES data set will be valuable for studies on a wide range of ecological processes, such as trophic cascades, fishery pressure, the effects of habitat loss and fragmentation, and the impacts of species invasion and climate change. There are no copyright restrictions on the data, and please cite this data paper when using the data in publications.
Collapse
Affiliation(s)
- Lívia Helena Tonella
- Programa de Pós-Graduação em Ecologia de Ambientes Aquáticos Continentais, Departamento de Biologia, Núcleo de Pesquisas em Limnologia, Ictiologia e Aqüicultura (NUPELIA), Universidade Estadual de Maringá, Maringá, Brazil
| | - Renata Ruaro
- Programa de Pós-Graduação em Ecologia de Ambientes Aquáticos Continentais, Departamento de Biologia, Núcleo de Pesquisas em Limnologia, Ictiologia e Aqüicultura (NUPELIA), Universidade Estadual de Maringá, Maringá, Brazil
| | - Vanessa Salete Daga
- Laboratório de Ecologia e Conservação (LEC), Departamento de Engenharia Ambiental, Setor de Tecnologia, Universidade Federal do Paraná, Curitiba, Brazil
| | - Diego Azevedo Zoccal Garcia
- Laboratório de Ecologia de Peixes e Invasões Biológicas, Universidade Estadual de Londrina, Londrina, Brazil
| | | | | | | | - Fabio Di Dario
- Instituto de Biodiversidade e Sustentabilidade, Universidade Federal do Rio de Janeiro, Macaé, Brazil
| | - Ana Cristina Petry
- Instituto de Biodiversidade e Sustentabilidade, Universidade Federal do Rio de Janeiro, Macaé, Brazil
| | - Michael Maia Mincarone
- Instituto de Biodiversidade e Sustentabilidade, Universidade Federal do Rio de Janeiro, Macaé, Brazil
| | | | - Paulo Santos Pompeu
- Departamento de Ecologia e Conservação, Universidade Federal de Lavras, Campus Universitário, Lavras, Brazil
| | - Adonias Aphoena Martins Teixeira
- Programa de Pós-Graduação em Ciências Biológicas (Zoologia), Departamento de Sistemática e Ecologia - DSE, Centro de Ciências Exatas e da Natureza - CCEN, Universidade Federal da Paraíba - UFPB, Cidade Universitária, Campus I, João Pessoa, Brazil
| | - Alberto Luciano Carmassi
- Programa de Pós-Graduação em Fisiologia, Instituto de Biociências, Universidade de São Paulo, São Paulo, Brazil.,Centro de Ciências da Natureza, Universidade Federal de São Carlos, Campus Lagoa do Sino, São Paulo, Brazil
| | - Alberto J Sánchez
- Laboratorio de Humedales, Diagnóstico y Manejo de Humedales Tropicales, División Académica de Ciencias Biológicas, Universidad Juárez Autónoma de Tabasco, Villahermosa, Mexico
| | | | - Alessandra Bono
- Laboratório de Ictiologia - Taxonomia e Sistemática de Peixes. Universidade do Vale do Rio dos Sinos, São Leopoldo, Brazil
| | - Aléssio Datovo
- Museu de Zoologia da Universidade de São Paulo, São Paulo, Brazil
| | - Alexander S Flecker
- Department of Ecology and Evolutionary Biology, Cornell University, Ithaca, New York, USA
| | - Alexandra Sanches
- Programa de Pós-Graduação em Fisiologia, Instituto de Biociências, Universidade de São Paulo, São Paulo, Brazil.,Centro de Ciências da Natureza, Universidade Federal de São Carlos, Campus Lagoa do Sino, São Paulo, Brazil
| | | | | | - Alexandre Peressin
- Departamento de Ecologia e Conservação, Universidade Federal de Lavras, Campus Universitário, Lavras, Brazil
| | - Alexandre Wagner Silva Hilsdorf
- Núcleo Integrado de Biotecnologia, Laboratório de Genética de Organismos Aquáticos e Aquicultura (LAGOAA) Universidade de Mogi das Cruzes, São Paulo, Brazil
| | - Alexéia Barufatti
- Faculdade de Ciências Biológicas e Ambientais, Universidade Federal da Grande Dourados, Dourados, Brazil
| | | | - Aline Jung
- Programa de Pós-Graduadação em Ecologia e Conservação, Universidade do Estado de Mato Grosso, Nova Xavantina, Brazil
| | - Allan K Cruz-Ramírez
- Laboratorio de Humedales, Diagnóstico y Manejo de Humedales Tropicales, División Académica de Ciencias Biológicas, Universidad Juárez Autónoma de Tabasco, Villahermosa, Mexico
| | | | - Almir Manoel Cunico
- Laboratório de Ecologia, Pesca e Ictiologia, Universidade Federal do Paraná, Palotina, Brazil
| | | | - Amauri de Castro Barradas
- Programa de Pós-graduação em Biodiversidade e Agroecossistemas Amazônicos (PPGBioAgro), Universidade do Estado de Mato Grosso, Alta Floresta, Brazil
| | | | - Ana Clara Sampaio Franco
- Laboratório de Ictiologia Teórica e Aplicada, Programa de Pós-Graduação em Ecologia, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil
| | - Ana Paula Lula Costa
- Laboratório de Análise e Síntese em Biodiversidade (LASB), Universidade Federal do Paraná, Curitiba, Brazil
| | | | - Anderson Ferreira
- Faculdade de Ciências Biológicas e Ambientais, Universidade Federal da Grande Dourados, Dourados, Brazil
| | | | - André Batista Nobile
- Instituto de Biociências, Botucatu, Departamento de Morfologia, Laboratório de Biologia e Genética de Peixes, Universidade Estadual Paulista, São Paulo, Brazil
| | - André Lincoln Barroso Magalhães
- Programa de Pós-Graduação em Tecnologias para o Desenvolvimento Sustentável, Universidade Federal de São João Del Rei, São João Del Rei, Brazil
| | - André Teixeira da Silva
- Departamento de Ciências Biológicas, Universidade Estadual do Sudoeste da Bahia, Jequié, Brazil
| | - Andréa Bialetzki
- Laboratório de Ictioplâncton, Núcleo de Pesquisas em Limnologia, Ictiologia e Aquicultura (NUPÉLIA), Universidade Estadual de Maringá, Maringá, Brazil
| | | | | | - Armando Cesar Rodrigues Casimiro
- Universidade Estadual de Londrina, Londrina, Brazil.,Departamento de Biologia Animal e Vegetal, Laboratório de Ecologia de Peixes e Invasões Biológicas, Universidade Estadual de Londrina, Londrina, Brazil
| | - Arturo Angulo Sibaja
- Museo de Zoología and Centro de Investigación en Ciencias del Mar y Limnologia (CIMAR), Universidad de Costa Rica, San Pedro de Montes de Oca, Costa Rica
| | | | | | - Augusto Frota
- Programa de Pós-Graduação em Ecologia de Ambientes Aquáticos Continentais, Departamento de Biologia, Núcleo de Pesquisas em Limnologia, Ictiologia e Aqüicultura (NUPELIA), Universidade Estadual de Maringá, Maringá, Brazil
| | - Bárbara Angélio Quirino
- Programa de Pós-Graduação em Ecologia de Ambientes Aquáticos Continentais, Departamento de Biologia, Núcleo de Pesquisas em Limnologia, Ictiologia e Aqüicultura (NUPELIA), Universidade Estadual de Maringá, Maringá, Brazil
| | - Beatriz Moreira Ferreira
- Programa de Pós-Graduação em Ecologia e Evolução, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, Brazil
| | | | - Bruna Arbo Meneses
- Programa de Pós-Graduação em Ecologia, Departamento de Ecologia, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil
| | | | - Bruno Augusto Torres Parahyba Campos
- Programa de Pós-Graduação em Biodiversidade, Ambiente e Saúde, Centro de Estudos Superiores de Caxias, Universidade Estadual do Maranhão, Caxias, Brazil
| | - Bruno Bastos Gonçalves
- Laboratório de Biotecnologia Ambiental e Ecotoxicologia, Universidade Federal de Goiás, Goiás, Brazil
| | - Bruno Busnello Kubiak
- Universidade Regional Integrada do Alto Uruguai e das Missões, Frederico Westphalen, Uruguay
| | | | | | - Bruno Kazuo Nakagawa
- Laboratório de Ecologia e Conservação (LEC), Departamento de Engenharia Ambiental, Setor de Tecnologia, Universidade Federal do Paraná, Curitiba, Brazil
| | | | - Calebe Maia
- Laboratório de Ecologia de Peixes e Invasões Biológicas, Universidade Estadual de Londrina, Londrina, Brazil.,Programa de Pós-Graduação em Ecologia (PPGECO), Instituto de Ciências Biológicas, Universidade Federal do Pará, Belém, Brazil
| | | | - Carla Ferreira Rezende
- Laboratório de Ecologia e Conservação (LEC), Departamento de Engenharia Ambiental, Setor de Tecnologia, Universidade Federal do Paraná, Curitiba, Brazil
| | | | | | | | | | - Carlos Alexandre Fernandes
- Programa de Pós-Graduação em Ecologia de Ambientes Aquáticos Continentais, Departamento de Biologia, Núcleo de Pesquisas em Limnologia, Ictiologia e Aqüicultura (NUPELIA), Universidade Estadual de Maringá, Maringá, Brazil
| | | | - Carlos Donascimiento
- Instituto de Investigación de Recursos Biológicos Alexander von Humboldt, Bogotá, Colombia
| | - Carmino Emidio
- Universidade Estadual de Mato Grosso do Sul, Mundo Novo, Brazil
| | - Carolina Carrillo-Moreno
- Centro de Investigación de la Biodiversidad y Cambio Climático (BioCamb) e Ingeniería en Biodiversidad y Recursos Genéticos, Facultad de Ciencias de Medio Ambiente, Universidad Tecnológica Indoamérica, Quito, Ecuador
| | - Carolina Machado
- Laboratório de Biodiversidade Molecular e Conservação, Departamento de Genética e Evolução, Universidade Federal de São Carlos, São Carlos, Brazil
| | - Carolina Pera
- Programa de Pós-Graduação em Ecologia de Ambientes Aquáticos Continentais, Departamento de Biologia, Núcleo de Pesquisas em Limnologia, Ictiologia e Aqüicultura (NUPELIA), Universidade Estadual de Maringá, Maringá, Brazil
| | - Caroline Hartmann
- Programa de Pós-Graduação em Ecologia, Departamento de Ecologia, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil
| | | | - Cecília Gontijo Leal
- Luiz de Queiroz College of Agriculture, University of São Paulo, Piracicaba, Brazil
| | - Céline Jézéquel
- Laboratoire Evolution et Diversité Biologique (UMR5174 EDB), CNRS, IRD, UPS, Université Paul Sabatier, Toulouse, France
| | | | | | | | - Crisla Maciel Pott
- Programa de Pós-Graduação em Ecologia, Departamento de Ecologia, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil
| | - Crislei Larentis
- Programa de Pós-graduação em Biologia Comparada, Universidade Estadual de Maringá, Maringá, Brazil
| | - Cristiane A S Nascimento
- Programa de Pós-Graduação em Ciências Biológicas (PPGBAN), Universidade Federal do Espírito Santo, Vitória, Brazil
| | | | | | | | | | - Daniel Galiano
- Universidade Federal da Fronteira Sul, Campus Realeza, Chapecó, Brazil
| | | | - Daniel Oliveira Santana
- Programa de Pós-Graduação em Ciências Biológicas (Zoologia), Departamento de Sistemática e Ecologia - DSE, Centro de Ciências Exatas e da Natureza - CCEN, Universidade Federal da Paraíba - UFPB, Cidade Universitária, Campus I, João Pessoa, Brazil
| | | | - Danielle Katharine Petsch
- Programa de Pós-Graduação em Ecologia de Ambientes Aquáticos Continentais, Departamento de Biologia, Núcleo de Pesquisas em Limnologia, Ictiologia e Aqüicultura (NUPELIA), Universidade Estadual de Maringá, Maringá, Brazil
| | | | - Dayani Bailly
- Programa de Pós-Graduação em Ecologia de Ambientes Aquáticos Continentais, Departamento de Biologia, Núcleo de Pesquisas em Limnologia, Ictiologia e Aqüicultura (NUPELIA), Universidade Estadual de Maringá, Maringá, Brazil
| | - Débora Ferreira Machado
- Programa de Pós-Graduação em Biodiversidade Tropical (PPGBT), Universidade Federal do Espírito Santo, São Mateus, Brazil
| | - Débora Reis de Carvalho
- Departamento de Ecologia e Conservação, Universidade Federal de Lavras, Campus Universitário, Lavras, Brazil
| | - Dhyego Hamilton Topan
- Programa de Pós-Graduação em Recursos Pesqueiros e Engenharia de Pesca, Universidade Estadual do Oeste do Paraná, Toledo, Brazil.,Copel-Companhia Paranaense de Energia, Araucária, Brazil
| | | | | | - Diogo Freitas-Souza
- Instituto de Biociências, Botucatu, Departamento de Morfologia, Laboratório de Biologia e Genética de Peixes, Universidade Estadual Paulista, São Paulo, Brazil
| | - Dilermando Pereira Lima-Júnior
- Laboratório de Ecologia e Conservação de Ecossistemas Aquáticos, Universidade Federal de Mato Grosso, Pontal do Araguaia, Brazil
| | - Diovani Piscor
- Universidade Estadual de Mato Grosso do Sul, Mundo Novo, Brazil
| | - Djalma Pereira Moraes
- Faculdade de Ciências Biológicas e Ambientais, Universidade Federal da Grande Dourados, Dourados, Brazil
| | - Douglas Viana
- Programa de Pós-Graduação em Ecologia e Conservação, Universidade Federal do Paraná, Curitiba, Brazil
| | | | - Éder André Gubiani
- Programa de Pós-Graduação em Recursos Pesqueiros e Engenharia de Pesca, Universidade Estadual do Oeste do Paraná, Toledo, Brazil
| | - Edson K Okada
- Programa de Pós-Graduação em Ecologia de Ambientes Aquáticos Continentais, Departamento de Biologia, Núcleo de Pesquisas em Limnologia, Ictiologia e Aqüicultura (NUPELIA), Universidade Estadual de Maringá, Maringá, Brazil
| | | | | | - Eduardo Ribeiro Cunha
- Programa de Pós-Graduação em Ecologia de Ambientes Aquáticos Continentais, Departamento de Biologia, Núcleo de Pesquisas em Limnologia, Ictiologia e Aqüicultura (NUPELIA), Universidade Estadual de Maringá, Maringá, Brazil
| | | | | | | | - Elmary da Costa Fraga
- Laboratório de Genética e Biologia Molecular, Centro de Estudos Superiores de Caxias, Universidade Estadual do Maranhão, São Luís, Brazil
| | - Elvira D'Bastiani
- Programa de Pós-Graduação em Ecologia e Conservação, Universidade Federal do Paraná, Curitiba, Brazil
| | - Eugenia Zandonà
- Departamento de Ecologia, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, Brazil
| | - Eurizângela Pereira Dary
- Institute of Natural, Human and Social Sciences, Federal University of Mato Grosso, Sinop, Brazil
| | - Evanilde Benedito
- Programa de Pós-Graduação em Ecologia de Ambientes Aquáticos Continentais, Departamento de Biologia, Núcleo de Pesquisas em Limnologia, Ictiologia e Aqüicultura (NUPELIA), Universidade Estadual de Maringá, Maringá, Brazil
| | | | | | - Fabiana Luques Fonseca
- Núcleo de Ciências Ambientais da Universidade de Mogi das Cruzes, Mogi das Cruzes, Brazil
| | | | - Fábio Lima
- Laboratório de Ictiologia - Taxonomia e Sistemática de Peixes. Universidade do Vale do Rio dos Sinos, São Leopoldo, Brazil
| | - Fábio Maffei
- Departamento de Ciências Biológicas, Faculdade de Ciências de Bauru, Universidade Estadual Paulista, São Paulo, Brazil
| | - Fábio Porto-Foresti
- Departamento de Ciências Biológicas, Faculdade de Ciências de Bauru, Universidade Estadual Paulista, São Paulo, Brazil
| | | | - Fabrício de Andrade Frehse
- Laboratório de Ecologia e Conservação (LEC), Departamento de Engenharia Ambiental, Setor de Tecnologia, Universidade Federal do Paraná, Curitiba, Brazil
| | - Fagner Júnior M Oliveira
- Programa de Pós-Graduação em Ecologia de Ambientes Aquáticos Continentais, Departamento de Biologia, Núcleo de Pesquisas em Limnologia, Ictiologia e Aqüicultura (NUPELIA), Universidade Estadual de Maringá, Maringá, Brazil
| | | | - Felipe Pontieri de Lima
- Instituto de Biociências, Botucatu, Departamento de Morfologia, Laboratório de Biologia e Genética de Peixes, Universidade Estadual Paulista, São Paulo, Brazil
| | - Fernanda Dotti do Prado
- Departamento de Ciências Biológicas, Faculdade de Ciências de Bauru, Universidade Estadual Paulista, São Paulo, Brazil
| | | | | | - Fernando Gertum Becker
- Programa de Pós-Graduação em Ecologia, Departamento de Ecologia, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil
| | | | - Flávio Kulaif Ubaid
- Laboratório de Ornitologia, Centro de Estudos Superiores de Caxias, Universidade Estadual do Maranhão, Caxias, Brazil
| | - Francisco Keilo Teixeira
- Programa de Pós-Graduação em Ecologia e Recursos Naturais (PPGERN), Universidade Federal do Ceará, Fortaleza, Brazil
| | | | - Francisco Severo-Neto
- Coleção Zoológica da Universidade Federal de Mato Grosso do Sul, Cidade Universitária, Campo Grande, Brazil
| | | | - Franco Teixeira de Mello
- Departamento de Ecología y Gestión Ambiental, Centro Universitario Regional Este, Universidad de la República, Maldonado, Uruguay
| | | | | | | | - Giancarlo Tesitore
- Centro Museo de Biología de la Universidad Central de Venezuela, Instituto de Zoología y Ecología Tropical, Facultad de Ciencias, UCV, Caracas, Venezuela
| | | | | | | | - Gregório Kurchevski
- Fish Passage Center, Federal University of Minas Gerais, Belo Horizonte, Brazil
| | - Guillermo Goyenola
- Departamento de Ecología y Gestión Ambiental, Centro Universitario Regional Este, Universidad de la República, Maldonado, Uruguay
| | - Hasley Rodrigo Pereira
- Núcleo de Estudos e Pesquisas Ambientais e Limnológicas (NEPAL), Programa de Pós-Graduação em Ciências Ambientais (PPGCA-UnB), Universidade de Brasília, Brasília, Brazil
| | | | - Helena Alves do Prado
- Programa de Pós-Graduação em Ecologia e Evolução, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, Brazil
| | | | - Híngara Leão Sousa
- Centro de Estudos do Mar, Universidade Federal do Paraná, Brazil 105 Centro de Estudos do Mar, Universidade Federal do Paraná, Pontal do Paraná, Brazil
| | - Hugo Bornatowski
- Centro de Estudos do Mar, Universidade Federal do Paraná, Brazil 105 Centro de Estudos do Mar, Universidade Federal do Paraná, Pontal do Paraná, Brazil
| | - Hugo de Oliveira Barbosa
- Núcleo de Estudos e Pesquisas Ambientais e Limnológicas (NEPAL), Programa de Pós-Graduação em Ciências Ambientais (PPGCA-UnB), Universidade de Brasília, Brasília, Brazil
| | - Ibon Tobes
- Centro de Investigación de la Biodiversidad y Cambio Climático (BioCamb) e Ingeniería en Biodiversidad y Recursos Genéticos, Facultad de Ciencias de Medio Ambiente, Universidad Tecnológica Indoamérica, Quito, Ecuador
| | | | - Igor Raposo Queiroz
- Programa de Pós-Graduação em Ecologia e Evolução, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, Brazil
| | - Irma Vila
- Universidad de Chile, Santiago, Chile
| | - Iván Vinicio Jácome Negrete
- Universidad Central del Ecuador, Quito, Ecuador.,Instituto Quichua de Biotecnología Sacha Supai, Sangolqui, Ecuador
| | - Ivo Gavião Prado
- Programa Peixe Vivo - Cemig Geração e Transmissão S.A, Rio de Janeiro, Brazil
| | - Jean Ricardo Simões Vitule
- Laboratório de Ecologia e Conservação (LEC), Departamento de Engenharia Ambiental, Setor de Tecnologia, Universidade Federal do Paraná, Curitiba, Brazil
| | - Jessé Figueiredo-Filho
- Programa de Pós-Graduação em Ciências Biológicas (Zoologia), Departamento de Sistemática e Ecologia - DSE, Centro de Ciências Exatas e da Natureza - CCEN, Universidade Federal da Paraíba - UFPB, Cidade Universitária, Campus I, João Pessoa, Brazil
| | | | | | | | | | - Jislaine Cristina da Silva
- Programa de Pós-Graduação em Ecologia de Ambientes Aquáticos Continentais, Departamento de Biologia, Núcleo de Pesquisas em Limnologia, Ictiologia e Aqüicultura (NUPELIA), Universidade Estadual de Maringá, Maringá, Brazil
| | - João Antonio de Araujo Filho
- Programa de Pós-Graduação em Ciências Biológicas (Zoologia), Departamento de Sistemática e Ecologia - DSE, Centro de Ciências Exatas e da Natureza - CCEN, Universidade Federal da Paraíba - UFPB, Cidade Universitária, Campus I, João Pessoa, Brazil
| | | | | | | | | | - Jonatas Alves
- Laboratório de Ecologia de Águas Continentais (LIMNOS), Departamento de Ecologia e Zoologia (ECZ), Centro de Ciências Biológicas (CCB), Universidade Federal de Santa Catarina (UFSC), Florianópolis, Brazil
| | | | - Jorge Brito
- Núcleo de Ciências Ambientais da Universidade de Mogi das Cruzes, Mogi das Cruzes, Brazil
| | - Jorge Iván Sánchez Botero
- Coleção Zoológica da Universidade Federal de Mato Grosso do Sul, Cidade Universitária, Campo Grande, Brazil
| | - Jorge Liotta
- Museo de Ciencias Naturales "Antonio Scasso", San Nicolás de los Arroyos, Argentina
| | - Jorge Luis Ramirez
- Laboratório de Biodiversidade Molecular e Conservação, Departamento de Genética e Evolução, Universidade Federal de São Carlos, São Carlos, Brazil
| | - Jorge Reppold Marinho
- Universidade Regional Integrada do Alto Uruguai e das Missões, Campus de Erechim, Erechim, Uruguay
| | | | | | - Joseph E Hawes
- Anglia Ruskin University (ARU), Cambridge Campus, Cambridge, UK
| | - Josiane Ribolli
- Laboratório de Biologia e Cultivo de Peixes de Água Doce, Universidade Federal de Santa Catarina, Florianópolis, Brazil
| | | | | | - Juliana Camara Assis
- Laboratório de Ecologia Espacial e Conservação (LEEC), Departamento de Ecologia, Universidade Estadual Paulista (UNESP), Rio Claro, Brazil
| | | | - Juliana Silveira Dos Santos
- Laboratório de Ecologia Espacial e Conservação (LEEC), Departamento de Ecologia, Universidade Estadual Paulista (UNESP), Rio Claro, Brazil
| | - Juliana Wingert
- Instituto de Biociências, Departamento Zoologia, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil
| | - Juliana Wojciechowski
- Programa de Pós-Graduação em Ecologia e Conservação, Universidade Federal do Paraná, Curitiba, Brazil
| | - Juliano André Bogoni
- Programa de Pós-Graduação em Ecologia, Universidade Federal de Santa Catarina, Florianópolis, Brazil
| | - Juliano Ferrer
- Instituto de Biociências, Departamento Zoologia, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil
| | | | | | - Jussara Oliveira Vaini
- Núcleo Integrado de Biotecnologia, Universidade de Mogi das Cruzes, Mogi das Cruzes, Brazil
| | - Kamila Contreras Palma
- Magíster en Planificación y Gestión Territorial, Universidad Católica de Temuco, Temuco, Chile
| | - Karine Orlandi Bonato
- Instituto de Biociências, Departamento Zoologia, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil
| | | | - Kassiano Dos Santos Sousa
- Centro de Ciências da Natureza, Universidade Federal de São Carlos, Campus Lagoa do Sino, São Paulo, Brazil
| | | | - Laís Carneiro
- Laboratório de Ecologia e Conservação (LEC), Departamento de Engenharia Ambiental, Setor de Tecnologia, Universidade Federal do Paraná, Curitiba, Brazil
| | - Larissa Faria
- Laboratório de Ecologia e Conservação (LEC), Departamento de Engenharia Ambiental, Setor de Tecnologia, Universidade Federal do Paraná, Curitiba, Brazil
| | | | - Leonardo Cardoso Resende
- Laboratório de Biotecnologia e Marcadores Moleculares, Departamento de Biologia Geral, Instituto de Ciências Biológicas, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil
| | - Leonardo Ferreira da Silva Ingenito
- Instituto Nacional da Mata Atlântica (INMA), Santa Teresa, Brazil.,Programa de Pós-Graduação em Biodiversidade Tropical (PPGBT), Universidade Federal do Espírito Santo, São Mateus, Brazil
| | | | | | | | | | - Lorena Tonini
- Instituto Nacional da Mata Atlântica (INMA), Santa Teresa, Brazil
| | | | - Louise Cristina Gomes
- Programa de Pós-Graduação em Ecologia de Ambientes Aquáticos Continentais, Departamento de Biologia, Núcleo de Pesquisas em Limnologia, Ictiologia e Aqüicultura (NUPELIA), Universidade Estadual de Maringá, Maringá, Brazil
| | - Lucas de Fries
- Programa de Pós-Graduação em Ecologia, Departamento de Ecologia, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil
| | | | - Lucas Ribeiro Jarduli
- Laboratório de Ecologia de Peixes e Invasões Biológicas, Universidade Estadual de Londrina, Londrina, Brazil
| | - Luciano Benedito Lima
- Programa de Pós-Graduadação em Ecologia e Conservação, Universidade do Estado de Mato Grosso, Nova Xavantina, Brazil
| | - Luciano Gomes Fischer
- Instituto de Biodiversidade e Sustentabilidade, Universidade Federal do Rio de Janeiro, Macaé, Brazil
| | | | - Luciano Neves Dos Santos
- Programa de Pós-graduação em Biodiversidade Neotropical. Universidade Federal do Estado do Rio de Janeiro, Rio de Janeiro, Brazil
| | - Luis Artur Valões Bezerra
- Institute of Hydrobiology, Biology Centre of the Czech Academy of Sciences (BC-CAS), České Budejovice, Czechia
| | - Luisa Maria Sarmento Soares
- Programa de Pós-Graduação em Ciências Biológicas (PPGBAN), Universidade Federal do Espírito Santo, Vitória, Brazil
| | | | | | | | - Luiz Roberto Malabarba
- Instituto de Biociências, Departamento Zoologia, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil
| | | | | | - Marcelo Silva de Almeida
- Laboratório de Genética e Biologia Molecular, Centro de Estudos Superiores de Caxias, Universidade Estadual do Maranhão, São Luís, Brazil
| | - Maria Cecília Sily
- Programa de Pós-Graduação em Biodiversidade Tropical (PPGBT), Universidade Federal do Espírito Santo, São Mateus, Brazil
| | - Maria Claudene Barros
- Laboratório de Genética e Biologia Molecular, Centro de Estudos Superiores de Caxias, Universidade Estadual do Maranhão, São Luís, Brazil
| | - Maria Histelle Sousa do Nascimento
- Laboratório de Genética e Biologia Molecular, Centro de Estudos Superiores de Caxias, Universidade Estadual do Maranhão, São Luís, Brazil
| | | | | | - Marina Tagliaferro
- Instituto de Diversidad y Ecología Animal IDEA (CONICET- UNC), Córdoba, Argentina
| | | | | | - Mário Luís Orsi
- Laboratório de Ecologia de Peixes e Invasões Biológicas, Universidade Estadual de Londrina, Londrina, Brazil
| | | | - Marlos Bastiani
- Curso de Medicina Veterinária, Unidade de Ensino Superior Vale do Iguaçu (UNIGUAÇU), União da Vitória, Brazil
| | | | | | | | | | - Mateus Tavares Kütter
- Instituto de Ciências Biológicas, Universidade Federal do Rio Grande, Rio Grande, Brazil
| | - Matheus Oliveira Freitas
- Programa de Pós Graduação em Engenharia Ambiental, Universidade Federal do Paraná, Curitiba, Brazil
| | | | | | | | - Mauricio Mello Petrucio
- Departamento de Ecologia e Zoologia, Centro de Ciências Biológicas, Universidade Federal de Santa Catarina, Florianópolis, Brazil
| | - Mauro Galetti
- Universidade Estadual Paulista (Unesp), Rio Claro, Brazil
| | - Miguel Ángel Salcedo
- Laboratorio de Humedales, Diagnóstico y Manejo de Humedales Tropicales, División Académica de Ciencias Biológicas, Universidad Juárez Autónoma de Tabasco, Villahermosa, Mexico
| | - Miguel Pascual
- Instituto de Diversidad y Ecología Animal IDEA (CONICET- UNC), Córdoba, Argentina
| | - Milton Cezar Ribeiro
- Laboratório de Ecologia Espacial e Conservação (LEEC), Departamento de Ecologia, Universidade Estadual Paulista (UNESP), Rio Claro, Brazil
| | | | | | - Mônica Pacheco de Araujo
- Programa de Pós-Graduação em Ciências Ambientais e Conservação, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil
| | | | - Naiara Guimaraes Sales
- CESAM - Centre for Environmental and Marine Studies, Departamento de Biologia Animal, Faculdade de Ciências da Universidade de Lisboa, Lisbon, Portugal
| | | | - Natane Sartor
- Programa de Pós-Graduação em Ciências Biológicas (PPGBAN), Universidade Federal do Espírito Santo, Vitória, Brazil
| | - Nelson Ferreira Fontoura
- Instituto do Meio Ambiente - IMA, Florianópolis, Brazil.,Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre, Brazil
| | | | - Nicolás Álvarez-Pliego
- Laboratorio de Humedales, Diagnóstico y Manejo de Humedales Tropicales, División Académica de Ciencias Biológicas, Universidad Juárez Autónoma de Tabasco, Villahermosa, Mexico
| | | | - Pablo A Tedesco
- Laboratoire Evolution et Diversité Biologique (UMR5174 EDB), CNRS, IRD, UPS, Université Paul Sabatier, Toulouse, France
| | - Pablo Cesar Lehmann Albornoz
- Laboratório de Ictiologia - Taxonomia e Sistemática de Peixes. Universidade do Vale do Rio dos Sinos, São Leopoldo, Brazil
| | | | - Pâmela Virgolino Freitas
- Programa de Pós-Graduação em Ecologia (PPGECO), Instituto de Ciências Biológicas, Universidade Federal do Pará, Belém, Brazil
| | | | - Patrícia Domingues de Freitas
- Laboratório de Biodiversidade Molecular e Conservação, Departamento de Genética e Evolução, Universidade Federal de São Carlos, São Carlos, Brazil
| | | | - Paul Tufiño
- Instituto Nacional de Biodiversidad (INABIO), Quito, Ecuador
| | - Paula Araujo Catelani
- Programa de Pós-Graduação em Ciências Ambientais e Conservação, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil
| | - Paula Peixoto
- Laboratório de Ictiologia - Taxonomia e Sistemática de Peixes. Universidade do Vale do Rio dos Sinos, São Leopoldo, Brazil
| | - Paulo Ilha
- Departamento de Ecologia, Instituto de Biosciências, Universidade de São Paulo, São Paulo, Brazil
| | | | | | | | | | - Pedro Manoel Galetti
- Laboratório de Biodiversidade Molecular e Conservação, Departamento de Genética e Evolução, Universidade Federal de São Carlos, São Carlos, Brazil
| | | | - Pedro Peixoto Nitschke
- Programa de Pós-Graduação em Ecologia, Departamento de Ecologia, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil
| | - Pedro Sartori Manoel
- Departamento de Zoologia, Instituto de Biociências, Universidade Estadual Paulista, Botucatu, Brazil
| | | | - Philip Teles Soares
- Programa de Pós-Graduação em Recursos Naturais do Cerrado-RENAC, Universidade Estadual de Goiás, Goiás, Brazil
| | - Pitágoras Augusto Piana
- Programa de Pós-Graduação em Recursos Pesqueiros e Engenharia de Pesca, Universidade Estadual do Oeste do Paraná, Toledo, Brazil
| | - Priscila de Oliveira Cunha
- Programa de Pós-Graduação em Ecologia e Evolução, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, Brazil
| | - Priscila Plesley
- Programa de Pós-Graduação em Biodiversidade Tropical (PPGBT), Universidade Federal do Espírito Santo, São Mateus, Brazil
| | | | - Rafael Rogério Rosa
- Programa de Pós-Graduação em Ecologia de Ambientes Aquáticos Continentais, Departamento de Biologia, Núcleo de Pesquisas em Limnologia, Ictiologia e Aqüicultura (NUPELIA), Universidade Estadual de Maringá, Maringá, Brazil
| | - Rana W El-Sabaawi
- Department of Biology, University of Victoria, Victoria, British Columbia, Canada
| | | | | | | | - Raul Rennó Braga
- Programa de Pós-Graduação em Ecologia de Ambientes Aquáticos Continentais, Departamento de Biologia, Núcleo de Pesquisas em Limnologia, Ictiologia e Aqüicultura (NUPELIA), Universidade Estadual de Maringá, Maringá, Brazil
| | - Reginaldo Ré
- Universidade Tecnológica Federal do Paraná, Rua Rosalina Maria Ferreira, Campo Mourão, Brazil
| | - Rémy Bigorne
- Laboratoire Evolution et Diversité Biologique (UMR5174 EDB), CNRS, IRD, UPS, Université Paul Sabatier, Toulouse, France
| | | | - Renato Azevedo Matias Silvano
- Programa de Pós-Graduação em Biodiversidade, Ambiente e Saúde, Centro de Estudos Superiores de Caxias, Universidade Estadual do Maranhão, Caxias, Brazil
| | - Renato Bolson Dala-Corte
- Programa de Pós-Graduação em Biodiversidade Animal, Universidade Federal de Goiás, Goiás, Brazil
| | - Renato Tavares Martins
- Programa de Pós-Graduação em Ecologia e Evolução, Departamento de Ecologia, Universidade Federal de Goiás, Goiás, Brazil
| | - Ricardo Rosa
- Programa de Pós-Graduação em Ciências Biológicas (Zoologia), Departamento de Sistemática e Ecologia - DSE, Centro de Ciências Exatas e da Natureza - CCEN, Universidade Federal da Paraíba - UFPB, Cidade Universitária, Campus I, João Pessoa, Brazil
| | - Ricardo Sartorello
- Núcleo de Ciências Ambientais da Universidade de Mogi das Cruzes, Mogi das Cruzes, Brazil
| | | | - Ronald D Bassar
- Department of Biology, Williams College, Williamstown, Massachusetts, USA
| | | | | | | | - Rosa Florido
- Laboratorio de Humedales, Diagnóstico y Manejo de Humedales Tropicales, División Académica de Ciencias Biológicas, Universidad Juárez Autónoma de Tabasco, Villahermosa, Mexico
| | - Rosana Mazzoni
- Departamento de Ecologia, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, Brazil
| | - Rosane Silva-Santos
- Laboratório de Biodiversidade Molecular e Conservação, Departamento de Genética e Evolução, Universidade Federal de São Carlos, São Carlos, Brazil
| | | | - Rosilene Luciana Delariva
- Laboratório de Ictiologia, Ecologia e Biomonitoramento (LIEB), Universidade Estadual do Oeste do Paraná, Cascavel, Brazil
| | - Sandra Maria Hartz
- Programa de Pós-Graduação em Ecologia, Departamento de Ecologia, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil
| | | | | | - Shaka Nóbrega Marinho Furtado
- Programa de Pós-Graduação em Ciências Biológicas (Zoologia), Departamento de Sistemática e Ecologia - DSE, Centro de Ciências Exatas e da Natureza - CCEN, Universidade Federal da Paraíba - UFPB, Cidade Universitária, Campus I, João Pessoa, Brazil
| | | | | | - Solange Arrolho
- Laboratório de Ictiologia da Amazônia Meridional (LIAM), Coleção de Peixes da Amazônia Meridional (LIAM), Universidade do Estado de Mato Grosso (UNEMAT), Mato Grosso, Brazil
| | - Sonya K Auer
- Department of Biology, Williams College, Williamstown, Massachusetts, USA
| | - Sybelle Bellay
- Programa de Pós-Graduação em Ecologia de Ambientes Aquáticos Continentais, Departamento de Biologia, Núcleo de Pesquisas em Limnologia, Ictiologia e Aqüicultura (NUPELIA), Universidade Estadual de Maringá, Maringá, Brazil
| | - Taís de Fátima Ramos Guimarães
- Programa de Pós-Graduação em Ecologia, Departamento de Ecologia, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil
| | - Talitha Mayumi Francisco
- Laboratório de Ciências Ambientais, Universidade Estadual do Norte Fluminense, Rio de Janeiro, Brazil
| | - Tatiane Mantovano
- Programa de Pós-Graduação em Ecologia de Ambientes Aquáticos Continentais, Departamento de Biologia, Núcleo de Pesquisas em Limnologia, Ictiologia e Aqüicultura (NUPELIA), Universidade Estadual de Maringá, Maringá, Brazil
| | - Tatyana Gomes
- Departamento de Ciências Agrárias e Biológicas (DCAB), Universidade Federal do Espírito Santo, São Mateus, Brazil
| | - Telton Pedro Anselmo Ramos
- Programa de Pós-Graduação em Ciências Biológicas (Zoologia), Departamento de Sistemática e Ecologia - DSE, Centro de Ciências Exatas e da Natureza - CCEN, Universidade Federal da Paraíba - UFPB, Cidade Universitária, Campus I, João Pessoa, Brazil
| | | | - Thais Moura Emiliano
- Núcleo Integrado de Biotecnologia, Laboratório de Genética de Organismos Aquáticos e Aquicultura (LAGOAA) Universidade de Mogi das Cruzes, São Paulo, Brazil
| | | | - Thiago José Balbi
- Programa de Pós-Graduação em Ecologia de Ambientes Aquáticos Continentais, Departamento de Biologia, Núcleo de Pesquisas em Limnologia, Ictiologia e Aqüicultura (NUPELIA), Universidade Estadual de Maringá, Maringá, Brazil
| | - Thiago Nascimento da Silva Campos
- Laboratório de Ictioplâncton, Núcleo de Pesquisas em Limnologia, Ictiologia e Aquicultura (NUPÉLIA), Universidade Estadual de Maringá, Maringá, Brazil
| | - Thiago Teixeira Silva
- Laboratorio de Humedales, Diagnóstico y Manejo de Humedales Tropicales, División Académica de Ciencias Biológicas, Universidad Juárez Autónoma de Tabasco, Villahermosa, Mexico
| | - Thiago Vinícius Trento Occhi
- Laboratório de Ecologia e Conservação (LEC), Departamento de Engenharia Ambiental, Setor de Tecnologia, Universidade Federal do Paraná, Curitiba, Brazil
| | | | | | - Tiago Octavio Begot
- Laboratório de Ecologia e Conservação, Universidade Federal do Pará, Belém, Brazil
| | | | - Ueslei Lopes
- Laboratório de Biodiversidade Molecular e Conservação, Departamento de Genética e Evolução, Universidade Federal de São Carlos, São Carlos, Brazil
| | | | - Valéria Fagundes
- Programa de Pós-Graduação em Ciências Biológicas (PPGBAN), Universidade Federal do Espírito Santo, Vitória, Brazil
| | | | - Valter M Azevedo-Santos
- Departamento de Zoologia, Instituto de Biociências, Universidade Estadual Paulista, Botucatu, Brazil
| | - Vanessa Ribeiro
- Laboratório de Ecologia e Conservação (LEC), Departamento de Engenharia Ambiental, Setor de Tecnologia, Universidade Federal do Paraná, Curitiba, Brazil
| | | | | | | | - Vinicius Abilhoa
- Museu de História Natural Capão da Imbuia, Rua Professor Nivaldo Braga, Curitiba, Brazil
| | | | | | - Vivian de Mello Cionek
- Programa de Pós-Graduação em Ecologia de Ambientes Aquáticos Continentais, Departamento de Biologia, Núcleo de Pesquisas em Limnologia, Ictiologia e Aqüicultura (NUPELIA), Universidade Estadual de Maringá, Maringá, Brazil
| | - Viviane Prodocimo
- Departamento de Fisiologia, Universidade Federal do Paraná, Curitiba, Brazil
| | - Wagner Vicentin
- Universidade Estadual de Mato Grosso do Sul, Mundo Novo, Brazil
| | - Waldney Pereira Martins
- Universidade Estadual de Montes Claros, Campus Universitário Prof. Darcy Ribeiro, Montes Claros, Brazil
| | - Walna Micaelle de Moraes Pires
- Laboratório de Genética e Biologia Molecular, Centro de Estudos Superiores de Caxias, Universidade Estadual do Maranhão, São Luís, Brazil
| | - Weferson Júnio da Graça
- Programa de Pós-Graduação em Ecologia de Ambientes Aquáticos Continentais, Departamento de Biologia, Núcleo de Pesquisas em Limnologia, Ictiologia e Aqüicultura (NUPELIA), Universidade Estadual de Maringá, Maringá, Brazil
| | - Welber Senteio Smith
- Instituto de Biociências, Botucatu, Departamento de Morfologia, Laboratório de Biologia e Genética de Peixes, Universidade Estadual Paulista, São Paulo, Brazil
| | - Wesley Dáttilo
- Red de Ecoetología, Instituto de Ecología AC, Xalapa, Mexico
| | | | - Yuri Gomes Ponce de Carvalho Rocha
- Programa de Pós-Graduação em Ciências Biológicas (Zoologia), Departamento de Sistemática e Ecologia - DSE, Centro de Ciências Exatas e da Natureza - CCEN, Universidade Federal da Paraíba - UFPB, Cidade Universitária, Campus I, João Pessoa, Brazil
| | | | | |
Collapse
|
12
|
Araújo M, Machado C, Martins P, Gomes L, Gomes A, Pimenta S, Reis A. COVID-19 in a psychiatric hospital: Challenges and experiences. Int J Soc Psychiatry 2022; 68:469-470. [PMID: 33583237 DOI: 10.1177/0020764021995225] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Affiliation(s)
- Margarida Araújo
- Psychiatry Inpatient Unit, Hospital Magalhães Lemos, Porto, Portugal
| | - Carolina Machado
- Psychiatry Inpatient Unit, Hospital Magalhães Lemos, Porto, Portugal
| | - Paulo Martins
- Psychiatry Inpatient Unit, Hospital Magalhães Lemos, Porto, Portugal
| | - Liliana Gomes
- Psychiatry Inpatient Unit, Hospital Magalhães Lemos, Porto, Portugal
| | - Alexandre Gomes
- Psychiatry Inpatient Unit, Departamento de Psiquiatria e Saúde Mental do Algarve, Centro Hospitalar Universitário do Algarve, Faro, Portugal
| | - Sónia Pimenta
- Electroconvulsive Therapy Unit, Hospital de Magalhães Lemos, Porto, Portugal
| | - Ana Reis
- Head of Psychiatry Inpatient Unit C, Hospital Magalhães Lemos, Porto, Portugal
| |
Collapse
|
13
|
Duarte F, Barradas MI, Barradas MI, Oliveira L, Oliveira L, Serena C, Serena C, Fontes A, Fontes A, Monteiro A, Monteiro A, Machado C, Machado C, Dourado R, Dourado R, Santos E, Santos E, Pelicano N, Pelicano N, Pacheco M, Pacheco M, Tavares A, Tavares A, Martins D, Martins D. Risk scores in predicting adverse events after an acute coronary syndrome. Eur Heart J 2022. [DOI: 10.1093/eurheartj/ehab849.081] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Funding Acknowledgements
Type of funding sources: None.
Introduction
ST-segment elevation myocardial infarction (STEMI) is a serious event that usually occur in patients with cardiovascular risk factors and is associated with great morbidity and mortality.
PARIS ischemic risk score and TIMI score were validated to evaluate ischemic risk in STEMI patients who underwent percutaneous coronary intervention (PCI) and to estimate mortality, respectively.
Despite these specific purposes, the usefulness of these scores in predicting adverse cardiovascular events (ACE) is unknown.
Objectives
To assess the prognostic value of PARIS and TIMI scores for cardiovascular events, coronary ischemic events and mortality in patients after STEMI.
Methods
Retrospective single center cohort study enrolled 103 patients with STEMI diagnosis between 2018 and 2019, during a mean follow-up period 30.30 ± 6.46 months and patients were included regardless of the reperfusion strategy.
Primary endpoint (PE) was a composite of acute coronary events (ACE), admissions to the emergency department by heart failure (HF) decompensation or chronic coronary syndrome and HF hospitalization. Secondary endpoint (SE) was ACE. Cardiovascular and non-cardiovascular death was determined.
PARIS ischemic risk score was calculated and patients were stratified into low (0-2), intermediate (3-4) or high (≥ 5) ischemic risk categories. TIMI score was also assessed.
Results
Out of 103 patients with STEMI diagnosis, the median age was 58.15 ± 12.6 years and 85,4% were male. Fifty-seven patients (55.3%) had hypertension, 45 (43.7%) dyslipidemia, 18 (17.5%) diabetes, 17 (15.5%) were obese and seventy-eight patients (75.7%) had history of smoking. Twenty (19.4%) patients had a previous acute coronary syndrome and 15 underwent PCI.
Twenty-five (24.3%) patients were included in low PARIS ischemic risk category, 53 (51.5%) in intermediate risk and 20 (19.4%) in high risk category.
PE occurred in 16 patient (15.5%) and SE in 7 patients (6.8%).
Eight patients died during the follow-up period (7.8%), 4 of cardiovascular causes (50%), 3 of non-cardiovascular causes (37.5%) and 1 of unknown cause.
PARIS ischemic risk score showed prognostic value for PE, with an area under the curve (AUC) of 0.65, 95% confidence interval (CI) 0.506-0.806 and p-value 0.039.
PARIS score also had predictive value for SE (AUC 0.816, 95% CI 0.604-1.000; p 0.004) as well as TIMI score (AUC 0.738, 95% CI 0.560 – 0.917; p 0.032).
Both scores showed a good prognostic value in evaluating all-cause mortality, with a slightly better predictive value for TIMI score (AUC 0.91, 95% CI 0.802 – 1.00) when compared to PARIS score (AUC 0.84, 95% CI 0.685 – 0.987).
Conclusion
This study revealed that PARIS and TIMI scores have a good discriminatory power to predict prognosis in STEMI patients. According to our study results, these scores could be an interesting tool to determine the likelihood of fatal and non-fatal outcomes, including ACS.
Collapse
Affiliation(s)
- F Duarte
- Hospital Divino Espirito Santo, Ponta Delgada, Portugal
| | - M I Barradas
- Hospital Divino Espirito Santo, Ponta Delgada, Portugal
| | - M I Barradas
- Hospital Divino Espirito Santo, Ponta Delgada, Portugal
| | - L Oliveira
- Hospital Divino Espirito Santo, Ponta Delgada, Portugal
| | - L Oliveira
- Hospital Divino Espirito Santo, Ponta Delgada, Portugal
| | - C Serena
- Hospital Divino Espirito Santo, Ponta Delgada, Portugal
| | - C Serena
- Hospital Divino Espirito Santo, Ponta Delgada, Portugal
| | - A Fontes
- Hospital Divino Espirito Santo, Ponta Delgada, Portugal
| | - A Fontes
- Hospital Divino Espirito Santo, Ponta Delgada, Portugal
| | - A Monteiro
- Hospital Divino Espirito Santo, Ponta Delgada, Portugal
| | - A Monteiro
- Hospital Divino Espirito Santo, Ponta Delgada, Portugal
| | - C Machado
- Hospital Divino Espirito Santo, Ponta Delgada, Portugal
| | - C Machado
- Hospital Divino Espirito Santo, Ponta Delgada, Portugal
| | - R Dourado
- Hospital Divino Espirito Santo, Ponta Delgada, Portugal
| | - R Dourado
- Hospital Divino Espirito Santo, Ponta Delgada, Portugal
| | - E Santos
- Hospital Divino Espirito Santo, Ponta Delgada, Portugal
| | - E Santos
- Hospital Divino Espirito Santo, Ponta Delgada, Portugal
| | - N Pelicano
- Hospital Divino Espirito Santo, Ponta Delgada, Portugal
| | - N Pelicano
- Hospital Divino Espirito Santo, Ponta Delgada, Portugal
| | - M Pacheco
- Hospital Divino Espirito Santo, Ponta Delgada, Portugal
| | - M Pacheco
- Hospital Divino Espirito Santo, Ponta Delgada, Portugal
| | - A Tavares
- Hospital Divino Espirito Santo, Ponta Delgada, Portugal
| | - A Tavares
- Hospital Divino Espirito Santo, Ponta Delgada, Portugal
| | - D Martins
- Hospital Divino Espirito Santo, Ponta Delgada, Portugal
| | - D Martins
- Hospital Divino Espirito Santo, Ponta Delgada, Portugal
| |
Collapse
|
14
|
Duarte F, Barradas MI, Oliveira L, Serena C, Fontes A, Monteiro A, Machado C, Dourado R, Santos E, Pelicano N, Pacheco M, Tavares A, Martins D. Hemorrhagic risk scores in hospitalized patients with acute coronary syndrome: can they (only) predict bleeding events? Eur Heart J 2022. [DOI: 10.1093/eurheartj/ehab849.082] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Funding Acknowledgements
Type of funding sources: None.
Introduction
Acute coronary syndrome (ACS) is a life-threatening condition and its therapeutic approach increases the risk of important bleeding events which are associated with a worse prognosis. Along with hemorrhagic events, a drop on hemoglobin level not related to bleeding or the development of anemia could have a negative impact on prognosis.
Both CRUSADE and PARIS bleeding risk scores are used to evaluate and to stratify the risk of major bleeding in ACS. However their actual predictive value has been questioned and validity of these scores in predicting in-hospital mortality (IHM) is not established.
Objectives
To evaluate the actual prognostic value of CRUSADE and PARIS bleeding scores in ACS patients during their hospitalization stay.
Methods
Retrospective single center cohort study including 103 hospitalized patients after an acute ST-segment elevation myocardial infarction (STEMI) regardless of its reperfusion strategy.
In-hospital major hemorrhagic events (IHMHE), considered intracerebral hemorrhage, those resulting in hemodynamic compromise or requiring a blood transfusion, were assessed. Data on hemoglobin levels (HL) at hospital admission and at the time of hospital discharge were also collected and a composite endpoint (CE) of IHMHE and a drop in HL ≥ 3g/dL were elaborated.
Both scores were calculated for each patient, its predictive value and their impact on IHM were determined.
Results
Out of 103 patients enrolled, the median age was 58.15 ± 12.6 years and 85.4% were male.
Two IHMHE occurred, twenty patients (19.4%) had anemia at the time of hospital discharge and 16 of these patients (15.5%) were not anemic at the time of hospital admission. Nine (8.7%) patients had a drop in their HL of at least 3g/dL.
The five bleeding risk categories defined by CRUSADE investigators were used, with 48 (46.6%) patients in the very low risk category, 9 (8.7%) and 6 (5.8%) in the high and very high risk category, respectively.
Hospitalization length stay was 5.6 ± 4.1 days with an overall in-hospital mortality (IHM) of 5.8%.
Receiver operating characteristic curve (ROC) analysis showed that CRUSADE score had an excellent discriminatory power for the CE (AUC 0.927, 95% CI 0.854-1.000) and the PARIS score had an acceptable discriminatory value (AUC 0.775, 95% CI 0.616-0.935).
Both CRUSADE and PARIS bleeding scores also had prognostic value in evaluating IHM (AUC 0.929, 95% CI 0.856-1.000 and AUC 0.788, 95% CI 0.634-0.942, respectively).
No specific and independent predictors of IHMHE were found, neither related to individual characteristics nor to therapeutic approach.
Conclusion
The presenting study showed that CRUSADE and PARIS scores still have discriminatory power to assess CE and to assess IHM in ACS patients. Their addition to stratification tools could be of interest.
Collapse
Affiliation(s)
- F Duarte
- Hospital Divino Espirito Santo, Ponta Delgada, Portugal
| | - M I Barradas
- Hospital Divino Espirito Santo, Ponta Delgada, Portugal
| | - L Oliveira
- Hospital Divino Espirito Santo, Ponta Delgada, Portugal
| | - C Serena
- Hospital Divino Espirito Santo, Ponta Delgada, Portugal
| | - A Fontes
- Hospital Divino Espirito Santo, Ponta Delgada, Portugal
| | - A Monteiro
- Hospital Divino Espirito Santo, Ponta Delgada, Portugal
| | - C Machado
- Hospital Divino Espirito Santo, Ponta Delgada, Portugal
| | - R Dourado
- Hospital Divino Espirito Santo, Ponta Delgada, Portugal
| | - E Santos
- Hospital Divino Espirito Santo, Ponta Delgada, Portugal
| | - N Pelicano
- Hospital Divino Espirito Santo, Ponta Delgada, Portugal
| | - M Pacheco
- Hospital Divino Espirito Santo, Ponta Delgada, Portugal
| | - A Tavares
- Hospital Divino Espirito Santo, Ponta Delgada, Portugal
| | - D Martins
- Hospital Divino Espirito Santo, Ponta Delgada, Portugal
| |
Collapse
|
15
|
Gouveia E Melo R, Machado C, Caldeira D, Alves M, Lopes A, Serrano M, Fernandes E Fernandes R, Mendes Pedro L. Incidence of acute aortic dissections in patients with out of hospital cardiac arrest: A systematic review and meta-analysis of observational studies. Int J Cardiol Heart Vasc 2022; 38:100934. [PMID: 35005212 PMCID: PMC8717414 DOI: 10.1016/j.ijcha.2021.100934] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/13/2021] [Revised: 11/28/2021] [Accepted: 12/17/2021] [Indexed: 11/28/2022]
Abstract
Objectives Acute Aortic dissection (AAD) may present as out-of-hospital cardiac arrest (OHCA). However, the incidence of this presentation is not well known. Our aim was to perform a systematic review and meta-analysis of all observational studies reporting on the incidence of AAD in patients with OHCA. Methods We searched MEDLINE, CENTRAL, PsycInfo, Web of Science Core Collection and OpenGrey databases from inception to March-2021, for observational studies reporting on the incidence of AAD in patients with OHCA. Data was pooled using a random-effects model of proportions. The primary outcome was the incidence of AAD in OHCA patients. Secondary outcomes were the incidence of type A aortic dissections (TAAD) and type B aortic dissections (TBAD) in OHCA patients, overall mortality following AAD-OHCA and risk of death in AAD-OHCA patients compared to risk of death of non-AAD-OHCA patients. Results Fourteen studies were included. The pooled calculated incidence of OHCA due to AAD was 4.39% (95 %CI: 2.55; 6.8). Incidence of OHCA due to TAAD was 7.18% (95 %CI: 5.61; 8.93) and incidence of OHCA due to TBAD was 0.47% (95 %CI: 0.18; 0.85). Overall mortality following OHCA due to AAD was 100% (95 %CI: 97.62; 100). The risk of death in AAD-OHCA patients compared with non-AAD-OHCA patients was 1.10 (95 %CI: 0.94; 1.30). Conclusion AAD as a cause of OHCA is more frequent than previously thought. Prognosis is dire, as it is invariably lethal. These findings should lead to a higher awareness of AAD when approaching a patient with OHCA and to future studies on this matter.
Collapse
Affiliation(s)
- Ryan Gouveia E Melo
- Vascular Surgery Department, Hospital Santa Maria, Centro Hospitalar Universitário Lisboa Norte (CHULN). Avenida Professor Egas Moniz, 1649-028 Lisboa, Portugal.,Faculty of Medicine, University of Lisbon, Avenida Professor Egas Moniz, 1649-028 Lisboa, Portugal.,Cardiovascular Center of the University of Lisbon (CCUL), Avenida Professor Egas Moniz, 1649-028 Lisboa, Portugal
| | - Carolina Machado
- Faculty of Medicine, University of Lisbon, Avenida Professor Egas Moniz, 1649-028 Lisboa, Portugal
| | - Daniel Caldeira
- Faculty of Medicine, University of Lisbon, Avenida Professor Egas Moniz, 1649-028 Lisboa, Portugal.,Cardiovascular Center of the University of Lisbon (CCUL), Avenida Professor Egas Moniz, 1649-028 Lisboa, Portugal.,Laboratory of Clinical Pharmacology and Therapeutics, Faculty of Medicine, University of Lisbon, Avenida Professor Egas Moniz, 1649-028 Lisboa, Portugal.,Instituto de Medicina Molecular, Faculty of Medicine, University of Lisbon, Lisboa, Portugal.,Serviço de Cardiologia, Hospital Universitário de Santa Maria (CHULN), Avenida Professor Egas Moniz, 1649-028 Lisboa, Portugal
| | - Mariana Alves
- Faculty of Medicine, University of Lisbon, Avenida Professor Egas Moniz, 1649-028 Lisboa, Portugal.,Laboratory of Clinical Pharmacology and Therapeutics, Faculty of Medicine, University of Lisbon, Avenida Professor Egas Moniz, 1649-028 Lisboa, Portugal.,Instituto de Medicina Molecular, Faculty of Medicine, University of Lisbon, Lisboa, Portugal.,Serviço de Medicina III, Hospital Pulido Valente (CHULN), Lisboa, Portugal
| | - Alice Lopes
- Vascular Surgery Department, Hospital Santa Maria, Centro Hospitalar Universitário Lisboa Norte (CHULN). Avenida Professor Egas Moniz, 1649-028 Lisboa, Portugal.,Cardiovascular Center of the University of Lisbon (CCUL), Avenida Professor Egas Moniz, 1649-028 Lisboa, Portugal
| | - Maria Serrano
- Faculty of Medicine, University of Lisbon, Avenida Professor Egas Moniz, 1649-028 Lisboa, Portugal.,Intensive Medicine Department, Hospital Santa Maria, Centro Hospitalar Universitário Lisboa Norte (CHULN), Avenida Professor Egas Moniz, 1649-028 Lisboa, Portugal
| | - Ruy Fernandes E Fernandes
- Vascular Surgery Department, Hospital Santa Maria, Centro Hospitalar Universitário Lisboa Norte (CHULN). Avenida Professor Egas Moniz, 1649-028 Lisboa, Portugal.,Faculty of Medicine, University of Lisbon, Avenida Professor Egas Moniz, 1649-028 Lisboa, Portugal.,Cardiovascular Center of the University of Lisbon (CCUL), Avenida Professor Egas Moniz, 1649-028 Lisboa, Portugal
| | - Luís Mendes Pedro
- Vascular Surgery Department, Hospital Santa Maria, Centro Hospitalar Universitário Lisboa Norte (CHULN). Avenida Professor Egas Moniz, 1649-028 Lisboa, Portugal.,Faculty of Medicine, University of Lisbon, Avenida Professor Egas Moniz, 1649-028 Lisboa, Portugal.,Cardiovascular Center of the University of Lisbon (CCUL), Avenida Professor Egas Moniz, 1649-028 Lisboa, Portugal
| |
Collapse
|
16
|
Barradas Da Silva M, Duarte F, Oliveira L, Serena C, Fontes A, Monteiro A, Machado C, Dourado R, Santos E, Pelicano N, Pacheco M, Tavares A, Martins D. STEMI treatment in remote areas – challenges of the only interventional angioplasty center located in an archipelago. Eur Heart J 2021. [DOI: 10.1093/eurheartj/ehab724.1443] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Abstract
Background
In remote islands lack of specialized medical facilities, long distance transfer and emergency medical system organization remains a challenge and fibrinolysis is necessary to achieve revascularization in optimal timing in ST-elevation myocardial infarction (STEMI) patients. Our angioplasty center is the only one located in an archipelago composed of nine islands, six of which do not have hospital facilities and only have small family health care units.
Purpose
To evaluate the reality and outcomes of our interventional angioplasty center and compare cardiovascular outcomes between STEMI patients from the main island and remote islands.
Methods
We retrospectively evaluated 103 patients with STEMI admitted to our center between 2018 and 2019. Patients from the main island where the center is located underwent primary percutaneous coronary intervention (PCI) (group 1, n=55) and patients from remote islands underwent fibrinolytic therapy followed by transference to our center with facilitated or rescue PCI (group 2, n=48). A subanalysis of the far remote islands without hospital facilities was also performed. Primary outcome was defined as cardiovascular death or re-infarction at two years and secondary outcome as intrahospital haemorrhagic complications.
Results
Mean age was 58,15±12,6 years, 85,4% were males and follow up period was 30,30±6,46 months. Seventy-eight patients (75,7%) had history of smoking, 45 (43,7%) dyslipidemia, 20 (19,4%) previous acute coronary syndrome, 18 (17,5%) diabetes and 17 (15,5%) were obese. Troponin I peak was 117,42±129,06 ug/L and 14 (13,6%) were in Killip Class III/IV. Infarct-related artery was the left anterior descending artery in 45 (45,5%) and multivessel disease was present in 38 (38,0%). In group 1 reperfusion after PCI was obtained in 91,5%. In group 2, 73,5% met criteria for reperfusion after fibrinolysis and 23,6% after rescue PCI. Mean time from fibrinolysis to PCI was 558±349 minutes. Rates of successful revascularization did not differ between groups, as well as complete patency of the culprit-vessel defined as thrombolysis in myocardial infarction (TIMI) flow 3 (91,5% vs. 97,2% and 90,0% vs. 93,0% respectively for group 1 and 2). Cardiovascular death at two years occurred in 4 (3,9%) patients and re-infarction in 11 (10,7%) and were similar between groups (3 (5,5%) vs. 1 (2,1%) and 8 (14,5%) vs. 3 (6,3%) respectively) as well as haemorrhagic complications (1 (1,8%) vs. 5 (10,4%) respectively). Nineteen (18,4%) patients were from far remote islands without hospital facilities and when comparing these patients with the others there was also no difference in primary outcome.
Conclusion
Even in remote islands, an organized STEMI network with attempted fibrinolytic treatment and coordinated transference of patients for facilitated or rescue PCI can provide successful revascularization with cardiovascular outcomes similar to those submitted to primary PCI.
Funding Acknowledgement
Type of funding sources: None.
Collapse
Affiliation(s)
| | - F Duarte
- Hospital Divino Espirito Santo, Ponta Delgada, Portugal
| | - L Oliveira
- Hospital Divino Espirito Santo, Ponta Delgada, Portugal
| | - C Serena
- Hospital Divino Espirito Santo, Ponta Delgada, Portugal
| | - A Fontes
- Hospital Divino Espirito Santo, Ponta Delgada, Portugal
| | - A Monteiro
- Hospital Divino Espirito Santo, Ponta Delgada, Portugal
| | - C Machado
- Hospital Divino Espirito Santo, Ponta Delgada, Portugal
| | - R Dourado
- Hospital Divino Espirito Santo, Ponta Delgada, Portugal
| | - E Santos
- Hospital Divino Espirito Santo, Ponta Delgada, Portugal
| | - N Pelicano
- Hospital Divino Espirito Santo, Ponta Delgada, Portugal
| | - M Pacheco
- Hospital Divino Espirito Santo, Ponta Delgada, Portugal
| | - A Tavares
- Hospital Divino Espirito Santo, Ponta Delgada, Portugal
| | - D Martins
- Hospital Divino Espirito Santo, Ponta Delgada, Portugal
| |
Collapse
|
17
|
Oliveira L, Machado C, Almeida C, Fatima Loureiro M, Martins D. Non-ST elevation myocardial infarction in patients with previous CABG: what is the best treatment option? Eur Heart J 2021. [DOI: 10.1093/eurheartj/ehab724.1408] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Background
Current European Society of Cardiology guidelines recommend an invasive strategy (IS) for the treatment of non-ST elevation myocardial infarction (NSTEMI) patients, but the clinical trials that support this recommendations included only a few patients with previous coronary artery bypass graft (CABG).
Purpose
To characterize NSTEMI patients with previous CABG who underwent medical and invasive management and to evaluate the prognostic impact of the type of strategy used.
Methods
Retrospective analysis of a cohort of patients from a multicenter national registry diagnosed with NSTEMI with a previous history of CABG between 2010 and 2021. Patient's baseline demographics, medical history and in-hospital management data was collected. Outcomes of in-hospital and six months follow-up all-cause mortality were accessed.
Results
A total of 890 patients were included in the analysis. Of these, 470 were medically managed (MM) – this group included 249 patients (53.1%) who underwent coronary angiography but did not perform any further revascularization. The remaining 420 underwent an invasive strategy (IS) and performed additional revascularization, mainly percutaneous (only 1 patient submitted to reCABG). Mean age was similar (MM 72±10 vs IS 71±10 years, p=0.147) and most patients were male (MM 81.5% vs IS 83.8%, p=0.362). MM patients had more chronic kidney disease (16.7% vs 9.9%, p=0.003), peripheral artery disease (20.5% vs 15.0%, p=0.003) and heart failure (20.5% vs 11.9%, p<0.001). Main presenting symptom was chest pain in both groups, however it was more frequent in the IS group (89.4% vs 94.5%, p=0.006) and dyspnea in the MM patients (6.3% vs 3.1%). Mean left ventricle ejection fraction was similar between groups (MM 49±12% vs IS 50±11%, p=0.290). Although the GRACE risk score was available for only 124 patients, high risk patients (GRACE score >140) were equally distributed among the two groups (55.9% vs 48.2%, p=0.395). An IS was associated with significant lower in-hospital mortality (4.5% vs 1.7%, OR 0.37, 95% CI 0.15–0.87, p=0.018). At six months follow-up an IS was also associated with lower mortality (6.6% vs 2.4%, HR 0.18, 95% CI 0.06–0.52, p=0.002), even after adjusting for the baseline differences (HR 0.41, 95% CI 0.20–0.85, p=0.016).
Conclusions
In this cohort of patients with NSTEMI and previous CABG, an IS was linked to better outcomes during hospitalization and during six months follow-up. Randomized clinical trials are needed to address this issue.
Funding Acknowledgement
Type of funding sources: None.
Collapse
Affiliation(s)
- L Oliveira
- Hospital Divino Espirito Santo, Cardiology, Ponta Delgada, Portugal
| | - C Machado
- Hospital Divino Espirito Santo, Cardiology, Ponta Delgada, Portugal
| | - C Almeida
- Hospital Divino Espirito Santo, Cardiology, Ponta Delgada, Portugal
| | | | - D Martins
- Hospital Divino Espirito Santo, Cardiology, Ponta Delgada, Portugal
| | | |
Collapse
|
18
|
Oliveira L, Campante Teles R, Machado C, Madeira S, Vale N, Almeida C, Brito J, Leal S, Raposo L, Araujo Goncalves P, Pacheco A, Mesquita Gabriel H, Almeida M, Martins D, Mendes M. Impact of COVID-19 pandemic on ST-elevation myocardial infarction: data from two Portuguese centers. Eur Heart J 2021. [DOI: 10.1093/eurheartj/ehab724.1316] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Abstract
Introduction
Recently during the COVID-19 pandemic there was a general belief in a reduction of hospital admissions due to non-infectious causes, namely cardiovascular diseases.
Objectives
To evaluate the impact of the pandemic in the admissions by ST elevation acute myocardial infarction (STEMI), during the first pandemic wave.
Methods
Multicentric and retrospective analysis of consecutive patients presenting in two Portuguese hospital centers with STEMI in two sequential periods – P1 (1st March to 30th April) and P2 (1st May to 30th June). A comparison of patient's clinical and hospital outcomes data was performed between the year 2020 and 2017 to 2019 for both periods.
Results
A total of 347 consecutive STEMI patients were included in this study. The patient's baseline characteristics and cardiovascular risk factors were similar across the considered periods. During P1 of 2020, in comparison with previous years, a reduction in the number of STEMI patients was observed (26.0±4.2 vs 16.5±4.9 cases per month; p=0.033), contrary to what was observed during P2 (19.5±0.7 vs 20.5±0.7 cases per month; p=0.500). Percutaneous coronary interventions in the setting of failed thrombolysis were more frequent (1.9% vs 9.1%; p=0.033). A global trend in longer delays in time-key bundles of STEMI care was noted, namely pain to first medical contact, door to needle, door to wire crossing and symptoms to wire crossing times, however without statistical significance. Mortality rate was six-fold higher during P1 comparing to previous years (1.9% vs 12.1%; p=0.005), and also an increase in the number of mechanical complications (0.0% vs 3.0%; p=0.029) was observed.
Conclusions
During the first COVID-19 pandemic wave there were fewer patients presenting with STEMI at catheterization laboratory for coronary angioplasty. These patients presented more mechanical complications and higher mortality rates.
Funding Acknowledgement
Type of funding sources: None.
Collapse
Affiliation(s)
- L Oliveira
- Hospital Divino Espirito Santo, Cardiology, Ponta Delgada, Portugal
| | | | - C Machado
- Hospital Divino Espirito Santo, Cardiology, Ponta Delgada, Portugal
| | - S Madeira
- Hospital Santa Cruz, Lisbon, Portugal
| | - N Vale
- Hospital Santa Cruz, Lisbon, Portugal
| | - C Almeida
- Hospital Divino Espirito Santo, Cardiology, Ponta Delgada, Portugal
| | - J Brito
- Hospital Santa Cruz, Lisbon, Portugal
| | - S Leal
- Hospital Santa Cruz, Lisbon, Portugal
| | - L Raposo
- Hospital Santa Cruz, Lisbon, Portugal
| | | | - A Pacheco
- Hospital Divino Espirito Santo, Cardiology, Ponta Delgada, Portugal
| | | | - M Almeida
- Hospital Santa Cruz, Lisbon, Portugal
| | - D Martins
- Hospital Divino Espirito Santo, Cardiology, Ponta Delgada, Portugal
| | - M Mendes
- Hospital Santa Cruz, Lisbon, Portugal
| |
Collapse
|
19
|
Oliveira L, Duarte F, Barradas MI, Serena C, Fontes A, Almeida C, Machado C, Dourado R, Monteiro A, Santos E, Pelicano N, Pacheco A, Tavares A, Martins D. Early and long term prognostic accuracy of 4 acute pulmonary embolism mortality risk scores. Eur Heart J 2021. [DOI: 10.1093/eurheartj/ehab724.1893] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Background
Acute pulmonary embolism (PE) is a frequent condition associated with significant morbidity and mortality. Multiple scores have been developed and validated to predict 30-day mortality risk, however accurate prognostic assessment remains a challenge in clinical practice.
Purpose
To compare the performance of PESI, simplified PESI, Hestia and Bova scores in predicting in-hospital, 30-day and 1-year mortality risk for acute PE.
Methods
We retrospectively assessed consecutive patients from a single center registry who were hospitalized with acute PE between January 2017 and October 2020. Discriminative power of each score was assessed by receiver operating characteristic curve analysis. Charlson comorbidity index (CCI) was also assessed for comparison.
Results
A total of 131 patients with a mean age of 67.6±15.3 years were included with a mean follow-up of 46.3±17.7 months. Thirty-six patients (27.5%) had a recent hospitalization or major surgery and 26 (19.8%) a medical history of cancer. Besides anticoagulation, 7 patients (5.3%) underwent fibrinolysis. Overall in-hospital mortality was 8.4%, 30-day mortality 12.2% and 1-year mortality 19.8%. All acute PE scores, except Bova score, were significantly higher in those patients who died during hospitalization and on 30-day and 1-year follow-up. CCI was also higher in those patients. Discriminative power for in-hospital mortality was higher for PESI (c-statistic 0.84, 95% CI 0.74–0.93, p=0.002), followed by sPESI (c-statistic 0.77, 95% CI 0.65–0.90, p=0.010) and Hestia (c-statistic 0.77, 95% CI 0.61–0.92, p=0.011). The Bova score showed a poor discriminative power for prediction of in-hospital mortality (c-statistic 0.61, 95% CI 0.43–0.78, p=0.325). For 30-day and 1-year mortality PESI score still maintained the best performance with acceptable discriminative power (c-statistic 0.73, 95% CI 0.61–0.85, p=0.007 for 30-day mortality; c-statistic 0.80, 95% CI 0.71–0.89, p<0.0001 for 1-year mortality). However at longer follow-up CCI had a better performance to predict worse outcomes (c-statistic 0.79, 95% CI 0.65–0.92, p=0.001 for 30-day mortality; c-statistic 0.83, 95% CI 0.74–0.92, p<0.0001 for 1-year mortality).
Conclusions
All scores, except Bova score, showed overall good performance in stratifying mortality for acute PE, however PESI score performed better in this population particularly at shorter follow-up. At longer follow-up, although PESI score maintained an acceptable performance, comorbidities seem to play a bigger role. The different performance of multiple scores highlights the complexity of this condition.
Funding Acknowledgement
Type of funding sources: None. ROC curves for mortality risk scores
Collapse
Affiliation(s)
- L Oliveira
- Hospital Divino Espirito Santo, Cardiology, Ponta Delgada, Portugal
| | - F Duarte
- Hospital Divino Espirito Santo, Cardiology, Ponta Delgada, Portugal
| | - M I Barradas
- Hospital Divino Espirito Santo, Cardiology, Ponta Delgada, Portugal
| | - C Serena
- Hospital Divino Espirito Santo, Cardiology, Ponta Delgada, Portugal
| | - A Fontes
- Hospital Divino Espirito Santo, Cardiology, Ponta Delgada, Portugal
| | - C Almeida
- Hospital Divino Espirito Santo, Cardiology, Ponta Delgada, Portugal
| | - C Machado
- Hospital Divino Espirito Santo, Cardiology, Ponta Delgada, Portugal
| | - R Dourado
- Hospital Divino Espirito Santo, Cardiology, Ponta Delgada, Portugal
| | - A Monteiro
- Hospital Divino Espirito Santo, Cardiology, Ponta Delgada, Portugal
| | - E Santos
- Hospital Divino Espirito Santo, Cardiology, Ponta Delgada, Portugal
| | - N Pelicano
- Hospital Divino Espirito Santo, Cardiology, Ponta Delgada, Portugal
| | - A Pacheco
- Hospital Divino Espirito Santo, Cardiology, Ponta Delgada, Portugal
| | - A Tavares
- Hospital Divino Espirito Santo, Cardiology, Ponta Delgada, Portugal
| | - D Martins
- Hospital Divino Espirito Santo, Cardiology, Ponta Delgada, Portugal
| |
Collapse
|
20
|
Duarte F, Barradas M, Oliveira L, Serena C, Dourado R, Fontes A, Monteiro A, Machado C, Santos E, Pelicano N, Tavares A, Pacheco M, Martins D. New York Heart Association class change on heart failure patients with implantable devices: does it matters? Eur Heart J 2021. [DOI: 10.1093/eurheartj/ehab724.0697] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Background
Chronic heart failure (CHF) is a pathology with high prevalence and an important cause of morbidity and mortality. Benefits of implantable devices have been demonstrated in selected groups of patients with benefits on symptoms and heart failure hospitalization.
Purpose
To determine the clinical impact of New York Heart Association class change (NYHA) in patients with CHF and Cardiac Implantable Electric Devices (CIEDs).
Methods
We retrospectively enrolled 178 consecutive patients with CHF and CIEDs between November 2003 and January 2021, during a follow-up period of 51±43,9 months. Patients demographic characteristic and NYHA class change impact on occurrence of arrhythmic events, heart failure hospitalization (HFH) or long-term admission in an emergency department were assessed. Patients with NYHA class change were considered responders to therapy.
Results
Out of 178 patients enrolled in this study, sixty-seven (37,6%) had a reduction ≥1 in NYHA functional class and in this group, 61 patients (91,0%) had a cardiac resynchronization therapy (CRT) and 9% had an implantable cardioverter defibrillator. Mean age 68±11,3 years, 44 (65,7%) patients were male, 33 (49,2%) were in NYHA class II, 30 (44,8%) NYHA class III and 4 (6%) NYHA class IV. Mean QRS width 129,9±63,1 ms before CIEDs. Fifty-eight patients (86,6%) had an improvement in one NYHA functional class and 9 patients (13,4%) in two NYHA functional class.
Fourty NYHA responders patients (59,7%) had paroxistic or permanent atrial fibrillation and 31,9% had an epicardial coronary artery disease, that was a negative predictor of NYHA response (p=0,012).
A total of 35 (19,7%) enrolled patients experience non-sustained ventricular tachycardia (NSVT) and 74,3% were non-responders (p=0,019).
There was fifteen and twenty HFH at 2 and 5 years of follow-up, respectively, and we observed that an improvement in NYHA class was associated with a reduction in HFH at 2 years of follow-up (p=0,043; OR 0,029, 95% CI 0,050–1,06) and 5 years of follow-up (p 0,027, OR 0,252; 95% CI 0,069 – 0,915). Emergency department (ED) admission related to HF decompensations was significantly reduced at 2 years of follow-up (p=0,035, OR 0,22, 95% CI 0,048 – 1,0) and at 5 years of follow-up (p=0,001, OR 0,15, 95% CI 0,044 – 0,55).
There was no difference on cardiovascular or all-cause mortality.
Conclusion
CHF patients with CIEDs and improving on NYHA class have less NSVT episodes, HFH and HF decompensations with ED admission, both at 2 and 5 years of follow-up.
Funding Acknowledgement
Type of funding sources: None.
Collapse
Affiliation(s)
- F Duarte
- Hospital Divino Espirito Santo, Ponta Delgada, Portugal
| | - M.I Barradas
- Hospital Divino Espirito Santo, Ponta Delgada, Portugal
| | - L Oliveira
- Hospital Divino Espirito Santo, Ponta Delgada, Portugal
| | - C Serena
- Hospital Divino Espirito Santo, Ponta Delgada, Portugal
| | - R Dourado
- Hospital Divino Espirito Santo, Ponta Delgada, Portugal
| | - A Fontes
- Hospital Divino Espirito Santo, Ponta Delgada, Portugal
| | - A Monteiro
- Hospital Divino Espirito Santo, Ponta Delgada, Portugal
| | - C Machado
- Hospital Divino Espirito Santo, Ponta Delgada, Portugal
| | - E Santos
- Hospital Divino Espirito Santo, Ponta Delgada, Portugal
| | - N Pelicano
- Hospital Divino Espirito Santo, Ponta Delgada, Portugal
| | - A Tavares
- Hospital Divino Espirito Santo, Ponta Delgada, Portugal
| | - M Pacheco
- Hospital Divino Espirito Santo, Ponta Delgada, Portugal
| | - D Martins
- Hospital Divino Espirito Santo, Ponta Delgada, Portugal
| |
Collapse
|
21
|
Barradas Da Silva M, Duarte F, Oliveira L, Serena C, Fontes A, Monteiro A, Machado C, Dourado R, Santos E, Pelicano N, Pacheco M, Tavares A, Martins D. Non-sustained ventricular tachycardia on remote patient monitoring in heart failure patients. Eur Heart J 2021. [DOI: 10.1093/eurheartj/ehab724.0974] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Background
Non-sustained ventricular tachycardia (NSVT) is commonly found in patients with structural heart disease and was historically obtained from registers of external ambulatory monitoring. The advent of remote patient monitoring (RPM) in Cardiac implantable electronic devices (CIEDs) has made it possible to detect asymptomatic NSVT in Heart Failure (HF) patients more frequently, but its impact in real world is uncertain.
Purpose
To determine the clinical impact of NSVT detection in RPM in ischemic and non-ischemic chronic heart failure patients with reduced ejection fraction (HFrEF) and CIEDs.
Methods
We retrospectively enrolled 121 consecutive patients with HFrEF, CIEDs and RPM. Patients were evaluated through routine episodic CIEDs interrogation, routine clinical evaluations and continuous monitoring data obtained from CIEDs and transmitted remotely to the care team and divided into NSVT positive (Group 1) and negative groups (Group 2). Primary endpoint was admissions to the emergency department by HF decompensation and secondary endpoint was the occurrence of arrhythmic events. A sub-analysis of non-ischemic HF was also performed.
Results
NSVT was detected in 78 (72,2%) patients. The mean number of episodes of NSVT was 611,68±3271,25 during the follow-up period or 2,445±16,688 in 24 hours. Mean age was 62,40±13,218 years, 71,9% were males and mean follow-up period was 56,30±39,37 months. Fifty-eight patients (47,9%) had transvenous implantable cardioverter defibrillator (ICD), 48 (39,7%) implantable cardiac resynchronization therapy (CRT) defibrillator (CRT-D), 14 (11,6%) subcutaneous ICD (S-ICD) and 1 (0,8%) CRT pacemaker (CRT-P). Medium left ventricular ejection fraction (LVEF) was 34,70±12,53%, 25 (23,14%) were in NYHA III-IV and 46 (39,0%) were ischemic (29 (37,7%) in Group 1 and 11 (37,9%) in Group 2). NSVT was associated with the occurrence of sustained ventricular tachycardia (VT) (1,88±0,186episodes of VT in group 1 and 0,03±0,186 in group 2, p=0,012), ventricular fibrillation (VF) (1,44±5,325 episodes of VT in group 1 and 0,03±0,186 in group 2, p=0,011) and admissions to the emergency department by HF decompensation at 5 years (r=0,310, p=0,011). A sub-analysis in non-ischemic HF patients also showed correlation between NSVT and VT (r=0,602, p<0,05) and admissions to the emergency department by HF decompensation at 5 years (r=0,382, p=0,014).
Conclusions
On remote patient monitoring with CIEDs, NSVT in HF patients was associated with arrhythmic events and may serve as a predictor for HF decompensations.
Funding Acknowledgement
Type of funding sources: None.
Collapse
Affiliation(s)
| | - F Duarte
- Hospital Divino Espirito Santo, Ponta Delgada, Portugal
| | - L Oliveira
- Hospital Divino Espirito Santo, Ponta Delgada, Portugal
| | - C Serena
- Hospital Divino Espirito Santo, Ponta Delgada, Portugal
| | - A Fontes
- Hospital Divino Espirito Santo, Ponta Delgada, Portugal
| | - A Monteiro
- Hospital Divino Espirito Santo, Ponta Delgada, Portugal
| | - C Machado
- Hospital Divino Espirito Santo, Ponta Delgada, Portugal
| | - R Dourado
- Hospital Divino Espirito Santo, Ponta Delgada, Portugal
| | - E Santos
- Hospital Divino Espirito Santo, Ponta Delgada, Portugal
| | - N Pelicano
- Hospital Divino Espirito Santo, Ponta Delgada, Portugal
| | - M Pacheco
- Hospital Divino Espirito Santo, Ponta Delgada, Portugal
| | - A Tavares
- Hospital Divino Espirito Santo, Ponta Delgada, Portugal
| | - D Martins
- Hospital Divino Espirito Santo, Ponta Delgada, Portugal
| |
Collapse
|
22
|
Barradas Da Silva M, Duarte F, Oliveira L, Serena C, Fontes A, Monteiro A, Machado C, Dourado R, Santos E, Pelicano N, Pacheco M, Tavares A, Martins D. Prognostic significance of non-sustained ventricular tachycardia on stored electrograms of heart failure patients with cardiovascular implantable electronic devices. Eur Heart J 2021. [DOI: 10.1093/eurheartj/ehab724.0975] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
Abstract
Background
Non-sustained ventricular tachycardia (NSVT) is commonly found in patients with structural heart disease and was historically obtained from registers of external ambulatory monitoring. The advent of Cardiac implantable electronic devices (CIEDs) has made it possible to detect asymptomatic NSVT in Heart Failure (HF) patients more frequently, but its true impact in real world is uncertain, and often does not lead to a change in clinical intervention.
Purpose
To determine the prognostic significance of NSVT detection on stored electrograms of CIEDs in HF patients with systolic left ventricle dysfunction.
Methods
We retrospectively enrolled 132 consecutive HF patients (mean age 67,5±11,1 years, males 72,0%) with systolic left ventricle dysfunction and CIEDs (biventricular pacemakers with or without cardiac defibrillators). Patients were evaluated through CIEDs interrogation and clinical evaluations and divided into NSVT positive (Group 1) and negative groups (Group 2). Mean follow-up period was 62,8±7,1 months.
Results
NSVT was detected in 51 (38,6%) patients. 70 (53,0%) had implantable cardiac resynchronization therapy (CRT) defibrillator (CRT-D), 37 (28,0%) transvenous implantable cardioverter defibrillator (ICD), 13 (9,8%) CRT pacemaker (CRT-P) and 12 (9,1%) subcutaneous ICD (S-ICD). Medium left ventricular ejection fraction (LVEF) was 31,1±7,9%, 20,6% were in NYHA III-IV and 47,0% were ischemic (49% Group 1 and 45,7% Group 2, p=0,708). Dyslipidemia was more prevalent in Group 2 (p=0,042). In total 11 (8,3%) patients died, 2 (1,5%) from sudden cardiac death and 5 (3,8%) from cardiovascular death. NSVT was associated with CIEDs treatments (hazard ratio [HR]2,52; 95% confidence interval [CI]1,2–5,1; p=0,001), ventricular fibrillation (VF) (HR: 3,71, 95% CI: 1,19–11,58; p=0,018), sustained ventricular tachycardia (VT) (HR: 9,06, 95% CI: 2,82–29,12; p<0,05) and composite outcome of VT, VF, HF re-admissions and related admissions to emergency department (ED) and death by all causes (HR: 2,52; 95% CI: 1,20–5,10; p=0,011). NSVT at 1 year was associated with HF readmissions at 1 year (p=0,004).
Conclusions
On extended monitoring possible with CIEDs, NSVT in HF patients was associated with a worse prognosis and may serve as a predictor of significant arrhythmic events, HF hospitalizations and mortality. These findings enhances the importance of remote monitoring and optimization of therapeutic modalities in these patients along with a close supervision.
Funding Acknowledgement
Type of funding sources: None.
Collapse
Affiliation(s)
| | - F Duarte
- Hospital Divino Espirito Santo, Ponta Delgada, Portugal
| | - L Oliveira
- Hospital Divino Espirito Santo, Ponta Delgada, Portugal
| | - C Serena
- Hospital Divino Espirito Santo, Ponta Delgada, Portugal
| | - A Fontes
- Hospital Divino Espirito Santo, Ponta Delgada, Portugal
| | - A Monteiro
- Hospital Divino Espirito Santo, Ponta Delgada, Portugal
| | - C Machado
- Hospital Divino Espirito Santo, Ponta Delgada, Portugal
| | - R Dourado
- Hospital Divino Espirito Santo, Ponta Delgada, Portugal
| | - E Santos
- Hospital Divino Espirito Santo, Ponta Delgada, Portugal
| | - N Pelicano
- Hospital Divino Espirito Santo, Ponta Delgada, Portugal
| | - M Pacheco
- Hospital Divino Espirito Santo, Ponta Delgada, Portugal
| | - A Tavares
- Hospital Divino Espirito Santo, Ponta Delgada, Portugal
| | - D Martins
- Hospital Divino Espirito Santo, Ponta Delgada, Portugal
| |
Collapse
|
23
|
Markus J, Letasiova S, Belich M, Robas N, Kanumilli S, Machado C, Ayehunie S. In vitro modeling of inflammation-induced intestinal barrier damage and repair with therapeutic candidates. Toxicol Lett 2021. [DOI: 10.1016/s0378-4274(21)00780-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
|
24
|
Cruz L, Silva A, Lopes J, Damas D, Lourenço J, Costa A, Silva F, Sousa J, Galego O, Nunes C, Veiga R, Machado C, Rodrigues B, Cecilia C, Almendra L, Bras A, Santo G, Machado E, Sargento-Freitas J. Early Cerebrovascular Ultrasonography as a Predictor of Hemorrhagic Transformation After Thrombectomy. J Stroke Cerebrovasc Dis 2021; 30:105922. [PMID: 34157670 DOI: 10.1016/j.jstrokecerebrovasdis.2021.105922] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/10/2020] [Revised: 03/25/2021] [Accepted: 05/26/2021] [Indexed: 12/01/2022] Open
Abstract
OBJECTIVES To determine the predictive value of early transcranial color-coded sonography (TCCS) for intracranial hemorrhage (ICH) in patients with large artery occlusion (LAO) stroke of carotid circulation, who were submitted to endovascular therapy (EVT) with successful reperfusion. MATERIALS AND METHODS Retrospective study evaluating a cohort of consecutive stroke patients with LAO of the carotid circulation that were recanalyzed with EVT. We measured angle-corrected peak systolic velocities, end-diastolic velocities and mean flow velocities (PSV, EDV and MFV) of the symptomatic and asymptomatic middle cerebral artery (MCA). The ratio between MFV of the symptomatic MCA and MFV of the asymptomatic MCA (MCA-Ra) was calculated. Parenchymal hematoma in the 24 hours control CT was considered as ICH. Univariate associations and multivariate analyses were used to identify early independent predictors for ICH among TCCS findings. RESULTS We included 234 patients, mean age 72.5 (SD 12.6) years, 52.1% male. The mean time between recanalization and TCCS was 12.3 hours (range 3-22). Patients who developed postinterventional ICH showed a higher MCA-Ra (1.02 ± 0.26 vs 1.16 ± 0,21, p = 0.036). In multivariate analysis, only higher MCA-Ra remained independently associated with postinterventional ICH (OR: 6.778, 95%CI: 1.152-39.892, p = 0.034). A value of MCA-Ra ≥ 1,05 was associated with ICH, showing a sensitivity of 81.3% and a specificity of 65.9%; the AUC based of the ROC analysis was 0.688 (95% CI 0.570-0.806). CONCLUSION TCCS performed within the first 24 hours after stroke onset can help to predict hemorrhagic transformation in patients with LAO.
Collapse
Affiliation(s)
- L Cruz
- Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
| | - A Silva
- Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
| | - J Lopes
- Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
| | - D Damas
- Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
| | - J Lourenço
- Faculdade de Medicina da Universidade de Coimbra, Coimbra, Portugal
| | - A Costa
- Faculdade de Medicina da Universidade de Coimbra, Coimbra, Portugal
| | - F Silva
- Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
| | - J Sousa
- Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
| | - O Galego
- Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
| | - C Nunes
- Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
| | - R Veiga
- Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
| | - C Machado
- Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
| | - B Rodrigues
- Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
| | - C Cecilia
- Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
| | - L Almendra
- Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
| | - A Bras
- Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
| | - G Santo
- Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
| | - E Machado
- Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
| | - J Sargento-Freitas
- Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal; Faculdade de Medicina da Universidade de Coimbra, Coimbra, Portugal
| |
Collapse
|
25
|
Monteiro F, Azevedo P, Monteiro L, Machado C, França G, Norton A, Reis A. Antipsychotics in first-episode psychosis: Patterns of prescription in an inpatient unit. Eur Psychiatry 2020. [DOI: 10.1016/j.eurpsy.2017.01.1650] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
Abstract
IntroductionThe treatment of first-episode psychosis patients is different from those with multiple-episode schizophrenia: the response to antipsychotics is better, the required doses are lower and the sensitivity to side-effects is higher. As such, current guidelines recommend a “start slow, go slow” strategy and an active avoidance of side-effects.Objectives/aimsTo know the patterns of antipsychotic prescription in first-episode psychosis patients of our inpatient unit.MethodsWe retrospectively reviewed the clinical data of all non-affective first-episode psychosis patients admitted to the Inpatient Unit C of Hospital de Magalhães Lemos during 2015. The antipsychotics prescribed at admission and discharge were recorded, as well as the doses.ResultsA total of 29 patients were identified. The mean age was 36.6 and 65.5% were man. At admission, all patients were medicated with second-generation antipsychotics: 62.1% with risperidone, 27.6% with olanzapine, 6.9% with paliperidone and 3.4% with aripiprazol. The mean dose of risperidone was 3.5 mg/day. By the time of discharge, 34.5% of patients were prescribed a depot antipsychotic, half of them risperidone. Among those with oral medication only, 55.5% were prescribed risperidone, 22.2% paliperidone and the remainder 22.3% other antipsychotics (aripiprazol, olanzapine or quetiapine). The mean dose of risperidone was 3.7 mg/day.ConclusionsSecond-generation antipsychotics are clearly preferred. The mean dose by the time of discharge is similar to that used in clinical trials. However, antipsychotics are initiated at doses above the minimum effective dose. On discharge, an important proportion of patients are prescribed depot antipsychotics, which are known to improve medication adherence.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Collapse
|
26
|
Siqueira J, Machado C, Quattrociocchi D, Garrido F, da Costa L, Ponzio E, Ferreira G, Resende J. Experimental and Theoretical Study of LiMn2O4 Synthesized by the Solution Combustion Method Using Corn Starch as Fuel. J BRAZIL CHEM SOC 2020. [DOI: 10.21577/0103-5053.20190192] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
|
27
|
Moura-Alves M, Machado C, Saraiva C, Silva JA. Determination of D and z values for Salmonella Typhimurium inoculated in an egg-based pastry. Braz J Food Technol 2020. [DOI: 10.1590/1981-6723.12219] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
Abstract Eggs, often used in pastry products, are one of the major transmission vehicles of Salmonella. The main purpose of this study was to evaluate Salmonella Typhimurium thermal resistance, by D and z values determination, in a traditional Portuguese egg-based pastry and its microbial and physical-chemical characterization. Salmonella Typhimurium ATCC 14028 (OXOID C6000L) (Ca. 1.33×108 cfu g-1) was inoculated in a liquid batter consisting of 8 whole eggs, 7 egg yolks, 280 g of wheat flour and 250 g of sugar. D and z values determinations were performed after applying a water bath to vacuum-packed samples of liquid batter (5 g), following thermal treatments: 52 °C (45, 90, 135, 180 and 225 min); 55 °C (15, 30, 45, 60, 70 and 80 min); 58 °C (5, 10, 15, 20, 25 and 30 min) and 61 °C (1, 2, 3, 4 and 5 min). Physico-chemical (aw, pH, moisture, sugar, ashes, protein and free fat) and microbiological determinations (mesophilic microorganisms, psychrotrophic, molds and yeasts, Enterobacteriacea, E. coli; Salmonella spp., Bacillus cereus, Listeria monocytogenes and Staphylococcus aureus) were also conducted in raw liquid batter. It was possible to investigate different combinations of time and temperature for Salmonella Typhimurium inactivation, compared to other studies on egg-based batter, often used to make pastry products. Liquid batter aw before inoculation was 0.94 and pH 7.26. The D values were obtained 53.19 min, 20.45 min, 6.95 min and 1.60 min, at 52 °C, 55 °C, 58 °C e 61 °C, respectively. From the calculated D values, the corresponding z value was 5.96 °C.
Collapse
Affiliation(s)
| | | | | | - José A. Silva
- Universidade de Trás-os-Montes e Alto Douro, Portugal; Universidade de Trás-os-Montes e Alto Douro, Portugal
| |
Collapse
|
28
|
Dourado R, Goncalves G, Tavares A, Fontes A, Pacheco M, Melo F, Machado C, Santos E, Ferreira S, Pelicano N, Almeida C, Serena C, Oliveira L, Martins D. P270Cardiac computed tomography after invasive coronary angiography without revascularization. Eur Heart J Cardiovasc Imaging 2019. [DOI: 10.1093/ehjci/jez148.002] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Affiliation(s)
- R Dourado
- Hospital Divino Espirito Santo, Ponta Delgada, Portugal
| | - G Goncalves
- Hospital Divino Espirito Santo, USISM, Ponta Delgada, Portugal
| | - A Tavares
- Hospital Divino Espirito Santo, Ponta Delgada, Portugal
| | - A Fontes
- Hospital Divino Espirito Santo, Ponta Delgada, Portugal
| | - M Pacheco
- Hospital Divino Espirito Santo, Ponta Delgada, Portugal
| | - F Melo
- Hospital Divino Espirito Santo, Ponta Delgada, Portugal
| | - C Machado
- Hospital Divino Espirito Santo, Ponta Delgada, Portugal
| | - E Santos
- Hospital Divino Espirito Santo, Ponta Delgada, Portugal
| | - S Ferreira
- Hospital Divino Espirito Santo, Ponta Delgada, Portugal
| | - N Pelicano
- Hospital Divino Espirito Santo, Ponta Delgada, Portugal
| | - C Almeida
- Hospital Divino Espirito Santo, Ponta Delgada, Portugal
| | - C Serena
- Hospital Divino Espirito Santo, Ponta Delgada, Portugal
| | - L Oliveira
- Hospital Divino Espirito Santo, Ponta Delgada, Portugal
| | - D Martins
- Hospital Divino Espirito Santo, Ponta Delgada, Portugal
| |
Collapse
|
29
|
Brice S, Jabouley A, Reyes S, Machado C, Rogan C, Gastellier N, Chabriat H, Tezenas du Montcel S. Profil évolutif cognitif au cours de l’angiopathie Cadasil. Rev Epidemiol Sante Publique 2019. [DOI: 10.1016/j.respe.2019.03.085] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
|
30
|
Ogrzewalska M, Machado C, Rozental T, Forneas D, Cunha LE, de Lemos ERS. Microorganisms in the ticks Amblyomma dissimile Koch 1844 and Amblyomma rotundatum Koch 1844 collected from snakes in Brazil. Med Vet Entomol 2019; 33:154-161. [PMID: 30484879 DOI: 10.1111/mve.12341] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/04/2018] [Revised: 08/09/2018] [Accepted: 09/17/2018] [Indexed: 06/09/2023]
Abstract
Knowledge about ticks (Acari) and screening of ticks parasitizing various hosts are necessary to understand the epidemiology of tick-borne pathogens. The objective of this study was to investigate tick infestations on snakes (Reptilia: Squamata: Serpentes) arriving at the serpentarium at the Institute Vital Brazil, Rio de Janeiro. Some of the identified ticks were individually tested for the presence of bacteria of the genera Rickettsia (Rickettsiales: Rickettsiaceae), Borrelia (Spirochaetales: Spirochaetaceae), Coxiella (Legionellales: Coxiellaceae), Bartonella (Rhizobiales: Bartonellaceae), Ehrlichia (Rickettsiales: Anaplasmataceae), Anaplasma (Rickettsiales: Anaplasmataceae), and Apicomplexa protozoa of the genera Babesia (Piroplasmida: Babesiidae) and Hepatozoon (Eucoccidiorida: Hepatozoidae). A total of 115 hard ticks (Ixodida: Ixodidae) were collected from 17 host individuals obtained from four Brazilian states. Two species of tick were identified: Amblyomma dissimile Koch 1844 (four larvae, 16 nymphs, 40 adults), and Amblyomma rotundatum Koch 1844 (12 nymphs, 43 adults). Rickettsia bellii was found in A. rotundatum and A. dissimile ticks and Rickettsia sp. strain Colombianensi, Anaplasma-like and Hepatozoon sp. in A. dissimile ticks. Among the tested ticks, no DNA of Borrelia, Bartonella, Coxiella or Babesia was found. The present findings extend the geographic range of Rickettsia sp. strain Colombianensi in Brazil and provide novel tick-host associations.
Collapse
Affiliation(s)
- M Ogrzewalska
- Laboratório de Hantaviroses e Rickettsioses, Instituto Oswaldo Cruz, Fundação Oswaldo Cruz, Rio de Janeiro, RJ, Brazil
| | - C Machado
- Instituto Vital Brasil, Niterói, RJ, Brazil
| | - T Rozental
- Laboratório de Hantaviroses e Rickettsioses, Instituto Oswaldo Cruz, Fundação Oswaldo Cruz, Rio de Janeiro, RJ, Brazil
| | - D Forneas
- Laboratório de Hantaviroses e Rickettsioses, Instituto Oswaldo Cruz, Fundação Oswaldo Cruz, Rio de Janeiro, RJ, Brazil
| | - L E Cunha
- Instituto Vital Brasil, Niterói, RJ, Brazil
| | - E R S de Lemos
- Laboratório de Hantaviroses e Rickettsioses, Instituto Oswaldo Cruz, Fundação Oswaldo Cruz, Rio de Janeiro, RJ, Brazil
| |
Collapse
|
31
|
Nassif AL, Silva V, Machado C. A pediatric patient with neuroleptic malignant syndrome. Resid Pediatr 2019. [DOI: 10.25060/residpediatr-2019.v9n3-16] [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: 11/20/2022] Open
|
32
|
Xavier Fontes A, Oliveira L, Serena C, Moura-Ferreira S, Almeida C, Machado C, Dourado R, Santos E, Pelicano N, Pacheco AM, Tavares A, Melo F, Martins D. P6526Impact of atrial fibrillation on the risk of death in patients with mid-range and preserved ejection fraction. Eur Heart J 2018. [DOI: 10.1093/eurheartj/ehy566.p6526] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Affiliation(s)
- A Xavier Fontes
- Hospital Divino Espirito Santo, Cardiology, Ponta Delgada, Portugal
| | - L Oliveira
- Hospital Divino Espirito Santo, Cardiology, Ponta Delgada, Portugal
| | - C Serena
- Hospital Divino Espirito Santo, Cardiology, Ponta Delgada, Portugal
| | - S Moura-Ferreira
- Hospital Divino Espirito Santo, Cardiology, Ponta Delgada, Portugal
| | - C Almeida
- Hospital Divino Espirito Santo, Cardiology, Ponta Delgada, Portugal
| | - C Machado
- Hospital Divino Espirito Santo, Cardiology, Ponta Delgada, Portugal
| | - R Dourado
- Hospital Divino Espirito Santo, Cardiology, Ponta Delgada, Portugal
| | - E Santos
- Hospital Divino Espirito Santo, Cardiology, Ponta Delgada, Portugal
| | - N Pelicano
- Hospital Divino Espirito Santo, Cardiology, Ponta Delgada, Portugal
| | - A M Pacheco
- Hospital Divino Espirito Santo, Cardiology, Ponta Delgada, Portugal
| | - A Tavares
- Hospital Divino Espirito Santo, Cardiology, Ponta Delgada, Portugal
| | - F Melo
- Hospital Divino Espirito Santo, Cardiology, Ponta Delgada, Portugal
| | - D Martins
- Hospital Divino Espirito Santo, Cardiology, Ponta Delgada, Portugal
| |
Collapse
|
33
|
Fontes A, Serena C, Santos E, Ferin R, Oliveira L, Almeida C, Machado C, Dourado R, Pelicano N, Tavares A, Pavão M, Martins D. Clinical implications of cigarette smoking in stable coronary artery disease: Angiographic and laboratory findings. Atherosclerosis 2018. [DOI: 10.1016/j.atherosclerosis.2018.06.452] [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: 11/16/2022]
|
34
|
Fontes, Serena C, Santos E, Ferin R, Oliveira L, Almeida C, Machado C, Dourado R, Pelicano N, Tavares A, Pavâo M, Martins D. Impact of obesity in patients with coronary artery disease. Atherosclerosis 2018. [DOI: 10.1016/j.atherosclerosis.2018.06.508] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
|
35
|
Machado C, Gaudard AC, Pereira R, Nassif AL. Joubert syndrome: a case report. Resid Pediatr 2018. [DOI: 10.25060/residpediatr-2018.v8n3-07] [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: 11/20/2022] Open
|
36
|
Machado C, Pinto P, Silva P, Almeida D, Moreira J, Pinto M, Bousbaa H, Cidade H. Heterocyclic chalcone derivatives: Synthesis and biological activity evaluation: PS207. Porto Biomed J 2017; 2:225. [PMID: 32258727 DOI: 10.1016/j.pbj.2017.07.115] [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: 11/15/2022] Open
Affiliation(s)
- C Machado
- Laboratório de Química Orgânica e Farmacêutica, Departamento de Ciências Químicas, Faculdade de Farmácia, Universidade do Porto, Portugal
| | - P Pinto
- Laboratório de Química Farmacêutica, Faculdade de Farmácia, Universidade de Coimbra, Portugal
| | - P Silva
- Center for Biomedical Research, CBMR, University of Algarve, Faro 8005-139, Portugal
- Departamento Ciências Biomédicas e Medicina, University of Algarve, Faro, Portugal
- CESPU, Instituto de Investigação e Formação Avançada em Ciências e Tecnologias da Saúde, IINFACTS, 4585-116 Gandra PRD, Portugal
| | - D Almeida
- CESPU, Instituto de Investigação e Formação Avançada em Ciências e Tecnologias da Saúde, IINFACTS, 4585-116 Gandra PRD, Portugal
| | - J Moreira
- Laboratório de Química Orgânica e Farmacêutica, Departamento de Ciências Químicas, Faculdade de Farmácia, Universidade do Porto, Portugal
- Centro Interdisciplinar de Investigação Marinha e Ambiental (CIIMAR/CIMAR), Universidade do Porto, Portugal
| | - M Pinto
- Laboratório de Química Orgânica e Farmacêutica, Departamento de Ciências Químicas, Faculdade de Farmácia, Universidade do Porto, Portugal
- Laboratório de Química Farmacêutica, Faculdade de Farmácia, Universidade de Coimbra, Portugal
- Center for Biomedical Research, CBMR, University of Algarve, Faro 8005-139, Portugal
| | - H Bousbaa
- CESPU, Instituto de Investigação e Formação Avançada em Ciências e Tecnologias da Saúde, IINFACTS, 4585-116 Gandra PRD, Portugal
- Centro Interdisciplinar de Investigação Marinha e Ambiental (CIIMAR/CIMAR), Universidade do Porto, Portugal
| | - H Cidade
- Laboratório de Química Orgânica e Farmacêutica, Departamento de Ciências Químicas, Faculdade de Farmácia, Universidade do Porto, Portugal
- Centro Interdisciplinar de Investigação Marinha e Ambiental (CIIMAR/CIMAR), Universidade do Porto, Portugal
| |
Collapse
|
37
|
Kindlovits L, Temoche L, Machado C, Almosny N. Aspectos citoquímicos e morfológicos de elementos sanguíneos das serpentes dos gêneros Bothrops e Crotalus mantidas em cativeiro no serpentário do Instituto Vital Brasil. ARQ BRAS MED VET ZOO 2017. [DOI: 10.1590/1678-4162-9072] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
RESUMO A criação de serpentes peçonhentas em cativeiro vem se tornando prática cada vez mais difundida no país. Dessa forma, o conhecimento do manejo e da clínica de serpentes se torna prioritário, a fim de permitir maior sobrevida dos animais. No que concerne a serpentes peçonhentas, dados hematológicos já foram descritos na literatura, no entanto, apesar dos recursos utilizados, os dados analisados ainda são insipientes. Com o objetivo de caracterizar, morfologicamente, as células sanguíneas e de esclarecer diferenças morfológicas e funcionais, foram coletadas amostras de sangue de 50 serpentes pertencentes ao plantel do Instituto Vital Brasil. Foram confeccionados e analisados por microscopia óptica e citoquimicamente os esfregaços sanguíneos corados por métodos de Romanowsky e citoquímicos. Foi possível diferenciar as células, caracterizar e confirmar a existência de eosinófilo em B. atrox e C. durissus. Concluiu-se que a caracterização celular pode fornecer evidências indispensáveis ao entendimento da fisiologia de serpentes.
Collapse
|
38
|
Ferreira NC, Guereschi RM, Machado C, Lopes CA, Nuñer APO. Structure and diversity of fishes in a freshwater and coastal subtropical lagoon. J Fish Biol 2017; 90:1265-1282. [PMID: 27859226 DOI: 10.1111/jfb.13226] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/03/2016] [Accepted: 10/19/2016] [Indexed: 06/06/2023]
Abstract
This study examined the fish communities of Peri Lagoon in southern Brazil to aid in the development of an effective management plan because the area is under threat from human activities. Sampling of fish fauna, ichthyoplankton and limnological data were compared between sites, differing by habitat type and characteristics such as depth, substratum composition and vegetation type. Results were significantly related to site, with the highest diversity and abundance recorded at shallow vegetated sites. A total of 14 fish species were recorded throughout the lagoon, with the most abundant being Hyphessobrycon luetkenii. Of the 14 species, half were sampled at their larval stage, suggesting a healthy and protected system. Significantly more larvae and eggs were collected during colder months (autumn to winter) and at sites closer to stream flow, possibly owing to increased food sources and habitat protection. This study highlights the importance of Peri Lagoon as a nursery ground for a wide range of fish species, providing essential information for incorporation into the future protection of fish stocks throughout Brazil.
Collapse
Affiliation(s)
- N C Ferreira
- Laboratory of Biology and Cultivation of Freshwater Fish, Federal University of Santa Catarina, Aquaculture Departament, Rodovia Francisco Thomaz dos Santos 3532, Florianópolis, Santa Catarina, 88066-260, Brazil
| | - R M Guereschi
- Laboratory of Biology and Cultivation of Freshwater Fish, Federal University of Santa Catarina, Aquaculture Departament, Rodovia Francisco Thomaz dos Santos 3532, Florianópolis, Santa Catarina, 88066-260, Brazil
| | - C Machado
- Laboratory of Biology and Cultivation of Freshwater Fish, Federal University of Santa Catarina, Aquaculture Departament, Rodovia Francisco Thomaz dos Santos 3532, Florianópolis, Santa Catarina, 88066-260, Brazil
| | - C A Lopes
- Laboratory of Biology and Cultivation of Freshwater Fish, Federal University of Santa Catarina, Aquaculture Departament, Rodovia Francisco Thomaz dos Santos 3532, Florianópolis, Santa Catarina, 88066-260, Brazil
| | - A P O Nuñer
- Laboratory of Biology and Cultivation of Freshwater Fish, Federal University of Santa Catarina, Aquaculture Departament, Rodovia Francisco Thomaz dos Santos 3532, Florianópolis, Santa Catarina, 88066-260, Brazil
| |
Collapse
|
39
|
Rolo A, Germano S, Mascarenhas F, Almeida T, Miguel C, Machado C, Rocha A. Dosimetric advantage of Deep Inspiration Breath Hold in left breast radiotherapy: comparative analysis with free breathing. Eur J Cancer 2017. [DOI: 10.1016/s0959-8049(17)30165-x] [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: 11/24/2022]
|
40
|
Souza ARCD, Baldoni DB, Lima J, Porto V, Marcuz C, Machado C, Ferraz RC, Kuhn RC, Jacques RJS, Guedes JVC, Mazutti MA. Selection, isolation, and identification of fungi for bioherbicide production. Braz J Microbiol 2017; 48:101-108. [PMID: 27769882 PMCID: PMC5220639 DOI: 10.1016/j.bjm.2016.09.004] [Citation(s) in RCA: 32] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/19/2015] [Accepted: 05/02/2016] [Indexed: 11/24/2022] Open
Abstract
Production of a bioherbicide for biological control of weeds requires a series of steps, from selection of a suitable microbial strain to final formulation. Thus, this study aimed to select fungi for production of secondary metabolites with herbicidal activity using biological resources of the Brazilian Pampa biome. Phytopathogenic fungi were isolated from infected tissues of weeds in the Pampa biome. A liquid synthetic culture medium was used for production of metabolites. The phytotoxicity of fungal metabolites was assessed via biological tests using the plant Cucumis sativus L., and the most promising strain was identified by molecular analysis. Thirty-nine fungi were isolated, and 28 presented some phytotoxic symptoms against the target plant. Fungus VP51 belonging to the genus Diaporthe showed the most pronounced herbicidal activity. The Brazilian Pampa biome is a potential resource for the development of new and sustainable chemical compounds for modern agriculture.
Collapse
Affiliation(s)
| | - Daiana Bortoluzzi Baldoni
- Universidade Federal de Santa Maria (UFSM), Departamento em ciência do solo, Santa Maria, RS, Brazil
| | - Jessica Lima
- Universidade Federal de Santa Maria (UFSM), Departamento de engenharia química, Santa Maria, RS, Brazil
| | - Vitória Porto
- Universidade Federal de Santa Maria (UFSM), Departamento de engenharia química, Santa Maria, RS, Brazil
| | - Camila Marcuz
- Universidade Federal de Santa Maria (UFSM), Departamento de engenharia química, Santa Maria, RS, Brazil
| | - Carolina Machado
- Universidade Federal de Santa Maria (UFSM), Departamento de engenharia química, Santa Maria, RS, Brazil
| | | | - Raquel C Kuhn
- Universidade Federal de Santa Maria (UFSM), Departamento de engenharia química, Santa Maria, RS, Brazil
| | - Rodrigo J S Jacques
- Universidade Federal de Santa Maria (UFSM), Departamento em ciência do solo, Santa Maria, RS, Brazil
| | - Jerson V C Guedes
- Universidade Federal de Santa Maria (UFSM), Departamento de proteção de plantas, Santa Maria, RS, Brazil
| | - Marcio A Mazutti
- Universidade Federal de Santa Maria (UFSM), Departamento de engenharia química, Santa Maria, RS, Brazil.
| |
Collapse
|
41
|
Resende G, Machado C, Macedo R, Rocha M, Nascimento V, Bueno Filho J, Kakehasi A, Andrade M. FRI0013 IL-22 Induces An Increase in SFP3 Expression by Synovial Fibroblasts in Inflammatory Joint Diseases. Ann Rheum Dis 2016. [DOI: 10.1136/annrheumdis-2016-eular.3053] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
|
42
|
Lettry J, Aguglia D, Alessi J, Andersson P, Bertolo S, Briefi S, Butterworth A, Coutron Y, Dallocchio A, David N, Chaudet E, Faircloth D, Fantz U, Fink DA, Garlasche M, Grudiev A, Guida R, Hansen J, Haase M, Hatayama A, Jones A, Koszar I, Lallement JB, Lombardi AM, Machado C, Mastrostefano C, Mathot S, Mattei S, Moyret P, Nisbet D, Nishida K, O'Neil M, Paoluzzi M, Scrivens R, Shibata T, Steyaert D, Thaus N, Voulgarakis G. Linac4 H⁻ ion sources. Rev Sci Instrum 2016; 87:02B139. [PMID: 26932021 DOI: 10.1063/1.4936120] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Abstract
CERN's 160 MeV H(-) linear accelerator (Linac4) is a key constituent of the injector chain upgrade of the Large Hadron Collider that is being installed and commissioned. A cesiated surface ion source prototype is being tested and has delivered a beam intensity of 45 mA within an emittance of 0.3 π ⋅ mm ⋅ mrad. The optimum ratio of the co-extracted electron- to ion-current is below 1 and the best production efficiency, defined as the ratio of the beam current to the 2 MHz RF-power transmitted to the plasma, reached 1.1 mA/kW. The H(-) source prototype and the first tests of the new ion source optics, electron-dump, and front end developed to minimize the beam emittance are presented. A temperature regulated magnetron H(-) source developed by the Brookhaven National Laboratory was built at CERN. The first tests of the magnetron operated at 0.8 Hz repetition rate are described.
Collapse
Affiliation(s)
- J Lettry
- CERN-ABP, 1211 Geneva 23, Switzerland
| | - D Aguglia
- CERN-ABP, 1211 Geneva 23, Switzerland
| | - J Alessi
- Brookhaven National Laboratory, BNL-CA, Upton, New York 11973, USA
| | | | - S Bertolo
- CERN-ABP, 1211 Geneva 23, Switzerland
| | - S Briefi
- AG Experimentelle Plasmaphysik, Universität Augsburg, 86135 Augsburg, Germany
| | | | - Y Coutron
- CERN-ABP, 1211 Geneva 23, Switzerland
| | | | - N David
- CERN-ABP, 1211 Geneva 23, Switzerland
| | - E Chaudet
- CERN-ABP, 1211 Geneva 23, Switzerland
| | - D Faircloth
- RAL, Harwell Oxford, Didcot OX11 0QX, United Kingdom
| | - U Fantz
- AG Experimentelle Plasmaphysik, Universität Augsburg, 86135 Augsburg, Germany
| | - D A Fink
- CERN-ABP, 1211 Geneva 23, Switzerland
| | | | - A Grudiev
- CERN-ABP, 1211 Geneva 23, Switzerland
| | - R Guida
- CERN-ABP, 1211 Geneva 23, Switzerland
| | - J Hansen
- CERN-ABP, 1211 Geneva 23, Switzerland
| | - M Haase
- CERN-ABP, 1211 Geneva 23, Switzerland
| | - A Hatayama
- Graduate School of Science and Technology, Keio University, 3-14-1 Hiyoshi, Kohoku-ku, Yokohama 223-8522, Japan
| | - A Jones
- CERN-ABP, 1211 Geneva 23, Switzerland
| | - I Koszar
- CERN-ABP, 1211 Geneva 23, Switzerland
| | | | | | - C Machado
- CERN-ABP, 1211 Geneva 23, Switzerland
| | | | - S Mathot
- CERN-ABP, 1211 Geneva 23, Switzerland
| | - S Mattei
- CERN-ABP, 1211 Geneva 23, Switzerland
| | - P Moyret
- CERN-ABP, 1211 Geneva 23, Switzerland
| | - D Nisbet
- CERN-ABP, 1211 Geneva 23, Switzerland
| | - K Nishida
- Graduate School of Science and Technology, Keio University, 3-14-1 Hiyoshi, Kohoku-ku, Yokohama 223-8522, Japan
| | - M O'Neil
- CERN-ABP, 1211 Geneva 23, Switzerland
| | | | | | - T Shibata
- Graduate School of Science and Technology, Keio University, 3-14-1 Hiyoshi, Kohoku-ku, Yokohama 223-8522, Japan
| | | | - N Thaus
- CERN-ABP, 1211 Geneva 23, Switzerland
| | | |
Collapse
|
43
|
Sargento-Freitas J, Laranjinha I, Galego O, Rebelo-Ferreira A, Moura B, Correia M, Silva F, Machado C, Cordeiro G, Cunha L. Nocturnal blood pressure dipping in acute ischemic stroke. Acta Neurol Scand 2015; 132:323-8. [DOI: 10.1111/ane.12402] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/04/2015] [Indexed: 11/29/2022]
Affiliation(s)
| | - I. Laranjinha
- Stroke Unit; Coimbra University and Hospital Centre; Coimbra Portugal
| | - O. Galego
- Stroke Unit; Coimbra University and Hospital Centre; Coimbra Portugal
| | - A. Rebelo-Ferreira
- Stroke Unit; Coimbra University and Hospital Centre; Coimbra Portugal
- Medical Oncology Department; Santa Maria Hospital - North Lisbon Hospital Centre; Lisbon Portugal
| | - B. Moura
- Stroke Unit; Coimbra University and Hospital Centre; Coimbra Portugal
- Psychiatry and Mental Health Department; Santa Maria Hospital - North Lisbon Hospital Centre; Lisbon Portugal
| | - M. Correia
- Stroke Unit; Coimbra University and Hospital Centre; Coimbra Portugal
- Paediatric Department; Dona Estefânia Hospital; Lisbon Portugal
| | - F. Silva
- Stroke Unit; Coimbra University and Hospital Centre; Coimbra Portugal
| | - C. Machado
- Stroke Unit; Coimbra University and Hospital Centre; Coimbra Portugal
| | - G. Cordeiro
- Stroke Unit; Coimbra University and Hospital Centre; Coimbra Portugal
| | - L. Cunha
- Stroke Unit; Coimbra University and Hospital Centre; Coimbra Portugal
| |
Collapse
|
44
|
Rankin K, Machado C, Andrianopoulos N, Yip T, Oqueli E, Jaworski C, Clark D, New G, Mok M, Ajani A, Hiew C, Sebastian M. Trans-radial versus femoral artery access for percutaneous coronary intervention in acute coronary syndrome: A reflection from a five-year experience in the MIG cohort. Heart Lung Circ 2015. [DOI: 10.1016/j.hlc.2015.06.466] [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]
|
45
|
Rankin K, Brennan A, Andrianopoulos N, Sebastian M, Freeman M, Hiew C, Ajani A, Clark D, Reid C, Selkrig L, Machado C, Duffy S. Outcomes of patients undergoing percutaneous coronary intervention following fibrinolysis for ST-elevation myocardial infarction. Heart Lung Circ 2015. [DOI: 10.1016/j.hlc.2015.06.417] [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: 11/29/2022]
|
46
|
Carstensen H, Larsen L, Hassager C, Kofoed K, Kristensen C, Jensen J, Mogelvang R, Dulgheru R, Magne J, Kou S, Machado C, Henri C, Voilliot D, Laaraibi S, Pierard L, Lancellotti P, Sato K, Seo Y, Ishizu T, Takeuchi M, Izumo M, Suzuki K, Yamashita E, Miyake F, Otsuji Y, Aonuma K, Rao CM, Benedetto F, Luca F, Van Garsse L, Parise O, Benedetto D, Aguglia D, Maessen J, Gensini GF, Gelsomino S, Knebel F, Spethmann S, Baldenhofer G, Sanad W, Stangl V, Laule M, Dreger H, Mueller E, Baumann G, Stangl K. Oral Abstract sessions * 2 D strain in aortic stenosis: clinical impact: 13/12/2013, 14:00-15:30 * Location: Bursa. Eur Heart J Cardiovasc Imaging 2013. [DOI: 10.1093/ehjci/jet224] [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
|
47
|
Rosario I, Cale R, Machado C, Brito J, Cardoso G, Nolasco T, Campante Teles R, Almeida M, Neves JP, Mendes M. Impact of incomplete revascularization in octagenary patients with multivessel disease. Eur Heart J 2013. [DOI: 10.1093/eurheartj/eht308.p914] [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
|
48
|
Rosario I, Brito J, Cardoso G, Machado C, Cale R, Campante Teles R, Almeida M, Pereira H, Neves JP, Mendes M. Revascularization strategy of multivessel disease in diabetic patients - FREEDOM in very old patients. Eur Heart J 2013. [DOI: 10.1093/eurheartj/eht308.p2149] [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
|
49
|
Caldeira D, Cale R, Martins C, Do Rosario I, Machado C, Brito J, Pereira E, Almeida M, Mendes M, Pereira H. Quantification and prognosis of incomplete coronary revascularization after percutaneous coronary intervention in octogenarians. Eur Heart J 2013. [DOI: 10.1093/eurheartj/eht308.849] [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
|
50
|
Acevedo AM, Montero M, Machado C, Sáez I, Rojas-Sánchez F, Kleinberg I. Dental caries experience in school children and the impact of non-cavitated lesions on the caries index. Acta Odontol Latinoam 2013; 26:8-14. [PMID: 24294818] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/02/2023]
Abstract
UNLABELLED The purpose of this study was to evaluate the current status of dental caries in 11 to 13 year-old schoolchildren residing in Sucre Municipality, Miranda State, and the impact of the non-cavitated lesion on the caries index. Twelve elementary schools were included in this study and a sample of 1484 children was examined using artificial light, a #5 mirror and a #23 probe. The criteria followed were those proposed by Radike (1972) as modified by Acevedo et al. (2005) in order to include initial non-cavitated caries lesions. Teeth were cleaned and dried for 5 seconds with a triple syringe. Caries prevalence was 94.07% and the average DMFS index for the total sample was 4.35 +/- 4.21. This increased significantly to 6.45 +/- 5.01, when the initial caries lesions were included (p < 0.05). According to gender, DMFS was higher in the female population (4.51 +/- 4.45) than in males (4.21 +/- 3.97), but the difference was not statistically different (p > 0.05). The same pattern was observed, when the initial caries lesions were added. The new mean DMFS was 6.67 +/- 5.15 and 6.26 +/- 4.88 for females and males, respectively. Non-cavitated lesions represent 33% of the total caries lesions recorded. CONCLUSION These results show that (i) dental caries prevalence in this population remains high and (ii) initial lesions contribute significantly to the DMFS index.
Collapse
Affiliation(s)
- Ana M Acevedo
- Institute of Dental Research "Raul Vincentelli", School of Dentistry, Central University of Venezuela. Caracas, Venezuela
| | | | | | | | | | | |
Collapse
|