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Rank	Citation Analysis	Article Type	Number of Years	Citation(s) in RCA
1	Tomás CC, Oliveira E, Sousa D, Uba-Chupel M, Furtado G, Rocha C, Teixeira A, Ferreira P, Alves C, Gisin S, Catarino E, Carvalho N, Coucelo T, Bonfim L, Silva C, Franco D, González JA, Jardim HG, Silva R, Baixinho CL, Presado MH, Marques MF, Cardoso ME, Cunha M, Mendes J, Xavier A, Galhardo A, Couto M, Frade JG, Nunes C, Mesquita JR, Nascimento MS, Gonçalves G, Castro C, Mártires A, Monteiro MJ, Rainho C, Caballero FP, Monago FM, Guerrero JT, Monago RM, Trigo AP, Gutierrez ML, Milanés GM, Reina MG, Villanueva AG, Piñero AS, Aliseda IR, Ramirez FB, Ribeiro A, Quelhas A, Manso C, Caballero FP, Guerrero JT, Monago FM, Santos RB, Jimenez NR, Nuñez CG, Gomez IR, Fernandez MJL, Marquez LA, Moreno AL, Huertas MJT, Ramirez FB, Seabra D, Salvador MC, Braga L, Parreira P, Salgueiro-Oliveira A, Arreguy-Sena C, Oliveira BF, Henriques MA, Santos J, Lebre S, Marques A, Festas C, Rodrigues S, Ribeiro A, Lumini J, Figueiredo AG, Hernandez-Martinez FJ, Campi L, Quintana-Montesdeoca MP, Jimenez-Diaz JF, Rodriguez-De-Vera BC, Parente A, Mata MA, Pereira AM, Fernandes A, Brás M, Pinto MR, Parreira P, Basto ML, Rei AC, Mónico LM, Sousa G, Morna C, Freitas O, Freitas G, Jardim A, et alTomás CC, Oliveira E, Sousa D, Uba-Chupel M, Furtado G, Rocha C, Teixeira A, Ferreira P, Alves C, Gisin S, Catarino E, Carvalho N, Coucelo T, Bonfim L, Silva C, Franco D, González JA, Jardim HG, Silva R, Baixinho CL, Presado MH, Marques MF, Cardoso ME, Cunha M, Mendes J, Xavier A, Galhardo A, Couto M, Frade JG, Nunes C, Mesquita JR, Nascimento MS, Gonçalves G, Castro C, Mártires A, Monteiro MJ, Rainho C, Caballero FP, Monago FM, Guerrero JT, Monago RM, Trigo AP, Gutierrez ML, Milanés GM, Reina MG, Villanueva AG, Piñero AS, Aliseda IR, Ramirez FB, Ribeiro A, Quelhas A, Manso C, Caballero FP, Guerrero JT, Monago FM, Santos RB, Jimenez NR, Nuñez CG, Gomez IR, Fernandez MJL, Marquez LA, Moreno AL, Huertas MJT, Ramirez FB, Seabra D, Salvador MC, Braga L, Parreira P, Salgueiro-Oliveira A, Arreguy-Sena C, Oliveira BF, Henriques MA, Santos J, Lebre S, Marques A, Festas C, Rodrigues S, Ribeiro A, Lumini J, Figueiredo AG, Hernandez-Martinez FJ, Campi L, Quintana-Montesdeoca MP, Jimenez-Diaz JF, Rodriguez-De-Vera BC, Parente A, Mata MA, Pereira AM, Fernandes A, Brás M, Pinto MR, Parreira P, Basto ML, Rei AC, Mónico LM, Sousa G, Morna C, Freitas O, Freitas G, Jardim A, Martins L, Cardoso M, Morais N, Cruz J, Alves N, Faria P, Mateus A, Morouço P, Alves N, Ferreira N, Vasconcelos R, Mateus A, Faria P, Morouço P, Malheiro I, Gaspar F, Barros L, Parreira P, Cardoso A, Mónico L, Carvalho C, Horta LG, Lopes A, Salgueiro-Oliveira A, Seixas A, Soares V, Dias T, Vardasca R, Gabriel J, Rodrigues S, Paredes H, Reis A, Rosa RS, Marinho S, Filipe V, Lains J, Barroso J, Da Motta C, Carvalho CB, Pinto-Gouveia J, Peixoto E, Gomes AA, Costa V, Kranz LF, Couto D, Marques DR, Leitão JA, Tavares J, Azevedo MH, Silva CF, Freitas J, Parreira P, Marôco J, Garcia-Gordillo MA, Nugem RC, Collado-Mateo D, Chen G, Iezzi A, Sala JA, Parraça JA, Gusi N, Sousa J, Marques M, Jardim J, Pereira A, Siqueira MS, Simões S, Cunha M, Sardo P, Guedes J, Lindo J, Machado P, Melo E, Carvalho CB, Benevides J, Sousa M, Bordin R, Cabral J, Da Motta C, Pereira AT, Xavier S, Azevedo J, Bento E, Marques C, Carvalho R, Marques M, Macedo A, Kniess R, Silva AM, Alves J, Gomes AA, Marques DR, Azevedo MH, Silva C, Mendes A, Lee HD, Spolaôr N, Oliva JT, Lacerda JT, Chung WF, Fonseca-Pinto R, Bairros K, Silva CD, Souza CA, Schroeder SS, Araújo E, Monteiro H, Costa R, Dias SS, Guedes J, Torgal J, Henriques CG, Santos L, Caceiro EF, Ramalho SA, Oliveira R, Afreixo V, Santos J, Mota P, Cruz A, Machado I, Pimentel F, Marques R, Dixe MA, Querido A, Sousa P, Benevides J, Da Motta C, Sousa M, Caldeira SN, Carvalho CB, Almeida S, Querido A, Tomás C, Carvalho D, Gomes J, Cordeiro M, Costa JO, Valim FC, Ribeiro LC, Charepe Z, Querido A, Zilhão A, Figueiredo MH, Aquino PS, Ribeiro SG, Pinheiro AB, Lessa PA, Oliveira MF, Brito LS, Pinto ÍN, Furtado AS, Castro RB, Alves H, Aquino CQ, Martins ES, Pinheiro AB, Aquino PS, Oliveira LL, Pinheiro PC, Sousa CR, Freitas VA, Silva TM, Lima AS, Ribeiro Ó, Aquino CQ, Andrade KV, Oliveira CA, Vidal EF, Ganho-Ávila A, Moura-Ramos M, Gonçalves Ó, Almeida J, Silva A, Brito I, Amaral AP, Amado J, Rodrigo A, Santos S, Gomes F, Rosa MC, Marques SF, Luís S, Cavalheiro L, Ferreira P, Gonçalves R, Santos A, Lopes RS, Cavalheiro L, Ferreira P, Gonçalves R, Fiorin BH, Santos MS, Oliveira ES, Moreira RL, Oliveira EA, Filho BL, Monteiro J, Palmeira L, Garcia T, Pinto-Gouveia J, Cunha M, Cardoso S, Palmeira L, Cunha M, Pinto-Gouveia J, Marta-Simões J, Mendes AL, Rocha MC, Trindade IA, Oliveira S, Ferreira C, Mendes AL, Marta-Simões J, Trindade IA, Ferreira C, Nave F, Campos M, Gaudêncio I, Cruz R, Martins F, Ferreira L, Lopes N, Fonseca-Pinto R, Rodrigues R, Azeredo Z, Vicente C, Silva J, Sousa P, Marques R, Amaral AP, Mendes I, Rodrigues R, Azeredo Z, Vicente C, Vardasca R, Marques AR, Seixas A, Carvalho R, Gabriel J, Ferreira PP, Lourenço M, Oliveira MT, Sousa AR, Maia AS, Oliveira ST, Costa PO, Silva MM, Arreguy-Sena C, Alvarenga-Martins N, Pinto PF, Oliveira DC, Rocha MC, Parreira PD, Gomes AT, Braga LM, Araújo O, Lage I, Cabrita J, Teixeira L, Marques R, Dixe MA, Querido A, Cruz R, Sousa P, Silva S, Cordeiro E, Pimentel J, Ferro-Lebres V, Souza JA, Tavares M, Dixe MA, Sousa P, Passadouro R, Antunes S, Peralta T, Ferreira C, Lourenço G, Serrano J, Petrica J, Paulo R, Honório S, Mendes P, Simões A, Carvalho L, Mendonça V, Pereira A, Silva S, Sousa P, Padilha JM, Figueiredo D, Valente C, Marques A, Ribas P, Sousa J, Brandão F, Andrade I, Sousa C, Martins M, Sousa P, Marques R, Mendes F, Fernandes R, Martins E, Magalhães C, Araújo P, Grande C, Osório N, Mata MA, Vieitez JG, Bianchini B, Nazario N, Filho JG, Kretzer M, Costa T, Almeida A, Baffour G, Almeida A, Valado A, Costa T, Baffour G, Azeredo Z, Laranjeira C, Guerra M, Barbeiro AP, Ferreira R, Lopes S, Nunes L, Mendes A, Caseiro A, Martins J, Schneider D, Kretzer M, Magajewski F, Soares C, Marques A, Batista M, Castuera RJ, Mesquita H, Faustino A, Gabriel A, Santos J, Honório S, Vizzotto BP, Frigo L, Pivetta HF, Sardo D, Martins C, Abreu W, Figueiredo MC, Batista M, Martins AC, Jimenez-Castuera R, Petrica J, Serrano J, Honório S, Paulo R, Mendes P, Sousa P, Marques R, Faustino A, Silveira P, Mendes F, Serrano J, Paulo R, Mendes P, Honório S, Oliveira C, Bastos F, Cruz I, Rodriguez CK, Kretzer MR, Nazário NO, Cabral L, Cruz P, Vaz DC, Ruben RB, Avelelas F, Silva S, Campos MJ, Almeida M, Gonçalves L, Antunes L, Sardo P, Ferreira M, Guedes J, Simões J, Machado P, Melo E, Cardoso S, Santos O, Nunes C, Loureiro I, Santos F, Alves G, Gonçalves A, Soar C, Marsi TO, Silva E, Pedrosa D, Leça A, Silva D, Galvão A, Gomes M, Fernandes P, Noné A, Luz TD, Combadão J, Ramalhete C, Figueiredo P, Caeiro P, Fontana KC, Lacerda JT, Machado PO, Borges R, Barbosa F, Sá D, Luz L, Brunhoso G, Aparício G, Carvalho A, Garcia AP, Fernandes PO, Santos A, Veiga N, Brás C, Carvalho I, Batalha J, Martins R, Glória M, Bexiga F, Coelho I, Amaral O, Pereira C, Pinho C, Paraíso N, Oliveira AI, Lima CF, Dias AP, Morgado A, Silva P, Espada M, Marques M, Pereira A, Pereira AM, Veiga-Branco M, Pereira F, Ribeiro M, Lima V, Oliveira AI, Vale-Dias ML, Pinho C, Cruz G, Oliveira RF, Barreiros L, Moreira F, Camarneiro A, Loureiro MH, Silva M, Duarte C, Jesus Â, Porta-Nova R, Cruz A, Mota M, Novais S, Nogueira P, Pereira A, Carneiro L, João PV, Lima TM, Salgueiro-Oliveira A, Vaquinhas M, Fleig TC, Parreira P, Melo R, Graveto J, Castilho A, Gomes JH, Medina MS, Blanco VG, Santos O, Lopes E, Virgolino A, Reuter ÉM, Dinis A, Ambrósio S, Almeida I, Marques T, Heitor MJ, Garcia-Gordillo MA, Collado-Mateo D, Olivares PR, Parraça JA, Sala JA, Froemming MB, Castilho A, Graveto J, Parreira P, Oliveira A, Gomes JH, Melo R, Vaquinhas M, Cheio M, Cruz A, Pereira OR, Guerreiro SL, Pinto S, Oliveira A, Manso MC, Sousa C, Vinha AF, Machado MM, Vieira M, Fernandes B, Tomás T, Quirino D, Carvalho LL, Desouzart G, Matos R, Bordini M, Mouroço P, Matos AR, Serapioni M, Guimarães T, Fonseca V, Costa A, Ribeiro J, Guedelha D, Lobato J, Martin IZ, Björklund A, Tavares AI, Ferreira P, Passadouro R, Morgado S, Tavares N, Valente J, Martins AC, Coelho P, Araújo P, Fernandes R, Mendes F, Magalhães C, Martins E, Mendes P, Paulo R, Faustino A, Mesquita H, Honório S, Pereira A, Batista M, Lacerda JT, Ortiga AB, Calvo MC, Natal S, Pereira M, Ferreira M, Prata AR, Nelas P, Duarte J, Calha A, Carneiro J, Oliveira AI, Pinho C, Couto C, Oliveira RF, Moreira F, Maia AS, Oliveira MT, Sousa AR, Ferreira PP, Cordeiro R, Souza GM, Almada LF, Conceição MA, Santiago EC, Rodrigues S, Domingues G, Ferreira I, Faria L, Seixas A, Costa AR, Gonçalves A, Jesus Â, Cardoso A, Meireles A, Colaço A, Cruz A, Vieira VL, Vincha KR, Cervato-Mancuso AM, Faria M, Reis C, Certo A, Cova MP, Ascenso RT, Almeida HA, Oliveira EG, Santana M, Pereira R, Oliveira EG, Almeida HA, Ascenso RT, Jesus R, Galvão A, Tapadas R, Tim-Tim C, Cezanne C, Lagoa M, Dias SS, Torgal J, Lopes J, Almeida H, Amado S, Carrão L, Mata MA, Cunha M, Saboga-Nunes L, Albuquerque C, Ribeiro O, Oliveira S, Morais MC, Martins E, Mendes F, Fernandes R, Magalhães C, Welter A, Araújo P, Pedro AR, Amaral O, Escoval A, Assunção V, Luís H, Luís L, Apolinário-Hagen J, Vehreschild V, Fotschl U, Pereira E, Lirk G, Martins AC, Andrade I, Mendes F, Mendonça V, Antunes S, Andrade I, Osório N, Valado A, Caseiro A, Ribeiro S, Gabriel A, Martins AC, Mendes F, Silva PA, Mónico LM, Parreira PM, Carvalho C, Carvalho C, Parreira PM, Mónico LM, Kretzer M, Ruivo J, Silva V, Sousa P, Padilha JM, Ferraz V, Aparício G, Duarte J, Vasconcelos C, Almeida A, Neves J, Jiménez-Díaz JF, Correia T, Amorim H, Mendes R, Saboga-Nunes L, Cunha M, Albuquerque C, Pereira ES, Santos LS, Reis AS, Silva HR, Jiménez-Rodríguez C, Rombo J, Fernandes JC, Fernandes P, Ribeiro J, Mangas C, Freire A, Silva S, Francisco I, Oliveira A, Catarino H, Hernández-Martínez FJ, Dixe MA, Louro MC, Lopes S, Dixe A, Dixe MA, Menino E, Catarino H, Soares F, Oliveira AP, Gordo S, Rodríguez-De-Vera BDC, Kraus T, Tomás C, Queirós P, Rodrigues T, Sousa P, Frade JG, Lobão C, Moura CB, Dreyer LC, Meneghetti V, Marques-Rodrigues A, Cabral PP, Pinto F, Sousa P, Esteves MR, Galvão S, Tytgat I, Andrade I, Osório N, Valado A, Caseiro A, Coelho P, Gabriel A, Martins AC, Mendes F, Casas-Novas M, Bernardo H, Andrade I, Sousa G, Sousa AP, Rocha C, Belo P, Bernardes T, Osório N, Valado A, Caseiro A, Gabriel A, Martins AC, Mendes F, Martins F, Pulido-Fuentes M, Barroso I, Cabral G, Pereira A, Monteiro MJ, Rainho C, Prado A, Carvalho YM, Campos M, Moreira L, Ferreira J, Teixeira A, Rama L, Campos M, Sousa P, Moreira L, Ferreira J, Teixeira A, Rama L, Filho JG, Nazario N, Kretzer M, Amaral O, Garrido A, Veiga N, Nunes C, Pedro AR, Pereira C, Almeia A, Fernandes HM, Vasconcelos C, Sousa N, Reis VM, Monteiro MJ, Mendes R, Pinto IC, Pires T, Gama J, Preto V, Silva N, Magalhães C, Martins M, Duarte M, Paúl C, Martín I, Pinheiro AA, Xavier S, Azevedo J, Bento E, Marques C, Marques M, Macedo A, Pereira AT, Almeida JP, Almeida A, Alves J, Sousa N, Saavedra F, Mendes R, Maia AS, Oliveira MT, Sousa AR, Ferreira PP, Lopes LS, Santiago EC, Monteiro S, Jesus Â, Colaço A, Carvalho A, Silva RP, Cruz A, Ferreira A, Marques C, Figueiredo JP, Paixão S, Ferreira A, Lopes C, Moreira F, Figueiredo JP, Ferreira A, Ribeiro D, Moreira F, Figueiredo JP, Paixão S, Fernandes T, Amado D, Leal J, Azevedo M, Ramalho S, Mangas C, Ribeiro J, Gonçalves R, Nunes AF, Tuna AR, Martins CR, Forte HD, Costa C, Tenedório JA, Santana P, Andrade JA, Pinto JL, Campofiorito C, Nunes S, Carmo A, Kaliniczenco A, Alves B, Mendes F, Jesus C, Fonseca F, Gehrke F, Albuquerque C, Batista R, Cunha M, Madureira A, Ribeiro O, Martins R, Madeira T, Peixoto-Plácido C, Santos N, Santos O, Bergland A, Bye A, Lopes C, Alarcão V, Goulão B, Mendonça N, Nicola P, Clara JG, Gomes J, Querido A, Tomás C, Carvalho D, Cordeiro M, Rosa MC, Marques A, Brandão D, Ribeiro Ó, Araújo L, Paúl C, Minghelli B, Richaud S, Mendes AL, Marta-Simões J, Trindade IA, Ferreira C, Carvalho T, Cunha M, Pinto-Gouveia J, Fernandes MC, Rosa RS, Nugem RC, Kranz LF, Siqueira MS, Bordin R, Martins AC, Medeiros A, Pimentel R, Fernandes A, Mendonça C, Andrade I, Andrade S, Menezes RL, Bravo R, Miranda M, Ugartemendia L, Tena JM, Pérez-Caballero FL, Fuentes-Broto L, Rodríguez AB, Carmen B, Carneiro MA, Domingues JN, Paixão S, Figueiredo J, Nascimento VB, Jesus C, Mendes F, Gehrke F, Alves B, Azzalis L, Fonseca F, Martins AR, Nunes A, Jorge A, Veiga N, Amorim A, Silva A, Martinho L, Monteiro L, Silva R, Coelho C, Amaral O, Coelho I, Pereira C, Correia A, Rodrigues D, Marante N, Silva P, Carvalho S, Araujo AR, Ribeiro M, Coutinho P, Ventura S, Roque F, Calvo C, Reses M, Conde J, Ferreira A, Figueiredo J, Silva D, Seiça L, Soares R, Mourão R, Kraus T, Abreu AC, Padilha JM, Alves JM, Sousa P, Oliveira M, Sousa J, Novais S, Mendes F, Pinto J, Cruz J, Marques A, Duarte H, Dixe MDA, Sousa P, Cruz I, Bastos F, Pereira F, Carvalho FL, Oliveira TT, Raposo VR, Rainho C, Ribeiro JC, Barroso I, Rodrigues V, Neves C, Oliveira TC, Oliveira B, Morais MC, Baylina P, Rodrigues R, Azeredo Z, Vicente C, Dias H, Sim-Sim M, Parreira P, Salgueiro-Oliveira A, Castilho A, Melo R, Graveto J, Gomes J, Vaquinhas M, Carvalho C, Mónico L, Brito N, Sarroeira C, Amendoeira J, Cunha F, Cândido A, Fernandes P, Silva HR, Silva E, Barroso I, Lapa L, Antunes C, Gonçalves A, Galvão A, Gomes MJ, Escanciano SR, Freitas M, Parreira P, Marôco J, Fernandes AR, Cabral C, Alves S, Sousa P, Ferreira A, Príncipe F, Seppänen UM, Ferreira M, Carvalhais M, Silva M, Ferreira M, Silva J, Neves J, Costa D, Santos B, Duarte S, Marques S, Ramalho S, Mendes I, Louro C, Menino E, Dixe M, Dias SS, Cordeiro M, Tomás C, Querido A, Carvalho D, Gomes J, Valim FC, Costa JO, Bernardes LG, Prebianchi H, Rosa MC, Gonçalves N, Martins MM, Kurcgant P, Vieira A, Bento S, Deodato S, Rabiais I, Reis L, Torres A, Soares S, Ferreira M, Graça P, Leitão C, Abreu R, Bellém F, Almeida A, Ribeiro-Varandas E, Tavares A, Frade JG, Henriques C, Menino E, Louro C, Jordão C, Neco S, Morais C, Ferreira P, Silva CR, Brito A, Silva A, Duarte H, Dixe MDA, Sousa P, Postolache G, Oliveira R, Moreira I, Pedro L, Vicente S, Domingos S, Postolache O, Silva D, Filho JG, Nazario N, Kretzer M, Schneider D, Marques FM, Parreira P, Carvalho C, Mónico LM, Pinto C, Vicente S, Breda SJ, Gomes JH, Melo R, Parreira P, Salgueiro A, Graveto J, Vaquinhas M, Castilho A, Jesus Â, Duarte N, Lopes JC, Nunes H, Cruz A, Salgueiro-Oliveira A, Parreira P, Basto ML, Braga LM, Ferreira A, Araújo B, Alves JM, Ferreira M, Carvalhais M, Silva M, Novais S, Sousa AS, Ferrito C, Ferreira PL, Rodrigues A, Ferreira M, Oliveira I, Ferreira M, Neves J, Costa D, Duarte S, Silva J, Santos B, Martins C, Macedo AP, Araújo O, Augusto C, Braga F, Gomes L, Silva MA, Rosário R, Pimenta L, Carreira D, Teles P, Barros T, Tomás C, Querido A, Carvalho D, Gomes J, Cordeiro M, Carvalho D, Querido A, Tomás C, Gomes J, Cordeiro M, Jácome C, Marques A, Capelas S, Hall A, Alves D, Lousada M, Loureiro MH, Camarneiro A, Silva M, Mendes A, Pedreiro A, G.Silva A, Coelho ES, Melo F, Ribeiro F, Torres R, Costa R, Pinho T, Jácome C, Marques A, Cruz B, Seabra D, Carreiras D, Ventura M, Cruz X, Brooks D, Marques A, Pinto MR, Parreira P, Lima-Basto M, Neves M, Mónico LM, Bizarro C, Cunha M, Galhardo A, Margarida C, Amorim AP, Silva E, Cruz S, Padilha JM, Valente J, Guerrero JT, Caballero FP, Santos RB, Gonzalez EP, Monago FM, Ugalde LU, Vélez MM, Tena MJ, Guerrero JT, Bravo R, Pérez-Caballero FL, Becerra IA, Agudelo ME, Acedo G, Bajo R, Malheiro I, Gaspar F, Barros L, Furtado G, Uba-Chupel M, Marques M, Rama L, Braga M, Ferreira JP, Teixeira AM, Cruz J, Barbosa T, Simões Â, Coelho L, Rodrigues A, Jiménez-Díaz JF, Martinez-Hernandez F, Rodriguez-De-Vera B, Ferreira P, Rodrigues A, Ramalho A, Petrica J, Mendes P, Serrano J, Santo I, Rosado A, Mendonça P, Freitas K, Ferreira D, Brito A, Fernandes R, Gomes S, Moreira F, Pinho C, Oliveira R, Oliveira AI, Mendonça P, Casimiro AP, Martins P, Silva I, Evangelista D, Leitão C, Velosa F, Carecho N, Coelho L, Menino E, Dixe A, Catarino H, Soares F, Gama E, Gordo C, Moreira E, Midões C, Santos M, Machado S, Oliveira VP, Santos M, Querido A, Dixe A, Marques R, Charepe Z, Antunes A, Santos S, Rosa MC, Rosa MC, Marques SF, Minghelli B, CaroMinghelli E, Luís MJ, Brandão T, Mendes P, Marinho D, Petrica J, Monteiro D, Paulo R, Serrano J, Santo I, Monteiro L, Ramalho F, Santos-Rocha R, Morgado S, Bento T, Sousa G, Freitas O, Silva I, Freitas G, Morna C, Vasconcelos R, Azevedo T, Soares S, Pisco J, Ferreira PP, Olszewer EO, Oliveira MT, Sousa AR, Maia AS, Oliveira ST, Santos E, Oliveira AI, Maia C, Moreira F, Santos J, Mendes MF, Oliveira RF, Pinho C, Barreira E, Pereira A, Vaz JA, Novo A, Silva LD, Maia B, Ferreira E, Pires F, Andrade R, Camarinha L, Silva LD, Maia B, Ferreira E, Pires F, Andrade R, Camarinha L, César AF, Poço M, Ventura D, Loura R, Gomes P, Gomes C, Silva C, Melo E, Lindo J, Domingos J, Mendes Z, Poeta S, Carvalho T, Tomás C, Catarino H, Dixe MA, Ramalho A, Rosado A, Mendes P, Paulo R, Garcia I, Petrica J, Rodrigues S, Meneses R, Afonso C, Faria L, Seixas A, Cordeiro M, Granjo P, Gomes JC, Souza NR, Furtado GE, Rocha SV, Silva P, Carvalho J, Morais MA, Santos S, Lebre P, Antunes A, Calha A, Xavier A, Cunha M, Pinto-Gouveia J, Alencar L, Cunha M, Madureira A, Cardoso I, Galhardo A, Daniel F, Rodrigues V, Luz L, Luz T, Ramos MR, Medeiros DC, Carmo BM, Seabra A, Padez C, Silva MC, Rodrigues A, Coelho P, Coelho A, Caminha M, Matheus F, Mendes E, Correia J, Kretzer M, Hernandez-Martinez FJ, Jimenez-Diaz JF, Rodriguez-De-Vera BC, Jimenez-Rodriguez C, Armas-Gonzalez Y, Rodrigues C, Pedroso R, Apolinário-Hagen J, Vehreschild V, Veloso M, Magalhães C, Cabral I, Ferraz M, Nave F, Costa E, Matos F, Pacheco J, Dias A, Pereira C, Duarte J, Cunha M, Silva D, Mónico LM, Alferes VR, Brêda MSJ, Carvalho C, Parreira PM, Morais MC, Ferreira P, Pimenta R, Boavida J, Pinto IC, Pires T, Silva C, Ribeiro M, Viega-Branco M, Pereira F, Pereira AM, Almeida FM, Estevez GL, Ribeiro S, Kretzer MR, João PV, Nogueira P, Novais S, Pereira A, Carneiro L, Mota M, Cruz R, Santiago L, Fontes-Ribeiro C, Furtado G, Rocha SV, Coutinho AP, Neto JS, Vasconcelos LR, Souza NR, Dantas E, Dinis A, Carvalho S, Castilho P, Pinto-Gouveia J, Sarreira-Santos A, Figueiredo A, Medeiros-Garcia L, Seabra P, Rodrigues R, Morais MC, Fernandes PO, Santiago C, Figueiredo MH, Basto ML, Guimarães T, Coelho A, Graça A, Silva AM, Fonseca AR, Vale-Dias L, Minas B, Franco-Borges G, Simões C, Santos S, Serra A, Matos M, Jesus L, Tavares AS, Almeida A, Leitão C, Varandas E, Abreu R, Bellém F, Trindade IA, Ferreira C, Pinto-Gouveia J, Marta-Simões J, Amaral O, Miranda C, Guimarães P, Gonçalves R, Veiga N, Pereira 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Proceedings of the 3rd IPLeiria's International Health Congress : Leiria, Portugal. 6-7 May 2016. BMC Health Serv Res 2016;16 Suppl 3:200. [PMID: 27409075 PMCID: PMC4943498 DOI: 10.1186/s12913-016-1423-5] [Show More Authors] [Citation(s) in RCA: 288] [Impact Index Per Article: 32.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/10/2023] Open Abstract S1 Health literacy and health education in adolescence Catarina Cardoso Tomás S2 The effect of a walking program on the quality of life and well-being of people with schizophrenia Emanuel Oliveira, D. Sousa, M. Uba-Chupel, G. Furtado, C. Rocha, A. Teixeira, P. Ferreira S3 Diagnosis and innovative treatments - the way to a better medical practice Celeste Alves S4 Simulation-based learning and how it is a high contribution Stefan Gisin S5 Formative research about acceptability, utilization and promotion of a home fortification programme with micronutrient powders (MNP) in the Autonomous Region of Príncipe, São Tomé and Príncipe Elisabete Catarino, Nelma Carvalho, Tiago Coucelo, Luís Bonfim, Carina Silva S6 Safety culture of the patient: a reflexion about the therapeutic approach on the patient with vocal pathology Débora Franco S7 About wine, fortune cookies and patient experience Jesús Alcoba González O1 The psychological impact on the emergency crews after the disaster event on February 20, 2010 Helena G. Jardim, Rita Silva O2 Musculoskeletal disorders in midwives Cristina L. Baixinho, Mª Helena Presado, Mª Fátima Marques, Mário E. Cardoso O3 Negative childhood experiences and fears of compassion: Implications for psychological difficulties in adolescence Marina Cunha, Joana Mendes, Ana Xavier, Ana Galhardo, Margarida Couto O4 Optimal age to give the first dose of measles vaccine in Portugal João G. Frade, Carla Nunes, João R. Mesquita, Maria S. Nascimento, Guilherme Gonçalves O5 Functional assessment of elderly in primary care Conceição Castro, Alice Mártires, Mª João Monteiro, Conceição Rainho O6 Smoking and coronary events in a population of Spanish health-care centre: An observational study Francisco P. Caballero, Fatima M. Monago, Jose T. Guerrero, Rocio M. Monago, Africa P. Trigo, Milagros L. Gutierrez, Gemma M. Milanés, Mercedes G. Reina, Ana G. Villanueva, Ana S. Piñero, Isabel R. Aliseda, Francisco B. Ramirez O7 Prevalence of musculoskeletal injuries in Portuguese musicians Andrea Ribeiro, Ana Quelhas, Conceição Manso O8 Hip fractures, psychotropic drug consumption and comorbidity in patients of a primary care practice in Spain Francisco P. Caballero, Jose T. Guerrero, Fatima M. Monago, Rafael B. Santos, Nuria R. Jimenez, Cristina G. Nuñez, Inmaculada R. Gomez, Mª Jose L. Fernandez, Laura A. Marquez, Ana L. Moreno, Mª Jesus Tena Huertas, Francisco B. Ramirez O9 The role of self-criticism and shame in social anxiety in a clinical SAD sample Daniel Seabra, Mª Céu Salvador O10 Obstruction and infiltration: a proposal of a quality indicator Luciene Braga, Pedro Parreira, Anabela Salgueiro-Oliveira, Cristina Arreguy-Sena, Bibiana F. Oliveira, Mª Adriana Henriques O11 Balance and anxiety and depression symptoms in old age people Joana Santos, Sara Lebre, Alda Marques O12 Prevalence of postural changes and risk factors in school children and adolescents in a northern region (Porto) Clarinda Festas, Sandra Rodrigues, Andrea Ribeiro, José Lumini O13 Ischemic stroke vs. haemorrhagic stroke survival rate Ana G. Figueiredo O14 Chronobiological factors as responsible for the appearance of locomotor pathology in adolescents Francisco J. Hernandez-Martinez, Liliana Campi, Mª Pino Quintana-Montesdeoca, Juan F. Jimenez-Diaz, Bienvenida C. Rodriguez-De-Vera O15 Risk of malnutrition in the elderly of Bragança Alexandra Parente, Mª Augusta Mata, Ana Mª Pereira, Adília Fernandes, Manuel Brás O16 A Lifestyle Educational Programme for primary care diabetic patients: the design of a complex nursing intervention Mª Rosário Pinto, Pedro Parreira, Marta L. Basto, Ana C. Rei, Lisete M. Mónico O17 Medication adherence in elderly people Gilberta Sousa, Clementina Morna, Otília Freitas, Gregório Freitas, Ana Jardim, Rita Vasconcelos O18 Hospitalization for cervical cancer of residents in the metropolitan region of Porto Alegre, Southern Brazil, 2012 to 2014 Lina G. Horta, Roger S. Rosa, Luís F. Kranz, Rita C. Nugem, Mariana S. Siqueira, Ronaldo Bordin O19 Oncologic assistance of high complexity: evaluation of regulating accesses Rosiane Kniess, Josimari T. Lacerda O20 Perceived barriers for using health care services by the older population as seen by the social sector: findings from the Vila Nova de Gaia Gerontological Plan Joana Guedes, Idalina Machado, Sidalina Almeida, Adriano Zilhão, Helder Alves, Óscar Ribeiro O21 Sleep difficulties and depressive symptoms in college students Ana P. Amaral, Ana Santos, Joana Monteiro, Mª Clara Rocha, Rui Cruz O22 Psychopathological symptoms and medication use in higher education Ana P. Amaral, Marina Lourenço, Mª Clara Rocha, Rui Cruz O23 Sexually transmitted diseases in higher education institutions Sandra Antunes, Verónica Mendonça, Isabel Andrade, Nádia Osório, Ana Valado, Armando Caseiro, António Gabriel, Anabela C. Martins, Fernando Mendes O24 Alcohol consumption and suicide ideation in higher education students Lídia Cabral, Manuela Ferreira, Amadeu Gonçalves O25 Quality of life in university students Tatiana D. Luz, Leonardo Luz, Raul Martins O26 Male and female adolescent antisocial behaviour: characterizing vulnerabilities in a Portuguese sample Alice Morgado, Maria L. Vale-Dias O27 Risk factors for mental health in higher education students of health sciences Rui Porta-Nova O28 International classification of functioning disability and health as reflexive reasoning in primary attention in health Tânia C. Fleig, Éboni M. Reuter, Miriam B. Froemming, Sabrina L. Guerreiro, Lisiane L. Carvalho O29 Risk factors and cardiovascular disease in Portalegre Daniel Guedelha, P. Coelho, A. Pereira O30 Health status of the elderly population living in Portalegre historic city centre: A longitudinal study António Calha, Raul Cordeiro O31 Student’s sleep in higher education: sleep quality among students of the IPB Ana Gonçalves, Ana Certo, Ana Galvão, Mª Augusta Mata O32 Trend in mortality from cervical cancer in the metropolitan area of Florianópolis, state of Santa Catarina, Brazil, 2000 to 2013 Aline Welter, Elayne Pereira, Sandra Ribeiro, Marcia Kretzer O33 Adherence to treatment in the elderly in an urban environment in Spain Juan-Fernando Jiménez-Díaz, Carla Jiménez-Rodríguez, Francisco-José Hernández-Martínez, Bienvenida-Del-Carmen Rodríguez-De-Vera, Alexandre Marques-Rodrigues O34 Beira Baixa Blood Pressure Study (Study PABB) Patrícia Coelho, Tiago Bernardes, Alexandre Pereira O35 Trends in cervical cancer mortality statistics in Santa Catarina State, Brazil, by age group and macro-region, from 2000 to 2013 Patrícia Sousa, João G. Filho, Nazare Nazario, Marcia Kretzer O36 Sleep problems among Portuguese adolescents: a public health issue Odete Amaral, António Garrido, Nélio Veiga, Carla Nunes, Ana R. Pedro, Carlos Pereira O37 Association between body fat and health-related quality of life in patients with type 2 diabetes António Almeia, Helder M. Fernandes, Carlos Vasconcelos, Nelson Sousa, Victor M. Reis, M. João Monteiro, Romeu Mendes O38 Therapy adherence and polypharmacy in non-institutionalized elderly from Amares county, Portugal Isabel C. Pinto, Tânia Pires, João Gama O39 Prevalence of surgical site infection in adults at a hospital unit in the North of Portugal Vera Preto, Norberto Silva, Carlos Magalhães, Matilde Martins O40 Frailty phenotype in old age: implications to intervention Mafalda Duarte, Constança Paúl, Ignácio Martín O41 Portuguese women: sexual symptoms in perimenopause Arminda A. Pinheiro O42 Predictive ability of the Perinatal Depression Screening and Prevention Tool – preliminary results of the categorical approach Sandra Xavier, Julieta Azevedo, Elisabete Bento, Cristiana Marques, Mariana Marques, António Macedo, Ana T. Pereira O43 Aging and muscle strength in patients with type 2 diabetes: cross sectional analysis José P. Almeida, António Almeida, Josiane Alves, Nelson Sousa, Francisco Saavedra, Romeu Mendes O44 Accessibility of the elderly in the prevention of hypertension in a family health unit Ana S. Maia, Michelle T. Oliveira, Anderson R. Sousa, Paulo P. Ferreira, Luci S. Lopes, Eujcely C. Santiago O45 Community Health screenings and self-reported chronic diseases Sílvia Monteiro, Ângelo Jesus, Armanda Colaço, António Carvalho, Rita P. Silva, Agostinho Cruz O46 Evaluation of indoor air quality in Kindergartens Ana Ferreira, Catarina Marques, João P. Figueiredo, Susana Paixão O47 Atmospheric exposure to chemical agents under the occupational activity of pathology technicians Ana Ferreira, Carla Lopes, Fernando Moreira, João P. Figueiredo O48 Occupational exposure to air pollutants in night entertainment venues workers Ana Ferreira, Diana Ribeiro, Fernando Moreira, João P. Figueiredo, Susana Paixão O49 Beliefs and attitudes of young people towards breastfeeding Telma Fernandes, Diogo Amado, Jéssica Leal, Marcelo Azevedo, Sónia Ramalho O50 Profiling informal caregivers: surveying needs in the care of the elderly Catarina Mangas, Jaime Ribeiro, Rita Gonçalves O51 Visual health in teenagers Amélia F Nunes, Ana R. Tuna, Carlos R. Martins, Henriqueta D. Forte O52 Amenable mortality and the geographic accessibility to healthcare in Portugal Cláudia Costa, José A. Tenedório, Paula Santana O53 Bacterial contamination of door handles in a São Paulo See Metropolitan Cathedral public restrooms in Brazil J. A. Andrade, J. L. Pinto, C. Campofiorito, S. Nunes, A. Carmo, A. Kaliniczenco, B. Alves, F. Mendes, C. Jesus, F. Fonseca, F. Gehrke O54 Adherence of patients to rehabilitation programmes Carlos Albuquerque, Rita Batista, Madalena Cunha, António Madureira, Olivério Ribeiro, Rosa Martins O55 Prevalence of malnutrition among Portuguese elderly living in nursing homes: preliminary results of the PEN-3S project Teresa Madeira, Catarina Peixoto-Plácido, Nuno Santos, Osvaldo Santos, Astrid Bergland, Asta Bye, Carla Lopes, Violeta Alarcão, Beatriz Goulão, Nuno Mendonça, Paulo Nicola, João G. Clara O56 Relation between emotional intelligence and mental illness in health students João Gomes, Ana Querido, Catarina Tomás, Daniel Carvalho, Marina Cordeiro P1 Fall risk factors in people older than 50 years old – a pilot report Marlene C. Rosa, Alda Marques P2 What about the Portuguese oldest old? A global overview using census data Daniela Brandão, Óscar Ribeiro, Lia Araújo, Constança Paúl P3 Prevalence of injuries in senior amateur volleyball athletes in Alentejo and Algarve clubs, Portugal: factors associated Beatriz Minghelli, Sylvina Richaud P4 Shame feelings and quality of life: the role of acceptance and decentring Ana L. Mendes, Joana Marta-Simões, Inês A. Trindade, Cláudia Ferreira P5 Assessment of social support during deployment in portuguese colonial war veterans Teresa Carvalho, Marina Cunha, José Pinto-Gouveia P6 Hospitalization for acute viral bronchiolitis of residents in the metropolitan region of Porto Alegre, Southern Brazil, 2012 to 2014 Morgana C. Fernandes, Roger S. Rosa, Rita C. Nugem, Luís F. Kranz, Mariana S. Siqueira, Ronaldo Bordin P7 Falls-risk screening – an opportunity for preventing falls in the elderly from Nordeste Anabela C. Martins, Anabela Medeiros, Rafaela Pimentel, Andreia Fernandes, Carlos Mendonça, Isabel Andrade, Susana Andrade, Ruth L. Menezes P8 Aging provokes chronodisruption in mature people in temperature circadian rhythm Rafael Bravo, Marta Miranda, Lierni Ugartemendia, José Mª Tena, Francisco L. Pérez-Caballero, Lorena Fuentes-Broto, Ana B. Rodríguez, Barriga Carmen P9 The influence of climate and pollution factors in dengue cases of great ABC region, São Paulo M. A. Carneiro, J. N. Domingues, S. Paixão, J. Figueiredo, V. B. Nascimento, C. Jesus, F Mendes, F. Gehrke, B. Alves, L. Azzalis, F. Fonseca P10 Visual function and impact of visual therapy in children with learning disabilities: a pilot study Ana R. Martins, Amélia Nunes, Arminda Jorge P11 Edentulism and the need of oral rehabilitation among institutionalized elderly Nélio Veiga, Ana Amorim, André Silva, Liliana Martinho, Luís Monteiro, Rafael Silva, Carina Coelho, Odete Amaral, Inês Coelho, Carlos Pereira, André Correia P12 Therapy adherence of outpatients in the pharmacy services of a hospital unit Diana Rodrigues, Nídia Marante, Pedro Silva, Sara Carvalho, André Rts Araujo, Maximiano Ribeiro, Paula Coutinho, Sandra Ventura, Fátima Roque P13 Universal access and comprehensive care of oral health: an availability study Cristina Calvo, Manoela Reses P14 Is the respiratory function of children a predictor of air quality? Coimbra as a case study Jorge Conde, Ana Ferreira, João Figueiredo P15 Meaning-in-life of college students David Silva, Luís Seiça, Raquel Soares, Ricardo Mourão, Teresa Kraus O57 Training needs for nurses in palliative care Ana C. Abreu, José M. Padilha, Júlia M. Alves O58 Impact of computerized information systems in the global nurses’ workload: nurses’ perceptions and real-time Paulino Sousa, Manuel Oliveira, Joana Sousa O59 The perspective of health care professionals on self-care in hereditary neurodegenerative disease: a qualitative study Sónia Novais, Felismina Mendes O60 Contribution for health-related physical fitness reference values in healthy adolescents Joana Pinto, Joana Cruz, Alda Marques School of Health Sciences, University of Aveiro, 3810-193 Aveiro, Portugal O61 Perception of learning, satisfaction and self-efficacy of nursing students about High-Fidelity Simulation Hugo Duarte, Maria Dos Anjos Dixe, Pedro Sousa O62 Analysis of statements of diagnosis about health deviation in self-care requisites customized in a Nursing Practice Support System (SAPE®): Management of therapeutic regimen Inês Cruz, Fernanda Bastos, Filipe Pereira O63 Hybrid management and hospital governance: doctors and nurses as managers Francisco L. Carvalho, Teresa T. Oliveira, Vítor R. Raposo O64 Time management in health professionals Conceição Rainho, José C. Ribeiro, Isabel Barroso, Vítor Rodrigues O65 Financial rewards and wellbeing in primary health care Carmo Neves, Teresa C. Oliveira O66 Patient safety promotion in the operating room Bárbara Oliveira, Mª Carminda Morais, Pilar Baylina O67 Difficulties and needs of pre-graduate nursing students in the area of Geriatrics/Gerontology Rogério Rodrigues, Zaida Azeredo, Corália Vicente O68 Teaching and learning sexuality in nursing education Hélia Dias, Margarida Sim-Sim O69 Entrepreneurial Motivations Questionnaire: AFC and CFA in academy Pedro Parreira, Anabela Salgueiro-Oliveira, Amélia Castilho, Rosa Melo, João Graveto, José Gomes, Marina Vaquinhas, Carla Carvalho, Lisete Mónico, Nuno Brito O70 Nursing intervention to patient with Permanent Pacemakers and Implantable Cardioverter Defibrillators: a qualitative analysis Cassilda Sarroeira, José Amendoeira, Fátima Cunha, Anabela Cândido, Patrícia Fernandes, Helena R. Silva, Elsa Silva O71 Alcohol consumption among nursing students: where does education fail? Isabel Barroso, Leila Lapa, Cristina Antunes O72 Labour stress in nursing Ana Gonçalves, Ana Galvão, Mª José Gomes, Susana R. Escanciano O73 The influence of safe staff nursing in patient satisfaction with nursing care Maria Freitas, Pedro Parreira, João Marôco O74 Intention to use eHealth strategies with nursing students Ana R. Fernandes, Cremilde Cabral, Samuel Alves, Pedro Sousa O75 Community Based Mental Health: contributions of an interdisciplinary international program for students in higher health education António Ferreira, Fernanda Príncipe, Ulla-Maija Seppänen, Margarida Ferreira, Maribel Carvalhais, Marilene Silva O76 Study of satisfaction at work of graduates in nursing: 2002-2014 Manuela Ferreira, Joana Silva, Jéssica Neves, Diana Costa, Bruno Santos, Soraia Duarte O77 Health professionals’ attitudes towards breastfeeding Sílvia Marques, Sónia Ramalho, Isabel Mendes O78 Continuity of nursing care to person with type 2 diabetes Clarisse Louro, Eva Menino, Maria Dixe, Sara S. Dias O79 Stigma toward mental illness among future health professionals Marina Cordeiro, Catarina Tomás, Ana Querido, Daniel Carvalho, João Gomes O80 Working with fears and anxieties of medical students in search of a humanized care Frederico C. Valim, Joyce O. Costa, Lúcia G. Bernardes P16 Surgical paediatrics patients’ psycho prophylaxis at a teaching hospital Helena Prebianchi P17 Patient-perceived outcomes in physiotherapy – a pilot study Marlene Cristina Rosa P18 Building competencies for managers in nursing Narcisa Gonçalves, Maria M. Martins, Paulina Kurcgant P19 Theoretical basis underlying physiotherapy practice in stroke rehabilitation André Vieira P20 When the life-cycle ends: the nurse’s confrontation with death Sandrina Bento, Sérgio Deodato, Isabel Rabiais P21 Nursing students’ opinion about the supervision relationship during their first clinical experience Laura Reis P22 Nursing Relational Laboratory: Pedagogical, dialogic and critical project Ana Torres, Sérgio Soares, Margarida Ferreira, Pedro Graça P23 Job satisfaction of bioscientists at a Lisbon hospital Céu Leitão, Renato Abreu, Fernando Bellém, Ana Almeida, Edna Ribeiro-Varandas, Ana Tavares P24 Sociodemographic and professional profile of nurses and its relation with the importance of family in nursing practices João G. Frade, Carolina Henriques, Eva Menino, Clarisse Louro, Célia Jordão P25 Professional satisfaction of rehabilitation nurses Sofia Neco, Carminda Morais, Pedro Ferreira P26 The person living with a stoma: the formalization of knowledge in nursing Carla R. Silva, Alice Brito, Antónia Silva P27 Validation of the Portuguese versions of the nursing students’ perceptions of learning and learner satisfaction with simulation tool Hugo Duarte, Maria Dos Anjos Dixe, Pedro Sousa P28 Physiotherapists’ perceived knowledge on technologies for electronic health records for physiotherapy Gabriela Postolache, Raul Oliveira, Isabel Moreira, Luísa Pedro, Sónia Vicente, Samuel Domingos, Octavian Postolache P29 Quality of life and physical activity of medicine undergraduate students in the University of Southern Santa Catarina, Brazil Darlen Silva, João G. Filho, Nazare Nazario, Marcia Kretzer, Dulcineia Schneider P30 The curricular skills for decision making education in a Nursing Degree Fátima M. Marques P31 Effect of nurses’ mobilization in satisfaction at work and turnover: An empirical study in the hospital setting Pedro Parreira, Carla Carvalho, Lisete M. Mónico, Carlos Pinto, Sara Vicente, São João Breda P32 Entrepreneurial skills of students of polytechnic higher education in Portugal: Business influences José H. Gomes, Rosa Melo, Pedro Parreira, Anabela Salgueiro, João Graveto, Marina Vaquinhas, Amélia Castilho P33 Design and assessment of e-learning modules for Pharmacology Ângelo Jesus, Nuno Duarte, José C. Lopes, Hélder Nunes, Agostinho Cruz P34 Perspective of nurses involved in an action-research study on the changes observed in care provision: results from a focus group Anabela Salgueiro-Oliveira, Pedro Parreira, Marta L. Basto, Luciene M. Braga P35 Use of peer feedback by nursing students during clinical training: teacher’s perception António Ferreira, Beatriz Araújo, José M. Alves, Margarida Ferreira, Maribel Carvalhais, Marilene Silva, Sónia Novais P36 What’s new on endotracheal suctioning recommendations Ana S. Sousa, Cândida Ferrito P37 Assessment of the nurses satisfaction on the Central Region of Portugal Pedro L. Ferreira, Alexandre Rodrigues, Margarida Ferreira, Isabel Oliveira P38 Study of graduate’s satisfaction with the school of nursing Manuela Ferreira, Jéssica Neves, Diana Costa, Soraia Duarte, Joana Silva, Bruno Santos P39 Partnership between the school of nursing and the hospital: Supervisors´ perspectives Cristina Martins, Ana P. Macedo, Odete Araújo, Cláudia Augusto, Fátima Braga, Lisa Gomes, Maria A. Silva, Rafaela Rosário P40 Coping strategies of college students Luís Pimenta, Diana Carreira, Patrícia Teles, Teresa Barros P41 Emotional intelligence and mental health stigma in health students Catarina Tomás, Ana Querido, Daniel Carvalho, João Gomes, Marina Cordeiro P42 Stigma of mental health assessment: Comparison between health courses Daniel Carvalho, Ana Querido, Catarina Tomás, João Gomes, Marina Cordeiro O81 Short- and long-term effects of pulmonary rehabilitation in mild COPD Cristina Jácome, Alda Marques O82 Phonological awareness programme for preschool children Sylvie Capelas, Andreia Hall, Dina Alves, Marisa Lousada O83 REforma ATIVA: An efficient health promotion program to be implemented during retirement Mª Helena Loureiro, Ana Camarneiro, Margarida Silva, Aida Mendes, Ana Pedreiro O84 Intervention for men who batter women, a case report Anne G.Silva, Elza S. Coelho O85 Immediate effects of Bowen Therapy on muscle tone and flexibility Flávio Melo, Fernando Ribeiro, Rui Torres, Rui Costa O86 Predictive equation for incremental shuttle walk test in adolescents Tânia Pinho, Cristina Jácome, Alda Marques O87 Life satisfaction and psychopathology in institutionalized elderly people: The results of an adapted Mindfulness-Based Stress Reduction program Bárbara Cruz, Daniel Seabra, Diogo Carreira, Maria Ventura O88 Outcome changes in COPD rehabilitation: exploring the relationship between physical activity and health-related outcomes Joana Cruz, Dina Brooks, Alda Marques O89 Assessing the effectiveness of a Complex Nursing Intervention M Rosário Pinto, Pedro Parreira, Marta Lima-Basto, Miguel Neves, Lisete M. Mónico O90 Psychotherapeutic intervention in addiction disorders: Change in psychopathological symptoms and emotional states Carla Bizarro, Marina Cunha, Ana Galhardo, Couto Margarida, Ana P. Amorim, Eduardo Silva O91 Economic impact of a nursing intervention program to promote self-management in COPD Susana Cruz, José M. Padilha, Jorge Valente O92 Multimodal acute pain management during uterine artery embolization in treatment of uterine myomas José T. Guerrero, Francisco P. Caballero, Rafael B. Santos, Estefania P. Gonzalez, Fátima M. Monago, Lierni U. Ugalde, Marta M. Vélez, Maria J. Tena O93 Fluid administration strategies in major surgery: Goal-directed therapy José T. Guerrero, Rafael Bravo, Francisco L. Pérez-Caballero, Isabel A. Becerra, Mª Elizabeth Agudelo, Guadalupe Acedo, Roberto Bajo O94 Development and implementation of a self-management educational programme using lay-led’s in adolescents Spina Bifida: A pilot study Isabel Malheiro, Filomena Gaspar, Luísa Barros O95 Influence of chair-based yoga exercises on salivary anti-microbial proteins in institutionalized frail-elderly women: a preliminary study Guilherme Furtado, Mateus Uba-Chupel, Mariana Marques, Luís Rama, Margarida Braga, José P. Ferreira, Ana Mª Teixeira O96 High intensity interval training vs moderate intensity continuous training impact on diabetes 2 João Cruz, Tiago Barbosa, Ângela Simões, Luís Coelho O97 Family caregiver of people with pressure ulcer: Nursing intervention plan Alexandre Rodrigues, Juan-Fernando Jiménez-Díaz, Francisco Martinez-Hernández, Bienvenida Rodriguez-De-Vera, Pedro Ferreira, Alexandrina Rodrigues O98 Chronic effects of exercise on motor memory consolidation in elderly people André Ramalho, João Petrica, Pedro Mendes, João Serrano, Inês Santo, António Rosado O99 Impression cytology of the ocular surface: Collection technique and sample processing Paula Mendonça, Kátia Freitas O100 Does sport practice affect the reaction time in neuromuscular activity? Dora Ferreira, António Brito, Renato Fernandes O101 Efficiency of the enteral administration of fibbers in the treatment of chronic obstipation Sofia Gomes, Fernando Moreira, Cláudia Pinho, Rita Oliveira, Ana I. Oliveira O102 Fast decalcifier in compact bone and spongy bone Paula Mendonça, Ana P. Casimiro, Patrícia Martins, Iryna Silva O103 Health promotion in the elderly – Intervention project in dementia Diana Evangelista O104 Prevention of musculoskeletal disorders through an exercise protocol held in labour context Catarina Leitão, Fábia Velosa, Nélio Carecho, Luís Coelho O105 Knowledge of teachers and other education agents on diabetes type 1: Effectiveness of an intervention program Eva Menino, Anjos Dixe, Helena Catarino, Fátima Soares, Ester Gama, Clementina Gordo O106 Treatment of diabetic peripheral neuropathic pain: a systematic review of clinical trials of phase II and III Eliana Moreira, Cristiana Midões, Marlene Santos O107 New drugs for osteoporosis treatment: Systematic review of clinical trials of phase II and III Sara Machado, Vânia P. Oliveira, Marlene Santos O108 Promoting hope at the end of life: Effectiveness of an Intervention Programme Ana Querido, Anjos Dixe, Rita Marques, Zaida Charepe P43 Psychomotor therapy effects on adaptive behaviour and motor proficiency of adults with intellectual disability Ana Antunes, Sofia Santos P44 The effect of exercise therapy in multiple sclerosis – a single study case Marlene C. Rosa P45 Physical condition and self-efficacy in people with fall risk – a preliminary study Marlene C. Rosa, Silvana F. Marques P46 Shock waves: their effectiveness in improving the symptoms of calcifying tendinitis of the shoulder Beatriz Minghelli, Eulália Caro P47 Pacifier – construction and pilot application of a parenting intervention for parents of babies until six months in primary health care Mª José Luís, Teresa Brandão P48 The influence of Motor Imagery in fine motor skills of individuals with disabilities Pedro Mendes, Daniel Marinho, João Petrica, Diogo Monteiro, Rui Paulo, João Serrano, Inês Santo P49 Evaluation of the effects of a walking programme on the fall risk factors in older people – a longitudinal pilot study Lina Monteiro, Fátima Ramalho, Rita Santos-Rocha, Sónia Morgado, Teresa Bento P50 Nursing intervention programme in lifestyles of adolescents Gilberta Sousa, Otília Freitas, Isabel Silva, Gregório Freitas, Clementina Morna, Rita Vasconcelos P51 The person submitted to hip replacement rehabilitation, at home Tatiana Azevedo, Salete Soares, Jacinta Pisco P52 Effects of Melatonin use in the treatment of neurovegetative diseases Paulo P. Ferreira, Efrain O. Olszewer, Michelle T. Oliveira, Anderson R. Sousa, Ana S. Maia, Sebastião T. Oliveira P53 Review of Phytotherapy and other natural substances in alcohol abuse and alcoholism Erica Santos, Ana I. Oliveira, Carla Maia, Fernando Moreira, Joana Santos, Maria F. Mendes, Rita F. Oliveira, Cláudia Pinho P54 Dietary programme impact on biochemical markers in diabetics: systematic review Eduarda Barreira, Ana Pereira, Josiana A. Vaz, André Novo P55 Biological approaches to knee osteoarthritis: platelet-rich plasma and hyaluronic acid Luís D. Silva, Bruno Maia, Eduardo Ferreira, Filipa Pires, Renato Andrade, Luís Camarinha P56 Platelet-rich plasma and hyaluronic acid intra-articular injections for the treatment of ankle osteoarthritis Luís D. Silva, Bruno Maia, Eduardo Ferreira, Filipa Pires, Renato Andrade, Luís Camarinha P57 The impact of preventive measures in the incidence of diabetic foot ulcers: a systematic review Ana F. César, Mariana Poço, David Ventura, Raquel Loura, Pedro Gomes, Catarina Gomes, Cláudia Silva, Elsa Melo, João Lindo P58 Dating violence among young adolescents Joana Domingos, Zaida Mendes, Susana Poeta, Tiago Carvalho, Catarina Tomás, Helena Catarino, Mª Anjos Dixe P59 Physical activity and motor memory in pedal dexterity André Ramalho, António Rosado, Pedro Mendes, Rui Paulo, Inês Garcia, João Petrica P60 The effects of whole body vibration on the electromyographic activity of thigh muscles Sandra Rodrigues, Rui Meneses, Carlos Afonso, Luís Faria, Adérito Seixas P61 Mental health promotion in the workplace Marina Cordeiro, Paulo Granjo, José C. Gomes P62 Influence of physical exercise on the self-perception of body image in elderly women: A systematic review of qualitative studies Nelba R. Souza, Guilherme E. Furtado, Saulo V. Rocha, Paula Silva, Joana Carvalho O109 Psychometric properties of the Portuguese version of the Éxamen Geronto-Psychomoteur (P-EGP) Marina Ana Morais, Sofia Santos, Paula Lebre, Ana Antunes O110 Symptoms of depression in the elderly population of Portugal, Spain and Italy António Calha O111 Emotion regulation strategies and psychopathology symptoms: A comparison between adolescents with and without deliberate self-harm Ana Xavier, Marina Cunha, José Pinto-Gouveia O112 Prevalence of physical disability in people with leprosy Liana Alencar, Madalena Cunha, António Madureira O113 Quality of life and self-esteem in type 1 and type 2 diabetes mellitus patients Ilda Cardoso, Ana Galhardo, Fernanda Daniel, Vítor Rodrigues O114 Cross-cultural comparison of gross motor coordination in children from Brazil and Portugal Leonardo Luz, Tatiana Luz, Maurício R. Ramos, Dayse C. Medeiros, Bruno M. Carmo, André Seabra, Cristina Padez, Manuel C. Silva O115 Electrocardiographic differences between African and Caucasian people António Rodrigues, Patrícia Coelho, Alexandre Coelho O116 Factors associated with domestic, sexual and other types of violence in the city of Palhoça - Brazil Madson Caminha, Filipe Matheus, Elenice Mendes, Jony Correia, Marcia Kretzer O117 Tinnitus prevalence study of users of a hospital of public management - Spain Francisco J. Hernandez-Martinez, Juan F. Jimenez-Diaz, Bienvendida C. Rodriguez-De-Vera, Carla Jimenez-Rodriguez, Yadira Armas-Gonzalez O118 Difficulties experienced by parents of children with diabetes mellitus of preschool age in therapeutic and nutritional management Cátia Rodrigues, Rosa Pedroso O119 E-mental health - “nice to have” or “must have”? Exploring the attitudes towards e-mental health in the general population Jennifer Apolinário-Hagen, Viktor Vehreschild O120 Violence against children and adolescents and the role of health professionals: Knowing how to identify and care Milene Veloso, Celina Magalhães, Isabel Cabral, Maira Ferraz O121 Marital violence. A study in the Algarve population Filipe Nave, Emília Costa, Filomena Matos, José Pacheco O122 Clinical factors and adherence to treatment in ischemic heart disease António Dias, Carlos Pereira, João Duarte, Madalena Cunha, Daniel Silva O123 Can religiosity improve optimism in participants in states of illness, when controlling for life satisfaction? Lisete M. Mónico, Valentim R. Alferes, Mª São João Brêda, Carla Carvalho, Pedro M. Parreira O124 Empowerment, knowledge and quality of life of people with diabetes type 2 in the Alto Minho Health Local Unit Mª Carminda Morais, Pedro Ferreira, Rui Pimenta, José Boavida O125 Antihypertensive therapy adherence among hypertensive patients from Bragança county, Portugal Isabel C. Pinto, Tânia Pires, Catarina Silva O126 Subjective perception of sexual achievement - An exploratory study on people with overweight Maria Ribeiro, Maria Viega-Branco, Filomena Pereira, Ana Mª Pereira O127 Physical activity level and associated factors in hypertensive individuals registered in the family health strategy of a basic health unit from the city of Palhoça, Santa Catarina, Brazil Fabrícia M. Almeida, Gustavo L. Estevez, Sandra Ribeiro, Marcia R. Kretzer O128 Perception of functional fitness and health in non-institutionalised elderly from rural areas Paulo V. João, Paulo Nogueira, Sandra Novais, Ana Pereira, Lara Carneiro, Maria Mota O129 Medication adherence in patients with type 2 diabetes mellitus treated at primary health care in Coimbra Rui Cruz, Luiz Santiago, Carlos Fontes-Ribeiro O130 Multivariate association between body mass index and multi-comorbidities in elderly people living in low socio-economic status context Guilherme Furtado, Saulo V. Rocha, André P. Coutinho, João S. Neto, Lélia R. Vasconcelos, Nelba R. Souza, Estélio Dantas O131 Metacognition, rumination and experiential avoidance in Borderline Personality Disorder Alexandra Dinis, Sérgio Carvalho, Paula Castilho, José Pinto-Gouveia O132 Health issues in a vulnerable population: nursing consultation in a public bathhouse in Lisbon Alexandra Sarreira-Santos, Amélia Figueiredo, Lurdes Medeiros-Garcia, Paulo Seabra O133 The perception of quality of life in people with multiple sclerosis accompanied in External Consultation of the Local Health Unit of Alto Minho Rosa Rodrigues, Mª Carminda Morais, Paula O. Fernandes O134 Representation of interaction established between immigrant women and nurse during pregnancy to postpartum, from the perspective of immigrant women Conceição Santiago, Mª Henriqueta Figueiredo, Marta L. Basto O135 Illness perceptions and medication adherence in hypertension Teresa Guimarães, André Coelho, Anabela Graça, Ana M. Silva, Ana R. Fonseca O136 A Portuguese study on adults’ intimate partner violence, interpersonal trust and hope Luz Vale-Dias, Bárbara Minas, Graciete Franco-Borges P63 QOL’ predictors of people with intellectual disability and general population Cristina Simões, Sofia Santos P64 Content validation of the Communication Disability Profile (CDP) - Portuguese Version Ana Serra, Maria Matos, Luís Jesus P65 Study of biochemical and haematological changes in football players Ana S. Tavares, Ana Almeida, Céu Leitão, Edna Varandas, Renato Abreu, Fernando Bellém P66 Body image dissatisfaction in inflammatory bowel disease: exploring the role of chronic illness-related shame Inês A. Trindade, Cláudia Ferreira, José Pinto-Gouveia, Joana Marta-Simões P67 Obesity and sleep in the adult population - a systematic review Odete Amaral, Cristiana Miranda, Pedro Guimarães, Rodrigo Gonçalves, Nélio Veiga, Carlos Pereira P68 Frequency of daytime sleepiness and obstructive sleep apnea risk in COPD patients Tânia C. Fleig, Elisabete A. San-Martin, Cássia L. Goulart, Paloma B. Schneiders, Natacha F. Miranda, Lisiane L. Carvalho, Andrea G. Silva P69 Working with immigrant-origin clients: discourses and practices of health professionals Joana Topa, Conceição Nogueira, Sofia Neves P70 Systemic Lupus Erythematosus – what are audiovestibular changes? Rita Ventura, Cristina Nazaré P71 Mental disorders in the oldest old: findings from the Portuguese national hospitalization database Daniela Brandão, Alberto Freitas, Óscar Ribeiro, Constança Paúl P72 Recurrence analysis in postural control in children with cerebral palsy Cristiana Mercê, Marco Branco, Pedro Almeida, Daniela Nascimento, Juliana Pereira, David Catela P73 The experience of self-care in the elderly with COPD: contributions to reflect proximity care Helga Rafael P74 Culturally competent nurses: managing unpredictability in clinical practice with immigrants Alcinda C. Reis O137 Paediatric speech and language screening: An instrument for health professionals Ana Mendes, Ana R. Valente, Marisa Lousada O138 Anthropometric and nutritional assessment in bodybuilders Diana Sousa, Ana L. Baltazar, Mª Helena Loureiro O139 Computerized adventitious respiratory sounds in children with lower respiratory tract infections Ana Oliveira, José Aparício, Alda Marques O140 Role of computerized respiratory sounds as a marker in LRTI Alda Marques, Ana Oliveira, Joana Neves, Rodrigo Ayoub O141 Confirmatory factor analysis of the Personal Wellbeing Index in people with chronic kidney disease Luís Sousa, Cristina Marques-Vieira, Sandy Severino, Helena José O142 Phonological awareness skills in school aged children Inês Cadorio, Marisa Lousada O143 Assessment of early memories of warmth and safeness in interaction with peers: its relationship with psychopathology in adolescence Marina Cunha, Diogo Andrade, Ana Galhardo, Margarida Couto O144 The molecular effects induced by single shot irradiation on a diffuse large B cell lymphoma cell line Fernando Mendes, Cátia Domingues, Susann Schukg, Ana M. Abrantes, Ana C. Gonçalves, Tiago Sales, Ricardo Teixo, Rita Silva, Jéssica Estrela, Mafalda Laranjo, João Casalta-Lopes, Clara Rocha, Paulo C. Simões, Ana B. Sarmento-Ribeiro, Mª Filomena Botelho, Manuel S. Rosa O145 Morpho-functional characterization of cardiac chambers by Transthoracic Echocardiography, in young athletes of gymnastics competition Virgínia Fonseca, Diogo Colaço, Vanessa Neves O146 Prevalence of the antibodies of the new histo-blood system – FORS system Carlos Jesus, Camilla Hesse, Clara Rocha, Nádia Osório, Ana Valado, Armando Caseiro, António Gabriel, Lola Svensson, Fernando Mendes, Wafa A. Siba, Cristina Pereira, Jorge Tomaz O147 Assessment of the war-related perceived threat in Portuguese Colonial War Veterans Teresa Carvalho, José Pinto-Gouveia, Marina Cunha O148 Pulse transit time estimation for continuous blood pressure measurement: A comparative study Diana Duarte, Nuno V. Lopes, Rui Fonseca-Pinto O149 Blood pressure assessment during standard clinical manoeuvres: A non-invasive PPT based approach Diana Duarte, Nuno V. Lopes, Rui Fonseca-Pinto O150 Development and initial validation of the Activities and Participation Profile related to Mobility (APPM) Anabela C. Martins O151 MEASYCare-2010 Standard–A geriatric evaluation system in primary health care: Reliability and validity of the latest version in Portugal Piedade Brandão, Laura Martins, Margarida Cardoso O152 Interrater and intrarater reliability and agreement of the range of shoulder flexion in the standing upright position through photographic assessment Nuno Morais, Joana Cruz O153 Three-dimensional biofabrication techniques for tissue regeneration Nuno Alves, Paula Faria, Artur Mateus, Pedro Morouço O154 A new computer tool for biofabrication applied to tissue engineering Nuno Alves, Nelson Ferreira, Artur Mateus, Paula Faria, Pedro Morouço O155 Development and psychometric qualities of a scale to measure the functional independence of adolescents with motor impairment Isabel Malheiro, Filomena Gaspar, Luísa Barros O156 Organizational Trust in Health services: Exploratory and Confirmatory factor analysis of the Organizational Trust Inventory- Short Form (OTI-SF) Pedro Parreira, Andreia Cardoso, Lisete Mónico, Carla Carvalho, Albino Lopes, Anabela Salgueiro-Oliveira O157 Thermal symmetry: An indicator of occupational task asymmetries in physiotherapy Adérito Seixas, Valter Soares, Tiago Dias, Ricardo Vardasca, Joaquim Gabriel, Sandra Rodrigues O158 A study of ICT active monitoring adoption in stroke rehabilitation Hugo Paredes, Arsénio Reis, Sara Marinho, Vítor Filipe, João Barroso O159 Paranoia Checklist (Portuguese Version): Preliminary studies in a mixed sample of patients and healthy controls Carolina Da Motta, Célia B. Carvalho, José Pinto-Gouveia, Ermelindo Peixoto O160 Reliability and validity of the Composite Scale on Morningness: European Portuguese version, in adolescents and young adults Ana A. Gomes, Vanessa Costa, Diana Couto, Daniel R. Marques, José A. Leitão, José Tavares, Maria H. Azevedo, Carlos F. Silva O161 Evaluation scale of patient satisfaction with nursing care: Psychometric properties evaluation João Freitas, Pedro Parreira, João Marôco O162 Impact of fibromyalgia on quality of life: Comparing results from generic instruments and FIQR Miguel A. Garcia-Gordillo, Daniel Collado-Mateo, Gang Chen, Angelo Iezzi, José A. Sala, José A. Parraça, Narcis Gusi O163 Preliminary study of the adaptation and validation of the Rating Scale of Resilient Self: Resilience, self-harm and suicidal ideation in adolescents Jani Sousa, Mariana Marques, Jacinto Jardim, Anabela Pereira, Sónia Simões, Marina Cunha O164 Development of the first pressure ulcer in inpatient setting: Focus on length of stay Pedro Sardo, Jenifer Guedes, João Lindo, Paulo Machado, Elsa Melo O165 Forms of Self-Criticizing and Self-Reassuring Scale: Adaptation and early findings in a sample of Portuguese children Célia B. Carvalho, Joana Benevides, Marina Sousa, Joana Cabral, Carolina Da Motta O166 Predictive ability of the Perinatal Depression Screening and Prevention Tool – Preliminary results of the dimensional approach Ana T. Pereira, Sandra Xavier, Julieta Azevedo, Elisabete Bento, Cristiana Marques, Rosa Carvalho, Mariana Marques, António Macedo O167 Psychometric properties of the BaSIQS-Basic Scale on insomnia symptoms and quality of sleep, in adults and in the elderly Ana M. Silva, Juliana Alves, Ana A. Gomes, Daniel R. Marques, Mª Helena Azevedo, Carlos Silva O168 Enlightening the human decision in health: The skin melanocytic classification challenge Ana Mendes, Huei D. Lee, Newton Spolaôr, Jefferson T. Oliva, Wu F. Chung, Rui Fonseca-Pinto O169 Test-retest reliability household life study and health questionnaire Pomerode (SHIP-BRAZIL) Keila Bairros, Cláudia D. Silva, Clóvis A. Souza, Silvana S. Schroeder O170 Characterization of sun exposure behaviours among medical students from Nova Medical School Elsa Araújo, Helena Monteiro, Ricardo Costa, Sara S. Dias, Jorge Torgal O171 Spirituality in pregnant women Carolina G. Henriques, Luísa Santos, Elisa F. Caceiro, Sónia A. Ramalho O172 Polypharmacy in older patients with cancer Rita Oliveira, Vera Afreixo, João Santos, Priscilla Mota, Agostinho Cruz, Francisco Pimentel O173 Quality of life of caregivers of people with advanced chronic disease: Translation and validation of the quality of life in life threatening illness - family carer version (QOLLTI-C-PT) Rita Marques, Mª Anjos Dixe, Ana Querido, Patrícia Sousa O174 The psychometric properties of the brief Other as Shamer Scale for Children (OAS-C): preliminary validation studies in a sample of Portuguese children Joana Benevides, Carolina Da Motta, Marina Sousa, Suzana N. Caldeira, Célia B. Carvalho O175 Measuring emotional intelligence in health care students – Revalidation of WLEIS-P Ana Querido, Catarina Tomás, Daniel Carvalho, João Gomes, Marina Cordeiro O176 Health indicators in prenatal assistance: The impact of computerization and of under-production in basic health centres Joyce O. Costa, Frederico C. Valim, Lígia C. Ribeiro O177 Hope genogram: Assessment of resources and interaction patterns in the family of the child with cerebral palsy Zaida Charepe, Ana Querido, Mª Henriqueta Figueiredo O178 The influence of childbirth type in postpartum quality of life Priscila S. Aquino, Samila G. Ribeiro, Ana B. Pinheiro, Paula A. Lessa, Mirna F. Oliveira, Luísa S. Brito, Ítalo N. Pinto, Alessandra S. Furtado, Régia B. Castro, Caroline Q. Aquino, Eveliny S. Martins O179 Women’s beliefs about pap smear test and cervical cancer: influence of social determinants Ana B Pinheiro, Priscila S. Aquino, Lara L. Oliveira, Patrícia C. Pinheiro, Caroline R. Sousa, Vívien A. Freitas, Tatiane M. Silva, Adman S. Lima, Caroline Q. Aquino, Karizia V. Andrade, Camila A. Oliveira, Eglidia F. Vidal O180 Validity of the Portuguese version of the ASI-3: Is anxiety sensitivity a unidimensional or multidimensional construct? Ana Ganho-Ávila, Mariana Moura-Ramos, Óscar Gonçalves, Jorge Almeida O181 Lifestyles of higher education students: the influence of self-esteem and psychological well-being Armando Silva, Irma Brito, João Amado P75 Assessing the quality of life of persons with significant intellectual disability: Portuguese version of Escala de San Martín António Rodrigo, Sofia Santos, Fernando Gomes P76 Childhood obesity and breastfeeding - A systematic review Marlene C. Rosa, Silvana F. Marques P77 Cross-cultural adaptation of the Foot and Ankle Ability Measure (FAAM) for the Portuguese population Sara Luís, Luís Cavalheiro, Pedro Ferreira, Rui Gonçalves P78 Cross-cultural adaptation of the Patient-Rated Wrist Evaluation score (PRWE) for the Portuguese population Rui S. Lopes, Luís Cavalheiro, Pedro Ferreira, Rui Gonçalves P79 Cross-cultural adaptation of the Myocardial Infraction Dimensional Assessment Scale (MIDAS) for Brazilian Portuguese language Bruno H. Fiorin, Marina S. Santos, Edmar S. Oliveira, Rita L. Moreira, Elizabete A. Oliveira, Braulio L. Filho P80 The revised Portuguese version of the Three-Factor Eating Questionnaire: A confirmatory factor analysis Lara Palmeira, Teresa Garcia, José Pinto-Gouveia, Marina Cunha P81 Assessing weight-related psychological inflexibility: An exploratory factor analysis of the AAQW’s Portuguese version Sara Cardoso, Lara Palmeira, Marina Cunha; José Pinto-Gouveia P82 Validation of the Body Appreciation Scale-2 for Portuguese women Joana Marta-Simões, Ana L. Mendes, Inês A. Trindade, Sara Oliveira, Cláudia Ferreira P83 The Portuguese validation of the Dietary Intent Scale Ana L. Mendes, Joana Marta-Simões, Inês A. Trindade, Cláudia Ferreira P84 Construction and validation of the Inventory of Marital Violence (IVC) Filipe Nave P85 Portable continuous blood pressure monitor system Mariana Campos, Iris Gaudêncio, Fernando Martins, Lino Ferreira, Nuno Lopes, Rui Fonseca-Pinto P86 Construction and validation of the Scale of Perception of the Difficulties in Caring for the Elderly (SPDCE) Rogério Rodrigues, Zaida Azeredo, Corália Vicente P87 Development and validation of a comfort rating scale for the elderly hospitalized with chronic illness Joana Silva, Patrícia Sousa, Rita Marques P88 Construction and validation of the Postpartum Paternal Quality of Life Questionnaire (PP-QOL) Isabel Mendes, Rogério Rodrigues, Zaida Azeredo, Corália Vicente P89 Infrared thermal imaging: A tool for assessing diabetic foot ulcers Ricardo Vardasca, Ana R. Marques, Adérito Seixas, Rui Carvalho, Joaquim Gabriel P90 Pressure ulcers in an intensive care unit: An experience report Paulo P. Ferreira, Michelle T. Oliveira, Anderson R. Sousa, Ana S. Maia, Sebastião T. Oliveira, Pablo O. Costa, Maiza M. Silva P91 Validation of figures used in evocations: instrument to capture representations Cristina Arreguy-Sena, Nathália Alvarenga-Martins, Paulo F. Pinto, Denize C. Oliveira, Pedro D. Parreira, Antônio T. Gomes, Luciene M. Braga P92 Telephone assistance to decrease burden in informal caregivers of stroke older people: Monitoring and diagnostic evaluation Odete Araújo, Isabel Lage, José Cabrita, Laetitia Teixeira P93 Hope of informal caregivers of people with chronic and advanced disease Rita Marques, Mª Anjos Dixe, Ana Querido, Patrícia Sousa P94 Functionality and quality information from the Portuguese National Epidemiological Surveillance System Sara Silva, Eugénio Cordeiro, João Pimentel P95 Resting metabolic rate objectively measured vs. Harris and Benedict formula Vera Ferro-Lebres, Juliana A. Souza, Mariline Tavares O182 Characteristics of non-urgent patients: Cross-sectional study of an emergency department Mª Anjos Dixe, Pedro Sousa, Rui Passadouro, Teresa Peralta, Carlos Ferreira, Georgina Lourenço O183 Physical fitness and health in children of the 1st Cycle of Education João Serrano, João Petrica, Rui Paulo, Samuel Honório, Pedro Mendes O184 The impact of physical activity on sleep quality, in children Alexandra Simões, Lucinda Carvalho, Alexandre Pereira O185 What is the potential for using Information and Communication Technologies in Arterial Hypertension self-management? Sara Silva, Paulino Sousa, José M. Padilha O186 Exploring psychosocial factors associated with risk of falling in older patients undergoing haemodialysis Daniela Figueiredo, Carolina Valente, Alda Marques O187 Development of pressure ulcers on the face in patients undergoing non-invasive ventilation Patrícia Ribas, Joana Sousa, Frederico Brandão, Cesar Sousa, Matilde Martins O188 The elder hospitalized: Limiting factors of comfort Patrícia Sousa, Rita Marques O189 Physical activity and health state self-perception by Portuguese adults Francisco Mendes, Rosina Fernandes, Emília Martins, Cátia Magalhães, Patrícia Araújo O190 Satisfaction with social support in the elderly of the district of Bragança Carla Grande, Mª Augusta Mata, Juan G. Vieitez O191 Prevalence of death by traumatic brain injury and associated factors in intensive care unit of a general hospital, Brazil Bruna Bianchini, Nazare Nazario, João G. Filho, Marcia Kretzer O192 Relation between family caregivers burden and health status of elderly dependents Tânia Costa, Armando Almeida, Gabriel Baffour O193 Phenomena sensitive to nursing care in day centre Armando Almeida, Tânia Costa, Gabriel Baffour O194 Frailty: what do the elderly think? Zaida Azeredo, Carlos Laranjeira, Magda Guerra, Ana P. Barbeiro O195 The therapeutic self-care as a nursing-sensitive outcome: A correlational study Regina Ferreira O196 Phonetic-phonological acquisition for the European Portuguese from 18 months to 6 years and 12 months Sara Lopes, Liliana Nunes, Ana Mendes O197 Quality of life of patients undergoing liver transplant surgery Julian Martins, Dulcineia Schneider, Marcia Kretzer, Flávio Magajewski O198 Professional competences in health: views of older people from different European Countries Célia Soares, António Marques O199 Life satisfaction of working adults due to the number of hours of weekly exercise Marco Batista, Ruth J. Castuera, Helena Mesquita, António Faustino, Jorge Santos, Samuel Honório O200 Therapeutic itinerary of women with breast cancer in Santa Maria City/RS Betina P. Vizzotto, Leticia Frigo, Hedioneia F. Pivetta O201 The breastfeeding prevalence at 4 months: Maternal experience as a determining factor Dolores Sardo O202 The impact of the transition to parenthood in health and well-being Cristina Martins, Wilson Abreu, Mª Céu Figueiredo P96 Self-determined motivation and well-being in Portuguese active adults of both genders Marco Batista, Ruth Jimenez-Castuera, João Petrica, João Serrano, Samuel Honório, Rui Paulo, Pedro Mendes P97 The geriatric care: ways and means of comforting Patrícia Sousa, Rita Marques P98 The influence of relative age, subcutaneous adiposity and physical growth on Castelo Branco under-15 soccer players 2015 António Faustino, Paulo Silveira, João Serrano, Rui Paulo, Pedro Mendes, Samuel Honório P99 Data for the diagnostic process focused on self-care – managing medication regime: An integrative literature review Catarina Oliveira, Fernanda Bastos, Inês Cruz P100 Art therapy as mental health promotion for children Cláudia K. Rodriguez, Márcia R. Kretzer, Nazaré O. Nazário P101 Chemical characterization of fungal chitosan for industrial applications Pedro Cruz, Daniela C. Vaz, Rui B. Ruben, Francisco Avelelas, Susana Silva, Mª Jorge Campos P102 The impact of caring older people at home Maria Almeida, Liliana Gonçalves, Lígia Antunes P103 Development of the first pressure ulcer in an inpatient setting: Focus on patients’ characteristics Pedro Sardo, Jenifer Guedes, João Simões, Paulo Machado, Elsa Melo P104 Association between General Self-efficacy and Physical Activity among Adolescents Susana Cardoso, Osvaldo Santos, Carla Nunes, Isabel Loureiro O203 Characterization of the habits of online acquisition of medicinal products in Portugal Flávia Santos, Gilberto Alves O204 Waiting room – A space for health education Cláudia Soar, Teresa O. Marsi O205 Safey culture evaluation in hospitalized children Ernestina Silva, Dora Pedrosa, Andrea Leça, Daniel Silva O206 Sexual Self-awareness and Body Image Ana Galvão, Maria Gomes, Paula Fernandes, Ana Noné O207 Perception of a Portuguese population regarding the acquisition and consumption of functional foods Jaime Combadão, Cátia Ramalhete, Paulo Figueiredo, Patrícia Caeiro O208 The work process in primary health care: evaluation in municipalities of southern Brazil Karine C. Fontana, Josimari T. Lacerda, Patrícia O. Machado O209 Exploration and evaluation of potential probiotic lactic acid bacteria isolated from Amazon buffalo milk Raphaelle Borges, Flávio Barbosa, Dayse Sá O210 Road safety for children: Using children’s observation, as a passenger Germana Brunhoso, Graça Aparício, Amâncio Carvalho O211 Perception and application of quality-by-design by the Pharmaceutical industry in Portugal Ana P. Garcia, Paula O. Fernandes, Adriana Santos O212 Oral health among Portuguese children and adolescents: a public health issue Nélio Veiga, Carina Brás, Inês Carvalho, Joana Batalha, Margarida Glória, Filipa Bexiga, Inês Coelho, Odete Amaral, Carlos Pereira O213 Plant species as a medicinal resource in Igatu-Chapada Diamantina (Bahia, Brazil) Cláudia Pinho, Nilson Paraíso, Ana I. Oliveira, Cristóvão F. Lima, Alberto P. Dias O214 Characterization of cognitive and functional performance in everyday tasks: Implications for health in institutionalised older adults Pedro Silva, Mário Espada, Mário Marques, Ana Pereira O215 BMI and the perception of the importance given to sexuality in obese and overweight people Ana Mª Pereira, Mª Veiga-Branco, Filomena Pereira, Maria Ribeiro O216 Analysis and comparison of microbiological contaminations of two different composition pacifiers Vera Lima, Ana I. Oliveira, Cláudia Pinho, Graça Cruz, Rita F. Oliveira, Luísa Barreiros, Fernando Moreira O217 Experiences of couple relationships in the transition to retirement Ana Camarneiro, Mª Helena Loureiro, Margarida Silva O218 Preventive and corrective treatment of drug-induced calcium deficiency: an analysis in a community pharmacy setting Catarina Duarte, Ângelo Jesus, Agostinho Cruz O219 Profile of mood states in physically active elderly subjects: Is there a relation with health perception? Maria Mota, Sandra Novais, Paulo Nogueira, Ana Pereira, Lara Carneiro, Paulo V. João O220 (Un)Safety behaviour at work: the role of education towards a health and safety culture Teresa Maneca Lima O221 Analysis of the entrepreneurial profile of students attending higher education in Portugal: the Carland Entrepreneurship Index application Anabela Salgueiro-Oliveira, Marina Vaquinhas, Pedro Parreira, Rosa Melo, João Graveto, Amélia Castilho, José H. Gomes O222 Evaluation of welfare and quality of life of pregnant working women regarding the age of the pregnant María S. Medina, Valeriana G. Blanco O223 Psychological wellbeing protection among unemployed and temporary workers: Uncovering effective community-based interventions with a Delphi panel Osvaldo Santos, Elisa Lopes, Ana Virgolino, Alexandra Dinis, Sara Ambrósio, Inês Almeida, Tatiana Marques, Mª João Heitor O224 Chilean population norms derived from the Health-related quality of life SF-6D Miguel A. Garcia-Gordillo, Daniel Collado-Mateo, Pedro R. Olivares, José A. Parraça, José A. Sala O225 Motivation of college students toward Entrepreneurship: The influence of social and economic instability Amélia Castilho, João Graveto, Pedro Parreira, Anabela Oliveira, José H. Gomes, Rosa Melo, Marina Vaquinhas O226 Use of aromatic and medicinal plants, drugs and herbal products in Bragança city Mónia Cheio, Agostinho Cruz, Olívia R. Pereira O227 Edible flowers as new novel foods concept for health promotion Sara Pinto, Adriana Oliveira, M. Conceição Manso, Carla Sousa, Ana F. Vinha O228 The influence of leisure activities on the health and welfare of older people living in nursing homes Mª Manuela Machado, Margarida Vieira O229 Risk of falling, fear of falling and functionality in community-dwelling older adults Beatriz Fernandes, Teresa Tomás, Diogo Quirino O230 Musculoskeletal pain and postural habits in children and teenage students Gustavo Desouzart, Rui Matos, Magali Bordini, Pedro Mouroço O231 What's different in Southern Europe? The question of citizens’ participation in health systems Ana R. Matos, Mauro Serapioni O232 Occupational stress in Portuguese police officers Teresa Guimarães, Virgínia Fonseca, André Costa, João Ribeiro, João Lobato O233 Is occupational therapy culturally relevant to promote mental health in Burkina Faso? Inmaculada Z. Martin, Anita Björklund P105 Pay-for-performance satisfaction and quality in primary care Aida I. Tavares, Pedro Ferreira, Rui Passadouro P106 Economic development through life expectancy lenses Sónia Morgado P107 What is the effectiveness of exercise on smoking cessation to prevent clinical complications of smoking? Nuno Tavares, João Valente, Anabela C. Martins P108 A systematic review of the effects of yoga on mental health Patrícia Araújo, Rosina Fernandes, Francisco Mendes, Cátia Magalhães, Emília Martins P109 Healthy lifestyle: comparison between higher education students that lived until adult age in rural and urban environment Pedro Mendes, Rui Paulo, António Faustino, Helena Mesquita, Samuel Honório, Marco Batista P110 Evaluation of the Mobile Emergency Care Service (SAMU) in Brazil Josimari T. Lacerda, Angela B. Ortiga, Mª Cristina Calvo, Sônia Natal P111 Bioactive compounds - antioxidant activity of tropical fruits Marta Pereira P112 Use of non-pharmacological methods to relieve pain in labour Manuela Ferreira, Ana R. Prata, Paula Nelas, João Duarte P113 Mechanical safety of pacifiers sold in Portuguese pharmacies and childcare stores Juliana Carneiro, Ana I. Oliveira, Cláudia Pinho, Cristina Couto, Rita F. Oliveira, Fernando Moreira P114 The importance of prenatal consultation: Information to pregnant women given on a unit of primary care Ana S. Maia, Michelle T. Oliveira, Anderson R. Sousa, Paulo P. Ferreira, Géssica M. Souza, Lívia F. Almada, Milena A. Conceição, Eujcely C. Santiago P115 Influence of different backpack loading conditions on neck and lumbar muscles activity of elementary school children Sandra Rodrigues, Gabriela Domingues, Irina Ferreira, Luís Faria, Adérito Seixas P116 Efficacy and safety of dry extract Hedera helix in the treatment of productive cough Ana R. Costa, Ângelo Jesus, Américo Cardoso, Alexandra Meireles, Armanda Colaço, Agostinho Cruz P117 A portrait of the evaluation processes of education groups in primary health care Viviane L. Vieira, Kellem R. Vincha, Ana Mª Cervato-Mancuso P118 Benefits of vitamins C and E in sensorineural hearing loss: a review Melissa Faria, Cláudia Reis P119 BODY SNAPSHOT – a web-integrated anthropometric evaluation system Marco P. Cova, Rita T. Ascenso, Henrique A. Almeida, Eunice G. Oliveira P120 Anthropometric evaluation and variation during pregnancy Miguel Santana, Rafael Pereira, Eunice G. Oliveira, Henrique A. Almeida, Rita T. Ascenso P121 Knowledge of college students on the amendments of their eating habits and physical activity index in the transition to higher education Rita Jesus, Rodrigo Tapadas, Carolina Tim-Tim, Catarina Cezanne, Matilde Lagoa, Sara S. Dias, Jorge Torgal P122 Muscular activity of a rally race car driver João Lopes, Henrique Almeida, Sandra Amado, Luís Carrão O234 Literacy and results in health Madalena Cunha, Luís Saboga-Nunes, Carlos Albuquerque, Olivério Ribeiro O235 Literacy promotion and empowerment of type 2 diabetics elderly in four family health units of the group of health centers of Dão Lafões Suzete Oliveira, Mª Carminda Morais O236 Mediterranean diet, health and life quality among Portuguese children Emília Martins, Francisco Mendes, Rosina Fernandes, Cátia Magalhães, Patrícia Araújo O237 Health literacy, from data to action - translation, validation and application of the European Health Literacy Survey in Portugal (HLS-EU-PT) Ana R. Pedro, Odete Amaral, Ana Escoval O238 Oral health literacy evaluation in a Portuguese military population Victor Assunção, Henrique Luís, Luís Luís O239 Preferences to Internet-based cognitive behavioural therapy – do attachment orientations matter? Jennifer Apolinário-Hagen, Viktor Vehreschild O240 A comparative transnational study in health literacy between Austria and Portugal Ulrike Fotschl, Gerald Lirk, Anabela C. Martins, Isabel Andrade, Fernando Mendes O241 Health literacy and social behaviours: relationship with sexually transmitted diseases? Verónica Mendonça, Sandra Antunes, Isabel Andrade, Nádia Osório, Ana Valado, Armando Caseiro, António Gabriel, Anabela C. Martins, Fernando Mendes O242 Parenting styles and attachment to parents: what relationships? Paula A. Silva, Lisete M. Mónico, Pedro M. Parreira, Carla Carvalho O243 Work-life balance in health professionals and professors: comparative study of workers with shift work and fixed schedule Carla Carvalho, Pedro M. Parreira, Lisete M. Mónico, Joana Ruivo O244 Technology literacy in self-management of diabetes Vânia Silva, Paulino Sousa, José M. Padilha O245 Satisfaction with therapeutic education and its relationship with clinical variables in children with type 1 diabetes Vera Ferraz, Graça Aparício, João Duarte O246 Nutrition-related knowledge in middle-age and older patients with type 2 diabetes Carlos Vasconcelos, António Almeida, Joel Neves, Telma Correia, Helena Amorim, Romeu Mendes O247 Validating the HLS-EU-(PT) questionnaire to measure health literacy in adolescents (CrAdLiSa project: HLS-EU-PT) Luís Saboga-Nunes, Madalena Cunha, Carlos Albuquerque O248 Health education in people with coronary heart disease: Experience of the cardiology department of a hospital on the outskirts of Lisbon Elsa S. Pereira, Leonino S. Santos, Ana S. Reis, Helena R. Silva, João Rombo, Jorge C. Fernandes, Patrícia Fernandes O249 Information and training needs of informal caregivers of individuals with stroke sequelae: a qualitative survey Jaime Ribeiro, Catarina Mangas, Ana Freire O250 Prevention of psychoactive substances consumption in students from 6th grade of Albergaria-a-Velha´s School Group Sara Silva, Irene Francisco, Ana Oliveira O251 Promoting healthy sexuality: shared responsibility for family, youth and educators Helena Catarino, Mª Anjos Dixe, Mª Clarisse Louro O252 Sexual risk behaviour in adolescents and young people Saudade Lopes, Anjos Dixe O253 Knowledge of school staff on type 1 diabetes Mª Anjos Dixe, Eva Menino, Helena Catarino, Fátima Soares, Ana P. Oliveira, Sara Gordo, Teresa Kraus O254 Sexual health in adolescents: the impact of information search in literacy Catarina Tomás, Paulo Queirós, Teresa Rodrigues P123 Improving basic life support skills in adolescents through a training programme Pedro Sousa, João G. Frade, Catarina Lobão P124 Difficulties in sexual education reported by basic education teachers in the city of Foz do Iguaçu - Brazil Cynthia B. Moura, Laysa C. Dreyer, Vanize Meneghetti, Priscila P. Cabral P125 Breast cancer survivors: subjects and resources for information. A qualitative systematic review Francisca Pinto, Paulino Sousa, Mª Raquel Esteves P126 Relationship between health literacy and prevalence of STI in Biomedical Laboratory Science students Sofia Galvão, Ite Tytgat, Isabel Andrade, Nádia Osório, Ana Valado, Armando Caseiro, António Gabriel, Anabela C. Martins, Fernando Mendes P127 Health literacy, risk behaviours and sexually transmitted diseases among blood donors Mónica Casas-Novas, Helena Bernardo, Isabel Andrade, Gracinda Sousa, Ana P. Sousa, Clara Rocha, Pedro Belo, Nádia Osório, Ana Valado, Armando Caseiro, António Gabriel, Anabela C. Martins, Fernando Mendes P128 Promoting literacy in pregnancy health-care Fátima Martins, Montserrat Pulido-Fuentes P129 The lifestyles of the operating assistants of education Isabel Barroso, Gil Cabral, M. João Monteiro, Conceição Rainho P130 Experiences of service-learning health and the literary art: reflections about the health education Alessandro Prado, Yara M. Carvalho P131 Life long swimming – a European Erasmus + project Maria Campos, Liliana Moreira, José Ferreira, Ana Teixeira, Luís Rama Collapse Key Words Collapse MESH Headings Collapse Grants Collapse	Journal Article	9	288
2	Santos J, Yang PC, Söderholm JD, Benjamin M, Perdue MH. Role of mast cells in chronic stress induced colonic epithelial barrier dysfunction in the rat. Gut 2001;48:630-6. [PMID: 11302959 PMCID: PMC1728291 DOI: 10.1136/gut.48.5.630] [Citation(s) in RCA: 218] [Impact Index Per Article: 9.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/07/2023] Abstract BACKGROUND AND AIMS Stress may be an important factor in exacerbating inflammatory bowel disease but the underlying mechanism is unclear. Defective epithelial barrier function may allow uptake of luminal antigens that stimulate an immune/inflammatory response. Here, we examined the effect of chronic stress on colonic permeability and the participation of mast cells in this response. METHODS Mast cell deficient Ws/Ws rats and +/+ littermate controls were submitted to water avoidance stress or sham stress (one hour/day) for five days. Colonic epithelial permeability to a model macromolecular antigen, horseradish peroxidase, was measured in Ussing chambers. Epithelial and mast cell morphology was studied by light and electron microscopy. RESULTS Chronic stress significantly increased macromolecular flux and caused epithelial mitochondrial swelling in +/+ rats, but not in Ws/Ws rats, compared with non-stressed controls. Stress increased the number of mucosal mast cells and the proportion of cells showing signs of activation in +/+ rats. No mast cells or ultrastructural abnormalities of the epithelium were present in Ws/Ws rats. Increased permeability in +/+ rats persisted for 72 hours after stress cessation. CONCLUSIONS Chronic stress causes an epithelial barrier defect and epithelial mitochondrial damage, in parallel with mucosal mast cell hyperplasia and activation. The study provides further support for an important role for mast cells in stress induced colonic mucosal pathophysiology. Collapse Key Words Collapse MESH Headings Analysis of Variance Animals Cell Membrane Permeability/physiology Electric Conductivity Gastrointestinal Transit/physiology Horseradish Peroxidase/metabolism Intestinal Mucosa/physiopathology Intestinal Mucosa/ultrastructure Mast Cells/physiology Mast Cells/ultrastructure Microscopy, Electron Mitochondria/pathology Rats Rats, Mutant Strains Statistics, Nonparametric Stress, Psychological/physiopathology Collapse Grants Collapse	research-article	24	218
3	Parés A, Planas R, Torres M, Caballería J, Viver JM, Acero D, Panés J, Rigau J, Santos J, Rodés J. Effects of silymarin in alcoholic patients with cirrhosis of the liver: results of a controlled, double-blind, randomized and multicenter trial. J Hepatol 1998;28:615-21. [PMID: 9566830 DOI: 10.1016/s0168-8278(98)80285-7] [Citation(s) in RCA: 190] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/07/2023] Abstract BACKGROUND/AIMS Silymarin has protective effects in different experimental conditions, but its efficacy in human liver cirrhosis has not been completely established. Therefore, this study was carried out to determine the effect of silymarin in alcoholics with liver cirrhosis with respect to survival and clinical and laboratory changes. METHODS From February 1986 to June 1989, we enrolled 200 alcoholics with histologically or laparoscopically proven liver cirrhosis in a randomized, double-blind multicenter trial comparing 450 mg of silymarin (150 mg/ three times per day) with placebo. The primary outcome was time to death, and the secondary outcome was the progression of liver failure. Additional analyses were also performed in 75 patients in whom anti-hepatitis C virus antibodies were measured after completion of the trial. RESULTS One hundred and three patients were assigned to receive silymarin and 97 to receive placebo. The two groups were well matched for demographic and baseline clinical and laboratory features. A 2-year study period was completed in 125 patients (57 receiving silymarin and 68 receiving placebo). Twenty-nine patients (15 receiving silymarin, and 14 receiving placebo) died during the trial. Survival was similar in patients receiving silymarin or placebo. The effect of silymarin on survival was not influenced by sex, the persistence of alcohol intake, the severity of liver dysfunction or by the presence of alcoholic hepatitis in the liver biopsy. Silymarin did not have any significant effect on the course of the disease. No relevant side-effects were observed in any group. CONCLUSIONS The results of this study indicate that silymarin has no effect on survival and the clinical course in alcoholics with liver cirrhosis. Collapse Key Words Collapse MESH Headings Adult Double-Blind Method Female Humans Liver Cirrhosis, Alcoholic/drug therapy Liver Cirrhosis, Alcoholic/mortality Male Middle Aged Silymarin/adverse effects Silymarin/pharmacology Survival Rate Collapse Grants Collapse	Clinical Trial	27	190
4	Vicario M, Blanchard C, Stringer KF, Collins MH, Mingler MK, Ahrens A, Putnam PE, Abonia JP, Santos J, Rothenberg ME. Local B cells and IgE production in the oesophageal mucosa in eosinophilic oesophagitis. Gut 2010;59:12-20. [PMID: 19528036 PMCID: PMC2791234 DOI: 10.1136/gut.2009.178020] [Citation(s) in RCA: 166] [Impact Index Per Article: 11.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/12/2022] Abstract BACKGROUND Eosinophilic oesophagitis (EO) is an emerging yet increasingly prevalent disorder characterised by a dense and selective eosinophilic infiltration of the oesophageal wall. While EO is considered an atopic disease primarily triggered by food antigens, disparities between standard allergen testing and clinical responses to exclusion diets suggest the participation of distinct antigen-specific immunoglobulin E (IgE) in the pathophysiology of EO. AIM To find evidence for a local IgE response. METHODS Endoscopic biopsies of the distal oesophagus of atopic and non-atopic EO and control individuals (CTL) were processed for immunohistochemistry and immunofluorescence to assess the presence of B cells, mast cells, and IgE-bearing cells. Oesophageal RNA was analysed for the expression of genes involved in B cell activation, class switch recombination to IgE and IgE production, including germline transcripts (GLTs), activation-induced cytidine deaminase (AID), IgE heavy chain (Cepsilon) and mature IgE mRNA using polymerase chain reaction and microarray analysis. RESULTS Regardless of atopy, EO showed increased density of B cells (p<0.05) and of IgE-bounded mast cells compared to CTL. Both EO and CTL expressed muGLT, epsilonGLT, gamma4GLT, AID, Cepsilon and IgE mRNA. However, the frequency of expression of total GLTs (p = 0.002), epsilonGLT (p = 0.024), and Cepsilon (p = 0.0003) was significantly higher in EO than in CTL, independent of the atopic status. CONCLUSION These results support the heretofore unproven occurrence of both local immunoglobulin class switching to IgE and IgE production in the oesophageal mucosa of EO patients. Sensitisation and activation of mast cells involving local IgE may therefore critically contribute to disease pathogenesis. Collapse Key Words Collapse MESH Headings Collapse Grants Collapse	other	15	166
5	Costa J, Lunet N, Santos C, Santos J, Vaz-Carneiro A. Caffeine exposure and the risk of Parkinson's disease: a systematic review and meta-analysis of observational studies. J Alzheimers Dis 2010;20 Suppl 1:S221-38. [PMID: 20182023 DOI: 10.3233/jad-2010-091525] [Citation(s) in RCA: 156] [Impact Index Per Article: 10.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Abstract Several studies conducted worldwide report an inverse association between caffeine/coffee consumption and the risk of developing Parkinson's disease (PD). However, heterogeneity and conflicting results between studies preclude a correct estimation of the strength of this association. We conducted a systematic review and meta-analysis of published epidemiological studies to better estimate the effect of caffeine exposure on the incidence of PD. Data sources searched included Medline, LILACS, Scopus, Web of Science and reference lists, up to September 2009. Cohort, case-control and cross-sectional studies were included. Three independent reviewers selected the studies and extracted the data on to standardized forms. Twenty-six studies were included: 7 cohort, 2 nested case-control, 16 case-control, and 1 cross-sectional study. Quantitative data synthesis of the most precise estimates from each study was accomplished through random effects meta-analysis. Heterogeneity was quantified using the I2 statistic. The summary RR for the association between caffeine intake and PD was 0.75 [[95% Confidence Interval (95%CI): 0.68-0.82], with low to moderate heterogeneity (I2= 28.8%). Publication bias for case-control/cross-sectional studies may exist (Egger's test, p=0.053). When considering only the cohort studies, the RR was 0.80 (95%CI: 0.71-90; I2=8.1%). The negative association was weaker when only women were considered (RR=0.86, 95%CI: 0.73-1.02; I2=12.9%). A linear relation was observed between levels of exposure to caffeine and the RR estimates: RR of 0.76 (95%CI: 0.72-0.80; I2= 35.1%) per 300 mg increase in caffeine intake. This study confirm an inverse association between caffeine intake and the risk of PD, which can hardly by explained by bias or uncontrolled confounding. Collapse Key Words Collapse MESH Headings Collapse Grants Collapse	Systematic Review	15	156
6	Santos J, Saperas E, Nogueiras C, Mourelle M, Antolín M, Cadahia A, Malagelada JR. Release of mast cell mediators into the jejunum by cold pain stress in humans. Gastroenterology 1998;114:640-8. [PMID: 9516384 DOI: 10.1016/s0016-5085(98)70577-3] [Citation(s) in RCA: 151] [Impact Index Per Article: 5.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/06/2023] Abstract BACKGROUND & AIMS The central nervous system regulates gut functions via complex interactions between the enteric nervous and immune systems. The aim of this study was to investigate whether mast cell mediators are released into the human jejunal lumen during stress. METHODS A closed-segment perfusion technique was used to investigate jejunal release of tryptase, histamine, prostaglandin D2, and water flux in response to the cold pressor test in 8 healthy subjects and 9 patients with food allergy. In 6 food-allergic patients, jejunal biochemical responses to cold pain stress were compared with those induced by food intraluminal challenge. RESULTS Cold pain stress elevated heart rate and blood pressure and increased luminal release of mast cell mediators and jejunal water secretion in both groups. Stress-induced release of tryptase and histamine, but not of prostaglandin D2 and water flux, was greater in food-allergic patients than in healthy volunteers. In food-allergic patients, jejunal biochemical responses induced by cold pain stress were similar to those induced by antigen challenge. CONCLUSIONS These results show the ability of the central nervous system to modulate intestinal mast cell activity and suggest that mast cells have a role in stress-related gut dysfunction. Collapse Key Words Collapse MESH Headings Adult Body Water/metabolism Chymases Cold Temperature Female Histamine Release Humans Jejunum/metabolism Male Mast Cells/metabolism Neuropeptide Y/physiology Ovalbumin/immunology Pain/physiopathology Serine Endopeptidases/metabolism Stress, Physiological/metabolism Tryptases Collapse Grants Collapse		27	151
7	Santos C, Costa J, Santos J, Vaz-Carneiro A, Lunet N. Caffeine Intake and Dementia: Systematic Review and Meta-Analysis. ACTA ACUST UNITED AC 2010;20 Suppl 1:S187-204. [DOI: 10.3233/jad-2010-091387] [Citation(s) in RCA: 136] [Impact Index Per Article: 9.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Abstract Collapse Key Words Collapse MESH Headings Collapse Grants Collapse		15	136
8	Pardo A, Bartolí R, Lorenzo-Zúñiga V, Planas R, Viñado B, Riba J, Cabré E, Santos J, Luque T, Ausina V, Gassull MA. Effect of cisapride on intestinal bacterial overgrowth and bacterial translocation in cirrhosis. Hepatology 2000;31:858-63. [PMID: 10733540 DOI: 10.1053/he.2000.5746] [Citation(s) in RCA: 134] [Impact Index Per Article: 5.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/12/2022] Abstract Deranged intestinal motility, which occurs in cirrhosis, may facilitate the development of intestinal bacterial overgrowth (IBO), which can lead to bacterial translocation (BT). To assess the effect of cisapride on IBO and BT in cirrhosis, cirrhotic rats received cisapride or a placebo for 7 days, and measurements of jejunal bacterial content and BT studies were performed. In addition, jejunal fluid from 46 cirrhotic patients was obtained for quantitative bacterial culture. Those patients in whom gram-negative IBO was detected were randomized to receive or not to receive cisapride (20 mg twice per day) for 1 week. Cisapride significantly reduced IBO in cirrhotic rats. In addition, no BT was documented in treated animals, whereas it occurred in 40% in nontreated cirrhotic rats. Total IBO was documented in 23 of 46 cirrhotic patients, which was caused by gram-negative organisms in 10 cases. Orocecal transit time (OCT) significantly decreased after cisapride therapy, and was associated with the abolishment of bacterial overgrowth caused by gram-negative organisms in 4 out of 5 treated patients, whereas it persisted in nontreated cases. Cisapride administration to cirrhotic rats resulted in a reduction of the IBO, which is associated with a marked decrease in BT. On the other hand, cisapride facilitates the abolition of IBO caused by gram-negative organisms in cirrhotic patients. Collapse Key Words Collapse MESH Headings Adolescent Adult Aged Animals Bacteria/growth & development Bacterial Translocation/drug effects Cisapride/pharmacology Cisapride/therapeutic use Female Gastrointestinal Agents/pharmacology Gastrointestinal Agents/therapeutic use Humans Intestines/microbiology Liver Cirrhosis/microbiology Liver Cirrhosis, Experimental/chemically induced Liver Cirrhosis, Experimental/microbiology Male Middle Aged Pilot Projects Rats Rats, Sprague-Dawley Collapse Grants Collapse	Clinical Trial	25	134
9	Neugut AI, Murray T, Santos J, Amols H, Hayes MK, Flannery JT, Robinson E. Increased risk of lung cancer after breast cancer radiation therapy in cigarette smokers. Cancer 1994;73:1615-20. [PMID: 8156488 DOI: 10.1002/1097-0142(19940315)73:6<1615::aid-cncr2820730612>3.0.co;2-6] [Citation(s) in RCA: 131] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/29/2023] Abstract BACKGROUND Ionizing radiation is a lung carcinogen in a variety of settings, including after breast cancer radiation therapy. The authors explored whether cigarette smoking and breast cancer radiation therapy have a multiplicative effect on the risk of subsequent lung cancer. METHODS This case-control study investigated women registered with primary breast cancer in the Connecticut Tumor Registry who developed a second malignancy between 1986 and 1989. Those diagnosed with a subsequent primary lung cancer were compared with those diagnosed with a subsequent nonsmoking, nonradiation-related second malignancy, and age-adjusted odds ratios were calculated with logistic regression. RESULTS No radiation effects were observed within 10 years of initial primary breast cancer. Among both smokers and nonsmokers diagnosed with second primary cancers more than 10 years after an initial primary breast cancer, radiation therapy was associated with a 3-fold increased risk of lung cancer. A multiplicative effect was observed, with women exposed to both cigarette smoking and breast cancer radiation therapy having a relative risk of 32.7 (95% confidence interval [CI], 6.9-154). The radiation carcinogenic effect was observed only for the ipsilateral lung and not for the contralateral lung both in smokers and nonsmokers. CONCLUSIONS Breast cancer radiation therapy, as delivered before 1980, increased the risk of lung cancer after ten years in nonsmokers, and a multiplicative effect was observed in smokers. For both smokers and nonsmokers, this effect was observed only for the ipsilateral lung and not the contralateral lung. Modern techniques, however, significantly decrease the radiation dose to the lungs, which may decrease the risk of lung cancer. Nonetheless, due to the available choices in early-stage breast cancer treatment, current practices may need to be revised for young breast cancer patients who smoke. Collapse Key Words Collapse MESH Headings Breast Neoplasms/radiotherapy Case-Control Studies Cocarcinogenesis Connecticut/epidemiology Female Humans Lung Neoplasms/epidemiology Lung Neoplasms/etiology Neoplasms, Radiation-Induced/epidemiology Neoplasms, Radiation-Induced/etiology Neoplasms, Second Primary/epidemiology Neoplasms, Second Primary/etiology Odds Ratio Radiotherapy/adverse effects Radiotherapy/statistics & numerical data Radiotherapy Dosage Risk Factors Smoking/adverse effects Smoking/epidemiology Time Factors Collapse Grants N01-CN-05226 NCI NIH HHS RR00645 NCRR NIH HHS Collapse		31	131
10	Lacerda MVG, Mourão MPG, Coelho HCC, Santos JB. Thrombocytopenia in malaria: who cares? Mem Inst Oswaldo Cruz 2011;106 Suppl 1:52-63. [DOI: 10.1590/s0074-02762011000900007] [Citation(s) in RCA: 119] [Impact Index Per Article: 8.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/01/2011] [Accepted: 05/26/2011] [Indexed: 11/22/2022] Open Abstract Collapse Key Words Collapse MESH Headings Collapse Grants Collapse		14	119
11	Santos J, Benjamin M, Yang PC, Prior T, Perdue MH. Chronic stress impairs rat growth and jejunal epithelial barrier function: role of mast cells. Am J Physiol Gastrointest Liver Physiol 2000;278:G847-54. [PMID: 10859213 DOI: 10.1152/ajpgi.2000.278.6.g847] [Citation(s) in RCA: 118] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/31/2023] Abstract We examined the impact of chronic stress on rat growth rate and intestinal epithelial physiology and the role of mast cells in these responses. Mast cell-deficient (Ws/Ws) rats and +/+ littermate controls were submitted to water avoidance stress or sham stress, 1 h/day, for 5 days. Seven hours after the last sham or stress session, jejunal segments were mounted in Ussing chambers, in which secretion and permeability were measured. Body weight (as a growth index) and food intake were determined daily. Stress increased baseline jejunal epithelial ion secretion (indicated by short-circuit current), ionic permeability (conductance), and macromolecular permeability (horseradish peroxidase flux) in +/+ rats, but not in Ws/Ws rats, compared with nonstressed controls. Stress induced weight loss and reduced food intake similarly in the groups. In +/+ rats, these parameters remained altered 24-72 h after the cessation of stress. Modulation of stress-induced mucosal mast cell activation may help in the management of certain intestinal conditions involving epithelial pathophysiology. Collapse Key Words Collapse MESH Headings Animals Body Weight Chronic Disease Eating Growth Horseradish Peroxidase/pharmacokinetics Intestinal Mucosa/physiopathology Jejunum/metabolism Jejunum/physiopathology Mast Cells/physiology Rats Rats, Mutant Strains Reference Values Stress, Physiological/pathology Stress, Physiological/physiopathology Time Factors Collapse Grants Collapse		25	118
12	Palacios R, Santos J, García A, Castells E, González M, Ruiz J, Márquez M. Impact of highly active antiretroviral therapy on blood pressure in HIV-infected patients. A prospective study in a cohort of naive patients. HIV Med 2006;7:10-5. [PMID: 16313287 DOI: 10.1111/j.1468-1293.2005.00333.x] [Citation(s) in RCA: 101] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Abstract OBJECTIVES To assess the impact of highly active antiretroviral therapy (HAART) on the blood pressure (BP) of naive patients after 1 year of treatment. METHODS A prospective, observational study of 95 HIV-positive patients in our Unit starting HAART between January 2001 and October 2002 and maintaining the same regimen for 48 weeks of follow-up was carried out. Data on blood pressure (BP) and demographic, epidemiological, clinical, immunovirological and therapeutic characteristics related to HIV infection were collected prior to HAART and at week 48. High blood pressure (HBP) [systolic BP (SBP) > or =140 mm Hg and/or diastolic BP (DBP) > or =90 mm Hg] was defined according to international criteria. RESULTS Of the 95 patients, 78 were men, 44% had AIDS and 68% were smokers, and their mean age was 40 years. At week 48 the prevalence of HBP was 26% and SBP, DBP and pulse pressure (PP) increased (121.8 versus 116.6 mm Hg, P=0.0001; 76.3 versus 69.7 mm Hg, P=0.004; 46.9 versus 43.8 mm Hg, P=0.001, respectively). Univariate analysis showed that HBP was associated with older age, higher body mass index (BMI), higher baseline lipids, and higher baseline BP. A linear regression model adjusting for age and sex suggested a significant impact of older age, higher baseline SBP, higher baseline hypercholesterolaemia and lower baseline CD4-cell count on SBP increase. CONCLUSIONS Blood pressure increased after 48 weeks of HAART, leading to an important prevalence of hypertension. The increase in SBP depended on age and baseline lipid profile and immunological status. BP should be periodically measured and treated when necessary in HIV-infected patients on HAART. Collapse Key Words Collapse MESH Headings Acquired Immunodeficiency Syndrome/drug therapy Acquired Immunodeficiency Syndrome/immunology Acquired Immunodeficiency Syndrome/physiopathology Adult Age Factors Anthropometry Anti-HIV Agents/adverse effects Antiretroviral Therapy, Highly Active/adverse effects Body Mass Index CD4 Lymphocyte Count Epidemiologic Methods Female HIV Infections/drug therapy HIV Infections/immunology HIV Infections/physiopathology Humans Hypertension/chemically induced Lipids/blood Male Middle Aged Collapse Grants Collapse	Journal Article	19	101
13	Cremon C, Stanghellini V, Barbaro MR, Cogliandro RF, Bellacosa L, Santos J, Vicario M, Pigrau M, Alonso Cotoner C, Lobo B, Azpiroz F, Bruley des Varannes S, Neunlist M, DeFilippis D, Iuvone T, Petrosino S, Di Marzo V, Barbara G. Randomised clinical trial: the analgesic properties of dietary supplementation with palmitoylethanolamide and polydatin in irritable bowel syndrome. Aliment Pharmacol Ther 2017;45:909-922. [PMID: 28164346 DOI: 10.1111/apt.13958] [Citation(s) in RCA: 90] [Impact Index Per Article: 11.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/17/2016] [Revised: 09/02/2016] [Accepted: 01/08/2017] [Indexed: 12/18/2022] Abstract BACKGROUND Intestinal immune activation is involved in irritable bowel syndrome (IBS) pathophysiology. While most dietary approaches in IBS involve food avoidance, there are fewer indications on food supplementation. Palmithoylethanolamide, structurally related to the endocannabinoid anandamide, and polydatin are dietary compounds which act synergistically to reduce mast cell activation. AIM To assess the effect on mast cell count and the efficacy of palmithoylethanolamide/polydatin in patients with IBS. METHODS We conducted a pilot, 12-week, randomised, double-blind, placebo-controlled, multicentre study assessing the effect of palmithoylethanolamide/polydatin 200 mg/20 mg or placebo b.d. on low-grade immune activation, endocannabinoid system and symptoms in IBS patients. Biopsy samples, obtained at screening visit and at the end of the study, were analysed by immunohistochemistry, enzyme-linked immunoassay, liquid chromatography and Western blot. RESULTS A total of 54 patients with IBS and 12 healthy controls were enrolled from five European centres. Compared with controls, IBS patients showed higher mucosal mast cell counts (3.2 ± 1.3 vs. 5.3 ± 2.7%, P = 0.013), reduced fatty acid amide oleoylethanolamide (12.7 ± 9.8 vs. 45.8 ± 55.6 pmol/mg, P = 0.002) and increased expression of cannabinoid receptor 2 (0.7 ± 0.1 vs. 1.0 ± 0.8, P = 0.012). The treatment did not significantly modify IBS biological profile, including mast cell count. Compared with placebo, palmithoylethanolamide/polydatin markedly improved abdominal pain severity (P < 0.05). CONCLUSIONS The marked effect of the dietary supplement palmithoylethanolamide/polydatin on abdominal pain in patients with IBS suggests that this is a promising natural approach for pain management in this condition. Further studies are now required to elucidate the mechanism of action of palmithoylethanolamide/polydatin in IBS. ClinicalTrials.gov number, NCT01370720. Collapse Key Words Collapse MESH Headings Collapse Grants Collapse	Clinical Trial, Phase II	8	90
14	Santos J, Mendiola JA, Oliveira MBPP, Ibáñez E, Herrero M. Sequential determination of fat- and water-soluble vitamins in green leafy vegetables during storage. J Chromatogr A 2012;1261:179-88. [PMID: 22608116 DOI: 10.1016/j.chroma.2012.04.067] [Citation(s) in RCA: 87] [Impact Index Per Article: 6.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/06/2012] [Revised: 04/18/2012] [Accepted: 04/25/2012] [Indexed: 11/18/2022] Abstract The simultaneous analysis of fat- and water-soluble vitamins from foods is a difficult task considering the wide range of chemical structures involved. In this work, a new procedure based on a sequential extraction and analysis of both types of vitamins is presented. The procedure couples several simple extraction steps to LC-MS/MS and LC-DAD in order to quantify the free vitamins contents in fresh-cut vegetables before and after a 10-days storage period. The developed method allows the correct quantification of vitamins C, B(1), B(2), B(3), B(5), B(6), B(9), E and provitamin A in ready-to-eat green leafy vegetable products including green lettuce, ruby red lettuce, watercress, swiss chard, lamb's lettuce, spearmint, spinach, wild rocket, pea leaves, mizuna, garden cress and red mustard. Using this optimized methodology, low LOQs were attained for the analyzed vitamins in less than 100 min, including extraction and vitamin analysis using 2 optimized procedures; good repeatability and linearity was achieved for all vitamins studied, while recoveries ranged from 83% to 105%. The most abundant free vitamins found in leafy vegetable products were vitamin C, provitamin A and vitamin E. The richest sample on vitamin C and provitamin A was pea leaves (154 mg/g fresh weight and 14.4 mg/100g fresh weight, respectively), whereas lamb's lettuce was the vegetable with the highest content on vitamin E (3.1 mg/100 g fresh weight). Generally, some losses of vitamins were detected after storage, although the behavior of each vitamin varied strongly among samples. Collapse Key Words Collapse MESH Headings Analysis of Variance Chromatography, Liquid/methods Food Storage Plant Extracts/chemistry Reproducibility of Results Sensitivity and Specificity Tandem Mass Spectrometry/methods Vegetables/chemistry Vitamins/analysis Collapse Grants Collapse	Research Support, Non-U.S. Gov't	13	87
15	Santos J, Saunders PR, Hanssen NP, Yang PC, Yates D, Groot JA, Perdue MH. Corticotropin-releasing hormone mimics stress-induced colonic epithelial pathophysiology in the rat. THE AMERICAN JOURNAL OF PHYSIOLOGY 1999;277:G391-9. [PMID: 10444454 DOI: 10.1152/ajpgi.1999.277.2.g391] [Citation(s) in RCA: 86] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/20/2022] Abstract We examined the effect of stress on colonic epithelial physiology, the role of corticotropin-releasing hormone (CRH), and the pathways involved. Rats were restrained or injected intraperitoneally with CRH or saline. Colonic segments were mounted in Ussing chambers, in which ion secretion and permeability (conductance and probe fluxes) were measured. To test the pathways involved in CRH-induced changes, rats were pretreated with hexamethonium, atropine, bretylium, doxantrazole, alpha-helical CRH-(9-41) (all intraperitoneally), or aminoglutethimide (subcutaneously). Restraint stress increased colonic ion secretion and permeability to ions, the bacterial peptide FMLP, and horseradish peroxidase (HRP). These changes were prevented by alpha-helical CRH-(9-41) and mimicked by CRH (50 microgram/kg). CRH-induced changes in ion secretion were abolished by alpha-helical CRH-(9-41), hexamethonium, atropine, or doxantrazole. CRH-stimulated conductance was significantly inhibited by alpha-helical CRH-(9-41), hexamethonium, bretylium, or doxantrazole. CRH-induced enhancement of HRP flux was significantly reduced by all drugs but aminoglutethimide. Peripheral CRH reproduced stress-induced colonic epithelial pathophysiology via cholinergic and adrenergic nerves and mast cells. Modulation of stress responses may be relevant to the management of colonic disorders. Collapse Key Words Collapse MESH Headings Animals Atropine/pharmacology Bretylium Compounds/pharmacology Colon/metabolism Colon/physiopathology Corticotropin-Releasing Hormone/pharmacology Corticotropin-Releasing Hormone/physiology Electric Conductivity Hexamethonium/pharmacology Hormone Antagonists/pharmacology Horseradish Peroxidase/pharmacokinetics Intestinal Mucosa/metabolism Intestinal Mucosa/physiopathology Male Muscarinic Antagonists/pharmacology Nicotinic Antagonists/pharmacology Peptide Fragments/pharmacology Rats Rats, Inbred WKY Stress, Physiological/physiopathology Collapse Grants Collapse	Comparative Study	26	86
16	Neugut AI, Jacobson JS, Ahsan H, Santos J, Garbowski GC, Forde KA, Treat MR, Waye J. Incidence and recurrence rates of colorectal adenomas: a prospective study. Gastroenterology 1995;108:402-8. [PMID: 7835580 DOI: 10.1016/0016-5085(95)90066-7] [Citation(s) in RCA: 79] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/27/2023] Abstract BACKGROUND/AIMS The frequency of colorectal adenomas, the precursor lesions for most cases of colorectal carcinoma, has been generally measured as prevalence rates of adenomas at autopsy or colonoscopy. The aim of this study was to estimate the incidence rate of adenomas and compare it with the adenoma recurrence rate. METHODS Data on colonoscopies performed in three New York City practices were collected prospectively. The cumulative rate of adenoma diagnosis on repeat colonoscopy was calculated for patients with no abnormalities on index colonoscopy ("incidence" rate) and for patients with adenomas on the index colonoscopy ("recurrence" rate). RESULTS The cumulative incidence rate of adenomas at 36 months was 16%, and the cumulative recurrence rate at 36 months was 42% (P < 0.004). The recurrence rate was higher in patients with multiple adenomas than in those with a single adenoma on index colonoscopy, although the increase was not statistically significant. CONCLUSIONS Although the recurrence rate has always been assumed to be elevated, this study is the first to compare the recurrence rate of adenomas with the incidence rate directly and to show that the recurrence rate is indeed elevated. Collapse Key Words Collapse MESH Headings Adenoma/epidemiology Adult Aged Aged, 80 and over Colonoscopy Colorectal Neoplasms/epidemiology Female Follow-Up Studies Humans Incidence Male Middle Aged Neoplasm Recurrence, Local/epidemiology New York City/epidemiology Prospective Studies Collapse Grants Collapse	Comparative Study	30	79
17	Rivero A, Márquez M, Santos J, Pinedo A, Sánchez MA, Esteve A, Samper S, Martín C. High rate of tuberculosis reinfection during a nosocomial outbreak of multidrug-resistant tuberculosis caused by Mycobacterium bovis strain B. Clin Infect Dis 2001;32:159-61. [PMID: 11112675 DOI: 10.1086/317547] [Citation(s) in RCA: 79] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/04/1999] [Revised: 05/05/2000] [Indexed: 11/03/2022] Open Abstract We present a study of a nosocomial outbreak of multidrug-resistant tuberculosis caused by Mycobacterium bovis in 31 patients, 30 of whom were infected with human immunodeficiency virus; all 31 died of progressive tuberculosis. All M. bovis strains had identical spoligotyping patterns and showed resistance to 12 antituberculosis drugs. Reinfection was suggested in 11 cases and confirmed in 4 by molecular typing methods. The causative strain was named "B strain." Collapse Key Words Collapse MESH Headings AIDS-Related Opportunistic Infections/epidemiology AIDS-Related Opportunistic Infections/microbiology AIDS-Related Opportunistic Infections/prevention & control Adult Antitubercular Agents/pharmacology Cross Infection/epidemiology Cross Infection/etiology Cross Infection/prevention & control Disease Outbreaks Drug Resistance, Multiple Female Humans Male Middle Aged Mycobacterium bovis/classification Mycobacterium bovis/drug effects Mycobacterium bovis/genetics Mycobacterium bovis/growth & development Pentosyltransferases/genetics Recurrence Spain/epidemiology Tuberculosis, Multidrug-Resistant/epidemiology Tuberculosis, Multidrug-Resistant/etiology Tuberculosis, Multidrug-Resistant/prevention & control Collapse Grants Collapse		24	79
18	Santos J, Oliveira MBPP, Ibáñez E, Herrero M. Phenolic profile evolution of different ready-to-eat baby-leaf vegetables during storage. J Chromatogr A 2014;1327:118-31. [PMID: 24438834 DOI: 10.1016/j.chroma.2013.12.085] [Citation(s) in RCA: 73] [Impact Index Per Article: 6.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/16/2013] [Revised: 12/19/2013] [Accepted: 12/21/2013] [Indexed: 01/08/2023] Abstract Ready-to-eat baby-leaf vegetables market has been growing and offering to consumers convenient, healthy and appealing products, which may contain interesting bioactive compounds. In this work, the composition and the evolution of the phenolic compounds from different baby-leaf vegetables during refrigerated storage was studied. The phenolic compounds were extracted using pressurized liquid extraction (PLE) and the phenolic profile of each sample was analyzed and quantified by using LC-MS and LC-DAD methods, respectively, at the beginning and at the end of a 10-day storage period. The baby-leaf vegetables studied included green lettuce, ruby red lettuce, swiss chard, spinach, pea shoots, watercress, garden cress, mizuna, red mustard, wild rocket and spearmint samples and a total of 203 phenolic compounds were tentatively identified and quantified. The main naturally phenolic compounds identified correspond to glycosylated flavonoids, with exception of green lettuce and spearmint leaves which had a higher content of hydroxycinnamic acids. Quantification of the main compounds showed a 10-fold higher content of total phenolic content of ruby red lettuce (483mgg(-1)) in relation to the other samples, being the lowest values found in the garden cress (12.8mgg(-1)) and wild rocket leaves (8.1mgg(-1)). The total phenolic content only showed a significant change (p<0.05) after storage in the green lettuce (+17.5%), mizuna (+7.8%), red mustard (-23.7%) and spearmint (-13.8%) leaves. Within the different classes of phenolic compounds monitored, the flavonols showed more stable contents than the hydroxycinnamic and hydroxybenzoic acids, although the behavior of each compound varied strongly among samples. Collapse Key Words Baby-leaf vegetables HPLC-DAD–MS PLE extraction Phenolic compounds identification and quantification Storage Collapse MESH Headings Collapse Grants Collapse	Research Support, Non-U.S. Gov't	11	73
19	Moore N, Doty D, Zielstorff M, Kariv I, Moy LY, Gimbel A, Chevillet JR, Lowry N, Santos J, Mott V, Kratchman L, Lau T, Addona G, Chen H, Borenstein JT. A multiplexed microfluidic system for evaluation of dynamics of immune-tumor interactions. LAB ON A CHIP 2018;18:1844-1858. [PMID: 29796561 DOI: 10.1039/c8lc00256h] [Citation(s) in RCA: 66] [Impact Index Per Article: 9.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/12/2023] Abstract Recapitulation of the tumor microenvironment is critical for probing mechanisms involved in cancer, and for evaluating the tumor-killing potential of chemotherapeutic agents, targeted therapies and immunotherapies. Microfluidic devices have emerged as valuable tools for both mechanistic studies and for preclinical evaluation of therapeutic agents, due to their ability to precisely control drug concentrations and gradients of oxygen and other species in a scalable and potentially high throughput manner. Most existing in vitro microfluidic cancer models are comprised of cultured cancer cells embedded in a physiologically relevant matrix, collocated with vascular-like structures. However, the recent emergence of immune checkpoint inhibitors (ICI) as a powerful therapeutic modality against many cancers has created a need for preclinical in vitro models that accommodate interactions between tumors and immune cells, particularly for assessment of unprocessed tumor fragments harvested directly from patient biopsies. Here we report on a microfluidic model, termed EVIDENT (ex vivo immuno-oncology dynamic environment for tumor biopsies), that accommodates up to 12 separate tumor biopsy fragments interacting with flowing tumor-infiltrating lymphocytes (TILs) in a dynamic microenvironment. Flow control is achieved with a single pump in a simple and scalable configuration, and the entire system is constructed using low-sorption materials, addressing two principal concerns with existing microfluidic cancer models. The system sustains tumor fragments for multiple days, and permits real-time, high-resolution imaging of the interaction between autologous TILs and tumor fragments, enabling mapping of TIL-mediated tumor killing and testing of various ICI treatments versus tumor response. Custom image analytic algorithms based on machine learning reported here provide automated and quantitative assessment of experimental results. Initial studies indicate that the system is capable of quantifying temporal levels of TIL infiltration and tumor death, and that the EVIDENT model mimics the known in vivo tumor response to anti-PD-1 ICI treatment of flowing TILs relative to isotype control treatments for syngeneic mouse MC38 tumors. Collapse Key Words Collapse MESH Headings Animals Carcinoma, Non-Small-Cell Lung/chemistry Carcinoma, Non-Small-Cell Lung/immunology Cell Culture Techniques Cell Line, Tumor Cells, Cultured Equipment Design Humans Image Processing, Computer-Assisted/methods Lung Neoplasms/chemistry Lung Neoplasms/immunology Lymphocytes/cytology Lymphocytes/metabolism Mice Microfluidic Analytical Techniques/instrumentation Microfluidic Analytical Techniques/methods Models, Biological Tumor Microenvironment/immunology Collapse Grants Collapse	Research Support, N.I.H., Extramural	7	66
20	de Macedo JLS, Santos JB. Bacterial and fungal colonization of burn wounds. Mem Inst Oswaldo Cruz 2005;100:535-9. [PMID: 16184232 DOI: 10.1590/s0074-02762005000500014] [Citation(s) in RCA: 62] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open Abstract A prospective study of fungal and bacterial flora of burn wounds was carried out from February 2004 to February 2005 at the Burns Unit of Hospital Regional da Asa Norte, Brasília, Brazil. During the period of the study, 203 patients were treated at the Burns Unit. Wound swab cultures were assessed at weekly intervals for four weeks. Three hundred and fifty four sampling procedures (surface swabs) were performed from the burn wounds. The study revealed that bacterial colonization reached 86.6% within the first week. Although the gram-negative organisms, as a group, were more predominant, Staphylococcus aureus (28.4%) was the most prevalent organism in the first week. It was however surpassed by Pseudomonas aeruginosa form third week onwards. For S. aureus and P. aeruginosa vancomycin and polymyxin were found to be the most effective drugs. Most of the isolates showed high level resistance to antimicrobial agents. Fungi were found to colonize the burn wound late during the second week postburn, with a peak incidence during the third and fourth weeks. Species identification of fungi revealed that Candida tropicalis was the most predominant, followed by Candida parapsilosis. It is crucial for every burn institution to determine the specific pattern of burn wound microbial colonization, the time-related changes in the dominant flora, and the antimicrobial sensitivity profiles. This would enable early treatment of imminent septic episodes with proper empirical systemic antibiotics, without waiting for culture results, thus improving the overall infection-related morbidity and mortality. Collapse Key Words Collapse MESH Headings Adolescent Adult Aged Aged, 80 and over Anti-Bacterial Agents/therapeutic use Anti-Infective Agents, Local/therapeutic use Burns/drug therapy Burns/microbiology Candida/drug effects Candida/isolation & purification Child Child, Preschool Female Gram-Positive Bacteria/classification Gram-Positive Bacteria/drug effects Gram-Positive Bacteria/isolation & purification Humans Infant Male Microbial Sensitivity Tests Middle Aged Prospective Studies Silver Sulfadiazine/therapeutic use Wound Infection/drug therapy Wound Infection/microbiology Collapse Grants Collapse		20	62
21	Malumbres M, Pérez de Castro I, Santos J, Meléndez B, Mangues R, Serrano M, Pellicer A, Fernández-Piqueras J. Inactivation of the cyclin-dependent kinase inhibitor p15INK4b by deletion and de novo methylation with independence of p16INK4a alterations in murine primary T-cell lymphomas. Oncogene 1997;14:1361-70. [PMID: 9178896 DOI: 10.1038/sj.onc.1200969] [Citation(s) in RCA: 58] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/04/2023] Abstract A wide panel of murine induced T-cell lymphomas have been analysed for p16INK4a or p15INK4b alterations. Only one gamma-radiation-induced lymphoma showed p16INK4a homozygous deletion and no other intragenic mutations were found in these INK4 genes. However, de novo methylation of the 5' CpG islands of the murine p15INK4b and p16INK4a genes was found to be highly frequent. While p16INK4a hypermethylation was found in 36% of the neutron-radiation-induced lymphomas and 15% of the gamma-radiation-induced lymphomas, de novo methylation of p15INK4b occurs in 88% and 42% of these tumors respectively, correlating with deficient expression of the corresponding mRNA and allelic losses in the p15INK4b and p16INK4a chromosome location. These data represent, to our knowledge, the first report on the significant involvement of hypermethylation of these INK4 genes in murine primary tumors. Moreover, they show the importance of allelic losses and CpG island methylation of p15INK4b gene inactivation and support a tumor suppressor role for p15INK4b in T-cell lymphomas independent of p16INK4a. Collapse Key Words Collapse MESH Headings Animals Carrier Proteins/antagonists & inhibitors Carrier Proteins/genetics Cell Cycle Proteins CpG Islands/genetics Cyclin-Dependent Kinase Inhibitor p15 Cyclin-Dependent Kinase Inhibitor p16 DNA Methylation Gene Deletion Gene Expression Regulation, Neoplastic/genetics Lymphoma, T-Cell/genetics Mice Mice, Inbred Strains Molecular Sequence Data Polymorphism, Single-Stranded Conformational Tumor Suppressor Proteins Collapse Grants 5T32 CA09161 NCI NIH HHS CA36327 NCI NIH HHS CA50434 NCI NIH HHS Collapse		28	58
22	Pigrau M, Rodiño-Janeiro BK, Casado-Bedmar M, Lobo B, Vicario M, Santos J, Alonso-Cotoner C. The joint power of sex and stress to modulate brain-gut-microbiota axis and intestinal barrier homeostasis: implications for irritable bowel syndrome. Neurogastroenterol Motil 2016;28:463-86. [PMID: 26556786 DOI: 10.1111/nmo.12717] [Citation(s) in RCA: 57] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/17/2015] [Accepted: 10/05/2015] [Indexed: 02/06/2023] Abstract BACKGROUND Intestinal homeostasis is a dynamic process that takes place at the interface between the lumen and the mucosa of the gastrointestinal tract, where a constant scrutiny for antigens and toxins derived from food and microorganisms is carried out by the vast gut-associated immune system. Intestinal homeostasis is preserved by the ability of the mucus layer and the mucosal barrier to keep the passage of small-sized and antigenic molecules across the epithelium highly selective. When combined and preserved, immune surveillance and barrier's selective permeability, the host capacity of preventing the development of intestinal inflammation is optimized, and viceversa. In addition, the brain-gut-microbiome axis, a multidirectional communication system that integrates distant and local regulatory networks through neural, immunological, metabolic, and hormonal signaling pathways, also regulates intestinal function. Dysfunction of the brain-gut-microbiome axis may induce the loss of gut mucosal homeostasis, leading to uncontrolled permeation of toxins and immunogenic particles, increasing the risk of appearance of intestinal inflammation, mucosal damage, and gut disorders. Irritable bowel syndrome is prevalent stress-sensitive gastrointestinal disorder that shows a female predominance. Interestingly, the role of stress, sex and gonadal hormones in the regulation of intestinal mucosal and the brain-gut-microbiome axis functioning is being increasingly recognized. PURPOSE We aim to critically review the evidence linking sex, and stress to intestinal barrier and brain-gut-microbiome axis dysfunction and the implications for irritable bowel syndrome. Collapse Key Words brain-gut axis gender intestinal barrier irritable bowel syndrome microbiome sex steroids stress Collapse MESH Headings Collapse Grants Collapse	Review	9	57
23	Alonso C, Guilarte M, Vicario M, Ramos L, Rezzi S, Martínez C, Lobo B, Martin FP, Pigrau M, González-Castro AM, Gallart M, Malagelada JR, Azpiroz F, Kochhar S, Santos J. Acute experimental stress evokes a differential gender-determined increase in human intestinal macromolecular permeability. Neurogastroenterol Motil 2012;24:740-6, e348-9. [PMID: 22625665 DOI: 10.1111/j.1365-2982.2012.01928.x] [Citation(s) in RCA: 55] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/08/2023] Abstract BACKGROUND Intestinal epithelial dysfunction is a common pathophysiologic feature in irritable bowel syndrome (IBS) patients and might be the link to its clinical manifestations. We previously showed that chronic psychosocial stress induces jejunal epithelial barrier dysfunction; however, whether this epithelial response is gender-specific and might thus explain the enhanced female susceptibility to IBS remains unknown. METHODS Intestinal responses to acute stress were compared in age-matched groups of healthy women and men (n = 10 each) experiencing low background stress. A 20-cm jejunal segment, was perfused with an isosmotic solution, and intestinal effluents were collected under basal conditions, for 15 min during cold pain stress and for a 45-min recovery period. Epithelial function (net water flux and albumin output), changes in stress hormones, and cardiovascular and psychologic responses to cold stress were measured. KEY RESULTS Heart rate and blood pressure significantly increased during cold pain stress with no differences between men and women. Adrenocorticotropic hormone and cortisol levels during cold pain stress were significantly higher in men. Basal net water flux and epithelial permeability were similar in men and women. Cold pain stress increased water flux in both groups (72 ± 23 and 107 ± 18 μL min(-1) cm(-1) , respectively; F(5, 90) = 5.5; P = 0.003 for Time) and, interestingly, this was associated with a marked increase of albumin permeability in women but not in men (0.8 ± 0.2 vs.-0.7 ± 0.2 mg/15 min; P < 0.0001). CONCLUSIONS & INFERENCES Intestinal macromolecular permeability in response to acute experimental stress is increased in healthy women, a mechanism that may contribute to female oversusceptibility to IBS. Collapse Key Words Collapse MESH Headings Collapse Grants Collapse		13	55
24	Martín-Carbonero L, Palacios R, Valencia E, Saballs P, Sirera G, Santos I, Baldobí F, Alegre M, Goyenechea A, Pedreira J, González del Castillo J, Martínez-Lacasa J, Ocampo A, Alsina M, Santos J, Podzamczer D, González-Lahoz J. Long-term prognosis of HIV-infected patients with Kaposi sarcoma treated with pegylated liposomal doxorubicin. Clin Infect Dis 2008;47:410-7. [PMID: 18582203 DOI: 10.1086/589865] [Citation(s) in RCA: 53] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/03/2023] Open Abstract INTRODUCTION Incidence of Kaposi sarcoma (KS) in human immunodeficiency virus (HIV)-infected persons has dramatically decreased in the highly active antiretroviral therapy era. However, this tumor still represents the most common cancer in this population. OBJECTIVES The objectives of this study were to evaluate long-term prognosis of HIV-infected patients with KS who had received pegylated liposomal doxorubicin (PLD) and, more specifically, to assess tumor relapse rate, mortality, and cause of death in these subjects. DESIGN This study was a retrospective review of all patients with KS who had received PLD in centers belonging to the Caelyx/KS Spanish Group. Kaplan-Meier analysis and univariate and multivariate Cox-regression analysis were used to assess the rate of and factors associated with relapse and death through January 2006. RESULTS A total of 98 patients received PLD from September 1997 through June 2002. Median follow-up after initiation of treatment was 28.7 months (interquartile range, 6.6-73.2 months); during follow-up, 29 patients died (a mortality rate of 14.6% per year). In 9 patients (31%), the cause of death was related to the appearance of other tumors (including 7 lymphomas, 1 gastrointestinal adenocarcinoma, and 1 tongue epidermoid cancer). Death caused by progression of KS occurred in 3 cases. Death risk was inversely related to CD4(+) cell counts at the end of follow-up (hazard ratio for every increase in CD4(+) cell count of 100 cells/microL, 0.7; 95% confidence interval, 0.5-0.9). A relapse study was performed for 61 patients who had complete or partial response to PLD and who attended a control visit after treatment completion. After a median follow-up of 50 months (interquartile range, 17.2-76 months), 8 patients (13%) had experienced relapse; 5 of these patient experienced relapse within the first year after stopping PLD. The only factor that was independently related to risk of relapse was having a CD4(+) cell count >200 cells/microL at baseline (hazard ratio, 6.2; 95% confidence interval, 1.2-30). Lower CD4(+) cell count at the end of follow-up was marginally associated with relapse (hazard ratio for every increase in CD4(+) cell count of 100 cells/microL, 0.7; 95% confidence interval, 0.6-1.01). CONCLUSIONS Treatment of KS with PLD in HIV-infected patients is followed by a low relapse rate, with most relapses occurring during the first year after stopping chemotherapy. However, the mortality rate in this population was high, in part because of an unexpectedly high incidence of other tumors, mainly lymphomas. Collapse Key Words Collapse MESH Headings Collapse Grants Collapse	Research Support, Non-U.S. Gov't	17	53
25	Palacios R, Santos J, Valdivielso P, Márquez M. Human immunodeficiency virus infection and systemic lupus erythematosus. An unusual case and a review of the literature. Lupus 2002;11:60-3. [PMID: 11898923 DOI: 10.1191/0961203302lu141cr] [Citation(s) in RCA: 47] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Abstract Systemic lupus erythematosus (SLE) and infection with the human immunodeficiency virus (HIV) are rarely seen in the same patient. Both diseases share clinical and serological features and the differential diagnosis is difficult, with renal manifestations being of special interest. To date, 29 cases of association between the two diseases have been reported, but the diagnosis was simultaneous in just two of these and only 18 fulfilled the ARA criteria for the diagnosis of SLE. Most patients experienced an improvement in their SLE after development of their HIV associated immunosuppression and a reactivation of lupus manifestations has also been noted after immunological recovery secondary to antiretroviral therapy. We present the case of a woman in whom HIV and SLE with renal involvement were diagnosed simultaneously. Collapse Key Words Collapse MESH Headings Adult Biopsy Female HIV Infections/complications Humans Kidney/pathology Lupus Erythematosus, Systemic/complications Lupus Erythematosus, Systemic/pathology Spain Viral Load Collapse Grants Collapse	Case Reports	23	47

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