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Fitton Davies K, Clarke S, Martins R, Rudd JR, Duncan M. The effect of a home-based, gamified stability skills intervention on 4-5-year-old children's physical and cognitive outcomes: A pilot study. Psychol Sport Exerc 2024; 73:102636. [PMID: 38588787 DOI: 10.1016/j.psychsport.2024.102636] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/26/2023] [Revised: 04/01/2024] [Accepted: 04/03/2024] [Indexed: 04/10/2024]
Abstract
BACKGROUND Stability skills (e.g., static/dynamic balance) are a precursor for other movement skill development (e.g., jumping, catching). However, young children consistently demonstrate low stability and movement skill ability. There is therefore a need to develop effective strategies to improve stability skills in early childhood. AIM To pilot the effect of a home-based gamified stability skills intervention on 4-5-year-old children's physical skills, self-perceptions and cognitions. METHODS One-hundred-and-eleven 4-5-year-old children participated from three schools. Two schools were allocated into the intervention group (n = 66 children, 33 boys) and one to the control group (n = 45 children, 25 boys). Stability, fundamental movement skills, perceived motor competence, and cognition were assessed at baseline and at post-intervention. The intervention group was given a booklet detailing the 12-week gamified stability skill intervention. The control group participated in their usual weekly activities. RESULTS A series of ANCOVAs controlling for baseline values demonstrated significantly higher stability skills (F(1,93) = 24.79, p < 0.001, partial η2 = 0.212), fundamental movement skills (F(1,94) = 15.5, p = < 0.001, partial η2 = 0.139), perceived motor competence (F(1,96) = 5.48, p = 0.021, partial η2 = 0.054) and cognition (F(1,96) = 15.5, p = < 0.001, partial η2 = 0.139) at post-test for the intervention versus control groups. DISCUSSION This study demonstrates that a home-based, gamified, stability skills intervention enhances stability skills, fundamental movement skills, perceived motor competence and cognition in children aged 4-5-years old.
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Affiliation(s)
- K Fitton Davies
- Research Institute for Sport and Exercise Sciences, Liverpool John Moores University, Copperas Hill, Liverpool, L3 5GE, UK; Centre for Physical Activity, Sport and Exercise Sciences, Coventry University, Priory Street, Coventry, CV1 5FB, UK.
| | - S Clarke
- Centre for Arts, Memory and Communities, Coventry University, Priory Street, Coventry, CV1 5FB, UK.
| | - R Martins
- Centre for Physical Activity, Sport and Exercise Sciences, Coventry University, Priory Street, Coventry, CV1 5FB, UK.
| | - J R Rudd
- Norwegian School of Sport Sciences, Sognsveien 220, 0863, Oslo, Norway; Western Norway University of Applied Sciences, Inndalsveien 28, 5063, Bergen, Norway.
| | - M Duncan
- Centre for Physical Activity, Sport and Exercise Sciences, Coventry University, Priory Street, Coventry, CV1 5FB, UK.
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Carvalho CB, Arroz AM, Martins R, Costa R, Cordeiro F, Cabral JM. "Help Me Control My Impulses!": Adolescent Impulsivity and Its Negative Individual, Family, Peer, and Community Explanatory Factors. J Youth Adolesc 2023; 52:2545-2558. [PMID: 37620682 PMCID: PMC10522498 DOI: 10.1007/s10964-023-01837-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/02/2023] [Accepted: 07/27/2023] [Indexed: 08/26/2023]
Abstract
The literature shows that impulsivity, prevalent in adolescence, is negatively linked with a variety of psychosocial factors (e.g., positive interpersonal relationships, emotion regulation); however, there is limited research examining the relative contribution of multiple factors for this trait nor exploring how these factors influence the associations between impulsivity and risk-related outcomes. Drawing on multiple components of the unified theory of development (i.e., psychological variables, peers subsystem, community subsystem, family processes subsystem), this cross-sectional study aims to identify explanatory psychosocial variables (i.e., early memories of warmth and safeness, rational decision-making style, resilience, emotion regulation, coping, parental attachment, social group attachment, satisfaction with school and family-related variables) that are negatively related with impulsivity, in younger (13-15) and older (16-19 years) adolescents, and explore their moderating role in the associations between this trait and some risk-related outcomes (i.e., verbal aggression, anger, self-harm, other high-risk behaviors). A representative sample of 6894 adolescents (52.9% female) living in the Azores (Portugal), with ages ranging from 13 to 19 (M = 15.4), was used. Two stepwise multiple regressions, one for each age group, revealed that only emotion regulation, parental attachment, and social group attachment had a negative effect on impulsivity in both age groups; additionally, satisfaction with teachers also had this effect in younger adolescents. The first three variables weakened the positive associations between impulsivity and the risk-related outcomes. These results suggest that the psychological system and all subsystems of the social context measured play a relevant role in explaining adolescent impulsivity and that it may be reduced by promoting emotion regulation, positive parenting practices, healthier relationships with peers, and healthier relationships with teachers.
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Affiliation(s)
- Célia Barreto Carvalho
- Faculty of Social and Human Sciences, University of the Azores, Ponta Delgada, Portugal.
- Cognitive and Behavioural Centre for Research and Intervention, Faculty of Psychology and Education Sciences, University of Coimbra, Coimbra, Portugal.
| | - Ana Moura Arroz
- Faculty of Social and Human Sciences, University of the Azores, Ponta Delgada, Portugal
- Centre for Ecology, Evolution and Environmental Changes, Azorean Biodiversity Group (cE3c/ABG); CHANGE - Global Change and Sustainability Institute, University of the Azores, Ponta Delgada, Portugal
| | - Raquel Martins
- Gaspar Frutuoso Foundation, University of the Azores, Ponta Delgada, Portugal
| | - Rodrigo Costa
- Gaspar Frutuoso Foundation, University of the Azores, Ponta Delgada, Portugal
| | - Filipa Cordeiro
- Gaspar Frutuoso Foundation, University of the Azores, Ponta Delgada, Portugal
| | - Joana Moura Cabral
- Faculty of Social and Human Sciences, University of the Azores, Ponta Delgada, Portugal
- Cognitive and Behavioural Centre for Research and Intervention, Faculty of Psychology and Education Sciences, University of Coimbra, Coimbra, Portugal
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Liu PY, Xia D, McGonigle K, Carroll AB, Chiango J, Scavello H, Martins R, Mehta S, Krespan E, Lunde E, LeVine D, Fellman CL, Goggs R, Beiting DP, Garden OA. Immune-mediated hematological disease in dogs is associated with alterations of the fecal microbiota: a pilot study. Anim Microbiome 2023; 5:46. [PMID: 37770990 PMCID: PMC10540429 DOI: 10.1186/s42523-023-00268-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/29/2023] [Accepted: 09/20/2023] [Indexed: 09/30/2023] Open
Abstract
BACKGROUND The dog is the most popular companion animal and is a valuable large animal model for several human diseases. Canine immune-mediated hematological diseases, including immune-mediated hemolytic anemia (IMHA) and immune thrombocytopenia (ITP), share many features in common with autoimmune hematological diseases of humans. The gut microbiome has been linked to systemic illness, but few studies have evaluated its association with immune-mediated hematological disease. To address this knowledge gap, 16S rRNA gene sequencing was used to profile the fecal microbiota of dogs with spontaneous IMHA and ITP at presentation and following successful treatment. In total, 21 affected and 13 healthy control dogs were included in the study. RESULTS IMHA/ITP is associated with remodeling of fecal microbiota, marked by decreased relative abundance of the spirochete Treponema spp., increased relative abundance of the pathobionts Clostridium septicum and Escherichia coli, and increased overall microbial diversity. Logistic regression analysis demonstrated that Treponema spp. were associated with decreased risk of IMHA/ITP (odds ratio [OR] 0.24-0.34), while Ruminococcaceae UCG-009 and Christensenellaceae R-7 group were associated with increased risk of disease (OR = 6.84 [95% CI 2-32.74] and 8.36 [95% CI 1.85-71.88] respectively). CONCLUSIONS This study demonstrates an association of immune-mediated hematological diseases in dogs with fecal dysbiosis, and points to specific bacterial genera as biomarkers of disease. Microbes identified as positive or negative risk factors for IMHA/ITP represent an area for future research as potential targets for new diagnostic assays and/or therapeutic applications.
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Affiliation(s)
- P-Y Liu
- Department of Pathobiology and Population Sciences, The Royal Veterinary College, Royal College Street, London, NW1 0TU, UK
- School of Medicine, College of Medicine, National Sun Yat-sen University, Kaohsiung, 804201, Taiwan
| | - D Xia
- Department of Pathobiology and Population Sciences, The Royal Veterinary College, Royal College Street, London, NW1 0TU, UK
| | - K McGonigle
- Department of Clinical Sciences and Advanced Medicine, School of Veterinary Medicine, University of Pennsylvania, 3900 Spruce Street, Philadelphia, PA, 19104, USA
| | - A B Carroll
- Department of Clinical Sciences and Advanced Medicine, School of Veterinary Medicine, University of Pennsylvania, 3900 Spruce Street, Philadelphia, PA, 19104, USA
| | - J Chiango
- Department of Clinical Sciences and Advanced Medicine, School of Veterinary Medicine, University of Pennsylvania, 3900 Spruce Street, Philadelphia, PA, 19104, USA
| | - H Scavello
- Department of Clinical Sciences and Advanced Medicine, School of Veterinary Medicine, University of Pennsylvania, 3900 Spruce Street, Philadelphia, PA, 19104, USA
| | - R Martins
- Department of Clinical Sciences and Advanced Medicine, School of Veterinary Medicine, University of Pennsylvania, 3900 Spruce Street, Philadelphia, PA, 19104, USA
| | - S Mehta
- Department of Pathobiology, School of Veterinary Medicine, University of Pennsylvania, 380 South University Avenue, Philadelphia, 19104, USA
| | - E Krespan
- Department of Pathobiology, School of Veterinary Medicine, University of Pennsylvania, 380 South University Avenue, Philadelphia, 19104, USA
| | - E Lunde
- Department of Veterinary Clinical Sciences, College of Veterinary Medicine, Iowa State University, 1809 South Riverside Drive, Ames, IA, 50011, USA
| | - D LeVine
- Department of Veterinary Clinical Sciences, College of Veterinary Medicine, Iowa State University, 1809 South Riverside Drive, Ames, IA, 50011, USA
- Department of Clinical Sciences, College of Veterinary Medicine, Auburn University, 1220 Wire Road, Auburn, AL, 36849, USA
| | - C L Fellman
- Department of Clinical Sciences, Cummings School of Veterinary Medicine, Tufts University, North Grafton, MA, 01536, USA
| | - R Goggs
- Department of Clinical Sciences, College of Veterinary Medicine, Cornell University, 930 Campus Road, Box 31, Ithaca, NY, 14853, USA
| | - D P Beiting
- Department of Pathobiology, School of Veterinary Medicine, University of Pennsylvania, 380 South University Avenue, Philadelphia, 19104, USA
| | - O A Garden
- Department of Clinical Sciences and Advanced Medicine, School of Veterinary Medicine, University of Pennsylvania, 3900 Spruce Street, Philadelphia, PA, 19104, USA.
- Dean's Office, School of Veterinary Medicine, Louisiana State University, Skip Bertman Drive, Baton Rouge, LA, 70803, USA.
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Ribeiro G, Ferreira G, Menda UD, Alexandre M, Brites MJ, Barreiros MA, Jana S, Águas H, Martins R, Fernandes PA, Salomé P, Mendes MJ. Sub-Bandgap Sensitization of Perovskite Semiconductors via Colloidal Quantum Dots Incorporation. Nanomaterials (Basel) 2023; 13:2447. [PMID: 37686955 PMCID: PMC10489900 DOI: 10.3390/nano13172447] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/25/2023] [Revised: 08/20/2023] [Accepted: 08/27/2023] [Indexed: 09/10/2023]
Abstract
By taking advantage of the outstanding intrinsic optoelectronic properties of perovskite-based photovoltaic materials, together with the strong near-infrared (NIR) absorption and electronic confinement in PbS quantum dots (QDs), sub-bandgap photocurrent generation is possible, opening the way for solar cell efficiencies surpassing the classical limits. The present study shows an effective methodology for the inclusion of high densities of colloidal PbS QDs in a MAPbI3 (methylammonium lead iodide) perovskite matrix as a means to enhance the spectral window of photon absorption of the perovskite host film and allow photocurrent production below its bandgap. The QDs were introduced in the perovskite matrix in different sizes and concentrations to study the formation of quantum-confined levels within the host bandgap and the potential formation of a delocalized intermediate mini-band (IB). Pronounced sub-bandgap (in NIR) absorption was optically confirmed with the introduction of QDs in the perovskite. The consequent photocurrent generation was demonstrated via photoconductivity measurements, which indicated IB establishment in the films. Despite verifying the reduced crystallinity of the MAPbI3 matrix with a higher concentration and size of the embedded QDs, the nanostructured films showed pronounced enhancement (above 10-fold) in NIR absorption and consequent photocurrent generation at photon energies below the perovskite bandgap.
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Affiliation(s)
- G. Ribeiro
- i3N/CENIMAT, Department of Materials Science, NOVA School of Science and Technology and CEMOP/UNINOVA, Campus de Caparica, 2829-516 Caparica, Portugal (M.A.); (S.J.); (H.Á.)
- INL, International Iberian Nanotechnology Laboratory, 4715-330 Braga, Portugal; (P.A.F.); (P.S.)
| | - G. Ferreira
- i3N/CENIMAT, Department of Materials Science, NOVA School of Science and Technology and CEMOP/UNINOVA, Campus de Caparica, 2829-516 Caparica, Portugal (M.A.); (S.J.); (H.Á.)
| | - U. D. Menda
- i3N/CENIMAT, Department of Materials Science, NOVA School of Science and Technology and CEMOP/UNINOVA, Campus de Caparica, 2829-516 Caparica, Portugal (M.A.); (S.J.); (H.Á.)
| | - M. Alexandre
- i3N/CENIMAT, Department of Materials Science, NOVA School of Science and Technology and CEMOP/UNINOVA, Campus de Caparica, 2829-516 Caparica, Portugal (M.A.); (S.J.); (H.Á.)
| | - M. J. Brites
- LNEG, Estrada do Paço do Lumiar, 22, 1649-038 Lisboa, Portugal; (M.J.B.)
| | - M. A. Barreiros
- LNEG, Estrada do Paço do Lumiar, 22, 1649-038 Lisboa, Portugal; (M.J.B.)
| | - S. Jana
- i3N/CENIMAT, Department of Materials Science, NOVA School of Science and Technology and CEMOP/UNINOVA, Campus de Caparica, 2829-516 Caparica, Portugal (M.A.); (S.J.); (H.Á.)
| | - H. Águas
- i3N/CENIMAT, Department of Materials Science, NOVA School of Science and Technology and CEMOP/UNINOVA, Campus de Caparica, 2829-516 Caparica, Portugal (M.A.); (S.J.); (H.Á.)
| | - R. Martins
- i3N/CENIMAT, Department of Materials Science, NOVA School of Science and Technology and CEMOP/UNINOVA, Campus de Caparica, 2829-516 Caparica, Portugal (M.A.); (S.J.); (H.Á.)
| | - P. A. Fernandes
- INL, International Iberian Nanotechnology Laboratory, 4715-330 Braga, Portugal; (P.A.F.); (P.S.)
- CIETI, Departamento de Física, Instituto Superior de Engenharia do Porto, Instituto Politécnico do Porto, 4249-015 Porto, Portugal
- Departamento de Física, Universidade de Aveiro, Campus Universitário de Santiago, 3810-193 Aveiro, Portugal
| | - P. Salomé
- INL, International Iberian Nanotechnology Laboratory, 4715-330 Braga, Portugal; (P.A.F.); (P.S.)
- i3N, Universidade de Aveiro, Campus Universitário de Santiago, 3810-193 Aveiro, Portugal
| | - M. J. Mendes
- i3N/CENIMAT, Department of Materials Science, NOVA School of Science and Technology and CEMOP/UNINOVA, Campus de Caparica, 2829-516 Caparica, Portugal (M.A.); (S.J.); (H.Á.)
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Martins R, Fernandes F, Valentão P. Unearthing of the Antidiabetic Potential of Aqueous Extract of Solanum betaceum Cav. Leaves. Molecules 2023; 28:molecules28083291. [PMID: 37110524 PMCID: PMC10146016 DOI: 10.3390/molecules28083291] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/10/2023] [Revised: 04/01/2023] [Accepted: 04/04/2023] [Indexed: 04/29/2023] Open
Abstract
Solanum betaceum Cav., commonly known as tamarillo or Brazilian tomato, belongs to the Solanaceae family. Its fruit is used in traditional medicine and food crops due to its health benefits. Despite the numerous studies involving the fruit, there is no scientific knowledge about the tamarillo tree leaves. In this work, the phenolic profile of aqueous extract obtained from S. betaceum leaves was unveiled for the first time. Five hydroxycinnamic phenolic acids were identified and quantified, including 3-O-caffeoylquinic acid, 4-O-caffeoylquinic acid, chlorogenic acid, caffeic acid and rosmarinic acid. While the extract displayed no effect on α-amylase, the extract inhibited the activity of α-glucosidase (IC50 = 1617 mg/mL), and it was particularly effective for human aldose reductase (IC50 = 0.236 mg/mL): a key enzyme in glucose metabolism. Moreover, the extract exhibited interesting antioxidant properties, such as a potent capacity to intercept the in vitro-generated reactive species O2•- (IC50 = 0.119 mg/mL) and •NO (IC50 = 0.299 mg/mL), as well as to inhibit the first stages of lipid peroxidation (IC50 = 0.080 mg/mL). This study highlights the biological potential of S. betaceum leaves. The scarcity of research on this natural resource underscores the need for additional studies in order to fully explore its antidiabetic properties and to promote the value of a species currently at risk of extinction.
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Affiliation(s)
- Raquel Martins
- REQUIMTE/LAQV, Laboratório de Farmacognosia, Departamento de Química, Faculdade de Farmácia, Universidade do Porto, Rua de Jorge Viterbo Ferreira n° 228, 4050-313 Porto, Portugal
| | - Fátima Fernandes
- REQUIMTE/LAQV, Laboratório de Farmacognosia, Departamento de Química, Faculdade de Farmácia, Universidade do Porto, Rua de Jorge Viterbo Ferreira n° 228, 4050-313 Porto, Portugal
| | - Patrícia Valentão
- REQUIMTE/LAQV, Laboratório de Farmacognosia, Departamento de Química, Faculdade de Farmácia, Universidade do Porto, Rua de Jorge Viterbo Ferreira n° 228, 4050-313 Porto, Portugal
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Sousa-Santos N, Fialho M, Madeira T, Clara C, Veiga S, Martins R, Barros N, Santos G, Santos O, Almeida C, Ganança L, Campos RC, Camolas J, da Silva AP, Guarino MPS, Heitor MJ. Nutritional counselling in adults promoting adherence to the Mediterranean diet as adjuvant in the treatment of major depressive disorder (INDEPT): a randomized open controlled trial study protocol. BMC Psychiatry 2023; 23:227. [PMID: 37016319 PMCID: PMC10074649 DOI: 10.1186/s12888-023-04705-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/01/2023] [Accepted: 03/21/2023] [Indexed: 04/06/2023] Open
Abstract
BACKGROUND Major Depressive Disorder (MDD) is a leading cause of disability worldwide. Approximately one-third of patients with MDD do not respond to treatment, and often exhibit elevated inflammation biomarkers, which are associated with worse prognosis. Previous research has linked healthier dietary patterns, such as the Mediterranean Diet (MedDiet), with a lower risk of MDD and symptoms of depression, potentially due to their anti-inflammatory properties. The aim of this study is to evaluate the effectiveness of a nutritional counselling intervention promoting MedDiet to alleviate symptoms of depression in adults recently diagnosed with MDD and presenting with elevated inflammation biomarkers. METHODS This study is a randomized controlled trial (RCT) that will recruit adults from outpatient clinics, between the ages of 18 and 70 years who have been diagnosed with MDD and are currently receiving treatment with the first prescribed antidepressant, and who exhibit elevated inflammation biomarkers (interleukin-6 and/or C-reactive protein). The control group will receive treatment-as-usual (TAU) only. The primary outcome of the study will be the change in symptoms of depression, as measured by the Beck Depression Inventory 2 (BDI-II), after 12 weeks of intervention. Data analysis will follow an intention-to-treat approach. Secondary outcomes will include changes in inflammation biomarkers, quality of life, adherence to the MedDiet, and cost-effectiveness of nutritional counselling. All outcomes will be assessed at baseline, after the 12-week intervention, and at 6- and 12-months post-baseline. DISCUSSION This study will be the first RCT to evaluate the effect of a nutritional intervention with anti-inflammatory properties, as an adjuvant in the treatment of MDD, in individuals diagnosed with MDD and elevated inflammation biomarkers. The results of this study may contribute to the development of more effective and personalized interventions for MDD patients with elevated inflammation biomarkers.
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Affiliation(s)
- Nuno Sousa-Santos
- Center for Innovative Care and Health Technology (ciTechcare), Instituto Politécnico, Leiria - R. de Santo André, Leiria, 2410, Portugal.
- Instituto de Saúde Ambiental (ISAMB), Faculdade de Medicina, Universidade de Lisboa - Av, Lisboa, 1649-028, Portugal.
- Laboratório Associado TERRA, Faculdade de Medicina, Universidade de Lisboa, Av. Professor Egas Moniz, Lisboa, 1649-028, Portugal.
| | - Mónica Fialho
- Instituto de Saúde Ambiental (ISAMB), Faculdade de Medicina, Universidade de Lisboa - Av, Lisboa, 1649-028, Portugal
- Laboratório Associado TERRA, Faculdade de Medicina, Universidade de Lisboa, Av. Professor Egas Moniz, Lisboa, 1649-028, Portugal
| | - Teresa Madeira
- Instituto de Saúde Ambiental (ISAMB), Faculdade de Medicina, Universidade de Lisboa - Av, Lisboa, 1649-028, Portugal
- Laboratório Associado TERRA, Faculdade de Medicina, Universidade de Lisboa, Av. Professor Egas Moniz, Lisboa, 1649-028, Portugal
- Laboratório de Nutrição, Faculdade de Medicina, Universidade de Lisboa, Av. Prof. Egas Moniz, Edifício Egas Moniz, ala C, piso 2, Lisboa, 1649-028, Portugal
| | - Cátia Clara
- Center for Innovative Care and Health Technology (ciTechcare), Instituto Politécnico, Leiria - R. de Santo André, Leiria, 2410, Portugal
| | - Sofia Veiga
- Instituto de Saúde Ambiental (ISAMB), Faculdade de Medicina, Universidade de Lisboa - Av, Lisboa, 1649-028, Portugal
- Laboratório Associado TERRA, Faculdade de Medicina, Universidade de Lisboa, Av. Professor Egas Moniz, Lisboa, 1649-028, Portugal
| | - Raquel Martins
- Instituto de Saúde Ambiental (ISAMB), Faculdade de Medicina, Universidade de Lisboa - Av, Lisboa, 1649-028, Portugal
- Laboratório Associado TERRA, Faculdade de Medicina, Universidade de Lisboa, Av. Professor Egas Moniz, Lisboa, 1649-028, Portugal
| | - Neuza Barros
- Center for Innovative Care and Health Technology (ciTechcare), Instituto Politécnico, Leiria - R. de Santo André, Leiria, 2410, Portugal
- Instituto de Saúde Ambiental (ISAMB), Faculdade de Medicina, Universidade de Lisboa - Av, Lisboa, 1649-028, Portugal
- Laboratório Associado TERRA, Faculdade de Medicina, Universidade de Lisboa, Av. Professor Egas Moniz, Lisboa, 1649-028, Portugal
| | - Gabriela Santos
- Center for Innovative Care and Health Technology (ciTechcare), Instituto Politécnico, Leiria - R. de Santo André, Leiria, 2410, Portugal
| | - Osvaldo Santos
- Instituto de Saúde Ambiental (ISAMB), Faculdade de Medicina, Universidade de Lisboa - Av, Lisboa, 1649-028, Portugal
- Laboratório Associado TERRA, Faculdade de Medicina, Universidade de Lisboa, Av. Professor Egas Moniz, Lisboa, 1649-028, Portugal
| | - Carolina Almeida
- Serviço de Psiquiatria e Saúde Mental, Centro Hospitalar de Leiria - Hospital de Santo André, R. de Santo André, Leiria, 2410-197, Portugal
| | - Licínia Ganança
- Departamento de Psiquiatria e Saúde Mental, Clínica Universitária de Psiquiatria e Psicologia Médica, Centro Hospitalar Universitário de Lisboa Norte, Lisbon, Portugal
| | - Rui C Campos
- Comprehensive Health Research Center, Department of Psychology, School of Social Sciences, University of Évora, Évora, Portugal
| | - José Camolas
- Instituto de Saúde Ambiental (ISAMB), Faculdade de Medicina, Universidade de Lisboa - Av, Lisboa, 1649-028, Portugal
- Laboratório Associado TERRA, Faculdade de Medicina, Universidade de Lisboa, Av. Professor Egas Moniz, Lisboa, 1649-028, Portugal
- Centro Hospitalar Universitário Lisboa Norte, EPE, Hospital de Santa Maria, Av. Prof. Egas Moniz MB, Lisboa, 1649-028, Portugal
- Laboratório de Nutrição, Faculdade de Medicina, Universidade de Lisboa, Av. Prof. Egas Moniz, Edifício Egas Moniz, ala C, piso 2, Lisboa, 1649-028, Portugal
- Faculdade de Medicina da Universidade Católica Portuguesa - Estr. Octávio Pato, Rio de Mouro, Sintra, 2635-631, Portugal
| | - Alda Pereira da Silva
- Instituto de Saúde Ambiental (ISAMB), Faculdade de Medicina, Universidade de Lisboa - Av, Lisboa, 1649-028, Portugal
- Laboratório Associado TERRA, Faculdade de Medicina, Universidade de Lisboa, Av. Professor Egas Moniz, Lisboa, 1649-028, Portugal
- Clínica Universitária de Medicina Geral e Familiar, Faculdade Medicina Universidade de Lisboa, Av. Prof. Egas Moniz MB, Lisboa, 1649-028, Portugal
| | - Maria Pedro Sucena Guarino
- Center for Innovative Care and Health Technology (ciTechcare), Instituto Politécnico, Leiria - R. de Santo André, Leiria, 2410, Portugal
| | - Maria João Heitor
- Instituto de Saúde Ambiental (ISAMB), Faculdade de Medicina, Universidade de Lisboa - Av, Lisboa, 1649-028, Portugal
- Faculdade de Medicina da Universidade Católica Portuguesa - Estr. Octávio Pato, Rio de Mouro, Sintra, 2635-631, Portugal
- Departamento de Psiquiatria e Saúde Mental, Hospital Beatriz Ângelo, Av. Carlos Teixeira 3, Loures, 2674-514, Portugal
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Benali K, Barre V, Hermida A, Milhem A, Philibert S, Boveda S, Bars C, Anselme F, Maille B, André C, Behaghel A, Moubarak G, Clémenty N, Da Costa A, Arnaud M, Venier S, Sebag F, Jesel L, Macle L, Martins R. Atrial fibrillation recurrences despite durable pulmonary vein isolation: Characteristics, management and outcomes, the PARTY-PVI study. Archives of Cardiovascular Diseases Supplements 2023. [DOI: 10.1016/j.acvdsp.2022.10.177] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
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Martins R, Duarte A, Cotinguiba F. INTELLIGENT DELIVERY OF ANTITUMOR DRUGS MEDIATED BY POLYMERIC NANOMICELLES: A REVIEW. QUIM NOVA 2023. [DOI: 10.21577/0100-4042.20230011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/13/2023] Open
Abstract
Cancer therapy represents a challenge, even with the current scientific developments. Over the years, several studies have shown that the application of antitumor drug nanocarriers is an efficient strategy; however, it requires further improvement. Several nanosystems have been developed, some of which are already in use, including liposomes. Polymer-based nanocarriers are still being adjusted to the peculiarities of the human body due to the biological barriers that were encountered by the first systems that were developed. Among them, the formation of corona proteins, clearance by the endothelial reticulum system and kidneys, activation of the immune system, lack of selectivity, and difficult release have been extensively studied and improved with the development of new devices. In this review, we explore the evolution of primary nanocarriers based on polymeric micelles and highlight the gaps that remain in this field to assist in the research of new systems with superior therapeutic indices.
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Benali K, Hamel-Bougault M, Bessière F, Extramiana F, Guenancia C, Ninni S, Defaye P, Maille B, Baudinaud P, Champ-Rigot L, Sellal JM, Jesel L, Anselme F, Delmas C, Galand V, Flécher E, Martins R. Heart transplantation as a rescue strategy for patients with refractory electrical storm. Archives of Cardiovascular Diseases Supplements 2023. [DOI: 10.1016/j.acvdsp.2022.10.173] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
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10
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Rigal L, Bellec J, Hervouin A, Lederlin M, De Crevoisier R, Benali K, Martins R, Simon A. Motion discrepancies between cardiac target and ICD lead, and their impact on target volume for cardiac radioablation. Archives of Cardiovascular Diseases Supplements 2023. [DOI: 10.1016/j.acvdsp.2022.10.182] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
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11
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Chaumont C, Martins R, Viart G, Pavin D, Noirot-Cosson B, Huchette D, Godin B, Savouré A, Eltchaninoff H, Anselme F. RVOT Premature ventricular contractions induce significant anatomical displacement during 3D mapping: A cause of mid-term ablation failure? Archives of Cardiovascular Diseases Supplements 2023. [DOI: 10.1016/j.acvdsp.2022.10.195] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
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12
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Rigal L, Simon A, Benali K, Hamel-Bougault M, Barre V, Bellec J, Lederlin M, De Crevoisier R, Martins R. A novel data integration workflow for target delineation in cardiac radioablation. Archives of Cardiovascular Diseases Supplements 2023. [DOI: 10.1016/j.acvdsp.2022.10.204] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
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13
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Gourraud J, Le Diffon T, Mansourati J, Clementy N, Thollet A, Rajalu A, Cotard V, Kyndt F, Martins R, Sacher F, Probst V. Characteristics and prognosis of the catecholamine induced QT prolongation syndrome. Eur Heart J 2022. [DOI: 10.1093/eurheartj/ehac544.370] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Background
We have recently demonstrated association of unexplained sudden cardiac arrest (SCA) with inheritance of catecholamine induced QT prolongation (CIQTP).
Objective
We here aim to describe incidence, characteristics and prognosis of this new syndrome in young patients with unexplained SCA or their relatives.
Methods
We reviewed the medical screening of all consecutive patients or their first-degree relatives explore from 2015 after the occurrence of a SCA before age 45. Structural heart disease or inherited arrhythmia diseases were excluded. A mental stress test was performed, as previously described, for each family members. All families with a positive mental stress were included in the study. Genetic screening was performed in at least one positive patient per family using targeted sequencing on a panel of 109 genes associated with inherited arrhythmias and cardiomyopathies.
Results
Among 456 patients screened (24 after SCA, 432 for familial screening) of 153 families, we identified 10 families (6.5%) with a catecholamine induced QT prolongation. No mutation was identified in these families. One hundred and ten patients were screened in CIQTP families. Thirty-four patients (30.9%) presented a CIQTP (mean age 42±20 yo, 64.7% of women). Five (14.7%) patients presented with previous symptoms (including 4 syncope and 1 SCA).
Two patients (5.9%) were implanted with an ICD and eleven (32.3%) were treated with beta blocker therapy mainly because of QT prolongation >500 ms after mental stress test or previous symptoms.
After a 3.6±1.8 years of follow up, no sudden cardiac death nor syncope occurred on beta blocker therapy except for one patient implanted with an ICD after a SCA. Under beta blocker treatment the patient was asymptomatic for 5 years. After a suddenly stop of the beta blocker treatment, the patient underwent VF. For 3 years now the patient is asymptomatic under beta blocker treatment.
Conclusions
In our experience, CIQTP families represent 6.5% of cases of unexplained SCD and suggest systematic screening with a mental stress test for family screening after the occurrence of a SCA. Beta blocker therapy is very efficient to reduce the risk of SCA.
Funding Acknowledgement
Type of funding sources: None.
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Affiliation(s)
| | | | | | - N Clementy
- University Hospital of Tours , Tours , France
| | - A Thollet
- Institut du Thorax , Nantes , France
| | - A Rajalu
- Institut du Thorax , Nantes , France
| | - V Cotard
- Institut du Thorax , Nantes , France
| | - F Kyndt
- Institut du Thorax , Nantes , France
| | - R Martins
- University Hospital of Rennes - Hospital Pontchaillou, Department of Cardiology and Vascular Disease , Rennes , France
| | - F Sacher
- University Hospital of Bordeaux , Bordeaux , France
| | - V Probst
- Institut du Thorax , Nantes , France
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João M, Alves S, Areia M, Elvas L, Brito D, Saraiva S, Martins R, Cadime AT. Cap-Assisted Endoscopic Mucosal Resection for Rectal Neuroendocrine Tumors: An Effective Option. GE Port J Gastroenterol 2022; 30:107-114. [PMID: 37008522 PMCID: PMC10050888 DOI: 10.1159/000525964] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/13/2021] [Accepted: 03/01/2022] [Indexed: 11/19/2022]
Abstract
<b><i>Introduction:</i></b> The incidence of rectal neuroendocrine tumors (r-NETs) is increasing, and most small r-NETs can be treated endoscopically. The optimal endoscopic approach is still debatable. Conventional endoscopic mucosal resection (EMR) leads to frequent incomplete resection. Endoscopic submucosal dissection (ESD) allows higher complete resection rates but is also associated with higher complication rates. According to some studies, cap-assisted EMR (EMR-C) is an effective and safe alternative for endoscopic resection of r-NETs. <b><i>Aims:</i></b> This study aimed to evaluate the efficacy and safety of EMR-C for r-NETs ≤10 mm without muscularis propria invasion or lymphovascular infiltration. <b><i>Methods:</i></b> Single-center prospective study including consecutive patients with r-NETs ≤10 mm without muscularis propria invasion or lymphovascular invasion confirmed by endoscopic ultrasound (EUS), submitted to EMR-C between January 2017 and September 2021. Demographic, endoscopic, histopathologic, and follow-up data were retrieved from medical records. <b><i>Results:</i></b> A total of 13 patients (male: 54%; <i>n</i> = 7) with a median age of 64 (interquartile range: 54–76) years were included. Most lesions were located at the lower rectum (69.2%, <i>n</i> = 9), and median lesion size was 6 (interquartile range: 4.5–7.5) mm. On EUS evaluation, 69.2% (<i>n</i> = 9) of tumors were limited to muscularis mucosa. EUS accuracy for the depth of invasion was 84.6%. We found a strong correlation between size measurements by histology and EUS (<i>r</i> = 0.83, <i>p</i> < 0.01). Overall, 15.4% (<i>n</i> = 2) were recurrent r-NETs and had been pretreated by conventional EMR. Resection was histologically complete in 92% (n = 12) of cases. Histologic analysis revealed grade 1 tumor in 76.9% (<i>n</i> = 10) of cases. Ki-67 index was inferior to 3% in 84.6% (<i>n</i> = 11) of cases. The median procedure time was 5 (interquartile range: 4–8) min. Only 1 case of intraprocedural bleeding was reported and was successfully controlled endoscopically. Follow-up was available in 92% (<i>n</i> = 12) of cases with a median follow-up of 6 (interquartile range: 12–24) months with no evidence of residual or recurrent lesion on endoscopic or EUS evaluation. <b><i>Conclusion:</i></b>EMR-C is fast, safe, and effective for resection of small r-NETs without high-risk features. EUS accurately assesses risk factors. Prospective comparative trials are needed to define the best endoscopic approach.
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Affiliation(s)
- Mafalda João
- Gastroenterology Department, Portuguese Oncology Institute of Coimbra, Coimbra, Portugal
- *Mafalda João,
| | - Susana Alves
- Gastroenterology Department, Portuguese Oncology Institute of Coimbra, Coimbra, Portugal
| | - Miguel Areia
- Gastroenterology Department, Portuguese Oncology Institute of Coimbra, Coimbra, Portugal
| | - Luís Elvas
- Gastroenterology Department, Portuguese Oncology Institute of Coimbra, Coimbra, Portugal
| | - Daniel Brito
- Gastroenterology Department, Portuguese Oncology Institute of Coimbra, Coimbra, Portugal
| | - Sandra Saraiva
- Gastroenterology Department, Portuguese Oncology Institute of Coimbra, Coimbra, Portugal
| | - Raquel Martins
- Endocrinology Department and Head of the Multidisciplinary Neuroendocrine Tumors Group, Portuguese Oncology Institute of Coimbra, Coimbra, Portugal
| | - Ana Teresa Cadime
- Gastroenterology Department, Portuguese Oncology Institute of Coimbra, Coimbra, Portugal
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Capitão C, Martins R, Feteira-Santos R, Virgolino A, Graça P, Gregório MJ, Santos O. Developing healthy eating promotion mass media campaigns: A qualitative study. Front Public Health 2022; 10:931116. [PMID: 35968460 PMCID: PMC9372615 DOI: 10.3389/fpubh.2022.931116] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2022] [Accepted: 07/08/2022] [Indexed: 01/10/2023] Open
Abstract
Background Involving consumers in the development and assessment of mass media campaigns has been advocated, though research is still lacking. This study aimed to explore opinions and attitudes of citizens, health professionals, communication professionals, and digital influencers regarding the development and implementation of healthy eating promotion mass media campaigns. Methods We conducted five semi-structured focus groups, where participants were exposed to the first nationwide mass media campaign promoting healthy eating in Portugal. Through criteria-based purposive sampling, 19 citizens, five health professionals, two communication professionals, and four digital influencers were included. Transcripts were analyzed using Charmaz's line-to-line open coding process. Results Main identified themes were: considerations about informative-centered campaigns, health/nutritional issues to address, campaign formulation, target audiences, dissemination channels, and influencers' involvement. Participants favored campaigns focused on practical, transformative, and useful information with simple, innovative, activating, and exciting messages instead of strictly informative campaigns. Health and communication professionals mentioned the importance of adapting the message and dissemination channels to the target audience, addressing the most vulnerable and hard-to-reach individuals, and highlighted the importance of short video format. Conclusions Active involvement of the health promotion target audience is crucial for the development and effectiveness of health campaigns. Campaigns need to convey health messages on simple though exciting communication materials, targeted to the most vulnerable subgroups, including deprived, less educated, younger, and older generations.
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Affiliation(s)
- Carolina Capitão
- Environmental Health Behaviour Lab, Instituto de Saúde Ambiental, Faculdade de Medicina, Universidade de Lisboa, Lisbon, Portugal
- Laboratório Associado TERRA, Faculdade de Medicina, Universidade de Lisboa, Lisbon, Portugal
- *Correspondence: Carolina Capitão
| | - Raquel Martins
- Environmental Health Behaviour Lab, Instituto de Saúde Ambiental, Faculdade de Medicina, Universidade de Lisboa, Lisbon, Portugal
- Laboratório Associado TERRA, Faculdade de Medicina, Universidade de Lisboa, Lisbon, Portugal
| | - Rodrigo Feteira-Santos
- Environmental Health Behaviour Lab, Instituto de Saúde Ambiental, Faculdade de Medicina, Universidade de Lisboa, Lisbon, Portugal
- Laboratório Associado TERRA, Faculdade de Medicina, Universidade de Lisboa, Lisbon, Portugal
- Área Disciplinar Autónoma de Bioestatística, Faculdade de Medicina, Universidade de Lisboa, Lisbon, Portugal
| | - Ana Virgolino
- Environmental Health Behaviour Lab, Instituto de Saúde Ambiental, Faculdade de Medicina, Universidade de Lisboa, Lisbon, Portugal
- Laboratório Associado TERRA, Faculdade de Medicina, Universidade de Lisboa, Lisbon, Portugal
| | - Pedro Graça
- Faculdade de Ciências da Nutrição e Alimentação, Universidade do Porto, Oporto, Portugal
- Programa Nacional para a Promoção da Alimentação Saudável, Direção-Geral da Saúde, Lisbon, Portugal
- Unidade de Investigação em Epidemiologia (EPIUnit), Instituto de Saúde Pública, Universidade do Porto, Oporto, Portugal
- Laboratório para a Investigação Integrativa e Translacional em Saúde Populacional (ITR), Universidade do Porto, Oporto, Portugal
| | - Maria João Gregório
- Faculdade de Ciências da Nutrição e Alimentação, Universidade do Porto, Oporto, Portugal
- Programa Nacional para a Promoção da Alimentação Saudável, Direção-Geral da Saúde, Lisbon, Portugal
- Unidade de Investigação em Epidemiologia (EPIUnit), Instituto de Saúde Pública, Universidade do Porto, Oporto, Portugal
- Laboratório para a Investigação Integrativa e Translacional em Saúde Populacional (ITR), Universidade do Porto, Oporto, Portugal
| | - Osvaldo Santos
- Environmental Health Behaviour Lab, Instituto de Saúde Ambiental, Faculdade de Medicina, Universidade de Lisboa, Lisbon, Portugal
- Laboratório Associado TERRA, Faculdade de Medicina, Universidade de Lisboa, Lisbon, Portugal
- Unbreakable Idea Research, Cadaval, Portugal
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Filippini T, Halldorsson TI, Capitão C, Martins R, Giannakou K, Hogervorst J, Vinceti M, Åkesson A, Leander K, Katsonouri A, Santos O, Virgolino A, Laguzzi F. Dietary Acrylamide Exposure and Risk of Site-Specific Cancer: A Systematic Review and Dose-Response Meta-Analysis of Epidemiological Studies. Front Nutr 2022; 9:875607. [PMID: 35548558 PMCID: PMC9082595 DOI: 10.3389/fnut.2022.875607] [Citation(s) in RCA: 10] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/14/2022] [Accepted: 03/18/2022] [Indexed: 12/19/2022] Open
Abstract
Diet is a main source of acrylamide exposure to humans. Existing observational data on the relationship between dietary exposure to acrylamide and risk of cancer are inconsistent. We performed a systematic review and dose-response meta-analysis of epidemiological studies evaluating the association between dietary acrylamide exposure and several site-specific cancer. A systematic literature search was conducted in PubMed, Scopus, and Web of Science databases until March 7, 2022. Studies were eligible if they were carried out in non-occupationally exposed adults, assessed dietary acrylamide exposure (μg/day) and reported risk estimates of cancer incidence (all but gynecological cancers). Using a random-effects model, we performed a meta-analysis of site-specific cancer risk comparing the highest vs. lowest category of dietary acrylamide exposure. We also carried out a one-stage dose-response meta-analysis assessing the shape of the association. Out of 1,994 papers screened, 31 were eligible (total of 16 studies), which included 1,151,189 participants in total, out of whom 48,175 developed cancer during the median follow-up period of 14.9 years (range 7.3–33.9). The mean estimated dose of dietary acrylamide across studies was 23 μg/day. Pooled analysis showed no association between the highest vs. lowest dietary acrylamide exposure and each site-specific cancer investigated, with no evidence of thresholds in the dose-response meta-analysis. There were also no associations between dietary acrylamide exposure and the risk of cancers when stratifying by smoking status, except for increased risk of lung cancer in smokers. In conclusion, high dietary acrylamide exposure was not associated with an increased risk of site-specific non-gynecological cancer.
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Affiliation(s)
- Tommaso Filippini
- Environmental, Genetic and Nutritional Epidemiology Research Center (CREAGEN)-Section of Public Health, Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, Modena, Italy
| | - Thorhallur I Halldorsson
- Department of Epidemiology Research, Centre for Fetal Programming, Copenhagen, Denmark.,Faculty of Food Science and Nutrition, University of Iceland, Reykjavík, Iceland
| | - Carolina Capitão
- EnviHeB Lab, Faculdade de Medicina, Instituto de Saúde Ambiental, Universidade de Lisboa, Lisbon, Portugal.,Laboratório Associado TERRA, Faculdade de Medicina, Universidade de Lisboa, Lisbon, Portugal
| | - Raquel Martins
- EnviHeB Lab, Faculdade de Medicina, Instituto de Saúde Ambiental, Universidade de Lisboa, Lisbon, Portugal.,Laboratório Associado TERRA, Faculdade de Medicina, Universidade de Lisboa, Lisbon, Portugal
| | - Konstantinos Giannakou
- State General Laboratory, Ministry of Health, Nicosia, Cyprus.,Department of Health Sciences, School of Sciences, European University Cyprus, Nicosia, Cyprus
| | - Janneke Hogervorst
- Centre for Environmental Sciences, Hasselt University, Diepenbeek, Belgium
| | - Marco Vinceti
- Environmental, Genetic and Nutritional Epidemiology Research Center (CREAGEN)-Section of Public Health, Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, Modena, Italy.,Department of Epidemiology, Boston University School of Public Health, Boston, MA, United States
| | - Agneta Åkesson
- Unit of Cardiovascular and Nutritional Epidemiology, Institute of Environmental Medicine, Karolinska Institute, Stockholm, Sweden
| | - Karin Leander
- Unit of Cardiovascular and Nutritional Epidemiology, Institute of Environmental Medicine, Karolinska Institute, Stockholm, Sweden
| | | | - Osvaldo Santos
- EnviHeB Lab, Faculdade de Medicina, Instituto de Saúde Ambiental, Universidade de Lisboa, Lisbon, Portugal.,Laboratório Associado TERRA, Faculdade de Medicina, Universidade de Lisboa, Lisbon, Portugal.,Unbreakable Idea Research, Cadaval, Portugal
| | - Ana Virgolino
- EnviHeB Lab, Faculdade de Medicina, Instituto de Saúde Ambiental, Universidade de Lisboa, Lisbon, Portugal.,Laboratório Associado TERRA, Faculdade de Medicina, Universidade de Lisboa, Lisbon, Portugal
| | - Federica Laguzzi
- Unit of Cardiovascular and Nutritional Epidemiology, Institute of Environmental Medicine, Karolinska Institute, Stockholm, Sweden
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de Melo TP, Delgado A, Martins R, Lassila L, Garoushi S, Caldeira J, Azul AM, Vallittu P. Can Specular Gloss Measurements Predict the Effectiveness of Finishing/Polishing Protocols in Dental Polymers? A Systematic Review and Linear Mixed-effects Prediction Model. Oper Dent 2022; 47:E131-E151. [PMID: 35776960 DOI: 10.2341/21-027-lit] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/25/2021] [Indexed: 11/23/2022]
Abstract
PURPOSE The current gold standard measure to assess polishing efficacy is surface roughness (SR) assessed in laboratory research. Specular gloss (SG) has been negatively correlated to SR, which raises the following question: Can SG be used to accurately determine the effectiveness of a finishing/polishing procedure in direct resin composites? METHODS A systematic approach and search strategy, following Preferred Reporting Items for Systematic Reviews and Meta-analysis (PRISMA) guidelines, was developed and conducted in five electronic databases: PubMed/Medline, Scopus, Web of Science, EMBASE (Ovid), and SciELO/LILACS to identify laboratory studies that assessed SR and SG, simultaneously, of resin composites, without date or language restriction. Risk of bias assessment was carried out by two reviewers, independently. From the extracted quantitative data of SG/SR, regression analyses were performed, and a linear mixed-effects prediction model was derived using the nimble package in R (v4.0.3). RESULTS A total of 928 potential studies were found, out of which, 13 were eligible after criterion screening. Experimental groups featured 31 resin composites of six different filler types, with the most common being microhybrids followed by nanohybrids. More than half of the studies initially reported a linear correlation between SR and SG, which ranged from r2 = 0.34-0.96. Taking into account the regression analysis and prediction model posteriorly performed, the corresponding SG threshold for 0.2 μm is estimated to be >55 GU. Most of the evidence was classified as moderate or high risk of bias. CONCLUSION SG is universally correlated to SR in polymers, and a reference value of >55 GU is proposed, above which samples are considered well polished.
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Affiliation(s)
- T P de Melo
- *Teresa Pinheiro de Melo, DDS, Centro de Investigação Interdisciplinar Egas Moniz (CiiEM), Monte de Caparica, Portugal
| | - Ahs Delgado
- António HS Delgado, DDS, Centro de Investigação Interdisciplinar Egas Moniz (CiiEM), Monte de Caparica, Portugal; 2 Department of Biomaterials and Tissue Engineering, UCL Eastman Dental Institute, London, UK
| | - R Martins
- Rui Martins, Centro de Investigação Interdisciplinar Egas Moniz (CiiEM), Monte de Caparica, Portugal
| | - L Lassila
- Lippo Lassila, Department of Biomaterials Science and TCBC, Institute of Dentistry, University of Turku, Turku, Finland
| | - S Garoushi
- Sufyan Garoushi, Department of Biomaterials Science and TCBC, Institute of Dentistry, University of Turku, Turku, Finland
| | - J Caldeira
- Jorge Caldeira, Centro de Investigação Interdisciplinar Egas Moniz (CiiEM), Monte de Caparica, Portugal; UCIBIO and LAQV Requimte Faculdade de Ciências e Tecnologia, Universidade Nova de Lisboa, 2829-516 Caparica, Portugal
| | - A M Azul
- Ana Mano Azul, Centro de Investigação Interdisciplinar Egas Moniz (CiiEM), Monte de Caparica, Portugal
| | - P Vallittu
- Pekka Vallittu, Department of Biomaterials Science and TCBC, Institute of Dentistry, University of Turku, Turku, Finland; Division of Welfare, City of Turku, Turku, Finland
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Grilo C, Afonso BC, Afonso F, Alexandre M, Aliácar S, Almeida A, Alonso IP, Álvares F, Alves P, Alves PC, Alves P, Amado A, Amendoeira V, Amorim F, da Silva Aparício G, Araújo R, Ascensão F, Augusto M, Bandeira V, Barbosa AM, Barbosa S, Barbosa S, Barreiro S, Barros P, Barros T, Barros F, Basto M, Bernardino J, Bicho S, Biedma LE, Borges M, Braz L, Brito JC, Brito T, Cabral JA, Calzada J, Camarinha C, Carapuço M, Cardoso P, Carmo M, Carrapato C, da Silva Carrilho M, C S Carvalho DFT, Carvalho F, Carvalho J, Castro D, Castro G, Castro J, Castro LR, Catry FX, Cerveira AM, Cid A, Clarke R, Conde C, Conde J, Costa J, Costa M, Costa P, Costa C, do Couto AP, Craveiro J, Dias M, Dias S, Duarte B, Duro V, Encarnação C, Eufrázio S, Fael A, Falé JS, Faria S, Fernandes C, Fernandes M, da Costa GF, Ferreira C, Ferreira DF, Ferreira E, Ferreira JP, Ferreira J, Ferreira D, Fonseca C, Fontes I, Fragoso R, Franco C, Freitas T, Gabriel SI, Gibb R, Gil P, Jorge Gomes CP, Horta P, Gomes P, Gomes V, Grilo F, Guedes A, Guilherme F, Gutiérrez I, Harper H, Herrera JM, Hipólito D, Infante S, Jesus J, Jones KE, Laborde MI, de Oliveira LL, Leitão I, Lemos R, Lima C, Linck P, Lopes H, Lopes S, López-Baucells A, Loureiro A, Loureiro F, Lourenço R, Lourenço S, Lucas P, Magalhães A, Maldonado C, Marcolin F, Marques S, Marques JT, Marques C, Marques P, Marrecas PC, Martins F, Martins R, Mascarenhas M, Mata VA, Mateus AR, Matos M, Medinas D, Mendes T, Mendes G, Mestre F, Milhinhas C, Mira A, Monarca RI, Monteiro N, Monteiro B, Monterroso P, Nakamura M, Negrões N, Nóbrega EK, Nóvoa M, Nunes M, Nunes NJ, Oliveira F, Oliveira JM, Palmeirim JM, Pargana J, Paula A, Paupério J, Pedroso NM, Pereira G, Pereira PF, Pereira J, Ramos Pereira MJ, Petrucci-Fonseca F, Pimenta M, Pinto S, Pinto N, Pires R, Pita R, Pontes C, Quaresma M, Queirós J, Queirós L, Rainho A, da Graça Ramalhinho M, Ramalho P, Raposeira H, Rasteiro F, Rebelo H, Regala FT, Reto D, Ribeiro SB, Rio-Maior H, Rocha R, Rocha RG, Rodrigues L, Román J, Roque S, Rosalino LM, do Rosário IT, Rossa M, Russo D, Sá P, Sabino-Marques H, Salgueiro V, Santos H, Santos J, Santos JPV, Santos N, Santos S, Santos CP, Santos-Reis M, Serronha A, Sierra P, Silva B, Silva CSGM, Silva C, Silva D, da Silva LP, Silva R, Silva C, da Silva Júnior FMR, Sousa P, Sousa-Guedes D, Spadoni G, Tapisso JT, Teixeira D, Teixeira S, Teixeira N, Torres RT, Travassos P, Vale-Gonçalves H, Cidraes-Vieira N, von Merten S, da Luz Mathias M. MAMMALS IN PORTUGAL: A data set of terrestrial, volant, and marine mammal occurrences in Portugal. Ecology 2022; 103:e3654. [PMID: 35132618 DOI: 10.1002/ecy.3654] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/11/2021] [Revised: 07/16/2021] [Accepted: 08/20/2021] [Indexed: 11/08/2022]
Abstract
Mammals are threatened worldwide, with ca. 26% of all species being included in the IUCN threatened categories. This overall pattern is primarily associated to habitat loss or degradation, and human persecution for terrestrial mammals, and pollution, open net fishing, climate change and prey depletion for marine mammals. Mammals play a key role in maintaining ecosystems functionality and resilience, and therefore information on their distribution is crucial to delineate and support conservation actions. MAMMALS IN PORTUGAL is a publicly available data set compiling unpublished geo-referenced occurrence records of 92 terrestrial, volant, and marine mammals in mainland Portugal and archipelagos of Azores and Madeira that includes 107,852 data entries between 1873 and 2021 (72% of the data occurring in 2000 and 2021). The methods used to collect the data were: live observations/captures (42%), sign surveys (38%), camera trapping (16%), bioacoustics surveys (4%) and radio-tracking and inquiries that represent less than 1% of the records. The data set includes 13 types of records: 1) burrows | soil mounds | tunnel, 2) capture, 3) colony, 4) dead animal | hair | skulls | jaws, 5) genetic confirmation, 6) inquiries, 7) observation of live animal, 8), observation in shelters, 9) photo trapping | video, 10), predators diet | pellets | pine cones/nuts, 11) scat | track | ditch, 12) telemetry and 13) vocalization | echolocation. The spatial uncertainty of most records ranges between 0 and 100 m (76%). Rodentia (n = 34,754) has the highest number of records followed by Chiroptera (n = 18,858), Carnivora (n = 18,594), Lagomorpha (n = 17,679), Cetartiodactyla (n = 11,568) and Eulipotyphla (n = 6400). The data set includes records of species classified by the IUCN as threatened (e.g., Oryctolagus cuniculus (n = 12,407), Monachus monachus (n = 1512), and Lynx pardinus (n = 197)]. We believe that this data set may stimulate the publication of other European countries data sets which would certainly contribute to ecology and conservation-related research, and therefore assisting on the development of more accurate and tailored conservation management strategies for each species. There are no copyright restrictions; please cite this data paper when the data are used in publications.
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Affiliation(s)
- Clara Grilo
- CESAM - Centro de Estudos do Ambiente e do Mar, Departamento de Biologia Animal, Faculdade de Ciências, Universidade de Lisboa, Lisbon, Portugal.,Setor Ecologia/Departamento de Biologia Universidade Federal de Lavras 37200 000 Minas Gerais, Brazil
| | - Beatriz C Afonso
- cE3c - Centre for Ecology, Evolution and Environmental Changes and Departamento de Biologia Animal. Faculdade de Ciências da Universidade de Lisboa, Ed. C2, Campo Grande, Lisbon, Portugal.,Departamento de Biologia Universidade de Évora Pólo da Mitra Apartado 94 7002-554 Évora, Portugal
| | - Filipe Afonso
- Faculdade de Ciências de Lisboa, Universidade de Lisboa, Lisbon, Portugal
| | - Marta Alexandre
- CESAM - Centro de Estudos do Ambiente e do Mar, Departamento de Biologia Animal, Faculdade de Ciências, Universidade de Lisboa, Lisbon, Portugal
| | | | - Ana Almeida
- Departmento de Biologia, Universidade de Aveiro, Campus Universitário de Santiago, Aveiro, Portugal
| | | | - Francisco Álvares
- CIBIO/InBIO, Centro de Investigação em Biodiversidade e Recursos Genéticos, Universidade do Porto, Campus de Vairão, 4485-661, Vairão, Portugal
| | - Paulo Alves
- Quercus - Associação Nacional de Conservação da Natureza, Portugal
| | - Paulo Célio Alves
- CIBIO/InBIO, Centro de Investigação em Biodiversidade e Recursos Genéticos, Universidade do Porto, Campus de Vairão, 4485-661, Vairão, Portugal.,Departamento de Biologia, Faculdade de Ciências, Universidade do Porto, Rua do Campo Alegre s/n, Porto, Portugal
| | - Pedro Alves
- GPS - Grupo Protecção Sicó, Portugal.,Plecotus, Lda, Portugal
| | | | | | - Francisco Amorim
- CIBIO/InBIO, Centro de Investigação em Biodiversidade e Recursos Genéticos, Universidade do Porto, Campus de Vairão, 4485-661, Vairão, Portugal.,CIBIO/InBIO, Centro de Investigação em Biodiversidade e Recursos Genéticos- Instituto Superior de Agronomia, Universidade de Lisboa Tapada da Ajuda, Lisbon, Portugal
| | - Guilherme da Silva Aparício
- CESAM - Centro de Estudos do Ambiente e do Mar, Departamento de Biologia Animal, Faculdade de Ciências, Universidade de Lisboa, Lisbon, Portugal
| | | | - Fernando Ascensão
- cE3c - Centre for Ecology, Evolution and Environmental Changes and Departamento de Biologia Animal. Faculdade de Ciências da Universidade de Lisboa, Ed. C2, Campo Grande, Lisbon, Portugal
| | - Margarida Augusto
- Bioinsight - Ambiente & Biodiversidade, Lda. Rua Antero de Quental, Odivelas, Portugal.,CEAE-LPN - Centro de Estudos e Actividades Especiais da Liga para a Protecção da Natureza, Portugal
| | - Victor Bandeira
- CESAM - Centro de Estudos do Ambiente e do Mar, Departamento de Biologia, Universidade de Aveiro, Campus Universitário de Santiago, Aveiro, Portugal
| | - A Márcia Barbosa
- CICGE - Centre for Research in Geo-Spatial Sciences, Faculdade de Ciências da Universidade do Porto, Alameda do Monte da Virgem, Vila Nova de Gaia, Portugal
| | - Soraia Barbosa
- CIBIO/InBIO, Centro de Investigação em Biodiversidade e Recursos Genéticos, Universidade do Porto, Campus de Vairão, 4485-661, Vairão, Portugal.,Department of Fish and Wildlife Sciences, College of Natural Resources, University of Idaho, 875 Perimeter Drive, , Moscow, Idaho, United States
| | - Sérgio Barbosa
- CEAE-LPN - Centro de Estudos e Actividades Especiais da Liga para a Protecção da Natureza, Portugal
| | - Silvia Barreiro
- MED - Mediterranean Institute for Agriculture, Environment and Development, Universidade de Évora, Évora, Portugal
| | - Paulo Barros
- Centre for the Research and Technology of Agro-Environment and Biological Sciences (CITAB), University of Trás-os-Montes and Alto Douro (UTAD), Vila Real, Portugal.,Laboratory of Applied Ecology, University of Trás-os-Montes and Alto Douro (UTAD), Vila Real, Portugal
| | - Tânia Barros
- CESAM - Centro de Estudos do Ambiente e do Mar, Departamento de Biologia, Universidade de Aveiro, Campus Universitário de Santiago, Aveiro, Portugal
| | - Filomena Barros
- CRASM-Centro de Recuperação de Animais Selvagens do Montejunto Morada:Rua 1° de Maio, n°10, 2550-076 Tojeira, Cadaval, Portugal
| | - Mafalda Basto
- cE3c - Centre for Ecology, Evolution and Environmental Changes and Departamento de Biologia Animal. Faculdade de Ciências da Universidade de Lisboa, Ed. C2, Campo Grande, Lisbon, Portugal
| | - Joana Bernardino
- CIBIO/InBIO, Centro de Investigação em Biodiversidade e Recursos Genéticos, Universidade do Porto, Campus de Vairão, 4485-661, Vairão, Portugal
| | | | - Luis Eduardo Biedma
- Department of Integrated Sciences, Faculty of Experimental Sciences, University of Huelva, Avenida de las Fuerzas Armadas, S/N, 21007, Huelva, Spain
| | - Marta Borges
- GEM - Grupo de Espeleologia e Montanhismo, Portugal
| | - Luis Braz
- Centre for the Research and Technology of Agro-Environment and Biological Sciences (CITAB), University of Trás-os-Montes and Alto Douro (UTAD), Vila Real, Portugal.,Laboratory of Applied Ecology, University of Trás-os-Montes and Alto Douro (UTAD), Vila Real, Portugal
| | - José Carlos Brito
- CIBIO/InBIO, Centro de Investigação em Biodiversidade e Recursos Genéticos, Universidade do Porto, Campus de Vairão, 4485-661, Vairão, Portugal
| | | | - João Alexandre Cabral
- Centre for the Research and Technology of Agro-Environment and Biological Sciences (CITAB), University of Trás-os-Montes and Alto Douro (UTAD), Vila Real, Portugal.,Laboratory of Applied Ecology, University of Trás-os-Montes and Alto Douro (UTAD), Vila Real, Portugal
| | - Javier Calzada
- Department of Integrated Sciences, Faculty of Experimental Sciences, University of Huelva, Avenida de las Fuerzas Armadas, S/N, 21007, Huelva, Spain
| | - Cláudia Camarinha
- cE3c - Centre for Ecology, Evolution and Environmental Changes and Departamento de Biologia Animal. Faculdade de Ciências da Universidade de Lisboa, Ed. C2, Campo Grande, Lisbon, Portugal
| | | | - Paulo Cardoso
- Bioinsight - Ambiente & Biodiversidade, Lda. Rua Antero de Quental, Odivelas, Portugal
| | - Mário Carmo
- Mário Carmo - Your Biodiversity and Ecosystem Consultant, Portugal
| | - Carlos Carrapato
- Instituto da Conservação da Natureza e das Florestas-ICNF, Portugal
| | - Maílis da Silva Carrilho
- CESAM - Centro de Estudos do Ambiente e do Mar, Departamento de Biologia Animal, Faculdade de Ciências, Universidade de Lisboa, Lisbon, Portugal
| | - Diogo Filipe T C S Carvalho
- Centre for the Research and Technology of Agro-Environment and Biological Sciences (CITAB), University of Trás-os-Montes and Alto Douro (UTAD), Vila Real, Portugal.,Laboratory of Applied Ecology, University of Trás-os-Montes and Alto Douro (UTAD), Vila Real, Portugal
| | - Filipe Carvalho
- CIBIO/InBIO, Centro de Investigação em Biodiversidade e Recursos Genéticos, Universidade do Porto, Campus de Vairão, 4485-661, Vairão, Portugal.,Department of Zoology and Entomology, School of Biological and Environmental Sciences, University of Fort Hare, Private Bag X1314, Alice, South Africa
| | - João Carvalho
- CESAM - Centro de Estudos do Ambiente e do Mar, Departamento de Biologia, Universidade de Aveiro, Campus Universitário de Santiago, Aveiro, Portugal
| | - Diana Castro
- CIBIO/InBIO, Centro de Investigação em Biodiversidade e Recursos Genéticos, Universidade do Porto, Campus de Vairão, 4485-661, Vairão, Portugal
| | - Guilherme Castro
- CESAM - Centro de Estudos do Ambiente e do Mar, Departamento de Biologia, Universidade de Aveiro, Campus Universitário de Santiago, Aveiro, Portugal
| | - Joana Castro
- AIMM - Associação para a Investigação do Meio Marinho, Portugal.,MARE - Marine and Environmental Sciences Centre, Faculty of Sciences, University of Lisbon, Campo Grande, Lisbon, Portugal
| | - Luis Roma Castro
- Instituto da Conservação da Natureza e das Florestas-ICNF, Portugal
| | - Filipe Xavier Catry
- Centre for Applied Ecology/Research Network in Biodiversity and Evolutionary Biology (CEABN/InBIO), School of Agriculture, University of Lisbon (ISA, UL), Lisbon, Portugal
| | - Ana M Cerveira
- CESAM - Centro de Estudos do Ambiente e do Mar, Departamento de Biologia Animal, Faculdade de Ciências, Universidade de Lisboa, Lisbon, Portugal.,Departmento de Biologia, Universidade de Aveiro, Campus Universitário de Santiago, Aveiro, Portugal
| | - André Cid
- AIMM - Associação para a Investigação do Meio Marinho, Portugal
| | | | - Conceição Conde
- Instituto da Conservação da Natureza e das Florestas-ICNF, Portugal
| | - José Conde
- Município de Seia, Centro de Interpretação da Serra da Estrela, Portugal
| | | | - Mafalda Costa
- OnE - Organisms and Environment Division, School of Biosciences, Cardiff University, Wales, UK
| | | | - Cristina Costa
- Instituto da Conservação da Natureza e das Florestas-ICNF, Portugal
| | | | - João Craveiro
- MED - Mediterranean Institute for Agriculture, Environment and Development, Departamento de Biologia, Escola de Ciências e Tecnologia, Universidade de Évora
| | - Marta Dias
- cE3c - Centre for Ecology, Evolution and Environmental Changes and Departamento de Biologia Animal. Faculdade de Ciências da Universidade de Lisboa, Ed. C2, Campo Grande, Lisbon, Portugal
| | | | - Beatriz Duarte
- Departmento de Biologia, Universidade de Aveiro, Campus Universitário de Santiago, Aveiro, Portugal
| | - Virginia Duro
- Laboratory of Applied Ecology, University of Trás-os-Montes and Alto Douro (UTAD), Vila Real, Portugal
| | - Cláudia Encarnação
- Almargem - Associação de Defesa do Património Cultural e Ambiental do Algarve, Portugal.,Departamento de Biologia, Unidade de Biologia da Conservação, Escola de Ciências e Tecnologia, Universidade de Évora, Núcleo da Mitra, Ap. 94, 7006-554, Évora, Portugal
| | - Sofia Eufrázio
- MED - Mediterranean Institute for Agriculture, Environment and Development, Instituto de Investigação e Formação Avançada, Universidade de Évora, Pólo da Mitra, Ap. 94, 7006-554, Évora, Portugal
| | - António Fael
- Bioinsight - Ambiente & Biodiversidade, Lda. Rua Antero de Quental, Odivelas, Portugal.,Núcleo de Espeleologia de Leiria, Portugal
| | - João Salvador Falé
- CRASM-Centro de Recuperação de Animais Selvagens do Montejunto Morada:Rua 1° de Maio, n°10, 2550-076 Tojeira, Cadaval, Portugal
| | - Sandra Faria
- Laboratory of Applied Ecology, University of Trás-os-Montes and Alto Douro (UTAD), Vila Real, Portugal
| | - Carlos Fernandes
- cE3c - Centre for Ecology, Evolution and Environmental Changes and Departamento de Biologia Animal. Faculdade de Ciências da Universidade de Lisboa, Ed. C2, Campo Grande, Lisbon, Portugal.,Faculdade de Psicologia, Universidade de Lisboa, Alameda da Universidade, Lisbon, Portugal
| | | | - Gonçalo Ferrão da Costa
- Bioinsight - Ambiente & Biodiversidade, Lda. Rua Antero de Quental, Odivelas, Portugal.,CESAM - Centro de Estudos do Ambiente e do Mar, Departamento de Biologia, Universidade de Aveiro, Campus Universitário de Santiago, Aveiro, Portugal
| | - Clara Ferreira
- CIBIO/InBIO, Centro de Investigação em Biodiversidade e Recursos Genéticos, Universidade do Porto, Campus de Vairão, 4485-661, Vairão, Portugal.,Animal Ecology, Institute for Biochemistry and Biology, University of Potsdam, Potsdam, Germany
| | - Diogo F Ferreira
- CIBIO/InBIO, Centro de Investigação em Biodiversidade e Recursos Genéticos, Universidade do Porto, Campus de Vairão, 4485-661, Vairão, Portugal.,Department of Genetics, Evolution and Environment, Centre for Biodiversity and Environment Research, University College London, London, UK.,Madeira Interactive Technologies Institute, Polo Científico e Tecnológico da Madeira, Caminho da Penteada, Funchal, Portugal
| | - Eduardo Ferreira
- CESAM - Centro de Estudos do Ambiente e do Mar, Departamento de Biologia, Universidade de Aveiro, Campus Universitário de Santiago, Aveiro, Portugal
| | - Joaquim Pedro Ferreira
- CESAM - Centro de Estudos do Ambiente e do Mar, Departamento de Biologia, Universidade de Aveiro, Campus Universitário de Santiago, Aveiro, Portugal
| | | | - Diana Ferreira
- Departmento de Biologia, Universidade de Aveiro, Campus Universitário de Santiago, Aveiro, Portugal
| | - Carlos Fonseca
- CESAM - Centro de Estudos do Ambiente e do Mar, Departamento de Biologia, Universidade de Aveiro, Campus Universitário de Santiago, Aveiro, Portugal.,ForestWISE - Collaborative Laboratory for Integrated Forest & Fire Management, Quinta de Prados, Vila Real, Portugal
| | - Inês Fontes
- Departamento de Biologia Universidade de Évora Pólo da Mitra Apartado 94 7002-554 Évora, Portugal
| | - Ricardo Fragoso
- Instituto da Conservação da Natureza e das Florestas-ICNF, Portugal
| | | | - Tamira Freitas
- Universidade da Madeira, Faculdade de Ciências da Vida, Portugal
| | - Sofia I Gabriel
- CESAM - Centro de Estudos do Ambiente e do Mar, Departamento de Biologia Animal, Faculdade de Ciências, Universidade de Lisboa, Lisbon, Portugal.,CESAM - Centro de Estudos do Ambiente e do Mar, Departamento de Biologia, Universidade de Aveiro, Campus Universitário de Santiago, Aveiro, Portugal
| | - Rory Gibb
- Department of Genetics, Evolution and Environment, Centre for Biodiversity and Environment Research, University College London, London, UK
| | - Patricia Gil
- CIBIO/InBIO, Centro de Investigação em Biodiversidade e Recursos Genéticos, Universidade do Porto, Campus de Vairão, 4485-661, Vairão, Portugal
| | - Carla Patricia Jorge Gomes
- Centre for the Research and Technology of Agro-Environment and Biological Sciences (CITAB), University of Trás-os-Montes and Alto Douro (UTAD), Vila Real, Portugal.,Laboratory of Applied Ecology, University of Trás-os-Montes and Alto Douro (UTAD), Vila Real, Portugal
| | - Pedro Horta
- CIBIO/InBIO, Centro de Investigação em Biodiversidade e Recursos Genéticos, Universidade do Porto, Campus de Vairão, 4485-661, Vairão, Portugal.,Departamento de Biologia, Faculdade de Ciências, Universidade do Porto, Rua do Campo Alegre s/n, Porto, Portugal.,CIBIO/InBIO, Centro de Investigação em Biodiversidade e Recursos Genéticos- Instituto Superior de Agronomia, Universidade de Lisboa Tapada da Ajuda, Lisbon, Portugal.,OII - Observatório Inovação Investigação, Seia, Portugal
| | - Pedro Gomes
- CESAM - Centro de Estudos do Ambiente e do Mar, Departamento de Biologia, Universidade de Aveiro, Campus Universitário de Santiago, Aveiro, Portugal
| | - Verónica Gomes
- CIBIO/InBIO, Centro de Investigação em Biodiversidade e Recursos Genéticos, Universidade do Porto, Campus de Vairão, 4485-661, Vairão, Portugal
| | - Filipa Grilo
- cE3c - Centre for Ecology, Evolution and Environmental Changes and Departamento de Biologia Animal. Faculdade de Ciências da Universidade de Lisboa, Ed. C2, Campo Grande, Lisbon, Portugal
| | - Américo Guedes
- Palombar - Conservação da Natureza e do Património Rural, Antiga Escola Primária, Uva, Vimioso, Portugal
| | - Filipa Guilherme
- CIBIO/InBIO, Centro de Investigação em Biodiversidade e Recursos Genéticos, Universidade do Porto, Campus de Vairão, 4485-661, Vairão, Portugal
| | - Iván Gutiérrez
- Palombar - Conservação da Natureza e do Património Rural, Antiga Escola Primária, Uva, Vimioso, Portugal
| | - Henry Harper
- AIMM - Associação para a Investigação do Meio Marinho, Portugal
| | - José M Herrera
- MED - Mediterranean Institute for Agriculture, Environment and Development, Universidade de Évora, Évora, Portugal
| | - Dário Hipólito
- CESAM - Centro de Estudos do Ambiente e do Mar, Departamento de Biologia, Universidade de Aveiro, Campus Universitário de Santiago, Aveiro, Portugal.,Department of Biology, Faculty of Veterinary Medicine, University of Zagreb, Heinzelova, Zagreb, Croatia
| | - Samuel Infante
- Quercus - Associação Nacional de Conservação da Natureza, Portugal
| | - José Jesus
- Universidade da Madeira, Faculdade de Ciências da Vida, Portugal
| | - Kate E Jones
- Department of Genetics, Evolution and Environment, Centre for Biodiversity and Environment Research, University College London, London, UK
| | - Marina I Laborde
- AIMM - Associação para a Investigação do Meio Marinho, Portugal.,MARE - Marine and Environmental Sciences Centre, Faculty of Sciences, University of Lisbon, Campo Grande, Lisbon, Portugal
| | - Luís Lamas de Oliveira
- Laboratory of Applied Ecology, University of Trás-os-Montes and Alto Douro (UTAD), Vila Real, Portugal
| | - Inês Leitão
- Faculdade de Ciências de Lisboa, Universidade de Lisboa, Lisbon, Portugal
| | | | - Cátia Lima
- CESAM - Centro de Estudos do Ambiente e do Mar, Departamento de Biologia, Universidade de Aveiro, Campus Universitário de Santiago, Aveiro, Portugal
| | - Paloma Linck
- CESAM - Centro de Estudos do Ambiente e do Mar, Departamento de Biologia, Universidade de Aveiro, Campus Universitário de Santiago, Aveiro, Portugal
| | - Hugo Lopes
- CRASM-Centro de Recuperação de Animais Selvagens do Montejunto Morada:Rua 1° de Maio, n°10, 2550-076 Tojeira, Cadaval, Portugal
| | - Susana Lopes
- CIBIO/InBIO, Centro de Investigação em Biodiversidade e Recursos Genéticos, Universidade do Porto, Campus de Vairão, 4485-661, Vairão, Portugal
| | - Adrià López-Baucells
- Natural Sciences Museum of Granollers, Palaudàries 102, Jardins Antoni Jonch Cuspinera, Granollers, Catalonia, Spain
| | - Armando Loureiro
- Instituto da Conservação da Natureza e das Florestas-ICNF, Portugal
| | - Filipa Loureiro
- cE3c - Centre for Ecology, Evolution and Environmental Changes and Departamento de Biologia Animal. Faculdade de Ciências da Universidade de Lisboa, Ed. C2, Campo Grande, Lisbon, Portugal
| | - Rui Lourenço
- MED - Mediterranean Institute for Agriculture, Environment and Development, LabOr Laboratório de Ornitologia, IIFA, Universidade de Évora, Pólo da Mitra, Apartado 94, Évora, Portugal
| | | | - Paula Lucas
- CRASM-Centro de Recuperação de Animais Selvagens do Montejunto Morada:Rua 1° de Maio, n°10, 2550-076 Tojeira, Cadaval, Portugal
| | - Ana Magalhães
- CESAM - Centro de Estudos do Ambiente e do Mar, Departamento de Biologia, Universidade de Aveiro, Campus Universitário de Santiago, Aveiro, Portugal
| | - Cristina Maldonado
- Faculdade de Ciências de Lisboa, Universidade de Lisboa, Lisbon, Portugal
| | - Fabio Marcolin
- Centro de Estudos Florestais, Instituto Superior de Agronomia, Universidade de Lisboa, Portugal
| | - Sara Marques
- CESAM - Centro de Estudos do Ambiente e do Mar, Departamento de Biologia, Universidade de Aveiro, Campus Universitário de Santiago, Aveiro, Portugal
| | - J Tiago Marques
- MED - Mediterranean Institute for Agriculture, Environment and Development, Departamento de Biologia, Escola de Ciências e Tecnologia, Universidade de Évora
| | - Carina Marques
- SPVS - Sociedade Portuguesa de Vida Selvagem, Portugal.,ARCM - Alto Relevo Clube de Montanhismo, Portugal
| | - Paulo Marques
- EDIA - Empresa de Desenvolvimento e Infraestruturas do Alqueva S.A., Portugal
| | | | - Frederico Martins
- MED - Mediterranean Institute for Agriculture, Environment and Development, Departamento de Biologia, Escola de Ciências e Tecnologia, Universidade de Évora
| | - Raquel Martins
- CESAM - Centro de Estudos do Ambiente e do Mar, Departamento de Biologia, Universidade de Aveiro, Campus Universitário de Santiago, Aveiro, Portugal
| | - Miguel Mascarenhas
- Bioinsight - Ambiente & Biodiversidade, Lda. Rua Antero de Quental, Odivelas, Portugal
| | - Vanessa A Mata
- CIBIO/InBIO, Centro de Investigação em Biodiversidade e Recursos Genéticos, Universidade do Porto, Campus de Vairão, 4485-661, Vairão, Portugal
| | - Ana Rita Mateus
- Faculdade de Ciências de Lisboa, Universidade de Lisboa, Lisbon, Portugal
| | - Milene Matos
- Associação BioLiving, Rua do Outeiro, Frossos 3850-635 Albergaria-a-Velha, Portugal.,Município de Lousada Pr. Dr. Francisco Sá Carneiro 4620-695 Lousada, Portugal
| | - Denis Medinas
- CIBIO/InBIO-UE, Research Centre in Biodiversity and Genetic Resources, University of Évora, Rua Dr. Joaquim Henrique da Fonseca, 2nd, Évora, Portugal
| | - Tiago Mendes
- MED - Mediterranean Institute for Agriculture, Environment and Development, Departamento de Biologia, Escola de Ciências e Tecnologia, Universidade de Évora
| | | | - Frederico Mestre
- MED - Mediterranean Institute for Agriculture, Environment and Development, Universidade de Évora, Évora, Portugal.,Cátedra "Rui Nabeiro" de Biodiversidade, Rua Dr. Joaquim Henrique da Fonseca 7000 - 890 Évora, Portugal
| | - Catarina Milhinhas
- MED - Mediterranean Institute for Agriculture, Environment and Development, Departamento de Biologia, Escola de Ciências e Tecnologia, Universidade de Évora
| | - António Mira
- MED - Mediterranean Institute for Agriculture, Environment and Development, Departamento de Biologia, Escola de Ciências e Tecnologia, Universidade de Évora
| | - Rita I Monarca
- CESAM - Centro de Estudos do Ambiente e do Mar, Departamento de Biologia Animal, Faculdade de Ciências, Universidade de Lisboa, Lisbon, Portugal
| | | | | | - Pedro Monterroso
- CIBIO/InBIO, Centro de Investigação em Biodiversidade e Recursos Genéticos, Universidade do Porto, Campus de Vairão, 4485-661, Vairão, Portugal
| | - Mónia Nakamura
- CIBIO/InBIO, Centro de Investigação em Biodiversidade e Recursos Genéticos, Universidade do Porto, Campus de Vairão, 4485-661, Vairão, Portugal.,Departamento de Biologia, Faculdade de Ciências, Universidade do Porto, Rua do Campo Alegre s/n, Porto, Portugal
| | - Nuno Negrões
- CESAM - Centro de Estudos do Ambiente e do Mar, Departamento de Biologia, Universidade de Aveiro, Campus Universitário de Santiago, Aveiro, Portugal
| | - Eva K Nóbrega
- Universitat Autònoma de Barcelona, Campus de la UAB, Plaça Cívica, 08193 Bellaterra, , Barcelona, Spain
| | - Miguel Nóvoa
- Palombar - Conservação da Natureza e do Património Rural, Antiga Escola Primária, Uva, Vimioso, Portugal.,AEPGA - Associação para o Estudo e Proteção do Gado Asinino, Atenor, Miranda do Douro, Portugal
| | - Manuel Nunes
- Município de Lousada Pr. Dr. Francisco Sá Carneiro 4620-695 Lousada, Portugal
| | - Nuno Jardim Nunes
- Instituto Superior Técnico de Lisboa, University of Lisbon & ITI/LARSyS, Portugal
| | - Flávio Oliveira
- CESAM - Centro de Estudos do Ambiente e do Mar, Departamento de Biologia Animal, Faculdade de Ciências, Universidade de Lisboa, Lisbon, Portugal
| | | | - Jorge M Palmeirim
- cE3c - Centre for Ecology, Evolution and Environmental Changes and Departamento de Biologia Animal. Faculdade de Ciências da Universidade de Lisboa, Ed. C2, Campo Grande, Lisbon, Portugal
| | - João Pargana
- Instituto da Conservação da Natureza e das Florestas-ICNF, Portugal
| | - Anabela Paula
- Bioinsight - Ambiente & Biodiversidade, Lda. Rua Antero de Quental, Odivelas, Portugal
| | - Joana Paupério
- CIBIO/InBIO, Centro de Investigação em Biodiversidade e Recursos Genéticos, Universidade do Porto, Campus de Vairão, 4485-661, Vairão, Portugal
| | - Nuno M Pedroso
- MED - Mediterranean Institute for Agriculture, Environment and Development, Instituto de Investigação e Formação Avançada, Universidade de Évora, Pólo da Mitra, Ap. 94, 7006-554, Évora, Portugal
| | - Guilherme Pereira
- cE3c - Centre for Ecology, Evolution and Environmental Changes and Departamento de Biologia Animal. Faculdade de Ciências da Universidade de Lisboa, Ed. C2, Campo Grande, Lisbon, Portugal
| | - Pedro F Pereira
- Bioinsight - Ambiente & Biodiversidade, Lda. Rua Antero de Quental, Odivelas, Portugal.,MED - Mediterranean Institute for Agriculture, Environment and Development, LabOr Laboratório de Ornitologia, IIFA, Universidade de Évora, Pólo da Mitra, Apartado 94, Évora, Portugal
| | - José Pereira
- Palombar - Conservação da Natureza e do Património Rural, Antiga Escola Primária, Uva, Vimioso, Portugal
| | - Maria João Ramos Pereira
- CESAM - Centro de Estudos do Ambiente e do Mar, Departamento de Biologia, Universidade de Aveiro, Campus Universitário de Santiago, Aveiro, Portugal.,Departamento de Zoologia, Instituto Biociencias, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil
| | - Francisco Petrucci-Fonseca
- cE3c - Centre for Ecology, Evolution and Environmental Changes and Departamento de Biologia Animal. Faculdade de Ciências da Universidade de Lisboa, Ed. C2, Campo Grande, Lisbon, Portugal
| | - Miguel Pimenta
- Instituto da Conservação da Natureza e das Florestas-ICNF, Portugal
| | - Sara Pinto
- Palombar - Conservação da Natureza e do Património Rural, Antiga Escola Primária, Uva, Vimioso, Portugal.,AEPGA - Associação para o Estudo e Proteção do Gado Asinino, Atenor, Miranda do Douro, Portugal
| | - Nuno Pinto
- CESAM - Centro de Estudos do Ambiente e do Mar, Departamento de Biologia, Universidade de Aveiro, Campus Universitário de Santiago, Aveiro, Portugal.,Associação BioLiving, Rua do Outeiro, Frossos 3850-635 Albergaria-a-Velha, Portugal
| | - Rosa Pires
- Instituto das Florestas e Conservação da Natureza, IP-RAM
| | - Ricardo Pita
- MED - Mediterranean Institute for Agriculture, Environment and Development, Instituto de Investigação e Formação Avançada & Unidade de Biologia da Conservação, Departamento de Biologia, Universidade de Évora, Pólo da Mitra, Ap. 94, 7006-554, Évora, Portugal
| | | | - Marisa Quaresma
- Instituto da Conservação da Natureza e das Florestas-ICNF, Portugal
| | - João Queirós
- CIBIO/InBIO, Centro de Investigação em Biodiversidade e Recursos Genéticos, Universidade do Porto, Campus de Vairão, 4485-661, Vairão, Portugal
| | - Luís Queirós
- Palombar - Conservação da Natureza e do Património Rural, Antiga Escola Primária, Uva, Vimioso, Portugal
| | - Ana Rainho
- cE3c - Centre for Ecology, Evolution and Environmental Changes and Departamento de Biologia Animal. Faculdade de Ciências da Universidade de Lisboa, Ed. C2, Campo Grande, Lisbon, Portugal
| | - Maria da Graça Ramalhinho
- CESAM - Centro de Estudos do Ambiente e do Mar, Departamento de Biologia Animal, Faculdade de Ciências, Universidade de Lisboa, Lisbon, Portugal.,Museu Nacional de História Natural e da Ciência, Universidade de Lisboa, Lisbon, Portugal
| | - Patrícia Ramalho
- Almargem - Associação de Defesa do Património Cultural e Ambiental do Algarve, Portugal.,Câmara Municipal de Loulé, Portugal
| | - Helena Raposeira
- CIBIO/InBIO, Centro de Investigação em Biodiversidade e Recursos Genéticos, Universidade do Porto, Campus de Vairão, 4485-661, Vairão, Portugal.,Departamento de Biologia, Faculdade de Ciências, Universidade do Porto, Rua do Campo Alegre s/n, Porto, Portugal.,CIBIO/InBIO, Centro de Investigação em Biodiversidade e Recursos Genéticos- Instituto Superior de Agronomia, Universidade de Lisboa Tapada da Ajuda, Lisbon, Portugal.,OII - Observatório Inovação Investigação, Seia, Portugal
| | | | - Hugo Rebelo
- CIBIO/InBIO, Centro de Investigação em Biodiversidade e Recursos Genéticos, Universidade do Porto, Campus de Vairão, 4485-661, Vairão, Portugal.,CIBIO/InBIO, Centro de Investigação em Biodiversidade e Recursos Genéticos- Instituto Superior de Agronomia, Universidade de Lisboa Tapada da Ajuda, Lisbon, Portugal
| | | | - Dyana Reto
- Faculdade de Ciências de Lisboa, Universidade de Lisboa, Lisbon, Portugal
| | | | - Helena Rio-Maior
- CIBIO/InBIO, Centro de Investigação em Biodiversidade e Recursos Genéticos, Universidade do Porto, Campus de Vairão, 4485-661, Vairão, Portugal
| | - Ricardo Rocha
- CIBIO/InBIO, Centro de Investigação em Biodiversidade e Recursos Genéticos, Universidade do Porto, Campus de Vairão, 4485-661, Vairão, Portugal.,CIBIO/InBIO, Centro de Investigação em Biodiversidade e Recursos Genéticos- Instituto Superior de Agronomia, Universidade de Lisboa Tapada da Ajuda, Lisbon, Portugal
| | - Rita Gomes Rocha
- CIBIO/InBIO, Centro de Investigação em Biodiversidade e Recursos Genéticos, Universidade do Porto, Campus de Vairão, 4485-661, Vairão, Portugal
| | - Luísa Rodrigues
- Instituto da Conservação da Natureza e das Florestas-ICNF, Portugal
| | - Jacinto Román
- Department of Conservation Biology, Doñana Biological Station, CSIC, C. Américo Vespucio 26, Sevilla, Spain
| | - Sara Roque
- Faculdade de Ciências de Lisboa, Universidade de Lisboa, Lisbon, Portugal
| | - Luís Miguel Rosalino
- cE3c - Centre for Ecology, Evolution and Environmental Changes and Departamento de Biologia Animal. Faculdade de Ciências da Universidade de Lisboa, Ed. C2, Campo Grande, Lisbon, Portugal
| | - Inês T do Rosário
- cE3c - Centre for Ecology, Evolution and Environmental Changes and Departamento de Biologia Animal. Faculdade de Ciências da Universidade de Lisboa, Ed. C2, Campo Grande, Lisbon, Portugal
| | - Mariana Rossa
- CESAM - Centro de Estudos do Ambiente e do Mar, Departamento de Biologia, Universidade de Aveiro, Campus Universitário de Santiago, Aveiro, Portugal
| | - Danilo Russo
- Wildlife Research Unit, Dipartimento di Agraria, Università degli Studi di Napoli Federico II, Italy
| | - Pedro Sá
- Associação BioLiving, Rua do Outeiro, Frossos 3850-635 Albergaria-a-Velha, Portugal.,Município de Lousada Pr. Dr. Francisco Sá Carneiro 4620-695 Lousada, Portugal
| | - Helena Sabino-Marques
- Departamento de Biologia, Unidade de Biologia da Conservação, Escola de Ciências e Tecnologia, Universidade de Évora, Núcleo da Mitra, Ap. 94, 7006-554, Évora, Portugal
| | | | - Helena Santos
- CIBIO/InBIO, Centro de Investigação em Biodiversidade e Recursos Genéticos, Universidade do Porto, Campus de Vairão, 4485-661, Vairão, Portugal.,CIBIO/InBIO, Centro de Investigação em Biodiversidade e Recursos Genéticos- Instituto Superior de Agronomia, Universidade de Lisboa Tapada da Ajuda, Lisbon, Portugal
| | - Joana Santos
- Bioinsight - Ambiente & Biodiversidade, Lda. Rua Antero de Quental, Odivelas, Portugal
| | - João P V Santos
- CESAM - Centro de Estudos do Ambiente e do Mar, Departamento de Biologia, Universidade de Aveiro, Campus Universitário de Santiago, Aveiro, Portugal.,Palombar - Conservação da Natureza e do Património Rural, Antiga Escola Primária, Uva, Vimioso, Portugal.,Sanidad y Biotecnología (SaBio), Instituto de Investigación en Recursos Cinegéticos (IREC, UCLM-CSIC-JCCM), Ciudad Real, Spain
| | - Nuno Santos
- CIBIO/InBIO, Centro de Investigação em Biodiversidade e Recursos Genéticos, Universidade do Porto, Campus de Vairão, 4485-661, Vairão, Portugal
| | - Sara Santos
- MED - Mediterranean Institute for Agriculture, Environment and Development, Instituto de Investigação e Formação Avançada & Unidade de Biologia da Conservação, Departamento de Biologia, Universidade de Évora, Pólo da Mitra, Ap. 94, 7006-554, Évora, Portugal
| | | | - Margarida Santos-Reis
- cE3c - Centre for Ecology, Evolution and Environmental Changes and Departamento de Biologia Animal. Faculdade de Ciências da Universidade de Lisboa, Ed. C2, Campo Grande, Lisbon, Portugal
| | - Ana Serronha
- CIBIO/InBIO, Centro de Investigação em Biodiversidade e Recursos Genéticos, Universidade do Porto, Campus de Vairão, 4485-661, Vairão, Portugal
| | | | - Bruno Silva
- MED - Mediterranean Institute for Agriculture, Environment and Development, Universidade de Évora, Évora, Portugal
| | - Carla S G M Silva
- Direção Regional do Ambiente e Alterações Climáticas, Secretaria Regional do Ambiente e Alterações Climáticas - Governo Regional dos Açores, Portugal
| | - Clara Silva
- Rua Professor Moisés Amzalak n.8, Lisbon, Portugal
| | - Diogo Silva
- CESAM - Centro de Estudos do Ambiente e do Mar, Departamento de Biologia, Universidade de Aveiro, Campus Universitário de Santiago, Aveiro, Portugal
| | - Luís P da Silva
- CIBIO/InBIO, Centro de Investigação em Biodiversidade e Recursos Genéticos, Universidade do Porto, Campus de Vairão, 4485-661, Vairão, Portugal
| | - Ricardo Silva
- CESAM - Centro de Estudos do Ambiente e do Mar, Departamento de Biologia Animal, Faculdade de Ciências, Universidade de Lisboa, Lisbon, Portugal
| | | | | | - Pedro Sousa
- CIBIO/InBIO, Centro de Investigação em Biodiversidade e Recursos Genéticos, Universidade do Porto, Campus de Vairão, 4485-661, Vairão, Portugal
| | - Diana Sousa-Guedes
- CESAM - Centro de Estudos do Ambiente e do Mar, Departamento de Biologia, Universidade de Aveiro, Campus Universitário de Santiago, Aveiro, Portugal.,CICGE - Centre for Research in Geo-Spatial Sciences, Faculdade de Ciências da Universidade do Porto, Alameda do Monte da Virgem, Vila Nova de Gaia, Portugal
| | | | - Joaquim T Tapisso
- CESAM - Centro de Estudos do Ambiente e do Mar, Departamento de Biologia Animal, Faculdade de Ciências, Universidade de Lisboa, Lisbon, Portugal
| | - Daniela Teixeira
- CESAM - Centro de Estudos do Ambiente e do Mar, Departamento de Biologia, Universidade de Aveiro, Campus Universitário de Santiago, Aveiro, Portugal
| | - Sérgio Teixeira
- Universidade da Madeira, Faculdade de Ciências da Vida, Portugal.,EUROBATS Madeira Focal Point (IFCN, IP-RAM), United States.,Madeira Fauna & Flora - Biologia e Conservação, Rua Ponta da Cruz, C. C. Centromar, Loja 9, Madeira, Portugal
| | - Nuno Teixeira
- Ecosativa, Rua do Moinho de Vento Lote 11 1° F, 7645-909 Vila Nova de Milfontes, Portugal
| | - Rita T Torres
- CESAM - Centro de Estudos do Ambiente e do Mar, Departamento de Biologia, Universidade de Aveiro, Campus Universitário de Santiago, Aveiro, Portugal
| | - Paulo Travassos
- Centre for the Research and Technology of Agro-Environment and Biological Sciences (CITAB), University of Trás-os-Montes and Alto Douro (UTAD), Vila Real, Portugal.,Laboratory of Applied Ecology, University of Trás-os-Montes and Alto Douro (UTAD), Vila Real, Portugal
| | - Hélia Vale-Gonçalves
- Centre for the Research and Technology of Agro-Environment and Biological Sciences (CITAB), University of Trás-os-Montes and Alto Douro (UTAD), Vila Real, Portugal.,Laboratory of Applied Ecology, University of Trás-os-Montes and Alto Douro (UTAD), Vila Real, Portugal
| | | | - Sophie von Merten
- CESAM - Centro de Estudos do Ambiente e do Mar, Departamento de Biologia Animal, Faculdade de Ciências, Universidade de Lisboa, Lisbon, Portugal
| | - Maria da Luz Mathias
- CESAM - Centro de Estudos do Ambiente e do Mar, Departamento de Biologia Animal, Faculdade de Ciências, Universidade de Lisboa, Lisbon, Portugal
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Capitão C, Martins R, Santos O, Bicho M, Szigeti T, Katsonouri A, Bocca B, Ruggieri F, Wasowicz W, Tolonen H, Virgolino A. Exposure to heavy metals and red blood cell parameters in children: A systematic review of observational studies. Front Pediatr 2022; 10:921239. [PMID: 36275050 PMCID: PMC9583003 DOI: 10.3389/fped.2022.921239] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/04/2022] [Accepted: 09/12/2022] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND Mechanistic studies show that heavy metals interfere with the hematopoietic system by inhibiting key enzymes, which could lead to anemia. However, the link between children's exposure and red blood cell (RBC) parameters has been inconsistent. We aimed to summarize evidence on human studies exploring the association between exposure to lead, mercury, cadmium, arsenic, and chromium VI and RBC parameters in children. METHODS Following the PRISMA guidelines, we searched PubMed, Scopus, and Web of Science databases for studies published between January 2010 and April 2022. Eligible papers included human observational studies that directly assessed exposure (internal dose) to the heavy metals under study and RBC parameters in participants aged ≤ 18 years. We excluded studies using hospital-based samples. Study quality was assessed using the National Institutes of Health's Quality Assessment Tools for Cohort and Cross-Sectional Studies. We synthesized the evidence using vote counting based on the direction of the relationship. RESULTS Out of 6,652 retrieved papers, we included a total of 38 (33 assessing lead, four mercury, two cadmium, and two arsenic; chromium VI was not assessed in any included paper). More than half of the studies were conducted in Asia. We found evidence of a positive relationship between lead concentration and hemoglobin (proportion of studies reporting negative relationships = 0.750; 95% Confidence Interval (CI) 0.583, 0.874) and mean corpuscular hemoglobin (0.875; 95% CI 0.546, 0.986), and a positive relationship with red cell distribution width (0.000; 95%CI 0.000, 0.379). When considering only good-quality studies (24% of the Pb studies), only the relationship with hemoglobin levels remained (0.875; 95% CI: 0.546, 0.986). CONCLUSION We found evidence of a negative relationship between lead concentration and hemoglobin and mean corpuscular hemoglobin and of a positive relationship with red cell distribution width in children. We also identified a need to conduct more studies in European countries. Future studies should use standardized practices and make efforts to increase study quality, namely by conducting comprehensive longitudinal studies. Our findings support the need to take further actions to limit heavy metal exposure during childhood.
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Affiliation(s)
- Carolina Capitão
- Environmental Health Behaviour Lab, Instituto de Saúde Ambiental, Faculdade de Medicina, Universidade de Lisboa, Lisbon, Portugal.,Laboratório Associado TERRA, Faculdade de Medicina, Universidade de Lisboa, Lisbon, Portugal
| | - Raquel Martins
- Environmental Health Behaviour Lab, Instituto de Saúde Ambiental, Faculdade de Medicina, Universidade de Lisboa, Lisbon, Portugal.,Laboratório Associado TERRA, Faculdade de Medicina, Universidade de Lisboa, Lisbon, Portugal
| | - Osvaldo Santos
- Environmental Health Behaviour Lab, Instituto de Saúde Ambiental, Faculdade de Medicina, Universidade de Lisboa, Lisbon, Portugal.,Laboratório Associado TERRA, Faculdade de Medicina, Universidade de Lisboa, Lisbon, Portugal.,Unbreakable Idea Research, Cadaval, Portugal
| | - Manuel Bicho
- Laboratório Associado TERRA, Faculdade de Medicina, Universidade de Lisboa, Lisbon, Portugal.,Laboratório de Genética, Instituto de Saúde Ambiental, Faculdade de Medicina, Universidade de Lisboa, Lisbon, Portugal.,Instituto Rocha Cabral, Lisbon, Portugal
| | | | | | - Beatrice Bocca
- Department of Environment and Health, Istituto Superiore di Sanità, Rome, Italy
| | - Flavia Ruggieri
- Department of Environment and Health, Istituto Superiore di Sanità, Rome, Italy
| | | | - Hanna Tolonen
- Department of Public Health and Welfare, Finnish Institute for Health and Welfare (THL), Helsinki, Finland
| | - Ana Virgolino
- Environmental Health Behaviour Lab, Instituto de Saúde Ambiental, Faculdade de Medicina, Universidade de Lisboa, Lisbon, Portugal.,Laboratório Associado TERRA, Faculdade de Medicina, Universidade de Lisboa, Lisbon, Portugal
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20
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Martins R, Kotsopoulos N, Michalowsky B, Pemberton-Ross P, Urbich M, Connolly MP. Evaluation of the Fiscal Costs and Consequences of Alzheimer's Disease in Germany: Microsimulation of Patients' and Caregivers' Pathways. J Prev Alzheimers Dis 2022; 9:758-768. [PMID: 36281681 DOI: 10.14283/jpad.2022.53] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/16/2023]
Abstract
BACKGROUND Alzheimer's disease is a severe condition, impacting individual's wellbeing and independence in daily activities. Informal care provision is common and of great value to societies but is not without negative externalities to households and the broader economy. OBJECTIVES Estimate the lifetime incremental fiscal consequences of Alzheimer's disease in community-based individuals and their informal caregivers. SETTING The fiscal consequences of Alzheimer's disease was modeled using the German government and social security perspective. PARTICIPANTS Synthetic cohort containing 1,000 pairs of people with Alzheimer's disease and their informal caregivers, compared to 1,000 demographically identical pairs from the general population. DESIGN Disease progression was modeled using published equations and a state-transition microsimulation framework. Labor participation, financial support and paid taxes were estimated according to cognitive decline and caregiving responsibilities using German labor statistics and tax rates. Healthcare costs were sourced from several German publications. Costs and life-years were discounted at 3% annually. MEASUREMENTS Results are reported as lifetime incremental differences in total tax revenue and transfer payments between the cohort affected by Alzheimer's disease and their general population analogues. RESULTS The Alzheimer's disease-affected pair was associated with net incremental fiscal losses of €74,288 ($85,037) to the German government and social security over the lifetime of people with Alzheimer's disease. Most costs were lost taxes on employment earnings (48.4%) due to caregivers working reduced hours. Caregivers were estimated to earn €56,967 ($65,209) less than their general population analogues. Financial support for informal and formal care accounted for 20.4%, and medical healthcare costs represented 24.0% of the incremental fiscal losses. Sensitivity analyses confirmed the robustness of the model results. In a cohort with early onset Alzheimer's disease, incremental fiscal losses were predicted to be €118,533 ($114,209) over the lifetime of people with Alzheimer's disease. CONCLUSIONS Alzheimer's disease externalities profoundly impact public economics for governments and should be considered to inform policy making and healthcare planning.
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Affiliation(s)
- R Martins
- Mark Connolly, Global Market Access Solutions, St-Prex, 1162, Switzerland,
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21
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Martins R, Urbich M, Brännvall K, Gianinazzi M, Ching JE, Khoury CP, El-Hayek YH. Modelling the Pan-European Economic Burden of Alzheimer's Disease. JAR Life 2022; 11:38-46. [PMID: 36923231 PMCID: PMC10002890 DOI: 10.14283/jarlife.2022.7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/03/2022] [Accepted: 10/02/2022] [Indexed: 11/17/2022]
Abstract
Background Recent advances open the opportunity of altering the course of Alzheimer's disease (AD) through lifestyle-based modifications and novel therapies. Ensuring that society is investing limited budgets in the interventions that have the greatest potential to generate tangible impact will require tools to guide policymakers. Objectives To build on previous studies to develop an economic model that estimates the societal burden of AD and evaluates the potential impact of novel interventions in six large European countries. Design AD progression was modelled using a published Markov structure with a 40-year time horizon to estimate lifetime costs and life years in a cohort aged 65 years and above diagnosed with mild cognitive impairment due to AD (MCI-AD) in 2020. Demographic projections were utilized to estimate the prevalence of MCI-AD up to 2100, total corresponding costs and life years. The model allows a comparison of costs associated with the introduction of a hypothetical new disease-modifying therapy that slows disease progression between MCI-AD and all AD-Dementia stages as well as a 'delayed onset' scenario where disease progression is halted at the MCI-AD stage, potentially occurring, for example, through lifestyle-based modifications. Results The 2022 present value of total lifetime costs for this cohort moving through all disease stages is ~€1.2T. Approximately 80% of the present value of lifetime costs in our model are driven by informal care and non-medical direct costs. Our model suggests that a 25% and 50% reduction in disease progression compared to natural history could translate into a present value of cost savings of €33.7B and €72.7B. Halting MCI-AD progression for 3 years with no therapeutic effect thereafter resulted in a present value cost savings of €84.7B in savings. Conclusions Our data further suggest that early intervention via disease-modifying therapies or lifestyle-based modifications in AD could result in cost savings for society. Additionally, our findings reinforce the importance of accounting for the full value of innovative interventions, management and care paradigms, including their potential impact on direct, indirect and intangible costs impacting patients, their care partners and health and social care systems.
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Affiliation(s)
- R Martins
- Global Market Access Solutions, Health Economics Unit, St-Prex, Switzerland; University of Groningen, University Medical Center Groningen, GZW Global Health department, Groningen, The Netherlands
| | - M Urbich
- Biogen International GmbH, Value and Access, HE and HTA Strategy, Switzerland
| | - K Brännvall
- Biogen International GmbH, Value and Access, Switzerland
| | - M Gianinazzi
- Biogen International GmbH, Value and Access, Switzerland
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22
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Martins R, Capitão C, Fialho M, Feteira-Santos R, Virgolino A, Santos RR, Alarcão V, Silva M, Arriaga M, Graça P, Gregório MJ, Santos O. Are beliefs and attitudes about COVID-19 associated with self-perceived changes in food consumption? Results from a nationwide survey during lockdown. Appetite 2022; 168:105681. [PMID: 34500013 PMCID: PMC8421078 DOI: 10.1016/j.appet.2021.105681] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2021] [Revised: 08/09/2021] [Accepted: 09/02/2021] [Indexed: 12/25/2022]
Abstract
This study aimed to understand how beliefs and attitudes regarding COVID-19 are associated with self-perceived changes in food consumption during lockdown between March 19 and May 2, 2020. We conducted a cross-sectional study with a non-probabilistic weighted sample of the Portuguese population. Data were collected using an online survey and telephone interviews. The association between agreement with sentences about food and COVID-19 and perceived changes in food consumption were assessed by multinomial logistic regression models. Overall, 5858 citizens were included, with a mean age of 38.2 (17.3) years. Exclusive agreement with the belief "SARS-CoV-2 can be transmitted by food" (27.5%) was associated with decreased odds of perceived positive changes (e.g., increased consumption of fruit and vegetables). Agreement only with the attitudinal sentence "I started to consume foods that may protect against COVID-19" (11.9%) was associated with positive perceived consumption changes (e.g., increasing fruit and vegetables, and decreasing soft drinks and snacks). Cumulative agreement (with both sentences; 10.6%) was also associated with mostly positive food consumption changes. Specific beliefs and attitudes regarding COVID-19 and food are associated with self-perceived changes in food consumption. Longitudinal research is needed to understand how beliefs and/or attitudes about the role of food in infectious diseases act as determinants of eating behavior modification.
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Affiliation(s)
- Raquel Martins
- EnviHeB Lab, Instituto de Saúde Ambiental, Faculdade de Medicina, Universidade de Lisboa, Avenida Professor Egas Moniz, 1649-028, Lisbon, Portugal,Laboratório Associado TERRA, Faculdade de Medicina, Universidade de Lisboa, Avenida Professor Egas Moniz, 1649-028, Lisbon, Portugal,Corresponding author. EnviHeB Lab, Instituto de Saúde Ambiental, Faculdade de Medicina, Universidade de Lisboa, Avenida Professor Egas Moniz, 1649-028, Lisbon, Portugal
| | - Carolina Capitão
- EnviHeB Lab, Instituto de Saúde Ambiental, Faculdade de Medicina, Universidade de Lisboa, Avenida Professor Egas Moniz, 1649-028, Lisbon, Portugal,Laboratório Associado TERRA, Faculdade de Medicina, Universidade de Lisboa, Avenida Professor Egas Moniz, 1649-028, Lisbon, Portugal
| | - Mónica Fialho
- EnviHeB Lab, Instituto de Saúde Ambiental, Faculdade de Medicina, Universidade de Lisboa, Avenida Professor Egas Moniz, 1649-028, Lisbon, Portugal,Laboratório Associado TERRA, Faculdade de Medicina, Universidade de Lisboa, Avenida Professor Egas Moniz, 1649-028, Lisbon, Portugal
| | - Rodrigo Feteira-Santos
- EnviHeB Lab, Instituto de Saúde Ambiental, Faculdade de Medicina, Universidade de Lisboa, Avenida Professor Egas Moniz, 1649-028, Lisbon, Portugal,Laboratório Associado TERRA, Faculdade de Medicina, Universidade de Lisboa, Avenida Professor Egas Moniz, 1649-028, Lisbon, Portugal
| | - Ana Virgolino
- EnviHeB Lab, Instituto de Saúde Ambiental, Faculdade de Medicina, Universidade de Lisboa, Avenida Professor Egas Moniz, 1649-028, Lisbon, Portugal,Laboratório Associado TERRA, Faculdade de Medicina, Universidade de Lisboa, Avenida Professor Egas Moniz, 1649-028, Lisbon, Portugal
| | - Ricardo R. Santos
- EnviHeB Lab, Instituto de Saúde Ambiental, Faculdade de Medicina, Universidade de Lisboa, Avenida Professor Egas Moniz, 1649-028, Lisbon, Portugal,Laboratório Associado TERRA, Faculdade de Medicina, Universidade de Lisboa, Avenida Professor Egas Moniz, 1649-028, Lisbon, Portugal
| | - Violeta Alarcão
- EnviHeB Lab, Instituto de Saúde Ambiental, Faculdade de Medicina, Universidade de Lisboa, Avenida Professor Egas Moniz, 1649-028, Lisbon, Portugal,Laboratório Associado TERRA, Faculdade de Medicina, Universidade de Lisboa, Avenida Professor Egas Moniz, 1649-028, Lisbon, Portugal,Centro de Investigação e Estudos de Sociologia, ISCTE - Instituto Universitário de Lisboa, Avenida das Forças Armadas, 1649-026, Lisbon, Portugal
| | - Marlene Silva
- Programa Nacional para a Promoção da Atividade Física, Direção-Geral da Saúde, Alameda D. Afonso Henriques, 45, 1049-005, Lisbon, Portugal,CIDEFES - Faculdade de Educação Física e Desporto, Universidade Lusófona de Humanidades e Tecnologias, Campo Grande, 376, 1749-024, Lisbon, Portugal
| | - Miguel Arriaga
- Direção-Geral da Saúde, Alameda D. Afonso Henriques, 45, 1049-005, Lisbon, Portugal,CRW-C Universidade Católica Portuguesa, Palma de Cima, 1649-023, Lisbon, Portugal
| | - Pedro Graça
- Faculdade de Ciências da Nutrição e Alimentação da Universidade do Porto, Rua do Campo Alegre, 823, 4150-180, Oporto, Portugal,Programa Nacional para a Promoção da Alimentação Saudável, Direção-Geral da Saúde, Alameda D. Afonso Henriques, 45, 1049-005, Lisbon, Portugal
| | - Maria João Gregório
- Faculdade de Ciências da Nutrição e Alimentação da Universidade do Porto, Rua do Campo Alegre, 823, 4150-180, Oporto, Portugal,Programa Nacional para a Promoção da Alimentação Saudável, Direção-Geral da Saúde, Alameda D. Afonso Henriques, 45, 1049-005, Lisbon, Portugal
| | - Osvaldo Santos
- EnviHeB Lab, Instituto de Saúde Ambiental, Faculdade de Medicina, Universidade de Lisboa, Avenida Professor Egas Moniz, 1649-028, Lisbon, Portugal,Laboratório Associado TERRA, Faculdade de Medicina, Universidade de Lisboa, Avenida Professor Egas Moniz, 1649-028, Lisbon, Portugal,Unbreakable Idea Research, Estrada Nacional 115, Sítio da Caniceira, nº 1, Casarão, 2550-426, Painho, Portugal
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Alexandre M, Águas H, Fortunato E, Martins R, Mendes MJ. Light management with quantum nanostructured dots-in-host semiconductors. Light Sci Appl 2021; 10:231. [PMID: 34785654 PMCID: PMC8595380 DOI: 10.1038/s41377-021-00671-x] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 01/25/2021] [Revised: 10/15/2021] [Accepted: 10/25/2021] [Indexed: 06/13/2023]
Abstract
Insightful knowledge on quantum nanostructured materials is paramount to engineer and exploit their vast gamut of applications. Here, a formalism based on the single-band effective mass equation was developed to determine the light absorption of colloidal quantum dots (CQDs) embedded in a wider bandgap semiconductor host, employing only three parameters (dots/host potential barrier, effective mass, and QD size). It was ascertained how to tune such parameters to design the energy level structure and consequent optical response. Our findings show that the CQD size has the biggest effect on the number and energy of the confined levels, while the potential barrier causes a linear shift of their values. While smaller QDs allow wider energetic separation between levels (as desired for most quantum-based technologies), the larger dots with higher number of levels are those that exhibit the strongest absorption. Nevertheless, it was unprecedently shown that such quantum-enabled absorption coefficients can reach the levels (104-105 cm-1) of bulk semiconductors.
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Affiliation(s)
- M Alexandre
- i3N/CENIMAT, Department of Materials Science, Faculty of Science and Technology, Universidade NOVA de Lisboa and CEMOP/UNINOVA, Campus de Caparica, 2829-516, Caparica, Portugal.
| | - H Águas
- i3N/CENIMAT, Department of Materials Science, Faculty of Science and Technology, Universidade NOVA de Lisboa and CEMOP/UNINOVA, Campus de Caparica, 2829-516, Caparica, Portugal
| | - E Fortunato
- i3N/CENIMAT, Department of Materials Science, Faculty of Science and Technology, Universidade NOVA de Lisboa and CEMOP/UNINOVA, Campus de Caparica, 2829-516, Caparica, Portugal
| | - R Martins
- i3N/CENIMAT, Department of Materials Science, Faculty of Science and Technology, Universidade NOVA de Lisboa and CEMOP/UNINOVA, Campus de Caparica, 2829-516, Caparica, Portugal
| | - M J Mendes
- i3N/CENIMAT, Department of Materials Science, Faculty of Science and Technology, Universidade NOVA de Lisboa and CEMOP/UNINOVA, Campus de Caparica, 2829-516, Caparica, Portugal.
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Costa A, Lopes J, Sousa CJ, Santos O, Virgolino A, Nogueira P, Henriques A, Seabra P, Capitão C, Martins R, Arriaga M, Alarcão V. Developing a social prescribing local system in a European Mediterranean country: a feasibility study to promote active and healthy aging. BMC Health Serv Res 2021; 21:1164. [PMID: 34706718 PMCID: PMC8548849 DOI: 10.1186/s12913-021-07186-6] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/04/2021] [Accepted: 10/15/2021] [Indexed: 11/25/2022] Open
Abstract
BACKGROUND Social Prescribing (SP) is an innovative strategy to respond to the non-clinical health needs of the population. A Social Prescribing Local System (SPLS) can be defined as a set of joined community, health, and social organizations to foster SP-oriented activities. This study aimed to develop and assess the feasibility of an SPLS implemented in a Mediterranean country, to promote health and wellbeing and contribute to active and healthy aging. METHODS A mixed-methods approach was followed, including three sequential components: 1) Cross-sectional online survey targeting health professionals (HP) working in a primary health care cluster, Portugal's southern region; 2) Pilot study implementing an on-the-job training program for HP, designed to meet identified training needs in the survey; 3) Focus group (FG) with the HP who participated in the pilot study, two individual interviews, with an elderly patient and a community provider for assessing the satisfaction with the pilot test. RESULTS Sixty-five HP completed the survey; of these, 13 completed the theoretical part of the on-the-job training program; and six (out of these 13) completed the full program. Five HP participated in the FG, one patient and one community provider were interviewed. The surveyed HP perceived as facilitators to implement SP: an automatic system of notifications to prompt the use of SP, contribute to patient satisfaction, human and community resources' stability. The survey also highlighted barriers to SP implementation: length of appointments, shortage of human resources, data records confidentiality, low patient adherence rates, bureaucratic issues, time constraints, and financial costs. Participants were satisfied with the training. Identified SPLS implementation benefits were grouped into four dimensions (from the qualitative approach): gains for patients' health and wellbeing, support for the health services, sustainability of the community resources, and HP' professional satisfaction. CONCLUSIONS Our study took the first steps towards the implementation of an SPLS. Findings reinforce that training HP in SP and on-the-job training seems feasible. This approach was well received and appears to represent a suitable and sustainable strategy. It can promote professional satisfaction, support health services, contribute to the stability of community resources, improve health and promote active and healthy aging.
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Affiliation(s)
- A Costa
- Instituto de Saúde Ambiental (ISAMB), Faculdade de Medicina, Universidade de Lisboa, 1649-028, Lisbon, Portugal.
- Nursing Research, Innovation and Development Centre of Lisbon (CIDNUR), Nursing School of Lisbon (ESEL), 1600-096, Lisbon, Portugal.
- Católica Research Centre for Psychological, Family and Social Wellbeing, Faculdade de Ciências Humanas, Universidade Católica Portuguesa, Palma de Cima, 1649-023, Lisbon, Portugal.
| | - J Lopes
- Nursing Research, Innovation and Development Centre of Lisbon (CIDNUR), Nursing School of Lisbon (ESEL), 1600-096, Lisbon, Portugal
| | - C J Sousa
- Instituto de Saúde Ambiental (ISAMB), Faculdade de Medicina, Universidade de Lisboa, 1649-028, Lisbon, Portugal
| | - O Santos
- Instituto de Saúde Ambiental (ISAMB), Faculdade de Medicina, Universidade de Lisboa, 1649-028, Lisbon, Portugal
- Unbreakable Idea Research, Lda, 2550-426, Painho, Portugal
| | - A Virgolino
- Instituto de Saúde Ambiental (ISAMB), Faculdade de Medicina, Universidade de Lisboa, 1649-028, Lisbon, Portugal
| | - P Nogueira
- Instituto de Saúde Ambiental (ISAMB), Faculdade de Medicina, Universidade de Lisboa, 1649-028, Lisbon, Portugal
- Laboratório de Biomatemática, Instituto de Medicina Preventiva e Saúde pública, Faculdade de Medicina, Universidade de Lisboa, Avenida Egas Moniz, 1649-028, Lisbon, Portugal
| | - A Henriques
- Instituto de Saúde Ambiental (ISAMB), Faculdade de Medicina, Universidade de Lisboa, 1649-028, Lisbon, Portugal
- Nursing Research, Innovation and Development Centre of Lisbon (CIDNUR), Nursing School of Lisbon (ESEL), 1600-096, Lisbon, Portugal
| | - P Seabra
- Nursing Research, Innovation and Development Centre of Lisbon (CIDNUR), Nursing School of Lisbon (ESEL), 1600-096, Lisbon, Portugal
| | - C Capitão
- Instituto de Saúde Ambiental (ISAMB), Faculdade de Medicina, Universidade de Lisboa, 1649-028, Lisbon, Portugal
| | - R Martins
- Instituto de Saúde Ambiental (ISAMB), Faculdade de Medicina, Universidade de Lisboa, 1649-028, Lisbon, Portugal
| | - M Arriaga
- Católica Research Centre for Psychological, Family and Social Wellbeing, Faculdade de Ciências Humanas, Universidade Católica Portuguesa, Palma de Cima, 1649-023, Lisbon, Portugal
- Directorate-General for Health, Health Literacy and Wellbeing Division, Alameda Dom Afonso Henriques, 1000-123, Lisbon, Portugal
| | - V Alarcão
- Instituto de Saúde Ambiental (ISAMB), Faculdade de Medicina, Universidade de Lisboa, 1649-028, Lisbon, Portugal
- Centro de Investigação e Estudos de Sociologia, ISCTE-Instituto Universitário de Lisboa (ISCTE-IUL), Avenida das Forças Armadas, 1649-026, Lisbon, Portugal
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Freire T, Fragoso AR, Matias M, Pinto JV, Marques AC, Pimentel A, Barquinha P, Huertas R, Fortunato E, Martins R, Nunes D. Enhanced solar photocatalysis of TiO2 nanoparticles and nanostructured thin films grown on paper. Nano Ex 2021. [DOI: 10.1088/2632-959x/abed40] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
Abstract
Titanium dioxide nanoparticles and nanostructured thin films were simultaneously synthesized using a microwave-assisted hydrothermal method. The synthesis formed very fine particles, appearing as nanospheres in the 11 nm size range. As for the nanostructured films, they have displayed similar structural characteristics to the nanoparticles, with thickness of 130 nm. These films covered uniformly and homogenously the Whatman paper, while maintaining its flexibility. The materials processed had their photocatalytic activity assessed from rhodamine B degradation under solar radiation (91% degradation after 40 min for the powder material and 68% after 6 h for the nanostructured thin films). Reusability experiments were also carried out, revealing superior performance concerning the Degussa P25, the most common photocatalyst used. The results of the present work can be thought as an option for the existing photocatalysts activated under solar light, namely for water purification, as it simultaneously produces enhanced photocatalytic powders and photocatalytic papers fully disposable and that can be easily recycled.
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Ferreira PP, Martins R, Tavares DP, Valente J. COVID-19 Dashboard for the Lisbon Region - an advisory tool for policy. Eur J Public Health 2021. [PMCID: PMC8575066 DOI: 10.1093/eurpub/ckab165.652] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Issue/problem
At the time of arrival of the COVID-19 pandemic to Portugal, the Public Health Department of Lisbon and Tagus Valley Regional Health Administration was confronted with its obsolete information system, which could not provide the information that Public Health Authorities needed to bring the pandemic under control. In order to tackle this issue, our goal was to aggregate all the relevant epidemiological data for the region in an accessible and user-friendly dashboard.
Methods
Starting from March 2020 we created a dashboard, which compiled and analyzed COVID-19 data, such as: confirmed and active cases, deaths, hospitalizations (including ICU beds), high/low risk contacts, mandatory confinements, tests, and clusters. This dashboard had anonymized data and was updated daily as well as constantly upgraded by taking into consideration new incoming data and feedback provided by users, serving its purpose as an advisory tool for policy.
Results
The dashboard was available to Local, Regional, and National Public Health Authorities and made possible to monitor trends and predict epidemiological changes that, prior to its existence, were dispersed in several datasets. Most importantly, it allowed for a better allocation of human resources for contact tracing and case management activities, to easily identify basic social needs for the most vulnerable citizens. It also provided for policy measures adjusted to the smallest administrative division in Portugal, the parish, that ultimately allowed for a better epidemiological control in Lisbon Metropolitan Area in 2020.
Lessons
The regional dashboard is far from perfect, but it highlights the constant need for robust information and epidemiological surveillance systems, serving both National, Regional and Local Public Health Authorities. It appeared out of necessity during a pandemic and it proved once more the importance of data analytics for guiding public health action based on evidence.
Key messages
Data analytics can serve both as an advisory tool for policy as well as to guide public health interventions. The COVID-19 Dashboard for the Lisbon Region aggregates relevant epidemiological data that helped Public Health authorities better understand and control the Pandemic in the region.
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Affiliation(s)
- PP Ferreira
- ACeS North West, Lisbon and Tagus Valley Regional Health Administration, Caldas da Rainha, Portugal
- Public Health Department, Lisbon and Tagus Valley Regional Health Administration, Lisbon, Portugal
| | - R Martins
- ACeS North West, Lisbon and Tagus Valley Regional Health Administration, Caldas da Rainha, Portugal
| | - DP Tavares
- Public Health Department, Lisbon and Tagus Valley Regional Health Administration, Lisbon, Portugal
| | - J Valente
- Public Health Department, Lisbon and Tagus Valley Regional Health Administration, Lisbon, Portugal
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Mendes-Oliveira F, Martins R, Souza VR, Gomes F, Bolina E, Ozahata M, Franco L, Carneiro-Proietti AB, Sabino E, Belisário AR. ANÁLISE DO MICROBIOMA EM ÚLCERA DE PERNA DE PACIENTES COM ANEMIA FALCIFORME. Hematol Transfus Cell Ther 2021. [DOI: 10.1016/j.htct.2021.10.025] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
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Abstract
IntroductionSleep problems are a common presenting symptom of elderly patients to Primary care physicians and Psychiatrists. Almost half of seniors over age 65 who live at home are dissatisfied with their sleep, and nearly two-thirds of those residing in nursing home facilities suffer from sleep disorders. Chronic and pervasive sleep complaints and disturbances are frequently associated with excessive daytime sleepiness and may result in impaired cognition, diminished intellect, poor memory, confusion, and psychomotor retardation.ObjectivesThe aim of this article is to sumarize and explore the facts envolving sleep disorders, discusses approaches to treatment and highlights new research in the area of geriatric sleep disorders.MethodsAn online bibliographic search was carried out on PubMed and Medline using the keywords “Elderly”, “sleep” and “Psychiatry”.ResultsManagement of sleep disorders is complicated by the risk of side effects of pharmacologic treatment approaches, and thus nonpharmacologic strategies are preferred when possible. Additionally, many of the pharmacologic strategies used in treating younger adults have not been studied adequately in the geriatric population, and more specifically in patients with underlying cognitive disorders, making treatment choices difficult.ConclusionsThis review has provided insights into the biopsychosocial impact of sleep disorders in the elderly, as this group pose unique challenges for diagnosis and treatment. Sleep changes in the elderly may have a far broader impact on geriatric health than originally thought, with implications for AD and delirium, and further research is needed in these areas as well.
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Martins R, Brito LF, Machado PC, Pinto LFB, Silva MR, Schenkel FS, Pedrosa VB. Genome-wide association study and pathway analysis for carcass fatness in Nellore cattle measured by ultrasound. Anim Genet 2021; 52:730-733. [PMID: 34370325 DOI: 10.1111/age.13129] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/27/2021] [Indexed: 12/16/2022]
Abstract
Identifying genes or genomic regions influencing carcass-quality traits such as fatness (FTN) is essential to optimize the genetic selection processes in beef cattle. The aim of this study was to identify genomic regions associated with FTN in Nellore cattle as well as to elucidate the metabolic pathways related to the phenotypic expression. Ultrasound-based measurements of FTN were collected in 11 750 animals, with 39 903 animals in the pedigree file. Additionally, 1440 animals were genotyped using the GGP-indicus 35K SNP panel, which contained 33 623 SNPs after quality control. Twenty genes related to FTN were found on 11 chromosomes, explaining 12.96% of the total additive genetic variance. Gene ontology revealed seven genes: NR1L2, PKD2, GSK3β, EXT1, RAD51B, SORCS1 and DPH6, associated with important processes related to FTN. In addition, novel candidate genes (MAATS1, LYPD1, CDK5RAP2, RAD51B, c13H2Oorf96 and TRAPPC11) were detected and could provide further knowledge to uncover genetic regions associated to carcass fatness in beef cattle.
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Affiliation(s)
- R Martins
- Department of Animal Sciences, State University of Ponta Grossa, Ponta Grossa, PR, 84030-900, Brazil
| | - L F Brito
- Department of Animal Sciences, Purdue University, West Lafayette, IN, 47907, USA
| | - P C Machado
- Department of Animal Sciences, State University of Ponta Grossa, Ponta Grossa, PR, 84030-900, Brazil
| | - L F B Pinto
- Department of Animal Sciences, Federal University of Bahia, Av. Adhemar de Barros s/n, Ondina, Salvador, BA, 40170-115, Brazil
| | - M R Silva
- Melhore Animal and Katayama Agropecuaria Lda, Guarapes, SP, 16700-000, Brazil
| | - F S Schenkel
- Animal and Poultry Science Department, Centre for Genetic Improvement of Livestock, University of Guelph, 50 Stone Road East, Guelph, ON, Canada
| | - V B Pedrosa
- Department of Animal Sciences, State University of Ponta Grossa, Ponta Grossa, PR, 84030-900, Brazil
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Bellec J, Rigal L, Jaksic N, Caille P, Lederlin M, Lafond C, Martins R, De Crevoisier R, Simon A. PD-0891 Cardio-respiratory ITV for cardiac radioablation in case of ventricular tachycardia. Radiother Oncol 2021. [DOI: 10.1016/s0167-8140(21)07170-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Bessiere F, Gardey K, Duthoit G, Koutbi L, Labombarda F, Marquie C, Gourraud JB, Mondoly P, Bordachar P, Martins R, Pasquie JL, Combes N, Di Filippo S, Marijon E, Waldmann V. Impact of pulmonary valve replacement on ventricular arrhythmias in patients with tetralogy of Fallot. Europace 2021. [DOI: 10.1093/europace/euab116.495] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Abstract
Funding Acknowledgements
Type of funding sources: Public grant(s) – National budget only. Main funding source(s): INSERM - French Society of Cardiology
OnBehalf
DAIT4F Investigators
Background
Sudden cardiac death is a major cause of death in tetralogy of Fallot (TOF) and right ventricular overload is commonly considered as a potential trigger for ventricular arrhythmias.
Purpose
We aimed to assess the impact of pulmonary valve replacement (PVR) on ventricular arrhythmias burden using a population of TOF patients with continuous cardiac monitoring by implantable cardioverter defibrillator (ICD).
Methods
Nationwide French registry including all TOF patients with an ICD. Survival data with recurrent events were used to compare the burden of appropriate ICD therapies before and after PVR in patients who underwent PVR over the study period.
Results
A total of 165 patients (mean age 42.2 ± 13.3 years, 70.1% males) were included from 40 centers. Over a median (IQR) follow-up period of 6.8 (2.5-11.4) years, 26 (15.8%) patients underwent PVR. Among those patients, 18 (69.2%) experienced at least one appropriate ICD therapy. When considering all ICD therapies delivered before (n = 62) and after (n = 16) PVR, the burden of ICD appropriate therapies was significantly lower after PVR (HR 0.21, 95%CI 0.08-0.56, p = 0.002). In the overall cohort, PVR before ICD implantation was also independently associated with a lower risk of appropriate ICD therapy in primary prevention patients (HR 0.29, 95%CI 0.10-0.89, p = 0.031).
Conclusions
In this cohort of high-risk TOF patients implanted with an ICD, the burden of appropriate ICD therapies was significantly reduced after PVR. While optimal indications and timing for PVR are debated, these findings suggest the importance of considering ventricular arrhythmias in the overall making-decision process. Abstract Figure.
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Affiliation(s)
- F Bessiere
- Hospital Louis Pradel of Bron, Lyon, France
| | - K Gardey
- Hospital Louis Pradel of Bron, Lyon, France
| | - G Duthoit
- Hopital La Pitie Salpetriere, Paris, France
| | - L Koutbi
- Hospital La Timone of Marseille, Marseille, France
| | | | | | - JB Gourraud
- University Hospital of Nantes, Nantes, France
| | - P Mondoly
- Toulouse Rangueil University Hospital (CHU), Toulouse, France
| | - P Bordachar
- University Hospital of Bordeaux, Bordeaux, France
| | - R Martins
- Hospital Pontchaillou of Rennes, Rennes, France
| | - JL Pasquie
- University of Montpellier, Montpellier, France
| | - N Combes
- Clinic Pasteur, Toulouse, France
| | | | - E Marijon
- European Georges Pompidou Hospital, Paris, France
| | - V Waldmann
- European Georges Pompidou Hospital, Paris, France
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Silva D, Martins R, Polido F, Cruz M. A closer look to apathy. Eur Psychiatry 2021. [PMCID: PMC9475982 DOI: 10.1192/j.eurpsy.2021.1266] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
IntroductionApathy is a neuropsychiatry syndrome, conceptualised as a loss of motivation free of altered consciousness, cognitive impairment or emotional distress, associated with a wide range of brain disorders such as Dementia, Major depression and schizophrenia. Even though under-recognized and under-diagnosed, apathy hardly appears uncommon. Its reported frequency in various neurologic and psychiatric conditions varies widely, from less than 10 to over 80%, reflecting differences in population characteristics and assessment procedures.ObjectivesThe aim of this article is to review the concept of Apathy and clarify its nosology, pathopshysiology and treatment.MethodsAn online bibliographic search was carried out on PubMed and Medline using “Apathy” as a term.ResultsThe literature reviewed shows that apathy is a multi-dimensional clinical construct with a current definition and validated diagnostic criteria. Analysis reveals that apathy is strongly associated with disruption particularly of anterior cingulate cortex (ACC), ventral striatum (VS) and nucleus accumbens (N acc). Remarkably, these changes are consistent across clinical disorders and imaging modalities, playing a crucial role in normal motivated behaviour.ConclusionsThe neuromodulator dopamine is heavily implicated in ACC and VS. Therapeutically, numerous small studies suggest that psychostimulants, dopaminergics, and cholinesterase inhibitors may benefit those manifesting this syndrome. However, no adequately powered, randomized controlled trials have reported success and no medication have ever been approved for this disorder Further research is needed to help understand the functional neuroanatomy, neuromodulators involved and possible treatment options of this clinical construct.
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Ferreira J, Goncalves V, Marques P, Martins R, Monteiro S, Teixeira R, Goncalves L. Left atrial functional assessment and mortality in patients with severe aortic stenosis. Eur Heart J Cardiovasc Imaging 2021. [DOI: 10.1093/ehjci/jeaa356.083] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Abstract
Funding Acknowledgements
Type of funding sources: None.
Background/Introduction: Aortic valve stenosis (AS) is the most common primary valvular heart disease leading to surgical or percutaneous aortic valve replacement (AVR) in Europe. Both symptoms and systolic dysfunction can appear late in the course of the disease, being often synonym of irreversible damage to the myocardium when found. Thus, there is a necessity to find other sensitive markers present at an earlier stage of the disease.
Purpose
Our primary aim is to clarify the relationship between LA function measured at severe AS diagnosis (evaluated by means of volumetric assessment) and all-cause mortality during follow-up.
Methods
We retrospectively evaluated patients diagnosed with severe AS for the first time at our echocardiography laboratory. We evaluated all 3 left atrial (LA) functional phases (reservoir, conduit and pump) by measuring LA volumes at different timings of cardiac cycle. Treatment strategy was decided according to heart team consensus and own patient decision. We divided patients into groups according to terciles of LA reservoir, conduit and pump function. Primary outcome was defined by the occurrence of all-cause mortality during follow-up.
Results
After exclusion criteria, a total of 451 patients were included in the analysis (aged 74 ±11years, 54% male) and were followed during a median period of 73 months (interquartile range 44.5). A total of 55.8% of patients underwent AVR and 45,5% of patients registered the primary outcome. Left atrial emptying fraction (LAEF) was the best LA functional parameter in discriminating primary outcome (AUC 0.840, p < 0.001), even when compared to left ventricular ejection fraction, aortic valve area, aortic mean pressure gradient and aortic Vmax. Patients in the lower tercile of LAEF were older, had greater comorbidities, had greater AS severity, with greater degree of diastolic disfunction. After adjustment for clinical and demographic variables, cumulative survival of patients with LAEF <37% and LAEF 37 to 53% relative to patients with LAEF ≥54% remained significantly lower (adjusted HR 19.04, 95% CI 8.30-43.67, P < 0.001 and adjusted HR 4.09, 95% CI 1.85-9.06, P = 0.001). Survival was also higher in patients with LAEF 37 to 53% when compared to patients with LAEF <37% (adjusted HR 0.22, 95% CI 0.13-0.37, P < 0.001). All associations remained true after adjustment for AVR (LAEF <37% versus LAEF 37 to 53% and LAEF ≥54%, respectively, adjusted HR 3.97, 95% CI 1.80-8.78, P = 0.001 and adjusted HR 13.95, 95% CI 5.98-32.54, P < 0.001, respectively)
Conclusion(s) In patients with a first diagnosis of severe AS in hospital setting, LA function assessed by volumetric parameters is an independent predictor of all-cause mortality. Compared to classical severity parameters, different LA functional parameters were found to be more potent predictors of death. These data can be useful in clinical practice for risk stratification and therefore for decision of timing for AVR.
Abstract Figure. Survival of patients stratified by group
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Affiliation(s)
- J Ferreira
- University Hospitals of Coimbra, Cardiology, Coimbra, Portugal
| | - V Goncalves
- University Hospitals of Coimbra, Cardiology, Coimbra, Portugal
| | - P Marques
- University Hospitals of Coimbra, Cardiology, Coimbra, Portugal
| | - R Martins
- University Hospitals of Coimbra, Cardiology, Coimbra, Portugal
| | - S Monteiro
- University Hospitals of Coimbra, Cardiology, Coimbra, Portugal
| | - R Teixeira
- University Hospitals of Coimbra, Cardiology, Coimbra, Portugal
| | - L Goncalves
- University Hospitals of Coimbra, Cardiology, Coimbra, Portugal
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Bourenane H, Auffret V, Martins R. Incidence, timing, predictors, and impact of sustained ventricular arrythmias complicating ST-segment elevation myocardial infarction. Archives of Cardiovascular Diseases Supplements 2021. [DOI: 10.1016/j.acvdsp.2020.10.322] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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35
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Bellec J, Simon A, Benali K, Jaksic N, Caille P, Lederlin M, Lafond C, de Crevoisier R, Martins R. Cardiac stereotactic body radiation therapy for refractory ventricular tachycardia: Impact of cardiac and respiratory movement on the target volume definition. Archives of Cardiovascular Diseases Supplements 2021. [DOI: 10.1016/j.acvdsp.2020.10.206] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Kosaner Kließ M, Martins R, Connolly M. Major Cost Drivers in Assessing the Economic Burden of Alzheimer’s Disease: A Structured, Rapid Review. J Prev Alz Dis 2021; 8:362-370. [DOI: 10.14283/jpad.2021.17] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
Background: Alzheimer’s Disease is the most common cause of dementia, affecting memory, thinking and behavior. Symptoms eventually grow severe enough to interfere with daily tasks. AD is predicted to increase healthcare spending and costs associated with formal and informal caregiving. The aim of this study was to identify and quantify the contribution of the different cost components associated with AD. Methods: A structured literature review was conducted to identify studies reporting the economic burden of Alzheimer`s Disease beyond the healthcare setting. The search was conducted in Medline, Embase and EconLit and limited to studies published in the last 10 years. For each identified cost component, frequency weighted mean costs were calculated across countries to estimate the percentage contribution of each component by care setting and disease severity. Results obtained by each costing approach were also compared. Results: For community-dwelling adults, the percentage of healthcare, social care and indirect costs to total costs were 13.9%, 17.4% and 68.7%, respectively. The percentage of costs varied by disease severity with 26.0% and 10.4% of costs spent on healthcare for mild and severe disease, respectively. The proportion of total spending on indirect costs changed from 60.7% to 72.5% as disease progressed. For those in residential care, the contribution of each cost component was similar between moderate and severe disease. Social care accounted on average for 85.9% of total costs. Conclusion: The contribution of healthcare costs to the overall burden was not negligible; but was generally exceeded by social and informal care costs.
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Valente AM, Acevedo P, Figueiredo AM, Martins R, Fonseca C, Torres RT, Delibes-Mateos M. Dear deer? Maybe for now. People's perception on red deer (Cervus elaphus) populations in Portugal. Sci Total Environ 2020; 748:141400. [PMID: 32823227 DOI: 10.1016/j.scitotenv.2020.141400] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/03/2020] [Revised: 07/29/2020] [Accepted: 07/29/2020] [Indexed: 06/11/2023]
Abstract
The human dimension of wildlife is a subject of increasing interest, especially considering the potential impact of people's perceptions on decision-making concerning wildlife management and thus on species' distribution and abundance. This is particularly important for species that inhabit human-dominated landscapes, where conflicts are likely to arise. These conflicts typically emerge between different human collectives when their interests collide and thus an assessment of their perceptions is valuable. Throughout Europe, ungulates have expanded, and Portugal is no exception. The expansion of red deer (Cervus elaphus) comes with benefits (e.g. hunting opportunities), but also with costs (e.g. vehicle collision or damage to crops), that can shape people's perceptions of these populations. To assess perceptions of red deer populations in continental Portugal, we developed a questionnaire survey with three interest groups: general public, farmers and hunters (total n = 1532). Our results show that perceptions about red deer were generally positive with a high acknowledgement of deer benefits, which we link to a broad level of sympathy towards this species. In addition, farmers showed a higher concern with crop damage caused by deer than non-farmers. Nonetheless, a general lack of knowledge regarding wildlife was present, particularly among younger people, who are potentially more apart and disconnected from nature. Now is the time to implement preventive and mitigation measures - e.g. fencing, reduction of population density - which can be a small contribution to address this problem. The focus should be put on people's acceptance of the required strategies to manage deer populations (which can also include unpopular practices, such as hunting). For that, an evaluation of people's attitudes towards deer populations and awareness of associated problems is essential. People's opinions, as well as the success of monitoring and management strategies, should be evaluated through multi-disciplinary teams, that include natural and social scientists, to ensure their success.
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Affiliation(s)
- Ana M Valente
- Departamento de Biologia e CESAM, Universidade de Aveiro, Campus Universitário de Santiago, 3810-193 Aveiro, Portugal; Instituto de Investigación en Recursos Cinegéticos (UCLM-CSIC-JCCM), Ronda de Toledo 12, 13071 Ciudad Real, Spain.
| | - Pelayo Acevedo
- Instituto de Investigación en Recursos Cinegéticos (UCLM-CSIC-JCCM), Ronda de Toledo 12, 13071 Ciudad Real, Spain.
| | - Ana M Figueiredo
- Departamento de Biologia e CESAM, Universidade de Aveiro, Campus Universitário de Santiago, 3810-193 Aveiro, Portugal; Department of Bioscience & CEES, University of Oslo, Blindernvn, 31, 0371 Oslo, Norway.
| | - Raquel Martins
- Departamento de Biologia e CESAM, Universidade de Aveiro, Campus Universitário de Santiago, 3810-193 Aveiro, Portugal.
| | - Carlos Fonseca
- Departamento de Biologia e CESAM, Universidade de Aveiro, Campus Universitário de Santiago, 3810-193 Aveiro, Portugal.
| | - Rita T Torres
- Departamento de Biologia e CESAM, Universidade de Aveiro, Campus Universitário de Santiago, 3810-193 Aveiro, Portugal.
| | - Miguel Delibes-Mateos
- Instituto de Estudios Sociales Avanzados, IESA-CSIC, Campo Santo de los Mártires 7, 14004 Córdoba, Spain.
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Loureiro H, Pocinho M, Faria A, Marques M, Silva M, Martins R, Veríssimo M. Effects of endurance and strength exercises associated with whey protein supplementation on functional status community-dwelling seniors. Clin Nutr ESPEN 2020. [DOI: 10.1016/j.clnesp.2020.09.525] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Ferreira J, Martins R, Goncalves V, Freitas A, Almeida J, Monteiro S, Goncalves L. Epicardial fat tissue: a new tool for identification of coronary artery disease patients? Eur Heart J 2020. [DOI: 10.1093/ehjci/ehaa946.1709] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Introduction
Epicardial fat (EF), the true visceral fat depot of the heart, has been strongly correlated with both coronary artery disease (CAD) incidence and severity. However, the methods for its measurement were not always affordable. Its measurement by echocardiography is fast, accessible and easily reproducible, turning it into a promising clinical tool for assessing cardiovascular risk to predict the incidence of CAD.
Purpose
To determine the correlation between EF tissue dimensions measured by transthoracic echocardiography and the presence of CAD.
Methods
We prospectively analysed data from 196 consecutive patients admitted for acute coronary syndrome in our coronary care unit. All patients underwent diagnostic coronary angiography and echocardiogram during stay. EF dimensions were obtained with transthoracic echocardiography by measuring maximum EF diameter (mm) at the basal right ventricular free wall (PLAXB) level and mid-right ventricular free wall (PLAXM) level [in paraesternal long-axis view (PLAX)] and maximum right-ventricle free wall EF diameter at basal (PSAXB) level and papillary-muscle (PSAXM) level [in paraesternal short-axis view (PSAX)]. All measures were taken at end-systole. Patients were divided in 2 groups according to the presence of significant CAD (sCAD) or not (nCAD), defined as having at least 1 diseased epicardial vessel with a stenosis >50%.
Results
One-hundred and sixty-three (83.2%) had significant CAD. 22 patients (11.2%) were admitted for unstable angina, 60 patients (30.6%) for non-ST elevation myocardial infarction and 93 patients (47,4%) for ST-elevation myocardial infarction. Mean EF diameters were as follows: PLAXB (19,3±5.1 mm), PLAXM (11.3±2.6), PSAXB (10,6±2.8), PSAXM (10.5±2.8). We found a direct correlation between number of diseased epicardial coronary vessels and epicardial fat thickness in PLAXB (r=0.506, p<0.001), PLAXM (r=0.372, p<0.001), PSAXB (r=0.445, p<0.001) and PSAXM (r=0.372, p<0.001). EF was significantly different between groups: PLAXB (20,6±4.4 vs. 13.8±3,8, p<0.001), PLAXM (11.8±2.5 vs. 9.0±1.9, p<0.001), PSAXB (11.1±2.7 vs. 8.3±2.3, p<0.001) and PSAXM (11.0±2.6 vs. 8.2±4, p<0.001). Receiver operating characteristic curve analysis showed that the predictive value of mean right ventricular EF [(PLAXB+PSAXB)/2] for significant CAD was 0.895 (AUC=0.895, CI 95% 0.818–0,972, p<0.001). For a [(PLAXB+PLAXM)/2] value of 12.57 mm, sensitivity was 86.3% and specificity was 79.3%.
Conclusions
In a population of high suspicion of acute coronary syndromes, echocardiographic EF is a sensitive and specific marker of the presence of significant coronary disease and could become an important tool for coronary risk prediction.
Figure 1
Funding Acknowledgement
Type of funding source: None
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Affiliation(s)
- J Ferreira
- University Hospitals of Coimbra, Cardiology, Coimbra, Portugal
| | - R Martins
- University Hospitals of Coimbra, Cardiology, Coimbra, Portugal
| | - V Goncalves
- University Hospitals of Coimbra, Cardiology, Coimbra, Portugal
| | - A Freitas
- University Hospitals of Coimbra, Cardiology, Coimbra, Portugal
| | - J Almeida
- University Hospitals of Coimbra, Cardiology, Coimbra, Portugal
| | - S Monteiro
- University Hospitals of Coimbra, Cardiology, Coimbra, Portugal
| | - L Goncalves
- University Hospitals of Coimbra, Cardiology, Coimbra, Portugal
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Ferreira Fonseca M, Baptista R, Samouco G, Soeiro P, Martins R, Castro G, Goncalves L. Right atrial mechanics by strain echocardiography in chronic thromboembolic pulmonary hypertension. Eur Heart J 2020. [DOI: 10.1093/ehjci/ehaa946.2244] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Introduction
Chronic thromboembolic pulmonary hypertension (CPTEH) is the result of thromboemboli leading not only to mechanical obstruction but also pulmonary vascular remodelling and progressive increase in right heart afterload. Prognostic assessment in CPTEH is complex and multifactorial.
Purpose
We used two-dimensional strain echocardiography (2D-STE) to quantify right atrial (RA) mechanics and its correlation with invasive hemodynamics, load-dependent biomarkers and well-known prognostic markers in patients with CTEPH.
Methods
A total of 44 patients (24 females, mean age 61±15.6 years) with CTEPH were recruited. 2D-STE was used to measure right atrial reservoir strain (RASr) (Figure 1) which was then compared to conventional ultrasound measurements, right heart catheterisation (RHC) measurements, the percentage of obstruction in ventilation-perfusion pulmonary single-photon emission computed tomography (V/Q SPECT), B-type natriuretic peptide (BNP) values and 6-minute walk test (6MWT) performance. All patients underwent transthoracic echocardiographic evaluation with a maximal time distance of three months to RHC.
Results
There was a significant positive correlation of RASr with RV longitudinal function determined by tricuspid annular plane systolic excursion (TAPSE) (r=0.488, p=0.003), tricuspid annular peak systolic velocity (S') (r=0.490, p=0.002), right ventricular outflow tract velocity time integral (RVOT VTI) (r=0.457, p=0.005), as well as with 6MWT (r=0.491, p=0.004). There was a significant negative correlation of RASr with mean pulmonary artery pressure (r=−0.513, p=0.002), pulmonary vascular resistance (r=−0.439, p=0.011) and right atrial pressure (RAP) (r=−0.513, p=0.002). RASr was also correlated with Log-transformed BNP values (r=−0.552, p<0,001), and in a multivariate linear regression model, RASr was an independent predictor of Log-transformed BNP values (β=−0.448, 95% CI: −0.046 to −0.009; p=0.005). There was no correlation between RASr and the percentage of obstruction in V/Q SPECT (r=0.164, p=0.388).
Conclusion
2D-STE-derived RA mechanics demonstrated to be a useful, non-invasive, surrogate measurement of RHC parameters. It also predicted important clinical/laboratory prognostic measurements, such as BNP and 6MWT performance. The absence of correlation between 2D-STE values and the percentage of vessel obstruction determined by SPECT may suggest that RV maladaptive response to the obstruction, rather than the degree of obstruction, dictates right heart failure in CTEPH.
Right atrial strain components
Funding Acknowledgement
Type of funding source: None
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Affiliation(s)
| | - R Baptista
- University Hospitals of Coimbra, Cardiology, Coimbra, Portugal
| | - G Samouco
- Hospital of Guarda, Pneumology, Guarda, Portugal
| | - P Soeiro
- University Hospitals of Coimbra, Nuclear Medicine, Coimbra, Portugal
| | - R Martins
- University Hospitals of Coimbra, Cardiology, Coimbra, Portugal
| | - G Castro
- University Hospitals of Coimbra, Cardiology, Coimbra, Portugal
| | - L Goncalves
- University Hospitals of Coimbra, Cardiology, Coimbra, Portugal
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Auffret V, Bourenane H, Sharobeem S, Martins R, Leurent G, Bedossa M, Boulmier D, Le Breton H. Incidence, timing, predictors, and impact of sustained ventricular arrhythmia complicating st-segment elevation myocardial infarction. Eur Heart J 2020. [DOI: 10.1093/ehjci/ehaa946.1767] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Abstract
Aims
To describe the incidence, predictors, and in-hospital impact of early SVA (eSVA, occurring < day 2 post-STEMI) and late SVA (lSVA, occurring ≥ day 2 post-STEMI) in STEMI patients. To derive and internally validate a risk score to identify patients at high-risk of lSVA.
Methods
Data of 13523 patients enrolled in the ORBI registry were analysed. Logistic regression was performed to identify predictors of eSVA, lSVA, and in-hospital all-cause mortality. Predictors of lSVA were used to build a risk score.
Results
eSVA occurred in 678 patients (5%) whereas 120 patients (0.9%) experienced lSVA at a median timing of 3 days post-STEMI. eSVA associated with a significantly higher risk of all-cause mortality (adjusted OR:1.90, 95% CI: 1.39–2.61, p<0.001) whereas only a trend was observed with lSVA (adjusted OR: 1.69, 95% CI:0.91–3.13, p=0.09). Multivariable predictors of eSVA are listed in Table 1. Multivariable predictors of lSVA are listed in the Figure. The score derived from these variables allowed the classification of patients into four risk categories: low (0–21), low-to- intermediate (22–34), intermediate-to-high (35–44), and high (≥45). Observed lSVA rates were 0.2%, 0.4%, 0.8%, and 2.5%, across the four risk categories, respectively. The model demonstrated good discrimination (20-fold cross-validated c-statistic of 0.76) and adequate calibration (Hosmer-Lemeshow p=0.40).
Conclusion
eSVA are 5-fold more common than lSVA in the setting of STEMI, mainly associate with other early complications, and portends a 2-fold higher risk of in-hospital mortality. Moreover, we developed a risk score identifying patients at high risk of lSVA for whom early ICU discharge may not be suitable.
Funding Acknowledgement
Type of funding source: None
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Affiliation(s)
- V Auffret
- University Hospital of Rennes - Hospital Pontchaillou, Department of Cardiology and Vascular Disease, Rennes, France
| | - H Bourenane
- University Hospital of Rennes - Hospital Pontchaillou, Department of Cardiology and Vascular Disease, Rennes, France
| | - S Sharobeem
- University Hospital of Rennes - Hospital Pontchaillou, Department of Cardiology and Vascular Disease, Rennes, France
| | - R Martins
- University Hospital of Rennes - Hospital Pontchaillou, Department of Cardiology and Vascular Disease, Rennes, France
| | - G Leurent
- University Hospital of Rennes - Hospital Pontchaillou, Department of Cardiology and Vascular Disease, Rennes, France
| | - M Bedossa
- University Hospital of Rennes - Hospital Pontchaillou, Department of Cardiology and Vascular Disease, Rennes, France
| | - D Boulmier
- University Hospital of Rennes - Hospital Pontchaillou, Department of Cardiology and Vascular Disease, Rennes, France
| | - H Le Breton
- University Hospital of Rennes - Hospital Pontchaillou, Department of Cardiology and Vascular Disease, Rennes, France
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Goncalves V, Ferreira J, Almeida J, Freitas A, Martins R, Vieira H, Goncalves L. Left atrial emptying fraction: a powerful predictor of events in severe aortic stenosis. Eur Heart J 2020. [DOI: 10.1093/ehjci/ehaa946.1888] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Abstract
Background
Increasing evidence suggests that left atrial (LA) structural and functional changes have an important role in risk stratification and prediction of clinical outcomes. We know from multiple data that left atrial maximum volume (LAVI), measured at end-systole, is a powerful prognostic marker in multiple patient groups. However, recent studies have suggested that this marker may not be the best representative of diastolic function as it does not image the full spectrum of atrial mechanics. Another measure of LA function is the left atrial emptying fraction (LAEF), which has proved to be a significant prognostic marker in many patient groups. Less known is its role in event prediction in severe aortic stenosis patients, a disease with a very important burden in modern societies.
Purpose
The authors hypothesised that LAEF is a powerful predictor of clinical outcomes at 1 year in patients with severe aortic stenosis.
Methods
We retrospectively evaluated 151 patients referred to our echocardiography laboratory with the diagnosis of severe aortic stenosis. All patients underwent transthoracic echocardiography. LA maximum volume was indexed to body surface area. LAEF was calculated as LAVI-LA minimum volume divided by LAVI. Patients were followed for 1 year regarding clinical outcomes. Clinical outcome was defined as a composite of hospital admission for a cardiovascular (CV) cause, emergency department recurrence for a CV cause or CV death. Logistic binary regression was used to evaluate associations of LAEF with the outcome.
Results
A total of 51.7% of patients (n=78) were males. Mean patient age was 76.6±8.0 years. A total of 38.4% of patients were diabetics (n=56), 96% had dyslipidaemia (n=145) and 25% (n=37) had atrial fibrillation. Mean left ventricular ejection fraction (LVEF) was 60.6±7.3, and mean LAVI was 41.4±12.1. In a multivariable regression model including clinical and echocardiographic markers, higher LAVI and pulmonary artery systolic pressure (PASP) were associated with lower LAEF. Receiver operating characteristic curve analysis showed that the predictive value of LAEF for outcomes at 1 year was 0.693 (AUC=0.693, CI 95% 0.578–0.809, p=0.002), performing better than other echocardiographic markers such as LAVI (AUC=0.567, CI 95% 0.440–0.694, p=0.286), PASP (AUC=0.582, CI 95% 0.451–0.714, p=0.191) and LVEF (AUC=0.590, CI 95% 0.464–0.716, p=0.153). After adjustment of baseline characteristics, a LAEF less than 41.3% remained a good predictor of clinical outcomes at 1 year (OR 2.615, CI 95% 1.085–6.305, p=0.32).
Conclusions
In this cohort of severe aortic stenosis patients, a reduced LAEF was associated with greater incidence of cardiovascular events, being a stronger predictor than LAVI, PASP or LVEF. This study suggests that LA dysfunction over LA volumes correlates better with clinical outcomes.
Funding Acknowledgement
Type of funding source: None
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Affiliation(s)
- V Goncalves
- University Hospitals of Coimbra, Cardiology, Coimbra, Portugal
| | - J Ferreira
- University Hospitals of Coimbra, Cardiology, Coimbra, Portugal
| | - J Almeida
- University Hospitals of Coimbra, Cardiology, Coimbra, Portugal
| | - A Freitas
- University Hospitals of Coimbra, Cardiology, Coimbra, Portugal
| | - R Martins
- University Hospitals of Coimbra, Cardiology, Coimbra, Portugal
| | - H Vieira
- University Hospitals of Coimbra, Cardiology, Coimbra, Portugal
| | - L Goncalves
- University Hospitals of Coimbra, Cardiology, Coimbra, Portugal
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Martins R, Urien J, Barbarot N, Sellal J, Clementy N, Guenancia C, Gandjbakhch E, Duchateau J, Hamon D, Champ-Rigot L, Marijon E, Garcia R, De Chillou C, Sacher F, Galand V. Efficacy of deep sedation for patients with intractable electrical storm refractory to anti-arrhythmic drugs. Eur Heart J 2020. [DOI: 10.1093/ehjci/ehaa946.0752] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Abstract
Background
Sympathetic overactivity is implicated in the initiation and maintenance of electrical storm (ES). Deep sedation has empirically been considered as an efficient therapeutic option to blunt sympathetic tone and control ES.
Purpose
The aim of this multicenter study was to determine the efficacy of deep sedation in patients presenting intractable ES refractory to anti-arrhythmic drugs.
Methods
Patients requiring deep sedation for refractory ES from January 1st 2007 to July 31st 2018 were retrospectively included in 13 centers. The primary endpoint was the rate of acute response to sedation, defined as ES termination within 15 minutes after deep sedation.
Results
Among the 116 patients, 55 (47.4%) had ES termination within 15 minutes and were considered “acute responders” to deep sedation. Clinical signs of congestive heart failure before deep sedation (OR=3.31, 95% CI:1.001–10.97, p=0.049) was the only independent predictor of non-acute response. Twenty-one non-acute responders (34.4%) had an extracorporeal membrane oxygenation (ECMO) implanted. Non-acute responders had a significantly lower in-hospital survival (Log-rank, p=0.010). ECMO implantation did not influence survival in non-acute responders to sedation. Acute response to deep sedation was an independent protector of in-hospital mortality, decreasing by 73% the risk of death (OR 0.27; 95% CI:0.10–0.70, p=0.008).
Conclusion
To the best of our knowledge, this multicenter study is the first analysis of the efficacy of deep sedation in patients with intractable ES refractory to anti-arrhythmic drugs, and demonstrating the positive impact of “acute response” on in-hospital survival.
Funding Acknowledgement
Type of funding source: None
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Affiliation(s)
- R Martins
- Hospital Pontchaillou of Rennes, Rennes, France
| | - J.M Urien
- Hospital Pontchaillou of Rennes, Rennes, France
| | - N Barbarot
- Yves Le Foll Hospital Centre, St Brieuc, France
| | - J.M Sellal
- University Hospital of Nancy, Nancy, France
| | - N Clementy
- University Hospital of Tours, Tours, France
| | | | | | - J Duchateau
- University Hospital of Bordeaux, Bordeaux, France
| | - D Hamon
- University Hospital Henri Mondor, Creteil, France
| | | | - E Marijon
- Hopital Europeen Georges Pompidou- University Paris Descartes, Paris, France
| | - R Garcia
- University Hospital of Poitiers, Poitiers, France
| | | | - F Sacher
- University Hospital of Bordeaux, Bordeaux, France
| | - V Galand
- Hospital Pontchaillou of Rennes, Rennes, France
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Bellec J, Simon A, Jaksic N, Caille P, Léderlin M, Lafond C, Martins R, de Crevoisier R. Radiothérapie ablative des tachycardies ventriculaires : impact des mouvements cardiaques et respiratoires sur la définition du volume cible. Cancer Radiother 2020. [DOI: 10.1016/j.canrad.2020.08.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Kaczerewska O, Martins R, Figueiredo J, Loureiro S, Tedim J. Environmental behaviour and ecotoxicity of cationic surfactants towards marine organisms. J Hazard Mater 2020; 392:122299. [PMID: 32092649 DOI: 10.1016/j.jhazmat.2020.122299] [Citation(s) in RCA: 42] [Impact Index Per Article: 10.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/02/2019] [Revised: 02/12/2020] [Accepted: 02/13/2020] [Indexed: 06/10/2023]
Abstract
Cationic surfactants are surface-active compounds that can be found in many products, including household and cleaning agents. As a consequence, they tend to be discarded into water streams, ultimately ending up in the aquatic environment. In spite of this environmental issue, studies describing their effects towards marine species are lacking. The aim of this study was therefore to evaluate the short-term exposure effects of two commercial cationic surfactants and three novel gemini surfactants on four marine species, the green microalgae Nannochloropsis gaditana and Tetraselmis chuii, the diatom Phaeodactylum tricornutum, and the crustacean Artemia salina. Furthermore, biodegradation and size distribution of the cationic surfactants in artificial seawater were also studied by UV-vis spectrophotometry and dynamic light scattering, respectively. Ecotoxicity tests revealed that the commercial cationic surfactant N-cetyl-N,N,N-trimethylammonium bromide is toxic to all tested marine species while N-dodecyl-N,N,N-trimethylammonium chloride and 1,4-bis-[N-(1-dodecyl)-N,N-dimethylammoniummethyl]benzene dibromide showed the lowest toxicity among the tested cationic surfactants. Besides the novel insights regarding the effects caused by these five cationic surfactants, this work opens prospects for the replacement of commercially available surfactants by more environmentally friendly alternatives.
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Affiliation(s)
- O Kaczerewska
- CICECO-Aveiro Institute of Materials and Department of Materials and Ceramic Engineering, University of Aveiro, 3810-193 Aveiro, Portugal.
| | - R Martins
- CESAM- Centre for Environmental and Marine Studies and Department of Biology, University of Aveiro, 3810-193 Aveiro, Portugal
| | - J Figueiredo
- CESAM- Centre for Environmental and Marine Studies and Department of Biology, University of Aveiro, 3810-193 Aveiro, Portugal
| | - S Loureiro
- CESAM- Centre for Environmental and Marine Studies and Department of Biology, University of Aveiro, 3810-193 Aveiro, Portugal
| | - J Tedim
- CICECO-Aveiro Institute of Materials and Department of Materials and Ceramic Engineering, University of Aveiro, 3810-193 Aveiro, Portugal
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Loureiro H, Pocinho M, Faria A, Azenha J, Silva M, Martins R, Veríssimo M. Effects of endurance and strength exercises associated with whey protein supplementation on quality of life (SF36) in community-dwelling seniors. Eur J Public Health 2020. [DOI: 10.1093/eurpub/ckaa040] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Introduction Ageing is a natural, physiological and markedly heterogeneous process; however, it is possible to modify the functional decline and to promote healthy ageing. The practise of physical exercise and nutrition have shown benefits in the promotion of a better quality of life (QoL).
Objectives To verify whether protein supplementation associated with physical exercise contributes to the QoL of seniors living in the community.
Methodology A clinical prospective, blind, randomized, placebo-controlled study with a control group was conducted. The sample was probabilistic and randomly assigned. They were distributed through the 4 arms of the study with 19 participants each:1-physical exercise (strength and endurance) + whey protein supplement (20g); 2-physical exercise (strength and endurance) + placebo; 3-only whey protein supplement (20g); 4-control (without intervention). Each group was assessed at baseline and past 12 weeks. QoL was evaluated through SF36, before and after the intervention. Descriptive and inferential statistics were used.
Results The sample consisted of 79 individuals, 55 women and 25 men, with a mean age of 68.54±5.72, mean height 1.57±0.09m, mean weight 72.7±14.3kg, being homogeneous with respect to age by sex and the anthropometric characteristics (body mass index, arm and leg circumferences). The comparison between the pre and post-intervention results showed that groups 1 and 2 significantly improved their QoL (p < 0.05); patients in groups 1 and 3 improved substantially more than in groups 2 and 4 (p < 0.05). Subjects in group 4 worsened their outcomes in all domains of QoL assessed.
Conclusion Protein supplementation showed a positive influence on the quality of life, primarily when associated with physical exercise. In fact, seniors who were not submitted to supplementation or a prescribed exercise showed a worsening of their quality of life throughout the study.
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Affiliation(s)
- H Loureiro
- Instituto Politécnico de Coimbra, ESTeSC – Coimbra Health School, Dietética e Nutrição, Portugal
- Faculty of Sport Sciences and Physical Education, Coimbra, Portugal
| | - M Pocinho
- Instituto Politécnico de Coimbra, ESTeSC – Coimbra Health School, Dietética e Nutrição, Portugal
| | - A Faria
- Instituto Politécnico de Coimbra, ESTeSC – Coimbra Health School, Dietética e Nutrição, Portugal
| | - J Azenha
- Instituto Politécnico de Coimbra, ESTeSC – Coimbra Health School, Dietética e Nutrição, Portugal
| | - M Silva
- Faculty of Sport Sciences and Physical Education, Coimbra, Portugal
| | - R Martins
- Faculty of Sport Sciences and Physical Education, Coimbra, Portugal
| | - M Veríssimo
- Faculty of Sport Sciences and Physical Education, Coimbra, Portugal
- Hospital of University of Coimbra, Coimbra, Portugal
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Aguiar VAP, Medina NH, Added N, Macchione ELA, Alberton SG, Leite AR, Aguirre FR, Ribas RV, Perego CC, Fagundes LM, Terassi JC, Brage JAP, Simões RF, Morais OB, Almeida EA, Joaquim PM, Souza MS, Cecotte AFM, Martins R, Duarte JG, Scarduelli VB, Allegro PRP, Escudeiro R, Leistenschneider E, Oliveira RAN, Servelo WA, Silva MT, Sarmento VE, Carreira CA, Abreu JC, Silva SC, Santos HC, Rodrigues CL, Assis RF, Silva TF, Tabacniks MH, Joaquim AS, Minas JHP, Kashinsky D, Guazzelli MA, Seixas LE, Finco S, Benevenutti F. SAFIIRA: A heavy-ion multi-purpose irradiation facility in Brazil. Rev Sci Instrum 2020; 91:053301. [PMID: 32486736 DOI: 10.1063/1.5138644] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/14/2019] [Accepted: 04/10/2020] [Indexed: 06/11/2023]
Abstract
This work describes the new facility for applied nuclear physics at the University of Sao Paulo, mainly for irradiation of electronic devices. It is a setup composed of a quadrupole doublet for beam focusing/defocusing plus multiple scattering through gold foils to produce low intensity, large-area, and high-uniformity heavy-ion beams from 1H to 107Ag. Beam intensities can be easily adjusted from 102 particles cm2/s to hundreds of nA for an area as large as 2.0 cm2 and uniformity better than 90%. Its irradiation chamber has a high-precision motorized stage, and the system is controlled by a LabViewTM environment, allowing measurement automation. Design considerations and examples of use are presented.
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Affiliation(s)
- V A P Aguiar
- Institute of Physics, University of Sao Paulo, 05508-090 São Paulo, Brazil
| | - N H Medina
- Institute of Physics, University of Sao Paulo, 05508-090 São Paulo, Brazil
| | - N Added
- Institute of Physics, University of Sao Paulo, 05508-090 São Paulo, Brazil
| | - E L A Macchione
- Institute of Physics, University of Sao Paulo, 05508-090 São Paulo, Brazil
| | - S G Alberton
- Institute of Physics, University of Sao Paulo, 05508-090 São Paulo, Brazil
| | - A R Leite
- Institute of Physics, University of Sao Paulo, 05508-090 São Paulo, Brazil
| | - F R Aguirre
- Institute of Physics, University of Sao Paulo, 05508-090 São Paulo, Brazil
| | - R V Ribas
- Institute of Physics, University of Sao Paulo, 05508-090 São Paulo, Brazil
| | - C C Perego
- Institute of Physics, University of Sao Paulo, 05508-090 São Paulo, Brazil
| | - L M Fagundes
- Institute of Physics, University of Sao Paulo, 05508-090 São Paulo, Brazil
| | - J C Terassi
- Institute of Physics, University of Sao Paulo, 05508-090 São Paulo, Brazil
| | - J A P Brage
- Institute of Physics, University of Sao Paulo, 05508-090 São Paulo, Brazil
| | - R F Simões
- Institute of Physics, University of Sao Paulo, 05508-090 São Paulo, Brazil
| | - O B Morais
- Institute of Physics, University of Sao Paulo, 05508-090 São Paulo, Brazil
| | - E A Almeida
- Institute of Physics, University of Sao Paulo, 05508-090 São Paulo, Brazil
| | - P M Joaquim
- Institute of Physics, University of Sao Paulo, 05508-090 São Paulo, Brazil
| | - M S Souza
- Institute of Physics, University of Sao Paulo, 05508-090 São Paulo, Brazil
| | - A F M Cecotte
- Institute of Physics, University of Sao Paulo, 05508-090 São Paulo, Brazil
| | - R Martins
- Institute of Physics, University of Sao Paulo, 05508-090 São Paulo, Brazil
| | - J G Duarte
- Institute of Physics, University of Sao Paulo, 05508-090 São Paulo, Brazil
| | - V B Scarduelli
- Institute of Physics, University of Sao Paulo, 05508-090 São Paulo, Brazil
| | - P R P Allegro
- Institute of Physics, University of Sao Paulo, 05508-090 São Paulo, Brazil
| | - R Escudeiro
- Institute of Physics, University of Sao Paulo, 05508-090 São Paulo, Brazil
| | - E Leistenschneider
- Institute of Physics, University of Sao Paulo, 05508-090 São Paulo, Brazil
| | - R A N Oliveira
- Institute of Physics, University of Sao Paulo, 05508-090 São Paulo, Brazil
| | - W A Servelo
- Institute of Physics, University of Sao Paulo, 05508-090 São Paulo, Brazil
| | - M T Silva
- Institute of Physics, University of Sao Paulo, 05508-090 São Paulo, Brazil
| | - V E Sarmento
- Institute of Physics, University of Sao Paulo, 05508-090 São Paulo, Brazil
| | - C A Carreira
- Institute of Physics, University of Sao Paulo, 05508-090 São Paulo, Brazil
| | - J C Abreu
- Institute of Physics, University of Sao Paulo, 05508-090 São Paulo, Brazil
| | - S C Silva
- Institute of Physics, University of Sao Paulo, 05508-090 São Paulo, Brazil
| | - H C Santos
- Institute of Physics, University of Sao Paulo, 05508-090 São Paulo, Brazil
| | - C L Rodrigues
- Institute of Physics, University of Sao Paulo, 05508-090 São Paulo, Brazil
| | - R F Assis
- Institute of Physics, University of Sao Paulo, 05508-090 São Paulo, Brazil
| | - T F Silva
- Institute of Physics, University of Sao Paulo, 05508-090 São Paulo, Brazil
| | - M H Tabacniks
- Institute of Physics, University of Sao Paulo, 05508-090 São Paulo, Brazil
| | - A S Joaquim
- Institute of Physics, University of Sao Paulo, 05508-090 São Paulo, Brazil
| | - J H P Minas
- Institute of Physics, University of Sao Paulo, 05508-090 São Paulo, Brazil
| | - D Kashinsky
- Institute of Physics, University of Sao Paulo, 05508-090 São Paulo, Brazil
| | - M A Guazzelli
- Universitary Center of FEI, 09850-901 São Bernardo do Campo, Brazil
| | - L E Seixas
- Information Technology Center, 13069-901 Campinas, Brazil
| | - S Finco
- Information Technology Center, 13069-901 Campinas, Brazil
| | - F Benevenutti
- Federal University of Rio Grande do Sul, 91509-900 Porto Alegre, Brazil
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Martín-Sierra C, Martins R, Coucelo M, Abrantes AM, Oliveira RC, Tralhão JG, Botelho MF, Furtado E, Domingues MR, Paiva A, Laranjeira P. Elevated soluble TNFα levels and upregulated TNFα mRNA expression in purified peripheral blood monocyte subsets associated with high-grade hepatocellular carcinoma. J Inflamm (Lond) 2020; 17:14. [PMID: 32256215 PMCID: PMC7106708 DOI: 10.1186/s12950-020-00243-7] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/13/2019] [Accepted: 03/13/2020] [Indexed: 01/20/2023] Open
Abstract
BACKGROUND Chronic inflammation is involved in the initiation and progression of various cancers, including liver cancer. The current study focuses on the characterization of the peripheral immune response in hepatocellular carcinoma (HCC) and cholangiocarcinoma (CCA) patients, before and after surgical procedure, in order to assess the effect of tumor resection in the immune system homeostasis and to determine possible prognostic factors associated with high-grade tumors. We developed a whole-blood assay to monitor immune alterations and functional competence of peripheral monocytes in a group of 10 healthy individuals (HG), in 20 HCC patients and 8 CCA patients, by multi-color flow cytometry, qRT-PCR, and ELISA techniques. RESULTS The qRT-PCR analysis showed an upregulation of TNFα expression by classical and intermediate monocytes purified from HCC patients presenting tumors in grade G3-G4 as compared to G1-G2 HCC patients. Moreover, ELISA assay confirmed elevated serum levels of TNFα in G3-G4 compared to G1-G2 HCC patients. A significant decrease of circulating non-classical monocytes was detected in both CCA and HCC patients before and after surgical procedure. In addition, a functional defect in circulating classical and intermediate monocytes was observed in both groups of cancer patients when compared to the HG, with partial recovery after the surgical intervention. CONCLUSIONS This integrated analysis permitted the identification of altered functional competence of monocyte subsets in CCA and HCC patients. In addition, our results point to a potential role of TNFα as a prognostic peripheral biomarker in HCC patients, indicating the presence of high-grade tumors that should be further validated.
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Affiliation(s)
- C. Martín-Sierra
- Flow Cytometry Unit, Clinical Pathology Service, Centro Hospitalar e Universitário de Coimbra, Praceta Prof. Mota Pinto, Ed. S. Jerónimo, 3° piso, Coimbra, Portugal
- Coimbra Institute for Clinical and Biomedical Research (iCBR), Faculty of Medicine, University of Coimbra, Coimbra, Portugal
- Center for Innovative Biomedicine and Biotechnology (CIBB), University of Coimbra, Coimbra, Portugal
| | - R. Martins
- Unidade Transplantação Hepática Pediátrica e de Adultos, Centro Hospitalar e Universitário de Coimbra (UTHPA, CHUC), Coimbra, Portugal
- Serviço de Cirurgia Geral, Unidade HBP, Centro Hospitalar e Universitário de Coimbra (CHUC), Coimbra, Portugal
- Instituto de Biofísica, IBILI, Faculdade de Medicina, Universidade de Coimbra, Coimbra, Portugal
- Coimbra Institute for Clinical and Biomedical Research (iCBR) area of Environment Genetics and Oncobiology (CIMAGO), Faculty of Medicine, University of Coimbra, Coimbra, Portugal
| | - M. Coucelo
- Unidade de Hematologia Molecular, Serviço de Hematologia Clínica, Centro Hospitalar e Universitário de Coimbra (CHUC), Coimbra, Portugal
| | - A. M. Abrantes
- Instituto de Biofísica, IBILI, Faculdade de Medicina, Universidade de Coimbra, Coimbra, Portugal
- Coimbra Institute for Clinical and Biomedical Research (iCBR) area of Environment Genetics and Oncobiology (CIMAGO), Faculty of Medicine, University of Coimbra, Coimbra, Portugal
| | - R. C. Oliveira
- Instituto de Biofísica, IBILI, Faculdade de Medicina, Universidade de Coimbra, Coimbra, Portugal
- Coimbra Institute for Clinical and Biomedical Research (iCBR) area of Environment Genetics and Oncobiology (CIMAGO), Faculty of Medicine, University of Coimbra, Coimbra, Portugal
- Serviço de Anatomia Patológica, Centro Hospitalar e Universitário de Coimbra (CHUC), Coimbra, Portugal
| | - J. G. Tralhão
- Unidade Transplantação Hepática Pediátrica e de Adultos, Centro Hospitalar e Universitário de Coimbra (UTHPA, CHUC), Coimbra, Portugal
- Serviço de Cirurgia Geral, Unidade HBP, Centro Hospitalar e Universitário de Coimbra (CHUC), Coimbra, Portugal
- Instituto de Biofísica, IBILI, Faculdade de Medicina, Universidade de Coimbra, Coimbra, Portugal
- Coimbra Institute for Clinical and Biomedical Research (iCBR) area of Environment Genetics and Oncobiology (CIMAGO), Faculty of Medicine, University of Coimbra, Coimbra, Portugal
| | - M. F. Botelho
- Instituto de Biofísica, IBILI, Faculdade de Medicina, Universidade de Coimbra, Coimbra, Portugal
- Coimbra Institute for Clinical and Biomedical Research (iCBR) area of Environment Genetics and Oncobiology (CIMAGO), Faculty of Medicine, University of Coimbra, Coimbra, Portugal
| | - E. Furtado
- Unidade Transplantação Hepática Pediátrica e de Adultos, Centro Hospitalar e Universitário de Coimbra (UTHPA, CHUC), Coimbra, Portugal
| | - M. R. Domingues
- Mass Spectrometry Centre, Department of Chemistry & QOPNA, University of Aveiro, Campus Universitário de Santiago, Aveiro, Portugal
| | - A. Paiva
- Flow Cytometry Unit, Clinical Pathology Service, Centro Hospitalar e Universitário de Coimbra, Praceta Prof. Mota Pinto, Ed. S. Jerónimo, 3° piso, Coimbra, Portugal
- Coimbra Institute for Clinical and Biomedical Research (iCBR), Faculty of Medicine, University of Coimbra, Coimbra, Portugal
- Center for Innovative Biomedicine and Biotechnology (CIBB), University of Coimbra, Coimbra, Portugal
- Instituto Politécnico de Coimbra, ESTESC-Coimbra Health School, Ciências Biomédicas Laboratoriais, Coimbra, Portugal
| | - P. Laranjeira
- Flow Cytometry Unit, Clinical Pathology Service, Centro Hospitalar e Universitário de Coimbra, Praceta Prof. Mota Pinto, Ed. S. Jerónimo, 3° piso, Coimbra, Portugal
- Coimbra Institute for Clinical and Biomedical Research (iCBR), Faculty of Medicine, University of Coimbra, Coimbra, Portugal
- Center for Innovative Biomedicine and Biotechnology (CIBB), University of Coimbra, Coimbra, Portugal
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Cotrim C, Joao I, Guardado J, Cordeiro P, Sampaio MANA, Marques A, Cafe H, Martins R, Cotrim H, Baquero L. P794 Treadmill exercise stress echocardiography in children; our experience. Eur Heart J Cardiovasc Imaging 2020. [DOI: 10.1093/ehjci/jez319.450] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Background
Exercise stress echocardiography (ESE) is routinely used in adults but its role in children (C) is less established
Purpose
To assess the feasibility and clinical value of ESE in outpatient children
Methods
We enrolled 309 consecutive C (mean age = 14,1 ± 2,6 years, range 6-17 yrs) who underwent treadmill ESE between 2002 and 2019: One group (Group I) of 258 C including: 237 with exercise related symptoms (chest pain and/or dyspnea and/ or lypotimia-syncope), 15 with resting ECG alterations, 6 with positive ECG stress test and other group of C (Group II) including: 10 asymptomatic for screening requested by parents, 11 with symptoms unrelated to exercise, 12 with antecedents of sudden death in the family, and 17 with known pathology - 10 with hypertrophic cardiomyopathy, 2 with aortic coarctation, 1 each with Cortriatriatum sinister, pulmonary stenosis, subaortic stenosis, bicuspid aortic valve, left ventricular hypertrophy related to arterial hypertension, aortic switch operation. Regional wall motion abnormalities (RWMA) by 2-D and continuous wave Doppler (transvalvular or transaortic or intraventricular (IVG) gradients were assessed in all.
Results
The success rate was 309/309 (100%). Only one complication (allowing asthma diagnosis by serendipity) occurred: a severe asthmatic crisis in one girl studied because of chest pain with exercise (with ESE negativity), Stress-induced RWMA occurred in 2 pts (one with HCM, the other with normal coronary arteries). A significant orthostatic exercise induced IVG (> 30 mmHg) was present in 101 of the 258 C (39%) studied due to symptoms, ECG alterations or positive stress ECG.
In group II the C with induced IVG attained
greater heart rate (HR) 184 ± 12 vs 174 ± 16 (p < 0,001); greater blood pressure (BP) 150 ± 19 mmHg vs 136 ± 23 mmHg (p < 0,001). The OR to the reproduced symptoms that motivated the exam during the SE comparing the 101 C with IVG with the 158 without IVG was 8,22 (4,83-13,99) p < 0,001 (95% CI).
Conclusions
Treadmill ESE is feasible and safe in young people. RWMA are of limited usefulness in our outpatient C group. Doppler often documents significant exercise induced IVG, occult at rest that associate with symptoms.
Abstract P794 Figure. ESE Induced IVG in a C with chest pain
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Affiliation(s)
- C Cotrim
- Hospital da Cruz Vermelha, Heart Center, Lisbon, Portugal
| | - I Joao
- Hospital Garcia de Orta, Department of Cardiology, Almada, Portugal
| | | | - P Cordeiro
- Hospital Particular do Algarve, Cardiology, Faro, Portugal
| | - M ANA Sampaio
- Hospital da Cruz Vermelha, Heart Center, Lisbon, Portugal
| | - A Marques
- Hospital Garcia de Orta, Department of Cardiology, Almada, Portugal
| | - H Cafe
- Hospital Particular do Algarve, Cardiology, Faro, Portugal
| | - R Martins
- Centro de investigação Interdisciplinar Egas Moniz (CiiEM), Costa da Caparica, Portugal
| | | | - L Baquero
- Hospital da Cruz Vermelha, Heart Center, Lisbon, Portugal
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Waldmann V, Bouzeman A, Duthoit G, Koutbi R, Bessiere F, Hermida A, Elbaz N, Messali A, Garcia R, Pujadas P, Halimi F, Bun S, Lagrange P, De Guillebon M, Mansourati J, Da Costa A, Martins R, Gourraud J, Combes N, Marijon E. Electrocardiographic predictors of appropriate implantable cardioverter defibrillator therapies in patients with tetralogy of Fallot. Archives of Cardiovascular Diseases Supplements 2020. [DOI: 10.1016/j.acvdsp.2019.09.240] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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