The Recovery of Weight-Bearing Symmetry After Total Hip Arthroplasty Is Activity-Dependent

This study aimed to characterize ipsilateral loading and return to weight-bearing symmetry (WBS) in patients undergoing total hip arthroplasty (THA) during activities of daily living (ADLs) using instrumented insoles. A prospective study in 25 THA patients was performed, which included controlled pre- and postoperative follow-ups in a single rehabilitation center of an orthopedic department. Ipsilateral loading and WBS of ADLs were measured with insoles in THA patients and in a healthy control group of 25 participants. Measurements in the THA group were performed at 4 different visits: a week pre-THA, within a week post-THA, 3-6 weeks post-THA, and 6-12 weeks post-THA, whereas the healthy control group was measured once. ADLs included standing comfortably, standing evenly, walking, and sit-to-stand-to-sit (StS) transitions. All ADLs were analyzed using discrete methods, and walking included a time-scale analysis to provide temporal insights in the ipsilateral loading and WBS waveforms. THA patients only improved beyond their pre-surgery levels while standing comfortably (ipsilateral loading and WBS, p < 0.05) and during StS transitions (WBS, p < 0.05). Nevertheless, patients improved upon their ipsilateral loading and WBS deficits observed within a week post-surgery across all investigated ADLs. Ipsilateral loading and WBS of THA patients were comparable to healthy participants at 6-12 weeks post-THA, except for ipsilateral loading during walking (p < 0.05) at the initial and terminal double-leg support period of the stance phase. Taken together, insole measurements allow for the quantification of ipsilateral loading and WBS deficits during ADLs, identifying differences between pre- and postoperative periods, and differentiating THA patients from healthy participants. However, post-THA measurements that lack pre-surgery assessments may not be sensitive to identifying patient-specific improvements in ipsilateral loading and WBS. Moreover, StS transitions and earlier follow-up time points should be considered an important clinical metric of biomechanical recovery after THA

Bioelectrochemically-assisted recovery of valuable resources from urine

Book of Abstracts of CEB Annual Meeting 2017[Excerpt] Source separated urine is highly concentrated in nutrients and biodegradable compounds. This work explores the potential of combining nutrient recovery from urine with simultaneous energy production in bioelectrochemical systems (BES), under the FP7 project "ValueFromUrine". Non-spontaneous phosphorus (P) recovery by struvite precipitation was analysed by adding three different magnesium (Mg) sources (magnesium chloride (MgCl2), magnesium hydroxide (Mg(OH)2) and magnesium oxide (MgO)). A statistical design of experiments was used to evaluate the effect of Mg:P molar ratio (1:1, 1.5:1 and 2:1) combined with stirring speed (30, 45 and 60 rpm) for each Mg source tested. MgO at 2:1 molar ratio and a stirring speed of 30 rpm allowed to achieve the highest P recovery efficiency (99 %) with struvite crystals size of 50 to 100 μm [1]. Urine obtained after P recovery, showed high concentration of biodegradable compounds being subsequently fed as substrate in a microbial fuel cell (MFC). Microbial acclimation to urine was performed in a MFC resulting in an anaerobic community successfully enriched in “urine-degrading” electroactive microorganisms. When compared to the control assay operated without preliminary microbial enrichment (81±9 mA m-2), the acclimation method achieved significantly higher current density (455 mA m-2) (p<0.05). Tissierella and Paenibacillus were the dominant genus identified in the adapted microbial community. Tissierella can convert creatinine to acetate, whereas bacterial species belonging to the Paenibacillus genus are known to function as exoelectrogens. Corynebacterium that comprise urea-hydrolysing bacteria was also detected in the developed biofilms. [...]info:eu-repo/semantics/publishedVersio

Adhesive bioactive coatings inspired by sea life

Inspired by nature, in particular by the marine mussels adhesive proteins (MAPs) and by the tough brick-and-mortar nacre-like structure, novel multilayered films are prepared in the present work. Organic-inorganic multilayered films, with an architecture similar to nacre based on bioactive glass nanoparticles (BG), chitosan and hyaluronic acid modified with catechol groups, which are the main responsible for the outstanding adhesion in MAPs, are developed for the first time. The biomimetic conjugate is prepared by carbodiimide chemistry and analyzed by ultraviolet-visible spectrophotometry. The build-up of the multilayered films is monitored with a quartz crystal microbalance with dissipation monitoring and their topography is characterized by atomic force microscopy. The mechanical properties reveal that the films containing catechol groups and BG present an enhanced adhesion. Moreover, the bioactivity of the films upon immersion in a simulated body fluid solution for 7 days is evaluated by scanning electron microscopy coupled with energy dispersive X-ray spectroscopy, Fourier transform infrared spectroscopy and X-ray diffraction. It was found that the constructed films promote the formation of bone-like apatite in vitro. Such multifunctional mussel inspired LbL films, which combine enhanced adhesion and bioactivity, could be potentially used as coatings of a variety of implants for orthopedic applications.The authors want to acknowledge the Portuguese Foundation for Science and Technology (FCT) and the European program FEDER/COMPETE for the financial support through project BioSeaGlue: EXPL/CTM-BIO/0646/2013 (FCOMP-01-0124- FEDER-041105)

Parents’ Perceptions of Student Academic Motivation During the COVID-19 Lockdown: A Cross-Country Comparison

The COVID-19 outbreak has ravaged all societal domains, including education. Home confinement, school closures, and distance learning impacted students, teachers, and parents’ lives worldwide. In this study, we aimed to examine the impact of COVID-19-related restrictions on Italian and Portuguese students’ academic motivation as well as investigate the possible buffering role of extracurricular activities. Following a retrospective pretest–posttest design, 567 parents (nItaly = 173, nPortugal = 394) reported on their children’s academic motivation and participation in extracurricular activities (grades 1 to 9).info:eu-repo/semantics/publishedVersio

Quantifying Asymmetry in Gait: The Weighted Universal Symmetry Index to Evaluate 3D Ground Reaction Forces

Though gait asymmetry is used as a metric of functional recovery in clinical rehabilitation, there is no consensus on an ideal method for its evaluation. Various methods have been proposed to analyze single bilateral signals but are limited in scope, as they can often use only positive signals or discrete values extracted from time-scale data as input. By defining five symmetry axioms, a framework for benchmarking existing methods was established and a new method was described here for the first time: the weighted universal symmetry index (wUSI), which overcomes limitations of other methods. Both existing methods and the wUSI were mathematically compared to each other and in respect to their ability to fulfill the proposed symmetry axioms. Eligible methods that fulfilled these axioms were then applied using both discrete and continuous approaches to ground reaction force (GRF) data collected from healthy gait, both with and without artificially induced asymmetry using a single instrumented elbow crutch. The wUSI with a continuous approach was the only symmetry method capable of identifying GRF asymmetry differences in different walking conditions in all three planes of motion. When used with a continuous approach, the wUSI method was able to detect asymmetries while avoiding artificial inflation, a common problem reported in other methods. In conclusion, the wUSI is proposed as a universal method to quantify three-dimensional GRF asymmetries, which may also be expanded to other biomechanical signals

Ecology and diversity of Solanum trisectum Dunal from Madeira Island: implications for Its conservation

Solanum trisectum Dunal is an endemic Solanaceae of Madeira Island (Portugal), considered critically endangered due to its extreme rarity. Since its discovery this species has shown a narrow distributional range mainly on the northern side of the island, with scattered and small populations and large time gaps between sightings. The present work aimed to understand the underlying ecological underpinnings for this species rarity towards an effort to increase the success of conservation actions. Data on historical locations, environmental conditions field surveys, reinforcement in situ and ex situ germination trials were obtained. The species was found to currently occur only in two wild populations and two reinforcement sites, amounting to twenty-four plants in total. Statistical analysis of these data related wild populations and successful reinforcement sites, separating them from other sites where the reinforcement did not succeed. This suggests that the successful reinforcement sites showed conditions more similar to wild population sites compared to non-successful ones. The data obtained supports the hypothesis that S. trisectum distribution and rarity is determined by species specific habitat needs, i.e., abiotic conditions, which have been for the first time assessed during the present work. Further, this study also reinforces the classification of S. trisectum as a top priority species for conservation.Prospecting, Monitoring and Conservation of Normania triphylla in Madeira (Mohamed bin Zayed Species (project number 13255498)) and Madeira PO 14-20, contract CASBIO (ref M1420-01- 0145-FEDER-000011 ).info:eu-repo/semantics/publishedVersio

Source apportionment of PM2.5 in the pre-pandemic versus pandemic period in an area near Lisbon: lessons for air quality management

Trabalho apresentado em European Aerosol Conference - EAC2023, 3-8 setembro 2023, Málaga, EspanhaN/

Source apportionment of PM2.5 before and after COVID-19 lockdown in an urban-industrial area of the Lisbon metropolitan area, Portugal

The lockdowns held due to the COVID-19 pandemic conducted to changes in air quality. This study aimed to understand the variability of PM2.5 levels and composition in an urban-industrial area of the Lisbon Metropolitan Area and to identify the contribution of the different sources. The composition of PM2.5 was assessed for 24 elements (by PIXE), secondary inorganic ions and black carbon. The PM2.5 mean concentration for the period (December 2019 to November 2020) was 13 ± 11 μg.m−3. The most abundant species in PM2.5 were BC (19.9%), SO42− (15.4%), NO3− (11.6%) and NH4+ (5.3%). The impact of the restrictions imposed by the COVID-19 pandemic on the PM levels was found by comparison with the previous six years. The concentrations of all the PM2.5 components, except Al, Ba, Ca, Si and SO42−, were significantly higher in the winter/pre-confinement than in post-confinement period. A total of seven sources were identified by Positive Matrix Factorisation (PMF): soil, secondary sulphate, fuel-oil combustion, sea, vehicle non-exhaust, vehicle exhaust, and industry. Sources were greatly influenced by the restrictions imposed by the COVID-19 pandemic, with vehicle exhaust showing the sharpest decrease. Secondary sulphate predominated in summer/post-confinement. PM2.5 levels and composition also varied with the types of air mass trajectories.info:eu-repo/semantics/publishedVersio

Combined tools for surgical case packages contents and cost optimization: a preliminary study

This paper presents a solution proposal based on mathematical and statistical tools to optimize Surgical Case Packages of an Operating Room (OR) in a Portuguese public hospital that it is the most complex environment in a hospital. In this particular hospital, more than 27000 surgeries/year are performed, employing, sometimes, misadjusted composition of standard surgical packages and non-optimized grouping of surgical instruments. Problem consequences are, among others, high transport of various surgical cases packages; high number of open cases and delays in surgical times following surgery. These type of problems are waste that do not add value to the service in the context of Lean Healthcare and must be eliminated using the most suitable tools. After the analysis, different tools were used: combinatorial analysis to optimize surgical cases composition and statistical analysis to identify the instruments usage and surgical basic case patterns. An optimization model was developed which produced a sterilizing initial solution of 135.24€. By identifying the most commonly employed instruments, it was concluded that some instruments have never been used and others rarely and some patterns were identified. The results achieved were based on minor sample and in a form of data collection that needs some adjustments.The authors want to acknowledge the Portuguese public hospital involved and to the ESGI initiative. The authors also would like to express their acknowledgments to national funds by COMPETE: POCI-01-0145-FEDER-007043 and FCT - Fundacao para a Ciencia e Tecnologia within the Project Scope: UID/CEC/00319/2013.info:eu-repo/semantics/publishedVersio

risk of exposure and income loss in Portugal

Funding Information: We thank all the participants who answered the questionnaire for their contribution to this study. We extend our thanks to Funda??o Ci?ncia e Tecnologia for funding Research 4 Covid-19 (Ref FCT n? 608). Funding Information: The present publication was funded by Fundação Ciência e Tecnologia, IP national support through CHRC (UIDP/04923/2020). Funding Information: We thank all the participants who answered the questionnaire for their contribution to this study. We extend our thanks to Fundação Ciência e Tecnologia for funding Research 4 Covid-19 (Ref FCT n° 608). Publisher Copyright: © 2021, The Author(s).Background: Increasing evidence indicates that the first wave of the COVID-19 pandemic had immediate health and social impact, disproportionately affecting certain socioeconomic groups. Assessing inequalities in risk of exposure and in adversities faced during the pandemic is critical to inform targeted actions that effectively prevent disproportionate spread and reduce social and health inequities. This study examines i) the socioeconomic and mental health characteristics of individuals working in the workplace, thus at increased risk of COVID-19 exposure, and ii) individual income losses resulting from the pandemic across socioeconomic subgroups of a working population, during the first confinement in Portugal. Methods: This study uses data from ‘COVID-19 Barometer: Social Opinion’, a community-based online survey in Portugal. The sample for analysis comprised n = 129,078 workers. Logistic regressions were performed to estimate the adjusted odds ratios (AOR) of factors associated with working in the workplace during the confinement period and with having lost income due to the pandemic. Results: Over a third of the participants reported working in the workplace during the first confinement. This was more likely among those with lower income [AOR = 2.93 (2.64-3.25)], lower education [AOR = 3.17 (3.04-3.30)] and working as employee [AOR = 1.09 (1.04-1.15)]. Working in the workplace was positively associated with frequent feelings of agitation, anxiety or sadness [AOR = 1.14 (1.09-1.20)] and perception of high risk of infection [AOR = 11.06 (10.53-11.61)]. About 43% of the respondents reported having lost income due to the pandemic. The economic consequences affected greatly the groups at increased risk of COVID-19 exposure, namely those with lower education [AOR = 1.36 (1.19-1.56)] and lower income [AOR = 3.13 (2.47-3.96)]. Conclusions: The social gradient in risk of exposure and in economic impact of the pandemic can result in an accumulated vulnerability for socioeconomic deprived populations. The COVID-19 pandemic seems to have a double effect in these groups, contributing to heightened disparities and poor health outcomes, including in mental health. Protecting the most vulnerable populations is key to prevent the spread of the disease and mitigate the deepening of social and health disparities. Action is needed to develop policies and more extensive measures for reducing disproportionate experiences of adversity from the COVID-19 pandemic among most vulnerable populations.publishersversionpublishe