Kounis Syndrome Associated With Selective Anaphylaxis to Cefazolin.

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Economias externas espaciais e desenvolvimento regional

Mestrado em Planeamento Regional e Urbanoinfo:eu-repo/semantics/publishedVersio

Modelação hidrológica da bacia drenante da albufeira de Pracana

O uso inadequado do solo assim como práticas agrícolas incorrectas podem ter como consequência a contaminação dos recursos hídricos por poluição de origem difusa.Na perspectiva de identificar possíveis fontes de poluição, o objectivo deste trabalho é quantificar as cargas de nutrientes de origem natural, urbana e agrícola que chegam à albufeira de Pracana. Pretende-se efectuar a análise das alterações de carga resultantes de diferentes cenários do uso do solo, recorrendo à modelação matemática. Este conhecimento vai contribuir para a compreensão dos processos que dão origem à poluição existente na albufeira e os factores que condicionam o seu estado trófico.A ferramenta utilizada para a realização do estudo foi o modelo SWAT (Soil Water Assessment Tool, USDA Agricultural Research Service)

Anaphylaxis to clavulanic acid: seven-year survey

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Sympatric threatened Iberian leuciscids exhibit differences in Aeromonas diversity and skin lesions’ prevalence

Funding: This research was supported by CIISA - Centro de Investigação Interdisciplinar em Sanidade Animal, Faculdade de Medicina Veterinária, Universidade de Lisboa, Project UIDB/00276/2020 (funded by FCT - Fundação para a Ciência e Tecnologia IP) and by MARE (MARE-ISPA), MARE/UIDB/MAR/04292/2020 and strategic project MARE/UIDP/MAR/04292/2020 (also funded by FCT). MLG thanks funding by the University of Lisbon (PhD fellowship C10571K). TAM thanks partial support by CEAUL (funded by FCT, Portugal, through the project UIDB/00006/2020).Assessments regarding health aspects of Iberian leuciscids are limited. There is currently an information gap regarding effects of infectious diseases on these populations and their role as a possible conservation threat. Moreover, differences in susceptibility to particular agents, such as Aeromonas spp., by different species/populations is not clear. To understand potential differences in Aeromonas diversity and load, as well as in the prevalence and proportion of skin lesions, in fishes exposed to similar environmental conditions, an observational study was implemented. Using a set of 12 individuals belonging to two sympatric Iberian leuciscid species (Squalius pyrenaicus and Iberochondrostoma lusitanicum), the skin lesion score in each individual was analyzed. Furthermore, a bacterial collection of Aeromonas spp. isolated from each individual was created and isolates’ load was quantified by plate counting, identified at species level using a multiplex-PCR assay and virulence profiles established using classical phenotypic methods. The similarity relationships of the isolates were evaluated using a RAPD analysis. The skin lesion score was significantly higher in S. pyrenaicus, while the Aeromonas spp. load did not differ between species. When analyzing Aeromonas species diversity between fishes, different patterns were observed. A predominance of A. hydrophila was detected in S. pyrenaicus individuals, while I. lusitanicum individuals displayed a more diverse structure. Similarly, the virulence index of isolates from S. pyrenaicus was higher, mostly due to the isolated Aeromonas species. Genomic typing clustered the isolates mainly by fish species and skin lesion score. Specific Aeromonas clusters were associated with higher virulence indexes. Current results suggest potential differences in susceptibility to Aeromonas spp. at the fish species/individual level, and constitute important knowledge for proper wildlife management through the signalization of at-risk fish populations and hierarchization of conservation measures.Publisher PDFPeer reviewe

Hydrological Modeling in temporary streams: A case study in Pardiela basin, Southern Portugal

The project “Conservation and rehabilitation strategies for temporary Mediterranean river corridors: a case study on Pardiela basin, southern Portugal (Guadiana basin)", is being carried out,with the collaboration of researchers from diverse scientific areas, in order to increase the knowledge on temporary streams. The project includes different approaches at reach and basin scales, regarding the study of temporal interactions among different ecological components such as climate, morphology of stream corridor and hydrology. The obtained results were integrated in basin models: Mohid Land, an integrant part of the software Mohid River Network and in SWAT model. The outputs from Mohid Land model defined that there is 10% average of probability of total annual runoff occurrence in headwater reaches. This means that, in headwaters reaches,which represent the major area of the river basin, the percentage of time without runoff is close to 90%, exposing the ephemerality of temporary headwater reaches, the most fragile areas. The main issue related to temporary rivers is regarding water scarcity since rainfall is concentrated in small temporal events which makes water availability management a complex issue. The sustainable development at local and regional levels requires the improvement of conservation and rehabilitation strategies for this ecosystem

A systematic review of the adherence to home-practice meditation exercises in patients with chronic pain

Mindfulness-, compassion-, and acceptance-based (i.e., “third wave”) psychotherapies are effective for treating chronic pain conditions. Many of these programs require that patients engage in the systematic home practice of meditation experiences so they can develop meditation skills. This systematic review aimed at evaluating the frequency, duration, and effects of home practice in patients with chronic pain undergoing a “third wave” psychotherapy. A comprehensive database search for quantitative studies was conducted in PubMed, Embase, and Web of Sciences Core Collection; 31 studies fulfilled the inclusion criteria. The reviewed studies tended to indicate a pattern of moderately frequent practice (around four days/week), with very high variability in terms of time invested; most studies observed significant associations between the amount of practice and positive health outcomes. Mindfulness-Based Stress Reduction and Mindfulness-Based Cognitive Therapy were the most common interventions and presented low levels of adherence to home practice (39.6% of the recommended time). Some studies were conducted on samples of adolescents, who practiced very few minutes, and a few tested eHealth interventions with heterogeneous adherence levels. In conclusion, some adaptations may be required so that patients with chronic pain can engage more easily and, thus, effectively in home meditation practices

Molecular epidemiology, virulence traits and antimicrobial resistance signatures of Aeromonas spp. in the critically endangered Iberochondrostoma lusitanicum follow geographical and seasonal patterns

This research was supported by CIISA—Centro de Investigação Interdisciplinar em Sanidade Animal, Faculdade de Medicina Veterinária, Universidade de Lisboa, Project UIDB/00276/2020 (funded by FCT—Fundação para a Ciência e Tecnologia IP) and by MARE (MARE-ISPA), MARE/UIDB/MAR/04292/2020 and strategic project MARE/UIDP/MAR/04292/2020 (also funded by FCT). M.L.G. thanks funding by the University of Lisbon (PhD fellowship C10571K). T.A.M. and C.S.M. thank partial support by CEAUL (funded by FCT, Portugal, through the project UIDB/00006/2020).Despite the fact that freshwater fish populations are experiencing severe declines worldwide, our knowledge on the interaction between endangered populations and pathogenic agents remains scarce. In this study, we investigated the prevalence and structure of Aeromonas communities isolated from the critically endangered Iberochondrostoma lusitanicum, a model species for threatened Iberian leuciscids, as well as health parameters in this species. Additionally, we evaluated the virulence profiles, antimicrobial resistance signatures and genomic relationships of the Aeromonas isolates. Lesion prevalence, extension and body condition were deeply affected by location and seasonality, with poorer performances in the dry season. Aeromonas composition shifted among seasons and was also different across river streams. The pathogenic potential of the isolates significantly increased during the dry season. Additionally, isolates displaying clinically relevant antimicrobial resistance phenotypes (carbapenem and fluroquinolone resistance) were detected. As it inhabits intermittent rivers, often reduced to disconnected pools during the summer, the dry season is a critical period for I. lusitanicum, with lower general health status and a higher potential of infection by Aeromonas spp. Habitat quality seems a determining factor on the sustainable development of this fish species. Also, these individuals act as reservoirs of important antimicrobial resistant bacteria with potential implications for public health.Publisher PDFPeer reviewe

Aeromonas spp. prevalence, virulence and antimicrobial resistance in an ex situ program for threatened freshwater fish – a pilot study with protective measures

This research was supported by CIISA - Centro de Investigação Interdisciplinar em Sanidade Animal, Faculdade de Medicina Veterinária, Universidade de Lisboa, Project UIDB/00276/2020 (funded by FCT - Fundação para a Ciência e Tecnologia IP), by MARE (MARE-ISPA), MARE/UIDB/MAR/04292/2020 and strategic project MARE/UIDP/MAR/04292/2020 (also funded by FCT) and by the Zebra Foundation for Veterinary Zoological Education, Grant “A. hydrophila in Iberochondrostoma lusitanicum”. MLG thanks funding by the University of Lisbon (PhD fellowship C10571K). TAM and CM thank partial support by CEAUL (funded by FCT, Portugal, through the project UIDB/00006/2020).Ex situ breeding programs are important conservation tools for endangered freshwater fish. However, developing husbandry techniques that decrease the likelihood of disease, antimicrobial resistance, and virulence determinants acquisition during this process is challenging. In this pilot study, we conducted a captivity experiment with Portuguese nase (Iberochondrostoma lusitanicum), a critically endangered leuciscid species, to investigate the influence of simple protective measures (i.e., material disinfection protocols and animal handling with gloves) on the dynamics of a potential pathogenic genus, Aeromonas, as well as its virulence profiles and antimicrobial resistance signatures. Our findings show that antimicrobial resistance in Aeromonas spp. collected from I. lusitanicum significantly increased during the extent of the assay (5 weeks), with all isolates collected at the end of the study classified as multidrug-resistant. Additionally, humans handling fishes without protective measures were colonized by Aeromonas spp. The use of protective measures suggested a decreasing trend in Aeromonas spp. prevalence in I. lusitanicum, while bacterial isolates displayed significantly lower virulence index values when virulence phenotypical expression was tested at 22 °C. Despite this study representing an initial trial, which needs support from further research, protective measures tested are considered a simple tool to be applied in ex situ breeding programs for aquatic animals worldwide. Furthermore, current results raise concern regarding antimicrobial resistance amplification and zoonotic transmission of Aeromonas spp. in aquatic ex situ programs.Publisher PDFPeer reviewe

A Randomized Double-Blind Study Comparing the Efficacy and Safety of Orlistat Versus Placebo in Obese Patients with Mild to Moderate Hypercholesterolemia

INTRODUCTION: Obesity is a chronic disease and a serious health problem that leads to increased prevalence of diabetes, hypertension, dyslipidemia and gallbladder disease. OBJECTIVE: To evaluate the efficacy of orlistat for weight loss and improved lipid profile compared to placebo in obese patients with hypercholesterolemia, treated over a period of 6 months. METHODOLOGY: In a 6-month, multicenter (10 centers in Portugal), double-blind, parallel, placebo-controlled study, 166 patients, aged 18-65 years, body mass index (BMI) > or = 27 kg/m2, LDL cholesterol > 155 mg/dl, were randomized to a reduced calorie diet (600 kcal/day deficit) plus orlistat three times a day or placebo. Exclusion criteria included triglycerides > 400 mg/dl, severe cardiovascular disease, uncontrolled hypertension, type 1 or 2 diabetes under pharmacological treatment, and gastrointestinal or pancreatic disease. RESULTS: The mean difference in weight from baseline was 5.9% (5.6 kg) in the orlistat group vs. 2.3% (2.2 kg) in the placebo group. In the orlistat group 49% of patients achieved 5-10% weight loss and 8.8% achieved > 10%. The orlistat group showed a significant reduction in total and LDL cholesterol, with similar changes for HDL in both treatment groups. The frequency of gastrointestinal adverse events was slightly higher in the orlistat group than in the placebo group, leading to discontinuation in 7 patients. CONCLUSION: Treatment with orlistat plus a reduced calorie diet for 6 months achieved significant reductions in weight, BMI and lipid parameters