The Bronchiectasis Severity Index and FACED score for assessment of the severity of bronchiectasis

Bronchiectasis (BC) is a multidimensional and etiologically diverse disease and, therefore, no single parameter can be used to determine its overall severity and prognosis. In this regard, two different validated scores are currently used to assess the severity of non-cystic fibrosis bronchiectasis (NCFB): the FACED score and the Bronchiectasis Severity Index (BSI).info:eu-repo/semantics/publishedVersio

Immunotherapy in Allergic Asthma – 5 year analysis: Is it a curative approach?

Asthma is a common, chronic and heterogeneous disease;it affects people of all ages and there has been a recentincrease in its prevalence and severity. It may be mild,barely noticed by the patient, or it may range all the way tovery severe disease, causing constant symptoms that greatlyaffect the quality life of the patient. [...]info:eu-repo/semantics/publishedVersio

Perforated peptic ulcer: main factors of morbidity and mortality.

World J Surg. 2003 Jul;27(7):782-7. Perforated peptic ulcer: main factors of morbidity and mortality. Noguiera C, Silva AS, Santos JN, Silva AG, Ferreira J, Matos E, Vilaça H. Surgery Department, Surgery 1, Hospital Geral de Santo António, Instituto de Ciencias Biomédicas Abel Salazar, Largo do Prof. Abel Salazar, 4099-001 Oporto, Portugal. Abstract It is well stated in the literature that medical treatment for peptic ulcer is based on a combination of proton pump inhibitors (PPIs) and antibiotics to eradicate Helicobacter pylori. This treatment is associated with a high rate of immediate success and a low rate of recurrence at 12 months, although it is not effective in all patients. Peptic ulcer (PU) perforation is a serious problem that leads to high complication and mortality rates. Surgical treatment, with its various possibilities, constitutes the ideal treatment. Surgical intervention in these cases, however, can be directed to treating the perforation alone, or it can offer definitive treatment of the ulcer itself. With the hope of establishing why such complications and mortality were seen in the patients in our hospital population, we gathered the facts about PU perforations and the types of surgery performed. We studied 210 consecutive patients (150 men, 60 women) who had undergone surgery at our hospital because of perforation between January 1, 1990 and December 31, 2000. The patients' median age was 53.0 +/- 20.6 years (men 47.7 +/- 17.3 years; women 66.3 +/- 22.0 years). Altogether, 86 patients had significant associated illnesses, 62 were admitted more than 24 hours after the perforation, and 25 were admitted in shock. We performed resections in 10 patients; 88 patients were treated by suturing the perforation with or without a patch of epiploon; and 112 underwent a troncular vagotomy with drainage (VT + Dr). A total of 21 patients died (10%). Significant risk factors that led to complications were identified by statistical studies. They were a perforation that had been present more than 24 hours, the coexistence of significant associated illnesses, and resection surgery. The significant risk factors that led to death were the presence of shock at admission, the coexistence of significant illnesses, and resection surgery. There was no statistically significant difference concerning morbidity and mortality between simple closure of the perforation and definitive surgery (VT + Dr). PMID: 14509505 [PubMed - indexed for MEDLINE

Early gastric cancer: ten years of experience

World J Surg. 2002 Mar;26(3):330-4. Epub 2001 Dec 21. Early gastric cancer: ten years of experience. Nogueira C, Silva AS, Santos JN, Silva AG, Ferreira J, Matos E, Vilaça H. Surgery Department, Surgery 1, Hospital Geral de Santo António, Largo Prof. Abel Salazar, 4000 Oporto, Portugal. [email protected] Abstract Gastric cancer is a disease in which the main treatment is surgical extirpation. The modifications introduced in the surgical treatment over the last decades were accompanied by a clear increase of survival, which reaches global values of 61% at 5 years in Japan. One of the reasons that contribute to this improvement is early diagnosis of the lesions. In the period between January 1, 1990 and December 31, 1999 662 patients with gastric adenocarcinoma were treated in the Service of Surgery 1 of our hospital; 110 were refused surgical treatment. Of the resected patients, 91 (21.4%) were classified as early gastric cancer according to the definition of the Japanese Society of Digestive Endoscopy. There were 30 women and 61 men, with a median age of 60.2 +/- 15 years; 3 patients had a preoperative diagnosis of gastric ulcer; 2 others were operated without recent histology; and 1 patient was urgently resected for a bleeding ulcer. In all the remaining patients biopsy confirmed the presence of cancer (89%) or serious dysplasia (4.6%). The lesions had been distributed essentially in the medium 1/3 (48.3%) and distal 1/3 of the stomach. Subtotal gastrectomy was accomplished in 48 patients, total gastrectomy in 40, total desgastrogastrectomy in 3, and in 9 patients the surgery involved the spleen (8 patients) and the spleen and tail of the pancreas in 1 patient. Lymphadenectomy was not performed in 5 patients, lymph nodes by the first lymph node barrier were removed in 25 patients and by the second barrier in 61 patients (67%). Median tumor size was 26 +/- 1.8 mm. The lesion reached the mucosa in 46 patients and the mucosa and submucosa in 45. In 6 patients the removed lymph nodes were microscopically invaded (6.7%). Five patients died (5.7%). The median follow-up of the patients is 41 +/- 26 months; 7 patients died (8.1%) during this period; 4 died unequivocally of disease progression. The median survival of patients was 85% at 5 years and 80% at 10 years. In our series, survival was affected by the presence of invaded lymph nodes, not by the penetration in depth of the lesion or the size of the tumor. PMID: 11865370 [PubMed - indexed for MEDLINE

Dark Energy and the quietness of the Local Hubble Flow

The linearity and quietness of the Local ($< 10 Mpc$) Hubble Flow (LHF) in view of the very clumpy local universe is a long standing puzzle in standard and in open CDM cosmogony. The question addressed in this paper is whether the antigravity component of the recently discovered dark energy can cool the velocity flow enough to provide a solution to this puzzle. We calculate the growth of matter fluctuations in a flat universe containing a fraction $\Omega_X(t_0)$ of dark energy obeying the time independent equation of state $p_X = w \rho_X$. We find that dark energy can indeed cool the LHF. However the dark energy parameter values required to make the predicted velocity dispersion consistent with the observed value $v_{rms}\simeq 40km/sec$ have been ruled out by other observational tests constraining the dark energy parameters $w$ and $\Omega_X$. Therefore despite the claims of recent qualitative studies dark energy with time independent equation of state can not by itself explain the quietness and linearity of the Local Hubble Flow.Comment: 4 pages, 3 figures, accepted in Phys. Rev. D. Minor corrections, one figure adde

Large Scale Pressure Fluctuations and Sunyaev-Zel'dovich Effect

The Sunyaev-Zel'dovich (SZ) effect associated with pressure fluctuations of the large scale structure gas distribution will be probed with current and upcoming wide-field small angular scale cosmic microwave background experiments. We study the generation of pressure fluctuations by baryons which are present in virialized dark matter halos and by baryons present in small overdensities. For collapsed halos, assuming the gas distribution is in hydrostatic equilibrium with matter density distribution, we predict the pressure power spectrum and bispectrum associated with the large scale structure gas distribution by extending the dark matter halo approach which describes the density field in terms of correlations between and within halos. The projected pressure power spectrum allows a determination of the resulting SZ power spectrum due to virialized structures. The unshocked photoionized baryons present in smaller overdensities trace the Jeans-scale smoothed dark matter distribution. They provide a lower limit to the SZ effect due to large scale structure in the absence of massive collapsed halos. We extend our calculations to discuss higher order statistics, such as bispectrum and skewness in SZ data. The SZ-weak lensing cross-correlation is suggested as a probe of correlations between dark matter and baryon density fields, while the probability distribution functions of peak statistics of SZ halos in wide field CMB data can be used as a probe of cosmology and non-Gaussian evolution of large scale structure pressure fluctuations.Comment: 16 pages, 9 figures; Revised with expanded discussions. Phys. Rev. D. (in press

VScore: a software for management of large scale virtual screening projects in computer clusters

Virtual screening (VS) of large compound databases using docking tools present several challenges forthe average user and currently the use of High Processing Computer (HPC) clusters is mandatory. The availability ofsoftware tools with the abilityto perform ali the necessary VS tasks, ranging from compound and protein structure preparation, cluster job submitting to results management and analysis is a requisite for successful VS projects. We have developed VScore (Virtual Screening core), a ready-to-use automated software tool with a graphical user interface that can manage large scale VS projects, using AutoDock^and/orAutoDockVina as docking toais. VScore handles information in a dedicated database, implemented in MySQL making data management of large libraries of chemical compounds easier. This database structure makes possible several advanced features that set VScore apart including: one time protein/ligand preparation step, comparative docking using multipie structures from the same protein targets or even structures of different protein

VScore: a software for management of large scale virtual screening projects in computer clusters

Virtual screening (VS) of large compound databases using docking tools present several challenges forthe average user and currently the use of High Processing Computer (HPC) clusters is mandatory. The availability ofsoftware tools with the abilityto perform ali the necessary VS tasks, ranging from compound and protein structure preparation, cluster job submitting to results management and analysis is a requisite for successful VS projects. We have developed VScore (Virtual Screening core), a ready-to-use automated software tool with a graphical user interface that can manage large scale VS projects, using AutoDock^and/orAutoDockVina as docking toais. VScore handles information in a dedicated database, implemented in MySQL making data management of large libraries of chemical compounds easier. This database structure makes possible several advanced features that set VScore apart including: one time protein/ligand preparation step, comparative docking using multipie structures from the same protein targets or even structures of different protein

Quintessence and Gravitational Waves

We investigate some aspects of quintessence models with a non-minimally coupled scalar field and in particular we show that it can behave as a component of matter with $-3 \lesssim P/\rho \lesssim 0$. We study the properties of gravitational waves in this class of models and discuss their energy spectrum and the cosmic microwave background anisotropies they induce. We also show that gravitational waves are damped by the anisotropic stress of the radiation and that their energy spectrum may help to distinguish between inverse power law potential and supergravity motivated potential. We finish by a discussion on the constraints arising from their density parameter \Omega_\GW.Comment: 21 pages, 18 figures, fianl version, accepted for publication in PR