The Role of Pain and Disability Changes After Physiotherapy Treatment on Global Perception of Improvement in Patients with Chronic Low Back Pain

Background: The effectiveness of physiotherapy in patients with chronic low back pain is usually measured through changes in pain and disability domains. However, recent research has suggested that these two domains are not sufficient to capture all the physiotherapy benefits when patients' perspective is considered. Objective: The aim of this study was to investigate the role of pain and disability changes in explaining the global perception of improvement in patients with chronic low back pain undergoing physiotherapy. Design: Prospective cohort study. Methods: The study was conducted on183 patients who were referred to physiotherapy treatment due to low back pain lasting more than 12 weeks. Sociodemographic and clinical characteristics were measured at baseline, together with pain intensity and disability. Eight (post-intervention) and twelve weeks later, global perception of improvement was measured together with pain and disability. The Pearson correlation coefficient and linear regression models were used for analyses. Results: Of the 183 participants included, 144 completed the 12-weeks follow-up. Significant and moderate correlation was found between pain and disability changes and the global perception of improvement after intervention and at the 12-weeks follow-up. Pain and disability changes explained 20.7%-36.3% of the variance in the global perception of improvement. Conclusions: Pain and disability changes are related and contributed to explaining a partial proportion of variance in the global perception of improvement. The findings suggest that these domains are not sufficient to explain and measure all of the benefits of physiotherapy when patients' global perception of improvement is considered.info:eu-repo/semantics/publishedVersio

Prevalence of asthma and its association with rhinitis in the elderly

BACKGROUND: Asthma and rhinitis are frequent respiratory diseases in children and adults. Despite the increase in the aging population, there are few epidemiologic data on both diseases in the elderly. So far, no population-based study has analyzed the association between asthma and rhinitis symptoms and severity in this age group. This study aimed to estimate the prevalence of physician-diagnosed asthma in the population aged ≥65 years in mainland Portugal and to evaluate its association with the presence and classification of rhinitis according to ARIA recommendations, in this age group. METHODS: A cross-sectional, nationwide, population-based survey of individuals aged ≥65 years, living in mainland Portugal was performed. RESULTS: Data were obtained from 3678 respondents. The prevalence of physician-diagnosed asthma was 10.9% (95% confidence interval (95%CI) 9.9-11.9). The frequency of asthma diagnosis increased with the number of nasal symptoms (p < 0.001). A strong association between asthma and rhinitis was found (odds ratio (OR) 13.86 (95%CI 10.66-18.02)). The strength of this association increased with the persistence and severity of rhinitis, being particularly high in elderly subjects with moderate-severe persistent rhinitis (OR 39.9 (95%CI 27.5-58.0)). CONCLUSIONS: Asthma is common in the elderly and strongly associated with rhinitis. The OR for asthma is especially high in persistent and severe ARIA classification rhinitis types. This study strengthens the need for an integrated assessment of asthma together with rhinitis in the elderl

Three-body description of direct nuclear reactions: Comparison with the continuum discretized coupled channels method

The continuum discretized coupled channels (CDCC) method is compared to the exact solution of the three-body Faddeev equations in momentum space. We present results for: i) elastic and breakup observables of d-12C at E_d=56 MeV, ii) elastic scattering of d-58Ni at E_d=80 MeV, and iii) elastic, breakup and transfer observables for 11Be+p at E_{11Be}/A=38.4 MeV. Our comparative studies show that, in the first two cases, the CDCC method is a good approximation to the full three-body Faddeev solution, but for the 11Be exotic nucleus, depending on the observable or the kinematic regime, it may miss out some of the dynamic three-body effects that appear through the explicit coupling to the transfer channel.Comment: 12 pages, 10 figures, accepted for publication in Physical Review

Durability of carbon fibre reinforced polymer laminates

Due to their excellent mechanical properties and easy application Carbon Fibre Reinforced Polymers (CFRP) are being successfully used to repair and renew old and damaged civil engineering infrastructures. In particular, the method of strengthening concrete members with externally bonding of CFRP laminates has become increasingly popular. In fact, extensive research has shown that this technique can lead to a substantial improvement in the fl exural and shear strength capacities of the member repaired. In such applications, materials involved will be exposed to outdoor environmental conditions, including humidity, water from rain, saline-water, ground water and high alkalinity solutions due to chemical composition of the concrete itself, as well as solar ultraviolet (UV) radiation. Thus, it is of great relevancy to study the durability of the materials involved, namely epoxy adhesives and CFRP laminates, as well as, the integrity of the entire system, when subjected to those environmental factors. This work is part of a much larger research study to predict the long-term behaviour of several commercial CFRP laminate/adhesive systems used in the rehabilitation of concrete structures. In the whole project it is recognised that the durability of these solutions depends not only on the durability of the composite materials but also on the performance of the systems used to bond them to the concrete. This present document provides details about the durability of CFRP laminates and the study carried out to investigate the environmental and accelerated ageing effects on three types of commercially available CFRP laminates. The changes in CFRP laminates properties after exposure up to 18 months under different environmental conditions – immersion in demineralised water, saline and alkaline solutions at room temperature, 40 ° C and 60 °C, as well as under constant humidity condensation atmosphere at 40 ° C – are reported and discussed. The results of tests performed in accelerated weathering chambers – with UV radiation – are also included. Results obtained offer valuable information about the progression of material degradation under different ageing conditions (some of them accelerated), which can be used, not only to characterise the behaviour of CFRP laminates, but also for a better understanding of the degradation mechanisms involved, which is a base for the design of service life-prediction models

Cost-Effectiveness of Liraglutide: Comparison of Costs and Benefits Versus Insulin Glargine and Sitagliptin

Introdução: O liraglutido é um agonista do glucagon-like peptide-1 para tratamento da diabetes tipo 2, associado a antidiabéticos orais ou insulina basal. Objectivo: Determinar o custo-utilidade do liraglutido 1,2 mg/dia versus insulina glargina 24 UI/dia e sitagliptina 100 mg/dia, durante 35 anos, na perspetiva do Serviço Nacional de Saúde, seguindo orientações oficiais. Materiais e Métodos: O modelo farmacoeconómico Diabetes CORE v7.0 estimou a incidência de complicações, anos de vida, anos de vida ajustados pela qualidade e custos, com dados de ensaios e consumo de recursos estimado por um painel de peritos portugueses e custos unitários obtidos a partir de fontes oficiais nacionais, com uma taxa de atualização de 5%/ano. Resultados: O tratamento com liraglutido associa-se a um ganho de 0,11 anos de vida/0,13 QALYs versus insulina glargina e de 0,08 anos de vida/0,11 QALYs versus sitagliptina. Tratar com liraglutido versus insulina glargina ou sitagliptina implica um gasto adicional de 2.374 € e 2.237 €, traduzido em rácios de custo-efetividade incremental de 17.807 €/QALY e 20.743 €/QALY, respetivamente. Análises de sensibilidade confirmaram a robustez do modelo. Conclusões: Os rácios obtidos encontram-se consideravelmente abaixo do limiar de custo-efetividade 30.000 €/QALY, utilizado noutros países da União Europeia. O liraglutido 1,2 mg/dia é custo-efetivo no tratamento da diabetes tipo 2 em Portugal.info:eu-repo/semantics/publishedVersio

Prevalence of asthma and its association with rhinitis in the elderly

Funding Information: Funding: Methodological support and field work was supplied by KeyPoint, Scientific Consultants. This study was supported by a Schering-Plough Pharma grant attributed to Sociedade Portuguesa de Alergologia e Imunologia Clinica (SPAIC).Background Asthma and rhinitis are frequent respiratory diseases in children and adults. Despite the increase in the aging population, there are few epidemiologic data on both diseases in the elderly. So far, no population-based study has analyzed the association between asthma and rhinitis symptoms and severity in this age group. This study aimed to estimate the prevalence of physician-diagnosed asthma in the population aged ≥65 years in mainland Portugal and to evaluate its association with the presence and classification of rhinitis according to ARIA recommendations, in this age group. Methods A cross-sectional, nationwide, population-based survey of individuals aged ≥65 years, living in mainland Portugal was performed. Results Data were obtained from 3678 respondents. The prevalence of physician-diagnosed asthma was 10.9% (95% confidence interval (95%CI) 9.9-11.9). The frequency of asthma diagnosis increased with the number of nasal symptoms (p < 0.001). A strong association between asthma and rhinitis was found (odds ratio (OR) 13.86 (95%CI 10.66-18.02)). The strength of this association increased with the persistence and severity of rhinitis, being particularly high in elderly subjects with moderate-severe persistent rhinitis (OR 39.9 (95%CI 27.5-58.0)). Conclusions Asthma is common in the elderly and strongly associated with rhinitis. The OR for asthma is especially high in persistent and severe ARIA classification rhinitis types. This study strengthens the need for an integrated assessment of asthma together with rhinitis in the elderly.publishersversionpublishe

Prevalence and classification of rhinitis in the elderly: a nationwide survey in Portugal

BACKGROUND: Nationwide epidemiologic data on rhinitis in the elderly do not exist. This study aimed to estimate the prevalence of rhinitis in the population aged 65 years or above in mainland Portugal and to characterize and classify rhinitis in this age group. METHODS: Cross-sectional, nationwide, population-based survey of citizens aged 65 years or above, living in mainland Portugal. Current rhinitis (CR) was defined as the presence of at least two symptoms: 'repeated sneezing and itchy nose', 'blocked nose for more than one whole hour', or 'runny nose when not having a cold or flu', either usually or in the last 12 months. Rhinitis severity was assessed using a visual analogue scale; rhinitis was classified according to ARIA. RESULTS: Data were obtained from 3678 responders (92.5% response rate). The prevalence of CR was 29.8% (95% confidence interval (CI): 28.4%-31.3%): 49.1% had mild intermittent, 7.0% mild persistent, 27.5% moderate-severe intermittent, and 16.4% moderate-severe persistent rhinitis. Only 38.6% of patients with CR had been physician diagnosed and 38.7% were under treatment for this disease in the previous year. Allergic conjunctivitis symptoms were referred by 68.6% of subjects with CR (rhinoconjunctivitis population prevalence, 20.5% (95% CI: 19.2%-21.8%)). CONCLUSIONS: Rhinitis and rhinoconjunctivitis are common but underdiagnosed and undertreated diseases in the geriatric population. This was the first nationwide epidemiological survey classifying rhinitis according to ARIA guidelines in this age group. More than 40% of old-age patients presented moderate-severe disease

Limitation of electron mobility in modulation-doped In0.53Ga0.47As/InP quantum wells at low temperatures

The low-temperature electron mobility is investigated here for electrons confined in modulation-doped In0.53Ga0.47As/InP single symmetric quantum wells. The subband structure calculation is developed via variational method, both Schrodinger and Poisson equations being solved simultaneously with adequate heterointer- ¨ face matching conditions. With this in hands, the main electron scattering rates are computed, namely alloy disorder, remote ionized impurity, and interface roughness. As a result, interesting interchanges in these scattering rates were found by varying the well width and the spacer width, which show that some scattering mechanisms can surpass the alloy disorder scattering rate and come to limit the electron mobility, a behavior not reported in the literature