ClimCast: os novos desafios para o souto no contexto de alterações climáticas

Uma rede de Soutos e Estações Meteorológicas . Determinação das necessidades de calor para cada estado fenológica em cada uma das variedades em estudo no projeto ClimCast. Evolução temporal da produtividade observada e simulada para o período 1980/1981 a 2017/2018.Financiado pelo Fundo Europeu de Desenvolvimento Regional (FEDER) e pelo Estado Português no âmbito da Ação 1.1 "Grupos Operacionais", integrado na Medida I "Inovação" do PDR2020 - Programa de Desenvolvimento Rural do Continenteinfo:eu-repo/semantics/publishedVersio

Álvaro Laranjeira Santos: da anatomia cirúrgica à irrealidade da imaginação

Catálogo da exposição de desenho que esteve patente na Cisterna do Colégio do Espírito Santo Universidade de Évora, de 25 de maio a 26 de junho de 2022info:eu-repo/semantics/publishedVersio

Short and long-term clinical impact of transcatheter aortic valve implantation in Portugal according to different access routes: Data from the Portuguese National Registry of TAVI

Introduction: The Portuguese National Registry of Transcatheter Aortic Valve Implantation records prospectively the characteristics and outcomes of transcatheter aortic valve implantation (TAVI) procedures in Portugal. Objectives: To assess the 30-day and one-year outcomes of TAVI procedures in Portugal. Methods: We compared TAVI results according to the principal access used (transfemoral (TF) vs. non-transfemoral (non-TF)). Cumulative survival curves according to access route, other procedural and clinical variables were obtained. The Valve Academic Research Consortium-2 (VARC-2) composite endpoint of early (30-days) safety was assessed. VARC-2 predictors of 30-days and 1-year all-cause mortality were identified. Results: Between January 2007 and December 2018, 2346 consecutive patients underwent TAVI (2242 native, 104 valve-in-valve; mean age 81±7 years, 53.2% female, EuroSCORE-II - EuroS-II, 4.3%). Device success was 90.1% and numerically lower for non-TF (87.0%). Thirty-day all-cause mortality was 4.8%, with the TF route rendering a lower mortality rate (4.3% vs. 10.1%, p=0.001) and higher safety endpoint (86.4% vs. 72.6%, p5% (p<0.001) and who underwent non-TF TAVI (p<0.001). Conclusion: Data from our national real-world registry showed that TAVI was safe and effective. The use of a non-transfemoral approach demonstrated safety in the short term. Long-term prognosis was, however, adversely associated with this route, with comorbidities and the baseline clinical status.info:eu-repo/semantics/publishedVersio

Yield of contemporary clinical strategies to detect patients with obstructive coronary artery disease

Purpose Noninvasive ischemia testing (NIST) is recommended for most patients suspected to have stable coronary artery disease (CAD) before invasive coronary angiography (ICA). We sought to assess the diagnostic predictive ability of NIST over clinical risk profiling in a contemporary sample of patients undergoing the currently recommended diagnostic triage strategy. Methods From 2006 to 2011, 2,600 consecutive patients without known CAD undergoing elective ICA in a single tertiary-care center were retrospectively identified and the prevalence of obstructive CAD determined. To understand the incremental value of frequently used clinical parameters in predicting obstructive CAD, receiver operating characteristic curves were plotted for six sequential models starting with Framingham risk score and then progressively adding multiple clinical factors and finally NIST results. Results At ICA 1,268 patients (48.8%) had obstructive CAD. The vast majority (85%) were classified in an intermediate clinical pretest probability of CAD and NIST prior to ICA was used in 86% of the cohort. The most powerful correlate of obstructive CAD was the presence of severe angina (odds ratio (OR) = 9.1; 95% confidence interval (CI) 4.3-19.1). Accordingly, the incorporation of NIST in a sequential model had no significant effect on the predictive ability over that achieved by clinical and symptomatic status model (C-statistic 0.754; 95% CI 0.732-0.776, p = 0.28). Conclusions Less than half the patients with suspect stable obstructive CAD referred to a tertiary-level center for elective ICA had the diagnosis confirmed. In this clinical setting, the results of NIST may not have the power to change the discriminative ability over clinical judgment alone

Qualidade de vida no trabalho de profissionais de enfermagem, atuantes em unidades do bloco cirúrgico, sob a ótica da satisfação Calidad de vida en el trabajo entre profesionales de enfermería actuantes en unidades del centro quirúrgico Quality of life at work among nursing professionals at surgical wards from the perspective of satisfaction

Estudo descritivo, de corte transversal, que avaliou a qualidade de vida no trabalho (QVT) de profissionais de enfermagem, atuantes em unidades do Bloco Cirúrgico (BC) em quatro hospitais de Londrina, PR. Participaram 105 trabalhadores, sendo a maioria do sexo feminino (82,9%), com média de idade de 38 anos. Dentre eles, 69,5% eram auxiliares de enfermagem, 11,4% eram enfermeiros. A QVT foi medida através do Índice de Satisfação no Trabalho (ISP) e os valores obtidos variaram entre 114 e 227 e média de 169,7±25,9. O valor médio dos 44 itens foi de 3,85, significando que os trabalhadores estavam entre insatisfeitos e nem satisfeitos/nem insatisfeitos com a QVT. A remuneração foi considerada como fonte de menor satisfação entre os trabalhadores, enquanto o domínio status profissional, o de maior satisfação. O instrumento mostrou-se confiável à população estudada, sendo o valor obtido para o alpha de Cronbach igual a 0,81.<br>Estudio descriptivo, de corte transversal, cuyo objetivo fue evaluar la calidad de vida en el trabajo de profesionales de enfermería actuantes en unidades del Centro Quirúrgico (CQ), utilizando el Índice de Satisfacción en el Trabajo. Participaron del estudio 105 trabajadores, la mayoría de ellos mujeres (82,9%), con un promedio de edad de 38 años. Entre todos, el 69,5% era ayudante de enfermería y el 11,4% enfermeros. En cuanto a la calidad de vida en el trabajo, los valores obtenidos variaron entre 114 y 227, con promedio de 169,7±25,9. El valor promedio obtenido para los 44 ítem fue de 3.85, mostrando que los trabajadores estaban entre insatisfechos y ni satisfechos/ ni insatisfechos con la calidad de vida en el trabajo. La remuneración fue considerada como fuente de menor satisfacción, mientras el dominio de status profesional es el de mayor satisfacción. El instrumento se mostró confiable para el grupo estudiado, con alpha de Cronbach igual a 0,81.<br>This transversal and descriptive study aimed at evaluating the life quality of nursing professionals working at a surgical ward, using the Index of Work Satisfaction. Study participants were 105 workers; most of them women (82.9%), with an average age of 38. In this group, 69.5% were nursing auxiliaries and 11.4% were nurses. As to quality of life at work, scores varied between 114 and 227 (possible range of 44 to 308), with an average score of 169.7±25.9. The average score for the 44 items was 3.85, showing that workers were either dissatisfied or neither satisfied nor dissatisfied with the aspects mentioned in the instrument on quality of life at work. Satisfaction levels were lowest for remuneration and highest for the professional status domain. Authors found the instrument reliable for the study population, with a Cronbach's alpha of 0.81

Outcomes in Pregnant Women with Valvular Heart Disease from Portuguese-Speaking African Countries Treated in Portugal through an International Agreement of Health Cooperation

Aims: We performed a clinical audit of maternal and fetal outcomes in pregnant women with valvular heart disease (VHD) from Portuguese-speaking African countries who were transferred for their care, during a twenty-year period, through a memorandum of agreement of international cooperation. Methods and results: A retrospective analysis of 81 pregnancies in 45 patients with VHD (median age 24, interquartile range 22–29 years) from 2000 to 2020 was performed. The main outcome measures were maternal cardiovascular and fetal outcomes. History of rheumatic heart disease was present in 60 (74.1%) pregnancies. Most were in New York Heart Association (NYHA) functional class I or II; at the first evaluation, 35 (43.2%) were on cardiac medication and 49 (60.5%) were anticoagulated. Forty-eight pregnancies had at least one valvular prosthesis, including 38 mechanical heart valves. During pregnancy, deterioration in NYHA functional class occurred in 35 (42.0%), and eight (9.9%) patients required initiation or intensified cardiac medication. Mechanical valve thrombosis complicated four (4.9%) pregnancies, all cases on heparin, and resulted in one maternal death. Haemorrhagic complications happened in 7 (8.6%) anticoagulated patients, in the immediate postpartum or puerperal period. The 81 pregnancies resulted in 56 (69.1%) live births, while miscarriage and fetal malformations occurred in 19 (23.5%) and 12 (14.8%) pregnancies, respectively. In multivariate analysis, vitamin K antagonist therapy was the only independent predictor of an unsuccessful pregnancy (p = 0.048). Conclusion: In a high-income country, successful pregnancy was possible with low rate of maternal events in women with VHD transferred from five low-middle income countries in Africa. The use of anticoagulation with a vitamin K antagonist was associated with an unsuccessful pregnancy

ClimCast - The embryo of a warning network for the chestnut crop

As projeções de clima para o futuro em Portugal sugerem mudanças significativas nos valores médios mensais e anuais dos elementos climáticos (e.g., temperatura do ar e precipitação), na distribuição espaço temporal, na magnitude e frequência dos eventos extremos, tornando imprescindível instalar um sistema de monitorização climática que permita melhorar o conhecimento da relação entre as condições meteorológicas e o castanheiro sendo o embrião de uma futura rede de avisos para a cultura. O sistema está constituído por 7 soutos demonstração (SD), área total 5000 m2, instalados em 2018: Salgueiros- Vinhais; Parada – Bragança; Lagoa – Vila Pouca de Aguiar; Carrazedo Montenegro – Valpaços; Refoios do Lima – Ponte de Lima; Penela da Beira – Penedono; Porto da Espada – Marvão. Em cada SD estão instaladas as seguintes variedades: DOP castanha da Terra Fria (Longal e Boaventura), DOP Castanha da Padrela (Judia e Cota), DOP castanha dos Soutos da Lapa (Martaínha), DOP Castanha de Marvão/Portalegre (Colarinha e Bária) e Minho (Amarelal), mais duas variedades cultivadas em Espanha: Parede na Galiza e Pilonga na Serra de Ronda (Andaluzia). Cada SD tem instalada uma estação meteorológica. A rede é completada com o Banco de Germoplasma da UTAD, que forneceu material de enxertia para os SD: Folhadela - Vila Real.Financiado pelo Fundo Europeu Agrícola de Desenvolvimento Rural (FEADER) e pelo Estado Português no âmbito da Ação 1.1 «Grupos Operacionais», integrada na Medida 1. «Inovação» do PDR 2020 – Programa de Desenvolvimento Rural do Continente. Refª ClimCast - PDR2020-101-032043.info:eu-repo/semantics/publishedVersio