13 research outputs found

    Identification of clusters of asthma control: A preliminary analysis of the inspirers studies

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    This work was funded by ERDF (European Regional Development Fund) through the operations: POCI- -01-0145-FEDER-029130 (‚ÄúmINSPIRERS‚ÄĒmHealth to measure and improve adherence to medication in chronic obstructive respiratory diseases - generalisation and evaluation of gamification, peer support and advanced image processing technologies‚ÄĚ) co-funded by the COMPETE2020 (Programa Operacional Competitividade e Internacionaliza√ß√£o), Portugal 2020 and by Portuguese Funds through FCT (Funda√ß√£o para a Ci√™ncia e a Tecnologia).¬© 2020, Sociedade Portuguesa de Alergologia e Imunologia Clinica. All rights reserved. Aims: To identify distinct asthma control clusters based on Control of Allergic Rhinitis and Asthma Test (CARAT) and to compare patients‚Äô characteristics among these clusters. Methods: Adults and adolescents (‚Č•13 years) with persistent asthma were recruited at 29 Portuguese hospital outpatient clinics, in the context of two observational studies of the INSPIRERS project. Demographic and clinical characteristics, adherence to inhaled medication, beliefs about inhaled medication, anxiety and depression, quality of life, and asthma control (CARAT, >24 good control) were collected. Hierarchical cluster analysis was performed using CARAT total score (CARAT-T). Results: 410 patients (68% adults), with a median (percentile 25‚Äďpercentile 75) age of 28 (16-46) years, were analysed. Three clusters were identified [mean CARAT-T (min-max)]: cluster 1 [27(24-30)], cluster 2 [19(14-23)] and cluster 3 [10(2-13)]. Patients in cluster 1 (34%) were characterised by better asthma control, better quality of life, higher inhaler adherence and use of a single inhaler. Patients in clusters 2 (50%) and 3 (16%) had uncontrolled asthma, lower inhaler adherence, more symptoms of anxiety and depression and more than half had at least one exacerbation in the previous year. Further-more, patients in cluster 3 were predominantly female, had more unscheduled medical visits and more anxiety symp-toms, perceived a higher necessity of their prescribed inhalers but also higher levels of concern about taking these inhalers. There were no differences in age, body mass index, lung function, smoking status, hospital admissions or specialist physician follow-up time among the three clusters. Conclusion: An unsupervised method based on CARAT--T, identified 3 clusters of patients with distinct, clinically meaningful characteristics. The cluster with better asthma control had a cut-off similar to the established in the validation study of CARAT and an additional cut-off seems to distinguish more severe disease. Further research is necessary to validate the asthma control clusters identified.publishersversionpublishe

    Pervasive gaps in Amazonian ecological research

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    Educomunicação e suas áreas de intervenção: Novos paradigmas para o diálogo intercultural

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    oai:omp.abpeducom.org.br:publicationFormat/1O material aqui divulgado representa, em ess√™ncia, a contribui√ß√£o do VII Encontro Brasileiro de Educomunica√ß√£o ao V Global MIL Week, da UNESCO, ocorrido na ECA/USP, entre 3 e 5 de novembro de 2016. Estamos diante de um conjunto de 104 papers executivos, com uma m√©dia de entre 7 e 10 p√°ginas, cada um. Com este rico e abundante material, chegamos ao s√©timo e-book publicado pela ABPEducom, em seus seis primeiros anos de exist√™ncia. A especificidade desta obra √© a de trazer as ‚Äú√Āreas de Interven√ß√£o‚ÄĚ do campo da Educomunica√ß√£o, colocando-as a servi√ßo de uma meta essencial ao agir educomunicativo: o di√°logo intercultural, trabalhado na linha do tema geral do evento internacional: Media and Information Literacy: New Paradigms for Intercultural Dialogue

    Diel feeding pattern and diet of rough scad Trachurus lathami Nichols, 1920 (Carangidae) from the Southwestern Atlantic

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    Diel changes in feeding activity and dietary composition of the rough scad Trachurus lathami were investigated through the analysis of stomach contents of 307 fish sampled over a 24-h period on the continental shelf off Ubatuba (23¬ļ 35'S 45¬ļW). Stomach contents were analyzed by frequency of occurrence (O%), percent number (N%), percent mass (M%), and feeding index (FI% = O% * M%). Rough scad fed on mollusks (Gastropoda, Crepidula sp.), crustacean (Ostracoda, Copepoda, decapod larvae), chaetognat and teleostean fish. The main items were calanoid copepods (Eucalanus sp. and Centropages sp.). According to the analysis of the stomach fullness and prey digestion, T. lathami is both a diurnal and nocturnal feeder, showing some seasonal variation in feeding time. According to the Chronobiology concept, it was raised the hypothesis of circadian rhythm in feeding of this fish, probably synchronized by light/dark cycle

    N√ļcleos de Ensino da Unesp: artigos 2009

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    Neotropical freshwater fisheries : A dataset of occurrence and abundance of freshwater fishes in the Neotropics

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    The Neotropical region hosts 4225 freshwater fish species, ranking first among the world's most diverse regions for freshwater fishes. Our NEOTROPICAL FRESHWATER FISHES data set is the first to produce a large-scale Neotropical freshwater fish inventory, covering the entire Neotropical region from Mexico and the Caribbean in the north to the southern limits in Argentina, Paraguay, Chile, and Uruguay. We compiled 185,787 distribution records, with unique georeferenced coordinates, for the 4225 species, represented by occurrence and abundance data. The number of species for the most numerous orders are as follows: Characiformes (1289), Siluriformes (1384), Cichliformes (354), Cyprinodontiformes (245), and Gymnotiformes (135). The most recorded species was the characid Astyanax fasciatus (4696 records). We registered 116,802 distribution records for native species, compared to 1802 distribution records for nonnative species. The main aim of the NEOTROPICAL FRESHWATER FISHES data set was to make these occurrence and abundance data accessible for international researchers to develop ecological and macroecological studies, from local to regional scales, with focal fish species, families, or orders. We anticipate that the NEOTROPICAL FRESHWATER FISHES data set will be valuable for studies on a wide range of ecological processes, such as trophic cascades, fishery pressure, the effects of habitat loss and fragmentation, and the impacts of species invasion and climate change. There are no copyright restrictions on the data, and please cite this data paper when using the data in publications
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