Browsing by Author "Carolino, Elisabete"
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- Acceptance sampling in quality control: from theory to the web in PHP, python, and gnuplotPublication . Casquilho, Miguel; Carolino, Elisabete; Espírito Santo, André; Carvalho, Sandro; Miranda, João Luís; Bordado, João M.Quality is nowadays a ubiquitous component in manufacturing and many other activities. We present a computation related to Acceptance Sampling, which, together with Statistical Process Control, makes the fundamentals of statistical Quality Control. We provide a webpage where a user’s typical sample from a process can be inserted, leading to “accept” or “reject” vs. given specifications. We have several goals: to offer, on a webpage, the statistical procedure computation, which is otherwise complex; to combine, on a Linux platform, programming languages, PHP and Python, and a graphical utility, gnuplot; and to stress the suggestion of the Web as a computing medium. The webpage is freely accessible to a user just using a browser, i.e., installing no software, thus needing no special power or matching operating system, this being an example adaptable to many other problems. The study also draws attention both to the use of the Web for scientific computing, and to the convenience of this use in scientific publications. Web-based computing in general is advocated, this route uses the same executable programs as classical computing, which is the core technical difficulty. In our technological era, this still insufficiently explored approach is here made accessible, inviting the sharing between academia and industry.
- Addressing the patient experience in myocardial perfusion scintigraphyPublication . Grilo, Ana Monteiro; Vieira, Lina; Carolino, Elisabete; Ferreira, Jéssica; Neves, MariaBackground: Myocardial Perfusion Scintigraphy is a medical exam whose purpose is to evaluate myocardial perfusion. This examination due to their procedures can generate some anxiety in patients that can disturb the good performance of the exam. The main objective of this study is to perform an analysis of patient's undergoing myocardial perfusion scintigraphy experience, assess patient`s anxiety and check Nuclear Medicine Department communication and information effectiveness. Material and methods: For this study, the State-Trait Anxiety Inventory (STAI) and two Scan Experience Questionnaires were used. Sixty patients answered the questionnaires before and after myocardial perfusion scintigraphy. Results: Patients reported medium levels of scan-related anxiety and trait anxiety before the myocardial perfusion scintigraphy. After the scan, there is a slight decrease in patients' anxiety. Results of the scan, radiation used, duration of the scan and the injection of the radiopharmaceutical are the most relevant patients' concerns before the scan. 15% of the sample did not receive the necessary information or the most effective way. Conclusions: The results suggest that there are several factors that tend to trigger the patient's experience and anxiety. Strategies to improve patient myocardial perfusion scintigraphy experience at Nuclear Medicine Department are presented.
- Air contaminants in animal production: the poultry casePublication . Viegas, Carla; Viegas, Susana; Monteiro, Ana; Carolino, Elisabete; Sabino, Raquel; Veríssimo, C.A descriptive study was developed in order to assess air contamination caused by fungi and particles in seven poultry units. Twenty seven air samples of 25 litters were collected through impaction method. Air sampling and particle concentration measurement were performed in the pavilions’ interior and also outside premises, since this was the place regarded as reference. Simultaneously, temperature and relative humidity were also registered. Regarding fungal load in the air from the seven poultry farms, the highest value obtained was 24040 CFU/m3 and the lowest was 320 CFU/m3. Twenty eight species/genera of fungi were identified, being Scopulariopsis brevicaulis (39.0%) the most commonly isolated species and Rhizopus sp. (30.0%) the most commonly isolated genus. From the Aspergillus genus, Aspergillus flavus (74.5%) was the most frequently detected species. There was a significant correlation (r=0.487; p=0.014) between temperature and the level of fungal contamination (CFU/m3). Considering contamination caused by particles, in this study, particles with larger dimensions (PM5.0 and PM10) have higher concentrations. There was also a significant correlation between relative humidity and concentration of smaller particles namely, PM0.5 (r=0.438; p=0.025) and PM1.0 (r=0.537; p=0.005). Characterizing typical exposure levels to these contaminants in this specific occupational setting is required to allow a more detailed risk assessment analysis and to set exposure limits to protect workers’ health.
- Alterações da força de preensão em portadores de polineuropatia amiloidótica familiarPublication . Tomás, Maria Teresa; Santa-Clara, Helena; Monteiro, Estela; Carolino, Elisabete; Freire, António; Barroso, EduardoIntrodução: A polineuropatia amiloidótica familiar (PAF) é uma doença autossómica dominante neurodegenerativa relacionada com a deposição sistémica de fibras de amiloide essencialmente a nível do sistema nervoso periférico. Clinicamente, caracteriza-se por uma neuropatia sensitivo-motora iniciando-se quase sempre nos membros inferiores e comprometendo subsequentemente as mãos. Até agora, o único tratamento conhecido com efeitos positivos no atrasar da progressão da doença é o transplante hepático com medicação com efeitos negativos para o metabolismo muscular e consequentemente para a capacidade de produção de força. Do nosso conhecimento, não existem caracterizações quantitativas dos níveis de força nestes indivíduos nem comparações com a população saudável. Este conhecimento seria extremamente importante para verificar a evolução clínica e funcional desta doença e para a eventual prescrição adequada de um programa de reabilitação. Objectivo: O objectivo deste estudo foi descrever e comparar os níveis de força de preensão (peak force) entre doentes PAF com ou sem transplante de fígado (PAFTx e PAFNTx, respectivamente) com um grupo de indivíduos saudáveis (GC). Material e métodos: A amostra total foi constituída por 206 indivíduos, divididos em três grupos: 59 indivíduos PAFNTx (23 homens, 36 mulheres; idade 35 ± 8 anos); 85 indivíduos PAFTx (52 homens, 33 mulheres; idade 34 ± 8 anos) e 62 GC (30 homens, 32 mulheres; idade 33 ± 9 anos). A força de preensão foi avaliada com um dinamómetro de preensão portátil E-Link (Biometrics Ltd, UK). Tanto as posições de medição como as ordens fornecidas foram estandardizadas. O valor de força máxima considerado foi classificado de acordo com as normas do American College of Sports Medicine (ACSM) para a força de preensão. Resultados: Os três grupos são diferentes (p < 0,05) no peso, no IMC e na força de preensão em ambas as mãos, bem como na resistência da mão esquerda. Foram encontradas correlações negativas entre a força e a idade, para os grupos PAFNTx e PAFTx, mas não para o grupo GC. Conclusões: De acordo com os nossos resultados, os indivíduos portadores de PAF apresentaram valores mais baixos para a força de preensão em ambas as mãos do que os indivíduos aparentemente saudáveis e consequentemente uma pior classificação nas normas do ACSM. A maioria dos doentes apresenta valores de força de preensão abaixo da média ou mesmo precária. Estes resultados poderão mostrar as implicações negativas na funcionalidade destes indivíduos e indicam também a necessidade de um programa de reabilitação com especificidade ao nível da motricidade da mão.
- Análise da influência da aplicação de kinesio tape na ativação muscular durante um passe de futsalPublication . Nuno, Sérgio; Atalaia, Tiago; Rebelo, Pedro; Carolino, Elisabete; Vaz, JoãoIntrodução – O futsal é um desporto exigente, pelo que a aplicação de bandas de kinesio tape surge como uma vertente de intervenção a considerar. Objetivos – Analisar o efeito do kinesio tape na ativação e amplitude muscular do longo peroneal e tibial anterior na execução de um passe. Metodologia – Foram estudados 40 passes por cada situação definida (sem banda de kinesio tape e com banda para o tibial anterior e longo peroneal, aplicadas em separado), perfazendo um total de 120 comportamentos distintos. O gesto técnico foi realizado por atletas sem historial de lesão. Após avaliação do sinal eletromiográfico foram estudados os dois picos presentes. Resultados – Verificaram- se diferenças entre as três situações em estudo. A banda de kinesio tape não se revelou eficaz na antecipação e aumento de ativação muscular nas condições definidas no estudo. Discussão – O executante estabelece estratégias diferentes para responder a diferentes estados de estabilidade ao longo dessa mesma tarefa. Conclusão – A individualidade de cada comportamento técnico foi estudado e pela ausência de história anterior de lesão dos seus executantes e pelo gesto técnico proposto o estímulo das bandas de kinesio tape pode não ter sido suficiente para o aumento e pré-ativação muscular.
- Análise da qualidade de vida em mulheres com cancro de mama submetidas a radioterapiaPublication . Calhelhas, Ana; Canto, Carlota; Gamboa, Maria; Monsanto, Fátima; Sá, Ana Cravo; Coelho, Carina Marques; Carolino, ElisabeteObjetivos do estudo - Analisar a qualidade de vida (QdV) de doentes com cancro de mama no final do tratamento de radioterapia.
- Analysis of fungal burden by conventional and molecular methods in different settings and matrices: implications for public and occupational healthPublication . Gomes, Anita Quintal; Faria, Tiago; Caetano, Liliana Aranha; Carolino, Elisabete; Viegas, Susana; Viegas, CarlaFungal burden has traditionally been detected by conventional culture analysis. This method allows the identification and quantification of organisms posing high health/occupational risk and is widely used by the scientific community. The fungal burden determined by culture analysis can, in most studies, be compared with legal and scientific guidelines allowing an estimation of the degree of severity of the exposure. However, this method is limited by several factors, including incubation conditions such as the incubation time, which can be very long for some species, thus preventing a quick assessment of fungal burden. Another limiting factor is competition between species: clinically relevant species might possess lower growth rates than other non-toxic fast growing fungi thus hampering their detection. These limitations can be overcome by the use of quantitative real-time PCR (qPCR). This method, based on the amplification of genomic regions specific to certain fungal species, increases sensitivity, allowing the specific detection of a given species and removing interference by other species present in the sample. qPCR also allows the detection of dormant forms of fungi, such as spores. Thus the ideal scenario is to use these the two methods in parallel, as they complement each other to provide useful information for the assessment of exposure to fungi. We briefly describe several studies where both methods were used to detect the presence of toxigenic fungi, namely Aspergillus, particularly from the Fumigati, Flavi and Circumdati sections. These include fungal analysis from different matrices such as air, feed and coffee and within different settings, including wastewater treatment plants, slaughterhouses, feed industries, poultry and swine pavilions. The results obtained with both conventional and molecular methods are compared and discussed as well as its implications for the exposed workers' health.
- Analysis of surfaces for characterization of fungal burden: does it matter?Publication . Viegas, Carla; Faria, Tiago; Meneses, Márcia; Carolino, Elisabete; Viegas, Susana; Gomes, Anita Quintal; Sabino, RaquelObjectives: Mycological contamination of occupational environments can be a result of fungal spores’ dispersion in the air and on surfaces. Therefore, it is very important to assess it in both types of the samples. In the present study we assessed fungal contamination in the air and in the surface samples to show relevance of surfaces sampling in complementing the results obtained in the air samples. Material and Methods: In total, 42 settings were assessed by the analysis of air and surfaces samples. The settings were divided into settings with a high fungal load (7 poultry farms and 7 pig farms, 3 cork industries, 3 waste management plants, 2 wastewater treatment plants and 1 horse stable) and a low fungal load (10 hospital canteens, 8 college canteens and 1 maternity hospital). In addition to culture-based methods, molecular tools were also applied to detect fungal burden in the settings with a higher fungal load. Results: From the 218 sampling sites, 140 (64.2%) presented different species in the examined surfaces when compared with the species identified in the air. A positive association in the high fungal load settings was found between the presence of different species in the air and surfaces. Wastewater treatment plants constituted the setting with the highest number of different species between the air and surface. Conclusions: We observed that surfaces sampling and application of molecular tools showed the same efficacy of species detection in high fungal load settings, corroborating the fact that surface sampling is crucial for a correct and complete analysis of occupational scenarios.
- Anthropometric evaluation and micronutrients intake in patients submitted to laparoscopic Roux-en-Y gastric bypass with a postoperative period of ≥1 yearPublication . Mercachita, Tânia; Santos, Zélia; Limão, Jorge; Carolino, Elisabete; Mendes, LinoBackgroung - Bariatric surgery is indicated as the most effective treatment for morbid obesity; the Roux-en-Y gastric bypass (RYGB) is considered the procedure of choice. However, nutritional deficiency may occur in the postoperative period as a result of reduced gastric capacity and change in nutrients absorption in the gastrointestinal tract. The prescription of vitamin and mineral supplementation is a common practice after RYGB; however, it may not be sufficient to prevent micronutrient deficiencies. The aim of this study was to quantify the micronutrient intake in patients undergoing RYGB and verify if the intake of supplementation would be enough to prevent nutritional deficiencies. Methods - The study was conducted on 60 patients submitted to RYGB. Anthropometric, analytical, and nutritional intake data were assessed preoperatively and 1 and 2 years postoperatively. The dietary intake was assessed using 24-h food recall; the values of micronutrients evaluated (vitamin B12, folic acid, iron, and calcium) were compared to the dietary reference intakes (DRI). Results - There were significant differences (p < 0.05) between excess weight loss at the first and second year (69.9 ± 15.3 vs 9.6 ± 62.9 %). In the first and second year after surgery, 93.3 and 94.1 % of the patients, respectively, took the supplements as prescribed. Micronutrient deficiencies were detected in the three evaluation periods. At the first year, there was a significant reduction (p < 0.05) of B12, folic acid, and iron intake. Conclusions - Despite taking vitamin and mineral supplementation, micronutrient deficiencies are common after RYGB. In the second year after surgery, micronutrient intake remains below the DRI.
- Antifungal susceptibility of 175 Aspergillus isolates from various clinical and environmental sourcesPublication . Sabino, Raquel; Carolino, Elisabete; Veríssimo, Cristina; Martinez, Marife; Clemons, Karl V.; Stevens, David A.Some environmental Aspergillus spp. isolates have been described as resistant to antifungals, potentially causing an emerging medical problem. In the present work, the antifungal susceptibility profile of 41 clinical and 134 environmental isolates of Aspergillus was determined using the CLSI microdilution method. The aim of this study was to compare environmental and clinical isolates with respect to their susceptibility, and assess the potential implications for therapy of isolates encountered in different environments. To our knowledge, this is the first report comparing antifungal susceptibility profiles of Aspergillus collected from different environmental sources (poultries, swineries, beach sand, and hospital environment). Significant differences were found in the distribution of the different species sections for the different sources. Significant differences were also found in the susceptibility profile of the different Aspergillus sections recovered from the various sources. Clear differences were found between the susceptibility of clinical and environmental isolates for caspofungin, amphotericin B and posaconazole, with clinical isolates showing overall greater susceptibility, except for caspofungin. In comparison to clinical isolates, hospital environmental isolates showed significantly less susceptibility to amphotericin B and posaconazole. These data indicate that species section identity and the site from which the isolate was recovered influence the antifungal susceptibility profile, which may affect initial antifungal choices.