Publications by authors named "Moura B"

Gingival recession (GR) has a multifactorial etiology, resulting from the interaction of various factors. It affects aesthetics and comfort, and has negative consequences for quality of life. The main objective of this study is to investigate the prevalence of gingival recession in a sample of the population in northern Portugal, according to the classification system proposed by Cairo.

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 To analyze the reproducibility and intra- and interobserver agreement of the IDEAL classification for distal radius fractures.  This qualitative, analytical study evaluated 50 pairs of radiographs in two views of patients with distal radius fractures. There were ten observers with different levels of orthopedic training who assessed the radiographs in three different evaluations.

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  • Cupressus sempervirens, an important Mediterranean species, is threatened by cypress canker disease caused by Seiridium cardinale, leading to an unknown risk assessment related to ozone (O) stressors.
  • To address this, researchers tested two clones of the species—one resistant (Clone R) and one susceptible (Clone S)—under various ozone levels while inoculating them with the pathogen in a controlled environment.
  • The results indicated that Clone R was more resistant to ozone stress, with significant differences in biomass response to inoculation, highlighting that the effects of biotic stressors on ozone responses require further research.
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  • Left ventricular assist devices (LVADs) are commonly used to treat advanced heart failure, improving survival but leading to high rates of arrhythmias (20-50%) within a year after implantation.
  • Arrhythmias in these patients increase the risk of complications, such as additional shocks from implantable defibrillators and potential worsening of right ventricular failure, highlighting the need for tailored management strategies.
  • Effective treatment for these arrhythmias may involve specialized approaches like catheter ablation, though unique challenges exist in accessing arrhythmogenic areas after LVAD surgery, making pre-implantation procedures potentially beneficial.
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Aims: This survey investigates natriuretic peptide (NP) testing in community and hospital settings, assessing awareness, accessibility, and utilization.

Methods And Results: This investigator-initiated survey, conceived within the HFA of the European Society of Cardiology, comprised 14 questions. It underwent validation and pilot testing to ensure question readability and online system functionality.

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Leveraging human cells as materials precursors is a promising approach for fabricating living materials with tissue-like functionalities and cellular programmability. Here we describe a set of cellular units with metabolically engineered glycoproteins that allow cells to tether together to function as macrotissue building blocks and bioeffectors. The generated human living materials, termed as Cellgels, can be rapidly assembled in a wide variety of programmable three-dimensional configurations with physiologically relevant cell densities (up to 10 cells per cm), tunable mechanical properties and handleability.

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  • High-voltage power line insulators are essential for safe electricity transmission, but real-world image limitations hinder the development of effective inspection algorithms, especially for dirty insulators.
  • A new synthetic image database has been created using CAD models and game engines to simulate various insulator types and environmental conditions, providing a diverse dataset for research.
  • This database includes an Image Segmentation Set with over 47,000 images by material and landscape, and an Image Classification Set with about 14,000 images showing different contaminants, aimed at improving machine learning for insulator inspection.
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  • Heart transplantation (HTx) has been around for over 50 years, yet there's a lack of guidelines for post-transplant prevention and rehabilitation practices.
  • The statement emphasizes the need for tailored prevention and rehabilitation programs that consider both modifiable and non-modifiable factors to enhance the physical capacity and quality of life for HTx recipients.
  • It advocates for a multidisciplinary approach involving all members of the HTx team to support patients throughout their recovery journey, highlighting the importance of starting these programs early after transplantation.
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Poplars are economically important tree crops and biologically important model plants, which are known to be sensitive to ozone (O). Although surface O is considered as a significant global environmental issue because of its phytotoxicity and greenhouse effect, the knowledge of the dose-response (DR) relationships in poplars for the assessment of O risk is still limited. Hence, this study aimed at collecting data of studies with manipulative O exposures of poplars within FACE (Free Air Concentration Enhancement) and OTC (Open-Top Chamber) facilities.

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Acute heart failure (AHF) often leads to unfavorable outcomes due to fluid overload. While diuretics are the cornerstone treatment, acetazolamide may enhance diuretic efficiency by reducing sodium reabsorption. We performed a systematic review and meta-analysis on the effects of acetazolamide as an add-on therapy in patients with AHF compared to diuretic therapy.

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 To evaluate whether three-dimensional (3D) printing increases agreement in the classification of tibial pilon fractures.  Orthopedists and traumatologists reviewed radiographs, computed tomography scans with 3D reconstruction, and prototyping 3D printing, and classified the fractures based on the Rüedi-Allgöwer and Arbeitsgemeinschaft für Osteosynthesefragen (AO, Association for the Study of Internal Fixation) Foundation/Orthopedic Trauma Association (AO/OTA) classification systems. Next, data evaluation used Kappa agreement coefficients.

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Introduction And Objectives: The use of loop diuretics is central in managing congestion in heart failure (HF), but their impact on prognosis remains unclear. In euvolemic patients, dose reduction is recommended, but there is no recommendation on their discontinuation. This study aims to assess the impact of loop diuretic discontinuation on the prognosis of outpatients with HF with reduced ejection fraction.

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  • The text highlights a lack of knowledge and guidelines on physical activity and lifestyle measures for heart transplantation (HTx) recipients, despite the procedure's long history.
  • It emphasizes the need for tailored prevention and rehabilitation strategies to enhance physical capacity, quality of life, and survival for these patients.
  • The statement calls for a multidisciplinary approach to care, starting early post-transplant and continuing throughout the patients' journey, as HTx recipients have unique rehabilitation needs compared to other heart-related patients.
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  • Limited information exists on the physical activity and lifestyle measures for heart transplantation (HTx) recipients, despite the history of HTx spanning over 50 years without established guidelines for prevention and rehabilitation.
  • The scientific statement aims to highlight the significance of prevention and rehabilitation post-HTx and identify both modifiable and non-modifiable factors that can enhance physical capacity, quality of life, and survival for these patients.
  • A multidisciplinary approach is essential for developing tailored prevention and rehabilitation programs that begin early after HTx and continue throughout the patient's recovery journey.
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Right heart failure (RHF) following implantation of a left ventricular assist device (LVAD) is a common and potentially serious condition with a wide spectrum of clinical presentations with an unfavourable effect on patient outcomes. Clinical scores that predict the occurrence of right ventricular (RV) failure have included multiple clinical, biochemical, imaging and haemodynamic parameters. However, unless the right ventricle is overtly dysfunctional with end-organ involvement, prediction of RHF post-LVAD implantation is, in most cases, difficult and inaccurate.

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Despite the progress in the care of individuals with heart failure (HF), important sex disparities in knowledge and management remain, covering all the aspects of the syndrome, from aetiology and pathophysiology to treatment. Important distinctions in phenotypic presentation are widely known, but the mechanisms behind these differences are only partially defined. The impact of sex-specific conditions in the predisposition to HF has gained progressive interest in the HF community.

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Since risk assessments of tropospheric ozone (O) are crucial for agricultural and forestry sectors, there is a growing body for realistic assessments by a stomatal flux-based approach in Free-Air Controlled Exposure (FACE) facilities. Ozone risks are normally described as relative risks (RRs), which are calculated by assuming the biomass or yield at zero O dose as "reference". However, the estimation of the reference biomass or yield is challenging due to a lack of O-clean-air treatment at the FACEs and the extrapolation without data in a low O range increases the bias for estimating the reference values.

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  • Guideline-directed medical therapy (GDMT) is crucial for reducing illness and death in patients with heart failure and reduced ejection fraction (HFrEF), but it's not being used effectively in practice.
  • Barriers like clinical inertia and organizational issues often lead to delays in starting or optimizing recommended treatments.
  • The Heart Failure Association of the ESC highlights various strategies, such as improving heart failure care pathways, using digital tools, and increasing education for both patients and healthcare providers, to enhance the implementation of GDMT for better patient outcomes.
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Motor and cognitive alterations in schizophrenia-spectrum disorders (SSD) share common neural underpinnings, highlighting the necessity for a thorough exploration of the connections between these areas. This relationship is crucial, as it holds potential significance in unraveling the underlying mechanisms of SSD pathophysiology, ultimately leading to advancements in clinical staging and treatment strategies. The purpose of this review was to characterize the relationship between different hyper and hypokinetic domains of motor alterations and cognition in SSD.

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Advancing biofabrication toward manufacturing living constructs with well-defined architectures and increasingly biologically relevant cell densities is highly desired to mimic the biofunctionality of native human tissues. The formulation of tissue-like, cell-dense inks for biofabrication remains, however, challenging at various levels of the bioprinting process. Promising advances have been made toward this goal, achieving relatively high cell densities that surpass those found in conventional platforms, pushing the current boundaries closer to achieving tissue-like cell densities.

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  • * Recent evidence suggests that such restrictions may not significantly benefit HF patients, leading to changes in recommendations over time.
  • * The European Society of Cardiology now advises limiting salt intake to a maximum of 5g/day and recommends fluid restrictions of 1.5-2L/day only for specific patients, based on current research and expert consensus.
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Background And Aim: Considering the increasing prevalence of non-alcoholic steatohepatitis (NASH) and treatment gaps, this study aimed to evaluate the effect of probiotic supplementation on liver function markers, nutritional status, and clinical parameters.

Methods: This double-blind, randomized clinical trial (ClinicalTrials.gov ID: NCT0346782) included adult outpatients with biopsy-proven NASH.

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  • * The study examined 14 commonly used ornamental woody species in Mediterranean urban areas to measure their stomatal conductance, biogenic volatile organic compounds (bVOCs) emissions, and Leaf Mass per Area (LMA).
  • * Results showed that while species like Catalpa bignonioides and Gleditsia triacanthos effectively remove ozone, others like Rhamnus alaternus and Cornus mas can contribute negatively to air quality due to high bVOC emissions.
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  • Outdoor air pollution, particularly particulate matter (PM), poses serious health risks, but urban trees and shrubs can help reduce this by filtering the air.
  • The study analyzed 22 plant species across different urban zones (traffic, background, industrial, rural) and found that PM accumulation on leaves varies based on species and seasonal changes, with winter levels generally higher than summer.
  • Key species identified for their PM accumulation abilities include L. nobilis, with unique traits noted for effectively dealing with air pollution, thereby highlighting the importance of selecting the right plants for urban greening initiatives.
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