Publications by authors named "Pedro Manuel"

Background: Adverse childhood experiences (ACEs) can have debilitating effects on child well-being, with consequences persisting into adulthood. Most ACE studies have been conducted in high-income countries and show a graded relationship between multiple ACE exposures and adverse health outcomes. Less is known about the types and burden of ACEs in sub-Saharan Africa (SSA).

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Background: The World Health Organization (WHO) recommends that HIV treatment scale-up is accompanied by a robust assessment of drug resistance emergence and transmission. The WHO HIV Drug Resistance (HIVDR) monitoring and surveillance strategy includes HIVDR testing in adults both initiating and receiving antiretroviral therapy (ART). Due to limited information about HIVDR in Mozambique, we conducted two nationally representative surveys of adults initiating and receiving first-line ART regimes to better inform the HIV program.

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Article Synopsis
  • Adverse childhood experiences (ACEs) significantly impact child well-being and continue to affect individuals into adulthood, yet most research has focused on high-income countries rather than sub-Saharan Africa (SSA).
  • A study analyzed data from 11,498 young adults in five SSA countries to assess the prevalence of six types of ACEs and their link to mental health, substance use, and violence.
  • Findings revealed high prevalence rates of ACEs, particularly witnessing community violence, with clear connections between cumulative ACE exposure and negative outcomes, emphasizing the need for gender-specific interventions to address these issues in SSA.
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Background: Adverse childhood experiences (ACEs) have been shown to have negative, lasting effects on health including increasing the likelihood of engaging in sexual risk behaviors.

Objective: This study aimed to identify associations between exposures to ACEs and sexual risk behaviors and HIV service utilization among young people.

Participants And Setting: A sample of 8023 sexually active young people (19-24 year olds) from five sub-Saharan African countries participated Violence Against Children and Youth Surveys (VACS).

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Background: Parental absence in childhood has been associated with multiple negative consequences, such as depression and anxiety in young adulthood.

Objective: To assess whether parental absence for six months or more in childhood is associated with poor mental health and substance use in young adulthood and whether parental absence accounts for additional variance beyond those explained by other adverse childhood experiences (ACEs) among youth in sub-Saharan Africa.

Participants And Settings: We used combined Violence Against Children and Youth Survey (VACS) data from Cote d'Ivoire (2018), Lesotho (2018), Kenya (2019), Namibia (2019), and Mozambique (2019).

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Background: Adverse Childhood Experiences (ACEs) are associated with poor mental health outcomes and risk-taking behaviors. Positive childhood experiences (PCEs) may mitigate these negative impacts.

Objective: This study 1) assessed the associations between ACEs and negative health outcomes and risk-taking behaviors among young adults, and 2) evaluated whether - and which - PCEs moderate the association between ACEs and these outcomes in sub-Saharan Africa.

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Article Synopsis
  • - The study examines the impact of multiple adverse childhood experiences (ACEs) on mental health, substance use, and sexual risk behaviors in young men and women aged 19-24 in five Sub-Saharan African countries.
  • - Researchers identified six classes of ACEs for females and three for males, revealing that higher ACEs were associated with increased mental distress and substance use, particularly in males.
  • - The findings suggest that addressing and preventing ACEs could potentially improve mental health outcomes for young individuals in low- and middle-income countries.
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Background: Violence against boys and men is widely under-reported. Boys and men face unique and gendered barriers to accessing services following experiences of violence.

Participants And Setting: The study is a secondary data analysis of five nationally representative population-based Violence Against Children and Youth Surveys (VACS) conducted in Kenya (2019), Côte d'Ivoire (2018), Lesotho (2018), Mozambique (2019), and Namibia (2019).

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Article Synopsis
  • - The study investigates the prevalence of Adverse Childhood Experiences (ACEs) among youth aged 18-24 in five sub-Saharan African countries using data from Violence Against Children and Youth Surveys.
  • - Results show high rates of ACEs, with most common experiences including witnessing physical violence and experiencing physical violence, and a notable difference in sexual violence prevalence between genders.
  • - The findings indicate that a significant proportion of youth have faced multiple ACEs, highlighting the need for early interventions to address and mitigate these traumatic experiences.
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Aim Of The Study: While hospitals are adopting strategies designed to increase the overall efficiency of the healthcare system, physicians are facing expanding requirements. Such changes in work environment add new psychosocial and physical stressors. Building on a previous quantitative time-motion study, we conducted a qualitative study to better understand the work experience of internal medicine residents.

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Plastic production has been rising consistently in the last 30 years and with it, the presence of plastic particles in the environment. A decrease in size often increases the bioavailability and reactivity of the particles. In this study the impact of polystyrene (PS; 22 nm) and polymethylmethacrylate (PMMA; 32 nm) nanoparticles on zebrafish embryo-larval stages was assessed by studying mortality, hatching, morphological features, and biochemical endpoints (associated with neurotransmission, antioxidant status and oxidative damage, and energy metabolism) after 96 h exposure, and swimming behavior after 120 h exposure.

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Premise: Because of expected range shifts associated with climate change, there is a renewed interest in the evolutionary factors constraining adaptation, among which are genetic bottlenecks, drift, and increased mutational load after range expansion. Here we study adaptation in the short-lived species Leontodon longirostris showing reduced genetic diversity and increased genetic load along an expansion route.

Methods: We assessed the phenological patterns of variation, and their effect on fitness-related traits, on 42 L.

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Unravelling the evolutionary processes underlying range expansions is fundamental to understand the distribution of organisms, as well as to predict their future responses to environmental change. Predictions for range expansions include a loss of genetic diversity and an accumulation of deleterious alleles along the expansion axis, which can decrease fitness at the range-front (expansion load). In plants, empirical studies supporting expansion load are scarce, and its effects remain to be tested outside a few model species.

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Background And Aims: The distribution of cytotypes and its potential correlation with environmental variables represent a cornerstone to understanding the origin and maintenance of polyploid lineages. Although many studies have addressed this question in single species at a regional scale, only a few have attempted to decipher this enigma in groups of closely related species at a broad intercontinental geographical scale. Here, we consider approx.

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Background: In areas of high exposure to grass pollen, allergic patients are frequently sensitized to profilin, and some experience severe profilin-mediated food-induced reactions. This specific population of patients is ideal to study the relationship between respiratory and food allergies.

Objective: We sought to determine the role of oral mucosal epithelial barrier integrity in profilin-mediated allergic reactions.

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Purpose: To analyse the correlation between the level of activity measured in the single photon emission computed tomography (SPECT) and the pathological findings in patients with condylar hyperplasia (CH).

Materials And Methods: All patients evaluated in our department between 2007 and 2014 with a diagnosis of condylar hyperplasia who had undergone SPECT, evidenced signs of activity, and had undergone surgery were included. We included 28 patients, of whom 20 were women and 8 men.

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