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Coimbra Institute for Clinical and Biom... Publications | LitMetric

738 results match your criteria: "Coimbra Institute for Clinical and Biomedical Research (iCBR)[Affiliation]"

Performance of ChatGPT in the Portuguese National Residency Access Examination.

Acta Med Port

December 2024

Cardiology Department. Unidade Local de Saúde de Coimbra. Coimbra; Faculdade de Medicina. Universidade de Coimbra. Coimbra; Digital Health Study Group, Sociedade Portuguesa de Cardiologia. Lisboa. Portugal.

ChatGPT, a language model developed by OpenAI, has been tested in several medical board examinations. This study aims to evaluate the performance of ChatGPT on the Portuguese National Residency Access Examination, a mandatory test for medical residency in Portugal. The study specifically compares the capabilities of ChatGPT versions 3.

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Objectives: To characterize variations in real-world treatment patterns in multiple myeloma (MM) in Portugal over a 5-year period.

Methods: A retrospective cohort multicenter study using secondary data of national hospital drug consumption database from 11 Portuguese public hospitals between 2017 and 2022.

Results: Number of MM-treated patients increased 53% over 5 years (from 825 to 1266 patients).

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Influence of different cavity disinfectants on composite adhesion to dentin of primary teeth: An study.

Heliyon

December 2024

Department of Mechanical Engineering, Centre for Mechanical Engineering, Materials and Processes (CEMMPRE), University of Coimbra, 3030-788 Coimbra, Portugal.

Restorative treatment is the most common approach to treating dental caries. However, after cavity preparation, some microorganisms may still persist in the substrate, suggesting the use of cavity disinfectants. Nevertheless, their effect on adhesion to composite resins is not yet fully understood, especially in primary teeth.

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Purpose: Home-based exercise training may improve access to surgical prehabilitation in colorectal cancer (CRC) patients, but its efficacy remains unclear. This study systematically investigated the effects of home-based exercise prehabilitation on postoperative exercise capacity, complications, length of hospital stay, and health-related quality of life (HRQoL) in CRC patients.

Methods: Randomized controlled trials (RCTs) comparing home-based exercise prehabilitation with control in CRC patients were eligible.

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Photosensitizer formulations in photodynamic therapy of age-related macular degeneration.

Eur J Med Chem

November 2024

Centro de Química Estrutural, Institute of Molecular Sciences & Departamento de Engenharia Química, Instituto Superior Técnico, Universidade de Lisboa, Av. Rovisco Pais, nº 1, 1049-001, Lisboa, Portugal. Electronic address:

Age-related macular degeneration (AMD) is a progressive degenerative disease that leads to visual impairment, predominantly affecting the elderly. Despite significant advancements in treatment, a definitive cure remains elusive. Current therapeutic strategies only slow down disease progression, inhibiting abnormal blood vessels growth, and preserving or improving vision.

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Purpose: To evaluate the 6-month progression of retinal capillary perfusion in eyes with advanced stages of nonproliferative diabetic retinopathy (NPDR).

Design: RICHARD (NCT05112445), 2-year prospective longitudinal study.

Participants: Sixty eyes with Diabetic Retinopathy Severity Scale (DRSS) levels 43, 47, and 53 from 60 patients with type 2 diabetes.

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The senotherapeutic potential of phytochemicals for age-related intestinal disease.

Ageing Res Rev

December 2024

Universidade Católica Portuguesa, CBQF-Centro de Biotecnologia e Química Fina-Laboratório Associado, Escola Superior de Biotecnologia, Rua Diogo Botelho 1327, Porto 4169-005, Portugal. Electronic address:

During the last few decades, life expectancy has increased worldwide along with the prevalence of several age-related diseases. Among aging pathways, cellular senescence and chronic inflammation (or "inflammaging") appear to be connected to gut homeostasis and dysbiosis of the microbiome. Cellular senescence is a state of essentially irreversible cell cycle arrest that occurs in response to stress.

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Article Synopsis
  • The study investigates the quality of referrals to community palliative care teams, focusing on patient criteria for at-home care and the challenges in transitioning from hospital care to specialized palliative support.
  • Researchers analyzed patient records from 2023, noting an average patient age of 80.7 years, with common diagnoses including cancer and organ failure, and found improvements in psychological and social support after starting palliative care.
  • The findings suggest that while many patients can be supported effectively at home, there are significant issues with recognizing referral criteria and delays in transitioning care from hospitals.
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Severe Acute Transverse Myelitis With a Rapid Progression in an Infant.

Cureus

October 2024

Pediatric Intensive Care Unit, Hospital Pediátrico, Unidade Local de Saúde de Coimbra, Coimbra, PRT.

Article Synopsis
  • Acute transverse myelitis (ATM) is a rare spinal cord inflammation that can result from infections or other systemic diseases, often leading to motor and sensory dysfunction.
  • A case report describes a 10-month-old boy with severe ATM likely caused by enteritis, who developed rapid motor deficits and required extended care in a pediatric ICU, including mechanical ventilation.
  • Despite various treatments, the patient faced prolonged recovery and significant neurological deficits, underscoring the need for comprehensive care and rehabilitation in managing severe ATM cases.
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Gastrointestinal complications of diabetes are often overlooked, despite affecting up to 75% of patients. This study innovatively explores local glutathione levels and morphometric changes in the gut of Goto-Kakizaki (GK) rats, a type 2 diabetes animal model. Segments of the intestine, cecum, and colon were collected for histopathological analysis and glutathione quantification.

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Introduction: Childhood arterial ischemic stroke is a rare condition. Its true incidence is unknown as it is likely underdiagnosed. Outcomes are generally favorable but it is still a significant cause of mortality and morbidity in children.

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Background: We aimed to investigate the effect of daily supplemental vitamin D, omega-3s, and a thrice-weekly home exercise program, alone or in combination, on change of appendicular lean muscle mass index (ALMI) and incident sarcopenia in older adults.

Methods: This is a secondary endpoint analysis of a 3-year randomized, double-blind, placebo-controlled trial with a 2 × 2 × 2 factorial design among 2157 community-dwelling, healthy adults aged 70 + years, from 2012 to 2018 (DO-HEALTH). Participants were randomized to 2000 IU/d vitamin D and/or 1 g/d marine omega-3s and/or exercise.

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Novel biomarkers in RA: Implication for diagnosis, prognosis, and personalised treatment.

Best Pract Res Clin Rheumatol

November 2024

Rheumatology Department, Unidade Local de Saúde de Coimbra, Portugal; Coimbra Institute for Clinical and Biomedical Research (iCBR), Faculty of Medicine, University of Coimbra, Portugal. Electronic address:

Over the past decades our understanding of rheumatoid arthritis (RA) pathogenesis has improved remarkably and major breakthroughs in the treatment of RA were made with the advent of numerous targeted therapies and new treatment strategies. Despite these advances, several unmet needs remain, namely in achieving earlier and more accurate diagnosis, monitoring disease activity, predicting disease prognosis and optimizing treatment. To address these gaps, recent research has focused on identifying biomarkers that may enhance diagnostic precision, predict disease prognosis, and optimize treatment strategies.

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Corrigendum to "The adipose tissue melanocortin 3 receptor is targeted by ghrelin and leptin and may be a therapeutic target in obesity" [Mol. Cell. Endocrinol. 594 (2024), 112367].

Mol Cell Endocrinol

January 2025

University of Coimbra, Coimbra Institute for Clinical and Biomedical Research (iCBR) and Institute of Physiology, Faculty of Medicine, Coimbra, Portugal; University of Coimbra, Center for Innovative Biomedicine and Biotechnology (CIBB), Coimbra, Portugal; Clinical Academic Center of Coimbra (CACC), Coimbra, Portugal; Polytechnic University of Coimbra, Coimbra Health School (ESTeSC), Coimbra, Portugal. Electronic address:

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Increased functional connectivity between brain regions involved in social cognition, emotion and affective-value in psychedelic states induced by N,N-Dimethyltryptamine (DMT).

Front Pharmacol

October 2024

Coimbra Institute for Biomedical Imaging and Translational Research (CIBIT), Institute of Nuclear Sciences Applied to Health (ICNAS), University of Coimbra, Coimbra, Portugal.

Article Synopsis
  • - The study explores how psychedelics, specifically DMT, may enhance social cognition and help in treating disorders related to emotional and reward processing issues through changes in brain connectivity.
  • - Using resting-state fMRI, researchers looked at the effects of DMT on brain areas important for understanding emotions and social interactions in eleven experienced users, comparing results between DMT inhalation and a control condition.
  • - Findings showed that DMT increased connectivity in regions linked to social cognition, including the supramarginal gyrus and amygdala, suggesting it may improve emotional and social processing, which could have therapeutic implications.
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Clinical and Histopathologic Findings in Jalili Syndrome.

Ophthalmol Retina

November 2024

Ophthalmology Unit, Unidade Local de Saúde (ULS) Coimbra, Coimbra, Portugal; Clinical Academic Center of Coimbra (CACC), Coimbra, Portugal; Faculty of Medicine, University of Coimbra, Coimbra, Portugal; University of Coimbra, Coimbra Institute for Clinical and Biomedical Research (iCBR), Faculty of Medicine, Coimbra, Portugal; University of Coimbra, Center for Innovative Biomedicine and Biotechnology (CIBB), Coimbra, Portugal. Electronic address:

Purpose: To correlate histopathologic findings in an eye with Jalili syndrome with clinical and imaging results available before enucleation.

Design: Case report with histopathologic analysis.

Subjects: Histopathologic analysis of an enucleated eye from a 63-year-old woman diagnosed with Jalili syndrome.

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Association of rs35767 polymorphism in the IGF1 gene with athletic performance in power and endurance sports: A meta-analysis.

Growth Horm IGF Res

December 2024

University of Coimbra, Faculty of Medicine, Institute of Medical Genetics/UCGenomics, 3000-548 Coimbra, Portugal; University of Coimbra, Coimbra Institute for Clinical and Biomedical Research (iCBR), Faculty of Medicine, 3000-548 Coimbra, Portugal; University of Coimbra, Center of Investigation in Environment, Genetics and Oncobiology (CIMAGO), Faculty of Medicine, 3000-548 Coimbra, Portugal; University of Coimbra, Center for Innovative Biomedicine and Biotechnology (CIBB), Faculty of Medicine, 3000-548 Coimbra, Portugal. Electronic address:

Background: Sport performance is a multifactorial phenotype dependent on the interaction of multiple genetic and non-genetic factors. More than 200 polymorphisms have been associated with athletic performance. The single nucleotide polymorphism (SNP) rs35767, located in the regulatory region of the IGF1 gene, influences its expression and has been associated with sports-related phenotypes.

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Peripheral immune profiling of soft tissue sarcoma: perspectives for disease monitoring.

Front Immunol

November 2024

Center for Neurosciences and Cell Biology (CNC), Laboratory of Immunology and Oncology, University of Coimbra, Coimbra, Portugal.

Studying the tumor microenvironment and surrounding lymph nodes is the main focus of current immunological research on soft tissue sarcomas (STS). However, due to the restricted opportunity to examine tumor samples, alternative approaches are required to evaluate immune responses in non-surgical patients. Therefore, the purpose of this study was to evaluate the peripheral immune profile of STS patients, characterize patients accordingly and explore the impact of peripheral immunotypes on patient survival.

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Novel 1,10-phenanthroline-2,9-bistriazoles derivatives have been synthesized by copper-catalyzed azide/alkyne cycloaddition reactions and assessed for their ability to bind and stabilize G-quadruplex (G4) structures. Ten novel compounds were evaluated using Förster resonance energy transfer (FRET) melting, circular dichroism (CD), and fluorescence spectroscopy on several G4 sequences. Biophysical characterization led to the identification of compounds 4 a, 4 b, and 5 b as good G4 ligands of KRAS G4 sequences.

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Exploring yeast glucans for vaccine enhancement: Sustainable strategies for overcoming adjuvant challenges in a SARS-CoV-2 model.

Eur J Pharm Biopharm

December 2024

CBQF-Centro de Biotecnologia e Química Fina-Laboratório Associado, Escola Superior de Biotecnologia, Universidade Católica Portuguesa, 4169-005, Porto, Portugal. Electronic address:

Vaccine adjuvants are important for enhancing vaccine efficacy, and although aluminium salts (Alum) are the most used, their limited ability to induce specific immune responses has spurred the search for new adjuvants. However, many adjuvants fail during product development due to manufacturability, supply, stability, or safety concerns. This work hypothesizes that protein-free yeast glucans can be used as vaccine adjuvants due to their known immunostimulatory activity and high abundancy.

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Article Synopsis
  • The study evaluated intraretinal microvascular abnormalities (IRMA) in eyes with advanced nonproliferative diabetic retinopathy (NPDR), focusing on their correlation with other retinal changes like ischemia and microaneurysms.
  • The research involved 60 eyes from patients with type 2 diabetes, using various imaging techniques (color fundus photography, ultra wide field fluorescein angiography, and swept-source optical coherence tomography) to identify IRMA, particularly in the central retina.
  • Results showed that ultra wide field fluorescein angiography was the most effective method for detecting IRMA, finding more abnormalities than the other imaging techniques, with a significant association between IRMA and microaneurysms.
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Cold atmospheric plasma for breast cancer treatment: what next?

Med Gas Res

March 2025

Univ Coimbra, Coimbra Institute for Clinical and Biomedical Research (iCBR), Area of Environment Genetics and Oncobiology (CIMAGO), and Institute of Biophysics, Faculty of Medicine, Coimbra, Portugal.

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Tumor Resection in Hepatic Carcinomas Restores Circulating T Regulatory Cells.

J Clin Med

October 2024

Flow Cytometry Unit, Department of Clinical Pathology, Hospitais da Universidade de Coimbra, Unidade Local de Saúde de Coimbra, 3000-076 Coimbra, Portugal.

Article Synopsis
  • - Cholangiocarcinoma (CCA) and hepatocellular carcinoma (HCC) are significant types of liver cancer that impact the immune response due to the role of T regulatory (Treg) cells in suppressing antitumor immunity.
  • - A study was conducted on healthy individuals, CCA patients, and HCC patients to assess changes in natural killer (NK) cells and T cell subsets before and after surgical tumor removal, using various blood assays.
  • - Findings revealed that both types of cancer patients exhibited alterations in Treg cell populations before surgery, with an increase in certain Treg cells after tumor resection, indicating potential mechanisms of immune modulation following surgery.
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