Browsing by Author "Oliveira, Ana Paula"
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- Larval hatching and development of the wedge shell (Donax trunculus L.) under increased CO2 in southern PortugalPublication . Pereira, Alexandre Miguel; Range, Pedro; Campoy, Ana; Oliveira, Ana Paula; Joaquim, Sandra; Matias, Domitília; Chícharo, Luís; Gaspar, MiguelNoticeable changes in global temperatures, climate and ocean carbon chemistry are the result of carbon dioxide increase in the atmosphere. This increase has been mitigated by the oceans capacity to absorb one-fourth of the carbon dioxide in the atmosphere, although this CO2 intake affects oceans carbonate chemistry [i.e., ocean acidification-(OA)]. The detrimental effect of OA in the development and shell formation has been studied in several species of bivalves, although no information is available on the wedge shell Donax trunculus, a gastronomically appreciated species and an important economical resource in several southern European countries. We evaluated the effect of pCO(2) increase on hatching and early life stages of D. trunculus, considering two ocean acidification scenarios (Delta pH -0.3 and Delta pH -0.6). Our results showed that elevated pCO(2) caused a delay in hatching into D-larvae and reduced larvae survival. In the extreme scenario (Delta pH -0.6), some trochophore larvae persisted to day 9 of the experiment and more abnormal larvae were produced than in the Delta pH -0.3 and control treatments. At day 5, normal veligers under extreme acidification were smaller than in other treatments, but by day 9, these differences were attenuated and the average size of normal D-larvae varied inversely to the pH gradient. Possible underlying mechanisms for these complex response patterns are discussed, including the existence of phenotypic plasticity or genetic pre-adaptive capacity in this D. trunculus population to cope with future environmental changes.
- Transmural remission improves clinical outcomes up to 5 years in Crohn's diseasePublication . Fernandes, Samuel Raimundo; Serrazina, Juliana; Botto, Inês Ayala; Leal, Tiago; Guimarães, Andreia; Garcia, Joana Lemos; Rosa, Isadora; Prata, Rita; Carvalho, Diana; Neves, João; Campelo, Pedro; Ventura, Sofia; Silva, Andrea; Coelho, Mariana; Sequeira, Cristiana; Oliveira, Ana Paula; Portela, Francisco; Ministro, Paula; Sousa, Helena Tavares; Ramos, Jaime; Claro, Isabel; Gonçalves, Raquel; Correia, Luís Araújo; Marinho, Rui Tato; Cortez‐Pinto, Helena; Magro, FernandoIntroductionEvidence supporting transmural remission (TR) as a long-term treatment target in Crohn's disease (CD) is still unavailable. Less stringent but more reachable targets such as isolated endoscopic (IER) or radiologic remission (IRR) may also be acceptable options in the long-term. MethodsMulticenter retrospective study including 404 CD patients evaluated by magnetic resonance enterography and colonoscopy. Five-year rates of hospitalization, surgery, use of steroids, and treatment escalation were compared between patients with TR, IER, IRR, and no remission (NR). Results20.8% of CD patients presented TR, 23.3% IER, 13.6% IRR and 42.3% NR. TR was associated with lower risk of hospitalization (odds-ratio [OR] 0.244 [0.111-0.538], p < 0.001), surgery (OR 0.132 [0.030-0.585], p = 0.008), steroid use (OR 0.283 [0.159-0.505], p < 0.001), and treatment escalation (OR 0.088 [0.044-0.176], p < 0.001) compared to no NR. IRR resulted in lower risk of hospitalization (OR 0.333 [0.143-0.777], p = 0.011) and treatment escalation (OR 0.260 [0.125-0.540], p < 0.001), while IER reduced the risk of steroid use (OR 0.442 [0.262-0.745], p = 0.002) and treatment escalation (OR 0.490 [0.259-0.925], p = 0.028) compared to NR. ConclusionsTR improved clinical outcomes over 5 years of follow-up in CD patients. Distinct but significant benefits were seen with IER and IRR. This suggests that both endoscopic and radiologic remission should be part of the treatment targets of CD.