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- Baseline climatology of the Canary Current Upwelling System and evolution of sea surface temperaturePublication . Mills, Lara; Janeiro, João; Martins, F.Global climate change has induced a rise in sea surface temperature (SST), although this increase is not uniform across the world. Significant variations exist between coastal and offshore waters, particularly in regions affected by upwelling processes. This study focuses on the Canary Current Upwelling System (CCUS), stretching from Northwest Iberia to Northwest Africa. High-resolution remotely sensed SST data (0.05°) from the ODYSSEA Level 4 Sea Surface Temperature Reprocessed dataset were validated with in situ measurements and employed to establish a regional climatological baseline for 1982–2012. Subsequent years were compared to this baseline to construct SST anomaly maps, revealing SST changes since 2012. The study area was further divided into sub-regions for comparative analysis. Results indicate that SST consistently increased at a higher rate offshore compared to the adjacent nearshore regions. A reference dataset spanning 1951–1981 was used to gauge SST variability between the two baselines. SST exhibited a 0.59 °C increase from 1951–1981 to 1982–2012, with a slowing of SST trends beyond the 1982–2012 baseline. This research offers valuable insights into the climatological dynamics of the CCUS. These findings enhance our understanding of this critical coastal system’s climatology, laying the groundwork for future investigations into evolving climate patterns in coastal regions.
- Severe acute kidney injury in hospitalized cancer patients: epidemiology and predictive model of renal replacement therapy and In-Hospital MortalityPublication . Marques, Roberto Calças; Reis, Marina; Pimenta, Gonçalo; Sala, Inês; Chuva, Teresa; Coelho, Inês; Ferreira, Hugo; Paiva, Ana; Costa, José MaximinoBackground: Acute kidney injury (AKI) is a common complication among cancer patients, often leading to longer hospital stays, discontinuation of cancer treatment, and a poor prognosis. This study aims to provide insight into the incidence of severe AKI in this population and identify the risk factors associated with renal replacement therapy (RRT) and in-hospital mortality. Methods: This retrospective cohort study included 3201 patients with cancer and severe AKI admitted to a Comprehensive Cancer Center between January 1995 and July 2023. Severe AKI was defined according to the KDIGO guidelines as grade ≥ 2 AKI with nephrological in-hospital follow-up. Data were analyzed in two timelines: Period A (1995–2010) and Period B (2011–2023). Results: A total of 3201 patients (1% of all hospitalized cases) were included, with a mean age of 62.5 ± 17.2 years. Solid tumors represented 75% of all neoplasms, showing an increasing tendency, while hematological cancer decreased. Obstructive AKI declined, whereas the incidence of sepsis-associated, prerenal, and drug-induced AKI increased. Overall, 20% of patients required RRT, and 26.4% died during hospitalization. A predictive model for RRT (AUC 0.833 [95% CI 0.817–0.848]) identified sepsis and hematological cancer as risk factors and prerenal and obstructive AKI as protective factors. A similar model for overall in-hospital mortality (AUC 0.731 [95% CI 0.71–0.752]) revealed invasive mechanical ventilation (IMV), sepsis, and RRT as risk factors and obstructive AKI as a protective factor. The model for hemato-oncological patients’ mortality (AUC 0.832 [95% CI 0.803–0.861]) included IMV, sepsis, hematopoietic stem cell transplantation, and drug-induced AKI. Mortality risk point score models were derived from these analyses. Conclusions: This study addresses the demographic and clinical features of cancer patients with severe AKI. The development of predictive models for RRT and in-hospital mortality, along with risk point scores, may play a role in the management of this population.