Publications by authors named "A E Eiras"

117 Publications

The importance of social participation for life satisfaction among spouse caregivers aged 65 and over.

Health Soc Care Community 2022 Feb 16. Epub 2022 Feb 16.

ICVS/3B's, PT Government Associate Laboratory, Guimarães, Portugal.

Spouse caregivers report lower levels of life satisfaction. However, social participation generates life satisfaction. The main goal of this study is to analyse the contribution of social participation to the life satisfaction of European and Israeli spouse caregivers aged 65 plus. The study uses cross-sectional data from 17 European countries, plus Israel, which are part of wave 6 of the Survey of Health, Ageing and Retirement in Europe (SHARE). The sample was limited to individuals aged 65+, who were classified as non-caregivers (N = 25,313) or spouse caregivers (N = 1977). The mean scores of life satisfaction by country and caregiver status were calculated and tests for a two-group comparison and multilevel logistic regressions were performed. The spouse caregiver group reported lower levels of satisfaction with life. Tests for a two-group comparison show that the group of spouse caregivers reports fewer social activities than the non-caregivers group. Moreover, multilevel linear regressions allowed us to conclude that providing spousal care at older ages (65+) is related to lower life satisfaction but that providing spousal care and reporting having social participation is related to higher life satisfaction than in the group of spouse caregivers who are not involved in social activities, and non-caregivers. Social participation is a key issue in the life satisfaction of spouse caregivers aged 65 years and older. The social participation of spouse caregivers should be a concern to relatives, communities, social and health professionals, as well as public policymakers.
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http://dx.doi.org/10.1111/hsc.13754DOI Listing
February 2022

Evaluation of the New Modular Biogents BG-Pro Mosquito Trap in Comparison to CDC, EVS, BG-Sentinel, and BG-Mosquitaire Traps.

J Am Mosq Control Assoc 2021 12;37(4):224-241

Mosquito surveillance is an essential component of mosquito control and mosquito traps are a universally employed tool to monitor adult populations. The objective of this paper was to evaluate the new modular Biogents BG-Pro mosquito trap (BGP) and compare its performance to 4 widely used traps for adult mosquitoes: the BG-Sentinel (BGS), the BG Mosquitaire (BGM), the CDC miniature light trap (CDC), and the encephalitis vector survey trap (EVS). One semi-field and 9 field Latin square trials were performed in 7 countries. Results showed that the collection performance of the BGP was equivalent to or exceeded that of the BGS, BGM, CDC, and EVS traps in head-to-head comparisons. The BGP uses 35% less power than the CDC and 75% less than the BGS and BGM. This lower power consumption allows it to run at 5 V for 2 days using a small lightweight 10,000-mAh rechargeable power bank. The BG-Pro is an excellent alternative for the surveillance of mosquito species that are usually monitored with BG-Sentinel, CDC, or EVS traps.
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http://dx.doi.org/10.2987/21-7003DOI Listing
December 2021

Colonic tuberculosis presenting as intestinal subocclusion in a patient with neuroendocrine tumor: a case report.

AME Case Rep 2021 25;5:36. Epub 2021 Oct 25.

Department of Internal Medicine and Endocrine Unit, Medical School and Clementino Fraga Filho University Hospital, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil.

Extra-pulmonary tuberculosis (EPT) is responsible for approximately 14% of all tuberculosis cases in Brazil. The incidence of EPT is increasing slightly and is often associated with human immunodeficiency virus infection and other causes of immunosuppression. The association of EPT and cancer is poorly documented. Here we present a rare case of intestinal subocclusion that was supposed to be caused by cancer and was caused by colonic tuberculosis (CT) in a patient with metastatic neuroendocrine tumor (NET). A 61-year-old woman presented with one-year history of abdominal pain, diarrhea and weight loss. An abdominal CT scan (ACTS) showed liver, peritoneal and lymph nodes metastasis. Colonoscopy revealed a subocclusive lesion in the descendent colon. She underwent an urgent laparoscopy and transverse colostomy. The liver biopsy revealed a well differentiated grade 2 NET and the mycobacterial culture confirmed tuberculosis in the colonic lesion. Anti-tuberculosis was prescribed, and somatostatin analogue therapy was introduced one month later. The tuberculosis treatment was finished, and the patient remained on somatostatin analogue for 21 months. During this time the symptoms of abdominal pain and diarrhea disappeared and her body weight increased 35% over her baseline weight. Then, diarrhea, flushing and abdominal pain returned, and a new ACTS confirmed progressive disease. Interferon was added to her treatment with satisfactory control of symptoms. She was forwarded to another hospital to be treated with 177Lu-DOTATOC. The symptoms improved and the patient remained symptom free for more than a year, and now she has a new disease progression. The patient will be evaluated for retreatment with 177Lu-DOTATOC. Advanced NET may be a devastating disease enough to predispose the patient to EPT. We must keep this hypothesis in the differential diagnosis of our patients since symptoms of CT are usually nonspecific. At colonoscopy, radiological features are strictures, colitis and polypoidal lesions and complications such as bowel perforation or fistula must be in mind. It is particularly important those with advanced disease in endemic areas of tuberculosis.
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http://dx.doi.org/10.21037/acr-21-28DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8572667PMC
October 2021

Factors associated with the occurrence of dengue epidemics in Brazil: a systematic review.

Rev Panam Salud Publica 2021 6;45:e84. Epub 2021 Aug 6.

Universidade Federal de Minas Gerais Belo Horizonte Brazil Universidade Federal de Minas Gerais, Belo Horizonte, Brazil.

Objective: To identify and describe broadly the factors related to the occurrence of dengue epidemics in Brazil.

Methods: Systematic review of studies published in Medline, Lilacs, PubMed, Cochrane, BVS, Web of Science, Scopus, and thesis and dissertations databases using descriptors cataloged in DeCs and MeSH on dengue and factors associated with the occurrence of epidemics, published from 2008 to 2018.

Results: Thirty-five studies carried out in the country were selected. The epidemics recorded in Brazil were associated and/or correlated with multiple factors such as environment, socioeconomic conditions, climate, and aspects related to the vector, among others.

Conclusions: Dengue epidemics are complex and multifactorial. The continuity of the vector control actions was found to be relevant to the reduction of and for disease control. To contain the spread of the disease, effective measures are needed in all sectors, including health, education, economy, population, business, and government. Actions for the early detection of cases of the disease can prevent new outbreaks of epidemics.
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http://dx.doi.org/10.26633/RPSP.2021.84DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8344382PMC
August 2021

Canine thyroid carcinoma prognosis following the utilisation of computed tomography assisted staging.

Vet Rec 2021 07 7;189(1):e55. Epub 2021 Feb 7.

Internal Medicine Department, Cave Veterinary Specialists, West Buckland, UK.

Background: Metastatic disease is frequently present at the time of diagnosis of canine thyroid carcinoma; however, utilisation of computed tomography (CT) alone for staging pre-treatment has been rarely reported in the veterinary literature.

Methods: The aims of this retrospective study were to stage affected dogs using CT findings of the cervical and thoracic regions, combined with histopathology/cytology results, in order to assess whether metastatic disease/WHO staging was of prognostic significance.

Results: Fifty-eight dogs were included in the study. Classification of cases into WHO stages I, II, III and IV were 10%, 50%, 9% and 31%, respectively. No statistically significant effect of WHO stage classification on overall survival/follow-up time was found (P = .576). Surgery resulted in a statistically significant increase in overall survival/follow-up time (P < .01). There was no statistically significant effect on overall survival/follow-up time in dogs that received medical therapy, either as sole therapy or as an adjunctive post-surgery (P = .198).

Conclusion: In summary, this study documents the metastatic rate of canine thyroid carcinoma using CT for staging pre-treatment. Staging utilising CT revealed a higher distant metastatic rate in dogs with thyroid carcinoma when compared to historical studies using different imaging techniques. As long-term outcomes are possible for cases with advanced disease, surgical intervention could still be considered.
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http://dx.doi.org/10.1002/vetr.55DOI Listing
July 2021
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