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Reducing strain on primary healthcare systems through innovative models of care:the impact of direct access physiotherapy for musculoskeletal conditions—an interrupted time series analysis

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Family Medicine and Community Health 2024年第3期12卷 1-12页

作者： James Henry Zouch Bjørnar Berg Are hugo Pripp Kjersti Storheim Claire E Ashton-James Manuela L ferreira Margreth Grotle Paulo H ferreira Sydney Musculoskeletal Health Faculty of Medicine and HealthThe University of SydneySydneyNew South WalesAustralia Centre for Intelligent Musculoskeletal Health Oslo Metropolitan University Faculty of Health SciencesOsloNorway Oslo Metropolitan University Faculty of Health Sciences OsloNorway Oslo Centre of Biostatistics and Epidemiology Oslo University HospitalOsloNorway Department of Rehabilitation Science and Health Technology Oslo Metropolitan University Faculty of Health SciencesOsloNorway Department of Research and Innovation Oslo University Hospital Division of Clinical NeuroscienceOsloNorway Sydney Medical School Kolling InstituteThe University of Sydney Faculty of Medicine and HealthSydneyNew South WalesAustralia The George Institute for Global Health SydneyNew South WalesAustralia Department of Research and Innovation Oslo University HospitalOsloNorway Department of Rehabilitation and Technology Oslo Metropolitan University Faculty of Health SciencesOsloNorway Charles Perkins Centre Sydney Musculoskeletal HealthThe University of Sydney Faculty of Medicine and HealthSydneyNew South WalesAustralia

Objectives To evaluate the longitudinal impact of introducing a national,direct access physiotherapy model of care on the rates of primary and secondary care consultations for musculoskeletal(MSK)*** Interrupted time series analysis using segmented linear *** Norway primary care Participants A cohort of 82072 participants was derived from 3 population-based health surveys conducted across separate geographical regions in *** participants surveyed were eligible for inclusion as a national representative sample of the Norwegian *** MSK consultations were linked to the Norwegian Control and Payment of Health Reimbursement database and the Norwegian Patient Register using the International Classification of Primary Care diagnostic medical codes L-chapter for MSK conditions and spine related International Classification of Diseases,10th Revision,*** Direct access to physiotherapy model of care introduced nationally in Norway in *** model allowed Norwegians to consult directly with qualified physiotherapists for MSK conditions(eg,back pain,knee osteoarthritis)without the need for a medical referral in order to claim a social security *** outcomes measured Rates of primary care consultations per 10000 population(general practitioner(GP)and physiotherapist consultations)and secondary care(specialist consultations and surgical procedures)measured from 2014 to *** The introduction of the direct access physiotherapy model was associated with an immediate stepped reduction of 391 general practice consultations per 10000 population,(95%CI:−564 to−216),without an associated change in physiotherapy *** analyses suggested there was an associated reduction in physiotherapy consultations for those in the lowest education group of 150 consultations per quarter(95%CI:−203 to−97),70 consultations per quarter in the intermediate education group(95%CI:−115 to−27)and a step

关键词： impact analysis strain

-765G > C COX-2 polymorphism may be a susceptibility marker for gastric adenocarcinoma in patients with atrophy or intestinal metaplasia

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World Journal of Gastroenterology 2006年第34期12卷 5473-5478页

作者： Carina Pereira hugo Sousa Paula ferreira Maria Fragoso Luís Moreira-Dias Carlos Lopes Rui Medeiros Mário Dinis-Ribeiro Molecular Oncology Group Portuguese Institute of Oncology of Porto Portugal and ICBAS Abel Salazar Institute for the Biomedical Sciences Porto Portugal Oncology Department Portuguese Institute of Oncology of Porto Portugal Gastroenterology Department Portuguese Institute of Oncology of Porto Portugal and Cintesis / Faculty of Medicine University of Porto Porto Portugal

AIM： To investigate the relationship between the -765G 〉 C COX-2 polymorphism and the development of different gastric lesions： atrophy or intestinal metaplasia and gastric adenocarcinoma. METHODS： A cross-sectional study was performed involving 320 Portuguese individuals （210 without evidence of neoplastic disease, 73 patients with gastric adenocarcinomas and 37 with atrophy or intestinal metaplasia） using a PCR-RFLP method.RESULTS： -765C allele was overrepresented in the patients with gastric adenocarcinoma （51%） when compared either with the control group （38%） or patients with atrophy or intestinal metaplasia （27%）. Callele was found to be very common in our population （0.22）, and a multivariate logistic regression analysis revealed nearly 3-fold increased risk for the progression to gastric adenocarcinoma in patients with atrophy or intestinal metaplasia carrying the -765C allele （OR = 2.67, 95% CI = 1.03-6.93; P = 0.04）.CONCLUSION： -765C carrier status should be considered as another susceptibility marker for gastric adenocarcinoma development in patients with atrophy or intestinal metaplasia.

关键词： Gastric adenocarcinoma Atrophy Intestinal metaplasia COX-2 Polymorphism PCR-RFLP Pharmacogenomic

Autonomous Kernel Based Models for Short-Term Load Forecasting

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Journal of Energy and Power Engineering 2012年第12期6卷 1984-1993页

作者： Vitor hugo ferreira Alexandre Pinto Alves da Silva Electrical Engineering Department Fluminense Federal University (UFF) Niteroi 24210-240 Brazil Federal University of Rio de Janeiro Rio de Janeiro 21945-972 Brazil

The application of support vector machines to forecasting problems is becoming popular, lately. Several comparisons between neural networks trained with error backpropagation and support vector machines have shown advantage for the latter in different domains of application. However, some difficulties still deteriorate the performance of the support vector machines. The main one is related to the setting of the hyperparameters involved in their training. Techniques based on meta-heuristics have been employed to determine appropriate values for those hyperparameters. However, because of the high noneonvexity of this estimation problem, which makes the search for a good solution very hard, an approach based on Bayesian inference, called relevance vector machine, has been proposed more recently. The present paper aims at investigating the suitability of this new approach to the short-term load forecasting problem.

关键词： Load forecasting artificial neural networks input selection kernel based models support vector machine relevancevector machine.

Structural Health Monitoring of Different Geometry Structures With Optical Fiber Sensors

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Photonic Sensors 2012年第4期2卷 357-365页

作者： Paulo ANTUNES hugo RODRIGUES Rui TRAVANCA Licinio ferreira Humberto VARUM Paulo ANDRE Instituto de Telecomunicacoes Campus de Santiago 3810-193 Aveiro Portugal Departamento de Fisica Universidade de Aveiro Campus de Santiago 3810-193 Aveiro Portugal Departamento de Engenharia Civil Universidade de Aveiro Campus de Santiago 3810-193 Aveiro Portugal

In this paper, we describe the structural health monitoring of several structures, with different geometry, materials and behaviors, using optical fiber sensors. Those studies aimed to demonstrate the feasibility of s... 详细信息

关键词： Structural health monitoring optical fiber optical sensors

Load Forecasting for Control of the Use of Transmission System for Electric Distribution Utilities

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Journal of Energy and Power Engineering 2013年第1期7卷 139-147页

作者： Vitor hugo ferreira Alexandre Rasi Aoki Silvio Michel de Rocco Electrical Engineering Department Fluminense Federal University (UFF) Niter6i 24210-240 Brazil Electric and Electronic Department Institute of Technology for Development (LACTEC) Curitiba 80215-090 Brazil Companhia Paranaense de Energia (COPEL) Curitiba 80420-170 Brazil

The Brazilian electric sector reform established that the remuneration of distribution utilities must be through the management of their systems. This fact increased the necessity of control and management of load flows through the connection points between the distribution systems and the basic grid as a function of the contracted amounts. The objective of this control is to avoid that these flows exceed some thresholds along the contracted values, avoiding monetary penalties to the utility or unnecessary amounts of contracted flows that overrates the costumers. This question highlights the necessity of forecast the flows in these connection points in sufficient time to permit the operator to take decisions to avoid flows beyond the contracted ones. In this context, this work presents the development of a neural network based load flow forecaster, being tested two time-series neural models： support vector machines and Bayesian inference applied to multilayered perceptron. The models are applied to real data from a Brazilian distribution utility.

关键词： Load forecasting artificial neural networks complexity control input selection Bayesian methods support vector machines.

Comparison of the apical seal on filled root canals with Topseal<sup>®</sup>vs MTA Fillapex<sup>®</sup>sealers: A quantitative scintigraphic analysis

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Open Journal of Stomatology 2013年第2期3卷 128-132页

作者： Manuel Marques ferreira Margarida Abrantes hugo ferreira Eunice Virgínia Carrilho Maria Filomena Botelho Department of Biophysics and Biomathematics IBILI-Faculty of Medicine University of Coimbra Coimbra Portugal Department of Dentistry Faculty of Medicine University of Coimbra Coimbra Portugal

This study investigated the microleakage of two different root canal obturation systems, using the nuclear medicine approach, with sodium pertechnetate 99mTc. Twenty six single-rooted extracted teeth were selected. The crowns were sectioned to obtain15 mmlong root segments and each tooth was prepared using rotary ProFile? instruments. The roots were divided into 2 experimental groups and two control groups. Twenty root canals were filled, using Thermafil? and Topseal? or MTA Fillapex? as a sealer. On the 7th and the 28th day the apices were submersed in a solution of 99mTc-Pertechnetate during 3 hours. The radioactivity was counted using a gamma camera. Although apical leakage on the 7th day in the Topseal group was reduced compared with RealSeal1, with a statistical significant difference (p = 0.057), on the 28th day, the MTA Fillapex increased the sealing properties (p = 0.017).

关键词： Microleakage Nuclear Medicine Obturation Thermafil Topseal MTA Fillapex

Management of Insect Vectors of Viruses in Tomato Plants Using Different Densities of Yellow Traps

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Journal of Life Sciences 2016年第4期10卷 185-191页

作者： Eduardo Domingos Grecco] Dirceu Pratissolit hugo Bolsoni Zago Debora ferreira Melo Fragoso JoseRomario Carvalho Department of Plant Production Center of Agricultural Sciences and Enengineering (CCAE) Universidade Federal do EspiritoSanto (CCA-UFES) Alegre Espirito Santo Brazil

The initial phase of tomato is critical to the infestation of insect vectors of viruses. Therefore, this study aimed to test the use of yellow card traps around the crop to manage insect vectors of viruses and test the best density of traps/tomato plants. Yellow card traps were placed on the border of the crop plot to capture adult insect vectors. Density of trap/tomato plant was assessed in 10 blocks at the following levels： 1/25; 1/50; 1/75; 1/100; 1/125; 1/150. The monitoring was carded out in 1% of the crop during 60 days in 2011 and 2012 crop. The evaluated systems were Conventional and Phytosanitary Pest Management （PPM）. During 2011 season the Conventional system received 14 insecticide applications whereas only 6 insecticide applications were made on the PPM, representing a reduction of 133%. In 2012, the crop under Conventional system was subjected to 15 applications of insecticides, over 8 on PPM, with a reduction of 87.5%. The PPM allowed a 90% reduction in application cost for this insects, obtaining a reduction of R$1,345.00/ha. The highest density was 60 plants/trap. We can conclude that the yellow card traps in tomato crop decreased infestations of insect vectors of viruses.

关键词： Viruses vectors Solanum lycopersicum yellow card trap.

Evaluation of the Implementation of a Low Emission Zone in Lisbon

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Journal of Environmental Protection 2012年第9期3卷 1188-1205页

作者： Francisco ferreira Pedro Gomes Ana Cristina Carvalho hugo Tente Joana Monjardino Helena Brás Paulo Pereira CENSE—Center for Environmental and Sustainability Research Faculdade de Ciências e Tecnologia Universidade Nova de Lisboa Caparica Portugal DCEA-FCT/UNL—Departmento de Ciências e Engenharia do Ambiente Faculdade de Ciências e Tecnologia Universidade Nova de Lisboa Caparica Portugal

The city of Lisbon, like many others in the EU region, introduced a Low Emission Zone (LEZ) as a tool for improving air quality in its city centre. This kind of emission reduction schemes is always controversial since it might lead to significant changes in the daily behaviours of its inhabitants. In order to evaluate the effects of the measure, an estimation of the impact of the introduction of the Lisbon LEZ was performed. Real traffic counting and fleet characterization combined with CORINAR-based emission inventory methodology allowed to estimate the impacts of three different scenarios applied to the “business as usual” condition (current vehicle fleet) ranging from “no circulation from non- compliant vehicles” to an “aggressive fleet renewal”. Results highlight the high percentage of atmospheric emissions of PM10 and NOx that might result from certain fleets like taxis and buses, especially because there was an emphasis in standardized/normalized estimations (emissions per 1000 vehicles) in order to allow different strategic approaches. The total reduction of PM10 emissions associated to each scenario vary between 6 ***-1 (scenario 2) and 8 ***-1 (scenario 1), or 25% and 34% less emissions. In terms of NOxemission reductions vary between 6 ***-1 (scenario 2) and 57 ***-1 (scenario 1), or 1% and 7% less emissions. The Lisbon LEZ is therefore much more efficient in reducing PM10 emissions compared to NOx. Major reduction in PM10 and NOx emissions are to be expected with a moderate intervention in the (relatively old) taxi fleet in Lisbon while for passenger cars the impact is limited. However in absolute terms and due to its urban mileage passenger cars should also continue being included in Lisbon LEZ. Simultaneously, an effort in the increase of dedicated lanes for public transport should be made, for further reductions in PM10 and NOx emissions.

关键词： Low Emission Zone PM10 NOx Euro Standards

An Unusual Case of Sternoclavicular Joint Infection and Lung Abscess

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Open Journal of Respiratory Diseases 2020年第2期10卷 43-48页

作者： Carina Rolo Silvestre Ricardo Cordeiro Daniel Duarte hugo ferreira Carla Cardoso Teresa Falcao António Domingos Pulmonology Department Centro Hospitalar do OesteTorres VedrasPortugal Cardiothoracic Surgery Department Centro Hospitalar Lisboa NorteLisboaPortugal

Septic arthritis of the sternoclavicular joint is a rare and serious infection. A delay in the diagnosis may lead to serious complications. The appropriate medical and surgical treatment is crucial to the outcome. This article aims to report our experience in the successful management of sternoclavicular joint infection complicated with a lung infection. The authors present an unusual case of sternoclavicular joint infection extending into lung parenchyma with lung abscess formation in a diabetic patient, with uncontrolled diabetes that was successfully treated. At revaluation, he was asymptomatic with no evidence of relapse. Although sternoclavicular joint infection is a rare condition we highlight the importance of clinician’s awareness for an early diagnosis and treatment with broad-spectrum antibiotics and surgery.

关键词： Lung Abscess Septic Arthritis Sternoclavicular Joint Diabetes Mellitus