Introduction: Neurogenic heterotopic ossification (NHO) is a frequent complication of spinal cord injury (SCI). NHO poses a diagnostic challenge and can compromise patient functionality. Our aim is to characterize a case series of NHO in SCI patients, from a rehabilitation center, review the literature and propose a management protocol. Methods: A small case series is described based on medical records. A revie...
Objective: To evaluate the impact of the elexacaftor/tezacaftor/ivacaftor (ELX/TEZ/IVA) combination on the small airways in adults with cystic fibrosis (CF), a genetic disorder that primarily affects the respiratory system, leading to progressive lung disease. In CF, the small airways play a critical role, contributing to chronic symptoms such as cough, sputum production, and dyspnea. Methods: This was a single...
This research critically examines the extent to which micro-enterprises in the hospitality sector operationalize sustainability, with a study conducted within the distinctive context of a UNESCO biosphere reserve . A quantitative, descriptive research design was used to collect survey data from employees and customers in a purposive sample of 30 establishments located within a UNESCO biosphere reserve. The se...
The increase in aquaculture activity is inevitable to fulfil global food provisioning for a growing population. Therefore, it is most recommendable to develop a sustainable approach for aquaculture practice. Integrated Multi-Trophic Aquaculture (IMTA) is proposed as one solution taking advantage of circular uptake of nutrients within the system. IMTA practice has been conducted for a thousand years despite only...
Leishmania infantum, a zoonotic vector-born parasite, is endemic in the Mediterranean region, presenting mostly as visceral (VL), but also as cutaneous (CL) and mucosal leishmaniasis (ML). This study aimed to describe the epidemiological and clinical aspects of the CL and ML cases diagnosed in mainland Portugal between 2010 and 2020. Collaboration was requested from every hospital of the Portuguese National Hea...
The Low Mondego (Baixo Mondego, in Portuguese) river basin has been considerably modified by human interventions to prevent floods and to improve agricultural conditions over recent decades. This work analyzes the main impacts arising from those interventions and the socio-economic context in which they occurred. The development and application of a framework to compute the variation of the nitrogen surplus bet...
Primary care physicians have been present on the frontline during the ongoing pandemic, adding new tasks to already high workloads. Our aim was to evaluate burnout in primary care physicians during the COVID-19 pandemic, as well as associated contributing factors. Cross-sectional study with an online questionnaire disseminated through social media, applying the snowball technique. The target population was prim...
Companies that faces transport challenges and require logistics efficiency need to implement solutions based on automation, provided in Industry 4.0. Intelligent Logistics Management, satisfying the demanding requirements of the customer, using new technologies and advanced tools to control and to act along the supply chain are mandatory. To address this topic, this paper presents an application of an Automated...
Treinar competências em contextos reais pode ser difícil, dispendioso, demorado, potencialmente perigoso, intrusivo e até não ético. Nas últimas décadas a simulação tem vindo a apresentar-se, cada vez mais, como estratégia para responder a este problema. A aproximação progressiva à vida real pode ser assegurada em contexto simulado, com a replicação das condições do ambiente estruturado e seguro, sem riscos par...