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Component-resolved diagnosis in childhood and prediction of asthma in early ado...

Farraia, M; Mendes, FC; Sokhatska, O; Rama, T; Severo, M; Custovic, A; Cavaleiro Rufo, J; Barros, H; Moreira, A

"Introduction Component-resolved diagnosis (CRD) has been decisive in exploring the mechanisms of IgE sensitization, but the predictive ability to detect asthma has not been addressed. We aim to develop and evaluate the performance of a personalized predictive algorithm for asthma that integrates information on allergic sensitization using CRD. Methods One thousand one hundred one twenty-five children from the ...


Cost-effectiveness analysis of grass pollen specific immunotherapy in children ...

Farraia, M; Paciência, I; Mendes, FC; Cavaleiro Rufo, J; Delgado, L; Moreira, A

Background. Cost-effectiveness studies evaluating allergen immunothera-py (AIT) in children are scarce. We aim to compare the cost-effectiveness of subcutaneous (SCIT) and sublingual immunotherapy (SLIT) against stan-dard-of-care (SOC) treatment in children with grass pollen allergic rhinitis. Methods. We created a Markov model to compare the three strategies over a 10-year horizon. SOC was the reference to cal...


Sensitization trajectories to multiple allergen components in a population-base...

Farraia, M; Mendes, FC; Sokhatska, O; Severo, M; Cavaleiro Rufo, J; Barros, H; Moreira, A

BackgroundThe characteristics of allergic sensitization profiles can differ between populations and geographic regions, contributing differently to the association with allergic diseases. Consequently, the sensitization trajectories found in previous studies conducted in Northern Europe may not apply in Southern European countries. ObjectiveTo identify trajectories of allergic sensitization profiles during chil...


Allergen immunotherapy for asthma prevention: A systematic review and meta-anal...

Farraia, M; Paciência, I; Castro Mendes, F; Cavaleiro Rufo, J; Shamji, M; Agache, I; Moreira, A

Background: Allergen immunotherapy (AIT) is a disease-modifying treatment for IgE-mediated diseases. Randomized controlled trials (RCTs) support AIT's potential role in asthma prevention but evidence from non-randomized studies of interventions (NRSI) and longitudinal observational studies has been poorly addressed. Therefore, we aimed to conduct a systematic review and meta-analysis to assess clinical data fro...


AlergiaPT: A Portuguese media campaign to inspire people with allergies to make...

Moreira, A.; Mendes, F.C.; Rama, T.; Mota, D.; Silva, D; Pádua, I.; Abreu, C; Vasconcelos, MJ; Farraia, M; Paciência, I; Rufo, J; Barros, Renata


The Effect of Fire Smoke Exposure on Firefighters' Lung Function: A Meta-Analysis

Barbosa, JV; Farraia, M; Branco, PTBS; Alvim-Ferraz, MCM; Martins, FG; Annesi-Maesano, I; Sousa, SIV

Firefighters are exposed to a range of harmful substances during firefighting. Exposure to fire smoke has been associated with a decrease in their lung function. However, the cause-effect relationship between those two factors is not yet demonstrated. This meta-analysis aimed to evaluate the potential associations between firefighters' occupational exposure and their lung function deterioration. Studies were id...


Cost-effectiveness analysis of house dust mite allergen immunotherapy in childr...

Farraia, M; Paciência, I; Castro Mendes, F; Cavaleiro Rufo, J; Shamji, MH; Agache, I; Moreira, A

Background: Cost-effectiveness studies evaluating allergen immunotherapy (AIT) in children are limited but needed to drive clinical and policy-making decisions such as reimbursement of new interventions. In this study, we compared the cost effectiveness of subcutaneous (SCIT) and sublingual immunotherapy (SLIT) tablets to the standard of care (SOC) treatment in children with house dust mite-driven (HDM) allergi...


Increasing Vegetable Diversity Consumption Impacts the Sympathetic Nervous Syst...

Mendes, FD; Paciencia, I; Rufo, JC; Farraia, M; Silva, D; Padrão, Patrícia; Delgado, L; Garcia Larsen, V; Moreira, André; Moreira, Pedro

Evidence about the impact of vegetable and fruit diversity consumption on the autonomic nervous system (ANS) functioning is scarce. In this cross-sectional study (513 participants, 49.9% girls aged 7 to 12 years), we evaluated the association between vegetable and fruit diversity consumption and the ANS in school-aged children. Dietary intake was collected using a single 24-h recall questionnaire. Fruit and veg...


A cross-sectional study of the impact of school neighbourhood on children obesi...

Paciência, I; Cavaleiro Rufo, J; Mendes, F; Farraia, M; Cunha, P; Silva, D; Delgado, L; Padrão, Patrícia; Moreira, Pedro; Moreira, André

Schools' neighbourhoods provide an important environmental context that may influence the risk of obesity among children. The aim of this study was to assess the effect of neighbourhood surrounding schools on obesity and body composition in schoolchildren. Data on 845 children aged 7 to 12 years old from 20 primary schools were considered. Anthropometric measurements and bioelectrical impedance analysis were pe...


Impact of montelukast as add on treatment to the novel coronavirus pneumonia (C...

Tavares, M; Farraia, M; Silva, S; Ribeiro, AM; Severo, M; Paciência, I; Ribeiro, R; Hespanhol, V; Guimarães, T; Almeida, J; Magro, F; Sarmento, A

Background: Montelukast, a safe drug widely use in asthmatic patients, may be an adjuvant in the treatment of Covid-19, either by improving lung injury and inflammation, or by acting as an anti-viral drug. We aim to assess the efficacy and safety of montelukast as add-on treatment in patients with Covid-19. Methods: We propose a randomized, controlled, parallel, open-label trial involving 160 hospitalized adult...


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