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Tuberculose em Idade Pediátrica: Experiência de 12 Anos num Centro Terciário de...

Borges, M; Rocha, AP; Veiga de Macedo, C; Milheiro Silva, T; Gouveia, C; Candeias, F; Brito, MJ

Introduction: The diagnosis of tuberculosis in children is a challenge namely because extrapulmonary tuberculosis and severe disease are more frequent in this age group. The aim of this study was to evaluate and reflect about severe tuberculosis in pediatric age, in a metropolitan area of Lisbon. Material and methods: Descriptive study about patients under 18 years of age admitted with tuberculosis disease in a...


Multivariate and Multiscale Complexity of Long-Range Correlated Cardiovascular ...

Martins, A; Pernice, R; Amado, C; Rocha, AP; Maria Eduarda Silva; Javorka, M; Faes, L

Assessing the dynamical complexity of biological time series represents an important topic with potential applications ranging from the characterization of physiological states and pathological conditions to the calculation of diagnostic parameters. In particular, cardiovascular time series exhibit a variability produced by different physiological control mechanisms coupled with each other, which take into acco...


Multiscale information storage of linear long-range correlated stochastic proce...

Faes, L; Pereira, MA; Maria Eduarda Silva; Pernice, R; Busacca, A; Javorka, M; Rocha, AP

Information storage, reflecting the capability of a dynamical system to keep predictable information during its evolution over time, is a key element of intrinsic distributed computation, useful for the description of the dynamical complexity of several physical and biological processes. Here we introduce a parametric approach which allows one to compute information storage across multiple timescales in stochas...


H Factor Deficiency: A Case with an Atypical Presentation

Rocha, AP; Borges, M; Neves, C; Neves, JF

We report a case of an 18-month-old boy with H factor deficiency with atypical presentation: recurrent acute otitis media and several maternal family members with autoimmune disorders (vitiligo, thyroiditis and immune trombocytopenia). Blood tests revealed low C3 and AH50, as well as low properdin and H factor. I factor was normal. CFH gene molecular test confirmed the H factor deficiency diagnosis. This child ...


Immunological Reconstitution Inflammatory Syndrome and Thrombotic Microangiopat...

Rocha, AP; Milheiro Silva, T; Francisco, T; Neves, C; Brites, V; Candeias, F

Some patients with human immunodeficiency virus (HIV) infection deteriorate shortly after starting highly active antiretroviral therapy (HAART), the so-called immunological reconstitution inflammatory syndrome (IRIS).1 Although having a spontaneous resolution in many instances, it can be fatal.1 Worse prognosis is seen in younger children, severe immunosuppression and central nervous system IRIS, or infections ...


ARFIMA-GARCH modeling of HRV: Clinical application in acute brain injury

Almeida, R; Dias, C; Maria Eduarda Silva; Rocha, AP

In the last decade, several HRV based novel methodologies for describing and assessing heart rate dynamics have been proposed in the literature with the aim of risk assessment. Such methodologies attempt to describe the non-linear and complex characteristics of HRV, and hereby the focus is in two of these characteristics, namely long memory and heteroscedasticity with variance clustering. The ARFIMA-GARCH model...


Volatility leveraging in heart rate: Health vs disease

Rocha, AP; Leite, A; Maria Eduarda Silva

Heart Rate Variability (HRV) data exhibit long memory and time-varying conditional variance (volatility). These characteristics are well captured using Fractionally Integrated AutoRegressive Moving Average (ARFIMA) models with Generalised AutoRegressive Conditional Heteroscedastic (GARCH) errors, which are an extension of the AR models usual in the analysis of HRV. GARCHmod-els assume that volatility depends on...


Modeling volatility in heat rate variability

Leite, A; Maria Eduarda Silva; Rocha, AP

Modeling Heart Rate Variability (HRV) data has become important for clinical applications and as a research tool. These data exhibit long memory and time-varying conditional variance (volatility). In HRV, volatility is traditionally estimated by recursive least squares combined with short memory AutoRegressive (AR) models. This work considers a parametric approach based on long memory Fractionally Integrated Au...


Heart Rate Variability in Children Submitted to Surgery

Marta João Rodrigues da Silva; Pinheiro, R; Almeida, R; Cunha, F; Ribeiro, A; Rocha, AP; Guimarães H


Heart Rate Variability during Plateau Waves of Intracranial Pressure: a pilot d...

Luis, A; Santos, AS; dias, c; Almeida, R; Rocha, AP

This study aims to describe heart rate variability during the first episode of plateau waves of intracranial pressure (ICP) in Traumatic Brain Injury (TBI) in order to characterize and identify at bedside this cerebrovascular phenomenon. The general behavior of the heart rate variability (HRV) spectral measures expressed in the medians across patients is concordant with an increased HRV in the latter part of th...


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