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The Acute Effects of a Fast-Food Meal Versus a Mediterranean Food Meal on the A...

Silva, D; Mendes, FC; Stanzani, V; Moreira, R; Pinto, M; Beltrão, M; Sokhatska, O; Severo, M; Padrão, P; Garcia-Larsen, V; Delgado, L; Moreira, A

Background/Objectives: This study aimed to assess the acute effects of two isoenergetic but micronutrient-diverse meals—a Mediterranean-like meal (MdM) and a fast food-like meal (FFM)—on the autonomic nervous system (ANS), lung function, and airway inflammation response. Methods: Forty-six participants were enrolled in a randomized crossover clinical trial, consuming two isoenergetic meals: FFM (burger, fries, ...


Distribution of community pharmacies and primary healthcare centers in Portugal...

Negrão, G; Moreira, R; Chaves Neves, I; Figueiredo, IV; Fernandez Llimos, F

Introduction: Poor access to community pharmacies has been associated with restricted accessibility to medicines. We aimed to compare the geographic distribution of community pharmacies and healthcare centers (HCCs) and identify sociodemographic variables associated with geographical discrepancies at the municipal level in Portugal. Methods: Data on HCC, physicians, pharmacies, and pharmacists were collected at...


Multicentric Study on Enteric Protists Occurrence in Zoological Parks in Portugal

Mega, J; Moreira, R; Moreira, G; Silva-Loureiro, A; Gomes da Silva, P; Istrate, C; Santos-Silva, S; Rivero-Juarez, A; Carmena, D; Mesquita, JR

Parasitic infections of the gastrointestinal tract of domestic animals play a major role in the transmission of disease, which in turn may result in financial and productive losses. Notwithstanding, studies on the burden and distribution of diarrheagenic protists in zoological gardens are still insufficient. Given the close animal-animal and animal-human interaction in these settings, Public Health concerns und...


The Prognostic Value of the Cardiorespiratory Optimal Point During Submaximal E...

Ferreira Reis, J; Valentim Gonçalves, A; Brás, P; Moreira, R; Pereira-da-Silva, T; Timóteo, AT; Soares, RM; Cruz Ferreira, R

Introduction: Peak oxygen consumption (pVO2) is a key parameter for assessing the prognosis of heart failure with reduced ejection fraction (HFrEF). However, it is less reliable when the cardiopulmonary exercise test (CPET) is not maximal. Objective: To compare the prognostic power of various exercise parameters in submaximal CPET. Methods: Adult patients with HFrEF undergoing CPET in a tertiary center were pro...



Association between Elevated Iodine Intake and IQ among School Children in Port...

Carvalho, IP; Peixoto, B; Caldas, JC; Costa, A; Silva, S; Moreira, B; Almeida, A; Moreira-Rosário, A; Guerra, A; Delerue-Matos, C; Sintra, D; Pestana, D

The goal of this work was to examine whether elevated iodine intake was associated with adverse effects on IQ among school-age children in Portugal. In a representative sample of children from the north of the country, IQ percentiles by age (assessed with Raven’s Colored Progressive Matrices) were dichotomized to <50 (“below-average” IQs) and ≥50. Morning urine iodine concentrations, corrected for creatinine, w...


Portuguese-Brazilian Evidence-Based Guideline on the Management of Hyperglycemi...

Bertoluci, M; Nunes Salles, JE; Silva-Nunes, J; Cordeiro Pedrosa, H; Moreira, R; Calado da Silva Duarte, R; Maurício da Costa Carvalho, D; Trujilho, F

Background: In current management of type 2 diabetes (T2DM), cardiovascular and renal prevention have become important targets to be achieved. In this context, a joint panel of four endocrinology societies from Brazil and Portugal was established to develop an evidence-based guideline for treatment of hyperglycemia in T2DM. Methods: MEDLINE (via PubMed) was searched for randomized clinical trials, meta-analyses...


Meal-exercise challenge and physical activity reduction impact on immunity and ...

Silva, D; Moreira, R; Sokhatska, O; Beltrão, M; Montanha, T; Garcia-Larsen, V; Villegas, R; Severo, M; Pizarro, A; Pinto, M; Martins, C; Duarte, A

Background: The effect of a pre-exercise meal as countermeasure to exercise induced immunodepression is poorly known. Also, sedentary behavior is associated with increased cardiometabolic risk but studies on immune changes are lacking. Therefore, we aimed to assess: 1) the impact of a pre-exercise Mediterranean meal (MdM) compared with a fast-food type meal (FFM) on exercise-induced immunological changes and 2)...


Comparative study of the neurotoxicological effects of tramadol and tapentadol ...

Faria, J; Barbosa, J; Queiros, O; Moreira, R; Felix Carvalho; Ricardo Jorge Dinis Oliveira

Opioid therapy and abuse are increasing, justifying the need to study their toxicity and underlying mechanisms. Given opioid pharmacodynamics at the central nervous system, the analysis of toxic effects in neuronal models gains particular relevance. The aim of this study was to compare the toxicological effects of acute exposure to tramadol and tapentadol in the undifferentiated human SH-SY5Y neuroblastoma cell...


Comparative metabolism of tramadol and tapentadol: a toxicological perspective

Barbosa, J; Faria, J; Queiros, O; Moreira, R; Felix Carvalho; Ricardo Jorge Dinis Oliveira

Tramadol and tapentadol are centrally acting, synthetic opioid analgesics used in the treatment of moderate to severe pain. Main metabolic patterns for these drugs in humans are well characterized. Tramadol is mainly metabolized by cytochrome P450 CYP2D6 to O-desmethyltramadol (M1), its main active metabolite. M1 and tapentadol undergo mainly glucuronidation reactions. On the other hand, the pharmacokinetics of...


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