| 1. |
- Bravo, L, et al.
(författare)
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- 2021
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swepub:Mat__t
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| 2. |
- Tabiri, S, et al.
(författare)
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- 2021
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swepub:Mat__t
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| 3. |
- Simoes Cunha, Mafalda, et al.
(författare)
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Symptoms of anxiety and depression in patients with persistent asthma : a cross-sectional analysis of the INSPIRERS studies
- 2023
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Ingår i: BMJ Open. - : BMJ Publishing Group Ltd. - 2044-6055. ; 13:5
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Tidskriftsartikel (refereegranskat)abstract
- ObjectivesAnxiety and depression are relevant comorbidities in asthma, but, in Portugal and Spain, data on this topic are scarce. We assessed, in patients with asthma, the frequency of anxiety and depression using the Hospital Anxiety and Depression Scale (HADS) and the European Quality of Life Five Dimension Questionnaire (EQ-5D); the level of agreement between these questionnaires, and the factors associated with these symptoms.MethodsThis is a secondary analysis of the INSPIRERS studies. A total of 614 adolescents and adults with persistent asthma (32.6 +/- 16.9 years, 64.7% female) were recruited from 30 primary care centres and 32 allergy, pulmonology and paediatric clinics. Demographic and clinical characteristics, HADS and EQ-5D were collected. A score >= 8 on Hospital Anxiety and Depression Scale-Anxiety/Hospital Anxiety and Depression Scale-Depression or a positive answer to EQ-5D item 5 indicated the presence of these symptoms. Agreement was determined by Cohen's kappa. Two multivariable logistic regressions were built.ResultsAccording to HADS, 36% of the participants had symptoms of anxiety and 12% of depression. According to EQ-5D, 36% of the participants had anxiety/depression. The agreement between questionnaires in identifying anxiety/depression was moderate (k=0.55, 95% CI 0.48 to 0.62). Late asthma diagnosis, comorbidities and female gender were predictors of anxiety/depression, while better asthma control, health-related quality of life and perception of health were associated with lower odds for anxiety/depression.ConclusionAt least 1/3 of the patients with persistent asthma experience symptoms of anxiety/depression, showing the relevance of screening these disorders in patients with asthma. EQ-5D and HADS questionnaires showed a moderate agreement in the identification of anxiety/depression symptoms. The identified associated factors need to be further investigated in long-term studies.
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| 4. |
- Cachim, Afonso, et al.
(författare)
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Measuring adherence to inhaled control medication in patients with asthma : Comparison among an asthma app, patient self-report and physician assessment
- 2023
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Ingår i: Clinical and Translational Allergy. - : John Wiley & Sons. - 2045-7022. ; 13:2
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Tidskriftsartikel (refereegranskat)abstract
- BackgroundPrevious studies have demonstrated the feasibility of using an asthma app to support medication management and adherence but failed to compare with other measures currently used in clinical practice. However, in a clinical setting, any additional adherence measurement must be evaluated in the context of both the patient and physician perspectives so that it can also help improve the process of shared decision making. Thus, we aimed to compare different measures of adherence to asthma control inhalers in clinical practice, namely through an app, patient self-report and physician assessment.MethodsThis study is a secondary analysis of three prospective multicentre observational studies with patients (≥13 years old) with persistent asthma recruited from 61 primary and secondary care centres in Portugal. Patients were invited to use the InspirerMundi app and register their inhaled medication. Adherence was measured by the app as the number of doses taken divided by the number of doses scheduled each day and two time points were considered for analysis: 1-week and 1-month. At baseline, patients and physicians independently assessed adherence to asthma control inhalers during the previous week using a Visual Analogue Scale (VAS 0–100).ResultsA total of 193 patients (72% female; median [P25–P75] age 28 [19–41] years old) were included in the analysis. Adherence measured by the app was lower (1 week: 31 [0–71]%; 1 month: 18 [0–48]%) than patient self-report (80 [60–95]) and physician assessment (82 [51–94]) (p < 0.001). A negligible non-significant correlation was found between the app and subjective measurements (ρ 0.118–0.156, p > 0.05). There was a moderate correlation between patient self-report and physician assessment (ρ = 0.596, p < 0.001).ConclusionsAdherence measured by the app was lower than that reported by the patient or the physician. This was expected as objective measurements are commonly lower than subjective evaluations, which tend to overestimate adherence. Nevertheless, the low adherence measured by the app may also be influenced by the use of the app itself and this needs to be considered in future studies.
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| 5. |
- Lopes, Fernanda, et al.
(författare)
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Behaviour of the reverse channel joint component at elevated temperature
- 2012
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Ingår i: Tubular Structures XIV. - London : CRC Press. - 9780203073100 ; , s. 645-651
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Konferensbidrag (refereegranskat)abstract
- The reverse channel connection appears to have the best combination of desirable feature underfire loading: moderate construction cost, ability to develop catenary action and extremely high ductilitythrough deformation of the web channel (Ding & Wang 2007). This paper presents the results of the experimentalinvestigation on a reverse channel component carried out at the University of Coimbra into the EuropeanRFCS COMPFIRE Project, which the main focus is to characterize the behaviour of steel joints betweensteel beams to concrete filled tubular columns under natural fire loading. A series of tension and compressiontests at ambient and elevated temperatures were tested. The aim of those experimental tests was to identify thestrength, stiffness and ductility of this joint component, establishing a relationship between force, displacementand temperature.
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| 6. |
- Lopes, Fernanda, et al.
(författare)
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Experimental behaviour of the reverse channel joint component at elevated and ambient temperatures
- 2013
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Ingår i: International Journal of Steel Structures. - : Springer Science and Business Media LLC. - 1598-2351 .- 2093-6311. ; 13:3, s. 459-472
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Tidskriftsartikel (refereegranskat)abstract
- The reverse channel connection appears to have the best combination of desirable features under fire loading: moderate construction cost, ability to develop catenary action and extremely high ductility through deformation of the web channel (Ding and Wang, 2007). This paper presents the results of an experimental investigation of a reverse channel component conducted at the University of Coimbra as part of the European RFCS COMPFIRE Project, the main focus of which is to characterise the behaviour of steel joints that connect steel beams to concrete-filled tubular columns under natural fire loading. A series of tensile and compressive tests at ambient and elevated temperatures was conducted. The purposes of the experimental tests were to characterise the strength, stiffness and ductility of this joint component and to establish a relationship between force, displacement and temperature.
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| 7. |
- Lopes, Fernanda, et al.
(författare)
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Sub-frames with reverse channel connections to cft composite columns –experimental evaluation
- 2015
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Ingår i: Advanced steel construction. - : Hong Kong Institute of Steel Construction. - 1816-112X. ; 11:1, s. 111-126
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Tidskriftsartikel (refereegranskat)abstract
- This paper presents the experimental results of the investigation on the coupled joint-structure behaviour of the composite sub-frame, using the reverse channel connections between an I-beam and the concrete filled tube (CFT) columns. This experimental programme includes seven full-scale tests: three tests at ambient temperature and four tests under heating-cooling curves. The parametric study was dedicated to: temperature-time curve and channel wall thickness (8, 10 and 12 mm). The main objective of these tests is to provide experimental information on the behaviour of the reverse channel joints and its influence on the structure under a heating-cooling fire. The restraining effects from the unaffected part of surrounding structure induce highly variable loading histories on the joints during fire; therefore the investigation on coupled joint-structure behaviour should lead to a realistic prediction of progressive collapse of the structure.
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| 8. |
- Rebelo, Carlos, et al.
(författare)
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Comparative life cycle assessment of tubular wind towers and foundations : Part 1: Structural design
- 2014
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Ingår i: Engineering structures. - : Elsevier BV. - 0141-0296 .- 1873-7323. ; 74, s. 283-291
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Tidskriftsartikel (refereegranskat)abstract
- The use of tubular towers made of steel, concrete or hybrid steel–concrete has become standard in the wind energy industry. However, more powerful wind energy generators are leading to the need for increasing the towers height. This implies rethinking of existing solutions for the support onshore structure composed of tower and foundation, including design concept, life cycle and environmental repercussion. The need for transportation of larger prefabricated elements and more complex processes of assembling on site become important issues. This paper addresses the comparative study concerning the influence of increasing height on the structural design and outcome of different structural solutions. Steel, concrete and hybrid steel–concrete wind towers with heights of 80, 100 and 150 m supporting multi-megawatt turbines of 2, 3.6 and 5 MW power respectively are addressed. The design of the towers is made in accordance with the structural Eurocodes. Two different scenarios are addressed, the first considering common lifetime of 20 years and the second considering increased lifetime of 40 years with reuse of tower parts. In-situ erection of steel tubular parts is achieved using flange connections or newly developed friction connections. Conclusions point out that, for towers up to 80 m, the use of steel tubular sections and flange connections are the most suitable. Friction connections are suitable for higher towers, leading to less material consumption. The use of concrete towers, particularly for heights above 100 m, is penalized when seismic risk is considered in special in the dimensions of the slab foundations
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