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  1. Article: Challenges in Extubation: A Case of a Non-removable Tracheal Tube Following Surgery.

    Silva, Rita / Carvalho, Tania / Tarroso, Maria João / Cardoso, Helder

    Cureus

    2024  Volume 16, Issue 1, Page(s) e52787

    Abstract: This report details a challenging case of difficult extubation due to a lodged tracheal tube following surgery, presenting an unexpected and complex clinical situation. An inspection of the airway using videolaryngoscopy revealed an over-inflated cuff ... ...

    Abstract This report details a challenging case of difficult extubation due to a lodged tracheal tube following surgery, presenting an unexpected and complex clinical situation. An inspection of the airway using videolaryngoscopy revealed an over-inflated cuff beneath the vocal cords. Initial efforts to deflate the cuff with various methods were unsuccessful. The situation was ultimately resolved through the intervention of an otolaryngology surgeon. This case not only reviews various mechanisms of difficult endotracheal tube removal reported in the literature, but also underscores the potential for serious complications and highlights the critical role of multidisciplinary collaboration in managing extubation challenges. Additionally, our manuscript discusses alternative strategies that can be employed in scenarios where an otolaryngology surgeon is not available, offering practical guidance for anesthesiologists confronted with similar situations.
    Language English
    Publishing date 2024-01-23
    Publishing country United States
    Document type Case Reports
    ZDB-ID 2747273-5
    ISSN 2168-8184
    ISSN 2168-8184
    DOI 10.7759/cureus.52787
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Ultrasound-Guided Electroacupuncture for Thoracic Myofascial Pain Syndrome: A Case Report.

    Afonso, José / Carvalho, Tânia / Cruz, Letícia / Cardoso, Helder

    Cureus

    2023  Volume 15, Issue 3, Page(s) e36973

    Abstract: Myofascial pain syndrome is a painful condition characterized by trigger points in muscles that can be treated effectively with acupuncture. While cross-fiber palpation can help localize trigger points, needle accuracy may be limited and accidental ... ...

    Abstract Myofascial pain syndrome is a painful condition characterized by trigger points in muscles that can be treated effectively with acupuncture. While cross-fiber palpation can help localize trigger points, needle accuracy may be limited and accidental puncture of delicate structures, such as the lung, is a risk, as evidenced by reports of pneumothorax after acupuncture. Ultrasound imaging can help in reducing the risk of iatrogenic pneumothorax from needling, but there is a paucity of papers describing the use of ultrasound imaging during acupuncture. We present a report on electroacupuncture treatment for myofascial pain syndrome using real-time ultrasound guidance, aimed at avoiding accidental puncture of the pleura when targeting deep muscle layers in the thoracic region.
    Language English
    Publishing date 2023-03-31
    Publishing country United States
    Document type Case Reports
    ZDB-ID 2747273-5
    ISSN 2168-8184
    ISSN 2168-8184
    DOI 10.7759/cureus.36973
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Recurrent obstruction of biliary stent-in-stent: a heated solution.

    Carvalho, Tânia / Guimarães, Andreia / Leal, Tiago / Ferreira, Aníbal / Gonçalves, Bruno Moreira

    Revista espanola de enfermedades digestivas

    2024  

    Abstract: Intraductal radiofrequency ablation (RFA) has been used in the management of malignant biliary obstruction and ampullary neoplasms. Some small studies refer to its role in managing benign biliary strictures with some promising results. The complications ... ...

    Abstract Intraductal radiofrequency ablation (RFA) has been used in the management of malignant biliary obstruction and ampullary neoplasms. Some small studies refer to its role in managing benign biliary strictures with some promising results. The complications are not neglectable, namely cholangitis, pancreatitis, bleeding, and perforation, although most of them can be managed conservatively. There are two catheters available. Only the ERLA (EndoLumunal Radiofrequency Ablation, Taewoong Medical) catheter can control temperature and impedance, allowing it to reduce the risk of complications.
    Language English
    Publishing date 2024-04-09
    Publishing country Spain
    Document type Journal Article
    ZDB-ID 1070381-0
    ISSN 1130-0108 ; 0212-7512
    ISSN 1130-0108 ; 0212-7512
    DOI 10.17235/reed.2024.10390/2024
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Book ; Online: A Three-Way Knot

    Carvalho, Tânia / Moniz, Nuno / Antunes, Luís

    Privacy, Fairness, and Predictive Performance Dynamics

    2023  

    Abstract: As the frontier of machine learning applications moves further into human interaction, multiple concerns arise regarding automated decision-making. Two of the most critical issues are fairness and data privacy. On the one hand, one must guarantee that ... ...

    Abstract As the frontier of machine learning applications moves further into human interaction, multiple concerns arise regarding automated decision-making. Two of the most critical issues are fairness and data privacy. On the one hand, one must guarantee that automated decisions are not biased against certain groups, especially those unprotected or marginalized. On the other hand, one must ensure that the use of personal information fully abides by privacy regulations and that user identities are kept safe. The balance between privacy, fairness, and predictive performance is complex. However, despite their potential societal impact, we still demonstrate a poor understanding of the dynamics between these optimization vectors. In this paper, we study this three-way tension and how the optimization of each vector impacts others, aiming to inform the future development of safe applications. In light of claims that predictive performance and fairness can be jointly optimized, we find this is only possible at the expense of data privacy. Overall, experimental results show that one of the vectors will be penalized regardless of which of the three we optimize. Nonetheless, we find promising avenues for future work in joint optimization solutions, where smaller trade-offs are observed between the three vectors.

    Comment: 12, 6 figures and 2 tables
    Keywords Computer Science - Machine Learning
    Subject code 303
    Publishing date 2023-06-27
    Publishing country us
    Document type Book ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  5. Article ; Online: Splenic Artery Revealed after Walled-off Pancreatic Necrosis Drainage: An Uninvited Guest.

    Antunes, Pedro Bernardes / Carvalho, Tânia / Soares, João Bruno / Gonçalves, Bruno Moreira

    Journal of gastrointestinal and liver diseases : JGLD

    2022  Volume 31, Issue 2, Page(s) 162

    MeSH term(s) Drainage ; Endosonography ; Humans ; Pancreatitis, Acute Necrotizing/diagnosis ; Pancreatitis, Acute Necrotizing/therapy ; Splenic Artery/diagnostic imaging ; Splenic Artery/surgery ; Stents
    Language English
    Publishing date 2022-06-12
    Publishing country Romania
    Document type Journal Article
    ZDB-ID 2427021-0
    ISSN 1842-1121 ; 1841-8724
    ISSN (online) 1842-1121
    ISSN 1841-8724
    DOI 10.15403/jgld-4114
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Fundamental privacy rights in a pandemic state.

    Carvalho, Tânia / Faria, Pedro / Antunes, Luís / Moniz, Nuno

    PloS one

    2021  Volume 16, Issue 6, Page(s) e0252169

    Abstract: Faced with the emergence of the Covid-19 pandemic, and to better understand and contain the disease's spread, health organisations increased the collaboration with other organisations sharing health data with data scientists and researchers. Data ... ...

    Abstract Faced with the emergence of the Covid-19 pandemic, and to better understand and contain the disease's spread, health organisations increased the collaboration with other organisations sharing health data with data scientists and researchers. Data analysis assists such organisations in providing information that could help in decision-making processes. For this purpose, both national and regional health authorities provided health data for further processing and analysis. Shared data must comply with existing data protection and privacy regulations. Therefore, a robust de-identification procedure must be used, and a re-identification risk analysis should also be performed. De-identified data embodies state-of-the-art approaches in Data Protection by Design and Default because it requires the protection of direct and indirect identifiers (not just direct). This article highlights the importance of assessing re-identification risk before data disclosure by analysing a data set of individuals infected by Covid-19 that was made available for research purposes. We stress that it is highly important to make this data available for research purposes and that this process should be based on the state of the art methods in Data Protection by Design and by Default. Our main goal is to consider different re-identification risk analysis scenarios since the information on the intruder side is unknown. Our conclusions show that there is a risk of identity disclosure for all of the studied scenarios. For one, in particular, we proceed to an example of a re-identification attack. The outcome of such an attack reveals that it is possible to identify individuals with no much effort.
    MeSH term(s) COVID-19/transmission ; Civil Rights ; Computer Security ; Confidentiality/ethics ; Confidentiality/trends ; Disclosure ; Humans ; Pandemics/ethics ; Privacy ; SARS-CoV-2/metabolism ; SARS-CoV-2/pathogenicity
    Language English
    Publishing date 2021-06-02
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ISSN 1932-6203
    ISSN (online) 1932-6203
    DOI 10.1371/journal.pone.0252169
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Improving the Nutritional Status of Socially Vulnerable Children in Manaus, Brazilian Amazon, through a Food Supplementation Programme.

    Mosquera, Elaine Martins Bento / Tonon, Karina Merini / Augusto, Rosângela Aparecida / de Carvalho, Tânia Maria / Morais, Mauro Batista de

    Nutrients

    2024  Volume 16, Issue 7

    Abstract: Information on the effects of government nutrition programmes provided to socially vulnerable children to improve their nutritional status is scarce. We analysed the effectiveness of a nutritional programme, including food supplementation with infant ... ...

    Abstract Information on the effects of government nutrition programmes provided to socially vulnerable children to improve their nutritional status is scarce. We analysed the effectiveness of a nutritional programme, including food supplementation with infant formula, on the evolution of the weight and height of socially vulnerable children from Manaus in the Brazilian Amazon. This study included 7752 children aged 12-24 months admitted to the programme between 2017 and 2020. Weight and height measurements at admission and every three months thereafter were extracted from the programme database. Weight-for-age, weight-for-height, body mass index-for-age (BMI/A), and height-for-age z-scores were analysed using a multilevel linear regression model, which showed a statistically significant decrease in nutritional deficits toward nutritional recovery at follow-up. The programme's effectiveness was evaluated in 1617 children using a paired analysis comparing data from between 12 and 15 months of age at admission and follow-up after 6-9 months. Children admitted with wasting presented an increase in the BMI/A z-score, whereas children admitted with a risk of being overweight and obese had a statistically significant decrease in the BMI/A z-score. Children admitted with stunted growth also showed increased height-for-age z-scores. The nutrition programme was effective for children experiencing wasting and reducing excess weight.
    MeSH term(s) Child ; Infant ; Humans ; Nutritional Status ; Brazil ; Body Mass Index ; Infant Formula ; Cachexia ; Dietary Supplements
    Language English
    Publishing date 2024-04-04
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2518386-2
    ISSN 2072-6643 ; 2072-6643
    ISSN (online) 2072-6643
    ISSN 2072-6643
    DOI 10.3390/nu16071051
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article: Effective Postoperative Pain Management in Thoracic Outlet Syndrome Surgery: The Role of the Erector Spinae Plane Block.

    Barros, Mariana / Carvalho, Tania / Pires, Ana C / Teixeira, Gabriela / Cardoso, Helder

    Cureus

    2023  Volume 15, Issue 11, Page(s) e48944

    Abstract: Thoracic outlet syndrome (TOS) often necessitates surgical intervention to alleviate neurovascular bundle compression, which can result in severe postoperative pain. The myriad of surgical techniques available for TOS treatment, the intricate involvement ...

    Abstract Thoracic outlet syndrome (TOS) often necessitates surgical intervention to alleviate neurovascular bundle compression, which can result in severe postoperative pain. The myriad of surgical techniques available for TOS treatment, the intricate involvement of diverse sensory pathways, and the limited literature on effective analgesic methods for these specific cases underscore the need for successful approaches. This report introduces an efficacious multimodal analgesic strategy that incorporates the erector spinae plane (ESP) block to enhance postoperative pain management after a supraclavicular surgical approach. By combining this fascial block with a comprehensive rationale for its implementation, this case offers valuable insights into improving the postoperative care of TOS patients, ultimately aiming to enhance their comfort and recovery.
    Language English
    Publishing date 2023-11-17
    Publishing country United States
    Document type Case Reports
    ZDB-ID 2747273-5
    ISSN 2168-8184
    ISSN 2168-8184
    DOI 10.7759/cureus.48944
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: A novel and simple heat-based method eliminates the highly detrimental effect of xylene deparaffinization on acid-fast stains.

    Marinho, Pedro F / Vieira, Soraia L / Carvalho, Tânia G / Peleteiro, Maria C / Hanscheid, Thomas

    American journal of clinical pathology

    2023  Volume 160, Issue 1, Page(s) 81–88

    Abstract: Objectives: Histopathology is an important method for diagnosing extrapulmonary tuberculosis, yet tissue sections are often negative for mycobacteria after use of acid-fast stain (AFS). This study investigated the mechanism of AFS use and the ... ...

    Abstract Objectives: Histopathology is an important method for diagnosing extrapulmonary tuberculosis, yet tissue sections are often negative for mycobacteria after use of acid-fast stain (AFS). This study investigated the mechanism of AFS use and the detrimental effect of histologic processing-in particular, xylene deparaffinization-on AFS and mycobacterial detection.
    Methods: The target of the fluorescent Auramine O (AuO) AFS was investigated using triple staining with DNA- and RNA-specific dyes. The effect of xylene deparaffinization on the acid fastness of mycobacteria in cultures or tissue sections was studied using AuO fluorescence as a quantitative marker. The xylene method was compared with a novel, solvent-free projected-hot-air deparaffinization (PHAD).
    Results: Co-localization of AuO with DNA/RNA stains suggests that intracellular nucleic acids are the true target of AFS, producing highly specific patterns. Xylene reduces mycobacterial fluorescence significantly (P < .0001; moderate effect size, r = 0.33). The PHAD process yielded significantly higher fluorescence than xylene deparaffinization in tissues (P < .0001; large effect size, r = 0.85).
    Conclusions: Auramine O can be applied for nucleic acid staining of mycobacteria in tissues producing typical beaded patterns. Acid-fast staining depends heavily on the integrity of the mycobacterial cell wall, which xylene appears to damage. A solvent-free tissue deparaffinization method has the potential to increase mycobacterial detection significantly.
    MeSH term(s) Humans ; Xylenes ; Benzophenoneidum ; Hot Temperature ; Coloring Agents ; Staining and Labeling ; Mycobacterium ; RNA
    Chemical Substances Xylenes ; Benzophenoneidum (2465-27-2) ; Coloring Agents ; RNA (63231-63-0)
    Language English
    Publishing date 2023-05-08
    Publishing country England
    Document type Journal Article
    ZDB-ID 2944-0
    ISSN 1943-7722 ; 0002-9173
    ISSN (online) 1943-7722
    ISSN 0002-9173
    DOI 10.1093/ajcp/aqad016
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Book ; Online: Differentially-Private Data Synthetisation for Efficient Re-Identification Risk Control

    Carvalho, Tânia / Moniz, Nuno / Antunes, Luís / Chawla, Nitesh

    2022  

    Abstract: Protecting user data privacy can be achieved via many methods, from statistical transformations to generative models. However, all of them have critical drawbacks. For example, creating a transformed data set using traditional techniques is highly time- ... ...

    Abstract Protecting user data privacy can be achieved via many methods, from statistical transformations to generative models. However, all of them have critical drawbacks. For example, creating a transformed data set using traditional techniques is highly time-consuming. Also, recent deep learning-based solutions require significant computational resources in addition to long training phases, and differentially private-based solutions may undermine data utility. In this paper, we propose $\epsilon$-PrivateSMOTE, a technique designed for safeguarding against re-identification and linkage attacks, particularly addressing cases with a high re-identification risk. Our proposal combines synthetic data generation via noise-induced interpolation to obfuscate high-risk cases while maximising the data utility of the original data. Compared to multiple traditional and state-of-the-art privacy-preservation methods on 17 data sets, $\epsilon$-PrivateSMOTE achieves competitive results in privacy risk and better predictive performance than generative adversarial networks, variational autoencoders, and differential privacy baselines. It also improves energy consumption and time requirements by at least a factor of 11 and 15, respectively.

    Comment: 9 pages, 4 figures and 2 tables
    Keywords Computer Science - Machine Learning ; Computer Science - Cryptography and Security
    Subject code 006
    Publishing date 2022-12-01
    Publishing country us
    Document type Book ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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