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  1. Article ; Online: Letter to the Editor regarding the article Minimally invasive surgery for Inflammatory Bowel Disease: a systematic review and meta-analysis of robotic versus laparoscopic surgical techniques.

    Cunha, Miguel F / Roseira, Joana

    Journal of Crohn's & colitis

    2024  

    Language English
    Publishing date 2024-03-28
    Publishing country England
    Document type Journal Article
    ZDB-ID 2390120-2
    ISSN 1876-4479 ; 1873-9946
    ISSN (online) 1876-4479
    ISSN 1873-9946
    DOI 10.1093/ecco-jcc/jjae045
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    In stock of ZB MED Cologne/Königswinter

    Zs.A 6634: Show issues Location:
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  2. Article ; Online: Environmental effects of surgical procedures and strategies for sustainable surgery.

    Cunha, Miguel F / Pellino, Gianluca

    Nature reviews. Gastroenterology & hepatology

    2022  Volume 20, Issue 6, Page(s) 399–410

    Abstract: There is a bidirectional relationship between climate change and health care. Climate change threatens public health, and health care contributes to climate change. For example, surgery is the most energy-intensive practice in the health-care sector, and ...

    Abstract There is a bidirectional relationship between climate change and health care. Climate change threatens public health, and health care contributes to climate change. For example, surgery is the most energy-intensive practice in the health-care sector, and gastrointestinal conditions are responsible for a substantial environmental burden. However, environmental costs associated with health care are often overlooked. This issue has been examined more closely in current times. Emerging data are mainly focused on surgery, as the most resource-intensive practice. However, there is still a lack of global awareness and guidance on sustainable surgical practices. This Perspective aims to reassess the evidence on health care and surgery carbon footprints, focusing on gastrointestinal conditions, identify issues that need to be addressed to achieve a more sustainable practice and develop perspectives for future surgical procedures. The proposed framework to mitigate the environmental effects of surgery could be translated to other health-care sectors.
    MeSH term(s) Humans ; Delivery of Health Care ; General Surgery ; Climate Change ; Sustainable Growth
    Language English
    Publishing date 2022-12-08
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 2493722-8
    ISSN 1759-5053 ; 1759-5045
    ISSN (online) 1759-5053
    ISSN 1759-5045
    DOI 10.1038/s41575-022-00716-5
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  3. Article: Cytostatics in Indoor Environment: An Update of Analytical Methods.

    Portilha-Cunha, M Francisca / Alves, A / Santos, Mónica S F

    Pharmaceuticals (Basel, Switzerland)

    2021  Volume 14, Issue 6

    Abstract: Periodic and adequate environmental monitoring programs are crucial to assess and reduce the occupational exposure of healthcare workers to cytostatics. The analytical methods employed should be rapid, reliable, sensitive, standardized, and include ... ...

    Abstract Periodic and adequate environmental monitoring programs are crucial to assess and reduce the occupational exposure of healthcare workers to cytostatics. The analytical methods employed should be rapid, reliable, sensitive, standardized, and include multiple compounds. A critical overview of recent overall procedures for surface and air contamination with cytostatics in workplace settings is presented, with a focus on sampling, sample preparation, and instrumental considerations. Limitations are also addressed and some recommendations and advice are provided. Since dermal absorption is the main exposure route, surface contamination is the preferred indicator of biological uptake and its methods have significantly improved. In contrast, cytostatics' inhalation is rare; thus, air contamination has been poorly studied, with little improvement. Still, some elements of the analytical methods have not been extensively explored, namely: the amount of wetting solution, the extraction procedure, surface chemistry and roughness, recovery studies from specific surfaces, and cytostatics stability (in surfaces and during shipping and storage). Furthermore, complete validation data (including precision, accuracy, and instrumental and method detection limits) and estimation of global uncertainty are still lacking in most studies, thus preventing method comparison and proposal of standardized procedures.
    Language English
    Publishing date 2021-06-15
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2193542-7
    ISSN 1424-8247
    ISSN 1424-8247
    DOI 10.3390/ph14060574
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  4. Article: Testicular Seminoma Presenting as Gastrointestinal Bleeding: A Rare Cause of Metastatic Disease in the Stomach.

    Silva, Maria Azevedo / Leal, Carina / Ruge, André / Fernandes, Alexandra / Cunha, Maria Fernanda / Vasconcelos, Helena

    GE Portuguese journal of gastroenterology

    2022  Volume 30, Issue 4, Page(s) 311–315

    Abstract: Introduction: Gastric metastases are quite infrequent. When arising from testicular germ cell tumors, gastric metastases are usually associated with nonseminomas.: Case report: A 45-year-old man presented with upper gastrointestinal bleeding, severe ... ...

    Abstract Introduction: Gastric metastases are quite infrequent. When arising from testicular germ cell tumors, gastric metastases are usually associated with nonseminomas.
    Case report: A 45-year-old man presented with upper gastrointestinal bleeding, severe anemia, and elevated lactate dehydrogenase. Endoscopy revealed three atypical-looking gastric ulcers. Abdominal computed tomography showed an extensive heterogeneous retroperitoneal mass and a smaller one in the pelvis. Biopsies of both the ulcers and the retroperitoneal mass revealed a highly proliferative neoplasia of unknown origin. While the diagnostic work up was taking place, the patient complained of a testicular mass which was resected, after suspicious findings in the ultrasound. Histopathologic findings revealed a testicular seminoma. Revision of previous biopsies was compatible with metastatic seminoma to the stomach and the retroperitoneum.
    Discussion/conclusion: Gastric metastasis arising from testicular seminoma is quite infrequent and usually diagnosed after the primary tumor is known. We report a rare case of a testicular seminoma presenting as upper gastrointestinal bleeding due to gastric metastases. This case highlights the importance of detailed anamnesis and physical examination in the differential diagnosis of atypical gastric ulcers with initial inconclusive work up and emphasizes an unusual manifestation of a germ cell malignancy.
    Language English
    Publishing date 2022-09-19
    Publishing country Switzerland
    Document type Case Reports
    ZDB-ID 2835774-7
    ISSN 2387-1954 ; 2341-4545
    ISSN (online) 2387-1954
    ISSN 2341-4545
    DOI 10.1159/000526427
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Towards a greener endoscopy: Considerations on the strategies to improve sustainability.

    Cunha Neves, João A / Roseira, Joana / Cunha, Miguel F / Pellino, Gianluca / Sampietro, Gianluca M / Rodríguez de Santiago, Enrique

    Digestive and liver disease : official journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver

    2023  Volume 55, Issue 4, Page(s) 429–430

    MeSH term(s) Humans ; Endoscopy, Gastrointestinal
    Language English
    Publishing date 2023-01-21
    Publishing country Netherlands
    Document type Editorial ; Comment
    ZDB-ID 1459373-7
    ISSN 1878-3562 ; 1125-8055
    ISSN (online) 1878-3562
    ISSN 1125-8055
    DOI 10.1016/j.dld.2022.12.017
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    In stock of ZB MED Cologne/Königswinter

    Zs.A 1134: Show issues Location:
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    Jg. 1995 - 2021: Lesesall (1.OG)
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  6. Article ; Online: Jackstone Calculus.

    Carneiro, Carolina / Cunha, Miguel F / Brito, Jorge

    Urology

    2019  Volume 137, Page(s) e6–e7

    Abstract: Jackstone calculus is a rare bladder stone with a unique appearance, presenting a stippled and spiculated contour. Correct diagnosis is important because it may have therapeutic implications, as this distinctive shape correlates with a specific mineral ... ...

    Abstract Jackstone calculus is a rare bladder stone with a unique appearance, presenting a stippled and spiculated contour. Correct diagnosis is important because it may have therapeutic implications, as this distinctive shape correlates with a specific mineral composition of calcium oxalate dihydrate, which tend to be easily fragmented by lithotripsy, allowing to attempt an endoscopic treatment instead of surgery in larger stones. We present the case of a 77-year-old male where a 2 cm bladder calculus was incidentally found on CT, with features that allowed to make straightforward the diagnosis of a jackstone calculus.
    MeSH term(s) Aged ; Calcium Oxalate/analysis ; Humans ; Incidental Findings ; Male ; Tomography, X-Ray Computed ; Urinary Bladder Calculi/chemistry ; Urinary Bladder Calculi/diagnostic imaging ; Urinary Bladder Calculi/pathology
    Chemical Substances Calcium Oxalate (2612HC57YE)
    Language English
    Publishing date 2019-12-28
    Publishing country United States
    Document type Case Reports ; Journal Article
    ZDB-ID 192062-5
    ISSN 1527-9995 ; 0090-4295
    ISSN (online) 1527-9995
    ISSN 0090-4295
    DOI 10.1016/j.urology.2019.12.021
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    Zs.A 1142: Show issues Location:
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    Zs.MO 275: Show issues

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  7. Article ; Online: A narrative on diversity, equity, and inclusion in surgery: insights from the European Society of Coloproctology and identification of points for action.

    Garoufalia, Zoe / Bellato, Vittoria / Cunha, Miguel F / Avellaneda, Nicolas / Dudi-Venkata, Nagendra N / Gallardo, Cristián / Meyer, Jeremy / Zaffaroni, Gloria / Christensen, Peter / Aytac, Erman / Brady, Richard R W / Pellino, Gianluca

    Updates in surgery

    2024  Volume 76, Issue 2, Page(s) 529–537

    Abstract: The focus of the 2022 European Society of Coloproctology (ESCP) annual campaign was diversity, equity, and inclusion (DEI) in surgery. The ESCP "Operation Equal Access" campaign sought to interview key-opinion leaders and trainees, to raise awareness on ... ...

    Abstract The focus of the 2022 European Society of Coloproctology (ESCP) annual campaign was diversity, equity, and inclusion (DEI) in surgery. The ESCP "Operation Equal Access" campaign sought to interview key-opinion leaders and trainees, to raise awareness on inequalities, inform the community of the status of the topic, and to identify future areas for improvement. The ESCP Social Media Working Group interviewed experts who have made significant contributions to DEI in colorectal surgery and were acknowledged opinion leaders in the field. The interviews focused on their career, professional life, experiences, and opportunities during their training, and their views on DEI in colorectal surgery. DEI principles, education, and values need further promotion to reduce and address bias within the profession and overall improve the experience of minority community including health professionals and patients. International Societies are working to facilitate training opportunities and overcome DEI, and networking have contributed to that. Collaborations between societies will be pivotal to contribute to offering research and leadership opportunities equally. Access to advanced workshops including cadaveric training and simulation can be consistently promoted and provided globally via societies through telemonitoring. Involving patients in research should be encouraged, as it brings the perspective of a living experience.
    MeSH term(s) Humans ; Diversity, Equity, Inclusion ; Colorectal Surgery ; Computer Simulation ; Social Media
    Language English
    Publishing date 2024-01-27
    Publishing country Italy
    Document type Journal Article
    ZDB-ID 2572692-4
    ISSN 2038-3312 ; 2038-131X
    ISSN (online) 2038-3312
    ISSN 2038-131X
    DOI 10.1007/s13304-023-01685-3
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  8. Article: A Review on Adventitious Lactic Acid Bacteria from Table Olives.

    Portilha-Cunha, M Francisca / Macedo, Angela C / Malcata, F Xavier

    Foods (Basel, Switzerland)

    2020  Volume 9, Issue 7

    Abstract: Spontaneous fermentation constitutes the basis of the chief natural method of processing of table olives, where autochthonous strains of lactic acid bacteria (LAB) play a dominant role. A thorough literature search has unfolded 197 reports worldwide, ... ...

    Abstract Spontaneous fermentation constitutes the basis of the chief natural method of processing of table olives, where autochthonous strains of lactic acid bacteria (LAB) play a dominant role. A thorough literature search has unfolded 197 reports worldwide, published in the last two decades, that indicate an increasing interest in table olive-borne LAB, especially in Mediterranean countries. This review attempted to extract extra information from such a large body of work, namely, in terms of correlations between LAB strains isolated, manufacture processes, olive types, and geographical regions. Spain produces mostly green olives by Spanish-style treatment, whereas Italy and Greece produce mainly green and black olives, respectively, by both natural and Spanish-style. More than 40 species belonging to nine genera of LAB have been described; the genus most often cited is
    Language English
    Publishing date 2020-07-17
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2704223-6
    ISSN 2304-8158
    ISSN 2304-8158
    DOI 10.3390/foods9070948
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  9. Article ; Online: Enigmatic Colonic Whitish Plaques.

    Atalaia-Martins, Catarina / Barbeiro, Sandra / Cunha, Maria Fernanda

    Gastroenterology

    2018  Volume 155, Issue 3, Page(s) 616–617

    MeSH term(s) Colon/pathology ; Colonic Diseases/diagnosis ; Colonic Diseases/pathology ; Colonoscopy ; Female ; Humans ; Intestinal Mucosa/pathology ; Lipomatosis/diagnosis ; Lipomatosis/pathology ; Mass Screening ; Middle Aged ; Vacuoles/pathology
    Language English
    Publishing date 2018-08-04
    Publishing country United States
    Document type Case Reports ; Journal Article
    ZDB-ID 80112-4
    ISSN 1528-0012 ; 0016-5085
    ISSN (online) 1528-0012
    ISSN 0016-5085
    DOI 10.1053/j.gastro.2018.01.060
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    Zs.MO 572: Show issues

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  10. Article ; Online: Targeted intervention to achieve waste reduction in gastrointestinal endoscopy.

    Cunha Neves, João A / Roseira, Joana / Queirós, Patrícia / Sousa, Helena Tavares / Pellino, Gianluca / Cunha, Miguel F

    Gut

    2022  Volume 72, Issue 2, Page(s) 306–313

    Abstract: Objective: Endoscopy is healthcare's third largest generator of medical waste in hospitals. This prospective study aimed to measure a single unit's waste carbon footprint and perform a pioneer intervention towards a more sustainable endoscopy practice. ... ...

    Abstract Objective: Endoscopy is healthcare's third largest generator of medical waste in hospitals. This prospective study aimed to measure a single unit's waste carbon footprint and perform a pioneer intervention towards a more sustainable endoscopy practice. The relation of regulated medical waste (RMW; material fully contaminated with blood or body fluids or containing infectious agents) versus landfill waste (non-recyclable material not fully contaminated) may play a critical role.
    Design: In a four-stage prospective study, following a 4-week observational audit with daily weighing of both waste types (stage 1), stage 2 consisted of a 1-week intervention with team education of waste handling. Recycling bins were placed in endoscopy rooms, landfill and RMW bins were relocated. During stages 3 (1 month after intervention) and 4 (4 months after intervention), daily endoscopic waste was weighed. Equivalence of 1 kg of landfill waste to 1 kg carbon dioxide equivalent (CO
    Results: From stage 1 to stage 3, mean total waste and RMW were reduced by 12.9% (p=0.155) and 41.4% (p=0.010), respectively, whereas landfill (p=0.059) and recycling waste increased (paper: p=0.001; plastic: p=0.007). While mean endoscopy load was similar (46.2 vs 44.5, p=0.275), a total decrease of CO
    Conclusion: In this interventional study, applying sustainability measures to a real-world scenario, RMW reduction and daily recycling were achieved and sustained over time, without compromising endoscopy productivity.
    MeSH term(s) Humans ; Prospective Studies ; Medical Waste/prevention & control ; Waste Disposal Facilities ; Endoscopy, Gastrointestinal ; Hospitals
    Chemical Substances Medical Waste
    Language English
    Publishing date 2022-08-19
    Publishing country England
    Document type Journal Article
    ZDB-ID 80128-8
    ISSN 1468-3288 ; 0017-5749
    ISSN (online) 1468-3288
    ISSN 0017-5749
    DOI 10.1136/gutjnl-2022-327005
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