11 results on '"Ferreira, Luis M."'
Search Results
2. Three-dimensional virtual and printed models for planning adult cardiovascular surgery
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Borracci, Raul A., Ferreira, Luis M., Alvarez Gallesio, José M., Tenorio Núñez, Osvaldo M., David, Michel, and Eyheremendy, Eduardo P.
- Abstract
AbstractBackgroundThe objective of this study was to explore the usefulness of virtual models and three-dimensional (3D) printing technologies for planning complex non-congenital cardiovascular surgery.MethodsBetween July 2018 and December 2019, adult patients with different cardiovascular structural diseases were included in a clinical protocol to explore the usefulness of Standard Tessellation Language (STL)-based virtual models and 3D printing for prospectively planning surgery. A qualitative descriptive analysis from the surgeon’s viewpoint was done based on the characteristics, advantages and usefulness of 3D models for guiding, planning and simulating the surgical procedures.ResultsA total of 14 custom 3D-printed heart and great vessel replicas with their corresponding 3D virtual models were created for preoperative surgical planning. Six of 14 models helped to redefine the surgical approach, 3 were useful to verify device delivery, while the rest did not change the surgical decision. In all open surgery cases, cardiac and vascular anatomy accuracy of virtual and physical 3D replicas was validated by direct visualisation of the organs during surgery. Printing was achieved through an external provider associated with the Hospital, who printed the final prototype in 5–7 days. Printed production cost was between 100 and 500 USD per model.ConclusionsIn the current study, the selected 3D printed models presented different advantages (visual, tactile, and instrumental) over the traditional flat anatomical images when simulating and planning some complex types of surgery. Notwithstanding 3D printing advantages, STL-based virtual models were pre-printing useful tools when instrumentation on a physical replica was not required.
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- 2021
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3. Fenestrated endovascular aortic aneurysm repair promotes positive infrarenal neck remodeling and greater sac shrinkage compared with endovascular aortic aneurysm repair.
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Teter, Katherine, Li, Chong, Ferreira, Luis M., Ferrer, Miguel, Rockman, Caron, Jacobowitz, Glenn, Cayne, Neal, Garg, Karan, and Maldonado, Thomas S.
- Abstract
Endovascular aortic aneurysm repair (EVAR) has become the standard of care for abdominal aortic aneurysms (AAAs) in the modern era. Although numerous devices exist for standard infrarenal AAA repair, fenestrated EVAR (fEVAR) offers a minimally invasive alternative to traditional open repair for patients with a short infrarenal neck. Over time, aortic neck dilation can occur, leading to loss of the proximal seal, endoleaks, and AAA sac growth. In the present study, we analyzed aortic remodeling after EVAR vs fEVAR and further evaluated whether fEVAR confers a benefit in terms of sac shrinkage. A retrospective review of prospectively collected data from 120 patients who had undergone EVAR was performed. Of these 120 patients, 30 had been treated with fEVAR (Zenith fenestrated; Cook Medical Inc, Bloomington, IN) and 90 patients were treated with EVAR devices (30 each with Endurant [Medtronic, Dublin, Ireland], Excluder [W.L. Gore & Associates, Flagstaff, AZ], and Zenith [Cook Medical Inc]). The demographic data were recorded. Also, anatomic measurements were performed for each patient preoperatively, at 30 days postoperatively, and at the longest follow-up point using three-dimensional reconstruction software. No significant differences were found in demographic data between the four groups. fEVAR had been used more often in aortas with large necks and irregular morphology (P =.004). At the longest follow-up, the suprarenal aorta encompassing 5, 10, and 15 mm above the lowest renal artery had dilated the most for the fEVAR group vs all EVAR groups. However, the infrarenal segment had tended to increase the least, or to even have regressed, for fEVAR compared with all three EVAR groups and was associated with the overall greatest proportion of sac shrinkage for the fEVAR group compared with the Medtronic, Gore, and Cook devices (−13.90% vs −5.75% vs −2.31% vs −4.68%, respectively; P =.025). Compared with EVAR, the patients treated with fEVAR had experienced greater suprarenal dilation over time, consistent with an overall greater burden of disease in the proximal native aorta. However, the infrarenal segment had dilated significantly less over time in the fEVAR group compared with all three EVAR groups, suggesting that fEVAR might stabilize the infrarenal neck, promoting positive sac remodeling, which was evidenced by the greatest degree of decrease in the largest AAA diameter in the fEVAR group. [ABSTRACT FROM AUTHOR]
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- 2022
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4. Impacts of horse grazing on botanical composition and diversity in different types of heathland
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López, Carlos López, García, Rocío Rosa, Ferreira, Luis M. M., García, Urcesino, Osoro, Koldo, and Celaya, Rafael
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Plant dynamics under horse grazing was studied in a three-year field experiment in heather-gorse shrublands in NW Spain. The experimental design consisted of three vegetation types with four replicates (paddocks): (1) heather (Ericaceae)-dominated (H), (2) gorse (Ulex gallii Planch.)-dominated (G), and (3) co-dominated by gorse and heath-grasses (GG). Each paddock (1.2ha) was grazed from May to October by two crossbred mature mares (310±52kg bodyweight), one dry and one lactating (plus foal). Two other paddocks (one in H and one in GG) were excluded from grazing. Plant cover and height were sampled three times a year (spring, summer, and autumn) with a point-quadrat method. Floristic composition and diversity were annually sampled at 10 25-m2 quadrats per paddock. Data were subjected to mixed models for repeated-measures and redundancy analyses. Horse grazing resulted in overall increases (P<0.001) in heather and herbaceous cover (from 13% to 27%, and from 16% to 23%, respectively), and decreases (P<0.001) in gorse cover and height (from 35% to 17%; from 30 to 25cm), with scarce differences among vegetation types. Floristic diversity (species richness and Shannon index) increased more over time in grazed than in ungrazed paddocks. Redundancy analyses revealed that grazing effects on plant species assemblages depended on vegetation type, and that plant communities evolved differently between grazing treatments for both abundance and frequency data. Some herbaceous species characteristic of heathlands were favoured by horse grazing. Horse grazing reduced gorse dominance in G and GG vegetation, controlling excessive accumulation of combustible material and reducing fire risk, and promoted the presence of species of conservation interest, so it offers a promising management tool for the restoration of heathlands and their biodiversity.
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- 2017
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5. An unusual Proterozoic petroleum play in Western Africa: the Atar Group carbonates (Taoudeni Basin, Mauritania)
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Martín-Monge, Antonio, Baudino, Roger, Gairifo-Ferreira, Luis M., Tocco, Rafael, Badalíì, Marcello, Ochoa, Maríìía, Haryono, Sigit, Soriano, Sofíìíía, El Hafiz, Nidal, Herníìííán-Gíìííáómez, Julio, Chacíìííáóón, Beatriz, Brisson, Ignacio, Grammatico, Giovanni, Varadíìííáóóé, Roberto, and Abdallah, Hussein
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The Taoudeni Basin is the largest sedimentary basin in Africa. This intracratonic basin, which forms the sedimentary cover of the West African Craton, records episodic sedimentation since the Proterozoic. It is a largely unexplored basin, with only eight exploration wells drilled to date, although its petroleum prospectivity was established in 1974 when gas and liquids were tested in the Abolag-1 well. This paper focuses on the identification and assessment of potential source rocks and reservoirs in the Taoudeni Basin in Mauritania and aims to establish a geochemical genetic link between the occurrence of petroleum and potential sources. Various disciplines and techniques were integrated to reach a better understanding of the petroleum systems potentially existing in this basin. We also define and describe the elements and processes of the Atar-Atar (!) petroleum system. This study is an example of the exploration of an unusual and high-risk play in some of the oldest sedimentary rocks on Earth, with a long, polyphase structural evolution, a complex thermal history (where burial might not be the only controlling factor), a massively diagenetized carbonate reservoir, and large uncertainties on the timing of generation, trap formation and preservation.
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- 2017
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6. Outcome and quality of life after endovascular abdominal aortic aneurysm repair in octogenarians.
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Pol, Robert A., Zeebregts, Clark J., van Sterkenburg, Steven M. M., Ferreira, Luis M., Goktay, Yigit, and Reijnen, Michel M. P. J.
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Objective This study determined outcome and quality of life (QOL) in octogenarians, compared with patients aged <80 years, 1 year after endovascular aortic aneurysm repair (EVAR). Methods From March 2009 until April 2011, 1263 patients in the Endurant Stent Graft Natural Selection Global Postmarket Registry (ENGAGE) registry with an abdominal aortic aneurysm were treated with EVAR using the Endurant endograft (Medtronic Cardiovascular, Santa Rosa, Calif). The patients were grouped according to those aged ≥80 years (290 [22.9%]) and those aged <80 years (973 [77.1%]) at the time of the procedure. QOL was assessed using composite EuroQoL 5-Dimensions Questionnaire (EQ-5D) index scores. Baseline, perioperative, and follow-up data were analyzed at 1 year. Results Octogenarians had poorer anatomic characteristics. The technical success rate was almost 99% for both cohorts, with no deaths. The duration of the implant procedure was significantly longer in the elderly patients (P = .002), with significant differences in overall (P < .001) and postprocedure (P < .001) hospital stays in favor of the younger group. At 1 year, there was a significant difference in all-cause mortality (P = .002) and in the number of major adverse events (P = .003), including secondary rupture (P = .01), to the detriment of octogenarians. There were no significant differences in conversion to open surgery or in overall secondary endovascular procedures. The octogenarians scored lower in their overall health care perception (P < .001) but with no significant difference in the EQ-5D index. Compared with the group aged <80 years, they had still not completely recovered their QOL after 1 year (P = .01). Conclusions Octogenarians are more difficult to treat by EVAR than younger patients due to poorer anatomic suitability and a higher incidence of complications. Recovery of QOL in octogenarians takes longer (>12 months) than expected. [ABSTRACT FROM AUTHOR]
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- 2014
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7. Effect of Elevated Carbon Dioxide Concentration on Rice Quality: Proximate Composition, Dietary Fibers, and Free Sugars.
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Goufo, Piebiep, Ferreira, Luis M. M., Carranca, Corina, Rosa, Eduardo A. S., and Trindade, Henrique
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Little is known regarding the impact of elevated carbon dioxide concentration ([CO2]) on the chemical composition of rice grains. A field experiment was conducted with open‐top chambers with rice (Oryza sativa L. cv. Ariete) grown at two levels of atmospheric CO2 (375 and 550 μmol/mol), and their effects were monitored on the proximate composition and carbohydrate contents of the grains. Following exposure to elevated [CO2], soluble dietary fiber increased by 136, 82, and 77% in brown rice, white rice, and bran, respectively. Increases of a lower magnitude (8%) were observed for insoluble dietary fiber in the bran and brown rice. For all 10 sugars identified, there was a trend for increasing their content. For example, increases of 135% were recorded for glucose in the white rice. In all rice milling fractions, elevated [CO2] reduced the protein (4–15%) and amylose (6–16%) contents, with no effect on the ash, starch, and gross energy contents. The fat content was increased by elevated [CO2] in the white rice (23%) and tended to decrease in the bran (9%). It is concluded that besides yield, increased dietary fiber might be another positive effect of high levels of atmospheric CO2 expected by the middle of the current century. [ABSTRACT FROM AUTHOR]
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- 2014
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8. Effect of Elevated Carbon Dioxide Concentration on Rice Quality: Proximate Composition, Dietary Fibers, and Free Sugars
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Goufo, Piebiep, Ferreira, Luis M. M., Carranca, Corina, Rosa, Eduardo A. S., and Trindade, Henrique
- Abstract
Little is known regarding the impact of elevated carbon dioxide concentration ([CO2]) on the chemical composition of rice grains. A field experiment was conducted with open-top chambers with rice (Oryza sativaL. cv. Ariete) grown at two levels of atmospheric CO2(375 and 550 µmol/mol), and their effects were monitored on the proximate composition and carbohydrate contents of the grains. Following exposure to elevated [CO2], soluble dietary fiber increased by 136, 82, and 77% in brown rice, white rice, and bran, respectively. Increases of a lower magnitude (8%) were observed for insoluble dietary fiber in the bran and brown rice. For all 10 sugars identified, there was a trend for increasing their content. For example, increases of 135% were recorded for glucose in the white rice. In all rice milling fractions, elevated [CO2] reduced the protein (4–15%) and amylose (6–16%) contents, with no effect on the ash, starch, and gross energy contents. The fat content was increased by elevated [CO2] in the white rice (23%) and tended to decrease in the bran (9%). It is concluded that besides yield, increased dietary fiber might be another positive effect of high levels of atmospheric CO2expected by the middle of the current century.
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- 2014
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9. Fenestrated EVAR Promotes Positive Infrarenal Neck Remodeling Leading to Greater Sac Shrinkage Compared With EVAR.
- Author
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Teter, Katherine, Li, Chong, Ferreira, Luis M., Ferrer, Miguel, Rockman, Caron B., Cayne, Neal S., Garg, Karan, and Maldonado, Thomas S.
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- 2021
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10. The potential of white‐rot fungi to degrade phorbol esters of Jatropha curcasL. seed cake
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de Barros, Cândida R. M., Ferreira, Luis M. M., Nunes, Fernando M., Bezerra, Rui M. F., Dias, Albino A., Guedes, Cristina V., Cone, John W., Marques, Guilhermina S. M., and Rodrigues, Miguel A. M.
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The potential of solid‐state cultivation, with three white‐rot fungi (Bjerkandera adusta, Ganoderma resinaceumand Phlebia rufa), to decrease phorbol esters concentration of Jatropha curcasL. was evaluated in this study. Incubation was conducted in 250 mL Erlenmeyer flasks without agitation at 28°C for 30 days. Phorbol esters were analyzed by reverse‐phase HPLC after an extraction procedure using dichloromethane. All fungi studied were able to decrease the concentration of phorbol esters, mainly B. adustaand P. rufawhich significantly reduced (p<0.05) phorbol esters contents to non‐toxic levels. These results suggest that white‐rot fungi could be potentially used as a possible approach for the biological treatment of the oilseed cake.
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- 2011
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11. Homologous xylanases from Clostridium thermocellum: evidence for bi-functional activity, synergism between xylanase catalytic modules and the presence of xylan-binding domains in enzyme complexes
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FERNANDES, Ana C., FONTES, Carlos M. G. A., GILBERT, Harry J., HAZLEWOOD, Geoffrey P., FERNANDES, Tito H., and FERREIRA, Luis M. A.
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Clostridium thermocellum produces a consortium of plant-cell-wall hydrolases that form a cell-bound multi-enzyme complex called the cellulosome. In the present study two similar xylanase genes, xynU and xynV, were cloned from C. thermocellum strain YS and sequenced. The deduced primary structures of both xylanases, xylanase U (XylU) and xylanase V (XylV), were homologous with the previously characterized xylanases from C. thermocellum strain F1. Truncated derivatives of XylV were produced and their biochemical properties were characterized. The xylanases were shown to be remarkably thermostable and resistant to proteolytic inactivation. The catalytic domains hydrolysed xylan by a typical endo-mode of action. The type VI cellulose-binding domain (CBD) homologue of XylV bound xylan and, to a smaller extent, Avicel and acid-swollen cellulose. Deletion of the CBD from XylV abolished the capacity of the enzymes to bind polysaccharides. The polysaccharide-binding domain was shown to have a key role in the hydrolysis of insoluble substrates by XylV. The C-terminal domain of XylV, which is absent from XylU, removed acetyl groups from acetylated xylan and acted in synergy with the glycosyl hydrolase catalytic domain of the enzyme to elicit the hydrolysis of acetylated xylan.
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- 1999
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