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| 1 | Quality of life, work productivity impairment and healthcare resources in inflammatory bowel diseases in Brazil显示文摘BACKGROUND Inflammatory bowel diseases(IBD)have been associated with a low quality of life(QoL)and a negative impact on work productivity compared to the general population.Information about disease control,patient-reported outcomes(PROs),treatment patterns and use of healthcare resources is relevant to optimizing IBD management.AIM To describe QoL and work productivity and activity impairment(WPAI),treatment patterns and use of healthcare resources among IBD patients in Brazil.METHODS A multicenter cross-sectional study included adult outpatients who were previously diagnosed with moderate to severe Crohn’s disease(CD)or ulcerative colitis(UC).At enrolment,active CD and UC were defined as having a Harvey Bradshaw Index≥8 or a CD Activity Index≥220 or calprotectin>200μg/g or previous colonoscopy results suggestive of inadequate control(per investigator criteria)and a 9-point partial Mayo score≥5,respectively.The PRO assessment included the QoL questionnaires SF-36 and EQ-5D-5L,the Inflammatory Bowel Disease Questionnaire(IBDQ),and the WPAI questionnaire.Information about healthcare resources and treatment during the previous 3 years was collected from medical records.Chi-square,Fisher’s exact and Student’s t-/Mann-Whitney U tests were used to compare PROs,treatment patterns and the use of healthcare resources by disease activity(α=0.05).RESULTS Of the 407 patients in this study(CD/UC:64.9%/35.1%,mean age 42.9/45.9 years,54.2%/56.6%female,38.3%/37.1%employed),44.7%/25.2%presented moderate-to-severe CD/UC activity,respectively,at baseline.Expressed in median values for CD/UC,respectively,the SF-36 physical component was 46.6/44.7 and the mental component was 45.2/44.2,the EQ-visual analog scale score was 80.0/70.0,and the IBDQ overall score was 164.0/165.0.Moderate to severe activity,female gender,being unemployed,a lower educational level and lower income were associated with lower QoL(P<0.05).Median work productivity impairment was 20%and 5%for CD and UC patients,respectively,and activity impairment was 30%,the latter being higher among patients with moderate to severe disease activity compared to patients with mild or no disease activity(75.0%vs 10.0%,P<0.001).For CD/UC patients,respectively,25.4%/2.8%had at least one surgery,38.3%/19.6%were hospitalized,and 70.7%/77.6%changed IBD treatment at least once during the last 3 years.The most common treatments at baseline were biologics(75.3%)and immunosuppressants(70.9%)for CD patients and 5-ASA compounds(77.5%)for UC patients.CONCLUSION Moderate to severe IBD activity,especially among CD patients,is associated with a substantial impact on QoL,work productivity impairment and an increased number of IBD surgeries and hospitalizations in Brazil. | Rogerio Serafim Parra Julio MF Chebli Heda MBS Amarante Cristina Flores Jose ML Parente Odery Ramos Milene Fernandes Jose JR Rocha Marley R Feitosa Omar Feres Antonio S Scotton Rodrigo B Nones Murilo M Lima Cyrla Zaltman Carolina D Goncalves Isabella M Guimaraes Genoile O Santana Ligia Y Sassaki Rogerio S Hossne Mauro Bafutto Roberto LK Junior Mikaell AG Faria Sender J Miszputen Tarcia NF Gomes Wilson R Catapani Anderson A Faria Stella CS Souza Rosana F Caratin Juliana T Senra Maria LA Ferrari | 2019 | World Journal of Gastroenterology2019，25，38： | 2 |
| 2 | CITED2 and the modulation of the hypoxic response in cancer显示文摘CITED2(CBP/p300-interacting transactivator with Glu/Asp-rich C-terminal domain,2)is a ubiquitously expressed protein exhibiting a high affinity for the CH1 domain of the transcriptional co-activators CBP/p300,for which it competes with hypoxia-inducible factors(HIFs).CITED2 is particularly efficient in the inhibition of HIF-1α-dependent transcription in different contexts,ranging from organ development and metabolic homeostasis to tissue regeneration and immunity,being also potentially involved in various other physiological processes.In addition,CITED2 plays an important role in inhibiting HIF in some diseases,including kidney and heart diseases and type 2-diabetes.In the particular case of cancer,CITED2 either functions by promoting or suppressing cancer development depending on the context and type of tumors.For instance,CITED2 overexpression promotes breast and prostate cancers,as well as acute myeloid leukemia,while its expression is downregulated to sustain colorectal cancer and hepatocellular carcinoma.In addition,the role of CITED2 in the maintenance of cancer stem cells reveals its potential as a target in non-small cell lung carcinoma and acute myeloid leukemia,for example.But besides the wide body of evidence linking both CITED2 and HIF signaling to carcinogenesis,little data is available regarding CITED2 role as a negative regulator of HIF-1αspecifically in cancer.Therefore,comprehensive studies exploring further the interactions of these two important mediators in cancer-specific models are sorely needed and this can potentially lead to the development of novel targeted therapies. | Mónica T Fernandes Sofia M Calado Leonardo Mendes-Silva JoséBraganca | 2020 | World Journal of Clinical Oncology2020，11，5： | 2 |
| 3 | Scandium in aluminum alloys 显示文摘 | KRAMER L S TACK W T FERNANDES M T | 1997 | Adv Mater Process1997，152，10： | 1 |
| 4 | Glycemic index of potatoes commonly consumed in North America显示文摘 | FERNANDES G VELANGI A WOLEVER T M S | 2005 | Journal of the American Dietetic Association2005，105，： | 1 |
| 5 | Relationships between oxygen availability and metabolic cost of breathing in Nile tilapia (Oreochronis niloticus):aquacultural consequences显示文摘 | Rantin F T | 1994 | Aquaculture1994，127，： | 1 |
| 6 | Scandium in aluminum alloys显示文摘 | Kramer L S Tack W T Fernandes M T | 1997 | Adv Mater & Proc1997，152，4： | 1 |
| 7 | The impact of the internet upon bank marketing显示文摘 | Proenca J F Silva M M Fernandes T | 2010 | Journal of Financial Services Market- ing2010，，2： | 1 |
| 8 | Aluminum alloys for aerostructures显示文摘 | Staley J T Liu J Fernandes M T | 1997 | Adv Mater & Proc1997，152，4： | 1 |
| 9 | Isola- tion and characterization of a Pseudomonas aeruginosa from a virgin Brazilian Amazon region with potential to degrade a- trazine显示文摘 | Fernandes A F T da Silva M B P Martins V V | 2014 | Environmental Science and Pollution Research2014，21，13： | 1 |
| 10 | Extrarenal Wilms' tumor显示文摘 | Fernandes E T Kumar M Doughlas E C | 1989 | J Pediatr Surg1989，24，5： | 1 |
| 11 | Study of sintering variables of tungsten carbide particles sputter-deposited with stainless steel显示文摘 | Fernandes C M Senos A M R Vieira M T | 2004 | Materials Science Forum2004，455，1： | 1 |
| 12 | Estabilidade Fisico-qutmica,Mierobiol6giea E Sensorial De Came Ovina Embalada a Vaeuo Estocada Sob Refrigeraqao 显示文摘 | FERNANDES R P P FREIRE M T A GUERRA C C G | 2012 | Ciencia Rural Santa Maria2012，42，4： | 1 |
| 13 | Influence of different proteolytic strains of Streptococcus thermophilus in co-culture with Lactobacillus delbrueckii subsp, bulgaricus on the metabolite profile of set-yoghurt 显示文摘 | Settachaimongkon S Nout M J R Fernandes E C A Hettinga K A Vervoort J M van Hooijdonk T C M Zwietering M H Smid E J van Valenberg H J F | 2014 | International Journal of Food Microbiology2014，177，： | 1 |
| 14 | Replacement of fish meal by plant protein sources up to 75% induces good growth performance without affecting flesh quality in ongrowing Senegalese sole 显示文摘 | CABRAL E M FERNANDES T J R CAMPOS S D | 2013 | Aquaculture2013，，： | 1 |
| 15 | Relationships between oxygen availability and metabolic cost of breathing in Nile tilapia ( Oreochromis niloticus ) : aquacultural consequences 显示文摘 | FERNANDES M N RANTIN F T | 1994 | Aquaculture1994，127，： | 1 |
| 16 | Load shedding strategies using optimal load flow with relaxation of restrictions显示文摘 | Fernandes T S P Lenzi J R Mikilita M A | 2008 | IEEE Trans on Power Systems2008，23，2： | 1 |
| 17 | Energy cost and intracyclic variation of the velocity of the centre of mass in butterfly stroke显示文摘 | BARBOSA T M KESKINEN K L FERNANDES R | 2005 | Eur J Appl Physiol2005，93，56： | 1 |
| 18 | Interspe- cies comparisons on the uptake and toxicity of silver and cerium dioxide nanoparticles 显示文摘 | Gaiser B K Fernandes T F Jepson M A | 2012 | Environmental Toxicolo- gy and Chemistry2012，31，1： | 1 |
| 19 | Anti-corrosion performance of new silane coating for corrosion protection of AZ31 magnesium alloy in Hank's solution 显示文摘 | ZOMORODIAN A BRUSCIOTTI F FERNANDES A CARMEZIM M J MOURAE SILVA T FERNANDES J C S MONTEMOR M F | 2012 | Surface and Coatings Technology2012，206，： | 1 |
| 20 | Eval- uation of the energy expenditure in competitive swimming strokes 显示文摘 | BARBOSA T M FERNANDES R KESKINEN K L | 2006 | Int J Sports Med2006，27，11： | 1 |
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