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Publications

Publications by CTM

2020

Enhancing obstructive sleep apnea diagnosis with screening through disease phenotypes: a diagnostic research design (Preprint)

Authors
Ferreira-Santos, D; Rodrigues, PP;

Publication
Journal of Medical Internet Research

Abstract

2020

Prospective validation of a Bayesian network model in the diagnosis of Obstructive Sleep Apnea: preliminary results

Authors
Amorim, P; Ferreira Santos, D; Drummond, M; Rodrigues, PP;

Publication
EUROPEAN RESPIRATORY JOURNAL

Abstract

2020

Identifying baseline clinical features of people with COVID-19

Authors
Ferreira-Santos, D; Maranhao, P; Monteiro-Soares, M;

Publication

Abstract
Objectives: To describe baseline clinical characteristics of adult patients with COVID-19. Methods: We conducted a scoping review of the evidence available at LitCovid, until March 23th, 2020, and selected articles that reported the prevalence of socio-demographic characteristics, symptoms and co-morbidities in adults with COVID-19. Results: In total, 1 572 publications were published on LitCovid. We have included 56 articles in our analysis, with 89% conducted in China, and 75% contained inpatients. Three studies were conducted in North America and one in Europe. Participants age ranged from 28 to 70 years, with balanced gender distribution. Proportion of asymptomatic cases were from 2 to 79%. The most common reported symptoms were fever [4-99%], cough [4-92%], dyspnoea/shortness of breath [1-90%], fatigue 4-89%], myalgia [3-65%], and pharyngalgia [2-61%], while regarding co-morbidities we found cardiovascular disease [1-40%], hypertension [0-40%] and cerebrovascular disease [1-40%]. Such heterogeneity impairs the conduction of meta-analysis. Conclusions: The infection by COVID-19 seems to affect people in a very diverse manner and with different characteristics. With the available data it is not possible to clearly identify those at higher risk of being infected with this condition. Furthermore, the evidence from countries other than China is, at the day, too scarce.

2020

Identifying common baseline clinical features of COVID-19: a scoping review

Authors
Ferreira Santos, D; Maranhao, P; Monteiro Soares, M;

Publication
BMJ OPEN

Abstract
Objectives Our research question was: what are the most frequent baseline clinical characteristics in adult patients with COVID-19? Our major aim was to identify common baseline clinical features that could help recognise adult patients at high risk of having COVID-19. Design We conducted a scoping review of all the evidence available at LitCovid, until 23 March 2020. Setting Studies conducted in any setting and any country were included. Participants Studies had to report the prevalence of sociodemographic characteristics, symptoms and comorbidities specifically in adults with a diagnosis of infection by SARS-CoV-2. Results In total, 1572 publications were published on LitCovid. We have included 56 articles in our analysis, with 89% conducted in China and 75% containing inpatients. Three studies were conducted in North America and one in Europe. Participants' age ranged from 28 to 70 years, with balanced gender distribution. The proportion of asymptomatic cases were from 2% to 79%. The most common reported symptoms were fever (4%-99%), cough (4%-92%), dyspnoea/shortness of breath (1%-90%), fatigue (4%-89%), myalgia (3%-65%) and pharyngalgia (2%-61%), while regarding comorbidities, we found cardiovascular disease (1%-40%), hypertension (0%-40%) and cerebrovascular disease (1%-40%). Such heterogeneity impaired the conduction of meta-analysis. Conclusions The infection by COVID-19 seems to affect people in a very diverse manner and with different characteristics. With the available data, it is not possible to clearly identify those at higher risk of being infected with this condition. Furthermore, the evidence from countries other than China is, at the moment, too scarce.

2020

A measure of the size of the magnetospheric accretion region in TW Hydrae

Authors
Lopez, RG; Natta, A; Garatti, ACO; Ray, TP; Fedriani, R; Koutoulaki, M; Klarmann, L; Perraut, K; Sanchez Bermudez, J; Benisty, M; Dougados, C; Labadie, L; Brandner, W; Garcia, PJV; Henning, T; Caselli, P; Duvert, G; de Zeeuw, T; Grellmann, R; Abuter, R; Amorim, A; Baub?ck, M; Berger, JP; Bonnet, H; Buron, A; Cl?net, Y; du Foresto, VC; de Wit, W; Eckart, A; Eisenhauer, F; Filho, M; Gao, F; Dabo, CEG; Gendron, E; Genzel, R; Gillessen, S; Habibi, M; Haubois, X; Haussmann, F; Hippler, S; Hubert, Z; Horrobin, M; Rosales, AJ; Jocou, L; Kervella, P; Kolb, J; Lacour, S; Le Bouquin, JB; L?na, P; Ott, T; Paumard, T; Perrin, G; Pfuhl, O; Ramirez, A; Rau, C; Rousset, G; Scheithauer, S; Shangguan, J; Stadler, J; Straub, O; Straubmeier, C; Sturm, E; van Dishoeck, E; Vincent, F; von Fellenberg, S; Widmann, F; Wieprecht, E; Wiest, M; Wiezorrek, E; Woillez, J; Yazici, S; Zins, G;

Publication
NATURE

Abstract
Stars form by accreting material from their surrounding disks. There is a consensus that matter flowing through the disk is channelled onto the stellar surface by the stellar magnetic field. This is thought to be strong enough to truncate the disk close to the corotation radius, at which the disk rotates at the same rate as the star. Spectro-interferometric studies in young stellar objects show that hydrogen emission (a well known tracer of accretion activity) mostly comes from a region a few milliarcseconds across, usually located within the dust sublimation radius(1-3). The origin of the hydrogen emission could be the stellar magnetosphere, a rotating wind or a disk. In the case of intermediate-mass Herbig AeBe stars, the fact that Brackett gamma (Br gamma) emission is spatially resolved rules out the possibility that most of the emission comes from the magnetosphere(4-6)because the weak magnetic fields (some tenths of a gauss) detected in these sources(7,8)result in very compact magnetospheres. In the case of T Tauri sources, their larger magnetospheres should make them easier to resolve. The small angular size of the magnetosphere (a few tenths of a milliarcsecond), however, along with the presence of winds(9,10)make the interpretation of the observations challenging. Here we report optical long-baseline interferometric observations that spatially resolve the inner disk of the T Tauri star TW Hydrae. We find that the near-infrared hydrogen emission comes from a region approximately 3.5 stellar radii across. This region is within the continuum dusty disk emitting region (7 stellar radii across) and also within the corotation radius, which is twice as big. This indicates that the hydrogen emission originates in the accretion columns (funnel flows of matter accreting onto the star), as expected in magnetospheric accretion models, rather than in a wind emitted at much larger distance (more than one astronomical unit). The size of the inner disk of the T Tauri star TW Hydrae is determined using optical long-baseline interferometric observations, indicating that hydrogen emission comes from a region approximately 3.5 stellar radii across.

2020

Modeling the orbital motion of Sgr A*'s near-infrared flares

Authors
Baubock, M; Dexter, J; Abuter, R; Amorim, A; Berger, JP; Bonnet, H; Brandner, W; Clenet, Y; du Foresto, VC; de Zeeuw, PT; Duvert, G; Eckart, A; Eisenhauer, F; Schreiber, NMF; Gao, F; Garcia, P; Gendron, E; Genzel, R; Gerhard, O; Gillessen, S; Habibi, M; Haubois, X; Henning, T; Hippler, S; Horrobin, M; Jimenez Rosales, A; Jocou, L; Kervella, P; Lacour, S; Lapeyrere, V; Le Bouquin, JB; Lena, P; Ott, T; Paumard, T; Perraut, K; Perrin, G; Pfuhl, O; Rabien, S; Coira, GR; Rousset, G; Scheithauer, S; Stadler, J; Sternberg, A; Straub, O; Straubmeier, C; Sturm, E; Tacconi, LJ; Vincent, F; von Fellenberg, S; Waisberg, I; Widmann, F; Wieprecht, E; Wiezorrek, E; Woillez, J; Yazici, S;

Publication
ASTRONOMY & ASTROPHYSICS

Abstract
Infrared observations of Sgr A* probe the region close to the event horizon of the black hole at the Galactic center. These observations can constrain the properties of low-luminosity accretion as well as that of the black hole itself. The GRAVITY instrument at the ESO VLTI has recently detected continuous circular relativistic motion during infrared flares which has been interpreted as orbital motion near the event horizon. Here we analyze the astrometric data from these flares, taking into account the effects of out-of-plane motion and orbital shear of material near the event horizon of the black hole. We have developed a new code to predict astrometric motion and flux variability from compact emission regions following particle orbits. Our code combines semi-analytic calculations of timelike geodesics that allow for out-of-plane or elliptical motions with ray tracing of photon trajectories to compute time-dependent images and light curves. We apply our code to the three flares observed with GRAVITY in 2018. We show that all flares are consistent with a hotspot orbiting at R similar to 9 gravitational radii with an inclination of i similar to 140 degrees. The emitting region must be compact and less than similar to 5 gravitational radii in diameter. We place a further limit on the out-of-plane motion during the flare.

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