Benefits measurement of a plan to reduce hypertension in a healthcare foundation using the BCTool

The hypertension is a well know problem and associated with a high salt consuming is one of the commonest chronic diseases.To measure the impact of this consuming it has been applied the methodology provided by the Business Case tool (BC Tool), in a Portuguese foundation for elderly, in order to contribute for Intervention Plan for the reduction of hypertension which aims to reduce salt consumption in the Portuguese population and to improve the control of Hypertension through a phased reduction in salt consumption.This objective has been achieved by changing the availability of foods with lower salt contents and by decreasing the addition of salt in cooking. The results of these measures provided a substantial benefit in terms of Benefits Measurements and Cost Analysis besides the results of SROI measurement in order to obtain the social benefits of this initiative of the Intervention plan to reduce hypertension. Along these results it has been collected the suggestions for improvements that would allow the Sarah Beirão Foundation's response to the needs of its users to be improved.info:eu-repo/semantics/publishedVersio

Novel transcripts reveal a complex structure of the human TRKA gene and imply the presence of multiple protein isoforms

Publisher Copyright: © 2015 Luberg et al.Background: Tropomyosin-related kinase A (TRKA) is a nerve growth factor (NGF) receptor that belongs to the tyrosine kinase receptor family. It is critical for the correct development of many types of neurons including pain-mediating sensory neurons and also controls proliferation, differentiation and survival of many neuronal and non-neuronal cells. TRKA (also known as NTRK1) gene is a target of alternative splicing which can result in several different protein isoforms. Presently, three human isoforms (TRKAI, TRKAII and TRKAIII) and two rat isoforms (TRKA L0 and TRKA L1) have been described. Results: We show here that human TRKA gene is overlapped by two genes and spans 67 kb-almost three times the size that has been previously described. Numerous transcription initiation sites from eight different 5' exons and a sophisticated splicing pattern among exons encoding the extracellular part of TRKA receptor indicate that there might be a large variety of alternative protein isoforms. TrkA genes in rat and mouse appear to be considerably shorter, are not overlapped by other genes and display more straightforward splicing patterns. We describe the expression profile of alternatively spliced TRKA transcripts in different tissues of human, rat and mouse, as well as analyze putative endogenous TRKA protein isoforms in human SH-SY5Y and rat PC12 cells. We also characterize a selection of novel putative protein isoforms by portraying their phosphorylation, glycosylation and intracellular localization patterns. Our findings show that an isoform comprising mainly of TRKA kinase domain is capable of entering the nucleus. Conclusions: Results obtained in this study refer to the existence of a multitude of TRKA mRNA and protein isoforms, with some putative proteins possessing very distinct properties.publishersversionPeer reviewe

O clickbait no ciberjornalismo português e brasileiro: o caso português

A investigação que aqui se apresenta partiu da proposta de analisar a incidência de clickbait no ciberjornalismo português e brasileiro. Faz parte de um projeto desenvolvido em conjunto por investigadores brasileiros e portugueses, em que cada grupo efetuou a verificação em 18 cibermeios de informação geral do seu país com abrangência nacional e com produção própria e atualizada frequentemente, tanto nas páginas Web como no Facebook. Neste artigo apresentamos os resultados encontrados nos 270 títulos/conteúdos que constituíram a amostra portuguesa, que apontam para um índice de clickbait de 39,6%. Analisando individualmente os 32 indicadores, verificamos que nenhum chega aos 10%, destacando-se como valor mais alto a "Informação empolada", presente em 8,5% da amostra.The paper aims to analyze the incidence of clickbait in Portuguese and Brazilian online journalism. It is part of an activity carried out jointly by Brazilian and Portuguese researchers, in which each group carried out the verification in the Web and Facebook pages of 18 general information vehicles of such countries, each having national coverage, as well as its own production and frequent updates. This article presents the results found in the Portuguese sample that shows a high clickbait index, of 39,6%, when cross-checking the general data. On the other hand, the values are reduced when we look at the 32 indicators individually, all of them with rates below 10%

O clickbait no ciberjornalismo português e brasileiro: o caso brasileiro

O trabalho tem como proposta analisar a incidência de "clickbait" no jornalismo online português e brasileiro. Faz parte de uma atividade realizada em conjunto por pesquisadores brasileiros e portugueses, em que cada grupo efetuou a verificação em 18 veículos de informação geral do seu país com abrangência nacional, com produção própria e atualizada frequentemente, tanto nas páginas Web, assim como no Facebook. Este artigo traz os resultados encontrados na amostra brasileira que apontam um alto índice de "clickbait" ao se verificar os dados gerais, com 54,4% da amostra com ocorrência desta prática. Ao mesmo tempo, os valores se reduzem ao olharmos os 32 indicadores individualmente, em que apenas três tiveram índices superiores a 10%.The paper aims to analyze the incidence of clickbait in Portuguese and Brazilian online journalism. It is part of an activity carried out jointly by Brazilian and Portuguese researchers, in which each group carried out the verification in the Web and Facebook pages of 18 general information vehicles of such countries, each having national coverage, as well as its own production and frequent updates. This article presents the results found in the Brazilian sample that shows a high clickbait index, of 54.4%, when crosschecking the general data. On the other hand, the values are reduced when we look at the 32 indicators individually, in which only three had rates above 10%

Tolerance to copper and to salinity in Daphnia longispina: implications within a climate change scenario

Considering IPPC climate change scenarios, it is pertinent to predict situations where coastal ecosystems already impacted with chemical contamination became exposed to an additional stressor under a future scenario of seawater intrusion. Accordingly, the present study aimed at evaluating if a negative association between tolerance to a metal and to saltwater exists among genotypes of a freshwater organism. For this, five clonal lineages of the cladoceran Daphnia longispina O.F. Müller, exhibiting a differential tolerance to lethal levels of copper, were selected. Each clonal lineage was exposed to lethal and sublethal concentrations of sodium chloride (assumed as a protective surrogate to evaluate the toxicity of increased salinity to freshwater organisms). Mortality, time to release the first brood and total number of neonates per female were monitored and the somatic growth rate and intrinsic rate of natural increase were computed for each clonal lineage. Data here obtained were compared with their lethal responses to copper and significant negative correlations were found. These results suggest that genetically eroded populations of D. longispina, due to copper or salinity, may be particularly susceptible to a later exposure to the other contaminant supporting the multiple stressors differential tolerance.This work has been developed under the scope of the Portuguese Science Foundation (FCT, Portugal) through FSE and POPH funds (Programa Ciencia 2007), and FEDER through COMPETE-programa Operacional Factores de Competitividade (research project FCOMP-01-0124-FEDER-014016; PTDC/AAC-CLI/ 111706/2009). The funders had no role in the study design, data collection and analysis, decision to publish, or preparation of the manuscript. No additional external funding was received for this study.publishe

Association Between Preexisting Versus Newly Identified Atrial Fibrillation and Outcomes of Patients With Acute Pulmonary Embolism

Background Atrial fibrillation (AF) may exist before or occur early in the course of pulmonary embolism (PE). We determined the PE outcomes based on the presence and timing of AF. Methods and Results Using the data from a multicenter PE registry, we identified 3 groups: (1) those with preexisting AF, (2) patients with new AF within 2 days from acute PE (incident AF), and (3) patients without AF. We assessed the 90-day and 1-year risk of mortality and stroke in patients with AF, compared with those without AF (reference group). Among 16 497 patients with PE, 792 had preexisting AF. These patients had increased odds of 90-day all-cause (odds ratio [OR], 2.81; 95% CI, 2.33-3.38) and PE-related mortality (OR, 2.38; 95% CI, 1.37-4.14) and increased 1-year hazard for ischemic stroke (hazard ratio, 5.48; 95% CI, 3.10-9.69) compared with those without AF. After multivariable adjustment, preexisting AF was associated with significantly increased odds of all-cause mortality (OR, 1.91; 95% CI, 1.57-2.32) but not PE-related mortality (OR, 1.50; 95% CI, 0.85-2.66). Among 16 497 patients with PE, 445 developed new incident AF within 2 days of acute PE. Incident AF was associated with increased odds of 90-day all-cause (OR, 2.28; 95% CI, 1.75-2.97) and PE-related (OR, 3.64; 95% CI, 2.01-6.59) mortality but not stroke. Findings were similar in multivariable analyses. Conclusions In patients with acute symptomatic PE, both preexisting AF and incident AF predict adverse clinical outcomes. The type of adverse outcomes may differ depending on the timing of AF onset.info:eu-repo/semantics/publishedVersio

Treatment with tocilizumab or corticosteroids for COVID-19 patients with hyperinflammatory state: a multicentre cohort study (SAM-COVID-19)

Objectives: The objective of this study was to estimate the association between tocilizumab or corticosteroids and the risk of intubation or death in patients with coronavirus disease 19 (COVID-19) with a hyperinflammatory state according to clinical and laboratory parameters. Methods: A cohort study was performed in 60 Spanish hospitals including 778 patients with COVID-19 and clinical and laboratory data indicative of a hyperinflammatory state. Treatment was mainly with tocilizumab, an intermediate-high dose of corticosteroids (IHDC), a pulse dose of corticosteroids (PDC), combination therapy, or no treatment. Primary outcome was intubation or death; follow-up was 21 days. Propensity score-adjusted estimations using Cox regression (logistic regression if needed) were calculated. Propensity scores were used as confounders, matching variables and for the inverse probability of treatment weights (IPTWs). Results: In all, 88, 117, 78 and 151 patients treated with tocilizumab, IHDC, PDC, and combination therapy, respectively, were compared with 344 untreated patients. The primary endpoint occurred in 10 (11.4%), 27 (23.1%), 12 (15.4%), 40 (25.6%) and 69 (21.1%), respectively. The IPTW-based hazard ratios (odds ratio for combination therapy) for the primary endpoint were 0.32 (95%CI 0.22-0.47; p < 0.001) for tocilizumab, 0.82 (0.71-1.30; p 0.82) for IHDC, 0.61 (0.43-0.86; p 0.006) for PDC, and 1.17 (0.86-1.58; p 0.30) for combination therapy. Other applications of the propensity score provided similar results, but were not significant for PDC. Tocilizumab was also associated with lower hazard of death alone in IPTW analysis (0.07; 0.02-0.17; p < 0.001). Conclusions: Tocilizumab might be useful in COVID-19 patients with a hyperinflammatory state and should be prioritized for randomized trials in this situatio