Cut-off of the Brief-BESTest to predict falls in people with ILD

Falls are the 2nd leading cause of unintentional injury deaths worldwide. Poor balance has been associated with increased risk of falls in people with chronic obstructive pulmonary disease (COPD), however little is known about balance in people with interstitial lung disease (ILD). The Brief-Balance Evaluation Systems Test (Brief-BESTest) is a comprehensive balance measure, which allows tailoring balance training, however, its ability to identify risk of falls in people with ILD is unknown. We explored its ability in distinguishing people with ILD with high/low risk of falls. The Brief-BESTest was collected and a ROC curve analysis performed to assess its ability to differentiate between people with ILD with (≥1) and without (0) history of falls. A fall was defined as “an unexpected event when you find yourself unintentionally on the ground, floor or lower level”. History of falls was explored with 2 questions: (1) “Have you had any fall in the last 12 months?” and, if yes, (2) “How many times did you fall down in the last 12 months?”. The optimal cut-off point was identified by the highest Youden index. Differences between people with/without history of falls were explored with independent t-tests. 67 people with ILD (66±12y; 56.7%♀; FVC 80.8±18.8%predicted; DLCO 56.8±22.2%predicted) were included. From these, 20 had, at least, 1 fall in the previous year. People with history of falls were older (63±10 vs. 72±13y, p=0.015), had a worst DLCO (60.8±21.3 vs. 46.8±21.9%predicted, p=0.032) and worst balance (BriefBESTest 17.8±5.2 vs. 13.5±6.4 points, p=0.012) at baseline than those without. A cut-off point of 16 points in the Brief-BESTest for high risk of falls (AUC=0.71; 95%CI 0.56-0.85; 65% sensitivity; 75% specificity; accuracy=0.71) was found. A cut-off of 16 points in the Brief-BESTest may be helpful to easily identify those at risk of falling, and implement tailored interventions to improve balance.publishe

Building on surface-active ionic liquids for the rescuing of the antimalarial drug chloroquine

Ionic liquids derived from classical antimalarials are emerging as a new approach towards the cost-effective rescuing of those drugs. Herein, we disclose novel surface-active ionic liquids derived from chloroquine and natural fatty acids whose antimalarial activity in vitro was found to be superior to that of the parent drug. The most potent ionic liquid was the laurate salt of chloroquine, which presented IC50 values of 4 and 110 nM against a chloroquine-sensitive and a chloroquine-resistant strain of Plasmodium falciparum, respectively, corresponding to an 11-and 6-fold increase in potency as compared to the reference chloroquine bisphosphate salt against the same strains. This unprecedented report opens new perspectives in both the fields of malaria chemotherapy and of surface-active ionic liquids derived from active pharmaceutical ingredients.publishersversionpublishe

The V410L knockdown resistance mutation occurs in island and continental populations of Aedes aegypti in West and Central Africa

The extensive use of insecticides for vector control has led to the development of insecticide resistance in Aedes aegypti populations on a global scale, which has significantly compromised control actions. Insecticide resistance, and its underlying mechanisms, has been investigated in several countries, mostly in South American and Asian countries. In Africa, however, studies reporting insecticide resistance are rare and data on resistance mechanisms, notably knockdown resistance (kdr) mutations, is scarce. In this study, the recently described V410L kdr mutation is reported for the first time in old world Ae. aegypti populations, namely from Angola and Madeira island. Two additional kdr mutations, V1016I and F1534C, are also reported for the first time in populations from Angola and Cape Verde. Significant associations with the resistance phenotype were found for both V410L and V1016I individually as well as for tri-locus genotypes in the Angolan population. However, no association was found in Madeira island, probably due to the presence of a complex pattern of multiple insecticide resistance mechanisms in the local Ae. aegypti population. These results suggest that populations carrying the same kdr mutations may respond differently to the same insecticide, stressing the need for complementary studies when assessing the impact of kdr resistance mechanisms in the outcome of insecticide-based control strategies.publishersversionpublishe

A Cost-Effective Way To Expressively Increase the Blood-Stage Antimalarial Activity of Primaquine

Funding Information: The authors thank Fundação para a Ciência e Tecnologia (FCT, Portugal), for funding Research Units LAQV‐REQUIMTE (UIDB/50006/2020), CIQUP (UIDB/00081/2020), and GHTM (UID/Multi/04413/2013), and for project grant PTDC/BTM‐SAL/29786/2017. ATS thanks FCT and Sociedade Portuguesa de Química (SPQ, Portugal) for her doctoral grant SFRH/BD/150649/2020 Publisher Copyright: © 2021 Wiley-VCH GmbHInspired by previous disclosure of room-temperature ionic liquids derived from primaquine and cinnamic acids, which displayed slightly enhanced blood-stage activity compared to the parent drug, we have now combined this emblematic antimalarial with natural fatty acids. This affords surface-active ionic liquids whose liver-stage antiplasmodial activity is either retained or slightly enhanced, while revealing blood-stage antiplasmodial activity at least one order of magnitude higher than that of the parent compound. These findings open new perspectives towards the cost-effective recycling of classical drugs that are either shelved or in decline, and which is not limited to antimalarial agents.publishersversionpublishe

New cholinesterase inhibitors for Alzheimer's disease: Structure Activity Studies (SARs) and molecular docking of isoquinolone and azepanone derivatives

A library of isoquinolinone and azepanone derivatives were screened for both acetylcholinesterase (AChE) and butyrylcholinesterase (BuChE) activity. The strategy adopted included (a) in vitro biological assays, against eel AChE (EeAChE) and equine serum BuChE (EqBuChE) in order to determine the compounds IC50 and their dose-response activity, consolidated by (b) molecular docking studies to evaluate the docking poses and interatomic interactions in the case of the hit compounds, validated by STD-NMR studies. Compound (1f) was identified as one of these hits with an IC50 of 89.5 mu M for EeAChE and 153.8 mu M for EqBuChE, (2a) was identified as a second hit with an IC50 of 108.4 mu M (EeAChE) and 277.8 mu M (EqBuChE). In order to gain insights into the binding mode and principle active site interactions of these molecules, (R)-(1f) along with 3 other analogues (also as the R-enantiomer) were docked into both RhAChE and hBuChE models. Galantamine was used as the benchmark. The docking study was validated by performing an STD-NMR study of (1f) with EeAChE using galantamine as the benchmark

El impacto de las expectativas sobre la adaptación académica de los estudiantes en la Educación Superior

Os desafios enfrentados pelos jovens, decorrentes do ingresso no Ensino Superior, têm sido alvo de inúmeras pesquisas, destacando a confluência de variáveis pessoais e contextuais nesse processo de transição e adaptação ao Ensino Superior. O presente estudo teve como objetivo investigar como as expectativas afetam a qualidade das vivências adaptativas dos acadêmicos que iniciam o Ensino Superior. Participaram deste estudo 182 estudantes brasileiros (M=26,2; DP=8,76), sendo 146 mulheres e 36 homens, que responderam a dois questionários reportados às expectativas e vivências acadêmicas. Os resultados indicaram que as expectativas iniciais dos ingressantes foram correlacionadas com a qualidade das suas vivências acadêmicas. Em particular, as expectativas de envolvimento nas relações com os colegas, no projeto vocacional de carreira e nas atividades curriculares do seu curso foram associadas à adaptação acadêmica dos estudantes.Many studies have addressed the challenges faced by students when they access higher education, describing the influence of personal and contextual factors on the transition and adaptation to Higher Education. The present study aimed to investigate how expectations impact the quality of first-year students’ experiences. Participants included 182 Brazilian students (M=26,2; DP=8,76), 146 women and 36 men, who answered two questionnaires focusing on academic expectations and experiences. Results suggest that initial expectations of first-year students are correlated with the quality of their academic experiences. Specifically, expectations about students’ engagement with colleagues, career project, and curricular activities in their undergraduate program, seem to be related with students’ academic adaptation.Los desafíos que enfrentan los jóvenes que resultan del ingreso a la educación superior han sido objeto de numerosas investigaciones, destacando la convergencia de variables personales y contextuales en este proceso de transición y adaptación a la educación superior. El presente estudio tuvo como objetivo investigar cómo las expectativas afectan la calidad de las experiencias de adaptación de los estudiantes que inician la educación superior. Participaron 182 estudiantes brasileños (M=26,2; DP=8,76), siendo 146 mujeres y 36 hombres, que respondieron dos cuestionarios direccionados a las expectativas y experiencias académicas. Los resultados indicaron que las expectativas iniciales de los estudiantes ingresantes se correlacionaron con la calidad de sus experiencias académicas. En particular, las expectativas de participación en las relaciones con los compañeros, en el proyecto de la carrera y en las actividades curriculares del curso fueron relacionadas con la adaptación académica de los estudiantes.Universidade do MinhoUniversidade Salgado de Oliveir

Drug-Derived Surface-Active Ionic Liquids: A Cost-Effective Way To Expressively Increase the Blood-Stage Antimalarial Activity of Primaquine (ChemMedChem, (2022), 17, 5, 10.1002/cmdc.202100650)

Scheme 1 and Figure 1 in this article were incorrect. The correct ones, and their respective captions, follow: 1 Scheme (Figure presented.) Synthesis route to PQ-derived organic salts 3a–g. (i) 1a (1 molar equivalent, eq), 2a–g (1 eq), methanol (MeOH), room temperature (RT), 30 min. 1 Figure (Figure presented.) Surface tension plots and cmc determination, at 25 °C, of aqueous CTAB/SAIL mixtures: A) surface tension vs. the logarithm of total CTAB+SAIL concentration, expressed in molality; the cmc values are obtained from the intersection points of the linear fit in each system; B) cmc vs. molar fraction of 3c in mixtures with CTAB, showing the marked effect of 3c in reducing cmc.publishersversionpublishe

The impact of diabetes on multiple avoidable admissions: a cross-sectional study

Background Multiple admissions for ambulatory care sensitive conditions (ACSC) are responsible for an important proportion of health care expenditures. Diabetes is one of the conditions consensually classified as an ACSC being considered a major public health concern. The aim of this study was to analyse the impact of diabetes on the occurrence of multiple admissions for ACSC. Methods We analysed inpatient data of all public Portuguese NHS hospitals from 2013 to 2015 on multiple admissions for ACSC among adults aged 18 or older. Multiple ACSC users were identified if they had two or more admissions for any ACSC during the period of analysis. Two logistic regression models were computed. A baseline model where a logistic regression was performed to assess the association between multiple admissions and the presence of diabetes, adjusting for age and sex. A full model to test if diabetes had no constant association with multiple admissions by any ACSC across age groups. Results Among 301,334 ACSC admissions, 144,209 (47.9%) were classified as multiple admissions and from those, 59,436 had diabetes diagnosis, which corresponded to 23,692 patients. Patients with diabetes were 1.49 times (p < 0,001) more likely to be admitted multiple times for any ACSC than patients without diabetes. Younger adults with diabetes (18–39 years old) were more likely to become multiple users. Conclusion Diabetes increases the risk of multiple admissions for ACSC, especially in younger adults. Diabetes presence is associated with a higher resource utilization, which highlights the need for the implementation of adequate management of chronic diseases policies.NOVASaudeinfo:eu-repo/semantics/publishedVersio

Meglumine antimoniate and miltefosine combined with allopurinol sustain pro-inflammatory immune environments during canine leishmaniosis treatment

Canine leishmaniosis (CanL) caused by Leishmania infantum is a zoonotic disease of global concern. Antileishmanial drug therapies commonly used to treat sick dogs improve their clinical condition, although when discontinued relapses can occur. Thus, the current study aims to evaluate the effect of CanL treatments in peripheral blood, lymph node, and bone marrow cytokine profile associated with clinical recovery. Two groups of six dogs diagnosed with CanL were treated with miltefosine combined with allopurinol and meglumine antimoniate combined with allopurinol (MT+A and MG+A), respectively. At diagnosis and after treatment, during a 3-month follow-up, clinical signs, hematological and biochemical parameters, urinalysis results and antileishmanial antibody titers were registered. Furthermore, peripheral blood, popliteal lymph node, and bone marrow samples were collected to assess the gene expression of IL-2, IL-4, IL-5, IL-10, IL-12, TNF-α, TGF-β, and IFN-γ by qPCR. In parallel, were also evaluated samples obtained from five healthy dogs. Both treatment protocols promoted the remission of clinical signs as well as normalization of hematological and biochemical parameters and urinalysis values. Antileishmanial antibodies returned to non-significant titers in all dogs. Sick dogs showed a generalized upregulation of IFN-γ and downregulation of IL-2, IL-4, and TGF-β, while gene expression of IL-12, TNF-α, IL-5, and IL-10 varied between groups and according to evaluated tissue. A trend to the normalization of cytokine gene expression was induced by both miltefosine and meglumine antimoniate combined therapies. However, IFN-γ gene expression was still up-regulated in the three evaluated tissues. Furthermore, the effect of treatment in the gene expression of cytokines that were not significantly changed by infection, indicates that miltefosine and meglumine antimoniate combined therapy directly affects cytokine generation. Both combined therapies are effective in CanL treatment, leading to sustained pro-inflammatory immune environments that can compromise parasite survival and favor dogs' clinical cure. In the current study, anti-inflammatory and regulatory cytokines do not seem to play a prominent role in CanL or during clinical recovery.publishersversionpublishe

Valores como predictores de satisfacción con la vida en los jóvenes

Numa perspectiva funcionalista, os valores são uma expressão cognitiva das necessidades humanas, princípios que orientam o comportamento para metas mais pessoais, sociais ou gerais de vida, cujo impacto psicossocial merece mais investigação. Neste estudo, analisou-se em que medida o tipo de orientação dos valores prediz a satisfação com a vida de 562 jovens portugueses (n = 303, 53,9% mulheres), com idades entre 14 e 22 anos (M = 16,9, DP = 1,71), que frequentam o ensino médio: via profissionalizante (63,7%) e regular (36,3%). Os jovens completaram o Questionário de Valores Básicos e a Escala de Satisfação com a Vida. Os resultados da análise de regressão linear indicam que a orientação dos valores explica menos de um quarto da variabilidade da satisfação com a vida, o que suscita a necessidade de se analisar o seu poder explicativo em conjunto com outras variáveis, por exemplo, de personalidade e sociocognitivas.In a functionalist perspective, values are a cognitive expression of human needs as well as principles that guide behaviors to personal, social or general life goals, whose psychosocial impact deserves more investigation. This study aimed to analyze whether the type of values orientation predicts life satisfaction in 562 Portuguese youths (n = 303, 53.9% women) aged 14 to 22 years (M = 16.9; SD = 1.71), attending high school studies, being 63.7% technical and (36.3%) regular high school.Students completed the Basic Values Survey and the Satisfaction With Life Scale. The results of the linear regression analyzes indicate that the values orientation explains less than a quarter of life satisfaction variability, which indicated the need to further analyze its explanatory power together with other variables, such as, personality and socio-cognitive.Desde el punto de vista funcional, los valores son una expresión cognitiva de las necesidades humanas, principios que orientan el comportamiento hacia metas más personales, sociales o generales de vida, cuyo impacto psicosocial necesita más investigación. En este estudio se analizó en qué medida el tipo de orientación de los valores predice la satisfacción con la vida de 562 jóvenes portugueses (n = 303, 53.9% mujeres), con edades entre 14 y 22 años ( = 16.9, P = 1.71) que frecuentan Enseñanza Secundaria: profesional (63.7%) y normal (36.3%). Los jóvenes completaron el Cuestionario de Valores Básicos y la Escala de Satisfacción con la Vida. Los resultados del análisis de regresión lineal indican que la orientación de los valores explica menos de una cuarta parte de la variabilidad de satisfacción con la vida, lo que plantea la necesidad de analizar su poder explicativo, junto con otras variables, por ejemplo, de personalidad y socio-cognitivas.(undefined)info:eu-repo/semantics/publishedVersio