Obstrução Intestinal de Causa Rara e Ecografia Point-of-Care - Em que Ponto nos Encontramos?

Malignant neoplasms of the small bowel, especially from the jejunum, are among the rarest types of cancer. Given its location, a delayed diagnosis is frequent and sometimes only made in an emergency context. The authors present a case of intestinal obstruction, where ultrasonography was pivotal in establishing a diagnosis. Point-of-care ultrasonography seems to be particularly sensitive in assessing emergency patients with abdominal pain, allowing effective orientation and saving human and technical resources.info:eu-repo/semantics/publishedVersio

Fatigue behaviour of nanoclay reinforced epoxy resin composites

Nanoparticle filling is a feasible way to increase the mechanical properties of polymer matrices. Abundant research work has been published in the last number of years concerning the enhancement of the mechanical properties of nanoparticle filled polymers, but only a reduced number of studies have been done focusing on the fatigue behaviour. This work analyses the influence of nanoclay reinforcement and water presence on the fatigue behaviour of epoxy matrices. The nanoparticles were dispersed into the epoxy resin using a direct mixing method. The dispersion and exfoliation of nanoparticles was characterised by X-ray diffraction (XRD) and transmission electron microscopy (TEM). Fatigue strength decreased with the nanoclay incorporation into the matrix. Fatigue life of nanoclay filled composites was significantly reduced by the notch effect and by the immersion in water

Severe malaria: clinical case

We report a clinical case of severe malaria, where the rate of initial parasitaemia by Plasmodium falciparum was 43 %.Multiple organ dysfunction, including ARDS, forced admission in a close surveillance unit, with survival of the same.A brief review of the subject is made, focusing on severity and general conduct, alerting and awareness for this entity, whose expression, among us, could take on increasing importance. Resumo: Apresenta-se o caso clínico de um doente regressado de Angola com malária grave, em que o índice de parasitémia inicial pelo P. falciparum era de 43 %.Disfunção múltipla de orgãos, incluindo ARDS, implicaram o ingresso do doente numa unidade de alta vigilância, com sobrevivência do mesmo.Faz-se uma breve revisão do assunto, com enfoque nos indicadores de gravidade e na conduta geral, alertando e sensibilizando para esta entidade, cuja expressão, entre nós, poderá vir a assumir importância crescente. Keywords: Severe malaria, ARDS, Plasmodium falciparum, Parasitemia, Palavras-chave: Malária grave, SDRA, Plasmodium falciparum, Parasitemi

Characterization of TiAlSiN/TiAlSiON/SiO2 optical stack designed by modelling calculations for solar selective applications

Preparation and characterization of TiAlSiN/TiAlSiON/SiO2 solar selective absorber is reported in this contribution. All layers were deposited in a continuous mode using a industrial equipment, the nitride and oxynitride were prepared by reactive magnetron sputtering and the SiO2 layer by Plasma Enhanced Chemical Vapour Deposition. The optical constants of individual layers were calculated by modelling of spectral transmittance and reflectance of the individual layers. The three layer stack absorber was then designed using those optical properties. The thickness of the individual layers was optimized until a solar absorptance of 96% was obtained resulting in a total thickness of about 200 nm, deposited in copper and extruded aluminium absorbers. An emissivity of 5 % for an absorber temperature of 100 ºC was obtained by analyzing the measuring data from a FTIR spectrometer with integrating sphere. After test duration of 600 h, the samples subjected to a thermal annealing at 278 ºC in air showed a performance criterion (PC) below 4% for, while the samples in the humidity tests showed a PC below 2 %.Savo Sola

De 'Europese markt voor vennootschapsrecht': een (her)evaluatie van het vennootschapsrechtelijk harmonisatieprogramma

The survival of probiotic microorganisms including Lactobacillus acidophilus, Lactobacillus casei, Lactobacillus rhamnosus and Bifidobacterium spp. was evaluated in yoghurt and freeze-dried yoghurt after processing and storage. The effectiveness of microencapsulating probiotic organisms as well as adding cryoprotectants and prebiotics in improving their viability was also investigated. The viability of Bifidobacterium infantis 17930 and L. rhamnosus GG was reduced by 0.07 log, while that of L. casei 1520 and Bifidobacterium longum 1941 was reduced by 0.28 and 0.39 log, respectively. There was a 7% improvement in the viability of L. casei 1520 when cryoprotectant 'Unipectine™ RS 150' was added at 2.5% (w/v). The prebiotic 'Raftilose®P95' when added at 1.5% w/v to yoghurt improved the viability of the combined selected probiotic organisms by 1.42 log during four weeks of storage at 4°C. Microencapsulation with alginate improved viability of combined selected probiotic organisms by 0.31 log in freeze-dried yoghurt stored at 21°C.link_to_subscribed_fulltex

Cost-effectiveness Analysis of Ocrelizumab for the Treatment of Relapsing and Primary Progressive Multiple Sclerosis in Portugal

Objectives: Ocrelizumab demonstrated significant clinical benefit for the treatment of relapsing (RMS) and primary progressive (PPMS) multiple sclerosis (MS), an incurable disease characterized by disability progression. This study evaluated the clinical and economic impact of ocrelizumab relative to current clinical practice, including other disease-modifying therapies (DMT), available in Portugal. Methods: Markov models for MS were adapted to estimate the impact of ocrelizumab across three patient populations: treatment-naïve RMS, previously treated RMS, and PPMS. Health states were defined according to the Expanded Disability Status Scale. For RMS, the model further captured the occurrence of relapses and progression to secondary progressive multiple sclerosis (SPMS). A lifetime time-horizon and Portuguese societal perspective were adopted. Results: For RMS patients, ocrelizumab was estimated to maximize the expected time (years) without progression to SPMS (10.50) relative to natalizumab (10.10), dimethyl fumarate (8.64), teriflunomide (8.39), fingolimod (8.38), interferon β-1a (8.33) and glatiramer acetate (8.18). As the most effective option, with quality-adjusted life year (QALY) gains between 0.3 and 1.2, ocrelizumab was found to be cost-saving relative to natalizumab and fingolimod, and presented incremental cost-effectiveness ratios (ICER) below €16,720/QALY relative to the remaining DMT. For PPMS patients, the ICER of ocrelizumab versus best supportive care was estimated at €78,858/QALY. Conclusions: Ocrelizumab provides important health benefits for RMS and PPMS patients, comparing favourably with other widely used therapies. In RMS, ocrelizumab was revealed to be either cost-saving or have costs-per-QALY likely below commonly accepted cost-effectiveness thresholds. In PPMS, ocrelizumab fills a clear clinical gap in the current clinical practice. Overall, ocrelizumab is expected to provide good value for money in addressing the need of MS patients.info:eu-repo/semantics/publishedVersio

Aqueous biphasic systems in the separation of food colorants

Aqueous biphasic systems (ABS) composed of polypropylene glycol and carbohydrates, two benign substances are proposed to separate two food colorants (E122 and E133). ABS are promising extractive platforms, particularly for biomolecules, due to their aqueous and mild nature (pH and temperature), reduced environmental impact and processing costs. Another major aspect considered, particularly useful in downstream processing, is the "tuning" ability for the extraction and purification of these systems by a proper choice of the ABS components. In this work, our intention is to show the concept of ABS as an alternative and volatile organic solvent-free tool to separate two different biomolecules in a simple way, so simple that teachers can effectively adopt it in their classes to explain the concept of bioseparation processes. Informative documents and general information about the preparation of binodal curves and their use in the partition of biomolecules is available in this work to be used by teachers in their classes. In this sense, the students use different carbohydrates to build ABS, then study the partition of two food color dyes (synthetic origin), thus evaluating their ability on the separation of both food colorants. Through these experiments, the students get acquainted with ABS, learn how to determine solubility curves and perform extraction procedures using colorant food additives, that can also be applied in the extraction of various (bio)molecules.publishe

Expression of genes encoding extracellular matrix macromolecules and metalloproteinases in avian tibial dyschondroplasia

Avian tibial dyschondroplasia (TD) is a skeletal disease characterized by disruption of endochondral bone formation. The aim of this study was to determine the expression of extracellular matrix (ECM) macromolecules and ECM-degrading enzymes [matrix metalloproteinases (MMPs)] in the growth plates of normal and TD-affected 3-week-old broiler chicks (Cobb strain). Protein levels were analyzed by immunoblotting and gelatin zymography and gene expression by polymerase chain reaction. Expression of genes encoding the ECM macromolecules (collagen types II, IX, X and XI; and aggrecan) was not altered in dyschondroplasia; however, there was down-regulation of genes encoding MMP-9, MMP-13, MMP-10 and MMP-11 in addition to reduced amounts of MMP-2 and MMP-13 proteins. In contrast, there was up-regulation of genes encoding MMP-7 and the vascular endothelial growth factor. These findings suggest that the accumulation of cartilage associated with the disease may be the result of decreased proteolysis due to the down-regulation of MMPs and not to an increased production of ECM macromolecules

Solar selective absorbers based on Al2O3:W cermets and AlSiN/AlSiON layers

Solar selective coatings based on double Al2O3:W cermet layers and AlSiN/AlSiON bilayer structures were prepared by magnetron sputtering. Both were deposited on stainless steel substrates using a metallic tungsten (W) layer as back reflector. The coating stacks were completed by an antireflection (AR) layer composed of Al2O3, SiO2, or AlSiOx. Spectrophotometer measurements, X-Ray diffraction, Scanning electron microscopy, Energy Dispersive X-Ray Spectroscopy and Rutherford Backscattering Spectrometry were used to characterize the optical properties, crystalline structure, morphology and composition of these coatings. The spectral optical constants of the single layers were calculated from the reflectance and transmittance measurements and used to design the optical stack. The coatings exhibit a solar absorptance of 93%-95% and an emissivity of 7%-10% (at 400 ºC). The coatings also exhibit excellent thermal stability, with small changes in the optical properties of the coating during heat-treatments at 400 ºC in air for 2500 h and at 580 ºC in vacuum for 850 h. The coating based on the AlSiN/AlSiON bilayer structure was obtained with an Al:Si ratio of 2.5:1. These coatings revealed similar performance as the one obtained with coatings based on Al2O3:W cermet layers.The authors acknowledge the funding from the Finnish Funding Agency for Technology and Innovation, Tekes, and from FEDER funds through the “Programa Operacional Factores de Competitividade – COMPETE” and from national funds by FCT- “Fundação para a Ciência e a Tecnologia”, under project no. PEst-C/FIS/UI0607/2011.info:eu-repo/semantics/publishedVersio

An Overview on the Recent Advances in Alternative Solvents as Stabilizers of Proteins and Enzymes

Currently, the use of alternative solvents is increasing, namely ionic liquids (ILs) and deep eutectic solvents (DESs) in diverse fields of knowledge, such as biochemistry, chemistry, chemical engineering, biotechnology and biomedicine. Particularly, when compared to traditional solvents, these alternative solvents have great importance for biomolecules due to the enhanced solubility, structure stability and the biological activity of biomolecules, such as protein and enzymes. Thus, in this review article, the recent developments and efforts on the technological developments carried out with ILs and DESs for the stabilization and activation of proteins and enzymes are provided. The most studied IL-and DES-based formulations for proteins and enzymes are discussed and the molecular mechanisms and interactions related to the increased stability promoted by these alternative solvents are disclosed, while emphasizing their main advantagespublishe