High-output heart failure in a newborn.

High-output cardiac failure is rare in newborns. Emergent diagnosis and management of this pathology is crucial. We report the case of a child, currently 12-months old; obstetric background is non-contributory. Clinic observation on D1 was normal except for the presence of a systolic cardiac murmur; cardiological evaluation revealed mild ventricular dysfunction of the right ventricle. On the third day of life, she developed cardiac failure with gallop rhythm, hepatomegaly and a murmur in the anterior fontanel; an echocardiogram confirmed clinic aggravation with biventricular dysfunction and right cavities and superior vena cava dilatation. The cranial MRI confirmed the presence of a pial arteriovenous malformation (AVM) involving the anterior and middle cerebral arteries with an associated fronto-parietal ischaemic lesion. The infant underwent embolisations of AVM with successful flow reduction and cardiac failure improvement. The multidisciplinary follow-up showed no cardiac dysfunction or permanent lesions but confirmed a severe psycho-motor delay and left hemiparesiainfo:eu-repo/semantics/publishedVersio

Starting a conversation about estimands with public partners involved in clinical trials: a co-developed tool

Background: Clinical trials aim to draw conclusions about the effects of treatments, but a trial can address many different potential questions. For example, does the treatment work well for patients who take it as prescribed? Or does it work regardless of whether patients take it exactly as prescribed? Since different questions can lead to different conclusions on treatment benefit, it is important to clearly understand what treatment effect a trial aims to investigate—this is called the ‘estimand’. Using estimands helps to ensure trials are designed and analysed to answer the questions of interest to different stakeholders, including patients and public. However, there is uncertainty about whether patients and public would like to be involved in defining estimands and how to do so. Public partners are patients and/or members of the public who are part of, or advise, the research team. We aimed to (i) co-develop a tool with public partners that helps explain what an estimand is and (ii) explore public partner’s perspectives on the importance of discussing estimands during trial design. Methods: An online consultation meeting was held with 5 public partners of mixed age, gender and ethnicities, from various regions of the UK. Public partner opinions were collected and a practical tool describing estimands, drafted before the meeting by the research team, was developed. Afterwards, the tool was refined, and additional feedback sought via email. Results: Public partners want to be involved in estimand discussions. They found an introductory tool, to be presented and described to them by a researcher, helpful for starting a discussion about estimands in a trial design context. They recommended storytelling, analogies and visual aids within the tool. Four topics related to public partners’ involvement in defining estimands were identified: (i) the importance of addressing questions that are relevant to patients and public in trials, (ii) involving public partners early on, (iii) a need for education and communication for all stakeholders and (iv) public partners and researchers working together. Conclusions: We co-developed a tool for researchers and public partners to use to facilitate the involvement of public partners in estimand discussions

Water quality on small ruminants’ dairy farms in Castelo Branco region

The importance of providing quality water for cleaning milking machines and other equipment is perhaps one of the most overlooked factors in ensuring milk quality on most dairy farms. Water for cleaning in the dairy barn is used for different situations, including for the process of milking, which requires cleaning and disinfection of the milking equipment, the milking parlour, and the milk cooling tank. Many factors on dairy farms can contribute to contamination of the raw milk, and one of the major factors responsible for this contamination is the water used to clean the milking and storage equipment.This work was financially supported by QRural Research Unit/IPCB and CERNAS-IPCB (UIDB/00681/2020, FCT).info:eu-repo/semantics/publishedVersio

Development of a root caries prediction model in a population of dental attenders

Acknowledgement This study was conducted as part of the doctoral thesis of P.A.F. We would like to thank the participating dental practice teams and patients without whose valuable contribution this study could not have taken place. We would like to thank our colleagues in the INTERVAL Trial team Funding INTERVAL was funded by the NIHR HTA programme [project numbers 06/35/05 (Phase I) and 06/35/99 (Phase II)]. No additional funding was obtained to conduct the prediction study presented in this paper. The views expressed are those of the author(s) and not necessarily those of NIHR, the NHS or the Department of Health and Social Care.Peer reviewedPublisher PD

Development of a Root Caries Prediction Model in a Population of Dental Attenders

Acknowledgement This study was conducted as part of the doctoral thesis of P.A.F. We would like to thank the participating dental practice teams and patients without whose valuable contribution this study could not have taken place. We would like to thank our colleagues in the INTERVAL Trial team Funding INTERVAL was funded by the NIHR HTA programme [project numbers 06/35/05 (Phase I) and 06/35/99 (Phase II)]. No additional funding was obtained to conduct the prediction study presented in this paper. The views expressed are those of the author(s) and not necessarily those of NIHR, the NHS or the Department of Health and Social Care.Peer reviewedPublisher PD

Doors that digital opened in education research

In today's network societies, constantly changing through the evolution of virtual environments and digital technologies, individual and collective dimensions integrate complex, dynamic, and innovative processes. Complexity here refers to an ecosystem of networks with interconnected and interdependent elements. In this context, the mechanistic, rational, and fragmented paradigm tends to run out, emerging an approach based on the connection and convergence of previously fragmented knowledge into a new multidimensional, transdisciplinary and global approach. In such context of complexity, collaboration emerges as a promoter of the development of a critical, reflective, transformative view. Virtual environments and digital technologies expand the possibilities of collaboration, its results, and impacts. But they also add complexity. Educational research is not outside of such dynamics. The purpose of this text is to present a contribution to the discussion of this issue. The new virtual learning invironments come from these digital scenarios, do facilitate the pedagogical and interactive intentionality, as they promote co-learning and co-investigation. The objective of this chapter is to analyze the pedagogical elements that constitute an open and collaborative investigation in such virtual and networked environments. We will carry out this analysis using a qualitative approach, focusing on discussions coming from online training, learning communities and innovative interfaces. With this empirical framework, it is possible to highlight innovative and complex issues that pedagogical strategies for co-investigation require.info:eu-repo/semantics/publishedVersio

Impact of Ionic Liquid Structure and Loading on Gas Sorption and Permeation for ZIF-8-Based Composites and Mixed Matrix Membranes

CEECIND/ 00793/2018 LA/P/0008/2020 PTDC/CTM-TM/30326/2017Carbon dioxide (CO2) capture has become of great importance for industrial processes due to the adverse environmental effects of gas emissions. Mixed matrix membranes (MMMs) have been studied as an alternative to traditional technologies, especially due to their potential to overcome the practical limitations of conventional polymeric and inorganic membranes. In this work, the effect of using different ionic liquids (ILs) with the stable metal–organic framework (MOF) ZIF-8 was evaluated. Several IL@ZIF-8 composites and IL@ZIF-8 MMMs were prepared to improve the selective CO2 sorption and permeation over other gases such as methane (CH4) and nitrogen (N2). Different ILs and two distinct loadings were prepared to study not only the effect of IL concentration, but also the impact of the IL structure and affinity towards a specific gas mixture separation. Single gas sorption studies showed an improvement in CO2 /CH4 and CO2 /N2 selectivities, compared with the ones for the pristine ZIF-8, increasing with IL loading. In addition, the prepared IL@ZIF-8 MMMs showed improved CO2 selective behavior and mechanical strength with respect to ZIF-8 MMMs, with a strong dependence on the intrinsic IL CO2 selectivity. Therefore, the selection of high affinity ILs can lead to the improvement of CO2 selective separation for IL@ZIF-8 MMMs.publishersversionpublishe

Protein crystallization in a microfluidic contactor with nafion®117 membranes

UIDB/50006/2020 UIDP/50006/2020 “Erasmus Mundus Doctorate in Membrane Engineering”–EUDIME (FPA 2011–2014, http://www.eudime.unical.itProtein crystallization still remains mostly an empirical science, as the production of crystals with the required quality for X-ray analysis is dependent on the intensive screening of the best protein crystallization and crystal’s derivatization conditions. Herein, this demanding step was addressed by the development of a high-throughput and low-budget microfluidic platform consisting of an ion exchange membrane (117 Nafion® membrane) sandwiched between a channel layer (stripping phase compartment) and a wells layer (feed phase compartment) forming 75 independent microcontactors. This microfluidic device allows for a simultaneous and independent screening of multiple protein crystallization and crystal derivatization conditions, using Hen EggWhite Lysozyme (HEWL) as the model protein and Hg2+ as the derivatizing agent. This microdevice offers well-regulated crystallization and subsequent crystal derivatization processes based on the controlled transport of water and ions provided by the 117 Nafion® membrane. Diffusion coefficients of water and the derivatizing agent (Hg2+) were evaluated, showing the positive influence of the protein drop volume on the number of crystals and crystal size. This microfluidic system allowed for crystals with good structural stability and high X-ray diffraction quality and, thus, it is regarded as an efficient tool that may contribute to the enhancement of the proteins’ crystals structural resolution.publishersversionpublishe

A glimpse of climate change impact on C. Arabica L. and C. Canephora Pierre ex A. Froehner physiology: the combined effects of enhanced growth CO2 and temperature.

Summary: The effective impact of climate changes on the coffee plant physiology, promoted by enhanced air [CO2] and global warming remain to be fully elucidated through biological studies. Therefore, this work aims at linking important coffee physiological responses to environmental changes of enhanced growth [CO2] and temperature on genotypes from the two major producing species. Potted plants from C. arabica cv. IPR 108 and of C. canephora cv. Conilon Clone 153 were grown under environmental controlled conditions, either at 380 or 700 ?L CO2 L-1 air, for 1 year, without water, nutrient or root development restrictions. After that the temperature was gradually increased from 25/20 ºC (day/night) up to 42/34 ºC. The long-term impacts of enhanced growth [CO2] and enhanced temperature on the photosynthetic functioning were assessed at 25/20 ºC, 31/25 ºC, 37/30 ºC and 42/34 ºC, through leaf gas exchanges (rates of net photosynthesis, Pn, stomatal conductance, gs, transpiration, Tr, and photosynthetic capacity, Amax), instantaneous water use efficiency (iWUE), fluorescence parameters (photochemical efficiency of the photosystem II under dark, Fv/Fm, and light, Fv?/Fm?, conditions, as well as the photochemical, qP, and non-photochemical, NPQ, quenchings, and quantum yield of the linear electron transport, ?e), photosynthetic pigments (chlorophyll and carotenoids) and some molecules with antioxidant role (ascorbate and ?-tocopherol). The results showed that enhanced [CO2] stimulates photosynthetic functioning, without negative down-regulation. Minor impacts were found in the photochemical performance until 37 ºC, but extensive impacts were shown at 42 ºC, especially in IPR108. Remarkable was the finding that enhanced [CO2] preserved a higher functional status (Pn, Amax, Fo, Fv/Fm) at high temperatures (37 and 42 ºC), what seems quite relevant under the predicted climate changes and global warming scenarios

Superimposed impacts of enhanced [CO2] and high temperature on the photosynthetic metabolism of C. arabica and C. canephora genotypes.

Summary: Coffee crop has been predicted to become threatened by future climate changes and global warming conditions. Yet, the long-term effects of elevated [CO2] on this plant remain to be fully elucidated. In this context, this work aims at linking coffee biochemical responses to environmental changes of [CO2] and temperature on genotypes from the two major producing species, using the photosynthetic metabolism as probe to evaluate the plant acclimation ability. Potted plants from C. arabica cv. IPR 108 and of C. canephora cv. Conilon Clone 153 were grown under environmental controlled conditions, either at 380 or 700 ?L CO2 L-1 air, for 1 year, without water, nutrient or root development restrictions. After that the temperature was gradually increased from 25/20 ºC (day/night) up to 42/34 ºC. The effects of elevated [CO2] and enhanced temperature on the photosynthetic structures were assessed through the characterization of the lipid components of chloroplast membranes, whereas the leaf metabolic performance was evaluated through the thylakoid electron transport rates (involving both photosystem (PS) I and II), and the activities of enzymes (ribulose 1,5-biphosphate carboxylase/oxygenase and ribulose 5-phosphate kinase), as well as through stable isotopes of C and N. The activities of respiratory enzymes (NADH-dependent malate dehydrogenase and pyruvate kinase) were also analyzed. The results pointed for a higher functional status along the experiment in the plants grown under elevated [CO2], with special relevance at 37 and 42ºC in IPR108. These results could be related to the qualitative changes of the membrane lipid matrix that might have helped to preserve suitable membrane fluidity for the membrane bound events (e.g., thylakoid electron transport). The PSs and enzyme data reflect an enhancement of the energetic metabolism (both photosynthesis and respiration), mostly, until 31 ºC for IPR108 and 37 ºC for CL153 at normal [CO2]. Yet, under enhanced [CO2] it was found an increase in the temperature (to 37 ºC) at which maximal values of some parameters in IPR108 (MDH, PSs activities, RuBisCO) were observed, concomitantly with the maintenance of high performance in other parameters when compared to the 380 plants. Under the highest temperature (42 ºC) the enzymes were the most sensitive point, displaying the strongest reductions, irrespective of genotype and [CO2] treatments. The temperature promoted changes in leaf ?13C, irrespective of genotype and [CO2], reflecting a decrease in WUE with heat. The changes in ?15N values may indicate different limitation steps of N assimilation, requiring further investigation. It was concluded that the coffee plants grown under elevated [CO2] apparently showed a better endurance to high temperatures, what is quite relevant in a context of predicted climate changes and global warming scenarios