Linking cardiorespiratory fitness classification criteria to early subclinical atherosclerosis in children

It is unclear if cardiorespiratory fitness (CRF) can be used as a screening tool for premature changes in carotid intima-media thickness (cIMT) in paediatric populations. The purpose of this cross-sectional study was 3-fold: (i) to determine if CRF can be used to screen increased cIMT; (ii) to determine an optimal CRF cut-off to predict increased cIMT; and (iii) to evaluate its ability to predict increased cIMT among children in comparison with existent CRF cut-offs. cIMT was assessed with high-resolution ultrasonography and CRF was determined using a maximal cycle test. Receiver operating characteristic analyses were conducted in boys (n = 211) and girls (n = 202) aged 11-12 years to define the optimal sex-specific CRF cut-off to classify increased cIMT (≥75th percentile). Logistic regression was used to examine the association between the CRF cut-offs with the risk of having an increased cIMT. The optimal CRF cut-offs to predict increased cIMT were 45.81 and 34.46 mL·kg(-1)·min(-1) for boys and girls, respectively. The odds-ratios for having increased cIMT among children who were unfit was up to 2.8 times the odds among those who were fit (95% confidence interval: 1.40-5.53). Considering current CRF cut-offs, only those suggested by Adegboye et al. 2011. (Br. J. Sports Med. 45(9): 722-728) and Boddy et al. 2012 (PLoS One, 7(9): e45755) were significant in predicting increased cIMT. In conclusion, CRF cut-offs (boys: ≤ 45.8; girls: ≤ 34.5 mL·kg(-1)·min(-1)) are associated with thickening of the arterial wall in 11- to 12-year-old children. Low CRF is an important cardiovascular risk factor in children and our data highlight the importance of obtaining an adequate CRF.info:eu-repo/semantics/publishedVersio

Incorporation of proteins and enzymes at different stages of the preparation of calcium phosphate coatings on a degradable substrate by a biomimetic methodology

In this work, the possibility of incorporating proteins into calcium phosphate (Ca-P) coatings, prepared on the surface of starch polymeric biomaterials by means of a biomimetic route, was investigated. The morphology, chemical composition and crystallinity of Ca-P coatings was assessed and related to the incorporation of the studied biomolecules. For that, bovine serum albumin (BSA) and aamylase were added in concentrations of 1 mg/ml to simulated body fluid (SBF) solutions, being both added at the nucleation or growth stages of the biomimetic coating process. A biodegradable blend of corn starch/ethylene vinyl alcohol (SEVA-C) was used as substrate and bioactive glass (45S5 BioglassR) was used as the nucleating agent. The obtained Ca-P coatings were characterised by scanning electron microscopy (SEM), energy dispersive spectroscopy (EDS), Fourier transform infrared spectroscopy using an attenuated reflectance device (FTIR-ATR) and thin-film X-ray diffraction (TF-XRD). Additionally, to evaluate the activity of the incorporated enzyme and the stability of the Ca-P films, coated samples were immersed in an SBF solution for different periods of time. The enzyme activity was measured and the morphology of the coating examined by SEM. The results obtained showed that the presence of protein molecules, at the nucleation or growth stages, lead to the formation of a dense Ca-P film presenting different morphologies that were different of the selected coating conditions. FTIR-ATR analysis detected the presence of carbonate and phosphate groups on the Ca-P layer, indicating the formation of a coating similar to the mineral component of vertebrates bone tissue. When proteins were added, amide I and amide II bands, characteristic groups of protein molecules, were also detected, revealing the efficient incorporation of these biomolecules into the Ca-P coatings. Ca-P coatings, with a-amylase incorporated at the nucleation stage, showed no degradation of the film after incubation in SBF for 28 days. The release of increasing concentration of reducing sugars with degradation time revealed that a-amylase was efficiently incorporated in the coating remaining active throughout the coating preparation. This can be a strategy that will allow, in addition of conferring osteoconductive properties to biodegradable polymers, also simultaneously tailoring their degradation kinetics.Fundação para a Ciência e a Tecnologia (FCT

Effects of protein incorporation on calcium phosphate coating

The incorporation of proteins into calcium phosphate (Ca–P) coatings is expected to alter their properties. The aim of this work is, therefore, to study the effect of protein concentration on the formation of Ca–P film. A biodegradable blend of corn starch/ethylene vinyl alcohol (SEVA-C) was used as substrate and bioactive glass (45S5 Bioglass®) was used as a nucleating agent. Bovine serum albumin (BSA) and α-amylase were added, separately, at a concentration of 0.5, 1, and 5 mg/mLto simulated body fluid (SBF) solutions, at the nucleation stage. The incorporation of protein molecules was shown to affect the properties of Ca–P coatings in terms of morphology, composition and crystallinity. Both proteins seem to inhibit in some extent and/or retard the growth of Ca–P nuclei at 0.5 and 5 mg/mL concentrations. FTIR analyses revealed the presence of phosphate and carbonate groups, confiming the formation of a Ca–P layer. The characteristic groups of protein molecules were also detected on the IR spectra, which indicate the efficient incorporation of the proteins into the coatings. When α-amylase was added to the SBF solution the production of reducing sugars was detected, proving the retention of enzyme activity. These results suggest the carrier potential of Ca–P coatings for the sustained delivery of other biologically active proteins and consequently with a strong potential for inducing bone tissue regeneration.This work was partially supported by Portuguese Foundation for Science and Technology (FCT) and was performed within the framework of the project BIOLEARN (POCTI/CTM/38803/2001) through funds from the POCH and/or FEDER Programmes. 1. B. Leonor thanks FCT for providing her a PhD scholarship (SFRH/BD/9031/2002)

Natural origin scaffolds with in situ pore forming capability for bone tissue engineering applications

This work describes the development of a biodegradable matrix, based on chitosan and starch, with the ability to form a porous structure in situ due to the attack by specific enzymes present in the human body (a-amylase and lysozyme). Scaffolds with three different compositions were developed: chitosan (C100) and chitosan/starch (CS80-20, CS60-40). Compressive test results showed that these materials exhibit very promising mechanical properties, namely a high modulus in both the dry and wet states. The compressive modulus in the dry state for C100 was 580 ± 33 MPa, CS80-20 (402 ± 62 MPa) and CS60-40 (337 ± 78 MPa). Degradation studies were performed using a-amylase and/or lysozyme at concentrations similar to those found in human serum, at 37 C for up to 90 days. Scanning electron micrographs showed that enzymatic degradation caused a porous structure to be formed, indicating the potential of this methodology to obtain in situ forming scaffolds. In order to evaluate the biocompatibility of the scaffolds, extracts and direct contact tests were performed. Results with the MTT test showed that the extracts of the materials were clearly non-toxic to L929 fibroblast cells. Analysis of cell adhesion and morphology of seeded osteoblastic-like cells in direct contact tests showed that at day 7 the number of cells on CS80-20 and CS60-40 was noticeably higher than that on C100, which suggests that starch containing materials may promote cell adhesion and proliferation. This combination of properties seems to be a very promising approach to obtain scaffolds with gradual in vivo pore forming capability for bone tissue engineering applications.This work was supported by the European NoE EXPERTISSUES (NMP3-CT-2004-500283), the European STREP HIPPOCRATES (NMP3-CT-2003-505758) and the Portuguese Foundation for Science and Technology (FCT) through POCTI and/or FEDER programmes

Intoxicação por êxtase: bases toxicológicas para o tratamento

Youngsters are increasingly using 3,4 methylenedioxymethamphetamine, known as ecstasy, because it is wrongly believed that it does not induce harm. However, there are many reports of adverse effects, including acute intoxication, abuse potential, and possible neurotoxic effects. Therefore, health care providers need to promptly recognize the symptoms of systemic intoxication in order to initiate early treatment. The drug is used by the oral route for long hours during crowded dance parties. Acutely, ecstasy increases the release of serotonin and decreases its reuptake, leading to hypertension, hyperthermia, trismus, and vomiting. There is debate on whether recreational doses of ecstasy cause permanent damage to human serotonergic neurons. Ecstasy users showed a high risk of developing psychopathological disturbances. The prolonged use of ecstasy might induce dependence, characterized by tolerance and hangover. Acute ecstasy intoxication needs emergency-type treatment to avoid the dose-dependent increase in adverse reactions and in severity of complications. There are no specific antidotes to be used during acute intoxication. Supportive measures and medical treatment for each one of the complications should be implemented, keeping in mind that symptoms originate mainly from the central nervous system and the cardiovascular system.Os jovens estão cada vez mais usando o 3,4-metilenodioximetanfetamina, conhecido como êxtase, pois acreditam que não causa danos. Entretanto, existem muitos relatos de efeitos adversos, incluindo a intoxicação aguda, abuso potencial e possíveis efeitos neurotóxicos. Portanto, profissionais da área da saúde necessitam reconhecer prontamente os sintomas da intoxicação a fim de iniciar o tratamento o mais breve possível. A droga é usada via oral durante várias horas de festas com danças. Agudamente, o êxtase aumenta a liberação do serotonina e diminui sua recaptação, levando a hipertensão, hipertermia, trismo e vômitos. Há discussão se as doses recreacionais causam danos permanentes aos neurônios serotonérgicos em humanos. Os usuários apresentam risco elevado de desenvolver distúrbios psicopatológicos, além disso, o uso prolongado pode induzir a dependência, caracterizada pela tolerância e ressaca. A intoxicação aguda necessita de tratamento de emergência, para se evitar reações adversas e complicações graves. Não há antidotos específicos para tratar a intoxicação aguda. Medidas de suporte e tratamento médico para cada uma das complicações devem ser executados, mantendo-se em mente que os sintomas a serem tratados originam-se principalmente do sistema nervoso central e do sistema cardiovascular

Designing biomaterials based on biomineralization of bone

In nature, organisms control crystal nucleation and growth using organic interfaces as templates. Scientists, in the last decades, have tried to learn from nature how to design biomimetic biomaterials inspired by the hierarchical complex structure of bone and other natural mineralised tissues or to control the biomineralization process onto biomaterials substrates to promote the osteoconductive properties of implantable devices. The design of synthetic bone analogues, i.e., with a structure and properties similar to bone, would certainly constitute a major breakthrough in bone tissue engineering. Moreover, many strategies have been proposed in the literature to develop bioactive bone-like materials, for instance using bioactive glasses. Fundamental aspects of biomineralization may be also important in order to propose new methodologies to improve calcification onto the surface of biomaterials or to develop bioactive tridimensional templates that could be used in regenerative medicine. In particular, it has been shown that some chemical groups and proteins, as well as the tridimensional matrix in which calcification would occur, play a fundamental role on the nucleation and growth of hydroxyapatite. All these distinct aspects will be reviewed and discussed in this paper.I. B. Leonor thanks the Portuguese Foundation for Science and Technology (FCT) for providing her a post-doctoral scholarship (SFRH/BPD/26648/2006). This work was supported by the European NoE EXPERTISSUES (NMP3-CT-2004-500283) and by the Portuguese Foundation for Science and Technology, FCT, through the projects PTDC/CTM/68804/2006, PTDC/CTM/67560/2006 and PTDC/FIS/68209/2006

Influência da relação altura/comprimento de pórticos metálicos na rigidez lateral de estruturas compostas de pórticos preenchidos com alvenaria : avaliação experimental

Uma solução bastante freqüente para preenchimento de pórticos de aço é a utilização de painéis de alvenaria de blocos de concreto celular autoclavados. Esta associação produz efeitos benéficos relacionados à resistência, rigidez e ductilidade da estrutura composta resultante. Neste trabalho apresenta-se um estudo experimental da influência da relação altura/comprimento (H/L) de pórticos metálicos na rigidez de estruturas compostas de pórticos preenchidos com alvenaria. Foram utilizados dois pórticos de aço de perfis soldados, de dimensões em cm 322x275 e 522x275, correspondendo às relações altura/comprimento (H/L) iguais a 0,83 e 0,51, respectivamente. Para preenchimento dos pórticos foram utilizados painéis de blocos de alvenaria estrutural de concreto celular autoclavados, enquanto nas juntas entre blocos e na interface pórtico-painel utilizou-se argamassa colante. O conjunto pórtico-painel foi submetido a uma ação horizontal aplicada no eixo da viga superior do pórtico, que trabalhou em regime elástico, enquanto a alvenaria foi ensaiada até o colapso, a fim de obter o modo de ruptura para a mesma. Os resultados obtidos comprovam que quanto menor a relação H/L dos pórticos preenchidos, menor a rigidez e maior a carga de ruptura por fissuração da diagonal, embora surjam fissuras verticais

Lipids and phenylketonuria: current evidences pointed the need for lipidomics studies

Phenylketonuria (PKU) is the most prevalent inborn error of amino acid metabolism. The disease is due to the deficiency of phenylalanine (Phe) hydroxylase activity, which causes the accumulation of Phe. Early diagnosis through neonatal screening is essential for early treatment implementation, avoiding cognitive impairment and other irreversible sequelae. Treatment is based on Phe restriction in the diet that should be maintained throughout life. High dietary restrictions can lead to imbalances in specific nutrients, notably lipids. Previous studies in PKU patients revealed changes in levels of plasma/serum lipoprotein lipids, as well as in fatty acid profile of plasma and red blood cells. Most studies showed a decrease in important polyunsaturated fatty acids, namely DHA (22:6n-3), AA (20:4n-6) and EPA (20:5n-6). Increased oxidative stress and subsequent lipid peroxidation have also been observed in PKU. Despite the evidences that the lipid profile is changed in PKU patients, more studies are needed to understand in detail how lipidome is affected. As highlighted in this review, mass spectrometry-based lipidomics is a promising approach to evaluate the effect of the diet restrictions on lipid metabolism in PKU patients, monitor their outcome, namely concerning the risk for other chronic diseases, and find possible prognosis biomarkers.publishe

Chitosan scaffolds incorporating lysozyme into CaP coatings produced by a biomimetic route : a novel concept for tissue engineering combining a self-regulated degradation system with in situ pore formation

This study describes an innovative self-regulated degrading material with gradual in situ pore formation ability for bone tissue engineering applications. This approach is based on the incorporation of the lysozyme enzyme into calcium phosphate (CaP) coatings, prepared on the surface of chitosan scaffolds by means of a biomimetic coating technique with the aim of controlling their degradation rate and subsequent formation of pores. However, because lysozyme has antibacterial properties, these coatings may act as a carrier for its sustained release, preventing infection upon implantation. In order to prove the concept of in situ pore formation, the coated scaffolds (with and without lysozyme) were incubated in two different solutions at different pH to simulate normal physiological conditions (pH 7.4) and inflammatory response (pH 5). The weight loss and morphology of the scaffolds was monitored over time. At pH 7.4, the scaffolds remained more stable than at pH 5. The scaffolds incubated at pH 5 showed a rapid decrease in their initial weight, and scanning electron microscopy imaging revealed the formation of a highly porous structure. Furthermore, evaluation of the activity of the incorporated lysozyme revealed that the enzyme was able to hydrolyse the peptidoglycan of the bacteria cell walls (as detected by the decrease in optical density with time), indicating that the enzyme remained active after being incorporated into the CaP coating.This work was supported by the European NoE EXPERTISSUES (NMP3-CT-2004-500283), the European STREP HIPPOCRATES (NMP3-CT-2003-505758), the Portuguese Foundation for Science and Technology (FCT) through POCTI and/or FEDER programmes