401 research outputs found

    The impact of chronic diseases during pregnancy on the fetus and mother health: a literature review

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    The fetal malformations are sometimes consequences of certain diseases that a pregnant woman can submit, and can increase the risks in pregnancy and cause problems not only for the fetus as also for the pregnant. Aim: To determine the impact of chronic diseases in the development of the fetus, also evaluating their maternal complications. Methodology: This study refers to a literature review of studies published in the databases Web of Science and PubMed Search. For this research were selected a total of 27 articles, reports and books. This review was carried out from September to December 2015. Results: Asthma is a chronic disease may present variations as to its severity, however, the physician should always be attentive to functional and clinical parameters during pregnancy. In relation to the Arterial Hypertension, this is considered one of the most detrimental effects to the maternal, fetal and neonatal. Conclusion: chronic diseases, in particular asthma and arterial hypertension, reveal a great impact during pregnancy, causing complications at the fetal and maternal level.info:eu-repo/semantics/publishedVersio

    Eating disorders and non-suicidal self-injury: cluster analysis considering eating pathology, emotion dysregulation, and negative urgency

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    Research on the interplay between eating pathology, emotion dysregulation and negative urgency is needed to inform intervention approaches for patients with eating disorders and non-suicidal self-injury. This study aimed to investigate the characterization of patients with eating disorders and non-suicidal self-injury considering eating pathology, emotion dysregulation and negative urgency. This cross-sectional study evaluated 73 outpatients with eating disorders and non-suicidal self-injury (14-55 years; 68 women). A cluster analysis was performed using eating pathology, emotion dysregulation and negative urgency. Differences between clusters were explored on sociodemographic/ psychological variables, eating disorder diagnostics and past/current non-suicidal self-injury engagement. Three clusters were identified. Cluster 1 (n=29) (moderate severity) was characterized by high levels of eating pathology, but moderate emotion dysregulation and negative urgency. Cluster 2 (n=29) (high severity) was characterized by the highest scores in eating pathology, emotion dysregulation and negative urgency, and included more patients with current non-suicidal self-injury. Cluster 3 (n=15) (low severity) was characterized by the lowest levels of eating pathology, emotion dysregulation and negative urgency, and included more patients with past non-suicidal self-injury. These profiles highlight the importance of emotion dysregulation and negative urgency as treatment targets for eating disorders patients with current non-suicidal self-injury.info:eu-repo/semantics/publishedVersio

    High-level resistance to isoniazid and ethionamide in multidrug-resistant Mycobacterium tuberculosis of the Lisboa family is associated with inhA double mutations

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    Objectives The purpose of this study was to determine the levels of isoniazid and ethionamide resistance and to identify associated mutations in endemic multidrug-resistant (MDR) strains of Mycobacterium tuberculosis from the Lisbon metropolitan area, Portugal. Methods Seventeen clinical MDR tuberculosis (TB) strains were characterized by standard and semi-quantitative drug susceptibility testing to assess the level of isoniazid and ethionamide resistance. The genes katG, inhA, ethA and ndh were screened for mutations. All strains were genotyped by 24 loci mycobacterial interspersed repetitive unit-variable number of tandem repeats (MIRU-VNTR) analysis. Results All strains showed high-level resistance to both isoniazid (>1 mg/L) and ethionamide (>25 mg/L). MIRU-VNTR typing revealed the presence of two main clusters, Lisboa3 and Q1, in 16/17 strains, all of which showed the C−15T mutation in the promoter region of the inhA gene. The 16 strains belong to the Latino-American-Mediterranean (LAM) genotype and the other strain belongs to the Beijing genotype. Sequencing of the inhA open reading frame revealed that the 16 strains also had mutations in the structural region of the gene, leading to the S94A substitution in 9 strains and the I194T substitution in 7 strains. Conclusions The results reveal that the presence of a mutation in the inhA regulatory region together with a mutation in the inhA coding region can lead to the development of high-level isoniazid resistance and cross-resistance to ethionamide among the MDR-TB strains circulating in Lisbon. This mutational pattern also hints to a possible involvement of strain-specific factors that could be a feature of the Portuguese MDR-TB strains where the LAM family is the major circulating genotyp

    Users satisfaction regarding the service provided in community pharmacies

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    During the last century, the pharmacy professionals have significantly being professionalized, the user is a high priority and not just limited to the sale of pharmaceuticals. As such, it is necessary to know the users, their needs and expectations, their opinions and preferences. This transversal study, observational, correlational, aimed to: determine the degree of satisfaction with the attendance in community pharmacies, if there is a relationship between factors of a personal nature (age and gender) and satisfaction, trying to identify which aspects improve in order to increase satisfaction levels. The sample consisted of 525 respondents. Data collection was conducted in the period from October 2012 to January 2013 in four locations in northern Portugal. It was used a questionnaire consisting of three parts: the first contained items of personal characterization, the second consisted of the scale "Pharmacy Services Questionnaire" (FSQ) validated for the Portuguese language, developed by Larson et al. (2002) and the last had questions about the respondents' opinion. The results showed that the degree of satisfaction with the services of community pharmacies was in majority an average to 39 % and good for 46,1% . Having in mind the factor by gender, females showed a higher degree of satisfaction. Regarding the age group, older users had the highest degree of satisfaction. It was concluded that, generally, community pharmacies bring a higher degree of satisfaction in the older and the female users. "How the pharmacy professionals explain possible side effects" and "how the pharmacy professional answers your questions.", are the two aspects that must be improved to achieve a higher degree of satisfaction. KEYWORDS Satisfaction, Users, Customer Service, Pharmacotherapy Monitoring, Community Pharmacie

    Carcinogenic Ability of Schistosoma Haematobium Possibly through Oncogenic Mutation of KRAS Gene

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    Schistosoma haematobium is a parasitic flatworm that infects millions of people, mostly in the developing world, and is associated with high incidence of bladder cancer, although why is not clear. Previously, we have used CD-1 mice to show that Schistosoma haematobium total antigen (Sh) has a carcinogenic ability. Sh intravesically instillation induced the development of several urothelial lesions, namely nodular hyperplasia and dysplasia (LGIUN—Low Grade Intra-Urothelial Neoplasia) after 40 weeks of treatment. These results suggested that Sh induce urothelium malignization. Bladder carcinoma frequently harbours gene mutations that constitutively activate the receptor tyrosine kinase-Ras pathway for this reason we studied activating mutations in KRAS gene. Twenty percent of the bladders with dysplasia presented a KRAS mutation in codon 12 of exon 2. We concluded from these results that the parasite extract of S. haematobium has carcinogenic ability possibly through oncogenic mutation of KRAS gene

    Synthesis, photochemical and in vitro cytotoxic evaluation of benzoselenazole-based aminosquaraines

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    Squaraine dyes have recently attracted interest as potential second generation photosensitizers for photodynamic therapy. Several cationic aminosquaraine dyes bearing benzoselenazole terminal nuclei were synthezised and their cytotoxic activity was tested against four different human tumor cell lines – breast (MCF-7), non-small cell lung (NCI-H460), cervical (HeLa) and hepatocellular (HepG2) carcinomas – and against a non-tumor porcine liver primary cell line (PLP2), both in the absence of light and under irradiation. All dyes, which displayed strong absorption within the phototherapeutic window, were found to exhibit photodynamic activity and were shown to be, in most cases, more cytotoxic, both in the dark and upon irradiation, than their benzothiazole analogues.The authors are grateful to the Foundation for Science and Technology (FCT, Portugal) and the FEDER for CIMO (UID/ AGR/00690/2013) and CQ-VR (UID/QUI/00616/2013) financial support.info:eu-repo/semantics/publishedVersio

    An MCDM approach to the selection of novel technologies for innovative in-vehicle information systems

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    Driving a car is a complex skill that includes interacting with multiple systems inside the vehicle. Today’s challenge in the automotive industry is to produce innovative In-Vehicle Information Systems (IVIS) that are pleasant to use and satisfy the costumers’ needs while, simultaneously, maintaining the delicate balance of primary task vs. secondary tasks while driving. The authors report a MCDM approach for rank ordering a large heterogeneous set of human-machine interaction technologies; the final set consisted of hundred and one candidates. They measured candidate technologies on eight qualitative criteria that were defined by domain experts, using a group decision-making approach. The main objective was ordering alternatives by their decision score, not the selection of one or a small set of them. The authors’ approach assisted decision makers in exploring the characteristics of the most promising technologies and they focused on analyzing the technologies in the top quartile, as measured by their MCDM model. Further, a clustering analysis of the top quartile revealed the presence of important criteria trade-offs.Operational Competitiveness Program – COMPETE, QREN (Quadro de Referência Estratégico Nacional), European Regional Development Funds (European Union), R&D project in joint-promotion (HMIEXCEL-2013-2015 36265/2013) HMIEXCEL - I&D crítica em torno do ciclo de desenvolvimento e produção de soluções multimédia avançadas para automóvelStrategic program FCT-UID/EEA/00066/2013Fundação para a Ciência e a Tecnologia (IF/00217/2013)Fundação para a Ciência e a Tecnologia (PD/BD/105966/2014

    Conexões (trans)fronteiriças: mídia, noticiabilidade e ambivalência

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    De maneira original e distinta do sistema referencial corrente nos estudos de Jornalismo, o livro Conexões (trans)fronteiriças: mídia, noticiabilidade e ambivalência apresenta análises das atividades noticiosas de diversos veículos de mídia: jornais impressos e on-line, revistas semanais, telejornais, portais e agências de notícias. Organizada por Ada C. Machado da Silveira e Isabel Padilha Guimarães, do grupo de pesquisa Comunicação, Identidades e Fronteiras, da Universidade Federal de Santa Maria (UFSM), a obra aborda estas atividades jornalísticas encarando sua condição midiatizada, pautada por cânones técnicos estritos e atitude interpretante exterior à vida das sociedades a que se dedicam a reportar. Trata-se de um livro que pretende ser de utilidade para estudantes de Jornalismo e de Relações Internacionais interessados em iniciar-se na análise de textos midiáticos

    Synthesis, antiangiogenesis evaluation and molecular docking studies of 1-Aryl-3-[(thieno[3,2-b]pyridin-7-ylthio)phenyl]ureas: Discovery of a new substitution pattern for type II VEGFR-2 Tyr kinase inhibitors

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    The synthesis and biological evaluation of novel 1-aryl-3-[2-, 3- or 4-(thieno[3,2-b]pyridin-7-ylthio)phenyl]ureas 3, 4 and 5 as VEGFR-2 tyrosine kinase inhibitors, are reported. The 1-aryl-3-[3-(thieno[3,2-b]pyridin-7-ylthio)phenyl]ureas 4a-4h, with the arylurea in the meta position to the thioether, showed the lowest IC50 values in enzymatic assays (10-206 nM), the most potent compounds 4d-4h (IC50 10-28 nM) bearing hydrophobic groups (Me, F, CF3 and Cl) in the terminal phenyl ring. A convincing rationalization was achieved for the highest potent compounds 4 as type II VEGFR-2 inhibitors, based on the simultaneous presence of: (1) the thioether linker and (2) the arylurea moiety in the meta position. For compounds 4, significant inhibition of Human Umbilical Vein Endothelial Cells (HUVECs) proliferation (BrdU assay), migration (wound-healing assay) and tube formation were observed at low concentrations. These compounds have also shown to increase apoptosis using the TUNEL assay. Immunostaining for total and phosphorylated (active) VEGFR-2 was performed by Western blotting. The phosphorylation of the receptor was significantly inhibited at 1.0 and 2.5 microM for the most promising compounds. Altogether, these findings point to an antiangiogenic effect in HUVECs.To the Foundation for Science and Technology (FCT–Portugal) for financial support through the NMR Portuguese network (Bruker 400 Avance III-Univ Minho). FCT and FEDER (European Fund for Regional Development)-COMPETE/QREN/EU for financial support through the research unities PEst-C/QUI/UI686/2013-2014, PEst-OE/SAU/UI0038/2013 and 2014 and PEst OE/AGR/UI0690/2013 and 2014, the research project PTDC/QUI-QUI/111060/2009, the PhD grant attributed to V.M. (SFRH/BD/77373/2011) and the post-Doctoral grant attributed to R.C.C. (SFRH/BPD/68344/2010), also financed by the POPH and FSE

    El aprendizaje basado en problema para activar la resolución de problemas con el uso de herramientas informáticas (Revisión).

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    Problem-based learning is characterized by the fact that learning is student-centered, and that it is meaningful; The process of solving problems with the use of computer tools is developed based on small work groups, which learn collaboratively in their learning process. For the development of this work, techniques such as observation of classes, interviews with students are used. The objective is to describe the implementation of Problem-Based Learning in solving problems based on data at the Pre-university educational level.El aprendizaje basado en problemas se caracteriza por ser significativo y estar centrado en el estudiante; el proceso de resolución de problemas con el uso de herramientas informáticas se desarrolla en base a grupos pequeños de trabajo que aprenden de manera colaborativa en su proceso de aprendizaje. Para el desarrollo de este trabajo se emplean técnicas como observación a clases y entrevista a estudiantes. El objetivo es describir la implementación del aprendizaje basado en problemas en la resolución de problemas sobre base de datos en el nivel educativo Preuniversitario
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