Um estudo de coorte dinâmico prospetivo

Publisher Copyright: © 2021 Sociedade Portuguesa de Alergologia e Imunologia Clínica.Background: Since the last Portuguese National Asthma Survey (2010), important developments on the knowledge of asthma, its classification, and therapeutic options have occurred. Also, the evolution of information and communication technologies promotes the use of new data collection methodologies and the existence of digital tools simplifies longitudinal data collection, namely by the establishment of an online panel of participants. Objectives: The main objective of this project is the establishment of a national panel of patients with asthma for the surveillance of variations on disease control in the next 10 years (2020-2030). With that purpose, we aim to develop and implement an online platform for the collection of data related to asthma in Portugal and to carry out an initial study to estimate the variation, between 2010 and 2021, of the proportion of patients with uncontrolled asthma in Portugal. Methods: This is an ongoing observational study based on the establishment of an open cohort of patients with asthma, using an online platform that will include an initial questionnaire and, in a second step, complementary questions for further characterization. The study population consists of adolescents (>14 years old) and adults with current asthma (previous diagnosis of asthma, or two or more positive answers to validated screening questionnaire, or who are currently taking asthma medication), living in Portugal. Asthma control will be based on the Control of Allergic Rhinitis and Asthma Test (CARAT) and defined by a total score > 24 or the lower airways score ≥ 16. Expected results: With this project, an open cohort of patients with asthma will be obtained through an online questionnaire. Also, the implementation of an online platform for an ongoing collection of data on asthma will gather up-to-date and robust information based on ‘real world’ data, collected using an easy-to-use, high-reach methodology. The data obtained in the initial study will improve the knowledge of the determinants of disease management and its impact on the use of health resources. Conclusion: The estab-lishment of an online panel of patients with asthma that, together with an online tool to support observational studies have the poten-tial to generate knowledge on the evolution of asthma management at the national level. This project will therefore contribute to inform health policies and improve the clinical outcomes of patients with asthma in Portugal.publishersversionpublishe

Identification of a cytokine network sustaining neutrophil and Th17 activation in untreated early rheumatoid arthritis

© 2010 Cascão et al.; licensee BioMed Central Ltd. This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.Introduction: Rheumatoid arthritis (RA) is a chronic inflammatory autoimmune disease characterized by sustained synovitis. Recently, several studies have proposed neutrophils and Th17 cells as key players in the onset and perpetuation of this disease. The main goal of this work was to determine whether cytokines driving neutrophil and Th17 activation are dysregulated in very early rheumatoid arthritis patients with less than 6 weeks of disease duration and before treatment (VERA). Methods: Cytokines related to neutrophil and Th17 activation were quantified in the serum of VERA and established RA patients and compared with other very early arthritis (VEA) and healthy controls. Synovial fluid (SF) from RA and osteoarthritis (OA) patients was also analyzed. Results: VERA patients had increased serum levels of cytokines promoting Th17 polarization (IL-1b and IL-6), as well as IL-8 and Th17-derived cytokines (IL-17A and IL-22) known to induce neutrophil-mediated inflammation. In established RA this pattern is more evident within the SF. Early treatment with methotrexate or corticosteroids led to clinical improvement but without an impact on the cytokine pattern. Conclusions: VERA patients already display increased levels of cytokines related with Th17 polarization and neutrophil recruitment and activation, a dysregulation also found in SF of established RA. 0 Thus, our data suggest that a cytokine-milieu favoring Th17 and neutrophil activity is an early event in RA pathogenesis.This work was supported by a grant from Sociedade Portuguesa de Reumatologia/Schering-Plough 2005. RAM and RC were funded by Fundação para a Ciência e a Tecnologia (FCT) SFRH/BD/30247/2006 and SFRH/BD/40513/2007, respectively. MMS-C was funded by Marie Curie Intra-European Fellowship PERG-2008-239422 and a EULAR Young Investigator Award

Landsat sub-pixel land cover dynamics in the Brazilian Amazon

The Brazilian Amazon land cover changes rapidly due to anthropogenic and climate drivers. Deforestation and forest disturbances associated with logging and fires, combined with extreme droughts, warmer air, and surface temperatures, have led to high tree mortality and harmful net carbon emissions in this region. Regional attempts to characterize land cover dynamics in this region focused on one or two anthropogenic drivers (i.e., deforestation and forest degradation). Land cover studies have also used a limited temporal scale (i.e., 10–15 years), focusing mainly on global and country-scale forest change. In this study, we propose a novel approach to characterize and measure land cover dynamics in the Amazon biome. First, we defined 10 fundamental land cover classes: forest, flooded forest, shrubland, natural grassland, pastureland, cropland, outcrop, bare and impervious, wetland, and water. Second, we mapped the land cover based on the compositional abundance of Landsat sub-pixel information that makes up these land cover classes: green vegetation (GV), non-photosynthetic vegetation, soil, and shade. Third, we processed all Landsat scenes with <50% cloud cover. Then, we applied a step-wise random forest machine learning algorithm and empirical decision rules to classify intra-annual and annual land cover classes between 1985 and 2022. Finally, we estimated the yearly land cover changes in forested and non-forested ecosystems and characterized the major change drivers. In 2022, forest covered 78.6% (331.9 Mha) of the Amazon biome, with 1.4% of secondary regrowth in more than 5 years. Total herbaceous covered 15.6% of the area, with the majority of pastureland (13.5%) and the remaining natural grassland. Water was the third largest land cover class with 2.4%, followed by cropland (1.2%) and shrubland (0.4%), with 89% overall accuracy. Most of the forest changes were driven by pasture and cropland conversion, and there are signs that climate change is the primary driver of the loss of aquatic ecosystems. Existing carbon emission models disregard the types of land cover changes presented in the studies. The twenty first century requires a more encompassing and integrated approach to monitoring anthropogenic and climate changes in the Amazon biome for better mitigation, adaptation, and conservation policies

Genome Sequencing of the Plant Pathogen Taphrina deformans, the Causal Agent of Peach Leaf Curl

Taphrina deformans is a fungus responsible for peach leaf curl, an important plant disease. It is phylogenetically assigned to the Taphrinomycotina subphylum, which includes the fission yeast and the mammalian pathogens of the genus Pneumocystis. We describe here the genome of T. deformans in the light of its dual plant-saprophytic/plant-parasitic lifestyle. The 13.3-Mb genome contains few identifiable repeated elements (ca. 1.5%) and a relatively high GC content (49.5%). A total of 5,735 protein-coding genes were identified, among which 83% share similarities with other fungi. Adaptation to the plant host seems reflected in the genome, since the genome carries genes involved in plant cell wall degradation (e.g., cellulases and cutinases), secondary metabolism, the hallmark glyoxylate cycle, detoxification, and sterol biosynthesis, as well as genes involved in the biosynthesis of plant hormones. Genes involved in lipid metabolism may play a role in its virulence. Several locus candidates for putative MAT cassettes and sex-related genes akin to those of Schizosaccharomyces pombe were identified. A mating-type-switching mechanism similar to that found in ascomycetous yeasts could be in effect. Taken together, the findings are consistent with the alternate saprophytic and parasitic-pathogenic lifestyles of T. deformans.Peer reviewe

Para o estudo da evolução do ensino e da formação em administração educacional em Portugal

Estudos sobre a evolução do ensino de disciplinas, na formação de professores em Portugal, são recentes. O controle burocrático centralizado reteve as dimensões do controle político-administrativo. De certo modo, protegeu a esfera educativa das influências modernizantes, do capitalismo industrial e das lógicas mercantis e gerencialistas. Defendeu a educação do domínio político, da intervenção de movimentos sociais, das propagandas de ideais democráticos e da cidadania. A utilização da designação "Administração educacional" ilustra as dificuldades sentidas, ao longo dos últimos anos, em termos da construção acadêmica de uma área, seja pela falta de tradição, seja pelos antecedentes históricos.In Portugal, studies about the evolution of disciplines teaching in the teachers formation are recent. The centralized bureaucratic control has held back the dimensions of politic administrative control. In a certain way, it has protected the education against the new-fashioned influences, manufacturing capitalism, and mercantile and managerial logics. This centralized bureaucratic control has also profected the education against the politic dominion, the intervention of social movements, the advertising of democratic ideals, and against the citizenship. The use of the term "Educational administration" shows the difficulties met by the searchers along the latest years, since there is no tradiction nor historic antecedence

Decrease of CD68 Synovial Macrophages in Celastrol Treated Arthritic Rats

Rheumatoid arthritis (RA) is a chronic immune-mediated inflammatory disease characterized by cellular infiltration into the joints, hyperproliferation of synovial cells and bone damage. Available treatments for RA only induce remission in around 30% of the patients, have important adverse effects and its use is limited by their high cost. Therefore, compounds that can control arthritis, with an acceptable safety profile and low production costs are still an unmet need. We have shown, in vitro, that celastrol inhibits both IL-1β and TNF, which play an important role in RA, and, in vivo, that celastrol has significant anti-inflammatory properties. Our main goal in this work was to test the effect of celastrol in the number of sublining CD68 macrophages (a biomarker of therapeutic response for novel RA treatments) and on the overall synovial tissue cellularity and joint structure in the adjuvant-induced rat model of arthritis (AIA).FCT fellowship: (SFRH/BPD/92860/2013)

Kinin B(1) receptor deficiency leads to leptin hypersensitivity and resistance to obesity

OBJECTIVE-Kinins mediate pathophysiological processes related to hypertension, pain, and inflammation through the activation of two G-protein-coupled receptors, named B(1) and B(2). Although these peptides have been related to glucose homeostasis, their effects on energy balance are still unknown.RESEARCH DESIGN and METHODS-Using genetic and pharmacological strategies to abrogate the kinin B(1) receptor in different animal models of obesity, here we present evidence of a novel role for kinins in the regulation of satiety and adiposity.RESULTS-Kinin B(1) receptor deficiency in mice (B(1)(-/-)) resulted in less fat content, hypoleptinemia, increased leptin sensitivity, and robust protection against high-fat diet-induced weight gain. Under high-fat diet, B(1)(-/-) also exhibited reduced food intake, improved lipid oxidation, and increased energy expenditure. Surprisingly, B(1) receptor deficiency was not able to decrease food intake and adiposity in obese mice lacking leptin (ob/ob-B(1)(-/-)). However, ob/ob-B(1)(-/-) mice were more responsive to the effects of exogenous leptin on body weight and food intake, suggesting that B(1) receptors may be dependent on leptin to display their metabolic roles. Finally, inhibition of weight gain and food intake by B(1) receptor ablation was pharmacologically confirmed by long-term administration of the kinin B(1) receptor antagonist SSR240612 to mice under high-fat diet.CONCLUSIONS-Our data suggest that kinin B(1) receptors participate in the regulation of the energy balance via a mechanism that could involve the modulation of leptin sensitivity.Universidade Federal de São Paulo, Dept Biophys, BR-04023062 São Paulo, BrazilUniv Mogi das Cruzes, Mogi Das Cruzes, BrazilUniversidade Federal de São Paulo, Dept Physiol, BR-04023062 São Paulo, BrazilSanofi Aventis, Montpellier, FranceUniversidade Federal de São Paulo, Dept Med, BR-04023062 São Paulo, BrazilInst Natl Sante & Rech Med, Dept Renal & Cardiac Remodeling, U858 I2MR, Toulouse, FranceUniv Toulouse 3, Inst Med Mol Rangueil, F-31062 Toulouse, FranceInst Natl Rech Agron AgroParisTech, UMR914 Nutr Physiol & Ingest Behav, Paris, FranceMax Delbruck Ctr Mol Med, Berlin, GermanyUniversidade Federal de São Paulo, Dept Biophys, BR-04023062 São Paulo, BrazilUniversidade Federal de São Paulo, Dept Physiol, BR-04023062 São Paulo, BrazilUniversidade Federal de São Paulo, Dept Med, BR-04023062 São Paulo, BrazilWeb of Scienc