Relação entre otimismo e autonomia funcional em indivíduos com esclerose múltipla

Objetivo: O presente estudo tem como objetivo verificar a relação existente entre autonomia funcional e otimismo. Método: Os participantes são 280 indivíduos portadores de esclerose múltipla (EM) diagnosticada há mais de um ano em que a maioria são mulheres, com nível elevado de escolaridade, maioritariamente casados, e a trabalhar em regime de tempo integral. A funcionalidade foi avaliada com a Escala de Impacto de Participação e Autonomia – IPA, e o otimismo com o Life Orientation Test – Revised (LOT-R). A recolha de dados realizou-se em unidades de saúde de Lisboa e cumpriu as regras conforme a Declaração de Helsínquia. Conclusão: Os resultados mostram que existem valores de correlação estatisticamente significativos, mas moderados entre as dimensões da LOT-R e IPA, sugerindo que o otimismo é um fator importante para a autonomia funcional dos indivíduos portadores de EM. ------ ABSTRACT ------ Aim: The present study aims at identifying the relationship between optimism and functional autonomy in individuals with Multiple Sclerosis (MS). Method: The participants are 280 individuals diagnosed with MS for more than one year; the majority are women, with high levels of education, mostly married and employed on full time. To access functionality we used the Impact on Participation and Autonomy Scale – IPA, and to assess optimism the Life Orientation Test - Revised (LOT-R). Data was collected in Lisbon health settings. Data collection follows the rules of the Helsinki Declaration. Conclusion: Results show that correlations between the two main variables are statistically significant, but moderate, suggesting that the perception of optimism is an important factor for functional autonomy in individuals with MS

Características psicométricas dos instrumentos usados para avaliar a qualidade de vida na esclerose múltipla: uma revisão bibliográfica

Multiple sclerosis (MS) is the chronic neurological disease that most affects young adults; 80% of patients experience a transition towards persistent disability, hence the need to assess their quality of life (QoL). The aim of the study was to review studies that assess QoL in patients with multiple sclerosis, inquiring on the instruments used and their psychometric features. Articles published from 1997 through 2007 were searched for by means of key words "multiple sclerosis" and "quality of life" in databases Psycinfo, Psycarticles, Psycbooks, Psychology & Behavioral Science Collection, EJS E-Journal, Cochrane Central Register of Controlled Trials, Cochrane Database of Systematic Reviews, Database of Abstracts of Reviews of Effects, Medline, and Academic Search Complete. From the 1,376 studies found, after abstract reading those that reported on instruments with poor psychometric properties and/or were little referred were excluded. A total of 461 articles were selected, of which 267 reported using generic instruments and 194, MS-specific ones. Among the 7 instruments reported by the studies as having good psychometric characteristics (2 generic, five MS-specific), the most used is the SF-36 (by 237 studies). All instruments have shown adequate psychometric properties and a high degree of reliability, hence may be used to assess QoL in subjects with multiple sclerosis both in clinic and research

Metabolomic profile and biological properties of sea lavender (Limonium algarvense Erben) plants cultivated with aquaculture wastewaters: implications for its use in herbal formulations and food additives

Water extracts from sea lavender (Limonium algarvense Erben) plants cultivated in greenhouse conditions and irrigated with freshwater and saline aquaculture effluents were evaluated for metabolomics by liquid chromatography-tandem high-resolution mass spectrometry (LC-HRMS/MS), and functional properties by in vitro and ex vivo methods. In vitro antioxidant methods included radical scavenging of 2,2-diphenyl-1-picrylhydrazyl (DPPH) and 2,2′-azino-bis(3-ethylbenzothiazoline-6-sulfonic acid (ABTS), ferric-reducing antioxidant power (FRAP), and copper and iron chelating assets. Flowers’ extracts had the highest compounds’ diversity (flavonoids and its derivatives) and strongest in vitro antioxidant activity. These extracts were further tested for ex vivo antioxidant properties by oxidative haemolysis inhibition (OxHLIA), lipid peroxidation inhibition by thiobarbituric acid reactive substances (TBARS) formation, and anti-melanogenic, anti-tyrosinase, anti-inflammation, and cytotoxicity. Extract from plants irrigated with 300 mM NaCl was the most active towards TBARS (IC50 = 81 µg/mL) and tyrosinase (IC50 = 873 µg/mL). In OxHLIA, the activity was similar for fresh- and saltwater-irrigated plants (300 mM NaCl; IC50 = 136 and 140 µg/mL, respectively). Samples had no anti-inflammatory and anti-melanogenic abilities and were not toxic. Our results suggest that sea lavender cultivated under saline conditions could provide a flavonoid-rich water extract with antioxidant and anti-tyrosinase properties with potential use as a food preservative or as a functional ingredient in herbal supplements.The authors acknowledge the Faculty of Pharmacy and Centre for Neurosciences and Cell Biology (University of Coimbra, Portugal) that kindly offered the murine RAW 264.7 macrophages, and the Functional Biochemistry and Proteomics, and the Marine Molecular Bioengineering groups (Centre of Marine Sciences, Portugal) that provided the human embryonic kidney (HEK) 293, and the human hepatocellular carcinoma (HepG2) cell lines.info:eu-repo/semantics/publishedVersio

Further evidence of possible therapeutic uses of Sambucus nigra L. extracts by the assessment of the In Vitro and In Vivo anti-inflammatory properties of Its PLGA and PCL-Based Nanoformulations

Sambucus nigra L. is widely used in traditional medicine with different applications. However, confirmative studies are strongly required. This study aimed to assess the biological activities of the S. nigra flower’s extract encapsulated into two different types of nanoparticles for optimizing its properties and producing further evidence of its potential therapeutic uses. Different nanoparticles (poly(lactide-co-glycolide, PLGA) and poly-Ɛ-caprolactone (PCL), both with oleic acid, were prepared by emulsification/solvent diffusion and solvent-displacement methods, respectively. Oleic acid was used as a capping agent. After the nanoparticles’ preparation, they were characterized and the biological activities were studied in terms of collagenase, in vitro and in vivo anti-inflammatory, and in vitro cell viability. Rutin and naringenin were found to be the major phenolic compounds in the studied extract. The encapsulation efficiency was higher than 76% and revealed to have an impact on the release of the extract, mainly for the PLGA. Moreover, biochemical and histopathological analyses confirmed that the extract-loaded PLGA-based nanoparticles displayed the highest anti-inflammatory activity. In addition to supporting the previously reported evidence of potential therapeutic uses of S. nigra, these results could draw the pharmaceutical industry’s interest to the novelty of the nanoproducts.Authors also gratefully acknowledge the Régiefrutas and Fundação para a Ciência e a Tecnologia (FCT) (UIDB/04138/2020, UIDB/00100/2020, UIDP/50017/2020+UIDB/50017/2020) and Portugal 2020 to the Portuguese Mass Spectrometry Network (LISBOA-01-0145-FEDER-402-022125) for financial support. Furthermore, the authors are also grateful to the work supported by the FCT and the Portuguese National and Regional Budget, through CCMAR/Multi/04326/2019 project. Finally, Luísa Custódio was supported by the FCT Scientific Employment Stimulus (CEECIND/00425/2017).info:eu-repo/semantics/publishedVersio

Growth performance, in vitro antioxidant properties and chemical composition of the halophyte Limonium algarvense Erben are strongly influenced by the irrigation salinity

Limonium algarvense Erben (sea lavender) is a halophyte species with potential to provide natural ingredients with in vitro antioxidant, anti-inflammatory, neuroprotective and antidiabetic properties. This study reports for the first time the 1) cultivation of sea lavender in greenhouse conditions under irrigation with freshwater (approx. 0 mM NaCl) and saline aquaculture wastewater (300 and 600 mM NaCl), and 2) the influence of the irrigation salinity on the plant performance (e.g growth, number of produced leaves and flowers), in vitro antioxidant properties [radical scavenging activity (DPPH and ABTS), ferric reducing antioxidant power (FRAP), metal chelating properties on copper (CCA) and iron (ICA)], toxicity (in vitro on three mammalian cell lines) and chemical composition (determined by LC-ESI-HRMS/MS). The freshwater-irrigated plants had better growth performance than those irrigated with saltwater. Extracts from wild plants, had the highest antioxidant activity, but those from cultivated ones kept high in vitro antioxidant properties and interesting chemical profile. The flowers' extracts of plants irrigated with 300 mM NaCl had the highest antioxidant activities against DPPH, whereas those from freshwater-irrigated plants were more active on ABTS, CCA and FRAP. Most of the extracts showed nil toxicity. The flowers' extracts displayed the highest diversity of compounds, mainly quercetin, apigenin, luteolin, naringenin and their glycoside derivatives. Moreover, their abundance varied with the irrigation salinity. These data indicate that sea lavender plants can be successfully cultivated in greenhouse conditions under fresh- and saltwater irrigation, maintaining interesting biological and chemical properties.Funding Agency Portuguese Foundation for Science and Technology Portuguese National Budget CCMAR/Multi/04326/2019 GreenVet project ALG-01-0145-FEDER-028876 XtrerneAquaCrops FA-05-2017-028 Lisboa-01-0145-FEDER-022125-RNEM-IST ID/QUI/00100/201 Portuguese Foundation for Science and Technology SFRH/BD/116604/2016 CEECIND/00425/2017info:eu-repo/semantics/publishedVersio

Nursing Students’ Perceptions on Healthcare-Associated Infection Control and Prevention Teaching and Learning Experience in Portugal

Healthcare-associated infections (HAI) are one of the major concerns worldwide, posing significant challenges to healthcare professionals’ education and training. This study intended to measure nursing students’ perceptions regarding their learning experiences on HAI prevention and control. In the first phase of the study, a cross-sectional and descriptive study with a convenience sample composed of undergraduate nursing students from Portugal, Spain, Poland, and Finland was conducted to develop the InovSafeCare questionnaire. In the second phase, we applied the InovSafeCare scale in a sample of nursing students from two Portuguese higher education institutions to explore which factors impact nursing students’ adherence to HAI prevention and control measures in clinical settings. In phase one, the InovSafeCare questionnaire was applied to 1326 students internationally, with the instrument presenting adequate psychometric qualities with reliability results in 14 dimensions. During phase two, the findings supported that Portuguese nursing students’ adherence to HAI prevention and control measures is influenced not only by the curricular offerings and resources available in academic settings, but also by the standards conveyed by nursing tutors during clinical placements. Our findings support the need for a dedicated curricular focus on HAI prevention and control learning, not only through specific classroom modules, innovative resources, and pedagogical approaches, but also through a complementary and coordinated liaison between teachers and tutors in academic and clinical settings.info:eu-repo/semantics/publishedVersio

Nursing Students' Perceptions on Healthcare-Associated Infection Control and Prevention Teaching and Learning Experience: Development and Validation of a Scale in Four European Countries

Healthcare-associated infections are one of the major concerns worldwide. This study presents the development and the validation process of the InovSafeCare scale and aimed at identifying and measuring the ecosystem variables related to healthcare-associated infection (HCAI) prevention and control practices in European nurse students. Qualitative and quantitative approaches were used to (1) elaborate an item pool related to the educational environment, the healthcare setting environment, and the attitudes, beliefs, and performance of the nursing students regarding HCAI prevention and control and (2) analyze psychometric properties of the scale using factor analysis. The validated InovSafeCare scale was applied to undergraduate nursing students of five European Higher Education Institutions. The partial least square structural equation modeling (PLS-SEM) method with SMART-PLS3 software was used. The study sample consists of 657 nursing students, who responded a self-report inventory. From the analyzed data were identified 14 factors. The InovSafeCare scale reveals good validity and reliability of the dimensions in different European countries.info:eu-repo/semantics/publishedVersio

ANESTESIA GERAL DURANTE TIREOIDECTOMIAS: MONITORAMENTO E MANEJO INTRAOPERATÓRIO

Thyroidectomy is a common surgery to treat various conditions of the thyroid gland, including cancer, goiter and hyperthyroidism. General anesthesia is often used to ensure the procedure is carried out safely and effectively. This study examines the importance of intraoperative monitoring and management during thyroidectomy, highlighting best practices and the most advanced technologies to minimize complications and optimize surgical outcomes. Objective: Investigate and improve anesthetic practices to increase the safety and effectiveness of thyroidectomies. Methodology: The Cochrane, Scielo and Pubmed databases were used, searching for articles published between 2019 and 2021, in Portuguese or English. Final Considerations: General anesthesia during thyroidectomies, combined with adequate intraoperative monitoring and management, is crucial to ensure the safety and success of the surgery. Therefore, advanced monitoring techniques and careful airway management are essential to minimize risks and complications. Thus, interdisciplinary collaboration and continuous training of the professionals involved are fundamental to improving anesthetic practices and, thus, improving clinical results and patient well-being.A tireoidectomia é uma cirurgia comum para tratar diversas condições da glândula tireoide, incluindo câncer, bócio e hipertireoidismo. A anestesia geral é frequentemente utilizada para garantir que o procedimento seja realizado de forma segura e eficaz. Este estudo examina a importância do monitoramento e do manejo intraoperatório durante a tireoidectomia, destacando as melhores práticas e as tecnologias mais avançadas para minimizar complicações e otimizar os resultados cirúrgicos. Objetivo: : Investigar e aprimorar as práticas anestésicas para aumentar a segurança e a eficácia das tireoidectomias. Metodologia:  Foram utilizadas as bases de dados Cochrane, Scielo e Pubmed, buscando artigos publicados entre os anos de 2019 e 2021, nos idiomas Português ou Inglês. Considerações Finais: A anestesia geral durante tireoidectomias, combinada com monitoramento e manejo intraoperatório adequados, é crucial para garantir a segurança e o sucesso da cirurgia. Dessa forma, técnicas avançadas de monitoramento e uma gestão cuidadosa da via aérea são essenciais para minimizar riscos e complicações. Assim, a colaboração interdisciplinar e a formação contínua dos profissionais envolvidos são fundamentais para aprimorar as práticas anestésicas e, assim, melhorar os resultados clínicos e o bem-estar dos pacientes