An exploration of self-disgust in females with eating disorders

Abstract Background and Aims: Research suggests that the emotion of disgust plays a role in psychological distress associated with eating, body shape and weight related concerns, though evidence is inconsistent. Recent theoretical and empirical literature have highlighted the potential relevance of the emotion of disgust towards the self (i.e. self-disgust) in various presentations of psychological distress. However, research in this area remains in its infancy. This study aimed to build on emerging research by employing a qualitative approach to gain more of an understanding of the perspectives of women who experience psychological distress associated with eating, body shape and weight. Method: Eight semi-structured interviews were conducted with women with an eating disorder diagnosis. The interviews were analysed using thematic analysis. Results: Four main themes were developed: the interpersonal and sociocultural context of self-disgust, self-disgust as both transient and enduring, self-disgust as a complex emotional experience, and the on-going struggle to protect the self. The findings highlight how self-disgust appears to be understood as emerging in the context of being harshly judged and treated in relation to one’s body weight and shape, and not fitting in societal expectations regarding body size. Self-disgust also appeared to be understood as having trait and state-like components as well as cognitive-affective aspects congruent with an emotion schema, and be experienced in conjunction with other emotions. Participants appeared to employ a number of strategies to manage feelings of self-disgust, including calming breathing, distraction and avoidance. Conclusions: This study emphasises the potential usefulness of an increased clinical awareness of self-disgust to support individuals experiencing psychological distress associated with eating problems. The theoretical, clinical and research implications are discussed, and possible limitations of this study are considered. It is hoped that the present findings will contribute to better outcomes for those experiencing psychological distress associated with eating problems

Endoscopic pilonidal sinus treatment versus total excision with primary closure for sacrococcygeal pilonidal sinus disease in the pediatric population

Purpose: To evaluate the effectiveness and safety of Endoscopic Pilonidal Sinus Treatment (EPSiT) in the pediatric population and compare it with excision followed by primary closure (EPC) regarding intra- and postoperative outcomes. Methods: A retrospective analysis of all patients with chronic sacrococcygeal pilonidal sinus submitted to EPSiT and EPC during a 12-month period in our institution was performed. Data concerning patients' demographics and surgical outcomes were collected and compared between the two groups. Results: We analyzed a total of 21 cases that underwent EPSiT and 63 cases of EPC, both groups with similar demographic characteristics. Operative time was similar for both groups (30 vs. 38 min; p > 0.05). No major intraoperative complications were reported. Wound infection rate was lower for EPSiT ((5.2% [n = 1] vs. 20.0% [n = 12]); p > 0.05). Healing time was similar for both groups (28 vs. 37.5 days). Recurrence occurred in 18,9% (n = 15), with 2 cases (10.5%) reported in the EPSiT group versus 13 (21.6%) in EPC. There were no differences between groups regarding postoperative complications, complete wound healing and recurrence rates or healing time (p > 0.05). Conclusions: Our results suggest that EPSiT is as viable as excision followed by primary closure in the management of sacrococcygeal pilonidal sinus in the pediatric population

What Can We Do When All Collapses? Fatal Outcome of Collapsing Glomerulopathy and Systemic Lupus Erythematosus With Diffuse Alveolar Hemorrhage: Case Report

NTRODUCTION: Collapsing glomerulopathy (CG) is a rare form of glomerular injury. Although commonly associated with human immunodeficiency virus (HIV) infection, it can occur in association with systemic lupus erythematosus (SLE). CASE REPORT: We present the case of a 50-year-old man, with chronic kidney disease secondary to focal and segmental glomerulosclerosis, who received a cadaveric kidney transplant in 2007. There were no relevant intercurrences until May 2015, when he presented with nephrotic range proteinuria (± 4 g/d). A graft biopsy was performed and it did not show any significant pathological changes. In September, he developed a full nephrotic syndrome (proteinuria 19 g/d) and a graft biopsy was repeated. CG features were evident with a rich immunofluorescence. Antinuclear antibodies (ANA) and anti-double-stranded DNA (anti-dsDNA) antibodies were positive; the remaining immunologic study was normal. Viral markers for HIV, hepatitis C virus (HCV), and hepatitis B virus (HBV) were negative. The patient was treated with corticosteroid pulses and plasmapheresis (seven treatments). A rapid deterioration of kidney function was seen and he became dialysis dependent. He was discharged with a low-dose immunosuppressive treatment. In October, he was hospitalized with diffuse alveolar hemorrhage (DAH). The auto-immune study was repeated, revealing complement consumption and positive titers of ANA and Anti-dsDNA antibodies. Anti-neutrophil cytoplasmic antibodies (ANCAs) and antiglomerular basement membrane antibody (anti-GBM) were negative. Treatment with intravenous corticosteroids, plasmapheresis, and human immunoglobulin was ineffective and the outcome was fatal. CONCLUSION: This case report highlights the possible association of CG and SLE. To our knowledge, it is the first case of SLE presenting with CG and DAH, with the singularity of occurring in a kidney transplant recipient receiving immunosuppression.info:eu-repo/semantics/publishedVersio

Nephrotic Range Proteinuria in Renal Transplantation: Clinical and Histologic Correlates in a 10-year Retrospective Study

INTRODUCTION: There is a high incidence of nephrotic proteinuria in renal transplant recipients, which is an accurate predictor of graft loss. Despite this, its histologic correlates and prognostic implications are still not well characterized. We assessed the clinical and histological correlates of kidney transplantation patients with nephrotic range proteinuria. METHODS: We have retrospectively analyzed clinical and histological data from 50 kidney transplantation biopsy specimens from 44 renal transplant recipients with nephrotic range proteinuria between 2006 and 2015. The median follow-up time was 93 months (range, 14 months to 190 months). RESULTS: The mean age of the patients was 45.2 ± 13.7 years and our cohort included 86% recipients of deceased-donor grafts. The maintenance immunosuppressive regimen included calcineurin inhibitors in 68% and mammalian target of rapamycin inhibitors in 32% of patients. The average proteinuria was 6.9 ± 3.8 g/d and 52% of patients presented with nephrotic syndrome. The main histological findings were transplant glomerulopathy (22%), de novo glomerular disease (22%), and recurrence of primary disease (22%). Tubular atrophy and interstitial fibrosis was present in 78% of the biopsy specimens. Thirty-one patients (62%) lost the graft at follow-up. There was no statistically significant difference between the histologic diagnosis nor the proteinuria levels and the outcome of the graft. CONCLUSIONS: The main causes of nephrotic range proteinuria in patients undergoing biopsy were transplant glomerulopathy, recurrence of the underlying disease, and de novo glomerulonephritis. Nephrotic range proteinuria was related to a high rate of graft loss.info:eu-repo/semantics/publishedVersio

Decrease in Dengue virus-2 infection and reduction of cytokine/chemokine production by Uncaria guianensis in human hepatocyte cell line Huh-7.

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A functionalized nanobiopolymer as an alternative for burn wound dressing

[Excerpt] Introduction Burn wounds present higher risk of infection due to extensive damage suffered by the skin and can be dry or wet. Dry burn wounds require moisture environment while wet burn wounds produce exudate needing recurring wound dressing exchange. In both situations, the wound dressing replacement commonly causes excruciating pain.This research was funded by FEDER funds through the Operational Competitiveness Program–COMPETE, by National Funds through Fundação para a Ciência e Tecnologia (FCT), under the project UID/CTM/00264/2020. Talita Nicolau, Cátia Alves, Liliana Melro, Rui D. V. Fernandes, and Behnaz Mehravani acknowledge FCT, MCTES, FSE and UE PhD grants, 2022.15386.BD, 2022.10454.BD, 2020.04919.BD, SFRH/BD/145269/2019, 2022.13094.BD

Transmural Remission Improves Clinical Outcomes Up to 5 years in Crohn's Disease

Introduction: Evidence supporting transmural remission (TR) as a long-term treatment target in Crohn's disease (CD) is still unavailable. Less stringent but more reachable targets such as isolated endoscopic (IER) or radiologic remission (IRR) may also be acceptable options in the long-term. Methods: Multicenter retrospective study including 404 CD patients evaluated by magnetic resonance enterography and colonoscopy. Five-year rates of hospitalization, surgery, use of steroids, and treatment escalation were compared between patients with TR, IER, IRR, and no remission (NR). Results: 20.8% of CD patients presented TR, 23.3% IER, 13.6% IRR and 42.3% NR. TR was associated with lower risk of hospitalization (odds-ratio [OR] 0.244 [0.111-0.538], p < 0.001), surgery (OR 0.132 [0.030-0.585], p = 0.008), steroid use (OR 0.283 [0.159-0.505], p < 0.001), and treatment escalation (OR 0.088 [0.044-0.176], p < 0.001) compared to no NR. IRR resulted in lower risk of hospitalization (OR 0.333 [0.143-0.777], p = 0.011) and treatment escalation (OR 0.260 [0.125-0.540], p < 0.001), while IER reduced the risk of steroid use (OR 0.442 [0.262-0.745], p = 0.002) and treatment escalation (OR 0.490 [0.259-0.925], p = 0.028) compared to NR. Conclusions: TR improved clinical outcomes over 5 years of follow-up in CD patients. Distinct but significant benefits were seen with IER and IRR. This suggests that both endoscopic and radiologic remission should be part of the treatment targets of CD.info:eu-repo/semantics/publishedVersio

Atmospheric dust deposition and levels of trace elements in an industrial city in the Portuguese coastline

O presente estudo pretendeu (i) identificar padrões geoquímicos espaciais e temporais na deposição atmosférica, e (ii) avaliar potenciais contribuições de fontes locais e alóctones para a composição química das poeiras atmosféricas no concelho de Estarreja. Dois coletores foram colocados em áreas exteriores de duas escolas localizadas poucos quilómetros a sul da zona industrial. A recolha das amostras foi realizada mensalmente, de maio a agosto de 2018. As frações solúvel e insolúvel da deposição atmosférica foram analisadas por ICP-MS para determinar as concentrações quase-totais dos elementos químicos. Os resultados mostram a ocorrência de dois eventos distintos de maior fluxo de deposição atmosférica: (i) um em maio, caracterizado pela deposição de elementos traço em formas solúveis, detetado em ambas as escolas e (ii) um segundo em agosto, caracterizado pela deposição de elementos maiores em formas insolúveis, detetado apenas na escola mais distante do complexo industrial. No geral, os resultados indicam uma deposição antrópica de aerossóis em maio e uma deposição de partículas litogénicas em agosto.Due to their high toxicity and reactivity in atmospheric particles, metl(loid)s are a category of pollutants of great concern in air pollution. The present study aimed (i) to identify spatial and temporal geochemical patterns in atmospheric deposition, and (ii) to evaluate potential contributions from local and regional sources to the chemical composition of atmospheric dust, in the industrial city of Estarreja. Two collectors were placed in exterior areas of two schools located few kilometres south from the industrial zone, one within an urban setting and another in a rural environment. Samples were collected monthly from May and August 2018. The soluble and insoluble fractions of atmospheric were analysed by ICP-MS to determine near-total concentrations of the chemical elements. The results indicate two distinct events of higher atmospheric deposition flux. The first event, detected in both schools, occurred in May and is characterized by the deposition of trace elements in soluble forms. The second occurred in August and is characterized by the deposition of major elements in insoluble forms. This later episode was detected only at the school furthest from the industrial complex. Overall, the results indicate an anthropogenic aerosol deposition in May and a lithogenic particle deposition in August.Este trabalho é cofinanciado pela União Europeia através do Fundo Europeu de Desenvolvimento Regional, baseado no COMPETE 2020 (Programa Operacional de Competitividade e Internacionalização), no projeto ICT (UIDB/04683/2020), no projeto GeoBioTec (UIDB/04035/2020) e nos fundos nacionais fornecidos pela Fundação para a Ciência e Tecnologia. Os autores agradecem à Direção, aos docentes e aos funcionários do Agrupamento de Escolas de Estarreja a preciosa colaboração durante o período de recolha das amostra