Screening of cognitive changes in adults with intellectual disabilities: a systematic review

Supplementary Materials: The following are available online at http://www.mdpi.com/2076-3425/10/11/848/s1, Tables S4–S7: List of instruments; PRISMA checklist; Synthesis-without-Meta-analysis-SWiM-Checklist.Background and Aims: Screening and assessment of cognitive changes in adults with Intellectual Disabilities (ID), mainly Down Syndrome (DS), is crucial to offer appropriate services to their needs. We present a systematic review of the existing instruments assessing dementia, aiming to support researchers and clinicians’ best practice. Methods: Searches were carried out in the databases Web of Science; PubMed; PsycINFO in March 2019 and updated in October 2020. Studies were selected and examined if they: (1) focused on assessing age-related cognitive changes in persons with ID; (2) included adults and/or older adults; (3) included scales and batteries for cognitive assessment. Results: Forty-eight cross-sectional studies and twenty-seven longitudinal studies were selected representing a total sample of 6451 participants (4650 DS and 1801 with other ID). In those studies, we found 39 scales, questionnaires, and inventories, and 13 batteries for assessing cognitive and behavioural changes in adults with DS and other ID. Conclusion: The most used instrument completed by an informant or carer was the Dementia Questionnaire for Learning Disabilities (DLD), and its previous versions. We discuss the strengths and limitations of the instruments and outline recommendations for future use

Urban wastewater as a source of reclaimed water for irrigation: barriers and future possibilities

Water resources are under pressure worldwide, resulting in scarcity and deterioration of freshwater quality. According to European directives, we could reduce the pressure on water resources in urban areas by increasing the reuse of treated wastewater, reducing the impact on water bodies, and promoting water recycling through multiple uses of urban wastewater. Besides the need to address water supply challenges, wastewater treatment systems show environmental stewardship and innovative practices. Using reclaimed water for agricultural irrigation is gaining interest because of the drought conditions experienced in Europe over the past few years. Furthermore, using treated wastewater for agricultural irrigation may help to restore nutrients (N and P) to natural biogeochemical cycles. This review highlights the importance of water reuse, current legislation, and existing technologies to implement in wastewater treatment systems to meet the minimum requirements to produce reclaimed water to reuse in agricultural irrigation.info:eu-repo/semantics/publishedVersio

Clay body wrap with microcurrent: effects in central adiposity

Introduction Increased fat mass is becoming more prevalent in women and its accumulation in the abdominal region can lead to numerous health risks such as diabetes mellitus. The clay body wrap using compounds such as green clay, green tea and magnesium sulfate, in addition to microcurrent, may reduce abdominal fat mass and minimize or prevent numerous health problems. Objective This study aims at measuring the influence of the clay body wrap with microcurrent and aerobic exercise on abdominal fat. Methods Nineteen female patients, randomized into intervention (n = 10) and control (n = 9) groups, were evaluated using ultrasound for visceral and subcutaneous abdominal fat, calipers and abdominal region perimeter for subcutaneous fat and bioimpedance for weight, fat mass percentage and muscular mass. During 10 sessions (5 weeks, twice a week) both groups performed aerobic exercise in a cycloergometer and a clay body wrap with microcurrent was applied to the intervention group. Results When comparing both groups after 5 weeks of protocol, there was a significant decrease in the subcutaneous fat around left anterior superior iliac spine in the intervention group (ρ = 0.026 for a confidence interval 95%). When comparing initial and final abdominal fat in the intervention group, measured by ultrasound (subcutaneous and visceral fat) and by skinfold (subcutaneous fat), we detected a significant abdominal fat reduction. Conclusion This study demonstrated that the clay body wrap used with microcurrent and aerobic exercise can have a positive effect on central fat reduction

Anti-inflammatory and immunoregulatory action of sesquiterpene lactones

Sesquiterpene lactones (SL), characterized by their high prevalence in the Asteraceae family, are one of the major groups of secondary metabolites found in plants. Researchers from distinct research fields, including pharmacology, medicine, and agriculture, are interested in their biological potential. With new SL discovered in the last years, new biological activities have been tested, different action mechanisms (synergistic and/or antagonistic effects), as well as molecular structure–activity relationships described. The review identifies the main sesquiterpene lactones with interconnections between immune responses and anti-inflammatory actions, within different cellular models as well in in vivo studies. Bioaccessibility and bioavailability, as well as molecular structure–activity relationships are addressed. Additionally, plant metabolic engineering, and the impact of sesquiterpene lactone extraction methodologies are presented, with the perspective of biological activity enhancement. Sesquiterpene lactones derivatives are also addressed. This review summarizes the current knowledge regarding the therapeutic potential of sesquiterpene lactones within immune and inflammatory activities, highlighting trends and opportunities for their pharmaceutical/clinical use.The authors thank the Regional Development European Foundation and the Alentejo Region Operational Program (ALENTEJO 2020) for their financial support to “MedCynaraBioTec— Selection of Cynara cardunculus genotypes for new Biotechnological applications: the value chain improvement of cardoon, a well-adapted Mediterranean crop” (ALT20-03-0145-FEDER-039495); and “ValBioTecCynara—Economic Valorization of Cardoon (Cynara cardunculus): Study of natural variability and biotechnological applications” project (ALT20-03-0145-FEDER-000038). This work was also funded through FCT under the project UIDB/05183/2020 to the Mediterranean Institute for Agriculture, Environment, and Development (MED)

Can artificial diets be a feasible alternative for the gonadal growth and maturation of the sea urchin Paracentrotus lividus (Lamarck, 1816)?

Paracentrotus lividus (Lamarck 1816) has high-value reddishorange gonads that are regarded as a delicacy. In this study, three jellified diets have been tested for 90 days to assess the effect of different diets on P. lividus somatic and gonadal growth, gonad color, and reproductive state. All diets contained agar as a gelling agent and consisted of: maize and spinach (A); maize, spinach, and macroalga Laminaria digitata (B); and maize, spinach, and pumpkin Cucurbita maxima (C). Diet B was the most successful in promoting somatic growth with regard to test diameter (1.2 mm month−1) and total wet weight (79.9 mg ind−1 day−1). The individuals from Diet A presented a higher final gonadosomatic index (9.07 ± 2.39%) where all sea urchins initially presented with an index of 3.33 ± 0.02%. Diets A and C led to a marked advance (p < .05) in the gametogenic cycle (66.7% and 46.7% of the individuals with mature gametes, respectively), while Diet B resulted in less-developed gonadal stages, which are more appropriate for commercial purposes in terms of sensorial characteristics appreciated by the consumers. The gonad color analyses confirmed a redder roe in females and also the suitability of C. maxima as a potential gonad color enhancer for P. lividus.info:eu-repo/semantics/publishedVersio

Novel Antiretroviral Therapeutic Strategies for HIV.

When the first cases of HIV infection appeared in the 1980s, AIDS was a deadly disease without any therapeutic alternatives. Currently, there is still no cure for most cases mainly due to the multiple tissues that act as a reservoir for this virus besides the high viral mutagenesis that leads to an antiretroviral drug resistance. Throughout the years, multiple drugs with specific mechanisms of action on distinct targets have been approved. In this review, the most recent phase III clinical studies and other research therapies as advanced antiretroviral nanodelivery systems will be here discussed. Although the combined antiretroviral therapy is effective in reducing viral loading to undetectable levels, it also presents some disadvantages, such as usual side effects, high frequency of administration, and the possibility of drug resistance. Therefore, several new drugs, delivery systems, and vaccines have been tested in pre-clinical and clinical trials. Regarding drug delivery, an attempt to change the route of administration of some conventional antiretrovirals has proven to be successful and surpassed some issues related to patient compliance. Nanotechnology has brought a new approach to overcoming certain obstacles of formulation design including drug solubility and biodistribution. Overall, the encapsulation of antiretroviral drugs into nanosystems has shown improved drug release and pharmacokinetic profile.This work was supported with Gilead GÉNESE Ref. PGG/006/2016.info:eu-repo/semantics/publishedVersio

Different Cleat Models do Not Influence Side Hop Test Performance of Soccer Players with and without Chronic Ankle Instability

The lateral ankle sprain is one of the most common sport injury, representing 10-30% of all musculoskeletal disorders. The lateral ankle sprain is induced by sport gestures involving changes of direction and landing manoeuvres and constitutes a risk factor for the occurrence of chronic ankle instability. Although cleat models and performance have been already explored, no study has evaluated this relationship in athletes with chronic ankle instability. Therefore, the purpose of the study was to analyse the influence of different soccer cleat models on Side Hop Test performance of athletes with and without chronic ankle instability. Thirty-nine athletes were divided into two groups, a chronic ankle instability group (n = 20) and a healthy group (n = 19). Each participant performed the Side Hop Test, executing 10 consecutive jumps on dry artificial grass with 4 cleat models. The Qualisys System and two force platforms were used to analyse the test runtime, the distance travelled and the mean velocity. No statistically significant interaction was observed between the group and the cleat model for all variables evaluated. In addition, no differences were observed between models or groups. In this specific test, performance does not seem to be influenced by different cleat models on dry artificial grass in athletes with and without chronic ankle instability.info:eu-repo/semantics/publishedVersio

Does the cleat model interfere with ankle sprain risk factors in artificial grass?

Background: The cleats-surface interaction has been described as a possible risk factor for lateral ankle sprain. However, their interaction is still unknown in individuals with chronic ankle instability. The purpose of this study was to determine the influence of different soccer cleats on kinematic, kinetic and neuromuscular ankle variables on artificial grass in soccer players with and without chronic ankle instability. Methods: Eighty-two amateur athletes divided in two groups: 40 with chronic ankle instability and 42 without chronic ankle instability. All subjects performed 2 series of 6 consecutive crossover jumps with dominant foot, each one with one of the four models of cleats (Turf, Artificial grass, Hard and Firm ground). Cleat and group main effect and interactions of kinematic, kinetic and neuromuscular variables were analyzed according to factorial repeated measures ANOVA. Findings: No statistically significant cleat and group main effect and interactions were identified in kinematic, kinetic and electromyographic magnitude of the peroneal muscles. A main effect of the group was observed for peroneus longus activation time for TF model (p=0.010). Interpretation: In soccer players, the contributor variables for ankle sprain were not influenced by the kind of soccer cleat used in a functional jump test on artificial grass. However, players with chronic ankle instability present delayed postural adjustments in peroneus longus with the TF model compared to players without chronic ankle instability.info:eu-repo/semantics/publishedVersio

Does the cleat model interfere with ankle sprain risk factors in artificial grass?

Background: The cleats-surface interaction has been described as a possible risk factor for lateral ankle sprain. However, their interaction is still unknown in individuals with chronic ankle instability. The purpose of this study was to determine the influence of different soccer cleats on kinematic, kinetic and neuromuscular ankle variables on artificial grass in soccer players with and without chronic ankle instability. Methods: Eighty-two amateur athletes divided in two groups: 40 with chronic ankle instability and 42 without chronic ankle instability. All subjects performed 2 series of 6 consecutive crossover jumps with dominant foot, each one with one of the four models of cleats (Turf, Artificial grass, Hard and Firm ground). Cleat and group main effect and interactions of kinematic, kinetic and neuromuscular variables were analyzed according to factorial repeated measures ANOVA. Findings: No statistically significant cleat and group main effect and interactions were identified in kinematic, kinetic and electromyographic magnitude of the peroneal muscles. A main effect of the group was observed for peroneus longus activation time for TF model (p=0.010). Interpretation: In soccer players, the contributor variables for ankle sprain were not influenced by the kind of soccer cleat used in a functional jump test on artificial grass. However, players with chronic ankle instability present delayed postural adjustments in peroneus longus with the TF model compared to players without chronic ankle instability.info:eu-repo/semantics/publishedVersio