1,4-Butanediol intoxication: a case report

Poster apresentado no 56th Annual Meeting of The International Association of Forensic Toxicologists, Ghent (Bélgica), 2018Gamma-hidroxibutyric acid (GHB) is an endogenous compound with known action at the neural level. Its psychoactive effects led to an illicit use context including recreational purposes, muscle building effects in bodybuilders and drugs-facilitated crimes, specifically, in sexual assaults. Besides the use of the main compound, there are precursors, like Gammabutyrolactone (GBL) and 1,4-butanediol (1,4-BD), usually non controlled substances, allowing a much easier way to obtain the target-compound. The authors present the first reported intoxication case in Portugal with 1,4-Butanediol, including the quantification of GHB and GHB-GLUC in serum, by GC-MS/MS TQD. A male, 25 years old, entered in coma at the hospital emergency room, with the suspicion of an intoxication due to an unknown liquid ingestion. The forensic toxicology lab was asked to collaborate in order to identify the possible substance(s) involved and provide adequate treatment to the patient. The suspicious liquid and a serum sample were sent by the hospital and analysed by GC-MS-single quadrupole and GC-MS/MS TQD, respectively. A methodology including protein precipitation and GC-MS/MS TQD analysis was used to detect and quantify GHB and GHB-GLUC in serum. Toxicological analysis revealed the presence of 1,4-Butanediol in the liquid and GHB [171 mg/L] and GHB-GLUC [13,7 mg/L] in serum.The victim reverted the coma state with no neurological sequelae. This was the first detected case in Portugal with 1,4-Butanediol, suggesting that it is important to be aware that consumers have different options to acess illicit compounds, such as GHB. On the other hand, GHB-GLUC was identified and quantified for the first time in a real case sample, due to intoxication. This case highlights the importance of analyzing all samples for active compounds, percursors and metabolites that can lead to the main intoxication origin.N/

The complete mitochondrial genome of the endemic Iberian pygmy skate Neoraja iberica Stehmann, Séret, Costa, & Baro 2008 (Elasmobranchii, Rajidae)

Skates, Chondrichthyes fishes from order Rajiformes, are the most species-rich group of all Batoidea. However, their phylogenetic relationships and systematics is still a highly discussed and controversial subject. The use of complete mitogenome has shown to be a promising tool to fill this gap of knowledge. Here, the complete mitogenome of the Iberian pygmy skate Neoraja iberica (Stehmann, Séret, Costa & Baro 2008) was sequenced and assembled. The mitogenome is 16,723 bp long and its gene content (i.e. 13 protein-coding genes, 22 transfer RNA, and 2 ribosomal RNA genes) and arrangement are the expected for Batoidea. Phylogenetic reconstructions, including 89 Rajiformes and two outgroup Rhinopristiformes, recovered family Rajidae as monophyletic, and further divided in the monophyletic tribe Rajini, sister to tribes Amblyrajini and Rostrorajini. The newly sequenced N. iberica mitogenome is the first representative of the tribe Rostrorajini.FCT: PTDC/ART-DAQ/29537/2017/ FEDER: POCI-01-0145-FEDER-029537/ PT2020 COMPETE 2020 – FCT: UIDB/04423/2020, UIDP/04423/2020 / SFRH/BD/137935/2018/ SFRH/BD/147493/2019 PTDC/ASP-PES/28053/2017info:eu-repo/semantics/publishedVersio

Um programa de formação para a eficácia dos treinadores da iniciação e formação desportiva

[Excerto] Introdução: De uma forma verdadeiramente notável, em nenhum outro domínio ou contexto, como no desporto, encontramos tantos indivíduos (crianças, jovens e adultos) que voluntariamente se sujeitam e «subjugam» à autoridade de uma pessoa ou duas pessoas: os(as) seus (suas) treinadores(as) (Chelladurai, 1984; Cruz & Gomes, 1996). É particularmente saliente a confiança depositada pelos atletas na capacidade do treinador e nas suas técnicas motivacionais, para atingirem objectivos pessoais. Como salientaram Smoll e Smith (1984), a relação treinador-atleta determina a forma como os atletas são afectados pela sua participação no desporto. Se é verdade que a influência do treinador vai muito além do contexto desportivo (interferindo na vida, desenvolvimento e crescimento pessoal dos atletas), também é verdade que muitos treinadores, sobretudo por falta de formação e informação, não têm uma consciência clara de como e até que ponto afectam os seus atletas (Cruz & Gomes, 1996). [...

Intoxicação por 1,4-Butanediol: descrição de um caso

Apresentação oral no 16ª congresso Nacional de Medicina Legal e Ciências Forenses, Coimbra, 2017Introdução: O Ácido gamahidroxibutírico (GHB) é um composto endógeno, com ação conhecida em diversas áreas cerebrais. O seu uso ilícito inclui objetivos recreativos, o incremento da massa muscular, e como substância facilitadora de abuso sexual. A disponibilidade de dois percursores, nomeadamente a Gamabutirolactona (GBL) e o 1,4-butanediol (1,4-BD), os quais não se encontram alocados à lista de substâncias controladas, contrariamente ao próprio GHB, torna ainda mais fácil a sua obtenção e consumo. Material e Métodos: Um indivíduo do sexo masculino, com 25 anos, deu entrada no Serviço de Urgência de um Hospital Central, em estado de coma (CGS 7), com suspeita de intoxicação por ingestão de líquido, o qual o acompanhava. O SQTF recebeu uma amostra de soro e o referido líquido para análise. O procedimento analítico incluiu a análise direta do líquido por GC-MS, para identificação do mesmo, e a análise da amostra de soro através de extração líquido-líquido das substâncias de interesse, seguida da utilização de técnica de análise instrumental hifenada, nomeadamente um cromatógrafo de gases GC-450 acoplado a um espectrómetro de massa do tipo triplo quadrupolo MS-300 (Bruker). Resultados e Discussão: A análise do líquido permitiu a identificação da substância 1,4-Butanediol. A análise da amostra de soro permitiu a determinação de GHB numa concentração de 171 mg/L. Paralelamente, foi detetada, pela primeira vez, a presença do metabolito GHB-Glucuronizado (GHB-GLUC), metabolito este recentemente descrito. Conclusão: A informação hospitalar recebida indica que o indivíduo reverteu o estado comatoso, sem sugestão de sequelas neurológicas. Os dados clínicos e os resultados laboratoriais confirmam o diagnóstico de intoxicação por 1,4-Butanediol, detetado pela primeira vez no nosso país.N/

Um programa de formação para a eficácia dos treinadores da iniciação e formação desportiva

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Um programa de formação para a eficácia dos treinadores da iniciação e formação desportiva

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LOCUS (LOng Covid-Understanding Symptoms, events and use of services in Portugal): A three-component study protocol

Study ProtocolApproximately 10% of patients experience symptoms of Post COVID-19 Condition (PCC) after a SARS-CoV-2 infection. Akin acute COVID-19, PCC may impact a multitude of organs and systems, such as the cardiovascular, respiratory, musculoskeletal, and neurological systems. The frequency and associated risk factors of PCC are still unclear among both community and hospital settings in individuals with a history of COVID-19. The LOCUS study was designed to clarify the PCC’s burden and associated risk factors. LOCUS is a multi-component study that encompasses three complementary building blocks. The “Cardiovascular and respiratory events following COVID-19” component is set to estimate the incidence of cardiovascular and respiratory events after COVID-19 in eight Portuguese hospitals via electronic health records consultation. The “Physical and mental symptoms following COVID-19” component aims to address the community prevalence of self-reported PCC symptoms through a questionnaire-based approach. Finally, the "Treating and living with Post COVID-19 Condition" component will employ semi-structured interviews and focus groups to characterise reported experiences of using or working in healthcare and community services for the treatment of PCC symptoms. This multi-component study represents an innovative approach to exploring the health consequences of PCC. Its results are expected to provide a key contribution to the optimisation of healthcare services design.This study is sponsored by Pfizer (grant code #68639655).info:eu-repo/semantics/publishedVersio

Predictors of cardiac involvement in idiopathic inflammatory myopathies

Copyright © 2023 Bandeira, Dourado, Melo, Martins, Fraga, Ferraro, Saraiva, Sousa, Parente, Soares, Correia, Almeida, Dinis, Pinto, Oliveira Pinheiro, Rato, Beirão, Samões, Santos, Mazeda, Chícharo, Faria, Neto, Lourenço, Brites, Rodrigues, Silva-Dinis, Dias, Araújo, Martins, Couto, Valido, Santos, Barreira, Fonseca and Campanilho-Marques. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.Objectives: Idiopathic inflammatory myopathies (IIM) are a group of rare disorders that can affect the heart. This work aimed to find predictors of cardiac involvement in IIM. Methods: Multicenter, open cohort study, including patients registered in the IIM module of the Rheumatic Diseases Portuguese Register (Reuma.pt/Myositis) until January 2022. Patients without cardiac involvement information were excluded. Myo(peri)carditis, dilated cardiomyopathy, conduction abnormalities, and/or premature coronary artery disease were considered. Results: 230 patients were included, 163 (70.9%) of whom were females. Thirteen patients (5.7%) had cardiac involvement. Compared with IIM patients without cardiac involvement, these patients had a lower bilateral manual muscle testing score (MMT) at the peak of muscle weakness [108.0 ± 55.0 vs 147.5 ± 22.0, p=0.008] and more frequently had oesophageal [6/12 (50.0%) vs 33/207 (15.9%), p=0.009] and lung [10/13 (76.9%) vs 68/216 (31.5%), p=0.001] involvements. Anti-SRP antibodies were more commonly identified in patients with cardiac involvement [3/11 (27.3%) vs 9/174 (5.2%), p=0.026]. In the multivariate analysis, positivity for anti-SRP antibodies (OR 104.3, 95% CI: 2.5-4277.8, p=0.014) was a predictor of cardiac involvement, regardless of sex, ethnicity, age at diagnosis, and lung involvement. Sensitivity analysis confirmed these results. Conclusion: Anti-SRP antibodies were predictors of cardiac involvement in our cohort of IIM patients, irrespective of demographical characteristics and lung involvement. We suggest considering frequent screening for heart involvement in anti-SRP-positive IIM patients.info:eu-repo/semantics/publishedVersio

Protocolos em Medicina Interna - Serviço de Medicina lnterna do Hospital Central do Funchal

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