Receptividade estigmatica em Eucalyptus dunnii.

Devido à sua importância para os estudos de biologia reprodutiva da espécie e visando oferecer subsídios para melhorar a eficiência da polinização controlada, estudou-se a receptividade do estigma de E. dunnii Maiden, em um banco clonal, com 8 anos de idade, no município de Colombo, PR. Seis ramos em diferentes posições da copa de dois clones foram amostrados para a seleção de 20 botões florais, no estágio adequado à emasculação. Seis polinizações foram feitas, com intervalo de dois dias entre elas, no período de 10 dias, utilizando-se uma mistura de pólen de 3 clones diferentes do mesmo banco. As avaliações foram feitas mensalmente, na forma de contagem de cápsulas (frutos), até 180 dias após a emasculação Após esse período, os frutos foram coletados e as sementes extraídas. A quantidade de sementes produzidas por cápsula e o número total de cápsulas resultante das polinizações controladas variam entre clones. Para a maximização da eficiência da polinização controlada de E. dunnii, recomenda-se que esta seja feita ao redor do sexto dia após a antese

The impact of self-stigma in people with diagnosis of severe mental illness: a cross-sectional pilot study from a community psychiatry unit in Porto, Portugal

"Introduction Self-stigma refers to the process in which a person internalizes negative stereotypes, beliefs, and prejudices about their mental illness, adopting a stigmatized view of themselves. Severe mental illness is one of the most socially exclusive stigmata and is associated with poor clinical and functional outcomes and social withdrawal. Objectives In Portugal, investigation regarding self-stigma is scarce. In this study, we aim to evaluate the impact of self-stigma among people with diagnosis of severe mental illness (SMI). For this goal we assess the prevalence of self-stigma of psychiatric patients with diagnosis SMI; and investigate the correlates of elevated self-stigma levels. Methods Fifty-one outpatients with SMI, were recruited from a community psychiatry unit from Porto, Portugal. After informed consent, evaluations included sociodemographic data, illness characteristics, and self-reported standardized scales. Self-stigma (ISMI), self-esteem (RSES) and quality of life (WHO-QoL) were assessed. Data analyses were performed using the SPSS version 28.0 (IBM Corp., Armonk, NY). p-values<0.05 were considered significant. Results From the study sample, 66.7% were male, with mean age of 44.8±11.0 and 56.9% were single. 33.3% reported living with their parents while 31.4% were living with a partner/spouse. The majority of participants had a diagnosis of schizophrenia (60.8%). Concerning the level of education, 58.8% completed basic education, but most patients were retired due to illness (62.7%). In this study, moderate to high self-stigma levels was found in 31.4% participants. Proportion of elevated self-stigma was significantly higher in unemployed/retired patients vs. those who were active (39.0% vs. 0%; P=0.021). No significant correlations were found with age, level of education, age at diagnosis, duration of illness, and number of hospitalizations. In the correlations analysis, a negative correlation between self-stigma and self-esteem (rho=-0.745; P<0.001), as well as self-stigma and quality of life (rho=-0.585; P<0.001) was found. A positive relationship between self-esteem and quality of life (rho=0.551; P<0.001) was found. Conclusions This study investigates, for the first time, the prevalence of self-stigma among outpatients with SMI in a community psychiatric unit from Porto. Our findings suggest a high prevalence of elevated levels of self-stigma among these patients. A significant association with being unemployed/retired was also found. Our results support previous evidence that internalized stigma is strongly associated with diminished self-esteem and impaired quality of life, in particular those aspects related to physical and psychological complaints. Targeting internalized stigma and self-esteem among patient with SMI will likely improve their quality of life, besides improving their clinical and functional outcomes.

Does harvesting affect the relative growth in Patella aspera Röding, 1798?

Length–weight relationships (LWRs) provide valuable information about growth and individual fitness on the population. LWRs are commonly used in studies on life history, population dynamics, ecosystem modelling and stock assessment. A comparative study on the effect of harvesting in the relative growth of Patella aspera between Marine Protected Areas (MPAs) and exploited areas was conducted in the archipelago of Madeira (NE Atlantic Ocean). The results showed that populations from the exploited areas exhibited a negative allometric growth whilst the populations from the MPAs showed predominantly isometric and positive allometric growth. The effects of protection from MPAs on the populations of P. aspera were not only restricted to an increase in mean size but also in a more balanced growth. This study highlight the importance of MPAs in the preservation of P. aspera populations in Madeira archipelago. Hence, these results should be used to corroborate the positive effects of MPAs in safeguarding the exploited resources, especially in oceanic islands were species are more prone to over-exploitation.info:eu-repo/semantics/publishedVersio

Changes to TB care in an outpatient centre during the COVID‐19 pandemic

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Aneurismas Gigantes do Septo Interauricular Simulando Massas Quísticas. Dois Casos com Opções Terapêuticas Diferentes

With the recent technical improvement in echocardiography imaging (second harmonics) the number of interatrial septum aneurysms (ASA) increased and are easily recognized. We assist to an overdiagnosing number of cases and diagnostic criteria emerged to face this problem. In the great majority of the cases ASA are small and inoffensive, but as ASA is considered a risk factor for cardioembolism when associated with persistence of foramen oval (PFO), an examination by transesophageal echocardiography (TEE) for exclusion of PFO makes the sense and is a common testing in patients with cryptogenic stroke. Besides these frequent ASA, other forms exist; the authors describe two cases of uncommon and huge ASA, one mimicking a right atrial tumor and the other a quistic, hipoechoic mass. The first case was associated with mitral stenosis and was submitted to surgery and the second was closed with an Amplatzer occluder device usually used in atrial septal defect (ASD)

Uveíte, Sífilis e SIDA

Os autores apresentam o caso clínico de um homem de 55 anos com antecedentes de sífilis primária na juventude e quatro reinfecções posteriores, a última das quais há dois anos, adequadamente tratada e com remissão do quadro. Observado em consulta externa de Oftalmologia, por olho vermelho, foi-lhe diagnosticada pan-uveíte, com íris de características sifilíticas (roséola sifilítica). Na sua avaliação laboratorial salientaram-se: Venereal Disease Research Laboratory (VDRL) positivo, Fluorescent Treponemal Antibody Absorbed Test (FTA-ABS) positivo, Vírus da Imunodeficiência Humana (VIH-1) positivo. Internado no Serviço de Medicina, foi submetido a punção lombar, tendo a análise do liquor revelado pleocitose, proteinorraquia aumentada, VDRL negativo, Treponema Pallidum Hemagglutination Assay (TPHA) positivo e FTA/ABS positivo, aspectos estes compatíveis com envolvimento sifilítico do SNC. O diagnóstico de neurosífilis assintomática nos doentes duplamente infectados é difícil e complexo, pois fundamenta-se em testes serológicos que não obedecem ao padrão habitual. A terapêutica é controversa, devido à recorrência dos quadros neurológicos após terapêuticas consideradas adequadas, sendo recomendada vigilância apertada destes doentes

Pharyngolaryngeal Foreign Body as Cause of Disphonia

A ingestão acidental e a impactação de corpos estranhos na via aerodigestiva é uma urgência otorrinolaringológica comum. Nos adultos, as espinhas são os corpos estranhos mais frequentemente impactados. Uma anamnese e uma observação cuidadosas são de extrema importância. Os sintomas incluem odinofagia, disfagia, tosse persistente, alteração da voz, sialorreia e menos frequentemente uma complicação respiratória. As espinhas impactam mais frequentemente numa localização supra-hioideia. Locais menos frequentes de impactação são a hipotaringe, a região cricofaríngea e o esófago, sendo o diagnóstico mais difícil a estes níveis. A migração extra-luminal ocorre raramente, sendo mais frequente na presença de uma espinha. Atendendo a sua forma, este é o corpo estranho que mais facilmente migra e como tal, é o que apresenta maior taxa de complicações. Nesta situação, é necessário um elevado lndice de suspeição, sendo a realização de TC fundamental. Os autores apresentam um caso de migração de uma espinha ao nível da banda ventricular laringea e um algoritmo para o diagnóstico e tratamento de corpos estranhos perfurantes e migrantes.info:eu-repo/semantics/publishedVersio

Short-latency responses in chronic ankle instability

Ankle proprioceptive impairments after ankle sprain appear to be in the origin of the neuromuscular dysfunction in Chronic Ankle Instability (CAI), however the analysis of this condition has been focused on a unilateral approach. Considering that proprioceptive information have a determinant role in ipsilesional limb responses but also the contralesional ones, the present study aims to analyze the bilateral Short Latency Responses (SLR) in response to an unilateral perturbation in individuals with CAI. Two groups of athletes participated in the present study. One was composed by participants presenting CAI (CAI group, n = 16), while the other was composed by participants not presenting ankle sprain episodes (control group, n = 20). The electromyographic activity of the Peroneal Brevis and Longus (PB and PL), Tibialis Anterior (TA) and Soleus (SOL) muscles was collected during a unilateral sudden inversion perturbation in both the support and perturbed limbs. The timing of muscle activation of both limbs was used for analysis. Delayed SLR of TA (p = 0.009) and in SOL (p = 0.042) muscles were observed in the contralesional limb of the CAI group in the support position compared to the control group. In CAI group, delayed SLR of PB (p = 0.023) and SOL (p = 0.004) muscles was found in the contralesional limb in the support position compared to the ipsilesional one. The rehabilitation of individuals with CAI should also be focused on the contralesional limb while assuming a support position and also, contralesional limb should not be considered a reference for comparison between limbs.info:eu-repo/semantics/publishedVersio

Stevens-Johnson syndrome/toxic epidermal necrolysis and erythema multiforme drug-related hospitalisations in a national administrative database

BACKGROUND: Stevens-Johnson syndrome/toxic epidermal necrolysis (SJS/TEN) and erythema multiforme (EM) are immunologically-mediated dermatological disorders commonly triggered by drug exposure and/or other external agents. We aimed to characterise SJS/TEN- and EM-drug-related hospitalisations in a nationwide administrative database, focusing on demographic and clinical characteristics, and in the most frequently implicated drug classes. METHODS: We analysed all drug-related hospitalisations with associated diagnosis of SJS/TEN or EM in Portuguese hospitals between 2009 and 2014. We compared gender, age, comorbidities, length of stay, and in-hospital mortality and estimated the number of episodes per million packages sold of drug classes. Predictors of in-hospital mortality were investigated in both conditions by logistic regression. RESULTS: There were 132 SJS/TEN-related and 122 EM-related hospitalisations. Incidence and in-hospital mortality of SJS/TEN episodes (24.2%) were consistent with previous studies. HIV co-infection was more common among SJS/TEN hospitalisations (9 vs. 2% with EM; P = 0.009). Liver disease, advanced age, and a TEN diagnosis, were significantly associated with higher risk of mortality in patients with SJS/TEN. The highest numbers of SJS/TEN and EM episodes per million drug packages sold were observed for antivirals (8.7 and 1.5, respectively), antineoplastic/immunosuppressive drugs (5.6 and 3.9, respectively) and hypouricaemic drugs (5.0 and 2.4, respectively). CONCLUSIONS: SJS/TEN in-hospital mortality is high, and its risk factors include advanced age, liver disease, and TEN diagnosis. The drug classes most frequently associated with these conditions include antivirals, hypouricaemic drugs and antineoplastic/immunosuppressive drugs. Administrative databases seem useful in the study of SJS/TEN drug-related hospitalisations, yielding results consistent with previous studies and on a nationwide basis.info:eu-repo/semantics/publishedVersio

Antimicrobial activity and lipid profile of seaweed extracts from the North Portuguese coast

Seaweeds or marine macroalgae are a potential renewable resource in the marine environment and can represent a source of new natural compounds for human nutrition. This experimental work focused on the selection of a suitable extraction method, using Gracilaria vermiculophylla as a model, followed by the characterization of the antimicrobial activity of different solvent extracts of Gracilaria vermiculophylla, Porphyra dioica and Chondrus crispus, both from wild and from an integrated multi-trophic aquaculture system (IMTA), collected in the north of Portugal. Additionally, the fatty acid profile of the seaweed extracts was also investigated. Extraction tests included the definition of the physical state of the seaweed, temperature and type of solvents to be used during the process. Results revealed that test organisms (Gram negative and Gram positive bacteria as well as one yeast species) were more sensitive to extracts obtained with dried algae, processed continuously at higher temperatures. Results from antimicrobial activity of wild and IMTA seaweed extracts showed stronger antimicrobial activity in extracts of ethyl acetate when compared with those from methanol and diethyl ether; furthermore, among the type of microorganisms tested, there was tendency for inhibition of the Gram positive ones. In general, there appears to be a higher antimicrobial activity for the microorganisms under study in extracts obtained from aquaculture species, when compared with the wild ones. The fatty acid profile of ethyl acetate extracts revealed a predominance of saturated fatty acids (SFA), especially palmitic acid (16:0), followed by polyunsaturated fatty acids (PUFA) and monounsaturated fatty acids (MUFA). A higher content of fatty acids in aquaculture extracts of Gracilaria vermiculophylla and Porphyra dioica was also observed.info:eu-repo/semantics/publishedVersio