Shear viscosity and nonlinear behaviour of whole blood under large amplitude oscillatory shear

We investigated experimentally the rheological behavior of whole human blood subjected to large amplitude oscillatory shear under strain control to assess its nonlinear viscoelastic response. In these rheological tests, the shear stress response presented higher harmonic contributions, revealing the nonlinear behavior of human blood that is associated with changes in its internal microstructure. For the rheological conditions investigated, intra-cycle strain-stiffening and intra-cycle shear-thinning behavior of the human blood samples were observed and quantified based on the Lissajous–Bowditch plots. The results demonstrated that the dissipative nature of whole blood is more intense than its elastic component. We also assessed the effect of adding EDTA anticoagulant on the shear viscosity of whole blood subjected to steady shear flow. We found that the use of anticoagulant in appropriate concentrations did not influence the shear viscosity and that blood samples without anticoagulant preserved their rheological characteristics approximately for up to 8 minutes before coagulation became significant

Efficacy of dignity therapy for depression and anxiety in terminally-ill patients: early results of a randomized controlled trial

Objective: Dignity therapy (DT) is a short-term psychotherapy developed for patients living with a life-limiting illness. Our aim was to determine the influence of DT on symptoms of depression and anxiety in people with a life-threatening disease with high level of distress, referred to an inpatient palliative care unit. Method: This was an open-label randomized controlled trial. Sixty terminally ill patients were randomly assigned to one of two groups: intervention group (DT+ standard palliative care [SPC]) or control group (SPC alone). The main outcomes were symptoms of depression and anxiety, measured with the Hospital Anxiety and Depression Scale, assessed at baseline, day 4, day 15, and day 30 of follow-up. Results: Of the 60 participants, 29 were randomized to DT and 31 to SPC. Baseline characteristics were similar between the two groups. DT was associated with a significant decrease in depressive symptoms at day 4 and day 15 (mean = −4.46, 95% CI, −6.91–2.02, p = 0.001; mean= −3.96, 95% CI, −7.33 to −0.61; p = 0.022, respectively), but not at day 30 (mean = −3.33, 95% CI, −7.32–0.65, p = 0.097). DT was also associated with a significant decrease in anxiety symptoms at each follow-up (mean= −3.96, 95% CI, −6.66 to −1.25, p = 0.005; mean= −6.19, 95% CI, −10.49 to −1.88, p = 0.006; mean = −5.07, 95% CI, −10.22 to −0.09, p = 0.054, respectively). Significance of results: DT appears to have a short-term beneficial effect on the depression and anxiety symptoms that often accompany patients at the end of their lives. Future research with larger samples compared with other treatments is needed to better understand the potential benefits of this psychotherapy

The Problem of Overutilization of Resources and the Choosing Wisely Portugal Program - Judicious Choices in Health

A variação da prática clínica é um fenómeno que se encontra bem descrito e que se caracteriza por uma prática clínica utilizando testes diagnósticos e esquemas terapêuticos diversos, em doentes semelhantes na patologia que apresentam e no seu risco basal. A sobreutilização de recursos em saúde caracteriza-se por apresentar um benefício-risco negativo. Infelizmente ambos os fenómenos se verificam em diversos países, em particular países desenvolvidos. Neste contexto, o American Board of Internal Medicine lançou a campanha Choosing Wisely, a qual foi, entretanto, implementada em diversos países incluindo Portugal.The variation of clinical practice is a well-described phenomenon in which patients with similar diagnoses, prognoses and demographic status receive different levels of care depending on when, where and by whom they are treated, despite agreed and documented evidence of best practice. The overutilization of health resources is also known to have a negative risk-benefit ratio. Unfortunately, both phenomena occur in several countries, especially in developed countries. In the light of this, the American Board of Internal Medicine launched the Choosing Wisely campaign, which has subsequently been implemented in several countries, including Portugal.info:eu-repo/semantics/publishedVersio

Crescimento de gramíneas e leguminosas forrageiras tropicais sob sombreamento.

O objetivo deste trabalho foi avaliar o efeito de níveis de sombreamento artificial (0%, 30%, 50% e 70%) nas taxas de acúmulo de matéria seca de quatro gramíneas (Brachiaria brizantha cv. Marandu, B. humidicola cv. Quicuio-da-amazônia, Panicum maximum cv. Massai e Paspalum notatum cv. Pensacola) e três leguminosas forrageiras (Arachis pintoi cv. Belmonte, A. pintoi BRA-031143 e Pueraria phaseoloides), em Rio Branco, Acre. No período de novembro de 1999 a abril de 2001, foram realizados nove cortes para medição das taxas de acúmulo de matéria seca. Os capins marandu e massai tiveram o melhor desempenho entre as gramíneas, aliando boa tolerância ao sombreamento e alta capacidade produtiva, constituindo opções importantes na composição de sistemas silvipastoris em áreas com solos bem drenados. O quicuio-da-amazônia apresentou menor tolerância ao sombreamento, podendo ser usado em sistemas silvipastoris com baixa densidade arbórea, em áreas com chuvas bem distribuídas ou com solos mal drenados. O capim-pensacola apresentou alta tolerância ao sombreamento, mas baixa capacidade produtiva, não sendo recomendado para a região. O Arachis pintoi cv. Belmonte demonstrou maior capacidade produtiva e tolerância ao sombreamento que as demais leguminosas

Development and characterization of an active chitosan-based film containing quercetin

This work aims at developing an active chitosan film through the incorporation of quercetin and the evaluation of physical and functional properties of the films made thereof. The addition of quercetin showed to influence films properties in terms of surface morphology, tensile strength, and opacity while elongation-at-break, thickness, water vapor, and oxygen permeability were not significantly affected with incorporation of quercetin. The color parameters of chitosan films were affected by quercetin incorporation with a decrease of the values of L* and a*. The film exhibited a high free-radical scavenging activity, showing antioxidant activity. The film-forming solutions of chitosan with or without quercetin showed antibacterial activity against four Gram-negative and three Gram-positive bacteria. These results showed that quercetin incorporation in chitosan-based films has potential to be used as a solution for active food packaging.Author Marthyna Pessoa de Souza thanks the Coordenacao de Aperfeicoamento de Pessoal de Nivel Superior (CAPES/PDEE-Brazil) and Fundacao de Amparo a Ciencia e Tecnologia do Estado de Pernambuco (FACEPE, Brazil) for fellowships. Miguel A. Cerqueira and Helder D. Silva (SFRH/BPD/72753/2010 and SFRH/BD/81288/2011, respectively) are recipients of a fellowship from the Fundacao para a Ciencia e Tecnologia (FCT, POPH-QREN and FSE Portugal). This research was financially supported by research grants and fellowships from the Conselho Nacional de Desenvolvimento Cientifico e Tecnologico (CNPq), as well as the Coordenacao de Aperfeicoamento de Pessoal de Nivel Superior (CAPES) and Fundacao de Amparo a Ciencia e Tecnologia do Estado de Pernambuco (FACEPE). The authors also thank the FCT Strategic Project of UID/BIO/04469/2013 unit, the project RECI/BBB-EBI/0179/2012 (FCOMP-01-0124-FEDER-027462), and the project "BioInd - Biotechnology and Bioengineering for improved Industrial and Agro-Food processes," REF. NORTE-07-0124-FEDER-000028 Co-funded by the Programa Operacional Regional do Norte (ON. 2-O Novo Norte), QREN, FEDE

Quercetin-loaded lecithin/chitosan nanoparticles for functional food applications

This study aimed at the encapsulation of quercetin into lecithin/chitosan nanoparticles using the electrostatic self-assembly technique, followed by evaluation of their functionality (antioxidant activity) and stability at different environmental conditions. These nanoparticles were characterized in terms of: average size, morphology, zeta potential, encapsulation efficiency, loading, and spectroscopic characteristics. Quercetin has been successfully encapsulated in lecithin/chitosan nanoparticles with an efficiency of 96.13 ± 0.44 %. Nanoparticles presented a spherical morphology with an average size of 168.58 ± 20.94 nm and a zeta potential of 56.46 ± 1.94 mV. Stability studies showed that nanoparticles are stable to temperatures ranging between 5 and 70 °C and a pH variation from 3.3 to 5.0. Moreover, encapsulated quercetin showed improved antioxidant properties when compared to free-quercetin. Our results suggest that quercetin-loaded lecithin/chitosan nanoparticles can be used in the manufacture of functional foods.Author Marthyna Pessoa de Souza thanks Coordenacao de Aperfeicoamento de Pessoal de Nivel Superior (CAPES/PDEE-Brazil) and Fundacao de Amparo a Ciencia e Tecnologia do Estado de Pernambuco (FACEPE, Brazil) for granting her scholarships. Miguel A. Cerqueira is recipient of a fellowship from the Fundacao para a Ciencia e Tecnologia (SFRH/BPD/72753/2010, FCT, POPH-QREN, and FSE Portugal). This research was financially supported by research grants and fellowships from the Conselho Nacional de Desenvolvimento Cientifico e Tecnologico (CNPq), as well as the Coordenacao de Aperfeicoamento de Pessoal de Nivel Superior (CAPES) and Fundacao de Amparo a Ciencia e Tecnologia do Estado de Pernambuco (FACEPE).The support of EU Cost Actions FA0904 and FA1001 is gratefully acknowledged

Broadening Risk Factor or Disease Definition as a Driver for Overdiagnosis: A Narrative Review

Medical overuse-defined as the provision of health services for which potential harms exceed potential benefits-constitutes a paradigm of low-value care and is seen as a threat to the quality of care. Value in healthcare implies a precise definition of disease. However, defining a disease may not be straightforward since clinical data do not show discrete boundaries, calling for some clinical judgment. And, if in time a redefinition of disease is needed, it is important to recognize that it can induce overdiagnosis, the identification of medical conditions that would, otherwise, never cause any significant symptoms or lead to clinical harm. A classic example is the impact of recommendations from professional societies in the late 1990s, lowering the threshold for abnormal total cholesterol from 240 mg/dl to 200 mg/dl. Due to these changes in risk factor definition, literally overnight there were 42 million new cases eligible for treatment in the United States. The same happened with hypertension-using either the 2019 NICE guidelines or the 2018 ESC/ECC guidelines criteria for arterial hypertension, the proportion of people overdiagnosed with hypertension was calculated to be between 14% and 33%. In this review, we will start by discussing resource overuse. We then present the basis for disease definition and its conceptual problems. Finally, we will discuss the impact of changing risk factor/disease definitions in the prevalence of disease and its consequences in overdiagnosis and overtreatment (a problem particularly relevant when definitions are widened to include earlier or milder disease).info:eu-repo/semantics/publishedVersio

Influence of thickness and coatings morphology in the antimicrobial performance of zinc oxide coatings

"Author's copy"In this research work, the production of undoped and silver (Ag) doped zinc oxide (ZnO) thin films for food-packaging applications were developed. The main goal was to determine the influence of coatings morphology and thickness on the antimicrobial performance of the produced samples. The ZnO based thin films were deposited on PET (Polyethylene terephthalate) substrates by means of DC reactive magnetron sputtering. The thin films were characterized by optical spectroscopy, X-Ray Diffraction (XRD), X-ray photoelectron spectroscopy (XPS) and Scanning Electron Microscopy (SEM). The antimicrobial performance of the undoped and Ag-doped ZnO thin films was also evaluated. The results attained have shown that all the deposited zinc oxide and Ag-doped ZnO coatings present columnar morphology with V-shaped columns. The increase of ZnO coatings thickness until 200 nm increases the active surface area of the columns. The thinner samples (50 and 100 nm) present a less pronounced antibacterial activity than the thickest ones (200–600 nm). Regarding Ag-doped ZnO thin films, it was verified that increasing the silver content decreases the growth rate of Escherichia coli and decreases the amount of bacteria cells present at the end of the experiment.The work described in this paper was supported by project NANOPACKSAFER: NANO-engineered PACKaging systems for improving quality, SAFEty and health characteristics of foods, Portugal-Spain International Nanotechnology Laboratory Nanotechnology Projects Call; and also by the FEDER funding through the COMPETE program and FCT PEst-C/BIA/UI4050/2011 project

Usando Redes Aleatorias na Analise de Mobilidade

National audienceThe constant advancement of information systems has allowed more data to be generated and stored from the most diverse situations. It is fascinating that, behind these records, we see the reflection of the environment itself, since every record represents a decision made by some entity. In this work, we modeled real-world scenarios of mobility from using temporal complex networks. The analysis assumes that these systems are composed of entities able to interact in a rational manner, reflecting their interests and activity dynamic. In this direction, we propose a technique for analyzing mobility scenarios from random graphs. This technique examines how the real system would evolve if the agents' decisions were random, and from there, you can check, for example, which edges are random and which are derived from social relationships, such as friendship or professional.O avanco constante de sistemas de informacao tempermitido que mais dados sejam gerados e armazenados a partir das mais diversas situacoes. E fascinante que, por tras de cada registro, seja possıvel ver o reflexo do ambiente em si, ou seja, alguma decisao tomada por alguma entidade. Neste trabalho, sao estudados cenarios reais de mobilidade a partir de uma modelagem usando redes complexas temporais. A analise parte do pressuposto que esses sistemas sao compostos de entidades capazes de interagir entre si de uma maneira racional, refletindo seus interesses e dinamica de atividade. Nessa direcao, e proposta uma tecnica para analisar cenarios de mobilidade a partir de grafos aleatorios. Essa tecnica verifica como o sistema real evoluiria caso as decisoes dos seus agentes fossem aleat'orias e, a partir dela, pode-se verificar, por exemplo, quais arestas s˜ao aleat'orias e quais s˜ao provenientes de relac¸ ˜oes sociais, tais como relac¸ ˜oes de amizade ou profissionais