Chronic Pruritus

O Prurido crónico é um sintoma que tem um impacto significativo na qualidade de vida dos doentes. Pode estar associado a um vasto conjunto de doenças e na maioria dos casos, é difícil conseguir um alívio completo da sintomatologia. A investigação da sua etiologia implica a colheita de uma história clínica meticulosa, bem com a realização do exame objectivo e de exames complementares de diagnóstico. O tratamento do prurido é frequentemente um desafio para o dermatologista e pode incluir a implementação de diferentes terapêuticas. Esta revisão pretende dar ênfase à abordagem clínica e às opções terapêuticas do doente com prurido crónico

Revisiting the genetics of APOE

Apolipoprotein E (APOE) is a lipid-transport protein expressed in almost all tissues, including the brain. In addition to lipid delivery, brain APOE also regulates amyloid beta clearance and aggregation. In humans, there are three main isoforms, APOE2, APOE3 and APOE4, with structural differences that influence protein function. APOE4 is the most important genetic risk factor for Alzheimer’s disease and Dementia with Lewy bodies. In this review, we will focus on the genetic variability of APOE and its association with different diseases (mainly neurodegenerative, psychiatric and lipid-related). Despite the increasing number of studies, the association of APOE genetic variants with other neurological conditions beyond Alzheimer’s disease and Dementia with Lewy bodies is still far from clear. We will also discuss the association of different structural and functional aspects of APOE with different diseases, particularly the amyloid beta-dependent and-independent mechanisms, such as tau-mediated neurodegeneration, associated with Alzheimer’s disease pathogenesis. As the most significant genetic risk factor for Alzheimer’s disease, APOE has a central role in the risk assessment of this disease. Consequently, a better understanding of the impact of common and rare APOE variants will not only contribute to a more accurate risk management of these patients, but it will also clarify the potential of APOE as a therapeutic target

A dermatosis of pregnancy

info:eu-repo/semantics/publishedVersio

Inventory of attitudes toward seeking mental health services: psychometric properties among adolescents

Mental health is an essential element of wellness; however, some populations are more vulnerable to mental health problems. Suicide is the second-highest cause of death in young people and help-seeking unwillingness is a significant obstacle to mental health interventions. Young people are especially reluctant to seek help and negative attitudes stand out as help-seeking barriers, highlighting the importance of evaluating these constructs. The Inventory of Attitudes toward Seeking Mental Health Services (IASMHS) is a measure that evaluates help-seeking attitudes; nevertheless, it lacks applicability in Portuguese youth. This study aims to explore the psychometric characteristics of the IASMHS in 750 Portuguese adolescents (52.3% female, Mage = 14.67), through exploratory and confirmatory factor analysis, and reliability and validity analyses. Results suggest that a three-factor structure was adequate, those factors being help-seeking propensity, indifference to stigma, and psychological openness. The IASMHS was shortened to 20 items and revealed satisfactory properties regarding internal consistency, convergent/discriminant validity, and temporal stability. These findings validate the IASMHS as an adequate tool in the assessment of young people’s help-seeking attitudes.info:eu-repo/semantics/publishedVersio

Parallel strategies for Direct Multisearch

Publisher Copyright: © 2022, The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.Direct multisearch (DMS) is a derivative-free optimization class of algorithms, suited for computing approximations to the complete Pareto front of a given multiobjective optimization problem. In DMS class, constraints are addressed with an extreme barrier approach, only evaluating feasible points. It has a well-supported convergence analysis and simple implementations present a good numerical performance, both in academic test sets and in real applications. Recently, this numerical performance was improved with the definition of a search step based on the minimization of quadratic polynomial models, corresponding to the algorithm BoostDMS. In this work, we propose and numerically evaluate strategies to improve the performance of BoostDMS, mainly through parallelization applied to the search and to the poll steps. The final parallelized version not only considerably decreases the computational time required for solving a multiobjective optimization problem, but also increases the quality of the computed approximation to the Pareto front. Extensive numerical results will be reported in an academic test set and in a chemical engineering application.preprintpublishe

Evidence for inter- and intra-species biofilm formation variability among a small group of coagulase-negative staphylococci

Coagulase-negative staphylococci (CoNS) are common bacterial colonisers of the human skin. They are often involved in nosocomial infections due to biofilm formation in indwelling medical devices. While biofilm formation has been extensively studied in Staphylococcus epidermidis, little is known regarding other CoNS species. Here, biofilms from six different CoNS species were characterised in terms of biofilm composition and architecture. Interestingly, the ability to form a thick biofilm was not associated with any particular species, and high variability on biofilm accumulation was found within the same species. Cell viability assays also revealed different proportions of live and dead cells within biofilms formed by different species, although this parameter was particularly similar at the intra-species level. On the other hand, biofilm disruption assays demonstrated important inter- and intra-species differences regarding extracellular matrix composition. Lastly, confocal laser scanning microscopy (CLSM) experiments confirmed this variability, highlighting important differences and common features of CoNS biofilms. We hypothesised that the biofilm formation heterogeneity observed was rather associated with biofilm matrix composition than with cells themselves. Additionally, our results indicate that polysaccharides, DNA and proteins are fundamental pieces in the process of CoNS biofilm formation.This work was co-funded by FCT Strategic Project PEst-OE/EQB/LA0023/2013, FCT project RECI/BBB-EBI/0179/2012 (FCOMP-01-0124-FEDER-027462) and by QREN, FEDER, ON2 project NORTE-07-0124-FEDER-000027. NC is an Investigador FCT

Quality attributes of cultivated white crowberries (Corema album (L.) D. Don) from a multi-origin clonal field

There is a growing interest in Corema album (L.) D. Don fruits due to the unique white colour, mildly acidic lemony flavour and health-promoting properties associated with its bioactive composition. This study performs a physical–chemical characterisation of cultivated C. album fruits from a multi-origin clonal field. The field comprises ten wild populations with distinct geographical origins, grown under the same edaphoclimatic conditions. We analysed fruits CIELab colour parameters, texture profile (TPA), pH, acidity (TA, g.100 mL−1), soluble solids content (SSC, %) and total phenolic content (TPC, mg CAE.100 g−1). Our results showed differences between fruits physical–chemical attributes. Variation patterns in fruits SSC and hardness suggest that the differences might be related to the original geographical location of the populations. The determined TPC levels in all samples were very encouraging at a bioactive level, ranging from 185.3 to 355.6 mg CAE.100 g−1. Fruits from Mira and Pego populations stood out from the ten geographical provenances. Mira fruit samples had higher sweetness and lower acidity, while the Pego ones had firmer fruits and higher phenolic content. The multi-origin clonal field allowed us to offer an interesting scientific comparative background, highlighting the large potential of these berries for introduction in the commercial market. Not only our results support the potential of white crowberry as a new crop; the detected differences also indicate a hidden capacity for small fruit market diversification.info:eu-repo/semantics/publishedVersio

Drug Allergy with Cutaneous Manifestations. Diagnostic Approach

As reacções adversas a fármacos (RAF) representam um problema frequente na prática clínica. A alergia a fármacos resulta de mecanismos de hipersensibilidade imunológica e representa 6-10% do total de RAF. Clinicamente, as reacções alérgicas a fármacos podem ser classificadas como imediatas (tipo I) ou não-imediatas (com manifestações clínicas diversas e associadas sobretudo a reacções de tipo IV). Neste artigo são abordados aspectos gerais, nomeadamente os mecanismos imunopatogénicos implicados na alergia a fármacos e reactividade cruzada mas também as manifestações cutâneas mais relevantes, nomeadamente exantemas máculo-papulares, eritema fixo a fármacos (EFF), pustulose exantemática aguda generalizada (PEAG), síndrome de hipersensibilidade a fármacos (DRESS – drug rash with eosinophilia and systemic symptoms), síndrome de Stevens-Johnson/necrólise epidérmica tóxica (SSJ/NET). O papel dos testes cutâneos (epicutâneos ou intradérmicos de leitura tardia) na abordagem de reacções não-imediatas é também revisto. Os beta-lactâmicos (BL) são o grupo farmacológico mais frequentemente envolvido em reacções de hipersensibilidade imunológica e que mais dificuldades coloca na prática clínica diária, nomeadamente devido aos riscos de reactividade cruzada, pelo que é analisado em maior detalhe ao longo da revisão. A indução de tolerância a fármacos poderá ser considerada em casos selecionados, sobretudo quando na ausência de alternativas terapêuticas igualmente eficazes ou seguras

Assessing the impact of universities’ entrepreneurial activity on regional competitiveness

The aim of this study is to test the multidimensional construct of the Entrepreneurial University (EU), and therefore to confirm whether EU factors make a positive contribution to regional competitiveness. Data were collected from ten Portuguese Public Universities (PPUs) through a self-administered questionnaire. First- and second-order confirmatory factor analyses (CFA) were performed through factor and multiple linear regression analyses. The main findings show that EU related factors—perceived and combined with actual regional metrics—especially entrepreneurial supporting measures, positively contributed to regional competitiveness. This study shows policy makers that universities are not merely cost centres but provide knowledge spillovers that can have a positive influence on regional competitiveness.info:eu-repo/semantics/publishedVersio

A dual function of Drosophila capping protein on DE-cadherin maintains epithelial integrity and prevents JNK-mediated apoptosis

E-cadherin plays a pivotal role in epithelial cell polarity, cell signalling and tumour suppression. However, how E-cadherin dysfunction promotes tumour progression is poorly understood. Here we show that the actin-capping protein heterodimer, which regulates actin filament polymerization, has a dual function on DE-cadherin in restricted Drosophila epithelia. Knocking down capping protein in the distal wing disc epithelium disrupts DE-cadherin and Armadillo localization at adherens junctions and upregulates DE-cadherin transcription. In turn, DE-cadherin provides an active signal, which prevents Wingless signalling and promotes JNK-mediated apoptosis. However, when cells are kept alive with the Caspase inhibitor P35, the activity of the JNK pathway and of the Yorkie oncogene trigger massive proliferation of cells that fail to stably retain associations with their neighbours. Moreover, loss of capping protein cooperates with the Ras oncogene to induce massive tissue overgrowth. Taken together, our findings argue that in some epithelia, the dual effect of capping protein loss on DE-cadherin triggers the elimination of mutant cells, preventing them from proliferating. However, the appearance of a second mutation that blocks cell death may allow for the development of some epithelial tumour