Doença aneurismática da aorta abdominal. Diagnóstico e tratamento.

Mestrado Integrado em MedicinaMaster Degree in Medicin

Yoga Therapy in Pregnancy

Yoga is becoming increasingly recognized and used in developed nations as a way to reach a healthier lifestyle as it as a variety of benefits: immunological, neuromuscular, psychological, and in pain control.info:eu-repo/semantics/publishedVersio

Amino acid requirements of white seabream (Diplodus sargus) larvae: effects on growth and performance

Tese dout., Aquacultura, Universidade do Algarve, 2008Diplodus sargus is a potential species for aquaculture. Constraints to its production are a high incidence of skeletal deformities and stagnation of the growth rate in juvenile stage, possibly caused by dietary imbalances. This thesis is focused on the amino acid (AA) requirements of Diplodus sargus larvae, on the formulation of diets with AA supplementation and also identifies larvae skeletal deformities patterns (Chapter 2). D. sargus AA requirements were estimated using the AA profiles from larval carcass. It was observed that the AA profiles were relatively constant during larval ontogeny, and dietary imbalances were identified in rotifers and Artemia (Chapter 3). Tyrosine, lysine, tryptophan and arginine supplementation was tested by tube feeding and lower gut absorptions efficiencies were observed for these AA. Also, these AA do not seem to be limiting D. sargus growth (Chapter 4 and 5). Based on the results from Chapter 3, a microencapsulated casein diet with a balanced AA profile was formulated and was compared to an unbalanced AA diet and to a live feed diet (control) (Chapter 6). Results showed lower ammonia excretion and less skeletal deformities in larvae fed a balanced diet. Tryptophan supplementation in the diet was tested because of its involvement in skeleton ossification (Chapter 7). However, a decrease on larval growth and no effect on skeletal deformities were observed. The effect of tyrosine and phenylalanine supplementation on D. sargus larvae was tested and a higher survival to a temperature stress test was observed in larvae fed a tyrosine supplementation (Chapter 8). Larvae given a phenylalanine supplementation had a decreased incidence on vertebral compressions. In conclusion, an AA balanced diet reduces skeletal deformities and improves nitrogen utilization. Skeletal deformities do not seem related to tryptophan deficiency. Supplementation of phenylalanine and tyrosine lead to a decrease on skeletal deformities and better resistance to a stress test, respectively. From the AA studied; tryptophan, lysine, phenylalanine, arginine and tyrosine; none seems to be limiting D. sargus larval growthFaculdade de Ciências e Tecnologia (FCT)Instituto de Investigação das Pescas e do Mar (IPIMAR

Tyrosine and phenylalanine supplementation on Diplodus sargus larvae: effect on growth and quality

27 páginas, 3 figuras, 5 tablas. The definitive version is available at www.blackwell-synergy.comPhenylalanine is the precursor of tyrosine, which is involved in the synthesis of several molecules with key roles in the regulation of metabolism and growth, stress response and pigmentation. In this study, three experimental diets were tested: an amino acid (AA) balanced diet supplemented with phenylalanine, another supplemented with phenylalanine and tyrosine and a non-supplemented AA balanced diet. Rotifers were enriched with liposomes encapsulating free AA in order to obtain a balanced AA profile. The experimental diets resulted in similar larval survival, growth, enzyme activities of AA catabolism and nitrogen excretion in all treatments. High levels of skeletal deformities were registered and significant differences were found between the control and the phenylalanine treatment for the percentage of vertebral compressions in the trunk region of the vertebral column (30% in the control and 5% in the phenylalanine group). A significantly higher survival to a temperature stress test was found for larvae fed the diet supplemented with phenylalanine and tyrosine. The results suggest that supplementation of phenylalanine/tyrosine in fish diets may be useful in order to reduce skeletal deformities and mortalities caused by stress. The present study confirms that AA requirements may be sufficient for covering growth and survival but insufficient to cover other metabolic processes.This work was supported by the project POCI/MAR/61623/2004 – SAARGO, financed by the programme POCI 2010 (FCT, Portugal), which is co-financed by FEDER. FEDER and PN Project AGL2004-06669-C02-01 (Ministry of Education and Science, Spain) are co-financed by FEDER and project –‘Tecnologias de Produção Aquícola’– (22-05-01-FBR-00014 – QCA IIII).Peer reviewe

Effect of Dietary Incorporation of Yellow Mealworm as a Partial Fishmeal Replacer on Growth, Metabolism, and Intestinal Histomorphology in Juvenile Meagre (Argyrosomus regius)

Publisher Copyright: © 2023 Margarida Saavedra et al. This study was supported by the National Project DIVERSIAQUA II (MAR-02.01.01 FEAMP-0175) and by the project ATLAZUL–Impulsionar a Aliança Litoral Atlântica para o Crescimento Azul (0755_ATLAZUL_6_E) from Spain-Portugal Interreg (POCTEP).Efforts have been made to find alternatives to fish meal (FM), as the sustainability of aquaculture depends on it. Insect meal (IM) is a potential candidate to partially replace FM, being more sustainable and economically viable. In this experimental trial, three diets were tested with different yellow mealworm incorporation: a control diet with no IM, a diet with an inclusion of 10% IM (Ins10), and a diet with an incorporation of 20% IM (Ins20). The diets were tested on 10.5 g meagre for 47 days. The results showed that an IM inclusion higher than 10% affected both growth (2.6 vs. 2.2) and FCR (1.5 vs. 1.9) of meagre juveniles. However, this reduction in growth did not result from lower protein retention or changes in muscle fibre area or density. Little differences were observed in the activity of pancreatic and intestinal enzymes except for aminopeptidase total activity which was higher in the control and Ins10 compared to Ins20 (3847 vs. 3540 mU/mg protein), suggesting no limitations in protein synthesis. Also, the alkaline phosphatase intestinal maturation index was higher in the control group compared to the IM groups (437 vs. 296). On the contrary, several differences were also found in the proteolytic activity in the hepatic and muscle tissues of meagre juveniles fed the Ins10 diet. The inclusion of IM had no impact on intestine histomorphology but changes were detected in the enterocytes of fish from control and Ins10 which showed hypervacuolization and nucleus misplacement compared to the Ins20 treatment. Nevertheless, a higher percentage of Vibrionaceae was recorded for meagre fed on the Ins20 diet. Since no signs of inflammation were observed in the distal intestine, this suggests IM incorporation could have had an important impact on intestinal health due to its antimicrobial properties. This is supported by an increase in the haematocrit in the treatments where IM was added (20 to 25%). In conclusion, incorporations of IM at percentages up to 10% do not seem to have a negative impact on meagre performance at this age but can enhance the fish immune system and protection against intestinal inflammation.publishersversionpublishe

Efeito a longo termo da temperatura do cultivo larvar no crescimento e fibras musculares de corvinas, Argyrosomus regius / Long-term effect of larval rearing water temperature on meagre, Argyrosomus regius, growth and muscle cellularity

A temperatura de cultivo desempenha um papel fundamental no desenvolvimento dos peixes. Neste estudo foram testadas duas temperaturas durante a ontogenia larvar da corvina. Após este período, os alevins foram transferidos para tanques maiores, todos à temperatura ambiente, onde permaneceram até atingirem os 12 meses de idade. O crescimento e a área e densidade das fibras musculares foram analisados quando o peixe atingiu 1, 2, 4, 6 e 12 meses. Os resultados mostram que os alevins de 1 mês sujeitos a uma temperatura mais elevada (1.5º superior) apresentaram um maior comprimento, um maior peso seco (11 mg versus 7 mg) e uma maior frequência de fibras com uma área compreendida entre os 100 e os 200 µm2. Por outro lado, os alevins sujeitos a uma temperatura inferior apresentaram maior densidade de fibras (13493 mm2 versus 5689 mm2) e um maior recrutamento de novas fibras. A partir do momento em que todos os alevins passaram a estar à mesma temperatura (ao fim de 30 dias), as diferenças foram-se desvanecendo. O ponto de viragem parece ter sido aos quatro meses de idade, quando a média da área das fibras era superior no controlo (704 µm2 versus 540 µm2). De um modo geral, o recrutamento das fibras musculares diminuiu com a idade do peixe enquanto a engrossamento das fibras permaneceu constante. Este estudo mostra que o uso de diferentes temperaturas durante a ontogenia larvar pode provocar diferenças no crescimento assim como afetar a área e densidade das fibras musculares. No entanto, estas diferenças parecem ser mitigadas quando os peixes passam a estar à mesma temperatura

Beliefs and attitudes of profissionals about marital violence: studies with health profissionals, policemen and teachers

Este artigo apresenta um conjunto de investigações cujo objectivo foi caracterizar as crenças dos profissionais mais directamente implicados na resposta e prevenção da violência conjugal face a este fenómeno. Para tal, um instrumento de avaliação das crenças sobre a violência conjugal foi administrado a um conjunto de 226 profissionais de saúde, 85 agentes de segurança e 280 professores. Os resultados evidenciam uma tendência para a discordância moderada, nas três amostras estudadas, relativamente aos mitos e crenças legitimadoras do abuso conjugal. Subsistem, contudo, alguns mitos relacionados com a raridade do problema, a sua atribuição a causas externas e a protecção da privacidade familiar. Os sujeitos mais velhos e de sexo masculino exibem, tendencialmente, uma maior legitimação da violência.This article presents a set of three research projects that aimed to characterize the beliefs about marital violence of the professionals most directly implied in the response and prevention of this problem. A research questionnaire that evaluates beliefs about marital violence was administered to a sample of 226 health professionals, 85 law enforcement agents and 280 teachers. On the global results show a tendency to moderate disagreement with beliefs that legitimize this form of abuse. Some myths, however, persist in these samples, namely those related to the privacy of the problem, its rarity and attribution to external causes. Male and older subjects show, in general, higher levels of violence legitimization

Contribution for new genetic markers of rheumatoid arthritis activity and severity : sequencing of the tumor necrosis factor-alpha gene promoter

© 2007 Fonseca et al.; licensee BioMed Central Ltd. This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly citedThe objective of this study was to assess whether clinical measures of rheumatoid arthritis activity and severity were influenced by tumor necrosis factor-alpha (TNF-alpha) promoter genotype/haplotype markers. Each patient's disease activity was assessed by the disease activity score using 28 joint counts (DAS28) and functional capacity by the Health Assessment Questionnaire (HAQ) score. Systemic manifestations, radiological damage evaluated by the Sharp/van der Heijde (SvdH) score, disease-modifying anti-rheumatic drug use, joint surgeries, and work disability were also assessed. The promoter region of the TNF-alpha gene, between nucleotides -1,318 and +49, was sequenced using an automated platform. Five hundred fifty-four patients were evaluated and genotyped for 10 single-nucleotide polymorphism (SNP) markers, but 5 of these markers were excluded due to failure to fall within Hardy-Weinberg equilibrium or to monomorphism. Patients with more than 10 years of disease duration (DD) presented significant associations between the -857 SNP and systemic manifestations, as well as joint surgeries. Associations were also found between the -308 SNP and work disability in patients with more than 2 years of DD and radiological damage in patients with less than 10 years of DD. A borderline effect was found between the -238 SNP and HAQ score and radiological damage in patients with 2 to 10 years of DD. An association was also found between haplotypes and the SvdH score for those with more than 10 years of DD. An association was found between some TNF-alpha promoter SNPs and systemic manifestations, radiological progression, HAQ score, work disability, and joint surgeries, particularly in some classes of DD and between haplotypes and radiological progression for those with more than 10 years of DD.This work was supported by grant POCTI/SAU-ESP/59111/2004 from Fundação Ciência e Tecnologia.info:eu-repo/semantics/publishedVersio

Genomic epidemiological analysis of Klebsiella pneumoniae from Portuguese hospitals reveals insights into circulating antimicrobial resistance.

Klebsiella pneumoniae (Kp) bacteria are an increasing threat to public health and represent one of the most concerning pathogens involved in life-threatening infections and antimicrobial resistance (AMR). To understand the epidemiology of AMR of Kp in Portugal, we analysed whole genome sequencing, susceptibility testing and other meta data on 509 isolates collected nationwide from 16 hospitals and environmental settings between years 1980 and 2019. Predominant sequence types (STs) included ST15 (n = 161, 32%), ST147 (n = 36, 7%), ST14 (n = 26, 5%) or ST13 (n = 26, 5%), while 31% of isolates belonged to STs with fewer than 10 isolates. AMR testing revealed widespread resistance to aminoglycosides, fluoroquinolones, cephalosporins and carbapenems. The most common carbapenemase gene was blaKPC-3. Whilst the distribution of AMR linked plasmids appears uncorrelated with ST, their frequency has changed over time. Before year 2010, the dominant plasmid group was associated with the extended spectrum beta-lactamase gene blaCTX-M-15, but this group appears to have been displaced by another carrying the blaKPC-3 gene. Co-carriage of blaCTX-M and blaKPC-3 was uncommon. Our results from the largest genomics study of Kp in Portugal highlight the active transmission of strains with AMR genes and provide a baseline set of variants for future resistance monitoring and epidemiological studies

Nutrient sensing modulates malaria parasite virulence

The lifestyle of intracellular pathogens, such as malaria parasites, is intimately connected to that of their host, primarily for nutrient supply. Nutrients act not only as primary sources of energy but also as regulators of gene expression, metabolism and growth, through various signalling networks that enable cells to sense and adapt to varying environmental conditions. Canonical nutrient-sensing pathways are presumed to be absent from the causative agent of malaria, Plasmodium, thus raising the question of whether these parasites can sense and cope with fluctuations in host nutrient levels. Here we show that Plasmodium blood-stage parasites actively respond to host dietary calorie alterations through rearrangement of their transcriptome accompanied by substantial adjustment of their multiplication rate. A kinome analysis combined with chemical and genetic approaches identified KIN as a critical regulator that mediates sensing of nutrients and controls a transcriptional response to the host nutritional status. KIN shares homology with SNF1/AMPKα, and yeast complementation studies suggest that it is part of a functionally conserved cellular energy-sensing pathway. Overall, these findings reveal a key parasite nutrient-sensing mechanism that is critical for modulating parasite replication and virulence