18 research outputs found

    ObeOne 2.0: para além dos números numa abordagem mHealth para a obesidade

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    Obesity, frequently nicknamed as one of the pandemics of the century, is a disease that is currently over an alarming upward curve of his incidence. Even though obesity is usually associated with nutritional and physical problems, the psychological component has a very signi cant weight, either as a motivation factor, with psychological problems that result in eating disorders, or as a consequence, by self-esteem reduction and social integration problems. These multiple conditions directly related to obesity, are from the doctor point of view, accompanied by di erent medical specialties that aim to improve the patient condition at each of them. Given the rising impact of mobile technologies as support tools in di erent health situations, Mobile Health (mHealth) systems have been proposed to the obesity context. However, there are still diverse problems with most of the approaches that result in rapid user demotivation and, consequently, treatment failure. A big part of these problems is exacerbated by a strong performance quanti cation (e.g., gained 1 Kg) and inexistent or very poor medical-patient support. With these aspects in mind, this work is based on a user-centered iterative approach, so that, from previous work in a mHealth tool to obese patients, new strategies and functionalities are suggested that allow higher support to obese regarding the psychological component. In these terms, positive psychology and qualitative approaches are proposed every time there is a type of evaluation that has to be done. From this guiding principle, there was considered the integration from a device that allows patients to, e ortless, from the possible ailments, have a suggestion from the quantity that he shall ingest upon his meal. Regarding the medical-patient support, it was given to both parts the possibility of an association between, so that doctors can have more impact on the information that patients can see. In the opposite direction, with the goal of providing doctors the highest quantity of information possible about their patients, it is given to patients the possibility of automatically sharing information about their routine. The developed work allows now to support a more in-depth discussion about the impact and receptivity from the proposed approaches, either int the success of mHealth applications regarding obesity treatment, as the relevance and value that the medical-patient relationship can add to treatments by this via.Sistema eletrónico para pesquisa de marcadores fisiológicos da dor Obesity, frequently nicknamed as one of the pandemics of the century, is a disease that is currently over an alarming upward curve of his incidence. Even though obesity is usually associated with nutritional and physical problems, the psychological component has a very significant weight, either as a motivation factor, with psychological problems that result in eating disorders, or as a consequence, by self-esteem reduction and social integration problems. These multiple conditions directly related to obesity, are from the doctor point of view, accompanied by different medical specialties that aim to improve the patient condition at each of them. Given the rising impact of mobile technologies as support tools in different health situations, Mobile Health (mHealth) systems have been proposed to the obesity context. However, there are still diverse problems with most of the approaches that result in rapid user demotivation and, consequently, treatment failure. A big part of these problems is exacerbated by a strong performance quantification (e.g., gained 1 Kg) and inexistent or very poor medical-patient support. With these aspects in mind, this work is based on a user-centered iterative approach, so that, from previous work in a mHealth tool to obese patients, new strategies and functionalities are suggested that allow higher support to obese regarding the psychological component. In these terms, positive psychology and qualitative approaches are proposed every time there is a type of evaluation that has to be done. From this guiding principle, there was considered the integration from a device that allows patients to, effortless, from the possible ailments, have a suggestion from the quantity that he shall ingest upon his meal. Regarding the medical-patient support, it was given to both parts the possibility of an association between, so that doctors can have more impact on the information that patients can see. In the opposite direction, with the goal of providing doctors the highest quantity of information possible about their patients, it is given to patients the possibility of automatically sharing information about their routine. The developed work allows now to support a more in-depth discussion about the impact and receptivity from the proposed approaches, either int the success of mHealth applications regarding obesity treatment, as the relevance and value that the medical-patient relationship can add to treatments by this via.Mestrado em Engenharia de Computadores e Telemátic

    MAMMALS IN PORTUGAL : A data set of terrestrial, volant, and marine mammal occurrences in P ortugal

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    Mammals are threatened worldwide, with 26% of all species being includedin the IUCN threatened categories. This overall pattern is primarily associatedwith habitat loss or degradation, and human persecution for terrestrial mam-mals, and pollution, open net fishing, climate change, and prey depletion formarine mammals. Mammals play a key role in maintaining ecosystems func-tionality and resilience, and therefore information on their distribution is cru-cial to delineate and support conservation actions. MAMMALS INPORTUGAL is a publicly available data set compiling unpublishedgeoreferenced occurrence records of 92 terrestrial, volant, and marine mam-mals in mainland Portugal and archipelagos of the Azores and Madeira thatincludes 105,026 data entries between 1873 and 2021 (72% of the data occur-ring in 2000 and 2021). The methods used to collect the data were: live obser-vations/captures (43%), sign surveys (35%), camera trapping (16%),bioacoustics surveys (4%) and radiotracking, and inquiries that represent lessthan 1% of the records. The data set includes 13 types of records: (1) burrowsjsoil moundsjtunnel, (2) capture, (3) colony, (4) dead animaljhairjskullsjjaws, (5) genetic confirmation, (6) inquiries, (7) observation of live animal (8),observation in shelters, (9) photo trappingjvideo, (10) predators dietjpelletsjpine cones/nuts, (11) scatjtrackjditch, (12) telemetry and (13) vocalizationjecholocation. The spatial uncertainty of most records ranges between 0 and100 m (76%). Rodentia (n=31,573) has the highest number of records followedby Chiroptera (n=18,857), Carnivora (n=18,594), Lagomorpha (n=17,496),Cetartiodactyla (n=11,568) and Eulipotyphla (n=7008). The data setincludes records of species classified by the IUCN as threatened(e.g.,Oryctolagus cuniculus[n=12,159],Monachus monachus[n=1,512],andLynx pardinus[n=197]). We believe that this data set may stimulate thepublication of other European countries data sets that would certainly contrib-ute to ecology and conservation-related research, and therefore assisting onthe development of more accurate and tailored conservation managementstrategies for each species. There are no copyright restrictions; please cite thisdata paper when the data are used in publications.info:eu-repo/semantics/publishedVersio

    Mammals in Portugal: a data set of terrestrial, volant, and marine mammal occurrences in Portugal

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    Mammals are threatened worldwide, with ~26% of all species being included in the IUCN threatened categories. This overall pattern is primarily associated with habitat loss or degradation, and human persecution for terrestrial mammals, and pollution, open net fishing, climate change, and prey depletion for marine mammals. Mammals play a key role in maintaining ecosystems functionality and resilience, and therefore information on their distribution is crucial to delineate and support conservation actions. MAMMALS IN PORTUGAL is a publicly available data set compiling unpublished georeferenced occurrence records of 92 terrestrial, volant, and marine mammals in mainland Portugal and archipelagos of the Azores and Madeira that includes 105,026 data entries between 1873 and 2021 (72% of the data occurring in 2000 and 2021). The methods used to collect the data were: live observations/captures (43%), sign surveys (35%), camera trapping (16%), bioacoustics surveys (4%) and radiotracking, and inquiries that represent less than 1% of the records. The data set includes 13 types of records: (1) burrows | soil mounds | tunnel, (2) capture, (3) colony, (4) dead animal | hair | skulls | jaws, (5) genetic confirmation, (6) inquiries, (7) observation of live animal (8), observation in shelters, (9) photo trapping | video, (10) predators diet | pellets | pine cones/nuts, (11) scat | track | ditch, (12) telemetry and (13) vocalization | echolocation. The spatial uncertainty of most records ranges between 0 and 100 m (76%). Rodentia (n =31,573) has the highest number of records followed by Chiroptera (n = 18,857), Carnivora (n = 18,594), Lagomorpha (n = 17,496), Cetartiodactyla (n = 11,568) and Eulipotyphla (n = 7008). The data set includes records of species classified by the IUCN as threatened (e.g., Oryctolagus cuniculus [n = 12,159], Monachus monachus [n = 1,512], and Lynx pardinus [n = 197]). We believe that this data set may stimulate the publication of other European countries data sets that would certainly contribute to ecology and conservation-related research, and therefore assisting on the development of more accurate and tailored conservation management strategies for each species. There are no copyright restrictions; please cite this data paper when the data are used in publications

    O-glycans truncation modulates gastric cancer cell signaling and transcription leading to a more aggressive phenotypeResearch in context

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    Background: Changes in glycosylation are known to play critical roles during gastric carcinogenesis. Expression of truncated O-glycans, such as the Sialyl-Tn (STn) antigen, is a common feature shared by many cancers and is associated with cancer aggressiveness and poor-prognosis. Methods: Glycoengineered cell lines were used to evaluate the impact of truncated O-glycans in cancer cell biology using in vitro functional assays, transcriptomic analysis and in vivo models. Tumor patients ‘samples and datasets were used for clinical translational significance evaluation. Findings: In the present study, we demonstrated that gastric cancer cells expressing truncated O-glycans display major phenotypic alterations associated with higher cell motility and cell invasion. Noteworthy, the glycoengineered cancer cells overexpressing STn resulted in tumor xenografts with less cohesive features which had a critical impact on mice survival. Furthermore, truncation of O-glycans induced activation of EGFR and ErbB2 receptors and a transcriptomic signature switch of gastric cancer cells. The disclosed top activated genes were further validated in gastric tumors, revealing that SRPX2 and RUNX1 are concomitantly overexpressed in gastric carcinomas and its expression is associated with patients' poor-survival, highlighting their prognosis potential in clinical practice. Interpretation: This study discloses novel molecular links between O-glycans truncation frequently observed in cancer and key cellular regulators with major impact in tumor progression and patients' clinical outcome. Keywords: Gastric cancer, Sialyl-Tn, RUNX1, SRPX2, Poor-surviva

    Development of a Healthy Lifestyle Assessment Toolkit for the General Public

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    The prevalence of age-related non-communicable chronic diseases has increased worldwide, being the leading causes of morbidity and death in many world regions, including in Europe. Innovative models and strategies focused on preventive care, including early identification of risk factors underlying disease onset and progression, and proper modification of lifestyle habits and behaviors, might contribute to promote quality of life, healthy living and active aging. Healthy Lifestyle Innovative Quarters for Cities and Citizens (HeaLIQs4cities) is an EIT Health-funded project aiming to engage, empower and educate citizens toward healthy lifestyles. One of the major objectives of this project was to develop a toolkit for a rapid and informal assessment of healthy lifestyles, to be used at different levels of care pathways, including in informal public environments. In this paper, we describe the methodology underlying the development of the toolkit, which resulted from the collaboration of an interdisciplinary focus group of academic experts, from medicine, sport sciences, psychology, health economics, and innovative technologies applied to health. The following eight components were included in the toolkit: (1) anthropometric assessment and cardiometabolic parameters; (2) physical activity and exercise; (3) well-being, social cohesion, and functional independence; (4) nutrition; (5) mental health; (6) smoking, drinking, and use of illicit substances; (7) sleep habits and quality; and (8) health and disease. A traffic light rating system indicating the risk score was used (low: green; moderate: yellow; and relevant: orange) for each of the 8 components, together with recommendations for the toolkit users. After completing the reduced version of the toolkit, individuals showing moderate or relevant risk in one or more of the 8 dimensions, were invited to participate in a more detailed assessment (toolkit long version), based on deeper and scientifically validated tools. The toolkit was incorporated in eVida, a web-based platform that focuses on delivering services to personalized health and well-being. The validation of the current toolkit has been applied in wide-ranging public events in three different European Regions. Large scale deployment of the toolkit is expected to profit from the Reference Site Collaborative Network of the European Innovation Partnership on Active and Healthy Aging (EIP on AHA).F31D-D663-4EF2 | Anabela Mota Pintoinfo:eu-repo/semantics/publishedVersio

    Syndecan-4 is a maestro of gastric cancer cell invasion and communication that underscores poor survival

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    Gastric cancer is a dominating cause of cancer-associated mortality with limited therapeutic options. Here, we show that syndecan-4 (SDC4), a transmembrane pro-teoglycan, is highly expressed in intestinal subtype gastric tumors and that this sig -nature associates with patient poor survival. Further, we mechanistically demonstrate that SDC4 is a master regulator of gastric cancer cell motility and invasion. We also find that SDC4 decorated with heparan sulfate is efficiently sorted in extracellular vesicles (EVs). Interestingly, SDC4 in EVs regulates gastric cancer cell-derived EV organ distribution, uptake, and functional effects in recipient cells. Specifically, we show that SDC4 knockout disrupts the tropism of EVs for the common gastric cancer metastatic sites. Our findings set the basis for the molecular implications of SDC4 expression in gastric cancer cells and provide broader perspectives on the development of therapeutic strategies targeting the glycan-EV axis to limit tumor progression

    Portuguese guide lines for the use of biological agents in rheumatoid arthritis - october 2011 update

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    The authors present the revised version of the Portuguese Society of Rheumatology (SPR) guidelines for the treatment of Rheumatoid Arthritis (RA) with biological therapies. In these guidelines the criteria for introduction and maintenance of biological agents are discussed as well as the contraindications and procedures in the case of non-responders. Biological treatment (with a tumour necrosis factor antagonist, abatacept or tocilizumab) should be considered in RA patients with a disease activity score 28 (DAS 28) equal to or greater than 3.2 des pite treatment with at least 20mg-weekly-dose of methotrexate (MTX) for at least 3 months or, if such treatment is not possible, after 3 months of other conventional disease modifying drug or combination therapy. A DAS 28 score between 2.6 and 3.2 with a significant functional or radiological deterioration under treatment with conventional regi -mens could also constitute an indication for biological treatment. The treatment goal should be remission or, if that is not achievable, at least a low disease activity, defined by a DAS28 lower than 3.2,without significative functional or radiological worsening. The response criteria, at the end of the first 3 months of treatment, are a decrease of at least 0.6 in the DAS28 score. After 6 months of treatment res ponse criteria is defined as a decrease greater than 1.2 in the DAS28 score. Non-responders, in accordance to the Rheumatologist's clinical opi -nion, should try a switch to another biological agent (tumour necrosis factor antagonist, abatacept, rituxi mab or tocilizumab).publishersversionpublishe

    Novos mapas para as ciências sociais e humanas

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