European and American chestnuts: An overview of the main threats and control efforts

Chestnuts are multipurpose trees significant for the economy and wildlife. These trees are currently found around the globe, demonstrating their genetic adaptation to different environmental conditions. Several biotic and abiotic stresses have challenged these species, contributing to the decline of European chestnut production and the functional extinction of the American chestnut. Several efforts started over the last century to understand the cellular, molecular, and genetic interactions behind all chestnut biotic and abiotic interactions. Most efforts have been toward breeding for the primary diseases, chestnut blight and ink disease caused by the pathogens, Cryphonectria parasitica and Phytophthora cinnamomi, respectively. In Europe and North America, researchers have been using the Asian chestnut species, which co-evolved with the pathogens, to introgress resistance genes into the susceptible species. Breeding woody trees has several limitations which can be mostly related to the long life cycles of these species and the big genome landscapes. Consequently, it takes decades to improve traits of interest, such as resistance to pathogens. Currently, the availability of genome sequences and next-generation sequencing techniques may provide new tools to help overcome most of the problems tree breeding is still facing. This review summarizes European and American chestnut's main biotic stresses and discusses breeding and biotechnological efforts developed over the last decades, having ink disease and chestnut blight as the main focus. Climate change is a rising concern, and in this context, the adaptation of chestnuts to adverse environmental conditions is of extreme importance for chestnut production. Therefore, we also discuss the abiotic challenges on European chestnuts, where the response to abiotic stress at the genetic and molecular level has been explored.

Home-based cardiac rehabilitation can reduce anxiety and depression in heart failure patients

Funding Acknowledgements

Type of funding sources: Other. Main funding source(s): This work was financially supported by the project POCI-01-0145-FEDER-030011, funded by FEDER, through COMPETE2020-POCI, and by national funds, through FCT/MCTES (PTDC/MEC-CAR/30011/2017). CIAFEL, UnIC and UMIB are supported by national funds through Fundação para a Ciência e Tecnologia, I.P. [(UIDB/00617/2020), (UIDB/00051/2020 and UIDP/00051/2020), and (UIDB/00215/2020 and UIDP/00215/2020), respectively]. CS received an individual grant from CAPES [BEX 0554/14-6].

Introduction

The current COVID-19 pandemic has led to significant changes in physical and mental health and has become a major challenge for cardiac rehabilitation (CR) programs. CR is an essential component in the treatment of heart failure (HF), as it improves cardiorespiratory fitness and quality of life, as well as reducing hospitalization rates. COVID-19 pandemic increased social isolation, and the CR centers were closed. Center-based CR requires the patient to travel to the hospital, which increases the risk of SARS-CoV-2 infection in this high-risk population. In this context, home-based CR can be an excellent strategy to reduce the physical and mental consequences of the social isolation imposed by the COVID-19 pandemic.

Objective

To test the effectiveness of a home-based CR program on cardiorespiratory fitness and anxiety and depression levels in individuals with HF during covid-19 pandemic.

Methods

Forty-two individuals with HF (age: 61.3±12.0; LVEF: 37.5±11.2) were included in this study. The exercise training program consisted in 12 weeks of combined exercise training (2x/week; 60min/day, 60-80% VO2peak), with 4 supervised exercise sessions in the hospital context and the remaining at home. Patients were monitored using a heart rate monitor and weekly phone calls. The following parameters were evaluated: cardiorespiratory fitness through the 6-minute walk test (6MWT) and anxiety and depression levels through the Hospital Anxiety and Depression Scale (HADS).

Results

After the home-based CR program, there was a significant increase in the 6MWT of 49 meters (95%IC: 38 to 60; p<0.001) and a significant decrease in anxiety levels of -1.12 points (95%CI: - 2.163 to -0.075 p=0.036). No significant changes were found in depression levels (p=0.954). Furthermore, the improvements in cardiorespiratory fitness were significantly associated with the reduction in the levels of anxiety (r= -0.281; p=0.028) and depression (r=: -0.278; p=0.030).

Conclusions

The home-based CR program was able to improve cardiorespiratory fitness and this improvement was associated with a decrease in anxiety and depression levels in individuals with HF. The results suggest that home-based CR can be an important strategy to minimize the physical and mental impact induced by social isolation imposed by COVID-19 pandemic in HF patients.

Impact of a home-based cardiac rehabilitation program in heart failure during the COVID-19 pandemic

Funding Acknowledgements

Type of funding sources: Other. Main funding source(s): This work was financially supported by the project POCI-01-0145-FEDER-030011, funded by FEDER, through COMPETE2020-POCI, and by national funds, through FCT/MCTES (PTDC/MEC-CAR/30011/2017). CIAFEL, UnIC and UMIB are supported by national funds through Fundação para a Ciência e Tecnologia, I.P. [(UIDB/00617/2020), (UIDB/00051/2020 and UIDP/00051/2020), and (UIDB/00215/2020 and UIDP/00215/2020), respectively]. CS received an individual grant from CAPES [BEX 0554/14-6].

Introduction

Cardiac rehabilitation (CR) is an evidence-based recommended treatment of heart failure (HF) patients. During the COVID-19 pandemic, the shutdown of CR centers was necessary to limit the infection risk among high-risk patients. The integration of a home-based CR (HBCR) program in CR units can help to improve the delivery of care and improve cardiovascular outcomes of HF patients.

Purpose

To assess the effectiveness of an HBCR program in HF patients.

Methods

This is a sub­study of the EXercise InTervention in Heart Failure trial (EXIT-HF), which include forty-nine HF patients (preserved and reduced ejection fraction). The HBCR program consisted in 12-week combined exercise program (60%-80% of peak oxygen consumption (VO2 peak)), 2 training sessions per week, for a total of 24 sessions. Patients performed 4 supervised training sessions and the remaining sessions at home. All patients performed a cardiopulmonary exercise test (VO2 peak), the 6-minute-walking test (6MWT), collected blood analysis (plasma NT-proBNP), and answered the Minnesota Living with Heart Failure Questionnaire.

Results

Forty-two patients (86%) complete at least 80% of prescribed training sessions (age: 61.1±12; FEVE: 37.1±10.8). The HBCR program improve VO2 peak from 18.3 to 20.1ml/kg/min (+1.8 ml/kg/min; 95%IC:1.4 to 2.4; p<0.001) and the walked distance at the 6MWT from 462 to 512 meters (+49 meters; 95%IC: 38 to 60; p<0.001). In addition, overall quality of life was improved (-13 points; 95%IC:-7.8 to -18.5; p<0.001), as well physical (-6.3 points; 95%IC:-3.5 to -9; p<0.001) and emotional dimension of quality of life (-2.8points ; 95%IC: -0.9 to -4.7; p=0.06). No significant change was found in NT-proBNP levels (820±1220 vs 674±903; p=0.285).

Conclusions

Our results showed that HBCR is feasible and can improve functional capacity and quality of life in HF patients.

Maternal and Child Health Pipeline Training Programs: A Description of Training Across 6 Funded Programs

Purpose

The HRSA-funded maternal and child health pipeline training programs (MCHPTPs) are a response to the critical need to diversify the MCH workforce, as a strategy to reduce health disparities in MCH populations. These MCHPTPs support students from undergraduate to graduate education and ultimately into the MCH workforce.

Description

The models and components of training across the six MCHPTPs funded in 2016–2021 are summarized, to examine the design and delivery of undergraduate pipeline training and the insights gained across programs.

Assessment

Strategies that emerged across training programs were organized into three themes: recruitment, support for student persistence (in education), and pipeline-to-workforce intentionality. Support for student persistence included financial support, mentoring, creating opportunity for students to develop a sense of belonging, and the use of research as a tool to promote learning and competitiveness for graduate education. Finally, the link to Maternal and Child Health Bureau (MCHB) long-term training and other MCHB opportunities for professional development contributed significant nuance to the pipeline-to-workforce objectives of these programs.

Conclusions

The MCHPTPs not only increase the diversity of the MCH workforce, they also actively prepare the next generation of MCH leaders. The intentional connection of undergraduates to the infrastructure and continuum of MCH training, underscores the comprehensive impact of this funding.

Differential Impact of the Pinewood Nematode on Pinus Species Under Drought Conditions

The pinewood nematode (PWN), Bursaphelenchus xylophilus, responsible for the pine wilt disease (PWD), is a major threat to pine forests worldwide. Since forest mortality due to PWN might be exacerbated by climate, the concerns regarding PWD in the Mediterranean region are further emphasized by the projected scenarios of more drought events and higher temperatures. In this context, it is essential to better understand the pine species vulnerability to PWN under these conditions. To achieve that, physiological responses and wilting symptoms were monitored in artificially inoculated Pinus pinaster (P. pinaster), Pinus pinea (P. pinea), and Pinus radiata (P. radiata) saplings under controlled temperature (25/30°C) and water availability (watered/water stressed). The results obtained showed that the impact of PWN is species-dependent, being infected P. pinaster and P. radiata more prone to physiological and morphological damage than P. pinea. For the more susceptible species (P. pinaster and P. radiata), the presence of the nematode was the main driver of photosynthetic responses, regardless of their temperature or water regime conditions. Nevertheless, water potential was revealed to be highly affected by the synergy of PWN and the studied abiotic conditions, with higher temperatures (P. pinaster) or water limitation (P. radiata) increasing the impact of nematodes on trees' water status. Furthermore, water limitation had an influence on nematodes density and its allocation on trees' structures, with P. pinaster revealing the highest nematode abundance and inner dispersion. In inoculated P. pinea individuals, nematodes' population decreased significantly, emphasizing this species resistance to PWN. Our findings revealed a synergistic impact of PWN infection and stressful environmental conditions, particularly on the water status of P. pinaster and P. radiata, triggering disease symptoms and mortality of these species. Our results suggest that predicted drought conditions might facilitate proliferation and exacerbate the impact of PWN on these two species, through xylem cavitation, leading to strong changes in pine forests of the Mediterranean regions.

The Impact of the Third Wave of the COVID-19 Pandemic on the Elderly and Very Elderly Population in a Tertiary Care Hospital in Portugal

Background: COVID-19 poses a significantly more serious threat to adults aged 65 and above, with a higher mortality rate. This study aims to describe the outcome of COVID-19 patients in the elderly and very elderly population admitted to a tertiary care Portuguese hospital. The authors defined the elderly population (65 to 79 years) and the very elderly population (≥ 80 years).

Methods: We conducted a retrospective observational single center study in the internal medicine ward of a tertiary hospital from November 1, 2020 to January 31, 2021. All COVID-19 patients aged over 65 years were enrolled.

Results: Of the 824 patients with SARS-CoV-2 infection, 586 (71%) were aged above 65 years. Of them, 61.7% were very elderly and 32.9% were elderly. The hospital recorded 53 (27.5%) deaths in the elderly group and 182 (46.3%) in the over-80 group. In the elderly population, only 32 patients had critical illness compared to the 79 in the very elderly group. In addition to respiratory complications, acute kidney failure and liver dysfunction were noted. In both groups, mortality was higher when there was acute kidney injury (AKI). With respect to treatment, dexamethasone and azithromycin did not show a statistically significant difference between the groups. The need for oxygen therapy over 4L/min, high-flow therapy, and mechanical invasive ventilation was related to higher mortality in both groups.

Conclusion: The very elderly group had a higher number of deaths compared to the elderly group due to multiple comorbidities. Respiratory failure was the most frequently occurring complication. Surprisingly, dexamethasone and azithromycin therapy did not show a statistically significant effect in both age groups despite their current widespread usage in COVID-19 treatment worldwide.

Impact of cardiac rehabilitation on inflammation in patients with ischaemic cardiomyopathy

Introduction

The benefits of cardiac rehabilitation (CR) in patients with ischaemic cardiomyopathy are well-known. However, inflammatory states have been associated to an increased risk of cardiovascular events.

Purpose

Evaluate the impact of CR in the serum levels of inflammatory biomarkers and identify potential predictors of that effect.

Methods

We retrospectively studied consecutive patients with ischaemic cardiomyopathy who completed a CR programme between 2011 and 2017. Patients underwent a supervised exercise training protocol, twice a week during a period of 8 to 12 weeks. Functional capacity was evaluated by metabolic equivalents assessed prior the beginning and 3 months after the programme with a symptom limited exercise treadmill test. Patients without levels of serum C-reactive protein at beginning and at the end of CR programme were excluded. Median variation of serum C-reactive protein was assessed and two groups were defined: one with levels above that and one with levels below.

Results

Of 250 patients (60.3±11.1 years, 84% male), 67% were admitted after an acute myocardial infarction. Left ventricular ejection fraction ≤40% before CR was present in 32% of individuals. Median levels of serum C-reactive protein before CR were 8.8 (3.1–21.7) mg/L and median variation after CRP was a decrease of 5.1 (0.9–17.7) mg/L (p&lt;0.001). Before CR, higher levels of serum C-reactive protein were seen in obese (15.7 [8–52.7] versus 8.8 [3.2–27.8], p=0.04) and those with higher NT-proBNP (p&lt;0.001). Patients with decrease of &gt;5.1mg/L of serum C-reactive protein had lower prevalence of hypertension (18% versus 30%, p=0.02), higher prevalence of obesity (16% versus 7%, p=0.03), lower levels of HDL cholesterol (38.3 [11.1] versus 43.2 [12.6], p&lt;0.001) and higher levels of NT-proBNP (1079 [610.3–1988] versus 488 [215–777], p&lt;0.001) at baseline. An increase of at least of 10% of functional capacity after CR was reached in 65% of patients, similar between groups. Patients with decrease of serum C-reactive protein &gt;5.1mg/L had also higher reduction of NT-proBNP after CR comparing to baseline (491.1 [142.7–948.5] versus 162.0 [30.9–295.2], p&lt;0.001).

Conclusions

Serum levels of inflammatory biomarkers decreased after CR in patients with ischaemic cardiomyopathy. Normotension, obesity, lower HDL and higher levels of natriuretic peptides are associated to a better response.

Funding Acknowledgement

Type of funding sources: None.

AB0754 THE INFLUENCE OF PHYSICAL ACTIVITY ON BODY COMPOSITION AND SELF-ESTEEM IN ADULTS WITH JUVENIL IDIOPATHIC ARTHRITIS

Background:

With improvement of treatment, long-term factors influencing quality of life have to be addressed in the care of juvenile idiopathic arthritis (JIA) patients.

Objectives:

To compare body composition, level of physical activity and self-esteem of adult patients with JIA with control group (CG).

Methods:

The levels of physical activity were analyzed using the International Physical Activity Questionnaire (IPAQ) short version. The body composition data were collected using the Omrom HBF 514 C vertical electric bioimpedance device. The Rosenberg Self-Esteem Scale was used to assess positive and negative attitude and feelings about themselves, where the lower the score, the higher the individual’s self-esteem. For the statistical analysis of the data, the IBM SPSS software was used with a significance index of p <0.05.

Results:

We included 81 individuals >18 years, 38 with JIA and 43 healthy people. The female sex was the largest participant in this research, being. There was no significant difference regarding sex [female =28 (73.7%) in JIA and 26 (60.5%) in CG] and age of the groups (29.39 ± 7.6 vs. 31.1 ± 3.1, p = 0.18). The CG showed greater height and body weight (163.5 ± 9.8 vs. 169.6 ± 8.0, p<0.001; 63.07 ± 16.65 vs. 69.33 ± 6.88, p = 0.003, respectively), but no difference in Body Mass Index (BMI) was observed (24.32 ± 4.9 vs. 24.12 ± 2.09, p = 0.8). JIA had a higher percentage of total fat mass (31.65 ± 10.20 vs. 28.47 ± 4.9, p = 0.07), while the CG had a higher percentage of total muscle mass (29.7 ± 6.5 vs. 35.86 ± 6.05, p<0.001). The self-esteem of JIA patients was lower than in the CG (21 ± 3.9 vs. 16.26 ± 4.3, p<0.001). In the IPAQ classifications, JIA patients were classified as less physically active than the CG (2.63% vs. 20.93%, p = 0.022), less irregularly active (5.26% vs. 23.25, p = 0.023) and a higher level of sedentary lifestyle (65.78% vs. 25.58%, p<0.001). A higher percentage of muscle mass was associated with greater self-esteem (r=-0.3; p=0.01).

Conclusion:

The low practice of physical activities by patients with JIA seems to directly influence both, their body composition and their self-esteem. These patients should be encouraged to increase physical activity from an early age by a multiprofessional healthcare team to seek improvement their quality of life.

Disclosure of Interests:

None declared

Clinical outcomes and trans-syndesmotic screw frequency after posterior malleolar fracture osteosynthesis

AIM

This study aimed to evaluate the clinical outcomes and the trans-syndesmotic screw frequency after trimalleolar ankle fractures with a posterior malleolus fracture involving <25% of the articular surface.

MATERIAL AND METHODS

Retrospective comparative study. Patients with trimalleolar ankle fracture who underwent surgery between January 2011 and January 2018 were identified within the departments' fracture database. General demographics, treatment details, and fracture specific details (CT-scans) were assessed. Patients were grouped per the posterior malleolus fragment treatment: osteosynthesis (group 1) and non-osteosynthesis (group 2).

RESULTS

64 patients, 58.6 ± 17.8 years (range: 23-75), 68.8% female were eligible and follow up time was 43.1 ± 22.2 (range 24-96) months. The mean size of the posterior malleolus fragment was 14.7 ± 5.3% (range: 5-24). Posterior malleolus fragment treatment distribution: osteosynthesis (group 1) 31.2% and non- osteosynthesis (group 2) 68.8%. Group 1 showed significantly better clinical outcomes (p<0.05), AOOS (93.9 ± 5.79 (range: 73-99), AOFAS (91.5 ± 6.22 (range: 72-100) and VAS (0.8 ± 1.22 (range: 0-5) compared to Group 2, AOOS (84.25±8.34 (range: 63-100); AOFAS (84.75±8.05 (range: 58-100) and VAS (1.7 ± 1.38 (range: 0-6). Osteosynthesis of the posterior malleolus fragment significantly reduced the frequency of trans-syndesmotic screw (0%) compared to non-osteosynthesis posterior malleolus fragment (15.9%) (p < 0.05). The EQ-5D score was better in group 1 (1.08±0.27 (range: 1-2.2) compared to group 2 (1.27 ± 0.27 (range: 1-2.4) but with no statistical significance (p> 0.15).

CONCLUSION

Posterior malleolus fragments (<25% of the articular surface) have significantly better clinical outcomes and significant decrease in trans-syndesmotic screw need following osteosynthesis.

A Histopathological Study Reveals New Insights Into Responses of Chestnut (Castanea spp.) to Root Infection by Phytophthora cinnamomi

The European chestnut (Castanea sativa) is threatened by the hemibiotrophic oomycete Phytophthora cinnamomi, the causal agent of ink disease. Chestnut species have different susceptibility levels to P. cinnamomi, with the Asian species (C. crenata; C. mollissima) exhibiting the highest level of resistance. A histological approach was used to study the responses exhibited by susceptible and resistant chestnut genotypes by characterizing the early stages of P. cinnamomi infection and the cellular responses it induces in roots. C. sativa (susceptible) and C. crenata (resistant) plantlets were inoculated with a P. cinnamomi virulent isolate with a zoospore suspension or by direct contact with mycelia agar pieces. Root samples were collected at 0.5, 3.5, 24, 48, and 72 h after inoculation (hai) for microscopic observations. Penetration was observed in both species at 0.5 and 3.5 hai with mycelium and zoospore inoculations, respectively. In both inoculation methods, following penetration into the rhizodermis, P. cinnamomi hyphae grew inter- and intracellularly through the cortex and into the vascular cylinder. C. crenata cells displayed a delay in the pattern of infection by having fewer cell layers colonized compared with C. sativa. At 72 hai, the collapse of the first layers of C. sativa cortical cells was observed, indicating the beginning of necrotrophy. C. crenata was able to respond more efficiently to P. cinnamomi than C. sativa by restricting the pathogen's growth area through the early activation of resistance responses such as callose deposition around some intracellular hyphae, hypersensitive response-like cell death, cell wall thickening, and accumulation of phenolic-like compounds.

Upgrading end-of-line residues of the red seaweed Gelidium sesquipedale to polyhydroxyalkanoates using Halomonas boliviensis

Agar extraction from Gelidium and Gracilaria red seaweed species produces hundred thousand ton of carbohydrate-rich residues annually. Gelidium sesquipedale waste biomass obtained after agar extraction, still contained 44.2 % w/w total carbohydrates (dry-weight basis). These residues were biologically up-graded to poly-3-hydroxybutyrate (P3HB) after saccharification of their carbohydrate fraction to simple sugars. A combined hydrolysis treatment using sulfamic acid followed by enzymatic hydrolysis with cellulases produced a glucose-rich hydrolysate with a negligible content of inhibitors. With this treatment a sugar yield of circa 30 % (g glucose/g biomass) was attained. The algal hydrolysates were assessed as carbon source for the production of P3HB by the halotolerant bacteria Halomonas boliviensis. A cell concentration of 8.3 g L-1 containing 41 % (w/w) of polymer and a yield (YP/S ) of 0.16 gpolymer/gglucose were attained in shake flask assays. In this work, cellulose-rich seaweed waste was shown to be an upgradable, sustainable source of carbohydrates.

Prevalence and clinical features of adverse food reactions in Portuguese adolescents

Background & aims

The objective of the present study was to determine, for the first time, the prevalence and clinical features of food allergy in Portuguese adolescents.

Methods

Cross-sectional study performed in various secondary schools in central Portugal. Randomly selected adolescents replied to a validated food allergy questionnaire. Those who reported an adverse food reaction were seen at participating hospitals, where clinical history was taken, skin prick (SPT) and prick-prick skin (SPPT) tests were performed, and food allergen-specific IgE levels (sIgE) were determined. An open oral challenge was performed in selected cases. Cases of positive clinical history of immediate (up to 2 h after ingestion) reaction in association with positive food sIgE levels and/or SPT were classified as IgE-associated probable food allergy and as confirmed IgE-mediated food allergy if food challenges were positive. Cases of positive clinical history of delayed (more than 2 h after ingestion) and negative food sIgE levels independently of positive SPT or SPPT results, were classified as non-IgE associated probable food allergy.

Results

The prevalence of probable food allergy in Portuguese adolescents was 1.41% (95% CI: 0.90–2.03%), with fresh fruits, shellfish, nuts, and peanut as the most frequently implicated foods. IgE-mediated probable food allergy occurred in 1.23% (95% CI: 0.67–1.72%) of cases, with fresh fruits, shellfish, and nuts mainly involved. Cutaneous symptoms were most frequently reported.

Conclusions

The prevalence of probable food allergies in Portuguese adolescents is low, is mostly related to fresh fruits, shellfish, nuts, and peanut, and most frequently involves cutaneous symptoms.

P1349 POCUS by general and family physician - advancing physical examination

BACKGROUND

Alongside with the development of hand held equipment, echo is becoming more accessible to nontraditional settings. General and family medicine (GPs) are at the forefront of any health system, but the use of cardiac echo by GPs is still unexplored. PURPOSE: This study aims to evaluate the accuracy of echocardiography assessment performed as an extension of the physical exam by GPs. METHODS: Two GPs underwent standard echocardiography training for 6 months. Subsequently, patients with diabetes or arterial hypertension were submitted to an echocardiogram performed by their GPs using a pocket ultrasound. Views obtained (with and without color Doppler) were parasternal long and short axis, apical and subcostal, with measurements of the posterior wall (PW), interventricular septum (IVS), left ventricle (LV), left atrium (LA), aorta and inferior vena cava (IVC). Studies were reviewed at the workstation and measured by two experts who classified the exams according to the image quality. RESULTS: Sixty echocardiograms were analyzed (mean age of 61y, 42% females and 58% males). In 50% the image quality was considered sufficient, 42% considered good and 8% considered bad. There were statistically significant differences between the GPs and expert measurements on the sinus of Valsalva (30.3 ± 3 to 28.8 ± 3.1mm, p = 0.001), LV in systole (p &lt; 0.001, 28[24,31] for 31[29,34]mm), IVS (p = 0.001, 10.9 ± 1.7 for 10.1 ± 1.5mm), PW (p = 0.018, 8.7 ± 1.1 to 9.2 ± 1.6mm) and TAPSE (p = 0.021, 20.9 ± 2.3 to 20.1 ± 2.7mm). There were no significate differences in the measurements of the ascending aorta, LA, LV in diastole and IVC. Agreement between the GPs and the experts was moderate for the evaluation of LVH (k = 0.48). The concordance was substantial for evaluation of LV function (k = 0.66) and excellent for evaluation of pericardial effusion (k = 1) and right ventricular function (k = 1). Concordance was excellent for mitral insufficiency (k = 0.83) and substantial for aortic insufficiency (k = 0.68) and tricuspid insufficiency (k = 0.61). A case of mitral stenosis was identified by both. GPs signalized a case of mild aortic stenosis that the expert did not consider. CONCLUSION: GPs trained in echocardiography, using pocket ultrasound, can obtain cardiac images with sufficient quality for interpretation by experts in the majority of cases. In this study, differences in dimensions might be explained by interobserver variability and/or by the performance of measurements in different environments, mobile vs workstation. Overall the differences were minor and clinically meaningless.

Integrating road traffic externalities through a sustainability indicator

Road traffic poses negative externalities on society and represents a key challenge in sustainable transportation. However, the existing literature about the assessment of traffic externalities drawn on a common measure is scarce. This paper develops a sustainability indicator that integrates traffic-related externalities as means of traffic congestion, noise, greenhouse gases (GHG) and nitrogen oxides emissions, health impacts and road crash related costs, and adjusted to local contexts of vulnerability. Traffic, road crashes, acoustic and vehicle dynamic data were collected from one real-world intercity corridor pair comprising three alternative routes. The site-specific operations were characterized using a modeling platform of traffic, emissions, noise and air quality. A specific methodology is applied for each road traffic externality and translated in a single factor - external cost. The results indicated that road crashes presented the largest share in the partly rural/urban route while GHG emissions had the highest contribution in external costs for the highway routes. Also, the distribution of external cost component varied according to the type of road, mostly due to different levels of exposed inhabitants. This paper offers a line of research that produced a method for decision-makers with a reliable and flexible cost analysis aimed at reducing the negative impacts of road traffic. It also encourages the design of eco-traffic management policies considering the perspective of drivers, commuters and population.

Relationship between oro and nasopharynx permeability and the direction of facial growth

AIM

Most scientific literature relates vertical growth to individuals with decreased upper airway permeability. However, we often find subjects with a long face and a normal breathing pattern, most likely caused by other aetiological factors. And, frequently, we also find decreased upper airway permeability with horizontal growth. The aim of the study was to compare the cephalometric measurements of the oro and nasopharynx permeability with the facial growth direction and to identify the most common facial growth direction in individuals with decreased upper airway permeability.

MATERIALS AND METHODS

Cephalometric analysis was carried out in 158 pre-adolescent patients at the Orthodontic appointment, using facial profile teleradiographs. Parameters used were Jabarak's ratio and measurement of oro-nasopharynx space. Data collected were submitted to statistical treatment.

RESULTS

This study points to the presence of an intermediate growth in individuals with diminished oro and nasopharynx permeability, either simultaneous or separate. The number of individuals with diminished permeability and vertical growth is close to the number of individuals with horizontal growth.

CONCLUSIONS

The individuals with diminished permeability of the upper airway present an intermediate growth direction, representing the most frequent type. In the less common growth directions, there is a slight tendency to horizontal facial growth verified in individuals with diminished nasopharynx permeability. Also, a light tendency to vertical facial growth is present when oropharynx permeability is reduced.

Women Suffering through Their Bodies

This article is concerned with the nature of suffering as experienced by women struggling with problems related to the body. Since the body is viewed as integral in the formation of a woman's identity and self-concept, any illness, ailment, or deficiency associated with it may lead her to experience pain and suffering. To explore meanings of personal suffering, three contexts were chosen, namely familial breast cancer, eating disorders, and infertility. A qualitative approach, using the case study method, was adopted to provide rich descriptions of the different experiences of suffering. In-depth interviews were conducted with women living with familial breast cancer, eating disorders, and infertility. Two women were chosen for each context. The results show that for these women suffering manifested as loss, isolation, loneliness, anger, and emptiness. Suffering encompassed the physical, emotional, and social spheres, and entailed a deep and complex experience of pain. It was also evident that suffering remains a personal issue that depends on a person's life circumstances, personality, past and present experiences, the problem at hand, and the surrounding environment.

Proceedings of the 3rd IPLeiria's International Health Congress : Leiria, Portugal. 6-7 May 2016

S1 Health literacy and health education in adolescence

Catarina Cardoso Tomás

S2 The effect of a walking program on the quality of life and well-being of people with schizophrenia

Emanuel Oliveira, D. Sousa, M. Uba-Chupel, G. Furtado, C. Rocha, A. Teixeira, P. Ferreira

S3 Diagnosis and innovative treatments - the way to a better medical practice

Celeste Alves

S4 Simulation-based learning and how it is a high contribution

Stefan Gisin

S5 Formative research about acceptability, utilization and promotion of a home fortification programme with micronutrient powders (MNP) in the Autonomous Region of Príncipe, São Tomé and Príncipe

Elisabete Catarino, Nelma Carvalho, Tiago Coucelo, Luís Bonfim, Carina Silva

S6 Safety culture of the patient: a reflexion about the therapeutic approach on the patient with vocal pathology

Débora Franco

S7 About wine, fortune cookies and patient experience

Jesús Alcoba González

O1 The psychological impact on the emergency crews after the disaster event on February 20, 2010

Helena G. Jardim, Rita Silva

O2 Musculoskeletal disorders in midwives

Cristina L. Baixinho, Mª Helena Presado, Mª Fátima Marques, Mário E. Cardoso

O3 Negative childhood experiences and fears of compassion: Implications for psychological difficulties in adolescence

Marina Cunha, Joana Mendes, Ana Xavier, Ana Galhardo, Margarida Couto

O4 Optimal age to give the first dose of measles vaccine in Portugal

João G. Frade, Carla Nunes, João R. Mesquita, Maria S. Nascimento, Guilherme Gonçalves

O5 Functional assessment of elderly in primary care

Conceição Castro, Alice Mártires, Mª João Monteiro, Conceição Rainho

O6 Smoking and coronary events in a population of Spanish health-care centre: An observational study

Francisco P. Caballero, Fatima M. Monago, Jose T. Guerrero, Rocio M. Monago, Africa P. Trigo, Milagros L. Gutierrez, Gemma M. Milanés, Mercedes G. Reina, Ana G. Villanueva, Ana S. Piñero, Isabel R. Aliseda, Francisco B. Ramirez

O7 Prevalence of musculoskeletal injuries in Portuguese musicians

Andrea Ribeiro, Ana Quelhas, Conceição Manso

O8 Hip fractures, psychotropic drug consumption and comorbidity in patients of a primary care practice in Spain

Francisco P. Caballero, Jose T. Guerrero, Fatima M. Monago, Rafael B. Santos, Nuria R. Jimenez, Cristina G. Nuñez, Inmaculada R. Gomez, Mª Jose L. Fernandez, Laura A. Marquez, Ana L. Moreno, Mª Jesus Tena Huertas, Francisco B. Ramirez

O9 The role of self-criticism and shame in social anxiety in a clinical SAD sample

Daniel Seabra, Mª Céu Salvador

O10 Obstruction and infiltration: a proposal of a quality indicator

Luciene Braga, Pedro Parreira, Anabela Salgueiro-Oliveira, Cristina Arreguy-Sena, Bibiana F. Oliveira, Mª Adriana Henriques

O11 Balance and anxiety and depression symptoms in old age people

Joana Santos, Sara Lebre, Alda Marques

O12 Prevalence of postural changes and risk factors in school children and adolescents in a northern region (Porto)

Clarinda Festas, Sandra Rodrigues, Andrea Ribeiro, José Lumini

O13 Ischemic stroke vs. haemorrhagic stroke survival rate

Ana G. Figueiredo

O14 Chronobiological factors as responsible for the appearance of locomotor pathology in adolescents

Francisco J. Hernandez-Martinez, Liliana Campi, Mª Pino Quintana-Montesdeoca, Juan F. Jimenez-Diaz, Bienvenida C. Rodriguez-De-Vera

O15 Risk of malnutrition in the elderly of Bragança

Alexandra Parente, Mª Augusta Mata, Ana Mª Pereira, Adília Fernandes, Manuel Brás

O16 A Lifestyle Educational Programme for primary care diabetic patients: the design of a complex nursing intervention

Mª Rosário Pinto, Pedro Parreira, Marta L. Basto, Ana C. Rei, Lisete M. Mónico

O17 Medication adherence in elderly people

Gilberta Sousa, Clementina Morna, Otília Freitas, Gregório Freitas, Ana Jardim, Rita Vasconcelos

O18 Hospitalization for cervical cancer of residents in the metropolitan region of Porto Alegre, Southern Brazil, 2012 to 2014

Lina G. Horta, Roger S. Rosa, Luís F. Kranz, Rita C. Nugem, Mariana S. Siqueira, Ronaldo Bordin

O19 Oncologic assistance of high complexity: evaluation of regulating accesses

Rosiane Kniess, Josimari T. Lacerda

O20 Perceived barriers for using health care services by the older population as seen by the social sector: findings from the Vila Nova de Gaia Gerontological Plan

Joana Guedes, Idalina Machado, Sidalina Almeida, Adriano Zilhão, Helder Alves, Óscar Ribeiro

O21 Sleep difficulties and depressive symptoms in college students

Ana P. Amaral, Ana Santos, Joana Monteiro, Mª Clara Rocha, Rui Cruz

O22 Psychopathological symptoms and medication use in higher education

Ana P. Amaral, Marina Lourenço, Mª Clara Rocha, Rui Cruz

O23 Sexually transmitted diseases in higher education institutions

Sandra Antunes, Verónica Mendonça, Isabel Andrade, Nádia Osório, Ana Valado, Armando Caseiro, António Gabriel, Anabela C. Martins, Fernando Mendes

O24 Alcohol consumption and suicide ideation in higher education students

Lídia Cabral, Manuela Ferreira, Amadeu Gonçalves

O25 Quality of life in university students

Tatiana D. Luz, Leonardo Luz, Raul Martins

O26 Male and female adolescent antisocial behaviour: characterizing vulnerabilities in a Portuguese sample

Alice Morgado, Maria L. Vale-Dias

O27 Risk factors for mental health in higher education students of health sciences

Rui Porta-Nova

O28 International classification of functioning disability and health as reflexive reasoning in primary attention in health

Tânia C. Fleig, Éboni M. Reuter, Miriam B. Froemming, Sabrina L. Guerreiro, Lisiane L. Carvalho

O29 Risk factors and cardiovascular disease in Portalegre

Daniel Guedelha, P. Coelho, A. Pereira

O30 Health status of the elderly population living in Portalegre historic city centre: A longitudinal study

António Calha, Raul Cordeiro

O31 Student’s sleep in higher education: sleep quality among students of the IPB

Ana Gonçalves, Ana Certo, Ana Galvão, Mª Augusta Mata

O32 Trend in mortality from cervical cancer in the metropolitan area of Florianópolis, state of Santa Catarina, Brazil, 2000 to 2013

Aline Welter, Elayne Pereira, Sandra Ribeiro, Marcia Kretzer

O33 Adherence to treatment in the elderly in an urban environment in Spain

Juan-Fernando Jiménez-Díaz, Carla Jiménez-Rodríguez, Francisco-José Hernández-Martínez, Bienvenida-Del-Carmen Rodríguez-De-Vera, Alexandre Marques-Rodrigues

O34 Beira Baixa Blood Pressure Study (Study PABB)

Patrícia Coelho, Tiago Bernardes, Alexandre Pereira

O35 Trends in cervical cancer mortality statistics in Santa Catarina State, Brazil, by age group and macro-region, from 2000 to 2013

Patrícia Sousa, João G. Filho, Nazare Nazario, Marcia Kretzer

O36 Sleep problems among Portuguese adolescents: a public health issue

Odete Amaral, António Garrido, Nélio Veiga, Carla Nunes, Ana R. Pedro, Carlos Pereira

O37 Association between body fat and health-related quality of life in patients with type 2 diabetes

António Almeia, Helder M. Fernandes, Carlos Vasconcelos, Nelson Sousa, Victor M. Reis, M. João Monteiro, Romeu Mendes

O38 Therapy adherence and polypharmacy in non-institutionalized elderly from Amares county, Portugal

Isabel C. Pinto, Tânia Pires, João Gama

O39 Prevalence of surgical site infection in adults at a hospital unit in the North of Portugal

Vera Preto, Norberto Silva, Carlos Magalhães, Matilde Martins

O40 Frailty phenotype in old age: implications to intervention

Mafalda Duarte, Constança Paúl, Ignácio Martín

O41 Portuguese women: sexual symptoms in perimenopause

Arminda A. Pinheiro

O42 Predictive ability of the Perinatal Depression Screening and Prevention Tool – preliminary results of the categorical approach

Sandra Xavier, Julieta Azevedo, Elisabete Bento, Cristiana Marques, Mariana Marques, António Macedo, Ana T. Pereira

O43 Aging and muscle strength in patients with type 2 diabetes: cross sectional analysis

José P. Almeida, António Almeida, Josiane Alves, Nelson Sousa, Francisco Saavedra, Romeu Mendes

O44 Accessibility of the elderly in the prevention of hypertension in a family health unit

Ana S. Maia, Michelle T. Oliveira, Anderson R. Sousa, Paulo P. Ferreira, Luci S. Lopes, Eujcely C. Santiago

O45 Community Health screenings and self-reported chronic diseases

Sílvia Monteiro, Ângelo Jesus, Armanda Colaço, António Carvalho, Rita P. Silva, Agostinho Cruz

O46 Evaluation of indoor air quality in Kindergartens

Ana Ferreira, Catarina Marques, João P. Figueiredo, Susana Paixão

O47 Atmospheric exposure to chemical agents under the occupational activity of pathology technicians

Ana Ferreira, Carla Lopes, Fernando Moreira, João P. Figueiredo

O48 Occupational exposure to air pollutants in night entertainment venues workers

Ana Ferreira, Diana Ribeiro, Fernando Moreira, João P. Figueiredo, Susana Paixão

O49 Beliefs and attitudes of young people towards breastfeeding

Telma Fernandes, Diogo Amado, Jéssica Leal, Marcelo Azevedo, Sónia Ramalho

O50 Profiling informal caregivers: surveying needs in the care of the elderly

Catarina Mangas, Jaime Ribeiro, Rita Gonçalves

O51 Visual health in teenagers

Amélia F Nunes, Ana R. Tuna, Carlos R. Martins, Henriqueta D. Forte

O52 Amenable mortality and the geographic accessibility to healthcare in Portugal

Cláudia Costa, José A. Tenedório, Paula Santana

O53 Bacterial contamination of door handles in a São Paulo See Metropolitan Cathedral public restrooms in Brazil

J. A. Andrade, J. L. Pinto, C. Campofiorito, S. Nunes, A. Carmo, A. Kaliniczenco, B. Alves, F. Mendes, C. Jesus, F. Fonseca, F. Gehrke

O54 Adherence of patients to rehabilitation programmes

Carlos Albuquerque, Rita Batista, Madalena Cunha, António Madureira, Olivério Ribeiro, Rosa Martins

O55 Prevalence of malnutrition among Portuguese elderly living in nursing homes: preliminary results of the PEN-3S project

Teresa Madeira, Catarina Peixoto-Plácido, Nuno Santos, Osvaldo Santos, Astrid Bergland, Asta Bye, Carla Lopes, Violeta Alarcão, Beatriz Goulão, Nuno Mendonça, Paulo Nicola, João G. Clara

O56 Relation between emotional intelligence and mental illness in health students

João Gomes, Ana Querido, Catarina Tomás, Daniel Carvalho, Marina Cordeiro

P1 Fall risk factors in people older than 50 years old – a pilot report

Marlene C. Rosa, Alda Marques

P2 What about the Portuguese oldest old? A global overview using census data

Daniela Brandão, Óscar Ribeiro, Lia Araújo, Constança Paúl

P3 Prevalence of injuries in senior amateur volleyball athletes in Alentejo and Algarve clubs, Portugal: factors associated

Beatriz Minghelli, Sylvina Richaud

P4 Shame feelings and quality of life: the role of acceptance and decentring

Ana L. Mendes, Joana Marta-Simões, Inês A. Trindade, Cláudia Ferreira

P5 Assessment of social support during deployment in portuguese colonial war veterans

Teresa Carvalho, Marina Cunha, José Pinto-Gouveia

P6 Hospitalization for acute viral bronchiolitis of residents in the metropolitan region of Porto Alegre, Southern Brazil, 2012 to 2014

Morgana C. Fernandes, Roger S. Rosa, Rita C. Nugem, Luís F. Kranz, Mariana S. Siqueira, Ronaldo Bordin

P7 Falls-risk screening – an opportunity for preventing falls in the elderly from Nordeste

Anabela C. Martins, Anabela Medeiros, Rafaela Pimentel, Andreia Fernandes, Carlos Mendonça, Isabel Andrade, Susana Andrade, Ruth L. Menezes

P8 Aging provokes chronodisruption in mature people in temperature circadian rhythm

Rafael Bravo, Marta Miranda, Lierni Ugartemendia, José Mª Tena, Francisco L. Pérez-Caballero, Lorena Fuentes-Broto, Ana B. Rodríguez, Barriga Carmen

P9 The influence of climate and pollution factors in dengue cases of great ABC region, São Paulo

M. A. Carneiro, J. N. Domingues, S. Paixão, J. Figueiredo, V. B. Nascimento, C. Jesus, F Mendes, F. Gehrke, B. Alves, L. Azzalis, F. Fonseca

P10 Visual function and impact of visual therapy in children with learning disabilities: a pilot study

Ana R. Martins, Amélia Nunes, Arminda Jorge

P11 Edentulism and the need of oral rehabilitation among institutionalized elderly

Nélio Veiga, Ana Amorim, André Silva, Liliana Martinho, Luís Monteiro, Rafael Silva, Carina Coelho, Odete Amaral, Inês Coelho, Carlos Pereira, André Correia

P12 Therapy adherence of outpatients in the pharmacy services of a hospital unit

Diana Rodrigues, Nídia Marante, Pedro Silva, Sara Carvalho, André Rts Araujo, Maximiano Ribeiro, Paula Coutinho, Sandra Ventura, Fátima Roque

P13 Universal access and comprehensive care of oral health: an availability study

Cristina Calvo, Manoela Reses

P14 Is the respiratory function of children a predictor of air quality? Coimbra as a case study

Jorge Conde, Ana Ferreira, João Figueiredo

P15 Meaning-in-life of college students

David Silva, Luís Seiça, Raquel Soares, Ricardo Mourão, Teresa Kraus

O57 Training needs for nurses in palliative care

Ana C. Abreu, José M. Padilha, Júlia M. Alves

O58 Impact of computerized information systems in the global nurses’ workload: nurses’ perceptions and real-time

Paulino Sousa, Manuel Oliveira, Joana Sousa

O59 The perspective of health care professionals on self-care in hereditary neurodegenerative disease: a qualitative study

Sónia Novais, Felismina Mendes

O60 Contribution for health-related physical fitness reference values in healthy adolescents

Joana Pinto, Joana Cruz, Alda Marques

School of Health Sciences, University of Aveiro, 3810-193 Aveiro, Portugal

O61 Perception of learning, satisfaction and self-efficacy of nursing students about High-Fidelity Simulation

Hugo Duarte, Maria Dos Anjos Dixe, Pedro Sousa

O62 Analysis of statements of diagnosis about health deviation in self-care requisites customized in a Nursing Practice Support System (SAPE®): Management of therapeutic regimen

Inês Cruz, Fernanda Bastos, Filipe Pereira

O63 Hybrid management and hospital governance: doctors and nurses as managers

Francisco L. Carvalho, Teresa T. Oliveira, Vítor R. Raposo

O64 Time management in health professionals

Conceição Rainho, José C. Ribeiro, Isabel Barroso, Vítor Rodrigues

O65 Financial rewards and wellbeing in primary health care

Carmo Neves, Teresa C. Oliveira

O66 Patient safety promotion in the operating room

Bárbara Oliveira, Mª Carminda Morais, Pilar Baylina

O67 Difficulties and needs of pre-graduate nursing students in the area of Geriatrics/Gerontology

Rogério Rodrigues, Zaida Azeredo, Corália Vicente

O68 Teaching and learning sexuality in nursing education

Hélia Dias, Margarida Sim-Sim

O69 Entrepreneurial Motivations Questionnaire: AFC and CFA in academy

Pedro Parreira, Anabela Salgueiro-Oliveira, Amélia Castilho, Rosa Melo, João Graveto, José Gomes, Marina Vaquinhas, Carla Carvalho, Lisete Mónico, Nuno Brito

O70 Nursing intervention to patient with Permanent Pacemakers and Implantable Cardioverter Defibrillators: a qualitative analysis

Cassilda Sarroeira, José Amendoeira, Fátima Cunha, Anabela Cândido, Patrícia Fernandes, Helena R. Silva, Elsa Silva

O71 Alcohol consumption among nursing students: where does education fail?

Isabel Barroso, Leila Lapa, Cristina Antunes

O72 Labour stress in nursing

Ana Gonçalves, Ana Galvão, Mª José Gomes, Susana R. Escanciano

O73 The influence of safe staff nursing in patient satisfaction with nursing care

Maria Freitas, Pedro Parreira, João Marôco

O74 Intention to use eHealth strategies with nursing students

Ana R. Fernandes, Cremilde Cabral, Samuel Alves, Pedro Sousa

O75 Community Based Mental Health: contributions of an interdisciplinary international program for students in higher health education

António Ferreira, Fernanda Príncipe, Ulla-Maija Seppänen, Margarida Ferreira, Maribel Carvalhais, Marilene Silva

O76 Study of satisfaction at work of graduates in nursing: 2002-2014

Manuela Ferreira, Joana Silva, Jéssica Neves, Diana Costa, Bruno Santos, Soraia Duarte

O77 Health professionals’ attitudes towards breastfeeding

Sílvia Marques, Sónia Ramalho, Isabel Mendes

O78 Continuity of nursing care to person with type 2 diabetes

Clarisse Louro, Eva Menino, Maria Dixe, Sara S. Dias

O79 Stigma toward mental illness among future health professionals

Marina Cordeiro, Catarina Tomás, Ana Querido, Daniel Carvalho, João Gomes

O80 Working with fears and anxieties of medical students in search of a humanized care

Frederico C. Valim, Joyce O. Costa, Lúcia G. Bernardes

P16 Surgical paediatrics patients’ psycho prophylaxis at a teaching hospital

Helena Prebianchi

P17 Patient-perceived outcomes in physiotherapy – a pilot study

Marlene Cristina Rosa

P18 Building competencies for managers in nursing

Narcisa Gonçalves, Maria M. Martins, Paulina Kurcgant

P19 Theoretical basis underlying physiotherapy practice in stroke rehabilitation

André Vieira

P20 When the life-cycle ends: the nurse’s confrontation with death

Sandrina Bento, Sérgio Deodato, Isabel Rabiais

P21 Nursing students’ opinion about the supervision relationship during their first clinical experience

Laura Reis

P22 Nursing Relational Laboratory: Pedagogical, dialogic and critical project

Ana Torres, Sérgio Soares, Margarida Ferreira, Pedro Graça

P23 Job satisfaction of bioscientists at a Lisbon hospital

Céu Leitão, Renato Abreu, Fernando Bellém, Ana Almeida, Edna Ribeiro-Varandas, Ana Tavares

P24 Sociodemographic and professional profile of nurses and its relation with the importance of family in nursing practices

João G. Frade, Carolina Henriques, Eva Menino, Clarisse Louro, Célia Jordão

P25 Professional satisfaction of rehabilitation nurses

Sofia Neco, Carminda Morais, Pedro Ferreira

P26 The person living with a stoma: the formalization of knowledge in nursing

Carla R. Silva, Alice Brito, Antónia Silva

P27 Validation of the Portuguese versions of the nursing students’ perceptions of learning and learner satisfaction with simulation tool

Hugo Duarte, Maria Dos Anjos Dixe, Pedro Sousa

P28 Physiotherapists’ perceived knowledge on technologies for electronic health records for physiotherapy

Gabriela Postolache, Raul Oliveira, Isabel Moreira, Luísa Pedro, Sónia Vicente, Samuel Domingos, Octavian Postolache

P29 Quality of life and physical activity of medicine undergraduate students in the University of Southern Santa Catarina, Brazil

Darlen Silva, João G. Filho, Nazare Nazario, Marcia Kretzer, Dulcineia Schneider

P30 The curricular skills for decision making education in a Nursing Degree

Fátima M. Marques

P31 Effect of nurses’ mobilization in satisfaction at work and turnover: An empirical study in the hospital setting

Pedro Parreira, Carla Carvalho, Lisete M. Mónico, Carlos Pinto, Sara Vicente, São João Breda

P32 Entrepreneurial skills of students of polytechnic higher education in Portugal: Business influences

José H. Gomes, Rosa Melo, Pedro Parreira, Anabela Salgueiro, João Graveto, Marina Vaquinhas, Amélia Castilho

P33 Design and assessment of e-learning modules for Pharmacology

Ângelo Jesus, Nuno Duarte, José C. Lopes, Hélder Nunes, Agostinho Cruz

P34 Perspective of nurses involved in an action-research study on the changes observed in care provision: results from a focus group

Anabela Salgueiro-Oliveira, Pedro Parreira, Marta L. Basto, Luciene M. Braga

P35 Use of peer feedback by nursing students during clinical training: teacher’s perception

António Ferreira, Beatriz Araújo, José M. Alves, Margarida Ferreira, Maribel Carvalhais, Marilene Silva, Sónia Novais

P36 What’s new on endotracheal suctioning recommendations

Ana S. Sousa, Cândida Ferrito

P37 Assessment of the nurses satisfaction on the Central Region of Portugal

Pedro L. Ferreira, Alexandre Rodrigues, Margarida Ferreira, Isabel Oliveira

P38 Study of graduate’s satisfaction with the school of nursing

Manuela Ferreira, Jéssica Neves, Diana Costa, Soraia Duarte, Joana Silva, Bruno Santos

P39 Partnership between the school of nursing and the hospital: Supervisors´ perspectives

Cristina Martins, Ana P. Macedo, Odete Araújo, Cláudia Augusto, Fátima Braga, Lisa Gomes, Maria A. Silva, Rafaela Rosário

P40 Coping strategies of college students

Luís Pimenta, Diana Carreira, Patrícia Teles, Teresa Barros

P41 Emotional intelligence and mental health stigma in health students

Catarina Tomás, Ana Querido, Daniel Carvalho, João Gomes, Marina Cordeiro

P42 Stigma of mental health assessment: Comparison between health courses

Daniel Carvalho, Ana Querido, Catarina Tomás, João Gomes, Marina Cordeiro

O81 Short- and long-term effects of pulmonary rehabilitation in mild COPD

Cristina Jácome, Alda Marques

O82 Phonological awareness programme for preschool children

Sylvie Capelas, Andreia Hall, Dina Alves, Marisa Lousada

O83 REforma ATIVA: An efficient health promotion program to be implemented during retirement

Mª Helena Loureiro, Ana Camarneiro, Margarida Silva, Aida Mendes, Ana Pedreiro

O84 Intervention for men who batter women, a case report

Anne G.Silva, Elza S. Coelho

O85 Immediate effects of Bowen Therapy on muscle tone and flexibility

Flávio Melo, Fernando Ribeiro, Rui Torres, Rui Costa

O86 Predictive equation for incremental shuttle walk test in adolescents

Tânia Pinho, Cristina Jácome, Alda Marques

O87 Life satisfaction and psychopathology in institutionalized elderly people: The results of an adapted Mindfulness-Based Stress Reduction program

Bárbara Cruz, Daniel Seabra, Diogo Carreira, Maria Ventura

O88 Outcome changes in COPD rehabilitation: exploring the relationship between physical activity and health-related outcomes

Joana Cruz, Dina Brooks, Alda Marques

O89 Assessing the effectiveness of a Complex Nursing Intervention

M Rosário Pinto, Pedro Parreira, Marta Lima-Basto, Miguel Neves, Lisete M. Mónico

O90 Psychotherapeutic intervention in addiction disorders: Change in psychopathological symptoms and emotional states

Carla Bizarro, Marina Cunha, Ana Galhardo, Couto Margarida, Ana P. Amorim, Eduardo Silva

O91 Economic impact of a nursing intervention program to promote self-management in COPD

Susana Cruz, José M. Padilha, Jorge Valente

O92 Multimodal acute pain management during uterine artery embolization in treatment of uterine myomas

José T. Guerrero, Francisco P. Caballero, Rafael B. Santos, Estefania P. Gonzalez, Fátima M. Monago, Lierni U. Ugalde, Marta M. Vélez, Maria J. Tena

O93 Fluid administration strategies in major surgery: Goal-directed therapy

José T. Guerrero, Rafael Bravo, Francisco L. Pérez-Caballero, Isabel A. Becerra, Mª Elizabeth Agudelo, Guadalupe Acedo, Roberto Bajo

O94 Development and implementation of a self-management educational programme using lay-led’s in adolescents Spina Bifida: A pilot study

Isabel Malheiro, Filomena Gaspar, Luísa Barros

O95 Influence of chair-based yoga exercises on salivary anti-microbial proteins in institutionalized frail-elderly women: a preliminary study

Guilherme Furtado, Mateus Uba-Chupel, Mariana Marques, Luís Rama, Margarida Braga, José P. Ferreira, Ana Mª Teixeira

O96 High intensity interval training vs moderate intensity continuous training impact on diabetes 2

João Cruz, Tiago Barbosa, Ângela Simões, Luís Coelho

O97 Family caregiver of people with pressure ulcer: Nursing intervention plan

Alexandre Rodrigues, Juan-Fernando Jiménez-Díaz, Francisco Martinez-Hernández, Bienvenida Rodriguez-De-Vera, Pedro Ferreira, Alexandrina Rodrigues

O98 Chronic effects of exercise on motor memory consolidation in elderly people

André Ramalho, João Petrica, Pedro Mendes, João Serrano, Inês Santo, António Rosado

O99 Impression cytology of the ocular surface: Collection technique and sample processing

Paula Mendonça, Kátia Freitas

O100 Does sport practice affect the reaction time in neuromuscular activity?

Dora Ferreira, António Brito, Renato Fernandes

O101 Efficiency of the enteral administration of fibbers in the treatment of chronic obstipation

Sofia Gomes, Fernando Moreira, Cláudia Pinho, Rita Oliveira, Ana I. Oliveira

O102 Fast decalcifier in compact bone and spongy bone

Paula Mendonça, Ana P. Casimiro, Patrícia Martins, Iryna Silva

O103 Health promotion in the elderly – Intervention project in dementia

Diana Evangelista

O104 Prevention of musculoskeletal disorders through an exercise protocol held in labour context

Catarina Leitão, Fábia Velosa, Nélio Carecho, Luís Coelho

O105 Knowledge of teachers and other education agents on diabetes type 1: Effectiveness of an intervention program

Eva Menino, Anjos Dixe, Helena Catarino, Fátima Soares, Ester Gama, Clementina Gordo

O106 Treatment of diabetic peripheral neuropathic pain: a systematic review of clinical trials of phase II and III

Eliana Moreira, Cristiana Midões, Marlene Santos

O107 New drugs for osteoporosis treatment: Systematic review of clinical trials of phase II and III

Sara Machado, Vânia P. Oliveira, Marlene Santos

O108 Promoting hope at the end of life: Effectiveness of an Intervention Programme

Ana Querido, Anjos Dixe, Rita Marques, Zaida Charepe

P43 Psychomotor therapy effects on adaptive behaviour and motor proficiency of adults with intellectual disability

Ana Antunes, Sofia Santos

P44 The effect of exercise therapy in multiple sclerosis – a single study case

Marlene C. Rosa

P45 Physical condition and self-efficacy in people with fall risk – a preliminary study

Marlene C. Rosa, Silvana F. Marques

P46 Shock waves: their effectiveness in improving the symptoms of calcifying tendinitis of the shoulder

Beatriz Minghelli, Eulália Caro

P47 Pacifier – construction and pilot application of a parenting intervention for parents of babies until six months in primary health care

Mª José Luís, Teresa Brandão

P48 The influence of Motor Imagery in fine motor skills of individuals with disabilities

Pedro Mendes, Daniel Marinho, João Petrica, Diogo Monteiro, Rui Paulo, João Serrano, Inês Santo

P49 Evaluation of the effects of a walking programme on the fall risk factors in older people – a longitudinal pilot study

Lina Monteiro, Fátima Ramalho, Rita Santos-Rocha, Sónia Morgado, Teresa Bento

P50 Nursing intervention programme in lifestyles of adolescents

Gilberta Sousa, Otília Freitas, Isabel Silva, Gregório Freitas, Clementina Morna, Rita Vasconcelos

P51 The person submitted to hip replacement rehabilitation, at home

Tatiana Azevedo, Salete Soares, Jacinta Pisco

P52 Effects of Melatonin use in the treatment of neurovegetative diseases

Paulo P. Ferreira, Efrain O. Olszewer, Michelle T. Oliveira, Anderson R. Sousa, Ana S. Maia, Sebastião T. Oliveira

P53 Review of Phytotherapy and other natural substances in alcohol abuse and alcoholism

Erica Santos, Ana I. Oliveira, Carla Maia, Fernando Moreira, Joana Santos, Maria F. Mendes, Rita F. Oliveira, Cláudia Pinho

P54 Dietary programme impact on biochemical markers in diabetics: systematic review

Eduarda Barreira, Ana Pereira, Josiana A. Vaz, André Novo

P55 Biological approaches to knee osteoarthritis: platelet-rich plasma and hyaluronic acid

Luís D. Silva, Bruno Maia, Eduardo Ferreira, Filipa Pires, Renato Andrade, Luís Camarinha

P56 Platelet-rich plasma and hyaluronic acid intra-articular injections for the treatment of ankle osteoarthritis

Luís D. Silva, Bruno Maia, Eduardo Ferreira, Filipa Pires, Renato Andrade, Luís Camarinha

P57 The impact of preventive measures in the incidence of diabetic foot ulcers: a systematic review

Ana F. César, Mariana Poço, David Ventura, Raquel Loura, Pedro Gomes, Catarina Gomes, Cláudia Silva, Elsa Melo, João Lindo

P58 Dating violence among young adolescents

Joana Domingos, Zaida Mendes, Susana Poeta, Tiago Carvalho, Catarina Tomás, Helena Catarino, Mª Anjos Dixe

P59 Physical activity and motor memory in pedal dexterity

André Ramalho, António Rosado, Pedro Mendes, Rui Paulo, Inês Garcia, João Petrica

P60 The effects of whole body vibration on the electromyographic activity of thigh muscles

Sandra Rodrigues, Rui Meneses, Carlos Afonso, Luís Faria, Adérito Seixas

P61 Mental health promotion in the workplace

Marina Cordeiro, Paulo Granjo, José C. Gomes

P62 Influence of physical exercise on the self-perception of body image in elderly women: A systematic review of qualitative studies

Nelba R. Souza, Guilherme E. Furtado, Saulo V. Rocha, Paula Silva, Joana Carvalho

O109 Psychometric properties of the Portuguese version of the Éxamen Geronto-Psychomoteur (P-EGP)

Marina Ana Morais, Sofia Santos, Paula Lebre, Ana Antunes

O110 Symptoms of depression in the elderly population of Portugal, Spain and Italy

António Calha

O111 Emotion regulation strategies and psychopathology symptoms: A comparison between adolescents with and without deliberate self-harm

Ana Xavier, Marina Cunha, José Pinto-Gouveia

O112 Prevalence of physical disability in people with leprosy

Liana Alencar, Madalena Cunha, António Madureira

O113 Quality of life and self-esteem in type 1 and type 2 diabetes mellitus patients

Ilda Cardoso, Ana Galhardo, Fernanda Daniel, Vítor Rodrigues

O114 Cross-cultural comparison of gross motor coordination in children from Brazil and Portugal

Leonardo Luz, Tatiana Luz, Maurício R. Ramos, Dayse C. Medeiros, Bruno M. Carmo, André Seabra, Cristina Padez, Manuel C. Silva

O115 Electrocardiographic differences between African and Caucasian people

António Rodrigues, Patrícia Coelho, Alexandre Coelho

O116 Factors associated with domestic, sexual and other types of violence in the city of Palhoça - Brazil

Madson Caminha, Filipe Matheus, Elenice Mendes, Jony Correia, Marcia Kretzer

O117 Tinnitus prevalence study of users of a hospital of public management - Spain

Francisco J. Hernandez-Martinez, Juan F. Jimenez-Diaz, Bienvendida C. Rodriguez-De-Vera, Carla Jimenez-Rodriguez, Yadira Armas-Gonzalez

O118 Difficulties experienced by parents of children with diabetes mellitus of preschool age in therapeutic and nutritional management

Cátia Rodrigues, Rosa Pedroso

O119 E-mental health - “nice to have” or “must have”? Exploring the attitudes towards e-mental health in the general population

Jennifer Apolinário-Hagen, Viktor Vehreschild

O120 Violence against children and adolescents and the role of health professionals: Knowing how to identify and care

Milene Veloso, Celina Magalhães, Isabel Cabral, Maira Ferraz

O121 Marital violence. A study in the Algarve population

Filipe Nave, Emília Costa, Filomena Matos, José Pacheco

O122 Clinical factors and adherence to treatment in ischemic heart disease

António Dias, Carlos Pereira, João Duarte, Madalena Cunha, Daniel Silva

O123 Can religiosity improve optimism in participants in states of illness, when controlling for life satisfaction?

Lisete M. Mónico, Valentim R. Alferes, Mª São João Brêda, Carla Carvalho, Pedro M. Parreira

O124 Empowerment, knowledge and quality of life of people with diabetes type 2 in the Alto Minho Health Local Unit

Mª Carminda Morais, Pedro Ferreira, Rui Pimenta, José Boavida

O125 Antihypertensive therapy adherence among hypertensive patients from Bragança county, Portugal

Isabel C. Pinto, Tânia Pires, Catarina Silva

O126 Subjective perception of sexual achievement - An exploratory study on people with overweight

Maria Ribeiro, Maria Viega-Branco, Filomena Pereira, Ana Mª Pereira

O127 Physical activity level and associated factors in hypertensive individuals registered in the family health strategy of a basic health unit from the city of Palhoça, Santa Catarina, Brazil

Fabrícia M. Almeida, Gustavo L. Estevez, Sandra Ribeiro, Marcia R. Kretzer

O128 Perception of functional fitness and health in non-institutionalised elderly from rural areas

Paulo V. João, Paulo Nogueira, Sandra Novais, Ana Pereira, Lara Carneiro, Maria Mota

O129 Medication adherence in patients with type 2 diabetes mellitus treated at primary health care in Coimbra

Rui Cruz, Luiz Santiago, Carlos Fontes-Ribeiro

O130 Multivariate association between body mass index and multi-comorbidities in elderly people living in low socio-economic status context

Guilherme Furtado, Saulo V. Rocha, André P. Coutinho, João S. Neto, Lélia R. Vasconcelos, Nelba R. Souza, Estélio Dantas

O131 Metacognition, rumination and experiential avoidance in Borderline Personality Disorder

Alexandra Dinis, Sérgio Carvalho, Paula Castilho, José Pinto-Gouveia

O132 Health issues in a vulnerable population: nursing consultation in a public bathhouse in Lisbon

Alexandra Sarreira-Santos, Amélia Figueiredo, Lurdes Medeiros-Garcia, Paulo Seabra

O133 The perception of quality of life in people with multiple sclerosis accompanied in External Consultation of the Local Health Unit of Alto Minho

Rosa Rodrigues, Mª Carminda Morais, Paula O. Fernandes

O134 Representation of interaction established between immigrant women and nurse during pregnancy to postpartum, from the perspective of immigrant women

Conceição Santiago, Mª Henriqueta Figueiredo, Marta L. Basto

O135 Illness perceptions and medication adherence in hypertension

Teresa Guimarães, André Coelho, Anabela Graça, Ana M. Silva, Ana R. Fonseca

O136 A Portuguese study on adults’ intimate partner violence, interpersonal trust and hope

Luz Vale-Dias, Bárbara Minas, Graciete Franco-Borges

P63 QOL’ predictors of people with intellectual disability and general population

Cristina Simões, Sofia Santos

P64 Content validation of the Communication Disability Profile (CDP) - Portuguese Version

Ana Serra, Maria Matos, Luís Jesus

P65 Study of biochemical and haematological changes in football players

Ana S. Tavares, Ana Almeida, Céu Leitão, Edna Varandas, Renato Abreu, Fernando Bellém

P66 Body image dissatisfaction in inflammatory bowel disease: exploring the role of chronic illness-related shame

Inês A. Trindade, Cláudia Ferreira, José Pinto-Gouveia, Joana Marta-Simões

P67 Obesity and sleep in the adult population - a systematic review

Odete Amaral, Cristiana Miranda, Pedro Guimarães, Rodrigo Gonçalves, Nélio Veiga, Carlos Pereira

P68 Frequency of daytime sleepiness and obstructive sleep apnea risk in COPD patients

Tânia C. Fleig, Elisabete A. San-Martin, Cássia L. Goulart, Paloma B. Schneiders, Natacha F. Miranda, Lisiane L. Carvalho, Andrea G. Silva

P69 Working with immigrant-origin clients: discourses and practices of health professionals

Joana Topa, Conceição Nogueira, Sofia Neves

P70 Systemic Lupus Erythematosus – what are audiovestibular changes?

Rita Ventura, Cristina Nazaré

P71 Mental disorders in the oldest old: findings from the Portuguese national hospitalization database

Daniela Brandão, Alberto Freitas, Óscar Ribeiro, Constança Paúl

P72 Recurrence analysis in postural control in children with cerebral palsy

Cristiana Mercê, Marco Branco, Pedro Almeida, Daniela Nascimento, Juliana Pereira, David Catela

P73 The experience of self-care in the elderly with COPD: contributions to reflect proximity care

Helga Rafael

P74 Culturally competent nurses: managing unpredictability in clinical practice with immigrants

Alcinda C. Reis

O137 Paediatric speech and language screening: An instrument for health professionals

Ana Mendes, Ana R. Valente, Marisa Lousada

O138 Anthropometric and nutritional assessment in bodybuilders

Diana Sousa, Ana L. Baltazar, Mª Helena Loureiro

O139 Computerized adventitious respiratory sounds in children with lower respiratory tract infections

Ana Oliveira, José Aparício, Alda Marques

O140 Role of computerized respiratory sounds as a marker in LRTI

Alda Marques, Ana Oliveira, Joana Neves, Rodrigo Ayoub

O141 Confirmatory factor analysis of the Personal Wellbeing Index in people with chronic kidney disease

Luís Sousa, Cristina Marques-Vieira, Sandy Severino, Helena José

O142 Phonological awareness skills in school aged children

Inês Cadorio, Marisa Lousada

O143 Assessment of early memories of warmth and safeness in interaction with peers: its relationship with psychopathology in adolescence

Marina Cunha, Diogo Andrade, Ana Galhardo, Margarida Couto

O144 The molecular effects induced by single shot irradiation on a diffuse large B cell lymphoma cell line

Fernando Mendes, Cátia Domingues, Susann Schukg, Ana M. Abrantes, Ana C. Gonçalves, Tiago Sales, Ricardo Teixo, Rita Silva, Jéssica Estrela, Mafalda Laranjo, João Casalta-Lopes, Clara Rocha, Paulo C. Simões, Ana B. Sarmento-Ribeiro, Mª Filomena Botelho, Manuel S. Rosa

O145 Morpho-functional characterization of cardiac chambers by Transthoracic Echocardiography, in young athletes of gymnastics competition

Virgínia Fonseca, Diogo Colaço, Vanessa Neves

O146 Prevalence of the antibodies of the new histo-blood system – FORS system

Carlos Jesus, Camilla Hesse, Clara Rocha, Nádia Osório, Ana Valado, Armando Caseiro, António Gabriel, Lola Svensson, Fernando Mendes, Wafa A. Siba, Cristina Pereira, Jorge Tomaz

O147 Assessment of the war-related perceived threat in Portuguese Colonial War Veterans

Teresa Carvalho, José Pinto-Gouveia, Marina Cunha

O148 Pulse transit time estimation for continuous blood pressure measurement: A comparative study

Diana Duarte, Nuno V. Lopes, Rui Fonseca-Pinto

O149 Blood pressure assessment during standard clinical manoeuvres: A non-invasive PPT based approach

Diana Duarte, Nuno V. Lopes, Rui Fonseca-Pinto

O150 Development and initial validation of the Activities and Participation Profile related to Mobility (APPM)

Anabela C. Martins

O151 MEASYCare-2010 Standard–A geriatric evaluation system in primary health care: Reliability and validity of the latest version in Portugal

Piedade Brandão, Laura Martins, Margarida Cardoso

O152 Interrater and intrarater reliability and agreement of the range of shoulder flexion in the standing upright position through photographic assessment

Nuno Morais, Joana Cruz

O153 Three-dimensional biofabrication techniques for tissue regeneration

Nuno Alves, Paula Faria, Artur Mateus, Pedro Morouço

O154 A new computer tool for biofabrication applied to tissue engineering

Nuno Alves, Nelson Ferreira, Artur Mateus, Paula Faria, Pedro Morouço

O155 Development and psychometric qualities of a scale to measure the functional independence of adolescents with motor impairment

Isabel Malheiro, Filomena Gaspar, Luísa Barros

O156 Organizational Trust in Health services: Exploratory and Confirmatory factor analysis of the Organizational Trust Inventory- Short Form (OTI-SF)

Pedro Parreira, Andreia Cardoso, Lisete Mónico, Carla Carvalho, Albino Lopes, Anabela Salgueiro-Oliveira

O157 Thermal symmetry: An indicator of occupational task asymmetries in physiotherapy

Adérito Seixas, Valter Soares, Tiago Dias, Ricardo Vardasca, Joaquim Gabriel, Sandra Rodrigues

O158 A study of ICT active monitoring adoption in stroke rehabilitation

Hugo Paredes, Arsénio Reis, Sara Marinho, Vítor Filipe, João Barroso

O159 Paranoia Checklist (Portuguese Version): Preliminary studies in a mixed sample of patients and healthy controls

Carolina Da Motta, Célia B. Carvalho, José Pinto-Gouveia, Ermelindo Peixoto

O160 Reliability and validity of the Composite Scale on Morningness: European Portuguese version, in adolescents and young adults

Ana A. Gomes, Vanessa Costa, Diana Couto, Daniel R. Marques, José A. Leitão, José Tavares, Maria H. Azevedo, Carlos F. Silva

O161 Evaluation scale of patient satisfaction with nursing care: Psychometric properties evaluation

João Freitas, Pedro Parreira, João Marôco

O162 Impact of fibromyalgia on quality of life: Comparing results from generic instruments and FIQR

Miguel A. Garcia-Gordillo, Daniel Collado-Mateo, Gang Chen, Angelo Iezzi, José A. Sala, José A. Parraça, Narcis Gusi

O163 Preliminary study of the adaptation and validation of the Rating Scale of Resilient Self: Resilience, self-harm and suicidal ideation in adolescents

Jani Sousa, Mariana Marques, Jacinto Jardim, Anabela Pereira, Sónia Simões, Marina Cunha

O164 Development of the first pressure ulcer in inpatient setting: Focus on length of stay

Pedro Sardo, Jenifer Guedes, João Lindo, Paulo Machado, Elsa Melo

O165 Forms of Self-Criticizing and Self-Reassuring Scale: Adaptation and early findings in a sample of Portuguese children

Célia B. Carvalho, Joana Benevides, Marina Sousa, Joana Cabral, Carolina Da Motta

O166 Predictive ability of the Perinatal Depression Screening and Prevention Tool – Preliminary results of the dimensional approach

Ana T. Pereira, Sandra Xavier, Julieta Azevedo, Elisabete Bento, Cristiana Marques, Rosa Carvalho, Mariana Marques, António Macedo

O167 Psychometric properties of the BaSIQS-Basic Scale on insomnia symptoms and quality of sleep, in adults and in the elderly

Ana M. Silva, Juliana Alves, Ana A. Gomes, Daniel R. Marques, Mª Helena Azevedo, Carlos Silva

O168 Enlightening the human decision in health: The skin melanocytic classification challenge

Ana Mendes, Huei D. Lee, Newton Spolaôr, Jefferson T. Oliva, Wu F. Chung, Rui Fonseca-Pinto

O169 Test-retest reliability household life study and health questionnaire Pomerode (SHIP-BRAZIL)

Keila Bairros, Cláudia D. Silva, Clóvis A. Souza, Silvana S. Schroeder

O170 Characterization of sun exposure behaviours among medical students from Nova Medical School

Elsa Araújo, Helena Monteiro, Ricardo Costa, Sara S. Dias, Jorge Torgal

O171 Spirituality in pregnant women

Carolina G. Henriques, Luísa Santos, Elisa F. Caceiro, Sónia A. Ramalho

O172 Polypharmacy in older patients with cancer

Rita Oliveira, Vera Afreixo, João Santos, Priscilla Mota, Agostinho Cruz, Francisco Pimentel

O173 Quality of life of caregivers of people with advanced chronic disease: Translation and validation of the quality of life in life threatening illness - family carer version (QOLLTI-C-PT)

Rita Marques, Mª Anjos Dixe, Ana Querido, Patrícia Sousa

O174 The psychometric properties of the brief Other as Shamer Scale for Children (OAS-C): preliminary validation studies in a sample of Portuguese children

Joana Benevides, Carolina Da Motta, Marina Sousa, Suzana N. Caldeira, Célia B. Carvalho

O175 Measuring emotional intelligence in health care students – Revalidation of WLEIS-P

Ana Querido, Catarina Tomás, Daniel Carvalho, João Gomes, Marina Cordeiro

O176 Health indicators in prenatal assistance: The impact of computerization and of under-production in basic health centres

Joyce O. Costa, Frederico C. Valim, Lígia C. Ribeiro

O177 Hope genogram: Assessment of resources and interaction patterns in the family of the child with cerebral palsy

Zaida Charepe, Ana Querido, Mª Henriqueta Figueiredo

O178 The influence of childbirth type in postpartum quality of life

Priscila S. Aquino, Samila G. Ribeiro, Ana B. Pinheiro, Paula A. Lessa, Mirna F. Oliveira, Luísa S. Brito, Ítalo N. Pinto, Alessandra S. Furtado, Régia B. Castro, Caroline Q. Aquino, Eveliny S. Martins

O179 Women’s beliefs about pap smear test and cervical cancer: influence of social determinants

Ana B Pinheiro, Priscila S. Aquino, Lara L. Oliveira, Patrícia C. Pinheiro, Caroline R. Sousa, Vívien A. Freitas, Tatiane M. Silva, Adman S. Lima, Caroline Q. Aquino, Karizia V. Andrade, Camila A. Oliveira, Eglidia F. Vidal

O180 Validity of the Portuguese version of the ASI-3: Is anxiety sensitivity a unidimensional or multidimensional construct?

Ana Ganho-Ávila, Mariana Moura-Ramos, Óscar Gonçalves, Jorge Almeida

O181 Lifestyles of higher education students: the influence of self-esteem and psychological well-being

Armando Silva, Irma Brito, João Amado

P75 Assessing the quality of life of persons with significant intellectual disability: Portuguese version of Escala de San Martín

António Rodrigo, Sofia Santos, Fernando Gomes

P76 Childhood obesity and breastfeeding - A systematic review

Marlene C. Rosa, Silvana F. Marques

P77 Cross-cultural adaptation of the Foot and Ankle Ability Measure (FAAM) for the Portuguese population

Sara Luís, Luís Cavalheiro, Pedro Ferreira, Rui Gonçalves

P78 Cross-cultural adaptation of the Patient-Rated Wrist Evaluation score (PRWE) for the Portuguese population

Rui S. Lopes, Luís Cavalheiro, Pedro Ferreira, Rui Gonçalves

P79 Cross-cultural adaptation of the Myocardial Infraction Dimensional Assessment Scale (MIDAS) for Brazilian Portuguese language

Bruno H. Fiorin, Marina S. Santos, Edmar S. Oliveira, Rita L. Moreira, Elizabete A. Oliveira, Braulio L. Filho

P80 The revised Portuguese version of the Three-Factor Eating Questionnaire: A confirmatory factor analysis

Lara Palmeira, Teresa Garcia, José Pinto-Gouveia, Marina Cunha

P81 Assessing weight-related psychological inflexibility: An exploratory factor analysis of the AAQW’s Portuguese version

Sara Cardoso, Lara Palmeira, Marina Cunha; José Pinto-Gouveia

P82 Validation of the Body Appreciation Scale-2 for Portuguese women

Joana Marta-Simões, Ana L. Mendes, Inês A. Trindade, Sara Oliveira, Cláudia Ferreira

P83 The Portuguese validation of the Dietary Intent Scale

Ana L. Mendes, Joana Marta-Simões, Inês A. Trindade, Cláudia Ferreira

P84 Construction and validation of the Inventory of Marital Violence (IVC)

Filipe Nave

P85 Portable continuous blood pressure monitor system

Mariana Campos, Iris Gaudêncio, Fernando Martins, Lino Ferreira, Nuno Lopes, Rui Fonseca-Pinto

P86 Construction and validation of the Scale of Perception of the Difficulties in Caring for the Elderly (SPDCE)

Rogério Rodrigues, Zaida Azeredo, Corália Vicente

P87 Development and validation of a comfort rating scale for the elderly hospitalized with chronic illness

Joana Silva, Patrícia Sousa, Rita Marques

P88 Construction and validation of the Postpartum Paternal Quality of Life Questionnaire (PP-QOL)

Isabel Mendes, Rogério Rodrigues, Zaida Azeredo, Corália Vicente

P89 Infrared thermal imaging: A tool for assessing diabetic foot ulcers

Ricardo Vardasca, Ana R. Marques, Adérito Seixas, Rui Carvalho, Joaquim Gabriel

P90 Pressure ulcers in an intensive care unit: An experience report

Paulo P. Ferreira, Michelle T. Oliveira, Anderson R. Sousa, Ana S. Maia, Sebastião T. Oliveira, Pablo O. Costa, Maiza M. Silva

P91 Validation of figures used in evocations: instrument to capture representations

Cristina Arreguy-Sena, Nathália Alvarenga-Martins, Paulo F. Pinto, Denize C. Oliveira, Pedro D. Parreira, Antônio T. Gomes, Luciene M. Braga

P92 Telephone assistance to decrease burden in informal caregivers of stroke older people: Monitoring and diagnostic evaluation

Odete Araújo, Isabel Lage, José Cabrita, Laetitia Teixeira

P93 Hope of informal caregivers of people with chronic and advanced disease

Rita Marques, Mª Anjos Dixe, Ana Querido, Patrícia Sousa

P94 Functionality and quality information from the Portuguese National Epidemiological Surveillance System

Sara Silva, Eugénio Cordeiro, João Pimentel

P95 Resting metabolic rate objectively measured vs. Harris and Benedict formula

Vera Ferro-Lebres, Juliana A. Souza, Mariline Tavares

O182 Characteristics of non-urgent patients: Cross-sectional study of an emergency department

Mª Anjos Dixe, Pedro Sousa, Rui Passadouro, Teresa Peralta, Carlos Ferreira, Georgina Lourenço

O183 Physical fitness and health in children of the 1st Cycle of Education

João Serrano, João Petrica, Rui Paulo, Samuel Honório, Pedro Mendes

O184 The impact of physical activity on sleep quality, in children

Alexandra Simões, Lucinda Carvalho, Alexandre Pereira

O185 What is the potential for using Information and Communication Technologies in Arterial Hypertension self-management?

Sara Silva, Paulino Sousa, José M. Padilha

O186 Exploring psychosocial factors associated with risk of falling in older patients undergoing haemodialysis

Daniela Figueiredo, Carolina Valente, Alda Marques

O187 Development of pressure ulcers on the face in patients undergoing non-invasive ventilation

Patrícia Ribas, Joana Sousa, Frederico Brandão, Cesar Sousa, Matilde Martins

O188 The elder hospitalized: Limiting factors of comfort

Patrícia Sousa, Rita Marques

O189 Physical activity and health state self-perception by Portuguese adults

Francisco Mendes, Rosina Fernandes, Emília Martins, Cátia Magalhães, Patrícia Araújo

O190 Satisfaction with social support in the elderly of the district of Bragança

Carla Grande, Mª Augusta Mata, Juan G. Vieitez

O191 Prevalence of death by traumatic brain injury and associated factors in intensive care unit of a general hospital, Brazil

Bruna Bianchini, Nazare Nazario, João G. Filho, Marcia Kretzer

O192 Relation between family caregivers burden and health status of elderly dependents

Tânia Costa, Armando Almeida, Gabriel Baffour

O193 Phenomena sensitive to nursing care in day centre

Armando Almeida, Tânia Costa, Gabriel Baffour

O194 Frailty: what do the elderly think?

Zaida Azeredo, Carlos Laranjeira, Magda Guerra, Ana P. Barbeiro

O195 The therapeutic self-care as a nursing-sensitive outcome: A correlational study

Regina Ferreira

O196 Phonetic-phonological acquisition for the European Portuguese from 18 months to 6 years and 12 months

Sara Lopes, Liliana Nunes, Ana Mendes

O197 Quality of life of patients undergoing liver transplant surgery

Julian Martins, Dulcineia Schneider, Marcia Kretzer, Flávio Magajewski

O198 Professional competences in health: views of older people from different European Countries

Célia Soares, António Marques

O199 Life satisfaction of working adults due to the number of hours of weekly exercise

Marco Batista, Ruth J. Castuera, Helena Mesquita, António Faustino, Jorge Santos, Samuel Honório

O200 Therapeutic itinerary of women with breast cancer in Santa Maria City/RS

Betina P. Vizzotto, Leticia Frigo, Hedioneia F. Pivetta

O201 The breastfeeding prevalence at 4 months: Maternal experience as a determining factor

Dolores Sardo

O202 The impact of the transition to parenthood in health and well-being

Cristina Martins, Wilson Abreu, Mª Céu Figueiredo

P96 Self-determined motivation and well-being in Portuguese active adults of both genders

Marco Batista, Ruth Jimenez-Castuera, João Petrica, João Serrano, Samuel Honório, Rui Paulo, Pedro Mendes

P97 The geriatric care: ways and means of comforting

Patrícia Sousa, Rita Marques

P98 The influence of relative age, subcutaneous adiposity and physical growth on Castelo Branco under-15 soccer players 2015

António Faustino, Paulo Silveira, João Serrano, Rui Paulo, Pedro Mendes, Samuel Honório

P99 Data for the diagnostic process focused on self-care – managing medication regime: An integrative literature review

Catarina Oliveira, Fernanda Bastos, Inês Cruz

P100 Art therapy as mental health promotion for children

Cláudia K. Rodriguez, Márcia R. Kretzer, Nazaré O. Nazário

P101 Chemical characterization of fungal chitosan for industrial applications

Pedro Cruz, Daniela C. Vaz, Rui B. Ruben, Francisco Avelelas, Susana Silva, Mª Jorge Campos

P102 The impact of caring older people at home

Maria Almeida, Liliana Gonçalves, Lígia Antunes

P103 Development of the first pressure ulcer in an inpatient setting: Focus on patients’ characteristics

Pedro Sardo, Jenifer Guedes, João Simões, Paulo Machado, Elsa Melo

P104 Association between General Self-efficacy and Physical Activity among Adolescents

Susana Cardoso, Osvaldo Santos, Carla Nunes, Isabel Loureiro

O203 Characterization of the habits of online acquisition of medicinal products in Portugal

Flávia Santos, Gilberto Alves

O204 Waiting room – A space for health education

Cláudia Soar, Teresa O. Marsi

O205 Safey culture evaluation in hospitalized children

Ernestina Silva, Dora Pedrosa, Andrea Leça, Daniel Silva

O206 Sexual Self-awareness and Body Image

Ana Galvão, Maria Gomes, Paula Fernandes, Ana Noné

O207 Perception of a Portuguese population regarding the acquisition and consumption of functional foods

Jaime Combadão, Cátia Ramalhete, Paulo Figueiredo, Patrícia Caeiro

O208 The work process in primary health care: evaluation in municipalities of southern Brazil

Karine C. Fontana, Josimari T. Lacerda, Patrícia O. Machado

O209 Exploration and evaluation of potential probiotic lactic acid bacteria isolated from Amazon buffalo milk

Raphaelle Borges, Flávio Barbosa, Dayse Sá

O210 Road safety for children: Using children’s observation, as a passenger

Germana Brunhoso, Graça Aparício, Amâncio Carvalho

O211 Perception and application of quality-by-design by the Pharmaceutical industry in Portugal

Ana P. Garcia, Paula O. Fernandes, Adriana Santos

O212 Oral health among Portuguese children and adolescents: a public health issue

Nélio Veiga, Carina Brás, Inês Carvalho, Joana Batalha, Margarida Glória, Filipa Bexiga, Inês Coelho, Odete Amaral, Carlos Pereira

O213 Plant species as a medicinal resource in Igatu-Chapada Diamantina (Bahia, Brazil)

Cláudia Pinho, Nilson Paraíso, Ana I. Oliveira, Cristóvão F. Lima, Alberto P. Dias

O214 Characterization of cognitive and functional performance in everyday tasks: Implications for health in institutionalised older adults

Pedro Silva, Mário Espada, Mário Marques, Ana Pereira

O215 BMI and the perception of the importance given to sexuality in obese and overweight people

Ana Mª Pereira, Mª Veiga-Branco, Filomena Pereira, Maria Ribeiro

O216 Analysis and comparison of microbiological contaminations of two different composition pacifiers

Vera Lima, Ana I. Oliveira, Cláudia Pinho, Graça Cruz, Rita F. Oliveira, Luísa Barreiros, Fernando Moreira

O217 Experiences of couple relationships in the transition to retirement

Ana Camarneiro, Mª Helena Loureiro, Margarida Silva

O218 Preventive and corrective treatment of drug-induced calcium deficiency: an analysis in a community pharmacy setting

Catarina Duarte, Ângelo Jesus, Agostinho Cruz

O219 Profile of mood states in physically active elderly subjects: Is there a relation with health perception?

Maria Mota, Sandra Novais, Paulo Nogueira, Ana Pereira, Lara Carneiro, Paulo V. João

O220 (Un)Safety behaviour at work: the role of education towards a health and safety culture

Teresa Maneca Lima

O221 Analysis of the entrepreneurial profile of students attending higher education in Portugal: the Carland Entrepreneurship Index application

Anabela Salgueiro-Oliveira, Marina Vaquinhas, Pedro Parreira, Rosa Melo, João Graveto, Amélia Castilho, José H. Gomes

O222 Evaluation of welfare and quality of life of pregnant working women regarding the age of the pregnant

María S. Medina, Valeriana G. Blanco

O223 Psychological wellbeing protection among unemployed and temporary workers: Uncovering effective community-based interventions with a Delphi panel

Osvaldo Santos, Elisa Lopes, Ana Virgolino, Alexandra Dinis, Sara Ambrósio, Inês Almeida, Tatiana Marques, Mª João Heitor

O224 Chilean population norms derived from the Health-related quality of life SF-6D

Miguel A. Garcia-Gordillo, Daniel Collado-Mateo, Pedro R. Olivares, José A. Parraça, José A. Sala

O225 Motivation of college students toward Entrepreneurship: The influence of social and economic instability

Amélia Castilho, João Graveto, Pedro Parreira, Anabela Oliveira, José H. Gomes, Rosa Melo, Marina Vaquinhas

O226 Use of aromatic and medicinal plants, drugs and herbal products in Bragança city

Mónia Cheio, Agostinho Cruz, Olívia R. Pereira

O227 Edible flowers as new novel foods concept for health promotion

Sara Pinto, Adriana Oliveira, M. Conceição Manso, Carla Sousa, Ana F. Vinha

O228 The influence of leisure activities on the health and welfare of older people living in nursing homes

Mª Manuela Machado, Margarida Vieira

O229 Risk of falling, fear of falling and functionality in community-dwelling older adults

Beatriz Fernandes, Teresa Tomás, Diogo Quirino

O230 Musculoskeletal pain and postural habits in children and teenage students

Gustavo Desouzart, Rui Matos, Magali Bordini, Pedro Mouroço

O231 What's different in Southern Europe? The question of citizens’ participation in health systems

Ana R. Matos, Mauro Serapioni

O232 Occupational stress in Portuguese police officers

Teresa Guimarães, Virgínia Fonseca, André Costa, João Ribeiro, João Lobato

O233 Is occupational therapy culturally relevant to promote mental health in Burkina Faso?

Inmaculada Z. Martin, Anita Björklund

P105 Pay-for-performance satisfaction and quality in primary care

Aida I. Tavares, Pedro Ferreira, Rui Passadouro

P106 Economic development through life expectancy lenses

Sónia Morgado

P107 What is the effectiveness of exercise on smoking cessation to prevent clinical complications of smoking?

Nuno Tavares, João Valente, Anabela C. Martins

P108 A systematic review of the effects of yoga on mental health

Patrícia Araújo, Rosina Fernandes, Francisco Mendes, Cátia Magalhães, Emília Martins

P109 Healthy lifestyle: comparison between higher education students that lived until adult age in rural and urban environment

Pedro Mendes, Rui Paulo, António Faustino, Helena Mesquita, Samuel Honório, Marco Batista

P110 Evaluation of the Mobile Emergency Care Service (SAMU) in Brazil

Josimari T. Lacerda, Angela B. Ortiga, Mª Cristina Calvo, Sônia Natal

P111 Bioactive compounds - antioxidant activity of tropical fruits

Marta Pereira

P112 Use of non-pharmacological methods to relieve pain in labour

Manuela Ferreira, Ana R. Prata, Paula Nelas, João Duarte

P113 Mechanical safety of pacifiers sold in Portuguese pharmacies and childcare stores

Juliana Carneiro, Ana I. Oliveira, Cláudia Pinho, Cristina Couto, Rita F. Oliveira, Fernando Moreira

P114 The importance of prenatal consultation: Information to pregnant women given on a unit of primary care

Ana S. Maia, Michelle T. Oliveira, Anderson R. Sousa, Paulo P. Ferreira, Géssica M. Souza, Lívia F. Almada, Milena A. Conceição, Eujcely C. Santiago

P115 Influence of different backpack loading conditions on neck and lumbar muscles activity of elementary school children

Sandra Rodrigues, Gabriela Domingues, Irina Ferreira, Luís Faria, Adérito Seixas

P116 Efficacy and safety of dry extract Hedera helix in the treatment of productive cough

Ana R. Costa, Ângelo Jesus, Américo Cardoso, Alexandra Meireles, Armanda Colaço, Agostinho Cruz

P117 A portrait of the evaluation processes of education groups in primary health care

Viviane L. Vieira, Kellem R. Vincha, Ana Mª Cervato-Mancuso

P118 Benefits of vitamins C and E in sensorineural hearing loss: a review

Melissa Faria, Cláudia Reis

P119 BODY SNAPSHOT – a web-integrated anthropometric evaluation system

Marco P. Cova, Rita T. Ascenso, Henrique A. Almeida, Eunice G. Oliveira

P120 Anthropometric evaluation and variation during pregnancy

Miguel Santana, Rafael Pereira, Eunice G. Oliveira, Henrique A. Almeida, Rita T. Ascenso

P121 Knowledge of college students on the amendments of their eating habits and physical activity index in the transition to higher education

Rita Jesus, Rodrigo Tapadas, Carolina Tim-Tim, Catarina Cezanne, Matilde Lagoa, Sara S. Dias, Jorge Torgal

P122 Muscular activity of a rally race car driver

João Lopes, Henrique Almeida, Sandra Amado, Luís Carrão

O234 Literacy and results in health

Madalena Cunha, Luís Saboga-Nunes, Carlos Albuquerque, Olivério Ribeiro

O235 Literacy promotion and empowerment of type 2 diabetics elderly in four family health units of the group of health centers of Dão Lafões

Suzete Oliveira, Mª Carminda Morais

O236 Mediterranean diet, health and life quality among Portuguese children

Emília Martins, Francisco Mendes, Rosina Fernandes, Cátia Magalhães, Patrícia Araújo

O237 Health literacy, from data to action - translation, validation and application of the European Health Literacy Survey in Portugal (HLS-EU-PT)

Ana R. Pedro, Odete Amaral, Ana Escoval

O238 Oral health literacy evaluation in a Portuguese military population

Victor Assunção, Henrique Luís, Luís Luís

O239 Preferences to Internet-based cognitive behavioural therapy – do attachment orientations matter?

Jennifer Apolinário-Hagen, Viktor Vehreschild

O240 A comparative transnational study in health literacy between Austria and Portugal

Ulrike Fotschl, Gerald Lirk, Anabela C. Martins, Isabel Andrade, Fernando Mendes

O241 Health literacy and social behaviours: relationship with sexually transmitted diseases?

Verónica Mendonça, Sandra Antunes, Isabel Andrade, Nádia Osório, Ana Valado, Armando Caseiro, António Gabriel, Anabela C. Martins, Fernando Mendes

O242 Parenting styles and attachment to parents: what relationships?

Paula A. Silva, Lisete M. Mónico, Pedro M. Parreira, Carla Carvalho

O243 Work-life balance in health professionals and professors: comparative study of workers with shift work and fixed schedule

Carla Carvalho, Pedro M. Parreira, Lisete M. Mónico, Joana Ruivo

O244 Technology literacy in self-management of diabetes

Vânia Silva, Paulino Sousa, José M. Padilha

O245 Satisfaction with therapeutic education and its relationship with clinical variables in children with type 1 diabetes

Vera Ferraz, Graça Aparício, João Duarte

O246 Nutrition-related knowledge in middle-age and older patients with type 2 diabetes

Carlos Vasconcelos, António Almeida, Joel Neves, Telma Correia, Helena Amorim, Romeu Mendes

O247 Validating the HLS-EU-(PT) questionnaire to measure health literacy in adolescents (CrAdLiSa project: HLS-EU-PT)

Luís Saboga-Nunes, Madalena Cunha, Carlos Albuquerque

O248 Health education in people with coronary heart disease: Experience of the cardiology department of a hospital on the outskirts of Lisbon

Elsa S. Pereira, Leonino S. Santos, Ana S. Reis, Helena R. Silva, João Rombo, Jorge C. Fernandes, Patrícia Fernandes

O249 Information and training needs of informal caregivers of individuals with stroke sequelae: a qualitative survey

Jaime Ribeiro, Catarina Mangas, Ana Freire

O250 Prevention of psychoactive substances consumption in students from 6th grade of Albergaria-a-Velha´s School Group

Sara Silva, Irene Francisco, Ana Oliveira

O251 Promoting healthy sexuality: shared responsibility for family, youth and educators

Helena Catarino, Mª Anjos Dixe, Mª Clarisse Louro

O252 Sexual risk behaviour in adolescents and young people

Saudade Lopes, Anjos Dixe

O253 Knowledge of school staff on type 1 diabetes

Mª Anjos Dixe, Eva Menino, Helena Catarino, Fátima Soares, Ana P. Oliveira, Sara Gordo, Teresa Kraus

O254 Sexual health in adolescents: the impact of information search in literacy

Catarina Tomás, Paulo Queirós, Teresa Rodrigues

P123 Improving basic life support skills in adolescents through a training programme

Pedro Sousa, João G. Frade, Catarina Lobão

P124 Difficulties in sexual education reported by basic education teachers in the city of Foz do Iguaçu - Brazil

Cynthia B. Moura, Laysa C. Dreyer, Vanize Meneghetti, Priscila P. Cabral

P125 Breast cancer survivors: subjects and resources for information. A qualitative systematic review

Francisca Pinto, Paulino Sousa, Mª Raquel Esteves

P126 Relationship between health literacy and prevalence of STI in Biomedical Laboratory Science students

Sofia Galvão, Ite Tytgat, Isabel Andrade, Nádia Osório, Ana Valado, Armando Caseiro, António Gabriel, Anabela C. Martins, Fernando Mendes

P127 Health literacy, risk behaviours and sexually transmitted diseases among blood donors

Mónica Casas-Novas, Helena Bernardo, Isabel Andrade, Gracinda Sousa, Ana P. Sousa, Clara Rocha, Pedro Belo, Nádia Osório, Ana Valado, Armando Caseiro, António Gabriel, Anabela C. Martins, Fernando Mendes

P128 Promoting literacy in pregnancy health-care

Fátima Martins, Montserrat Pulido-Fuentes

P129 The lifestyles of the operating assistants of education

Isabel Barroso, Gil Cabral, M. João Monteiro, Conceição Rainho

P130 Experiences of service-learning health and the literary art: reflections about the health education

Alessandro Prado, Yara M. Carvalho

P131 Life long swimming – a European Erasmus + project

Maria Campos, Liliana Moreira, José Ferreira, Ana Teixeira, Luís Rama

Hydrogen sensing via anomalous optical absorption of palladium-based metamaterials

A palladium (Pd)-based optical metamaterial has been designed, fabricated and characterized for its application in hydrogen sensing. The metamaterial can replace Pd thin films in optical transmission schemes for sensing with performances far superior to those of conventional sensors. This artificial material consists of a palladium-alumina metamaterial fabricated using inexpensive and industrial-friendly bottom-up techniques. During the exposure to hydrogen, the system exhibits anomalous optical absorption when compared to the well-known response of Pd thin films, this phenomenon being the key factor for the sensor sensitivity. The exposure to hydrogen produces a large variation in the light transmission through the metamembrane (more than 30% with 4% in volume hydrogen-nitrogen gas mixture at room temperature and atmospheric pressure), thus avoiding the need for sophisticated optical detection systems. An optical homogenization model is proposed to explain the metamaterial response. These results contribute to the development of reliable and low-cost hydrogen sensors with potential applications in the hydrogen economy and industrial processes to name a few, and also open the door to optically study the hydrogen diffusion processes in Pd nanostructures.

Differential expression of key regulators of Toll-like receptors in ulcerative colitis and Crohn's disease: a role for Tollip and peroxisome proliferator-activated receptor gamma?

The innate immune system is currently seen as the probable initiator of events which culminate in the development of inflammatory bowel disease (IBD) with Toll-like receptors (TLRs) known to be involved in this disease process. Many regulators of TLRs have been described, and dysregulation of these may also be important in the pathogenesis of IBD. The aim of this study was to perform a co-ordinated analysis of the expression levels of both key intestinal TLRs and their inhibitory proteins in the same IBD cohorts, both ulcerative colitis (UC) and Crohn's disease (CD), in order to evaluate the potential roles of these proteins in the pathogenesis of IBD. Of the six TLRs (TLRs 1, 2, 4, 5, 6 and 9) examined, only TLR-4 was increased significantly in IBD, specifically in active UC. In contrast, differential alterations in expression of TLR inhibitory proteins were observed. A20 and suppressor of cytokine signalling 1 (SOCS1) were increased only in active UC while interleukin-1 receptor-associated kinase 1 (IRAK-m) and B cell lymphoma 3 protein (Bcl-3) were increased in both active UC and CD. In contrast, expression of both peroxisome proliferator-activated receptor gamma (PPARγ) and Toll interacting protein (Tollip) was decreased in both active and inactive UC and CD and at both mRNA and protein levels. In addition, expression of both PPARγ and A20 expression was increased by stimulation of a colonic epithelial cell line Caco-2 with both TLR ligands and commensal bacterial strains. These data suggest that IBD may be associated with distinctive changes in TLR-4 and TLR inhibitory proteins, implying that alterations in these may contribute to the pathogenesis of IBD.

Surgical treatment of bronchiectasis: A review of 20 years of experience

BACKGROUND

Bronchiectasis is defined as an abnormal and irreversible dilation and distortion of the bronchi, which has numerous causes. Surgical treatment of this disease is usually reserved for focal disease and when the medical treatment is no longer effective. We report our center experience and outcomes in bronchiectasis surgery during the last 20 years.

METHODS

Between 1994 and 2014, sixty-nine patients underwent surgical resection for bronchiectasis. Patient demographics, presenting symptoms, indications for surgical treatment, type of lung resection, morbidity and mortality, as well as clinical follow-up and outcomes were analyzed.

RESULTS

From the 69 patients included, 31 (44.9%) were male and 38 (55.1%) were female. Surgery was indicated because of unsuccessful medical therapy in 33 patients (47.8%), haemoptysis in 22 patients (31.9%), nondiagnostic lung mass in 9 patients (13.0%) and lung abscess in 5 patients (7.3%). The surgical procedures were lobectomy in 45 (65.2%) patients, pneumonectomy in 10 (14.5%) patients, bilobectomy in 8 (11.6%) patients, lobectomy plus segmentectomy in 3 (4.3%) patients and only segmentectomy in 3 (4.3%) patients. Morbidity rate was 14.5% and there was no perioperative mortality. The follow-up was possible in 60 patients, with an outcome reported as excellent in 44 (73.3%) patients, as improved in 11 (18.3%) and as unchanged in 5 (8.3%).

CONCLUSION

Although the number of patients with bronchiectasis referred for surgical treatment has decreased, pulmonary resection still plays a significant role. Surgical resection of localized bronchiectasis is a safe procedure with proven improvement of quality of life for the majority of patients.

Increased titer and reduced lactate accumulation in recombinant retrovirus production through the down-regulation of HIF1 and PDK

Many mammalian cell lines used in the manufacturing of biopharmaceuticals exhibit high glycolytic flux predominantly channeled to the production of lactate. The accumulation of lactate in culture reduces cell viability and may also decrease product quality. In this work, we engineered a HEK 293 derived cell line producing a recombinant gene therapy retroviral vector, by down-regulating hypoxia inducible factor 1 (HIF1) and pyruvate dehydrogenase kinase (PDK). Specific productivity of infectious viral titers could be increased more than 20-fold for single gene knock-down (HIF1 or PDK) and more than 30-fold under combined down-regulation. Lactate production was reduced up to 4-fold. However, the reduction in lactate production, alone, was not sufficient to enhance the titer: high-titer clones also showed significant enrollment of metabolic routes not related to lactate production. Transcriptome analysis indicated activation of biological amines metabolism, detoxification routes, including glutathione metabolism, pentose phosphate pathway, glycogen biosynthesis and amino acid catabolism. The latter were validated by enzyme activity assays and metabolite profiling, respectively. High-titer clones also presented substantially increased transcript levels of the viral genes expression cassettes. The results herein presented demonstrate the impact of HIF1 and PDK down-regulation on the production performance of a mammalian cell line, reporting one of the highest fold-increase in specific productivity of infectious virus titers achieved by metabolic engineering. They additionally highlight the contribution of secondary pathways, beyond those related to lactate production, that can be also explored to pursue improved metabolic status favoring a high-producing phenotype.

Evaluation of helper-dependent canine adenovirus vectors in a 3D human CNS model

Gene therapy is a promising approach with enormous potential for treatment of neurodegenerative disorders. Viral vectors derived from canine adenovirus type 2 (CAV-2) present attractive features for gene delivery strategies in the human brain, by preferentially transducing neurons, are capable of efficient axonal transport to afferent brain structures, have a 30-kb cloning capacity and have low innate and induced immunogenicity in preclinical tests. For clinical translation, in-depth preclinical evaluation of efficacy and safety in a human setting is primordial. Stem cell-derived human neural cells have a great potential as complementary tools by bridging the gap between animal models, which often diverge considerably from human phenotype, and clinical trials. Herein, we explore helper-dependent CAV-2 (hd-CAV-2) efficacy and safety for gene delivery in a human stem cell-derived 3D neural in vitro model. Assessment of hd-CAV-2 vector efficacy was performed at different multiplicities of infection, by evaluating transgene expression and impact on cell viability, ultrastructural cellular organization and neuronal gene expression. Under optimized conditions, hd-CAV-2 transduction led to stable long-term transgene expression with minimal toxicity. hd-CAV-2 preferentially transduced neurons, whereas human adenovirus type 5 (HAdV5) showed increased tropism toward glial cells. This work demonstrates, in a physiologically relevant 3D model, that hd-CAV-2 vectors are efficient tools for gene delivery to human neurons, with stable long-term transgene expression and minimal cytotoxicity.

On-chip sample preparation and analyte quantification using a microfluidic aqueous two-phase extraction coupled with an immunoassay

Immunoassays are fast and sensitive techniques for analyte quantification, and their use in point-of-care devices for medical, environmental, and food safety applications has potential benefits of cost, portability, and multiplexing. However, immunoassays are often affected by matrix interference effects, requiring the use of complex laboratory extraction and concentration procedures in order to achieve the required sensitivity. In this paper we propose an integrated microfluidic device for the simultaneous matrix clean-up, concentration and detection. This device consists of two modules in series, the first performing an aqueous two-phase extraction (ATPE) for matrix extraction and analyte pre-concentration, and the second an immunoassay for quantification. The model analyte was the mycotoxin ochratoxin A (OTA) in a wine matrix. Using this strategy, a limit of detection (LoD) of 0.26 ng mL(-1) was obtained for red wine spiked with OTA, well below the regulatory limit for OTA in wines of 2 ng mL(-1) set by the European Union. Furthermore, the linear response on the logarithmic concentration scale was observed to span 3 orders of magnitude (0.1-100 ng mL(-1)). These results are comparable to those obtained for the quantification of OTA in plain buffer without an integrated ATPE (LoD = 0.15 ng mL(-1)). The proposed method was also found to provide similar results for markedly different matrices, such as red and white wines. This novel approach based on aqueous two-phase systems can help the development of point-of-care devices that can directly deal with real samples in complex matrices without the need for extra extraction processes and equipment.

Impact of adenovirus life cycle progression on the generation of canine helper-dependent vectors

Helper-dependent adenovirus vectors (HDVs) are safe and efficient tools for gene transfer with high cloning capacity. However, the multiple amplification steps needed to produce HDVs hamper a robust production process and in turn the availability of high-quality vectors. To understand the factors behind the low productivity, we analyzed the progression of HDV life cycle. Canine adenovirus (Ad) type 2 vectors, holding attractive features to overcome immunogenic concerns and treat neurobiological disorders, were the focus of this work. When compared with E1-deleted (ΔE1) vectors, we found a faster helper genome replication during HDV production. This was consistent with an upregulation of the Ad polymerase and pre-terminal protein and led to higher and earlier expression of structural proteins. Although genome packaging occurred similarly to ΔE1 vectors, more immature capsids were obtained during HDV production, which led to a ~4-fold increase in physical-to-infectious particles ratio. The higher viral protein content in HDV-producing cells was also consistent with an increased activation of autophagy and cell death, in which earlier cell death compromised volumetric productivity. The increased empty capsids and earlier cell death found in HDV production may partially contribute to the lower vector infectivity. However, an HDV-specific factor responsible for a defective maturation process should be also involved to fully explain the low infectious titers. This study showed how a deregulated Ad cycle progression affected cell line homeostasis and HDV propagation, highlighting the impact of vector genome design on virus-cell interaction.

Successful use of extracorporeal membrane oxygenation for pulmonary embolism, prolonged cardiac arrest, post-partum: a cannulation dilemma

A 30-year-old female gravida 1 (37 weeks + 5 days gestation) underwent a crash Cesarean section for evidence of fetal distress, with the presumed diagnosis of placental abruption. Immediately post-op, the patient had a complete cardiovascular collapse with pulseless electrical activity, requiring cardiopulmonary resuscitation (CPR). Two doses of thrombolytics (Tenecteplase) were administered during the resuscitation, with a presumed diagnosis of a pulmonary embolism. After approximately 45 minutes into the resuscitation, the cardiac surgery team was called to initiate extracorporeal membrane oxygenation (ECMO).

CASE STUDY

Veno-arterial (V-A) ECMO was emergently attempted, with difficulty, through a left femoral cut-down approach and was successfully initiated 84 minutes into the resuscitation. Once the patient's blood pressure and oxygen saturations were stabilized, the cannulae were switched to the right groin, using a Dacron graft in an end-to-side fashion. The left groin vessels were small and spasmodic due to CPR, hypotension, hypovolemia and massive inotropes. The switch helped to facilitate repair of the left femoral vessels in order to restore perfusion to the left leg. Computer tomography (CT) demonstrated multiple pulmonary emboli at the sub-segmental branches bilaterally. The patient was transferred to the intensive care unit (ICU) with profound bleeding from all incisions and a massive transfusion protocol was instituted. ECMO flows varied, depending on the intravascular volume status of the patient. The patient was cooled to 33(o)C for cerebral protection. Initial blood work 5 minutes on from the initiation of ECMO revealed a pH of 7.10 and lactate >15 mmol/L. Over the next 12 hours, oxygen saturations in the right arm began to fall (29% right vs. 77% left); as the left ventricular ejection improved, the heart began to eject deoxygenated blood from the impaired pulmonary system. At the same time, the patient was developing an abdominal compartment syndrome from ongoing intraperitoneal bleeding. To avoid hypoxic cerebral and myocardial disruption of arterial ECMO flows from the femoral vessels during laparotomy, the decision was made to switch from the femoral to central right axillary artery cannulation in the hope of improving brain oxygenation for the procedure. The patient's hemodynamics and coagulation status stabilized, but, over the next few days, she developed a right arm compartment syndrome, requiring fasciotomies. At this time, her myocardial function improved and the patient was converted from V-A ECMO to a single, dual-lumen Avalon cannula for veno-venous (V-V) ECMO through the right internal jugular vein. It was felt that the lungs required more time to recover, therefore, V-V ECMO was used. The patient was weaned from V-V ECMO successfully on post-operative day (POD) 4. The duration of ECMO was 3.5 days (81 hours). The patient required 4 cannulation sites to optimize flow and perfusion with changing clinical conditions. On POD 46, the patient was discharged from hospital without any physical or neurological sequelae.