Establishing a cell biology platform: isolation and preservation of human blood products

Dissertação para obtenção do Grau de Mestre em Genética Molecular e Biomedicina

Complicações em idosos submetidos a cirurgia de correcção de de hérnias da parede abdominal

RESUMO: O envelhecimento da população é um fenómeno à escala mundial, com tendência a aumentar, sendo cada vez mais os idosos e mais velhos. Esta propensão é notória nos utentes que recorrem aos cuidados de saúde. À medida que se envelhece maior vai sen-do a vulnerabilidade e riscos para a saúde, bem como a prevalência para doenças croni-cas, que se traduz num aumento de hospitalizações e consumo. As complicações ocorri-das em idosos aquando submetidos a intervenções cirúrgicas estão descritas na literatu-ra, havendo uma escassez de publicações nacionais relacionadas com o tema. O presente estudo teve por objectivo caracterizar idosos submetidos a correcção cirúrgi-ca de hérnias da parede abdominal, os procedimentos e as complicações ocorridas. O estudo, transversal e de natureza quantitativa, foi realizado no Centro Hospitalar de Lisboa Norte – Hospital Pulido Valente, e teve como critério de inclusão os indivíduos com 65 ou mais anos submetidos a correcção cirúrgica de hérnias da parede abdominal, realizadas em 2009-2010, que tiveram um período de recobro na Unidade de Cuidados Anestésicos Pós-operatórios. Para a obtenção dos dados, foram analisados os processos clínicos do Arquivo Clínico da Instituição e registada informação sobre variáveis de caracterização sócio demográfi-ca, de saúde pré, intra e pós-operatória imediata e descritivas da cirurgia. Foram avaliadas as situações de 164 indivíduos, 78.7% eram homens e 21.3% mulheres e a média de idades era de 72.4 anos e desvio padrão 5.46. Em termos de hábitos de Vida, foi possível constatar um predomínio de baixo consumo de tabaco (13.4%) e álcool (6.7%). O valor médio de co-morbilidades foi de 2.6 e desvio padrão de 1.34 sendo a maior prevalência de 3-4 co-morbilidades com 48.8%. Salienta-se que todas as mulheres da amostra apresentaram doenças. As patologias mais prevalentes são as do foro cardiovascular: Hipertensão Arterial (75.0%), Dislipidémia (35.4%) e Insuficiência Venosa Periférica (14.6%), de forma menos expressiva, mas igualmente relevante a Diabetes Mellitus (23.8%). Nos mais idosos [75 ou mais], verificou-se uma expressivi-dade Hipertrofia benigna da próstata (18.2%). Das cirurgias ocorridas predominou a correcção cirúrgica de Hérnia Inguinal.Das complicações identificadas prevaleceu a dor (97.6%). A hipotermia (34.8%), HTA (24.4%) e bradicárdia (14.6%) encontram-se entre as complicações mais determinantes. Verificaram-se diferenças com significado estatístico entre os dois grupos etários consi-derados nas complicações bradicárdia (p=0.021) e a saturação de oxigénio <90% (p = 0.006), hemorragia (p=0.036) e retenção urinária (p = 0.038). Neste estudo constata-se que a cirúrgica de hérnias da parede abdominal em idosos é uma realidade prevalente. Dos factores que possam estar associados a propensão para complicações pós-cirúrgicas, a idade e a presença de co-morbilidade controlada não revelaram ter influência. Também os tempos de cirurgia e de anestesia não revelaram influências no surgimento de complicações. A monitorização dos sinais vitais deve ser constante, desde o período pré-operatório imediato de forma a permitir aos profissionais de saúde identificar uma propensão para vulnerabilidade, com vantagem em ser apre-sentado sob a forma de score. Este manifestou diferenças significativas a nível dos dois grupos etários considerados (p=0.001). Este score, vai possibilitar sinalizar quais os idosos com maior susceptibilidade de ocorrência de complicações.------------------ABSTRACT:Population aging has become a worldwide phenomenon with tendency to increase. This is particularly evident due to the amount of elderly that attend the medical services. As one gets older, more vulnerable and more risks to one’s health. Also chronic diseas-es are more likely to exist which lead to more hospitalizations and increase of consuma-bles. The complications after a surgery in older people are well documented in international scientific studies, however national studies are still lacking. The present study aims to characterize elderly patients after abdominal hernia surgical correction, the procedures and complications detected. This transversal and quantitative nature like study, was held in the Centro Hospitalar Lisboa-Norte – Hospital Pulido Valente, and as inclusive criteria where patients with more than 65 or more years old, who undergone abdominal hernia surgical correction surgery in 2009-2010 and had the post-operation on the Unidade de Cuidados Anestésicos Pós-Operatorios. Data from the clinical files from the archive of the hospital where analyzed. Information was taken regarding social demographic variables; before, during and immediately after surgery variables and also descriptive of the surgery itself. Were evaluated 164 individuals, 78, 7% of which were men and 21, 3% women with an average age of 72, 4 years and standard deviation 5.46. Life habits analyzed detected low consumption of tobacco (13, 4%) and alcohol (6, 7%). The average of co-morblity was 2, 6 and standard deviation 1.34. The biggest prevalence of 3-4 co-morbilities was 48, 8%. Important to notice that, all women from the study presented illnesses. The illnesses more frequent were cardiovascular: High Blood Pressure (75%), Dyslipidemia (35, 4%), Deep Venous Insufficiency (14, 6%), less significant but also relevant, Diabetes Melli-tus (23, 8%). In the older (75 or more), was noticed Benign Prostatic (18, 2%). In the surgeries verified, the abdominal hernia correction was more frequent. From all thecomplications identified, pain was 97, 6%, Hypothermia 34, 8%, high Blood Pressure 24, 4% and Bradycardia 14, 6%, were higher prevalence. Was seen differences in the statistic meaning of the two groups in the Bradycardia com-plications (p=0.021), and the oxygen saturation < 90% (p=0.006), bleeding (p=0,036) and urine retention (p=0,038). In the present study it is evident that the abdominal hernia surgical correction in older population is a common procedure. Of all the factors that might be related with post-operatory complications, age and the presence of controlled co-morbility didn’t reveal relevant. Also, surgical times and duration of anesthesia didn´t seem to be related to complications incidence. Monitoring the vital signs must be constant since the immedi-ate post-operatory to ensure that the professionals can identify any possible vulnerabil-ity, presenting it in a score like way. The score has shown meaningful differences be-tween the two age groups analyzed (p=0,001). This score allows identifying which pa-tients are more likely to suffer complications.

Bioinspired polyethersulfone-based hollow fiber membranes as the scaffolds in renal assist device for protein-bound toxins removal from blood

Dissertation for obtaining the Master degree in Membrane Engineering

Fermentation of fruit juices by the osmotolerant yeast Candida magnoliae

This study focuses on the assessment of the fermentation conditions required to modulate the metabolic flux in the osmotolerant yeast Candida magnoliae and evaluate its potential to produce low-alcoholic and low-caloric fermented beverages. For that purpose, two strains, PYCC 2903 and PYCC 3191, were used and fermentation conditions as oxygenation, sugar concentration and the ratio of glucose to fructose were studied using synthetic culture media. Candida magnoliae PYCC 2903 was subsequently used to ferment real industrial fructose-rich substrates such as fruit juices. Sugar consumption profiles for C.magnoliae PYCC 2903 incubated aerobically in the presence of high fructose and glucose concentrations (15%, 10% and 5%) showed a selective utilization of fructose, denoting a preference for this sugar over glucose. The lower ratio between ethanol and sugar alcohols yield was obtained for both strains incubated under oxygen limitation simulating industrial fructose-rich substrates, confirming the ability of this yeast to direct fermentation towards alternative products. Enzymatic assays for hexokinase activity in terms of capacity and affinity for glucose and fructose were performed, aiming to elucidate its contribution to the fructophilic behaviour of this yeast. Enzymatic assays for both strains showed that the Vmax is two to threefold higher for fructose than for glucose but Km is also 10-20-fold higher for this sugar than for glucose. Hence, hexokinase kinetic properties do not explain fructophily in C.magnoliae. This indicates that fructose transport is probably determining in this respect, as observed for other fructophilic yeasts. Fruit juice fermentations with C.magnoliae PYCC 2903 revealed a potential for the production of beverages with interesting sensorial properties. Pear and peach fermentations exhibited the best results with the lowest ratio between ethanol and sugar alcohols yield and the most pleasant organoleptic features.

Analysis of the interaction of polycyclic aromatic compounds in a model organism: integration of genotoxic and histopathological effects

Due to their toxicity, especially their carcinogenic potential, polycyclic aromatic hydrocarbons (PAHs) became priority pollutants in biomonitoring programmes and environmental policy, such as the European Water Framework Directive. The model substances tested in this study, namely benzo[b]fluoranthene (B[b]F), considered potentially carcinogenic to humans and an effector carcinogenic PAH to wildlife, and phenanthrene (Phe), deemed a non-carcinogenic PAH, are common PAHs in coastal waters, owning distinct properties reflected in different, albeit overlapping, mechanisms of toxicity. Still, as for similar PAHs, their interaction effects remain largely unknown. In order to study the genotoxic effects of caused by the interaction of carcinogenic and non-carcinogenic PAHs, and their relation to histopathological alterations, juvenile sea basses, Dicentrarchus labrax, a highly ecologically- and economically-relevant marine fish, were injected with different doses (5 and 10 μg.g-1 fish ww) of the two PAHs, isolated or in mixture, and incubated for 48 h. Individuals injected with B[b]F and the PAH mixture exhibited higher clastogenic/aneugenic effects and DNA strand breakage in blood cells, determined through the erythrocytic nuclear abnormalities (ENA) and Comet assays, respectively. Also, hepatic histopathological alterations were found in all animals, especially those injected with B[b]F and the PAH mixture, relating especially to inflammation. Still, Phe also exhibited genotoxic effects in sea bass, especially in higher doses, revealing a very significant acute effect that was accordant with the Microtox test performed undergone in parallel. Overall, sea bass was sensitive to B[b]F (a higher molecular weight PAH), likely due to efficient bioactivation of the pollutant (yielding genotoxic metabolites and reactive oxygen species), when compared to Phe, the latter revealing a more significant acute effect. The results indicate no significant additive effect between the substances, under the current experimental conditions. The present study highlights the importance of understanding PAH interactions in aquatic organisms, since they are usually present in the aquatic environment in complex mixtures.

Novel affinity pairs "tag-receptor" for the purification of fusion proteins

Fundação para a Ciência e Tecnologia - SFRH/BD/48804/2008 and the project PTDC/BI/65383/2006 assigned to Prof. Cecíla Roque and also to Associate Laboratory REQUIMTE (Pest-C/EQB/LA0006/2011)