688 resultados para SAFER
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Dissertao para a obteno do grau de Mestre em Engenharia Electrotcnica Ramo de Energia/Automao e Eletrnica Industrial
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Women account for 30% of all AIDS cases reported to the Health Ministry in Portugal and most infections are acquired through unprotected heterosexual sex with infected partners. This study analyzed socio-demographic and psychosocial predictors of consistent condom use and the role of education as a moderator variable among Portuguese women attending family planning clinics. A cross-sectional study using interviewer-administered fully structured questionnaires was conducted among 767 sexually active women (ages 1865). Logistic regression analyses were used to explore the association between consistent condom use and the predictor variables. Overall, 78.7% of the women were inconsistent condom users. The results showed that consistent condom use was predicted by marital status (being not married), having greater perceptions of condom negotiation self-efficacy, having preparatory safer sexual behaviors, and not using condoms only when practicing abstinence. Living with a partner and having lack of risk perception significantly predicted inconsistent condom use. Less educated women were less likely to use condoms even when they perceive being at risk. The full model explained 53% of the variance in consistent condom use. This study emphasizes the need for implementing effective prevention interventions in this population showing the importance of taking education into consideration.
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RESUMO: A pele o maior rgo do corpo humano e a sua pigmentao essencial para a sua colorao e proteo contra os efeitos nocivos da radiao ultravioleta (UV). A pigmentao da pele resulta essencialmente de trs processos: a sntese e o armazenamento de melanina pelos melancitos, em organelos especializados denominados melanossomas; o transporte dos melanossomas dentro dos melancitos; e finalmente, a transferncia dos melanossomas para os queratincitos adjacentes. Nos queratincitos, a melanina migra para a regio perinuclear apical da clula para formar um escudo protetor,responsvel pela proteo do DNA dos danos causados pela radiao UV. Os melancitos esto localizados na camada basal da epiderme e contactam com 30-40 queratincitos. Em conjunto, estas clulas formam a unidade melano-epidrmica. Apesar dos processos de sntese e transporte de melanina nos melancitos estarem bastante bem caracterizados, os mecanismos moleculares subjacentes transferncia inter-celular de melanina so menos conhecidos e ainda controversos. Dados preliminares obtidos pelo nosso grupo, que se basearam na observao de amostras de pele humana por microscopia electrnica, indicam que a forma predominante de transferncia de melanina na epiderme consiste na exocitose dos melanossomas pelos melancitos e subsequente endocitose da melanina por queratincitos. Para alm disso sabe-se que as protenas Rab, que controlam o trfego membranar, esto envolvidas em vrias etapas de pigmentao da pele, nomeadamente na biognese e no transporte de melanina. Assim, dado o seu papel fundamental nestes processos, questionmo-nos sobre o seu envolvimento na transferncia de melanina. Com este trabalho, propomo-nos a expandir o conhecimento atual sobre a transferncia de melanina na pele, atravs do estudo detalhado dos seus mecanismos moleculares, identificando as protenas Rab que regulam o processo. Pretendemos tambm confirmar o modelo de exo/endocitose como sendo o mecanismo principal de transferncia de melanina. Primeiro, explormos a regulao da secreo de melanina pelos melancitos e analismos o papel de protenas Rab neste processo. Os resultados foram obtidos recorrendo a um mtodo in vitro, desenvolvido previamente no laboratrio, que avalia a quantidade de melanina segregada para o meio de cultura por espectrofotometria, e ainda por microscopia, contando o nmero de melanossomas transferidos para os queratincitos. Atravs de co-culturas de melancitos e queratincitos, verificou-se que os queratincitos estimulam a libertao de melanina dos melancitos para o meio extra-celular, bem como a sua transferncia para os queratincitos. Alm disso, a protena Rab11b foi identificada como um regulador da exocitose de melanina e da sua transferncia para os queratincitos. De facto, a diminuio da expresso de Rab11b em melancitos provocou a reduo da secreo de melanina estimulada por queratincitos, bem como da transferncia desta. Em segundo lugar, para complementar o nosso estudo, centrmos a nossa investigao na internalizao de melanina por queratincitos. Especificamente, usando uma biblioteca de siRNA, explormos o envolvimento de protenas Rab na captao de melanina por queratincitos. Como primeira abordagem, usmos esferas fluorescentes como substituto de melanina, avaliando os resultados por citometria de fluxo. No entanto, este mtodo revelou-se ineficaz uma vez que a internalizao destas esferas independente do recetor PAR-2 (recetor 2 ativado por protease), que foi previamente descrito como essencial na captao de melanina por queratincitos Posteriormente, foi desenvolvido um novo protocolo de endocitose baseado em microscopia, usando melanossomas sem a membrana envolvente (melanocores) purificados do meio de cultura de melancitos, incluindo um programa informtico especialmente desenhado para realizar uma anlise semi-automatizada. Aps internalizao, os melanocores acumulam-se na regio perinuclear dos queratincitos, em estruturas que se assemelham ao escudo supranuclear observado na pele humana. Seguidamente, o envolvimento do recetor PAR-2 na captao de melanocores por queratincitos foi confirmado, utilizando o novo protocolo de endocitose desenvolvido. Para alm disso, a necessidade de quatro protenas Rab foi identificada na internalizao de melanocores por queratincitos. A reduo da expresso de Rab1a ou Rab5b em queratincitos diminuiu significativamente o nvel de internalizao de melanocores, enquanto o silenciamento da expresso de Rab2a ou Rab14 aumentou a quantidade de melanocores internalizados por estas clulas. Em concluso, os resultados apresentados corroboram as observaes anteriores, obtidas em amostras de pele humana, e sugerem que o mecanismo de transferncia predominante a exocitose de melanina pelos melancitos, induzida por queratincitos, seguida por endocitose pelos queratincitos. A pigmentao da pele tem implicaes tanto ao nvel da cosmtica, como ao nvel mdico, relacionadas com foto-envelhecimento e com doenas pigmentares. Assim sendo, ao esclarecer quais os mecanismos moleculares que regulam a transferncia de melanina na pele, este trabalho pode conduzir ao desenvolvimento de novas estratgias para modular a pigmentao da pele.----------------ABSTRACT: Skin pigmentation is achieved through the highly regulated production of the pigment melanin in specialized organelles, termed melanosomes within melanocytes. These are transported from their site of synthesis to the melanocyte periphery before being transferred to keratinocytes where melanin forms a supra-nuclear cap to protect the DNA from UVinduced damage. Together, melanocytes and keratinocytes form a functional complex, termed epidermal-melanin unit, that confers color and photoprotective properties to the skin. Skin pigmentation requires three processes: the biogenesis of melanin; its intracelular transport within the melanocyte to the cell periphery; and the melanin transfer to keratinocytes. The first two processes have been extensively characterized. However, despite significant advances that have been made over the past few years, the mechanisms underlying inter-cellular transfer of pigment from melanocytes to keratinocytes remain controversial.Preliminary studies from our group using electron microscopy and human skin samples found evidence for a mechanism of coupled exocytosis-endocytosis. Rab GTPases are master regulators of intracellular trafficking and have already been implicated in several steps of skin pigmentation. Thus, we proposed to explore and characterize the molecular mechanisms of melanin transfer and the role of Rab GTPases in this process. Moreover, we investigated whether the exo/endocytosis model is the main mechanism of melanin transfer. We first focused on melanin exocytosis by melanocytes. Then, we started to investigate the key regulatory Rab proteins involved in this step by establishing an in vitro tissue culture model of melanin secretion. Using co-cultures of melanocytes and keratinocytes, we found that keratinocytes stimulate melanin release and transfer. Moreover, depletion of Rab11b decreases keratinocyte-induced melanin exocytosis by melanocytes. In order to determine whether melanin exocytosis is a predominant mechanism of melanin transfer, the amount of melanin transferred to keratinocytes was then assayed in conditions where melanin exocytosis was inhibited. Indeed, Rab11b depletion resulted in a significant decrease in melanin uptake by keratinocytes. Taken together, these observations suggest that Rab11b mediates melanosome exocytosis from melanocytes and transfer to keratinocytes. To complement and extend our study, we of melanin by keratinocytes. Thus, we aimed to explore the effect of depleting Rab GTPases on melanin uptake and trafficking within keratinocytes. As a first approach, we used fluorescent microspheres as a melanin surrogate. However, the uptake of microspheres was observed to be independent of PAR-2, a receptor that is required for melanin uptakecentred our attention in the internalization of melanin by keratinocytes. Thus, we aimed to explore the effect of depleting Rab GTPases on melanin uptake and trafficking within keratinocytes. As a first approach, we used fluorescent microspheres as a melanin surrogate. However, the uptake of microspheres was observed to be independent of PAR-2, a receptor that is required for melanin uptake.Therefore, we concluded that microspheres were uptaken by keratinocytes through a different pathway than melanin. Subsequently, we developed a microscopy-based endocytosis assay using purified melanocores (melanosomes lacking the limiting membrane) from melanocytes, including a program to perform a semi-automated analysis. Melanocores are taken up by keratinocytes and accumulate in structures in the perinuclear area that resemble the physiological supranuclear cap observed in human skin. We then confirmed the involvement of PAR-2 receptor in the uptake of melanocores by keratinocytes, using the newly developed assay. Furthermore, we identified the role of four Rab GTPases on the uptake of melanocores by keratinocytes. Depletion of Rab1a and Rab5b from keratinocytes significantly reduced the uptake of melanocores, whereas Rab2a, and Rab14 silencing increased the amount the melanocores internalized by XB2 keratinocytes. In conclusion, we present evidence supporting keratinocyte-inducedmelanosome exocytosis from melanocytes, followed by endocytosis of the melanin core by keratinocytes as the predominant mechanism of melanin transfer in skin. Although advances have been made, there is a need for more effective and safer therapies directed at pigmentation disorders and also treatments for cosmetic applications. Hence, the understanding of the above mechanisms of skin pigmentation will lead to a greater appreciation of the molecular machinery underlying human skin pigmentation and could interest the pharmaceutical and cosmetic industries.
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The main results presented in this PhD Dissertation have been published in interna-tional journals included in the Science Citation Index (SCI)
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Double Degree. A Work Project presented as part of the requirements for the Award of a Masters Degree in Management from the NOVA School of Business and Economics and a Masters Degree in Finance from Louvain School of Management
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Nature has developed strategies to present us with a wide variety of colours, from the green of leaves to the bright colours seen in flowers. Anthocyanins are between these natural pigments that are responsible for the great diversity of colours seen in flowers and fruits. Anthocyanins have been used to sensitize titanium dioxide (TiO2) in Dye-Sensitized Solar Cells (DSSCs). DSSCs have become one of the most popular research topic in photovoltaic cells due to their low production costs when compared to other alternatives. DSSCs are inspired in what happens in nature during photosynthesis. A primary charge separation is achieved by means of a photoexcited dye capable of performing the electron injection into the conduction band of a wide band-gap semiconductor, usually TiO2. With this work we aimed to synthesize a novel mesoporous TiO2 structure as the semiconductor in order to increase the dye loading. We used natural occurring dyes such as anthocyanins and their synthetic flavylium relatives, as an alternative to the widely used metal complexes of Ru(II) which are expensive and are environmentally unsafe. This offers not only the chance to use safer dyes for DSSCs, but also to take profit of waste biological products, such as wine and olive oil production residues that are heavily loaded with anthocyanin dyes. We also performed a photodegradation study using TiO2 as the catalyst to degrade dye contaminants, such as those from the wine production waste, by photo-irradiation of the system in the visible region of the light spectrum. We were able to succeed in the synthesis of mesoporous TiO2 both powder and thin film, with a high capacity to load a large amount of dye. We proved the concept of photodegradation using TiO2 as catalyst. And finally, we show that wine production waste is a possible dye source to DSSCs application.
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For many drugs, finding the balance between efficacy and toxicity requires monitoring their concentrations in the patient's blood. Quantifying drug levels at the bedside or at home would have advantages in terms of therapeutic outcome and convenience, but current techniques require the setting of a diagnostic laboratory. We have developed semisynthetic bioluminescent sensors that permit precise measurements of drug concentrations in patient samples by spotting minimal volumes on paper and recording the signal using a simple point-and-shoot camera. Our sensors have a modular design consisting of a protein-based and a synthetic part and can be engineered to selectively recognize a wide range of drugs, including immunosuppressants, antiepileptics, anticancer agents and antiarrhythmics. This low-cost point-of-care method could make therapies safer, increase the convenience of doctors and patients and make therapeutic drug monitoring available in regions with poor infrastructure.
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Since 1990, several techniques have been developed to photochemically inactivate pathogens in platelet concentrates, potentially leading to safer transfusion therapy. The three most common methods are amotosalen/UVA (INTERCEPT Blood System), riboflavin/UVA-UVB (MIRASOL PRT), and UVC (Theraflex-UV). We review the biology of pathogen inactivation methods, present their efficacy in reducing pathogens, discuss their impact on the functional aspects of treated platelets, and review clinical studies showing the clinical efficiency of the pathogen inactivation methods and their possible toxicity.
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Methadone is administered as a chiral mixture of (R,S)-methadone. The opioid effect is mainly mediated by (R)-methadone, whereas (S)-methadone blocks the human ether--go-go-related gene (hERG) voltage-gated potassium channel more potently, which can cause drug-induced long QT syndrome, leading to potentially lethal ventricular tachyarrhythmias. To investigate whether substitution of (R,S)-methadone by (R)-methadone could reduce the corrected QT (QTc) interval, (R,S)-methadone was replaced by (R)-methadone (half-dose) in 39 opioid-dependent patients receiving maintenance treatment for 14 days. (R)-methadone was then replaced by the initial dose of (R,S)-methadone for 14 days (n = 29). Trough (R)-methadone and (S)-methadone plasma levels and electrocardiogram measurements were taken. The Fridericia-corrected QT (QTcF) interval decreased when (R,S)-methadone was replaced by a half-dose of (R)-methadone; the median (interquartile range [IQR]) values were 423 (398-440) milliseconds (ms) and 412 (395-431) ms (P = .06) at days 0 and 14, respectively. Using a univariate mixed-effect linear model, the QTcF value decreased by a mean of -3.9 ms (95% confidence interval [CI], -7.7 to -0.2) per week (P = .04). The QTcF value increased when (R)-methadone was replaced by the initial dose of (R,S)-methadone for 14 days; median (IQR) values were 424 (398-436) ms and 424 (412-443) ms (P = .01) at days 14 and 28, respectively. The univariate model showed that the QTcF value increased by a mean of 4.7 ms (95% CI, 1.3-8.1) per week (P = .006). Substitution of (R,S)-methadone by (R)-methadone reduces the QTc interval value. A safer cardiac profile of (R)-methadone is in agreement with previous in vitro and pharmacogenetic studies. If the present results are confirmed by larger studies, (R)-methadone should be prescribed instead of (R,S)-methadone to reduce the risk of cardiac toxic effects and sudden death.
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QUESTION UNDER STUDY: Hospitals transferring patients retain responsibility until admission to the new health care facility. We define safe transfer conditions, based on appropriate risk assessment, and evaluate the impact of this strategy as implemented at our institution. METHODS: An algorithm defining transfer categories according to destination, equipment monitoring, and medication was developed and tested prospectively over 6 months. Conformity with algorithm criteria was assessed for every transfer and transfer category. After introduction of a transfer coordination centre with transfer nurses, the algorithm was implemented and the same survey was carried out over 1 year. RESULTS: Over the whole study period, the number of transfers increased by 40%, chiefly by ambulance from the emergency department to other hospitals and private clinics. Transfers to rehabilitation centres and nursing homes were reassigned to conventional vehicles. The percentage of patients requiring equipment during transfer, such as an intravenous line, decreased from 34% to 15%, while oxygen or i.v. drug requirement remained stable. The percentage of transfers considered below theoretical safety decreased from 6% to 4%, while 20% of transfers were considered safer than necessary. A substantial number of planned transfers could be "downgraded" by mutual agreement to a lower degree of supervision, and the system was stable on a short-term basis. CONCLUSION: A coordinated transfer system based on an algorithm determining transfer categories, developed on the basis of simple but valid medical and nursing criteria, reduced unnecessary ambulance transfers and treatment during transfer, and increased adequate supervision.
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The question of where retroviral DNA becomes integrated in chromosomes is important for understanding (i) the mechanisms of viral growth, (ii) devising new anti-retroviral therapy, (iii) understanding how genomes evolve, and (iv) developing safer methods for gene therapy. With the completion of genome sequences for many organisms, it has become possible to study integration targeting by cloning and sequencing large numbers of host-virus DNA junctions, then mapping the host DNA segments back onto the genomic sequence. This allows statistical analysis of the distribution of integration sites relative to the myriad types of genomic features that are also being mapped onto the sequence scaffold. Here we present methods for recovering and analyzing integration site sequences.
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The emergence of electronic cigarettes (e-cigs) has given cannabis smokers a new method of inhaling cannabinoids. E-cigs differ from traditional marijuana cigarettes in several respects. First, it is assumed that vaporizing cannabinoids at lower temperatures is safer because it produces smaller amounts of toxic substances than the hot combustion of a marijuana cigarette. Recreational cannabis users can discretely "vape" deodorized cannabis extracts with minimal annoyance to the people around them and less chance of detection. There are nevertheless several drawbacks worth mentioning: although manufacturing commercial (or homemade) cannabinoid-enriched electronic liquids (e-liquids) requires lengthy, complex processing, some are readily on the Internet despite their lack of quality control, expiry date, and conditions of preservation and, above all, any toxicological and clinical assessment. Besides these safety problems, the regulatory situation surrounding e-liquids is often unclear. More simply ground cannabis flowering heads or concentrated, oily THC extracts (such as butane honey oil or BHO) can be vaped in specially designed, pen-sized marijuana vaporizers. Analysis of a commercial e-liquid rich in cannabidiol showed that it contained a smaller dose of active ingredient than advertised; testing our laboratory-made, purified BHO, however, confirmed that it could be vaped in an e-cig to deliver a psychoactive dose of THC. The health consequences specific to vaping these cannabis preparations remain largely unknown and speculative due to the absence of comprehensive, robust scientific studies. The most significant health concerns involve the vaping of cannabinoids by children and teenagers. E-cigs could provide an alternative gateway to cannabis use for young people. Furthermore, vaping cannabinoids could lead to environmental and passive contamination.
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lheure o nous crivons, lONU enregistre 33 million de personnes touches par le VIH/Sida. Dans les perspectives actuelles de lutte contre la propagation de la pandmie, plusieurs moyens peuvent tre mis en place : utilisation du condom, dpistage, change de seringues, abstinence Mais une question se pose : quels lments nous influencent dans lutilisation dune telle ou telle pratique? Faisant usage des stratgies de marketing social, les campagnes de prvention contre le VIH/Sida mettent lemphase sur lempowerment des individus face leur prise de risque. Par ce biais, on tente de changer certains comportements et den adopter de nouveaux plus scuritaires pour la sant. Nous avons valu ici trois (3) campagnes de prvention contre le VIH/Sida Montral. Le but de cette recherche a t de distinguer les lments pouvant faciliter la planification des campagnes dans une perspective de diminution de lincidence du VIH/Sida. Lors de la prise de dcisions concernant l'valuation d'une campagne de prvention de lutte contre le VIH/Sida, plusieurs points fondamentaux sont considrer : la source de linformation, le message, le canal utilis, les caractristiques du rcepteur et leffet dsir par la campagne. Ces aspects sont primordiaux dans la prise de conscience de la campagne. Mais attention, ce type d'valuation n'est pas conu pour en dmontrer son efficacit. Notre tude nous confirme limportance de lvaluation des campagnes de prvention aux diffrents stades de leurs conceptions. Cette recherche nous pousse connatre les dtails du programme de prvention et ainsi avoir une bonne comprhension du droulement de l'intervention dans une perspective future den expliquer lefficacit
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La rapide progression des technologies sans fil au cours de ces dernires annes a vu natre de nouveaux systmes de communication dont les rseaux vhiculaires. Ces rseaux visent intgrer les nouvelles technologies de linformation et de la communication dans le domaine automobile en vue damliorer la scurit et le confort sur le rseau routier. Offrir un accs Internet aux vhicules et leurs occupants peut sans doute aider anticiper certains dangers sur la route tout en rendant plus agrables les dplacements bord des vhicules. Le dploiement de ce service ncessite que des messages soient changs entre les vhicules. Le routage constitue un lment crucial dans un rseau, car dfinissant la faon dont les diffrentes entits changent des messages. Le routage dans les VANETS constitue un grand dfi car ces derniers sont caractriss par une forte mobilit entranant une topologie trs dynamique. Des protocoles ont t proposs pour tendre Internet aux rseaux vhiculaires. Toutefois, la plupart dentre eux ncessitent un cot lev de messages de contrle pour ltablissement et le maintien des communications. Ceci a pour consquence la saturation de la bande passante entrainant ainsi une baisse de performance du rseau. Nous proposons dans ce mmoire, un protocole de routage qui sappuie sur des passerelles mobiles pour tendre Internet aux rseaux vhiculaires. Le protocole prend en compte la mobilit des vhicules et la charge du rseau pour ltablissement et le maintien des routes.
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Afin dadresser la variabilit interindividuelle observe dans la rponse pharmacocintique de nombreux mdicaments, nous avons cr un panel de gnotypage personnalise en utilisant des mthodes de conception et dlaboration dessais uniques. Celles-ci ont pour but premier de capturer les variations gntiques prsentent dans les gnes cls impliqus dans les processus d'absorption, de distribution, de mtabolisme et dexcrtion (ADME) de nombreux agents thrapeutiques. Bien que ces gnes et voies de signalement sont impliqus dans plusieurs mcanismes pharmacocintiques qui sont bien connues, il y a eu jusqu prsent peu d'efforts envers lvaluation simultane dun grand nombre de ces gnes moyennant un seul outil exprimental. La recherche pharmacognomique peut tre ralise en utilisant deux approches: 1) les marqueurs fonctionnels peuvent tre utiliss pour prslectionner ou stratifier les populations de patients en se basant sur des tats mtaboliques connus; 2) les marqueurs Tag peuvent tre utiliss pour dcouvrir de nouvelles corrlations gnotype-phnotype. Prsentement, il existe un besoin pour un outil de recherche qui englobe un grand nombre de gnes ADME et variantes et dont le contenu est applicable ces deux modles d'tude. Dans le cadre de cette thse, nous avons dvelopp un panel dessais de gnotypage de 3,000 marqueurs gntiques ADME qui peuvent satisfaire ce besoin. Dans le cadre de ce projet, les gnes et marqueurs associs avec la famille ADME ont t slectionns en collaboration avec plusieurs groupes du milieu universitaire et de l'industrie pharmaceutique. Pendant trois phases de dveloppement de cet essai de gnotypage, le taux de conversion pour 3,000 marqueurs a t amlior de 83% 97,4% grce l'incorporation de nouvelles stratgies ayant pour but de surmonter les zones d'interfrence gnomiques comprenant entre autres les rgions homologues et les polymorphismes sous-jacent les rgions dintrt. La prcision du panel de gnotypage a t valide par lvaluation de plus de 200 chantillons pour lesquelles les gnotypes sont connus pour lesquels nous avons obtenu une concordance > 98%. De plus, une comparaison croise entre nos donnes provenant de cet essai et des donnes obtenues par diffrentes plateformes technologiques dj disponibles sur le march a rvl une concordance globale de > 99,5%. L'efficacit de notre stratgie de conception ont t dmontres par l'utilisation russie de cet essai dans le cadre de plusieurs projets de recherche o plus de 1,000 chantillons ont t tests. Nous avons entre autre valu avec succs 150 chantillons hpatiques qui ont t largement caractriss pour plusieurs phnotypes. Dans ces chantillons, nous avons pu valider 13 gnes ADME avec cis-eQTL prcdemment rapports et de dcouvrir et de 13 autres gnes ADME avec cis eQTLs qui n'avaient pas t observs en utilisant des mthodes standard. Enfin, l'appui de ce travail, un outil logiciel a t dvelopp, Opitimus Primer, pour aider pour aider au dveloppement du test. Le logiciel a galement t utilis pour aider l'enrichissement de cibles gnomiques pour d'expriences squenage. Le contenu ainsi que la conception, loptimisation et la validation de notre panel le distingue largement de lensemble des essais commerciaux couramment disponibles sur le march qui comprennent soit des marqueurs fonctionnels pour seulement un petit nombre de gnes, ou alors noffre pas une couverture adquate pour les gnes connus dADME. Nous pouvons ainsi conclure que lessai que nous avons dvelopp est et continuera certainement dtre un outil dune grande utilit pour les futures tudes et essais cliniques dans le domaine de la pharmacocintique, qui bnficieraient de l'valuation d'une longue liste complte de gnes dADME.