IL23R polymorphisms influence phenotype and response to therapy in patients with ulcerative colitis

Objective - We aimed to identify the clinical and genetic [IL23 receptor (IL23R) single nucleotide polymorphisms (SNPs)] predictors of response to therapy in patients with ulcerative colitis. Patients and methods - A total of 174 patients with ulcerative colitis, 99 women and 75 men, were included. The mean age of the patients was 47±15 years and the mean disease duration was 11±9 years. The number of patients classified as responders (R) or nonresponders (NR) to several therapies was as follows: 110 R and 53 NR to mesalazine (5-ASA), 28 R and 20 NR to azathioprine (AZT), 18 R and 7 NR to infliximab. Clinical and demographic variables were recorded. A total of four SNPs were studied: IL23R G1142A, C2370A, G43045A, and G9T. Genotyping was performed by real-time PCR using Taqman probes. Results - Older patients were more prone to respond to 5-ASA (P=0.004), whereas those with pancolitis were less likely to respond to such therapies (P=0.002). Patients with extraintestinal manifestations (EIMs) were less likely to respond to 5-ASA (P=0.001), AZT (P=0.03), and corticosteroids (P=0.06). Carriers of the mutant allele for IL23R SNPs had a significantly higher probability of developing EIMs (P<0.05), a higher probability of being refractory to 5-ASA (P<0.03), but a higher likelihood of responding to AZT (P=0.05). A significant synergism was observed between IL23R C2370A and EIMs with respect to nonresponse to 5-ASA (P=0.03). Conclusion - Besides extent of disease and age at disease onset, the presence of EIMs may be a marker of refractoriness to 5-ASA, corticosteroids, and AZT. IL23R SNPs are associated both with EIMs and with nonresponse to 5-ASA and corticosteroids.

Melhoria do processo de fabrico de esterilizadores

Mestrado em Engenharia Mecânica. Gestão de Processos e Operações.

Os retalhistas nas redes sociais : perceção dos consumidores

Dissertação de Mestrado em Ciências Económicas e Empresariais.

Modelo de avaliação do relacionamento com o cliente em serviços da Administração Pública

Dissertação de Mestrado em Gestão de Empresas/MBA.

Diagnóstico energético da indústria de placas de borracha e optimização do sector de pintura

Cada vez mais a indústria tem vindo a sofrer algumas mudanças no seu processo produtivo. Hoje, mais que nunca, é preciso garantir que as instalações produtivas sejam o mais eficiente possível, procurando a racionalização de energia com um decrescimento dos custos. Deste modo o objectivo desta dissertação é o diagnóstico energético da fábrica de placas de borracha e a optimização do sector da pintura na empresa Monteiro Ribas. A realização de um diagnóstico energético, para a detecção de desperdícios de energia tem sido amplamente utilizada. A optimização irá prospectar potenciais de mudanças e aplicação de tecnologias de eficiência energética. Pretende-se deste modo travar o consumo energético sem que seja afectada a produção, já que a empresa é considerada consumidora intensiva de energia. Na empresa Monteiro Ribas há consumo de gás natural, de vapor e de energia eléctrica, sendo o vapor a forma de energia mais consumida, seguida da energia eléctrica e por fim, do gás natural nas proporções de 55%, 41% e 4%, respectivamente. A optimização feita permitiu estudar a influência de algumas variáveis, nos consumos anuais da energia, e assim apresentar propostas de melhoria. Uma das propostas analisadas foi a possibilidade de efectuar um isolamento térmico a algumas válvulas. Este isolamento conduziria a uma poupança de 79.263,4 kWh/ano. Propôs-se também a implementação de balastros electrónicos, que conduziria a uma diminuição em energia eléctrica de 29.509,92 kWh/ano. Relativamente às máquinas utilizadas no sector da pintura, verificou-se ser a estufa IRK 6, um dos equipamentos de grande consumo energético. Então analisou-se a influência da velocidade de circulação das placas de borracha através desta máquina, bem como a alteração da respectiva potência, pela diminuição do número de cassetes incorporados nesta estufa.

Implementação e validação de um método para determinação de contaminantes em vinho por microextração em fase sólida e gc-ms/ms e sua correlação com a análise sensorial

Cada vez mais começa a notar-se, na indústria vitivinícola, uma grande preocupação com a qualidade dos seus produtos, motivada pela maior sensibilização e exigência dos consumidores. Deste modo, a presença de defeitos organoléticos no vinho representa uma fonte de perda financeira nesta indústria, pelo que o seu controlo se torna indispensável para que se obtenha um produto de elevada qualidade. Neste sentido, torna-se interessante desenvolver um método de análise que seja rápido de forma a permitir a quantificação simultânea das moléculas identificadas como principais responsáveis pelos distúrbios olfativos dos vinhos. Assim, este trabalho surge com o objetivo de implementar e validar um método para a determinação de contaminantes em vinho por microextração em fase sólida (SPME) e cromatografia gasosa acoplada à espetrometria de massa tandem (GC-MS/MS) e a sua correlação com a análise sensorial. A técnica de microextração em fase sólida é simples e rápida na medida em que não requer um pré-tratamento da amostra. Por sua vez, a análise por GC-MS permite identificar de forma clara os compostos em estudo, nomeadamente, 4-Etilfenol (4-EP), 4-Etilguaiacol (4-EG), 2,4,6-Tricloroanisol (TCA), 2,3,4,6-Tetracloroanisol (TeCA) e 2,4,6-Tribromoanisol (TBA). Foram realizados estudos de otimização das condições de extração, comparando as fibras 100 μm PDMS e 50/30 μm DVB/CAR/PDMS. Obtiveram-se resultados mais satisfatórios, em termos de resposta e da relação sinal/ruído, com a fibra 50/30 μm DVB/CAR/PDMS e estabeleceram-se como condições de extração 55ºC para a temperatura de incubação/extração, uma velocidade de agitação de 250 rpm e 60 minutos de tempo de extração. Ao longo deste trabalho, analisaram-se 50 amostras de vinho, das quais 48 eram amostras de Vinho Tinto do Douro e 2 de Vinho do Porto. Para validar a metodologia foram realizados estudos de linearidade, limiares analíticos, repetibilidade, precisão intermédia e recuperação. De um modo geral, obtiveram-se bons resultados ao nível da linearidade para as gamas de concentração escolhidas. Quanto aos limites de deteção e de quantificação, o 4-EP é o contaminante que apresenta uma gama de concentrações mais alta, notando-se limiares analíticos mais elevados, com valores próximos dos últimos níveis de concentração, oscilando entre 65 e 583 μg/L. No caso dos Anisóis, o TBA apresenta limites de deteção mais baixos, entre 0,4 e 17,0 ng/L. Os limiares analíticos foram validados com recurso a estudos de precisão intermédia e repetibilidade, cujos resultados se encontram dentro das especificações descritas no documento SANCO/10684/2009 (%RSD ≤ 30% para os Anisóis e %RSD ≤ 20% para os Fenóis Voláteis). Foram, ainda, realizados estudos de exatidão recorrendo a ensaios de recuperação e a ensaios interlaboratoriais. Muitas vezes conseguem-se boas recuperações, no entanto notam-se maiores dificuldades para o TBA e para o TeCA. Relativamente aos ensaios interlaboratoriais, verificam-se maiores discrepâncias para o 4-EP. Já os restantes contaminantes apresentam resultados, geralmente, satisfatórios (|z-score| ≤ 2).

Clinical and genetic factors predicting response to therapy in patients with Crohn’s disease

Aim - To identify clinical and/or genetic predictors of response to several therapies in Crohn’s disease (CD) patients. Methods - We included 242 patients with CD (133 females) aged (mean ± standard deviation) 39 ± 12 years and a disease duration of 12 ± 8 years. The single-nucleotide polymorphisms (SNPs) studied were ABCB1 C3435T and G2677T/A, IL23R G1142A, C2370A, and G9T, CASP9 C93T, Fas G670A and LgC844T, and ATG16L1 A898G. Genotyping was performed with real-time PCR with Taqman probes. Results - Older patients responded better to 5-aminosalicylic acid (5-ASA) and to azathioprine (OR 1.07, p = 0.003 and OR 1.03, p = 0.01, respectively) while younger ones responded better to biologicals (OR 0.95, p = 0.06). Previous surgery negatively influenced response to 5-ASA compounds (OR 0.25, p = 0.05), but favoured response to azathioprine (OR 2.1, p = 0.04). In respect to genetic predictors, we observed that heterozygotes for ATGL16L1 SNP had a significantly higher chance of responding to corticosteroids (OR 2.51, p = 0.04), while homozygotes for Casp9 C93T SNP had a lower chance of responding both to corticosteroids and to azathioprine (OR 0.23, p = 0.03 and OR 0.08, p = 0.02,). TT carriers of ABCB1 C3435T SNP had a higher chance of responding to azathioprine (OR 2.38, p = 0.01), while carriers of ABCB1 G2677T/A SNP, as well as responding better to azathioprine (OR 1.89, p = 0.07), had a lower chance of responding to biologicals (OR 0.31, p = 0.07), which became significant after adjusting for gender (OR 0.75, p = 0.005). Conclusions - In the present study, we were able to identify a number of clinical and genetic predictors of response to several therapies which may become of potential utility in clinical practice. These are preliminary results that need to be replicated in future pharmacogenomic studies.

Sintonia de controladores baseada em Sistemas de Inferência Difusa

Este trabalho de pesquisa e desenvolvimento tem como fundamento principal o Conceito de Controlo por Lógica Difusa. Utilizando as ferramentas do software Matlab, foi possível desenvolver um controlador com base na inferência difusa que permitisse controlar qualquer tipo de sistema físico real, independentemente das suas características. O Controlo Lógico Difuso, do inglês “Fuzzy Control”, é um tipo de controlo muito particular, pois permite o uso simultâneo de dados numéricos com variáveis linguísticas que tem por base o conhecimento heurístico dos sistemas a controlar. Desta forma, consegue-se quantificar, por exemplo, se um copo está “meio cheio” ou “meio vazio”, se uma pessoa é “alta” ou “baixa”, se está “frio” ou “muito frio”. O controlo PID é, sem dúvida alguma, o controlador mais amplamente utilizado no controlo de sistemas. Devido à sua simplicidade de construção, aos reduzidos custos de aplicação e manutenção e aos resultados que se obtêm, este controlador torna-se a primeira opção quando se pretende implementar uma malha de controlo num determinado sistema. Caracterizado por três parâmetros de ajuste, a saber componente proporcional, integral e derivativa, as três em conjunto permitem uma sintonia eficaz de qualquer tipo de sistema. De forma a automatizar o processo de sintonia de controladores e, aproveitando o que melhor oferece o Controlo Difuso e o Controlo PID, agrupou-se os dois controladores, onde em conjunto, como poderemos constatar mais adiante, foram obtidos resultados que vão de encontro com os objectivos traçados. Com o auxílio do simulink do Matlab, foi desenvolvido o diagrama de blocos do sistema de controlo, onde o controlador difuso tem a tarefa de supervisionar a resposta do controlador PID, corrigindo-a ao longo do tempo de simulação. O controlador desenvolvido é denominado por Controlador FuzzyPID. Durante o desenvolvimento prático do trabalho, foi simulada a resposta de diversos sistemas à entrada em degrau unitário. Os sistemas estudados são na sua maioria sistemas físicos reais, que representam sistemas mecânicos, térmicos, pneumáticos, eléctricos, etc., e que podem ser facilmente descritos por funções de transferência de primeira, segunda e de ordem superior, com e sem atraso.

The influence of experience and training in a group of novice observers: a jackknife alternative free-response receiver operating characteristic analysis

Purpose - The study evaluates the pre- and post-training lesion localisation ability of a group of novice observers. Parallels are drawn with the performance of inexperienced radiographers taking part in preliminary clinical evaluation (PCE) and ‘red-dot’ systems, operating within radiography practice. Materials and methods - Thirty-four novice observers searched 92 images for simulated lesions. Pre-training and post-training evaluations were completed following the free-response the receiver operating characteristic (FROC) method. Training consisted of observer performance methodology, the characteristics of the simulated lesions and information on lesion frequency. Jackknife alternative FROC (JAFROC) and highest rating inferred ROC analyses were performed to evaluate performance difference on lesion-based and case-based decisions. The significance level of the test was set at 0.05 to control the probability of Type I error. Results - JAFROC analysis (F(3,33) = 26.34, p < 0.0001) and highest-rating inferred ROC analysis (F(3,33) = 10.65, p = 0.0026) revealed a statistically significant difference in lesion detection performance. The JAFROC figure-of-merit was 0.563 (95% CI 0.512,0.614) pre-training and 0.677 (95% CI 0.639,0.715) post-training. Highest rating inferred ROC figure-of-merit was 0.728 (95% CI 0.701,0.755) pre-training and 0.772 (95% CI 0.750,0.793) post-training. Conclusions - This study has demonstrated that novice observer performance can improve significantly. This study design may have relevance in the assessment of inexperienced radiographers taking part in PCE or commenting scheme for trauma.

Agar extraction from integrated multitrophic aquacultured Gracilaria vermiculophylla: Evaluation of a microwave-assisted process using response surface methodology

Microwave-assisted extraction (MAE) of agar from Gracilaria vermiculophylla, produced in an integrated multitrophic aquaculture (IMTA) system, from Ria de Aveiro (northwestern Portugal), was tested and optimized using response surface methodology. The influence of the MAE operational parameters (extraction time, temperature, solvent volume and stirring speed) on the physical and chemical properties of agar (yield, gel strength, gelling and melting temperatures, as well as, sulphate and 3,6-anhydro-Lgalactose contents) was evaluated in a 2^4 orthogonal composite design. The quality of the extracted agar compared favorably with the attained using traditional extraction (2 h at 85ºC) while reducing drastically extraction time, solvent consumption and waste disposal requirements. Agar MAE optimum results were: an yield of 14.4 ± 0.4%, a gel strength of 1331 ± 51 g/cm2, 40.7 ± 0.2 _C gelling temperature, 93.1 ± 0.5ºC melting temperature, 1.73 ± 0.13% sulfate content and 39.4 ± 0.3% 3,6-anhydro-L-galactose content. Furthermore, this study suggests the feasibility of the exploitation of G. vermiculophylla grew in IMTA systems for agar production.

Macrophages as biomarkers in BCG treatment response in bladder cancer

Bladder cancer is a common urologic cancer and the majority has origin in the urothelium. Patients with intermediate and high risk of recurrence/progression bladder cancer are treated with intravesical instillation with Bacillus Calmette-Guérin, however, approximately 30% of patients do not respond to treatment. At the moment, there are no accepted biomarkers do predict treatment outcome and an early identification of patients better served by alternative therapeutics. The treatment initiates a cascade of cytokines responsible by recruiting macrophages to the tumor site that have been shown to influence treatment outcome. Effective BCG therapy needs precise activation of the Th1 immune pathway associated with M1 polarized macrophages. However, tumor-associated macrophages (TAMs) often assume an immunoregulatory M2 phenotype, either immunosuppressive or angiogenic, that interfere in different ways with the BCG induced antitumor immune response. The M2 macrophage is influenced by different microenvironments in the stroma and the tumor. In particular, the degree of hypoxia in the tumors is responsible by the recruitment and differentiation of macrophages into the M2 angiogenic phenotype, suggested to be associated with the response to treatment. Nevertheless, neither the macrophage phenotypes present nor the influence of localization and hypoxia have been addressed in previous studies. Therefore, this work devoted to study the influence of TAMs, in particular of the M2 phenotype taking into account their localization (stroma or tumor) and the degree of hypoxia in the tumor (low or high) in BCG treatment outcome. The study included 99 bladder cancer patients treated with BCG. Tumors resected prior to treatment were evaluated using immunohistochemistry for CD68 and CD163 antigens, which identify a lineage macrophage marker and a M2-polarized specific cell surface receptor, respectively. Tumor hypoxia was evaluated based on HIF-1α expression. As a main finding it was observed that a high predominance of CD163+ macrophage counts in the stroma of tumors under low hypoxia was associated with BCG immunotherapy failure, possibly due to its immunosuppressive phenotype. This study further reinforces the importance the tumor microenvironment in the modulation of BCG responses.

Differences in Mismatch Negativity (MMN) response to Pure-tone and Speech sounds in normal subjects: an additional explanation

The relation of automatic auditory discrimination, measured with MMN, with the type of stimuli has not been well established in the literature, despite its importance as an electrophysiological measure of central sound representation. In this study, MMN response was elicited by pure-tone and speech binaurally passive auditory oddball paradigm in a group of 8 normal young adult subjects at the same intensity level (75 dB SPL). The frequency difference in pure-tone oddball was 100 Hz (standard = 1 000 Hz; deviant = 1 100 Hz; same duration = 100 ms), in speech oddball (standard /ba/; deviant /pa/; same duration = 175 ms) the Portuguese phonemes are both plosive bi-labial in order to maintain a narrow frequency band. Differences were found across electrode location between speech and pure-tone stimuli. Larger MMN amplitude, duration and higher latency to speech were verified compared to pure-tone in Cz and Fz as well as significance differences in latency and amplitude between mastoids. Results suggest that speech may be processed differently than non-speech; also it may occur in a later stage due to overlapping processes since more neural resources are required to speech processing.

Determination of ochratoxin A in bread: evaluation of microwave-assisted extraction using an orthogonal composite design coupled with response surface methodology

An analytical method using microwave-assisted extraction (MAE) and liquid chromatography (LC) with fluorescence detection (FD) for the determination of ochratoxin A (OTA) in bread samples is described. A 24 orthogonal composite design coupled with response surface methodology was used to study the influence of MAE parameters (extraction time, temperature, solvent volume, and stirring speed) in order to maximize OTA recovery. The optimized MAE conditions were the following: 25 mL of acetonitrile, 10 min of extraction, at 80 °C, and maximum stirring speed. Validation of the overall methodology was performed by spiking assays at five levels (0.1–3.00 ng/g). The quantification limit was 0.005 ng/g. The established method was then applied to 64 bread samples (wheat, maize, and wheat/maize bread) collected in Oporto region (Northern Portugal). OTAwas detected in 84 % of the samples with a maximum value of 2.87 ng/g below the European maximum limit established for OTA in cereal products of 3 ng/g.

Response surface methodology applied to SPE for the determination of ibuprofen in various types of water samples

Over the last few years, there has been a growing concern about the presence of pharmaceuticals in the environment. The main objective of this study was to develop and validate an SPE method using surface response methodology for the determination of ibuprofen in different types of water samples. The influence of sample pH and sample volume on the ibuprofen recovery was studied. The effect of each studied independent variable is pronounced on the dependent variable (ibuprofen recovery). Good selectivity, extraction efficiency, and precision were achieved using 600 mL of sample volume with the pH adjusted to 2.2. LC with fluorescence detection was employed. The optimized method was applied to 20 water samples from the North and South of Portugal.

Demand response management in power systems using a particle swarm optimization approach

Competitive electricity markets have arisen as a result of power-sector restructuration and power-system deregulation. The players participating in competitive electricity markets must define strategies and make decisions using all the available information and business opportunities.