Browsing by Issue Date, starting with "2013-02"
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- Risco fetal de anomalias congénitas com base na idade materna em PortugalPublication . Braz, Paula; Machado, Ausenda; Dias, Carlos Matias
- Estratégias de base comunitária e de base escolar na promoção de estilos de vida saudáveis Childhood Health at Municipality LevePublication . Rito, Ana; Siopa, M.; Carvalho, M.A.
- Safety evaluation of manufactured nanomaterials: comparison of genotoxic effects of multi-walled carbon nanotubes in two human cell linesPublication . Silva, Maria João; Tavares, Ana; Antunes, Susana; Lavinha, João; Louro, HenriquetaNanotechnologies are developing very rapidly and presently, nanomaterials are increasingly used in a wide range of applications in science, industry and biomedicine. While a lot of effort has been put in the development of new manufactured nanomaterials (NMs) and in many innovative applications of nanothecnologies, comparatively less research has been performed to evaluate their safety for humans and the environment. Solid information about hazard is lacking for the vast majority of nanomaterials, especially related to chronic exposure to low doses, that are likely to occur though consumers products. The genotoxic effects of NMs, which may be linked to carcinogenic effects, are of special concern because cancer has a long latency period and thereby these effects can be less obvious and more difficult to predict than the acute effects. Multi-walled carbon nanotubes (MWCNT) are NMs that have been widely applied in structural composites, energy appliances and electronics [1]. The same physicochemical properties that have rendered them attractive for those purposes might also underlie relevant biological effects with impact on human health and on environment. Size, surface properties, agglomeration state, biopersistence and dose are likely to influence cell responses to MWCNT, presenting a challenge to the assessment of their potential hazards. In particular, the similarity, in size and shape, between MWCNTs and asbestos fibers has raised concerns about their potential genotoxic and carcinogenic effects. The potential genotoxic effects of several MWCNT have been characterized in vitro and in vivo, but discrepant results have been reported, showing either absence [2,3] or induction of genomic instability [4,5,6,7]. These inconsistent results may be related to differences in the physicochemical properties of the NMs studied and to other variables inherent to the in vitro test systems and exposure conditions. Therefore, the use of standardized methods and of well characterized NM has been recommended, to allow comparison of the genotoxic effects obtained for a given NM in different laboratories and the genotoxic potential of several NMs [8]. In the context of an EU Joint Action (NANOGENOTOX), aimed at establishing a robust methodology for the safety evaluation of the manufactured nanomaterials, the objective of the present work was to compare the potential genotoxic effects of two thin and short MWCNT (NM-402 and NM-403; JRC repository) in a human type-II alveolar epithelial cell line (A549 cells) and in primary human lymphocytes. Dispersions of each NM were freshly prepared according to a standardized protocol [9] and cells were exposed to several NMs concentrations. Concurrent control cultures were also analyzed: vehicle control, positive and nanosized controls (mitomycin C and ZnO, respectively). The in vitro micronucleus assay was selected to assess chromosome structural and numerical changes, because it is a validated method accepted for regulatory purposes [10]. Considering alveolar cells exposure to NM-402, a dose-response relationship was obtained for the frequency of micronucleated cells with the two highest concentrations being able to significantly increase the frequency of micronuclei, comparatively to the vehicle control. However, equivocal results were obtained in lymphocytes, with a single concentration yielding micronucleus induction. In contrast, NM-403 failed to produce micronucleation in alveolar cells but was able to significantly induce micronuclei in lymphocytes at the same dose-range. Positive controls yielded positive results in both cell lines. In conclusion, a differential response was observed for closely related MWCNT in two human cell lines, which might be explained by differences in the uptake capacity or sensitivity of the two cell lines or by structural differences of MWCNT, including surface activity and transition metals present as impurities. This study illustrates the difficulty of implementing hazard-grouping strategies based on the similarity of the NMs physicochemical properties and hypothesized mode of action. It highlights the importance of investigating the toxic potential of each NM individually until the main characteristic(s) that determine NMs genotoxicity are uncovered. Most of all, interconnections between the pace of technological change and safety has to be guaranteed, in order to benefit from innovation while protecting public health.
- Fungal Meningitis in an Immunocompetent PatientPublication . Louro, R.; Ferreira, R.; Pinheiro, C.; Parada, H.; Faria, D.; Monteiro, E.Cryptococcal meningitis is a rare entity among immunocompetent hosts but, when it occurs, it is associated with significant morbidity and mortality. Clinical presen- tation as well as the course of the disease is usually subtle and indolent with headache and altered mental status. The authors present the case of a 59-year-old man, who sought medical help with a 2-week history of headaches accompanied by nausea and visual and hearing disturbances. On admission the patient was afebrile, presented visual and hearing deficits and had a normal magnetic resonance image of the brain. A lumbar puncture was performed and microscopic examination of the cerebrospinal fluid revealed yeasts that were identified as Cryptococcus spp. and later, by means of molecular biology techniques, as Cryptococcus neoformans, var. grubii. The patient was treated with liposomal amphotericin B plus fluconazole for 28 weeks. At follow-up after 1 year the patient was asymptomatic and received fluconazole 400 mg/day as prophylactic therapy. The outcome of Cryptococcus infections in immunocompetent hosts is reported to be poor as a result of a delayed diagnosis and suboptimal initial antifungal therapy. The influence of the normal immune response is unclear.
- Biobanco do INSA e a Investigação EpidemiológicaPublication . Silva, Marta Barreto da
- Boletim Epidemiológico Observações: Vol. 2, Nº3, jan-mar 2013Publication . Instituto Nacional de Saúde Doutor Ricardo Jorge, IPObservações é uma publicação trimestral, que visa contribuir para o conhecimento da saúde da população, os fatores que a influenciam, a decisão e a intervenção em Saúde Pública, assim como a avaliação do seu impacte na população portuguesa. Através do acesso público e gratuito a resultados científicos gerados por atividades de observação em saúde, monitorização e vigilância epidemiológica, é dada especial atenção à disseminação rápida de informação relevante para a resposta a temas de relevo para a saúde da população portuguesa, tendo como alvo todos os profissionais, investigadores e decisores intervenientes na área da Saúde Pública em Portugal.
- Análise de custo-benefício da farmacogenética na terapêutica com varfarinaPublication . Raimundo, Ana; Picanço, Isabel; Silva, Marta Barreto da; Vicente, A.M.
- Embalagens Alimentares: riscos e sua avaliaçãoPublication . Ana, Sanches Silva
- Diagnóstico laboratorial de dengue no Instituto Nacional de Saúde Doutor Ricardo Jorge: casos autóctones na MadeiraPublication . Alves, M.J.; Amaro, Fátima; Osório, Hugo; Luz, Teresa; Parreira, Paulo; Zé-Zé, Líbia
- Base de dados internacional de variantes genéticas do gene MTM1: contributos para o perfil epidemiológico da miopatia miotubularPublication . Oliveira, Jorge; Oliveira, Rosário; Santos, Márcia