Browsing by Author "Costa, Paulo"
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- Characterization of freezing effect upon stability of, probiotic loaded, calcium-alginate microparticlesPublication . Sousa, Sérgio; Gomes, Ana M.; Pintado, Maria M.; Silva, José P.; Costa, Paulo; Amaral, Maria H.; Duarte, Armando C.; Rodrigues, Dina; Rocha-Santos, Teresa A. P.; Freitas, Ana C.Microencapsulation, utilizing different techniques and polymers, has been studied with the objective of maintaining probiotic viability in food matrices, protecting the cells from their detrimental environment, storage conditions andthe passage of gastrointestinal tract (GIT). The main objective of this study was to assess the effect of freezing at−20◦C upon probiotic alginate-calcium microparticles’ integrity and functionality through parameters such as size,morphology and structure of microparticles as well as to assess cell resistance to simulated gastrointestinal tractconditions upon storage. In order to study the effect of freezing upon the stability of the microparticles, calcium-alginate microparticles, with or without probiotic cells (Lactobacillus casei-01, Lactobacillus paracasei L26, Lactobacillusacidophilus KI and Bifidobacterium animalis BB-12), were characterized at production time and after 60 days storage at−20◦C. An increase in particle size, loss of the spherical shape and porous net damages were observed after 60 daysof storage at −20◦C. In accordance, encapsulation in alginate was not able to exert protection to the encapsulatedprobiotic cells stored at −20◦C for 60 days, especially from acid and particularly bile salts. B. animalis BB-12 revealedto be the most resistant probiotic strain, to both the microencapsulation process and to GIT simulated conditions.
- Development of probiotic tablets using microparticles: viability studies and stability studiesPublication . Sousa e Silva, J. P.; Sousa, Sérgio C.; Costa, Paulo; Cerdeira, Emília; Amaral, Maria H.; Lobo, José Sousa; Gomes, Ana M. P.; Pintado, Maria M.; Rodrigues, Dina; Rocha-Santos, Teresa; Freitas, A. C.Alternative vectors to deliver viable cells of probiotics, to those conferring limited resistance to gastrointestinal conditions, still need to be sought. Therefore the main goal of the study was to develop tablets able to protect entrapped probiotic bacteria from gastric acidity, thus providing an easily manufacturing scale-up dosage form to deliver probiotics to the vicinity of the human colon. Whey protein concentrate microparticles with Lactobacillus paracasei L26 were produced by spray-drying and incorporated in tablets with cellulose acetate phthalate and sodium croscarmellose. The viability of L. paracasei L. 26 throughout tableting as well as its gastric resistance and release from the tablets were evaluated. Storage stability of L. paracasei L26 tablets was also performed by evaluation of viable cells throughout 60 days at 23 degrees C and 33% relative humidity. A decrease of approximately one logarithmic cycle was observed after the acid stage and the release of L. paracasei L26 from the tablets occurred only after 4 h in the conditions tested. Microencapsulated L. paracasei L26 in tablets revealed some susceptibility to the storage conditions tested since the number of viable cells decreased 2 log cycles after 60 days of storage. However, the viability of L. paracasei L26 after 45 days of storage did not reveal significant susceptibility upon exposure to simulated gastrointestinal conditions. The developed probiotic tablets revealed to be potential vectors for delivering viable cells of L. paracasei L26 and probably other probiotics to persons/patients who might benefit from probiotic therapy.
- Effect of Some Viticultural Parameters on the Grape Carotenoid ProfilePublication . Oliveira, Carla; Ferreira, António César; Costa, Paulo; Guerra, Joaquim; Pinho, Paula Guedes deThe effect of some viticultural parameters on the grape carotenoid profile was investigated. Grape cultivar, ripeness stage, sunlight and shade exposure, altitude, and vegetative height were studied. Differences between cultivars were observed in eight different black grape varieties: Touriga Brasileira (TBR), Tinta Barroca (TB), Tinta Amarela (TA), Souza˜o (S), Touriga Franca (TF), Touriga Nacional (TN), Tinta Roriz (TR), and Tinto Ca˜o (TC), from the Douro region. TA and TBR clearly produced higher concentrations of carotenoids. Results showed that carotenoid content decreased during ripening. Decreases of lutein were observed until 66%, whereas â-carotene slowly decreased, having a constant level until the harvest date. Carotenoid contents were consistently higher in grapes exposed to shade than in those exposed to direct sunlight in both studied white grape varieties, Maria Gomes (MG) and Loureiro (L). In the Douro Valley, high-elevation terraces, which presented a lower temperature and higher humidity during the maturation period, appeared to produce grapes with higher carotenoid values. Grapes grown with higher vegetative height seem to have higher carotenoid levels; furthermore, grapes grown with lower vegetative height had higher weight and sugar concentrations.
- Effectiveness of multisensory stimulation in managing neuropsychiatric symptoms in older adults with major neurocognitive disorder: a systematic reviewPublication . Silva, Rosa Carla; Abrunheiro, Sérgio; Cardoso, Daniela; Costa, Paulo; Couto, Filipa; Agrenha, Cátia; Apóstolo, JoãoObjective: The objective of the review was to synthesize the effectiveness of multisensory stimulation in managing neuropsychiatric symptoms (NPS) in older adults with major neurocognitive disorder (NCD). Introduction: Major neurocognitive disorder is characterized by changes in specific cognitive domains with a progressive deterioration in cognitive ability and capacity for independent living. Most older adults with this condition have one or more concomitant symptoms known as NPS. Evidence shows that nonpharmacological therapies have been effective in controlling these symptoms, with multisensory stimulation attracting further investigation. Inclusion criteria: The review considered studies on older adults aged 65 years or over with major NCD. The intervention of interest was multisensory stimulation, and the comparator was usual care (e.g. no occupational therapy, no cognitive training, and no art therapy, but with possible control of activities such as looking at photographs or doing quizzes), or another intervention (e.g. occupational therapy, cognitive training and art therapy). Primary outcomes were NPS (agitation, aggression, motor disturbances, mood liability, anxiety, apathy, night-time behaviour, eating disorders, delusion and hallucination). Secondary outcomes were quality of life, functional status in activities of daily living, cognitive status and caregiver burden. Experimental study designs were considered. Methods: A broad range of keywords and a three-step search strategy were used to identify potentially eligible published and unpublished studies from January 1990 to June 2016 in major healthcare-related online databases. Studies in English, Spanish and Portuguese were included. Two independent reviewers assessed the methodological quality of eight included studies using the Joanna Briggs Institute (JBI) Critical Appraisal Checklists for Randomized Controlled Trials and Quasi-Experimental Studies. Data were extracted using the standardized data extraction tool from the JBI System for the Unified Management, Assessment and Review of Information (JBI SUMARI) and included details about the interventions, populations, study methods and outcomes of interest. Significant differences were found between participants, interventions, outcome measures (clinical heterogeneity), and designs (methodological heterogeneity). For these reasons, a meta-analysis could not be performed. Therefore, the results have been described in a narrative format. Results: Eight studies (seven randomized controlled trials and one quasi-experimental study) were included, with a total sample of 238 participants (pre-intervention). Four studies confirmed the effectiveness of multisensory stimulation in domains such as physically nonaggressive behavior, verbally agitated behavior and agitation. However, these effects did not always persist in the long-term. Six studies showed poorly consistent results on the effects of multisensory stimulation in improving mood, with only one displaying significant effects. Similarly, despite poor results, two studies showed benefits concerning anxiety. Participants reported significantly decreased levels of anxiety over the course of the intervention, and this improvement persisted in the long-term. In regard to functional status in activities of daily living, two studies reported an improvement in the short-term. Moreover, the effectiveness in cognitive domains such as memory and attention to surroundings also showed inconsistent results across the seven studies that analyzed this outcome. Two studies reflected an improvement during the intervention, but also reported a gradual decline in the long-term. Only one study observed significantly better results during the intervention that persisted until the follow-up assessment. Apathy, night-time behavior, eating disorders, delusion and hallucination were NPS that were not explored in the studies that met the criteria to be included in this review. Conclusions: These findings suggest that multisensory stimulation could be an effective intervention for managing NPS in older adults with major NCD in a mild to severe stage, particularly for managing behavioral symptoms such as agitation. This research provides an indication of the likely effect of the multisensory stimulation on NPS such as agitation and anxiety, as well on cognitive status.
- Effects of caregiver-provided individual cognitive interventions on cognition, social functioning and quality of life in older adults with major neurocognitive disorders: a systematic reviewPublication . Silva, Rosa; Bobrowicz-Campos, Elzbieta; Cardoso, Daniela; Costa, Paulo; Couto, Filipa; Camarneiro, Ana Paula; Abrunheiro, Sérgio; Almeida, Maria; Apóstolo, JoãoObjective: The objective of this review was to investigate the effectiveness of caregiver-provided individual cognitive interventions for improving cognition, social functioning and quality of life in older adults with major neurocognitive disorders. Introduction: A large number of people with major neurocognitive disorders live in their homes, requiring ongoing community care. Different individual cognitive intervention programs have been explored as a potential approach for implementation by caregivers on a one-to-one basis. These programs have the advantage of being implemented in a home setting and in the real-life context of the older adult, in a society that is increasingly aging and where aging in place is being fostered. Inclusion criteria: This review considered experimental studies that included older adults aged 60 years and over with major neurocognitive disorders who were receiving individual cognitive interventions (e.g. cognitive stimulation, cognitive training or cognitive rehabilitation) provided by their caregivers. The comparator was usual care, waitlist control or alternative therapeutic intervention. The primary outcomes of interest included cognition, social functioning and quality of life. Additionally, behavior, mood and activities of daily living were considered. Methods: A comprehensive search strategy was used to identify relevant published and unpublished studies from January 1995 to March 2018, written in English, Spanish and Portuguese. Studies meeting the inclusion criteria were retrieved and their methodological quality was assessed by two independent reviewers using the JBI critical appraisal checklists for randomized controlled trials and quasi-experimental studies. Quantitative data were extracted using the standardized data extraction tool from the JBI System for the Unified Management, Assessment and Review of Information. Due to the clinical and methodological heterogeneity in the included studies, statistical pooling was not possible. Therefore, findings are presented in a narrative format. Results: Eight randomized controlled trials and two quasi-experimental studies were included, with a total sample of 844 dyads (older adults and caregivers). The number of dyads included in the studies ranged from 16 to 356. Beneficial effects of the caregiver-provided individual cognitive interventions were observed in various cognitive domains, including memory, attention, verbalfluency and problem-solving. Two studies additionally reported the positive impact of the intervention of interest on general cognitive functioning. None of the reviewed studies revealed significant changes in quality of life. Social functioning was not analyzed in any of the included studies. Beneficial effects were also reported in relation to behavior and activities of daily living, despite the low level of evidence. Conclusions: This review responds to a gap in current international literature on the synthesis of evidence on the use of caregiver-provided individual cognitive interventions. The intervention of interest is associated with improvement in cognitive performance, revealing some benefits for the stabilization of neuropsychiatric symptoms and an increase in autonomy in activities of daily living. Further research on the impact of sociodemographic and clinical factors on the intervention effects is needed, as these factors seem to interfere with successful intervention implementation. To reinforce current evidence, the methodological quality of future studies should be improved.
- Effects of encapsulation on the viability of probiotic strains exposed to lethal conditionsPublication . Borges, Sandra; Barbosa, Joana; Camilo, Rute; Carvalheira, Ana; Silva, Joana; Sousa, Sérgio; Gomes, Ana M.; Pintado, Maria M.; Silva, José P.; Costa, Paulo; Amaral, Maria H.; Teixeira, Paula; Freitas, Ana C.The effect of microencapsulation on the viability of Lactobacillus casei, L. paracasei, L. acidophilus Ki and Bifidobacterium animalis BB-12 during exposure to lethal conditions (25% NaCl, pH 3.0 and 55–60 ºC) was evaluated. Results demonstrated that survival of probiotic strains to the imposed lethal stress conditions was strain dependent. With the exception of exposure to 25% (w ⁄ v) NaCl, L. acidophilus Ki (free and encapsulated cells) demonstrated the highest survival rates through exposure to lethal conditions of temperature and pH. For this probiotic strain exposed to heat, microencapsulated cells expressed a higher heat tolerance at 55 ºC than free cells. For the other tested bacteria, in general, encapsulation had no positive effect on survival through the tested lethal conditions.
- Effects of processing and storage on Pediococcus pentosaceus SB83 in vaginal formulations: lyophilized powder and tabletsPublication . Borges, Sandra; Costa, Paulo; Silva, Joana; Teixeira, PaulaVaginal probiotics have an important role in preventing the colonization of the vagina by pathogens. This study aimed to investigate different formulations with Pediococcus pentosaceus SB83 (lyophilized powder and tablets with and without retarding polymer) in order to verify its stability and antilisterial activity after manufacture and during storage. The bacteriocinogenic activity of P. pentosaceus SB83 against Listeria monocytogenes was evaluated in simulated vaginal fluid. Suspension of Pediococcus pentosaceus SB83 reduced the pathogen only after 2 h and the lyophilized bacteria after 24 h of contact, and, in the tablets, P. pentosaceus SB83 lost the antimicrobial activity. The pH of simulated vaginal fluid decreased for all the tested conditions. As lyophilized powder demonstrated better results concerning antimicrobial activity, this formulation was selected to evaluate the antilisterial activity during the 12 months of storage. During storage at room temperature, lyophilized bacteria totally inhibited the pathogen only until one month of storage. At 4 degrees C, P. pentosaceus SB83 showed antimicrobial activity during all the time of storage investigated. Therefore, the better formulation of P. pentosaceus SB83 is the lyophilized powder stored at 4 degrees C, which may be administered intravaginally as a washing solution.
- Encapsulation of probiotic strains in plain or cysteine-supplemented alginate improves viability at storage below freezing temperaturesPublication . Sousa, Sérgio; Gomes, Ana M.; Pintado, Maria M.; Malcata, Francisco X.; Silva, José P.; Sousa, José M.; Costa, Paulo; Amaral, Maria H.; Rodrigues, Dina; Rocha-Santos, Teresa A. P.; Freitas, Ana C.Four probiotic bacteria (Lactobacillus paracasei L26, L. casei-01, L. acidophilus Ki, and Bifidobacterium animalis BB-12 R ) were encapsulated in plain alginate or alginate supplemented with L-cysteine·HCl, and resulting microcapsules were stored at different temperatures, namely 21, 4, −20, or −80◦C for a period of up to6months. The results showed that the encapsulation in calcium alginate microcapsules was only effective in promoting protection at freezing temperatures, independently of the sensitivity of the strain. Storage of calcium alginate microcapsules at −80◦C indicated a protective effect upon viability of all four probiotic strains and the presence of L-cysteine·HCl in the alginate matrix improved protection upon cell viability of B. animalis BB-12 R . An increase in storage temperature of encapsulated bacteria caused an increase in rate of loss in their viability that was strain dependent. This study suggests that microencapsulation of probiotic cells in calcium alginate can be suitable for sustaining the viability of probiotics in food products that require storage below freezing temperatures, even in the absence of cryoprotectors, contributing to an increased shelf life.
- Fatores determinantes na gestão da farda clínica por EnfermeirosPublication . Fernandes, Elisabete; Santos, Cristina; Costa, Paulo; Osório, Nádia; Alarico, Susana; Oliveira, Vânia; Albano, Helena; Graveto, João
- Fatores determinantes na gestão de material clínico de bolso por EnfermeirosPublication . Costa, Paulo; Santos, Cristina; Fernandes, Elisabete; Osório, Nádia; Alarico, Susana; Oliveira, Vânia; Albano, Helena; Graveto, João