Primary School Children's Sleep Habits: Association with Socioeconomic Factors and Physical Activity Habits.

Sleep disorders have significant health impacts and affect children's performance and wellbeing. This study aims to characterise the sleep habits of Portuguese primary school children considering socioeconomic factors, daily lifestyle, presence of electronic devices in the bedrooms, and the practice of physical and sports activity (PSA) and to identify clinical factors that may be related to a child's insufficient sleeping time. This study involved 1438 primary students. Sleep habits and problems were assessed using the short version of the Children's Sleep Habits Questionnaire (CSHQ). The mean sleep duration was 9 h 37 min/ per night (SD = 44 min). The prevalence of global sleep disturbances was 25.8%. The main factors we identified to be positively associated with a child's sleep deficit (i.e., <10 h) were: being older than 7 years, living further away from school, having electronic devices in the bedroom, going to bed and eating dinner later, less daily time of PSA, and having higher scores on the sleep duration subscales. Sleeping and eating habits, electronic devices in the bedroom, and a low level of engagement with PSA are associated with children's sleep disturbance and shorter sleep duration.

Microtomographic characterization of calcifications in canine mammary tumours.

The present work describes the microtomographic characterization of macro- and microcalcifications present in excised canine mammary glands. In human breast cancer, microcalcifications are highly relevant for diagnosis and prognosis, often being the sole element determining biopsy. Canine mammary tumours are considered a model for human breast cancer, but the morphological features of calcifications had still to be studied in this species. The objective of this research is to contribute to the characterization of the mineralization features of the canine mammary gland. In the present study, the excised mammary glands of 33 bitches underwent fluoroscopic examination. In 30 of the samples, the presence of calcification was suspected, and multiple biopsies were taken of these areas. Biopsy fragments underwent microtomographic scanning. Microcalcifications were found in non-neoplastic glandular tissue, benign and malign lesions, as it is known to happen in humans. Qualitative evaluation regarding morphology of the imaged calcifications showed similarities to breast cancer findings, based on the BI-RADS 2013 classification, such as pleomorphism and shape. No differences in the quantitative morphological parameters of volume, surface, surface/volume, SMI and structure thickness were found when macrocalcifications were considered. However, although significant differences existed in these parameters between microcalcifications from malignant canine mammary tumours and the two other groups, none were found between non-neoplastic and benign tumours. Findings further support the use of this spontaneous animal model for the study of human breast cancer, considering how clinically relevant microcalcifications are in humans.

Depression and quality of life in patients with breast cancer undergoing chemotherapy and monoclonal antibodies.

BACKGROUND: Depression is one of the major psychiatric morbidities in cancer patients. The purpose of our study was to evaluate the impact of depressive symptoms in the quality of life (QoL) of patients with breast cancer undergoing chemotherapy and monoclonal antibodies treatments. METHODS: Observational, cross-sectional study conducted between April and November 2016. To evaluate the QoL, the EORTC QLQ-C30 and QLQ-BR23 questionnaire were used. The patients were screened for depressive symptoms using the Hospital Anxiety and Depression Scale (HADS-D) and those with a positive HADS-D positive questionnaire were referenced to the Psychiatry and Mental Health Department for further assessment and follow-up. RESULTS: We included 45 female patients. Sixteen (35.6%) patients had a positive HADS-D questionnaire and depressive symptoms confirmed by a psychiatric physician. Of those patients, 7 (15.6%) had a major depressive episode confirmed by psychiatric interview. There was a significant association of depressive symptoms with the future perspectives scale (p = 0.022), breast symptoms scale (p = 0.011) and arm symptom scale (p = 0.005). Significant differences were found in the fatigue (p = 0.024), pain (p = 0.037) and dyspnea (p = 0.009) subscales being worse in patients with depressive symptoms. The association between having depressive symptoms or not was shown to be significant or marginally significant for the variables stage of the tumour (p = 0.057), presence of distant metastasis (p = 0.072) and previous diagnosis of depression (p = 0.011). The patients treated with regimens containing monoclonal antibodies presented better outcomes in various subscales of the EORTC QLQ-C30 and QLQ-B23 questionnaires than those patients treated with chemotherapy regimens without monoclonal antibodies. CONCLUSIONS: Despite the small sample of our study, this study provided evidence that depressive symptoms in patients with breast cancer undergoing chemotherapy and monoclonal antibodies treatments detrimentally reduced various aspects of QoL.

Evaluation of reactivity of horses in the presence of unknown stimulus / Avaliação da reatividade de equinos na presença de estímulo sonoro desconhecido

The study aimed to evaluate reactivity of horses during usual brushing management against the repeated presence of an unknown sonorous stimulus. Twenty Mangalarga Marchador horses, distributed in different categories (mares and foals), were evaluated. The animals were allocated into the control treatment (N = 10) and the treatment with unknown sonorous stimulus (N = 10) from a rattle and a tambourine. Four consecutive evaluations were carried out first (day 0, 1, 2, 3). Two consecutive assessments were carried out after 30 days of the first collection (day 30 and 31), and two consecutive assessments were carried out 15 days after the second evaluation (day 45 and 46). The behavioral observations were made by assigning a score to behaviors of movement, position of ears and eyes, breathing, and vocalization during brushing management. A response variable called reactivity was attributed to each animal, ranging from score 1 (not reactive or calm animal) to reactivity score 4 (very reactive or aggressive animal). For statistical analysis, the results were adjusted to a logistic regression model using the categories, day, and treatment as covariates. The animals of the unknown stimuli showed greater reactivity. The days of the experimental period influenced the reactivity of animals between 6 and 7 months old, with a decrease in the possibilities of the animals to have a higher reactivity. The maturity of the foal with repeated exposure to the unknown sound stimulus may decrease the possibility of the animal being reactive.

O objetivo do presente estudo foi avaliar a reatividade de equinos durante o manejo habitual de escovação, frente à exposição repetida a um estímulo sonoro desconhecido. Para isto, foram utilizados 20 equinos da raça Mangalarga Marchador, de diferentes categorias (éguas e potros), os quais foram alocados aos tratamentos: controle (N = 10) e com estímulo sonoro desconhecido (N = 10), que consistia em confrontar os animais com o estímulo sonoro de um chocalho e um tamborim. Primeiramente, foram realizadas quatro avaliações consecutivas (dia 0, 1, 2, 3). Após 30 dias da primeira coleta, foram realizadas duas avaliações consecutivas (dia 30 e 31), e passados 15 dias desta, foram realizadas mais duas avaliações consecutivas (dia 45 e 46). As observações comportamentais foram feitas por meio da atribuição de escores aos comportamentos de movimentação, posição das orelhas e dos olhos, respiração e vocalização durante o manejo de escovação. Também foi conferida a variável resposta de reatividade com valores variando de 1 a 4 (animal não reativo ou calmo a animal muito reativo ou agressivo). Foi ajustado o modelo de regressão logística ordinal usando como covariáveis as categorias, dia e tratamento. A reatividade dos animais com estímulo sonoro desconhecido foi maior. Os dias do período experimental influenciaram a reatividade dos animais entre 6 e 7 meses de idade, com diminuição das chances dos animais desta idade apresentarem maior reatividade no decorrer dos dias. O amadurecimento do potro junto com a exposição repetida ao estímulo sonoro desconhecido podem diminuir a possibilidade de o animal ser reativo.

Translation, adaptation and validation of a Portuguese version of the Moorehead-Ardelt Quality of Life Questionnaire II.

The prevalence of obesity has increased worldwide. An assessment of the impact of obesity on health-related quality of life (HRQoL) requires specific instruments. The Moorehead-Ardelt Quality of Life Questionnaire II (MA-II) is a widely used instrument to assess HRQoL in morbidly obese patients. The objective of this study was to translate and validate a Portuguese version of the MA-II.The study included forward and backward translations of the original MA-II. The reliability of the Portuguese MA-II was estimated using the internal consistency and test-retest methods. For validation purposes, the Spearman's rank correlation coefficient was used to evaluate the correlation between the Portuguese MA-II and the Portuguese versions of two other questionnaires, the 36-item Short Form Health Survey (SF-36) and the Impact of Weight on Quality of Life-Lite (IWQOL-Lite).One hundred and fifty morbidly obese patients were randomly assigned to test the reliability and validity of the Portuguese MA-II. Good internal consistency was demonstrated by a Cronbach's alpha coefficient of 0.80, and a very good agreement in terms of test-retest reliability was recorded, with an overall intraclass correlation coefficient (ICC) of 0.88. The total sums of MA-II scores and each item of MA-II were significantly correlated with all domains of SF-36 and IWQOL-Lite. A statistically significant negative correlation was found between the MA-II total score and BMI. Moreover, age, gender and surgical status were independent predictors of MA-II total score.A reliable and valid Portuguese version of the MA-II was produced, thus enabling the routine use of MA-II in the morbidly obese Portuguese population.