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- IL-6 and Surgical Outcomes in Carotid Endarterectomy: A Systematic Review.Publication . Rocha-Melo-Sousa, Antónia; Brazuna, Márcio; Tavares, Carmen; Guduru, Sai; Fragão-Marques, Mariana; Rocha-Neves, JoãoInterleukin-6 (IL-6) is a key inflammatory cytokine implicated in atherosclerotic plaque progression and carotid vulnerability. Although elevated IL-6 levels have been linked to cerebrovascular risk, its prognostic value in patients undergoing carotid endarterectomy (CEA) remains undefined. This systematic review aimed to investigate the available evidence on the relationship between IL-6 levels, surgical outcomes and mechanistic evidence in CEA patients. The review followed the PRISMA statement and AMSTAR-2 critical appraisal guidelines, with the protocol registered on PROSPERO (CRD420251120023). PubMed/MEDLINE, Scopus, and Web of Science were systematically searched up to July 2025 using the terms "interleukin-6" and "carotid endarterectomy". Original studies in humans assessing IL-6 in relation to clinical outcomes after CEA or mechanistic evidence were included without language or date restrictions. Study quality was evaluated using the Cochrane Risk of Bias 2 and NHLBI tools, and evidence certainty was appraised using the GRADE framework. Given the heterogeneity of studies, only a qualitative synthesis was performed. : From 1232 records identified, 13 studies encompassing 1396 patients met the inclusion criteria. Most were prospective observational cohorts, with a mean participant age of 68.52 years and 81.16% male predominance. Perioperative stroke and mortality rates were uniformly low (≤2%), consistent with contemporary registry data. Across studies, elevated IL-6 levels-whether systemic or plaque-derived-were consistently associated with symptomatic carotid disease, plaque vulnerability, and adverse long-term outcomes. However, not all studies presented quantitative data on IL-6 levels, limiting the ability to draw definitive prognostic conclusions. : Current evidence supports a mechanistic link between IL-6-mediated inflammation and carotid plaque instability, yet robust clinical validation in surgical populations is lacking. Future large-scale, prospective studies incorporating IL-6 measurement are warranted to establish its prognostic utility, guide anti-inflammatory therapeutic strategies, and refine postoperative risk stratification in patients undergoing CEA.
- Special Issue: Emerging Topics in Metal Complexes: Pharmacological Activity, 2nd Edition.Publication . Ścibior, Agnieszka; Aureliano, Manuel; Llopis, JuanThis Special Issue (SI), titled "Emerging Topics in Metal Complexes: Pharmacological Activity, 2nd Edition", includes reports updating our knowledge about magnesium (Mg) and neurodegeneration, various metal-containing complexes in terms of their potential therapeutic applications (i [...].
- The teaching of the phytosociological method for the description of new syntaxons: the case of Costa Tropical—Granada Province, AndalusiaPublication . Cano Ortiz, Ana; Piñar Fuentes, José Carlos; Quinto Canas, Ricardo; Cano, EusebioThe teaching of the phytosociological method comprises several stages and aligns closely with the research-oriented teaching–learning process promoted by active methodologies. In both cases, preliminary inquiry is essential to review existing knowledge on vegetation in all its dimensions: bioclimatic, biogeographical, ecological, floristic composition, distribution, and conservation status. The main objective is to connect active teaching methodologies with phytosociological research. To this end, the natural environment is used to bring students into direct contact with plant communities, and the phytosociological research method is applied, through which students learn sampling techniques. This approach provides a rapid and effective assessment of habitat conservation status (EU Habitats Directive 92/43/EEC, European Council, 21 May 1992). As notable results, we highlight the poor conservation status of the three communities described, which is evident from the decline in characteristic association species. The present study focuses on the wetlands of the Costa Tropical, where communities of Juncus acutus, Typha dominguensis, Phragmites australis, and Arundo donax predominate. In this case, these communities act as open-air laboratories for teaching the phytosociological method. The Juncus acutus communities differ from those of Scirpus holoschoenus and other Juncus acutus stands by the presence of the endemic Linum maritimum. Meanwhile, the reedbeds differ from Thypho-Phragmitetum australis through the presence of Halimione portulacoides. In both cases, the influence of sea spray conditions the presence of subhalophilous species such as Juncus acutus, Linum maritimum, and Halimione portulacoides. This has enabled us to establish two new plant associations: LmJa = Lino maritimi–Juncetum acuti (rush stands) and Hp–Phra = Halimione portulacoidis–Phragmitetum australis (reedbeds). Ecological gradients also make it possible to separate Typha communities belonging to the Ca–Td = Cynancho acuti–Typhetum dominguensis association, and Phragmites into two distinct associations. This distinction arises because Typha communities require soil water during the summer period, whereas in Phragmites stands the upper soil horizon dries out.
- PLA-based films reinforced with cellulose nanofibres from Salicornia ramosissima By-Product with proof of concept in high-pressure processingPublication . Ribeiro Lima, Alexandre; Lazzarotto Cristofoli, Nathana; Delahousse, Inès; Amaral, Renata A.; Saraiva, Jorge A.; Vieira, MargaridaBiocomposite films based on polylactic acid (PLA) reinforced with cellulose nanofibers (CNFs) extracted from Salicornia ramosissima by-products were developed and characterised using solvent casting (SC) and electrospinning (ES) techniques. The primary objective was to assess their suitability as sustainable food packaging materials that are compatible with high-pressure processing (HPP). The SC films exhibited a transparent, homogeneous morphology with superior ductility and water vapour barrier performance, whereas the ES films displayed a fibrous, porous structure with enhanced tensile strength and rigidity. The incorporation of CNFs significantly improved the mechanical properties, particularly the tensile strength and Young’s modulus, with optimal reinforcement achieved at a loading of 0.5%. Thermal and spectroscopic analyses confirmed the effective integration of CNF without compromising the thermal stability of PLA. Pouch-type packages from CNF-reinforced SC films withstood industrial HPP conditions without rupture or leakage, demonstrating their technical feasibility for food packaging applications. This study presents the first demonstration of Salicornia ramosissima by-product valorisation for CNF production and its application in HPP-compatible food packaging, addressing both circular economy goals and emerging food processing technologies.
- Development and psychometric validation of the Minho suture assessment scale (Minho-SAS) for medical studentsPublication . Gonçalves, Nuno Silva; Sousa, Rita Matos; Collares, Carlos; Pereira, Vítor Hugo; Pêgo, José Miguel; Anderson, M. BrownellIntroduction: Even though mastery of suturing is a core technical skill in surgical education, existing tools for its assessment often lack psychometric validation or are not specifically designed for undergraduate training. The aim of this study was to develop and validate the Minho Suture Assessment Scale (Minho-SAS), a structured instrument to evaluate fundamental suturing competencies in medical students. The research question was whether the Minho-SAS demonstrates validity and reliability as a psychometric tool. Methods: The development process involved collaboration with multidisciplinary surgical teams and experienced practitioners to ensure content validity. Data from a cohort of medical students were utilized for psychometric evaluation. Dimensionality was assessed using parallel analysis, Bayesian information criterion, unidimensional congruence, item unidimensional congruence, explained common variance, item explained common variance and mean of item residual absolute loadings. Validity based on internal structure was assessed with Rasch model analysis and factor analysis from the tetrachoric correlation matrix. Reliability was assessed using Rasch model standard errors of measurement to obtain a conditional reliability curve and Cronbach's alpha and McDonald's omega internal consistency coefficients. Results: Analyses supported a unidimensional structure for the Minho-SAS. The single-factor solution explained 39.96% of variance, and Rasch measures accounted for 29.15% (16.43% by persons, 12.72% by items). Residual correlations, factor loadings, and item fit statistics were within acceptable ranges. Reliability indices were satisfactory: Rasch reliability = 0.706; McDonald's omega = 0.889; Cronbach's alpha = 0.883. Conclusion: The Minho-SAS is a robust instrument specifically tailored for assessing fundamental suturing skills among medical students. Rasch model analysis yielded less favorable results than factor analysis, yet still acceptable. While demonstrating considerable potential, further exploration of Minho-SAS across diverse populations and educational settings is crucial to affirm its broader applicability and impact in medical education and clinical practice.
- Special issue: emerging topics in metal complexes: pharmacological activity, 2nd editionPublication . Ścibior, Agnieszka; Aureliano, Manuel; Llopis, JuanThis Special Issue (SI), titled “Emerging Topics in Metal Complexes: Pharmacological Activity, 2nd Edition”, includes reports updating our knowledge about magnesium (Mg) and neurodegeneration, various metal-containing complexes in terms of their potential therapeutic applications (i.e., ruthenium (Ru), platinum (Pt), zinc (Zn), vanadium (V), copper (Cu), magnesium (Mg), and other metal complexes and their mechanisms in treating Alzheimer’s disease (AD)), and the efficacy of platinum (Pt)-based complexes in the treatment of lung cancer. It also includes research into a promising radiotheranostic agent against prostate cancer and a novel Fe(III)-pyridoxal-derivative complex with serum proteins and DNA binding activities. In addition, this SI provides valuable findings on the efficacy of methylene blue (MB) in protecting the heart from doxorubicin (Dox)-induced damage and addresses the identification of key active constituents in Eucommia ulmoides Oliv. leaves (EUOL) against Parkinson’s disease (PD) and their underlying mechanisms. The scientific articles making up this SI, i.e., three review articles and four original papers (seven in total), have garnered a total of 16 citations and 17,528 views, indicating an average of 2 citations and 2,504 views per publication (29 November 2025). Figure 1 summarizes the issues included in this SI.
- Assessing fish welfare in small-scale commercial fixed-net fisheries off the southern portuguese coastPublication . Samel, Vighnesh Nilesh; Costa, Rita; Marçalo, Ana; Frade, Magda; Bentes, Luis; Saraiva, João; Gonçalves, Jorge Manuel Santos; Guerreiro, Pedro Miguel; Claudio D'IglioDespite a growing interest in animal welfare in production systems, research on fish welfare remains limited, particularly in commercial fisheries. Fish caught in fixed-net fisheries experience multiple stressors from the time of capture to mortality on deck considered detrimental to their welfare. We examined the impact of bottom-set gill nets and on-board handling on catch welfare using behavioural and physiological indicators. Vitality assessments were performed on four commercially important fish species on-board fishing vessels through a devised vitality scale that included behaviours, morphological condition and reflexes as indicators of welfare. Physiological stress parameters (Cortisol, Glucose, Lactate and Osmolality) were evaluated in blood collected on deck and analysed in relation to the vitality scores. The vitality at arrival on deck as well as the rate of decrease in vitality differed significantly amongst the tested species. Furthermore, Generalised Linear Models predicted that several biological, operational, and environmental variables significantly affect the extent of time the fish shows activity, and hence, on the welfare. Elevated average cortisol levels were found at all the vitality stages highlighting the stress experienced by fish due to the fishing process. The findings of this study enable us to recommend welfare-friendly methods in set-net fisheries to promote better fishing standards.