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The Spiritual Dimension of Comprehensive Kidney Care

Chronic kidney disease (CKD) is a global health problem that affects millions of people around the world.1 As a progressive disease, it poses physical, emotional and psychological challenges. Therefore, CKD requires a comprehensive dimension of care beyond the one provided by conventional medicine. Spirituality has emerged as a way of providing patients with a sense of purpose and connection throughout their il...

Conservative Care Consensus Document Portuguese Society of Nephrology Conservat...

Chronic Kidney Disease: Supportive and Conservative Care in Portugal in 2023

Introduction: Elderly patients with chronic kidney disease (CKD) present a higher risk of becoming frail, a consequence of several comorbidities and worse functional status. This condition does not necessarily improve with the initiation of dialysis. Conservative care offers an option to treat elderly and/or frail patients with advanced CKD, which focuses on improving the patient’s quality of life, active sympt...

Thermal imprinting during embryogenesis modifies skin repair in juvenile Europe...

Fish skin is a multifunctional tissue that develops during embryogenesis, a developmental stage highly suscep-tible to epigenetic marks. In this study, the impact of egg incubation temperature on the regeneration of a cutaneous wound caused by scale removal in juvenile European sea bass was evaluated. Sea bass eggs were incubated at 11, 13.5 and 16 degrees C until hatching and then were reared at a common tempe...

The impact of egg thermal regimes on the response to food deprivation and refee...

Fish are ectotherms and this means they are highly vulnerable to changes in ambient temperature, particularly during early developmental stages when temperature can induce persistent effects on phenotypic traits. In this study, the effect of egg incubation temperature on the response of juvenile European sea bass (Dicentrarchus labrax) to food deprivation and recovery after refeeding was assessed. Eggs were inc...

Palliative care competencies in nephrology: a scoping review

Introduction: There is a growing need to train nonpalliative physicians in palliative care, as it is increasingly recognized by the medical profession. Political and opinion leaders are also becoming aware of the urgent and growing need for palliative care education. Objective: The aim of this study is to provide an overview of the information available in the literature on the topic of palliative care competen...

Metodologia de Trabalho de Projeto: potencialidades e desafios

Apesar da evolução do ensino em Portugal, é visível que os métodos tradicionais continuam a persistir nas instituições de ensino. A Metodologia de Trabalho de Projeto promotora de uma pedagogia oposta ao ensino tradicional, veio romper com este estigma, uma vez que, neste método, o aluno possui um papel mais ativo na sua aprendizagem e o papel do professor não passa apenas por transmitir conhecimentos. Este mét...

Microalgal extracts induce larval programming and modify growth and the immune ...

Immunostimulants are key molecules in aquaculture since they heighten defensive responses and protection against pathogens. The present study investigated the treatment of Senegalese sole larvae with a whole-cell crude extract of the microalgae Nannochloropsis gaditana (Nanno) and programming of growth and the immune system. Larvae at hatch were treated with the Nanno extracts for 2 h and thereafter were cultiv...

Skin damage caused by scale loss modifies the intestine of chronically stressed...

The present study was designed to test if the damage caused by scale loss provokes a change in other innate immune barriers such as the intestine and how chronic stress affects this response. Sea bream (Sparus aurata) were kept in tanks at low density (16 kg m−3, LD) or exposed to a chronic high density (45 kg m−3, HD) stress for 4 weeks. Scales were then removed (approximately 50%) from the left flank in the L...

Complying with ethical principles in elderly and frail patients with advanced c...

Introduction: In 2016, in Europe (EU), 27.3 million people were aged > 80 (the so-called "elderly people"), and this value will likely increase up to 7 million more in ten years time. Portugal follows that world trend and has presently the fifth highest proportion of elderly people in the EU. According to the data records from the Portuguese Society of Nephrology, the cohort of dialysis patients aged > 80...