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- The role of interoceptive processing in prenatal depression and anxietyPublication . Praça, Maiara Silva; Braga, Patrícia Vilela; Marshall, Amanda; Lamela, Diogo; Jongenelen, Inês; Rocha, Nuno Barbosa; Costa, Raquel; Schütz-Bosbach, Simone; Pinto, Tiago Miguel; Feldman, Ruth; Campos, Carlos; Rocha, NunoPregnancy is a complex biological phenomenon that can modify several interoception domains (ability to perceive and subjectively experience inner bodily states). These changes in interoceptive processing may also play a role in the emergence of prenatal psychopathology, namely anxiety and depression. To examine the association between interoceptive processing and psychopathology (depression and anxiety) in first-time pregnant women (3rd trimester). 17 first-time expectant mothers (mean age = 32.71 years) completed data collection at 28-32 gestational age. Interoception was evaluated using self-report measures (Interoceptive Accuracy and Attention Scales), a performance-based interoceptive accuracy task (Heartbeat Tapping Task; participants are required to tap a key whenever they feel a heartbeat), and neural markers of infant-specific interoceptive processing (heartbeat-evoked potentials - HEP - during the Infant Face Repetition-Suppression Task). A cluster mass permutation test was employed to identify the electrodes and time-windows where HEP amplitude was effectively modulated (right frontal-central; 308 - 600 ms). The Edinburgh Postnatal Depression Scale was used to evaluate depressive symptoms, while the State Anxiety Inventory (STAI-S) measured current anxiety levels. Significant positive correlations were found between interoceptive attention and anxiety (r =.645; p = .017), as well as between interoceptive attention and depression (r = .749; p = .003). Interoceptive accuracy was neither correlated with anxiety nor depression. A large (albeit non-significant) negative correlation (r = -.301, p = .368) was found between depressive scores and HEP emotional modulation in the infant condition, suggesting that infant-specific emotional modulation of HEP may be reduced in prenatal depression. These preliminary findings suggest that interoceptive processing is associated with prenatal psychopathology across several levels. Self-perceived beliefs about interoceptive attention were positively associated with both anxiety and depression. Furthermore, infant-specific neural markers of interoceptive processing may also play an important role in prenatal depressive symptomatology.
- Neurophysiological markers of cardiac interoceptive processing in first-time expectant mothersPublication . Braga, Patrícia Vilela; Marshall, Amanda; Lamela, Diogo; Jongenelen, Inês; Rocha, Nuno Barbosa; Costa, Raquel; Pasion, Rita; Schütz-Bosbach, Simone; Pinto, Tiago Miguel; Feldman, Ruth; Campos, Carlos; Campos, Carlos; Rocha, NunoPregnancy is a complex biological phenomenon where two distinct pathways may produce changes in interoception (ability to perceive and subjectively experience inner bodily states). First, pregnancy modifies the parental caregiving brain network, which includes key regions for interoceptive processing, particularly the insula. Second, pregnancy also changes the strength, frequency, and/or nature of interoceptive signals across different modalities (e.g., cardiac, respiratory, gastric). This study investigates pregnancy-related changes in neural markers of cortical interoceptive processing, specifically heartbeat-evoked potentials (HEP), by comparing first-time expectant mothers with non-pregnant, age-matched females. Data were collected from first-time expectant mothers (n = 13; Mage = 32.15 years) and matched controls (n = 8; mean age = 30.88 years) at 28–32 weeks of gestation. EEG recordings, time-locked to R-peaks (ECG), were obtained while participants completed the Infant Face Repetition Suppression Task. This paradigm was designed to induce an emotion (sad vs. neutral) and age-specific (infant vs. adult) modulation of HEP amplitude. A cluster mass permutation test was employed to identify the electrodes and time-windows where HEP amplitude was effectively modulated (right frontal-central; 308 - 600 ms). Repetition-suppression effects on HEP amplitude were observed for adult stimuli (p = .049, d = 0.499), while no modulation was observed in the infant condition (p = .471, d = 0.174). Pregnant participants displayed significantly lower HEP amplitude in adult trials in comparison to non-pregnant controls (p = .046, g = 0.997). Despite significant differences only emerging in the adult trials, pregnant women displayed lower HEP amplitude across all conditions. These findings suggest that pregnancy modifies cardiac interoceptive processing, leading to an overall decrease in HEP amplitude. Contrary to our hypothesis, expectant mothers did not exhibit infant- or emotion-specific changes in neural markers of cardiac interoception.
- Does attention to cardiac sensations modulate heartbeat-evoked potentials even after controlling for cognitive demands?Publication . Braga, Patrícia Vilela; Vieira, Beatriz; Carina, Fernandes; Barbosa, Fernando; Santos, Fernando Ferreira; Pereira, Mariana R.; Rocha, Nuno Barbosa; Mazer, Prune; Pasion, Rita; Schütz-Bosbach, Simone; Paiva, Tiago Oliveira; Campos, Carlos; Campos, Carlos; Rocha, Nuno; Mazer, PruneHeartbeat-evoked potentials (HEP) have been shown to be modulated by attentional focus (cardiac vs. exteroceptive attention), suggesting that HEP are a neural correlate of interoceptive prediction errors. However, this effect has not been consistently replicated, and differences in cognitive effort when contrasting interoceptive vs. exteroceptive attention may be a confounding factor. We devised a modified Heartbeat Attention Task to examine whether cardiac attention can modulate HEP amplitude even when cognitive demands are matched across interoceptive and exteroceptive conditions. In exteroceptive blocks, subjects were required to count subtle bursts of volume increase embedded within a continuous white noise. The bursts’ volume was individually tailored for each participant (near absolute threshold) and were presented in a rhythmic pattern replicating a typical heart rate. In interoceptive blocks, participants were asked to count their heartbeats, whilst the white noise was still presented, ensuring that the neural effects were driven by the attention shift rather than sensory changes. The task was first completed by 50 participants (25F; 28.44y) during a 9-electrode EEG recording: frontal, central and parietal sites. No significant differences were found regarding counted heartbeats (M=122.00) vs white noise bursts (M=118.86) as well as on perceived attentional efforts (heart M=65.00 vs bursts M=67.00), indicating similar task demands across conditions. No significant differences between conditions were found on HEP amplitude across all electrodes (p > .137 for all), suggesting no attentional modulation of HEP amplitude after accounting for cognitive demands. Due to the reduced number of electrodes, a follow-up sample of 26 participants (13F; 21.73y) completed the task using a new EEG geodesic 64-channel sensor net. This dataset is currently under processing and will allow for a more comprehensive data-driven analytic approach (cluster-based permutation test) to ensure whether the attentional modulation of HEP amplitude is indeed absent when accounting for cognitive demands.
- Enhancing autism therapy through smart tangible-based digital storytelling: Co-design of activities and feasibility studyPublication . Guneysu, Arzu; Kuoppamäki, Sanna; Reis, Helena; Sylla, CristinaStorytelling is an effective evidence-based practice as an accepted intervention by therapists for the therapy of children with autism spectrum disorder (ASD). Digital storytelling, particularly using smart tangibles, offers a structured, interactive and engaging environment for children with ASD allowing for repetition, offering feedback with visual supports, and giving the child more authority over the learning experience. This study presents a co-designed approach to digital storytelling activities with smart tangibles for autism therapy, aimed at enhancing multiple social and behavioral skills. Through co-design sessions with therapists, activity flows and scenarios were developed to target specific skill improvements. These include free play exploration, positive stimulus introduction, fostering cooperation to address disturbances, and incorporating magical objects to facilitate peer turn-taking. Additionally, real-life connections were emphasized to promote emotional regulation and multicultural understanding while further activities are designed to overcome routine issues, build tolerance to change, and enhance cognitive structuring. Feasibility was demonstrated through integration into therapy sessions of five children, where therapists independently utilized the system, fostering immersive and interactive storytelling experiences. Overall, the co-designed activities offer insights into enhancing therapy interventions for children with ASD beyond specific contexts, contributing to the broader design of autism therapy activities.
- In vivo activity of peptide-ionic liquid conjugates against diabetic woundsPublication . Gomes, A.; Ferraz, Ricardo; Ferreira, M.; Maciel, J.; Plácido, A.; Leal, E.; Gameiro, P.; Gonçalves, Teresa; Carvalho, E.; Gomes, P.Due to widespread multidrug-resistant (MDR) microbes, efficient treatments for infected wounds are being exhausted, which means that there is an alarming lack of effective antibiotics to treat diabetic foot ulcers (DFU). The increasing life expectancy of the population and the growing incidence of unhealthy lifestyles is leading to a concerning rise in the number of people affected with diabetes and related complications, being DFU amongst the most troublesome. In 2014, already about 11% of the Portuguese population had diabetes and this number is continuously growing every year. [1] Like other chronic wounds, DFU are difficult to heal, but their association with other diabetes complications, such as peripheral neuropathy and ischemia, underpin an exceedingly low healing rate and high propensity for persistent infections. In connection with the above, we have recently advanced peptide-ionic liquid conjugates (PILC) as potential active pharmaceutical ingredients for topical formulations to tackle DFU. PILC combine a short cosmeceutical peptide with collagenboosting action, with an ioni q b , k “ k” -catalyzed azide-alkyne cycloaddition reaction. This revealed one conjugate with an outstanding performance in vitro, namely, potent collagen-inducing effect, alongside microbicidal (bactericidal and fungicidal) action.[2] This conjugate was now tested for its wound healing ability in a mouse model of streptozotocin (STZ)-induced type 1 diabetes. The promising results obtained thus far in this animal model, alongside biophysical investigations on the potential antimicrobial mechanism of action of PILC, will be presented in this communication.
- Surface-active ionic liquids derived from antimalarial drugs and natural lipids that display multi-stage antiplasmodial activityPublication . Ferraz, Ricardo; Silva, Ana Teresa; Oliveira, Isabel S.; Duarte, Denise; Moita, Diana; Nogueira, Fátima; Prudêncio, Miguel; Gomes, Paula; Marques, Eduardo F.The use of Ionic Liquids (ILs) in Medicinal and Pharmaceutical Chemistry has been greatly evolving since they were first used as alternative solvents for the chemical synthesis of active pharmaceutical ingredients (APIs). ILs are now used with other purposes in this area, such as adjuvants in drug formulation and delivery, or even as bioactive compounds per se. New ionic structures with biologically relevant properties can be easily obtained through straightforward reactions, as nearly all APIs are ionizable and can be paired with counter-ions that could be either inert or offer additional beneficial biological effects. This efficient, cost-effective strategy for the rescuing and repurposing of drugs is particularly appealing for finding new options to combat "diseases of poverty" like malaria. We implemented this approach to “recycle” classical antimalarial aminoquinolines, namely, chloroquine (CQ) and primaquine (PQ), by pairing them with natural acidic lipids through acid-base reactions. Our goal was to create novel ILs capable of targeting multiple stages of the Plasmodium parasite’s life cycle. Additionally, we were interested in that such ILs could act as surface-active ionic liquids (SAILs), able to self-assemble into nanostructures displaying adequate bioavailability. For this purpose, we paired the antimalarial drugs with either fatty acids or bile acids, due to their biocompatibility and amphiphilic nature. The antiplasmodial activity and self-aggregation properties of the new SAILs were determined. PQ fatty acid salts preserved the liver-stage antiplasmodial activity of the original drug, while exhibiting significantly enhanced activity against blood-stage parasites. In the case of bile salts, those derived from PQ retained the efficacy of the parent drug, whereas the CQ-derived salts proved to be novel triple-stage antiplasmodial agents. The SAILs obtained from bile acids showed a remarkable ability to self-aggregate, with a notably lower critical micelle concentration compared to their respective sodium salts. Overall, these findings open a new strategy for drug repurposing, extending beyond antimalarials and other anti-infective therapies.
- An unobtrusive multimodal stress detection model & recommender systemPublication . Ferreira, Simão; Correia, Hugo; Rodrigues, Fátima; Rodrigues, Matilde; Rocha, NunoStudies estimate that about 50% of all lost workdays are related to occupational stress. In recent years, several solutions for mental health management, including biofeedback applications, have emerged as a way to enhance employee mental health. Solutions to mitigate risk factors related to the working settings present an enormous potential and a clear contribution. However, most of the work that has been developed is limited to laboratory environments and does not suit real-life needs. Our study proposes an unobtrusive multimodal approach for detecting work-related stress combining videoplethysmography and self-reported measures for stablishing the ground truth in real-life settings. The study involved 28 volunteers over a two-month period. Various physiological signals were collected through a videopletismography solution, while users were performing daily working, for approximately eight hours a day. In parallel, selfreported measures were collected via a pop-up application (developed by the research team) that periodically retrieved the user's perceived stress (amongst other variables) in order to label the physiological data. In order to develop the stress detection model, we pre-processed the data and performed Heart Rate Variability (HRV) feature extraction. Then, we experimented with several machine learning models, utilizing both individual and combined physiological signals to explore all available alternatives. After rigorous evaluation, the best-trained model achieved an accuracy of over 80% and an F1 Score of over 85%. With the stress detection model in place, we are developing a structured intervention model to help reduce stress. This intervention model integrates two interconnected dimensions through digital coaching, which prioritizes personalized recommendations based on user preferences. Our top priority is to ensure user engagement, and we believe that adherence to and adoption of recommended interventions are more likely when users receive recommendations that align with their preferences. Thus, we prioritize personalized recommendations that are tailored to each individual's unique model. After detecting immediate stress peaks and providing real-time feedback on stress levels, our alarm system goes a step further by offering customized recommendations for brief stress relief. The digital coach (intervention model) offers various recommendations and active lifestyle changes such as exercise, task management, weight management, better sleep habits, structured pauses, and other critical interventions. These critical interventions are also based on user preferences, allowing our system to prevent future stress-related incidents and, most importantly, mitigate long-term stress. This project and its methodology demonstrate that truly unobtrusive stress detection is possible and can be performed within the scope of ethical demands. In future work, we will evaluate the responses and beneficial outcomes of implementing a recommender system.
- Safety culture in higher education institutions: Knowledge and training preferencesPublication . Filho, P. C. Anacleto; Dall-Orsoletta, Alaize; Carneiro, Paula; Colim, Ana; Leão, Celina P.; Rodrigues, Matilde; Costa, Susana; Costa, NelsonThe development of a positive culture is a key element within an organization to achieve performance against a strategic objective. In terms of safety, universities play a very important role in training new professionals who must be increasingly aware and prepared for the challenges of the labour market and daily activities. Therefore, this study aims to assess the safety culture of newcomer students to higher education through the application of a 22-item questionnaire. Participants included 109 undergraduate and master’s students from 31 different courses at a university in Northern Portugal. It was observed that the level of knowledge varied according to the type of course adopted and the gender of the student. A global performance level of below 80% shows that safety knowledge can improve further. Additionally, different preferences concerning the content, moment, and format of safety training were presented. The low level of interest in training related to chemical leakage, suspicious package, and bombing show participants may attribute a low probability level to these events. In conclusion, this work shows that it can be useful for universities to consider different training approaches according to different course types.
- Technology, Sleep and Rest: what effects do they have on the brain?Publication . Borges, Daniel FilipeThis lecture dealt with various topics relating to technology, neurobiology and the function of sleep as well as the characteristics of rest. In a pragmatic way, an original approach was taken by trying to answer several story-related questions, such as: - When we talk about technology, we inevitably think about access to and use of the internet. How can we measure the impact of technology today in Portugal and in the world? - Should we be concerned about the exponential growth in the use of social networks and e-commerce? - Can the reported statistical data be the ground truth, or is there a certain subjectivity that must be taken into account when analysing it? - Today there are smartwatches and a variety of technologies that allow us to track our sleep. There is a lot of talk about "quantity versus quality". Do we know how to interpret the results? - How can we tell if our sleep was effective without needing a detailed diagnosis? - Are we sufficiently informed about what sleep is and what it does to us? How would you explain in a simple way how this element, which is so important for our health, works? - We often wake up with the feeling that we haven’t rested enough and take it for granted – it’s the “new normal”. Is that dangerous? - Will the overuse of technology that is directly related to light exposure render the sleep cycle ineffective? - There is a lot of talk about blue light. It's often associated with sleep and falling asleep. What are the consequences of exposure to this light? - We are used to only talking about the negative effects of using technology on the brain. But are there also benefits? - The exponential growth in the use of technology can now even be seen in schools. Teenagers are the most affected by this technological phenomenon. What tips would be helpful to protect yourself from the surge we are experiencing? - How can this decline in emotional intelligence affect the critical minds of young people? - What does the future of sleep health look like?
- Reading epilepsy and hyperexcitability of the visual word form areaPublication . Borges, Daniel Filipe; Leal, AlbertoReading epilepsy recruits critical language-related areas, with synchronization and subsequent spreading of excitation in response to the epileptogenic stimulus. The mechanism by which possible generalized discharges result in the expression of bilateral or unilateral clinical symptoms remains controversial. The cortical and subcortical areas involved may constitute part of the normal reading network, such as the visual word form area (VWFA). A right-handed, 59-year-old man was diagnosed with epilepsy at the age of 15 after tonic-clonic seizures. Later, the patient described myoclonic jerks of the masticatory and perioral muscles while reading. A multimodal approach with magnetic resonance imaging and ambulatory and video-electroencephalogram was used for seizure characterization and source analysis. A left hemisphere spontaneous occipitotemporal epileptic focus, activated by reading, was observed, spreading broadly throughout frontal and temporal language networks. There was an abnormally increased cortical response to visual word presentation in comparison to pseudowords. Spatial localization of spike sources suggested a close association between the primary epileptic focus and the VWFA. This epileptiform activity seems to be selectively triggered at an early stage of lexical processing, with a functional connection between the epileptic network and the VWFA. This multimodal and functional connectivity approach could be helpful in determining the epileptic network in reading epilepsy.
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