An update of the molecular mechanisms underlying doxorubicin plus trastuzumab induced cardiotoxicity.

Cardiotoxicity is a major side effect of the chemotherapeutic drug doxorubicin (Dox), which is further exacerbated when it is combined with trastuzumab, a standard care approach for Human Epidermal growth factor Receptor-type 2 (HER2) positive cancer patients. However, the molecular mechanisms of the underlying cardiotoxicity of this combination are still mostly elusive. Increased oxidative stress, impaired energetic substrate uses and topoisomerase IIB inhibition are among the biological processes proposed to explain Dox-induced cardiomyocyte dysfunction.

Balancing supply and demand in the presence of renewable generation via demand response for electric water heaters.

With the increasing presence of renewable energy sources in the electrical power grid, demand response via thermostatic appliances such as electric water heaters is a promising way to compensate for the significant variability in renewable power generation. We propose a multistage stochastic optimization model that computes the optimal day-ahead target profile of the mean thermal energy contained in a large population of heaters, given various possible wind power production and uncontrollable load scenarios. This optimal profile is calculated to make the variable net demand as even as possible.

Nutrition Education in Portuguese Medical Students: Impact on the Attitudes and Knowledge.

Introduction: Nutrition has been underrepresented in the curriculum of many medical schools and therefore physicians do not feel adequately prepared to provide dietary counselling. The aim of the present study is to determine the impact of a Nutrition and Metabolism curricular unit on nutrition attitudes, knowledge and confidence on future clinical practice of medical students.

Material And Methods: All the students enrolled in the curricular unit (2017/2018) were invited to complete a questionnaire assessing their nutritional knowledge and eating habits at the beginning and at the end of the semester (n = 310).