[Correction to the Article "Ophthalmology Census 2021: A Demographic Characterisation of Ophthalmologists in Portugal", Published on Acta Med Port (In Press), https://doi.org/10.20344/amp.20321]. / Errata ao Artigo "Estudo Demográfico da População de Oftalmologistas em Portugal: Censo de Oftalmologia 2021", Publicado em Acta Med Port (In Press), https://doi.org/10.20344/amp.20321.

On page 5, 3rd paragraph, line 7, where it reads, (in red): "(...) considering the international recommendation (1:10 000)8" It should read (in blue): "(...) considering the international recommendation (0.5:10 000)8" Still on page 5, 5th paragraph, line 8, where it reads, (in red): "(...) in the 40 - 50-year age group" It should read (in blue): "(...) below the 40 - 50-year age group" On page 8, key of Table 1, line 5, where it reads, (in red): "1: PORTATA 2021;" It should read (in blue): "1: PORDATA 2021;" Article published with errors: https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/20321.

Na página 5, 3º parágrafo, linha 7, onde se lê, (a vermelho): "(...) considering the international recommendation (1:10 000)8" Deverá ler-se (a azul): "(...) considering the international recommendation (0.5:10 000)8" Ainda na página 5, 5º parágrafo, linha 8, onde se lê, (a vermelho): "(...) in the 40 - 50-year age group" Deverá ler-se (a azul): "(...) below the 40 - 50-year age group" Na página 8, legenda da Tabela 1, linha 5, onde se lê, (a vermelho): "1: PORTATA 2021;" Deverá ler-se (a azul): "1: PORDATA 2021;" Artigo publicado com erros: https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/20321.

Ophthalmology Census 2021: A Demographic Characterisation of Ophthalmologists in Portugal.

INTRODUCTION: Human resources in ophthalmology have recently received particular attention, and it has been questioned whether there is a sufficient number of workers. The aim of this study was to analyze and characterize Portugal's ophthalmologist population. METHODS: In this descriptive, cross-sectional study, an online questionnaire was sent to all ophthalmologists registered with the Portuguese College of Ophthalmology in December 2021. Information on the following variables was collected and analyzed: demographic factors, professional qualifications, professional activity, weekly professional activity and medium-term plans. RESULTS: Among the 910 registered ophthalmologists, a response rate of 64.7% was achieved. There were 0.9 ophthalmologists for every 10 000 inhabitants, 0.45:10 000 working in the public sector (0.35:10 000 full-time equivalent). Among the respondents, 57.6% were over 50 years old (59.6% male), 97.3% were Portuguese, 46.7% completed their residency in the Lisbon region, 27.3% complemented their programme with additional training, 9.5% had a PhD and approximately 58% lived and worked in large urban centres. Regarding professional activity, 58.5% of the respondents worked in the public sector (4.2% exclusively), while 67.9% worked in different economic sectors. The median number of weekly working hours reported was 45 hours, with those in the public sector reporting 35 hours. Private/social sector work and public sector work accounted for 12 926 hours/week and 10 808 hours/week, respectively. It was found that 31.4% of the respondents provided emergency medical services and that 52.8% performed surgical procedures more than once a week. Looking ahead, 38.7% of the ophthalmologists intended to reduce their workload within the next five years due to family reasons, fatigue and demotivation. The projected rate of retirement or cessation of activity in the next five years was estimated to be 1.7%, while an average of 20 new ophthalmologists are expected to enter the profession annually, resulting in a generational balance of 0.8%. CONCLUSION: While the number of ophthalmologists in Portugal meets the international recommendations, there is a shortage in the public sector and most ophthalmologists work in large urban centres. The number of ophthalmologists in Portugal is expected to be stable for the next five years.

Percussion assisted radiation therapy in Hodgkin lymphoma allows a marked reduction in heart dose.

BACKGROUND AND PURPOSE: Early-stage Hodgkin lymphoma (HL) is a highly curable disease but the treatment can induce late complications many years later. Irradiation of the healthy heart is inevitable during radiation treatment of mediastinal sites. We developed a novel method to induce a prolonged apnea-like state that can help decrease the dose to organs at risk during radiation therapy. We present the results of the first 8 HL patients treated routinely with percussion assisted radiation therapy (PART) in our clinic. MATERIAL AND METHODS: We used a newly developed high-frequency non-invasive ventilation system to suppress respiratory motion for prolonged periods and push the heart away from the treated volume. RESULTS: All 8 patients were able to rapidly learn the technique and had an advantage to be treated by PART. We lowered the mean heart dose by an average of 3 Gy with similar target coverage compared to a classical free breathing treatment plan. They were all treated for 15 radiotherapy sessions by PART without any notable side effects. CONCLUSIONS: Percussion assisted radiation therapy can be used routinely to reduce the dose to the heart in Hodgkin lymphoma.

Care4Value: medição de valor em saúde em Unidades de Cuidados Continuados Integrados / Care4Value: medición del valor en salud en Unidades de Cuidados Continuos Integrados / Care4Value: measuring value in health in Integrated Continuous Care Units

Resumo Objetivo: Desenvolver uma plataforma digital para a otimização do processo de coleta de dados de escalas clínicas e monitoramento desses dados com vista à medição do valor em saúde. Métodos: Por meio de uma metodologia de investigação-ação, o desenvolvimento da plataforma incluiu abordagens qualitativas e quantitativas, em três fases: grupos focais com uma equipe multidisciplinar de investigadores e profissionais de saúde da UCCI do estudo-piloto; análise dos dados clínicos em formato de pré-teste de uma amostra de 21 usuários da UCCI para categorizar diferentes graus de complexidade; e, análise de informação financeira, aos custos operacionais da UCCI, relativa ao momento de permanência dos mesmos 21 usuários. O desenvolvimento iterativo e incremental da plataforma permitiu coletar feedback dos usuários como forma de melhoria. Resultados: A plataforma inclui 3 módulos: aplicativo móvel; dashboard; e módulo de importação. A plataforma centraliza os dados coletados e disponibiliza-os por meio de um dashboard . Os dados são coletados por aplicativo móvel e/ou por um módulo de importação que consome dados de sistemas clínicos existentes. Conclusão: O aplicativo móvel está apto a ser utilizado por profissionais de saúde e cuidadores, e o dashboard apresenta informações de acompanhamento clínico dos usuários e monitoramento dos seus ganhos em saúde.

Resumen Objetivo: Desarrollar una plataforma digital para optimizar el proceso de recolección de datos de escalas clínicas y monitoreo de estos datos con el fin de medir el valor en salud. Métodos: Mediante una metodología de investigación-acción, el desarrollo de la plataforma incluyó enfoques cualitativos y cuantitativos, en tres fases: grupos focales con un equipo multidisciplinario de investigadores y profesionales de la salud de la UCCI del estudio piloto, análisis de los datos clínicos en formato de prueba piloto de una muestra de 21 usuarios de la UCCI para categorizar los diferentes niveles de complejidad, y análisis de la información financiera, costos operativos de la UCCI, relativos al momento de permanencia de los mismos 21 usuarios. El desarrollo repetitivo y progresivo de la plataforma permitió recolectar feedback de los usuarios como forma de mejoría. Resultados: La plataforma incluye tres módulos: aplicación móvil, dashboard y módulo de importación. La plataforma centraliza los datos recolectados y los exhibe mediante un dashboard . Los datos son recolectados por aplicación móvil o por un módulo de importación que consume datos de sistemas clínicos existentes. Conclusión: La aplicación móvil es apta para ser utilizada por profesionales de la salud y cuidadores, y el dashboard presenta información de seguimiento clínico de los usuarios y monitoreo de sus ganancias en salud.

Abstract Objective: To develop a digital platform for optimizing data collection processes with medical scales and monitoring data for measuring value in health. Method: Using an investigative intervention methodology, a platform was developed including qualitative and quantitative approaches in three phases: focal groups were conducted by a multidisciplinary team of investigators and healthcare providers at the pilot study site, an Integrated Continuous Care Unit (UCCI); data from a sample of 21 UCCI users was analyzed as a pre-test to classify different levels of complexity; UCCI financial data and operational costs were collected and analyzed during the 21 users stay at the UCCI. The platform's iteractive and incremental development allowed for the collection of as a form of improvement. Results: The platform includes three modules: a mobile application; a dashboard; and an import module. Data collected on the platform are centralized and shown on the dashboard. Data are collected using a mobile application and/or an import module to input data from existing medical systems. Conclusion: The mobile application is ready to be used by healthcare providers and caregivers. The dashboard shows users' clinical follow-up and health gain data for monitoring.