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1.
Rev Esc Enferm USP ; 56: e20210426, 2022.
Artigo em Inglês, Português | MEDLINE | ID: mdl-35007315

RESUMO

OBJECTIVE: To understand the challenges experienced by Portuguese workers in humanitude care for institutionalized elderly people during the pandemic. METHOD: This is a qualitative study, supported by reflections on the Humanitude Care Methodology, carried out with workers from different areas in a nursing home for elderly people in Portugal. Data collection took place between September and October 2020, from individual and online interviews. The categorization proposed by Bardin was adopted as the analysis technique. RESULTS: Three categories emerged: (1) self-protection and of the other with the subcategories fear of being contaminated and fear of contaminating the elderly; (2) maintenance of affective relationships, broken down into the subcategories absence of family members in the nursing home and personal protective equipment as a barrier to communication and approximation; and (3) confinement of the elderly who attended the Day Center, with the subcategories lack of family support/loneliness and change in the elderly's routine. CONCLUSION: The main challenges experienced by Portuguese workers are related to the necessary changes in the performance of care practices due to the use of personal protection that was not used before, limitations in affective relationships, and restrictions in interaction spaces.


Assuntos
Pandemias , Equipamento de Proteção Individual , Idoso , Família , Humanos , Casas de Saúde , Portugal
2.
Artigo em Inglês | MEDLINE | ID: mdl-35010785

RESUMO

As the third wave of the COVID-19 pandemic hit Portugal, it forced the country to reintroduce lockdown measures due to hospitals reaching their full capacities. Under these circumstances, environmental contamination by SARS-CoV-2 in different areas of one of Portugal's major Hospitals was assessed between 21 January and 11 February 2021. Air samples (n = 44) were collected from eleven different areas of the Hospital (four COVID-19 and seven non-COVID-19 areas) using Coriolis® µ and Coriolis® Compact cyclone air sampling devices. Surface sampling was also performed (n = 17) on four areas (one COVID-19 and three non-COVID-19 areas). RNA extraction followed by a one-step RT-qPCR adapted for quantitative purposes were performed. Of the 44 air samples, two were positive for SARS-CoV-2 RNA (6575 copies/m3 and 6662.5 copies/m3, respectively). Of the 17 surface samples, three were positive for SARS-CoV-2 RNA (200.6 copies/cm2, 179.2 copies/cm2, and 201.7 copies/cm2, respectively). SARS-CoV-2 environmental contamination was found both in air and on surfaces in both COVID-19 and non-COVID-19 areas. Moreover, our results suggest that longer collection sessions are needed to detect point contaminations. This reinforces the need to remain cautious at all times, not only when in close contact with infected individuals. Hand hygiene and other standard transmission-prevention guidelines should be continuously followed to avoid nosocomial COVID-19.


Assuntos
COVID-19 , SARS-CoV-2 , Controle de Doenças Transmissíveis , Hospitais , Humanos , Pandemias , Portugal , RNA Viral
3.
Artigo em Inglês | MEDLINE | ID: mdl-34991850

RESUMO

OBJECTIVE: To assess the characteristics of suspected coronavirus disease 19 (COVID-19) and the rate of confirmed COVID-19 in a pediatric population at the beginning of the pandemic in Portugal. STUDY DESIGN: Suspected COVID-19 pediatric cases that were tested in a Portuguese hospital between March 17 and April 2 2020 were included in this descriptive retrospective study. The analyzed data included socio-demographic parameters, characteristics of the household, underlying medical conditions and symptoms. RESULTS: Ninety-four patients were included and all of them were symptomatic and treated without hospitalization. The most common symptoms were cough (80%;n=75), rhinorrhea (72%;n=68) and fever (60%;n=56). There was only one positive for SARS-CoV-2 in a five-year-old child with mild illness without epidemiologic linkage. CONCLUSION: This study showed a low rate of confirmed COVID-19 in children. The causes for this low rate can be multifactorial and illustrates how differently this virus spreads in the pediatric population.


Assuntos
COVID-19 , Criança , Pré-Escolar , Humanos , Pandemias , Portugal/epidemiologia , Estudos Retrospectivos , SARS-CoV-2
4.
Esc. Anna Nery Rev. Enferm ; 26: e20210070, 2022.
Artigo em Português | LILACS, BDENF - Enfermagem | ID: biblio-1346054

RESUMO

Resumo Objetivo analisar os estilos e fatores intervenientes na gestão e liderança de enfermeiros em três países, Brasil, Portugal e Espanha, à luz da Burocracia Profissional. Método estudo exploratório e descritivo de abordagem qualitativa realizado em três hospitais universitários localizados em diferentes países: Brasil, Espanha e Portugal. Participaram da pesquisa 30 enfermeiros. Os dados foram coletados por meio de um roteiro de coleta de dados com questões sociodemográficas e entrevistas analisadas com auxílio do software WebQda. Resultados diferentes percepções sobre os elementos integradores da participação foram reveladas nos três países, destacando-se a comunicação em diversas óticas. Verificou-se algumas convergências em relação ao trabalho em equipe, sendo a confiança o elemento que impulsiona e motiva a equipe. Sinaliza-se para uma relação participativa no desenvolvimento do trabalho. Conclusão e implicações para a prática foi possível identificar, nos três países, a importância da comunicação no processo de gestão, bem como dos estilos de gestão e de liderança, como elementos que oportunizam a atuação da equipe. Também foi evidenciada a presença de fatores intervenientes de relevância, tais como escuta, clima organizacional, relação interpessoal, transparência no trabalho e delegação de funções, os quais envolvem a burocracia profissional em que o conhecimento do enfermeiro possibilita o exercício de suas habilidades de forma horizontalizada e participativa.


Resumen Objetivo analizar los estilos y factores implicados en la gestión y el liderazgo de enfermeros en tres países, Brasil, Portugal y España, a la luz de la Burocracia Profesional. Método estudio descriptivo exploratorio con abordaje cualitativo realizado en tres hospitales universitarios ubicados en diferentes países: Brasil, España y Portugal. Treinta enfermeros participaron en la investigación. Los datos fueron recolectados a través de un script de recopilación de datos con preguntas sociodemográficas y entrevistas analizadas con la utilización del software WebQda. Resultados se revelaron diferentes percepciones sobre los elementos integradores de la participación en los tres países, destacando la comunicación desde diferentes perspectivas. Se constataron algunas convergencias en relación al trabajo en equipo, siendo la confianza el elemento que impulsa y motiva al equipo. Se advierte una relación participativa en el desarrollo del trabajo. Conclusión e implicaciones para la práctica se pudo advertir, en los tres países, la importancia de la comunicación en el proceso de gestión, así como los estilos de gestión y liderazgo, como elementos que permiten mejorar el desempeño del equipo. También se evidenciaron factores intervinientes relevantes, como la escucha, el clima organizacional, la relación interpersonal, la transparencia en el trabajo y la delegación de funciones, que conforman la burocracia profesional en la cual el conocimiento de los enfermos les permite el despliegue de sus competencias de manera horizontal y participativa.


Abstract Objective to analyze the styles and factors involved in nurses' management and leadership in three countries, Brazil, Portugal and Spain, in the light of Professional Bureaucracy. Method a descriptive and exploratory study with a qualitative approach carried out in three university hospitals located in different countries, namely: Brazil, Spain and Portugal. Thirty nurses participated in the research. Data was collected through a collection script with sociodemographic questions and interviews analyzed using the WebQda software. Results different perceptions about the integrating elements of participation in the three countries were revealed, highlighting communication from different perspectives. Some convergences in relation to teamwork were verified, where trust was the element that drives and motivates the team. It is a participatory relationship in the development of work. Conclusion and implications for the practice in the three countries, it was possible to identify the importance of communication in the management process, as well as the management and leadership styles, as elements that favor performance of the team. Presence of relevant intervening factors was also evidenced, such as choice, organizational climate, interpersonal relationships, transparency in work and delegation of functions, which involves professional bureaucracy in which the nurses' knowledge allows them to exercise their skills in a horizontal and participatory manner.


Assuntos
Humanos , Masculino , Feminino , Adulto , Pessoa de Meia-Idade , Idoso , Gestão em Saúde , Capacidade de Liderança e Governança , Liderança , Enfermeiras e Enfermeiros , Equipe de Assistência ao Paciente , Portugal/etnologia , Prática Profissional , Qualidade da Assistência à Saúde , Espanha/etnologia , Brasil/etnologia , Autonomia Profissional , Comunicação , Pesquisa Qualitativa , Educação Continuada , Integralidade em Saúde , Relações Interprofissionais
5.
Math Biosci Eng ; 19(1): 936-952, 2022 01.
Artigo em Inglês | MEDLINE | ID: mdl-34903020

RESUMO

In this work we use simple mathematical models to study the impact of vaccination against COVID-19 in Portugal. First, we fit a SEIR type model without vaccination to the Portuguese data on confirmed cases of COVID-19 by the date of symptom onset, from the beginning of the epidemic until the 23rd January of 2021, to estimate changes in the transmission intensity. Then, by including vaccination in the model we develop different scenarios for the fade-out of the non pharmacological intervention (NPIs) as vaccine coverage increases in the population according to Portuguese vaccination goals. We include a feedback function to mimic the implementation and relaxation of NPIs, according to some disease incidence thresholds defined by the Portuguese health authorities.


Assuntos
COVID-19 , Epidemias , Humanos , Portugal , SARS-CoV-2 , Vacinação
6.
Sci Total Environ ; 804: 150264, 2022 Jan 15.
Artigo em Inglês | MEDLINE | ID: mdl-34798759

RESUMO

The presence of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in wastewater produced interest in its use for sentinel surveillance at a community level and as a complementary approach to syndromic surveillance. With this work, we set the foundations for wastewater-based epidemiology (WBE) in Portugal by monitoring the trends of SARS-CoV-2 RNA circulation in the community, on a nationwide perspective during different epidemiological phases of the pandemic. The Charité assays (E_Sarbecco, RdRP, and N_Sarbecco) were applied to monitor, over 32-weeks (April to December 2020), the dynamics of SARS-CoV-2 RNA at the inlet of five wastewater treatment plants (WWTP), which together serve more than two million people in Portugal. Raw wastewater from three Coronavirus disease 2019 (COVID-19) reference hospitals was also analyzed during this period. In total, more than 600 samples were tested. For the first weeks, detection of SARS-CoV-2 RNA was sporadic, with concentrations varying from 103 to 105 genome copies per liter (GC/L). Prevalence of SARS-CoV-2 RNA increased steeply by the end of May into late June, mainly in Lisboa e Vale do Tejo region (LVT), during the reopening phase. After the summer, with the reopening of schools in mid-September and return to partial face-to-face work, a pronounced increase of SARS-CoV-2 RNA in wastewater was detected. In the LVT area, SARS-CoV-2 RNA load agreed with reported trends in hotspots of infection. Synchrony between trends of SARS-CoV-2 RNA in raw wastewater and daily new COVID-19 cases highlights the value of WBE as a surveillance tool, particularly after the phasing out of the epidemiological curve and when hotspots of disease re-emerge in the population which might be difficult to spot based solely on syndromic surveillance and contact tracing. This is the first study crossing several epidemiological stages highlighting the long-term use of WBE for SARS-CoV-2.


Assuntos
COVID-19 , Vigilância Epidemiológica Baseada em Águas Residuárias , Humanos , Portugal/epidemiologia , RNA Viral , SARS-CoV-2 , Águas Residuárias
8.
Food Chem ; 367: 130503, 2022 Jan 15.
Artigo em Inglês | MEDLINE | ID: mdl-34352697

RESUMO

The mineral contents and volatile profiles of 23 sweet cherry cultivars were determined. A total of 27 minerals were determined by ICP-MS and flame atomic absorption spectrometry, including 12 essential and 15 non-essential elements. K was the most abundant in all cultivars, while Tl was the one found in the smallest amounts. A total of 66 volatiles were identified using SPME/GC-MS, including 16 aldehydes, 23 alcohols, 6 ketones, 6 esters, 8 monoterpenes, 3 norisoprenoids, 2 hydrocarbons and 2 acids. Benzaldehyde, hexanal, nonanal, benzyl alcohol, (E)-2-hexen-1-ol, 1-hexanol, (Z)-2-hexen-1-ol, 2-ethyl-1-hexanol, linalool, α-terpineol and α-ionone were the major ones. Qualitative and quantitative differences were observed among the cultivars, which influenced nutritional potential and aroma. Cherries from Fundão region contain high concentrations of phytochemicals and nutritional components. 4-84, Burlat and Celeste might be considered some of the most interesting cultivars, since they are rich in essential minerals and present high diversity in volatiles.


Assuntos
Administração Financeira , Prunus avium , Compostos Orgânicos Voláteis , Odorantes/análise , Portugal , Microextração em Fase Sólida
9.
Rev Port Cardiol (Engl Ed) ; 40(12): 933-941, 2021 12.
Artigo em Inglês | MEDLINE | ID: mdl-34922700

RESUMO

INTRODUCTION: Transapical off-pump NeoChord DS1000™ implantation is a minimally invasive surgical mitral valve repair (MVr) procedure to treat degenerative mitral regurgitation (MR), which is performed using the NeoChord DS1000™ system with two and three-dimensional transesophageal echocardiographic guidance on a beating heart. It has been demonstrated to be safe and effective in carefully selected patients. OBJECTIVE: The authors aim to analyze short-term clinical and echocardiographic results after mitral valve repair using the NeoChord™ system. METHODS: All patients that underwent transapical off-pump mitral valve repair with NeoChord™ implantation at our center, between December 2017 and December 2019, were included. The procedure was performed by left minithoracotomy, under general anesthesia. All patients presented severe primary MR due to flail/prolapse of one leaflet (anterior or posterior). RESULTS: Eighteen patients were included in the analysis, the mean age was 65±15 years, 72% were male. The mean EuroSCORE II was 1.9±1.6. All patients had New York Heart Association (NYHA) class ≥ II. Mean effective regurgitant orifice area was 1.0±0.4 cm2, with a mean regurgitant volume 146±42 mL, and a mean leaflet-to-annulus index of 1.29±0.14. MR was due to leaflet prolapse in 50% (N=9), and flail leaflet in 50% (N=9). Anatomic type A (isolated P2 defect) was the predominant form in 66.5% (N=12). Successful repair, defined by none, trace or mild mitral regurgitation, by implantation of two to four neochordae, was achieved in all 18 patients. No major complications arose intra-procedurally. The median follow-up was 194 days. NYHA class was ≤II in 94.5% patients at six-month follow-up, which represented a significant improvement in symptomatic status (p=0.002). At follow-up, 72% of patients (N=13) had grade ≤2 MR. There was a significant reduction in mean indexed left atrium volume (63±7 mL/m2 vs. 45±6 mL/m2, p=0.038), mean indexed left ventricular end-diastolic volume (87±7 mL/m2 vs. 79±9 ml/m2, p=0.001), and pulmonary arterial systolic pressure (44±4 vs. 31±8 mmHg, p=0.002). The re-intervention rate was 11.1% (N=2, both patients underwent reintervention, either a re-do NeoChord™ or conventional MV repair on-pump surgery). No major adverse cardiac or cerebrovascular events were registered. CONCLUSIONS: In selected patients, minimally invasive MVr using the NeoChord™ system is safe, effective and reproducible. Early clinical and echocardiographic results suggest a significant symptomatic improvement, sustained MR grade decrease, and favorable left cardiac chamber remodeling, with low re-intervention rates. These results warrant further confirmation in larger cohorts, on longer period of follow-up.


Assuntos
Implante de Prótese de Valva Cardíaca , Insuficiência da Valva Mitral , Idoso , Idoso de 80 Anos ou mais , Humanos , Masculino , Pessoa de Meia-Idade , Valva Mitral/diagnóstico por imagem , Valva Mitral/cirurgia , Insuficiência da Valva Mitral/cirurgia , Portugal , Resultado do Tratamento
10.
Acta Reumatol Port ; 46(4): 333-341, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34962248

RESUMO

Psoriatic disease (Psoriasis and Psoriatic Arthritis, PsD) is a condition that affects the skin, the musculoskeletal system, and beyond, impairing patients' quality of life. A multidisciplinary approach of combined dermatology-rheumatology clinics is recommended and valuable to respond to PsD diagnosis, management, and treatment challenges. In Portugal, five Hospitals have implemented a multidisciplinary clinic for PsD assessment. This report aims to describe how these multidisciplinary clinics were developed, their characteristics, and the main obstacles to their implementation. Although the different hospitals adopted distinct functional models, a consensus respecting the minimal core set assessment for PsD in Multidisciplinary Dermatology/Rheumatology Clinics should comprise all disease manifestations and, if possible, quality of life. The main objective of these clinics is to achieve remission/minimal disease activity. Limitations to these multidisciplinary approaches are discussed, namely financial, time management, and human resources obstacles that can be a handicap in their implementation, despite the benefits of PsD integrated care.


Assuntos
Artrite Psoriásica , Dermatologia , Reumatologia , Artrite Psoriásica/diagnóstico , Artrite Psoriásica/terapia , Humanos , Portugal , Qualidade de Vida
11.
Rev Port Cardiol (Engl Ed) ; 40(12): 923-928, 2021 12.
Artigo em Inglês | MEDLINE | ID: mdl-34922698

RESUMO

INTRODUCTION AND OBJECTIVES: The coronavirus disease 2019 (COVID-19) spread quickly around the world. Although mainly a respiratory illness, there is growing interest in non-respiratory manifestations, particularly cardiovascular ones. At our center, mobilization of cardiologists with intensive care training was needed. Our aim is to describe patients with severe COVID-19 admitted to a Portuguese intensive care unit (ICU), the cardiovascular impact of the disease and the experience of cardiologists working in a COVID-19 ICU. METHODS: Data from adult patients with COVID-19 admitted to the ICU of Centro Hospitalar de Vila Nova de Gaia/Espinho between 16 March 2020 and 21 April 2020 were analyzed retrospectively. RESULTS: Thirty-five patients were admitted. Mean age was 62.6±6.0 years and 23 (65.7%) were male. Dyslipidemia was the most common cardiovascular risk factor (65.7%, n=23), followed by hypertension (57.1%, n=20). Mean ICU stay time was 15.9±10.0 days. Patients had high rates of mechanical ventilation (88.6%, n=31) and vasopressor support (88.6%, n=31). Low rates of new onset left systolic dysfunction were detected (8.5%, n=2). One patient required venoarterial extra-corporeal membrane oxygenation. Mortality was 25% (n=9). Acute myocardial injury and N-terminal pro-B-type natriuretic peptide (NT-proBNP) elevation was detected in 62.9% (n=22). Patients that died had higher NT-proBNP compared to those discharged alive (p<0.05). Care by cardiologists frequently changed decision making. CONCLUSIONS: The cardiovascular impact of COVID-19 seems relevant but is still widely unknown. Studies are needed to clarify the role of cardiac markers in COVID-19 prognosis. Multidisciplinary care most likely results in improved patient care.


Assuntos
COVID-19 , Cardiologistas , Adulto , Idoso , Humanos , Unidades de Terapia Intensiva , Masculino , Pessoa de Meia-Idade , Pandemias , Portugal/epidemiologia , Estudos Retrospectivos , SARS-CoV-2
12.
Hist Cienc Saude Manguinhos ; 28(4): 919-938, 2021.
Artigo em Inglês, Português | MEDLINE | ID: mdl-34910034

RESUMO

This article contributes to knowledge on medical training and careers at a time of change driven by Enlightenment ideas, but also a time of conflict between age-old structures and new legal frameworks. By analyzing an individual trajectory in interaction with other individuals and institutions, the contradictions of the historical context that constrained the life of José Pinto de Azeredo are brought to light. The circumstances surrounding his professional activity are analyzed - an aspect of this physician's trajectory that was until now unstudied. Some hypotheses are formulated to explain why he did not reach the objectives he set for himself.


Assuntos
Humanos , Masculino , Portugal
13.
Hist Cienc Saude Manguinhos ; 28(4): 1137-1157, 2021.
Artigo em Português | MEDLINE | ID: mdl-34910043

RESUMO

In the late 19th-early 20th century, Portugal entrusted the implementation of technological systems in its colonies in Angola and Mozambique to several private companies. These companies decided to preserve their activities through photography for posterity. In this article, I analyze four business albums from colonial firms, combining a semiotic methodology with concepts from the history of technology. I argue that photography, despite being advertised as an objective instrument to record reality, was extremely subjective, but that it took advantage of this alleged objectivity to create and strengthen myths, through the impact of its visuality. I also contribute to the debate on the importance of visual culture for colonial studies.


Assuntos
Colonialismo , Fotografação , Angola , História do Século XIX , História do Século XX , Moçambique , Portugal
14.
PLoS One ; 16(12): e0259802, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34919540

RESUMO

INTRODUCTION: European societies are rapidly becoming multicultural. Cultural diversity presents new challenges and opportunities to communities that receive immigrants and migrants, and highlights the need for culturally safe healthcare. Universities share a responsibility to build a fair and equitable society by integrating cultural content in the nursing curricula. This paper aims to analyze European student nurses´ experience of learning cultural competence and of working with patients from diverse cultural backgrounds. MATERIALS AND METHODS: A phenomenological approach was selected through a qualitative research method. 7 semi-structured focus groups with 5-7 students took place at the participants' respective universities in Spain, Belgium, Turkey and Portugal. RESULTS: 5 themes and 16 subthemes emerged from thematic analysis. Theme 1, concept of culture/cultural diversity, describes the participants' concept of culture; ethnocentricity emerged as a frequent element in the students' discourse. Theme 2, personal awareness, integrates the students' self-perception of cultural competence and their learning needs. Theme 3, impact of culture, delves on the participants' perceived impact of cultural on both nursing care and patient outcomes. Theme 4, learning cultural competence, integrates the participants' learning experiences as part of their nursing curricula, as part of other academic learning opportunities and as part of extra-academic activities. Theme 5, learning cultural competence during practice placements, addresses some important issues including witnessing unequal care, racism, prejudice and conflict, communication and language barriers, tools and resources and positive attitudes and behaviors witnesses or displayed during clinical practice. CONCLUSION: The participants' perceived level of cultural competence was variable. All the participants agreed that transcultural nursing content should be integrated in the nursing curricula, and suggested different strategies to improve their knowledge, skills and attitudes. It is important to listen to the students and take their opinion into account when designing cultural teaching and learning activities.


Assuntos
Competência Cultural/psicologia , Atenção à Saúde/ética , Aprendizagem , Percepção Social/psicologia , Estudantes de Enfermagem/psicologia , Enfermagem Transcultural/organização & administração , Bélgica , Barreiras de Comunicação , Competência Cultural/educação , Diversidade Cultural , Feminino , Humanos , Masculino , Portugal , Preconceito/prevenção & controle , Preconceito/psicologia , Pesquisa Qualitativa , Espanha , Enfermagem Transcultural/educação , Turquia , Adulto Jovem
15.
PLoS One ; 16(12): e0261456, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34936669

RESUMO

BACKGROUND: Falls are a common cause of injury and pose an increased risk of morbidity, mortality, and lifelong disability. Falls encompass a troublesome definition and can pose challenges in epidemiological studies. Data on fall-related hospital admissions in Portugal remain unpublished. This study aimed to examine the epidemiology of fall-related hospital admissions in the Portuguese population between 2010 and 2018. It also aimed to examine annual rates of fall-related hospital admissions using three methodological approaches. METHODS: The Portuguese Hospital Morbidity Database was used to identify all cases resulting in one or more inpatient admission in public hospitals related to falls from 2010 to 2018. Fall-related hospital admissions were described by age groups, sex, geographical area of residence, and type of fall. Annual rates were computed using three approaches: i) based on the number of inpatient admissions with an ICD code of fall, ii) based on the number of patients admitted to inpatient care with an ICD code of fall, and iii) based on the number of inpatient admissions with a principal diagnosis of injury. RESULTS: Between 2010 and 2018, 383,016 fall-related admissions occurred in 344,728 patients, corresponding to 2.1% of the total number of hospitalizations during the same period. Higher rates were seen among the younger (20-25) and the oldest age groups (+85), males until the age of 60, females from the age of 60, and areas of residence with a higher aging index. An overall rate of falls per 100,000 population was estimated at 414 (based on number of admissions), 373 (based on number of patients) and 353 (based on number of admissions with a principal diagnosis of injury). CONCLUSIONS: This study provides an overall picture of the landscape of falls in a scarcely explored setting. The results aim to contribute to identifying appropriate preventive interventions and policies for these populations.


Assuntos
Acidentes por Quedas/estatística & dados numéricos , Admissão do Paciente/estatística & dados numéricos , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Criança , Pré-Escolar , Hospitalização/estatística & dados numéricos , Hospitais , Humanos , Lactente , Pacientes Internados/estatística & dados numéricos , Masculino , Pessoa de Meia-Idade , Portugal , Fatores de Risco , Adulto Jovem
16.
PLoS One ; 16(12): e0261734, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34941957

RESUMO

Although they are only home to 16% of the global human population, high-income countries produce approximately one third of the world's waste, the majority of which goes to landfills. To reduce pressure on landfills and natural systems, environmental messaging should focus on reducing consumption. Messages that signal social norms have the potential to influence people to reduce their consumption of comfort goods, such as straws, which are not a necessity for most people. We conducted a randomized field-experiment at a marine park in Portugal to test whether different normative messages reduced visitors' paper straw use when compared to non-normative messages. We found that a message framed around a positive injunctive norm significantly reduced straw use compared to a non-normative message. We estimated that using the message at 17 park concession stands could keep over 27500 straws out of landfills annually and save the park money after two years.


Assuntos
Parques Recreativos , Normas Sociais , Gerenciamento de Resíduos , Humanos , Portugal
17.
Artigo em Inglês | MEDLINE | ID: mdl-34948701

RESUMO

Active commuting to and from school (ACS) is a strategy to enhance physical activity levels in youths. To promote ACS, it is important to understand the factors that lead to this behaviour. With this in mind, an adaptation of the Basic Psychological Needs in Exercise Scale for ACS was developed, named the Basic Psychological Need Satisfaction in Active Commuting to and from School (BPNS-ACS) scale. This study aimed to translate and evaluate the psychometric properties of the BPNS-ACS scale in young Portuguese students. A cross-sectional study was designed. A total of 338 students (212 girls, 126 boys), aged between 11 and 19 years old from 31 Portuguese cities participated in this study. To provide validity evidence based on the questionnaire's internal structure, confirmatory factor analyses were performed to test the three dimensions of the BNPS-ACS scale. The results of the confirmatory factor analysis indicated an acceptable fit to the data. The internal consistency of the measures was accepted as the composite reliability values ranged from 0.78 to 0.94. The evaluation of psychometric properties provided evidence of the adequacy of this questionnaire among Portuguese youth aged 11 to 19 years old.


Assuntos
Satisfação Pessoal , Instituições Acadêmicas , Adolescente , Adulto , Criança , Estudos Transversais , Feminino , Humanos , Masculino , Portugal , Reprodutibilidade dos Testes , Estudantes , Inquéritos e Questionários , Transportes , Adulto Jovem
18.
Int J Syst Evol Microbiol ; 71(12)2021 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-34919038

RESUMO

Fungi are one of the main agents of stone biodeterioration worldwide, since they strongly interfere with its integrity, aesthetical and structural natural properties. During an experimental survey aimed to isolate fungal species contributing to the biodeterioration of the limestone walls of the Old Cathedral of Coimbra (Portuguese unesco World Heritage site), a Talaromyces species that could not be identified to any currently known species in this genus was isolated. Molecular phylogenetic analysis of the internal transcribed spacer, ß-tubulin and RNA polymerase II subunit 2, placed this fungus in Talaromyces sect. Purpurei, while also pointing at its phylogenetic distinction from the remaining species in this section. Thus, a novel species, Talaromyces saxoxalicus sp. nov., is here proposed. Moreover, considering the isolation source of this fungus and in an attempt to understand its contribution to the overall stone monument biodeterioration, the species's in vitro biodeteriorative potential was also evaluated. The results highlighted that the species exhibited an in vitro biodeteriorative ability (calcium oxalate crystal formation), highlighting its potential deteriorative profile.


Assuntos
Talaromyces , Técnicas de Tipagem Bacteriana , Composição de Bases , Carbonato de Cálcio , DNA Bacteriano/genética , Ácidos Graxos/química , Filogenia , Portugal , RNA Ribossômico 16S/genética , Análise de Sequência de DNA , Talaromyces/genética
19.
Multimedia | Recursos Multimídia | ID: multimedia-9410

RESUMO

14h: Abertura – Dr Jonas Augusto Cardoso da Silveira, Nutricionista, Vice-Diretor da Faculdade de Nutrição da Universidade Federal de Alagoas 14h05: Dra Maria João Gregorio – Diretora do Programa Nacional para a Promoção da Alimentação Saudável da Direção-Geral da Saúde de Portugal - "A experiência de Portugal no enfrentamento da Obesidade Infantil" 14h27: Dra Gisele Bortolini – Coordenadora da Coordenação-Geral de Alimentação e Nutrição(CGAN/DEPROS/SAPS/MS) – “As iniciativas brasileiras para prevenção da obesidade infantil” 14h44: Dr Jaime Delgado – Adovogado, Ex congressista no Peru, com forte atuação na defesa do consumidor – “Como o Peru avançou na luta contra a obesidade infantil” 15h00: Dr. Luiz Antonio Teixeira JR - Deputado Federal no Brasil - "Como o legislativo brasileiro e os governos locais podem impulsionar as políticas de prevenção e controle da obesidade infantil" 15h16: Dúvidas 15h50: Encerramento


Assuntos
Obesidade Pediátrica/prevenção & controle , Atenção Primária à Saúde , Obesidade Pediátrica/epidemiologia , Obesidade Pediátrica/complicações , Dieta Saudável , Política de Saúde , Alimentos Industrializados , Promoção da Saúde , Bebidas Adoçadas com Açúcar/legislação & jurisprudência , Peru , Brasil/epidemiologia , Portugal , Publicidade de Alimentos
20.
Sensors (Basel) ; 21(22)2021 Nov 19.
Artigo em Inglês | MEDLINE | ID: mdl-34833778

RESUMO

The Industrial Internet of Things (IIoT) is one of the most demanding IoT applications. The insertion of industries in the context of smart cities and other smart environments, allied with new communication technologies such as 5G, brings a new horizon of possibilities and new requirements. These requirements include low latency, the support of a massive quantity of devices and data, and the need to support horizontal communications between devices at the edge level. To make this feasible, it is necessary to establish an IIoT-to-cloud continuum distributing federated brokers across the infrastructure and providing scalability and interoperability. To attend this type of application, we present the Helix Multi-layered IoT platform and its operating modes. We report and discuss its real-world deployment in the Aveiro Tech City Living Lab in Aveiro, Portugal with functional and performance tests. We tested device-to-device communication across edge and core layers and also interconnected the infrastructure with one in São Paulo, Brazil, replicating the use of a global industry. The successful deployment validates the use of a Helix Multi-layered IoT platform as a suitable backend platform for IIoT applications capable of establishing the IIoT-to-cloud continuum. It also helps for the deployment of other applications in such a domain.


Assuntos
Internet das Coisas , Brasil , Cidades , Indústrias , Portugal
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