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- HIV AIDS Length of Stay OutliersPublication . Dias, S. Sara; Martins, Maria F.O.Costs with HIV/AIDS hospitalizations are one of the major financial burdens on healthcare systems worldwide. In Portugal, hospitalizations related to HIV infection are some of the most expensive and the second major diagnosis category, and also accounts for the greatest average length of stay. As a result, it is crucial to understand and identify HIV/AIDS hospital length of stay outliers. The objective of this study is to analyse HIV/AIDS length of stay high outliers during five consecutive years (2009-2013) and to identify its determinants for a specific HIV/AIDS diagnosis related group. To attain these objectives we will use a logistic regression model with random effects.
- Relationship between Postural Reeducation Technique During Sleep and Relaxation Technique in Sleep QualityPublication . Desouzart, Gustavo; Filgueiras, Ernesto; Matos, RuiThe common sense warn that the quality of our day depends on the quality of our previous night. Among the main factors contributing to a better sleep quality is the postural behavior during the sleep period. However, little or nothing is known about the actual influence of these behaviors on people sleep quality. This paper presents a study which aims to: i) Check if people can take on a new postural behavior during the sleep period after a training period aware of this behavior and; ii) Check if a postural recommendations can aims to induce positive changes in the perception on the indices of Sleep quality in young adults, according to ecological and environmental approach. A sample of 21560 observations, which corresponds to 595 hours of sleep hours of 24 young adults, 12 male military and 12 female undergraduate, participated in this study. The Pittsburgh Sleep Quality Index (PSQI) was used to measure the perception of sleep quality before and after six consecutive months of appliance of the Postural Intervention program. Results shown that the Postural reeducation group improved self-perception of sleep quality (from bad to good) and a significant difference between the periods of the study (p = 0.008), according to the Student's T-Test and, ideal posture while sleeping using the ideal placement and amount of pillows (1.34% to 81.48%). Findings of this study allow us to suggest to health care professionals, in particular the rehabilitation professionals, new strategies and solutions for ergonomic change in posture in bed and improve the sleep quality indices.
- Human-Computer Interaction in BedPublication . Desouzart, Gustavo; Filgueiras, ErnestoSleep disorders are increasingly common view and it is a growing problem in modern societies. There are several problems that can cause this type of disturbance, being the demanding obligations of work and study, a current problem, which leads individuals to allocate more time their rest period in at home. Currently, we are seeing the replacement of handwork by mental, automated and computerized work, which translates into an increasing percentage of time spent performing repetitive static character tasks (physical effort), being able to compare yourself to your work done in industry, traditional production lines (Caetano & Vala 2002). It is no less demanding contexts of labor among which are those activities that involve the long hours spent at the computer. This paper presents a study whose objective was to research the human-computer interaction with the time spent by young adults in carrying out activities with computing devices (computer, tablet or mobile phone) in residences’ bedrooms of air force military and university students in rest time periods and with ecological validation with observation method to video analysis and using a Software iSEE. A sample of 32956 observations, which corresponds to 1824 sleep-hours of 24 young adults, was classified into two (2) Interaction Categories (IC), body position while participants were awake in bed (2873 observations) and doing activities (3001 observations). The image registration was performed during the period of six months, divided into two periods with each participant, to enable the analysis of different times of the year and not just a single period can mean a higher specific activity. The results show that 38.7% (N = 1113 observations) of the participants presented the sitting as the most common postural behavior during awake in bed when the participants doing activities. In reference of activities in bed, 49.2% (N = 1475) used the computer, followed by Using mobile devices, with 16.7% (N = 501) of observations. When we analyze the group of participants, the students showed 49.2% of the period of activity in bed, using the computer, and 13.8% used mobile equipment. In the same reference, the military also used the computer (49%) as the main activity in bed during the night rest, but they used more mobile devices (19.4%) than students. Regarding the postures, students used the sitting (57.1%) as the main active posture when in bed, however, the military was the only sitting 3rd indication posture in bed, being the 1st observation of posture in bed,was the supine position with 30.7%. This data set the type of use of computer devices in bed (studying, playing games, watching movie or playing). Findings of this study allow suggesting what graphical interface designers must seek as newstrategies and solutions for posture in bed, exploring other peripheral equipment for using informatics equipment in bed position.
- Chemical characterization of fungal chitosan for industrial applicationsPublication . Cruz, Pedro; Vaz, Daniela C.; Ruben, Rui B.; Avelelas, Francisco; Silva, Susana; Campos, Maria
- O Burnout nos terapeutas ocupacionais em Portugal : comparação da sua prevalência em diferentes contextos de práticaPublication . Vale, Catarina; Camacho, Catarina; Estrela, Cátia; Dixe, Maria dos Anjos; Reis, Helena
- Contextualização da Simulação Clínica e seus Benefícios TeóricosPublication . Duarte, Hugo Miguel Santos
- Patient Safety in Primary Health Care, Case Study of Cartaxo PrimaryCare Health CenterPublication . Pedrosa, V.; Fernandes, A.Worldwide we should achieve more efficient, clinically more effective and safer health care organizations, specially those in Primary Care (PC), where knowledge is less. For greater Patient Safety (PS) in PC Organizations, professionals are the key to ensure safety, with the involvement from Patient & Family. The goal is understand what Professionals Health Center Cartaxo Know and consequently incorporate PS in professional activity.
- Digital technology access among patients with chronic respiratory diseasesPublication . Jácome, Cristina; Rebelo, Patrícia; Paixão, Cátia; Oliveira, Ana; Cruz, Joana; Marques, Fábio; Marques, AldaBackground: Pulmonary rehabilitation (PR) is a well-established and evidence-based intervention to manage chronic respiratory diseases (CRD), but its benefits diminish over time. Self-management can slow down this tendency and digital technologies may have a key-role in such approaches. However, few studies have evaluated the access to digital technology among patients with CRD, which is fundamental for the implementation of technology-based self-management strategies. Aims: The objective of this study was to explore if patients with CRD have access to digital technology and if they feel confident in using it. Methods: This was an exploratory cross-sectional study. Patients with CRD were recruited from community-based PR programmes between October 2017 and September 2018. Patients were surveyed regarding access to computers, smartphones, tablets, cell phones and internet. Their confidence in using these technologies was assessed using a numerical scale from 0 (not at all confident) to 10 (completely confident). Patients were considered confident when a score higher than5 was selected. Chisquare tests were used to explore if access to digital technology was related to age, sex, marital status, education or occupation. Results: 123 patients (n=76; 62% male; 67±11 [32-87] years) were included. Chronic obstructive pulmonary disease (n=73; 59%) and asthma (n=23; 19%) were the most common diagnosis. 80% of patients reported having access to digital technology: 34% reported having a computer, 44% owned a smartphone or tablet and 36% a cell phone. 81% of patients reported themselves as confident in using these technologies (median 7, interquartile range 5-8.5). About half of them (n=64; 52%) used the internet and, from these, 84% felt confident in using it (median 8, interquartile range 5-9). Patients with access to digital technology and internet were younger (p=.029 and p<.001) and with higher levels of education (p=.010 and p<.001). No further associations were found. Conclusions: Patients with CRD have access to and feel confident in using digital technologies. These results reinforce the potential of using digital technologies as a resource for the implementation of selfmanagement strategies in this population.
- Is the international physical activity questionnaire (IPAQ-sf) valid to assess physical activity in patients with COPD? Comparison with accelerometer dataPublication . Cruz, Joana; Jácome, Cristina; Marques, AldaIntroduction: The International Physical Activity Questionnaire short form (IPAQ-sf) is primarily designed for physical activity (PA) surveillance, presenting good psychometric properties in people with an age range of 15-69 years. However, studies conducted in older people have shown conflicting results, suggesting that it may not be adequate for this population. Therefore, the use of the IPAQ-sf for the assessment of PA in patients with chronic conditions such as chronic obstructive pulmonary disease (COPD), in which patients are frequently older, remains unclear. Objective: To preliminary evaluate the validity and test-retest reliability of the IPAQ-sf in patients with COPD. Methods: This exploratory cross-sectional study included 10 patients with COPD (71.6±7.3 years old, 7 male, FEV1 77.2±20.7%predicted). Participants completed the IPAQ-sf on two occasions separated by 1 week and wore an accelerometer (Actigraph GT3X+) for 7 consecutive days. The following statistical analyses were conducted: 1) Pearson’s correlation coefficient (r) to assess correlations between the results obtained from the IPAQ-sf (PA in METs-min/week; sitting time in min/day) and the accelerometer (PA: total moderate-to-vigorous physical activity [MVPA] per week and recommended MVPA per week – i.e., MVPA conducted in bouts of at least 10-min as internationally recommended1; sedentary time in min/day); 2) percentage of agreement (%agreement) and Cohen’s kappa to assess the agreement between categorical scores obtained from the two measures (i.e., ‘sufficiently’ and ‘insufficiently’ active patients); 3) Intraclass Correlation Coefficient (ICC2,1) and 95% limits of agreement (LoA) to assess test-retest reliability and agreement. Results: Significant correlations were found between IPAQ-sf METs-min/week and total MVPA (r=0.729, p=0.017), but not between METs-min/week and recommended MVPA (r=0.346, p=0.327) or between IPAQ-sf sitting time and accelerometer-based sedentary time (r=-0.383, p=0.308). Agreement between the IPAQ-sf and accelerometer-based data in identifying ‘sufficiently’ and ‘insufficiently’ active patients was low (total MVPA: kappa=-0.538, %agreement=20%; recommended MVPA: kappa=-0.087, %agreement=50%). Test-retest reliability of the IPAQ-sf was poor to moderate (PA: ICC2,1=0.439 [-0.267→0.838]; sedentary time: ICC2,1=0.511 [-0.178→0.864]) and the agreement was low (PA: LoA: -10361→4548 METs-min/week; sedentary time: LoA: -194→148 min/day). Conclusions: Findings suggest that the IPAQ-sf has limited validity and reliability in the assessment of PA in patients with COPD. Further research with a larger sample is needed to support these findings. 1American College of Sports Medicine (ACSM) (2011). Med Sci Sports Exerc, 43(7), 1334-59.
- Relationship between 1-minute sit-to-stand and respiratory muscle strength in COPDPublication . Alves, Ana; Miranda, Sara; Machado, Ana; Paixão, Cátia; Oliveira, Ana; Rebelo, Patrícia; Cruz, Joana; Jácome, Cristina; Marques, AldaBackground: It has been suggested that patients with chronic obstructive pulmonary disease (COPD) with respiratory muscle weakness achieve poorer results in exercise capacity tests, namely in the six-minute walk test (6MWT). The 1-minute sit-to-stand test (1-min STST) is simple to perform and a reliable and valid indicator of functional exercise capacity that correlates well with the 6MWT. However, its association with respiratory muscle strength in COPD is poorly studied. Objective: To explore the relationship between the 1-min STST and maximum inspiratory (MIP) and expiratory pressures (MEP) in patients with COPD. Methods: A cross-sectional study was conducted in the center and north regions of Portugal. Outpatients with COPD were recruited from routine pulmonology appointments. The 1-min STST and MIP/MEP were collected and predicted percentages (pp) of MIP/MEP were calculated using the equation set by Neder and colleagues. Correlations between the number of repetitions in the 1-min STST and MIPpp/MEPpp were explored by sex using Spearman coefficient correlation. Results: 376 outpatients with COPD (66.3±10.2y; 76.1%♂; FEV1 61.1±23.4pp; 101.6±8.0% ♂MIPpp; 79.2±5.2% ♀MIPpp; 110.9±8.1% ♂MEPpp; 76.7±6.5% ♀MEPpp) were included in this study. When the correlation was assessed by sex, low positive correlations were found between 1-min STST and MIP/MEPpp in males (r=0.37, p<0.001) (Fig.1). There was no significant correlation between 1-min STST and of MIP/MEPpp in females (p>0.05). Conclusion: 1-min STST correlated significantly with predicted respiratory muscle strength in male patients with COPD. Patients with respiratory muscle impairment seem to have worse functional capacity than those with better MIP and MEP. Thus, respiratory muscle training may play an important role in the improvement of functional capacity in patients with COPD with respiratory muscle weakness.