Recursos de colección

Repositório Comum (25.459 recursos)

É um repositório para instituições de ensino e investigação produtoras de literatura científica cuja dimensão ainda não justifica a criação de um repositório próprio. Permite integrar instituições, grupos ou indivíduos na infra-estrutura do projecto, nomeadamente através das pesquisas do Portal RCAAP e da B-On.

Mostrando recursos 1 - 20 de 35

  1. Séries DGS - Informação e Análise

    Fernandes, Teresa; Freitas, Graça
    Desde a sua criação em 1965, o panorama epidemiológico das doenças evitáveis por vacinação em Portugal era desfavorável em relação aos outros países da Europa. Assim, com o objetivo de prevenir a ocorrência de determinadas doenças infeciosas, foi criado o Programa Nacional de Vacinação para vacinar a população, especialmente as crianças, de forma organizada, universal, gratuita e com continuidade. Desde 1965, o PNV foi sendo atualizado em duas vertentes principais: • Introdução progressiva de vacinas, determinada por fatores epidemiológicos e pela disponibilidade de novas e melhores vacinas. • Atualização dos esquemas vacinais para melhor adaptação à realidade epidemiológica e adesão ao PNV. Ao longo...

  2. Doença invasiva meningocócica em Portugal - Vigilância epidemiológica integrada, 2003-2014: relatório anual da Rede de Laboratórios VigLab Doença Meningocócica

    Simões, Maria João; Fernandes, Teresa
    Acompanhamento: Maria da Graça Freitas (Direção-Geral da Saúde), Jorge Machado (Instituto Nacional de Saúde Doutor Ricardo Jorge). Colaboradores: Paulo Gonçalves, Célia Betencourt, Ana Leça, Andreia Silva da Costa.

  3. Trans fatty acids in the Portuguese food market

    Costa, Nádia; Cruz, Rebeca; Graça, Pedro; Breda, João; Casal, Susana
    Consistent evidence exist on the harmful health effects of industrial trans fatty acids (TFA). In order to have accurate data on TFA intake and implement adequate measures to reduce their intake, each country should have updated estimates of TFA content in the diet. The objective of the present study was to provide data on the TFA content in food commercialized in the Portuguese market. The results on the TFA content of 268 samples acquired between October and December 2013 are reported. Samples were categorized as margarines and shortenings (n ¼ 16), spreadable chocolate fats (n ¼ 6), fried potatoes and chips (n...

  4. Estudo comparativo de estratégias/PNS de países europeus membros da OCDE

    Ferrinho, Paulo; Guerreiro, Cátia Sá; Portugal, Rui
    A adoção de planos em todos os setores da sociedade tem ganho em importância, pela sua capacidade de influenciar a tomada de decisão. O planeamento estratégico (PE), enquanto procedimento complexo, participado e mobilizador de todos os quadrantes da sociedade, contribui para ganhos em conhecimento e para a difusão do mesmo, legitimando visões estratégicas e clarificando áreas prioritárias de intervenção. O PE no setor da saúde (PES) emergiu na década de 1990, fortemente impulsionado pela Global Strategy for Health for All by the Year 2000 e, mais recentemente, pela Health 21 – Health for All in the 21st Century. Com o intuito...

  5. The integrated management for renal replacement therapy in Portugal

    Coelho, Anabela P.; Sá, Helena O.; Diniz, José A.; Dussault, Gilles
    Portugal was the first European country to introduce an integrated management of end-stage renal disease (IM ESRD). This new program integrates various dialysis services and products, which are reimbursed at a fixed rate/patient/week called “comprehensive price payment.” This initiative restructured the delivery of dialysis services, the monitoring of outcomes, and the funding of renal replacement therapy. This article described the implementation of a new model of comprehensive provision of hemodialysis (HD) services and aimed to assess its impact on dialysis care. Quality assessments and reports of patient satisfaction, produced by the Ministry of Health since 2008, as well as national...

  6. Health professionals moving to. . . and from Portugal

    Ribeiro, Joana Sousa; Conceição, Cláudia; Pereira, Joel; Leone, Cláudia; Mendonça, Pedro; Temido, Marta; Vieira, Carlota Pacheco; Dussault, Gilles
    The mobility of health professionals in the European Union is a phenomenon which policymakers must take into account to provide the conditions to adjust for demand and supply of health services. This paper presents the case of Portugal, a country which at the same time imports and exports health workers. Since the early 1990s Portugal became a destination country receiving foreign health care professionals. This situation is now changing with the current economic situation as fewer immigrants come and more Portuguese emigrate. Foreigners coming to Portugal do so in part for similar reasons that bring Portuguese to want to emigrate,...

  7. Lowered national cesarean section rates after a concerted action

    Ayres-De-Campos, Diogo; Cruz, Joana; Medeiros-Borges, Cláudia; Costa-Santos, Cristina; Vicente, Lisa
    To evaluate national cesarean section (CS) rates and other obstetric indicators after a concerted action to reduce CS rates was undertaken in Portugal from 2010 onwards. This action was based on the transmission of information and training of healthcare professionals, together with the inclusion of CS rates as a criterion for hospital funding. Retrospective observational population-based study. SETTING: Portugal. POPULATION: Births occurring in Portugal between 2000 and 2014. METHODS: Governmental sources were used to obtain data on national CS, perinatal and maternal mortality rates. Rates of instrumental vaginal delivery, vaginal birth after cesarean (VBAC), hypoxia-related complications and perineal lacerations were...

  8. First diabetes prevalence study in Portugal: PREVADIAB study

    Gardete-Correia, L.; Boavida, José; Raposo, J. F.; Mesquita, A. C.; Fona, C.; Carvalho, R.; Massano-Cardoso, S.
    Aims Diabetes is a growing worldwide problem. Ascertaining its prevalence is vital as a starting point to establish and measure the success of health interventions. This study aimed to determine the prevalence of Type 2 diabetes and ‘pre-diabetes’, defined as impaired fasting glucose and impaired glucose tolerance, in the Portuguese population aged between 20 and 79 years. Methods Considering the number of inhabitants between 20 and 79 years old, statistical units were selected that were representative regionally and nationally. The total sample comprised 5167 subjects. National prevalence was calculated. Analyses were performedon all thosewithout previously knowndiabetes usingWorld Health Organization reference...

  9. Estimates of 2012/13 influenza vaccine effectiveness using the case test-negative control design with different influenza negative control groups

    Nunes, Baltazar; Machado, Ausenda; Guiomar, Raquel; Pechirra, Pedro; Conde, Patrícia; Cristovão, Paula; Falcão, Isabel
    Background: In recent years several reports of influenza vaccine effectiveness (VE) have been made early for public health decision. The majority of these studies use the case test-negative control design (TND),which has been showed to provide, under certain conditions, unbiased estimates of influenza VE. Nevertheless, discussions have been taken on the best influenza negative control group to use. The presentstudy aims to contribute to the knowledge on this field by comparing influenza VE estimates using three test-negative controls: all influenza negative, non-influenza respiratory virus and pan-negative.Methods: Incident ILI patients were prospectively selected and swabbed by a sample of general practitioners....

  10. Statement on combined hormonal contraceptives containing third or fourth-generation progestogens or cyproterone acetate, and the associated risk of thromboembolism

    Bitzer, Johannes; Amy, Jean-Jacques; Beerthuizen, Rob; Birkhäuser, Martin; Bombas, Teresa; Creinin, Mitchell; Darney, Philip D; Vicente, Lisa Ferreira
    The controversy around the combined hormonal contraceptives (CHCs) of the so-called third (containing gestodene or desogestrel) and fourth generation (containing drospirenone, DRSP) has reached a highly emotional political dimension in which all those who are professionally responsible for women’s health are involved: the national health authorities, the pharmaceutical companies, the professional organisations, the prescribers, the media and the public (i.e. the current or potential users of CHCs). The – initially scientific – controversy has now led to a public health dispute that culminated in the decision of the French authorities to withdraw the combination containing ethinylestradiol (EE) and cyproterone acetate...

  11. Educação do doente terapêutico no tratamento da diabetes

    Boavida, José Manuel
    Late complications of type 1 and type 2 diabetes can also be effectively avoided or delayed using active intervention and available therapies. Despite these facts, the percentage of people with diabetes following the therapy proposed by health care professionals is quite low. People with diabetes or any other chronic disease have to be involved in their own treatment. Basic knowledge is very important for the patient but the reinforcement of appropriate attitudes and a continuous process of motivation is fundamental in changing habits and behaviour. We need to educate patients, giving them the tools and skills to manage their disease,...

  12. A large outbreak of Legionnaires’ Disease in an industrial town in Portugal

    George, Francisco; Shivaji, Tara; Pinto, Cátia Sousa; Serra, Luis; Valente, João; Albuquerque, Maria João; Vicêncio, Paula; San-Bento, Ana; Diegues, Paulo; Nogueira, Paulo; Marques, Teresa; et al
    Background: We describe the investigation and control of an outbreak of Legionnaires’ disease in Portugal in October, November and December 2014. Methods: Confirmed cases were individuals with pneumonia, laboratory evidence of Legionella pneumophila serogroup 1 and exposure, by residence, occupational or leisure tothe affected municipalities. 49 possible sources were reduced to four potential sources, all industries with wet cooling system, following risk assessment. We geo-referenced cases’ residences and the location of cooling towers defining four study areas 10 km buffer centeredon each cooling tower system. We compared the number of cases with expected numbers,calculated from the outbreak’s attack rates applied...

  13. Sodium and potassium urinary excretion and dietary intake: a cross-sectional analysis in adolescents

    Gonçalves, Carla; Abreu, Sandra; Padrão, Patrícia; Graça, Pedro; Breda, João; Moreira, Pedro; et al
    Background: Hypertension is the leading cause for heart disease and stroke, for mortality and morbidity worldwide, and a high sodium-to-potassium intake ratio is considered a stronger risk factor for hypertension than sodium alone. Objective: This study aims to evaluate sodium and potassium urinary excretion, and assess the food sources of these nutrients in a sample of Portuguese adolescents. Design: A cross-sectional study with a sample of 250 Portuguese adolescents. Sodium and potassium excretion were measured by one 24-h urinary collection, and the coefficient of creatinine was used to validate completeness of urine collections. Dietary sources of sodium and potassium were assessed using a 24-h...

  14. Improving data management practices in the Portuguese HIV/AIDS surveillance system during a time of public sector austerity

    Shivaji, Tara; Martins, Helena Cortes
    In a climate of public sector austerity, the demand for accurate information about disease epidemiology rises as health program managers try to align spending to health needs. A policy of case re-notification to improve HIV information quality resulted in a nine-fold increase in the number of case reports received in 2013 by the Portuguese HIV surveillance office. We used value stream mapping to introduce improvements to data processing practices, identify and reduce waste. Two cycles of improvement were trialled. Before intervention, processing time was nine minutes and 28 seconds (95%CI 8:53-10:58) per report. Two months post intervention, it was six minutes...

  15. Potassium urinary excretion and dietary intake: a cross-sectional analysis in 8–10 year-old children

    Oliveira, Ana Catarina; Padrão, Patrícia; Moreira, André; Graça, Pedro; Breda, João; Moreira, Pedro; et al
    Background: Data from studies assessing the intake of potassium, and the concomitant sodium-to-potassium ratio are limited. The aim of this study was to evaluate potassium and sodium-to-potassium ratio intake in 8–10 year-old children. Methods: A cross-sectional survey was carried out from January to June 2014 and data from 163 children (81 boys) were included. Potassium intake was estimated by 24-h urine collection and coefficient of creatinine was used to validate completeness of urine collections. Urinary sodium and sodium-to-potassium ratio were also analysed. A 24-h dietary recall was used to provide information on dietary sources of potassium. Height and weight were...

  16. Natalidade e Fertilidade: Análise dos Conhecimentos e Expectativas de 3585 Estudantes Universitários Portugueses

    Machado, Maria do Céu; Alves, Maria Isabel; Couceiro, Luisa; Silva, Francisco Goiana; Almeida, Miguel Morais; Alves, Isa
    Em Portugal, a taxa de natalidade não é suficiente para assegurar a renovação de gerações. A licenciatura e participação no mercado de trabalho das mulheres e a actual instabilidade económica são alguns determinantes e têm como consequência, o adiamento da parentalidade e infertilidade condicionada ainda pela obesidade, tabagismo e álcool. Estudo epidemiológico transversal, analítico, através de questionários auto-preenchidos, online, divulgados pelas Associações de estudantes das Universidades Portuguesas. A análise estatística da amostra de 3585 estudantes foi desenvolvida em SPSS, Excel nas representações gráficas e ArcMap, para os mapas. Predomínio de estudantes de Ciências de Saúde (40,6%), da Universidade de Lisboa...

  17. Morbilidade e Mortalidade da Pneumonia Adquirida na Comunidade no Adulto, em Portugal

    Froes, Filipe
    A pneumonia adquirida na comunidade (PAC) é uma causa importante de morbilidade, mortalidade e consumo de recursos de saúde na população adulta. A incidência aumenta com a idade e é maior nos homens do que nas mulheres. Na última década, estudos em diferentes países documentaram um aumento do número de internamentos hospitalares por PAC. O aumento da esperança média de vida e, consequentemente, da população idosa, a par da crescente prevalência das doenças crónicas não transmissíveis são alguns dos principais fatores que explicam esta situação.

  18. Food Policy in Portugal: Historical Context, Opportunities, and Threats

    Graça, Pedro; Gregório, Maria João; Sousa, Sofia Mendes de; Camolas, José
    In 2012 Portugal implemented a concerted set of actions aiming at improving its population's nutritional status, as it will be described in this article. This strategy on food and nutrition, conducted by the Ministry of Health, was the result of different initiatives and experiences that had been carried out in this field since 1974. In fact, the first steps for the development of a food and nutrition policy in Portugal were done in this period (1974), the time when the democracy was established in Portugal. It also coincides with Food and Agriculture Organization's First World Food Conference, which took place...

  19. Beverages intake and hydration status in adolescents

    Gonçalves, C.; Padrão, P.; Abreu, S.; Graça, P.; Moreira, P.
    Introduction: Type and quantity of beverages intake among adolescents may influence their hydration status. Objective: To evaluate the association between hydration status assessed by Free Water Reserve (FWR) and consumption of 5 types of beverages (water, milk, soft drinks, fruit juices and hot beverages). Conclusions: In this sample of participants, euhydrated adolescents ingest more water and hot beverages than those at risk of hypo-hydration.

  20. Equity-focused health impact assessment of Portuguese tobacco control legislation

    Costa, Andreia; Cortes, Maria; Sena, Catarina; Nunes, Emília; Nogueira, Paulo; Shivaji, Tara
    The World Health Organization recommend the Equity-Focused Health Impact Assessment (HIA) as a means to assess the impact of social and economic policies on the health of populations, and acknowledges their contribution to health inequality. We describe the application of the Equity-focusedImpact Assessment methodology on the Portuguese law on Smoking Prevention and Tobacco Control (Law No. 37/2007). A rapid assessment was carried out to issue recommendations which could be incorporated into the law during a revision in 2014. Quantitative (consumption and health status indicators; equity analysis) and qualitative (Focus Group) approaches were taken to evaluate the impact of the law and formulate...

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