Browsing by Author "Dias, Joana"
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- Comparing international guidelines for the remission of hypertension after bariatric surgeryPublication . Dias, Carina Vieira; Silva, Ana Lúcia; Dias, Joana; Cardoso, Paulo; Castanheira, Rute; Fernandes, Andreia; Nunes, Filipa; Sanai, Tina; Sanchez, Mercedes; Maia-Teixeira, João; De Sousa-Coelho, Ana LuísaBackground/Objectives: Obesity remains a global health concern and is associated with increased risk of type 2 diabetes, hypertension, and cardiovascular disease overall. Dissimilar hypertension guidelines are available for clinicians, namely those prepared by the American Heart Association (AHA) and the European Society of Cardiology (ESC), which may lead to distinctive appreciation of health outcomes of patients with obesity after bariatric and metabolic surgery, such as hypertension remission. The main goal of this study was to compare the effects of applying stricter (AHA) versus looser (ESC) blood pressure criteria on hypertension diagnosis pre-bariatric surgery and remission assessment one year post-op. Methods: A retrospective analysis of clinical data from patients who underwent surgical treatment for obesity at a single university hospital was performed. To evaluate the hypertension improvement or remission, two different types of blood pressure (BP) categorization were considered (based on AHA and ESC guidelines), in which each patient would fit according to their BP values pre- (m0) and 12 months postoperative (m12). Results: From a sample of 153 patients submitted for surgical treatment of obesity, more patients were considered with hypertension based on the AHA guideline (130 vs. 102; p < 0.001), while a higher rate of hypertension remission at 12 months after bariatric surgery was observed when following the ESC guideline (58.82 vs. 53.08%). Baseline patients' clinical characteristics based on each hypertension outcome were mostly independent of the guideline used (p > 0.05), where only age and systolic blood pressure were relatively higher in "ESC groups". Conclusions: We conclude that only minor differences exist between the two guidelines used. If evaluated based on ESC guidelines, it is expected that less patients are considered with hypertension, and the remission rate may be, at least numerically, higher.
- Patient-physician discordance in assessment of adherence to inhaled controller medication: a cross-sectional analysis of two cohortsPublication . Jácome, Cristina; Pereira, Ana Margarida; Almeida, Rute; Ferreira-Magalhaes, Manuel; Couto, Mariana; Araujo, Luís; Pereira, Mariana; Correia, Magna Alves; Loureiro, Cláudia Chaves; Catarata, Maria Joana; Maia Santos, Lília; Pereira, João; Ramos, Bárbara; Lopes, Cristina; Mendes, Ana; Cidrais Rodrigues, José Carlos; Oliveira, Georgeta; Aguiar, Ana Paula; Afonso, Ivete; Carvalho, Joana; Arrobas, Ana; Coutinho Costa, José; Dias, Joana; Todo Bom, Ana; Azevedo, João; Ribeiro, Carmelita; Alves, Marta; Leiria Pinto, Paula; Neuparth, Nuno; Palhinha, Ana; Gaspar Marques, João; Pinto, Nicole; Martins, Pedro; Todo Bom, Filipa; Alvarenga Santos, Maria; Gomes Costa, Alberto; Silva Neto, Armandina; Santalha, Marta; Lozoya, Carlos; Santos, Natacha; Silva, Diana; Vasconcelos, Maria João; Taborda-Barata, Luís; Carvalhal, Célia; Teixeira, Maria Fernanda; Alves, Rodrigo Rodrigues; Moreira, Ana Sofia; Sofia Pinto, Cláudia; Morais Silva, Pedro; Alves, Carlos; Câmara, Raquel; Coelho, Didina; Bordalo, Diana; Fernandes, Ricardo M; Ferreira, Rosário; Menezes, Fernando; Gomes, Ricardo; Calix, Maria José; Marques, Ana; Cardoso, João; Emiliano, Madalena; Gerardo, Rita; Nunes, Carlos; Câmara, Rita; Ferreira, José Alberto; Carvalho, Aurora; Freitas, Paulo; Correia, Ricardo; Fonseca, Joao AWe aimed to compare patient's and physician's ratings of inhaled medication adherence and to identify predictors of patient-physician discordance.
- Using participatory mapping to Foster Community-Based disaster risk reduction in Forest Fire-Prone Areas: the case of Monchique in PortugalPublication . Partidário, Maria; Saad, Guilherme; Monteiro, Margarida B.; Dias, Joana; Martins, Rute; Ramos, Isabel Loupa; Ribeiro, Henrique; Teixeira, Miguel; Costa Freitas, M. B.; Antunes, CarlaLocal knowledge and communities’ active role in disaster risk areas are recognized in the literature as key conditions to better understand risks, enhance adaptive capacities and foster local resilience. A participatory action research project in forest fire-prone areas in Monchique, Portugal, is aligned with the literature and adopts participatory mapping as a method that can bring evidence to the importance of local knowledge and communities’ agency. In the BRIDGE Project, different types of knowledge are integrated, triggering local/collective agency and fostering a forest fire community-based disaster risk reduction (CBDRR) approach. An innovation laboratory (InnoLab) provides the space for dialogue and knowledge sharing for different actors that manage forest territories. In the InnoLab, participatory mapping is used as a method to engage landowners where risk factors and local vulnerabilities were identified. Their active engagement enabled a collective perception in the assessment of vulnerability and led to the identification of strategic measures for risk reduction. This paper shares the process and outcomes of this participatory mapping, highlighting the benefits of a community approach and the importance of local knowledge and practices as recognized in the literature. It also reveals how the active role of local stakeholders can help drive a CBDRR process.