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Percorrer por autor "Silva, Mariana"

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  • Factores de risco para alta prorrogada por motivos sociais: Um estudo retrospectivo
    Publication . Martins, Miguel; Mesquita, António; Carvalho, Lucas; Martins, Francisca; Silva, Mariana; Leitão, Helena; Nunes, Miguel
    Introduction: The hospital setting faces a rate of bed occupation by patients whose discharge is limited by other factors apart from clinical needs. This urges the need for an early identification of the patients at risk of delayed discharge due to social factors in order to reduce expenses and to add value that converts itself into the patient health. The aim of this study was to identify the demographic and clinical factors that may be associated with delayed discharge.Material and Methods: Demographic and clinical comorbidity data on 582 patients of an internal medicine ward from a tertiary hospital center during the years 2018 and 2019 was analyzed. A binomial logistic regression model was used, adjusted for sex, age, and length of clinical stay, in order to identify potential risk factors associated with delayed discharge.Results: A total of 473 patients admitted in the internal medicine ward throughout the two years of study were included. Ninety-four (19%) of these pa-tients had their discharge delayed beyond their clinical needs; sixty-four (68%) of these were females. The most representative age was between 75 -89 years old (45.7%). The characteristics that significantly differed between both non-delayed and delayed discharge were female sex (OR 2.84, 95% CI 1.65 - 4.90, p-value < 0.05), prolonged clinical stay (OR 2.64, 95% CI 1.60 - 4.937, p-value < 0.05) and diabetes mellitus (OR 1.87, 95% CI 1.08 - 3.23, p-value < 0.05). Besides these, the presence of heart failure (OR 0.52, 95% CI 0.27 - 0.99, p-value < 0.05) and chronic kidney disease (OR 0.34, 95% CI 0.14 - 0.86, p-value < 0.05) were associated with a lower risk of delayed discharge.Conclusion: Female sex, a prolonged clinical stay and diabetes mellitus were associated with a higher risk of delayed discharge, while heart failure and chronic kidney disease were associated with a reduced risk. These findings create a basis for a possible future multicentre study aimed at creating a clinical prediction rule to stratify the risk of delayed hospital discharge in the Portuguese population
    2023Artigo científico Acesso aberto Ver mais
  • Night underwater rides: the activity of a sandy beach gastropod is affected by interactive effects of light availability and water level
    Publication . Checon, Helio H.; Silva, Mariana; N. Corte, Guilherme; Q. Yokoyama, Leonardo; Teodosio, M A; Turra, Alexander
    Olivella minuta is an abundant gastropod and important consumer on beach food webs, whose feeding activity was recently demonstrated to be reduced when submerged. Our study aimed to test the interactive effects of water level and light in the activity of O. minuta. Experiments were conducted in the laboratory simulating four conditions: (1) Light, emerged (LE); (2) Dark, emerged (DE); (3) Light, immersed (LI); and (4) Dark, immersed (DI). Our results showed a significant interaction between water level and light variation. During conditions of light availability, the results corroborated our expectations and individuals were less active when immersed. However, individuals showed the highest activity when immersed during lightless conditions. This enhanced activity on dark immersed periods can be explained by optimization of feeding strategy, to benefit from the input of food resources brought by the tide. This could also be an adaptation to avoid predation by visual predators, which needs to be further evaluated. Our results show that patterns of activity of O. minuta may be susceptible to impacts of light pollution and coastal squeezing, and that the interacting effects of light and water level need to be considered in further studies on the behaviour of beach organisms.
    2021-07-03Artigo científico Acesso restrito Ver mais