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ESS2-Artigos (em revistas ou actas indexadas)

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http://hdl.handle.net/10400.1/16
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Percorrer ESS2-Artigos (em revistas ou actas indexadas) por Objetivos de Desenvolvimento Sustentável (ODS) "03:Saúde de Qualidade"

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  • Bone mineral density and body composition among individuals who practice sports with mechanical impact and sedentary activities
    Publication . Pinheiro, João; Ribeiro, Luís Pedro; Coelho-e-Silva, Manuel
    The purpose of this study was to evaluate indicators of bone health associated with sports practice in male adolescents using dual-energy X-ray absorptiometry (DXA) to measure bone mineral content (BMC), density (BMD), and body composition (BC) for the whole body (WB) and specific regions. This cross-sectional study involved 65 individuals (18–35 years). Athletes had higher BMD for WB (1.064 ± 0.121 g/m−2) than sedentary individuals (0.753 ± 0.129 g/cm−2). Differences were also observed within specific regions such as the trunk, upper and lower limbs. Individuals who practice regular sports present improved bone health indicators compared to their sedentary peers.
    2024-04-18Documento de conferência Acesso aberto Ver mais
  • Chemical and health risks of swimming pool maintenance workers
    Publication . Silva, Adriana; Pinto, Ezequiel; Braz, Nídia Maria Dias Azinheira Rebelo
    Swimming pool maintenance workers are exposed to occupational hazards, as it involves the regular handling of toxic chemicals. These exposures can result in acute reactions or chronic complications. The present study, still in the design phase, aims to describe the chemical and biological exposure of workers of a swimming pool maintenance company and to verify its compliance with the safety standards in force. A quantitative questionnaire will identify the use of personal protective equipment, chemical agents, and handling procedures, particularly regarding the time and frequency of use.
    2024-04-11Documento de conferência Acesso aberto Ver mais
  • Commentary on: nurses’ perceptions of artificial intelligence (AI) integration into practice: an integrative review
    Publication . Xavier, Tânia; Oliveira, Claudia
    We are writing this letter to congratulate you on the paper ‘Nurses’ perceptions of artificial intelligence (AI) integration into practice: An integrative review’ by Lora and Foran, recently published in your journal. In this paper the authors synthesise remarkable, valuable and challenging aspects of the new era of artificial intelligence (AI) in the clinical practice of nursing. AI has been introduced into the most diverse areas of knowledge, opening a vast range of possibilities. This integrative review makes a timely and relevant contribution to the growing body of literature on the intersection between nursing and AI. The authors show that the practice of nursing, especially in the perioperative environment, is no exception.
    2025-06-27Carta ao editor Acesso aberto Ver mais
  • Conventional, specific, and robotic instrumentation in total knee arthroplasty. How are we progressing in functional outcomes and patient satisfaction?
    Publication . de Almeida Fontes, Ana Paula; Sousa, João Paulo
    In recent years, technological advances in total knee arthroplasty (TKA) have made procedures more precise, reducing complications and accelerating recovery. Although the latest techniques offer several advantages, there are still doubts regarding their true functional efficacy and the level of patient satisfaction they provide. Methods: A retrospective study involving 1,076 patients, distributed as follows: 366 (34.0%) conventional instrumentation (CI), 591 (54.9%) Patient-Specific Instrumentation (PSI), and 119 (11.1%) robotics. All functional outcomes were assessed preoperatively and 90 days postoperatively. Bivariate analyses were performed using ANOVA and the Kruskal- Wallis test, with a significance level of p < 0.05. Results: At 90 days, the robotics maintained the greatest flexion range (p = 0.001) and outperformed the PSI and IC in the walking test (350.3 ± 102.1 vs. 312.5 ± 92.9 and 283.8 ± 84.8, respectively; p < 0.001). On the WOMAC test, PSI performed best (14.5 ± 10.6; p = 0.001), with IC and robotics showing similar results (p = 0.974). There was no difference between the groups in absolute gains. In terms of percentage gains, PSI was higher in WOMAC compared to IC (p=0.041) and robotics (p<0.001). Satisfaction was identical between the instrumentation methods (p=0.199). Conclusion: Absolute gains in functional evolution and satisfaction appear to be independent of the surgical technique, although PSI appears to offer improvements in functional activities. Given the still-limited experience with robotic surgery, the functional benefits and long-term satisfaction remain inconclusive.
    2026-03-09Artigo científico Acesso aberto Ver mais
  • Does a 12-week yoga program influence the decision-making capacity of military aviation pilots?
    Publication . Santos, Sara; Fernandes, Orlando; Cabo, Carolina A.; Parraca, José A.; Melo, Filipe
    Does a 12-week yoga program influence the decision-making capacity of military aviation pilots? Rationale and aims: This study investigates whether the incorporation of yoga practice into the training regimen of Portuguese Airforce Aviation Pilots can enhance their decision-making capacity, in order to promote better occupational health safety. Methods: A randomized controlled trial with Portuguese Airforce pilots had the Control Group (n = 8), follow standard military aviation training, and the Intervention Group (n = 10), receive additional yoga training twice a week for 12 weeks. Cognitive/performance assessments included the Aviation Safety Attitude Scale (ASAS). The procedures were approved by the Évora University research ethics committee (approval number: 21050), and participants gave written informed consent per the Helsinki declaration. The study was registered on April 19, 2023, on ClinicalTrials.gov (identifier NCT05821270). Analysis: Data analysis used Jamovi (version 2.3.16). Normality was assessed with the Shapiro-Wilk test, non-parametric data analysis used Wilcoxon rank test and Rank Biserial Correlation for effect sizes. Statistical significance was generally determined with a threshold of 0.05. Findings: Results showed significant differences in ASAS: it indicated significant increases in Self-Confidence (p = 0.021), Risk Orientation (p = 0.024), and Safety Orientation (p = 0.021) within the yoga group. Conclusions: This research offers a unique contribution: studying the hard-to-access population of military aviation pilots, due to security and workload constraints. Portuguese Airforce pilots, facing high stress and lacking a structured training regimen, will benefit from the findings of this study. Results could influence policymakers to implement mandatory exercise programs, enhancing work safety. These insights are also applicable to Airforce teams in other nations, commercial and civil aviation sectors.
    2025Documento de conferência Acesso aberto Ver mais
  • Early identification of bladder diverticula in pre-hospital settings using screening sonography: a case report
    Publication . Miravent, Sérgio; Gomes, Carla; Basescu, Andrea; Martins, Ana; Lobo, Manuel Duarte; Almeida, Rui
    Objective: Bladder diverticula, while not exceptionally rare in clinical practice, presents a significant diagnostic challenge, particularly in remote pre-hospital emergencies where technological limitations and the absence of specialized medical expertise prevail. This report aims to emphasize the role of screening ultrasound in the pre-hospital setting, Case Presentation: A patient experiencing severe lower abdominal pain presented at a basic emergency service (BES) for the third time presenting the same symptoms. Renal and pelvic ultrasound screening was performed, revealing suspected bladder distention and adjacent fluidfilled cavities, consistent with multiple bladder diverticula. Subsequently, the patient was referred to a referral central hospital for management by medical experts. Comprehensive evaluation confirmed the findings of the BES. Conclusion: The results of the screening ultrasound enabled the BES team to initiate clinical interventions to mitigate the patient’s discomfort. Screening ultrasound was crucial in identifying imaging markers that provided the physician with clinical data for correct and prompt patient orientation.
    2025-03-06Artigo científico Acesso aberto Ver mais
  • Editorial: Innovative teaching and learning in health education and promotion
    Publication . da Costa, Emilia; Ruiz Fernández, María Dolores; Fernández Medina, Isabel María; Jimenez Lasserrotte, Maria del Mar; Ventura-Miranda, Maria Isabel
    Health education and health promotion are undergoing profound transformation. Demographic transitions, aging populations, increasing multimorbidity, persistent inequities, and rapid technological change are reshaping how learners understand and navigate health. In this evolving context, traditional knowledge-transmission models are no longer sufficient to prepare future professionals for complex, multicultural and digitally mediated environments. Innovation in teaching and learning has therefore become essential, not only to improve learning outcomes, but to strengthen ethical reasoning, equity, and learner autonomy. This global shift echoes recent OECD (1) analyses highlighting how digitalisation, demographic aging and widening social disparities are redefining the competencies required of tomorrow’s health workforce and calling for educational approaches attuned to complexity and uncertainty. It is also consistent with the World Health Organization’s call for transformative health workforce education, which stresses that conventional training models can no longer meet the demands posed by demographic change, chronic disease burdens, technological acceleration and growing inequities.
    2026-01-20Editorial de revista Acesso aberto Ver mais
  • The effect of nutritional intervention in nutritional risk screening on hospitalised lung cancer patients
    Publication . de Oliveira, Raquel; Cabrita, Bruno; Cunha, Ângela; Silva, Sónia; Lima, João P. M.; Martins, Diana; Mendes, Fernando
    Background: Lung cancer (LC) patients are prone to suffer from malnutrition. Malnutrition negatively affects patients’ response to therapy, increases the incidence of treatment-related side effects, and decreases survival. Early identification of LC patients who are malnourished or at risk of malnutrition can promote recovery and improve prognosis. Objective: This study aimed to assess the risk and nutritional status of lung cancer patients who are hospitalised, as well as to evaluate the impact of nutritional intervention on the risk of malnutrition. Methods: From January 2022 to December 2023, 53 LC patients hospitalised in a pulmonology department had their nutritional risk (initial and final) and nutritional status (initial) assessed. All were selected for nutritional intervention. Nutrition counselling was the first intervention option, along with dietary changes with/without oral nutritional supplements. Results: At the time of hospitalisation, 90.6% of the patients were at nutritional risk, 45.3% were classified as moderately malnourished, and 35.8% were classified as severely underweight. After the hospitalisation, 73.6% were at nutritional risk at the time of discharge, suggesting a statistically significant decrease in the number of patients with nutritional risk. Conclusions: Most LC patients hospitalised presented an altered nutritional status. Our study suggests that a nutritional intervention must be implemented to reduce malnutrition risk, which may impact prognosis. The comprehensive nutritional problems experienced by LC patients require nutritional assessment and improved individually tailored nutritional support.
    2024-12-24Artigo científico Acesso aberto Ver mais
  • Frailty and outcomes in elderly ICU patients: insights from a portuguese cohort
    Publication . Lourenço, Eva; Rodrigues, Isabel; Sampaio, Mário; da Costa, Emilia
    Background: Frailty is a key determinant of outcomes in critically ill elderly patients, but data from Portugal remain limited. To our knowledge, this is the first study to examine the prevalence and prognostic impact of frailty among elderly ICU patients in a Portuguese hospital setting. Objective: To determine the prevalence of frailty among elderly patients admitted to an intensive care unit (ICU) in southern Portugal and to examine its crude associations with illness severity, organ support, and mortality outcomes. Methods: We conducted a retrospective cohort study including 125 patients aged ≥ 65 years admitted to the polyvalent ICU of Hospital de Faro over the last six months of 2024. Data included demographics, comorbidities, Charlson Comorbidity Index (CCI), severity scores (SOFA, SAPS II, APACHE II), and frailty status assessed by the Clinical Frailty Scale (CFS). Outcomes were the need for organ support, ICU and hospital mortality, and length of stay. Results: Frailty (CFS ≥ 5) was identified in 30.4% of patients. Frail patients were older, had higher comorbidity burden (CCI), and presented with significantly higher severity scores at admission. They also required more invasive support, including vasopressors and invasive mechanical ventilation, while acute kidney injury (AKI) requiring renal replacement therapy (RRT) was similar between groups. ICU mortality was significantly higher among frail patients (50.0% vs. 31.0%), as was hospital mortality (76.3% vs. 33.3%). Length of ICU stay did not differ, although frail patients tended to have longer hospitalizations overall. Conclusions: Frailty was highly prevalent and strongly associated with increased severity, greater need for organ support, and higher mortality. Routine frailty assessment at ICU admission may enhance prognostic accuracy and support patient-centered decision-making.
    2025-11-26Artigo científico Acesso aberto Ver mais
  • Game-based balance training in older adults: systematic review and meta-analysis
    Publication . Tome, Ana Maria; Castro, Sílvia; Rosa, Marlene; Tomás, Maria Teresa; de Almeida Fontes, Ana Paula; Pais, Sandra
    Functional decline in older adults is a major contributor to both falls and increased fall risk. Nevertheless, such decline may be mitigated through multidimensional interventions. Game-based and gamified interventions have emerged as promising alternative strategies. This study aimed to evaluate the effectiveness of these approaches in improving balance and reducing fall risk among community-dwelling adults aged 65 years and over. The research question was: Do serious games and gamification improve balance and reduce fall risk in community-dwelling older adults, compared with exercise programmes, non-gamified interventions, or control conditions? A systematic search of randomised controlled trials was conducted in accordance with PRISMA guidelines, resulting in the inclusion of nine studies from 634 records screened. Meta-analysis demonstrated significant improvements in the Functional Reach Test and the Berg Balance Scale. However, no significant overall effects were observed for the Timed Up and Go Test or the Single-Leg Stance Test. Although game-based interventions may improve specific dimensions of balance in community-dwelling older adults, the findings should be interpreted with caution. The limited number of studies, small sample sizes, heterogeneity of interventions, and reliance on balance-related surrogate outcomes rather than direct measures of fall incidence highlight the need for further high-quality research
    2026-06-15Artigo científico Acesso aberto Ver mais