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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) "10:Reduzir as Desigualdades"

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  • O acesso aos serviços públicos de saúde no futuro: Elementos para a realização de uma antropologia antecipatória
    Publication . Pinto da Costa, José Carlos
    O documento discute como as transformações nos sistemas de saúde, como a medicina de precisão, saúde digital e cuidados baseados em valor, podem afetar a equidade no acesso à saúde no futuro. Apresenta as três discursividades e como contribuem para a eficiência, mas também podem aumentar os custos e dificultar o acesso. Conclui que é preciso antecipar os impactos destas transformações nas populações para promover a equidade no acesso aos cuidados.
    2020Documento de conferência Acesso aberto Ver mais
  • Anticholinergic burden in elderly people in nursing homes: cross-sectional assessment using ACB calculator and CRIDECO anticholinergic load scale
    Publication . Nascimento, Tânia; Matos, Maria Ana; Pinto, Ezequiel
    Background/Objectives: Anticholinergic burden is an important risk marker in older adults, associated with cognitive decline, falls, and increased mortality. This study aimed to assess anticholinergic burden in institutionalized elderly individuals using two tools (ACB calculator and CALS—CRIDECO Anticholinergic Load Scale), as well as to analyze its relationship with pharmacotherapeutic variables like polypharmacy. Methods: A descriptive cross-sectional study was conducted by analyzing the pharmacotherapeutic profiles of institutionalized elderly individuals (≥65 years) utilizing individualized medication preparation services from a community pharmacy in Alentejo (Portugal). Participants agreed to the study and had complete, up-to-date pharmacotherapeutic profiles. Results: The pharmacotherapeutic profiles of 75 institutionalized elderly people were analyzed; the sample comprised mostly women (72%) who had experienced excessive polypharmacy (≥10 medications) (56%) and had an average age of 85.62 ± 7.62 years. It was found that 90.7% (ACB) and 89.3% (CALS—CRIDECO) of the elderly had anticholinergic burden, with mean values of 3.60 ± 2.84 and 3.33 ± 2.51, respectively. Women exhibited higher anticholinergic burden in unadjusted analyses (p < 0.05). The burden correlated moderately with the total number of medications (p < 0.05). Conclusions: The results show high exposure to anticholinergic medications in the institutionalized elderly population, reinforcing the rationale for systematic therapeutic reviews focused on the pharmacological safety of institutionalized older adults in community pharmacies.
    2026-04-07Artigo científico Acesso aberto Ver mais
  • Assessment of anatomical changes by pulmonary Angio-CT resulting from pulmonary thromboembolism
    Publication . Costa, I.; Ribeiro, Luís Pedro; Caldeira Lagem Abrantes, António Fernando; do Espírito Santo Rodrigues, Sónia Isabel; Pinheiro, João; Azevedo, K. B.
    PTE (Pulmonary Thromboembolism) is the third most common cause of cardiovascular death, with more than 600,000 cases per year in the US. This pathology has a wide spectrum of presentations and severity, with some patients experiencing shock, requiring urgent thrombolysis, while others can be safely treated on an outpatient basis with anticoagulation treatments alone (John, Marti Poletti, Perrier, 2014). The degree of pulmonary arterial obstruction and the previous cardiorespiratory status determine the hemodynamic consequences of PTE, the elevation of pulmonary pressure is insignificant until the obstruction of the pulmonary arterial bed is greater than 30–50%, whereby above this threshold it increases rapidly, causing an elevation of pulmonary vascular resistance and consequently significant pulmonary hypertension with enlargement of the proximal arterial vessels, resulting in an afterload on the right ventricle and therefore its dilation. (Bryce, Perez-Johnston, Bryce, Homayoon, & Santos -Martin, 2019; John, et al., 2014). The main objective is to assess the anatomical changes that may be present in patients diagnosed with PTE. In order to be able to reach the main objective of the work and answer the pre-defined research questions, there was a need to also define specific objectives, which consisted of analyzing which alterations were the most evidence of the presence of PTE; relate verifiable anatomical alterations through pulmonary Angio-CT with gender; relate verifiable anatomical alterations through pulmonary Angio-CT with age; to relate the curvature of the interventricular septum and the dilation of the right ventricle and also to relate the dilation of the pulmonary artery trunk and the dilation of the right ventricle.
    2023Documento de conferência Acesso aberto Ver mais
  • A autoetnografia como opção metodológica no estudo antropológico das situações de vulnerabilidade: exemplo de um caso de hipotiroidismo
    Publication . Pinto da Costa, José Carlos
    O antropólogo confronta-se, desde sempre, com a incapacidade de participar da condição das pessoas que vivem situações de vulnerabilidade, concretamente, devidas a problemas de saúde, ao sofrimento de situações de violência ou mesmo à experiência da clausura. Neste artigo argumenta-se que este ângulo morto da análise antropológica pode ser relativamente superado através de uma abordagem autoetnográfica. Descrevendo a sua experiência pessoal num caso de falência da função tiroideia, o autor fornece indicadores que poderão ajudar a analisar em profundidade as experiências das pessoas que vivem situações de vulnerabilidade.
    2017Artigo científico Acesso aberto Ver mais
  • 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
  • Changes in bone mineral density in individuals with cerebral palsy
    Publication . Viegas, M.; Ribeiro, Luís Pedro; Pinheiro, João; Vicente, B.; do Espírito Santo Rodrigues, Sónia Isabel; Caldeira Lagem Abrantes, António Fernando
    According to Scheinberg, et al. (2015) citing Bianchi ML. (2013) Cerebral Palsy (CP) is one of the most prevalent diseases within those that affect bone mass, and is often related to other pathologies such as osteoporosis. According to António, D., H., et al, (2020) citing NIH, (2002); WHO, (2003) osteoporosis is a pathology that involves others and is defined by the deterioration of bone tissue. In this way, with the alterations caused in the bone tissue and with the reduced BMD values, the bones lose resistance to traumas, causing their fragility and, consequently, a greater probability of the occurrence of fractures. In this way, BMD measurement will help in the diagnosis of osteopenia/osteoporosis and in the prevention of future bone fractures. In addition to bone densitometry, there are other methods, less invasive and less expensive, that effectively analyze BMD. CP is characterized as a permanent, though not invariable, disturbance of movement and posture due to a non-progressive defect or lesion of the brain early in life. (Rosa, A.C.A. & Matos, M.R. (2017)) Depending on the area of the nervous system affected, the patient with CP presents neuromuscular alterations. Each change will compromise differently and to different degrees, affecting the functional performance of these patients.
    2023Documento 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
  • Experience and expectation - Digital health implementation in Portugal as present-making via futures imaginations
    Publication . Pinto da Costa, José Carlos
    Traditionally, anthropological analysis has placed emphasis on traditions, customs, and cultural heritage, often overlooking the connection between present actions and future aspirations. Acknowledging the reciprocal influence of present actions in shaping the future and the impact of future visions on shaping present actions, this article aims to redress the neglect of future implications on present social practices within anthropological studies. Through an investigation of the implementation of digital health in Portugal, utilizing discourse analysis, qualitative examination, and critical reflection, this study delves into the impact of digitization on sociotechnical systems within healthcare. It also introduces concepts pertinent to the anthropology of the future and methodological propositions for studying the future within the present context. This inquiry explores the sociotechnical imaginaries stemming from the conceptualization of digital health ideals and their realization in present contexts. Aligned with Koselleck's philosophy of historical time, this examination reveals an essential interplay between present actions and future consequences, advocating for an anticipatory approach in anthropology. This method seamlessly integrates future considerations into present realities, augmenting our understanding of social dynamics and fostering a forward-thinking perspective. This perspective is particularly valuable for scrutinizing the intricate political economies of techno-scientific promises fostered within innovation-oriented endeavours. The analysis, conducted across three dimensions—the utilization, reconfiguration, and evolution of the healthcare system through digitalization—highlights the intricate relationship between current healthcare practices, future aspirations, and the transformative impact of digitalization.
    2023Artigo científico Acesso aberto Ver mais