ESS2-Artigos (em revistas ou actas indexadas)
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- Potential impact of metabolic syndrome control on cardiovascular risk in elderly patients with diabetes: a cross-sectional studyPublication . Nascimento, Tânia; Estêvão, Maria Dulce da Mota Antunes de Oliveira ; Gonçalves, Adriana; Pinto, Ezequiel; De Sousa-Coelho, Ana Luísa; Neto Espírito-Santo, Margarida de FátimaMetabolic syndrome (MS), a complex pathology with features like abnormal body fat distribution, insulin resistance, and dyslipidaemia, contributes to higher cardiovascular (CV) risk. A cross-sectional study including 87 individuals assessed CV risk score in elderly patients with type 2 diabetes and MS in Algarve, Portugal. The 10-year CV risk score was estimated using the ADVANCE risk score calculator. The reductions in CV risk score were estimated by adjusting the data inputted on the online tool to achieve systolic blood pressure (SBP) <130 or <120 mmHg, and LDL cholesterol <70 mg/dL Beyond waist circumference, the mean number of clinical features of MS was 3.14 ± 0.84, without significant sex differences. The mean CV risk score was 22.5% (CI: 20.3–24.7). Sex-specific analysis showed higher risk score in males (24.2%, CI: 21.3–27.0) vs. females (19.7%, CI: 16.2–23.3; p = 0.028). Hypothetical risk score reductions show that lowering SBP to <130 mmHg could significantly lower the risk score by an average of 9.2% (CI: 7.7–10.7), whereas 34.5% of the participants would be out of the diagnostic criteria for MS. When comparing each potential intervention with current risk score, all interventions significantly reduce the 10-year CV risk score. The study highlights the potential of blood pressure control in reducing CV risk score and the importance of multifaceted risk score reduction strategies.
- Preface: VII Poster Sunset Session—ESSUAlg 2024Publication . De Sousa-Coelho, Ana Luísa; Teotónio Fernandes, Mónica Alexandra; Estêvão, Maria Dulce da Mota Antunes de Oliveira ; Braz, Luis; Nascimento, TâniaThe event “Poster Sunset Session” began in 2017 at the School of Health of the University of Algarve (ESSUAlg), bringing the premise that scientific knowledge depends on research and critical analysis and that the exchange of ideas and information is an essential part of the continuous development process. This event was conceptualized and prepared by professors of the Pharmacy Department at ESSUAlg. The idea of “sunset” was based on the beautiful view over Ria Formosa (Faro, Portugal) that the previous building of ESSUAlg offered at dusk.
- Statement of Peer ReviewPublication . De Sousa-Coelho, Ana Luísa; Teotónio Fernandes, Mónica Alexandra; Estêvão, Maria Dulce da Mota Antunes de Oliveira ; Neto Espírito-Santo, Margarida de Fátima; Braz, Luis; Nascimento, TâniaIn submitting conference proceedings to Proceedings, the volume editors of the proceedings certify to the publisher that all papers published in this volume have been subjected to peer review administered by the volume editors. The reviews were conducted by expert referees, and to the professional and scientific standards expected of a proceedings journal.
- The volunteer functions inventory (VFI): adaptation and psychometric properties among a portuguese sample of volunteersPublication . Martins, Cátia; Silva, José Tomás da; Neves de Jesus, Saúl; Ribeiro, Conceição; Estêvão, Maria Dulce da Mota Antunes de Oliveira ; Baptista, Ricardo; Carmo, Cláudia; Brás, Marta; Santos, Rita; Nunes, CristinaThe Volunteer Functions Inventory (VFI) is an instrument widely used to assess volunteers’ motivation based on the Functionalist Model of Omoto and Snyder. It assesses six factors that reflect several motivational functions. The VFI has been translated into various languages and validated in different cultural contexts, but some studies have reported different factor structures (e.g., five or four factors). In the Portuguese context, previous studies have also shown inconsistent results. The aim of this study was to adapt and validate the VFI for Portuguese volunteers, testing several alternative models (nine models) using confirmatory factor analysis. The sample comprised 468 volunteers (76.3% women), aged from 13 to 81 years (M = 36.66, SD = 14.93). The results support the original interrelated six-factor model as the best-fitting one. The VFI showed good internal consistency and convergent validity. Significant correlations were found between the VFI factors, organizational commitment, and volunteers’ satisfaction. Overall, the six-factor VFI is a valid and reliable tool for measuring the motivational functions of Portuguese volunteers, with implications for practice and research in the volunteering field.
- Skeletal maturity in adolescence: evaluating bone development and age metricsPublication . Pinheiro, João; Ribeiro, Luís; Teixeira, Diana; Magalhães Ribeiro, Anabela de; Coelho-e-Silva, Manuel JoãoBackground/Objectives: Bone maturation and development are crucial for growth and development, especially in children and adolescents; however, some qualitative methods, such as Greulich & Pyle, do not provide accurate data. Our aim is to verify whether skeletal age (SA) can predict and correlate with bone mineral content (BMC), bone mineral density (BMD), and body composition (BC). Methods: A cross-sectional study was conducted on 115 male adolescents (ages 12.1-15.8 years). Skeletal age was assessed using the Tanner-Whitehouse 3 (TW3) method, while BMC, BMD, and BC were measured using full-body DXA. Anthropometric data, including height and body mass, were also recorded. Statistical analysis included descriptive methods and bivariate correlation coefficients. Results: SA was significantly correlated with stature (r = 0.598, p = 0.001) and body mass (r = 0.517, p = 0.001), showing a stronger association than chronological age (CA) for these variables. Body composition variables, including lean mass (LM) (r = 0.521, p = 0.001) and fat tissue (FT) (r = 0.522, p = 0.001), also showed a stronger correlation with SA than CA. However, associations between SA and bone parameters were weaker: BMC (r = 0.103, p = 0.275) and BMD (r = 0.161, p = 0.086) did not reach statistical significance. When stratified by SA/CA tertiles, individuals in the highest tertile exhibited slightly greater BMC (1439 +/- 108.32 g) and BMD (1.028 +/- 0.127 g/cm2), though without a significant effect. These findings suggest a dynamic but complex relationship between skeletal age and bone development. Conclusions: SA demonstrates a stronger association with anthropometric and body composition variables than CA, highlighting its potential as a predictor of growth used in conjunction with LM and FM. However, its relationship with BMD and BMC remains inconclusive, warranting further longitudinal research, considering limitations regarding nutritional intake.
- An evaluation of the NANDA international, inc., diagnostic classification among spanish nurses: a cross-sectional studyPublication . Rodríguez Suárez, Claudio Alberto; Mariscal Crespo, María Isabel; Hernández de Luis, María Naira; Costa, Emília Isabel; González de la Torre, Héctor; Camacho Bejarano, RafaelaBackground/Objectives: The NANDA International, Inc., (NANDA-I) diagnostic classification is the most widely used standardized nursing language internationally. The EVALUAN-I tool was developed to evaluate the NANDA-I diagnostic classification. The aim was to analyze the use of the NANDA-I diagnostic classification among Spanish nurses and assess its correlation with sociodemographic characteristics. Methods: A cross-sectional study was conducted on a non-probabilistic sample of Spanish nurses working in clinical, management, and academic settings using the EVALUAN-I tool (September 2019-December 2020). The analysis was conducted using R (R) (version 3.6.3, Lavaan package; R Core Team, 2020), with statistical significance set at p < 0.05. This study was approved by the Research Ethics Committee (2019-190-1). Results: A total of 483 responses were obtained. There was a correlation between the intensity of use of NANDA-I and its application in practice (polychoric correlation = 0.50; p < 0.001). Nurses with a PhD degree considered nursing diagnoses to be less evidence-based (p = 0.037) but more useful (p = 0.035). Academic and research nurses stated that NANDA-I was more useful (p = 0.007), even for exclusive responsibilities (p = 0.034), and that it provided greater significance to diagnoses (p = 0.0012). Conclusions: NANDA-I is the most widely used standardized nursing language in Spain. Nurses' academic qualifications and work environment significantly influence their perceptions and use of NANDA-I. Advanced education fosters a critical yet positive perspective, highlighting a relationship between the intensity of its use, its application in clinical practice, and the nurse's educational background. Tools such as EVALUAN-I promote its integration and evidence-based practice, but challenges remain in improving perceptions, scientific evidence, and visibility in electronic health records to enhance its clinical impact and nursing recognition.
- Inteligência artificial na avaliação tradicional: aquisição de conhecimento vs Prompt EngineeringPublication . Estêvão, João Manuel Carvalho; Estêvão, Maria Dulce da Mota Antunes de OliveiraNo atual contexto do desenvolvimento da inteligência artificial (IA), e da sua ampla divulgação pelo público em geral, este trabalho pretendeu testar as capacidades das atuais ferramentas de IA na resolução de testes escritos, e perceber quais as competências a adquirir neste contexto de avanço tecnológico. Para isso, foram resolvidos três exames de uma unidade curricular (UC) de Bioquímica, de forma sequencial, por um utilizador do ChatGPT, com experiência em IA, mas sem conhecimentos de Bioquímica. As provas foram corrigidas pela docente da UC, tal como corrigidas para os alunos, tendo as correções sido disponibilizadas ao utilizador do ChatGPT, antes da realização da prova seguinte. Desta forma, foi possível melhorar as instruções utilizadas no ChatGPT, para melhorar a qualidade das respostas. Os resultados mostram que foi possível obter classificações superiores às classificações obtidas pelos alunos, apenas com o recurso ao ChatGPT e sem qualquer conhecimento sobre as matérias avaliadas. Pode concluir-se que a qualidade das instruções fornecidas (prompts) são um dos fatores determinantes para a obtenção de respostas mais corretas quando se utiliza este tipo de ferramentas e que poderá ser o momento para equacionar a integração progressiva e controlada das tecnologias da IA nos novos modelos de formação.
- Exploring vulnerability to stress and its correlation with bullying in the nurse’s workplacePublication . João, Ana Lúcia; Coelho, Anabela; Branco, Nuno Sérgio; Portelada, AntónioBackground: Vulnerability to stress is associated with susceptibility to react to certain events, taking into account individual factors, beliefs, and available resources. Workplace bullying increases stress, absenteeism, and turnover among nurses, creating a toxic environment. This negatively impacts their well-being and compromises the quality of nursing care. As a result, patient safety and healthcare outcomes may be affected. Objectives: To assess the prevalence of vulnerability to stress in Portuguese nurses and its relationship with the experience of workplace bullying. Methodology: This study used a descriptive-correlational approach with a cross-sectional design. The data collection instrument used was a questionnaire consisting of a sociodemographic component and a scale assessing vulnerability to stress (QVS-23) and workplace bullying (NAQ-R). The total sample consisted of 2015 nurses working in healthcare institutions. Results: Nurses who perceived themselves as victims of workplace bullying were shown to be more vulnerable to stress, with a higher mean value for perfectionism and dramatization of existence, inhibition and functional dependence, lack of support and deprivation of affection, intolerance of frustration and rejection, and adverse living conditions. Conclusions: Organizations must create a healthy, respectful, and productive working environment by identifying the various factors that make them vulnerable to stress in the workplace. They must also act to prevent workplace bullying, thus protecting the health of nurses and promoting positive relationships and a harmonious work culture.
- Exploring physiotherapy students’ competencies in clinical setting around the world: a scoping reviewPublication . Magni, Eleonora; da Costa, Emilia; Oliveira, Isabel De Jesus; Cáceres-Matos, Rocío; Guerra-Martín, María DoloresClinical education is a fundamental component of physiotherapy entry-level education programs, with practice education being a core element. The aim of this scoping review is to identify and define the competencies of physiotherapy students in clinical settings. This review followed the five steps of the Arksey and O'Malley framework, employing a search strategy that utilized Mesh terms. Searches were performed in PubMed, CINAHL, Scopus, ERIC, WOS, and PsycINFO, with additional exploration of the grey literature. The inclusion criteria were defined using Peter's concept: (population) physiotherapy students; (concept) competencies aligned with the WCPT educational framework; (context) clinical environment. A total of 1798 sources were identified, and 86 studies were finally selected. Studies originated from 14 countries, with the United States, Australia, and Canada being the most represented. Of the selected studies, 62 used specific tools to identify competencies. The "Clinical Performance Instrument" and the "Assessment of Physiotherapy Practice" were the most frequently used instruments and covered all of the World Physiotherapy competencies' domains. "Clinical Competence" emerged as the most widely recognized and utilized term across countries. Among the WCPT domains, "Physiotherapy Assessment and Intervention", "Ethical and Professional Practice", and "Communication" were the most represented, whereas "Evidence-Based Practice" and "Quality Improvement" were the least mentioned.
- 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.