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Direct costs of Covid-19 inpatient admissions in a Portuguese tertiary care university centre
Publicaçãopor Seringa, JoanaOutros Autores: Pedreiras, Sérgio; Freitas, Maria João; De Matos, Rosa Valente; Rocha, João; Millett, Christopher et al.Origem: Repositório Institucional da UNLBackground: The COVID-19 pandemic has posed greater financial pressure on health systems and institutions that had to respond to the specific needs of COVID-19 patients while ensuring the safety of the diagnosis and treatment of all patients and healthcare professionals. To assess the financial impact of COVID-19 patients admitted to hospitals, we have characterized the cost of COVID-19 admissions, using inpatient data from a Portuguese Tertiary Care University Centre. Methods: We analysed inpatient data from adult patients diagnosed with COVID-19 who were admitted between March 1, 2020 and May 31, 2020. Admissions were eligible if the ICD-10-CM principal diagnosis was coded U07.1. We excluded admissions from patients under 18 years old, admissions with incomplete records, admissions from patients who had been transferred to or from other hospitals or those whose inpatient stay was under 24 h. Pregnancy, childbirth, and puerperium admissions were also excluded, as well as admissions from patients who had undergone surgery. Results: We identified 223 admissions of patients diagnosed with COVID-19. Most were men (64.1%) and aged 45-64 years (30.5%). Around 13.0% of patients were admitted to intensive care units and 9.9% died in hospital. The average length of hospital stay was 12.7 days (SD = 10.2) and the average estimated cost per admission was EUR 8,177 (SD = 11,534), which represents more than triple the inpatient base price (EUR 2,386). Human resources accounted for the highest proportion of the total costs per admission (50.8%). About 92.4% of the admissions were assigned to Diagnosis Related Group (DRG) 723, whose inpatient price is lower than COVID- 19 inpatient costs for all degrees of severity. Conclusion: COVID-19 admissions represent a substantial financial burden for the Portuguese NHS. For each COVID-19 hospitalized patient it would have been possible to treat three other hospitalized patients. Also, the price set for DRG 723 is not adjusted to the cost of COVID-19 patients. These findings highlight the need for additional financial resources for the health system and, in particular, for hospitals that have treated high volumes of hospitalized patients diagnosed with COVID-19. -
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Azamor e serviço régio
Publicaçãopor Figueiroa-Rego, JoaoOrigem: Repositório Institucional da UNLLa prise de Ceuta, en 1415, a marqué, comme chacun sait, le point de départ pour une présence portugaise effective au Maroc. Les motivations qui ont soutenu ce plan ont évolué au gré des circonstances et de divers intérêts, au cours des XVI et XVII siècles. Toutefois, il semble incontestable que le service militaire en Afrique du Nord aura constitué l’un des pôles d’animation des phénomènes de capillarité sociale, en particulier durant le premier siècle. -
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A década de 1580 trouxe enormes mudanças ao Estado Português da Índia
Publicaçãopor Loureiro, RuiOrigem: Repositório Institucional da UNL -
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Three scales of mental health-related stigma
Publicaçãopor Lourenço, BeatrizOutros Autores: Mina, Ana; Moreno, Maria; Mateus, Pedro; Aguiar, Pedro; Maia, Teresa et al.Origem: Repositório Institucional da UNLIntroduction: The aim of this study was to provide additional evidence on the psychometric properties in the Portuguese population of three stigma scales: Mental Health Knowledge Schedule (MAKS), Scaling Community Attitudes Toward the Mentally Ill 12 (CAMI-12), and Reported and Intended Behaviour Scale (RIBS). Methods: A total of 3556 participants were recruited and completed the three scales online. The study includes confirmatory factor analysis, internal consistency analysis, test-retest reliability, convergent validity, and known-groups validity tests. Results: The results suggest that the European Portuguese RIBS version appears to be a valid measure of stigma in the Portuguese population, as well as the CAMI-12 “Prejudice and Exclusion” subscale and a modified version of MAKS. The results corroborate the existing evidence of a positive correlation between mental health-related stigma and low educational status, as well as reduced contact with someone with mental illness. Conclusion: The findings of this study contribute with additional evidence on the validity and reliability of the proposed European Portuguese versions of these three scales. -
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Um prefácio que é também uma homenagem
Publicaçãopor Serra, HelenaOrigem: Repositório Institucional da UNL -
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Música no Museu
Publicaçãopor Rocha, Luzia AuroraOrigem: Repositório Institucional da UNLCatálogo de Instrumentos Musicais e Iconografia Musical do Museu Municipal Carlos Reis” é um catálogo de autoria da investigadora do CESEM, Luzia Aurora Rocha, encomendado pelo Município de Torres Novas. Numa perspectiva de intersecção entre a Museologia e a Musicologia, a investigadora abordas as colecções (incluindo reservas) no sentido de trazer à luz instrumentos musicais (de onde se destaca o raríssimo pianoforte Mathias Bostem) e as representações de música em vários suportes artísticos (pintura, caricatura, desenho, etc). Ex-libris da colecção são a bandeira de porta do pintor naturalista Carlos Reis (1863-1940), representando músicos amadores, e os raríssimos e desconhecidos desenhos caricaturais de Jorge Rey Colaço (1868-1942) trocados com o município torrejano, onde a música é a linguagem de "charge". -
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Herencia cultural y archivos de familia en los archipiélagos de la Macaronesia
Publicaçãopor Núñez Pestano, Juan RamónOutros Autores: Rosa, Maria de Lurdes; Gutiérrez de Armas, JuditOrigem: Repositório Institucional da UNL -
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COVID-19 barometer
Publicaçãopor Pedro, Ana RitaOutros Autores: Gama, Ana; Soares, Patrícia; Moniz, Ana Marta; Laires, Pedro; Dias, SOrigem: Repositório Institucional da UNL -
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Estendal
Publicaçãopor Madeira, CláudiaOrigem: Repositório Institucional da UNLEstendal#0- O Paraíso é um lugar onde nada acontece. Washing Line#0 – Paradise is a place where nothing happens) took place on 12th June 2016 between 5 and 8 pm. It was an experiment intended to be the beginning of an artistic programme designed for the Horta do Baldio, an urban community garden near Campo Pequeno in Lisbon.
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