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LOCUS (LOng Covid–Understanding Symptoms, events and use of services in Portuga...

Dinis Teixeira, JP; Santos, MJ; Soares, P; Azevedo, L; Barbosa, P; Vilas-Boas, A; Cordeiro, JV; Dias, S; Fonseca, M; Goes, AR; Lobão, MJ; Moniz, M

Approximately 10% of patients experience symptoms of Post COVID-19 Condition (PCC) after a SARS-CoV-2 infection. Akin acute COVID-19, PCC may impact a multitude of organs and systems, such as the cardiovascular, respiratory, musculoskeletal, and neurological systems. The frequency and associated risk factors of PCC are still unclear among both community and hospital settings in individuals with a history of COV...

Date: 2023   |   Origin: Hospital de Cascais

Commercial Determinants of Health: A Challenge to Consider at the National Leve...

Paixão, M; Nunes, AB; Leite, A; Costa, S; Mialon, M

[No abstract available]


Ecological factors associated with areas of high tuberculosis diagnosis delay

Soares, P; Aguiar, A; Leite, A; Duarte, R; Nunes, C

Objective: We aimed to identify areas of high tuberculosis (TB) diagnosis delay in mainland Portugal in 2017 and ecological factors associated with these areas. Study design: This was an ecological study. Methods: We considered all notified pulmonary TB cases from the Portuguese National Tuberculosis Surveillance System in mainland Portugal. Diagnostic delays were calculated at the municipality level. Demograph...


A Case-Control Study of Contextual Factors for SARS-CoV-2 Transmission

Leite, A; Leão, T; Soares, P; Severo, M; Moniz, M; Lucas, R; Aguiar, P; Meireles, P; Lunet, N; Nunes, C; Barros, H

Background: Knowledge on the settings and activities associated with a higher risk of SARS-CoV-2 transmission is essential to inform decision-making. We thus designed a case-control study to identify relevant settings for community transmission of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in Portugal. Methods: We evaluated 1,088 cases, identified through the national surveillance system, and ...


COMPRIME - COnhecer Mais PaRa Intervir MElhor: Preliminary Mapping of Municipal...

Sousa, P; Da, Costa, NM; Da Costa, EM; Rocha, J; Ricoca Peixoto, V; Campos Fernandes, A; Gaspar, R; Duarte-Ramos, F; Abrantes, P; Leite, A

Background: The role of demographic and socio-economic determinants of COVID-19 transmission is still unclear and is expected to vary in different contexts and epidemic periods. Exploring such determinants may generate a hypothesis about transmission and aid the definition of prevention strategies. Objectives: To identify municipality-level demographic and socio-economic determinants of COVID-19 in Portugal. Me...


Thyroid Function and the Risk of Non-Alcoholic Fatty Liver Disease in Morbid Ob...

Borges-Canha, M; Neves, JS; Mendonça, F; Silva, MM; Costa, C; Cabral, PM; Guerreiro, V; Lourenço, R; Meira, P; Salazar, D; Ferreira, MJ; Pedro, J

Background: An association between hypothyroidism and the risk of Non-alcoholic Fatty Liver Disease (NAFLD) has been suggested. This association remains to be elucidated in patients with morbid obesity. Aim: To evaluate the association between thyroid function and parameters of liver function and hepatic scores in patients with morbid obesity. Methods: Patients with morbid obesity followed in our center between...


Volatility leveraging in heart rate: Health vs disease

Rocha, AP; Leite, A; Maria Eduarda Silva

Heart Rate Variability (HRV) data exhibit long memory and time-varying conditional variance (volatility). These characteristics are well captured using Fractionally Integrated AutoRegressive Moving Average (ARFIMA) models with Generalised AutoRegressive Conditional Heteroscedastic (GARCH) errors, which are an extension of the AR models usual in the analysis of HRV. GARCHmod-els assume that volatility depends on...


Modeling volatility in heat rate variability

Leite, A; Maria Eduarda Silva; Rocha, AP

Modeling Heart Rate Variability (HRV) data has become important for clinical applications and as a research tool. These data exhibit long memory and time-varying conditional variance (volatility). In HRV, volatility is traditionally estimated by recursive least squares combined with short memory AutoRegressive (AR) models. This work considers a parametric approach based on long memory Fractionally Integrated Au...


Dor e analgesia em doente crítico

Ferreira, N; Miranda, C; Leite, A; Revés, L; Serra, I; Fernandes, AP; Freitas, PT

A detecção, quantificação e tratamento da dor em doente crítico é, à longa data, uma preocupação dos clínicos que tra- balham em Unidades de Cuidados Intensivos. Não obstante, a dor é frequente em doentes críticos, independentemente do seu critério de admissão. Os autores apresentam uma revisão sobre analgesia em doente critico enfatizando o recurso a escalas apropriadas para o seu diagnóstico, quantificação e ...


Pneumonia adquirida na comunidade e pneumonia severity index 20 (PSI-20): Estud...

Vilaça, C; Fidalgo, C; Leite, A; Oliveira, N

Introdução: A incidência exacta de pneumonia adquirida na comunidade (PAC) em Portugal não é conhecida, estimando-se entre 50 000 a 100 000 casos anualmente, verificando-se um aumento constante. Têm sido desenvolvidos índices de predição de prognóstico em doentes com PAC, entre os quais o Pneumonia Severity Index 20 (PSI-20), com o intuito de auxiliar o médico na decisão sobre o local de tratamento do doente. O...


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