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Attitudes of the Portuguese population towards advance directives: an online su...

Macedo, João Carlos Gama Martins; Castro, Luísa; Nunes, Rui

Abstract Background: Advance directives (ADs) were implemented in Portugal in 2012. Although more than a decade has passed since Law 25/2012 came into force, Portuguese people have very low levels of adherence. In this context, this study aimed to identify and analyse the attitudes of people aged 18 or older living in Portugal towards ADs and to determine the relationships between sociodemographic variables (ge...


Burnout, resilience, and subjective well-being among Portuguese lecturers’ duri...

Castro, Luísa; Serrão, Carla; Rodrigues, Ana Rita; Marina, Sílvia; dos Santos, José Paulo Marques; Amorim-Lopes, Teresa Sofia; Miguel, Carla

Background: Lecturers face a large wide of occupational stressors. If the prolonged stress and the symptomatology associated with the working conditions to which lecturers were exposed were already a concern before the pandemic, the pandemic may have exacerbated this psychosocial vulnerability. Burnout is a psychological syndrome that develops in response to chronic work stress. This study aims to describe burn...


Machine learning models based on clinical indices and cardiotocographic feature...

Ribeiro, Maria; Nunes, Inês; Castro, Luísa; Costa-Santos, Cristina; Henriques, Teresa S.

Perinatal asphyxia is one of the most frequent causes of neonatal mortality, affecting approximately four million newborns worldwide each year and causing the death of one million individuals. One of the main reasons for these high incidences is the lack of consensual methods of early diagnosis for this pathology. Estimating risk-appropriate health care for mother and baby is essential for increasing the qualit...


Equity in the access of chinese immigrants to healthcare services in Portugal

Nunes, Rui; Aparício, Sandra Lopes; Castro, Luísa; Duarte, Ivone

The aim of this study was to identify the barriers that Chinese immigrants face when accessing the Portuguese National Health Service. An observational, cross-sectional and quantitative study was carried out via a bilingual Portuguese/Mandarin self-completed paper questionnaire was applied. The study population consisted of individuals with Chinese nationality who were residing in mainland Portugal for at least...


Burnout among physicians working in palliative care during the COVID-19 Pandemi...

Gonçalves, José Vítor; Castro, Luísa; Nunes, Rui; Rêgo, Guilhermina; Castro Guedes, Maria Luísa

Physicians working in palliative care have a greater risk of burnout. Burnout has three dimensions: emotional exhaustion, depersonaliza-tion and reduction of personal accomplishments. Burnout is associated with different consequences for the professionals like less professional satisfac-tion and increase of overall levels of exhaustion. Burnout in healthcare professionals has an impact in the patients with incr...


The role of social support as a moderator between resilience and levels of burd...

Prazeres, Filipe; Castro, Luísa; Teixeira, Andreia; Castro Guedes, Maria Luísa

Multimorbidity management poses significant challenges for general practitioners (GPs). The aim of this study is to analyse the role of resilience and social support on the burden experienced by GPs in managing patients with multiple health conditions in Portugal. Cross-sectional quantitative study conducted among GPs in Portugal using an online questionnaire that included validated measurement tools: Questionn...


Advantages and Disadvantages, Concerns, and Solutions for Emergency Remote Teac...

Marques dos Santos, José Paulo; Serrão, Carla; Amorim-Lopes, Teresa Sofia; Rodrigues, Ana Rita; Marina, Silvia; Teixeira, Andreia; Castro, Luísa

COVID-19 pandemic impacted the world dramatically and how communities and societies behaved. The purpose of this study was to explore lecturers’ perspectives on emergency remote teaching, not only from technology-prone lecturers but encompassing contributions from disparate academic fields, which brought assorted experiences into the data. The qualitative study analyses the perspectives of 344 lecturers from 35...


Do surrogates predict patient preferences more accurately after a physician-led...

Martins, Catarina Sampaio; Sousa, Iva; Barros, Cláudia; Pires, Alexandra; Castro, Luísa; Santos, Cristina da Costa; Nunes, Rui

Caregivers frequently assume the role of surrogate decision-makers but often are unable to accurately predict patients’ preferences. This trial aims to find if the use of the Advance Directives documents as a communication tool, improves the agreement between patients and caregivers. This trial occurred in a palliative care service of a Portuguese hospital center. A prospective, single-blinded, controlled, rand...


Impact of COVID-19 pandemic on the mental health of healthcare workers during t...

Duarte, Ivone; Pinho, Rita; Teixeira, Andreia; Martins, Vera; Nunes, Rui; Morgado, Helder; Castro, Luísa; Serrão, Carla

Objectives The COVID-19 pandemic has had a negative impact on the mental health of healthcare workers (HCWs) worldwide. This study aims to identify the degree to which sociodemographic variables and indicators of subjective well-being and psychological resilience are associated, positively and negatively, with the outcomes of burnout, stress, depression and anxiety among Portuguese HCWs observed during the firs...


Sociodemographic and clinical determinants of multimorbidity of underlying cond...

Prazeres, Filipe; Castro, Luísa; Teixeira, Andreia; Castro Guedes, Maria Luísa

Multimorbid patients represent a special population of vulnerable individuals who suffer from two or more long-term conditions. They are a very prevalent group with an increased risk of death from COVID-19. The present study aimed to identify the sociodemographic and clinical determinants of multimorbidity of underlying conditions that increase the risk of severe COVID-19 in chronic adult individuals by analyzi...


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