Com o envelhecimento populacional, o aumento das doenças crónicas e o consequente crescimento das situações de dependência, torna-se imperativo rever os paradigmas existentes, de modo a abordar eficazmente as problemáticas associadas. Até 2006, foram realizadas diversas tentativas de implementação de políticas para responder ao aumento da procura de cuidados médicos e sociais. Neste contexto, foi criada, em 200...
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Introduction: Low atrial voltage and slow conduction velocity (CV) have been associated with atrial fibrillation (AF); however, their interaction and relative importance as early disease markers remain incompletely understood. We aimed to elucidate the relationship between atrial voltage and CV using high-density electroanatomic (HDE) maps of patients with AF. Methods: HDE maps obtained during sinus rhythm in 5...
Introduction: Atrial fibrillation and flutter are prevalent conditions. Direct oral anticoagulants require dose adjustment to glomerular filtration rate. The objective of this study was to assess the quality of prescription of direct oral anticoagulants in adults with these pathologies. Methods: We conducted an observational study in 5 Portuguese health care centers. We included adults with atrial fibrillation ...
Pulmonary vein isolation (PVI) guided by the Ablation Index (AI) has shown high acute and mid-term efficacy in the treatment of paroxysmal atrial fibrillation (AF). Previous data before the AI-era had suggested that wide-area circumferential ablation (WACA) was preferable to ostial ablation. However, with the use of AI, we hypothesize that ostial circumferential ablation is non-inferior to WACA and can improve ...
Os seres humanos sempre enfrentaram vários obstáculos ao longo de várias gerações, todavia nestes últimos quatro anos viram-se frente a frente com a pandemia COVID-19 e respetivos confinamentos, a hipótese de uma 3ª GM, mudanças climáticas, desastres naturais, subida da inflação e muitas outras dificuldades. Este estudo tem como objetivo avaliar a perceção da inteligência emocional (IE), resiliência (Rs) e stre...
Most mobile health (mHealth) decision support systems currently available for chronic obstructive respiratory diseases (CORDs) are not supported by clinical evidence or lack clinical validation. The development of the knowledge base that will feed the clinical decision support system is a crucial step that involves the collection and systematization of clinical knowledge from relevant scientific sources and its...
In summary, a variety of articles were analysed for this literature review to get a clear idea of two main topics: retail stores and the customer service experience. Thus, the overall research is based on identifying the set of skills and tools needed to introduce best practices in the field of customer service experience, to get senior management to change their perspective on strategic models. The digital tra...
Os seres humanos sempre enfrentaram vários obstáculos ao longo de várias gerações, todavia nestes últimos quatro anos viram-se frente a frente com a pandemia COVID-19 e respetivos confinamentos, a hipótese de uma 3ª GM, mudanças climáticas, desastres naturais, subida da inflação e muitas outras dificuldades. Este estudo tem como objetivo avaliar a perceção da inteligência emocional (IE), resiliência (Rs) e stre...
Benchmarking techniques have been one of the main tools used by National Regulatory Authorities (NRA) to provide reliable information to define the efficiency targets for regulated undertakings. This paper aims to define the operational efficiency of the Portuguese mainland electricity Distribution System Operator (DSO), a monopoly incumbent with more than six million customers. Given the monopolistic nature of...