9,564 research outputs found

    Anuário científico da Escola Superior de Tecnologia da Saúde de Lisboa - 2021

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    É com grande prazer que apresentamos a mais recente edição (a 11.ª) do Anuário Científico da Escola Superior de Tecnologia da Saúde de Lisboa. Como instituição de ensino superior, temos o compromisso de promover e incentivar a pesquisa científica em todas as áreas do conhecimento que contemplam a nossa missão. Esta publicação tem como objetivo divulgar toda a produção científica desenvolvida pelos Professores, Investigadores, Estudantes e Pessoal não Docente da ESTeSL durante 2021. Este Anuário é, assim, o reflexo do trabalho árduo e dedicado da nossa comunidade, que se empenhou na produção de conteúdo científico de elevada qualidade e partilhada com a Sociedade na forma de livros, capítulos de livros, artigos publicados em revistas nacionais e internacionais, resumos de comunicações orais e pósteres, bem como resultado dos trabalhos de 1º e 2º ciclo. Com isto, o conteúdo desta publicação abrange uma ampla variedade de tópicos, desde temas mais fundamentais até estudos de aplicação prática em contextos específicos de Saúde, refletindo desta forma a pluralidade e diversidade de áreas que definem, e tornam única, a ESTeSL. Acreditamos que a investigação e pesquisa científica é um eixo fundamental para o desenvolvimento da sociedade e é por isso que incentivamos os nossos estudantes a envolverem-se em atividades de pesquisa e prática baseada na evidência desde o início dos seus estudos na ESTeSL. Esta publicação é um exemplo do sucesso desses esforços, sendo a maior de sempre, o que faz com que estejamos muito orgulhosos em partilhar os resultados e descobertas dos nossos investigadores com a comunidade científica e o público em geral. Esperamos que este Anuário inspire e motive outros estudantes, profissionais de saúde, professores e outros colaboradores a continuarem a explorar novas ideias e contribuir para o avanço da ciência e da tecnologia no corpo de conhecimento próprio das áreas que compõe a ESTeSL. Agradecemos a todos os envolvidos na produção deste anuário e desejamos uma leitura inspiradora e agradável.info:eu-repo/semantics/publishedVersio

    Does Internet use connect smallholder farmers to a healthy diet? Evidence from rural China

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    IntroductionUndernutrition and micronutrient malnutrition remain problems of significant magnitude among small-scale subsistence farmers, posing a serious threat to their health and well-being. Developing a healthy diet can effectively reduce this threat. Fortunately, the Internet can speed up the process.MethodsBased on survey data from 5,114 farm households in nine provinces in China, this study quantitatively assesses the impact of Internet use on the dietary quality of smallholder farmers using OLS regression models and PSM models.Results/Discussion(1) Internet use can significantly contribute to dietary diversity and dietary rationality among smallholder farmers, thus optimizing their dietary structure. (2) Internet use significantly increased the average consumption amounts of milk and its products (2.9 g), fruits (21.5 g), eggs (7.5 g), and vegetables (27.1 g), while also decreasing the intake of salts (1.5 g) and oil (3.8 g). (3) The pull of internet use to improve diet quality is more significant for smallholder households with lower levels of education, older heads of households, and higher household incomes. (4) A possible mechanism is that Internet use increases household income and information access skills of rural residents, thus improving their dietary quality. In summary, governments should further promote Internet penetration in rural areas for health purposes

    Improving the estimation of Cost-of-Illness in rheumatoid arthritis

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    Cost-of-illness (COI) studies measure the economic burden of a disease and estimate the maximum amount that could potentially be saved or gained if a disease were to be eradicated. Estimates of the COI can help appropriately target specific problems and policies on a disease in policy agenda setting. COI studies are particularly useful for chronic diseases that impact heavily on health expenditures and productivity loss for the whole society. It is essential for policymakers to know where costs are incurred. Consequently, appropriate interventions can be implemented and prioritised. Over the past two decades, the accumulation of coexisting long-term conditions within an individual has been confirmed as the best predictor of sustained high costs. It is now an established priority for both research and clinical practice owing to the high prevalence of coexisting diseases among patients, particularly with ageing populations. Because of this shift in how we approach chronic diseases in medical research, it is pertinent that we also think about how this impacts the way we look at COI. On the other hand, inconsistencies in the designs and methodologies that COI studies are conducted and a lack of transparency in reporting have made interpretation and comparison difficult and have limited the usefulness of results in health decision making. Variations include data sources, perspectives, cost components, and costing approaches. On the other hand, while standardisation of methodology through the implementation of guidelines is becoming increasingly important, some flexibility may be required for diseases or different contexts with unique characteristics to be adequately described. Rheumatoid arthritis (RA), as one of the most common chronic diseases, is a leading cause of work disability worldwide. Although numerous COI studies have attempted to quantify the economic burden of RA, the cost estimates vary substantially due to different methodological approaches, perspectives and settings. This thesis aims to improve the estimation of COI. To explore the differences in estimating COI, two case studies were developed in diverse contexts: Scotland and Tanzania. Both studies were complementary to each other in terms of different approaches and contexts to estimating COI. The former was in a high-income country, using secondary data analysis from a RA inception cohort linked to routinely collected health records to estimate the COI. In contrast, the latter was in a low- and middle-income country with limited treatment options. Due to the absence of routinely collected health data and the availability of screening tools for RA, a widening criterion of musculoskeletal (MSK) disorders was adopted. A context-specific questionnaire was developed to collect primary data to estimate the COI of MSK in Tanzania. This thesis confirms the need for improved estimation of COI studies. Good quality COI studies are not easy to do. Current evidence shows a lack of consistency in taking into account indirect costs, resulting in underestimating COI in RA. Moreover, indirect costs need more attention, with improvements in terms of data collection and costing approaches. Health conditions are complex and multi-dimensional, especially when the way we look at them have evolved over time. It is becoming clear that context is also an influencing factor in estimating COI. These complexities need to be considered in COI. While many systematic reviews for COI studies have urged the need to increase comparability, it is more crucial to be transparent in reporting contexts and methodological clarity, including identifying, measuring, and valuing COI

    TOWARDS AN UNDERSTANDING OF EFFORTFUL FUNDRAISING EXPERIENCES: USING INTERPRETATIVE PHENOMENOLOGICAL ANALYSIS IN FUNDRAISING RESEARCH

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    Physical-activity oriented community fundraising has experienced an exponential growth in popularity over the past 15 years. The aim of this study was to explore the value of effortful fundraising experiences, from the point of view of participants, and explore the impact that these experiences have on people’s lives. This study used an IPA approach to interview 23 individuals, recognising the role of participants as proxy (nonprofessional) fundraisers for charitable organisations, and the unique organisation donor dynamic that this creates. It also bought together relevant psychological theory related to physical activity fundraising experiences (through a narrative literature review) and used primary interview data to substantiate these. Effortful fundraising experiences are examined in detail to understand their significance to participants, and how such experiences influence their connection with a charity or cause. This was done with an idiographic focus at first, before examining convergences and divergences across the sample. This study found that effortful fundraising experiences can have a profound positive impact upon community fundraisers in both the short and the long term. Additionally, it found that these experiences can be opportunities for charitable organisations to create lasting meaningful relationships with participants, and foster mutually beneficial lifetime relationships with them. Further research is needed to test specific psychological theory in this context, including self-esteem theory, self determination theory, and the martyrdom effect (among others)
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