Determinants of bank performance in the context of crisis: A panel data analysis for Portugal

Purpose: This research aims to study the determinants of the performance of the Portuguese banking sector, in the period between 2005 and 2011, characterized by economic downturn and by the bailout of Portuguese economy. Design/Methodology/Approach: Bank performance is measured through Return on Assets (ROA) and Return on Equity (ROE), following the studies that relies on financial statements. We test the impact of a set of internal factors such as the bank's capital, costs, liquidity, asset quality, size and diversification, and external factors such as GDP, inflation, unemployment and market concentration in the performance of Portuguese banks, using a panel data model with fixed effects for a representative sample of Portuguese banks. Findings: The results showed that the variables with the highest explanatory power on the ROA, in terms of internal determinants were operational costs and liquidity and in terms of external determinants, were GDP and Inflation. For the ROE, the variables with greater significance were the capital, operating costs and liquidity. The variables GDP and Inflation suggested weak significance. Practical Implications: Our results showed that macroeconomic variables such as product growth, inflation and unemployment rate influence the performance of banks, and therefore it is important to monitor these economic indicators in order to incorporate them in the decision-making process. The results obtained for the internal variables, under the control of bank managers, show that liquidity and operating costs are relevant for performance. Originality/Value: The value of this article is that it provides empirical evidence on the determinants of bank performance in the Portuguese banking sector, thus adding to international evidence of country studies.info:eu-repo/semantics/publishedVersio

Determinants of bank performance in the context of crisis : a panel data analysis for Portugal

Purpose: This research aims to study the determinants of the performance of the Portuguese banking sector, in the period between 2005 and 2011, characterized by economic downturn and by the bailout of Portuguese economy. Design/Methodology/Approach: Bank performance is measured through Return on Assets (ROA) and Return on Equity (ROE), following the studies that relies on financial statements. We test the impact of a set of internal factors such as the bank's capital, costs, liquidity, asset quality, size and diversification, and external factors such as GDP, inflation, unemployment and market concentration in the performance of Portuguese banks, using a panel data model with fixed effects for a representative sample of Portuguese banks. Findings: The results showed that the variables with the highest explanatory power on the ROA, in terms of internal determinants were operational costs and liquidity and in terms of external determinants, were GDP and Inflation. For the ROE, the variables with greater significance were the capital, operating costs and liquidity. The variables GDP and Inflation suggested weak significance. Practical Implications: Our results showed that macroeconomic variables such as product growth, inflation and unemployment rate influence the performance of banks, and therefore it is important to monitor these economic indicators in order to incorporate them in the decision-making process. The results obtained for the internal variables, under the control of bank managers, show that liquidity and operating costs are relevant for performance. Originality/Value: The value of this article is that it provides empirical evidence on the determinants of bank performance in the Portuguese banking sector, thus adding to international evidence of country studies.peer-reviewe

CONHECIMENTO SOBRE OS EFEITOS DOS CONTRACEPTIVOS HORMONAIS POR ACADÊMICAS DA SAÚDE

Objetivos: identificar o conhecimento de acadêmicas da saúde sobre os efeitos colaterais relacionados à sexualidade causados por métodos contraceptivos orais. Método: Estudo quantitativo, prospectivo com 262 acadêmicas de Cursos de Graduação em Enfermagem e Medicina. Para análise foram aplicados testes de Correlação de Spearman, Qui-Quadrado de Fisher e frequência. Resultados: As acadêmicas conhecem que a contracepção hormonal oral pode manifestar efeito sobre a sexualidade. A pílula é utilizada por 75,5% das acadêmicas e manifestaram-se efeitos colaterais em 66,8%. A diminuição da libido destacou-se em 15,8% e mostrou relação com a faixa etária, número de parceiros sexuais no último ano e meio de indicação da pílula. Frente aos efeitos colaterais, 57,2% não tomaram nenhuma atitude. Conclusões: A maior parte das acadêmicas que utilizava métodos contraceptivos souberam identificar os efeitos colaterais relacionados a este método, sendo os mais citados, alteração do fluxo menstrual, sensibilidade mamária, cefaleia e sangramentos fora do período menstrual.Descritores: Sexualidade; Libido; Anticoncepcionais orais.

Aumento do risco de ansiedade materna durante o surto de covid-19 no Brasil entre gestantes sem comorbidades

Objective: To studymaternal anxiety in pregnant womenwithout comorbidities in the context of the COVID-19 outbreak in Brazil and to study maternal knowledge and concerns about the pandemic. Methods: This is a secondary analysis from a national multicenter cross-sectional study performed in 10 cities, from June to August, 2020, in Brazil. Interviewed postpartum women, without medical or obstetrical comorbidities, were included in the present subanalysis. A structured questionnaire and the Beck Anxiety Inventory (BAI) were applied. Results: Out of the 1,662 women, 763 (45.9%)met the criteria for the current analysis and 16.1% presentedwithmoderate and 11.5% with severe maternal anxiety. Moderate or severe maternal anxiety was associated with high school education (odds ratio [OR]:1.58; 95% confidence interval [CI]:1.04–2.40). The protective factor was cohabiting with a partner (OR: 0.46; 95%CI: 0.29–0.73). There was a positive correlation between the total BAI score and receiving information about care in the pandemic (rpartial 0.15; p<0.001); concern about vertical transmission of COVID-19 (rpartial 0.10; p=0.01); receiving information about breastfeeding (rpartial 0.08; p¼0.03); concerns about prenatal care (rpartial 0.10; p¼0.01), and concerns about the baby contracting COVID-19 (rpartial 0.11; p=0.004). The correlation was negative in the following aspects: self-confidence in protecting from COVID-19 (rpartial 0.08; p¼0.04), having learned (rpartial 0.09; p=0.01) and self-confidence in breastfeeding (rpartial 0.22; p<0.001) in the context of the pandemic. Conclusion: The anxiety of pregnant women without medical or obstetrical comorbidities was associated to high school educational level and not living with a partner during the COVID-19 pandemic. Self-confidence in protecting against COVID-19 and knowledge about breastfeeding care during the pandemic reduced maternal anxiety.Objetivo: Estudar a ansiedade materna em gestantes sem comorbidades no contexto do surto de COVID-19 no Brasil e estudar o conhecimento e as preocupações maternas sobre a pandemia. Métodos: Trata-se de análise secundária de um estudo transversal multicêntrico nacional realizado em 10 cidades, de junho a agosto de 2020, no Brasil. Mulheres no pós-parto entrevistadas, semcomorbidadesmédicas ou obstétricas, foramincluídas nesta subanálise. Foram aplicados um questionário estruturado e o Inventário de Ansiedade de Beck (BAI, na sigla em inglês). Resultados: Das 1.662 mulheres, 763 (45,9%) atenderam aos critérios da análise atual e 16,1% apresentaram ansiedade materna moderada e 11,5% ansiedade materna grave. A ansiedade materna moderada ou grave foi associada à escolaridade no ensino médio (odds ratio [OR]: 1,58; intervalo de confiança [IC] 95%: 1,04–2,40). O fator protetor foi coabitar com companheiro (OR: 0,46; IC95%: 0,29–0,73). Houve correlação positiva entre a pontuação total do BAI e o recebimento de informações sobre cuidados na pandemia (rparcial 0,15; p<0,001); preocupação com a transmissão vertical de COVID-19 (rparcial 0,10; p=0,01); receber informações sobre amamentação (rparcial 0,08; p=0,03); preocupações sobre cuidados pré-natais (rparcial 0,10; p=0,01) e preocupações sobre o bebê contrair COVID-19 (rparcial 0,11; p=0,004). A correlação foi negativa com os seguintes aspectos: ter autoconfiança para se proteger (rparcial 0,08; p=0,04), aprender (rparcial 0,09; p=0,01) e ter autoconfiança para amamentar (rparcial 0,22; p<0,001) no contexto da pandemia. Conclusão: A ansiedade de gestantes sem comorbidades médicas ou obstétricas esteve associada à escolaridade no ensino médio e não morar com companheiro durante a pandemia de COVID-19. A autoconfiança na proteção contra COVID-19 e o conhecimento sobre os cuidados com a amamenta

O processo alternativo de readaptação de indivíduos adictos frente ao ambiente de uma comunidade terapêutica: um relato de experiência

Este relato de experiência expõe uma ação educativa realizada pelos alunos do quarto período do curso de medicina da Universidade Evangélica de Goiás (UniEVANGÉLICA) proposta pela subárea de Humanidades e Comunicação IV. A atividade teve como objetivo inserir os acadêmicos no cotidiano de uma comunidade terapêutica no estado de Goiás, na qual adictos são acolhidos para que passem por um processo de recuperação frente aos problemas gerados pelo abuso ou dependência de drogas lícitas e ilícitas. Desse modo, a visita colocou em pauta um cenário expressivamente presente na saúde pública, que afeta não só o indivíduo, mas que levanta consequências sociais e estruturais para toda a sociedade, enfatizando a importância dos profissionais de saúde na construção de um meio adequado para a reabilitação dessas pessoas

Pais/responsáveis como coadjuvantes na saúde bucal de seus filhos

To verify the level of knowledge of parents and guardians about dentistry in early childhood, and to analyze sociodemographic variables. This was a field research, observational and cross-sectional with quantitative approach and descriptive and analytical analysis of the data, through questionnaires, which were applied to parents / guardians of children from 0 to 3 years old from municipal daycare centers a city of the Paraíba hinterland. 171 parents or guardians of children enrolled in municipal public day care centers were interviewed. Most of them were predominant females (91.2%), aged 15 to 30 years (63.2%), with monthly family income of up to R $780.00 (67.3$ 780,00 (67,3%), y tenía un nivel de educación predominante en la escuela primaria I (33.9%). La mayoría de los padres / tutores (55.6%) consideraron que la salud oral significaba higiene y eran conscientes de la existencia de odontología para bebés (64.9%). Para el 52.6% de los encuestados, el momento ideal para comenzar la higiene de la cavidad bucal del bebé es desde el nacimiento del primer diente y en el método utilizado para realizar esta higiene, el 53.8% indicó gasa o pañal empapado en agua filtrada. Se observó que el 53.8% informó que la importancia de la higiene oral está relacionada con la salud general del bebé. Los padres y / o tutores de los niños de guarderías públicas demostraron un conocimiento razonable sobre la salud bucal de los niños.Verificar o nível de conhecimento dos pais e responsáveis sobre a odontologia na primeira infância, além de analisar variáveis sociodemográficas. Tratou-se de uma pesquisa de campo, observacional e transversal com abordagem quantitativa e análise descritiva e analítica dos dados, por meio de questionários, que foram aplicados a pais/responsáveis por crianças de 0 a 3 anos de idades de creches municipais de uma cidade do sertão paraíbano. Foram entrevistados 171 pais ou responsáveis por crianças matriculadas em creches públicas de um município do sertão paraibano. Observou-se que a maioria era predominante do gênero feminino (91,2%), com 15 à 30 anos de idade (63,2%), possuíam renda mensal familiar de até R$ 780,00 (67,3%), e tinham nível de escolaridade predominante o fundamental I (33,9%). A maioria dos pais/ responsáveis (55,6%), consideraram que saúde bucal significava higiene e tinham conhecimento sobre a existência da Odontologia para bebês (64,9%). Para 52,6% dos entrevistados, o momento ideal iniciar a higiene da cavidade bucal do bebê é a partir do nascimento do primeiro dente e sobre o método empregado para realizar essa higienização, 53,8% indicaram gaze ou fralda embebida em água filtrada. Foi observado que 53,8% relataram que a importância da higiene bucal está relacionada saúde geral do bebê. Pais e/ou responsáveis por bebês das creches públicas demonstraram um conhecimento razoável, em relação à saúde bucal infantil

Impact of the COVID-19 pandemic on maternal anxiety in Brazil

Background: The coronavirus disease 2019 (COVID-19) pandemic may have an effect on maternal anxiety and influence postpartum experience. Objective: To study the prevalence of maternal anxiety in late pregnancy in the context of the COVID-19 outbreak in Brazil and to analyze its association with maternal knowledge and concerns about the pandemic. Methods: This was a national multicenter cross-sectional study performed in 10 different public university hospitals, between 1 June and 31 August 2020, in Brazil. The inclusion criteria were: maternal age more than 18 years; gestational age more than 36 weeks at childbirth; single alive newborn without malformations; and absence of mental disorders. We applied a structured questionnaire to explore the knowledge and concerns about COVID-19. Maternal anxiety was assessed using the Beck Anxiety Inventory (BAI). Results: Of the 1662 women interviewed, the BAI score in late pregnancy indicated that 13.9% presented moderate and 9.6% severe maternal anxiety. Moderate or severe maternal anxiety was independently associated with the fear of being unaccompanied at childbirth (aOR1.12, 95% CI 1.10–1.35), and independent protective factors were confidence in knowing how to protect oneself from COVID-19 (aOR0.89, 95% CI 0.82–0.97) and how to safely breastfeed (aOR0.89, 95% CI 0.83–0.95). Conclusion: The COVID-19 pandemic has a significant impact on maternal anxiety

Avaliação da percepção dos alunos da UFCG sobre o ensino da ortodontia no período da graduação

Evaluation of the teaching of Orthodontics, in the graduation school in Dentistry of the Federal University of Campina Grande, in the formation of the general practitioner according to the proposals of the National Curricular Guidelines. An observational, cross-sectional and exploratory study was carried out through a questionnaire applied to 77 students from the 9th and 10th periods. For 64.9% of the students, the teaching methodologies used in the orthodontic discipline during graduation were considered very efficient for learning, but 58.4% considered it necessary to increase the time devoted to the discipline due to the extensive practical content of the same. (94.8%) feel capable to do the recovering of space by early loss of deciduous teeth and / or maintaining the space of loss until eruption of the permanent, (51.9%) consider themselves able to treat anterior open bite, in slow expansion of the maxilla (posterior crossbite) (33.8%) responded that they could treat and (32.5%) considered to be able to perform disjunction (rapid maxillary expansion) in all cases and (49.4%) in some cases. In more complex procedures in orthodontics, such as the correction of class III malocclusion with facial mask, only (11.7%) reported being able to perform such procedure. That the Orthodontics discipline of the undergraduate school in Dentistry of the UFCG contributes satisfactorily in the training of professionals able to perform preventive and interceptive orthodontic procedures required by the demands of a generalist in the private sphere and / or public according to the DCN, requiring only more time in the curriculum to provide them with greater autonomy in performing more complex orthodontic procedures.Identificar la contribución de la enseñanza de ortodoncia, en el curso de pregrado en Odontología de la Universidad Federal de Campina Grande, en la formación del profesional generalista de acuerdo con las propuestas de las Directrices Curriculares Nacionales. Se realizó un estudio observacional, transversal y exploratorio a través de un cuestionario aplicado a 77 estudiantes de los períodos noveno y décimo. Para el 64.9% de los estudiantes, las metodologías de enseñanza utilizadas en la disciplina de ortodoncia durante la graduación se consideraron muy eficientes para el aprendizaje, pero el 58.4% consideró que era necesario aumentar el tiempo asignado a la disciplina debido al extenso contenido práctico. de la misma. (94.8%) se siente capaz de recuperar el espacio debido a la pérdida temprana de dientes deciduos y / o mantener el espacio perdido hasta la erupción de la permanente, (51.9%) se consideran capaces de tratar la mordida abierta anterior, en la expansión. (mordida cruzada posterior) (33.8%) respondieron que podían tratar y (32.5%) se consideraron capaces de realizar una disyunción (expansión maxilar rápida) en todos los casos y (49.4%) en algunos casos. . En procedimientos más complejos en ortodoncia, como la corrección de la maloclusión de clase III con mascarilla, solo (11.7%) informaron que podían realizar dicho procedimiento. La disciplina de Ortodoncia del curso de Odontología de Pregrado de UFCG contribuye satisfactoriamente a la formación de profesionales capaces de realizar procedimientos ortodóncicos preventivos e interceptivos necesarios para las demandas de un generalista público y / o privado de acuerdo con el DCN, requiriendo solo más tiempo en el plan de estudios para proporcionarles una mayor autonomía en la realización de procedimientos de ortodoncia más complejos.Identificar a contribuição do ensino da Ortodontia, no curso de graduação em Odontologia da Universidade Federal de Campina Grande, na formação do profissional generalista de acordo com as propostas das Diretrizes Curriculares Nacionais. Foi realizado um estudo observacional, transversal e exploratório, através de um questionário aplicado a 77 alunos dos 9º e 10º períodos. Para 64,9% dos alunos, as metodologias de ensino empregadas na disciplina de Ortodontia durante a graduação foram consideradas muito eficientes para o aprendizado, porém, 58,4% consideraram necessário um aumento no tempo destinado a disciplina devido ao extenso conteúdo prático da mesma. (94,8%) se sentem capazes de realizar recuperação de espaço por perda precoce de dentes decíduos e/ou manter o espaço da perda até erupção do permanente, (51,9%) se consideram aptos a tratar mordida aberta anterior, na expansão lenta da maxila (mordida cruzada posterior) (33,8%) responderam que podem tratar e (32,5%) consideram ser capazes de realizar disjunção (expansão rápida da maxila) em todos os casos e (49,4%) em alguns. Em procedimentos mais complexos na Ortodontia, como a correção da má oclusão classe III com máscara facial, apenas (11,7%) relatou ser capaz de realizar tal procedimento. A disciplina de Ortodontia do curso de graduação em Odontologia da UFCG contribui de forma satisfatória na formação de profissionais aptos a realizar procedimentos ortodônticos preventivos e interceptativos necessários as demandas de um generalista em âmbito privado e/ou público segundo as DCN, necessitando apenas de mais tempo na grade curricular para fornecê-los maior autonomia na realização de procedimentos ortodônticos mais complexos

The GO-DACT protocol : a multicentre, randomized, double-blind, parallel-group study to compare the efficacy of golimumab in combination with methotrexate (MTX) versus MTX monotherapy

© 2001-2020 Sociedade Portuguesa de ReumatologiaThe GO-DACT is an investigator-initiated, national, multicentric randomized placebo-controlled double-blinded trial, that assesses dactylitis as primary endpoint. Psoriatic arthritis patients naïve to methotrexate and biologic disease modifying anti-rheumatic drugs, with at least one active dactylitis, were assigned to golimumab in combination with methotrexate or placebo in combination with methotrexate, for 24 weeks. Both clinical (dactylitis severity score and the Leeds dactylitis index) and imaging (high resolution magnetic resonance imaging), among others, were assessed as outcomes. The main objective of GO-DACT is to provide evidence to improve the treatment algorithm and care of psoriatic arthritis patients with active dactylitis. In this manuscript we describe the GO-DACT protocol and general concepts of the methodology of this trial.info:eu-repo/semantics/publishedVersio

ASSOCIATION BETWEEN LEUKEMIC EVOLUTION AND UNCOMMON CHROMOSOMAL ALTERATIONS IN PEDIATRIC MYELODYSPLASTIC SYNDROME

Background and objective: Pediatric myelodysplastic syndrome (pMDS) is a group of rare clonal neoplasms with a difficult diagnosis and risk of progression to acute myeloid leukemia (AML). The early stratification in risk groups is essential to choosing the treatment and indication for allogeneic hematopoietic stem cell transplantation (HSCT). According to the Revised International Prognostic Scoring System, cytogenetic analysis has demonstrated an essential role in diagnosis and prognosis. In pMDS, abnormal karyotypes are present in 30-50% of the cases.  Monosomy 7 is the most common chromosomal alteration associated with poor prognosis. However, the rarity of specific cytogenetic alterations makes its prognosis uncertain. Thus, this study aimed to describe uncommon cytogenetic alterations in a cohort of 200 pMDS patients and their association with evolution to AML. Methods: The cytogenetic analysis was performed in 200 pMDS patients by G-banding and fluorescence in situ hybridization between 2000 to 2022. Results: Rare chromosome alterations were observed in 7.5% (15/200) of the cases. These chromosome alterations were divided into four cytogenetic groups: hyperdiploidy, biclonal chromosomal alterations, translocations, and uncommon deletions, which represented 33.3%, 33.3%, 20%, and 13.3%, respectively. Most of these patients (10/15) were classified with advanced MDS (MDS-EB and MDS/AML) and the initial subtype was present in five patients (RCC). The leukemic evolution was observed in 66.66% (10/15) of the patients. Most patients had poor clinical outcomes and they were indicated for HSCT.  Conclusion: The study of uncommon cytogenetic alterations in pMDS is important to improve the prognosis and guide early indication of HSCT.  Keywords: Pediatric MDS; Leukemic evolution; rare chromosomal altwerations; HSCT, Childre