Community psychiatry in the team of Brandoa: services provided in December 2008

O Serviço de Psiquiatria do Hospital Prof. Doutor Fernando Fonseca, EPE (HFF) foi o primeiro serviço em Portugal com base no hospital geral a desenvolver um modelo integrado de cuidados de saúde mental na comunidade, orientado para as necessidades da população e apoiado em equipas multidisciplinares. Este modelo assenta na continuidade de cuidados pela mesma equipa, no seguimento assertivo dos doentes na comunidade, na articulação com os cuidados de saúde primários e numa grande diversidade de intervenções1. A actividade do Serviço decorre a nível hospitalar e comunitário, mantendo-se uma estreita articulação entre as várias unidades que o constituem, de forma a garantir a indispensável continuidade de cuidados. A nível comunitário, as Equipas da Amadora, Brandoa, Damaia e Queluz constituem a Unidade Funcional Comunitária e estão sediadas nos Centros de Saúde da área onde desenvolvem a sua actividade. O presente trabalho tem como objectivos caracterizar a população activa seguida pela Equipa Comunitária da Brandoa em Dezembro de 2008, em termos socio-demográficos e clínicos e a partir dos dados obtidos, fazer uma breve reflexão no sentido de questionar a actividade desenvolvida e melhorar as práticas assistenciais no futuro

HIV-1-Transmitted Drug Resistance and Transmission Clusters in Newly Diagnosed Patients in Portugal Between 2014 and 2019

Objective: To describe and analyze transmitted drug resistance (TDR) between 2014 and 2019 in newly infected patients with HIV-1 in Portugal and to characterize its transmission networks. Methods: Clinical, socioepidemiological, and risk behavior data were collected from 820 newly diagnosed patients in Portugal between September 2014 and December 2019. The sequences obtained from drug resistance testing were used for subtyping, TDR determination, and transmission cluster (TC) analyses. Results: In Portugal, the overall prevalence of TDR between 2014 and 2019 was 11.0%. TDR presented a decreasing trend from 16.7% in 2014 to 9.2% in 2016 (p for-trend = 0.114). Multivariate analysis indicated that TDR was significantly associated with transmission route (MSM presented a lower probability of presenting TDR when compared to heterosexual contact) and with subtype (subtype C presented significantly more TDR when compared to subtype B). TC analysis corroborated that the heterosexual risk group presented a higher proportion of TDR in TCs when compared to MSMs. Among subtype A1, TDR reached 16.6% in heterosexuals, followed by 14.2% in patients infected with subtype B and 9.4% in patients infected with subtype G. Conclusion: Our molecular epidemiology approach indicates that the HIV-1 epidemic in Portugal is changing among risk group populations, with heterosexuals showing increasing levels of HIV-1 transmission and TDR. Prevention measures for this subpopulation should be reinforced.info:eu-repo/semantics/publishedVersio

Circular economy using waste from different industries in leather retainning

8th International Conference on Environment Management, Engineering, Planning and Economincs (CEMEPE 2021) and SECOTOX ConferenceA circular economy is based on an economy that in principle, moves away from the accelerated model of consumption and disposal. Thus, the flow associated with the product, instead of being translated by a straight line, is now regarded as a circle or cycle. The leather manufacturing applies several physical and chemical treatments in different stages to transform the skin into leather. The pulp and paper industry generate several byproducts such as tannins and lignins. The sulfited lignins are a particular type of black liquor and could be used as dispersing, pre-tanning and retanning agents . During the chestnut freezing process, as consequence of the quality control, a significant quantity of chestnut fruit is rejected and not accepted by the consumer. Due to its high starch content, the chestnut fruit reject is used to produce chestnut flour which can be used as a filler retanning agent for leather. From the biodiesel process results a byproduct, which represents 10 % wt of the overall production, the crude glycerol. The hygroscopic effect of glycerol and its emulsifying and lubricant effect can be enhanced for the leather fatliquoring.The authors would like to acknowledge to ANI for the support of the Project FAMEST 24529 by Portugal 2020 ProgrammeN/