17 research outputs found
Measuring health vulnerability: an interdisciplinary indicator applied to Mainland Portugal
Health promotion and inequality reduction are specific goals of the United Nations 2030 Agenda, which are interconnected with several dimensions of life. This work proposes a composite index SEHVIâsocioeconomic health vulnerability indexâto address Portuguese population socioeconomic determinants that affect health outcomes. Variables composing SEHVI are aligned with the sustainable development goals considering data and times series availability to enable progress monitoring, and variables adequacy to translate populationsâ life conditions affecting health outcomes. Data for 35 variables and three periods were collected from official national databases. All variables are part of one of the groups: Health determinants (social, economic, cultural, and environmental factors) and health outcomes (mortality indicators). Variables were standardized and normalized by âDistance to a referenceâ method and then aggregated into the SEHVI formula. Several statistical procedures for validation of SEHVI revealed the internal consistency of the index. For all municipalities, SEHVI was calculated and cartographically represented. Results were analyzed by statistical tests and compared for three years and territory typologies. SEHVI differences were found as a function of population density, suggesting inequalities of communitiesâ life conditions and in vulnerability to health.info:eu-repo/semantics/publishedVersio
National Assessment of Human Health Effects of Climate Change in Portugal: Approach and Key Findings
In this study we investigated the potential impact of climate change in Portugal on heat-related mortality, air pollutionârelated health effects, and selected vectorborne diseases. The assessment used climate scenarios from two regional climate models for a range of future time periods. The annual heat-related death rates in Lisbon may increase from between 5.4 and 6 per 100,000 in 1980â1998 to between 8.5 and 12.1 by the 2020s and to a maximum of 29.5 by the 2050s, if no adaptations occur. The projected warmer and more variable weather may result in better dispersion of nitrogen dioxide levels in winter, whereas the higher temperatures may reduce air quality during the warmer months by increasing tropospheric ozone levels. We estimated the future risk of zoonoses using ecologic scenarios to describe future changes in vectors and parasites. Malaria and schistosomiasis, which are currently not endemic in Portugal, are more sensitive to the introduction of infected vectors than to temperature changes. Higher temperatures may increase the transmission risk of zoonoses that are currently endemic to Portugal, such as leishmaniasis, Lyme disease, and Mediterranean spotted fever
Self-managed Cost-efficient Virtual Elastic Clusters on Hybrid Cloud Infrastructures
In this study, we describe the further development of Elastic Cloud Computing Cluster (EC3), a tool for
creating self-managed cost-efficient virtual hybrid elastic clusters on top of Infrastructure as a Service
(IaaS) clouds. By using spot instances and checkpointing techniques, EC3 can significantly reduce the total
execution cost as well as facilitating automatic fault tolerance. Moreover, EC3 can deploy and manage
hybrid clusters across on-premises and public cloud resources, thereby introducing cloud bursting
capabilities. We present the results of a case study that we conducted to assess the effectiveness of the
tool based on the structural dynamic analysis of buildings. In addition, we evaluated the checkpointing
algorithms in a real cloud environment with existing workloads to study their effectiveness. The results
demonstrate the feasibility and benefits of this type of cluster for computationally intensive applications.
© 2016 Elsevier B.V. All rights reserved.This study was supported by the program "Ayudas para la contratacion de personal investigador en formacion de caracter pre doctoral, programa VALi+d" under grant number ACIF/2013/003 from the Conselleria d'Educacio of the Generalitat Valenciana. We are also grateful for financial support received from The Spanish Ministry of Economy and Competitiveness to develop the project "CLUVIEM" under grant reference TIN2013-44390-R. Finally, we express our gratitude to D. David Ruzafa for support with the arduous task of analyzing the executions data.Calatrava Arroyo, A.; Romero Alcalde, E.; MoltĂł MartĂnez, G.; Caballer FernĂĄndez, M.; Alonso Ăbalos, JM. (2016). Self-managed Cost-efficient Virtual Elastic Clusters on Hybrid Cloud Infrastructures. Future Generation Computer Systems. 61:13-25. https://doi.org/10.1016/j.future.2016.01.018S13256
Initial Brazilian experience in the treatment of localized prostate cancer using a new generation cryotechnology: feasibility study
Smoking behaviour predicts tobacco control attitudes in a high smoking prevalence hospital: A cross-sectional study in a Portuguese teaching hospital prior to the national smoking ban
<p>Abstract</p> <p>Background</p> <p>Several studies have investigated attitudes to and compliance with smoking bans, but few have been conducted in healthcare settings and none in such a setting in Portugal. Portugal is of particular interest because the current ban is not in line with World Health Organization recommendations for a "100% smoke-free" policy. In November 2007, a Portuguese teaching-hospital surveyed smoking behaviour and tobacco control (TC) attitudes before the national ban came into force in January 2008.</p> <p>Methods</p> <p>Questionnaire-based cross-sectional study, including all eligible staff. Sample: 52.9% of the 1, 112 staff; mean age 38.3 ± 9.9 years; 65.9% females. Smoking behaviour and TC attitudes and beliefs were the main outcomes. Bivariable analyses were conducted using chi-squared and MacNemar tests to compare categorical variables and Mann-Whitney tests to compare medians. Multilogistic regression (MLR) was performed to identify factors associated with smoking status and TC attitudes.</p> <p>Results</p> <p>Smoking prevalence was 40.5% (95% CI: 33.6-47.4) in males, 23.5% (95% CI: 19.2-27.8) in females (p < 0.001); 43.2% in auxiliaries, 26.1% in nurses, 18.9% among physicians, and 34.7% among other non-health professionals (p = 0.024). The findings showed a very high level of agreement with smoking bans, even among smokers, despite the fact that 70.3% of the smokers smoked on the premises and 76% of staff reported being frequently exposed to second-hand smoke (SHS). In addition 42.8% reported that SHS was unpleasant and 28.3% admitted complaining. MLR showed that smoking behaviour was the most important predictor of TC attitudes.</p> <p>Conclusions</p> <p>Smoking prevalence was high, especially among the lower socio-economic groups. The findings showed a very high level of support for smoking bans, despite the pro-smoking environment. Most staff reported passive behaviour, despite high SHS exposure. This and the high smoking prevalence may contribute to low compliance with the ban and low participation on smoking cessation activities. Smoking behaviour had greater influence in TC attitudes than health professionals' education. Our study is the first in Portugal to identify potential predictors of non-compliance with the partial smoking ban, further emphasising the need for a 100% smoke-free policy, effective enforcement and public health education to ensure compliance and promote social norm change.</p
Diagnostic criteria and follow-up in neuroendocrine cell hyperplasia of infancy: a case series
Comparing depth-dependent curing radiant exposure and time of curing of regular and flow bulk-fill composites
Compliance and enforcement of a partial smoking ban in Lisbon taxis: an exploratory cross-sectional study
Abstract Background: Research evaluating enforcement and compliance with smoking partial bans is rather scarce, especially in countries with relative weak tobacco control policies, such as Portugal. There is also scarce evidence on specific high risk groups such as vehicle workers. In January 2008, Portugal implemented a partial ban, followed by poor enforcement. The purpose of this study was to explore the effectiveness of a partial smoking ban in a pro-smoking environment, specifically transportation by taxi in the city of Lisbon. Ban effectiveness was generally defined by ban awareness and support, compliance and enforcement. Methods: Exploratory cross-sectional study; purposive sampling in selected Lisbon streets. Structured interviews were conducted by trained researchers while using taxi services (January 2009-December 2010). Participants: 250 taxi drivers (98.8% participation rate). Chi-square, McNemar, Man Whitney tests and multiple logistic regression were performed