67 research outputs found

    Incêndios em edifícios na cidade de Lisboa: Análise e caracterização das ocorrências no período de 2010 a 2014

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    A presente dissertação teve como objectivo efectuar uma análise estatística dos incêndios urbanos que ocorreram na cidade de Lisboa no período compreendido entre Janeiro de 2010 e Junho de 2014. Para a elaboração dessa análise foi efectuado um levantamento dos dados dessas ocorrências junto do Regimento de Sapadores Bombeiros de Lisboa, de modo a realizar uma análise estatística dos mesmos. Essa análise foi dividida em duas categorias, estatística descritiva e inferência estatística. Através desses resultados foi possível efectuar comparações dos resultados obtidos com outros estudos, com dados oficiais de outras entidades existentes em Portugal, nomeadamente dados da Autoridade Nacional de Protecção Civil e do Ministério da Administração Interna. Os resultados obtidos foram ainda submetidos a um cruzamento de informação com os CENSOS de 2011 de modo a identificar possíveis correlações com as distribuições em estudo. As ocorrências de incêndios urbanos que o Regimento de Sapadores Bombeiros de Lisboa interviu representa 1,96%, do total de serviços registados por esta entidade. A utilização-tipo I (habitacionais) é responsável por 76,42% dos incêndios urbanos registados. No período de estudo, os incêndios urbanos em Lisboa foram responsáveis por um total de 160 vítimas, sendo 4 mortais. Em relação aos tempos de resposta, o Regimento de Sapadores Bombeiros de Lisboa apresenta um valor médio de 2 minutos e 4 segundos desde a recepção das chamadas de socorro e o tempo de saída das viaturas e um valor médio de 4 minutos e 14 segundos entre a saída das viaturas e a chegada da primeira viatura ao local da ocorrência.This work aimed to perform a statistical analysis of urban fires that occurred in the city of Lisbon in the period between January 2010 and June 2014. For the preparation of this analysis was carried out a survey of data from these occurrences with the Fire Brigade Regiment of Lisbon, in order to achieve a statistical analysis thereof. This analysis was divided into two categories, descriptive statistics and statistical inference. With these results it was possible to make comparisons of results with other studies, with official data from other existing entities in Portugal, in particular to the National Civil Protection Authority and the Ministry of Internal Affairs. The results were further subjected to a cross-checking with the census of 2011 in order to identify possible correlations with the distributions under study The urban fire occurrences that the Fire Brigade of Lisbon intervened represents 1.96% of total services registered by this entity. The use - type I (housing) accounts for 76.42% of urban fires recorded. During the study period, urban fires in Lisbon accounted for a total of 160 victims, 4 mortals. With regard to response times, the Regiment Fire Brigade Lisbon has an average of 2 minutes and 4 seconds from receipt of rescue calls and the output time of the vehicles and an average of 4 minutes and 14 seconds between output of the vehicle and the arrival of the first vehicle to the scene

    Validation of a Portuguese version of the Oral Health Impact Profile adapted to people with mild intellectual disabilities (OHIP-14-MID-PT)

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    Background The purpose of this study is to develop a Portuguese version of the Oral Health Impact Profile (OHIP-14) and validate it for people with mild intellectual disability (OHIP-14-MID-PT). Methods The Portuguese version of the questionnaire was drawn up from the original English version, following internationally defined guidelines. Interviews were conducted with 240 individuals living in (or attending) institutions of the central region of Portugal that are affiliated with Humanitas (Portuguese Federation for Intellectual Disability) to measure oral health related quality of life (OHRQoL). The interview also included a sociodemographic and oral health questionnaire followed by an intraoral examination. Two types of reliability were analyzed: test-retest (ICC) and internal consistency (Cronbach’s α, inter-item and item-total correlations). Convergent and divergent validities were also assessed, and a confirmatory factor analysis was performed using the maximum likelihood method. Results The OHIP-14-MID-PT presented high reliability (ICC = 0.999; Cronbach’s α = 0.922). The inter-item correlation coefficient ranged from 0.277 to 0.749, and the item-total correlation coefficient varied between 0.529 and 0.718. Lower OHIP-14-MID-PT total scores were significantly associated with: a self-perception of better oral health status (r = -0.545, p<0,001) and reduced need for dental treatment (U = 2366.5, p<0,001), more natural teeth (χ2 = 29.74, p<0,001) and better results in the clinical oral health index (COHI) (χ2 = 18.50, p<0,001); the results support the convergent and divergent validities of the questionnaire. Conclusions OHIP-14-MID-PT has proved to be a consistent, valid and reliable instrument with good psychometric properties to determine the impact of oral health on quality of life in adults with mild intellectual disabilities in Portugal.info:eu-repo/semantics/publishedVersio

    Oral health-related quality of life of Portuguese adults with mild intellectual disabilities

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    Individuals with disabilities are regarded as a highly vulnerable population group, particularly as far as oral health is concern. However, few studies have assessed the impact of the oral condition on the quality of life of these individuals. Therefore, the aim of this study is to expand knowledge on the oral health status of the Portuguese adults with mild intellectual disability, and to assess how the patient’s oral health is related to their quality of life. A sample of 240 adults with mild intellectual disabilities linked to the Portuguese Federation for Intellectual Disability, were interviewed using a previously validated version of the Oral Health Impact Profile. An oral health examination was also conducted using three oral health indexes: Clinical Oral Health Index (COHI); Clinical Oral Care Needs Index (COCNI) and the Clinical Oral Prevention Index (COPI). Sociodemographic characteristics and dental health factors were also collected, following statistical analysis. More than half of the individuals (54,9%) presented one or more problems of major to severe impact on health (COHI level 2); only 4,6% of the individuals do not need treatment or examination (COCNI level 0) and 85% of the study sample needs measures of educational or preventive action (COPI level 1). In 76,9% of the participants, oral health had impact on the quality of life. The most affected dimensions of life were physical pain with 61,9%, followed by psychological discomfort and psychological disability with 45,1% and 45%, respectively. With relation to oral health factors and sociodemographic variables it was verified that fewer teeth and higher self-perception of need for dental treatment had a negative impact on the quality of life. On the other hand, institutionalization and an increase in at least one category in the self-perception of the oral health status had a positive impact on the quality of life. Given the high burden of oral disease and the considerable impact on quality of life found in this study, the establishment of guidelines to improve the oral health and quality of life of these individuals should be regarded as imperative.info:eu-repo/semantics/publishedVersio

    Gender in their attitude towards domestic violence and intimate partner violence in Portugal

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    ESA 2021. 15ª Conferência realizada em Barcelona de 31 de agosto a 3 setembro de 2021.info:eu-repo/semantics/publishedVersio

    Patient-physician discordance in assessment of adherence to inhaled controller medication: a cross-sectional analysis of two cohorts

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    We aimed to compare patient's and physician's ratings of inhaled medication adherence and to identify predictors of patient-physician discordance.(SFRH/BPD/115169/2016) funded by Fundação para a Ciência e Tecnologia (FCT); ERDF (European Regional Development Fund) through the operations: POCI-01-0145-FEDER-029130 ('mINSPIRERS—mHealth to measure and improve adherence to medication in chronic obstructive respiratory diseases—generalisation and evaluation of gamification, peer support and advanced image processing technologies') cofunded by the COMPETE2020 (Programa Operacional Competitividade e Internacionalização), Portugal 2020 and by Portuguese Funds through FCT (Fundação para a Ciência e a Tecnologia).info:eu-repo/semantics/publishedVersio

    MAMMALS IN PORTUGAL : A data set of terrestrial, volant, and marine mammal occurrences in P ortugal

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    Mammals are threatened worldwide, with 26% of all species being includedin the IUCN threatened categories. This overall pattern is primarily associatedwith habitat loss or degradation, and human persecution for terrestrial mam-mals, and pollution, open net fishing, climate change, and prey depletion formarine mammals. Mammals play a key role in maintaining ecosystems func-tionality and resilience, and therefore information on their distribution is cru-cial to delineate and support conservation actions. MAMMALS INPORTUGAL is a publicly available data set compiling unpublishedgeoreferenced occurrence records of 92 terrestrial, volant, and marine mam-mals in mainland Portugal and archipelagos of the Azores and Madeira thatincludes 105,026 data entries between 1873 and 2021 (72% of the data occur-ring in 2000 and 2021). The methods used to collect the data were: live obser-vations/captures (43%), sign surveys (35%), camera trapping (16%),bioacoustics surveys (4%) and radiotracking, and inquiries that represent lessthan 1% of the records. The data set includes 13 types of records: (1) burrowsjsoil moundsjtunnel, (2) capture, (3) colony, (4) dead animaljhairjskullsjjaws, (5) genetic confirmation, (6) inquiries, (7) observation of live animal (8),observation in shelters, (9) photo trappingjvideo, (10) predators dietjpelletsjpine cones/nuts, (11) scatjtrackjditch, (12) telemetry and (13) vocalizationjecholocation. The spatial uncertainty of most records ranges between 0 and100 m (76%). Rodentia (n=31,573) has the highest number of records followedby Chiroptera (n=18,857), Carnivora (n=18,594), Lagomorpha (n=17,496),Cetartiodactyla (n=11,568) and Eulipotyphla (n=7008). The data setincludes records of species classified by the IUCN as threatened(e.g.,Oryctolagus cuniculus[n=12,159],Monachus monachus[n=1,512],andLynx pardinus[n=197]). We believe that this data set may stimulate thepublication of other European countries data sets that would certainly contrib-ute to ecology and conservation-related research, and therefore assisting onthe development of more accurate and tailored conservation managementstrategies for each species. There are no copyright restrictions; please cite thisdata paper when the data are used in publications.info:eu-repo/semantics/publishedVersio

    estudos artísticos

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    A revista Gama, Estudos Artísticos estabeleceu-se como um instrumento para a disseminação do conhecimento em torno da arte e da cultura numa perspetiva que se crê inovadora, e que nos caracteriza: estudar arte e artistas através do olhar formado e privilegiado dos companheiros de profissão. Artistas estudam outros artistas. A revista Gama pertence assim a um projeto de resistência: resistência ao centrismo do artworld, ao esmagamento pelos discursos dominantes, às lógicas de reprodução da legitimação instituída. Há uma característica que prevalece em todos os 28 artigos reunidos na presente edição: a reflexão informada sobre autores e obras de arte, que propõe novas leituras e novas redes de conhecimento. Todas juntas constituem um tecido que descobre sentidos, na sua integração global na nova paisagem cultural.info:eu-repo/semantics/publishedVersio

    Rhinitis associated with asthma is distinct from rhinitis alone: TARIA‐MeDALL hypothesis

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    Asthma, rhinitis, and atopic dermatitis (AD) are interrelated clinical phenotypes that partly overlap in the human interactome. The concept of “one-airway-one-disease,” coined over 20 years ago, is a simplistic approach of the links between upper- and lower-airway allergic diseases. With new data, it is time to reassess the concept. This article reviews (i) the clinical observations that led to Allergic Rhinitis and its Impact on Asthma (ARIA), (ii) new insights into polysensitization and multimorbidity, (iii) advances in mHealth for novel phenotype definitions, (iv) confirmation in canonical epidemiologic studies, (v) genomic findings, (vi) treatment approaches, and (vii) novel concepts on the onset of rhinitis and multimorbidity. One recent concept, bringing together upper- and lower-airway allergic diseases with skin, gut, and neuropsychiatric multimorbidities, is the “Epithelial Barrier Hypothesis.” This review determined that the “one-airway-one-disease” concept does not always hold true and that several phenotypes of disease can be defined. These phenotypes include an extreme “allergic” (asthma) phenotype combining asthma, rhinitis, and conjunctivitis.info:eu-repo/semantics/publishedVersio

    Cabbage and fermented vegetables : From death rate heterogeneity in countries to candidates for mitigation strategies of severe COVID-19

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    Large differences in COVID-19 death rates exist between countries and between regions of the same country. Some very low death rate countries such as Eastern Asia, Central Europe, or the Balkans have a common feature of eating large quantities of fermented foods. Although biases exist when examining ecological studies, fermented vegetables or cabbage have been associated with low death rates in European countries. SARS-CoV-2 binds to its receptor, the angiotensin-converting enzyme 2 (ACE2). As a result of SARS-CoV-2 binding, ACE2 downregulation enhances the angiotensin II receptor type 1 (AT(1)R) axis associated with oxidative stress. This leads to insulin resistance as well as lung and endothelial damage, two severe outcomes of COVID-19. The nuclear factor (erythroid-derived 2)-like 2 (Nrf2) is the most potent antioxidant in humans and can block in particular the AT(1)R axis. Cabbage contains precursors of sulforaphane, the most active natural activator of Nrf2. Fermented vegetables contain many lactobacilli, which are also potent Nrf2 activators. Three examples are: kimchi in Korea, westernized foods, and the slum paradox. It is proposed that fermented cabbage is a proof-of-concept of dietary manipulations that may enhance Nrf2-associated antioxidant effects, helpful in mitigating COVID-19 severity.Peer reviewe

    Nrf2-interacting nutrients and COVID-19 : time for research to develop adaptation strategies

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    There are large between- and within-country variations in COVID-19 death rates. Some very low death rate settings such as Eastern Asia, Central Europe, the Balkans and Africa have a common feature of eating large quantities of fermented foods whose intake is associated with the activation of the Nrf2 (Nuclear factor (erythroid-derived 2)-like 2) anti-oxidant transcription factor. There are many Nrf2-interacting nutrients (berberine, curcumin, epigallocatechin gallate, genistein, quercetin, resveratrol, sulforaphane) that all act similarly to reduce insulin resistance, endothelial damage, lung injury and cytokine storm. They also act on the same mechanisms (mTOR: Mammalian target of rapamycin, PPAR gamma:Peroxisome proliferator-activated receptor, NF kappa B: Nuclear factor kappa B, ERK: Extracellular signal-regulated kinases and eIF2 alpha:Elongation initiation factor 2 alpha). They may as a result be important in mitigating the severity of COVID-19, acting through the endoplasmic reticulum stress or ACE-Angiotensin-II-AT(1)R axis (AT(1)R) pathway. Many Nrf2-interacting nutrients are also interacting with TRPA1 and/or TRPV1. Interestingly, geographical areas with very low COVID-19 mortality are those with the lowest prevalence of obesity (Sub-Saharan Africa and Asia). It is tempting to propose that Nrf2-interacting foods and nutrients can re-balance insulin resistance and have a significant effect on COVID-19 severity. It is therefore possible that the intake of these foods may restore an optimal natural balance for the Nrf2 pathway and may be of interest in the mitigation of COVID-19 severity
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