Qualidade de vida e adesão aos tratamentos farmacológicos em indivíduos com hipertensão arterial essencial

Dissertação de Mestrado em Psicologia da SaúdeO objectivo do presente estudo é a avaliação da relação entre Qualidade de Vida (QDV), Adesão aos Tratamentos Farmacológicos (AT) e a Pressão Arterial (PA), em indivíduos com Hipertensão Arterial Essencial, medicados com anti-hipertensores, seguidos no Hospital Garcia de Orta e no Instituto de Cardiologia Preventiva de Almada. A investigação incidiu sobre uma amostra de 90 indivíduos, com idade média de 44,43 anos, variando entre os 20 e os 64 anos de idade, sendo 66,7% do sexo feminino. Utilizou-se o questionário de QDV SF-36 e o questionário de Morisky-Green, versão adaptada para este estudo (alfa de Cronbach = 0,63), para avaliar a AT. Verificou-se uma correlação significativa modesta entre QDV (dimensão Saúde Geral) e AT (r(90) = -0,22, p<0,05), sugerindo que melhores níveis de Saúde Geral se associam a menor AT. As correlações entre a QDV e PA, mostram-se modestas entre a dimensão Saúde Mental e PA Sistólica (r(90) = -0,24,p<0,05); e entre as dimensões Papel Físico (r(90) = -0,23, p<0,05), Vitalidade (r(90) = -0,21, p<0,05) e Saúde Mental (r(90) = -0,22, p<0,05) e PA Diastólica, permitindo associar valores mais baixos de PA, com melhores níveis de percepção individual nas dimensões indicadas. A correlação entre AT e PA Sistólica, mostrou-se significativa, mas modesta, (r(90) = 0,21, p<0,05), verificando-se que os valores mais elevados de PA Sistólica se encontram associados a maiores níveis de AT. Esta investigação deverá ser complementada através de estudos que possibilitem uma abordagem aos aspectos específicos da QDV na Hipertensão e também aos processos que podem influenciar a AT, nomeadamente, níveis de conhecimento e percepções individuais sobre a saúde e a doença e, a comunicação entre os profissionais de saúde e o doente hipertenso

Adpatabilidade, competências pessoais e bem estar psicológico de jovens do ensino superior na área das ciências da saúde.

Programa de Doutoramento em Saúde Menta

Characterisation of microbial attack on archaeological bone

As part of an EU funded project to investigate the factors influencing bone preservation in the archaeological record, more than 250 bones from 41 archaeological sites in five countries spanning four climatic regions were studied for diagenetic alteration. Sites were selected to cover a range of environmental conditions and archaeological contexts. Microscopic and physical (mercury intrusion porosimetry) analyses of these bones revealed that the majority (68%) had suffered microbial attack. Furthermore, significant differences were found between animal and human bone in both the state of preservation and the type of microbial attack present. These differences in preservation might result from differences in early taphonomy of the bones. © 2003 Elsevier Science Ltd. All rights reserved

Delayed colorectal cancer care during covid-19 pandemic (decor-19). Global perspective from an international survey

Background The widespread nature of coronavirus disease 2019 (COVID-19) has been unprecedented. We sought to analyze its global impact with a survey on colorectal cancer (CRC) care during the pandemic. Methods The impact of COVID-19 on preoperative assessment, elective surgery, and postoperative management of CRC patients was explored by a 35-item survey, which was distributed worldwide to members of surgical societies with an interest in CRC care. Respondents were divided into two comparator groups: 1) ‘delay’ group: CRC care affected by the pandemic; 2) ‘no delay’ group: unaltered CRC practice. Results A total of 1,051 respondents from 84 countries completed the survey. No substantial differences in demographics were found between the ‘delay’ (745, 70.9%) and ‘no delay’ (306, 29.1%) groups. Suspension of multidisciplinary team meetings, staff members quarantined or relocated to COVID-19 units, units fully dedicated to COVID-19 care, personal protective equipment not readily available were factors significantly associated to delays in endoscopy, radiology, surgery, histopathology and prolonged chemoradiation therapy-to-surgery intervals. In the ‘delay’ group, 48.9% of respondents reported a change in the initial surgical plan and 26.3% reported a shift from elective to urgent operations. Recovery of CRC care was associated with the status of the outbreak. Practicing in COVID-free units, no change in operative slots and staff members not relocated to COVID-19 units were statistically associated with unaltered CRC care in the ‘no delay’ group, while the geographical distribution was not. Conclusions Global changes in diagnostic and therapeutic CRC practices were evident. Changes were associated with differences in health-care delivery systems, hospital’s preparedness, resources availability, and local COVID-19 prevalence rather than geographical factors. Strategic planning is required to optimize CRC care

Search for Scalar Diphoton Resonances in the Mass Range 65−60065-600 GeV with the ATLAS Detector in pppp Collision Data at s\sqrt{s} = 8 TeVTeV

A search for scalar particles decaying via narrow resonances into two photons in the mass range 65–600 GeV is performed using $20.3\text{}\text{}{\mathrm{fb}}^{-1}$ of $\sqrt{s}=8\text{}\text{}\mathrm{TeV}$ $pp$ collision data collected with the ATLAS detector at the Large Hadron Collider. The recently discovered Higgs boson is treated as a background. No significant evidence for an additional signal is observed. The results are presented as limits at the 95% confidence level on the production cross section of a scalar boson times branching ratio into two photons, in a fiducial volume where the reconstruction efficiency is approximately independent of the event topology. The upper limits set extend over a considerably wider mass range than previous searches