Fisioterapia no transplante hepático: da necessidade ao bem-estar

A intervenção do fisioterapeuta processa-se de modo holístico com vista à obtenção da máxima funcionalidade do indivíduo portador de doença. Objectivo do estudo – Mostrar e contextualizar os cuidados de saúde prestados pela equipa de fisioterapia no Hospital de Curry Cabral aos utentes submetidos a transplante hepático, fundamentados numa experiência de 4 anos de intervenção específica nesta área

Increasing and sustaining blood-borne virus screening in Spain and Portugal throughout the COVID-19 pandemic: a multi-center quality improvement intervention

BackgroundAround 57,000 people in Spain and Portugal currently living with HIV or chronic hepatitis C are unaware of their infection. The COVID-19 pandemic severely disrupted screening efforts for these infections. We designed an intervention to increase and sustain opportunistic blood-borne virus (BBV) screening and linkage to care (SLTC) by implementing the TEST model.MethodsThe Plan Do Study Act (PDSA) method of quality improvement (QI) was implemented in 8 healthcare organizations (HCOs), including four hospitals, two clusters of community health centers, and two community-based organizations (CBOs). Baseline assessment included a review of BBV SLTC practices, testing volume, and results 12 months before the intervention. Changes in BBV testing rates over time were measured before, during, and after the COVID-19 lockdowns in 2020. A mixed ANOVA model was used to analyze the possible effect on testing volumes among HCOs over the three study periods.InterventionBBV testing was integrated into normal clinical flow in all HCOs using existing clinical infrastructure and staff. Electronic health record (EHR) systems were modified whenever possible to streamline screening processes, implement systemic institutional policy changes, and promote QI.ResultsTwo years after the launch of the intervention in screening practices, testing volumes increased by 116%, with formal healthcare settings recording larger increases than CBOs. The start of the COVID-19 lockdowns was accompanied by a global 60% decrease in testing in all HCOs. Screening emergency department patients or using EHR systems to automate screening showed the highest resilience and lowest reduction in testing. HCOs recovered 77% of their testing volume once the lockdowns were lifted, with CBOs making the fullest recovery. Globally, enhanced screening techniques enabled HCOs to diagnose a total of 1,860 individuals over the research period.ConclusionsImplementation of the TEST model enabled HCOs to increase and sustain BBV screening, even during COVID-19 lockdowns. Although improvement in screening was noted in all HCOs, additional work is needed to develop strong patient linkage to care models in challenging times, such as global pandemics

Mensagem - Casa dos Estdantes do Império 1944-1994, Número Especial

A Casa dos Estudantes do Império (CEI) foi criada em 1944 pelo então Ministério das Coló- nias e pelo Comissariado Nacional da Mocidade Portuguesa sendo destinada ao enquadramento dos estudantes oriundos das Colónias portuguesas (de África, Índia, Macau e Timor). O eco das independências africanas ocorridas ao longo da década de 50 repercutiu-se no império colonial português, onde o regime do Estado Novo registava então grande contestação. Neste contexto histórico muitos jovens estudantes associados à CEI procuraram caminhos de descoberta / construção da identidade dos territó- rios de que eram originários com diversas iniciativas culturais, entre as quais a atividade editorial. A Associação Casa dos Estudantes do Império (ACEI), constituída por associados da CEI, em 1994 e com existência até 1997, reeditou, pela passagem do 50.o aniversário da Casa, dois volumes das Antologias de Poesia de Angola, Moçambique e São Tomé e Príncipe e elaborou um Nú- mero Especial da MENSAGEM, um Boletim publicado pela CEI, de forma irregular, de acordo com as vicissitudes vividas, entre 1948 e 1964. A União das Cidades Capitais de Língua Portuguesa (UCCLA) deliberou levar a efeito uma homenagem aos associados da CEI, iniciada numa cerimónia que teve lugar no Auditório da Reitoria da Universidade de Coimbra, em outubro de 2014, ano em que se perfizeram 70 anos da criação da CEI. Nessa homenagem iniciou-se a distribuição das reedições das referidas Antologias, com novo formato e ainda a distribuição de uma pen com os nomes de todos os associados da CEI, resultado de uma pesquisa levada a efeito na Torre do Tombo. Para 2015, ano em que se perfazem 50 anos sobre a extinção da CEI pela PIDE programaram-se vários eventos. De entre esses eventos constam debates, um Colóquio Internacional, a realizar na Fundação Calouste Gulbenkian, uma exposição na Câmara Municipal de Lisboa e, por fim, a sessão de encerramento no dia 25 de maio, Dia de África, em que intervirão como oradores todos os associados da CEI que vieram a ser Presidentes da República ou Primeiros Ministros dos territórios de onde eram originários. A reedição deste Número Especial da Revista MENSAGEM integra-se nesta justa homenagem.À Memória de Amílcar Cabral Mário de Andrade Carlos Ervedosa e daqueles que partiram cedo demais. Ao Dr. Arménio Ferreira, cuja generosidade e apoio nos anos difíceis prolongaram a existência da Casa. Aos ESTUDANTES AFRICANOS de hoje e do futuro.Ministério dos Negócios Estrangeiros, CPLP, Instituto Camões, Câmara Municipal de Lisboainfo:eu-repo/semantics/publishedVersio

Aerial surveys of caiman, marsh deer and pampas deer in the Pantanal Wetland of Brazil

The yacare caiman (Caiman c. yacare) was illegally hunted in the Pantanal during the 1970s and 1980s at levels that may have reached one million skins per year. The possibility that yacare caiman had been over-exploited generated pressure for a monitoring programme for caiman populations. The marsh deer (Blastocerus dichotomus) and pampas deer (Ozotocerus bezoarticus) are listed as endangered in Brazil and need the protection of effective management programmes. Ground surveys are difficult for the extensive and inaccessible Pantanal Wetland, south-western Brazil, but aerial surveys provided information that allowed re-evaluation of conservation priorities. Caiman and marsh deer have larger populations than was believed. Preliminary data indicates that the pampas deer density decreased at a rate of about 30% per year from 1991 to 1993. This indicates the need for detailed ground-level studies for the pampas deer population in the Pantanal. We recommend a long term monitoring program using standardized counting procedures for wildlife populations in the Pantanal

Survey of Leptospira spp in pampas deer ( Ozotoceros bezoarticus ) in the Pantanal wetlands of the state of Mato Grosso do Sul, Brazil by serology and polymerase chain reaction

This work reports a survey of Leptospira spp in pampas deer ( Ozotoceros bezoarticus ) in the Pantanal wetlands of the state of Mato Grosso do Sul, Brazil by serology and polymerase chain reaction (PCR). Seventy pampas deer were captured in the dry season and surveyed using PCR, microscopic agglutination test (MAT) (n = 51) and by both techniques (n = 47). PCR detected infections in two pampas deer and MAT detected infections in three. Through sequencing and phylogenetic analyses, the PCR-amplified fragment detected in deer was identified as Leptospira interrogans . Serovars Pomona and Butembo were detected using MAT and the highest titre was 200 for serovar Pomona. Epidemiological aspects of the findings are discussed