Development process of a web platform to promote health literacy among young people – Your PEL

artigo apresentado em Coimbra no Annual Meeting 2019The project Your PEL - Promote and Empower Literacy in health in the young people in the areas of healthy diet, sexuality and tobacco and alcohol use, presenting the "ICT applied to Health" as an area of activity, shows the information diffusion as one of the axes of the National Health Plan, enabling the creation of tools and communication channels supported on the Web. The activities development aimed to innovation, makes use of the creative potential that the presente generation young people have in this domain.info:eu-repo/semantics/acceptedVersio

Determinants of nursing homes performance: the case of portuguese Santas Casas da Misericórdia

This study aims to evaluate the economic efficiency of Nursing Homes owned by 96 Santas Casas da Misericórdia (SCM) and the determinants that influenced their efficiency in 2012 and 2013. The SCM are the oldest non-profit entities, which belong to Third Sector in Portugal, provide this social response and receive significant financial contributions annually from the state. The study is developed in two stages. In the first stage, the efficiency scores were calculated through the non-parametric DEA technique. In the second stage, Tobit regression is used to verify the effect of certain organizational variables on efficiency, namely the number of users and existence of Nursing Home chains. The results of the DEA model show that the efficiency average is 81.9%, and only 10 out of 96 Nursing Homes are efficient. Tobit regression shows that the number of users has a positive effect on the efficiency of Nursing Homes, whereas the existence of Nursing Home chains affects their efficiency negatively.info:eu-repo/semantics/publishedVersio

Arqueologia de Transição: O Mundo Funerário

Apresentam-se os resultados da primeira campanha de escavações efetuada no sítio da Torre Velha (Castro de Avelãs, Bragança), durante o verão de 2012, referentes ao seu espaço funerário. A análise será feita de forma integrada, articulando os (novos) dados de natureza arqueológica (cronologia, contexto estratigráfico e materiais associados) e antropológica (antropologia funerária e estudo paleobiológico da amostra exumada), a par de uma breve contextualização histórica do sítio – um dos mais referidos na bibliografia arqueológica de Trásos- Montes, identificado habitualmente como a capital dos Zoelas em época romana. No domínio antropológico serão caracterizados 19 indivíduos, bem como três ossários (um dos quais associado a um enterramento) e duas reduções, ambas com apenas um indivíduo. Os esqueletos recuperados representam quatro não adultos, um adulto jovem e 16 adultos. Destes últimos, seis pertencem ao sexo feminino, sete ao masculino, sendo que em quatro este parâmetro não pôde ser avaliado.Here we present the results of the first campaign of excavations made in the archaeological site of Torre Velha (Castro de Avelãs , Bragança) , during the summer of 2012, in its funerary space. The analysis will be done in an integrated way, articulating the (new) archaeological data (chronology, stratigraphic context and associated material) and anthropological (paleobiological study of the burials and funerary anthropology), along with a brief historical background of the site - one the most reported in the archaeological literature of Trás-os- Montes, usually identified as the capital of the people “Zoela” in Roman times. In the anthropological study, will be characterized 19 individuals and three ossuaries (one associated to a burial). The skeletons recovered represent four children, a young adult and 16 adults. In the group of the adults we have six females, seven males and four individuals that were impossible to determinate the sex

Improving Mild to Moderate Depression With an App-Based Self-Guided Intervention: Protocol for a Randomized Controlled Trial

Background: Depression is one of the most prevalent mental disorders and frequently co-occurs with other mental disorders. Despite the high direct and indirect costs to both individuals and society, more than 80% of those diagnosed with depression remain with their primary care physician and do not receive specialized treatment. Self-guided digital interventions have been shown to improve depression and, due to their scalability, have a large potential public health impact. Current digital interventions often focus on specific disorders, while recent research suggests that transdiagnostic approaches are more suitable. Objective: This paper presents the protocol for a study that aims to assess the efficacy of a self-guided transdiagnostic app-based self-management intervention in patients with mild or moderate depression with and without comorbid mental disorders. Specifically, we are investigating the impact of the intervention on symptoms of depression, quality of life, anxiety symptoms, and mental health–related patient empowerment and self-management skills. Methods: The intervention under investigation, MindDoc with Prescription, is a self-guided digital intervention aimed at supporting individuals with mild to moderate mental disorders from the internalizing spectrum, including depression. The app can be used as a low-threshold psychosocial intervention. Up to 570 adult patients will be randomized to either receive the intervention in addition to care as usual or only care as usual. We are including adults with a permanent residency in Germany and mild or moderate depression according to International Classification of Diseases, 10th Revision, criteria (F32.0, F32.1, F33.0, and F33.1). Clinical interviews will be conducted to confirm the diagnosis. Data will be collected at baseline as well as 8 weeks and 6 months after randomization. The primary outcome will be depression symptom severity after 8 weeks. Secondary outcomes will be quality of life, anxiety symptom severity, and patient empowerment and self-management behaviors. Data will be analyzed using multiple imputations, using the intention-to-treat principle, while sensitivity analyses will be based on additional imputation strategies and a per-protocol analysis. Results: Recruitment for the trial started on February 7, 2023, and the first participant was randomized on February 14, 2023. As of September 5, 2023, 275 participants have been included in the trial and 176 have provided the primary outcome. The rate of missing values in the primary outcome is approximately 20%. Conclusions: Data from this efficacy trial will be used to establish whether access to the intervention is associated with an improvement in depression symptoms in individuals diagnosed with mild or moderate depression. The study will contribute to expanding the evidence base on transdiagnostic digital interventions. Trial Registration: German Registry of Clinical Trials DRKS00030852; https://drks.de/search/de/trial/DRKS0003085

Hospital a Domicilio y Educación para la Salud: análisis legislativo pre COVID

Introduction: Hospital from home (HH) is a valid and stable alternative to the conventional hospital admission. Although it has been used since early XX century only recently was implemented in Portugal, on the public sector. Health literacy is a sine qua non condition to exercise of citizenship and informed consenting. Method: document analysis based on a review process of public legal documents from the last 5 years related with the implementation of HH and the development and role that health literacy plays on the process on HH. A discourse analysis was undertaken after documents gathering. Results: a total of 27 documents were recovered from the Portuguese public legal database (Diário da República Portuguesa). From those, a total of 3 versed HH. Discourse analysis presented the lack of emphasis on health literacy on the documents and, thus, on the legal fundamentals of implementation of HH units. Conclusions: Health literacy is a key element to included individuals on their health seeking behaviors and to manage their own health balance. Thus, to accept a different kind of hospital admission (when conditions are met) individuals should be provided with fundamental tools to overcome and develop their health literacy and to have an informed decision and consenting. Health literacy and health education are the core of HH units and, therefore, should be present on the discourse that establishes the units implementation on a legal basis.Introducción: La Hospitalización Domiciliaria es una alternativa válida y competente al internamiento clásico. No obstante, a pesar de contar con una existencia desde el siglo XX, solo recientemente fue una opción concreta para los pacientes del Serviço Nacional de Saúde. La educación para la salud y la alfabetización en salud son criterios fundamentales para un ejercicio de ciudadanía plena y acceso a cuidados de salud. Método: Estudio de análisis documental basada en una revisión de los documentos legales (leys) de los últimos cinco años (2015-2020) y relacionado con la hospitalización domiciliaria y alfabetización en salud y educación para la salud. Al final se realizó un análisis discursivo de los documentos elegidos. Resultados: Un total de 27 documentos resultaron de la búsqueda en el website del Diário da República Portuguesa Online. Dentro de este, 3 eran del Ministério da Saúde y su alcance era la Hospitalización Domiciliaria. El análisis discursivo demostró que no hay énfasis en el soporte legal para la Hospitalización Domiciliaria y sus unidades sobre la educación para la salud o alfabetización en salud. Conclusiones: La educación para la salud y la alfabetización en salud son promotores de comportamientos saludables y el conocimiento puede servir para manejar enfermedades crónicas. La Hospitalización Domiciliaria maneja, mayoritariamente, enfermos con condiciones crónicas en fase aguda. La Hospitalización Domiciliaria es un contexto importante para desarrollar procesos de educación para la salud y promoción de la alfabetización en salud. Es fundamental que la documentación que regula el funcionamiento de la Hospitalización Domiciliaria tenga suporte para intervenciones para la promoción de la alfabetización y educación para la salud

Your PEL questionnaire development - evaluation of the impact of health education programs in schools.

Artigo apresentado em Coimbra no âmbito do Anuual Meeting 2019 da Escola Superior de Tecnologia da SaúdeThe Your PEL project emerged in response to requests from regional school groups and community care units that have identified the need to assess the impact of interventions on developing attitudes and behaviors that reflect health gains. In this context, the need to construct an instrument for the impact evaluation of health education programs in schools in the areas of healthy diet, tobacco and alcohol use, and sexuality at the the secundary school level of education, which allows to monitorize the determinants of health and the effectiveness of the strategies developed.info:eu-repo/semantics/acceptedVersio

Novas inscrições funerárias da Torre Velha de Castro de Avelãs (Bragança)

Publicam-se 4 inscrições funerárias da Torre Velha de Castro de Avelãs (Bragança)

As produções cerâmicas de imitação na Hispânia.

Cerâmicas romanas da Torre Velha (Castro de Avelãs, Bragança). Primeira síntese