Portuguese Journal of Public Health最新文献

{"title":"What Are the Barriers to Telerehabilitation in the Treatment of Musculoskeletal Diseases?","authors":"Jose Bassan Franco, L. Maximino, L. L. B. Secchi, Bianca Caseiro Antonelli, W. Blasca","doi":"10.1159/000534762","DOIUrl":"https://doi.org/10.1159/000534762","url":null,"abstract":"Introduction: Musculoskeletal-related chronic pain is one of the most disabling in the world, with knee osteoarthrosis (OA) being one of the main causes of functional limitation and chronic pain among people over 45 years of age. In view of this, the expansion of telehealth services, including telerehabilitation, allows less restricted access to health services, reducing expenses and saving time. Purpose: The aim of the study was to verify the barriers to the implementation of telerehabilitation in the treatment of chronic musculoskeletal diseases compared to face-to-face rehabilitation. Data Source: The data were obtained from PubMed, Scopus, the Virtual Health Library (VHL), Cochrane, and the Web of Science databases. Methods: This systematic review followed PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines to answer the PICOT question, “What are the barriers to implementing a telerehabilitation program for older people with knee osteoarthritis?”. The risk of bias was analyzed using the Review Manager program (RevMan). A search for articles was conducted and included only randomized clinical trials with older people with knee OA, selected by two blinded authors, according to inclusion and exclusion criteria, without publication time restriction, in the PROSPERO registry CRD42022316488. Results: The barriers to telerehabilitation have been overcome with the diversification of means of communication, the various possible ways of monitoring these patients from a distance, and the scheduling of face-to-face assessments and reassessments. The results presented in this review indicate that the barriers to implementing treatment protocols have been overcome, leading to clinical results which showed that there were no differences between the telerehabilitation and face-to-face groups for the clinical condition investigated. Conclusion: The barriers to telerehabilitation, which were more related to Internet access, telecommunication devices, personal relationships, and adequate monitoring of the exercise protocol, were overcome by diversifying the means of communication and delivering the exercise protocol for the implementation of telerehabilitation.","PeriodicalId":37244,"journal":{"name":"Portuguese Journal of Public Health","volume":"79 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138595968","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Training on the Impact of Climate Change on Public Health: Reflections and Lessons Learnt","authors":"Susana Viegas, João Almeida Santos, Aleksandra Kazmierczak, R. Assunção, Carla Viegas, Carla Martins","doi":"10.1159/000533973","DOIUrl":"https://doi.org/10.1159/000533973","url":null,"abstract":"","PeriodicalId":37244,"journal":{"name":"Portuguese Journal of Public Health","volume":"78 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138598225","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Validation of the Demand Control Support Questionnaire for European Portuguese","authors":"Teresa Kraus, M. Dixe, Ricardo Pais, T. Theorell, Pedro Gaspar, Maria da Saudade Lopes","doi":"10.1159/000534474","DOIUrl":"https://doi.org/10.1159/000534474","url":null,"abstract":"Background: The Demand Control Support model is useful for studying work-related stress. The combination of high demand and a low level of control generates “job strain” (“job iso-strain” if poor support is added), with implications for the worker’s health and well-being. The aims of this study were to adapt, examine the factor structure of, and determine the reliability of, the Demand Control Support Questionnaire (DCSQ) short version for European Portuguese (DCSQ-PT). Methods: The scale was translated into Portuguese following a rigorous process and then applied to 501 workers from various professional sectors. An online survey was used to collect sociodemographic, professional, and Demand Control Support data. Validation was based on reliability and validity tests. Results: The mean age of the sample was 41.8 ± 10.3 years, and 50.1% of the participants were female. The results reveal good reliability (Cronbach’s alpha = 0.807) and validity. Confirmatory factor analyses demonstrated that a four-factor solution of the DCSQ-PT scale had a good fit to the data, as was the case for the original scale. The DCSQ-PT© with 16 items is composed of the following factors: social support at work; psychological demands; skill discretion; and decision authority. Conclusions: This validation allows an instrument to be obtained with 16 items for studying work-related stress in Portuguese workers.","PeriodicalId":37244,"journal":{"name":"Portuguese Journal of Public Health","volume":"9 2","pages":"188 - 197"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139192077","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Anemia in Pregnancy: Study Phenomenology","authors":"Rina Doriana Pasaribu, E. Aritonang, Etti Sudaryati, Fikarwin Zuska","doi":"10.1159/000534708","DOIUrl":"https://doi.org/10.1159/000534708","url":null,"abstract":"Introduction: The prevalence of anemia in pregnant women in Indonesia remains high. This condition is concerning because the government has run a program of giving iron tablets to pregnant women since 1970. This study aimed to determine socioenvironmental factors that cause anemia in pregnant women. Methods: This qualitative research used phenomenological methods. In-depth interviews were conducted with 20 mothers with anemia and 12 focus group discussion (FGD) informants. Qualitative data analysis was applied to analyze the data. Results: The study found three factors: anemia in the preconception period, diets that cause a lack of iron consumption, and knowledge and consumption of iron tablets in pregnant women. Anemia in pregnant women is a continuous cycle of anemia which begins in the preconception period. Adolescent eating behavior and supplementation programs for pregnant women integrated with antenatal care are still problematic. Discussion and Conclusion: The findings of this study provide important information for preventing anemia in pregnant women, increasing counseling, and evaluating the implementation of iron supplementation in pregnant women. The policy of administering iron tablets to pregnant women to prevent anemia is not effective in reducing the prevalence of anemia. This government policy must be accompanied by a community movement program because the findings of this study show the problems that exist in the individual factors of the mother.","PeriodicalId":37244,"journal":{"name":"Portuguese Journal of Public Health","volume":"67 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139268276","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Atypical Presentation of COVID-19 in Older Adults: A Scoping Review","authors":"João Tavares, Daniela Figueiredo, Lígia Passos, Leila Sobrinho, Elaine Souza, Larissa Pedreira","doi":"10.1159/000534250","DOIUrl":"https://doi.org/10.1159/000534250","url":null,"abstract":"<b><i>Background:</i></b> COVID-19 has currently well-described signs and symptoms. However, older adults often present with an atypical condition, which can confuse and delay diagnosis and treatment. <b><i>Summary:</i></b> A scoping review was performed according to Joanna Briggs Institute methodology and prepared using the PRISMA-ScR. It included 61 studies. The objectives were to identify the atypical symptoms of COVID-19 in older adults and summarize and synthesize the evidence regarding the clinical outcomes of older adults with atypical presentations of COVID-19. Fifty-eight atypical symptoms were identified. Geriatric syndromes were the most prevalent atypical presentations of COVID-19. The prevalence of older adults with atypical presentation was 29 ± 18.45%. The mortality rate of older adults with atypical presentation was 28.3 ± 10.26 (17–37%). <b><i>Key Messages:</i></b> This scoping review showed that geriatric syndromes represent a frequent atypical presentation of COVID-19 in older adults. It is necessary to give visibility to those presentations in older populations with COVID-19 to advance the required interventions.","PeriodicalId":37244,"journal":{"name":"Portuguese Journal of Public Health","volume":"17 4","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136233983","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Breakfast Skipping and Determinant Factors among Moroccan School Adolescents (12–19 Years): The Case of Beni Mellal City","authors":"Kamal Kaoutar, Ahmed Chetoui, kaltoum Boutahar, Soufiane El Moussaoui, Abdeslam El Kardoudi, Mohamed Najimi, Fatiha Chigr","doi":"10.1159/000534082","DOIUrl":"https://doi.org/10.1159/000534082","url":null,"abstract":"<b><i>Introduction:</i></b> Breakfast skipping is an unhealthy eating behavior reportedly common among adolescents. The aim of the present study was to determine the prevalence and factors associated with breakfast skipping among schoolchildren aged 12–19 years in Beni Mellal city, Morocco, and to assist in the design of interventions to improve breakfast consumption habits of school-aged children in this region. <b><i>Methods:</i></b> A school-based cross-sectional study was carried out. A total of 550 children were included in the study. Multivariable logistic regression analysis was used to identify factors associated with skipping breakfast consumption. The association between dependent and independent variables was assessed using an odds ratio (OR) with a 95% confidence interval and <i>p</i> value &amp;lt;0.05 was considered statistically significant. <b><i>Results:</i></b> Among 550 Moroccan adolescents evaluated, 25.6% reported not consuming breakfast every day. Breakfast eating was statistically associated with gender (OR = 7.13 [95% CI 1.32–3.84], <i>p</i> = 0.008); mother’s low educational level (OR = 2.86 [95% CI 1.89–4.71], <i>p</i> = 0.091); nonworking mothers (OR = 13.71 [95% CI 1.16–5.29], <i>p</i> &amp;lt; 0.001); not eating between meals (OR = 15.49 [95% CI 2.15–5.49], <i>p</i> &amp;lt; 0.001); eating dinner regularly each day (OR = 17.79 [95% CI 2.81–8.01], <i>p</i> = 0.005); eating vegetables 1–3 times per week (OR = 10.21 [95% CI 1.44–4.67], <i>p</i> = 0.001); consuming milk and dairy product 1–3 times per week (OR = 13.88 [95% CI 1.59–5.56], <i>p</i> &amp;lt; 0.001); and never consuming sodas and soft drink in week (OR = 3.12 [95% CI 1.90–4.50], <i>p</i> = 0.003). <b><i>Conclusions:</i></b> This study revealed that the prevalence of skipping breakfast consumption among school-aged children in Beni Mellal city was high. Thus, the findings suggest a community health education program, conducted by school nurses, nutritionists, and other health professionals, is needed.","PeriodicalId":37244,"journal":{"name":"Portuguese Journal of Public Health","volume":"106 6","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134906825","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Construction and Validation of the Proposal for Safety and Emergency Material and Equipment in Mountain Sports","authors":"Carlos Daniel Gomes Mata, Catarina Pereira, Luís Carvalhinho","doi":"10.1159/000531882","DOIUrl":"https://doi.org/10.1159/000531882","url":null,"abstract":"<b><i>Introduction:</i></b> This study aimed to build and validate a proposal for safety and emergency material and equipment adjusted to the practice of mountain sports in Portugal. The proposal was developed through documentary analysis, literature review, and expert consultation. <b><i>Methods:</i></b> The validation of the contents of the proposal was carried out using the Delphi technique, with the participation of 30 experts, male (<i>N</i> = 18) and female (<i>N</i> = 12), aged between 32 and 61 years (<i>M</i> = 42.50; SD = 7.29), with a mean of 16.63 ± 5.60 years of experience, divided into 4 groups: (i) pre-hospital trainers; (ii) pre-hospital nurses; (iii) pre-hospital physicians; (iv) higher education teachers in the field of mountain sports. The 1st version of the proposal was structured in 7 areas and included 29 items (material and/or equipment). The final version of the proposal was structured in 8 areas (general material, measuring equipment, burns, trauma, respiratory, medication, communications, and survival kit) and included 44 items (material and equipment). <b><i>Results:</i></b> The proposal showed Content Validity Index (CVI) values of 100%. Concerning the reliability and validity of the proposal, intraclass correlation coefficient values of 0.986 (excellent) were found for technical importance and 0.983 (excellent) for contextual fit. All values show a high level of inter-expert agreement. <b><i>Conclusion:</i></b> The validated proposal will be an appropriate tool for mountain sports technicians to use in order to promote safety, reduce accidents and their consequent morbidity, and reduce the activation of rescue teams.","PeriodicalId":37244,"journal":{"name":"Portuguese Journal of Public Health","volume":"12 2","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135567945","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Medicines Evaluation: The “Simplified” Complexity","authors":"Fernando Leal da Costa","doi":"10.1159/000533961","DOIUrl":"https://doi.org/10.1159/000533961","url":null,"abstract":"","PeriodicalId":37244,"journal":{"name":"Portuguese Journal of Public Health","volume":"53 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135618813","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Implementation of the International Health Regulations on Vector-Borne Diseases: A Scoping Review of the Qualitative Evidence Performed Worldwide","authors":"Ana Margarida Alho, Carlos Quelhas, Inês Subtil, Tiago Adrego, José Durão","doi":"10.1159/000531752","DOIUrl":"https://doi.org/10.1159/000531752","url":null,"abstract":"<b><i>Introduction:</i></b> The International Health Regulations were created by the World Health Organization with the purpose of preventing the international spread of diseases. The 196 signatory countries are bound by this international agreement. In this article, we conducted a scoping review of the literature concerning the implementation and operationalization of measures at both the continental and national levels to prevent the spread of vector-borne diseases. The purpose was to understand the main strategies and policies adopted, as well as how they have been operating. <b><i>Methods:</i></b> Out of an initial search on PubMed™, SCOPUS™, and Web of Science™ using combinations of “International Health Regulations” and “vector-borne diseases”, 75 references were obtained, of which 27 were included after careful qualitative analysis. <b><i>Results:</i></b> Publication dates of included articles ranged from 1996 to 2022. Four major categories of measures were identified: (a) surveillance and epidemic intelligence; (b) Declaration of Public Health Emergency of International Concern; (c) measures in Points of Entry; and (d) vaccination status. Implemented measures were found in all continents: Africa, Oceania (Australia), Asia (China, India, Taiwan), Europe (Ireland, the Netherlands, and Mediterranean countries), North America (USA), and South America (Brazil). Yellow fever, Zika, Dengue, and Chikungunya were the most cited vector-borne diseases but Crimean-Congo hemorrhagic fever, Japanese encephalitis, Lyme disease, Malaria, Leishmaniasis, Tick-borne encephalitis, and West Nile fever were also mentioned. <b><i>Conclusion:</i></b> There are severe asymmetries across countries on the implementation of international regulations with regards to vector-borne diseases, particularly on the issue of surveillance systems. State Parties should consider the lessons learned from the pandemic and perfect their core capacities to prevent future outbreaks of infectious diseases.","PeriodicalId":37244,"journal":{"name":"Portuguese Journal of Public Health","volume":"43 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135205552","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Integration of Refractive Services Provided by Optometrists into the Portuguese National Health Service.","authors":"Vera L Alves Carneiro, José Manuel González-Méijome","doi":"10.1159/000530060","DOIUrl":"10.1159/000530060","url":null,"abstract":"<p><strong>Introduction: </strong>Refractive error is a public health concern and even with relatively simple and cost-effective interventions it remains usually outside national health services (NHSs) not ensuring universal health coverage. This study aimed to generate evidence about the availability and accessibility of refractive services in Portugal and to present a plan for more efficient services.</p><p><strong>Methods: </strong>A situation analysis of the Portuguese existing refractive services within the NHS was conducted based on three health systems building blocks: service delivery access, service coverage, and workforce. A strengths, weaknesses, opportunities, and threats analysis was performed based on existent evidence to identify internal and external factors that can facilitate or hinder the integration of refractive services within the NHS. The number of eye care personnel to be integrated in the NHS was calculated considering the minimum ratios recommended by national and international technical reports.</p><p><strong>Results: </strong>Portugal has no specific services to address refractive errors within the NHS. Treatment of refractive error occurs at the level of eye care general services. There are 39 NHS eye care services, all hospital-centred and divided into three large groups, according to technical differentiation, the technology required, and workforce capacity. The workforce available is composed of ophthalmologists and orthoptists, together with nurses and other general paramedical assistants. 3 Portuguese municipalities have more than 1 NHS eye care service, 35 have 1 NHS eye care service, and 240 municipalities (in the mainland) have none. In 2021, 52% of the hospitals providing eye care services did not meet the recommended response times. Centralization of eye care services in urban areas, undifferentiated referral systems, and a shortage in the workforce per inhabitant was observed.</p><p><strong>Conclusions: </strong>Portuguese NHS has all the requirements to reorientate refractive care from the current hospital-based model to primary care. The country also has a trained and qualified workforce to address this condition. Evidence demonstrates that the provision of refractive services at primary care is efficient and effective and translates into an opportunity to identify other visual conditions.</p>","PeriodicalId":37244,"journal":{"name":"Portuguese Journal of Public Health","volume":"41 1","pages":"111-121"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11320625/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48766859","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}