Cátia Santos, Maria Dos Anjos Dixe, Ema Sacadura-Leite, Philippe Astoul, António Sousa-Uva
{"title":"Asbestos Exposure and Malignant Pleural Mesothelioma: A Systematic Review of Literature.","authors":"Cátia Santos, Maria Dos Anjos Dixe, Ema Sacadura-Leite, Philippe Astoul, António Sousa-Uva","doi":"10.1159/000527971","DOIUrl":"10.1159/000527971","url":null,"abstract":"<p><strong>Background: </strong>The relationship between exposure to asbestos and malignant pleural mesothelioma (MPM) is already well established. Nevertheless, much remains to be known about exposure thereto and the incidence and mortality from MPM.</p><p><strong>Objective: </strong>This systematic review aims to map the relationship between asbestos and MPM by studying the exposure to asbestos and the incidence and mortality of MPM.</p><p><strong>Methods: </strong>A systematic review was conducted relating asbestos and MPM. Exposure to asbestos, incidence, and mortality by MPM was reviewed. PubMed, Web of Science, Cochrane Library, RCAAP, DART-Europe, and the reference lists of included studies were searched, from January 1, 1960, to December 31, 2020. Methodological quality was checked, the risk of bias analysis was performed, a level of evidence grade was assigned, and descriptive data analysis was performed.</p><p><strong>Results: </strong>3,484 unique citations were identified, which included seventeen observational studies that met inclusion criteria with a total of 1,104 patients. Heterogeneity is present between the included studies which range from a case series of 16 retrospective studies and 1 prospective study. Studies were mostly conducted in Europe, particularly in Italy (6), and were published between 1969 and 2020. The mean age of patients is approximately 66 years with a latency period between the first exposure and diagnosis of approximately 42 years. 14 studies present data regarding the occupational context and chrysotile and crocidolite are the most studied types of fibre. The incidence of cases occurred between the interval 1966 and 2014 and in 9 studies the mortality rate was 100% of patients.</p><p><strong>Conclusion: </strong>There is high evidence to support the relationships between asbestos and MPM. However, the relatively scant information provided by the studies reinforces the need for well-conducted research and implementation of National Mesothelioma Surveillance Centres at a global level.</p>","PeriodicalId":37244,"journal":{"name":"Portuguese Journal of Public Health","volume":"40 1","pages":"188-202"},"PeriodicalIF":0.0,"publicationDate":"2023-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11320099/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48865575","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}
José Moreira, Patrícia Soares, Sandra Gomes, Baltazar Nunes
{"title":"Rehabilitation Nursing Program in Oncological Surgery of the Head and Neck: A Retrospective Cohort Study.","authors":"José Moreira, Patrícia Soares, Sandra Gomes, Baltazar Nunes","doi":"10.1159/000527717","DOIUrl":"10.1159/000527717","url":null,"abstract":"<p><strong>Background: </strong>Head and neck cancer (HNC) has a considerable mortality and morbidity rate. Surgery is one of the most effective treatments; however, it may compromise the independence of patients after its performance. Early start rehabilitation is essential for the recovery of these patients, preventing functional capacity limitations.</p><p><strong>Objective: </strong>The objective of this study was to compare the independence between hospitalized patients who underwent rehabilitation nurse (RN) intervention versus general health care after HNC surgery.</p><p><strong>Methods: </strong>Patients submitted to different types of HNC surgery were divided into two groups intervention by the RN versus general health care, the outcome was the independence categorized as dichotomic to assess the patient independence at discharge and their differences calculated by statistical analysis. To analyze the effect of the RN intervention on independence, a Poisson regression model was used, adjusting the confounding factors initial Barthel Index and age in the variable Barthel Index independence.</p><p><strong>Results: </strong>Independence at discharge (<i>p</i> = 0.01) improved significantly in the RN intervention group compared to the general health care group. The intervention of the RN after surgery had a positive effect on the independence of the patients, after adjusting the confounding factors (RR: 1.47; 95% CI: [1.02; 2.12]). In the middle/late postoperative period, in the group with RN intervention (<i>n</i> = 79), the hospitalization time was reduced by 4.29 days versus general health care (<i>n</i> = 72).</p><p><strong>Conclusion: </strong>The RN intervention is an added value in the independence of the patient submitted to HNC surgery. It is an innovative study in patients after diagnosis of HNC, showing that the intervention of RN through rehabilitation programs allows independence after his surgery.</p>","PeriodicalId":37244,"journal":{"name":"Portuguese Journal of Public Health","volume":"40 1","pages":"155-162"},"PeriodicalIF":0.0,"publicationDate":"2023-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11320106/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42273286","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}
Liliane Morais, António Lopes, Jorge Rocha, Paulo Jorge Nogueira
{"title":"Beyond Usual Geographical Scales of Analysis: Implications for Healthcare Management and Urban Planning.","authors":"Liliane Morais, António Lopes, Jorge Rocha, Paulo Jorge Nogueira","doi":"10.1159/000527162","DOIUrl":"10.1159/000527162","url":null,"abstract":"<p><strong>Introduction: </strong>In the context of climate emergency, advances in geographic information systems, geocoding, and geomedicine allow us to go beyond the conventional usual scales and be aligned with people's needs, improving knowledge and accuracy of the spatial pattern of health outcomes. This study shows that the geographical scale of analysis affects the interpretation of health outcomes.</p><p><strong>Methods: </strong>All mortality that occurred in Portugal in 2014-2017 was geocoded. From 435,291 addresses, 412,608 were geocoded with success. As an example, we use the spatial patterns of the elderly's heat-related cardiorespiratory mortality.</p><p><strong>Results: </strong>It is shown: (i) it is possible to have high quality and accuracy of spatial data used in health outcomes analysis; (ii) how geographic scales reveal different degrees of detail in health outcomes analysis; (iii) the neighbourhood scale revealed different patterns of cardiorespiratory mortality from the usually available scale (parish).</p><p><strong>Discussion: </strong>Our findings suggest the relevance of geocoding health outcomes with a finer scale in tackling the challenges of the healthcare sector, and in support of planning decision-making, closely matching citizens' needs. Without running the risk of losing potentially major prospects, better healthcare management is achievable, with optimal resource allocation, and improved detailed and informed policymaking, allowing enhanced climate health equity in cities promotion.</p>","PeriodicalId":37244,"journal":{"name":"Portuguese Journal of Public Health","volume":"40 1","pages":"140-154"},"PeriodicalIF":0.0,"publicationDate":"2023-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11320098/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44079352","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}
{"title":"Erratum.","authors":"","doi":"10.1159/000528678","DOIUrl":"https://doi.org/10.1159/000528678","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.1159/000527366.].</p>","PeriodicalId":37244,"journal":{"name":"Portuguese Journal of Public Health","volume":"40 3","pages":"203"},"PeriodicalIF":0.0,"publicationDate":"2023-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11320094/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142523278","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}
P. Lisbon, Basel · Freiburg, •. Hartford, Oxford • Bangkok, •. Dubai, K. Lumpur., M. City, Moscow • New, Delhi • Paris, Shanghai • Tokyo, G. Almeida, Dulce Cruz, Rui Raimundo, N. Bocharova, Andreia Santos, Paulo Pereira, Hugo Folgado, A. Raimundo, A. Rodrigues, A. Gama, A. Londral, A. R. Pedro, E. Caldeira, P. Martins, Ana Rita, J. María, Helena Serra, B. Heleno, D. Lopes, D. Costa, E. Cruz, N. Mendonça, A. Henriques, J. Branco, H. Canhão, Luís Antunes, Gomes, D. Windt, Diogo Pires, V. Afreixo, C. Luz, Luís Paulo, Rodrigues, V. Lopes, R. Cordovil, M. Visser, T. Cederholm, A. Cruz-Jentoft, D. Volkert, G. Torbahn, C. Pereira, J. Bravo, F. Mendes, S. Oliveira-Martins, Miguel Lopes, A. Santos, A. Advinha, A. Moniz, S. Duarte, C. Caeiro, E. Cruz, C. Sousa, Tiago Silva, P. Coelho, Federico Guede, P. Dias, Carla Martins, E. Ribeiro, Ketlyn Oliveira, S. Viegas, Luís Mendonça-Galaio, E. Sacadura-Leite, A. I. Correia, J. S. Matias, J. Melo-Cristino, A. Sousa-Uva, João Almeida Santos, P. Soares, A. Leite, R. Duarte,
{"title":"3rd Annual Summit of the Comprehensive Health Research Centre (CHRC)","authors":"P. Lisbon, Basel · Freiburg, •. Hartford, Oxford • Bangkok, •. Dubai, K. Lumpur., M. City, Moscow • New, Delhi • Paris, Shanghai • Tokyo, G. Almeida, Dulce Cruz, Rui Raimundo, N. Bocharova, Andreia Santos, Paulo Pereira, Hugo Folgado, A. Raimundo, A. Rodrigues, A. Gama, A. Londral, A. R. Pedro, E. Caldeira, P. Martins, Ana Rita, J. María, Helena Serra, B. Heleno, D. Lopes, D. Costa, E. Cruz, N. Mendonça, A. Henriques, J. Branco, H. Canhão, Luís Antunes, Gomes, D. Windt, Diogo Pires, V. Afreixo, C. Luz, Luís Paulo, Rodrigues, V. Lopes, R. Cordovil, M. Visser, T. Cederholm, A. Cruz-Jentoft, D. Volkert, G. Torbahn, C. Pereira, J. Bravo, F. Mendes, S. Oliveira-Martins, Miguel Lopes, A. Santos, A. Advinha, A. Moniz, S. Duarte, C. Caeiro, E. Cruz, C. Sousa, Tiago Silva, P. Coelho, Federico Guede, P. Dias, Carla Martins, E. Ribeiro, Ketlyn Oliveira, S. Viegas, Luís Mendonça-Galaio, E. Sacadura-Leite, A. I. Correia, J. S. Matias, J. Melo-Cristino, A. Sousa-Uva, João Almeida Santos, P. Soares, A. Leite, R. Duarte,","doi":"10.1159/000530767","DOIUrl":"https://doi.org/10.1159/000530767","url":null,"abstract":"All the 47 abstracts are in manuscript attached in \"Documents\" section.","PeriodicalId":37244,"journal":{"name":"Portuguese Journal of Public Health","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"65303717","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":"Health Literacy Promotion in Complex Systems: A Paramount Paradigm when \"One-Size-Fits-All\" Is Not Enough.","authors":"Sónia Dias","doi":"10.1159/000527722","DOIUrl":"10.1159/000527722","url":null,"abstract":"","PeriodicalId":37244,"journal":{"name":"Portuguese Journal of Public Health","volume":"40 1","pages":"131-133"},"PeriodicalIF":0.0,"publicationDate":"2022-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11320066/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44348510","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}
{"title":"2nd Annual Summit of the Comprehensive Health Research Centre (CHRC)","authors":"Anonymous","doi":"10.1159/000527366","DOIUrl":"https://doi.org/10.1159/000527366","url":null,"abstract":"The Comprehensive Health Research Center (CHRC) Annual Summit is a meeting that aims to bring together CHRC researchers in a unique opportunity to debate ideas, and current projects, develop relationships and bonds and affirm the CHRC Research Unit as the transactional research unit, clinic, and public health. In this context, works produced by the different research groups, Ph.D. and Master's students, were also presented. The 2nd CHRC Annual Summit took place on two separate days. On November 18, 2021, online sessions were held due to public health restrictions related to the COVID-19 pandemic. The event's second day took place in person on May 13, 2022. On this day, 45 abstracts were presented after a double-blind review process performed by the event Scientific Committee. This Book of Abstracts integrates the 45 abstracts presented at the 2nd CHRC Annual Summit.","PeriodicalId":37244,"journal":{"name":"Portuguese Journal of Public Health","volume":"40 1","pages":"1 - 24"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44258441","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}
Inês Silva Costa, Madalena Meira Nisa, Lígia M Ferreira
{"title":"Online Search Patterns about Vaccination: A National Study.","authors":"Inês Silva Costa, Madalena Meira Nisa, Lígia M Ferreira","doi":"10.1159/000527150","DOIUrl":"10.1159/000527150","url":null,"abstract":"<p><strong>Introduction: </strong>Google Trends is an online metadata platform that measures the relative search volume of every topic in online search engines. In medical settings, this behavior has been associated with active changes in people's perceptions and search for healthcare. This study aimed to evaluate the online search patterns of Portuguese extra-program and risk-based vaccination.</p><p><strong>Methods: </strong>Analysis of the relative search volume was performed for extra-program and risk-based vaccines, in every Portuguese district between 2006 and 2021. Relative search volume was represented between 0 and 100 (highest interest in the query).</p><p><strong>Results: </strong>Rotavirus vaccine was consistently the most searched, followed by BCG and flu, the last of which, with abnormal peaks of search in November 2009 and October 2020. We registered a significant increase in the search for every vaccine in the last 5 years (<i>p</i> < 0.01). Particularly, during the COVID-19 pandemic, a more abrupt increase was registered for the flu vaccine, but most importantly for BCG (3,0[69,9] vs. 9,0[528,0]). Lisboa and Porto are the only Portuguese districts where percentual research is spread across all types of vaccines. On the other hand, in Portalegre, 84% of total searches correspond to BCG.</p><p><strong>Discussion and conclusion: </strong>The recent increase in the interest in vaccination may translate into the investment of health professionals in primary prevention measures. However, the mediatic impact of pandemics is not neglectable. Health professionals must fight misinformation as it may have happened with the increasing interest in BCG, probably due to the protective association proposed with the infection by SARS-CoV-2.</p>","PeriodicalId":37244,"journal":{"name":"Portuguese Journal of Public Health","volume":"40 1","pages":"134-139"},"PeriodicalIF":0.0,"publicationDate":"2022-11-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11320097/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41660336","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}
{"title":"A Systematic Review of Health Literacy Measurement Instruments in Portugal.","authors":"Ana Barros, Helena Santos, Filipe Santos-Silva","doi":"10.1159/000525890","DOIUrl":"10.1159/000525890","url":null,"abstract":"<p><strong>Introduction: </strong>Health literacy evaluation is considered a priority issue in the health literacy research field. The complexity of the multiple definitions of health literacy and the diversity of instruments to evaluate health literacy has become a challenge to the establishment of comparisons across different studies. This work aimed to provide a systematic literature review of the existing measurement instruments adapted or developed for different groups of the Portuguese population.</p><p><strong>Methods: </strong>A comprehensive search of digital databases was conducted to systematize and understand the available knowledge about health literacy measurement in Portugal and to identify assessment tools and studies developed. The selection process was based on PRISMA guidelines.</p><p><strong>Results: </strong>A total of 17 publications were analysed regarding different aspects, which resulted in the identification of 11 different instruments, that were adapted or developed to measure health literacy in different groups of the Portuguese population, mainly adults, adolescents, and young adults. Seven instruments focusing on general health literacy (including e-health), 2 on mental health literacy, and the other 2 on oral health literacy were identified.</p><p><strong>Discussion/conclusion: </strong>This study presents the first general overview of health literacy measurement in Portugal and clearly shows that to deepen our knowledge of health literacy in the Portuguese population it is essential to broaden the scope and the target of health literacy assessment to have a comprehensive understanding that will allow transforming our reality regarding health and disease.</p>","PeriodicalId":37244,"journal":{"name":"Portuguese Journal of Public Health","volume":"40 1","pages":"172-187"},"PeriodicalIF":0.0,"publicationDate":"2022-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11320107/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41578651","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}
{"title":"European Healthy Workplace Campaigns: Is Health and Safety at Work a Real Occupational Health and Safety Policy Concern or Just a Political Topic?","authors":"António Sousa-Uva, Florentino Serranheira","doi":"10.1159/000525788","DOIUrl":"10.1159/000525788","url":null,"abstract":"","PeriodicalId":37244,"journal":{"name":"Portuguese Journal of Public Health","volume":"40 1","pages":"59-60"},"PeriodicalIF":0.0,"publicationDate":"2022-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11320068/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47681526","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}