ENSP - Portuguese Journal of Public Health
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- Duration and efficiency of combined versus isolated aerobic training interventions in post-stroke cognition: a systematic reviewPublication . Maeneja, Reinaldo; Ferreira, Inês Saraiva; Abreu, Ana Maria
- What are the barriers to telerehabilitation in the treatment of musculoskeletal diseases?Publication . Franco, José Bassan; Maximino, Luciana Paula; Secchi, Leonardo Luiz Barretti; Antonelli, Bianca Caseiro; Blasca, Wanderleia Quinhoneiro
- COVID-19 pandemic and hospitalizations due to Abortion among 10- to 14-year-old girls in BrazilPublication . Nascimento, Maria Isabel do; Silva, Thalys Gabriel Rabelo; Nascimento, Victor Joshua de Aguiar Mello; Flores, Luis Patricio Ortiz; McBenedict, Billy
- Autism spectrum disorder association with socioeconomic and demographic factors: a case-control studyPublication . Bandeira, Laura Vicuña Santos; Alves, Fernanda Dias; Cezar, Ionara Aparecida Mendes; Oliveira, Steffany Lara Nunes; Oliveira, Ana Júlia Soares; Silva, Victor Bruno da; Nunes, Maria Silveira; Rezende, Luiz Fernando de; Silveira, Marise Fagundes
- Anemia in pregnancy: study phenomenologyPublication . Pasaribu, Rina Doriana; Aritonang, Evawany; Sudaryati, Etti; Zuska, Fikarwin
- Project management in public health: a systematic literature review on success criteria and factorsPublication . Santos, Carolina; Santos, Vitor; Tavares, António; Varajão, JoãoABSTRACT - Background: Success is a central concept in project management (PM), yet the literature is relatively extensive and generalist concerning topics related to PM success. Several metrics and factors that influence the success of a project are common to diverse industries, although there are also particularities. In the case of projects and programs developed by public health action, the focus is on protection of the health of specific target groups or populations, and many of them are concerned with survival issues. Summary: As the result of a systematic literature review, this paper identifies general project success criteria and success factors and describes specific evidence for the public health field. Key messages: The success of public health projects needs to be managed systematically and evaluated with a set of comprehensive success criteria.
- The demand for Hospital Emergency Services: trends during the first month of Covid-19 responsePublication . Santana, Rui; Sousa, Joana Santos; Soares, Patrícia; Lopes, Sílvia; Boto, Paulo; Rocha, João VictorABSTRACT - Introduction: Since December 2019, more than 925,000 cases of COVID-19 have been reported worldwide, 8,251 cases in Portugal by the end of March. Previous studies related to the SARS pandemic showed a decrease up to 80% in the emergency care episodes. Hence, the objective of this study is to analyze the use of emergency services during the first pandemic month, compared to historical records. Methods: Data from emergency episodes in mainland Portugal, from January 2014 to March 2020, were downloaded from the National Health Service (NHS) Transparency Portal and the NHS monitoring website. The evolution of emergency services from March to September 2020 was forecasted based on historical data from January 2014 to February 2020. Information for March 2020 was forecasted globally, by the Regional Health Administration (RHA) and Manchester Triage System (MTS). Results: Compared with forecasted values, there was a 48% reduction in the number of emergency episodes in March 2020. In the analysis by the RHA, Alentejo had the smallest decrease in the number of episodes; interestingly, Alentejo is also the area with fewer COVID- 19 cases in mainland Portugal. In the analysis by the MTS, the episodes classified as yellow showed the highest reduction (50%). For episodes classified as urgent, there is a difference of about 144,000 episodes during March 2020. Discussion: The results of this preliminary study are aligned with the evidence produced for previous pandemics. Data about the use of emergency services, demographic and clinical characteristics of the episodes would be relevant to analyze this reduction. Conclusion: There was a significant drop in the number of emergency service use in March 2020, and although the causes of this reduction are not determined, the association between the beginning of the pandemic and the reduction of demand is evident. Understanding this phenomenon is crucial to plan interventions to avoid unnecessary morbidities or deaths, caused by a delayed visit to the emergency department.
- Epidemic surveillance of Covid-19: considering uncertainty and under-ascertainmentPublication . Peixoto, Vasco Ricoca; Nunes, Carla; Abrantes, AlexandreABSTRACT - Epidemic surveillance is a fundamental part of public health practice. Addressing under-ascertainment of cases is relevant in most surveillance systems, especially in pandemics of new diseases with a large spectrum of clinical presentations as it may influence timings of policy implementation and public risk perception. From this perspective, this article presents and discusses early evidence on under-ascertainment of COVID-19 and its motifs, options for surveillance, and reflections around their importance to tailor public health measures. In the case of COVID-19, systematically addressing and estimating under-ascertainment of cases is essential to tailor timely public health measures, and communicating these findings is of the utmost importance for policy making and public perception.
- Osteopenia/osteoporosis and its association with sarcopenia: EpiFloripa Aging Study 2013/2014Publication . Confortin, Susana Cararo; Ono, Lariane Mortean; Marques, Larissa Pruner; Ceolin, Gilciane; d’Orsi, Eleonora; Barbosa, Aline RodriguesABSTRACT - Objective: To verify the association between sarcopenia and osteopenia/osteoporosis in the older population from Florianópolis, Southern Brazil. Methods: A cross-sectional study with 598 older adults. The bone mineral density (BMD) was evaluated by total BMD, lumbar spine BMD (LS-BMD), femoral neck BMD (FN-BMD), and osteopenia/osteoporosis was defined when BMD (g/cm2) <–1 standard deviation of the sample mean. Sarcopenia was identified by the appendicular muscle mass index (AMMI), by sex, when AMMI < 7.26 kg/ m2 for men and < 5.5 kg/m2 for women. Results: Of the 598 subjects (63–93 years) in the sample, 65.4% were women. The proportion of altered BMD was 52.1% for total BMD, 62.5% for LS-BMD, and 70.9% for FN-BMD in women, while for men, altered BMD proportion was 29.3% for total BMD, 24.5% for LS-BMD, and 64.9% for FN-BMD. After adjustments, sarcopenia was associated with increased odds of altered LSBMD (OR: 12.25; 95% CI: 3.66–40.96 and OR: 2.90; 95% CI: 1.30–6.48) and FN-BMD (OR: 5.59; 95% CI: 1.64–19.05 and OR: 7.95; 95% CI: 3.23–19.57), respectively for women and men. The association between sarcopenia and altered total BMD (OR: 11.08; 95% CI: 3.84–31.97) was observed only in women. Conclusion: The proportion of osteopenia/osteoporosis was higher in women. Sarcopenia was associated with osteopenia/ osteoporosis in the population from Florianópolis, except for total BMD in men.