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Sample records for portugal north health

  1. [Food and beverages available in automatic food dispensers in health care facilities of the Portugal North Health Region].

    Science.gov (United States)

    Rodrigues, Filipa Gomes; Ramos, Elisabete; Freitas, Mário; Neto, Maria

    2010-01-01

    Patients and health staff frequently need to stay in health care facilities for quite a long time. Therefore, it's necessary to create the conditions that allow the ingestion of food during those periods, namely through the existence of automatic food dispensers. However, the available food and beverages might not always be compatible with a healthy diet. The aim of this work was to evaluate if the food and beverages available in automatic food dispensers in public Ambulatory Care Facilities (ACF) and Hospitals of the Portugal North Health Region were contributing to a healthy diet, during the year of 2007. A questionnaire was elaborated and sent to the Coordinators of the Health Sub-Regions and to the Hospital Administrators. The questionnaire requested information about the existence of automatic food dispensers in the several departments of each health care facility, as well as which food and beverages were available and most sold. Afterwards, the pre-processing of the results involved the classification of the food and beverages in three categories: recommended, sometimes recommended and not recommended. The questionnaire reply ratio was 71% in ACF and 83% in Hospitals. Automatic food dispensers were available in all the Hospitals and 86.5% of ACF. It wasn't possible to acquire food in 37% of the health facility departments. These departments were all located in ACF. The more frequently available beverages in departments with automatic food dispensers were coffee, still water, tea, juices and nectars and soft drinks. Still water, coffee, yogurt, juices and nectars and soft drinks were reported as the most sold. The more frequently avaliable food items were chocolate, recommended cookies, not recommended cakes, recommended sandwiches and sometimes recommended croissants. The food items reported as being the most sold were recommended sandwiches, chocolate, recommended cookies, sometimes recommended croissants and not recommended cookies. The beverages in the

  2. Morphinofobia: the situation among the general population and health care professionals in North-Eastern Portugal

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    Rapin Charles-Henri

    2010-06-01

    Full Text Available Abstract Background Morphinofobia among the general population (GP and among health care professionals (HP is not without danger for the patients: it may lead to the inappropriate management of debilitating pain. The aim of our study was to explore among GP and HP the representation and attitudes concerning the use of morphine in health care. Methods A cross-sectional study was done among 412 HP (physicians and nurses of the 4 hospitals and 10 community health centers of Beira Interior (Portugaland among 193 persons of the GP randomly selected in public places. Opinions were collected through a translated self-administered questionnaire. Results A significant difference of opinion exists among GP and HP about the use of morphine. The word morphine first suggests drug to GP (36,2% and analgesia to HP (32,9%.. The reasons for not using morphine most frequently cited are: for GP morphine use means advanced disease (56%, risk of addiction (50%, legal requirements (49,7%; for HP it means legal risks (56,3% and adverse side effects of morphine such as somnolence - sedation (30,5% The socio-demographic situation was correlated with the opinions about the use of morphine. Conclusions False beliefs about the use of morphine exist among the studied groups. There seems to be a need for developing information campaigns on pain management and the use of morphine targeting. Better training and more information of HP might also be needed.

  3. Portugal.

    Science.gov (United States)

    Eckles, David; Toro, Leonor, Ed.

    Brief information is provided on the region, climate, agriculture and industry of 10 provinces in Portugal: Tras-os-Montes e Alto Douro, located in Portugal's northeastern region; Beira Alta, the province with Portugal's highest elevation point; Beira Baixa, one of Portugal's poorest regions; Beira Litoral, located in central Portugal along the…

  4. Health professionals moving to... and from Portugal.

    Science.gov (United States)

    Ribeiro, Joana Sousa; Conceição, Claudia; Pereira, Joel; Leone, Cláudia; Mendonça, Pedro; Temido, Marta; Vieira, Carlota Pacheco; Dussault, Gilles

    2014-02-01

    The mobility of health professionals in the European Union is a phenomenon which policy-makers must take into account to provide the conditions to adjust for demand and supply of health services. This paper presents the case of Portugal, a country which at the same time imports and exports health workers. Since the early 1990s Portugal became a destination country receiving foreign health care professionals. This situation is now changing with the current economic situation as fewer immigrants come and more Portuguese emigrate. Foreigners coming to Portugal do so in part for similar reasons that bring Portuguese to want to emigrate, mainly the search for better work conditions and professional development opportunities. The emigration of Portuguese health professionals is also stimulated by the difficulty for recently graduated nurses, dentists and diagnostic and therapeutic technicians to find employment, low salaries in the public and private sectors, heavy workloads, remuneration not related to performance and poor career prospects. The paradoxes described in this study illustrate the consequences of the absence of a policy for the health professions. Strategies based on evidence, and on an integrated information system that captures the dynamic evolution of the workforce in health are not only necessary but also a good investment. Copyright © 2013 Elsevier Ireland Ltd. All rights reserved.

  5. Portugal

    International Nuclear Information System (INIS)

    2001-03-01

    This short report summarizes the main lines of the energy policy of Portugal. It presents the main energy companies and utilities (EDP, CPPE, REN, Petrogal, GDP, Galp SGPS) of the country, the energy supplies (resources, electricity, petroleum, coal, natural gas), the prices and pricing policy, the global energy consumption per sector, the stakes and perspectives of the energy market (forecasts, contracts). (J.S.)

  6. Prevalence of antibodies to Leishmania infantum and Toxoplasma gondii in horses from the north of Portugal

    Science.gov (United States)

    Background Leishmania infantum and Toxoplasma gondii are protozoa with zoonotic and economic importance. Prevalences of antibodies to these agents were assessed in 173 horses from the north of Portugal. Findings Antibodies to L. infantum were detected by the direct agglutination test (DAT); seven (...

  7. Prevalence of antibodies to Leishmania infantum and Toxoplasma gondii in horses from the north of Portugal

    NARCIS (Netherlands)

    Lopes, Ana Patrícia; Sousa, Susana; Dubey, Jp; Ribeiro, Ana J.; Silvestre, Ricardo; Cotovio, Mário; Schallig, Henk Dfh; Cardoso, Luís; Cordeiro-da-Silva, Anabela

    2013-01-01

    Leishmania infantum and Toxoplasma gondii are protozoa with zoonotic and economic importance. Prevalences of antibodies to these agents were assessed in 173 horses from the north of Portugal. Antibodies to L. infantum were detected by the direct agglutination test (DAT); seven (4.0%) horses were

  8. Pattern of alcohol consumption by young people from North Eastern Portugal

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    Gonçalves Isabel Amorim

    2017-12-01

    Full Text Available Alcohol is the most used psychoactive substance among adolescents, is an important public health problem and a major risk factor for the health of this group. This study is regarding to the pattern of alcohol consumption by adolescents. Descriptive, correlational and cross-sectional study, with a sample of 378 adolescents, which are attending three high schools, in north-eastern Portugal. In the data collection we used a questionnaire. Data was analysed using SPSS. The prevalence of alcohol is 86.8%. The mean score of Alcohol Use Disorders Identification Test (AUDIT was 3.53±4.525 points. The vast majority of participants were located in the non-excessive alcohol consumption area (91.3%. The pattern of alcohol consumption differs significantly between gender (Wald: p ≤ 0,004 and the religious practice (Wald: p ≤ 0,027, with greater percentage of boys and students who did not practice any religion in excessive consumers. The prevalence of alcohol consumers is high. The proportion of young people with excessive consumption in our sample is lower than in other studies, but shows that there is a group of adolescents in excessive consumption. It found a relationship between consumption pattern, gender and religious practice. These results justify the development of public health interventions.

  9. Pilot monitoring study of ibuprofen in surface waters of north of Portugal

    OpenAIRE

    Paíga, Paula; Santos, Lúcia; Amorim, Célia G.; Araújo, Alberto N.; Montenegro, M. Conceição B. S. M.; Pena, Angelina; Delerue-Matos, Cristina

    2013-01-01

    Ibuprofen is amongst the most worldwide consumed pharmaceuticals. The present work presents the first data in the occurrence of ibuprofen in Portuguese surface waters, focusing in the north area of the country, which is one of the most densely populated areas of Portugal. Analysis of ibuprofen is based on pre-concentration of the analyte with solid phase extraction and subsequent determination with liquid chromatography coupled to fluorescence detection. A total of 42 ...

  10. Forest Owners’ Organizations in North and Central Portugal – Assessment of Success

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    Diana Feliciano

    2011-06-01

    Full Text Available Background and Purpose: The emergence of forest owners’ organizations (FOOs in Portugal occurred in the 1990s. Fifteen years later there were 173 FOOs providing services to the private forest owners and also to the whole of society. This study aims to evaluate the success of FOOs in increasing their membership and the quantity of services provided. Material and Methods: Eight FOOs from the North and Central Portugal were chosen as case studies. Quantitative data on membership numbers and number of services provided by the eight case studies were collected from the archives of FORESTIS or directly at the FOOs headquarters. Qualitative data from newsletters, annual reports, local newspapers and letters were also collected to be further analysed. Secondary data collected cover a period of ten years (1994-2005. In addition, eight interviews to members of staff or FOOs directors were conducted in 2005. It was hypothesised that the number of members and the quantity of services provided may be interrelated and that the turnover of staff and their productivity influence the success of FOOs in increasing their membership and providing technical advice services. Results and Conclusion: The study showed that although most FOOs were successful in making their membership grow, there were big differences in the number of members, in the forest area covered by them and in the quantity of services provided. It was concluded that human capital, financial capital and path dependence were the factors that most constrained the success FOOs in North and Central Portugal.

  11. Retinoblastoma: experience of a referral center in the North Region of Portugal

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    Rocha-Bastos R

    2014-05-01

    Full Text Available RA da Rocha-Bastos,1 JR Araújo,1 RS Silva,2 MJ Gil-da-Costa,2 E Brandão,1 NJ Farinha,2,3 F Falcão-Reis,1,4 T Dinah-Bragança1 1Department of Ophthalmology, Hospital São João, 2Hematology and Oncology Unit, Pediatric Hospital, Hospital São João, 3Pediatrics Department, Faculty of Medicine, University of Porto, 4Department of Sense Organs, Faculty of Medicine, University of Porto, Porto, Portugal Purpose: To describe the experience of the Ophthalmology Department of Hospital São João (HSJ, a tertiary health care center in North Region, Portugal, in terms of the diagnosis, treatment, and follow-up of retinoblastoma. Methods: This was a retrospective study of patients diagnosed with retinoblastoma in Hospital São João, between 1978 and 2012. Results: Fifty patients with retinoblastoma were evaluated in our institution between 1978 and 2012. Four patients were excluded due to loss of follow-up. Among the 46 retinoblastoma cases, 33 (71.7% were unilateral and 13 (28.3% bilateral, with a mean age at diagnosis of 22.19 months and 6.92 months, respectively (P<0.001. Leukocoria was the most common presenting sign (36.9%, followed by strabismus (19.6%, a combination of leukocoria and strabismus (8.7%, and buphthalmia (2.2%. Between 1978 and 1992, nine retinoblastoma cases were referred to our hospital, all of them unilateral, and, in each case, enucleation was performed, with or without salvage therapy. Between 1993 and 2012, 18 eyes with retinoblastoma were successfully managed with conservative treatment. Conclusion: Demographic results were generally coincident with previous reports. It is crucial to screen leukocoria in pediatric practice, even in asymptomatic children. The outcome of retinoblastoma treatment in our hospital is similar to other series in developed countries. Keywords: retinoblastoma, leukocoria, strabismus, enucleation, pediatric cancer

  12. [Organizational commitment and job satisfaction: an exploratory study in family health units in Portugal].

    Science.gov (United States)

    Pereira, Isabel; Veloso, Ana; Silva, Isabel Soares; Costa, Patricio

    2017-05-18

    This study explored the relationship between organizational commitment and job satisfaction among workers in family health units. Six family health units in the North of Portugal participated, including 105 health professionals (physicians, nurses, and clinical secretaries). The study used the Portuguese adaptations of the Organizational Commitment Scale by Meyer & Allen (1997) and the Job Satisfaction Survey (Spector, 1985). The results suggest a positive association between organizational commitment and job satisfaction. The professionals are moderately satisfied and committed to the family health units; the most satisfactory aspects are the nature of the work, relationship to coworkers, and communication, while pay is the most unsatisfactory. The affective component of the commitment appears, highlighting the professionals' involvement in (and identification with) the family health units project. The linear regression model proved significant, and organizational commitment explains 22.7% of the variance in job satisfaction. For this sample, organizational commitment predicts job satisfaction.

  13. [Disciplinary Actions in Gynecology and Obstetrics in the North of Portugal from Year 2008 to 2012].

    Science.gov (United States)

    Silva, Francisco; Rodrigues E Rodrigues, Manuel; Bernardes, João

    2015-01-01

    Disciplinary actions may have a significant impact in medical doctors' and patients' lives. The objective of this study was the assessment of the disciplinary actions in Obstetrics and Gynecology that occurred in the north of Portugal in years 2008 to 2012. Retrospective descriptive study based on the anonymized data contained in the annual activity reports of Conselho Disciplinar da Seção Regional Norte da Ordem dos Médicos from 2008 to 2012. We calculated the proportion of disciplinary actions in Obstetrics and Gynaecology over the total number of registered specialists in that speciality. We also analysed the type of complainers, accused, institutions, complaints and decisions. For statistical inference proportions with 95% confidence intervals were estimated. From years 2008 to 2012, we registered 1040 complaints in all medical specialities in the north of Portugal. Obstetrics and Gynecology was the forth most affected specialty, with a total of 54 complaints. Forty-three complaints were related with medical malpractice and if we only consider this type of complaint Obstetrics and Gynecology was the most affected specialty. The most frequent complainers and accused were, respectively, patients themselves and female physicians, with 41 to 60 years of age. Fifty-two complaints were archived without punishment while two still await conclusion. The overall results of this study are in agreement with those reported by other authors. Obstetrics and Gynecology was the forth speciality with highest risk for any disciplinary action in the north of Portugal in years 2008 to 2012 and the first one in relation with alleged negligence. All presented and already concluded complaints were archived without penalty, except two that are still under evaluation.

  14. Portugal; Portugal

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2001-03-01

    This short report summarizes the main lines of the energy policy of Portugal. It presents the main energy companies and utilities (EDP, CPPE, REN, Petrogal, GDP, Galp SGPS) of the country, the energy supplies (resources, electricity, petroleum, coal, natural gas), the prices and pricing policy, the global energy consumption per sector, the stakes and perspectives of the energy market (forecasts, contracts). (J.S.)

  15. Health care to immigrant and Portuguese pregnant women in Portugal

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    Emília de Carvalho Coutinho

    2014-12-01

    Full Text Available This study aimed to assess the care received and the barriers faced by immigrants and Portuguese pregnant women in Portugal. This is an exploratory qualitative study, resorting to applying semi-structured interviews to 60 immigrant and 22 Portuguese women. Content analysis supported by QSR Nvivo10 program was used. The study was approved by an Ethics Committee. The results showed four categories related to affective dimensions-relational, cognitive, technical-instrumental and health care policy for pregnant women. As for the barriers in health care, these were mentioned by some of the expectant mothers, especially immigrant women. Almost all, both immigrant and Portuguese, pregnant women were satisfied with the health care.

  16. Pilot monitoring study of ibuprofen in surface waters of north of Portugal.

    Science.gov (United States)

    Paíga, Paula; Santos, Lúcia H M L M; Amorim, Célia G; Araújo, Alberto N; Montenegro, M Conceição B S M; Pena, Angelina; Delerue-Matos, Cristina

    2013-04-01

    Ibuprofen is amongst the most worldwide consumed pharmaceuticals. The present work presents the first data in the occurrence of ibuprofen in Portuguese surface waters, focusing in the north area of the country, which is one of the most densely populated areas of Portugal. Analysis of ibuprofen is based on pre-concentration of the analyte with solid phase extraction and subsequent determination with liquid chromatography coupled to fluorescence detection. A total of 42 water samples, including surface waters, landfill leachates, Wastewater Treatment Plant (WWTP), and hospital effluents, were analyzed in order to evaluate the occurrence of ibuprofen in the north of Portugal. In general, the highest concentrations were found in the river mouths and in the estuarine zone. The maximum concentrations found were 48,720 ng L(-1) in the landfill leachate, 3,868 ng L(-1) in hospital effluent, 616 ng L(-1) in WWTP effluent, and 723 ng L(-1) in surface waters (Lima river). Environmental risk assessment was evaluated and at the measured concentrations only landfill leachates reveal potential ecotoxicological risk for aquatic organisms. Owing to a high consumption rate of ibuprofen among Portuguese population, as prescribed and non-prescribed medicine, the importance of hospitals, WWTPs, and landfills as sources of entrance of pharmaceuticals in the environment was pointed out. Landfill leachates showed the highest contribution for ibuprofen mass loading into surface waters. On the basis of our findings, more studies are needed as an attempt to assess more vulnerable areas.

  17. Cross-border mobility of workers between Galicia and north of Portugal

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    Jorge Falagán Mota

    2013-07-01

    Full Text Available In this paper we deal with cross-border flows of people within the Euroregion Galicia-North of Portugal, paying particular attention to those led by workers. Based on data for daily mobility between the places of residence and work (commuters, it can be defined, within this territory, the so-called Polycentric Urban Regions (PUR of Vigo and Porto. These regions should constitute significant referents of cross-border mobility, whose importance we begin to realize by estimating the movement of passengers across border crossings linking the south of Galicia and the north of Portugal. In this context, given the non-existence of official statistics, the reports prepared by the Eures Galicia/Região Norte office provide relevant information about the flow of cross-border workers in the area, which we have complemented by conducting two surveys directed, respectively, to involved workers and companies, and data from a recent study on labour mobility in the Euroregion. The evidence demonstrates the quantitative importance achieved in the territory analyzed by this interesting phenomenon of cross-border work and allows a description of its characteristics that shows the difficulties faced by the process of construction of a European labor market.

  18. FAMILY HEALTH MANAGEMENT AND POVERTY IN AN ECONOMIC RECESSION PERIOD IN PORTUGAL

    OpenAIRE

    Carvalho, Ana Branca; Oliveira, Ivo; Nogueira, Fernanda

    2015-01-01

    Abstract: The main purpose of this article, in the management and health, was to assess the contribution of family health and its role in local development in the context of economic recession and worsening poverty in Portugal. Material and Methods. Data were collected through the questionnaire, 1021 individuals were inquired in Portugal, with statistical treatment through inferential analysis, factorial and regression. They were asked to participate voluntarily in writing through email pa...

  19. PHOTOCHEMICAL AIR POLLUTION IN THE NORTH OF PORTUGAL: A HIGH TROPOSHERIC OZONE EPISODE

    Science.gov (United States)

    Monteiro, A.; Carvalho, A.; Tchepel, O.; Ferreira, J.; Martins, H.; Miranda, A.; Borrego, C.; Saavedra, S.; Rodríguez, A.; Souto, J. A.

    2009-12-01

    Very high concentrations of ozone are continuously measured at the monitoring station at Lamas d’Olo, located at the North of Portugal,. A particular high photochemical episode occurred between 11 and 13 of July 2005, registering ozone hourly maximum values above 350 µg.m-3. This ozone-rich episode is investigated in this paper, in order to identify its origin and formation. Besides the analysis of both meteorological and air quality monitoring datasets, a numerical modelling approach, based on MM5-CAMx system, was used to simulate the dispersion and transport (horizontal and vertical) of the photochemical pollutants and its precursors. A cross spectrum analysis of the meteorological and air quality time series was performed, in the frequency domain, to establish the relationships between ozone data measured at Lamas d’Olo with air quality data from neighbourhood stations and meteorological parameters. Results point out different behaviour/contribution between the analysed sites. Moreover, different contributions of the u and v wind component on the ozone concentration fluctuations were found suggesting the presence a mountain breeze circulation and a north synoptic transport. The preliminary modelling results pointed out that the vertical transport of pollutants are responsible for the measured high concentrations, combined with particular meteorological conditions, related to the planetary boundary layer (PBL) development. The pollutants transported and existent at high vertical levels are captured/trapped when the PBL height reaches its daily maximum, and extremely high ozone ground level concentrations are consequently measured.

  20. GIS-based hazard and risk maps of the Douro river basin (north-eastern Portugal

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    José Gomes Santos

    2015-02-01

    Full Text Available The Douro river basin, in north-eastern Portugal, is a very complex region in terms of its geomorphological structure and morphodynamics. More specifically, the region – the Port Wine-growing region, a UNESCO heritage site – is a landslide-prone area resulting from several factors intrinsic to the bedrock and its detritic cover, combined with factors capable of triggering slope instability mechanisms, such as intense rainfall and human activities. Recently, due to intense rainfall and human activities, frequent rock and mud slides occurred, some of them catastrophic, killing people and damaging property. In the last decade (2000–2010, an accurate inventory of these catastrophic events was made, showing that these events occurred near local small towns, Peso da Régua (2001, Armamar (2003 and Carrazeda de Ansiães (2007. In this paper, we present a case study using field data and Geographic Information Systems (GIS tools to evaluate landslide hazard and risk assessment following multicriteria evaluation techniques.

  1. Soil versus lichen analysis on elemental dispersion studies (north of Portugal)

    International Nuclear Information System (INIS)

    Prudencio, M.I.; Gouveia, M.A.; Freitas, M.C.; Chaves, L.; Marques, A.P.

    2000-01-01

    Chemical elements contents in topsoil and lichens sampled at regular intervals in the north of Portugal were obtained by using both comparative and k 0 methods of instrumental neutron activation analysis. The topsoil chemical composition was studied in an attempt to discriminate between natural background and anthropogenic inputs, as well as to eliminate the influence of soil on the lichen composition. Topsoil maps revealed the existence of areas with anomalous concentrations due: (1) to natural causes (inherited from the initial rock) especially Cr in Tras-os-Montes and (2) anthropogenic influence, namely Aveiro-Estarreja area for Cr and Co associated to high values of Fe. Br contents in topsoil decrease from the coast to the interior explained by the sea influence (wet deposition). Exceptional concentration values of As, Zn, and W were found in one particular topsoil (Nogueira do Cravo), probably due to aerial inputs originated in mining activities. The enrichment factors (E.F.) in Parmelia sulcata relative to topsoil clearly showed that lichens are fingerprints of atmospheric pollution, especially for Cr, Zn, As, Br, Sb, and W. The following areas with anomalous E.F. in lichens were detected: (1) Viana do Castelo - Braga for Cr, Sb, (Zn and Br), (2) Tras-os-Montes for Br, (3) Porto for As and Zn, and (4) Aveiro-Estarreja for As, Cr, Sb, and W. Identification of industrial pollution sources was possible. (author)

  2. Shallow and deep landslides induced by rainfall in the Lisbon region (Portugal: assessment of relationships with the North Atlantic Oscillation

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    J. L. Zêzere

    2005-01-01

    Full Text Available The aim of this study is to assess the impact of the North Atlantic Oscillation (NAO on both the winter precipitation and the temporal occurrence of different landslide types in Portugal. The analysis is applied to five sample areas located just north of Lisbon, the capital of Portugal. These sites are particularly relevant because actual dates of most of the recent landslide events are known but also because the landslides occurred in a suburban area with growing urbanization pressure. Results show that the large inter-annual variability of winter precipitation observed in western Iberia, i.e. Portugal and parts of Spain, is largely modulated by the NAO mode. In particular, precipitation falling in Portugal between November and March presents a correlation coefficient of R=–0.66 with the NAO index. Precipitation distribution for the reference rain gauge in the study area reveals that the probability of a wet month to occur is much higher for low NAO index composites than for the corresponding high NAO index composite. It is shown that this control, exerted by NAO on the precipitation regime, is related to corresponding changes in the associated activity of North-Atlantic storm tracks that affect the western Iberia. Landslide activity in the study area is related to both intense, short duration precipitation events (1–15 days and long-lasting rainfall episodes (1–3 months. The former events trigger shallow translational slides while the later episodes are usually associated with deeper and larger slope movements. This second group of landslides is shown to be statistically associated with the 3-month average of the NAO index.

  3. The Policy Gap. Global Mental Health in a Semi-Peripheral Country (Portugal, 1998-2016

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    Tiago Pires Marques

    2017-07-01

    Full Text Available This paper analyzes the impact of the hegemonic paradigm of global mental health (GMH on Portugal. We specifically argue that GMH in Portugal has effected a change of priorities in health policies, favoring the prevention and treatment of common mental disorders to the detriment of the deinstitutionalizing process. Diffused through the media, this model has negative effects, such as the medicalization of social suffering, the reorganization of mental health policy areas according to utilitarian criteria, and the risk of greater invisibility of users with serious psychiatric diagnoses. However, the GMH approach, bringing to the frontline the impact of all social policies on mental health, represents a new opportunity to politically address social suffering. Characterized as a semi-peripheral country, Portugal may be representative of observable trends in similar countries.

  4. Salud y Seguridad del Trabajo en Portugal: apuntes diversos Some annotations about Occupational Health and Safety in Portugal

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    António de Sousa Uva

    2009-03-01

    Full Text Available El autor aborda algunos aspectos relativos a la Salud y Seguridad del Trabajo (SST en Portugal llamando la atención para, esencialmente, intentar sostener la tesis de que, desde mediados de la década de los 90, se observaron importantes avances en la mejoría de las condiciones del trabajo en la perspectiva de la SST, aunque se mantuvieron algunos problemas en la práctica concreta de las normativas legales. Incluso con estas mejoras, las tasas de frecuencia de accidentes de trabajo y de enfermedades profesionales en Portugal todavía se mantienen muy elevadas necesitando, por tanto, estrategias más "agresivas" para concienciar la sociedad portuguesa en torno a las políticas públicas de SST efectivamente promotoras de prevención de riesgos profesionales y de la promoción de la salud de quien trabaja. Es por tanto indispensable que la protección de la salud y de la seguridad de los trabajadores en los puestos de trabajo sea encarada como un conjunto de actividades de indiscutible utilidad para todos los representantes del mundo del trabajo e que la agenda política pase a valorizar, aún más, la promoción de espacios de trabajo saludables y seguros, con la consecuente valorización de las variables individuales en la estrategia nacional de salud y seguridad.In the present work, the author analyzes several aspects of Occupational Health and Safety (OHS in Portugal. He provides evidence sustaining the assumption of an important progress, since the mid-nineties, in the improvement of the working conditions from an OHS perspective. Nevertheless, several problems still remain in the practical application of legal regulations. In addition, despite of these improvements, the frequency rates of working accidents and occupational diseases remain very high. Hence, more "aggressive" strategies are required to increase the awareness of the Portuguese society relative to the OHS public policies, whose effectiveness has been demonstrated either in

  5. Cancer incidence predictions in the North of Portugal: keeping population-based cancer registration up to date.

    Science.gov (United States)

    Castro, Clara; Antunes, Luís; Lunet, Nuno; Bento, Maria José

    2016-09-01

    Decision making towards cancer prevention and control requires monitoring of trends in cancer incidence and accurate estimation of its burden in different settings. We aimed to estimate the number of incident cases in northern Portugal for 2015 and 2020 (all cancers except nonmelanoma skin and for the 15 most frequent tumours). Cancer cases diagnosed in 1994-2009 were collected by the North Region Cancer Registry of Portugal (RORENO) and corresponding population figures were obtained from Statistics Portugal. JoinPoint regression was used to analyse incidence trends. Population projections until 2020 were derived by RORENO. Predictions were performed using the Poisson regression models proposed by Dyba and Hakulinen. The number of incident cases is expected to increase by 18.7% in 2015 and by 37.6% in 2020, with lower increments among men than among women. For most cancers considered, the number of cases will keep rising up to 2020, although decreasing trends of age-standardized rates are expected for some tumours. Cervix was the only cancer with a decreasing number of incident cases in the entire period. Thyroid and lung cancers were among those with the steepest increases in the number of incident cases expected for 2020, especially among women. In 2020, the top five cancers are expected to account for 82 and 62% of all cases diagnosed in men and women, respectively. This study contributes to a broader understanding of cancer burden in the north of Portugal and provides the basis for keeping population-based incidence estimates up to date.

  6. Book of Abstracts of the International Conference “Sustainable Health and Wellness Destinations” - Chaves (Portugal), 13-15/10/2011

    OpenAIRE

    Joukes, Veronique; Lourenço-Gomes, Lina; Marta-Costa, Alexandra

    2011-01-01

    Abstracts and Program of the International Conference “Sustainable Health and Wellness Destinations” Resumos e programa da Conferência Internacional “Destinos de saúde e bem-estar sustentáveis” From the beginning, the organising committee invested a lot of energy in networking, as it was its intention to strengthen relationships between the most diverse stakeholders of the medical and wellness tourism sector in the euroregion Galicia-North of Portugal. Therefore, the list of partn...

  7. [Scientific Research Policy for Health in Portugal: II - Facts and Suggestions].

    Science.gov (United States)

    Guerreiro, Cátia Sá; Hartz, Zulmira; Sambo, Luís; Conceição, Cláudia; Dussault, Gilles; Russo, Giuliano; Viveiros, Miguel; Silveira, Henrique; Pita Barros, Pedro; Ferrinho, Paulo

    2017-03-31

    After more than 40 years of democracy and 30 years of European integration, Portugal has bridged the research gap it had previously. However, when compared to global and European research policies, Portugal still has a long way go regarding investment in research and development. Health Research in Portugal has been managed by the Fundação para a Ciência e Tecnologia and the National Health Institute Doctor Ricardo Jorge, and it has not been a political priority, emphasized by the absence of a national scientific research plan for health, resulting in a weak coordination of actors in the field. The strategic guidelines of the 2004 - 2010 National Health Plan are what comes closest to a health research policy, but these were not implemented by the institutions responsible for scientific research for the health sector. Trusting that adopting a strategy of incentives to stimulate health research is an added-value for the Portuguese health system, the authors present five strategic proposals for research in health in Portugal.

  8. Cation export by overland flow in a recently burnt forest area in north-central Portugal.

    Science.gov (United States)

    Machado, A I; Serpa, D; Ferreira, R V; Rodríguez-Blanco, M L; Pinto, R; Nunes, M I; Cerqueira, M A; Keizer, J J

    2015-08-15

    The current fire regime in the Mediterranean Basin constitutes a serious threat to natural ecosystems because it drastically enhances surface runoff and soil erosion in the affected areas. Besides soil particles themselves, soil cations can be lost by fire-enhanced overland flow, increasing the risk of fertility loss of the typically shallow and nutrient poor Mediterranean soils. Although the importance of cations for land-use sustainability is widely recognized, cation losses by post-fire runoff have received little research attention. The present study aimed to address this research gap by assessing total exports of Na(+), K(+), Ca(2+) and Mg(2+) in a recently burnt forest area in north-central Portugal. These exports were compared for two types of planted forest (eucalypt vs. maritime pine plantations), two types of parent materials (schist vs. granite) and for two spatial scales (micro-plot vs. hill slope). The study sites were a eucalypt plantation on granite (BEG), a eucalypt plantation on schist (BES) and a maritime pine plantation on schist (BPS). Overland flow samples were collected during the first six months after the wildfire. Cation losses differed strikingly between the two forest types on schist, being higher at the eucalypt than pine site. This difference was evident at both spatial scales, and probably due to the extensive cover of a needle cast from the scorched pine crowns. The role of parent material in cation export was less straightforward as it varied with spatial scale. Cation losses were higher for the eucalypt plantation on schist than for that on granite at the micro-plot scale, whereas the reverse was observed at the hill slope scale. Finally, cation yields were higher at the micro-plot than slope scale, in agreement with the general notion of scaling-effect in runoff generation. Copyright © 2015 Elsevier B.V. All rights reserved.

  9. Case study feasibility analysis of the Pelamis wave energy convertor in Ireland, Portugal and North America

    International Nuclear Information System (INIS)

    Dalton, G.J.; Alcorn, R.; Lewis, T.

    2010-01-01

    The performance and economic viability of the Pelamis wave energy converter (WEC) has been investigated over a 20 year project time period using 2007 wave energy data from various global locations: Ireland, Portugal, USA and Canada. Previous reports assessing the Pelamis quote a disparate range of financial returns for the Pelamis, necessitating a comparative standardised assessment of wave energy economic indicators. An Excel model (NAVITAS) was created for this purpose which estimated the annual energy output of Pelamis for each location using wave height (H s ) and period (T z ) data, and produced financial results dependant on various input parameters. The economic indicators used for the analysis were cost of electricity (COE), net present value (NPV) and internal rate of return (IRR), modelled at a tariff rate of EUR0.20/kWh. Analysis of the wave energy data showed that the highest annual energy output (AEO) and capacity for the Pelamis was the Irish site, as expected. Portugal returned lower AOE similar to the lesser North American sites. Monthly energy output was highest in the winter, and was particularly evident in the Irish location. Moreover, the difference between the winter wave energy input and the Pelamis energy output for Ireland was also significant as indicated by the capture width, suggesting that Pelamis design was not efficiently capturing all the wave energy states present during that period. Modelling of COE for the various case study locations showed large variation in returns, depending on the number of WEC modelled and the initial cost input and learning curve. COE was highest when modelling single WEC in comparison to multiples, as well as when using 2004 initial costs in comparison to 2008 costs (at which time price of materials peaked). Ireland returned the lowest COE of EUR0.05/kWh modelling over 100 WEC at 2004 cost of materials, and EUR0.15/kWh at 2008 prices. Although favourable COE were recorded from some of the modelled scenarios

  10. Migration, Quality of Life And Health of Brazilian Immigrants in Portugal

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    Eliany Nazaré Oliveira

    2017-05-01

    Full Text Available Background: Immigrants face many challenges when settling in a foreign country, numerous factors influence this immigrant experience including the resources they bring with them and those they find in the host society. The literature has indicated that a significant number of individuals migrate in search of a better quality of life. In this context, the objective of the study was to analyze the quality of life and health of Brazilian immigrants living in Portugal, using the "Medical Outcomes Study: 36-Item Short Form Survey" (SF-36. Methods and Results: A cross-sectional study with a quantitative approach developed under the project titled: Health status and quality of life of Brazilian immigrants in Portugal conducted in the first half of 2016, with 682 Brazilian immigrant women over 18 living in Portugal. This study adopted as reference SF-36, a generic instrument for the evaluation of Quality of Life. It can be affirmed that the quality of life and health of Brazilian immigrants living in Portugal is good, since all dimensions presented values above 50%. It was evidenced that Brazilian immigrants who live alone have lower levels of quality of life and health than those who live with someone and, that Brazilian immigrants who are unemployed, have low levels of quality of life and health compared to those who are in another employment situation, and Brazilian immigrants entering the labor market with a workload of more than 40 hours per week present similar levels of quality of life and health compared to those who work fewer hours. Conclusion: In general, one can affirm that the quality of life and health of Brazilian immigrants living in Portugal is good, but due to the particularities of the migration process in the current political and international context, a systematic monitoring of living conditions and health of this population is necessary. Keywords: Emigrants and Immigrants; Quality of life; Women, Mental health

  11. Particulate Matter and Health Risk under a Changing Climate: Assessment for Portugal

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    Daniela Dias

    2012-01-01

    Full Text Available The potential impacts of climate-induced changes in air pollution levels and its impacts on population health were investigated. The IPCC scenario (SRES A2 was used to analyse the effects of climate on future PM10 concentrations over Portugal and their impact on short-term population exposure and mortality. The air quality modelling system has been applied with high spatial resolution looking on climate changes at regional scale. To quantify health impacts related to air pollution changes, the WHO methodology for health impact assessment was implemented. The results point to 8% increase of premature mortality attributed to future PM10 levels in Portugal. The pollution episodes with daily average PM10 concentration above the current legislated value (50 μg·m−3 would be responsible for 81% of attributable cases. The absolute number of deaths attributable to PM10 under future climate emphasizes the importance of indirect effects of climate change on human health.

  12. Tuberculose ativa entre profissionais de saúde em Portugal Active tuberculosis among health care workers in Portugal

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    José Castela Torres da Costa

    2011-10-01

    Full Text Available OBJETIVO: Determinar a incidência de tuberculose (TB ativa em uma coorte de profissionais de saúde (PS. MÉTODOS: Estudo descritivo dos casos de TB ativa identificados entre 2005 e 2010 no rastreio de medicina do trabalho efetuado em 6.112 PS. Casos de TB ativa foram definidos como aqueles com identificação de Mycobacterium tuberculosis por microscopia direta ou cultura; aqueles com sintomas ou sinais clínicos de TB e granuloma necrotizante, detectado por histologia; e aqueles com achados radiológicos consistentes com TB ativa. RESULTADOS: Dos 6.112 PS avaliados, houve 62 casos de TB ativa (TB pulmonar, em 43; TB pleural, em 15; TB ganglionar, em 2; TB do pericárdio, em 1; TB cutânea, em 1. Sete PS estavam assintomáticos no momento do diagnóstico. Dos 62 casos de TB ativa, a doença ocorreu nos primeiros 10 anos de exposição ocupacional em 48 e nos primeiros 5 anos em 36. A maioria dos casos verificou-se em médicos e enfermeiros (22 e 21, respectivamente. CONCLUSÕES: O impacto da TB em PS em Portugal é elevado. Os médicos e enfermeiros são os PS com o maior risco de desenvolver TB ativa. Tal como relatado em estudos prévios, parece haver um risco mais elevado de desenvolver essa doença nos primeiros anos de exposição. Em países de elevada incidência, o rastreio de TB nos PS é importante no controle da transmissão dessa doença.OBJECTIVE: To determine the incidence of active tuberculosis (TB in a cohort of health care workers (HCWs. METHODS: Descriptive study of active TB cases identified in an occupational health screening of 6,112 HCWs between 2005 and 2010. Cases of active TB were defined as those in which Mycobacterium tuberculosis was identified by direct microscopy or culture; those in which there were symptoms or clinical signs of TB and necrotizing granuloma, as detected by histology; and those in which the radiological findings were consistent with active TB. RESULTS: Among the 6,112 HCWs evaluated, we identified

  13. Domestic water uses: characterization of daily cycles in the north region of Portugal.

    Science.gov (United States)

    Matos, Cristina; Teixeira, Carlos A; Duarte, A A L S; Bentes, I

    2013-08-01

    Nowadays, there is an increasing discussion among specialists about water use efficiency and the best measures to improve it. In Portugal, there have been a few attempts to expand the implementation of in situ water reuse projects. However, there is a lack of information about indoor water uses and how they are influenced by sociodemographic characteristics. There are several studies that investigate per capita global water usage, but the partitioning of this volume per domestic device and daily cycles is yet unknown. Identified as one of the key questions in sustainable building design, the water end-use is of primary importance to the design of hydraulic networks in buildings. In order to overcome this lack, a quantitative characterization of daily water uses for each domestic device was performed, based on a weekly monitoring program in fifty-two different dwellings in the northern region of Portugal (Vila Real, Valpaços and Oporto). For forty of them, each water usage of different domestic devices of each dwelling was recorded. At the same time, the remaining twelve dwellings were also monitored in order to register the volume of water consumed in each utilization of each domestic device. This paper presents the results of this complete monitoring program, using collected data to establish indoor water use patterns for each domestic device, aiming to support a more realistic approach to residential water use. The daily cycles in the different cities, where the monitoring program was performed, are also presented, in order to evaluate possible influences of sociodemographic characteristics. Copyright © 2013 Elsevier B.V. All rights reserved.

  14. Tendências comportamentais frente à saúde de imigrantes brasileiros em Portugal Behavioral health trends of Brazilian immigrants in Portugal

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    Maria da Penha de Lima Coutinho

    2010-12-01

    Full Text Available Este estudo teve como objetivo principal obter um conhecimento das condições e configurações das formações de imigrantes brasileiros no contexto português. De modo mais específico, procurou-se determinar quais fatores influenciam a busca, pelos imigrantes, dos serviços de saúde existentes no país acolhedor. A amostra foi composta por 75 brasileiros que vivem em Portugal, sendo 35 homens e 40 mulheres. Os dados foram coletados através de um questionário sociodemográfico e analisados por meio de estatísticas descritivas e inferenciais. Os resultados mostraram um perfil atualmente crescente do imigrante brasileiro em Portugal e a sua inserção em um grupo de risco social, refletido nas suas precárias condições psicológicas, sociais e, mais especificamente, no campo da saúde.This study aimed to understand the main conditions and setting of the Brazilian immigrants formations in the Portuguese context. Specifically, the aim was to clarify which factors contribute to determine the searching for Health services in the host country. The sample was consisted by 75 Brazilians who live in Portugal, from which 35 were men and 40 were women. The data were collected by a socio-demographic questionnaire and analyzed by descriptive and inferential statistics. The results showed an increasing of a Brazilian Immigrants' profile in Portugal, and the insertion of such into a group of social risk, reflected in their psychological and social conditions, and more specifically in the Health field.

  15. One Health-ness Evaluation of Cysticercosis Surveillance Design in Portugal

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    Ana Gloria Fonseca

    2018-03-01

    Full Text Available The increasing occurrence of human cysticercosis, a zoonotic neglected disease, is challenging the traditional prevention and control paradigm and calling for One Health (OH solutions in industrialized countries. OH solutions for health interventions are increasingly being used to capture expected and unexpected outcomes across people, animals, and the environment. The Network for Evaluation of One Health (NEOH proposes an evidence-based framework, relying on systems and mixed methods approaches to evaluate the One Health-ness. In this case study, this tool is used to evaluate the design of the Observatory of Taeniasis and Cysticercosis, as an example of intersectorial collaboration for surveillance in Portugal. The OH Initiative (drivers and expected outcomes and its system (boundaries, aim, dimensions, actors, and stakeholders were described. The different aspects of this Initiative were scored with values from 0 (=no OH approach to 1 (=perfect OH approach. The OH index was 0.31. Its OH ratio is 1.98. Overall scores were as follows: OH thinking 0.75; OH planning 0.60; OH working 0.60; OH sharing 0.35; OH learning 0.50; and systemic organization 0.50. Operational levels of the Initiative are the main strengths, indicating a comprehensive multidimensional innovative approach and transdisciplinarity. Critical issues in the supporting infrastructure were observed, related to communication, learning and organizational gaps in the project, with the evaluation being conducted as the project is being designed and implemented. The strengths and weaknesses detected may be used to refine the Initiative. This case study therefore exemplifies and supports OH assessment also for ongoing projects, at design and early implementation stages for guiding and guaranteeing an OH-oriented perspective.

  16. Calibration and Application of FOREST-BGC in NorthWestern of Portugal

    Science.gov (United States)

    Rodrigues, M. A.; Lopes, D. M.; Leite, M. S.; Tabuada, V. M.

    2010-05-01

    Net primary production (NPP) is one of the most important variables in terms of ecosystems inventory and management, because it quantifies its growth and reflects the impact of biotic and abiotic factors, which could affect it. Interest in NP has increased recently because of the increasing interesting in climate change and the need in understanding its impact on the environment. There are ecophysiologic models, as Forest-BGC that allow for estimating NPP. The types of models offer a possible methodology to test these phenomena, beyond temporal and spatial scales, not available with tradicional inventory methodologies. To analyze the Forest-BGC performance, NPP data obtained with model were compared with collected data in the field, in the same sampling plots. For a parameterization and validation of the FOREST-BGC, this study was carried on based on 500m2 sampling plots from the National Forest Inventory 2006 and are located in several County Halls of the district of Vila Real, Portugal (Montalegre, Chaves, Valpaços, Boticas, Vila Pouca de Aguiar, Murça, Mondim de Basto, Alijó, Sabrosa and Vila Real). In order to quantify Biomass dinamics, we have selected 45 sampling plots: 19 from Pinus pinaster stands, 17 from Quercus pyreneica and 10 from mixed of Quercus with Pinus. Adaptation strategies for climate change impacts can be proposed based on these research results.

  17. Perspective of North Consumers of Portugal Face of Corporate Social Responsibility

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    Maria José Silva Faria

    2016-12-01

    Full Text Available The practice of social responsibility has been, particularly in recent decades, to cultivate a more conscious society in the common good and sustainability of future generations. So it is not surprising that some consumers seek to respond positively to actions of social responsibility. It is the aim of this study verify that northern consumers of Portugal, over 18 years, are influenced by social responsibility in consumption in three segments purchases: retail trade, fairs, markets, and shopping centers, and to what extent the responsibility social can influence the perception of value and purchase intent of these consumers. For this purpose, were applied 1804 questionnaires to consumers belonging to the three business groups / cited business. Questionnaires were all validated by applying a factor analysis. The results showed that: 1 the consumer retail and shopping centers groups are more likely to purchase products from companies / brands socially responsible; 2 consumers group fairs and markets were not so sensitive to the issue of social responsibility, but more to the price of goods and in some cases, tiny, their quality.

  18. Autonomous Vehicles for Wave Energy Site Characterisation and monitoring in the Atlantic areas: North Scotland and Portugal

    Science.gov (United States)

    McIlvenny, J.; Campuzano, F.; Goddijn-Murphy, L.

    2016-02-01

    Surface autonomous marine robots allow the collection of environmental data for weeks or months at a time in difficult to reach or extreme oceanic environments. Wave glider technology has improved in recent years and is now capable of carrying instruments from different manufacturers1, such as ADCP, wave modules, and acoustic sensors2. Here we investigate the suitability of surface based robotic platforms for the collection of environmental data for the renewable energy industry. The Waveglider robotic platform was chosen for this study, representing one of the most advanced platforms in its class. Two sites were chosen: Farr point in North Scotland and Nazare in Portugal. Both study sites are potential locations for wave energy development. We present the results of two simultaneous field campaigns using Waveglider technology. Of particular importance to the study were data integrity and accuracy, platform ability, performance and durability and risk. The project's main aims were to test the platform's capabilities and collect wave data from two wave energy lease sites. The wave data from the Waveglider are compared to nearshore wave height and period data from simultaneous overhead passes by the altimeter satellite AltiKa3. In addition, Waverider buoys were also deployed and recording wave characteristics at both sites visited by the Waveglider. We present the preliminary inter-comparison between the three wave datasets at both sites and assess the performance of the Waveglider technology.

  19. Predicting trends of invasive plants richness using local socio-economic data: An application in North Portugal

    International Nuclear Information System (INIS)

    Santos, Mario; Freitas, Raul; Crespi, Antonio L.; Hughes, Samantha Jane; Cabral, Joao Alexandre

    2011-01-01

    This study assesses the potential of an integrated methodology for predicting local trends in invasive exotic plant species (invasive richness) using indirect, regional information on human disturbance. The distribution of invasive plants was assessed in North Portugal using herbarium collections and local environmental, geophysical and socio-economic characteristics. Invasive richness response to anthropogenic disturbance was predicted using a dynamic model based on a sequential modeling process (stochastic dynamic methodology-StDM). Derived scenarios showed that invasive richness trends were clearly associated with ongoing socio-economic change. Simulations including scenarios of growing urbanization showed an increase in invasive richness while simulations in municipalities with decreasing populations showed stable or decreasing levels of invasive richness. The model simulations demonstrate the interest and feasibility of using this methodology in disturbance ecology. - Highlights: → Socio-economic data indicate human induced disturbances. → Socio-economic development increase disturbance in ecosystems. → Disturbance promotes opportunities for invasive plants.→ Increased opportunities promote richness of invasive plants.→ Increase in richness of invasive plants change natural ecosystems.

  20. Predicting trends of invasive plants richness using local socio-economic data: An application in North Portugal

    Energy Technology Data Exchange (ETDEWEB)

    Santos, Mario, E-mail: mgsantoss@gmail.com [Laboratory of Applied Ecology, CITAB-Centre for the Research and Technology of Agro-Environment and Biological Sciences, University of Tras-os-Montes e Alto Douro, 5000-911 Vila Real (Portugal); Freitas, Raul, E-mail: raulfreitas@portugalmail.com [Herbarium, UTAD Botanical Garden, CITAB-Centre for the Research and Technology of Agro-Environment and Biological Sciences, University of Tras-os-Montes e Alto Douro, 5000-911 Vila Real (Portugal); Crespi, Antonio L., E-mail: aluis.crespi@gmail.com [Herbarium, UTAD Botanical Garden, CITAB-Centre for the Research and Technology of Agro-Environment and Biological Sciences, University of Tras-os-Montes e Alto Douro, 5000-911 Vila Real (Portugal); Hughes, Samantha Jane, E-mail: shughes@utad.pt [Department of Forest and Landscape, CITAB-Centre for the Research and Technology of Agro-Environment and Biological Sciences, University of Tras-os-Montes e Alto Douro, 5000-911 Vila Real (Portugal); Cabral, Joao Alexandre, E-mail: jcabral@utad.pt [Laboratory of Applied Ecology, CITAB-Centre for the Research and Technology of Agro-Environment and Biological Sciences, University of Tras-os-Montes e Alto Douro, 5000-911 Vila Real (Portugal)

    2011-10-15

    This study assesses the potential of an integrated methodology for predicting local trends in invasive exotic plant species (invasive richness) using indirect, regional information on human disturbance. The distribution of invasive plants was assessed in North Portugal using herbarium collections and local environmental, geophysical and socio-economic characteristics. Invasive richness response to anthropogenic disturbance was predicted using a dynamic model based on a sequential modeling process (stochastic dynamic methodology-StDM). Derived scenarios showed that invasive richness trends were clearly associated with ongoing socio-economic change. Simulations including scenarios of growing urbanization showed an increase in invasive richness while simulations in municipalities with decreasing populations showed stable or decreasing levels of invasive richness. The model simulations demonstrate the interest and feasibility of using this methodology in disturbance ecology. - Highlights: {yields} Socio-economic data indicate human induced disturbances. {yields} Socio-economic development increase disturbance in ecosystems. {yields} Disturbance promotes opportunities for invasive plants.{yields} Increased opportunities promote richness of invasive plants.{yields} Increase in richness of invasive plants change natural ecosystems.

  1. Health information technology implementation - impacts and policy considerations: a comparison between Israel and Portugal.

    Science.gov (United States)

    Catan, Gabriel; Espanha, Rita; Mendes, Rita Veloso; Toren, Orly; Chinitz, David

    2015-01-01

    The use of Information and Communications Technology (ICT) in health systems is increasing worldwide. While it is assumed that ICT holds great potential to make health services more efficient and grant patients more empowerment, research on these trends is at an early stage. Building on a study of the impact of ICT on physicians and patients in Israel, a Short Term Scientific Mission (STSM) sponsored by COST Net in conjunction with CIES/ISCTE IUL (Portugal) facilitated a comparison of ICT in health in Israel and Portugal. The comparison focused on patient empowerment, physician behavior and the role of government in implementing ICT. The research in both countries was qualitative in nature. In-depth interviews with the Ministry of Health (MOH), the private sector, patients associations, health plans and researchers were used to collect data. Purposeful sampling was used to select respondents, and secondary sources were used for triangulation. The findings indicate that respondents in both countries feel that patient empowerment has indeed been furthered by introduction of ICT. Regarding physicians, in both countries ICT is seen as providing more information that can be used in medical decision making. Increased access of patients to web-based medical information can strengthen the role of patients in decision making and improve the physician-patient relationship, but also shift the latter in ways that may require adjustments in physician orientation. Physician uptake of ICT in both countries involves overcoming certain barriers, such as resistance to change. At the national level, important differences were found between the two countries. While in Israel, ICT was promoted and adopted by the meso level of the health system, in particular the health plans and government intervention can be found in a later stage, in Portugal the government was the main developer and national strategies were built from the beginning. These two approaches present different advantages

  2. [Trends of internet use for health matters in Portugal: 2005-2007].

    Science.gov (United States)

    Santana, Silvina

    2009-01-01

    This paper discusses trends of Internet use for health or illness matters in Portugal. It is based on two waves of the WHO/Europe eHealth Consumer Trends Survey that took place in 2005 and 2007. The investigation involves 3001 complete interviews to individuals between 15 and 80 years old. Results show that the percentage of the Portuguese population reporting having used the Internet for health or illness matters has increased in average 9.1% (IC 95%, 5.5-12.6) in the 18 months that mediate the two surveys. The analysis by geographical region shows that there are no statistically significant differences between the five studied regions. The analysis by gender and age shows that the difference between men and women is diminishing but detects important exceptions, namely, a Sharp predominance of women in the group of individuals aged 15-34 years old that use the Internet for health or illness matters and the prevalence of men in the age levels 45-54 and 65-80 years old. The analysis by level of education completed show that the use is particularly high among those with complete higher education studies, with an increase of 8.2% (IC 95%, -.6-17.0) in the period under analysis. However, a significant increase has been observed among the Portuguese with before A-level studies, particularly when considering the group of Internet users for health purposes, where it has raised from four users in each ten individuals in 2005 to six users in each ten individuals in 2007. Reading health Web sites is the health related activity that more Portuguese attracts to the Internet but in the restricted group of Internet health users is the activity with higher positive variation in the period (9.2%, IC 95%, 5.3-13.2). Health professionals are still considered as the most important source of health information but their perceived importance has decreased 10% (IC 95%, -12.6, -7.6) between 2005 and 2007, the higher negative variation in this period. Family, friends and colleagues have

  3. [Characterization of lipid profile in primary health care users in Portugal].

    Science.gov (United States)

    Cortez-Dias, Nuno; Robalo Martins, Susana; Belo, Adriana; Fiúza, Manuela

    2013-12-01

    To characterize the distribution of total cholesterol (TC), LDL cholesterol (LDL-C), HDL cholesterol (HDL-C) and triglycerides in primary health care users. We performed a cross-sectional study in a primary care setting, involving 719 general practitioners based on stratified distribution proportional to the population density of each region of Portugal. The first two adult patients scheduled for an appointment on a given day were invited to participate. A questionnaire was applied to assess sociodemographic, clinical and laboratory data including lipid profile. The study included 16 856 individuals (mean age 58.1±15.1 years; 61.6% women). Data on TC, LDL-C, HDL-C and triglycerides were available for 95.9% (n=16 159), 59.1% (n=9956), 95.4% (n=16 074) and 97.9% (n=16 494) of the population, respectively. Hypercholesterolemia (TC ≥200 mg/dl) was detected in 47%, and 38.4% had high levels of LDL-C (≥130 mg/dl). Hypertriglyceridemia (≥200 mg/dl) and low HDL-C (<40 mg/dl) were less prevalent, affecting roughly 13% of the population. Dyslipidemia was more common in middle-aged men and in post-menopausal women. Of the population aged over 40, 54.1% met eligibility criteria for lipid-lowering therapy and 44.7% were medicated with statins, but only 16.0% of these had TC ≤175 mg/dl. Dyslipidemia is highly prevalent in primary health care users in Portugal. It is particularly common in middle-aged men and post-menopausal women, who should be considered target groups for preventive public health measures. Copyright © 2013 Sociedade Portuguesa de Cardiologia. Published by Elsevier España. All rights reserved.

  4. Forest Health Status in North America

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    Borys Tkacz

    2007-01-01

    Full Text Available The forests of North America provide a variety of benefits including water, recreation, wildlife habitat, timber, and other forest products. However, they continue to face many biotic and abiotic stressors including fires, native and invasive pests, fragmentation, and air pollution. Forest health specialists have been monitoring the health of forests for many years. This paper highlights some of the most damaging forest stressors affecting North American forests in recent years and provides some projections of future risks.

  5. Differing trends in the association between obesity and self-reported health in Portugal and Switzerland. Data from national health surveys 1992-2007.

    Science.gov (United States)

    Marques-Vidal, Pedro; Ravasco, Paula; Paccaud, Fred

    2012-08-01

    The escalating prevalence of obesity might prompt obese subjects to consider themselves as normal, as this condition is gradually becoming as frequent as normal weight. In this study, we aimed to assess the trends in the associations between obesity and self-rated health in two countries. Data from the Portuguese (years 1995-6, 1998-6 and 2005-6) and Swiss (1992-3, 1997, 2002 and 2007) National Health Surveys were used, corresponding to more than 130,000 adults (64,793 for Portugal and 65,829 for Switzerland). Body mass index and self-rated health were derived from self-reported data. Obesity levels were higher in Portugal (17.5% in 2005-6 vs. 8.9% in 2007 in Switzerland, p Switzerland (21.8% in 2005-6 vs 3.9% in 2007, p Switzerland, the prevalence of "bad" or "very bad" rates among obese participants, increased from 6.5% in 1992-3 to 9.8% in 2007, while in Portugal it decreased from 41.3% to 32.3%. After multivariate adjustment, the odds ratio (OR) of stating one self's health as "bad" or "very bad" among obese relative to normal weight participants, almost doubled in Switzerland: from 1.38 (95% confidence interval, CI: 1.01-1.87) in 1992-3 to 2.64 (95% CI: 2.14-3.26) in 2007, and similar findings were obtained after sample weighting. Conversely, no such trend was found in Portugal: 1.35 (95% CI: 1.23-1.48) in 1995-6 and 1.52 (95% CI: 1.37-1.70) in 2005-6. Obesity is increasing in Switzerland and Portugal. Obesity is increasingly associated with poorer self-health ratings in Switzerland but not in Portugal.

  6. Forest health conditions in North America

    International Nuclear Information System (INIS)

    Tkacz, Borys; Moody, Ben; Castillo, Jaime Villa; Fenn, Mark E.

    2008-01-01

    Some of the greatest forest health impacts in North America are caused by invasive forest insects and pathogens (e.g., emerald ash borer and sudden oak death in the US), by severe outbreaks of native pests (e.g., mountain pine beetle in Canada), and fires exacerbated by changing climate. Ozone and N and S pollutants continue to impact the health of forests in several regions of North America. Long-term monitoring of forest health indicators has facilitated the assessment of forest health and sustainability in North America. By linking a nationwide network of forest health plots with the more extensive forest inventory, forest health experts in the US have evaluated current trends for major forest health indicators and developed assessments of future risks. Canada and Mexico currently lack nationwide networks of forest health plots. Development and expansion of these networks is critical to effective assessment of future forest health impacts. - The forests of North America continue to face many biotic and abiotic stressors including fragmentation, fires, native and invasive pests, and air pollution

  7. Health related physical fitness of school children (6 to 10 years from Azores Islands, Portugal

    Directory of Open Access Journals (Sweden)

    Francisco Pina de Morais

    2004-12-01

    Full Text Available ABSTRACT The purposes of this research were: (1 to investigate health related physical fitness (HPF of school children (6 to 10 years from Azores islands, Portugal, and to (2 analyse sex differences in each age. The sample comprised 3742 children of both sexes, residents in Azores islands, Portugal. Twenty-five percent of the children in each gender and age in each island were evaluated with FITNESSGRAM: 1-mile run/walk, curl-ups, push-ups, trunk lift and body mass index (BMI (kg/m-2. Data were analysed as follow: χ2 to test the differences in ratio of success/failure in each age group; factorial ANOVA gender*age to test the differences between age groups and gender; discriminant function to test the presence of multivariate profiles of HPF in age natural groups. The ratios of success in both boys and girls were low. In girls there was a substantial decrease of ratio of success between 6 and 10 years of age. Among 10-year-old girls the global ratio of success was only 18%. In boys, the ratios of success had also a tendency to decrease along age. Among 10-years-old boys the global ratio of success was 39%. Boys had better performance in all tests than girls of all ages. Discriminant function analyses indicated that there were a low percentage of children classified in their natural age groups. Although there were children with HPF level advanced for their natural age groups, there were a considerable number of children with HPF level lower than the expected for their own age. RESUMO Pretendeu-se (1 conhecer os níveis da aptidão física associada à saúde (ApFS da população escolar de 6 a 10 anos de idade do arquipélago dos Açores, Portugal e (2 analisar as diferenças entre os sexos ao longo da idade. A amostra foi constituída por 3742 crianças, de ambos os sexos, residentes no arquipélago dos Açores. A avaliação da ApFS foi efectuada de acordo com a bateria de testes FITNESSGRAM: corrida/marcha da milha, curl-ups, push-ups, trunk

  8. Climate change and the health impact of aflatoxins exposure in Portugal - an overview.

    Science.gov (United States)

    Assunção, Ricardo; Martins, Carla; Viegas, Susana; Viegas, Carla; Jakobsen, Lea S; Pires, Sara; Alvito, Paula

    2018-03-08

    Climate change has been indicated as a driver for food safety issues worldwide, mainly due to the impact on the occurrence of food safety hazards at various stages of food chain. Mycotoxins, natural contaminants produced by fungi, are among the most important of such hazards. Aflatoxins, which have the highest acute and chronic toxicity of all mycotoxins, assume particular importance. A recent study predicted aflatoxin contamination in maize and wheat crops in Europe within the next 100 years and aflatoxin B1 is predicted to become a food safety issue in Europe, especially in the most probable scenario of climate change (+2°C). This review discusses the potential influence of climate change on the health risk associated to aflatoxins dietary exposure of Portuguese population. We estimated the burden of disease associated to the current aflatoxin exposure for Portuguese population in terms of Disability Adjusted Life Years (DALYs). It is expected that in the future the number of DALYs and the associated cases of hepatocellular carcinoma due to aflatoxins exposure will increase due to climate change. The topics highlighted through this review, including the potential impact on health of the Portuguese population through the dietary exposure to aflatoxins, should represent an alert for the potential consequences of an incompletely explored perspective of climate change. Politics and decision-makers should be involved and committed to implement effective measures to deal with climate change issues and to reduce its possible consequences. This review constitutes a contribution for the prioritisation of strategies to face the unequal burden of effects of weather-related hazards in Portugal and across Europe.

  9. Opinions and attitudes on the relationship between spirituality, religiosity and health: A comparison between nursing students from Brazil and Portugal.

    Science.gov (United States)

    Cordero, Rocío de Diego; Romero, Bárbara Badanta; de Matos, Filomena Adelaide; Costa, Emília; Espinha, Daniele Corcioli Mendes; Tomasso, Claudia de Souza; Lucchetti, Alessandra Lamas Granero; Lucchetti, Giancarlo

    2018-03-08

    To compare the opinions and attitudes of Portuguese-speaking nursing students from Brazil and Portugal on the relationship between religiosity/spirituality and the ability to approach these issues with patients, in their undergraduate training and practice. Although there are studies investigating nursing students' opinions concerning religiosity and spirituality in clinical practice, few have investigated if there are cross-cultural differences between countries. Observational, cross-sectional and multicenter study carried out in 2010 and 2011 in Brazil and in 2016 in Portugal. A total of 260 third and fourth year nursing students (139 from Portugal and 121 from Brazil) from four nursing schools were included. Religious beliefs (Duke Religion Index), attitudes and opinions about spirituality and health (Curlin's questionnaire) were assessed. A comparison between students from both countries was carried out. Significant differences were found between nursing students from Brazil and Portugal, which are countries with the same language, but with different nursing training programs and population characteristics. Brazilian students were more religious and have stronger opinions on the influence and appropriateness of spirituality in clinical practice than Portuguese students. However, both groups of students indicated they should be prepared to address religiosity and spirituality with patients, that these subjects should be included in the curriculum and that they were not properly prepared to address spiritual issues. Although different opinions and attitudes were found between Brazilian and Portuguese nursing students, more training in these issues should be implemented in the undergraduate education. Cross-cultural studies could help fostering a broad discussion in the field. These findings could contribute to raise awareness on the importance of improving the training of relational competencies that prepare students to address the dimension of spirituality and

  10. Teachers’ perceptions toward the education of students with special needs: a study in the north of Portugal

    Directory of Open Access Journals (Sweden)

    Amanda Fernandes Santos

    2014-04-01

    Full Text Available In our days not only teachers and parents hope for the schools to become inclusive, but all the society seems to understand and advocate for this need. However, when we talk about inclusion are we thinking about the same thing? Do we have the same perception of the needs, so that inclusion can really happen? In order to answers these questions a study was conducted using a questionnaire whose main objective was to understand how teachers understand and perceive the education of the pupils with Special Educational Needs (SEN. 249 teachers participated in the study, all from elementary schools located in Braga, Northern Portugal. The questionnaire had 25 items, divided into three main clusters: (1 Attitudes; (2 Resources; and (3 Collaboration. The results showed significant differences between some of the items and the variables gender, academic qualifications and professional experience. Based on these results, this research indicates that, although participants recognize that it is important to implement the philosophy of inclusion in Portugal, it is necessary to provide more training for all individuals involved in the education of students with SEN. They also indicated that there is a lack of specialized human resources needed to provide quality educational responses for the abovementioned students.

  11. [Public health and its agents in Portugal: the pharmacists' case (1521-1557)].

    Science.gov (United States)

    Mendes Drumond Braga, I M

    1994-01-01

    By means of this article we intend to assess the attention paid, during the reign of D. Juan III (1521-1557), to the health professionals, and specifically to the pharmacists. With this aim, we will focus on the survey letters, which allow us to have an idea about the geographical distribution of the pharmacist. Other elements, particularly the chemist's shop, and the social importance of this agent will be highlighted, insofar as the sources so permit, regarding the continent and the Portuguese expansion areas, as the North of Africa and the East.

  12. Biological variables and health status affecting inorganic element concentrations in harbour porpoises (Phocoena phocoena) from Portugal (western Iberian Peninsula)

    International Nuclear Information System (INIS)

    Ferreira, Marisa; Monteiro, Silvia S.; Torres, Jordi; Oliveira, Isabel; Sequeira, Marina; López, Alfredo

    2016-01-01

    The coastal preferences of harbour porpoise (Phocoena phocoena) intensify their exposure to human activities. The harbour porpoise Iberian population is presently very small and information about the threats it endures is vital for the conservation efforts that are being implemented to avoid local extinction. The present study explored the possible relation between the accumulation of trace elements by porpoises and their sex, body length, nutritional state, presence of parasites and gross pathologies. The concentrations of arsenic (As), cadmium (Cd), copper (Cu), mercury (Hg), manganese (Mn), nickel (Ni), lead (Pb), zinc (Zn) and selenium (Se) were evaluated in 42 porpoises stranded in Portugal between 2005 and 2013. Considering European waters, porpoises stranded in Portugal present the highest Hg concentrations and the lowest Cd concentrations, which may reflect dietary preferences and the geographic availability of these pollutants. While no effect of sex on trace element concentrations was detected, there was a positive relationship between porpoise body length and the concentration of Cd, Hg and Pb. Animals in worse nutritional condition showed higher levels of Zn. Harbour porpoises with high parasite burdens showed lower levels of Zn and As in all analysed tissues and also lower levels of renal Ni, while those showing gross pathologies presented higher Zn and Hg levels. This is the first data on the relationship between trace elements and health-related variables in porpoises from southern European Atlantic waters, providing valuable baseline information about the contamination status of this vulnerable population. - Highlights: • High levels of mercury in harbour porpoises from Portugal. • Evidence of bioaccumulation of non-essential trace elements. • Presence of parasites influenced some essential trace elements. • Evidence of nutritional state effect on Zn levels. • Presence of gross pathologies influenced Zn and Hg levels. - The small harbour

  13. Oncogenic HPV Types Infection in Adolescents and University Women from North Portugal: From Self-Sampling to Cancer Prevention

    Directory of Open Access Journals (Sweden)

    Jani Silva

    2011-01-01

    Full Text Available This study aimed to characterize the HPV infection status in adolescents and young university women in Portugal. The distribution of HPV genotypes was evaluated by PCR DNA genotyping after self-sampling collection from 435 women of exfoliated cervical cells using a commercial kit. We observed an overall frequency of HPV infection of 11.5%. Furthermore, HPV DNA prevalence was 16.6% in those young women that self-declared as sexually active. The more frequently detected HPV types were 31, 16, 53, and 61. Statistical analysis identified median age (OR=3.56; P=0.001, the number of lifetime sexual partners (OR=4.50; P<0.001, and years of sexual activity (OR=2.36; P=0.008 as risk factors for HPV acquisition. Hence, our study revealed that oncogenic HPV infection is common in young asymptomatic women Portuguese women, with a history of 2–5 sexual partners and over 2 year of sexual activity. Moreover, these results demonstrate that HPV detection performed in self-collected samples may be important to appraise better preventive strategies and to monitorize the influence of vaccination programmes within different populations.

  14. Arsenic in North Carolina: public health implications.

    Science.gov (United States)

    Sanders, Alison P; Messier, Kyle P; Shehee, Mina; Rudo, Kenneth; Serre, Marc L; Fry, Rebecca C

    2012-01-01

    Arsenic is a known human carcinogen and relevant environmental contaminant in drinking water systems. We set out to comprehensively examine statewide arsenic trends and identify areas of public health concern. Specifically, arsenic trends in North Carolina private wells were evaluated over an eleven-year period using the North Carolina Department of Health and Human Services database for private domestic well waters. We geocoded over 63,000 domestic well measurements by applying a novel geocoding algorithm and error validation scheme. Arsenic measurements and geographical coordinates for database entries were mapped using Geographic Information System techniques. Furthermore, we employed a Bayesian Maximum Entropy (BME) geostatistical framework, which accounts for geocoding error to better estimate arsenic values across the state and identify trends for unmonitored locations. Of the approximately 63,000 monitored wells, 7712 showed detectable arsenic concentrations that ranged between 1 and 806μg/L. Additionally, 1436 well samples exceeded the EPA drinking water standard. We reveal counties of concern and demonstrate a historical pattern of elevated arsenic in some counties, particularly those located along the Carolina terrane (Carolina slate belt). We analyzed these data in the context of populations using private well water and identify counties for targeted monitoring, such as Stanly and Union Counties. By spatiotemporally mapping these data, our BME estimate revealed arsenic trends at unmonitored locations within counties and better predicted well concentrations when compared to the classical kriging method. This study reveals relevant information on the location of arsenic-contaminated private domestic wells in North Carolina and indicates potential areas at increased risk for adverse health outcomes. Copyright © 2011 Elsevier Ltd. All rights reserved.

  15. A comparative analysis of oral and maxillofacial pathology over a 16-year period, in the north of Portugal.

    Science.gov (United States)

    Monteiro, Luís S; Albuquerque, Rui; Paiva, António; de la Peña-Moral, Jesús; Amaral, José B; Lopes, Carlos A

    2017-02-01

    To determine the frequency and spectrum of oral and maxillofacial lesions biopsied in a hospital population in the northern region of Portugal. We conducted descriptive analyses of pathology reports from biopsies of oral and maxillofacial lesions performed between 1990 and 2006, in Oporto Hospital Center. Information on gender and age of patient, location of the lesions and the histopathological diagnosis were analysed. The analyses revealed that 1,520 (47.7%) patients were male and 1,666 (52.3%) were female. They had a mean age ± standard deviation of 47.8 ± 18.6 years. The site most frequently biopsied was the labial mucosa (17.5%). A non-neoplastic diagnosis was established in 2,162 (63.3%) cases, potentially malignant disorders in 163 (5.1%) and neoplasms in 886 (27.6%) (403 benign and 483 malignant). The most commonly reported diagnosis was fibroepithelial polyp (n = 186; 15.9%), followed by squamous cell carcinoma (SCC) (n = 158; 13.6%). SCC was the lesion most commonly found in male patients (n = 279; 18.4%) whilst fibroepithelial polyp was the lesion most commonly found in female patients (n = 268; 16.1%). The most common lesion in patients 0-17 years of age was a follicular cyst (n = 25; 12.8%), whereas in patients 18-64 years of age it was a fibroepithelial polyp (n = 299; 13%). SCC was the most common type of lesion found in patients ≥ 65 years of age (n = 160; 24.6%). This large sample provides useful information about the incidence and distribution of oral biopsies over a period of 16 years, allowing valuable comparison with other countries. Non-neoplastic lesions were the types of lesion most commonly reported, with fibroepithelial polyp being most frequent. SCC was the second most common diagnosis. © 2016 FDI World Dental Federation.

  16. A modelling framework to predict bat activity patterns on wind farms: An outline of possible applications on mountain ridges of North Portugal.

    Science.gov (United States)

    Silva, Carmen; Cabral, João Alexandre; Hughes, Samantha Jane; Santos, Mário

    2017-03-01

    Worldwide ecological impact assessments of wind farms have gathered relevant information on bat activity patterns. Since conventional bat study methods require intensive field work, the prediction of bat activity might prove useful by anticipating activity patterns and estimating attractiveness concomitant with the wind farm location. A novel framework was developed, based on the stochastic dynamic methodology (StDM) principles, to predict bat activity on mountain ridges with wind farms. We illustrate the framework application using regional data from North Portugal by merging information from several environmental monitoring programmes associated with diverse wind energy facilities that enable integrating the multifactorial influences of meteorological conditions, land cover and geographical variables on bat activity patterns. Output from this innovative methodology can anticipate episodes of exceptional bat activity, which, if correlated with collision probability, can be used to guide wind farm management strategy such as halting wind turbines during hazardous periods. If properly calibrated with regional gradients of environmental variables from mountain ridges with windfarms, the proposed methodology can be used as a complementary tool in environmental impact assessments and ecological monitoring, using predicted bat activity to assist decision making concerning the future location of wind farms and the implementation of effective mitigation measures. Copyright © 2016 Elsevier B.V. All rights reserved.

  17. Modelling the effect of fire frequency on runoff and erosion in north-central Portugal using the revised Morgan-Morgan-Finney

    Science.gov (United States)

    Hosseini, Mohammadreza; Nunes, João Pedro; González Pelayo, Oscar; Keizer, Jan Jacob; Ritsema, Coen; Geissen, Violette

    2017-04-01

    Models can be valuable for foreseeing the hydrological effects of fires and to plan and execute post-fire management alternatives. In this study, the revised Morgan-Morgan-Finney (MMF) model was utilized to simulate runoff and soil erosion in recently burned maritime pine plantations with different fire regimes, in a wet Mediterranean area of north-central Portugal. The MMF model was adjusted for burned zones in order to accommodate seasonal patterns in runoff and soil erosion, attributed to changes in soil water repellency and vegetation recovery. The model was then assessed by applying it for a sum of 18 experimental micro-plots (0.25 m2) at 9 1x-burnt and 9 4x-burnt slopes, using both literature-based and calibrated parameters, with the collected data used to assess the robustness of each parameterization. The estimate of erosion was more exact than that of runoff, with a general Nash-Sutcliffe efficiency of 0.54. Slope angle and the soil's effective hydrological depth (which relies on upon vegetation and additionally crop cover) were found to be the primary parameters enhancing model results, and different hydrological depths were expected to separate between the two differentiating fire regimes. This relative analysis demonstrated that most existing benchmark parameters can be utilized to apply MMF in burnt pine regions with moderate severity to support post-fire management; however it also showed that further endeavours ought to concentrate on mapping soil depth and vegetation cover to enhance these simulations.

  18. Medicinal Product Regulation: Portugal׳s Framework.

    Science.gov (United States)

    Herdeiro, Maria Teresa; Bastos, Paulo D; Teixeira-Rodrigues, António; Roque, Fátima

    2016-09-01

    The pharmaceutical industry is one of the most tightly regulated sectors, and it is essential to know each country׳s legal framework to understand the regulation, approval, and marketing of medicinal products for human use. This article describes the main statutes and procedures governing medicinal products for human use in Portugal and the role of the country׳s National Medicines and Health Products Authority (Autoridade Nacional do Medicamento e Produtos de Saúde, I.P.; INFARMED). From the most recently available data, an update of requests and approvals concerning marketing authorizations, variations, pricing, and reimbursements is provided. Data were sourced from the INFARMED website, Infomed (database of medicinal products for human use), and periodic reports issued by national authorities. Organic laws, acts, and law decrees published in the government gazette (Diário da República) are cited and reproduced as required. In 2015 Portugal ranked fifth in the European System of Medicines Evaluation in terms of the number of completed procedures as a reference member state. Approximately 80% of all approved drug applications in Portugal in 2015 were for generic drugs, mostly pertaining to the nervous system. In Portugal, INFARMED monitors drug quality, safety profile, and efficacy in all stages of the drug life cycle, ensuring patients' safety. The Portuguese market for medicinal products for human use has been appreciably changed by the advent of generic drugs. There is an increased trend for new request applications for biological and biotechnological substances. Copyright © 2016 Elsevier HS Journals, Inc. All rights reserved.

  19. What is happening to health in the economic downturn? A view of the Lisbon Metropolitan Area, Portugal.

    Science.gov (United States)

    Nogueira, Helena

    2016-01-01

    The economic downturn has introduced new social risks in the most affected countries with foreseeable negative consequences for health. To analyse changes in health and its socioeconomic inequalities between 2001-2011 in the Lisbon Metropolitan Area (LMA), Portugal. This study, conducted in the LMA neighbourhoods (n = 207), examines the association between deprivation and premature mortality using standardised premature mortality ratios and a composite index of socioeconomic deprivation. The association was observed by analysing the whole range of values, quintiles and deciles of the LMA population. Pearson coefficients and ANOVA were used to assess associations and variability between quintiles/deciles. The findings show that people living in extreme deprivation conditions increased (5.45%) and that increasing deprivation is associated with health degradation in specific groups. Between 2001-2011, premature mortality became more unequally distributed, increasing in the richest (1%) and median (12%) areas, even though socioeconomic inequalities in mortality decreased. Health degradation is selective, affecting mainly the middle class living in LMA; these 'newly deprived' people experience an increased risk, while the 'traditionally deprived' show no decrease in premature mortality. Therefore, social inequalities in health tend to decrease, but without health gains.

  20. Time-series analysis of the long-term hydrologic impacts of afforestation in the Águeda watershed of North-Central Portugal

    Science.gov (United States)

    Hawtree, D.; Nunes, J. P.; Keizer, J. J.; Jacinto, R.; Santos, J.; Rial-Rivas, M. E.; Boulet, A.-K.; Tavares-Wahren, F.; Feger, K.-H.

    2014-11-01

    The north-central region of Portugal has undergone significant afforestation of the species Pinus pinaster and Eucalyptus globulus since the early 1900s; however, the long-term hydrologic impacts of this land cover change are not fully understood. To contribute to a better understanding of the potential hydrologic impacts of this land cover change, this study examines the temporal trends in 7 years of data from the Águeda watershed (part of the Vouga Basin) over the period of 1936 to 2010. Meteorological and hydrological records were analysed using a combined Thiel-Sen/Mann-Kendall trend testing approach, to assess the magnitude and significance of patterns in the observed data. These trend tests indicated that there had been no significant reduction in streamflow yield over either the entire test period, or during sub-record periods, despite the large-scale afforestation which had taken place. This lack of change is attributed to both the characteristics of the watershed and the nature of the land cover change. By contrast, a number of significant trends were found for baseflow index, which showed positive trends in the early data record (primarily during Pinus pinaster afforestation), followed by a reversal to negative trends later in the data record (primarily during Eucalyptus globulus afforestation). These changes are attributed to vegetation impacts on streamflow generating processes, both due to the species differences and to alterations in soil properties (i.e. promoting water repellency of the topsoil). These results highlight the importance of considering both vegetation types/dynamics and watershed characteristic when assessing hydrologic impacts, in particular with respect to soil properties.

  1. Time series analysis of the long-term hydrologic impacts of afforestation in the Águeda watershed of north-central Portugal

    Science.gov (United States)

    Hawtree, D.; Nunes, J. P.; Keizer, J. J.; Jacinto, R.; Santos, J.; Rial-Rivas, M. E.; Boulet, A.-K.; Tavares-Wahren, F.; Feger, K.-H.

    2015-07-01

    The north-central region of Portugal has undergone significant land cover change since the early 1900s, with large-scale replacement of natural vegetation types with plantation forests. This transition consisted of an initial conversion primarily to Pinus pinaster, followed by a secondary transition to Eucalyptus globulus. This land cover change is likely to have altered the hydrologic functioning of this region; however, these potential impacts are not fully understood. To contribute to a better understanding of the potential hydrologic impacts of this land cover change, this study examines the temporal trends in 75 years of data from the Águeda watershed (part of the Vouga Basin) over the period of 1936-2010. A number of hydrometeorological variables were analyzed using a combined Thiel-Sen/Mann-Kendall trend-testing approach, to assess the magnitude and significance of patterns in the observed data. These trend tests indicated that there have been no significant reductions in streamflow over either the entire test period, or during sub-record periods, despite the large-scale afforestation which has occurred. This lack of change in streamflow is attributed to the specific characteristics of the watershed and land cover change. By contrast, a number of significant trends were found for baseflow index, with positive trends in the early data record (primarily during Pinus pinaster afforestation), followed by negative trends later in the data record (primarily during Eucalyptus globulus afforestation). These trends are attributed to land use and vegetation impacts on streamflow generating processes, both due to species differences and to alterations in soil properties (i.e., infiltration capacity, soil water repellency). These results highlight the importance of considering both vegetation types/dynamics and watershed characteristic when assessing hydrologic impacts, in particular with respect to soil properties.

  2. Patterns of variation of intertidal species of commercial interest in the Parque Litoral Norte (north Portugal) MPA: comparison with three reference shores.

    Science.gov (United States)

    Bertocci, Iacopo; Dominguez, Rula; Freitas, Cristiano; Sousa-Pinto, Isabel

    2012-06-01

    Marine Protected Areas (MPAs) are world-wide established with the aim of conserving biodiversity and preventing overexploitation of marine organisms. Evaluating the effectiveness of MPAs is needed in order to support and implement their management, but it is complicated by the large natural variability in space and time of distribution and abundance of natural populations. Here, we tested the hypothesis that patterns of total abundance and size-frequency distribution of two intensively harvested intertidal species (the sea urchin Paracentrotus lividus and the mussel Mytilus galloprovincialis) differed between a protected and three reference shores along the rocky coast of north Portugal. Response variables were in terms of mean values and measures of variance at different spatial scales (from centimetres to metres) and over time (along a period of about 12 months). A further comparison involved the estimation of the reproductive potential of sea urchins, quantified as variations of Gonad Index (GI = gonad dry weight/body dry weight × 100) at the scale of shore. Results did not generally support a predictable direct effect of protection, as the total abundance and the abundance of larger individuals of both species and GI did not differ between the MPA and reference shores. However, a considerable temporal and spatial variability at smaller scales was detected for several response variables. Such findings have implications for management of MPAs, highlighting the need for sampling designs properly replicated in space and time, in order to examine their effectiveness, and for considering spatial and temporal heterogeneity of target populations and driving processes as a criterion for their implementation and design. Copyright © 2012 Elsevier Ltd. All rights reserved.

  3. Short-term nitrogen losses by overland flow in a recently burnt forest area in north-central Portugal: A study at micro-plot scale.

    Science.gov (United States)

    Ferreira, R V; Serpa, D; Machado, A I; Rodríguez-Blanco, M L; Santos, L F; Taboada-Castro, M T; Cerqueira, M A; Keizer, J J

    2016-12-01

    Over the past decades, wildfires have affected extensive areas of the Mediterranean region with negative impacts on the environment. Most of the studies on fire-affected areas have focused on sediment losses by overland flow, whereas few have addressed post-fire nutrient export. The present study aimed to address this research gap by assessing nitrogen (nitrate and total nitrogen) losses by overland flow in a recently burnt area in north-central Portugal. To this end, three burnt slopes were selected for their contrasting forest types (eucalypt vs. pine) and parent materials (granite vs. schist). The selected study sites were a eucalypt site on granite (BEG), a eucalypt site on schist (BES) and a maritime pine site on schist (BPS). Overland flow samples were collected during the first six months after the wildfire on a 1- to 2-weekly basis, after which this study had to be cancelled due to bench terracing of some of the sites. A peak in total nitrogen concentrations was observed in burnt areas immediately after the first post-fire rainfall event as a response to the erosion of the N-enriched ash layer. After this initial peak, smaller peaks were observed throughout the study period, mainly as a response to overland flow and/or erosion events. Nitrogen export differed strikingly between the two types of forests on schist, being higher at the eucalypt than at the pine site, due to the lack of a protective soil layer. Parent material did not play an important role on nitrogen export by overland flow since no significant differences were found between the eucalypt sites on granite and schist. The present study provides some insight into the differences in post-fire soil fertility losses between forest types and parent materials in the Mediterranean region, which is crucial information for defining post-fire land management measures to reduce soil degradation. Copyright © 2015 Elsevier B.V. All rights reserved.

  4. Self-perception of oral health in older adults from an urban population in Lisbon, Portugal.

    Science.gov (United States)

    Carvalho, Catarina; Manso, Ana Cristina; Escoval, Ana; Salvado, Francisco; Nunes, Carla

    2016-08-22

    To analyze if the self-perception of oral health in the urban context is associated with sociodemographic factors that interfere in the life quality of oral health. Cross-sectional study with convenience sample of older individuals (65 years old or more) enrolled in the Agrupamento de Centros de Saúde de Lisboa Norte (ACES Lisboa Norte - Health Centers Groupings North Lisbon). The self-perception of oral health and associated life quality was evaluated by the Geriatric Oral Health Assessment Index and the individuals were classified according to sociodemographic characteristics. The internal consistency of the questionnaire was evaluated by Cronbach's alpha (α). Later, we used binary logistic regression models to characterize the factors associated with the self-perception of oral health, considering the sociodemographic variables and the older adults' clinical conditions of oral health and establishing the crude and adjusted (to age) odds ratios and their 90% confidence intervals. A total of 369 older adults participated in this study, with an average age of 74.2 years (SD = 6.75); 62.9% were female. On average, the index was moderated, with tendency to be high: 32.9 (SD = 3.6; 12-36 interval). The Cronbach's alpha was high: 0.805. Age, marital status, and the last dental appointment were the factors significantly associated with self-perception of oral health. The study shows that these individuals have a moderate, with tendency to high, self-perception of oral health. The self-perception of oral health assessment allowed us to identify the main associated sociodemographic factors. This instrument can help guiding planning strategies and oral health promotion directed toward a better life quality for this population group. Analisar se a autopercepção de saúde bucal em contexto urbano está associada aos factores sociodemográficos que interferem na qualidade de vida da saúde bucal. Estudo transversal com amostra de conveniência de indivíduos idosos (65

  5. La promoción y gestión de los polígonos industriales en la Eurorregión Galicia-Norte de Portugal Promotion and management in industrial states of the Euroregion Galicia-North of Portugal

    Directory of Open Access Journals (Sweden)

    Jesús García-Arca

    2011-09-01

    Full Text Available En un entorno global, para reforzar la competitividad de las empresas es necesario adoptar políticas de desarrollo de infraestructuras logísticas y de polígonos industriales. Sin embargo, a pesar del impacto económico y social que generan estos polígonos industriales, su adecuada promoción y gestión no se ha destacado, especialmente en España. En este contexto, este artículo profundiza en las causas que conducen a una deficiente promoción y gestión de los polígonos industriales, proponiendo líneas de actuación su mejora. Para ilustrar esta problemática general, se analiza la promoción y gestión de los polígonos industriales en la Eurorregión Galicia-Norte de Portugal (provincia de Pontevedra en España y la zona de Minho-Lima en el distrito portugués de Viana do Castelo. Si bien el estudio de campo se centra en el ámbito fronterizo de la Eurorregión Galicia-Norte de Portugal, las conclusiones y recomendaciones del estudio son perfectamente extrapolables al resto de España y Portugal.This paper not only makes a deep analysis of the main causes that imply problems in promotion and management in industrial estates, but also proposes an action plan to improve the current situation. In order to illustrate these problems, the situation of industrial estates in the Euroregion Galicia-North of Portugal (Pontevedra area in Spain and Minho-Lima area in Viana do Castelo, Portugal was presented. Although the study focused only on these geographical areas (55 companies, the conclusions and recommendations could be easily extrapolated to the rest of Spain and Portugal. Among these conclusions, the need for a better strategy to locate new industrial estates, for a higher development of services and infrastructures, and for the adoption of suitable organizational schemes to the maintenance of industrial estates, could be outlined.

  6. New Invertebrate Vectors of Okadaic Acid from the North Atlantic Waters—Portugal (Azores and Madeira) and Morocco

    Science.gov (United States)

    Silva, Marisa; Rodriguez, Inés; Barreiro, Aldo; Kaufmann, Manfred; Neto, Ana Isabel; Hassouani, Meryem; Sabour, Brahim; Alfonso, Amparo; Botana, Luis M.; Vasconcelos, Vitor

    2015-01-01

    Okadaic acid and its analogues are potent phosphatase inhibitors that cause Diarrheic Shellfish Poisoning (DSP) through the ingestion of contaminated shellfish by humans. This group of toxins is transmitted worldwide but the number of poisoning incidents has declined over the last 20 years due to legislation and monitoring programs that were implemented for bivalves. In the summer of 2012 and 2013, we collected a total of 101 samples of 22 different species that were made up of benthic and subtidal organisms such echinoderms, crustaceans, bivalves and gastropods from Madeira, São Miguel Island (Azores archipelago) and the northwestern coast of Morocco. The samples were analyzed by UPLC-MS/MS. Our main objective was to detect new vectors for these biotoxins. We can report nine new vectors for these toxins in the North Atlantic: Astropecten aranciacus, Arbacia lixula, Echinaster sepositus, Holothuria sanctori, Ophidiaster ophidianus, Onchidella celtica, Aplysia depilans, Patella spp., and Stramonita haemostoma. Differences in toxin contents among the species were found. Even though low concentrations were detected, the levels of toxins that were present, especially in edible species, indicate the importance of these types of studies. Routine monitoring should be extended to comprise a wider number of vectors other than for bivalves of okadaic acid and its analogues. PMID:26670254

  7. New Invertebrate Vectors of Okadaic Acid from the North Atlantic Waters--Portugal (Azores and Madeira) and Morocco.

    Science.gov (United States)

    Silva, Marisa; Rodriguez, Inés; Barreiro, Aldo; Kaufmann, Manfred; Isabel Neto, Ana; Hassouani, Meryem; Sabour, Brahim; Alfonso, Amparo; Botana, Luis M; Vasconcelos, Vitor

    2015-12-08

    Okadaic acid and its analogues are potent phosphatase inhibitors that cause Diarrheic Shellfish Poisoning (DSP) through the ingestion of contaminated shellfish by humans. This group of toxins is transmitted worldwide but the number of poisoning incidents has declined over the last 20 years due to legislation and monitoring programs that were implemented for bivalves. In the summer of 2012 and 2013, we collected a total of 101 samples of 22 different species that were made up of benthic and subtidal organisms such echinoderms, crustaceans, bivalves and gastropods from Madeira, São Miguel Island (Azores archipelago) and the northwestern coast of Morocco. The samples were analyzed by UPLC-MS/MS. Our main objective was to detect new vectors for these biotoxins. We can report nine new vectors for these toxins in the North Atlantic: Astropecten aranciacus, Arbacia lixula, Echinaster sepositus, Holothuria sanctori, Ophidiaster ophidianus, Onchidella celtica, Aplysia depilans, Patella spp., and Stramonita haemostoma. Differences in toxin contents among the species were found. Even though low concentrations were detected, the levels of toxins that were present, especially in edible species, indicate the importance of these types of studies. Routine monitoring should be extended to comprise a wider number of vectors other than for bivalves of okadaic acid and its analogues.

  8. Multiple Zoonotic Parasites Identified in Dog Feces Collected in Ponte de Lima, Portugal — A Potential Threat to Human Health

    Science.gov (United States)

    Letra Mateus, Teresa; Castro, António; Niza Ribeiro, João; Vieira-Pinto, Madalena

    2014-01-01

    Dogs play many roles and their presence within people’s houses has increased. In rural settings dog faeces are not removed from the streets, representing an environmental pollution factor. Our aim was to evaluate the occurrence of environmental contamination with zoonotic intestinal parasites of three groups of dogs in Ponte de Lima, Portugal, with a particular emphasis on Echinococcus granulosus. We collected 592 dog faecal samples from the environment, farm and hunting dogs. Qualitative flotation coprological analysis was performed and the frequency in the positive samples ranged between 57.44% and 81.19% in different groups. We isolated up to four different parasites in one sample and detected seven intestinal parasitic species, genera or families overall. Ancylostomatidae was the most prevalent parasite, followed by Trichuris spp., Toxocara spp., Isospora spp., Dipylidium caninum, Taeniidae and Toxascaris leonina. Taeniidae eggs were analyzed with the PCR technique and revealed not to be from Echinococcus. The parasite prevalence and the diversity of zoonotic parasites found were high, which calls for a greater awareness of the problem among the population, especially hunters. Promoting research at the local level is important to plan control strategies. Health education should be developed with regard to farmers and hunters, and a closer collaboration between researchers, practitioners and public health authorities is needed. PMID:25257358

  9. Towards an integrated assessment of the impacts of forest residue mulching following wildfire in eucalypt plantations in north-central Portugal

    Science.gov (United States)

    Keizer, Jan Jacob; Abrantes, Nelson; Bastos, Ana; Brandsma, Micha; Campos, Isabel; Faria, Silvia; Malvar, Maruxa; Martins, Martinho; João Oliveira, Maria; Pimpão, Gabriel; Prats, Sergio; Puga, João; Ribeiro, Cristina; Rocha, João; Santos, Liliana; Serpa, Dalila; Silva, Flávio; Silva, Tiago; Valente, Sandra; Vieira, Diana

    2016-04-01

    In the framework of the EU-FP7 project RECARE (www.recare-project.eu) and, in particular, its WP6, the University of Aveiro partner has recently started testing two measures against the soil threat of post-fire erosion by water in an area in north-central Portugal, close to Coimbra that burnt during the summer of 2015. These measures - mulching with forest slash residues and contour ploughing - had been selected by the local and external stakeholders involved in the project, through two subsequent stakeholder workshops. While contour ploughing has still not taken place, the mulching was already carried out, using residues from eucalypt plantations as the burnt areas was dominated by eucalypt plantations, and applying them in a homogeneous fashion at two contrasting application rates, i.e. a "standard" rate of approximately 10 Mg ha-1 and a "reduced" rate of about 3 Mg ha-1. The standard rate was selected for having proved effective in reducing post-fire runoff and erosion in previous field studies in the region (Prats et al., 2012, 2014, 2015a), while the reduced rate had been found to be nearly as effective as the standard rate in a recent study in the hydraulic laboratory of the University of Coimbra (Prats et al., 2015b). Unlike the referred prior studies, however, the present study will also assess the impacts of mulching on two other soil threats - i.e. decline in soil organic matter and in soil biodiversity - and, ultimately, will compare the two measures in terms of their consequences for soil-based ecosystem services, using the framework being developed by RECARE (Schwilch et al. in Stolte et al., 2016). The proposed presentation will show the first results on the effects of the two mulch application rates on post-fire runoff as well as the associated losses of sediments, organic matter/C and nutrients (N, P), and on selected indicators of soil biological activity and diversity. Prats et al., 2015a (in press). LD&D (doi: 10.1002/ldr.2422) Prats et al., 2015

  10. Short-time phosphorus losses by overland flow in burnt pine and eucalypt plantations in north-central Portugal: A study at micro-plot scale.

    Science.gov (United States)

    Ferreira, R V; Serpa, D; Cerqueira, M A; Keizer, J J

    2016-05-01

    Over the past decades, wildfires have affected vast areas of Mediterranean ecosystems leading to a variety of negative on- and off-site environmental impacts. Research on fire-affected areas has given more attention to sediment losses by fire-enhanced overland flow than to nutrient exports, especially in the Mediterranean region. To address this knowledge gap for post-fire losses of phosphorus (P) by overland flow, a recently burnt forest area in north-central Portugal was selected and instrumented immediately after a wildfire. Three slopes were selected for their contrasting forest types (eucalypt vs. pine) and parent materials (granite vs. schist). The selected study sites were a eucalypt site on granite (BEG), a eucalypt site on schist (BES) and a maritime pine site on schist (BPS). Micro-plots were monitored over a period of six months, i.e. till the construction of terraces for reforestation obliged to the removal of the plots. During this 6-month period, overland flow samples were collected at 1- to 2-weekly intervals, depending on rainfall. Total P and PO4-P losses differed markedly between the two types of forests on schist, being lower at the pine site than at the eucalypt site, probably due to the presence of a protective layer of pine needle cast. Parent material did not play an important role in PO4-P losses by overland flow but it did in TP losses, with significantly lower values at the eucalypt site on granite than that on schist. These differences in TP losses can be attributed to the coarser texture of granite soils, typically promoting infiltration and decreasing runoff. The present findings provided further insights into the spatial and temporal patterns of post-fire soil nutrient losses in fire-prone forest types during the initial stages of the window-of-disturbance, which can be useful for defining post-fire emergency measures to reduce the risk of soil fertility losses. Copyright © 2016 Elsevier B.V. All rights reserved.

  11. Integration of spatial and temporal data for the definition of different landslide hazard scenarios in the area north of Lisbon (Portugal

    Directory of Open Access Journals (Sweden)

    J. L. Zêzere

    2004-01-01

    Full Text Available A general methodology for the probabilistic evaluation of landslide hazard is applied, taking in account both the landslide susceptibility and the instability triggering factors, mainly rainfall. The method is applied in the Fanhões-Trancão test site (north of Lisbon, Portugal where 100 shallow translational slides were mapped and integrated into a GIS database. For the landslide susceptibility assessment it is assumed that future landslides can be predicted by statistical relationships between past landslides and the spatial data set of the predisposing factors (slope angle, slope aspect, transversal slope profile, lithology, superficial deposits, geomorphology, and land use. Susceptibility is evaluated using algorithms based on statistical/probabilistic analysis (Bayesian model over unique-condition terrain units in a raster basis. The landslide susceptibility map is prepared by sorting all pixels according to the pixel susceptibility value in descending order. In order to validate the results of the susceptibility ana- lysis, the landslide data set is divided in two parts, using a temporal criterion. The first subset is used for obtaining a prediction image and the second subset is compared with the prediction results for validation. The obtained prediction-rate curve is used for the quantitative interpretation of the initial susceptibility map. Landslides in the study area are triggered by rainfall. The integration of triggering information in hazard assessment includes (i the definition of thresholds of rainfall (quantity-duration responsible for past landslide events; (ii the calculation of the relevant return periods; (iii the assumption that the same rainfall patterns (quantity/duration which produced slope instability in the past will produce the same effects in the future (i.e. same types of landslides and same total affected area. The landslide hazard is present as the probability of each pixel to be affected by a slope movement

  12. ADOLESCENT QUALITY OF LIFE AND HEALTH BEHAVIORS: A COMPARATIVE STUDY BETWEEN ADOLESCENTS FROM THE SOUTH OF PORTUGAL AND SPAIN

    Directory of Open Access Journals (Sweden)

    Marta Lima-Serrano

    2013-01-01

    Full Text Available Se realizó un estudio observacional, transversal para examinar diferencias en calidad de vida percibida y estilos de vida de adolescentes del sur de Portugal y del sur de España. A 319 adolescentes, se les administró el Kidscreen-27, una versión corta del cuestionario “Health Behavior in School-aged Children”, y un cuestionario sociodemográfico. Se observaron diferencias estadísticas entre adolescentes portugueses y españoles. Los portugueses experimentan más drogas legales, y consumen más vino y cerveza. Los españoles consumen más tabaco. No se encontraron diferencias entre países en el uso de hachís, bebidas destiladas, embriaguez y edad de la primera relación sexual. Los españoles se perciben con mayor calidad de vida. Se encontraron diferencias de género en varias dimensiones de la calidad de vida, principalmente entre adolescentes españoles. Se discuten los resultados con investigaciones previas sobre estos tópicos, y pueden ser considerados por las enfermeras en la promoción de salud adolescente.

  13. A comparative study on the health and well-being of adolescent immigrants in Spain and Portugal

    Directory of Open Access Journals (Sweden)

    Ángel Hernando

    2013-06-01

    Full Text Available The terms on which the integration of new generations of immigrants into Portuguese and Spanish societies happens will have a decisive influence in the future of both countries. Therefore, promoting their health, well-being, and psychosocial adaptation is a matter of strategic interest. This paper analyses psychosocial factors associated with well-being and psychological adjustment on a sample of 108 adolescents (55 males and 53 females, children of immigrants from Huelva (Spain and Algarve (Portugal, aged between 10 and 17 years. Adolescents were assessed for demographic characteristics and perceived well-being. We used the "KIDSCREEN-5", a self-report questionnaire that yields detailed profile information for children aged 8 to 18 years for the following ten dimensions: Physical well-being, Psychological well-being, Moods and emotions, Self-perception, Autonomy, Parental relationships and home life, Financial resources, Social support and peers, School environment, and Social acceptance (Bullying. Overall, significant differences were found between the Spanish and Portuguese samples on physical well-being, psychological well-being, mood, financial resources and social acceptance (bullying. Boys perceived themselves as having a better physical well-being than girls. Mothers' educational level was associated with psychological well-being and mood. Also, results suggested that residence location and other socio-demographical variables were not associated with the adolescents' well-being and psychological adjustment.

  14. Cross-national comparison of human resources for health in the Netherlands and Portugal.

    NARCIS (Netherlands)

    Martins-Coelho, G.; Batenburg, R.

    2010-01-01

    CONTEXT: Manpower is critical for health care systems. It is, however, one of the least strategically planned resources, resulting in mismatches on the health care labour market. There are several approaches available for health manpower planning. Yet little is known about which (if any) is applied

  15. Effects of fire occurrence and recurrence on nitrogen and phosphorus losses by overland flow in maritime pine plantations in north-central Portugal

    NARCIS (Netherlands)

    Hosseini, Mohammadreza; Geissen, Violette; González-Pelayo, Oscar; Serpa, Dalila; Machado, Ana Isabel; Ritsema, Coen; Keizer, Jan Jacob

    2017-01-01

    Wildfires have increased in Portugal in the recent decades, raising concerns about the long-term negative effects of fire recurrence on the environment. We studied the impacts of recurrent fires on the nitrogen (N) and phosphorus (P) content of mineral soil in the first year after a fire. Total

  16. Essential drugs in primary health centres of north central Nigeria ...

    African Journals Online (AJOL)

    To assess the availability of essential drugs and the perceptions of clients on drugs situation in the primary health centres of Tafa Local Government Area, north central Nigeria. Checklist consisting ofminimum drugs expected in a generic primary health centre developed by the National Primary Health Care Development ...

  17. Sustainability of green jobs in Portugal: a methodological approach using occupational health indicators.

    Science.gov (United States)

    Moreira, Sandra; Vasconcelos, Lia; Silva Santos, Carlos

    2017-09-28

    This study aimed to develop a methodological tool to analyze and monitor the green jobs in the context of Occupational Health and Safety. A literature review in combination with an investigation of Occupational Health Indicators was performed. The resulting tool of Occupational Health Indicators was based on the existing information of "Single Report" and was validated by national's experts. The tool brings together 40 Occupational Health Indicators in four key fields established by World Health Organization in their conceptual framework "Health indicators of sustainable jobs." The tool proposed allows for assessing if the green jobs enabled to follow the principles and requirements of Occupational Health Indicators and if these jobs are as good for the environment as for the workers' health, so if they can be considered quality jobs. This shows that Occupational Health Indicators are indispensable for the assessment of the sustainability of green jobs and should be taken into account in the definition and evaluation of policies and strategies of the sustainable development.

  18. Public health leadership education in North America

    OpenAIRE

    Uno, Hideo; Zakariasen,Kenneth

    2010-01-01

    Hideo Uno, Kenneth ZakariasenDepartment of Public Health Sciences, School of Public Health, University of Alberta, Edmonton, AB, CanadaAbstract: Public health leadership is one of the priority disciplines public health professionals need to learn well if they are to deal with demanding public health issues effectively and efficiently. This article looks at the trends in public health leadership education by reviewing the literature and using the Internet to explore the public health leadershi...

  19. [Social and ethical criteria for prioritizing patients: a survey of students and health professionals in Portugal].

    Science.gov (United States)

    Pinho, Micaela Moreira

    2016-12-01

    This qualitative/quantitative study examines the ethical dilemma of microallocation of health resources. It seeks to identify and compare the opinion of two groups in Portuguese society - students and health professionals - on the importance of personal characteristics of patients at the moment of prioritizing them and if the choices can be explained by bioethical references of a utilitarian or deontological nature. Data were collected by means of a questionnaire administered to a sample of 180 students and 60 health professionals. Faced with hypothetical emergency scenarios, the respondents had to choose between two patients (distinguished by: age, gender, social responsibility, economic and employment situation, harmful health behaviors and criminal record), duly selecting who to treat and then justifying their choice. The results suggest the existence of differences in choices between the two groups, with health professionals revealing they are less prepared to accept the use of social criteria in a context of scarce resources and co-existence of utilitarian and deontological criteria, with a predominance of efficiency on the part of health professionals and equity on the part of students.

  20. One Health training, research, and outreach in North America

    Directory of Open Access Journals (Sweden)

    Cheryl Stroud

    2016-11-01

    Full Text Available Background: The One Health (OH concept, formerly referred to as ‘One Medicine’ in the later part of the 20th century, has gained exceptional popularity in the early 21st century, and numerous academic and non-academic institutions have developed One Health programs. Objectives: To summarize One Health training, research, and outreach activities originating in North America. Methods: We used data from extensive electronic records maintained by the One Health Commission (OHC (www.onehealthcommission.org/ and the One Health Initiative (www.onehealthinitiative.com/ and from web-based searches, combined with the corporate knowledge of the authors and their professional contacts. Finally, a call was released to members of the OHC's Global One Health Community listserv, asking that they populate a Google document with information on One Health training, research, and outreach activities in North American academic and non-academic institutions. Results: A current snapshot of North American One Health training, research, and outreach activities as of August 2016 has evolved. Conclusions: It is clear that the One Health concept has gained considerable recognition during the first decade of the 21st century, with numerous current training and research activities carried out among North American academic, non-academic, government, corporate, and non-profit entities.

  1. Environmental health risk assessment of ambient lead levels in Lisbon, Portugal: A full chain study approach

    DEFF Research Database (Denmark)

    Casimiro, E.; Philippe Ciffroy, P.; Serpa, P.

    2011-01-01

    to calculate the Pb levels in the various body systems. Our results showed a low health risk from Pb exposures. It also identified that ingestion of leafy vegetables (i.e. lettuce, cabbage, and spinach) and fruits contribute the most to total Pb blood levels. This full chain assessment approach of the 2FUN...

  2. Prevalence and Determinants of Bullying Among Health Care Workers in Portugal.

    Science.gov (United States)

    Norton, Pedro; Costa, Viviana; Teixeira, Joel; Azevedo, Ana; Roma-Torres, António; Amaro, Joana; Cunha, Liliana

    2017-05-01

    Bullying is defined as systematic exposure to humiliation as well as hostile and violent behaviors against one or more individuals. These behaviors are a serious, growing problem, which affects a significant proportion of health care professionals. To support the hospital's risk management policy, a cross-sectional study was undertaken to determine the prevalence of bullying in this institution and identify the determinants of bullying. Bullying was measured using the Negative Acts Questionnaire-Revised, Portuguese version (NAQ-R), a self-administered tool. The questionnaire was made available in digital format on the hospital's internal network (Intranet) and in hard copy; questionnaires were returned via nonidentified internal mail addressed to the occupational health unit or deposited in suggestion boxes located throughout the hospital. Multiple questionnaire delivery methods guaranteed data anonymity and confidentiality. The prevalence of bullying in this hospital was 8% (95% confidence interval [CI] = [6.2, 10.2]). Reported bullying was predominantly vertical and more frequently occurring among nurses, clerical staff, and health care assistants (12.5%, 7.6%, 6.4%, respectively; p = .005). After adjusting for gender, age, occupation, type of contract, and work schedule, only type of contract was significantly associated with bullying in the workplace; the risk of bullying was twice as high among government employees compared to workers with indefinite duration employment contracts ( p = .038). This study identified a high prevalence of bullying among health professionals; hence a program to prevent and control this phenomenon was implemented in this institution.

  3. Health development experience in North and South Korea.

    Science.gov (United States)

    Kim, H J; Ahn, Y S; Lee, S G

    2001-01-01

    The purpose of this study is to compare the difference in health status between South Koreans and North Koreans and to identify factors responsible for the remarkable improvements in the health status of South Koreans. In order to examine the causes of the difference in health level, the health indices and their determinants of two Koreas were analyzed in time order. As of the year 2000, the average life expectancy at birth is 71.0 years for men and 78.6 years for women in South Korea, which is longer than that of North Korea by 8.1 for men and 11.2 for women. Infant mortality rate in 1998 was 9.0 per 1,000 live births in South Korea and 54.0 in North Korea. Since being liberated from Japanese ruling in 1945, South Korea has achieved remarkable economic growth under democracy and a market economy system. On the other hand, North Korea has maintained a socialistic system. North Korea has suffered from economic crisis since the 1990s. From this point it could be said that economic status is the major factor for the differences in health level between the two Koreas. Economic status not only directly influences health level but also indirectly affects it through influences on nutrition, hygiene, health resources, and other intervening factors. The South Korean government has concentrated its limited resources on public health activities such as tuberculosis control, family planning (FP), and maternal and child health (MCH) programmes whereas the private sector has taken charge of constructing the health delivery system including health facilities and human resources. In order to solve the problem, which might occur in the private-oriented medical care system, the South Korean government has introduced the national health insurance programme and enforced regulation policies. Many developing countries which are suffering from poverty and disease, can learn from the experience of Korea that had suffered from similar problems up to the early 1970s.

  4. Using discrete event simulation to compare the performance of family health unit and primary health care centre organizational models in Portugal.

    Science.gov (United States)

    Fialho, André S; Oliveira, Mónica D; Sá, Armando B

    2011-10-15

    Recent reforms in Portugal aimed at strengthening the role of the primary care system, in order to improve the quality of the health care system. Since 2006 new policies aiming to change the organization, incentive structures and funding of the primary health care sector were designed, promoting the evolution of traditional primary health care centres (PHCCs) into a new type of organizational unit--family health units (FHUs). This study aimed to compare performances of PHCC and FHU organizational models and to assess the potential gains from converting PHCCs into FHUs. Stochastic discrete event simulation models for the two types of organizational models were designed and implemented using Simul8 software. These models were applied to data from nineteen primary care units in three municipalities of the Greater Lisbon area. The conversion of PHCCs into FHUs seems to have the potential to generate substantial improvements in productivity and accessibility, while not having a significant impact on costs. This conversion might entail a 45% reduction in the average number of days required to obtain a medical appointment and a 7% and 9% increase in the average number of medical and nursing consultations, respectively. Reorganization of PHCC into FHUs might increase accessibility of patients to services and efficiency in the provision of primary care services.

  5. Changing oral health status of 6- and 12-year-old schoolchildren in Portugal

    DEFF Research Database (Denmark)

    Almeida, C.M.; Petersen, P.E.; André, S.J.

    2003-01-01

    AIMS: To assess the actual oral health status of Portuguese schoolchildren aged 6 and 12 years according to gender and urbanisation, to highlight the trend over time in dental caries prevalence of children, to assess the dental care habits and the provision of preventive services to children......, and to analyse the effect of dental care habits on caries experience. BASIC RESEARCH DESIGN: Clinical examinations of oral health status were carried out in 1999 according to WHO criteria and included dental caries, enamel lesions, oral hygiene status (OHI-S) and Community Periodontal Index (CPI). Structured...... questionnaires for interviewing children on dental care habits and participation in preventive programmes at school were used. The study comprised 799 6 year olds and 800 12 year olds. RESULTS: In 1999, the prevalence proportion rates of dental caries were 46.9% in 6 year olds and 52.9% in 12 year olds. Dental...

  6. Children's Health and Indoor Air Quality in Primary Schools and Homes in Portugal-Study Design.

    Science.gov (United States)

    Madureira, Joana; Paciência, Inês; Ramos, Elisabete; Barros, Henrique; Pereira, Cristiana; Teixeira, João Paulo; Fernandes, Eduardo de Oliveira

    2015-01-01

    The main aim of the research project "On the Contribution of Schools to Children's Overall Indoor Air Exposure" is to study associations between adverse health effects, namely, allergy, asthma, and respiratory symptoms, and indoor air pollutants to which children are exposed to in primary schools and homes. Specifically, this investigation reports on the design of the study and methods used for data collection within the research project and discusses factors that need to be considered when designing such a study. Further, preliminary findings concerning descriptors of selected characteristics in schools and homes, the study population, and clinical examination are presented. The research project was designed in two phases. In the first phase, 20 public primary schools were selected and a detailed inspection and indoor air quality (IAQ) measurements including volatile organic compounds (VOC), aldehydes, particulate matter (PM2.5, PM10), carbon dioxide (CO2), carbon monoxide (CO), bacteria, fungi, temperature, and relative humidity were conducted. A questionnaire survey of 1600 children of ages 8-9 years was undertaken and a lung function test, exhaled nitric oxide (eNO), and tear film stability testing were performed. The questionnaire focused on children's health and on the environment in their school and homes. One thousand and ninety-nine questionnaires were returned. In the second phase, a subsample of 68 children was enrolled for further studies, including a walk-through inspection and checklist and an extensive set of IAQ measurements in their homes. The acquired data are relevant to assess children's environmental exposures and health status.

  7. Health and Lifestyles Factors Associated With Osteoarthritis among Older Adults in Portugal

    Directory of Open Access Journals (Sweden)

    Natália Duarte

    2017-11-01

    Full Text Available ObjectiveThis study aimed to identify independent associations of sociodemographic, functionality, physical activity, physical and mental health, and osteoarthritis (OA, among older adults.MethodsA sample of 1,645 older adults (50+ years observed by rheumatologists, from EpiReumaPt, a population-based study was analyzed. A structured interview included sociodemographic data, chronic non-communicable disease, and physical activity. Functional ability was assessed by the Health Assessment Questionnaire Disability Index; depression and anxiety were assessed by Hospital Anxiety and Depression Scale. OA (knee OA and/or hip OA and/or hand OA was defined after medical evaluation by rheumatologists according to expert opinion combined with the fulfillment of the American College of Rheumatology classification criteria.Results1,059 participants (64.9% met the OA classification criteria. Statistically significant differences were found between persons with and without OA in all sociodemographic variables, non-communicable diseases, functional status, physical activity, depression, and anxiety. In the unadjusted logistic regression models, all variables were associated with OA. The final adjusted model explained 32% of the variance. Those who are female with higher age, have more than five comorbidities, and lower levels of function and physical activity were more likely to meet the criteria for a diagnosis of OA.DiscussionWe have analyzed data from a population-based study and found that a diagnosis of OA was independently associated with age, female gender, higher number of comorbidities, physical disability, and low levels of physical activity. These results reinforce the usefulness of the development of a multidimensional assessment to design and test effective interventions for this population.

  8. Indigenous housing and health in the Canadian North

    DEFF Research Database (Denmark)

    Christensen, Julia

    2016-01-01

    In this article, I explore the relationship between housing, home and health amongst Indigenous homeless people living in the Canadian North. In particular, I examine the ways in which Indigenous homemaking practices conflict with housing policy, and exacerbate individual pathways to homelessness....... I argue that integral components in northern Indigenous conceptualizations of home and, in turn, health are not only unrecognized in housing policy, but actively discouraged. The potential for homemaking to inform health and housing policy speaks to the relevance of cultural safety not only...... to Indigenous health services, but also to a comprehensive framing of Indigenous health....

  9. Patients' estimations of the importance of preventive health services: a nationwide, population-based cross-sectional study in Portugal

    Science.gov (United States)

    Sá, Luísa; Ribeiro, Orquídea; Azevedo, Luís Filipe; Couto, Luciana; Costa-Pereira, Altamiro; Hespanhol, Alberto; Santos, Paulo

    2016-01-01

    Objectives To determine, in the context of primary care preventive health services, the level of importance that Portuguese patients attribute to different preventive activities. Design Cross-sectional study. Setting Primary Healthcare, Portugal. Participants 1000 Portuguese adults selected by a stratified cluster sampling design were invited to participate in a computer-assisted telephone survey. Persons with a cognitive or physical disability that hampered the ability to complete a telephone interview and being a nursing home resident or resident in any other type of collective dwelling were excluded. Outcomes Mean level of importance assigned to 20 different medical preventive activities, using a scale of 1–10, with 1 corresponding to ‘no importance for you and your health’ and 10 indicating ‘very important’. Results The mean level of importance assigned to medical preventive activity was 7.70 (95% CI 7.60 to 7.80). Routine blood and urine tests were considered the most important, with an estimated mean of 9.15 (95% CI 9.07 to 9.24), followed by female-specific interventions (Pap smear, mammography and gynaecological and breast ultrasounds), with mean importance ranging from 8.45 (95% CI 8.23 to 8.63) for mammography to 8.56 (95% CI 8.36 to 8.76) for Pap smear. Advice regarding alcohol consumption (6.18; 95% CI 5.96 to 6.39) and tobacco consumption (5.99; 95% CI 5.75 to 6.23) were considered much less important. Conclusions Our results reveal that Portuguese patients overestimate the importance of preventive medical activities, tend to give more importance to diagnostic and laboratory tests than to lifestyle measures, do not discriminate tests that are important and evidence-based, and seem not be aware of the individualisation of risk. Family physicians should be aware of these optimistic expectations, because these can influence the doctor–patient relationship when discussing these interventions and incorporating personalised risk. PMID:27707825

  10. Critical systems for public health management of floods, North Dakota.

    Science.gov (United States)

    Wiedrich, Tim W; Sickler, Juli L; Vossler, Brenda L; Pickard, Stephen P

    2013-01-01

    Availability of emergency preparedness funding between 2002 and 2009 allowed the North Dakota Department of Health to build public health response capabilities. Five of the 15 public health preparedness capability areas identified by the Centers for Disease Control and Prevention in 2011 have been thoroughly tested by responses to flooding in North Dakota in 2009, 2010, and 2011; those capability areas are information sharing, emergency operations coordination, medical surge, material management and distribution, and volunteer management. Increasing response effectiveness has depended on planning, implementation of new information technology, changes to command and control procedures, containerized response materials, and rapid contract procedures. Continued improvement in response and maintenance of response capabilities is dependent on ongoing funding.

  11. Biosystems Engineering in Portugal

    OpenAIRE

    Marques da Silva, José Rafael; Silva, Luis Leopoldo; Cruz, Vasco Fitas

    2008-01-01

    The paper gives the definition of Biosystems Engineering in Portugal; Possible revisions of the core curriculum presented in the FEANI report; the current situation of Biosystems Engineering in Portugal; The impacts of the transition to Biosystems Engineering; The need for a transition to Biosystems Engineering;Opportunities to the Biosystems Engineer in the labour market.

  12. Comparing types of local public health agencies in North Carolina.

    Science.gov (United States)

    Markiewicz, Milissa; Moore, Jill; Foster, Johanna H; Berner, Maureen; Matthews, Gene; Wall, Aimee

    2013-01-01

    Some states are considering restructuring local public health agencies (LPHAs) in hopes of achieving long-term efficiencies. North Carolina's experience operating different types of LPHAs, such as county health departments, district health departments, public health authorities, and consolidated human services agencies, can provide valuable information to policy makers in other states who are examining how best to organize their local public health system. To identify stakeholders' perceptions of the benefits and challenges associated with different types of LPHAs in North Carolina and to compare LPHA types on selected financial, workforce, and service delivery measures. Focus groups and key informant interviews were conducted to identify stakeholders' perceptions of different LPHA types. To compare LPHA types on finance, workforce, and service delivery measures, descriptive statistical analyses were performed on publicly available quantitative data. North Carolina. Current and former state and local public health practitioners, county commissioners, county managers, assistant managers, state legislators, and others. In addition to identifying stakeholders' perceptions of LPHA types, proportion of total expenditures by funding source, expenditures per capita by funding source, full-time equivalents per 1000 population, and percentage of 127 tracked services offered were calculated. Stakeholders reported benefits and challenges of all LPHA types. LPHA types differ with regard to source of funding, with county health departments and consolidated human services agencies receiving a greater percentage of their funding from county appropriations than districts and authorities, which receive a comparatively larger percentage from other revenues. Types of LPHAs are not entirely distinct from one another, and LPHAs of the same type can vary greatly from one another. However, stakeholders noted differences between LPHA types-particularly with regard to district health

  13. The Intra Industry Trade between Portugal European Union, Portugal Spain, Portugal-France, Portugal Germany, Portugal-Ireland, Portugal-Greece and Portugal-Netherlands - a Dynamic Panel Data Analysis (1996 2000)

    OpenAIRE

    Horácio Faustino; Nuno Carlos Leitão

    2005-01-01

    PortugalÂ’s main trade partners have been Spain, Germany and France. In this paper we analyse the intra industry trade in the manufacturing industry between Portugal Spain, Portugal-France, Portugal Germany, Portugal-Ireland and Portugal-Greece. We also present the results of intra industry trade (IIT) between Portugal and the European Union. The innovation, technological progress, human capital, and scale economies are some of the explicative variables of the intra industry trade phenomena. ...

  14. Sexual Health Competencies for Undergraduate Medical Education in North America.

    Science.gov (United States)

    Bayer, Carey Roth; Eckstrand, Kristen L; Knudson, Gail; Koehler, Jean; Leibowitz, Scott; Tsai, Perry; Feldman, Jamie L

    2017-04-01

    The number of hours spent teaching sexual health content and skills in medical education continues to decrease despite the increase in sexual health issues faced by patients across the lifespan. In 2012 and 2014, experts across sexuality disciplines convened for the Summits on Medical School Education and Sexual Health to strategize and recommend approaches to improve sexual health education in medical education systems and practice settings. One of the summit recommendations was to develop sexual health competencies that could be implemented in undergraduate medical education curricula. To discuss the process of developing sexual health competencies for undergraduate medical education in North America and present the resulting competencies. From 2014 to 2016, a summit multidisciplinary subcommittee met through face-to-face, phone conference, and email meetings to review prior competency-based guidelines and then draft and vet general sexual health competencies for integration into undergraduate medical school curricula. The process built off the Association of American Medical Colleges' competency development process for training medical students to care for lesbian, gay, bisexual, transgender, and gender non-conforming patients and individuals born with differences of sex development. This report presents the final 20 sexual health competencies and 34 qualifiers aligned with the 8 overall domains of competence. Development of a comprehensive set of sexual health competencies is a necessary first step in standardizing learning expectations for medical students upon completion of undergraduate training. It is hoped that these competencies will guide the development of sexual health curricula and assessment tools that can be shared across medical schools to ensure that all medical school graduates will be adequately trained and comfortable addressing the different sexual health concerns presented by patients across the lifespan. Bayer CR, Eckstrand KL, Knudson G, et

  15. Correlates of Mental Health Among Latino Farmworkers in North Carolina

    DEFF Research Database (Denmark)

    Crain, R.; Grzywacz, J.G.; Swantes, Melody

    2012-01-01

    Purpose: Latino farmworkers are a vulnerable population who confront multiple threats to their mental health. Informed by the stress-process model of psychiatric disorder, the goal of this paper is to determine primary and context-specific stressors of poor mental health among Latino farmworkers....... Methods: Structured interview data were obtained from farmworkers (N = 69) in 6 counties in eastern and western North Carolina. Findings: Results indicated that a substantial number of farmworkers have poor mental health, as indicated by elevated depressive symptoms (52.2%) and anxiety (16.4%). Results...... also indicated that each mental health outcome had different predictors. Conclusion: Addressing the mental health issues of farmworkers requires a comprehensive, multifaceted approach....

  16. Copper, zinc and lead biogeochemistry in aquatic and land plants from the Iberian Pyrite Belt (Portugal) and north of Morocco mining areas.

    Science.gov (United States)

    Durães, Nuno; Bobos, Iuliu; Ferreira da Silva, Eduardo; Dekayir, Abdelilah

    2015-02-01

    The ability of aquatic (Juncus effusus L., Scirpus holoschoenus L., Thypha latifolia L. and Juncus sp.) and land (Cistus ladanifer L., Erica andevalensis C.-R., Nerium oleander L., Isatis tinctoria L., Rosmarinus officinalis L., Cynodon dactylon L. and Hordeum murinum L.) plants from Portugal (Aljustrel, Lousal and São Domingos) and Morocco (Tighza and Zeida) mining areas to uptake, translocate and tolerate heavy metals (Cu, Zn and Pb) was evaluated. The soils (rhizosphere) of the first mining area are characterized by high acidity conditions (pH 2-5), whereas from the second area, by alkaline conditions (pH 7.0-8.5). Physicochemical parameters and mineralogy of the rhizosphere were determined from both areas. Chemical analysis of plants and the rhizosphere was carried out by inductively coupled plasma emission spectrometry. The sequential chemical extraction procedure was applied for rhizosphere samples collected from both mining areas. In the acid conditions, the aquatic plants show a high capacity for Zn bioaccumulation and translocation and less for Pb, reflecting the following metal mobility sequence: Zn > Cu > Pb. Kaolinite detected in the roots by infrared spectroscopy (IR) contributed to metal fixation (i.e. Cu), reducing its translocation to the aerial parts. Lead identified in the roots of land plants (e.g. E. andevalensis) was probably adsorbed by C-H functional groups identified by IR, being easily translocated to the aerial parts. It was found that aquatic plants are more efficient for phytostabilization than bioaccumulation. Lead is more bioavailable in the rhizosphere from Morocco mining areas due to scarcity of minerals with high adsorption ability, being absorbed and translocated by both aquatic and land plants.

  17. [Satisfaction with health services in the North Bohemia Region].

    Science.gov (United States)

    Masopust, V; Rajman, K

    1989-04-01

    In May 1988 in the North Bohemian region an anonymous survey was made in which 3,767 respondents participated, i.e. 0.42% of the population living in the region. The survey was focused on the satisfaction with and attitudes of patients to the health services. 73.64% of the respondents evaluated the provided services positively, 24.39% had an ambivalent attitude and 1.97% evaluated them negatively. Material shortcomings in the health services were criticized by 54.05% of the respondents, 37.75% criticized long waiting periods and 23.17% shortage of health personnel. The greatest advantage of our health services is that they are free of charge (49.91% respondents); availability (48.23%) and good interpersonal relations (21.56%). The satisfaction with the health services was expressed by 85.72% respondents verbally, 5.57% by criticism, 1.57% by a bribe and 1.43% by complaints. The most pretentious group are young patients working in industry. A positive attitude to the health services correlates with a positive evaluation of health workers. Thus the necessity arises to guard the ethical and professional standard of the health workers.

  18. The use and design of the BSC in the health care sector: A systematic literature review for Italy, Spain, and Portugal.

    Science.gov (United States)

    Gonzalez-Sanchez, Maria Beatriz; Broccardo, Laura; Martins Pires, Amélia Maria

    2018-01-01

    The aim of this paper is to gain a better understanding of how the balanced scorecard (BSC) has evolved in Spain, Italy, and Portugal. It reviews all the articles on the BSC in the health care sector written between 1992 and 2015 by Spanish, Italian, or Portuguese authors and published in Spanish, Italian, or Portuguese as well as in English. Our study first shows the state of knowledge on BSC in health care for a homogeneous group of Southern European countries. Second, it uncovers the perspectives, indicators, and generation used in the countries under observation to reveal the extent to which this management tool has evolved. Third, it analyses international variations in design and use within the health care context, especially in the United States. Moreover, it also highlights a number of important issues. The BSC is in its early stage of development in these 3 countries, which do not use it as a tool to implement strategy and align all of the elements that help integrate the organization. Copyright © 2017 John Wiley & Sons, Ltd.

  19. Portugal's experience with public-private partnerships

    NARCIS (Netherlands)

    Miranda Sarmento, J.J.; Renneboog, L.D.R.; Akintoye, A.; Beck, M.; Kumaraswamy, M.

    2015-01-01

    This paper documents the Portuguese experience in Public-Private Partnerships (PPPs). Since 1993, Portugal has been using PPPs intensively, mainly for highway construction and in the health sector. This has enabled the country to close the infrastructure gap and avoid the budget constraints at the

  20. Saving Lives and Saving Money: The Role of North Carolina Health Departments in Medicaid Managed Care.

    Science.gov (United States)

    Bridger, Colleen M; Smith, Steven E; Saunders, Stacie Turpin

    2017-01-01

    A new Medicaid system is emerging in North Carolina in which accountable care organizations will aim to improve both the quality and value of health care. We explore how local health departments can apply their expertise in population health to help achieve these goals. ©2017 by the North Carolina Institute of Medicine and The Duke Endowment. All rights reserved.

  1. Segmentação no Mercado dos Vinhos Verdes na Região Norte de Portugal: o caso dos gestores de restauração Green Wine Market Segmentation in the North of Portugal: the case of restaurateur managers La Segmentación del Mercado de los Vinos Verdes en la Región Norte de Portugal: la situación de los gestores de restauración

    Directory of Open Access Journals (Sweden)

    MARTINS, Francisco Vitorino

    2009-03-01

    published about the wine consumer behaviour, with applications in the context of market segmentation. Using as segmentation base nine variables that measure the importance attributed to tangible and intangible features in the process of wine acquisition, we propose a classification of the restaurateur managers in the north of Portugal into two groups.RESUMENEs notorio que para producir vinos se requiere conocimiento, pero actualmente también el conocimiento es necesario para comercializarlo. Durante siglos, los académicos y productores se empeñaron en perfeccionar técnicas que permiten hacer mejores vinos, pero el reconocimiento de que es necesario un especial esfuerzo para su comercialización es un tema reciente. Históricamente los factores de éxito de las empresas que comercializan vino se fundamentaban en la tecnología de producción y en la calidad de sus productos. Sin embargo, el aumento de la competitividad del mercado actualmente requiere el conocimiento del consumidor de vino para poder satisfacer mejor sus necesidades. El mercado del vino prosperó en refinamiento y las oportunidades de segmentación de mercado también aumentaron. Este trabajo aporta una revisión de algunos estudios sobre el comportamiento del consumidor de vino en el contexto de la segmentación de mercado. Como base de segmentación se utilizaron nueve variables que evalúan la importancia atribuida a características tangibles e intangibles en el proceso de adquisición del vino. Se propone clasificar los gestores de restauración de la región norte de Portugal en dos grupos.

  2. Geostatistical uncertainty of assessing air quality using high-spatial-resolution lichen data: A health study in the urban area of Sines, Portugal.

    Science.gov (United States)

    Ribeiro, Manuel C; Pinho, P; Branquinho, C; Llop, Esteve; Pereira, Maria J

    2016-08-15

    In most studies correlating health outcomes with air pollution, personal exposure assignments are based on measurements collected at air-quality monitoring stations not coinciding with health data locations. In such cases, interpolators are needed to predict air quality in unsampled locations and to assign personal exposures. Moreover, a measure of the spatial uncertainty of exposures should be incorporated, especially in urban areas where concentrations vary at short distances due to changes in land use and pollution intensity. These studies are limited by the lack of literature comparing exposure uncertainty derived from distinct spatial interpolators. Here, we addressed these issues with two interpolation methods: regression Kriging (RK) and ordinary Kriging (OK). These methods were used to generate air-quality simulations with a geostatistical algorithm. For each method, the geostatistical uncertainty was drawn from generalized linear model (GLM) analysis. We analyzed the association between air quality and birth weight. Personal health data (n=227) and exposure data were collected in Sines (Portugal) during 2007-2010. Because air-quality monitoring stations in the city do not offer high-spatial-resolution measurements (n=1), we used lichen data as an ecological indicator of air quality (n=83). We found no significant difference in the fit of GLMs with any of the geostatistical methods. With RK, however, the models tended to fit better more often and worse less often. Moreover, the geostatistical uncertainty results showed a marginally higher mean and precision with RK. Combined with lichen data and land-use data of high spatial resolution, RK is a more effective geostatistical method for relating health outcomes with air quality in urban areas. This is particularly important in small cities, which generally do not have expensive air-quality monitoring stations with high spatial resolution. Further, alternative ways of linking human activities with their

  3. Efeito da densidade de plantação e da cultivar no crescimento da cerejeira sobre o porta-enxerto edabriz em quatro locais do norte e centro de Portugal Effect of tree planting density and cultivar on sweet cherry growth onto the edabriz rootstock at four locations in the north and centre of Portugal

    Directory of Open Access Journals (Sweden)

    Alberto Santos

    2009-12-01

    Full Text Available Foi avaliado o crescimento das cultivares de cerejeira Regina, Skeena e Sweetheart até ao final da 2ª folha, sob o efeito do porta enxerto Edabriz e quatro densidades de plantação. O ensaio foi implantado em Março de 2003, em quatro locais do Norte e Centro de Portugal, e compreende duas repetições em Caria, Vila Real e Alcongosta, e três em Carrazedo de Montenegro. A largura de entrelinhas é cerca de 5,0 metros, e as distâncias entre plantas na linha são 70, 140, 210 e 280 cm, a que correspondem densidades de 2600, 1300, 860 e 650 plantas/ha, respectivamente. Anualmente, foi registado o diâmetro do tronco de cada planta e calculada a sua área da secção do tronco (AST. No final da 2ª folha foram já significativas as diferenças de crescimento observadas, tanto ao nível do local como da densidade de plantação. As cerejeiras do ensaio de C. Montenegro cresceram mais 76, 36 e 9% do que as dos ensaios de Alcongosta, Vila Real e Caria, respectivamente, sendo o local responsável por 25% da variância total esperada. A densidade de plantação reteve já 3% da variância total, tendo as árvores deixadas a 70 cm na linha crescido menos 22% do que as mais afastadas. Por conseguinte, em Alcongosta e Vila Real as cultivares cresceram muito pouco neste porta-enxerto, pelo que em condições análogas é importante ajustar as dotações hídricas e nutricionais às necessidades específicas do porta-enxerto, de forma a melhor gerir o crescimento vegetativo e preparar as árvores para a sua função primordial: a produção.The growth of sweet cherry cultivars Regina, Skeena and Sweetheart was evaluated when grafted onto the Edabriz rootstock and at four planting densities. The trial was set on March 2003 at four locations in the North and Centre of Portugal, with two replications in Caria, Vila Real and Alcongosta and three in Carrazedo de Montenegro. Within row spacing is approximately 5,0 m and plant spacing along the row is 0.7, 1

  4. Multivariate analysis of lifestyle, constitutive and body composition factors influencing bone health in community-dwelling older adults from Madeira, Portugal.

    Science.gov (United States)

    Gouveia, Élvio Rúbio; Blimkie, Cameron Joseph; Maia, José António; Lopes, Carla; Gouveia, Bruna Raquel; Freitas, Duarte Luís

    2014-01-01

    This study describes the association between habitual physical activity (PA), other lifestyle/constitutive factors, body composition, and bone health/strength in a large sample of older adults from Madeira, Portugal. This cross-sectional study included 401 males and 401 females aged 60-79 years old. Femoral strength index (FSI) and bone mineral density (BMD) of the whole body, lumbar spine (LS), femoral neck (FN), and total lean tissue mass (TLTM) and total fat mass (TFM) were determined by dual-energy X-ray absorptiometry-DXA. PA was assessed during face-to-face interviews using the Baecke questionnaire and for a sub-sample by Tritrac accelerometer. Demographic and health history information were obtained by telephone interview through questionnaire. The relationship between habitual PA variables and bone health/strength indicators (whole body BMD, FNBMD, LSBMD, and FSI) investigated using Pearson product-moment correlation coefficient was similar for females (0.098≤r≤0.189) and males (0.104≤r≤0.105). Results from standard multiple regression analysis indicated that the primary and most significant predictors for FNBMD in both sexes were age, TLTM, and TFM. For LSBMD, the most significant predictor was TFM in men and TFM, age, and TLTM in females. Our regression model explained 8.3-14.2% and 14.8-29.6% of the total variance in LSBMD and FNBMD for males and females, respectively. This study suggests that habitual PA is minimally but positively associated with BMD and FSI among older adult males and females and that body composition factors like TLTM and TFM are the strongest determinants of BMD and FSI in this population. Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.

  5. CERN and Portugal

    International Nuclear Information System (INIS)

    Anon.

    1995-01-01

    In its continual tour of CERN Member States, the European Committee for Future Accelerators (ECFA) visited Lisbon, Portugal, on 21-22 April, where it met at the Instituto Superiore Tecnico, a technical university with 9,000 students. Portuguese particle physics is in a particularly healthy situation, having developed considerably following Portugal's admission to CERN in 1985. With support from Brussels, scientific infrastructure has developed rapidly, although the science base has yet to attain the levels seen in larger nations. The 45-strong population of experimentalists in Portugal, including 14 PhDs, represents a 2.5-fold increase since Portugal joined CERN ten years ago and is in line with the goal stated at the time. This successful development of experimental particle physics has benefited much from physicists returning from abroad (mainly France and the UK). The direct result of the efforts of a few individuals (notably J.M. Gago), this splendid achievement provides an excellent role model for new and potential CERN Member States. At present, particle physics represents some 3 0% of all Portuguese physics publications. This very special role (and the financial support it implies) provides a visible target, but one which can be defended as it provides a catalyst for other national scientific developments. The national hub is the Laboratory for experimental high energy physics and related R&D projects (LIP), with centres in Lisbon (Head, J.M. Gago) and Coimbra (Head, A. Policarpo). LIP, with close links to two universities in Lisbon and to the University of Coimbra, has developed into a centre of expertise and training in electronics, computing and software engineering. Present LIP funding is some 2 million Swiss francs/year (70% in Lisbon and 3 0% in Coimbra), covering most of the salaries of the nonuniversity people, the remainder being supported by grants from Portuguese and European programmes. Portugal's contribution to CERN's 1995 budget

  6. The Guarda structure (Portugal): Impact structure or not? Microstructural studies of Quartz, Zircon and Monazite

    NARCIS (Netherlands)

    Zalinge, M.E. van; Hamers, M.F.; Drury, M.R.

    2012-01-01

    The Guarda Structure in north-eastern Portugal has been proposed as a potential impact structure. We have studied the structure in detail, but no field or microscopic evidence has been found to support the impact hypothesis

  7. The Mental Health System in North-Eastern Nigeria: A WHO-AIMS ...

    African Journals Online (AJOL)

    PROMOTING ACCESS TO AFRICAN RESEARCH ... The definition of a detailed description of the mental health system of the north-eastern region ... for regional mental health Gap action Plan (mhGAP) policy formulation and implementation.

  8. Detection of the Invasive Mosquito Species Aedes (Stegomyia) albopictus (Diptera: Culicidae) in Portugal

    Science.gov (United States)

    Osório, Hugo Costa; Zé-Zé, Líbia; Neto, Maria; Silva, Sílvia; Marques, Fátima; Silva, Ana Sofia; Alves, Maria João

    2018-01-01

    The Asian tiger mosquito Aedes albopictus is an invasive mosquito originating from the Asia-Pacific region. This species is of major concern to public and veterinary health because of its vector role in the transmission of several pathogens, such as chikungunya, dengue, and Zika viruses. In Portugal, a National Vector Surveillance Network (REde de VIgilância de VEctores—REVIVE) is responsible for the surveillance of autochthonous, but also invasive, mosquito species at points of entry, such as airports, ports, storage areas, and specific border regions with Spain. At these locations, networks of mosquito traps are set and maintained under surveillance throughout the year. In September 2017, Ae. albopictus was detected for the first time in a tyre company located in the North of Portugal. Molecular typing was performed, and a preliminary phylogenetic analysis indicated a high similarity with sequences of Ae. albopictus collected in Europe. A prompt surveillance response was locally implemented to determine its dispersal and abundance, and adult mosquitoes were screened for the presence of arboviral RNA. A total of 103 specimens, 52 immatures and 51 adults, were collected. No pathogenic viruses were detected. Despite the obtained results suggest low abundance of the population locally introduced, the risk of dispersal and potential establishment of Ae. albopictus in Portugal has raised concern for autochthonous mosquito-borne disease outbreaks. PMID:29690531

  9. Detection of the Invasive Mosquito Species Aedes (Stegomyia albopictus (Diptera: Culicidae in Portugal

    Directory of Open Access Journals (Sweden)

    Hugo Costa Osório

    2018-04-01

    Full Text Available The Asian tiger mosquito Aedes albopictus is an invasive mosquito originating from the Asia-Pacific region. This species is of major concern to public and veterinary health because of its vector role in the transmission of several pathogens, such as chikungunya, dengue, and Zika viruses. In Portugal, a National Vector Surveillance Network (REde de VIgilância de VEctores—REVIVE is responsible for the surveillance of autochthonous, but also invasive, mosquito species at points of entry, such as airports, ports, storage areas, and specific border regions with Spain. At these locations, networks of mosquito traps are set and maintained under surveillance throughout the year. In September 2017, Ae. albopictus was detected for the first time in a tyre company located in the North of Portugal. Molecular typing was performed, and a preliminary phylogenetic analysis indicated a high similarity with sequences of Ae. albopictus collected in Europe. A prompt surveillance response was locally implemented to determine its dispersal and abundance, and adult mosquitoes were screened for the presence of arboviral RNA. A total of 103 specimens, 52 immatures and 51 adults, were collected. No pathogenic viruses were detected. Despite the obtained results suggest low abundance of the population locally introduced, the risk of dispersal and potential establishment of Ae. albopictus in Portugal has raised concern for autochthonous mosquito-borne disease outbreaks.

  10. Cutaneous leishmaniosis in a horse from northern Portugal

    NARCIS (Netherlands)

    Gama, Adelina; Elias, Joana; Ribeiro, Ana J.; Alegria, Nuno; Schallig, Henk D. F. H.; Silva, Filipe; Santarém, Nuno; Cardoso, Luís; Cotovio, Mário

    2014-01-01

    The first case of cutaneous leishmaniosis in a horse from the north of Portugal, with a 1.5 cm in diameter ulcerated nodular lesion on the left face, is reported. The skin nodule was surgically excised and assessed by histopathology, including an immunohistochemistiy method applied for the first

  11. Prevalence of overweight and obesity in Portugal: Results from the First Portuguese Health Examination Survey (INSEF 2015).

    Science.gov (United States)

    Gaio, Vânia; Antunes, Liliana; Namorado, Sónia; Barreto, Marta; Gil, Ana; Kyslaya, Irina; Rodrigues, Ana Paula; Santos, Ana; Bøhler, Linn; Castilho, Emília; Vargas, Patrícia; do Carmo, Isabel; Nunes, Baltazar; Dias, Carlos Matias

    Obesity is recognised as a serious public health issue, due to its associated morbidity and mortality. This study aimed at estimating the prevalence of overweight and obesity in the Portuguese population through direct measurements obtained by the 1st National Health Examination Survey (INSEF 2015) and to identify its associated sociodemographic factors. INSEF was a nationally representative cross-sectional prevalence study conducted on 4911 Portuguese adults aged 25-74 years, in 2015. Height and weight were measured according to the European Health Examination Survey procedures. Poisson regression was used to estimate the adjusted prevalence ratios of overweight and obesity according to age, marital status, occupational activity, education, urbanization of living area and smoking status. Overall prevalences of overweight and obesity were 39.1% and 28.6%, respectively. The prevalence of overweight was higher among men (45.5% vs 33.2%) while the prevalence of obesity was higher among women (32% vs 25%). The sociodemographic factors associated with overweight and obesity were age, marital status and education. Smoking status was associated with overweight and obesity but only in women. INSEF suggests that a high prevalences of overweight and obesity are found in older individuals, married, with lower education levels and non-smoking women. Public health interventions are urgently required for obesity prevention, namely throughout health literacy strategies. Copyright © 2017 Asia Oceania Association for the Study of Obesity. Published by Elsevier Ltd. All rights reserved.

  12. Individual and social determinants of self-rated health and well-being in the elderly population of Portugal

    Directory of Open Access Journals (Sweden)

    Pedro Alcântara da Silva

    2014-11-01

    Full Text Available This article aims to identify the main determinants of self-rated health and well-being in the elderly Portuguese population, using a set of dimensions including demographic and socioeconomic indicators, characteristics of interpersonal networks and social activities, health, sexual activity, representations of aging, and feeling of happiness. Taking socioeconomic, behavioral, and attitudinal predictors into account to analyze the explanatory value of the interrelated dimensions and weights for each factor, the author argues that social capital, activities associated with active aging, and greater optimism towards aging can contribute greatly to better self-rated health and wellbeing among the elderly, partially offsetting the effect of socioeconomic factors and illness associated with age.

  13. Assembling Toyota in Portugal

    OpenAIRE

    Machado, Tiago; Moniz, António

    2003-01-01

    A lot has been written over the last decade with regard to Toyota and the productive model associated to it (toyota-ism). And more specifically concerning the "(…) best-seller that changed the... sociological world" (Castillo, 1998: 31). But the case of Salvador Caetano’s Ovar Industrial Division (OID), that assembles Toyota light commercial vehicles in Portugal, allows us to put forward a sub-hypothesis that fits into the analysis schema proposed in the First GERPISA International Program – ...

  14. Prison Conditions in Portugal

    OpenAIRE

    Dores, António Pedro; Loureiro, Ricardo; Pontes, Nuno

    2013-01-01

    GENERAL DESCRIPTION OF THE PORTUGUESE PENITENTIARY SYSTEM Portugal has 51 prisons of different types: 15 penitentiaries (“central prisons”, normally larger ones) for inmates condemned to serve more than 6 months; 31 penitentiaries (“regional prisons”) for inmates condemned to serve less than 6 months; and five penitentiaries (“special prisons”) for inmates who need special attention, such as women, youths, policeman, and the sick (hospital). The first type of penitentiary has security...

  15. Concepts of Health in Nursing Education in Undergraduate Schools of Brazil and Portugal Concepciones de la salud en la educación de enfermería en escuelas de graduación de Brasil y Portugal Concepções de saúde na educação em enfermagem em escolas de graduação do Brasil e Portugal

    Directory of Open Access Journals (Sweden)

    Cláudia Regina Lima Duarte da Silva

    2010-12-01

    Full Text Available This article represents an extract of my PhD research regarding the concepts of health present in undergraduate schools of nursing of Brazil and Portugal. The objective of this research was to comprehend how the concepts of health are explicit in the documents of undergraduate courses and how they are expressed in the discourses of the nursing professors and students. For this, thematic content analysis was used to analyze the professional education of the nurses and the concepts of health present in the nursing courses. The presentation of the results was performed using the Collective Subject Discourse technique. The results showed that in the state of Santa Catarina in Brazil, the concepts of health follow the National Curriculum Guidelines and there is an emphasis directed towards reflection on the Brazilian National Health System (SUS; while in the city of Porto, in Portugal, these concepts follow the Study Plans of the Nursing courses and emphasize nursing care both for the healthy and the sick person. The data also reveal a concern in the construction of the concept of people-centered healthcare.Este artículo representa una parte de la investigación que realicé durante el doctorado sobre las concepciones de salud presentes en escuelas de graduación en enfermería de Brasil y Portugal. El objetivo de esta investigación fue comprender como las concepciones sobre la salud están explícitas en los documentos de los cursos de graduación y de qué forma se expresan en los discursos de los profesores y estudiantes de enfermería. Para esto, utilizamos el análisis de contenido temático sobre la educación profesional de los enfermeros y sobre las concepciones de la salud presentes en los cursos de enfermería. La presentación de los resultados fue realizada a través del Discurso del Sujeto Colectivo. Los resultados apuntaron que, en el estado de Santa Catarina, en Brasil, las concepciones de salud siguen las Directrices Curriculares

  16. Soil Health Management under Hill Agroecosystem of North East India

    Directory of Open Access Journals (Sweden)

    R. Saha

    2012-01-01

    Full Text Available The deterioration of soil quality/health is the combined result of soil fertility, biological degradation (decline of organic matter, biomass C, decrease in activity and diversity of soil fauna, increase in erodibility, acidity, and salinity, and exposure of compact subsoil of poor physicochemical properties. Northeast India is characterized by high soil acidity/Al+3 toxicity, heavy soil, and carbon loss, severe water scarcity during most parts of year though it is known as high rainfall area. The extent of soil and nutrient transfer, causing environmental degradation in North eastern India, has been estimated to be about 601 million tones of soil, and 685.8, 99.8, 511.1, 22.6, 14.0, 57.1, and 43.0 thousand tones of N, P, K, Mn, Zn, Ca, and Mg, respectively. Excessive deforestation coupled with shifting cultivation practices have resulted in tremendous soil loss (200 t/ha/yr, poor soil physical health in this region. Studies on soil erodibility characteristics under various land use systems in Northeastern Hill (NEH Region depicted that shifting cultivation had the highest erosion ratio (12.46 and soil loss (30.2–170.2 t/ha/yr, followed by conventional agriculture system (10.42 and 5.10–68.20 t/ha/yr, resp.. The challenge before us is to maintain equilibrium between resources and their use to have a stable ecosystem. Agroforestry systems like agri-horti-silvi-pastoral system performed better over shifting cultivation in terms of improvement in soil organic carbon; SOC (44.8%, mean weight diameter; MWD (29.4%, dispersion ratio (52.9%, soil loss (99.3%, soil erosion ratio (45.9%, and in-situ soil moisture conservation (20.6% under the high rainfall, moderate to steep slopes, and shallow soil depth conditions. Multipurpose trees (MPTs also played an important role on soil rejuvenation. Michelia oblonga is reported to be a better choice as bioameliorant for these soils as continuous leaf litter and root exudates improved soil physical

  17. Factors associated with self-rated health among North Korean defectors residing in South Korea.

    Science.gov (United States)

    Wang, Bo-Ram; Yu, Shieun; Noh, Jin-Won; Kwon, Young Dae

    2014-09-26

    The number of North Korean refugees entering South Korea has increased recently. The health status of refugees is a significant factor in determining their success in resettlement; therefore, this study examined both the self-rated health status of North Korean defectors who have settled in South Korea and the factors associated with their self-rated health status. This study utilized data gained from face-to-face interviews with 500 North Korean defectors who arrived in South Korea in 2007. The interviews were structured and conducted by 'Yonsei University Research Team for North Korean defectors'. A stepwise multivariable linear regression was performed to determine the factors associated with their self-rated health status. North Korean defectors who were female, elderly, or had low annual household income, disability or chronic diseases reported lower health status. However, self-rated health status was higher among those who had settled in South Korea for 18 months or more, who were satisfied with government support or their current life, and who had experienced more traumatic events in North Korea. Government policies and refugee assistance programs should consider and reflect the factors relevant to the health status of North Korean defectors.

  18. Child suicide in the north of Portugal.

    Science.gov (United States)

    Mendes, Ricardo; Santos, Sara; Taveira, Francisco; Dinis-Oliveira, Ricardo Jorge; Santos, Agostinho; Magalhães, Teresa

    2015-03-01

    Suicide in children is a rare finding and is probably motivated by acts of impulsiveness. This study aims to contribute to the characterization of child suicide in a forensic perspective in the Portuguese population. Data of forensic autopsies from 2004 to 2012 related to suicide victims under 18 years were reviewed. A total of 17 cases, with a male predominance (64.7%) and a mean age of 15.24 ± 1.348 for both genders, were registered. The leading suicide method was hanging (35.3%), and a suicide note was found in 41.2%. Psychological autopsy proved to be useful in promoting a better understanding of these incidents and their antecedents. This study also offers useful information, namely the implied risk factors, for future programs of suicide research and prevention. © 2014 American Academy of Forensic Sciences.

  19. Portugal's special education law: implementing the International Classification of Functioning, Disability and Health in policy and practice.

    Science.gov (United States)

    Sanches-Ferreira, Manuela; Simeonsson, Rune J; Silveira-Maia, Mónica; Alves, Sílvia; Tavares, Ana; Pinheiro, Sara

    2013-05-01

    The International Classification of Functioning, Disability and Health (ICF) was introduced in Portuguese education law as the compulsory system to guide eligibility policy and practice in special education. This paper describes the implementation of the ICF and its utility in the assessment process and eligibility determination of students for special education. A study to evaluate the utility of the ICF was commissioned by the Portuguese Ministry of Education and carried out by an external evaluation team. A document analysis was made of the assessment and eligibility processes of 237 students, selected from a nationally representative sample. The results provided support for the use of the ICF in student assessment and in the multidimensional approach of generating student functioning profiles as the basis for determining eligibility. The use of the ICF contributed to the differentiation of eligible and non eligible students based on their functioning profiles. The findings demonstrate the applicability of the ICF framework and classification system for determining eligibility for special education services on the basis of student functioning rather than medical or psychological diagnose. The use of the International Classification of Functioning, Disability and Health (ICF) framework in special education policy is as follows: • The functional perspective of the ICF offers a more comprehensive, holistic assessment of student needs than medical diagnoses. • ICF-based assessment of the nature and severity of functioning can serve as the basis for determining eligibility for special education and habilitation. • Profiles of functioning can support decision making in designing appropriate educational interventions for students.

  20. Relationship between health-related quality of life, perceived family support and unmet health needs in adult patients with multimorbidity attending primary care in Portugal: a multicentre cross-sectional study.

    Science.gov (United States)

    Prazeres, Filipe; Santiago, Luiz

    2016-11-11

    Multimorbidity has a high prevalence in the primary care context and it is frequently associated with worse health-related quality of life (HRQoL). Few studies evaluated the variables that could have a potential effect on HRQoL of primary care patients with multimorbidity. The purpose of this study, the first of its kind ever undertaken in Portugal, is to analyse the relationship between multimorbidity, health-related quality of life, perceived family support and unmet health needs in adult patients attending primary care. Multicentre, cross-sectional survey conducted among primary care patients with multimorbidity. It included 521 participants (64.1 % females) who met the inclusion criteria. HRQoL was evaluated using the Portuguese Short Form-12 Health Status Questionnaire. The Portuguese Family APGAR was used to measure the perceived family support. A patients' unmet health needs questionnaire was used. The unmet needs for medical, surgical and dental care; prescription medications; mental healthcare or counselling; and eyeglasses or other technical aid was assessed. Descriptive and multivariate analyses were performed. The sample had an overall average of 4.5 chronic health problems. Increased multimorbidity levels were linked to worse health-related quality of life, particularly the physical health. Some variables were confirmed as playing a role on health-related quality of life. Male patients with high monthly incomes and highly functional families had better physical and mental health. High levels of education and the presence of asthma were also associated with better physical health. Contrariwise, elderly patients with high levels of multimorbidity and with osteoarthritis had lower physical health. The majority of the patients did not have unmet health needs. When health needs were stated they were mostly for generalist medical care, dental care, and eyeglasses/other technical aid. Financial insufficiency was the primary reason for not fulfilling their

  1. Burnout and health of primary school educators in the North West ...

    African Journals Online (AJOL)

    Erna Kinsey

    job characteristics, burnout, and ill-health for primary school educators in the North West Province. ...... stress, satisfaction and absenteeism. Journal of .... supervising research on burnout, work engagement and work-life balance. She.

  2. Portugal 1780-1850

    Directory of Open Access Journals (Sweden)

    Fátima Sá e Melo Ferreira

    2007-01-01

    Full Text Available In this article are highlighted some of the main paths covered by the term “people”, in Portugal in the last decades of the XVIIIth century and in the first half of the XIXth century. The most significant semantic variations that the word suffered in the backdrop of the political conflicts caused by the establishment of Liberalism are investigated, taking in consideration that the modern political uses of this word arose with the French Invasions (1807-1811 and with the resistance to those invasions by a part of the Portuguese population.

  3. Evaluation of primary mental health care in North West province – a ...

    African Journals Online (AJOL)

    Background. Owing to many complaints by health care workers and patients and a perceived poor standard of care, the mental health care services in North West province were assessed using quantitative and qualitative methods. The Mental Health Care Act of 2002 makes provision for the integration of services into ...

  4. A Study of Predictive Factors Affecting Health: Promoting Behaviors of North Korean Adolescent Refugees

    OpenAIRE

    Jin-Won Noh; Hyo-Young Yun; Hyunchun Park; Shi-Eun Yu

    2015-01-01

    Objectives: The present study aimed to analyze the factors that could affect the health-promoting behaviors of North Korean adolescent refugees residing in South Korea. Methods: Questions about their sociodemographic variables, subjective health status, healthy living habits, and health-promoting behaviors were asked. Results: Statistically significant differences were found in religion (t=2.30, p

  5. The North Carolina State Health Plan for Teachers and State Employees: Strategies in Creating Financial Stability While Improving Member Health.

    Science.gov (United States)

    Jones, Dee; Horner, Beth

    2018-01-01

    The North Carolina State Health Plan provides health care coverage to more than 700,000 members, including teachers, state employees, retirees, current and former lawmakers, state university and community college personnel, and their dependents. The State Health Plan is a division of the North Carolina Department of State Treasurer, self-insured, and exempt from the Employee Retirement Income Security Act as a government-sponsored plan. With health care costs rising at rates greater than funding, the Plan must take measures to stem cost growth while ensuring access to quality health care. The Plan anticipates focusing on strategic initiatives that drive results and cost savings while improving member health to protect the Plan's financial future. ©2018 by the North Carolina Institute of Medicine and The Duke Endowment. All rights reserved.

  6. Health care inequities in north India: role of public sector in universalizing health care.

    Science.gov (United States)

    Prinja, Shankar; Kanavos, Panos; Kumar, Rajesh

    2012-09-01

    Income inequality is associated with poor health. Inequities exist in service utilization and financing for health care. Health care costs push high number of households into poverty in India. We undertook this study to ascertain inequities in health status, service utilization and out-of-pocket (OOP) health expenditures in two States in north India namely, Haryana and Punjab, and Union Territory of Chandigarh. Data from National Sample Survey 60 th Round on Morbidity and Health Care were analyzed by mean consumption expenditure quintiles. Indicators were devised to document inequities in the dimensions of horizontal and vertical inequity; and redistribution of public subsidy. Concentration index (CI), and equity ratio in conjunction with concentration curve were computed to measure inequity. Reporting of morbidity and hospitalization rate had a pro-rich distribution in all three States indicating poor utilization of health services by low income households. Nearly 57 and 60 per cent households from poorest income quintile in Haryana and Punjab, respectively faced catastrophic OOP hospitalization expenditure at 10 per cent threshold. Lower prevalence of catastrophic expenditure was recorded in higher income groups. Public sector also incurred high costs for hospitalization in selected three States. Medicines constituted 19 to 47 per cent of hospitalization expenditure and 59 to 86 per cent OPD expenditure borne OOP by households in public sector. Public sector hospitalizations had a pro-poor distribution in Haryana, Punjab and Chandigarh. Our analysis indicates that public sector health service utilization needs to be improved. OOP health care expenditures at public sector institutions should to be curtailed to improve utilization of poorer segments of population. Greater availability of medicines in public sector and regulation of their prices provide a unique opportunity to reduce public sector OOP expenditure.

  7. Deforestation in Portugal

    Directory of Open Access Journals (Sweden)

    João Branco

    2014-01-01

    Full Text Available Deforestation is not a new problem although world-wide population awareness is increasing. This issue has terrible environmental, social and economic consequences due to the over-exploitation of the natural resources and to alternative land uses which are more profitable in the short term. The combat and mitigation of deforestation is one of the biggest challenges for the 21st Century in order to achieve the Millennium Goals and a global sustainable development at all levels of human activities. Therefore, this paper will address this concerns focusing on the causes and consequences of deforestation as well as on the actions carried out by the decision makers in order to provide solutions for this increasingly and alarming problem. This paper will also approach the concepts of sustainability as well as the economy and management of the natural resources aiming an insight of the past deforestation in Portugal, the present situation and a sustainable perspective regarding the future.

  8. Portugal: setting new goals for growth.

    Science.gov (United States)

    Cutler, B

    1987-11-01

    Portugal has entered a period of economic recovery spearheaded by Prime Minister Anibal Cavaco Silva. A slow but steady rise in the standard of living may finally offset the 0.9% annual growth in the country's population. Growth in the gross national product (GNP) reached 5% in 1987 and fixed capital investment increased 9.5% in 1986. Cavaco Silva's economic recovery program has included entry into the Common Market, foreign investment in industry, attention to the enormous public debt, and dismantling of the state-centered economy of the 1970s. Per capita GNP increased from US$743 in 1985 to $1970 in 1986 and unemployment had fallen to 8.5% by 1988. The prolongation of average life expectancy to 68 years for men and 75 years for women indicates a general improvement in the health and lifestyle of most Portuguese. By the year 2000, the population of Portugal is expected to reach 11.1 million, with the largest rates of growth occurring in the west and coastal areas. Half of the population falls into the 25-64-year age group, suggesting potential for economic growth and spending. A low rate of urbanization (30%) has complicated attempts to raise the level of technology in industry. Strong adherence to Catholicism is largely responsible for the exceptionally high marriage rate and low divorce rate in Portugal. The average birth rate was 14.5/1000 in 1987 and the average total fertility rate was 2.1. 34% of all births are to women 20-24 years old. The annual mortality rate is 9.6/1000, while infant mortality stands at 17.8/1000. A significant change occurring in Portugal in the current period is the rise of a new middle class.

  9. The Influence of the Devotion Movement on the Health Care in North Korea

    Directory of Open Access Journals (Sweden)

    KIM Soo-Youn

    2006-06-01

    Full Text Available Since the early 1960s, North Korea has conducted 'devotion movement' under the directorship of Kim Il Sung across the nation. As a matter of fact, the movement was not a novel invention at all. When North Korean Temporary People's Polity was established in 1946, North Korea emphasized the importance of the devoted care of health personnel. It meant to reform the people's thought and mind along with complementing the lack of human and material resources. Thought reform was not a peculiar phenomenon observed in North Korea only. It was particularly stressed out among communist countries, including the Soviet Union. However any other communist country stresses the importance of thought reform. Devotion movement should be viewed as part of this process. As shown in many cases, the extent and degree of devotion movement and care are beyond our imagination, which does not intend to mean that North Korean health personnel's attitude towards patients is superior to the counterparts in South Korea. Indeed human being's behavior cannot be understood without taking account of society in general. The question can be raised as to whether or not North Korean health personnel's devoted care is really voluntary. To put aside the testimony that the most powerless group in a society can fall prey to victims, if social environment, whether directly or indirectly, is action on the people's thought and mind even in a subtle way and thus influence one's decision power, it is hard to highly evaluate the devoted care in North Korea. Moreover it seems like that the internal conflict exists surrounding devotion. In conclusion, I think that North Korean devotion movement has enforced health personnel to reform their thought and mind to adapt to North Korean regime and has played an important role to accomplish the purpose of North Korean Labor Party to realize essential constituents of its health system, in such a situation in which essential medical supplies are severely

  10. A Study of Predictive Factors Affecting Health: Promoting Behaviors of North Korean Adolescent Refugees.

    Science.gov (United States)

    Noh, Jin-Won; Yun, Hyo-Young; Park, Hyunchun; Yu, Shi-Eun

    2015-09-01

    The present study aimed to analyze the factors that could affect the health-promoting behaviors of North Korean adolescent refugees residing in South Korea. Questions about their sociodemographic variables, subjective health status, healthy living habits, and health-promoting behaviors were asked. Statistically significant differences were found in religion (t=2.30, pKorea (t=2.02, preligion (t=2.17, preligion (t=4.21, pKorea (t=2.04, pNorth Korean adolescent refugees.

  11. Should we establish a North American school of global health sciences?

    Science.gov (United States)

    Hotez, Peter J

    2004-08-01

    Since 1997, an unprecedented amount of American philanthropy from both private and federal sources has been directed toward research and control programs for the major tropical infectious diseases of developing countries. The US and Canadian capacity to respond to these new initiatives might prove inadequate, however, as tropical disease research and training infrastructures have deteriorated at most North American academic health centers over the last three decades. Training opportunities in clinical tropical medicine, parasitology laboratory diagnostics, vector control, and public health practice are especially depleted and portend a lost generation of experts in these areas. In addition, unlike some of the European schools of tropical medicine, no North American medical or public health school currently boasts a comprehensive faculty in the global health sciences, with expertise that spans laboratory investigation, clinical and translational research, health policy, and international development. To meet the challenge presented by the new philanthropy targeting the global diseases of poverty, a North American school of global health sciences should be established. The North American school, possibly in association with one of the existing schools of medicine or public health, would provide interdisciplinary training to produce a new generation of global health scientists.

  12. North Carolina Family Assessment Scale: Measurement Properties for Youth Mental Health Services

    Science.gov (United States)

    Lee, Bethany R.; Lindsey, Michael A.

    2010-01-01

    Objective: The purpose of this study is to assess the reliability and validity of the North Carolina Family Assessment Scale (NCFAS) among families involved with youth mental health services. Methods: Using NCFAS data collected by child mental health intake workers with 158 families, factor analysis was conducted to assess factor structure, and…

  13. Public behavioral health care reform in North Carolina: will we get it right this time around?

    Science.gov (United States)

    Swartz, Marvin; Morrissey, Joseph

    2012-01-01

    North Carolina seeks to provide affordable and high-quality care for people with mental health, developmental disabilities and substance abuse conditions by reforming its behavioral health care system. This article presents an overview of current efforts to achieve that goal and discusses the challenges that must be overcome if reform is to be effective.

  14. The state of racial/ethnic diversity in North Carolina's health workforce.

    Science.gov (United States)

    McGee, Victoria; Fraher, Erin

    2012-01-01

    Increasing the racial and ethnic diversity of the health care workforce is vital to achieving accessible, equitable health care. This study provides baseline data on the diversity of health care practitioners in North Carolina compared with the diversity of the state's population. We analyzed North Carolina health workforce diversity using licensure data from the respective state boards of selected professions from 1994-2009; the data are stored in the North Carolina Health Professions Data System. North Carolina's health care practitioners are less diverse than is the state's population as a whole; only 17% of the practitioners are nonwhite, compared with 33% of the state's population. Levels of diversity vary among the professions, which are diversifying slowly over time. Primary care physicians are diversifying more rapidly than are other types of practitioners; the percentage who are nonwhite increased by 14 percentage points between 1994 and 2009, a period during which 1,630 nonwhite practitioners were added to their ranks. The percentage of licensed practical nurses who are nonwhite increased by 7 percentage points over the same period with the addition of 1,542 nonwhite practitioners to their ranks. Nonwhite health professionals cluster regionally throughout the state, and 79% of them practice in metropolitan counties. This study reports on only a selected number of health professions and utilizes race/ethnicity data that were self-reported by practitioners. Tracking the diversity among North Carolina's health care practitioners provides baseline data that will facilitate future research on barriers to health workforce entry, allow assessment of diversity programs, and be useful in addressing racial and ethnic health disparities.

  15. Bridging the information gap between health and the environment in North Carolina.

    Science.gov (United States)

    Kearney, Gregory D; Shehee, Mina; Lyerly, H Kim

    2013-01-01

    To better understand relationships between health and environmental hazards in North Carolina, a transdisciplinary group of participants from government and nongovernmental organizations (NFPs and universities) were appointed by the Research Triangle Environmental Health Collaborative to identify databases that when linked could lead toward improved environmental public health surveillance. The workgroup identified and compiled a comprehensive data resource directory containing information on 74 key health and environmental databases. Previous examples of data linkage projects in North Carolina using data sets were demonstrated. A single, high-quality directory of existing databases on health and the environment is now readily available. Data sets have independent values; when combined, these could prove increasingly important to evaluate health associations, particularly for researchers and policy makers. A pilot study to further demonstrate the importance of using the Environmental Health Database Inventory as a reference for data linkage projects is highly warranted.

  16. A study of mental health literacy among North Korean refugees in South Korea.

    Science.gov (United States)

    Noh, Jin-Won; Kwon, Young Dae; Yu, Sieun; Park, Hyunchun; Woo, Jong-Min

    2015-01-01

    This study aimed to investigate North Korean refugees' knowledge of mental illnesses and treatments and analyze the factors affecting this knowledge. Subjects were selected via a snowball sampling method, and the survey outcomes of 152 North Korean refugee participants were analyzed. The factors affecting knowledge of mental illnesses were analyzed via a regression analysis by constructing a multivariate model with mental illness knowledge score as the dependent variable. The North Korean refugees' mental illness scores ranged from 3 to 24 points, with an average score of 13.0. Regarding the factors that influence mental illness knowledge, the subjects with South Korean spouses and those who had spent more time in South Korea had higher knowledge scores. Furthermore, the subjects who considered the mental health of North Korean refugees to be a serious issue revealed lower knowledge scores than those who did not believe it was a serious issue. The subjects who visit psychiatric clinics showed higher knowledge scores than those who do not. The South Korean subjects who had at least a college education exhibited higher scores than did those without advanced education. The subjects who are satisfied with life in South Korea manifested a higher mental illness knowledge score than those who are not. This study is significant as being the first study to ever measure and evaluate the level of North Korean refugees' knowledge of mental illnesses. In addition, the evaluations of North Korean refugees' mental illness knowledge and influencing factors while residing in South Korea created basic data that formed the foundation of an effort to enhance mental health literacy and provide proper mental health services. The results of this study can be utilized to solve mental health problems that might frequently occur during the unification process of North and South Korea in the future.

  17. A Study of Mental Health Literacy Among North Korean Refugees in South Korea

    Directory of Open Access Journals (Sweden)

    Jin-Won Noh

    2015-01-01

    Full Text Available Objectives: This study aimed to investigate North Korean refugees’ knowledge of mental illnesses and treatments and analyze the factors affecting this knowledge. Methods: Subjects were selected via a snowball sampling method, and the survey outcomes of 152 North Korean refugee participants were analyzed. The factors affecting knowledge of mental illnesses were analyzed via a regression analysis by constructing a multivariate model with mental illness knowledge score as the dependent variable. Results: The North Korean refugees’ mental illness scores ranged from 3 to 24 points, with an average score of 13.0. Regarding the factors that influence mental illness knowledge, the subjects with South Korean spouses and those who had spent more time in South Korea had higher knowledge scores. Furthermore, the subjects who considered the mental health of North Korean refugees to be a serious issue revealed lower knowledge scores than those who did not believe it was a serious issue. The subjects who visit psychiatric clinics showed higher knowledge scores than those who do not. The South Korean subjects who had at least a college education exhibited higher scores than did those without advanced education. The subjects who are satisfied with life in South Korea manifested a higher mental illness knowledge score than those who are not. Conclusions: This study is significant as being the first study to ever measure and evaluate the level of North Korean refugees’ knowledge of mental illnesses. In addition, the evaluations of North Korean refugees’ mental illness knowledge and influencing factors while residing in South Korea created basic data that formed the foundation of an effort to enhance mental health literacy and provide proper mental health services. The results of this study can be utilized to solve mental health problems that might frequently occur during the unification process of North and South Korea in the future.

  18. Association between environmental contaminants and health outcomes in indigenous populations of the Circumpolar North

    DEFF Research Database (Denmark)

    Singh, Kavita; Bjerregaard, Peter; Chan, Hing Man

    2014-01-01

    populations. DESIGN: A literature search was conducted in OVID Medline (1946-January 2014) using search terms that combined concepts of contaminant and indigenous populations in the Arctic. No language or date restrictions were applied. The reference lists of review articles were hand-searched. RESULTS...... and health outcomes. The following research gaps should be addressed in future studies: association of contaminants and health in other Arctic regions (i.e. Inuvialuit Settlement Region, Nunavut, Nunatsiavut, Alaska, European North and Russian North); assessment of contaminants on chronic diseases; inclusion...

  19. A time for new north-south relationships in global health.

    Science.gov (United States)

    Kim, Jin Un; Oleribe, Obinna; Njie, Ramou; Taylor-Robinson, Simon D

    2017-01-01

    The modern concept of globalization in health care and clinical research often carries a positive message for the "Global South" nations of Africa, South America and Southeast Asia. However, bioethical abuse of participants in clinical trials still exists in the Global South. Unethical studies directed by the "Global North", formed by the medically advanced nations in North America, Western Europe and Japan, have been hugely concerning. The issue between the Global North and South is a well-recognized socioeconomic phenomenon of globalization. Medical exploitation has its roots in the socioeconomic interactions of a postcolonial world, and solutions to reducing exploitation require a deeper understanding of these societal models of globalization. We explore the fundamental causes of imbalance and suggest solutions. Reflecting on the globalization model, there must be an effort to empower the Global South nations to direct and govern their own health care systems efficiently on the basis of equality.

  20. Assessment of health-promoting behavior and lifestyle of adolescents of a North Indian city

    Directory of Open Access Journals (Sweden)

    Sonika Raj

    2013-01-01

    Conclusions: The result of the study showed that North Indian students had reasonably good orientations toward health behaviors, with a mean score of 67.5. The topics related to diet, physical exercise, spiritual growth and philanthropy promotion should be incorporated within the curriculum of students for their all round personality development.

  1. Burnout and health of primary school educators in the North West ...

    African Journals Online (AJOL)

    Burnout and health of primary school educators in the North West Province. Amanda Montgomery, Karina Mostert, Leon Jackson. Abstract. No Abstract. South African journal of Education Vol. 25(4) 2005: 266-272. Full Text: EMAIL FREE FULL TEXT EMAIL FREE FULL TEXT · DOWNLOAD FULL TEXT DOWNLOAD FULL ...

  2. Global health intervention from North to South: (Academic) preparation of students

    DEFF Research Database (Denmark)

    Singla, Rashmi; Rasmussen, Louise Mubanda

    2018-01-01

    psychiatry/ psychology (Fernando), culture-centered health communication (Dutta) and medical anthropology (Farmer, Nguyen & Lock). The course is framed around a critical conceptualization of globalisation covering spatial and ideological dimensions (Fassin). Today’s practice of global health interventions......Global health intervention from North to South: (Academic) preparation of students By Rashmi Singla & Louise Mubanda Rasmussen, Roskilde University, Denmark This chapter discusses how to conduct before- intervention preparation of students based on a pioneer course collaboration between...... the subjects Health Promotion and International Development Studies at Roskilde University. The focus is on agents of intervention from the Global North with Global South targets. The theoretical framework of the course includes, among others approaches from cultural psychological (Valsiner), critical...

  3. Examination of Lesbian, Gay, Bisexual, and Transgender Health Care Content in North Carolina Schools of Nursing.

    Science.gov (United States)

    Cornelius, Judith B; Enweana, Ijeoma; Alston, Celeste Kaysha; Baldwin, Dee M

    2017-04-01

    Nursing students require academic and clinical training in preparation for the increased demand for culturally competent care. One group that is in need of culturally knowledgeable health care providers is lesbian, gay, bisexual, and transgender (LGBT) individuals. The purpose of this study was to examine how LGBT health care content is integrated into North Carolina schools of nursing curricula and to examine the existence of specific LGBT policies. A survey was mailed to 70 deans and directors of RN programs in North Carolina. Over 90% of the schools indicated that LGBT health care issues were taught in the curricula. The majority of the content was taught as an "other" course (37%). More than two thirds of the schools devoted less than 5 hours teaching LGBT content. LGBT health care content is being taught, yet the presence of specific LGBT practice policies is basically nonexistent. [J Nurs Educ. 2017;56(4):223-226.]. Copyright 2017, SLACK Incorporated.

  4. Reforma da Atenção Primária em Portugal em duplo movimento: unidades assistenciais autónomas de saúde familiar e gestão em agrupamentos de Centros de Saúde Primary Healthcare Reform in Portugal on two fronts: autonomous family healthcare units and management of groupings of Health Centers

    Directory of Open Access Journals (Sweden)

    Luis Pisco

    2011-06-01

    Full Text Available Analisa-se o processo de reforma da atenção primária à saúde (APS em Portugal de 2005 a abril de 2010, período em que a Missão para os Cuidados de Saúde Primários teve a responsabilidade de conduzir essa profunda reconfiguração da APS Portuguesa. Os principais objectivos da reforma foram: melhorar a acessibilidade, eficiência, qualidade e continuidade dos cuidados e aumentar a satisfação dos profissionais e cidadãos. Suas principais características são a adesão voluntária, trabalho em equipa, existência obrigatória de sistema de informação, pagamento por desempenho, contratualização e avaliação. A reconfiguração dos centros de saúde obedeceu a um duplo movimento: por um lado, formação de pequenas unidades funcionais autónomas, as Unidades de Saúde Familiar (USF, prestando serviços com proximidade e qualidade; por outro lado, a agregação de recursos e estruturas de gestão, os agrupamentos de Centros de Saúde (ACES visando a eficiência e economia de escala. As USF conseguiram simultaneamente mais eficiência, acessibilidade, melhor clima laboral, maior satisfação dos cidadãos, numa palavra, mais qualidade. Salienta-se a importância de um forte apoio político, da criação de uma estrutura responsável pelo desenho e implementação da reforma e de uma boa comunicação social.In 2005, Portugal began a reform of Primary Health Care. This reform process through to April 2010 is described and analyzed. During this period the Mission for Primary Health Care was responsible for conducting a profound reconfiguration. The main objectives for this reform were to improve accessibility, efficiency, quality and continuity of care and increase the satisfaction of professionals and citizens. The main features are voluntary adhesion, teamwork, mandatory information system, performance-sensitive payment, contracting and evaluation. The reconfiguration of health centers was two pronged. First, there was the formation

  5. Mapping the networks of cancer research in Portugal: first results

    Energy Technology Data Exchange (ETDEWEB)

    Bras, O.R.; Cointet, J.P.; Nunes, J.A.; David, L.; Cambrosio, A.

    2016-07-01

    Social studies of cancer research at the international level have contributed to a better understanding of the developmental dynamics – both organizational and epistemic – of this field (Keating & Cambrosio, 2012). In contrast, despite its robust development, oncology research in Portugal has been the subject of only few studies. Most of them have a strong focus on the first half of the 20th century (Raposo, 2004; Costa, 2010, 2012a; 2012b), while a few focus on more contemporary events (Nunes, 2001). Consequently, we do not have a clear picture of recent trends in oncology research in Portugal, and how it integrates into the international landscape. This hinders public accountability of oncology research while also limiting the analysis of how this research relates to health care delivery, health outcomes, and health policy formulations. This paper presents the first results of an ongoing research project on the organizational and epistemic development of oncology research in Portugal, covering the period from the end of the 20th century to 2015. Among other issues, we intend to explore the extent to which oncology research in Portugal mirrors the international dynamics at a smaller scale, and the extent to which it presents features of its own. The study draws upon computer-based analysis of publications using the platform CorText (http://www.cortext.net/) of IFRIS (Institut Francilien Recherche, Innovation, Société), along with interviews with Portuguese oncologists and related practitioners. (Author)

  6. Portugal takes step back on abortion legalization.

    Science.gov (United States)

    1998-07-01

    According to international press reports, a law that would have allowed Portuguese women abortions through the 10th week of pregnancy and into the 16th week if their physical or mental health was at risk has been rescinded after a referendum to determine the statute's future was voided because of low voter turnout. Passed in February, the law was a liberalization of Portugal's strict anti-abortion laws, which ban all abortions except for narrowly defined medical reasons or in the case of rape (and those are permitted only until the 12th week of pregnancy). Because the issue is such a controversial one, politicians had turned to a national referendum asking Portuguese voters to overturn or ratify the new law. The referendum was the first in the country since the end of its right-wing dictatorship in 1974, and 50% participation was required. Only 31.5% of the country's 8.5 million eligible voters went to the polls on June 28. Of those voting, 50.9% voted against the liberalized new legislation. Sunny weather and World Cup soccer matches were both pointed to as reasons for the low turnout. Officials estimate there are some 20,000 illegal abortions annually in Portugal. Abortion-rights activists in the mostly Roman-Catholic country say hospitals see roughly 10,000 women a year suffering from complications from illegal abortions, and that at least 800 women die each year from the procedure. In the next day's Diario de Noticias, a daily paper in Portugal, the entire front page was filled with a giant question mark. "What now, lawmakers?" the headline read. full text

  7. Sex education in Portugal.

    Science.gov (United States)

    Frade, A; Vilar, D

    1991-05-01

    The article on sex education in Portugal covers background, the educational system, the clashes of the 1960's over sex education, the Committee for the Study of Sexuality and Education (CSSE), the policies, politics and social movements during the period 1974 - 1984, the discussions in Parliament, the 1988 Reform of the Educational System, the Family Planning Association (FPA) and sex education, and the future role of the FPA. It was not until the institution of the multiparity parliamentary system in 1974 that discussing social and political changes was possible, culminating in 1984 with new legislation on abortion, family planning, and sex education. School reform came in 1987/8 with the Ministry of Education primarily responsible for curricula. The 1960's brought with it the influence of the Catholic Church. Change came in the form of progressivism among Catholics who replaced dogma with dialogue and listening. Sex education was considered as preparation for marriage, but masturbation, contraception, and prostitution were also discussed. In addition, the founder of FPA chaired the CSSE in 1971 and opened up debate on sex issues and drafted a bill to establish co-education in Portuguese schools. The revolution of 1974 brought an end to censorship and brought forth a policy of developing family planning. Changed in the Family Code gave women greater equality. UNFPA supported teacher training in non-sexist education. With human reproduction included in the natural sciences, there was still no school sex education policy and contraception was only sometimes represented in the biology curriculum. The focus of FPA was on contraception and abortion. Finally in the 1980's, the first sex education programs were developed for out-of-school youth. Even though in the 1970's there were leftists groups promoting sex education, it took leftist parliamentary power to get legislation on sex education in the schools adopted. The Ministry of Education however was pressured by the

  8. Latina Workers in North Carolina: Work Organization, Domestic Responsibilities, Health, and Family Life.

    Science.gov (United States)

    Rodriguez, Guadalupe; Trejo, Grisel; Schiemann, Elizabeth; Quandt, Sara A; Daniel, Stephanie S; Sandberg, Joanne C; Arcury, Thomas A

    2016-06-01

    This analysis describes the work organization and domestic work experienced by migrant Latinas, and explores the linkage between work and health. Twenty Latina workers in North Carolina with at least one child under age 12 completed in-depth interviews focused on their work organization, domestic responsibilities, work-family conflict, health, and family health. Using a systematic qualitative analysis, these women described a demanding work organization that is contingent and exploitative, with little control or support. They also described demanding domestic roles, with gendered and unequal division of household work. The resulting work-family conflict affects their mental and physical health, and has negative effects on the care and health of their families. The findings from this study highlight that work stressors from an unfavorable work organization create work-family conflict, and that work-family conflict in this population has a negative influence on workers' health and health behaviors.

  9. European and North American Schools of Public Health – Establishment, growth, differences and similarities

    Directory of Open Access Journals (Sweden)

    Jadranka Bozikov

    2016-06-01

    Full Text Available Unlike European Schools of Public Health, whose development was primarily influenced by the medical profession and was linked to the healthcare system, North American Schools of Public Health operate as independent academic institutions engaged in research and education of Public Health specialists. While Public Health has been recognised as a distinctive profession in USA and Canada for almost a century, in many European countries it is not recognized as such and, accordingly, there are no well-defined job positions for graduates. Similarities and differences between the European and American Schools of Public Health are reviewed and the importance of classification of core competences, responsibilities and scope of knowledge required for Public Health practice was pointed out as a prerequisite for accreditation of study curricula. For the professionalization of Public Health in Europe further efforts are needed.

  10. The Health Care in North Korea during the Period(1945-1948 between Liberation from Japanese Occupation and Establishment of North Korean Government

    Directory of Open Access Journals (Sweden)

    HWANG Sang-Ik

    2007-06-01

    Full Text Available This paper, mainly based on literature and documents from North Korea and Russia, described how health care system had been formulated during the period of between liberation from Japanese Occupation and formation of its own government in North Korea, which is so-called 'the Period of People's Democracy'.North Korea authorities, by themselves, address that their health care system is characterized by state medicine, universal free medical care, emphasis on preventive medicine, community(ho doctors in charge, provisions of modern medical services in parallel with traditional ones, imposed high value on ideologies of medical personnel, and mass participation of health programs so on, taken rise since this period.Under North Korea's socialistic regime, authorities started to restructure health care system through national health care organizations and institutes, which partially provided medical service free. Also, they emphasized preventive medicine against 'capitalistic' treatment-oriented medicine, and community(ho doctor in-charge was derived from this period.It showed that the mass participation on health program was equal hereafter and they had under bias toward more emphasis on ideology of medical personnel rather than their professionalism. The attempt to develop traditional medicine had been made during this period, however, much funding and support was not observed.In this period, it showed that a series of action to restructure health care system had been gradually carried out.

  11. Portugal's Secondary School Modernisation Programme

    Science.gov (United States)

    Heitor, Teresa V.; Freire da Silva, Jose M. R.

    2009-01-01

    The aim of the Secondary School Modernisation Programme, being implemented in Portugal by "Parque Escolar, EPE", is based on the pursuit of quality and makes Portuguese education a potential international benchmark. This paper discusses the strategies adopted to reorganise school spaces. It describes the conceptual model and highlights…

  12. Middle East and North African Health Informatics Association (MENAHIA): Building Sustainable Collaboration.

    Science.gov (United States)

    Al-Shorbaji, Najeeb; Househ, Mowafa; Taweel, Adel; Alanizi, Abdullah; Mohammed, Bennani Othmani; Abaza, Haitham; Bawadi, Hala; Rasuly, Hamayon; Alyafei, Khalid; Fernandez-Luque, Luis; Shouman, Mohamed; El-Hassan, Osama; Hussein, Rada; Alshammari, Riyad; Mandil, Salah; Shouman, Sarah; Taheri, Shahrad; Emara, Tamer; Dalhem, Wasmiya; Al-Hamdan, Zaid; Serhier, Zineb

    2018-04-22

    There has been a growing interest in Health Informatics applications, research, and education within the Middle East and North African Region over the past twenty years. People of this region share similar cultural and religious values, primarily speak the Arabic language, and have similar health care related issues, which are in dire need of being addressed. Health Informatics efforts, organizations, and initiatives within the region have been largely under-represented within, but not ignored by, the International Medical Informatics Association (IMIA). Attempts to create bonds and collaboration between the different organizations of the region have remained scattered, and often, resulted in failure despite the fact that the need for a united health informatics collaborative within the region has never been more crucial than today. During the 2017 MEDINFO, held in Hangzhou, China, a new organization, the Middle East and North African Health Informatics Association (MENAHIA) was conceived as a regional non-governmental organization to promote and facilitate health informatics uptake within the region endorsing health informatics research and educational initiatives of the 22 countries represented within the region. This paper provides an overview of the collaboration and efforts to date in forming MENAHIA and displays the variety of initiatives that are already occurring within the MENAHIA region, which MENAHIA will help, endorse, support, share, and improve within the international forum of health informatics. Georg Thieme Verlag KG Stuttgart.

  13. Exploring the Health Needs of Aging LGBT Adults in the Cape Fear Region of North Carolina.

    Science.gov (United States)

    Rowan, Noell L; Beyer, Kelsey

    2017-01-01

    This study explored issues of culturally sensitive healthcare practice and needs among lesbian, gay, bisexual and transgender aging adults in coastal North Carolina. Survey data results indicated the largest problem was a history of verbally harassment and need for culturally sensitive healthcare. In conclusion, culturally sensitive interventions are needed to address the health disparities and unique needs of LGBT aging adults. Cultural sensitivity training for service providers is suggested as a vital step in addressing health disparities of aging LGBT adults. Implications for research include further exploration of health related needs of these often hidden and underserved population groups.

  14. Childhood immunizations in China: disparities in health care access in children born to North Korean refugees.

    Science.gov (United States)

    Chung, Hyun Jung; Han, Seung Hyun; Kim, Hyerang; Finkelstein, Julia L

    2016-04-13

    Childhood immunization rates are at an all-time high globally, and national data for China suggests close to universal coverage. Refugees from North Korea and their children may have more limited health care access in China due to their legal status. However, there is no data on immunization rates or barriers to coverage in this population. This study was conducted to determine the rates and correlates of immunizations in children (≥1 year) born to North Korean refugees in Yanbien, China. Child immunization data was obtained from vaccination cards and caregiver self-report for 7 vaccines and 1:3:3:3:1 series. Age-appropriate vaccination rates of refugee children were compared to Chinese and migrant children using a goodness-of-fit test. Logistic regression was used to determine correlates of immunization coverage for each vaccine and the 1:3:3:3:1 series. Age-appropriate immunization coverage rates were significantly lower in children born to North Korean refugees (12.1-97.8 %), compared to Chinese (99 %) and migrant (95 %) children. Increased father's age and having a sibling predicted significantly lower vaccination rates. Children born to North Korean refugees had significantly lower immunization rates, compared to Chinese or migrant children. Further research is needed to examine barriers of health care access in this high-risk population.

  15. Reconstruindo memórias: jovens refugiados em Portugal Rebuilding memories: young refugees in Portugal

    Directory of Open Access Journals (Sweden)

    Maria Cristina Santinho

    2009-12-01

    Full Text Available O presente ensaio foi apresentado em setembro de 2007, no contexto do Seminário Internacional "Programa de Cooperação em Ciências Sociais para os Países da CPLP", promovido pela LIESP - Laboratório Interdisciplinar de Estudos e Pesquisas Sociais em Saúde Pública, Faculdade de Saúde Pública, Universidade de São Paulo. Resulta de um work in progress conducente a uma tese de doutoramento em antropologia médica. Pretende apresentar a condição dos jovens refugiados e requerentes de asilo em Portugal, em particular na vertente da saúde mental. O trabalho de campo levado a cabo com estes jovens envolveu a escuta de muitas narrativas de sofrimento provocado pela sua experiência de vida nos contextos originais de guerra, com testemunhos de violência e tortura, e também as dificuldades sentidas no longo percurso de viagem de fuga e posterior inserção em Portugal. O isolamento, as barreiras linguísticas, a ausência de redes sociais e familiares de apoio e a dificuldade de encontrar, em Portugal, referentes socioculturais e simbólicos, comprometem o seu desenvolvimento enquanto jovens, levando-nos a equacionar o valor dos referentes identitários na construção do eu e até o próprio conceito de juventude.This essay was first presented in September 2007, within the seminar "Programa de Cooperação em Ciências Sociais para os Países da CPLP", promoted by LIESP - Faculdade de Saúde Pública, Universidade de São Paulo. It is a work in progress, leading to a PhD thesis on medical anthropology. It aims to present refugee's youth and asylum seeker's condition in Portugal, particularly in regard to mental health. The fieldwork conducted with these youth comprised active listening of their suffer narratives, provoked not only by life experiences in their original war contexts, with testimonies of violence and torture, but also the difficulties felt during the long flee journey and subsequent insertion in Portugal. Isolation, pain

  16. [Primary care in Portugal].

    Science.gov (United States)

    Sánchez-Sagrado, T

    2018-04-01

    The economic crisis and deterioration of the Portuguese National Health service has forced professionals to leave the country. The Portuguese National Health System was introduced in 1976, but it has been unable to provide citizens with the social and health advantages of an equality of access and free national health system. The Portuguese National Health System is financed by taxes. However, a 35% of its incomes are from private sources. The health minister decides the budget, and it is based on an historical financing plus a per capita system. Portuguese citizens and immigrants are entitled to free health care, but there is a co-payment for care, diagnostic, pharmacy, and emergency care. Health care provision is a mixture of public and private health care at a regional level. It leads to fragmentation of services and greater inequalities. Doctors are civil servants. Salary is regulated and it depends on seniority and on-call shifts. Primary care activities are similar to those of their Spanish counterparts. General practitioners have gatekeeper function, but the system is imperfect, and patients with private insurance get direct access to the specialist. Specialist training is similar to the training system in Spain. Continuing education is not regulated. The Portuguese Health System has been trying to become a national health system since 1979. Political instability, fragmentation of services, lack of clarity between public and private and co-payments are important constraints. Inequalities are an important problem to reconsider while discussing a national health system. Copyright © 2017 Sociedad Española de Médicos de Atención Primaria (SEMERGEN). Publicado por Elsevier España, S.L.U. All rights reserved.

  17. Realization of the international human right to health in an economically integrated North America.

    Science.gov (United States)

    Kinney, Eleanor D

    2009-01-01

    With the North American Free Trade Agreement (NAFTA), the health care sectors of the United States, Canada, and Mexico are becoming more economically integrated. NAFTA poses major challenges to the realization of the international human right. These include: (1) Cross Border Trade in Medical Products, (2) Cross Border Trade in Medical Services, and the attendant investment protections, (3) Portability and Comparability of Health Insurance Coverage, and (4) Protection of Public Health Insurance Programs. The United States, Mexico, and Canada all provide public health insurance programs either to the entire population as in Canada or to vulnerable groups as in the United States. In none of these countries have private, for-profit providers and insurers been able to provide universal and affordable health coverage and care in a truly free market. Private insurers and for-profit providers should not profit from the care of the healthy and wealthy in ways that compromise the public programs that serve the poor and seriously ill. Nor should they be allowed to use NAFTA processes to compromise public programs. Policy makers must consider implications of NAFTA and move toward assuring access to affordable health care for all people on the North American continent.

  18. Relational Capabilities to Leverage New Knowledge: Managing Directors' Perceptions in UK and Portugal Old Industrial Regions

    Science.gov (United States)

    Martins, Jorge Tiago

    2016-01-01

    Purpose: Focusing on the specific context of two European old industrial regions--South Yorkshire (UK) and North Region of Portugal--this paper aims to identify and conceptualise a set of relational capabilities that business leaders perceive to play a key role in industrial rejuvenation. Design/Methodology/Approach: A qualitative research design…

  19. Occupational radiation doses in Portugal from 1994 to 1998

    International Nuclear Information System (INIS)

    Alves, J.G.; Martins, M.B.; Amaral, E.M.

    2000-01-01

    This work reports on the occupational radiation doses for external radiation received in 1994-1998 by the radiation workers monitored by the Radiological Protection and Nuclear Safety Department (DPRSN) in Portugal. Individual monitoring for external radiation is carried out in Portugal by DPRSN since the 60s, and the workers are monitored on a monthly or quarterly bases. In 1995 DPRSN monitored approximately 8000 people and was the only laboratory carrying out this sort of activity in Portugal. In 1998 the number of monitored people increased to nearly 8500 from 860 facilities, which leads us to state that the results shown in this work are well representative of the universe of radiation workers in Portugal. Until 1996, the dose measurement procedure was based only on film dosimetry and the results reported for the 1994-1995 period were obtained with this methodology. Since 1996, thermoluminescent dosimetry (TLD) was gradually introduced and since then an effort has been made to transfer the monitored workers from film to TLD. In 1998, both film and TLD dosimetry systems were running simultaneously, with average numbers of 4500 workers monitored with film dosimetry, while 4000 were monitored with TLD. The data presented from 1996 to 1998 were obtained with both methodologies. This work reports the annual mean effective doses received from external radiation, for the monitored and exposed workers in the different fields of activity, namely, industry, research laboratories, health and mining. The distribution of the annual effective dose by dose intervals is also reported. The collective annual dose by field of activity is estimated and the contribution to the total annual collective dose is determined. The collective dose estimates for the period 1994 to 1998 demonstrated that the health sector is the most representative exposed group in Portugal. (author)

  20. Discover Health Services Near You! The North Dakota Story: Part II

    OpenAIRE

    Safratowich, Michael; Markland, Mary J.; Rieke, Judith L.

    2009-01-01

    Since the 2003 launch of NC Health Info, the National Library of Medicine has encouraged the development of Go Local databases. A team of Go Local enthusiasts at North Dakota’s only medical school library wanted to obtain NLM funding and build a resource for their rural state. Although short on staff, money, and time, the team found a way to realize a Go Local database that serves the state’s residents and helps them “Discover Health Services Near You!” A team approach and collaboration with ...

  1. Discover Health Services Near You! The North Dakota Story: Part I

    OpenAIRE

    Rieke, Judith L.; Safratowich, Michael; Markland, Mary J.

    2009-01-01

    Since the 2003 launch of NC Health Info, the National Library of Medicine has encouraged the development of Go Local databases. A team of Go Local enthusiasts at North Dakota’s only medical school library wanted to obtain NLM funding and build a resource for their rural state. Although short on staff, money, and time, the team found a way to realize a Go Local database that serves the state’s residents and helps them “Discover Health Services Near You!” A team approach and collaboration with ...

  2. Association between environmental contaminants and health outcomes in indigenous populations of the Circumpolar North.

    Science.gov (United States)

    Singh, Kavita; Bjerregaard, Peter; Chan, Hing Man

    2014-01-01

    Since the 1990s, research has been carried out to monitor environmental contaminants and their effects on human health in the Arctic. Although evidence shows that Arctic indigenous peoples are exposed to higher levels of contaminants and do worse on several dimensions of health compared with other populations, the contribution of such exposures on adverse outcomes is unclear. The purpose of this review is to provide a synopsis of the published epidemiological literature that has examined association between environmental contaminants and health outcomes in Arctic indigenous populations. A literature search was conducted in OVID Medline (1946-January 2014) using search terms that combined concepts of contaminant and indigenous populations in the Arctic. No language or date restrictions were applied. The reference lists of review articles were hand-searched. Of 559 citations, 60 studies were relevant. The studies fell under the following categories: paediatric (n=18), reproductive health (n=18), obstetrics and gynaecology (n=9), cardiology (n=7), bone health (n=2), oncology (n=2), endocrinology (n=2) and other (n=2). All studies, except one from Arctic Finland, were either from Nunavik or Greenland. Most studies assessed polychlorinated biphenyls (n=43) and organochlorine pesticides (n=29). Fewer studies examined heavy metals, perfluorinated compounds, or polybrominated diphenyl ethers. Details of study results for each health category are provided. It is difficult to make conclusive statements about the effects of environmental contaminants on health due to mixed results, small number of studies and studies being restricted to a small number of regions. Meta-analytical synthesis of the evidence should be considered for priority contaminants and health outcomes. The following research gaps should be addressed in future studies: association of contaminants and health in other Arctic regions (i.e. Inuvialuit Settlement Region, Nunavut, Nunatsiavut, Alaska, European

  3. The impact of the economic downturn on environmental health services and professionals in North Carolina.

    Science.gov (United States)

    Weston-Cox, Paula

    2012-06-01

    The objective of the authors' study was to examine the impact of the economic recession on the environmental health profession between budget year (BY) 2006-2007 and BY 2010-2011 in the following areas: (1) environmental health department fees for services; (2) changes in staffing levels, benefits, or pay; (3) changes in staff responsibilities; and (4) the impact to the private environmental sector compared to public environmental health professionals. Data were summarized from the following surveys: North Carolina Environmental Health Supervisors Association Fee and Economic Surveys; University of North Carolina Chapel Hill School of Government Current Salary Index; and a created online survey of private-sector environmental professionals. Total fees in the public sector for services have risen for most environmental health departments, but not enough to offset budget reductions. All of the counties that participated in the survey either have reduced staff, pay, or benefits due to budget cuts, and some counties utilized staff in other areas through cross-training. The private environmental sector also reduced staff in response to a reduced workload. Public sector employers may have difficulties retaining existing employees and recruiting new employees over the long-term in the current economic climate.

  4. Regional health workforce planning through action research: lessons for commissioning health services from a case study in Far North Queensland.

    Science.gov (United States)

    Panzera, Annette June; Murray, Richard; Stewart, Ruth; Mills, Jane; Beaton, Neil; Larkins, Sarah

    2016-01-01

    Creating a stable and sustainable health workforce in regional, rural and remote Australia has long been a challenge to health workforce planners, policy makers and researchers alike. Traditional health workforce planning is often reactive and assumes continuation of current patterns of healthcare utilisation. This demonstration project in Far North Queensland exemplifies how participatory regional health workforce planning processes can accurately model current and projected local workforce requirements. The recent establishment of Primary Health Networks (PHNs) with the intent to commission health services tailored to individual healthcare needs underlines the relevance of such an approach. This study used action research methodology informed by World Health Organization (WHO) systems thinking. Four cyclical stages of health workforce planning were followed: needs assessment; health service model redesign; skills-set assessment and workforce redesign; and development of a workforce and training plan. This study demonstrated that needs-based loco-regional health workforce planning can be achieved successfully through participatory processes with stakeholders. Stronger health systems and workforce training solutions were delivered by facilitating linkages and planning processes based on community need involving healthcare professionals across all disciplines and sectors. By focusing upon extending competencies and skills sets, local health professionals form a stable and sustainable local workforce. Concrete examples of initiatives generated from this process include developing a chronic disease inter-professional teaching clinic in a rural town and renal dialysis being delivered locally to an Aboriginal community. The growing trend of policy makers decentralising health funding, planning and accountability and rising health system costs increase the future utility of this approach. This type of planning can also assist the new PHNs to commission health services

  5. [Demography and employment in Portugal].

    Science.gov (United States)

    Barata, O S

    1981-01-01

    The population of Portugal showed a period of slow growth between 1950-60; however, in the 1970s, the return of large numbers of former residents in African territories along with a reduction in emigration changed the trend so that the 1981 census showed a significant increase. The Portuguese economy, on the other hand, is in a state of crisis which has resulted in large numbers of unemployed. The growth of the population along with these hard times has made it more difficult to reduce the rate of unemployment. It is also more difficult for those leaving school to find jobs. The better educated generations are seeking jobs in industry and in other services that Portugal will find difficult to offer in sufficient numbers in the immediate future. At present, the Portuguese economy has a large component of agricultural labor. In any case, the means of economic and social intervention to fight unemployment have limited potential. Therefore, many of those unable to find jobs in Portugal will attempt to emigrate. Many Portuguese are already working in Germany, France, and in other Western European countries but migration today is much more difficult. In addition, these countries cannot be expected to recive many more migrant workers in the future. In fact, those better educated workers from Portugal will not be very interested in the low paying jobs which can be found more easily by foreign workers in Western Euorpe. Many will therefore attempt to find jobs in non-European countries. There has been a recent increase of migration to Canada and the US. A renewal of interest in jobs in Brazil and other South Amerian countries is also to be expected. There may also be a future increase in the number of experts, technicians, and other qualified personnel emigrating to Portuguese speaking African countries if there is adequate security and if these countries find the way to expand economic growth. (author's modified)

  6. Poverty and precarity in Portugal

    OpenAIRE

    Carvalho, Izaura

    2016-01-01

    This research assesses poverty levels in Portugal within a multidimensional approach, over a period from 2008 to 2014. Further, it aims at inferring a causal relationship between precarious jobs and the estimated multidimensional poverty level. This research adds to the existing literature by applying a discrete choice experiment in the construction of the poverty index, as well as by nding causality between poverty and precarity. Empirical results suggest that, while multidim...

  7. Putting Portugal on the Map

    Directory of Open Access Journals (Sweden)

    João Ferrão

    2010-01-01

    Full Text Available This paper argues the need to “put Portugal on the map” in a double sense: in a prospective way, in order to place the country on the required map(s, something which entails strategic vision and capacity for action; and in an analytical way – to enable us to understand Portugal from the map(s it is part of, which presupposes a capacity to analyse and understand the current state of affairs. By drawing inspiration from the polymorphic vision on the spatialities of contemporary societies and economies defended by Jessop, Brenner and Jones (2008, we propose the creation of a unifying reference framework to “put Portugal on the map”, using a combination of five elements: territory as a geographic location; territory as a unit of reference of the nation-state; places; geographic scales; and networks. The polymorphic nature of the spatialities that characterize, or should characterize, Portugal’s place in the world reflects several, and even contradictory, ethical values, interests, preferences, and options. Accordingly, the supported polymorphic spatialities ought to stir up controversy based on knowledge and arguments that are solid from a theoretical and empirical stance, and should make explicit the objectives and values they are based on.

  8. Sociodemographic Correlates of Choice of Health Care Services in Six Rural Communities in North Central Nigeria

    Directory of Open Access Journals (Sweden)

    Onyemocho Audu

    2014-01-01

    Full Text Available Household expenditure on health has increasingly remained a major source of health care financing in Nigeria despite the introduction of several social health scheme policies provided by the government for meeting the health care costs of patients. Recognizing these limitations, this study assessed the type of health care services people commonly use in various illnesses and the sociodemographic correlates of the preferred health care services by household heads in six rural communities of North Central Nigeria. A cross-sectional community-based descriptive study design was used to study 154 household heads in the settlements using a multistage sampling method. Multiple logistic regressions were performed to investigate independent predictors that had significant chi-square at P<0.05. The leading causes of illness experienced by respondents were medical conditions (42.0% and 41.7% of them sought treatment from patent medicine vendors. The dominant reasons for health-seeking preferences were financial access (53.7% and proximity (48.6%. Age had a higher impact (Beta = 0.892 on the health-seeking preferences of the respondents as compared to their occupation and religion (Beta = 0.368 and −0.746, resp.. Therefore, in order to meet the health care of patients, it is pertinent that the unmet needs of patients are properly addressed by appropriate agencies.

  9. The Electoral Geography of the 2016 Presidential Election in Portugal

    Directory of Open Access Journals (Sweden)

    Giorgian-Ionuţ GUŢOIU

    2016-07-01

    Full Text Available Portugal elected a new president in January, this year. While the campaign was rather atypical, with a majority of independent candidates and a low involvement of the parties, we employ here an analysis of the election’s electoral geography, in order to identify if the geographical partisan delimitations influenced the electoral outcome. At this election a clear political geographical divide existed between the urban North and the rural South. Our findings suggest that the geographical distribution of the votes follows the candidates’ ideological identity.

  10. Population dose assessment from radiodiagnosis in Portugal

    International Nuclear Information System (INIS)

    Serro, R.; Carreiro, J.V.; Galvao, J.P.; Reis, R.

    1992-01-01

    A survey of radiodiagnostic installations was carried out in Portugal covering 75 premises including public hospitals, local and regional public health centres. A total of 175 X ray tubes was surveyed using the new NEXT methodology covering data on premises, tube and operator, and projection. Average value of voltage, current-time product, HVL, ratio of beam area to film area and source to film distance for the eleven most frequent projections are reported as well as the skin entrance exposure and the doses to some organs. The weighted average dose values per projection and for the different organs allowed an estimate of the whole-body dose per caput. From the gonadal doses the genetic significant dose was also estimated

  11. An overview of the health and management challenges of rural poultry stock in North Central Nigeria

    Directory of Open Access Journals (Sweden)

    Julius Olaniyi Aiyedun

    2016-03-01

    Full Text Available Objectives: Poultry production in rural areas is considered as an important source of livelihood for most rural communities. The objective of the present study was to investigate the major factors affecting production of rural poultry in three senatorial districts in North Central Nigeria namely Kwara Central, Kwara South and Kwara North.. Materials and Methods: The major factors affecting production of rural poultry were investigated using structured questionnaire to gather data on health and management practices between January to December 2014. Results: The socio-economic characteristics of respondents showed that majority of rural poultry farmers are women and illiterate, that sourced fund from their personal savings, relations and friends. The study also showed that seasonal variation and disease significantly influenced poultry production and its marketability. Conclusion: There is the need to put in place enabling environment to encourage commercialization of rural poultry production in Nigeria and globally. [J Adv Vet Anim Res 2016; 3(1.000: 79-83

  12. 76 FR 47593 - Award of Replacement Grant for Preventive Health to Lutheran Social Services of North Dakota...

    Science.gov (United States)

    2011-08-05

    ... DEPARTMENT OF HEALTH AND HUMAN SERVICES Administration for Children and Families Award of Replacement Grant for Preventive Health to Lutheran Social Services of North Dakota, Fargo, ND AGENCY: Office.... Amount of Award: $66,000. SUMMARY: In Fiscal Year 2006, in an effort to assist States and local health...

  13. Assessing Injury and Violence Prevention in North Carolina's Local Health Departments.

    Science.gov (United States)

    Mouw, Mary S; Counts, Jennifer; Fordham, Corinne; Francis, Molly Merrill; Bach, Laura E; Maman, Suzanne; Proescholdbell, Scott K

    2016-01-01

    Injury and violence-related morbidity and mortality present a major public health problem in North Carolina. However, the extent to which local health departments (LHDs) engage in injury and violence prevention (IVP) has not been well described. One objective of the current study is to provide a baseline assessment of IVP in the state's LHDs, describing capacity, priorities, challenges, and the degree to which programs are data-driven and evidence-based. The study will also describe a replicable, cost-effective method for systematic assessment of regional IVP. This is an observational, cross-sectional study that was conducted through a survey of North Carolina's 85 LHDs. Representatives from 77 LHDs (91%) responded. Nearly one-third (n = 23; 30%) reported that no staff members were familiar with evidence-based interventions in IVP, and over one-third (n = 29; 38%) reported that their LHD did not train staff in IVP. Almost one-half (n = 37; 48%) had no dedicated funding for IVP. On average, respondents said that about half of their programs were evidence-based; however, there was marked variation (mean, 52%; standard deviation = 41). Many collaborated with diverse partners including law enforcement, hospitals, and community-based organizations. There was discordance between injury and violence burden and programming. Overall, 53% of issues listed as top local problems were not targeted in their LHDs' programs. Despite funding constraints, North Carolina's LHDs engaged in a broad range of IVP activities. However, programming did not uniformly address state injury and violence priorities, nor local injury and violence burden. Staff members need training in evidence-based strategies that target priority areas. Multisector partnerships were common and increased LHDs' capacity. These findings are actionable at the state and local level. ©2016 by the North Carolina Institute of Medicine and The Duke Endowment. All rights reserved.

  14. Health-related locus of control and health behaviour among university students in North Rhine Westphalia, Germany

    Directory of Open Access Journals (Sweden)

    Helmer Stefanie M

    2012-12-01

    Full Text Available Abstract Background Health control beliefs were postulated to be associated with health behaviour. However, the results of studies assessing these associations suggest that they might not be universal. Among young adults associations have been reported, but the evidence is limited. The objective of this analysis was to re-examine these associations in a sample of university students in Germany. Findings Data from a multicentre cross-sectional study among university students in North Rhine-Westphalia, Germany was used (N=3,306. The Multidimensional Health Locus of Control Scale with three dimensions (one internal and two external and six aspects of health behaviour (smoking habits, alcohol use, drug consumption, being over-/ or underweight, physical activity, and importance of healthy nutrition were evaluated. Students with stronger internal locus of control paid more attention to healthy nutrition and displayed a higher level of physical activity. Individuals with a stronger belief in health professionals were less likely to use drugs and paid more attention to healthy nutrition. Furthermore, higher scores in the second external locus of control dimension (beliefs in luck or chance were associated with a higher likelihood of current smoking, lower physical activity and less attention to healthy nutrition. Conclusions Students engaged more strongly in unhealthy behaviour if they believed that luck determines health. In contrast, believing in having control over one’s own health was associated with more healthy behaviour. These findings support the need to consider health control beliefs while designing preventive strategies in this specific population.

  15. Health-related locus of control and health behaviour among university students in North Rhine Westphalia, Germany.

    Science.gov (United States)

    Helmer, Stefanie M; Krämer, Alexander; Mikolajczyk, Rafael T

    2012-12-29

    Health control beliefs were postulated to be associated with health behaviour. However, the results of studies assessing these associations suggest that they might not be universal. Among young adults associations have been reported, but the evidence is limited. The objective of this analysis was to re-examine these associations in a sample of university students in Germany. Data from a multicentre cross-sectional study among university students in North Rhine-Westphalia, Germany was used (N=3,306). The Multidimensional Health Locus of Control Scale with three dimensions (one internal and two external) and six aspects of health behaviour (smoking habits, alcohol use, drug consumption, being over-/ or underweight, physical activity, and importance of healthy nutrition) were evaluated. Students with stronger internal locus of control paid more attention to healthy nutrition and displayed a higher level of physical activity. Individuals with a stronger belief in health professionals were less likely to use drugs and paid more attention to healthy nutrition. Furthermore, higher scores in the second external locus of control dimension (beliefs in luck or chance) were associated with a higher likelihood of current smoking, lower physical activity and less attention to healthy nutrition. Students engaged more strongly in unhealthy behaviour if they believed that luck determines health. In contrast, believing in having control over one's own health was associated with more healthy behaviour. These findings support the need to consider health control beliefs while designing preventive strategies in this specific population.

  16. A Study of Predictive Factors Affecting Health: Promoting Behaviors of North Korean Adolescent Refugees

    Directory of Open Access Journals (Sweden)

    Jin-Won Noh

    2015-09-01

    Full Text Available Objectives: The present study aimed to analyze the factors that could affect the health-promoting behaviors of North Korean adolescent refugees residing in South Korea. Methods: Questions about their sociodemographic variables, subjective health status, healthy living habits, and health-promoting behaviors were asked. Results: Statistically significant differences were found in religion (t=2.30, p<0.05, having family members in South Korea (t=2.02, p<0.05, and subjective health status (t=4.96, p<0.01. Scores on health-responsible behaviors were higher with higher age (t=2.90, p<0.01 and for subjects without family or friends (t=2.43, p<0.05. Higher physical-activity behaviors were observed in males (t=3.32, p<0.01, in those with better subjective health status (t=3.46, p<0.05 and lower body mas index (t=3.48, p<0.05, and in smokers (t=3.17, p<0.01. Nutritional behaviors were higher in those who followed a religion (t=2.17, p<0.05. Spiritual growth behaviors were higher in those who followed a religion (t=4.21, p<0.001, had no family in South Korea (t=2.04, p<0.05, and had higher subjective health status (t=5.74, p<0.01. Scores on interpersonal relationships and stress-management behaviors were higher for those with higher subjective health status. A multiple regression analysis showed greater effects on health-promoting behaviors when subjective health status was better. Older people and non-smokers exhibited more health-responsible behaviors, while more physical-activity behaviors and spiritual growth activities were observed when subjective health status was better. Interpersonal relationship behaviors had positive effects on those with good subjective heath status and on non-smokers. Conclusions: Based on the results of the current study, an alternative was suggested for promoting health in North Korean adolescent refugees.

  17. Reducing the Impact of Immigration Enforcement Policies to Ensure the Health of North Carolinians: Statewide Community-Level Recommendations.

    Science.gov (United States)

    Mann, Lilli; Simán, Florence M; Downs, Mario; Sun, Christina J; de Hernandez, Brisa Urquieta; García, Manuel; Alonzo, Jorge; Lawlor, Emma; Rhodes, Scott D

    2016-01-01

    Research indicates that fear of immigration enforcement among Latinos in North Carolina results in limited access to and utilization of health services and negative health consequences. This project developed recommendations to mitigate the public health impact of immigration enforcement policies in North Carolina. Our community-based participatory research partnership conducted 6 Spanish-language report-backs (an approach to sharing, validating, and interpreting data) and 3 bilingual forums with community members and public health leaders throughout North Carolina. The goals of these events were to discuss the impact of immigration enforcement on Latino health and develop recommendations to increase health services access and utilization. Findings from the report-backs and forums were analyzed using grounded theory to identify and refine common recommendations. A total of 344 people participated in the report-backs and forums. Eight recommendations emerged: increase knowledge among Latinos about local health services; build capacity to promote policy changes; implement system-level changes among organizations providing health services; train lay health advisors to help community members navigate systems; share Latinos' experiences with policy makers; reduce transportation barriers; increase schools' support of Latino families; and increase collaboration among community members, organizations, health care providers, and academic researchers. Representatives from 16 of 100 North Carolina counties participated. These 16 counties represent geographically diverse regions, and many of these counties have large Latino populations. Immigration enforcement is a public health issue. Participants proposed developing new partnerships, identifying strategies, and implementing action steps for carrying out recommendations to reduce negative health outcomes among Latinos in North Carolina. ©2016 by the North Carolina Institute of Medicine and The Duke Endowment. All rights

  18. Cost of Delivering Health Care Services in Public Sector Primary and Community Health Centres in North India.

    Science.gov (United States)

    Prinja, Shankar; Gupta, Aditi; Verma, Ramesh; Bahuguna, Pankaj; Kumar, Dinesh; Kaur, Manmeet; Kumar, Rajesh

    2016-01-01

    With the commitment of the national government to provide universal healthcare at cheap and affordable prices in India, public healthcare services are being strengthened in India. However, there is dearth of cost data for provision of health services through public system like primary & community health centres. In this study, we aim to bridge this gap in evidence by assessing the total annual and per capita cost of delivering the package of health services at PHC and CHC level. Secondly, we determined the per capita cost of delivering specific health services like cost per antenatal care visit, per institutional delivery, per outpatient consultation, per bed-day hospitalization etc. We undertook economic costing of fourteen public health facilities (seven PHCs and CHCs each) in three North-Indian states viz., Haryana, Himachal Pradesh and Punjab. Bottom-up costing method was adopted for collection of data on all resources spent on delivery of health services in selected health facilities. Analysis was undertaken using a health system perspective. The joint costs like human resource, capital, and equipment were apportioned as per the time value spent on a particular service. Capital costs were discounted and annualized over the estimated life of the item. Mean annual costs and unit costs were estimated along with their 95% confidence intervals using bootstrap methodology. The overall annual cost of delivering services through public sector primary and community health facilities in three states of north India were INR 8.8 million (95% CI: 7,365,630-10,294,065) and INR 26.9 million (95% CI: 22,225,159.3-32,290,099.6), respectively. Human resources accounted for more than 50% of the overall costs at both the level of PHCs and CHCs. Per capita per year costs for provision of complete package of preventive, curative and promotive services at PHC and CHC were INR 170.8 (95% CI: 131.6-208.3) and INR162.1 (95% CI: 112-219.1), respectively. The study estimates can be used

  19. How a North Carolina program boosted preventive oral health services for low-income children.

    Science.gov (United States)

    Rozier, R Gary; Stearns, Sally C; Pahel, Bhavna T; Quinonez, Rocio B; Park, Jeongyoung

    2010-12-01

    Dental caries (tooth decay), the most common chronic disease affecting young children, is exacerbated by limited access to preventive dental services for low-income children. To address this problem, North Carolina implemented a program to reimburse physicians for up to six preventive oral health visits for Medicaid-enrolled children younger than age three. Analysis of physician and dentist Medicaid claims from the period 2000-2006 shows that the program greatly increased preventive oral health services. By 2006 approximately 30 percent of well-child visits for children ages six months up to three years included these services. However, additional strategies are needed to ensure preventive oral health care for more low-income children.

  20. Portugal to Accede to ESO

    Science.gov (United States)

    2000-06-01

    The Republic of Portugal will become the ninth member state of the European Southern Observatory (ESO) [1]. Today, during a ceremony at the ESO Headquarters in Garching (Germany), a corresponding Agreement was signed by the Portuguese Minister of Science and Technology, José Mariano Gago and the ESO Director General, Catherine Cesarsky , in the presence of other high officials from Portugal and the ESO member states (see Video Clip 05/00 below). Following subsequent ratification by the Portuguese Parliament of the ESO Convention and the associated protocols [2], it is foreseen that Portugal will formally join this organisation on January 1, 2001. Uniting European Astronomy ESO PR Photo 16/00 ESO PR Photo 16/00 [Preview - JPEG: 400 x 405 pix - 160k] [Normal - JPEG: 800 x 809 pix - 408k] Caption : Signing of the Portugal-ESO Agreement on June 27, 2000, at the ESO Headquarters in Garching (Germany). At the table, the ESO Director General, Catherine Cesarsky , and the Portuguese Minister of Science and Technology, José Mariano Gago . In his speech, the Portuguese Minister of Science and Technology, José Mariano Gago , stated that "the accession of Portugal to ESO is the result of a joint effort by ESO and Portugal during the last ten years. It was made possible by the rapid Portuguese scientific development and by the growth and internationalisation of its scientific community." He continued: "Portugal is fully committed to European scientific and technological development. We will devote our best efforts to the success of ESO". Catherine Cesarsky , ESO Director General since 1999, warmly welcomed the Portuguese intention to join ESO. "With the accession of their country to ESO, Portuguese astronomers will have great opportunities for working on research programmes at the frontiers of modern astrophysics." "This is indeed a good time to join ESO", she added. "The four 8.2-m VLT Unit Telescopes with their many first-class instruments are nearly ready, and the VLT

  1. Prioritizing Zoonotic Diseases: Differences in Perspectives Between Human and Animal Health Professionals in North America.

    Science.gov (United States)

    Ng, V; Sargeant, J M

    2016-05-01

    Zoonoses pose a significant burden of illness in North America. Zoonoses represent an additional threat to public health because the natural reservoirs are often animals, particularly wildlife, thus eluding control efforts such as quarantine, vaccination and social distancing. As there are limited resources available, it is necessary to prioritize diseases in order to allocate resources to those posing the greatest public health threat. Many studies have attempted to prioritize zoonoses, but challenges exist. This study uses a quantitative approach, conjoint analysis (CA), to overcome some limitations of traditional disease prioritization exercises. We used CA to conduct a zoonoses prioritization study involving a range of human and animal health professionals across North America; these included epidemiologists, public health practitioners, research scientists, physicians, veterinarians, laboratory technicians and nurses. A total of 699 human health professionals (HHP) and 585 animal health professionals (AHP) participated in this study. We used CA to prioritize 62 zoonotic diseases using 21 criteria. Our findings suggest CA can be used to produce reasonable criteria scores for disease prioritization. The fitted models were satisfactory for both groups with a slightly better fit for AHP compared to HHP (84.4% certainty fit versus 83.6%). Human-related criteria were more influential for HHP in their decision to prioritize zoonoses, while animal-related criteria were more influential for AHP resulting in different disease priority lists. While the differences were not statistically significant, a difference of one or two ranks could be considered important for some individuals. A potential solution to address the varying opinions is discussed. The scientific framework for disease prioritization presented can be revised on a regular basis by updating disease criteria to reflect diseases as they evolve over time; such a framework is of value allowing diseases of

  2. Health Inequities among Lesbian, Gay, and Bisexual Adults in North Carolina, 2011–2014

    Directory of Open Access Journals (Sweden)

    Melissa M. Barnhill

    2017-07-01

    Full Text Available Inequalities in health have been identified for lesbian, gay, and bisexual (LGB populations nationally. Policies in the U.S. South offer fewer protections for LGB people than in other regions, yet, limited data exist for this region. North Carolina (NC BRFSS data from 2011 to 2014 were combined (LGB n = 604; heterosexual n = 33,170 and analyzed using SAS survey procedures to estimate health characteristics by sexual orientation within gender. Many examined indicators were not different by sexual orientation, however, other results were significant and consistent with findings from state population surveys in other regions of the country. Both genders showed inequities in mental health, having over twice the odds of five or more poor mental health days in the past month and of having ever been diagnosed with a depressive disorder. Sexual minority women had higher odds compared with heterosexual women for ever having smoked cigarettes, current smoking, exposure to secondhand smoke both in the workplace and at home, and both alcohol risk factors, binge and heavy drinking. Being part of the LGB population in NC is associated with worse health. The implementation of anti-LGB policies in the NC warrants ongoing monitoring of LGB health inequities in NC and in other southeastern states for potential effects on the health and well-being of sexual minorities.

  3. Work organization and health among immigrant women: Latina manual workers in North Carolina.

    Science.gov (United States)

    Arcury, Thomas A; Grzywacz, Joseph G; Chen, Haiying; Mora, Dana C; Quandt, Sara A

    2014-12-01

    We sought to describe work organization attributes for employed immigrant Latinas and determine associations of work organization with physical health, mental health, and health-related quality of life. We conducted a cross-sectional survey with 319 employed Latinas in western North Carolina (2009-2011). Measures included job demands (heavy load, awkward posture, psychological demand), decision latitude (skill variety, job control), support (supervisor control, safety climate), musculoskeletal symptoms, mental health (depressive symptoms), and mental (MCS) and physical component score (PCS) health-related quality of life. Three fifths reported musculoskeletal symptoms. Mean scores for depression, MCS, and PCS were 6.2 (SE = 0.2), 38.3 (SE = 0.5), and 42.8 (SE = 0.3), respectively. Greater job demands (heavy load, awkward posture, greater psychological demand) were associated with more musculoskeletal and depressive symptoms and worse MCS. Less decision latitude (lower skill variety, job control) was associated with more musculoskeletal and depressive symptoms. Greater support (supervisor's power and safety climate) was associated with fewer depressive symptoms and better MCS. Work organization should be considered to improve occupational health of vulnerable women workers. Additional research should delineate the links between work organization and health among vulnerable workers.

  4. Maintaining health sector collaborations between United States non-governmental organizations and North Korea through innovation and planning.

    Science.gov (United States)

    Yim, Eugene S; Choi, Ricky Y; VanRooyen, Michael

    2009-01-01

    Humanitarian agencies in North Korea operate within a complex sociopolitical environment historically characterized by a baseline of mistrust. As a result of operating within such a heated environment, health sector collaborations between such agencies and the North Korean government have followed unpredictable courses. The factors that have contributed to successful programmatic collaborations, as perceived by United States non-governmental organizations (NGOs) and North Korean officials were investigated. A qualitative, multi-case, comparative, research design using semistructured interviews was used. Expert North Korean informants were interviewed to generate a list of factors contributing to programmatic success, defined as fulfilling mutually established objectives through collaboration. The North Korean informants were asked to identify US NGOs that fulfill these criteria ("mission-compatible NGOs"). Representatives from all of the mission compatible NGOs were interviewed. All informants provided their perspectives on the factors that contributed to successful programmatic collaborations. The interviews were recorded, transcribed, and analyzed for thematic content. North Korean informants identified six mission-compatible US NGOs. The North Korean and US NGO informants provided a number of factors that contributed to successful programs. These factors were grouped into the following themes: (1) responsiveness to North Korean requests; (2) resident status; (3) program monitoring; (4) sincerity (apolitical objectives); (5) information gathering; and (6) interagency collaboration. Some US NGOs have devised innovative measures to work within a unique set of parameters in North Korea. Both US NGOs and North Korean authorities have made significant concessions to maintain their programmatic partnerships. In this manner, seasoned collaborators have employed creative strategies and a form of health diplomacy to facilitate programmatic success in North Korea by

  5. The health status of adolescents living at mid-latitude or in the European North in relation to anthropogenic pollution

    Directory of Open Access Journals (Sweden)

    D. A. Kuznetsova

    2016-01-01

    Full Text Available The distribution of health groups among 14-year-old adolescents (n = 707 living since birth under the conditions of mid-latitudes (the towns of Kirov and Yaransk and in the European North (the town of Ukhta and the settlement of Sedyu was compared to determine the impact of anthropogenic pollution at different latitudes on this indicator. It was shown that the conditions of the European North in the absence of anthropogenic pollution failed to affect the number of 14-year-old boys and girls having health groups I, II, III, IV, and V. Anthropogenic pollution was found to decline the number of health group I adolescents living in the European North, without influencing this indicator in those dwelling at mid-latitudes, but, in spite of the latitude of their residence, to increase that of persons with health group II, without having an impact on the number of persons with health groups III, IV, and V.

  6. High ozone levels in the northeast of Portugal: Analysis and characterization

    Science.gov (United States)

    Carvalho, A.; Monteiro, A.; Ribeiro, I.; Tchepel, O.; Miranda, A. I.; Borrego, C.; Saavedra, S.; Souto, J. A.; Casares, J. J.

    2010-03-01

    Each summer period extremely high ozone levels are registered at the rural background station of Lamas d'Olo, located in the Northeast of Portugal. In average, 30% of the total alert threshold registered in Portugal is detected at this site. The main purpose of this study is to characterize the atmospheric conditions that lead to the ozone-rich episodes at this site. Synoptic patterns anomalies and back trajectories cluster analysis were performed, for the period between 2004 and 2007, considering 76 days when ozone maximum hourly concentrations were above 200 μg m -3. The obtained atmospheric anomaly fields suggested that a positive temperature anomaly is visible above the Iberian Peninsula. A strong wind flow pattern from NE is observable in the North of Portugal and Galicia, in Spain. These two features may lead to an enhancement of the photochemical production and to the transport of pollutants from Spain to Portugal. In addition, the 3D mean back trajectories associated to the ozone episode days were analysed. A clustering method has been applied to the obtained back trajectories. Four main clusters of ozone-rich episodes were identified, with different frequencies of occurrence: north-westerly flows (11%); north-easterly flows (45%), southern flow (4%) and westerly flows (40%). Both analyses highlight the NE flow as a dominant pattern over the North of Portugal during summer. The analysis of the ozone concentrations for each selected cluster indicates that this northeast circulation pattern, together with the southern flow, are responsible for the highest ozone peak episodes. This also suggests that long-range transport of atmospheric pollutants is the main contributor to the ozone levels registered at Lamas d'Olo. This is also highlighted by the correlation of the ozone time-series with the meteorological parameters analysed in the frequency domain.

  7. ANALYSIS AND CHARACTERIZATION OF OZONE-RICH EPISODES IN NORTHEAST PORTUGAL

    Science.gov (United States)

    Carvalho, A.; Monteiro, A.; Ribeiro, I.; Tchepel, O.; Miranda, A.; Borrego, C.; Saavedra, S.; Souto, J. A.; Casares, J. J.

    2009-12-01

    Each summer period extremely high ozone levels are registered at the rural background station of Lamas d’Olo, located in the Northeast of Portugal. In average, 30% of the total alert threshold registered in Portugal is detected at this site. The main purpose of this study is to characterize the atmospheric conditions that lead to the ozone-rich episodes. Synoptic patterns anomalies and back trajectories cluster analysis were performed for a period of 76 days where ozone maximum concentrations were above 200 µg.m-3. This analysis was performed for the period between 2004 and 2007. The obtained anomaly fields suggested that a positive temperature anomaly is visible above the Iberian Peninsula. In addition, a strong wind flow pattern from NE is visible in the North of Portugal and Galicia, in Spain. These two features may lead to an enhancement of the photochemical production and to the transport of pollutants from Spain to Portugal. In addition, the 3D mean back trajectories associated to the ozone episode days were analysed. A clustering method has been applied to the obtained back trajectories. Four main clusters of ozone-rich episodes were identified, with different frequencies of occurrence: north-westerly flows (11%); north-easterly flows (45%), southern flow (4%) and westerly flows (40%). Both analyses highlight the NE flow as a dominant pattern over the North of Portugal. The analysis of the ozone concentrations for each selected cluster indicates that this northeast circulation pattern, together with the southern flow, is responsible for the highest ozone peak episodes. This also suggests that long-range transport of atmospheric pollutants may be the main contributor to the ozone levels registered at Lamas d’Olo. This is also highlighted by the correlation of the ozone time series with the meteorological parameters analysed in the frequency domain.

  8. The cavernicolous Oniscidea (Crustacea: Isopoda) of Portugal

    DEFF Research Database (Denmark)

    P. S. Reboleira, Ana Sofia; Gonçalves, Fernando J.; Oromí, Pedro

    2015-01-01

    The study of subterranean Oniscidea in Portugal has been neglected for nearly 70 years, but recent investigations have revealed high diversity. All the terrestrial isopods known from caves of mainland Portugal, including data from the literature and new material, are listed, revealing new biodive...

  9. Child Labour and Educational Success in Portugal

    Science.gov (United States)

    Goulart, Pedro; Bedi, Arjun S.

    2008-01-01

    The current debate on child labour focuses on developing countries. However, Portugal is an example of a relatively developed country where child labour is still a matter of concern as between 8% and 12% of Portuguese children may be classified as workers. This paper studies the patterns of child labour in Portugal and assesses the consequences of…

  10. Geology and religion in Portugal

    Science.gov (United States)

    Carneiro, Ana; Simoes, Ana; Diogo, Maria Paula; Mota, Teresa Salomé

    2013-01-01

    This paper addresses the relationship between geology and religion in Portugal by focusing on three case studies of naturalists who produced original research and lived in different historical periods, from the eighteenth to the twentieth century. Whereas in non-peripheral European countries religious themes and even controversies between science and religion were dealt with by scientists and discussed in scientific communities, in Portugal the absence of a debate between science and religion within scientific and intellectual circles is particularly striking. From the historiographic point of view, in a country such as Portugal, where Roman Catholicism is part of the religious and cultural tradition, the influence of religion in all aspects of life has been either taken for granted by those less familiar with the national context or dismissed by local intellectuals, who do not see it as relevant to science. The situation is more complex than these dichotomies, rendering the study of this question particularly appealing from the historiographic point of view, geology being by its very nature a well-suited point from which to approach the theme. We argue that there is a long tradition of independence between science and religion, agnosticism and even atheism among local elites. Especially from the eighteenth century onwards, they are usually portrayed as enlightened minds who struggled against religious and political obscurantism. Religion—or, to be more precise, the Roman Catholic Church and its institutions—was usually identified with backwardness, whereas science was seen as the path to progress; consequently men of science usually dissociated their scientific production from religious belief.

  11. The role of non-governmental organizations in providing curative health services in North Darfur State, Sudan.

    Science.gov (United States)

    Yagub, Abdallah I A; Mtshali, Khondlo

    2015-09-01

    Conflict in North Darfur state, Western Sudan started in 2003, and the delivering of curative health services was becoming a greater challenge for the country's limited resources. NGOs have played an important role in providing curative health services. To examine the role that Non-Governmental Organizations (NGOs) have played in providing curative health services, as well as to identify the difficulties and challenges that affect NGOs in delivering curative health services. Secondary data was collected from different sources, including government offices and medical organizations in Sudan and in North Darfur state. Primary data was obtained through interviews with government and NGOs representatives. The interviews were conducted with (1) expatriates working for international NGOs (N=15) (2) health professionals and administrators working in health sector (N= 45) in the period from November 2010 to January 2011. The government in North Darfur state spent 70% of its financial budget on security, while it spent it less than 1% on providing health services. The international NGOs have been providing 70% of curative health services to the State's population by contributing 52.9% of the health budget and 1 390 health personnel. Since 2003 NGOs have provided technical assistance to the health staff. As a result, more than fifty nurses have been trained to provide care and treatment, more than twenty-three doctors have been trained in laboratory equipment operation, and approximately six senior doctors and hospital directors have received management training. NGOs have been managing and supporting 89 public health facilities, and established 24 health centres in IDP camps, and 20 health centres across all the districts in North Darfur state. The NGOs have played an important role in providing curative health services and in establishing good health facilities, but a future problem is how the government will run these health facilities after a peaceful settlement has been

  12. Portugal's Petrogal eyes expansion amid continuing privatization

    International Nuclear Information System (INIS)

    Anon.

    1995-01-01

    Portugal's recently privatized state oil company Petrogal is about to embark on a major expansion worldwide. That comes against the backdrop of major change in Portugal's energy sector and the rocky road to Petrogal's partial privatization. Despite the controversy, there remain opportunities for foreign companies investing in Portugal's energy sector. The most attractive opportunities are in Portugal's downstream petroleum sector and in the country's continuing campaign to develop its natural gas industry. Typical of the latter is Portugal's participation in the Trans-Maghreb gas pipeline megaproject. The paper discusses the background to privatization, its current status, Petrogal strategy, modernization of refineries, a joint partnership with Venezuela, constraints, energy policy program, gas pipeline privatization, and concerns of the gas industry

  13. Use of health services among vineyard and winery workers in the North Willamette Valley, Oregon.

    Science.gov (United States)

    Lopez-Cevallos, Daniel F; Garside, Leda I; Vazquez, Leticia; Polanco, Kristty

    2012-02-01

    Although agricultural work is considered one of the most dangerous and physically demanding jobs, the majority of farmworkers remain vulnerable to disease and injury, while use of health services is limited. The present study analyzes the use of health care services among vineyard and winery workers in the North Willamette Valley, Oregon. Data from 513 foreign-born workers collected during the summer of 2009 by ¡Salud! Services, was used to test the influence of relevant predisposing and enabling factors of the Behavioral Model of Health Care Utilization among Vulnerable Populations. The majority of participants were males (87%) with an average age of 33 years. Over half of the workers were either married or living with a partner (54%) and had children living with them (58%). Very few spoke English (5%) and only a third had more than 6 years of formal education. Two-thirds of workers (65%) had a full time job and shared housing (67%). Only one of every five workers (19%) had health insurance. Multivariate analyses show that use of health services in the past 2 years is more likely among females, those who have children, have more than 6 years of education, work full time, are insured, and are currently attending school. This study provides further insight for health care provision initiatives to reduce the many barriers faced by farmworkers and their families.

  14. Life satisfaction of two-year post-stroke survivors: effects of socio-economic factors, motor impairment, Newcastle stroke-specific quality of life measure and World Health Organization quality of life: bref of informal caregivers in Luxembourg and a rural area in Portugal.

    Science.gov (United States)

    Baumann, Michèle; Lurbe, Kàtia; Leandro, Maria-Engracia; Chau, Nearkasen

    2012-01-01

    Life satisfaction of stroke survivors is known to be associated with socio-economic factors and the survivor's and his/her caregiver's quality of life, but their respective influence remains to be fully elucidated. To analyse the stroke survivors' life satisfaction 2 years after the event and its relationships with quality of life, socio-economic and stroke-related characteristics, and with informal caregivers' life satisfaction and quality of life . Over 18 months, all stroke patients from Luxembourg and north-eastern Portugal who lived at home were identified from the Inspection Générale de la Sécurité Sociale and hospital records, respectively. The clinical diagnosis of cerebrovascular disease was confirmed. We excluded all patients who declared that stroke did not result in neurological impairments at the time of stroke from the statistical analysis. The samples comprised 79 patients in Luxembourg and 48 in Portugal. Patients and the people they identified as their main caregivers were interviewed using validated questionnaires measuring life satisfaction, i.e. the Newcastle Stroke-Specific Quality of Life (Newsqol - 11 subscales), which identifies the areas affected by stroke among patients, and the World Health Organization Quality of Life - bref (Whoqol-bref - 4 subscales) of informal caregivers. Survivors without neurological impairment at the time of stroke were excluded. Data were analysed via multiple-regression models. Life satisfaction was higher among women and lower among subjects with impaired motor functions. It was lower among Portuguese respondents with low-level education (life satisfaction than did working people (-7.9/100). Controlling for socio-economic factors, life satisfaction was associated with feelings- Newsqol (slope 0.25) among Luxembourg residents, and with feelings-, mobility- and self-care-Newsqol (slopes 0.24, 0.27 and 0.33, respectively) among Portuguese respondents. Life satisfaction of patients was strongly related to that

  15. Trichinella britovi in a red fox (Vulpes vulpes) from Portugal.

    Science.gov (United States)

    Lopes, Ana Patrícia; Vila-Viçosa, Maria João; Coutinho, Teresa; Cardoso, Luís; Gottstein, Bruno; Müller, Norbert; Cortes, Helder C E

    2015-06-15

    Trichinellosis is one of the most important foodborne parasitic zoonoses, caused by nematodes of the genus Trichinella. Pigs and other domestic and wild animals, including red foxes (Vulpes vulpes), are sources of Trichinella infection for human beings. Trichinella britovi is the major agent of infection in sylvatic animals and the most important species circulating in the European wildlife. The present study aimed at assessing Trichinella spp. infection in red foxes from the North of Portugal. Forty-seven carcasses of wild red foxes shot during the official hunting season or killed in road accidents were obtained between November 2008 and March 2010. In order to identify the presence of Trichinella spp. larvae in red foxes, an individual artificial digestion was performed using approximately 30 g of muscle samples. Larvae of Trichinella spp. were detected in one (2.1%) out of the 47 assessed foxes. After a multiplex polymerase chain reaction analysis, T. britovi was molecularly identified as the infecting species. The recognition of T. britovi in a red fox confirms that a sylvatic cycle is present in the North of Portugal and that the local prevalence of Trichinella infection in wildlife must not be ignored due to its underlying zoonotic risks. Copyright © 2015 Elsevier B.V. All rights reserved.

  16. Improving mental health knowledge of the Charedi Orthodox Jewish Community in North London: A partnership project.

    Science.gov (United States)

    Perry, Aradhana; Gardener, Chelsea; Dove, Jonathan; Eiger, Yocheved; Loewenthal, Kate

    2018-05-01

    This article describes a successful community-based partnership project between statutory and third-sector services targeting the strictly Orthodox Jewish community (OJC). The City and Hackney Black and Minority Ethnic (BME) Access Service (East London NHS Foundation Trust (ELFT)) collaborated with Bikur Cholim, a local third-sector organisation based in the heart of a north London Charedi OJC, to develop a brief culturally tailored psychoeducational group intervention focusing on mental health promotion and prevention. In total, 34 carers in the Charedi OJC were provided with general information on mental health, the availability of support services and self-care. Overall improvements in well-being, increased intentions to access services, particularly talking therapies, and qualitative feedback indicated that the group was very well received. The project endorses the value of culturally relevant psychoeducation, enabling suggestions for culturally appropriate service development.

  17. A North Carolina Model for Improving Rural Health Care: 1/10 Albert Schweitzer, 9/10 ORHS.

    Science.gov (United States)

    Coogan, Mercy Hardie

    1980-01-01

    The article describes North Carolina's precedent setting Office of Rural Health Services, its background and design, and its significant role in the development of primary health care clinics such as that in Balsom Grove which is staffed by a family nurse practitioner and enjoying wide community support. (SB)

  18. Reception of the Interpersonal Relations Series of the Continuing Education Project for Public Health Workers in North Carolina.

    Science.gov (United States)

    Dutton, Donnie

    Research was conducted on reactions of North Carolina public health workers to the telecasts, study manuals, and group discussion sessions used for seven programs (Introduction, Group Discussion, Communication, Cooperation, Culture and Public Health, Our Public Image, and Questions and Answers, respectively) in the interpersonal relations series…

  19. Inhibitions and implications associated with celebrity participation in health-related social marketing: an exploratory research focused on HIV prevention in Portugal.

    Science.gov (United States)

    Casais, Beatriz; Proença, João F

    2012-01-01

    This article discusses motivations and inhibitions among celebrities to participate in health-related social marketing. The research identifies the implications that this involvement may have upon their lives. Results from in-depth interviews with 27 Portuguese celebrities show that they expect a fee for endorsements of commercial and government social marketing, despite the positive image they may gain from endorsing public health. The results demonstrate an absence of celebrity prejudice against HIV because of its serious nature and the social stigma attached to AIDS. This research suggests there is a positive bias and presents helpful information for negotiations between institutions and celebrities.

  20. Attitude about mental illness of health care providers and community leaders in rural Haryana, North India

    Directory of Open Access Journals (Sweden)

    Harshal Ramesh Salve

    2014-12-01

    Full Text Available Background: Attitude about mental illness determines health seeking of the people. Success of National Mental Health Programme (NMHP is dependent on attitude about mental illness of various stakeholders in the programme. Material & Methods: A community based cross-sectional study was carried out in Ballabgarh block of Faridabad district in Haryana. We aimed to study attitude about mental illness of various stakeholders of health care providers (HCP, community leaders in rural area of Haryana, north India. Study area consisting of five Primary Health Centers (PHCs serving 2,12,000 rural population. All HCP working at PHCs, Accredited Social Health Activist (ASHA and community leaders in study area were approached for participation. Hindi version of Opinion about Mental illness Scale for Chinese Community (OMICC was used to study attitude. Results: In total, 467 participants were participated in the study. Of which, HCP, ASHAs and community leaders were 81 (17.4%, 145 (31.0% and 241 (51.6% respectively. Community members reported socially restrictive, pessimistic and stereotyping attitude towards mentally ill person. ASHA and HCP reported stereotyping attitude about person with mental illness. None of the stakeholders reported stigmatizing attitude. Conclusion: Training programme focusing on spectrum of mental illness for HCP and ASHA working in rural area under NMHP programme is needed. Awareness generation of community leaders about bio-medical concept of mental illness is cornerstone of NMHP success in India.

  1. 'Greenfields' and 'Brownfields': automotive industrial development in the UK and in Portugal

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    Mário Vale

    1996-12-01

    Full Text Available The industrial policy in the UK and in Portugal, as in most EU countries, seeks to attract new investment capacity, to create jobs and to promote the impact of the so-called "demonstration efect" of "greenfield" development strategies pursued in the new plants of inward investors on existing or "brownfield" plants. This industrial policy focus is particularly evident in the automobile industry.This paper compares the industrial policy oriented towards the automobile industry in the UK and in Portugal. Two recent "greenfield" investments are analised: Nissan in the North-East region (UK and Ford/VW in the Setúbal Peninsula (Portugal, as well as three "brownfield" plants: Ford Halewood and GM Vauxhall Ellesmere Port in the North-West region (UK and Renault in Setúbal (Portugal. The first part starts with a discussion of industrial policy in the automobile sector, the role of "greenfield" development strategies and the "demonstration effect" on "brownfield" plants. Then, the limits of new inward investment are pointed out, basically their problems and restrictions. Afterwards, the structural barriers to the "demonstration effect" within "brownfield" plants are outlined and some possabilities for alternative "brownfield" development strategies are presented.

  2. The Tourism Potential of Northern Portugal and Its Relevance for a Regional Branding Strategy

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    Eduardo OLIVEIRA

    2014-12-01

    Full Text Available The purpose of this article is to explore a potential regional branding strategy for the northern part of Portugal, emphasizing the regional tourism potential. Furthermore, it aims to clarify the answers of the following research questions: i is tourism a strategic domain with the potential to integrate a branding strategy at the regional level? ii is a regional branding strategy an engine by which to enable economic and social transformation in the region, thus responding to the contemporary challenges such as weak economic confidence and unemployment? To answer these questions, a content analysis on the policy documents: i Northern Portugal Strategic Guidelines 2014-2020 and ii National Strategic Plan for Tourism 2013-2015 has been performed. In addition, the article details the results of in-depth interviews conducted with two regional entities: i Tourism of Porto and the North of Portugal (TPNP, in charge of national tourism planning and promotion and ii North Regional Coordination and Development Commission (CCDRN, involved in regional planning and development. The findings reinforce the importance of tourism as a strategic domain to boost the economy and create momentum in Northern Portugal. Moreover, tourism is seen by the respondents as a key objective in a regional branding strategy.

  3. Health Seeking Behaviour of Non Communicable Disease in Sulaho Village, Lasusua Sub District, North Kolaka Regency

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    Cati Martiyana

    2016-02-01

    Full Text Available Background: Non communicable diseases is a chronic disease that is not spread from person to person. Public knowledge about type of non communicable disease is quite good, but generally they don’t understand about effect of non communicable disease risk factors, impacts and consider non communicable disease due to genetic factors, disease ofolder or rich people. This research to describe the fi ndings of non communicable diseases and health seeking behavior for these types of disease. Method: This study is a qualitative study used ethnographic methods. The research location at Sulaho village, Lasusua sub district, North Kolaka regency. Informants selected with snowball sampling methods. Participant observation and indepth interviews supported with documentation as data collection methods. Analysis of qualitative data with domain analysis, taxonomic analysis, komponensial analysis and analysis of the cultural theme supported with triangulation of sources and data collection methods. Results: Non communicable disease founded at Sulaho were cases of hypertension, stroke, diseases caused by workplace accidents and iodine defi ciency disorders (IDD. Informan knows name of diseases, but they did not know good knowledge of caused, impact and prevention of it. Traditional healer (sanro is still the main reference before went to the health worker when someone sick, this indicates that people still have the will to take advantage of health care of health seeking behaviour. Conclusion: Traditional healer (sanro generally become the main reference for health seeking behaviour of non communicable diseases before someone went to the health workers.Recommendation: Health workers has to be practice to approach the community through community leaders or kinship based.

  4. Transnational citizenship: Latin Americans in Portugal

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    Beatriz Padilla

    2014-09-01

    Full Text Available This article is a reflection upon the exercising of transnational citizenship as a consequence of international migration, applied to Latin Americans resident in Portugal. In order to do this we have adopted the concept of transnational citizenship, as its malleability allows us to consider the whole concept of countries of origin and destination and the influence of bilateral and international relations. We ask how transnational citizenship is exercised in the European Union, Ibero-American and, particularly, Portuguese spaces, and whether it is affected by the economic crisis in Europe and, in particular, Portugal, by analysing the cases of Argentines, Brazilians and Uruguayans living in Portugal.

  5. La contabilidad pública en Portugal

    OpenAIRE

    Alberto Pedrosa, Fernanda

    2014-01-01

    LA CONTABILIDAD PÚBLICA EN PORTUGAL - Que se entiende por Sector Público - Arquitectura del Sector Público en Portugal. - Evolución de la Contabilidad del Sector Público en Portugal. - El Plan Oficial de Contabilidad Pública (POCP) y Planes de Contabilidad sectoriales. - Las normas de consolidación de cuentas en el Sector Público. - Y hoy, ¿cuál es el punto de la situación? Universidad de Málaga. Campus de Excelencia Internacional Andalucía Tech.

  6. Health Services Use and HIV Prevalence Among Migrant and National Female Sex Workers in Portugal: Are We Providing the Services Needed?

    Science.gov (United States)

    Dias, Sónia; Gama, Ana; Pingarilho, Marta; Simões, Daniel; Mendão, Luís

    2017-08-01

    This cross-sectional bio-behavioral survey conducted with 853 female sex workers (FSW) aimed to examine differences in use of HIV health services, testing and prevalence among migrant and national FSW. A quarter of undocumented FSW had never used National Health Service (NHS) and 15 % never tested for HIV, significantly more than nationals (p migrants (p migrants were unaware of their positive serostatus compared to nationals. Ever had HIV testing was less likely among undocumented, who never used the NHS and who didn't know where to go if suspected being HIV-infected. Promoting early diagnosis with linkage to care among migrant FSW should be supported, while developing health services better tailored to their needs. Una encuesta transversal biocomportamental fue realizada con una muestra de 853 trabajadoras sexuales (TS) con el objetivo de examinar diferencias en el uso de servicios de salud del VIH, test y prevalencia entre TS migrantes y nacionales. Un cuarto de las TS indocumentadas nunca utilizaron el Servicio Nacional de Salud (SNS) y el 15 % nunca fueron testadas respecto al VIH, porcentajes significativamente superiores a las observadas para las nacionales (p migrantes documentadas y 0.8 % de las indocumentadas (p migrantes desconocía su serostatus positivo en comparación con las nacionales. El test del VIH fue menos frecuente entre las indocumentadas, quien nunca utilizó el SNS y quien no sabía dónde recurrir si sospechaba estar infectada por el VIH. Promover un diagnóstico precoz en conexión con los cuidados en TS migrantes debe ser respaldado mientras se desarrollan servicios de salud mejor adaptados a sus necesidades.

  7. HIV Infection, risk factors and health services use among male-to-female transgender sex workers: a cross-sectional study in Portugal.

    Science.gov (United States)

    Gama, Ana; Martins, Maria Rosário Oliveira; Mendão, Luís; Barros, Henrique; Dias, Sónia

    2018-01-01

    Male-to-female transgender sex workers (TSW) have been identified as a key population at risk for HIV. This study examined risk behaviors and HIV prevalence among TSW, and described health services use. A participatory cross-sectional survey was conducted with 125 TSW recruited in locations and networks where sex workers congregate. HIV-risk behaviors were common among participants. Inconsistent condom use with clients in the previous month was reported by 12.0% of participants and was associated with Portuguese nationality, inconsistent condom use with non-paying partners and not been reached by HIV prevention programs in the previous year. Ever use of psychoactive substances was reported by 61.6% of participants and was associated with being non-employed, doing full-time sex work, having higher number of non-paying partners and having never used health services. Also, ever use of psychoactive substances was negatively associated with older age and Portuguese nationality. About 34% of the participants reported having not been tested in the previous 12 months; 20.2% never used the health services. Overall, 14.9% (95%CI: 8.0-21.0%) reported being HIV-positive. Of those, 22.2% (95%CI: 1.0-43.5%) had unprotected sex with clients in the previous month, 26.7% (95%CI: 1.3-52.0%) had unprotected sex with non-paying partners in the previous year, 13.3% (95%CI: 0.0-33.0%) had ever injected drugs, 60.0% (95%CI: 23.0-97.0%) reported a past STI and 33.3% (95%CI: 2.0-64.6%) had currently HIV/STI co-infection. The socioeconomic, relational or partnering, and structural contexts conducive to increased risk are warranting further investigation. This knowledge would be valuable to inform prevention programs. HIV interventions, including secondary prevention, should address specific needs of TSW. Outreach initiatives aimed to reach TSW who are difficult to access can play a role in promoting access to health services and reducing HIV infection and transmission.

  8. Societal costs and burden of otitis media in Portugal

    Directory of Open Access Journals (Sweden)

    Speets AM

    2011-04-01

    Full Text Available Anouk Speets1, Judith Wolleswinkel1, Cristina Cardoso21Pallas health research and consultancy, Rotterdam, the Netherlands; 2GlaxoSmithKline, Algés, PortugalAbstract: This study aimed to estimate the resource consumption and societal impact of otitis media (OM in children younger than five years of age in Portugal. An Internet survey on generic childhood symptoms and diseases was administered to a sample of parents. This self-report survey had been previously implemented in other European countries. Medically confirmed OM was defined as symptoms of earache or “running ear” and/or a diagnosis of OM provided by a medical doctor. Direct medical, nonmedical, and indirect nonmedical costs were calculated for individual cases. Mean total costs per OM episode were estimated at €334. This corresponds to an estimated societal impact of 72 million €/year, of which 39% were indirect nonmedical costs. An epidemiological study should help to confirm the results of this study, and evaluate whether an intervention to reduce the occurrence and/or duration of OM may have an impact on societal costs and quality of life for affected families.Keywords: otitis media, costs, societal burden, Portugal

  9. Regulation of clinical research and bioethics in Portugal.

    Science.gov (United States)

    Carvalho, Fatima Lampreia

    2007-06-01

    This article presents an overview of the Portuguese transposition of the European Directive on Good Clinical Practice (2001/20/E) concerning scientific and academic debates on bioethics and clinical investigation. Since the Directive was transposed into Portuguese law by its National Assembly, the bureaucracy of clinical trials has been ever more complex. Despite demands for swift application processes by the Pharmaceutical industry, supported by the European Parliament, the Directive's transcription to the national law has not always delivered the expected outcome. However, this has led to an increased number of applications for clinical trials in Portuguese hospitals. In this article I revise bioethical publications and decree-laws enabling an informed appraisal of the anxieties and prospects for the implementation of the clinical trials Directive in Portugal. This article also places the European Directive in the field of sociology of bioethics, arguing that Portuguese bioethical institutions differ from those of the US, and also from Northern European counterparts. The main divergence is that those people in Portugal who claim expertise in 'legal' bioethics do not dominate either the bureaucratic structure of research or ethics committees for health. Even experts in the applied ethics field now claim that 'professional bioethicists do not exist'. The recent creation of a national Ethics Committee for Clinical Investigation (CEIC) in line with the European Directive on Good Clinical Practice (GCP) will not change the present imbalance between different professional jurisdictions in the national bioethical debate in Portugal.

  10. Ethnic food perspective of North Dakota Common Emmer Wheat and relevance for health benefits targeting type 2 diabetes

    Directory of Open Access Journals (Sweden)

    Ashish Christopher

    2018-03-01

    Full Text Available Background: Ancient grains with ethnic food origins are gaining renewed interest in contemporary food design due to its balanced nutritional profiles and health benefits. The “North Dakota Common Emmer Wheat” (Triticum dicoccum, a tetraploid species, had ethnic origins with German immigrants from Russia migrating to North Dakota in late 19th century. Targeting such grains with ethnic origins that are rich in fibers, amino acids, minerals, and other bioactive compounds has significant merit for advancing health benefits against emerging diet-linked chronic diseases. Based on this rationale, phenolic-linked antioxidant and antihyperglycemic properties of North Dakota Common Emmer Wheat was compared with those of other commercial wheat cultivars in order to integrate it into a health-targeted food design based on past ethnic food insights. Methods: Aqueous extracts of the North Dakota Common Emmer Wheat (with and without hull and two other commercial wheat varieties, Barlow and Coteau, were analyzed before and after milling. The total soluble phenolic content, phenolic acid profile, protein content, antioxidant activity, type 2 diabetes relevant α-amylase, and α-glucosidase enzyme inhibitory activities were determined using in vitro assay models. Results: North Dakota Common Emmer Wheat with hull had highest total soluble phenolic content and associated antioxidant and antihyperglycemic properties (before and after milling when compared to the other commercial wheat cultivars. Conclusion: Results indicated that North Dakota Common Emmer Wheat with hull can be integrated into a health-targeted contemporary food design as a part of dietary support against chronic hyperglycemia and oxidative stress associated with early stages type 2 diabetes. Keywords: Antioxidant, Enzyme inhibitors, Ethnic wheat, North Dakota Common Emmer, Phenolics, Type 2 diabetes

  11. Marginalisation, discrimination and the health of Latino immigrant day labourers in a central North Carolina community.

    Science.gov (United States)

    Fleming, Paul J; Villa-Torres, Laura; Taboada, Arianna; Richards, Chelly; Barrington, Clare

    2017-03-01

    The morbidity and mortality of Latino immigrants in the United States (US) stem from a complex mix of policy, culture, discrimination and economics. Immigrants working as day labourers may be particularly vulnerable to the negative influences of these social factors due to limited access to social, financial and legal resources. We aimed to understand how the health of male Latino day labourers in North Carolina, US is influenced by their experiences interacting with their community and perceptions of their social environment. To respond to our research questions, we conducted three focus groups (n = 9, n = 10, n = 10) and a photovoice project (n = 5) with Latino male immigrants between October 2013 and March 2014. We conducted a thematic analysis of transcripts from the discussions in the focus groups and the group discussions with Photovoice participants. We found that men's health and well-being were primarily shaped by their experiences and feelings of discrimination and marginalisation. We identified three main links between discrimination/marginalisation and poor health: (i) dangerous work resulted in workplace injuries or illnesses; (ii) unsteady employment caused stress, anxiety and insufficient funds for healthcare; and (iii) exclusionary policies and treatment resulted in limited healthcare accessibility. Health promotion with Latino immigrant men in new settlement areas could benefit from community-building activities, addressing discrimination, augmenting the reach of formal healthcare and building upon the informal mechanisms that immigrants rely on to meet their health needs. Reforms to immigration and labour policies are also essential to addressing these structural barriers to health for these men. © 2016 John Wiley & Sons Ltd.

  12. Dental radiographic exposures in Portugal

    International Nuclear Information System (INIS)

    Carvalho, A.F.; Oliveira, A.D.; Amaral, E.M.; Carreiro, J.V.; Galvao, J.P.

    1992-01-01

    A survey of dental intra-oral radiography was carried out in Portugal in 1989 and 1990 in hospitals, clinics and private offices. About 25% of the operational X ray units were checked. A total of 847 x 10 3 films were estimated as having been performed in 1989 corresponding to a frequency of 86 films per 10 3 inhabitants, which amounts to about 12% of all radiological examinations. The median entrance absorbed dose for a molar tooth was calculated to be 6.3 mGy but 85% of measured doses were out of acceptable dose range for good practice. Improvement of image quality and reduction of patient dose can be mainly achieved by improving the quality of film processing

  13. Astronomy Week in Madeira, Portugal

    Science.gov (United States)

    Augusto, P.; Sobrinho, J. L.

    2012-05-01

    The outreach programme Semanas da Astronomia (Astronomy Weeks) is held in late spring or summer on the island of Madeira, Portugal. This programme has been attracting enough interest to be mentioned in the regional press/TV/radio every year and is now, without doubt, the astronomical highlight of the year on Madeira. We believe that this programme is a good case study for showing how to attract the general public to astronomy in a small (population 250 000, area 900 km2) and fairly isolated place such as Madeira. Our Astronomy Weeks have been different each year and have so far included exhibitions, courses, talks, a forum, documentaries, observing sessions (some with blackouts), music and an astro party. These efforts may contribute towards putting Madeira on the map with respect to observational astronomy, and have also contributed to the planned installation of two observatories in the island.

  14. Poultry Processing Work and Respiratory Health of Latino Men and Women in North Carolina

    Science.gov (United States)

    Mirabelli, Maria C.; Chatterjee, Arjun B.; Arcury, Thomas A.; Mora, Dana C.; Blocker, Jill N.; Grzywacz, Joseph G.; Chen, Haiying; Marín, Antonio J.; Schulz, Mark R.; Quandt, Sara A.

    2015-01-01

    Objective To evaluate associations between poultry processing work and respiratory health among working Latino men and women in North Carolina. Methods Between May 2009 and November 2010, 402 poultry processing workers and 339 workers in a comparison population completed interviewer-administered questionnaires. Of these participants, 279 poultry processing workers and 222 workers in the comparison population also completed spirometry testing to provide measurements of forced expiratory volume in 1 second and forced vital capacity. Results Nine percent of poultry processing workers and 10% of workers in the comparison population reported current asthma. Relative to the comparison population, adjusted mean forced expiratory volume in 1 second and forced vital capacity were lower in the poultry processing population, particularly among men who reported sanitation job activities. Conclusions Despite the low prevalence of respiratory symptoms reported, poultry processing work may affect lung function. PMID:22237034

  15. Transfer of U, Al and Mn in the water–soil–plant (Solanum tuberosum L.) system near a former uranium mining area (Cunha Baixa, Portugal) and implications to human health

    International Nuclear Information System (INIS)

    Neves, M.O.; Figueiredo, V.R.; Abreu, M.M.

    2012-01-01

    Knowledge about metals in crops, grown in contaminated soils around mine sites, is limited and concerns about exposure to hazardous elements through the consumption of contaminated foodstuff, are high. In this study a field experiment was carried out in two agricultural soils located near a former uranium mine area (Cunha Baixa, Portugal). The purpose of the study was to assess the effect of irrigation water quality on soil–potato (Solanum tuberosum L.) crop system and to evaluate if the consumption of the crop represents health risk to the local villagers. The soils were divided in two plots: one irrigated with contaminated water (U: 1.03–1.04 mg/L; Al: 7.5–8.00 mg/L; Mn: 4.52 mg/L) and the other with uncontaminated water (U: 14–10 μg/L; Al: 17–23 μg/L; Mn: 2.4–5.7 μg/L). After irrigation and potato growth, only soil characteristics, as salinity and total U and Mn concentrations were significantly different from those measured at the beginning of the experiment. Within the potato plants, elements were mostly translocated and concentrated in the aerial part: stems and leaves (U: 73–87%; Al: 85–96%; Mn: 85–94%), which minimize the risk of contamination of the edible tissue. In potato tubers, the highest average concentrations (121–590 μg U/kg; 25–64 mg Al/kg; 12–13 mg Mn/kg dry weight) were registered at soil plots irrigated with contaminated water. Uranium and Al were mostly concentrated in the potato peel (88–96 and 76–85%, respectively), and Mn (67–78%) in the pulp, which reinforces the importance of removing peel to minimize human exposure. The risk analysis calculated for non-cancer health effects (hazard quotient), related only to the exposure through the consumption of this basic foodstuff, revealed safety for Cunha Baixa village residents (adults and children) even when potato crop was grown on U enriched soils and irrigated with contaminated water. - Highlights: ► Field experiment with potato in agricultural soils near a

  16. Transfer of U, Al and Mn in the water-soil-plant (Solanum tuberosum L.) system near a former uranium mining area (Cunha Baixa, Portugal) and implications to human health

    Energy Technology Data Exchange (ETDEWEB)

    Neves, M.O., E-mail: orquidia.neves@ist.utl.pt [Centro de Petrologia e Geoquimica, Instituto Superior Tecnico, Universidade Tecnica de Lisboa (TULisbon), Av. Rovisco Pais 1049-001 Lisboa (Portugal); Figueiredo, V.R., E-mail: vera.figueiredo@ist.utl.pt [Instituto Superior Tecnico, Universidade Tecnica de Lisboa (TULisbon), Av. Rovisco Pais 1049-001 Lisboa (Portugal); Abreu, M.M., E-mail: manuelaabreu@isa.utl.pt [Unidade de Investigacao de Quimica Ambiental, Instituto Superior de Agronomia, Universidade Tecnica de Lisboa (TULisbon), Tapada da Ajuda, 1349-017 Lisboa (Portugal)

    2012-02-01

    Knowledge about metals in crops, grown in contaminated soils around mine sites, is limited and concerns about exposure to hazardous elements through the consumption of contaminated foodstuff, are high. In this study a field experiment was carried out in two agricultural soils located near a former uranium mine area (Cunha Baixa, Portugal). The purpose of the study was to assess the effect of irrigation water quality on soil-potato (Solanum tuberosum L.) crop system and to evaluate if the consumption of the crop represents health risk to the local villagers. The soils were divided in two plots: one irrigated with contaminated water (U: 1.03-1.04 mg/L; Al: 7.5-8.00 mg/L; Mn: 4.52 mg/L) and the other with uncontaminated water (U: 14-10 {mu}g/L; Al: 17-23 {mu}g/L; Mn: 2.4-5.7 {mu}g/L). After irrigation and potato growth, only soil characteristics, as salinity and total U and Mn concentrations were significantly different from those measured at the beginning of the experiment. Within the potato plants, elements were mostly translocated and concentrated in the aerial part: stems and leaves (U: 73-87%; Al: 85-96%; Mn: 85-94%), which minimize the risk of contamination of the edible tissue. In potato tubers, the highest average concentrations (121-590 {mu}g U/kg; 25-64 mg Al/kg; 12-13 mg Mn/kg dry weight) were registered at soil plots irrigated with contaminated water. Uranium and Al were mostly concentrated in the potato peel (88-96 and 76-85%, respectively), and Mn (67-78%) in the pulp, which reinforces the importance of removing peel to minimize human exposure. The risk analysis calculated for non-cancer health effects (hazard quotient), related only to the exposure through the consumption of this basic foodstuff, revealed safety for Cunha Baixa village residents (adults and children) even when potato crop was grown on U enriched soils and irrigated with contaminated water. - Highlights: Black-Right-Pointing-Pointer Field experiment with potato in agricultural soils near

  17. The Roots of North America's First Comprehensive Public Health Insurance System

    Directory of Open Access Journals (Sweden)

    Ostry, Aleck

    2001-06-01

    Full Text Available The Canadian province of Saskatchewan in 1944 it inherited a long tradition of "socialized" medicine in many rural regions. However, urban medicine was based on fee-for-service payment of physicians and no private health insurance. In crafting North America's first public health insurance system, the government built on the rural medical infrastructure already in place by expanding a rural salaried system of physician payment and successfully promoted a regional comprehensive insurance system piloted in a southern region of the province. However, major demographic shifts from countryside to city during the 1950s, burgeoning physician supply, increased immigration of physicians into the provinces' cities, and aggressive expansion of urban-based private insurance for physician services into rural regions, shifted the balance of medical power away from rural towards urban centers in the province. The increasing resistance, by the medical profession, to health-care reform in Saskatchewan in the 1950s must be considered within a geographic framework as rural regions of the province became the major battleground between government and insurance third party payers. While historical comparisons should not be overstated, re-visiting this struggle may be useful in the current era in which the pressure for privatization of the medical system in Canada appear to be growing.

  18. Optometry in Portugal: a historical perspective

    Science.gov (United States)

    Teixeira, Eduardo; Baptista, António M. G.; Sousa, Raul A. R. C.

    2011-05-01

    The establishment and development of optometry in Portugal resulted from the committed work of many individuals and institutions. These efforts have had good results in terms of raising the public's awareness of the major role played by optometrists in primary eye care. Back in the late 80's higher education in optometry was started. Ten years ago the results of scientific research on the topic first became available and are now also contributing to the success of optometry in Portugal. In regard to the optometry profession, specific regulations are to be discussed in the national parliament. The Associação de Profissionais Licenciados de Optometria (APLO), as the professional organization representing optometrists in Portugal, has been critically important in this process. This article will present an overview of the history of optometry in Portugal, of change in the foreseeable future and of the APLO's experience and activities.

  19. Associations of Poor Housing with Mental Health Among North Carolina Latino Migrant Farmworkers.

    Science.gov (United States)

    Mora, Dana C; Quandt, Sara A; Chen, Haiying; Arcury, Thomas A

    2016-01-01

    This analysis examines the associations of housing conditions with mental health among migrant farmworkers. Data are from a 2010 cross-sectional study conducted in 16 North Carolina counties. Interviews and housing inspections were completed with 371 farmworkers in 186 camps. Mental health measures included depression (Center for Epidemiologic Studies Depression Scale, CES-D), anxiety (Personality Assessment Inventory, PAI), and alcohol misuse (Alcohol Use Disorders Identification Test, AUDIT-C). Housing measures were number of people per sleeping room, perceived security of self and belongings, having a key to dwelling's door, having bedroom storage, toilet privacy issues, and number of housing regulation violations. Sixty (16.7%) participants had substantial depressive symptoms (CES-D ≥10), 31 (8.8%) had substantial anxiety (PAI ≥27), and 185 (50.1%) had the potential for alcohol misuse (AUDIT-C ≥4). Those with 5+ persons sleeping per room were more likely to have a depression score ≥10 (31.5% vs. 13-14%, P = .01) and an anxiety scores ≥27 (19.6% vs. 5-9%, P = .02). Those who did not feel they or their belongings were secure were more likely to have a depression score ≥10 (19.4% vs. 9.1%, P = .01). Those without a key were more likely to have an anxiety score ≥27 (11.5% vs. 5.1%, P = .04). Those with no bedroom storage were more likely to have a depression score ≥10 (28.9% vs. 14.9%, P = .03). This article suggests links between poor housing and farmworkers' mental health. These results inform regulations surrounding farmworker housing and inform health care providers on how to prevent and treat poor mental health among migrant farmworkers.

  20. Burnout and its Influencing Factors among Primary Health Care Providers in the North East of Iran.

    Science.gov (United States)

    Amiri, Mohammad; Khosravi, Ahmad; Eghtesadi, Ahmad Reza; Sadeghi, Zakieh; Abedi, Ghasem; Ranjbar, Mansour; Mehrabian, Fardin

    2016-01-01

    Burnout is a popular research topics in service providing jobs, including the health care field. This study aimed at assessing the level of job burnout and to consider the important antecedents which might be related to job burnout among primary health care providers in Iran. The participants in this applied cross-sectional study which was conducted in 2013 were 548 primary health care providers who were randomly selected from among those working in Shahroud, Sabzevar, Neishabour, Bojnord (provinces located in the north east of Iran). Maslach Burnout Inventory (MBI) was administered to the participants and the collected data were analyzed using SPSS through chi-square test and ordinal logistic regression model. The burnout mean score among the participants was 54.1 ± 27.2 and the mean scores of burnout components i.e., emotional exhaustion, depersonalization and personal accomplishment were 15.5 ± 13.6, 3.7 ± 5.4 and 35.5 ± 13.5 respectively. In terms of levels of burnout, 64.2% of the participants showed low levels (n = 352), 18.4% average levels (n = 101) and 17.3% high levels (n = 95). A significant relationship was observed between burnout, job resources and interest in job (p ≤ 0.05). However, no significant relationship was observed between burnout and the place (university) of working, age, satisfaction with income, experience, gender, level of education, marital status, housing status, having a second job and place of residence (p ≥0.05). Lack of personal accomplishment was highly prevalent among the participating primary health care providers. Lack of career advancement and job transfer opportunities may play a role in the burnout of primary health care providers. Therefore, paying attention to this aspect may help to reduce burnout and even increase job engagement.

  1. Burnout and its Influencing Factors among Primary Health Care Providers in the North East of Iran.

    Directory of Open Access Journals (Sweden)

    Mohammad Amiri

    Full Text Available Burnout is a popular research topics in service providing jobs, including the health care field. This study aimed at assessing the level of job burnout and to consider the important antecedents which might be related to job burnout among primary health care providers in Iran.The participants in this applied cross-sectional study which was conducted in 2013 were 548 primary health care providers who were randomly selected from among those working in Shahroud, Sabzevar, Neishabour, Bojnord (provinces located in the north east of Iran. Maslach Burnout Inventory (MBI was administered to the participants and the collected data were analyzed using SPSS through chi-square test and ordinal logistic regression model.The burnout mean score among the participants was 54.1 ± 27.2 and the mean scores of burnout components i.e., emotional exhaustion, depersonalization and personal accomplishment were 15.5 ± 13.6, 3.7 ± 5.4 and 35.5 ± 13.5 respectively. In terms of levels of burnout, 64.2% of the participants showed low levels (n = 352, 18.4% average levels (n = 101 and 17.3% high levels (n = 95. A significant relationship was observed between burnout, job resources and interest in job (p ≤ 0.05. However, no significant relationship was observed between burnout and the place (university of working, age, satisfaction with income, experience, gender, level of education, marital status, housing status, having a second job and place of residence (p ≥0.05.Lack of personal accomplishment was highly prevalent among the participating primary health care providers. Lack of career advancement and job transfer opportunities may play a role in the burnout of primary health care providers. Therefore, paying attention to this aspect may help to reduce burnout and even increase job engagement.

  2. Pension Systems in Europe. Case of Portugal

    Directory of Open Access Journals (Sweden)

    Jarosław Poteraj

    2009-03-01

    Full Text Available The article presents an insight into the old age pension system in Portugal. The author’s goal was to present both past and present solutions employed by the Portuguese’s pension system, in search for ideas worth consideration in international comparisons. In the summary, the author highlights as a particular Portuguese approach, on the background of other countries, the fact of using in Portugal definite part of VAT income for pension system financing.

  3. Health risk assessment through consumption of vegetables rich in heavy metals: the case study of the surrounding villages from Panasqueira mine, Central Portugal.

    Science.gov (United States)

    Ávila, Paula F; Ferreira da Silva, Eduardo; Candeias, Carla

    2017-06-01

    Panasqueira mine is a tin-tungsten mineralization hosted by metasediments with quartz veins rich in ferberite. The mineralization also comprises wolframite, cassiterite, chalcopyrite, several sulfides, carbonates and silver sulfosalts. The mining and beneficiation processes produce arsenic-rich mine wastes laid up in huge tailings (Barroca Grande and Rio tailings). The contents of As, Cd, Cr, Cu, Pb and Zn were estimated in rhizosphere soils, irrigation waters, road dusts and in potatoes, cabbages, lettuces and beans, collected on local gardens of four neighborhood Panasqueira mine villages: S. Francisco de Assis (SFA) and Barroca suffering the influence of tailings; Unhais-o-Velho and Casegas considered as non-polluted areas. The mean concentrations of metals in rhizosphere soils and vegetables exceed the reference guidelines values and seem to be linked to the sulfides. The rhizosphere ecological risks were ranked in the order of Cd > As > Cu > Pb > Zn > Cr and SFA > Barroca > Casegas > Unhais-o-Velho. Metal concentrations, in vegetables, were found in the order of lettuce > cabbage > potatoes and SFA > Barroca > Casegas > Unhais-o-Velho. For cabbages and lettuces, the tendency of contamination is roots > leaves and for potatoes is roots > leaves > tubers. The risk for residents, due to ingesting of metals/metalloid, by consuming vegetables grown around the sampling area, was calculated and the result indicates that the inhabitants of these villages are probably exposed to some potential health risks through the intake of heavy metals and metalloids via consuming their vegetables.

  4. Pragmatism of the North Atlantic Treaty Organization’s and European Union’s Strategic Partnership

    Science.gov (United States)

    2015-04-13

    Greece, Hungary, Iceland, Italy, Latvia, Lithuania, Luxembourg, Netherland, Norway, Poland, Portugal, Romania, Slovakia, Slovenia , Spain, Turkey...Netherland, Poland, Portugal, Romania, Slovakia, Slovenia , Spain, Sweden, and United Kingdom. 3 North Atlantic Treaty Organizations, “NATO-EU: A...supranational organization through a constitutional process, the organization did achieve its highest level of state integration within the

  5. A population-based nationwide cross-sectional study on preventive health services utilization in Portugal--what services (and frequencies are deemed necessary by patients?

    Directory of Open Access Journals (Sweden)

    Carlos Martins

    Full Text Available BACKGROUND: Most of the strategies to induce a more rational use of preventive health services are oriented to the medical side of the doctor-patient relationship. However, the consultation model has changed, and patients now have a more important role in medical consultation. The aim of this study was to assess which healthcare services are deemed necessary, and with what frequency, by adults from the general Portuguese population. METHODS: DESIGN: Population-based nationwide cross-sectional study Setting: Portuguese population Participants: One thousand Portuguese adults, surveyed by computer-assisted telephone interviewing and selected by a stratified cluster sampling design. MEASUREMENTS: Proportions and population prevalence estimates were determined for each healthcare service, taking into account whether respondents considered them necessary, and with what frequency. RESULTS: Respondent ages ranged between 18 and 97 years, and 520 of 1000 (52% respondents were women. Among Portuguese adults, 99.2% (95% confidence interval (CI: 98.5 to 99.6 believe that they should undergo general routine blood and urine tests, to be repeated every 12.0 months on average (95% CI: 11.4 to 12.6; 87.4% (95% CI: 85.3 to 89.3 of the respondents reported having actually performed these tests. Of the 15 services surveyed, 14 were considered periodically necessary by more than 60% of respondents. Among the respondents, 37.7% (95% CI: 34.5 to 41.1 reported using healthcare services by their own initiative. CONCLUSIONS: The majority of Portuguese adults believe that they should utilize a great number of healthcare services, on a nearly annual basis; most actually follow this schedule. Our findings indicate a tendency towards the overuse of resources. Adequate patient-oriented strategies regarding the use of medical tests and preventive interventions--with appropriate information and discussion of risks and harms--are urgently needed, and crucial for achieving a more

  6. Growing partners: building a community-academic partnership to address health disparities in rural North Carolina.

    Science.gov (United States)

    De Marco, Molly; Kearney, William; Smith, Tosha; Jones, Carson; Kearney-Powell, Arconstar; Ammerman, Alice

    2014-01-01

    Community-based participatory research (CBPR) holds tremendous promise for addressing public health disparities. As such, there is a need for academic institutions to build lasting partnerships with community organizations. Herein we have described the process of establishing a relationship between a research university and a Black church in rural North Carolina. We then discuss Harvest of Hope, the church-based pilot garden project that emerged from that partnership. The partnership began with a third-party effort to connect research universities with Black churches to address health disparities. Building this academic-community partnership included collaborating to determine research questions and programming priorities. Other aspects of the partnership included applying for funding together and building consensus on study budget and aims. The academic partners were responsible for administrative details and the community partners led programming and were largely responsible for participant recruitment. The community and academic partners collaborated to design and implement Harvest of Hope, a church-based pilot garden project involving 44 youth and adults. Community and academic partners shared responsibility for study design, recruitment, programming, and reporting of results. The successful operation of the Harvest of Hope project gave rise to a larger National Institutes of Health (NIH)-funded study, Faith, Farming and the Future (F3) involving 4 churches and 60 youth. Both projects were CBPR efforts to improve healthy food access and reducing chronic disease. This partnership continues to expand as we develop additional CBPR projects targeting physical activity, healthy eating, and environmental justice, among others. Benefits of the partnership include increased community ownership and cultural appropriateness of interventions. Challenges include managing expectations of diverse parties and adequate communication. Lessons learned and strategies for building

  7. Network formation, governance, and evolution in public health: the North American Quitline Consortium case.

    Science.gov (United States)

    Provan, Keith G; Beagles, Jonathan E; Leischow, Scott J

    2011-01-01

    Collaborative networks of health organizations have received a great deal of attention in recent years as a way of enhancing the flow of information and coordination of services. However, relatively little is known about how such networks are formed and evolve, especially outside a local, community-based setting. This article is an in-depth discussion of the evolution of the North American Quitline Consortium (NAQC). The NAQC is a network of U.S. and Canadian organizations that provide telephone-based counseling and related services to people trying to quit smoking. The research draws on data from interviews, documents, and a survey of NAQC members to assess how the network emerged, became formalized, and effectively governed. The findings provide an understanding of how multiregional public health networks evolve, while building on and extending the broader literature on organizational networks in other sectors and settings. Specifically, we found that the network form that ultimately emerged was a product of the back-and-forth interplay between the internal needs and goals of those organizations that would ultimately become network members, in this case, state-, and provincial-level tobacco quitline organizations. We also found that network formation, and then governance through a network administrative organization, was driven by important events and shifts in the external environment, including the impact and influence of major national organizations. The results of the study provide health care leaders and policy officials an understanding of how the activities of a large number of organizations having a common health goal, but spanning multiple states and countries, might be coordinated and integrated through the establishment of a formal network.

  8. Flavonoids and heart health: Proceedings of the ILSI North America Flavonoids Workshop may 31-june 1, 2005, Washington DC

    NARCIS (Netherlands)

    Erdman, J.W.; Balentine, D.; Arab, L.; Beecher, G.; Dwyer, J.T.; Folts, J.; Harnly, J.; Hollman, P.C.H.; Keen, C.L.; Mazza, G.; Messina, M.; Scalbert, A.; Vita, J.; Williamson, G.; Burrows, J.

    2007-01-01

    This article provides an overview of current research on flavonoids as presented during a workshop entitled, "Flavonoids and Heart Health," held by the ILSI North America Project Committee on Flavonoids in Washington, DC, May 31 and June 1, 2005. Because a thorough knowledge and understanding about

  9. Forest Health in North America: Some Perspectives on Actual and Potential Roles of Climate and Air Pollution

    Science.gov (United States)

    S. McLaughlin; K. Percy

    1999-01-01

    The perceived health of forest ecosystems over large temporal and spatial scales can be strongly influenced by the frames of reference chosen to evaluate both forest condition and the functional integrity of sustaining forest processes. North American forests are diverse in range, species composition, past disturbance history, and current management practices....

  10. Public health news frames in North Carolina newspaper coverage of the 100% Tobacco-Free Schools campaign? Sometimes.

    Science.gov (United States)

    Morrison, Suzanne DePalma; Sutton, Sonya F; Mebane, Felicia E

    2006-01-01

    News organizations are an important and influential part of the social environment. They identify certain issues by the extent and nature of their coverage. To help explain what public health policy messages may have influenced school policy decisions, this content analysis provides an examination of newspaper coverage of North Carolinas 100% tobacco-free schools campaign. Researchers searched LexisNexis for articles published in North Carolina newspapers between January 1, 2001 and December 31, 2004 that included variations of "North Carolina tobacco-free schools." Researchers then conducted a descriptive analysis of 138 stories from nine North Carolina newspapers (approximately 4% of all the states newspapers) and used page placement and story type to examine the level of importance placed on the issue. Finally, frames for and against tobacco-free school policies were tracked, along with the presence of key messages presented by 100% TFS advocates. The volume of news coverage changed throughout the study period, with peaks and valleys closely associated with external "trigger" events. In addition, a majority of the newspaper articles did not include key public health messages. The results suggest an opportunity for public health experts and officials to work more effectively with local journalists to increase the use (and impact) of public health messages in news coverage of tobacco policies affecting youth.

  11. A Healthy Mix: A Case Study of the University of North Carolina at Chapel Hill's Interdisciplinary Health Communication Certificate Program

    Science.gov (United States)

    El-Toukhy, Sherine; Holman, Lynette

    2012-01-01

    This study evaluated attitudes toward interdisciplinary education by appraising the Interdisciplinary Health Communication (IHC) Certificate program at the University of North Carolina at Chapel Hill as a case study. Sixteen affiliated faculty and thirteen students enrolled in the IHC program as of 2008-2009 were surveyed. Although the attitude…

  12. Radiological health assessment of natural radioactivity in the vicinity of Obajana cement factory, North Central Nigeria

    Directory of Open Access Journals (Sweden)

    Omoniyi Matthew Isinkaye

    2015-01-01

    Full Text Available Measurements of activity concentrations of natural radionuclides in and around Obajana cement factory, North Central Nigeria have been carried out in this study to determine the activity levels of natural radionuclides in different environmental matrices in order to assess the radiological health hazards associated with the use of these matrices by the local population. A low-background Pb-shielded gamma spectroscopic counting assembly utilizing NaI (Tl detector was employed for the measurements. The results show that sediment samples have the highest activity concentrations of all the radionuclides relative to soil, farmland soil, and rock samples. The radium equivalent activity and indoor gamma dose rates together with the corresponding annual effective indoor doses evaluated were found to be lower than their permissible limits. It suffices to say, that contrary to age-long fear of radiation risks to the population in the vicinity of the cement factory, no excessive radiological health hazards either indoors and/or outdoors is envisaged. Therefore, the environmental matrices around the factory could be used without any restrictions.

  13. Sustainable agriculture in Ilha da Madeira - Portugal | Agricultura sustentável na Ilha da Madeira - Portugal

    Directory of Open Access Journals (Sweden)

    Raphael Miller de Souza Caldas

    2016-10-01

    Full Text Available Ilha da Madeira is an autonomous region of Portugal located in Atlantic Ocean, in center coordinates 32º43'N 17º43'O, is considered the largest island of archipelago of  the same name. The island covers an area of 740 km². The island has many climate peculiarities mainly influenced by altitude and barriers formed by sharp reliefs, and that they provide North / South axis. Climate variability existing of the island is defined in two types temperate in north and subtropical climate in south. The part of North is cooler and wetter than the south, due to winds from North and end up having a barrier relief inherent to region. Since the year of 1419, the island was subject to various economic and agricultural cycles. Actually, the agricultural occupation of the territory is predominantly winery, horticultural and fruit production. The study was conducted from January to May 2016. Data in census institutes and scientific articles were compared for discussion. The data of production, area of cultivation were intertwined with sustainable agriculture like organic farming and possibilities was available for openings boundaries according to adjustment of the culture temperature, photoperiod and precipitation, and may contribute to increase economy and quality of life in island. The agriculture of the island is formed basically by agriculture family subsistence, involving more than 45,000 people, representing 20% of Madeira population resulting only 3% of the region's economy.

  14. Prevalence and causes of hearing impairment in Fundong Health District, North-West Cameroon.

    Science.gov (United States)

    Ferrite, Silvia; Mactaggart, Islay; Kuper, Hannah; Oye, Joseph; Polack, Sarah

    2017-04-01

    To estimate the prevalence and causes of hearing impairment in Fundong Health District, North-West Cameroon. We selected 51 clusters of 80 people (all ages) through probability proportionate to size sampling. Initial hearing screening was undertaken through an otoacoustic emission (OAE) test. Participants aged 4+ years who failed this test in both ears or for whom an OAE reading could not be taken underwent a manual pure-tone audiometry (PTA) screening. Cases of hearing impairment were defined as those with pure-tone average ≥41 dBHL in adults and ≥35 dBHL in children in the better ear, or children under age 4 who failed the OAE test in both ears. Each case with hearing loss was examined by an ear, nose and throat nurse who indicated the main likely cause. We examined 3567 (86.9%) of 4104 eligible people. The overall prevalence of hearing impairment was 3.6% (95% confidence interval [CI]: 2.8-4.6). The prevalence was low in people aged 0-17 (1.1%, 0.7-1.8%) and 18-49 (1.1%, 0.5-2.6%) and then rose sharply in people aged 50+ (14.8%, 11.7-19.1%). Among cases, the majority were classified as moderate (76%), followed by severe (15%) and profound (9%). More than one-third of cases of hearing impairment were classified as unknown (37%) or conductive (37%) causes, while sensorineural causes were less common (26%). Prevalence of hearing impairment in North-West Cameroon is in line with the WHO estimate for sub-Saharan Africa. The majority of cases with known causes are treatable, with impacted wax playing a major role. © 2017 John Wiley & Sons Ltd.

  15. Evaluation of a pilot medication therapy management project within the North Carolina State Health Plan.

    Science.gov (United States)

    Christensen, Dale B; Roth, Mary; Trygstad, Troy; Byrd, John

    2007-01-01

    To assess the feasibility of a pharmacist-based medication therapy management (MTM) service for North Carolina State Health Plan enrollees. Before/after design with two control groups. Community pharmacies and an ambulatory care clinic in North Carolina serving patients from October 2004 to March 2005. 67 patients who used a large number of prescription drugs, 10 community/ambulatory care pharmacists, and more than 600 participants from two control groups. Pharmacist-conducted MTM reviews for volunteering patients. Process measures (type and frequency of drug therapy problems detected and services performed), economic measures (number and cost of medications dispensed), and humanistic measures (patient satisfaction with services). Pharmacists identified an average of 3.6 potential drug therapy problems (PDTPs) per patient at the first visit. The most common PDTP categories were "potential underuse" and "more cost-effective drug available." Pharmacist actions were divided nearly equally between activities that would result in increased and decreased drug use. Pharmacists recommended a drug therapy change in about 50% of patients and contacted the prescriber more than 85% of the time. About 50% of patients with PDTPs had a change in drug therapy. Prescription use during the postintervention period decreased in both the study and control groups but was statistically significant only among the control groups. No significant differences were observed in patient co-payment or insurer prescription costs. Pharmacists provided the following educational services: medication use (90%), disease management (88%), adherence, and self-care (60%). Survey results indicated that patients highly valued the service. A voluntary MTM program targeted at ambulatory patients using a large number of medications reduced the number of PDTPs but did not necessarily result in reductions in prescription drug use or cost. Nearly all patients received some form of medication adherence or disease

  16. Health-related quality of life and chronic obstructive pulmonary disease in North Carolina

    Science.gov (United States)

    Brown, David W.; Pleasants, Roy; Ohar, Jill A.; Kraft, Monica; Donohue, James F.; Mannino, David M.; Liao, Winston; Herrick, Harry

    2010-01-01

    Background: Comparisons of health-related quality of life (HRQOL) between persons with chronic obstructive pulmonary disease (COPD) and adults in the general population are not well described. Aims: To examine associations between COPD and four measures of HRQOL in a population-based sample. Patients & Methods: These relationships were examined using data from 13,887 adults aged >18 years who participated in the 2007 Behavioral Risk Factor Surveillance System (BRFSS) conducted in North Carolina (NC). Logistic regression was used to obtain adjusted relative odds (aOR). Results: The age-adjusted prevalence of COPD among NC adults was 5.4% (standard error 0.27). Nearly half of adults with COPD reported fair/poor health compared with 15% of those without the condition (age-aOR, 5.5; 95% confidence interval [ CI] , 4.4 to 6.8). On average, adults with COPD reported twice as many unhealthy days (physical/mental) as those without the condition. The age-adjusted prevalence of >14 unhealthy days during the prior 30 days was 45% for adults with COPD and 17% for those without. The aOR of >14 unhealthy days was 1.7 (95% CI, 1.4 to 2.2) times greater among adults with COPD compared with those without. Conclusions: These results suggest COPD is independently associated with lower levels of HRQOL and reinforce the importance of preventing COPD and its complications through health education messages stressing efforts to reduce total personal exposure to tobacco smoke, occupational dusts and chemicals, and other indoor and outdoor air pollutants linked to COPD and early disease recognition. Our findings represent one of the few statewide efforts in the US and provide guidance for disease management and policy decision making. PMID:22624116

  17. Constraints in animal health service delivery and sustainable improvement alternatives in North Gondar, Ethiopia

    Directory of Open Access Journals (Sweden)

    Hassen Kebede

    2014-11-01

    Full Text Available Poor livestock health services remain one of the main constraints to livestock production in many developing countries, including Ethiopia. A study was carried out in 11 districts of North Gondar, from December 2011 to September 2012, with the objective of identifying the existing status and constraints of animal health service delivery, and thus recommending possible alternatives for its sustainable improvement. Data were collected by using pre-tested questionnaires and focus group discussion. Findings revealed that 46.34% of the responding farmers had taken their animals to government veterinary clinics after initially trying treatments with local medication. More than 90.00% of the clinical cases were diagnosed solely on clinical signs or even history alone. The antibacterial drugs found in veterinary clinics were procaine penicillin (with or without streptomycin, oxytetracycline and sulphonamides, whilst albendazole, tetramisole and ivermectin were the only anthelmintics. A thermometer was the only clinical aid available in all clinics, whilst only nine (45.00% clinics had a refrigerator. In the private sector, almost 95.00% were retail veterinary pharmacies and only 41.20% fulfilled the requirement criteria set. Professionals working in the government indicated the following problems: lack of incentives (70.00%, poor management and lack of awareness (60.00% and inadequate budget (40.00%. For farmers, the most frequent problems were failure of private practitioners to adhere to ethical procedures (74.00% and lack of knowledge of animal diseases and physical distance from the service centre (50.00%. Of all responding farmers, 58.54% preferred the government service, 21.14% liked both services equally and 20.33% preferred the private service. Farmers’ indiscriminate use of drugs from the black market (23.00% was also mentioned as a problem by private practitioners. Sustainable improvement of animal health service delivery needs increased

  18. Constraints in animal health service delivery and sustainable improvement alternatives in North Gondar, Ethiopia.

    Science.gov (United States)

    Kebede, Hassen; Melaku, Achenef; Kebede, Elias

    2014-11-12

    Poor livestock health services remain one of the main constraints to livestock production in many developing countries, including Ethiopia. A study was carried out in 11 districts of North Gondar, from December 2011 to September 2012, with the objective of identifying the existing status and constraints of animal health service delivery, and thus recommending possible alternatives for its sustainable improvement. Data were collected by using pre-tested questionnaires and focus group discussion. Findings revealed that 46.34% of the responding farmers had taken their animals to government veterinary clinics after initially trying treatments with local medication. More than 90.00% of the clinical cases were diagnosed solely on clinical signs or even history alone. The antibacterial drugs found in veterinary clinics were procaine penicillin (with or without streptomycin), oxytetracycline and sulphonamides, whilst albendazole, tetramisole and ivermectin were the only anthelmintics. A thermometer was the only clinical aid available in all clinics, whilst only nine (45.00%) clinics had a refrigerator. In the private sector, almost 95.00% were retail veterinary pharmacies and only 41.20% fulfilled the requirement criteria set. Professionals working in the government indicated the following problems: lack of incentives (70.00%), poor management and lack of awareness (60.00%) and inadequate budget (40.00%). For farmers, the most frequent problems were failure of private practitioners to adhere to ethical procedures (74.00%) and lack of knowledge of animal diseases and physical distance from the service centre (50.00%). Of all responding farmers, 58.54% preferred the government service, 21.14% liked both services equally and 20.33% preferred the private service. Farmers' indiscriminate use of drugs from the black market (23.00%) was also mentioned as a problem by private practitioners. Sustainable improvement of animal health service delivery needs increased awareness for all

  19. Climate index for Portugal - Methodology

    International Nuclear Information System (INIS)

    2006-01-01

    According to the U.S. Department of Energy, an estimated 25% of the GNP is affected by weather-related events. The variations in temperature - even small ones - can also have long-lasting effects on the operational results of a company. Among other, the Energy supply sector is sensitive to weather risks: a milder or harsher than usual winter leads to a decrease or increase of energy consumption. The price of electricity on power trading facilities like Powernext is especially sensitive to odd changes in temperatures. Powernext and Meteo-France (the French meteorological agency) have joined expertise in order to promote the use of weather indices in term of decision making or underlying of hedging tools to energy actors, end users from any other sector of activity and specialists of the weather risk hedging. The Powernext Weather indices are made from information collected by Meteo-France's main observation network according to the norms of international meteorology, in areas carefully selected. The gross data are submitted to a thorough review allowing the correction of abnormalities and the reconstitution of missing data. Each index is fashioned to take into account the economic activity in the various regions of the country as represented by each region's population. This demographic information represents a fair approximation of the weight of the regional economic activity. This document presents the calculation methodology of average, minimum and maximum weather indexes with the winter and summer regression equations for the different economical regions of Portugal. (J.S.)

  20. Ecole et communaute au Portugal

    Science.gov (United States)

    Melo, Alberto

    1980-09-01

    Since 1974 Portugal has experienced some dramatic changes in educational practices at the local level. The school has been opened to the community and the community to the school. Teacher education now includes community studies, designed to prepare teachers for an active role in this process and for the better understanding of the social background of pupils. One new practice is the publication of local newspapers or news-sheets to enhance the understanding of the community by teachers and pupils. The development of a school garden for the cultivation of flowers and vegetables serves as another bridge between school and community. Other examples of community action are adult literacy classes, the creation of voluntary organisations for women, the running of youth clubs, the formation of co-operatives, and local projects like the purchase of an old tram-car to be converted into a library. The introduction of `Civic and Polytechnic Education' for 13-16 year olds was an important innovation. One half-day a week was to be devoted to the integration of the school with the locality, young people's participation in society as agents of change, the linking of study and productive work, and the involvement of young people in the solution of national problems, working from a concrete knowledge of local and regional life. However, since 1976 there has been a more conservative approach, and only in places with a strong consensus amongst teachers has the new relationship between school and community been maintained.

  1. Toward a Culturally Responsive Model of Mental Health Literacy: Facilitating Help-Seeking Among East Asian Immigrants to North America.

    Science.gov (United States)

    Na, Sumin; Ryder, Andrew G; Kirmayer, Laurence J

    2016-09-01

    Studies have consistently found that East Asian immigrants in North America are less likely to use mental health services even when they experience levels of distress comparable to Euro-Americans. Although cultural factors that may prevent East Asian immigrants from seeking mental health care have been identified, few studies have explored ways to foster appropriate help-seeking and use of mental health services. Recent work on mental health literacy provides a potential framework for strategies to increase appropriate help-seeking and use of services. This paper reviews the literature on help-seeking for mental health problems among East Asian immigrants living in Western countries to critically assess the relevance of the mental health literacy approach as a framework for interventions to improve appropriate use of services. Modifications needed to develop a culturally responsive framework for mental health literacy are identified. © Society for Community Research and Action 2016.

  2. "The way the country has been carved up by researchers": ethics and power in north-south public health research.

    Science.gov (United States)

    Walsh, Aisling; Brugha, Ruairi; Byrne, Elaine

    2016-12-12

    Despite the recognition of power as being central to health research collaborations between high income countries and low and middle income countries, there has been insufficient detailed analysis of power within these partnerships. The politics of research in the global south is often considered outside of the remit of research ethics. This article reports on an analysis of power in north-south public health research, using Zambia as a case study. Primary data were collected in 2011/2012, through 53 in-depth interviews with: Zambian researchers (n = 20), Zambian national stakeholders (n = 8) and northern researchers who had been involved in public health research collaborations involving Zambia and the global north (n = 25). Thematic analysis, utilising a situated ethics perspective, was undertaken using Nvivo 10. Most interviewees perceived roles and relationships to be inequitable with power remaining with the north. Concepts from Bourdieu's theory of Power and Practice highlight new aspects of research ethics: Northern and southern researchers perceive that different habituses exist, north and south - habituses of domination (northern) and subordination (Zambian) in relation to researcher relationships. Bourdieu's hysteresis effect provides a possible explanation for why power differentials continue to exist. In some cases, new opportunities have arisen for Zambian researchers; however, they may not immediately recognise and grasp them. Bourdieu's concept of Capitals offers an explanation of how diverse resources are used to explain these power imbalances, where northern researchers are often in possession of more economic, symbolic and social capital; while Zambian researchers possess more cultural capital. Inequities and power imbalances need to be recognised and addressed in research partnerships. A situated ethics approach is central in understanding this relationship in north-south public health research.

  3. The natural gas industry in Portugal

    International Nuclear Information System (INIS)

    Kheloufi, S.

    2004-01-01

    This article makes a synthesis of the evolution of the natural gas sector in Portugal since the end of the 1990's. The aim of the energy policy of Portugal was the creation of a liberalized energy market capable to ensure the security of the energy supplies and to encourage the energy efficiency in order to reduce the environmental impact. The success of the introduction of natural gas in Portugal perfectly fulfills these goals. Since 1997, the natural gas consumption has increased significantly. The start-up of the methane terminal of Sines allows the diversification of the supply sources and contributes to the growth of the offer. The opening of the market is under development. It will allow the main consumers to select their supplier among those present on the Portuguese market. GALP company should keep its leader position and its daughter company 'Gas du Portugal' should reach 300 MW of power generation capacities by 2005 with the development of multi-energy services. The creation of an Iberian energy market between Spain and Portugal should speed up in 2004 leading to deep modifications in the energy sector of southern Europe. (J.S.)

  4. Depression and unemployment incidence rate evolution in Portugal, 1995-2013: General Practitioner Sentinel Network data.

    Science.gov (United States)

    Rodrigues, Ana Paula; Sousa-Uva, Mafalda; Fonseca, Rita; Marques, Sara; Pina, Nuno; Matias-Dias, Carlos

    2017-11-17

    Quantify, for both genders, the correlation between the depression incidence rate and the unemployment rate in Portugal between 1995 and 2013. An ecological study was developed to correlate the evolution of the depression incidence rates estimated by the General Practitioner Sentinel Network and the annual unemployment rates provided by the National Statistical Institute in official publications. There was a positive correlation between the depression incidence rate and the unemployment rate in Portugal, which was significant only for males (R2 = 0.83, p = 0.04). For this gender, an increase of 37 new cases of depression per 100,000 inhabitants was estimated for each 1% increase in the unemployment rate between 1995 and 2013. Although the study design does not allow the establishment of a causal association between unemployment and depression, the results suggest that the evolution of unemployment in Portugal may have had a significant impact on the level of mental health of the Portuguese, especially among men.

  5. Association between cardiovascular disease and socioeconomic level in Portugal.

    Science.gov (United States)

    Ribeiro, Sónia; Furtado, Cláudia; Pereira, João

    2013-11-01

    Cardiovascular disease is the leading cause of morbidity, mortality and disability in Portugal. Socioeconomic level is known to influence health status but there is scant evidence on socioeconomic inequalities in cardiovascular disease in Portugal. To analyze the distribution of cardiovascular disease in the Portuguese population according to socioeconomic status. We conducted a cross-sectional study using data from the fourth National Health Survey on a representative sample of the Portuguese population. Socioeconomic inequalities in cardiovascular disease, risk factors and number of medical visits were analyzed using odds ratios according to socioeconomic status (household equivalent income) in the adult population (35-74 years). Comparisons focused on the top and bottom 50% and 10% of household income distribution. Of the 21 807 individuals included, 53.3% were female, and mean age was 54 ± 11 years. Cardiovascular disease, stroke, ischemic heart disease, hypertension, diabetes, obesity and physical inactivity were associated with lower socioeconomic status, while smoking was associated with higher status; number of medical visits and psychological distress showed no association. When present, inequality was greater at the extremes of income distribution. The results reveal an association between morbidity, lifestyle and socioeconomic status. They also suggest that besides improved access to effective medical intervention, there is a need for a comprehensive strategy for health promotion and disease prevention that takes account of individual, cultural and socioeconomic characteristics. Copyright © 2012 Sociedade Portuguesa de Cardiologia. Published by Elsevier España. All rights reserved.

  6. Stability of Household and Housing Characteristics among Farmworker Families in North Carolina: Implications for Health

    Science.gov (United States)

    Arcury, Thomas A.; Trejo, Grisel; Suerken, Cynthia K.; Ip, Edward H.; Quandt, Sara A.

    2016-01-01

    Household and housing stability are important for health and well-being of individuals, particularly children. This analysis examines stability in household and housing over 2 years for North Carolina farmworker families with children. Mothers with a child aged 2–4 years in farmworker families (n=248) completed interviews over two years. Household measures included number of adults and children, moves, and spouse absence. Housing measures included tenure, persons per bedroom, and kitchen facilities. Household and housing characteristics for participants retained in the study over two years (n=221) were stable in number of persons, tenure, persons per bedroom, and kitchen facilities. Households were large with one-third having 3 or more adults, and one-quarter having 4 or more children. Most families rented houses (over 15% owned), which were crowded. Participants lost to follow-up were similar to retained participants in household characteristics, but had worse housing characteristics. Comparative research on farmworker family household composition is needed. PMID:26856879

  7. Urban-rural difference in the acceptance of mass health examination in north-eastern Japan.

    Science.gov (United States)

    Ikeda, M; Nakatsuka, H; Watanabe, T; Hisamichi, S; Shimizu, H; Fujisaku, S; Ichinowatari, Y; Konno, J; Kuroda, S; Hirai, J

    1989-05-01

    Over 40,000 residents (less than or equal to 40 years of age) in a city (Sendai; the city group), a town (Shiroishi; the town group) and two villages (Wakuya and Tajiri; the village group) in Miyagi prefecture in north-eastern Japan responded in a questionnaire survey on their attitude towards mass health examinations (i.e., whether they underwent in the previous year and if so where) on 4 items of blood pressure measurement, chest x-ray examination and screening tests for stomach and cervical cancer. The coverage rates were about 70% on an average both for blood pressure measurement and for chest x-ray examination, whereas the rates for cancer screening were between 30-40%. As for the opportunity of the former two examinations, the workplace mass examination played a large role in the case of the city and town groups (especially among men but not women) in addition to visit to clinics, in contrast to the case of the village group in which people depended much on regional mass examination service. The trend was essentially reproducible in stomach cancer screening although the over-all coverage rate was low, whereas women in the three groups almost exclusively utilized clinics for cervical cancer screening with one exception that the mobile unit service appeared to be equally accepted in the village group.

  8. Predictors of podiatry utilisation in Australia: the North West Adelaide Health Study.

    Science.gov (United States)

    Menz, Hylton B; Gill, Tiffany K; Taylor, Anne W; Hill, Catherine L

    2008-08-19

    Foot problems are highly prevalent in the community; however no large population-based studies have examined the characteristics of those who do and do not access podiatry services in Australia. The aim of this study was to explore patterns of podiatry utilisation in a population-based sample of people aged 18 years and over living in the northwest region of Adelaide, South Australia. The North West Adelaide Health Study is a representative longitudinal cohort study of 4,060 people randomly selected and recruited by telephone interview. The interview included questions regarding healthcare service utilisation in the past year. Data were also collected on education, income and major medical conditions. Overall, 9.5% of the total sample and 17.7% of those who reported foot pain had attended a podiatrist in the past year. Participants who had accessed podiatry treatment were more likely to be female, be aged over 45 years, be obese, and have major chronic medical conditions (osteoporosis, osteoarthritis, diabetes, cardiovascular disease and high blood pressure). Those who reported foot pain but had not accessed a podiatrist were more likely to be male and be aged 20 to 34 years. Only a small proportion of people who report foot pain have accessed podiatry services in the past year. There is a need to further promote podiatry services to the general community, particularly to men and younger people.

  9. Predictors of podiatry utilisation in Australia: the North West Adelaide Health Study

    Directory of Open Access Journals (Sweden)

    Taylor Anne W

    2008-08-01

    Full Text Available Abstract Background Foot problems are highly prevalent in the community; however no large population-based studies have examined the characteristics of those who do and do not access podiatry services in Australia. The aim of this study was to explore patterns of podiatry utilisation in a population-based sample of people aged 18 years and over living in the northwest region of Adelaide, South Australia. Methods The North West Adelaide Health Study is a representative longitudinal cohort study of 4,060 people randomly selected and recruited by telephone interview. The interview included questions regarding healthcare service utilisation in the past year. Data were also collected on education, income and major medical conditions. Results Overall, 9.5% of the total sample and 17.7% of those who reported foot pain had attended a podiatrist in the past year. Participants who had accessed podiatry treatment were more likely to be female, be aged over 45 years, be obese, and have major chronic medical conditions (osteoporosis, osteoarthritis, diabetes, cardiovascular disease and high blood pressure. Those who reported foot pain but had not accessed a podiatrist were more likely to be male and be aged 20 to 34 years. Conclusion Only a small proportion of people who report foot pain have accessed podiatry services in the past year. There is a need to further promote podiatry services to the general community, particularly to men and younger people.

  10. Intestinal parasitosis and anaemia among patients in a Health Center, North Ethiopia.

    Science.gov (United States)

    Alemu, Megbaru; Kinfe, Birhane; Tadesse, Desalegn; Mulu, Wondemagegn; Hailu, Tadesse; Yizengaw, Endalew

    2017-11-28

    The aim of this cross-sectional study was to determine the magnitude of intestinal parasitosis and anaemia in a Health Center, North Ethiopia. A total of 427 outpatients were enrolled and the median age of the participants was 22 years. The prevalence of intestinal parasitosis was 143 (33.5%). Age, place of residence and occupation were significantly associated with intestinal parasitosis. When we see parasite specific factors, significant associations were observed for source of drinking water (P = 0.02), age (P intestinal parasite -infected and non-infected participants was 10.7 and 7.0%, respectively. Study participants infected with S. stercoralis and hookworm were more likely to develop anaemia than the non- infected ones; AOR (adjusted odds ratio) = 5.3, 95% CI (1.01-27.4); P = 0.028 and AOR = 11.1, 95% CI (3.36-36.9); P = 0.000, respectively.

  11. Assessing Injury and Violence Prevention in North Carolina’s Local Health Departments

    Science.gov (United States)

    Mouw, Mary S.; Counts, Jennifer; Fordham, Corinne; Francis, Molly Merrill; Bach, Laura E.; Maman, Suzanne; Proescholdbell, Scott K.

    2016-01-01

    Context Injury and violence-related morbidity and mortality present a major public health problem in North Carolina. However, the extent to which local health departments (LHDs) engage in injury and violence prevention (IVP) is not well described. Objectives 1) Provide a baseline assessment of IVP in the state’s LHDs, describing capacity, priorities, challenges, and the degree to which programs are data-driven and evidence-based. 2) Describe a replicable, cost-effective method for systematic assessment of regional IVP. Design An observational, cross-sectional study, through a survey of NC’s 85 LHDs. Results Representatives from 77 LHDs (91%) responded. Nearly a third (n=23, 30%) reported no staff were familiar with evidence-based interventions in IVP; over a third (n=29, 38%) reported their LHD did not train staff in IVP. Almost half (n=37, 46%) had no dedicated funding. On average, respondents said about half of their programs were evidence-based; however, there was marked variation (mean 52%, SD = 41). Many collaborated with diverse partners including law enforcement, hospitals, and community-based organizations. There was discordance between injury and violence burden and programming. Overall, 53% of issues listed as top local problems were not targeted in their LHDs’ programs. Conclusions Despite funding constraints, NC’s LHDs are engaged in a broad range of IVP activities. Programming did not uniformly address state injury and violence priorities, however, nor local injury and violence burden. Staff need training in evidence-based strategies targeting priority areas. Multi-sector partnerships were common and increased LHDs’ capacity. These findings are actionable at the state and local-level. PMID:27621337

  12. The impact of winter cold weather on acute myocardial infarctions in Portugal

    International Nuclear Information System (INIS)

    Vasconcelos, João; Freire, Elisabete; Almendra, Ricardo

    2013-01-01

    Mortality due to cardiovascular diseases shows a seasonal trend that can be associated with cold weather. Portugal is the European country with the highest excess winter mortality, but nevertheless, the relationship between cold weather and health is yet to be assessed. The main aim of this study is to identify the contribution of cold weather to cardiovascular diseases within Portugal. Poisson regression analysis based on generalized additive models was applied to estimate the influence of a human-biometeorological index (PET) on daily hospitalizations for myocardial infarction. The main results revealed a negative effect of cold weather on acute myocardial infarctions in Portugal. For every degree fall in PET during winter, there was an increase of up to 2.2% (95% CI = 0.9%; 3.3%) in daily hospital admissions. This paper shows the need for public policies that will help minimize or, indeed, prevent exposure to cold. -- Highlights: ► We model the relationship between daily hospitalizations due to myocardial infarctions and cold weather in Portugal. ► We use Physiological Equivalent temperature (PET) as main explanatory variable. ► We adjust the models to confounding factors such as influenza and air pollution. ► Daily hospitalizations increased up to 2.2% per degree fall of PET during winter. ► Exposure to cold weather has a negative impact on human health in Portugal. -- There is an increase of up to 2.2% in daily hospitalizations due to acute myocardial infarctions per degree fall of thermal index during the winter months in Portugal

  13. Enoturismo em Portugal: as Rotas de Vinho

    Directory of Open Access Journals (Sweden)

    Simões, Orlando

    2008-04-01

    Full Text Available Since 1993, as supported by the Dyonisios program of the European Union, the wine routes have been the most visible face of the wine tourism practice in Portugal. Since these thematic routes have no specific rules, they usually depend on the initiative of the promoters, namely through the creation of adherent/promoters associations or other institutions, like the Regional Viticulture Commissions, and Tourism Regions. This article aims at analysing the basis for the development of wine tourism in Portugal and its structure around wine routes. The socioeconomics traits of both the vineyards and wine, are analysed. The existing routes in Portugal are presented and their strengths and limitations are identi-fied.

  14. Post Fire Vegetation Recovery in Portugal

    Science.gov (United States)

    Gouveia, Celia; Bastos, Ana; DaCamara, Carlos; Trigo, Ricardo M.

    2011-01-01

    Fires in Portugal, as in the Mediterranean ecosystems, have a complex effect on vegetation regeneration due to the different responses of vegetation to the variety of fire regimes and to the complexity of landscape structures. A thorough evaluation of vegetation recovery after fire events becomes therefore crucial in land management. In 2005, Portugal suffered a strong damage from forest fires that damaged an area of 300 000 ha of forest and shrub. This year are particularly interesting because it is associated the severe drought of 2005. The aim of the present study is to identify large burnt scars in Portugal during the 2005 fire seasons and monitoring vegetation behaviour throughout the pre and the post fire periods. The mono-parametric model developed by Gouveia et al. (2010), based on monthly values of NDVI, at the 1km×1km spatial scale, as obtained from the VEGETATION-SPOT5 instrument, from 1999 to 2009, was used.

  15. [Profile of tropical diseases in Portugal].

    Science.gov (United States)

    Ventura, F A

    1996-01-01

    The increased incidence of Imported Tropical Diseases in Portugal is correlated to a recent higher standard of living, influence of media and a consequent expansion of tourism, and above all to the close relationship existing between Portugal and Africa. The number and pathology (parasitic diarrhoeas, protozoal and helminthic infections) of in-patients with Tropical Diseases at the Unidade de Doenças Infecciosas, Parasitárias e de Medicina Tropical (UDIP-MT) were described, with special emphasis on Malaria (155 in-patients during the period from 1989 to 1993) and on Sleeping Sickness, where Eflornitin (DFMO) was for the first time used in Portugal. Finally, the impact of HIV epidemic on incidence and different clinical presentations of parasitic and other tropical pathology was also evaluated.

  16. Objeção de consciência, aborto e religiosidade: práticas e comportamentos dos profissionais de saúde em Lisboa Conscience objection, abortion and religiosity: practices and behaviors of the health professionals in Lisbon, Portugal

    Directory of Open Access Journals (Sweden)

    Rozeli Maria Porto

    2008-08-01

    Full Text Available Neste artigo, discuto a presença da dimensão religiosa na biomedicina1 que se manifesta nos discursos, nas práticas e nos comportamentos desses profissionais em Lisboa quando o assunto refere-se ao aborto. Ao mesmo tempo, observo que tal religiosidade não se configura homogeneamente entre os sujeitos, pois muitos ao se declararem objetores de consciência utilizam esse protocolo como poder simbólico,2 afetando as mulheres em seus direitos reprodutivos. Foram realizadas 12 entrevistas semi-estruturadas durante o doutorado-sanduíche com profissionais de saúde que trabalhavam em diferentes instituições hospitalares nesse país.In this article I discuss the presence of the religious dimension in the biomedical area manifested in the discourses, practices and behaviors of these professionals in Lisbon, Portugal, when the issue is abortion. At the same time I observe that such religiosity does not configure itself homogeneously among the subjects, because many, claiming to be conscience objectors, use this protocol as symbolic power affecting women in their reproductive rights. Twelve semi-structured interviews were made during the sandwich doctorate with health professionals who work in different hospitals in Portugal.

  17. Fronteira Portugal-Espanha e individualidade territorial

    Directory of Open Access Journals (Sweden)

    Carminda Cavaco

    1997-06-01

    Full Text Available PORTUGAL-SPAIN BORDER AREA AND ITS CREATIVE TENSION - The text evokes several nuances of the concept of the Portugal-Spain border: its shades of solidarity, complicity, opposition, agitation, confrontation and abandonment. At times, the border has been the zone of tension and separation, whereas at other periods in history, the border has been very permeable and there has been free exchange and mutual cooperation. The borders will be subjected to yet another interpretation as a new area emerges with the active participation of both Iberian countries in the European Union and the cooperative efforts initiated in the programs of INTERREG I and II

  18. The Atlantic divide in coronary heart disease: Epidemiology and patient care in the US and Portugal.

    Science.gov (United States)

    Lobo, Mariana F; Azzone, Vanessa; Resnic, Frederic S; Melica, Bruno; Teixeira-Pinto, Armando; Azevedo, Luís Filipe; Freitas, Alberto; Nisa, Cláudia; Bacelar-Nicolau, Leonor; Rocha-Gonçalves, Francisco Nuno; Pereira-Miguel, José; Costa-Pereira, Altamiro; Normand, Sharon-Lise

    2017-09-01

    We aimed to compare access to new health technologies to treat coronary heart disease (CHD) in the health systems of Portugal and the US, characterizing the needs of the populations and the resources available. We reviewed data for 2000 and 2010 on epidemiologic profiles of CHD and on health care available to patients. Thirty health technologies (16 medical devices and 14 drugs) introduced during the period 1980-2015 were identified by interventional cardiologists. Approval and marketing dates were compared between countries. Relative to the US, Portugal has lower risk profiles and less than half the hospitalizations per capita, but fewer centers per capita provide catheterization and cardiothoracic surgery services. More than 70% of drugs were available sooner in the US, whereas 12 out of 16 medical devices were approved earlier in Portugal. Nevertheless, at least five of these devices were adopted first or diffused faster in the US. Mortality due to CHD and myocardial infarction (MI) was lower in Portugal (CHD: 72.8 vs. 168 and MI: 48.7 vs. 54.1 in Portugal and the US, respectively; age- and gender-adjusted deaths per 100000 population, 2010); but only CHD deaths exhibited a statistically significant difference between the countries. Differences in regulatory mechanisms and price regulations have a significant impact on the types of health technologies available in the two countries. However, other factors may influence their adoption and diffusion, and this appears to have a greater impact on mortality, due to acute conditions. Copyright © 2017 Sociedade Portuguesa de Cardiologia. Publicado por Elsevier España, S.L.U. All rights reserved.

  19. Gender, Sexual Health Seeking Behavior, and HIV/AIDS Among Tarok Women in North-Central Nigeria.

    Science.gov (United States)

    Orisaremi, Titilayo Cordelia

    2016-06-01

    In this study, which was part of a larger project I undertook in North-central Nigeria, I explored the differences in the sexual health seeking behavior of Tarok women and men and how these differences affect the spread of HIV. With the help of three research assistants, I conducted 16 in-depth interviews and 24 focus group discussions in four Tarok communities in North-central Nigeria. I found certain negative effects of gender inequality on women's sexual health seeking behavior in particular, a situation that has adverse implications for HIV acquisition and transmission. I therefore concluded that addressing the challenges of gender inequality is imperative for a sustained fight against HIV and AIDS in Nigeria.

  20. Towards north-south interconnectedness: a critique of gender dualities in sustainable development, the environment and women's health

    OpenAIRE

    Simon-Kumar, Rachel; MacBride-Stewart, Sara; Baker, Susan; Patnaik Saxena, L.

    2017-01-01

    Well-established bodies of scholarship that inform contemporary global debates on gender, environment and health are fundamentally based on dualistic representations of women, such as First/Third World, rich/poor and victim/polluter. In this paper, we argue that recent socioeconomic transitions — affluence in the global South and rising inequality in the global North — demand the development of gender analytical frameworks that better recognize the diversity of roles that women play in the ch...

  1. Linguatula serrata (Porocephalida: Linguatulidae) Infection among Client-Owned Dogs in Jalingo, North Eastern Nigeria: Prevalence and Public Health Implications

    OpenAIRE

    Oluwasina, Oseni Saheed; ThankGod, Onyiche Emmanuel; Augustine, Omonuwa Omojefe; Gimba, Fufa Ido

    2014-01-01

    Pentastomiasis is a parasitic zoonosis endemic to western and central Africa. This study was undertaken to determine the prevalence and public health implications of Linguatulosis in client-owned dogs in Jalingo, North Eastern Nigeria. Seven hundred and seventy seven (777) dogs brought for treatment at the hospital were subjected to buccal (sublingual) examination for pentastomiasis. Parameters such as age, sex, and breeds were determined. Also, the months of the year were taken into consider...

  2. Understanding the evolution of multimorbidity: evidences from the North West Adelaide Health Longitudinal Study (NWAHS.

    Directory of Open Access Journals (Sweden)

    Guillaume Ruel

    Full Text Available OBJECTIVE: The aim of this study is to describe the evolution of multimorbidity. STUDY DESIGN AND SETTING: Data from 1854 South Australians who participated in the North West Adelaide longitudinal Health Study (NWAHS was collected between baseline (2000-2002 and follow-up (2008-2010. Status for eight chronic diseases (CDs was determined by biomedical measurement or self-report. Chronic disease (CD mean age of occurrence and order of appearance was investigated. RESULTS: The prevalence of multimorbidity increased from 32% to 64% during the 7.8±1.1 years of follow-up. The estimated mean age of onset of a new CD was significantly older for hypertension, cardiovascular disease (CVD and chronic obstructive pulmonary disease (COPD and younger for hypercholesterolemia, asthma and other mental problem. Hypercholesterolemia was more likely to develop as a first than as a subsequent CD (39%vs.16%, p<0.0001 while CVD (1%vs.5%, p<0.0001, diabetes (5%vs.11%, p<0.001 and COPD (6%vs.16%, p<0.0001 were less likely. The presence of mood disorders at baseline was associated with an increased risk of developing other mental disorders (36%vs.12%, p<0.0001, diabetes (18%vs.9%, p<0.01 and asthma (30%vs.21%, p<0.05. CONCLUSION: Longitudinal data could be used to study the evolution of multimorbidity and could provide information on CDs mean age of occurrence, order of appearance and impact on the development of future CDs.

  3. Understanding communication pathways to foster community engagement for health improvement in North West Pakistan

    Directory of Open Access Journals (Sweden)

    Monique Lhussier

    2016-07-01

    Full Text Available Abstract Background This paper describes the community engagement process undertaken to ascertain the focus, development and implementation of an intervention to improve iodised salt consumption in rural communities in North West Pakistan. The Jirga is a traditional informal structure, which gathers men respected within their community and acts in a governing and decision-making capacity in the Pukhtoon culture. The Jirga system had a dual purpose for the study: to access men from the community to discuss the importance of iodised salt, and as an engagement process for the intervention. Methods A number of qualitative data collection activities were undertaken, with Jirga members and their wives, male and female outreach workers and two groups of women, under and over 40 years old. The aim of these was to highlight the communication channels and levers of influence on health behaviour, which were multiple and complex and all needed to be taken into consideration in order to ensure successful and locally sensitive community engagement. Results Communication channels are described within local families and the communities around them. The key influential role of the Jirga is highlighted as linked both to the standing of its members and the community cohesion ethos that it embodies. Engaging Jirga members in discussions about iodised salt was key in designing an intervention that would activate the most influential levers to decision making in the community. Gendered decision-making processes within the household have been highlighted as restricting women’s autonomy. Whilst in one respect our data confirm this, a more complex hierarchy of decisional power has been highlighted, whereby the concept of ‘wisdom’- an amalgamation of age, experience and education- presents important possibilities. Community members with the least autonomy are the youngest uneducated females, who rely on a web of socially and culturally determined ways to influence

  4. Neo-Lamarckism in Portugal

    Directory of Open Access Journals (Sweden)

    Almaça, Carlos

    2000-12-01

    Full Text Available

    Darwinism was championed in Portugal by the University and progressionist political parties from the 1860's on. Neo-Darwinism was neglected in its proper time and so the acceptance of the inheritance of acquired characters continued over the first decades of the 20th century. Men of medical education who were professors of Biology at the University of Oporto supported neo-Lamarckian theories in early 20th century. The first one has been Américo Pires de Lima (1886-1966, professor of Botany, whose doctoral dissertation sustaining early Darwinism and neo-Lamarckism was presented in 1912. This thesis, as well as a few neo-Lamarckian publications with antropological significance, are commented and discussed in the present paper.



    El Darwinismo fue defendido en Portugal en la Universidad y por los partidos políticos progresistas durante la década de los años 60 del siglo XIX. El neo-darwinismo fue ignorado en su tiempo y así continuó la aceptación de la herencia de los caracteres adquiridos a lo largo de las primeras décadas del siglo XX. Los profesores de biolog

  5. The impact of Circulation Weather Types in Urban Air Quality in Portugal

    Science.gov (United States)

    Russo, Ana; Trigo, Ricardo

    2013-04-01

    It is now clear that emissions of the main air pollutants in Europe have declined significantly in recent decades (EEA, 2011). Nevertheless, many European countries (including Portugal) do not expect to comply with one (or more) pollutant emission ceilings and to air quality limit values, especially for particulate matter (PM), ground level ozone (O3) and nitrogen dioxide (NO2) (EEA, 2011). Consequently, and considering that air pollution (AP) plays a role as a major cause of human mortality and morbidity, exposure to pollutants remains a key environment-related health concern (EEA 2010). Thus, and to comply with the new limits, new strategies must be applied for air quality management. The main objective of this work is to present an objective classification of pre-defined and widely used CWTs affecting Portugal and, based on the most relevant patterns, provide a framework that is useful to characterise the occurrence of pollution episodes, namely its inter-annual and intra-annual variability, as well as the occurrence of extreme events. CWTs were determined using the simple Geostrophic approximation according to the methodology proposed by Trigo and DaCamara (2000). The interannual variability of the resulting CWTs was determined for the period with AP data (2002-2010) and the number of days for each CWT and season for the same period was accounted for. During this period, the most frequent CWTs were found to be the anticyclonic (A), the north (N) and the northeast (NE) types, accounting respectively for 34.7%, 10.9% and 14% of the days. However, higher-than average episodes tend to occur associated predominantly with situations characterized by a few less frequent CWTs, namely easterly (E), northeasterly (NE) and southeasterly (SE) types (that together contributed to less than one fourth of all observed days), are the ones which are associated to higher median and maximum concentrations of the three pollutants. Results obtained highlight the existence of strong

  6. Considerations on Radiation Protection in Portugal

    International Nuclear Information System (INIS)

    Simao, J.V.

    2006-01-01

    The author summarizes the main conclusions of a work group nominated by the Portuguese government in 2004 to propose measures to improve radiological protection in Portugal. The final report of this working group was presented to the Portuguese Government in 2005

  7. Lessons from wind policy in Portugal

    International Nuclear Information System (INIS)

    Peña, Ivonne; Azevedo, Inês L.; Marcelino Ferreira, Luís António Fialho

    2017-01-01

    Wind capacity and generation grew rapidly in several European countries, such as Portugal. Wind power adoption in Portugal began in the early 2000s, incentivized by a continuous feed-in tariff policy mechanism, coupled with public tenders for connection licenses in 2001, 2002, and 2005. These policies led to an enormous success in terms of having a large share of renewables providing electricity services: wind alone accounts today for ~23.5% of electricity demand in Portugal. We explain the reasons wind power became a key part of Portugal’s strategy to comply with European Commission climate and energy goals, and provide a detailed review of the wind feed-in tariff mechanism. We describe the actors involved in wind power production growth. We estimate the environmental and energy dependency gains achieved through wind power generation, and highlight the correlation between wind electricity generation and electricity exports. Finally, we compare the Portuguese wind policies with others countries’ policy designs and discuss the relevance of a feed-in tariff reform for subsequent wind power additions. - Highlights: • Portugal relies on feed-in tariffs as the key mechanism for wind diffusion. • Wind generation accounts for a quarter of total electricity generation. • The current feed-in tariffs system is not economically efficiency. • A feed-in tariff reform should be considered.

  8. Social housing in Portugal and Denmark

    DEFF Research Database (Denmark)

    Alves, Sonia; Andersen, Hans Thor

    The social housing sector has become increasingly residualized and segregated in Portugal and Denmark. Whilst there is a considerable difference between the systems in these two countries, as regards issues of management and governance, dominant rent regimes (cost rent, social rent) or eligibility...

  9. Millipedes (Diplopoda) from caves of Portugal

    DEFF Research Database (Denmark)

    P. S. Reboleira, Ana Sofia; Enghoff, Henrik

    2014-01-01

    in caves of the mainland and the island of Madeira has provided new data about the distribution and diversity of millipedes. A review of millipedes from caves of Portugal is presented, listing fourteen species belonging to eight families, among which six species are considered troglobionts...

  10. Lessons from wind policy in Portugal

    Energy Technology Data Exchange (ETDEWEB)

    Peña, Ivonne; L. Azevedo, Inês; Marcelino Ferreira, Luís António Fialho

    2017-04-01

    Wind capacity and generation grew rapidly in several European countries, such as Portugal. Wind power adoption in Portugal began in the early 2000s, incentivized by a continuous feed-in tariff policy mechanism, coupled with public tenders for connection licenses in 2001, 2002, and 2005. These policies led to an enormous success in terms of having a large share of renewables providing electricity services: wind alone accounts today for ~23.5% of electricity demand in Portugal. We explain the reasons wind power became a key part of Portugal's strategy to comply with European Commission climate and energy goals, and provide a detailed review of the wind feed-in tariff mechanism. We describe the actors involved in wind power production growth. We estimate the environmental and energy dependency gains achieved through wind power generation, and highlight the correlation between wind electricity generation and electricity exports. Finally, we compare the Portuguese wind policies with others countries' policy designs and discuss the relevance of a feed-in tariff reform for subsequent wind power additions.

  11. Assessment of pharmacists' delivery of public health services in rural and urban areas in Iowa and North Dakota.

    Science.gov (United States)

    Scott, David M; Strand, Mark; Undem, Teri; Anderson, Gabrielle; Clarens, Andrea; Liu, Xiyuan

    2016-01-01

    The profession of pharmacy is expanding its involvement in public health, but few studies have examined pharmacists' delivery of public health services. To assess Iowa and North Dakota pharmacists' practices, frequency of public health service delivery, level of involvement in achieving the essential services of public health, and barriers to expansion of public health services in rural and urban areas. This study implemented an on-line survey sent to all pharmacists currently practicing pharmacy in Iowa and North Dakota. Overall, 602 valid responses were analyzed, 297 in rural areas and 305 in urban areas. Three practice settings (chain stores [169, 28.2%], independent community pharmacies [162, 27.0%], and hospital pharmacies [156, 26.0%]) comprised 81.2% of the sample. Both chain and independent community pharmacists were more commonly located in rural areas than in urban areas (PDakota. These findings should be interpreted to be primarily due to differences in the role of the rural pharmacist and the quest for certain opportunities that rural pharmacists are seeking.

  12. Assessment of pharmacists’ delivery of public health services in rural and urban areas in Iowa and North Dakota

    Science.gov (United States)

    Scott, David M.; Strand, Mark; Undem, Teri; Anderson, Gabrielle; Clarens, Andrea; Liu, Xiyuan

    2016-01-01

    Background: The profession of pharmacy is expanding its involvement in public health, but few studies have examined pharmacists’ delivery of public health services. Objective: To assess Iowa and North Dakota pharmacists’ practices, frequency of public health service delivery, level of involvement in achieving the essential services of public health, and barriers to expansion of public health services in rural and urban areas. Methods: This study implemented an on-line survey sent to all pharmacists currently practicing pharmacy in Iowa and North Dakota. Results: Overall, 602 valid responses were analyzed, 297 in rural areas and 305 in urban areas. Three practice settings (chain stores [169, 28.2%], independent community pharmacies [162, 27.0%], and hospital pharmacies [156, 26.0%]) comprised 81.2% of the sample. Both chain and independent community pharmacists were more commonly located in rural areas than in urban areas (PDakota. These findings should be interpreted to be primarily due to differences in the role of the rural pharmacist and the quest for certain opportunities that rural pharmacists are seeking. PMID:28042356

  13. A health-promoting community dental service in Melbourne, Victoria, Australia: protocol for the North Richmond model of oral health care.

    Science.gov (United States)

    Hall, Martin; Christian, Bradley

    2017-10-01

    Despite the best efforts and commitment of oral health programs, there is no evidence that the current surgical output-based model of oral health care is delivering better oral health outcomes to the community. In fact, Australian evidence indicates the oral health of the community could be getting worse. It is now well-understood that this traditional surgical model of oral health care will never successfully manage the disease itself. It is proposed that a health-promoting, minimally invasive oral disease management model of care may lead to a sustainable benefit to the oral health status of the individual and community groups. The aim of this paper is to describe such a model of oral health care (MoC) currently being implemented by the North Richmond Community Health Oral Health (NRCH-OH) program in Melbourne, Victoria, Australia; this model may serve as a template for other services to re-orient their healthcare delivery towards health promotion and prevention. The paper describes the guiding principles and theories for the model and also its operational components, which are: pre-engagement while on the waitlist; client engagement at the reception area; the assessment phase; oral health education (high-risk clients only); disease management; and reviews and recall.

  14. Changes in public health preparedness services provided to local health departments by regional offices in North Carolina: a comparison of two cross-sectional studies.

    Science.gov (United States)

    Donovan, Catherine V; Markiewicz, Milissa; Horney, Jennifer A

    2014-05-28

    In 2011, seven decentralized Public Health Regional Surveillance Teams (PHRSTs) were restructured into four centralized Public Health Preparedness and Response (PHP&R) regional offices to realign preparedness priorities and essential services with appropriate infrastructure; field-based staff was reduced, saving approximately $1 million. The objective of this study was to understand the impact that restructuring had on services provided to local health departments (LHDs) throughout North Carolina. A survey to document services that regional offices provide to LHDs in North Carolina was administered by the North Carolina Preparedness and Emergency Response Research Center in 2013. The results were compared to a similar survey from 2009, which identified services provided by regional teams prior to restructuring. Of 69 types of assistance, 14 (20%) were received by 50% or more LHDs in 2012. Compared to 2009, there was a significant decrease in the proportion of LHDs receiving 67% (n = 47) of services. The size of the region served by regional offices was shown to inversely impact the proportion of LHDs receiving services for 25% of services. There was a slight significant decline in perceived quality of the services provided by regional teams in 2012 as comparison to 2009. Following a system-wide review of preparedness in North Carolina, the state's regional teams were reorganized to refine their focus to planning, exercises, and training. Some services, most notably under the functions of epidemiology and surveillance and public health event response, are now provided by other state offices. However, the study results indicate that several services that are still under the domain of the regional offices were received by fewer LHDs in 2012 than 2009. This decrease may be due to the larger number of counties now served by the four regional offices.

  15. Collaboration between Government and Non-Governmental Organizations (NGOs) in Delivering Curative Health Services in North Darfur State, Sudan- a National Report.

    Science.gov (United States)

    I A Yagub, Abdallah

    2014-05-01

    North Darfur State has been affected by conflict since 2003 and the government has not been able to provide adequate curative health services to the people. The government has come to rely on Non-Governmental Organizations (NGOs) to provide curative health services. This study was conducted to examine the existing collaboration between government and NGOs in curative health service delivery in North Darfur State, and to identify the challenges that affect their collaboration. Documentary data were collected from government offices and medical organizations. Primary data were obtained through interviews with government and NGOs representatives. The interviews were conducted with (1) expatriates working for international NGOs (N=15) and (2), health professionals and administrators working in the health sector (N= 45). The collaboration between the government and NGOs has been very weak because of security issues and lack of trust. The NGOs collaborate by providing human and financial resources, material and equipment, and communication facilities. The NGOs supply 70% of curative health services, and contribute 52.9% of the health budget in North Darfur State. The NGOs have employed 1 390 health personnel, established 44 health centres and manage and support 83 health facilities across the State. The NGOs have played a positive role in collaborating with the government in North Darfur State in delivering curative health services, while government's role has been negative. The problem that faces the government in future is how health facilities will be run should a peaceful settlement be reached and NGOs leave the region.

  16. Impact of a five-day short course on integration of health promotion into practice in north Queensland.

    Science.gov (United States)

    Devine, Susan G; Llewellyn-Jones, Lorraine; Lloyd, Jacqui

    2009-04-01

    Workforce development is one element of health promotion capacity building. This paper describes the extent to which participants in a five-day short course in health promotion, delivered three times in north Queensland during 2007, reported greater adoption of health promotion within their work roles, and the factors that affected the level of adoption. Out of 54 course attendees, 39 completed a post-course survey five to nine months after completing the course (72% response rate). Additionally, 11 course attendees participated in a focus group or phone interview to explore survey findings. The courses succeeded in providing knowledge, skills, confidence and enthusiasm to undertake health promotion work. Eighty per cent of participants stated they had incorporated health promotion into their work frequently or all of the time since undertaking the course. Lack of understanding of health promotion from co-workers and managers, lack of organisational support and commitment, lack of resources, competing clinical priorities, and lack of time were cited as the main barriers for undertaking health promotion. The course met participant training needs. However, similar training across all levels of staff including management may help to develop organisational capacity, thereby building a more knowledgeable workforce that is supported to undertake health promotion as a core part of an organisation's business.

  17. Health Behavior and Factors Associated with Depression in North Korean Adolescent Defectors in South Korea: The Korea Youth Risk Behavior Web-Based Survey, 2011-2014.

    Science.gov (United States)

    Kim, Min Joung; Yu, Seon Yeong; Kim, Sunyoung; Won, Chang Won; Choi, Hyunrim; Kim, Byung Sung

    2017-09-01

    The number of North Korean adolescent defectors entering South Korea has been increasing. The health behavior, including mental health-related behavior, and factors associated with depression in North Korean adolescent defectors residing in South Korea were investigated. Data obtained from the Korea Youth Risk Behavior Web-Based Survey (2011-2014) dataset were utilized. In total, 206 North Korean adolescent defectors were selected, and for the control group, 618 matched South Korean adolescents were selected. Frequency analysis was used to determine the place of birth and nationality of the parents, chi-square tests were used to compare the general characteristics of the North and South Korean subjects, and multivariate logistic regressions were conducted to compare the health behavior of the two sets of subjects. To determine the factors associated with depression in the North Korean subjects, a logistic regression was performed. The North Korean adolescents reported higher current smoking (adjusted odds ratio [aOR], 2.54; 95% confidence interval [CI], 1.48 to 4.35), current drinking (aOR, 1.85; 95% CI, 1.15 to 2.99), and drug use rates (aOR, 10.99; 95% CI, 4.04 to 29.88) than did the South Korean adolescents. The factors associated with depression in the North Korean adolescents were current smoking (aOR, 6.99; 95% CI, 1.62 to 30.06), lifetime drinking experience (aOR, 5.32; 95% CI, 1.51 to 18.75), and perceived stress (aOR, 4.74; 95% CI, 1.74 to 12.90). There were differences in health behavior between the North and South Korean adolescents. A specialized approach for North Korean adolescent defectors is required to promote proper health behavior and adaptation to South Korean society.

  18. Characteristics and Health of Turkey Husbandry in Ouaké, North-Benin

    NARCIS (Netherlands)

    Attakpa, E.Y.; Aplogan, L.G.; Akossou, A.Y.J.; Bosma, R.H.

    2011-01-01

    Sanitary constraints of raising turkey in north-west Benin were studied by using a survey and Haemagglutination Inhibition Test (HIT) to detect antibodies of Newcastle Disease (ND) and Avian Influenza (AI). We tested 85 serums from 7- to 24-month-old turkeys raised in 19 farms. ND prevalence rate

  19. Monitoring limber pine health in the Rocky Mountains and North Dakota

    Science.gov (United States)

    Kelly Burns; Jim Blodgett; Marcus Jackson; Brian Howell; William Jacobi; Anna Schoettle; Anne Marie Casper; Jennifer Klutsch

    2012-01-01

    Limber pine (Pinus flexilis James) is an ecologically and culturally important, yet little studied, tree species within the Western United States. Its distribution extends from Alberta and southeastern British Colombia to New Mexico, Arizona, and southeastern California with isolated populations in North Dakota, South Dakota, Nebraska, eastern Oregon...

  20. Air pollution and forest health studies along a south-north transect in Poland

    Science.gov (United States)

    Stefan Godzik; Jerzy Szdzuj; Tomasz Staszewski; Wlodzimierz Lukasik

    1998-01-01

    Air pollution, bulk deposition and throughfall, soil characteristics, needle chemistry, and forest injury were studied on six permanent plots from the south (Brenna and Salmopol in the Beskidy Mountains) to the north (Gac, the Baltic Sea coastal area) in Poland. The concentrations of sulfur dioxide and nitrogen dioxide were the highest at the Katowice location and the...

  1. In Portugal, the energy revolution is underway

    International Nuclear Information System (INIS)

    Mary, Olivier

    2015-01-01

    As at the beginning of 2013, 70 per cent of the electricity consumed in Portugal had a renewable origin, this article outlines that this result is based on a strong-willed policy. In fact, Portugal entered the energy transition in 2001 with its '4E program' (energy efficiency and endogenous energies) which aimed at reaching 60 per cent of renewable energies in electricity consumption by 2020. This program was based on a strong development of wind and hydraulic energy. Moreover, the country developed its own capacities for the manufacturing of wind turbines. On another hand, other renewable energies (notably solar energy) seem a bit late although several projects are underway. As far as hydraulic energy, a dam project is a matter of controversy

  2. Pesticide residues in leafy vegetables and human health risk assessment in North Central agricultural areas of Chile.

    Science.gov (United States)

    Elgueta, Sebastian; Moyano, Stella; Sepúlveda, Paulina; Quiroz, Carlos; Correa, Arturo

    2017-06-01

    To investigate pesticide residue concentrations and potential human health risk, a study was conducted in 118 leafy vegetable samples collected in 2014-2015 from the North Central agricultural areas of Chile. The pesticide residues were determined using the multiresidue QuEChERS method by gas chromatography as well as high-performance liquid chromatography. The results indicated that 27% of the total samples contained pesticide residues above the maximum residue limits of each active ingredient. The maximum estimated daily intake obtained for carbon disulphide (CS 2 ), methamidophos, azoxystrobin and cypermethrin were 0.57, 0.07, 0.06 and 0.05 mg kg -1 , respectively, which was higher than their acceptable daily intake. It is concluded that inhabitants of the North Central agricultural area of Chile are not exposed to health risks through the consumption of leafy vegetables with the exception of methamidophos. Nevertheless, the high levels of methamidophos detected in leafy vegetables could be considered a potential chronic health risk.

  3. Ordens militares de cavalaria de Portugal

    Directory of Open Access Journals (Sweden)

    Álvaro da Veiga Coimbra

    1963-03-01

    Full Text Available Falar nas Ordens Militares de Cavalaria de Portugal, é ter presente a própria história da fundação da monarquia e de re-cuperação territorial e também dos descobrimentos de novos mundos para a civilização. Aos seus cavaleiros couberam no cenário das lutas sangrentas e constantes da dinastia afonsina, os grandes postos da vanguarda.

  4. Contractual medical liability in Portugal and Macao

    Directory of Open Access Journals (Sweden)

    Rui Miguel Prista Patrício Cascão

    2016-09-01

    Full Text Available Liability of healthcare providers can be framed under the theory of contract in the law of Portugal and Macao, to obtain compensation for injury suffered by aggrieved patients, as a result of medical adverse events. However, shortcomings in the law, court practice and literature lead to some uncertainty in adjudication. This article aims at reducing said uncertainty, setting forward a clear-cut adjudication paradigm, while recommending legal reform.

  5. Multivariate statistical analysis of wildfires in Portugal

    Science.gov (United States)

    Costa, Ricardo; Caramelo, Liliana; Pereira, Mário

    2013-04-01

    Several studies demonstrate that wildfires in Portugal present high temporal and spatial variability as well as cluster behavior (Pereira et al., 2005, 2011). This study aims to contribute to the characterization of the fire regime in Portugal with the multivariate statistical analysis of the time series of number of fires and area burned in Portugal during the 1980 - 2009 period. The data used in the analysis is an extended version of the Rural Fire Portuguese Database (PRFD) (Pereira et al, 2011), provided by the National Forest Authority (Autoridade Florestal Nacional, AFN), the Portuguese Forest Service, which includes information for more than 500,000 fire records. There are many multiple advanced techniques for examining the relationships among multiple time series at the same time (e.g., canonical correlation analysis, principal components analysis, factor analysis, path analysis, multiple analyses of variance, clustering systems). This study compares and discusses the results obtained with these different techniques. Pereira, M.G., Trigo, R.M., DaCamara, C.C., Pereira, J.M.C., Leite, S.M., 2005: "Synoptic patterns associated with large summer forest fires in Portugal". Agricultural and Forest Meteorology. 129, 11-25. Pereira, M. G., Malamud, B. D., Trigo, R. M., and Alves, P. I.: The history and characteristics of the 1980-2005 Portuguese rural fire database, Nat. Hazards Earth Syst. Sci., 11, 3343-3358, doi:10.5194/nhess-11-3343-2011, 2011 This work is supported by European Union Funds (FEDER/COMPETE - Operational Competitiveness Programme) and by national funds (FCT - Portuguese Foundation for Science and Technology) under the project FCOMP-01-0124-FEDER-022692, the project FLAIR (PTDC/AAC-AMB/104702/2008) and the EU 7th Framework Program through FUME (contract number 243888).

  6. Spatio-temporal evolution of forest fires in Portugal

    Science.gov (United States)

    Tonini, Marj; Pereira, Mário G.; Parente, Joana

    2017-04-01

    A key issue in fire management is the ability to explore and try to predict where and when fires are more likely to occur. This information can be useful to understand the triggering factors of ignitions and for planning strategies to reduce forest fires, to manage the sources of ignition and to identify areas and frame period at risk. Therefore, producing maps displaying forest fires location and their occurrence in time can be of great help for accurately forecasting these hazardous events. In a fire prone country as Portugal, where thousands of events occurs each year, it is involved to drive information about fires over densities and recurrences just by looking at the original arrangement of the mapped ignition points or burnt areas. In this respect, statistical methods originally developed for spatio-temporal stochastic point processes can be employed to find a structure within these large datasets. In the present study, the authors propose an approach to analyze and visualize the evolution in space and in time of forest fires occurred in Portugal during a long frame period (1990 - 2013). Data came from the Portuguese mapped burnt areas official geodatabase (by the Institute for the Conservation of Nature and Forests), which is the result of interpreted satellite measurements. The following statistical analyses were performed: the geographically-weighted summary statistics, to analyze the local variability of the average burned area; the space-time Kernel density, to elaborate smoothed density surfaces representing over densities of fires classed by size and on North vs South region. Finally, we emploied the volume rendering thecnique to visualize the spatio-temporal evolution of these events into a unique map: this representation allows visually inspecting areas and time-step more affected from a high aggregation of forest fires. It results that during the whole investigated period over densities are mainly located in the northern regions, while in the

  7. Municipal solid waste disposal in Portugal

    International Nuclear Information System (INIS)

    Magrinho, Alexandre; Didelet, Filipe; Semiao, Viriato

    2006-01-01

    In recent years municipal solid waste (MSW) disposal has been one of the most important environmental problems for all of the Portuguese regions. The basic principles of MSW management in Portugal are: (1) prevention or reduction, (2) reuse, (3) recovery (e.g., recycling, incineration with heat recovery), and (4) polluter-pay principle. A brief history of legislative trends in waste management is provided herein as background for current waste management and recycling activities. The paper also presents and discusses the municipal solid waste management in Portugal and is based primarily on a national inquiry carried out in 2003 and directed to the MSW management entities. Additionally, the MSW responsibility and management structure in Portugal is presented, together with the present situation of production, collection, recycling, treatment and elimination of MSW. Results showed that 96% of MSW was collected mixed (4% was separately collected) and that 68% was disposed of in landfill, 21% was incinerated at waste-to-energy plants, 8% was treated at organic waste recovery plants and 3% was delivered to sorting. The average generation rate of MSW was 1.32 kg/capita/day

  8. Feminismo(s e psicologia em Portugal

    Directory of Open Access Journals (Sweden)

    Azambuja, Mariana Porto Ruwer de

    2007-01-01

    Full Text Available Apesar da longa história em comum entre Brasil e Portugal, também existem muitas diferenças e, principalmente, muito desconhecimento. A proposta deste artigo é apresentar uma contextualização do modo como as questões de gênero têm sido tartadas Portugal e, a partir disto, estimular maiores laços de cooperação entre os dois países. Iniciamos com uma retomada da história do país e das reformas instauradas após o fim do regime fascista (1974, especialmente o surgimento da psicologia como campo científico e profissional marcado pelo paradigma positivista e, por muito tempo, alheio às transformações e questionamentos presentes em outros contextos. Da mesma forma, o percurso do movimento feminista e sua inserção no contexto acadêmico da psicologia foi marcado por avanços e entraves, os quais apresentamos a seguir. Por fim, tratamos das políticas públicas para a igualdade de oportunidades para as mulheres em Portugal

  9. First report of canine ocular thelaziosis by Thelazia callipaeda in Portugal

    Directory of Open Access Journals (Sweden)

    Vieira Lisete

    2012-06-01

    Full Text Available Background Thelazia callipaeda eyeworms are transmitted by the non-biting insect vector Phortica variegata in Europe and infest the conjunctiva(s of several mammalians, including dogs and humans. Infested hosts might remain asymptomatic or display clinical manifestations characterized by variable degrees of severity. Methods From July to November 2011, nine dogs were detected with eyeworms at two veterinary clinics in Chaves and Bragança (North of Portugal. Nematodes collected from dogs were morphologically and molecularly characterized at species level. Results Nematodes were identified as T. callipaeda. The number of worms collected from each dog ranged from three to 76 (average = 17.9 ± 26.8 and was not associated with the severity of clinical signs. Ocular discharge and conjunctivitis were observed in all dogs and ocular pruritus occurred in six of them. Polymerase chain reaction and sequencing of a portion of target cytochrome c oxidase subunit 1 gene further identified all nematodes as haplotype 1. Conclusions This is the first report of T. callipaeda and associated ocular disease in dogs from Portugal, suggesting that thelaziosis should be included in the differential diagnosis of canine ocular affections. The risk of the infestation spreading from Spain and France to Portugal, through domestic dogs or wild mammals, is realistic.

  10. HLA genes in Madeira Island (Portugal) inferred from sequence-based typing: footprints from different origins.

    Science.gov (United States)

    Spínola, Hélder; Bruges-Armas, Jácome; Mora, Marian Gantes; Middleton, Derek; Brehm, António

    2006-04-01

    Human leukocyte antigen (HLA)-A, HLA-B, and HLA-DRB1 polymorphisms were examined in Madeira Island populations. The data was obtained at high-resolution level, using sequence-based typing (SBT). The most frequent alleles at each loci were: A*020101 (24.6%), B*5101 (9.7%), B*440201 (9.2%), and DRB1*070101 (15.7%). The predominant three-loci haplotypes in Madeira were A*020101-B*510101-DRB1*130101 (2.7%) and A*010101-B*0801-DRB1*030101 (2.4%), previously found in north and central Portugal. The present study corroborates historical sources and other genetic studies that say Madeira were populated not only by Europeans, mostly Portuguese, but also sub-Saharan Africans due to slave trade. Comparison with other populations shows that Madeira experienced a stronger African influence due to slave trade than Portugal mainland and even the Azores archipelago. Despite this African genetic input, haplotype and allele frequencies were predominantly from European origin, mostly common to mainland Portugal.

  11. Exploration of a rare population of Chinese chestnut in North America: stand dynamics, health and genetic relationships.

    Science.gov (United States)

    Miller, Amy C; Woeste, Keith E; Anagnostakis, Sandra L; Jacobs, Douglass F

    2014-10-20

    With the transport of plants around the globe, exotic species can readily spread disease to their native relatives; however, they can also provide genetic resistance to those relatives through hybrid breeding programmes. American chestnut (Castanea dentata) was an abundant tree species in North America until its decimation by introduced chestnut blight. To restore chestnut in North America, efforts are ongoing to test putative blight-resistant hybrids of Castanea dentata and Chinese chestnut (Castanea mollissima), but little is known about the ecology of C. mollissima. In a forest in northeastern USA in which C. mollissima has become established, we explored questions of stand dynamics, health and genetic relationships of C. mollissima offspring to an adjacent parent orchard. We found that C. mollissima was adapted and randomly distributed among native species in this relatively young forest. The genetics of the C. mollissima population compared with its parents indicated little effect of selection pressure as each of the parent trees contributed at least one offspring. The ease with which this exotic species proliferated calls to question why C. mollissima is rare elsewhere in forests of North America. It is likely that a time window of low animal predation allowed seedlings to establish, and the shallow soil at this site limited the maximum forest canopy height, permitting the characteristically short-statured C. mollissima to avoid suppression. Our results indicate that because C. mollissima exhibited pioneer species characteristics, hybrids between C. mollissima and C. dentata have the potential to be successful pioneer species of future forests in North America, and we challenge the paradigm that exotic tree species are wholly detrimental to native biodiversity. We contend that exotic tree species should be assessed not only by their level of threat to native species, but also by their potential positive impacts on ecosystems via hybrid breeding programmes

  12. Characterization and phytoremediation of abandoned contaminated mining area in Portugal by INAA

    International Nuclear Information System (INIS)

    Canha, N.; Freitas, M.C.; Anawar, H.M.; Dionisio, I.; Dung, H.M.; Pinto-Gomes, C.

    2010-01-01

    This study aims to find out a vascular plant species that accumulate relatively high concentrations of arsenic (As) for its use as phytoremediator at abandoned and contaminated mining areas, such as Sao Domingos mines (Portugal). The assessment of As contamination levels in soils and plants of other similar sites in the north of the country (Castromil and Poco de Freitas) was also conducted; and the sample analyses were made by instrumental neutron activation analysis. Agrostis genera have shown higher As transfer coefficients than other studied plant species and, in particular, Agrostis curtisii has shown a reasonable ability to accumulate high concentration of this toxic element. (author)

  13. Heart failure in numbers: Estimates for the 21st century in Portugal.

    Science.gov (United States)

    Fonseca, Cândida; Brás, Daniel; Araújo, Inês; Ceia, Fátima

    2018-02-01

    Heart failure is a major public health problem that affects a large number of individuals and is associated with high mortality and morbidity. This study aims to estimate the probable scenario for HF prevalence and its consequences in the short-, medium- and long-term in Portugal. This assessment is based on the EPICA (Epidemiology of Heart Failure and Learning) project, which was designed to estimate the prevalence of chronic heart failure in mainland Portugal in 1998. Estimates of heart failure prevalence were performed for individuals aged over 25 years, distributed by age group and gender, based on data from the 2011 Census by Statistics Portugal. The expected demographic changes, particularly the marked aging of the population, mean that a large number of Portuguese will likely be affected by this syndrome. Assuming that current clinical practices are maintained, the prevalence of heart failure in mainland Portugal will increase by 30% by 2035 and by 33% by 2060, compared to 2011, resulting in 479 921 and 494 191 affected individuals, respectively. In addition to the large number of heart failure patients expected, it is estimated that the hospitalizations and mortality associated with this syndrome will significantly increase its economic impact. Therefore, it is extremely important to raise awareness of this syndrome, as this will favor diagnosis and early referral of patients, facilitating better management of heart failure and helping to decrease the burden it imposes on Portugal. Copyright © 2017 Sociedade Portuguesa de Cardiologia. Publicado por Elsevier España, S.L.U. All rights reserved.

  14. The Mousterian complex in Portugal

    Directory of Open Access Journals (Sweden)

    João Luís CARDOSO

    2009-12-01

    Full Text Available ABSTRACT: Considering the available data, the Mousterian period is the only techno-complex from the Middle Paleolithic identified and characterized in Portugal. However, some of the sites referred in this work should be simply attributed to the Middle Paleolithic due to the lack of detailed elements. The site of Vale do Forno 8 probably represents the transition between the final Upper Paleolithic and the early Middle Paleolithic.The open-air sites such as the ones in the outskirts of Lisbon and on the left margin of the Tagus estuary, where vestiges are extremely abundant and the permanence for long periods correspond to sites of residential character.None of these sites were subject to extensive excavations in order to confirm this type of settlement and further knowledge of the social organization of the inhabited spaces. Other open-air sites located in fluvial terraces present smaller areas of occupation and were probably related to game activities, maybe seasonal in nature. This was the case of Santo Antão do Tojal, were elephants and horses were eventually captured, of Foz do Enxarrique were red deer was almost exclusive and of Vilas Ruivas, were faunal remains were not preserved but remains of wind-breaks or hunting blind structures were found associated with fireplaces and post-holes. Fireplaces were also found in Gruta da Buraca Escura and on the open-air site of Santa Cita.Caves such as Gruta da Oliveira and the Gruta Nova da Columbeira show long stratigraphic sequences and prolonged settlements, of residential type, though a few other caves also show temporary settlements related to game activities or the exploitation of geological resources. In most cases, there is an alternance of the cave occupation by humans and large carnivores. Food subsistence of humans was non-specialized, capturing large, mid and also small preys such as the rabbit, an abundant endemic species. The terrestrial turtle was also captured, especially in Gruta

  15. The Effects of Urban Form on Ambient Air Pollution and Public Health Risk: A Case Study in Raleigh, North Carolina

    Science.gov (United States)

    Rodriguez, Daniel A.; Huegy, Joseph; Gibson, Jacqueline MacDonald

    2014-01-01

    Since motor vehicles are a major air pollution source, urban designs that decrease private automobile use could improve air quality and decrease air pollution health risks. Yet, the relationships among urban form, air quality, and health are complex and not fully understood. To explore these relationships, we model the effects of three alternative development scenarios on annual average fine particulate matter (PM2.5) concentrations in ambient air and associated health risks from PM2.5 exposure in North Carolina’s Raleigh-Durham-Chapel Hill area. We integrate transportation demand, land-use regression, and health risk assessment models to predict air quality and health impacts for three development scenarios: current conditions, compact development, and sprawling development. Compact development slightly decreases (−0.2%) point estimates of regional annual average PM2.5 concentrations, while sprawling development slightly increases (+1%) concentrations. However, point estimates of health impacts are in opposite directions: compact development increases (+39%) and sprawling development decreases (−33%) PM2.5-attributable mortality. Further, compactness increases local variation in PM2.5 concentrations and increases the severity of local air pollution hotspots. Hence, this research suggests that while compact development may improve air quality from a regional perspective, it may also increase the concentration of PM2.5 in local hotspots and increase population exposure to PM2.5. Health effects may be magnified if compact neighborhoods and PM2.5 hotspots are spatially co-located. We conclude that compactness alone is an insufficient means of reducing the public health impacts of transportation emissions in automobile-dependent regions. Rather, additional measures are needed to decrease automobile dependence and the health risks of transportation emissions. PMID:25490890

  16. First report on extended-spectrum beta-lactamase (ESBL) producing Escherichia coli from European free-tailed bats (Tadarida teniotis) in Portugal: A one-health approach of a hidden contamination problem.

    Science.gov (United States)

    Garcês, Andreia; Correia, Susana; Amorim, Francisco; Pereira, José Eduardo; Igrejas, Gilberto; Poeta, Patrícia

    2017-12-23

    The main aim of this study was to characterize the diversity of extended-spectrum beta-lactamases (ESBLs) in Escherichia coli isolates from European free tailed-bats (Tadarida teniotis) in Portugal. ESBL-producing E. coli isolates were recovered from 14 of 146 faecal samples (9.6%) and a total of 19 isolates were completely characterized. The more prevalent beta-lactamase genes detected were bla CTX-M-1 (57.9%) and bla CTX-M-3 (36.8%), followed by bla SHV (31.6%), bla TEM (21.1%), bla OXA (10.5%) and bla CTX-M-9 (10.5%). Among other associated resistance genes studied, tet(A) and tet(B) were predominant and fimA was the main virulence factor detected. Phylogroups D (47.4%) and A (31.6%) were the more prevalent, followed by group B2 (21.1%). Bats are reservoirs of antimicrobial-resistant bacteria and resistance determinants and is important in further studies to identify the main sources of pollution in the environment, such as water or insects that may contain these multiresistant organisms. Copyright © 2017 Elsevier B.V. All rights reserved.

  17. An approach to health system strengthening in the Democratic Peoples Republic of Korea (North Korea).

    Science.gov (United States)

    Grundy, John; Moodie, Rob

    2009-01-01

    The Democratic Peoples Republic of Korea (DPRK), under the leadership of the Ministry of Public Health (MOPH), undertook the development of a Health System Strengthening (HSS) proposal through the support of the Global Alliance for Vaccines and Immunization (GAVI). The aim of this paper is to outline the approach to the development of the HSS strategy in DPRK, and describe opportunities and challenges associated with its development and future implementation. Sources of information for this review have included national programme plans, in country social sector reviews, information generated through HSS proposal developments and the international literature. Updated assessments in DPRK indicate some recent improvements in the health situation for women and children, but there remain ongoing concerns regarding health management, human resource and physical infrastructure barriers to health services access. In response to this situation, the DPRK developed a health system strengthening strategy, the main elements of which are the strengthening of health management and service delivery systems at the implementing agency levels of county (district) and Ri (sub district). Three success factors were associated with the reaching of consensus on HSS strategy in DPRK. These were partnerships formed between system planners and programme planners, the identification of an overall health sector strategic framework, and high-level leadership of the MOPH. Although DPRK is in the very early stages of health system reconstruction, there are significant and new opportunities to alleviate the health conditions of women and children in DPRK, through implementation of health system strengthening strategies that are nationally coordinated and internationally supported.

  18. Medicines out of use and waste of medicines in a northern city of Portugal

    OpenAIRE

    Pinto, Isabel C.; Nascimento, Luís; Guilherme, M.; Magalhães, A.; Santos, E.; Vasques, R.

    2014-01-01

    Nowadays, it’s important to understand waste of medicines, destination of medicines out of use and knowledge that people have about it, since the lack of information can lead to serious consequences for public health and environment. This study aims to determine the proportion of waste of medicines in population of a northern city of Portugal and related factors and verify the knowledge and behavior about the destination of medicines out of use, like the Valormed. This cross-sectional a...

  19. Ongoing outbreak of dengue type 1 in the Autonomous Region of Madeira, Portugal: preliminary report.

    Science.gov (United States)

    Sousa, C A; Clairouin, M; Seixas, G; Viveiros, B; Novo, M T; Silva, A C; Escoval, M T; Economopoulou, A

    2012-12-06

    Following the identification of two autochthonous cases of dengue type 1 on 3 October 2012, an outbreak of dengue fever has been reported in Madeira, Portugal. As of 25 November, 1,891 cases have been detected on the island where the vector Aedes aegypti had been established in some areas since 2005. This event represents the first epidemic of dengue fever in Europe since 1928 and concerted control measures have been initiated by local health authorities.

  20. First autochthone case of sporotrichosis by Sporothrix globosa in Portugal.

    Science.gov (United States)

    de Oliveira, Manoel Marques Evangelista; Veríssimo, Cristina; Sabino, Raquel; Aranha, João; Zancopé-Oliveira, Rosely Maria; Sampaio, Paula; Pais, Célia

    2014-04-01

    In this study, we characterize the first autochthone case of human sporotrichosis reported in Lisbon, Portugal. Phenotypic and genotypic characterization revealed that the infection was caused by Sporothrix globosa. We conclude that sporotrichosis may be underdiagnosed particularly in Southern Europe and suggest Portugal as an emerging area for this fungal infection. © 2014 Elsevier Inc. All rights reserved.

  1. Hospitalizations for Endocarditis and Associated Health Care Costs Among Persons with Diagnosed Drug Dependence - North Carolina, 2010-2015.

    Science.gov (United States)

    Fleischauer, Aaron T; Ruhl, Laura; Rhea, Sarah; Barnes, Erin

    2017-06-09

    Opioid dependence and overdose have increased to epidemic levels in the United States. The 2014 National Survey on Drug Use and Health estimated that 4.3 million persons were nonmedical users of prescription pain relievers (1). These users are 40 times more likely than the general population to use heroin or other injection drugs (2). Furthermore, CDC estimated a near quadrupling of heroin-related overdose deaths during 2002-2014 (3). Although overdose contributes most to drug-associated mortality, infectious complications of intravenous drug use constitute a major cause of morbidity leading to hospitalization (4). In addition to infections from hepatitis C virus (HCV) and human immunodeficiency virus (HIV), injecting drug users are at increased risk for acquiring invasive bacterial infections, including endocarditis (5,6). Evidence that hospitalizations for endocarditis are increasing in association with the current opioid epidemic exists (7-9). To examine trends in hospitalizations for endocarditis among persons in North Carolina with drug dependence during 2010-2015, data from the North Carolina Hospital Discharge database were analyzed. The incidence of hospital discharge diagnoses for drug dependence combined with endocarditis increased more than twelvefold from 0.2 to 2.7 per 100,000 persons per year over this 6-year period. Correspondingly, hospital costs for these patients increased eighteenfold, from $1.1 million in 2010 to $22.2 million in 2015. To reduce the risk for morbidity and mortality related to opioid-associated endocarditis, public health programs and health care systems should consider collaborating to implement syringe service programs, harm reduction strategies, and opioid treatment programs.

  2. Oral health-related quality of life among 12-year-olds in Northern Norway and North-West Russia.

    Science.gov (United States)

    Koposova, Natalia; Eriksen, Harald M; Widstrãm, Eeva; Eisemann, Martin; Opravin, Alexander; Koposov, Roman

    2012-12-01

    To assess self-perceived oral health-related quality of life (OHRQoL) in 12-year-olds living in two areas in the Barents region: North-West Russia (Arkhangelsk) and Northern Norway (Tromsø). Sampling was performed according to a stratified cluster design and consisted of 590 Russian and 264 Norwegian 12-year-olds and their parents. After written consent from their parents, 514 Russian (87% attendance) and 124 Norwegian (47% attendance) children entered the study. The study included clinical examination (children) and questionnaires (children and parents). Dental caries and the aesthetic dental appearance were recorded under field conditions. Self-reports on background variables and oral health-related quality of life questions (CPQ11-14) were completed in classroom settings by children and at home by parents. OHRQoL was found to vary depending on country of origin, with higher scores of CPQ11-14 domains among 12-year-olds from Russia. OHRQoL was found to be associated with dental caries, with higher scores among 12-year olds with caries. Inferior emotional and social well-being were established as having the strongest association with quality of life. Dental caries showed an independent effect on OHRQoL scores, but this effect disappeared when controlling for background variables, with country of origin, family economy, parental education and aesthetic appearance as the most influential (R²=0.14). Norwegian 12-year-olds had better oral health and OHRQoL than their Russian counterparts. The impact of dental caries on OHRQoL was weak and aesthetic dental appearance and socio-economic determinants were found to be more important, probably reflecting the great differences in the standards of living between Northern Norway and North-West Russia.

  3. Determinants of marginalization and inequitable maternal health care in North-Central Vietnam: a framework analysis.

    Science.gov (United States)

    Binder-Finnema, Pauline; Lien, Pham T L; Hoa, Dinh T P; Målqvist, Mats

    2015-01-01

    Vietnam has achieved great improvements in maternal healthcare outcomes, but there is evidence of increasing inequity. Disadvantaged groups, predominantly ethnic minorities and people living in remote mountainous areas, do not gain access to maternal health improvements despite targeted efforts from policymakers. This study identifies underlying structural barriers to equitable maternal health care in Nghe An province, Vietnam. Experiences of social inequity and limited access among child-bearing ethnic and minority women are explored in relation to barriers of care provision experienced by maternal health professionals to gain deeper understanding on health outcomes. In 2012, 11 focus group discussions with women and medical care professionals at local community health centers and district hospitals were conducted using a hermeneutic-dialectic method and analyzed for interpretation using framework analysis. The social determinants 'limited negotiation power' and 'limited autonomy' orchestrate cyclical effects of shared marginalization for both women and care professionals within the provincial health system's infrastructure. Under-staffed and poorly equipped community health facilities refer women and create overload at receiving health centers. Limited resources appear diverted away from local community centers as compensation to the district for overloaded facilities. Poor reputation for low care quality exists, and professionals are held in low repute for causing overload and resulting adverse outcomes. Country-wide reforms force women to bear responsibility for limited treatment adherence and health insight, but overlook providers' limited professional development. Ethnic minority women are hindered by relatives from accessing care choices and costs, despite having advanced insight about government reforms to alleviate poverty. Communication challenges are worsened by non-existent interpretation systems. For maternal health policy outcomes to become effective

  4. Implementation of the NEAMTWS in Portugal

    Science.gov (United States)

    Matias, L. M.; Annunziato, A.; Carrilho, F.; Baptista, M.

    2008-12-01

    In this paper we present the ongoing implementation of a national tsunami warning system in Portugal. After the Sumatra event in December 2004, the UNESCO, through its International Oceanographic Commission, recognized the need for an end to end global tsunami warning system and International Coordination Groups have been established for different areas around the globe: Indian, Caribbean, Atlantic and Mediterranean ocean basins. This system is the natural response to the historical and recent instrumental events generated along the western segment of the Eurasia and Nubian plates, which eastern end corresponds to the Gulf of Cadiz. The TWS includes three main components: the seismic detection, the tsunami detection and the issue of warnings/alerts. In Portugal the automatic earthquake processing is installed at IM (Instituto de Meteorologia) which is the only national institution operating on a 24x7 basis. This makes IM the natural candidate to host the Portuguese tsunami warning system. The TWS under implementation has several key points: definition of the tsunami scenarios, tsunami detection, and tsunami protocol messages. The system will also be able to predict tsunami potential impact along the coast, wave-heights and arrival times at pre-defined locations along the coast. In this study we present the recent results on definition of tsunami scenarios, establishment of the scenario database and the tsunami analysis tool. This work is a joint effort between Instituto de Meteorologia (Portugal), the Joint Research Center, JRC- ISPRA, Italy and the coordination of the Portuguese Group for the implementation of NEAMTWS in the area. This work has been financed by different European projects as NEAREST and TRANSFER, and also by the JRC, the IM and CGUL/IDL institutions.

  5. Regular-Fat Dairy and Human Health: A Synopsis of Symposia Presented in Europe and North America (2014-2015).

    Science.gov (United States)

    Astrup, Arne; Rice Bradley, Beth H; Brenna, J Thomas; Delplanque, Bernadette; Ferry, Monique; Torres-Gonzalez, Moises

    2016-07-29

    In recent history, some dietary recommendations have treated dairy fat as an unnecessary source of calories and saturated fat in the human diet. These assumptions, however, have recently been brought into question by current research on regular fat dairy products and human health. In an effort to disseminate, explore and discuss the state of the science on the relationship between regular fat dairy products and health, symposia were programmed by dairy industry organizations in Europe and North America at The Eurofed Lipids Congress (2014) in France, The Dairy Nutrition Annual Symposium (2014) in Canada, The American Society for Nutrition Annual Meeting held in conjunction with Experimental Biology (2015) in the United States, and The Federation of European Nutrition Societies (2015) in Germany. This synopsis of these symposia describes the complexity of dairy fat and the effects regular-fat dairy foods have on human health. The emerging scientific evidence indicates that the consumption of regular fat dairy foods is not associated with an increased risk of cardiovascular disease and inversely associated with weight gain and the risk of obesity. Dairy foods, including regular-fat milk, cheese and yogurt, can be important components of an overall healthy dietary pattern. Systematic examination of the effects of dietary patterns that include regular-fat milk, cheese and yogurt on human health is warranted.

  6. Impact of mass media and interpersonal health communication on smoking cessation attempts: a study in North Karelia, 1989-1996.

    Science.gov (United States)

    Korhonen, T; Uutela, A; Korhonen, H J; Puska, P

    1998-01-01

    This article summarizes an impact evaluation of the North Karelia Project (Finnish CINDI program) on smoking cessation attempts. During the period 1989-1996, data were collected by annual surveys, with response rates varying from 66% to 76%. This study included 1,694 adult current smokers or persons who had quit smoking during the past year, out of a total of 6,011 respondents. Smoking cessation attempts during the past 12 months were examined as a dependent variable. Reported exposures to mass media and interpersonal health communication were examined as possible determinants of smoking cessation. Weekly exposure to mass media health messages was significantly associated with cessation attempts among men only. In contrast, interpersonal health communication, or social influence, was a significant determinant of cessation attempts among both sexes. Exposure to both mass media and interpersonal health communication had an even stronger impact on cessation attempts. Thus, interpersonal communication appears to be an important catalyst of community programs, and its inclusion should be emphasized to obtain a higher impact with community programs.

  7. Children's health and the environment in North America : a first report on available indicators and measures : executive summary

    International Nuclear Information System (INIS)

    2006-01-01

    This report represents North America's contribution to the global initiative to promote environmental and child health protection. It indicates that despite improvements in many areas, children remain at risk from environmental threats. The report focuses on the following 3 priority areas: asthma and respiratory disease; lead and other chemicals, including pesticides and waterborne diseases. This document is the first integrated, regional report providing indicators for a series of children's health and environment issues. It is intended to increase awareness of the relationship between environmental risks and children's health and to provide a means of measuring and promoting change. An introduction to the participating countries was included along with population data, birth rates, child mortality, immunization rates and socioeconomic determinants of health. The affect of outdoor and indoor air pollution on asthma and respiratory disease in Canada, Mexico and the United States was discussed along with blood lead levels and the affect of lead in the home, as well as industrial releases of lead, chemicals and pesticides. Drinking water and sanitation issues were also discussed with reference to the link with waterborne diseases. It was concluded that more effort in trilateral collaboration is needed to improve the quality of future reports. Some observations and opportunities for improvement were noted. figs

  8. Identifying factors for job motivation of rural health workers in North Viet Nam

    NARCIS (Netherlands)

    Dieleman, Marjolein; Cuong, Pham Viet; Anh, Le Vu; Martineau, Tim

    2003-01-01

    BACKGROUND: In Viet Nam, most of the public health staff (84%) currently works in rural areas, where 80% of the people live. To provide good quality health care services, it is important to develop strategies influencing staff motivation for better performance. METHOD: An exploratory qualitative

  9. Dietary patterns and health in the elderly : a north - south comparison in Europe

    NARCIS (Netherlands)

    Huijbregts, P.P.C.W.

    1997-01-01

    The aim of this thesis was to gain more insight into the role of dietary intake as a determinant of different aspects of health, e.g. cognitive function, functional status, self-rated health and mortality. Dietary patterns, obtained from cluster analysis or a healthy diet indicator (HDI),

  10. Renewable Energy Policy Fact sheet - Portugal

    International Nuclear Information System (INIS)

    2017-07-01

    The EurObserv'ER policy profiles give a snapshot of the renewable energy policy in the EU Member States. In Portugal, electricity from renewable sources from existing plants is mainly promoted through a feed-in tariff. Support to new RES plants can currently only be remunerated through the open energy market. For RES-H there is currently no direct support mechanism or fiscal benefit in place (as of January 2017); only indirect support. In the transport sector, the main incentives are a bio-fuel quota system and a tax exemption to small producers of bio-fuels

  11. Transnational citizenship : Latin Americans in Portugal

    OpenAIRE

    Padilla, Beatriz; Scaglione, Alejandra Ortiz

    2014-01-01

    Este artículo reflexiona sobre el ejercicio de la ciudadanía como consecuencia de la migración internacional, aplicado al caso de los latinoamericanos residentes en Portugal. Para ello adoptamos el concepto de ciudadanía transnacional por su maleabilidad, ya que permite considerar la perspectiva conjunta de los países de origen y de destino, así como también la influencia de las relaciones binacionales e internacionales. Nos preguntamos cómo se ejerce la ciudadanía transnacional en los espaci...

  12. Establishment of heart teams in Portugal.

    Science.gov (United States)

    Sousa Uva, M; Leite Moreira, A; Gavina, C; Pereira, H; Lopes, M G

    2014-01-01

    Whenever several therapeutic options exist, multidisciplinary decision-making is beneficial for the patient and for society at large. The main obstacles to the establishment of heart teams in Portugal are organizational and logistical. Implementing a heart team approach entails definition of the situations requiring multidisciplinary discussion, creation of clear lines of communication, written protocols and obtaining patient informed consent. The European Society of Cardiology guidelines define the clinical scenarios where intervention of the heart team is recommended. Copyright © 2013 Sociedade Portuguesa de Cardiologia. Published by Elsevier España. All rights reserved.

  13. Psicologia feminista em Portugal : dificuldades e conquistas

    OpenAIRE

    Saavedra, Luísa

    2010-01-01

    Pretende-se, com este artigo, fazer um balanço do que tem sido a Psicologia Feminista em Portugal. Tendo em conta que cada ciência comporta evoluções e posições epistemológicas e metodológicas distintas, começar-se-á por traçar em linhas gerais alguns marcos da psicologia no que diz respeito à forma de abordar as questões das mulheres e homens e definindo o que se entende por psicologia feminista. Seguidamente, serão evidenciados alguns aspectos políticos e sociais que condicionaram o desenvo...

  14. Deterministic tsunami hazard assessment of Sines - Portugal

    OpenAIRE

    Wronna, Martin

    2015-01-01

    Tese de mestrado em Ciências Geográficas, apresentada à Universidade de Lisboa, através da Faculdade de Ciências, 2015 Neste trabalho apresenta-se uma abordagem determinística de perigo de tsunamis considerando múltiplas fontes para a cidade costeira de Sines, Portugal. Tsunamis ou maremotos são eventos extremos, energeticamente elevados mas pouco frequentes. Normalmente são geradas por um deslocamento duma grande quantidade de água seja por erupções vulcânicas, colapso de caldeiras, desli...

  15. Current status of nucleonic gauges in Portugal

    International Nuclear Information System (INIS)

    Salgado, J.; Carvalho, F.G.; Manteigas, J.; Oliveira, C.; Goncalves, I.F.; Neves, J.; Cruz, C.

    2000-01-01

    The nucleonic gauges are largely used in Portugal industry, despite the fact that design and manufacturing of prototypes of nucleonic gauges is rather limited. The modernization of some industrial sectors (cement, paper and civil engineering) has enhanced applications of nucleonic gauges and has created local capability but new legislation tends to restrict further spread of them. The Institute of Nuclear Technology is the only applied research institution developing nucleonic gauges for moisture, thickness and density, and elemental analysis, as well as providing assistance in calibration, safe operation and maintenance of them. (author)

  16. Country policy profile - Portugal. October 2014

    International Nuclear Information System (INIS)

    2014-10-01

    In Portugal, electricity from renewable sources is mainly promoted through a feed-in tariff (FiT). The support regime for electricity generated from renewable energy sources (except large hydropower plants) is still in place for existing installations and for micro and mini generation units. Support to new installations can be provided through specific power granting tenders. There is currently no direct support mechanism for RES-H. In the transport sector, the main incentives are a bio-fuel quota system and a tax exemption to small producers (PPDs). The Portuguese progress report was released by the EC in June 2014 and no further policy changes have been documented since then

  17. Country policy profile - Portugal. August 2015

    International Nuclear Information System (INIS)

    2015-08-01

    In Portugal, electricity from renewable sources is mainly promoted through a feed-in tariff (FiT). The support regime for electricity generated from renewable energy sources (except large hydropower plants) is still in place for existing installations and for micro and mini generation units. Support to new installations can be provided through specific power granting tenders. There is currently no direct support mechanism for RES-H. In the transport sector, the main incentives are a bio-fuel quota system and a tax exemption to small producers (PPDs). The Portuguese progress report was released by the EC in June 2014

  18. Occupational exposure in the National Health Service - the North Western Region

    International Nuclear Information System (INIS)

    Pratt, T.A.; Sweeney, J.K.

    1991-01-01

    Following the introduction of the Ionising Radiations Regulations 1985, a review of the level of occupational exposure in the NHS in the North Western Region was undertaken to ascertain whether any person needed to be designated as a classified person and to demonstrate compliance with the regulations concerning non-classified persons working in controlled areas. The initial survey of the 1986 dose data indicated that the level of whole-body occupational dose received by the vast majority of NHS employees was, as expected, extremely low. However, the survey also identified a group of staff involved in brachytherapy who did receive relatively high occupational doses. Operational procedures were reviewed and further dose reduction methods implemented; these, together with the continuing introduction of remotely controlled afterloading techniques, has led to a significant reduction in both individual and collective doses in this group and since 1988 no individual has received a whole-body dose exceeding 10 mSv. (author)

  19. Nurses in advanced roles: a review of acceptability in Portugal Las enfermeras de competencias avanzadas: una revisión de aceptación en Portugal Enfermeiros em funções avançadas: uma análise da aceitação em Portugal

    Directory of Open Access Journals (Sweden)

    James Buchan

    2013-02-01

    Full Text Available OBJECTIVE: This paper focuses on the policy context for the deployment of nurses in advanced roles, with particular reference to Portugal. The health sector in Portugal, as in all countries, is labour intensive, and the scope to utilise nurses in more advanced roles is currently being debated. METHODS: Mixed methods were used: an analysis of international data on the nursing workforce; an analysis of documents and media articles; interviews with key-informants; an online survey of managers, and a technical workshop with key-informants. CONCLUSIONS: The limited evidence base on nurses in advanced roles in Portugal is a constraint on progress, but it is not an excuse for inaction. Further research in Portugal on health professionals in innovative roles would assist in informing policy direction. There is the need to move forward with a fully informed policy dialogue, taking account of the current political, economic and health service realities of Portugal.OBJETIVO: Este estudio se focaliza en el contexto político del desarrollo de competencias avanzadas de enfermería, con énfasis en el caso portugués. El sector de la salud en Portugal, como en todos los países, es intensivo en mano de obra, y la posibilidad de utilizar enfermeros en funciones más avanzadas está actualmente en debate. MÉTODOS: Fue utilizado una aproximación mixta: análisis de datos internacionales sobre la fuerza de trabajo de enfermería; análisis de documentos y noticias; entrevistas con informadores clave; un cuestionario online y una oficina técnica con informadores clave. CONCLUSIONES: La limitada base de evidencia sobre la extensión de competencias de los enfermeros en Portugal es un obstáculo para el progreso pero no es una excusa para la inacción. Investigación adicional sobre profesionales de la salud en papeles innovadores podría ayudar a informar y direccionar la decisión política. Es necesario avanzar con un diálogo político plenamente informado

  20. Acculturation and self-reported health among Hispanics using a socio-behavioral model: the North Texas Healthy Heart Study.

    Science.gov (United States)

    Johnson, Katandria L; Carroll, Joan F; Fulda, Kimberly G; Cardarelli, Kathryn; Cardarelli, Roberto

    2010-02-02

    Acculturation is a continuous, firsthand contact with other cultures functioning at both group and individual levels and is reflected in our culturally diverse society, calling for a greater understanding of the environmental and cultural impact on health. Self-reported health (SRH), a robust and well validated predictor of future mortality for all racial/ethnic groups, has been differentially reported by Hispanics compared to whites, especially based on their acculturation status. This study investigated the relationship between acculturation and SRH among Hispanics. An adapted Andersen framework was used to develop logistic regression models to assess for an association between acculturation and general health status. Hispanic participants (n = 135), as part of the North Texas Healthy Heart Study, were administered standardized questionnaires on acculturation, psychosocial measures which included sense of control, stress, depression and social support and a single item SRH measure. In addition, physiological measurements and demographic characteristics including age, gender, body mass index, medical history, and socioeconomic status were also obtained. Bivariate analyses found Mexican-oriented participants 3.16 times more likely to report fair/poor SRH compared to Anglo-oriented Hispanics. Acculturation was also associated with SRH in multiple regression models controlling for enabling, need, and predisposing factors together (OR: 3.53, 95% CI: 1.04, 11.97). Acculturation status was associated with SRH after accounting for other underlying factors. Medical and public health professionals should promote the use of acculturation measures in order to better understand its role in Hispanic behaviors, health outcomes and health care use. Such research findings will contribute to the design of culturally sensitive prevention and treatment strategies for diverse and immigrant populations.

  1. Acculturation and self-reported health among Hispanics using a socio-behavioral model: the North Texas Healthy Heart Study

    Directory of Open Access Journals (Sweden)

    Fulda Kimberly G

    2010-02-01

    Full Text Available Abstract Background Acculturation is a continuous, firsthand contact with other cultures functioning at both group and individual levels and is reflected in our culturally diverse society, calling for a greater understanding of the environmental and cultural impact on health. Self-reported health (SRH, a robust and well validated predictor of future mortality for all racial/ethnic groups, has been differentially reported by Hispanics compared to whites, especially based on their acculturation status. This study investigated the relationship between acculturation and SRH among Hispanics. An adapted Andersen framework was used to develop logistic regression models to assess for an association between acculturation and general health status. Methods Hispanic participants (n = 135, as part of the North Texas Healthy Heart Study, were administered standardized questionnaires on acculturation, psychosocial measures which included sense of control, stress, depression and social support and a single item SRH measure. In addition, physiological measurements and demographic characteristics including age, gender, body mass index, medical history, and socioeconomic status were also obtained. Results Bivariate analyses found Mexican-oriented participants 3.16 times more likely to report fair/poor SRH compared to Anglo-oriented Hispanics. Acculturation was also associated with SRH in multiple regression models controlling for enabling, need, and predisposing factors together (OR: 3.53, 95% CI: 1.04, 11.97. Conclusions Acculturation status was associated with SRH after accounting for other underlying factors. Medical and public health professionals should promote the use of acculturation measures in order to better understand its role in Hispanic behaviors, health outcomes and health care use. Such research findings will contribute to the design of culturally sensitive prevention and treatment strategies for diverse and immigrant populations.

  2. Public health assessment for Munisport landfill, North Miami, Dade County, Florida, Region 4. CERCLIS No. FLD084535442. Final report

    International Nuclear Information System (INIS)

    1993-01-01

    The Munisport Landfill site is an inactive landfill in, and owned by, the City of North Miami, Florida. The site is an urban area adjacent to the Oleta River Recreational Area, a state mangrove preserve, and Biscayne Bay. Soil, sediments, surface water, and ground water are contaminated. The authors selected ammonia, benzene, di(2-ethylhexyl)phthalate, cadmium, carbon disulfide, chloromethane, coliform bacteria, dieldrin, lead, methylene chloride, pentachlorophenol, polychlorinated biphenyls (PCBs), styrene, vanadium, and zinc as contaminants of concern. Accidentally ingesting contaminated soil and surface water, and breathing contaminated smoke are completed human exposure pathways. Children who swam in the landfill lakes risked bacterial and viral infections. Based on the available data, the authors categorize the Munisport Landfill site as an indeterminate public health hazard

  3. Performance indicators for clinical practice management in primary care in Portugal: consensus from a Delphi study.

    Science.gov (United States)

    Basto-Pereira, Miguel; Furtado, Sara Isabel Félix; Silva, Ricardo Jorge Pereira; Fachado González, Francisco; Vara Fernandes, Tito Manuel; Correia de Sousa, Jaime; Yaphe, John

    2015-03-01

    Performance indicators assessing the quality of medical care and linked to pay for performance may cause disagreement. Portuguese indicators included in recent health care reform are controversial. To obtain consensus from opinion leaders in family medicine regarding the performance indicators for practice management used in the evaluation of Family Health Units in Portugal. Eighty-nine specialists in primary care were invited to answer the following question in an online Delphi study: 'Which performance indicators should be assessed regarding the organization and management of clinical practice in primary care in Portugal?' A Likert scale was used to evaluate validity, reliability, feasibility and sensitivity to change. Twenty-seven experts participated in the second round and achieved a high degree of consensus. Eight categories were created for analysis. The experts suggested the use of existing indicators as well as new indicators. Thirty-nine indicators suggested by the experts are currently in use in Portugal. The assessment of the number of clinical acts performed, the number of administrative acts, and evaluation of the clinical demographic profile achieved a high degree of consensus. The expert panel suggested fifty new indicators. Five categories of these new indicators had a high degree of consensus, and three categories had a low degree of consensus. The expert panel recommended that performance indicators of practice management should first assess the quantity of clinical and administrative activities undertaken. These indicators must take into account the human and financial resources available to the clinic and its demographic context.

  4. Availability of medicines in public sector health facilities of two North Indian States.

    Science.gov (United States)

    Prinja, Shankar; Bahuguna, Pankaj; Tripathy, Jaya Prasad; Kumar, Rajesh

    2015-12-23

    Access to free essential medicines is a critical component of universal health coverage. However availability of essential medicines is poor in India with more than two-third of the people having limited or no access. This has pushed up private out-of-pocket expenditure due to medicines. The states of Punjab and Haryana are in the process of institutionalizing drug procurement models to provide uninterrupted access to essential medicines free of cost in all public hospitals and health centres. We undertook this study to assess the availability of medicines in public sector health facilities in the 2 states. Secondly, we also ascertained the quality of storage and inventory management systems in health facilities. The present study was carried out in 80 public health facilities across 12 districts in Haryana and Punjab states. Overall, within each state 1 MC, 6 DHs, 11 CHCs and 22 PHCs were selected for the study. Drug procurement mechanisms in both the states were studied through document reviews and in-depth interviews with key stakeholders. Stock registers were reviewed to collect data on availability of a basket of essential medicines -92 at Primary Health Centre (PHC) level, 132 at Community Health Centre (CHC) level and 160 at tertiary care (District Hospital/Medical College) level. These essential medicines were selected based on the Essential Medicine List (EML) of the Department of Health (DOH). Overall availability of medicines was 45.2% and 51.1% in Punjab and Haryana respectively. Availability of anti-hypertensives was around 60% in both the states whereas for anti-diabetics it was 44% and 47% in Punjab and Haryana respectively. Atleast one drug in each of the categories including analgesic/antipyretic, anti-helminthic, anti-spasmodic, anti-emetic, anti-hypertensive and uterotonics were nearly universally available in public sector facilities. On the contrary, medicines such as thrombolytics, anti-cancer and endocrine medicines were available in less

  5. Eimeria infections in goats in Southern Portugal

    Directory of Open Access Journals (Sweden)

    Liliana Machado Ribeiro da Silva

    Full Text Available Coccidiosis caused by Eimeria species is a major form of intestinal infection affecting intensively and semi-intensively reared goats. The province of Alentejo is the main goat-producing area in Portugal. Therefore, all 15 Serpentina goat farms in Alentejo were analyzed regarding the occurrence and diversity of Eimeria species. Fecal samples obtained from 144 animals (52.1% dairy goats, 47.9% pre-pubertal goats were examined using the modified McMaster technique to determine the number of oocysts per gram of feces. Eimeria spp. oocysts were present in 98.61% of the fecal samples and, overall, nine different Eimeria species were identified. The most prevalent species were E. ninakohlyakimovae (88% and E. arloingi (85%, followed by E. alijevi (63% and E. caprovina(63%. The average number of oocysts shed was significantly lower in dairy goats than in pre-adult animals. Astonishingly, no clinical signs of coccidiosis were observed in any of the animals examined, even though they were shedding high numbers of oocysts and were infected with highly pathogenic species. Thus, implementation of routine diagnostic investigation of the occurrence and diversity of caprine Eimeria species may be a useful tool for determination and better understanding of their potential economic impact on goat herds in southern Portugal.

  6. Water Access, Sanitation, and Hygiene Conditions and Health Outcomes among Two Settlement Types in Rural Far North Cameroon

    Science.gov (United States)

    Gorham, Tyler J.; Yoo, Joshua; Garabed, Rebecca; Mouhaman, Arabi; Lee, Jiyoung

    2017-01-01

    The Far North region in Cameroon has been more heavily impacted by cholera than any other region over the past decade, but very little has been done to study the drivers of waterborne diseases in the region. We investigated the relationship between water, sanitation, and hygiene (WASH) parameters, microbial and antibiotic resistance (AR) contamination levels in drinking water, and health outcomes using health survey and molecular analysis during June and July of 2014 in two settlement types (agro-pastoralist villages and transhumant pastoralist camps). Quantitative polymerase chain reaction was used to determine fecal contamination sources, enteric pathogens, and antibiotic resistance genes. Ruminant-associated fecal contamination was widespread in both settlement types (81.2%), with human-associated contamination detected in 21.7% of the samples. Salmonella spp. (59.4%) and Shiga toxin-producing E. coli (stx1 44.9% and stx2 31.9%) were detected across all samples. Tetracycline resistance was found only in village samples. A significant difference in diarrheal incidence within the past 28 days among young children was found between camps (31.3%) and villages (0.0%). Our findings suggest that water contamination may play an important role in contributing to gastrointestinal illness, supporting the need for future research and public health intervention to reduce gastrointestinal illness in the area. PMID:28425935

  7. Water Access, Sanitation, and Hygiene Conditions and Health Outcomes among Two Settlement Types in Rural Far North Cameroon.

    Science.gov (United States)

    Gorham, Tyler J; Yoo, Joshua; Garabed, Rebecca; Mouhaman, Arabi; Lee, Jiyoung

    2017-04-20

    The Far North region in Cameroon has been more heavily impacted by cholera than any other region over the past decade, but very little has been done to study the drivers of waterborne diseases in the region. We investigated the relationship between water, sanitation, and hygiene (WASH) parameters, microbial and antibiotic resistance (AR) contamination levels in drinking water, and health outcomes using health survey and molecular analysis during June and July of 2014 in two settlement types (agro-pastoralist villages and transhumant pastoralist camps). Quantitative polymerase chain reaction was used to determine fecal contamination sources, enteric pathogens, and antibiotic resistance genes. Ruminant-associated fecal contamination was widespread in both settlement types (81.2%), with human-associated contamination detected in 21.7% of the samples. Salmonella spp. (59.4%) and Shiga toxin-producing E. coli ( stx 1 44.9% and stx 2 31.9%) were detected across all samples. Tetracycline resistance was found only in village samples. A significant difference in diarrheal incidence within the past 28 days among young children was found between camps (31.3%) and villages (0.0%). Our findings suggest that water contamination may play an important role in contributing to gastrointestinal illness, supporting the need for future research and public health intervention to reduce gastrointestinal illness in the area.

  8. Changes in North Carolina maternal health service use and outcomes among medicaid-enrolled pregnant women during state budget cuts.

    Science.gov (United States)

    Cilenti, Dorothy; Kum, Hye-Chung; Wells, Rebecca; Whitmire, J Timothy; Goyal, Ravi K; Hillemeier, Marianne M

    2015-01-01

    The recent recession has weakened the US health and human service safety net. Questions about implications for mothers and children prompted this study, which tested for changes in maternal service use and outcomes among North Carolina women with deliveries covered through Medicaid before and after a year of significant state budget cuts. Data for Medicaid covered deliveries from April-June 2009 (pre) and from April-June 2010 (post) were derived from birth certificates, Medicaid claims and eligibility files, and WIC (Special Supplemental Food Program for Women, Infants and Children) records. These time periods represent the quarter immediately before as well as the final quarter of a state fiscal year 2010 (July 2009-June 2010) characterized by substantial state budget cuts, including an October 2009 reduction in reimbursement rates for maternity care coordination. We examined how often women received medical care, maternity care coordination, family planning services, and the average numbers of obstetrical encounters, as well as the prevalence of excessive pregnancy weight gain, preterm delivery, and low birth weight. By the end of a year of substantial state budget cuts, women covered through Medicaid had fewer obstetrical visits in all trimesters as well as postpartum (P budget cuts. Maternal and infant child health outcomes measured in this study did not change during that year. Future monitoring is warranted to ensure that maternal health service access remains adequate.

  9. Post-fire vegetation dynamics in Portugal

    Science.gov (United States)

    Gouveia, C.; Dacamara, C. C.; Trigo, R. M.

    2009-04-01

    The number of fires and the extent of the burned surface in Mediterranean Europe have increased significantly during the last three decades. This may be due either to modifications in land-use (e.g. land abandonment and fuel accumulation) or to climatic changes (e.g. reduction of fuel humidity), both factors leading to an increase of fire risk and fire spread. As in the Mediterranean ecosystems, fires in Portugal have an intricate effect on vegetation regeneration due to the complexity of landscape structures as well as to the different responses of vegetation to the variety of fire regimes. A thorough evaluation of vegetation recovery after fire events becomes therefore crucial in land management. In the above mentioned context remote sensing plays an important role because of its ability to monitor and characterise post-fire vegetation dynamics. A number of fire recovery studies, based on remote sensing, have been conducted in regions characterised by Mediterranean climates and the use of NDVI to monitor plant regeneration after fire events was successfully tested (Díaz-Delgado et al., 1998). In particular, several studies have shown that rapid regeneration occurs within the first 2 years after the fire occurrences, with distinct recovery rates according to the geographical facing of the slopes (Pausas and Vallejo, 1999). In 2003 Portugal was hit by the most devastating sequence of large fires, responsible by a total burnt area of 450 000 ha (including 280 000 ha of forest), representing about 5% of the Portuguese mainland (Trigo et al., 2006). The aim of the present work is to assess and monitor the vegetation behaviour over Portugal following the 2003 fire episodes. For this purpose we have used the regional fields of the Normalized Difference Vegetation Index (NDVI) as obtained from the VEGETATION-SPOT5 instrument, from 1999 to 2008. We developed a methodology to identify large burnt scars in Portugal for the 2003 fire season. The vegetation dynamics was then

  10. Level of commitment of the fans of the Thermas of Centre of Portugal in Facebook

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    Maria Filomena Torres

    2016-05-01

    Full Text Available Social networks like Facebook have revolutionized communication strategies of the brands and its effects are clear and deep, and have transformed the way in which society is communicated to changed perceptions and social norms and, therefore, have transformed the dynamics of communication. In this sense, it is pertinent to analyze the presence of Termas of Centre of Portugal in social networks is essential, once that allows them to transmit information about their services and products.  The aim of this study is to measure, through digital indicators, the level of interaction of the Termas of Centre of Portugal (in the official pages of Facebook with his audience, in order to compare and measure the participation and interaction of each one of the pages with their users, and thus help managers to develop content strategies that make possible increasing the level of participation of the fans to the brand. The choice of Termas which are establishments where health care is provided, in which it is performed harnessing the therapeutic properties of a medicinal mineral water for prevention of ailments, therapeutic, etc., it is based on the importance today is acquiring health tourism in Portugal, being Termas its main representative. The working methodology is based on quantitative analysis using the analysis of digital metrics PageMarch and Kaushik together with an analysis of the content of the official website of Termas on Facebook. The sampling process was non-probabilistic intentional and collection was carried out between June and October 2015.It is observed that the amount of information available on the pages, just for them, is not responsible for the increased level of commitment. It was verified that most of the pages of the Termas of Centre of Portugal on Facebook, do not take this tool, which Facebook has become, in order to communicate through Electronic Word-of-mouse with your audience.

  11. A survey of elephant husbandry and foot health in North American zoos.

    Science.gov (United States)

    Lewis, Karen D; Shepherdson, David J; Owens, Terrah M; Keele, Mike

    2010-01-01

    The foot health of elephants in human care is a longstanding concern. In 2001, the AZA Standards for Elephant Management and Care were published recommending husbandry to improve foot health. This article reports the results of a 2006 survey: basic statistics describing facility, husbandry, and foot health attributes are reported and relationships among variables are investigated. Median area available to elephants exceeded Standard recommendations (755 ft(2) per elephant indoor and 10,000 ft(2) outdoor). Concrete makes up 69% of indoor area and natural substrates account for 85% of outdzoor area. Elephants in AZA facilities received an average of 45.5 min/day of exercise, and facilities with a structured exercise plan provided significantly more exercise than did facilities without a structured exercise plan (z=-2.522, P=0.012). Enrichment is important to psychological health and may also stimulate activity beneficial to foot health; 95% of institutions had a structured enrichment program. Preventative foot care was nearly universal, and 100% of facilities performed routine nail and pad trimming. However, foot pathology has not been eradicated; 33% of institutions reported at least one pathology in the previous year. This study found a strong inverse relationship between foot pathology and exercise (chi(2)(3)=24.34, Pelephants seemed to experience lower rates of foot pathology and arthritis than Asian elephants; however, this was explained by differences in age.

  12. What do we know about health-related knowledge translation in the Circumpolar North? Results from a scoping review

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    M. Ellen McDonald

    2016-04-01

    Full Text Available Background: Health research knowledge translation (KT is important to improve population health outcomes. Considering social, geographical and cultural contexts, KT in Inuit communities often requires different methods than those commonly used in non-Inuit populations. Objectives: To examine the extent, range and nature of literature about health-related KT in Inuit communities. Design: A scoping review was conducted. A search string was used to search 2 English aggregator databases, ProQuest and EBSCOhost, on 12 March 2015. Study selection was conducted by 2 independent reviewers using inclusion and exclusion criteria. To be included, studies had to explicitly state that KT approaches were used to share human health research results in Inuit communities in the Circumpolar North. Articles that evaluated or assessed KT approaches were thematically analysed to identify and characterize elements that contributed to KT success or challenges. Results: From 680 unique records identified in the initial search, 39 met the inclusion criteria and were retained for analysis. Of these 39 articles, 17 evaluated the KT approach used; thematic analysis identified 3 themes within these 17 articles: the value of community stakeholders as active members in the research process; the importance of local context in tailoring KT strategies and messaging; and the challenges with varying and contradictory health messaging in KT. A crosscutting gap in the literature, however, included a lack of critical assessment of community involvement in research. The review also identified a gap in assessments of KT in the literature. Research primarily focused on whether KT methods reflected the local culture and needs of the community. Assessments rarely focused on whether KT had successfully elicited its intended action. Conclusions: This review synthesized a small but burgeoning area of research. Community engagement was important for successful KT; however, more discussion and

  13. What do we know about health-related knowledge translation in the Circumpolar North? Results from a scoping review

    Science.gov (United States)

    McDonald, M. Ellen; Papadopoulos, Andrew; Edge, Victoria L.; Ford, James; Sumner, Alison; Harper, Sherilee L.

    2016-01-01

    Background Health research knowledge translation (KT) is important to improve population health outcomes. Considering social, geographical and cultural contexts, KT in Inuit communities often requires different methods than those commonly used in non-Inuit populations. Objectives To examine the extent, range and nature of literature about health-related KT in Inuit communities. Design A scoping review was conducted. A search string was used to search 2 English aggregator databases, ProQuest and EBSCOhost, on 12 March 2015. Study selection was conducted by 2 independent reviewers using inclusion and exclusion criteria. To be included, studies had to explicitly state that KT approaches were used to share human health research results in Inuit communities in the Circumpolar North. Articles that evaluated or assessed KT approaches were thematically analysed to identify and characterize elements that contributed to KT success or challenges. Results From 680 unique records identified in the initial search, 39 met the inclusion criteria and were retained for analysis. Of these 39 articles, 17 evaluated the KT approach used; thematic analysis identified 3 themes within these 17 articles: the value of community stakeholders as active members in the research process; the importance of local context in tailoring KT strategies and messaging; and the challenges with varying and contradictory health messaging in KT. A crosscutting gap in the literature, however, included a lack of critical assessment of community involvement in research. The review also identified a gap in assessments of KT in the literature. Research primarily focused on whether KT methods reflected the local culture and needs of the community. Assessments rarely focused on whether KT had successfully elicited its intended action. Conclusions This review synthesized a small but burgeoning area of research. Community engagement was important for successful KT; however, more discussion and discourse on the

  14. Measuring Efficiency of Health Systems of the Middle East and North Africa (MENA) Region Using Stochastic Frontier Analysis.

    Science.gov (United States)

    Hamidi, Samer; Akinci, Fevzi

    2016-06-01

    The main purpose of this study is to measure the technical efficiency of twenty health systems in the Middle East and North Africa (MENA) region to inform evidence-based health policy decisions. In addition, the effects of alternative stochastic frontier model specification on the empirical results are examined. We conducted a stochastic frontier analysis to estimate the country-level technical efficiencies using secondary panel data for 20 MENA countries for the period of 1995-2012 from the World Bank database. We also tested the effect of alternative frontier model specification using three random-effects approaches: a time-invariant model where efficiency effects are assumed to be static with regard to time, and a time-varying efficiency model where efficiency effects have temporal variation, and one model to account for heterogeneity. The average estimated technical inefficiency of health systems in the MENA region was 6.9 % with a range of 5.7-7.9 % across the three models. Among the top performers, Lebanon, Qatar, and Morocco are ranked consistently high according to the three different inefficiency model specifications. On the opposite side, Sudan, Yemen and Djibouti ranked among the worst performers. On average, the two most technically efficient countries were Qatar and Lebanon. We found that the estimated technical efficiency scores vary substantially across alternative parametric models. Based on the findings reported in this study, most MENA countries appear to be operating, on average, with a reasonably high degree of technical efficiency compared with other countries in the region. However, there is evidence to suggest that there are considerable efficiency gains yet to be made by some MENA countries. Additional empirical research is needed to inform future health policies aimed at improving both the efficiency and sustainability of the health systems in the MENA region.

  15. The Great Recession in Portugal: impact on hospital care use.

    Science.gov (United States)

    Perelman, Julian; Felix, Sónia; Santana, Rui

    2015-03-01

    The Great Recession started in Portugal in 2009, coupled with severe austerity. This study examines its impact on hospital care utilization, interpreted as caused by demand-side effects (related to variations in population income and health) and supply-side effects (related to hospitals' tighter budgets and reduced capacity). The database included all in-patient stays at all Portuguese NHS hospitals over the 2001-2012 period (n=17.7 millions). We analyzed changes in discharge rates, casemix index, and length of stay (LOS), using a before-after methodology. We additionally measured the association of health care indicators to unemployment. A 3.2% higher rate of discharges was observed after 2009. Urgent stays increased by 2.5%, while elective in-patient stays decreased by 1.4% after 2011. The LOS was 2.8% shorter after the crisis onset, essentially driven by the 4.5% decrease among non-elective stays. A one percentage point increase in unemployment rate was associated to a 0.4% increase in total volume, a 2.3% decrease in day cases, and a 0.1% decrease in LOS. The increase in total and urgent cases may reflect delayed out-patient care and health deterioration; the reduced volume of elective stays possibly signal a reduced capacity; finally, the shorter stays may indicate either efficiency-enhancing measures or reduced quality. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

  16. Burden and cost of neurological diseases: a European North-South comparison.

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    Raggi, A; Leonardi, M

    2015-07-01

    To address the relationship between years lived with a disability (YLDs), prevalence and cost of neurological diseases, and to test whether there is a European North-South gradient for national health expenditure, disability, costs and prevalence of neurological diseases. Information on costs, prevalence and YLDs referred to 2010 were taken from the Study on the Cost of Disorders of the Brain and from the Global Burden of Disease study; data on health expenditure were taken from OECD reports. Selected conditions were as follows: brain tumours, stroke, dementia, Parkinson's disease, epilepsy, multiple sclerosis, migraine and tension-type headache; selected countries were from North (Denmark, Finland, Norway, Sweden) and South (Greece, Italy, Portugal, Spain) Europe. The association between the variables for each condition was tested using Spearman's correlation; Wilcoxon signed ranks test was used to test North-South Europe differences. Correlations were largely non-significant (except for stroke). YLDs and cost were generally lower in South-European countries, and prevalence was lower in North-European countries, but no significant differences were found. Health expenditure, YLDs, costs and prevalence of neurological conditions were generally not correlated across the eight countries. A clear North-South gradient was found for health expenditures, and partially for YLDs, costs and diseases' prevalence. We hypothesized that this is a consequence of the expansion of morbidity of neurological conditions connected to ageing, that health and welfare systems of selected countries were not prepared to face. © 2014 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  17. Baseline reef health surveys at Bangka Island (North Sulawesi, Indonesia reveal new threats

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    Massimo Ponti

    2016-10-01

    Full Text Available Worldwide coral reef decline appears to be accompanied by an increase in the spread of hard coral diseases. However, whether this is the result of increased direct and indirect human disturbances and/or an increase in natural stresses remains poorly understood. The provision of baseline surveys for monitoring coral health status lays the foundations to assess the effects of any such anthropogenic and/or natural effects on reefs. Therefore, the objectives of this present study were to provide a coral health baseline in a poorly studied area, and to investigate possible correlations between coral health and the level of anthropogenic and natural disturbances. During the survey period, we recorded 20 different types of coral diseases and other compromised health statuses. The most abundant were cases of coral bleaching, followed by skeletal deformations caused by pyrgomatid barnacles, damage caused by fish bites, general pigmentation response and galls caused by cryptochirid crabs. Instances of colonies affected by skeletal eroding bands, and sedimentation damage increased in correlation to the level of bio-chemical disturbance and/or proximity to villages. Moreover, galls caused by cryptochirid crabs appeared more abundant at sites affected by blast fishing and close to a newly opened metal mine. Interestingly, in the investigated area the percentage of corals showing signs of ‘common’ diseases such as black band disease, brown band disease, white syndrome and skeletal eroding band disease were relatively low. Nevertheless, the relatively high occurrence of less common signs of compromised coral-related reef health, including the aggressive overgrowth by sponges, deserves further investigation. Although diseases appear relatively low at the current time, this area may be at the tipping point and an increase in activities such as mining may irredeemably compromise reef health.

  18. CHINESE ENTREPRENEURIAL ACTIVITY IN PORTUGAL: TRADITIONAL ETHNIC STRATEGIES?

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    Catarina Reis Oliveira

    2010-12-01

    Full Text Available In Portugal in recent decades, just like in other welcoming countries, immigrants have reached levels of entrepreneurial activity that are higher than those of autochthonous citizens. However, a deeper analysis of the official data shows that not all immigrant groups have the same tendency to become entrepreneurs. In this respect, the Chinese stand out as being the group with the highest ratio of entrepreneurial activity in Portugal, despite the fact that their migration is a relatively recent phenomenon. What factors can explain the Chinese community’s disproportionate rate of entrepreneurial initiative? Do they possess any particular resources that make them more enterprising than the autochthonous population, or than other groups of immigrants? Does the context of Portugal hamper certain opportunities or in some way limit their economic integration into the job market? Do we find similar business strategies among other Chinese entrepreneurs residing in welcoming societies apart from that of Portugal? Why did Chinese business initiative grow at such an exceptional rate in Portugal in the late 1990s? By seeking answers to these questions, this article attempts to examine Chinese business strategies in Portugal, as well as their exceptional success rate in comparison with other entrepreneurial immigrants. To that end, the author has analysed the data gathered in a survey carried out on 309 Chinese entrepreneurs resident in Portugal (see Oliveira, 2005.

  19. Occupational Stress, Organisational Commitment, and Ill-Health of Educators in the North West Province

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    Jackson, Leon; Rothmann, Sebastiaan

    2006-01-01

    The objectives were to analyse the occupational stress of educators, to determine the differences between occupational stress and strain of educators in different biographical groups, and to assess the relationship between occupational stress, organisational commitment and ill-health. A cross-sectional survey design was used. A stratified random…

  20. True North: Building Imaginary Worlds with the Revised Canadian (CADTH Guidelines for Health Technology Assessment

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    Paul C Langley

    2017-05-01

    Full Text Available In March 2017 the Canadian Agency for Drugs and Technologies in Health (CADTH released the 4th edition of their Guidelines for the Economic Evaluation of Health Technologies: Canada. These guidelines, which were first published and revised for a 3rd edition in 2006 are intended to help decision makers, health systems leaders and policy makers make well-informed decisions. They are designed, apparently, to support best practice in conducting health technology assessments in Canada. The purpose of this commentary is to consider whether or not the evidence standards proposed and the consequent modeled claims for economic effectiveness meet the standards of normal science: are the CADTH standards capable of generating claims for competing products that are credible, evaluable and replicable? The review argues that the standards proposed by CADTH do not meet the standards expected in normal science. Technical sophistication in building reference case imaginary worlds is not a substitute for claims that are experimentally evaluable or capable of assessment through systematic observation. There is no way of judging whether imaginary claims are right or even if they are wrong. CADTH is not alone in setting standards that fail to meet the standards of normal science. Recent commentaries on formulary submission guidelines in a number of other countries, to include Ireland, the Netherlands, France, Australia, the UK and New Zealand conclude that they are subject to the same criticism. If the CADTH guidelines were never intended to support feedback to health system decision makers, then this should be made clear. If not, then consideration should be given to withdrawing the guidelines to ensure they conform to these standards. Hopefully, future versions of the CADTH guidelines will address this issue and focus on a rigorous research program of claims assessment and feedback and not the building of imaginary worlds.   Type:  Commentary

  1. Essai de Phytoclimatologie dynamique dans le nord du Portugal, et réflexion sur les climats mediterranéens portugais

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    Ana Isabel D. Correia

    1996-05-01

    Full Text Available A STUDY IN DYNAMIC PHYTOCLIMATOLOGY IN THE NORTH OF PORTUGAL AND THE QUESTION OF MEDITERRANEAN CLIMATES IN PORTUGAL - The climate-vegetation relation in the north of Portugal is studied in a new way. The dynamic continuity of the climate is revealed by the existence of botanical "continuums". The vegetation sampling was made along a continous NW-SE line transect, 185 km long, parallel to the strongest pluviometric gradient. Multivariate analysis and some of the applications of the information theory were used in the floristic study. In the climate study the spatial patterns of daily values of precipitation were analysed for a period of three years. This description was also done by means of multivariate analysis, including CCA for the aerological explanation. A "threshold of hydric satisfaction", around 1400mm of mean annual rainfall seems to determine the existence of an Atlantic vegetation, between the Alvão and Falperra mountains and the Ocean. This vegetation is homogeneous because it does not respond to the udometric variations above this level. To the east, the Atlantic vegetation rapidly dissapears. The comparison between daily precipitation regimes in the different stations and the dynamic interpretation of the differences bring some light to the discussion about the climate in the NW of the Iberian Peninsula: is it an Atlantic or a Mediterranean climate? In the maritime coast of Portugal these two influences mingle, as opposed to the sheltered interior provinces.

  2. Perceptions, practices and health seeking behaviour constrain JE/AES interventions in high endemic district of North India

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    Sanjay Chaturvedi

    2017-08-01

    Full Text Available Abstract Background Acute Encephalitis Syndrome (AES and Japanese Encephalitis (JE stay as poorly understood phenomena in India. Multiple linkages to determinants such as poverty, socio-economic status, gender, environment, and population distribution, make it a greater developmental issue than just a zoonotic disease. Methods A qualitative study was conducted to map knowledge, perceptions and practices of community and health systems level stakeholders. Seventeen interviews with utilizers of AES care, care givers from human and veterinary sectors, Non-governmental Organizations (NGOs, and pig owners and 4 Focused Group Discussions (FGDs with farmers, community leaders, and students were conducted in an endemic north Indian district-Kushinagar. Results Core themes that emerged were: JE/AES been perceived as a deadly disease, but not a major health problem; filthy conditions, filthy water and mosquitoes seen to be associated with JE/AES; pigs not seen as a source of infection; minimal role of government health workers in the first-contact care of acute Illness; no social or cultural resistance to JE vaccination or mosquito control; no gender-based discrimination in the care of acute Illness; and non-utilization of funds available with local self govt. Serious challenges and systematic failures in delivery of care during acute illness, which can critically inform the health systems, were also identified. Conclusion There is an urgent need for promotive interventions to address lack of awareness about the drivers of JE/AES. Delivery of care during acute illness suffers with formidable challenges and systematic failures. A large portion of mortality can be prevented by early institution of rational management at primary and secondary level, and by avoiding wastage of time and resources for investigations and medications that are not actually required.

  3. Perceptions, practices and health seeking behaviour constrain JE/AES interventions in high endemic district of North India.

    Science.gov (United States)

    Chaturvedi, Sanjay; Sharma, Neha; Kakkar, Manish

    2017-08-08

    Acute Encephalitis Syndrome (AES) and Japanese Encephalitis (JE) stay as poorly understood phenomena in India. Multiple linkages to determinants such as poverty, socio-economic status, gender, environment, and population distribution, make it a greater developmental issue than just a zoonotic disease. A qualitative study was conducted to map knowledge, perceptions and practices of community and health systems level stakeholders. Seventeen interviews with utilizers of AES care, care givers from human and veterinary sectors, Non-governmental Organizations (NGOs), and pig owners and 4 Focused Group Discussions (FGDs) with farmers, community leaders, and students were conducted in an endemic north Indian district-Kushinagar. Core themes that emerged were: JE/AES been perceived as a deadly disease, but not a major health problem; filthy conditions, filthy water and mosquitoes seen to be associated with JE/AES; pigs not seen as a source of infection; minimal role of government health workers in the first-contact care of acute Illness; no social or cultural resistance to JE vaccination or mosquito control; no gender-based discrimination in the care of acute Illness; and non-utilization of funds available with local self govt. Serious challenges and systematic failures in delivery of care during acute illness, which can critically inform the health systems, were also identified. There is an urgent need for promotive interventions to address lack of awareness about the drivers of JE/AES. Delivery of care during acute illness suffers with formidable challenges and systematic failures. A large portion of mortality can be prevented by early institution of rational management at primary and secondary level, and by avoiding wastage of time and resources for investigations and medications that are not actually required.

  4. Multi-pollutant surface objective analyses and mapping of air quality health index over North America.

    Science.gov (United States)

    Robichaud, Alain; Ménard, Richard; Zaïtseva, Yulia; Anselmo, David

    2016-01-01

    Air quality, like weather, can affect everyone, but responses differ depending on the sensitivity and health condition of a given individual. To help protect exposed populations, many countries have put in place real-time air quality nowcasting and forecasting capabilities. We present in this paper an optimal combination of air quality measurements and model outputs and show that it leads to significant improvements in the spatial representativeness of air quality. The product is referred to as multi-pollutant surface objective analyses (MPSOAs). Moreover, based on MPSOA, a geographical mapping of the Canadian Air Quality Health Index (AQHI) is also presented which provides users (policy makers, public, air quality forecasters, and epidemiologists) with a more accurate picture of the health risk anytime and anywhere in Canada and the USA. Since pollutants can also behave as passive atmospheric tracers, they provide information about transport and dispersion and, hence, reveal synoptic and regional meteorological phenomena. MPSOA could also be used to build air pollution climatology, compute local and national trends in air quality, and detect systematic biases in numerical air quality (AQ) models. Finally, initializing AQ models at regular time intervals with MPSOA can produce more accurate air quality forecasts. It is for these reasons that the Canadian Meteorological Centre (CMC) in collaboration with the Air Quality Research Division (AQRD) of Environment Canada has recently implemented MPSOA in their daily operations.

  5. DIAGNOSIS OF SOLID WASTE MANAGEMENT OF PUBLIC HEALTH SERVICES IN A CITY OF NORTH MATO GROSSO

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    A. L. Paula

    2015-06-01

    Full Text Available This study aimed to describe the entire trajectory, from the production to the final disposal of waste from public health services (RSS, of a municipality in the northern of Mato Grosso state. Data collection was conducted from an interview applied to the representative of the Secretariat of the City, and also visits were held to some units that produce RSS, as the Family Health Strategy Units (ESF, and at the landfill, local used to dump such waste. The images, recorded in photographs were taken by the researcher. Data analysis was performed considering the steps of RSS management, determined by Resolutions of the National Council of Environment (CONAMA N º 358 of 29 April 2005 and Board Resolution No. 306, of December 7, 2004 from the National Health Surveillance Agency (ANVISA. Through data collection it was possible to observe that there is no a treatment step, all other steps being performed, although they are at odds with the laws of CONAMA and ANVISA

  6. Prevalence of trachoma in the Far North region of Cameroon: results of a survey in 27 Health Districts.

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    Blaise Noa Noatina

    Full Text Available BACKGROUND: Cameroon is known to be endemic with trachoma. To appreciate the burden of the disease and facilitate the national planning of trachoma control in the integrated control program for the neglected tropical diseases, an epidemiological mapping of trachoma was conducted in the Far North region in 2010-11. METHODOLOGY: A cross-sectional, cluster random sampling survey was carried out. The survey focused on two target populations: children aged 1 to 9 years for the prevalence of active trachoma and those aged 15 and over for the prevalence of trichiasis (TT. The sample frame was an exhaustive list of villages and neighborhoods of Health Districts (HDs. The World Health Organization simplified trachoma grading system was used for the recognition and registration of cases of trachoma. PRINCIPAL FINDINGS: 48,844 children aged 1 to 9 years and 41,533 people aged 15 and over were examined. In children aged 1-9 years, the overall prevalence of trachomatous inflammation-follicular (TF was 11.2% (95% confidence intervals (CI: 11.0-11.5%. More girls were affected than boys (p = 0.003. Thirteen (13 of 27 HDs in the region showed TF prevalence of ≥10%. The overall TT prevalence was 1.0% (95% CI: 0.9-1.1%. There were estimated 17193 (95% CI: 12576-25860 TT cases in the region. The prevalence of blindness was 0.04% (95% CI: 0.03-0.07% and visual impairment was 0.09% (95% CI: 0.07-0.13%. CONCLUSIONS/SIGNIFICANCE: The survey confirmed that trachoma is a public health problem in the Far North region with 13 HDs qualified for district-level mass drug administration with azithromycin. It provided a foundation for the national program to plan and implement the SAFE strategy in the region. Effort must be made to find resources to provide the surgical operations to the 17193 TT cases and prevent them from becoming blind.

  7. Spain and Portugal facing Euratom. Some considerations in the access of Spain and Portugal to Euratom

    International Nuclear Information System (INIS)

    Corretjer, L.; Lopez Rodriguez, M.

    1985-01-01

    The access of Spain and Portugal to the European Community of Atomic Energy (EURATOM) will give rise to significative consequences and it is a subject which must be thoroughly considered as to its implications regarding the present state of nuclear development in both countries and with regard to their reciprocal relations in nuclear energy matters. To determine such consequences and implications it is necessary, first of all, to analyze what EURATOM is and how it acts, in addition to consider the situation of each of its Member States as to the utilization of nuclear energy. As well, it is necessary to explain the evolution and the present situation of nuclear development in Spain and in Portugal and their mutual relations in this field. In pursuit of such analysis we may determine the possible consequences of their access; this is made bearing in mind each of the aspects in which EURATOM acts, according to the Treaty and the ''acquis communitaire'', and dividing them into common consequences and individual ones for both countries. The whole exposition, which was studied and carried out from an exclusively technical point of view, has a result the deduction of the joint possibilities offered to Spain and Portugal to make use of EURATOM's availabilities and of the joint actions which both countries may achieve to benefit as much as possible from their access to EURATOM. (author)

  8. Assessment of the environmental impacts and health benefits of a nitrogen emission control area in the North Sea

    Energy Technology Data Exchange (ETDEWEB)

    Hammingh, P.; Geilenkirchen, G. [Netherlands Environmental Assessment Agency PBL, Bilthoven (Netherlands); Maas, R. [National Institute of Public Health and Environmental Protection RIVM, Bilthoven (Netherlands); Holland, M.R. [Ecometrics Research and Consulting EMRC, Reading (United Kingdom); Jonson, J.E. [The Meteorological Synthesizing Centre - West MSC-W, Norwegian Meteorological Institute, Oslo (Norway)

    2012-06-15

    In the last five to ten years, concerns about the health and ecosystem effects of air polluting emissions from ships have grown in international policy debate regarding further air pollutant emissions control. As an outcome of the debate, the International Maritime Organisation (IMO) adopted more stringent emission standards in 2008 to further control air pollution from sea shipping. For example, their most stringent nitrogen oxide emission standards are about 75 per cent lower than the standards for current ships. However, these most stringent standards are only mandatory in specific emission control areas designated by the IMO. Such specific areas aim to protect densely populated areas and sensitive ecosystems from air pollution from nearby international shipping. Prior to a possible application for designation of a nitrogen oxide emission control area, the eight North Sea countries commissioned an assessment of the environmental impacts and health benefits (this report) and the economic impacts and costs (Danish EPA, 2012). The main conclusions of this assessment are presented and concisely explained below. A detailed elaboration of the work carried out, the results and the uncertainties can be found in 'Full results'.

  9. Linguatula serrata (Porocephalida: Linguatulidae Infection among Client-Owned Dogs in Jalingo, North Eastern Nigeria: Prevalence and Public Health Implications

    Directory of Open Access Journals (Sweden)

    Oseni Saheed Oluwasina

    2014-01-01

    Full Text Available Pentastomiasis is a parasitic zoonosis endemic to western and central Africa. This study was undertaken to determine the prevalence and public health implications of Linguatulosis in client-owned dogs in Jalingo, North Eastern Nigeria. Seven hundred and seventy seven (777 dogs brought for treatment at the hospital were subjected to buccal (sublingual examination for pentastomiasis. Parameters such as age, sex, and breeds were determined. Also, the months of the year were taken into consideration. An overall prevalence of 37.45% was recorded. Of the 477 dogs examined in 2010, 184 were positive representing prevalence of 38.57% and in 2011 107 were positive representing prevalence of 35.67%. The infection was higher in the male than in the female which does not differ significantly (P>0.05. There was no significant difference between sexes (P>0.05. However, significant difference (P<0.05 was observed between breeds and age of dogs examined. Season did not have much influence on the prevalence of Linguatulosis. The high prevalence of Linguatulosis in dogs and other animals found in this study highlights the need of improving preventative measures to reduce the rate of infection, which may pose a hazard to human health.

  10. Prevalence of Shigella among diarrheic children under-5 years of age attending at Mekelle health center, north Ethiopia.

    Science.gov (United States)

    Kahsay, Atsebaha Gebrekidan; Teklemariam, Zelalem

    2015-12-15

    Shigellosis is recognized as a major global public health problem especially in developing countries particularly in children under-5 years of age. Therefore; the objective of this study was to determine the prevalence of Shigella among diarrheic children under-5 years of age attending at Mekelle health center, north Ethiopia. A cross-sectional study was conducted among diarrheic children under-5 years of age from March to May, 2012. Structured questionnaire was used to collect the data. Study participants were recruited by convenience sampling technique. Shigella was isolated and identified using standard bacteriological techniques. A total of 241 study participants were included in the study. The overall prevalence of Shigella in this study was 13.3% (32/241). High prevalence of Shigella (22.6%) was revealed from the age group of 12-23 months. No Shigella was isolated from the age group of 0-5 months. Majority of the isolates of Shigella were from bloody and mucoid diarrhea. There was high prevalence of Shigella infection in this study. Children among the age group of 12-23 months were highly affected. Therefore; responsible bodies should work hard on preventive measures to reduce or eradicate the problem occurred due to shigellosis.

  11. [Social determinants of health associated to the human immunodeficiency virus of indigenous women in north Oaxaca, México].

    Science.gov (United States)

    Juan-Martínez, Berenice; Castillo-Arcos, Lubia Del Carmen

    2016-01-01

    The vulnerability to the human immunodeficiency virus (HIV) infection may increase based on specific social determinants of health, which can also affect the lack of adherence to a safe sexual behavior and access to antiretroviral treatment in indigenous women. Consequently, it is necessary to review, through a documentary study, what are those determinants in the case of a group of indigenous women from the North of Oaxaca and how these aspects affect those women, as well as the important role of nursing for the best approach. Social determinants are classified into 3 levels: macro (socioeconomic status, income, migration and education), meso (culture, gender and access to health services) and micro (lifestyles and adoption of safe sex). Indigenous women with limited resources become easy targets of HIV by engaging in risky sexual behaviors inadvertently. The nurse is a key professional who can influence behaviors of women through effective interventions that help foster self-confidence and empowerment, using the resources that the person possesses. Copyright © 2015 Elsevier España, S.L.U. All rights reserved.

  12. Engaging men as promotores de salud: perceptions of community health workers among Latino men in North Carolina.

    Science.gov (United States)

    Villa-Torres, Laura; Fleming, Paul J; Barrington, Clare

    2015-02-01

    The promotor de salud, or community health worker (CHW) role, is highly feminized and little is known about how men view their participation in CHW programs. We conducted in-depth interviews with Latino men in North Carolina to explore this gap. We used systematic coding and display procedures informed by Grounded Theory to analyze the data. Men described their communities as lacking cohesion, making integration of Latino immigrants difficult. Most did not consider themselves leaders or feel they had leaders in their communities. Their perceptions of the feminized CHW role as well as the volunteer or low-paid nature of CHW work conflicted with men's provider role. They also did not think they could perform the CHW role because they lacked education, skills, and broad networks. Efforts to increase male participation in CHW programs in new Latino immigrant destinations will need to understand and address these gender and migration-related dynamics in order to engage both women and men in improving the health of their communities.

  13. Water and Forest Health: Drought Stress as a Core Driver of Forest Disturbances and Tree Mortality in Western North America

    Science.gov (United States)

    Allen, C. D.; Williams, P.

    2012-12-01

    Increasing warmth and dry climate conditions have affected large portions of western North America in recent years, causing elevated levels of both chronic and acute forest drought stress. In turn, increases in drought stress amplify the incidence and severity of the most significant forest disturbances in this region, including wildfire, drought-induced tree mortality, and outbreaks of damaging insects and diseases. Regional patterns of drought stress and various forest disturbances are reviewed, including interactions among climate and the various disturbance processes; similar global-scale patterns and trends of drought-amplified forest die-off and high-severity wildfire also are addressed. New research is presented that derives a tree-ring-based Forest Drought Stress Index (FDSI) for the three most widespread conifer species (Pinus edulis, Pinus ponderosa, and Pseudotsuga menziesii) in the southwestern US (Arizona, New Mexico), demonstrating nonlinear escalation of FDSI to levels unprecedented in the past 1000 years, in response to both drought and especially recent warming. This new work further highlights strong correlations between drought stress and amplified forest disturbances (fire, bark beetle outbreaks), and projects that by ca. 2050 anticipated regional warming will cause mean FDSI levels to reach extreme levels that may exceed thresholds for the survival of current tree species in large portions of their current range. Given recent trends of forest disturbance and projections for substantially warmer temperatures and greater drought stress for much of western North America in coming years, the growing risks to western forest health are becoming clear. This emerging understanding suggests an urgent need to determine potentials and methods for managing water on-site to maintain the vigor and resilience of western forests in the face of increasing levels of climate-induced water stress.

  14. Safety of radioactive sources in Portugal

    International Nuclear Information System (INIS)

    Ferro de Carvalho, A.

    2001-01-01

    The safety of radioactive sealed sources is assured in Portugal through a control system with a main goal of prevention of lost of control and inappropriate waste. The legal tools of the regulatory system are: authorization to use, keep, transfer or transport; a deposit of money as a guarantee; civil liability insurance; periodical information. The competent authority shall keep a national inventory of sealed sources. About 50% of the new sources authorized in 1999 were to be used in medical brachytherapy and industrial radiography. The radionuclide Ir-192 contributed with 99.6 % to the total amount of activity. The control system implemented in the country appears to be effective for activities over some GBq but quite ineffective for lower activities. It is supposed that the law will be revised in the near future to increase the effectiveness of the sealed source control system. (author)

  15. Financial Report on the Internet in Portugal

    Directory of Open Access Journals (Sweden)

    Sandra Raquel Pinto Alves

    2005-03-01

    Full Text Available In the last decade, the advances in communication and information technologies dramaticallychanged the information flow and our notions of time and space. The Internet has been changingthe information policy of companies world-wide. Basically in all developed countries,companies are increasingly using the Internet to provide their financial information. Thisresearch presents an empirical study aiming to analyze the organization and informationprovided on the financial report of the 250 most profitable companies in Portugal, particularlytheir financial statements published on the Internet. After the observation and in-depth analysisof the websites of the above-mentioned companies, for the year 2002, it was concluded that 119companies (48% had a webpage on the internet. In what concerns the disclosure of financialinformation, only 51 (43% out of the 119 companies had some kind of financial informationstated on their websites.

  16. Prevalence of psychiatric morbidity at Mobile Health Clinic in an urban community in North India.

    Science.gov (United States)

    Salve, Harshal; Goswami, Kiran; Nongkynrih, Baridalyne; Sagar, Rajesh; Sreenivas, V

    2012-01-01

    The objective was to estimate the prevalence of psychiatric morbidity amongst patients attending Mobile Health Clinic (MHC) in an urban community in South Delhi. Adult subjects were recruited by systematic random sampling at outpatient MHC. Primary Care Evaluation of Mental Disorder Patient Health Questionnaire (PHQ) was used for screening, and Mini International Neuropsychiatric Interview (M.I.N.I.) was used for the confirmation of diagnosis of psychiatric disorder of all PHQ-positive and 20% of PHQ-negative patients. Association of selected sociodemographic factors with psychiatric morbidity was also assessed. In total, 350 subjects were recruited, out of which 92 (26.3%) [95% confidence interval (CI) 21.7-31.0] were found to be PHQ positive. M.I.N.I. was administered to 141 subjects (92 PHQ positives and 52 PHQ negatives). Total estimated magnitude of psychiatric morbidity by M.I.N.I. was 25.4% (95% CI 20.9-29.9). Depression (15.7%) was observed to be the most common psychiatric disorder followed by generalized anxiety disorder (11.1%) and phobic disorders (10.1%). Suicidal ideation was reported by 37 (10.6%) patients. Literate status [odds ratio (OR)=0.43] and duration of migration >20 years to study area (OR=1.27) were found to be significantly associated with psychiatric morbidity. In resource-poor country like India, high psychiatric morbidity at MHC justifies the use of MHC for providing outreach mental health services in difficult areas. Copyright © 2012 Elsevier Inc. All rights reserved.

  17. Mobile phone consultation for community health care in rural north India.

    Science.gov (United States)

    Bali, Surya; Singh, Amar Jeet

    2007-01-01

    We conducted a study to ascertain the acceptability and feasibility of consultation by mobile phone in a rural area of northern India. The mobile phone number of a community physician was advertised to the general public and people were invited to telephone at any time for a medical consultation. Details of the calls received were recorded. During a seven-month study, 660 calls were received. The mean call duration was 2.7 min. Eighty percent of calls were made by men. Forty-eight percent of calls were made during office hours. A total of 417 (63%) calls were for seeking advice, 146 (22%) were for outpatient follow-up, 23 (4%) were for seeking appointments and the remaining 74 (11%) for other reasons. The most common problems were skin, respiratory, mental health and sexual problems. Of the 387 callers who were interviewed at follow-up, 302 (78%) stated that they had followed the advice provided. Of these, 91% found the advice very helpful in managing their health problems. About 96% of users wished to continue to use the service in future. The majority of calls made were of a primary care nature which could easily be dealt with by phone. The concept of using mobile phones for medical consultation seemed to be acceptable to people in rural Haryana.

  18. Evaluation of a Residential Mental Health Recovery Service in North Queensland.

    Science.gov (United States)

    Heyeres, Marion; Kinchin, Irina; Whatley, Elise; Brophy, Lisa; Jago, Jon; Wintzloff, Thomas; Morton, Steve; Mosby, Vinitta; Gopalkrishnan, Narayan; Tsey, Komla

    2018-01-01

    Evidence shows that subacute mental health recovery occurs best when a person remains active within the community and fulfils meaningful and satisfying roles of their choosing. Several residential care services that incorporate these values have been established in Australia and overseas. This study describes (a) the development of an evaluation framework for a new subacute residential mental health recovery service in regional Australia and (b) reports on the formative evaluation outcomes. Continuous quality improvement and participatory research approaches informed all stages of the development of the evaluation framework. A program logic was established and subsequently tested for practicability. The resultant logic utilizes the Scottish Recovery Indicator 2 (SRI 2) service development tool, Individual Recovery Plans (IRPs), and the impact assessment of the service on psychiatric inpatient admissions (reported separately). Service strengths included a recovery-focused practice that identifies and addresses the basic needs of residents (consumers). The consumers of the service were encouraged to develop their own goals and self-manage their recovery plans. The staff of the service were identified as working effectively in the context of the recovery process; the staff were seen as supported and valued. Areas for improvement included more opportunities for self-management for residents and more feedback from residents and carers.

  19. Evaluation of a Residential Mental Health Recovery Service in North Queensland

    Directory of Open Access Journals (Sweden)

    Marion Heyeres

    2018-05-01

    Full Text Available BackgroundEvidence shows that subacute mental health recovery occurs best when a person remains active within the community and fulfils meaningful and satisfying roles of their choosing. Several residential care services that incorporate these values have been established in Australia and overseas.AimsThis study describes (a the development of an evaluation framework for a new subacute residential mental health recovery service in regional Australia and (b reports on the formative evaluation outcomes.MethodsContinuous quality improvement and participatory research approaches informed all stages of the development of the evaluation framework. A program logic was established and subsequently tested for practicability. The resultant logic utilizes the Scottish Recovery Indicator 2 (SRI 2 service development tool, Individual Recovery Plans (IRPs, and the impact assessment of the service on psychiatric inpatient admissions (reported separately.ResultsService strengths included a recovery-focused practice that identifies and addresses the basic needs of residents (consumers. The consumers of the service were encouraged to develop their own goals and self-manage their recovery plans. The staff of the service were identified as working effectively in the context of the recovery process; the staff were seen as supported and valued. Areas for improvement included more opportunities for self-management for residents and more feedback from residents and carers.

  20. Wildlife health in a rapidly changing North: focus on avian disease

    Science.gov (United States)

    Van Hemert, Caroline R.; Pearce, John M.; Handel, Colleen M.

    2014-01-01

    Climate-related environmental changes have increasingly been linked to emerging infectious diseases in wildlife. The Arctic is facing a major ecological transition that is expected to substantially affect animal and human health. Changes in phenology or environmental conditions that result from climate warming may promote novel species assemblages as host and pathogen ranges expand to previously unoccupied areas. Recent evidence from the Arctic and subarctic suggests an increase in the spread and prevalence of some wildlife diseases, but baseline data necessary to detect and verify such changes are still lacking. Wild birds are undergoing rapid shifts in distribution and have been implicated in the spread of wildlife and zoonotic diseases. Here, we review evidence of current and projected changes in the abundance and distribution of avian diseases and outline strategies for future research. We discuss relevant climatic and environmental factors, emerging host–pathogen contact zones, the relationship between host condition and immune function, and potential wildlife and human health outcomes in northern regions.

  1. España, Portugal y los falsos amigos | Spain, Portugal and the false friends

    Directory of Open Access Journals (Sweden)

    Ángel RIVERO RODRÍGUEZ

    2010-02-01

    Full Text Available España y Portugal son dos países que comparten mucho en el terreno de la historia, la cultura y la geografía. Sin embargo, esa misma proximidad se ha convertido muchas veces en el principal obstáculo para que cooperen entre sí.Desde la perspectiva portuguesa, la proximidad española se ha visto permanentemente como una amenaza a la independencia de Portugal. Desde el punto de vista de España, la cercanía de Portugal ha debilitado su consideración como país extranjero y ha acentuado un sentido de comunidad no siempre bien recibido por los portugueses. De modo que Portugal siempre ha querido diferenciarse y España ha respondido siempre aproximándose. Esta es la raíz del malentendido.Este cruce de percepciones distintas sobre el valor de proximidad, da lugar a todo tipo de equívocos, pues el deseo de diferenciación de uno puede entenderse como enemistad por el otro y, a la inversa, el de aproximación del segundo como invasión por el primero. Ejemplo de esto es lo que ocurre con la palabra iberismo, una palabra que se escribe igual en ambas lenguas pero que puede significar cosas opuestas, esto es, que puede ser un falso amigo. Así en las dos lenguas iberismo señala el ideal de una integración de ambos países, pero en portugués esto implica la subordinación de la soberanía portuguesa a la española y puede vincularse a la idea de traición; mientras que en español tiene una carga política mucho menor y puede apuntar a la simple simpatía por Portugal.En este artículo quiero mostrar cómo la proximidad de España y Portugal ha sido un obstáculo en las relaciones exteriores entre los dos países peninsulares, cuya comunicación ha sido distorsionada por los falsos amigos hasta el punto de convertirse, ellos mismos, en falsos amigos. Esto es, en países a los que se presupone una cercanía de propósitos que casi nunca se ve realizada en los hechos. Portugal and Spain are two countries that share history, culture and

  2. Determinants of Schistosoma mansoni in Sanja health center, north West Ethiopia.

    Science.gov (United States)

    Andargie, Asrat Atsedeweyn; Abera, Agmas Sisay

    2018-05-11

    In developing countries, Schistosoma mansoni is one of the chronic but neglected tropical diseases. In sub-Saharan Africa, the disease affects over 250 million people with nearly 800 million are at risk. In Ethiopia, Schistosoma mansoni is one of the most prevalent parasitic diseases. The aim of this study was to determine the prevalence and identify the determinant factors of Schistosoma mansoni, in terms of some socio-demographic variables and risk factors. A cross-sectional parasitological survey was conducted at Sanja health center, northwest Ethiopia from June 1 to June 30, 2015. A total of 228 study participants were included in the study. The participants were selected using systematic random sampling technique. Stool specimens were collected and examined using Kato-Katz methods. Structural questionnaires were used to collect data on socio-demographic variables and risk factors by face to face interviews. The major risk factors and demographic determinants of the infection status of Schistosoma mansoni were identified by using descriptive and ordinal logistic regression techniques. The overall prevalence of Schistosoma mansoni was 16.67% (95%CI: 11.83-21.51%). Covariates such as no habit of swimming in rivers has lower risk (AOR = 0.022: 95%CI: 0.011-0.764), no frequency of swimming in rivers (AOR = 0.022: 95%CI: 0.0024-0.207), and 1 to 2 frequency of swimming (OR = 0.302: 95%CI: 0.097-0.941), washing clothes in rivers (AOR = 0.194: 95%CI: 0.046-0.0.811) and bathing in the river (AOR = 0.09: 95%CI: 0.010-0.815) were the most important determinant factors (P-value < 0.5) of Schistosoma mansoni in Sanja health center. In this study, the prevalence of Schistosoma mansoni was found to be high. Swimming habits, frequency of swimming, washing clothes, and bathing in rivers were found to be significant predictors of Schistosoma mansoni. Provisions of a safe water supply in the area and health education about the transmission of the Schistosoma

  3. Computer Tomography Scanners in Portugal (1990-2011

    Directory of Open Access Journals (Sweden)

    Ricardo Crispim

    2014-06-01

    Full Text Available The use of Computed Tomography (CT has increased every year since its introduction into medicine in 1972. Technological developments have made CT one of the most important imaging modalities in modern medicine. This importance is evidenced in the increasing demand and number of CT scanners installed in Portugal and worldwide. This review compiles the most recent national statistics from official publications on the number of CT scanners installed in Portugal and compares them with data available in international publications. We conclude that the number of CT scanners installed in Portugal exceeded the EU27 average by 61.5 % and the OECD average by 78.2 %, and that in 2011 there were 203 CT scanners installed in hospitals in Portugal, which equated to 19.23 CT scanners per million inhabitants.

  4. Violence against civilians and access to health care in North Kivu, Democratic Republic of Congo: three cross-sectional surveys

    Directory of Open Access Journals (Sweden)

    Encinas Luis

    2010-11-01

    Full Text Available Abstract Background The province of North Kivu in the Democratic Republic of Congo has been afflicted by conflict for over a decade. After months of relative calm, offences restarted in September 2008. We did an epidemiological study to document the impact of violence on the civilian population and orient pre-existing humanitarian aid. Methods In May 2009, we conducted three cross-sectional surveys among 200 000 resident and displaced people in North Kivu (Kabizo, Masisi, Kitchanga. The recall period covered an eight month period from the beginning of the most recent offensives to the survey date. Heads of households provided information on displacement, death, violence, theft, and access to fields and health care. Results Crude mortality rates (per 10 000 per day were below emergency thresholds: Kabizo 0.2 (95% CI: 0.1-0.4, Masisi 0.5 (0.4-0.6, Kitchanga 0.7 (0.6-0.9. Violence was the reported cause in 39.7% (27/68 and 35.8% (33/92 of deaths in Masisi and Kitchanga, respectively. In Masisi 99.1% (897/905 and Kitchanga 50.4% (509/1020 of households reported at least one member subjected to violence. Displacement was reported by 39.0% of households (419/1075 in Kitchanga and 99.8% (903/905 in Masisi. Theft affected 87.7% (451/514 of households in Masisi and 57.4% (585/1019 in Kitchanga. Access to health care was good: 93.5% (359/384 of the sick in Kabizo, 81.7% (515/630 in Masisi, and 89.8% (651/725 in Kitchanga received care, of whom 83.0% (298/359, 87.5% (451/515, and 88.9% (579/651, respectively, did not pay. Conclusions Our results show the impact of the ongoing war on these civilian populations: one third of deaths were violent in two sites, individuals are frequently subjected to violence, and displacements and theft are common. While humanitarian aid may have had a positive impact on disease mortality and access to care, the population remains exposed to extremely high levels of violence.

  5. Analysis of Leadership Flexibility Capability of District/City Public Health Department in North Sumatra

    Directory of Open Access Journals (Sweden)

    Achmad Rifai

    2016-02-01

    Full Text Available Leadership has an important role in the organization as leader is in charge of supervising and controlling the course of an organization. Ability to lead in mobilizing and empowering employees will affect the performance of the organization. This behavior has a significant impact on the attitudes, behavior and performance of employees. The results of the study showed there is a significant relationship between characteristics such as age (p = 0.004, education(p = 0.034, work experience (p = 0.000, the experience of the organization (p = 0.000, and educational hierarchy (p =0.000 for leadership flexibility. Sex variable is not significant to the leadership flexibility (p = 0.801. There is a relationship with the flexibility of directive leadership style (p = 0.027, supportive leadership style (p = 0.046, and participative leadership style (p = 0.009 with the flexibility of leadership. There is aso a relationship between achievement-oriented leadership style and leadership flexibility (p = 0.000. There is a relationship between the individual characteristics of leadership style and versatility with variable: educational level of leadership (p = 0.021; OR = 19.265. The result suggests that we need more organized seminars / work shop / scientific studies that stimulate the realization of learning about leadership flexibility in improving the performance of the District/City Health Office and it is necessary to study theperformance of the head of the Department of Health assessment intensively and periodically

  6. Seasonal precipitation extreme indices in mainland Portugal: trends and variability in the period 1941-2007

    Science.gov (United States)

    Santo, Fátima E.; Ramos, Alexandre M.; de Lima, M. Isabel P.; Trigo, Ricardo M.

    2013-04-01

    Changes in the precipitation regimes are expected to be accompanied by variations in the occurrence of extreme events, which in turn could be related to low frequency variability. The impact on the society and environment requires that the regional specificities are understood. For mainland Portugal, this work reports the results of the analysis of trends in selected precipitation indices calculated from daily precipitation data from 57 meteorological stations, recorded in the period 1941-2007; additionally we have also investigated the correlations between these indices and several modes of low frequency variability over the area. We focus on exploring regional differences and seasonal variations in the intensity, frequency and duration of extreme precipitation events. The precipitation indices were assessed at the seasonal scale and calculated at both the station and regional scales. Results sometimes highlight marked changes in seasonal precipitation and show that: i) trends in spring and autumn have opposite signals: statistically significant drying trends in the spring are accompanied by a reduction in precipitation extremes; in autumn, wetting trends are detected for all precipitation indices, although overall they are not significant at the 5% level; ii) there seems to be a tendency for a reduction in the duration of the rainy season; iii) the North Atlantic Oscillation (NAO) is the mode of variability that has the highest influence on precipitation extremes over mainland Portugal, particularly in the winter and autumn, and is one of the most important teleconnection patterns in all seasons. This work was partially supported by FEDER (Fundo Europeu de Desenvolvimento Regional) funds through the COMPETE (Programa Operacional Factores de Competitividade) and by national funds through FCT (Fundação para a Ciência e a Tecnologia, Portugal) through project STORMEx FCOMP-01-0124-FEDER-019524 (PTDC/AAC-CLI/121339/2010).

  7. Serological survey of Leishmania infection in dogs from the municipality of Peso da Régua (Alto Douro, Portugal) using the direct agglutination test (DAT) and fast agglutination screening test (FAST)

    NARCIS (Netherlands)

    Cardoso, Luís; Schallig, Henk D. F. H.; Neto, Francisco; Kroon, Nel; Rodrigues, Manuela

    2004-01-01

    Leishmaniasis caused by Leishmania infantum is a prevalent disease in dogs and humans. A serological survey of Leishmania infection in dogs was carried out in the endemic region of Alto Douro (north Portugal). Two hundred and ninety-four dogs from the municipality of Peso da Régua were examined for

  8. A comparative analysis of tourism destination demand in Portugal

    OpenAIRE

    Serra, Jaime; Correia, Antónia; Rodrigues, Paulo M.M.

    2014-01-01

    Tourism has experienced different levels of development in the different regions of Portugal.To frame this development, in this paper dynamic panel data models were estimated with the objective of explaining the evolution of international overnight stays in each region.Secondary data from 2000 to 2011 was used.The analysis includes the main tourism source markets for Portugal, such as the United Kingdom, Germany,the Netherlands, Ireland, France and Spain. The tourism literature suggests that,...

  9. Cancro do pulmão no norte de Portugal: um estudo de base hospitalar

    Directory of Open Access Journals (Sweden)

    V. Hespanhol

    2013-11-01

    doentes. Abstract: Introduction: Lung cancer is the deadliest cancer worldwide. In Portugal, the disease remains the main cause of cancer death in males. Aim: This study aims to evaluate the demographic and clinical characteristics of lung cancer patients diagnosed and treated in northern Portugal hospitals from 2000 to 2010. Patients and methods: Twelve hospitals in the north of Portugal contributed to this study. The demographic and clinic characteristics of the patients registered in each hospital from 2000 to 2010 and the patterns of their occurrence were analyzed. Results: During an 11-year period (2000-2010, 9767 lung cancer patients were registered in the participating hospitals. Comparing the number of the patients registered in the year 2000 to those registered during 2010, there was a significant increase in lung cancer cases. Females represent only 20% of the total registered lung cancer cases; however, during the study period, the number of female patients increased by 30%. A significant number of the patients, 3117 (48.6%, had poor performance status at presentation. The adenocarcinoma histology became more preponderant over the study period. Most of the patients were diagnosed as stages IIIB or IV: 7206 of 9267 (77.8%. Chemotherapy was the treatment of choice for 3529 (40.4% patients, whereas surgical treatment was achieved in 1301 (14.9% cases. Conclusion: A significant number of lung cancer patients have been diagnosed and treated in hospitals in northern Portugal, and the incidence of the disease among females has been increasing. The overwhelming majority of the tumors were diagnosed in advanced stage; nevertheless, surgical treatment was possible in 14.9% of the patients. Palavras-chave: Cancro do pulmão, Padrões de ocorrência, Estratégias terapêuticas, Norte Portugal, Keywords: Lung cancer trends, Patterns occurrence, Treatment strategies, Northern Portugal

  10. A structural intermediate between triisodontids and mesonychians (Mammalia, Acreodi) from the earliest Eocene of Portugal.

    Science.gov (United States)

    Tabuce, Rodolphe; Clavel, Julien; Antunes, Miguel Telles

    2011-02-01

    A new mammal, Mondegodon eutrigonus gen. et sp. nov., is described from the earliest Eocene locality of Silveirinha, Portugal. This species shows dental adaptations indicative of a carnivorous diet. M. eutrigonus is referred to the order Acreodi and considered, along with the early Paleocene North American species Oxyclaenus cuspidatus, as a morphological intermediate between two groups of ungulate-like mammals, namely, the triisodontids and mesonychians. Considering that triisodontids are early to early-late Paleocene North American taxa, Mondegodon probably belongs to a group that migrated from North America towards Europe during the first part of the Paleocene. Mondegodon could represent thus a relict genus, belonging to the ante-Eocene European mammalian fauna. The occurrence of such a taxon in Southern Europe may reflect a period of isolation of this continental area during the Paleocene/Eocene transition. In this context, the non-occurrence of closely allied forms of Mondegodon in the Eocene North European mammalian faunas is significant. This strengthens the hypothesis that the mammalian fauna from Southern Europe is characterized by a certain degree of endemism during the earliest Eocene. Mondegodon also presents some striking similarities with an unnamed genus from the early Eocene of India which could represent the first Asian known transitional form between the triisodontids and mesonychians.

  11. Enabling and Barriers of Implantable Contraceptive Use at Health Centre I North Denpasar

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    Nida Gustikawati

    2015-04-01

    Full Text Available Background and purpose: The objective of this study was to explore the supporting and the inhibiting factors influencing the use of implant contraceptive use by women of childbearing age. Methods: The study was qualitative using a phenomenological approach. Data collection involved a purposively selected sample, conducting two FGD (10 implant users and 10 non-users and 11 in-depth interviews among private midwives, government midwives, husbands, in-laws, and family planning staff. Results: FGD found that perceptions and attitudes towards implants of those already using the contraceptive were positive, while the perceptions and attitudes of non-users were less so. Some respondents intimated that they experienced side effects though these were not a deterring factor in usage. Enabling factors for the use of implant contraceptives were the availability and accessibility to the healthcare facilities and the support of their husbands. Access to facilities and infrastructure were not inhibiting factors either for the users or the non-users. Findings from in-depth interviews indicated that inhibiting factors included were the desire to have more children and the lack of promotion of the implant contraceptives. Healthcare provider informants stated that the lack of training was an inhibiting factor. Conclusion: Enabling factors for the use of implant contraceptives were the availability and accessibility to the healthcare facilities and the support of their husbands. Inhibiting factors were the desire to have more children, the lack of proper training for the health workers, as well as the lack of promotion of the implant contraceptive in the community.

  12. High levels of miticides and agrochemicals in North American apiaries: implications for honey bee health.

    Science.gov (United States)

    Mullin, Christopher A; Frazier, Maryann; Frazier, James L; Ashcraft, Sara; Simonds, Roger; Vanengelsdorp, Dennis; Pettis, Jeffery S

    2010-03-19

    Recent declines in honey bees for crop pollination threaten fruit, nut, vegetable and seed production in the United States. A broad survey of pesticide residues was conducted on samples from migratory and other beekeepers across 23 states, one Canadian province and several agricultural cropping systems during the 2007-08 growing seasons. We have used LC/MS-MS and GC/MS to analyze bees and hive matrices for pesticide residues utilizing a modified QuEChERS method. We have found 121 different pesticides and metabolites within 887 wax, pollen, bee and associated hive samples. Almost 60% of the 259 wax and 350 pollen samples contained at least one systemic pesticide, and over 47% had both in-hive acaricides fluvalinate and coumaphos, and chlorothalonil, a widely-used fungicide. In bee pollen were found chlorothalonil at levels up to 99 ppm and the insecticides aldicarb, carbaryl, chlorpyrifos and imidacloprid, fungicides boscalid, captan and myclobutanil, and herbicide pendimethalin at 1 ppm levels. Almost all comb and foundation wax samples (98%) were contaminated with up to 204 and 94 ppm, respectively, of fluvalinate and coumaphos, and lower amounts of amitraz degradates and chlorothalonil, with an average of 6 pesticide detections per sample and a high of 39. There were fewer pesticides found in adults and brood except for those linked with bee kills by permethrin (20 ppm) and fipronil (3.1 ppm). The 98 pesticides and metabolites detected in mixtures up to 214 ppm in bee pollen alone represents a remarkably high level for toxicants in the brood and adult food of this primary pollinator. This represents over half of the maximum individual pesticide incidences ever reported for apiaries. While exposure to many of these neurotoxicants elicits acute and sublethal reductions in honey bee fitness, the effects of these materials in combinations and their direct association with CCD or declining bee health remains to be determined.

  13. Frequency of rheumatic diseases in Portugal: a systematic review.

    Science.gov (United States)

    Monjardino, Teresa; Lucas, Raquel; Barros, Henrique

    2011-01-01

    To describe the frequency of rheuma­tic diseases in Portugal through a systematic review of published literature, critically appraising available information and identifying data collection gaps. We systematically reviewed the literature to retrieve data on the occurrence of rheumatic diseases in Portugal through MEDLINE and Índex das Revistas Médicas Portuguesas searches, PhD theses, and national health surveys reports. Original articles in English or Portuguese published between 1 January 2000 and 31 December 2010 were included. We retrieved information for the prevalence of rheumatic diseases, osteoarthritis, back pain, work-related musculoskeletal disorders (WRMDs), osteoporosis, fibromyalgia, rheumatoid arthritis, spondyloarthritis and other systemic rheumatic diseases and for the incidence of back pain, osteoporotic fracture and other systemic rheumatic diseases. The prevalence of rheumatic diseases ranged from 16.0% to 24.0% and the prevalence of osteoarthritis was 11.1% (95% confidence intervals (95%CI): 9.4-13.1) in the knee and 5.5% (95%CI: 4.3-7.0) in the hip. Regarding back pain, period prevalence ranged from 8.0% (95%CI: 6.1-10.1) to 29.5% (95%CI: 23.4-36.2) in children and from 12.3% (95%CI: 10.5-14.3) to 51.3% (95%CI: 48.6-53.9) in adults. The prevalence of WRMDs ranged from 5.9% to 84.2% (95%CI: 80.8-87.3). The yearly incidence of osteoporotic fracture (per 100 000) ranged from 93.3 to 481 (95%CI: 407-564) in women and from 31.9 to 154 (95%CI: 106-218) in men. The prevalence of osteoporosis in women ranged from 11.0% to 15.4% (95%CI: 13.4-17.6) and in men from 1.1% to 16.8% (95%CI: 12.2-22.3). The prevalence of fibromyalgia ranged from 3.6% (95%CI: 2.0-5.2) to 3.7% (95%CI: 2.0-5.4). The prevalence estimates of ankylosing spondylitis and of spondyloarthritis were 0.6% and 1.6% (95%CI: 0.8-2.7), respectively. The prevalence of systemic lupus erythematosus was estimated in 0.2% (95%CI: 0.1-0.8). There is a broad spectrum of information available

  14. The Degree of Accessibility to Health Care – Issues Concerning the North-Eastern Population of Romania

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    Alina Mareci

    2008-05-01

    Full Text Available This study is analysing the population accessibly to the sanitary infrastructure in the North-East region of Romania, namely the six component counties of Bacu, Botoani, Iai, Neam, Suceava and Vaslui. Due to lack of basic sanitary infrastructure when it comes to regional general medical centres (called dispensaries, the population is forced to travel large distances in order to benefit of medical assistance. The hospital infrastructure is unbalanced in terms of territorial distribution. The highly populated urban settlements are usually equipped with one or more hospital unit(s being located along the national road E85 and the adjacent national roads, fulfilling in most cases municipal roles or holding vital social and economic importance for the region. The longer distances the patients are forced to travel for medical assistance the higher health costs due to the additional travel costs the person has to undertake. One direct result of this travelling is overcrowded hospitals in the targeted areas which in its turn may have negative impacts on the quality of services provided and on the amount of time the people need to spend in that facility.

  15. Trends in viral meningitis hospitalisations and notifications in the North Eastern Health Board (1997 - 2001): a cause for concern?

    LENUS (Irish Health Repository)

    Brabazon, E D

    2004-01-01

    This study aimed to compare trends in both hospital admissions and notifications of viral meningitis in the North Eastern Health Board (NEHB). Hospital admissions from 1997 to 2001, involving NEHB residents with an infectious disease diagnosis, were examined and viral meningitis cases were analyzed. During this period 265 NEHB residents were admitted to hospital with viral meningitis--an increase of 429% between 1997 and 2001 with the bulk of this increase during 2000 and 2001. A total of 1,234 bed days were taken up by this cohort and the mean length of stay was 4.5 days (95% CI 4.2 - 4.9). The number of viral meningitis notifications in the NEHB was 38 (ranging from 4 in 1997 to 11 in 2001). This number is much lower than expected given the corresponding number of hospital admissions for the same period. Thus, most cases were not notified which means that current surveillance systems under-estimate the disease burden of viral meningitis. Such under-reporting has implications for infectious disease policy in Ireland.

  16. A systematic review of childhood obesity in the Middle East and North Africa (MENA region: Health impact and management

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    Nesrine S. Farrag

    2017-05-01

    Full Text Available Childhood obesity has serious consequences both immediately and in adulthood. The rates of obesity in children and adolescents are rising rapidly in the Middle East and North Africa (MENA region. We systematically searched the literature to explore adverse effects associated with childhood obesity in this region and the management efforts for dealing with it. Inclusion criteria were: English-language, non-basic-science focused articles that used any of the standard obesity definitions and were conducted in the MENA countries within the last five years. We searched PubMed using combinations of key terms ((childhood OR adolescence AND obesity AND (MENA or each country AND ("last five years" [PDat]. Studies that examined adverse effects of childhood obesity gave fairly consistent results, revealing associations with higher blood pressure, pre-diabetes, metabolic abnormalities, and cardiovascular risk. Little or no overall effect on rates of childhood obesity has yet been demonstrated by interventions used to manage the problem. Obesity has a considerable impact on the health of children and adolescents, and the countries of the MENA region should endorse strategies and programs to prevent and manage this problem in an effective way.

  17. A systematic review of childhood obesity in the Middle East and North Africa (MENA) region: Health impact and management.

    Science.gov (United States)

    Farrag, Nesrine S; Cheskin, Lawrence J; Farag, Mohamed K

    2017-01-01

    Childhood obesity has serious consequences both immediately and in adulthood. The rates of obesity in children and adolescents are rising rapidly in the Middle East and North Africa (MENA) region. We systematically searched the literature to explore adverse effects associated with childhood obesity in this region and the management efforts for dealing with it. Inclusion criteria were: English-language, non-basic-science focused articles that used any of the standard obesity definitions and were conducted in the MENA countries within the last five years. We searched PubMed using combinations of key terms ((childhood) OR adolescence) AND obesity) AND (MENA or each country) AND ("last five years" [PDat]). Studies that examined adverse effects of childhood obesity gave fairly consistent results, revealing associations with higher blood pressure, pre-diabetes, metabolic abnormalities, and cardiovascular risk. Little or no overall effect on rates of childhood obesity has yet been demonstrated by interventions used to manage the problem. Obesity has a considerable impact on the health of children and adolescents, and the countries of the MENA region should endorse strategies and programs to prevent and manage this problem in an effective way.

  18. Use of medicines by homeless people in Porto, Portugal

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    Helena Gama

    2014-01-01

    Full Text Available The objective of this study was to describe patterns of medication use among homeless adults from the city of Porto, Portugal. We recruited 146 homeless participants in four social services institutions. Data on the use of medicines in the previous week were collected using face-to-face interviews. We described the prevalence and main correlates of use of medicines from different Anatomical Therapeutic Chemical classification (ATC groups. A total of 56.8% of the homeless reported to have used at least one medicine in the previous week. The most frequently reported were benzodiazepines (21.9% and antipsychotics (15.1%; socio-demographic characteristics, lifestyle variables and use of health care were not found to be significantly associated with their use. The prevalence was 1.4% for anti-inflammatory and antirheumatic products, and 6.2% for antihypertensives, diuretics and beta-blocking agents. Medicines pertaining to the nervous system ATC group were by far the most frequently used, while those for the treatment of other common chronic and acute conditions seem to be underused.

  19. A strategic approach for Water Safety Plans implementation in Portugal.

    Science.gov (United States)

    Vieira, Jose M P

    2011-03-01

    Effective risk assessment and risk management approaches in public drinking water systems can benefit from a systematic process for hazards identification and effective management control based on the Water Safety Plan (WSP) concept. Good results from WSP development and implementation in a small number of Portuguese water utilities have shown that a more ambitious nationwide strategic approach to disseminate this methodology is needed. However, the establishment of strategic frameworks for systematic and organic scaling-up of WSP implementation at a national level requires major constraints to be overcome: lack of legislation and policies and the need for appropriate monitoring tools. This study presents a framework to inform future policy making by understanding the key constraints and needs related to institutional, organizational and research issues for WSP development and implementation in Portugal. This methodological contribution for WSP implementation can be replicated at a global scale. National health authorities and the Regulator may promote changes in legislation and policies. Independent global monitoring and benchmarking are adequate tools for measuring the progress over time and for comparing the performance of water utilities. Water utilities self-assessment must include performance improvement, operational monitoring and verification. Research and education and resources dissemination ensure knowledge acquisition and transfer.

  20. Occurrence of Ornithonyssus sylviarum in pet birds from the district of Setúbal, Portugal.

    Science.gov (United States)

    Waap, Helga; Paulino, Diana; Cardoso, Rita

    2017-07-01

    Ornithonyssus sylviarum is a blood-feeding ectoparasite of birds and the most serious pest in poultry farms in North America. Although the mites are typically adapted to temperate climates, information on this mite in Europe is sparse, and Dermanyssus gallinae is considered to be the only mite impacting the poultry industry. The present study reports the occurrence of O. sylviarum in pet birds in Portugal. Mites were collected directly from birds and with traps placed in cages and nests at 20 different sampling places belonging to 6 municipalities in the district of Setúbal. In a total of 217 birds, O. sylviarum was identified in 47 out of 147 (32.0%) canaries (Serinus canaria), 14 out of 21 (14.3%) estrildid finches, 1 out of 24 (4.2%) budgerigars (Melopsittacus undulatus) and 1 out of 15 (6.7%) lovebirds (Agapornis spp.). Mites of the genus Dermanyssus were identified in 8 canaries (5.4%), 8 estrildid finches (38.1%) and 1 lovebird (6.7%). No mites were found in 6 cockatiels (Nymphicus hollandicus), 2 African grey parrots (Psittacus erithacus), 1 Bourke's parrot (Neophema bourkii) and 1 rose-ringed parakeet (Psittacula krameri). Considering the zoonotic potential and the risk of dissemination to poultry, the present findings underline the need for further monitoring of O. sylviarum in the wild and domestic avifauna in Portugal.

  1. UNIDADES GEOMORFOLÓGICAS DE PORTUGAL CONTINENTAL

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    Diamantino Insua Pereira

    2014-12-01

    Full Text Available São representadas cartograficamente as unidades geomorfológicas identificadas para os 89015 km2 do território de Portugal Continental. A delimitação das unidades teve por base a análise dos padrões da textura fornecida por imagens SRTM, com revisão e adaptação posterior à altimetria e à geologia, para os quais foram usadas bases cartográficas digitais. Foram considerados três níveis taxionómicos que permitem descrever e caracterizar áreas homogéneas do ponto de vista geomorfológico. As três unidades de 1º nível baseiam-se nas unidades morfostruturais clássicas consideradas para a Península Ibérica. As dez unidades de 2º nível constituem, na sua maioria, divisões clássicas do relevo de Portugal Continental, agora agrupadas de acordo com a metodologia adoptada e designadas como unidades morfosculturais. As 56 unidades de 3º nível, ou subunidades morfosculturais, foram individualizadas com base nos padrões de relevo identificados nas imagens SRTM e na observação de campo e adquiriram uma designação baseada essencialmente nas geoformas que as individualizam e na toponímia local. As unidades geomorfológicas identificadas são descritas através de características do relevo, dissecação fluvial, estruturas, tipo de drenagem e base geológica, bem como de parâmetros numéricos gerados de forma automática, como classes de altitude e de declividade. Pretende-se que o mapa elaborado possa contribuir para a gestão territorial, em especial na tomada de decisões em conservação da natureza.

  2. Evaluation of the level of depression among medical students from Poland, Portugal and Germany.

    Science.gov (United States)

    Seweryn, Mariusz; Tyrała, Kinga; Kolarczyk-Haczyk, Aleksandra; Bonk, Magdalena; Bulska, Weronika; Krysta, Krzysztof

    2015-09-01

    Depression is a serious illness affecting health, family and professional life of many people of all sectors of society. It also concerns students, regardless of their geographical location. The Beck Depression Inventory (BDI) is a proper tool to brief check of the level of depression because it has high correlation with depression. The aim of this study was to assess and compare the level of depression among medical students from Poland, Portugal and Germany. Students from different countries were asked to fill in an electronic form containing the BDI. The form was created separately for each country, using official translation of the BDI, approved by the competent psychiatric association. Google Drive software was used for the electronic form, and Stat soft Statistica v10 software for statistical analysis. There were statistically significant differences (p<0.05) in terms of average score of the BDI and of the proportion of the scores more than 10 points of medical and technology students among kinds of studies and countries. The average score of the BDI of medical students: Poland: 13.76±9.99 points; Germany: 8.49±7.64 points; Portugal: 7.37±7.67 points. The average score of the BDI of technology students: Poland: 12.42±9.66 points; Germany: 10.51±8.49 points; Portugal: 9.25±8.97 points. The proportion of the scores more than 10 points of medical students: Poland 56.32% (285/506) Germany 34.92% (154/441) Portugal 26.03% (82/315). The proportion of the scores more than 10 points of technology students: Poland 55.01% (368/669) Germany 43.82% (156/356) Portugal 37.57% (136/362). The highest depression score among medical and technology students according the BDI was found in Poland. A proper monitoring of depression is required, as well as rapid and appropriate help for those who suffer from it.

  3. Mortality from Suicide in the Municipalities of Mainland Portugal: Spatio-Temporal Evolution between 1980 and 2015

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    Adriana Loureiro

    2018-01-01

    Full Text Available Introduction: Suicide is considered a public health priority. It is a complex phenomenon resulting from the interaction of several factors, which do not depend solely on individual conditions. This study analyzes the spatio-temporal evolution of suicide mortality between 1980 and 2015, identifying areas of high risk, and their variation, in the 278 municipalities of Continental Portugal. Material and Methods: Based on the number of self-inflicted injuries and deaths from suicide and the resident population, the spatio-temporal evolution of the suicide mortality rate was assessed via: i a Poisson joinpoint regression model, and ii spatio-temporal clustering methods. Results: The suicide mortality rate evolution showed statistically significant increases over three periods (1980 - 1984; 1999 - 2002 and 2006 - 2015 and two statistically significant periods of decrease (1984 - 1995 and 1995 - 1999. The spatio-temporal analysis identified five clusters of high suicide risk (relative risk >1 and four clusters of low suicide risk (relative risk < 1. Discussion: The periods when suicide mortality increases seem to overlap with times of economic and financial instability. The geographical pattern of suicide risk has changed: presently, the suicide rates from the municipalities in the Center and North are showing more similarity with those seen in the South, thus increasing the ruralization of the phenomenon of suicide. Conclusion: Between 1980 and 2015 the spacio-temporal pattern of mortality from suicide has been changing and is a phenomenon that is currently experiencing a growing trend (since 2006 and is of higher risk in rural areas.

  4. More than just numbers: Suicide rates and the economic cycle in Portugal (1910–2013

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    João Pereira dos Santos

    2016-12-01

    Full Text Available Suicides are a major concern for public health first and foremost because they are an avoidable cause of death. Moreover, they can be an indicator of self-reported emotional satisfaction and a good marker of overall well-being.In this study we examine how different economic and social aspects affected Portuguese suicide rates for more than one hundred years (1910–2013. We place this exercise in the specific historical context of the XX and early XXI century in Portugal, emphasizing the role of economic recessions and expansions. Controlling for aspects like wars, health care availability, political instability, and demographic changes, we find a strong association between a decline in the growth rate of real output and an increase in suicide rates for the whole population. In this regard, while male suicide rates are non-negligibly influenced by economic downturns, female suicide rates are in general more responsive to a more open political and economic environment. Our results are robust if we consider the mid-term cyclical relationship.Our findings advocate that, during recessions, public health responses should be seen as a crucial component of suicide prevention. Keywords: Suicide rates, Portugal, Mental health, Crisis, Austerity, Marriage

  5. Cultural and Creative tourism in Portugal

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    Rui Carvalho

    2016-01-01

    Full Text Available Un nuevo paradigma en la industria turística está cambiando el significado de la cultura y sus usos de forma a promocionar productos o experiencias y destinos otros. Las cuestiones que ponemos son las siguientes: ¿Cuál es la importancia del turismo creativo en un destino turístico y cuáles serán las consecuencias para su organización? La metodología seguida se basó en una revisión de la literatura relativa al objeto de investigación, estudio de caso, análisis de datos, análisis de contenido, toma de muestras, “bola de nieve”, encuestas y observación participante. Este artículo analiza cómo el evento Festival MED en Loulé, Algarve ha mejorado la economía local, ha resuelto problemas urbanos en el centro histórico (área del evento y ayudó a diferenciar la oferta turística en el destino turístico maduro, en el Algarve, Portugal.

  6. Mercury distribution in Douro estuary (Portugal)

    Energy Technology Data Exchange (ETDEWEB)

    Ramalhosa, E. [Department of Chemistry, University of Aveiro, 3810-193 Aveiro (Portugal); Pereira, E. [Department of Chemistry, University of Aveiro, 3810-193 Aveiro (Portugal)]. E-mail: eduper@dq.ua.pt; Vale, C. [National Institute for Agronomy and Fishery Research, IPIMAR, Avenida Brasilia, 1449-006 Lisboa (Portugal); Valega, M. [Department of Chemistry, University of Aveiro, 3810-193 Aveiro (Portugal); Monterroso, P. [Department of Chemistry, University of Aveiro, 3810-193 Aveiro (Portugal); Duarte, A.C. [Department of Chemistry, University of Aveiro, 3810-193 Aveiro (Portugal)

    2005-11-15

    Determinations of dissolved reactive and total dissolved mercury, particulate and sedimentary mercury, dissolved organic carbon (DOC), particulate organic carbon (POC) and suspended particulate matter (SPM) have been made in the estuary of river Douro, in northern Portugal. The estuary was stratified by salinity along most of its length, it had low concentrations of SPM, typically <20 mg dm{sup -3}, and concentrations of DOC in the range <1.0-1.8 mg dm{sup -3}. The surface waters had a maximum dissolved concentration of reactive mercury of about 10 ng dm{sup -3}, whereas for the more saline bottom waters it was about 65 ng dm{sup -3}. The surface waters had maximum concentrations of total suspended particulate mercury of {approx}7 {mu}g g{sup -1} and the bottom waters were always <1 {mu}g g{sup -1}. Concentrations of mercury in sediments was low and in the range from 0.06 to 0.18 {mu}g g{sup -1}. The transport of mercury in surface waters was mainly associated with organic-rich particulate matter, while in bottom waters the dissolved phase transport of mercury is more important. Lower particulate organic matter, formation of chlorocomplexes in more saline waters and eventually the presence of colloids appear to explain the difference of mercury partitioning in Douro estuarine waters.

  7. Identity Reconfiguration of Immigrants in Portugal

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    Ricardo Vieira

    2010-07-01

    Full Text Available The starting point is the principle that there is no immigrant culture, but rather, different ways of living, coexisting and identifying oneself within the cultural worlds that each subject crosses on his or her social path. Here we study Brazilian immigrants in Portugal, working with the first wave (starting at the end of the 1980s and the second wave (at the turn of the 20th to 21st century. We intend, firstly, to show how identity is reconstructed between two banks: the departure culture and the arrival culture. Secondly, we intend to give a voice to the most silent in the understanding of immigrants: the process of identity reconstruction of Brazilian immigrants is presented, resulting from ethno-biographic interviews. We will consider the cultural transfusion theory and observe the heterogeneous ways of living between cultures, whether by rejecting the departure culture (the Oblato‘s case, refusing the arrival one at a given moment (the mono-cultural subject according to the source culture, living in an ambivalent manner between the two (the multicultural self, or, finally, inventing a third bank, as the poets say, which corresponds to an attitude of including the cultural differences through which one crosses during his or her life history in an intercultural self (the Intercultural Transfuga.

  8. Eco-friendly LC-MS/MS method for analysis of multi-class micropollutants in tap, fountain, and well water from northern Portugal.

    Science.gov (United States)

    Barbosa, Marta O; Ribeiro, Ana R; Pereira, Manuel F R; Silva, Adrián M T

    2016-11-01

    Organic micropollutants present in drinking water (DW) may cause adverse effects for public health, and so reliable analytical methods are required to detect these pollutants at trace levels in DW. This work describes the first green analytical methodology for multi-class determination of 21 pollutants in DW: seven pesticides, an industrial compound, 12 pharmaceuticals, and a metabolite (some included in Directive 2013/39/EU or Decision 2015/495/EU). A solid-phase extraction procedure followed by ultra-high-performance liquid chromatography coupled to tandem mass spectrometry (offline SPE-UHPLC-MS/MS) method was optimized using eco-friendly solvents, achieving detection limits below 0.20 ng L -1 . The validated analytical method was successfully applied to DW samples from different sources (tap, fountain, and well waters) from different locations in the north of Portugal, as well as before and after bench-scale UV and ozonation experiments in spiked tap water samples. Thirteen compounds were detected, many of them not regulated yet, in the following order of frequency: diclofenac > norfluoxetine > atrazine > simazine > warfarin > metoprolol > alachlor > chlorfenvinphos > trimethoprim > clarithromycin ≈ carbamazepine ≈ PFOS > citalopram. Hazard quotients were also estimated for the quantified substances and suggested no adverse effects to humans. Graphical Abstract Occurrence and removal of multi-class micropollutants in drinking water, analyzed by an eco-friendly LC-MS/MS method.

  9. Neoliberalism and Austerity in Spain, Portugal and South Africa: The Revolution of Older Persons.

    Science.gov (United States)

    Ornellas, Abigail; Martínez-Román, María-Asunción; Tortosa-Martínez, Juan; Casanova, José Luís; das Dores Guerreiro, Maria; Engelbrecht, Lambert K

    2017-01-01

    In Portugal, Spain, and South Africa, there has been a noted anti-neoliberal resistance, marked by the significant participation of the older generation in protest movements. Changing demographics, the global financial crisis, unemployment, poverty, and the reliance of the family nucleus on the pensioner, coupled with neoliberal and austerity-based reductions to welfare programs, pensions, health, and social care, has caused the "silver revolution." As a population group that is often considered to be less politically active and robust members of society, such resistance is a noteworthy moment in society that needs to be considered and responded to.

  10. Carolina Care at University of North Carolina Health Care: Implementing a Theory-Driven Care Delivery Model Across a Healthcare System.

    Science.gov (United States)

    Tonges, Mary; Ray, Joel D; Herman, Suzanne; McCann, Meghan

    2018-04-01

    Patient satisfaction is a key component of healthcare organizations' performance. Providing a consistent, positive patient experience across a system can be challenging. This article describes an organization's approach to achieving this goal by implementing a successful model developed at the flagship academic healthcare center across an 8-hospital system. The Carolina Care at University of North Carolina Health Care initiative has resulted in substantive qualitative and quantitative benefits including higher patient experience scores for both overall rating and nurse communication.

  11. Knowledge, attitudes, and practices of public sector primary health care physicians of rural north karnataka towards obesity management

    Directory of Open Access Journals (Sweden)

    Manjunath S Somannavar

    2014-01-01

    Full Text Available Introduction: Obesity is a risk factor for cardiovascular disease (CVD, diabetes mellitus (DM, and hypertension (HTN. In an era of rapidly growing prevalence of obesity, it is important to explore the current knowledge, attitude, and practices of primary care physicians. Materials and Methods: Study participants were medical officers (MOs of primary health centers in three districts of North Karnataka. The questionnaire was developed by a review of literature in the field and validated with five participants for scope, length, and clarity. Results/Discussion: Of the 102 participants, only 15% were aware about the burden of obesity in India. HTN, DM, and CVD were indicated as comorbidities by 73, 78, and 60 participants, respectively. Only 25 and 12 participants indicated appropriate body mass index (BMI cut-off values for overweight and obesity diagnosis. Of the 102 participants, 54 were not aware of the guidelines for obesity management. Practices and attitudes of the participants were encouraging. Nearly all of them felt that the adults with BMI within the healthy range should be encouraged to maintain their weight and, three-fourth of them agreed that most overweight persons should be treated for weight loss and small weight loss can achieve major medical benefit. However, nearly half of the participants′ responses were stereotypical as they felt only obese and overweight with comorbidities should be treated for weight loss. Two-thirds of them use BMI to diagnose overweight/obese and nearly all of them advice their patients to increase physical activity and restrict fat. Most of the participants were advising their patients to restrict sugar intake, increase fruits and vegetable consumption, reduce red meat, and avoid alcohol consumption. Conclusion: Present study exposed the lack of knowledge regarding obesity. However, practices and attitudes of the participants were promising. There is a need of in-service training to MOs to further

  12. Ethnobotany, diverse food uses, claimed health benefits and implications on conservation of barley landraces in North Eastern Ethiopia highlands

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    Sopade Peter A

    2011-06-01

    Full Text Available Abstract Background Barley is the number one food crop in the highland parts of North Eastern Ethiopia produced by subsistence farmers grown as landraces. Information on the ethnobotany, food utilization and maintenance of barley landraces is valuable to design and plan germplasm conservation strategies as well as to improve food utilization of barley. Methods A study, involving field visits and household interviews, was conducted in three administrative zones. Eleven districts from the three zones, five kebeles in each district and five households from each kebele were visited to gather information on the ethnobotany, the utilization of barley and how barley end-uses influence the maintenance of landrace diversity. Results According to farmers, barley is the "king of crops" and it is put for diverse uses with more than 20 types of barley dishes and beverages reportedly prepared in the study area. The products are prepared from either boiled/roasted whole grain, raw- and roasted-milled grain, or cracked grain as main, side, ceremonial, and recuperating dishes. The various barley traditional foods have perceived qualities and health benefits by the farmers. Fifteen diverse barley landraces were reported by farmers, and the ethnobotany of the landraces reflects key quantitative and qualitative traits. Some landraces that are preferred for their culinary qualities are being marginalized due to moisture shortage and soil degradation. Conclusions Farmers' preference of different landraces for various end-use qualities is one of the important factors that affect the decision process of landraces maintenance, which in turn affect genetic diversity. Further studies on improving maintenance of landraces, developing suitable varieties and improving the food utilization of barley including processing techniques could contribute to food security of the area.

  13. Parental Midlife Body Shape and Association with Multiple Adult Offspring Obesity Measures: North West Adelaide Health Study.

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    Janet F Grant

    Full Text Available There is compelling evidence that parental weight is a strong determinant of offspring weight status. The study used cross-sectional self-reported and measured data from a longitudinal cohort of Australian adults (n = 2128 from Stage 3 (2008-10 of the North West Adelaide Health Study (1999-2003, baseline n = 4056 to investigate the association between midlife parental body shape and four indicators of obesity and fat distribution. The analysis used measured body mass index (BMI, waist circumference (WC, waist hip ratio (WHR and waist height ratio (WHtR of adult offspring, together with pictograms for recall of parental body shape. Compared to both parents being a healthy weight, offspring were more likely to be overweight or obese if both parents were an unhealthy weight at age 40 (OR 2.14, 95% CI 1.67-2.76 and further, those participants whose mother was an unhealthy weight were more likely to be overweight or obese themselves (OR 1.50, 95% CI 1.14-1.98. There were similar but lower results for those with an overweight/obese father (OR 1.44, 95% CI 1.08-1.93. The effect of one or both parents being overweight or obese tended to be stronger for daughters than for sons across BMI, WC and WHtR. BMI showed the strongest association with parental body shape (OR 2.14, followed by WC (OR 1.78, WHtR (OR 1.71 and WHR (OR 1.45. WHtR (42-45% and BMI (35-36% provided the highest positive predictive values for overweight/obesity from parental body shape. Parental obesity increases the risk of obesity for adult offspring, both for overall body shape and central adiposity, particularly for daughters. Pictograms could potentially be used as a screening tool in primary care settings to promote healthy weight among young adults.

  14. Ethnobotany, diverse food uses, claimed health benefits and implications on conservation of barley landraces in North Eastern Ethiopia highlands.

    Science.gov (United States)

    Shewayrga, Hailemichael; Sopade, Peter A

    2011-06-28

    Barley is the number one food crop in the highland parts of North Eastern Ethiopia produced by subsistence farmers grown as landraces. Information on the ethnobotany, food utilization and maintenance of barley landraces is valuable to design and plan germplasm conservation strategies as well as to improve food utilization of barley. A study, involving field visits and household interviews, was conducted in three administrative zones. Eleven districts from the three zones, five kebeles in each district and five households from each kebele were visited to gather information on the ethnobotany, the utilization of barley and how barley end-uses influence the maintenance of landrace diversity. According to farmers, barley is the "king of crops" and it is put for diverse uses with more than 20 types of barley dishes and beverages reportedly prepared in the study area. The products are prepared from either boiled/roasted whole grain, raw- and roasted-milled grain, or cracked grain as main, side, ceremonial, and recuperating dishes. The various barley traditional foods have perceived qualities and health benefits by the farmers. Fifteen diverse barley landraces were reported by farmers, and the ethnobotany of the landraces reflects key quantitative and qualitative traits. Some landraces that are preferred for their culinary qualities are being marginalized due to moisture shortage and soil degradation. Farmers' preference of different landraces for various end-use qualities is one of the important factors that affect the decision process of landraces maintenance, which in turn affect genetic diversity. Further studies on improving maintenance of landraces, developing suitable varieties and improving the food utilization of barley including processing techniques could contribute to food security of the area.

  15. Analysing workplace violence towards health care staff in public hospitals using alternative ordered response models: the case of north-eastern Turkey.

    Science.gov (United States)

    Çelik, Ali Kemal; Oktay, Erkan; Çebi, Kübranur

    2017-09-01

    The main objective of this article is to determine key factors that may have a significant effect on the verbal abuse, emotional abuse and physical assault of health care workers in north-eastern Turkey. A self-administered survey was completed by 450 health care workers in three well-established hospitals in Erzurum, Turkey. Because of the discrete and ordered nature of the dependent variable of the survey, the data were analysed using four distinctive ordered response models. Results revealed that several key variables were found to be a significant determinant of workplace violence, such as the type of health institution, occupational position, weekly working hours, weekly shift hours, number of daily patient contacts, age group of the respondents, experience in the health sector, training against workplace violence and current policies of the hospitals and the Turkish Ministry of Health.

  16. Cuidadoras informais de Portugal: vivências do cuidar de idosos Informal caregivers in Portugal: experiences of caring for elderly

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    Maria João Fernandes Marques

    2012-06-01

    importance of developing coping strategies through training on how to better care. The interviewed in the research belong to the North and Central Portugal, answer to the survey adapted from The Zarit Burden Interview. The interviews were analyzed with the support of NVivo 8 software. The data indicate that informal caregivers face more types of physical and emotional than financial burden. However, they stressed that despite the difficulties like taking care of their families. About being invited to participate in training on how to best care, some have confirmed their interest. We found that informal caregivers are lacking of an education that enables them to better care for preventing unsafe consequences.

  17. Does awareness of diagnosis influence health related quality of life in north Indian patients with lung cancer ?

    Science.gov (United States)

    Aggarwal, Ashutosh Nath; Singh, Navneet; Gupta, Dheeraj; Behera, Digambar

    2016-05-01

    Several patients with cancer in India are not aware of their diagnosis. We evaluated the impact of awareness of cancer diagnosis on health-related quality of life (HRQL) in newly diagnosed patients with lung cancer. A total of 391 treatment-naïve patients with lung cancer, seen at the Lung Cancer Clinic of a tertiary care hospital in north India, were categorized into those aware of their diagnosis (group A) and those not aware (group B). All patients answered Hindi versions of abbreviated World Health Organization Quality of Life questionnaire (WHOQOL-Bref) and European Organization for Research and Treatment of Cancer Quality of Life questionnaire (EORTC QLQ-C30), and its lung cancer module, EORTC QLQ-LC13. Various domain scores were computed and compared between the two groups. Analysis of covariance was used to determine significance of differences after adjustment for potential confounding factors. Only 117 (29.9%) patients were aware of their diagnosis. Of all, 302 (77.2%) patients had non-small cell lung cancer, and 301 (77.0%) had advanced disease. All HRQL domain scores were similar between the two groups, except that group B patients had significantly poorer median (interquartile range) Physical [39.3 (28.6-50.0) vs 46.4 (28.6-57.1)] and Environment [46.9 (40.6-56.3) vs 53.1 (0.6-65.6)] domain scores of WHOQOL-Bref, and p0 hysical function [60.0 (40.0-73.3) vs 66.7 (46.7-80.0)] and Fatigue [66.7 (55.6-77.8) vs 66.7 (44.4-66.7)] scores of QLQ-C30. After adjusting for gender, age, education, family income, and tumour extent, these differences were not significant. Disclosure of cancer diagnosis, or lack of it, had no significant impact on HRQL in patients with lung cancer after adjustment of potential confounders.

  18. Does awareness of diagnosis influence health related quality of life in north Indian patients with lung cancer ?

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    Ashutosh Nath Aggarwal

    2016-01-01

    Full Text Available Background & objectives: Several patients with cancer in India are not aware of their diagnosis. We evaluated the impact of awareness of cancer diagnosis on health-related quality of life (HRQL in newly diagnosed patients with lung cancer. Methods: A total of 391 treatment-naïve patients with lung cancer, seen at the Lung Cancer Clinic of a tertiary care hospital in north India, were categorized into those aware of their diagnosis (group A and those not aware (group B. All patients answered Hindi versions of abbreviated World Health Organization Quality of Life questionnaire (WHOQOL-Bref and European Organization for Research and Treatment of Cancer Quality of Life questionnaire (EORTC QLQ-C30, and its lung cancer module, EORTC QLQ-LC13. Various domain scores were computed and compared between the two groups. Analysis of covariance was used to determine significance of differences after adjustment for potential confounding factors. Results: Only 117 (29.9% patients were aware of their diagnosis. Of all, 302 (77.2% patients had non-small cell lung cancer, and 301 (77.0% had advanced disease. All HRQL domain scores were similar between the two groups, except that group B patients had significantly poorer median (interquartile range Physical [39.3 (28.6-50.0 vs 46.4 (28.6-57.1] and Environment [46.9 (40.6-56.3 vs 53.1 (0.6-65.6] domain scores of WHOQOL-Bref, and p0 hysical function [60.0 (40.0-73.3 vs 66.7 (46.7-80.0] and Fatigue [66.7 (55.6-77.8 vs 66.7 (44.4-66.7] scores of QLQ-C30. After adjusting for gender, age, education, family income, and tumour extent, these differences were not significant. Interpretation & conclusions: Disclosure of cancer diagnosis, or lack of it, had no significant impact on HRQL in patients with lung cancer after adjustment of potential confounders.

  19. Processes and experiences of Portugal's international recruitment scheme of Colombian physicians: Did it work?

    Science.gov (United States)

    Masanet, Erika

    2017-08-01

    The Portuguese Ministry of Health performed five international recruitment rounds of Latin American physicians due to the need for physicians in certain geographic areas of the country and in some specialties, as a temporary solution to shortages. Among these recruitments is that of Colombian physicians in 2011 that was the largest of the five groups. This paper presents an evaluation of the international recruitment procedure of Colombian physicians based on the criteria of procedural outcomes and health system outcomes. The methodology used is qualitative, based on semi-structured interviews with key informants and Colombian physicians recruited in Portugal and also on documentary analysis of secondary sources. International recruitment of Colombian physicians coincided with a period of political change and severe economic crisis in Portugal that caused some problems in the course of this recruitment, mainly family reunification in the later group of Colombian physicians and non-compliance of the salary originally agreed upon. Furthermore, due to the continuous resignations of Colombian physicians throughout the 3-year contract, procedural outcomes and health system outcomes of this international recruitment were not fulfilled and therefore the expected results to meet the temporary needs for medical personnel in some areas of the country were not accomplished. Copyright © 2017 Elsevier B.V. All rights reserved.

  20. Commerce in health services in North America within the context of the North American Free Trade Agreement El comercio de servicios de salud en América del Norte en el contexto del Tratado de Libre Comercio

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    Octavio Gómez-Dantés

    1997-06-01

    Full Text Available This article discusses the future of commercial trade in personal health services in North America within the context of the North American Free Trade Agreement (NAFTA and the latter's potential influence on health care for the Mexican people. It begins by defining concepts related to international trade of services, particularly health services, and then proceeds to analyze elements of NAFTA that affect the delivery, regulation, and financing of such services, as well as their future trade within the NAFTA area. It concludes with some recommendations directed at helping Mexico's national health care system confront the risks posed while taking advantage of the opportunities offered by the Mexican economy's entry into a broader market.El presente artículo discute el futuro del intercambio comercial de servicios personales de salud en América del Norte en el contexto del Tratado de Libre Comercio (TLC y la posible influencia de este último sobre la atención de salud de la población mexicana. En la primera parte se definen conceptos relacionados con el intercambio internacional de servicios en general y de servicios de salud en particular y se analizan los componentes del TLC que afectan a la prestación, regulación y financiamiento de estos servicios, así como a su futuro intercambio en la zona del TLC. Al final del artículo se hacen recomendaciones dirigidas a ayudar al sistema nacional de salud de México a enfrentar los riesgos y aprovechar las oportunidades que brinda la incorporación de la economía mexicana a un mercado más amplio.

  1. Childhood leukaemia in the West Berkshire and Basingstoke and North Hampshire District Health Authorities in relation to nuclear establishments in the vicinity

    International Nuclear Information System (INIS)

    Roman, Eve; Beral, Valerie; Carpenter, Lucy; Watson, Ann; Barton, Carol; Ryder, Hilary; Aston, D.L.

    1987-01-01

    These data indicate that in the two district health authorities studied there was an excess incidence of childhood leukaemia during 1972-85 in the vicinity of the nuclear establishments. In the West Berkshire and Basingstoke and North Hampshire District Health Authorities an average of 60 000 children aged 0-14 lived within a 10 km radius of a nuclear establishment each year. The normal expectation of leukaemia in these children was two cases a year, whereas the recorded incidence was three cases per year, representing one extra case of leukaemia each year among these 60 000 children. (author)

  2. How can Portugal attract more China´S young generation tourists?

    OpenAIRE

    Liu, Yujing

    2017-01-01

    Portugal as a tourism destination has great potential to be further developed, however it is still not well known by the Chinese outbound tourists, especially the young generation who would stay longer and spend more in Portugal. This paper describe the current situation of Portugal tourism in Chinese outbound market, after analyzing explained why Portugal should aim at the young generation, and finally gave some recommendations of how to attract them, mainly through social media platforms.

  3. CONFLITOS E TRAUMAS NO RENASCIMENTO EM PORTUGAL

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    Nair Castro Soares

    2016-04-01

    Full Text Available Num século em que a abertura à modernidade trouxe um ardor renovado pelos ideais da Antiguidade Clássica, assimilados aos valores do Cristianismo – raízes da Civilização do Ocidental –,consuma-se a perda de Constantinopla e assiste-se ao crescente domínio turco e à defesa concertada contra o seu avanço; à grande gesta dos Descobrimentos, com as inevitáveis guerras de conquista; à Reforma protestante e às guerras de religião, qual Hidra de Lerna, no dizer de Erasmo; aos conflitos armados entre príncipes cristãos, que Camões interpela no Canto VII de Os Lusíadas.A Reforma de Lutero, Calvino, Henrique VIII fragmentaram a inconsútil túnica de Cristo e puseram fim à unidade da Respublica Christiana, que se tornou em Ocidente dos Estados. Marcantes nesta época foram o pragmatismo político de Maquiavel; o papel da ciência juridica, na definição do direito internacional e do direito dos povos.Em Portugal, muitos foram os conflitos decorrentes da política de expansão e da acção dos sucessivos monarcas, desde os inícios da Segunda Dinastia ao reinado de D. Sebastião: exílios, perseguições, sobretudo a partir da introdução da Inquisição (1536, desastres naturais e, enfim, a perda da independência, a marcar o ocaso do Século de Ouro. 

  4. Switching the poles in sexual and reproductive health research: implementing a research capacity-strengthening network in West and North Africa.

    Science.gov (United States)

    Dossou, Jean-Paul; Assarag, Bouchra; Delamou, Alexandre; Van der Veken, Karen; Belaid, Loubna; Ouédraogo, Moctar; Khalfallah, Sonia; Aouras, Hayet; Diadhiou, Mohamed; Fassassi, Raïmi; Delvaux, Thérèse

    2016-08-08

    Health research capacities have been improved in Africa but still remain weak as compared to other regions of the World. To strengthen these research capacities, international collaboration and networking for knowledge and capacity transfer are needed. In this commentary, we present the Network for Scientific Support in the field of Sexual and Reproductive Health in West and North Africa, its priority research topics and discuss its implementation process. Established in January 2014, the Network aims at generating human rights and gender-based research fully carried out and driven by South based institutions. It is composed of 12 institutions including the Institute of Tropical Medicine of Antwerp (Belgium) and 11 institutions from eight Francophone West and North African countries. The key areas of interest of this network are health policies analysis and health system research in family planning, HIV prevention among vulnerable groups, quality of care and breast cancers. Since it started, seventeen research proposals based on locally relevant research questions have been developed. Among the seventeen proposals, eleven have been implemented. Several research institutions enhanced linkages with local representations of international partners such as UNFPA. The network is committed to strengthening methodological research capacities and soft skills such as fundraising, advocacy and leadership. Such competencies are strongly needed for developing an effective South-based leadership in Sexual and Reproductive Health research, and for achieving the Sustainable Development Goals.

  5. Census Model Transition: Contributions to its Implementation in Portugal

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    Dias Carlos A.

    2016-03-01

    Full Text Available Given the high cost and complexity of traditional censuses, some countries have started to change the census process. Following this trend, Portugal is also evaluating a new census model as an alternative to an exhaustive collection of all statistical units. The main motivations for the implementation of this census model transition in Portugal are related to the decrease in statistical burden on citizens, improvements in the frequency of outputs, and the reduction of collection costs associated with census operations. This article seeks to systematise and critically review all alternatives to the traditional census methodologies, presenting their advantages and disadvantages and the countries that use them. As a result of the comparison, we conclude that the methods that best meet these objectives are those that use administrative data, either in whole or in part. We also present and discuss the results of an inventory and evaluation of administrative registers in Portugal with the potential to produce statistical census information.

  6. Moisture Sources and Large-Scale Dynamics Associated with a Flash Flood Event in Portugal

    Science.gov (United States)

    Liberato, Margarida L. R.; Ramos, Alexandre M.; Trigo, Ricardo M.; Trigo, Isabel F.; María Durán-Quesada, Ana; Nieto, Raquel; Gimeno, Luis

    2013-04-01

    On 18-19 November 1983, the region of Lisbon, in Portugal, was affected by a heavy precipitation event, soon followed by flash flooding, urban inundations and a burst of landslides around Lisbon [Zêzere et al., 2005] causing considerable infrastructure damage and human fatalities. With a total of 95.6 mm in 24 h observed at the longest serving station in Portugal (Lisbon's Dom Luiz Observatory), this was the rainiest day during the twentieth century and one of the rainiest registered since 1864. We found that this event was triggered by the transport of tropical and subtropical moisture associated with an extratropical cyclone. The low favored a large stream of (sub) tropical air that extended over more than 10° of latitude and across the North Atlantic Ocean, carrying a large amount of moisture originally from lower latitudes, a so-called atmospheric river. The stationary position of the jet stream along the East Atlantic Ocean through Iberia caused a strong enhancement of the precipitation associated with the moist air. A Lagrangian analysis of the transport of moisture in the Euro-Atlantic sector was performed based on the methodology developed by Stohl and James [2004, 2005], using the FLEXPART model. This Lagrangian methodology was employed to show that the evaporative sources for the precipitation falling over the area of Lisbon were distributed over large sectors of the tropical-subtropical North Atlantic Ocean and included a significant contribution from the (sub) tropics. This study [Liberato et al., 2012] aims to provide an example of the application of distinct Lagrangian techniques to achieve a better understanding of the relation between extratropical cyclones and the occurrence of a heavy precipitation event on the Iberian Peninsula. Acknowledgments: This work was partially supported by FEDER (Fundo Europeu de Desenvolvimento Regional) funds through the COMPETE (Programa Operacional Factores de Competitividade) Programme and by national funds

  7. The Effect of Puberty Health Education based on Health Belief Model on Health Behaviors and Preventive among Teen Boys in Marivan, North West of Iran

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    Rohollah Valizade

    2016-08-01

    Full Text Available Background Maturity and its related sexual and mental changes are one of the most important events in the life of every individual. The purpose of this study was to determine the effect of puberty health education based on Health Belief Model on health behaviors and preventive among students boy first secondary school in Marivan city in 2015. Materials and Methods This research is an experimental intervention study that was conducted in 2015. The study participants were 64 male students of second year of first secondary school boys who were selected randomly with cluster sampling from two schools among 12 schools in first grade of high school in the Marivan city. Totally 32 students were selected randomly in the intervention group in the one of the schools and 32 students in the control group in the other school. The data collection instrument was a questionnaire developed by the researchers based on the health belief model. The validity and reliability of questionnaire was confirmed. Statistical analysis was carried out using SPSS version 17, Chi square, descriptive statistics and independent t-tests. Results Results showed significance differences after educational intervention in the mean scores of awareness, perceived susceptibility, perceived severity, perceived benefits, cues to action and performance in the intervention group (p

  8. Health behaviour change of people living with HIV after a comprehensive community-based HIV stigma reduction intervention in North-West Province in South Africa.

    Science.gov (United States)

    Chidrawi, H Christa; Greeff, Minrie; Temane, Q Michael

    2014-01-01

    Abstract All over the world, health behaviour is considered a complex, far reaching and powerful phenomenon. People's lives are influenced by their own or others' health behaviour on a daily basis. Whether it has to do with smoking, drinking, pollution, global warming or HIV management, it touches lives and it challenges personal and community responses. Health behaviour, and health behaviour change, probably holds the key to many a person's immediate or prolonged life or death outcomes. The same can be said about communities, culture groups and nations. This SANPAD-funded study focused on research questions relating to health behaviour change for people living with HIV (PLWH) in the North-West Province in South Africa. It investigated whether a comprehensive community-based HIV stigma reduction intervention caused health behaviour change in PLWH. An quantitative single system research design with one pre- and four repetitive post-tests utilizing purposive sampling was used to test change-over-time in the health behaviour of 18 PLWH. The results of the study indicated statistical and/or practical significant change-over-time. The intervention not only addressed the health behaviour of PLWH, but also their HIV stigma experiences, HIV signs and symptoms and their quality of life in the context of being HIV positive. The recommendations include popularization of the comprehensive community-based HIV stigma reduction intervention and extending it to include a second intervention to strengthen health behaviour and quality of life for PLWH in the community at large.

  9. Y-chromosome lineages from Portugal, Madeira and Açores record elements of Sephardim and Berber ancestry.

    Science.gov (United States)

    Gonçalves, Rita; Freitas, Ana; Branco, Marta; Rosa, Alexandra; Fernandes, Ana T; Zhivotovsky, Lev A; Underhill, Peter A; Kivisild, Toomas; Brehm, António

    2005-07-01

    A total of 553 Y-chromosomes were analyzed from mainland Portugal and the North Atlantic Archipelagos of Açores and Madeira, in order to characterize the genetic composition of their male gene pool. A large majority (78-83% of each population) of the male lineages could be classified as belonging to three basic Y chromosomal haplogroups, R1b, J, and E3b. While R1b, accounting for more than half of the lineages in any of the Portuguese sub-populations, is a characteristic marker of many different West European populations, haplogroups J and E3b consist of lineages that are typical of the circum-Mediterranean region or even East Africa. The highly diverse haplogroup E3b in Portuguese likely combines sub-clades of distinct origins. The present composition of the Y chromosomes in Portugal in this haplogroup likely reflects a pre-Arab component shared with North African populations or testifies, at least in part, to the influence of Sephardic Jews. In contrast to the marginally low sub-Saharan African Y chromosome component in Portuguese, such lineages have been detected at a moderately high frequency in our previous survey of mtDNA from the same samples, indicating the presence of sex-related gene flow, most likely mediated by the Atlantic slave trade.

  10. Scaling-up and rooting-down: a case study of North-South partnerships for health from Tanzania

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    Gro Th. Lie

    2012-06-01

    Full Text Available Background: North-South Partnership (NSP is the mandated blueprint for much global health action. Northern partners contribute funding and expertise and Southern partners contribute capacity for local action. Potential Northern partners are attracted to Southern organizations that have a track record of participating in well-performing NSPs. This often leads to the rapid ‘scaling up’ of the Southern organization's activities, and more predictable and stable access to resources. Yet, scaling up may also present challenges and threats, as the literature on rapid organization growth shows. However, studies of the impact of scaling up within NSPs in particular are absent from the literature, and the positive and negative impact of scaling up on Southern partners’ functioning is a matter of speculation. Objective: The purpose of this study is to examine how scaling up affects a Southern partner's organizational functioning, in a Southern grassroots NGO with 20 years of scaling up experience. Design: A case study design was used to explore the process and impact of scaling up in KIWAKKUKI, a women's grassroots organization working on issues of HIV and AIDS in the Kilimanjaro region of Tanzania. Data included documents, observation notes and in-depth interviews with six participants. The data were analyzed by applying an established systems framework of partnership functioning, in addition to a scaling up typology. Results: KIWAKKUKI has experienced significant scale-up of activities over the past 20 years. Over time, successful partnerships and programs have created synergy and led to further growth. As KIWAKUKKI expanded so did both its partnerships and grassroots base. The need for capacity building for volunteers exceeded the financial resources provided by Northern partners. Some partners did not have such capacity building as part of their own central mission. This gap in training has produced negative cycles within the organization and its

  11. Assessing the delivery of alcohol screening and brief intervention in sexual health clinics in the north east of England.

    Science.gov (United States)

    Sullivan, C; Martin, N; White, C; Newbury-Birch, D

    2017-11-17

    Risky drinking is associated with risky sexual experiences, however the relationship between alcohol and sex is complex. The aim of the study was to assess the feasibility of delivering alcohol screening and brief interventions in genitourinary medicine (GUM) clinics. The objectives were to; understand the levels of alcohol use amongst patients; report on the number of alcohol interventions delivered; and to analyse the relationship between alcohol use with demographic data as well as diagnosed sexually transmitted infections (STIs) to see if there were any associations. All new patients attending GUM between April 2012 and March 2013 self-completed the Alcohol Use Disorder Identification Test (AUDIT) prior to their clinical consultation. Where appropriate (scoring 8+ on AUDIT) the clinician would deliver up to 2-3 min of alcohol brief intervention. Descriptive statistics, t-tests, ANOVA and logistic regression were carried out as appropriate. AUDIT scores were available for 90% of all new patients (3058/3390) with an average mean score of 7.75. Of those who drank alcohol, 44% were categorised as being AUDIT positive, including 2% who had a score indicative of probable alcohol dependence (20+). 55 % (n = 638) of patients who screened positive on the AUDIT received a brief intervention whilst 24% (n = 674) of drinkers were diagnosed with a STI. Logistic regression modelling revealed that males, younger age groups and those of 'white' ethnicity were more likely to score positive on AUDIT. Patients classified as non-students, living in deprivation quintiles one to four and categorised as probable alcohol dependence on the AUDIT were more likely to be diagnosed with an STI. It is possible to embed alcohol screening into routine practice within sexual health services however further work is required to embed brief interventions particularly amongst increasing risk drinkers. If resources are limited, services may consider more targeted rather than universal alcohol

  12. Assessing the delivery of alcohol screening and brief intervention in sexual health clinics in the north east of England

    Directory of Open Access Journals (Sweden)

    C. Sullivan

    2017-11-01

    Full Text Available Abstract Background Risky drinking is associated with risky sexual experiences, however the relationship between alcohol and sex is complex. The aim of the study was to assess the feasibility of delivering alcohol screening and brief interventions in genitourinary medicine (GUM clinics. The objectives were to; understand the levels of alcohol use amongst patients; report on the number of alcohol interventions delivered; and to analyse the relationship between alcohol use with demographic data as well as diagnosed sexually transmitted infections (STIs to see if there were any associations. Methods All new patients attending GUM between April 2012 and March 2013 self-completed the Alcohol Use Disorder Identification Test (AUDIT prior to their clinical consultation. Where appropriate (scoring 8+ on AUDIT the clinician would deliver up to 2–3 min of alcohol brief intervention. Descriptive statistics, t-tests, ANOVA and logistic regression were carried out as appropriate. Results AUDIT scores were available for 90% of all new patients (3058/3390 with an average mean score of 7.75. Of those who drank alcohol, 44% were categorised as being AUDIT positive, including 2% who had a score indicative of probable alcohol dependence (20+. 55 % (n = 638 of patients who screened positive on the AUDIT received a brief intervention whilst 24% (n = 674 of drinkers were diagnosed with a STI. Logistic regression modelling revealed that males, younger age groups and those of ‘white’ ethnicity were more likely to score positive on AUDIT. Patients classified as non-students, living in deprivation quintiles one to four and categorised as probable alcohol dependence on the AUDIT were more likely to be diagnosed with an STI. Conclusion It is possible to embed alcohol screening into routine practice within sexual health services however further work is required to embed brief interventions particularly amongst increasing risk drinkers. If resources are limited

  13. Perspectives on access to in vitro fertilization in Portugal

    Directory of Open Access Journals (Sweden)

    S. Silva

    2012-04-01

    Full Text Available OBJECTIVE: To analyze users' reasons for choosing in vitro fertilization treatment in public or private services and to identify their suggestions for improving fertility treatment. METHODS: A qualitative study using an interpretative approach was conducted. Fifteen semi-structured interviews were conducted with patients undergoing in vitro fertilization treatment (nine women, one man and five couples at home or at their workplace in the districts of Viana do Castelo, Braga, Porto and Lisbon, Portugal, between July 2005 and February 2006. RESULTS: Users evaluated access to in vitro fertilization treatment in public and private services based mainly on their individual experiences and called for more access to less costly, faster and friendlier care with suitable facilities, appropriate time management and caring medical providers. These perceptions were also associated with views on the need for fighting stigmatization of infertility, protecting children's rights and guaranteeing sustainability of health care system. Interviewees sought to balance reduced waiting time and more attentive care with costs involved. The choice of services depended on the users' purchase power and place of residence and availability of attentive care. CONCLUSIONS: Current national policies on in vitro fertilization treatment meet user's demands of promoting access to, and quality, availability and affordability of in vitro fertilization treatment. However, their focus on legal regulation and technical-scientific aspects contrasts with the users' emphasis on reimbursement, insurance coverage and focus on emotional aspects of the treatment. The study showed these policies should ensure insurance coverage, participation of user representatives in the National Council for Assisted Reproductive Technology, promotion of infertility research and certification of fertility laboratories.

  14. The integrated management for renal replacement therapy in Portugal.

    Science.gov (United States)

    Coelho, Anabela P; Sá, Helena O; Diniz, José A; Dussault, Gilles

    2014-01-01

    Portugal was the first European country to introduce an integrated management of end-stage renal disease (IM ESRD). This new program integrates various dialysis services and products, which are reimbursed at a fixed rate/patient/week called "comprehensive price payment." This initiative restructured the delivery of dialysis services, the monitoring of outcomes, and the funding of renal replacement therapy. This article described the implementation of a new model of comprehensive provision of hemodialysis (HD) services and aimed to assess its impact on dialysis care. Quality assessments and reports of patient satisfaction, produced by the Ministry of Health since 2008, as well as national registries and reports, provided the data for this review. Indicators of HD services in all continental facilities show positive results that have successively improved along the period of 2009-2011, in spite of an average annual growth of 3% of the population under HD treatment. Mortality rates for HD patients were 12.7%, 12%, and 11%, respectively in 2009, 2010, and 2011; annual hospitalization rates were 4.9%, 3.8%, and 4.4% for the same years; key performance indicators showed averages above the reference values such as hemoglobin, serum phosphorus, eKt/V, water quality, number of days of hospitalization per patient per year, and number of weekly dialysis sessions. The financing analysis of IM ESRD demonstrates a sustained control of global costs, without compromising quality. The IM ERSD program is an innovative and quality-driven approach that benefits both dialysis patients and providers, contributing toward the rationalization of service provision and the efficient use of resources. © 2013 International Society for Hemodialysis.

  15. Challenges and strategies to improve the availability and geographic accessibility of physicians in Portugal.

    Science.gov (United States)

    de Oliveira, Ana Paula Cavalcante; Dussault, Gilles; Craveiro, Isabel

    2017-03-23

    Shortages of physicians in remote, rural and other underserved areas and lack of general practitioners limit access to health services. The aims of this article are to identify the challenges faced by policy and decision-makers in Portugal to guarantee the availability and geographic accessibility to physicians in the National Health Service and to describe and analyse their causes, the strategies to tackle them and their results. We also raise the issue of whether research evidence was used or not in the process of policy development. We analysed policy and technical documents, peer-reviewed papers and newspaper articles from 1995 to 2015 through a structured search of government websites, Portuguese online newspapers and PubMed and Virtual Health Library (Biblioteca Virtual em Saúde (BVS)) databases; key informants were consulted to validate and complement the documentary search. The challenges faced by decision-makers to ensure access to physicians were identified as a forecasted shortage of physicians, geographical imbalances and maldistribution of physicians by level of care. To date, no human resources for health policy has been formulated, in spite of most documents reviewed stating that it is needed. On the other hand, various isolated and ad hoc strategies have been adopted, such as incentives to choose family health as a specialty or to work in an underserved region and recruitment of foreign physicians through bilateral agreements. Health workforce research in Portugal is scarce, and therefore, policy decisions regarding the availability and accessibility of physicians are not based on evidence. The policy interventions described in this paper should be evaluated, which would be a good starting point to inform health workforce policy development.

  16. Larvicidal activity against Aedes aegypti of Foeniculum vulgare essential oils from Portugal and Cape Verde.

    Science.gov (United States)

    Rocha, Diara Kady; Matosc, Olivia; Novoa, Maria Teresa; Figueiredo, Ana Cristina; Delgado, Manuel; Moiteiro, Cristina

    2015-04-01

    Dengue is a potentially fatal mosquito-borne infection with 50 million cases per year and 2.5 billion people vulnerable to the disease. This major public health problem has recurrent epidemics in Latin America and occurred recently in Cape Verde and Madeira Island. The lack of anti-viral treatment or vaccine makes the control of mosquito vectors a high option to prevent virus transmission. Essential oil (EO) constituents can affect insect's behaviour, being potentially effective in pest control. The present study evaluated the potential use of Foenicultm vulgare (fennel) EO in the control of the dengue vector Aedes aegypti. EOs isolated from fennel aerial parts collected in Cape Verde and from a commercial fennel EO of Portugal were analysed by NMR, GC and GC-MS. trans-Anethole (32 and 30%, respectively), limonene (28 and 18%, respectively) and fenchone (10% in both cases) were the main compounds identified in the EOs isolated from fennel from Cape Verde and Portugal, respectively. The larvicidal activity of the EOs and its major constituents were evaluated, using WHO procedures, against third instar larvae ofAe. aegypti for 24 h. Pure compounds, such as limonene isomers, were also assayed. The lethal concentrations LC50, C90 and LC99 were determined by probit analysis using mortality rates of bioassays. A 99% mortality of Ae. aegypti larvae was estimated at 37.1 and 52.4 µL L-1 of fennel EOs from Cape Verde and Portugal, respectively. Bioassays showed that fennel EOs from both countries displayed strong larvicidal effect against Ae. aegypti, the Cape Verde EO being as active as one of its major constituents, (-)-limonene.

  17. The demise of multidrug-resistant HIV-1: the national time trend in Portugal.

    Science.gov (United States)

    Vercauteren, Jurgen; Theys, Kristof; Carvalho, Ana Patricia; Valadas, Emília; Duque, Luis Miguel; Teófilo, Eugénio; Faria, Telo; Faria, Domitília; Vera, José; Aguas, Maria João; Peres, Susana; Mansinho, Kamal; Vandamme, Anne-Mieke; Camacho, Ricardo Jorge

    2013-04-01

    Despite a decreasing mortality and morbidity in treated HIV-1 patients, highly active antiretroviral treatment (HAART) can still fail due to the development of drug resistance. Especially, multidrug-resistant viruses pose a threat to efficient therapy. We studied the changing prevalence of multidrug resistance (MDR) over time in a cohort of HIV-1-infected patients in Portugal. We used data of 8065 HIV-1-infected patients followed from July 2001 up to April 2012 in 22 hospitals located in Portugal. MDR at a specific date of sampling was defined as no more than one fully active drug (excluding integrase and entry inhibitors) at that time authorized by the Portuguese National Authority of Medicines and Health Products (INFARMED), as interpreted with the Rega algorithm version 8.0.2. A generalized linear mixed model was used to study the time trend of the prevalence of MDR. We observed a statistically significant decrease in the prevalence of MDR over the last decade, from 6.9% (95% CI: 5.7-8.4) in 2001-03, 6.0% (95% CI: 4.9-7.2) in 2003-05, 3.7% (95% CI: 2.8-4.8) in 2005-07 and 1.6% (95% CI: 1.1-2.2) in 2007-09 down to 0.6% (95% CI: 0.3-0.9) in 2009-12 [OR=0.80 (95% CI: 0.75-0.86); P<0.001]. In July 2011 the last new case of MDR was seen. The prevalence of multidrug-resistant HIV-1 is decreasing over time in Portugal, reflecting the increasing efficiency of HAART and the availability of new drugs. Therefore, in designing a new drug, safety and practical aspects, e.g. less toxicity and ease of use, may need more attention than focusing mainly on efficacy against resistant strains.

  18. Level of modern health care seeking behaviors among mothers having under five children in Dangila town, north West Ethiopia, 2016: a cross sectional study.

    Science.gov (United States)

    Dagnew, Amare Belachew; Tewabe, Tilahun; Murugan, Rajalakshmi

    2018-05-29

    Health seeking behavior is an action taken by an individual who perceive to have a health problem. In most developing countries including Ethiopia the health of the children is strongly dependant on maternal health care behavior. Most childhood morbidities and mortalities are associated with low level of mothers health care seeking behavior. Therefore, the objective of this study was to assess level of modern health care seeking behavior among mothers having under five children in Dangila town, North West Ethiopia. Community based quantitative cross-sectional study was conducted from April 15 to May 15, 2016. Systematic random sampling technique was used to select study participants. A total of273 mothers with children less than five years were included in this study. The data was collected from all five Kebeles using interviewer administered questionnaire. Descriptive and inferential statistics were used to present the data. Both bivariate and multivariate logistic regression analyses were used to identify factors associated with level of modern health care seeking behavior. Prevalence of modern health care seeking behavior was 82.1%. Age of mothers (AOR = 2.4(1.1, 5.3), age of the child (AOR = 6.7(2.8, 22.2), severity of illness (AOR = 5.2(1.2, 22.6) and family number (AOR = 6.4(2.1, 20.2) were predictors of modern health care seeking behavior among mothers. Majority of the mothers preferred to take their children to modern health care when they got illness. Age of children, age of mother, number of family and severity of illness were the determinant factors for modern health care seeking behavior. Therefore, health care services should be strengthened at community level through community integrated management of childhood illness, information, education communication / behavioral change communication strategies to improve mothers health care seeking behaviors.

  19. Contribution of long-range transport to the ozone levels recorded in the Northeast of Portugal

    Science.gov (United States)

    Gama, C.; Nunes, T.; Marques, M. C.; Ferreira, F.

    2009-04-01

    levels were calculated for each cluster and the differences between the groups were validated using the Kruskal-Wallis statistical test. The results have shown a significant influence of the transport path on ozone concentrations, which is more noticeable when the probability of occurring photochemical pollution phenomena is higher. Air masses from Europe (Spain, France, United Kingdom, etc.) generally originate higher ozone levels than the ones arriving from the Atlantic Ocean. This feature shows the role of photochemical production along long-range transport phenomena, and the input of pollutants into air masses, along their path. A more detailed analysis at local/regional scale, supported mainly by an intensive field campaign performed during spring/summer of 2006 in the vicinity of Alvão Natural Park (FOTONET Project), at different altitudes, together with pollutant measurements from rural air quality stations in the north of Portugal and one from Spain (Peñausende) was carried out in order to evaluate the extension of photochemical pollution in the Northeast of Portugal. Ozone concentrations measurements in the region showed a noticeable decrease with altitude, mainly at night. In resume back trajectories based analysis has demonstrated that other countries, mainly Spain, contribute decisively to the ozone levels registered in the station used for this study. Backed on this knowledge we point out towards the need of considering common international policies when dealing with controlling ozone levels in the environment. References: Monks, P. (2000): A review of the observations and origins of the spring ozone maximum. Atmospheric Environment 34, 3545-3561. Vingarzan, R., Taylor, B. (2003): Trend analysis of ground level ozone in the greater Vancouver / Fraser Valley area of British Columbia. Atmospheric Environment 37, 2159-2171. EMPA (2008): Air mass trajectory clustering. Retrieved 01 November 2008 from: http://www.empa.ch/plugin/template/empa/*/63288/—/l=1

  20. [The Road towards the Responsible and Safe Legalization of Cannabis Use in Portugal].

    Science.gov (United States)

    Baptista-Leite, Ricardo; Ploeg, Lisa

    2018-02-28

    Recently, the world has seen examples of the legalization of cannabis for recreational purposes. Due to the diversity of experiences in progress, it is urgent to analyze the impacts of this legalization, from a public health perspective. Therefore, this article aims to review the accumulated knowledge in the states and countries where the use of cannabis is legal and to ponder over the relevance of starting a similar path towards legalization in Portugal, thus supporting political decisions to be properly informed and evidence-based. An extensive literature review was performed using databases and scientific journals, such as PubMed, as well as the search of institutional documentation, including the EMCDDA and SICAD. The gathered information provided insights and enabled assessment of (1) the acute and chronic effects of cannabis use on health, (2) the Portuguese situation related to cannabis and (3) the processes and lessons learned after the legalization of cannabis in other countries or states. Given the above, and according to the data presented, the authors argue for a safe and responsible strategy towards the legalization of cannabis use in Portugal. In accordance, a set of concrete proposals are presented. From a public health perspective, it is assumed that the interest of this proposal is to reduce the problematic use of cannabis, to effectively fight against illicit drug trafficking and drug-related crime, as well as health promotion and prevention of addictions and other adverse health impacts. This article reveals that the effects of legalization might, contrary to general beliefs, generate positive results with respect to these aims, given that there will be greater control on the market, price, quality, and information - to name a few - if implementation occurs with proper consideration and definition. The debate on the responsible and safe legalization of cannabis use in Portugal should be open and promoted, based on a public health

  1. Predictors of Registered Nurses' Intention To Quit: Implications for the Management of Health Care Human Resources in North Dakota Hospitals.

    Science.gov (United States)

    Pooyan, Abdullah; And Others

    Turnover rates for nurses are among the highest for all professional employees. This study investigated the potential predictors of registered nurses' intention to quit. Survey questionnaires were mailed to a population of 779 registered nurses from two hospitals in North Dakota. Approximately 4 weeks later, usable responses were received from 353…

  2. Acculturation, Internalizing Mental Health Symptoms, and Self-Esteem: Cultural Experiences of Latino Adolescents in North Carolina

    Science.gov (United States)

    Smokowski, Paul R.; Bacallao, Martica L.

    2007-01-01

    This investigation examined acculturation risk factors and cultural assets, internalizing behavioral problems, and self-esteem in 323 Latino adolescents living in North Carolina. Multiple regression analyses revealed two risk factors--perceived discrimination and parent-adolescent conflict--as highly significant predictors of adolescent…

  3. The impact of minimum wages on youth employment in Portugal

    NARCIS (Netherlands)

    S.C. Pereira

    2003-01-01

    textabstractFrom January 1, 1987, the legal minimum wage for workers aged 18 and 19 in Portugal was uprated to the full adult rate, generating a 49.3% increase between 1986 and 1987 in the legal minimum wage for this age group. This shock is used as a ?natural experiment? to evaluate the impact of

  4. International Uranium Resources Evaluation Project (IUREP) national favourability studies: Portugal

    International Nuclear Information System (INIS)

    1977-10-01

    Portugal is situated on the western edge of the Iberian Meseta. At present, its reasonably assured reserves are about 7800 t of U (including 1000 t of U at more than 830/lb U 3 O 8 ) and 850 t of U in estimated additional reserves. This potential is divided between vein deposits and deposits located in the peribatholithic schists or enclaved in granite. Two main districts share these reserves - Beira at the centre of the country and Alto Alentejo in the east, approximately at the same latitude as Lisbon. In spite of the considerable prospecting activities authorized by Portugal in the Meseta area, the subject cannot yet be regarded as exhausted. Additional resources may still be located in the horizontal and vertical extensions of the vein mineralizations or schists from the already known deposits or outside the districts containing such deposits. Moreover, certain post-Palaeozoic sedimentary basins exhibit features favourable for the presence of uranium-bearing deposits and therefore deserve to be taken into consideration. However, there are as yet no examples of economic mineralization in such locations in Portugal. All things considered, we considered it reasonable to place Portugal in category No. 3 of the classiffication adopted by BJREP. (author)

  5. Portugal and South Africa: Close Allies or Unwilling Partners in ...

    African Journals Online (AJOL)

    The popular perception of the existence of a straightforward alliance between Portugal and South Africa as a result of the growing efficacy of African nationalist groups during the 1960s and early 1970s has never been seriously questioned. However, new research into recently declassified documents from the Portuguese ...

  6. School-Based Sexuality Education in Portugal: Strengths and Weaknesses

    Science.gov (United States)

    Rocha, Ana Cristina; Leal, Cláudia; Duarte, Cidália

    2016-01-01

    Portugal, like many other countries, faces obstacles regarding school-based sexuality education. This paper explores Portuguese schools' approaches to implementing sexuality education at a local level, and provides a critical analysis of potential strengths and weaknesses. Documents related to sexuality education in a convenience sample of 89…

  7. LIS Education in Portugal between Academia and Practice

    Science.gov (United States)

    Ribeiro, Fernanda

    2008-01-01

    There is a brief exposition, in a historical perspective, about the evolution of the professional education in Portugal, in the area of Library and Information Science, since the creation of the Curso de Bibliotecario-Arquivista, in 1887, until its closure in 1982, when it was replaced by the Curso de Especializacao em Ciencias Documentais (CECD).…

  8. Education, State, and Society in Portugal, 1926-1981.

    Science.gov (United States)

    Stoer, Stephen R.; Dale, Roger

    1987-01-01

    Examines the relationship between the state and education in Portugal during periods of modernization, dictatorship, revolution, and democratization from 1926-81. Discusses the role of education, problems faced by education and other ideological systems, and the relationship between education and national development in each historical period. (SV)

  9. Imipenem Resistance in Clostridium difficile Ribotype 017, Portugal

    Science.gov (United States)

    Isidro, Joana; Santos, Andrea; Nunes, Alexandra; Borges, Vítor; Silva, Catarina; Vieira, Luís; Mendes, Aristides L.; Serrano, Mónica; Henriques, Adriano O.; Gomes, João Paulo

    2018-01-01

    We describe imipenem-resistant and imipenem-susceptible clinical isolates of Clostridium difficile ribotype 017 in Portugal. All ribotype 017 isolates carried an extra penicillin-binding protein gene, pbp5, and the imipenem-resistant isolates had additional substitutions near the transpeptidase active sites of pbp1 and pbp3. These clones could disseminate and contribute to imipenem resistance. PMID:29553322

  10. Research Management in Portugal: A Quest for Professional Identity

    Science.gov (United States)

    Trindade, Margarida; Agostinho, Marta

    2014-01-01

    Research managers at science-intensive institutions appear as a continuously evolving group of professionals whose identity is somewhat fragmented, even to themselves. In Portugal, specialized research manager roles have rapidly emerged over the last years alongside the development of a small but consolidated scientific system. In order to get an…

  11. PSYCHOSOCIAL REHABILITATION IN ASSISTED HOUSING IN BRAZIL AND PORTUGAL

    Directory of Open Access Journals (Sweden)

    Antonio José de Almeida Filho

    2016-01-01

    Full Text Available El objetivo de esta investigación es analizar cómo las Casas Terapéuticas para los usuarios con trastornos mentales en los municipios de Miranda do Corvo-Portugal y Volta Redonda-Brasil contribuyen a la rehabilitación psicosocial de las personas con sufrimiento mental. Estudio de perspectiva histórica, cuyas fuentes históricas fueron leyes, resoluciones e informes oficiales y declaraciones de enfermeras, psicólogos y trabajadores sociales. Se encontró que en ambos municipios la intención es la desinstitucionalización de las personas con sufrimiento mental, en Miranda do Corvo-Portugal la gestión financiera y administrativa es responsabilidad de una fundación y, en Volta Redonda-Brasil esta gestión es auspiciada por el ejecutivo municipal, además de observar en Miranda del Corvo-Portugal la adopción de medidas disciplinarias en función de exceso de los usuarios. Se concluye que la crisis económica en Portugal ha interferido con la política de expansión de las Casas Terapéuticas en cuanto al número de usuarios que no permite la intervención más individualizada.

  12. Corporate Blended Learning in Portugal: Current Status and Future Directions

    Science.gov (United States)

    Marcal, Julia; Caetano, Antonio

    2010-01-01

    The aim of this study is to characterize the current status of blended learning in Portugal, given that b-learning has grown exponentially in the Portuguese market over recent years. 38 organizations (representing 68% of all institutions certified to provide distance training by the Government Labour Office--DGERT-) participated in this study. The…

  13. Regional thermal patterns in Portugal using satellite images (NOAA AVHRR

    Directory of Open Access Journals (Sweden)

    António Lopes

    1995-06-01

    Full Text Available In this paper two NOAA AVHRR diurnal images (channel 4 are used to determine the required procedures aiming at a future operational analysis system in Portugal. Preprocessing and classification operations are described. Strong correlation between air and surface temperature is verified and rather detailed air temperature patterns can be inferred.

  14. Factors Affecting Students' Choice of Science and Engineering in Portugal.

    Science.gov (United States)

    de Almeida, Maria Jose B. M.; Leite, Maria Salete S. C. P.; Woolnough, Brian E.

    This paper presents the results of a study undertaken in Portugal to determine the influence of different factors on students' (n=499) decisions to study or refuse to study in one of the physical sciences or engineering. Some influencing factors are related to what goes on in school and during science lessons, and other factors are related to the…

  15. Some peace of mind: assessing a pilot intervention to promote mental health among widows of injecting drug users in north-east India

    Directory of Open Access Journals (Sweden)

    Dzuvichu Bernice

    2008-08-01

    Full Text Available Abstract Background HIV prevalence in north-east India is high and injecting drug use (IDU is common. Due to HIV-related deaths there are increasing numbers of IDU widows, many of whom are HIV infected, and experiencing poor health, social isolation, discrimination and poverty, all factors likely to be compromising their mental health. There is increasing recognition of the links between HIV and mental health. Methods The aim of this study was to pilot a peer-facilitated, participatory action group (PAG process and assess the impact of the intervention on the mental health of participants. The intervention consisted of 10 PAG meetings involving 74 IDU widows. Changes in quality of life (WHOQOL-BREF, mental health (GHQ12 and somatic symptoms were assessed. The value of the intervention from the perspective of the participants was captured using a qualitative evaluation method (Most Significant Change. Results Participants' quality of life, mental health and experience of somatic symptoms improved significantly over the course of the intervention, and the women told stories reflecting a range of 'significant changes'. Conclusion This pilot intervention study demonstrated that a participatory approach to mental health promotion can have a positive impact on the lives of vulnerable women, and the potential to contribute to HIV prevention. Further investigation is warranted.

  16. Rural recruitment and retention of health workers across cadres and types of contract in north-east India: A qualitative study.

    Science.gov (United States)

    Rajbangshi, Preety R; Nambiar, Devaki; Choudhury, Nandini; Rao, Krishna D

    2017-09-01

    Background Like many other low- and middle-income countries, India faces challenges of recruiting and retaining health workers in rural areas. Efforts have been made to address this through contractual appointment of health workers in rural areas. While this has helped to temporarily bridge the gaps in human resources, the overall impact on the experience of rural services across cadres has yet to be understood. This study sought to identify motivations for, and the challenges of, rural recruitment and retention of nurses, doctors and specialists across types of contract in rural and remote areas in India's largely rural north-eastern states of Meghalaya and Nagaland. Methods A qualitative study was undertaken, in which 71 semi-structured interviews were carried out with doctors (n = 32), nurses (n = 28) and specialists (n = 11). In addition, unstructured key informant interviews (n = 11) were undertaken, along with observations at health facilities and review of state policies. Data were analysed using Ritchie and Spencer's framework method and the World Health Organization's 2010 framework of factors affecting decisions to relocate to, stay in or leave rural areas. Results It was found that rural background and community attachment were strongly associated with health workers' decision to join rural service, regardless of cadre or contract. However, this aspiration was challenged by health-systems factors of poor working and living conditions; low salary and incentives; and lack of professional growth and recognition. Contractual health workers faced unique challenges (lack of pay parity, job insecurity), as did those with permanent positions (irrational postings and political interference). Conclusion This study establishes that the crisis in recruiting and retaining health workers in rural areas will persist until and unless health systems address the core basic requirements of health workers in rural areas, which are related to health-sector policies

  17. Evaluating fishermen's conservation attitudes and local ecological knowledge of the European sardine (Sardina pilchardus), Peniche, Portugal.

    Science.gov (United States)

    Braga, Heitor O; Azeiteiro, Ulisses M; Oliveira, Henrique M F; Pardal, Miguel A

    2017-05-05

    European sardines are an important fishing resource in the North Atlantic. Recognized for its great commercial and economic value in southern Europe, this resource currently has low stock indices. From this perspective, fishers' local ecological knowledge (LEK) is appreciated as an auxiliary tool in the management of sardines in this region. Our goal is to evaluate the LEK and attitudes towards the conservation of Sardina pilchardus in the typical fishing village of Peniche, Portugal. From June to September 2016, we carried out 87 semi-structured interviews. The four main points of the interviews were interviewee profile, fishing structure, fishermen's LEK and attitudes towards sardine conservation. The interviews were qualitatively and quantitatively analyzed using a 3-point Likert scale. An LEK index and an attitude index were generated. Comparison analyses and correlations were made between the indices and variables of the interviewee profile and the fishing structure. The mean LEK index was 0.55 and was classified as moderate. The attitudes index in relation to conservation was 0.76 and was classified as positive. This index had a positive and significant correlation with the LEK index and a significant negative correlation with the fishermen's age. When the LEK index was compared with the educational level, significant differences were observed only between class A and class C. The result showed that the differences in the attitudes index were statistically significant when the three educational classes were compared. The fishermen of Peniche in Portugal present moderate informal knowledge about the biology and ecology of sardines. Attitudes towards conservation were predominantly positive. Fishermen with greater LEK, with a higher educational level and at a younger age presented more positive attitudes in relation to environmental conservation issues in the present case of the sardine population. The LEK is not necessarily related to the educational level of

  18. Background Noise of the Aldeia da Serra Region (Portugal) from a temporary broad band network

    Science.gov (United States)

    Wachilala, Piedade; Borges, José; Caldeira, Bento; Bezzeghoud, Mourad

    2017-04-01

    In this study, we analyse seismic background noise to assess the effect of noise based on the detectability of a temporary network constituted by DOCTAR (Deep Ocean Test Array), who have been deployed in a period between 2011 and 2012 in Portugal mainland, and the Évora permanent seismic station. This network is constituted by 14 digital broadband stations (14 CMG-3ESP and one STS2 sensors) with a flat response between the 60 sec to 50 Hz, 24-bit and 120s to 60Hz respectively. The temporary network was operated in continuous recording mode (three-components) in a region located in the north of the region of Évora, within a radius of about 30 km around the village of Aldeia da Serra, region in which there is an important seismic activity in the context of Portugal mainland. We calculated power spectral densities of background noise for each station/component and compare them with high-noise model and low-noise model of Peterson (1993). We consider different for day and night local and for different periods of the year. Power spectral density estimates show moderate noise levels with all stations falling within the high and low bounds of Peterson (1993). Considering the results of the noise, we estimate the detection limit of each station and consequently the detectability of the network. From this information and taking in attention the events recorded during the period of DOCTAR operation we analyse the improvement promoted by this temporary network regarding the existent seismic networks to the local seismicity study. This work was partially supported by COMPETE 2020 program (POCI-01-0145-FEDER-007690 project). We acknowledge GFZ Potsdam for providing part of the data used in this study.

  19. Comprehensive school-health services in selected secondary schools in the North West province / Elizabeth Petronella Johanna de Klerk

    OpenAIRE

    De Klerk, Elizabeth Petronella Johanna

    2013-01-01

    Adolescents who are subjected to adverse health risks which limit school attendance and academic performance, is a national as well as an international recognised problem considering healthy youth to be productive members of society. The South African Department of Health has introduced a re-engineering program for primary health care of which school-health is one of three main areas of the primary health care services focusing on, but not limited to immunization, teenage pregnancy, education...

  20. Geomorphology and the uranium vein deposits of the Beira region of Portugal

    International Nuclear Information System (INIS)

    Cameron, J.

    1982-01-01

    Geomorphology, river drainage patterns and land form may be related to and indicative of, the presence of metalliferous vein structures, particularly if these are composed of either harder or softer gangue material than the enclosing host rock, and where the structures are relatively recent or uncomplicated by later tectonic movements. The Beira region of Portugal is an excellent example of the relationship between uranium-bearing vein and fault structures and the local geomorphology. The Serra da Estrela mountain range dominates the region and is a horst block whose long axis trends N48 0 E and is bounded by well-defined fracture systems N60 0 E on the north-west side and N35 0 E on the south-east side. The uranium veins, the main river courses and the diabase dyke structures to the north-west and south-east of the mountains are parallel to these two bounding fault systems. The close relationship between the uranium vein structures and the geomorphology, particularly the river courses, must indicate that the veins are young in age and closely related to, but immediately following, the uplift of the Serra da Estrela mountains. The uplift of the Serra da Estrela mountains is caused by the effects of the Alpine movements on the Iberian Peninsula and dated at a probable mid- to late Oligocene age. The uranium vein structures must therefore be close to and immediately following that age. (author)

  1. Human exposure to indoor radon: A survey in the region of Guarda, Portugal

    International Nuclear Information System (INIS)

    Louro, A.; Peralta, L.; Soares, S.; Pereira, A.; Cunha, G.; Belchior, A.; Ferreira, L.; Gil, O. M.; Louro, H.; Pinto, P.; Rodrigues, A. S.; Silva, M. J.; Teles, P.

    2013-01-01

    Radon ( 222 Rn) is a radioactive gas, abundant in granitic areas, such as the city of Guarda at the northeast of Portugal. This gas is recognised as a carcinogenic agent, being appointed by the World Health Organization as the second leading cause of lung cancer after tobacco smoke. Therefore, the knowledge of radon concentrations inside the houses (where people stay longer) is important from the point of view of radiological protection. The main goal of this study was to assess the radon concentration in an area previously identified with a potentially high level of residential radon. The radon concentration was measured using CR-39 detectors, exposed for a period of 2 months in 185 dwellings in the Guarda region. The radon concentration in studied dwellings, ranged between 75 and 7640 Bq m -3 , with a geometric mean of 640 Bq m -3 and an arithmetic mean of 1078 Bq m -3 . Based on a local winter-summer radon concentration variation model, these values would correspond to an annual average concentration of 860 Bq m -3 . Several factors contribute to this large dispersion, the main one being the exact location of housing construction in relation to the geochemical nature of the soil and others the predominant building material and ventilation. Based on the obtained results an average annual effective dose of 15 mSv y -1 is estimated, well above the average previously estimated for Portugal. (authors)

  2. Portugal and Angola: similarities and differences in Toxoplasma gondii seroprevalence and risk factors in pregnant women.

    Science.gov (United States)

    Lobo, M L; Patrocinio, G; Sevivas, T; DE Sousa, B; Matos, O

    2017-01-01

    In this study we determined the presence of IgM/IgG antibodies to Toxoplasma gondii in sera of 155 and 300 pregnant women from Lisbon (Portugal) and Luanda (Angola), respectively, and evaluated the potential risk factors associated with this infection. DNA detection was performed by PCR assays targeting T. gondii regions (RE/B1). Overall, 21·9% (10·9% IgG, 10·9% IgG/IgM) of the Lisbon women and 27·3% (23·7%, IgG, 2% IgM, 1·7% IgG/IgM) of the Luanda women had antibodies to T. gondii. Single variable and binary logistic regression analyses were conducted. Based on the latter, contacts with cats (family/friends), and having more than two births were identified as risk factors for Toxoplasma infection in Lisbon women. In Luanda, the risk factors for T. gondii infection suggested by the single variable analysis (outdoor contact with cats and consumption of pasteurized milk/dairy products) were not confirmed by binary logistic regression. This study shows original data from Angola, and updated data from Portugal in the study of infection by T. gondii in pregnant women, indicating that the prevalence of anti-Toxoplasma antibodies is high enough to alert the government health authorities and implement appropriate measures to control this infection.

  3. Effectiveness of a multiple-strategy community intervention to reduce maternal and child health inequalities in Haryana, North India: a mixed-methods study protocol

    Directory of Open Access Journals (Sweden)

    Madhu Gupta

    2015-02-01

    Full Text Available Background: A multiple-strategy community intervention, known as National Rural Health Mission (NRHM, launched in India to improve the availability of and access to better-quality healthcare, especially for rural, poor mothers and children. The final goal of the intervention is to reduce maternal and child health inequalities across geographical areas, socioeconomic status groups, and sex of the child. Extensive, in-depth research is necessary to assess the effectiveness of NRHM, on multiple outcome dimensions. This paper presents the design of a new study, able to overcome the shortcomings of previous research. Objective: To propose a comprehensive, methodologically sound protocol to assess the extent of implementation and the effectiveness of NRHM measures to improve maternal and child health outcomes and reduce maternal and child health inequalities. Design: A mixed-methods approach (quantitative and qualitative is proposed for this study in Haryana, a state in North India. NRHM's health sector plans included health system strengthening, specific maternal and child healthcare strategies, and communitization. Mission documents and reports on progress, financial monitoring, and common and joint review will be reviewed in-depth to assess the extent of the implementation of plans. Data on maternal and child health indicators will be obtained from demographic health surveys held before, during, and after the implementation of the first phase of the NRHM (2005–2012 and compared over time. Differences in maternal and child health indicators will be used to measure maternal and child health inequalities; these will be compared pre- and post-NRHM. Focus group discussions (FGDs with service providers and in-depth interviews with program managers, community representatives, and mothers will be conducted until data saturation is achieved, in two districts of Haryana. Using Nvivo software, an inductive qualitative content analysis will be performed to

  4. Pooling local public health budgets to achieve exceptional value for money: the case of the North East of England

    Directory of Open Access Journals (Sweden)

    Ailsa Rutter

    2018-03-01

    Significant economies of scale have been achieved with high value for money. In the UK there is a need for effective tobacco action from the community grass roots level right up to the national and international stage. A similar approach is in place around alcohol denormalisation now through the regional programme "Balance" and the two programmes are working together with notable success.The North East England provides a useful model for others.

  5. Biological and genetic characterization of Cryptosporidium spp. and Giardia duodenalis isolates from five hydrographical basins in northern Portugal.

    Science.gov (United States)

    Almeida, André; Moreira, Maria João; Soares, Sónia; de Lurdes Delgado, Maria; Figueiredo, João; Magalhães, Elisabete Silva; Castro, António; Viana Da Costa, Alexandra; Correia da Costa, José Manuel

    2010-06-01

    To understand the situation of water contamination with Cryptosporidium spp. and Giardia spp. in the northern region of Portugal, we have established a long-term program aimed at pinpointing the sources of surface water and environmental contamination, working with the water-supply industry. Here, we describe the results obtained with raw water samples collected in rivers of the 5 hydrographical basins. A total of 283 samples were analyzed using the Method 1623 EPA, USA. Genetic characterization was performed by PCR and sequencing of genes 18S rRNA of Cryptosporidium spp. and beta-giardin of Giardia spp. Infectious stages of the protozoa were detected in 72.8% (206 of 283) of the water samples, with 15.2% (43 of 283) positive for Giardia duodenalis cysts, 9.5% (27 of 283) positive for Cryptosporidium spp. oocysts, and 48.1% (136 of 283) samples positive for both parasites. The most common zoonotic species found were G. duodenalis assemblages A-I, A-II, B, and E genotypes, and Cryptosporidium parvum, Cryptosporidium andersoni, Cryptosporidium hominis, and Cryptosporidium muris. These results suggest that cryptosporidiosis and giardiasis are important public health issues in northern Portugal. To the authors' knowledge, this is the first report evaluating the concentration of environmental stages of Cryptosporidium and Giardia in raw water samples in the northern region of Portugal.

  6. Identification of nanominerals and nanoparticles in burning coal waste piles from Portugal

    Energy Technology Data Exchange (ETDEWEB)

    Ribeiro, Joana [Centro de Geologia, Universidade do Porto, Rua do Campo Alegre, 687, 4169-007 Porto (Portugal); Flores, Deolinda [Centro de Geologia, Universidade do Porto, Rua do Campo Alegre, 687, 4169-007 Porto (Portugal); Departamento de Geociencias, Ambiente e Ordenamento do Territorio, Faculdade de Ciencias, Universidade do Porto, Rua do Campo Alegre, 687, 4169-007 Porto (Portugal); Ward, Colin R. [School of Biological, Earth and Environmental Sciences, University of New South Wales, Sydney, NSW 2052 (Australia); Silva, Luis F.O., E-mail: felipeqma@yahoo.com.br [Catarinense Institute of Environmental Research and Human Development, IPADHC, Capivari de Baixo, Santa Catarina (Brazil)

    2010-11-01

    A range of carbon nanoparticles, agglomerates and mineral phases have been identified in burning coal waste pile materials from the Douro Coalfield of Portugal, as a basis for identifying their potential environmental and human health impacts. The fragile nature and fine particle size of these materials required novel characterization methods, including energy-dispersive X-ray spectrometry (EDS), field-emission scanning electron microscope (FE-SEM), and high-resolution transmission electron microscopy (HR-TEM) techniques. The chemical composition and possible correlations with morphology of the nanominerals and associated ultra-fine particles have been evaluated in the context of human health exposure, as well as in relation to management of such components in coal-fire environments.

  7. Health Outcomes in Individuals with Problem and Pathological Gambling: An Analysis of the 2014 North Carolina Behavioral Risk Factor Survey System (BRFSS).

    Science.gov (United States)

    Van Patten, Ryan; Weinstock, Jeremiah; McGrath, Andrew B

    2018-03-01

    Problem and pathological gambling refers to subclinical and clinical levels of maladaptive gambling, respectively, and is associated with specific sociodemographic characteristics as well as a number of poor health outcomes. We examined such demographic, physical health, mental health, and health-related behaviors in a sample of 7045 low-risk gamblers and 244 problem/pathological gamblers. Participants completed the 2014 North Carolina Behavioral Risk Factor Surveillance System telephone survey. Using the National Opinion Research Center's Diagnostic Screen for Gambling Disorders-CLiP, participants were categorized as either "problem/pathological gamblers" or "low-risk gamblers." Problem/pathological gamblers were younger, more likely to be male, of ethnic minority status, unmarried, and of lower education than low-risk gamblers. No physical health variables differentiated the groups but problem/pathological gamblers reported experiencing significantly more adverse childhood experiences and engaging in significantly more tobacco and alcohol use compared to low-risk gamblers. Moreover, gender moderated relationships between gambling group and several of the alcohol use variables such that male problem/pathological gamblers exhibited greater alcohol use behavior than male low-risk gamblers but no such relationship was present in females. Overall, this study expands the current knowledgebase on disordered gambling and highlights the need to assess disordered gambling in public health samples. Clinical implications are discussed.

  8. Morbidity pattern and health-seeking behavior of aged population residing in Shimla hills of north India: A cross-sectional study

    Directory of Open Access Journals (Sweden)

    Deepak Sharma

    2013-01-01

    Full Text Available Background: Population aging is a global phenomenon. In India, the size of the elderly population is growing fast. Many older adults have multiple medical conditions. Understanding elderly health problems and health-seeking behavior is prerequisite for proving comprehensive geriatric care to them. Objectives: To assess the morbidity pattern and study the health-seeking behavior of the elderly people of Shimla district in Himachal Pradesh. Materials and Methods: A total of 400 elderly people aged 60 years and above were selected from urban and rural areas of Shimla hills in North India by simple random sampling. Statistical software Epi info software version 3.2 was used for analyzing data. Descriptive statistics were used to describe sociodemographic and morbidity variables. Results: The most common morbidity identified among them were musculoskeletal problems (55.0% followed by hypertension (40.5%. Two third were seeking treatment for their health problems. Among older persons not seeking treatment for their medical condition, most considered these morbidities as an age-related phenomenon. Many perceived that the health services were too far. Conclusion: The high morbidity load among elderly in the present study stresses for efforts to provide better health care to them and thus ensure that they remain active members of our society. Residence emerged out to be most significant determinant of healthcare-seeking behavior. Policy makers must focus on rural elderly and their beliefs which prevent them from seeking healthcare.

  9. Detecting and staging podoconiosis cases in North West Cameroon: positive predictive value of clinical screening of patients by community health workers and researchers

    Directory of Open Access Journals (Sweden)

    Samuel Wanji

    2016-09-01

    Full Text Available Abstract Background The suitability of using clinical assessment to identify patients with podoconiosis in endemic communities has previously been demonstrated. In this study, we explored the feasibility and accuracy of using Community Health Implementers (CHIs for the large scale clinical screening of the population for podoconiosis in North-west Cameroon. Methods Before a regional podoconiosis mapping, 193 CHIs and 50 health personnel selected from 6 health districts were trained in the clinical diagnosis of the disease. After training, CHIs undertook community screening for podoconiosis patients under health personnel supervision. Identified cases were later re-examined by a research team with experience in the clinical identification of podoconiosis. Results Cases were identified by CHIs with an overall positive predictive value (PPV of 48.5% [34.1–70%]. They were more accurate in detecting advanced stages of the disease compared to early stages; OR 2.07, 95% CI = 1.15–3.73, p = 0.015 for all advanced stages. Accuracy of detecting cases showed statistically significant differences among health districts (χ2 = 25.30, p = 0.0001. Conclusion Podoconiosis being a stigmatized disease, the use of CHIs who are familiar to the community appears appropriate for identifying cases through clinical diagnosis. However, to improve their effectiveness and accuracy, more training, supervision and support are required. More emphasis must be given in identifying early clinical stages and in health districts with relatively lower PPVs.

  10. Portugal Democrático: An Exiles’ Newspaper

    Directory of Open Access Journals (Sweden)

    Isabel Travancas

    2017-12-01

    Full Text Available The purpose of this article is to present the newspaper Portugal Democrático (Democratic Portugal through its history, its style and format. It is a periodical publication produced in São Paulo by Portuguese exiles during the dictatorship of Antônio Salazar (1926-1974. The newspaper began to circulate in 1956 and came to an end in 1975, a year after the Carnation Revolution that occurred on April 25, 1974. Fighting the Salazar dictatorship outside Portugal was the reason for the creation of the newspaper in Brazil, where it also had the collaboration of Brazilian journalists and intellectuals. This paper analyzes the newspaper Portugal Democrático both in its political aspect and in its editorial feature and concludes that the paper played a greater role than informative. It was an important part of the international opposition movement and resistance to Salazar's dictatorial regime. O objetivo deste artigo é apresentar o jornal Portugal Democrático através de sua história, de seu estilo e formato. Trata-se de uma publicação periódica produzida em São Paulo por exilados portugueses durante a ditadura de Antônio Salazar (1926-1974. O jornal começou a circular em 1956 e chegou ao fim em 1975, um ano depois da Revolução dos Cravos ocorrida em 25 de abril de 1974. Lutar contra a ditadura salazarista fora de Portugal foi o motivo da criação do jornal no Brasil, onde contou com a colaboração de jornalistas e intelectuais brasileiros. O trabalho analisa o jornal Portugal Democrático tanto em seu aspecto político quanto em sua feição editorial e conclui que o periódico teve um papel maior do que informativo. Ele foi parte importante no movimento internacional de oposição e resistência ao regime ditatorial de Salazar. El objetivo de este artículo es dar a conocer el periódico Portugal Democrático a través de su historia, de su estilo y formato. Se trata de una publicación periódica producida en São Paulo por los

  11. Specific technological communication skills and functional health literacy have no influence on self-reported benefits from enrollment in the TeleCare North trial.

    Science.gov (United States)

    Lilholt, Pernille Heyckendorff; Hæsum, Lisa Korsbakke Emtekær; Ehlers, Lars Holger; Hejlesen, Ole K

    2016-07-01

    The Danish TeleCare North trial has developed a telehealth system, Telekit, which is used for self-management by patients diagnosed with chronic obstructive pulmonary disease (COPD). Self-management is the engagement in one's own illness and health by monitoring and managing one's symptoms and signs of illness. The study examines the association between COPD patients' use of Telekit and their functional health literacy and the association between their use of Telekit and their specific technological communication skills. A consecutive sample of participants (n=60) from the TeleCare North trial were recruited. Face-to-face interviews were conducted with each participant to collect demographic data. Functional health literacy was measured with the Danish TOFHLA test. Participants completed a non-standardised questionnaire about their health status, their use of the Telekit system, and their specific technological communication skills. Binary logistic regressions were performed to examine how functional health literacy and specific technological communication skills influenced the use of Telekit by giving users an enhanced sense of freedom, security, control, and a greater awareness of COPD symptoms. Participants (27 women, 33 men) had a mean age of 70 (SD: 8.37) years. Functional health literacy levels were classified as inadequate in 14 (23%) participants, as marginal in 12 (20%), and as adequate in 34 (57%). Participants self-reported a feeling of increased security (72%), greater freedom (27%), more control (62%), and greater awareness of symptoms (50%) when using Telekit. The use of Telekit was not significantly associated with levels of functional health literacy or with the number of specific technological communication skills (p>0.05) based on the binary logistic regressions. The enhanced sense of security, freedom, control, and the greater awareness of COPD symptoms achieved by using Telekit were unassociated both with the patients' score of functional health

  12. Why language matters: insights and challenges in applying a social determination of health approach in a North-South collaborative research program.

    Science.gov (United States)

    Spiegel, Jerry M; Breilh, Jaime; Yassi, Annalee

    2015-02-27

    Focus on "social determinants of health" provides a welcome alternative to the bio-medical illness paradigm. However, the tendency to concentrate on the influence of "risk factors" related to living and working conditions of individuals, rather than to more broadly examine dynamics of the social processes that affect population health, has triggered critical reaction not only from the Global North but especially from voices the Global South where there is a long history of addressing questions of health equity. In this article, we elaborate on how focusing instead on the language of "social determination of health" has prompted us to attempt to apply a more equity-sensitive approaches to research and related policy and praxis. In this debate, we briefly explore the epistemological and historical roots of epidemiological approaches to health and health equity that have emerged in Latin America to consider its relevance to global discourse. In this region marked by pronounced inequity, context-sensitive concepts such as "collective health" and "critical epidemiology" have been prominent, albeit with limited acknowledgement by the Global North. We illustrate our attempts to apply a social determination approach (and the "4 S" elements of bio-Security, Sovereignty, Solidarity and Sustainability) in five projects within our research collaboration linking researchers and knowledge users in Ecuador and Canada, in diverse settings (health of healthcare workers; food systems; antibiotic resistance; vector borne disease [dengue]; and social circus with street youth). We argue that the language of social determinants lends itself to research that is more reductionist and beckons the development of different skills than would be applied when adopting the language of social determination. We conclude that this language leads to more direct analysis of the systemic factors that drive, promote and reinforce disparities, while at the same time directly considering the emancipatory

  13. Traditional Practicing with Arsenic Rich Water in Fish Industries Leads to Health Hazards in West Bengal and North-Eastern States of India

    Science.gov (United States)

    Kashyap, C. A.

    2014-12-01

    The supply of good quality food is main necessity for economic and social health of urban and rural population throughout the globe. This study comes to know the severity of As in the west Bengal and north-eastern states of the India. Over the 75% large population of India lives in villages and associated with farming and its related work. West Bengal is the densest populated area of India, fish and rice is the staple food as well as in north-eastern states. For the fulfil demand of fish large population the area are used fisheries as the business. Arsenic contamination in ground water is major growing threat to worldwide drinking water resources. High As contamination in water have been reported in many parts of the world Chandrasekharam et al., 2001; Smedley and Kinniburgh, 2002; Farooq et al., 2010). In context to West Bengal and north-east states of India arsenic is main problem in the food chain. These areas are very rich in arsenic many fold higher concentrations of Arsenic than their respective WHO permissible limits have been reported in the water. Over the 36 million people in Bengal delta are at risk due to drinking of As contaminated water (Nordstrom, 2002). The highest concentration of arsenic (535 μg/L Chandrashekhar et al. 2012) was registered from Ngangkha Lawai Mamang Leikai area of Bishnupur district which is fifty fold of the WHO limit for arsenic and tenfold of Indian permissible limit. With the continuous traditional practicing (As rich water pond) and untreated arsenic rich water in fish industries leads to health hazards. A sustainable development in aquaculture should comprise of various fields including environmental, social, cultural and economic aspects. A scientific study has to be needed for the overcome on this problem and rain harvested water may be used for reduce the arsenic problems in fisheries.

  14. Exploration of the Dietary and Lifestyle Behaviors and Weight Status and Their Self-Perceptions among Health Sciences University Students in North Lebanon

    Science.gov (United States)

    El-Kassas, Germine; Ziade, Fouad

    2016-01-01

    University students may experience significant environmental changes that exert a negative influence on the quality of their diet and lifestyle. There is scarcity of data concerning the dietary and lifestyle behaviors and weight status of students in the health field in North Lebanon. To investigate these data, a cross-sectional survey was conducted including 369 health sciences students aged 18–25 chosen from four public and private universities in North Lebanon. Data were collected using a standardized interview questionnaire to determine sociodemographic, dietary, and lifestyle behaviors, appetite changes, stress related dietary behaviors, and food cravings, as well as self-perceptions of dietary adequacy, physical activity levels, and weight status. Body mass index was assessed. Results had revealed significant differences in some of the dietary consumption patterns and weight status among seniors compared to juniors. However, the overall prevalence of overweight and obesity recorded 32.2% and the dietary consumption patterns fall below recommended levels. Multivariate regression analysis showed that parental obesity, comfort eating, increased appetite, food cravings, and stressful eating were associated with increased risk of obesity while a healthy diet score was associated with decreased risk. The study's findings call for tailoring culture specific intervention programs which enable students to improve their dietary and lifestyle behaviors and control stress. PMID:27429989

  15. A deficiente informação aumenta os riscos dos pesticidas em Portugal The deficient information increase the pesticides risks in Portugal

    Directory of Open Access Journals (Sweden)

    Pedro Amaro

    2010-12-01

    Full Text Available O risco do uso dos pesticidas agrícolas ser aceitável depende da adopção de rigorosas medidas de segurança definidas pela UE. Esta problemática, em Portugal, é muito preocupante em consequência de graves ilegalidades, como o não funcionamento da CATPF há 5 anos e da sistemática prática, a nível oficial (ex: DGPC/DGADR e Serviços de Avisos e das empresas de pesticidas, da política de esconder a informação essencial para: a selecção dos pesticidas menos perigosos; o conhecimento das indispensáveis medidas de mitigação do risco; e a adequada formação de técnicos e de agricultores.The pesticide risk could be acceptable if mitigation measures decided by EU are adopted. In Portugal that problematic is quite difficult in consequence of graves illegalities, as the CATPF 5 years not working and the systematic practice, at official level (ex: DGPC/DGADR and Warning Service and at pesticides suppliers, of a political to hide the information that is essential to: the pesticides selection of the less dangerous to human health and the environment; the knowledge of indispensable and appropriate measures to reduce those risks as much as possible; and the level of education and training of technicians and farmers.

  16. Effect of health education on knowledge, attitude and practices of personal hygiene among secondary school students in rural Sokoto, North West, Nigeria.

    Science.gov (United States)

    Abiola, A O; Nwogu, E E; Ibrahim, M T O; Hassan, R

    2012-01-01

    Personal hygiene related diseases are serious public health problems in developing countries. To assess the effect of health education on knowledge, attitude, and practices of personal hygiene among rural secondary school students in Sokoto state, north western Nigeria. A quasi-experimental controlled study with pretest and post-test design was carried out. A total 120 subjects per group were selected by multistage sampling technique. Two pre-tested instruments, structured interviewer-administered questionnaire and observer's checklist for personal hygiene practices were used for data collection. Health education intervention was carried out one week after baseline data collection and repeated after four weeks for the intervention group only. Postintervention data collection was carried out in both intervention and control groups three months after the 2nd intervention. However, for ethical consideration, the control group was also provided with the health education intervention similar to that provided to the intervention group. A total of 120 and 116 subjects in the intervention and control groups respectively participated in all phases of the study. The mean knowledge score (%) of the study subjects was high and similar (73.18 +/- 25.82; 77.06 +/- 21.79; p = 0.21) in both the intervention and control groups at baseline, but differed very significantly (91.16 +/- 11.03; 81.74 +/- 21.78; p Personal hygiene health education is therefore recommended to be taught in secondary schools.

  17. Views from the Global South: exploring how student volunteers from the Global North can achieve sustainable impact in global health.

    Science.gov (United States)

    Ouma, Brian D O; Dimaras, Helen

    2013-07-26

    The body of research and practice regarding student volunteer abroad experiences largely focuses on ensuring the optimal learning experience for the student from the Global North, without equivalent attention to the benefits, if any, to the host institution in the Global South. In this debate article, we examine an often overlooked component of global student volunteer programs: the views of the local partner on what makes for a mutually beneficial partnership between volunteers from the Global North and institutions in the Global South. To guide our discussion, we drew upon the experiences of a Kenyan NGO with a Canadian student volunteer in the summer of 2012, organized via a formalized partnership with a Canadian university. We found that the approach of the NGO to hosting the student mirrored the organizational behaviour theories of Margaret J. Wheatley, who emphasized a disorderly or 'chaotic' approach to acquiring impactful change, coupled with a focus on building solid human relationships. Rather than following a set of rigid goals or tasks, the student was encouraged to critically engage and participate in all aspects of the culture of the organization and country, to naturally discover an area where his priorities aligned with the needs of the NGO. Solid networks and interpersonal connections resulted in a process useful for the organization long after the student's short-term placement ended. Our discussion reveals key features of successful academic volunteer abroad placements: equal partnership in the design phase between organizations in the Global North and Global South; the absence of rigid structures or preplanned tasks during the student's placement; participatory observation and critical engagement of the student volunteer; and a willingness of the partners to measure impact by the resultant process instead of tangible outcomes.

  18. Health outcomes among HIV-positive Latinos initiating antiretroviral therapy in North America versus Central and South America

    Science.gov (United States)

    Cesar, Carina; Koethe, John R; Giganti, Mark J; Rebeiro, Peter; Althoff, Keri N; Napravnik, Sonia; Mayor, Angel; Grinsztejn, Beatriz; Wolff, Marcelo; Padgett, Denis; Sierra-Madero, Juan; Gotuzzo, Eduardo; Sterling, Timothy R; Willig, James; Levison, Julie; Kitahata, Mari; Rodriguez-Barradas, Maria C; Moore, Richard D; McGowan, Catherine; Shepherd, Bryan E; Cahn, Pedro

    2016-01-01

    Introduction Latinos living with HIV in the Americas share a common ethnic and cultural heritage. In North America, Latinos have a relatively high rate of new HIV infections but lower rates of engagement at all stages of the care continuum, whereas in Latin America antiretroviral therapy (ART) services continue to expand to meet treatment needs. In this analysis, we compare HIV treatment outcomes between Latinos receiving ART in North America versus Latin America. Methods HIV-positive adults initiating ART at Caribbean, Central and South America Network for HIV (CCASAnet) sites were compared to Latino patients (based on country of origin or ethnic identity) starting treatment at North American AIDS Cohort Collaboration on Research and Design (NA-ACCORD) sites in the United States and Canada between 2000 and 2011. Cox proportional hazards models compared mortality, treatment interruption, antiretroviral regimen change, virologic failure and loss to follow-up between cohorts. Results The study included 8400 CCASAnet and 2786 NA-ACCORD patients initiating ART. CCASAnet patients were younger (median 35 vs. 37 years), more likely to be female (27% vs. 20%) and had lower nadir CD4 count (median 148 vs. 195 cells/µL, p<0.001 for all). In multivariable analyses, CCASAnet patients had a higher risk of mortality after ART initiation (adjusted hazard ratio (AHR) 1.61; 95% confidence interval (CI): 1.32 to 1.96), particularly during the first year, but a lower hazard of treatment interruption (AHR: 0.46; 95% CI: 0.42 to 0.50), change to second-line ART (AHR: 0.56; 95% CI: 0.51 to 0.62) and virologic failure (AHR: 0.52; 95% CI: 0.48 to 0.57). Conclusions HIV-positive Latinos initiating ART in Latin America have greater continuity of treatment but are at higher risk of death than Latinos in North America. Factors underlying these differences, such as HIV testing, linkage and access to care, warrant further investigation. PMID:26996992

  19. Estratégias para aumentar a sensibilidade da farmacovigilância em Portugal Estrategias para aumentar la sensibilidad de la farmacovigilancia en Portugal Strategies to increase the sensitivity of pharmacovigilance in Portugal

    Directory of Open Access Journals (Sweden)

    Inês Ribeiro-Vaz

    2011-02-01

    reaction, the impact on public health and spontaneous reporting. With regard to relevance, adverse reactions were classified into severe and unexpected. Statistical analysis was performed, based on the intention-to-treat principle; generalized linear mixed models were applied, using the penalized quasi-likelihood method. The pharmacists studied were followed during a period of 20 months. RESULTS: The intervention increased the rate of spontaneous reporting of adverse reactions three times (RR = 3.22; 95% CI 1.33;7.80, when compared to the control group. The relevance of reporting rose, with an increase in severe adverse reactions by approximately four times (RR = 3.87; 95% CI 1.29;11.61 and in unexpected adverse reactions by five times (RR = 5.02; 95% CI 1.33;18.93, compared to the control group. CONCLUSIONS: During a period of up to four months, educational interventions significantly increased the number and relevance of spontaneous reporting of adverse drug reactions by pharmacists in Northern Portugal.

  20. Labor market integration, immigration experience, and psychological distress in a multi-ethnic sample of immigrants residing in Portugal.

    Science.gov (United States)

    Teixeira, Ana F; Dias, Sónia F

    2018-01-01

    This study aims at examining how factors relating to immigrants' experience in the host country affect psychological distress (PD). Specifically, we analyzed the association among socio-economic status (SES), integration in the labor market, specific immigration experience characteristics, and PD in a multi-ethnic sample of immigrant individuals residing in Lisbon, Portugal. Using a sample (n = 1375) consisting of all main immigrant groups residing in Portugal's metropolitan area of Lisbon, we estimated multivariable linear regression models of PD regressed on selected sets of socio-economic independent variables. A psychological distress scale was constructed based on five items (feeling physically tired, feeling psychologically tired, feeling happy, feeling full of energy, and feeling lonely). Variables associated with a decrease in PD are being a male (demographic), being satisfied with their income level (SES), living with the core family and having higher number of children (social isolation), planning to remain for longer periods of time in Portugal (migration project), and whether respondents considered themselves to be in good health condition (subjective health status). Study variables negatively associated with immigrants' PD were job insecurity (labor market), and the perception that health professionals were not willing to understand immigrants during a clinical interaction. The study findings emphasized the importance of labor market integration and access to good quality jobs for immigrants' psychological well-being, as well as the existence of family ties in the host country, intention to reside long term in the host country, and high subjective (physical) health. Our research suggests the need to foster cross-national studies of immigrant populations in order to understand the social mechanisms that transverse all migrant groups and contribute to lower psychological well-being.

  1. Energy taxation in Southern Europe: The case of Portugal

    International Nuclear Information System (INIS)

    Modesto, L.

    1993-01-01

    It is investigated whether or not the imposition of a common EC energy tax will penalize more the poorer Southern European economies and if this will harm convergence at the EC level. The existing studies and empirical evidence are briefly surveyed. Then the results obtained when using the macroeconometric HERMES models to stimulate the introduction of an energy tax are exploited. The conclusions, however, have limited value, since the authors only have HERMES results for one Southern European economy: Portugal. Finally, the convergence in Europe and the effects of energy taxation on convergence are investigated. It is concluded that energy taxation will harm growth all over the EC, penalizing more one of the less developed countries (in this case Portugal), and having most probably adverse effects on convergence. 5 figs., 6 tabs., 22 refs

  2. [Politicized sexualities: AIDS activism and sexual orientation in Portugal].

    Science.gov (United States)

    Santos, Ana Cristina

    2002-01-01

    This article analyzes how both the Portuguese state and civil society have addressed the AIDS issue, focusing on participation by the lesbian, gay, bisexual, and transsexual community (LGBT) in the struggle against AIDS. The article begins by describing the situation of LGBT individuals in Portugal during the 1990s, when the Portuguese LGBT movement emerged and grew, and then characterizes the evolution of HIV/AIDS in Portugal, analyzing the relationship between civil society and sexuality in general and the situation of the epidemic in the country in particular, considering key facts, nongovernmental organizations, and state initiatives. Special attention is given to the role played by LGBT organizations in the struggle against HIV. Finally, the article reflects on the future of the struggle against both AIDS and discrimination in the 21st century, considering recent events in the country and the guidelines recommended by international policies.

  3. Etudes sur le Portugal au Temps de l'Humanisme

    Directory of Open Access Journals (Sweden)

    J. Cruz Costa

    1953-06-01

    Full Text Available BATAILLON (Marcel. — Etudes sur le Portugal au Temps de l'Humanisme.  Acta Universitatis Conimbrigencis, 1952, 309 pp. (Primeiro Parágrafo do Artigo O Prof. Marcel Bataillon, erudito dos mais inteligentes da França atual, autor de uma obra que é hoje impr:scindível para quem pretenda estudar o humanismo renascentista na Espanha ou em Portugal, diríamos melhor, talvez: para quem pretenda estudar o Humanismo e a Renascença, — acaba de publicar, na coleção Acta Universitatis Conimbrigencis, êste volume no qual reune alguns trabalhos da mais alta importância para o conhecimento de muitos aspectos da vida espiritual portuguêsa do século XVI.

  4. Incidence and prevalence of hypercholesterolemia in Portugal: a systemic review. Part II.

    Science.gov (United States)

    Costa, João; Borges, Margarida; Oliveira, Eduardo; Gouveia, Miguel; Carneiro, António Vaz

    2003-05-01

    Over 50% of the mortality and disability caused by ischemic heart disease and stroke could be avoided by controlling individual risk factors (hypertension, hypercholesterolemia, smoking and obesity). The ignorance of the extent and impact of hypercholesterolemia (HC) in Portugal prompted us to undertake this systematic review of the prevalence and incidence of hyperlipidemia in Portugal, based exclusively on work published nationally. We included every study published in the country that could provide data on the prevalence or incidence of hypercholesterolemia. The search strategy included an electronic search of national and international biomedical databases (Medline, Index Revistas Médicas Portuguesas, the Portuguese Directorate-General for Health and the Portuguese National School of Public Health), screening of reference lists from the individual studies, and personal contacts with institutions, groups and authors (such as the Portuguese Foundation of Cardiology). The data--recorded in electronic format--was collected independently by two of the authors (JC and MB), with consensus achieved with a third (AVC) when there were differences in the study coding. We could only identify one paper on the incidence of HC in Portugal, which gave an incidence of 559 new cases per 100,000 inhabitants, increasing with age up to 54 years for men and 64 years for women. There was a higher incidence in men than in women up to the age of 54, but at more advanced ages this relationship was reversed. Prevalence studies on HC included 53,445 individuals overall, with sample size lower than 1000 in most of the individual studies. The most frequently used criterion for HC was > 200 mg/dL, with the mean level being higher in most studies. We calculated the mean prevalence for several cut-off points (190 mg/dL: 63.8%; 200 mg/dL: 56.7%; 240 mg/dL: 31.7%; 250 mg/dL: 21%). Due to the heterogeneity of the data, these results are to be interpreted with caution, even though they are

  5. Incidence and prevalence of hypercholesterolemia in Portugal: a systematic review. Part III.

    Science.gov (United States)

    Costa, João; Borges, Margarida; Oliveira, Eduardo; Gouveia, Miguel; Carneiro, António Vaz

    2003-06-01

    Over 50% of the mortality and disability caused by ischemic heart disease and stroke could be avoided by controlling individual risk factors (hypertension, hypercholesterolemia, smoking and obesity). The ignorance of the extent and impact of hypercholesterolemia (HC) in Portugal prompted us to undertake this systematic review of the prevalence and incidence of hyperlipidemia in Portugal, based exclusively on work published nationally. We included every study published in the country that could provide data on the prevalence or incidence of hypercholesterolemia. The search strategy included an electronic search of national and international biomedical databases (Medline, Index Revistas Médicas Portuguesas, the Portuguese Directorate-General for Health and the Portuguese National School of Public Health), screening of reference lists from the individual studies, and personal contacts with institutions, groups and authors (such as the Portuguese Foundation of Cardiology). The data--recorded in electronic format--was collected independently by two of the authors (JC and MB), with consensus achieved with a third (AVC) when there were differences in the study coding. We could only identify one paper on the incidence of HC in Portugal, which gave an incidence of 559 new cases per 100,000 inhabitants, increasing with age up to 54 years for men and 64 years for women. There was a higher incidence in men than in women up to the age of 54, but at more advanced ages this relationship was reversed. Prevalence studies on HC included 53,445 individuals overall, with sample size lower than 1000 in most of the individual studies. The most frequently used criterion for HC was > 200 mg/dL, with the mean level being higher in most studies. We calculated the mean prevalence for several cut-off points (> or = 190 mg/dL: 63.8%; > or = 200 mg/dL: 56.7%; > or = 240 mg/dL; 31.7%; > or 250 mg/d; 21%). Due to the heterogeneity of the data, these results are to be interpreted with caution

  6. Incidence and prevalence of hypercholesterolemia in Portugal: a systematic review. Part I.

    Science.gov (United States)

    Costa, João; Borges, Margarida; Oliveira, Eduardo; Gouveia, Miguel; Carneiro, António Vaz

    2003-04-01

    Over 50% of the mortality and disability caused by ischemic heart disease and stroke could be avoided by controlling individual risk factors (hypertension, hypercholesterolemia, smoking and obesity). The ignorance of the extent and impact of hypercholesterolemia (HC) in Portugal prompted us to undertake this systematic review of the prevalence and incidence of hyperlipidemia in Portugal, based exclusively on work published nationally. We included every study published in the country that could provide data on the prevalence or incidence of hypercholesterolemia. The search strategy included an electronic search of national and international biomedical databases (Medline, Index Revistas Médicas Portuguesas, the Portuguese Directorate-General for Health and the Portuguese National School of Public Health), screening of reference lists from the individual studies, and personal contacts with institutions, groups and authors (such as the Portuguese Foundation of Cardiology). The data--recorded in electronic format--was collected independently by two of the authors (JC and MB), with consensus achieved with a third (AVC) when there were differences in the study coding. We could only identify one paper on the incidence of HC in Portugal, which gave an incidence of 559 new cases per 100,000 inhabitants, increasing with age up to 54 years for men and 64 years for women. There was a higher incidence in men than in women up to the age of 54, but at more advanced ages this relationship was reversed. Prevalence studies on HC included 53,445 individuals overall, with sample size lower than 1000 in most of the individual studies. The most frequently used criterion for HC was > 200 mg/dL, with the mean level being higher in most studies. We calculated the mean prevalence for several cut-off points (190 mg/dL: 63.8%; 200 mg/dL: 56.7%; 240 mg/dL: 31.7%; 250 mg/dL: 21%). Due to the heterogeneity of the data, these results are to be interpreted with caution, even though they are

  7. Can you model growth of trust? A study of the sustainability of a rural community health centre in North India

    OpenAIRE

    Smith, H. K.; Harper, Paul Robert

    2015-01-01

    Trust in the service provided by any health facility is of vital importance to its sustainability, whether it is a community clinic in a rural area of a developing country or an international telemedicine service. Community health centres can be used as a means of delivering highly accessible, low-cost health service in the developing world. A major strategic issue for planners of such centres is the expected level of uptake of services throughout a region and its effect on sustainability of ...

  8. Participation in lifelong learning in Portugal and the UK

    OpenAIRE

    Hilary Ingham; Mike Ingham; Jose Adelino Afonso

    2013-01-01

    Lifelong learning (LLL) has now been on the agenda of the European Union and other major international organizations for some considerable time, with the European institutions stressing the need that such learning should be available to all, especially hard to reach groups. This paper seeks to explore LLL participation in Portugal and the UK, two countries at opposite ends of the adult learning spectrum and having very different labour market and educational contexts. Using Labour Force Surve...

  9. Energy efficiency and renewable energy systems in Portugal and Brazil

    DEFF Research Database (Denmark)

    Østergaard, Poul Alberg; Soares, Isabel; Ferreira, Paula

    2014-01-01

    This article presents a review of the energy situation in Brazil and Portugal; two countries which are both characterised by high utilisation of renewable energy sources though with differences between them. The article also introduces contemporary energy research conducted on the two countries...... and presented at The 1st International Congress on Energy & Environment ranging from electricity end-use analyses, electricity production analyses to socio-economic assessment and large-scale energy scenarios....

  10. LANGUAGE SCHOOLS AND FOREIGN LANGUAGE STUDYING PROGRAMS IN PORTUGAL

    OpenAIRE

    Hritchenko, Iryna

    2017-01-01

    The article is devoted to the description and characterizing of language schools and foreign language studying programs in Portugal. The relevance of language learning for professional, mobility, self-developing means is shown. The main courses and programs are observed and the advantages and disadvantages of each of them are given. It is stated that Portuguese courses mostly follow the Common European Framework of Reference for Languages. A small synopsis of the abilities for each level is p...

  11. Training requirements for agro-food industry in Portugal

    OpenAIRE

    Pedro D. Gaspar; Rita Pinheiro; Cláudia Domingues; Celestino Almeida; Teresa Paiva; Carlos D. Pereira; Manuela Vaz-Velho

    2015-01-01

    Agro-food companies are aware that the technical and soft skills of their employees directly influence business performance and, consequently, improving those skills will enhance the effectiveness and efficiency of their companies. This paper presents the main results of the AgriTraining project “Training requirements for the agro-food industry". Activities in pursuit of the objectives of this project involved: (1) analysis of the training needs in the agro-food industry in Portugal; (2) anal...

  12. Phytochemical characterization of wild edible Boletus sp. from Northeast Portugal

    OpenAIRE

    Heleno, Sandrina A.; Barros, Lillian; Martins, Anabela; Sousa, Maria João; Ferreira, Isabel C.F.R.

    2010-01-01

    Our research has been focused on the documentation of nutritional composition and nutraceutical potential of wild mushrooms, making the information available for a better management and conservation of these species and related habitats. In the present work, the chemical composition and bioactivity of three wild edible Boletus sp. (Boletus aereus, Boletus edulis, Boletus reticulatus) from Northeast Portugal were evaluated, in order to valorise these species as sources of important...

  13. Photovoltaic energy mini-generation: Future perspectives for Portugal

    International Nuclear Information System (INIS)

    Carvalho, Duarte; Wemans, Joao; Lima, Joao; Malico, Isabel

    2011-01-01

    This paper evaluates the benefits of developing the mini-generation PV market in Portugal. It presents the legal framework and current status of the Portuguese PV electricity sector, and compares the country to other European nations: France, Germany, Greece, Italy, Spain and the United Kingdom. A model that combines PVGIS