Browsing by Author "Alves-Correia, Magna"
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- Campanha “Vencer a asma 2017”:Um rastreio em 8 cidades portuguesasPublication . Alves-Correia, Magna; Sernedo, Filipa; Cosme, Joana; Regateiro, Frederico; Martins, Pedro; Santa, Cátia; Garcia Telles, Filipe; Lopes, FilipaA asma é uma das doenças crónicas não transmissíveis mais frequentes afetando cerca de 700 000 portugueses atualmente. Os rastreios constituem uma oportunidade de prestar esclarecimentos sobre a doença à população, alertar a população para a importância do controlo da asma e reconhecimento dos seus sintomas. Objetivos, material e métodos: Caracterização sociodemográfica e descritiva dos resultados da campanha “Vencer a Asma 2017”. Estudo transversal em 8 cidades de Portugal continental numa iniciativa pública, gratuita e de inclusão voluntária da população a propósito do Dia Mundial da Asma. Aplicação de questões adaptadas do questionário GA2LEN e realização de espirometria simples. Resultados: 1086 participantes (idade 52,5±19,7 anos; 62,4 % do género feminino; 20,5 % fumadores e 62,6 % observados na região Norte). Dos participantes, 299 (28,0 %; IC95 % 25,3-30,7) declararam ter asma atual ou no passado (autorreportada) e, entre estes, 80 (26,8 %; IC95 % 21,7-31,8) reportaram pelo menos uma hospitalização por asma, 181 (60,5 %; IC95 % 55,0-66,1) afirmaram estar medicados para a asma; 498 (46,6 %; IC95 % 43,6-49,6) mencionaram ter tido um episódio de sibilância nos últimos 12 meses. Durante o rastreio, 549 participantes (50,6%; IC95 % 47,6-53,5) realizaram espirometria simples e, destes, 186 (34,1 %; IC95 % 30,1-38,1) apresentaram alte-rações dos parâmetros espirométricos avaliados. A análise de subgrupos revelou uma prevalência de “asma atual” de 19,9 % (IC95 %; 17,5-22,2). Conclusões: O rastreio permitiu, apesar das suas limitações, identificar um grande número de indivíduos na comunidade num curto espaço de tempo. No futuro, será útil que estas iniciativas incluam questionários de resultados reportados pelo doente, testes cutâneos por picada, prova de broncodilatação ou fração exalada de óxido nítrico, que permitam uma melhor caracterização da população estudada bem como a perceção de necessidade de avaliação clínica posterior nos casos em que não haja um adequado acompanhamento médico.
- Determinants of the Use of Health and Fitness Mobile Apps by Patients With Asthma: Secondary Analysis of Observational StudiesPublication . Neves, Ana Luisa; Jácome, Cristina; Taveira-Gomes, Tiago; Pereira, Ana Margarida; Almeida, Rute; Amaral, Rita; Alves-Correia, Magna; Mendes, Sandra; Chaves-Loureiro, Cláudia; Valério, Margarida; Lopes, Cristina; Carvalho, Joana; Mendes, Ana; Ribeiro, Carmelita; Prates, Sara; Ferreira, José Alberto; Teixeira, Maria Fernanda; Branco, Joana; Santalha, Marta; Vasconcelos, Maria João; Lozoya, Carlos; Santos, Natacha; Cardia, Francisca; Moreira, Ana Sofia; Taborda-Barata, Luís; Pinto, Cláudia Sofia; Ferreira, Rosário; Morais Silva, Pedro; Monteiro Ferreira, Tania; Câmara, Raquel; Lobo, Rui; Bordalo, Diana; Guimarães, Cristina; Espírito Santo, Maria; Ferraz de Oliveira, José; Cálix Augusto, Maria José; Gomes, Ricardo; Vieira, Inês; da Silva, Sofia; Marques, Maria; Cardoso, João; Morete, Ana; Aroso, Margarida; Cruz, Ana Margarida; Nunes, Carlos; Câmara, Rita; Rodrigues, Natalina; Abreu, Carmo; Albuquerque, Ana Luísa; Vieira, Claúdia; Santos, Carlos; Páscoa, Rosália; Chaves-Loureiro, Carla; Alves, Adelaide; Neves, Ângela; Varanda Marques, José; Reis, Bruno; Ferreira-Magalhães, Manuel; Almeida Fonseca, JoãoBackground: Health and fitness apps have potential benefits to improve self-management and disease control among patients with asthma. However, inconsistent use rates have been reported across studies, regions, and health systems. A better understanding of the characteristics of users and nonusers is critical to design solutions that are effectively integrated in patients’ daily lives, and to ensure that these equitably reach out to different groups of patients, thus improving rather than entrenching health inequities. Objective: This study aimed to evaluate the use of general health and fitness apps by patients with asthma and to identify determinants of usage. Methods: A secondary analysis of the INSPIRERS observational studies was conducted using data from face-to-face visits. Patients with a diagnosis of asthma were included between November 2017 and August 2020. Individual-level data were collected, including age, gender, marital status, educational level, health status, presence of anxiety and depression, postcode, socioeconomic level, digital literacy, use of health services, and use of health and fitness apps. Multivariate logistic regression was used to model the probability of being a health and fitness app user. Statistical analysis was performed in R. Results: A total of 526 patients attended a face-to-face visit in the 49 recruiting centers and 514 had complete data. Most participants were ≤40 years old (66.4%), had at least 10 years of education (57.4%), and were in the 3 higher quintiles of the socioeconomic deprivation index (70.1%). The majority reported an overall good health status (visual analogue scale [VAS] score>70 in 93.1%) and the prevalence of anxiety and depression was 34.3% and 11.9%, respectively. The proportion of participants who reported using health and fitness mobile apps was 41.1% (n=211). Multivariate models revealed that single individuals and those with more than 10 years of education are more likely to use health and fitness mobile apps (adjusted odds ratio [aOR] 2.22, 95%CI 1.05-4.75 and aOR 1.95, 95%CI 1.12-3.45, respectively). Higher digital literacy scores were also associated with higher odds of being a user of health and fitness apps, with participants in the second, third, and fourth quartiles reporting aORs of 6.74 (95%CI 2.90-17.40), 10.30 (95%CI 4.28-27.56), and 11.52 (95%CI 4.78-30.87), respectively. Participants with depression symptoms had lower odds of using health and fitness apps (aOR 0.32, 95%CI 0.12-0.83). Conclusions: A better understanding of the barriers and enhancers of app use among patients with lower education, lower digital literacy, or depressive symptoms is key to design tailored interventions to ensure a sustained and equitable use of these technologies. Future studies should also assess users’ general health-seeking behavior and their interest and concerns specifically about digital tools. These factors may impact both initial engagement and sustained use.
- Fluconazole - a case report on fixed drug eruptionPublication . Alves-Correia, Magna; Freitas, João; Vieira, Rita; Perneta, Filipe; Brazao, Luz
- Os Jovens Imunoalergologistas Portugueses e a RPIAPublication . Alves-Correia, Magna
- Multiple Victims of Carbon Monoxide Poisoning in the Aftermath of a Wildfire: A Case SeriesPublication . Santos, Luís Ramos dos; Alves-Correia, Magna; Câmara, Margarida; Lélis, Manuela; Caldeira, Carmo; Brazão, Maria da Luz; Nóbrega, José JúlioIntroduction: Carbon monoxide poisoning may occur in several contexts. Material and Methods: Retrospective of 37 carbon monoxide poisoning cases that underwent hyperbaric oxygen during wildfires in Funchal in August 2016. Results: The studied sample included 37 patients, mean age of 38 years, 78% males. Ten were firefighters, four children and two pregnant victims. Neurological symptoms were the most reported. Median carboxyhemoglobin level was 3.7% (IQR 2.7). All received high-flow oxygen from admission to delivery of hyperbaric oxygen. Persistence of symptoms was the main indication for hyperbaric oxygen. Median time to hyperbaric oxygen was 4.8 hours (IQR 9.5), at 2.5 ATA for 90 minutes, without major complications. Discharge in less than 24 hours occurred in 92% of the cases. Thirty days follow-up: five patients presented clinical symptoms of late neurological syndrome; twelve patients were lost to follow-up. Carboxyhemoglobin levels on admission and mean time to hyperbaric oxygen were no different between those who did and did not develop the syndrome at 30 days (p = 0.44 and p = 0.58, respectively). Discussion: Late neurological syndrome at 30 days occurred in 20% and no new cases were reported at 12 months. Conclusion: Use of hyperbaric oxygen appears to have reduced the incidence of the syndrome. This seems to be the first Portuguese series reporting use of hyperbaric oxygen in carbon monoxide poisoning due to wildfires. The authors intend to alert to the importance of referral of these patients because the indications and benefits of this treatment are well documented. This is especially important given the ever-growing issue of wildfires in Portugal.
- Profiling Persistent Asthma Phenotypes in Adolescents: A Longitudinal Diagnostic Evaluation from the INSPIRERS StudiesPublication . Amaral, Rita; Jácome, Cristina; Almeida, Rute; Pereira, Ana Margarida; Alves-Correia, Magna; Mendes, Sandra; Rodrigues, José Carlos Cidrais; Carvalho, Joana; Araújo, Luís; Costa, Alberto; Silva, Armandina; Teixeira, Maria Fernanda; Ferreira-Magalhães, Manuel; Alves, Rodrigo Rodrigues; Moreira, Ana Sofia; Fernandes, Ricardo M.; Ferreira, Rosário; Pinto, Paula Leiria; Neuparth, Nuno; Bordalo, Diana; Bom, Ana Todo; Cálix, Maria José; Ferreira, Tânia; Gomes, Joana; Vidal, Carmen; Mendes, Ana; Vasconcelos, Maria João; Silva, Pedro Morais; Ferraz, José; Morête, Ana; Pinto, Claúdia Sofia; Santos, Natacha; Loureiro, Claúdia Chaves; Arrobas, Ana; Marques, Maria Luís; Lozoya, Carlos; Lopes, Cristina; Cardia, Francisca; Loureiro, Carla Chaves; Câmara, Raquel; Vieira, Inês; Silva, Sofia da; Silva, Eurico; Rodrigues, Natalina; Fonseca, João A.We aimed to identify persistent asthma phenotypes among adolescents and to evaluate longitudinally asthma-related outcomes across phenotypes. Adolescents (13-17 years) from the prospective, observational, and multicenter INSPIRERS studies, conducted in Portugal and Spain, were included (n = 162). Latent class analysis was applied to demographic, environmental, and clinical variables, collected at a baseline medical visit. Longitudinal differences in clinical variables were assessed at a 4-month follow-up telephone contact (n = 128). Three classes/phenotypes of persistent asthma were identified. Adolescents in class 1 (n = 87) were highly symptomatic at baseline and presented the highest number of unscheduled healthcare visits per month and exacerbations per month, both at baseline and follow-up. Class 2 (n = 32) was characterized by female predominance, more frequent obesity, and uncontrolled upper/lower airways symptoms at baseline. At follow-up, there was a significant increase in the proportion of controlled lower airway symptoms (p < 0.001). Class 3 (n = 43) included mostly males with controlled lower airways symptoms; at follow-up, while keeping symptom control, there was a significant increase in exacerbations/month (p = 0.015). We have identified distinct phenotypes of persistent asthma in adolescents with different patterns in longitudinal asthma-related outcomes, supporting the importance of profiling asthma phenotypes in predicting disease outcomes that might inform targeted interventions and reduce future risk.