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Percorrer por autor "Gomes, Samuel"

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  • A Ação Psicológica e os Assuntos Civis na Campanha Militar no Teatro de Operações de Moçambique (1964-1975)
    Publication . Marçal, Nuno; Ribeiro, Nuno; Nascimento, Alexandra; Gomes, Samuel; Margarido, Paulo; Correia, Edson
    O presente trabalho de investigação apresenta como tema “A Ação Psicológica e os Assuntos Civis na Campanha Militar no Teatro de Operações (TO) de Moçambique (1964-1975)”, um assunto com reconhecido interesse para o Exército Português. O objetivo principal é analisar a Ação Psicológica (APsic) e os Assuntos Civis (AssCiv) na Campanha Militar no TO de Moçambique (1964-1975) do ponto de vista das Forças Terrestres (FT), estabelecendo um paralelismo entre estes conceitos e os das Operações Psicológicas (PSYOPS) e da Cooperação Civil-Militar (CIMIC) à luz da doutrina nacional atual. Para a elaboração do trabalho recorreu-se à metodologia da investigação científica utilizando o método dedutivo, apoiada em pesquisa bibliográfica e documental acerca desta temática, complementada com uma entrevista a um militar ex-combatente. Abstract: This research work presents the theme "The Psychological Action and Civil Affairs in Mozambique military campaign theatre of operations (1964-1975)", a subject with recognized interest for the Portuguese Army. The main objective is to analyze the Psychological Action and Civil Affairs from the point of view of land forces in Mozambique military campaign theatre of operations, establishing a parallel concept between the concepts and the Psychological Operations and Military-Civilian Cooperation used in current Portuguese doctrine. To produce this research work was followed the scientific research methodology using the deductive scientific method supported by bibliographic and documentary research about the theme, complemented by interview made to military veteran.
    2016Outro Acesso aberto Ver mais
  • Prescribing trends of benzodiazepine and other sedatives in the Lisbon and Tagus Valley Regional Health Administration between 2013 and 2020 : a retrospective study
    Publication . Gomes, Samuel; Broeiro-Gonçalves, Paula; Meireles, Cristina; Caldeira, Daniel; Costa, João; Guerreiro, Mara Pereira; Ribeiro, Nadine; Afonso, Renata
    Introduction: Among the Organization for Economic Co-operation and Development members, Portugal has the highest reported consumption of anxiolytics, hypnotics, and sedatives, of which a large proportion are benzodiazepines or related drugs. These are known to cause tolerance and dependence. Other drugs with hypnotic effect, such as antidepressants, antihistamines, antipsychotics, or anticonvulsants have been identified by some reports as alternatives to benzodiazepines for the treatment of insomnia. In this regard, the aim of this study was to characterize the consumption of benzodiazepines, non-benzodiazepine anxiolytic, hypnotic or sedative effect drugs and other drugs with the potential to be used off-label to treat insomnia, and the results concerning benzodiazepine consumption related indicators in the primary health care setting in the Lisbon and Tagus Valley region. Material and Methods: From 2013 to 2020, a census, descriptive and retrospective study was conducted. The evolution of the variables total defined daily doses, defined daily doses per 1000 inhabitants per day (DHD) and relevant indicators were characterized. Data were extracted from the SIARS platform used in the Lisbon and Tagus Valley regional Health Administration. Results: There was a decrease in the consumption of benzodiazepines (from 57.44 to 63.11 DHD) and an increase of non-benzodiazepines and of drugs with potential off-label use (from 6.56 to 8.56 DHD and from 14.70 to 25.95 DHD, respectively). Among non-benzodiazepines, zolpidem was the most consumed drug, also showing an increasing trend (from 4.86 to 6.96 DHD). For the group of drugs with off-label use potential, there was an increased consumption of trazodone (from 3.81 to 7.92 DHD), mirtazapine (from 3.52 to 6.48 DHD), pregabalin (from 3.15 to 4.87 DHD), quetiapine (from 2.68 to 4.59 DHD) and gabapentin (from 1.32 to 1.90 DHD), which was only the case (or, at least, more significantly) for the lower dose formulations. The median of results of the Primary Health Care setting indicator “proportion of elderly patients without prescription of sedatives, anxiolytics, and hypnotics”, was 81.0 in 2015 and increased to 84.9 in 2020. For the indicator “proportion of patients without prolonged prescription of sedatives, anxiolytics, and hypnotics”, the median was 93.6 in 2019 and 94.3 in 2020. Conclusion: There was, overall, a decreasing trend in the dispensing of benzodiazepines in the Lisbon and Tagus Valley Region. Even though this data suggests a change in the therapeutic pattern for insomnia, more robust studies are needed to confirm this observation.
    2023-04Contributo em revista Acesso aberto Ver mais