Browsing by Author "Martins, Isabel"
Now showing 1 - 7 of 7
Results Per Page
Sort Options
- Aprender sexualidade desde cedo : menino ou menina - eis a questãoPublication . Veiga, Maria Luísa Ferreira Cabral dos Santos; Teixeira, Filomena; Couceiro, Fernanda; Martins, Isabel
- Assessment of Parkinson’s disease medication state through automatic speech analysisPublication . Pompili, Anna; Solera-Urena, Rubén; Abad, Alberto; Cardoso, Rita; Guimarães, Isabel; Fabbri, Margherita; Martins, Isabel; Ferreira, JoaquimParkinson’s disease (PD) is a progressive degenerative disorder of the central nervous system characterized by motor and nonmotor symptoms. As the disease progresses, patients alternate periods in which motor symptoms are mitigated due to medication intake (ON state) and periods with motor complications (OFF state). The time that patients spend in the OFF condition is currently the main parameter employed to assess pharmacological interventions and to evaluate the efficacy of different active principles. In this work, we present a system that combines automatic speech processing and deep learning techniques to classify the medication state of PD patients by leveraging personal speech-based bio-markers. We devise a speakerdependent approach and investigate the relevance of different acoustic-prosodic feature sets. Results show an accuracy of 90.54% in a test task with mixed speech and an accuracy of 95.27% in a semi-spontaneous speech task. Overall, the experimental assessment shows the potentials of this approach towards the development of reliable, remote daily monitoring and scheduling of medication intake of PD patients.
- Caracterização da pessoa que desenvolve úlcera por pressão em contexto de internamento hospitalarPublication . Mostardinha, António; Quitério, Carlos; Sousa, Diana; Martins, Isabel; Portela, Joana; Ferreira, NoéliaAs Úlceras Por Pressão (UPP) representam um problema de saúde, devido à sua incidência e pela morbilidade, mortalidade e risco de infeção associados. Num plano de prevenção de UPP, é fundamental conhecer as características individuais, de forma a minimizar os fatores de risco. Objetivou-se descrever as características da pessoa que desenvolveu UPP num centro hospitalar da região de Lisboa e Vale do Tejo, em 2018, procurando identificar possibilidades de melhoria da qualidade dos cuidados de saúde no âmbito da prevenção e gestão de UPP. Estudo descritivo e retrospetivo, que analisou indivíduos adultos, relativamente a: variáveis sociodemográficas; variáveis relativas a saúde e internamento e variáveis relacionadas com as UPP. A população foi identificada com base nos dados de incidência de UPP. Critérios de inclusão: mais de 18 anos de idade e que desenvolveram UPP no internamento. Critérios de exclusão: já apresentar UPP no momento da admissão e internamentos nos serviços: de psiquiatria, urgência, obstetrícia e ginecologia. A amostra foi constituída por 177 indivíduos. Verifica-se que a pessoa idosa é mais vulnerável (63% com mais de 80 anos). Morbilidades que alteram a perfusão e oxigenação (sistema circulatório 26,9% e respiratório 20%) são as mais representativas; relativamente às comorbilidades, prevalecem também as doenças do sistema circulatório, seguidas das doenças endócrinas, nutricionais e metabólicas (55,9%). Os serviços do departamento médico apresentaram maior incidência de UPP (46,9%) e pode-se observar que nos primeiros 15 dias de internamento, a incidência atingiu os 80,2%. Constata-se o predomínio (90,8%) de indivíduos classificados com alto risco para UPP, assim como de indivíduos com dependência: 25,2% com dependência severa e 62,3% com dependência total. Não foi possível avaliar o impacto do risco nutricional. Este estudo contribuiu para suportar a tomada de decisão dos profissionais de saúde, pois fornece dados sobre a caracterização das pessoas que desenvolveram UPP. O desenvolvimento de programas de prevenção de UPP é fundamental, devendo incluir programas educacionais e normas de orientação.
- A pain neuroscience education program for fibromyalgia patients with cognitive deficits: a case seriesPublication . Pires, Diogo; Costa, Daniela; Martins, Isabel; Cruz, Eduardo Brazete
- A pain neuroscience education program for fibromyalgia patients with cognitive deficits: a case seriesPublication . Pires, Diogo; Costa, Daniela; Martins, Isabel; Cruz, EduardoBackground: The literature has suggested that Pain neurophysiology education (PNE) can have positive effects on pain, disability and maladaptive pain cognitions in fibromyalgia (FM) patients but no significant changes in these variables have been found in response to PNE in FM patients. Reasons for these findings may relate with the design of the PNE programmes, traditionally composed of only 1 or 2 sessions with a wide variety of complex contents, which do not take into account the memory and concentration problems identified in those patients. Purpose: This case series aims to describe the effects of a combined programme of PNE and exercise for FM patients. The PNE was specifically designed for FM patients with cognitive deficits and included 6 sessions of PNE in a face-to-face format complemented with an educational booklet, the discussion of a case study and involvement of family members in treatment sessions. Methods: Nine consecutive patients with a diagnosis of FM and concentration and memory problems (identified by the concentration subscale of the checklist of Individual strength- CIS-20, and a numeric scale to access memory) were included in this case series. All patients underwent in a 6-week programme (first 3 weeks) followed by 6 sessions of individualized exercise (aerobic exercise, motor control training and aquatic exercise). Participants were assessed at the baseline, 3 and 6 weeks, and at 3 and 6 months follow-ups. Outcomes measures included the Numerical Pain Rating Scale, the Tampa Scale of Kinesiophobia, the Pain Catastrophizing Scale, and the Patient Global Improvement of Change Scale. Results: All 9 participants were women with a median age of 53 years (range: 38e64). Six weeks after the beginning of the intervention, all the patients reported perceived benefits in perception of overall change, and 7 of the 9 patients (78%) demonstrated a clinically meaningful improvement in pain intensity. Of the 9 participants, 8 exhibited reductions in pain catastrophization and 7 in kinesiophobia. However, at the 6 months follow-up, the proportion of patients with a clinically meaningful improvement in pain intensity and in the perception of overall change decreases to 5/9 and 7/9, respectively. Conclusion: This case series suggests that an adjusted programme of PNE followed by individualized exercise could change maladaptive pain cognitions and decrease pain intensity in FM patients. The dilution of the course content for several sessions and the inclusion of additional learning strategies may have been critical for these results. Implications: This study’s results suggest that cognitive characteristics of FM patients should be considered in the design of PNE programmes in order to optimize their results. However, since a cause-effect relationship cannot be deduced from this case series, a randomized controlled trial should be taken into account to evaluate the effectiveness of this programme in FM patients.
- Sexualidade e educação : um estudo com futuros professoresPublication . Teixeira, Filomena; Veiga, Luísa; Martins, Isabel
- Tailoring pain neuroscience education and exercise programme for people with fibromyalgia who also have cognitive deficits: a case seriesPublication . Pires, Diogo; Costa, Daniela; Martins, Isabel; Cruz, EduardoPurpose: The purpose of this case series was to describe the outcomes of a tailored pain neuroscience education (PNE) and individualised exercise programme for people with fibromyalgia (FM) who also have cognitive deficits. Materials and methods: Nine FM patients with memory and concentration problems underwent a sixweek programme consisting of six PNE sessions followed by six sessions of individualised exercise. Participants were assessed at the baseline, 3 and 6 weeks, and at 3 and 6 months follow-ups. Outcomes measures included the Tampa Scale of Kinesiophobia (TSK), the Pain Catastrophizing Scale (PCS), the Numerical Pain Rating Scale (NPRS), the Fibromyalgia Impact Questionnaire-Revised (FIQ-R) and the Patient Global Improvement of Change Scale (PGIC). Results: At six weeks, all patients decreased their scores on the TSK, PCS, NPRS and FIQ-R and reported a moderate to considerable improvement in their perception of overall change. At the six-month follow- up, improvements in pain intensity, pain catastrophizing, kinesiophobia and perception of overall change, appeared clinically meaningful for the majority of the participants. Conclusions: This study’s findings demonstrate an example of how cognitive characteristics can be considered in the intervention of FM patients in order to optimise their results and encourage the need for a further randomised control trial.