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- Projeto Bem-estar digital: uma investigação-ação participativaPublication . Marôpo, Lídia; Kubrusly, Ana; Batista, Susana; Torres, João; Duarte, JoãoEste relatório apresenta os resultados do projeto Bem-estar digital: uma investigação-ação participativa (BED), financiado pelo concurso IPS & Santander InovPed 2024/2025 de apoio à inovação pedagógica. O objetivo é promover o uso das tecnologias digitais em equilíbrio com o bem-estar físico, mental e social, por meio da educação entre pares num processo de investigação-ação. Para tal, estudantes do 1º ano da Licenciatura em Comunicação Social (LCS) da Escola Superior de Educação do Instituto Politécnico de Setúbal receberam formação para realizar workshops com alunos do ensino secundário. Nesta perspetiva, aprenderam estratégias e ferramentas para o bem-estar digital, desenvolveram competências de investigação, disseminação de conhecimentos e produção de conteúdos multimédia. Ao todo, participaram 34 estudantes da LCS que criaram em conjunto um guião e materiais didáticos para a realização de 8 workshops com 178 alunos do ensino secundário. Desenvolveram ainda relatórios sobre esta experiência de investigação-ação participativa, websites com os resultados do projeto e vídeos educativos sobre o tema.
- Nursing care in a patient with ischemic stroke undergoing endovascular thrombectomy: a case reportPublication . Estrada, Sandra; Lopes, Pedro; Ruivo, Alice; Catalão, Maria José; Maria JoséAssessment: Ischemic stroke is a major neurological emergency. Endovascular thrombectomy has emerged as an effective treatment for patients with large-vessel occlusion. Nursing care plays a decisive role in ensuring patient safety and optimizing outcomes. This case is about a 77-year-old male with a history of vascular risk factors presented with aphasia and right hemiparesis. Stroke protocol was activated. Imaging revealed an M2 segment occlusion of the left MCA. Endovascular thrombectomy was performed under general anesthesia. The nursing assessment was guided by Patricia Benner’s Theory of Clinical Wisdom and operationalized through the ABCDE (Airway, Breathing, Circulation, Disability, Exposure) method and validated scales such as NIHSS (NIH Stroke Scale), GCS (Glasgow Coma Scale), ASPECTS (Alberta Stroke Program Early CT Score), and MRC (Medical Research Council) strength grading. Alterations were identified in airway management, mobility, communication, and hemodynamic stability. Diagnoses: Using the NANDA-I (North American Nursing Diagnosis Association International) tax onomy, nursing diagnoses were formulated and linked to Nursing Outcomes Classification (NOC) indicators and Nursing Interventions Classification (NIC) activities. Diagnoses included ineffec tive cerebral perfusion, risk of increased intracranial pressure, arrhythmia, risk of aspiration, acute pain, and anxiety, among others. Planning: Nursing interventions were structured across three phases: pre-procedure (e.g., neu rological stabilization, technical preparation), intra-procedure (e.g., hemodynamic monitoring, airway support), and post-procedure (e.g., neurovascular assessment, structured communica tion using ISBAR).
- Mental health of portuguese nurses in 2024 : what has changed since 2017? a cross-sectional observational comparative studyPublication . Seabra, Paulo; Lopes, Joaquim Oliveira; Pessoa, Ezequiel; Capelas, Manuel LuisBackground: Nurses’ mental health has become an increasingly pressing concern worldwide because of its impact on health systems, patient health outcomes, job satisfaction, and workforce attrition. Aim: This study updates and compares findings from a national survey initially conducted in 2017 to assess the mental health of Portuguese nurses and examine associations with socio-professional variables. Methods: This cross-sectional observational study was expanded to include 1894 nurses working in hospitals, primary care, and other settings. The General Health Questionnaire-24 was used to assess mental health perception. Results: Results indicate a substantial decline in mental health perceptions across all indicators compared with 2017. Participants reported more negative assessments of overall mental health, with notable increases in somatic symptoms, anxiety and insomnia (the most affected domain), social dysfunction, and severe depression. Moreover, participants reported increased use of psychotropic drugs. Protective factors identified include specialised training, increased time off (particularly weekends), and engagement in sports or hobbies. Conclusions: Being the largest group in Portugal’s healthcare workforce, and reflected globally, nurses play a pivotal role in the health system. Their mental well-being directly impacts patient care quality and safety. These findings support the implementation of targeted strategies to safeguard nurses’ mental health and enhance healthcare delivery.
- Book of Abstracts of the 2nd International Conference on Resilience and Sustainable RegionsPublication . Costa, Teresa; Severino, Filipe Segurado; Galvão, Susana; Gomes, Ana Gabriela
- O contributo dos trava-línguas e das lengalengas no desenvolvimento de competências linguísticas no 1.º ciclo do ensino básicoPublication . Quadrada, Sara Helena Rodrigues da; Pires,, Natália de Jesus Albino; Silva, , Sofia de Lurdes Rosas daO presente Relatório Final procura compreender de que forma os textos da literatura tradicional (particularmente os trava-línguas e as lengalengas) podem potenciar o desenvolvimento das competências linguísticas das crianças, essenciais para a aprendizagem da leitura e da escrita. A investigação, seguindo a metodologia de investigação-ação, de natureza qualitativa, foi conduzida numa turma de 1.º ano, composta por vinte alunos, ao longo de três sessões de noventa minutos. As atividades centraram-se na exploração de trava-línguas e lengalengas, envolvendo também a participação das famílias. Através da implementação da sequência didática demonstrou-se o potencial destes textos tradicionais como ferramentas pedagógicas de elevada eficácia. A análise das produções orais e escritas dos alunos revelou progressos significativos nas dimensões da consciência linguística, nomeadamente ao nível da consciência fonológica (articulação e manipulação de sons), lexical (expansão de vocabulário) e sintática (estruturação de frases), favorecendo ainda a articulação verbal, a criatividade e a valorização da cultura popular. O carácter lúdico fomentou a motivação e o envolvimento dos alunos, facilitando a automatização de processos fundamentais para a leitura e escrita. Os resultados confirmam o potencial pedagógico dos textos de literatura tradicional e reforçam a importância da oralidade como via para a aprendizagem da língua portuguesa e para a formação integral dos alunos.
- A nova estratégia de segurança dos EUAPublication . Gaspar, Carlos; Daehnhart, Patrícia; Rato, Vasco; Cunha, Alberto; Instituto da Defesa Nacional
- Major revision version 13.0 of the European AIDS Clinical Society guidelines 2025.Publication . Ambrosioni, Juan; Levi, Laura I; Alagaratnam, Jasmini; Sempere, Abiu; Mastrangelo, Andrea; Paioni, Paolo; Mussini, Cristina; Marzolini, Catia; Nielsen, Susanne Dam; Béguelin, Charles; Welch, Steven; Koval, Anna; Penim Mendão, Luís Manuel; Bamford, Alasdair; Calmy, Alexandra; Guaraldi, Giovanni; Oprea, Cristiana; Martínez, Esteban; Rockstroh, Jürgen KThe European AIDS Clinical Society (EACS) guidelines were revised for the 21st time in 2025, with updates covering all aspects of HIV care.
- Assessing environmental and pandemic influences on mortality through seasonal time series modelsPublication . Simões, João; Bernardo, Alexandra; Gonçalves, Luísa Lima; Brito, JoséUnderstanding the interplay between air pollution, climate variables, and mortality is essential for developing evidence-based public health policies and mitigating environmental health risks. Seasonal mortality patterns, particularly winter peaks, are often associated with increased air pollution and low temperatures. However, understanding the combined associations of these factors, especially under global disruptions such as the COVID-19 pandemic, poses a challenge for public health research and policy. This study shows that the monthly number of deaths from all-natural causes in Portugal from 2010 to 2022 exhibits a pronounced seasonal pattern, with winter mortality about 19 % higher than the annual mean. In the same period, air pollutant concentrations show clear seasonality, with NO2 (+24 %) and PM10 (+12 %) peaking in winter, while minimum temperatures fall about 42 % below the mean. Conversely, ozone exposure (SOMO35) reaches highest levels in summer, reflecting distinct seasonal burden. Using Seasonal Autoregressive Integrated Moving Average models with Predictor Variables (SARIMAX), the analysis identifies complex and lagged associations: PM10 exhibits a delayed effect at four months, while NO2 is associated with immediate increases on mortality. Temperature acts as a nonlinear and oscillatory predictor, with both acute effects and delayed cold-related risks over several months. The findings indicate that pandemic-related mortality disrupted typical seasonal patterns and hindered the detectability of subtler environmental effects. Comparing models that include or exclude COVID-19 mortality reveals clearer environmental associations in the non-COVID model, highlighting the value of distinguishing acute shocks from long-term conditions. Overall, the results underscore the need for stricter air quality standards during colder months and for adaptive public health strategies that consider cumulative and lagged environmental effects. While this study focused on adults aged 30 years and older, the findings suggest that older adults, individuals with chronic respiratory or cardiovascular conditions, and those in disadvantaged settings may be more susceptible to environmental stressors.
- Associations of muscle mass, strength, and power with falls among active community-dwelling older adultsPublication . Marconcin, Priscila; Serpa, Joana; Mira, José; Silva, Ana Lúcia; Martinho, Estela São; Loureiro, Vânia; Gomes, Margarida; Hăisan, Petronela; Casanova, Nuno; Santos, VanessaBackground/Objectives: Falls are a leading cause of morbidity and mortality in older adults, even among those who are physically active. This study examined the associations between skeletal muscle mass, muscle strength, and muscle power and fall risk in physically active, community-dwelling older adults. Methods: A cross-sectional analysis was conducted with 280 participants (71.9 ± 5.3 years; 75% women) enrolled in the Stay Up–Falls Prevention Project. Assessments included skeletal muscle mass (anthropometric prediction equation), handgrip strength, lower limb strength and power (Five Times Sit-to-Stand test, 5×STS), and fall history over the past 12 months. Muscle power was calculated from 5×STS performance using the equation proposed by Alcazar and colleagues. Logistic regression models and receiver operating characteristic (ROC) curve analyses were performed. Results: Overall, 26.4% of participants reported at least one fall in the previous year, with a higher prevalence among women (28.9%) than men (18.8%). Fallers showed significantly lower handgrip strength (23.1 vs. 25.4 kg, p = 0.022) and poorer lower limb strength (9.2 vs. 8.7 s, p = 0.007) compared with non-fallers. However, no significant differences were found for skeletal muscle mass or sit-to-stand–derived power. In multivariable models adjusted for age, sex, body mass index, comorbidities, and medications, lower limb strength remained the only independent variable associated with fall status (OR = 1.78, 95% CI: 1.11–2.85, p = 0.016). ROC analysis confirmed fair discriminative capacity for 5×STS performance (AUC = 0.616, p = 0.003), with an optimal cut-off of 8.62 s (sensitivity = 78.4%, specificity = 33.0%). Handgrip strength, muscle mass, and power did not show independent associations with fall status. Conclusions: These findings indicate that the 5×STS test provides a simple, cost-effective, and functional indicator for fall-risk stratification in physically active older adults. Clinicians should consider the 5×STS as a sensitive functional indicator that contributes to fall risk stratification, ideally combined with complementary assessments (e.g., balance, gait, cognition) to improve risk stratification and guide preventive interventions in ageing populations.
- Botulinum toxin type A for the prevention of migraines : an umbrella review of systematic reviewsPublication . Chamani, Goli; Jasim, Hajer; Minston, Ava; Dias, Marlon Ferreira; Poluha, Rodrigo Lorenzi; Gonçalves, Daniela A. Godoi; Christidis, Maria; Al-Moraissi, Essam Ahmed; Christidis, Nikolaos; Canales, Giancarlo De la Torre; Ernberg, MalinBotulinum toxin type A (BoNT-A) is an established preventive therapy for chronic migraines; however, uncertainty remains regarding its comparative efficacy and safety. Thus, we aimed to summarize current evidence from high-quality systematic reviews of the therapeutic effects of BoNT-A in migraine management. An umbrella review was conducted following PRISMA guidelines and registered in PROSPERO. High-quality systematic reviews with meta-analysis evaluating BoNT-A efficacy were identified through five databases up to August 2024. Primary outcomes included monthly headache frequency and severity. Methodological quality and risk of bias were assessed using the umbrella review checklist. Fourteen articles were included. Overall, quantitative evidence indicated favorable effects of BoNT-A compared with placebo for chronic migraines, across headache frequency, headache severity, and acute medication use, but less efficacy than topiramate and the CGRP monoclonal antibodies (CGRPmAbs) galcanezumab and fremanezumab. Though the adverse events were frequent, BoNT-A was generally well-tolerated. Comparative data suggested superior tolerability versus topiramate and a safety profile like CGRPmAbs. Although botulinum toxin type A is widely used as a preventive treatment for chronic migraines, the available evidence supports its efficacy at a moderate level. Further head-to-head and long-term analyses are needed to clarify its comparative role alongside newer biologic treatments.