Proceedings of the 3rd IPLeiria’s International Health Congress

Leiria, Portugal. 6-7 May 2016
  • Catarina Cardoso Tomás
  • Emanuel Oliveira
  • D. Sousa
  • M. Uba-Chupel
  • G. Furtado
  • C. Rocha
  • A. Teixeira
  • P. Ferreira
  • Celeste Alves
  • Stefan Gisin
  • Elisabete Catarino
  • Nelma Carvalho
  • Tiago Coucelo
  • Luís Bonfim
  • Carina Silva
  • Débora Franco
  • Jesús Alcoba González
  • Helena G. Jardim
  • Rita Silva
  • Cristina L. Baixinho
  • Mª Helena Presado
  • Mª Fátima Marques
  • Mário E. Cardoso
  • Marina Cunha
  • Joana Mendes
  • Ana Xavier
  • Ana Galhardo
  • Margarida Couto
  • João G. Frade
  • Carla Nunes
  • João R. Mesquita
  • Maria S. Nascimento
  • Guilherme Gonçalves
  • Conceição Castro
  • Alice Mártires
  • Mª João Monteiro
  • Conceição Rainho
  • Francisco P. Caballero
  • Fatima M. Monago
  • Jose T. Guerrero
  • Rocio M. Monago
  • Africa P. Trigo
  • Milagros L. Gutierrez
  • Gemma M. Milanés
  • Mercedes G. Reina
  • Ana G. Villanueva
  • Ana S. Piñero
  • Isabel R. Aliseda
  • Francisco B. Ramirez
  • Andrea Ribeiro
  • Ana Quelhas
  • Conceição Manso
  • Francisco P. Caballero
  • Jose T. Guerrero
  • Fatima M. Monago
  • Rafael B. Santos
  • Nuria R. Jimenez
  • Cristina G. Nuñez
  • Inmaculada R. Gomez
  • Mª Jose L. Fernandez
  • Laura A. Marquez
  • Ana L. Moreno
  • Mª Jesus Tena Huertas
  • Francisco B. Ramirez
  • Daniel Seabra
  • Mª Céu Salvador
  • Luciene Braga
  • Pedro Parreira
  • Anabela Salgueiro-Oliveira
  • Cristina Arreguy-Sena
  • Bibiana F. Oliveira
  • Mª Adriana Henriques
  • Joana Santos
  • Sara Lebre
  • Alda Marques
  • Clarinda Festas
  • Sandra Rodrigues
  • Andrea Ribeiro
  • José Lumini
  • Ana G. Figueiredo
  • Francisco J. Hernandez-Martinez
  • Liliana Campi
  • Mª Pino Quintana-Montesdeoca
  • Juan F. Jimenez-Diaz
  • Bienvenida C. Rodriguez-De-Vera
  • Alexandra Parente
  • Mª Augusta Mata
  • Ana Mª Pereira
  • Adília Fernandes
  • Manuel Brás
  • Mª Rosário Pinto
  • Pedro Parreira
  • Marta L. Basto
  • Ana C. Rei
  • Lisete M. Mónico
  • Gilberta Sousa
  • Clementina Morna
  • Otília Freitas
  • Gregório Freitas
  • Ana Jardim
  • Rita Vasconcelos
  • Lina G. Horta
  • Roger S. Rosa
  • Luís F. Kranz
  • Rita C. Nugem
  • Mariana S. Siqueira
  • Ronaldo Bordin
  • Rosiane Kniess
  • Josimari T. Lacerda
  • Joana Guedes
  • Idalina Machado
  • Sidalina Almeida
  • Adriano Zilhão
  • Helder Alves
  • Óscar Ribeiro
  • Ana P. Amaral
  • Ana Santos
  • Joana Monteiro
  • Mª Clara Rocha
  • Rui Cruz
  • Ana P. Amaral
  • Marina Lourenço
  • Mª Clara Rocha
  • Rui Cruz
  • Sandra Antunes
  • Verónica Mendonça
  • Isabel Andrade
  • Nádia Osório
  • Ana Valado
  • Armando Caseiro
  • António Gabriel
  • Anabela C. Martins
  • Fernando Mendes
  • Lídia Cabral
  • Manuela Ferreira
  • Amadeu Gonçalves
  • Tatiana D. Luz
  • Leonardo Luz
  • Raul Martins
  • Alice Morgado
  • Maria L. Vale-Dias
  • Rui Porta-Nova
  • Tânia C. Fleig
  • Éboni M. Reuter
  • Miriam B. Froemming
  • Sabrina L. Guerreiro
  • Lisiane L. Carvalho
  • Daniel Guedelha
  • P. Coelho
  • A. Pereira
  • António Calha
  • Raul Cordeiro
  • Ana Gonçalves
  • Ana Certo
  • Ana Galvão
  • Mª Augusta Mata
  • Aline Welter
  • Elayne Pereira
  • Sandra Ribeiro
  • Marcia Kretzer
  • Juan-Fernando Jiménez-Díaz
  • Carla Jiménez-Rodríguez
  • Francisco-José Hernández-Martínez
  • Bienvenida-Del-Carmen Rodríguez-De-Vera
  • Alexandre Marques-Rodrigues
  • Patrícia Coelho
  • Tiago Bernardes
  • Alexandre Pereira
  • Patrícia Sousa
  • João G. Filho
  • Nazare Nazario
  • Marcia Kretzer
  • Odete Amaral
  • António Garrido
  • Nélio Veiga
  • Carla Nunes
  • Ana R. Pedro
  • Carlos Pereira
  • António Almeia
  • Helder M. Fernandes
  • Carlos Vasconcelos
  • Nelson Sousa
  • Victor M. Reis
  • M. João Monteiro
  • Romeu Mendes
  • Isabel C. Pinto
  • Tânia Pires
  • João Gama
  • Vera Preto
  • Norberto Silva
  • Carlos Magalhães
  • Matilde Martins
  • Mafalda Duarte
  • Constança Paúl
  • Ignácio Martín
  • Arminda A. Pinheiro
  • Sandra Xavier
  • Julieta Azevedo
  • Elisabete Bento
  • Cristiana Marques
  • Mariana Marques
  • António Macedo
  • Ana T. Pereira
  • José P. Almeida
  • António Almeida
  • Josiane Alves
  • Nelson Sousa
  • Francisco Saavedra
  • Romeu Mendes
  • Ana S. Maia
  • Michelle T. Oliveira
  • Anderson R. Sousa
  • Paulo P. Ferreira
  • Luci S. Lopes
  • Eujcely C. Santiago
  • Sílvia Monteiro
  • Ângelo Jesus
  • Armanda Colaço
  • António Carvalho
  • Rita P. Silva
  • Agostinho Cruz
  • Ana Ferreira
  • Catarina Marques
  • João P. Figueiredo
  • Susana Paixão
  • Ana Ferreira
  • Carla Lopes
  • Fernando Moreira
  • João P. Figueiredo
  • Ana Ferreira
  • Diana Ribeiro
  • Fernando Moreira
  • João P. Figueiredo
  • Susana Paixão
  • Telma Fernandes
  • Diogo Amado
  • Jéssica Leal
  • Marcelo Azevedo
  • Sónia Ramalho
  • Catarina Mangas
  • Jaime Ribeiro
  • Rita Gonçalves
  • Amélia F Nunes
  • Ana R. Tuna
  • Carlos R. Martins
  • Henriqueta D. Forte
  • Cláudia Costa
  • José A. Tenedório
  • Paula Santana
  • J. A. Andrade
  • J. L. Pinto
  • C. Campofiorito
  • S. Nunes
  • A. Carmo
  • A. Kaliniczenco
  • B. Alves
  • F. Mendes
  • C. Jesus
  • F. Fonseca
  • F. Gehrke
  • Carlos Albuquerque
  • Rita Batista
  • Madalena Cunha
  • António Madureira
  • Olivério Ribeiro
  • Rosa Martins
  • Teresa Madeira
  • Catarina Peixoto-Plácido
  • Nuno Santos
  • Osvaldo Santos
  • Astrid Bergland
  • Asta Bye
  • Carla Lopes
  • Violeta Alarcão
  • Beatriz Goulão
  • Nuno Mendonça
  • Paulo Nicola
  • João G. Clara
  • João Gomes
  • Ana Querido
  • Catarina Tomás
  • Daniel Carvalho
  • Marina Cordeiro
  • Marlene C. Rosa
  • Alda Marques
  • Daniela Brandão
  • Óscar Ribeiro
  • Lia Araújo
  • Constança Paúl
  • Beatriz Minghelli
  • Sylvina Richaud
  • Ana L. Mendes
  • Joana Marta-Simões
  • Inês A. Trindade
  • Cláudia Ferreira
  • Teresa Carvalho
  • Marina Cunha
  • José Pinto-Gouveia
  • Morgana C. Fernandes
  • Roger S. Rosa
  • Rita C. Nugem
  • Luís F. Kranz
  • Mariana S. Siqueira
  • Ronaldo Bordin
  • Anabela C. Martins
  • Anabela Medeiros
  • Rafaela Pimentel
  • Andreia Fernandes
  • Carlos Mendonça
  • Isabel Andrade
  • Susana Andrade
  • Ruth L. Menezes
  • Rafael Bravo
  • Marta Miranda
  • Lierni Ugartemendia
  • José Mª Tena
  • Francisco L. Pérez-Caballero
  • Lorena Fuentes-Broto
  • Ana B. Rodríguez
  • Barriga Carmen
  • M. A. Carneiro
  • J. N. Domingues
  • S. Paixão
  • J. Figueiredo
  • V. B. Nascimento
  • C. Jesus
  • F Mendes
  • F. Gehrke
  • B. Alves
  • L. Azzalis
  • F. Fonseca
  • Ana R. Martins
  • Amélia Nunes
  • Arminda Jorge
  • Nélio Veiga
  • Ana Amorim
  • André Silva
  • Liliana Martinho
  • Luís Monteiro
  • Rafael Silva
  • Carina Coelho
  • Odete Amaral
  • Inês Coelho
  • Carlos Pereira
  • André Correia
  • Diana Rodrigues
  • Nídia Marante
  • Pedro Silva
  • Sara Carvalho
  • André Rts Araujo
  • Maximiano Ribeiro
  • Paula Coutinho
  • Sandra Ventura
  • Fátima Roque
  • Cristina Calvo
  • Manoela Reses
  • Jorge Conde
  • Ana Ferreira
  • João Figueiredo
  • David Silva
  • Luís Seiça
  • Raquel Soares
  • Ricardo Mourão
  • Teresa Kraus
  • Ana C. Abreu
  • José M. Padilha
  • Júlia M. Alves
  • Paulino Sousa
  • Manuel Oliveira
  • Joana Sousa
  • Sónia Novais
  • Felismina Mendes
  • Joana Pinto
  • Joana Cruz
  • Alda Marques
  • Hugo Duarte
  • Maria Dos Anjos Dixe
  • Pedro Sousa
  • Inês Cruz
  • Fernanda Bastos
  • Filipe Pereira
  • Francisco L. Carvalho
  • Teresa T. Oliveira
  • Vítor R. Raposo
  • Conceição Rainho
  • José C. Ribeiro
  • Isabel Barroso
  • Vítor Rodrigues
  • Carmo Neves
  • Teresa C. Oliveira
  • Bárbara Oliveira
  • Mª Carminda Morais
  • Pilar Baylina
  • Rogério Rodrigues
  • Zaida Azeredo
  • Corália Vicente
  • Hélia Dias
  • Margarida Sim-Sim
  • Pedro Parreira
  • Anabela Salgueiro-Oliveira
  • Amélia Castilho
  • Rosa Melo
  • João Graveto
  • José Gomes
  • Marina Vaquinhas
  • Carla Carvalho
  • Lisete Mónico
  • Nuno Brito
  • Cassilda Sarroeira
  • José Amendoeira
  • Fátima Cunha
  • Anabela Cândido
  • Patrícia Fernandes
  • Helena R. Silva
  • Elsa Silva
  • Isabel Barroso
  • Leila Lapa
  • Cristina Antunes
  • Ana Gonçalves
  • Ana Galvão
  • Mª José Gomes
  • Susana R. Escanciano
  • Maria Freitas
  • Pedro Parreira
  • João Marôco
  • Ana R. Fernandes
  • Cremilde Cabral
  • Samuel Alves
  • Pedro Sousa
  • António Ferreira
  • Fernanda Príncipe
  • Ulla-Maija Seppänen
  • Margarida Ferreira
  • Maribel Carvalhais
  • Marilene Silva
  • Manuela Ferreira
  • Joana Silva
  • Jéssica Neves
  • Diana Costa
  • Bruno Santos
  • Soraia Duarte
  • Sílvia Marques
  • Sónia Ramalho
  • Isabel Mendes
  • Clarisse Louro
  • Eva Menino
  • Maria Dixe
  • Sara S. Dias
  • Marina Cordeiro
  • Catarina Tomás
  • Ana Querido
  • Daniel Carvalho
  • João Gomes
  • Frederico C. Valim
  • Joyce O. Costa
  • Lúcia G. Bernardes
  • Helena Prebianchi
  • Marlene Cristina Rosa
  • Narcisa Gonçalves
  • Maria M. Martins
  • Paulina Kurcgant
  • André Vieira
  • Sandrina Bento
  • Sérgio Deodato
  • Isabel Rabiais
  • Laura Reis
  • Ana Torres
  • Sérgio Soares
  • Margarida Ferreira
  • Pedro Graça
  • Céu Leitão
  • Renato Abreu
  • Fernando Bellém
  • Ana Almeida
  • Edna Ribeiro-Varandas
  • Ana Tavares
  • João G. Frade
  • Carolina Henriques
  • Eva Menino
  • Clarisse Louro
  • Célia Jordão
  • Sofia Neco
  • Carminda Morais
  • Pedro Ferreira
  • Carla R. Silva
  • Alice Brito
  • Antónia Silva
  • Hugo Duarte
  • Maria Dos Anjos Dixe
  • Pedro Sousa
  • Gabriela Postolache
  • Raul Oliveira
  • Isabel Moreira
  • Luísa Pedro
  • Sónia Vicente
  • Samuel Domingos
  • Octavian Postolache
  • Darlen Silva
  • João G. Filho
  • Nazare Nazario
  • Marcia Kretzer
  • Dulcineia Schneider
  • Fátima M. Marques
  • Pedro Parreira
  • Carla Carvalho
  • Lisete M. Mónico
  • Carlos Pinto
  • Sara Vicente
  • São João Breda
  • José H. Gomes
  • Rosa Melo
  • Pedro Parreira
  • Anabela Salgueiro
  • João Graveto
  • Marina Vaquinhas
  • Amélia Castilho
  • Ângelo Jesus
  • Nuno Duarte
  • José C. Lopes
  • Hélder Nunes
  • Agostinho Cruz
  • Anabela Salgueiro-Oliveira
  • Pedro Parreira
  • Marta L. Basto
  • Luciene M. Braga
  • António Ferreira
  • Beatriz Araújo
  • José M. Alves
  • Margarida Ferreira
  • Maribel Carvalhais
  • Marilene Silva
  • Sónia Novais
  • Ana S. Sousa
  • Cândida Ferrito
  • Pedro L. Ferreira
  • Alexandre Rodrigues
  • Margarida Ferreira
  • Isabel Oliveira
  • Manuela Ferreira
  • Jéssica Neves
  • Diana Costa
  • Soraia Duarte
  • Joana Silva
  • Bruno Santos
  • Cristina Martins
  • Ana P. Macedo
  • Odete Araújo
  • Cláudia Augusto
  • Fátima Braga
  • Lisa Gomes
  • Maria A. Silva
  • Rafaela Rosário
  • Luís Pimenta
  • Diana Carreira
  • Patrícia Teles
  • Teresa Barros
  • Catarina Tomás
  • Ana Querido
  • Daniel Carvalho
  • João Gomes
  • Marina Cordeiro
  • Daniel Carvalho
  • Ana Querido
  • Catarina Tomás
  • João Gomes
  • Marina Cordeiro
  • Cristina Jácome
  • Alda Marques
  • Sylvie Capelas
  • Andreia Hall
  • Dina Alves
  • Marisa Lousada
  • Mª Helena Loureiro
  • Ana Camarneiro
  • Margarida Silva
  • Aida Mendes
  • Ana Pedreiro
  • Anne G.Silva
  • Elza S. Coelho
  • Flávio Melo
  • Fernando Ribeiro
  • Rui Torres
  • Rui Costa
  • Tânia Pinho
  • Cristina Jácome
  • Alda Marques
  • Bárbara Cruz
  • Daniel Seabra
  • Diogo Carreiras
  • Maria Ventura
  • x Cruz
  • Dina Brooks
  • Alda Marques
  • M Rosário Pinto
  • Pedro Parreira
  • Marta Lima-Basto
  • Miguel Neves
  • Lisete M. Mónico
  • Carla Bizarro
  • Marina Cunha
  • Ana Galhardo
  • Couto Margarida
  • Ana P. Amorim
  • Eduardo Silva
  • Susana Cruz
  • José M. Padilha
  • Jorge Valente
  • José T. Guerrero
  • Francisco P. Caballero
  • Rafael B. Santos
  • Estefania P. Gonzalez
  • Fátima M. Monago
  • Lierni U. Ugalde
  • Marta M. Vélez
  • Maria J. Tena
  • José T. Guerrero
  • Rafael Bravo
  • Francisco L. Pérez-Caballero
  • Isabel A. Becerra
  • Mª Elizabeth Agudelo
  • Guadalupe Acedo
  • Roberto Bajo
  • Isabel Malheiro
  • Filomena Gaspar
  • Luísa Barros
  • Guilherme Furtado
  • Mateus Uba-Chupel
  • Mariana Marques
  • Luís Rama
  • Margarida Braga
  • José P. Ferreira
  • Ana Mª Teixeira
  • João Cruz
  • Tiago Barbosa
  • Ângela Simões
  • Luís Coelho
  • Alexandre Rodrigues
  • Juan-Fernando Jiménez-Díaz
  • Francisco Martinez-Hernandez
  • Bienvenida Rodriguez-De-Vera
  • Pedro Ferreira
  • Alexandrina Rodrigues
  • André Ramalho
  • João Petrica
  • Pedro Mendes
  • João Serrano
  • Inês Santo
  • António Rosado
  • Paula Mendonça
  • Kátia Freitas
  • Dora Ferreira
  • António Brito
  • Renato Fernandes
  • Sofia Gomes
  • Fernando Moreira
  • Cláudia Pinho
  • Rita Oliveira
  • Ana I. Oliveira
  • Paula Mendonça
  • Ana P. Casimiro
  • Patrícia Martins
  • Iryna Silva
  • Diana Evangelista
  • Catarina Leitão
  • Fábia Velosa
  • Nélio Carecho
  • Luís Coelho
  • Eva Menino
  • Anjos Dixe
  • Helena Catarino
  • Fátima Soares
  • Ester Gama
  • Clementina Gordo
  • Eliana Moreira
  • Cristiana Midões
  • Marlene Santos
  • Sara Machado
  • Vânia P. Oliveira
  • Marlene Santos
  • Ana Querido
  • Anjos Dixe
  • Rita Marques
  • Zaida Charepe
  • Ana Antunes
  • Sofia Santos
  • Marlene C. Rosa
  • Marlene C. Rosa
  • Silvana F. Marques
  • Beatriz Minghelli
  • Eulália CaroMinghelli
  • Mª José Luís
  • Teresa Brandão
  • Pedro Mendes
  • Daniel Marinho
  • João Petrica
  • Diogo Monteiro
  • Rui Paulo
  • João Serrano
  • Inês Santo
  • Lina Monteiro
  • Fátima Ramalho
  • Rita Santos-Rocha
  • Sónia Morgado
  • Teresa Bento
  • Gilberta Sousa
  • Otília Freitas
  • Isabel Silva
  • Gregório Freitas
  • Clementina Morna
  • Rita Vasconcelos
  • Tatiana Azevedo
  • Salete Soares
  • Jacinta Pisco
  • Paulo P. Ferreira
  • Efrain O. Olszewer
  • Michelle T. Oliveira
  • Anderson R. Sousa
  • Ana S. Maia
  • Sebastião T. Oliveira
  • Erica Santos
  • Ana I. Oliveira
  • Carla Maia
  • Fernando Moreira
  • Joana Santos
  • Maria F. Mendes
  • Rita F. Oliveira
  • Cláudia Pinho
  • Eduarda Barreira
  • Ana Pereira
  • Josiana A. Vaz
  • André Novo
  • Luís D. Silva
  • Bruno Maia
  • Eduardo Ferreira
  • Filipa Pires
  • Renato Andrade
  • Luís Camarinha
  • Luís D. Silva
  • Bruno Maia
  • Eduardo Ferreira
  • Filipa Pires
  • Renato Andrade
  • Luís Camarinha
  • Ana F. César
  • Mariana Poço
  • David Ventura
  • Raquel Loura
  • Pedro Gomes
  • Catarina Gomes
  • Cláudia Silva
  • Elsa Melo
  • João Lindo
  • Joana Domingos
  • Zaida Mendes
  • Susana Poeta
  • Tiago Carvalho
  • Catarina Tomás
  • Helena Catarino
  • Mª Anjos Dixe
  • André Ramalho
  • António Rosado
  • Pedro Mendes
  • Rui Paulo
  • Inês Garcia
  • João Petrica
  • Sandra Rodrigues
  • Rui Meneses
  • Carlos Afonso
  • Luís Faria
  • Adérito Seixas
  • Marina Cordeiro
  • Paulo Granjo
  • José C. Gomes
  • Nelba R. Souza
  • Guilherme E. Furtado
  • Saulo V. Rocha
  • Paula Silva
  • Joana Carvalho
  • Marina Ana Morais
  • Sofia Santos
  • Paula Lebre
  • Ana Antunes
  • António Calha
  • Ana Xavier
  • Marina Cunha
  • José Pinto-Gouveia
  • Liana Alencar
  • Madalena Cunha
  • António Madureira
  • Ilda Cardoso
  • Ana Galhardo
  • Fernanda Daniel
  • Vítor Rodrigues
  • Leonardo Luz
  • Tatiana Luz
  • Maurício R. Ramos
  • Dayse C. Medeiros
  • Bruno M. Carmo
  • André Seabra
  • Cristina Padez
  • Manuel C. Silva
  • António Rodrigues
  • Patrícia Coelho
  • Alexandre Coelho
  • Madson Caminha
  • Filipe Matheus
  • Elenice Mendes
  • Jony Correia
  • Marcia Kretzer
  • Francisco J. Hernandez-Martinez
  • Juan F. Jimenez-Diaz
  • Bienvendida C. Rodriguez-De-Vera
  • Carla Jimenez-Rodriguez
  • Yadira Armas-Gonzalez
  • Cátia Rodrigues
  • Rosa Pedroso
  • Jennifer Apolinário-Hagen
  • Viktor Vehreschild
  • Milene Veloso
  • Celina Magalhães
  • Isabel Cabral
  • Maira Ferraz
  • Filipe Nave
  • Emília Costa
  • Filomena Matos
  • José Pacheco
  • António Dias
  • Carlos Pereira
  • João Duarte
  • Madalena Cunha
  • Daniel Silva
  • Lisete M. Mónico
  • Valentim R. Alferes
  • Mª São João Brêda
  • Carla Carvalho
  • Pedro M. Parreira
  • Mª Carminda Morais
  • Pedro Ferreira
  • Rui Pimenta
  • José Boavida
  • Isabel C. Pinto
  • Tânia Pires
  • Catarina Silva
  • Maria Ribeiro
  • Maria Viega-Branco
  • Filomena Pereira
  • Ana Mª Pereira
  • Fabrícia M. Almeida
  • Gustavo L. Estevez
  • Sandra Ribeiro
  • Marcia R. Kretzer
  • Paulo V. João
  • Paulo Nogueira
  • Sandra Novais
  • Ana Pereira
  • Lara Carneiro
  • Maria Mota
  • Rui Cruz
  • Luiz Santiago
  • Carlos Fontes-Ribeiro
  • Guilherme Furtado
  • Saulo V. Rocha
  • André P. Coutinho
  • João S. Neto
  • Lélia R. Vasconcelos
  • Nelba R. Souza
  • Estélio Dantas
  • Alexandra Dinis
  • Sérgio Carvalho
  • Paula Castilho
  • José Pinto-Gouveia
  • Alexandra Sarreira-Santos
  • Amélia Figueiredo
  • Lurdes Medeiros-Garcia
  • Paulo Seabra
  • Rosa Rodrigues
  • Mª Carminda Morais
  • Paula O. Fernandes
  • Conceição Santiago
  • Mª Henriqueta Figueiredo
  • Marta L. Basto
  • Teresa Guimarães
  • André Coelho
  • Anabela Graça
  • Ana M. Silva
  • Ana R. Fonseca
  • Luz Vale-Dias
  • Bárbara Minas
  • Graciete Franco-Borges
  • Cristina Simões
  • Sofia Santos
  • Ana Serra
  • Maria Matos
  • Luís Jesus
  • Ana S. Tavares
  • Ana Almeida
  • Céu Leitão
  • Edna Varandas
  • Renato Abreu
  • Fernando Bellém
  • Inês A. Trindade
  • Cláudia Ferreira
  • José Pinto-Gouveia
  • Joana Marta-Simões
  • Odete Amaral
  • Cristiana Miranda
  • Pedro Guimarães
  • Rodrigo Gonçalves
  • Nélio Veiga
  • Carlos Pereira
  • Tânia C. Fleig
  • Elisabete A. San-Martin
  • Cássia L. Goulart
  • Paloma B. Schneiders
  • Natacha F. Miranda
  • Lisiane L. Carvalho
  • Andrea G. Silva
  • Joana Topa
  • Conceição Nogueira
  • Sofia Neves
  • Rita Ventura
  • Cristina Nazaré
  • Daniela Brandão
  • Alberto Freitas
  • Óscar Ribeiro
  • Constança Paúl
  • Cristiana Mercê
  • Marco Branco
  • Pedro Almeida
  • Daniela Nascimento
  • Juliana Pereira
  • David Catela
  • Helga Rafael
  • Alcinda C. Reis
  • Ana Mendes
  • Ana R. Valente
  • Marisa Lousada
  • Diana Sousa
  • Ana L. Baltazar
  • Mª Helena Loureiro
  • Ana Oliveira
  • José Aparício
  • Alda Marques
  • Alda Marques
  • Ana Oliveira
  • Joana Neves
  • Rodrigo Ayoub
  • Luís Sousa
  • Cristina Marques-Vieira
  • Sandy Severino
  • Helena José
  • Inês Cadorio
  • Marisa Lousada
  • Marina Cunha
  • Diogo Andrade
  • Ana Galhardo
  • Margarida Couto
  • Fernando Mendes
  • Cátia Domingues
  • Susann Schukg
  • Ana M. Abrantes
  • Ana C. Gonçalves
  • Tiago Sales
  • Ricardo Teixo
  • Rita Silva
  • Jéssica Estrela
  • Mafalda Laranjo
  • João Casalta-Lopes
  • Clara Rocha
  • Paulo C. Simões
  • Ana B. Sarmento-Ribeiro
  • Mª Filomena Botelho
  • Manuel S. Rosa
  • Virgínia Fonseca
  • Diogo Colaço
  • Vanessa Neves
  • Carlos Jesus
  • Camilla Hesse
  • Clara Rocha
  • Nádia Osório
  • Ana Valado
  • Armando Caseiro
  • António Gabriel
  • Lola Svensson
  • Fernando Mendes
  • Wafa A. Siba
  • Cristina Pereira
  • Jorge Tomaz
  • Teresa Carvalho
  • José Pinto-Gouveia
  • Marina Cunha
  • Diana Duarte
  • Nuno V. Lopes
  • Rui Fonseca-Pinto
  • Diana Duarte
  • Nuno V. Lopes
  • Rui Fonseca-Pinto
  • Anabela C. Martins
  • Piedade Brandão
  • Laura Martins
  • Margarida Cardoso
  • Nuno Morais
  • Joana Cruz
  • Nuno Alves
  • Paula Faria
  • Artur Mateus
  • Pedro Morouço
  • Nuno Alves
  • Nelson Ferreira
  • Artur Mateus
  • Paula Faria
  • Pedro Morouço
  • Isabel Malheiro
  • Filomena Gaspar
  • Luísa Barros
  • Pedro Parreira
  • Andreia Cardoso
  • Lisete Mónico
  • Carla Carvalho
  • Albino Lopes
  • Anabela Salgueiro-Oliveira
  • Adérito Seixas
  • Valter Soares
  • Tiago Dias
  • Ricardo Vardasca
  • Joaquim Gabriel
  • Sandra Rodrigues
  • Hugo Paredes
  • Arsénio Reis
  • Sara Marinho
  • Vítor Filipe
  • Jorge Lains
  • João Barroso
  • Carolina Da Motta
  • Célia B. Carvalho
  • José Pinto-Gouveia
  • Ermelindo Peixoto
  • Ana A. Gomes
  • Vanessa Costa
  • Diana Couto
  • Daniel R. Marques
  • José A. Leitão
  • José Tavares
  • Maria H. Azevedo
  • Carlos F. Silva
  • João Freitas
  • Pedro Parreira
  • João Marôco
  • Miguel A. Garcia-Gordillo
  • Daniel Collado-Mateo
  • Gang Chen
  • Angelo Iezzi
  • José A. Sala
  • José A. Parraça
  • Narcis Gusi
  • Jani Sousa
  • Mariana Marques
  • Jacinto Jardim
  • Anabela Pereira
  • Sónia Simões
  • Marina Cunha
  • Pedro Sardo
  • Jenifer Guedes
  • João Lindo
  • Paulo Machado
  • Elsa Melo
  • Célia B. Carvalho
  • Joana Benevides
  • Marina Sousa
  • Joana Cabral
  • Carolina Da Motta
  • Ana T. Pereira
  • Sandra Xavier
  • Julieta Azevedo
  • Elisabete Bento
  • Cristiana Marques
  • Rosa Carvalho
  • Mariana Marques
  • António Macedo
  • Ana M. Silva
  • Juliana Alves
  • Ana A. Gomes
  • Daniel R. Marques
  • Mª Helena Azevedo
  • Carlos Silva
  • Ana Mendes
  • Huei D. Lee
  • Newton Spolaôr
  • Jefferson T. Oliva
  • Wu F. Chung
  • Rui Fonseca-Pinto
  • Keila Bairros
  • Cláudia D. Silva
  • Clóvis A. Souza
  • Silvana S. Schroeder
  • Elsa Araújo
  • Helena Monteiro
  • Ricardo Costa
  • Sara S. Dias
  • Jorge Torgal
  • Carolina G. Henriques
  • Luísa Santos
  • Elisa F. Caceiro
  • Sónia A. Ramalho
  • Rita Oliveira
  • Vera Afreixo
  • João Santos
  • Priscilla Mota
  • Agostinho Cruz
  • Francisco Pimentel
  • Rita Marques
  • Mª Anjos Dixe
  • Ana Querido
  • Patrícia Sousa
  • Joana Benevides
  • Carolina Da Motta
  • Marina Sousa
  • Suzana N. Caldeira
  • Célia B. Carvalho
  • Ana Querido
  • Catarina Tomás
  • Daniel Carvalho
  • João Gomes
  • Marina Cordeiro
  • Joyce O. Costa
  • Frederico C. Valim
  • Lígia C. Ribeiro
  • Zaida Charepe
  • Ana Querido
  • Mª Henriqueta Figueiredo
  • Priscila S. Aquino
  • Samila G. Ribeiro
  • Ana B. Pinheiro
  • Paula A. Lessa
  • Mirna F. Oliveira
  • Luísa S. Brito
  • Ítalo N. Pinto
  • Alessandra S. Furtado
  • Régia B. Castro
  • Caroline Q. Aquino
  • Eveliny S. Martins
  • Ana B Pinheiro
  • Priscila S. Aquino
  • Lara L. Oliveira
  • Patrícia C. Pinheiro
  • Caroline R. Sousa
  • Vívien A. Freitas
  • Tatiane M. Silva
  • Adman S. Lima
  • Caroline Q. Aquino
  • Karizia V. Andrade
  • Camila A. Oliveira
  • Eglidia F. Vidal
  • Ana Ganho-Ávila
  • Mariana Moura-Ramos
  • Óscar Gonçalves
  • Jorge Almeida
  • Armando Silva
  • Irma Brito
  • João Amado
  • António Rodrigo
  • Sofia Santos
  • Fernando Gomes
  • Marlene C. Rosa
  • Silvana F. Marques
  • Sara Luís
  • Luís Cavalheiro
  • Pedro Ferreira
  • Rui Gonçalves
  • Rui S. Lopes
  • Luís Cavalheiro
  • Pedro Ferreira
  • Rui Gonçalves
  • Bruno H. Fiorin
  • Marina S. Santos
  • Edmar S. Oliveira
  • Rita L. Moreira
  • Elizabete A. Oliveira
  • Braulio L. Filho
  • Lara Palmeira
  • Teresa Garcia
  • José Pinto-Gouveia
  • Marina Cunha
  • Sara Cardoso
  • Lara Palmeira
  • Marina Cunha
  • José Pinto-Gouveia
  • Joana Marta-Simões
  • Ana L. Mendes
  • Inês A. Trindade
  • Sara Oliveira
  • Cláudia Ferreira
  • Ana L. Mendes
  • Joana Marta-Simões
  • Inês A. Trindade
  • Cláudia Ferreira
  • Filipe Nave
  • Mariana Campos
  • Iris Gaudêncio
  • Fernando Martins
  • Lino Ferreira
  • Nuno Lopes
  • Rui Fonseca-Pinto
  • Rogério Rodrigues
  • Zaida Azeredo
  • Corália Vicente
  • Joana Silva
  • Patrícia Sousa
  • Rita Marques
  • Isabel Mendes
  • Rogério Rodrigues
  • Zaida Azeredo
  • Corália Vicente
  • Ricardo Vardasca
  • Ana R. Marques
  • Adérito Seixas
  • Rui Carvalho
  • Joaquim Gabriel
  • Paulo P. Ferreira
  • Michelle T. Oliveira
  • Anderson R. Sousa
  • Ana S. Maia
  • Sebastião T. Oliveira
  • Pablo O. Costa
  • Maiza M. Silva
  • Cristina Arreguy-Sena
  • Nathália Alvarenga-Martins
  • Paulo F. Pinto
  • Denize C. Oliveira
  • Pedro D. Parreira
  • Antônio T. Gomes
  • Luciene M. Braga
  • Odete Araújo
  • Isabel Lage
  • José Cabrita
  • Laetitia Teixeira
  • Rita Marques
  • Mª Anjos Dixe
  • Ana Querido
  • Patrícia Sousa
  • Sara Silva
  • Eugénio Cordeiro
  • João Pimentel
  • Vera Ferro-Lebres
  • Juliana A. Souza
  • Mariline Tavares
  • Mª Anjos Dixe
  • Pedro Sousa
  • Rui Passadouro
  • Teresa Peralta
  • Carlos Ferreira
  • Georgina Lourenço
  • João Serrano
  • João Petrica
  • Rui Paulo
  • Samuel Honório
  • Pedro Mendes
  • Alexandra Simões
  • Lucinda Carvalho
  • Alexandre Pereira
  • Sara Silva
  • Paulino Sousa
  • José M. Padilha
  • Daniela Figueiredo
  • Carolina Valente
  • Alda Marques
  • Patrícia Ribas
  • Joana Sousa
  • Frederico Brandão
  • Cesar Sousa
  • Matilde Martins
  • Patrícia Sousa
  • Rita Marques
  • Francisco Mendes
  • Rosina Fernandes
  • Emília Martins
  • Cátia Magalhães
  • Patrícia Araújo
  • Carla Grande
  • Mª Augusta Mata
  • Juan G. Vieitez
  • Bruna Bianchini
  • Nazare Nazario
  • João G. Filho
  • Marcia Kretzer
  • Tânia Costa
  • Armando Almeida
  • Gabriel Baffour
  • Armando Almeida
  • Tânia Costa
  • Gabriel Baffour
  • Zaida Azeredo
  • Carlos Laranjeira
  • Magda Guerra
  • Ana P. Barbeiro
  • Regina Ferreira
  • Sara Lopes
  • Liliana Nunes
  • Ana Mendes
  • Julian Martins
  • Dulcineia Schneider
  • Marcia Kretzer
  • Flávio Magajewski
  • Célia Soares
  • António Marques
  • Marco Batista
  • Ruth J. Castuera
  • Helena Mesquita
  • António Faustino
  • Jorge Santos
  • Samuel Honório
  • Betina P. Vizzotto
  • Leticia Frigo
  • Hedioneia F. Pivetta
  • Dolores Sardo
  • Cristina Martins
  • Wilson Abreu
  • Mª Céu Figueiredo
  • Marco Batista
  • Ruth Jimenez-Castuera
  • João Petrica
  • João Serrano
  • Samuel Honório
  • Rui Paulo
  • Pedro Mendes
  • Patrícia Sousa
  • Rita Marques
  • António Faustino
  • Paulo Silveira
  • João Serrano
  • Rui Paulo
  • Pedro Mendes
  • Samuel Honório
  • Catarina Oliveira
  • Fernanda Bastos
  • Inês Cruz
  • Cláudia K. Rodriguez
  • Márcia R. Kretzer
  • Nazaré O. Nazário
  • Pedro Cruz
  • Daniela C. Vaz
  • Rui B. Ruben
  • Francisco Avelelas
  • Susana Silva
  • Mª Jorge Campos
  • Maria Almeida
  • Liliana Gonçalves
  • Lígia Antunes
  • Pedro Sardo
  • Jenifer Guedes
  • João Simões
  • Paulo Machado
  • Elsa Melo
  • Susana Cardoso
  • Osvaldo Santos
  • Carla Nunes
  • Isabel Loureiro
  • Flávia Santos
  • Gilberto Alves
  • Cláudia Soar
  • Teresa O. Marsi
  • Ernestina Silva
  • Dora Pedrosa
  • Andrea Leça
  • Daniel Silva
  • Ana Galvão
  • Maria Gomes
  • Paula Fernandes
  • Ana Noné
  • Jaime Combadão
  • Cátia Ramalhete
  • Paulo Figueiredo
  • Patrícia Caeiro
  • Karine C. Fontana
  • Josimari T. Lacerda
  • Patrícia O. Machado
  • Raphaelle Borges
  • Flávio Barbosa
  • Dayse Sá
  • Germana Brunhoso
  • Graça Aparício
  • Amâncio Carvalho
  • Ana P. Garcia
  • Paula O. Fernandes
  • Adriana Santos
  • Nélio Veiga
  • Carina Brás
  • Inês Carvalho
  • Joana Batalha
  • Margarida Glória
  • Filipa Bexiga
  • Inês Coelho
  • Odete Amaral
  • Carlos Pereira
  • Cláudia Pinho
  • Nilson Paraíso
  • Ana I. Oliveira
  • Cristóvão F. Lima
  • Alberto P. Dias
  • Pedro Silva
  • Mário Espada
  • Mário Marques
  • Ana Pereira
  • Ana Mª Pereira
  • Mª Veiga-Branco
  • Filomena Pereira
  • Maria Ribeiro
  • Vera Lima
  • Ana I. Oliveira
  • Cláudia Pinho
  • Graça Cruz
  • Rita F. Oliveira
  • Luísa Barreiros
  • Fernando Moreira
  • Ana Camarneiro
  • Mª Helena Loureiro
  • Margarida Silva
  • Catarina Duarte
  • Ângelo Jesus
  • Agostinho Cruz
  • Maria Mota
  • Sandra Novais
  • Paulo Nogueira
  • Ana Pereira
  • Lara Carneiro
  • Paulo V. João
  • Teresa Maneca Lima
  • Anabela Salgueiro-Oliveira
  • Marina Vaquinhas
  • Pedro Parreira
  • Rosa Melo
  • João Graveto
  • Amélia Castilho
  • José H. Gomes
  • María S. Medina
  • Valeriana G. Blanco
  • Osvaldo Santos
  • Elisa Lopes
  • Ana Virgolino
  • Alexandra Dinis
  • Sara Ambrósio
  • Inês Almeida
  • Tatiana Marques
  • Mª João Heitor
  • Miguel A. Garcia-Gordillo
  • Daniel Collado-Mateo
  • Pedro R. Olivares
  • José A. Parraça
  • José A. Sala
  • Amélia Castilho
  • João Graveto
  • Pedro Parreira
  • Anabela Oliveira
  • José H. Gomes
  • Rosa Melo
  • Marina Vaquinhas
  • Mónica Cheio
  • Agostinho Cruz
  • Olívia R. Pereira
  • Sara Pinto
  • Adriana Oliveira
  • M. Conceição Manso
  • Carla Sousa
  • Ana F. Vinha
  • Mª Manuela Machado
  • Margarida Vieira
  • Beatriz Fernandes
  • Teresa Tomás
  • Diogo Quirino
  • Gustavo Desouzart
  • Rui Matos
  • Magali Bordini
  • Pedro Mouroço
  • Ana R. Matos
  • Mauro Serapioni
  • Teresa Guimarães
  • Virgínia Fonseca
  • André Costa
  • João Ribeiro
  • João Lobato
  • Inmaculada Z. Martin
  • Anita Björklund
  • Aida I. Tavares
  • Pedro Ferreira
  • Rui Passadouro
  • Sónia Morgado
  • Nuno Tavares
  • João Valente
  • Anabela C. Martins
  • Patrícia Araújo
  • Rosina Fernandes
  • Francisco Mendes
  • Cátia Magalhães
  • Emília Martins
  • Pedro Mendes
  • Rui Paulo
  • António Faustino
  • Helena Mesquita
  • Samuel Honório
  • Marco Batista
  • Josimari T. Lacerda
  • Angela B. Ortiga
  • Mª Cristina Calvo
  • Sônia Natal
  • Marta Pereira
  • Manuela Ferreira
  • Ana R. Prata
  • Paula Nelas
  • João Duarte
  • Juliana Carneiro
  • Ana I. Oliveira
  • Cláudia Pinho
  • Cristina Couto
  • Rita F. Oliveira
  • Fernando Moreira
  • Ana S. Maia
  • Michelle T. Oliveira
  • Anderson R. Sousa
  • Paulo P. Ferreira
  • Géssica M. Souza
  • Lívia F. Almada
  • Milena A. Conceição
  • Eujcely C. Santiago
  • Sandra Rodrigues
  • Gabriela Domingues
  • Irina Ferreira
  • Luís Faria
  • Adérito Seixas
  • Ana R. Costa
  • Ângelo Jesus
  • Américo Cardoso
  • Alexandra Meireles
  • Armanda Colaço
  • Agostinho Cruz
  • Viviane L. Vieira
  • Kellem R. Vincha
  • Ana Mª Cervato-Mancuso
  • Melissa Faria
  • Cláudia Reis
  • Marco P. Cova
  • Rita T. Ascenso
  • Henrique A. Almeida
  • Eunice G. Oliveira
  • Miguel Santana
  • Rafael Pereira
  • Eunice G. Oliveira
  • Henrique A. Almeida
  • Rita T. Ascenso
  • Rita Jesus
  • Rodrigo Tapadas
  • Carolina Tim-Tim
  • Catarina Cezanne
  • Matilde Lagoa
  • Sara S. Dias
  • Jorge Torgal
  • João Lopes
  • Henrique Almeida
  • Sandra Amado
  • Luís Carrão
  • Madalena Cunha
  • Luís Saboga-Nunes
  • Carlos Albuquerque
  • Olivério Ribeiro
  • Suzete Oliveira
  • Mª Carminda Morais
  • Emília Martins
  • Francisco Mendes
  • Rosina Fernandes
  • Cátia Magalhães
  • Patrícia Araújo
  • Ana R. Pedro
  • Odete Amaral
  • Ana Escoval
  • Victor Assunção
  • Henrique Luís
  • Luís Luís
  • Jennifer Apolinário-Hagen
  • Viktor Vehreschild
  • Ulrike Fotschl
  • Gerald Lirk
  • Anabela C. Martins
  • Isabel Andrade
  • Fernando Mendes
  • Verónica Mendonça
  • Sandra Antunes
  • Isabel Andrade
  • Nádia Osório
  • Ana Valado
  • Armando Caseiro
  • António Gabriel
  • Anabela C. Martins
  • Fernando Mendes
  • Paula A. Silva
  • Lisete M. Mónico
  • Pedro M. Parreira
  • Carla Carvalho
  • Carla Carvalho
  • Pedro M. Parreira
  • Lisete M. Mónico
  • Joana Ruivo
  • Vânia Silva
  • Paulino Sousa
  • José M. Padilha
  • Vera Ferraz
  • Graça Aparício
  • João Duarte
  • Carlos Vasconcelos
  • António Almeida
  • Joel Neves
  • Telma Correia
  • Helena Amorim
  • Romeu Mendes
  • Luís Saboga-Nunes
  • Madalena Cunha
  • Carlos Albuquerque
  • Elsa S. Pereira
  • Leonino S. Santos
  • Ana S. Reis
  • Helena R. Silva
  • João Rombo
  • Jorge C. Fernandes
  • Patrícia Fernandes
  • Jaime Ribeiro
  • Catarina Mangas
  • Ana Freire
  • Sara Silva
  • Irene Francisco
  • Ana Oliveira
  • Helena Catarino
  • Mª Anjos Dixe
  • Mª Clarisse Louro
  • Saudade Lopes
  • Anjos Dixe
  • Mª Anjos Dixe
  • Eva Menino
  • Helena Catarino
  • Fátima Soares
  • Ana P. Oliveira
  • Sara Gordo
  • Teresa Kraus
  • Catarina Tomás
  • Paulo Queirós
  • Teresa Rodrigues
  • Pedro Sousa
  • João G. Frade
  • Catarina Lobão
  • Cynthia B. Moura
  • Laysa C. Dreyer
  • Vanize Meneghetti
  • Priscila P. Cabral
  • Francisca Pinto
  • Paulino Sousa
  • Mª Raquel Esteves
  • Sofia Galvão
  • Ite Tytgat
  • Isabel Andrade
  • Nádia Osório
  • Ana Valado
  • Armando Caseiro
  • António Gabriel
  • Anabela C. Martins
  • Fernando Mendes
  • Mónica Casas-Novas
  • Helena Bernardo
  • Isabel Andrade
  • Gracinda Sousa
  • Ana P. Sousa
  • Clara Rocha
  • Pedro Belo
  • Nádia Osório
  • Ana Valado
  • Armando Caseiro
  • António Gabriel
  • Anabela C. Martins
  • Fernando Mendes
  • Fátima Martins
  • Montserrat Pulido-Fuentes
  • Isabel Barroso
  • Gil Cabral
  • M. João Monteiro
  • Conceição Rainho
  • Alessandro Prado
  • Yara M. Carvalho
  • Maria Campos
  • Liliana Moreira
  • José Ferreira
  • Ana Teixeira
  • Luís Rama
  • Maria Campos
  • Liliana Moreira
  • José Ferreira
  • Ana Teixeira
  • Luís Rama
Open Access
Meeting Abstracts

Table of contents

S1 Health literacy and health education in adolescence

Catarina Cardoso Tomás

S2 The effect of a walking program on the quality of life and well-being of people with schizophrenia

Emanuel Oliveira, D. Sousa, M. Uba-Chupel, G. Furtado, C. Rocha, A. Teixeira, P. Ferreira

S3 Diagnosis and innovative treatments - the way to a better medical practice

Celeste Alves

S4 Simulation-based learning and how it is a high contribution

Stefan Gisin

S5 Formative research about acceptability, utilization and promotion of a home fortification programme with micronutrient powders (MNP) in the Autonomous Region of Príncipe, São Tomé and Príncipe

Elisabete Catarino, Nelma Carvalho, Tiago Coucelo, Luís Bonfim, Carina Silva

S6 Safety culture of the patient: a reflexion about the therapeutic approach on the patient with vocal pathology

Débora Franco

S7 About wine, fortune cookies and patient experience

Jesús Alcoba González

O1 The psychological impact on the emergency crews after the disaster event on February 20, 2010

Helena G. Jardim, Rita Silva

O2 Musculoskeletal disorders in midwives

Cristina L. Baixinho, Mª Helena Presado, Mª Fátima Marques, Mário E. Cardoso

O3 Negative childhood experiences and fears of compassion: Implications for psychological difficulties in adolescence

Marina Cunha, Joana Mendes, Ana Xavier, Ana Galhardo, Margarida Couto

O4 Optimal age to give the first dose of measles vaccine in Portugal

João G. Frade, Carla Nunes, João R. Mesquita, Maria S. Nascimento, Guilherme Gonçalves

O5 Functional assessment of elderly in primary care

Conceição Castro, Alice Mártires, Mª João Monteiro, Conceição Rainho

O6 Smoking and coronary events in a population of Spanish health-care centre: An observational study

Francisco P. Caballero, Fatima M. Monago, Jose T. Guerrero, Rocio M. Monago, Africa P. Trigo, Milagros L. Gutierrez, Gemma M. Milanés, Mercedes G. Reina, Ana G. Villanueva, Ana S. Piñero, Isabel R. Aliseda, Francisco B. Ramirez

O7 Prevalence of musculoskeletal injuries in Portuguese musicians

Andrea Ribeiro, Ana Quelhas, Conceição Manso

O8 Hip fractures, psychotropic drug consumption and comorbidity in patients of a primary care practice in Spain

Francisco P. Caballero, Jose T. Guerrero, Fatima M. Monago, Rafael B. Santos, Nuria R. Jimenez, Cristina G. Nuñez, Inmaculada R. Gomez, Mª Jose L. Fernandez, Laura A. Marquez, Ana L. Moreno, Mª Jesus Tena Huertas, Francisco B. Ramirez

O9 The role of self-criticism and shame in social anxiety in a clinical SAD sample

Daniel Seabra, Mª Céu Salvador

O10 Obstruction and infiltration: a proposal of a quality indicator

Luciene Braga, Pedro Parreira, Anabela Salgueiro-Oliveira, Cristina Arreguy-Sena, Bibiana F. Oliveira, Mª Adriana Henriques

O11 Balance and anxiety and depression symptoms in old age people

Joana Santos, Sara Lebre, Alda Marques

O12 Prevalence of postural changes and risk factors in school children and adolescents in a northern region (Porto)

Clarinda Festas, Sandra Rodrigues, Andrea Ribeiro, José Lumini

O13 Ischemic stroke vs. haemorrhagic stroke survival rate

Ana G. Figueiredo

O14 Chronobiological factors as responsible for the appearance of locomotor pathology in adolescents

Francisco J. Hernandez-Martinez, Liliana Campi, Mª Pino Quintana-Montesdeoca, Juan F. Jimenez-Diaz, Bienvenida C. Rodriguez-De-Vera

O15 Risk of malnutrition in the elderly of Bragança

Alexandra Parente, Mª Augusta Mata, Ana Mª Pereira, Adília Fernandes, Manuel Brás

O16 A Lifestyle Educational Programme for primary care diabetic patients: the design of a complex nursing intervention

Mª Rosário Pinto, Pedro Parreira, Marta L. Basto, Ana C. Rei, Lisete M. Mónico

O17 Medication adherence in elderly people

Gilberta Sousa, Clementina Morna, Otília Freitas, Gregório Freitas, Ana Jardim, Rita Vasconcelos

O18 Hospitalization for cervical cancer of residents in the metropolitan region of Porto Alegre, Southern Brazil, 2012 to 2014

Lina G. Horta, Roger S. Rosa, Luís F. Kranz, Rita C. Nugem, Mariana S. Siqueira, Ronaldo Bordin

O19 Oncologic assistance of high complexity: evaluation of regulating accesses

Rosiane Kniess, Josimari T. Lacerda

O20 Perceived barriers for using health care services by the older population as seen by the social sector: findings from the Vila Nova de Gaia Gerontological Plan

Joana Guedes, Idalina Machado, Sidalina Almeida, Adriano Zilhão, Helder Alves, Óscar Ribeiro

O21 Sleep difficulties and depressive symptoms in college students

Ana P. Amaral, Ana Santos, Joana Monteiro, Mª Clara Rocha, Rui Cruz

O22 Psychopathological symptoms and medication use in higher education

Ana P. Amaral, Marina Lourenço, Mª Clara Rocha, Rui Cruz

O23 Sexually transmitted diseases in higher education institutions

Sandra Antunes, Verónica Mendonça, Isabel Andrade, Nádia Osório, Ana Valado, Armando Caseiro, António Gabriel, Anabela C. Martins, Fernando Mendes

O24 Alcohol consumption and suicide ideation in higher education students

Lídia Cabral, Manuela Ferreira, Amadeu Gonçalves

O25 Quality of life in university students

Tatiana D. Luz, Leonardo Luz, Raul Martins

O26 Male and female adolescent antisocial behaviour: characterizing vulnerabilities in a Portuguese sample

Alice Morgado, Maria L. Vale-Dias

O27 Risk factors for mental health in higher education students of health sciences

Rui Porta-Nova

O28 International classification of functioning disability and health as reflexive reasoning in primary attention in health

Tânia C. Fleig, Éboni M. Reuter, Miriam B. Froemming, Sabrina L. Guerreiro, Lisiane L. Carvalho

O29 Risk factors and cardiovascular disease in Portalegre

Daniel Guedelha, P. Coelho, A. Pereira

O30 Health status of the elderly population living in Portalegre historic city centre: A longitudinal study

António Calha, Raul Cordeiro

O31 Student’s sleep in higher education: sleep quality among students of the IPB

Ana Gonçalves, Ana Certo, Ana Galvão, Mª Augusta Mata

O32 Trend in mortality from cervical cancer in the metropolitan area of Florianópolis, state of Santa Catarina, Brazil, 2000 to 2013

Aline Welter, Elayne Pereira, Sandra Ribeiro, Marcia Kretzer

O33 Adherence to treatment in the elderly in an urban environment in Spain

Juan-Fernando Jiménez-Díaz, Carla Jiménez-Rodríguez, Francisco-José Hernández-Martínez, Bienvenida-Del-Carmen Rodríguez-De-Vera, Alexandre Marques-Rodrigues

O34 Beira Baixa Blood Pressure Study (Study PABB)

Patrícia Coelho, Tiago Bernardes, Alexandre Pereira

O35 Trends in cervical cancer mortality statistics in Santa Catarina State, Brazil, by age group and macro-region, from 2000 to 2013

Patrícia Sousa, João G. Filho, Nazare Nazario, Marcia Kretzer

O36 Sleep problems among Portuguese adolescents: a public health issue

Odete Amaral, António Garrido, Nélio Veiga, Carla Nunes, Ana R. Pedro, Carlos Pereira

O37 Association between body fat and health-related quality of life in patients with type 2 diabetes

António Almeia, Helder M. Fernandes, Carlos Vasconcelos, Nelson Sousa, Victor M. Reis, M. João Monteiro, Romeu Mendes

O38 Therapy adherence and polypharmacy in non-institutionalized elderly from Amares county, Portugal

Isabel C. Pinto, Tânia Pires, João Gama

O39 Prevalence of surgical site infection in adults at a hospital unit in the North of Portugal

Vera Preto, Norberto Silva, Carlos Magalhães, Matilde Martins

O40 Frailty phenotype in old age: implications to intervention

Mafalda Duarte, Constança Paúl, Ignácio Martín

O41 Portuguese women: sexual symptoms in perimenopause

Arminda A. Pinheiro

O42 Predictive ability of the Perinatal Depression Screening and Prevention Tool – preliminary results of the categorical approach

Sandra Xavier, Julieta Azevedo, Elisabete Bento, Cristiana Marques, Mariana Marques, António Macedo, Ana T. Pereira

O43 Aging and muscle strength in patients with type 2 diabetes: cross sectional analysis

José P. Almeida, António Almeida, Josiane Alves, Nelson Sousa, Francisco Saavedra, Romeu Mendes

O44 Accessibility of the elderly in the prevention of hypertension in a family health unit

Ana S. Maia, Michelle T. Oliveira, Anderson R. Sousa, Paulo P. Ferreira, Luci S. Lopes, Eujcely C. Santiago

O45 Community Health screenings and self-reported chronic diseases

Sílvia Monteiro, Ângelo Jesus, Armanda Colaço, António Carvalho, Rita P. Silva, Agostinho Cruz

O46 Evaluation of indoor air quality in Kindergartens

Ana Ferreira, Catarina Marques, João P. Figueiredo, Susana Paixão

O47 Atmospheric exposure to chemical agents under the occupational activity of pathology technicians

Ana Ferreira, Carla Lopes, Fernando Moreira, João P. Figueiredo

O48 Occupational exposure to air pollutants in night entertainment venues workers

Ana Ferreira, Diana Ribeiro, Fernando Moreira, João P. Figueiredo, Susana Paixão

O49 Beliefs and attitudes of young people towards breastfeeding

Telma Fernandes, Diogo Amado, Jéssica Leal, Marcelo Azevedo, Sónia Ramalho

O50 Profiling informal caregivers: surveying needs in the care of the elderly

Catarina Mangas, Jaime Ribeiro, Rita Gonçalves

O51 Visual health in teenagers

Amélia F Nunes, Ana R. Tuna, Carlos R. Martins, Henriqueta D. Forte

O52 Amenable mortality and the geographic accessibility to healthcare in Portugal

Cláudia Costa, José A. Tenedório, Paula Santana

O53 Bacterial contamination of door handles in a São Paulo See Metropolitan Cathedral public restrooms in Brazil

J. A. Andrade, J. L. Pinto, C. Campofiorito, S. Nunes, A. Carmo, A. Kaliniczenco, B. Alves, F. Mendes, C. Jesus, F. Fonseca, F. Gehrke

O54 Adherence of patients to rehabilitation programmes

Carlos Albuquerque, Rita Batista, Madalena Cunha, António Madureira, Olivério Ribeiro, Rosa Martins

O55 Prevalence of malnutrition among Portuguese elderly living in nursing homes: preliminary results of the PEN-3S project

Teresa Madeira, Catarina Peixoto-Plácido, Nuno Santos, Osvaldo Santos, Astrid Bergland, Asta Bye, Carla Lopes, Violeta Alarcão, Beatriz Goulão, Nuno Mendonça, Paulo Nicola, João G. Clara

O56 Relation between emotional intelligence and mental illness in health students

João Gomes, Ana Querido, Catarina Tomás, Daniel Carvalho, Marina Cordeiro

P1 Fall risk factors in people older than 50 years old – a pilot report

Marlene C. Rosa, Alda Marques

P2 What about the Portuguese oldest old? A global overview using census data

Daniela Brandão, Óscar Ribeiro, Lia Araújo, Constança Paúl

P3 Prevalence of injuries in senior amateur volleyball athletes in Alentejo and Algarve clubs, Portugal: factors associated

Beatriz Minghelli, Sylvina Richaud

P4 Shame feelings and quality of life: the role of acceptance and decentring

Ana L. Mendes, Joana Marta-Simões, Inês A. Trindade, Cláudia Ferreira

P5 Assessment of social support during deployment in portuguese colonial war veterans

Teresa Carvalho, Marina Cunha, José Pinto-Gouveia

P6 Hospitalization for acute viral bronchiolitis of residents in the metropolitan region of Porto Alegre, Southern Brazil, 2012 to 2014

Morgana C. Fernandes, Roger S. Rosa, Rita C. Nugem, Luís F. Kranz, Mariana S. Siqueira, Ronaldo Bordin

P7 Falls-risk screening – an opportunity for preventing falls in the elderly from Nordeste

Anabela C. Martins, Anabela Medeiros, Rafaela Pimentel, Andreia Fernandes, Carlos Mendonça, Isabel Andrade, Susana Andrade, Ruth L. Menezes

P8 Aging provokes chronodisruption in mature people in temperature circadian rhythm

Rafael Bravo, Marta Miranda, Lierni Ugartemendia, José Mª Tena, Francisco L. Pérez-Caballero, Lorena Fuentes-Broto, Ana B. Rodríguez, Barriga Carmen

P9 The influence of climate and pollution factors in dengue cases of great ABC region, São Paulo

M. A. Carneiro, J. N. Domingues, S. Paixão, J. Figueiredo, V. B. Nascimento, C. Jesus, F Mendes, F. Gehrke, B. Alves, L. Azzalis, F. Fonseca

P10 Visual function and impact of visual therapy in children with learning disabilities: a pilot study

Ana R. Martins, Amélia Nunes, Arminda Jorge

P11 Edentulism and the need of oral rehabilitation among institutionalized elderly

Nélio Veiga, Ana Amorim, André Silva, Liliana Martinho, Luís Monteiro, Rafael Silva, Carina Coelho, Odete Amaral, Inês Coelho, Carlos Pereira, André Correia

P12 Therapy adherence of outpatients in the pharmacy services of a hospital unit

Diana Rodrigues, Nídia Marante, Pedro Silva, Sara Carvalho, André Rts Araujo, Maximiano Ribeiro, Paula Coutinho, Sandra Ventura, Fátima Roque

P13 Universal access and comprehensive care of oral health: an availability study

Cristina Calvo, Manoela Reses

P14 Is the respiratory function of children a predictor of air quality? Coimbra as a case study

Jorge Conde, Ana Ferreira, João Figueiredo

P15 Meaning-in-life of college students

David Silva, Luís Seiça, Raquel Soares, Ricardo Mourão, Teresa Kraus

O57 Training needs for nurses in palliative care

Ana C. Abreu, José M. Padilha, Júlia M. Alves

O58 Impact of computerized information systems in the global nurses’ workload: nurses’ perceptions and real-time

Paulino Sousa, Manuel Oliveira, Joana Sousa

O59 The perspective of health care professionals on self-care in hereditary neurodegenerative disease: a qualitative study

Sónia Novais, Felismina Mendes

O60 Contribution for health-related physical fitness reference values in healthy adolescents

Joana Pinto, Joana Cruz, Alda Marques

School of Health Sciences, University of Aveiro, 3810-193 Aveiro, Portugal

O61 Perception of learning, satisfaction and self-efficacy of nursing students about High-Fidelity Simulation

Hugo Duarte, Maria Dos Anjos Dixe, Pedro Sousa

O62 Analysis of statements of diagnosis about health deviation in self-care requisites customized in a Nursing Practice Support System (SAPE®): Management of therapeutic regimen

Inês Cruz, Fernanda Bastos, Filipe Pereira

O63 Hybrid management and hospital governance: doctors and nurses as managers

Francisco L. Carvalho, Teresa T. Oliveira, Vítor R. Raposo

O64 Time management in health professionals

Conceição Rainho, José C. Ribeiro, Isabel Barroso, Vítor Rodrigues

O65 Financial rewards and wellbeing in primary health care

Carmo Neves, Teresa C. Oliveira

O66 Patient safety promotion in the operating room

Bárbara Oliveira, Mª Carminda Morais, Pilar Baylina

O67 Difficulties and needs of pre-graduate nursing students in the area of Geriatrics/Gerontology

Rogério Rodrigues, Zaida Azeredo, Corália Vicente

O68 Teaching and learning sexuality in nursing education

Hélia Dias, Margarida Sim-Sim

O69 Entrepreneurial Motivations Questionnaire: AFC and CFA in academy

Pedro Parreira, Anabela Salgueiro-Oliveira, Amélia Castilho, Rosa Melo, João Graveto, José Gomes, Marina Vaquinhas, Carla Carvalho, Lisete Mónico, Nuno Brito

O70 Nursing intervention to patient with Permanent Pacemakers and Implantable Cardioverter Defibrillators: a qualitative analysis

Cassilda Sarroeira, José Amendoeira, Fátima Cunha, Anabela Cândido, Patrícia Fernandes, Helena R. Silva, Elsa Silva

O71 Alcohol consumption among nursing students: where does education fail?

Isabel Barroso, Leila Lapa, Cristina Antunes

O72 Labour stress in nursing

Ana Gonçalves, Ana Galvão, Mª José Gomes, Susana R. Escanciano

O73 The influence of safe staff nursing in patient satisfaction with nursing care

Maria Freitas, Pedro Parreira, João Marôco

O74 Intention to use eHealth strategies with nursing students

Ana R. Fernandes, Cremilde Cabral, Samuel Alves, Pedro Sousa

O75 Community Based Mental Health: contributions of an interdisciplinary international program for students in higher health education

António Ferreira, Fernanda Príncipe, Ulla-Maija Seppänen, Margarida Ferreira, Maribel Carvalhais, Marilene Silva

O76 Study of satisfaction at work of graduates in nursing: 2002-2014

Manuela Ferreira, Joana Silva, Jéssica Neves, Diana Costa, Bruno Santos, Soraia Duarte

O77 Health professionals’ attitudes towards breastfeeding

Sílvia Marques, Sónia Ramalho, Isabel Mendes

O78 Continuity of nursing care to person with type 2 diabetes

Clarisse Louro, Eva Menino, Maria Dixe, Sara S. Dias

O79 Stigma toward mental illness among future health professionals

Marina Cordeiro, Catarina Tomás, Ana Querido, Daniel Carvalho, João Gomes

O80 Working with fears and anxieties of medical students in search of a humanized care

Frederico C. Valim, Joyce O. Costa, Lúcia G. Bernardes

P16 Surgical paediatrics patients’ psycho prophylaxis at a teaching hospital

Helena Prebianchi

P17 Patient-perceived outcomes in physiotherapy – a pilot study

Marlene Cristina Rosa

P18 Building competencies for managers in nursing

Narcisa Gonçalves, Maria M. Martins, Paulina Kurcgant

P19 Theoretical basis underlying physiotherapy practice in stroke rehabilitation

André Vieira

P20 When the life-cycle ends: the nurse’s confrontation with death

Sandrina Bento, Sérgio Deodato, Isabel Rabiais

P21 Nursing students’ opinion about the supervision relationship during their first clinical experience

Laura Reis

P22 Nursing Relational Laboratory: Pedagogical, dialogic and critical project

Ana Torres, Sérgio Soares, Margarida Ferreira, Pedro Graça

P23 Job satisfaction of bioscientists at a Lisbon hospital

Céu Leitão, Renato Abreu, Fernando Bellém, Ana Almeida, Edna Ribeiro-Varandas, Ana Tavares

P24 Sociodemographic and professional profile of nurses and its relation with the importance of family in nursing practices

João G. Frade, Carolina Henriques, Eva Menino, Clarisse Louro, Célia Jordão

P25 Professional satisfaction of rehabilitation nurses

Sofia Neco, Carminda Morais, Pedro Ferreira

P26 The person living with a stoma: the formalization of knowledge in nursing

Carla R. Silva, Alice Brito, Antónia Silva

P27 Validation of the Portuguese versions of the nursing students’ perceptions of learning and learner satisfaction with simulation tool

Hugo Duarte, Maria Dos Anjos Dixe, Pedro Sousa

P28 Physiotherapists’ perceived knowledge on technologies for electronic health records for physiotherapy

Gabriela Postolache, Raul Oliveira, Isabel Moreira, Luísa Pedro, Sónia Vicente, Samuel Domingos, Octavian Postolache

P29 Quality of life and physical activity of medicine undergraduate students in the University of Southern Santa Catarina, Brazil

Darlen Silva, João G. Filho, Nazare Nazario, Marcia Kretzer, Dulcineia Schneider

P30 The curricular skills for decision making education in a Nursing Degree

Fátima M. Marques

P31 Effect of nurses’ mobilization in satisfaction at work and turnover: An empirical study in the hospital setting

Pedro Parreira, Carla Carvalho, Lisete M. Mónico, Carlos Pinto, Sara Vicente, São João Breda

P32 Entrepreneurial skills of students of polytechnic higher education in Portugal: Business influences

José H. Gomes, Rosa Melo, Pedro Parreira, Anabela Salgueiro, João Graveto, Marina Vaquinhas, Amélia Castilho

P33 Design and assessment of e-learning modules for Pharmacology

Ângelo Jesus, Nuno Duarte, José C. Lopes, Hélder Nunes, Agostinho Cruz

P34 Perspective of nurses involved in an action-research study on the changes observed in care provision: results from a focus group

Anabela Salgueiro-Oliveira, Pedro Parreira, Marta L. Basto, Luciene M. Braga

P35 Use of peer feedback by nursing students during clinical training: teacher’s perception

António Ferreira, Beatriz Araújo, José M. Alves, Margarida Ferreira, Maribel Carvalhais, Marilene Silva, Sónia Novais

P36 What’s new on endotracheal suctioning recommendations

Ana S. Sousa, Cândida Ferrito

P37 Assessment of the nurses satisfaction on the Central Region of Portugal

Pedro L. Ferreira, Alexandre Rodrigues, Margarida Ferreira, Isabel Oliveira

P38 Study of graduate’s satisfaction with the school of nursing

Manuela Ferreira, Jéssica Neves, Diana Costa, Soraia Duarte, Joana Silva, Bruno Santos

P39 Partnership between the school of nursing and the hospital: Supervisors´ perspectives

Cristina Martins, Ana P. Macedo, Odete Araújo, Cláudia Augusto, Fátima Braga, Lisa Gomes, Maria A. Silva, Rafaela Rosário

P40 Coping strategies of college students

Luís Pimenta, Diana Carreira, Patrícia Teles, Teresa Barros

P41 Emotional intelligence and mental health stigma in health students

Catarina Tomás, Ana Querido, Daniel Carvalho, João Gomes, Marina Cordeiro

P42 Stigma of mental health assessment: Comparison between health courses

Daniel Carvalho, Ana Querido, Catarina Tomás, João Gomes, Marina Cordeiro

O81 Short- and long-term effects of pulmonary rehabilitation in mild COPD

Cristina Jácome, Alda Marques

O82 Phonological awareness programme for preschool children

Sylvie Capelas, Andreia Hall, Dina Alves, Marisa Lousada

O83 REforma ATIVA: An efficient health promotion program to be implemented during retirement

Mª Helena Loureiro, Ana Camarneiro, Margarida Silva, Aida Mendes, Ana Pedreiro

O84 Intervention for men who batter women, a case report

Anne G.Silva, Elza S. Coelho

O85 Immediate effects of Bowen Therapy on muscle tone and flexibility

Flávio Melo, Fernando Ribeiro, Rui Torres, Rui Costa

O86 Predictive equation for incremental shuttle walk test in adolescents

Tânia Pinho, Cristina Jácome, Alda Marques

O87 Life satisfaction and psychopathology in institutionalized elderly people: The results of an adapted Mindfulness-Based Stress Reduction program

Bárbara Cruz, Daniel Seabra, Diogo Carreira, Maria Ventura

O88 Outcome changes in COPD rehabilitation: exploring the relationship between physical activity and health-related outcomes

Joana Cruz, Dina Brooks, Alda Marques

O89 Assessing the effectiveness of a Complex Nursing Intervention

M Rosário Pinto, Pedro Parreira, Marta Lima-Basto, Miguel Neves, Lisete M. Mónico

O90 Psychotherapeutic intervention in addiction disorders: Change in psychopathological symptoms and emotional states

Carla Bizarro, Marina Cunha, Ana Galhardo, Couto Margarida, Ana P. Amorim, Eduardo Silva

O91 Economic impact of a nursing intervention program to promote self-management in COPD

Susana Cruz, José M. Padilha, Jorge Valente

O92 Multimodal acute pain management during uterine artery embolization in treatment of uterine myomas

José T. Guerrero, Francisco P. Caballero, Rafael B. Santos, Estefania P. Gonzalez, Fátima M. Monago, Lierni U. Ugalde, Marta M. Vélez, Maria J. Tena

O93 Fluid administration strategies in major surgery: Goal-directed therapy

José T. Guerrero, Rafael Bravo, Francisco L. Pérez-Caballero, Isabel A. Becerra, Mª Elizabeth Agudelo, Guadalupe Acedo, Roberto Bajo

O94 Development and implementation of a self-management educational programme using lay-led’s in adolescents Spina Bifida: A pilot study

Isabel Malheiro, Filomena Gaspar, Luísa Barros

O95 Influence of chair-based yoga exercises on salivary anti-microbial proteins in institutionalized frail-elderly women: a preliminary study

Guilherme Furtado, Mateus Uba-Chupel, Mariana Marques, Luís Rama, Margarida Braga, José P. Ferreira, Ana Mª Teixeira

O96 High intensity interval training vs moderate intensity continuous training impact on diabetes 2

João Cruz, Tiago Barbosa, Ângela Simões, Luís Coelho

O97 Family caregiver of people with pressure ulcer: Nursing intervention plan

Alexandre Rodrigues, Juan-Fernando Jiménez-Díaz, Francisco Martinez-Hernández, Bienvenida Rodriguez-De-Vera, Pedro Ferreira, Alexandrina Rodrigues

O98 Chronic effects of exercise on motor memory consolidation in elderly people

André Ramalho, João Petrica, Pedro Mendes, João Serrano, Inês Santo, António Rosado

O99 Impression cytology of the ocular surface: Collection technique and sample processing

Paula Mendonça, Kátia Freitas

O100 Does sport practice affect the reaction time in neuromuscular activity?

Dora Ferreira, António Brito, Renato Fernandes

O101 Efficiency of the enteral administration of fibbers in the treatment of chronic obstipation

Sofia Gomes, Fernando Moreira, Cláudia Pinho, Rita Oliveira, Ana I. Oliveira

O102 Fast decalcifier in compact bone and spongy bone

Paula Mendonça, Ana P. Casimiro, Patrícia Martins, Iryna Silva

O103 Health promotion in the elderly – Intervention project in dementia

Diana Evangelista

O104 Prevention of musculoskeletal disorders through an exercise protocol held in labour context

Catarina Leitão, Fábia Velosa, Nélio Carecho, Luís Coelho

O105 Knowledge of teachers and other education agents on diabetes type 1: Effectiveness of an intervention program

Eva Menino, Anjos Dixe, Helena Catarino, Fátima Soares, Ester Gama, Clementina Gordo

O106 Treatment of diabetic peripheral neuropathic pain: a systematic review of clinical trials of phase II and III

Eliana Moreira, Cristiana Midões, Marlene Santos

O107 New drugs for osteoporosis treatment: Systematic review of clinical trials of phase II and III

Sara Machado, Vânia P. Oliveira, Marlene Santos

O108 Promoting hope at the end of life: Effectiveness of an Intervention Programme

Ana Querido, Anjos Dixe, Rita Marques, Zaida Charepe

P43 Psychomotor therapy effects on adaptive behaviour and motor proficiency of adults with intellectual disability

Ana Antunes, Sofia Santos

P44 The effect of exercise therapy in multiple sclerosis – a single study case

Marlene C. Rosa

P45 Physical condition and self-efficacy in people with fall risk – a preliminary study

Marlene C. Rosa, Silvana F. Marques

P46 Shock waves: their effectiveness in improving the symptoms of calcifying tendinitis of the shoulder

Beatriz Minghelli, Eulália Caro

P47 Pacifier – construction and pilot application of a parenting intervention for parents of babies until six months in primary health care

Mª José Luís, Teresa Brandão

P48 The influence of Motor Imagery in fine motor skills of individuals with disabilities

Pedro Mendes, Daniel Marinho, João Petrica, Diogo Monteiro, Rui Paulo, João Serrano, Inês Santo

P49 Evaluation of the effects of a walking programme on the fall risk factors in older people – a longitudinal pilot study

Lina Monteiro, Fátima Ramalho, Rita Santos-Rocha, Sónia Morgado, Teresa Bento

P50 Nursing intervention programme in lifestyles of adolescents

Gilberta Sousa, Otília Freitas, Isabel Silva, Gregório Freitas, Clementina Morna, Rita Vasconcelos

P51 The person submitted to hip replacement rehabilitation, at home

Tatiana Azevedo, Salete Soares, Jacinta Pisco

P52 Effects of Melatonin use in the treatment of neurovegetative diseases

Paulo P. Ferreira, Efrain O. Olszewer, Michelle T. Oliveira, Anderson R. Sousa, Ana S. Maia, Sebastião T. Oliveira

P53 Review of Phytotherapy and other natural substances in alcohol abuse and alcoholism

Erica Santos, Ana I. Oliveira, Carla Maia, Fernando Moreira, Joana Santos, Maria F. Mendes, Rita F. Oliveira, Cláudia Pinho

P54 Dietary programme impact on biochemical markers in diabetics: systematic review

Eduarda Barreira, Ana Pereira, Josiana A. Vaz, André Novo

P55 Biological approaches to knee osteoarthritis: platelet-rich plasma and hyaluronic acid

Luís D. Silva, Bruno Maia, Eduardo Ferreira, Filipa Pires, Renato Andrade, Luís Camarinha

P56 Platelet-rich plasma and hyaluronic acid intra-articular injections for the treatment of ankle osteoarthritis

Luís D. Silva, Bruno Maia, Eduardo Ferreira, Filipa Pires, Renato Andrade, Luís Camarinha

P57 The impact of preventive measures in the incidence of diabetic foot ulcers: a systematic review

Ana F. César, Mariana Poço, David Ventura, Raquel Loura, Pedro Gomes, Catarina Gomes, Cláudia Silva, Elsa Melo, João Lindo

P58 Dating violence among young adolescents

Joana Domingos, Zaida Mendes, Susana Poeta, Tiago Carvalho, Catarina Tomás, Helena Catarino, Mª Anjos Dixe

P59 Physical activity and motor memory in pedal dexterity

André Ramalho, António Rosado, Pedro Mendes, Rui Paulo, Inês Garcia, João Petrica

P60 The effects of whole body vibration on the electromyographic activity of thigh muscles

Sandra Rodrigues, Rui Meneses, Carlos Afonso, Luís Faria, Adérito Seixas

P61 Mental health promotion in the workplace

Marina Cordeiro, Paulo Granjo, José C. Gomes

P62 Influence of physical exercise on the self-perception of body image in elderly women: A systematic review of qualitative studies

Nelba R. Souza, Guilherme E. Furtado, Saulo V. Rocha, Paula Silva, Joana Carvalho

O109 Psychometric properties of the Portuguese version of the Éxamen Geronto-Psychomoteur (P-EGP)

Marina Ana Morais, Sofia Santos, Paula Lebre, Ana Antunes

O110 Symptoms of depression in the elderly population of Portugal, Spain and Italy

António Calha

O111 Emotion regulation strategies and psychopathology symptoms: A comparison between adolescents with and without deliberate self-harm

Ana Xavier, Marina Cunha, José Pinto-Gouveia

O112 Prevalence of physical disability in people with leprosy

Liana Alencar, Madalena Cunha, António Madureira

O113 Quality of life and self-esteem in type 1 and type 2 diabetes mellitus patients

Ilda Cardoso, Ana Galhardo, Fernanda Daniel, Vítor Rodrigues

O114 Cross-cultural comparison of gross motor coordination in children from Brazil and Portugal

Leonardo Luz, Tatiana Luz, Maurício R. Ramos, Dayse C. Medeiros, Bruno M. Carmo, André Seabra, Cristina Padez, Manuel C. Silva

O115 Electrocardiographic differences between African and Caucasian people

António Rodrigues, Patrícia Coelho, Alexandre Coelho

O116 Factors associated with domestic, sexual and other types of violence in the city of Palhoça - Brazil

Madson Caminha, Filipe Matheus, Elenice Mendes, Jony Correia, Marcia Kretzer

O117 Tinnitus prevalence study of users of a hospital of public management - Spain

Francisco J. Hernandez-Martinez, Juan F. Jimenez-Diaz, Bienvendida C. Rodriguez-De-Vera, Carla Jimenez-Rodriguez, Yadira Armas-Gonzalez

O118 Difficulties experienced by parents of children with diabetes mellitus of preschool age in therapeutic and nutritional management

Cátia Rodrigues, Rosa Pedroso

O119 E-mental health - “nice to have” or “must have”? Exploring the attitudes towards e-mental health in the general population

Jennifer Apolinário-Hagen, Viktor Vehreschild

O120 Violence against children and adolescents and the role of health professionals: Knowing how to identify and care

Milene Veloso, Celina Magalhães, Isabel Cabral, Maira Ferraz

O121 Marital violence. A study in the Algarve population

Filipe Nave, Emília Costa, Filomena Matos, José Pacheco

O122 Clinical factors and adherence to treatment in ischemic heart disease

António Dias, Carlos Pereira, João Duarte, Madalena Cunha, Daniel Silva

O123 Can religiosity improve optimism in participants in states of illness, when controlling for life satisfaction?

Lisete M. Mónico, Valentim R. Alferes, Mª São João Brêda, Carla Carvalho, Pedro M. Parreira

O124 Empowerment, knowledge and quality of life of people with diabetes type 2 in the Alto Minho Health Local Unit

Mª Carminda Morais, Pedro Ferreira, Rui Pimenta, José Boavida

O125 Antihypertensive therapy adherence among hypertensive patients from Bragança county, Portugal

Isabel C. Pinto, Tânia Pires, Catarina Silva

O126 Subjective perception of sexual achievement - An exploratory study on people with overweight

Maria Ribeiro, Maria Viega-Branco, Filomena Pereira, Ana Mª Pereira

O127 Physical activity level and associated factors in hypertensive individuals registered in the family health strategy of a basic health unit from the city of Palhoça, Santa Catarina, Brazil

Fabrícia M. Almeida, Gustavo L. Estevez, Sandra Ribeiro, Marcia R. Kretzer

O128 Perception of functional fitness and health in non-institutionalised elderly from rural areas

Paulo V. João, Paulo Nogueira, Sandra Novais, Ana Pereira, Lara Carneiro, Maria Mota

O129 Medication adherence in patients with type 2 diabetes mellitus treated at primary health care in Coimbra

Rui Cruz, Luiz Santiago, Carlos Fontes-Ribeiro

O130 Multivariate association between body mass index and multi-comorbidities in elderly people living in low socio-economic status context

Guilherme Furtado, Saulo V. Rocha, André P. Coutinho, João S. Neto, Lélia R. Vasconcelos, Nelba R. Souza, Estélio Dantas

O131 Metacognition, rumination and experiential avoidance in Borderline Personality Disorder

Alexandra Dinis, Sérgio Carvalho, Paula Castilho, José Pinto-Gouveia

O132 Health issues in a vulnerable population: nursing consultation in a public bathhouse in Lisbon

Alexandra Sarreira-Santos, Amélia Figueiredo, Lurdes Medeiros-Garcia, Paulo Seabra

O133 The perception of quality of life in people with multiple sclerosis accompanied in External Consultation of the Local Health Unit of Alto Minho

Rosa Rodrigues, Mª Carminda Morais, Paula O. Fernandes

O134 Representation of interaction established between immigrant women and nurse during pregnancy to postpartum, from the perspective of immigrant women

Conceição Santiago, Mª Henriqueta Figueiredo, Marta L. Basto

O135 Illness perceptions and medication adherence in hypertension

Teresa Guimarães, André Coelho, Anabela Graça, Ana M. Silva, Ana R. Fonseca

O136 A Portuguese study on adults’ intimate partner violence, interpersonal trust and hope

Luz Vale-Dias, Bárbara Minas, Graciete Franco-Borges

P63 QOL’ predictors of people with intellectual disability and general population

Cristina Simões, Sofia Santos

P64 Content validation of the Communication Disability Profile (CDP) - Portuguese Version

Ana Serra, Maria Matos, Luís Jesus

P65 Study of biochemical and haematological changes in football players

Ana S. Tavares, Ana Almeida, Céu Leitão, Edna Varandas, Renato Abreu, Fernando Bellém

P66 Body image dissatisfaction in inflammatory bowel disease: exploring the role of chronic illness-related shame

Inês A. Trindade, Cláudia Ferreira, José Pinto-Gouveia, Joana Marta-Simões

P67 Obesity and sleep in the adult population - a systematic review

Odete Amaral, Cristiana Miranda, Pedro Guimarães, Rodrigo Gonçalves, Nélio Veiga, Carlos Pereira

P68 Frequency of daytime sleepiness and obstructive sleep apnea risk in COPD patients

Tânia C. Fleig, Elisabete A. San-Martin, Cássia L. Goulart, Paloma B. Schneiders, Natacha F. Miranda, Lisiane L. Carvalho, Andrea G. Silva

P69 Working with immigrant-origin clients: discourses and practices of health professionals

Joana Topa, Conceição Nogueira, Sofia Neves

P70 Systemic Lupus Erythematosus – what are audiovestibular changes?

Rita Ventura, Cristina Nazaré

P71 Mental disorders in the oldest old: findings from the Portuguese national hospitalization database

Daniela Brandão, Alberto Freitas, Óscar Ribeiro, Constança Paúl

P72 Recurrence analysis in postural control in children with cerebral palsy

Cristiana Mercê, Marco Branco, Pedro Almeida, Daniela Nascimento, Juliana Pereira, David Catela

P73 The experience of self-care in the elderly with COPD: contributions to reflect proximity care

Helga Rafael

P74 Culturally competent nurses: managing unpredictability in clinical practice with immigrants

Alcinda C. Reis

O137 Paediatric speech and language screening: An instrument for health professionals

Ana Mendes, Ana R. Valente, Marisa Lousada

O138 Anthropometric and nutritional assessment in bodybuilders

Diana Sousa, Ana L. Baltazar, Mª Helena Loureiro

O139 Computerized adventitious respiratory sounds in children with lower respiratory tract infections

Ana Oliveira, José Aparício, Alda Marques

O140 Role of computerized respiratory sounds as a marker in LRTI

Alda Marques, Ana Oliveira, Joana Neves, Rodrigo Ayoub

O141 Confirmatory factor analysis of the Personal Wellbeing Index in people with chronic kidney disease

Luís Sousa, Cristina Marques-Vieira, Sandy Severino, Helena José

O142 Phonological awareness skills in school aged children

Inês Cadorio, Marisa Lousada

O143 Assessment of early memories of warmth and safeness in interaction with peers: its relationship with psychopathology in adolescence

Marina Cunha, Diogo Andrade, Ana Galhardo, Margarida Couto

O144 The molecular effects induced by single shot irradiation on a diffuse large B cell lymphoma cell line

Fernando Mendes, Cátia Domingues, Susann Schukg, Ana M. Abrantes, Ana C. Gonçalves, Tiago Sales, Ricardo Teixo, Rita Silva, Jéssica Estrela, Mafalda Laranjo, João Casalta-Lopes, Clara Rocha, Paulo C. Simões, Ana B. Sarmento-Ribeiro, Mª Filomena Botelho, Manuel S. Rosa

O145 Morpho-functional characterization of cardiac chambers by Transthoracic Echocardiography, in young athletes of gymnastics competition

Virgínia Fonseca, Diogo Colaço, Vanessa Neves

O146 Prevalence of the antibodies of the new histo-blood system – FORS system

Carlos Jesus, Camilla Hesse, Clara Rocha, Nádia Osório, Ana Valado, Armando Caseiro, António Gabriel, Lola Svensson, Fernando Mendes, Wafa A. Siba, Cristina Pereira, Jorge Tomaz

O147 Assessment of the war-related perceived threat in Portuguese Colonial War Veterans

Teresa Carvalho, José Pinto-Gouveia, Marina Cunha

O148 Pulse transit time estimation for continuous blood pressure measurement: A comparative study

Diana Duarte, Nuno V. Lopes, Rui Fonseca-Pinto

O149 Blood pressure assessment during standard clinical manoeuvres: A non-invasive PPT based approach

Diana Duarte, Nuno V. Lopes, Rui Fonseca-Pinto

O150 Development and initial validation of the Activities and Participation Profile related to Mobility (APPM)

Anabela C. Martins

O151 MEASYCare-2010 Standard–A geriatric evaluation system in primary health care: Reliability and validity of the latest version in Portugal

Piedade Brandão, Laura Martins, Margarida Cardoso

O152 Interrater and intrarater reliability and agreement of the range of shoulder flexion in the standing upright position through photographic assessment

Nuno Morais, Joana Cruz

O153 Three-dimensional biofabrication techniques for tissue regeneration

Nuno Alves, Paula Faria, Artur Mateus, Pedro Morouço

O154 A new computer tool for biofabrication applied to tissue engineering

Nuno Alves, Nelson Ferreira, Artur Mateus, Paula Faria, Pedro Morouço

O155 Development and psychometric qualities of a scale to measure the functional independence of adolescents with motor impairment

Isabel Malheiro, Filomena Gaspar, Luísa Barros

O156 Organizational Trust in Health services: Exploratory and Confirmatory factor analysis of the Organizational Trust Inventory- Short Form (OTI-SF)

Pedro Parreira, Andreia Cardoso, Lisete Mónico, Carla Carvalho, Albino Lopes, Anabela Salgueiro-Oliveira

O157 Thermal symmetry: An indicator of occupational task asymmetries in physiotherapy

Adérito Seixas, Valter Soares, Tiago Dias, Ricardo Vardasca, Joaquim Gabriel, Sandra Rodrigues

O158 A study of ICT active monitoring adoption in stroke rehabilitation

Hugo Paredes, Arsénio Reis, Sara Marinho, Vítor Filipe, João Barroso

O159 Paranoia Checklist (Portuguese Version): Preliminary studies in a mixed sample of patients and healthy controls

Carolina Da Motta, Célia B. Carvalho, José Pinto-Gouveia, Ermelindo Peixoto

O160 Reliability and validity of the Composite Scale on Morningness: European Portuguese version, in adolescents and young adults

Ana A. Gomes, Vanessa Costa, Diana Couto, Daniel R. Marques, José A. Leitão, José Tavares, Maria H. Azevedo, Carlos F. Silva

O161 Evaluation scale of patient satisfaction with nursing care: Psychometric properties evaluation

João Freitas, Pedro Parreira, João Marôco

O162 Impact of fibromyalgia on quality of life: Comparing results from generic instruments and FIQR

Miguel A. Garcia-Gordillo, Daniel Collado-Mateo, Gang Chen, Angelo Iezzi, José A. Sala, José A. Parraça, Narcis Gusi

O163 Preliminary study of the adaptation and validation of the Rating Scale of Resilient Self: Resilience, self-harm and suicidal ideation in adolescents

Jani Sousa, Mariana Marques, Jacinto Jardim, Anabela Pereira, Sónia Simões, Marina Cunha

O164 Development of the first pressure ulcer in inpatient setting: Focus on length of stay

Pedro Sardo, Jenifer Guedes, João Lindo, Paulo Machado, Elsa Melo

O165 Forms of Self-Criticizing and Self-Reassuring Scale: Adaptation and early findings in a sample of Portuguese children

Célia B. Carvalho, Joana Benevides, Marina Sousa, Joana Cabral, Carolina Da Motta

O166 Predictive ability of the Perinatal Depression Screening and Prevention Tool – Preliminary results of the dimensional approach

Ana T. Pereira, Sandra Xavier, Julieta Azevedo, Elisabete Bento, Cristiana Marques, Rosa Carvalho, Mariana Marques, António Macedo

O167 Psychometric properties of the BaSIQS-Basic Scale on insomnia symptoms and quality of sleep, in adults and in the elderly

Ana M. Silva, Juliana Alves, Ana A. Gomes, Daniel R. Marques, Mª Helena Azevedo, Carlos Silva

O168 Enlightening the human decision in health: The skin melanocytic classification challenge

Ana Mendes, Huei D. Lee, Newton Spolaôr, Jefferson T. Oliva, Wu F. Chung, Rui Fonseca-Pinto

O169 Test-retest reliability household life study and health questionnaire Pomerode (SHIP-BRAZIL)

Keila Bairros, Cláudia D. Silva, Clóvis A. Souza, Silvana S. Schroeder

O170 Characterization of sun exposure behaviours among medical students from Nova Medical School

Elsa Araújo, Helena Monteiro, Ricardo Costa, Sara S. Dias, Jorge Torgal

O171 Spirituality in pregnant women

Carolina G. Henriques, Luísa Santos, Elisa F. Caceiro, Sónia A. Ramalho

O172 Polypharmacy in older patients with cancer

Rita Oliveira, Vera Afreixo, João Santos, Priscilla Mota, Agostinho Cruz, Francisco Pimentel

O173 Quality of life of caregivers of people with advanced chronic disease: Translation and validation of the quality of life in life threatening illness - family carer version (QOLLTI-C-PT)

Rita Marques, Mª Anjos Dixe, Ana Querido, Patrícia Sousa

O174 The psychometric properties of the brief Other as Shamer Scale for Children (OAS-C): preliminary validation studies in a sample of Portuguese children

Joana Benevides, Carolina Da Motta, Marina Sousa, Suzana N. Caldeira, Célia B. Carvalho

O175 Measuring emotional intelligence in health care students – Revalidation of WLEIS-P

Ana Querido, Catarina Tomás, Daniel Carvalho, João Gomes, Marina Cordeiro

O176 Health indicators in prenatal assistance: The impact of computerization and of under-production in basic health centres

Joyce O. Costa, Frederico C. Valim, Lígia C. Ribeiro

O177 Hope genogram: Assessment of resources and interaction patterns in the family of the child with cerebral palsy

Zaida Charepe, Ana Querido, Mª Henriqueta Figueiredo

O178 The influence of childbirth type in postpartum quality of life

Priscila S. Aquino, Samila G. Ribeiro, Ana B. Pinheiro, Paula A. Lessa, Mirna F. Oliveira, Luísa S. Brito, Ítalo N. Pinto, Alessandra S. Furtado, Régia B. Castro, Caroline Q. Aquino, Eveliny S. Martins

O179 Women’s beliefs about pap smear test and cervical cancer: influence of social determinants

Ana B Pinheiro, Priscila S. Aquino, Lara L. Oliveira, Patrícia C. Pinheiro, Caroline R. Sousa, Vívien A. Freitas, Tatiane M. Silva, Adman S. Lima, Caroline Q. Aquino, Karizia V. Andrade, Camila A. Oliveira, Eglidia F. Vidal

O180 Validity of the Portuguese version of the ASI-3: Is anxiety sensitivity a unidimensional or multidimensional construct?

Ana Ganho-Ávila, Mariana Moura-Ramos, Óscar Gonçalves, Jorge Almeida

O181 Lifestyles of higher education students: the influence of self-esteem and psychological well-being

Armando Silva, Irma Brito, João Amado

P75 Assessing the quality of life of persons with significant intellectual disability: Portuguese version of Escala de San Martín

António Rodrigo, Sofia Santos, Fernando Gomes

P76 Childhood obesity and breastfeeding - A systematic review

Marlene C. Rosa, Silvana F. Marques

P77 Cross-cultural adaptation of the Foot and Ankle Ability Measure (FAAM) for the Portuguese population

Sara Luís, Luís Cavalheiro, Pedro Ferreira, Rui Gonçalves

P78 Cross-cultural adaptation of the Patient-Rated Wrist Evaluation score (PRWE) for the Portuguese population

Rui S. Lopes, Luís Cavalheiro, Pedro Ferreira, Rui Gonçalves

P79 Cross-cultural adaptation of the Myocardial Infraction Dimensional Assessment Scale (MIDAS) for Brazilian Portuguese language

Bruno H. Fiorin, Marina S. Santos, Edmar S. Oliveira, Rita L. Moreira, Elizabete A. Oliveira, Braulio L. Filho

P80 The revised Portuguese version of the Three-Factor Eating Questionnaire: A confirmatory factor analysis

Lara Palmeira, Teresa Garcia, José Pinto-Gouveia, Marina Cunha

P81 Assessing weight-related psychological inflexibility: An exploratory factor analysis of the AAQW’s Portuguese version

Sara Cardoso, Lara Palmeira, Marina Cunha; José Pinto-Gouveia

P82 Validation of the Body Appreciation Scale-2 for Portuguese women

Joana Marta-Simões, Ana L. Mendes, Inês A. Trindade, Sara Oliveira, Cláudia Ferreira

P83 The Portuguese validation of the Dietary Intent Scale

Ana L. Mendes, Joana Marta-Simões, Inês A. Trindade, Cláudia Ferreira

P84 Construction and validation of the Inventory of Marital Violence (IVC)

Filipe Nave

P85 Portable continuous blood pressure monitor system

Mariana Campos, Iris Gaudêncio, Fernando Martins, Lino Ferreira, Nuno Lopes, Rui Fonseca-Pinto

P86 Construction and validation of the Scale of Perception of the Difficulties in Caring for the Elderly (SPDCE)

Rogério Rodrigues, Zaida Azeredo, Corália Vicente

P87 Development and validation of a comfort rating scale for the elderly hospitalized with chronic illness

Joana Silva, Patrícia Sousa, Rita Marques

P88 Construction and validation of the Postpartum Paternal Quality of Life Questionnaire (PP-QOL)

Isabel Mendes, Rogério Rodrigues, Zaida Azeredo, Corália Vicente

P89 Infrared thermal imaging: A tool for assessing diabetic foot ulcers

Ricardo Vardasca, Ana R. Marques, Adérito Seixas, Rui Carvalho, Joaquim Gabriel

P90 Pressure ulcers in an intensive care unit: An experience report

Paulo P. Ferreira, Michelle T. Oliveira, Anderson R. Sousa, Ana S. Maia, Sebastião T. Oliveira, Pablo O. Costa, Maiza M. Silva

P91 Validation of figures used in evocations: instrument to capture representations

Cristina Arreguy-Sena, Nathália Alvarenga-Martins, Paulo F. Pinto, Denize C. Oliveira, Pedro D. Parreira, Antônio T. Gomes, Luciene M. Braga

P92 Telephone assistance to decrease burden in informal caregivers of stroke older people: Monitoring and diagnostic evaluation

Odete Araújo, Isabel Lage, José Cabrita, Laetitia Teixeira

P93 Hope of informal caregivers of people with chronic and advanced disease

Rita Marques, Mª Anjos Dixe, Ana Querido, Patrícia Sousa

P94 Functionality and quality information from the Portuguese National Epidemiological Surveillance System

Sara Silva, Eugénio Cordeiro, João Pimentel

P95 Resting metabolic rate objectively measured vs. Harris and Benedict formula

Vera Ferro-Lebres, Juliana A. Souza, Mariline Tavares

O182 Characteristics of non-urgent patients: Cross-sectional study of an emergency department

Mª Anjos Dixe, Pedro Sousa, Rui Passadouro, Teresa Peralta, Carlos Ferreira, Georgina Lourenço

O183 Physical fitness and health in children of the 1st Cycle of Education

João Serrano, João Petrica, Rui Paulo, Samuel Honório, Pedro Mendes

O184 The impact of physical activity on sleep quality, in children

Alexandra Simões, Lucinda Carvalho, Alexandre Pereira

O185 What is the potential for using Information and Communication Technologies in Arterial Hypertension self-management?

Sara Silva, Paulino Sousa, José M. Padilha

O186 Exploring psychosocial factors associated with risk of falling in older patients undergoing haemodialysis

Daniela Figueiredo, Carolina Valente, Alda Marques

O187 Development of pressure ulcers on the face in patients undergoing non-invasive ventilation

Patrícia Ribas, Joana Sousa, Frederico Brandão, Cesar Sousa, Matilde Martins

O188 The elder hospitalized: Limiting factors of comfort

Patrícia Sousa, Rita Marques

O189 Physical activity and health state self-perception by Portuguese adults

Francisco Mendes, Rosina Fernandes, Emília Martins, Cátia Magalhães, Patrícia Araújo

O190 Satisfaction with social support in the elderly of the district of Bragança

Carla Grande, Mª Augusta Mata, Juan G. Vieitez

O191 Prevalence of death by traumatic brain injury and associated factors in intensive care unit of a general hospital, Brazil

Bruna Bianchini, Nazare Nazario, João G. Filho, Marcia Kretzer

O192 Relation between family caregivers burden and health status of elderly dependents

Tânia Costa, Armando Almeida, Gabriel Baffour

O193 Phenomena sensitive to nursing care in day centre

Armando Almeida, Tânia Costa, Gabriel Baffour

O194 Frailty: what do the elderly think?

Zaida Azeredo, Carlos Laranjeira, Magda Guerra, Ana P. Barbeiro

O195 The therapeutic self-care as a nursing-sensitive outcome: A correlational study

Regina Ferreira

O196 Phonetic-phonological acquisition for the European Portuguese from 18 months to 6 years and 12 months

Sara Lopes, Liliana Nunes, Ana Mendes

O197 Quality of life of patients undergoing liver transplant surgery

Julian Martins, Dulcineia Schneider, Marcia Kretzer, Flávio Magajewski

O198 Professional competences in health: views of older people from different European Countries

Célia Soares, António Marques

O199 Life satisfaction of working adults due to the number of hours of weekly exercise

Marco Batista, Ruth J. Castuera, Helena Mesquita, António Faustino, Jorge Santos, Samuel Honório

O200 Therapeutic itinerary of women with breast cancer in Santa Maria City/RS

Betina P. Vizzotto, Leticia Frigo, Hedioneia F. Pivetta

O201 The breastfeeding prevalence at 4 months: Maternal experience as a determining factor

Dolores Sardo

O202 The impact of the transition to parenthood in health and well-being

Cristina Martins, Wilson Abreu, Mª Céu Figueiredo

P96 Self-determined motivation and well-being in Portuguese active adults of both genders

Marco Batista, Ruth Jimenez-Castuera, João Petrica, João Serrano, Samuel Honório, Rui Paulo, Pedro Mendes

P97 The geriatric care: ways and means of comforting

Patrícia Sousa, Rita Marques

P98 The influence of relative age, subcutaneous adiposity and physical growth on Castelo Branco under-15 soccer players 2015

António Faustino, Paulo Silveira, João Serrano, Rui Paulo, Pedro Mendes, Samuel Honório

P99 Data for the diagnostic process focused on self-care – managing medication regime: An integrative literature review

Catarina Oliveira, Fernanda Bastos, Inês Cruz

P100 Art therapy as mental health promotion for children

Cláudia K. Rodriguez, Márcia R. Kretzer, Nazaré O. Nazário

P101 Chemical characterization of fungal chitosan for industrial applications

Pedro Cruz, Daniela C. Vaz, Rui B. Ruben, Francisco Avelelas, Susana Silva, Mª Jorge Campos

P102 The impact of caring older people at home

Maria Almeida, Liliana Gonçalves, Lígia Antunes

P103 Development of the first pressure ulcer in an inpatient setting: Focus on patients’ characteristics

Pedro Sardo, Jenifer Guedes, João Simões, Paulo Machado, Elsa Melo

P104 Association between General Self-efficacy and Physical Activity among Adolescents

Susana Cardoso, Osvaldo Santos, Carla Nunes, Isabel Loureiro

O203 Characterization of the habits of online acquisition of medicinal products in Portugal

Flávia Santos, Gilberto Alves

O204 Waiting room – A space for health education

Cláudia Soar, Teresa O. Marsi

O205 Safey culture evaluation in hospitalized children

Ernestina Silva, Dora Pedrosa, Andrea Leça, Daniel Silva

O206 Sexual Self-awareness and Body Image

Ana Galvão, Maria Gomes, Paula Fernandes, Ana Noné

O207 Perception of a Portuguese population regarding the acquisition and consumption of functional foods

Jaime Combadão, Cátia Ramalhete, Paulo Figueiredo, Patrícia Caeiro

O208 The work process in primary health care: evaluation in municipalities of southern Brazil

Karine C. Fontana, Josimari T. Lacerda, Patrícia O. Machado

O209 Exploration and evaluation of potential probiotic lactic acid bacteria isolated from Amazon buffalo milk

Raphaelle Borges, Flávio Barbosa, Dayse Sá

O210 Road safety for children: Using children’s observation, as a passenger

Germana Brunhoso, Graça Aparício, Amâncio Carvalho

O211 Perception and application of quality-by-design by the Pharmaceutical industry in Portugal

Ana P. Garcia, Paula O. Fernandes, Adriana Santos

O212 Oral health among Portuguese children and adolescents: a public health issue

Nélio Veiga, Carina Brás, Inês Carvalho, Joana Batalha, Margarida Glória, Filipa Bexiga, Inês Coelho, Odete Amaral, Carlos Pereira

O213 Plant species as a medicinal resource in Igatu-Chapada Diamantina (Bahia, Brazil)

Cláudia Pinho, Nilson Paraíso, Ana I. Oliveira, Cristóvão F. Lima, Alberto P. Dias

O214 Characterization of cognitive and functional performance in everyday tasks: Implications for health in institutionalised older adults

Pedro Silva, Mário Espada, Mário Marques, Ana Pereira

O215 BMI and the perception of the importance given to sexuality in obese and overweight people

Ana Mª Pereira, Mª Veiga-Branco, Filomena Pereira, Maria Ribeiro

O216 Analysis and comparison of microbiological contaminations of two different composition pacifiers

Vera Lima, Ana I. Oliveira, Cláudia Pinho, Graça Cruz, Rita F. Oliveira, Luísa Barreiros, Fernando Moreira

O217 Experiences of couple relationships in the transition to retirement

Ana Camarneiro, Mª Helena Loureiro, Margarida Silva

O218 Preventive and corrective treatment of drug-induced calcium deficiency: an analysis in a community pharmacy setting

Catarina Duarte, Ângelo Jesus, Agostinho Cruz

O219 Profile of mood states in physically active elderly subjects: Is there a relation with health perception?

Maria Mota, Sandra Novais, Paulo Nogueira, Ana Pereira, Lara Carneiro, Paulo V. João

O220 (Un)Safety behaviour at work: the role of education towards a health and safety culture

Teresa Maneca Lima

O221 Analysis of the entrepreneurial profile of students attending higher education in Portugal: the Carland Entrepreneurship Index application

Anabela Salgueiro-Oliveira, Marina Vaquinhas, Pedro Parreira, Rosa Melo, João Graveto, Amélia Castilho, José H. Gomes

O222 Evaluation of welfare and quality of life of pregnant working women regarding the age of the pregnant

María S. Medina, Valeriana G. Blanco

O223 Psychological wellbeing protection among unemployed and temporary workers: Uncovering effective community-based interventions with a Delphi panel

Osvaldo Santos, Elisa Lopes, Ana Virgolino, Alexandra Dinis, Sara Ambrósio, Inês Almeida, Tatiana Marques, Mª João Heitor

O224 Chilean population norms derived from the Health-related quality of life SF-6D

Miguel A. Garcia-Gordillo, Daniel Collado-Mateo, Pedro R. Olivares, José A. Parraça, José A. Sala

O225 Motivation of college students toward Entrepreneurship: The influence of social and economic instability

Amélia Castilho, João Graveto, Pedro Parreira, Anabela Oliveira, José H. Gomes, Rosa Melo, Marina Vaquinhas

O226 Use of aromatic and medicinal plants, drugs and herbal products in Bragança city

Mónia Cheio, Agostinho Cruz, Olívia R. Pereira

O227 Edible flowers as new novel foods concept for health promotion

Sara Pinto, Adriana Oliveira, M. Conceição Manso, Carla Sousa, Ana F. Vinha

O228 The influence of leisure activities on the health and welfare of older people living in nursing homes

Mª Manuela Machado, Margarida Vieira

O229 Risk of falling, fear of falling and functionality in community-dwelling older adults

Beatriz Fernandes, Teresa Tomás, Diogo Quirino

O230 Musculoskeletal pain and postural habits in children and teenage students

Gustavo Desouzart, Rui Matos, Magali Bordini, Pedro Mouroço

O231 What's different in Southern Europe? The question of citizens’ participation in health systems

Ana R. Matos, Mauro Serapioni

O232 Occupational stress in Portuguese police officers

Teresa Guimarães, Virgínia Fonseca, André Costa, João Ribeiro, João Lobato

O233 Is occupational therapy culturally relevant to promote mental health in Burkina Faso?

Inmaculada Z. Martin, Anita Björklund

P105 Pay-for-performance satisfaction and quality in primary care

Aida I. Tavares, Pedro Ferreira, Rui Passadouro

P106 Economic development through life expectancy lenses

Sónia Morgado

P107 What is the effectiveness of exercise on smoking cessation to prevent clinical complications of smoking?

Nuno Tavares, João Valente, Anabela C. Martins

P108 A systematic review of the effects of yoga on mental health

Patrícia Araújo, Rosina Fernandes, Francisco Mendes, Cátia Magalhães, Emília Martins

P109 Healthy lifestyle: comparison between higher education students that lived until adult age in rural and urban environment

Pedro Mendes, Rui Paulo, António Faustino, Helena Mesquita, Samuel Honório, Marco Batista

P110 Evaluation of the Mobile Emergency Care Service (SAMU) in Brazil

Josimari T. Lacerda, Angela B. Ortiga, Mª Cristina Calvo, Sônia Natal

P111 Bioactive compounds - antioxidant activity of tropical fruits

Marta Pereira

P112 Use of non-pharmacological methods to relieve pain in labour

Manuela Ferreira, Ana R. Prata, Paula Nelas, João Duarte

P113 Mechanical safety of pacifiers sold in Portuguese pharmacies and childcare stores

Juliana Carneiro, Ana I. Oliveira, Cláudia Pinho, Cristina Couto, Rita F. Oliveira, Fernando Moreira

P114 The importance of prenatal consultation: Information to pregnant women given on a unit of primary care

Ana S. Maia, Michelle T. Oliveira, Anderson R. Sousa, Paulo P. Ferreira, Géssica M. Souza, Lívia F. Almada, Milena A. Conceição, Eujcely C. Santiago

P115 Influence of different backpack loading conditions on neck and lumbar muscles activity of elementary school children

Sandra Rodrigues, Gabriela Domingues, Irina Ferreira, Luís Faria, Adérito Seixas

P116 Efficacy and safety of dry extract Hedera helix in the treatment of productive cough

Ana R. Costa, Ângelo Jesus, Américo Cardoso, Alexandra Meireles, Armanda Colaço, Agostinho Cruz

P117 A portrait of the evaluation processes of education groups in primary health care

Viviane L. Vieira, Kellem R. Vincha, Ana Mª Cervato-Mancuso

P118 Benefits of vitamins C and E in sensorineural hearing loss: a review

Melissa Faria, Cláudia Reis

P119 BODY SNAPSHOT – a web-integrated anthropometric evaluation system

Marco P. Cova, Rita T. Ascenso, Henrique A. Almeida, Eunice G. Oliveira

P120 Anthropometric evaluation and variation during pregnancy

Miguel Santana, Rafael Pereira, Eunice G. Oliveira, Henrique A. Almeida, Rita T. Ascenso

P121 Knowledge of college students on the amendments of their eating habits and physical activity index in the transition to higher education

Rita Jesus, Rodrigo Tapadas, Carolina Tim-Tim, Catarina Cezanne, Matilde Lagoa, Sara S. Dias, Jorge Torgal

P122 Muscular activity of a rally race car driver

João Lopes, Henrique Almeida, Sandra Amado, Luís Carrão

O234 Literacy and results in health

Madalena Cunha, Luís Saboga-Nunes, Carlos Albuquerque, Olivério Ribeiro

O235 Literacy promotion and empowerment of type 2 diabetics elderly in four family health units of the group of health centers of Dão Lafões

Suzete Oliveira, Mª Carminda Morais

O236 Mediterranean diet, health and life quality among Portuguese children

Emília Martins, Francisco Mendes, Rosina Fernandes, Cátia Magalhães, Patrícia Araújo

O237 Health literacy, from data to action - translation, validation and application of the European Health Literacy Survey in Portugal (HLS-EU-PT)

Ana R. Pedro, Odete Amaral, Ana Escoval

O238 Oral health literacy evaluation in a Portuguese military population

Victor Assunção, Henrique Luís, Luís Luís

O239 Preferences to Internet-based cognitive behavioural therapy – do attachment orientations matter?

Jennifer Apolinário-Hagen, Viktor Vehreschild

O240 A comparative transnational study in health literacy between Austria and Portugal

Ulrike Fotschl, Gerald Lirk, Anabela C. Martins, Isabel Andrade, Fernando Mendes

O241 Health literacy and social behaviours: relationship with sexually transmitted diseases?

Verónica Mendonça, Sandra Antunes, Isabel Andrade, Nádia Osório, Ana Valado, Armando Caseiro, António Gabriel, Anabela C. Martins, Fernando Mendes

O242 Parenting styles and attachment to parents: what relationships?

Paula A. Silva, Lisete M. Mónico, Pedro M. Parreira, Carla Carvalho

O243 Work-life balance in health professionals and professors: comparative study of workers with shift work and fixed schedule

Carla Carvalho, Pedro M. Parreira, Lisete M. Mónico, Joana Ruivo

O244 Technology literacy in self-management of diabetes

Vânia Silva, Paulino Sousa, José M. Padilha

O245 Satisfaction with therapeutic education and its relationship with clinical variables in children with type 1 diabetes

Vera Ferraz, Graça Aparício, João Duarte

O246 Nutrition-related knowledge in middle-age and older patients with type 2 diabetes

Carlos Vasconcelos, António Almeida, Joel Neves, Telma Correia, Helena Amorim, Romeu Mendes

O247 Validating the HLS-EU-(PT) questionnaire to measure health literacy in adolescents (CrAdLiSa project: HLS-EU-PT)

Luís Saboga-Nunes, Madalena Cunha, Carlos Albuquerque

O248 Health education in people with coronary heart disease: Experience of the cardiology department of a hospital on the outskirts of Lisbon

Elsa S. Pereira, Leonino S. Santos, Ana S. Reis, Helena R. Silva, João Rombo, Jorge C. Fernandes, Patrícia Fernandes

O249 Information and training needs of informal caregivers of individuals with stroke sequelae: a qualitative survey

Jaime Ribeiro, Catarina Mangas, Ana Freire

O250 Prevention of psychoactive substances consumption in students from 6th grade of Albergaria-a-Velha´s School Group

Sara Silva, Irene Francisco, Ana Oliveira

O251 Promoting healthy sexuality: shared responsibility for family, youth and educators

Helena Catarino, Mª Anjos Dixe, Mª Clarisse Louro

O252 Sexual risk behaviour in adolescents and young people

Saudade Lopes, Anjos Dixe

O253 Knowledge of school staff on type 1 diabetes

Mª Anjos Dixe, Eva Menino, Helena Catarino, Fátima Soares, Ana P. Oliveira, Sara Gordo, Teresa Kraus

O254 Sexual health in adolescents: the impact of information search in literacy

Catarina Tomás, Paulo Queirós, Teresa Rodrigues

P123 Improving basic life support skills in adolescents through a training programme

Pedro Sousa, João G. Frade, Catarina Lobão

P124 Difficulties in sexual education reported by basic education teachers in the city of Foz do Iguaçu - Brazil

Cynthia B. Moura, Laysa C. Dreyer, Vanize Meneghetti, Priscila P. Cabral

P125 Breast cancer survivors: subjects and resources for information. A qualitative systematic review

Francisca Pinto, Paulino Sousa, Mª Raquel Esteves

P126 Relationship between health literacy and prevalence of STI in Biomedical Laboratory Science students

Sofia Galvão, Ite Tytgat, Isabel Andrade, Nádia Osório, Ana Valado, Armando Caseiro, António Gabriel, Anabela C. Martins, Fernando Mendes

P127 Health literacy, risk behaviours and sexually transmitted diseases among blood donors

Mónica Casas-Novas, Helena Bernardo, Isabel Andrade, Gracinda Sousa, Ana P. Sousa, Clara Rocha, Pedro Belo, Nádia Osório, Ana Valado, Armando Caseiro, António Gabriel, Anabela C. Martins, Fernando Mendes

P128 Promoting literacy in pregnancy health-care

Fátima Martins, Montserrat Pulido-Fuentes

P129 The lifestyles of the operating assistants of education

Isabel Barroso, Gil Cabral, M. João Monteiro, Conceição Rainho

P130 Experiences of service-learning health and the literary art: reflections about the health education

Alessandro Prado, Yara M. Carvalho

P131 Life long swimming – a European Erasmus + project

Maria Campos, Liliana Moreira, José Ferreira, Ana Teixeira, Luís Rama

Session 1: Citizenship in health

S1 Health literacy and health education in adolescence

Catarina Cardoso Tomás

Health Sciences Research Unit: Nursing, Collegue of College of Health Technology of Coimbra, Coimbra, Portugal

Health literacy, a more complex concept than knowledge, is a required capacity to obtain, understand, integrate and act on health information [1], in order to enhance individual and community health, which is defined by different levels, according to the autonomy and personal capacitation in decision making [2].

Medium levels of Health literacy in an adolescent population were found in a study conducted in 2013/2014, being higher in sexual and reproductive health and lower in substance use. It was also noticed that the higher levels of health literacy were in the area adolescents refer to have receipt more health information. The health literacy competence with higher scores was communication skills, and the lower scores were in the capacity to analyze factors that influence health. Higher levels were also found in younger teenagers, but in a higher school level, confirming the importance of health education in these age and development stage. Adolescents seek more information in health professionals and parents, being friends more valued as a source information in older adolescents, which enhance the importance of peer education mainly in older adolescents [3].

As a set of competences based on knowledge, health literacy should be developed through education interventions, encompassing the cultural and social context of individuals, since the society, culture and education system where the individual is inserted can define the way the development and enforcement of the health literacy competences [4]. The valued sources of information should be taken into account, as well as needs of information in some topics referred by adolescents in an efficient health education.

References

1. Borzekowski D. Considering Children and Health Literacy: A Theoretical Approach. Pediatrics. 2009; 124: S282-S288.

2. Nutbeam D. The evolving concept of health literacy. Soc Sci Med. 2008; 67: 2072-2078.

3. Tomás C. Literacia em Saúde na Adolescência [Doctoral Thesis]. OPorto: Abel Salazar Institute of Biomedical Sciences of Oporto University; 2014.

4. Committee on Health Literacy. Health Literacy: A Prescription To End Confusion. Washington, D. C.: The National Academies Press, 2004.

Session 2: Evaluation & intervention in health

S2 The effect of a walking program on the quality of life and well-being of people with schizophrenia

Emanuel Oliveira1,2, D. Sousa1, M. Uba-Chupel2, G. Furtado2, C. Rocha3, A. Teixeira2, P. Ferreira 2

1Sisters Hospitallers of the Sacred Heart of Jesus, Casa de Saúde Rainha Santa Isabel, Coimbra, Portugal; 2Research Unit for Sport and Physical Activity, Faculty of Sport Sciences and Physical Education, University of Coimbra, Coimbra, Portugal; 3Complementary Sciences- INESCC, Coimbra, Portugal
Correspondence: Emanuel Oliveira – Sisters Hospitallers of the Sacred Heart of Jesus, Casa de Saúde Rainha Santa Isabel, Coimbra, Portugal

Schizophrenia is a serious and chronic mental illness which has a profound effect on the health and well-being related with the well-known nature of psychotic symptoms. The exercise has the potential to improve the life of people with schizophrenia improving physical health and alleviating psychiatric symptoms. However, most people with schizophrenia remains sedentary and lack of access to exercise programs are barriers to achieve health benefits. The aim of this study is to evaluate the effect of exercise on I) the type of intervention in mental health, II) in salivary levels of alpha-amylase and cortisol and serum levels of S100B and BDNF, and on III) the quality of life and self-perception of the physical domain of people with schizophrenia. The sample consisted of 31 females in long-term institutions in the Casa de Saúde Rainha Santa Isabel, with age between 25 and 63, and with diagnosis of schizophrenia according to the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR). Physical fitness was assessed by the six-minute walk distance test (6MWD). Biological variables were determined by ELISA (Enzyme-Linked Immunosorbent Assay). Psychological variables were assessed using SF-36, PSPP-SCV, RSES and SWLS tests. Walking exercise has a positive impact on physical fitness (6MWD – p = 0.001) and physical components of the psychological tests ([SF-36] physical functioning p < 0.05; [PSPP-SCV] functionality p < 0.05 and SWLS p < 0.05 of people with schizophrenia. The walking program enhances the quality of life and self-perception of the physical domain and physical fitness of people with schizophrenia.

S3 Diagnosis and innovative treatments - the way to a better medical practice

Celeste Alves1,2

1CUF Hospitals, Lisbon, Portugal; 2Breast Unit, Champalimaud Clinical Center, Lisbon, Portugal

The advancement of technology in diagnostic equipment was the major driving force in the advancement of medical knowledge. In few decades, imaging methods went from two planes conventional radiology to computed tomography in volumetric acquisition and multiplanar reconstruction, with morphological analysis and quantification of densities. With magnetic resonance we are able to perform the analysis of tissue composition and to identify it´s changes in context with each disease. Nowadays, molecular imaging methods enable the correlation of metabolism and diseases. The research and knowledge acquired about the genome and the development of genomics has given to the medical community the opportunity to study genetic alterations linked to a large number of diseases.

New technology allows physicians a better diagnosis of a significant number of syndromes and diseases, has seen in chronic degenerative diseases and in oncological diseases. This big technological progress is responsible for the advancement of personalized medicine and new treatments, taking into account the biological and genetic characteristics of each individual diseases. All the progress made in screening methods has also lead the medical community to a more efficient study of diseases with high prevalence in the general population.

The link between technological advancement seen today and the early diagnosis of a large number of oncological diseases as well as the development of a personalized medicine contributes not only to the well-being of each patient but also to the practice of sustainable medicine.

S4 Simulation-based learning and how it is a high contribution

Stefan Gisin (stefan@gisin.net)1,2

1Swiss Centre for Medical Simulation & Swiss Association of Simulation in Healthcare, 4031 Basel, Switzerland; 2Basel University Hospital, 4056 Basel, Switzerland

Dr. Stefan Gisin is staff anaesthesiologist at the University Hospital in Basel/Switzerland, deployed in various specialties of anaesthesia (including cardiac, thoracic, neuro, obstetric), he has a special interest in pre-hospital emergency medicine and is flying doctor for the Swiss Helicopter Rescue Service (Rega) and passionate ATLS Course Director.

Stefan Gisin is head of the Swiss Center for Medical Simulation in Basel and implemented a multitude course concepts for pre- and postgraduate simulation-based education, focussing on interdisciplinary and multiprofessional team training. In collaboration with the Swiss Department for Development and Collaboration (DEZA) he is a consultant in several healthcare education projects in Eastern European countries. He serves as faculty for international simulation instructor courses (EuSim, PAEDSIM, InFact) and is on the advisory board of PAEDSIM eV. Stefan Gisin is currently President of SASH (Swiss Association of Simulation in Healthcare) and Vice-President of SESAM (Society in Europe for Simulation applied to Medicine).

S5 Formative research about acceptability, utilization and promotion of a home fortification programme with micronutrient powders (MNP) in the Autonomous Region of Príncipe, São Tomé and Príncipe

Elisabete Catarino, Nelma Carvalho, Tiago Coucelo, Luís Bonfim, Carina Silva

HELPO Association, 2750-318 Cascais, Portugal
Correspondence: Elisabete Catarino (elisabetecatarino@helpo.pt) – HELPO Association, 2750-318 Cascais, Portugal

Ensuring adequate micronutrient status in children is a challenge, particular in developing countries. In São Tomé e Príncipe, the Demographic and Health Survey reveals that more than half (62 %) of children aged between 6 and 59 are anaemic [1]. Documents guiding the Copenhagen Consensus [2] are very clear in demonstrating that without micronutrient status correction there is no full development of human potential, in particular the cognitive capacity [3-5]. It is thus essential that mothers know the consequences to better understand the necessity of a balanced nutrition. Since 2011, WHO [6] has been promoting the use of micronutrient powders (MNP) in countries with elevated anaemia prevalence in children, considering them as a highly recommendable public health measure in fighting this disease. In 2014, home supplementation with micronutrient powders was proposed as a National Nutrition Policy strategy in São Tomé and Príncipe [7].

The objective of this study is to describe families and communities’ reaction to the use of MNPs with emphasis on their acceptance, utilization and promotion. This formative research contributes to adjust MNP messages to the culture and preferences of the target public before the wider distribution of the MNPs.

The results of our study showed a good acceptance and correct utilization of MNP. Regarding an effective communication, participants chose the colour of the package with an image of a saotomean baby/child. The name brand “Vitaferro” was voted as most popular as it is easy to pronounce and relates easily to MNP and to anaemia. Some mothers also suggested a positive message motivating MNP use in the communication materials.

References

1. INE, MSAS. Macro I. “Inquérito Demográfico e Sanitário”, São Tomé e Príncipe, IDS STP 2008-2009. Calverton, Maryland, USA; 2010.

2. Hoddinott J, Rosegrant M, Torero M. “Challenge Paper on Hunger and Malnutrition”. Washington DC: Copenhagen Consensus 2012; 2012. Available in: http://www.copenhagenconsensus.com/sites/default/files/hungerandmalnutrition.pdf

3. Adu-Afarwuah S, Lartey A, Brown KH, Zlotkin S, Briend A, Dewey KG. “Home fortification of complementary foods with micronutrient supplements is well accepted and has positive effects on infant iron status in Ghana”. American Journal of Clinical Nutrition. 2008; 87(4):929-38.

4. Bilukha O, Howard C, Wilkinson C, Bamrah S, Husain F. “Effects of multi-micronutrient home fortification on anaemia and growth in Bhutanese refugee children”. Food and Nutrition Bulletin. 2011; 32(3):264-76.

5. De-Regil LM, Suchdev PS, Vist GE, Walleser S, Peña-Rosas JP. “Home fortification of foods with multiple micronutrient powders for health and nutrition in children under two years of age”. Evidence-Based Child Health. 2013; 8(1):112-201.

6. WHO. “Guideline: Use of Multiple Micronutrient Powders for Home Fortification of Foods Consumed by Infants and Children 6-23 Months of Age”. Geneva; 2011.

7. Osei A, Septiari A, Suryantan J, Hossain MM, Chiwile F, Sari M, et al. “Using formative research to inform the design of a home fortification with micronutrient powders (MNP) Programme in Aileu District, Timor-Leste”. Food and nutrition bulletin. 2014; 35(1):68-82.

Keywords: Children, micronutrient status, anaemia, micronutrient powders, MNP

Session 3: Health policy & health management

S6 Safety culture of the patient: a reflexion about the therapeutic approach on the patient with vocal pathology

Débora Franco

Centro de Linguística, Universidade de Lisboa, Lisboa, Portugal

Clinical practice raises issues pertaining to vocal quality, such as the incidence and prevalence of dysphonia and the relapses in the process of vocal rehabilitation. These issues merit a commitment of critical analysis to improve healthcare quality. The vocal use of each speaker, the existence of bad habits and the presence of other pathologies are factors which compromise vocal health and can lead to dysphonia.

It has been concluded that body composition characteristics can influence the postural adaptations that an individual adopts over time, h an impact on vocal health and glottic dynamics. Fatter individuals will have compromised vital capacity and pneumophonic coordination, increasing the irregularities of vocal vibration and decreasing the vocal intensity. These individuals can develop postural adjustments to improve the efficiency of the respiratory tract. However, a head in hyper-extension will favour jaw descent with an impact on vocal quality. The increase in cervical lordosis will increase the thoracic kyphosis and the kyphotic index, with differences having been observed between normal and dysphonic individuals for these variables.

It is believed that a greater effectiveness of the intervention, reducing the relapses, is possible if body morphology analysis is also included in the evaluation protocols, permitting: (a) an identification of risk factors of vocal pathology; (b) the forwarding to precise diagnostic exams; (c) team planning of treatment; (d) postural intervention to be included in the rehabilitation of dysphonia. Building a culture of safety of the patient is finding our mission as health professionals.

S7 About wine, fortune cookies and patient experience

Jesús Alcoba González

Centro Superior de Estudios Universitarios La Salle, Madrid, Spain

Experience economy is the last segment in the evolution of the market, and it is characterized by the fact that consumers do not acquire goods, products or services, but experiences that they integrate in their biography, and consequently in their identity. Customer Experience, possibly the latest revolution in business thinking along with the digital transformation, seeks the design and management of truly customer-centric experiences. This revolution is spreading across different sectors, among which the health sector should necessarily be considered. This talk covers the fundamental ideas within the concept of customer experience, as well as it provides information and suggestions about how to design and deliver an optimal patient experience.

Keywords: Experience economy, customer experience, patient experience, health care, customer centric culture.

Oral & poster presentations

Acessibility to Health Care & Determinants of Demand for Health Services

O1 The psychological impact on the emergency crews after the disaster event on February 20, 2010

Helena G. Jardim1, Rita Silva2
1Universidade da Madeira, 9000-082 Funchal, Portugal; 2Serviço de Saúde da Região Autónoma da Madeira, E.P.E., 9004-514 Funchal, Portugal

Correspondence: Helena G. Jardim (hjardim@uma.pt) – Universidade da Madeira, 9000-082 Funchal, Portugal

Disasters affect emergency teams to varying degrees, causing trauma. The risk factors for mental health can be determined according to the experience of professionals in coping with these situations. The gravity of the situation, as well as the behaviour and response of those present will be different, depending on the extent of the catastrophe, such as the number of deaths, destruction, duration and degree of rapidity of the phenomenon.

The purpose of the study was to assess the psychological impact on emergency crews after the natural disaster of February 20 2010, in the isle of Madeira, Portugal. The professional group was comprised of 405 individuals: firemen (41.7 %), military (32.8 %), police (17.3 %) and health professionals (8.1 %). The assessment tools used were: the list of life events and the peri-traumatic experiences questionnaire, adult version. Ethical issues were considered as well as informed consent.

The average age was 34.5 years, mostly male, married and in residence at the time of the event. The data show that there were significant differences between the profession and the response to the event, as well as in relation to Post Traumatic Stress Disorder (PTSD), this being most evident in the group of firemen and military (p < 0.001; p < 0.001).

The results suggest the vital need for specific training for these professional groups in the field of mental health, aimed at the prevention of psychological disorders.

Keywords

Natural Disasters, peritraumatic experiences, post-traumatic Stress Disorder

O2 Musculoskeletal disorders in midwives

Cristina L. Baixinho, Mª Helena Presado, Mª Fátima Marques, Mário E. Cardoso
Escola Superior de Enfermagem de Lisboa, 1700-063 Lisboa, Portugal

Correspondence: Cristina L. Baixinho (crbaixinho@esel.pt) – Escola Superior de Enfermagem de Lisboa, 1700-063 Lisboa, Portugal

Background

The prevalence of musculoskeletal disorders related to work (MDRW) is high in midwives. The risk factors are associated with the physical environment, the nature of the occupation, the parturient, the type of delivery and the new-born. Objective: Identifying the safety practices adopted by the midwives to prevent the MDRW.

Methods

Qualitative exploratory study. The inclusion criteria for the 12 participants were, the professional title of the midwives, if they work in childbirth blocks. For results analysis, Bardin’s propose of content analysis was used. The anonymity and confidentiality of the results was guaranteed.

Results

Concerns about equipment and materials manipulation as to prevent low back overload in the initial positioning of the parturient and the mobilization of the new-born stood out. Speech analysis revealed difficulty in adopting preventive measures for the expulsive period, because the movement of pronation supination of the upper limbs needed to facilitate the birth is done by increasing muscular tension, making it difficult to maintain alignment and body balance.

Conclusions

Participants report difficulties in maintaining the principles of biomechanics especially in the expulsive period caused by the complications in controlling the parturient behaviour.

Keywords

Musculoskeletal disorders, midwives, biomechanics

O3 Negative childhood experiences and fears of compassion: Implications for psychological difficulties in adolescence

Marina Cunha1, Joana Mendes1, Ana Xavier2, Ana Galhardo1, Margarida Couto1
1Instituto Superior Miguel Torga, Coimbra, 3000-132 Coimbra, Portugal; 2Centro de Investigação do Núcleo de Estudos e Intervenção Cognitivo Comportamental, Universidade de Coimbra, Coimbra, 3001-802, Portugal

Correspondence: Marina Cunha (marina_cunha@ismt.pt) – Instituto Superior Miguel Torga, Coimbra, 3000-132 Coimbra, Portugal

Background

Adverse childhood experiences are not only linked to mental health difficulties but also to the inability to generate positive and affiliative emotions. Individuals from these adverse backgrounds may also fear and avoid compassionate feelings from others and being compassionate for others and for themselves. Objective: This study aims to test whether the impact of early negative memories in childhood on psychological difficulties is mediated by fears of compassion (for others, from others and for self).

Methods

The sample consists of 178 adolescents with ages between 12 and 18 years old (M = 15.53, SD = 1.96) from middle and secondary schools in the central region of Portugal. Participants answered the following self-report questionnaires: The Early Life Experiences Scale; the Fears of Compassion Scales; and the Strengths and Difficulties Questionnaire.

Results

Results from Path Analysis showed that the full model accounted for 36 % of the psychological difficulties among adolescents. The recall of threatening, subordination and devaluation experiences in childhood with parents had a direct impact on psychological difficulties. These early adverse experiences also had an indirect effect in psychological difficulties through both fears of compassion from others and for self. A multi-group analysis for gender was tested and the meditational model was equivalent for both genders.

Conclusions

These findings suggest that addressing adverse emotional memories in childhood and fears of compassion (in others and self-to-self relationships) may be a valuable approach for preventive and intervention actions in order to promote psychological adjustment in youths.

Keywords

Adolescence, psychological difficulties, negative emotional memories, fear of compassion, Path analysis

O4 Optimal age to give the first dose of measles vaccine in Portugal

João G. Frade1, Carla Nunes2, João R. Mesquita3, Maria S. Nascimento4, Guilherme Gonçalves5
1Escola Superior de Saúde de Leiria & Unidade de Investigação em Saúde, Instituto Politécnico de Leiria, 2411-901 Leiria, Portugal; 2National School of Public Health & Centro de Investigação em Saúde Pública, Universidade Nova de Lisboa, 1600-560 Lisboa, Portugal; 3Agrarian Superior School, Polytechnic Institute of Viseu, 3500-606 Viseu, Portugal; 4Laboratory of Microbiology, Department of Biological Sciences, Faculty of Pharmacy, University of Porto, 4050-313 Porto, Portugal; 5Unit for Multidisciplinary Biomedical Research, Institute of Biomedical Sciences Abel Salazar, University of Porto, 4050-313 Porto, Portugal

Correspondence: João G. Frade (joao.frade@ipleiria.pt) – Escola Superior de Saúde de Leiria & Unidade de Investigação em Saúde, Instituto Politécnico de Leiria, 2411-901 Leiria, Portugal

Background

The optimum age to give the first dose of the combined measles-mumps-rubella vaccine (MMR) must balance the risk of disease and the age of specific immunity induced by the vaccine.

Methods

A seroepidemiological study was conducted with 206 newborns, in the Obstetric service of a Hospital of the District of Leiria. The study followed all ethical procedures and was conducted under the approval of the ethical committee of the Hospital. At birth, a cord serum sample was collected. Measles antibodies were measured in cord sera, using Siemens Enzgnost’s immunoassay. Maternal vaccination history was ascertained through the analysis of individual records available at ACES Pinhal Litoral, Portugal.

Results

Among participants, 54 mothers had never been vaccinated with MMR, 62 had one dose and 90 had two doses. The concentration of measles antibody increased with the age of the mother (r2 = 0.097, p = 0.001) and was the highest in the newborns of mothers who had never been vaccinated against measles (μ = 1906, IC 95 % = 1194-2857 mUI/mL; p < 0.001). According to a hypothetical model, and to the level of measles antibody concentrations found at birth, 95 % of the children at 12 months of age should still have a title of measles antibody above 40 mUI/mL.

Conclusions

Giving the first dose of MMR at 12 months of age, would be a good decision if the half-life of measles antibodies in infants would be 44 days or less. Above that value, could be to compromise the effectiveness of the immune response.

Keywords

Measles, vaccine, Portuguese population

O5 Functional assessment of elderly in primary care

Conceição Castro1, Alice Mártires2, Mª João Monteiro2, Conceição Rainho2
1Agrupamento de Centros de Saúde (ACES) Baixo Mondego, 3080-199 Figueira da Foz, Portugal; 2Universidade de Trás-os-Montes e Alto Douro, Vila Real, 5001-801, Portugal

Correspondence: Conceição Rainho (crainho@utad.pt) – Universidade de Trás-os-Montes e Alto Douro, Vila Real, 5001-801, Portugal

Background

The aging process is multifactorial and progressive. A major goal in this process is to be active, in order to maintain independence and continue as long as possible an active life. Objectives: To evaluate the functional independence in activities of daily living of elderly; and analyse the scoring in daily activities in relation to socio-demographic variables.

Methods

A correlational study with elderly, registered in a health centre of central Portugal. It was used the Barthel index (10 items) to estimate the functional independence in activities of daily life. The score ranges from zero to hundred. The Spearman correlation was used, with a statistically significant level of α = 0.05.

Results

A total of 62 elders were assessed, 34 (54.8 %) of them women, with a mean age of 77.2 ± 7.5 years. The Barthel Index showed high internal consistency (Cronbach's alpha = 0.846). The average Barthel Index was 95.5 ± 10.2, most have a higher level of independence, however the elderly had more dependency for daily activities: bathing and using the toilet. The relationship between age and daily activities of the elderly was significant on the total score of the Barthel Index. The age and the level of independence shown to be statistically associated.

Conclusions

The results show the reliability of the Barthel Index. The age has been identified as the key factor and therefore is consistent with the results of other studies. This study may contribute to identify the factors that will promote the degree of independence.

Keywords

Elderly, life, activities

O6 Smoking and coronary events in a population of Spanish health-care centre: An observational study

Francisco P. Caballero1, Fatima M. Monago2, Jose T. Guerrero3, Rocio M. Monago4, Africa P. Trigo4, Milagros L. Gutierrez3, Gemma M. Milanés3, Mercedes G. Reina1, Ana G. Villanueva5, Ana S. Piñero6, Isabel R. Aliseda3, Francisco B. Ramirez1.
1Centro de Salud La Paz, Badajoz, 06011, España; 2Centro de Salud San Fernando, Badajoz, 06006 Badajoz, España; 3Complejo Hospitalario Universitario de Badajoz, Badajoz, 06080 Badajoz, España; 4Hospital Don Benito-Villanueva, Don Benito, 06400 Badajoz, España; 5Centro de Salud Villanueva Norte, Villanueva de la Serena, 06700 Badajoz, España; 6Centro de Salud Gevora, 06180 Gévora, Badajoz, España

Correspondence: Francisco P. Caballero (franciscoluisper@gmail.com) – Centro de Salud La Paz, Badajoz, 06011, España

Background

Smoking is a major risk factor for multiple chronic diseases, such as cardiovascular diseases and cancer, and an established risk factor for premature death. Objective. To analyse the association between smoking and total coronary risk (incidence of lethal and non-lethal coronary events) in a cohort of 35-74 year-old patients followed for 10 years.

Methods

Longitudinal, observational study of a retrospective cohort followed for ten years in primary care practices in Badajoz (Spain). A cohort of 968 patients (mean 55.7 year-old; 57.5 % women) without evidence of cardiovascular disease was studied. Smokers were defined as those who consumed any amount of tobacco daily during the year before, or those who declared cessation of smoking within less than one year.

Results

A 25.9 % of the patients were smokers (47.4 % of male and 10.2 % of female patients). Smokers were younger (51.5 vs 57.2 years, p < 0.001), with less prevalence of arterial hypertension (45.4 % vs 61.5 %, p < 0.01), and lower HDL-cholesterol (45.5 vs 54.0 mg/dl, p < 0.001). During the follow-up, they presented a higher mortality, myocardial infarction events, and more coronary episodes (14.7 % vs 9.2 %, p < 0.05). The final model of the logistic regression multivariate analysis revealed that only smoking and age are predictor variables of total coronary events, the greater odds ratio corresponding to smoking (OR: 2.33; IC95%; 1.31-4.16; p < 0.01).

Conclusions

In patients aged 35-74 years followed during 10 years, smoking doubles the risk of total coronary events. Primary health care and general practitioners must keep their commitment to investigate and search strategies that facilitate smoking cessation.

Keywords

Smoking, smoking and gender, cardiovascular risk factors, cardiovascular disease, primary health care

O7 Prevalence of musculoskeletal injuries in Portuguese musicians

Andrea Ribeiro, Ana Quelhas, Conceição Manso
Universidade Fernando Pessoa, Porto, 4249-004, Portugal

Correspondence: Andrea Ribeiro (andrear@ufp.edu.pt) – Universidade Fernando Pessoa, Porto, 4249-004, Portugal

Background

Quantify the prevalence of musculoskeletal disorders (MSDs) in musicians due by posture. The goal was also to measure the intensity of pain in different body parts and the influence of playing a certain musical instrument has on pain.

Methods

The sample used in this study consisted of all musicians of the Philharmonic Society of Crestuma and the Musical Band of Avintes, each constituted by fifty (50) musicians. All elements completed an individual questionnaire about individual and work factors and then the Nordic Musculoskeletal Questionnaire (NMQ).

Results

Neck, shoulders, wrists/hands, lumbar spine were main areas where the musicians complained about pain. Drummers were the ones who reported more intense pain in shoulders, wrists/hands and lumbar spine. It was also observed that women had higher pain intensities while compared to men. The pain seems to decrease with years of practice, except in what concerns the lower back.

Conclusions

This study concluded that there is a high prevalence of musculoskeletal disorders (MSDs) in musicians and the lumbar and cervical spine, shoulders and wrists/hands were the most affected areas.

Keywords

Prevalence, musculoskeletal disorders, pain, musicians

O8 Hip fractures, psychotropic drug consumption and comorbidity in patients of a primary care practice in Spain

Francisco P. Caballero1, Jose T. Guerrero2, Fatima M. Monago3, Rafael B. Santos4, Nuria R. Jimenez1, Cristina G. Nuñez1, Inmaculada R. Gomez1, Mª Jose L. Fernandez1, Laura A. Marquez3, Ana L. Moreno2, Mª Jesus Tena Huertas1, Francisco B. Ramirez1
1Centro de Salud La Paz, Badajoz, 06011, España; 2Complejo Hospitalario Universitario de Badajoz, Badajoz, 06080 Badajoz, España; 3Centro de Salud San Fernando, Badajoz, 06006 Badajoz, España; 4Universidad de Extremadura, Badajoz, 06071 Badajoz, España

Correspondence: Francisco P. Caballero (franciscoluisper@gmail.com) – Centro de Salud La Paz, Badajoz, 06011, España

Background

Hip fractures are a major health problem in elderly people, with great impact on their quality of life and life expectancy, beyond increasing dependence and institutionalization. Psychotropic drugs have been associated with multiple health problems, and they increase the risk of falls, which can cause fractures. Objectives: To analyse the risk factors for hip fracture in the population of a primary care practice in Badajoz (Spain), and the possible association between hip fractures and chronic use of psychotropic drugs.

Methods

Descriptive, observational study of 73 patients diagnosed with hip fracture between 2007-2013 (75.3 % women; 24.7 % men), with clinical history in the primary care practice.

Results

The mean age of the patients was 78.3 ± 12.6 years (79.5 % ≥ 70 years; 16.4 % ≥ 90 years), all women. 67.1 % had high blood pressure, 43.8 % cardiovascular diseases, 38.4 % dyslipidaemia, 30.1 % musculoskeletal diseases and 21.9 % some kind of visual impairment. Medication with psychotropic drugs was registered in 50.7 %, highlighting an important prescription among women (58.2 % vs 27.8 %, p < 0.05), mainly benzodiazepines (47.3 % vs 22.2 %, p = 0.053). However, only 19.2 % had picked up on their history a diagnosis to justify such a prescription.

Conclusions

Patients with hip fracture were women, with a mean age of 80.9 years and a register of high consumption of psychotropic drugs (58.2 %), particularly benzodiazepines (47.3 %). These results encourage a judicious prescription of psychotropic drugs in general, and benzodiazepines in particular, with limited duration of treatments, as recommended by the clinical practice guidelines.

Keywords

Hip fracture, Psychotropic drugs, Benzodiazepines, Prescription

O9 The role of self-criticism and shame in social anxiety in a clinical SAD sample

Daniel Seabra, Mª Céu Salvador
Faculty of Psychology and Education Sciences, University of Coimbra, Coimbra, 3001-802 Coimbra, Portugal

Correspondence: Daniel Seabra (daniel_seabra_@hotmail.com) – Faculty of Psychology and Education Sciences, University of Coimbra, Coimbra, 3001-802 Coimbra, Portugal

Background

Social Anxiety Disorder (SAD) is characterized by a marked fear or anxiety in situations where the individual might be exposed to the possible scrutiny by others. Post-Event Processing (PEP), which refers to a post-mortem rumination wherein the subject reviews critically and with detail what went wrong in the social event, is considered an important maintenance factor of SAD. Clinical practice seems to indicate that rumination in patients with SAD, is mainly a self-critical process frequently resulting in feelings of shame.

Aims: This study aimed to bridge the gap between cognitive variables (PEP) and evolutionary variables (Self-Criticism and Internal/External Shame) in understanding Social Anxiety (SA), exploring the mediator role of these evolutionary variables in the relationship between PEP and SA in a clinical sample of patients with SAD.

Methods

The sample was constituted by 32 subjects with SAD – 25 females (78.10 %) and 7 males (21.90 %) – with an average age of 26.78 (SD = 9.22), that filled several self-report instruments and answered a diagnostic interview.

Results

Self-Criticism and Internal Shame fully mediated the relationship between PEP and SA. However, Sobel test only supported the full mediation of Internal Shame.

Conclusions

These results suggest that SA does not directly depend on PEP levels but from Internal Shame levels. In other words, Internal Shame is the mechanism through which PEP impacts on SA. Therefore, Internal Shame seems to be an important health indicator to consider in the intervention with this population. Limitations and clinical implications will be discussed.

Keywords

Social Anxiety Disorder, Post-Event Processing, Shame, Self-Criticism, Mediation

O10 Obstruction and infiltration: a proposal of a quality indicator

Luciene Braga1, Pedro Parreira2, Anabela Salgueiro-Oliveira2, Cristina Arreguy-Sena3, Bibiana F. Oliveira4, Mª Adriana Henriques5
1Universidade Federal de Viçosa, Viçosa - Minas Gerais, 36570-900, Brasil; 2Escola Superior de Enfermagem de Coimbra, 3046-851 Coimbra, Portugal; 3Universidade Federal de Juiz de Fora, Juiz de Fora – Minas Gerais, 36036-330, Brasil; 4 Centro Hospitalar e Universitário de Coimbra, 3000-075 Coimbra, Portugal; 5Escola Superior de Enfermagem de Lisboa, 1700-063 Lisboa, Portugal

Correspondence: Luciene Braga (lucienemunizbraga@yahoo.com.br) – Universidade Federal de Viçosa, Viçosa - Minas Gerais, 36570-900, Brasil

Background

The quest for continuous improvement of the quality of provided care is the objective of nursing care. However, the insertion and permanence of a peripheral venous catheter has been associated to complications, thus making a systematic evaluation of the performance of professionals and the management of health services important. Objective: Analyse complications that caused removal of intravenous catheters.

Methods

A prospective study with 64 patients of a health service of Portugal, from July to September/2015. Included patients with age 18 years, with a peripheral venous catheter. Descriptive analysis using SPSS. Ethical requirements were met.

Results

Two hundred three (203) intravenous catheters, in 64 patients, most elderly (section 95.3 %), with mean age of 80 years were evaluated. The catheters remained inserted between one and 12 days (mean 2 days), 66 % of the devices were removed because of complications, such as: removal by the patient (17.7 %), obstruction (17.2 %), infiltration (14.8 %), phlebitis (9.4 %) and fluid exiting the insertion site (6.4 %). The prevalence of obstruction and infiltration per patient was respectively 36 % and 39 %.

Conclusions

Obstruction and infiltration were the complications of higher prevalence that led to the removal and reinsertion of a new peripheral venous catheter with the possibility of increased pain, infection and hospital costs. Faced with the risk of compromising patient safety and being able to contribute to the improvement of health care, we suggest the inclusion of obstruction and infiltration in the indicators of quality of care, in order to have systematic evaluation of results, (re)plan and implement preventive measures.

Keywords

Catheterization Peripheral, Complication, Nursing, Patient Safety, Quality Indicators Health Care

O11 Balance and anxiety and depression symptoms in old age people

Joana Santos, Sara Lebre, Alda Marques
School of Health Sciences, University of Aveiro, 3810-193 Aveiro, Portugal

Correspondence: Joana Santos (joanacarvalhosantos@ua.pt) – School of Health Sciences, University of Aveiro, 3810-193 Aveiro, Portugal

Background

Falls have high incidence in elderly and are major responsible for accidental deaths. People with high depression and anxiety symptoms have impaired balance and this is more problematic in the elderly population. However, it is unknown how anxiety and depression symptoms affect the different systems responsible for balance and balance confidence. Objective: Explore balance systems and balance confidence differences between elderly with presence/absence of anxiety and depression symptoms.

Methods

A quantitative cross-sectional study was conducted. Socio-demographic, anthropometric and general clinical data were collected with a structured questionnaire. Balance confidence was evaluated with Activities-specific Balance Confidence (ABC) and balance with Balance Evaluation System Test (BESTest) and Berg Balance Scale (BBS). The level of significance was set at p < .05.

Results

One hundred thirty-six (136) elderly (75.9 ± 8.8 years old; n = 96 female), participated in this study. All BESTest sections were significantly affected by the presence of anxiety or depression symptoms (p < 0.001). Similar results were observed in BBS (p < 0.001). The Reactive section presented the larger difference between present/absence of anxiety (49.4 ± 21.1 vs 84.2 ± 14.9; p < 0.001) and depression (46.3 ± 30.3 vs 88.5 ± 15.3; p < 0.001) symptoms. Participants’ balance confidence also decreased significantly in the presence of both symptoms (anxiety: p = 0.010; depression: p = 0.001). The severity of both symptoms influenced significantly the balance (BBS (anxiety: p = 0.013; depression: p = 0.029); BESTest (0.001 < p > 0.046)) but not the balance confidence (anxiety: p = 0.516; depression: p = 0.274).

Conclusions

The presence of anxiety and of depression symptoms significantly decrease balance performance and balance confidence in the elderly. The severity of symptoms significantly decreases balance performance but does not seem to significantly impact on balance confidence.

Keywords

Balance, old age people, anxiety, depression

O12 Prevalence of postural changes and risk factors in school children and adolescents in a northern region (Porto)

Clarinda Festas, Sandra Rodrigues, Andrea Ribeiro, José Lumini
Universidade Fernando Pessoa, 4249-004 Porto, Portugal

Correspondence: Clarinda Festas (clarinda@ufp.edu.pt) – Universidade Fernando Pessoa, 4249-004 Porto, Portugal

Background

Postural changes acquired during childhood and adolescence are a risk factor for disorders of the spine in adulthood and may become irreversible if not treated in time. The purpose of this study was to evaluate the postural changes among students of basic schools in the district of Porto.

Methods

Weight and height were measured. The "body chart" and visual analogue scale for pain and static postural form for evaluation of postural changes, backpack characteristics and additional physical activity questionnaire were used.

Results

This study included 285 students, aged 11.46 years ± 1.32 years, and weighing 43.36 kg ± 10.49 kg and with a height of 1.48 m ± 0.95 m. Use of backpack: 97.5 % of the participants, 83.0 % use it in both shoulders and 17.0 % only on one shoulder. In relationship to physical activity 58.0 % do it after regular school time, the most prevalent physical activity was swimming with 21.3 % and 23.1 % for football. Pain lifetime prevalence was 43.0 %. With regard to postural changes, elevation of the shoulders was the most prevalent (78.0 %), changes in iliocostalis angle (52.5 %) and flat feet (47.2 %), calcaneus valgus (37.7 %) and scoliosis (25.5 %), anterior head projection (63.0 %), anterior shoulder (45.2 %), pelvic anteversion (37.7 %), lumbar hyperlordosis (56.9 %) and knee recurvatum (24.2 %).

Conclusions

We conclude that postural changes found are according the postural characteristics for this age group and identification of changes allowed earlier clinical referral and propose school postural education prevention programmes.

Keywords

Postural changes, school children and adolescents, school health, backpack, pain

O13 Ischemic stroke vs. haemorrhagic stroke survival rate

Ana G. Figueiredo (ritagfigueiredo@gmail.com)
1Escola Superior de Saúde Dr. Lopes Dias, Instituto Politécnico de Castelo Branco, 6000-767 Castelo Branco, Portugal

Background

Stroke is the main cause of death in Portugal and it’s also one of the pathologies involved in several physical and psychological comorbidities and which often prevents stroke patients from having an autonomous life. There are still several gaps related to the prognosis of the two different types of stroke (ischemic and haemorrhagic) and is relevant to know which type has the better longevity. Objective: The main objective of the present study is to evaluate the survival rate of both types of stroke, and simultaneously the mortality risk in those patients.

Methods

A sample of 1367 individuals who suffered a stroke was collected in Hospital do Espírito Santo de Évora, between 2010 and 2015, after that the sample’s profile, risk factors and associated comorbidities were studied. Then, we created a subgroup from the initial sample with 311 individuals who suffered both types of stroke in the period 2013-2014 and performed a statistical analysis of survival and mortality risk.

Results

Individuals who suffered ischemic stroke have a lower mortality rate, as well as an improved initial survival; Three months after the event, the mortality risk becomes independent of the stroke type. We also observed that age has an effect on survival.

Conclusions

Haemorrhagic stroke is associated with an increased mortality and worse survival rate compared with ischemic stroke.

Keywords

Ischemic stroke, haemorrhagic stroke, survival, mortality

O14 Chronobiological factors as responsible for the appearance of locomotor pathology in adolescents

Francisco J. Hernandez-Martinez1, Liliana Campi2, Mª Pino Quintana-Montesdeoca3, Juan F. Jimenez-Diaz3, Bienvenida C. Rodriguez-De-Vera3
1Cabildo de Lanzarote, 35500 Arrecife, Lanzarote, Las Palmas, España; 2Servicio Canario de la Salud, 35500 – Arrecife, Lanzarote, Las Palmas, España; 3Universidad de Las Palmas de Gran Canaria, 35001 Las Palmas de Gran Canaria, Las Palmas, España

Correspondence: Francisco J. Hernandez-Martinez (fjhernandez@denf.ulpgc.es) – Cabildo de Lanzarote, 35500. Arrecife, Lanzarote, Las Palmas, España

Background

Chronobiology is a discipline that studies the biological processes following predictable temporal sequences, focusing on the analysis of circadian rhythms and biological rhythms associated with the geophysical basis. Any physiological function of living things can be analysed from the perspective of chronobiology as a phenomenon with a significant temporal and rhythmic dimension. Objective: To determine whether the existence of chronobiological factors and circadian variations involved in the development of locomotives diseases in adolescence.

Methods

Observational, descriptive, retrospective and quantitative study on the adolescent population of Lanzarote (Canary Islands) from 2010 to 2015 Study. Data collection: computer system Drago. Statistical Analysis with SPSS 23.0 software.

Results

On a sample of 1,214 adolescents it was found a significant association (p < 0.023) between gender, seasonal time and location of the lesion, being more frequent in males 11-16 years, most of them in autumn and winter and being the lower limbs in men (56 %) and arms in women (42 %), the most affected areas. Highlighting the lack of medical records in medical records regarding the etiology of the lesion (37.2 %) and time of occurrence (89 %).

Conclusions

The teenage gender is a trigger factor in musculoskeletal disorders. The prevalence of these diseases is higher in urban areas. The prevalent etiology is trauma. The climate and geographical location of Lanzarote, significantly influence the etiology and location of the lesion. We should prepare educational programs on risk prevention at schools.

Keywords

Chronobiology, adolescence, Lanzarote, locomotor pathology

O15 Risk of malnutrition in the elderly of Bragança

Alexandra Parente, Mª Augusta Mata, Ana Mª Pereira, Adília Fernandes, Manuel Brás
Escola Superior de Saúde, Instituto Politécnico de Bragança, 5300-121 Bragança, Portugal

Correspondence: Manuel Brás (manuel-bras@ipb.pt) – Escola Superior de Saúde, Instituto Politécnico de Bragança, 5300-121 Bragança, Portugal

Background

Malnutrition affects a significant number of people, the elderly being the main group affected. Retrospective studies highlight that the elderly are at higher risk and have higher susceptibility of nutritional deficiencies than young adults. Objective: To assess the risk of malnutrition in the elderly of Bragança.

Methods

Analytical and cross-sectional study. Based on a sampling error under 5 % and a confidence level of 95 %, a sample of 385 elderly people stratified by gender and age was studied. A questionnaire was used including nutritional risk assessment using the Mini Nutritional Assessment (MNA).

Results

56.4 % (217) are women and 43.6 % (168) are men with an average of 76.39 ± 7.18 years of age. The majority (62.9 %; 242) is married/civil partnership and 28.6 % (110) are widowers. 37.8 % (134) relate some degree of loneliness. We also noticed that 96 elderly (24.9 %) show risk of malnutrition. Those who are married/in a civil partnership have higher probability of normal nutritional condition when compared with single or divorced (OR = 2.925); those with schooling have higher probability of normal nutritional condition (OR = 2.287) compared to those without schooling. The ones who mention less loneliness present 1.5 to 4.7 higher probabilities of normal nutritional condition compared with the ones who state any level of loneliness. The ones who are functionally independent have higher probability of a normal nutritional state than those who have any degree of dependency.

Conclusions

Results highlight the need for specific protocols in health institutions to identify old people at nutritional risk allowing a timely intervention.

Keywords

Elderly, malnutrition, risk

O16 A Lifestyle Educational Programme for primary care diabetic patients: the design of a complex nursing intervention

Mª Rosário Pinto1, Pedro Parreira2, Marta L. Basto3, Ana C. Rei4, Lisete M. Mónico5
1Escola Superior de Saúde de Santarém, Santarém, 2005-075 Portugal; 2Escola Superior de Enfermagem de Coimbra, Coimbra, 3046-851 Portugal; 3Escola Superior de Enfermagem de Lisboa, Lisboa, 1700-063 Portugal; 4Hospital Distrital de Santarém, EPE, Santarém, 2005-177 Portugal; 5Universidade de Coimbra, 3004-504 Coimbra, Portugal

Correspondence: Mª Rosário Pinto (mrosariopinto.essaude@gmail.com) – Escola Superior de Saúde de Santarém, Santarém, 2005-075 Portugal

Background

Therapeutic Education is structural to diabetic people’s self-control. Although these questions have been a research theme of concern over the past years, there is a shortage of tested educational programmes that allow discussion of its effectiveness. Objective: To design a lifestyle educational programme for diabetic patients.

Methods

An exploratory and descriptive approach was made, starting by characterizing and understanding the context – a Primary Care Unit, as well as the usual educational intervention developed. Data collection included semi-directive interviews, observational moments and record analysis. Supported by a theoretical framework (Orem’s Self-care Theory and Empowerment perspective), information was analysed and discussed with the nurses, in group and individual interactions, from July until October 2014.

Results

The result was a Lifestyle Educational Programme directed to people with type 2 diabetes, focused on lifestyle and self-control behaviours, to be implemented by primary care nurses. With a 24-week timeline, the programme starts with a face-to-face nursing intervention, followed by two educational group sessions, the first one focussed on self-motivation and lifestyle generic behaviours, and the second one centred on foot self-care and monitoring. At 12 weeks, the second face-to-face intervention is done, complemented by a telephone monitoring intervention after four weeks, ending with the last individual moment, 24 weeks after the beginning of the programme.

Conclusions

The programme developed is a Complex Intervention, with several components, including the intervention usually carried out by nursing professionals, in addition to which is added group and telephone intervention, merged in an educational protocol that follows specific sequential phases.

Keywords

Therapeutic Education, Type 2 Diabetes, Lifestyle Educational Program, Nursing education

O17 Medication adherence in elderly people

Gilberta Sousa, Clementina Morna, Otília Freitas, Gregório Freitas, Ana Jardim, Rita Vasconcelos
Universidade da Madeira, 9000-082 Funchal, Portugal

Correspondence: Gilberta Sousa (gfranca@uma.pt) – Universidade da Madeira, 9000-082 Funchal, Portugal

Background

Adherence to medication regimens is an indicator of health service efficiency (WHO, 2003). It promotes improvements in clinical status, safety and quality of life of individuals and leads to better financial results, reflected by reduced use of health services and decreases the risk of aggravation of disease and acute crises caused by inadequate drug management. Objective: Describe the level and factors associated with the adherence to medication regimens in the elderly.

Methods

From a research-action perspective, we developed a descriptive, quantitative and transversal study (2014), with random and accidental sample in a Madeira Island parish (n = 493) using the questionnaire “Measure Adherence to Treatment- MAT” validated for the Portuguese population (α = 0.74).

Results

Mean age 70 years (σ ± 7.1); 68 % female; 70 % have 4 years of education; 40 % consume 5 or more different drugs/day; with a mean of adherence of 5.4(6). The main factors that influence adherence are the problems of memory (40 %); In the MAT subscales 23.5 % non-adherence was found; 13.5 % non-adherence by excess; 18.0 %-non-adherence by deficit and 14.1 % other causes. In the subscale of non-adherence, the values observed were: 33.0 % failure to take the medication; 30.5 % the neglect in the time of taking; 16.8 % abandonment because they feel better and 15.8 % because they feel worse.

Conclusions

The results corroborate the findings of other studies and express the priorities for action in this context. In partnership, specific objectives were outlined and nursing interventions designed to enhance patient adherence to medication prescriptions.

Acknowledgements

Authors wish to acknowledge the helpful collaboration given to this study by the Nursing students.

Keywords

Adherence to medication regimen, elderly, nursing intervention

O18 Hospitalization for cervical cancer of residents in the metropolitan region of Porto Alegre, Southern Brazil, 2012 to 2014

Lina G. Horta, Roger S. Rosa, Luís F. Kranz, Rita C. Nugem, Mariana S. Siqueira, Ronaldo Bordin
Federal University of Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, 90050-170, Brasil

Correspondence: Roger S. Rosa (roger.rosa@ufrgs.br) – Federal University of Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, 90050-170, Brasil

Background

Cervical cancer is caused by persistent infection due to certain oncogenic types of human papillomavirus (HPV). These changes of the cells are easily discovered on the Pap test and are curable in almost all cases. Objective: To describe the characteristics of hospitalizations for cervical cancer in the public health system by residents of the Greater Porto Alegre (GPA), in southern Brazil, 2012 to 2014.

Methods

Analysis of hospitalizations with a primary diagnosis ICD-10 C53 from the Hospital Information System (HIS)/SUS publicly available. Calculation of indicators by age, stay, mortality and hospitalization for spending.

Results

There were 2,143 hospitalizations (714.3/year) in the public health system for cervical cancer of the GPA residents (3.4/10,000 inhabitants/year). Hospitalizations and deaths of patients up to 44 years represented 41.0 % and 27.9 % respectively. The average length of stay was 7.4 days. Thirty-two (1.5 %) patients needed to use Intensive Care Unit (ICU). The mortality rate reached 8.5 % with 183 deceased patients (61/year). The average annual expenditure was $ 657,0 thousand PPP (Purchasing Power Parity) and the average value per hospitalization $ 919,78 PPP.

Conclusions

Hospitalization for and death from cervical cancer have occurred in young women in GPA and it could be prevented if more emphasis was given to preventive tests.

Keywords

Women, cervical cancer, hospitalization, primary care sensitive conditions, public health system

O19 Oncologic assistance of high complexity: evaluation of regulating accesses

Rosiane Kniess, Josimari T. Lacerda
Universidade Federal de Santa Catarina, Florianópolis, 88040-900 Brasil

Correspondence: Rosiane Kniess (rosik29@gmail.com) – Universidade Federal de Santa Catarina, Florianópolis, 88040-900 Brasil

In many countries, health systems are guided by the principle of equal access, which becomes a major challenge when it comes to high-magnitude diseases, such as cancer. In Brazil, this is considered as a public health problem due to its high incidence, mortality and difficulty in accessing diagnosis and treatment. This research study aimed at analysing the regulation of access to highly complex cancer care in a Brazilian State, considering the normative criteria established under the Unified Health System, the care model structure, and integrated and coordinated network services. The research involved two stages: design of the evaluation model and case study. The evaluation model consisted in 14 indicators, grouped into two dimensions - working condition and adequacy of regulation - and was agreed by experts in consensus workshops. Data were collected through direct observation, interviews with managers and professionals from the State Regulatory Agency, and the review of information and documents from the regulatory sector data banks. The research findings show that the performance of the Regulatory System in regulating the access to highly complex cancer care in the State under study is being implemented, although its ability to meet the patients’ health needs falls short of its potential. There are weaknesses in the implementation and adoption of Information and Regulation Systems and in the availability of information with the potential to help the State manager’s decision-making in highly complex cancer care.

Keywords

Evaluation, Regulation, Access Oncology

O20 Perceived barriers for using health care services by the older population as seen by the social sector: findings from the Vila Nova de Gaia Gerontological Plan

Joana Guedes, Idalina Machado, Sidalina Almeida, Adriano Zilhão, Helder Alves, Óscar Ribeiro
Instituto Superior de Serviço Social do Porto, 44600-362 Sra. da Hora, Portugal

Correspondence: Joana Guedes (joana.guedes@isssp.pt) – Instituto Superior de Serviço Social do Porto, 44600-362 Sra. da Hora, Portugal

Background

Access to health services means the timely use of personal health services to achieve the best health outcomes. Several studies have identified a multiplicity of impediments to health services accessibility by older adults including cost, cultural barriers and physical access barriers. Objectives: This study takes part of a Gerontological Plan currently being conducted in the Vila Nova de Gaia (VNG) Municipality. It focuses on the main difficulties observed in the older population as perceived by professionals who assume a pivotal role in the coordination of social care services at a parish level.

Methods

Twenty interviews were conducted and data was analysed based on thematic content.

Results

Access to health care services was found to be an important difficulty, namely due to the costs/affordability of health care visits and to the lack/costs of transportation particularly for seniors living in rural areas. Problems related to family care provision and medical care compliance, low incomes and the absence of specialized services (e.g. neurocognitive disorders) were also frequently mentioned constraints.

Conclusions

Findings are in line with the last WHO World Health Survey, which highlights that in low and lower-middle income countries the greatest barriers that many older people face in accessing health care appear to arise from the cost of the health-care visits and transportation. These findings raise important questions for defining and implementing policies aimed at meeting the needs of the older population and have to be further complemented with the perspective of the older adults themselves and their experiences as patients.

Keywords

Older adults, accessibility to health care, healthy aging, gerontological plan

O21 Sleep difficulties and depressive symptoms in college students

Ana P. Amaral, Ana Santos, Joana Monteiro, Mª Clara Rocha, Rui Cruz
Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal

Correspondence: Ana P. Amaral (apamaral.22@gmail.com) – Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal

Background

Usually sleep disturbances often precede depression, being an independent risk factor for a first episode or recurrence of depression [1]. Young adults beginning college are entering a new phase with new social contexts, demanding classes and variable sleep schedules. These significant lifestyle changes are associated with lower sleep quality [2] and with a higher prevalence of psychological distress and depression [3]. Objectives: I) To study the prevalence of sleep difficulties and depressive symptoms in college students and II) To analyse the relationship between these two variables.

Methods

Seven hounded seventy-six (776) Portuguese students (64.3 % females) filled in the Beck Depressive Inventory II (BDI II) [4] and an adaptation of a sleep self-response questionnaire [5].

Results

In the present sample 49.6 % students reported sleep difficulties, which varied according to gender and age (p < 0.05). The prevalence of difficulty initiating sleep was 25.4 %, of maintaining sleep was 20.5 % and of early morning awakening was 30.2 %. The prevalence of depression was 17.4 %, highlighting the somatic dimension. Strongest correlations were observed between sleep difficulties and depression (r = 0.332; p < 0.001).

Conclusions

The results show a high prevalence of sleep difficulties associated with depressive symptoms. It was found that approximately 1/5 of the analysed students had depression. These results underline the importance of developing prevention programs in higher education for healthy sleep in order to promote better mental health.

References

1. Espie CA, Bartlett DJ. Chapter 142 Insomnia. International Neurology: A Clinical Approach. Edited by Robert P. Lisak, Daniel D. Truong, William M. Carroll, and Roongroj Bhidayasiri. 2009 Blackwell Publishing, ISBN: 978-1-4051-5738-4.

2. Kloss, Nash, Horsey, & Taylor (2011). The Delivery of Behavioral Sleep Medicine to College Students. Journal of Adolescent Health, 48 (6): 553-561. DOI: http://dx.doi.org/10.1016/j.jadohealth.2010.09.023

3. Christensson et al. Change in depressive symptoms over higher education and professional establishment - a longitudinal investigation in a national cohort of Swedish nursing students. BMC Public Health, 2010: 343 http://www.biomedcentral.com/1471-2458/10/343.

4. Beck, A.T., Steer, R.A., & Brown, G.K. Manual for Beck Depression Inventory-II. San Antonio, TX: Psychological Corporation; 1996.

5. Gomes A A, Tavares J & Azevedo M H. Sleep and Academic Performance in Undergraduates: A Multi-measure, Multipredictor Approach. Chronobiology International: The Journal of Biological and Medical Rhythm Research. 2011; 28: 9. DOI: 10.3109/07420528.2011.606518.

Keywords

Mental health, sleep, depression, college students

O22 Psychopathological symptoms and medication use in higher education

Ana P. Amaral, Marina Lourenço, Mª Clara Rocha, Rui Cruz
Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal

Correspondence: Ana P. Amaral (apamaral.22@gmail.com) – Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal

Background

Research on mental health in higher education reported a high prevalence of psychological distress among students [1]. The college years represent a developmentally challenging transition to adulthood, and untreated mental illness may have significant implications for academic success, productivity, substance use, and social relationships [2]. Objectives: I) To study the prevalence of psychopathological symptoms and medication use in college students and II) To analyse the relationship between these two variables.

Methods

Seven hundred seventy-six (776) Portuguese students (64.3 % females) filled in the Portuguese version of the Brief Symptom Inventory (BSI) [3, 4] and a self-response questionnaire about medication use.

Results

20.1 % of the student’s present psychopathology, more prevalent in females in several dimensions (Somatization, Obsessive-Compulsive, Interpersonal Sensitivity, Depression, Anxiety, and Paranoid ideation), being the Obsessive-Compulsive dimension the most prevalent. 50.1 % of the students had consumed medication in the last four weeks: 14.7 % Non-steroidal anti-inflammatory, 14.0 % Analgesics and antipyretics, 5.3 % Antihistamines and 1.7 % Psychotropic drug. The prevalence was higher in females (75.4 %). Comparing students with and without psychopathological symptoms we found significant differences in relation to use of medication (p < 0.05). Students with psychopathological symptoms use more Analgesics and antipyretics and Psychotropic drugs (p < 0.05).

Conclusions

Results indicate a relevant prevalence of psychopathology, higher in females and a high prevalence of medication use. Students with psychopathological symptoms use more medication. These results highlight the importance of developing mental health intervention programs.

References

1. Christensson A, Runeson B, Dickman, PW, Vaez M. Change in depressive symptoms over higher education and professional establishment - a longitudinal investigation in a national cohort of Swedish nursing students. BMC Public Health, 2010; 10:343–353.

2. Hunt J, Eisenberg D. Mental Health Problems and Help-Seeking Behavior among College Students. Journal of Adolescent Health, 2010; 46(1): 3-10.

3. Derogatis LR. BSI: Brief Symptom Inventory. Minneapolis: National Computers Systems; 1982.

4. Canavarro MC. Inventário de Sintomas Psicopatológicos—BSI. Testes e Provas psicológicas em Portugal. Simões MR, Gonçalves M, Almeida L. Eds., Braga: Sistemas Humanos e Organizacionais. 1999(II), 95-109.

Keywords

Mental health, Medication use, Students

O23 Sexually transmitted diseases in higher education institutions

Sandra Antunes, Verónica Mendonça, Isabel Andrade, Nádia Osório, Ana Valado, Armando Caseiro, António Gabriel, Anabela C. Martins, Fernando Mendes
Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal

Correspondence: Fernando Mendes (fjmendes@estescoimbra.pt) – Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal

Background

There is evidence from the literature that an individual with adequate health literacy (HL) has the ability to be responsible for its own health as well as one's family and community health. However, actions such as unprotected sexual intercourse (SI) and multiple partners during adolescence are important risk factors to transmission of sexually transmitted diseases (STD). Objective. To study the relationship between HL, STD and risks behaviour in second and third years of higher education studies, comparing students of health sciences (HSc) vs. non-health sciences (NHSc).

Methods

A questionnaire was used to evaluate the HL level and sexual risk behaviours, and a blood sample was collected for ELISA screening of HIV, HCV and Herpes simplex virus type 2 (HSV 2), and Treponema Pallidum (VDRL test).

Results

Higher levels of HL were found in HSc students (p < 0.001), and also in those with higher level of confidence in condom use (p < 0.05). In average, NHSc students had a higher number of sexual partners (p = 0.001). The practice of anal intercourse is associated with younger age at first SI, as well as a higher number of sexual partners. STD prevalence (2.5 %), in particular in the case of HSV 2, was higher in those who consume more alcohol to relax before a sexual encounter.

Conclusions

Students of NHSc show a lower level of HL, higher number of sexual partners and higher level of practice of anal intercourse when compared with HSc students.

Keywords

Health literacy, higher education students, HIV, HCV, HSV2, syphilis, risk behaviours

O24 Alcohol consumption and suicide ideation in higher education students

Lídia Cabral, Manuela Ferreira, Amadeu Gonçalves
Escola Superior de Saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal

Correspondence: Lídia Cabral (lcabral@essv.ipv.pt) – Escola Superior de Saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal

Background

Alcohol abuse appears associated with numerous risk behaviours among students, including suicide attempts. One in each four students who attempted suicide admitted to having consumed alcohol or drugs before the act (WHO, 2013) [1]. Objective: To identify the influence of alcohol consumption in suicidal ideation of higher education students.

Methods

We resorted to a model of quantitative, cross-sectional, analytical, descriptive and correlation research. Two hundred and sixty (260) students of our institution (Health School of Viseu) participated in the study. The evaluation protocol includes a socio-demographic questionnaire, the Involvement Scale for Adolescents with Alcohol Filstead & Mayer (1979) adapted by Fonte & Alves (1999) [2] and the Suicidal Ideation Questionnaire-QIS-Reynolds (1988) adapted to the Portuguese population by Ferreira e Castela (1999) [3].

Results

We found that 69.9 % of students started drinking after the age of 15, and curiosity (61.3 %) was the main given reason. Of the 87.2 % habitual drinkers, only 3.3 % reported drinking problems. It should be noted that 3.1 % of the students admitted having suicidal thoughts. In our study there were no statistically significant associations between alcohol consumption and suicidal ideation (p > 0.005).

Conclusions

The results point to the importance of continuing to investigate the association between alcohol consumption and suicide ideation. The early onset of alcohol consumption associated with easy access to such drinks and suicidal ideation are variables to consider in future researches and in actions intending to promote healthier lifestyles among higher education students.

References

1. WHO Suicide Prevention (SUPRE). WHO: 2013.

2. Fonte A, Alves A. Uso da Escala de Envolvimento com o Álcool para Adolescentes (AAIS). Avaliação das Características Psicométricas. Alcoologia, Revista da Sociedade Portuguesa de Alcoologia. 1999: VII (4).

3. Ferreira J, Castela M. Questionário de Ideação Suicida (Q.I.S.). In M. R. Simões, M.M. Gonçalves & L. S. Almeida (Eds.). Testes e Provas Psicológicas em Portugal. Braga: APPORT/SHO; 1999; 2: 123-130.

Keywords

Drinking, suicidal ideation, students

O25 Quality of life in university students

Tatiana D. Luz, Leonardo Luz, Raul Martins
1Universidade Federal de Alagoas, Maceió, Alagoas, 57072-900, Brasil; 2Faculdade de Ciências do Desporto e Educação Física, Universidade de Coimbra, 3040-248 Coimbra, Portugal

Correspondence: Tatiana D. Luz (tati-ddluz@hotmail.com) – Universidade Federal de Alagoas, Maceió - Alagoas, 57072-900, Brasil

Background

The transition from high school to university usually represents changes in the lifestyle of the students. However, changes in the quality of life (QoL) are not well known in this population. Objective: The aim of this study is to analyse the QoL of university students by gender and school year.

Methods

Participants are 198 undergraduate students (135 males and 63 females) at Faculdade de Ciências do Desporto e Educação Física of the University of Coimbra (FCDEF-UC). Demographic variables and physical activity were collected using a self-reported questionnaire. QoL was assessed using the Medical Outcomes Study 36-Item Short-Form Health Survey - SF-36v2. MANOVA one-way, and MANCOVA, controlling for gender, were used to compare variables of interest (p < 0.05).

Results

Males had higher QoL than females, specifically in the domains of vitality (M = 61 ± 17, F = 53 ± 18; p =0.003), social functioning (M = 83 ± 18, F = 77 ± 21; p = 0.039), role-emotional (M = 81 ± 21, F = 74 ± 23; p = 0.053), mental health (M = 73 ± 17; F = 66 ± 19; p = 0.005), mental component score (M = 74 ± 15, F = 67 ± 16; p = 0.005), and overall SF-36 (M = 78 ± 11, F = 73 ± 13; p = 0.006). Students in the third school year had higher role-physical (p = 0.045) and bodily pain (p = 0.034) than in the first school year, controlling for gender.

Conclusions

Male students had better QoL than women. Students in the third school year had higher values in the domains of role-physical and bodily pain. Further research in this area with university students is recommended.

Keywords

Quality of life, SF-36, university students

O26 Male and female adolescent antisocial behaviour: characterizing vulnerabilities in a Portuguese sample

Alice Morgado, Maria L. Vale-Dias
Faculty of Psychology and Education Sciences, University of Coimbra, Coimbra, 3000-115 Coimbra, Portugal

Correspondence: Alice Morgado (alicemmorgado@gmail.com) – Faculty of Psychology and Education Sciences, University of Coimbra, Coimbra, 3000-115 Coimbra, Portugal

The adolescent antisocial phenomenon is an important matter for our society due to the increase in frequency and severity of deviant conducts during a developmental stage, when individuals face multiple changes.

We present a study on antisocial manifestations and their relation with gender, age, socioeconomic status, personality, social skills, self-concept, and family environment in a sample of 489 adolescents, that filled self-report measures to assess behaviour, personality, self-concept, family environment and social skills.

Results show important gender differences that may explain why boys have higher antisocial tendencies. While, in boys, psychoticism and family environment contribute to determine which individuals are more likely to have higher antisocial scores; female antisocial tendency appears to be defined by individual dispositions and social skills. Significant correlations between antisocial behaviour, age, personality, social skills, self-concept and family environment in boys and girls reveal the importance of individual dispositions and of early prevention efforts focused on the individual and family.

Conclusions focus on the importance of dimensions for the prevention of adolescent antisocial behaviour and reveal important gender differences and trends on the evolution of antisocial behaviour through adolescence. We demonstrate the importance of differences between boys and girls in adolescent antisocial behaviour and of the necessity to address this issue taking into account gender specificities and vulnerabilities.

Keywords

Antisocial behaviour, adolescence, gender differences

O27 Risk factors for mental health in higher education students of health sciences

Rui Porta-Nova (rnova@esscvp.eu)
Escola Superior da Saúde da Cruz Vermelha Portuguesa, Lisboa, 1300-125, Portugal

Background

The mental health of students attending higher education in the area of Health Sciences may be conditioned by factors which may affect them as a person, their relationships and their academic performance, compromising their adaptation. Objectives: To identify the main risk factors for mental health, associated with the academic life experiences of students of Health Sciences and to contribute to the implementation of prevention strategies of mental health problems in these students.

Methods

The research dealt with a sample of 620 people, medical students, nursing students and applied health students, namely: physiotherapy, cardiopulmonary technology and radiography, whose average age was 20.3 and ranged between 18 and 25 years old, 81 % being female. The instruments used were a Demographic Questionnaire; Academic Life Experiences Questionnaire [1,2] and Mental Health Inventory [3].

Results

The results showed that attending the 1st year in the course of physiotherapy, belonging to the female gender, being displaced, having a lower career expectation, not being autonomous, showing a negative perception of their cognitive skills, lower self-confidence, decreased of psychological and/or physical well-being, academic difficulties resulting from deficient knowledge bases and high levels of anxiety in situations of assessment, are associated with poorer mental health.

Conclusions

This calls for special attention from the different structures of Higher Education institutions, namely, governing bodies, teachers and academic services, to reduce the negative impact of these risk factors and implement strategies to prevent the incidence of mental health problems in this population.

References

1. Almeida LS, Ferreira JA. Questionário de vivências académicas. Braga: Universidade do Minho, Centro de Estudos em Educação e Psicologia; 1997.

2. Almeida LS. Ferreira JA. Adaptação e rendimento académico no ensino superior: fundamentação e validação de uma escala de avaliação de vivências académicas. Psicologia: Teoria, Investigação e Prática. 1999; 1:157-170.

3. Veit C, Ware J. The structure of psychological distress and well-being in general populations. Journal of Consulting and Clinical Psychology. 1983; 51:730-742.

Keywords

Mental Health, risk factors, higher education, health sciences students

O28 International classification of functioning disability and health as reflexive reasoning in primary attention in health

Tânia C. Fleig, Éboni M. Reuter, Miriam B. Froemming, Sabrina L. Guerreiro, Lisiane L. Carvalho
Universidade de Santa Cruz do Sul, Santa Cruz do Sul – Rio Grande do Sul, 96815-900, Brasil

Correspondence: Tânia C. Fleig (tcmfleig@gmail.com) – Universidade de Santa Cruz do Sul, Santa Cruz do Sul, Rio Grande do Sul, 96815-900, Brasil

Background

In Primary Health Care (PHC) the impact of health problems on the individual’s health, interaction with the environment and on the quality of life guided by the International Classification of Functioning Disability and Health (ICF), allows an approach to health indicators and attention to the components of functionality, environmental and personal contexts. Objective: To describe the functionality profile of people registered in Family Health Strategies (FHSs).

Methods

A transversal study. Ninety-two people were attended in the physiotherapy apprenticeship programme of UNISC, in PHC, starting from the physiotherapeutic diagnosis guided by ICF, at four FHSs in Santa Cruz do Sul (Rio Grande do Sul, Brazil), in 2015. Data presented in relative frequency.

Results

The prevalent alterations were sensorial functions and pain (84 %), pain (75 %), cardiovascular, haematological, immunological and respiratory alterations (56 %), neuromusculoskeletal problems and those related to movement (85 %), mobility of joints (73 %) and muscular strength (50 %), structures related to movement (94 %) and lower extremities (56 %). The limitations of activities and restriction in participation was in mobility (66 %). The environmental factors of larger occurrence were products and technology (56 %), support and relationships (91 %), immediate family being a facilitator and barrier (67 % and 14 %), and health professional facilitators (82 %). Services, systems and policies (62 %) are added, especially services, systems and policies of health (52 % facilitator; 4 % barrier).

Conclusions

The ICF is considered in the composition of health indicators sustaining, expanding and guiding the actions of health, enlarging access and people's accessibility to provide comprehensive attention and to care.

Keywords

International Classification of Functionality, Primary Health Care, health indicators

O29 Risk factors and cardiovascular disease in Portalegre

Daniel Guedelha, P. Coelho, A. Pereira
Escola Superior de Saúde Dr. Lopes Dias, Instituto Politécnico de Castelo Branco, 6000-767 Castelo Branco, Portugal

Correspondence: Daniel Guedelha (daniel.jsguedelha@gmail.com) – Escola Superior de Saúde Dr. Lopes Dias, Instituto Politécnico de Castelo Branco, 6000-767 Castelo Branco, Portugal

Background

Cardiovascular disease is the main cause of disability and premature death worldwide, being associated to these clinical conditions various cardiovascular risk factors leading to a higher prevalence of cardiovascular disease manifested in different ways. Among the various cardiovascular risk factors, it stands out dyslipidaemia, diabetes mellitus, hypertension, smoking and family history of atherosclerotic disease. Objective: The aim is to estimate the prevalence of cardiovascular risk factors and cardiovascular disease, such as acute myocardial infarction and stroke in Portalegre city's population.

Methods

The present study is of the analytical, observational and cross-sectional type in a random sample, consisting of 1,000 subjects and collected between July 2014 and January 2015. Data were collected by a questionnaire applied to the population under study.

Results

In 1,000 subjects there was a mean age of 52.5 ± 19.1 years and 54.7 % of subjects belonged to the female gender. The overall prevalence of hypertension was 35.0 % followed by hypercholesterolemia with 32.3 %, smoking habits with 14.0 % and 15.8 % of ex-smokers, diabetes present in 12.0 % of respondents and hypertriglyceridemia, that was the less present in the population with 7.2 %. It was also analysed cardiovascular pathology, being obtained a prevalence of acute myocardial infarction of 4.2 % and 2.7 % for stroke.

Conclusions

The prevalence of risk factors proved to be high in the population of the city of Portalegre, as well as the occurrence of the cardiovascular events studied.

Keywords

Cardiovascular risk factors, Acute Myocardial Infarction, stroke, prevalence, Portalegre

O30 Health status of the elderly population living in Portalegre historic city centre: A longitudinal study

António Calha, Raul Cordeiro
Instituto Politécnico de Portalegre, 7301-901 Portalegre, Portugal

Correspondence: António Calha (antoniocalha@hotmail.com) – Instituto Politécnico de Portalegre, 7301-901 Portalegre, Portugal

Demographical changes and the increasing proportion of older people will generate new health needs in the coming years as well as huge challenges to health and social systems. The growth in the number of older people living alone in urban areas is particularly problematic because of the potential health risk that may be associated with social isolation and loneliness.

In this paper we present the results of a longitudinal descriptive and correlational study of the elderly population living in Portalegre historic city centre. The purpose of the research is to monitor trends between 2013 and 2015, regarding health status (self-assessment of health status; self-assessment of the existence of changes in health status and autonomy in performing everyday activities), feelings of loneliness and symptoms of depression. The first evaluation took place in January 2013 comprising a sample of 123 elders. The second evaluation took place in October 2015 comprising 44 elderly people (79 cases had been lost between the 1st and the 2nd evaluations).

Results showed a deterioration of health status (although differences were not statistically significant), changing the self-perceived unhealthy elderly from 43.5 % to 58.2 % (p = 0.227 by McNemar's test)- The same tendency was found in the percentage of elderly needing help in performing everyday activities, changing from 5 % in 2013 to 14 % in 2015 (p = 0.289 by McNemar's test).

Concerning feelings of loneliness and symptoms of depression a weakening was also found of elderly people’s status with potential consequences on social and personal wellbeing.

Keywords

Aging, health status, loneliness, depression symptoms

O31 Student’s sleep in higher education: sleep quality among students of the IPB

Ana Gonçalves, Ana Certo, Ana Galvão, Mª Augusta Mata
Instituto Politécnico de Bragança, Bragança, 5300-121, Portugal

Correspondence: Ana Gonçalves (velosogoncalves@gmail.com) – Instituto Politécnico de Bragança, Bragança, 5300-121, Portugal

Background

Sleep represents a basic human need, embodying several crucial functions in the young adult phase. Objective: To evaluate the sleep quality of higher education students.

Methods

A descriptive-transversal study with a quantitative approach. Non-probabilistic convenience sample of 358 students from Instituto Politécnico de Bragança (IPB). Data collection tools used: Socio-demographic record and the Pittsburgh Sleep Quality Index (PSQI).

Results

The majority of the sample (54 %) presents bad sleep quality and the remaining (46 %) good quality. Concerning gender, we can highlight that the majority of males presents good sleep quality and the majority of the females bad quality. Concerning sleep quality, the results match those of Pereira (2013) [1], who obtained a global PSQI score of 7.74, with 76 % of the students considered to have bad sleep quality and 24 % good quality. Data from national and international literature state that university or higher education students present bad sleep quality. Concerning the difference of sleep quality among genders, the results corroborate those of Coelho (2014), [2] in which females were more affected by bad sleep quality.

Conclusions

The majority of higher education students consider that they have bad sleep quality and gender influences quality. Given the aforementioned, it becomes imperative to perform interventions that promote sleep quality in this group.

References

1. Pereira, A. Hábitos de Sono em Estudantes Universitários [Dissertação]. Porto: Universidade Fernando Pessoa; 2013.

2. Coelho, A. Avaliação da Qualidade do Sono em Estudantes Universitários e a sua relação com Disfunções Temporomandibulares Musculares [Dissertação] Porto: Universidade Fernando Pessoa; 2014.

Keywords

Sleep, students, higher education, life quality

O32 Trend in mortality from cervical cancer in the metropolitan area of Florianópolis, state of Santa Catarina, Brazil, 2000 to 2013

Aline Welter1, Elayne Pereira1, Sandra Ribeiro2, Marcia Kretzer1
1Universidade do Sul de Santa Catarina, Palhoça, Santa Catarina, 88137-270 Brasil; 2Secretaria Municipal de Saúde de Palhoça, Palhoça, Santa Catarina, 88132-149, Brasil

Correspondence: Aline Welter (ninewelter@gmail.com) – Universidade do Sul de Santa Catarina, Palhoça, Santa Catarina, 88137-270 Brasil

Background

Cervical cancer is a public health problem in Brazil and worldwide, due to the high mortality rates observed mainly in less developed regions. Being the most preventable cancer, is of great importance its early diagnosis and treatment. Objective: To analyse time trends in mortality from cervical cancer 2000 to 2013 in the metropolitan area of Florianópolis, state of Santa Catarina - Brazil, by age-specific groups and its regions.

Methods

An ecological study of time series was conducted using data from the National Information System on Mortality. Data on deaths from 2000 to 2013. Crude and specific mortality rates were calculated according to age group and region. The existence of correlations was analysed by the Spearman's correlation coefficient t.

Results

There was little variability in mortality trends from Cervical Cancer in the metropolitan region, ranging between 3.43 and 2.24/100 thousand, with a declining trend from 40 to 49 years (r = -0.547; p < 0.05). Analysing the cities, in Florianópolis there was a declining trend from 60 to 69 years (r = -0.612; p < 0.05) and from 70 to 79 years (r = -0.701; p < 0.01), while in the São José city there was an increasing trend in the age group from 60 to 69 years (r = 0.539; p < 0.05).

Conclusions

The mortality trend of Cervical Cancer in the metropolitan area of Florianópolis is stationary, with a decrease from 40 to 49 years. In the city of Florianopolis there was a decreasing trend from 60 to 79 years, and in the São José city there an increase from 60 to 69 years.

Keywords

Cervical cancer, uterine cervical neoplasms, mortality trends

O33 Adherence to treatment in the elderly in an urban environment in Spain

Juan-Fernando Jiménez-Díaz1, Carla Jiménez-Rodríguez1, Francisco-José Hernández-Martínez2, Bienvenida-Del-Carmen Rodríguez-De-Vera1, Alexandre Marques-Rodrigues3
1Universidad de Las Palmas de Gran Canaria, 35001 Las Palmas de Gran Canaria, Las Palmas, España; 2Cabildo de Lanzarote, 35500. Arrecife, Lanzarote, Las Palmas, España; 3Universidade de Aveiro, 3810-193 Aveiro, Portugal

Correspondence: Juan-Fernando Jiménez-Díaz (juanfernando.jimenez@ulpgc.es) – Universidad de Las Palmas de Gran Canaria, 35001 Las Palmas de Gran Canaria, Las Palmas, España

Background

Lack of adherence to treatment is a major public health problem. Over 50 % of the Spanish population fails to comply with prescribed treatments. The WHO defines adherence as "the degree to which a person's behaviour corresponds with agreed recommendations from a health care provider." Therefore, in addition to the clinical impact also it has socio-economic implications. Objective: To determine the level of adherence to treatment in a sample of over 65 with chronic polypharmacy and diseases in an urban environment.

Methods

A cross-sectional descriptive study with a simple random sampling from a Community Pharmacy Service in an urban environment by applying the Morisky-Green Test.

Results

36.8 % of patients do not show good adherence in taking medication. However, the overall adherence to treatment increases with age, especially among those over 71, with no statistical significance between genders and, similarly, better adherence correlates with less education of individuals, but not with their socioeconomic status.

Conclusions

The positive predictive value of the Morisky-Green Test can be a good alternative to identifying groups at risk of non-adherence in primary care, especially when our findings show that the older and less educated patients achieved better therapeutic adherence, which is conditioned by a greater dependence on health professionals in determining the criteria.

Keywords

Adherence, Therapy, Elderly

O34 Beira Baixa Blood Pressure Study (Study PABB)

Patrícia Coelho, Tiago Bernardes, Alexandre Pereira
Escola Superior de Saúde Dr. Lopes Dias, Castelo Branco, 6000-767, Portugal

Correspondence: Patrícia Coelho (patriciacoelho@ipcb.pt) – Escola Superior de Saúde Dr. Lopes Dias, Castelo Branco, 6000-767, Portugal

Background

Arterial Hypertension (AHT) is a multifactorial systemic disease characterized by high and sustained levels of blood pressure (BP). In Portugal a prevalence of 42 % is estimated among the adult population and it is known to be closely related to cardiovascular disease. Objective: To characterize the population of Castelo Branco district regarding the prevalence, knowledge and AHT control rates, as well as to determine cardiovascular risks (CVR).

Methods

Cross-sectional study performed in the district of Castelo Branco between 2010-2014 through survey application, BP measurements via the auscultatory method and anthropometric data information. The sample consisted of 11,139 individuals, 55.6 % female, aged between 18 and 101 years, with a mean of 58.17 ± 17.95 years. Data were analysed with SPSS® 20.0.

Results

The prevalence of AHT was 53.2 % (53.8 % in males and 52 % in females). 6.8 % of the subjects had prehypertension; 24.1 % at AHT grade 1; 8.1 % AHT grade 2 and 2.1 % AHT grade 3. Of the 4,199 individuals under antihypertensive therapy, 49.8 % had BP values above normal. Regarding the CVR 51.1 % of subjects had no significant CVR; 10.9 % had low risk; 19.0 % moderate risk and 18.9 % high or very high risk according to the international guidelines.

Conclusions

There was prevalence above the national average as well as a high rate of medicated AHT with high BP values. It’s a population with high CVR, fact that should be taken into account in drawing up preventive strategies for the control of cardiovascular risk factors.

Keywords

Prevalence, arterial hypertension, risk factors, cardiovascular risk

O35 Trends in cervical cancer mortality statistics in Santa Catarina State, Brazil, by age group and macro-region, from 2000 to 2013

Patrícia Sousa, João G. Filho, Nazare Nazario, Marcia Kretzer
Universidade do Sul de Santa Catarina, Palhoça, Santa Catarina, 88137-270 Brasil

Correspondence: Patrícia Sousa (patricia.pssantos@hotmail.com) – Universidade do Sul de Santa Catarina, Palhoça, Santa Catarina, 88137-270 Brasil

Background

Cervical cancer is a public health issue in Brazil and worldwide, due to the high mortality rates observed mainly in less developed regions. Being the most preventable cancer, its early diagnosis and treatment is of great importance. Objective: To analyse the trends in cervical cancer mortality statistics over time in Santa Catarina State, Brazil.

Methods

An ecological time series study was conducted using data from the Brazilian National Information System on Mortality. Trends in the data on deaths from 2000 to 2013 were identified using linear regression. Crude and specific mortality rates were calculated according to age group and macro-region.

Results

There was little variability in the cervical cancer mortality rates in this state, ranging from 1.80 to 2.66/100,000, and this variation showed no statistical significance. There was an increasing trend for the age group 0-29 years, with a mean annual increase of 0.01 % (p = 0.02), and a decreasing for the 40-49 years (0.16 %; p = 0.004). On analysing the health administration macro-regions, the only significant increasing trend was observed for the Vale do Itajaí (0.04 %; p = 0.02).

Conclusions

For the period of 2000 to 2013 the overall cervical cancer mortality in Santa Catarina State is trend stationary, but the mortality is increasing for the age range of 0 to 29 years and decreasing for the age range of 40 to 49 years. The only health administration macro-region of Santa Catarina State which has registered a significant increasing trend in cervical cancer mortality is the Itajaí Valley.

Keywords

Uterine cervical neoplasms, cervical cancer, mortality trends

O36 Sleep problems among Portuguese adolescents: a public health issue

Odete Amaral1, António Garrido2, Nélio Veiga3, Carla Nunes4, Ana R. Pedro4, Carlos Pereira1
1Centro de estudos em educação, tecnologias e saúde, Instituto Politécnico de Viseu, 3504 - 510 Viseu, Portugal; 2Casa de Saúde de São Mateus, Viseu, 3500-106, Portugal; 3Universidade Católica Portuguesa, Viseu, 3504-505, Portugal; 4Escola Nacional de Saúde Pública, Lisboa, 1600-560, Portugal

Correspondence: Odete Amaral (mopamaral@gmail.com) – Centro de estudos em educação, tecnologias e saúde, Instituto Politécnico de Viseu, 3504 - 510 Viseu, Portugal

Background

Recent studies have shown that sleeping problems, particularly during adolescence, are an important public health problem. During adolescence many biological, psychological and social factors interact, resulting in shortening of sleep duration, excessive sleepiness, insomnia and delayed sleep phase syndrome. The aim of this study was to determine the prevalence of sleep problems in adolescents.

Methods

In a cross-sectional approach we assessed 7,354 students (3944 females), aged 11 to 20 years from twenty-six schools of the district of Viseu, Portugal. Data was collected using a self-administered questionnaire answered by the students in the classroom. Insomnia was defined based on the Diagnostic and Statistical Manual of Mental Disorders IV criteria. Daytime sleepiness was assessed by the Epworth Sleepiness Scale and we considered as "insufficient" less than 8 hours of night sleep.

Results

The prevalence of “insomnia” was 8.3 % and of “insomnia symptoms” 21.4 %. The prevalence of “difficulty initiating sleep”, “difficulty maintaining sleep”, “early morning awakening” and “non-restorative sleep” was 8.9 %; 8.2 %; 6.1 % and 5.6 %, respectively. The prevalence of insomnia and symptoms of insomnia were higher among the female gender (p < 0.001). Each symptom was more prevalent among the female gender (p < 0.001). The prevalence of daytime sleepiness was 33.1 % and of insufficient sleep 29.0 %. Both were higher among the female gender (p < 0.001). Only 6.4 % of the adolescents reported to lie down every night at the same hour.

Conclusions

Sleep problems in Portuguese adolescents are common. The results of this study suggest the need for comprehensive programs to prevent sleep problems in Portuguese adolescents.

Keywords

Sleep problems, Insomnia, Daytime sleepiness, Insufficient sleep, Adolescents

O37 Association between body fat and health-related quality of life in patients with type 2 diabetes

António Almeia1, Helder M. Fernandes1, Carlos Vasconcelos1,2, Nelson Sousa1, Victor M. Reis1, M. João Monteiro1, Romeu Mendes1,3
1Research Centre Sports Sciences, Health Sciences and Human Development, University of Trás-os-Montes e Alto Douro, Vila Real, 5001-801, Portugal; 2Polytechnic Institute of Viseu, Viseu, 3504-510, Portugal; 3Unidade de Saúde Pública do ACES Douro I—Marão e Douro Norte, Administração Regional de Saúde do Norte, IP, 5000-524 Vila Real, Portugal

Correspondence: Romeu Mendes (romeuduartemendes@gmail.com) – Research Centre Sports Sciences, Health Sciences and Human Development, University of Trás-os-Montes e Alto Douro, Vila Real, 5001-801, Portugal

Background

There is increasing evidence that obesity is associated with a decline in health-related quality of life (HRQOL). Objective: This cross-sectional study aimed to analyse the relation between body fat and HRQOL in patients with type 2 diabetes.

Methods

The SF-36v2 questionnaire was administered to 95 individuals with type 2 diabetes (47 women and 48 men; 66.23 ± 6.34 years old; 10.55 ± 7.55 years of diabetes; 37.47 ± 8.19 % of body fat) candidates to Diabetes em Movimento®, a community-based lifestyle intervention program developed in Vila Real, Portugal (NCT02631902). Body fat was assessed by bioelectrical impedance analysis technique (Tanita, BC-418 MA). Pearson’s correlation coefficients were used to evaluate the associations between each SF-36v2 scale (physical functioning, PF; role physical, RP; bodily pain, BP; general health, GH; vitality, VT; social functioning, SF; role emotional, RE; mental health, MH) and summary scales (physical component score, PCS; mental component score, MCS), and patient’s body fat.

Results

Negative and significant correlations were observed between body fat and PF (r = -0.331; p = 0.001), BP (r = -0.324; p = 0.001), VT (r = -0.336; p = 0.001), SF (r = -0.231; p = 0.025), RE (r = -0.280; p = 0.006), MH (r = -0.310; p = 0.002), PCS (r = -0.234; p = 0.023), and MCS (r = -0.230; p = 0.026), respectively.

Conclusions

High levels of body fat are associated with impaired HRQL in patients with type 2 diabetes, possibly compromising the individuals' ability to perform daily activities.

Keywords

Health-related quality of Life, obesity, type 2 diabetes

O38 Therapy adherence and polypharmacy in non-institutionalized elderly from Amares county, Portugal

Isabel C. Pinto1, Tânia Pires2, João Gama3
1Núcleo de Investigação e Intervenção no Idoso, Departamento de Tecnologias de Diagnóstico e Terapêutica, Escola Superior de Saúde, Instituto Politécnico de Bragança, Bragança, 5300-253, Portugal; 2Centro de Investigação de Montanha, Escola Superior Agrária, Instituto Politécnico de Bragança, 5300-253 Bragança, Portugal; 3Escola Superior de Saúde, Instituto Politécnico de Bragança, 5300-253 Bragança, Portugal

Correspondence: Isabel C. Pinto (isabel.pinto@ipb.pt) – Núcleo de Investigação e Intervenção no Idoso, Departamento de Tecnologias de Diagnóstico e Terapêutica, Escola Superior de Saúde, Instituto Politécnico de Bragança, Bragança, 5300-253, Portugal

Background

Polypharmacy is frequent in elderly, and therapy adherence is a crucial component to achieve the effectiveness of treatment, although the complex therapies in elderly can lead to therapy non-adherence, increasing costs and several health risks. Objective: To estimate the prevalence of therapy adherence, polypharmacy and associated factors in elderly.

Methods

This cross-sectional study was based on a questionnaire, with the MAT scale (Measure of Adherence to Therapy) validated for the Portuguese population [1], applied to 159 elderly (≥65 years) living in their home in Amares county, in the north of Portugal. To assess therapy adherence, those whose average adherence levels were ≥ 5 were called “adherent”, and considered as polymedicated seniors taking ≥ 5 drugs. It was used descriptive statistics, correlations were accessed using the qui-square test and adjusted residuals (AdR) for variables categories, with a significance level of 5 %.

Results

The sample consisted mainly of females (54.7 % vs. 45.3 %), aged between 65 and 96 years old (mean 74.6), while 50.3 % was between 65-74 years old. The participants show good therapy adherence (69.8 %), being highly polymedicated (58.5 %) with an average of 5.5 different drugs administered per day. Non-adherence was associated with having mental disorders (p = 0.002) and respiratory system diseases (AdR = 2.0), and seems to be related with being polymedicated (AdR = 1.7) and bad health perception (AdR = 1.3). Having hypertension, cholesterol, depression, mental disorders (p = 0.001), pain (p = 0.003) and diabetes (p = 0.014) were also related to polypharmacy.

Conclusions

This study shows a considerable prevalence of therapy adherence and polypharmacy, being several factors associated with these phenomena.

References

1. Delgado A, Lima M. Contributo para validação concorrente de uma medida de adesão aos tratamentos. Psicologia, Saúde & Doenças. 2001; 2(2): 81-100.

Keywords

Elderly, non-institutionalized elderly, polypharmacy, therapy adherence, therapy non-adherence

O39 Prevalence of surgical site infection in adults at a hospital unit in the North of Portugal

Vera Preto1, Norberto Silva2, Carlos Magalhães3, Matilde Martins4
1Programa de Prevenção e Controlo de Infeções e de Resistência aos Antimicrobianos, Unidade Local de Saúde do Nordeste, Bragança, 5301-852, Portugal; 2Departamento de Urgência e Emergência Unidade, Unidade Local de Saúde do Nordeste, Bragança, 5301-852, Portugal; 3Departamento de Enfermagem, Escola Superior de Saúde, Instituto Politécnico de Bragança, 5300-121 Bragança, Portugal; 4Centro de Investigação em Desporto, Saúde e Desenvolvimento Humano, Departamento de Enfermagem, Escola Superior de Saúde, Instituto Politécnico de Bragança, 5300-121 Bragança, Portugal

Correspondence: Vera Preto (vera.preto@sapo.pt) – Programa de Prevenção e Controlo de Infeções e de Resistência aos Antimicrobianos, Unidade Local de Saúde do Nordeste, Bragança, 5301-852, Portugal

Background

Infection of the surgical site is one of the most frequent infections associated with health care. Objective: To identify the prevalence of surgical site infection in adults at a hospital in the North of Portugal.

Methods

A prospective study carried out at a hospital in the north of Portugal in 2015. Inclusion criteria: having been hospitalized in surgical and obstetrics services in the past 24 hours, aged 16 years or more, undergoing colon surgery, gallbladder and caesarean section. A sample of 579 participants was obtained. The characterization of the patient and the surgery was performed using an inquiry application in the first 24 hours after surgery, and the registration of the infection at the time of occurrence within 30 days following the procedure.

Results

Among the 579 participants 53.4 % were females, with an average age of 57.1 years (17-97 years), 64.1 % underwent prophylactic antibiotic therapy, in 52.7 % the surgery was urgent, 6.6 % underwent surgery laparoscopically, 70.0 % of the surgeries occurred in the surgery department, of which 33.3 % were cholecystectomy. Predominantly the wounds were clean (62.0 %). The average wait for surgery was 7 days, for admission 12 days and average surgical time 59 minutes. There was a 6.0 % prevalence of surgical site infection and Escherichia coli accounted for 47.8 % of them. The average time of onset was 9 days and the organ/space was the most affected site (48.6 %).

Conclusions

Prevalence of infection was 6.0 %. It is suggested to carry out further studies that show factors associated with this type of infection.

Keywords

Surgical Wound Infection, Escherichia coli, Prevalence

O40 Frailty phenotype in old age: implications to intervention

Mafalda Duarte1, Constança Paúl2,3, Ignácio Martín4
1Health Superior School of Alto Ave, 4830-345 Póvoa de Lanhoso, Portugal; 2Unidade de Investigação e Formação sobre Adultos e Idosos, Instituto de Ciências Biomédicas Abel Salazar, Universidade do Porto, 4050-313 Porto, Portugal; 3Center for Health Technology and Services Research, Faculdade de Medicina, Universidade do Porto, 4200-450 Porto, Portugal; 4Universidade de Aveiro, 3810-193 Aveiro, Portugal

Correspondence: Mafalda Duarte (mafalda.duarte@isave.pt) – Health Superior School of Alto Ave, 4830-345 Póvoa de Lanhoso, Portugal

Background

The Frailty Phenotype is a syndrome composed of five criteria: weight loss, endurance, physical activity, slowness and weakness. An older person is considered to be frail if being impaired in three of these domains. This study aims to identify predictive factors of the frailty condition that may be considered for intervention.

Methods

A representative sample, stratified by age group, of elders living in the community (n = 339) was assessed and logistic regression models conducted.

Results

Predictive factors were gender (woman) OR 1.7, 95 % CI 1.0 – 2.8), age (more advanced) (OR 2.8, 95 % CI 1.6 - 4.9) and educational level (no schooling) (OR 2.6, 95 % CI 1.1 – 6.0). The bio behavioural variables and the low respiratory flow predicted the frailty condition (OR 3.3, 95 % CI 1.9 – 6.0). Geriatric indicators as falls (OR 3.3, 95 % CI 1.5 - 5.6), changes in sensorial processes (OR 2.1, 95 % CI 1.2 -3. 8; OR 2.1, 95 % CI 1.1 - 4.0 respectively), comorbidity (OR 1.8, 95 % CI 1.0 - 3.2) were also predictors of frailty. Impairment in ADL increases the risk of frailty (OR 2.1, 95 % IC 1.2 -3.5). The presence of depressive symptomatology (OR 4.2, 95 % IC 1.9-9.2) and cognitive deterioration (OR 2.9, 95 % IC 1.6 -5.3) are equally predictive of this condition.

Conclusions

These biopsychosocial predictors were all considered in an intervention program.

Keywords

Elders, frailty, predictive factors, intervention

O41 Portuguese women: sexual symptoms in perimenopause

Arminda A. Pinheiro (aanes@ese.uminho.pt)
Escola Superior de Enfermagem, Universidade do Minho, Braga, 4710-057 Braga, Portugal

Background

Cultural differences in sexual symptoms exist, and should be measured in perimenopause, including the following symptoms: loss of interest in sex, vaginal dryness, satisfaction and pain during intercourse. The measurement of these symptoms provides a comparison between studies.

Methods

A cross-sectional study, correlational; with a non-probabilistic convenience sample (n = 600 Portuguese women perimenopause, 45 - 55 years) was performed. Protocol included: Menopause Rating Scale; attitudes and beliefs before menopause (built and validated by us); Social Support Satisfaction Scale, Scale, levels E2; FSH, sociodemographic; lifestyle and projects, perception of subjective well-being and stressful events.

Results

Regarding the influence of different factors included in the final model on the probability of a woman having reported uncomfortable sexual symptoms, logistic regression forward showed the conditions of socio-demographic/socio-economic factors: labour condition (bunemployed = 0.817; p = 0.001; OR = 2.264), household formation (balone, with children = - 0.993; p < 0.001; OR = 0.136); the conditions of psychosocial factors: meaning attributed to menopause (bpositive meaning = -1.038; p < 0.001; OR = 0.354), level of self-esteem (bself-esteem = -0.045; p = 0.029; OR = 0.956), satisfaction with social support (b family support = -0.099; p = 0.039; OR = 0.906), attitudes/beliefs facing menopause (bchanges health aging = -0.148, p = 0.023; OR = 0.863);attitudes/beliefs facing menopause (b physical changes = -0.147; p = 0.011; OR = 0.863).The adjusted Logit model (G2(8) = 173.621; p < 0.001; X2wald (8) = 16.847; p = 0.032; R2CS = 0.251; R2N = 0.349; R2MF = 0.228).

Conclusions

Midwives can address the attitudes and self-esteem of perimenopausal women to promote sexual health in family planning consultations.

Keywords

health sexual, perimenopause, women

O42 Predictive ability of the Perinatal Depression Screening and Prevention Tool – preliminary results of the categorical approach

Sandra Xavier1, Julieta Azevedo1, Elisabete Bento1, Cristiana Marques1, Mariana Marques1,2, António Macedo1,2, Ana T. Pereira1
1Faculty of Medicine, University of Coimbra, 3000-354 Coimbra, Portugal; 2Centro de responsabilidade integrado, Serviço Psiquiatria, Centro Hospitalar e Universitário de Coimbra, 3000-354 Coimbra, Portugal

Correspondence: Sandra Xavier (sandraalvesxavier@gmail.com) – Faculty of Medicine, University of Coimbra, 3000-354 Coimbra, Portugal

Background

The 2015 update of the depression screening recommendations reflects the importance of screening during and after pregnancy. The perinatal depression screening and early detection should combine the evaluation of depressive symptoms and risk factors. Objective: To analyse the predictive ability of the Perinatal Depression Screening and Prevention Tool (PDSP Tool) assessing both PD symptoms and risk factors identified by our team (lifetime history of depression/LtHD, prenatal insomnia, increased depressive symptoms and negative affect/NA at pregnancy) to identify postpartum major depression.

Methods

Nighty-two (92) pregnant women (mean age: 32.64 ± 4.59 years) in their second trimester (21.38 ± 2.41 weeks of gestation) completed the PDSP Tool. At six (6.34 ± 1.66) weeks postpartum they were interviewed with the Diagnostic Interview for Psychological Distress-Postpartum, to determine if they fulfilled the diagnostic criteria for major depression/DSM-5.

Results

4.3 % of the women showed major depression. The global correct classification rate of the PDSP Tool was 53.3 %. False-negatives 1.1 %, false-positives 44.6 %, true-negatives 55.2 % and true-positives 3.3 %. Considering the PDSP Tool components, high NA showed the highest predictive ability: 100 % of women with high NA at pregnancy (X2 = 11.21, OR = 2.190, p = .005) had major depression in the postpartum.

Conclusions

Considering that false-negatives are worse than false-positives, the finding that the PDS Tool identifies more than half of the women who will develop postpartum major depression encourages us to continue to develop efforts to succeed in this very difficult task of identifying pregnant women who will tend to have major depression in the postpartum.

Keywords

Perinatal Depression, early screening, assessment

O43 Aging and muscle strength in patients with type 2 diabetes: cross sectional analysis

José P. Almeida1, António Almeida1,2, Josiane Alves1, Nelson Sousa1,2, Francisco Saavedra1,2, Romeu Mendes1,2,3
1University of Trás-os-Montes e Alto Douro, Vila Real, 5001-801, Portugal; 2Research Centre Sports Sciences, Health Sciences and Human Development, University of Trás-os-Montes e Alto Douro, Vila Real, 5001-801, Portugal; 3Unidade de Saúde Pública, ACES Douro I, Marão e Douro Norte, Administração Regional de Saúde do Norte, 5000-524 Vila Real, Portugal

Correspondence: José P. Almeida (romeuduartemendes@gmail.com) – University of Trás-os-Montes e Alto Douro, Vila Real, 5001-801 Vila Real, Portugal

Background

The aging process is associated with the decline of muscle mass and strength and this loss is increased by diabetes, leading to the development of physical disability in older adults with diabetes. Objective: This study aimed to analyse the association between age and muscle strength levels in middle-age and older patients with type 2 diabetes (T2D).

Methods

Ninety-three individuals with T2D (47 men and 46 women; 66.26 ± 6.32 years of age [55 to 80 years]) candidates for Diabetes em Movimento®, a community-based lifestyle intervention programme developed in Vila Real, Portugal (NCT02631902), participated in a cross sectional analysis. Upper limb muscle strength was assessed through performance in the Seated Medicine Ball Throw Test (SMBT) and lower limb through performance in the 30-Second Chair Stand Test (30-SCS). Pearson’s correlation coefficients were used to evaluate the associations between age and muscle strength levels, in both genders.

Results

Negative and significant correlations were observed between age and SMBT in men (r = -0.345, p = 0.019) and women (r = -0.314, p = 0.033), and between age and 30-SCS in women (r = -0.409, p = 0.005), but not in men (r = -0.126, p = 0.403).

Conclusions

In general, the results showed a relation between aging and loss of muscle strength in both genders in patients with T2D. However, men seem more protected than women in the loss of lower limb muscle strength.

Keywords

Muscle strength, aging, Type 2 Diabetes

O44 Accessibility of the elderly in the prevention of hypertension in a family health unit

Ana S. Maia1, Michelle T. Oliveira1, Anderson R. Sousa1, Paulo P. Ferreira2, Luci S. Lopes1, Eujcely C. Santiago3
1Faculdade Nobre, Feira de Santana - Bahia, 44001-008, Brasil; 2Secretaria de Saúde do Estado da Bahia, Salvador - Bahia, 41745-900, Brasil; 3Hospital Estadual da Criança, Vila Valqueire, Rio de Janeiro, Brasil

Correspondence: Ana S. Maia (anamargarette@yahoo.com.br) – Faculdade Nobre, Feira de Santana, Bahia, 44001-008, Brasil

In Brazil, there is a steady increase in life expectancy, due to the decline in mortality and fertility rates, thus increasing the number of elderly. With that index of Chronic Diseases has grown, with arterial hypertension as an example. This research aimed to analyse accessibility of the elderly in the prevention of hypertension in a Family Health Unit. This is a descriptive and exploratory study, with qualitative approach, performed at a Family Health Unit in the municipality of Bahia, Brazil. It was conducted with 16 elderly people, aged over 60 years, through a semi-structured interview. The interviews were submitted to thematic content analysis. The study was divided into the following categories: “You have to be careful”, “have to do your exams every month”, “every year to stay healthy”, respondents show access to knowledge on how to prevent high blood pressure, citing changes in habits beyond just use of prescribed medication. Respondents indicated that access to knowledge and information in the prevention of hypertension happens through media, health professionals, consultations, lectures, television, and conversation groups. The orientation of the unit's health team contributes to changes in the lifestyle of the elderly. Therefore, it is concluded that access to health education and encouraging changes of habits in daily life are required for the acquisition of knowledge, assisting in self-care.

Keywords

Access, arterial hypertension, elderly

O45 Community Health screenings and self-reported chronic diseases

Sílvia Monteiro1, Ângelo Jesus1, Armanda Colaço1,2, António Carvalho1,2, Rita P. Silva1,3, Agostinho Cruz1
1Escola Superior de Tecnologia da Saúde, Instituto Politécnico do Porto, 4400-330 Vila Nova de Gaia, Portugal; 2Centro Hospitalar de São João, EPE, Porto, 4200-319 Porto, Portugal; 3Unidade Local de Saúde de Matosinhos, EPE, 4454 509 Senhora da Hora, Portugal

Correspondence: Sílvia Monteiro – Escola Superior de Tecnologia da Saúde, Instituto Politécnico do Porto, 4400-330 Vila Nova de Gaia, Portugal; Ângelo Jesus (acj@estsp.ipp.pt) – Escola Superior de Tecnologia da Saúde, Instituto Politécnico do Porto, 4400-330 Vila Nova de Gaia, Portugal

Background

Community Health screenings are an important part of the Pharmacy Technician’s role as a health care provider. Objectives: To evaluate the relation between anthropometric, physiological and biochemical parameters and self-reported chronic conditions during community health screenings.

Methods

The authors conducted an exploratory study including 60 individuals: 63.3 % had one or more chronic diseases and 36.7 % were healthy individuals. For anthropometric measurements we obtained height, weight, body mass index, waist circumference, body fat percentage and muscle mass; for physiological assessment, blood pressure was measured; biochemical variables evaluated were blood glucose, cholesterol and triglycerides in point-of-care testing.

Results

Self-reported chronic diseases consisted of 30 % cardiovascular diseases, 26.7 % metabolic diseases, and 16.7 % of other diseases. Cardiovascular patients had abnormal values of systolic blood pressure, triglycerides and body fat. Patients with metabolic disorders showed considerable differences in systolic blood pressure, blood sugar and central adiposity compared to healthy individuals; individuals with obesity revealed high levels of blood pressure, cholesterol, triglycerides, body mass index, waist circumference and body fat percentage. There were a significant number of patients with abnormal values that were neither diagnosed nor medicated.

Conclusions

Community health screening is of major importance for patients’ awareness of chronic diseases, and a fundamental role for Pharmacy Technicians. These results show the need for further action with patients, in order to promote a correct follow-up with other health care providers.

Keywords

Chronic disease, Community Pharmacy Services, Pharmacy Technician, Metabolic disease, Cardiovascular disease, Obesity

O46 Evaluation of indoor air quality in Kindergartens

Ana Ferreira, Catarina Marques, João P. Figueiredo, Susana Paixão
College of Health Technology, Polytechnic Institute of Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal

Correspondence: Ana Ferreira (anaferreira@estescoimbra.pt) – College of Health Technology, Polytechnic Institute of Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal

The indoor air pollutants may cause several effects on human health, although there is a greater severity in risk groups, particularly among children. The aim was to evaluate the Indoor Air Quality in kindergartens of the Coimbra city, its structural and functional conditions, and respiratory health of its occupants.

The study evaluated the air quality of 4 kindergartens, both inside and outside the rooms. Air carbon dioxide (CO2), carbon monoxide (CO), particles PM10 and PM2.5 volatile organic compounds (VOCs), formaldehyde (H2CO), temperature (T,°C), relative humidity (Hr) and Velocity were evaluated.

The results showed that on average every single parameter of the sampled parameters exceed the limits set by legislation. However, it was found that the maximum value of some parameters was equal or exceeded the reference value, among them VOCs, H2CO, T°C, Hr and Velocity. According to the occupants' respiratory health, it appears that there is a relationship between the concentration of pollutants and the frequency of disease/symptoms perceived by employees.

Keywords

Indoor Air Quality, kindergartens, health

O47 Atmospheric exposure to chemical agents under the occupational activity of pathology technicians

Ana Ferreira, Carla Lopes, Fernando Moreira, João P. Figueiredo
College of Health Technology, Polytechnic Institute of Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal

Correspondence: Ana Ferreira (anaferreira@estescoimbra.pt) – College of Health Technology, Polytechnic Institute of Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal

In anatomical pathology laboratories (APLs) the presence of several chemical agents and other pollutants is common. These have repercussions in air quality, representing a risk factor for the health of the workers who handle them daily. In this regard, the occupational exposure of 19 anatomical pathology technicians of 3 APLs in the centre region of Portugal to air pollutants was evaluated: formaldehyde (CH2O), volatile organic compounds (VOCs) and particles (PM2.5 and PM10).

The indoor air quality (IAQ) was evaluated by direct reading equipment regarding the referred pollutants, as well as temperature, relative humidity and air velocity. In addition to these measurements, questionnaires were distributed to obtain data regarding personal/professional history of workers, occupational exposure characterization, APTs’ health conditions and tobacco consumption data.

The study was of the observational type, descriptive-correlational and cross-sectional (cohort). The type of sampling was non-probabilistic. To proceed with the analytical collection of the evaluated parameters, portable equipment of real-time reading was used, namely the Q-TrakTM Plus – IAQ Monitor gauge, label TSI, model 8552/8554, the Phocheck + gauge, ion science (to measure total VOCs), the Lightouse gauge, model Handheld 3016 IAQ to collect the quantitative values of PM2,5 e PM10 and the PPM Formaldemeter TM htV – IAQ Monitor gauge to evaluate the concentration of CH2O.

The results led to the assessment that in all APLs situations of exposure above the protection threshold were verified. It was concluded it is necessary the implementation of safety and control measures that minimize the risk of exposure to air pollutants.

Keywords

Anatomical pathology laboratories, occupational exposure, air pollutants

O48 Occupational exposure to air pollutants in night entertainment venues workers

Ana Ferreira, Diana Ribeiro, Fernando Moreira, João P. Figueiredo, Susana Paixão
College of Health Technology, Polytechnic Institute of Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal

Correspondence: João P. Figueiredo (jpfigueiredo@estescoimbra.pt) – College of Health Technology, Polytechnic Institute of Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal

Given the significant increase of time spent by the population in nightlife venues and the lack of indoor air quality (IAQ), there is a need to study the possibility that this deprivation might affect the employees’ health through their exposure to this environment.

The main goal of this study consisted in assess workers’ occupational exposure to environmental indoor air pollutants, in order to understand its risk and interaction with people’s health.

Therefore, a data collection was held through the measurements of concentration levels: volatile organic compounds (VOC’s), carbon dioxide (CO2), particles PM2.5 and PM10, in three different night-time entertainment venues situated in the North of Portugal. For this study, a sample constituted by 14 employees from those three nightclubs was asked important and necessary questions to the execution of this research.

The pollutants evaluated were the VOC’s with use of the equipment branded as ION SCIENCE, model: Phocheck + 2000 – Fristcheck; CO2 with TSI equipment, model 8558552/8554, Q-TrakTM Plus – IAQ Monitor with electrochemical cell direct reading; formaldehyde using the handheld meter PPM Formaldemeter TM htv, 3 Parameter – IAQ Monitor and finally the PM2,5 e PM10 were evaluated with a Lighthouse Worldwide Solutions equipment, model: Handheld 3016-IAQ.

The results show that they infringe extensively the maximum concentration values set by law; one of the reasons is that the artificial air vents are constantly turned off. Despite the strong evidences found in this research it was not possible to associate the employees’ symptoms caused by pollutants with their occupational exposure.

Keywords

Indoor Air Quality, Human health, Occupational exposure

O49 Beliefs and attitudes of young people towards breastfeeding

Telma Fernandes1, Diogo Amado1, Jéssica Leal1, Marcelo Azevedo1, Sónia Ramalho1,2
1Escola Superior de Saúde de Leiria, Instituto Politécnico de Leiria, 2411-901 Leiria, Portugal; 2School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal

Correspondence: Sónia Ramalho (sonia.ramalho@ipleiria.pt) – Escola Superior de Saúde de Leiria, Instituto Politécnico de Leiria, 2411-901 Leiria, Portugal

Background

Breastfeeding is a priority of global strategy for women’s, children’s and adolescents’ Health: 2016-2030 (World Health Organization, 2015) [1]. Objectives: To understand beliefs and attitudes and knowledge of young people towards breastfeeding and to assess the relation between the beliefs and attitudes of young people towards breastfeeding and sociodemographic and academic variables.

Methods

Quantitative, cross-sectional and correlational study with a sample of 177 first-year students of the degree courses of a Portuguese School of Health Sciences. A questionnaire with sociodemographic and academic data and "Adolescent breastfeeding beliefs and intentions questionnaire” validated for the Portuguese population by Catarino, Henriques and Dixe (2011) [2]. Ethical and legal procedures were followed.

Results

These young people have an average age: X = 18.89, s = 1.56, and 80.8 % were female. 55.4 % live in rural areas, 54.2 % obtained information about breastfeeding on television. It was found the level of beliefs and attitudes (X = 82.59, s = 5.75) and perceived social barriers (X = 16.46, s = 4.57) for breastfeeding is low. There are significant differences between the beliefs and attitudes towards breastfeeding and gender (z = 1374.0 and p < 0.001). Beliefs and attitudes are mainly influenced by health professionals and the perception of social barriers is influenced by family and magazines.

Conclusions

This study confirms the importance of early intervention, the need for specific training in breastfeeding and developing strategies to promote and support breastfeeding in the community.

References

1. World Health Organization. National Breastfeeding Policy and Action Plan: 2015-2020. Malta: Health Promotion and Disease Prevention Directorate; 2015.

2. Catarino H, Henriques C, Dixe M. Escala de crenças e atitudes dos adolescentes face à amamentação: validação para a população portuguesa. International Journal of Developmental and Educational Psychology. 2011; 1(2):179-186.

Keywords

Beliefs, attitudes, young, breastfeeding

O50 Profiling informal caregivers: surveying needs in the care of the elderly

Catarina Mangas1, Jaime Ribeiro2, Rita Gonçalves3
1Unidade de Investigação Inclusão e Acessibilidade em Acção "iACT" e Escola Superior Educação e Ciências Sociais, Instituto Politécnico de Leiria; 2411-901 Leiria, Portugal; 2Unidade de Investigação em Saúde, Escola Superior de Saúde de Leiria eCADR& Centro de Investigação Didática e Tecnologia na Formação de Formadores, Universidade de Aveiro, 3810-193 Aveiro, Portugal; 3Instituto Politécnico de Leiria, 2411-901 Leiria, Portugal

Correspondence: Jaime Ribeiro (jaime.ribeiro@ipleiria.pt) – Unidade de Investigação em Saúde, Escola Superior de Saúde de Leiria eCADR& Centro de Investigação Didática e Tecnologia na Formação de Formadores, Universidade de Aveiro, 3810-193 Aveiro, Portugal

Currently, in Portugal and in the world, a marked increase has been observed in the number of elderly and their longevity. Due to this phenomenon, more studies on ageing and all associated topics are emerging. Informal caregivers arise due to concern about the welfare and health of the elderly. They devote their time, often full-time, in providing care for their relatives.

This descriptive-exploratory study aimed to understand and describe the difficulties faced by each caregiver, their motivations, concerns, and how to overcome them. For this, through a mixed methods approach, 14 interviews were carried out with 14 primary informal caregivers and questionnaires to 30 secondary and tertiary informal caregivers in the municipality of Leiria.

The quantitative data were analysed using descriptive statistics and qualitative data were subjected to content analysis from the perspective of Bardin with coding in predetermined literature-based categories and also in emerging categories. In this way, we characterized informal caregivers and the elderly in their care and perceived the economic and/or social needs, the implications caused by the provision of care and the level of training of each caregiver. In conclusion, we observed that training is not the biggest need pointed out by informal caregivers, but rather the social, family and economic support that would allow these caregivers less physical and emotional burden, as well as lower personal and professional implications.

Keywords

Informal caregivers, elderly people, implications, dependency and training

O51 Visual health in teenagers

Amélia F Nunes1, Ana R. Tuna1, Carlos R. Martins2, Henriqueta D. Forte2
1Universidade da Beira Interior, Covilhã, 6201-001, Portugal; 2Unidade de Saúde Pública, Agrupamento de Centros de Saúde Cova da Beira, 6200-251 Covilhã, Portugal

Correspondence: Amélia F Nunes (amnunes@ubi.pt) – Universidade da Beira Interior, Covilhã, 6201-001, Portugal

Background

The advance of education levels causes a greater visual effort in school requirements and the teenagers are likely to present signs and symptoms associated with vision disorders. This can be reduced or avoided with the adoption of healthy visual habits. Objective: To estimate the frequency of the more common visual changes in adolescence, and to design strategies that promote prevention of visual health in this age group.

Methods

A pilot study implemented in two schools in the centre of the country: one is in the city and the other one is in the suburb. It was applied a screening protocol, designed to identify refractive errors that weren’t corrected and changes in binocular vision (focus and convergence system). The size of the sample was 303 teenagers between 12 and 15 years, 158 were boys and 145 were girls.

Results

Around 10 % of teenagers have a refractive error uncorrected, 35 % have binocular vision disorders and 55 % have normal binocular vision. The frequencies between rural areas and the suburbs, are significantly different when we talk about refractive errors, there are higher frequencies in rural areas.

Conclusions

It was found that the changes in binocular system, are the most common visual changes and these are closely related with the excess of use of the near vision. Knowing the relationship between these changes and the higher risk of development myopia, it is important to implement preventive strategies to adopt appropriate vision and posture habits to relieve stress on the near vision.

Keywords

Binocular Vision, Health Vision, Eye care, Teens' Vision

O52 Amenable mortality and the geographic accessibility to healthcare in Portugal

Cláudia Costa1, José A. Tenedório2, Paula Santana1
1Centre of Studies on Geography and Spatial Planning, University of Coimbra, 3000-043 Coimbra, Portugal; 2Research Centre for Geography and Regional Planning, Universidade Nova de Lisboa, 1069-061 Lisboa, Portugal

Correspondence: Cláudia Costa (claudiampcosta@gmail.com) – Centre of Studies on Geography and Spatial Planning, University of Coimbra, 3000-043 Coimbra, Portugal

Background

Amenable mortality (premature deaths that should not have occurred given the availability of healthcare) is an important public health theme in Europe and Portugal is one of the European countries with the highest rates. One of the causes may be the time people need to reach the closest hospital. The aim of this paper is to identify the association between geographic accessibility to the nearest hospital in mainland Portugal and the geography of amenable mortality which occurred between 2009 and 2013.

Methods

Three methods were applied: To measure geographic accessibility, the Municipal Time-Weighted Accessibility; to analyse amenable mortality, a hierarchical Bayesian model was used to calculate the smooth Standardized Mortality Ratio. Finally, we applied an ecological regression model to identify the association between both.

Results

Three major results came out from this study: 1. The mortality amenable to healthcare presents low values in the north and high values in the south; 2. On average, the population has good accessibility to the closest hospital; and 3. For each additional ten minutes required to travel to the nearest hospital, the risk of dying from an amenable cause of death increases by 0.3 % and the relative risk of those living over 30 minutes away from a hospital, is 13 % greater.

Conclusions

Geographic accessibility to healthcare services has an important role in the health of the Portuguese population. As such, it is important to implement policies and interventions that reduce the gap between the place of living and healthcare services.

Keywords

Amenable Mortality, geographic accessibility, healthcare services

O53 Bacterial contamination of door handles in a São Paulo See Metropolitan Cathedral public restrooms in Brazil

J. A. Andrade1, J. L. Pinto2, C. Campofiorito1, S. Nunes1, A. Carmo2, A. Kaliniczenco1, B. Alves3, F. Mendes4, C. Jesus4, F. Fonseca3, F. Gehrke1
1Biomedical Sciences Department, Paulista University, São Paulo, 04026-002, Brazil; 2Pharmacy Department, Paulista University, São Paulo, 04026-002, Brazil; 3Molecular Laboratory of Diagnosis, ABC Medical School, Santo André, São Paulo, 09080-650, Brazil; 4Biomedical Science Department, College of Health Technology of Coimbra, Polytechnic Institute of Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal

Correspondence: F. Mendes (fjmendes@estescoimbra.pt) – Biomedical Science Department, College of Health Technology of Coimbra, Polytechnic Institute of Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal

Background

Increasing incidence of epidemic outbreaks of certain diseases and its rate of spread from one community to the other has become a major public health concern. Door handles are heavily contaminated with microbes of faecal origin. Enterobacteriaceae are a large family of gram-negative, facultative anaerobic, rod-shaped bacteria usually motile. In humans, disease is produced by invasive action and toxin production. Species not normally associated with disease are often opportunistic pathogens. Objective: To determine the composition of Enterobacteriaceae communities associated with door handle restroom surfaces.

Methods

35 door handles were analysed using sterile cotton swabs to obtain specimens from door handles, were streaked on MacConkey and CLED agar plates and incubated for a 24 h/48 h period at 37 °C. After incubation, the number of resulting colonies was counted and characterized based on margin, elevation, and colony shape. Gram-stain procedure was used to assist in the separation of bacterial cells. After a macro- and microscopic study was performed, colonies were analysed in regard to their biochemical characteristics.

Results

In 35 swab samples cultured, 80 % were positive. Isolation differentiated bacteria arranged according their percentage as Enterobacter 32 %, Escherichia coli 25 %, Edwardsiella sp. 14 %, Proteus vulgaris 11 %, Klebsiella sp. 7 %, Klebsiella pneumoniae 4 %, Citrobacter 4 % and Morganella morgani 4 %.

Conclusions

These results imply that Gram-negative organisms can be transmitted through door handles. Three of these bacterial species are classified as fecal coliform that can cause serious diseases. Preventive and inspection measures should be strengthened so that potential hazards individuals are daily exposed to can be avoided.

Keywords

Enterobacteriaceae infections, door handles, public restrooms, public health, education

O54 Adherence of patients to rehabilitation programmes

Carlos Albuquerque1, Rita Batista2, Madalena Cunha1, António Madureira1, Olivério Ribeiro1, Rosa Martins1
1Escola Superior de Saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal; 2Hospital Sousa Martins, 6300-858 Guarda, Portugal

Correspondence: Carlos Albuquerque (cmalbuquerque@gmail.com) – Escola Superior de Saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal

Background

Sticking with a rehabilitation programme is still a source of concern to all healthcare professionals. However, the default rates associated with participation in rehabilitation programmes are still very high. So, regarding this subject, the main goal of this study was to determine the influence of sociodemographic and labour factors in healthcare professionals’ perception towards patient adhesion to rehabilitation treatments.

Methods

Thus, we conducted a cross-sectional, descriptive-correlational study with a non-probabilistic sample of 98 healthcare professionals, 58.16 % females, with a mean age of 39.80 years. They answered questions about socio-demographic profiles in order to measure the scale of patient adhesion to rehabilitation programmes.

Results

The score of healthcare professionals towards patient adhesion to rehabilitation programmes is 6.48, a value above average. Study results also reveal that strategies used by specialist nurses are more likely to improve patient adhesion than those used by doctors. When it comes to the methods used to promote patient adhesion there is a higher score in cardio-respiratory pathology when compared to the ones used in trauma and rheumatology. Healthcare professionals who work with neurology patients have a higher score than the ones who work with trauma and cardio-respiratory patients.

Conclusions

Study results suggest that there is still a long way to go when it comes to finding strategies to improve patient adhesion to rehabilitation programmes. Study findings also suggest that academic contents should be reviewed, as well as promoting public awareness campaigns to encourage patients to keep up with their rehabilitation programmes.

Keywords

Adhesion, rehabilitation programs, healthcare professionals

O55 Prevalence of malnutrition among Portuguese elderly living in nursing homes: preliminary results of the PEN-3S project

Teresa Madeira1,2,3, Catarina Peixoto-Plácido1,2,3, Nuno Santos1,2, Osvaldo Santos1,2,3, Astrid Bergland4, Asta Bye4, Carla Lopes1,2, Violeta Alarcão1,2,3, Beatriz Goulão1,2, Nuno Mendonça1,5, Paulo Nicola1,2,3, João G. Clara1,2,3
1Instituto de Medicina Preventiva e Saúde Pública, Faculdade de Medicina, Universidade de Lisboa, 1649-028 Lisboa, Portugal; 2Instituto de Saúde Ambiental, Faculdade de Medicina, Universidade de Lisboa, 1649-028 Lisboa, Portugal; 3Faculdade de Medicina, Universidade de Lisboa, 1649-028 Lisboa, Portugal; 4Oslo and Akershus University College of Applied Sciences, 0167 Oslo, Norway; 5Newcastle University Institute for Ageing, Newcastle upon Tyne, NE4 5PL UK

Correspondence: Teresa Madeira (anateresamadeira@gmail.com) – Instituto de Medicina Preventiva e Saúde Pública, Faculdade de Medicina, Universidade de Lisboa, 1649-028 Lisboa, Portugal

Background

Malnutrition is a modifiable risk factor for several diseases among elderly. To develop appropriate nutrition policies to decrease malnutrition, up-to-date information on the dimension of the problem is warranted. Objective: To estimate the prevalence of malnutrition among Portuguese elderly (65+ years old) resident in nursing homes.

Methods

This nationally representative cross-sectional study collects data through computer-assisted face-to-face structured interviews and anthropometric measurements. Elderly nursing homes were randomly selected (national-wide sampling). In each home, all elderly with no severe pathologies and who were not bedridden were interviewed. Nutritional status was assessed with the Mini Nutritional Assessment (MNA®) and body mass index was calculated.

Results

Overall, 660 elderlies (mean age: 84.3 years; SD = 6.9) participated in the study (60 % of the target sample size). Undernutrition affects 5.6 % (95 % CI: 3.9-7.4) of them and 38.9 % (95 % CI: 35.2-42.7) are at risk of it. Undernutrition was significantly more prevalent among women (5.9 %) than men (4.8 %) and significantly increased with age (1.2 % for 65-74 years old, 4.6 % for 75-84 years old, and 7.6 % for 85+ years old). On the other hand, 27.4 % (95 % CI: 24.0-30.8) of the elderly were considered obese, with significant differences between genders (33.3 % for women; 24.9 % for men) and age groups (43.4 % for 65-74 years old, 37.7 % for 75-84 years old, and 22 % for 85+ years old).

Conclusions

Preliminary results reveal a high prevalence of malnutrition (both under- and over nutrition) among elderly living in nursing homes. This highlights the importance of developing an electronic surveillance system for early detection of malnutrition in the elderly.

Keywords

Malnutrition, undernutrition, obesity, elderly, nursing home

O56 Relation between emotional intelligence and mental illness in health students

João Gomes1,2, Ana Querido2, Catarina Tomás2, Daniel Carvalho1,2, Marina Cordeiro2
1Hospital de Santo André, Centro Hospitalar de Leiria, 2410-197 Leiria, Portugal; 2School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal

Correspondence: João Gomes (joao.gomes@ipleiria.pt) – Hospital de Santo André, Centro Hospitalar de Leiria, 2410-197 Leiria, Portugal

Background

Emotional ability to perceive, use, understand and manage emotions has been associated with mental health. Objectives: Analyse the differences in emotional intelligence (EI) due to presence of mental illness; Correlate EI and perceived mental health knowledge.

Methods

Cross-sectional correlational study, in a non-probabilistic sample of 672 Portuguese health students from Dietetics, Nursing, Physiotherapy, Speech Therapy, Occupational Therapy. We applied a sociodemographic questionnaire and Emotional Intelligence Scale (WLEIS-P). Students were mostly women (85.4 %), mean age of 21.16 (±4.17), 6.0 % with a diagnose of mental illness, 36.9 % reporting family with mental illness.

Results

Globally, students revealed good EI. Students with mental illness scored lower in EI on subscale of self-appraisal emotions (p = 0.000) and emotional regulation (p = 0.015). However, students with mental illness revealed higher “emotional appraisal of others” compared to the ones without mental illness (p = 0.000). There are no differences in EI related to mental illness in family. Positive significant correlations were found between perceived knowledge in mental health and EI (p = 0.039) as well as regulation of emotions (p = 0.039).

Conclusions

Health students with mental illness have lower emotional self-appraisal and regulation of emotional than students without mental illness. Nevertheless, students with mental illness also have better ability to emotional appraisal of others, suggesting a bigger awareness to emotional suffering of others. Correlation between mental health knowledge and EI points out the need of enhancing mental health education to improve emotional intelligence.

Keywords

Emotional Intelligence, mental health, students

P1 Fall risk factors in people older than 50 years old – a pilot report

Marlene C. Rosa1, Alda Marques2
1Secção Autónoma das Ciências da Saúde, Universidade de Aveiro, 3810-193 Aveiro, Portugal; 2School of Health Sciences, University of Aveiro, 3810-193 Aveiro, Portugal

Correspondence: Marlene C. Rosa (marlenerosa@ua.pt) – Secção Autónoma das Ciências da Saúde, Universidade de Aveiro, 3810-193 Aveiro, Portugal

Background

Falls are a major public health problem worldwide that has been mainly studied in people older than 65 years old however, recently it has been demonstrated that this problem might affect people at an earlier age. Objective: To determine fall risk factors in a wider range of age interval.

Methods

People older than 50 years were recruited in a primary care centre of Portugal. Age, gender, falls history over the past 2 months, comorbidities, need of ambulatory aid and gait difficulties were collected using Morse scale. Independent t-tests and Chi-square tests were used to examine statistical differences (p < 0.05) in these characteristics between fallers and non-fallers. A logistic regression model was built using as independent variables the statistically different characteristics between the two groups and as dependent variable the fall status (fallers or non-fallers).

Results

One hundred and forty participants were included (90 female; 71.33 ± 9.97 years; 31.4 % fallers). Fallers were statistically different from non-fallers in: age (74.0 ± 9.9 years vs 69.9 ± 9.9 years, p = 0.03), gender (77.3 % vs 58.5 % female; p = 0.01); incidence of multiple comorbidities (70.5 % vs 48.0 %, p = 0.01); need of ambulatory aid (55.0 % vs 17.0 %, p = 0.01) and incidence of gait difficulties (79.5 % vs 44.7 %, p = 0.01). The odds of falling increased 2.6 in females (95 % CI 1.1-6.5), 3.5 in people that need ambulatory aid (95 % CI 1.4-8.4) and 3.3 in people with gait difficulties (95 % CI 1.3-8.6). These three factors significantly contributed to explain 27.2 % of falls history variability (p = 0.01).

Conclusions

Gait impairments and female gender seem to explain almost 30 % of fall risk in people older than 50 years.

Keywords

Falls, risk factors, middle-aged, elderly

P2 What about the Portuguese oldest old? A global overview using census data

Daniela Brandão1,2, Óscar Ribeiro1,3, Lia Araújo1,4, Constança Paúl1,5
1Unidade de Investigação e Formação sobre Adultos e Idosos, Instituto de Ciências Biomédicas Abel Salazar, Universidade do Porto, 4050-313 Porto, Portugal; 2Faculdade de Medicina da Universidade do Porto, 4200-450 Porto, Portugal; 3Universidade de Aveiro, 3810-193 Aveiro, Portugal e Instituto Superior De Serviço Social Do Porto, 44600-362 Sra. da Hora, Portugal; 4Escola Superior de Educação de Viseu, 3504-501 Viseu, Portugal; 5Center for Health Technology and Services Research, Faculdade de Medicina, Universidade do Porto, 4200-450 Porto, Portugal

Correspondence: Daniela Brandão (daniela.brandao@unifai.eu) – Unidade de Investigação e Formação sobre Adultos e Idosos, Instituto de Ciências Biomédicas Abel Salazar, Universidade do Porto, 4050-313 Porto, Portugal

Background

The older population is itself aging, and achieving an advanced age is becoming more common worldwide. In Portugal, individuals aged 80+ represent 5.6 % of the total population and 26.5 % of the population were aged 65 and over in 2011. Having a national profile on this population will give important information to develop intervention programs and identify the areas requiring most attention. Objective: This study aims to provide a profile of the Portuguese oldest old, as given by the last national census data.

Methods

The characteristics of all residents aged 80+ (N = 532,219) were analysed considering socio-demographic information (gender, marital status, education, type of residence, place of birth, income) and the existence of difficulties in functional, sensorial and cognitive activities due to health problems or ageing.

Results

The majority of the most aged are females (64.5 %), widowed (53.9 %), and present low educational levels (46.1 % never attended school and 31.6 % do not know how to read/write). Own pensions constitute the main source of income (96.3 %) and the majority live in private households (88.8 %), with 43.2 % currently living in the place where they were born. The majority (73.0 %) reported major difficulties in at least one functional activity – bathing/dressing, walking/climbing stairs, seeing, hearing, memory/concentration, understanding others/being understood.

Conclusions

The high percentage of oldest old living in private households and the presence of functional limitations point to the importance of informal care and community care services to support this population. Further studies paying attention to their needs and utilisation of services are required.

Keywords

Oldest old, census, Portuguese, sociodemographic profile

P3 Prevalence of injuries in senior amateur volleyball athletes in Alentejo and Algarve clubs, Portugal: factors associated

Beatriz Minghelli1,2, Sylvina Richaud2
1Research in Education and Community Intervention, Escola Superior de Saúde Jean Piaget, Silves, 8300-025, Portugal; 2Escola Superior de Saúde Jean Piaget, Silves, 8300-025, Portugal

Correspondence: Beatriz Minghelli (beatriz.minghelli@silves.ipiaget.pt) – Research in Education and Community Intervention, Escola Superior de Saúde Jean Piaget, Silves, 8300-025, Portugal

Volleyball practice leads to more precise movements and imposes a higher injury risk on the athletes. The study investigates the prevalence of injuries in volleyball athletes in amateur clubs in the Alentejo and Algarve regions and factors associated.

The sample consisted of 52 athletes aged between 18 and 47 years, where 25 (48.1 %) were male.

A questionnaire was used with questions about aspects related to sports, about injury mechanism and techniques to be used at the time of injury. The athlete answered about the most frequent injury (FI) related with the practice and/or the injury that most limited (LI) and/or prevented them from practicing their sports activity (SA).

Thirty-eight (73.1 %) athletes reported having suffered some type of injury, 29 (55.8 %) referring to FI and 29 (55.8 %) LI. The most prevalent type injury was ligament (27.6 % for FI and 44.8 % LI). The most affected body areas in FI were shoulders, hands and fingers and ankles (27.6 % each) and the LI were the ankle (24.1 %) and knee (20.7 %).

The most common injury mechanism was the impact with the ball and repetitive movements (20.7 % each) for FI and LI. Females had 1.33 times (95 % CI: 0.38-4.58; p = 0.648) more probability of having an injury, and older athletes (>25 years) had 1.88 (95 % CI: 0.51-6.37; p = 0.362). Athletes with less practice of the activity (up to 5 years) had 1.154 (95 % CI: 0.300-4.43; p = 0.835), those who train over 2 hours had 1.289 (85 % CI: 0.324-5.122; p = 0.718), and those who are not in net line positions had 1.174 (95 % CI: 0.329-4.189; p = 0.805).

A high prevalence of injuries was observed.

Acknowledgements

Authors wish to acknowledge the financial support of the Portuguese Foundation for Science and Technology (FCT), and of the programme COMPETE - Programa Operacional Factores de Competitividade, QREN – Quadro de Referência Estratégico Nacional.

Keywords

Prevalence, injury, volleyball, risk factors

P4 Shame feelings and quality of life: the role of acceptance and decentring

Ana L. Mendes, Joana Marta-Simões, Inês A. Trindade, Cláudia Ferreira
Cognitive and Behavioural Centre for Research and Intervention, Faculty of Psychology and Education Sciences, University of Coimbra, 3000-115 Coimbra, Portugal

Correspondence: Ana L. Mendes (analauramendes@live.com.pt) – Cognitive and Behavioural Centre for Research and Intervention, Faculty of Psychology and Education Sciences, University of Coimbra, 3000-115 Coimbra, Portugal

Background

Shame is highlighted as a pathogenic phenomenon in well-being and mental health. In fact, although shame has been considered as an adaptive emotion, higher levels of this painful affect are strongly associated with several psychological difficulties and different mental health conditions. However, the association between external shame and psychological quality of life does not seem to be linear. Objectives: The present study thus aims to clarify the role of two emotion regulation processes, decentring and acceptance, in the association between external shame and psychological quality of life.

Methods

The sample comprised 359 participants (131 males and 228 females), aged between 18 and 30 years old.

Results

The tested model explained 40 % of psychological quality of life and showed excellent model fit indices. Results showed that external shame negatively impacted on psychological quality of life with a direct effect, and also with an indirect effect through the mechanisms of acceptance and decentring. These findings suggest that the impact of external shame on psychological quality of life is partially attenuated by the effects of higher levels of acceptance and decentring abilities.

Conclusions

These findings seem to offer significant implications, emphasizing the importance of targeting shame in the promotion of young women’s psychological quality of life, through community interventions that comprise the development of acceptance (the willingness to contact with internal experiences) and decentring (the ability to perceive internal experiences as transitory and subjective events). Furthermore, longitudinal research should study the protective role of these adaptive emotion regulation processes on psychological well-being.

Keywords

Shame, emotion regulation, acceptance, decentring, quality of life

P5 Assessment of social support during deployment in portuguese colonial war veterans

Teresa Carvalho1,2, Marina Cunha1,2, José Pinto-Gouveia1
1Centro de Investigação do Núcleo de Estudos e Intervenção Cognitivo-Comportamental, Faculdade de Psicologia e Ciências da Educação, Universidade de Coimbra, 3001-802 Coimbra, Portugal; 2Instituto Superior Miguel Torga, Coimbra, 3000-132, Portugal

Correspondence: Teresa Carvalho (teresacarvalho.psi@gmail.com) – Centro de Investigação do Núcleo de Estudos e Intervenção Cognitivo-Comportamental, Faculdade de Psicologia e Ciências da Educação, Universidade de Coimbra, 3001-802 Coimbra, Portugal

Background

Support social during deployment has proved to be a protective factor for psychopathology developed by war Veterans. The Deployment Social Support Scale (DSSS) of the Deployment Risk and Resilience Inventory (DRRI) has been used to evaluate the perception of assistance and encouragement received in the theatre of military operations from fellow unit members and unit leaders. Objectives: This study aimed to translate and adapt to Portuguese the DSSS and explore its factor structure.

Methods

Translation and adaptation of the scale were carried out by clinical psychologists, army officers and an English native speaker. Items adequacy and comprehensibility were first tested in a sample of 30 war veterans. Subsequently, 306 Portuguese colonial war veterans completed the DSSS. Test-retest reliability was assessed in a subset of 115 participants. This subgroup completed the DSSS for a second time approximately three weeks after the first administration.

Results

Exploratory Factor Analysis (EFA) indicated that the DSSS presented a single-component structure composed by 12 items (the same of the original version). Factor loadings ranged between .67 and .83. Adequate values of internal consistency (α = .92), corrected item-total correlations (ranged from r = .59 to r = .79) and temporal reliability (r = .88) were obtained.

Conclusions

The Portuguese version of the DSSS shows adequate psychometric properties. The results corroborated the structure of the DSSS found in the original version. The scale is internally consistent and has a good temporal stability.

Keywords

Assessment of social support, Deployment Social Support Scale (DSSS), DRRI, Exploratory factor Analysis, Portuguese Colonial War Veterans

P6 Hospitalization for acute viral bronchiolitis of residents in the metropolitan region of Porto Alegre, Southern Brazil, 2012 to 2014

Morgana C. Fernandes, Roger S. Rosa, Rita C. Nugem, Luís F. Kranz, Mariana S. Siqueira, Ronaldo Bordin
Federal University of Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, 90050-170, Brasil

Correspondence: Roger S. Rosa (roger.rosa@ufrgs.br) – Federal University of Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, 90050-170, Brasil

Background

Acute viral bronchiolitis (AVB) is a disease characterized by acute inflammation of the bronchioles and increased production and secretion of mucus that may be associated with bronchospasm. It mainly affects infants being the most common cause of paediatric hospitalization in the first year of life. Objective: To describe the characteristics of hospitalizations for BVA in the public health system (SUS) of residents 0 to 2 years-old of the Greater Porto Alegre (GPA) region, in southern Brazil, 2012-2014.

Methods

Analysis of hospitalizations with first-listed diagnosis ICD-10 J21.0 and J21.8 from the Hospital Information System (HIS)/SUS publicly available. Calculation of indicators by sex, age groups, stay, mortality and spending.

Results

There were 7,091 admissions (2,364/year) in SUS for BVA of GPA residents (153.6/10,000 inhabitants/year). Males predominated (4,246 or 59.9 % vs. 2,845 or 40.1 % of females). Admissions of patients up to 1 year-old accounted for 99.2 %. Bronchiolitis by respiratory syncytial virus (ICD-10 J21.0) accounted for 2,226 (31.4 %) hospitalizations. The average length of stay was brief (5.3 days) and the mortality rate was low (0.2 %) having 12 deceased patients (4/year) (5 males and 7 females). The average annual expenditure was $955.7 thousand PPP (Purchasing Power Parity) and the average value per hospitalization $404.33 PPP.

Conclusions

As hospitalizations for BVA conditions are sensitive to primary health care interventions, these data can serve as a basis to identify weaknesses in the basic local network of health services.

Keywords

Acute viral bronchiolitis, hospitalization, public health system, children, primary care sensitive conditions

P7 Falls-risk screening – an opportunity for preventing falls in the elderly from Nordeste

Anabela C. Martins1, Anabela Medeiros2, Rafaela Pimentel2, Andreia Fernandes2, Carlos Mendonça2, Isabel Andrade1, Susana Andrade1, Ruth L. Menezes3
1Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal; 2Municipality of Nordeste, Azores, 9630 – Nordeste, Azores, Portugal; 3University of Brasilia, Brasília – Distrito Federal, 70910-900, Brasil

Correspondence: Anabela C. Martins (anabelacmartins@estescoimbra.pt) – Escola Superior de Tecnologia da Saúde de Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal

Background

The European Innovation Partnership on Active and Healthy Ageing (EIP on AHA) issued several key documents for launching and implementing a collaborative partnership aiming to increase the average healthy lifespan of Europeans by 2 years by 2020. Through cooperation between all EU countries, evidence-based programmes for the prevention, early detection, risk minimization and management of falls must be implemented. Objective. To identify the population at risk of falling (and of fractures) which may benefit from effective individual interventions.

Methods

A descriptive, exploratory study was conducted with 213 participants of a home-dwelling population (72.5 % female), with an average age of 75.85 years, SD = 6.94.

Results

The population from Nordeste evidenced a probability of limited mobility within the community, with a mean value of 13.45 sec in the walking speed test. A mean value of 12.43 sec in the Timed Up & Go test indicated a moderate risk of falling. Up to 36 % participants reported having fallen in the last 12 months.

Conclusions

All together these results are an opportunity for the development of a programme for fall prevention in the community, in a partnership joining local health and social organizations. This will contribute to the implementation of programmes adapted to the functional and psychological demands of these older people from Nordeste, and also to their daily life activities, in order to enhance strength, walking speed, flexibility, balance and resistance, under the framework of the collaborative initiative “Dar Vida aos Anos” of the municipality of Nordeste dedicated to those over 65.

Keywords

Falls-risk screening, Home-dwelling, Older adults

P8 Aging provokes chronodisruption in mature people in temperature circadian rhythm

Rafael Bravo1, Marta Miranda2, Lierni Ugartemendia2, José Mª Tena3, Francisco L. Pérez-Caballero4, Lorena Fuentes-Broto5, Ana B. Rodríguez2, Barriga Carmen2
1Universidad de Extremadura, Badajoz, 06071 Badajoz, España; 2Chrononutrition Laboratory, Department of Physiology, Faculty of Science, University of Extremadura, Badajoz, 06071 Badajoz, España; 3Department of Anestesiology, Complejo Hospitalario Universitario de Badajoz, 06080 Badajoz, España; 4Centro de Salud La Paz, Badajoz, 06011 Badajoz, España; 5Aragon Institute for Health Research, Zaragoza, 50009 Zaragoza, España

Correspondence: Rafael Bravo (rbravo@unex.es) – Universidad de Extremadura, Badajoz, 06071 Badajoz, España

Most physiological functions in the body follow a circadian rhythm. There are several pathologies and biological processes like obesity or aging, among others, that provokes chronodisruption in these rhythms. It is well known that elderly people suffer from chronodisruption in most of their circadian rhythms. Our aim was to elucidate if this trend may begin in earlier stages. Thirty-two 32 people (aged between 40 and 65) participated in this assay. Volunteers wore a wrist temperature logger on their non-dominant hand for 3 days. Data were read in a computer and analysed through Circadianware software. Chronobiological parameters MESOR (the average value around which the variable oscillates), amplitude (difference between the peak and the mean value of the wave) and acrophases (the time at which the peak of a rhythm occurs) were calculated and correlated with age. Our results showed that MESOR (p < 0.05; R = 0.4586), amplitude (p < 0.05; R = - 0.5178) changed with age but not acrophase. We conclude from the present assay that chronodisruption symptoms in temperature circadian rhythm in the elderly begin to be expressed in a mature stage in humans.

Keywords

Chronobiology, Chronodisruption, Aging, Temperature, Circadian rhythm

P9 The influence of climate and pollution factors in dengue cases of great ABC region, São Paulo

M. A. Carneiro1, J. N. Domingues2, S. Paixão2, J. Figueiredo2, V. B. Nascimento1, C. Jesus3, F Mendes3, F. Gehrke4, B. Alves1, L. Azzalis5, F. Fonseca1
1ABC Medical School, Santo André, São Paulo, 09210-180, Brazil; 2Department of Complementary Sciences, College of Health Technology of Coimbra, Polytechnic Institute of Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal; 3Biomedical Science Department, College of Health Technology of Coimbra, Polytechnic Institute of Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal; 4Biomedical Sciences Department, Paulista University, São Paulo, 04026-002, Brazil; 5Federal University of São Paulo, Diadema campus, Diadema, São Paulo, 09913-030, Brazil

Correspondence: C. Jesus (gaspar_c94@hotmail.com) – Biomedical Science Department, College of Health Technology of Coimbra, Polytechnic Institute of Coimbra, São Martinho do Bispo, 3046-854 Coimbra, Portugal

Background

Dengue is considered a major public health problem in the world. It is estimated that 80 million people are infected annually in 100 countries on all continents. The global changes that have taken place directly interfere with the natural environment; relating them to the climate and tropical diseases, it can be seen that changes in temperature alter the ecosystem, directly influencing the growth in transmission of diseases caused by vectors, which includes dengue. Objectives: To understand the consequences of temporal variability of climate conditions on the occurrence of dengue in the population of the Greater ABC metropolitan region of São Paulo and characterize the temporal trend of dengue in the region in the period 2010-2013.

Methods

Analysis of numbers of dengue cases reported in the years under review, complemented by the meteorological data (temperature and humidity) and pollutant concentration data (PM10). Dengue in the region had a higher incidence in 2010 and lower incidence in 2012.

Results

It was found that there is a statistical association between moisture and PM10 with dengue cases reported. Though the temperature does not statistically assume an association with reported dengue cases, it was found that the temperature peaks coincided with the epidemic peak of dengue.

Conclusions

High pollutant concentration (PM10) is associated with a decrease in the number of dengue cases. It would be interesting to carry out future studies related to environmental pollution and its influence on the mosquito Aedes aegypti development in all phases of its life cycle and developing strategies for better monitoring, campaigns and surveillance.

Keywords

Reported Dengue Cases, Vectors, Climatic and Environmental Factors, Particulate Pollutants

P10 Visual function and impact of visual therapy in children with learning disabilities: a pilot study

Ana R. Martins1, Amélia Nunes1, Arminda Jorge2
1Universidade da Beira Interior, Covilhã, 6201-001, Portugal; 2Centro Hospitalar Cova da Beira, Covilhã, 6200-251, Portugal

Correspondence: Ana R. Martins (anarita.m91@gmail.com) – Universidade da Beira Interior, Covilhã, 6201-001 Covilhã, Portugal

Background

Undetected visual dysfunctions affect academic performance. Thus it's essential the implementation of programs for visual evaluation/intervention in schoolchildren. Given that children with learning disabilities in reading (LDR) can benefit from early intervention with visual therapy (VT), this study aims to estimate the frequency and distribution of visual impairment in children with LDR, assess the impact of visual disturbances and the influence of VT on their quality of life.

Methods

Seventeen children with LDR (9 ± 1 years), followed in speech therapy/educational intervention in the paediatric service of "Centro Hospitalar Cova da Beira" (Portugal), participated in this study. The control group included 103 children without learning disabilities (10 ± 1 years). The visual function evaluation included the application of the Inventory of Visual Efficiency (COVD-QoL questionnaire), and optometric measurement of various parameters of visual function. All children with LDR with altered visual function were advised to conduct a VT plan.

Results

Children with LDR showed a higher percentage of visual function alterations (vergencial function, accommodation and ocular motility) and reported more symptoms compared to control group. After a VT plan was registered a significant improvement in most visual parameters assessed, and observed a significant reduction of visual symptoms.

Conclusions

This study shows that improvement of objective/subjective parameters of visual function reduce visual symptoms, increasing comfort while carrying out schoolwork, improving the quality of life in LDR children. This study suggests the importance of evaluation of visual function in LDR children, as well as the benefits of VT and the importance of a multidisciplinary approach.

Keywords

Learning disabilities, visual function, visual symptoms, visual therapy, school performance

P11 Edentulism and the need of oral rehabilitation among institutionalized elderly

Nélio Veiga1,2, Ana Amorim1, André Silva1, Liliana Martinho1, Luís Monteiro1, Rafael Silva1, Carina Coelho1, Odete Amaral3,5, Inês Coelho4, Carlos Pereira3,5, André Correia1,2
1Departamento de Ciências da Saúde, Universidade Católica Portuguesa, Viseu, 3504-505, Portugal; 2Centro de Investigação Interdisciplinar em Saúde, Universidade Católica Portuguesa, 3504-505 Viseu, Portugal; 3Escola Superior de Saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal; 4Unidade de Saúde Familiar Grão Vasco, Viseu, 3500-177, Portugal; 5Centro de estudos em educação, tecnologias e saúde, Instituto Politécnico de Viseu, 3504-510 Viseu, Portugal

Correspondence: Nélio Veiga (nelioveiga@gmail.com) – Departamento de Ciências da Saúde, Universidade Católica Portuguesa, Viseu, 3504-505, Portugal

Background

An adequate dentition is important for well-being and increase of quality of life. Despite advances in preventive dentistry, edentulism is still a major public health issue in Portugal. Objectives: Determine the prevalence of edentulism and assess the oral rehabilitation and oral/prosthetic hygiene habits in a sample of institutionalized elderly.

Methods

We conducted a cross-sectional study in a sample of 68 institutionalized elderly (79.4 % female), in which the average age was 78.3 ± 12.0 years old. Data collection was performed by applying a questionnaire about oral health behaviours and through an intraoral observation in order to determine the oral status and verify the condition of the oral rehabilitation of each participant.

Results

In the present study, 58.8 % presented total edentulism with no natural teeth in the oral cavity and 66.7 % had a removable prosthesis. From the elderly that had a removable prosthesis, only 42.9 % presented satisfactory prosthetic retention and stability. Only 44.1 % refer daily oral/prosthetic hygiene at least twice-a-day. From the total sample, 29.0 % refer having toothache, 58.1 % refer dry mouth and 67.7 % refer difficulty in chewing, even in the case of having a removable prosthesis. The educational level of the elderly was associated with dental pain (p = 0.012) and oral/prosthetic hygiene (p = 0.034).

Conclusions

A high prevalence of tooth loss was found in the sample studied and also the need of improvement of the removable prosthesis is fundamental. Improvement in oral healthcare and oral hygiene habits is essential to promote better oral health and quality of life among the institutionalized elderly.

Keywords

Edentulism, institutionalized elderly, oral rehabilitation, quality of life.

P12 Therapy adherence of outpatients in the pharmacy services of a hospital unit

Diana Rodrigues1, Nídia Marante1, Pedro Silva1, Sara Carvalho1, André Rts Araujo1,2, Maximiano Ribeiro1,2, Paula Coutinho1,2, Sandra Ventura1,2, Fátima Roque1,2
1School of Health Sciences, Polytechnic Institute of Guarda, 6301-559 Guarda, Portugal; 2Research Unit for Inland Development, Polytechnic Institute of Guarda, 6301-559 Guarda, Portugal

Correspondence: Fátima Roque (froque@ipg.pt) – School of Health Sciences, Polytechnic Institute of Guarda, 6301-559 Guarda, Portugal

The low adherence to therapy of chronic patients undergoing long-term treatment has been identified as a major factor responsible for the lack of effectiveness of prescribed treatments.

In the present study, we have conducted interviews to patients over the age of 18 that acquired their medications in a hospital pharmacy of the north region of Portugal. Compliance with the treatment regimen and self-perception of health status were assessed by applying the Morisky Medication Adherence Scale© (MMA-8-Item) and the The Brief Illness Perception Questionnaire© (IPQ-B), respectively.

The association between gender and some types of disease was observed for Psoriatic Arthritis and for the incidence of breast cancer in women and lung cancer in males. Of the 11 patients, 3 reported to have undergo therapeutic changes from the beginning of treatment. These three correspond to patients with Hepatitis B and Psoriatic Arthritis.

The results of therapy adherence show 90.9 % of adherence, in which 5 of the 11 respondents showed a high degree of adherence to therapy and only 1 revealed lower levels of adherence. According to the MMA-8-Item (n = 11) respondents do not associate the non-adherence to oblivion of taking the medicines. However, the limiting factors of adherence most mentioned were adverse effects associated with the medication and depressive states linked with the negative impact that the disease has on society.

Although this is a pilot study, our results have shown to be promising. Patients reported high adherence rates and it was verified a relationship between therapy adherence and the self-perception of health.

Keywords

Therapy adherence, health status, effectiveness

P13 Universal access and comprehensive care of oral health: an availability study

Cristina Calvo, Manoela Reses
Centro de Ciências da Saúde, Departamento de Saúde Pública, Universidade Federal de Santa Catarina, Florianópolis, Santa Catarina, 88040-900 Brasil

Correspondence: Cristina Calvo (cristina.clv@gmail.com) – Centro de Ciências da Saúde, Departamento de Saúde Pública, Universidade Federal de Santa Catarina, Florianópolis, Santa Catarina, 88040-900 Brasil

The constitutional right to health can be considered as one of the greatest social achievements of the post-democracy period in Brazil. After 25 years of the implementation of the Unified Health System, although undeniable advances have been observed, the guidelines for universal access and comprehensive care in oral health still remain as challenges. In this sense, we performed an availability study (AS) of oral health services with a focus on universal access and comprehensive care.

The EA consists of a set of procedures that precede the stage of evaluation for verifying the extent to which the object can be evaluated. In this study the following steps were taken: (a) description of oral health care by identifying goals and activities; (b) design of the theoretical and logical model; (c) development of an evaluation matrix; (d) identification of stakeholders in the evaluation; and (e) achieving consensus on the evaluation procedures.

The evaluative matrix of oral health care with a focus on universal access and comprehensiveness was composed of five dimensions: accessibility; availability; priority of promotion and prevention actions; articulation of promotion, prevention and recovery; and integral approach of individuals and families. For each dimension indicators were discussed related to the level of dental care: management, primary care, specialized care, urgent and emergency services and hospital care.

The EA proved to be appropriate and allowed the identification of priority areas of oral health care for future evaluations.

Keywords

Health services evaluation, access, oral health care services, Integrality in Health, oral health

P14 Is the respiratory function of children a predictor of air quality? Coimbra as a case study

Jorge Conde, Ana Ferreira, João Figueiredo
College of Health Technology, Polytechnic Institute of Coimbra, 340-162 Coimbra, Portugal

Correspondence: Jorge Conde (jconde@estescoimbra.pt) – College of Health Technology, Polytechnic Institute of Coimbra, 340-162 Coimbra, Portugal

Background

Respiratory changes are increasingly present, from an early age, either because life is increasingly sedentary, or because city pollution is increasingly present. Knowing that the circuits of the children of the city of Coimbra, are apparently "clean", we assessed two groups of children, using spirometry in the search for respiratory changes denoting disease. Objective: to assess a population of children representing the municipality of Coimbra, in order to understand possible respiratory changes.

Methods

We studied children who attend the 1st grade and those who attend the 4th grade, using spirometry. The children were selected among those who had no history of disease, nor evident symptoms and presented adequate collaboration. The results were stratified to be representative of the population of the municipality of Coimbra.

Results

The results show a predominantly healthy population, with children of the 1st grade (6-7 years old), presenting alterations to small and medium airways in 7.0 % of the cases, with girls representing 4.3 % of the sample. Only in 0.4 % of the children were we in the presence of respiratory alterations of the obstructive type. In the 4th grade group (9 to 10 years), the results showed 4.0 % of obstructive alterations in peripheral airways and only in 2.0 % was obstructive respiratory alteration observed.

Conclusions

We can say that the population between 6 and 10 years old presents a good level of absence of disease, which cannot be unrelated to good air quality of the city and low level of pollution.

Keywords

Spirometry, city pollution, children

P15 Meaning-in-life of college students

David Silva, Luís Seiça, Raquel Soares, Ricardo Mourão, Teresa Kraus
School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal

Correspondence: Teresa Kraus (teresa.kraus@ipleiria.pt) – School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal

Background

Admission to college and academic life both represent a particularly susceptible period of emotional turmoil. This period can be exacerbated by the organization of the student’s identity, a result of developing maturity. In this context, meaning in life presents itself as a variant with promising effect on the attainment of life goals. Objective: To characterize the sample as to its life goals.

Methods

A simple descriptive study, performed during 2015 with students from a college in the centre of Portugal. The sample answered to a survey on Google Docs with open and closed-ended questions, with the study’s goal as its basis. Data processing was accomplished using descriptive statistic means.

Results

The sample had 242 subjects, mostly female (78.1 %, n = 189). To the question “More than anything, I want to…”, answers were “be happy” (59.5 %, n = 144); “finish college” (4.1 %, n = 10); “start a family” (2.9 %, n = 7); and “help others” (2.5 %, n = 6). We can point out that a few subjects (12 %, n = 29) referred that they haven’t made any progress in the pursuit of their life goals yet, such as “to be desired”, “to be loved”, “to be happy” and “to enjoy life”.

Conclusions

Most of the sample’s subjects recognize they are achieving their goals. Only a minority admits their lack of ability in succeeding. Despite only being a few, they need holistic attention to guide them towards a discovery of a real meaning in life.

Keywords

Meaning-in-life, college, students

Education & Training of Health Professionals

O57 Training needs for nurses in palliative care

Ana C. Abreu1, José M. Padilha2, Júlia M. Alves3
1Oporto Portuguese Institute of Oncology FG, EPE, 4200-072 Porto, Portugal; 2Porto Nursing School, 4200-072 Porto, Portugal; 3Oporto Central Hospital, 4099-001 Porto, Portugal

Correspondence: Ana C. Abreu (catarina.abreu19@gmail.com) – Oporto Portuguese Institute of Oncology FG, EPE, 4200-072 Porto, Portugal

Background

Demographic, social and health changes are at the origin of the change in the place of death. The characterization of nursing care needs to be documented in the Nursing Information System (NIS) in use, and may represent an effective strategy to define training policies for nurses, for the organization of care as well as for the definition of areas of focus for research. Objective: To describe the main needs for nursing care of palliative patients referred to the Hospital-Support Team in Palliative Care of a hospital in central Portugal.

Methods

We conducted an exploratory, descriptive and cross-sectional study, from the documentation of nursing care in the NIS in use. Our sample comprises the accessible population between September 1, 2012 and September 1, 2013, making a total of 276 patients.

Results

In this study, 53.99 % of patients have an oncological pathology, despite the increase of referral of non-oncologic pathologies. Concerning the needs of nursing care documented in the NIS, 68 % of nursing focus is given to the dimension of function and 32 % to the dimension of the person. The management and control of symptoms is one of the main focuses in the available evidence, also found in the study with an emphasis on function.

Conclusions

Despite the relevance of the physical dimension, it represents only a part of total care, exposing the opportunity for improving nursing care quality, regarding the psychological, social, cultural and spiritual dimensions. The need emerges for appropriate training in the other key areas of Palliative Care, particularly fatigue, grief, family, communication, comfort and spirituality.

Keywords

Palliative Care, Nursing Care, Total Care

O58 Impact of computerized information systems in the global nurses’ workload: nurses’ perceptions and real-time

Paulino Sousa1,2, Manuel Oliveira1, Joana Sousa3
1Escola Superior Escola Superior de Enfermagem do Porto, 4200-072 Porto, Portugal; 2Center for Health Technology and Services Research, Faculdade de Medicina, Universidade do Porto, 4200-450 Porto, Portugal; 3Centro Hospitalar do Porto, 4099-001 Porto, Portugal

Correspondence: Paulino Sousa (paulino@esenf.pt) – Escola Superior Escola Superior de Enfermagem do Porto, 4200-072 Porto, Portugal

Background

During the last decade, health institutions have been involved in the process of moving away from paper-based and implementing electronic health information to support patient care. The documentation is in fact an essential part of nursing practice, but will undoubtedly be responsible for a substantial portion of the overall workload of nurses. We are confronted too often with opinions that contain a perception that the use of computerized information systems (CIS) have a major impact on the overall workload of nurses. Objective: To explore nurses’ perceptions and the real-time of CIS impact on the global nurses’ workload.

Methods

A cross-sectional survey was applied to collect data from 190 nurses that use CIS in a hospital. For the analysis of real-time spent on the CIS usage we collected the automated registered times of medicine ward nursing users.

Results

Only a quarter (Q1) of nurses believes that the time spent with the use of CIS is less or equal to 30 % of their global workload and 75 % of the nurses (Q3) consider that is less or equal to 50 %, existing an equal dispersion to the right and left of the median (40 %). The average of the real-time spent on CIS use was 16.7 % of nurses’ workload (median: 17.1 % and standard deviation: 3.4).

Conclusions

Nurses have the perception that the time used in CIS has a high impact on the workload. However, the analysis of “real-time” shows that the time spent is overlapping the lowest times referenced in the literature.

Keywords

Computerized Information Systems, electronic health information, nursing workload, time spent

O59 The perspective of health care professionals on self-care in hereditary neurodegenerative disease: a qualitative study

Sónia Novais1, Felismina Mendes2
1Instituto de Ciências da Saúde, Universidade Católica Portuguesa, 1649-023 Lisboa, Portugal; 2Escola Superior de Enfermagem de S. João de Deus, Universidade de Évora, 7004-516 Évora, Portugal

Correspondence: Sónia Novais (snovais@gmail.com) – Instituto de Ciências da Saúde, Universidade Católica Portuguesa, 1649-023 Lisboa, Portugal

Familial Amyloidotic Polyneuropathy (FAP) is a rare, irreversible and fatal disease resulting from a genetic mutation with autosomal dominant transmission. This neurodegenerative disorder has late age of onset, after 25 years of age and is a progressive autonomic sensory and motor neuropathy. This disease is characterized by deposition of insoluble amyloid fibrils in connective tissue causing high dependency and premature death. Treatment options for patients with FAP are very limited. Symptomatic treatment can control symptoms and improve the quality of life of these patients.

This work aims to: I) Understand the perspective of health professionals on self-care in FAP; II) Understand which behaviours and self-care needs of patients are perceived by health professionals. This is a part of a larger ethnographic study. A semi-structured interview was conducted with eight privileged witnesses. The collected qualitative data was analysed according to the method proposed by Miles, Huberman and Saldaña.

The results obtained by analysis of the interviews allow us to have two categories, namely self-care needs and self-care behaviours. The needs identified by health professionals primarily relate to the increased level of dependence that occurs with the evolution of this illness.

The self-care behaviours are identified with the completion of presymptomatic testing and the use of medically assisted procreation techniques with pre-implantation testing and selection of free mutation embryos. The health care professionals’ perspective of self-care within the inherited genetic disease is expanded, but is mainly derived from self-care needs and not from self-care behaviours.

Keywords

FAP, Self-care, hereditary disease, social illness representation, health care professional

O60 Contribution for health-related physical fitness reference values in healthy adolescents

Joana Pinto, Joana Cruz, Alda Marques
School of Health Sciences, University of Aveiro, 3810-193 Aveiro, Portugal

Correspondence: Alda Marques (amarques@ua.pt) – School of Health Sciences, University of Aveiro, 3810-193 Aveiro, Portugal

Background

Physiotherapy intervenes in health-related physical fitness (HRPF). However, normative values are lacking for prescribing exercise in healthy and non-healthy populations, namely in adolescents. Objective: The primary aim was to contribute for establishing normative values of the measures most commonly used in physiotherapy to assess HRPF. Secondary aims were to examine gender-specific differences and the relationship between HRPF and physical activity (PA).

Methods

A cross-sectional study was conducted with Portuguese adolescents. Socio-demographic, anthropometric data and vital signs were first collected. Then, HRPF was assessed through: body mass index (BMI), incremental shuttle walk test (ISWT), quadriceps muscle strength using hand-held dynamometry (HHD), modified sit-and-reach test (MSRT) and timed up and go (TUG). Participants’ PA levels were assessed using the "Physical Activity Index" (PAI).

Results

One hundred forty-one (141) adolescents participated (14.33 ± 1.34 years, 71 males). The proposed normative values for HRPF were: BMI 58.95 ± 2.44 %; ISWT 1251.19 ± 26.25 m; HHD 21.04 ± 0.69 Kgf; MSRT 38.09 ± 1.75 cm; TUG 4.31 ± 0.13 s. Male adolescents were significantly (p < 0.001) faster performing TUG (males: 3.75 ± 0.43 s; females: 4.88 ± 0.87 s), walked a superior distance in the ISWT (males: 1409.00 ± 265.63 m; females: 1111.94 ± 251.10 m) and had more quadriceps muscle strength (males: 23.77 ± 7.13 kgf; females: 18.70 ± 6.28 kgf) than females. Adolescents had moderate PA levels. Higher PA levels were associated with better results in the MSRT (r = 0.592, p < 0.001), TUG (r = -0.543, p < 0.001) and ISWT (r = 0.432, p < 0.001).

Conclusions

Findings are a contribution for HRPF normative values of tests most commonly used in physiotherapy assessment of adolescents. The associations between PA and HRPF suggest that future work should encourage adolescents to adopt more active lifestyles in order to improve their HRPF performance.

Keywords

Physical fitness, cardiorespiratory, muscular strength, neuromuscular, flexibility, physical activity index, adolescents

O61 Perception of learning, satisfaction and self-efficacy of nursing students about High-Fidelity Simulation

Hugo Duarte, Maria Dos Anjos Dixe, Pedro Sousa
Health Research Unit & School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal

Correspondence: Hugo Duarte (hugoduarte2009@gmail.com) – Health Research Unit & School of Health Sciences, Polytechnic institute of Leiria, 2411-901 Leiria, Portugal

Background

Over the last years the teaching of nursing has been progressively directed to the use of new methodologies, among which we highlight the High-Fidelity Simulation (HFS), which allows nursing students to have their first contact with the clinical practice within the academic environment. Objective: To evaluate and correlate the perception of learning, satisfaction and self-efficacy of nursing students about HFS.

Methods

A correlational study with 139 nursing students was developed, using the Portuguese version of the Nursing Students’ Perceptions of Learning and Learner Satisfaction with Simulation Tool.

Results

Nursing students reveal a moderated perception of learning about the HFS (3.649 ± 0.513 out of 5 points), a good level of satisfaction (7.317 ± 1.065 out of 10 points) and a self-efficacy for the practice of HFS (31.590 ± 3.974 out of 40 points). All correlations between perception of learning, satisfaction and self-efficacy of the students regarding HFS were positive and highly significant (p ≤ 0.001), with values between 0.991 and 0.385.

Conclusions

This study reveals that nursing students are satisfied with the practice of HFS, as well as shows a positive perception of learning and self-efficacy about HFS. The fact that the correlations among these three variables are highly significant and positive, demonstrate the importance of the practice of HFS within the school environment, which allows the development of experiences of high value for the nursing students.

Keywords

High Fidelity Simulation, nursing students, personal satisfaction, self-efficacy, learning perception

O62 Analysis of statements of diagnosis about health deviation in self-care requisites customized in a Nursing Practice Support System (SAPE®): Management of therapeutic regimen

Inês Cruz, Fernanda Bastos, Filipe Pereira
Escola Superior de Enfermagem do Porto, Porto, 4200-072, Portugal

Correspondence: Inês Cruz (inescruz@esenf.pt) – Escola Superior de Enfermagem do Porto, Porto, 4200-072, Portugal

Background

Nowadays chronic diseases are the leading cause of death in Portugal and in the world. Since most of these diseases have behavioural determinants in their origin, and their control depends on self-care behaviours, including an effective management of th