Journal of Statistics on Health Decision
type: channel
publisher: University of Aveiro (UA)
language: en
publication name: Journal of Statistics on Health Decision
issn: 2184-5794
copyright: When submitting an article to the Journal of Statistics on Health Decision (JSHD), authors certify the following clauses: Originality and single submission – The contents presented in the article have not been published previously in whole or in part, and were not submitted or are not under active consideration elsewhere prior JSHD decision. The article is authentic and does not contain plagiarism. Authorship – All authors reviewed the article, agreed with its content, and agreed to its submission to the JSHD. All the authorship criteria stated by The International Committee of Medical Journal Editors Guidelines were met. Conflicts of interest – Any conflict of interests were declared. If authors have no declaration, it should be written (in the acknowledgements section): “The authors declare no conflict of interests”. Ethics committee and informed consent (if applicable) – The current research was approved by an independent ethics committee and subjects gave their informed consent before they were enrolled in the study. And authors agree to the Open Access license agreement of the Journal of Statistics on Health Decision, stated bellow.
items: 7th Statistics on Health Decision Making: Epidemiology
items: Impact of the Covid-19 pandemic on dispensing of anticoagulant therapy
items: Analysis of the Decrease of the Patients’ Pain After Regional Block in Post-anaesthesia Care Unit with a Subarachnoid Anaesthesia or a Balanced General Anaesthesia
items: P32 - Identification of gait patterns among patients with parkinsonism based on normalized gait obtained using multiple regression models.
items: A mental health clinician’s primer on statistical mediation and moderation
items: Contribution to the translation and reliability analysis of the Self-Administered Amyotrophic Lateral Sclerosis Functional Rating Scale - Revised, for European Portuguese
items: Physicians' perceptions of psychosocial factors and coping strategies in their ability to work: a multivariate analysis
items: Relationship between WAI, BriefCOPE and COPSOQII scales: a multivariate analysis on health care professionals
items: Self-perceived functioning in relation to existing symptoms 12 months after SARS-COV-2 infection in workers of an industrial facility in Aveiro Region – an observational study.
items: Exploratory and Inferential Analysis of Children's Eye Defects Screening in the Region of Aveiro
items: Occupational health, well-being and ability to work in a sample of Portuguese Nurses
items: Are coping and workplace psychosocial factors related to work ability in physicians? A PLS-SEM approach
items: Coping strategies and psychosocial factors at work of Dietitians/Nutritionists: a multivariate analysis approach
items: The dimension reduction power of ClustOfVar: application of the variable cluster analysis technique in a mixed data health database
items: Analysis of Cervical Node Metastasis in Oral Cavity Squamous Cell Carcinoma Patients
items: 6th Statistics on Health Decision Making: Artificial Intelligence
items: 5th Statistics on Health Decision Making: Personalized Medicine
items: The impact of vaccination on transmission and death by COVID-19: an observational study in Portugal’s biggest primary care cluster
items: Meta-analysis of Chemical exposure and increased risk of hematologic malignancies.
items: Effects of temperature and mobility on COVID-19 incidence
items: Fonseca anamnestic index for screening Temporomandibular Disorders - reliability to discriminate muscular from intra-articular disorders.
items: Transition to parenthood recognition and accepting the maternal role.
items: Characterization of mental health issues in the region of Aveiro — A retrospective analysis
items: Mortality prediction scores in burn patients – a comparative analysis
items: Exploratory Analysis based on Relative Risk on the incidence of different causes of death in mortality in the Region of Aveiro
items: Analysis of the pattern of Oral and Maxillofacial Trauma in the world: A Systematic Review and Meta-Analysis
items: Epidemiological pattern and etiology of Oral and Maxillofacial Trauma: A Retrospective Study among Patients from a Portuguese Central Hospital
items: Purpose in life and caregiver burden in kidney failure: Preliminary results from a hierarchical multiple regression analysis
items: The Covid-19 impact on family caregivers’ mental health in the Municipality of Aveiro
items: Caregiver burden and family functioning – the moderating effect of educational level

7th Statistics on Health Decision Making: Epidemiology
type: item
description: INVITED SPEAKERS S1.01 Missing data and causal inference Kate Tilling, University of Bristol, UK S1.02 Dealing with Multiple Mediators in Causal Mediation Analysis Beatrijs Moerkerke Ghent, Ghent University, Belgium S2.01 Directed acyclic graphs as a causal inference tool: from principles to applications Andreia Leite, National School of Public Health, NOVA University Lisbon, INSA, Portugal S2.02 Robust Indirect Treatment Comparisons: Addressing Unmeasured Confounding with Quantitative Bias Analysis Kate Ren, University of Sheffield, UK S3.01 Epidemiology in the Data Era Nuno Lunet, Institute of Public Health of the University of Porto (EPIUnit / ITR), Portugal S3.02 Local Epidemiology in Action: Turning Data into Public Health Impact Rui Pedro Leitão, Public Health Unit, Local Health Unit of the Aveiro Region (ULS-RA), Portugal S3.03 Informed policies using national epidemiological information systems André Peralta Santos, Directorate-General for Health (DGS), National School of Public Health, NOVA University Lisbon, Portugal BIOMETRY SESSION OF SPE Bio01 Bayesian spatial joint modelling of hospitalizations due to respiratory cancer in Portugal – a disease mapping approach Felipe Barletta, University of Lisbon, Portugal Bio02 Cutoff-Free Estimation of Seroprevalence: A Mixture Model Approach Nuno Sepúlveda, Warsaw University of Technology, Poland Bio03 A Bayesian joint model for multiple (un)bounded longitudinal markers, competing risks, and recurrent events Pedro Miranda-Afonso, Erasmus University Medical Center, Netherlands Bio03 The problem of Bayesian screening from a medical point of view Sandra Ramos, Polytechnic of Porto, Portugal ORAL COMMUNICATIONS OC01 Dynamic prediction of the causal effect of transplantation on survival to prioritize patients on transplant waiting ists: A case study in hepatocellular carcinoma Pedro Miranda-Afonso , Hau Liu, Michele Molinari, Dimitris Rizopoulos OC02 Understanding the trajectory over time of kidney transplants: A risk f…
subject: Conference Abstracts
  topic: section
subject: Abstracts
  topic: keywords
creator: Oral Communication Authors
rights: Copyright (c) 2025
date: 2025-07-10
publication date: 2025-07-10
starting page: e40516
ending page: e40516
doi: 10.34624/jshd.v7i1.40516

Impact of the Covid-19 pandemic on dispensing of anticoagulant therapy
type: item
subject: Extended Abstract
  topic: section
subject: Pandemic
  topic: keywords
subject: Interrupted Times Series
  topic: keywords
subject: ARIMA
  topic: keywords
subject: Segmented regression
  topic: keywords
subject: Anticoagulant drugs
  topic: keywords
creator: Vânia Izabel da Veiga Semedo
creator: José Guerreiro
creator: Zilda Mendes
rights: Copyright (c) 2022 Vânia Izabel da Veiga Semedo
date: 2022-07-20
publication date: 2022-07-20
starting page: 60
ending page: 61
doi: 10.34624/jshd.v4i1.28924

Analysis of the Decrease of the Patients’ Pain After Regional Block in Post-anaesthesia Care Unit with a Subarachnoid Anaesthesia or a Balanced General Anaesthesia
type: item
subject: Extended Abstract
  topic: section
subject: Anaesthesia Techniques
  topic: keywords
subject: General Anaesthesia
  topic: keywords
subject: Pain diminution
  topic: keywords
subject: Regional Anaesthesia
  topic: keywords
subject: Subarachnoid Anaesthesia
  topic: keywords
creator: Sara Pinheiro
creator: Filipa Cunha
creator: Maria Pinto
creator: Elena Segura Grau
creator: Vera Afreixo
rights: Copyright (c) 2021 Sara Pinheiro, Vera Afreixo
date: 2021-07-22
publication date: 2021-07-22
starting page: 105
ending page: 107
doi: 10.34624/jshd.v3i1.24967

P32 - Identification of gait patterns among patients with parkinsonism based on normalized gait obtained using multiple regression models.
type: item
subject: Extended Abstract
  topic: section
subject: Multiple regression models
  topic: keywords
subject: clustering
  topic: keywords
subject: gait analysis
  topic: keywords
creator: Flora Ferreira
creator: Carlos Fernandes
creator: Miguel Gago
creator: Nuno Sousa
creator: Wolfram Erlhagen
creator: Estela Bicho
rights: Copyright (c) 2019 Journal of Statistics on Health Decision
date: 2019-05-10
publication date: 2019-05-10
starting page: press
ending page: press
doi: 10.34624/jshd.v1i1.2755

A mental health clinician’s primer on statistical mediation and moderation
type: item
description: Statistical literacy is vital to the effective delivery of evidence-based mental healthcare. In this context, mediation and moderation models of mental processes have become increasingly popular, because of their potential to reveal possible causal mechanisms between variables or specific conditions for a given effect to occur. This brief article aims to introduce practicing mental health clinicians to statistical mediation and moderation models, by outlining their conceptual distinction, summarizing the underlying data analysis procedures, and discussing the implications of such models for clinical decision making in mental health practice.
subject: Short paper
  topic: section
subject: Statistics
  topic: keywords
subject: Mediation
  topic: keywords
subject: Moderation
  topic: keywords
subject: Statistical Literacy
  topic: keywords
subject: Medical Education
  topic: keywords
creator: Carlos Carona
rights: Copyright (c) 2024 Carlos Carona
date: 2024-12-02
publication date: 2024-12-02
starting page: e36913
ending page: e36913
doi: 10.34624/jshd.v6i2.36913

Contribution to the translation and reliability analysis of the Self-Administered Amyotrophic Lateral Sclerosis Functional Rating Scale - Revised, for European Portuguese
type: item
description: Objective: To contribute to the translation of the self-administered ALSFRS-R - European Portuguese version (ALSFRS-R: EP), and to analyse its reliability to enable its use by ALS patients in Portugal. Methods: The study was developed in 3 phases. Phase 1: Translation and cultural adaptation of the self-administered ALFRS-R; Phase 2: Content validation by study participants; Phase 3: Exploratory factor analysis (EFA), analysis of its internal consistency and test-retest reliability. Results: According to a panel of experts (N=6), a CVI of 100% were obtained for all ALSFRS-R: EP items. A sample of 18 people with ALS (13 male) fulfilled the test and evaluated its items regarding its clarity, comprehension, difficulty, and relevance, obtaining values varying from 8.6 and 8.9, 8.7 and 8.9, 8.5 and 8.8, and 8.5 and 8.9, respectively. The EFA revealed three factors representing the following domains: (1) bulbar function; (2) fine and gross motor function; and (3) respiratory function. The instrument total score and its subscales presented good internal consistency (Cronbach'sα: ranging from 0.72 to 0.92 in the test; from 0.70 to 0.95 in the retest) and good to excellent test-retest reliability (Kendall tau: ranging from 0.58 to 0.99). Considering the scale total score for the test, no statistical differences were observed between females and males nor between bulbar ALS and medullar ALS. The correlation between the total score and age showed to be significant and negative (-0.53). Conclusions: The Self-Administered ALSFRS-R: EP version was successfully translated, validated, and presented good to excellent reliability results, with similar EFA structure to other studies. It will allow its use by European Portuguese ALS patients, enabling their health professionals to monitor the disease progression at home.
subject: Original Articles
  topic: section
subject: Amyotrophic Lateral Sclerosis
  topic: keywords
subject: Self-administered ALSFRS-R
  topic: keywords
subject: Functionality
  topic: keywords
subject: Quality of life
  topic: keywords
creator: Maria da Assunção Coelho Matos
creator: Isabel Maria Monteiro Costa
creator: Raquel Carmo Portinha
creator: Beatriz Costa Afonso
creator: Katia Coimbra Barbosa
creator: Carla Sofia Lima Gouveia
creator: Pedro Miguel Ferreira Sa-Couto
rights: Copyright (c) 2023 Maria da Assunção Coelho Matos, Isabel Maria Monteiro Costa, Raquel Carmo Portinha, Beatriz Costa Afonso, Katia Coimbra Barbosa, Carla Sofia Lima Gouveia, Pedro Miguel Ferreira Sa-Couto
date: 2023-04-28
publication date: 2023-04-28
starting page: e28483
ending page: e28483
doi: 10.34624/jshd.v5i1.28483

Physicians' perceptions of psychosocial factors and coping strategies in their ability to work: a multivariate analysis
type: item
description: Background/Objective: Physicians play a crucial role in healthcare systems but face negative impacts from a challenging work environment, leading to burnout. Burnout has negative effects on physician health and patient care. Understanding psychosocial aspects of work and coping strategies used by physicians is essential. Validated tools, including COPSOQ-II, BriefCOPE, and WAI scales, can provide insight into the psychosocial impact of the medical profession. The study aims to use these scales to explore the relationship between job demands (COPSOQ-II), coping strategies (BriefCOPE), and work ability (WAI) among Portuguese physicians. Methods: Participants were recruited through professional associations and organizations with access to physicians, and data was collected via a self-administered web-based questionnaire. Participants’ sociodemographic characteristics were associated with WAI scores through Chi-Square analysis and One-way ANOVA. Outliers were detected through sensitivity analysis, and exploratory and confirmatory factor analyses were performed for the COPSOQ-II and BriefCOPE scales. Associations between WAI scores and COPSOQ-II and BriefCOPE scales were also analyzed. Results: The study surveyed 55 physicians and found that except for sex, there were no significant differences in the work ability index (WAI) by sociodemographic characteristics. Significant differences were found between WAI and higher scores in job purpose, quality of management, and general health, while higher stress, sleep issues, and depressive symptoms were associated with lower WAI groups. Exploratory (EFA) and confirmatory factorial analyses (CFA) were conducted on the BriefCOPE and COPSOQ-II scales, revealing disconnection with the theoretical model. Under EFA, the BriefCOPE items related to theoretical dimension of "dysfunctional coping" are scattered into other coping dimensions, and the empirical model of the COPSOQ-II scale presented a different configuration from its theor…
subject: Short paper
  topic: section
subject: Physicians
  topic: keywords
subject: Coping
  topic: keywords
subject: Workplace
  topic: keywords
subject: Burnout
  topic: keywords
subject: WAI
  topic: keywords
subject: COPSOQ-II
  topic: keywords
subject: BriefCOPE
  topic: keywords
creator: Ana Messias
creator: Marta Estrela
creator: Pedro Couto
creator: Pedro Sá-Couto
creator: Marco Ramos
rights: Copyright (c) 2023 Ana Messias, Marta Estrela, Pedro Couto, Pedro Sá-Couto, Marco Ramos
date: 2023-05-31
publication date: 2023-05-31
starting page: e31600
ending page: e31600
doi: 10.34624/jshd.v5i2.31600

Relationship between WAI, BriefCOPE and COPSOQII scales: a multivariate analysis on health care professionals
type: item
description: Background/Objective: Individual health and organizational performance are strongly influenced by how people manage stress, or how they cope. Analysis and understanding of bidirectional association of BriefCOPE and COPSOQII and a unidirectional association of these two with “Índice de Capacidade para o Trabalho (ICT)”, a Portuguese version of Work Ability Index (WAI) in a health care professionals (e.g. Physicians, Nurses…) database (incomplete cases: n=909, complete cases: n=652). Methods: The Brief-COPE is a 28 item self-report questionnaire designed to measure effective and ineffective ways to cope with a stressful life event. The psychosocial factors of work were evaluated using the COPSOQII. This questionnaire comprises 76 items divided into 29 scales. The WAI assesses the work ability, considering their health status, physical and mental demands, and work-related resources. To explore the association between Sociodemographic variables, BrieCOPE and COPSOQII with WAI, the chi-squared test (for categorical variables) and the Kruskal-Wallis test (for quantitative variables) were applied. Exploratory Factorial Analysis (EFA) and Confirmatory Factorial Analysis (CFA) methods todetermine the model structure and fitness were also used. Results: The WAI classification for the health care professionals was: poor/moderate (n=123; 18.9%), good (n=349, 53.5%), excellent (n=180, 27.6%). The sociodemographic variables showed no significant association with WAI categories. For the BriefCOPE scale, significant results were found with WAI categories in 8 of 14 dimensions (e.g active coping, denial, and substance use). For the COPSOQII scale, significant results were found with WAI categories in 28 of 29 dimensions (e.g work pace, burnout, and bullying). By EFA, the best model of BriefCOPE (oblimin rotation) with 4 dimensions was obtained, explaining in total 55% of the data variance. The best resulting model for COPSOQII, composed of 7 dimensions (varimax rotation), explains 6…
subject: Short paper
  topic: section
subject: Health professionals
  topic: keywords
subject: WAI
  topic: keywords
subject: BriefCOPE
  topic: keywords
subject: COPSOQII
  topic: keywords
creator: Alina Humenyuk
creator: Inês Baptista
creator: Rodrigo Antunes
creator: Pedro Sá-Couto
creator: Marco Ramos
rights: Copyright (c) 2023 Alina Humenyuk, Inês Baptista, Rodrigo Antunes, Pedro Sá-Couto, Marco Ramos
date: 2023-05-30
publication date: 2023-05-30
starting page: e31567
ending page: e31567
doi: 10.34624/jshd.v5i2.31567

Self-perceived functioning in relation to existing symptoms 12 months after SARS-COV-2 infection in workers of an industrial facility in Aveiro Region – an observational study.
type: item
description: Background/Objective: Most individuals recover after acute SARS-CoV-2 infection, but some may suffer persistent symptoms with potential medium and long-term consequences. The present study aims to analyze self-perceived functioning concerning existing symptoms 12 months after SARS-CoV-2 infection in workers of an industrial facility in the Aveiro Region. Methods: Observational study, including workers with a positive SARS-CoV-2 RT-PCR/TRAg test. After 12 months of the infection, the occupational health team collected information on sociodemographic variables, manifested symptoms, and perceived functioning assessed using the WHODAS-2.0–12 items - where '12 points' means the highest functioning. Data analysis included descriptive statistics and univariate and multivariate linear regression. Results: Eighty-five workers were infected with SARS-CoV-2, 77.7% were male, with a mean age of 36y1m±9y8m, 36.8% have a higher education level and 17.7% reported at least one chronic condition. Thirty workers (35.3%) reported persistent symptoms, with fatigue (27.7%) and arthralgia (14.4%) being the most described. Whodas 2.0 mean score was 15,7±5,0, and items most frequently reported as presenting limitations were difficulties in working (43.5%), concentrating (35.3%), and walking one kilometer (35.3%). Self-perceived functioning depended on educational level (β=-2.37, CI95% -4.53 ; -0.21) or the existence of a chronic illness (β=3.53, CI95% 0.81 ; 6.24), and the level of functioning is associated with the persistence of symptoms of fatigue (β=4.02, CI95% 1.75 ; 6.29), headache (β=4.13, CI95% 0.84 ; 7.42), and myalgia (β=3.30, CI95% 0.14 ; 6.45). Conclusions: Persistent symptoms 12 months after symptomatic SARS-CoV-2 infection have an influence on self-perceived functioning. Occupational health services should regularly address the assessment of persistent symptoms of SARS-CoV-2 infection to prevent possible impacts on daily activities and participation.
subject: Short paper
  topic: section
subject: Functioning
  topic: keywords
subject: Occupational Health
  topic: keywords
subject: SARS-CoV-2
  topic: keywords
subject: Symptoms
  topic: keywords
subject: WHODAS 2.0
  topic: keywords
subject: Worker
  topic: keywords
creator: Ana Rita Pádua
creator: José Joaquim Alvarelhão
creator: Marco Gama
creator: João Conde
rights: Copyright (c) 2023 Ana Rita Pádua, José Joaquim Alvarelhão, Marco Gama, João Conde
date: 2023-05-30
publication date: 2023-05-30
starting page: e31555
ending page: e31555
doi: 10.34624/jshd.v5i2.31555

Exploratory and Inferential Analysis of Children's Eye Defects Screening in the Region of Aveiro
type: item
description: Background/Objective: Amblyopia is one of the leading causes of monocular vision loss in children in Portugal, affecting 1 to 4% of children. Diagnosis and treatment of amblyopia at an early stage can prevent visual impairment, and thus the Children's Eye Defects Screening (CEDS) was implemented in primary care health centres nationwide with the aim to identify children with eye changes capable of causing amblyopia.The primary objectives of this study were to compare the proportion of screenings conducted in the different municipalities and the possible interference of the typology of functional units in adherence to screening. Methods: An exploratory analysis using R Software was performed on the standardised screening data to identify differences between the 11 primary care health centres in the Region of Aveiro. In addition, an inferential analysis was performed using non-parametric tests such as the Kruskal-Wallis test and the Wilcoxon test, both used to verify whether there are significant differences between the analysed groups. Results: It is possible to observe that the results obtained in 2021 were abnormal because of the COVID-19 pandemic, which lead to an increase in the number of screenings in 2022. The family health units had higher numbers of requests generated, screening attendances, and reports than personalised health care units, especially in 2021 and 2022. Most of the screening results were negative, with approximately 10% of screenings being positive and roughly 1% of scans being inconclusive. There also appears to be a growing trend of positive results in some municipalities, which may result from a higher reach to the target population of this screening. Conclusions: The purpose of our statistical analysis was to identify differences between the primary health centres in Region of Aveiro. Our results show that might be useful to perform further studies in order to address potential inequities regarding CEDS access.
subject: Short paper
  topic: section
subject: ACeS Baixo Vouga
  topic: keywords
subject: CEDS
  topic: keywords
subject: Functional Unit
  topic: keywords
subject: FHU
  topic: keywords
subject: Health Centre
  topic: keywords
subject: Municipalities
  topic: keywords
subject: PHCU
  topic: keywords
subject: Screening
  topic: keywords
creator: Diana Lucas Almeida
creator: Joana Costa dos Santos
creator: Jorge Manuel Silva Marques
rights: Copyright (c) 2023 Diana Lucas Almeida, Joana Costa dos Santos, Jorge Manuel Silva Marques
date: 2023-05-31
publication date: 2023-05-31
starting page: e35143
ending page: e35143
doi: 10.34624/jshd.v5i2.31543

Occupational health, well-being and ability to work in a sample of Portuguese Nurses
type: item
description: Background/Objective: Occupational health is a multidisciplinary activity aiming to keep people mentally and physically well and safe at work. In nurses, it has deserved a particular attention, considering the complexity and demanding nature of the job. The current study aims to investigate the association between psychosocial variables, including coping with work (BriefCOPE) and psychosocial factors of work (COPSOQ-II), and ability to work (WAI) among Portuguese nurses. Methods: An observational cross-sectional study with 111 Portuguese nurses was conducted and the outcome measures include socio-demographical variables, COPSOQ, BriefCOPE and WAI. To study the variables presented in the original database, a sociodemographic characterization was performed, followed by an exploratory factor analysis (EFA) to the COPSOQ and BriefCOPE dimensions. To quantify, test and confirm the results obtained in the previous analyses, a confirmatory factor analysis (CFA) was performed. Results: Key coping dimensions were closely associated with better ability to work among nurses, particularly the use of instrumental support, planning, quantitative demands, and emotional demands. The EFA for BriefCOPE suggested a 5-factor structure, which is a slightly different factor structure for the corresponding 3 theoretical dimensions, and the CFA results show that the model is not fit to the data. Regarding the COPSOQ-II scale, the EFA suggested the same 8-factor structure of the original scale’s theoretical model. For this scale, most of values obtained in CFA are consistent with the cut-off values, so a fit of the model to the data is possible. Conclusions: The current study focus on potential factors playing a role in key well-being and coping with work outcomes on the psychosocial characterization of Portuguese nurses.
subject: Short paper
  topic: section
subject: Coping with work
  topic: keywords
subject: Well-being
  topic: keywords
subject: Occupational health
  topic: keywords
subject: Factor analysis
  topic: keywords
subject: Nurses
  topic: keywords
creator: Diana Lucas
creator: Hugo Senra
creator: Vitor Rodrigues
creator: Pedro Sá-Couto
creator: Marco Ramos
rights: Copyright (c) 2023 Diana Lucas, Hugo Senra, Vitor Rodrigues, Pedro Sá-Couto, Marco Ramos
date: 2023-05-31
publication date: 2023-05-31
starting page: e35140
ending page: e35140
doi: 10.34624/jshd.v5i2.31540

Are coping and workplace psychosocial factors related to work ability in physicians? A PLS-SEM approach
type: item
description: Background/Objective: Over the last few years, new statistical techniques have been developed in the context of multivariate analysis, which are proving to be very useful in the social or health sciences, even marketing. The aim of this work was to study the interplay between 3 scales: BriefCOPE for evaluating coping strategies; COPSOQII for assessing psychosocial factors; and WAI for assessing work ability. Methods: Considering a subpopulation of physicians (n=35) we applied the Partial Least Squares Structure Equations Modelling (PLS-SEM) technique to study the relation between the 3 scales. Results: Regarding the analysis of BriefCOPE and WAI, the only BriefCOPE domain significantly related to WAI was ‘Strategies focused on emotions’ (β=0.329;p=0.038). In COPSOQII and WAI analysis, the COPSOQII domain ‘Health and wellness’ was significantly associated with WAI (β= 0.599; p<0.001) with a strong effect. In final model regarding the three scales, we could observe that the apparent relationship between WAI and ‘Strategies focused on emotions' (BriefCOPE) is mediated by the COPSOQII domain ‘Health and wellness’ (p = 0.047), which shows that there is small effect between the BriefCOPE and WAI. Conclusions: This study is the first to test relationships between these three scales simultaneously. Using a PLS-SEM approach to analyse the data, the results of the present study highlight the central role of ‘Health and wellness’ in work ability and in the mediation between coping ‘Strategies focused on emotions’ and work ability. These data suggest that employers should implement organizational policies that enhance health and well-being in order to achieve better performance from their employees.
subject: Short paper
  topic: section
subject: Coping
  topic: keywords
subject: partial least squares path modelling
  topic: keywords
subject: physicians
  topic: keywords
subject: work ability
  topic: keywords
subject: workplace psychosocial factors
  topic: keywords
creator: Joana Ricardo Pires
creator: Pedro Sá Couto
creator: Pedro Bem-Haja
creator: Marco Ramos
rights: Copyright (c) 2023 Joana Ricardo Pires, Pedro Sá Couto, Pedro Bem-Haja, Marco Ramos
date: 2023-05-30
publication date: 2023-05-30
starting page: e31528
ending page: e31528
doi: 10.34624/jshd.v5i2.31528

Coping strategies and psychosocial factors at work of Dietitians/Nutritionists: a multivariate analysis approach
type: item
description: Background/Objective: Dietitians and nutritionists, like many healthcare professionals, frequently experience stress, which can be influenced by coping strategies (BriefCOPE) and the psychosocial work environment (COPSOQ-II) and their impact on work ability and stress levels (WAI). The main objective of this short paper is to examine how BriefCOPE and COPSOQ-II scales can be used to study coping with work-related stress among dietitians and nutritionists (n=301), with a focus on exploring the relationship among these scales and WAI. Methods: BriefCOPE is a self-report measure of coping strategies, and it evaluates various coping strategies, including problem-solving, positive reframing, and avoidance coping. COPSOQ-II is a questionnaire that assesses various psychosocial factors related to the work environment, including job demands, job control, social support, and rewards. WAI is a tool used to assess an individual's work ability, considering their health status, physical and mental demands, and work-related resources. BriefCOPE and COPSOQ-II multivariate outliers were removed based on Mahalanobis distance. The sociodemographic characteristics, the BriefCOPE (n=285) and COPSOQ-II (n=233) scales association with WAI scores were analysed through Chi-Square, Kruskal-Wallis and one-way Analysis of Variance (ANOVA) tests. Exploratory (EFA) and confirmatory (CFA) factor analyses were conducted for both scales. Data was analysed using the R software. Results: BriefCOPE and COPSOQ-II dimensions were obtained, and the WAI scores was reduced to three levels: “Poor/Moderate” (n=69; 22.9%), “Good” (n=158; 52.5%), and “Excellent” (n=74; 24.6%). About BriefCOPE and COPSOQ-II dimensions, association with WAI scores revealed 8 and 22 dimensions, respectively, with statistically different distribution among WAI categories. In exploratory factor analysis, for BriefCOPE scale the best model selected was constituted by 4 factors and explained 57% of variance, and for COPSOQ-II scale …
subject: Short paper
  topic: section
subject: BriefCOPE
  topic: keywords
subject: Coping
  topic: keywords
subject: Dietitians/Nutritionists
  topic: keywords
subject: Work Ability Index (WAI)
  topic: keywords
subject: COPSOQ-II
  topic: keywords
creator: Raquel Simões
creator: João Oliveira
creator: Pedro Sá-Couto
creator: Marco Ramos
rights: Copyright (c) 2023 Raquel Simões, João Oliveira, Pedro Sá-Couto, Marco Ramos
date: 2023-05-30
publication date: 2023-05-30
starting page: e31525
ending page: e31525
doi: 10.34624/jshd.v5i2.31525

The dimension reduction power of ClustOfVar: application of the variable cluster analysis technique in a mixed data health database
type: item
description: Background/Objective: Technological evolution is increasingly making real the elements necessary for the daily practice of personalized medicine, an improved vision of health care whose decisions regarding prognosis, diagnosis and therapeutic strategies depend on the patient's various characteristics. This approach leads to the collection and use of information that is broad in extension and complexity, for which dimensionality reduction techniques are imperative, in order to simplify and understand it. This paper aims to show the value of the ClustOfVar technique, a variable clustering technique capable of dealing with mixed data, resulting in data reduction. Through its hierarchical and non-hierarchical approaches, it replaces sample variables with representative synthetic variables. This dimensional reduction can be extended to individuals by applying Ward's method. Methods: The cleaning process of anthropometric, obstetric, vital signs and pubertal status data from 700 participants of the Generation XXI cohort and/or their mothers led to variables being removed (181 down to 105 variables, 82 quantitative and 23 qualitative). Then, the hierarchical technique of the ClustOfVar package was applied, which started by building a hierarchy of variables. The optimal number of clusters was then determined, considering the aggregation level plot and the bootstrap methodology, and each cluster was characterized. The partition into clusters was then tried with the non-hierarchical process. Once the partition was defined, Ward's method was applied, dividing the participants into clusters. We finished with their description according to the synthetic variables. Results: The partition in 8 clusters of variables suggested by the hierarchical technique was chosen, with the first and third cluster being filled mainly by maternal characteristics (relating mainly to menstruation and physical measurements, respectively). While cluster 2 mixes maternal and individual characteristics,…
subject: Short paper
  topic: section
subject: ClustOfVar
  topic: keywords
subject: Clustering
  topic: keywords
subject: Dimension Reduction
  topic: keywords
subject: Generation XXI Cohort
  topic: keywords
subject: Mixed Data
  topic: keywords
creator: Natacha Oliveira
creator: Milton Severo
rights: Copyright (c) 2023 Natacha Oliveira, Milton Severo
date: 2023-05-31
publication date: 2023-05-31
starting page: e31495
ending page: e31495
doi: 10.34624/jshd.v5i2.31495

Analysis of Cervical Node Metastasis in Oral Cavity Squamous Cell Carcinoma Patients
type: item
description: Background/Objective: Oral Cavity Cancer is a frequent type of Head and Neck Cancer, associated with high mortality rates worldwide. One of the main prognostic factors for the disease is regional lymph node metastasis that is associated with survival rate reduction by 50%. Reported tumour sites more frequently associated with regional node metastasis vary throughout literature. Therefore, we aimed to conduct a retrospective study that would allow us to identify the relationship between patient and SCC tumour factors with the rate of neck metastasis and compare our data with the conclusions from similar studies. Methods: A retrospective study was conducted in the Oral Medicine and Oncology Consultation of the Stomatology Department from Centro Hospitalar Universitário Lisboa Norte, comprehending patients diagnosed with Squamous Cell Carcinoma between January 2015 and April 2021. As eligibility criteria we considered patients which had clinical charts with complete information including sociodemographic variables, tumour site and disease staging at diagnosis. We excluded tumour sites with only two diagnosed cases, considering bias risk. Three groups were defined according to a clinical/pathological reason. The current research was approved by an independent ethics committee. Results: The sample includes 151 cases, the majority of which were males (≈59%) and with average age at diagnosis (± standard deviation) of 65 ± 13 years-old. Oral tumour sites with highest percentage of cases with clinical positive lymph nodes (cN+) by the time of diagnosis were inferior gingiva (72.7%, n=16), mouth floor (66.7%, n=22), oropharynx (64.7%, n=11), retromolar trigone (58%, n=11) and ventral tongue (57%, n=16). Sites with fewer cases of cN+ were inferior lip (31%, n=4) and superior lip (n=0). Similar results were found in our sample when operated tumors (pN+) were considered: floor of the mouth (65%, n=13), retromolar trigone (63.6%, n=7), inferior gingiva (46.2%, n=6) and ventral to…
subject: Short paper
  topic: section
subject: lymphatic metastasis
  topic: keywords
subject: mouth
  topic: keywords
subject: neck dissection
  topic: keywords
subject: neoplasms
  topic: keywords
subject: neoplasm staging
  topic: keywords
creator: Leonor Cruz Silva
creator: José Cunha Coutinho
creator: Ricardo Miguel Vieira de São João
creator: Tiago Dias Domingues
creator: Gonçalo Cunha Coutinho
creator: Cecília Caldas
creator: Paulo Palmela
creator: Miguel Nobre
creator: Francisco Salvado
rights: Copyright (c) 2023 Leonor Cruz Silva, José Cunha Coutinho, Ricardo Miguel Vieira de São João, Tiago Dias Domingues, Gonçalo Cunha Coutinho, Cecília Caldas, Paulo Palmela, Miguel Nobre, Francisco Salvado
date: 2023-05-31
publication date: 2023-05-31
starting page: e32002
ending page: e32002
doi: 10.34624/jshd.v5i2.32002

6th Statistics on Health Decision Making: Artificial Intelligence
type: item
description: P01 - How old are you? Are you a minor? Artificial Intelligence on decision making in Forensic Medicine: Where are we? Valon Nushi, Ana Rodrigues, Arlindo Oliveira, Alexandre Francisco, Rui Santos, Cristiana Palmela Pereira P02 - Comparison of therapy for vesiculobullous diseases pemphigus/ pemphigoid: observational study at Unidade Local de Saúde Santa Maria (ULS Santa Maria). Diana Augusto, Cristiana Palmela Pereira, Leonor Ferreira, Matilde Martins, Ana Rodrigues, Paulo Filipe, Rui Santos P03 - Dental trauma and forensic medicine: is the civil and labor Portuguese national disability table update? Diana Augusto, Cristiana Palmela Pereira, Carolina Flamino, Francisco Salvado, Francisco Coutinho, Rui Santos P04 - Outpatient oral surgery. Which NSAIDs/analgesics to prescribe? A systematic review and meta-analysis. Ana Rodrigues, Cristiana Palmela Pereira, Madalena M. Tropa, Diana Augusto, Francisco A. Coutinho, Francisco Salvado, Rui Santos P05 - Retrospective analysis of a case series of patients with traumatic injuries to the temporomandibular joint in Hospital Santa Maria: a medico-legal framework for impairment assessment Ana Rodrigues, Cristiana Palmela Pereira, Sofia Matos, Francisco Salvado, Francisco Coutinho, Rui Santos P06 - Analysis of the progression of age-related macular degeneration using the novel variable influence analysis model Joana D. Martins, Eugénio M. Rocha, Rita A. Coimbra P07 - Evaluation of the antimicrobial resistance in a clinical laboratory: Python software development Gilberto Rosa, Raquel Diaz, Nadia Kruptsala, Bruno Gago P08 - Perspectives for a conversion model of 2 different OCTA devices in diabetic patients with correlated data Rita Coimbra, Ana R. Santos, Inês Pais, Marta Lopes, Torcato Santos, Chingning T. Yamaguchi, Inês Marques, Elizabeth Pearce P09 - Profile of non-communicable disease risk factors among workers in a higher education institution Maria Piedade Brandão, Pedro Sá-Couto, Gonçalo Gomes, Pedro Beça P10 - Physical a…
subject: Conference Abstracts
  topic: section
subject: Abstracts
  topic: keywords
creator: Poster Communication Authors
rights: Copyright (c) 2024 The Authors
date: 2024-07-04
publication date: 2024-07-04
starting page: e37036
ending page: e37036
doi: 10.34624/jshd.v6i1.37036

5th Statistics on Health Decision Making: Personalized Medicine
type: item
description: P01 - Analysis of cervical node metastasis in oral cavity squamous cell carcinoma patients Leonor Cruz Silva, José Cunha Coutinho,Gonçalo Cunha Coutinho, Ricardo Miguel Vieira de São João, Tiago Dias Domingues, Cecília Caldas, Paulo Palmela, Miguel Nobre, Francisco Salvado P02 - Odontometrics analysis as tool of Legal Medicine discipline to decide about perfil postmortem of cadavers: apply in a commingled archaeological human population related to 1755 Lisbon’s earthquake Cristiana Palmela Pereira, Valon Nushi, Tatiana Major, Guilherme Borges, Lara Lopes, Lisa Zheng, Ana Rodrigues, Rui Santos P03 - Forensic dental age assessment: effect size on real age forensic medical report Cristiana Palmela Pereira, Valon Nushi, Diana Augusto, Adriana Santos, Mafalda Marques, Sakher J. AlQhatani, Rui Santos P04 - Effect of statins intake in the risk for progression of age-related macular degeneration – a comparison of two Cox regression models applied to the Coimbra Eye Study Rita Coimbra, Patrícia Barreto, Cláudia Farinha, Rufino Silva P05 - Association between the adrenoreceptor β2 gene and pediatric asthma severity – a study of the PACMAN cohort Maria Leonor Caleiro, Patricia Soares, Marília Antunes P06 - Communication strategies used by health professionals and finalist students from health areas with people with aphasia Daniela Jesus, Ana Rita Pinheiro, Pedro Sá-Couto, Maria A. Matos P07 - Association of the practice of contact sports with the development of amyotrophic lateral sclerosis Ana Rita Henriques, Marta Gromicho, Julian Grosskreutz, Magdalena Kuzma-Kozakiewicz, Susanne Petri, Hilmi Uysal, Susana Pinto, Marília Antunes, Mamede de Carvalho, Ruy M. Ribeiro P08 - Self-perceived functioning in relation to existing symptoms 12 months after SARS-COV-2 infection in workers of an industrial facility in Aveiro Region – an observational study. Ana R. Pádua, Marco Gama, João Conde, Joaquim Alvarelhão P09 - Disclosing gene signatures in gliomas via classification and dimension…
subject: Conference Abstracts
  topic: section
subject: Conference Abstracts
  topic: keywords
creator: Poster Communication Authors
rights: Copyright (c) 2023 The Authors
date: 2023-05-31
publication date: 2023-05-31
starting page: e32432
ending page: e32432
doi: 10.34624/jshd.v5i2.32432

The impact of vaccination on transmission and death by COVID-19: an observational study in Portugal’s biggest primary care cluster
type: item
description: Vaccines are a key tool to manage the COVID-19 pandemic by preventing infection, hospitalization, severe disease, or death. In Portugal, information on vaccine effectiveness in real-life settings is still limited. Therefore, the main goal of this study is to evaluate the association between vaccination against COVID-19 and mortality and transmissibility in the population of the biggest Primary Care Cluster in Portugal, ACES Baixo Vouga (ACES BV). A retrospective, observational study including all reported cases of COVID-19 in ACES BV between December 2020 and September 2021 was conducted (N=18,415). Anonymized data on demographic, clinical, epidemiological characteristics and outcomes of interest of the COVID-19 confirmed cases were collected. To model vaccination’s association with death, a logistic regression analysis was performed. To estimate the effect of vaccination on the number of secondary cases, a zero-inflated negative binomial model was used. Of 18,415 confirmed cases included in this study, 1,981 (10.8%) were vaccinated. A complete vaccination scheme against COVID-19 (OR=0.22, CI95 0.09-0.47) and female sex (OR=0.42, CI95 0.30-0.57) protected against death, while age (OR=1.12, CI95 1.10-1.13), comorbidities (OR=4.14, CI95 2.27- 8.34) and the presence of symptoms (OR=1.72, CI95 2.27-8.34) increased the odds of death. A complete vaccination scheme (RR 0.63, CI95 0.49–0.81) decreased the risk for the number of secondary cases in the model without outliers. It is vital to monitor the vaccination effects in the real world and to better understand the characteristics of COVID-19 vaccine-induced immunity.
subject: Original Articles
  topic: section
subject: COVID-19
  topic: keywords
subject: Vaccination
  topic: keywords
subject: Observational study
  topic: keywords
subject: Mortality
  topic: keywords
subject: Infectious Disease Transmission
  topic: keywords
creator: Sofia Tedim
creator: Tiago Pinho-Bandeira
creator: Rui Pedro Leitão
creator: Cristiana Silva
creator: Sofia J Pinheiro
creator: Vera Afreixo
creator: Ana Oliveira
rights: Copyright (c) 2022 Sofia Tedim, Tiago Pinho-Bandeira, Rui Pedro Leitão, Cristiana Silva, Sofia J Pinheiro, Vera Afreixo, Ana Oliveira
date: 2022-12-22
publication date: 2022-12-22
starting page: e27772
ending page: e27772
doi: 10.34624/jshd.v4i2.27772

Meta-analysis of Chemical exposure and increased risk of hematologic malignancies.
type: item
description: Background: Exposure to environmental risk factors may be associated with the development of hematologic malignancies, as pointed by evidence in the literature. Despite this, most studies refer to a specific risk factor or disease. Objective: To assess this issue globally, in this study we performed a meta-analysis. Methods: A searched PubMed database was done in 2020 and a selection of 35 case-control and cohort studies published between 1990 and 2020 was done. Results: Was observed a significant adverse association between exposure to organic solvents such as benzene and incidence of myeloid malignancies. For agricultural chemicals (pesticides, herbicides, insecticides), an adverse association was found for both lymphoid and myeloid malignancies. Conclusions: The results suggest that activities in chemical industries or agriculture pose greater risk and should be closely monitored. Prospective occupational surveys are needed to identify exposure–response relationships and clarify disease mechanisms.
subject: Meta-analysis
  topic: section
subject: lymphoid
  topic: keywords
subject: myeloid
  topic: keywords
subject: risk
  topic: keywords
subject: benzene
  topic: keywords
subject: agriculture
  topic: keywords
subject: smoking
  topic: keywords
subject: indoor tanning
  topic: keywords
subject: paint
  topic: keywords
creator: Gisela Ferreira
creator: Vera Afreixo
creator: Adela Iutis
creator: Raquel Silva
rights: Copyright (c) 2022 Gisela Ferreira, Vera Afreixo, Adela Iutis, Raquel Silva
date: 2022-12-30
publication date: 2022-12-30
starting page: e24961
ending page: e24961
doi: 10.34624/jshd.v4i2.24961

Effects of temperature and mobility on COVID-19 incidence
type: item
description: Background/Objective: The purpose of this study was to evaluate the association between COVID-19 weekly case numbers with the trend, average temperature (AT) and mobility (MOB) at the national level and by regions, in Portugal. Methods: We compiled a weekly dataset including COVID-19 case numbers, average temperature and mobility during the period of March 23, 2020, to August 30, 2022. Negative binomial regression was fitted to estimate the effect of covariates on the COVID-19 case numbers. Results: We observed a significant increasing effect over time in most regions, negative temperature effect, in all regions, and a positive mobility effect, in most regions, on the number of cases using a two-week lag. Conclusion: Increased mobility and low temperatures were associated with higher numbers of cases of COVID-19 infection.
subject: Original Articles
  topic: section
subject: Covid 19
  topic: keywords
subject: Temperature
  topic: keywords
subject: Mobility
  topic: keywords
subject: Negative binomial regression
  topic: keywords
creator: Vanusa Rocha
creator: Vera Afreixo
creator: Nelson Sousa
rights: Copyright (c) 2022 Vanusa Rocha, Vera Afreixo, Nelson Sousa
date: 2022-12-22
publication date: 2022-12-22
starting page: e29914
ending page: e29914
doi: 10.34624/jshd.v4i2.29914

Fonseca anamnestic index for screening Temporomandibular Disorders - reliability to discriminate muscular from intra-articular disorders.
type: item
description: Background/ Objective: Fonseca anamnestic index (FAI) is a simple and quick survey used for screening the presence and severity of Temporomandibular Disorders (TMD). The presented study aimed to screen the FAI accuracy to discriminate different types of TMD: intra-articular (AD), Masticatory Muscular Disorder (MMD), or the presence of both typologies. Methods: The existence of a pattern in the FAI based on the frequency of answers was evaluated and supported by other variables: sex, age, medical diagnosis and Visual Analog Scale of health-related quality of Life (VASLife). The non-parametric Chi-square test () or Fisher's exact test were used to assess the existence of associations between these variables. In the pairs of variables where such association was identified, its intensity was measured by Cramér's V Coefficient. The prediction if FAI could be a good decision tool for distinguish the type of TMD was assessed through logistic regression models (ordinal and multinomial). Results: The higher FAI score was associated with questions related with temporomandibular joint (TMJ) pain, TMJ clicks and person anxiety. Severe cases classified by FAI are correlated with typology of Both (AD+MMD). Moreover, the female patients presented more moderate and severe cases in FAI and also correlated with the presence of AD+MMD. The logistic model showed low accuracy to distinguish the TMD typology (~70%). Conclusion: FAI is a good initial methodology in TMD diagnosis, however integrated in a logistic regression model for distinguish the typology of TMD has proved to be insufficient. It is expected that the combination of this survey with other outcomes will make the model more accurate.
subject: Original Articles
  topic: section
subject: Fonseca Anamnestic Index
  topic: keywords
subject: Intra-articular temporomandibular Disorders
  topic: keywords
subject: Masticatory muscle temporomandibular disorders
  topic: keywords
subject: Multinomial logistic regression
  topic: keywords
subject: Patient-reported questionnaire
  topic: keywords
subject: Temporomandibular Disorders
  topic: keywords
creator: Ricardo Miguel Vieira de São João
creator: Henrique José Cardoso
creator: David Sanz
creator: David Faustino Ângelo
rights: Copyright (c) 2022 Ricardo Miguel Vieira de São João, PhD, Henrique José Cardoso, PhD, David Sanz, MD, David Faustino Ângelo, MD, PhD
date: 2022-12-22
publication date: 2022-12-22
starting page: e28423
ending page: e28423
doi: 10.34624/jshd.v4i2.28423

Transition to parenthood recognition and accepting the maternal role.
type: item
subject: Extended Abstract
  topic: section
subject: Health Transition
  topic: keywords
subject: Parenting
  topic: keywords
subject: Pregnancy
  topic: keywords
subject: Qualitative Research
  topic: keywords
creator: Sandra Maria Campinos Rodrigues
creator: Isabel Mendes
rights: Copyright (c) 2022 Sandra Maria Campinos Rodrigues
date: 2022-07-20
publication date: 2022-07-20
starting page: 28
ending page: 29
doi: 10.34624/jshd.v4i1.28726

Characterization of mental health issues in the region of Aveiro — A retrospective analysis
type: item
subject: Extended Abstract
  topic: section
subject: Mental health services
  topic: keywords
subject: health promotion
  topic: keywords
subject: regional differences
  topic: keywords
subject: ACeS Baixo Vouga
  topic: keywords
creator: Filipa Rocha
creator: Cristiana Silva
creator: Miguel Felgueiras
creator: Rui Pedro Leitão
creator: Sofia Pinheiro
creator: Vera Afreixo
rights: Copyright (c) 2022 Filipa Rocha
date: 2022-07-20
publication date: 2022-07-20
starting page: 67
ending page: 69
doi: 10.34624/jshd.v4i1.28966

Mortality prediction scores in burn patients – a comparative analysis
type: item
description: Introduction: The aim of this study consisted of accuracy assessment and comparison of different mortality prediction models performance used in the burn population from our burns unit (BU), comparing survivors and non-survivors clinical and demographic characteristics. Methods: A retrospective study of adult burn patients admitted to our BU in a 5-year period was performed. Toxic epidermal necrolysis and polytraumatized patients were not included. Mortality rate was assessed. Survivors and non-survivors clinical and sociodemographic characteristics were analyzed and compared. Four models were included, namely Abbreviated Burn Severity Index (ABSI), Belgian Outcome in Burn Injury (BOBI), revised-Baux and Ryan model. Observed and predicted mortality were compared using Hosmer-Lemeshow test for models goodness-of-fit, receiver operating curves (ROC) and area under curve (AUC) for discriminative performance evaluation. Results: Our cohort consisted of 641 patients, in which 58,2% were male. Patients mean age was 60.02 ± 18.97 years and total burned surface area (TBSA) was 12.94 ± 15.11 %. Third degree burns were present in 71% and inhalation injury in 12.3%. Observed mortality rate was 9.4% (n=60). Non-survivors were significantly older (73 vs. 60 years; p<0.001), had a larger TBSA (27.75 vs. 7%; p<0.001), higher frequency of third-degree burns (96.7 vs. 68.3%; p<0.001) and inhalation injury (31,7% vs. 10,3%; p<0.001), but no gender significant difference was verified. All models demonstrated an adequate goodness-of-fit, all with p-values >0.05 in Hosmer-Lemeshow test assessment. Revised-Baux (AUC 0.870 ± 0.025), ABSI (AUC 0.850 ± 0.026) and BOBI (AUC 0.831 ± 0.026) have demonstrated good discriminative power and Ryan model (0.774 ± 0.030) was only moderate. Discussion: The four models revealed proper predictive performance, with revised-Baux presenting as the most accurate model for mortality prediction. Their use in the BU represents a practical and valuable tool for…
subject: Extended Abstract
  topic: section
subject: Burns, Mortality, Injury Severity Score
  topic: keywords
creator: Gonçalo Tomé Ferreira
rights: Copyright (c) 2022 Gonçalo Tomé Ferreira
date: 2022-07-19
publication date: 2022-07-19
starting page: 44
ending page: 44
doi: 10.34624/jshd.v4i1.28780

Exploratory Analysis based on Relative Risk on the incidence of different causes of death in mortality in the Region of Aveiro
type: item
subject: Extended Abstract
  topic: section
creator: Diana Lucas Almeida
creator: Renato Rodrigues
rights: Copyright (c) 2022 Diana Lucas Almeida, Renato Rodrigues
date: 2022-07-19
publication date: 2022-07-19
starting page: 50
ending page: 51
doi: 10.34624/jshd.v4i1.28831

Analysis of the pattern of Oral and Maxillofacial Trauma in the world: A Systematic Review and Meta-Analysis
type: item
description: Purpose: The objective of this review was to determine the prevalence of the oral maxillofacial trauma injuries and their relationship with sex, age, and etiology of in the world. Materials and Methods: All articles were published in the English language in databases such as Google Scholar, EBSCO, PubMed, NCBI, Medline, ELSEVIER and SCOPUS were reviewed for oral maxillofacial trauma from the world during the last 11 years (between 2010-2020). Joanna Briggs Institute Checklist was used to access the Risk of Bias. Grading of recommendations, assessment, development, and the evaluation (GRADE) method was applied to assess the quality of the evidence. The studies were distributed into five group of countries: Asia, Africa, Latin America, Europe, and Muslin regions. Results and Conclusions: The results show that road traffic accidents (55.37%) were the most frequent type of trauma, followed by assault (17.56%) and falls (10.21%). Fractures were the most prevalent injuries (84.3%). It was possible to establish an association between road traffic accidents and Asian countries. Assaults are more frequent in Africa, predominantly males, whilst falls increase with age, amongst women, in European countries. Fratures are usually observed in Muslin regions.
subject: Extended Abstract
  topic: section
subject: Accidents
  topic: keywords
subject: Epidemiology
  topic: keywords
subject: Injuries
  topic: keywords
subject: Oro-maxillofacial
  topic: keywords
subject: Trauma
  topic: keywords
creator: Cristiana Palmela Pereira
creator: Catarina Gonçalves
creator: Fátima Brilhante
creator: Adriana Santos
creator: Ana Rodrigues
creator: Diana Augusto
creator: Francisco Salvado
creator: Rui Santos
rights: Copyright (c) 2022 Cristiana Palmela Pereira, Catarina Gonçalves, Fátima Brilhante, Adriana Santos, Ana Rodrigues, Diana Augusto, Francisco Salvado, Rui Santos
date: 2022-07-20
publication date: 2022-07-20
starting page: 1
ending page: 5
doi: 10.34624/jshd.v4i1.28384

Epidemiological pattern and etiology of Oral and Maxillofacial Trauma: A Retrospective Study among Patients from a Portuguese Central Hospital
type: item
description: Objective To evaluate the etiology and types of oral and maxillofacial injuries in Portugal. Materials and Methods An epidemiological clinical observational study was performed in Centro Hospitalar Lisboa Norte with a sample of 384 subjects diagnosed with oral and maxillofacial trauma, between 2018 and 2020. Data was collected through clinical reports and analyzed in SPSS, version 27. Results Both sexes had a similar distribution, 49.5% females and 50.5% males. 2020 had a lower amount of trauma compared to the remaining years. Falls were the most frequent etiology (44.3%), followed by assault (24.7%). The upper central incisors (174) were the most affected teeth with uncomplicated fractures and the most frequent treatment was the prescription of painkillers. Conclusion A relationship between falls, women, and age increase, and between assault, men and adults have been highlighted. Falls and assault were the main etiology and 2020 shows a decline in the number of traumas due to the current pandemic situation.
subject: Extended Abstract
  topic: section
subject: Oral and maxillofacial trauma
  topic: keywords
subject: Oral and maxillofacial injuries
  topic: keywords
subject: Retrospective Study
  topic: keywords
creator: Cristiana Palmela Pereira
creator: Catarina Gonçalves
creator: Diana Augusto
creator: Francisco Coutinho
creator: Francisco Salvado
creator: Rui Santos
rights: Copyright (c) 2022 Cristiana Palmela Pereira, Catarina Gonçalves, Diana Augusto, Francisco Coutinho, Francisco Salvado, Rui Santos
date: 2022-07-20
publication date: 2022-07-20
starting page: 6
ending page: 9
doi: 10.34624/jshd.v4i1.28399

Purpose in life and caregiver burden in kidney failure: Preliminary results from a hierarchical multiple regression analysis
type: item
subject: Extended Abstract
  topic: section
subject: Caregiver
  topic: keywords
subject: Caregiver Burden
  topic: keywords
subject: Chronic Kidney Disease
  topic: keywords
subject: Dialysis
  topic: keywords
subject: Hemodialysis
  topic: keywords
subject: Kidney Failure
  topic: keywords
subject: Multiple Regression
  topic: keywords
subject: Renal Therapy
  topic: keywords
subject: Purpose in Life
  topic: keywords
creator: Helena Sousa
creator: Oscar Ribeiro
creator: Daniela Silva
creator: Alan Christensen
creator: Daniela Figueiredo
rights: Copyright (c) 2022 Helena Sousa, Oscar Ribeiro, Daniela Silva, Alan Christensen, Daniela Figueiredo
date: 2022-07-20
publication date: 2022-07-20
starting page: 10
ending page: 13
doi: 10.34624/jshd.v4i1.28552

The Covid-19 impact on family caregivers’ mental health in the Municipality of Aveiro
type: item
description: Portugal had the first Covid case on March 2nd, 2022. In the following month, 81.087 new cases and 266 deaths were reported. Directorate-General for Health (DGS) took some measures to control the pandemic, including social isolation, and other methods. Social isolation adds to the disruption on Family Caregivers’ (FCs) routines, challenging their abilities to adopt new procedures, reconciling them with the existing ones. This caused increased tension, distress, and overload to caregivers, which in turn may have affected caregiver’s mental health, triggering feelings of loneliness, insomnia, anxiety, and depression. In this context, social isolation associated with other existing factors, may have contributed to further weakening of caregivers’ physical and mental health. The purpose of this study is to identify the effects of social isolation on family caregivers’ (of elderlies and/or dependent people) mental health resulting from the COVID-19 pandemic.
subject: Extended Abstract
  topic: section
subject: Burden Caregiver
  topic: keywords
subject: Covid-19
  topic: keywords
subject: Elderly
  topic: keywords
subject: Family Caregivers
  topic: keywords
subject: Mental Health
  topic: keywords
subject: Social isolation
  topic: keywords
creator: Inês Magalhães
creator: Lisneti Castro
creator: Blezi Santos
creator: Marília Rua
rights: Copyright (c) 2022 Inês Magalhães, B.A., Lisneti Castro, PhD, Blezi Santos, PhD, Marília Rua, PhD
date: 2022-07-20
publication date: 2022-07-20
starting page: 14
ending page: 16
doi: 10.34624/jshd.v4i1.28624

Caregiver burden and family functioning – the moderating effect of educational level
type: item
subject: Extended Abstract
  topic: section
creator: José Joaquim Alvarelhão
creator: Sónia Silva
creator: Helena Loureiro
rights: Copyright (c) 2022 José Joaquim Alvarelhão, Sónia Silva, Helena Loureiro
date: 2022-07-20
publication date: 2022-07-20
starting page: 17
ending page: 19
doi: 10.34624/jshd.v4i1.28630