ESS - CAR - Posters apresentados em eventos científicos
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- Reprodutibilidade do dispositivo vivatmo pro na medição da fração exalada de óxido nítricoPublication . Amaral, Rita; Jácome, Cristina; Almeida, R.; Sá-Santos, A.; Jacinto, Tiago; Fonseca, J. A.; Amaral, RitaAvaliar a reprodutibilidade do dispositivo portátil Vivatmo pro na medição da fração exalada de óxido nítrico (FeNO).
- Evaluation of nasal patency in children: Data of737 consecutive rhinomanometry tests before and after vasoconstrictor treatmentPublication . Gonçalves, I.; Jacinto, Tiago; Amaral, Rita; Pereira, A.; Araujo, L.; Couto, M.; Fonseca, J.; Amaral, RitaRhinomanometry is a simple and useful method for objective evaluation of nasal airway patency. However, there is a lack of published studies in pediatric patients. We aimed to evaluate nasal patency assessed by rhinomanometry and its variation after administration of an intranasal vasoconstrictor in children.
- Correlation between rhinomanometry and spirometry parameters in 971 adultsPublication . Gonçalves, Ivânia; Jacinto, Tiago; Amaral, Rita; Pereira, Ana M.; Araújo, Luís M.; Couto, Mariana; Fonseca, João A.; Amaral, RitaThere is a lack of published studies about the association between rhinomanometry and spirometry results. Some studies have shown a moderate correlation between spirometry parameters and other nasal objective measures such as Peak Nasal Inspiratory Flow (PNIF). We aimed to study the correlation between rhinomanometry and spirometry parameters.
- Validation of the Adult Asthma Epidemiological Score: a secondary analysis of EPI-ASTHMAPublication . Laranjeira, Catarina; Jácome, Cristina; Amaral, Rita; Bernardo, Filipa; Correia-deSousa, Jaime; Fonseca, João A.; Amaral, RitaThe A2 score is an 8-question patient-reported outcome measure that has been validated for ruling in (score ≥4) and ruling out (score 0-1) asthma. However, this screening tool has been validated in a cohort similar to the derivation cohort used. This study aims to validate the predictive accuracy of the A2 score in a primary care population against general practitioner (GP) clinical assessment and to determine whether the proposed cut-offs are the most appropriate. This accuracy study is a secondary analysis of the EPI-ASTHMA population-based study. Random adult participants recruited from primary healthcare centers in Portugal were analyzed. Participants answered the A2 score by telephone interview. Those with an A2 score ≥1 (plus 5% with an A2 score of 0) were invited to a diagnostic visit carried out by a GP to confirm or not a diagnosis of asthma. Diagnostic accuracy was assessed using receiver operating characteristic (ROC) curves. A total of 1283 participants (median 54[p25-p75 43-66] years; 60% female) were analyzed. The A2 score showed high discriminatory power in identifying asthma, with an area under the ROC curve of 82.9(95%CI 80.4-85.4)%. The proposed cut-off ≥4 was the most appropriate to rule in asthma (specificity 83.1%, positive predictive value 62.4%, accuracy 78%). Similarly, the proposed cut-off <2 was the most suitable for excluding asthma (sensitivity 92.7%, negative predictive value 93.7%, accuracy 60.5%). The A2 score is a useful tool to identify patients with asthma in a primary care population.
- Formação pedagógica a educadores clínicos – a experiência da ESS |P.Porto em Fisiologia ClínicaPublication . Baeta, Cristina; Tavares, Diana; Salgado, AnaA educação clínica integrada num ciclo de estudos (CE) de licenciatura na área da saúde sempre se revestiu de especial importância, dado ser o momento/contexto em que o estudante tem possibilidade de aplicar as suas competências teóricas/práticas adquiridas previamente no CE, assim como desenvolver outras fundamentais na área de atuação de um licenciado em Fisiologia Clínica, como comunicação/interação com o doente/utente, trabalho em equipa, gestão de conflitos, assunção de responsabilidades e resolução de problemas. Esta integração no ambiente clínico é organizada pelo coordenador de curso e/ou docentes responsáveis pelo estágio clínico, contudo os monitores de estágio constituem, na prática, o real veículo de inclusão e desenvolvimento eficaz do estudante. Nestes últimos anos esta tarefa tornou-se cada vez mais difícil, devido às exigências burocráticas/profissionais impostas aos serviços hospitalares/clínicos e aos seus profissionais. As áreas responsáveis por este CE conjuntamente com a responsável do centro pedagógico, idealizaram e implementaram uma formação pedagógica para os educadores clínicos, de forma a existir um momento anual de reflexão sobre todo o processo, os aspetos onde se devem implementar melhorias e sobretudo uma partilha de experiências. Este ano, pela primeira vez, este evento foi realizado em formato online, tendo sido uma experiência bastante positiva e ainda assim muita interativa. Recolheu-se a perceção dos participantes desta formação, sendo que 60% considerou que a formação correspondeu “bastante” às expetativas e os restantes “completamente”. O feedback obtido demonstrou que estas iniciativas são pertinentes, devem ser realizadas periodicamente e que o formato online em nada lesou a mensagem a transmitir, de tal forma que a partilha de experiências foi extraordinariamente profícua.
- Utility of a smartphone application in the execution of Basic Life Support algorithm - exploratory studyPublication . Cardoso, Ana; Ribeiro, VâniaThe cardiac arrest is the interruption of blood flow that occurs as a result of sudden and unexpected interruption of the heartbeat or the presence of inefficient heartbeats. The Basic Life Support (BLS) includes an algorithm about recognizing of signs of cardiac arrest and rapid and effective start of resuscitation maneuvers.
- Incidence of atrial fibrillation after cardiac surgery: predictive factorsPublication . Moreira, Soraia; Baeta, CristinaAtrial fibrillation (AF) has been described as the arrhythmia with higher incidence in postoperative period and follow-up of cardiac surgery. To study the incidence of AF after cardiac surgery and explore the relationship between this incidence and the main predictive factors.
- Occupational noise exposure and cardiovascular diseases: A pilot study in a metalworking industryPublication . Filipe, J.; Carvalhais, Carlos; Neves, P.; Sena, M.; Baeta, Cristina; Teixeira, J. P.; Pereira, C. C.Exposure to noise is an important risk to human health. Despite that, its control in the occupational environment is only made considering the prevention of hearing loss. Portuguese law for this subject neglect the non-auditory effects, such as sleep disturbances, annoyance and stress, reduction of cognitive performance and cardiovascular diseases.
- Development of a mobile health app for the management of hypertension, including treatment adherence assessment,using image detection technology - inspirers-HTNPublication . Nogueira-Silva, Luís; Viera-Marques, Pedro; Valente, José; Holtkötter, Jannis; Amaral, Rita; Jácome, Cristina; Ferreira, Ana; Almeida, Rute; Almeida Fonseca, JoãoWe aim to develop a mHealth smartphone app with a novel strategy to support the management of hypertension, including the measurement of adherence to treatment, taking advantage of the widespread use of smartphones and using only their embedded sensors. We have designed and developed a cross-platform, multi-language app which allows to register a pharmacological treatment and to customize alerts for the patient to take his/her medication and to measure his/her blood pressure (BP). Moreover, the app will be able to identify the number of pills in a blister and to capture the BP values from the screen of BP measuring devices, using the smartphone's camera. Thus, the app will quantify adherence to therapy and generate automatic BP reports. Blister photos and BP values collected by the users are enhanced using standard image processing methods for contrast increase, gap filling and relevant elements location. Classification strategies allow to count the pills present in the blisters, while the Google MLKit text mining API is employed for BP values recognition. Health Level Seven International (HL7) Fast Health Interoperability Resources (FHIR) standard is used for health care data modeling and exchange, promoting interoperability while guaranteeing data quality and security. Evaluation of the app's performance by real users will be presented, regarding its usability and the offline validity of the data acquisition. The user interface concept of the app has been defined and the mockups have been produced. Regarding pill counting, blisters with diverse materials and textures were considered. Different processing strategies are used depending on blisters’ characteristics, which has allowed an accuracy above 95% for most of the tested blisters. Extracting the BP measures from smartphone acquired images using the MLKIT app seems to be feasible. Further improvements and evaluations are ongoing. We will show preliminary results regarding usability and offline validity. We propose a new smartphone app that will support the management of hypertension, including an innovative image detection tool that will allow to objectively measure adherence to therapy and will facilitate the capture of BP values.