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Fontán-Vela M, Kissling E, Nicolay N, Braeye T, Van Evercooren I, Holm Hansen C, Emborg HD, Fabiani M, Mateo-Urdiales A, AlKerwi A, Schmitz S, Castilla J, Martínez-Baz I, de Gier B, Hahné S, Meijerink H, Starrfelt J, Nunes B, Caetano C, Derrough T, Nardone A, Monge S. Relative vaccine effectiveness against COVID-19 hospitalisation in persons aged ≥ 65 years: results from a VEBIS network, Europe, October 2021 to July 2023. Euro Surveill 2024; 29:2300670. [PMID: 38179626 PMCID: PMC10905661 DOI: 10.2807/1560-7917.es.2024.29.1.2300670] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/24/2023] [Accepted: 12/11/2023] [Indexed: 01/06/2024] Open
Abstract
To monitor relative vaccine effectiveness (rVE) against COVID-19-related hospitalisation of the first, second and third COVID-19 booster (vs complete primary vaccination), we performed monthly Cox regression models using retrospective cohorts constructed from electronic health registries in eight European countries, October 2021-July 2023. Within 12 weeks of administration, each booster showed high rVE (≥ 70% for second and third boosters). However, as of July 2023, most of the relative benefit has waned, particularly in persons ≥ 80-years-old, while some protection remained in 65-79-year-olds.
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Affiliation(s)
- Mario Fontán-Vela
- National Centre of Epidemiology, Carlos III National Health Institute (ISCIII), Madrid, Spain
- Public Health and Epidemiology research group, School of Medicine and Health Sciences, Universidad de Alcalá, Alcalá de Henares, Madrid, Spain
| | | | - Nathalie Nicolay
- Vaccine Preventable Diseases and Immunisation, European Centre for Disease Prevention and Control (ECDC), Stockholm, Sweden
| | | | | | - Christian Holm Hansen
- Department of Infectious Disease Epidemiology and Prevention, Statens Serum Institut (SSI), Copenhagen, Denmark
| | - Hanne-Dorthe Emborg
- Department of Infectious Disease Epidemiology and Prevention, Statens Serum Institut (SSI), Copenhagen, Denmark
| | - Massimo Fabiani
- Infectious Diseases Department, Istituto Superiore di Sanità, Rome, Italy
| | | | - Ala'a AlKerwi
- Ministry of Health, Directorate of Health, Service epidemiology and statistics, Luxembourg
| | - Susanne Schmitz
- Ministry of Health, Directorate of Health, Service epidemiology and statistics, Luxembourg
| | - Jesús Castilla
- CIBER Epidemiología y Salud Pública (CIBERESP), Spain
- Instituto de Salud Pública de Navarra - IdiSNA, Pamplona, Spain
| | - Iván Martínez-Baz
- CIBER Epidemiología y Salud Pública (CIBERESP), Spain
- Instituto de Salud Pública de Navarra - IdiSNA, Pamplona, Spain
| | - Brechje de Gier
- Center for Infectious Disease Control, National Institute for Public Health and the Environment (RIVM), Bilthoven, the Netherlands
| | - Susan Hahné
- Center for Infectious Disease Control, National Institute for Public Health and the Environment (RIVM), Bilthoven, the Netherlands
| | | | | | - Baltazar Nunes
- Departamento de Epidemiologia, Instituto Nacional de Saúde Doutor Ricardo Jorge, Departamento de Epidemiologia, Lisboa, Portugal
| | - Constantino Caetano
- Departamento de Epidemiologia, Instituto Nacional de Saúde Doutor Ricardo Jorge, Departamento de Epidemiologia, Lisboa, Portugal
| | - Tarik Derrough
- Vaccine Preventable Diseases and Immunisation, European Centre for Disease Prevention and Control (ECDC), Stockholm, Sweden
| | | | - Susana Monge
- National Centre of Epidemiology, Carlos III National Health Institute (ISCIII), Madrid, Spain
- CIBER on Infectious Diseases (CIBERINFEC), Madrid, Spain
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2
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Jit M, Ainslie K, Althaus C, Caetano C, Colizza V, Paolotti D, Beutels P, Willem L, Edmunds J, Nunes B, Namorado S, Faes C, Low N, Wallinga J, Hens N. Reflections On Epidemiological Modeling To Inform Policy During The COVID-19 Pandemic In Western Europe, 2020-23. Health Aff (Millwood) 2023; 42:1630-1636. [PMID: 38048502 DOI: 10.1377/hlthaff.2023.00688] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/06/2023]
Abstract
We reflect on epidemiological modeling conducted throughout the COVID-19 pandemic in Western Europe, specifically in Belgium, France, Italy, the Netherlands, Portugal, Switzerland, and the United Kingdom. Western Europe was initially one of the worst-hit regions during the COVID-19 pandemic. Western European countries deployed a range of policy responses to the pandemic, which were often informed by mathematical, computational, and statistical models. Models differed in terms of temporal scope, pandemic stage, interventions modeled, and analytical form. This diversity was modulated by differences in data availability and quality, government interventions, societal responses, and technical capacity. Many of these models were decisive to policy making at key junctures, such as during the introduction of vaccination and the emergence of the Alpha, Delta, and Omicron variants. However, models also faced intense criticism from the press, other scientists, and politicians around their accuracy and appropriateness for decision making. Hence, evaluating the success of models in terms of accuracy and influence is an essential task. Modeling needs to be supported by infrastructure for systems to collect and share data, model development, and collaboration between groups, as well as two-way engagement between modelers and both policy makers and the public.
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Affiliation(s)
- Mark Jit
- Mark Jit , London School of Hygiene and Tropical Medicine, London, United Kingdom
| | - Kylie Ainslie
- Kylie Ainslie, National Institute for Public Health and the Environment (RIVM), Bilthoven, the Netherlands
| | | | - Constantino Caetano
- Constantino Caetano, National Institute of Health Doutor Ricardo Jorge, Lisbon, Portugal
| | | | | | | | | | - John Edmunds
- John Edmunds, London School of Hygiene and Tropical Medicine
| | - Baltazar Nunes
- Baltazar Nunes, National Institute of Health Doutor Ricardo Jorge
| | - Sónia Namorado
- Sónia Namorado, National Institute of Health Doutor Ricardo Jorge
| | | | | | - Jacco Wallinga
- Jacco Wallinga, National Institute for Public Health and the Environment (RIVM)
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3
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Kingsberg SA, Schulze-Rath R, Mulligan C, Moeller C, Caetano C, Bitzer J. Global view of vasomotor symptoms and sleep disturbance in menopause: a systematic review. Climacteric 2023; 26:537-549. [PMID: 37751852 DOI: 10.1080/13697137.2023.2256658] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2023] [Accepted: 09/03/2023] [Indexed: 09/28/2023]
Abstract
Studies have shown racial/ethnic differences in the prevalence of vasomotor symptoms (VMS), sleep disturbance and VMS treatment in menopause. To assess the reproducibility of these differences, we systematically reviewed observational studies, published in 2000-2021, reporting the prevalence/incidence of VMS, sleep disturbance or treatment use in menopausal women stratified by race/ethnicity. We screened 3799 records from PubMed and Embase and included 27 papers (19 studies). No incidence data were found. Prevalence data varied widely, but some common patterns emerged. In all five studies comparing VMS between Black women and White, Hispanic and/or East Asian women, the prevalence was highest in Black women and lowest in East Asian women. The prevalence of sleep disturbance overall was compared among Black, White and East Asian women in two study populations, and was highest in White women in both papers. Sleep disturbance was more common than VMS in East Asian women. In all four studies comparing hormone therapy use between White women and Black and/or East Asian women, treatment use was more common in White women. These results highlight the need for individualized counseling and treatment, outreach to under-served minorities, and standardized definitions and outcome measures for VMS and sleep disturbance for future studies.
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Affiliation(s)
- S A Kingsberg
- Department of Obstetrics and Gynecology, University Hospitals Cleveland Medical Center, Cleveland, OH, USA
| | - R Schulze-Rath
- Medical Affairs & Pharmacovigilance, Pharmaceuticals, Bayer AG, Berlin, Germany
| | - C Mulligan
- Evidence Synthesis, Beacon Medical Communications, Brighton, UK
| | - C Moeller
- Medical Affairs & Pharmacovigilance, Pharmaceuticals, Bayer AG, Berlin, Germany
| | - C Caetano
- Pharmaceuticals, Medical Affairs Women's Healthcare, Bayer AG, Basel, Switzerland
| | - J Bitzer
- Department of Obstetrics and Gynecology, University Hospital, University of Basel, Basel, Switzerland
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4
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Caetano C, Morgado ML, Patrício P, Leite A, Machado A, Torres A, Pereira JF, Namorado S, Sottomayor A, Peralta-Santos A, Nunes B. Measuring the impact of COVID-19 vaccination and immunity waning: A modelling study for Portugal. Vaccine 2022; 40:7115-7121. [PMID: 36404429 PMCID: PMC9576223 DOI: 10.1016/j.vaccine.2022.10.007] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/02/2022] [Revised: 09/30/2022] [Accepted: 10/07/2022] [Indexed: 11/05/2022]
Abstract
Vaccination strategies to control COVID-19 have been ongoing worldwide since the end of 2020. Understanding their possible effect is key to prevent future disease spread. Using a modelling approach, this study intends to measure the impact of the COVID-19 Portuguese vaccination strategy on the effective reproduction number and explore three scenarios for vaccine effectiveness waning. Namely, the no-immunity-loss, 1-year and 3-years of immunity duration scenarios. We adapted an age-structured SEIR deterministic model and used Portuguese hospitalisation data for the model calibration. Results show that, although the Portuguese vaccination plan had a substantial impact in reducing overall transmission, it might not be sufficient to control disease spread. A significant vaccination coverage of those above 5 years old, a vaccine effectiveness against disease of at least 80% and softer non-pharmaceutical interventions (NPIs), such as mask usage and social distancing, would be necessary to control disease spread in the worst scenario considered. The immunity duration scenario of 1-year displays a resurgence of COVID-19 hospitalisations by the end of 2021, the same is observed in 3-year scenario although with a lower magnitude. The no-immunity-loss scenario presents a low increase in hospitalisations. In both the 1-year and 3-year scenarios, a vaccination boost of those above 65 years old would result in a 53% and 38% peak reduction of non-ICU hospitalisations, respectively. These results suggest that NPIs should not be fully phased-out but instead be combined with a fast booster vaccination strategy to reduce healthcare burden.
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Affiliation(s)
- Constantino Caetano
- Departamento de Epidemiologia, Instituto Nacional de Saúde Doutor Ricardo Jorge, Lisboa, Portugal,Center for Computational and Stochastic Mathematics, Instituto Superior Técnico, University of Lisbon, Portugal,Corresponding author at: Departamento de Epidemiologia, Instituto Nacional de Saúde Doutor Ricardo Jorge, Lisboa, Portugal
| | - Maria Luísa Morgado
- Center for Computational and Stochastic Mathematics, Instituto Superior Técnico, University of Lisbon, Portugal,Department of Mathematics, University of Trás-os-Montes e Alto Doutor (UTAD), Portugal
| | - Paula Patrício
- Center for Mathematics and Applications (NovaMath), FCT NOVA and Department of Mathematics, Nova School of Science and Technology, Universidade NOVA de Lisboa, Quinta da Torre, Caparica, Portugal
| | - Andreia Leite
- NOVA National School of Public Health, Public Health Research Center, Universidade NOVA de Lisboa, Portugal,Comprehensive Health Research Center, Universidade NOVA de Lisboa, Portugal
| | - Ausenda Machado
- Departamento de Epidemiologia, Instituto Nacional de Saúde Doutor Ricardo Jorge, Lisboa, Portugal,NOVA National School of Public Health, Public Health Research Center, Universidade NOVA de Lisboa, Portugal
| | - André Torres
- NOVA National School of Public Health, Public Health Research Center, Universidade NOVA de Lisboa, Portugal
| | - João Freitas Pereira
- Departamento de Epidemiologia, Instituto Nacional de Saúde Doutor Ricardo Jorge, Lisboa, Portugal,Department of Mathematics, University of Trás-os-Montes e Alto Doutor (UTAD), Portugal
| | - Sónia Namorado
- Departamento de Epidemiologia, Instituto Nacional de Saúde Doutor Ricardo Jorge, Lisboa, Portugal,NOVA National School of Public Health, Public Health Research Center, Universidade NOVA de Lisboa, Portugal,Comprehensive Health Research Center, Universidade NOVA de Lisboa, Portugal
| | - Ana Sottomayor
- Direção de Serviços de Informação e Análise, Direção Geral da Saúde, Lisboa, Portugal
| | - André Peralta-Santos
- Direção de Serviços de Informação e Análise, Direção Geral da Saúde, Lisboa, Portugal
| | - Baltazar Nunes
- Departamento de Epidemiologia, Instituto Nacional de Saúde Doutor Ricardo Jorge, Lisboa, Portugal,NOVA National School of Public Health, Public Health Research Center, Universidade NOVA de Lisboa, Portugal,Comprehensive Health Research Center, Universidade NOVA de Lisboa, Portugal
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5
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Pinheiro V, Caetano C, Pereira da Silva S, Nunes B. The 2009-2014 economic crisis and deaths by suicide in Portugal: time series analysis. Eur J Public Health 2022. [PMCID: PMC9593793 DOI: 10.1093/eurpub/ckac129.263] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Introduction Population health, including mental health, is influenced by its socioeconomic context. After the 2008 global economic crisis, studies found contradicting results: some showed an increased risk for self-harm and suicidal behavior, while others found the opposite association. To the best of our knowledge, there is no research in Portugal on the subject. Thus, our aim was to estimate the impact of the Portuguese economic crisis of 2009-2014 on the death rate by suicide and self-inflicted injury in Portugal. Methods A retrospective ecological study with an interrupted time series analysis of deaths by suicide and self-inflicted injury (data from the National Statistics Institute) in mainland Portugal, in 2003-2014, was performed. Resident population data was also retrieved from the National Statistics Institute. Binomial negative generalized linear models were used to compare rates and trends before (2003-2008) and during (2009-2014) the economic crisis. All rates were stratified and adjusted for seasonality. Results The economic crisis was associated with 13% a step increase in the death rate due to suicide and self-inflicted injury, with unemployment playing a significant mediating role, being negatively associated to the outcome. Differences between groups exist, with males, working-age groups and the North and Centre regions being the most impacted, globally. Conclusions Economic downturns pose risks for suicidal behavior. Unemployment may play a role in this association. Employment protection schemes can prevent this impact, so urgent action is needed to prevent economic crisis leading to additional suicides, especially in the context of the COVID-19 pandemic and the economic crisis it caused. Key messages • The Portuguese economic crisis of 2009-2014 was associated with an increased death rate due to suicide, especially in males, working-age groups and the North and Centre regions. • Unemployment may play a role in this association, and active labour market programmes can prevent the negative impacts of economic crisis leading to additional suicides.
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Affiliation(s)
- V Pinheiro
- CINTESIS, Centre for Health Technology and Services Research , Porto, Portugal
- Public Health Unit, ACES Arco Ribeirinho, ARS LVT , Lisbon, Portugal
| | - C Caetano
- National Health Institute Dr. Ricardo Jorge , Lisbon, Portugal
| | | | - B Nunes
- National Health Institute Dr. Ricardo Jorge , Lisbon, Portugal
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6
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Machado B, Antunes L, Caetano C, Pereira JF, Nunes B, Patrício P, Morgado ML. The impact of vaccination on the evolution of COVID-19 in Portugal. Math Biosci Eng 2022; 19:936-952. [PMID: 34903020 DOI: 10.3934/mbe.2022043] [Citation(s) in RCA: 9] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Abstract
In this work we use simple mathematical models to study the impact of vaccination against COVID-19 in Portugal. First, we fit a SEIR type model without vaccination to the Portuguese data on confirmed cases of COVID-19 by the date of symptom onset, from the beginning of the epidemic until the 23rd January of 2021, to estimate changes in the transmission intensity. Then, by including vaccination in the model we develop different scenarios for the fade-out of the non pharmacological intervention (NPIs) as vaccine coverage increases in the population according to Portuguese vaccination goals. We include a feedback function to mimic the implementation and relaxation of NPIs, according to some disease incidence thresholds defined by the Portuguese health authorities.
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Affiliation(s)
- Beatriz Machado
- School of Science and Technology, University of Trás-os-Montes e Alto Douro, UTAD, Quinta de Prados, Vila Real 5001-801, Portugal
| | - Liliana Antunes
- Departamento de Epidemiologia, Instituto Nacional de Saúde Doutor Ricardo Jorge (INSA), Lisbon 1649-016, Portugal
| | - Constantino Caetano
- Departamento de Epidemiologia, Instituto Nacional de Saúde Doutor Ricardo Jorge (INSA), Lisbon 1649-016, Portugal
- Center for Computational and Stochastic Mathematics, Instituto Superior Técnico, University of Lisbon, Lisbon 1049-001, Portugal
| | - João F Pereira
- School of Science and Technology, University of Trás-os-Montes e Alto Douro, UTAD, Quinta de Prados, Vila Real 5001-801, Portugal
- Departamento de Epidemiologia, Instituto Nacional de Saúde Doutor Ricardo Jorge (INSA), Lisbon 1649-016, Portugal
| | - Baltazar Nunes
- Departamento de Epidemiologia, Instituto Nacional de Saúde Doutor Ricardo Jorge (INSA), Lisbon 1649-016, Portugal
- Escola Nacional de Saúde Pública, Universidade NOVA de Lisboa
| | - Paula Patrício
- Center for Mathematics and Applications (CMA) and Department of Mathematics, NOVA School of Science and Technology, FCT NOVA, Quinta da Torre, Caparica 2829-516, Portugal
| | - M Luísa Morgado
- School of Science and Technology, University of Trás-os-Montes e Alto Douro, UTAD, Quinta de Prados, Vila Real 5001-801, Portugal
- Center for Computational and Stochastic Mathematics, Instituto Superior Técnico, University of Lisbon, Lisbon 1049-001, Portugal
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7
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Garagarza C, Valente A, Caetano C, Ramos I, Sebastião J, Pinto M, Oliveira T, Ferreira A, Guerreiro CS. Do dietary patterns influence survival in hemodialysis patients? Clin Nutr ESPEN 2021. [DOI: 10.1016/j.clnesp.2021.09.344] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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8
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da Silva Filho AL, Caetano C, Lahav A, Grandi G, Lamaita RM. The difficult journey to treatment for women suffering from heavy menstrual bleeding: a multi-national survey. EUR J CONTRACEP REPR 2021; 26:390-398. [PMID: 34047657 DOI: 10.1080/13625187.2021.1925881] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
PURPOSE Up to 30% of women of reproductive age experience HMB, which has a substantial impact on their quality of life. A clinical care pathway for women with HMB is an unmet need, but its development requires better understanding of the factors that characterise current diagnosis and management of the condition. MATERIALS AND METHODS This observational, survey-based study assessed the burden, personal experiences, and path through clinical management of women with HMB in Canada, the USA, Brazil, France and Russia using a detailed, semi-structured online questionnaire. After excluding those reporting relevant organic pathology, responses to the questionnaire from 200 women per country were analysed. RESULTS Around 75% of women with HMB had actively sought information about heavy periods, mostly through internet research. The mean time from first symptoms until seeking help was 2.9 (Standard deviation, 3.1) years. However, 40% of women had not seen a health care professional about the condition. Furthermore, 54% had never been diagnosed or treated. Only 20% had been diagnosed and received appropriate treatment. Treatment was successful in 69% of those patients currently receiving treatment. Oral contraceptives were the treatment most commonly prescribed for HMB, although the highly effective levonorgestrel-intrauterine system was used by only a small proportion of women. CONCLUSIONS This study provides insight into the typical journey of a woman with HMB which may help patients and health care professionals improve the path to diagnosis and treatment, although further research with long-term outcomes is needed.
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Affiliation(s)
- A L da Silva Filho
- Department of Gynecology and Obstetrics, Faculty of Medicine, Federal University of Minas Gerais (UFMG), Belo Horizonte, Brazil
| | - C Caetano
- Bayer Consumer Care AG, Basel, Switzerland
| | | | - G Grandi
- Department of Medical and Surgical Sciences for Mother, Child and Adult, University of Modena and Reggio Emilia, Azienda Ospedaliero-Universitaria Policlinico, Modena, Italy
| | - R M Lamaita
- Department of Gynecology and Obstetrics, Faculty of Medicine, Federal University of Minas Gerais (UFMG), Belo Horizonte, Brazil
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9
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Pinheiro V, Nunes B, Pereira da Silva S, Caetano C. Impact of the 2009-2014 economic crisis on suicide attempts and self-harm in Portugal. Eur J Public Health 2020. [DOI: 10.1093/eurpub/ckaa165.911] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Background
Following the worldwide economic crisis of 2008, studies have found an increased risk for self-harm and suicide attempts, many of which need hospital care. There is no research in Portugal on the matter. Therefore, our goal was to estimate the impact of the Portuguese economic crisis of 2009-2014 on the hospital admission rates by attempted suicide and self-harm in Portugal.
Methods
A retrospective ecological study, with an interrupted time series analysis of hospital admissions by suicide attempts (data from the national Hospital Mobility Database) in mainland Portugal, between 2003 and 2014, was performed. Resident population data over 15 years old was retrieved from the National Statistics Institute. Poisson regression models were used to compare rates and trends before (2003-2008) and during (2009-2014) the Portuguese economic crisis. All rates were adjusted for seasonality.
Results
A total of 35,077 hospital admission episodes by suicide attempt were retrieved. The mean admission rate was 2.947 per 100 000 inhabitants per month before the crisis, falling to 2.798 during the crisis period. Before the crisis, the total admission rate was decreasing 1% per year. After the crisis erupted, there was a level change, with a sudden increase of 7.9%. The suicide and self-harm admission rate, after 2008, was constant and approximately 38.8% higher than expected if the earlier trend had continued.
Conclusions
There was an increase in the total hospital admission rate by suicide attempts and self-harm during the economic crisis period in Portugal, when compared to the previous period.
Key messages
Economic crisis can pose considerable suicide risks. Urgent action is needed to prevent economic crisis leading to additional suicides.
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Affiliation(s)
- V Pinheiro
- Public Health Unit, Local Health Unit of Baixo Alentejo, Beja, Portugal
| | - B Nunes
- Department of Epidemiology, National Health Institute Doutor Ricardo Jorge, IP, Lisbon, Portugal
| | - S Pereira da Silva
- Department of Epidemiology, National Health Institute Doutor Ricardo Jorge, IP, Lisbon, Portugal
| | - C Caetano
- Department of Epidemiology, National Health Institute Doutor Ricardo Jorge, IP, Lisbon, Portugal
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10
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Corte-Real A, Caetano C, Dias Pereira A, Rocha S, Alves S, Nuno-Vieira D. Risk and limits in dental practice: a Portuguese approach to medical-legal evaluation and professional liability. J Forensic Odontostomatol 2020; 38:2-7. [PMID: 32420907 PMCID: PMC7880157] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/09/2023]
Abstract
Patient safety and quality of healthcare delivery systems are an objective of WHO. This study aims to present and analyse Portuguese clinical data on risk and malpractice in dental practice. Data from the Forensic Dentistry Laboratory (Faculty of Medicine, University of Coimbra) was analysed, between the years of 2013 to 2018. One hundred and seven technical reports were selected, and seventy nine files were included in the iatrogenic sequelae group. Data included the analysis of the performance of dental professionals. Sequelae were divided in descending order of occurrence:1) mandibular dysfunction (53,2%)[(42)79]; 2) neurological deficit (39,2%)[(31)79]; 3) tooth loss (6,3%)[(5)79]; and 4) opening deficit (1,3%)[(1)79].Three major areas with significant expression in the field of expert evaluations were analysed: 1) orthodontic treatment (51,9%), implant rehabilitation (29,1%), and oral surgery. Given the prevalence of malpractice, the need to assess its causes and recognise standards for its prevention is necessary.
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Affiliation(s)
- A Corte-Real
- Forensic Dentistry Laboratory-Faculty of Medicine-Coimbra University-Portugal
| | - C Caetano
- Faculty of Medicine-Coimbra University-Portugal
| | - A Dias Pereira
- Centre for Biomedical Law-Law Faculty-University of Coimbra-Portugal
| | - S Rocha
- Faculty of Medicine-Coimbra University-Portuga
| | - S Alves
- Faculty of Medicine-Coimbra University-Portugal
| | - D Nuno-Vieira
- Forensic Dentistry Laboratory-Faculty of Medicine-Coimbra University-Portugal
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11
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Merki-Feld GS, Caetano C, Porz TC, Bitzer J. Are there unmet needs in contraceptive counselling and choice? Findings of the European TANCO Study. EUR J CONTRACEP REPR 2018; 23:183-193. [DOI: 10.1080/13625187.2018.1465546] [Citation(s) in RCA: 23] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/16/2022]
Affiliation(s)
- G. S. Merki-Feld
- Department of Reproductive Endocrinology, University Hospital, Zurich, Switzerland
| | | | | | - J. Bitzer
- Department of Obstetrics/Gynecology, University Hospital, Basel, Switzerland
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12
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Garagarza C, Valente A, Oliveira T, Caetano C. SUN-PP160: Which Nutritional Parameters Best Predict Survival in Hemodialysis Patients? Clin Nutr 2015. [DOI: 10.1016/s0261-5614(15)30311-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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13
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Garagarza C, Valente A, Oliveira T, Caetano C, Ribeiro S, Silva A. SUN-PP184: The Role of Dialysis Shift in the Nutritional Status of Hemodialysis Patients. Clin Nutr 2015. [DOI: 10.1016/s0261-5614(15)30335-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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14
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Ferreira D, Caetano C, Pedroto I. Education and imaging. Gastrointestinal: An uncommon cause of gastrointestinal bleeding: spontaneous hematoma of the colon. J Gastroenterol Hepatol 2015; 30:652. [PMID: 25776959 DOI: 10.1111/jgh.12882] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/09/2022]
Affiliation(s)
- D Ferreira
- Department of Gastroenterology, Centro Hospitalar do Porto, Porto, Portugal
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15
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Affiliation(s)
- R Küttner Magalhães
- Department of Gastroenterology, Hospital Santo António, 59 Rua Dr Eduardo Santos Silva, Porto, Portugal.
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Abstract
The publication of Luria's Neuropsychological Investigation (LNI) by Christensen in 1975 introduced Luria's evaluation procedures to worldwide neuropsychology. The LNI demonstrated the benefit of a thorough qualitative analysis of an individual patient's functioning as well as the usefulness of a comprehensive theory of brain functioning. This article reviews the experiences that led to the development of the LNI, discusses its use and extension in Scandinavian countries, and presents clinical and research applications of the LNI in diagnosis and rehabilitation. A series of case examples provides justification and validity for the continued use of the LNI and related procedures. Discussion of the advantages and disadvantages of the LNI and consideration of possible modifications of the procedures and interpretative methods provide the rationale for continued development of Luria's approach.
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Affiliation(s)
- A L Christensen
- Center for Rehabilitation of Brain Injury, Copenhagen University, Denmark
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17
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Borges C, Caetano C, Costa Pessoa J, Figueiredo M, Lourenço A, Gomes MM, Silva T, Veiga J. Monitoring the removal of soluble salts from ancient tiles by ion chromatography. J Chromatogr A 1997. [DOI: 10.1016/s0021-9673(97)00175-1] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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18
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Teasdale TW, Caetano C. Psychopathological symptomatology in brain-injured patients before and after a rehabilitation program. ACTA ACUST UNITED AC 1995. [DOI: 10.1207/s15324826an0203&4_3] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/31/2022]
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19
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Abstract
The Symptom Checklist-90 revised (SCL-90-R) was used to evaluate subjective experience of psychopathological symptomatology in 30 patients before and after an intensive four-month neuropsychological rehabilitation program and again one year after completion of the program. The patients were all adults and had suffered acute brain injury as a result of head injury (37%), cerebro vascular accident (37%), anoxia (16%) or other causes (10%). Most had entered the program within two years after injury and at that time they showed slight to moderate elevation on all ten scales of the SCL-90-R. At program completion eight of the scales showed significant or near significant reductions. There were only small and non-significant changes in the scales between program completion and one year follow-up. Among the individual items of the SCL-90-R, the most common complaints related to cognitive difficulties and depression. The same pattern of sustained improvement was largely found for these items. Overall the results suggest, first, that the subjectively perceived distress in the brain-injured patient is diminished by the rehabilitation program, and second, that this reduction sustained at least up to one year following the completion of the program.
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Affiliation(s)
- T W Teasdale
- Center for Rehabilitation of Brain Injury, University of Copenhagen, Denmark
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