Auditory Processing Disorder Test Battery in European Portuguese-Development and Normative Data for Pediatric Population

There is an increasing need for state-of-the-art Central Auditory Processing assessment for Portuguese native speakers, applicable as early as possible. As a contribution to answering this need, this paper presents a new battery for Central Auditory Processing assessment for European Portuguese applicable to children aged 5 and above, named BAPA-PE, providing information regarding test selection and development. The battery consists of six behavioral tests: Staggered Spondaic Words (SSW) for European Portuguese, Filtered Speech, Speech in Noise, Detection Interval in Noise, Duration, and Frequency Pattern. The normative data for children aged 5 to 12 are also reported. A sample was obtained of 217 subjects without ear pathology and with typical development. Each age group was composed of at least 30 children. All children were evaluated using pure tone audiometry, speech audiometry, impedance, and otoacoustic emissions. Normative scores are reported for each of the six auditory processing tests. The assessment is applicable to young children (aged 5 and 6). The statistical analyses showed significant effects in scores of Age for all tests and of Ear for several tests. The main result from the work presented, the Auditory Processing Assessment Battery—European Portuguese (BAPA-PE), is available for clinical use with normative data. This battery is a new tool for behaviorism assessment of European Portuguese speakers with suspected central auditory pathology and for monitoring the results of auditory training.

Decoupling of biotic and abiotic patterns in a coastal area affected by chronic metal micronutrients disturbances

Coastal systems are highly productive areas for primary productivity and ecosystem services and host a large number of human activities. Since industrialization, metal micronutrients in these regions have increased. Phytoplankton use metals as micronutrients in metabolic processes, but in excess, had deleterious effects. In coastal systems, picoeukaryotes represent a diverse and abundant group with widespread distribution and fundamental roles in biogeochemical cycling. We combined different approaches to explore picoeukaryotes seasonal variability in a chronically metal polluted coastal area at the south-eastern Pacific Ocean. Through remote and field measurements to monitor environmental conditions and 18S rRNA gene sequencing for taxonomic profiling, we determined metal chronic effect on picoeukaryote community's structure. Our results revealed a stable richness and a variable distribution of the relative abundance, despite the physicochemical seasonal variations. These results suggest that chronic metal contamination influences temporal heterogeneity of picoeukaryote communities, with a decoupling between abiotic and biotic patterns.

School-based interventions modestly increase physical activity and cardiorespiratory fitness but are least effective for youth who need them most: an individual participant pooled analysis of 20 controlled trials

OBJECTIVES

To determine if subpopulations of students benefit equally from school-based physical activity interventions in terms of cardiorespiratory fitness and physical activity. To examine if physical activity intensity mediates improvements in cardiorespiratory fitness.

DESIGN

Pooled analysis of individual participant data from controlled trials that assessed the impact of school-based physical activity interventions on cardiorespiratory fitness and device-measured physical activity.

PARTICIPANTS

Data for 6621 children and adolescents aged 4-18 years from 20 trials were included.

MAIN OUTCOME MEASURES

Peak oxygen consumption (VO2Peak mL/kg/min) and minutes of moderate and vigorous physical activity.

RESULTS

Interventions modestly improved students' cardiorespiratory fitness by 0.47 mL/kg/min (95% CI 0.33 to 0.61), but the effects were not distributed equally across subpopulations. Girls and older students benefited less than boys and younger students, respectively. Students with lower levels of initial fitness, and those with higher levels of baseline physical activity benefitted more than those who were initially fitter and less active, respectively. Interventions had a modest positive effect on physical activity with approximately one additional minute per day of both moderate and vigorous physical activity. Changes in vigorous, but not moderate intensity, physical activity explained a small amount (~5%) of the intervention effect on cardiorespiratory fitness.

CONCLUSIONS

Future interventions should include targeted strategies to address the needs of girls and older students. Interventions may also be improved by promoting more vigorous intensity physical activity. Interventions could mitigate declining youth cardiorespiratory fitness, increase physical activity and promote cardiovascular health if they can be delivered equitably and their effects sustained at the population level.

Detection of sentinel bacteria in mangrove sediments contaminated with heavy metals

Mangroves in the Northwest Coast of South America are contaminated with heavy metals due to wastewater discharges from industries, affecting the biota from this environment. However, bacteria proliferate in these harsh environmental conditions becoming possible sentinel of these contaminations. In this study, bacterial community composition was analyzed by throughput sequencing of the 16S rRNA gene from polluted and pristine mangrove sediments affected by marked differences in heavy metal concentrations. Core bacteria were dominated by Proteobacteria, Firmicutes, and Bacteroidetes phyla, with strong differences between sites at class and genus levels, correlated with metal levels. Increment of abundance on specific OTUs were associated with either elevated or decreased concentrations of metals and with the sulfur cycle. The abundance of Sulfurovum lithotrophicum, Leptolinea tardivitalis, Desulfococcus multivorans and Aminobacterium colombiense increases when metals rise. On contrary, Bacillus stamsii, Nioella nitrareducens and Clostridiisalibacter paucivorans abundance increases when metal levels are reduced. We propose these OTUs as bacterial sentinels, whose abundance can help monitor the restoration programs of contaminated mangrove sediments in the future.

A school-based intervention improved dietary intake outcomes and reduced waist circumference in adolescents: a cluster randomized controlled trial

BACKGROUND

In Ecuador, adolescents' food intake does not comply with guidelines for a healthy diet. Together with abdominal obesity adolescent's inadequate diets are risk factors for non-communicable diseases. We report the effectiveness of a school-based intervention on the dietary intake and waist circumference among Ecuadorian adolescents.

METHODS

A pair-matched cluster randomized controlled trial including 1430 adolescents (12-14 years old) was conducted. The program aimed at improving the nutritional value of dietary intake, physical activity (primary outcomes), body mass index, waist circumference and blood pressure (secondary outcomes). This paper reports: (i) the effect on fruit and vegetable intake, added sugar intake, unhealthy snacking (consumption of unhealthy food items that are not in line with the dietary guidelines eaten during snack time; i.e. table sugar, sweets, salty snacks, fast food, soft drinks and packaged food), breakfast intake and waist circumference; and, (ii) dose and reach of the intervention. Dietary outcomes were estimated by means of two 24-h recall at baseline, after the first 17-months (stage one) and after the last 11-months (stage two) of implementation. Dose and reach were evaluated using field notes and attendance forms. Educational toolkits and healthy eating workshops with parents and food kiosks staff in the schools were implemented in two different stages. The overall effect was assessed using linear mixed models and regression spline mixed effect models were applied to evaluate the effect after each stage.

RESULTS

Data from 1046 adolescents in 20 schools were analyzed. Participants from the intervention group consumed lower quantities of unhealthy snacks (-23.32 g; 95% CI: -45.25,-1.37) and less added sugar (-5.66 g; 95% CI: -9.63,-1.65) at the end of the trial. Daily fruit and vegetable intake decreased in both the intervention and control groups compared to baseline, albeit this decrease was 23.88 g (95% CI: 7.36, 40.40) lower in the intervention group. Waist circumference (-0.84 cm; 95% CI: -1.68, 0.28) was lower in the intervention group at the end of the program; the effect was mainly observed at stage one. Dose and reach were also higher at stage one.

CONCLUSIONS

The trial had positive effects on risk factors for non-communicable diseases, i.e. decreased consumption of unhealthy snacks. The program strategies must be implemented at the national level through collaboration between the academia and policy makers to assure impact at larger scale.

TRIAL REGISTRATION

ClinicalTrial.gov-NCT01004367 .

Safety of metamizole: a systematic review of the literature

WHAT IS KNOWN AND OBJECTIVE

Metamizole was withdrawn from the market in the United States and several European countries following reports of fatal agranulocytosis among users, but is still available in many countries in Europe, South America and Asia. Over the past several decades, a number of epidemiologic studies have been conducted to quantify the risk of agranulocytosis and other adverse effects associated with metamizole and other non-narcotic analgesics. The objective of this study was to perform a systematic review of the safety of metamizole.

METHODS

Epidemiologic studies published between 1 January 1980 and 15 December 2014 were identified through systematic searches of PubMed and Google Scholar; the reference sections of selected articles were also reviewed to identify potentially relevant studies. Studies included in this review focused on the safety of metamizole, that is on outcomes such as haematologic abnormalities, gastrointestinal bleeding, anaphylaxis and hepatotoxicity. Two study investigators independently reviewed the abstracts and articles to determine relevant studies according to prespecified criteria.

RESULTS AND DISCUSSION

A total of 22 articles met the criteria for evaluation. The majority of studies that evaluated agranulocytosis indicated an increased risk associated with metamizole, with relative risk (RR) estimates ranging from 1·5 (95% CI, 0·8-2·7) to 40·2 (95% CI, 14·7-113·3). Findings of three case-control studies do not suggest an association between metamizole and aplastic anaemia. Of the five case-control studies that evaluated the risk of upper gastrointestinal bleeding, four found a statistically significant increased risk associated with metamizole (RR estimates ranging from 1·4 to 2·7). There is insufficient evidence to determine whether metamizole increases the risk of other outcomes (e.g. hepatic effects, anaphylaxis, congenital anomalies). Few studies evaluated the effects of dose, route of administration or duration of therapy.

WHAT IS NEW AND CONCLUSION

Published studies reported differences in the magnitude of risk of adverse outcomes associated with metamizole use and often had small sample sizes and a number of other limitations that may have biased the results. Further research is needed to better quantify the potential risks associated with metamizole compared to other non-narcotic analgesics.

Proceedings of the 3rd IPLeiria's International Health Congress : Leiria, Portugal. 6-7 May 2016

S1 Health literacy and health education in adolescence

Catarina Cardoso Tomás

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

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

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

Celeste Alves

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

Stefan Gisin

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

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

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

Débora Franco

S7 About wine, fortune cookies and patient experience

Jesús Alcoba González

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

Helena G. Jardim, Rita Silva

O2 Musculoskeletal disorders in midwives

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

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

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

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

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

O5 Functional assessment of elderly in primary care

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

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

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

O7 Prevalence of musculoskeletal injuries in Portuguese musicians

Andrea Ribeiro, Ana Quelhas, Conceição Manso

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

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

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

Daniel Seabra, Mª Céu Salvador

O10 Obstruction and infiltration: a proposal of a quality indicator

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

O11 Balance and anxiety and depression symptoms in old age people

Joana Santos, Sara Lebre, Alda Marques

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

Clarinda Festas, Sandra Rodrigues, Andrea Ribeiro, José Lumini

O13 Ischemic stroke vs. haemorrhagic stroke survival rate

Ana G. Figueiredo

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

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

O15 Risk of malnutrition in the elderly of Bragança

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

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

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

O17 Medication adherence in elderly people

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

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

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

O19 Oncologic assistance of high complexity: evaluation of regulating accesses

Rosiane Kniess, Josimari T. Lacerda

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

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

O21 Sleep difficulties and depressive symptoms in college students

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

O22 Psychopathological symptoms and medication use in higher education

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

O23 Sexually transmitted diseases in higher education institutions

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

O24 Alcohol consumption and suicide ideation in higher education students

Lídia Cabral, Manuela Ferreira, Amadeu Gonçalves

O25 Quality of life in university students

Tatiana D. Luz, Leonardo Luz, Raul Martins

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

Alice Morgado, Maria L. Vale-Dias

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

Rui Porta-Nova

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

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

O29 Risk factors and cardiovascular disease in Portalegre

Daniel Guedelha, P. Coelho, A. Pereira

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

António Calha, Raul Cordeiro

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

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

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

Aline Welter, Elayne Pereira, Sandra Ribeiro, Marcia Kretzer

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

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

O34 Beira Baixa Blood Pressure Study (Study PABB)

Patrícia Coelho, Tiago Bernardes, Alexandre Pereira

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

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

O36 Sleep problems among Portuguese adolescents: a public health issue

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

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

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

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

Isabel C. Pinto, Tânia Pires, João Gama

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

Vera Preto, Norberto Silva, Carlos Magalhães, Matilde Martins

O40 Frailty phenotype in old age: implications to intervention

Mafalda Duarte, Constança Paúl, Ignácio Martín

O41 Portuguese women: sexual symptoms in perimenopause

Arminda A. Pinheiro

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

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

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

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

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

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

O45 Community Health screenings and self-reported chronic diseases

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

O46 Evaluation of indoor air quality in Kindergartens

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

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

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

O48 Occupational exposure to air pollutants in night entertainment venues workers

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

O49 Beliefs and attitudes of young people towards breastfeeding

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

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

Catarina Mangas, Jaime Ribeiro, Rita Gonçalves

O51 Visual health in teenagers

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

O52 Amenable mortality and the geographic accessibility to healthcare in Portugal

Cláudia Costa, José A. Tenedório, Paula Santana

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

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

O54 Adherence of patients to rehabilitation programmes

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

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

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

O56 Relation between emotional intelligence and mental illness in health students

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

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

Marlene C. Rosa, Alda Marques

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

Daniela Brandão, Óscar Ribeiro, Lia Araújo, Constança Paúl

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

Beatriz Minghelli, Sylvina Richaud

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

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

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

Teresa Carvalho, Marina Cunha, José Pinto-Gouveia

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

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

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

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

P8 Aging provokes chronodisruption in mature people in temperature circadian rhythm

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

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

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

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

Ana R. Martins, Amélia Nunes, Arminda Jorge

P11 Edentulism and the need of oral rehabilitation among institutionalized elderly

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

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

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

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

Cristina Calvo, Manoela Reses

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

Jorge Conde, Ana Ferreira, João Figueiredo

P15 Meaning-in-life of college students

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

O57 Training needs for nurses in palliative care

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

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

Paulino Sousa, Manuel Oliveira, Joana Sousa

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

Sónia Novais, Felismina Mendes

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

Joana Pinto, Joana Cruz, Alda Marques

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

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

Hugo Duarte, Maria Dos Anjos Dixe, Pedro Sousa

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

Inês Cruz, Fernanda Bastos, Filipe Pereira

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

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

O64 Time management in health professionals

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

O65 Financial rewards and wellbeing in primary health care

Carmo Neves, Teresa C. Oliveira

O66 Patient safety promotion in the operating room

Bárbara Oliveira, Mª Carminda Morais, Pilar Baylina

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

Rogério Rodrigues, Zaida Azeredo, Corália Vicente

O68 Teaching and learning sexuality in nursing education

Hélia Dias, Margarida Sim-Sim

O69 Entrepreneurial Motivations Questionnaire: AFC and CFA in academy

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

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

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

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

Isabel Barroso, Leila Lapa, Cristina Antunes

O72 Labour stress in nursing

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

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

Maria Freitas, Pedro Parreira, João Marôco

O74 Intention to use eHealth strategies with nursing students

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

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

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

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

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

O77 Health professionals’ attitudes towards breastfeeding

Sílvia Marques, Sónia Ramalho, Isabel Mendes

O78 Continuity of nursing care to person with type 2 diabetes

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

O79 Stigma toward mental illness among future health professionals

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

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

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

P16 Surgical paediatrics patients’ psycho prophylaxis at a teaching hospital

Helena Prebianchi

P17 Patient-perceived outcomes in physiotherapy – a pilot study

Marlene Cristina Rosa

P18 Building competencies for managers in nursing

Narcisa Gonçalves, Maria M. Martins, Paulina Kurcgant

P19 Theoretical basis underlying physiotherapy practice in stroke rehabilitation

André Vieira

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

Sandrina Bento, Sérgio Deodato, Isabel Rabiais

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

Laura Reis

P22 Nursing Relational Laboratory: Pedagogical, dialogic and critical project

Ana Torres, Sérgio Soares, Margarida Ferreira, Pedro Graça

P23 Job satisfaction of bioscientists at a Lisbon hospital

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

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

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

P25 Professional satisfaction of rehabilitation nurses

Sofia Neco, Carminda Morais, Pedro Ferreira

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

Carla R. Silva, Alice Brito, Antónia Silva

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

Hugo Duarte, Maria Dos Anjos Dixe, Pedro Sousa

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

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

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

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

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

Fátima M. Marques

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

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

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

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

P33 Design and assessment of e-learning modules for Pharmacology

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

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

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

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

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

P36 What’s new on endotracheal suctioning recommendations

Ana S. Sousa, Cândida Ferrito

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

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

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

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

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

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

P40 Coping strategies of college students

Luís Pimenta, Diana Carreira, Patrícia Teles, Teresa Barros

P41 Emotional intelligence and mental health stigma in health students

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

P42 Stigma of mental health assessment: Comparison between health courses

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

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

Cristina Jácome, Alda Marques

O82 Phonological awareness programme for preschool children

Sylvie Capelas, Andreia Hall, Dina Alves, Marisa Lousada

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

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

O84 Intervention for men who batter women, a case report

Anne G.Silva, Elza S. Coelho

O85 Immediate effects of Bowen Therapy on muscle tone and flexibility

Flávio Melo, Fernando Ribeiro, Rui Torres, Rui Costa

O86 Predictive equation for incremental shuttle walk test in adolescents

Tânia Pinho, Cristina Jácome, Alda Marques

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

Bárbara Cruz, Daniel Seabra, Diogo Carreira, Maria Ventura

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

Joana Cruz, Dina Brooks, Alda Marques

O89 Assessing the effectiveness of a Complex Nursing Intervention

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

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

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

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

Susana Cruz, José M. Padilha, Jorge Valente

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

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

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

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

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

Isabel Malheiro, Filomena Gaspar, Luísa Barros

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

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

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

João Cruz, Tiago Barbosa, Ângela Simões, Luís Coelho

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

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

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

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

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

Paula Mendonça, Kátia Freitas

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

Dora Ferreira, António Brito, Renato Fernandes

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

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

O102 Fast decalcifier in compact bone and spongy bone

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

O103 Health promotion in the elderly – Intervention project in dementia

Diana Evangelista

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

Catarina Leitão, Fábia Velosa, Nélio Carecho, Luís Coelho

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

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

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

Eliana Moreira, Cristiana Midões, Marlene Santos

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

Sara Machado, Vânia P. Oliveira, Marlene Santos

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

Ana Querido, Anjos Dixe, Rita Marques, Zaida Charepe

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

Ana Antunes, Sofia Santos

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

Marlene C. Rosa

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

Marlene C. Rosa, Silvana F. Marques

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

Beatriz Minghelli, Eulália Caro

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

Mª José Luís, Teresa Brandão

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

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

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

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

P50 Nursing intervention programme in lifestyles of adolescents

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

P51 The person submitted to hip replacement rehabilitation, at home

Tatiana Azevedo, Salete Soares, Jacinta Pisco

P52 Effects of Melatonin use in the treatment of neurovegetative diseases

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

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

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

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

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

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

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

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

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

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

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

P58 Dating violence among young adolescents

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

P59 Physical activity and motor memory in pedal dexterity

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

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

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

P61 Mental health promotion in the workplace

Marina Cordeiro, Paulo Granjo, José C. Gomes

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

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

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

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

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

António Calha

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

Ana Xavier, Marina Cunha, José Pinto-Gouveia

O112 Prevalence of physical disability in people with leprosy

Liana Alencar, Madalena Cunha, António Madureira

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

Ilda Cardoso, Ana Galhardo, Fernanda Daniel, Vítor Rodrigues

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

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

O115 Electrocardiographic differences between African and Caucasian people

António Rodrigues, Patrícia Coelho, Alexandre Coelho

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

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

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

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

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

Cátia Rodrigues, Rosa Pedroso

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

Jennifer Apolinário-Hagen, Viktor Vehreschild

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

Milene Veloso, Celina Magalhães, Isabel Cabral, Maira Ferraz

O121 Marital violence. A study in the Algarve population

Filipe Nave, Emília Costa, Filomena Matos, José Pacheco

O122 Clinical factors and adherence to treatment in ischemic heart disease

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

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

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

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

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

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

Isabel C. Pinto, Tânia Pires, Catarina Silva

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

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

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

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

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

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

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

Rui Cruz, Luiz Santiago, Carlos Fontes-Ribeiro

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

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

O131 Metacognition, rumination and experiential avoidance in Borderline Personality Disorder

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

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

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

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

Rosa Rodrigues, Mª Carminda Morais, Paula O. Fernandes

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

Conceição Santiago, Mª Henriqueta Figueiredo, Marta L. Basto

O135 Illness perceptions and medication adherence in hypertension

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

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

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

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

Cristina Simões, Sofia Santos

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

Ana Serra, Maria Matos, Luís Jesus

P65 Study of biochemical and haematological changes in football players

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

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

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

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

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

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

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

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

Joana Topa, Conceição Nogueira, Sofia Neves

P70 Systemic Lupus Erythematosus – what are audiovestibular changes?

Rita Ventura, Cristina Nazaré

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

Daniela Brandão, Alberto Freitas, Óscar Ribeiro, Constança Paúl

P72 Recurrence analysis in postural control in children with cerebral palsy

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

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

Helga Rafael

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

Alcinda C. Reis

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

Ana Mendes, Ana R. Valente, Marisa Lousada

O138 Anthropometric and nutritional assessment in bodybuilders

Diana Sousa, Ana L. Baltazar, Mª Helena Loureiro

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

Ana Oliveira, José Aparício, Alda Marques

O140 Role of computerized respiratory sounds as a marker in LRTI

Alda Marques, Ana Oliveira, Joana Neves, Rodrigo Ayoub

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

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

O142 Phonological awareness skills in school aged children

Inês Cadorio, Marisa Lousada

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

Marina Cunha, Diogo Andrade, Ana Galhardo, Margarida Couto

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

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

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

Virgínia Fonseca, Diogo Colaço, Vanessa Neves

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

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

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

Teresa Carvalho, José Pinto-Gouveia, Marina Cunha

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

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

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

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

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

Anabela C. Martins

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

Piedade Brandão, Laura Martins, Margarida Cardoso

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

Nuno Morais, Joana Cruz

O153 Three-dimensional biofabrication techniques for tissue regeneration

Nuno Alves, Paula Faria, Artur Mateus, Pedro Morouço

O154 A new computer tool for biofabrication applied to tissue engineering

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

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

Isabel Malheiro, Filomena Gaspar, Luísa Barros

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

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

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

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

O158 A study of ICT active monitoring adoption in stroke rehabilitation

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

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

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

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

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

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

João Freitas, Pedro Parreira, João Marôco

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

O171 Spirituality in pregnant women

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

O172 Polypharmacy in older patients with cancer

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

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

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

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

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

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

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

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

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

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

Zaida Charepe, Ana Querido, Mª Henriqueta Figueiredo

O178 The influence of childbirth type in postpartum quality of life

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

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

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

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

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

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

Armando Silva, Irma Brito, João Amado

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

António Rodrigo, Sofia Santos, Fernando Gomes

P76 Childhood obesity and breastfeeding - A systematic review

Marlene C. Rosa, Silvana F. Marques

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

Sara Luís, Luís Cavalheiro, Pedro Ferreira, Rui Gonçalves

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

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

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

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

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

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

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

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

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

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

P83 The Portuguese validation of the Dietary Intent Scale

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

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

Filipe Nave

P85 Portable continuous blood pressure monitor system

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

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

Rogério Rodrigues, Zaida Azeredo, Corália Vicente

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

Joana Silva, Patrícia Sousa, Rita Marques

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

Isabel Mendes, Rogério Rodrigues, Zaida Azeredo, Corália Vicente

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

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

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

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

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

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

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

Odete Araújo, Isabel Lage, José Cabrita, Laetitia Teixeira

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

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

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

Sara Silva, Eugénio Cordeiro, João Pimentel

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

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

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

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

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

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

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

Alexandra Simões, Lucinda Carvalho, Alexandre Pereira

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

Sara Silva, Paulino Sousa, José M. Padilha

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

Daniela Figueiredo, Carolina Valente, Alda Marques

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

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

O188 The elder hospitalized: Limiting factors of comfort

Patrícia Sousa, Rita Marques

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

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

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

Carla Grande, Mª Augusta Mata, Juan G. Vieitez

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

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

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

Tânia Costa, Armando Almeida, Gabriel Baffour

O193 Phenomena sensitive to nursing care in day centre

Armando Almeida, Tânia Costa, Gabriel Baffour

O194 Frailty: what do the elderly think?

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

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

Regina Ferreira

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

Sara Lopes, Liliana Nunes, Ana Mendes

O197 Quality of life of patients undergoing liver transplant surgery

Julian Martins, Dulcineia Schneider, Marcia Kretzer, Flávio Magajewski

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

Célia Soares, António Marques

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

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

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

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

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

Dolores Sardo

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

Cristina Martins, Wilson Abreu, Mª Céu Figueiredo

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

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

P97 The geriatric care: ways and means of comforting

Patrícia Sousa, Rita Marques

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

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

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

Catarina Oliveira, Fernanda Bastos, Inês Cruz

P100 Art therapy as mental health promotion for children

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

P101 Chemical characterization of fungal chitosan for industrial applications

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

P102 The impact of caring older people at home

Maria Almeida, Liliana Gonçalves, Lígia Antunes

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

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

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

Susana Cardoso, Osvaldo Santos, Carla Nunes, Isabel Loureiro

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

Flávia Santos, Gilberto Alves

O204 Waiting room – A space for health education

Cláudia Soar, Teresa O. Marsi

O205 Safey culture evaluation in hospitalized children

Ernestina Silva, Dora Pedrosa, Andrea Leça, Daniel Silva

O206 Sexual Self-awareness and Body Image

Ana Galvão, Maria Gomes, Paula Fernandes, Ana Noné

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

Jaime Combadão, Cátia Ramalhete, Paulo Figueiredo, Patrícia Caeiro

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

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

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

Raphaelle Borges, Flávio Barbosa, Dayse Sá

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

Germana Brunhoso, Graça Aparício, Amâncio Carvalho

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

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

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

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

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

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

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

Pedro Silva, Mário Espada, Mário Marques, Ana Pereira

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

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

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

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

O217 Experiences of couple relationships in the transition to retirement

Ana Camarneiro, Mª Helena Loureiro, Margarida Silva

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

Catarina Duarte, Ângelo Jesus, Agostinho Cruz

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

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

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

Teresa Maneca Lima

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

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

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

María S. Medina, Valeriana G. Blanco

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

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

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

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

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

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

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

Mónia Cheio, Agostinho Cruz, Olívia R. Pereira

O227 Edible flowers as new novel foods concept for health promotion

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

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

Mª Manuela Machado, Margarida Vieira

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

Beatriz Fernandes, Teresa Tomás, Diogo Quirino

O230 Musculoskeletal pain and postural habits in children and teenage students

Gustavo Desouzart, Rui Matos, Magali Bordini, Pedro Mouroço

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

Ana R. Matos, Mauro Serapioni

O232 Occupational stress in Portuguese police officers

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

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

Inmaculada Z. Martin, Anita Björklund

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

Aida I. Tavares, Pedro Ferreira, Rui Passadouro

P106 Economic development through life expectancy lenses

Sónia Morgado

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

Nuno Tavares, João Valente, Anabela C. Martins

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

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

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

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

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

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

P111 Bioactive compounds - antioxidant activity of tropical fruits

Marta Pereira

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

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

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

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

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

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

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

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

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

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

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

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

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

Melissa Faria, Cláudia Reis

P119 BODY SNAPSHOT – a web-integrated anthropometric evaluation system

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

P120 Anthropometric evaluation and variation during pregnancy

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

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

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

P122 Muscular activity of a rally race car driver

João Lopes, Henrique Almeida, Sandra Amado, Luís Carrão

O234 Literacy and results in health

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

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

Suzete Oliveira, Mª Carminda Morais

O236 Mediterranean diet, health and life quality among Portuguese children

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

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

Ana R. Pedro, Odete Amaral, Ana Escoval

O238 Oral health literacy evaluation in a Portuguese military population

Victor Assunção, Henrique Luís, Luís Luís

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

Jennifer Apolinário-Hagen, Viktor Vehreschild

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

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

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

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

O242 Parenting styles and attachment to parents: what relationships?

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

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

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

O244 Technology literacy in self-management of diabetes

Vânia Silva, Paulino Sousa, José M. Padilha

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

Vera Ferraz, Graça Aparício, João Duarte

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

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

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

Luís Saboga-Nunes, Madalena Cunha, Carlos Albuquerque

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

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

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

Jaime Ribeiro, Catarina Mangas, Ana Freire

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

Sara Silva, Irene Francisco, Ana Oliveira

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

Helena Catarino, Mª Anjos Dixe, Mª Clarisse Louro

O252 Sexual risk behaviour in adolescents and young people

Saudade Lopes, Anjos Dixe

O253 Knowledge of school staff on type 1 diabetes

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

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

Catarina Tomás, Paulo Queirós, Teresa Rodrigues

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

Pedro Sousa, João G. Frade, Catarina Lobão

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

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

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

Francisca Pinto, Paulino Sousa, Mª Raquel Esteves

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

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

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

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

P128 Promoting literacy in pregnancy health-care

Fátima Martins, Montserrat Pulido-Fuentes

P129 The lifestyles of the operating assistants of education

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

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

Alessandro Prado, Yara M. Carvalho

P131 Life long swimming – a European Erasmus + project

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

Two years of school-based intervention program could improve the physical fitness among Ecuadorian adolescents at health risk: subgroups analysis from a cluster-randomized trial

Background

Adolescents with overweight and poor physical fitness have an increased likelihood of developing cardiovascular diseases during adulthood. In Ecuador, a health promotion program improved the muscular strength and speed-agility, and reduced the decline of the moderate-to-vigorous physical activity of adolescents after 28 months. We performed a sub-group analysis to assess the differential effect of this intervention in overweight and low-fit adolescents.

Methods

We performed a cluster-randomized pair matched trial in schools located in Cuenca–Ecuador. In total 20 schools (clusters) were pair matched, and 1440 adolescents of grade 8 and 9 (mean age of 12.3 and 13.3 years respectively) participated in the trial. For the purposes of the subgroup analysis, the adolescents were classified into groups according to their weight status (body mass index) and aerobic capacity (scores in the 20 m shuttle run and FITNESSGRAM standards) at baseline. Primary outcomes included physical fitness (vertical jump, speed shuttle run) and physical activity (proportion of students achieving over 60 min of moderate–to-vigorous physical activity/day). For these primary outcomes, we stratified analysis by weight (underweight, normal BMI and overweight/obese) and fitness (fit and low fitness) groups. Mixed linear regression models were used to assess the intervention effect.

Results

The prevalence of overweight/obesity, underweight and poor physical fitness was 20.3 %, 5.8 % and 84.8 % respectively. A higher intervention effect was observed for speed shuttle run in overweight (β = −1.85 s, P = 0.04) adolescents compared to underweight (β = −1.66 s, P = 0.5) or normal weight (β = −0.35 s, P = 0.6) peers. The intervention effect on vertical jump was higher in adolescents with poor physical fitness (β = 3.71 cm, P = 0.005) compared to their fit peers (β = 1.28 cm, P = 0.4). The proportion of students achieving over 60 min of moderate-to-vigorous physical activity/day was not significantly different according to weight or fitness status.

Conclusion

Comprehensive school-based interventions that aim to improve diet and physical activity could improve speed and strength aspects of physical fitness in low-fit and overweight/obese adolescents.

Trial registration

Clinicaltrials.gov identifier NCT01004367. Registered October 28, 2009.

Electronic supplementary material

The online version of this article (doi:10.1186/s12887-016-0588-8) contains supplementary material, which is available to authorized users.

A role for novel adipose tissue-secreted factors in obesity-related carcinogenesis

Obesity, a pandemic disease, is caused by an excessive accumulation of fat that can have detrimental effects on health. Adipose tissue plays a very important endocrine role, secreting different molecules that affect body physiology. In obesity, this function is altered, leading to a dysfunctional production of several factors, known as adipocytokines. This process has been linked to various comorbidities associated with obesity, such as carcinogenesis. In fact, several classical adipocytokines with increased levels in obesity have been demonstrated to exert a pro-carcinogenic role, including leptin, TNF-α, IL-6 and resistin, whereas others like adiponectin, with decreased levels in obesity, might have an anti-carcinogenic function. In this expanding field, new proteomic techniques and approaches have allowed the identification of novel adipocytokines, a number of which exhibit an altered production in obesity and type 2 diabetes and thus are related to adiposity. Many of these novel adipocytokines have also been identified in various tumour types, such as that of the breast, liver or endometrium, thereby increasing the list of potential contributors to carcinogenesis. This review is focused on the regulation of these novel adipocytokines by obesity, including apelin, endotrophin, FABP4, lipocalin 2, omentin-1, visfatin, chemerin, ANGPTL2 or osteopontin, emphasizing its involvement in tumorigenesis.

Mesenteric lymph node granulomatous lesions in naturally infected wild boar (Sus scrofa) in Portugal--Histological, immunohistochemical and molecular aspects

Several studies have demonstrated that wildlife reservoirs of mycobacteria are responsible for the maintenance and spreading of the infection to livestock and wildlife counterparts. Recent data report the role of wild boar (Sus scrofa) as a reservoir for Mycobacterium bovis. This study was conducted to evaluate the chronic inflammatory response in the mesenteric lymph nodes (MLN) of wild boar with granulomatous lymphadenitis (n=30). Morphological parameters of the lesions were recorded. The expression of CD3 and CD79α molecules was evaluated by immunohistochemistry. Molecular genotyping and culture to identify mycobacteria were performed. The lesions consisted mainly of stage III and stage IV granulomas. CD3 and CD79α positive cells were observed in 15 (50%) and in 11 (36.6%) MLN, respectively. In these lesions, higher percentages of T lymphocytes were found and a limited number of animals exhibited a tendency for an increased percentage of B lymphocytes. Our results suggest that there are similar percentages and distribution patterns of CD3 and CD79α in the lesions, regardless of the presence of Mycobacterium avium subsp. paratuberculosis (Map), M. bovis or Map-M. bovis co-infection, and confirm that wild boar is both susceptible and could be an important Map and M. bovis wild reservoir in the study area.

School-based intervention on healthy behaviour among Ecuadorian adolescents: effect of a cluster-randomized controlled trial on screen-time

Background

Effective interventions on screen-time behaviours (television, video games and computer time) are needed to prevent non-communicable diseases in low- and middle-income countries. The present manuscript investigates the effect of a school-based health promotion intervention on screen-time behaviour among 12- to 15-year-old adolescents. We report the effect of the trial on screen-time after two stages of implementation.

Methods

We performed a cluster-randomised pair matched trial in urban schools in Cuenca-Ecuador. Participants were adolescents of grade eight and nine (mean age 12.8 ± 0.8 years, n = 1370, control group n = 684) from 20 schools (control group n = 10). The intervention included an individual and environmental component tailored to the local context and resources. The first intervention stage focused on diet, physical activity and screen-time behaviour, while the second stage focused only on diet and physical activity. Screen-time behaviours, primary outcome, were assessed at baseline, after the first (18 months) and second stage (28 months). Mixed linear models were used to analyse the data.

Results

After the first stage (data from n = 1224 adolescents; control group n = 608), the intervention group had a lower increase in TV-time on a week day (β = −15.7 min; P = 0.003) and weekend day (β = −18.9 min; P = 0.005), in total screen-time on a weekday (β = −25.9 min; P = 0.03) and in the proportion of adolescents that did not meet the screen-time recommendation (β = −4 percentage point; P = 0.01), compared to the control group. After the second stage (data from n = 1078 adolescents; control group n = 531), the TV-time on a weekday (β = 13.1 min; P = 0.02), and total screen-time on a weekday (β = 21.4 min; P = 0.03) increased more in adolescents from the intervention group. No adverse effects were reported.

Discussion and Conclusion

A multicomponent school-based intervention was only able to mitigate the increase in adolescents’ television time and total screen-time after the first stage of the intervention or in other words, when the intervention included specific components or activities that focused on reducing screen-time. After the second stage of the intervention, which only included components and activities related to improve healthy diet and physical activity and not to decrease the screen-time, the adolescents increased their screen-time again. Our findings might imply that reducing screen-time is only possible when the intervention focuses specifically on reducing screen-time.

Trial registration

Clinicaltrials.gov identifier NCT01004367.

Structural and Functional Studies of NirC from Salmonella typhimurium

NirC is a pentameric transport system for monovalent anions that is expressed in the context of assimilatory nitrite reductase NirBD in a wide variety of enterobacterial species. A NirC pentamer contains individual pores in each protomer that mediate the passage of at least the nitrite [Formula: see text] and nitrate [Formula: see text] anions. As a member of the formate/nitrite transporter family of membrane transport proteins, NirC shares a range of structural and functional features with the formate channel FocA and the hydrosulfide channel AsrD (HSC). NirC from the enteropathogen Salmonella typhimurium has been studied by X-ray crystallography, proton uptake assays, and different electrophysiological techniques, and the picture that has emerged shows a fast and versatile transport system for nitrite that doubles as a defense system during the enteric life of the bacterium. Structural and functional assays are described, which shed light on the transport mechanism of this important molecular machine.

A school-based intervention improves physical fitness in Ecuadorian adolescents: a cluster-randomized controlled trial

BACKGROUND

Effective lifestyle interventions are needed to prevent noncommunicable diseases in low- and middle-income countries. We analyzed the effects of a school-based health promotion intervention on physical fitness after 28 months and explored if the effect varied with important school characteristics. We also assessed effects on screen time, physical activity and BMI.

METHODS AND RESULTS

We performed a cluster-randomized pair matched trial in schools in urban Ecuador. The intervention included an individual and environmental component tailored to the local context and resources. Primary outcomes were physical fitness (EUROFIT battery), screen time (questionnaires) and physical activity (accelerometers). Change in BMI was a secondary outcome. A total of 1440 grade 8 and 9 adolescents (intervention: n = 700, 48.6%) and 20 schools (intervention: n = 10, 50%) participated. Data of 1083 adolescents (intervention: n = 550, 50.8%) from 20 schools were analyzed.

CONCLUSIONS

A school-based intervention with an individual and environment component can improve physical fitness and can minimize the decline in physical activity levels from childhood into adolescence in urban Ecuador.

TRIAL REGISTRATION

Clinicaltrials.gov identifier NCT01004367.

Dietary intake practices associated with cardiovascular risk in urban and rural Ecuadorian adolescents: a cross-sectional study

Background

Cardiovascular diseases (CVD) are amongst the leading causes of death worldwide. Risk factors of CVD develop during childhood and adolescence, and dietary quality has been linked to the development of CVD itself. This study examines the association between dietary patterns and cardiovascular risk in a group of urban and rural Ecuadorian adolescents from different socioeconomic backgrounds.

Methods

A cross-sectional study was conducted from January 2008 to April 2009 among 606 adolescents from the 8th, 9th and 10th grade in an urban area (Cuenca), and 173 adolescents from a rural area (Nabón) in Ecuador. Data collection involved measuring anthropometric data (weight, height and waist circumference), blood pressure, dietary intake (2-day 24 h recall) and socio-demographic characteristics. Fasting blood lipids and glucose were measured in a subsample of 334 adolescents. Factor analysis was used to identify dietary patterns and linear regression models were used to (i) identify differences in food intake practices according to socioeconomic status and place of residence and (ii) establish relationships between dietary patterns and cardiovascular risk factors.

Results

Median energy intake was 1851 kcal/day. Overall, fiber, fish and fruit and vegetables were scarcely consumed, while added sugar, refined cereals and processed food were important constituents of the diet. Two dietary patterns emerged, one labelled as “rice-rich non-animal fat pattern” and the other one as “wheat-dense animal-fat pattern”. The first pattern was correlated with a moderate increase in glucose in urban participants, while the second pattern was associated with higher LDL and cholesterol blood levels in rural participants.

Conclusions

This group of adolescents presented various dietary practices conducive to CVD development. Effective strategies are needed to prevent CVD in the Ecuadorian population by encouraging a balanced diet, which contains less refined cereals, added sugar, and processed food, but has more fruits, vegetables and whole grain cereals.

Heavy metal concentration in mangrove surface sediments from the north-west coast of South America

Mangrove ecosystems are coastal estuarine systems confined to the tropical and subtropical regions. The Estero Salado mangrove located in Guayaquil, Ecuador, has suffered constant disturbances during the past 20 years, due to industrial wastewater release. However, there are no published data for heavy metals present in its sediments and the relationship with anthropogenic disturbance. In the present study, metal concentrations were evaluated in surface sediment samples of the mangrove, showing that B, Cd, Cu, Pb, Se, V, and Zn levels exceeded those declared in international environmental quality standards. Moreover, several metals (Pb, Sn, Cd, Ag, Mo, Zn and Ni) could be linked to the industrial wastewater present in the studied area. In addition, heavy metal levels detected in this mangrove are higher than previous reports on mangrove sediments worldwide, indicating that this mangrove ecosystem is one of the most disrupted on earth.

Heavy metal concentration in mangrove surface sediments from the north-west coast of South America

Mangrove ecosystems are coastal estuarine systems confined to the tropical and subtropical regions. The Estero Salado mangrove located in Guayaquil, Ecuador, has suffered constant disturbances during the past 20 years, due to industrial wastewater release. However, there are no published data for heavy metals present in its sediments and the relationship with anthropogenic disturbance. In the present study, metal concentrations were evaluated in surface sediment samples of the mangrove, showing that B, Cd, Cu, Pb, Se, V, and Zn levels exceeded those declared in international environmental quality standards. Moreover, several metals (Pb, Sn, Cd, Ag, Mo, Zn and Ni) could be linked to the industrial wastewater present in the studied area. In addition, heavy metal levels detected in this mangrove are higher than previous reports on mangrove sediments worldwide, indicating that this mangrove ecosystem is one of the most disrupted on earth.

Physiological plasticity of Dictyota kunthii (Phaeophyceae) to copper excess

The brown alga Dictyota kunthii is one of the dominant species in the coastal areas of northern Chile affected by copper enrichment due to accumulated mining wastes. To assess its physiological plasticity in handling copper-mediated oxidative stress, 4-days copper exposure (ca. 100 μg/L) experiments were conducted with individuals from a copper impacted area and compared with the responses of plants from a non-impacted site. Several biochemical parameters were then evaluated and compared between populations. Results showed that individuals from the copper-impacted population normally displayed higher levels of copper content and antioxidant enzymes activity (catalase (CAT), ascorbate peroxidase (AP), dehydroascorbate reductase (DHAR), glutathione peroxidase (GP) and peroxiredoxins (PRX)). After copper exposure, antioxidant enzyme activity increased significantly in plants from the two selected sites. In addition, we found that copper-mediated oxidative stress was associated with a reduction of glutathione reductase (GR) activity. Moreover, metabolic profiling of extracellular metabolites from both populations showed a significant change after plants were exposed to copper excess in comparison with controls, strongly suggesting a copper-induced release of metabolites. The copper-binding capacity of those exudates was determined by anodic stripping voltammetry (ASV) and revealed an increased ligand capacity of the medium with plants exposed to copper excess. Results indicated that D. kunthii, regardless their origin, counteracts copper excess by various mechanisms, including metal accumulation, activation of CAT, AP, DHAR, GP and PRX, and an induced release of Cu binding compounds. Thus, plasticity in copper tolerance in D. kunthii seems constitutive, and the occurrence of a copper-tolerant ecotype seems unlikely.

Physical fitness among urban and rural Ecuadorian adolescents and its association with blood lipids: a cross sectional study

BACKGROUND

Physical fitness has been proposed as a marker for health during adolescence. Currently, little is known about physical fitness and its association with blood lipid profile in adolescents from low and middle-income countries. The aim of this study is therefore to assess physical fitness among urban and rural adolescents and its associations with blood lipid profile in a middle-income country.

METHODS

A cross-sectional study was conducted between January 2008 and April 2009 in 648 Ecuadorian adolescents (52.3% boys), aged 11 to 15 years, attending secondary schools in Cuenca (urban n = 490) and Nabón (rural n = 158). Data collection included anthropometric measures, application of the EUROFIT battery, dietary intake (2-day 24 h recall), socio-demographic characteristics, and blood samples from a subsample (n = 301). The FITNESGRAM standards were used to evaluate fitness. The associations of fitness and residential location with blood lipid profile were assessed by linear and logistic regression after adjusting for confounding factors.

RESULTS

The majority (59%) of the adolescents exhibited low levels of aerobic capacity as defined by the FITNESSGRAM standards. Urban adolescents had significantly higher mean scores in five EUROFIT tests (20 m shuttle, speed shuttle run, plate tapping, sit-up and vertical jump) and significantly most favorable improved plasma lipid profile (triglycerides and HDL) as compared to rural adolescents. There was a weak association between blood lipid profile and physical fitness in both urban and rural adolescents, even after adjustment for confounding factors.

CONCLUSIONS

Physical fitness, in our sample of Ecuadorian adolescents, was generally poor. Urban adolescents had better physical fitness and blood lipid profiles than rural adolescents. The differences in fitness did not explain those in blood lipid profile between urban and rural adolescents.

Insights into the bioactivity of mensacarcin and epoxide formation by MsnO8

Mensacarcin, a potential antitumour drug, is produced by Streptomyces bottropensis. The structure consists of a three-membered ring system with many oxygen atoms. Of vital importance in this context is an epoxy moiety in the side chain of mensacarcin. Our studies with different mensacarcin derivatives have demonstrated that this epoxy group is primarily responsible for the cytotoxic effect of mensacarcin. In order to obtain further information about this epoxy moiety, inactivation experiments in the gene cluster were carried out to identify the epoxy-forming enzyme. Therefore the cosmid cos2, which covers almost the complete type II polyketide synthase (PKS) gene cluster, was heterologously expressed in Streptomyces albus. This led to production of didesmethylmensacarcin, due to the fact that methyltransferase genes are missing in the cosmid. Further gene inactivation experiments on this cosmid showed that MsnO8, a luciferase-like monooxygenase, introduces the epoxy group at the end of the biosynthesis of mensacarcin. In addition, the protein MsnO8 was purified, and its crystal structure was determined to a resolution of 1.80 Å.

Adaptação da Bateria de Testes EARS ao Português Europeu

<strong>Introduction:</strong> The use of adequate assessment tools in health care is crucial for the management of care. The lack of specific tools in Portugal for assessing the performance of children who use cochlear implants motivated the translation and adaptation of the EARS (Evaluation of Auditory Responses to Speech) test battery into European Portuguese. This test battery is today one of the most commonly used by (re)habilitation teams of deaf children who use cochlear implants worldwide. The goal to be achieved with the validation of EARS was to provide (re) habilitation teams an instrument that enables: (i) monitoring the progress of individual (re)habilitation, (ii) managing a (re)habilitation program according to objective results, comparable between different (re)habilitation teams, (iii) obtaining data that can be compared with the results of international teams, and (iv) improving engagement and motivation of the family and other professionals from local teams.<br /><strong>Material and Methods:</strong> For the test battery translation and adaptation process, the adopted procedures were the following: (i) translation of the English version into European Portuguese by a professional translator, (ii) revision of the translation performed by an expert panel, including doctors, speech-language pathologists and audiologists, (iii) adaptation of the test stimuli by the team’s speechlanguage pathologist, and (iv) further review by the expert panel.<br /><strong>Results: </strong>For each of the tests that belong to the EARS battery, the introduced adaptations and adjustments are presented, combining the characteristics and objectives of the original tests with the linguistic and cultural specificities of the Portuguese population.<br /><strong>Discussion:</strong> The difficulties that have been encountered during the translation and adaptation process and the adopted solutions are discussed. Comparisons are made with other versions of the EARS battery.<br /><strong>Conclusion:</strong> We defend that the translation and the adaptation process followed for the EARS test battery into European Portuguese was correctly conducted, respecting the characteristics of the original instruments and adapting the test stimuli to the linguistic and cultural reality of the Portuguese population, thus meeting the goals that have been set.

[European Portuguese EARS test battery adaptation]

INTRODUCTION

The use of adequate assessment tools in health care is crucial for the management of care. The lack of specific tools in Portugal for assessing the performance of children who use cochlear implants motivated the translation and adaptation of the EARS (Evaluation of Auditory Responses to Speech) test battery into European Portuguese. This test battery is today one of the most commonly used by (re)habilitation teams of deaf children who use cochlear implants worldwide. The goal to be achieved with the validation of EARS was to provide (re)habilitation teams an instrument that enables: (i) monitoring the progress of individual (re)habilitation, (ii) managing a (re)habilitation program according to objective results, comparable between different (re)habilitation teams, (iii) obtaining data that can be compared with the results of international teams, and (iv) improving engagement and motivation of the family and other professionals from local teams.

MATERIAL AND METHODS

For the test battery translation and adaptation process, the adopted procedures were the following: (i) translation of the English version into European Portuguese by a professional translator, (ii) revision of the translation performed by an expert panel, including doctors, speech-language pathologists and audiologists, (iii) adaptation of the test stimuli by the team's speechlanguage pathologist, and (iv) further review by the expert panel.

RESULTS

For each of the tests that belong to the EARS battery, the introduced adaptations and adjustments are presented, combining the characteristics and objectives of the original tests with the linguistic and cultural specificities of the Portuguese population.

DISCUSSION

The difficulties that have been encountered during the translation and adaptation process and the adopted solutions are discussed. Comparisons are made with other versions of the EARS battery.

CONCLUSION

We defend that the translation and the adaptation process followed for the EARS test battery into European Portuguese was correctly conducted, respecting the characteristics of the original instruments and adapting the test stimuli to the linguistic and cultural reality of the Portuguese population, thus meeting the goals that have been set.

Predictors of validity and reliability of a physical activity record in adolescents

BACKGROUND

Poor to moderate validity of self-reported physical activity instruments is commonly observed in young people in low- and middle-income countries. However, the reasons for such low validity have not been examined in detail. We tested the validity of a self-administered daily physical activity record in adolescents and assessed if personal characteristics or the convenience level of reporting physical activity modified the validity estimates.

METHODS

The study comprised a total of 302 adolescents from an urban and rural area in Ecuador. Validity was evaluated by comparing the record with accelerometer recordings for seven consecutive days. Test-retest reliability was examined by comparing registrations from two records administered three weeks apart. Time spent on sedentary (SED), low (LPA), moderate (MPA) and vigorous (VPA) intensity physical activity was estimated. Bland Altman plots were used to evaluate measurement agreement. We assessed if age, sex, urban or rural setting, anthropometry and convenience of completing the record explained differences in validity estimates using a linear mixed model.

RESULTS

Although the record provided higher estimates for SED and VPA and lower estimates for LPA and MPA compared to the accelerometer, it showed an overall fair measurement agreement for validity. There was modest reliability for assessing physical activity in each intensity level. Validity was associated with adolescents' personal characteristics: sex (SED: P=0.007; LPA: P=0.001; VPA: P=0.009) and setting (LPA: P=0.000; MPA: P=0.047). Reliability was associated with the convenience of completing the physical activity record for LPA (low convenience: P=0.014; high convenience: P=0.045).

CONCLUSIONS

The physical activity record provided acceptable estimates for reliability and validity on a group level. Sex and setting were associated with validity estimates, whereas convenience to fill out the record was associated with better reliability estimates for LPA. This tendency of improved reliability estimates for adolescents reporting higher convenience merits further consideration.

Ghrelin as a GH-releasing factor

Growth hormone (GH) is secreted by the pituitary gland in a pulsatile manner. It is accepted that this pulsatility is primarily controlled by the hypothalamus, although this secretion can also be modulated by factors from GH-targeted organs, the pituitary and other regions of the central nervous systems, or by factors arriving from peripheral organs. In mammals, hypothalamic control of GH pulsatility is classically regulated by the interplay of two opposing hormones, stimulatory GHRH and inhibitory somatostatin (SS). Recognition of the gastric ghrelin peptide as the natural ligand for GH secretagogue receptor type 1a (GHS-R1a) added a new element to the complex physiological regulation of GH secretion and clarified some of its aspects that were previously not fully understood. In this review, we examine data that suggest that ghrelin may regulate GH secretion, as well as ghrelin's possible use as a therapeutic agent.

Prevalence and socioeconomic differences of risk factors of cardiovascular disease in Ecuadorian adolescents

PURPOSE

The aim of this paper is to report the prevalence of cardiovascular risk factors and socioeconomic differences in school-going Ecuadorian adolescents.

METHODS

A cross-sectional study was performed from January 2008 until April 2009 in 770 adolescents aged 10 to 16 years old, who attend secondary schools in an urban (Cuenca), and rural area (Nabón) in Ecuador. Data collected for the overall sample included anthropometric variables (weight, height and waist circumference), blood pressure and socio-demographic characteristics. Fasting blood glucose and lipid profile determinations were collected in a subsample of 334 adolescents.

RESULTS

The most prevalent cardiovascular risk factors were dyslipidemia (34.2%), abdominal obesity (19.7%) and overweight (18.0%). The prevalence of the remaining cardiovascular risk factors were high levels of blood pressure (6.2%) and obesity (2.1%). Boys were 3.3 times (P < 0.001) more likely to have risk levels of blood pressure. Compared to their peers from lower socioeconomic groups, children from better off socioeconomic strata were 1.5 times (P = 0.048) more likely to be overweight/obese and 1.5 times (P = 0.046) more likely to have abdominal obesity. Overweight and obese children were 4.4 times more likely to have dyslipidemia (P < 0.001). Children living in the rural area were 2.8 times (P = 0.002) more likely to have dyslipidemia than those from the urban area.

CONCLUSIONS

Our results demonstrate the advanced levels of the nutrition transition in this Ecuadorian adolescent population. Primary health care should monitor and take actions to address this public health problem in adolescents.

Novel polymerase chain reaction primers for the specific detection of bacterial copper P-type ATPases gene sequences in environmental isolates and metagenomic DNA

AIMS

In the last decades, the worldwide increase in copper wastes release by industrial activities like mining has driven environmental metal contents to toxic levels. For this reason, the study of the biological copper-resistance mechanisms in natural environments is important. Therefore, an appropriate molecular tool for the detection and tracking of copper-resistance genes was developed.

METHODS AND RESULTS

In this work, we designed a PCR primer pair to specifically detect copper P-type ATPases gene sequences. These PCR primers were tested in bacterial isolates and metagenomic DNA from intertidal marine environments impacted by copper pollution. As well, T-RFLP fingerprinting of these gene sequences was used to compare the genetic composition of such genes in microbial communities, in normal and copper-polluted coastal environments. New copper P-type ATPases gene sequences were found, and a high degree of change in the genetic composition because of copper exposure was also determined.

CONCLUSIONS

This PCR based method is useful to track bacterial copper-resistance gene sequences in the environment.

SIGNIFICANCE AND IMPACT OF THE STUDY

This study is the first to report the design and use of a PCR primer pair as a molecular marker to track bacterial copper-resistance determinants, providing an excellent tool for long-term analysis of environmental communities exposed to metal pollution.

Gender differences of acute and chronic administration of dehydroepiandrosterone in rats submitted to the forced swimming test

Previous pre-clinical and clinical studies investigating the antidepressant potential of DHEA revealed conflicting results. In this study, the effects of exogenous DHEA on performance in the forced swimming test (FST) were examined in male and female Wistar rats in different phases of the estrous cycle. Furthermore, the effects of treatment and of the FST, on corticosterone and DHEA serum levels were investigated. Acute administration of DHEA (2 mg/kg) significantly increased freezing only in proestrus female rats. Similarly, the chronic administration of DHEA (2 mg/kg) increased freezing duration and decreased climbing behavior but only in females in diestrus II compared to those given vehicle. These results demonstrate that chronically administered DHEA induces a depressant-like effect, and this effect is sex dependent. There was no direct correlation between corticosterone levels or the corticosterone/DHEA ratio and the behaviors studied. After the FST, serum DHEA and corticosterone levels were increased, with females showing higher DHEA levels than males. Nevertheless, corticosterone levels were unaltered with chronic procedure; an effect that was independent of sex and treatment. These findings are relevant for research examining alternative treatment for depression and may elucidate the gender differences involved in stress-related diseases.

Concurrent cisplatin/gemcitabine chemotherapy along with radiotherapy in locally advanced cervical carcinoma: A phase II trial

OBJECTIVE

To evaluate the efficacy and safety of a concurrent regimen of gemcitabine/cisplatin and radiotherapy in women with locally advanced cervical carcinoma (LACC).

METHODS

From April 2001 to June 2002, we enrolled women diagnosed with histologically proven LACC (FIGO stages IIA through IIIB), for treatment with concurrent regimen of chemo-radiotherapy. The treatment consisted of: cisplatin 40 mg/m(2), followed by gemcitabine 125 mg/m(2), once weekly, given about 1 to 2 h before radiotherapy. External beam radiation was delivered 5 days/week to entire pelvic radiation field for a total of 50 Gy in 25 fractions over 5 weeks. After completion of external radiation, patients received brachytherapy with cesium-137 via standard Fletcher-suit applicators delivering 30 Gy to point A.

RESULTS

Of the 23 enrolled patients (mean age 47 years), 20 completed the treatment and were evaluable for response and safety. The complete response rate was 90% (18/20), and partial response rate was 10% (2 patients with persistent disease after therapy). Toxicity was moderate: 2 patients required blood transfusions; 5% patients had grade 2 leukopenia or thrombocytopenia; 40% had grade 1-2 nausea-vomiting, and 50% had grade 1 diarrhea. At a median follow-up of 12 months, all patients are alive, and 16/20 (80%) are disease-free.

CONCLUSIONS

The gemcitabine/cisplatin combination administered concurrently with radiotherapy is highly active in locally advanced cervical carcinoma. The tolerable toxicity and synergistic activity of this concurrent chemoradiation regimen are consistent with prior reports. Definitive results are awaited from an on-going large, randomized trial comparing this regimen with standard treatment.

Copper bioavailability in a coastal environment of Northern Chile: comparison of bioassay and analytical speciation approaches

An integrated approach including chemical speciation analyses and microalgal bioassays was used to assess the impact of copper from copper mining on a coastal area in Northern Chile. Dissolved copper ranged from <1 microg l(-1) at reference sites to 48 microgl(-1) at sites close to the mine discharge. Dissolved copper at sites closest to the discharge always exceeded seawater complexing capacities determined by anodic stripping voltammetry (ASV), and consequently labile copper was always detected (1-37 microg l(-1)). Agreement between ASV-labile copper and copper retained by cation exchange (ALSA) columns was excellent. Measured labile copper also accurately predicted bioavailable copper determined by growth inhibition of Nitzschia closterium and enzyme inhibition in Dunaliella tertiolecta. Seawater from Caleta La Lancha had the highest dissolved and labile copper and was the most toxic to micro-algal growth and enzyme activity. Previous studies at this site confirmed it had the lowest level of biodiversity, suggesting that copper may have both direct and indirect effects on these communities.

Aeroallergens sensitization in an allergic paediatric population of Cova da Beira, Portugal

Cova da Beira is an interior central region of Portugal, with a population of 93,000 inhabitants. The first pollen counts performed in Portugal revealed the highest values of the country in this area. The aim of this study was to assess the aeroallergens sensitization in an allergic population, according to the age groups. In a 5 year period (1995-2000) 1790 consecutive outpatients were observed for suspected allergic symptoms. We included in this study all the 557 paediatric (< or = 15 years old) observed patients (317 male (57%) and 240 female (43%) with an average age of 7.6 < or = 4.2 years old). They were divided in three age groups (Group I: < or = 5 yr; Group II: 6-10 yr; Group III: 11-15 yr). 371 patients were submitted to skin prick tests to aeroallergens. 86.5% of these patients were sensitised to at least one allergen extract. The most representative aeroallergens sensitization were grasses mixture (44.9%), D. pteronyssinus (32.5%), D. farinae (29.1%), Olea europea (27.5%), Parietaria judaica (23.4%), cat dander (16.1%), Artemisia vulgaris (17.6%), Robinia pseudoacacia (12.2%), Platanus acerifolia (11.4%), Tilia cordata (11.4%) moulds mixture (11.2%), Plantago lanceolata (10.6%), dog dander (10.4%), and Pinus radiata (7.5%). The sensitisation to indoor aeroallergens, was similar in all age groups and it was less important than that of pollens. The prevalence of sensitisation to grasses was the greatest in all ages and the house dust mites sensitization was the second most prevalent. The highest pollens counts in this region could explain the early sensitisation even in young children.

Urban versus rural environment--any differences in aeroallergens sensitization in an allergic population of Cova da Beira, Portugal?

Cova da Beira is an interior central region of Portugal, with a population of 93000 inhabitants divided in urban and rural living areas. The aim of this study was to access the prevalence of aeroallergens sensitisation in an allergic population, according to the urban and the rural environmental exposure and according to age. 1096 patients observed for suspected allergic symptoms, for a five-year period (1995-2000) were submitted to skin prick tests and were included in this study. They were divided in two environmental exposure groups (A: urban; B: rural) and in to four age subgroups (subgroup I: < or = 10yr; subgroup II: 11-20yr; subgroup III: 21-40yr; subgroup IV: >40yr). The total population included 444 male (40.5%) and 652 female (59.4%) with an average age of 26.5 +/- 17.2 yr. 83% of the 1096 performed SPT were positive. The frequency of aeroallergens sensitisation, comparing the urban versus the rural environment, was respectively: D. pteronyssinus 32% and 34.7%, D. farinae 28.5% and 30.7%, moulds mixture 15.3% and 12%, cat dander 17.1% and 15.2%, dog dander 11% and 10%, grasses mixture 51.3% and 36.4%, Parietaria judaica 29.4% and 14%, Olea europea 30.2% and 23.3%. The sensitisation to indoor aeroallergens, was similar in all the age subgroups and it was lower than that to pollens. There were important differences concerning the pollen sensitisation, when comparing the urban and the rural environmental exposure. We admit that pollution could enhance the sensitisation to pollens in the urban environment.

Structural basis of biological nitrogen fixation

Biological nitrogen fixation is mediated by the nitrogenase enzyme system that catalyses the ATP dependent reduction of atmospheric dinitrogen to ammonia. Nitrogenase consists of two component metalloproteins, the MoFe-protein with the FeMo-cofactor that provides the active site for substrate reduction, and the Fe-protein that couples ATP hydrolysis to electron transfer. An overview of the nitrogenase system is presented that emphasizes the structural organization of the proteins and associated metalloclusters that have the remarkable ability to catalyse nitrogen fixation under ambient conditions. Although the mechanism of ammonia formation by nitrogenase remains enigmatic, mechanistic inferences motivated by recent developments in the areas of nitrogenase biochemistry, spectroscopy, model chemistry and computational studies are discussed within this structural framework.

Biodiversity of rocky intertidal benthic communities associated with copper mine tailing discharges in northern Chile

Copper mine tailings have been discharged around the city of Chanaral, in northern Chile, for more than 60 years. This report summarizes a 17-month long monitoring study of species richness and biodiversity at five intertidal sites around the point of the tailing discharge. Total dissolved copper in sites close to the point of discharge varied between 8.72 microg/l and 34.15 microg/l, showing that there has not been a significant reduction since 1994. However, species richness has increased, suggesting a possible recovery of the system. While diversity of sessile organisms correlates negatively with dissolved copper, diversity of mobile invertebrates did not correlate with the metal concentration. To explain the observed results we discuss the role of algal turf interference on the distribution of mobile invertebrates at reference sites, a top-down effect caused by the absence of carnivores at impacted sites, and an avoidance strategy by some species to reduce their contact with contaminated seawater.

Antimicrobial susceptibility to levofloxacin and other antibacterial agents among common respiratory pathogens—a Brazilian perspective from the GLOBAL Surveillance Initiative 2001–2002

The GLOBAL (Global Landscape On Bactericidal Activity of Levofloxacin) Surveillance programme monitored antimicrobial susceptibility patterns of the key respiratory tract pathogens Streptococcus pneumoniae, Haemophilus influenzae and Moraxella catarrhalis collected in Brazil during 1997-1998, 1999-2000 and 2001-2002. Penicillin and azithromycin resistance among S. pneumoniae strains increased from 1997-1998, reaching 7.9% and 9.5%, respectively, in 2001-2002. Although decreasing by 4.9% since the previous study, trimethoprim-sulphamethoxazole resistance remained high at 33.7%. Concurrent resistance to penicillin, azithromycin and trimethoprim-sulphamethoxazole was seen in 2.9% of the S. pneumoniae isolates collected. Levofloxacin remained extremely active against S. pneumoniae, with 0.3% resistance reported in 1997-1998 and 0% resistance in 1999-2000 and 2001-2002. beta-Lactamase production in H. influenzae was > 10% in all three studies, with correspondingly high rates of ampicillin resistance. Trimethoprim-sulphamethoxazole was the least active agent tested against H. influenzae, with resistance rates of > 40% recorded in all three studies. All H. influenzae isolates were susceptible to cefuroxime, ceftriaxone, azithromycin and levofloxacin. Of the M. catarrhalis isolates, 98.0% in 1997-1998, 98.0% in 1999-2000 and 81.8% in 2001-2002 were beta-lactamase-positive. The continued high prevalence of antimicrobial resistance in Brazil underscores the importance of current surveillance initiatives. Levofloxacin, a fluoroquinolone prescribed widely for respiratory tract infections, continued to show potent activity against key respiratory pathogens.

Thrombosed chamber of cor-triatriatum mimicking left atrial tumor (case report)

Cor-triatriatum is an uncommon congenital cardiac anomaly. In this case report, transesophageal echocardiographic and operative findings in a 57-year-old female with cor-triatriatum are presented.

Multicenter epidemiologic and health services research on therapeutics in the HMO Research Network Center for Education and Research on Therapeutics

Research and education programs in therapeutics that combine the data, organizational capabilities, and expertise of several managed care organizations working in concert can serve an important role when a single organization is not large enough to address a question of interest, when diversity in populations or delivery systems is required, and when it is necessary to establish consistency of results in different settings. Nine members of the HMO Research Network, a consortium of health maintenance organizations (HMOs) that perform public domain research, have formed a Center for Education and Research on Therapeutics (CERT), sponsored by the Agency for Healthcare Research and Quality, to conduct multicenter research in therapeutics. The CERT uses a distributed organizational model with shared leadership, in which data reside at the originating organization until they are needed to support a specific study. Extraction of data from the host computer systems, and some manipulation of data, is typically accomplished through computer programs that are developed centrally, then modified for use at each site. For complex studies, pooled analysis files are created by a coordinating center, and then analysed by investigators throughout the HMOs. It is also possible to contact HMO members when necessary. This multicenter environment has several benefits, addressing: (1) a wide array of questions about the safety and effectiveness of therapeutics, (2) the impact of efforts to change clinicians' and patients' behavior, and (3) pharmacoeconomic and pharmacogenetic questions.