A5107498565- Employment and Welfare Studies
- Mental Health Treatment and Access
- Health disparities and outcomes
- Global Health Care Issues
- Microscopic Colitis
- Health Systems, Economic Evaluations, Quality of Life
- Clostridium difficile and Clostridium perfringens research
- Schizophrenia research and treatment
- Health and Well-being Studies
- Psychiatric care and mental health services
- Cancer Immunotherapy and Biomarkers
- Dementia and Cognitive Impairment Research
- Nosocomial Infections in ICU
- Treatment of Major Depression
- Immunotherapy and Immune Responses
- Helicobacter pylori-related gastroenterology studies
- Adrenal Hormones and Disorders
- Posttraumatic Stress Disorder Research
- Digital Mental Health Interventions
- Health and Wellbeing Research
- Childhood Cancer Survivors' Quality of Life
- Memory and Neural Mechanisms
- Mental Health via Writing
- Healthcare Systems and Public Health
- Chronic Disease Management Strategies
University of Lisbon
2017-2023
Hospital Braga
2023
Universidade Nova de Lisboa
2017-2022
Autonomous University of Lisbon
2020
Nova Medical (United States)
2017-2019
University of Minho
2018
Polytechnic Institute of Porto
2014
Hospital Pedro Hispano
2013
Abstract Background Common mental disorders are highly prevalent and disabling, leading to substantial individual societal costs. This study aims characterize the association between disability common in Portugal, using epidemiological data from World Mental Health Survey Initiative. Methods Twelve-month were assessed with CIDI 3.0. Disability was evaluated modified WMHS WHODAS-II. Logistic regression models used assess each disorder or diagnostic category (mood anxiety disorders). Results...
Abstract Background Despite well-established guidelines for managing major depressive disorder, its extensive disability burden persists. This Value of Treatment mission from the European Brain Council aimed to elucidate nature and extent “gaps” between best-practice current-practice care, specifically to: 1. Identify current treatment gaps along care pathway determine these in comparison with stepped-care model 2. Recommend policies intending better meet patient needs (i.e., minimize gaps)....
To estimate the epidemiological and clinical burden of Clostridioides difficile infections (CDIs) recurrences (rCDIs) in England.
Abstract Background This real-world study assessed the epidemiology and clinical complications of Clostridioides difficile infections (CDIs) recurrences (rCDIs) in hospital community settings Germany from 2015 − 2019. Methods An observational retrospective cohort was conducted among adult patients diagnosed with CDI using statutory health insurance claims data BKK database. A cross-sectional approach used to estimate annual incidence rate rCDI episodes per 100,000 insurants. Patients’...
Abstract Background Clostridioides difficile infections (CDIs) and recurrences (rCDIs) remain a major public health challenge due to substantial mortality associated costs. This study aims generate real-world evidence on the economic burden of CDI in Germany using claims data between 2015 2019. Methods A longitudinal matched cohort retrospective from Statutory Health Insurance (SHI) was conducted with BKK database. Adults diagnosed hospital community settings 2018 were included study....
Neoadjuvant chemotherapy (NACT) is common in breast cancer (BC) treatment, though more than half of the patients lack an effective response. Therefore, new predictive biomarkers and alternative therapies are crucial. Previously, we proposed HLA-DR-expressing cytotoxic T lymphocytes (CTLs) as a potential biomarker response to NACT. To validate this observation further investigate these cells, 202 BC were enrolled. Flow cytometry analyses performed 61 biopsies 41 blood samples pre-NACT 100...
In previous studies, reconceptualization innovative moments were associated with successful psychotherapy. Reconceptualization has two components-(a) a positive temporal contrast between the past self and present (contrasting [CS]) (b) description of how and/or why this change occurred (change process [CP])-from perspective client. The aim study is to analyse if CS CP have same association outcomes as reconceptualization.Sixteen cases clients major depression (305 sessions) analysed....
Abstract Background Identifying which factors contribute to involuntary psychiatric hospitalization may support initiatives reduce its frequency. This study examines the sociodemographic, clinical, and contextual associated with of patients from five Portuguese departments in 2002, 2007 2012. Methods Data all admissions were extracted clinical files. A Poisson generalized linear model estimated association between number hospitalizations per patient one year factors. Results An increment was...
Study finds communication between parents and children’s nurses is vital, but negotiating care needs roles to be defined clearly
The treatment gap for mental disorders remains a challenge worldwide. Identifying reasons nontreatment may contribute to reducing this gap.To evaluate sociodemographic and clinical factors associated with use barriers in Portugal.Data from the 2009 National Mental Health Survey were used. Participants reported 12-month nontreatment. Logistic regression models analysed association between (education; employment; income; marital status) variables (mental disorder diagnosis; disability) type of...
AbstractThere is considerable evidence that neurocognitive deficits are frequent among incarcerated offenders. However, current correctional programming does not directly seek to remediate in offenders' deficits. In this pilot project, we sought treat Portuguese adult women offenders (n = 28) using cognitive remediation target flexibility, memory, and planning. Statistically significant positive changes, with medium large effect sizes, were discovered across several domains, including...
Introduction: There is limited evidence regarding long-term outcomes of aneurysmal subarachnoid hemorrhage survivors. Most follow-up programs are relatively short and focused on physical functions. Endovascular embolization enables recovery normal vascular architecture. However, there growing that neuropsychological behavior sequelae can significantly impact the lives these patients, even when treatment successful. In this study, we reviewed cognition, psychiatric symptoms, global...
Abstract Background Major depressive disorder (MDD) is highly prevalent across Europe. While evidence-based treatments exist, many people with MDD have their condition undetected and/or untreated. This study aimed to assess the cost-effectiveness of reducing treatment gaps using a modeling approach. Methods A decision-tree model covering 27-month time horizon was used. followed care pathway where could be detected or not, and different forms provided. Expected costs pertaining Germany,...
Introduction Economic recession periods can pose accentuated risks to population’s mental health and well-being as well additional threats systems. Users professionals are key stakeholders in care delivery; however, little attention has been given their experiences of the crisis. This paper presents a qualitative study protocol assess users’ professionals’ perceptions about effects post-2008 economic on delivery Lisbon Metropolitan Area, Portugal. Methods analysis The methodology perceived...
Abstract Background Research suggests that economic recessions might be associated with a higher use of psychotropic drugs, but literature is scarce and contradictory in identifying the most vulnerable groups. This study aims to assess possible changes drugs due recession Portugal, by comparing self-reported consumption 2008/09 2015/16. Methods Data from World Mental Health Survey Initiative Portugal (2008/09) National Follow-Up (2015/16) were used ( n = 911). McNemar’s tests performed...
Abstract Aims Portugal was one of the European countries most affected by period economic recession initiated in 2008. Social inequalities are likely to widen during such periods and disproportionately affect people with mental disorders. The present study aims compare self-reported changes indicators socioeconomic position among without disorders beginning this period. Three dimensions were assessed, namely employment situation, experiences financial hardship subjective social status....
Mental disorders are a major cause of disability with impacts on daily functioning and quality life, which has been associated socioeconomic disadvantage. The present study aims to assess how position is related the reported by people mental disorders, using data from World Health Survey (WMHS) Initiative Portugal.Using Portuguese Survey, nationally representative cross-sectional (n = 3849), several logistic regression models interaction terms were performed evaluate effect different...
Background: The 2008 economic recession has been shown to affect populations' mental health due deterioration of socioeconomic and living conditions. Concurrently, problems may have constituted a vulnerability wider social inequalities during this period.Aims: To explore perceptions experiences primary care users professionals regarding the relationship between position in Portugal.Method: Data were collected three centres Lisbon Metropolitan Area. Focus groups semi-structured interviews...
ObjectiveTo generate real-world evidence on all-cause mortality and economic burden of Clostridioides difficile infections (CDIs) recurrences (rCDIs) in England.MethodsWe conducted a cohort study using retrospective data from Clinical Practice Research Datalink linked to Hospital Episode Statistics. Patients diagnosed with CDI hospital community settings during 2015–2018 were included followed for ≥1year. All-cause was described at 6-, 12-, 24-months. Healthcare resource usage (HCRU)...