21 results on '"Capelas, Manuel Luís"'
Search Results
2. Translation, Cross-Cultural Adaptation, and Validation of Measurement Instruments: A Practical Guideline for Novice Researchers.
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Cruchinho, Paulo, López-Franco, María Dolores, Capelas, Manuel Luís, Almeida, Sofia, Bennett, Phillippa May, da Silva, Marcelle Miranda, Teixeira, Gisela, Nunes, Elisabete, Lucas, Pedro, and Gaspar, Filomena
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RESEARCH personnel ,LITERATURE reviews ,PSYCHOMETRICS ,TRANSLATING & interpreting ,CINAHL database - Abstract
Cross-cultural validation of self-reported measurement instruments for research is a long and complex process, which involves specific risks of bias that could affect the research process and results. Furthermore, it requires researchers to have a wide range of technical knowledge about the translation, adaptation and pre-test aspects, their purposes and options, about the different psychometric properties, and the required evidence for their assessment and knowledge about the quantitative data processing and analysis using statistical software. This article aimed: 1) identify all guidelines and recommendations for translation, cross-cultural adaptation, and validation within the healthcare sciences; 2) describe the methodological approaches established in these guidelines for conducting translation, adaptation, and cross-cultural validation; and 3) provide a practical guideline featuring various methodological options for novice researchers involved in translating, adapting, and validating measurement instruments. Forty-two guidelines on translation, adaptation, or cross-cultural validation of measurement instruments were obtained from "CINAHL with Full Text" (via EBSCO) and "MEDLINE with Full Text". A content analysis was conducted to identify the similarities and differences in the methodological approaches recommended. Bases on these similarities and differences, we proposed an eight-step guideline that includes: a) forward translation; 2) synthesis of translations; 3) back translation; 4) harmonization; 5) pre-testing; 6) field testing; 7) psychometric validation, and 8) analysis of psychometric properties. It is a practical guideline because it provides extensive and comprehensive information on the methodological approaches available to researchers. This is the first methodological literature review carried out in the healthcare sciences regarding the methodological approaches recommended by existing guidelines. [ABSTRACT FROM AUTHOR]
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- 2024
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3. Body composition changes in patients with head and neck cancer under active treatment: a scoping review
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Ferrão, Bárbara, Neves, Pedro Miguel, Santos, Teresa, Capelas, Manuel Luís, Mäkitie, Antti, and Ravasco, Paula
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- 2020
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4. Bioelectrical Impedance Analysis (BIA) for the Assessment of Body Composition in Oncology: A Scoping Review.
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Branco, Mariana Garcia, Mateus, Carlota, Capelas, Manuel Luís, Pimenta, Nuno, Santos, Teresa, Mäkitie, Antti, Ganhão-Arranhado, Susana, Trabulo, Carolina, and Ravasco, Paula
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Bioelectrical Impedance Analysis (BIA) is a reliable, non-invasive, objective, and cost-effective body composition assessment method, with high reproducibility. This scoping review aims to evaluate the current scientific and clinical evidence on BIA for body composition assessment in oncology patients, under active treatment. Literature search was conducted through MEDLINE, CINAHL, Scopus and Web of Science databases, following PRISMA-ScR Guidelines. Inclusion criteria comprised studies reporting the use of BIA for body composition evaluation in adults with cancer diagnosis. Studies including non-cancer pathology or only assessing nutritional status were excluded. This scoping review comprised a total of 36 studies: 25 were original studies including 18 prospective studies, six cross-sectional studies and one retrospective study and 11 were systematic reviews. Population size for the included original articles ranged from 18 to 1217 participants, comprising a total of 3015 patients with cancer with a mean baseline Body Mass Index (BMI) ranging from 20.3 to 30.0 kg/m
2 and mean age ranging between 47 and 70 years. Review articles included a total of 273 studies, with a total of 78,350 participants. The current review considered studies reporting patients with head and neck cancer (HNC) (n = 8), breast cancer (BC) (n = 4), esophageal cancer (EC) (n = 2), liver cancer (n = 2), pancreatic cancer (PC) (n = 3), gastric cancer (GC) (n = 3), colorectal cancer (CRC) (n = 8), lung cancer (LC) (n = 1), skin cancer (SK) (n = 1) and multiple cancer types (n = 6). BIA is a suitable and valid method for the assessment of body composition in oncology. BIA-derived measures have shown good potential and relevant clinical value in preoperative risk evaluation, in the reduction of postoperative complications and hospital stay and as an important prognostic indicator in persons with cancer. Future research on the diagnostic value and clinical applications of BIA and BIA-derived phase angle (PhA) should be conducted in order to predict its impact on patient survival and other clinical outcomes. [ABSTRACT FROM AUTHOR]- Published
- 2023
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5. Grieving With Humor: A Correlational Study on Sense of Humor and Professional Grief in Palliative Care Nurses
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Robalo Nunes, Inês, José, Helena, and Capelas, Manuel Luís
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- 2018
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6. Demência e cuidados paliativos, uma análise reflexiva.
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Simões Branco, Dina Neidi and Vila Capelas, Manuel Luís
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- 2023
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7. ARTES E VIVÊNCIAS CRIATIVAS EM CUIDADOS PALIATIVOS.
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DOS SANTOS CUNHA, MARIA JOSÉ and CAPELAS, MANUEL LUÍS
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SELF-esteem ,WELL-being ,EMOTIONS ,JOY ,ANXIETY - Abstract
Copyright of Human Review is the property of Eagora Science and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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- 2022
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8. Validation of the Nurse Spiritual Care Therapeutics Scale in Portuguese palliative care settings: a methodological study.
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Santos, Susana, Martins, Helga, Capelas, Manuel Luís, Domingues, Tiago Dias, Caldeira, Sílvia, and Taylor, Elizabeth Johnston
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NURSING audit ,RESEARCH ,RELIABILITY (Personality trait) ,SCIENTIFIC observation ,RESEARCH evaluation ,NURSING specialties ,RESEARCH methodology evaluation ,RESEARCH methodology ,CROSS-sectional method ,PSYCHOMETRICS ,CRONBACH'S alpha ,PEARSON correlation (Statistics) ,FACTOR analysis ,DESCRIPTIVE statistics ,HOSPICE nurses ,STATISTICAL sampling ,DATA analysis software ,PALLIATIVE treatment ,SPIRITUAL care (Medical care) - Abstract
Background: Spirituality is a critical dimension in palliative care, but difficulties have been described in literature concerning the effective implementation and measuring of spiritual care. Aim: To translate, adapt and validate the Nurse Spiritual Care Therapeutics Scale (NSCTS) in Portuguese palliative care settings. Methods: A methodological study was conducted. A final version of the questionnaire included the scale and was submitted to full psychometric testing using nurses working in Portuguese palliative care settings. Findings: A total of 88 nurses participated. The average age of the sample was 36.1 ± 8.93 years (range 23–60 years), and 92.0% were women. A Cronbach alpha value of 0.88; Kaiser-Meyer-Olkin measure of sampling adequacy 0.80; and Bartlett's Test of Sphericity were adequate. An exploratory factor analysis was conducted using principal axis factoring with an oblimin rotation that resulted in a three-factors solution. Conclusion: The European Portuguese NSCTS questionnaire is a valid and reliable tool to assess the frequency of nurses' activities concerning spirituality in palliative care. [ABSTRACT FROM AUTHOR]
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- 2022
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9. N-3 Fatty Acids Supplementation And Chemotherapy Induced Toxicity: Scoping Review
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Mateus, Carlota, Branco, Mariana Garcia, Neves, Pedro Miguel, Santos, Teresa, Capelas, Manuel Luís, Makitie, Antti, Ravasco, Paula, Mateus, C., Branco, M., Neves, P.M., Branco, T., Capelas, M.L., Makitie, A., and Ravasco, P.
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- 2023
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10. Managing Severe Dysgeusia and Dysosmia in Lung Cancer Patients: A Systematic Scoping Review.
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Spencer, Ana Sofia, da Silva Dias, David, Capelas, Manuel Luís, Pimentel, Francisco, Santos, Teresa, Neves, Pedro Miguel, Mäkitie, Antti, and Ravasco, Paula
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MUCOSITIS ,LUNG cancer ,TASTE disorders ,SMELL disorders ,CANCER patients ,NUTRITION counseling - Abstract
Introduction: Lung cancer (LC) is highly prevalent worldwide, with elevated mortality. In this population, taste and smell alterations (TSAs) are frequent but overlooked symptoms. The absence of effective therapeutic strategies and evidence-based guidelines constrain TSAs' early recognition, prevention and treatment (Tx), promoting cancer-related malnutrition and jeopardizing survival outcomes and quality of life. Objectives: To systematically review the literature on TSAs in LC patients, understand the physiopathology, identify potential preventive and Tx strategies and to further encourage research in this area. Methods: Literature search on English language articles indexed to PubMed, CINALH, SCOPUS and Web of Science using MeSH terms "Lung neoplasms","Dysgeusia", "Olfaction Disorders", "Carcinoma, Small Cell","Carcinoma, Non- Small-Cell Lung "Adenocarcinoma of Lung","Carcinoma, Large Cell", and non-MeSH terms "Parageusia", "Altered Taste", "Smell Disorder", "Paraosmia", "Dysosmia","Lung Cancer" and "Oat Cell Carcinoma". Results: Thirty-four articles were reviewed. TSAs may follow the diagnosis of LC or develop during cancer Tx. The estimated prevalence of self-reported dysgeusia is 35-38% in treatment-naïve LC patients, and 35-69% in those undergoing Tx, based on studies involving LC patients only. One prospective pilot trial and 1 RCT demonstrated a clinically significant benefit in combining flavor enhancement, smell and taste training and individualized nutritional counselling; a systematic review, 1 RCT and 1 retrospective study favored using intravenous or oral zinc-based solutions (150mg 2-3 times a day) for the prevention and Tx of chemotherapy (CT) and radiotherapy (RT) -induced mucositis and subsequent dysgeusia. Conclusions: This is the first review on dysgeusia and dysosmia in LC patients to our knowledge. We propose combining taste and smell training, personalized dietary counselling and flavor enhancement with oral zinc-based solutions (150mg, 2-3 times a day) during CT and/or RT in this population, in order to prevent and help ameliorate Tx-induced dysgeusia and mucositis. However due to study heterogeneity, the results should be interpreted with caution. Developing standardized TSA measurement tools and performing prospective randomized controlled trials to evaluate their effect are warranted. [ABSTRACT FROM AUTHOR]
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- 2021
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11. Tradução e adaptação transcultural para português europeu do Cuestionario GES (SECPAL).
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Manso, Diana and Capelas, Manuel Luís
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- 2021
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12. Propriedades psicométricas do Questionário Geral de Saúde 28 itens em enfermeiros: proposta com 24 itens.
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Seabra, Paulo, Capelas, Manuel Luís, Oliveira Lopes, Joaquim, Calado, Mariana, and Pessoa, Ezequiel
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RESEARCH methodology evaluation , *RESEARCH methodology , *MENTAL health , *PSYCHOMETRICS , *PSYCHOLOGY of nurses , *FACTOR analysis , *QUESTIONNAIRES , *RECEIVER operating characteristic curves , *STATISTICAL correlation - Abstract
Background: The psychometric properties of measurement instruments should be assessed in different populations. Objective: To analyze the psychometric properties of the 28-Item General Health Questionnaire (GHQ-28) in nurses. Methodology: Methodological validation study of measurement instruments. Analysis of psychometric properties, exploratory factor analysis (EFA) by the principal component analysis method, and Receiver Operating Characteristic (ROC) curve, with a nonprobability sample of 1,264 nurses. Results: EFA suggests keeping four factors and deleting four items in three dimensions (items 3, 16, 21, and 26). The variance explained by the four factors was 61.5%, and Cronbach's alpha was 0.93. The general health scores did not change significantly after deleting the four items. The comparison between the 24-item version and the 28-item version revealed an area under the curve (AUC) of 0.996 (p <0.001) and a cutoff point of 20.5, with a 96.3% sensitivity and a 98.4 specificity. Conclusion: The reassessment of the psychometric properties of GHQ-28 in nurses suggests a reduction to 24 items. [ABSTRACT FROM AUTHOR]
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- 2021
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13. Psychometric properties of the 28-Item General Health Questionnaire in nurses: a proposal with 24 items.
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Seabra, Paulo, Capelas, Manuel Luís, Oliveira Lopes, Joaquim, Calado, Mariana, and Pessoa, Ezequiel
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RESEARCH methodology evaluation ,RESEARCH methodology ,MENTAL health ,HEALTH status indicators ,PSYCHOMETRICS ,PSYCHOLOGY of nurses ,QUESTIONNAIRES ,FACTOR analysis ,DESCRIPTIVE statistics ,RECEIVER operating characteristic curves ,STATISTICAL correlation ,STATISTICAL sampling ,DATA analysis software ,EVALUATION - Abstract
Copyright of Revista de Enfermagem Referência is the property of Escola Superior de Enfermagem de Coimbra and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2021
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14. Nursing education on palliative care across Europe: Results and recommendations from the EAPC Taskforce on preparation for practice in palliative care nursing across the EU based on an online-survey and country reports.
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Martins Pereira, Sandra, Hernández-Marrero, Pablo, Pasman, H Roeline, Capelas, Manuel Luís, Larkin, Philip, and Francke, Anneke L
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PALLIATIVE care nursing ,REPORT writing ,INTERNET ,RESEARCH methodology ,CURRICULUM ,NURSING education ,HUMAN services programs ,SURVEYS ,DESCRIPTIVE statistics ,NURSES ,PROFESSIONAL competence - Abstract
Background: Nurses are the largest regulated group of healthcare professionals involved in palliative care. In 2004, a taskforce of the European Association for Palliative Care (EAPC) launched the 'Guide for development of palliative nurse education in Europe' (hereinafter, the EAPC 2004 Guide). No systematic evaluation of its impact in the development of palliative care education was undertaken. Aims: To describe current undergraduate and postgraduate nursing education across Europe; to identify the roles that nurses with different palliative care educational levels have in palliative care; and to assess the uptake of the EAPC 2004 Guide in the development of palliative care nursing in Europe. Design: Descriptive research involving an online survey among nursing experts, and the consultation of national representatives. Setting/participants: A total of 135 nurses (52% response rate) from 25 countries completed the online survey; representatives from 16 countries were consulted. Results: In 14 (56%) countries, palliative care was not identified as a mandatory subject within undergraduate nursing education. The EAPC 2004 Guide is widely known and was/is being used in many countries to promote palliative care nursing education. Large variations were found across and within country responses. Conclusions: Palliative care nursing education varies largely in Europe. The wide awareness and use of the EAPC 2004 Guide show how policy measures can influence the development of palliative care education. Recommendations are built and focus on both fostering the use of this guide and implementing policy measures to ensure that palliative care nursing is recognised and certified as a specialty in all European countries. [ABSTRACT FROM AUTHOR]
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- 2021
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15. A national survey of the nurses' mental health — The case of Portugal.
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Seabra, Paulo Rosário Carvalho, Lopes, Joaquim Manuel de Oliveira, Calado, Mariana Esteves, and Capelas, Manuel Luís
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AGE distribution ,CHI-squared test ,CONFIDENCE intervals ,EXPERIMENTAL design ,HEALTH attitudes ,HEALTH status indicators ,LEISURE ,MENTAL health ,MULTIVARIATE analysis ,NURSES ,NURSES' attitudes ,SCIENTIFIC observation ,QUESTIONNAIRES ,RESEARCH ,SEX distribution ,SHIFT systems ,SLEEP ,STATISTICS ,SURVEYS ,WORK environment ,EMPLOYEES' workload ,DATA analysis ,QUANTITATIVE research ,LIFESTYLES ,DATA analysis software ,DESCRIPTIVE statistics ,ODDS ratio ,MANN Whitney U Test ,KRUSKAL-Wallis Test ,PSYCHOLOGICAL factors - Abstract
Aim: To understand Portuguese nurses' perceptions of their mental health. Background: The impact of nurses' health and well‐being on the quality and safety of the care they provide is well known. In Portugal, there are no representative studies regarding nurses' mental health. Materials and Methods: Transversal, analytical, and observational methods were used, with a quantitative approach. Participants answered questions through an online form. We collected data concerning social‐professional characterization, general health status, and mental health. The General Health Questionnaire‐28 (GHQ‐28) was used. Results: A total of 1264 nurses participated in a nonrandomized sample. Two‐thirds revealed a negative perception of their mental health. Of these, 22.2% reported severe depression symptoms, 71.6% indicated significant somatic symptoms, 76% showed significant anxiety, and 94.1% presented some kind of social dysfunction. Conclusion: Better mental health is associated with being part of a larger household, enjoying more hours of sleep, having more free weekends, being male, working as a specialist, and engaging in leisure activities. Worse mental health is associated with being older, having a longer career, working more hours, and practicing in the hospital context. Implications for nursing practice: The professionals' living and working conditions must be addressed by their managers. [ABSTRACT FROM AUTHOR]
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- 2019
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16. Clinical Validation of the Portuguese Version of "Substance Addiction Consequences" Derived from the Nursing Outcomes Classification.
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Seabra, Paulo Rosário Carvalho, Amendoeira, José Joaquim Penedos, Sá, Luis Octávio, and Capelas, Manuel Luís Vila
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ANALYSIS of variance ,STATISTICAL correlation ,FACTOR analysis ,MENTAL health ,NOSOLOGY ,NURSING ,PSYCHOMETRICS ,QUALITY of life ,RESEARCH evaluation ,STATISTICAL sampling ,STATISTICS ,SUBSTANCE abuse ,RESEARCH methodology evaluation ,DATA analysis software ,DESCRIPTIVE statistics - Abstract
Our aim was to contribute to the clinical validation of "Substance Addiction Consequences" (SAC) derived from the nursing outcomes classification (NOC), and to analyse psychometric properties. To that purpose, we applied a methodological design. The study's outcome comprises 16 nursing-sensitive indicators, within four different consequence factors: psychological and family; physical and cognitive ability; self-care; economic and work. The psychometric properties were considered good. We concluded that the scale can be used as a valid tool to measure the consequences of substance addiction and to assess the health status as a nursing sensitive outcome. The scale is considered valid to monitor nursing interventions in the clinical setting; being a comprehensive tool it allows the nurse to understand better this complex health problem. [ABSTRACT FROM AUTHOR]
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- 2018
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17. Depression and Spiritual Distress in Adult Palliative Patients: A Cross-Sectional Study.
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Velosa, Teresa, Caldeira, Sílvia, and Capelas, Manuel Luís
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PSYCHOLOGICAL distress ,PALLIATIVE treatment ,MENTAL depression ,RELIGION - Abstract
Palliative care patients have been associated with a high probability of having depression and spiritual distress. However, there is a gap in research about the clinical indicators that can promote an effective differential diagnosis of depression and spiritual distress. This study aimed to identify the prevalence and the clinical indicators of depression and spiritual distress in palliative patients in primary care. An observational and cross-sectional study was conducted in 2016 in a Portuguese primary care unit. From a General Practitioners patients' file of 1457 adult patients, a sample of 30 palliative patients was recruited throughout two steps: (1) selection of patients with chronic disease criteria; (2) selection of patients with Prognostic Indicator Guidance criteria. Exclusion criteria included cognitive impairment and psychotic disorders. Participants completed the self-assessment Hospital Anxiety and Depression Scale (HADS) and Functional Assessment of Chronic Illness Therapy--Spiritual Well-Being Scale (FACIT-Sp12) scales, which were sealed in opaque envelopes. Clinical data collection used semi-structured interviews for the diagnosis of depression and spiritual distress. The prevalence of depression was 23% (n = 7), while the prevalence of spiritual distress was 23% (n = 7). Four patients (13%) fulfilled both the depression and the spiritual distress criteria. Depression and spiritual distress seem to be both linked to the spiritual dimensions of the human being, but seem to differ in the dimensions of suffering and pharmacologic treatment. [ABSTRACT FROM AUTHOR]
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- 2017
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18. Experiences of Homeless Families in Parenthood: A Systematic Review and Synthesis of Qualitative Evidence.
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Andrade, Filipa Maria Reinhardt, Simões Figueiredo, Amélia, Capelas, Manuel Luís, Charepe, Zaida, and Deodato, Sérgio
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- 2020
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19. The impact of pre-, pro- and synbiotics supplementation in colorectal cancer treatment: a systematic review.
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Moreira MM, Carriço M, Capelas ML, Pimenta N, Santos T, Ganhão-Arranhado S, Mäkitie A, and Ravasco P
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Introduction: The effectiveness of the supplementation of prebiotics, probiotics and synbiotics as a therapeutic approach in colorectal cancer (CRC) remains unclear. The aim of this systematic review is to critically examine the current scientific evidence on the impact of modulating the microbiota, through the use of prebiotics, probiotics and synbiotics, in patients diagnosed with CRC undergoing treatment, to determine the potential therapeutic use of this approach., Methods: This systematic review was made according to the PRISMA 2020 guidelines. Inclusion criteria were randomized controlled trials (RCT) comparing the impact of pre-, pro-, or synbiotic supplementation with placebo or standard care in patients with CRC undergoing treatment. Exclusion criteria were non-human studies, non-RCTs, and studies in languages other than English or Portuguese. Six databases were consulted, namely, Cochrane Library, Pubmed, Scopus, Cinahl, MedicLatina and Web of Science until May of 2023. RAYYAN software was used to manage the search results and risk of bias was assessed according to the guidelines of the Cochrane Collaboration using the Rob 2.0 tool., Results: Twenty-four RCTs met the inclusion criteria and were included in this review. Administration of pre-, pro-, or synbiotics improved surgical outcomes such as the incidence of infectious and non-infectious postoperative complications, return to normal gut function, hospital length of stay, and antibiotic usage. The supplementation of these microorganisms also alleviated some symptoms from chemotherapy and radiotherapy, mainly diarrhea. Evidence on the best approach in terms of types of strains, dosage and duration of intervention is still scarce., Conclusions: Pre-, pro-, and synbiotics supplementation appears to be a beneficial therapeutic approach in CRC treatment to improve surgical outcomes and to alleviate side-effects such as treatment toxicity. More RCTs with larger sample sizes and less heterogeneity are needed to confirm these potential benefits and to determine the best strains, dosage, and duration of administration in each situation., Systematic Review Registration: https://www.crd.york.ac.uk/prospero, identifier CRD42023413958., Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. The author(s) declared that they were an editorial board member of Frontiers, at the time of submission. This had no impact on the peer review process and the final decision., (Copyright © 2024 Moreira, Carriço, Capelas, Pimenta, Santos, Ganhão-Arranhado, Mäkitie and Ravasco.)
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- 2024
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20. Peristomal infection after percutaneous endoscopic gastrostomy: a 7-year surveillance of 297 patients.
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Duarte H, Santos C, Capelas ML, and Fonseca J
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- Anti-Bacterial Agents therapeutic use, Antibiotic Prophylaxis, Cefazolin therapeutic use, Cross Infection microbiology, Cross Infection prevention & control, Female, Gastrostomy methods, Humans, Male, Middle Aged, Retrospective Studies, Risk Factors, Surgical Wound Infection microbiology, Surgical Wound Infection prevention & control, Cross Infection epidemiology, Gastrostomy adverse effects, Surgical Stomas microbiology, Surgical Wound Infection epidemiology
- Abstract
Context: Healthcare-associated infection represents the most frequent adverse event during care delivery. Medical advances like percutaneous endoscopic gastrostomy have brought improvement on quality of life to patients but an increased risk of healthcare-associated infection. Predictive risk factors for peristomal wound infection are largely unknown but evidence suggests that antibiotic prophylaxis and preventive strategies related to infection control may reduce infection rates., Objectives: The primary aim was to evaluate the global prevalence rate of peristomal infection. Secondary objectives were to characterise the positive culture results, to evaluate the prophylactic antibiotic protocol and to identify potential risk factors for peristomal infection., Methods: Retrospective study of 297 patients with percutaneous endoscopic gastrostomy performed at a general hospital between January 2004 and September 2010. Patients received prophylactic cefazolin before the endoscopic gastrostomy procedure. Medical records were reviewed for demographic data, underling disease conditions to percutaneous endoscopic gastrostomy and patient potential intrinsic risk factors. Statistical analysis was made with the statistical program SPSS 17.0., Results: A total of 297 percutaneous endoscopic gastrostomy tubes were inserted. Wound infection occurred in 36 patients (12.1%). Staphylococcus aureus methicillin resistant was the most frequently isolated microorganism (33.3%) followed by Pseudomonas aeruginosa (30.6%). The incidence rate had been rising each year and differ from 4.65% in 2004/2007 to 17.9% in 2008/2010. This finding was consistent with the increasing of prevalence global infection rates of the hospital. Most of the infections (55.6%) were detected in the first 10 days post procedure. There was no significant difference in age, body mass index values, mean survival time and duration of percutaneous endoscopic gastrostomy feeding between patients with and without periostomal infection. Institutional factors, namely global prevalence infection rates and the endemic character of Staphylococcus aureus methicillin resistant, play an important role in peristomal infection rates. Traditional antibiotic prophylaxis with cefazolin is not adequate due to the prevalence of resistant organisms., Conclusions: Peristomal infection is a frequent problem with clinical impact in percutaneous endoscopic gastrostomy patients and should be considered a healthcare associated infection. The antimicrobial prophylaxis regimens using cephalosporins are not adequate and need to be reviewed due to the high prevalence of Staphylococcus aureus methicillin resistant and other resistant organisms in hospitals and nursing homes.
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- 2012
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21. [Anorexia-cachexia in palliative care].
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Capelas ML
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- Anorexia physiopathology, Cachexia physiopathology, Humans, Anorexia therapy, Cachexia therapy, Palliative Care
- Abstract
The anorexia-cachexia syndrome jointly with asthenia are the problems more present in palliative care, but simultaneously also with larger difficulty of control. Being not possible an absolute correction of the problem, it is important to help the patient and the family to live and to face this reality better, with the proposal of concrete actions, duly explained and discussed, of easy application and which without a doubt happen in the increment of the comfort and the quality of life.
- Published
- 2008
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