A carregar...
Projeto de investigação
Informatics and Statistics for Advancement of Research Success
Financiador
Autores
Publicações
Telemonitoring of daily activities compared to the six-minute walk test further completes the puzzle of oximetry-guided interventions
Publication . Santos, Catarina; Santos, Ana Filipe; das Neves, Rui César; Ribeiro, Ruy; Rodrigues, Fatima; Caneiras, Catia; Spruit, Martijn A.; Bárbara, Cristina
Pulmonary rehabilitation is based on a thorough patient assessment, including peripheral oxygen saturation (SpO2) and heart rate (HR) at rest and on exertion. To understand whether exercise-field tests identify patients who desaturate (SpO2 < 90%) during physical activities, this study compared the six-minute walk test (6MWT) and daily-life telemonitoring. Cross-sectional study including 100 patients referred for pulmonary rehabilitation. The 6MWT was performed in hospital with continuous assessment of SpO2, HR, walked distance and calculated metabolic equivalent of tasks (METs). Patients were also evaluated in real-life by SMARTREAB telemonitoring, a combined oximetry-accelerometery with remote continuous assessment of SpO2, HR and METs. SMARTREAB telemonitoring identified 24% more desaturators compared with the 6MWT. Moreover, there were significant mean differences between 6MWT and SMARTREAB in lowest SpO2 of 7.2 ± 8.4% (P < 0.0005), in peak HR of - 9.3 ± 15.5% (P < 0.0005) and also in activity intensity of - 0.3 ± 0.8 METs (P < 0.0005). The 6MWT underestimates the proportion of patients with exercise-induced oxygen desaturation compared to real-life telemonitoring. These results help defining oximetry-guided interventions, such as telemedicine algorithms, oxygen therapy titration and regular physical activity assessment in pulmonary rehabilitation.
Portuguese and the biobanks: profiles and attitudes of the Portuguese population towards biobanks for health research
Publication . Riso, Brígida; Santos, Mário J. D. S.; Ávila, Patrícia
Biobanks for clinical research collect human biological samples and associated data for biomedical research. The establishment of biobanks in Portugal is still an understudied phenomenon, although there are signs of a growing trend in setting up these repositories to support biomedical research. Among another factors, individuals’ willingness to donate samples and public trust in biobanks play a crucial role in sustaining biobanking activities. In this article, we analyse public attitudes in Portugal towards biobanking, based on data from the biotechnology survey conducted by Eurobarometer in 2010. Different assumptions about science and technology enabled profiling the Portuguese population into four distinct groups: the optimistic, the cautious, the sceptical and the pessimistic. Each profile implies a diverse range of intentions and attitudes regarding biobanks. Furthermore, we found that previous study of science could be an important predictor of the willingness to donate information to biobanks.
“Not storing the samples it’s certainly not a good service for patients”: constructing the biobank as a health place
Publication . Riso, Brígida
Abstract: Biobanks have been established from the beginning of the millennium as relevant infrastructures to support biomedical research. These repositories have also transformed the paradigm of collecting and storing samples and associated clinical data, moving these practices from the healthcare services and research laboratories to dedicated services. In Portugal, the establishment of biobanks is happening in the absence of a specific legal framework, turning it difficult to fully understand the scope of their action. This ethnographic research explored how establishing a biobank challenges the dynamics between healthcare and biomedical research. The ethnography intended to follow the path of biological samples from the hospital, where they were collected, to the biobank in a research institute, where they were stored. Findings suggest that although the nature of the biobank’s technical work seemed to inscribe it as a research-oriented setting, the biobank’s daily work was performed through symbolic action in the logic of care. Biobank staff constantly recalled the human nature of the samples, and they built complex illness narratives of each sample, promoting a connection with the absent donor. These practices were crucial to constructing the biobank as a health place, one that was designed to be life-saving in the near future.
Unidades organizacionais
Descrição
Palavras-chave
Contribuidores
Financiadores
Entidade financiadora
European Commission
Programa de financiamento
H2020
Número da atribuição
952377