Defining Health Management: A Conceptual Foundation for Excellence Through Efficiency, Sustainability and Equity.

The practice of healthcare management is essential for the efficient operation of health services, encompassing leadership, management, and direction within healthcare organisations. 'Health management' extends beyond healthcare management by integrating principles of public health and health policy. As health management is commonly practised but not cohesively recognised, the European Health Management Association (EHMA) conducted this study to develop a cohesive definition of health management.

Association and substitution analyses of dietary sugars, starch and fiber for indices of body fat and cardiometabolic risk- a NoHoW sub-study.

Purpose: To examine the associations and substitutions of dietary sugars [extrinsic (free) or intrinsic (non-free)] as well as dietary starch and fiber intakes for indices of body fat and cardiometabolic health.

Methods: Dietary intake was assessed at multiple times using multi-day 24-hour recalls over 18-months for indices of body fat (body fat %, waist circumference, BMI, and weight change) (n = 1066) and at baseline and 12 months for cardiometabolic outcomes (LDL, HDL, HbA1c) (n = 736). Bayesian modeling was applied to analyze the probabilistic impact of dietary carbohydrate components using credible intervals for association and substitution analyses with repeated measures random effects modeling.

Molecular Survey of Protist Enteroparasites in Bats (Order Chiroptera) from Portugal.

Purpose: Bats constitute 20% of all mammal species, playing a vital role in ecosystem health as pollinators, seed dispersers, and regulators of insect populations. However, these animals can also be reservoirs for infectious agents, including viruses, bacteria, and enteroparasites such as Cryptosporidium spp., Giardia duodenalis, and Balantioides coli, raising questions about their role in the epidemiology of these agents.

Age, cancer, and the dual burden of cancer and doxorubicin in skeletal muscle wasting in female rats: which one to blame?

Sarcopenia and cancer cachexia are two life-threatening conditions often misdiagnosed. The skeletal muscle is one of the organs most adversely affected by these conditions, culminating in poor quality of life and premature mortality. In addition, it has been suggested that chemotherapeutic agents exacerbate cancer cachexia, as is the case of doxorubicin.

Forensic sex classification by convolutional neural network approach by VGG16 model: accuracy, precision and sensitivity.

Introduction: In the reconstructive phase of medico-legal human identification, the sex estimation is crucial in the reconstruction of the biological profile and can be applied both in identifying victims of mass disasters and in the autopsy room. Due to the inherent subjectivity associated with traditional methods, artificial intelligence, specifically, convolutional neural networks (CNN) may present a competitive option.

Objectives: This study evaluates the reliability of VGG16 model as an accurate forensic sex prediction algorithm and its performance using orthopantomography (OPGs).

Volumetric Absorptive Microsampling in Toxicology.

Volumetric absorptive microsampling (VAMS) is an emerging technique in clinical and forensic toxicology. It is recognized as a promising alternative to traditional sampling methods, offering an accurate and minimally invasive means of collecting small volumes of biological samples, such as blood, urine, and saliva. Unlike conventional methods, VAMS provides advantages in terms of sample stability, storage, and transportation, as it enables samples to be collected outside laboratory environments without requiring refrigeration.

A One Health Perspective on Multidrug Resistance Amongst Iberian Exotic Pet Owners.

Understanding owners' realities and perceptions may be crucial to helping veterinarians be more effective in their daily work. Noticing the lack of publications in this area, specifically on exotic pets, prompted us to gather insights into non-traditional companion animal owners. A survey was conducted, resulting in 541 respondents from Portugal and Spain.

Potential of Pine Biochar to Mitigate Bacterial Hazards Present in Recycled Manure Solids from Dairy Cows.

The use of recycled manure solids (RMS) as cow bedding in dairy farms poses concerns due to its potential to harbor pathogenic and antimicrobial-resistant bacteria. This study evaluated the impact of RMS supplementation with biochar at three concentrations (2.5%, 5%, and 10%) on bacterial counts and on the antimicrobial resistance and virulence profiles of and isolates.

Immunobridging Trials: An Important Tool to Protect Vulnerable and Immunocompromised Patients Against Evolving Pathogens.

Safeguarding patients from emerging infectious diseases demands strategies that prioritise patient well-being and protection. Immunobridging is an established trial methodology which has been increasingly employed to ensure patient protection and provide clinicians with swift access to vaccines. It uses immunological markers to infer the effectiveness of a new drug through a surrogate measure of efficacy.

Initial Contact with Forefoot or Rearfoot in Spastic Patients After Stroke-Three-Dimensional Gait Analysis.

Background/objectives: Post-stroke hemiparetic gait often presents with asymmetric patterns to compensate for stability deficits. This study examines gait differences in chronic stroke patients with spastic hemiparesis based on initial foot contact type-forefoot versus rearfoot.

Methods: Thirty-four independently walking spastic hemiparetic patients were retrospectively analyzed.

Risk of Colonization with Multidrug-Resistant Gram-Negative Bacteria Among Travellers and Migrants: A Narrative Review.

Globalization in the 21st century has posed several challenges. In particular, the spread of multidrug-resistant bacterial strains, especially Gram-negative bacteria, which are prevalent in certain regions of the world, is one of the most critical issues. This raises concerns about the risks associated with the booming tourism industry and migratory flows.

The Mental Health of Older People Living in Nursing Homes in Northern Portugal: A Cross-Sectional Study Protocol.

: In Portugal, evidence regarding the mental health of institutionalized older people is limited, leaving this area poorly described and the mental health needs of this population largely unknown. This research aims to describe the mental health of older persons residing in nursing homes in Northern Portugal. : A cross-sectional study will be conducted.

Experience with a Self-Management Education Program for Adolescents with Type 1 Diabetes: A Qualitative Study.

: Adolescents with type 1 diabetes face complex challenges associated with the disease, underscoring the importance of developing self-management skills. This study examined participants' perspectives on a type 1 diabetes self-management education program. : Focus group interviews were conducted with 32 adolescents with type 1 diabetes who participated in the program and six expert patients.

Intervention Programmes for First-Episode Psychosis: A Scoping Review.

The aim of this scoping review was to map intervention programmes for first-episode psychosis by identifying their characteristics, participants, and specific contexts of implementation. It seems reasonable to suggest that early intervention may be beneficial in improving recovery outcomes and reducing the duration of untreated psychosis (DUP). Despite the expansion of these programmes, there are still some significant variations and barriers to access that need to be addressed.

Mothers Who Accompany a Child to Their Death: Starting Again Without Ever Forgetting.

Parents who accompany their children with a complex chronic illness until their death experience a unique situation, with vulnerabilities, specific needs and enormous suffering. The aim of the study was to describe the lived experience of parents who accompanied their children with a complex chronic illness until their death, in a paediatric palliative care setting. : We opted for a qualitative methodology, with a descriptive phenomenological orientation.

Transcultural Adaptation of Environmental Health Questionnaire with Attitude, Knowledge, and Skills Scales for Portuguese Nursing Students.

Climate change adversely affects some of the fundamental determinants of health, and children are the population group most vulnerable to exposure to environmental risk factors. The main objective of this study was to validate in the Portuguese context three scales to assess attitudes, knowledge, and skills on children's environmental health. : A cross-sectional observational study was developed to translate, adapt, and validate the questionnaire consisting of the following three scales: Attitude Scale (SANS_2), knowledge scale (ChEHK-Q), and skills scale (ChEHS-Q).

Consensus-Based Guidelines for Best Practices in the Selection and Use of Examination Gloves in Healthcare Settings.

Background/objectives: Healthcare-associated infections (HAIs) and antimicrobial resistance (AMR) present significant challenges in modern healthcare, leading to increased morbidity, mortality, and healthcare costs. Examination gloves play a critical role in infection prevention by serving as a barrier to reduce the risk of cross-contamination between healthcare workers and patients. This manuscript aims to provide consensus-based guidelines for the optimal selection, use, and disposal of examination gloves in healthcare settings, addressing both infection prevention and environmental sustainability.

Understanding Health Literacy Among Migrants in Portugal: The Impact of Environmental Issues.

Background/objectives: The health of migrant populations is strongly influenced by social, cultural, and environmental factors. Promoting health literacy (HL) is essential to empower these populations and reduce health inequalities. We aimed to assess the perceptions and behaviors of migrants residing in a neighborhood within a municipality in the Metropolitan Area of Lisbon regarding health risks arising from environmental conditions, as well as to determine their level of health literacy.

Optimizing Muscle Performance in Young Soccer Players: Exploring the Impact of Resisted Sprint Training and Its Relationship with Distance Covered.

Background: Speed training with resisted sprints has been shown to positively affect neuromuscular performance in soccer players. Various loads, ranging from 10% to 120% of body mass, have demonstrated performance improvements across the spectrum. However, the impact of sprint distance with optimal load on these adaptive responses has yet to be thoroughly described.

Severe Injuries of Former Portuguese Football Players: A Post-Career Burden?

Background/objectives: Football players have a high injury risk due to the physical demands of their profession, which can negatively affect their quality of life (QoL) in the long term. The aim of this study is to characterize the severe injuries that former Portuguese football players suffered throughout their professional careers and investigate the resulting impacts on the physical domain of QoL after retirement.

Methods: This study includes 84 former Portuguese football players (48.

Development and Validation of a Survey on Inclusive Judo: Judo Teachers' Attitudes Towards Including Participants with Intellectual Developmental Disorders (J-TAID).

This study developed and refined the Judo Teachers' Attitudes Towards Including Participants with Intellectual Developmental Disorders (J-TAID) survey, addressing the need to assess attitudes, subjective norms, perceived behavioral control, and intention regarding inclusion, and grounded in the Theory of Planned Behavior. The survey, translated into English, Portuguese, French, and Slovenian, was administered to 163 participants in order to assess its reliability and validity using Cronbach's alpha, Principal Component Analysis (PCA), Confirmatory Factor Analysis (CFA), and Exploratory Factor Analysis (EFA). Internal consistency regarding attitudes, subjective norms, and perceived behavioral Constructs ranged from 0,79 to 0.

The Influence of Anthropometric Characteristics on Punch Impact.

Objective: This review examined the influence of anthropometric characteristics, such as body height (BH) and body mass (BM), on the impact of punches in striking-combat sports. Despite their perceived importance for combat strategy, the relationship between these characteristics and punch impact remains unclear.

Methods: We included experimental, quasi-experimental and cross-sectional studies.

Three-Dimensional Printing/Bioprinting and Cellular Therapies for Regenerative Medicine: Current Advances.

The application of three-dimensional (3D) printing/bioprinting technologies and cell therapies has garnered significant attention due to their potential in the field of regenerative medicine. This paper aims to provide a comprehensive overview of 3D printing/bioprinting technology and cell therapies, highlighting their results in diverse medical applications, while also discussing the capabilities and limitations of their combined use. The synergistic combination of 3D printing and cellular therapies has been recognised as a promising and innovative approach, and it is expected that these technologies will progressively assume a crucial role in the treatment of various diseases and conditions in the foreseeable future.

Actinomycete-Derived Pigments: A Path Toward Sustainable Industrial Colorants.

Pigment production has a substantial negative impact on the environment, since mining for natural pigments causes ecosystem degradation, while synthetic pigments, derived from petrochemicals, generate toxic by-products that accumulate and persist in aquatic systems due to their resistance to biodegradation. Despite these challenges, pigments remain essential across numerous industries, including the cosmetic, textile, food, automotive, paints and coatings, plastics, and packaging industries. In response to growing consumer demand for sustainable options, there is increasing interest in eco-friendly alternatives, particularly bio-based pigments derived from algae, fungi, and actinomycetes.

Enzymatic Hydrolysis Systems Enhance the Efficiency and Biological Properties of Hydrolysates from Frozen Fish Processing Co-Products.

Co-products from the frozen fish processing industry often lead to financial losses. Therefore, it is essential to transform these co-products into profitable goods. This study explores the production of fish protein hydrolysates (FPH) from three co-products: the heads and bones of black scabbardfish (), the carcasses of gilthead seabream (), and the trimmings of Nile perch ().