Salutis Scientia

7

Authors: Maria Goreti de Gouveia Martins da Silva

The Infection Control in Portugal has its own history, within Europe, with more projection from 1988-1998, with the “Infection Control Project”. The first legal framework for Infection Control Committees (ICC) emerged in 1996, also the guidelines, courses for the ICC professionals, postgraduate training, and surveillance of nosocomial infections (1998-2002). In 2007, the National Infection Control Program was reshaped, and Regional Structures were created to decentralize activities. With the emergence of the Patient Safety area, we perceived a greater involvement of management boards and health professionals, and increased information of the population through the media. In 2013, Infection Control and Antimicrobial Resistance Control were merged into a single Program – a Priority Program. And the future?

8

Authors: Joana Ferreira, Ana Paula Madeira, Manuel Valentim

Cardiovascular diseases (CVD) are the leading cause of death in developed countries. About 25% of patients with coronary heart disease have sudden death or risk factor for the occurrence of acute myocardial infarction (AMI), without previous symptoms, and therefore an early diagnosis may improve the prognosis of patients. In recent years, computerized tomography (CT) has been considered an excellent imaging technique evidencing its utility in CVD due to its high diagnostic accuracy in assessing coronary artery disease, being an alternative to invasive coronary angiography. However, the technique has disadvantages, such as radiation dose and artifacts that may lead to diagnostic errors and therefore a new technique applying dual source has been introduced - Dual Source CT. Its configuration may allow an increased diagnostic accuracy through the simultaneous acquisition of two energy spectra in a single image acquisition. According to the literature review, the Dual Source can be advantageous improving the description and communication of findings in the coronary arteries. Detection and characterization of different kinds of coronary plaques in patients with a clinical diagnosis of atherosclerosis, as well as the potential to differentiate between different types of atherosclerotic plaques provides a more detailed analysis of atherosclerotic plaques rupture and erosion considered responsible for AMI. Moreover, a description of the evolutionary injuries caused in the main arteries subjected to atherosclerosis may contribute to a more accurate diagnosis.

15

Authors: Ana Rita Rodrigues, Ricardo Pedro

Introduction: Musculoskeletal work related injuries (MWRI) are considered one of the greatest health problems among physiotherapists. Although being professionals with expertise in musculoskeletal disorders and respective prevention and intervention strategies, they show a high risk for developing MWRI. Objectives: To estimate the prevalence of MWRI among physiotherapists in Portugal (1 year) and find possible risk factors related to this phenomenon. Methodology: The present study is a descriptive-correlational study by using the Musculoskeletal Nordic Questionnaire applied to Portuguese physiotherapists. Results: 39.6% of the physiotherapists reported MWRI during the past 12 months, with the highest prevalence (8.5%) in the lumbar region. The workload (hours/week), the number of users/day, physical activity beyond the professional activity and a high body mass index (BMI) were found risk factors for an increased number of MWRI, with significant correlations. Conclusion: According to the results obtained in this study, further studies are needed with more homogeneous samples to develop more analytical information for a better understanding of the problems identified and to improve the quality of life of the physiotherapist.