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The Coronavirus Disease 2019 (COVID-19) pandemic that spread through the world in 2020 had a major effect on academia. Research projects relying on participatory methods and action research approaches were especially harmed by the restrictions and changes the situation imposed. This study performs a rapid literature review to identify common themes in the narratives of published studies concerning the difficulties of carrying-out participatory research during the COVID-19 pandemic. Perceptions and experiences of the authors of these studies are compiled and summarized. Additionally, insights and lessons learned from two projects in which the authors of this study participated are discussed and used to establish a comparison with the common challenges found in the literature. Over 90% of authors experienced challenges related to digitalization and methodological changes, 70% encountered difficulties with organizational and operational aspects of research, and over 30% felt that personal challenges, as well as issues with participatory aspects of research, were significant. On a positive note, almost 40% of authors from our sample recognize that the pandemic also brought unexpected benefits, such as a reduction in logistical expenses, and the creation of new opportunities for participation. This study adds to the growing body of literature regarding the effects of the COVID-19 pandemic on the research community. Additionally, it comments on the adaptation of participatory action research methods for added sustainability and social inclusion in the face of global crises.

This research intends to measure the quality of life (QoL) perception, from the perspective of residents and tourists towards Coimbra, a city with an important World Heritage Site, as classified by UNESCO. In these times, preserving tangible and intangible heritage is so important for future memories. Identifying the QoL perceptions through the eyes of residents and tourists allows the improvement of the community well-being of the destination for both stakeholders. Starting from this assumption, this study aims to: (i) measure the tourists’ and residents’ perceptions on quality of life (QoL); (ii) analyze the impact of the COVID-19 pandemic on QoL perceptions, both from the tourists’ and residents’ perspective. To achieve these objectives, a questionnaire was disseminated to residents and tourists in two different phases, before and during the COVID-19 pandemic. Results show that in general, residents and tourists exhibited, in both periods, medium and high perceptions of QoL, with an exception made for the Urban Issues domain that decreased even more during the pandemic. Furthermore, the results show, for residents and tourists, that the perception of Urban Issues, Way of Life, Community Pride and Awareness, Economic Strength, and Recreation Amenities impact significantly and positively their Community Well-Being perception. New paths for academics and for practitioners are presented at the end, as well as limitations and evidence for future research.

Streptococcus pneumoniae (pneumococcus) is able to form biofilms in vivo and previous studies propose that pneumococcal biofilms play a relevant role both in colonization and infection. Additionally, pneumococci recovered from human infections are characterized by a high prevalence of lysogenic bacteriophages (phages) residing quiescently in their host chromosome. We investigated a possible link between lysogeny and biofilm formation. Considering that extracellular DNA (eDNA) is a key factor in the biofilm matrix, we reasoned that prophage spontaneous activation with the consequent bacterial host lysis could provide a source of eDNA, enhancing pneumococcal biofilm development. Monitoring biofilm growth of lysogenic and non-lysogenic pneumococcal strains indicated that phage-infected bacteria are more proficient at forming biofilms, that is their biofilms are characterized by a higher biomass and cell viability. The presence of phage particles throughout the lysogenic strains biofilm development implicated prophage spontaneous induction in this effect. Analysis of lysogens deficient for phage lysin and the bacterial major autolysin revealed that the absence of either lytic activity impaired biofilm development and the addition of DNA restored the ability of mutant strains to form robust biofilms. These findings establish that limited phage-mediated host lysis of a fraction of the bacterial population, due to spontaneous phage induction, constitutes an important source of eDNA for the S. pneumoniae biofilm matrix and that this localized release of eDNA favors biofilm formation by the remaining bacterial population.

Current food systems face immediate and complex challenges in feeding a growing global population. It is necessary to mitigate the environmental impact of food systems while ensuring food security across the globe. Drawing on the example of recent multi-sectoral approaches which focus on the interconnections between public health and the environment, this work offers a narrative review and broader conceptual framework advancing two propositions. The first is that school meals systems have the potential to help enable sustainable food transitions. The second is that favoring well-planned plant-based meals in schools may strengthen this potential. The review and resulting framework highlight the relevance of seeking transdisciplinary dialogue and considering diverse sectors of society, such as public health, the environment, social protection, economic development, and community welfare. We review possible health benefits as well as possible economic and environmental outcomes, especially if school meals are sourced mainly from local communities and eco-friendly agricultural practices. Cross-sectoral implications related to social protection and community welfare are also identified and discussed, as well as potential pathways for materializing sustainable food transitions in schools.

Countries are facing a pandemic crisis in the context of a new disease from the coronavirus family, referred to as COVID-19. This article aims to present the main facts related to the fight against the pandemic from the perspective of the Portuguese governance, aiming to contribute to the knowledge of crisis management by political leaders as well as the performance of public entities. The present research was conducted through a quantitative approach, using data publicly provided by the Portuguese Directorate General of Health. An explanatory and descriptive study is presented about the current panorama, and yet to be shared good practices of crisis management and the relevance of organizational values in crisis management and crisis coordination are also discussed. Based on the lessons from Portugal, the authors suggest the relevance of organizational values and stakeholders’ coordination as key factors in crisis situations, such as the current one.

Social prescribing (SP) is an approach that promotes the use of local non-clinical activities by people. The referral is usually made by primary health-care professionals, in a process wherein local providers play a pivotal role. The main objective of this study was to identify domains of intervention and evidence about the effectiveness of SP programs regarding health-related outcomes. A systematic literature review was carried out following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. A literature search was conducted in PubMed, CINHAL, and SCOPUS. Inclusion criteria of the reviewed papers were as follows: (i) effectiveness studies of interventions designated as SP or interventions entailing SP conceptual components; (ii) interventions with adults. Quality assessment was performed with the Cochrane tool for assessing risk of bias in randomized trials; an assessment tool developed by the US National Heart, Lung and Blood Institute was applied to observational studies. Overall, 13 articles were included for analysis, with a total of 4603 patients. Although three studies comprised a control group, only two followed a randomized controlled trials (RCT) design. Nine principal domains of intervention within SP were identified, with three categories of outcome measures: Physical and psychological wellbeing; Health behaviors and self-efficacy; and Health care resources end economic evaluation. SP is an emergent and promising health-care intervention, and it has been used to promote different health behaviors. Evidence of SP effectiveness on patient’s health and wellbeing is not strong. Further research is needed for understanding how SP can be applied efficiently.

Environmental health is at the intersection between health and the environment. However, it still has a recent (and narrow) history as a scientific area, mainly addressing human biomonitoring and toxicological issues. Only recently additional environmental ‘layers’, other than the traditional chemical, biological and physical environmental determinants, have been considered. This broader perspective of environmental health also encompasses digital, psychosocial, political, socioeconomic and cultural determinants, all of them relevant when considering human health from a planetary health paradigm. This reflects the progressive adoption of a systemic perspective regarding the impact of gains for human health and well-being towards a sustainable environment. It also implies a multi-method and participatory approach to understand the intertwined relationship between environmental changes and human health. In this paper, the broader approach to environmental health is discussed in order to ‘set the stage’ for introducing the Institute of Environmental Health (ISAMB) of the Lisbon School of Medicine, Portugal. Each of the research groups and labs that compose ISAMB are presented, as well as their main lines of research. Present and planned contributions of ISAMB to advance knowledge on environmental health and for promoting human health gains in an environmentally sustainable way are also discussed.