• Energy Research
• 3. Good health close
• PT close
• University of Lisbon close

The COVID-19 pandemic created an enormous disruption to the everyday life of the modern society. Among the various urban systems, transportation services were among those that suffered the most significant impacts, particularly severe in the case of highways. This paper addresses the challenges and responses to the pandemic from a private highway operator’s perspective and from a multidisciplinary perspective. Highway operators faced two main challenges: on one hand, the need to cope with the potential disruption caused by the pandemic and a national lockdown for almost three months, the provision of road services, and the requirement to ensure the proper operation and maintenance, and on the other hand, the strong negative impact of the pandemic on levels of traffic. Our case study shows that the operator’s management response in question is essentially characterised by being a first response to short term impacts while balancing for workers health and safety, engineering and management, internal business management, and overall economic impact. Highway operators were hardly prepared for such an event and became more focused on prioritising their employees and clients’ safety to avoid service disruption. Regarding levels of traffic, the pandemic has had severe effects, although to a varying degree, depending on the different types of vehicles (heavy, light, passenger, freight, among other types of vehicles) and the location of highways (coastal vs. interior). The lessons learnt can be valuable in future disruptive events and for other highway concession operators.

We examined the prevalence of heavy episodic drinking in general practice attenders who were non-hazardous drinkers, the associated risk factors and the outcome over 6 months.Consecutive attenders aged 18-75 were recruited from the UK, Spain, Slovenia, Estonia, the Netherlands and Portugal and followed up after 6 months. Data were collected on alcohol use using the Alcohol Use Disorder Identification test (at recruitment and 6 months) and risk factors for heavy episodic alcohol use at recruitment.The prevalence of heavy episodic drinking in non-hazardous drinkers was 4.5% across Europe [lowest in Portugal (1.5%); highest Netherlands (8.4%)]. It was less frequent in Spain, Slovenia, Estonia and Portugal compared with the UK and Netherlands. It was higher in men [odd ratio (OR) 4.4, 95% confidence interval (CI) 3.3, 5.9], people between 18 and 29 years of age, those employed (OR 1.8, 95% CI 1.3, 2.6) and those using recreational drugs (OR 2.1, 95% CI 1.4, 3.3). It was lower in people with existing DSMIV major depression (OR 0.54, 95% CI 0.31, 0.96). Heavy episodic drinkers were more likely to become hazardous drinkers at 6 months (male: OR 7.2, 95% CI 4.1, 12.7; female: OR 9.4, 95% CI 4.3, 20.6).Women and men in the UK, men in the Netherlands and younger people in all countries are at the greatest risk of exhibiting heavy episodic drinking behaviours even in the absence of hazardous alcohol use. There is hence an urgent need for general practitioners to consider early detection and management of heavy episodic drinking behaviour in this population.

ABSTRACT: The health of coastal human communities and marine ecosystems are at risk from a host of anthropogenic stressors, in particular, climate change. Because ecological health and human well-being are inextricably connected, effective and positive responses to current risks require multidisciplinary solutions. Yet, the complexity of coupled social-ecological systems has left many potential solutions unidentified or insufficiently explored. The urgent need to achieve positive social and ecological outcomes across local and global scales necessitates rapid and targeted multidisciplinary research to identify solutions that have the greatest chance of promoting benefits for both people and nature. To address these challenges, we conducted a forecasting exercise with a diverse, multidisciplinary team to identify priority research questions needed to promote sustainable and just marine social-ecological systems now and into the future, within the context of climate change and population growth. In contrast to the traditional reactive cycle of science and management, we aimed to generate questions that focus on what we need to know, before we need to know it. Participants were presented with the question, "If we were managing oceans in 2050 and looking back, what research, primary or synthetic, would wish we had invested in today?" We first identified major social and ecological events over the past 60 years that shaped current human relationships with coasts and oceans. We then used a modified Delphi approach to identify nine priority research areas and 46 questions focused on increasing sustainability and well-being in marine social-ecological systems. The research areas we identified include relationships between ecological and human health, access to resources, equity, governance, economics, resilience, and technology. Most questions require increased collaboration across traditionally distinct disciplines and sectors for successful study and implementation. By identifying these questions, we hope to facilitate the discourse, research, and policies needed to rapidly promote healthy marine ecosystems and the human communities that depend upon them.

Background: The present study investigates the role of different sources of social support in the relationship of BMI and PA in an international sample of children and adolescents. Methods: Data included 170,211 adolescents (51.5% female), aged 10–16 (M = 13.6, SD = 1.64) from 37 European countries/regions and were retrieved from the 2013/14 Health Behaviour in School-aged Children (HBSC) international database. Results: PA levels in adolescents are lower for girls, decrease with age, and are lower for overweight and obese adolescents compared to underweight and normal-weight adolescents. Peer support and teacher support significantly predict PA (ORpeer = 1.11; ORteacher = 0.97) and vigorous PA frequency (ORpeer = 1.13; ORteacher = 0.94). Family support only affected vigorous PA frequency (OR = 1.03). Family support had a moderating effect on PA in overweight (ORfamily*BMI(overweight) = 0.94) and obese (ORfamily*BMI(obese) = 0.90) adolescents. Peer support had a moderating effect on vigorous PA frequency in obese (ORpeer*BMI(obese) = 1.08) adolescents. Teacher support had a moderating effect on PA (ORteacher*BMI(normal) = 1.05; ORteacher*BMI(overweight) = 1.09) and vigorous PA frequency (ORteacher*BMI(normal) = 1.07; ORteacher*BMI(overweight) = 1.08) in normal-weight and overweight adolescents. Conclusion: Social support helps adolescents to be active. Especially for obese adolescents, support by and relations with peers are important to reach a significant amount of PA.

The effect on the hydrogen evolution reaction (HER) of adding small amounts of three homemade salicylate ([Sal])-based ionic liquids (ILs), specifically 1-butyl-3-methylimidazolium salicylate ([Bmi...

Abstract This article presents a study on customer knowledge and habits regarding the use of refrigerated display cabinets (RDC). The study was carried out on a sample of Portuguese retail stores’ customers, using a questionnaire survey available through an Internet platform. The sample consisted of 136 individuals, who voluntarily participated in the study. Questions included the characterization of the sociodemographic population involved. The questionnaire included different questions to related with RDC, namely customer knowledge about the appearance of each RDC equipment, questions to evaluate the respondents’ perception about the advantages and disadvantages related to open or glass-door closed RDC, questions to assess the participants’ habits and behavior when purchasing food products from glass-door closed RDC (frequency and duration of door open), questions to characterize the consumers’ habits on purchasing food products from RDC, and also questions to characterize the consumers’ shopping attitudes in the context of the COVID-19 pandemic, caused by SARS-CoV-2. The results seem to indicate that customers prefer closed RDC; for example, 61.8% of participants prefer products preserved in glass-door closed RDC, against 6.6% that admit to preferring products preserved in open RDC. Therefore, we can deduce that the existence of doors does not appear to be an obstacle to purchasing food products. Regarding the use of glass-door closed RDC, 80.1% of the participants say they just open the door once, and 53.7% of the costumers believe they keep the door open in the interval [4‒6 s]. This indicates that Portuguese customers are quite well informed about food safety issues and seem to follow assertive attitudes when purchasing food products from RDC. This study reinforces the benefits of replacing open RDC by closed glass-doors allowing significant energy savings.

Temperature record-breaking events, such as the observed more intense, longer-lasting, and more frequent heat waves, pose a new global challenge to health sectors worldwide. These threats are of particular interest in low-income regions with limited investments in public health and a growing urban population, such as Brazil. Here, we apply a comprehensive interdisciplinary climate-health approach, including meteorological data and a daily mortality record from the Brazilian Health System from 2000 to 2015, covering 21 cities over the Metropolitan Region of Rio de Janeiro. The percentage of absolute mortality increase due to summer extreme temperatures is estimated using a negative binomial regression modeling approach and maximum/minimum temperature-derived indexes as covariates. Moreover, this study assesses the vulnerability to thermal stress for different age groups and both genders and thoroughly analyzes four extremely intense heat waves during 2010 and 2012 regarding their impacts on the population. Results showed that the highest absolute mortality values during heat-related events were linked to circulatory illnesses. However, the highest excess of mortality was related to diabetes, particularly for women within the elderly age groups. Moreover, results indicate that accumulated heat stress conditions during consecutive days preferentially preceded by persistent periods of moderate-temperature, lead to higher excess mortality rather than sporadic single hot days. This work may provide directions in human health policies related to extreme climate events in large tropical metropolitan areas from developing countries, contributing to altering the historically based purely reactive response.

Abstract Background Air temperature is a relevant environmental determinant of hospitalization and mortality. Less known is the prevalence of at-home thermal discomfort and its associations with health indicators. This work aimed to characterize the association between thermal discomfort and self-reported non-communicable chronic diseases in adults living in the municipality of Lisbon. Methods Observational cross-sectional study with data collected through individual telephone interviews, with a non-probabilistic stratified (by gender, age, education, and area of residence) sample. Logistic regression models were used to estimate effect sizes, controlling for age, gender, educational level, and morbidity indicators. Results Overall, 855 adults (25+ years old) living in the municipality of Lisbon participated in the study. Only respondents who reported to be 10+ hours per day at home were included in the analysis. The sample was balanced for genders (55,2% female), with an average age of 53,4 years (SD = 17,0; maximum age=93 years old), and 40,2% (n = 356) not having a higher-level education. About three-quarters (74,2%; n = 552) reported feeling thermal discomfort at home and 56,9% (n = 414) reported having at least one non-communicable disease diagnosed. When considering the sample's most prevalent self-reported chronic diseases, a significant association with thermal discomfort was found for asthma and hypercholesterolemia (chi-square=4,08; p=.004; and chi-square=4,87; p=.027, respectively). After adjusting for sex, age, educational level, area of residence, and other self-reported morbidities, asthma was found as a significant predictor of thermal discomfort (OR = 3,03; 95% CI: 1,03-8,90). Conclusions These preliminary results suggest that some chronic diseases may have an unequal impact on thermal regulation and comfort. This is an important message also for those responsible for the development of policies against energy poverty. Key messages • At-home thermal discomfort is a relevant indicator to consider when monitoring chronic diseases and urban health. • Suffering from chronic diseases may have a relevant impact on thermal discomfort and this should be taken into account when defining policies against energy-poverty.

Background: Price erosion of generic medicines over time as a result of existing pricing policies in combination with increasing operational costs of these products due to high inflation, undermine long-term sustainable competition in European off-patent medicines markets. Therefore, the aim of this study is to identify new potential pricing models for retail generic medicines in Europe, examine their pros and cons, and illustrate them with examples inside or outside the pharmaceutical sector.Methods: A targeted literature review, one-to-one interviews and a joint advisory board meeting with experts from five European countries were carried out to assess potential pricing models for generic medicines.Results: We identified ten pricing models that can be applied to generic medicines. The tiered pricing model is viewed as a sustainable solution ensuring competitiveness, but requires market monitoring using a supportive IT infrastructure. De-linking the price of generic medicines from that of the off-patent originator medicine prevents the originator from forcing generic medicines’ prices to unsustainable levels. Higher costs due to inflation can be compensated in the automatic indexation model. Other pricing models that have less implementation potential include the one-in-one/multiple-out model, tax credits, value-based pricing, volume for savings and guaranteed margin/fee models. The hypothecated tax and cost allocation models, which add a patient fee to generic medicines prices, are not likely to be socially acceptable.Conclusion: When considering a new pricing model for generic medicines, the impact on innovative medicines and the characteristics of the healthcare system in a given country need to be taken into account. Also, there is a need to continuously follow up the level of competition in off-patent medicines markets and to identify sustainability risks.