Factors Associated with Cardiovascular Disease Risk among Employees at a Portuguese Higher Education Institution.

This study aimed to estimate the prevalence of risk factors for cardiovascular disease (CVD) and to assess the CVD risk (CVDRisk) in a sample of workers at a specific workplace: a higher education institution in Portugal. Data were collected using a questionnaire (e.cuidHaMUs.QueST®) with 345 HEI workers from June 2017-June 2018 with a high response rate (93.3%). Two constructs of risks for CVD were considered: (i) metabolic risk and hypertension (CVDRisk1); and (ii) modifiable behavioural risk (CVDRisk2). Logistic regression analyses were used to establish a relationship between risk indexes/constructs (CVDRisk1 and CVDRisk2) and groups of selected variables. The most prevalent CVD risk factor was hypercholesterolaemia (43.2%). Sixty-eight percent of participants were in the construct CVDRisk1 while almost half of the respondents were in CVDRisk2 (45.2%). The consumption of soft drinks twice a week or more contributed to a significantly increased risk of CVD in CVDRisk1. Lack of regular exercise and lack of daily fruit consumption significantly increased the risk of CVD in CVDRisk2. The challenge to decision makers and the occupational medical community is to incorporate this information into the daily practices of health surveillance with an urgent need for health promotional education campaigns in the workplace.

Description of an integrated e-health monitoring system in a Portuguese higher education institution: the e.cuidHaMUstm program.

BACKGROUND: The World Health Organization and the International Labour Organization recognize that workplace health is not only affected by occupational hazards, but is mainly affected by social determinants and individual factors. An accelerated rise in noncommunicable diseases has fostered the importance of creating supportive environments and encouraging healthy behaviours. Therefore, an operational approach to making workplaces healthy and sustainable is needed. This paper describes the development of an e-Health monitoring program entitled 'Integrated eHealth Monitoring System for Health Management in Universities' (e.cuidHaMUsTM) as a possible solution to that operational approach. METHODS: We developed the program e.cuidHaMUsTM that proposes to detect risk behaviours related to noncommunicable diseases and to implement problem-solving measures by establishing a health-promoting workspace in a Portuguese higher education institution. Based on the 'I-Change' conceptual model, our program provides personalized feedback; improves health-related knowledge, attitude and good practices; and encourages actions to promote healthy lifestyles through individual health capacitation. Focusing on evaluation as an activity that generates knowledge, the e.cuidHaMUsTM program aggregates all the relevant health information, shares the results with decision-makers and evaluates health-related policy changes in the workplace. DISCUSSION: This paper presents the design of the e.cuidHaMUsTM program, the development of an eHealth web platform to share information between the different stakeholders, and a questionnaire to evaluate the health status of higher education institution workers (e.cuidHaMUs.QueST®). Also, the procedures for data collection and analysis are outlined. The e.cuidHaMUsTM program can enhance health surveillance through cross-sectional and longitudinal studies and provide scientific evidence to support the envisioned interventions and promotions of healthy lifestyles. This program is an effort to incorporate a holistic culture of health-promoting workspace in higher education institution policies.

Impacts of climate change on reservoir water availability, quality and irrigation needs in a water scarce Mediterranean region (southern Portugal).

Future climate for the Mediterranean climatic region is expected to bring an increase in temperatures, decrease in the precipitation quantity and shifts in the seasonal precipitation pattern. Although the impacts of climate change on water resources have been relatively well explored for the Mediterranean climatic region, the specific consequences for reservoirs and, in particular, water availability and irrigation issues have been less studied. The objective of this work is two-fold: (i) to assess the impacts of future climate changes on water resources availability, quality (focusing on phosphorus loads as this is the limiting nutrient for eutrophication) and irrigation needs for two multipurpose reservoirs in southern Portugal; (ii) to suggest climate change adaptation strategies, especially for the agricultural sector. To this end, the SWAT model was first calibrated against existing data on reservoir inflows as well as phosphorus loads. Then, SWAT was run with climate derived EURO-CORDEX models (RCA4/RACMO22E) for four periods (1970-2000, 2010-2040, 2040-2070 and 2070-2100). Water availability was analysed using the Water Exploitation Index (WEI) that was calculated for both reservoirs combining changes of inflows and irrigation requirements. The results indicated that climate change will negatively impact water availability in both reservoirs, especially under RCP8.5. In the case of the Monte Novo reservoir, future domestic water supply could be constrained by water quality problems related with phosphorus loads. For Vigia reservoir, the high water exploitation will lead to water scarcity problems, mainly as this reservoir on present-day conditions is restrictive on irrigation requirements. Adaptation strategies such as the implementation of high end technology (e.g. soil moisture and plant water stress probes, satellite imagery and drones to evaluate water stress - NDVI) as well as the renewal of the irrigation network and adequate crop selection can help attenuating the effects of climate change on the water resources in this region.