Translation, transcultural adaptation and validation of the halitosis associated life-quality test for use in Brazilian adolescents

Objective: To perform the transcultural adaptation to Brazil and validation of the Halitosis Associated Life-quality Test (HALT) for use in adolescents. Material and Methods: Students aged 12 to 15 years, of both sexes, with healthy permanent dentition, attending public schools in Piracicaba, Brazil, were selected for this study. The HALT was translated, backtranslated, reviewed by an expert committee and submitted to a pre-test. In the first phase (n = 13), 15% of the sample did not understand items 2, 12 and 15; therefore, these items were reformulated and resubmitted to 13 adolescents. The version with a sociocultural adaptation was self-applied by 56 adolescents (64% females, 13.4 +/- 1.0 years), of whom 25 participated in the test-retest. The presence of visible biofilm, gingival bleeding, calculus and tongue coating, was evaluated. Self-perception of halitosis after exhalation/breathing was assessed by a single question. Results: The HALT score ranged from 0 to 62 points (mean = 10.1 +/- 13.4) and the floor effect was 5.4%. Internal consistency was excellent (Cronbach's alpha = 0.92) and reproducibility was moderate (Intraclass Correlation Coefficient = 0.59). Individuals with "excessive" tongue coating had a higher HALT score than those with mild and/or moderate coating (p<0.001). Multiple linear regression analysis indicated that only the male sex was related to a higher HALT score (p<0.05). Conclusion: The Brazilian Portuguese version of the HALT was easily understood by adolescents. Those with greater tongue coating accumulation reported more frequently the presence of halitosis, which was only associated to male sex.19CONSELHO NACIONAL DE DESENVOLVIMENTO CIENTÍFICO E TECNOLÓGICO - CNPQSem informaçã

Symbolic Losses and the People Affected By the Construction of Dams: the Case Study of the Estreito Hydroelectric Power Plant, Brazil

Dentre as atividades econômicas em desenvolvimento no Brasil, está a construção de usinas hidrelétricas. A crescente expansão do setor elétrico vem acarretando perdas irreversíveis para as populações impactadas, em razão do seu deslocamento compulsório e consequente ruptura com o seu espaço de construção simbólica. Tendo em vista o horizonte de crescimento do setor elétrico no país, este trabalho buscou analisar como o processo de negociação das perdas simbólicas sofridas pelos atingidos por barragens vem sendo conduzido, tendo sido os dados obtidos a partir de análise documental, seguida da realização de entrevistas com os impactados pela Usina Hidrelétrica de Estreito, situada no médio Rio Tocantins, entre os Estados do Maranhão e Tocantins. Esta pesquisa evidenciou a necessidade de buscarmos mecanismos que contemplem os valores simbólicos desses atingidos, priorizando a continuidade da vida que não prima pela lógica do mercado e sim pela vivência com dignidade humana.Among the economic activities under development in Brazil it is the construction of hydroelectric power plants. The increasing expansion of the Brazilian electrical sector has been causing irreversible losses to impacted populations, due to their forced displacement, and consequent rupture with their symbolic construction space. In view of the growth horizon of the electricity sector in the country, this study sought to analyze how the negotiation process of the symbolic losses suffered by affected people has been conducted. The data were obtained from the analysis of documents followed by conducting interviews with those impacted by Estreito Power Plant, located in the middle Tocantins River between the States of Maranhão and Tocantins. This research highlighted the need to seek mechanisms that behold the symbolic values of people affected by dams, prioritizing the continuity of life that does not prize the logic of the market, but by living with dignity

Impactos da simulação em acadêmicos de enfermagem diante da ressuscitação cardiopulmonar: uma revisão integrativa / Impacts of simulation in nursing academics against cardiopulmonary resuscitation: an integrative review

A simulação vem ganhando cada vez mais espaço como método de ensino, levando aos graduandos de enfermagem adquirir habilidades práticas como na ressuscitação cardiopulmonar. A parada cardiorrespiratória é causada por três pontos primordiais: ausência de pulso carotídeo, ausência de responsividade e respiração. No Brasil, há cerca de 200.000 casos de parada no ano, seja no meio extara com extra-hospitalar, sendo assim, esse estudo teve como objetivo analisar os impactos da simulação em acadêmicos de enfermagem diante da ressuscitação cardiopulmonar. Foi conduzida uma revisão integrativa nas bases citadas: Medical Literature Analysis and Retrieval System Online (Medline) e Literatura Latino-americana e do Caribe em Ciências da Saúde (LILACS) e bancos citados Scientific Electronic Library Online (SciELO) e PubMed sendo usadas: “enfermagem”, “simulação” e “ressuscitação cardiopulmonar”, em junho a setembro de 2020. Foram selecionados 5 artigos que obedeceram aos critérios de inclusão para esta revisão. Foram encontradas três categorias: preparação do cenário, conhecimento antes e depois da prática de simulação e a importância do ensino através de simulação. É de suma importância à preparação de um cenário de simulação levando em consideração o ambiente adequado para a realização dessas práticas de ressuscitação cardiopulmonar (RCP). Com a avaliação de um pré-teste e pós-teste, é notório que esses alunos apresentam um resultado positivo, desenvolvendo uma destreza e um olhar mais voltado para a realização desse procedimento. A implementação do ensino através de simulação é de grande importância, pois se trata de uma grande estratégia que pode promover a qualidade de raciocínio teórico e prático do discente. Após análise dos estudos, observou-se que os impactos da simulação em acadêmicos de enfermagem diante da RCP obteve um resultado positivo, ressaltando o preparo do cenário, o desenvolver após realização da prática e a importância desse método de ensino

Índice de risco cirúrgico e infecção de ferida operatória em puérperas submetidas a cesarianas.

Backgound and Objectives: Considering the use of active surveillance assists in infection identification and the need for studies that use Surgical Risk Index (SRI) for assessment of Surgical Site Infection (SSI) in cesareans, this study aims to determine the incidence of SSI and analyze the applicability of SRI in the prediction of SSI in women in the postpartum period after being submitted to a cesarean section at a university hospital between April 2012 and March of 2013. Methods: Prospective cohort study. Information notifying SSI by active surveillance was collected daily from the medical records. After hospital discharge, the mothers were contacted through telephone calls to identify infection criteria within 30 days after the cesarean. Descriptive and comparative analyses were performed. The chi-square test was used to compare groups. Results: 737 cesareans were performed. Telephone contact was achieved with 507 (68.8%) women up to 30 days postpartum, with loss of follow-up of 230 cases (31.2%). The medical consultation in the post-partum period occurred with 188 (37.08%) women, with whom telephone contact was obtained, on average, 17.28 days (SD=8.39) after delivery. It was verified that 21 patients met the criteria for SSI, with a 4.14% rate. A total of 12 cases (57.1%) were classified as superficial SSI, 5 (23.8%) as deep and 4 (19.1%) as infection of organs and cavities. The SRI and its risk variables were not associated with SSI in patients submitted to cesarean sections. Conclusion: The SRI and the risk variables included in this index were not associated to SSI in patients submitted to cesarean sections. KEYWORDS: Cesarean Section; Surgical Wound Infection; Epidemiological Surveillance; Infection Control; Risk Index; Disease Notification.Justificativa e Objetivos: Tendo em vista que o emprego de vigilância ativa colabora na identificação de infecção e a necessidade de estudos que utilizem o Índice de Risco Cirúrgico (IRC) para avaliação de Infecção de Ferida Cirúrgica (IFC) em cesarianas este estudo objetiva determinar a incidência de IFC e analisar a aplicabilidade do IRC na predição das IFC em puérperas submetidas à cesariana em hospital universitário entre abril de 2012 e março de 2013. Métodos: Estudo de coorte prospectivo concorrente. Informações de notificação das IFC por vigilância ativa foram coletadas diariamente nos prontuários. Após alta hospitalar, as puérperas eram contatadas por ligações telefônicas para identificação de critérios de infecção até 30 dias após a cesariana. Análises descritivas e comparativas foram conduzidas. Para comparação dos grupos foi utilizado teste de Qui-quadrado. Resultados: Foram realizadas 737 cesarianas. Contato telefônico foi conseguido com 507 (68,8%) puérperas até 30 dias pós-parto, com perda de seguimento de 230 casos (31,2%). A consulta médica no puerpério ocorreu em 188 (37,08%) mulheres com quem foi obtido contato telefônico, em média, 17,28 dias (± 8,39) após o parto. Verificou-se que 21 casos preencheram critérios para IFC, taxa de 4,14%. Classificou-se 12 (57,1%) casos como infecção de ferida cirúrgica superficial, 5 (23,8%) como profunda e 4 (19,1%) de órgãos e cavidades. O IRC e suas variáveis de risco não foram associados à IFC em pacientes submetidas a cesarianas. Conclusão: O IRC e as variáveis de risco incluídas nesse índice não foram associados à IFC em pacientes submetidas a cesarianas. DESCRITORES: Cesárea; Infecção da Ferida Operatória; Vigilância epidemiológica; Controle de Infecções; Índice de Risco; Notificação de doenças

Validation of the parental-caregiver perceptions questionnaire: agreement between parental and child reports

To test the validity and reliability of Brazilian Portuguese version of the Parental-Caregiver Perceptions Questionnaire (P-CPQ) (Aim 1) and to assess the agreement between parents and children concerning the child's oral health-related quality of life (OHRQoL) (Aim 2). The P-CPQ and the Brazilian Portuguese versions of the Child Perceptions Questionnaires (CPQ8-10 and CPQ11-14) were used. Objective 1 addressed in the study that involved 210 (validity and internal reliability) and 20 (test-retest reliability) parents and Objective 2 in the study that involved 210 pairs of parents and children. Construct validity was calculated using the Spearman's correlation and the Mann-Whitney/Kruskal-Wallis tests. Reliability was determined using Cronbach's alpha and intraclass correlation coefficient (ICC). Agreement between overall and subscale scores derived from the P-CPQ and CPQ was assessed in comparison and correlation analyses. The P-CPQ discriminated among the categories of malocclusion and dmft. The P-CPQ showed good construct validity, good internal consistency reliability, and excellent test-retest reliability. There was systematic under-and overreporting in parents' assessments for younger and older children, respectively. However, the magnitude of the directional differences was just small. At individual level, agreement between parents and children was excellent. However, it ranged from excellent to moderate or substantial in subscales for CPQ8-10 and CPQ11-14 groups, respectively. The Portuguese version of P-CPQ is valid and reliable. Some parents have limited knowledge about child OHRQoL. Given that parental and child reports measure different realities concerning the child's OHRQoL, information provided by parents can complement the child's evaluation754255264COORDENAÇÃO DE APERFEIÇOAMENTO DE PESSOAL DE NÍVEL SUPERIOR - CAPE

Validation Of The Parental-caregiver Perceptions Questionnaire: Agreement Between Parental And Child Reports

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)Objectives: To test the validity and reliability of Brazilian Portuguese version of the Parental-Caregiver Perceptions Questionnaire (P-CPQ) (Aim 1) and to assess the agreement between parents and children concerning the child's oral health-related quality of life (OHRQoL) (Aim 2). Methods: The P-CPQ and the Brazilian Portuguese versions of the Child Perceptions Questionnaires (CPQ8-10 and CPQ11-14) were used. Objective 1 addressed in the study that involved 210 (validity and internal reliability) and 20 (test-retest reliability) parents and Objective 2 in the study that involved 210 pairs of parents and children. Construct validity was calculated using the Spearman's correlation and the Mann-Whitney/Kruskal-Wallis tests. Reliability was determined using Cronbach's alpha and intraclass correlation coefficient (ICC). Agreement between overall and subscale scores derived from the P-CPQ and CPQ was assessed in comparison and correlation analyses. Results: The P-CPQ discriminated among the categories of malocclusion and dmft. The P-CPQ showed good construct validity, good internal consistency reliability, and excellent test-retest reliability. There was systematic under-and overreporting in parents' assessments for younger and older children, respectively. However, the magnitude of the directional differences was just small. At individual level, agreement between parents and children was excellent. However, it ranged from excellent to moderate or substantial in subscales for CPQ8-10 and CPQ11-14 groups, respectively. Conclusions: The Portuguese version of P-CPQ is valid and reliable. Some parents have limited knowledge about child OHRQoL. Given that parental and child reports measure different realities concerning the child's OHRQoL, information provided by parents can complement the child's evaluation.754255264Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES

Oral Health-related Quality Of Life In Children And Preadolescents With Caries, Malocclusions Or Temporomandibular Disorders

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)To compare the oral health-related quality of life (OHRQoL) of children (8- to 10-year-olds) and preadolescents (11- to 14-year-olds) with different oral conditions and to identify concepts associated with their perceptions of oral health (OH) and overall well being (OWB). Materials and Methods: A cross-sectional study was conducted with 264 students who were distributed into four groups: caries, with the sum of the decayed, missing and filled teeth in the primary (dmft) and permanent dentitions (DMFT) >= 1 (n = 72); malocclusion, with the Dental Aesthetic Index (DAI) >= 26 (n = 40); temporomandibular disorders (TMD) with at least one sign and one symptom of TMD (n = 89); control, with dmft/DMFT = 0, DAI < 26 and without signs and symptoms of TMD (n = 63). OHRQoL was measured using Portuguese versions of Child Perceptions Questionnaires (CPQ) for children (CPQ8-10) and preadolescents (CPQ11-14). Differences in CPQ scores and in the frequency of responses to global ratings were assessed using Kruskal-Wallis and chi-square/Fisher's exact tests. Multiple linear regression analyses were used to identify items associated with CPQ and global scores. Results: The OHRQoL of the TMD group was statistically different from controls. The malocclusion group reported more oral symptoms and social impacts compared to controls. The variables associated with CPQ scores varied according to clinical condition. Conclusions: OHRQoL was significantly different between clinical groups and controls for both age groups. However, when comparing clinical groups, TMD and caries differed only for preadolescents. The items associated with higher OHRQoL scores were mainly psychosocial for caries and TMD groups, and physical/functional and psychosocial for children and preadolescents with malocclusions, respectively.145389401State of Sao Paulo Research Foundation (FAPESP, SP, Brazil) [2008/00325-9]Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP

Factors Associated With Oral Health-related Quality Of Life In Children And Preadolescents: A Cross-sectional Study

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)To evaluate the factors associated with the perceptions of oral health-related quality of life (OHRQoL) in children and preadolescents. Materials and Methods: 167 students aged 8-14 years were recruited from the public schools of Piracicaba, Brazil. Participants were examined for caries, gingivitis, fluorosis, malocclusions and signs and symptoms of temporomandibular disorders (TMD). OHRQoL was measured using the Brazilian Portuguese version of the Child Perceptions Questionnaire (CPQ 8-10 and 11-14), where higher scores indicate worse OHRQoL. Symptoms of anxiety and depression were evaluated using self-applied questionnaires. Sociodemographic characteristics, dental history and oral hygiene habits were evaluated using a questionnaire. Bivariate and multivariate analyses were used to identify the variables associated with CPQ scores. Results: Higher CPQ 8-10 scores were associated with fluorosis, TMD and symptoms of anxiety and depression. Higher CPQ 11-14 scores were associated with females, TMD and symptoms of anxiety and depression. Younger children (OR = 0.32, p < 0.05) with signs and symptoms of TMD (OR = 4.38, p < 0.01) and anxiety (OR = 4.97, p < 0.001) were more likely to present higher CPQ 8-10 scores. Poor OHRQoL was associated with TMD (OR = 4.29, p < 0.01) and depressive symptoms (OR = 4.50, p < 0.001) in preadolescents. Conclusions: The data indicate that experience of oral diseases and disorders as well as psychological phenomena, such as anxiety and depression, influenced oral health outcomes in this group of children and preadolescents.142137148State of Sao Paulo Research Foundation (FAPESP, SP, Brazil) [2008/00325-9]Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP

Salivary alpha-amylase and hormones levels of young adults with different body composition

The aim of this study was to assess the differences in salivary biomarker levels of young adults classified according to body fat accumulation. One hundred and thirty-four volunteers were evaluated (mean age 212years). Body composition was calculated through skinfold thickness: supra-iliac, biceps, and triceps, sub-scapular. Body fat percentage (BF%) was used to classify subjects according to fat tissue accumulation: normal-weight (n=37, 19 females, 18 males), overweight (n=42, 30 females, 12 males), and obese (n=55, 42 females, 13 males). Saliva samples were collected 30min after awakening to determine salivary levels of 17-beta-estradiol. For salivary cortisol and alpha-amylase activity (sAA) three samples were obtained, just after awakening, 30min after awakening and at bedtime. Oral contraceptive intake was considered for the female group. The results showed that overweight and obese females using oral contraceptive presented lower levels of 17--estradiol than normal-weight females. In overweight and obese males, sAA levels were higher 30min post-awakening when compared with the normal-weight group. The comparison of sAA levels within time showed no difference for males; obese females showed significant higher values at bedtime than 30 min post-awakening. The salivary cortisol concentration showed higher values at morning decreasing significantly at bedtime for all groups. Concluding, differences in 17--estradiol and sAA levels were found in females and males, respectively, according to body fat accumulation, showing the usefulness of salivary biomarkers in the study of systemic conditions5014552CONSELHO NACIONAL DE DESENVOLVIMENTO CIENTÍFICO E TECNOLÓGICO - CNPQFUNDAÇÃO DE AMPARO À PESQUISA DO ESTADO DE SÃO PAULO - FAPESP309588/2011-12010/19616-3; 2010/02020-