Correlação entre a escala de depressão geriátrica de Yesavage e o estado de saúde oral do paciente idoso : estudo piloto

Introdução: A depressão é um dos problemas de saúde mental mais prevalentes na população idosa, apresentando um impacto negativo na qualidade de vida e no desempenho das tarefas do quotidiano, constituindo-se como um potencial fator de risco para a saúde oral do paciente geriátrico. Objetivos: Verificar a prevalência de sinais e sintomas de depressão em idosos do distrito de Viseu, e avaliar a forma como estes se relacionam com o estado de saúde oral e qualidade de vida. Materiais e Métodos: Estudo piloto observacional descritivo transversal com uma amostra constituída por 20 participantes residentes em duas instituições do concelho de Viseu. Para a recolha de dados foi utilizado um questionário composto por aspetos gerais sociodemográficos e de saúde oral, pelo índice GOHAI, pela GDS-15 e ainda através da aplicação do índice CPOD. Resultados: A idade média da amostra foi de 80 ± 7.74 anos, sendo 85% do género feminino. 55% relata não possuir próteses. O índice médio de GOHAI foi de 26.7 ± 5.2. Verificou-se também que 65% dos idosos não tinha depressão, 30% tinha "depressão ligeira" e 5% tinha "depressão severa”. Para aqueles categorizados com "depressão", todos consideram ter uma condição “média” a “má” dos seus dentes e quase ¾ apresentaram baixa autoperceção da qualidade de vida relacionada com a saúde oral. Ainda assim, não se detetaram valores estatisticamente significativos entre a severidade de depressão, a idade e o índice CPOD. Conclusão: Verificou-se que indivíduos com sintomas de depressão possuem uma maior tendência para manifestar uma baixa autoperceção da qualidade de vida relacionada com a saúde oral assim como para relatar mais problemas com os seus dentes e gengivas, ainda que tal não se tenha refletido nos resultados do índice de CPOD.Introduction: Depression is one of the most prevalent mental health problems in the elderly population, with a negative impact on the quality of life and the performance of daily tasks, constituting a potential risk factor for the oral health of the geriatric patient. Objective: This study aims to evaluate the prevalence of the depression symptoms and the association between oral symptoms, quality of life with depression in elderly population in Viseu. Materials and Methods: A descriptive cross-sectional observational pilot study with a sample of 20 residents from 2 nursing homes. For data collection, a questionnaire was applied, composed by sociodemographic questions and by the GOHAI Index and GDS-15 and also through the application of the DMFT index. Results: The average age of nursing home residents in this study was 80 ± 7.74 years with a preponderance of women (85%). 55% reported not having prostheses. The average GOHAI Index was 26.7 ± 5.2. When the GDS-15 was converted into categories, 65% had “no depression” wile 30% had “slight depression” and 5% (1/20) had “severe depression. For those categorized with “depression”, all consider having an “medium” to “bad” condition of their teeth and almost ¾ had a “low self-perception” of their oral health. Still, no statistically significant values were detected, neither any statistical significance between depression severity, age and DFMT index. Conclusions: It was found that individuals with symptoms of depression tent to report a low self-perception of quality of life related to oral health as well as to report more problems with their teeth and gums. Although this has not been reflected in the DMFT index results

A musealização do património imaterial da Escola Portuguesa de Arte Equestre

This dissertation deals with theoretical issues related to intangible heritage and its preservation, communication and exhibition in museums. The selected cases of study were the Portuguese School of Equestrian Art and the Lusitanian horse. In order to achieve this objective, this work begins with a reflection on what intangible heritage is, the evolution of the concept over time and the problems inherent in its inventorying. Then a connection is made to the world of museums and the main problems of the musealization of this type of memories are studied. The second part of the work seeks to develop the history of the relationship between man and horse, the origins of the lusitano horse and the Portuguese traditions related to horse riding until the contemporary manifestations of Portuguese equestrian art are reached. Next, a chapter is dedicated to the Portuguese School of Equestrian Art, taking into account their origins and traditions, the exercises that characterize the High School are presented and their equipment and spaces are mentioned, trying to justify the international framework that his candidacy for UNESCO's Intangible Heritage symbolizes. In order to realize these ideas, it is proposed the creation of traveling exhibition room, where the use of new technologies is inevitable. This space follows an exhibition model that can be adapted to different contexts, to be able to follow the national and international exhibitions of the Portuguese School of Equestrian Ar

Estudo de caso de uma mulher sujeita a violência conjugal psicológica, com crenças de amor romântico e uma história de violência interparental

Dissertação de Mestrado em Psicologia ClínicaAlgumas mulheres permanecem numa relação conjugal violenta em que são vítimas, sem que adquiram consciência da sua vitimização. Em consequência, não tomam as desejáveis iniciativas no sentido da cessação do abuso e por sua vez, os técnicos de saúde dos serviços de apoio a que se dirigem, podem ser induzidos em diagnósticos inadequados. Através da revisão da literatura existente, procurou identificar-se quais os fatores de vulnerabilidade destas mulheres à sua vitimização e a sua influência, tendo-se aprofundado o foco da investigação nas possíveis consequências da exposição à violência interparental e das crenças de amor romântico. Conclui-se que ao nível das vulnerabilidades, estes dois fatores podem contribuir determinantemente para que a mulher não identifique a experiência vivida como violência. Adicionalmente, ser-se vítima de violência psicológica sem ocorrência de violência física e a própria situação de abuso, são fatores externos à mulher que também podem contribuir para que esta não interprete enquanto tal a situação de violência a que é submetida. ------ ABSTRACT ------ Some women remain in a violent marital relationship without gain awareness of their status as victims. This situation inhibits the desired corresponding initiatives of the victim to stop the abuse as well as it makes difficult the right diagnostics by health professionals involved. Through review of existing literature, sought to identify the factors of vulnerability to victimization of these women and their influence, having been the focus of extensive research on the possible consequences of exposure to interparental violence and beliefs of romantic love. It is concluded that concerning vulnerabilities, these two factors may contribute decisively to the woman not identify the experience as violence. Furthermore, being victim of psychological violence without physical violence occurrence and also the abuse situation itself, are some external factors that may also contribute in order she will not interpret her situation of victim

Relatório Síntese Licenciados, Mestres e Doutores das Coortes de 2010 a 2019

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Calcaneus stress fracture: a case report

Calcaneal stress fracture is a rare clinical entity associated with diverse etiological factors such as high intensity training, female sex, smoking and poor nutrition. The authors present a case of a calcaneal stress fracture treated conservatively with immobilization, limited weight bearing and vitamin D supplementation.

Comparison of the accuracy of the Friedewald, Martin, and Sampson formulas to estimate very low levels of low-density lipoprotein cholesterol

Introduction: The Martin (MF) and Sampson (SF) formulas have shown greater accuracy for low-density lipoprotein cholesterol (LDL-C) < 70 mg/dL compared to the Friedewald formula (FF); however, some disagreement is maintained. Non-high-density lipoprotein cholesterol (non-HDL-C) and apolipoprotein B (ApoB) are alternatives to assessing cardiovascular risk in patients with very low LDL-C. The objective was to evaluate the accuracy of FF, MF, and SF formulas to estimate LDL-C < 70 mg/dL vs. directly measured LDL-C (LDLd-C) and to compare non-HDL-C and Apo-B levels between the groups of patients with concordant vs. discordant LDL-C. Material and methods: This was a prospective clinical study with measurements of lipid profile and LDLd-C in 214 patients with triglycerides < 400 mg/dL. For each formula, the estimated LDL-C was compared with the LDLd-C, and the correlation, the median difference, and the discordance rate were evaluated. Non-HDL-C and Apo-B levels were compared between the groups with concordant and discordant LDL-C. Results: The estimated LDL-C was < 70 mg/dL in 130 (60.7%) patients by FF, 109 (50.9%) by MF, and 113 (52.8%) by SF. The strongest correlation was found between LDLd-C and Sampson estimated LDL-C (LDLs-C) (R2 = 0.778), followed by Friedewald-estimated LDL-C (LDLf-C) (R2 = 0.680) and Martin estimated LDL-C (LDLm-C) (R2 = 0.652). Estimated LDL-C < 70 mg/dL was lower than LDLd-C, with the largest median absolute difference (25–75th) of –15 (–19 to –10) with FF. For estimated LDL-C < 70 mg/dL, the discordant rate was 43.8%, 38.1%, and 35.1%, reaching for 62.3%, 50.9%, and 50% when LDL-C < 55 mg/dL by FF, SF, and MF, respectively. Patients in the discordant group presented significantly higher levels of non-HDL-C and ApoB for all 3 formulas (p < 0.001). Conclusion: FF was the most inaccurate formula to estimate very low LDL-C. Despite MF and SF showing better results, their frequency in underestimating LDL-C was still considerable. In patients with falsely low estimated LDL-C, apoB and non-HDL-C were significantly higher, reflecting its true high atherogenic burden