Therapeutic itinerary of post-stroke patients: the state of the art of Brazilian scientific production

Este estudio analizó la investigación cualitativa realizadaen Brasil sobre el itinerario de rehabilitación de pacientes que habíansufrido accidente cerebrovascular (ACV), y sintetizó sus principalescontribuciones en busca de los sentidos y significados subyacentes.La revisión integradora de la literatura partió de la siguientepregunta: ¿Cómo se describen los itinerarios de rehabilitaciónde los pacientes post-ACVen los estudios cualitativos? Las basesde datos consultadas fueron BIREME, MEDLINE, LILACS, SciELO,utilizando los descriptores DeCS/MeSH: “acidente vascular cerebralAND qualitativa”; “reabilitação AND acidente vascular cerebral”;“acidente vascular cerebral”; “pesquisa qualitativa”; “acidentevascular encefálico AND qualitativa”; “reabilitação AND acidentevascular encefálico”. Se incluyeron seis artículos que destacaronla importancia de la atención integral, el papel de la familia enel proceso de recuperación, la centralización de los servicios,la dificultad de transporte y la indisponibilidad de familiares ycuidadores como obstáculos en el itinerario de rehabilitación.Los resultados refuerzan la necesidad de implementar mejorasen el curso de la atención a los pacientes post-ACV y la demandade un manejo integralO estudo analisou as pesquisas qualitativas realizadas, no Brasil, sobre o itinerário da reabilitação de pacientes que sofreram acidente vascular cerebral (AVC), e sintetizou suas principais contribuições em busca dos sentidos e significados subjacentes. A revisão integrativa da literatura partiu da seguinte pergunta: como são descritos os itinerários da reabilitação de pacientes que sofreram um AVC nos estudos qualitativos? As bases consultadas foram BIREME, MEDLINE, LILACS, SciELO, utilizando os descritores DeCS/MeSH: “acidente vascular cerebral AND qualitativa”; “reabilitação AND acidentevascular cerebral”; “acidente vascular cerebral”; “pesquisa qualitativa”; “acidente vascular encefálico AND qualitativa”; “reabilitação AND acidente vascular encefálico”. Foram incluídos seis artigos, que destacaram a importância da integralidade do cuidado, o papel da família no processo de recuperação, a centralização dos serviços, a dificuldade com transporte e a indisponibilidade dos familiares e cuidadores como obstáculos no itinerário da reabilitação.Os resultados reforçam a necessidade de implementar melhorias no percurso de cuidado do paciente que sofreu AVC e a demanda pela integralidade do manejoThe study analyzed the qualitative researchconducted in Brazil on the rehabilitation itinerary ofpatients who have suffered a stroke and synthesized itsmain contributions in search of the underlying senses andmeanings. The integrative literature review was basedon the question: how are the rehabilitation itineraries ofstroke patients described in qualitative studies? BIREME,MEDLINE, LILACS, and SciELO databases were consulted,using the DeCS/MeSH descriptors: “acidente vascularcerebral AND qualitativa”; “reabilitação AND acidentevascular cerebral”; “acidente vascular cerebral”; “pesquisaqualitativa”; “acidente vascular encefálico AND qualitativa”;“reabilitação AND acidente vascular encefálico.” A total ofsix articles were included, which highlighted the importanceof integrality of care, the role of the family in the recoveryprocess, the centralization of services, the difficulty withtransportation, and the unavailability of family membersand caregivers as obstacles in the rehabilitation itinerary.Such results reinforce the need to improve the pathway of care of the patient who suffered a stroke and the demand forintegrality of managemen

Anxiety and oral habits as factors associated with malocclusion

The aim of this study was to associate the presence of oral habits with anxiety and malocclusion. Methods: Cross-sectional observational study with 199 schoolchildren 6-14 years old. Malocclusion was evaluated by using the Index of Orthodontic Treatment Need (IOTN). Oral Habits Questionnaire and Hospital Anxiety and Depression Scale (HADS) were used to assess oral habits and anxiety. The schoolchildren were divided into two groups: mixed and permanent dentition. The associations between the outcome variable (oral habits) and the independent variables (anxiety and malocclusion) were evaluated using the Exact Fischer test and the Chi square test. Results: Of the individuals with malocclusion in permanent dentition, 77.4% reported some deleterious oral habit, and 55% of those with no malocclusion at this stage had deleterious habits. Discussion: Oral habits may be associated with the presence of malocclusion in different stages of occlusal development (mixed and permanent dentition) and may be influenced by anxietyCONSELHO NACIONAL DE DESENVOLVIMENTO CIENTÍFICO E TECNOLÓGICO - CNPQ152602/2015-