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An overview of the effects of physical exercise programs on individuals with Intellectual and Developmental Disabilities
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Jacinto, Miguel

; Ferreira, José Pedro

; Monteiro, Diogo

; Antunes, Raul

; Campos, Maria João

; Matos, Rui

Motricidade

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jun 2024, Volume 20 N. 2 Pages 181 - 186

Abstract: En | Text: En | PDF: En

ABSTRACT Being aware of the relevance of physical exercise in individuals with Intellectual and Developmental Disabilities (IDD), we intend to conduct a brief review on the importance of regular physical exercise for this population. An approach will be taken in order to acknowledge the barriers to the high rates of sedentary lifestyles in this population, the potential benefits of physical exercise, and the essential aspects for a correct assessment, prescription, and implementation of these programs in the population with IDD, through a reflection supported by scientific evidence. The current overview aims to provide relevant information regarding the health benefits of physical exercise in individuals with IDD, as the basis for QoL promoting more active and healthier lifestyles, namely through structured physical exercise. In addition, it is also a useful tool for consultation by exercise professionals since adjusted indoor and outdoor exercise programs are listed.

https://doi.org/10.6063/motricidade.30665

The psychological experience of medical rescuers during the COVID-19 pandemic
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Fonseca, Sílvia Monteiro

; Cunha, Sónia

; Silva, Márcio

; Ramos, M. Joaquina

; Azevedo, Guilherme

; Campos, Rui

; Faria, Sara

; Queirós, Cristina

Psicologia

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jun 2023, Volume 37 N. 1 Pages 1 - 11

Abstract: En | Text: En | PDF: En

Abstract Medical rescuers are the frontline for COVID-19 and their psychological experience and health are major concerns to our society and healthcare system. This study aims to understand how medical rescuers psychologically experienced this pandemic and explore the contributing variables to COVID-19 anxiety. Portuguese medical rescuers (n = 203) answered questions about their COVID-19 experience, the COVID-19 Anxiety Scale, Patient-Health Questionnaire, Perceived Stress Scale, Obsessive-Compulsive Inventory, and Well-Being Questionnaire. Rescuers presented low COVID-19 anxiety and low-moderate levels of fear. Most already faced or were facing changes in their job-related tasks, did not change household and did not feel stigma/discrimination. COVID-19 workplace security measures were considered moderately adequate and low anxiety, depression and obsessive-compulsive symptoms, low to moderate stress and moderate well-being were found. Only COVID-19 fear and security measures, anxiety, depression and obsessive-compulsive symptoms explained COVID-19 anxiety. Overall, findings showed these rescuers were psychologically well adjusted during the pandemic’s initial stages.

https://doi.org/10.17575/psicologia.1679

CARACTERIZAÇÃO E AVALIAÇÃO QUALITATIVA DA OFERTA ALIMENTAR DIRIGIDA A ESTUDANTES EM ESTABELECIMENTOS DE RESTAURAÇÃO PÚBLICA NA PROXIMIDADE DE INSTITUIÇÕES DE ENSINO
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Campos, Mariana

; Afonso, Cláudia

; Teixeira, Beatriz

; Poínhos, Rui

; Rocha, Ada

; Viegas, Cláudia

Acta Portuguesa de Nutrição

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dec 2022, N. 31 Pages 30 - 36

Abstract: En Pt | Text: En Pt | PDF: En | PDF: Pt

ABSTRACT INTRODUCTION: Food consumption outside home is an important health determinant for population in general and for students, who resort frequently to public catering in the areas surrounding educational establishments. OBJECTIVES: To characterize the food offer included in the student menus in the Portuguese catering establishments. METHODOLOGY: This is a cross-sectional observational study was design in the Portuguese public catering establishments. It was collected information about the composition of foods and beverages that compose the Student Menu. RESULTS: 138 student menus were analyzed with an average of 3.4 options per menu (standard deviation = 3). Only 10% include soup and none of them include fruit. The vegetarian option is rare (11%) and only 20% include the fish option, contrasting with 35% that include the white meat option and 73% that include the red meat option. In 68% of the menus french fries are served, as a side dish. Regarding to drinks, 31% of the menus include sugary drinks and 42% include water. Allergen information is presented only in 3.6% of the menus. CONCLUSIONS: The Students Menus that were analyzed reflect the inadequacy of lack of variety of food supply, highlighting the lack of fruit and vegetables and vegetarian options and the excess of red meat and soft drinks. It is relevant to adopt national strategies that promote healthier eating habits in the young population, considering the existing offer in the proximity of educational establishments.

RESUMO INTRODUÇÃO: O consumo alimentar fora de casa é um importante determinante da saúde da população no geral e dos estudantes em particular, que recorrem com frequência à restauração pública existente nas imediações dos estabelecimentos de ensino. OBJETIVOS: Caraterizar a oferta alimentar incluída nos menus para estudantes em estabelecimentos de restauração pública portugueses. METODOLOGIA: Trata-se de um estudo observacional transversal realizado em estabelecimentos de restauração pública portugueses. Recolheram-se informações sobre a composição de alimentos e bebidas que compõem os menus para estudantes. RESULTADOS: Analisaram-se 138 menus com uma média de 3,4 opções por menu (desvio-padrão = 3). Apenas 10% dos menus incluem sopa e nenhum inclui fruta. A opção vegetariana é escassa (11%) e apenas 20% dos menus oferecem pescado, contrastando com 35% de opções de carne branca e 73% de carne vermelha. Em 68% das opções são servidas batatas fritas como acompanhamento. Relativamente à bebida, 31% dos menus incluem bebidas açucaradas e 42% incluem água. Os alergénios são apresentados somente em 3,6% dos menus. CONCLUSÕES: Os menus para estudantes analisados refletem que a oferta alimentar é desadequada e pouco variada, destacando-se a falta de hortofrutícolas e opções vegetarianas e o excesso de carne vermelha e bebidas açucaradas. É relevante adotar estratégias nacionais que promovam hábitos alimentares mais saudáveis na população jovem, considerando a oferta existente na proximidade dos estabelecimentos de ensino.

https://doi.org/10.21011/apn.2022.3105

Medical rescuers’ occupational health during COVID-19: Contribution of coping and emotion regulation on burnout, trauma and post-traumatic growth
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Fonseca, Sílvia Monteiro

; Cunha, Sónia

; Campos, Rui

; Faria, Sara

; Silva, Márcio

; Ramos, M. Joaquina

; Azevedo, Guilherme

; Barbosa, António Ruão

; Queirós, Cristina

Análise Psicológica

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jun 2022, Volume 40 N. 1 Pages 1 - 13

Abstract: En Pt | Text: En Pt | PDF: En | PDF: Pt

Abstract The COVID-19 pandemic places unique challenges to medical rescuers’ occupational health. Thus, it is crucial to assess its direct and indirect impacts on key psychological outcomes and adaptation strategies. This study aims to analyse the impact of this pandemic on medical rescuers’ coping and emotion regulation strategies, and their levels of work-related psychological outcomes, such as burnout, trauma and post-traumatic growth. Additionally, it aims to analyse the contribution of coping and emotion regulation strategies, employed to manage the COVID-19 pandemic, on burnout, trauma and post-traumatic growth. A sample of 111 medical rescuers answered the Brief Cope, Emotion Regulation Questionnaire, Oldenburg Burnout Inventory, Impact of Event Scale-Revised and Post-Traumatic Growth Inventory. Medical rescuers resorted moderately to coping and emotion regulation strategies, since the beginning of COVID-19. They presented moderate burnout and post-traumatic growth and low trauma. Coping presented a higher weight on burnout, trauma and post-traumatic growth, than emotion regulation. Expressive suppression and dysfunctional coping predicted burnout and trauma, and problem and emotion-focused coping predicted post-traumatic growth. Dysfunctional coping mediated and, thus, exacerbated the effect of expressive suppression on burnout and on trauma. Practitioners should pay closer attention to professionals with higher burnout and trauma. Occupational practices should focus on reducing dysfunctional coping and expressive suppression and promoting problem-focused coping.

Resumo A pandemia COVID-19 coloca desafios únicos à saúde ocupacional dos profissionais do pré-hospitalar. Assim, é fundamental avaliar o seu impacto psicológico, para sintomatologia direta ou indiretamente relacionada com a COVID-19. Pretende-se analisar o impacto desta pandemia nos outcomes psicológicos laborais, como burnout, trauma e crescimento pós-traumático, e nas estratégias de coping e regulação emocional. Pretende-se também analisar o contributo do coping e regulação emocional para estes outcomes. Uma amostra de 111 profissionais de emergência médica pré-hospitalar responderam ao Brief Cope, Emotion Regulation Questionnaire, Oldenburg Burnout Inventory, Impact of Event Scale-Revised e Post-Traumatic Growth Inventory. Os profissionais recorreram moderadamente a estratégias de coping e regulação emocional, desde o início da pandemia. Reportaram moderado burnout e crescimento pós-traumático e baixo trauma. O coping apresentou maior peso para os outcomes. A supressão emocional e o coping disfuncional contribuíram para o burnout e trauma, e o coping problema e emoção contribuíram para o crescimento pós-traumático. O coping disfuncional mediou e exarcebou o efeito da supressão emocional no burnout e trauma. Assim, poderá ser dada especial atenção a profissionais com elevado burnout e trauma e as práticas poderão ser focadas na redução do coping disfuncional e supressão emocional, bem como na promoção do coping problema.

https://doi.org/10.14417/ap.1868 31 downloads

Trauma infantil, evitamento da dor psicológica e comportamentos autolesivos em jovens adultos
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Arvanas, Catarina

; Campos, Rui

; Vasques, Ana

; Pereira, Alexandra

Psicologia, Saúde & Doenças

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apr 2022, Volume 23 N. 1 Pages 229 - 242

Abstract: En Pt | Text: En Pt | PDF: En | PDF: Pt

Abstract Childhood trauma presents a negative impact on development, which can lead to dysfunctionality and to suicidal behaviors, namely self-harming behaviors throughout life. The aim of this preliminary study is to test the mediation and moderation effects of different facets of psychological pain, cognitive dimension, affective dimension and avoidance in the relationship between childhood trauma and self-harming behavior in young adults. A final sample of 323 young adults, college students, aged between 18 and 28 years participated. Path analysis techniques using Structural Equation Modeling and Multiple Hierarchical Regression Analysis were used to test mediation and moderation models, respectively. It was found that the dimension of psychological pain avoidance partially mediates the relationship between childhood trauma and self-injurious behaviors. There were no significant moderation effects. Results are discussed in their clinical implications.

Resumo O trauma na infância apresenta um impacto negativo no desenvolvimento, podendo conduzir a disfuncionalidade e à ocorrência de comportamentos suicidários, nomeadamente a comportamentos autolesivos, ao longo da vida. O objetivo deste estudo de natureza preliminar é testar os efeitos de mediação e moderação de diferentes facetas da dor psicológica, dimensão cognitiva, dimensão afetiva e dimensão de evitamento, na relação entre trauma na infância e comportamentos autolesivos em jovens adultos. Participou uma amostra final de 323 jovens adultos, estudantes do ensino superior, com idades compreendidas entre os 18 e os 28 anos. Utilizou-se a metodologia de path analysis através de Modelação de Equações Estruturais e de Análise de Regressão Múltipla Hierárquica para testar os modelos de mediação e de moderação, respetivamente. Verificou-se que a dimensão de evitamento da dor psicológica medeia parcialmente a relação entre trauma na infância e comportamentos autolesivos. Não se verificaram efeitos de moderação significativos. Os resultados são discutidos nas suas implicações clínicas.

https://doi.org/10.15309/22psd230122 31 downloads

HÁBITOS ALIMENTARES, ESTADO NUTRICIONAL E ESTILOS DE VIDA DE UMA AMOSTRA DE TIMORENSES RESIDENTES EM PORTUGAL
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Monteiro, Renilde

; Poínhos, Rui

; Campos, Maria Antónia

; Teixeira, Beatriz

; Afonso, Cláudia

Acta Portuguesa de Nutrição

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dec 2021, N. 27 Pages 12 - 16

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

RESUMO INTRODUÇÃO: A presença de um número considerável de timorenses a residir em Portugal, justifica a necessidade de investigar acerca dos seus hábitos alimentares, uma vez que até à data, existe uma lacuna de informação relativamente a este tema. OBJETIVOS: Avaliar e conhecer os hábitos alimentares, o estado nutricional e os estilos de vida de uma amostra de timorenses a residir em Portugal. METODOLOGIA: Trata-se de um estudo epidemiológico descritivo observacional, de desenho transversal que abrange uma amostra da população timorense residente em Portugal, de idade igual ou superior a 18 anos. Integraram a amostra 88 indivíduos. Foi elaborado um questionário estruturado de aplicação direta, com questões relativas às características sociodemográficas, estilos de vida e estado de saúde, caraterísticas antropométricas, hábitos alimentares e suas alterações após a emigração. A recolha de dados aconteceu entre fevereiro e março de 2020. RESULTADOS: Foram analisadas 82 respostas dos participantes com idade média de 29,7±12,5 anos. A maioria apresentava um Índice de Massa Corporal normal (64,1%) e 21,9% eram pré-obesos ou obesos. 26,5% dos inquiridos realizaram as refeições, de forma completa e saudável. 62,2% da amostra relatou melhorias no seu estado de saúde após a vinda para Portugal e 69,5% considerou que a alimentação teve influência nessa mudança. Relativamente às alterações dos hábitos alimentares, 70,7% dos inquiridos mencionaram terem alterado o número de refeições, as quantidades de alimentos consumidos (78%) e 58,5% o local habitual onde realizavam as suas refeições. CONCLUSÕES: Dos timorenses que vieram para Portugal, só ¼ da amostra realizaram refeições completas e saudáveis, mas só cerca de metade ingeria frutas e hortícolas. Com a vinda para Portugal, reportaram consumir um maior número de refeições, maiores quantidades de alimentos e faziam as suas refeições mais vezes fora de casa. Reduziram a prática de atividade física e ¼ da amostra fumava e bebia álcool semanalmente. Mais de metade da amostra era normoponderal, apresentando pré-obesidade e obesidade ¼ dos inquiridos.

ABSTRACT INTRODUCTION: A considerable number of Timorese living in Portugal justifies the need to investigate their eating habits, since to date there is a lack of information on this topic. OBJETIVES: To evaluate the eating habits, nutritional status and lifestyles from a sample of the Timorese population living in Portugal. METHODOLOGY: This is a cross-sectional design, covering a sample of the Timorese population living in Portugal, aged 18 years or above. The sample comprised 88 individuals. A structured questionnaire for direct application was prepared, with questions related to sociodemographic characteristics, lifestyles and health status, anthropometric characteristics, eating habits and their changes after emigration. Data collection took place between February and March 2020. RESULTS: The sample include 82 responses from Timorese participants (mean age of 30 years, SD = 12). Most of them had a Body Mass Index corresponding to normality (64.1%) and 21.9% were pre-obese or obese. 26.5% of the participants ate their meals in a complete and healthy way. 62.2% of the sample reported improvements in their health status after coming to Portugal and 69.5%, considered that diet had an influence on this change. Regarding changes in EA, 70.7% of the respondents mentioned having changed the number of meals, 78.0% the quantities of food consumed and 58.5% the place where they usually ate. CONCLUSIONS: Among this sample of Timorese who came to Portugal, only one quarter of the sample had complete and healthy meals, and only half of them ate fruits and vegetables. Upon coming to Portugal, they reported an increasing of the number of meals, greater amounts of food and eating out more often. They reduced the practice of physical activity and one quarter of the sample smoked and drank alcohol weekly, with the number of hours of sleep within the recommended range. More than half of the sample had normal weight, with pre-obesity or obesity being present in about one quarter.

https://doi.org/10.21011/apn.2021.2703 13 downloads

Civilização ecológica: A China e a sustentabilidade
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Campos, Rui

Relações Internacionais (R:I)

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dec 2021, N. 72 Pages 113 - 126

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

Resumo A civilização ecológica - conceito para o desenvolvimento sustentável - é recente. Inicialmente pensado como uma política interna, tem vindo a ganhar alguma relevância no plano internacional. É neste contexto que se pretende perceber se a China se prepara para liderar o combate às alterações climáticas ou se pretende apenas aumentar a sua influência internacional.

Abstract Ecological civilization - a concept for sustainable development - is new. Initially thought of as an internal policy, it has gained some international relevance. It is in this context that we intend to understand whether China is preparing to lead the fight against climate change or whether it only wants to increase its international influence.

https://doi.org/10.23906/ri2021.72a07 12 downloads

Subtype-Dependent Co-receptor Tropism in Cuban HIV-1–Infected Patients: Implications for Maraviroc Treatment
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Martínez-Montesino, Yenisleidys

; Kourí-Cardellá, Vivian

; Pérez-Santos, Lissette

; Han, Rui

; Pintos-Saavedra, Yanet

; Alemán-Campos, Yoan

; Soto-Brito, Yudira

; Baños-Morales, Yoanna

; Caturla-Fernández, Yaniris

MEDICC Review

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dec 2021, Volume 23 N. 3-4 Pages 29 - 36

Abstract: En | Text: En | PDF: En

Abstract INTRODUCTION Unlike most high-income countries where subtype B viruses predominate, the Cuban HIV-1 epidemic is characterized by a great diversity of subtypes and circulating recombinant forms. Some studies have shown that HIV variants exhibiting a preference for the CXCR4 co-receptor (X4-tropic) could have impacts on disease pathogenesis, with clinical implications for antiviral treatment plans. Determination of HIV co-receptor tropism is crucial for clinicians in deciding whether maraviroc is an appropriate antiviral. OBJECTIVE Characterize V3 sequence variability and its relation to viral tropism across different subtypes circulating in Cuba and explore how this may affect treatment success with maraviroc. METHODS We designed a cross-sectional study that included 72 plasma samples obtained at the Pedro Kourí Tropical Medicine Institute in Havana, Cuba. We sequenced the C2V3 env region and assessed subtype based both on env and pol sequences; tropism was predicted by Geno2pheno analysis. Additionally, 35 V3-loop Cuban sequences, obtained from a previous study, were incorporated into the analysis. Statistical associations among virological, clinical and epidemiological variables were assessed by a chi-square test. RESULTS Tropism prediction for 72 variants revealed that CRF19_cpx was associated with dual-tropic R5X4 viruses (p = 0.034). Moreover, when 35 sequences from a former study were added, the association was significant not only for R5X4 (p = 0.019) but also for X4-tropic variants (p = 0.044). Alignment of 107 V3-loop sequences showed wide diversity among the different HIV-1 subtypes circulating in Cuba. CONCLUSIONS In accordance with G2P, CRF19_cpx is a genetic variant with a high proportion of X4 and R5X4-tropic viruses. The results from the present study suggest that the Cuban recombinant could be a more pathogenic variant and that maraviroc may not be suitable for patients infected with CRF19_cpx.

https://doi.org/10.37757/mr2021.v23.n3.6

Sexual function, personality, and body awareness
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Campos, Pedro

; Wittmann, Marc

; Costa, Rui

Psicologia, Saúde & Doenças

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sep 2021, Volume 22 N. 2 Pages 411 - 422

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

Resumo Diversos estudos têm relatado associações entre os traços de personalidade Big Five e a função sexual. Além disso, o funcionamento sexual é influenciado por modificações temporárias de consciência. O presente estudo examinou de que forma a resposta sexual está independentemente associada aos traços de personalidade Big Five e à intensidade da consciência do corpo, do tempo e do espaço circundante. Cento e trinta e seis mulheres portuguesas heterossexuais responderam a um questionário online. Os traços Big Five foram mensurados através do NEO-FFI-20. Para avaliar a responsividade durante a última relação sexual, as participantes responderam a medidas de satisfação sexual, desejo, excitação, ocorrência de orgasmo, consciência corporal, consciência do espaço e consciência do tempo. A satisfação e o orgasmo associaram-se a maior extroversão, maior conscienciosidade e menor neuroticismo. O desejo e excitação correlacionaram-se com maior extroversão e menor neuroticismo. Maior consciência corporal e menor consciência do tempo associaram-se com satisfação, desejo e excitação. A percepção corporal associou-se inversamente à percepção do tempo. Maior consciência corporal, estar num relacionamento, maior extroversão, maior abertura à experiência e maior conscienciosidade foram preditores independentes da satisfação. Maior consciência corporal e menor neuroticismo foram preditores independentes do desejo. Menor neuroticismo, maior consciência corporal e maior abertura à experiência foram preditores independentes da excitação. Os resultados mostram como a responsividade sexual poderá ser influenciada de forma independente por factores de personalidade estáveis e mudanças transitórias de consciência.

Abstract Associations between Big Five personality traits and sexual function have been reported by many studies. Additionally, temporary alterations of consciousness influence sexual functioning. The present study examined how sexual responsiveness is independently associated with Big Five Personality traits and intensity of awareness of body, time, and surrounding space. One hundred thirty six heterosexual Portuguese women answered an online survey. Big Five personality traits were measured by the NEO-FFI-20. To assess responsiveness during the last sexual intercourse, participants completed measures on sexual satisfaction, desire, arousal, and orgasm occurrence, as well as awareness of body, space and time. Satisfaction and orgasm were associated to higher extraversion, higher conscientiousness, and lower neuroticism. Desire and arousal correlated with higher extraversion and lower neuroticism. Greater body awareness and lesser time awareness correlated with satisfaction, desire, and arousal. Body awareness was inversely related to time awareness. Satisfaction was independently predicted by body awareness, being in a relationship, extraversion, openness to experience, and conscientiousness. Desire was independently predicted by body awareness and lower neuroticism. Arousal was independently predicted by body awareness, openness to experience, and lower neuroticism. The findings provide knowledge on how sexual responsiveness might be independently influenced by stable personality factors and transient changes of consciousness.

https://doi.org/10.15309/21psd220208 64 downloads

10.

Factor structure and proposed scoring revision of the Three-Dimensional Psychological Pain Scale
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Holden, Ronald R.

; Campos, Rui C.

; Lambert, Christine E.

; Simões, Ana

; Costa, Sara

; Pio, Ana Sofia

; Spínola, Joana

; Marques, Diandra

Psicologia

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jun 2021, Volume 35 N. 1 Pages 85 - 94

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

Resumo O desenvolvimento de instrumentos de medida adequados do ponto de vista psicométrico para a avaliar a dor psicológica é importante, dado que a investigação tem demonstrado a existência de uma relação robusta com o risco suicidário. O presente estudo avaliou a estrutura da Escala Tridimensional de Dor Psicológica (TDPPS), uma medida relevante para o suicídio, destinada a avaliar três facetas da dor psicológica: afetivas, cognitivas e comportamental. Participaram seis amostras num total de 1,627 adultos. Nem uma análise fatorial confirmatória nem a modelagem de equações estruturais exploratória sustentaram a hipótese da estrutura tridimensional do TDPPS; antes identificaram duas dimensões: fuga da dor e emoção de dor que demonstraram replicabilidade numa validação cruzada e adequada consistência interna. Além disso, a validade dos resultados nessas duas escalas foi confirmada por associações com outra medida de dor e escalas de comportamento suicida e depressão. Os resultados ampliam o conhecimento da estrutura do TDPPS.

Abstract The development of psychometrically sound measures to assess mental pain are important because research has consistently demonstrated a robust relationship to suicide risk. The current research evaluated the Three-Dimensional Psychological Pain Scale (TDPPS) structure, a suicide-relevant measure intended to articulate pain into affective, cognitive, and behavioral facets. As the first Western study to evaluate the TDPPS structure with non-Chinese respondents, six samples comprising 1,627 adults participated. Neither confirmatory factor analyses nor exploratory structural equation modeling supported the hypothesized three-dimensional structure of the TDPPS but, instead, identified two dimensions: pain escape and pain emotions. Scales based on these two dimensions demonstrated replicability in cross-validation and score internal consistency reliability. Furthermore, validity for scores on these two scales was confirmed through moderate associations with another pain measure and scales of suicidal behavior and depression. Findings extend knowledge of TDPPS’s structure of psychological pain and suggest a scale scoring revision.

https://doi.org/10.17575/psicologia.v35i1.1670 8 downloads

11.

CARACTERÍSTICAS PSICOMÉTRICAS DA EATING ASSESSMENT TOOL EM INDIVÍDUOS PORTUGUESES COM PARALISIA CEREBRAL
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Oliveira, Tânia

; Poínhos, Rui

; Campos, Maria Antónia

Acta Portuguesa de Nutrição

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jun 2021, N. 25 Pages 18 - 22

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

RESUMO INTRODUÇÃO: A disfagia é uma dificuldade alimentar muito frequente na paralisia cerebral. Apesar da relevância da sua deteção precoce, raramente são realizados exames específicos, e não existe uma ferramenta validada e adaptada para avaliar a disfagia na população portuguesa com paralisia cerebral. OBJETIVOS: O nosso objetivo foi estudar as características psicométricas da Eating Assessment Tool (EAT-10) numa amostra de indivíduos portugueses com paralisia cerebral e adaptá-la para uso em pessoas com paralisia cerebral. METODOLOGIA: A escala foi aplicada a uma amostra de conveniência de 75 participantes (idades entre 11 e 61 anos) com diagnóstico clínico de paralisia cerebral e a um grupo de controlo com igual número de participantes. As propriedades psicométricas (consistência interna e análise factorial) da escala foram avaliadas no grupo com paralisia cerebral. RESULTADOS: Tanto a consistência interna quanto a análise factorial sugeriram a exclusão de um dos itens. A versão final da escala (EAT-9) apresentou boa consistência interna (alfa de Cronbach = 0,749) e uma estrutura unifatorial, com o fator latente a explicar 37,2% da variância total. Os participantes com paralisia cerebral obtiveram pontuações mais elevadas na EAT-9 do que o grupo de controlo (p < 0,001), e 28,0% (n = 21) tinham uma pontuação indicadora de anomalias no processo de deglutição, enquanto apenas um dos controlos apresentava tal pontuação. CONCLUSÕES: A EAT-9 é um instrumento adequado para o rastreio de disfagia em indivíduos portugueses com paralisia cerebral com idades entre os 11 e os 61 anos.

ABSTRACT INTRODUCTION: Dysphagia is a very frequent feeding difficulty in cerebral palsy. Despite the relevance of its early detection, specific exams are rarely performed, and there is no validated and adapted tool to assess dysphagia in the Portuguese population with cerebral palsy. OBJECTIVES: Our aim was to study the psychometric characteristics of the Eating Assessment Tool (EAT-10) in a sample of Portuguese individuals with cerebral palsy adapting it to be used in cerebral palsy patients. METHODOLOGY: The scale was applied to a convenience sample of 75 participants (aged 11 to 61 years) with clinical diagnosis of cerebral palsy and to a control group with the same number of participants. The psychometric properties (internal consistency and factor analysis) of the scale were assessed in the group with cerebral palsy. RESULTS: Both the internal consistency and the factor analysis suggested the exclusion of one of the items. The final version of the scale (EAT-9) presented an adequate internal consistency (Cronbach's alpha = 0.749) and a unifactorial structure, with the latent factor explaining 37.2% of the total variance. Participants with cerebral palsy scored higher on the EAT-9 than the control group (p < 0.001), and 28.0% (n = 21) of the participants had a score on the EAT-9 indicative of anomaly in swallowing, while in the control group only one participant (1.3%) presented such a score. CONCLUSIONS: The EAT-9 is an adequate tool for screening dysphagia among Portuguese individuals with cerebral palsy aged between 11 and 61 years.

https://doi.org/10.21011/apn.2021.2504 85 downloads

12.

Eficácia da intervenção da enfermagem pré-hospitalar na estabilização das vítimas de trauma
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Mota, Mauro

; Cunha, Madalena

; Santos, Eduardo

; Figueiredo, Ândrea

; Silva, Márcio

; Campos, Rui

; Santos, Margarida Reis

Revista de Enfermagem Referência

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apr 2021, Volume serV N. 6 elocation e20114

Abstract: Es Pt En | Text: Es Pt En | PDF: Es | PDF: Pt | PDF: En

Resumen Marco contextual: Los traumatismos son un problema de salud pública con un considerable impacto social y económico. Sin embargo, los datos nacionales sobre su caracterización y el papel de la enfermería en su gestión son todavía escasos. Objetivos: Evaluar la eficacia de la intervención de enfermería en la estabilización de la víctima de traumatismo, proporcionada por los enfermeros de las Ambulancias de Soporte Vital Inmediato en Portugal. Metodología: Estudio observacional, prospectivo y descriptivo-correlacional. Datos recogidos por los enfermeros de las Ambulancias de Soporte Vital Inmediato de Portugal continental del 01/03/2019 al 30/04/2020, y en las Azores del 01/10/2019 al 30/04/2020. Se evaluaron los índices de gravedad de los traumatismos antes y después de las intervenciones de los enfermeros. Resultados: Se incluyeron 606 casos (79,4% traumatismos cerrados; 40,8% por accidentes de tráfico) notificados por 171 enfermeros. Para tratar a las víctimas de traumatismos, el enfermero realizó principalmente intervenciones de soporte hemodinámico (88,9%) y de control no farmacológico del dolor (90,6%). La intervención de los enfermeros mejoró los índices de gravedad de RTS y SI (p < 0,001). Conclusión: La intervención prehospitalaria de los enfermeros mejora el cuadro clínico de las víctimas de traumatismos.

Resumo Enquadramento: O trauma é um problema de saúde pública com considerável impacto social e económico. Contudo, a evidência nacional sobre a sua caracterização e o papel da enfermagem na sua gestão é ainda escassa. Objetivos: Avaliar a eficácia da intervenção de enfermagem na estabilização da pessoa vítima de trauma, prestada pelos enfermeiros das Ambulâncias de Suporte Imediato de Vida em Portugal. Metodologia: Estudo observacional, prospetivo e descritivo-correlacional. Dados colhidos pelos enfermeiros das Ambulâncias de Suporte Imediato de Vida de Portugal continental, de 01/03/2019 a 30/04/2020, e nos Açores, de 01/10/ 2019 a 30/04/2020. Avaliaram-se índices de gravidade do trauma antes e após as intervenções dos enfermeiros. Resultados: Incluíram-se 606 casos (79,4% trauma fechado; 40,8% por acidentes rodoviários) reportados por 171 enfermeiros. Para gerir as vítimas de trauma, o enfermeiro realizou maioritariamente intervenções de suporte hemodinâmico (88,9%) e de controlo não-farmacológico da dor (90,6%). A intervenção dos enfermeiros melhorou os índices de gravidade RTS e SI (p < 0,001). Conclusão: A intervenção pré-hospitalar dos enfermeiros melhora o quadro clínico das vítimas de trauma.

Abstract Background: Trauma is a public health issue with a significant social and economic impact. However, national data on its characterization and the role of nursing in its management is still scarce. Objective: To assess the effectiveness of prehospital nursing interventions in stabilizing trauma victims provided by nurses of Immediate Life Support Ambulances in Portugal. Methodology: Observational, prospective, and descriptive-correlational study. Data were collected by nurses of the Immediate Life Support Ambulances in mainland Portugal, from 01/03/2019 to 30/04/2020, and the Azores, from 01/10/2019 to 30/04/2020. Trauma severity indices were assessed before and after the nursing interventions. Results: This study included 606 cases (79.4% blunt trauma; 40.8% road accidents) reported by 171 nurses. Nurses performed mostly interventions for hemodynamic support (88.9%) and non-pharmacological pain control (90.6%) of trauma victims. The nursing interventions improved the Revised Trauma Score and the Shock Index (p<0.001). Conclusion: Prehospital nursing interventions improve trauma victims’ clinical status.

https://doi.org/10.12707/rv20114 88 downloads

13.

Diretrizes Brasileiras de Hipertensão Arterial – 2020
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Barroso, Weimar Kunz Sebba

; Rodrigues, Cibele Isaac Saad

; Bortolotto, Luiz Aparecido

; Mota-Gomes, Marco Antônio

; Brandão, Andréa Araujo

; Feitosa, Audes Diógenes de Magalhães

; Machado, Carlos Alberto

; Poli-de-Figueiredo, Carlos Eduardo

; Amodeo, Celso

; Mion Júnior, Décio

; Barbosa, Eduardo Costa Duarte

; Nobre, Fernando

; Guimarães, Isabel Cristina Britto

; Vilela-Martin, José Fernando

; Yugar-Toledo, Juan Carlos

; Magalhães, Maria Eliane Campos

; Neves, Mário Fritsch Toros

; Jardim, Paulo César Brandão Veiga

; Miranda, Roberto Dischinger

; Póvoa, Rui Manuel dos Santos

; Fuchs, Sandra C

; Alessi, Alexandre

; Lucena, Alexandre Jorge Gomes de

; Avezum, Alvaro

; Sousa, Ana Luiza Lima

; Pio-Abreu, Andrea

; Sposito, Andrei Carvalho

; Pierin, Angela Maria Geraldo

; Paiva, Annelise Machado Gomes de

; Spinelli, Antonio Carlos de Souza

; Nogueira, Armando da Rocha

; Dinamarco, Nelson

; Eibel, Bruna

; Forjaz, Cláudia Lúcia de Moraes

; Zanini, Claudia Regina de Oliveira

; Souza, Cristiane Bueno de

; Souza, Dilma do Socorro Moraes de

; Nilson, Eduardo Augusto Fernandes

; Costa, Elisa Franco de Assis

; Freitas, Elizabete Viana de

; Duarte, Elizabeth da Rosa

; Muxfeldt, Elizabeth Silaid

; Lima Júnior, Emilton

; Campana, Erika Maria Gonçalves

; Cesarino, Evandro José

; Marques, Fabiana

; Argenta, Fábio

; Consolim-Colombo, Fernanda Marciano

; Baptista, Fernanda Spadotto

; Almeida, Fernando Antonio de

; Borelli, Flávio Antonio de Oliveira

; Fuchs, Flávio Danni

; Plavnik, Frida Liane

; Salles, Gil Fernando

; Feitosa, Gilson Soares

; Silva, Giovanio Vieira da

; Guerra, Grazia Maria

; Moreno Júnior, Heitor

; Finimundi, Helius Carlos

; Back, Isabela de Carlos

; Oliveira Filho, João Bosco de

; Gemelli, João Roberto

; Mill, José Geraldo

; Ribeiro, José Marcio

; Lotaif, Leda A. Daud

; Costa, Lilian Soares da

; Magalhães, Lucélia Batista Neves Cunha

; Drager, Luciano Ferreira

; Martin, Luis Cuadrado

; Scala, Luiz César Nazário

; Almeida, Madson Q.

; Gowdak, Marcia Maria Godoy

; Klein, Marcia Regina Simas Torres

; Malachias, Marcus Vinícius Bolívar

; Kuschnir, Maria Cristina Caetano

; Pinheiro, Maria Eliete

; Borba, Mario Henrique Elesbão de

; Moreira Filho, Osni

; Passarelli Júnior, Oswaldo

; Coelho, Otavio Rizzi

; Vitorino, Priscila Valverde de Oliveira

; Ribeiro Junior, Renault Mattos

; Esporcatte, Roberto

; Franco, Roberto

; Pedrosa, Rodrigo

; Mulinari, Rogerio Andrade

; Paula, Rogério Baumgratz de

; Okawa, Rogério Toshiro Passos

; Rosa, Ronaldo Fernandes

; Amaral, Sandra Lia do

; Ferreira-Filho, Sebastião R.

; Kaiser, Sergio Emanuel

; Jardim, Thiago de Souza Veiga

; Guimarães, Vanildo

; Koch, Vera H.

; Oigman, Wille

; Nadruz, Wilson

Arquivos Brasileiros de Cardiologia

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mar 2021, Volume 116 N. 3 Pages 516 - 658

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

https://doi.org/10.36660/abc.20201238 10948 downloads

14.

Tooth Discoloration Using Calcium Silicate-Based Cements For Simulated Revascularization in Vitro
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Marques Junior, Rui Barbosa

; Baroudi, Kusai

; Santos, Alison Flávio Campos dos

; Pontes, Denise

; Amaral, Marina

Brazilian Dental Journal

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feb 2021, Volume 32 N. 1 Pages 53 - 58

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

Resumo A revascularização endodôntica pode ser um tratamento alternativo para dentes imaturos necrosados, porém, várias etapas do tratamento podem causar alteração de cor dental. Este estudo avaliou o uso de três cimentos a base de silicato de cálcio com diferentes agentes radiopacificadores na alteração de cor (∆E) de pré-molares extraídos após a simulação de revascularização. Quarenta pré-molares unirradiculares extraídos foram conformados com brocas gates glidden #1-6, irrigados com hipoclorito de sódio, e preenchidos com sangue humano fresco. Três cimentos a base de silicato de cálcio com diferentes agentes radiopacificadores (óxido de bismuto - CSBi, tungstato de cálcio - CSW, e óxido de zircônio - CSZr) foram aplicados sobre o coágulo sanguíneo (n=10). O grupo controle recebeu a aplicação de um cimento temporário a base de óxido de zinco (TFZn) (n=10). ∆E foi medida com um espectrofotômetro, utilizando o sistema de cor L*a*b* da International Commission on Illumination (CIELab), em tempos diferentes: previamente ao preparo da cavidade de acesso (t0); logo após o tratamento (t1); e após um (t2), dois (t3), três (t4) e quatro (t5) meses. O local do dente para a avaliação de cor foi padronizado por uma matriz de silicone, a leitura da cor foi realizada 3 vezes por dente, e os dentes foram armazenados em água a 37ºC entre as avaliações. ∆E, ‘clareamento’ (índice WID) e tom amarelado (b*) foram avaliados. Os dados foram submetidos ao teste de ANOVA um fator e teste ANOVA de medidas repetidas, seguidos pelo teste post hoc de Tukey (α=0,05). Todos os grupos foram semelhantes em ∆E1 (t0-t1). A ∆E foi menor e constante no grupo controle. Em todos os tempos de avaliação, CSBi apresentou os maiores valores de ∆E (p<0.01). CSW e CSZr foram semelhantes em todos os tempos avaliados e apresentaram valores intermediários de ∆E. O índice WID de CSBi e CSW se distanciaram mais da referência ‘branco’. CSBi apresentou maior diminuição no tom amarelado (valor de b*) os outros grupos. O cimento contendo óxido de bismuto apresentou os maiores valores de alteração de cor. Todos os cimentos testados apresentaram alteração de cor clinicamente perceptível. O tungstato de cálcio e óxido de zircônio podem ser usados como radiopacificares alternativos para a diminuição da alteração de cor dental após o processo de revascularização endodontica.

Abstract The endodontic revascularization may be an alternative treatment for necrotic immature teeth, however, several treatment steps may cause tooth discoloration. This study evaluated the use of three calcium silicate-based cements with different radiopacifying agents on the color alteration (∆E) of extracted premolars after simulation of revascularization. Forty single rooted extracted premolars were shaped with #1-6 gates Glidden drills, rinsed with sodium hypochlorite, and filled with fresh human blood. Three calcium silicate-based cements with different radiopacifying agents (bismuth oxide - CSBi, calcium tungstate - CSW, and zirconium oxide - CSZr) were applied over the blood clot (n=10). The control group received the application of a temporary zinc oxide-based cement (TFZn) (n=10). ∆E was measured with a spectrophotometer, using the L*a*b* color system of the International Commission on Illumination (CIELab), in different times: prior to the preparation of the access cavity (t0); right after treatment (t1); and after one (t2), two (t3), three (t4) and four (t5) months. The tooth site for color evaluation was standardized by silicon matrix, the color reading was performed 3 times per tooth, and the teeth were stored in 37º water between evaluations. ∆E, whiteness (WID index) and yellowness (b*) were evaluated. Data were subjected to one-way ANOVA and repeated measures ANOVA, followed by Tukey’s post hoc test (α=0.05). All groups were similar in ∆E1 (t0-t1). The ∆E was the lowest and constant in the control group. In all evaluation times, CSBi presented the highest ∆E (p<0.01). CSW and CSZr were similar in all evaluated times and presented intermediate ∆E values. WID index from CSBi and CSW presented more distancing from ‘white’ reference. CSBi presented the greatest decrease in yellowness (b* value). The cement containing bismuth oxide presented the highest color alteration values. All tested calcium silicate-based cements presented clinically perceptible discoloration. Calcium tungstate and zirconium oxide may be used as alternative radiopacifiers to decrease tooth discoloration after endodontic tooth revascularization.

https://doi.org/10.1590/0103-6440202103700 609 downloads

15.

Contributions of Annual Phenological Intensity to the Production of Tannins in Sideroxylon obtusifolium in Brazilian Semi-arid
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Gomes, Azenate Campos

; Andrade, Fabrício Havy Dantas de

; Lacerda, Alecksandra Vieira de

; Macêdo, Rui Oliveira

Floresta e Ambiente

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2021, Volume 28 N. 4 elocation e20210027

Abstract: En | Text: En | PDF: En

Abstract The correlation between biological and ecological parameters is essential for the sustainable use of species. This study aimed to assess the relationship between phenological intensity and tannin production in Sideroxylon obtusifolium (Roem. & Schult.) T.D.Penn. in environments with different precipitation regimes. The tannin production and phenological characterization were assessed through the intensity and synchrony of leaves, flower buds, flowers, and fruits in specimens from two microregions of Paraíba, northeastern Brazil. The specimens in the municipality of Sumé were not synchronous and fruiting is the least synchronous phenophase, with an index of only 0.17. The specimens in São João do Cariri had synchronization of 0.77, 0.82, and 0.92 for flower bud, flowering, and fruiting phenophases, respectively. The correlation and factorial clustering showed that fruiting has a correlation of -0.75 with the production of tannins, suggesting that low intensity of annual fruiting is necessary for higher tannin production.

https://doi.org/10.1590/2179-8087-floram-2021-0027 32 downloads

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