RESUMEN Objetivo: Estimar la prevalencia de simultaneidad de obesidad, hipertensión y/o diabetes y la asociación con variables sociodemográficas y relacionadas con el estilo de vida. Métodos: Los datos fueron obtenido en la Encuesta Nacional de Salud Brasileña, una encuesta a nivel nacional, realizada en los hogares brasileños y llevada a cabo en 2013. La presencia de dos /tres enfermedades (obesidad, hipertensión y diabetes) se consideró multimorbilidad de las enfermedades no transmisibles (ENT). El modelo de regresión logística de probabilidades proporcionales, estratificado por sexo, se utilizó para evaluar los factores sociodemográficos y de estilo de vida asociados con la multimorbilidad de las ENT, considerando la complejidad de la muestra y los pesos de la muestra. Resultados: La prevalencia de multimorbilidad de las ENT fue del 9,6%. Las probabilidades de multimorbilidad son más altas con el aumento de la edad, entre los negros, pero más bajas en la región norte en comparación con otras regiones del país para los dos sexos. Las probabilidades de multimorbilidad de las ENT aumentaron entre las mujeres que tenían niveles más bajos de educación y pasaban más tiempo viendo la televisión, y entre los hombres que vivían con una pareja y no practicaban la actividad física recomendada para el tiempo libre. Conclusión: Los factores sociodemográficos y los comportamientos relacionados con el estilo de vida se asociaron con la presencia de obesidad, hipertensión y/o diabetes.

ABSTRACT Objective: To estimate the prevalence of simultaneity of obesity, hypertension and/or diabetes and the association with sociodemographic and lifestyle-related behavior variables. Methods: This is a cross-sectional study with data from the 2013 National Health Survey. The presence of two/three diseases (obesity, hypertension, and diabetes) was considered multimorbidity of noncommunicable diseases (NCDs). Proportional odds logistic regression model, stratified by sex, was used to assess the sociodemographic and lifestyle factors associated with multimorbidity of NCDs, considering the sample complexity and sample weights. Results: The prevalence of multimorbidity of NCDs was 9.6%. The odds of multimorbidity are higher with increasing age, among blacks, but lower in the north region when compared with other regions of the country for both sexes. The odds of multimorbidity of NDCs increased among women who had lower levels of education and spent more time TV watching, and among men who lived with a partner and did not practice the recommended leisure-time physical activity. Conclusion: Sociodemographic factors and lifestyle-related behaviors were associated with the presence of obesity, hypertension, and/or diabetes.

ABSTRACT OBJECTIVE This study evaluated the oral health-related quality of life (OHRQoL) of older adults participating or not in Seniors Centers (SC). METHODS Two independent samples were compared: older adults who participate in SC (n = 124) and older adults who visited Primary Healthcare Centers (PHC) and do not participate in SC (n = 164). The data collected consisted of sociodemographic (sex, age, educational level, marital status, family income) and psychosocial characteristics—Sense of Coherence (SOC), anxiety and depression using HADS, happiness—, and oral clinical evaluation—use and need of dental prosthesis and decayed (D), missing (M), or filled (F) teeth. The resulting OHRQoL was evaluated using the Oral Health Impact Profile (OHIP-14). The Mann-Whitney test was used to assess the associations between the independent variables and the OHIP-14. Poisson regression models were also used in the analyses (α=0.05). RESULTS In the PHC, of the 270 individuals invited to participate in the study, 164 (60.7%) were interviewed and clinically examined; while in the SC, of the 166 individuals invited to participate in the study, 124 (74.7%) were interviewed and clinically examined. After adjustments for sociodemographic, psychosocial and clinical factors, we found that the impact on OHRQoL was 2.8 times higher (95%CI 2.0–4.2) for older adults who did not participate in SC. CONCLUSION Older adults who participated in SC showed better perception on OHRQoL, independently of sociodemographic, psychosocial and clinical factors.

ABSTRACT OBJECTIVE This study evaluated the oral health-related quality of life (OHRQoL) of older adults participating or not in Seniors Centers (SC). METHODS Two independent samples were compared: older adults who participate in SC (n = 124) and older adults who visited Primary Healthcare Centers (PHC) and do not participate in SC (n = 164). The data collected consisted of sociodemographic (sex, age, educational level, marital status, family income) and psychosocial characteristics—Sense of Coherence (SOC), anxiety and depression using HADS, happiness—, and oral clinical evaluation—use and need of dental prosthesis and decayed (D), missing (M), or filled (F) teeth. The resulting OHRQoL was evaluated using the Oral Health Impact Profile (OHIP-14). The Mann-Whitney test was used to assess the associations between the independent variables and the OHIP-14. Poisson regression models were also used in the analyses (α=0.05). RESULTS In the PHC, of the 270 individuals invited to participate in the study, 164 (60.7%) were interviewed and clinically examined; while in the SC, of the 166 individuals invited to participate in the study, 124 (74.7%) were interviewed and clinically examined. After adjustments for sociodemographic, psychosocial and clinical factors, we found that the impact on OHRQoL was 2.8 times higher (95%CI 2.0–4.2) for older adults who did not participate in SC. CONCLUSION Older adults who participated in SC showed better perception on OHRQoL, independently of sociodemographic, psychosocial and clinical factors.

Abstract The influence of inorganic filler content of resin-based luting agents (RBLAs) on color change (ΔE00), CIEL*a*b* (individual color coordinates), and translucency parameters (TP) of simulated ceramic laminate veneer (CLV) was investigated. RBLAs with low, intermediate, and high inorganic filler content (55%, 65%, and 75% mass fractions, respectively) were prepared. Feldspar ceramic (Vitablocs Mark II) specimens (1.2 mm × 0.8 mm, A1C shade) were bonded to simulated composite resin substrates (1.6 mm × 1.2 mm, A2D shade) using three experimental and a commercial (RelyX Veneer) RBLA (translucent shade). The ΔE00 was calculated by CIEDE2000 color difference metric under three conditions (before, immediately after, and 24 h after luting). The TP was calculated using CIEL*a*b* color coordinates measured over white and black backgrounds. Surface morphology of the RBLAs was analyzed. One-way and two-way analyses of variance with a post-hoc Tukey’s test were used respectively to calculate TP, CIEL*a*b* coordinates, and ΔE00 (α= 0.05). Overall, the tested RBLAs presented clinically visible ∆E00 values under the three conditions evaluated. For all RBLAs, higher ∆E00 values were observed between measurements obtained before and immediately after luting. Different inorganic filler content did not significantly increase the opacity of the ceramic-luting agents-resin composite set. The variation in inorganic filler content did not influence significantly the TP of simulated CLV; although all of the experimental RBLAs tested yielded ∆E00 above the perceptibility threshold. The L*, a*, and b* individual color coordinates were cementation-dependent.

<p>Este estudo avaliou a força de tração de infraestruturas fundidas confeccionadas pela técnica da infraestrutura cimentada sobre pilares preparados utilizando dois diferentes cimentos resinosos. Quarenta análogos de pilares multi-unit foram individualmente fixados com resina acrílica quimicamente ativada em cilindros de PVC utilizando um delineador. Pilares cilíndricos foram torqueados aos pilares multi-unit para serem usados como espaçadores e, então, pilares calcináveis UCLA foram posicionados sobre eles. Estes pilares foram fundidos em liga de Ni-Cr e divididos em 4 grupos (n=10): cimentados com RelyX U100(r); cimentados com RelyX U100(r) e simulação do processo de polimerização da resina acrílica; cimentados com Multilink(r); e cimentados com Multilink(r) e simulação do processo de polimerização da resina acrílica. Os pilares foram cimentados de acordo com as recomendações dos fabricantes. Em máquina universal de ensaio, a resistência à tração foi aplicada na direção do longo eixo dos pilares a uma velocidade de 1 mm/min até o deslocamento do pilar cimentado ser obtido. Os valores da tração máxima (N) necessária para o deslocamento dos pilares cimentados foram tabulados e analisados estatisticamente pela ANOVA de 1 fator com 95% de nível de confiança. Diferença estatisticamente significativa não foi encontrada entre os grupos (p>0,05). Houve um aumento na força média de tração quando os espécimes foram submetidos à simulação de processo de polimerização da resina acrílica, mas os resultados não diferiram estatisticamente. Ambos os cimentos resinosos apresentaram resultados positivos no que diz respeito à retenção dos pilares cimentados em seus respectivos pilares multi-unit. Ambos os materiais podem ser indicados para a técnica da infraestrutura cimentada sobre pilares preparados quando os profissionais buscam melhor adaptação de infraestruturas de próteses implanto-suportadas.</p>

<p>This study evaluated the tension force of cast frameworks made by the technique of framework cemented on prepared abutments using two different resin cements. Forty multi-unit abutment analogs were individually fixed with chemically cured acrylic resin inside PVC cylinders using a parallelometer. Brass cylindrical abutments were tightened to the multi-unit abutments to be used as spacers and then castable UCLA abutments were positioned above. These abutments were cast with Ni-Cr and then divided into 4 groups (n=10): cemented with RelyX U100(r); cemented with RelyX U100(r) and simulation of acrylic resin polymerization process; cemented with Multilink(r); and cemented with Multilink(r) and simulation of acrylic resin polymerization process. Abutments were cemented according to manufacturers' instructions. In a universal testing machine, tensile strength was applied in the direction of the long axis of the abutments at 1 mm/min crosshead speed until displacement of the luted abutments was obtained. The values of maximum tensile force (N) required for the displacement of the luted abutments were tabulated and analyzed statistically by one-way ANOVA with a 95% confidence level. No statistically significant difference was found among the groups (p>0.05). There was an increase in mean tension force when the specimens were subjected to the simulation of acrylic resin polymerization process, but the results did not differ statistically. Both resin cements presented positive results as regards the retention of luted abutments on their respective multi-unit abutments. Both materials may be indicated for the technique of framework cemented on prepared abutments when professionals pursuit better adaptation of implant-supported frameworks.</p>

O objetivo deste estudo foi avaliar o efeito da aplicação de clorexidina (CRX) em dentina condicionada na retenção de restaurações confeccionadas em lesões cervicais não-cariosas (LCNC) após 6 meses. Ensaio clínico randomizado triplo cego do tipo boca dividida foi conduzido. Pacientes (n=42) com no mínimo duas LCNC foram incluídos. LCNC foram randomizadas em dois grupos: controle (solução placebo) ou grupo teste (aplicação de CRX 2% por 60 s após o condicionamento e antes da aplicação do adesivo). Restaurações Classe V (n=169) foram realizadas com adesivo de condicionamento ácido total e resina composta, por 10 operadores treinados. Um examinador calibrado avaliou as restaurações após 1 semana (base) e 6 meses usando os critérios da FDI. O desfecho primário foi retenção das restaurações. A análise dos fatores associados à falha das restaurações foi conduzida com Teste Exato de Fisher (α=0,05). Após 6 meses de acompanhamento, 3,4% (IC 95% 1,3-7,3) das restaurações falharam. Não houve diferença estatística entre os grupos CRX e controle (p=0,920). Com relação às variáveis das cavidades, cavidades mais profundas (p=0,024), largas (p=0,004) e em formato de cunha (p=0,033) falharam mais. Ambos os tratamentos (CRX e controle) proporcionaram performance clínica aceitável das restaurações. O uso de CRX como coadjuvante na adesão à dentina não influenciou a retenção das restaurações Classe V após 6 meses de acompanhamento.

This study aimed to evaluate the effect of chlorhexidine (CHX) application on etched dentin on the 6-month retention of restorations placed on non-carious cervical lesions (NCCLs). A randomized controlled split-mouth and triple blind trial was carried out. Patients (n=42) with at least two non-carious cervical lesions were included. NCCLs were randomly assigned to two groups: control (placebo solution) or test group (2% CHX solution for 60 s after acid etching and before the adhesive application). Class V restorations (n=169) were performed with an etch-and-rinse adhesive system and composite resin by 10 trained operators. A calibrated examiner evaluated the restorations at 1 week (baseline) and at 6 months using the FDI criteria. The primary outcome was retention of the restorations. The analysis of factors associated to failure of restorations was carried out by Fisher's exact test (α=0.05). After 6 months of follow-up, 3.4% (CI 95% 1.3-7.3) of the restorations failed. There was no statistically significant difference between control and CHX (p=0.920). Regarding the cavity variables, deeper (p=0.04), wider (p=0.004) and wedge-shaped (p=0.033) cavities failed more. Both treatments provided acceptable clinical performance of the restorations. The use of CHX as a adjuvant in dentin adhesion did not influence the retention of Class V restorations after 6 months of follow-up.

This integrative review aimed to identify and investigate how spirituality has been addressed in publications produced by nurses. It was made using the databases Scopus, Wiley Online Library, and Scientific Electronic Library Online, using 'spirituality' as the key-word. The following themes were produced: The experience of spirituality in situations of care and illness; Spirituality and the health professional; and Spirituality experienced by caregivers and family members. Spirituality is associated with the search for meaning in life in coping with pain. The importance of developing spirituality in care is stressed, and it is concluded that the majority of nursing publications do not refer, specifically, to spirituality, but that this issue is found in the set of the results.

Esta revisión integrativa tuvo la finalidad de identificar y comprender cómo la espiritualidad viene siendo abordada en las publicaciones realizadas por enfermeros, siendo realizada en las bases de datos Scopus, Wiley Online Library y Scientific Eletronic Library Online, usando como palabra clave espiritualidad. Resultaron las temáticas: La vivencia de la espiritualidad en situaciones de salud y enfermedad; La espiritualidad y el profesional de salud; y La espiritualidad vivida por cuidadores y familiares. La espiritualidad está asociada a la búsqueda de sentido en la vida cuando en un estado de dolor. Se destaca la importancia del desarrollo de la espiritualidad en el cuidado y se concluye que la maioría de las publicaciones de enfermería no se refiere, específicamente, a la espiritualidad, pero esta temática es encontrada en el conjunto de los resultados.

Esta revisão integrativa objetivou identificar e compreender como a espiritualidade tem sido abordada nas publicações realizadas por enfermeiros e foi realizada nas bases de dados Scopus, Wiley Online Library e Scientific Eletronic Library Online, usando como palavra-chave espiritualidade. Originaram-se as temáticas: A vivência da espiritualidade em situações de saúde e doença; A espiritualidade e o profissional de saúde; e A espiritualidade vivida por cuidadores e familiares. A espiritualidade está associada à busca de sentido na vida no enfrentamento da dor. Destaca-se a importância do desenvolvimento da espiritualidade no cuidado e conclui-se que a maioria das publicações de enfermagem não se refere, especificamente, à espiritualidade, mas esta temática é encontrada no conjunto dos resultados.

Propõe-se a problematização da adoção dos conceitos de necessidades básicas humanas e de necessidades de saúde para a constituição das bases epistemológicas de um conceito de cuidado de enfermagem que possibilite a orientação da ação profissional para o seu atendimento, no contexto da pós-modernidade. A proposição básica desenvolvida é a do acesso às necessidades humanas e de saúde através das representações sociais, com suas derivações conceituais para o cuidado em enfermagem e suas tecnologias de trabalho. Demonstra-se que as necessidades de saúde podem ser proveitosamente acessadas através da exploração tanto das dimensões objetivas, quanto das subjetivas do processo saúde-doença, como representadas pelos sujeitos e subjacentes às suas demandas. Discute-se, ainda, a necessidade de repensar o modelo tecnológico de trabalho e a de estabelecer novas bases teóricas para o processo de cuidar em enfermagem, a partir das necessidades negociadas entre os sujeitos individuais e coletivos e os profissionais nas instituições de saúde.

This article discusses the concepts of basic human and health needs in order to set up the epistemological grounds for a concept of nursing care which allows the guidance for the professional action during the treatment, in the post modern context. The basic formulation addresses the access to human and healh needs through social representations, along with their conceptual derivations for nursing care and their work technologies. Evidence is provided that health needs can be productively addressed through the exploration of their objective and subjetive dimensions in the health-disease process, as represented by their subjects and underlying demands. Further discussion is offered on the need to alter the technological work model and the need to set up new theoretical frameworks for the nursing care process, from the requirements negotiated between the individual and collective subjects and professionals in health.

Se propone la problematización de la adopción de los conceptos de necesidades básicas humanas y de necesidades de salud para la constitución de las bases epistemológicas de un concepto de cuidado en enfermería que posibilite la orientación de la acción profesional para su atención en el contexto posmoderno. La propuesta básica desarrollada es la del acceso a las necesidades humanas y de salud a través de las representaciones sociales, con sus derivaciones conceptuales para el cuidado en enfermería y sus tecnologías de trabajo. Se demuestra que las necesidades de salud pueden ser provechosamente alcanzadas a través del estudio tanto de las dimensiones objetivas como de las subjetivas del proceso salud-enfermedad, conforme representadas por los sujetos y subyacentes a sus demandas. Se discute también la necesidad de repensar el modelo tecnológico de trabajo y de establecer nuevas bases teóricas para el proceso de cuidado en enfermería, a partir de las necesidades negociadas entre los sujetos individuales y colectivos y los profesionales en las instituciones de salud.

This article discusses the concepts of basic human and health needs in order to set up the epistemological grounds for a concept of nursing care which allows the guidance for the professional action during the treatment, in the post modern context. The basic formulation addresses the access to human and healh needs through social representations, along with their conceptual derivations for nursing care and their work technologies. Evidence is provided that health needs can be productively addressed through the exploration of their objective and subjetive dimensions in the health-disease process, as represented by their subjects and underlying demands. Further discussion is offered on the need to alter the technological work model and the need to set up new theoretical frameworks for the nursing care process, from the requirements negotiated between the individual and collective subjects and professionals in health.

Se propone la problematización de la adopción de los conceptos de necesidades básicas humanas y de necesidades de salud para la constitución de las bases epistemológicas de un concepto de cuidado en enfermería que posibilite la orientación de la acción profesional para su atención en el contexto posmoderno. La propuesta básica desarrollada es la del acceso a las necesidades humanas y de salud a través de las representaciones sociales, con sus derivaciones conceptuales para el cuidado en enfermería y sus tecnologías de trabajo. Se demuestra que las necesidades de salud pueden ser provechosamente alcanzadas a través del estudio tanto de las dimensiones objetivas como de las subjetivas del proceso salud-enfermedad, conforme representadas por los sujetos y subyacentes a sus demandas. Se discute también la necesidad de repensar el modelo tecnológico de trabajo y de establecer nuevas bases teóricas para el proceso de cuidado en enfermería, a partir de las necesidades negociadas entre los sujetos individuales y colectivos y los profesionales en las instituciones de salud.

Propõe-se a problematização da adoção dos conceitos de necessidades básicas humanas e de necessidades de saúde para a constituição das bases epistemológicas de um conceito de cuidado de enfermagem que possibilite a orientação da ação profissional para o seu atendimento, no contexto da pós-modernidade. A proposição básica desenvolvida é a do acesso às necessidades humanas e de saúde através das representações sociais, com suas derivações conceituais para o cuidado em enfermagem e suas tecnologias de trabalho. Demonstra-se que as necessidades de saúde podem ser proveitosamente acessadas através da exploração tanto das dimensões objetivas, quanto das subjetivas do processo saúde-doença, como representadas pelos sujeitos e subjacentes às suas demandas. Discute-se, ainda, a necessidade de repensar o modelo tecnológico de trabalho e a de estabelecer novas bases teóricas para o processo de cuidar em enfermagem, a partir das necessidades negociadas entre os sujeitos individuais e coletivos e os profissionais nas instituições de saúde.