ABSTRACT BACKGROUND: Considering the ability of the health and self-management in diabetes questionnaire (HASMID-10) to verify the impact of self-management on diabetes, we highlight its relevance to scientific research and clinical applicability. However, to date, no study has been conducted to scientifically support its use in other languages. OBJECTIVE: To translate, cross-culturally adapt, and validate the HASMID-10 into the Brazilian Portuguese. DESIGN AND SETTING: A translation, cross-cultural adaptation, and validation study conducted at Ceuma University. METHODS: Study was conducted in accordance with the Guidelines for the Process of Cross-Cultural Adaptation of Self-Report Measures and Consensus-based Standards for the Selection of Health Measurement Instruments. We included participants of both sexes diagnosed with diabetes, aged between 18 and 64 years, and without cognitive deficits or any other limitations that would prevent them from answering the questionnaire. We assessed participants using the problem areas in diabetes (PAID) scale and HASMID-10. We assessed reliability using a test-retest model with a 7-day interval between assessments. We used intraclass correlation coefficient (ICC), 95% confidence interval (CI), standard error of measurement (SEM), minimum detectable difference (MDD), Spearman correlation coefficient, and floor and ceiling effects. RESULTS: Sample comprised 116 participants, most of whom were women, overweight, non-practitioners of physical activity, and nonsmokers. We observed significant correlations (P = 0.006; rho = −0.256) between the HASMID-10 and PAID, adequate reliability (ICC = 0.780) and internal consistency (Cronbach's alpha = 0.796). No ceiling or floor effects were observed. CONCLUSION: HASMID-10 has adequate measurement properties and may be used for Brazilians.

Abstract Background Self-care in the management of systemic arterial hypertension (SAH) is crucial, and validated instruments can help researchers and health professionals to plan strategies to improve self-care in people with SAH. Objective The main objective of this study was to translate, cross-culturally adapt, and validated the Hypertension Self-Care Profile (HBP-SCP) for Brazilian Portuguese. Methods The translation and cross-cultural adaptation was performed in five phases, and the pre-final version was tested in 30 individuals, native speakers of Portuguese with a diagnosis of hypertension. The final version was administered in 100 individuals. The inclusion criteria were: diagnosis of SAH, characterized by systolic arterial blood pressure ≥ 140 mmHg and/or diastolic arterial blood pressure ≥ 90mmHg, regular use of antihypertensive medications and over 18 years of age. The present study also used two other questionnaires, previously validated for the Brazilian population, to verify the validity of the construct, the Healthy Habits Perception Questionnaire (HHPQ) and the Quality of Life in Hypertension Mini-Questionnaire (MINICHAL-BRASIL). Results During the translation and cross-cultural adaptation phase, there were no disagreements. Adequate reliability — intraclass correlation coefficient (ICC) ≥ 0.89, standard error of measurement (SEM) % ≤ 4.34, minimum detectable change (MDC) % ≤ 12.04 — and internal consistency (Cronbach's alpha ≥ 0.75) were observed. The behavior domain of HBP-SCP obtained significant correlations (p < 0.05) with the self-efficacy domain and HHPQ; the motivation domain with the self-efficacy domain; and the self-efficacy domain with the somatic manifestation domain of MINICHAL-BRASIL. No ceiling and floor effects were observed. Conclusions The Brazilian Portuguese version of the HBP-SCP has adequate psychometric properties, according to the best scientific recommendations.

SUMMARY OBJECTIVE: The aim of this study was to assess the inter-reliability of the Braden scale and its subscales for different patients assisted in the intensive care unit. We hypothesized that the Braden scale has low reliability in different populations. METHODS: This reliability study involved the Braden scale in intensive care unit of a hospital. A total of 200 patients were admitted to the intensive care unit in four different groups: neurological patients, sepsis, elderly, and adults affected by trauma. The Braden scale is a tool composed of six subscales for patient assessment: sensory perception, humidity, activity, mobility, nutrition, and friction. The total score was also calculated. The Braden scale was applied by two different nurses with an interval of 20–30 min between applications. RESULTS: For all populations, kappa values considered unsuitable were observed for most categories of the Braden scale, ranging from 0.06–0.25. Only for the total Braden scale score was moderate reliability identified in all groups evaluated, with intraclass correlation coefficient values ranging from 0.48–0.75. CONCLUSIONS: Braden scale is not a reliable tool to be used in the intensive care unit, and we do not recommend the use of this scale to assess the risk of developing pressure injury.

SUMMARY OBJECTIVE: This study aimed to validate the internal structure of the Brazilian version of the Baecke Habitual Physical Activity Questionnaire. METHODS: A cross-sectional study was conducted with individuals over 18 years old of both sexes, with Brazilian Portuguese as their native language. The structure of the Baecke Habitual Physical Activity Questionnaire was tested by confirmatory factor analysis. The model fit was evaluated by the following indices: root mean square error of approximation, comparative fit index, Tucker-Lewis index, standardized root mean square residual, and χ²/degrees of freedom. We used the Akaike information criterion and Bayesian information criterion to compare different structures of the Baecke Habitual Physical Activity Questionnaire. RESULTS: A total of 241 individuals participated in this study. The original structure of the Baecke Habitual Physical Activity Questionnaire with 16 items and 3 domains was compared to a structure with 14 items and 3 domains. The internal structure of the Baecke Habitual Physical Activity Questionnaire with 14 items showed better fit indices and lower Akaike information criterion and Bayesian information criterion values. CONCLUSION: The best internal structure of the Brazilian version of the Baecke Habitual Physical Activity Questionnaire in adults presents 3 domains and 14 items.

SUMMARY OBJECTIVE: The aim of this study was to translate, cross-culturally adapt, and validate the Canadian Diabetes Risk Questionnaire for use in Brazilian Portuguese. METHODS: This is a Questionnaire validity study conducted at a private university. The Brazilian version of the Canadian Diabetes Risk Questionnaire was developed by means of the processes of translation, back-translation, committee review, and pretesting. Test-retest reliability was measured using the intraclass correlation coefficient and kappa coefficient. Internal consistency was measured using Cronbach's alpha. For construct validity, the total score of the Canadian Diabetes Risk Questionnaire was correlated with the Diabetes Knowledge Scale and the Diabetes Mellitus Risk Questionnaire. Ceiling and floor effects were also evaluated in the present study. RESULTS: For construct validity and floor and ceiling effect measurements, a total sample of 100 participants was used. For reliability, a subsample of 34 participants out of the total sample was used. We identified adequate values for reliability (kappa between 0.46–1.00 and ICC 0.96) and internal consistency (Cronbach's alpha 0.80). There were significant correlations between the Canadian Diabetes Risk Questionnaire and the Diabetes Mellitus Risk Questionnaire (rs=0.370, p<0.001), but not the Diabetes Knowledge Scale (rs= −0.162). No ceiling or floor effects were found. CONCLUSION: We concluded that in accordance with the best international recommendations, the Brazilian version of the Canadian Diabetes Risk Questionnaire has adequate psychometric properties.

AIM: To evaluate the influence of varying the water/powder ratio on the compressive strength of type IV mineral and synthetic casts. METHODS: Four commercial brands of type IV mineral and synthetic casts were evaluated: Durone, Herostone, Fuji Rock, and Elite Rock. Ninety-six test samples were prepared from a silicone matrix, according to ADA's standard no. 25. The samples were prepared according to the manufacturer's recommendations with a normal water/powder ratio (n = 12) and with 20% extra water (n = 12), forming the control (A) and experimental (B) subgroups, respectively. Compressive strength tests were performed using a universal testing machine EMIC (DL 2000) with a load cell of 2,000 kgf/cm2. The obtained data were analyzed statistically using two-way ANOVA and Tukey's test (α=5%). RESULTS: The synthetic Elite Rock cast was statistically different from the one obtained when the portion of water indicated by the manufacturer was used; no significant differences were found in the remaining casts when the proportion of water was increased by 20%. CONCLUSIONS: the groups of synthetic and mineral casts differed and the water increase (20%) did not cause significant difference on the compressive strength of the materials.

JUSTIFICATIVA E OBJETIVOS: O professor de ensino superior faz parte de uma categoria de profissionais que é submetida constantemente a estresse, podendo desencadear uma disfunção temporomandibular (DTM). Ao reconhecer essa relação, este trabalho teve como objetivo avaliar a prevalência e grau de gravidade de DTM em professores de ensino superior. MÉTODOS: Uma amostra de 200 indivíduos, de ambos os gêneros, maiores de 25 anos, que ainda não tinham diagnóstico de DTM, foi dividida em dois grupos: o Grupo I, formado por indivíduos que exerciam a profissão de professor de ensino superior e o Grupo II, formado por indivíduos que exerciam qualquer outra atividade profissional desvinculada da docência. Aos voluntários, foi solicitado o preenchimento de um questionário anamnésico que permitiu estabelecer uma classificação em relação à presença e ao grau de gravidade da DTM. RESULTADOS: Foram avaliados 95 homens e 105 mulheres. Em relação ao grau de gravidade de DTM no Grupo I, detectou-se que 62,7% dos avaliados foram classificados como portadores de DTM leve; 25, 3% como portadores de DTM moderada; e 12% como portadores de DTM grave. No Grupo II, constatou-se que 73,9% como portadores de DTM leve; 24, 6% DTM como portadores de DTM moderada; e 1,4% como portadores de DTM grave. CONCLUSÃO: A prevalência de DTM em professores não foi diferente da encontrada no grupo de não professores; quando professores foram acometidos por DTM, o grau de gravidade foi maior quando comparado com o grupo de não professores.

BACKGROUND AND OBJECTIVES: University professors are part of a category of professionals constantly submitted to stress, which may trigger a temporomandibular disorder (TMD). By recognizing this relationship, this study aimed at evaluating the prevalence and severity of TMD in university professors. METHODS: A sample of 200 individuals of both genders, above 25 years of age, who were still not diagnosed with TMD, was divided in two groups: Group I, made up of university professors, and Group II made up of individuals of any other professional activity, different from teaching. Volunteers were asked to fill a historical questionnaire which allowed a classification of the presence and severity of TMD. RESULTS: Participated in this study 95 males and 105 females. With regard to TMD severity in Group I, it was observed that 62.7% of evaluated individuals were classified as having mild TMD; 25.3% as having moderate TMD; and 12% as having severe TMD. In Group II, 73.9% had mild TMD; 24.6% had moderate TMD; and 1.4% had severe TMD. CONCLUSION: The prevalence of TMD among professors was not different from the group of non professors. When professors had TMD, the level of severity was higher as compared to non professors.

INTRODUÇÃO: Os sistemas de núcleos intra-radiculares estéticos foram recentemente introduzidos no mercado. Não existem muitos trabalhos na literatura comparando seu comportamento em relação aos sistemas de pinos metálicos convencionais quando submetidos à testes com carga cíclica. OBJETIVOS: este estudo comparou a taxa de sobrevivência, resistência à fratura e modo de fratura de dentes tratados endodonticamente reconstruídos com sistemas de núcleos intra-radiculares metálicos convencionais e estéticos, restaurados com coroas de porcelana pura e submetidos à carga cíclica. MATERIAIS E MÉTODOS: trinta caninos tiveram as coroas removidas 1,5mm acima da junção cemento-esmalte e preparados para coroa de porcelana pura deixando 1,5mm de dentina acima do término do preparo. Os dentes foram distribuídos em 3 grupos de 10. O grupo 1 foi restaurado com pinos de cerâmica de zircônia e núcleos de preenchimento em cerâmica vítrea termo-injetada. O grupo 2 foi restaurado com pinos de resina composta reforçada por fibra de vidro e o grupo 3 com pinos de titânio. Nos grupos 2 e 3 foi usada resina composta reforçada com fibra de vidro como material para núcleo de preenchimento; os dentes foram restaurados com coroas totais e tanto os pinos quanto as coroas de porcelana foram cimentados com um sistema de cimentação resinosa de polimerização dupla. Os espécimes foram incluídos em resina acrílica e submetidos à uma carga de 250N por 500,000 ciclos, numa freqüência de 1,7Hz sendo em seguida submetidos à carga estática em uma máqina de testes universal até a falha. Os dados foram analisados estatisticamente com os testes ANOVA a 1 critério e Exato de Fischer (alfa=.05). RESULTADOS: a taxa de sobrevivência foi de 100%; os valores de resistência à fratura em N (DP) foram: grupo 1 = 886,50(170,6), grupo 2 = 762,2(113,6) e grupo 3 = 768,9(72,9). Não houve diferença estatística de resistência à fratura entre os grupos (P=0.08). O percentual de modo de fratura favorável encontrado foi: grupo 1 = 60%; grupo 2 = 90% e grupo 3 = 50%. Não houve correlação entre o tipo de pino e modo de fratura (P=0.142). CONCLUSÃO: dentes restaurados com sistemas de núcleos intra-radiculares estéticos e coroas totais de porcelana tiveram as mesmas taxas de sobrevivência, valores de resistência à fratura e modo de fratura que os metálicos convencionais diretos após aplicação de carga cíclica.

INTRODUCTION: Esthetic post and core systems were recently introduced. There are few reports regarding their behavior under cyclic loading. OBJECTIVES: This study compared the effect of cyclic loading on survival rate, residual strength and mode of fracture of endodontically treated teeth restored with esthetic and direct metallic post systems subjected to mechanical cyclic loading. MATERIALS AND METHODS: Thirty canines were endodontically treated, decoronated and prepared for metal free ceramic crowns, leaving 1.5 mm of dentin for ferrule effect. They were distributed in 3 groups and restored as follows: group 1 with zirconia posts (Cosmopost) and glass-ceramic cores (IPS Empress Cosmopost); group 2 with fiber reinforced composite posts (FibreKor) and group 3 with titanium posts (AZthec Anchor). Direct resin composite (Build It FR Resin Composite) was used as core in groups 2 and 3. All specimens were restored with all ceramic crowns (IPS Empress 2). A resin cement/adhesive system (Cement It/Bond It Primer A+B) was used to lute the posts to root canals and metal free porcelain crowns to the teeth preparation. Specimens were subjected to mechanical load of 250 N for 500,000x at a frequency of 1.7 Hz and then to static load until failure in a universal testing machine. Data were analyzed using One-way ANOVA and Fischer Exact tests alpha=0.05. RESULTS: All groups had 100% survival rate after cyclic loading; fracture strength values (SD) in N were: group 1 = 886.5(170.6), group 2 = 762.2(113.6) and group 3 = 768.9(72.9); there was no difference among groups (p=0.08); the percentage of mode of favorable fracture found was: group 1 = 60%, group 2 = 90% and group 3 = 50%; there was no correlation between the mode of failure and post and core system used (P=0.142). CONCLUSIONS: Esthetic post and core systems showed statistically equivalent fracture strength values, mode of failure and survival rate compared to conventional direct metallic post and resin composite core system after cyclic loading.