Browsing by Author "Mendes, Joana"
Now showing 1 - 4 of 4
Results Per Page
Sort Options
- Ameaças ao conforto neonatal durante a crise pandémica COVID-19: implicações éticas numa unidade de cuidados intensivos neonataisPublication . Almeida, Raquel; Mendes, Joana; Charepe, Zaida; Nunes, Elisabete; Lourenço, Margarida; Caldeira, Sílvia
- Another lesson learned: a commentary on “Montes et al. (2020) neonatal nursing in the COVID-19 pandemic: can we improve the future?”Publication . Almeida, Raquel; Mendes, Joana; Charepe, Zaida
- Nonalcoholic fatty liver disease and continuous metabolic syndrome in adolescents with overweight/obesityPublication . Ferreira, Sofia; Mendes, Joana; Couto, Daniela; Ferreira, Dário; Rêgo, CarlaIntroduction: Nonalcoholic fatty liver disease is the leading cause of pediatric chronic liver disease. Although nonalcoholic fatty liver disease is closely associated with obesity, its relationship with metabolic syndrome in children is not fully understood. The main aim of this study was to evaluate the association between nonalcoholic fatty liver disease and a combination of cardiometabolic risk factors in adolescents with overweight/obesity, using a pediatric metabolic syndrome score (PsiMS) to predict metabolic syndrome. Methods: A retrospective cohort study was conducted. Subjects with overweight/obesity aged 10 to 17 followed at two clinical centers in Portugal (2018 - 2021) were enrolled. The independent association of nonalcoholic fatty liver disease with PsiMS, and of other potential predictors, was tested through multiple regression analyses. Receiver operator characteristic curve analysis was performed to estimate the optimal cutoff of PsiMS to discriminate metabolic syndrome. Results: Eighty-four subjects were included (median age at baseline 11.5 years). The prevalence rate of nonalcoholic fatty liver disease was 51% and the prevalence rate of metabolic syndrome was 7%. The mean PsiMS was 2.05 ± 0.48 at the first evaluation, and 2.11 ± 0.52 at the last evaluation (mean follow-up time was 15 months). The nonalcoholic fatty liver disease group had significantly (p < 0.05) higher weight and body mass index z-scores, higher rate of severe obesity and higher waist circumference percentile. PsiMS was highly accurate in predicting metabolic syndrome (area under the curve = 0.96), with an optimal cutoff of 2.46 (sensitivity 100%, specificity 89%). In the univariate analysis, no statistically significant association was observed between nonalcoholic fatty liver disease and PsiMS. In the multiple regression analysis, female sex had a negative association with PsiMS (first and last evaluation). Independent predictors of a higher PsiMS at first evaluation were: ≥ 2 metabolic syndrome criteria, body mass index z-score, insulin resistance and dyslipidemia. At the last evaluation, independent predictors of a higher PsiMS were: nonalcoholic fatty liver disease, baseline PsiMS and body mass index increase from baseline. Conclusion: The results suggest a good performance of the PsiMS to assess metabolic syndrome and that nonalcoholic fatty liver disease is associated with PsiMS at follow-up.
- Oral health and physical and mental limitations among the elderlyPublication . Veiga, Nelio Jorge; Castro, Ana; Mendes, Joana; Marques, Marina; Domingues, Marlene; Maravilha, Tânia; Coelho, CarinaAging corresponds to a stage with its own biological, psychological and social characteristics. During this phase pathophysiological changes appear that may affect the whole body, and, more specifically, the oral cavity. The physical and cognitive limitations are those that most affect the oral health, especially among the elderly. This study aims to conduct a literature review about oral health among the elderly with physical and mental limitations, in particular with Alzheimer’s disease, Parkinson’s disease and rheumatoid arthritis. To carry out this review article the search strategies included electronic databases, reference lists of articles, and selected textbooks. Articles and textbooks used in this study were mainly reached by using the following keywords: “oral health”, “elderly”, and “stroke”, “Parkinson’s disease”, “Alzheimer’s disease”, “musculoskeletal disorders. By the end of the research, 16 scientific articles were selected. The prevalence of oral health diseases increase with age and is highly associated with neurological disease development. Therefore, the maintenance of the quality of life among the elderly should have in consideration the risk of neurological disease development and the influence that theses outcomes may have in the oral health of the elderly. Dental health professionals must be highly aware of the limitations that these patients present in undergoing their own daily oral hygiene and tha higher risk of oral disease development.