Percorrer por autor "Pereira, C."
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- Oral health education: community and individual levels of interventionPublication . Veiga, N.; Pereira, C.; Amaral, O.; Ferreira, P.; Correia, I. J.Introduction: Oral health education is an important issue that should be discussed with children and adolescents, promoting the acquisition of correct oral health behaviors. The objective of this study was to characterize the oral health behaviors among a sample of Portuguese adolescents and introduce different strategies that enable the accomplishment of collective programs appropriate for the promotion of oral health at individual and community levels. Materials and Methods: A cross-sectional study was designed with a sample of 447 adolescents aged 12 to 19 years old, attending a public school in Sátão, Portugal. An interview was made questioning about socio-demographic factors and oral health behaviors to each adolescent. Considering the obtained results, a revision of the literature was made in order to define oral health promotion strategies to be applied among children and adolescents to improve oral health behaviors in a specific Portuguese community. Results: The prevalence of toothbrushing (twice-a-day or more) was 90.6%. Five point eight percent of adolescents reported daily flossing. Sixty-seven percent had at least one dental appointment in the previous twelve months. Considering the results obtained, various oral health promotion strategies should be developed based on the following topics: oral health education for children and adolescents in schools and public institutions; oral health promotion for teachers and parents; technology application in oral health education; education and motivation for oral health behaviors given by health professionals. Conclusions: Community programs should be considered and developed in order to improve knowledge and behaviors related to adolescents’ oral health, giving special attention to the intervention of various health professionals, teachers and parents in the oral health education that should be transmitted to children and adolescents.
- Prevalence of patients with palliative needs in the wards of portuguese public hospitalsPublication . Capelas, Manuel Luís; Sapeta, Ana Paula; Mamede, Ana; Belo, Adelaide; Jorge, Marta; Oliveira, Marta; Simões, Nuno; Passos, Vilma; Macedo, Ana Paula; Pereira, C.; Mendes, C.; Macedo, Ermelinda; Macedo, João Carlos; Gomes, Maria Filomena; Mendes, Maria Goreti; Peres, P.; Batista, Sandra; Vilaça, Simão Pedro; Coelho, Sílvia Patrícia
- Prevalence of patients with palliative needs in the wards of portuguese public hospitalsPublication . Capelas, Manuel Luís; Sapeta, Ana Paula; Mamede, Ana; Belo, Adelaide; Jorge, Marta; Oliveira, Marta; Simões, Nuno; Passos, Vilma; Macedo, Ana Paula; Pereira, C.; Mendes, C.; Macedo, Ermelinda; Macedo, João Carlos; Gomes, Maria Filomena; Mendes, Maria Goreti; Peres, P.; Batista, Sandra; Vilaça, Simão Pedro; Coelho, Sílvia PatríciaIntroduction: The early referral to palliative care is one of thekeys to the success of this care, to promote the best quality oflife possible of patient and his family and to achieve the mostimportant outcomes.Aim: To determine the prevalence of patients with palliativeneed in the Portuguese public hospitals,from which how manyare referenced to palliative care and if not what are the mainreasons.Methods: 32 physicians from 11 hospitals were asked about1273 patients (≥18 years old) using the surprisedquestion(Would you be surprised if your patient dead withinthe next year,6 months, 30 and 15 days?); when the answerin at least one period was no, they were asked if the patientwas referenced to palliative care and if not, they were invitedto indicate 5 main reason from a list of 19. Exclusion criteria:patients in wards of pediatric, obstetrics, psychiatry, palliativecare units and ER.Results: The dead was expected within 1 year for 51.4%(prevalence of patients with palliative care needs), within 6months for 38.3%, within 30 days for 22.3% and within 15days for 16.1%. 67.2% of cancer patients, 48.7% of non-cancer patients and 45.5% of mixed disease have palliativecare needs. Only 6.8% of the patients whose dead wasexpected within 1 year, 7.5%, 9.9% and 9.8% of those deadwas expected within 6 months, 30 days and 15 days, werereferred to palliative care. The 5 main reasons for not referralwere: the patient is still actively treated to the disease, we stillcan treat (cure) the patient, the symptom control wasachieved, the patient is not dying and the palliative care wasnot the best for the patient.Conclusions: The general hospitals wards have a highprevalence of patients with palliative care needs but only avery few of them are referred to palliative care. Moreeducation of the physician in palliative care is needed toincrease the proportion of patients referred ant to increasethe early referral as one of the keys to success of health care.
- Respiratory function in healthy first-degree relatives of asthmatic adolescentsPublication . Pereira, C.; Veiga, N.; Barros, H.Asthma is a complex disease associated with biological and physiological phenotypes. The objective of this study was to compare the respiratory function in healthy first-degree relatives of asthmatic and non-asthmatic adolescents. We used a cross-sectional approach to assess 101 family cases (presence of one or more adolescents classified as asthmatic) and 275 stable families (families without adolescents classified as asthmatic). We obtained a final sample of 822 relatives. The respiratory function was evaluated by the forced expiratory volume in 1 second (FEV), and the forced vital capacity (FVC), using the Microlab 3300® Spirometer. A self-administered questionnaire was used to record upper and lower airway symptoms, allergic symptoms and medical history. To compare continuous variables, the Mann-Whitney and Kruskal-Wallis tests were applied when variables did not follow a Gaussian distribution and the variances were not homogeneous. A linear regression adjusted for age, gender and height was also applied to compare the lung function between asthmatic and non-asthmatic relatives. Parents of asthmatic adolescents had significantly lower values of the lung function than both parents together and mothers of non-asthmatics (84.6 vs. 97.6, p <0.01, for FEV and 84.3 vs. 97.9, p <0.01, for FVC, and 97.3 vs. 109.7, p <0.01, for FEV and 89.5 vs. 105.5, p <0.01, for FVC, respectively). Also, siblings of asthmatic adolescents had lower FEV (98.6 vs. 109.4, p <0.01) and FVC values (85.9 vs. 102.7, p <0.01). The healthy first-degree relatives of asthmatic adolescents have worse respiratory function than those of non-asthmatic adolescents. Asymptomatic relatives of asthmatics can have physiological characteristics that may reveal the phenotypic pattern of the disease.