Browsing by Author "Veiga, Nélio Jorge"
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- #109. Registo clínico eletrónico numa clínica dentária universitária – perceção dos estudantesPublication . Clemente, Luís Guilherme C.; Costa, Rita Carvalho; Martins, David Miguel; Veiga, Nélio Jorge; Marques, Tiago Miguel; Correia, André Ricardo M.Objetivos: Avaliação do nível de satisfação e da eficácia do registo clínico eletrónico na Clínica Dentária Universitária da Universidade Católica Portuguesa. Materiais e métodos: Realizou‐se um estudo do tipo observacional transversal, com recurso à aplicação de um questionário (adaptado de Mostafa, 2015) relacionado com o registo clínico eletrónico do programa de gestão clínica Newsoft DS9®, aos estudantes do 4.° e 5.° ano do mestrado integrado em Medicina Dentária. Para análise estatística recorreu‐se ao programa SPSS© V23.0, utilizando estatística descritiva e análise bivariada com o recurso ao teste qui‐quadrado/exato de Fisher. Resultados: Os estudantes consideram que o programa informático é melhor que o registo em papel, mais fácil de aceder, permite a comunicação entre as várias áreas disciplinares e aumenta a produtividade sem uma maior carga de trabalho. No entanto, os participantes referem algumas falhas: velocidade reduzida do processamento e bloqueios informáticos na introdução de dados. Conclusões: Em ambiente universitário, a utilização de um registo clínico eletrónico traduz‐se num grau de satisfação elevado que foi demonstrado pelos estudantes, com várias referências positivas à sua aplicação, porém as limitações informáticas referidas podem condicionar a sua utilização, caso não haja um suporte adequado.
- Assessment of oral health care among the institutionalized elderly caregiversPublication . Tavares, Maria; Monteiro, Ana; Dias, Cristiana; Fonseca, Inês; Bornes, Rita; Couto, Patrícia Sofia Soares; Veiga, Nélio JorgeIntroduction: The importance of oral hygiene among the elderly cannot be overlooked, providing physical and psychological well-being, increasing self-esteem and maintaining general health, based on the relationship between oral health and general health. Objectives: The aim of this study consisted of the assessment of the oral health care developed by the caregivers towards their institutionalized elderly in order to understand the necessities of the elderly people and their caregivers. Design and Methods: A cross-sectional study was developed based on a convenience sample that included a final sample of 17 caregivers of institutionalized individuals with 65 years of age or over. It was collected information based on oral hygiene habits, oral health problems, and the role of caregivers in this population and general assessment of oral health status. A questionnaire was developed and applied in the form of an interview directly to the caregivers of the nursing homes Viscondessa São Caetano and Mariana Seixas Foundation in Viseu, Portugal. Results: When asked, caregivers reported that it is rare that the elderly complain of pain or discomfort caused by oral/dental problems. This can also be explained due to the difficulty of communication and the level of dementia that the elderly may present. Regarding dental prostheses, the caregivers considered that the elderly only sometimes or rarely it is that they sanitize them well, which demonstrates the clear need to define better primary prevention strategies for this specific population, passing mainly by oral health education and promotion among the caregivers. They also mentioned that they almost always remove the prosthesis to sleep, which a satisfactory point is considering that the nocturnal rest of the prosthesis consists of a way to avoid the appearance of pathologies such as prosthetic stomatitis. Conclusions: Oral health training is necessary in the elderly and their caregivers, and greater support is also needed when they perform oral hygiene in order to improve their general condition oral health. It is important to highlight the positive fact that the elderly, increasingly, do the nocturnal rest of the dental prosthesis.
- Blood and salivary inflammatory biomarkers profile in patients with chronic kidney disease and periodontal disease: a systematic reviewPublication . Tavares, Lisandra Taísa Reginaldo; Saavedra-Silva, Mariana; López-Marcos, Joaquín Francisco; Veiga, Nélio Jorge; Castilho, Rogerio de Moraes; Fernandes, Gustavo Vicentis de OliveiraIntroduction: Periodontitis is the most prevalent inflammatory disease worldwide. Its inflammatory levels spread systemically, which can be associated with chronic kidney disease. Biomarkers have the potential to diagnose and correlate periodontitis and chronic kidney disease, helping to monitor systemic inflammation. Thereby, this study aimed to analyze the association between chronic kidney disease and periodontitis by conducting a biomarker analysis on blood and saliva. Material and methods: An electronic search through PubMed/MEDLINE, EMBASE, and Web of Science databases was conducted to identify clinical studies published in the last ten years, with no language restrictions. Twelve articles met all the inclusion criteria, two randomized controlled trials, one cohort study, and nine observational studies. Results: The studies included a total of 117 patients for saliva biomarkers, with a mean age of approximately 57 years old, and 56.68% of the subjects were female. After analyzing all the included studies, it was possible to verify the following biomarkers assessed: CRP, WBC, fibrinogen, IL-4 and -6, cardiac troponin T, NOx, ADMA, albumin, osteocalcin, cystatin C, PGLYRP1, cholesterol, HDL, LDL, triglycerides, and hemoglobin. Conclusion: A direct cause–effect association between periodontitis and CKD could not be established. However, it was possible to conclude that there was a correlating effect present, through the analyzed biomarkers.
- Cuidados de saúde oral em idosos institucionalizados dependentesPublication . Couto, Patrícia Sofia Soares; Monteiro, Ana Filipa Prata Gouveia; Veiga, Nélio JorgeSegundo a Organização Mundial de Saúde a população mundial está progressivamente mais envelhecida sendo, por isso, o processo de envelhecimento um novo desafio para a saúde pública contemporânea. Em idosos dependentes, a higiene e saúde oral é da responsabilidade dos cuidadores, sendo necessário que estes possuam conhecimentos sobre as alterações fisiológicas decorrentes do envelhecimento e ainda sobre as condições patológicas e seus fatores predisponentes. Este estudo pretendeu avaliar os conhecimentos sobre saúde oral dos cuidadores e auxiliares de ação médica, de idosos institucionalizados dependentes. Materiais e métodos: Para tal, foi realizado um estudo observacional transversal, a uma amostra de 52 cuidadores de três lares do distrito de Viseu. A recolha de dados foi realizada através da aplicação de um questionário aos cuidadores de idosos institucionalizados. A análise estatística foi efetuada através do programa estatístico IBM SPSS Statistics 23®. A grande maioria dos cuidadores sabe o que é uma cárie dentária (32,6%) e entende o conceito de placa bacteriana (83,3%). Relativamente à higiene oral de idosos com poucos ou nenhuns dentes, 68,5% dos cuidadores higienizam a gengiva com compressas. Verificou-se que 92,6% fazem o descanso noturno da prótese dos idosos a seu cargo. 38,9% realiza 1 vez por dia a higiene oral dos idosos dependentes; 51,9% utiliza escova e pasta dentífrica; 42,6% não utiliza nenhum complemento de higiene oral; 77,8% hidrata a cavidade oral uma vez por turno e 63% dos cuidadores refere não existirem protocolos de higiene oral nas suas instituições. Os lares de idosos não apresentam protocolos específicos para a higiene oral, no entanto os cuidadores possuem alguns conhecimentos de saúde e higiene oral, mas que não são específicos para idosos dependentes.
- Dental caries and oral health behavior assessments among Portuguese adolescentsPublication . Veiga, Nélio Jorge; Cecchi, Maria Helena Ribeiro de; Martins, Johnny; Cunha, Inara Pereira da; Meneghim, Marcelo de Castro; Correia, Maria José; Couto, PatríciaIntroduction: Adolescents have a high risk of developing caries in Portugal. The present study is designed to assess dental caries experience among the adolescents by the application of DMFT index, characterize the oral health risk factors and to determine the association between caries experience and socio-demographic variables. The characterization of the oral health behaviors of adolescents of the central region of Portugal will help in the development of specific oral health education strategies to improve oral health among the local communities. Material and methods: A cross-sectional study was conducted among a convenient sample of 694 adolescents aged 12 to 18 years attending public schools in two Portuguese districts using a structured questionnaire designed to investigate oral health and behavior of participants. In addition, a clinical examination was carried out noting the decayed, missing and filled teeth. A descriptive analysis of the variables was performed using the Chi-square, Mann-Whitney and Kruskal-Wallis tests (p<0.05). A multivariate analysis was applied for analysis of the association between variables. Results: The mean DMFT index score of 2.91±2.9 was obtained. Of the total sample, 73% consumed sugary food daily, 50.1% considered having good oral health and 70.8% did not report pain in the last 12 months. Most adolescents (79.4%) brushed their teeth daily and 60% did not use dental floss. Of the total sample, 96.4% had a dental appointment in the last 12 months, 46.4% of which was for preventive purposes. Applying the Chi-square statistical test, we verified that the adolescents who brush their teeth daily presented a good perception about their oral health (p<0.001), the DMFT index scores were associated with the residence area (p=0.01) and the presence of dental caries was associated with the perception of oral health (p=0.049) and sugary food intake (p=0.029).Conclusion: Portuguese adolescents presented a low DMFT index. The DMFT index was associated with residence area, perception of oral health and sugary food intake. Daily toothbrushing was associated with self-perception of oral health. It is suggested that oral health promotion and prevention programs should aim to reduce the risks of oral disease development.
- Dental caries: a reviewPublication . Veiga, Nélio Jorge; Aires, Daniela; Douglas, Filipa; Pereira, Margarida; Vaz, Ana; Rama, Liliana; Silva, Mariana; Miranda, Vanessa; Pereira, Francisco; Vidal, Beatriz; Plaza, João; Bexiga, Filipantroduction: Dental caries is the most prevalent chronic disease worldwide. It’s an infectious disease characterized by a multifactorial etiology and slow evolution that leads to the destruction of dental hard tissues. The implementation of preventive measures, the need of investing in education for the correct maintenance measures of oral health, associated with preventive and continuos medical and dental care, are key to the awareness of populations of its existence and to the decline of its prevalence. Throughout this article we intend to review some important aspects about dental caries and the main etiological factors envolved so that health professionals can intervene in the treatment and prevention of diseases. Materials and Methods: To carry out this review article the search strategies included electronic databases, such as Pubmed, Cochrane Library and Science Direct, reference lists of articles, and selected textbooks. Articles and textbooks used in this study were mainly reached by using the following keywords: “oral health”, “dental caries”, “etiological factors”, “risk factors”, “primary dental prevention”. Selection criteria included articles published from 1990 to the present year of 2016 that described the definition, etiology and other characteristics associated with the disease dental caries. At the end of the search, 16 scientific articles were selected. Results: Dental caries is a disease that develops through gradual complex biological interactions of acidogenic bacteria, fermentable carbohydrates and host factors such as the teeth and saliva, during time. The disease developes due to multifactorial aspects, since biological to social aspects that the oral health professional should be aware of. Discussion: The implementation of preventive measures, the need of investing in education for the correct maintenance measures of oral health, associated with preventive and continuos medical and dental care, are key for the awareness of populations of its existence and contribute for the decrease of the prevalence of oral diseases. Conclusions: Dental caries should be seen as a fairly common condition that can greatly affect the health and quality of life of patients, so it is extremely important to increase the knowledge towards their mechanisms, focusing on prevention and the correct therapeutic approach. However, it is necessary to be aware of the hard work ahead in the future related with education and oral health promotion.
- Gender and age differences in the sleep habits: a cross-sectional study in adolescentsPublication . Amaral, Odete; Pereira, Carlos; Veiga, Nélio Jorge; Coutinho, Emília; Chaves, Cláudia; Nelas, PaulaIntroduction: Breast cancer is a highly harmful pathology in women’s lives. It has emotional and psychological consequences that can affect their quality of life. Early and structured interventions performed by elements of rehabilitation nursing can be essential to the functional recovery of the upper-limb and to the patients’ well-being. Objectives: To assess the efficiency of functional rehabilitation programs in the recovery of the patients’ upper-limb and that began in early post-surgery of women who have undergone a radical mastectomy. Methods: This is an integrative review of literature. After we had established the inclusion and exclusion criteria, after we had analyzed the researchers, six primary studies were selected. Those studies were searched through some browsers like PubMed; The Cochrane Library; some Institutional Repositories and PEDro. We used different set of keywords like “rehabilitation”, “breast cancer”, “upper-limb”, “modified radical mastectomy” and ”post-surgery complications” in Portuguese and in English. The search took place between June and April 2014, following the principles suggested by the Cochrane Handbook. 1 Results: The studies suggest the existence of clinical benefits that are statistically significant when there is an early rehabilitation intervention. This early action will help ease the patients’ pain, prevent the lymphedema, recover joint amplitude and will allow patients to perform daily tasks in an independent way. Conclusion: Structured and systemic Rehabilitation Nursing Programmes generate benefits in women’s functionality and quality of life and will greatly improve their health.
- I-40. Saúde oral e reabilitação protética numa amostra de idosos institucionalizadosPublication . Cunha, Joana; Veiga, Nélio Jorge; Leitão, Jorge; Correia, AndréObjetivos: A perda dentária e as suas consequências continuam a ser uma realidade na população geriátrica institucionalizada. As características peculiares desta população geriátrica muitas vezes limitam as opções de tratamento de reabilitação oral às próteses removíveis. O objectivo deste estudo consistiu na avalição do estado de saúde oral e da reabilitação protética numa amostra de idosos institucionalizados. Materiais e métodos: Realizou-se um estudo epidemiológico observacional transversal em idosos institucionalizados numa amostra de 445 indivíduos (70,1% do sexo feminino) com uma idade média de 82,27 ± 8,46 anos. A recolha de dados referente a aspectos sócio-demográficos e hábitos de higiene oral foi efectuada através da aplicação de um questionário. Foi realizado uma observação intra-oral para avaliação do estado de saúde oral e da reabilitação protética actual. Para a análise das variáveis contínuas utilizámos medidas de tendência central (média) e medidas de dispersão (desvio padrão). As prevalências foram apresentadas em proporções sendo utilizado o teste do Qui-quadrado para comparação de proporções, para um nível de significância de 5% (p = 0,05). Resultados: No nosso estudo, encontrámos uma média de 21,70 ± 7,87 dentes perdidos. Observámos diferenças estatisticamente significativas entre o número de dentes perdidos e o género feminino (p = 0,002), entre a frequência de higienização das próteses e a presença de restos alimentares existentes nas mesmas (p = 0,022), e entre o uso contínuo da prótese e a presença de lesões associadas à mesma (p < 0,01). A desdentação tipo I de Kennedy foi a mais prevalente em ambos os maxilares. Encontrámos maior prevalência de desdentados parciais sem próteses, 38,7% na maxila e 42% na mandíbula. Existe uma considerável percentagem de participantes que utilizam a mesma prótese há mais de 20 anos. As próteses maxilares apresentam boa estabilidade e retenção, e o inverso se verifica nas mandibulares. Conclusões: Ainda que sejam necessários mais estudos, com amostras mais representativas e probabilísticas, verificámos que os idosos institucionalizados apresentam perdas dentárias graves que, em diversos casos, não se encontram reabilitada proteticamente. Verificaram-se ainda grandes carências de informação sobre saúde oral e higiene e manutenção da sua reabilitação protética.
- Impact of digital innovations on health literacy applied to patients with special needs: a systematic reviewPublication . Cardoso, Lucilene Bustilho; Couto, Patrícia; Correia, Patrícia; Lopes, Pedro C.; Fernandes, Juliana Campos Hasse; Fernandes, Gustavo Vicentis Oliveira; Veiga, Nélio JorgeMHealth strategies have been used in various health areas, and mobile apps have been used in the context of health self-management. They can be considered an adjuvant intervention in oral health literacy, mainly for people with special health needs. Thus, the aim of this study was to identify the improvement of oral health literacy in patients with special needs when using digital platforms. A systematic literature review, based on the Joanna Briggs Institute (JBI) guidelines, was the main research method employed in this study. A search was undertaken in PubMed/MEDLINE and Cochrane Central Register of Controlled Trials (CENTRAL) databases, according to the relevant Mesh descriptors, their synonyms, and free terms (Entry Terms). Studies published between the years 2012 and 2023 were included. Two researchers independently assessed the quality of the included studies by completing the Newcastle–Ottawa Quality Assessment Scale questionnaire. The analysis corpus comprised 5 articles among the 402 articles selected after applying the inclusion/exclusion criteria (k = 0.97). The evidence from the considered articles is consensual regarding the effectiveness of using new technologies and innovations in promoting oral health literacy in patients with special health needs. The interventions were based on using the Illustration Reinforcement Communication System, inspired by the Picture Exchange Communication System, Nintendo® Wii™ TV, virtual reality, smartphones, with software applications to read messages sent, Audio Tactile Performance technique, and Art package. One study had a low-quality assessment, and four had a high quality. The evidence from the articles included in this systematic review is consistent regarding the effectiveness of using new technologies and innovations in promoting oral health literacy in patients with special health needs.
- Oral health behaviour perception scale applied among a sample of Portuguese adolescentsPublication . Amaral, Odete; Couto, Patrícia; Coelho, Inês; Correia, Maria José; Veiga, Nélio JorgeIntroduction: The application of a scale can be particularly useful for the epidemiological studies comparing different populations and for analysis of the influence of distinct aspects of oral health on the development of certain health conditions. The aim of this study consists in the creation of a scale to classify the level of perception of the oral health behaviors applicable to a sample of Portuguese adolescents. Material and Methods: An observational cross-sectional study was designed with a total of 649 adolescents between the ages of 12 and 18 years old from five public schools in the Viseu and Guarda districts, in Portugal. Data was collected by the application of a self-administered questionnaire and, after analysis of data collection, the newly Universidade Católica Portuguesa (UCP) oral health perception scale was created. Statistical analysis was performed using SPSS-IBM software version 24.0 (IBM SPSS, Chicago, Il., USA). In the descriptive statistical analysis, absolute and descriptive frequencies were used for variables with nominal measurement level, mean as a measure of central tendency and standard deviation as a measure of dispersion for interval variables. Results: Oral health behaviors perception respecting the assumptions defined by the present scale has been elaborated. The result showed that 67% of the sample presented a poor perception of their oral health behaviors, 23.9% intermediate/sufficient, while 8.2% refer having good perception, respecting the assumptions defined for the elaboration of the present scale. Conclusion: For this purpose, through the scale to classify the level of oral health behaviors applicable to the sample of portuguese adolescents, it is possible to compare the data of several samples and understand what are the most frequent oral or eating habits among adolescents.