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GJENNOMFØRING AV EØS-FINANSIERINGSORDNINGEN

In document Overenskomster med fremmede stater (sider 141-145)

DENTAL CARE

Maria Conceição MansoI,II,a, Natália FradeIII,b, Sandra

GavinhaIII,c, Patrícia Manarte-MonteiroIII,d

IFaculdade de Ciências da Saúde. Universidade Fernando

Pessoa. Portugal

IIRede de Química e Tecnologia. Universidade do

Porto. Portugal

IIIDepartamento de Ciências Médicas. Faculdade de

Ciências da Saúde. Universidade Fernando Pessoa. Porto, Portugal

Introduction: Dental health care satisfaction is an inte-

gral component of the dental healthcare professional’s obligation to society.

Objective: To develop an instrument for measuring

patient satisfaction with dental care at an University den- tal school clinic.

Methods: The sample was composed of 268 outpatients

of both sexes with mean age of 46.1 (±16.3) years who were attending an University dental school clinic at Oporto, Portugal who answered a questionnaire with 31 questions, measuring patient satisfaction level over a five-point Likert scale. This study covered the process of developing the instrument. Psychometric analysis (evaluation of the test that was developed) was performed by means of study- ing the reliability and validity of the measures obtained with the instrument.

Results: The results achieved in relation to reliability, by

means of Cronbach’s alpha coefficient (α=0.616), and content, and construct validities showed intermediate internal consistency and satisfactory validity according to psychometric standards for patient satisfaction with dental therapy. Factorial analysis showed the pertinence of this model (KMO=0.655; Bartlett sphericity test, p<0.001), by means of principal component analysis, indicated the existence of five components: “patient assistance assess and receptionist help”, “quality of the Dentist and dental treatment”, “Clinical physical conditions, treatment safety and procedure transparency”, “Patient-Dentist interaction interpersonal aspects” and “perception of solved (dental) problem”. The present scale of satisfaction may be fur- ther improved.

Conclusions: This study makes available a tool that still

may be improved, to contribute to management and to the planning process necessary for improving the quality of dental care services.

Descriptors: Scale development. Patient satisfaction.

Reliability. Validity. Dental care..

a [email protected] b [email protected] c [email protected] d [email protected]

ROOT CARIES: A PROBLEM IN INSTITUTIONALIzED ELDERLy

Sandra GavinhaI,a, Patrícia Manarte-MonteiroI,b, Maria

Conceição MansoII,III,c

IDepartamento de Ciências Médicas. Faculdade de

Ciências da Saúde. Universidade Fernando Pessoa. Porto, Portugal

IIFaculdade de Ciências da Saúde. Universidade Fernando

Pessoa. Portugal

IIIRede de Química e Tecnologia. Universidade do

Porto. Portugal

Introduction: High prevalence of root caries (RC) in

elderly populations has a strong impact on their general health, being a risk factor for quality of life deterioration.

Objective: The aim of this study was to evaluate the prev-

alence/presence of root caries in an elderly population and factors determining oral health status related with RC.

Methods: An observational and cross-sectional study

approved by the Ethical Commission of the University Fernando Pessoa evaluated 372 persons aged 60+ were examined. The root caries index (RCI) was used to assess caries. Several socio-behavioral factors that may influ- ence RCI were observed. Descriptive/inferential analysis (α=0.05) and multivariable logistic regression (backward stepwise method, p=0.05/0.10 for factors’ inclusion/exclu-

sion) was carried out using SPSS©vs.17.0.

Results: The mean age was 78.8 (±9.1) years (range

60-101 years). A RCI of 43.8% [95%CI:37.5%-50.0%] was obtained, and 77.0% [95%CI:71.9%-82.2%] expe- rienced untreated RC. The RCI was significantly associ- ated with gender and age. The last visit to the dentist was independent from RCI. The RC prevalence was 78.6% [95%CI:74.4%-82.8%] and the mean RC was 3.4(±3.6)/ elderly. Age group, gender, use of removable prosthe- ses and brushing habits were included in a multivariate logistic model, where brushing≥1/day [p=0.002;OR(95 %CI)=2.8(1.4-5.4)] and use of removable metal prosthe- ses [p=0.030;OR(95%CI)=5.3(1.2-24.3)] remained inde- pendently associated with RCI≥20%.

Conclusions: As populations age and retains more natu-

ral teeth there is a greater likelihood of occurrence of root caries. As observed in this population, RC is a problem that affects their quality of life, but it can be controlled with suitable prevention strategies and group management.

Descriptors: Root caries. Root caries index. Prevalence.

Elderly. Institutionalized.

a [email protected] b [email protected] c [email protected]

INTRARATER RELIABILITy AND AGREEMENT OF CHEST wALL MOBILITy IN PATIENTS wITH COPD

Nuno MoraisI,a, Joana CruzII,b, Alda MarquesIII,c

IDepartamento de Ciências e Tecnologias da Saúde.

Escola Superior de Saúde. Instituto Politécnico de Leiria. Leiria, Portugal

IISecção Autónoma de Ciências da Saúde da Universidade

de Aveiro. Aveiro, Portugal

IIIEscola Superior de Saúde. Universidade de Aveiro.

Aveiro, Portugal. Unidade de Investigação e Formação sobre Adultos e Idosos. Porto, Portugal

Introduction: One simple method to assess chest wall

mobility consists of measuring thoracic excursion at max- imal inspiration and expiration with a measuring tape. Although this method has been used as an outcome mea- sure in chronic obstructive pulmonary disease (COPD) interventions, its reliability has been poorly studied, lim- iting its clinical use.

Objective: To assess the intrarater reliability of thoracic

excursion in patients with COPD.

Methods: Fifteen patients (GOLD grade: 1 n=2, 2 n=11,

3 n=1, 4 n=1; 13 males; mean age (±SD)=67.9±9.7 years;

BMI=28.0±5.9 Kg/m2) were recruited. The thoracic excur-

sion was measured by the thoracic circumference at upper

(UTE; 3rd intercostal space at the midclavicular line and 5th

thoracic spinous process) and lower (LTE; at the xiphoid

process and 10th thoracic spinous process) levels with a

measuring tape. Each measurement was performed twice in a random order at maximal inspiration (MI) and expi-

ration (ME). Intraclass correlation coefficient (ICC1,1) and

Bland-Altman [95% limits of agreement (LA), standard error of the measurement (SEM) and repeatability coef- ficient (RC)] were used to calculate intrarater reliability.

Results: UTE: ICC (95%CI)=.631 (.208−.857);

95%LA=-1.99−2.96cm; SEM=0.89cm; RC=2.47cm. LTE: ICC (95%CI)=.753 (.420−.909); 95%LA=- 1.75−2.00cm; SEM=0.68cm; RC=1.88cm. Considering MI and ME separately, ICCs were similar (.968<ICC 95%CI<.999). Upper thorax agreement parameters were: at MI 95%LA=-2.74−3.39cm, SEM=1.11cm, RC=3.06cm; at ME 95%LA=-3.24−3.56cm; SEM=1.23cm; RC=3.40cm. Lower thorax parameters were: at MI 95%LA=-1.46−2.46cm, SEM=0.71cm, RC=1.96cm; at ME 95%LA=-1.83−2.58cm; SEM=0.79cm; RC=2.20cm. Conclusions: High variability in repeated measures performed by the same rater raises questions about the clinical usefulness of this method for assessing chest wall mobility.

Descriptors: agreement; chronic obstructive pulmonary

disease; measurement; reliability; thoracic excursion.o.

a [email protected] b [email protected] c [email protected]

THE USE OF TRADEMARKS IN THE BRAzILIAN MARKET By PHARMACEUTICAL COMPANIES

Iolanda M. Fierroa, Elizabeth F. Silvab, Dirceu Y. Teruyac,

Patrícia P. Peraltad

Instituto Nacional da Propriedade. Rio de Janeiro, Brasil

Introduction: The trademark is one of the most valuable

assets for the companies, being protected by industrial property rights. In the pharmaceutical sector, the litera- ture points to the relevance of the trademark use in the strategies for customer loyalty in face of the introduction of new drugs in the market and the expiration of patent protection. The databases of patent documents are widely used as a tool to generate scientific and technological indi- cators. However, there are still few studies on the per- formance of trademarks, in the pharmaceutical or other sectors, particularly as generators of legal and socioeco- nomic information.

Objective: This work aims to understand the likelihood of

using the Brazilian National Institute of Industrial Property’s (INPI) trademark database to map the trademark use in the Brazilian market by pharmaceutical companies.

Methods: The methodology employed was a multi-case

study using the trademark portfolio of several companies obtained from the Brazilian National Institute of Industrial Property’s trademark database. The sample was based on the sales volume of pharmaceutical companies in the international market.

Results and Conclusion: The brands portfolio of nine

selected companies was raised and analyzed using crite- ria related to national and international rankings of prod- ucts or services, such as their size in each segment, the sectors of activity of each trademark holder, the required types of brands, among others. The results show little use of the data set relative to trademark deposit and empha- size the importance of this database to generate informa- tion, a tool that can be used by the companies to increase their competitiveness.

Descriptors: Pharmaceutical Industry; Industrial Property;

Trademarks.

a [email protected] b [email protected] c [email protected] d [email protected]

CONFIRMATORy FACTOR ANALySIS OF THE PORTUGUESE VERSION OF THE PERITRAUMATIC DISSOCIATIVE ExPERIENCES QUESTIONNAIRE

Teresa CarvalhoI,II,a, Marina CunhaI,II,b, José

Pinto-GouveiaI,c

ICentro de Investigação do Núcleo de Estudos e

Intervenção Cognitivo Comportamental. Faculdade de Psicologia e de Ciências da Educação. Universidade de Coimbra. Coimbra, Portugal

IIInstituto Superior Miguel Torga. Coimbra, Portugal

Introduction: The dissociative subtype of PTSD was added

to DSM-V. The Peritraumatic Dissociative Experiences Questionnaire (PDEQ) is a self–report instrument widely used to assess peritraumatic dissociation.

Objective: This study aimed to test the two-factorial

latent structure (Lack of Awareness and Depersonalization/ Derealization) of the Portuguese version of the PDEQ, previously found in the original version. The internal consistency, test-retest reliability, convergent-divergent and discriminant validity of this scale were also analysed.

Methods: In this study, 300 males from the general pop-

ulation of Colonial Portuguese War veterans (snowball sampling) completed the PDEQ, the PTSD Checklist- Military Version, the Beck Depression Inventory and the Anxiety and Stress Scales of the DASS-21. Test-retest reliability was assessed in a subset of 110 participants. Two independent convenience samples with and without a PTSD diagnosis (N=40 and N=44, respectively) were used to explore the discriminant ability, both composed by Portuguese Colonial War Veterans.

Results: Confirmatory Factor Analysis showed that the

first–order, two-factor model had a good fit to the data and factorial validity. Adequate values were obtained for inter- nal consistency (Lack of Awareness and Depersonalization/ Derealization), test-retest reliability, and discriminant ability. Depersonalization/derealization showed moderate correlations with PTSD symptoms and low correlations with depression, anxiety and stress symptoms while Lack of Awareness had moderate correlations with all types of symptoms evaluated.

Conclusions: The results corroborated the structure of the

PDEQ found in the original version. The scale is internally consistent and has a good temporal stability and discriminant capacity. Convergent validity with PTSD symptoms was more visible for Depersonalization/derealization construct.

Descriptors: Assessment; peritraumatic dissociation;

PDEQ; Confirmatory factor Analysis; Portuguese Colonial War Veterans.

a [email protected] b [email protected] c [email protected]

ACCURACy OF NURSES IN RISK CLASSIFICATION OF AN ADULT EMERGENCy IN SOUTH OF BRAzIL

Sabrina Guterres da Silvaa, Luciana Bihain Hagemannb,

Kátia Cilene Godinho Bertoncelloc, Eliane Regina

Pereira do Nascimentod

Grupo de Estudo no Cuidado de Pessoas nas Situações Agudas de Saúde. Universidade Federal de Santa Catarina. Florianópolis, Brazil

Introduction: It is known the relevance of studies that identify the accuracy of the professionals involved in the care and classification of risk, these studies are used to indicate the quality of a quantity observed.

Objective: To verify the agreement degree of the risk clas-

sification conducted by nurses in an emergency department in south of Brazil.

Methods: Quantitative study, in which 380 medical records were evaluated and reclassified. Kappa indices were cal- culated to determine the agreement degree between the first risk classification and the reevaluation.

Results: The results had shown that, when evaluating the accuracy of the classification and posterior reclassifi- cation, it was found a value of Cohen’s Kappa of 0.786, with reliable interval of 95% between 0.732 and 0.840. The value of the hypothesis test was statistically signifi- cant [Z=9.19, p<0.01] and with standard error associated with the null hypothesis of 0.042. In these conditions, it is accept the null hypothesis (i.e., evaluations are equal), as well as the value of Cohen’s Kappa suggests excellent agreement between evaluation and the reevaluation, there- fore not differing.

Conclusion: It can be concluded that the agreement

between risk classification performed by nurses using the protocol is excellent when is considers the errors of clas- sification occurred. In general, the protocol used by emer- gency department takes care of the patient’s priority level, when reclassified, proving to be an inclusive protocol.

Descriptors: Nursing; Emergency Medical Services;

Triage; Dimensional Measurement Accuracy.

a [email protected] b [email protected] c [email protected] d [email protected]

NURSES AND ASSESSMENT CARDIOVASCULAR

In document Overenskomster med fremmede stater (sider 141-145)