Validation of a measuring instrument for the perception of oral health in women

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Perception of brazilian citizens about Darwinism and the (Non) Influence of God in the evolutionary process

The current context is unique in relation to the teaching of evolution in Brazil and the population's perception of evolution. On the one hand, it is said often about Darwinism in various media, especially due to the relatively recent commemoration of the two hundred years of the birth of Charles Darwin and one hundred and fifty years of the launch of the book The Origin of Species. On the other hand, it is clear, in recent years, a timid movement, more worryingly, in favor of equitable approach of creationist and evolutionist theories in the classroom. This article is a part of a research whose goal is to raise the design that Brazilian respondents have about the Darwinian view (which disregards the divine influence in the evolution of the species). The instrument used for data collection is a questionnaire, type Likert scale, which consists of a series of statements in which respondents must express their degree of agreement or disagreement with each statement. In this study, we present the results of the statement. "The thought of Darwin, which does not consider God as a participant in the process of evolution, is...". Analysis correlated with data on religion and education of the respondents are also held. The results point to a tendency of respondents not to accept the Darwinian view that disregards God's interference in the evolutionary process. The data also show that respondents' choices are influenced by religion and education. The frequency of responses that tend to accept the Darwinian view (which disregards the divine participation in the evolution of the species) is higher among respondents with higher levels of education. Adherents to religions "evangelical" tend to deny this view more often than followers of other religions. Given the potential risks of inserting creationist approaches in school education, it is necessary a discussion of the possible impacts of this rejection of Darwin's thinking (which does not consider God as a participant in the evolutionary process), indicated here, in the teaching of evolution. This work was supported by FAPEMIG.

Care to terminal patients. Perception of nurses from the intensive care unit of a hospital

Objective. To identify the perception of nurses with regard to the process of providing care to patients in the context of hospice care. Method. Qualitative study using the methodological framework Collective Subject Discourse. A total of 18 nursing professionals of the adult intensive care unit of a public hospital in São Paulo, Brazil were interviewed between June and August 2012. Results. The process of providing care to terminal patients is permeated by negative, conflictive and mixed feelings. As regards communication, while the participants acknowledge its importance as a therapeutic resource, they also admit a lack of professional qualification. Conclusion. The interviewees have difficulties to deal with care provided to terminal patients. The qualification of these professionals needs to be improved, starting in the undergraduate program.

Perception of the informed consent form by participants in clinical trials

To understand the perception of the participants in controlled clinical trials (CCTs) about the informed consent and describe the meaning of their participation in the research. Qualitative study using the focus group technique. The sample was composed of 19 patients who participated in clinical trials about hypertension and coronary disease in a specialized cardiologic hospital located in the city of Sao Paulo. The methodological framework used was the content analysis. Some of the participants were aware of the real objective of these studies while others had misperceptions. The reading of the informed consent is not always done and, when it is done, the patient does not understand it. The lack of understanding about the term ''placebo'' was mentioned by some participants. The motivation to participate was the personal benefit. This study shows that obtaining the informed consent in CCTs is complex and that there is the need to adapt the structure and application of this document, in order to protect the participants and improve the quality of clinical trials performed in the country.

Medicinal plants in pregnancy and lactation: perception of the health risk and practical educational group in Araraquara, São Paulo State, Brazil

The use of medicinal plants among pregnant women and lactating is a common practice in diverse countries. However, many medicinal plants are contraindicated during pregnancy and lactating, due to various adverse effects, such as teratogenic, embryotoxic and abortive effects, exposing these women, their fetus and babies to health unknown risks. Thus, the purpose of this commentary, was to analyze the perception about the use of medicinal plants by pregnant women and lactating registered in the "baby on board" NGO, Araraquara, São Paulo state, Brazil, between 2010 at 2013. The group was constituted by 48 women, between the first and last trimester of pregnancy or whilst breastfeeding. Information was collected during group meetings by oral interview, using a questionnaire, as script. The nature of the study was a qualitative analysis. The results were based on reports about the use of medicinal plants by pregnant women during group meetings: use, indication of use, knowledge about risks. All participants received written and oral information about the study and they gave a written informed consent. The use of medicinal plants is a reality among pregnant and lactating women of the "baby on board" NGO. They reported that they feel that "natural" products are not harmful for their health. The primary information sources for the majority of women about medicinal plants during pregnancy are family, neighbors and herbalists. The plants most cited (in popular name in Brazil) were: senna, chamomile, boldo, lemon balm, lemon grass. They were used mainly for: nausea, heartburn, indigestion, flatulence, intestinal and abdominal pain, anxiety, intestinal constipation and low milk production. The pregnant and lactating women lacked knowledge about the health risks of the use of medicinal plants and herbal medicines in pregnancy and lactation. They also reported difficulties in clarifying some questions about the use of medicinal plants with their doctors. The results of the present study showed that educative actions about the rational use of medicinal plants in pregnancy and breastfeeding could be part of the operating protocols to promote the maternal and child health programs in Araraquara. Thus, our results also suggest the importance of creating institutionalized places, to the implementation of continued education programs about rational use of medicinal plants in pregnancy and lactation. These targeted programs are not only for health professionals, but also for community members, pregnant women and breastfeeding. Our results pointed out the importance of guidance of doctors and healthcare professionals on the scientific studies about medicinal plants and herbal medicines and the risk/benefit of using herbs during pregnancy. Finally, it is noted the importance of the health professionals to inform women of childbearing on risks to their health, as well as on possibilities of utilization of herbs during fertile period, giving special attention to the potential risk of self-medication.

Perception of the Internet as an Enabler of Scholarship among Postgraduate Students of the University of Ibadan, Oyo State, Nigeria

This paper investigates postgraduate students' perceptions of the Internet as an enabler of scholarship.The specific objectives of the study are: to ascertain the perception held by the postgraduate students on the Internet usage as an enabler of scholarship, and to determine what interventions are necessary to facilitate postgraduate students' adoption of the Internet as a tool for learning and research. The subjects of study are the postgraduate students of the University of Ibadan, Nigeria. A random sample of 100 students was selected with representation from each faculty of the university. A questionnaire instrument with a 12-item scale was designed and administered. Data analysis was done using the chi-square statistical method. The results show that majority of the postgraduate students have positive perceptions of the Internet as an enabler of information sourcing for learning and research. However some of these students have low self-efficacy in Internet use for information sourcing.

The Perception of Natural, Cell Phone, and Computer-Synthesized Speech During The Performance Of Simultaneous Visual-Motor Tasks

This study investigated the influence of top-down and bottom-up information on speech perception in complex listening environments. Specifically, the effects of listening to different types of processed speech were examined on intelligibility and on simultaneous visual-motor performance. The goal was to extend the generalizability of results in speech perception to environments outside of the laboratory. The effect of bottom-up information was evaluated with natural, cell phone and synthetic speech. The effect of simultaneous tasks was evaluated with concurrent visual-motor and memory tasks. Earlier works on the perception of speech during simultaneous visual-motor tasks have shown inconsistent results (Choi, 2004; Strayer & Johnston, 2001). In the present experiments, two dual-task paradigms were constructed in order to mimic non-laboratory listening environments. In the first two experiments, an auditory word repetition task was the primary task and a visual-motor task was the secondary task. Participants were presented with different kinds of speech in a background of multi-speaker babble and were asked to repeat the last word of every sentence while doing the simultaneous tracking task. Word accuracy and visual-motor task performance were measured. Taken together, the results of Experiments 1 and 2 showed that the intelligibility of natural speech was better than synthetic speech and that synthetic speech was better perceived than cell phone speech. The visual-motor methodology was found to demonstrate independent and supplemental information and provided a better understanding of the entire speech perception process. Experiment 3 was conducted to determine whether the automaticity of the tasks (Schneider & Shiffrin, 1977) helped to explain the results of the first two experiments. It was found that cell phone speech allowed better simultaneous pursuit rotor performance only at low intelligibility levels when participants ignored the listening task. Also, simultaneous task performance improved dramatically for natural speech when intelligibility was good. Overall, it could be concluded that knowledge of intelligibility alone is insufficient to characterize processing of different speech sources. Additional measures such as attentional demands and performance of simultaneous tasks were also important in characterizing the perception of different kinds of speech in complex listening environments.

INVESTIGATION OF PATIENT PERCEPTION OF HOSPITAL NOISE AND SOUND LEVEL MEASUREMENTS: BEFORE, DURING, AND AFTER RENOVATIONS OF A HOSPITAL WING

Acoustic conditions in hospitals have been shown to influence a patient’s physical and psychological health. Noise levels in an Omaha, Nebraska, hospital were measured and compared between various times: before, during, and after renovations of a hospital wing. The renovations included cosmetic changes and the installation of new in-room patient audio-visual systems. Sound pressure levels were logged every 10-seconds over a four-day period in three different locations: at the nurses' station, in the hallway, and in a nearby patient’s room. The resulting data were analyzed in terms of the hourly A-weighted equivalent sound pressure levels (

The perception of sleep quality in kidney transplant patients during the first year of transplantation

OBJECTIVE: Poor sleep quality is one of the factors that adversely affects patient quality of life after kidney transplantation, and sleep disorders represent a significant cardiovascular risk factor. The objective of this study was to investigate the prevalence of changes in sleep quality and their outcomes in kidney transplant recipients and analyze the variables affecting sleep quality in the first years after renal transplantation. METHODS: Kidney transplant recipients were evaluated at two time points after a successful transplantation: between three and six months (Phase 1) and between 12 and 15 months (Phase 2). The following tools were used for assessment: the Pittsburgh Sleep Quality Index; the quality of life questionnaire Short-Form-36; the Hospital Anxiety and Depression scale; the Karnofsky scale; and assessments of social and demographic data. The prevalence of poor sleep was 36.7% in Phase 1 and 38.3% in Phase 2 of the study. RESULTS: There were no significant differences between patients with and without changes in sleep quality between the two phases. We found no changes in sleep patterns throughout the study. Both the physical and mental health scores worsened from Phase 1 to Phase 2. CONCLUSION: Sleep quality in kidney transplant recipients did not change during the first year after a successful renal transplantation.

Perception of the esthetic impact of mandibular incisor extraction treatment on laypersons, dental professionals, and dental students

Objective: To evaluate the degree of perception of laypersons, dental professionals, and dental students regarding dental esthetics in cases with mandibular central incisor extraction. Materials and Methods: Using a smile photograph of a person with normal occlusion and all teeth, modifications were made to reflect the extraction of a mandibular incisor of various compositions and sizes. For this purpose a program specifically for image manipulation (Adobe Photoshop CS3, Adobe Systems Inc) was used. After manipulation the images were printed on photographic paper, attached to a questionnaire and distributed to laypersons, dental professionals, and dental students (n = 90) to evaluate the degree of perception and esthetic using a scale of attractiveness, where 0 = hardly attractive, 5 = attractive, and 10 = very attractive. The differences between examiners were checked by the Mann-Whitney test. All the statistics were performed with a confidence level of 95%. Results: The results demonstrated the skill of the dental professionals and dental students in perceiving the difference between cases of normal occlusion and cases where an incisor was lacking (P < .05). The photograph in which the lateral incisors were shown to be larger than the central incisor was the one that obtained the highest value among the cases of extraction in all groups of evaluators. Conclusions: It can be concluded that dental professionals and dental students are more skillful at identifying deviation from normality. In addition, central incisor extraction should always be discarded when there are other treatment options available. (Angle Orthod. 2012;82:732-738.)

Challenges for nursing education in Angola: the perception of nurse leaders affiliated with professional education institutions

Background: Angola is one of the African countries with the highest morbidity and mortality rates and a devastating lack of human resources for health, including nursing. The World Health Organization stimulates and takes technical cooperation initiatives for human resource education and training in health and education, with a view to the development of countries in the region. The aim in this study was to identify how nurses affiliated with nursing education institutions perceive the challenges nursing education is facing in Angola. Methods: After consulting the National Directory of Human Resources in Angola, the nurse leaders affiliated with professional nursing education institutions in Angola were invited to participate in the study by email. Data were collected in February 2009 through the focus group technique. The group of participants was focused on the central question: what are the challenges faced for nursing education in your country? To register and understand the information, besides the use of a recorder, the reporters elaborated an interpretative report. Data were coded using content analysis. Results: Fourteen nurses participated in the meeting, most of whom were affiliated with technical nursing education institutions. It was verified that the nurse leaders at technical and higher nursing education institutions in Angola face many challenges, mainly related to the lack of infrastructure, absence of trained human resources, bureaucratic problems to regularize the schools and lack of material resources. On the opposite, the solutions they present are predominantly centered on the valuation of nursing professionals, which implies cultural and attitude changes. Conclusions: Public health education policies need to be established in Angola, including action guidelines that permit effective nursing activities. Professional education institutions need further regularizations and nurses need to be acknowledged as key elements for the qualitative enhancement of health services in the country.

Esophageal contractions, bolus transit and perception of transit after swallows of liquid and solid boluses in normal subjects

CONTEXT: Esophageal dysphagia is the sensation that the ingested material has a slow transit or blockage in its normal passage to the stomach. It is not always associated with motility or transit alterations. OBJECTIVES: To evaluate in normal volunteers the possibility of perception of bolus transit through the esophagus after swallows of liquid and solid boluses, the differences in esophageal contraction and transit with these boluses, and the association of transit perception with alteration of esophageal contraction and/or transit. METHODS: The investigation included 11 asymptomatic volunteers, 4 men and 7 women aged 19-58 years. The subjects were evaluated in the sitting position. They performed swallows of the same volume of liquid (isotonic drink) and solid (macaroni) boluses in a random order and in duplicate. After each swallow they were asked about the sensation of bolus passage through the esophagus. Contractions and transit were evaluated simultaneously by solid state manometry and impedance. RESULTS: Perception of bolus transit occurred only with the solid bolus. The amplitude and area under the curve of contractions were higher with swallows of the solid bolus than with swallows of the liquid bolus. The difference was more evident in swallows with no perception of transit (n = 12) than in swallows with perception (n = 10). The total bolus transit time was longer for the solid bolus than for the liquid bolus only with swallows followed by no perception of transit. CONCLUSION: The results suggest that the perception of esophageal transit may be the consequence of inadequate adaptation of esophageal transit and contraction to the characteristics of the swallowed bolus.

Perception of social support by individuals with diabetes mellitus and foot ulcers

OBJECTIVE: To evaluate the perception of social support and the relationship of sociodemographic, clinical and metabolic control variables in individuals with diabetes mellitus and foot ulcers in an outpatient unit. METHODS: A quantitative cross-sectional approach was carried out using a social support network inventory. RESULTS: Participants had a high perception of social support; family and health professionals were identified as the main support sources. Fasting plasma glucose values were directly related with social support. CONCLUSION: Family members were identified as the main support source, which emphasizes their importance in the health care process.

Age-Group differences in perception of competence, goal orientatiom attitudes, and practice of pshysical activity of girls who attend military schools

[EN]This study analysed the differences in self-perception, goal orientation and participation in physical activity (PA) in girls (N= 244) attending military schools. Girls had moderately higher levels of perceived competence, and there were no significant differences between age-groups. The figure for task-orientation was higher than ego-orientation. Girls expressed a positive attitude toward school and PE. Most girls did not practiced PA outside school, but 63,9% were involved in school sports. It seems that the military educational institutions are being successful in helping students to adopt physically active lifestyles. The development of perception of competence, task-orientation, and favourable attitudes seem to be important factors to enhance the levels of PA among students.

Tactile perception - Perception of tactile distance changes with body site: a neural network modelling study.

La distorsione della percezione della distanza tra due stimoli puntuali applicati sulla superfice della pelle di diverse regioni corporee è conosciuta come Illusione di Weber. Questa illusione è stata osservata, e verificata, in molti esperimenti in cui ai soggetti era chiesto di giudicare la distanza tra due stimoli applicati sulla superficie della pelle di differenti parti corporee. Da tali esperimenti si è dedotto che una stessa distanza tra gli stimoli è giudicata differentemente per diverse regioni corporee. Il concetto secondo cui la distanza sulla pelle è spesso percepita in maniera alterata è ampiamente condiviso, ma i meccanismi neurali che manovrano questa illusione sono, allo stesso tempo, ancora ampiamente sconosciuti. In particolare, non è ancora chiaro come sia interpretata la distanza tra due stimoli puntuali simultanei, e quali aree celebrali siano coinvolte in questa elaborazione. L’illusione di Weber può essere spiegata, in parte, considerando la differenza in termini di densità meccano-recettoriale delle differenti regioni corporee, e l’immagine distorta del nostro corpo che risiede nella Corteccia Primaria Somato-Sensoriale (homunculus). Tuttavia, questi meccanismi sembrano non sufficienti a spiegare il fenomeno osservato: infatti, secondo i risultati derivanti da 100 anni di sperimentazioni, le distorsioni effettive nel giudizio delle distanze sono molto più piccole rispetto alle distorsioni che la Corteccia Primaria suggerisce. In altre parole, l’illusione osservata negli esperimenti tattili è molto più piccola rispetto all’effetto prodotto dalla differente densità recettoriale che affligge le diverse parti del corpo, o dall’estensione corticale. Ciò, ha portato a ipotizzare che la percezione della distanza tattile richieda la presenza di un’ulteriore area celebrale, e di ulteriori meccanismi che operino allo scopo di ridimensionare – almeno parzialmente – le informazioni derivanti dalla corteccia primaria, in modo da mantenere una certa costanza nella percezione della distanza tattile lungo la superfice corporea. E’ stata così proposta la presenza di una sorta di “processo di ridimensionamento”, chiamato “Rescaling Process” che opera per ridurre questa illusione verso una percezione più verosimile. Il verificarsi di questo processo è sostenuto da molti ricercatori in ambito neuro scientifico; in particolare, dal Dr. Matthew Longo, neuro scienziato del Department of Psychological Sciences (Birkbeck University of London), le cui ricerche sulla percezione della distanza tattile e sulla rappresentazione corporea sembrano confermare questa ipotesi. Tuttavia, i meccanismi neurali, e i circuiti che stanno alla base di questo potenziale “Rescaling Process” sono ancora ampiamente sconosciuti. Lo scopo di questa tesi è stato quello di chiarire la possibile organizzazione della rete, e i meccanismi neurali che scatenano l’illusione di Weber e il “Rescaling Process”, usando un modello di rete neurale. La maggior parte del lavoro è stata svolta nel Dipartimento di Scienze Psicologiche della Birkbeck University of London, sotto la supervisione del Dott. M. Longo, il quale ha contribuito principalmente all’interpretazione dei risultati del modello, dando suggerimenti sull’elaborazione dei risultati in modo da ottenere un’informazione più chiara; inoltre egli ha fornito utili direttive per la validazione dei risultati durante l’implementazione di test statistici. Per replicare l’illusione di Weber ed il “Rescaling Proess”, la rete neurale è stata organizzata con due strati principali di neuroni corrispondenti a due differenti aree funzionali corticali: • Primo strato di neuroni (il quale dà il via ad una prima elaborazione degli stimoli esterni): questo strato può essere pensato come parte della Corteccia Primaria Somato-Sensoriale affetta da Magnificazione Corticale (homunculus). • Secondo strato di neuroni (successiva elaborazione delle informazioni provenienti dal primo strato): questo strato può rappresentare un’Area Corticale più elevata coinvolta nell’implementazione del “Rescaling Process”. Le reti neurali sono state costruite includendo connessioni sinaptiche all’interno di ogni strato (Sinapsi Laterali), e connessioni sinaptiche tra i due strati neurali (Sinapsi Feed-Forward), assumendo inoltre che l’attività di ogni neurone dipenda dal suo input attraverso una relazione sigmoidale statica, cosi come da una dinamica del primo ordine. In particolare, usando la struttura appena descritta, sono state implementate due differenti reti neurali, per due differenti regioni corporee (per esempio, Mano e Braccio), caratterizzate da differente risoluzione tattile e differente Magnificazione Corticale, in modo da replicare l’Illusione di Weber ed il “Rescaling Process”. Questi modelli possono aiutare a comprendere il meccanismo dell’illusione di Weber e dare così una possibile spiegazione al “Rescaling Process”. Inoltre, le reti neurali implementate forniscono un valido contributo per la comprensione della strategia adottata dal cervello nell’interpretazione della distanza sulla superficie della pelle. Oltre allo scopo di comprensione, tali modelli potrebbero essere impiegati altresì per formulare predizioni che potranno poi essere verificate in seguito, in vivo, su soggetti reali attraverso esperimenti di percezione tattile. E’ importante sottolineare che i modelli implementati sono da considerarsi prettamente come modelli funzionali e non intendono replicare dettagli fisiologici ed anatomici. I principali risultati ottenuti tramite questi modelli sono la riproduzione del fenomeno della “Weber’s Illusion” per due differenti regioni corporee, Mano e Braccio, come riportato nei tanti articoli riguardanti le illusioni tattili (per esempio “The perception of distance and location for dual tactile pressures” di Barry G. Green). L’illusione di Weber è stata registrata attraverso l’output delle reti neurali, e poi rappresentata graficamente, cercando di spiegare le ragioni di tali risultati.