Validity and reliability of the Portuguese version of Mandibular Function Impairment Questionnaire.

The aim of this study is to evaluate the validity and reliability of the Mandibular Function Impairment Questionnaire (MFIQ) (Portuguese version). Face and content validity of the Portuguese version were performed. To assess reproducibility of the data gathered with MFIQ, it was applied to 62 individuals who completed the questionnaire on two occasions. Validity and reliability of the data gathered with MFIQ were evaluated in a sample of 249 patients. Construct-related validity was assessed through factorial validity (by means of a confirmatory factor analysis), and convergent and discriminant validities were assessed, respectively, by the average variance extracted (AVE), composite reliability (CC) and bivariate correlations between factors. The internal consistency was estimated by the standardised Cronbach's alpha coefficient (α) and reproducibility by the intra-class correlation coefficient (ICC). All the items of MFIQ showed content validity. Reproducibility was excellent in both the 'functional capacity' dimension (D1) (ICC(D1) =0·895, 95% CI=0·832 to 0·935) and the 'feeding' dimension (D2) (ICC(D2) =0·825, 95% CI= 0·726 to 0·891). Items 1, 2, 6 and 7 of D1 had factor weights below the desired cut-off (0·5), and overall fit of the original bifactorial structure of the MFIQ was poor [(confirmatory fit index) CFI= 0·850, (goodness of fit index) GFI= 0·781, (root mean square error of approximation) RMSEA= 0·118]. Thus, these items were excluded, and the new, reduced version of the MFIQ showed good fit (CFI=0·933, GFI=0·879, RMSEA=0·099). The convergent validity was adequate (AVE≥0·5, CC≥0·7) for both factors. However, their discriminant validity was low (AVE(D1) = 0·51 and AVE(D2) = 0·66 <ρ(2) (D1D2) =0·70). The internal consistency was excellent (α(D1) =0·874; α(D2) =0·918). The Portuguese version of the reduced MFIQ produced data with good validity and reliability.

Consistência interna e reprodutibilidade da versão em português do critério de diagnóstico na pesquisa para desordens temporomandibulares (RDC/TMD - Eixo II) / Internal consistency and reproducibility of portuguese version of research diagnostic criteria for temporomandibular disorders (RDC/TMD-Axis II)

OBJETIVO: Estudar a confiabilidade, da versão em português, do questionário para o diagnóstico psicológico e psicossocial dos indivíduos com desordens temporomandibulares (RDC/TMD). MÉTODOS: Foram entrevistados 109 indivíduos, de ambos sexos, que demandaram atendimento junto à Clínica de Fisioterapia do Centro Universitário de Araraquara, de janeiro a julho de 2006. Os questionários foram aplicados por um único examinador. Após duas semanas, o mesmo foi reaplicado em 36 indivíduos. Para avaliação da consistência interna do método, utilizou-se o Coeficiente Alfa de Cronbach; para análise da reprodutibilidade intra-examinador, o Coeficiente de Correlação Intraclasse (ro) e a estatística Kappa (kapa), respectivamente às variáveis de natureza quantitativa e qualitativa. RESULTADOS: A consistência interna para as dimensões intensidade da dor crônica e incapacidade; limitação da função mandibular; sintomas físicos não-específicos, incluindo os itens de dor; sintomas físicos não-específicos, excluindo os itens de dor e depressão foi de 0,8479, 0,8971, 0,8673, 0,8080 e 0,9270 respectivamente, atestando ao método excelente validade interna. Obteve-se "excelente" concordância intra-examinador para as questões referentes ao tempo de presença da dor e sua gradação, e "boa" para a questão referente à dor presente. Os menores valores de kapa relacionaram-se aos itens de sintomas físicos e depressão. A percepção de estalos ou rangidos pelos indivíduos apresentou concordância "regular" bem como a questão referente à procura de profissional para tratamento da dor. As demais questões apresentaram reprodutibilidade "boa" e "ótima", sendo que a maioria dessas apresentou nível máximo de concordância. CONCLUSÃO: A versão adaptada para o português mostrou-se confiável para detecção das alterações psicológicas e psicossociais associadas às desordens temporomandibulares.

OBJECTIVE: To study the reliability of the Portuguese version of a questionnaire for psychologically and psychosocially diagnosing individuals with temporomandibular disorders (RDC/TMD). METHOD: Interviews were held with 109 individuals of both sexes who required care at the physical therapy clinic of the Araraquara University Center (UNIARA) from January to July 2006. The questionnaires were applied by a single examiner. Two weeks later, the same questionnaire was reapplied to 36 individuals. To evaluate the internal consistency of the method, Cronbach's alpha coefficient was used. The intra-examiner reproducibility was analyzed using the intraclass correlation coefficient (rho) for quantitative variables and Kappa (kappa) statistics for qualitative variables. RESULTS: The internal consistency for the dimensions of chronic pain intensity, disability, limitations relating to mandibular function, nonspecific physical symptoms with pain items included, and nonspecific physical symptoms with pain items and depression excluded, were 0.8479, 0.8971, 0.8673, 0.8080 and 0.9270 respectively, thus confirming the excellent internal validity of the method. The intra-observer agreement was found to be "excellent" for questions relating to pain duration and intensity and "good" for the question relating to current pain. The lowest kappa values were associated with items relating to physical symptoms and depression. The subjects' perception of clicking and creaking also had "satisfactory" agreement, as did the question on seeking professionals for pain treatment. The remaining questions showed "good" and "very good" reproducibility and most of them presented the maximum agreement. CONCLUSION: The Portuguese adaptation of the questionnaire was shown to be reliable for detecting psychological and psychosocial abnormalities relating to temporomandibular disorders.

[Anthropometric patterns in non-Caucasian full-term neonates of African, Moroccan and South American origin born in Catalonia (Spain)]. / Patrones antropométricos de los recién nacidos a término de grupos étnicos de raza no caucásica procedentes de Africa subsahariana, Marruecos y Sudamérica nacidos en Cataluña.

INTRODUCTION: The rise in immigration to Spain in recent decades has increased the number of non-Caucasian newborns in our environment. The aims of this study were to establish normal intrauterine development values for weight, length and head circumference in a population of non-Caucasian full-term newborns (FTN). PATIENTS AND METHODS: We studied 2,444 healthy full-term singleton newborns (37-42 weeks' gestational age; 1,230 boys, 1,214 girls) with the following ethnic origins: black (n =1,257; 622 boys, 635 girls), Moroccan (n =520; 297 boys, 223 girls) and South-American (n =667; 356 boys, 311 girls). Mean values and standard deviations were estimated for each week of gestation for sex and race and these values were compared with those of a Spanish population of the same gestational age and sex. RESULTS: Anthropometric values in black FTN were similar to those of the Catalan population. By contrast, these values were higher in Moroccans and South-American FTN than in the native population. Statistically-significant differences were observed in all the parameters evaluated from the 38th week of gestation in full-term Moroccan newborns compared with the reference population. Statistically significant differences were observed in full-term South-American newborns from the 38th week of gestation in girls and from the 40th week in boys. The presence of sexual dimorphism in the anthropometric patterns evaluated was not constant at all the gestational ages evaluated. CONCLUSIONS: Anthropometric patterns of the Spanish Caucasian FTN population are not extrapolable to FTN of other ethnicities.

Avaliação fisioterapeutica dos sistemas mastigatorios e respiratorio de um portador de sindrome otodental: um estudo de caso / Physiotherapeutic evaluation of masticatory and respiratory systems in a patient with otodental syndrome: a case study

Sindrome Otodental e uma sindrome autossomica rara de carater dominante que apresenta como principais manifestacoes, anomalias dentarias e perda gradual da audicao. Objetivos Detectar atraves de avaliacao fisioterapeutica alteracoes nos sitemas mastigatorio, respiratorio e postura corporal em uma portadora de sindrome otodental. Metodologia: Foram realizadas a avaliacao postural e inspecao facial, palpacao dos musculos mastigatorios e respiratorios. Medidas de amplitude da articulacao temporomandibular e cirtometrica toracoabdominal, alem de coleta de dados na anamnese. Resultado e discurssao Foram observados respiracao bucal associada a maior morbilidade da regiao axiliar, e nao foram encontrados sinais ou sintomas de desordens temporomandibulares. Os achados das caracteristicas faciais e postura foram comuns aos de portadores de respiracao bucal, surgindo um desenvolvimento de alteracoes respiratorias secundarias a sindrome Otodental.No entanto, a raridade desta patologia associada a descricao na literatura restrita a area odontologica, dificultam uma analise comparativa com os dados do presente estudo

Diagnosis and treatment in utero of goiter with hypothyroidism caused by iodide overload.

A fetal goiter was detected by ultrasonography in a woman receiving potassium iodide. After this medication was discontinued at 29 weeks, a fetal hypothyroidism was confirmed by cordocentesis, and two doses of levothyroxine were administered by amniocentesis. At 34 weeks repeated cordocentesis showed fetal euthyroidism and ultrasonography shrinkage of the goiter. Growth and development normal at 1 year.