RESUMO
BACKGROUND: The Stroke Upper Limb Capacity Scale (SULCS) is a clinically useful measure of upper-limb (UL) capacity, which assesses both basic and advanced capacities. OBJECTIVES: To examine the reliability, construct validity, and interpretability of the SULCS-Brazil with community-dwelling individuals with stroke. METHODS: The SULCS-Brazil and measures of impairment (handgrip strength and motor function of the paretic UL), capacity (manual and digital dexterities), and performance were applied during the first session, to establish construct validity (80 patients). The SULCS-Brazil was applied again during a second session (a sub-set of 30 patients), to investigate test-retest reliability. Test-retest reliability was evaluated using kappa statistics (k) for the individual items, intraclass correlation coefficient (ICC) for the total scores, standard error of measurement (SEM), minimal detectable change (MDC), and Bland-Altman plot. For the evaluation of construct validity, pre-defined hypotheses were created to estimate the strength of the correlations between the SULCS-Brazil scores and established measures of UL function, using Spearman correlation coefficients. Interpretability was investigated by evaluating both ceiling/ floor effects. RESULTS: High level of agreement was found between the SUCLS-Brazil total scores obtained on both applications (ICC = 0.98; 95%CI:0.96-0.99) and 80% of the individual items had almost perfect agreement (k= 0.81-1.0). The SEM (0.46) and the MDC (1.27) showed clinically acceptable values. All pre-defined hypotheses were confirmed, indicating adequate construct validity of the SULCS-Brazil. No significant ceiling/floor effects were observed. CONCLUSIONS: The SULCS-Brazil showed to be reliable and valid for the evaluation of upper-limb capacity of individuals with stroke.
Assuntos
Acidente Vascular Cerebral , Humanos , Acidente Vascular Cerebral/diagnóstico , Brasil , Reprodutibilidade dos Testes , Força da Mão , Extremidade Superior , Psicometria , Inquéritos e QuestionáriosRESUMO
Introducción: descubrir estrategias con las que se propicie el fomento de la motivación de las habilidades personales, debe ser una tarea permanente del área de la salud bucal. El propósito de este programa fue crear un espacio en la ludoteca, dedicado alrefuerzo de hábitos saludables bucales, con la guía de personas capacitadas como ludotecarias y odontólogos, que desarrollaron estrategias lúdicas de enseñanza y refuerzo de conocimientos sobre temas de la salud bucal con los niños y sus familias. Métodos: se hizo un estudio preexperimental de intervención comunitaria, se evaluaron 99 niños entre los cuatro y doce años. Se hicieron encuestas de conocimientos a los escolares, padres y acudientes antes y después de la interacción con el material lúdico y se aplicaron los índices de caries dental y placa blanda. Resultados: las capacitaciones contribuyeron en la mejoría del nivel de conocimientos de padres y niños del 21 y 29%respectivamente. El porcentaje promedio de placa blanda fue de 38,2 ± 18,9 mostrándose diferencia de 18,3% con respecto al primer examen. Entre las superficies con historia de caries predominaron las obturadas (1,5 ± 2,6). El análisis cualitativo de los niños frente a la percepción de los juegos, reflejó ideas positivas, agradables, divertidas y educativas. Conclusión: el establecimiento de una saluteca oral,vista como un ambiente favorable que involucra estrategias innovadoras para la educación en salud, posibilitó en la población beneficiada la socialización y el fomento de hábitos bucales saludables que refuerzan el autocuidado.
Introduction: discovering strategies to promote motivation of personal skills must be a permanent task of oral healthprofessionals. The purpose of this program was to create a place, within the toy library, devoted to strengthening oral health habits, with the guidance of trained personnel such as toy librarians and dentists, who developed ludic strategies for teaching and reinforcing oral health knowledge among children and their families Methods: this was a pre-experimental community intervention program, which evaluated99 children between 4 and 12 years of age. Surveys were conducted in order to assess the students, parents, and guardians knowledge before and after their interaction with the ludic material; also, caries and dental plaque indexes were measured. Results: this trainingprogram allowed improving the knowledge level among parents and children by 21 and 29% respectively. The average percentage of dentalplaque was 38.2 ± 18.9 showing a difference of 18.3% with respect to the initial exam. Among the surfaces with caries history, those which had been restored were predominant (1.5 ± 2.6). The qualitative analysis of the childrens perception of the games revealed that they found them positive, nice, fun, and educational. Conclusions: establishing an oral health toy library, as a constructive environment that involvesinnovative strategies aimed at health education, allowed socialization of the studied population as well as promotion of healthy oral habits and reinforcement of self-care among this population.
Assuntos
Criança , Educação , Promoção da Saúde , Saúde Bucal , Prevenção PrimáriaRESUMO
Se realizó un estudio prospectivo en 18 pacientes con lesiones de cólon con el propósito de evaluar los resultados del tratamiento de las lesiones de cólon utilizando la derivación versus reparación primaria en diferentes centros de salud, Santiago y Santo Domingo, República Dominicana, durante el período marzo 1991-marzo 1993. El 88//eran del sexo masculino y el 11//femenino. El rango de edad osciló de 20-45 años. Todos los pacientes recibieron antibioticoterapia prequirúrgico. Todos fueron laparotomizados. Al 50//se le realizó derivación y colostomia, al 50//restante reparación primaria