Browsing by Issue Date, starting with "2022-10-07"
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- Assessment instruments used in acute stroke considering the International Classification of Functioning, Disability, and Health (ICF) as reference: a scoping reviewPublication . Dias, Mafalda Barbosa; Sousa, Andreia; Silva, Augusta; Freitas, Marta; Pinho, FranciscoThe instruments that assess individuals with acute stroke are restricted to body function/structure and activity domains. Thus, understanding the measures used will enhance a rigorous assessment, monitoring neurological deficits. Analyzing the instruments used in the evaluation of acute stroke disability, considering the ICF as a reference. Review of the psychometric properties of the most used instruments. The methodology was carried out according to the recommendations of Joana Briggs Institute. We used the PubMed, Pedro and Web of Science databases in March 2022 and randomized controlled trials, non-randomized controlled trials, cohort study, case-control study, and cross-sectional analytic study. It was focused on the concept of assessment tools in an adult population with acute stroke. 94 of the 223 studies met the inclusion criteria. From these, 125 assessment measures were extracted, the most used measures were National Institute Health Stroke Scale, Barthel Index, Functional Independence Measure, Modified Rankin Scale, Mini-Mental State Examination and Fugl-Meyer Assessment. These tools were performance-based measures and were found to be valid and reliable. It was clarified that the assessment in acute stroke becomes pertinent, however most of the tools did not clarify the assessor. The most used measures were valid and reliable.
- Cross‑cultural adaptation and validation of the european portuguese Dysphagia handicap indexPublication . Silva‑Carvalho, Isabel ; Martins, Adriana ; Casanova, Maria Jorge ; Freitas, Susana Vaz; Meireles, LuísThe Dysphagia Handicap Index (DHI) is a valid Health-related Quality of Life (HRQoL) 25-item questionnaire assessing the physical, functional, and emotional aspects of patients with oropharyngeal dysphagia (OD), of heterogeneous etiologies. The purpose of this study is to translate and validate the European Portuguese-DHI (EP-DHI). This is a prospective study that was carried out at Centro Hospitalar Universitário do Porto (CHUPorto). The generated EP-DHI was administered to 132 patients with OD and 112 healthy control subjects. 132 patients undergoing fiberoptic endoscopic examination of swallowing (FEES). 15 patients were contacted by phone, 2 or 3 weeks later after the first interview to repeat the questionnaire. The validity of concurrent criteria was evaluated by comparing the results of the EP-DHI score with the score attributed to the pathological findings found in FEES and, consequently, Functional Oral Intake Scale (FOIS). The internal consistency of EP-DHI was successful: Cronbach’s alpha coefficient for total EP-DHI was 0.874. The test–retest reliability for the total and the three EP-DHI subscales obtained a Pearson's correlation coefficient ranged from 0.990 to 0.712. This study demonstrates that EP-DHI is a valid tool for self-assessment of the handicapping effect of dysphagia on physical, functional, and emotional aspects of patient’s quality of life, among an European Portuguese sample.
- SMASK- Smart Mask with colorimetric biosensor for SARS-CoV-2 contamination and humidityPublication . Nascimento, Ana Margarida Duarte; Vieira, MónicaThe SARS-CoV-2 virus, which causes COVID-19 disease, has been a major concern these days. Much research has emerged to understand its mechanism of action, develop strategies to minimize its contagion and its potential effects. This disease has caused enormous human and economic damage, as well as significant global challenges. This project arose during the COVID-19 pandemic and sought to explore the development of a colorimetric biosensor consisting of two sensors, subsequently incorporated into a textile surface, with the ability to directly indicate the effectiveness of the protection of face masks, through a humidity indicator and an indicator of the presence of the SARS-CoV-2 virus. For the humidity sensor two alternatives were used: clay and silica; for the virus detection sensor the biomolecules ACE2 and Sialic Acid were used. According to the results obtained, for the sensor that detects humidity levels the silica-based technology proved to be the most reliable. For the biosensor that detects the presence of the virus, the binding of the NPsAu-AS was confirmed through FTIR and STEM, and therefore proved to be the best option either economically or in terms of laboratory work.