Browsing by Author "Marques, Tatiana"
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- Association between shift work and auditory–cognitive processing in middle-aged healthcare workersPublication . Roque, Margarida; Marques, Tatiana; Serrano, MargaridaBackground/Objectives: Shift work in healthcare professionals affects performance in high cognitive processing, especially in complex environments. However, the beneficial effects that working in complex environments may have on auditory–cognitive processing remain unknown. These professionals face increased challenges in decision-making due to factors such as noise exposure and sleep disturbances, which may lead to the development of enhanced auditory–cognitive resources. This study aims to investigate the associations between shift work and auditory–cognitive processing in middle-aged healthcare workers. Methods: Thirty middle-aged healthcare workers were equally allocated to a shift worker(SW) or a fixed-schedule worker (FSW) group. Performance on a cognitive test, and in pure-tone audiometry, speech in quiet and noise, and listening effort were used to explore whether correlations were specific to shift work. Results: Exploratory analyses indicated that shift workers tended to perform better in visuospatial/executive function, memory recall, memory index, orientation, and total MoCA score domains compared to fixed schedule workers. In the SW group, hearing thresholds correlated with memory recall and memory index. In the FSW group, hearing thresholds correlated with orientation, memory index, and total MoCA score, while listening effort correlated with naming, and speech intelligibility in quiet correlated with total MoCA scores. Conclusions: These exploratory findings suggest that shift work may be linked to distinct auditory–cognitive patterns, with potential compensatory mechanisms in visuospatial/executive functions and memory among middle-aged healthcare workers. Larger, longitudinal studies are warranted to confirm whether these patterns reflect true adaptive mechanisms.
- Audiology in primary health care: ‘‘Be Happy Project’’Publication . Marques, Tatiana; Crespo, Cristina; Serrano, Margarida Maria Fernandes, 1964-Introduction:The partnership between Community Care Unit (UCC), which belongs to Health Centers Grouping of Baixo Mondego,Coimbra and Coimbra Health School - Audiology, started in 016 and is part of the Be Happy Project. A project that purpose concerted action, promoting healthy living habits and screening aspects that are fundamental to a child’s healthy development, and which enhance his school success: audiological, visual and others. The project envolved five schools, of the school park of Celas UCC.Objectives:Describe the methodology of the audiological screening performed within the school health of Celas UCC. Describe the results of screening in the year 2018 in children between 5and 6 years. Methods:Children with parental consent were evaluated by otoscopicexamination, tympanogram, and hearing screening at three frequencies at 20 dB. All the children with audiological alterations are made the articulation with the family health team, which refers to theENT consultation of the Pediatric Hospital of Coimbra. Results:A total of 86 children (47 boys and 37 girls) were screened, of whom 17 children (20%) were referred, 12 were followed by unilateral alterations and 5 were followed by bilateral alterations. Conclusions: the fact that the project includes families that are not attending Primary Health Care because of their vulnerability issues and low academic level, has caused an excellent reception of these and the health teams. Audiological screening contributes to an improvement in school performance through earlier intervention that enables a clearer, necessary hearing in the classroom where reading and writing learning begins.
- The link between anxiety and depression, and balance in young adultsPublication . Marques, Tatiana; Bernardo, Patrícia; Serrano, MargaridaThe ability of young adults to control their balance is generally effortless and can occur automatically with minimal cognitive involvement. However, this ability may be compromised when integration conflicts arise due to impairments in vestibular, visual, or somatosensory functions. Hence, psychomotor symptoms linked to emotional states can also influence postural control. The purpose of this study was to understand the effects of anxiety and depression on balance in young adults. Methods: Our study included 50 young adults (21.86 ± 2.63 years), consisting of 13 males and 37 females. Anxiety and depressive symptoms were evaluated using the Hospital Anxiety and Depression Scale (HADS), while balance was assessed through the Modified Clinical Test for the Sensory Interaction on Balance (mCTSIB). Data analysis was conducted using Pearson’s correlation coefficient test and the Kruskal–Wallis test. Results: Pearson’s correlation analysis indicated that young adults exhibited stable postural control. However, a positive correlation (0.259, p < 0.1) was observed between anxiety levels and the sway index. Additionally, positive correlations were found between anxiety and both somatosensory (0.281, p < 0.05) and visual (0.276, p < 0.1) ratios. Conclusions: The results suggest that higher anxiety levels are associated with reduced postural balance, with sensory inputs, particularly visual and somatosensory, playing a key role in this decreased stability