Browsing by Issue Date, starting with "2021-01-22"
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- Surgical complications related to temporomandibular joint arthroscopy: a prospective analysis of 39 single-portal versus 43 double-portal proceduresPublication . Ângelo, David Faustino; Araújo, RAD; Sanz, DTemporomandibular joint (TMJ) arthroscopy is a minimally invasive surgical procedure proposed for diverse TMJ intra-articular disorders. A prospective study was designed with the aim of investigating intraoperative and postoperative surgical complications for single and double-portal TMJ arthroscopy. All interventions were performed by one surgeon with the same surgical protocol. A total of 55 patients were enrolled, resulting in 82 TMJ arthroscopies (28 unilateral and 27 bilateral). A total of 39 single portal (47.57%) and 43 double-portal (52.43%) arthroscopies were performed. No severe and irreversible complications were observed. Most complications were resolved after 4 weeks. Double-portal was associated with more complications (n = 23) compared with single-portal TMJ arthroscopy (n = 14), with a statistically significant difference found between single and double-portal TMJ arthroscopy in two intraoperative complications: intraarticular bleeding (P = 0.044) and oedema of the preauricular area (P = 0.042). This study confirms the safety of TMJ arthroscopy for single and double-portal procedures, with the authors suggesting a multicentre study, in an effort to minimize any possible bias.
- As atitudes dos pares face à inclusão de crianças com desenvolvimento atípico:Publication . Cravo, Marta; Rodrigues, PaulaO presente Relatório Final diz respeito à Prática de Ensino Supervisionada, no ano letivo 2019/2020, que corresponde à última etapa de formação do Mestrado em Ensino da Educação Física nos Ensinos Básico e Secundário do Instituto Superior de Estudos Interculturais e Transdisciplinares do Instituto Piaget, Campus de Almada. O meu está dividido em quatro áreas: Profissional, Social e Ética (Área I), Desenvolvimento do Ensino e da Aprendizagem (Área II) e na Participação na Escola e Relação com a Comunidade (Área III), onde relato todas as atividades desenvolvidas, as experiências vivenciadas e obstáculos ultrapassados durante o estágio, justificando cientificamente as escolhas tomadas e as suas intencionalidades. Relativamente, ao Desenvolvimento Profissional ao Longo da Vida (Área IV), o objetivo do estudo foi analisar as atitudes dos pares face à inclusão de crianças com desenvolvimento atípico (DA): em função dos ciclos de estudo. Participaram 285 alunos sem DA (145♂ e 140♀) com idades compreendidas entre 9 e os 14 anos (M=14,3 e DP=3,09 anos) do 2º (81=33♂ e 48♀) e 3º (57♂ e 35♀) do ensino básico e secundário (55♂ e 57♀), de uma escola pública no concelho do Funchal. Foi utilizada uma versão reduzida do Chedoke-McMaster Attitudes towards Children with Handicaps (Rosenbaum et al., 1986), adaptada para Português por Dias, et al, (2016), que avalia as atitudes dos pares face às crianças com DA nos ciclos de ensino, nas dimensões afetiva, comportamental e cognitiva. A ANOVA não revelou diferenças estatisticamente significativas quando se compararam os ciclos em nenhuma das dimensões, o que refuta os resultados observados na literatura. Assim, é possível que as práticas inclusivas estejam em atualização e, ao mesmo tempo numa mudança para atitudes mais promotoras da aceitação, de envolvimento e de inclusão de crianças e adolescentes com DA na escola.
- Sexual behaviour patterns and STI risk: results of a cluster analysis among men who have sex with men in PortugalPublication . Blondeel, Karel; Dias, Sonia; Furegato, Martina; Seuc, Armando; Gama, Ana; Fuertes, Ricardo; Mendão, Luís; Temmerman, Marleen; Toskin, IgorObjectives Portugal has the highest HIV incidence rate in Western Europe. The proportion assigned to sexual contact between men recently increased to more than 30% of all HIV infections. Men who have sex with men (MSM) are vulnerable to the acquisition of other sexually transmitted infections (STIs), increasing the per-contact risk of HIV infection. Building on syndemic theory, the aim of this analysis was to identify patterns of current sexual behaviour in MSM, and explore their relationship with self-reported current, past STI diagnoses and HIV positive serostatus. Design A cross-sectional behavioural survey was conducted in Portugal among MSM, using a community-based participatory research approach. Hierarchical cluster analysis was used to identify patterns including behavioural and demographic factors. Results The analysis resulted in six clusters. Three clusters showed higher rates of current STI diagnosis (ranging from 11.7% to 17.1%), past STI diagnosis (ranging from 25.5% to 41.5%) and HIV positive serostatus (ranging from 13.0% to 16.7%). From the three clusters scoring lower on current and past STI and HIV diagnoses, one was characterised by a high number of sexual partners (62% had more than 12 partners in the last year), a high proportion (94.6%) of frequent visits to gay venues to meet sexual partners and high alcohol use (46.1%). The other two clusters scored lower on high risk sexual behaviour. Conclusion Factors other than sexual behaviour appear to reinforce the vulnerability to STIs and HIV of some MSM in this study, suggesting a syndemic of STIs, HIV and other adverse conditions. More research is needed to better understand the drivers of the STI/HIV epidemic in Portuguese MSM, using a concept that goes beyond risk behaviour, to develop effective combination prevention interventions.