Background Delirium is an underdiagnosed condition and this may be related, among other causes, to the incorrect use of assessment tools due to lack of knowledge about cognitive assessment and lack of training of the care team. The aim of this study was to investigate the difficulties encountered by the nursing team in the application of the Confusion Assessment Method for the Intensive Care Unit (CAM-ICU) in patients on mechanical ventilation. Methods This is descriptive study with a qualitative approach in a private tertiary hospital located in northeast Brazil. Data collection took place from July 2018 to January 2019. We included 32 nurses and used face-to-face semi-structured interviews. The recorded data were analysed using content analysis. This study followed the recommendations of the Standards for Reporting Qualitative Research (SRQR). Results We identified three major categories: lack of knowledge of professionals, subdivided into deficit in academic formation, difficulty in the differential diagnosis of delirium and delusion, and lack of knowledge about the steps of the CAM-ICU; difficulty in patient cooperation; and lack of adequate training to apply the CAM-ICU. Conclusion Nurses have a deficit in academic formation on delirium and need adequate training for the correct and frequent use of the CAM-ICU.

Background Cardiac patients are unaware that oral problems can negatively affect their quality of life.Methods This is a cross-sectional study with individuals of both sexes hospitalized in a ward and a cardiac intensive care unit, where sociodemographic and clinical data were collected. An oral bedside inspection was carried out, and the Oral Health Impact Profile questionnaire with 14 questions (OHIP-14) was applied to assess the impact of oral health on quality of life, which addresses 07 dimensions: functional limitation, physical pain, psychological discomfort, physical limitation, psychological limitation, social limitation, and incapacity. The Mann-Whitney test was used to compare OHIP-14 and oral condition. Univariate and multivariate Poisson regression evaluated the factors suggestive of an impact on health-related quality of life. Data processing was performed in SPSS.Results Eighty patients were examined, and 68.8% were men, 73.75% had tooth loss, and 21.25% used partial dentures. Edentulous individuals (p = 0.004), partially edentulous (p = 0.002), with the use of dental prostheses (p = 0.008), had worse quality of life concerning oral health, and the factors most suggestive of explanation for this negative impact were coronary fractures (RP adjust. 0.026) and use of prostheses (RP adjust. 0.009).Conclusion Edentulism, tooth loss, and coronary fractures were the clinical indicators of oral health that most impacted the quality of life of individuals with heart disease.

Individuals affected by COVID-19 have an alteration in autonomic balance, associated with impaired cardiac parasympathetic modulation and, consequently, a decrease in heart rate variability (HRV). This study examines the inter- and intrarater reliability of HRV) parameters derived from short-term recordings in individuals post-COVID. Sixty-nine participants of both genders post-COVID were included. The RR interval, the time elapsed between two successive R-waves of the QRS signal on the electrocardiogram (RRi), were recorded during a 10 min period in a supine position using a portable heart rate monitor (Polar® V800 model). The data were transferred into Kubios® HRV standard analysis software and analyzed within the stable sessions containing 256 sequential RRi. The intraclass correlation coefficient (ICC) ranged from 0.920 to 1.000 according to the intrarater analysis by Researcher 01 and 0.959 to 0.999 according to the intrarater by Researcher 02. The interrater ICC ranged from 0.912 to 0.998. The coefficient of variation was up to 9.23 for Researcher 01 intrarater analysis, 6.96 for Researcher 02 intrarater analysis and 8.83 for interrater analysis. The measurement of HRV in post-COVID-19 individuals is reliable and presents a small amount of error inherent to the method, supporting its use in the clinical environment and in scientific research.

OBJETIVO: estimar a associação entre fatores socioeconômicos e más oclusões do tipo overbite e overjet em escolares em fase de dentição permanente jovem. MÉTODO: trata-se de um estudo transversal realizado em 251 escolares de sete a 15 anos, de ambos os sexos, regularmente matriculadas no ensino fundamental de escolas públicas e privadas do município de São Luís, Maranhão, Brasil. Todos os sujeitos da amostra realizaram fotografias extrabucais padronizadas de face (frontal em repouso, frontal sorrindo e perfil) e intrabucais (frontal, lateral direita e lateral esquerda em oclusão, oclusal superior e oclusal inferior), para o diagnóstico das alterações. As fotografias foram avaliadas por três examinadores em regime cego e as discordâncias foram discutidas até a obtenção de consenso. Overbite e overjet foram diagnosticados segundo critérios de Angle. RESULTADOS: constatou-se que 35,4% das crianças apresentaram overbite e 18,3%, overjet. Houve associação estatisticamente significante entre a renda familiar com overbite (p=0.003) e com overjet (p=0.029), observando-se que a maioria das crianças que não possuíam overbite (69,4%) era de famílias com baixa renda (até 2 salários mínimos). De modo semelhante, a maioria dos portadores de overjet era de famílias com renda mais elevada, ao passo que a maioria daqueles sem overjet tinha renda familiar baixa. Para as demais variáveis não houve diferenças estatisticamente significante na distribuição de frequência de overjet e overbite. CONCLUSÃO: a prevalência de overbite e overjet nos escolares estudados é alta, especialmente entre aqueles com maior renda familiar.

A Neuralgia do Trigêmeo é descrita como uma dor excruciante, semelhante a um choque elétrico que acomete um ou mais ramos no nervo trigêmeo. O tratamento da Neuralgia do Trigêmeo (NT) continua sendo um desafio terapêutico. O tratamento farmacológico é de escolha, no entanto muitos pacientes tornam-se intolerantes a medicação, sendo encaminhados a cirurgia. Assim, este estudo teve por objetivo avaliar os dados de um grupo de pacientes diagnosticados com neuralgia do trigêmino (NT) atendidos no hospital universitário Walter Cantídio da Universidade Federal do Ceará, focando dados sociodemográficos, sintomatologia e tipo de tratamento. Foram coletados os seguintes dados de idade, sexo, anamnese, sintomas relatados, diagnóstico, comorbidades, tratamento e evolução. Foram incluídos os dados de 62 pacientes obtidos dos prontuários durante o período de acompanhamento. Os resultados mostraram que a incidência em todos as faixas etárias foi prioritariamente no gênero feminino, a sintomatologia mais relatada foi a dor em choque, unilateral. 25 % dos pacientes associaram o início dos sintomas a um evento antecessor como exodontia, tratamento endodôntico ou trauma. A medicação de escolha para o tratamento foi a Carbamazepina em 74 % dos pacientes, 20% dos pacientes não controlaram a dor com o tratamento e foram submetidos a cirurgia. Portanto, mais avanços em estudos científicos acerca dos mecanismos de dor e a descoberta de drogas mais precisas para controle da mesma será o caminho para o tratamento das dores neuropáticas trigeminais.