José Simões

To compare the final score of the scale to the levels of HbA1c. Cross-sectional observational study by applying the Diabetes Empowerment Scale - Short Form to diabetics at three primary care units in the central region of Portugal. The test-retest (in writing first and, five minutes later, orally) was performed to access CronbachâÄòs alpha in 20 patients not studied in the next phase. Then, the scale was applied to diabetic patients after nursing consultation and prior to entering the medical consultation. Descriptive and inferential statistics after checking for the normality of the data were performed. In the first phase CronbachâÄôs alpha was 0.90 to 1.00 in all of eight scale items. The average result obtained in the written phase was 3.78 ± 0.71 and in the oral 3.79 ± 0.64, p = 0.629. The sample of the second stage was of 81 diabetic patients, 55.6% male. SampleâÄôs mean age was 68.5 ± 1.1 years, mean HbA1c of 6.8 ± 0.2 and mean time from diagnosis of 9.2 ± 0.9 years. The ...

Virtual design gives flexibility to explore constructive solutions or structures. It enables analysis that would often be impossible even if expensive real prototypes were available. Simulations using finite element models allow access to the stress and strain tensor or to the deformation tensor within an implant or a tissue which is impossible experimentally, even in vitro. This study is based on two numerical models of temporomandibular joint (TMJ) implants, comparing two bone-implant connections: an external connection performed with surgical screws (commercial model) and an internal connection carried out by penetration into the intramedullary space. The finite element models were constructed based on a cadaveric mandible and considering the five principal muscles in action. Strain distributions into the surrounding bone tissue are analysed and in both models they show significant differences at the external surface of the mandible in displacements. However, while the intramedul...

ABSTRACT HiBi FBG are used to demonstrate a technique to evaluate orthodontic forces. The experiments are performed in an artificial maxilla supporting dental wax and metal teeth. The teeth are instrumented using an orthodontic technique and loads are applied representing auxiliary appliance. The values of the loads (extra-oral) are based on clinical applications. It is demonstrated that the tooth vestibular surface is subject to a force of 0.13 N. The size and sensitivity of the FBG allow for the determination of forces applied orthogonally to the surface of the teeth.

OBJECT The purpose of this study was to evaluate the failure risk of cervical vertebrae after total disc replacement with a keel-design prosthesis (ProDisc-C), taking into consideration the effects of vertebral body height, multilevel replacement, and the association with an adjacent fusion cage. Although promising clinical results have been reported for the ProDisc-C, some clinical studies have reported vertebral body-splitting fractures at single- and multilevel arthroplasty sites. This implant has central keels to provide solid initial stability, and some authors associate the potential risk of vertebral body failure with the keel design, especially in patients with small vertebral body height or when the implant is used at multiple levels. METHODS The study was performed using a specimen-specific C4-6 cervical-segment finite-element model to assess the compressive strains on the C-5 vertebral body for each cervical segment configuration, and synthetic polyurethane models to expe...

Ever since the first studies about biomedical implantable devices, the problem of how to energize them has stood out as both important and notoriously difficult to solve. In order to extend the lifetime of implants, it is imperative to develop power generators that are autonomous, safe and maintenance-free. Energy harvesting is a natural way of meeting these requirements. First, the

Purpose: to evaluate and compare results of female pelvic floor surface electromyography in different positions: lying, sitting and standing. Methods: twenty-six women with the diagnosis of stress urinary incontinence treated with a protocol of exercises to strengthen the pelvic floor muscle were evaluated. Pelvic floor surface electromyography was performed with an intravaginal sensor connected to Myotrac 3GTM equipment, as follows:

ABSTRACT This article aims at understanding the construction of online risk and safety among children addressing the lack of research on children’s discourses on their internet experiences. The analysis compares the perceptions of Portuguese children (9-16) based on an open-ended question about online risk from the EU Kids Online survey and two open-ended questions about online safety from a survey of disadvantaged children. Theoretically, the article combines constructionist perspectives on risk with the framework and matrix used in EU Kids Online project. Methodological tools from cognitive sciences and from critical discourse analysis were used to explore children’s answers. These theories and methods contributed to capture children’s own discourses on online risk and safety, which are complex, often ambivalent and affected by hegemonic public discourses expressing media panics and fears. The analysis made visible how different wordings of questions may lead to different answers and to distinctive children’s positions, from apparently excluded of the risk situations to keen advisors of their peers on online safety.

Biomedical implantable devices in real-time telemetry applications offer many advantages to study and monitor physiologic parameters in human and animal bodies. As in power-constrained implantable devices, batteries and wires are two key issues that usually compromise their ...

Although surgery has been widely accepted as the treatment of choice for stress urinary incontinence (SUI), there has recently been an increased interest in the conservative management of this condition. The aims of this study were to test the ability of a biofeedback-assisted pelvic-floor muscle exercise (PFME) program to affect symptoms of SUI in premenopausal women and to evaluate a training program that might lead to successful outcomes in a relatively limited number of sessions. Twenty-six women with SUI were treated with PFME with surface electromyography (sEMG)-assisted biofeedback. All participants were of reproductive age and were treated individually for 12 sessions. results were evaluated with a 7-day voiding diary, a 1-hour pad test, pelvic-floor muscle strength measurements, sEMG amplitudes, a leakage index, and a quality-of-life questionnaire. These variables were compared before and after the intervention. The frequency of urine loss, the occurrence of nocturia, and the number of pads required decreased significantly after the intervention. Objective cure was found in 61.5% of women. There was a significant improvement in the quality of life, in pelvic-floor muscle strength, and in the sEMG amplitudes of all contractions throughout the intervention. A relatively short-term intervention of PFME with sEMG-assisted biofeedback appeared to be helpful in relieving symptoms of SUI in premenopausal women and represents a reasonable conservative management option.

The purpose of the present study was to measure the intradiscal pressure signal of an anesthetized sheep under spontaneous breathing. An ultra-miniature fiber optic high-pressure sensor was implanted into the nucleus pulposus of the fifth lumbar intervertebral using a dorsolateral transforaminal approach. Results suggested the periodicity of the intradiscal pressure signal was similar to the mean respiratory rate of the animal. The average resting intradiscal pressure was also calculated and compared to available data.

In vivo measurement, not only in animals but also in humans, is a demanding task and is the ultimate goal in experimental biomechanics. For that purpose, measurements in vivo must be performed, under physiological conditions, to obtain a database and contribute for the development of analytical models, used to describe human biomechanics. The knowledge and control of the mechanisms involved in biomechanics will allow the optimization of the performance in different topics like in clinical procedures and rehabilitation, medical devices and sports, among others. Strain gages were first applied to bone in a live animal in 40's and in 80's for the first time were applied fibre optic sensors to perform in vivo measurements of Achilles tendon forces in man. Fibre optic sensors proven to have advantages compare to conventional sensors and a great potential for biomechanical and biomedical applications. Compared to them, they are smaller, easier to implement, minimally invasive, with lower risk of infection, highly accurate, well correlated, inexpensive and multiplexable. The aim of this review article is to give an overview about the evolution of the experimental techniques applied in biomechanics, from conventional to fibre optic sensors. In the next sections the most relevant contributions of these sensors, for strain and force in biomechanical applications, will be presented. Emphasis was given to report of in vivo experiments and clinical applications.