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Percorrer por autor "Moreira, Teresa"

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  • Amelogenin-based molecular methods for sexual dimorphism identification: protocol of a scoping review
    Publication . Lopes Cardoso, Inês; Moreira, Teresa; Dupuis, Clarisse; Correia de Castro, Filipe; Guimarães, Maria Inês
    Forensic dentistry and sexual dimorphism are distinct concepts. Still, they are related due to the usefulness that the first may have in the second, and this review focuses on them. A scoping review will be performed according to the Joanna Briggs Institute’s methodology. Scientific databases and grey literature will be used, and the following keywords will be applied: amelogenin, analyses, sex determination, and human identification. This scoping review will include in vitro studies concerning the goal of this review. This scoping review will deepen our knowledge concerning using teeth and amelogenin genes in sex identification in a forensic context. According to the available data, it will help implement guidelines for human remains identification. This protocol was registered with the Open Science Framework.
    2024-10-08Recensão Acesso aberto Ver mais
  • Assessing the preparedness of dental professionals for bioterrorism events: protocol of a scoping review on knowledge gaps and strategies
    Publication . Guimarães, Maria Inês; Chiadmi, Yasmine; Sá, Mariana; Moreira, Teresa; Lopes Cardoso, Inês
    Introduction: Forensic dentistry and bioterrorism are distinct concepts, yet they are connected through the role forensic dentistry plays in identifying victims and analysing biological threats. This review examines the intersection and significance of these factors, considering the available training, protocols, and preventive measures. Hence, this scoping review aims to assess the current literature on the role of dental professionals in bioterrorism response, identify existing knowledge gaps, and propose strategies for enhancing preparedness. Methods: A scoping review will be performed according to Joanna Briggs Institute methodology. Scientific databases as well as grey literature will be used and the following keywords will be applied: bioterrorism, dental health services, dentists, dental care, emergency response. Results: This scoping review is expected to identify and map the extent of existing evidence regarding the preparedness of dental professionals to respond to bioterrorism events. Anticipated findings include significant gaps in knowledge, limited integration of bioterrorism-related content in dental education, and uneven preparedness across countries and professional backgrounds. The review will likely highlight that while most dentists express willingness to assist in emergency responses, they often lack the specific competencies and formal training required. Additionally, it is expected to identify effective educational strategies and models—such as simulation-based training, online learning, and interdisciplinary collaboration—that may enhance preparedness. The synthesized evidence will inform recommendations for curriculum development, continuing professional education, and policy-making aimed at strengthening bioterrorism readiness within dental healthcare systems. Conclusions: This scoping review will enhance our understanding concerning dental practice and bioterrorism in a forensic context. According to the available data, it will help implement guidelines for dental preparedness. This protocol was registered with the Open Science Framework.
    2025Recensão Acesso aberto Ver mais
  • Brief interventions for reducing alcohol consumption in users of a family health unit: Intervenções breves na redução do consumo de álcool em utentes de uma unidade de saúde familiar
    Publication . Jorge, Filomena; Moreira, Teresa; Pereira, Maria; Barroso, Tereza
    Enquadramento: As intervenções breves (IBs) têm como objetivo primordial a deteção de consumo de risco e nocivo de bebidas alcoólicas e motivar o indivíduo a modificar comportamentos. Objetivos: Avaliar o efeito das IBs na redução do consumo de álcool em utentes de uma unidade de saúde familiar (USF). Metodologia: Estudo pré-experimental, avaliação antes e após intervenção (5 meses) de 45 utentes (grupo único). Utilizou-se o Alcohol Use Desorder Identification Test (AUDIT). As IBs foram desenvolvidas por enfermeiros. Resultados: Na avaliação inicial, 88,6% dos utentes encontravam-se no nível de risco I; 11,4 % no nível de risco II. No seguimento, 5 meses após as IBs, 97,7 % encontravam-se no nível de risco I, 2,3% no nível de risco II. Conclusão: As IBs tiveram efeito na diminuição e estabilização dos níveis de risco de consumo de álcool, reforçando a importância da sua aplicação nos cuidados de saúde primários.
    2017-01Artigo científico Acesso aberto Ver mais
  • Determinantes da adesão às precauções básicas no controle de infeção entre enfermeiros: uma revisão de escopo
    Publication . Ferreira, Maria Margarida Silva Vieira; Lima, Andreia Maria Novo; Silva, Mafalda Sofia Gomes Oliveira da; Moreira, Teresa; Teixeira, Joana Margarida
    Objetivo: Analisar os fatores que influenciam a adesão dos enfermeiros às precauções padrão. Método: Utilizou-se a metodologia do Instituto Joanna Briggs (JBI). Resultados: Foram analisados 12 estudos que identificaram os seguintes fatores que afetam a adesão dos enfermeiros às precauções básicas de controle de infecção: formação/treino insuficiente; indisponibilidade de materiais; falta de apoio/incentivo por parte da gestão; experiência profissional; falta de formação/educação/conscientização. Conclusão: Há uma necessidade evidente de criar procedimentos e recomendações por escrito e compartilhar essas informações com os profissionais de saúde. Isso ajudará na conscientização e na adoção de boas práticas, contribuindo para a redução do risco de infecção e aumentando a segurança do paciente.
    2024-12-23Artigo científico Acesso aberto Ver mais
  • Determination of sexual dimorphism through molecular methods: a scoping review
    Publication . Guimarães, Maria Inês; Moreira, Teresa; Dupuis, Clarisse; Lopes Cardoso, Inês
    Background: Sexual dimorphism is crucial in forensic investigations. Molecular methods involving amelogenin, a protein in tooth enamel, are used to determine sexual dimorphism by extracting DNA from teeth, amplifying the gene coding for amelogenin through PCR, and analyzing PCR product sizes to identify X and/or Y chromosomes. Objective: This scoping review explored scientific studies using the amelogenin gene to determine sex in forensic dentistry. It addressed the research question: do molecular methods determine sexual dimorphism for forensic identification? Material and methods: A literature review (1996–2024) was conducted using PubMed, MEDLINE (via BVS), and CINAHL (via EBSCO host). Inclusion and exclusion criteria guided the selection process, summarized in a PRISMA flowchart. A PCC (Population-Concept-Context) strategy was applied to formulate the research question. Results: Thirteen of the 1091 articles initially considered met the inclusion and exclusion criteria. These studies examined forensic dentistry and sex determination through amelogenin identification. They were categorized into “with treatment” (7 studies) and “without treatment” (6 studies), and all involved in vitro research. Conclusion: Molecular methods targeting the amelogenin gene on the X and Y chromosomes offer an accurate and reliable approach to determining sex.
    2025Recensão Acesso aberto Ver mais
  • Independência funcional e o estado confusional de pessoas sujeitas a programa de reabilitação
    Publication . Lima, Andreia Maria Novo; Ferreira, Maria Salomé Martins; Martins, Maria Manuela; Fernandes, Carla Sílvia; Moreira, Teresa; Rodrigues, Tânia Marisa Pinto
    Objetivo: conhecer a influência do estado confusional na recuperação da independência funcional do paciente sujeito a reabilitação. Método: estudo descritivo-correlacional, quantitativo e longitudinal, com amostragem não probabilística, de tipologia acidental. Critérios de inclusão: medida de independência funcional ≤90 e pacientes sujeitos a imobilidade. Critérios de exclusão: pacientes portadores de doenças neoplásicas e com uma escala de coma de Glasgow <11. Para a coleta de dados, utilizou-se um questionário sociodemográfico e as escalas NEECHAM e MIF. Resultados: os dados da amostra (n=40), revelam idade de 76,48 anos, em sua maioria mulheres, casadas, com o primeiro ciclo e em média estiveram sujeitos a 49,60 dias de imobilidade. O estado confusional teve uma melhoria significativa da 1ª avaliação na admissão, na qual 52,2% dos indivíduos apresentavam-se com confusão moderada a severa, para a 2ª avaliação na alta, em que 85% apresentavam-se não confusos. A independência funcional registou uma melhoria de 38,03%. Conclusão: a confusão é um problema neuropsiquiátrico que interfere na atenção e a cognição, nomeadamente na capacidade de percepção. No entanto, mesmo os participantes confusos, quando submetidos a um programa de enfermagem de reabilitação tendem a recuperar a independência funcional.
    2020Artigo científico Acesso aberto Ver mais
  • Influência dos estilos de liderança no burnout dos enfermeiros: uma scoping review
    Publication . Loureiro, Rita; Lima, Andreia Maria Novo; Ferreira, Maria Margarida; Moreira, Teresa; Guerra, Maria Manuela; Santos, José Manuel dos
    Objetivo: identificar quais os estilos de liderança utilizados por enfermeiros gestores e compreender a sua influência no burnout dos enfermeiros no contexto de trabalho. Método: scoping review, realizada em abril de 2021, conduzida de acordo com a metodologia de Joanna Briggs Institute. Dois revisores independentes avaliaram a relevância dos artigos, a extração e síntese dos dados. Resultados: foram identificados 3.532 estudos na pesquisa bibliográfica, dos quais sete estudos apresentaram as características de elegibilidade para a inclusão na revisão. Os estilos de liderança identificados na literatura foram a liderança transformacional e liderança autêntica que revelam um impacto positivo na redução do burnout; a liderança laissez-faire que, pelo contrário, promove um ambiente facilitador do desenvolvimento da síndrome em estudo; a liderança transacional, por sua vez, não demonstrou resultados significativos na diminuição e prevenção de burnout, assim como, a liderança autocrática, carismática e situacional cujos resultados não se demonstraram quantificáveis para a sua prevenção. Conclusão: o estilo de liderança transformacional foi aquele que maior relevância demonstrou tanto na prevenção como diminuição do desenvolvimento de burnout nos enfermeiros.
    2022-07-01Artigo científico Acesso aberto Ver mais
  • Mapping the importance of pink teeth in forensic medicine for determining cause of death: protocol of a scoping review
    Publication . Lopes Cardoso, Inês; Sá, Mariana; Chiadmi, Yasmine; Moreira, Teresa; Guimarães, Maria Inês
    Postmortem pink teeth have been described in forensic casework for more than a century and are frequently reported in association with deaths involving drowning, asphyxiation, trauma, or electrocution. Despite recurrent mention in forensic literature, the underlying mechanisms, prevalence, and diagnostic value of this phenomenon remain unclear and inconsistently interpreted. The aim of this scoping review is to map the existing evidence on postmortem pink teeth and to explore their potential relevance in determining the cause of death in forensic medicine. Specifically, this review seeks to identify how the phenomenon has been reported, which pathophysiological mechanisms have been proposed, and which contextual or en-vironmental factors may influence its occurrence. Particular attention will be given to the challenges of differentiating postmortem pink teeth from antemortem dental discolora-tions, such as those resulting from trauma or congenital conditions. This protocol was developed in accordance with the Joanna Briggs Institute (JBI) meth-odology for scoping reviews and the PRISMA-ScR guidelines. A comprehensive search strategy was predefined and applied across multiple databases. The study selection pro-cess was conducted at the protocol stage, and the results of identification, screening, and eligibility assessment are documented using a PRISMA-ScR flow diagram. A total of twelve studies met the predefined inclusion criteria and were identified as eligible for in-clusion in the final scoping review. Data extraction and synthesis will be performed following protocol publication, using a standardized JBI-based data extraction tool. The extracted data will be presented in narrative and tabular formats, enabling a structured mapping of the current evidence base, identification of knowledge gaps, and clarification of the potential forensic significance of postmortem pink teeth.
    2025-12-26Recensão Acesso aberto Ver mais
  • Mental health and alcohol consumption among university students in the post-pandemic context: an exploratory cross-sectional study in Portugal
    Publication . Moreira, Teresa; Guimarães, Maria Inês; Silveira, Augusta; Loibl, Beatriz; Guedes Lopes, Beatriz; Alves Ribeiro Ferraz, Hugo Filipe; Castro, Inês; Mira de Almeida, Sofia; Lopes Cardoso, Inês; Pereira Rodrigues, Sandra Beatriz; Lima, Andreia Maria Novo
    Introduction: The COVID-19 pandemic had significant effects on mental health and lifestyle behaviours, especially among university students who experienced academic disruptions, social isolation, and fewer social interactions. Alcohol consumption has long been part of student culture. Still, the influence of post-pandemic academic reintegration on drinking patterns and psychological distress remains relatively unexplored, particularly in countries like Portugal, where student traditions heavily shape consumption habits. This study aimed to describe the prevalence of alcohol consumption, depression, anxiety, and stress in a sample of Portuguese university students during the post-pandemic academic period, and to explore associations with sociodemographic variables. Methods: A cross-sectional study was conducted in November 2021 with 90 students from a private higher education institution in northern Portugal. Data were collected via an online questionnaire including sociodemographic information, the Alcohol Use Disorders Identification Test (AUDIT), and the Depression, Anxiety and Stress Scale (DASS-21). Result: The majority of the participants were not at risk of alcohol addiction (95.3%). In total, 15.1% of students reported anxiety symptoms ranging from severe to extremely severe. A binomial logistic regression was performed to ascertain the effects of being away from home and psychological distress (DASS-42 score), on the likelihood that participants were at risk of alcohol addiction (Level 3 and 4 in the AUDIT scale). The logistic regression model was statistically significant, χ2(2) = 9.20, p = 0.010. Living away from home was associated with a substantially lower likelihood of high-risk status (B = −2.79, p = 0.034), corresponding to an odds ratio of 0.06, indicating a strong protective effect. DASS-42 total score was positively associated with high-risk status (B = 0.04, p = 0.039), such that higher psychological distress increased the odds of being classified as high risk. Conclusions: The findings reveal a low prevalence of alcohol risk but heightened symptoms of anxiety, depression, and stress. Psychological distress notably increases the likelihood of hazardous alcohol use, emphasising the importance of targeted mental health and alcohol-use interventions among university students.
    2026-01-16Documento de Trabalho Acesso aberto Ver mais
  • Motivational interviewing for the prevention of alcohol misuse in young adults
    Publication . Moreira, Teresa; Foxcroft, David R; Coombes, Lindsey; Wood, Sarah; Allen, Debby; Almeida Santimano, Nerissa ML
    Background Alcohol use and misuse in young people is a major risk behaviour for mortality and morbidity. Motivational interviewing (MI) is a popular technique for addressing excessive drinking in young adults. Objectives To assess the effects of motivational interviewing (MI) interventions for preventing alcohol misuse and alcohol‐related problems in young adults. Search methods We identified relevant evidence from the Cochrane Central Register of Controlled Trials (CENTRAL) (2015, Issue 12), MEDLINE (January 1966 to July 2015), EMBASE (January 1988 to July 2015), and PsycINFO (1985 to July 2015). We also searched clinical trial registers and handsearched references of topic‐related systematic reviews and the included studies. Selection criteria We included randomised controlled trials in young adults up to the age of 25 years comparing MIs for prevention of alcohol misuse and alcohol‐related problems with no intervention, assessment only or alternative interventions for preventing alcohol misuse and alcohol‐related problems. Data collection and analysis We used the standard methodological procedures expected by Cochrane. Main results We included a total of 84 trials (22,872 participants), with 70/84 studies reporting interventions in higher risk individuals or settings. Studies with follow‐up periods of at least four months were of more interest in assessing the sustainability of intervention effects and were also less susceptible to short‐term reporting or publication bias. Overall, the risk of bias assessment showed that these studies provided moderate or low quality evidence. At four or more months follow‐up, we found effects in favour of MI for the quantity of alcohol consumed (standardised mean difference (SMD) −0.11, 95% confidence interval (CI) −0.15 to −0.06 or a reduction from 13.7 drinks/week to 12.5 drinks/week; moderate quality evidence); frequency of alcohol consumption (SMD −0.14, 95% CI −0.21 to −0.07 or a reduction in the number of days/week alcohol was consumed from 2.74 days to 2.52 days; moderate quality evidence); and peak blood alcohol concentration, or BAC (SMD −0.12, 95% CI −0.20 to 0.05, or a reduction from 0.144% to 0.131%; moderate quality evidence). We found a marginal effect in favour of MI for alcohol problems (SMD −0.08, 95% CI −0.17 to 0.00 or a reduction in an alcohol problems scale score from 8.91 to 8.18; low quality evidence) and no effects for binge drinking (SMD −0.04, 95% CI −0.09 to 0.02, moderate quality evidence) or for average BAC (SMD −0.05, 95% CI −0.18 to 0.08; moderate quality evidence). We also considered other alcohol‐related behavioural outcomes, and at four or more months follow‐up, we found no effects on drink‐driving (SMD −0.13, 95% CI −0.36 to 0.10; moderate quality of evidence) or other alcohol‐related risky behaviour (SMD −0.15, 95% CI −0.31 to 0.01; moderate quality evidence). Further analyses showed that there was no clear relationship between the duration of the MI intervention (in minutes) and effect size. Subgroup analyses revealed no clear subgroup effects for longer‐term outcomes (four or more months) for assessment only versus alternative intervention controls; for university/college vs other settings; or for higher risk vs all/low risk participants. None of the studies reported harms related to MI. Authors' conclusions The results of this review indicate that there are no substantive, meaningful benefits of MI interventions for preventing alcohol use, misuse or alcohol‐related problems. Although we found some statistically significant effects, the effect sizes were too small, given the measurement scales used in the included studies, to be of relevance to policy or practice. Moreover, the statistically significant effects are not consistent for all misuse measures, and the quality of evidence is not strong, implying that any effects could be inflated by risk of bias.
    2016Artigo científico Acesso aberto Ver mais