Dalia Nogueira - Academia.edu (original) (raw)

Papers by Dalia Nogueira

Developmental Medicine & Child Neurology, Feb 24, 2023

This commentary is on the original article by Hanks et al. on pages 1199–1205 of this issue.

BMC Health Services Research, Nov 27, 2008

Publish with Bio Med Central and every scientist can read your work free of charge "BioMed Centra... more Publish with Bio Med Central and every scientist can read your work free of charge "BioMed Central will be the most significant development for disseminating the results of biomedical researc h in our lifetime."

Journal of Oral Rehabilitation, Oct 27, 2018

The Test of Masticating and Swallowing Solids (TOMASS) is a validated assessment tool measuring t... more The Test of Masticating and Swallowing Solids (TOMASS) is a validated assessment tool measuring the efficiency of solid bolus intake by four quantitative parameters: discrete bites, masticatory cycles, swallows, and time to ingest a single cracker. A normative data base for adults (20-80+ years) has previously been established. The objective of this study was to investigate the applicability and reliability of the TOMASS in children and adolescents (TOMASS-C) and to establish the normative data base for this younger population. We collected data from 638 participants (male: 311, female: 327) in five age groups (4-18 years) with five different but very similar test crackers in four countries. Significant effects of bolus type (cracker), age group and gender on the TOMASS parameters were identified, requiring stratification of the TOMASS-C database by these variables. Intra-rater reliability was excellent (ICC> .94) for all parameters, inter-rater reliability was moderate for 'number of swallows' (ICC= .54), good for 'bites' (ICC= .78) and 'time' (ICC= .82), and excellent for 'masticatory cycles' (ICC= .96). The 'Test of Masticating and Swallowing Solids in Children (TOMASS-C)' was identified to be a reliable diagnostic tool for the comprehensive measurement of discrete oral stage components of solid bolus ingestion, standardized by a large normative data base that covers age groups from preschoolers to young adults. While differences between gender groups were less pronounced than in the adult population, previous results relating to changes in masticatory and swallowing as a function of age are confirmed by our data.

Journal of Oral Rehabilitation, May 24, 2023

BackgroundOral‐motor performance for speech and swallowing, and verbal fluency represent importan... more BackgroundOral‐motor performance for speech and swallowing, and verbal fluency represent important domains that can determine frailty thresholds in older people.ObjectivesThe study aims to explore the association between oral‐motor performance and verbal fluency to achieve a comprehensive measurement of the frailty phenotype.Methods and ProceduresAn exploratory and inferential cross‐sectional study was carried out in two nursing homes and 2 day care centres. The study comprised a sample of 95 individuals with a mean age of 83 years. The oral‐diadochokinesis test (ODDK), water swallow test (WST), time of mastication and swallowing (TOMASS), maximum tongue pressure, verbal fluency, physical phenotype and Mini‐Mental State Examination (MMSE) were used as measurements variables.ResultsThe comparison of mean values between the performance of observed and normative values for the target population was shown to be statistically significant for all the measurements and between the pre‐frail and frail.ConclusionsThe results of this study add to the growing body of evidence that oral‐motor function for speech and swallowing and verbal fluency are relevant to the diagnosis and management of the frailty condition in older people. The frailty syndrome is more than just the traditionally observed physical function, rather it is a multidimensional construct, where additional dimensions should be considered when evaluating frailty in clinical practice.

Topics in Geriatric Rehabilitation, 2017

The International Journal of Aging and Society, 2012

Dysphagia, 2015

The purpose of this study was to evaluate the validity and the reliability of the European Portug... more The purpose of this study was to evaluate the validity and the reliability of the European Portuguese version of the EAT-10 (P-EAT-10). This research was conducted in three phases: (i) cultural and linguistic adaptation; (ii) feasibility and reliability test; and (iii) validity tests. The final sample was formed by a cohort of 520 subjects. The P-EAT-10 index was compared for socio-demographic and clinic variables. It was also compared for both dysphagic and non-dysphagic groups as well as for the results of the 3Oz wst. Lastly, the P-EAT-10 scores were correlated with the EuroQol Group Portuguese EQ-5D index. The Cronbach's α obtained for the P-EAT-10 scale was 0.952 and it remained excellent even if any item was deleted. The item-total and the intraclass correlation coefficients were very good. The P-EAT-10 mean of the non-dysphagic cohort was 0.56 and that of the dysphagic cohort was 14.26, the mean comparison between the 3Oz wst groups and the P-EAT-10 scores were significant. A significant higher perception of QoL was also found among the non-dysphagic subjects. P-EAT-10 is a valid and reliable measure that may be used to document dysphagia which makes it useful both for screening in clinical practice and in research.

Swallowing – Physiology, Disorders, Diagnosis and Therapy, 2015

BMC Health Services Research, 2011

Archives of Gerontology and Geriatrics, 2016

Frailty is a common syndrome among elderly and sensory decline may exacerbate functional decline.... more Frailty is a common syndrome among elderly and sensory decline may exacerbate functional decline. The hand function, the manual dexterity, the performance of the daily living skills and the social interactions are determined, in a large degree, by sensory integrity. However, hand tactile sensory deterioration has been little explored in frailty. We performed a cross sectional observational study with 181 of institutionalized elders. From the initial sample we selected 50 subjects (68-99 years) who met the inclusion/exclusion criteria. Our goals were (1) to analyse the relationship between tactile discrimination (TD) of the hand, avoidance behaviours and attitudes towards social touch (BATST) and phenotype frailty criteria (unintentional weight loss, self-perception of exhaustion, decrease grip strength À GS, slow walking speed, low level of physical activity), (2) to explore whether other variables can contribute to explain the differences between pre-frail and frail elders. The results showed that increasing age is related to decline of TD of the hand (p = 0.021) and to decrease in GS (p = 0.025); women have significantly lower level of GS (p = 0.001); TD decrease is correlated with higher avoidance BATST (p = 0.000) and with lower GS (p = 0.000); Lower GS corresponds to more avoidance BATST (p = 0.003). Hand TD also can differentiate frail and pre-frail elderly subjects in this sample (p = 0.037). Decreased TD of the hand may have implications on the functionality and on interpersonal relationships. TD of the hand also explains frailty levels in this sample. Hand TD should be used in assessment and intervention protocols in pre-frail and frail elders. 2016 Elsevier Ireland Ltd. All rights reserved.

Ageing International, 2013

This paper has a conceptual character and explores an approach between transaction cost analysis ... more This paper has a conceptual character and explores an approach between transaction cost analysis theory and network theory when applied to supply chains in a broader context: industrial management research. This approach raises the assumptions that fast supply chains, i.e., supply chains made of short time relationships and multiple partners can contribute to destroying trust and collaboration between companies, ending up by stressing actual systems' arrangements in somehow stable supply chains/network chains. As a consequence, transforming them in distrust arrangements and thus giving birth to new (old) approaches based only on transaction cost analysis theory: opportunism and limited rationality as the continuum for relationships between companies in a globalized world with numerous potential agents/companies that can play several roles. Too high levels of entropy can show this reality: the number of potential players (suppliers, customers or complementors) with theoretically equal probability of establishing partnerships with one focal company in a supply chain or network arrangement is excessive in relation to the number of current suppliers, customers and complementors, and for that reason, the focal company is somehow dissipating energy in identifying several potential players and in a state of giving one way or another equal importance to them all, situation that can affect stable relations with current partners. Theoretically, this will create what looks like strategic fast supply-demand chains or network chains: fast because they are rapidly settle down and fast as they are also rapidly dismantled. Those arrangements are the ones responsible for several possible and fast relations (internalizing resources from the environment and/or externalizing resources to the environment) but, anyway, contributing to loose trust, credibility and running against profitable games with partners already involved with focal companies in stable supply chains.

2022 International Conference and Exposition on Electrical And Power Engineering (EPE)

Background: The impact of acquired dysarthria on the person’s life and social participation is we... more Background: The impact of acquired dysarthria on the person’s life and social participation is well recognized and is the key to the process of rehabilitation. Evaluation of the effectiveness of an intervention that addresses this impact is a challenge for clinicians and researchers. Objectives: The purpose of this study was to evaluate the validity and reliability of the European Portuguese version of the Quality of Life in the Speaker with Dysarthria (QoL-DyS). Methods: This research was conducted in three phases: (i) cultural and linguistic adaptation; (ii) feasibility and reliability; and (iii) validity. The sample was composed of 105 subjects with dysarthria and 103 healthy subjects. The QAD (Quick Assessment for Dysarthria), PEAT10 (Portuguese Eating Assessment Tool), and EQ-5D (EuroQol five-dimension scale) were used for validity and reliability. Results and Conclusion: The QoL-DyS correlated positively with the QAD, PEAT-10, and EQ5D. Cronbach’s α was 0.973, and it remained ...

BACKGROUND Clinical swallowing assessment is largely limited to qualitative assessment of behavio... more BACKGROUND Clinical swallowing assessment is largely limited to qualitative assessment of behavioural observations. There are limited quantitative data that can be compared with a healthy population for identification of impairment. The Test of Masticating and Swallowing Solids (TOMASS) was developed as a quantitative assessment of solid bolus ingestion. AIMS This research programme investigated test development indices and established normative data for the TOMASS to support translation to clinical dysphagia assessment. METHODS & PROCEDURES A total of 228 healthy adults (ages 20-80+ years) stratified by age and sex participated in one or more of four consecutive studies evaluating test-retest and interrater reliability and validity to instrumental assessment. For each study the test required participants to ingest a commercially available cracker with instructions to 'eat this as quickly as is comfortably possible'. Further averaged measures were derived including the numbe...

Developmental Medicine & Child Neurology, Feb 24, 2023

This commentary is on the original article by Hanks et al. on pages 1199–1205 of this issue.

BMC Health Services Research, Nov 27, 2008

Publish with Bio Med Central and every scientist can read your work free of charge "BioMed Centra... more Publish with Bio Med Central and every scientist can read your work free of charge "BioMed Central will be the most significant development for disseminating the results of biomedical researc h in our lifetime."

Journal of Oral Rehabilitation, Oct 27, 2018

The Test of Masticating and Swallowing Solids (TOMASS) is a validated assessment tool measuring t... more The Test of Masticating and Swallowing Solids (TOMASS) is a validated assessment tool measuring the efficiency of solid bolus intake by four quantitative parameters: discrete bites, masticatory cycles, swallows, and time to ingest a single cracker. A normative data base for adults (20-80+ years) has previously been established. The objective of this study was to investigate the applicability and reliability of the TOMASS in children and adolescents (TOMASS-C) and to establish the normative data base for this younger population. We collected data from 638 participants (male: 311, female: 327) in five age groups (4-18 years) with five different but very similar test crackers in four countries. Significant effects of bolus type (cracker), age group and gender on the TOMASS parameters were identified, requiring stratification of the TOMASS-C database by these variables. Intra-rater reliability was excellent (ICC> .94) for all parameters, inter-rater reliability was moderate for 'number of swallows' (ICC= .54), good for 'bites' (ICC= .78) and 'time' (ICC= .82), and excellent for 'masticatory cycles' (ICC= .96). The 'Test of Masticating and Swallowing Solids in Children (TOMASS-C)' was identified to be a reliable diagnostic tool for the comprehensive measurement of discrete oral stage components of solid bolus ingestion, standardized by a large normative data base that covers age groups from preschoolers to young adults. While differences between gender groups were less pronounced than in the adult population, previous results relating to changes in masticatory and swallowing as a function of age are confirmed by our data.

Journal of Oral Rehabilitation, May 24, 2023

BackgroundOral‐motor performance for speech and swallowing, and verbal fluency represent importan... more BackgroundOral‐motor performance for speech and swallowing, and verbal fluency represent important domains that can determine frailty thresholds in older people.ObjectivesThe study aims to explore the association between oral‐motor performance and verbal fluency to achieve a comprehensive measurement of the frailty phenotype.Methods and ProceduresAn exploratory and inferential cross‐sectional study was carried out in two nursing homes and 2 day care centres. The study comprised a sample of 95 individuals with a mean age of 83 years. The oral‐diadochokinesis test (ODDK), water swallow test (WST), time of mastication and swallowing (TOMASS), maximum tongue pressure, verbal fluency, physical phenotype and Mini‐Mental State Examination (MMSE) were used as measurements variables.ResultsThe comparison of mean values between the performance of observed and normative values for the target population was shown to be statistically significant for all the measurements and between the pre‐frail and frail.ConclusionsThe results of this study add to the growing body of evidence that oral‐motor function for speech and swallowing and verbal fluency are relevant to the diagnosis and management of the frailty condition in older people. The frailty syndrome is more than just the traditionally observed physical function, rather it is a multidimensional construct, where additional dimensions should be considered when evaluating frailty in clinical practice.

Topics in Geriatric Rehabilitation, 2017

The International Journal of Aging and Society, 2012

Dysphagia, 2015

The purpose of this study was to evaluate the validity and the reliability of the European Portug... more The purpose of this study was to evaluate the validity and the reliability of the European Portuguese version of the EAT-10 (P-EAT-10). This research was conducted in three phases: (i) cultural and linguistic adaptation; (ii) feasibility and reliability test; and (iii) validity tests. The final sample was formed by a cohort of 520 subjects. The P-EAT-10 index was compared for socio-demographic and clinic variables. It was also compared for both dysphagic and non-dysphagic groups as well as for the results of the 3Oz wst. Lastly, the P-EAT-10 scores were correlated with the EuroQol Group Portuguese EQ-5D index. The Cronbach's α obtained for the P-EAT-10 scale was 0.952 and it remained excellent even if any item was deleted. The item-total and the intraclass correlation coefficients were very good. The P-EAT-10 mean of the non-dysphagic cohort was 0.56 and that of the dysphagic cohort was 14.26, the mean comparison between the 3Oz wst groups and the P-EAT-10 scores were significant. A significant higher perception of QoL was also found among the non-dysphagic subjects. P-EAT-10 is a valid and reliable measure that may be used to document dysphagia which makes it useful both for screening in clinical practice and in research.

Swallowing – Physiology, Disorders, Diagnosis and Therapy, 2015

BMC Health Services Research, 2011

Archives of Gerontology and Geriatrics, 2016

Frailty is a common syndrome among elderly and sensory decline may exacerbate functional decline.... more Frailty is a common syndrome among elderly and sensory decline may exacerbate functional decline. The hand function, the manual dexterity, the performance of the daily living skills and the social interactions are determined, in a large degree, by sensory integrity. However, hand tactile sensory deterioration has been little explored in frailty. We performed a cross sectional observational study with 181 of institutionalized elders. From the initial sample we selected 50 subjects (68-99 years) who met the inclusion/exclusion criteria. Our goals were (1) to analyse the relationship between tactile discrimination (TD) of the hand, avoidance behaviours and attitudes towards social touch (BATST) and phenotype frailty criteria (unintentional weight loss, self-perception of exhaustion, decrease grip strength À GS, slow walking speed, low level of physical activity), (2) to explore whether other variables can contribute to explain the differences between pre-frail and frail elders. The results showed that increasing age is related to decline of TD of the hand (p = 0.021) and to decrease in GS (p = 0.025); women have significantly lower level of GS (p = 0.001); TD decrease is correlated with higher avoidance BATST (p = 0.000) and with lower GS (p = 0.000); Lower GS corresponds to more avoidance BATST (p = 0.003). Hand TD also can differentiate frail and pre-frail elderly subjects in this sample (p = 0.037). Decreased TD of the hand may have implications on the functionality and on interpersonal relationships. TD of the hand also explains frailty levels in this sample. Hand TD should be used in assessment and intervention protocols in pre-frail and frail elders. 2016 Elsevier Ireland Ltd. All rights reserved.

Ageing International, 2013

This paper has a conceptual character and explores an approach between transaction cost analysis ... more This paper has a conceptual character and explores an approach between transaction cost analysis theory and network theory when applied to supply chains in a broader context: industrial management research. This approach raises the assumptions that fast supply chains, i.e., supply chains made of short time relationships and multiple partners can contribute to destroying trust and collaboration between companies, ending up by stressing actual systems' arrangements in somehow stable supply chains/network chains. As a consequence, transforming them in distrust arrangements and thus giving birth to new (old) approaches based only on transaction cost analysis theory: opportunism and limited rationality as the continuum for relationships between companies in a globalized world with numerous potential agents/companies that can play several roles. Too high levels of entropy can show this reality: the number of potential players (suppliers, customers or complementors) with theoretically equal probability of establishing partnerships with one focal company in a supply chain or network arrangement is excessive in relation to the number of current suppliers, customers and complementors, and for that reason, the focal company is somehow dissipating energy in identifying several potential players and in a state of giving one way or another equal importance to them all, situation that can affect stable relations with current partners. Theoretically, this will create what looks like strategic fast supply-demand chains or network chains: fast because they are rapidly settle down and fast as they are also rapidly dismantled. Those arrangements are the ones responsible for several possible and fast relations (internalizing resources from the environment and/or externalizing resources to the environment) but, anyway, contributing to loose trust, credibility and running against profitable games with partners already involved with focal companies in stable supply chains.

2022 International Conference and Exposition on Electrical And Power Engineering (EPE)

Background: The impact of acquired dysarthria on the person’s life and social participation is we... more Background: The impact of acquired dysarthria on the person’s life and social participation is well recognized and is the key to the process of rehabilitation. Evaluation of the effectiveness of an intervention that addresses this impact is a challenge for clinicians and researchers. Objectives: The purpose of this study was to evaluate the validity and reliability of the European Portuguese version of the Quality of Life in the Speaker with Dysarthria (QoL-DyS). Methods: This research was conducted in three phases: (i) cultural and linguistic adaptation; (ii) feasibility and reliability; and (iii) validity. The sample was composed of 105 subjects with dysarthria and 103 healthy subjects. The QAD (Quick Assessment for Dysarthria), PEAT10 (Portuguese Eating Assessment Tool), and EQ-5D (EuroQol five-dimension scale) were used for validity and reliability. Results and Conclusion: The QoL-DyS correlated positively with the QAD, PEAT-10, and EQ5D. Cronbach’s α was 0.973, and it remained ...

BACKGROUND Clinical swallowing assessment is largely limited to qualitative assessment of behavio... more BACKGROUND Clinical swallowing assessment is largely limited to qualitative assessment of behavioural observations. There are limited quantitative data that can be compared with a healthy population for identification of impairment. The Test of Masticating and Swallowing Solids (TOMASS) was developed as a quantitative assessment of solid bolus ingestion. AIMS This research programme investigated test development indices and established normative data for the TOMASS to support translation to clinical dysphagia assessment. METHODS & PROCEDURES A total of 228 healthy adults (ages 20-80+ years) stratified by age and sex participated in one or more of four consecutive studies evaluating test-retest and interrater reliability and validity to instrumental assessment. For each study the test required participants to ingest a commercially available cracker with instructions to 'eat this as quickly as is comfortably possible'. Further averaged measures were derived including the numbe...