Rafael Moro - Academia.edu (original) (raw)

Papers by Rafael Moro

Research paper thumbnail of Capacidade funcional, função manual, higiene bucal e sua relação com odontogeriatria

... (não visitar e receber amigos e parentes) e autopercepção ruim de saúde. Dickerson e Fisher (... more ... (não visitar e receber amigos e parentes) e autopercepção ruim de saúde. Dickerson e Fisher (1993) observaram diferenças funcionais em 40 mulheres adultas, 20 jovens com 27,7 anos em média e 20 idosas com 71,3 anos em média. Neste estudo foi ...

Research paper thumbnail of Hand Function and Oral Hygiene in Older Institutionalized Brazilians. (See Editorial Comments by Dr. Kenneth Shay on pp 1470-1471)

Journal of the American Geriatrics Society, 2007

Research paper thumbnail of Uso do coeficiente alfa de Cronbach na validação de questionários utilizados na pesquisa odontológica

Rev Fac Odontol Porto Alegre, Dec 1, 2003

Research paper thumbnail of Uso de implantes com carga imediata em pacientes idosos : apresentação de caso clínico em mandíbula

Rev Fac Odontol Porto Alegre, Jul 1, 2003

Apresentação de caso clínico e m mandauila Immediate Eoading implants ia elderly patientsa case v... more Apresentação de caso clínico e m mandauila Immediate Eoading implants ia elderly patientsa case veport in mandible RESUMO O aumento do riiimcro d e itlosos é acornparihado por necessidades odontolí>gicas cada vez mais complexas e em maior qi~aaitidaclc. A reabilitação corri próteses removíveis convencionais ncrn sempre C: capaz d e devolver funqão e estética ao jsacieiite idoso. A descok~erta tlos priricípios da osseoiritcgração permitiu a reabilitação corri próteses implarito-suportadas como uma alternativa aos procedimentos reakailitadorcs convencionais. A idade não 6 fator Iimitador para o liso de iniplantt:~ dt:aitários. Esiutlos tem dernoristrado taxas cJe sucesso scmclliankes; na reabilitação coni implantes dentários entre indivíduos jovens e idosos. A rbcnicai cBe irnp,lantes tientários foi iriicialmernie proposta cirn dois tc.ml>os cirúrgicos, separados por uma etapa d e cicatrizaqão sern carga. Vários estudos i i m <Lcmorrstrado laxas dc sucesso seri?ia>llauntcs eiiire a carga tardia e c1uando a prólese c ': instalada com carga irnediaia, ou seja, logo ap6s a colocação dos iuriplantas. A carga imediata permite siri~plificar a tkcriica, diminuir custos e atender urna necessidade do pacienic dc foriu~a irriediata. Nesrt: :artigo é apresen~ado nrn caso de: rcabili~açiio bucal com implantes airavbs d a técriica da carga imediata em uin paciente idoso realizatio ria disciplina de 0~3ontogeri;itria <! U Faculdade d e Odontologia da IJFRGS.

Research paper thumbnail of Hand Function and Oral Hygiene in Older Institutionalized Brazilians

Journal of the American Geriatrics Society, 2000

OBJECTIVES: To evaluate whether the oral hygiene of institutionalized older people differs signif... more OBJECTIVES: To evaluate whether the oral hygiene of institutionalized older people differs significantly between groups of participants with different degrees of hand function. DESIGN: Cross-sectional study. SETTING: Residents of a long-term institution of Porto Alegre, Brazil. PARTICIPANTS: Forty-nine institutionalized older people. Subjects restricted to bed or with Mini-Mental State Examination (MMSE) scores less than 15 were excluded. MEASUREMENTS: Dental (Silness and Lö e Index) and denture plaque (Modified Ambjornsen Plaque Index) scores were assessed as a measure of oral hygiene. Hand functions were assessed using the Jebsen-Taylor and the Purdue pegboard tests. Participants were grouped according to their levels of hand function (regarded as good if test values were at the median or higher in the case of Purdue pegboard test and below the median in the case of Jebsen-Taylor test). Existence of differences between groups was checked using univariate analysis of variance, adjusting for age, sex and cognitive status according to MMSE. RESULTS: Dentate participants with poor hand function according to the Dominant Hand Purdue test harbored significantly more dental plaque after adjustment for age, sex, and cognitive status. Complete denture wearers with poor hand function according to the Dominant Hand and Sum of Three Steps Purdue tests and the total Jebsen-Taylor test also had significantly more denture plaque after adjustment.

Research paper thumbnail of Telehealth in Rio Grande do Sul, Brazil: Bridging the Gaps

Telemedicine and e-Health, 2016

In 1988, Brazil adopted a universal healthcare model in which access is mediated by the primary c... more In 1988, Brazil adopted a universal healthcare model in which access is mediated by the primary care level. However, difficulties have emerged in the coordination of care between the primary and specialized levels. Telehealth was thus proposed as a means to overcome this challenge. This article describes initiatives developed by a large Brazilian program, TelessaúdeRS/UFRGS, in the fields of teleconsultation, telediagnosis, tele-education, and information technology development to support the public healthcare system. TelessaúdeRS/UFRGS was established in 2010 to develop a telehealth platform and a support system for primary care teams with a special focus on optimizing the flow between primary and specialized levels of care. To define priorities, TelessaúdeRS analyzes the health needs of the Brazilian population and the most common inquiries it receives from primary care health professionals. This information is then combined with the best available scientific evidence for development of services. Since 2010, over 50,000 clinical consultations have been provided. More than 15,000 healthcare professionals have benefited from teleconsultations and from telediagnosis and tele-education activities. All services were provided using information technology solutions developed by the Telessaúde team, including smartphone apps and a Web-based National Telehealth Platform. The case of TelessaúdeRS/UFRGS shows that even in the presence of structural limitations, telemedicine is potentially useful to improve the quality of care and streamline the flow between different levels of care.

Research paper thumbnail of Capacidade funcional, função manual, higiene bucal e sua relação com odontogeriatria

... (não visitar e receber amigos e parentes) e autopercepção ruim de saúde. Dickerson e Fisher (... more ... (não visitar e receber amigos e parentes) e autopercepção ruim de saúde. Dickerson e Fisher (1993) observaram diferenças funcionais em 40 mulheres adultas, 20 jovens com 27,7 anos em média e 20 idosas com 71,3 anos em média. Neste estudo foi ...

Research paper thumbnail of Hand Function and Oral Hygiene in Older Institutionalized Brazilians. (See Editorial Comments by Dr. Kenneth Shay on pp 1470-1471)

Journal of the American Geriatrics Society, 2007

Research paper thumbnail of Uso do coeficiente alfa de Cronbach na validação de questionários utilizados na pesquisa odontológica

Rev Fac Odontol Porto Alegre, Dec 1, 2003

Research paper thumbnail of Uso de implantes com carga imediata em pacientes idosos : apresentação de caso clínico em mandíbula

Rev Fac Odontol Porto Alegre, Jul 1, 2003

Apresentação de caso clínico e m mandauila Immediate Eoading implants ia elderly patientsa case v... more Apresentação de caso clínico e m mandauila Immediate Eoading implants ia elderly patientsa case veport in mandible RESUMO O aumento do riiimcro d e itlosos é acornparihado por necessidades odontolí>gicas cada vez mais complexas e em maior qi~aaitidaclc. A reabilitação corri próteses removíveis convencionais ncrn sempre C: capaz d e devolver funqão e estética ao jsacieiite idoso. A descok~erta tlos priricípios da osseoiritcgração permitiu a reabilitação corri próteses implarito-suportadas como uma alternativa aos procedimentos reakailitadorcs convencionais. A idade não 6 fator Iimitador para o liso de iniplantt:~ dt:aitários. Esiutlos tem dernoristrado taxas cJe sucesso scmclliankes; na reabilitação coni implantes dentários entre indivíduos jovens e idosos. A rbcnicai cBe irnp,lantes tientários foi iriicialmernie proposta cirn dois tc.ml>os cirúrgicos, separados por uma etapa d e cicatrizaqão sern carga. Vários estudos i i m <Lcmorrstrado laxas dc sucesso seri?ia>llauntcs eiiire a carga tardia e c1uando a prólese c ': instalada com carga irnediaia, ou seja, logo ap6s a colocação dos iuriplantas. A carga imediata permite siri~plificar a tkcriica, diminuir custos e atender urna necessidade do pacienic dc foriu~a irriediata. Nesrt: :artigo é apresen~ado nrn caso de: rcabili~açiio bucal com implantes airavbs d a técriica da carga imediata em uin paciente idoso realizatio ria disciplina de 0~3ontogeri;itria <! U Faculdade d e Odontologia da IJFRGS.

Research paper thumbnail of Hand Function and Oral Hygiene in Older Institutionalized Brazilians

Journal of the American Geriatrics Society, 2000

OBJECTIVES: To evaluate whether the oral hygiene of institutionalized older people differs signif... more OBJECTIVES: To evaluate whether the oral hygiene of institutionalized older people differs significantly between groups of participants with different degrees of hand function. DESIGN: Cross-sectional study. SETTING: Residents of a long-term institution of Porto Alegre, Brazil. PARTICIPANTS: Forty-nine institutionalized older people. Subjects restricted to bed or with Mini-Mental State Examination (MMSE) scores less than 15 were excluded. MEASUREMENTS: Dental (Silness and Lö e Index) and denture plaque (Modified Ambjornsen Plaque Index) scores were assessed as a measure of oral hygiene. Hand functions were assessed using the Jebsen-Taylor and the Purdue pegboard tests. Participants were grouped according to their levels of hand function (regarded as good if test values were at the median or higher in the case of Purdue pegboard test and below the median in the case of Jebsen-Taylor test). Existence of differences between groups was checked using univariate analysis of variance, adjusting for age, sex and cognitive status according to MMSE. RESULTS: Dentate participants with poor hand function according to the Dominant Hand Purdue test harbored significantly more dental plaque after adjustment for age, sex, and cognitive status. Complete denture wearers with poor hand function according to the Dominant Hand and Sum of Three Steps Purdue tests and the total Jebsen-Taylor test also had significantly more denture plaque after adjustment.

Research paper thumbnail of Telehealth in Rio Grande do Sul, Brazil: Bridging the Gaps

Telemedicine and e-Health, 2016

In 1988, Brazil adopted a universal healthcare model in which access is mediated by the primary c... more In 1988, Brazil adopted a universal healthcare model in which access is mediated by the primary care level. However, difficulties have emerged in the coordination of care between the primary and specialized levels. Telehealth was thus proposed as a means to overcome this challenge. This article describes initiatives developed by a large Brazilian program, TelessaúdeRS/UFRGS, in the fields of teleconsultation, telediagnosis, tele-education, and information technology development to support the public healthcare system. TelessaúdeRS/UFRGS was established in 2010 to develop a telehealth platform and a support system for primary care teams with a special focus on optimizing the flow between primary and specialized levels of care. To define priorities, TelessaúdeRS analyzes the health needs of the Brazilian population and the most common inquiries it receives from primary care health professionals. This information is then combined with the best available scientific evidence for development of services. Since 2010, over 50,000 clinical consultations have been provided. More than 15,000 healthcare professionals have benefited from teleconsultations and from telediagnosis and tele-education activities. All services were provided using information technology solutions developed by the Telessaúde team, including smartphone apps and a Web-based National Telehealth Platform. The case of TelessaúdeRS/UFRGS shows that even in the presence of structural limitations, telemedicine is potentially useful to improve the quality of care and streamline the flow between different levels of care.