This paper presents a conceptual framework and critical considerations for the scholarship of teaching and learning (SoTL) in academic public health. Academic education for public health has undergone significant transformation over the last two decades as the demand for responsive and innovative public health pedagogy and training for preparing graduates to deploy an increasing array of skills has grown. The authors suggest that the role of schools, administrators, faculty, and educational staff in developing promising practices for teaching and learning in public health involves an articulated conceptual framework to guide the development and dissemination of scholarly, pedagogical innovations. Building on seminal philosophical foundations of SoTL, the authors conceptualize SoTL from the foundational belief that knowing and learning are communal tasks and that faculty are both scholars and learners in the practice of education. The paper advocates for SoTL as a form of engaged practice and scholarly inquiry that exists in contextually rich, diverse educational environments that abounds with uncertainty. SoTL is guided by an educational philosophy, values, and learning theories that envision educators critically examining themselves, their teaching practice, scholarly literature, and students' learning to improve their teaching, enhance learning, and promote further inquiry. The authors suggest that SoTL involves the search for multiple forms of evidence and fosters dialogues on multiple interpretations and perspectives of the most promising practices of teaching and learning. The authors advocate for the term promising practices as an outcome of SoTL that supports and nurtures ongoing scientific discovery and knowledge generation, instead of supporting the search for best-ness in teaching and learning endeavors. SoTL should occur across formal, informal, and nonformal education.

A apraxia é uma desordem dos movimentos aprendidos que não é resultado de fraqueza ou alteração sensitiva. Esta alteração pode ser devida a um prejuízo na execução têmporo-espacial ou na própria elaboração do gesto. Um protocolo de avaliação de praxias deve conter elementos que sejam capazes de avaliar o sistema executivo sem a interferência do sistema conceitual e vice-versa. Para isso o sujeito deve produzir gestos, bem como deve ser capaz de reconhecê-los. Contudo essa avaliação pode sofrer influência de variáveis como a idade, o sexo e a escolaridade. Esse trabalho tem como objetivo avaliar a influência das variáveis sexo, idade e escolaridade no desempenho de indivíduos idosos saudáveis em um protocolo de produção e reconhecimento de gestos, bem como a confiabilidade intra e inter-examinador do protocolo de produção e a confiabilidade intra-examinador do protocolo de reconhecimento. Para isso foram avaliados 96 indivíduos divididos em dois grupos. Um grupo formado por indivíduos com idades de 60 a 74 anos e outro grupo formado por indivíduos com idades iguais ou superiores a 75 anos. Cada grupo era formado por um número igual de homens e mulheres e era subdivido em quatro grupos de acordo com a escolaridade: analfabetos, de 1 a 3 anos, de 4 a 7 anos e igual ou superior a 8 anos. No protocolo de produção de gestos solicitava-se aos indivíduos que realizassem gestos ao comando verbal e à imitação. No protocolo de reconhecimento, o indivíduo assistia a um vídeo no qual ele deveria ser capaz de discriminar gestos conhecidos de desconhecidos, gestos bem realizados de mal realizados, associar gestos a objetos, bem como nomear gestos. Os resultados revelaram que tanto a idade quanto a escolaridade influenciaram o desempenho no protocolo de produção de gestos. Os gestos ao comando verbal obtiveram menor porcentagem de acerto do que os gestos realizados à imitação. Já no protocolo de reconhecimento, as três variáveis influenciaram de forma significativa o desempenho. A análise final mostrou que, levando-se em conta a escolaridade, podemos observar três grandes grupos: os analfabetos, os indivíduos que estudaram de 1 a 7 anos e aqueles com oito ou mais anos de escolaridade. Também mostrou que os indivíduos mais velhos, a exemplo da produção, apresentam pior desempenho e que mulheres reconhecem mais gestos do que homens. Os achados estão de acordo com relatos de que o aumento da idade, a diminuição da escolaridade e mesmo o sexo são fatores capazes de influenciar o desempenho dos indivíduos em testes neuropsicológicos. O protocolo de produção apresentou elevada confiabilidade, tanto intra quanto inter-examinador, além de excelente consistência interna. O protocolo de reconhecimento também apresentou resultados satisfatórios tanto de confiabilidade inter-examinador quanto de consistência interna / Apraxia is a loss of the ability to perform learned skill movements when this loss cannot be accounted for by elemental motor deficits, such as weakness or sensory deficits. This disorder could result in damage of the spatio-temporal characteristics of the execution of the movement or in the proper elaboration of the gesture. A protocol of praxis evaluation must contain elements that are capable to evaluate the executive system without interference from the conceptual system and vice versa. For this purpose, subjects must produce gestures, and also recognize them. Nevertheless, this evaluation can suffer influence from variables such as age, gender and education. The goals of this work were to evaluate the influence of the variables gender, age and education in the performance of healthy elderly individuals in a protocol of gesture production and recognition, as well as the intra- and inter-examiner reliability of the production protocol and the intra-examiner reliability of the recognition protocol. For this 96 individuals divided in two groups were evaluated. A group (A) formed by subjects aged 60 to 74 years and another group formed by individuals aged 75 years or over. Each group was formed by an equal number of men and women and it was subdivides in four groups in accordance with the educational level of the subjects: illiterates, 1 to 3 years, 4 to 7 years and 8 or more years of schooling. In gesture production, individuals were requested to accomplish the tasks on verbal command and imitation. In the recognition protocol the individuals should watch a video in which they were asked to discriminate between known and unknown gestures, discriminate between correctly and incorrectly performed acts, to associate gestures to objects, as well as to perform gesture naming. The results revealed that age as well as educational level influence the performance in the protocol of gesture production. Gesture performance on verbal command was more difficult than on imitation. On the recognition protocol, the three variables significantly influence the performance. The final analysis showed that taking into account the educational level, three major groups emerged: the illiterates, the individuals with 1 to 7 years and those with eight or more years of schooling. The older individuals, similar to what was observed in the production protocol, presented worse performance than their younger counterparts, and women were able to recognize more gestures than men. These findings are in agreement with studies showing that with the increase of the age, the decrease of formal education and gender are factors that influence the performance of the individuals in neuropsychological tests. The production protocol presented both high intra- and inter-rater reliability and excellent internal consistency. The recognition protocol also showed adequate inter-examiner reliability as well as good internal consistency

Esta pesquisa teve como objetivo realizar um estudo sistematizado sobre aspectos que influenciam o cometimento do ato infracional por parte do adolescente. O levantamento dos fatores de risco relacionados à prática infracional foi realizado através de um psicodiagnóstico aplicado em 64 sujeitos do sexo masculino com idades entre 16 e 17 anos e 11 meses subdivididos em dois grupos, sendo 34 sujeitos que estavam cumprindo a medida sócio-educativa de internação e 30 sujeitos de escolas públicas. As áreas investigadas foram: levantamento sócio-demográfico, dependência de álcool e drogas e perfil cognitivo. O resultado apontou dados significativos. Em relação ao perfil sócio-demográfico verificou-se a fragilidade do sistema educacional, pois a escolaridade de ambos os grupos encontra-se muito aquém do previsto. Na classificação social houve diferença entre os grupos avaliados sendo que os infratores se mostraram pertencentes a uma classe mais baixa. No tocante às drogas os infratores fazem uso mais intenso destas substâncias e já no perfil cognitivo os grupos se assemelharam. / The present research aimed to realize a systematic study on the factors that influence an adolescents commitment to realize infraction. The collection of data on the risk factors related to the practice of infractions was carried out through a psychodiagnostic applied to 64 subjects of the masculine sex with an age range from 16 to 17 years and 11 months and subdivided in two groups. One group was made up of 34 subjects that were interned to complete socio-educative measures and 30 men from public schools. The investigated areas were: socio-demographics, alcohol and drug dependency and cognitive profile. Regarding the socio-demographic profile the fragility of the education system was indicated in that the results for both groups were substantially lower than predicted. In the social classification the difference between the groups was that the at risk adolescents belong to a lower class. Regarding drugs the at risk adolescents do use them more intensively. For the cognitive profile the groups are similar.

INTRODUÇÃO: O câncer vem apresentando um impacto cada vez maior nas populações em todo o mundo. Apesar de recente queda global na sua incidência, o câncer gástrico ainda é o quinto tipo mais comum. Sua patogênese é multifatorial, envolvendo a interação de fatores genéticos, ambientais e infecciosos. OBJETIVO: Avaliar a associação de tabagismo, consumo de álcool e nível de escolaridade com o desenvolvimento de câncer gástrico. MÉTODOS: Trata-se de um estudo caso-controle de base hospitalar em que foram incluídos pacientes com diagnóstico de adenocarcinoma de estômago confirmado por exame histopatológico sem tratamento prévio para a neoplasia. Posteriormente, os casos foram divididos em subtipos de acordo com a histologia (intestinal e difuso) e localização da lesão (proximal, distal e outras). Os indivíduos do grupo controle foram selecionados entre pacientes admitidos no mesmo hospital, sem história ou suspeita de câncer de estômago, emparelhados por frequência aos casos segundo sexo e idade. Tabagismo foi classificado em maços-ano e consumo de álcool em gramas-ano. RESULTADOS: Foram analisados 240 casos e 499 controles recrutados no período de junho de 2001 a dezembro de 2007. Não frequentaram a escola ou apresentavam ensino fundamental incompleto 94 indivíduos (39,2%) no grupo dos casos e 187 (37,5%) no grupo de controles. Ensino universitário foi atingido por 12 indivíduos (5%) no grupo de casos e por 45 indivíduos (9%) do grupo de controles. Não houve associação de nível de escolaridade com risco de desenvolvimento de câncer de estômago. Tabagismo esteve associado ao risco de câncer gástrico com odds ratio (OR) de 2,25 (IC95%: 1,53-3,31) para ex-tabagistas e de 2,67 (IC95%: 1,72-4,13) para tabagistas atuais. Com relação à localização e tipo histológico, tabagismo foi associado com todos os subtipos de tumores gástricos analisados, com destaque para os tumores proximais que apresentaram OR de 5,38 (IC95%: 2,15-13,45) para consumo superior a 38 maços-ano. Consumo de álcool também esteve associado a risco de desenvolvimento de câncer gástrico em todos os subtipos analisados. Entretanto, esta associação apresentou características distintas do tabagismo. Ex-consumidores de álcool apresentaram risco mais elevado (OR=3,81; IC95%: 2,45-5,91) que consumidores atuais (OR=2,06; IC95%: 1,31-3,26). A análise da interação mostrou que o efeito conjunto de tabagismo e consumo de álcool encontrado foi maior que o esperado, evidenciando interação positiva [?=1,51 (IC 95%: 1,05 - 1,96)]. CONCLUSÕES: Tabagismo e consumo de álcool apresentaram associação com o risco de desenvolvimento de câncer gástrico, com destaque para tabagistas atuais e maior consumo de maços-ano. O consumo associado do tabaco e do álcool aumenta esse risco / BACKGROUND: Cancer has an increasing impact on populations around the world. Despite a recent overall decline in incidence, gastric cancer stills the fifth most common type. Its pathogenesis is multifactorial involving the interaction of genetic, environmental and infectious factors. OBJECTIVES: To evaluate the association of smoking, alcohol consumption and education level with the development of gastric cancer. METHODS: This is a hospital-based case-control study that included patients with gastric adenocarcinoma confirmed by histopathological examination without prior treatment. Subsequently, patients were divided into subtypes according to histology (intestinal and diffuse) and location of the lesion (proximal, distal and others). Control subjects were selected among patients admitted to the same hospital with no history of gastric câncer, and were frequency-matched to cases for age and sex. Smoking was classified in pack-years and alcohol consumption in grams per year. RESULTS: We analyzed 240 cases and 499 controls recruited from June 2001 to December 2007. Not attended school or had incomplete elementary school 94 subjects (39.2%) in the group of cases and 187 (37.5%) in the control group. University education was achieved by 12 subjects (5%) in the case group and 45 subjects (9%) in the control group. There was no association of education level with increased risk of stomach cancer. Smoking was associated with increased risk of gastric cancer with an odds ratio (OR) of 2.25 (95%CI: 1.53-3.31) for former smokers and 2.67 (95%CI: 1.72-4.13) for current smokers. With respect to location and histological type, smoking was associated with all subtypes of gastric tumors analyzed with emphasis on the proximal tumors that had OR of 5.38 (95%CI: 2.15-13.45) for consumption over 38 packs-years. Alcohol consumption was also associated with increases risk of gastric cancer development in all analyzed subtypes. However, this association showed distinct characteristics of smoking. Former drinkers had higher risk (OR=3.81; 95%CI: 2.45-5.91) than current users (OR=2.06; 95%CI: 1.31-3.26). The analysis of the interaction showed that the combined effect of smoking and alcohol consumption was higher than expected, thus showing up a positive interaction [?= 1.51 (95%CI: 1.05-1.96)]. CONCLUSIONS: Smoking and alcohol consumption were associated with the risk of gastric cancer development, especially for current smokers and higher consumption of pack-years. Association of tobacco and alcohol consumption increases this risk

Thesis (Dr.P.H.)--University of Texas Health Science Center at Houston, School of Public Health, 1999. / Includes bibliographical references (leaves 127-136).

Esta pesquisa teve como objetivo realizar um estudo sistematizado sobre aspectos que influenciam o cometimento do ato infracional por parte do adolescente. O levantamento dos fatores de risco relacionados à prática infracional foi realizado através de um psicodiagnóstico aplicado em 64 sujeitos do sexo masculino com idades entre 16 e 17 anos e 11 meses subdivididos em dois grupos, sendo 34 sujeitos que estavam cumprindo a medida sócio-educativa de internação e 30 sujeitos de escolas públicas. As áreas investigadas foram: levantamento sócio-demográfico, dependência de álcool e drogas e perfil cognitivo. O resultado apontou dados significativos. Em relação ao perfil sócio-demográfico verificou-se a fragilidade do sistema educacional, pois a escolaridade de ambos os grupos encontra-se muito aquém do previsto. Na classificação social houve diferença entre os grupos avaliados sendo que os infratores se mostraram pertencentes a uma classe mais baixa. No tocante às drogas os infratores fazem uso mais intenso destas substâncias e já no perfil cognitivo os grupos se assemelharam. / The present research aimed to realize a systematic study on the factors that influence an adolescents commitment to realize infraction. The collection of data on the risk factors related to the practice of infractions was carried out through a psychodiagnostic applied to 64 subjects of the masculine sex with an age range from 16 to 17 years and 11 months and subdivided in two groups. One group was made up of 34 subjects that were interned to complete socio-educative measures and 30 men from public schools. The investigated areas were: socio-demographics, alcohol and drug dependency and cognitive profile. Regarding the socio-demographic profile the fragility of the education system was indicated in that the results for both groups were substantially lower than predicted. In the social classification the difference between the groups was that the at risk adolescents belong to a lower class. Regarding drugs the at risk adolescents do use them more intensively. For the cognitive profile the groups are similar.

INTRODUÇÃO: O câncer vem apresentando um impacto cada vez maior nas populações em todo o mundo. Apesar de recente queda global na sua incidência, o câncer gástrico ainda é o quinto tipo mais comum. Sua patogênese é multifatorial, envolvendo a interação de fatores genéticos, ambientais e infecciosos. OBJETIVO: Avaliar a associação de tabagismo, consumo de álcool e nível de escolaridade com o desenvolvimento de câncer gástrico. MÉTODOS: Trata-se de um estudo caso-controle de base hospitalar em que foram incluídos pacientes com diagnóstico de adenocarcinoma de estômago confirmado por exame histopatológico sem tratamento prévio para a neoplasia. Posteriormente, os casos foram divididos em subtipos de acordo com a histologia (intestinal e difuso) e localização da lesão (proximal, distal e outras). Os indivíduos do grupo controle foram selecionados entre pacientes admitidos no mesmo hospital, sem história ou suspeita de câncer de estômago, emparelhados por frequência aos casos segundo sexo e idade. Tabagismo foi classificado em maços-ano e consumo de álcool em gramas-ano. RESULTADOS: Foram analisados 240 casos e 499 controles recrutados no período de junho de 2001 a dezembro de 2007. Não frequentaram a escola ou apresentavam ensino fundamental incompleto 94 indivíduos (39,2%) no grupo dos casos e 187 (37,5%) no grupo de controles. Ensino universitário foi atingido por 12 indivíduos (5%) no grupo de casos e por 45 indivíduos (9%) do grupo de controles. Não houve associação de nível de escolaridade com risco de desenvolvimento de câncer de estômago. Tabagismo esteve associado ao risco de câncer gástrico com odds ratio (OR) de 2,25 (IC95%: 1,53-3,31) para ex-tabagistas e de 2,67 (IC95%: 1,72-4,13) para tabagistas atuais. Com relação à localização e tipo histológico, tabagismo foi associado com todos os subtipos de tumores gástricos analisados, com destaque para os tumores proximais que apresentaram OR de 5,38 (IC95%: 2,15-13,45) para consumo superior a 38 maços-ano. Consumo de álcool também esteve associado a risco de desenvolvimento de câncer gástrico em todos os subtipos analisados. Entretanto, esta associação apresentou características distintas do tabagismo. Ex-consumidores de álcool apresentaram risco mais elevado (OR=3,81; IC95%: 2,45-5,91) que consumidores atuais (OR=2,06; IC95%: 1,31-3,26). A análise da interação mostrou que o efeito conjunto de tabagismo e consumo de álcool encontrado foi maior que o esperado, evidenciando interação positiva [?=1,51 (IC 95%: 1,05 - 1,96)]. CONCLUSÕES: Tabagismo e consumo de álcool apresentaram associação com o risco de desenvolvimento de câncer gástrico, com destaque para tabagistas atuais e maior consumo de maços-ano. O consumo associado do tabaco e do álcool aumenta esse risco / BACKGROUND: Cancer has an increasing impact on populations around the world. Despite a recent overall decline in incidence, gastric cancer stills the fifth most common type. Its pathogenesis is multifactorial involving the interaction of genetic, environmental and infectious factors. OBJECTIVES: To evaluate the association of smoking, alcohol consumption and education level with the development of gastric cancer. METHODS: This is a hospital-based case-control study that included patients with gastric adenocarcinoma confirmed by histopathological examination without prior treatment. Subsequently, patients were divided into subtypes according to histology (intestinal and diffuse) and location of the lesion (proximal, distal and others). Control subjects were selected among patients admitted to the same hospital with no history of gastric câncer, and were frequency-matched to cases for age and sex. Smoking was classified in pack-years and alcohol consumption in grams per year. RESULTS: We analyzed 240 cases and 499 controls recruited from June 2001 to December 2007. Not attended school or had incomplete elementary school 94 subjects (39.2%) in the group of cases and 187 (37.5%) in the control group. University education was achieved by 12 subjects (5%) in the case group and 45 subjects (9%) in the control group. There was no association of education level with increased risk of stomach cancer. Smoking was associated with increased risk of gastric cancer with an odds ratio (OR) of 2.25 (95%CI: 1.53-3.31) for former smokers and 2.67 (95%CI: 1.72-4.13) for current smokers. With respect to location and histological type, smoking was associated with all subtypes of gastric tumors analyzed with emphasis on the proximal tumors that had OR of 5.38 (95%CI: 2.15-13.45) for consumption over 38 packs-years. Alcohol consumption was also associated with increases risk of gastric cancer development in all analyzed subtypes. However, this association showed distinct characteristics of smoking. Former drinkers had higher risk (OR=3.81; 95%CI: 2.45-5.91) than current users (OR=2.06; 95%CI: 1.31-3.26). The analysis of the interaction showed that the combined effect of smoking and alcohol consumption was higher than expected, thus showing up a positive interaction [?= 1.51 (95%CI: 1.05-1.96)]. CONCLUSIONS: Smoking and alcohol consumption were associated with the risk of gastric cancer development, especially for current smokers and higher consumption of pack-years. Association of tobacco and alcohol consumption increases this risk

A apraxia é uma desordem dos movimentos aprendidos que não é resultado de fraqueza ou alteração sensitiva. Esta alteração pode ser devida a um prejuízo na execução têmporo-espacial ou na própria elaboração do gesto. Um protocolo de avaliação de praxias deve conter elementos que sejam capazes de avaliar o sistema executivo sem a interferência do sistema conceitual e vice-versa. Para isso o sujeito deve produzir gestos, bem como deve ser capaz de reconhecê-los. Contudo essa avaliação pode sofrer influência de variáveis como a idade, o sexo e a escolaridade. Esse trabalho tem como objetivo avaliar a influência das variáveis sexo, idade e escolaridade no desempenho de indivíduos idosos saudáveis em um protocolo de produção e reconhecimento de gestos, bem como a confiabilidade intra e inter-examinador do protocolo de produção e a confiabilidade intra-examinador do protocolo de reconhecimento. Para isso foram avaliados 96 indivíduos divididos em dois grupos. Um grupo formado por indivíduos com idades de 60 a 74 anos e outro grupo formado por indivíduos com idades iguais ou superiores a 75 anos. Cada grupo era formado por um número igual de homens e mulheres e era subdivido em quatro grupos de acordo com a escolaridade: analfabetos, de 1 a 3 anos, de 4 a 7 anos e igual ou superior a 8 anos. No protocolo de produção de gestos solicitava-se aos indivíduos que realizassem gestos ao comando verbal e à imitação. No protocolo de reconhecimento, o indivíduo assistia a um vídeo no qual ele deveria ser capaz de discriminar gestos conhecidos de desconhecidos, gestos bem realizados de mal realizados, associar gestos a objetos, bem como nomear gestos. Os resultados revelaram que tanto a idade quanto a escolaridade influenciaram o desempenho no protocolo de produção de gestos. Os gestos ao comando verbal obtiveram menor porcentagem de acerto do que os gestos realizados à imitação. Já no protocolo de reconhecimento, as três variáveis influenciaram de forma significativa o desempenho. A análise final mostrou que, levando-se em conta a escolaridade, podemos observar três grandes grupos: os analfabetos, os indivíduos que estudaram de 1 a 7 anos e aqueles com oito ou mais anos de escolaridade. Também mostrou que os indivíduos mais velhos, a exemplo da produção, apresentam pior desempenho e que mulheres reconhecem mais gestos do que homens. Os achados estão de acordo com relatos de que o aumento da idade, a diminuição da escolaridade e mesmo o sexo são fatores capazes de influenciar o desempenho dos indivíduos em testes neuropsicológicos. O protocolo de produção apresentou elevada confiabilidade, tanto intra quanto inter-examinador, além de excelente consistência interna. O protocolo de reconhecimento também apresentou resultados satisfatórios tanto de confiabilidade inter-examinador quanto de consistência interna / Apraxia is a loss of the ability to perform learned skill movements when this loss cannot be accounted for by elemental motor deficits, such as weakness or sensory deficits. This disorder could result in damage of the spatio-temporal characteristics of the execution of the movement or in the proper elaboration of the gesture. A protocol of praxis evaluation must contain elements that are capable to evaluate the executive system without interference from the conceptual system and vice versa. For this purpose, subjects must produce gestures, and also recognize them. Nevertheless, this evaluation can suffer influence from variables such as age, gender and education. The goals of this work were to evaluate the influence of the variables gender, age and education in the performance of healthy elderly individuals in a protocol of gesture production and recognition, as well as the intra- and inter-examiner reliability of the production protocol and the intra-examiner reliability of the recognition protocol. For this 96 individuals divided in two groups were evaluated. A group (A) formed by subjects aged 60 to 74 years and another group formed by individuals aged 75 years or over. Each group was formed by an equal number of men and women and it was subdivides in four groups in accordance with the educational level of the subjects: illiterates, 1 to 3 years, 4 to 7 years and 8 or more years of schooling. In gesture production, individuals were requested to accomplish the tasks on verbal command and imitation. In the recognition protocol the individuals should watch a video in which they were asked to discriminate between known and unknown gestures, discriminate between correctly and incorrectly performed acts, to associate gestures to objects, as well as to perform gesture naming. The results revealed that age as well as educational level influence the performance in the protocol of gesture production. Gesture performance on verbal command was more difficult than on imitation. On the recognition protocol, the three variables significantly influence the performance. The final analysis showed that taking into account the educational level, three major groups emerged: the illiterates, the individuals with 1 to 7 years and those with eight or more years of schooling. The older individuals, similar to what was observed in the production protocol, presented worse performance than their younger counterparts, and women were able to recognize more gestures than men. These findings are in agreement with studies showing that with the increase of the age, the decrease of formal education and gender are factors that influence the performance of the individuals in neuropsychological tests. The production protocol presented both high intra- and inter-rater reliability and excellent internal consistency. The recognition protocol also showed adequate inter-examiner reliability as well as good internal consistency

Introduction: Objective: to determine the association between vegan diet and self-perceived periodontal status in a vegan population of Metropolitan Lima, Peru. Materials and methods: a total of 240 people (120 vegans and 120 non-vegans) were surveyed in this study during the months of August to December 2020 in a virtual way. To evaluate self-perception of periodontal status and oral hygiene habits, the self-report of periodontal disease was used, which is validated with a Cronbach's alpha of 0.77. In addition, other variables such as age, sex, socioeconomic level, educational level, and tobacco consumption were registered. A Poisson regression with robust variance estimator was used both for the association of variables, and prevalence ratios were reported in a crude and adjusted model. The confidence level was 95 % and the significance level was p < 0.05. Results and conclusions: a statistically significant association was found between the appearance of reddish and/or swollen gums (PR = 0.67; 95 % CI: 0.25-0.54) and poor perception of the state of the gums (PR = 0.43; 95 % CI: 0.33-0.56) with the vegan diet. Finally, for the gum bleeding dimension during brushing, no statistically significant differences were observed between vegans and non-vegans. / Introducción: Objetivo: determinar la asociación entre la dieta vegana y la autopercepción del estado periodontal en una población vegana de Lima Metropolitana, Perú. Materiales y métodos: un total de 240 personas (120 veganas y 120 no veganas) fueron encuestadas en este estudio durante los meses de agosto a diciembre del año 2020 de manera virtual. Para evaluar la autopercepción del estado periodontal y los hábitos de higiene oral se utilizó el autorreporte de enfermedad periodontal, que se encuentra validado con una alfa de Cronbach de 0,77. Además se registraron otras variables como la edad, el sexo, el nivel socioeconómico, el grado de estudio y el consumo de tabaco. Se utilizó la regresión de Poisson con estimador robusto de la varianza para la asociación de las variables y se reportaron razones de prevalencia en un modelo crudo y ajustado. El nivel de confianza fue del 95 % y el de significancia fue de p < 0,05. Resultados y conclusiones: se encontró asociación estadísticamente significativa entre la apariencia de encías rojizas y/o hinchadas (RP = 0,67; IC 95 %: 0,25-0,54) y la mala percepción del estado de las encías (RP = 0,43; IC 95 %: 0,33-0,56) con la dieta vegana. Por último, para la dimensión del sangrado de encías durante el cepillado no se observaron diferencias estadísticamente significativas entre las personas veganas y las no veganas. / Revisión por pares

<p>Svetska&nbsp; zdravstvena&nbsp; organizacija&nbsp; defini&scaron;e kvalitet&nbsp; života kao&nbsp; percepciju&nbsp; pojedinca&nbsp; o sopstvenom&nbsp; položaju&nbsp; u&nbsp; životu&nbsp; u&nbsp; kontekstu kulture i sistema vrednosti u kojima živi kao i prema&nbsp;&nbsp; svojim&nbsp;&nbsp; ciljevima,&nbsp;&nbsp; očekivanjima, standardima&nbsp; i&nbsp; interesovanjima.<br />To&nbsp; je&nbsp; &scaron;irok koncept&nbsp; koga&nbsp; čine:&nbsp; fizičko&nbsp; zdravlje&nbsp; pojedinca, psiholo&scaron;ki&nbsp;&nbsp; status,&nbsp;&nbsp; materijalna&nbsp;&nbsp; nezavisnost, socijalni&nbsp; odnosi&nbsp; i&nbsp; njihovi&nbsp; odnosi&nbsp; prema značajnim karakteristikama spolja&scaron;nje sredine. Procenjuje&nbsp; se&nbsp; da&nbsp; preko&nbsp; bilion&nbsp; ljudi&nbsp; živi&nbsp; sa<br />nekim&nbsp; oblikom&nbsp; invaliditeta,&nbsp; &scaron;to čini oko 15% svetske&nbsp; populacije. Prisustvo bilo&nbsp; kakvog telesnog invaliditeta kod osobe može&nbsp; značajno da utiče na njen psihofizički i socijalni razvoj. Procenjivanje&nbsp; uticaja&nbsp; fizičkog&nbsp; invaliditeta&nbsp; na svakodnevni&nbsp;&nbsp; život&nbsp;&nbsp; odslikava&nbsp;&nbsp; kakvo je funkcionisanje i blagostanje te osobe iz dana u dan i u različitim domenima života, &scaron;to&nbsp; zapravo predstavlja procenu kvaliteta života. Istraživanje&nbsp; predstavlja&nbsp; studiju&nbsp; preseka&nbsp; na uzorku&nbsp; od&nbsp; 227&nbsp; odraslih&nbsp; osoba&nbsp; sa&nbsp; motornim invaliditetom&nbsp; u&nbsp; Vojvodini,&nbsp; koji&nbsp; su&nbsp; članovi udruženja osoba sa invaliditetom. Kao instrument istraživanja kori&scaron;ćen je posebno kreiran&nbsp; upitnik&nbsp; za&nbsp; procenu&nbsp; kvaliteta&nbsp; života osoba sa invaliditetom. Osnovni cilj istraživanja je bio da se proceni kvalitet života osoba sa invaliditetom u odnosu na fizičko, socijalno i emocionalno funkcionisanje kod odraslih osoba sa motornim invaliditetom na teritoriji Vojvodine, kao i da se utvrdi postojanje&nbsp; razlike&nbsp; u&nbsp; kvalitetu&nbsp; života u odnosu na nivo obrazovanja,&nbsp; zaposlenost&nbsp; i bračno stanje. Podaci prikupljeni tokom ankete su kontrolisani&nbsp; na validnost, kodirani&nbsp; i&nbsp; uno&scaron;eni&nbsp; u posebno&nbsp; kreiranu&nbsp; bazu&nbsp; podataka.&nbsp; Odabrana&nbsp; su pitanja&nbsp; i&nbsp; formirani&nbsp; domeni/skale&nbsp; (fizičkog, emocionalnog i&nbsp; socijalnog&nbsp; funkcionisanja&nbsp; i samoprocene&nbsp; zdravlja)&nbsp; na&nbsp; osnovu matrica korelacija,&nbsp; ICC&nbsp; i&nbsp; vrednosti Kronbah&nbsp; alfa. Aritmetička&nbsp; vrednost,&nbsp; mediana,&nbsp; standardna devijacija,&nbsp; minimalna&nbsp; i&nbsp; maksimalna&nbsp; vrednost&nbsp; i 95%&nbsp; interval poverenja&nbsp; su&nbsp; izračunate&nbsp; za&nbsp; svaki domen kvaliteta života. Dobijene vrednosti domena i sumarnih skala su komparirane u odnosu na pol i bračno stanje ispitanika,&nbsp; (t-test, Mann-Whitney&nbsp; test),&nbsp; a ANOVA&nbsp; metodom&nbsp; i&nbsp; Kruskal -Wallis&nbsp; testom&nbsp; je vr&scaron;ena komparacija srednjih vrednosti u odnosu na&nbsp; nivo&nbsp;&nbsp; obrazovanja&nbsp; i status zaposlenosti ispitanika. Za&nbsp; sve&nbsp; testove&nbsp; su&nbsp; navedeni&nbsp; nivoi statističke značajnosti (p vrednosti). Studija je uključila 227 osoba sa motornim invaliditetom&nbsp; u&nbsp; Vojvodini,&nbsp; 120&nbsp; mu&scaron;karaca (52,9%) i 107 žena (47,1%). Prosečna&nbsp; starost ispitanika je bila<br />47 godina. U najvećem broju slučajeva uzrok invaliditeta je povreda (33,0%),<br />zatim&nbsp; neurolo&scaron;ko &nbsp; oboljenje&nbsp; (26,0%), urođena bolest&nbsp; (20,7%), te&scaron;ko&nbsp; reumatsko&nbsp; oboljenje (13,7%),&nbsp; cerebrovaskularni&nbsp; inzult &nbsp; (2,6%) i ostala&nbsp; stanja &nbsp; (4%). U pogledu ortopedskih pomagala,&nbsp; invalidska&nbsp; kolica&nbsp; koristi 30,4% ispitanika, &scaron;tap 37, 0%, &scaron;etalicu 3,1%, aparat za podizanje&nbsp; stopala &nbsp; 3,5%,&nbsp; dok&nbsp; ostatak&nbsp; navodi ostalo (&scaron;take, antidekubitusni krevet...). Psihometrijska analiza je pokazala da je za definisanje domena fizičkog funkcionisanja bilo moguće uključiti 5 pitanja iz upitnika, za domen emocionalnog&nbsp; funkcionisanja 10 pitanja&nbsp; a&nbsp; za domen&nbsp; socijalnog&nbsp; funkcionisanja&nbsp; 3&nbsp; pitanja. Skala za svaki domen se kretala u intervalu od 0 do 100. Set od 5 pitanja uključenih u skalu fizičkog funkcionisanja&nbsp; definisali&nbsp; su&nbsp; kapacitet&nbsp; fizičkih sposobnosti. Prosečna vrednost domena fizičkog&nbsp; funkcionisanja&nbsp; za&nbsp; sve&nbsp; ispitanike&nbsp; je iznosila 85, 0&nbsp; (SD=18.9) sa 95%&nbsp; CI u&nbsp; rasponu od 82,6 do 87,5. Utvrđena je statistički značajna razlika za ovaj domen u odnosu na zaposlenost (p=0.067) dok u odnosu na nivo obrazovanja&nbsp; i bračno stanje nema statistički značajne razlike. Set&nbsp; od 10 pitanja&nbsp;&nbsp; uključenih u skalu emocionalnog funkcionisanja definisali su emocionalni&nbsp;&nbsp; status ispitanika. Prosečna vrednost&nbsp; domena emocionalnog &nbsp; funkcionisanja za sve ispitanike je iznosila 62,5 (SD=20,0) sa 95% CI u rasponu od 59,9 do 65,1. Utvrđena je statistički&nbsp; značajna&nbsp; razlika&nbsp; za&nbsp; ovaj&nbsp; domen&nbsp; u odnosu&nbsp; na nivo&nbsp; obrazovanja (p=0.048) dok&nbsp; u odnosu&nbsp; na&nbsp; zaposlenost&nbsp; i&nbsp; bračno&nbsp; stanje nemastatistički značajne razlike. Set od 3&nbsp; pitanja&nbsp; uključenih u skalu socijalnog funkcionisanja definisali su kapacitet socijalnih aktivnosti. Prosečna vrednost domena socijalnog funkcionisanja&nbsp; za&nbsp; sve&nbsp; ispitanike&nbsp; je iznosila 72,0 &nbsp; (SD=27,6)&nbsp; sa&nbsp; 95% CI u&nbsp; rasponu od 68,4 do 75,6. Utvrđena je statistički značajna razlika za ovaj&nbsp; domen&nbsp; u&nbsp; odnosu na nivo obrazovanja (p=0.067)&nbsp; dok u odnosu na zaposlenost i bračno stanje nema statistički značajne razlike.</p> / <p>The&nbsp; World&nbsp; Health&nbsp; Organization&nbsp; defines quality&nbsp; of&nbsp; life&nbsp; (QoL)&nbsp; as&nbsp; &ldquo;an&nbsp; individual&#39;s<br />perception of their position in life in the context of the culture and value systems where they live and&nbsp; in&nbsp; relation&nbsp; to&nbsp; their&nbsp; goals,&nbsp; expectations,&nbsp;standards&nbsp; and concerns.&nbsp; It&nbsp; is&nbsp; a&nbsp; broad&nbsp; concept affected in a complex way by a person&#39;s physical health, &nbsp;psychological&nbsp; state,&nbsp; personal&nbsp; beliefs, social&nbsp; relationships&nbsp; and&nbsp; their&nbsp; relationship&nbsp; to salient features of their environment.&rdquo;<br />Over&nbsp; a&nbsp; billion&nbsp; people&nbsp; are&nbsp; estimated&nbsp; to&nbsp; live with&nbsp; some&nbsp; form&nbsp; of&nbsp; disability.&nbsp; This&nbsp; corresponds to&nbsp; about&nbsp; 15%&nbsp; of&nbsp; the&nbsp; world&#39;s&nbsp; population.&nbsp; The presence&nbsp; of&nbsp; any&nbsp; sort&nbsp; of&nbsp; physical&nbsp; disability&nbsp; in person can significantly influence their physical,<br />mental and social development. The assessment of&nbsp; the&nbsp; effects&nbsp; of&nbsp;a&nbsp; disability&nbsp; on&nbsp; every&nbsp; day,&nbsp; life reflects&nbsp; on&nbsp; the&nbsp; functioning&nbsp; and&nbsp; wealth&nbsp; of&nbsp; a&nbsp;person on daily basis and in various segments of life,&nbsp; that&nbsp; actually&nbsp; represents&nbsp; the&nbsp; assessment&nbsp; of their quality of life. The&nbsp; research&nbsp; represents&nbsp; a&nbsp; cross-sectional&nbsp;study of the sample of 227 adults with motoric disability&nbsp; in&nbsp; Vojvodina,&nbsp; who&nbsp; are&nbsp; registered&nbsp; in associations of people with disability. Especially created questionnaire was used to assess quality of life. The&nbsp; aim&nbsp; of&nbsp; this&nbsp; study&nbsp; was&nbsp; to&nbsp; investigate&nbsp; the&nbsp;relationship&nbsp; between&nbsp; physical&nbsp; (PF),&nbsp; emotional (EF) and social functioning&nbsp;(SF) domain of QoL and education level, employment and having life&nbsp;partner of disabled persons.<br />The&nbsp; data&nbsp; collected&nbsp; during&nbsp; the&nbsp; survey&nbsp; were checked for validity, then coded and entered into a specially created database. Тhe questions were&nbsp;selected,&nbsp; four&nbsp; scales&nbsp; / domains&nbsp; (physical, emotional,&nbsp;&nbsp; social&nbsp;&nbsp; functioning&nbsp;&nbsp; and&nbsp;&nbsp; self assessment of health) were formed based on the correlation&nbsp; matrices,&nbsp; intercorrelation&nbsp; cofficient (ICC) and Crombach alpha values. Mean value,&nbsp;median,&nbsp; standard&nbsp; deviation,&nbsp; minimum&nbsp; and maximum values and 95% of confidence interval wаs calculated for all domain of QoL. The values obtained in the field of physical, emotional and social functioning were compared as&nbsp; per&nbsp; gender&nbsp; and&nbsp; marital&nbsp; status&nbsp; of&nbsp; the participants,&nbsp; using&nbsp; t-test,&nbsp; Mann-Whitney&nbsp; test, ANOVA&nbsp; method&nbsp; and&nbsp; Kruskal&nbsp; Wallis&nbsp; test&nbsp; were used&nbsp; to&nbsp; compare&nbsp; the&nbsp; mean&nbsp; values&nbsp; in&nbsp; respect&nbsp; to level of education and employment status of the respondents.&nbsp; For&nbsp; all&nbsp; the&nbsp; tests,&nbsp; the&nbsp; levels&nbsp; of statistical significance (p) were provided. The study involved 227 adults with motoric disability&nbsp; in&nbsp; Vojvodina,&nbsp; 120&nbsp; men&nbsp; (52.9%)&nbsp; and 107&nbsp; women&nbsp; (47.1%).&nbsp; Average&nbsp; age&nbsp; of&nbsp; the participants&nbsp; was&nbsp; 47&nbsp; years&nbsp; of&nbsp; age.&nbsp; The&nbsp; cause&nbsp; of disability&nbsp; in&nbsp; the&nbsp; largest&nbsp; number&nbsp; of&nbsp; the interviewees&nbsp; were&nbsp; the&nbsp; injury&nbsp; (33.0%),&nbsp; then neurological&nbsp;&nbsp; conditions&nbsp;&nbsp; (26.0%),&nbsp;&nbsp; inborn condition&nbsp; (20.7%),&nbsp; serious&nbsp; rheumatic&nbsp; disease (13.7%), cerebrovascular insult (2.6%) and other (4%).&nbsp; As&nbsp; for&nbsp; the&nbsp; orthopedic&nbsp; tools,&nbsp; wheelchairs are&nbsp; used&nbsp; by&nbsp; 30.4%&nbsp; participants,&nbsp; stick&nbsp; 37.0%, walker&nbsp; is&nbsp; used&nbsp; by&nbsp; 3.1% &nbsp; and&nbsp; the&nbsp; orthoses&nbsp; for elevating&nbsp; feet&nbsp; 3.5%,&nbsp; whereas&nbsp; the&nbsp; rest&nbsp; of&nbsp; the interviewees&nbsp; state&nbsp; other&nbsp; (different&nbsp; orthopedic tools such as crutches, anti decubitus mattresses etc). Psychometric&nbsp; analysis&nbsp; showed&nbsp; that&nbsp; in&nbsp; order to&nbsp; define&nbsp; the&nbsp; domain&nbsp; on&nbsp; physical&nbsp; functioning from the questionnaire applied it was possible to include&nbsp;&nbsp; the&nbsp;&nbsp; 5&nbsp;&nbsp; questions,&nbsp;&nbsp; for&nbsp;&nbsp; emotional functioning domain 10 questions and for domain on social functioning 3 questions. The sum of all selected questions&nbsp; for&nbsp; every&nbsp; domain&nbsp; forms&nbsp; the scale in the range from 0 to 100. The set of five questions stated for the scale of physical&nbsp;&nbsp; functioning&nbsp; indicate the capacity of physical&nbsp; functioning. The&nbsp; average&nbsp; value&nbsp; of PF domain&nbsp; for&nbsp; all&nbsp; the&nbsp; interviewees&nbsp; is 85.0 (SD=18.9) with 95% CI in the range of 82. 6 to 87.5. The&nbsp; difference&nbsp; in&nbsp; regard&nbsp; to employment status (p=0.067) is&nbsp; statistically&nbsp; significant&nbsp; but there&nbsp; is&nbsp; not&nbsp; satisticlly&nbsp; significant&nbsp; difference&nbsp; in regard level of education and marital status. The set of ten questions stated for the scale of emotional&nbsp; functioning. The average&nbsp; value of EF&nbsp; domain&nbsp; for&nbsp; all&nbsp; the&nbsp; interviewees&nbsp; is 62.5 (SD=20.0) with 95% CI in the range of 59.9 to 65.1.&nbsp; The&nbsp; difference&nbsp; in&nbsp; regard&nbsp; to level&nbsp; of education (p=0.048)&nbsp; is&nbsp; statistically&nbsp; significant but there&nbsp; is&nbsp; not satisticlly&nbsp; significant difference in&nbsp; regard&nbsp; to employment&nbsp; status and&nbsp; marital status. The set of three questions stated for the scale of&nbsp; social&nbsp; functioning&nbsp; indicate&nbsp; the&nbsp; capacity&nbsp; of social&nbsp; interaction.&nbsp; The&nbsp; average&nbsp; value&nbsp; of&nbsp; SF domain&nbsp; for&nbsp; all&nbsp; the&nbsp; interviewees&nbsp; is&nbsp; 72.0 (SD=27.6) with 95% CI in the range of 68.4 to 75.6. The&nbsp;&nbsp; difference&nbsp; in&nbsp; regard&nbsp; to the&nbsp; level&nbsp; of education&nbsp; is&nbsp; statistically&nbsp; significant&nbsp; (p&lt;&nbsp; 0.001) but there&nbsp; is&nbsp; not satisticlly&nbsp; significant difference in&nbsp; regard&nbsp; to&nbsp; employment&nbsp; status&nbsp; and marital status.</p>