Translation, Cross-cultural Adaptation and Reliability Analysis of the Survey of Anxiety and Information for Dentists (SAID) among Brazilian Adolescents

ABSTRACT Objective: To translate, perform a cross-cultural adaptation and reliability analysis of the Survey of Anxiety and Information for Dentists (SAID) for use with Brazilian adolescents. Material and Methods: The SAID was translated into Brazilian Portuguese and back-translated to English. An expert committee compared both versions and examined their equivalence. Then, a face validation was performed with 10 adolescents. The SAID was applied in printed format with 25 questions. Participants answered and commented on the questions with a researcher to confirm the understanding and provide suggestions. The suggestions were implemented, and the expert committee approved the final version of the SAID in Brazilian Portuguese. The psychometric properties were tested with 60 adolescents aged 10 to 19 years. Participants answered the Brazilian version of the SAID before their first dental appointment and two weeks later to determine test-retest reliability. Reliability was analyzed by internal consistency analysis (Cronbach's alpha) and test-retest (ICC). Results: The instrument presented excellent reliability according to internal consistency (Cronbach's alpha = 0.77) and test-retest coefficients (ICC = 0.88; 95% CI: 0.81-0.93). The Kappa coefficients and the degree of agreement of the dichotomous questions indicated good reproducibility of the new version. Conclusion: The SAID translation, cross-cultural adaptation and reliability analysis were completed successfully. Thus, the Brazilian version of the SAID can be a useful survey tool for dental care of adolescent patients.

Diferencias según sexo y estado diabético en la relación entre apolipoproteína C-III y ácidos grasos libres con los triglicéridos séricos en sujetos a riesgo para intolerancia a la glucosa / Difference according to sex and diabetic state in the relation between alipoprotein c-III and free fat acids with the seric triglycerides in subject to risk for the intolerance to glucose

La insulino resistencia e hiperinsulinemia pueden inducir una sobreproducción hepática de VLDL ricas en triglicéridos (TG), por aumento de la disponibilidad de ácidos grasos libres (AGL). Por otra parte, la apolipoproteína C-III (apo C-III) es un inhibidor del catabolismo de las lipoproteínas ricas en TG. a fin de explorar la relación existente entre los niveles séricos de TG, AGL y apo C-III en sujetos hiperinsulinémicos con diferentes estados de tolerancia a la glucosa, se estudiaron 103 individuos (63 mujeres y 40 hombres) con un índice de masa corporal ó IMC mayor e igual 25 Kg/m²: 44 con diabetes tipo 2 de reciente diagnóstico y 59 normoglicémicos (controles). se observó que los niveles de AGL en ayunas fueron significativamente mayores en las mujeres que en los hombres, y en los sujetos con diabetes que en los controles, incluso después de ajustar estadísticamente para las diferencias en edad, IMC, insulina y TG. Los pacientes con diabetes tenían mayores niveles de apo C-III en comparación con los controles, después de ajustar estadísticamente para edad, sexo e IMC; sin embargo, estas diferencias fueron en parte atribuibles a las diferencias en los niveles de TG e insulina