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ABSTRACT Objective: To analyze how the journalistic media has described the issues of quality of life (QoL), physical activity (PA) and mental health (MH) of adolescents during the COVID-19 pandemic. Methods: This is a descriptive and qualitative study that used content analysis. Sixty-two journalistic publications were analyzed from a total of 8211 published by the most read newspapers in each Brazilian region between December 2019 and August 2021. Results: The results were grouped and evaluated in three categories: QoL (n=11), PA (n =9) and MH (n=42). In the analyzed period, the adolescents had more time of exposure to screens, contributing to an inadequate diet, a decrease in PA and impairments in QoL. According to the media publications, the pandemic has also contributed to an increase in anxiety, depression, loneliness and fear resulting from the mental and emotional disorganization caused by the abrupt change in routine. Social vulnerability was presented as an aggravating factor in this context. The journalistic media did not pay the necessary attention to adolescents regarding the negative consequences of the pandemic on QoL, PA and MH. Conclusions: The analyzed reports showed that the pandemic caused a decrease in social interaction, feelings of uncertainty, fear and the appearance/exacerbation of symptoms of anxiety, stress and depression. Social vulnerability was presented as another obstacle to be faced in this problem.

RESUMO Objetivo: Analisar como a mídia jornalística tem descrito as questões de qualidade de vida (QV), atividade física (AF) e saúde mental (SM) de adolescentes durante a pandemia da COVID-19. Métodos: Trata-se de um estudo descritivo e qualitativo que utilizou a análise de conteúdo. Foram analisadas 62 publicações jornalísticas do total de 8.211 veiculadas pelos jornais mais lidos de cada região brasileira entre dezembro de 2019 e agosto de 2021. Resultados: Os resultados foram agrupados e avaliados em três categorias: QV (n=11), AF (n=9) e SM (n=42). No período analisado as publicações jornalísticas sugerem que os adolescentes apresentaram maior tempo de exposição a telas, contribuindo para uma alimentação inadequada, diminuição da AF e prejuízos na QV. A pandemia também contribuiu com aumento da ansiedade, depressão, solidão e medo resultantes da desorganização mental e emocional causada pela mudança abrupta de rotina. A vulnerabilidade social apresentou-se como um fator agravante nesse contexto. As mídias jornalísticas não deram a atenção necessária aos adolescentes no que se refere às consequências negativas da pandemia na QV, AF e SM. Conclusões: As reportagens analisadas mostraram que a pandemia causou diminuição na interação social, sentimentos de incerteza, medo e o aparecimento/exacerbação de sintomas de ansiedade, estresse e depressão. A vulnerabilidade social apresentou-se como mais um obstáculo a ser enfrentado nesta problemática.

https://doi.org/10.1590/1984-0462/2024/42/2023041

Physical rehabilitation in Brazilian pediatric intensive care units: a multicenter point prevalence study
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Redivo, Juliana

; Kannan, Harini

; Souza, Andreia Aparecida Freitas

; Colleti Junior, José

; Kudchadkar, Sapna Ravi

; Horigoshi, Nelson Kazunobu

; Costa, Graziela de Araújo

; Castilho, Taísa Roberta Ramos de

; Peron, Paula Peres Domingues

; Scaranto, Walter Perez

; Medeiros, Daniela Nasu Monteiro

; Matsumoto, Toshio

; Almeida, Carlos Gustavo de

; Oliveira, Felipe Rezende Caino de

; Brandão, Marcelo Barciela

; Lima-Setta, Fernanda

; Prata-Barbosa, Arnaldo

; Xavier, Glaciele Nascimento

; Andrade, Livia Barbosa de

; Aguiar, Agda Ultra de

; Coutinho, Marcos Paulo Galdino

; Castro, Roberta Esteves Viera de

; Landy, Glazia André

; Balaniuc, Suzana Lopes Bonfim

; Yamaguchi, Ricardo Silveira

Critical Care Science

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Set 2023, Volume 35 Nº 3 Páginas 290 - 301

Resumo: En Pt | Texto: En Pt | PDF: En | PDF: Pt

ABSTRACT Objective: To determine the prevalence and factors associated with the physical rehabilitation of critically ill children in Brazilian pediatric intensive care units. Methods: A 2-day, cross-sectional, multicenter point prevalence study comprising 27 pediatric intensive care units (out of 738) was conducted in Brazil in April and June 2019. This Brazilian study was part of a large multinational study called Prevalence of Acute Rehabilitation for Kids in the PICU (PARK-PICU). The primary outcome was the prevalence of mobility provided by physical therapy or occupational therapy. Clinical data on patient mobility, potential mobility safety events, and mobilization barriers were prospectively collected in patients admitted for ≥ 72 hours. Results: Children under the age of 3 years comprised 68% of the patient population. The prevalence of therapist-provided mobility was 74%, or 277 out of the 375 patient-days. Out-of-bed mobility was most positively associated with family presence (adjusted odds ratios 3.31;95%CI 1.70 - 6.43) and most negatively associated with arterial lines (adjusted odds ratios 0.16; 95%CI 0.05 - 0.57). Barriers to mobilization were reported on 27% of patient-days, the most common being lack of physician order (n = 18). Potential safety events occurred in 3% of all mobilization events. Conclusion: Therapist-provided mobility in Brazilian pediatric intensive care units is frequent. Family presence was high and positively associated with out-of-bed mobility. The presence of physiotherapists 24 hours a day in Brazilian pediatric intensive care units may have a substantial impact on the mobilization of critically ill children.

RESUMO Objetivo: Determinar a prevalência e os fatores associados à reabilitação física de crianças em estado grave em unidades de terapia intensiva pediátrica brasileiras. Métodos: Realizou-se um estudo de prevalência pontual multicêntrico, transversal, de 2 dias, abrangendo 27 unidades de terapia intensiva pediátrica (do total de 738) no Brasil em abril e junho de 2019. Este estudo brasileiro fez parte de um grande estudo multinacional chamado Prevalence of Acute Rehabilitation for Kids in the PICU (PARK-PICU). O desfecho primário foi a prevalência de mobilidade proporcionada pela fisioterapia ou pela terapia ocupacional. Foram coletados prospectivamente dados clínicos sobre a mobilidade do paciente, possíveis eventos de segurança de mobilidade e barreiras de mobilização em pacientes admitidos por ≥ 72 horas. Resultados: As crianças com idade inferior a 3 anos eram 68% da população de pacientes. A prevalência de mobilidade fornecida pelo terapeuta foi de 74%, ou 277 dos 375 pacientes-dia. A mobilidade para fora do leito foi mais positivamente associada à presença de familiares (razão de chance ajustada de 3,31; IC95% 1,70 - 6,43) e mais negativamente associada às linhas arteriais (razão de chance ajustada de 0,16; IC95% 0,05 - 0,57). Foram relatadas barreiras à mobilização em 27% dos pacientes-dia, sendo a mais comum a falta de prescrição médica (n = 18). Registaram-se eventuais eventos de segurança em 3% de todos os eventos de mobilização. Conclusão: A mobilidade proporcionada pelo terapeuta nas unidades de terapia intensiva pediátrica brasileiras é frequente. A presença de familiares foi alta e positivamente associada à mobilidade para fora do leito. A presença de fisioterapeutas 24 horas por dia nas unidades de terapia intensiva pediátrica brasileiras pode exercer papel importante na mobilização de crianças em estado grave.

https://doi.org/10.5935/2965-2774.20230388-en

Análisis psicométrico de una versión reducida de la Escala de Afecto Positivo y Afecto Negativo en universitarios de Lima
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Vásquez Vega, Jeanette

; Ortiz Morán, Mafalda

; Correa Aranguren, Iris Gladys

; Aguirre Morales, Marivel

; Reyes Rodríguez, Javier Andrés

; Livia Segovia, José

Propósitos y Representaciones

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Jan 2023, Volume 11 Nº 1 elocation e1784

Resumo: En Es | Texto: En Es | PDF: En | PDF: Es

Summary The objective of the study was to develop a short version of the Positive Affect and Negative Affect Scale (PANAS), based on the original version of 20 items. The sample consisted of 3960 students from a public university in Lima. The results indicate that the validity of the internal structure, through exploratory and confirmatory factor analysis, was defined by 10 items and two dimensions. Positive affects are organized into five items: determined, optimistic, inspired, active, and attentive; while negative affects are in five items: irritable, hostile, angry, guilty, and ashamed. Likewise, it was found for the final short version, standardized coefficients with factorial loads between .48 and .85, as well as the fit indices of the model were in accordance with what was expected. Internal consistency reliability indicates Alpha and Omega coefficients greater than .70 in both factors. It is concluded that the instrument presents evidence of internal structure and the scores are consistent.

Resumen El objetivo del estudio fue desarrollar una versión corta de la Escala de Afecto Positivo y Afecto Negativo (PANAS), a partir de la versión original de 20 ítems. La muestra estuvo conformada por 3960 estudiantes de una universidad pública de Lima. Los resultados señalan que la validez de estructura interna, a través del análisis factorial exploratorio y confirmatorio, quedó definida por 10 ítems y dos dimensiones. Los afectos positivos están organizados en cinco ítems: decidido, optimista, inspirado, activo, atento; mientras que los afectos negativos en cinco ítems: irritable, hostil, enojado, culpable, avergonzado. Asimismo, se encontró para la versión corta final, coeficientes estandarizados con cargas factoriales entre .48 y .85, así como los índices de ajuste del modelo estuvieron de acuerdo con lo esperado. La confiabilidad por consistencia interna señala coeficientes alfa y omega mayor a .70 en ambos factores. Se concluye que el instrumento presenta evidencia de estructura interna y las puntuaciones son consistentes.

https://doi.org/10.20511/pyr2023.v11n1.1784

Remote consultation with people with eating disorders during the COVID-19 pandemic
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Falco, Camila Biscacio

; Peres, Maria Angélica de Almeida

; Appolinario, Jose Carlos

; Menescal, Livia Lopes

; Tavares, Izabella de Góes Anderson Maciel

Revista Brasileira de Enfermagem

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2023, Volume 76 Supl. 1 elocation e20220197

Resumo: Pt En Es | Texto: Pt En Es | PDF: Pt | PDF: En | PDF: Es

RESUMO Objetivos: analisar as experiências subjetivas relacionadas à adaptação ao atendimento remoto por usuários com transtornos alimentares durante a pandemia de COVID-19. Métodos: estudo descritivo de abordagem qualitativa realizado com usuários de um ambulatório especializado em transtornos alimentares. Foi aplicada uma entrevista semiestruturada remota, utilizando-se o aplicativo Google Meet. Os dados foram submetidos à análise lexical por meio do software ALCESTE e discutidos à luz das evidências científicas. Resultados: a consulta remota é uma estratégia positiva, mas não substitutiva da modalidade presencial. Vantagens como economia financeira, maior contato com os profissionais e flexibilização de horários de atendimentos foram citadas. Dificuldade de avaliação clínica em relação ao peso, sinais vitais e pouco domínio da tecnologia foram apontados como limitações. Considerações Finais: o estudo induz a discussão sobre sistematização dos atendimentos remotos, os quais, durante a pandemia de COVID-19, foram responsáveis por fornecer maior sensação de suporte às pessoas com transtornos alimentares.

ABSTRACT Objectives: to analyze subjective experiences related to adaptation to remote care by users with eating disorders during the COVID-19 pandemic. Methods: a descriptive study with a qualitative approach conducted with users of an eating disorders outpatient clinic. A semi-structured remote interview was applied using the Google Meet application. The data were submitted to lexical analysis using ALCESTE software and discussed in the light of scientific evidence. Results: the remote appointment is a positive strategy but not a substitute for the face-to-face modality. The research cited financial savings, closer contact with professionals, and flexibility of service schedules as advantages. It pointed out the difficulty in clinical evaluation concerning weight, vital signs, and poor mastery of technology as limitations. Final Considerations: the study induces discussion about the systematization of remote care, which, during the COVID-19 pandemic, were responsible for providing a greater sense of support to people with eating disorders.

RESUMEN Objetivos: analizar experiencias subjetivas relacionadas a la adaptación a la atención remota por usuarios con trastornos alimenticios durante la pandemia de COVID-19. Métodos: estudio descriptivo de abordaje cualitativo realizado con usuarios de un ambulatorio especializado en trastornos alimenticios. Fue aplicada una entrevista semiestructurada remota, utilizándose el aplicativo Google Meet. Los datos fueron sometidos al análisis lexical mediante software ALCESTE y discutidos a la luz de las evidencias científicas. Resultados: la consulta remota es una estrategia positiva, pero no substitutiva de la presencial. Ventajas como economía financiera, mayor contacto con los profesionales y flexibilización de horarios de atenciones fueron citadas. Dificultad de evaluación clínica en relación al peso, signos vitales y poco dominio de tecnología fueron apuntados como limitaciones. Consideraciones Finales: el estudio induce la discusión sobre sistematización de atenciones remotas, las cuales, durante la pandemia de COVID-19, fueron responsables por fornecer mayor sensación de soporte a personas con trastornos alimenticios.

https://doi.org/10.1590/0034-7167-2022-0197

Estandarización de la batería de Evaluación de la Memoria Semántica (EMSEA) en adultos mayores institucionalizados de Lima
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Livia-Segovia, José

; Grasso, Lina

; Herrera-Pino, Agnes Daniel

; Ortiz-Morán, Mafalda

; Benavides-Munarriz, Nicolle

Enfermería Global

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2023, Volume 22 Nº 70 Páginas 162 - 191

Resumo: En Es | Texto: En Es | PDF: En | PDF: Es

ABSTRACT: Objective: To determine if semantic memory is a factor associated with cognitive impairment in older adults in Lima. Method: The Semantic Memory Assessment Battery for Older Adults (EMSEA), the Mini-mental State Examination (MMSE) and other instruments that were used as external criteria were applied. The sample consisted of 158 older adults from Metropolitan Lima between 60 and 95 years of age. EMSEA differentiates between a normal and clinical sample, with a sensitivity of 80% and a specificity of 100% for a cut-off point of 251. Concurrent validity is evidenced and a two-factor EMSEA model is demonstrated. Cronbach's Alpha value is .75 and Theta is .80. Results: Descriptive data indicated a 28% prevalence of cognitive impairment and a 23% low semantic memory level. The predictive model indicates that three areas of semantic memory are associated with cognitive impairment with an R2 of 25%, leaving the model established by: Verification, naming of drawings and analogies. Conclusion: It is concluded that the EMSEA battery presents evidence of criterion and construct validity, internal consistency and a predictive.

RESUMEN: Objetivo: Determinar si la memoria semántica es un factor asociado al deterioro cognitivo en adultos mayores de Lima. Método: Se aplicaron la batería de Evaluación de la Memoria Semántica para Adultos Mayores (EMSEA), el Mini-mental State Examination (MMSE) y otros instrumentos que fueron utilizados como criterios externos. La muestra estuvo constituida por 158 adultos mayores de Lima Metropolitana entre 60 a 95 años de edad. La EMSEA diferencia entre una muestra normal y clínica, siendo la sensibilidad de 80% y la especificidad de 100% para un punto de corte de 251. Se evidencia validez concurrente y se demuestra un modelo EMSEA de dos factores. La confiabilidad fue adecuada con valor Alfa de Cronbach de .75 y Theta de .80. Resultados: Los datos descriptivos señalaron un 28% de prevalencia de deterioro cognitivo y 23% de nivel de memoria semántica bajo. El modelo predictivo señala que tres áreas de la memoria semántica están asociadas al deterioro cognitivo con un R2 de 25%, quedando el modelo establecido por: Verificación, denominación de dibujos y analogías. Conclusión: Se concluye que la batería EMSEA presenta evidencia de validez de criterio y constructo, así como consistencia interna.

https://doi.org/10.6018/eglobal.529951

Epidemiological profile of congenital hypothyroidism at a southern Brazilian state
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Boff, Márcia Inês

; Kopacek, Cristiane

; Souza, Vandrea Carla de

; Ribeiro, Sabliny Carreiro

; Kreisner, Edmundo

; Vargas, Paula Regla

; Mastella, Livia Silveira

; Madi, José Mauro

; Castro, Simone Martins de

; Rahmi, Rosa Maria

Archives of Endocrinology and Metabolism

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2023, Volume 67 Nº 4 elocation e000606

Resumo: En | Texto: En | PDF: En

ABSTRACT Objective: To determine the incidence of congenital hypothyroidism (CH) over a 10-year period at the Reference Service in Neonatal Screening of the state of Rio Grande do Sul (RSNS-RS). Subjects and methods: Historical cohort study including all newborns screened for CH by the RSNS-RS from January 2008 until December 2017. Data of all newborns with neonatal TSH (neoTSH; heel prick test) values ≥ 9 mIU/L were collected. According to neoTSH values, the newborns were allocated into two groups: Group 1 (G1), comprising newborns with neoTSH ≥ 9 mIU/L and serum TSH (sTSH) < 10 mIU/L, and Group 2 (G2), comprising those with neoTSH ≥ 9 mIU/L and sTSH ≥ 10 mIU/L. Results: Of 1,043,565 newborns screened, 829 (0.08%) had neoTSH values ≥ 9 mIU/L. Of these, 284 (39.3%) had sTSH values < 10 mIU/L and were allocated to the G1 group, while 439 (60.7%) had sTSH ≥ 10 mIU/L and were allocated to the G2 group, and 106 (12.7%) were considered missing data. The overall incidence of CH was 42.1 per 100,000 newborns screened (95% confidence interval [CI] 38.5-45.7/100,000) or 1:2377 screened newborns. The sensibility and specificity of neoTSH ≥ 9 mIU/L were 97% and 11%; of neoTSH 12.6 mUI/L, 73% and 85% respectively. Conclusion: In this population, the incidence of permanent and transitory CH was 1:2377 screened newborns. The neoTSH cutoff value adopted during the study period showed excellent sensibility, which matters for a screening test.

https://doi.org/10.20945/2359-3997000000606

Venous thromboembolism incidence in postoperative breast cancer patients
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Maesaka, Jonathan Yugo

; Reis, Yedda Nunes

; Elias, Livia Menezes

; Akerman, Denise

; Baracat, Edmund Chada

; Filassi, José Roberto

Clinics

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2023, Volume 78 elocation 100229

Resumo: En | Texto: En | PDF: En

Abstract Background Venous Thromboembolism (VTE) is an important cause of morbidity in cancer patients. Breast cancer patients undergoing surgical treatment are at an increased risk of VTE. The aim of this study was to determine the frequency of VTE in patients who underwent surgery for the treatment of breast cancer and to identify the related risk factors. Methods A historical cohort of patients at the São Paulo State Cancer Institute (ICESP) underwent surgery for breast cancer. The inclusion criteria covered patients with invasive breast cancer or ductal carcinoma in situ who had breast surgery anytime from January 2016 to December 2018. Results Of the 1672 patients included in the study, 15 had a confirmed diagnosis of VTE (0.9%), and 3 of these had deep vein thrombosis (0.2%), and 12, had pulmonary thromboembolism (0.7%). Clinical and tumoral characteristics did not differ between the groups. The incidence of VTE was higher in patients who had undergone skin-sparing mastectomy or nipple-sparing mastectomy (p = 0.032). Immediate reconstruction, particularly with abdominal-based flaps (4.7%), increased VTE events (p = 0.033). Median surgical time was higher in patients with VTE episodes (p = 0.027), and total hospital length of stay increased in days (6 days vs. 2 days, p = 0.001). Neoadjuvant chemotherapy and postoperative prophylaxis with Low Molecular Weight Heparin (LMWH) were associated with lower VTE rates (0.2% vs. 1.2%, p = 0.048 and 0.7% vs. 2.7%, p = 0.039; respectively) in these patients. Conclusions The incidence of VTE events in breast cancer patients who underwent surgery was 0.9%. Immediate reconstruction (especially with abdominal-based flaps), skin-sparing/nipple-sparing mastectomies, and longer surgeries were associated with increased risk. The LMWH postoperative prophylaxis reduced this risk.

https://doi.org/10.1016/j.clinsp.2023.100229

Ninety-day outcomes in patients diagnosed with COVID-19 in São Paulo, Brazil: a cohort study
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Fumis, Renata Rego Lins

; Costa, Eduardo Leite Vieira

; Tomazini, Bruno Martins

; Taniguchi, Leandro Utino

; Costa, Livia do Valle

; Morinaga, Christian Valle

; Sá, Marcia Martiniano de Sousa e

; Azevedo, Luciano Cesar Pontes de

; Nascimento, Teresa Cristina

; Ledo, Carla Bernardes

; Oliveira, Maura Salaroli de

; Cardoso, Luiz Francisco

; Pastore Junior, Laerte

; Vieira Junior, José Mauro

Jornal Brasileiro de Pneumologia

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2023, Volume 49 Nº 3 elocation e20230056

Resumo: En Pt | Texto: En Pt | PDF: En | PDF: Pt

ABSTRACT Objective: COVID-19 has been associated with a significant burden to those who survive the acute phase. We aimed to describe the quality of life and symptoms of anxiety, depression, and posttraumatic stress disorder (PTSD) at 90 days after hospital discharge of COVID-19 patients. Methods: Patients with COVID-19 admitted to a private hospital in the city of São Paulo, Brazil, between April of 2020 and April of 2021 were interviewed by telephone at 30 and 90 days after discharge to assess the quality of life and symptoms of depression, anxiety, and PTSD. Results: A total of 2,138 patients were included. The mean age was 58.6 ± 15.8 years, and the median length of hospital stay was 9.0 (5.0-15.8) days. Between the two time points, depression increased from 3.1% to 7.2% (p < 0.001), anxiety increased from 3.2% to 6.2% (p < 0.001), and PTSD increased from 2.3% to 5.0% (p < 0.001). At least one physical symptom related to COVID-19 diagnosis persisted in 32% of patients at day 90. Conclusions: Persistence of physical symptoms was high even at 90 days after discharge. Although the prevalence of symptoms of anxiety, depression, and PTSD was low, these symptoms persisted for three months, with a significant increase between the time points. This finding indicates the need to identify at-risk patients so that they can be given an appropriate referral at discharge.

RESUMO Objetivo: A COVID-19 tem sido associada a um fardo significativo para aqueles que sobrevivem à fase aguda. Nosso objetivo foi descrever a qualidade de vida e sintomas de ansiedade, depressão e transtorno de estresse pós-traumático (TEPT) 90 dias após a alta hospitalar em pacientes com COVID-19. Métodos: Pacientes com COVID-19 internados em um hospital privado na cidade de São Paulo (SP) entre abril de 2020 e abril de 2021 foram entrevistados por telefone 30 e 90 dias após a alta para avaliar a qualidade de vida e sintomas de depressão, ansiedade e TEPT. Resultados: Foram incluídos 2.138 pacientes. A média de idade foi de 58,6 ± 15,8 anos, e a mediana do tempo de internação hospitalar foi de 9,0 (5,0-15,8) dias. Entre os dois momentos, a depressão aumentou de 3,1% para 7,2% (p < 0,001), a ansiedade, de 3,2% para 6,2% (p < 0,001), e o TEPT, de 2,3% para 5,0% (p < 0,001). Pelo menos um sintoma físico relacionado ao diagnóstico de COVID-19 persistia em 32% dos pacientes no 90º dia. Conclusões: A persistência dos sintomas físicos foi elevada mesmo 90 dias após a alta. Embora a prevalência de sintomas de ansiedade, depressão e TEPT tenha sido baixa, esses sintomas persistiram por três meses, com aumento significativo entre os momentos. Esse achado indica a necessidade de identificar os pacientes de risco para que possam receber o encaminhamento adequado no momento da alta.

https://doi.org/10.36416/1806-3756/e20230056

Coronary Artery Bypass Grafting: A Comparative Exercise between Patients from the BYPASS Registry and Patients from a University Hospital
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Almeida, Marcela Accari de

; Arcêncio, Livia

; Giuliani, Gabriel B

; Poli Neto, Omero Benedicto

; Rodrigues, Alfredo José

; Vicente, Walter Vilella de Andrade

; Évora, Paulo Roberto Barbosa

Brazilian Journal of Cardiovascular Surgery

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2023, Volume 38 Nº 5 elocation e20220026

Resumo: En | Texto: En | PDF: En

ABSTRACT Introduction: The coronary artery bypass grafting (CABG) data provided by the Brazilian Registry of Cardiovascular Surgeries in Adults (BYPASS) Registry is a Brazilian reality. Objective: To carry out a comparative exercise between the BYPASS Registry published data and data from patients operated on in a randomly chosen period (2013-2015) at Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto da Universidade de São Paulo (HCFMRP-USP). Methods: This is a retrospective study reviewing 173 electronic medical records of CABG patients from the HCFMRP-USP. These data were compared with the BYPASS Registry published data. Chi-square test was used to verify the changes within the prevalence of adequate/inadequate biochemical tests before and after surgery. The sample was divided into groups consistent with cardiopulmonary bypass (CPB) time (CPB ≤ 120 minutes and CPB > 120 minutes). For the complications, prevalence by the chi-square test was adopted. Significant P-values are < 0.05. Results: The comparative operative data of the BYPASS Registry and the HCFMRP-USP patients were quite similar, except for the isolate use of only arterial grafts, which was more frequent on HCFMRP-USP patients (30.8% vs. 15.9%), and the use of radial artery, also more frequent on HCFMRP-USP patients (48.8% vs. 1.1%) Conclusion: The comparative study suggested that the BYPASS Registry should be a reference for CABG quality control.

https://doi.org/10.21470/1678-9741-2022-0026

10.

Process management and safety culture in radiotherapy services: impacts on quality patient care and safety services
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Toledo, José Carlos de

; Almeida, Livia Silveira

; Lizarelli, Fabiane Letícia

Production

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2023, Volume 33 elocation e20220083

Resumo: En | Texto: En | PDF: En

Abstract Paper aims Analyzes the use of process management and safety culture practices in Radiotherapy Services and impacts on quality of patient care and safety. Originality Radiotherapy processes require controls and must be developed in an environment with safety. However, despite necessary practices, there are few studies that analyze their implementation and impacts. Research method Was conducted a survey and the data were analyzed using descriptive statistics and SEM-PLS. Main findings Process management practices and safety culture have been used in response to competitive environment and regulatory guidelines. The study confirmed the positive impact of using safety culture and process management practices. Implications for theory and practice Managerial support promoting management and improvement practices and safety culture, along use of process maps, feedback in response to incident reports, patient satisfaction surveys and teamwork contributes to the quality of care and safety. These practices can be prioritized to be deployed by managers and in theoretical models. However SEMPLS. SEMPLS SEM PLS. PLS SEM-PLS guidelines maps reports models

https://doi.org/10.1590/0103-6513.20220083

11.

The SISBIOTA-Diptera Brazilian Network: A long-term survey of Diptera from unexplored Brazilian Western Arc of Amazon, Cerrado, and Pantanal
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Lamas, Carlos José Einicker

; Fachin, Diego Aguilar

; Falaschi, Rafaela Lopes

; Alcantara, Daniel Máximo Correa de

; Ale-Rocha, Rosaly

; Amorim, Dalton de Souza

; Araújo, Maíra Xavier

; Ascendino, Sharlene

; Baldassio, Letícia

; Bellodi, Carolina Ferraz

; Bravo, Freddy

; Calhau, Julia

; Capellari, Renato Soares

; Carmo-Neto, Antonio Marcelino do

; Cegolin, Bianca Melo

; Couri, Márcia Souto

; Carvalho, Claudio José Barros de

; Dios, Rodrigo de Vilhena Perez

; Falcon, Aida Vanessa Gomez

; Fusari, Livia Maria

; Garcia, Carolina de Almeida

; Gil-Azevedo, Leonardo Henrique

; Gomes, Marina Morim

; Graciolli, Gustavo

; Gudin, Filipe Macedo

; Henriques, Augusto Loureiro

; Krolow, Tiago Kütter

; Mendes, Luanna Layla

; Limeira-de-Oliveira, Francisco

; Maia, Valéria Cid

; Marinoni, Luciane

; Mello, Ramon Luciano

; Mello-Patiu, Cátia Antunes de

; Morales, Mírian Nunes

; Oliveira, Sarah Siqueira

; Patiu, Claudemir

; Proença, Barbara

; Pujol-Luz, Cristiane Vieira de Assis

; Pujol-Luz, José Roberto

; Rafael, José Albertino

; Riccardi, Paula Raile

; Rodrigues, João Paulo Vinicios

; Roque, Fabio de Oliveira

; Sallum, Maria Anice Mureb

; Santis, Marcelo Domingos de

; Santos, Charles Morphy Dias dos

; Santos, Josenilson Rodrigues dos

; Savaris, Marcoandre

; Shimabukuro, Paloma Helena Fernandes

; Silva, Vera Cristina

; Schelesky-Prado, Daniel de Castro

; Silva-Neto, Alberto Moreira da

; Camargo, Alexssandro

; Sousa, Viviane Rodrigues de

; Urso-Guimarães, Maria Virginia

; Wiedenbrug, Sofia

; Yamaguchi, Carolina

; Nihei, Silvio Shigueo

Revista Brasileira de Entomologia

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2023, Volume 67 Nº 4 elocation e20230051

Resumo: En | Texto: En | PDF: En

ABSTRACT The SISBIOTA-BRASIL was a three-year multimillion-dollar research program of the Brazilian government to document plants and animals in endangered/understudied areas and biomes in Brazil. Distributional patterns and the historical events that generated them are extensively unknown regarding Brazilian fauna and flora. This deficiency hinders the development of conservation policies and the understanding of evolutionary processes. Conservation decisions depend on precise knowledge of the taxonomy and geographic distribution of species. Given such a premise, we proposed to research the diversity of Diptera of the Brazilian western arc of Amazon, Cerrado, and Pantanal in the states of Mato Grosso, Mato Grosso do Sul, and Rondônia. Three important biomes of the South American continent characterize these Brazilian states: Amazon forest, Cerrado (Brazilian Savannah), and Pantanal. Besides their ecological relevance, these biomes historically lack intensive entomological surveys. Therefore, they are much underrepresented in the Brazilian natural history collections and in the scientific literature, which is further aggravated by the fact that these areas are being exponentially and rapidly converted to commercial lands. Our project involved over 90 collaborators from 24 different Brazilian institutions and one from Colombia among researchers, postdocs, graduate and undergraduate students, and technicians. We processed and analyzed nearly 300,000 specimens from ~60 families of Diptera collected with a large variety of methods in the sampled areas. Here, we provide a detailed overview of the genera and species diversity of 41 families treated. Our results point to a total of 2,130 species and 514 genera compiled and identified for the three states altogether, with an increase of 41% and 29% in the numbers of species and genera known for the three states combined, respectively. Overall, the 10 most species-rich families were Tachinidae, Cecidomyiidae, Tabanidae, Psychodidae, Sarcophagidae, Stratiomyidae, Bombyliidae, Syrphidae, Tephritidae, and Asilidae. The 10 most diverse in the number of genera were Tachinidae, Stratiomyidae, Asilidae, Mycetophilidae, Syrphidae, Tabanidae, Muscidae, Dolichopodidae, Sarcophagidae, and Chloropidae. So far, 111 scientific papers were published regarding taxonomic, phylogenetic, and biogeographical aspects of the studied families, with the description of 101 new species and three new genera. We expect that additional publications will result from this investigation because several specimens are now curated and being researched by specialists.

https://doi.org/10.1590/1806-9665-rbent-2023-0051

12.

Rating mean of expert judges and asymmetric confidence intervals in content validity: an SPSS syntax
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Merino-Soto, César

; Livia-Segovia, José

Anales de Psicología

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Set 2022, Volume 38 Nº 2 Páginas 395 - 398

Resumo: Es En | Texto: Es En | PDF: Es | PDF: En

Resumen La estimación de la validez de contenido, obtenida mediante el análisis racional de jueces expertos, habitualmente se hace con coeficientes que estandarizan entre 0.0 y 1.0 el juicio de los jueces. Sin embargo, esta estimación también puede expresarse en la métrica de las respuestas de los jueces, en la forma de la media de respuesta, y con intervalos de confianza asimétricos alrededor de esta media. El objetivo del presente manuscrito es implementar un procedimiento para estas estimaciones (media de respuesta e intervalos de confianza asimétricos) en un programa escrito en sintaxis SPSS. Se explica la racionalidad del procedimiento, y se desarrolla un ejemplo aplicado del cálculo. El programa es de distribución libre, solicitándolo a los autores.

Abstract The estimation of content validity, obtained by rational analysis of expert judges, is usually done with coefficients that standardize between 0.0 and 1.0 the judges' judgment. However, this estimate can also be expressed in the metric of the judges' responses, in the form of the response mean, and with asymmetric confidence intervals around this mean. The aim of the present manuscript is to implement a procedure for these estimates (response mean and asymmetric confidence intervals) in a program written in SPSS syntax. The rationale of the procedure is explained, and an applied example of the calculation is developed. The program is freely distributed upon request to the authors.

https://doi.org/10.6018/analesps.489431

13.

Producción científica sobre validación y adaptación de instrumentos de tamizaje de la depresión en población peruana
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Cjuno, Julio

; Moya, Andrea

; Calderón-Pérez, Eliana

; Quispe-Ilizarbe, Cintia

; Mayon, Luis

; Livia, José

Revista Peruana de Medicina Experimental y Salud Pública

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Set 2022, Volume 39 Nº 3 Páginas 357 - 361

Resumo: Es En | Texto: Es En | PDF: Es | PDF: En

RESUMEN El objetivo de la investigación fue describir la producción científica sobre estudios psicométricos de instrumentos de tamizaje para la depresión en población peruana. Para ello, se realizó un estudio descriptivo de la literatura científica en Scopus, Web of Science, PubMed y SciELO, con descriptores para depresión, propiedades psicométricas y Perú. Luego del proceso de revisión se incluyeron 22 estudios. Se encontraron validaciones de instrumentos de tamizaje en adultos mayores, adultos, adultos con depresión, mujeres adultas, mujeres embarazadas, profesionales de salud, estudiantes universitarios, estudiantes de secundaria y niños. El Patient Health Questionnaire (PHQ-9) fue el instrumento más estudiado. A pesar de que los estudios psicométricos cubren la mayoría de las poblaciones, quedan pendientes los pueblos originarios y poblaciones clínicas. El PHQ-9, por sus características, podría implementarse en las políticas de salud mental del Perú.

ABSTRACT The aim of the research was to describe the scientific output of psychometric studies on screening instruments for depression in the Peruvian population. We carried out a descriptive study of the scientific literature in Scopus, Web of Science, PubMed and SciELO, with descriptors for depression, psychometric properties, and Peru. After the review process, we included 22 studies. We found validations of screening instruments for older adults, adults, adults with depression, adult women, pregnant women, health professionals, university students, high school students and children. The Patient Health Questionnaire (PHQ-9) was the most widely used instrument. Psychometric studies cover most populations; however, native people and clinical populations remain to be studied. The PHQ-9, due to its characteristics, could be implemented in mental health policies in Peru.

https://doi.org/10.17843/rpmesp.2022.393.11197

14.

Producción científica sobre validación y adaptación de instrumentos de tamizaje de la depresión en población peruana
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Cjuno, Julio

; Moya, Andrea

; Calderón-Pérez, Eliana

; Quispe-Ilizarbe, Cintia

; Mayon, Luis

; Livia, José

Revista Peruana de Medicina Experimental y Salud Publica

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Jul 2022, Volume 39 Nº 3 Páginas 357 - 361

Resumo: En Es | Texto: En Es | PDF: En | PDF: Es

https://doi.org/10.17843/rpmesp.2022.393.11197

15.

“POST”-PANDEMIC ENTREPRENEURS: CONTRIBUTION TO INNOVATION MANAGEMENT
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Mota, Teresa Lenice Nogueira da Gama

; Galdino, Sarah Monteiro

; Grangeiro Filho, José Wellington Alves

; Martins, Quitéria Livia Farias

; Leal, Francisco Davi Pinheiro

Revista de Administração da UFSM

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Jun 2022, Volume 15 Nº 2 Páginas 370 - 387

Resumo: Pt En | Texto: Pt En | PDF: Pt | PDF: En

RESUMO Objetivo Esta pesquisa objetivou conhecer a prática da gestão da inovação no comércio varejista de Sobral, Ceará, visando oferecer uma contribuição para a sustentabilidade desses empreendimentos, que representam mais de 50% do PIB do município e vem sofrendo as consequências da pandemia do COVID-19, além de estimular novas frentes de pesquisa na área de inovação no comércio varejista. Design / metodologia / abordagem Trabalhou-se com uma investigação de campo através de respondentes não identificados, utilizando-se de questionário semiestruturado, com as categorias teóricas de criatividade, inovação e gestão do conhecimento, para analisar o processo de gestão da inovação. Trata-se de um trabalho que utilizou método qualitativo, com objetivos descritivos, sendo a análise dos dados feita através da análise de conteúdo. Resultados Os resultados mostram que já existe um clima favorável à gestão da inovação no segmento empresarial do comércio varejista de Sobral. No entanto, observa-se que é necessário organizar a governança do segmento e estimular a criatividade e a gestão do conhecimento como fatores de inovação. A transferência de tecnologia, através da parceria universidade-empresa, precisará ser induzida para que os impactos e as transformações competitivas para o setor se completem. Originalidade / valor Considera-se a pesquisa relevante uma vez que o tema da gestão da inovação no comércio varejista é relativamente novo na área científica, podendo orientar pesquisas futuras em outros municípios, além de aprofundar os elementos que viabilizarão a aproximação universidade-empresa como fator de competitividade, principais limitações do trabalho.

ABSTRACT Objective This research’s aim was to understand the practice of innovative management in the retail trade of the city of Sobral, Ceará, so as to provide a contribution to such enterprises’ sustainability, representing more than 50% of the municipality’s GDP and which have been suffering the consequences of the COVID-19 pandemic, as well as stimulating new research fronts for the retail trade’s areas of innovation. Design / methodology / approach A field investigation was carried out through unidentified respondents by using a semi-structured questionnaire and working with theoretical creativity categories, innovation and knowledge management, so as to analyze the innovative management process. This work made use of the qualitative method with descriptive goals, and the analysis of data was done by narrative synthesis means. Results - The results show that there is already a favorable climate for innovation management in the retail trade business segment of Sobral. However, it is observed that it is necessary to organize the segment governance and stimulate creativity and knowledge management as innovation factors. Technology transfer, through the university-business partnership, will need to be induced for the impacts and competitive transformations for the sector to be completed. Originality / value - The research is considered relevant since the theme of innovation management in retail trade is relatively new in the scientific area, seeing that it is able to guide future research in other municipalities, as well as deepening the elements which enable a university-company approach such as the competitiveness factor which constitute the main limitations of this work.

https://doi.org/10.5902/1983465968131

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