BACKGROUND. The Health Professions Council of South Africa implemented a compulsory research component for specialist practitioner registration through the Master of Medicine (MMed) degree in 2011, eliciting both commendation and critique. Chief among the concerns is the extended time required for MMed completion. This study explores the duration of each component of the MMed research thesis and discusses the potential problematic areas in terms of its timeous completion, about which there is currently a lack of data, with particular regard to the South African (SA) setting. OBJECTIVES. To quantitatively delineate the various components of the MMed research thesis process, identify potential barriers to its completion, and formulate a recommended evidence-based proposed timeline allowing for successful and timeous completion of the MMed. METHODS. We conducted a retrospective review of MMed degrees completed by paediatrics registrars at the University of the Witwatersrand, Johannesburg, SA, from 1 January 2011 to 31 December 2018, and an electronic survey of former MMed students, detailing the duration of each of the components of the MMed research thesis process. RESULTS. The survey had a 70.5% response rate (n=148 respondents, of whom 141 fully completed the survey). The median (interquartile range) time to complete the MMed research thesis was 30 (21 - 42) months. While 78.0% of respondents deemed 4 years adequate for completion, 15.6% reported durations exceeding 4 years, and 2.1% had not completed the MMed. The components of the research thesis with the longest duration in terms of completion included development of a first draft of the research protocol, data analysis, and development of the first draft of the final report. Factors reportedly associated with successful completion of the thesis were a supportive supervisor and the provision of a research rotation. CONCLUSION. A significant portion of candidates do not complete the MMed research thesis within the 4-year training period, hindering specialist registration. The major contributing factors appear to be related to candidates' inexperience regarding the research process and lack of exposure to it, as well as some of the administrative procedures involved. Utilisation of the recommendations and structured timeline will help identify problematic areas timeously and ensure successful completion of the thesis.

ABSTRACT Introduction: The importance of dietitians in dialysis units is indisputable and mandatory in Brazil, but little is known about the practices adopted by these professionals. Objective: To know practices adopted in routine nutritional care, focusing on nutritional assessment tools and treatment strategies for people at risk or diagnosed with malnutrition. Methodology: Electronic questionnaire disseminated on social media and messaging applications. It included questions that covered dietitians’ demographic and occupational profile characteristics and of the dialysis unit, use and frequency of nutritional assessment tools, nutritional intervention strategies in cases of risk or diagnosis of malnutrition, prescription and access to oral supplements. Results: Twenty four percent of the Brazilian dialysis units (n = 207) responded electronically. The most used nutritional assessment tools with or without a pre-established frequency were dietary surveys (96%) and Subjective Global Assessment (83%). The strategies in cases of risk or presence of malnutrition used most frequently (almost always/always) were instructions to increase energy and protein intake from foods (97%), and increasing the frequency of visits (88%). The frequency of prescribing commercial supplements with standard and specialized formulas was quite similar. The availability of dietary supplements by the public healthcare system to patients varied between regions. Conclusion: Most dietitians use various nutritional assessment tools and intervention strategies in cases of risk or malnutrition; however, the frequency of use of such tools and strategies varied substantially. Introduction Brazil professionals Objective care Methodology applications unit Results n 207 electronically preestablished pre established 96% 96 (96% 83%. 83 83% . (83%) almost always/always alwaysalways always 97%, 97 97% , (97%) 88%. 88 88% (88%) similar regions Conclusion however substantially 20 9 (96 8 (83% (97% (88% 2 (9 (83 (97 (88 ( (8

Resumo Introdução: A importância da atuação do nutricionista em unidades de diálise é indiscutível e obrigatória no Brasil, porém pouco sabemos sobre as práticas adotadas por esses profissionais. Objetivo: Conhecer práticas adotadas na rotina dos atendimentos nutricionais, com foco nas ferramentas de avaliação nutricional e nas estratégias de tratamento das pessoas com risco ou diagnóstico de desnutrição. Metodologia: Questionário eletrônico divulgado em mídias sociais e aplicativos de mensagens. Incluiu questões que abrangiam características do perfil demográfico e ocupacional do profissional e da unidade de diálise, utilização e frequência de ferramentas de avaliação nutricional, estratégias de intervenção nutricional em casos de risco ou diagnóstico de desnutrição e prescrição e acesso a suplementos alimentares orais. Resultados: Foram recebidos eletronicamente o equivalente a 24% das unidades de diálise brasileiras (n = 207). As ferramentas de avaliação nutricional mais utilizadas com ou sem frequência pré-estabelecida foram inquéritos dietéticos (96%) e Avaliação Global Subjetiva (83%). As estratégias em casos de risco ou presença de desnutrição utilizadas com mais frequência (quase sempre/sempre) foram a orientação de incremento energético e proteico por meio de alimentos (97%) e o aumento da periodicidade das visitas (88%). A frequência de prescrição de suplemento industrializado de fórmula padrão e especializada foi bastante semelhante. A disponibilização de suplementos alimentares pelo Sistema Único de Saúde aos pacientes variou entre as regiões. Conclusão: A maior parte dos nutricionistas utiliza diversas ferramentas de avaliação nutricional e estratégias de intervenção em casos de risco ou desnutrição, porém a frequência de utilização de tais ferramentas e estratégias foi bastante variada. Introdução Brasil profissionais Objetivo nutricionais Metodologia mensagens orais Resultados 24 n 207. 207 . 207) préestabelecida pré estabelecida 96% 96 (96% 83%. 83 83% (83%) quase sempre/sempre sempresempre sempre 97% 97 (97% 88%. 88 88% (88%) semelhante regiões Conclusão variada 2 20 9 (96 8 (83% (97 (88% (9 (83 (88 ( (8

BACKGROUND: Multimodal or online learning is the use of electronic technology to deliver, support and enhance both learning and teaching. It involves communication between learner nurses and lecturers using online content. The study aims to contribute to achieving Sustainable Development Goal 4 on quality education by promoting inclusive education at tertiary institutions. The use of multimodal teaching and learning (MTL) in higher education institutions (HEI) has increased over the last decade, particularly during the COVID-19 pandemic OBJECTIVES: To explore and describe the perspectives of the undergraduate learner nurses regarding MTL challenges at the HEI, Limpopo Province, South Africa METHODS: A qualitative, explorative, descriptive and contextual research design was used to explore and describe the perspectives of the undergraduate nurses at a HEI in Limpopo Province, South Africa. A non-probability purposive sampling method was employed to select participants. Data were collected through five focus group interviews (FGI) and analysed using Tesch's open coding data analysis method. Measures to ensure trustworthiness and ethical considerations were adhered to throughout the study RESULTS: Study findings revealed the perspectives of the undergraduate nurses during MTL. The challenges related to connectivity issues, technological difficulties during online teaching, learning and assessment as well as the unapproved platforms used by module facilitators for online teaching CONCLUSION: Undergraduate learner nurses expressed their perspectives regarding the challenges they experience when using MTL. Our study findings could influence educational institutions and policymakers to improve the quality of online teaching, learning and assessment by embracing innovative instructional techniques and providing teachers with ongoing training

ABSTRACT Introduction: The importance of dietitians in dialysis units is indisputable and mandatory in Brazil, but little is known about the practices adopted by these professionals. Objective: To know practices adopted in routine nutritional care, focusing on nutritional assessment tools and treatment strategies for people at risk or diagnosed with malnutrition. Methodology: Electronic questionnaire disseminated on social media and messaging applications. It included questions that covered dietitians’ demographic and occupational profile characteristics and of the dialysis unit, use and frequency of nutritional assessment tools, nutritional intervention strategies in cases of risk or diagnosis of malnutrition, prescription and access to oral supplements. Results: Twenty four percent of the Brazilian dialysis units (n = 207) responded electronically. The most used nutritional assessment tools with or without a pre-established frequency were dietary surveys (96%) and Subjective Global Assessment (83%). The strategies in cases of risk or presence of malnutrition used most frequently (almost always/always) were instructions to increase energy and protein intake from foods (97%), and increasing the frequency of visits (88%). The frequency of prescribing commercial supplements with standard and specialized formulas was quite similar. The availability of dietary supplements by the public healthcare system to patients varied between regions. Conclusion: Most dietitians use various nutritional assessment tools and intervention strategies in cases of risk or malnutrition; however, the frequency of use of such tools and strategies varied substantially. Introduction Brazil professionals Objective care Methodology applications unit Results n 207 electronically preestablished pre established 96% 96 (96% 83%. 83 83% . (83%) almost always/always alwaysalways always 97%, 97 97% , (97%) 88%. 88 88% (88%) similar regions Conclusion however substantially 20 9 (96 8 (83% (97% (88% 2 (9 (83 (97 (88 ( (8

Resumo Introdução: A importância da atuação do nutricionista em unidades de diálise é indiscutível e obrigatória no Brasil, porém pouco sabemos sobre as práticas adotadas por esses profissionais. Objetivo: Conhecer práticas adotadas na rotina dos atendimentos nutricionais, com foco nas ferramentas de avaliação nutricional e nas estratégias de tratamento das pessoas com risco ou diagnóstico de desnutrição. Metodologia: Questionário eletrônico divulgado em mídias sociais e aplicativos de mensagens. Incluiu questões que abrangiam características do perfil demográfico e ocupacional do profissional e da unidade de diálise, utilização e frequência de ferramentas de avaliação nutricional, estratégias de intervenção nutricional em casos de risco ou diagnóstico de desnutrição e prescrição e acesso a suplementos alimentares orais. Resultados: Foram recebidos eletronicamente o equivalente a 24% das unidades de diálise brasileiras (n = 207). As ferramentas de avaliação nutricional mais utilizadas com ou sem frequência pré-estabelecida foram inquéritos dietéticos (96%) e Avaliação Global Subjetiva (83%). As estratégias em casos de risco ou presença de desnutrição utilizadas com mais frequência (quase sempre/sempre) foram a orientação de incremento energético e proteico por meio de alimentos (97%) e o aumento da periodicidade das visitas (88%). A frequência de prescrição de suplemento industrializado de fórmula padrão e especializada foi bastante semelhante. A disponibilização de suplementos alimentares pelo Sistema Único de Saúde aos pacientes variou entre as regiões. Conclusão: A maior parte dos nutricionistas utiliza diversas ferramentas de avaliação nutricional e estratégias de intervenção em casos de risco ou desnutrição, porém a frequência de utilização de tais ferramentas e estratégias foi bastante variada. Introdução Brasil profissionais Objetivo nutricionais Metodologia mensagens orais Resultados 24 n 207. 207 . 207) préestabelecida pré estabelecida 96% 96 (96% 83%. 83 83% (83%) quase sempre/sempre sempresempre sempre 97% 97 (97% 88%. 88 88% (88%) semelhante regiões Conclusão variada 2 20 9 (96 8 (83% (97 (88% (9 (83 (88 ( (8

Abstract Introduction : Coverage for colorectal cancer screening in Argentina is very low. The objective of this review is to assess and synthesize the evidence on the effectiveness of strategies aimed at increasing adherence to colorectal cancer screening among healthcare personnel and the general population at average risk. Methods : A review of systematic reviews (SRs) that evaluated the effectiveness of these strategies was con ducted. Searches were performed in electronic data bases, meta-search engines, the Cochrane Library, and through manual searching. Eligibility and inclusion criteria were applied, with assessment of the quality of the SRs using AMSTAR II and the certainty of evidence using the GRADE approach. Thematic synthesis was con ducted based on the taxonomy of strategies proposed by Dougherty (patient/community-targeted, professional-targeted, and other types of strategies). Results : A total of 635 studies were identified, with 36 deemed eligible and 11 excluded due to insufficient quality, resulting in the inclusion of 10 SRs. A multi plicity of strategies with varying effectiveness were identified, with the majority targeting the population. Among these, education, self-testing with specimen collection at specific locations, and reminders stood out. For professionals, only education and reminders showed effectiveness. Combined strategies demonstrated greater effectiveness than isolated strategies. Conclusions : There is more evidence on strategies targeting the population than professionals. Combined strategies showed greater effectiveness, highlighting the need to explore barriers in both the population and professionals in each specific context in order to priori tize and combine those that have proven effective and would have a greater impact.

Resumen Introducción : En Argentina la cobertura al tamizaje de cáncer colorrectal (CCR) es muy baja. El objetivo de esta revisión fue relevar y sintetizar la evidencia sobre la efectividad de estrategias dirigidas a incrementar la adherencia al tamizaje de CCR del personal de salud y población con riesgo promedio. Métodos : Revisión de revisiones sistemáticas (RS) que evaluaron la efectividad de dichas estrategias. Bús queda en bases de datos electrónicas, meta-buscadores, biblioteca Cochrane y búsqueda manual. Aplicación de criterios de elegibilidad e inclusión; con evaluación de la calidad de las RS a través del AMSTAR-II y la certeza de la evidencia por el método GRADE. Síntesis temática sobre la base de la taxonomía de estrategias propuesta por Dougherty (dirigidas al paciente/comunidad; a pro fesionales; otro tipo de estrategias). Resultados : Se identificaron 635 estudios; 36 fueron elegibles y 11 se descartaron por no contar con cali dad suficiente, incluyéndose 10 RS. Se identificó una multiplicidad de estrategias de efectividad variada, la mayoría dirigida a la población. Entre estas, destacan la educación, el auto-test con recolección en lugares específicos y recordatorios. En el caso de profesionales, solo educación y recordatorios mostraron ser efectivas. La combinación de estrategias mostró tener mayor efec tividad que las estrategias aisladas. Conclusiones : Es mayor la evidencia sobre estrategias dirigidas a la población que a profesionales. Las estrate gias combinadas demostraron tener mayor efectividad, lo que destaca la necesidad de explorar, en cada con texto, las barreras en la población y en los profesionales para priorizar y combinar aquellas que demostraron ser efectivas y tendrían mayor impacto.

Abstract This study conducts a literature review to identify and analyse the different methodological trends that exist in the scientific field related to the sustainability assessment of ecotourism worldwide during the period 2012-2022. The methodology of the study includes an active and systematic search for publications related to sustainability assessment methodologies with a net focus on the term "ecotourism". The literature review was conducted in four electronic databases: Springer Link, Science Direct, Scopus and Taylor & Francis. The results were classified into quartiles and the most re-levant components of approach were identified in the methodological trends of sustainability assessment in the identified publications, which include the use of geographic information systems, indexes or indica-tors, assessments of sustainability perceptions of local communities, and quantitative or qualitative methods. The research concludes by showing the distribution of publications at a global level, the classification of evaluation methods and techniques, and the geographical and chronological distribution of the identified publications, which indicates that environmental, economic and social evaluations are the most relevant components in the methodological trends of sustainability evaluation in ecotourism.

Resumen Este estudio realiza una revisión bibliográfica mediante la cual se identifican y analizan las diferentes tendencias metodológicas existentes en el campo científico relacionadas con la evaluación de la sustentabilidad del ecoturismo a nivel mundial durante el periodo comprendido entre los años 2012 y 2022. La metodología del estudio incluye una búsqueda activa y sistemática de publicaciones relacionadas con métodos de evaluación de sustentabilidad con un enfoque neto en el término "ecoturismo". La revisión bibliográfica se llevó a cabo en cuatro bases de datos electrónicas: Springer Link, Science Direct, Scopus y Taylor & Francis. Los resultados se clasificaron mediante cuartiles y se identificaron los componentes de enfoque más relevantes en las tendencias metodológicas de evaluación de sustentabilidad trabajadas en las publicaciones identificadas, las cuales incluyen el uso de sistemas de información geográfica, índices o indicadores, evaluaciones de percepción de sustentabilidad por parte de comunidades locales, y métodos cuantitativos o cualitativos. La investigación concluye indicando la distribución de publicaciones a nivel global, la clasificación de métodos y técnicas de evaluación, y la distribución geográfica y cronológica de las publicaciones identificadas, indicando que las evaluaciones ambientales, económicas y sociales son los componentes más relevantes en las tendencias metodológicas de evaluación de sustentabilidad ecoturística.

INTRODUCTION: This rapid review aimed to synthesise evidence for occupational therapy intervention in the management of autism spectrum disorders. The review forms part of a series of rapid reviews commissioned by the Occupational Therapy Association of South Africa to help inform decision making as South Africa prepares for a new health system. METHOD: Level I and II research studies published from 2017 - 2022 were considered for inclusion. Electronic database searches were conducted on the Cochrane database. The identified records were screened in Rayyan according to inclusion and exclusion criteria. Quality assessment of the selected articles was done with the CASP appraisal tool. Data were extracted to a custom Microsoft Excel® worksheet and analysed quantitatively by percentage/frequency and qualitatively by thematic analysis of statements. RESULTS: Thirty-eight records were selected. These included 30 systematic reviews and eight randomised controlled trials. Twelve intervention domains across four age groups were identified with sensory integration and social skills interventions most frequently examined. Interventions were delivered across various venues, including mediation and technology (e.g., telehealth interventions). A number of different outcome measures were used. CONCLUSION: There is evidence to support the effectiveness of occupational therapy interventions for autism spectrum disorder across the lifespan for twelve different domains. IMPLICATIONS FOR PRACTICE: • Occupational Therapists are involved in the provision of therapy intervention across all age groups for people with ASD. • Intervention can successfully take place in a clinic setting, but also at home or through means of technology. • There is growing evidence for sensory integration therapy or techniques when considering functional outcomes when treating people with ASD. • There is a lack of Level I and II research in the form of randomised control trials and systematic reviews regarding ASD intervention in sub-Saharan Africa.

INTRODUCTION: Clinical utility is an important attribute in selecting an assessment tool. The study aimed to determine the perceptions of South African occupational therapists of the clinical utility of Modular Arrangement of Predetermined Time Standards (MODAPTS) work samples when assessing a client's work ability. The research objectives were to determine whether MODAPTS is perceived to be credible, practical, useful, and easy to use. METHODOLOGY: A quantitative, cross-sectional, descriptive research design was used. Non-probability sampling with elements of voluntary response- and snowball sampling was used to recruit respondents. An electronic questionnaire was developed using Qualtrics, which was distributed electronically via the Occupational Therapy Association of South Africa, WhatsApp and Telegram. RESULTS: Data were based on 52 completed questionnaires, analysed through descriptive statistics MODAPTS was perceived as practical, useful, credible, and asy to use in practice. Main barriers to the use of MODAPTS included the timeliness of developing work samples, lack of MODAPTS training, and having other more useful and reliable assessment tools. Experienced occupational therapists used MODAPTS more often than inexperienced occupational therapists. CONCLUSION: Clinical utility of work samples developed using MODAPTS has been confirmed. This supports the use of work samples developed using MODAPTS as part of work assessments as a cost-effective, practical tool. IMPLICATIONS FOR PRACTICE: • Development of contextually relevant work samples. •Use of MODAPTS work samples as an outcome measure during intervention. • Application during rehabilitation goal setting. • Cost effective application of MODAPTS work samples in a variety of settings.

Resumen Los recursos energéticos distribuidos (RED) son actores líderes en la transición energética en todo el mundo. A pesar de los beneficios ambientales, los RED son intermitentes (la energía de consumo/generación cambia según las variables de entrada), y el uso de dispositivos de electrónica de potencia afecta la calidad de la energía en las redes de distribución. Por lo general, se proponen modelos y simulaciones (deterministas o probabilísticas) para estimar dichos impactos. Sin embargo, estudios previos han analizado los principales efectos causados por uno o dos RED durante un día, con un nivel de detalle reducido en la metodología aplicada en el modelado y evaluación de impacto, o sin considerar que el nivel de distorsión armónica depende de las variables de entrada. El objetivo del presente artículo fue desarrollar un enfoque de simulación armónica probabilística para caracterizar el efecto horario de los sistemas fotovoltaicos (SFV), los sistemas de almacenamiento de energía de baterías y las estaciones de carga de vehículos eléctricos en un alimentador de prueba IEEE de 34 nodos. La estimación del efecto individual y colectivo del RED consistió en la cuantificación horaria del valor efectivo de tensión, desequilibrio de tensión, factor de potencia y distorsión armónica, con datos obtenidos mediante co-simulación Python y PowerFactory para 23 escenarios de operación. Estos impactos fueron evaluados a través de indicadores propuestos en la literatura y pruebas de hipótesis (estadística inferencial). Cada RED generalmente opera en un momento específico, lo que facilita la identificación de los efectos individuales de los parámetros de la red. El SFV aumentó el valor de voltaje efectivo y la distorsión armónica total. Sin embargo, los vehículos eléctricos y las baterías aumentan el desequilibrio de tensión y el factor de potencia debido a la conexión bifásica en algunos nodos de la red.

Abstract Distributed energy resources (DERs) are leading actors in energy transition worldwide. Despite the environmental benefits, DERs are intermittent (consumption/generation power changes according to the input variables), and the use of power electronic devices affects the power quality in distribution networks. Typically, models and simulations (deterministic or probabilistic) are proposed to estimate such impacts. However, previous studies have analyzed the main effects caused by one or two DERs during a day. These studies had a reduced level of detail in the applied methodology in modeling and impact evaluation, or they did not consider that the harmonic distortion level depends on input variables. The aim of this article was to develop a probabilistic harmonic simulation approach to characterize the hourly effect of photovoltaic systems (PVS), battery energy storage systems, and electric vehicle charging stations in a 34-node IEEE test feeder. The individual and collective effect estimation of the DERs consists of the hourly quantification of the effective voltage value, voltage unbalance, power factor, and harmonic distortion, with data obtained using Python and PowerFactory co-simulation for 23 operation scenarios. These impacts were assessed through indicators proposed in the literature and hypothesis tests (inferential statistics). Each DER generally operates at a specific time, making it easy to identify the individual effects of network parameters. The PVS increased the effective voltage value and total harmonic distortion. However, electric vehicles and batteries increase the voltage unbalance and power factor due to the two-phase connection in some network nodes.

Resumen A través de metodología de carácter descriptivo, abordaje cualitativo y estrategia bibliográfica, se realizó el estudio de disertaciones, tesis y artículos científicos, sobre el Plan de Desarrollo Institucional (PDI), buscando responder a la pregunta: ¿Cuál es la producción académica y científica sobre PDI, en el período de 2012 a 2021, en el contexto de la Evaluación Institucional en las Instituciones Federales de Enseñanza Superior (Ifes)? El objetivo fue mapear, a través de consulta a las bases de datos de la Coordinación de Perfeccionamiento de Personal de Nivel Superior (Capes), de la Biblioteca Digital Brasileña de Tesis y Disertaciones (BDTD) y a la base de datos de la Scientific Electronic Library Online (SciELO), tales publicaciones. Se constató una producción académica y científica muy pequeña, sobre Plan de Desarrollo Institucional, percibiéndose la carencia de publicaciones actualizadas, utilizando múltiples abordajes sobre el tema. descriptivo bibliográfica disertaciones científicos PDI , (PDI) pregunta Cuál 201 2021 Ifes (Ifes) mapear Capes, Capes (Capes) BDTD (BDTD SciELO, SciELO (SciELO) pequeña actualizadas tema (PDI 20 202 (Ifes (Capes (SciELO 2

Abstract Through a descriptive methodology, with a qualitative approach and using a bibliographic strategy, a survey of dissertations, theses and scientific articles was carried out about the Institutional Development Plan (PDI). The research sought to answer the question: What is the academic and scientific production on PDI, from 2012 to 2021, in the context of Institutional Assessment in Federal Institutions of Higher Education (Ifes)? The objective was to map, by consulting the databases of the Coordination for the Improvement of Higher Education Personnel (Capes), the Brazilian Digital Library of Theses and Dissertations (BDTD) and the Scientific Electronic Library Online database (SciELO), such publications. It was found that there are few academic and scientific productions on the PDI, with no updated and multiapproach publications about the topic. methodology strategy dissertations PDI. PDI . (PDI) question 201 2021 Ifes (Ifes) map Capes, Capes , (Capes) BDTD (BDTD SciELO, SciELO (SciELO) topic (PDI 20 202 (Ifes (Capes (SciELO 2

Resumo Através de metodologia de caráter descritivo, abordagem qualitativa e estratégia bibliográfica, realizou-se o levantamento de dissertações, teses e artigos científicos, sobre o Plano de Desenvolvimento Institucional (PDI), buscando responder à pergunta: Qual a produção acadêmica e científica sobre PDI, no período de 2012 a 2021, no contexto da Avaliação Institucional nas Instituições Federais de Ensino Superior (Ifes)? O objetivo foi mapear, através de consulta aos bancos de dados da Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (Capes), da Biblioteca Digital Brasileira de Teses e Dissertações (BDTD) e à base de dados da Scientific Electronic Library Online (SciELO), tais publicações. Constatou-se uma produção acadêmica e científica muito pequena, sobre PDI, percebendo-se a carência de publicações atualizadas, utilizando múltiplas abordagens sobre o tema. descritivo bibliográfica realizouse realizou se dissertações científicos PDI , (PDI) pergunta 201 2021 Ifes (Ifes) mapear Capes, Capes (Capes) BDTD (BDTD SciELO, SciELO (SciELO) Constatouse Constatou pequena percebendose percebendo atualizadas tema (PDI 20 202 (Ifes (Capes (SciELO 2

Resumen Ante el notorio incremento de la producción de la información y su disponibilidad, el acceso a fuentes electrónicas de información exige el desarrollo de habilidades informativas. En el área médica existe interés en el aprendizaje relacionado a la búsqueda y selección de información, especialmente durante la formación profesional. El objetivo de esta investigación fue evaluar el efecto del Taller de Alfabetización Informacional (T-ALFIN), mediante un cuasiexperimento de dos mediciones, con un grupo natural de médicos residentes de segundo año de pediatría. Para evaluar se elaboró y validó el "Cuestionario de la Competencia de Acceso a la Información", de cuatro secciones. El Taller se realizó en tres sesiones de 60 minutos y una de 120 minutos. La confiabilidad de la sección 3 del cuestionario fue de 0.90 y de la sección 4 fue de 0.60. Las calificaciones de los médicos residentes al terminar el Taller fueron superiores a las iniciales (sección 3 p=0.01 y sección 4 p=0.05). El Taller tuvo un efecto favorable en la alfabetización informacional de los médicos residentes.

Abstract In the face of the conspicuous increase in information generation and availability, access to electronic sources demands specific skills. The medical sphere is not exempt from a genuine interest in learning to research and select information, particularly during professional training phases. This report aimed to evaluate the effect of an Information Literacy Workshop through a two-measurement quasi-experimental study carried out among a natural group of second-year resident pediatricians. A 4-section "Information Access Competence Questionnaire" was prepared and validated for this assessment. The Workshop consisted of three sessions of 60 minutes and a fourth one of 120 minutes. Section 3 reported a reliability of 0.90, while section 4 reported 0.60. Final grades were superior to initial grades (section 3 p=0.01, section 4 p=0.05). The Workshop had a favorable effect on resident physicians' information literacy.

Evaluate with lexicographic analysis and meta-analysis the existing scientific evidence, in quantitative studies, on the relationship between academic self-efficacy and competency-based education in the Health Sciences. Searches were conducted in four databases: Public Medline or Publisher Medline National Library of Medicine (PubMed); Education Resources Information Center (ERIC); American Psychological Association PsycNet Advanced Search (APA PsycNet) and the Virtual Health Library (VHL) covering the Scientific Electronic Library Online (SCIELO) and the Latin American and Caribbean Literature on Health Sciences (LILACS). The risk of bias was assessed by two Joanna Briggs Institute (JBI) instruments, specific for assessment of cross-sectional analytical (total = 6) or quasi-experimental (total = 13) studies. Nineteen articles were included, with the agreement of selection by the judges considered perfect by Cohen's Kappa (k = 0.837, p < 0.001). The total selection determined 3938 participants, predominantly undergraduate students of nursing courses 50%, physiotherapy 19.2%, medicine 15.4% and others 15.4%. The meta-analysis was carried out with studies (total = 9) that presented continuous type statistical technique for comparison, presence of mean and standard deviation and organized into three different groups, being, "intervention versus control" (n=3), "intervention versus traditional" (n=2) and the "pre and post-intervention assessment group" (n=4). Considering only the “pre and post-intervention assessment group”, a large effect size was found on students' self-efficacy after the competency-based interventions. The observational cross-sectional studies confirmed adequate measurement of academic self-efficacy in the proposed activities after the application and validation of the scales.

Evaluar con análisis lexicográfico y meta-análisis la evidencia científica existente, en estudios cuantitativos, sobre la relación entre autoeficacia académica y educación basada en competencias en Ciencias de la Salud. Las búsquedas se realizaron en: Public Medline o Publisher Medline National Library of Medicine (PubMed); Education Resources Information Center (ERIC); American Psychological Association PsycNet Advanced Search (APA PsycNet) y la Virtual Health Library (BVS) que abarca la Scientific Electronic Library Online (SCIELO) y la Latin American and Caribbean Literature on Health Sciences (LILACS). El riesgo de sesgo se evaluó mediante dos instrumentos del Instituto Joanna Briggs (JBI), específicos para estudios transversales analíticos (total = 6) o cuasiexperimentales (total = 13). Se incluyeron 19 artículos, con un acuerdo de selección considerado perfecto por Kappa de Cohen (k = 0,837, p < 0,001). La selección total determinó 3938 participantes, predominantemente estudiantes universitarios de cursos de enfermería 50%, fisioterapia 19,2%, medicina 15,4% y otros 15,4%. El meta-análisis realizado con estudios (total = 9) que presentaron técnica estadística de tipo continuo para comparación, presencia de media y desvío estándar y organizados en tres grupos diferentes, siendo, "intervención versus control" (n=3), "intervención versus tradicional" (n=2) y el "grupo de evaluación pre y post intervención" (n=4). Considerando sólo los estudios del grupo de evaluación, se encontró un gran tamaño del efecto sobre la autoeficacia de los estudiantes después de las intervenciones basadas en competencias. Los estudios transversales confirmaron una medición adecuada de la autoeficacia académica en las actividades propuestas tras la aplicación y validación de las escalas.

Avaliar com análise lexicográfica e metanálise as evidências científicas existentes, em estudos quantitativos, sobre as relações da autoeficácia acadêmica e a educação baseada em competências nas ciências da Saúde. As buscas foram realizadas em quatro bases de dados: Public Medline or Publisher Medline National Library of Medicine (PubMed); Education Resources Information Center (ERIC); American Psychological Association PsycNet Advanced Search (APA PsycNet) e a Biblioteca Virtual em Saúde (BVS) com abrangência para a Scientific Electronic Library Online (SCIELO) e a Literatura LatinoAmericana e do Caribe em Ciências da Saúde (LILACS). O risco de viés avaliado por dois instrumentos Joanna Briggs Institute (JBI), específicos para avaliação de estudos analíticos transversais (total = 6) ou quase-experimentais (total =13). Incluídos 19 artigos, com concordância de seleção pelos juízes considerada perfeita pelo Kappa de Cohen (k = 0,837, p < 0,001). A seleção total determinou 3938 participantes, predominantemente estudantes universitários dos cursos de enfermagem 50%, fisioterapia 19,2%, medicina 15,4% e outros 15,4%. A metanálise foi realizada com estudos (total = 9) que apresentavam técnica estatística do tipo contínuo para comparação, presença de média e desvio-padrão e organizados em três diferentes grupos, sendo eles, “intervenção versus controle” (n=3), “intervenção versus tradicional” (n=2) e o “grupo de avaliação pré e pós-intervenção” (n=4). Considerando apenas os estudos do grupo de avaliação, verificou-se tamanho de efeito grande na autoeficácia dos estudantes após as intervenções baseadas em competências. Os trabalhos transversais observacionais confirmaram mensuração adequada da autoeficácia acadêmica nas atividades propostas após aplicação e validação das escalas.

Abstract Background: Thalidomide is the drug of choice for the treatment of type 2 leprosy reactions and is often associated with corticosteroids. The use of these drugs in multiple myeloma is associated with the risk of cardiovascular events, but there have been few studies assessing this risk in leprosy patients. Objective: To evaluate the occurrence of cardiovascular events in patients with multibacillary leprosy and their correlation with the use of thalidomide and prednisone. Methods: Analytical cross-sectional study of all patients diagnosed with multibacillary leprosy treated at the Dermatology Service between 2012 and 2022, using electronic medical records. Thromboembolic vascular events, both arterial and venous, including acute myocardial infarction, were considered. The main independent variable was the concomitant use of thalidomide and prednisone during follow-up. Results: A total of 89 patients were included, of which 19 used thalidomide and prednisone concomitantly. There were five cardiovascular events (26.3%), three of which of deep venous thrombosis. The combined use of medications was associated with the events (PR = 6.46 [3.92 to 10.65]; p<0.01). Study limitations: Small number of events, single-center retrospective study. Conclusion: The hypothesis of an association between cardiovascular events and the concomitant use of thalidomide and prednisone is supported, but more robust prospective studies are required for a better assessment. Background corticosteroids Objective Methods crosssectional cross sectional 201 2022 records infarction considered followup. followup follow up. up follow-up Results 8 included 1 concomitantly 26.3%, 263 26.3% , 26 3 (26.3%) thrombosis PR 646 6 46 6.4 3.92 392 92 [3.9 10.65 1065 10 65 10.65] p<0.01. p001 p p<0.01 . 0 01 p<0.01) limitations singlecenter single center Conclusion supported assessment 20 202 26.3 (26.3% 64 4 6. 3.9 39 9 [3. 10.6 106 p00 p<0.0 26. (26.3 3. [3 10. p0 p<0. (26. [ p<0 (26 p< (2 (

ABSTRACT Objective: To evaluate sensitivity and specificity of the G8 test in screening older adults with cancer who may benefit from a Comprehensive Geriatric Assessment (CGA). Material and methods: This observational retrospective study was carried out in the Geriatrics Service of the Guillermo Almenara Hospital in Lima, Peru. CGA reports were reviewed in the electronic medical records of older adults (> 60 years) with cancer, both outpatients and inpatients, between November 2022 and July 2023. Patients were classified according to the SIOG-1 (International Society of Geriatric Oncology) criteria into two groups: fit and non-fit patients (vulnerable + frail + too sick). Sensitivity, specificity, and positive predictive value, area under the receiver operating characteristic curve (AUC), were estimated for the G8 test. Results: 201 patients entered the study, 91 women (45.3%) and 110 (54.7%) men; their mean age was 76.2 ± 7.4 years. The most frequent neoplasms were colorectal, stomach, prostate, and bile ducts. The prevalence of eligible and unfit patients was 23.4% and 76.6%, respectively. When the G8 test score was ≤11, sensitivity, specificity, positive predictive value, and AUC were 73.4% (95% Confidence Interval: 65.7- 80.2%), 91.5% (79.6%-97.6%), 96.6% (91.7-98.6%), and 89% (84-93%), respectively. Conclusions: The G8 test with a score ≤11 would have high sensitivity and specificity for identifying vulnerable or frail patients with cancer who could benefit from the CGA.

RESUMEN Objetivo: evaluar la sensibilidad y especificidad del test G8 en el tamizaje de adultos mayores con cáncer para la realización de la valoración geriátrica integral (VGI). Materiales y métodos: el presente estudio observacional y retrospectivo se realizó en el Servicio de Geriatría del Hospital Almenara de Lima, Perú. Se revisaron los informes de VGI en las historias clínicas electrónicos de adultos mayores (> 60 años) con cáncer, ambulatorios y hospitalizados, durante noviembre de 2022 y julio de 2023. Los pacientes se clasificaron según los criterios SIOG-1 (Sociedad Internacional de Oncología Geriátrica), formando dos grupos: pacientes aptos y pacientes no aptos o unfit (vulnerables + frágiles + muy enfermos). Del test G8 se estimó la sensibilidad, especificidad y valor predictivo positivo, área bajo la curva característica operativa del receptor (AUC). Resultados: ingresaron al estudio 201 pacientes, 91 mujeres (45,3%) y 110 (54,7%) varones, la media de la edad fue de 76,2 ± 7,4 años. Las neoplasias más frecuentes fueron colorrectal, estómago, próstata y vías biliares. La prevalencia de pacientes aptos y no aptos (unfit) fue del 23,4 y 76,6%, respectivamente. Cuando el puntaje de la prueba G8 fue ≤11, la sensibilidad, especificidad, valor predictivo positivo y AUC fueron 73,4% (intervalo de confianza al 95%: 65,7-80,2%), 91,5% (79,6%-97,6%), 96,6% (91,7-98,6%) y 89% (84-93%), respectivamente. Conclusiones: el test G8 con puntaje ≤11 tendría una alta sensibilidad y especificidad, para identificar adultos con cáncer vulnerables o frágiles, que podrían beneficiarse de la VGI.

Resumo O uso de prontuários eletrônicos (PE) na atenção primária em saúde (APS) visa maior integração e qualidade dos serviços. Um dos pontos mais críticos da APS brasileira segue sendo o acesso. O objetivo deste artigo é analisar através dos dados do terceiro ciclo avaliativo do Programa de Melhoria do Acesso e Qualidade da Atenção Básica (PMAQ-AB) a relação entre o uso de prontuário eletrônico e os parâmetros de acesso e acolhimento das unidades participantes. Estudo transversal analítico com dados secundários. Foram avaliados dados provenientes de 38.865 equipes de atenção primária, 30.346 unidades de saúde e 140.444 usuários entrevistados. O uso de PE esteve associado a maior realização de atendimento à demanda espontânea (OR 1,664; IC95% 1,485-1,866), avaliação de risco e vulnerabilidade (OR 1,329; IC95% 1,122-1,574) e utilização de protocolos de conduta (OR 1,656; IC95% 1,530-1,793), além de maior possibilidade de agendamento por telefone (OR 3,179; IC95% 3,030-3,335). Serviços que utilizam PE tem maior chance de ser o primeiro contato dos pacientes (OR 1,226; IC95% 1,171-1,283) e de serem buscados quando o usuário tem problemas de urgência (OR 1,198; IC95% 1,161-1,236). Há uma possibilidade concreta de melhoria do acesso através da informatização.

Abstract The use of electronic health records (EHR) in primary healthcare (PHC) aims for better integration of services and care quality. One of most the critical points of Brazilian PHC is access. This article aims to analyze, through data from the third evaluation cycle of the Brazilian Program for Improving Access and Quality of Primary Care (PMAQ-AB), the relationship between the use of electronic health records and the parameters of access of the participant teams. Cross-sectional analytical study with secondary data. Data from 38,865 primary care teams, 30,346 health units and 140,444 interviewed users were evaluated. The use of EHR was associated with greater care for non-programmed demands (OR 1.664; 95%CI 1.485-1.866), risk and vulnerability assessment (OR 1.329; 95%CI 1.122-1.574) and use of protocols for clinical conducts (OR 1.656; 95%CI 1.530-1.793), in addition to a greater possibility of scheduling consultation by telephone (OR 3.179; 95%CI 3.030-3.335). Services using EHR are more likely to be the patients first contact (OR 1.226; 95%CI 1.171-1.283) and to be sought when facing urgent health problem (OR 1.198; 95%CI 1.161-1.236). The results point to a concrete possibility of improving access through computerization.