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Resumo Objetivo: Estabelecer protocolo para realização de autópsias minimamente invasivas (AMIs) na detecção de óbitos por arboviroses e relatar dados preliminares desse protocolo no Ceará, Brasil. Métodos: Médicos patologistas foram treinados em AMI. Resultados: Estabeleceu-se protocolo para AMI, definindo-se critérios para amostras a serem coletadas, suas formas de armazenamento e diagnóstico, segundo o tipo de amostra biológica; em três meses, foram realizadas 43 AMIs, das quais 21 (48,8%) chegaram ao Serviço de Verificação de Óbito (SVO) com hipótese diagnóstica de alguma arbovirose e sete (16,3%) foram confirmados (seis de chikungunya; uma de dengue); também foram confirmados casos de covid-19 (n = 9), tuberculose (n = 5), meningite (n = 4), criptococose (n = 1), doença de Creutzfeldt-Jakob (n = 1), neoplasia de mama (n = 1) e raiva humana (n = 1). Conclusão: O protocolo implantado permitiu a captação de um maior número de óbitos suspeitos de arboviroses, além da confirmação de outras patologias de interesse da vigilância.

Abstract Objective: To create a protocol for performing minimally invasive autopsies (MIA) in detecting deaths from arboviruses and report preliminary data from its application in Ceará state, Brazil. Methods: Training was provided to medical pathologists on MIA. Results: A protocol was established for performing MIA, defining criteria for sample collection, storage methods, and diagnoses to be carried out according to the type of biological sample; 43 MIAs were performed in three months. Of these, 21 (48.8%) arrived at the Death Verification Service (SVO) with arboviruses as a diagnostic hypothesis, and seven (16.3%) were confirmed (six chikungunya cases and one dengue case); cases of COVID-19 (n = 9), tuberculosis (n = 5), meningitis (n = 4), cryptococcosis (n = 1), Creutzfeldt-Jakob disease (n = 1), breast cancer (n = 1), and human rabies (n = 1) were also confirmed. Conclusion: The protocol implemented enabled identification of a larger number of suspected arbovirus-related deaths, as well as confirmation of other diseases of interest for surveillance.

Resumen Objetivo: Estabelecer un protocolo utilizado para la realización de autopsias mínimamente invasivas (AMI) para la detección de muertes por arbovirus y presentar datos preliminares de este protocolo en Ceará, Brasil. Métodos: Se llevó a cabo la capacitación de médicos patólogos en AMI. Resultados: Se estableció un protocolo para la realización de AMI, que define los criterios para la toma de muestras, métodos de almacenamiento y diagnóstico; en tres meses se realizaron 43 AMI; de estas, 21 (48,8%) llegaron al Servicio de Verificación de Óbito (SVO) con una hipótesis diagnóstica de alguna arbovirosis y siete (16,3%) fueron confirmadas (seis casos de chikungunya y uno de dengue); también se confirmaron casos de Covid-19 (n = 9), tuberculosis (n = 5), meningitis (n = 4), criptococosis (n = 1), enfermedad de Creutzfeldt-Jakob (n = 1), neoplasia de mama (n = 1) y rabia humana (n = 1). Conclusión: El protocolo implementado permitió la identificación de un mayor número de muertes sospechosas de arbovirus, además de la confirmación de otras patologías de interés.

https://doi.org/10.1590/s2237-96222024v33e2024008.en

Circuito dos Cuidados Psicossociais: sistematização de intervenção na crise psíquica no atendimento pré-hospitalar móvel
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Cavalcante, Renata de Almeida

; Vaz, Samita Batista Vieira

; Vaz, Tiago Silva

; Oliveira, Gustavo Carvalho de

; Rocha, Dais Gonçalves

Interface - Comunicação, Saúde, Educação

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2024, Volume 28 elocation e230211

Abstract: En Pt Es | Text: En Pt Es | PDF: En | PDF: Pt | PDF: Es

An experience report that aims to present the systematization of care for the management of psychic crises developed by the SAMU-DF Mental Health Center. The methodology, based on the steps of the Maguerez’s Arch, allowed both the identification of professionals’ difficulties regarding psychic crises management and the construction of the system called “Psychosocial Care Circuit’’ to guide the assistance of the mobile pre-hospital care. The Circuit has as mnemonic AEIOU, and each letter corresponds to an element evaluated as necessary for the psychic crisis intervention. Therefore, it is possible to affirm that the permanent education in health enables the transformative action of professionals, in addition to transforming the reality in which they are inserted, and that the systematization has accelerated the consolidation of the necessary skills for psychic crises care.

Um relato de experiência que visa apresentar a sistematização de atendimento para o manejo de crises psíquicas desenvolvida pelo Núcleo de Saúde Mental do Samu-DF. A metodologia, fundamentada nos passos do arco de Maguerez, permitiu desde a identificação das dificuldades dos profissionais no manejo das crises psíquicas até a construção da sistematização denominada “Circuito de Cuidados Psicossociais” para orientar a assistência no serviço pré-hospitalar móvel. O circuito tem como mnemônico “AEIOU”, e cada letra corresponde a um elemento avaliado como necessário na intervenção de crise psíquica. Assim, é possível afirmar que a Educação Permanente em Saúde possibilita uma ação transformadora dos profissionais e da realidade na qual estão inseridos, e a sistematização tem acelerado a consolidação das habilidades necessárias ao atendimento das crises psíquicas.

Un relato de experiencia cuyo objetivo es presentar la sistematización de atención para el manejo de crisis psíquicas desarrollada por el Núcleo de Salud Mental del SAMU-DF. La metodología, fundamentada en los pasos del arco de Maguerez, permitió desde la identificación de las dificultades de los profesionales en el manejo de las crisis psíquicas hasta la construcción de la sistematización denominada “Circuito de Cuidados Psicosociales” para orientar la asistencia en el servicio pre-hospitalario móvil. El circuito tiene como iniciales mnemónicas “AEIOU” y cada letra corresponde a un elemento evaluado como necesario en la intervención de crisis psíquica. De tal forma, es posible afirmar que la educación permanente en salud posibilita una acción transformadora de los profesionales y de la realidad en la cual están inseridos y que la sistematización ha acelerado la consolidación de las habilidades necesarias para la atención de las crisis psíquicas.

https://doi.org/10.1590/interface.230211

Usefulness of minimally invasive autopsy in the diagnosis of arboviruses to increase the sensitivity of the Epidemiological Surveillance System in Ceará, Brazil Ceará
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Almeida, Livia Mendes de

; Melo, Deborah Nunes de

; Silva, Manuella Mendonça da

; Souza, Pedro Mansueto Melo de

; Silva, Fernanda Kézia de Sousa

; Coelho, Tania Mara Silva

; Lima, Shirlene Telmos Silva de

; Mota, Anacelia Gomes de Matos

; Monteiro, Renata Aparecida de Almeida

; Saldiva, Paulo Hilario Nascimento

; Oliveira, Geraldo Gileno de Sá

; Cavalcanti, Luciano Pamplona de Góes

Epidemiologia e Serviços de Saúde

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2024, Volume 33 elocation e2024008

Abstract: Pt En Es | Text: Pt En Es | PDF: Pt | PDF: En | PDF: Es

https://doi.org/10.1590/s2237-96222024v33e2024008.en

Circuito dos Cuidados Psicossociais: sistematização de intervenção na crise psíquica no atendimento pré-hospitalar móvel Psicossociais préhospitalar pré hospitalar
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Cavalcante, Renata de Almeida

; Vaz, Samita Batista Vieira

; Vaz, Tiago Silva

; Oliveira, Gustavo Carvalho de

; Rocha, Dais Gonçalves

Interface - Comunicação, Saúde, Educação

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2024, Volume 28 elocation e230211

Abstract: Pt En Es | Text: Pt En Es | PDF: Pt | PDF: En | PDF: Es

https://doi.org/10.1590/interface.230211

Agronomic performance of beetroot as a function of silicon application
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Lima, Renner Bento de

; Paiva, Laíza Gomes de

; Pereira, Natali Almeida Evangelista

; Morais, Eric George

; Silva, Ilmara Beatriz Menezes

; Grangeiro, Leilson Costa

; Costa, Romualdo Medeiros Cortez

; Oliveira, Renata Ramayane Torquato

Revista Ciência Agronômica

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2024, Volume 55 elocation e20218643

Abstract: En | Text: En | PDF: En

ABSTRACT Beetroot, when cultivated in hot regions such as the Brazilian semi-arid, is subjected to various stressful environmental factors that can negatively impact its productivity and quality. Silicon is an element known for its ability to mitigate damage caused by both abiotic and biotic stressors and is recognized as a productivity and quality enhancer in agricultural crops. Therefore, this study aimed to evaluate the effects of silicon application on the agronomic performance of the beet crop. The experimental design used was a randomized block design in a 5 x 2 factorial arrangement with four replications, comprising five silicon doses (0.0; 0.9; 1.8; 2.7, and 3.6 kg ha-1) and two table beet cultivars (Fortuna and Maravilha). The assessed variables included plant height, number of leaves per plant, polar and equatorial diameter of the tuberous root, tuberous root, shoot and total dry matter mass, commercial, non-commercial, and total productivity, as well as quality assessment of the root with determinations of pH, vitamin C, titratable acidity, and total soluble sugars. A silicon dose of 2.56 kg ha-1 promoted optimal root development in the Fortuna cultivar; however, silicon application at all tested doses reduced the levels of soluble sugars, while a dose of 3.6 kg ha-1 increased total titratable acidity. In contrast, silicon did not infl uence root development in the Maravilha cultivar, but an application of 3.13 kg ha-1 increased the total soluble sugar content by 86.13%. Beetroot semiarid, semiarid semi arid, arid semi-arid crops Therefore crop replications 0.0 00 0 (0.0 0.9 09 9 1.8 18 1 8 27 7 2.7 36 3 6 3. ha1 ha Maravilha. . Maravilha) height mass commercial noncommercial, noncommercial non non-commercial pH C acidity sugars 256 56 2.5 ha- cultivar however contrast 313 13 3.1 8613 86 86.13% 0. (0. 1. 2. 25 31 861 86.13 (0 86.1 ( 86.

https://doi.org/10.5935/1806-6690.20240040

Brazilian consensus recommendations on the diagnosis and treatment of autoimmune encephalitis in the adult and pediatric populations
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Dutra, Lívia Almeida

; Silva, Pedro Victor de Castro

; Ferreira, João Henrique Fregadolli

; Marques, Alexandre Coelho

; Toso, Fabio Fieni

; Vasconcelos, Claudia Cristina Ferreira

; Brum, Doralina Guimarães

; Pereira, Samira Luisa dos Apóstolos

; Adoni, Tarso

; Rocha, Leticia Januzi de Almeida

; Sampaio, Leticia Pereira de Brito

; Sousa, Nise Alessandra de Carvalho

; Paolilo, Renata Barbosa

; Pizzol, Angélica Dal

; Costa, Bruna Klein da

; Disserol, Caio César Diniz

; Pupe, Camila

; Valle, Daniel Almeida do

; Diniz, Denise Sisterolli

; Abrantes, Fabiano Ferreira de

; Schmidt, Felipe da Rocha

; Cendes, Fernando

; Oliveira, Francisco Tomaz Meneses de

; Martins, Gabriela Joca

; Silva, Guilherme Diogo

; Lin, Katia

; Pinto, Lécio Figueira

; Santos, Mara Lúcia Schimtz Ferreira

; Gonçalves, Marcus Vinícius Magno

; Krueger, Mariana Braatz

; Haziot, Michel Elyas Jung

; Barsottini, Orlando Graziani Povoas

; Nascimento, Osvaldo José Moreira do

; Nóbrega, Paulo Ribeiro

; Proveti, Priscilla Mara

; Castilhos, Raphael Machado do

; Daccach, Vanessa

; Glehn, Felipe von

Arquivos de Neuro-Psiquiatria

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2024, Volume 82 N. 7 elocation s00441788586

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

Resumo Antecedentes Encefalites autoimunes (EAIs) são um grupo de doenças inflamatórias caracterizadas pela presença de anticorpos contra antígenos neuronais e gliais, que ocasionam sintomas psiquiátricos subagudos, queixas de memória e distúrbios anormais do movimento. A maioria dos pacientes é jovem, e o atraso no tratamento está associado a pior prognóstico. Objetivo Com o apoio da Academia Brasileira de Neurologia (ABN) e da Sociedade Brasileira de Neurologia Infantil (SBNI), desenvolvemos um consenso sobre o diagnóstico e o tratamento da EAIs no Brasil utilizando a metodologia Delphi. Métodos Um total de 25 especialistas, incluindo neurologistas e neurologistas infantis, foram convidados a participar. Resultados Os especialistas concordaram que os pacientes com critérios de possíveis EAIs devem ser submetidos ao rastreio de anticorpos antineuronais no soro e no líquido cefalorraquidiano (LCR) por meio das técnicas de ensaio baseado em tecidos (tissue-based assay, TBA, em inglês) e ensaio baseado em células (cell-based assay, CBA, em inglês). As crianças também devem ser submetidas ao rastreio de de anticorpo contra a glicoproteína da mielina de oligodendrócitos (anti-myelin oligodendrocyte glycoprotein, anti-MOG, em inglês). O tratamento deve ser iniciado dentro das primeiras 4 semanas dos sintomas, sendo as opções de primeira linha metilprednisolona combinada com imunoglobulina intravenosa (IGIV) ou plasmaférese. O tratamento de segunda linha inclui rituximabe e ciclofosfamida. Bortezomib e tocilizumab são opções de tratamento de terceira linha. A maioria das crises epilépticas nas EAIs são sintomáticas, e os fármacos anticrise podem ser desmamadas após a fase aguda. Em relação à encefalite antirreceptor de N-metil-D-aspartato (anti-N-methyl-D-aspartate receptor, anti-NMDAR, em inglês), os especialistas concordaram que agentes imunossupressores orais não devem ser usados. Os pacientes devem ser avaliados na fase aguda e pós-aguda mediante escalas funcionais e cognitivas, como Mini-Mental State Examination (MMSE), Montreal Cognitive Assessment (MoCA), Modified Rankin Scale (mRS), e Clinical Assessment Scale in Autoimmune Encephalitis (CASE). Conclusão Esta pesquisa oferece evidências tangíveis do manejo efetivo de pacientes com EAIs no sistema de saúde Brasileiro. (EAIs gliais subagudos movimento jovem prognóstico ABN (ABN SBNI, SBNI , (SBNI) Delphi 2 infantis participar LCR (LCR tissuebased tissue based assay TBA inglês cellbased cell CBA inglês. . antimyelin anti myelin glycoprotein antiMOG, antiMOG MOG, MOG anti-MOG IGIV (IGIV plasmaférese ciclofosfamida sintomáticas NmetilDaspartato N metil D aspartato antiNmethylDaspartate methyl aspartate receptor antiNMDAR, antiNMDAR NMDAR, NMDAR anti-NMDAR inglês, usados pósaguda pós cognitivas MiniMental Mini Mental MMSE, MMSE (MMSE) MoCA, MoCA (MoCA) mRS, mRS (mRS) CASE. CASE (CASE) Brasileiro (SBNI (MMSE (MoCA (mRS (CASE

Abstract Background Autoimmune encephalitis (AIE) is a group of inflammatory diseases characterized by the presence of antibodies against neuronal and glial antigens, leading to subacute psychiatric symptoms, memory complaints, and movement disorders. The patients are predominantly young, and delays in treatment are associated with worse prognosis. Objective With the support of the Brazilian Academy of Neurology (Academia Brasileira de Neurologia, ABN) and the Brazilian Society of Child Neurology (Sociedade Brasileira de Neurologia Infantil, SBNI), a consensus on the diagnosis and treatment of AIE in Brazil was developed using the Delphi method. Methods A total of 25 panelists, including adult and child neurologists, participated in the study. Results The panelists agreed that patients fulfilling criteria for possible AIE should be screened for antineuronal antibodies in the serum and cerebrospinal fluid (CSF) using the tissue-based assay (TBA) and cell-based assay (CBA) techniques. Children should also be screened for anti-myelin oligodendrocyte glucoprotein antibodies (anti-MOG). Treatment should be started within the first 4 weeks of symptoms. The first-line option is methylprednisolone plus intravenous immunoglobulin (IVIG) or plasmapheresis, the second-line includes rituximab and/or cyclophosphamide, while third-line treatment options are bortezomib and tocilizumab. Most seizures in AIE are symptomatic, and antiseizure medications may be weaned after the acute stage. In anti-N-methyl-D-aspartate receptor (anti-NMDAR) encephalitis, the panelists have agreed that oral immunosuppressant agents should not be used. Patients should be evaluated at the acute and postacute stages using functional and cognitive scales, such as the Mini-Mental State Examination (MMSE), the Montreal Cognitive Assessment (MoCA), the Modified Rankin Scale (mRS), and the Clinical Assessment Scale in Autoimmune Encephalitis (CASE). Conclusion The present study provides tangible evidence for the effective management of AIE patients within the Brazilian healthcare system. (AIE antigens symptoms complaints disorders young prognosis Academia ABN Sociedade Infantil SBNI, SBNI , SBNI) method 2 neurologists CSF (CSF tissuebased tissue based TBA (TBA cellbased cell CBA (CBA techniques antimyelin anti myelin antiMOG. antiMOG MOG . (anti-MOG) firstline line IVIG (IVIG plasmapheresis secondline second andor cyclophosphamide thirdline third tocilizumab symptomatic stage antiNmethylDaspartate N methyl D aspartate antiNMDAR NMDAR (anti-NMDAR used scales MiniMental Mini Mental MMSE, MMSE (MMSE) MoCA, MoCA (MoCA) mRS, mRS (mRS) CASE. CASE (CASE) system (anti-MOG (MMSE (MoCA (mRS (CASE

https://doi.org/10.1055/s-0044-1788586

Stroke awareness in a Brazilian Northeastern capital city and the burden of the COVID-19 pandemic COVID19 COVID 19 COVID-1 COVID1 1 COVID-
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Rocha, Letícia Januzi de Almeida

; Melo, Monica Thalia de Brito

; Piva, Renata Girardi

; Rafani, Samira Mercaldi

; Pontes Neto, Octavio Marques

; Rocha, Eva

; Baggio, Jussara Almeida de Oliveira

Arquivos de Neuro-Psiquiatria

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2024, Volume 82 N. 8 elocation s00441788583

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

Resumo Antecedentes O atraso no reconhecimento dos sinais do acidente vascular cerebral (AVC) é um dos principais obstáculos para receber o tratamento de fase aguda. Portanto, é importante compreender as lacunas no conhecimento da população sobre o AVC e promover campanhas de acordo com essas lacunas. Objetivo Investigar o conhecimento geral sobre o AVC em uma amostra de indivíduos acompanhados em um hospital público de uma capital do Nordeste brasileiro e o impacto da pandemia de doença do coronavírus 2019 (coronavirus disease 2019 - COVID-19, em inglês) na utilização dos serviços de emergência. Métodos Foram incluídos pacientes acima de 18 anos e seus acompanhantes e/ou familiares. Após a assinatura do termo de consentimento, o pesquisador apresentou um caso típico de AVC, e os participantes responderam um questionário dividido em 2 partes: dados sociodemográficos e 15 perguntas sobre o reconhecimento do AVC, procura por serviços de saúde e tratamento. Resultados Foram incluídos 154 participantes com idade média de 44,45 ± 16,21 anos. Após a apresentação do caso, 60,4% mencionaram AVC como uma possível explicação, e 54,5% chamariam o Serviço de Atendimento Móvel de Urgência (SAMU). Entretanto, 62,9% erraram ou não sabiam o número do SAMU. Quanto aos fatores de risco de desenvolver AVC, 27,9% não sabiam identificar nenhum, 65,5% não conheciam qualquer tratamento, e não houve menção ao tratamento trombolítico. Com relação à conduta no mesmo caso, mas no contexto da pandemia de COVID-19, 98,1% dos participantes não mudariam sua conduta. Conclusão Os resultados deste estudo podem auxiliar no planejamento de políticas públicas com ênfase em campanhas sobre os fatores de risco e o acionamento do SAMU em Alagoas, Brasil. (AVC aguda Portanto 201 coronavirus COVID19, COVID19 COVID 19, 19 COVID-19 inglês emergência 1 eou familiares consentimento partes 4445 44 45 44,4 1621 16 21 16,2 604 60 4 60,4 explicação 545 54 5 54,5 . (SAMU) Entretanto 629 62 9 62,9 279 27 27,9 nenhum 655 65 65,5 trombolítico 981 98 98,1 Alagoas Brasil 20 COVID1 COVID-1 444 44, 162 16, 6 60, 54, (SAMU 62, 27, 65, 98, COVID-

Abstract Background The delay in recognizing stroke symptoms is a significant obstacle to receiving acute treatment. Therefore, it is essential to understand the gaps in the knowledge about stroke among the general population and promote campaigns based on these gaps. Objective To investigate the general knowledge about stroke in a capital in Northeastern Brazil in a sample of individuals who attended a public hospital and the impacts of the coronavirus disease 2019 (COVID-19) pandemic on the use of emergency services. Methods We included patients older than 18 years of age and their family members and/or companions. After obtaining consent, the researcher presented a typical case of stroke, and the participants filled out a questionnaire divided into 2 sections: sociodemographic data and 15 questions about stroke detection and seeking health services and treatment. Results We included 154 individuals with a mean age of 44.45 ± 16.21 years. After presenting the case, 60.4% mentioned the acronym AVC (acidente vascular cerebral, or cerebrovascular accident [stroke], in Portuguese) as a possible explanation, and 54.5% reported that they would call the Mobile Emergency Care Service. However, 62.9% provided the incorrect telephone number for the Mobile Emergency Care Service or lacked knowledge of the accurate number. Regarding the risk factors for stroke, 27.9% did not know any of them, 65.5% were unaware of any treatment, and no reference was made to thrombolytic therapy. About their chosen conduct in the same case in the context of the COVID-19 pandemic, 98.1% of the participants would not change their behavior. Conclusion These results can assist in the planning of public policies and campaigns emphasizing the issue of risk factors and how to access emergency medical services in the state of Alagoas, Brazil. treatment Therefore 201 COVID19 COVID 19 (COVID-19 1 andor companions consent sections 4445 44 45 44.4 1621 16 21 16.2 604 60 4 60.4 acidente cerebral , [stroke] Portuguese explanation 545 54 5 54.5 However 629 62 9 62.9 279 27 27.9 them 655 65 65.5 therapy COVID-1 981 98 98.1 behavior Alagoas 20 COVID1 (COVID-1 444 44. 162 16. 6 60. [stroke 54. 62. 27. 65. COVID- 98. (COVID- (COVID

https://doi.org/10.1055/s-0044-1788583

Attributes of primary health care in the view of health professionals: a scoping review professionals
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Gomes, Brenda Lorrana de Almeida

; Sousa, Renata Sant’ana Braga de

; Mota, Renan Felipe Neves

; Nunes, Cynthia Assis de Barros

; Vieira, Nayara Figueiredo

; Oliveira, Nunila Ferreira de

; Gonzalez, Roxana Isabel Cardozo

; Pagotto, Valéria

Revista da Escola de Enfermagem da USP

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2024, Volume 58 elocation e20240149

Abstract: Pt En Es | Text: Pt En Es | PDF: Pt | PDF: En | PDF: Es

RESUMO Objetivo: Identificar as evidências científicas sobre o desempenho da Atenção Primária à Saúde (APS), com base na presença e extensão de seus atributos, na visão dos enfermeiros e médicos. Método: Revisão de escopo conforme recomendações da Joanna Brigss Institute, desenvolvida entre janeiro de 2023 em oito bases de dados e atualizada em dezembro de 2023. Foram utilizadas as palavras-chave “primary health care assessment” e “quality of primary health care”. Foram incluídos artigos em qualquer língua, que utilizaram o instrumento PCATool-Brasil, versões profissionais, com população de enfermeiros e médicos. Resultados: Foram incluídos 19 estudos, publicados de 2012 a 2022, em nove estados brasileiros. A média geral do desempenho da APS variou de 6,5 a 8,2 e, do total, somente dois indicaram baixo desempenho dos serviços de APS. Sobre os atributos, a acessibilidade apresentou pior desempenho e orientação familiar o melhor em todos os estudos. Ter especialização e vínculo estatutário foram predominantemente frequentes como fatores associados. Conclusão: Os resultados mostram que o acesso aos serviços de saúde ainda precisa ser fortalecido e/ou ampliado e que, por outro lado, fatores como a formação e a vinculação do trabalhador fortalecem o desempenho da APS. Objetivo APS, , (APS) atributos médicos Método Institute 202 palavraschave palavras chave assessment quality care. . care” língua PCAToolBrasil, PCAToolBrasil PCATool Brasil, Brasil PCATool-Brasil profissionais Resultados 1 estudos 201 2022 brasileiros 65 6 5 6, 82 8 2 8, total associados Conclusão eou ou lado (APS 20

ABSTRACT Objective: To identify the scientific evidence on the performance of PHC, based on the presence and extent of its attributes, in the view of nurses and physicians. Method: Scoping review according to the recommendations of the Joanna Brigss Institute, carried out between January 2023 on eight databases, and updated in December 2023. The keywords “primary health care assessment” and “quality of primary health care” were used. Articles in any language were included, which used the PCATool-Brazil instrument, professional version, with a population of nurses and physicians. Results: Nineteen studies were included, published between 2012 and 2022, in nine Brazilian states. The overall average of PHC performance ranged from 6.5 to 8.2 and only two of the total indicated low performance of PHC services. Regarding the attributes, accessibility showed the worst performance and family orientation the best in all the studies. Specialization and statutory employment were predominantly frequent as associated factors. Conclusion: The results show that access to health services still needs to be strengthened and/or expanded and that, on the other hand, factors such as training and worker attachment strengthen PHC performance. Objective attributes physicians Method Institute 202 databases assessment quality included PCAToolBrazil PCATool Brazil instrument version Results 201 2022 states 65 6 5 6. 82 8 2 8. Conclusion andor or hand 20

RESUMEN Objetivo: Identificar las evidencias científicas sobre el desempeño de la APS, basado en la presencia y extensión de sus atributos, según la visión de los enfermeros y médicos. Método: Es una revisión de alcance conforme recomendaciones del Instituto Joanna Brigss, desarrollada entre enero de 2023 en ocho bases de datos y actualizada en diciembre de 2023. Las palabras clave utilizadas fueron “primary health care assessment” y “quality of primary health care. Se incluyeron artículos en cualquier idioma que utilizara el instrumento PCATool-Brasil, versión profesional, con población de enfermeros y médicos. Resultados: Se incluyeron 19 estudios publicados entre 2012 y 2022 en nueve estados brasileños. El promedio general del desempeño de la APS osciló entre 6,5 y 8,2 y del total; solo dos de los servicios de APS indicaron un valor bajo. En cuanto a los atributos, la accesibilidad tuvo el peor desempeño y la orientación familiar el mejor en todos los estudios. La especialización y el contrato estatutario fueron los factores asociados más frecuentes. Conclusión: Los resultados demuestran que el acceso a la salud necesita fortalecerse y/o ampliarse y que factores como la capacitación y el vínculo laboral fortalecen el desempeño de la APS. Objetivo atributos médicos Método Brigss 202 assessment quality PCAToolBrasil, PCAToolBrasil PCATool Brasil, Brasil PCATool-Brasil profesional Resultados 1 201 brasileños 65 6 5 6, 82 8 2 8, total bajo frecuentes Conclusión yo o 20

https://doi.org/10.1590/1980-220x-reeusp-2024-0149en

Advancing insights in critical COVID-19: unraveling lymphopenia through propensity score matching - Findings from the Multicenter LYMPH-COVID Study COVID19 COVID 19 COVID-19 LYMPHCOVID LYMPH COVID1 1 COVID-1 COVID-
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Cidade, José Pedro

; Souza-Dantas, Vicente Cês

; Mamfrim, Rafaela Braga

; Miranda, Renata Carnevale

; Caroli, Henrique Tommasi

; Oliveira, Natália Almeida

; Thompson, Alessandra e Figueiredo

; Oliveira, Gabriela E.

; Póvoa, Pedro

Critical Care Science

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2024, Volume 36 elocation e20240236en

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

RESUMO Objetivo Elucidar o impacto da linfopenia nos desfechos críticos de pacientes com COVID-19. Métodos Trata-se de estudo de coorte prospectivo multicêntrico realizado em cinco hospitais de Portugal e do Brasil entre 2020 e 2021. O estudo incluiu pacientes adultos internados na unidade de terapia intensiva com pneumonia por SARS-CoV-2. Os pacientes foram categorizados em dois grupos com base em suas contagens de linfócitos dentro de 48 horas da admissão na unidade de terapia intensiva: o Grupo Linfopenia (contagem sérica de linfócitos < 1 × 109/L) e o Grupo sem Linfopenia. Foram utilizadas regressão logística multivariada, correspondência de escore de propensão, análise da curva de sobrevida de Kaplan-Meier e análise de regressão de riscos proporcionais de Cox. Resultados Participaram 912 pacientes, sendo 191 (20,9%) no Grupo sem Linfopenia e 721 (79,1%) no Grupo com Linfopenia. Os pacientes com linfopenia apresentaram índices de gravidade da doença significativamente elevados, incluindo a Sequential Organ Failure Assessment e o Simplified Acute Physiology Score 3, na admissão na unidade de terapia intensiva (p = 0,001 e p < 0,001, respectivamente). Além disso, eles apresentaram maior necessidade de suporte vasopressor (p = 0,045) e internações prolongadas na unidade de terapia intensiva e no hospital (ambos p < 0,001). A análise de regressão logística multivariada após a correspondência da pontuação de propensão revelou significativa contribuição da linfopenia para a mortalidade, com razão de chances de 1.621 (IC95% 1.275 - 2.048; p < 0,001). Os modelos de interação revelaram aumento de 8% na mortalidade para cada década de longevidade em pacientes com linfopenia concomitante. Na subanálise que utilizou a estratificação em três grupos, o Grupo com Linfopenia grave apresentou a maior taxa de mortalidade, não apenas em comparações diretas, mas também na análise de sobrevida de Kaplan-Meier (teste log-rank p = 0,0048). Conclusão A linfopenia em pacientes com COVID-19 está associada ao aumento da gravidade da doença e ao aumento do risco de mortalidade, ressaltando a necessidade de suporte imediato para pacientes críticos de alto risco. Esses achados oferecem informações importantes para melhorar as estratégias de assistência a pacientes com COVID-19. COVID19. COVID19 COVID 19. 19 Tratase Trata se 202 2021 SARSCoV2. SARSCoV2 SARSCoV SARS CoV 2. 2 SARS-CoV-2 4 contagem 109/L 109L L 109 KaplanMeier Kaplan Meier Cox 91 20,9% 209 20 9 (20,9% 72 79,1% 791 79 (79,1% elevados 3 0001 0 001 0,00 respectivamente. respectivamente . respectivamente) disso 0,045 0045 045 ambos 0,001. 0,001) 1621 621 1.62 IC95% IC95 IC (IC95 1275 275 1.27 2.048 2048 048 8 concomitante diretas teste logrank log rank 0,0048. 00048 0,0048 0048 0,0048) COVID-1 COVID1 SARS-CoV- 10 20,9 (20,9 7 79,1 (79,1 000 00 0,0 0,04 004 04 162 62 1.6 IC9 (IC9 127 27 1.2 2.04 204 0004 0,004 COVID- SARS-CoV 20, (20, 79, (79, 0, 16 6 1. (IC 12 2.0 (20 (79 (2 (7 (

ABSTRACT Objective To elucidate the impact of lymphopenia on critical COVID-19 patient outcomes. Methods We conducted a multicenter prospective cohort study across five hospitals in Portugal and Brazil from 2020 to 2021. The study included adult patients admitted to the intensive care unit with SARS-CoV-2 pneumonia. Patients were categorized into two groups based on their lymphocyte counts within 48 hours of intensive care unit admission: the Lymphopenia Group (lymphocyte serum count < 1 × 109/L) and the Nonlymphopenia Group. Multivariate logistic regression, propensity score matching, Kaplan‒Meier survival curve analysis and Cox proportional hazards regression analysis were used. Results A total of 912 patients were enrolled, with 191 (20.9%) in the Nonlymphopenia Group and 721 (79.1%) in the Lymphopenia Group. Lymphopenia patients displayed significantly elevated disease severity indices, including Sequential Organ Failure Assessment and Simplified Acute Physiology Score 3 scores, at intensive care unit admission (p = 0.001 and p < 0.001, respectively). Additionally, they presented heightened requirements for vasopressor support (p = 0.045) and prolonged intensive care unit and in-hospital stays (both p < 0.001). Multivariate logistic regression analysis after propensity score matching revealed a significant contribution of lymphopenia to mortality, with an odds ratio of 1,621 (95%CI: 1,275 - 2,048; p < 0.001). Interaction models revealed an increase of 8% in mortality for each decade of longevity in patients with concomitant lymphopenia. In the subanalysis utilizing three-group stratification, the Severe Lymphopenia Group had the highest mortality rate, not only in direct comparisons but also in Kaplan‒Meier survival analysis (log-rank test p = 0.0048). Conclusion Lymphopenia in COVID-19 patients is associated with increased disease severity and an increased risk of mortality, underscoring the need for prompt support for critically ill high-risk patients. These findings offer important insights into improving patient care strategies for COVID-19 patients. COVID19 COVID 19 COVID-1 outcomes 202 2021 SARSCoV2 SARSCoV SARS CoV 2 SARS-CoV- pneumonia 4 109/L 109L L 109 KaplanMeier Kaplan Meier used 91 enrolled 20.9% 209 20 9 (20.9% 72 79.1% 791 79 (79.1% indices scores 0001 0 001 0.00 respectively. respectively . respectively) Additionally 0.045 0045 045 inhospital hospital both 0.001. 0.001) 1621 621 1,62 95%CI 95CI CI 95 (95%CI 1275 275 1,27 2,048 2048 048 8 threegroup three group stratification rate logrank log rank 0.0048. 00048 0.0048 0048 0.0048) highrisk high COVID1 COVID- SARS-CoV 10 20.9 (20.9 7 79.1 (79.1 000 00 0.0 0.04 004 04 162 62 1,6 127 27 1,2 2,04 204 0004 0.004 20. (20. 79. (79. 0. 16 6 1, 12 2,0 (20 (79 2, (2 (7 (

https://doi.org/10.62675/2965-2774.20240236-en

10.

Risk Factors for Acute Rheumatic Disease: Exploring Factors at Individual and Collective Levels Disease
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Mendoza, Renata Fonseca

; Mutarelli, Antonio

; Mendoza, Bernardo Fonseca

; Barbosa, José Augusto Almeida

; Oliveira, Rodrigo Liberato de

; Nascimento, Bruno Ramos

; Pantaleão, Alexandre Negrão

; Fonseca, Isabella Moreira Gonzalez

; Oliveira, Matheus Assunção Rabello de

; Pinto, Airandes de Sousa

; Beaton, Andrea

; Nunes, Maria Carmo Pereira

Revista da Sociedade Brasileira de Medicina Tropical

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2024, Volume 57 elocation e00302-2024

Abstract: En | Text: En | PDF: En

ABSTRACT Acute rheumatic fever (ARF) is a complex disease with several clinical manifestations. Its most significant long-term complication is valvular heart damage, commonly referred to as chronic rheumatic heart disease. The risk of ARF varies globally, with over 80% of cases occurring in low- and middle-income countries, highlighting the role of socioeconomic factors. A comprehensive understanding of the risk factors associated with ARF and its clinical, genetic, and sociodemographic mediators can help clinicians identify high-risk individuals, develop effective management strategies, enhance target screening and active case-finding initiatives, and ultimately improve patient outcomes. This review aimed to provide an overview of ARF and its global burden, focusing on the established and potential risk factors associated with its development. (ARF manifestations longterm long term damage globally 80 low middleincome middle income countries genetic highrisk high individuals strategies casefinding case finding initiatives outcomes burden development 8

https://doi.org/10.1590/0037-8682-0139-2024

11.

Neck circumference as a predictor of cardiometabolic risk and truncal obesity in people living with HIV
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Oliveira, Iara Katrynne Fonsêca

; Teixeira, Nayra do Socorro Caldas Carvalho de Almeida

; Rêgo, Beatriz de Mello Pereira

; Aires, Isabel Oliveira

; Rodrigues, Renata Rios Torres

; Araújo, Robson Eduardo da Silva

; Lima, Carlos Henrique Ribeiro

; Sousa, Rosana Rodrigues de

; Carvalho, Cecília Maria Resende Gonçalves de

; Costa, Dorcas Lamounier

; Santos, Marize Melo dos

; Paz, Suzana Maria Rebelo Sampaio da

; Paiva, Adriana de Azevedo

Nutrición Hospitalaria

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oct 2023, Volume 40 N. 5 Pages 1000 - 1008

Abstract: En Es | Text: En Es | PDF: En | PDF: Es

Abstract Introduction: recent studies have suggested the use of neck circumference as a parameter capable of identifying risks of cardiometabolic complications and the accumulation of truncal fat caused by both antiretroviral therapy and the lifestyle of people with the human immunodeficiency virus (HIV). Objective: to investigate the relationship between neck circumference and anthropometric indicators and to assess cardiometabolic risk and truncal obesity through proposed cut-off points. Methods: cross-sectional study including 233 people with HIV. Demographic, socioeconomic, lifestyle and clinical data were collected using a structured questionnaire. The anthropometric evaluation included: weight, height, body mass index (BMI) measurements; waist (WC), neck (NC), arm and arm muscle circumferences; triceps and subscapular skinfolds and their sum. ROC curves were constructed to determine the accuracy of NC in predicting cardiometabolic risk in people living with HIV. Results: the sample was 57.5 % male, with a mean age of 38.4 years (95 % CI: 37.2-39.7 years). NC showed a positive and significant correlation with all anthropometric variables analyzed (p < 0.05), and a higher correlation strength with WC and BMI. The NC cut-off point selected as a predictor of risk of cardiac metabolic complications and truncal obesity in women was ≥ 32.4 cm, considering both WC and BMI. For men, the NC cut-off points were different when considering WC (≥ 39.6 cm) and BMI (≥ 38.1 cm) as a reference. It is worth noting that NC performed well in ROC curve analysis for men, while in women it was a poor performance. Conclusion: NC proved to be a promising indicator in the assessment of nutrition and health of people living with HIV, especially in men.

Resumen Introducción: estudios recientes han sugerido el uso de la circunferencia del cuello como parámetro capaz de identificar los riesgos de complicaciones cardiometabólicas y la acumulación de grasa troncal causados tanto por la terapia antirretroviral como por el estilo de vida de las personas con el virus de la inmunodeficiencia humana (VIH). Objetivo: investigar la relación entre la circunferencia del cuello y los indicadores antropométricos y evaluar el riesgo cardiometabólico y la obesidad troncal a través de los puntos de corte propuestos. Métodos: estudio transversal que incluyó a 233 personas con VIH. Se recogieron datos demográficos, socioeconómicos, de estilo de vida y clínicos mediante un cuestionario estructurado. La evaluación antropométrica incluyó: medidas de peso, altura, índice de masa corporal (IMC); circunferencias de cintura (CC), cuello (CN), brazo (CA) y músculo del brazo (MCB); pliegues cutáneos del tríceps y subescapular y su suma. Se construyeron curvas ROC para determinar la precisión de la CN en la predicción del riesgo cardiometabólico en personas que viven con el VIH. Resultados: el 57,5 % de la muestra eran varones, con una edad media de 38,4 años (IC 95 %: 37,2-39,7 años). La CN mostró una correlación positiva y significativa (p < 0,05) con todas las variables antropométricas analizadas, y una mayor fuerza de correlación con la CC y el IMC. El punto de corte de la CN seleccionado como predictor de riesgo de complicaciones metabólicas cardiacas y obesidad troncular en mujeres fue ≥ 32,4 cm, considerando tanto la CC como el IMC. En el caso de los hombres, los puntos de corte de la CN fueron diferentes al considerar como referencia la CC (≥ 39,6 cm) y el IMC (≥ 38,1 cm). Cabe destacar que la CN obtuvo buenos resultados en el análisis de la curva ROC en el caso de los hombres, mientras que en el de las mujeres fue deficiente. Conclusión: la CN demostró ser un indicador prometedor en la evaluación de la nutrición y la salud de las personas que viven con el VIH, especialmente en los hombres.

https://doi.org/10.20960/nh.04402

12.

Parental body mass index and maternal gestational weight gain associations with offspring body composition in young women from the Nutritionists’ Health Study Nutritionists
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Freitas, Renata Germano Borges de Oliveira Nascimento

; Vasques, Ana Carolina Junqueira

; Ribeiro, Francieli Barreiro

; Solar, Isabela

; Hanada, Alfredo Shigueo

; Barbosa, Marina Gomes

; Valente, Angélica Marques Martins

; Pititto, Bianca de Almeida

; Eshriqui, Ilana

; Lopes, Tito Lívio da Cunha

; Geloneze, Bruno

; Ferreira, Sandra Roberta Gouvea

Archives of Endocrinology and Metabolism

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feb 2023, Volume 67 N. 1 Pages 101 - 110

Abstract: En | Text: En | PDF: En

ABSTRACT Objective: Intrauterine environment can induce fetal metabolic programming that predisposes to adiposity-related chronic diseases in its lifespan. We examined the associations of parental nutritional status and gestational weight gain with offspring body composition in early adulthood. Materials and methods: This is cross-sectional analysis of female participants of the NutriHS who were submitted to questionnaires, clinical examinations and body composition assessed by DXA. Association of pre-conception parental BMI and maternal gestational weight gain (exposures) with body composition measurements (outcomes) were analyzed using multiple linear models adjusted for Directed Acyclic Graphs-based covariables (maternal and paternal educational level, maternal age, and tobacco, alcohol and/or drugs use). The sample included 124 women (median 28 (24-31) years) with a mean BMI of 25.4 ± 4.7 kg/m2. Results: No association between previous paternal BMI and offspring’s body composition was detected. In the fully adjusted linear regression model, maternal BMI was associated with offspring’s total lean mass (β = 0.66, p = 0.001), appendicular skeletal muscle mass index (ASMI) (β = 0.11, p = 0.003) and fat mass index (FMI) (β = 0.03, p = 0.039). Gestational weight gain was associated with increased offspring’s BMI (OR 1.12 [95% CI 1.02-1.20], p = 0.01). The linear regression model adjusted for maternal age and maternal and paternal education levels showed associations of gestational weight gain with offspring’s ASMI (β = 0.42, p = 0.046), FMI (β = 0.22, p = 0.005) and android-to-gynoid fat ratio (β = 0.09, p = 0.035). Conclusion: Our findings suggest that preconception maternal BMI could influence lean mass and general adiposity of young adult female offspring and that gestational weight gain could be useful for predicting centrally distributed adiposity. Objective adiposityrelated related lifespan adulthood methods crosssectional cross sectional questionnaires DXA pre conception exposures (exposures outcomes (outcomes Graphsbased Graphs based level tobacco andor or use. use . use) 12 median 2 2431 24 31 (24-31 years 254 25 4 25. 47 7 4. kgm2 kgm kg m2 m kg/m2 Results offsprings s detected β 066 0 66 0.66 0.001, 0001 0.001 , 001 0.001) (ASMI 011 11 0.11 0.003 0003 003 (FMI 03 0.03 0.039. 0039 0.039 039 0.039) OR 112 1 1.1 95% 95 [95 1.021.20, 102120 1.02 1.20 02 20 1.02-1.20] 0.01. 0.01 01 0.01) 042 42 0.42 0.046, 0046 0.046 046 0.046) 022 22 0.22 0.005 0005 005 androidtogynoid android gynoid 009 09 0.09 0.035. 0035 0.035 035 0.035) Conclusion 243 3 (24-3 kg/m 06 6 0.6 000 0.00 00 0.1 0.0 1. 9 [9 021 1.021.20 10212 102 1.0 120 1.2 1.02-1.20 04 0.4 004 0.04 0.2 (24- 0. [ 1.021.2 1021 10 1.02-1.2 (24 1.021. 1.02-1. (2 1.021 1.02-1 ( 1.02-

https://doi.org/10.20945/2359-3997000000516

13.

Contribution of public oral pathology services to the diagnosis of oral and oropharyngeal cancer in Brazil
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LOUREDO, Brendo Vinicius Rodrigues

; CURADO, Maria Paula

; PENAFORT, Paulo Victor Mendes

; DE ARRUDA, José Alcides Almeida

; ABREU, Lucas Guimarães

; MESQUITA, Ricardo Alves

; PINTO-JÚNIOR, Décio dos Santos

; ABRAHÃO, Aline Corrêa

; ANDRADE, Bruno Augusto Benevenuto de

; AGOSTINI, Michelle

; MORAES, Renata Mendonça

; ANBINDER, Ana Lia

; DOURADO, Pedro Henrique Silva

; SANTOS, Teresa Cristina Ribeiro Bartholomeu dos

; PIRES, Fábio Ramoa

; BORDIGNON, Natalia Cristina Trentin

; GONDAK, Rogério Oliveira

; DE OLIVEIRA, Marcia Gaiger

; CARRARD, Vinicius Coelho

; MARTINS, Manoela Domingues

; SOUSA-NETO, Sebastião Silvério

; ARANTES, Diego Antônio Costa

; MENDONÇA, Elismauro Francisco

; CIESLAK-SANCHES, Silvia Roberta

; ANTUNES, Daniella Moraes

; AMARAL-SILVA, Gleyson Kleber do

; MANIERI, Patricia Rubia

; RAMALHO, Luciana Maria Pedreira

; DOS SANTOS, Jean Nunes

; LEONEL, Augusto César Leal da Silva

; PEREZ, Danyel Elias da Cruz

; VERHEUL, Hannah Carmem Carlos Ribeiro Silva

; BARROSO, Keila Martha Amorim

; RODRIGUES, Flávia Luiza Santos

; GONZAGA, Amanda Katarinny Goes

; FERNANDES, Romana Renery

; DE SOUZA, Lélia Batista

; SOUZA, Lucas Lacerda de

; PONTES, Flávia Sirotheau Corrêa

; PONTES, Hélder Antônio Rebelo

; SILVA, Caroline Alfaia

; CÂMARA, Jeconias

; LIBÓRIO-KIMURA, Tatiana Nayara

; SANTOS-SILVA, Alan Roger

; LOPES, Márcio Ajudarte

; ALMEIDA, Oslei Paes de

; ROMAÑACH, Mário José

; VARGAS, Pablo Agustin

Brazilian Oral Research

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2023, Volume 37 elocation e126

Abstract: En | Text: En | PDF: En

Abstract This study aimed to evaluate the contribution of oral and maxillofacial pathology laboratories (OMPLs) in Brazilian public universities to the diagnosis of lip, oral cavity, and oropharyngeal squamous cell carcinoma (SCC). A cross-sectional study was performed using biopsy records from a consortium of sixteen public OMPLs from all regions of Brazil (North, Northeast, Central-West, Southeast, and South). Clinical and demographic data of patients diagnosed with lip, oral cavity, and oropharyngeal SCC between 2010 and 2019 were collected from the patients’ histopathological records. Of the 120,010 oral and maxillofacial biopsies (2010-2019), 6.9% (8,321 cases) were diagnosed as lip (0.8%, 951 cases), oral cavity (4.9%, 5,971 cases), and oropharyngeal (1.2%, 1,399 cases) SCCs. Most cases were from Brazil’s Southeast (64.5%), where six of the OMPLs analyzed are located. The predominant profile of patients with lip and oral cavity SCC was Caucasian men, with a mean age over 60 years, low schooling level, and a previous history of heavy tobacco consumption. In the oropharyngeal group, the majority were non-Caucasian men, with a mean age under 60 years, had a low education level, and were former/current tobacco and alcohol users. According to data from the Brazilian National Cancer Institute, approximately 9.9% of the total lip, oral cavity, and oropharyngeal SCCs reported over the last decade in Brazil may have been diagnosed at the OMPLs included in the current study. Therefore, this data confirms the contribution of public OMPLs with respect to the important diagnostic support they provide to the oral healthcare services extended by the Brazilian Public Health System. (OMPLs SCC. . (SCC) crosssectional cross sectional North, North (North Northeast CentralWest, CentralWest Central West, West Central-West South. South South) 201 120010 120 010 120,01 20102019, 20102019 , (2010-2019) 69 6 9 6.9 8,321 8321 8 321 (8,32 0.8%, 08 0 (0.8% 95 cases, 4.9%, 49 4 (4.9% 5971 5 971 5,97 1.2%, 12 1 2 (1.2% 1399 399 1,39 Brazils s 64.5%, 645 64.5% 64 (64.5%) located men years level consumption group nonCaucasian non formercurrent former users Institute 99 9.9 Therefore System (SCC 20 12001 01 120,0 2010201 (2010-2019 6. 8,32 832 32 (8,3 0.8% (0.8 4.9% (4.9 597 97 5,9 1.2% (1.2 139 39 1,3 64.5 (64.5% 9. 1200 120, 201020 (2010-201 8,3 83 3 (8, 0.8 (0. 4.9 (4. 59 5, 1.2 (1. 13 1, 64. (64.5 20102 (2010-20 8, (8 0. (0 4. (4 1. (1 (64. (2010-2 ( (64 (2010- (6 (2010 (201 (20 (2

https://doi.org/10.1590/1807-3107bor-2023.vol37.0126

14.

Translation, Cross-Cultural Adaptation, and Validation of the Hypertension Self-Care Profile (HBP-SCP) for the Brazilian Population Translation CrossCultural Cross Cultural Adaptation SelfCare Self Care HBPSCP HBP SCP (HBP-SCP
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Baggio, Jussara Almeida de Oliveira

; Ribeiro, Beatriz Brito

; Ribeiro, Jessica Lays Ferreira

; Silva, Fabricio Brito

; Azevedo, Lisiane Fernanda Simeão de

; Mendes, Renata Gonçalves

; Araújo, Aldair Darlan

; Gonçalves, Maria Claudia

; Tavarez, Rudys Rodolfo de Jesus

; Almeida, Denilson Menezes

; Bassi-Dibai, Daniela

International Journal of Cardiovascular Sciences

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2023, Volume 36 elocation e20230075

Abstract: En | Text: En | PDF: En

Abstract Background Self-care in the management of systemic arterial hypertension (SAH) is crucial, and validated instruments can help researchers and health professionals to plan strategies to improve self-care in people with SAH. Objective The main objective of this study was to translate, cross-culturally adapt, and validated the Hypertension Self-Care Profile (HBP-SCP) for Brazilian Portuguese. Methods The translation and cross-cultural adaptation was performed in five phases, and the pre-final version was tested in 30 individuals, native speakers of Portuguese with a diagnosis of hypertension. The final version was administered in 100 individuals. The inclusion criteria were: diagnosis of SAH, characterized by systolic arterial blood pressure ≥ 140 mmHg and/or diastolic arterial blood pressure ≥ 90mmHg, regular use of antihypertensive medications and over 18 years of age. The present study also used two other questionnaires, previously validated for the Brazilian population, to verify the validity of the construct, the Healthy Habits Perception Questionnaire (HHPQ) and the Quality of Life in Hypertension Mini-Questionnaire (MINICHAL-BRASIL). Results During the translation and cross-cultural adaptation phase, there were no disagreements. Adequate reliability — intraclass correlation coefficient (ICC) ≥ 0.89, standard error of measurement (SEM) % ≤ 4.34, minimum detectable change (MDC) % ≤ 12.04 — and internal consistency (Cronbach's alpha ≥ 0.75) were observed. The behavior domain of HBP-SCP obtained significant correlations (p < 0.05) with the self-efficacy domain and HHPQ; the motivation domain with the self-efficacy domain; and the self-efficacy domain with the somatic manifestation domain of MINICHAL-BRASIL. No ceiling and floor effects were observed. Conclusions The Brazilian Portuguese version of the HBP-SCP has adequate psychometric properties, according to the best scientific recommendations. Selfcare Self care SAH (SAH crucial selfcare self translate crossculturally cross culturally adapt SelfCare Care HBPSCP HBP SCP (HBP-SCP crosscultural cultural phases prefinal pre 3 individuals 10 14 andor or 90mmHg 1 age questionnaires population construct HHPQ (HHPQ MiniQuestionnaire Mini MINICHALBRASIL. MINICHALBRASIL MINICHAL BRASIL . (MINICHAL-BRASIL) phase disagreements ICC (ICC 089 0 89 0.89 SEM (SEM 434 4 34 4.34 MDC (MDC 1204 12 04 12.0 Cronbachs Cronbach s 0.75 075 75 observed p 0.05 005 05 selfefficacy efficacy BRASIL. MINICHAL-BRASIL properties recommendations (MINICHAL-BRASIL 08 8 0.8 43 4.3 120 12. 0.7 07 7 0.0 00 0. 4.

https://doi.org/10.36660/ijcs.20230075

15.

TELESSIMULAÇÃO COMO MÉTODO REMOTO DE ENSINO EM REANIMAÇÃO CARDIOPULMONAR: RELATO DE EXPERIÊNCIA CARDIOPULMONAR
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Azeredo, Giselle Oliveira

; Silva, Renata Flavia Abreu da

; Nunciaroni, Andressa Teoli

; Ferreira, Caroliny Suhet Xavier

; Corrêa, Vanessa de Almeida Ferreira

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2023, Volume 28 elocation e84706

Abstract: Es Pt En | Text: Es Pt En | PDF: Es | PDF: Pt | PDF: En

RESUMEN Objetivo: describir la experiencia en la elaboración e implementación de un curso a distancia de Reanimación Cardiopulmonar para profesionales de la salud mediante Telesimulación. Desarrollo: informe de experiencia de un curso de capacitación en Reanimación Cardiopulmonar, realizado con 227 profesionales de la salud entre junio y julio de 2021, de forma remota y sincrónica, en el estado de Río de Janeiro, Brasil. Se dictó el curso a 35 grupos y se los sometió a: pretest; video clase y postest 1; y Telesimulación y postest 2 con evaluación de la percepción. En la evaluación, la Telesimulación se destacó como estrategia para motivar un mayor aprendizaje sobre el tema, como revela el aumento del número de aciertos entre los tests. Conclusión: el curso fue de interés para los participantes y demostró ser una estrategia de aprendizaje, además de ser considerado una posibilidad de innovación para la educación permanente en salud. Objetivo Desarrollo 22 2021 sincrónica Janeiro Brasil 3 pretest 1 percepción tema tests Conclusión 202 20

RESUMO Objetivo: descrever a experiência na elaboração e implementação de um curso remoto sobre Reanimação Cardiopulmonar para profissionais de saúde por meio da Telessimulação. Desenvolvimento: relato de experiência de um curso para capacitação em Reanimação Cardiopulmonar, desenvolvido com 227 profissionais de saúde entre junho e julho de 2021, de forma remota e síncrona, no estado do Rio de Janeiro - Brasil. O curso foi ministrado para 35 turmas por meio da aplicação de: pré-teste; videoaula e pós-teste 1; e Telessimulação e pós-teste 2 com avaliação de percepção. Na avaliação, a Telessimulação se destacou como estratégia de motivação para maior aprendizado sobre o tema, evidenciado pelo aumento do número de acertos entre os testes. Conclusão: o curso teve interesse dos participantes e se mostrou como estratégia de aprendizagem, sendo, ainda, considerado uma possibilidade de inovação para a educação permanente em saúde. Objetivo Desenvolvimento 22 2021 síncrona Brasil 3 préteste pré teste pré-teste pósteste pós 1 percepção tema testes Conclusão aprendizagem sendo ainda 202 20

ABSTRACT Objective: to describe the experience in the elaboration and implementation of a remote course on Cardiopulmonary Resuscitation for health professionals by means of Telesimulation. Development: an experience report about a course for Cardiopulmonary Resuscitation training, developed remotely and synchronously with 227 health professionals between June and July 2021 in the state of Rio de Janeiro - Brazil. The course was taught for 35 groups of students by applying the following: pre-test, video class and post-test 1; and Telesimulation and post-test 2 with perception assessment. In the assessment, Telesimulation stood out as a motivation strategy for improved learning about the topic, evidenced by the increase in the number of correct answers between the tests. Conclusion: the participants showed interest in the course, which proved to be a learning strategy, also considered as an innovation possibility for permanent education in health. Objective Development training 22 202 Brazil 3 following pretest, pretest pre test, test pre-test posttest post 1 assessment topic tests Conclusion 20

https://doi.org/10.1590/ce.v28i0.84706

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