Unveiling supply chain efficiency: exploring ABC-VED analysis studies on drug inventory management in India

About one-third of annual hospital budget is spent on buying materials and supplies including medicines. In any health facility, be it small health center or a big teaching institution, drugs forms an essential and indispensable element. Non-availability of drugs particularly in the developing countries is due to lack of proper material management. A poor management in a public pharmaceutical supply can result in wastage or blockade of financial resources, irrational utilization of drugs, shortage or overage of essential drugs, increased holding cost, and reduction in flexibility and decline in quality of health care services. Adaptation of a scientific approach of inventory management in healthcare manages all the issues regarding stocking of pharmaceutical items, ensuring safety, stability, efficacy, availability and maintenance of quality of drugs to provide better healthcare services. This review will focus on inventory management and its importance with special emphasis on always better control-vital, essential, desirable (ABC-VED) analysis technique on essential medicine concept and report of various research studies conducted on ABC-VED analysis in different parts of country.

Problematic Internet Use and Personality Traits: Results in Working Age Adults / Uso problemático de internet y rasgos de personalidad: resultados en adultos en edad laboral

ABSTRACT Introduction: Problematic Internet use has become a growing problem worldwide; several factors, including personality, play an essential role in understanding this disorder. The Big Five personality traits and their association with problematic Internet use were examined in a large and diverse population. Methods: A survey was applied to a total of 1,109 adults of working age. Each answered the Big Five Inventory and the Internet Addiction Test. Results: Problematic Internet use was found in 10.6% of them (n = 112). The personality traits extraversion and openness to experience were significantly associated with those with the disorder. With adjustment models, a positive association was found between these traits and being single and higher education. Conclusions: This study represents the largest of its kind in the Spanish-speaking population, highlighting the importance of recognizing the factors involved in problematic Internet use.

RESUMEN Introducción: El uso problemático de internet es un problema creciente en todo el mundo; múltiples factores, como la personalidad, tienen un papel esencial en la comprensión de esta entidad. Los 5 grandes factores de personalidad y su asociación con el uso problemático de internet se evaluaron en una población grande y diversa. Métodos: Se aplicó una encuesta a un total de 1.109 adultos en edad productiva. Cada uno contestó el Inventario Big Five y el Internet Addiction Test. Resultados: Se encontró uso problemático de internet en el 10,6% de ellos (n = 112). En cuanto a rasgos de personalidad, la extroversión y la apertura a experiencias se asociaron significativamente con el uso problemático. Con modelos de ajuste, estos rasgos tuvieron una asociación positiva con no tener pareja y una educación superior. Conclusiones: Este estudio representa el más amplio de su tipo en población hispanohablante y destaca la importancia de reconocer los factores que intervienen en el uso problemático de internet.

Effects of Cochlear Implantation on Ipsilateral Tinnitus in Post-lingual Adault Recipients / 听力学及言语疾病杂志

Objective To study the changes of tinnitus after cochlear implantation in post-lingual adault recip-ients and analyze the factors that affect tinnitus.Methods A total of 47 postilingually-deafened adult subjects with tinnitus who underwent cochlear implantation at the Department of Otology,the first affiliated hospital of Zheng-zhou University,from January 2017 to December 2021.The subjects were evaluated using tinnitus handicap invento-ry(THI)and visual analogue scale(VAS)before cochlear implantation and 6 months after cochlear implant surger-y.Results Among 47 subjects who were eligible for this study,the THI scores were 36.94±13.337,14.48± 12.726,respectively,before CI and 6 months after cochlear implantation.The VAS scores were 5.13±1.676 be-fore and 2.34±1.903 after cochlear tmplantation.Statistical analysis showed significant differences in THI and VAS scores before and after cochlear implantation(P＜0.05).A total of 18 patients experienced complete tinnitus suppression,14 patients experienced alleviation of tinnitus,tinnitus remained unchanged in 13 patients,tinnitus worsened in 2 patients,and the overall efficiency was 66.0％(31/47).The tinnitus alleviation rate was signifant higher in the patients with tinnitus history of ≤5 years than the patients with tinnitus history of＞5 years(P＜0.05).There was a statistically significant difference in tinnitus alleviation between the patients with mild tinnitus and the patients with more than mild tinnitus before surgery(P＜0.001).Conclusion Cochlear implantation has an inhibitory effect on tinnitus in adults.Patients with shorter duration of the tinnitus and higher tinnitus handicap are more likely to experience tinnitus improvement after cochlear implantation.

Research on quality evaluation and improvement of in vitro diagnostic reagent supply chain based on zero inventory target / 中国医学装备

Objective:To establish the objective of zero inventory management of in vitro diagnostic reagents,to evaluate the quality of supply chain,and to improve the existing problems in the supply of reagents.Methods:The problems existing in the management of in vitro diagnostic reagents were analyzed from the aspects of inventory,supply efficiency and product quality,and the management system of hospital operation,management quality and patient benefit optimization was established,and the zero-inventory management path and quality evaluation model were constructed.85 models of 21 types of in vitro diagnostic reagents purchased by Jiangsu Subei People's Hospital from January 2020 to March 2023 were selected.According to different supply chain quality management methods,on-demand inventory management mode(referred to as mode 1)and zero inventory management mode(referred to as mode 2)were adopted respectively.The demand procurement,inventory management and clinical use effects of the two management modes were compared.Results:The reagent procurement demand compliance rate,supply capacity high-quality quality rate and clinical use matching rate of mode 2 were(93.35±3.62)%,(94.87±2.63)% and(96.08±2.31)%,respectively,which were higher than those of mode 1,the difference was statistically significant(Z=2.489,2.836,2.838,P<0.05).The number of cases of long-term overstocking of products,substandard environment and untimely information in mode 2 were(2.92±2.54)cases,(2.83±1.59)cases and(5.58±3.12)cases,respectively,which were lower than those in mode 1,the difference was statistically significant(Z=2.959,3.037,3.703,P<0.05).The satisfaction of clinical departments,medical technology departments and procurement center with the supply,distribution and information communication of in vitro diagnostic reagents in mode 2 were 97.8% and 93.3%,97.0% and 87.9%,100% and 84.6%,respectively,which were higher than those in mode 1,the difference was statistically significant(x2clinical departments=5.428,6.133,x2medical technology departments=3.958,3.937,x2procurement center=5.159,4.996,P<0.05).Conclusion:The zero inventory management model can improve the standardization of in vitro diagnostic reagent demand procurement,reduce the incidence of backlog failure in inventory management,and improve the quality of clinical supply services.

Correlation between disease perception and partner support in erectile dysfunction patients / 现代泌尿外科杂志

【Objective】 To investigate the status quo of disease perception and partner support of erectile dysfunction (ED) patients, and to analyze their correlation. 【Methods】 With convenient sampling method, 220 ED patients in a first-class hospital in Taiyuan were surveyed with the short version of disease perception questionnaire (BIPQ) and partner support coping questionnaire (DCI). 【Results】 The BIPQ score was (41.90±7.33), and the DCI score was (116.79±20.37). Pearson correlation analysis showed that except life influence, treatment control and emotional influence, the mutual support dimension of partner support of ED patients was correlated with all dimensions of disease perception (r=-0.173, 0.151, -0.182, 0.163, 0.188,P<0.05).Except cognitive comprehension, the negative support dimension of partner support of ED patients was correlated with the dimensions and total score of disease perception (r=0.399, 0.185, -0.167, -0.306, 0.269, 0.445, 0.320, 0.357,P<0.05). 【Conclusion】 ED patients have negative disease perception, and their partners have better coping strategies. Medical staff may pay more attention to partner support so as to reduce patients’ negative perception of disease and promote recovery.

Analysis of drug procurement model of multiple areas based on joint inventory in public hospitals / 药学实践与服务

Objective To evaluate the application effect of joint inventory management method in drug procurement and control management in multiple hospital areas. Methods Based on the joint inventory management model, four pilot drugs were selected from a certain group hospital by reasonable data processing methods for research. The effects of the model application were compared and analyzed from aspects such as inventory cost, turnover situation, and supply situation. Results After applying the joint inventory management model led by the central hospital, the inventory and amount of drugs in the three pilot hospitals were significantly reduced, with the inventory reduced by 31.93% and the average inventory amount decreased by 16.23%; The inventory turnover days had significantly decreased, with the turnover days of all three branches decreasing by more than one day; The drug shortage rate had significantly decreased, with the most significant change among the pilot drugs being the doxorubicin liposome injection, which had a 6.7% decrease in the shortage rate; The comparison results of each group of data showed statistical significance （P<0.05）. Conclusion Adopting a central hospital led joint inventory management model in multiple hospital areas could significantly improve the effectiveness of drug procurement management and inventory management, which enhanced the efficiency of hospital fund utilization.

Preliminary checklist of dragonflies (Insecta: Odonata) of the Santa Catarina State, Brazil / Checklist preliminar de libélulas (Insecta: Odonata) do Estado de Santa Catarina, Brasil

Abstract In this study, we provide a checklist of the species of Odonata (Insecta) from the state of Santa Catarina (southern Brazil), along with their location records in the municipalities across the state (whenever possible). We compiled 147 species from 60 genera and nine families, making Santa Catarina the second state with the most Odonata species recorded in southern Brazil. The families with the highest number of species were Libellulidae (54 species from 18 genera), followed by Coenagrionidae (36 species from 17 genera), Gomphidae (20 species from ten genera) and Aeshnidae (15 species from eight genera). Several regions of Santa Catarina are unexplored (mostly the westernmost and central regions of the state), whereas the knowledge in the southern coast and the subtropical highland grasslands remains restricted to sparse occurrence records. Moreover, the distribution records in the state show an enormous historical track associated with the establishment of late entomologists in the region. Our study highlights the role of Atlantic Forest biome in maintaining high levels of diversity of Odonata species richness in Brazil and also shows that many areas in subtropical forests in Brazil are not adequately sampled.

Resumo Neste estudo, fornecemos um checklist das espécies de Odonata (Insecta) do estado de Santa Catarina (sul do Brasil), juntamente com seus registros de localização nos municípios do estado (quando disponíveis na literatura). Compilamos 147 espécies distribuídas em 60 gêneros e nove famílias, tornando Santa Catarina o segundo estado com mais espécies de Odonata registradas na região Sul do Brasil. As famílias com maior número de espécies foram Libellulidae (54 espécies distribuídas em 18 gêneros), seguida por Coenagrionidae (36 espécies distribuídas em 17 gêneros), Gomphidae (20 espécies distribuídas em dez gêneros) e Aeshnidae (15 espécies distribuídas em oito gêneros). Diversas regiões de Santa Catarina seguem inexploradas (principalmente as regiões centrais e do extremo oeste do estado), enquanto conhecimento no litoral sul e campos de altitude subtropicais permanecem restritos a registros pontuais de ocorrência. Além disso, os registros de distribuição no estado mostram um enorme legado histórico associado à fixação de entomologistas tradicionalmente lotados na região. Nosso estudo destaca o papel do bioma Mata Atlântica na manutenção de altos níveis de diversidade da riqueza de espécies de Odonata no Brasil e também mostra que muitas áreas de florestas subtropicais no Brasil não são amostradas adequadamente.

Checklist of Odonata species from Serra of Itabaiana National Park, and an update and new records for the state of Sergipe, Brazil / Checklist das espécies de Odonata do Parque Nacional da Serra de Itabaiana, e uma atualização e novos registros para o estado de Sergipe, Brasil

Abstract Understanding species diversity and distribution cannot be overstated in the development of effective management and biological conservation strategies. Our goal was to address the knowledge gap regarding dragonfly diversity in the northeastern Atlantic Forest, specifically in the Serra of Itabaiana National Park in the state of Sergipe, Brazil. During our study, we recorded 40 species and 969 Odonata individuals across six families and 25 genera. This study contributes 27 new occurrence records of Odonata species in Sergipe, Brazil, highlighting the significance of preserving and protecting the habitats of this region. Our findings provide valuable information on the distribution of dragonfly species in the state of Sergipe and the Northeast region.

Resumo A compreensão da diversidade e distribuição das espécies é fundamental para o desenvolvimento de estratégias efetivas de manejo e conservação biológica. Nosso objetivo foi abordar a lacuna de conhecimento sobre a diversidade de libélulas na Mata Atlântica nordestina, especificamente na Serra do Parque Nacional de Itabaiana, no estado de Sergipe, Brasil. Durante nosso estudo, registramos 40 espécies e 969 indivíduos de Odonata em seis famílias e 25 gêneros. Este estudo contribui com 27 novos registros de ocorrência de espécies de Odonata em Sergipe, Brasil, destacando a importância de preservar e proteger os habitats desta região. Nossos resultados fornecem informações valiosas sobre a distribuição das espécies de libélulas no estado de Sergipe e na região Nordeste.

Cross-Cultural Adaptation and Validation of the Persian Version of the M. D. Anderson Dysphagia Inventory

Abstract Introduction Dysphagia is a common issue in patients with head and neck cancer (HNC) and is known to negatively impact their quality of life. To evaluate the impact of dysphagia on the quality of life of HNC patients, the M. D. Anderson Dysphagia Inventory (MDADI) questionnaire was developed. Objective The present study aimed to culturally adapt and validate the MDADI for Persian-speaking individuals. The MDADI is a self-administered questionnaire designed to assess the impact of dysphagia on the quality of life of HNC patients. Methods The original MDADI questionnaire was translated into Persian using the forward-backward method, following the guidelines of the World Health Organization (WHO) for cultural adaptation. The content validity of the Persian version, MDADI-P, was assessed by 10 speech-language pathologists using the content validity index (CVI). Seventy-five HNC patients completed the MDADI-P to evaluate its convergent validity, which was determined by comparing the results with the Short-Form 36 (SF-36) questionnaire. Internal consistency and test-retest reliability were assessed using Cronbach α coefficient and intraclass correlation (ICC), respectively. Results The scale content validity index (S-CVI) for the MDADI-P was 0.90, indicating good content validity. The MDADI-P demonstrated satisfactory internal consistency (Cronbach α coefficient = 0.728) and test-retest reliability (ICC = 0.91). The total MDADI-P score exhibited a significant correlation with the physical and mental components of the SF-36 (0.456 and 0.349, respectively, p < 0.05). Conclusion The findings of the present study confirm the suitability of the MDADI-P in terms of content validity, construct validity, internal consistency, and test-retest reliability.

Efectos de un curso universitario de extensión sobre habilidades sociales de adolescentes / Efeitos de um curso universitário de extensão sobre habilidades sociais de adolescentes / Effects of a university extension course on adolescent's social skills

As habilidades sociais têm importante papel na vida escolar e profissional. Este estudo, de natureza descritiva e correlacional, analisa os efeitos de um Curso de extensão intitulado "Imersão na Universidade: você protagonista do seu futuro", sobre as habilidades sociais de estudantes do Ensino Médio da rede pública. Para tanto, aplicou-se o Inventário de Habilidades Sociais em Adolescentes (IHSA-DelPrette) no momento inicial e três meses após o término do curso, considerando dois indicadores: (1) frequência e (2) dificuldade com que reagiam às diferentes demandas de interação social. Verificou-se diferença estatisticamente significante entre os escores pré e pós intervenção (p = 0,014), evidenciando aumento da frequência das habilidades. Para a dificuldade não foi observada diferença significante, embora tenha ocorrido uma diminuição de 13,45%. A universidade pode ser um espaço não apenas para capacitação analítica e instrumental, mas para o desenvolvimento interpessoal tanto da comunidade interna quanto externa.

Las habilidades sociales poseen importante papel en la vida escolar y profesional. En este estudio, de naturaleza descriptiva y correlacional, se analiza los efectos de un Curso de extensión intitulado "Inmersión en la Universidad: usted es protagonista de su futuro", sobre las habilidades sociales de estudiantes de la enseñanza secundaria de la red pública. Para tanto, se aplicó el Inventario de Habilidades Sociales en Adolescentes (IHSA-DelPrette) en el momento inicial y tres meses tras el término del curso, considerando dos indicadores: (1) frecuencia y (2) dificultad con que reaccionaran a las diferentes demandas de interacción social. Se verificó diferencia estadísticamente significante entre los escores pre y tras intervención (p = 0,014), evidenciando aumento de la frecuencia de las habilidades. Para la dificultad no se observó diferencia significante, aunque haya sucedido una disminución del 13,45%. La universidad puede ser un espacio no solo para capacitación analítica e instrumental, pero también para el desarrollo interpersonal de la comunidad interna y externa.

Social skills play an important role in school and professional life. This descriptive and correlational study analyzes the effects of an extension course entitled "Immersion in the University: you are the protagonist of your future", about the social skills of High School students in public schools. To this end, the Inventory of Social Skills in Adolescents (IHSA-DelPrette) was applied at the beginning and three months after the end of the course, considering two indicators: (1) assiduity and (2) difficulties they had when handling the different demands of social interaction. There was a statistically significant difference between the pre and post intervention scores (p = 0.014), showing an increase in the frequency of skills. For difficulty, no significant difference was observed, although there was a decrease of 13.45%. The university can be a space not only for analytical and instrumental training, but for the interpersonal development of both the internal and external community.

Biodiversity of macroalgae-associated invertebrates in the marine protected area of Alcatrazes archipelago, southeastern Brazil / Biodiversidade de invertebrados associados a macroalgas na área marinha protegida do Arquipélago de Alcatrazes, sudeste do Brasil

Abstract This study describes and illustrates the biodiversity of macroinvertebrates associated to Sargassum and Dictyota seaweed habitats in the Alcatrazes archipelago, the largest Marine Protected Area (MPA) in the state of São Paulo, southeast Brazil. Assemblages were sampled during the summers of 2018, 2019 and 2020 and winter of 2018 at two sites on the main island. Macroalgae containing the associated fauna were collected at approximately 10 meters deep, with six samples at each site and in each sampling campaign. Sargassum fronds prevailed during summer collections, whilst were absent in the winter campaigns, when Dictyota was the most frequent seaweed. Among invertebrates, 32 species were exclusively found on summer months, associated to Sargassum beds, while 12 species were only registered on winter collection, in association with Dictyota. In total, 91 species were identified, belonging to 60 families, 19 orders, 7 classes and 3 phyla, including Arthropoda (Malacostraca and Pycnogonida), Mollusca (Gastropoda, Bivalvia and Polyplacophora), and Echinodermata (Ophiuroidea and Echinoidea). Among the 91 species found, 73 species are new records for the Alcatrazes archipelago marine area, thus revealing the expressive invertebrate biodiversity living in association with macroalgae beds in that area, which has still been little explored. No significant difference in species diversity was found between the two sites of Alcatrazes. In addition, few specimens of two invasive species were found: Perna perna (Mollusca: Bivalvia) and Ophiothela mirabilis (Echinodermata: Ophiuroidea), which underscores the importance of monitoring different habitats within MPAs to check for possible changes in the fauna over the years. As far as our knowledge, this is the first illustrated inventory of the seaweed-associated macroinvertebrate fauna within the Alcatrazes Archipelago, one of the largest MPAs in the Brazilian coast; besides unravelling its notorious biodiversity, this can act as a reference for future monitoring of local coastal diversity.

Resumo Este estudo descreve e ilustra a biodiversidade de macroinvertebrados associados a habitats de macroalgas pardas marinhas dos gêneros Sargassum e Dictyota no Arquipélago de Alcatrazes, a maior Área Marinha Protegida (AMP) do estado de São Paulo, sudeste do Brasil. As assembleias foram amostradas durante os verões de 2018, 2019 e 2020 e no inverno de 2018 em dois locais na ilha principal. As macroalgas contendo a fauna associada foram coletadas a aproximadamente 10 metros de profundidade, com seis amostras em cada local e em cada campanha amostral. Frondes de Sargassum predominaram nas coletas de verão, enquanto estiveram ausentes nas campanhas de inverno, quando Dictyota foram predominantes. Entre os invertebrados, 32 espécies foram encontradas exclusivamente nos meses de verão, associadas aos bancos de Sargassum, enquanto 12 espécies foram registradas apenas na coleta de inverno, em associação com Dictyota. No total, foram identificadas 91 espécies, pertencentes a 60 famílias, 19 ordens, 7 classes e 3 filos, incluindo Arthropoda (Malacostraca e Pycnogonida), Mollusca (Gastropoda, Bivalvia e Polyplacophora) e Echinodermata (Ophiuroidea e Echinoidea). Das 91 espécies encontradas, 73 espécies são novos registos para a área marinha do arquipélago de Alcatrazes, revelando assim a expressiva biodiversidade de invertebrados que vivem em associação com bancos de macroalgas naquela área ainda pouco explorada. Nenhuma diferença significativa de diversidade de espécies foi encontrada entre os dois locais de Alcatrazes. Além disso, foram encontrados poucos exemplares de duas espécies invasoras: Perna perna (Mollusca: Bivalvia) e Ophiothela mirabilis (Echinodermata: Ophiuroidea), o que ressalta a importância do monitoramento de diferentes habitats dentro das AMPs para verificar possíveis alterações na fauna ao longo dos anos. Até onde sabemos, este é o primeiro inventário ilustrado da fauna de macroinvertebrados associados a algas marinhas no Arquipélago de Alcatrazes, uma das maiores AMPs da costa brasileira; além de desvendar a sua notória biodiversidade, pode servir de referência para futuro monitoramento da diversidade costeira local.

Suicide Crisis Inventory-2: factor structure, internal consistency, and validity in a Brazilian sample

Objective: To evaluate the factor structure, reliability, and validity of the Brazilian version of the Suicide Crisis Inventory-2 (SCI-2) among Brazilian adults. Methods: The SCI-2 was cross-culturally adapted into Portuguese and administered to 2,265 Brazilian participants. Confirmatory factor analysis (CFA) was used to assess factor structure, internal consistency, convergent validity, and criterion validity by using measures such as suicidal narratives, stressful life events, suicidal ideation, and suicide attempts. Results: The revised one-factor model of the SCI-2 demonstrated an adequate, although not optimal, model fit (χ2[1539] = 31,442.79, p < 0.001, comparative fit index [CFI] = 0.99, Tucker-Lewis index [TLI] = 0.99, root mean square error of approximation [RMSEA] = 0.09, standardized root mean residual [SRMR] = 0.05). The revised five-factor model, on the other hand, demonstrated good fit (χ2[1529] = 14,174.86, p < 0.001, CFI = 1.00, TLI = 1.00, RMSEA = 0.06, SRMR = 0.04). Comparison of these two models indicated that the five-factor model had a better fit than the one-factor model. Both the total and subscale scores of the SCI-2 showed strong internal consistency and good convergent and criterion validity in relation to stressful life events, suicidal narratives (excluding the goal disengagement subscale), suicidal ideation, and suicide attempts. Conclusion: Our findings suggest that the Brazilian version of the SCI-2 is a valid tool for assessing symptoms of suicidal crisis syndrome.

Additional cognitive behavior therapy for persistent postural-perceptual dizziness: a meta-analysis

Abstract Objective To investigate whether additional Cognitive Behavior Therapy (CBT) combined with conventional therapy improves outcomes for patients with Persistent Postural-Perceptual Dizziness (PPPD) compared with conventional therapy alone. Methods Two reviewers independently searched PubMed, Embase, Web of Science, Cochrane Library, and ClinicalTrials.gov for relevant Randomized Controlled Trials (RCTs) examining CBT for PPPD which were conducted and published in English from January 2002 to November 2022. RCTs reporting any indicators for assessing corresponding symptoms of PPPD were included, such as Dizziness Handicap Inventory (DHI), Hamilton Anxiety Scale (HAMA), Hamilton Depression Scale (HAMD), Hospital Anxiety and Depression Scale (HADS), and Patient Health Questionnaire-9 (PHQ-9). Two independent reviewers conducted extraction of relevant information and evaluation of risk of bias. The Cochrane Collaboration risk of bias tool version 1.0 was used to evaluate risks and assess the quality of the included studies, and Cochrane Review Manager 5.3 software (RevMan 5.3) was used to perform meta-analyses. Results The results of six RCTs indicated that combining additional CBT with conventional therapy significantly improved outcomes for PPPD patients compared with conventional therapy alone, especially in DHI-Total scores (Mean Difference [MD = −8.17], 95% Confidence Interval [95% CI: −10.26, −6.09], p< 0.00001), HAMA scores (MD = −2.76, 95% CI: [−3.57, −1.94], p< 0.00001), GAD-7 scores (MD = −2.50, 95% CI [−3.29, −1.70], p< 0.00001), and PHQ-9 scores (MD = −2.29, 95% CI [−3.04, −1.55], p< 0.00001). Subgroup analysis revealed a significant benefit of additional CBT compared with conventional therapies alone, including Vestibular Rehabilitation Therapy (VRT) (MD = −8.70, 95% CI: [−12.17, −5.22], p< 0.00001), Selective Serotonin Reuptake Inhibitor (SSRI) (with controlled SSRI: MD = −10.70, 95% CI: [−14.97, −6.43], p< 0.00001), and VRT combined with SSRI (MD = −6.08, 95% CI [−9.49, −2.67], p= 0.0005) in DHI-Total scores. Conclusion Additional CBT combined with conventional therapy may provide additional improvement for patients with PPPD compared with conventional therapy alone. However, more RCTs are needed to support and guide the application of CBT in treating PPPD. Level of evidence: I; Systematic review of RCTs.

Amphibians and reptiles of the Refúgio Biológico Bela Vista - Itaipu Dam, state of Paraná, southern Brazil / Anfíbios e répteis do Refúgio Biológico Bela Vista - hidrelétrica Itaipu, estado do Paraná, sul do Brasil

Abstract Information regarding species occurrence is fundamental to understanding biodiversity distribution. However, the biodiversity from the west of the state of Paraná has been historically less studied, especially amphibians and reptiles. For this reason, we present the first reptile list of species from the west of the state of Paraná and extend the current list of anurans for the municipality of Foz do Iguaçu. The species list was based on a systematic field study conducted at Refúgio Biológico Bela Vista (RBV) a conservation area within the Hydroelectric Power Itaipu Binacional. We integrated the species list with previous species observations available in the literature for the same place where our sampling was conducted. A total of 41 species of amphibians and reptiles are presented. All amphibians species found were recorded in the field; however, from the 22 species of reptiles recorded, three were historical records obtained before this study. Species were all classified as Least Concern and/or had stable populational status according to the IUCN. Sampling sufficiency was achieved for anurans but not for reptiles, probably due to low abundance of several snake species. The most abundant species of anuran was Dendropsophus nanus, from the Hylidae family, whereas Leptodactylus plaumanni and Scinax squalirostris were represented by only one individual each. The lizard Salvator merianae was the most abundant reptile, and seven species were represented by only one individual each. The most successful sampling method for adult anurans was active search in water bodies whereas most of reptile species were observed by accidental encounters and not through a systematic sampling method. We found that herpetofauna composition from RBV was similar to other communities from Paraná state that also occur within the Semideciduous Seasonal Forest. Finally, as additional information to the species list, we offer species identification keys and discuss the importance of Refúgio Biológico Bela Vista to harbor the anuran and reptile diversity of the region.

Resumo Informações sobre a ocorrência de espécies são fundamentais para a compreensão da distribuição da biodiversidade. Porém, a biodiversidade do oeste do Estado do Paraná tem sido historicamente menos estudada, especialmente a de anfíbios e répteis. Por esse motivo, apresentamos a primeira lista de espécies de répteis do oeste do Estado do Paraná e ampliamos a lista atual de anuros para o município de Foz do Iguaçu. A lista de espécies foi baseada em um estudo sistemático de campo realizado em uma área de conservação dentro da Usina Hidrelétrica Itaipu Binacional. Integramos a lista de espécies com observações de espécies anteriores disponíveis na literatura para o mesmo local onde nossa amostragem foi realizada. Um total de 41 espécies são apresentadas. Todas as espécies de anuros encontradas foram registradas em campo; entretanto, das 22 espécies de répteis registradas, três foram registros obtidos antes deste estudo. Todas as espécies foram classificadas como "Pouco Preocupante" e/ou tinham status de "População Estável" de acordo com a IUCN. A suficiência amostral foi alcançada para anuros, mas não para répteis, provavelmente devido à baixa abundância de diversas espécies de serpentes. A espécie de anuro mais abundante foi Dendropsophus nanus, da família Hylidae, enquanto Leptodactylus plaumanni e Scinax squalirostris foram representados por apenas um indivíduo cada. O lagarto Salvator merianae foi o réptil mais abundante, e sete espécies foram representadas por um indivíduo cada. O método de amostragem mais bem sucedido para anuros adultos foi a busca ativa em corpos d'água, enquanto a maioria das espécies de répteis foi observada por encontros acidentais e não através de um método de amostragem sistematizado. Descobrimos que a composição da herpetofauna do Refúgio Biológico Bela Vista foi semelhante à de outras comunidades do estado do Paraná que também ocorrem dentro da Floresta Estacional Semidecidual. Por fim, como informações adicionais à lista de espécies, oferecemos chaves de identificação das espécies e discutimos sobre a importância da área de Itaipu para abrigar a diversidade de anuros e répteis da região.

Perfil de autodeterminação de adultos com e sem dificuldades intelectuais e desenvolvimentais: estudo comparativo / Self-determination profile of adults with and without intellectual and developmental difficulties: comparative study

RESUMO O reconhecimento da autodeterminação tem vindo a ser evidente também no campo da Dificuldade Intelectual e Desenvolvimental (DID), visto que a pessoa deve assumir-se como agente ativo e decisor na própria vida. A aprendizagem das competências autodeterminadas é fundamental dada a sua transversalidade contextual, não se devendo restringir apenas à adolescência. Em Portugal, as evidências são escassas e baseadas no anterior modelo. Assim sendo, o objetivo deste estudo foi identificar o perfil de autodeterminação, à luz da teoria do agente causal, de adultos com DID, no intuito de analisar as variáveis que o influenciam. A versão portuguesa do Inventário de Autodeterminação foi aplicada a 44 participantes entre os 21-73 anos (40.77±12.07), 20 do género feminino e 24 do masculino. Metade da amostra eram participantes com DID, todos institucionalizados. A consistência interna foi aceitável (α=.65). A análise comparativa pelo diagnóstico, género, idade, habilitações académicas, situação profissional e local de residência apontou a tendência para perfis semelhantes (p>.05). As diferenças encontradas estão associadas a perfis mais autodeterminados de adultos com DID, inferindo-se o maior peso das características envolvimentais do que individuais (diagnóstico). As pessoas com DID reconhecem a autodeterminação como relevante e apresentam as habilidades para a decisão. Recomendações para a investigação e para a prática serão avançadas.

ABSTRACT The recognition of self-determination has also become evident in the field of Intellectual and Developmental Disability (IDD), as the person must assume him/herself as an active agent and decision-maker in his/her own life. Learning self-determined skills is fundamental given their contextual transversality and should not be restricted to the period of adolescence. In Portugal, evidence is scarce and based on the previous model. Therefore, the aim of this study was to identify the self-determination profile, in the light of the causal agent theory, of adults with IDD, in order to analyze the variables that influence it. The Portuguese version of the Self-Determination Inventory was applied to 44 participants aged between 21-73 years old (40.77±12.07), 20 females and 24 males. Half of the sample were participants with IDD, all institutionalized. Internal consistency was acceptable (α=.65). The comparative analysis by diagnosis, gender, age, academic qualifications, professional status and place of residence showed a tendency towards similar profiles (p>.05). The differences found are associated with more self-determined profiles of adults with ID, inferring the greater weight of involvement characteristics than individual ones (diagnosis). People with IDD recognize self-determination as relevant and present decision-making skills. Recommendations for research and practice will be advanced.

Validation of the Brazilian version of the Short Inventory of Grazing (SIG)

Abstract Objective Grazing is a disturbed eating pattern that has been associated with eating disorders and obesity. One of the new measures to investigate this eating behavior is the Short Inventory of Grazing (SIG), a two-item questionnaire that assesses grazing in general and grazing associated with the feeling of loss of control over eating (LOC grazing). However, the psychometric properties of the SIG have not been assessed in the Brazilian population. The present study aimed to cross-culturally adapt and validate a Brazilian version of the SIG. Methods The SIG was adapted to the Brazilian context following international guidelines. Then, 90 undergraduate students completed an online survey including questions from the SIG, the Binge Eating Scale (BES), the Patient Health Questionnaire-9 (PHQ9), the Generalized Anxiety Disorder-7 (GAD7), and a question related to self-reported health status. The internal consistency, test-retest reliability, and convergent validity of the questionnaire were assessed. Results The prevalence rates of at least one weekly episode of grazing in general and LOC grazing were 71.1 and 54.5%, respectively. The internal consistence of the SIG was acceptable (0.81). In addition, SIG scores on both items were positively and significantly associated with BES, GAD7, and PHQ9 scores, and with poorer self-rated health. However, SIG test and retest scores differed significantly. Conclusion Overall, the Brazilian version of the SIG demonstrated adequate psychometric properties. The instrument had adequate internal consistency, with both items exhibiting good convergent validity with related measures.

Propiedades psicométricas del CESQT, versión Desencanto Profesional (CESQT-DP) en una muestra multiocupacional colombiana / Psychometric properties of the SBI, Professional Disenchantment version (SBI-DP), in a multi-occupational Colombian sample

Resumen Introducción/Objetivos: existen múltiples instrumentos para evaluar el Síndrome de Quemarse por el Trabajo (burnout) en profesiones relacionadas con el servicio a otras personas. Sin embargo, hay limitaciones metodológicas para estudiar este fenómeno en poblaciones de trabajadores generales. El presente estudio tiene como objetivo ofrecer evidencia de la validez y fiabilidad del "Cuestionario para la Evaluación de Quemarse por el Trabajo", en su versión Desencanto Profesional (CESQT-DP), la cual puede ser aplicada a trabajadores de cualquier ocupación, empleando para ello una muestra colombiana. Método: se efectuó un estudio psicométrico con una muestra multiocupacional de 2991 trabajadores. Se realizaron análisis factoriales confirmatorios, análisis de invarianza por sexo, validez convergente y discriminante y de consistencia interna. Resultados: los resultados muestran la estructura factorial, replicando las cuatro dimensiones hipotetizadas; se evidencia invarianza del instrumento según el sexo, y muestras de la validez convergente, discriminante y fiabilidad. Discusión: el CESQT-DP cuenta con altas calidades psicométricas y puede emplearse para evaluar el burnout en empleados en cualquier ocupación en Colombia.

Abstract Introduction/objectives: Multiple instruments to assess burnout syndrome in employees working in service occupations exist. These instruments have methodological limitations for understanding the phenomenon of burnout in employees who are in professions not related to service to others. The aim of this study was to evaluate the psychometric properties of the Spanish Burnout Inventory-Professional Disenchantment version (SBI-PD), in a Colombian sample, which can then be used in employees working in any sector of the economy. Methods: A psychometric validation study with 2,991 multi-occupational employees was developed. Analyses included CAF, sex invariance, convergent and discriminant validity, and internal consistency analyses. Results: The results provide evidence of the factorial structure of the instrument, sex invariance, convergent and discriminant validity, and reliability. Discussion: The SBI-PD version has excellent psychometric properties and can be used in Colombia with employees working in any occupation.

To study the effect of 'Covishield' vaccination on pre-donation platelet counts of plateletpheresis donors

ABSTRACT Introduction: Approximately 55.52% of the Indian population had been fully vaccinated by Jan. 2022, since its first roll out on January 16, 2021. A few concerns were raised concerning the Covishield vaccination related to thrombotic thrombocytopenia. Apheresis-derived platelet concentrates are frequently required in a plethora of clinical situations and post-vaccination decrement of platelet counts might lead to increased deferral of the plateletpheresis donors. Objectives. The aim of the study was to discover the effect of the Covishield vaccination on deferral rates of plateletpheresis donors. Methods: Blood samples were collected from the potential platelet donors for the completion of the standard questionnaire for the complete blood count. The data collected were tabulated in the MS Excel spreadsheet and the biostatistical analysis was performed with the SPSS v23. A p-value of < 0.05 was taken as significant. We compared this data with age-and sex-matched controls. Results: The mean age of cases and controls was 29.69 ± 8.57 and 30.15 ± 7.11, respectively. There was a significant difference in platelet counts of cases (188496.35 ± 72065.66/cumm) and controls (269524.50 ± 53981.60/cumm). Furthermore, donors who received one dose had higher platelet counts of 248676.47 ± 80075.24/cumm than those who received both doses of vaccine (179970.83 ± 66773.73/cumm). The difference in deferral rates between the two groups was remarkable (34.7% vs. 0.9%, with the p-value < 0.001). Conclusion: Vaccination certainly increased the deferral rates of plateletpheresis donors due to low platelet counts. Average platelet counts were low in fully vaccinated individuals, however, the platelets returned to normal counts as the post-vaccination days progressed.

Síndrome de Burnout en residentes y posgrados de Neonatología en un centro hospitalario de tercer nivel: análisis situacional y seguimiento, período 2021-2023 / Burnout Syndrome in Neonatology Fellows in a Hospital Center: situational Analysis and Monitoring, Period 2021-2023 / Síndrome de burnout em residentes de neonatologia e pós-graduandos em um centro hospitalar de terceiro nível: análise e monitoramento situacional, período 2021-2023

Introducción: los residentes y posgrados son un eslabón central en los servicios hospitalarios. El síndrome de Burnout se define como el agotamiento físico y emocional resultado de la exposición crónica al estrés en el ámbito laboral. El Maslach Burnout Inventory (MBI-HSS) es un instrumento diseñado y validado para evaluarlo. El objetivo de este estudio es determinar la prevalencia del síndrome de Burnout en nuestro servicio y compararla entre los estudiantes de distintas generaciones para luego poner en marcha mecanismos que permitan realizar seguimiento, detección temprana e identificación de factores modificables. Material y método: estudio transversal, descriptivo, observacional, desarrollado en abril de 2021 a través de la realización del test MBI-HSS para el diagnóstico de situación. Este estudio continuará con una segunda etapa que consta de la aplicación del test cada cuatro meses, la cual no desarrollaremos en el presente trabajo. La población objetivo la constituyen todos los residentes y posgrados de la especialidad de Neonatología en un centro hospitalario de tercer nivel. Se aplicó el cuestionario MBI-HSS y un cuestionario general para caracterizar a la población. Resultados: se incluyeron un total de 22 participantes, de los cuales 13 presentaron puntajes altos de agotamiento emocional, 9 obtuvieron un valor alterado de despersonalización y 9 presentaron puntajes bajos de realización personal. Seis participantes (27%) presentaron puntajes alterados para las tres variables. Conclusiones: se evidenció una alta prevalencia de Burnout, el 27% en la población total. Se encontraron diferencias estadísticamente significativas para los ítems despersonalización y realización personal entre los distintos años de la especialidad, con mayor puntaje de despersonalización y menor puntaje de realización personal en los de segundo y tercer año. Esto constituye un elemento de alarma que exige la modificación inmediata del funcionamiento y de las actividades.

Introduction: Residents and postgraduates are a fundamental part of hospital services. Burnout Syndrome is defined as physical and emotional exhaustion resulting from chronic exposure to stress in the workplace. The Maslach Burnout Inventory (MBI-HSS) is an instrument designed and validated to evaluate it. The objective of this study is to determine the prevalence of Burnout Syndrome in our service and to compare it among students of different generations to then implement mechanisms that allow monitoring, early detection and identification of modifiable factors. Materials and methods: Cross-sectional, descriptive, observational study carried out in April 2021 through the Maslach Burnout Inventory - Human Services Survey (MBI-HSS) test to carry out a diagnosis of the situation. This study will continue with a 2nd stage consisting of the application of the test every 4 months, which we will not develop in this work. The target population is all residents and postgraduates in the neonatology specialty at a tertiary level hospital. The MBI-HSS questionnaire and a general questionnaire were applied to characterize the population. Results: A total of 22 participants were included, of which 13 presented high scores of emotional exhaustion, 9 obtained an altered value of depersonalization and 9 presented low scores of personal fulfillment. Six participants, 27%, presented altered scores for the three variables. Conclusions: A high prevalence of Burnout was evidenced, being 27% in the total population. Statistically significant differences were found for the items "depersonalization" and "personal fulfillment" between the different years of the specialty, with higher depersonalization scores and lower personal fulfillment scores in the second and third years. This constitutes an alarm element, which requires immediate modification of the operation and activities.

Introdução: Residentes e pós-graduandos constituem um elo central nos serviços hospitalares. A Síndrome de Burnout é definida como exaustão física e emocional resultante da exposição crônica ao estresse no ambiente de trabalho. O Maslach Burnout Inventory (MBI-HSS) é um instrumento elaborado e validado para avaliá-lo. Objetivo: O objetivo deste estudo é determinar a prevalência da Síndrome de Burnout no Serviço de Neonatologia do Centro Hospitalario Pereira Rossel e compará-la entre estudantes de diferentes gerações para então implementar mecanismos que permitam monitoramento, detecção precoce e identificação de fatores modificáveis. Materiais e métodos: Estudo transversal, descritivo, observacional realizado em abril de 2021 por meio do teste Maslach Burnout Inventory - Human Services Survey (MBI-HSS) para diagnóstico da situação. Este estudo continuará com uma 2ª etapa que consiste na aplicação do teste a cada 4 meses, que não desenvolveremos neste trabalho. A população-alvo são todos os residentes e pós-graduandos da especialidade de neonatologia de um hospital de nível terciário. O questionário MBI-HSS e um questionário geral foram aplicados para caracterizar a população. Resultados: Foram incluídos 22 participantes, dos quais 13 apresentaram escores elevados de exaustão emocional, 9 obtiveram valor alterado de despersonalização e 9 apresentaram escores baixos de realização pessoal. Seis participantes, 27%, apresentaram escores alterados nas três variáveis. Conclusões: Evidenciou-se uma alta prevalência de Burnout de 27% na população total. Foram encontradas diferenças estatisticamente significativas nos itens "despersonalização" e "realização pessoal" entre os diferentes anos da especialidade, com maiores pontuações de despersonalização e menores pontuações de realização pessoal no segundo e terceiro anos. Isto constitui um elemento de alarme, que requer modificação imediata do funcionamento e das atividades.

Coping with Transgressions by the Romantic Partner: An Inventory Validation and its Correlation with Forgiveness / Afrontamiento ante las Transgresiones de la Pareja: Validación de un Inventario y su Relación con el Perdón

Abstract Almost every person has to deal with transgressions committed by a romantic partner and faces their negative psychological outcomes, and coping strategies might be key to understanding post-transgression dynamics and forgiveness. We tested the construct validity of the Inventory of Strategies for Coping with a Partner's Transgression which include the emotion (E-FCS), problem (P-FCS), and meaning-focused coping strategies (M-FCS) scales. Results replicated the factor structure of each of the three scales through confirmatory factor analysis techniques, tested its reliability with the McDonald's omega coefficient, and then correlated the scales with forgiveness and resentment, strengthening its construct validity. In general, the validity and reliability of scales were confirmed. Emotion-focused strategies showed a negative correlation with forgiveness, while problem and meaning-focused strategies had a positive correlation. These findings were discussed in the context of theory and their practical implications.

Resumen Las personas tienden a lidiar con transgresiones cometidas por su pareja y enfrentar sus consecuencias psicológicas aversivas, por lo que las estrategias de afrontamiento pueden ser clave para la dinámica post-transgresión, y el perdón. Validamos tres escalas para medir estrategias de afrontamiento ante las transgresiones cometidas por la pareja: Estrategias enfocadas en la emoción (E-FCS), el problema (P-FCS) y el sentido (M-FCS). Los resultados muestran que las estructuras factoriales se replicaron en mediante análisis factoriales confirmatorios, se puso a prueba su confiabilidad mediante el coeficiente omega de McDonald, y finalmente se correlacionaron con el perdón y resentimiento, fortaleciendo su validez de constructo. En general los resultados muestran evidencia de validez de constructo y confiabilidad, en general los factores de la E-FCS se correlacionaron negativamente con al perdón, mientras que de P-FCS Y M-FSC lo hicieron positivamente. Se discuten los hallazgos a la luz de la teoría, y sus implicaciones prácticas.