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1.
Rev. Ciênc. Plur ; 8(3): 28520, out. 2022. ilus, tab
Article in Portuguese | LILACS, BBO | ID: biblio-1399335

ABSTRACT

Introdução:Em dezembro de 2019 na China, o SARS-CoV-2 foi identificado e declaradocomopandemiapelaOrganização Mundial da Saúde.Suatransmissibilidade entrehumanos e evoluçãocomestabilidade clínicaehemodinâmica, aumentam o risco dodesenvolvimento delesões por pressãonos pacientes mais críticos.Objetivo:Identificar os principais cuidados hospitalares para manter a integridade da pele nos pacientes com COVID-19propensos a lesão por pressão. Metodologia:Estudo descritivo do tipo revisão integrativa realizado nas bases: Literatura Latino-Americana de Ciências da Saúde, Base de Dados de Enfermagem,Scientific Eletronic Library OnlineeBiblioteca Nacional de Medicina dos Estados Unidoscom osdescritores COVID-19, Lesão por pressão, Assistência ao pacienteePadrões de referência. Os critérios de inclusãoforamtextos completosdisponíveis gratuitamente, publicados entre 2019 e2021, que compartilhassem da temáticaem adultos e/ou idosos.Foramexcluídos artigos incompletos,plataformas pagas, cartae notas editor, reflexões e os artigos duplicados foram contabilizados uma vez, o idioma de origem não foi fator excludente.Resultados:Foram identificados 398 artigos potencialmente relevantes e 7 foram selecionados. As principais práticas relacionadas a prevenção de lesões por pressão em pacientes com COVID-19 apontamintervenções como o uso de checklist, avaliação periódica da pele,definiçãodo risco de desenvolvimento de lesão por pressão, mudança de decúbito conforme tolerância do paciente, uso de superfície para redistribuição de peso, cobertura profilática multicamadase controle da umidade da pele. Conclusões:As principais práticasparaevitar aslesões por pressãonos pacientes com COVID-19 no ambiente hospitalarestãoassociadas como cuidado direto ou indiretamente ligados a pele,adoção de medidas preventivas e sistemáticas dentro da realidade clínica e hemodinâmica dos pacientes (AU).


Introduction:In December 2019, in China, SARS-CoV-2 virus was identified and a pandemic was declared by the World Health Organization. Its transmissibility among humans and evolution with clinical and hemodynamic stability increases the risk of developingpressure injuries in the most critical patients.Objective:To identify the main hospital care to maintain skin integrity in COVID-19patients prone to pressure injuries.Methodology:A descriptive study of integrative review carried out in the following bases: Latin-American Health Sciences Literature, Nursing Database, Scientific Electronic Library Online and the National Library of Medicine of the United States, with the descriptors COVID-19, Pressure Injuries, Patient Care and Benchmarks. Inclusion criteria were full texts available for free, published between 2019 and 2021, which shared the subject matter in adults and/or elderly people. Incomplete articles, paid platforms, editor'sletter and notes, and reflections were excluded; duplicate articles were counted once. The source language was not an excluding factor.Results:398 potentially relevant articles were identified, 7 were selected. The main practices related to the prevention of pressure injuries in patients with COVID-19 point to interventions such as the use of checklists, periodic skin assessment, definition of the risk of developing pressure injuries, change of decubitus according to the patient's tolerance, use of surface for weight redistribution, multi-layer prophylactic coverage and skin moisture management.Conclusions:The main practices to avoid pressure injuries in patients with COVID-19in the hospital environment are associated with care directly or indirectly linked to the skin, adoption of preventive and systematic measures within the clinical and hemodynamic reality of patients (AU).


Introducción: Endiciembre de 2019, en China, el SARS-CoV-2 fue identificado y declarado pandemia por laOrganización Mundial de la Salud. Su transmisibilidad entre humanos y la evolución conestabilidad clínica yhemodinámica aumentan el riesgo de desarrollar lesiones por presión en lospacientes más críticos. Objetivo:Identificar los principales cuidados hospitalarios para mantener la integridad de la piel en pacientes con COVID-19propensos a lesiones por presión. Metodología:Estudio descriptivo del tipo "revisiónintegradora" realizado em las bases de datos: Literatura Latinoamericana de Ciencias de la Salud, Base de Datos de Enfermería, ScientificEletronic Library Online (Biblioteca Electrónica Científica en Línea) y Biblioteca Nacional de Medicina de los EstadosUnidos con los identificadores COVID-19, Lesión por Presión, Atención al Paciente y Estándares de Referencia. Loscriterios de inclusión fueron textos completos disponiblesde forma gratuita, publicados entre el 2019 y 2021, quecompartieron el tema en adultos y/o ancianos.Se excluyeronlos artículos incompletos, las plataformas pagadas,las cartas y las notas del editor y las reflexiones. Los artículos duplicados se contaron una vez. El idioma de origenno fue un factor de exclusión. Resultados:Se identificaron un total de 398 artículos potencialmente relevantes, 7fueron seleccionados. Las principales prácticasrelacionadas con la prevención de lesiones por presión em pacientes con COVID-19 apuntan a intervenciones como el uso de checklist, evaluación periódica de la piel,riesgo de lesión por presión, cambio de decúbito según tolerancia del paciente, uso desuperficie para redistribución de peso, cobertura profiláctica multicapa y control de la humedad de la piel.Conclusiones:Lasprincipales prácticas para evitar lesiones por presión en pacientes con COVID-19 en el ámbitohospitalario se asocian con cuidados directa o indirectamente vinculados a la piel, adopción de medidaspreventivas y sistemáticas dentro de la realidad clínica y hemodinámica de los pacientes (AU).


Subject(s)
Reference Standards , Pressure Ulcer/nursing , Pressure Ulcer/prevention & control , Patient Care , COVID-19 , Risk Factors , Nursing Care
2.
Lima; Perú. Ministerio de Salud. Dirección General de Intervenciones Estratégicas en Salud Pública. Dirección de Salud Mental; 1 ed; Ago. 2022. 34 p. ilus.
Monography in Spanish | LILACS, LIPECS, MINSAPERU | ID: biblio-1392066

ABSTRACT

La presente publicación describe los parámetros técnicos estandarizados, para la evaluación de la afectación psicológica de personas, en caso de haber sido víctimas de violencia contra las mujeres y los integrantes del grupo familiar y para contribuir a la recuperación integral y oportuna de las personas víctimas de violencia contra las mujeres e integrantes del grupo familiar que acuden a las Instituciones Prestadoras de Servicios de Salud (IPRESS)


Subject(s)
Reference Standards , Stress, Psychological , Mental Health , Domestic Violence , Risk Assessment , Victims Identification , Psychosocial Impact , Violence Against Women
3.
RECIIS (Online) ; 16(2): 298-316, abr.-jun. 2022. tab, ilus
Article in Portuguese | LILACS | ID: biblio-1378362

ABSTRACT

Este artigo apresenta reflexões acerca do conjunto de ações do projeto ArboControl em Roraima relatadas, neste estudo, a partir das experiências e práticas de combate à desinformação do Amazoom ­ Observatório Cultural da Amazônia e do Caribe. Para a melhor compreensão das formas de fazer apresentamos, neste estudo, o contexto em que elas ocorrem; os aspectos gerais que pautaram a criação do Amazoom e a sua vinculação à iniciativa nacional do ArboControl; os objetivos e as múltiplas dimensões das práticas comunicativas executadas no âmbito do projeto; os conceitos e as ideias que movimentamos no exercício desse fazer; os métodos e as técnicas que utilizamos; e os principais produtos, os seus processos e os resultados parciais alcançados até o momento. Enfatizamos, a partir das práticas realizadas e do material analisado, a importância da produção de conteúdos próprios (apropriados e apropriáveis), inspirados nos preceitos da educomunicação, capazes de acionar linguagens híbridas, narrativas múltiplas e mais efetivas, na prevenção, no monitoramento e no controle das arboviroses (e de seus vetores).


This article presents some thoughts about the set of actions of the ArboControl project in Roraima, reported in this study, based on the experiences and practices in fighting misinformation by Amazoom ­ Cultural Observatory of the Amazon and the Caribbean. For a better understanding of these ways of doing, we present, in this study, the context in which they occur; the general aspects that guided the creation of Amazoom and its connection to the national initiative of ArboControl; the objectives and the multiple dimensions of the communicative practices implemented in the scope of the project; the concepts and ideas that we put into motion in these practices; the methods and techniques that we employed; and the main products, their processes and partial results achieved so far. We emphasize, based on the accomplished activities and their analyzed material, the importance of producing our own content (appropriate and appropriable), inspired by the principles of educommunication, which are able to engage in hybrid languages, narratives that are multiple and more effective in the prevention, monitoring and control of arboviruses (and their vectors).


Este artículo presenta reflexiones sobre el conjunto de acciones del proyecto ArboControl en Roraima, relatado, en este estudio, a partir de las experiencias y prácticas de Amazoom ­ Observatorio Cultural de la Amazonia y el Caribe ­ en la lucha contra la desinformación. Para una mejor comprensión de estas formas de hacer, presentamos, en este estudio, el contexto en el que se producen; los aspectos generales que guiaron la creación de Amazoom y su vinculación a la iniciativa nacional de ArboControl; los objetivos y las múltiples dimensiones de las prácticas comunicativas ejecutadas en el ámbito del proyecto; los conceptos e ideas que movemos en el ejercicio de este hacer; los métodos y técnicas que utilizamos; y los principales productos, sus procesos y resultados parciales alcanzados hasta el momento. A partir de las prácticas realizadas y del material analizado, destacamos la importancia de la producción de contenidos propios (adecuados y apropiados), inspirados en los preceptos de la educomunicación, capaces de activar lenguajes híbridos, narrativas múltiples y más eficaces en la prevención, el seguimiento y el control de las arbovirosis (y sus vectores).


Subject(s)
Humans , Communication , Health Communication , Disinformation , Arbovirus Infections , Reference Standards , Information Dissemination , Projects , Mass Media
4.
Hematol., Transfus. Cell Ther. (Impr.) ; 44(2): 218-224, Apr.-June 2022. tab
Article in English | LILACS | ID: biblio-1385064

ABSTRACT

Abstract Introduction The novel SARS-CoV-2 infection has been spreading around the world since January 2020 causing the Corona Virus Disease 2019. Leukopenia, lymphopenia and hypercoagulability with elevated D- Dimers have been described in COVID-19 patients to date. This study aimed to clarify if some blood parameters can be used as biomarkers to facilitate diagnosis and establish prognosis. Methods: We selected patients who had tested positive for SARS-CoV-2 and had had a hemogram performed between the March 15 and April 15, 2020. Socio-demographic and analytical data were obtained from 274 patients at admission in two Portuguese public hospitals. We then analyzed the hemogram parameters at admission in the intensive care and collected data on patient survival during the SARS-CoV-2 disease follow-up. The data were analyzed using appropriate statistical tests. Results: Patients requiring the intensive care unit (ICU) present an increase in leukocytes and neutrophils (+3.1 × 109/L and +6.4 × 109/L, respectively), a lymphocyte decrease and a platelet rise (-1.6 × 109/L and +60.8 × 109/L, respectively). The erythrocytes, hemoglobin and median globular volume tend to decrease (-0.5 × 1012, - 1.2 g/dL; -3 fL, respectively). The lactic acid dehydrogenase (LDH) at admission was significantly higher (+58.1 U/L). The age, sex, platelets, lymphocyte count neutrophil counts, neutrophil/lymphocyte ratio, erythrocytes and cell hemoglobin concentration mean (CHCM) are independently associated with mortality (odds ratio (OR) = 0.046, p < 0.001; OR = 0.2364, p= 0.045; OR = 9.106, p= 0.001; OR = 0.194, p= 0.033; OR = 0.062, p= 0.003; OR = 0.098, p= 0.002; OR = 9.021, p < 0.001; OR = 7.016, p= 0.007, respectively). Conclusion The hematological data at admission in the health care system can predict the mortality of the SARS-CoV-2 infection and we recommend its use in the clinical decisions and patient prognosis evaluation.


Subject(s)
Humans , Male , Female , Child , Adolescent , Adult , Middle Aged , Aged , Aged, 80 and over , Young Adult , SARS-CoV-2 , COVID-19/mortality , Hematologic Diseases , Reference Standards , Blood Cell Count , Biomarkers , Mortality , Thrombophilia , Intensive Care Units , Leukopenia , Lymphopenia
5.
Más Vita ; 4(1): 211-220, mar. 2022. tab
Article in Spanish | LILACS, LIVECS | ID: biblio-1372054

ABSTRACT

El parto constituye un acontecimiento extraordinario en la vida de la mujer, dado precisamente, por ser la culminación del embarazo humano y al unísono, el inicio de una nueva vida, razón por la que se le atribuye especial interés a nivel universal. Objetivo: Analizar el cumplimiento de estándares e indicadores de parto y nacimiento humanizado en el Centro de Salud Tipo C. Materiales y Métodos: Estudio observacional, descriptivo, prospectivo, de corte transversal. Con una población total de pacientes atendidas en el Servicio de Centro Obstétrico del Instituto "Velasco Ibarra", en Machala Ecuador, de enero a diciembre del 2020. Resultados: 743 pacientes tuvieron control prenatal con más de 5 sesiones, el 100% de los partos fue espontaneo, con ruptura anteparto, sin inducción, en su mayoría con las semanas completas. En cuanto a la presentación del parto 996 casos fueron de presentación cefálica. 862 pacientes no tuvieron acompañantes, sino, el grupo sanitario, médicos y enfermeras y solo a 125 se le permitió tener a su pareja. En cuanto a la posición del parto, 908 estuvieron en posición de litotomía (ginecológica), en cuanto a la analgesia, solo 267 y ninguna requirió anestesia, así como tampoco requirieron sangre, sulfato, hierro ni anticonceptivos postparto. Conclusiones: Se precisa la inclusión del componente humanizador e integral para la concepción del parto como un proceso natural y fisiológico, con la combinación científico-humanista en el logro de una atención con calidad y calidez, donde la mujer ecuatoriana protagonice su proceso de parto como un sujeto de cuidado y no como objeto del mismo(AU)


Childbirth is an extraordinary event in a woman's life, given precisely because it is the culmination of human pregnancy and at the same time the beginning of a new life, which is why special interest is attributed to it at a universal level. Objective: To analyze compliance with humanized childbirth and delivery standards and indicators in the Type C Health Center. Materials and Methods: Observational, descriptive, prospective, cross-sectional study. With a total population of patients treated at the Obstetric Center Service of the "Velasco Ibarra" Institute, in Machala Ecuador from January to December 2020. Results: 743 patients had prenatal control with more than 5 sessions, 100% of deliveries were spontaneous with antepartum rupture, without induction and almost all with complete weeks. And in 3, regarding the presentation of delivery, 996 cases were of cephalic presentation. 862 patients did not have companions, but the health group, doctors and nurses and only 125 were allowed to have their partner. As for the position of delivery, 908 were in the lithotomy (gynecological) position, as for analgesia only 267 and none required anesthesia, nor did they require blood, sulfate, iron, or postpartum contraceptives. Conclusions: the inclusion of the humanizing and integral component is required for the conception of childbirth as a natural and physiological process, with the scientific-humanistic combination in achieving care with quality and warmth, where the Ecuadorian woman is the protagonist of her birth process as a a subject of care and not as its object(AU)


Subject(s)
Humans , Female , Pregnancy , Reference Standards , Humanizing Delivery , Reproductive Health , Women's Rights , Pregnancy , Health Personnel , Obstetric Violence
6.
Más Vita ; 4(1): 165-178, mar. 2022. tab
Article in Spanish | LILACS, LIVECS | ID: biblio-1372280

ABSTRACT

Se trata de la recopilación de información sobre estudios que reflejan la situación nutricional en Ecuador, y las comparaciones entre los percentiles ecuatorianos y los que sugiere la Organización Mundial de la Salud (OMS). Estudios refieren que este tipo de comparación difiere de las realidades de un país pues presenta diferente ubicación geográfica y por sus rasgos culturales, que difieren ancestralmente se presentan divergencias entre la alimentación, estilos de vida, bases socioeconómicas, rasgos antropométricos y otras variables que influyen y que han obligado a crear sus propios estándares de comparaciones. Objetivo: Describir la situación nutricional entre los percentiles ecuatorianos y la OMS en adolescentes de 12 años. Materiales y método: Es del tipo cualitativa, descriptiva, donde se recopila información relevante vinculada al descriptor en estudio, por eso la modalidad es tipo documental y descriptiva, transversal y observacional porque se le y observa información relevante de momento y se describe y señalan procedimientos como modelos para otras investigaciones. Resultados: Ecuador como país latinoamericano refleja una situación alimentaria y nutricional de amplio potencial productivo, de grandes oportunidades y capacidades socioeconómicas, necesarios para dar respuestas a las exigencias nutricionales de su población. Sin embargo, la información sobre el estado nutricional de la población infantil refleja el desarrollo del país, con una reducción significativa de la prevalencia de retardo de crecimiento, que prevalecen mucho más en grupos indígenas, por problemas sociales: mortalidad infantil, pobreza, indigencia y analfabetismo. Conclusiones: Estimar valores de desnutrición y sobrepeso a través de comparaciones por los percentiles internacionales (WHO) y los de Estados Unidos no reflejan la realidad de una población que difiere en todo con la de esos estándares comparativos. Por ello el esfuerzo de estudios por crear sus propios estándares nacionales es loable y muestra las realidades de una población(AU)


This is the collection of information on studies that reflect the nutritional situation in Ecuador, and comparisons between Ecuadorian percentiles and those suggested by the World Health Organization (WHO). Studies report that this type of comparison differs from the realities of a country because it has different geographical location and its cultural features, which differ ancestrally, there are divergences between food, lifestyles, socioeconomic bases, anthropometric traits and other variables that influence and that have forced to create their own standards of comparisons. Objective: To describe the nutritional situation between the Ecuadorian and WHO percentiles in 12-year-old adolescents Materials and methods: It is of the qualitative, descriptive type, where relevant information linked to the descriptor in study is collected, so the modality is documentary and descriptive, transversal and observational because relevant information is observed at the moment and procedures are described and indicated as models for another research. Results: Ecuador as a Latin American country reflects a food and nutritional situation with ample productive potential, great opportunities and socioeconomic capacities, necessary to respond to the nutritional demands of its population. However, information on the nutritional status of the child population reflects the development of the country, with a significant reduction in the prevalence of growth retardation, which is much more prevalent in indigenous groups, due to social problems: infant mortality, poverty, indigence and illiteracy. Conclusions: Estimating values of malnutrition and overweight through comparisons by the international percentiles (WHO) and those of the United States do not reflect the reality of a population that differs in everything with that of these comparative standards. That is why the effort of studies to create their own national standards is laudable and shows the realities of a population(AU)


Subject(s)
Reference Standards , Body Weights and Measures , Nutritional Status , Life Style , Nutritional Requirements , Socioeconomic Factors , World Health Organization , Prevalence , Growth and Development
7.
Arch. latinoam. nutr ; 72(1): 60-71, mar. 2022. ilus
Article in Spanish | LILACS, LIVECS | ID: biblio-1368374

ABSTRACT

Los Trastornos de la Conducta Alimentaria (TCA) son una enfermedad mental grave, causante de morbilidad física y psicosocial. Esta enfermedad tiene una mayor prevalencia entre mujeres jóvenes, y en población deportista. La terapia cognitiva conductual (TCC) es el tratamiento actual más adecuado para este tipo de trastornos, no obstante, cada vez son más los programas que incluyen pautas de ejercicio físico (EF) y Terapia Nutricional (TN) para el tratamiento de los TCA. Objetivo. Realizar una revisión sistemática exploratoria de la literatura que permita conocer el estado actual de los programas de intervención a través del EF y la TN para el tratamiento de los TCA. Materiales y métodos. Se realizó una búsqueda y recopilación de documentos científicos mediante un modelo de acumulación de datos y selección de estudios, en la que se utilizaron las bases de datos informatizadas SCOPUS, Web of Science, y PubMed. En todas las bases de datos consultadas, se empleó la misma frase de búsqueda. Para acotar los resultados, se introdujeron una serie de criterios de inclusión y exclusión. Resultados. La revisión contó con cinco documentos relacionados con la temática de estudio, que cumplían los criterios de inclusión. Conclusión. Las intervenciones con EF y TN para el tratamiento de los TCA suponen una reducción en la severidad de la sintomatología de los pacientes. Estos programas se muestran como una herramienta terapéutica alternativa o complementariaa la terapia convencional. Se requieren más estudios que combinen programas de intervención de EF y TN dirigidos a pacientes con TCA(AU)


Eating Disorders (ED) are a severe mental illness that causes physical and psychosocial problems. This illness has a higher prevalence among young women, and between athletes. cognitive behavioural therapy (CBT) is the current treatment for this type of disorder. However, more and more programs are including physical exercise (PE) and nutritional therapy (TN) for eating disorders treatment. Objective. To carry out an exploratory systematic review of the literature that allows us to know the current state of intervention programs through physical exercise and nutritional therapy for the treatment of eating disorders. Materials and methods. For the reference search thesame search phrase was used. The terms were entered in English in the following computerized databases: SCOPUS, Web of Science, and PubMed. To limit the search, four inclusion criteria were introduced. Results. The review included five scientific articles related to the study topic, which met the inclusion criteria. Conclusion. Intervention programs for the treatment of eating disorders that include physical exercise and nutritional therapy are shown as an alternative or complementary tool to conventional therapy. These programs involve a reduction in the severity of ED symptoms and an improvement in anthropometric parameters and physical condition. More studies that combine PE and TN programs for people with ED are required(AU)


Subject(s)
Humans , Exercise , Anorexia Nervosa , Feeding and Eating Disorders , Cognitive Behavioral Therapy , Nutrition Therapy , Bulimia Nervosa , Mental Disorders , Self Concept , Body Image , Morbidity , Reference Standards
8.
Rev. Inst. Adolfo Lutz ; 81(Único): e37165, mar.1, 2022. ilus
Article in English | LILACS, ColecionaSUS, SES-SP, CONASS, SESSP-ACVSES, SESSP-IALPROD, SES-SP, SESSP-IALACERVO | ID: biblio-1393020

ABSTRACT

The standardization and validation of a multiplex assay requires the combination of important parameters such as sensitivity and specificity, acceptable levels of performance, robustness, and reproducibility. We standardized a multiparametric Dot-blot aimed at the serological screening of paracoccidioidomycosis, histoplasmosis, and aspergillosis. A total of 148 serum were evaluated: 10 from healthy subjects, 36 from patients with paracoccidioidomycosis, 62 from patients with histoplasmosis, and 40 from patients with aspergillosis. It was found that the multiparametric Dot-blot showed a high percentage of cross-reactivity. However, when evaluated individually, in the serological screening of histoplasmosis, a good performance was observed when compared to the double immunodiffusion assay, considered the gold standard test, with 100% co-positivity and 83.3% co-negativity. The performance of serological screening for aspergillosis was not satisfactory when compared to double immunodiffusion, showing 71.4% co-positivity and 100% co-negativity. The evaluation of the stability of nitrocellulose membranes showed that membranes sensitized with H. capsulatum antigen remained stable for 90 days and those sensitized with A. fumigatus antigen for 30 days. We conclude that the use of crude antigens was not suitable for the standardization of the multiparametric Dot-blot assay, due to the high cross-reactivity, and that further tests should be performed with purified proteins (AU).


A padronização e validação de um ensaio multiplex requer a combinação de parâmetros importantes, como sensibilidade e especificidade, níveis aceitáveis de desempenho, robustez e reprodutibilidade. Este trabalho padronizou um Dot-blot multiparamétrico visando a triagem sorológica da paracoccidioidomicose, histoplasmose e aspergilose. Foram avaliadas 148 amostras de soro: 10 de indivíduos saudáveis, 36 de pacientes com paracoccidioidomicose, 62 de pacientes com histoplasmose e 40 de pacientes com aspergilose. Verificou-se que o Dot-blot multiparamétrico apresentou elevado percentual de reatividade cruzada. Entretanto, quando avaliado individualmente, na triagem sorológica da histoplasmose observou-se bom desempenho quando comparado ao ensaio de imunodifusão dupla, considerado o teste padrão ouro, com 100% de co-positividade e 83,3% de co-negatividade. O desempenho da triagem sorológica da aspergilose não foi satisfatório quando comparado a imunodifusão dupla, apresentando 71,4% de co-positividade e 100% de co-negatividade. A avaliação da estabilidade das membranas de nitrocelulose mostrou que membranas sensibilizadas com antígeno de H. capsulatum permaneceram estáveis por 90 dias e as sensibilizadas com antígeno de A. fumigatus, por 30 dias. Concluímos que o uso de antígenos brutos não foi adequado para a padronização do ensaio de Dot-blot multiparamétrico, devido ao alto índice de reatividade cruzada, e que novos testes devem ser realizados com proteínas purificadas (AU).


Subject(s)
Paracoccidioidomycosis , Aspergillosis , Reference Standards , Immunologic Tests , Public Health , Methodology as a Subject , Histoplasmosis , Mycoses/diagnosis
9.
Pensar Prát. (Online) ; 25Fev. 2022. Tab, Ilus
Article in Portuguese | LILACS | ID: biblio-1399113

ABSTRACT

Este estudo objetiva identificar e analisar as proprieda-des psicométricas mais utilizadas em artigos, inseridos nas bases de dados Scopus e Web of Science (WOS) entre os anos de 2016 e 2021, que validaram instrumentos sobre a relação torcedor-time de futebol. Optou-se pelo desenho de pesquisas do tipo Revisão Sistemática, complementado pelo uso do software Bliblioshiny for Bibliometrix. Foram coletados 18 artigos e constatou-se que a validade de conteúdo e a confiabilidade por meio do teste de Alfa de Cronbach foram as propriedades mais utilizadas. A primeira tratou da construção de cada elemento do instrumento e a segunda foi um dos principais parâmetros utilizados na avaliação da confiabilidade de instrumentos do tipo questionário (AU).


This study aims to identify and analyze the most used psychometric properties in articles that validated instruments regarding the supporter/football team relationship found in the Scopus and Web of Science data bases between 2016-2021. To achieve this aim, the research was developed as a Systematic Review complemented by using the Bliblioshiny for Bibliometrix software. Eighteen articles were collected, and our results showed that content validity and the Cronbach's alpha test of reliability were the most used properties. While the former addressed the construction of each element of the instrument, the second was one of the main parameters used to evaluate the reliability of instruments such as questionnaires (AU).


El estudio objetivo identificar y analisar las propiedades psicométricas más utilizadas en los artículos que validaron instrumentos sobre la relación hincha-equipo de fútbol, que se encuentran en las bases de datos Scopus y Web of Science entre los años del 2016-2021. Se optó por el diseño de investigaciones del tipo Repaso Sistemático, complementado por el uso del software Bliblioshiny for Bibliometrix. Han sido recoletados 18 artículos y se constató que la validad de contenido y la confiabilidad por medio del teste de Alfa de Cronbach, han sido las propiedades más utilizadas. La primeira trató de la construcción de cada elemento del instrumento y la segunda fue uno de los principales parámetros utilizados en la evaluación de la confiabilidad de instrumentos del tipo cuestionario (AU).


Subject(s)
Humans , Psychometrics , Soccer , Reference Standards , Research , Software , Football
10.
j. public health epidemiol. (jphe) ; 14(3): 130-140, 2022. tables
Article in English | AIM | ID: biblio-1392407

ABSTRACT

Legal instruments are necessary for the regulation of programs such as the biosafety and biosecurity (BSS) system in a country, yet little information is available in this sector in Togo. The study conducted aimed to take an analytical look at the normative and regulatory environment of biosafety and biosecurity in medical biology laboratories in Togo. A documentary review was carried out on the web, in the Official Journal, and on governmental sites between January and June 2021. A total of 76 documents were initially identified and then 14 were included in the synthesis. Of the 14 texts regulating the biosafety and biosecurity sector worldwide, 10 have been ratified or are being used in Togo. In total, 05 laws and 02 decrees are in force in the area of BSS in Togo on June 30, 2021. Our study has also allowed us to highlight several activities to be regulated. The approach adopted has revealed a current deficit in terms of regulations in the area of biohazard management in Togo in a multisectoral framework. It is necessary to strengthen the existing regulatory texts by taking into account the areas required internationally.


Subject(s)
Humans , Containment of Biohazards , Biosecurity , Reference Standards , Social Control, Formal , Databases, Nucleic Acid
11.
Afr. health sci. (Online) ; 22(2): 46-53, 2022. figures
Article in English | AIM | ID: biblio-1400306

ABSTRACT

Background: HIV rapid testing services is one among key interventions in the controlling of HIV/AIDS. Despite availability of quality standards, the quality of HIV rapid testing services remains questionable since non-laboratory testers are allowed to conduct testing while they are not specialized in providing testing services. Objective: To evaluate the compliance to the quality standards of HIV rapid testing services provided by non-laboratory testers in Makete District, Tanzania Methods: An explanatory descriptive study employing quantitative approach of data collection was used. An observation of 23 non-laboratory testers performing HIV rapid tests, observation of HIV testing points and documents review was done in 23 testing points to collect data. Data were analyzed using a programmed excel sheet and a three-point scale was used to determine the level of compliance to quality standards. Results: Analysis shows that out of 23 testing points visited, the level of compliance to quality standards was lower for 22 (95.6%) testing points and moderate in 1 (4.4%) testing point. None of the testing point was highly complied to quality standards for HIV rapid testing services. Conclusion: The quality of HIV rapid testing services provided by non-laboratory testers is below the established quality standards for HIV rapid testing services.


Subject(s)
Primary Health Care , Reference Standards , HIV Infections , Total Quality Management , HIV Testing , Laboratories , Diagnosis
12.
Article in Chinese | WPRIM | ID: wpr-928167

ABSTRACT

Through literature research and standard retrieval, Corydalis-derived medicinal materials, the origins, and related standards were summarized. Finally, 27 medicinal materials were screened out, involving 71 species(varieties). Among them, only 11 are recorded in Chinese Pharmacopoeia(2020), National Standard for Chinese Patent Drugs·Tibetan Medicine, Tibetan Medicine Standards, and other local standards, including Corydalis Bungeanae Herba and Corydalis Herba. The names and original plants of the medicinal materials are different in different standards, and the phenomena of "same medicinal material with different names" and "same name for different medicinal materials" are prominent. Most standards only include the traits, microscopic identification, and physico-chemical property identification, with unsound quality criteria. Thus, efforts should be made to strengthen the sorting of Corydalis medicinal plants, herbal textual research, and investigation of the resources and utilization. Moreover, via modern techniques, the chemical components and medicinal material basis of different original plants should be explored and sound quality standards should be established to improve the safety and quality of Corydalis-derived medicinal materials. Summarizing Corydalis medicinal plants, Corydalis-derived medicinal materials, and related standards, this study is expected to provide a reference for the standard formulation, quality evaluation, expansion of drug sources, and rational development and utilization of Corydalis resources.


Subject(s)
Corydalis , Drugs, Chinese Herbal/chemistry , Medicine, Chinese Traditional , Medicine, Tibetan Traditional , Plants, Medicinal/chemistry , Reference Standards
13.
Article in Chinese | WPRIM | ID: wpr-928040

ABSTRACT

Against the backdrop of "Internet+" and Made in China 2025, Chinese medicinal processing equipment embraces various opportunities and develops to an unprecedented level. In the 20 years of the new century, the processing equipment has gradually developed in the direction of high efficiency, energy saving, environmental protection, integration, and automation, and this field has tended to highlight the establishment and application of the linkage production line for the processing of Chinese medicinal decoction pieces. Integrating automation control technology, online detection technique, and the internet of things technology, the online detection system of Chinese medicinal processing equipment and the computer information management system of Chinese medicinal proces-sing are the mainstream development trends of Chinese medicinal processing equipment. Standard Chinese medicine processing equipment is the prerequisite for the standardization of processing parameters. A standard system for processing equipment and processing parameters is the key to the modernization of Chinese medicinal decoction pieces. This paper summarized the research and application of Chinese medicinal processing equipment in the 20 years of the 21 st century and predicted the development trend, which is expected to serve as a reference for the technological innovation and development of the processing equipment.


Subject(s)
Automation , Drugs, Chinese Herbal , Medicine, Chinese Traditional , Quality Control , Reference Standards
14.
Article in Chinese | WPRIM | ID: wpr-928038

ABSTRACT

The research on the processing mechanism of Chinese medicine is the key and core foundation to improve processing technologies of Chinese medicine, formulate the quality standards of Chinese medicinal pieces, enhance the clinical efficacy of Chinese medicine, enrich Chinese medicine processing theories, and promote the development of Chinese medicine processing. Many researc-hers have conducted in-depth exploration on the processing mechanism of Chinese medicine in the 20 years in the 21 st century. Significant progress has been made in the transformation of chemical components during the processing, the change of active components in the body, the law of toxicity attenuation in the processing of toxic Chinese medicine, the mechanism of efficacy enhancement and toxicity attenuation of processing with auxiliary materials, and the application of new biomedical technologies. At present, the processing mechanism of multiple Chinese medicines has been preliminarily clarified, which has greatly promoted the development of Chinese me-dicine processing. The development of the processing mechanism of Chinese medicine reveals that the in vitro transformation of chemical components is combined with the in vivo absorption, transport, and metabolism, and the macroscopic biological effects of the organism are combined with the cells, molecules, targets, and pathways in the study of the processing mechanism of Chinese medicine. More attention has been paid to exploring the processing mechanism from the overall level, and a modern systematic research system on the processing mechanism of Chinese medicine has been initially formed. To further promote the scientific development of Chinese me-dicine processing, the present study proposed that the research on the processing mechanism of Chinese medicine should take Chinese medicine properties into account, focus on the influence of disease condition on the mode of action and effect strength of the drugs, comply with the characteristics of clinical compound compatibility of Chinese medicine, use the holistic view research strategies of systems bio-logy, and deeply explore the processing mechanism of Chinese medicine from traditional Chinese medicine theories and the characteristics of clinical medication of Chinese medicine.


Subject(s)
Drugs, Chinese Herbal/pharmacology , Medicine, Chinese Traditional , Reference Standards , Research Design , Technology
15.
Article in Chinese | WPRIM | ID: wpr-928033

ABSTRACT

Chinese medicine extracts are the important pharmaceutical materials of Chinese medicinal preparations, but their nomenclature still needs improvement in the field of traditional Chinese medicine(TCM). By the analysis of the evolution rules of names of Chinese medicine extracts recorded in the Chinese Pharmacopoeia, this study proposed a three-level nomenclature of "Chinese medicine name+chemical information+extract" based on the standardization problems involved in the existing nomenclature, striving to accurately suggest the material basic information on extract names. Meanwhile, the basic elements of Chinese medicine components, the special case from Chinese medicine extracts, were clarified, and the core connotations of the professional names were discriminated to arouse attention and discussions of researchers, facilitate the standardization of Chinese medicine terminology, and promote the scienti-fic development of Chinese medicinal preparations, and the modernization and internationalization of Chinese medicine.


Subject(s)
Asians , Drugs, Chinese Herbal , Humans , Medicine, Chinese Traditional , Reference Standards , Social Change
16.
Article in Chinese | WPRIM | ID: wpr-927999

ABSTRACT

This study aims to evaluate the methodological and reporting quality of diagnosis and treatment guidelines for hyperuricemia as well as the expert consensuses and promote the understanding and application of the diagnosis and treatment guidelines for hyperuricemia. With "hyperuricemia" "guidelines" "consensus" "recommendations" as the key words in titles, the authors searched for the published clinical guidelines on hyperuricemia in Chinese against CNKI, Wanfang, VIP, Medlive and the official website of the industry association. The retrieval time limit was until May 31, 2021. The appraisal of guidelines for research and evaluation Ⅱ(AGREEⅡ) and the reporting items for practice guidelines in health care(RIGHT) were employed to evaluate the methodological quality and reporting quality of 14 guidelines/consensuses included. The average scores of the guidelines/consensuses were 80.85%(48.61%-98.61%) for the domain of scope and purpose, 34.52%(0-69.44%) for the domain of stakeholder involvement, 35.53%(6.25%-92.19%) for the domain of rigor of development, 55.85%(23.61%-86.11%) for the domain of clarity of presentation, 26.19%(0-76.04%) for the domain of applicability, and 21.42%(0-50.00%) for the domain of editorial independence. Nine guidelines/consensuses were of medium overall quality with grade B recommendation, and five guidelines/consensuses were of poor quality with grade C recommendation. The RIGHT classified the fourteen guidelines/consensuses into one of high reporting quality, three of medium reporting quality, and ten of low reporting quality. The results of this study indicate that the standardization and rigor of the methodological quality and the reporting quality of the clinical guidelines/consensuses for hyperuricemia in China remain to be strengthened.


Subject(s)
China , Consensus , Humans , Hyperuricemia/drug therapy , Publications , Reference Standards
17.
Article in Chinese | WPRIM | ID: wpr-927969

ABSTRACT

Drug instructions,the statutory and technical documents recording effectiveness and safety information,are an important basis for guiding doctors,pharmacists,and patients to use drugs rationally,and their scientificity,standardization,and accuracy directly affect the medication safety of the public. The sections of adverse drug events,contraindications,precautions,warnings,and application for specific populations in drug instructions directly express safety information and measures for rational use of drugs. In the drug life cycle,marketing authorization holders( MAHs) need to update safety information in the instructions promptly to ensure the safety and effectiveness of clinical drug medication. At present,revising instructions is an important measure to control drug risks. In the drug life cycle,in order to standardize the revision of safety information in the instructions by MAHs and eliminate inexact terms such as " unclear",the Technical Specifications for Revision of Safety Information in Marketed Chinese Patent Medicine Instructions,a series of group standards,have been established under the guidance of Standardization Department,China Association of Chinese Medicine. Therefore,on the basis of the existing rules and regulations,the standardized technical procedures for revising instructions came into being to help clinical safe and rational medication of drugs,and implement the strategy of " Healthy China".


Subject(s)
China , Drug-Related Side Effects and Adverse Reactions , Drugs, Chinese Herbal/adverse effects , Humans , Medicine, Chinese Traditional , Nonprescription Drugs/adverse effects , Reference Standards
18.
Article in Chinese | WPRIM | ID: wpr-927948

ABSTRACT

Artemisia Argyi Folium, a traditional Chinese medicine of important medicinal and economic value, sees increasing demand in medicinal and moxibustion product market. Screening stable and reliable reference genes for quantitative real-time PCR(qRT-PCR) is a prerequisite for the analysis of gene expression in Artemisia argyi. In this study, eight commonly used reference genes, Actin, 18s, EF-1α, GAPDH, SAND, PAL, TUA, and TUB, from the transcriptome of A. argyi, were selected as candidate genes. The expression of each gene in different tissues(roots, stems, and leaves) of A. argyi and in leaves of A. argyi after treatment with methyl jasmonate(MeJA) for different time(0, 4, 8, 12 h) was detected by qRT-PCR. Then, geNorm, NormFinder, BestKeeper, ΔCT, and RefFinder were employed to evaluate their expression stability. The results demonstrated that Actin was the most stable reference gene in different tissues and in leaves treated with MeJA, and coming in the second was SAND. Furthermore, the expression of DXS and MCT which are involved in terpenoid backbone biosynthesis was detected in different tissues and after MeJA treatment. The results showed that the expression patterns of DXS and MCT in different tissues and under MeJA treatment calculated with Actin and SAND as internal reference genes were consistent, which validated the screening results. In conclusion, Actin is the most suitable reference gene for the analysis of gene expression in different tissues of A. argyi and after MeJA treatment. This study provides valuable information for gene expression analysis in A. argyi and lays a foundation for further research on molecular mechanism of quality formation of Artemisia Argyi Folium.


Subject(s)
Artemisia/genetics , Gene Expression Profiling , Genes, Plant/genetics , Plant Leaves/genetics , Real-Time Polymerase Chain Reaction , Reference Standards , Transcriptome
19.
Article in Chinese | WPRIM | ID: wpr-927938

ABSTRACT

The present study established a quality evaluation method for ginsenoside reference substances based on quantitative nuclear magnetic resonance(qNMR) spectroscopy. ~1H-NMR spectra were collected on Bruker Avance Ⅲ 500 MHz NMR spectrometer equipped with a 5 mm BBO probe. The acquire parameters were set up as follows: pulse sequence of 30°, D_1=20 s, probe temperature= 303 K, and the scan number = 32. Dimethyl terephthalate, a high-quality ~1H-qNMR standard, was used as the internal standard and measured by the absolute quantitative method. Methyl peaks of comparatively good sensitivity were selected for quantification, and linear fitting deconvolution was adopted to improve the accuracy of integration results. The qNMR spectroscopy-based method was established and validated, which was then used for the quality evaluation of ginsenoside Rg_1, ginsenoside Re, ginsenoside Rb_1, ginsenoside Rd, and notoginsenoside R_1. The results suggested that the content of these ginsenoside reference standards obtained from the qNMR spectroscopy-based method was lower than that detected by the normalization method in HPLC provided by the manufacturers. In conclusion, the qNMR spectroscopy-based method can ensure the quality of ginsenoside reference substances and provide powerful support for the accurate quality evaluation of Chinese medicine and its preparations. The qNMR spectroscopy-based method is simple, rapid, and accurate, which can be developed for the quantitative assay of Chinese medicine standard references.


Subject(s)
Chromatography, High Pressure Liquid/methods , Ginsenosides/analysis , Magnetic Resonance Spectroscopy/methods , Proton Magnetic Resonance Spectroscopy , Reference Standards
20.
Article in Chinese | WPRIM | ID: wpr-927935

ABSTRACT

Quality is the guarantee for the clinical safety and effectiveness of Chinese medicine. Accurate quality evaluation is the key to the standardization and modernization of Chinese medicine. Efforts have been made in improving Chinese medicine quality and strengthening the quality and safety supervision in China, but rapid and accurate quality evaluation of complex Chinese medicine samples is still a challenge. On the basis of the development of ambient mass spectrometry and the application in quality evaluation of complex Chinese medicine systems in recent years, the authors developed the multi-scenario Chinese medicine quality evaluation strategies. A systematic methodology was proposed in specific areas such as real-time monitoring of the quality of complex Chinese medicine decoction system, rapid toxicity grading of compound Chinese patent medicine, and evaluation of bulk medicinals of Chinese patent medicine. Allowing multi-scenario analysis of Chinese medicine, it is expected to provide universal research ideas and technical methods for rapid and accurate quality evaluation of Chinese medicine and boost the high-quality development of Chinese medicine industry.


Subject(s)
China , Drugs, Chinese Herbal , Mass Spectrometry , Medicine, Chinese Traditional , Nonprescription Drugs , Reference Standards
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