Cross-cultural adaptation and psychometric properties of the Thai version of the patient-reported outcomes measurement information system short form- depression 8a in individuals with chronic low back pain.

BACKGROUND: The study aimed to cross-culturally adapt the Patient-Reported Outcomes Measurement Information System Short Form v1.0 - Depression 8a (PROMIS SF v1.0 - Depression 8a) into Thai and evaluate its psychometric properties in individuals with chronic low back pain (CLBP). METHODS: The PROMIS SF v1.0- Depression 8a was translated and cross-culturally adapted into Thai using the Functional Assessment of Chronic Illness Therapy translation methodology. Two hundred and sixty-nine individuals with CLBP completed the Thai version of PROMIS SF v1.0- Depression 8a (T-PROMIS-D-8a) scale and a set of measures assessing validity criterion domains. Structural validity, internal consistency, and test-retest reliability at a 7-day interval of the T-PROMIS-D-8a scale were computed and its construct validity was evaluated by computing correlations with the Thai version of Patient Health Questionnaire-9 (T-PHQ-9), Numeric Rating Scale of pain intensity (T-NRS), and Fear Avoidance Beliefs Questionnaire (T-FABQ). RESULTS: Data from 269 participants were analyzed. Most participants were women (70%), and the sample had a mean age of 42.5 (SD 16.6) years. The findings supported the unidimensionality, internal consistency (Cronbach's alpha = 0.94), and test-retest reliability (ICC [2,1] = 0.86) of the T-PROMIS-D-8a. A floor effect was observed for 16% of the sample. Associations with the T-PHQ-9, T-NRS, and T-FABQ supported the construct validity of the T-PROMIS-D-8a. CONCLUSIONS: The T-PROMIS-D-8a was successfully translated and culturally adapted. The findings indicated that the scale is reliable and valid for assessing depression in Thai individuals with CLBP.

3D reconstruction of human bodies from single-view and multi-view images: A systematic review.

3D reconstruction of human bodies remains an important research issue in computer vision. It is a fundamental resource for many everyday applications, including in the entertainment industry (animation), human-computer interaction, medical diagnosis, and, more recently, virtual reality. In recent years, several researchers have proposed multiple approaches for 3D reconstruction of human bodies from images. This article aims to display a systematic review of the different methods developed for 3D reconstruction of human bodies from single or multiple images. With this work, we intend to explore and categorize the different methods of 3D reconstruction of human bodies, making a comparison and then a discussion between the approaches. For that, articles published between 2016 and 2023 were analyzed. A total of 3325 publications were identified in the specified databases, and after a detailed analysis, only 70 were reviewed for this systematic literature review. Based on the analysis performed, it is concluded that it is possible to categorize human 3d reconstruction methods into two principal groups that are divided according to their theoretical category or based on the 3D representation used as output. However, more research should be done on human inference to overcome existing limitations and generate more accurate and detailed models.

Efeito da manobra de recrutamento alveolar no pós-operatório imediato de cirurgia cardíaca: uma revisão sistemática / Effect of the alveolar recruitment maneuver in the immediate postoperative period of cardiac surgery: a systematic review

Introdução: as cirurgias cardíacas são as intervenções de escolha em níveis mais avançados das doenças cardiovasculares, e complicações pulmonares podem ocorrer como consequência das alterações fisiológicas causadas pela circulação extracorpórea, pela anestesia e pela incisão esterno torácica. A fisioterapia atua com o intuito de prevenir e tratar essas complicações, através da utilização de uma das técnicas de expansão pulmonar mais utilizadas na reversão de hipoxemia e atelectasias, a manobra de recrutamento alveolar, com o objetivo de abrir alvéolos colapsados e aumentar as trocas gasosas. Objetivo: revisar sistematicamente os efeitos da manobra, na relação PaO2/FiO2, SatO2, o tempo de ventilação mecânica, o tempo de internamento, a incidência de atelectasia, a pressão arterial média e a frequência cardíaca. Metodologia: revisão de ensaios clínicos controlados e randomizados nas bases de dados PubMed, Cochrane Library, LILACS e PEDro. Foram incluídos estudos que utilizaram a manobra como prevenção de complicações pulmonares, publicados em inglês e português. Resultados: foram incluídos 4 estudos, publicados entre os anos 2005 e 2017. O nível de pressão da manobra variou entre 30 cmH2O a 40 cmH2O. Os estudos mostraram que a manobra foi estatisticamente relevante na relação PaO2/FiO2, SatO2 e na redução da incidência de atelectasias, sem impacto no tempo de ventilação mecânica, no tempo de internamento, na pressão arterial média e na frequência cardíaca. Conclusão: a manobra de recrutamento pode ser considerada como uma técnica a ser utilizada na prevenção de alterações pulmonares, porém não é possível afirmar se os benefícios da manobra perduraram em longo prazo.

Introduction: Cardiac surgeries are the interventions of choice in more advanced levels of cardiovascular disease, and pulmonary complications can occur as a result of physiological changes caused by cardiopulmonary bypass, anaesthesia and the sternum thoracic incision. Physiotherapy acts with the aim of preventing and treating these complications, through the use of one of the most used lung expansion techniques in the reversal of hypoxemia and atelectasis, the alveolar recruitment maneuver, with the objective of opening collapsed alveoli and increasing gas exchanges. Objective: To systematically review the effects of the maneuver on the PaO2/FiO2 ratio, SatO2, duration of mechanical ventilation, length of hospitalization, incidence of atelectasis, mean arterial pressure and heart rate. Methodology: Review of controlled and randomized clinical trials in PubMed, Cochrane Library, LILACS and PEDro databases. Studies that used the maneuver to prevent pulmonary complications, published in English and Portuguese, were included. Results: 4 studies, published between 2005 and 2017, were included. The maneuver pressure level ranged from 30 cmH2O to 40 cmH2O. The studies showed that the maneuver was statistically relevant in relation to PaO2/FiO2, SatO2 and in reducing the incidence of atelectasis, with no impact on the duration of mechanical ventilation, length of hospitalization, mean arterial pressure and heart rate. Conclusion: The recruitment maneuver can be considered as a technique to be used in the prevention of pulmonary alterations; however, it is not possible to state whether the benefits of the maneuver lasted in the long term.

Translation, Cultural Adaptation and Validation of "PROMIS GI - Disrupted Swallowing" Scale for the Portuguese Language.

INTRODUCTION: Dysphagia is a prevalent condition (20%), and occurs more frequently in women and in older people. It negatively impacts innumerous aspects of patient's personal and professional lives. Patient-reported outcomes allow patients to directly quantify their experience regarding dysphagia and evaluate its true impact on quality of life. Among the scales available, Patient-Reported Outcomes Measurement Information System Gastrointestinal (PROMIS GI) Disrupted Swallowing stands out because it is a robust instrument that can be applied regardless of the type and etiology of dysphagia. The aim of this study was to translate, culturally adapt and validate PROMIS GI Disrupted Swallowing scale for the Portuguese-speaking population. MATERIAL AND METHODS: Firstly, the seven items of the scale were translated and transculturally reviewed following the systematic method proposed by the Functional Assessment of Chronic Illness Therapy (FACIT). Afterwards, the pre-test version of the questionnaire was administered to a convenience sample (n = 6) for semantic evaluation, with the aim of detection and subsequent correction of possible problems in the translation. The final translated and certified version of the scale was administered to 200 voluntary adult participants (n = 123 healthy; n = 77 dysphagia) in Portugal, for evaluation of reliability and validity. RESULTS: The Portuguese version of PROMIS GI Disrupted Swallowing presented acceptable internal consistency (coefficient of Cronbach's α of 0.919) and adequate test-retest reliability (intraclass correlation coefficient of 0.941). The translated version of the scale revealed a strong correlation with both Eckardt score (p < 0.001; ρ = 0.782) and the quality-of-life questionnaire EuroQol-5D (p < 0.001; ρ = -0.551), demonstrating evidence of convergent validity. CONCLUSION: The Portuguese version of PROMIS GI Disrupted Swallowing scale presented conceptual, semantic, cultural and measurement equivalence relatively to the original items. The results attained demonstrated that the translation of this scale to Portuguese is reliable and valid for use both in clinical practice and for research purposes.

Predictors of extubation failure in neurocritical patients: A systematic review.

OBJECTIVE: The objective of this study was to identify predictors of extubation failure in neurocritical patients. METHODS: This was systematic review performed through a bibliographic search of the databases PubMed/Medline, Lilacs, SciELO, and Web of Science, from February 2020 to October 2021. Cohort studies that investigated the predictors of extubation failure were included, defined as the need for reintubation within 48 h after extubation, in adult neurocritical patients. The risk-of-bias assessment was performed using the Newcastle-Ottawa Scale, for cohort studies. RESULTS: Eight studies, totaling 18 487 participants, were included. A total of 15 predictors for extubation failure in neurocritical patients have been identified. Of these, four were the most frequent: low score on the Glasgow Coma Scale (motor score ≤5, 8T-10T), female gender, time on mechanical ventilation (≥7 days, ≥ 10 days), and moderate or large secretion volume. CONCLUSIONS: In addition to the conventional parameters of weaning and extubation, other factors, such as a low score on the Glasgow Coma Scale, female gender, mechanical ventilation time, and moderate or large secretion volume, must be taken into account to prevent extubation failure in neurocritical patients in clinical practice.

Effect of the alveolar recruitment manoeuvre on pulmonary complications in the immediate postoperative period of cardiac surgery: preliminary results of a randomised controlled trial / Efeito da manobra de recrutamento alveolar em complicações pulmonares no pós-operatório imediato de cirurgia cardíaca: resultados preliminares de ensaio clínico randomizado

Introducion: given the great variability in ventilation protocols, postoperative management, characteristics of the alveolar recruitment maneuver (ARM) (frequency, duration and intensity) and tolerability in patients undergoing cardiac surgery (CS), this study investigates whether ARM is beneficial in this area. situation in order to standardize its use. Objective: we investigated the effectiveness of ARM against pulmonary complications (PCs) immediately after CS. Methods: this randomised clinical trial included 134 patients aged >18 years who underwent coronary artery bypass graft or valve replacement surgery at our institution between February and September 2019. Participants were allocated to receive standard physiotherapy (control group [CG], n=67) or standard physiotherapy plus ARM (intervention group [IG], n=67). Results: there was no statistically significant difference in the incidence of PCs between the CG and IG groups (p=0.85). ARM did not improve gas exchange or lower total mechanical ventilation time, reintubation requirement, or intensive care unit and hospital stay. Conclusions: prophylactic ARM does not decrease the insufficiency of PCs in the postoperative period of CS, it did not improve gas exchange, nor did it reduce the time of MV. MRA was associated with an increased risk of hemodynamic instability. Patients must be screened before performing ARM.

Introdução: dada a grande variabilidade nos protocolos de ventilação, manejo pós-operatório, características da manobra de recrutamento alveolar (MRA) (frequência, duração e intensidade) e tolerabilidade em pacientes submetidos à cirurgia cardíaca (CC), este estudo investiga se a MRA é benéfica nesta área, a fim de padronizar seu uso. Objetivo: investigou-se a eficácia da MRA contra complicações pulmonares (CPs) imediatamente após a CC. Metodologia: este ensaio clínico randomizado incluiu 134 pacientes com idade > 18 anos submetidos à cirurgia de revascularização do miocárdio ou cirurgia de substituição valvar em nossa instituição entre fevereiro e setembro de 2019. Os participantes foram alocados para receber fisioterapia padrão (grupo controle [GC], n=67) ou fisioterapia padrão com adição da MRA (grupo intervenção [GI], n=67). Resultados: não houve diferença estatisticamente significativa na incidência de CPs entre os grupos GC e GI (p=0,85). A MRA não melhorou as trocas gasosas ou reduziu o tempo total de ventilação mecânica, necessidade de reintubação na unidade de terapia intensiva e internação hospitalar. Conclusão: a MRA profilática não diminui a incidência de CPs no pós-operatório de CC, não melhora as trocas gasosas, nem reduziu o tempo de VM. A MRA foi associada a um risco aumentado de instabilidade hemodinâmica. Os pacientes devem ser avaliados antes de realizar MRA.

Effects of ventilator hyperinflation on pulmonary function and secretion clearance in adults receiving mechanical ventilation: A systematic review with meta-analysis.

INTRODUCTION: It is important to clarify the effect of ventilator hyperinflation(VHI) on pulmonary function and secretion clearance in adults receiving mechanical ventilation(MV). There is no published meta-analysis on the effects VHI on pulmonary function and secretion clearance in adults receiving MV. Objective Analyze the published randomized clinical trials(RCTs) that investigated the effects of VHI on pulmonary function and secretion clearance in adults receiving MV, comparing VHI with isolated aspiration, VHI with manual hyperinflation(MHI), VHI +vibrocompression(VB) versus VB and VHI+VB versus isolated aspiration. METHODS: The following databases PubMed, LILACS, EMBASE, SciELO, PEDro database and Cochrane Central Register of Controlled Trials (CENTRAL) were consulted up to December 2021. Secretion clearance, static and dynamic compliance of the respiratory system(Cstat and Cdyn), airway resistance(Raw) and oxygenation outcomes were evaluated. RESULTS: Thirteen studies met the study criteria, but only 12 studies were included on meta-analysis. There was no difference between VHI versus isolated aspiration for amount of secretions removed(0.41 SMD; 95% CI: -0.08 to 0.89; n=270), VHI versus MHI(0.51 grams; 95% CI: -0.08 to 1.11; n=256), VHI+VB versus VB(0.31 grams; 95% CI: -0.42 to 1.05; n=130) and VHI+VB versus isolated aspiration(0.54 grams; 95% CI: -0.06 to 1.14; n=132). There was difference for VHI versus isolated aspiration to Cstat (4.77 ml/cm H2O; 95% CI: 2.41 to 7.14; n= 136). CONCLUSION: Taking into account all studies included in meta-analysis, no evidences was found that VHI was effective in increasing the amount of secretions removed, Cdyn and oxygenation, but VHI seems to show a slight improvement in Cstat when compared to isolated aspiration. No evidence was found that VHI was effective in increasing the amount of secretions removed, Cdyn and oxygenation, but VHI seems to show a slight improvement in Cstat when compared to isolated aspiration.

Eficácia do exergaming na aderência a reabilitação cardíaca fase II: um protocolo de ensaio clínico randomizado / Effectiveness of exergaming on the phase II cardiac rehabilitation adherence: a randomized clinical trial protocol

Introdução: O exergaming, dado o seu perfil lúdico, pode tornar a Reabilitação Cardíaca (RC) mais atrativa. Assim, questiona-se se o exergaming pode reduzir a evasão dos pacientes à RC. Objetivo: Analisar a eficácia do exergaming na aderência à RC fase dois. Métodos: Ensaio clínico randomizado, incluindo pacientes com doenças cardíacas, de ambos os sexos, maiores de 18 anos, admitidos na RC fase dois; excluídos os com contraindicações a essa intervenção. Os participantes serão alocados em dois grupos, com 30 indivíduos cada: grupo intervenção, que realizará o exergaming no Nintendo Wii; grupo controle, realizará exercício em esteira. A intervenção de ambos os grupos será de intensidade moderada, 30 minutos por sessão, três vezes por semana, por 12 semanas. A aderência à RC será identificada através da porcentagem do comparecimento às sessões. Resultados: As variáveis dos grupos serão comparadas por meio do Teste T de Student ou MannWhitney. O teste do qui-quadrado será utilizado para comparação das variáveis categóricas, quando inadequado, o exato de Fischer. Nível de significância será 5%. Conclusão: Esta investigação auxiliará na elucidação da eficácia do exergame na adesão à RC fase dois e quanto a outros desfechos secundários, como a melhora da capacidade de exercício.

Incidência, fatores associados e impacto de complicações pulmonares no pós-operatório de cirurgia cardíaca pediátrica / Incidence, associated factors and impact of pulmonary complications in the postoperative period of pediatric cardiac surgery

Objetivo: determinar a incidência, os fatores associados e o impacto das complicações pulmonares no pós-operatório de cirurgia cardíaca pediátrica. Metodologia: estudo de coorte, prospectivo, que incluiu lactentes e crianças submetidas à cirurgia cardíaca em um hospital pediátrico, no período de novembro de 2016 a julho de 2019. Foram coletados dados dos prontuários referentes ao sexo, idade, presença de outras malformações associadas, tipo de cardiopatia, ocorrência de complicações pulmonares, tempo de ventilação mecânica (VM) e de internamento na unidade de terapia intensiva (UTI) e óbito. Resultados: a amostra foi constituída por 111 lactentes e crianças, mediana da idade de 13 meses (7-32 meses), 54,1% do sexo feminino. Quanto ao tipo de cardiopatia, 80,2% foram cianogênicas. As complicações pulmonares ocorreram em 44,1% dos casos, sendo a mais frequente a atelectasia. A mediana do tempo de VM foi 8 horas (1-48h) e 45 (40,5%) permaneceram na VM por mais de 24h. A mediana do tempo de internamento na UTI foi de 7 dias (4-12dias). Evoluíram a óbito 7 (14,3%) pacientes. Conclusão: a amostra investigada apresentou incidência elevada de complicações pulmonares no pós-operatório de cirurgia cardíaca

Objective: to determine the incidence, associated factors and impact of pulmonary complications in the postoperative period of pediatric cardiac surgery. Methodology: prospective cohort study, which included infants and children undergoing cardiac surgery in a pediatric hospital, from November 2016 to July 2019. Data were collected from medical records regarding sex, age, presence of other associated malformations, type of heart disease, occurrence of pulmonary complications, duration of mechanical ventilation (MV) and admission to the intensive care unit (ICU) stay and death. Results: the sample consisted of 111 infants and children, median age 13 months (7-32 months), 54.1% female. As for the type of heart disease, 80.2% were acyanotic. Pulmonary complications occurred in 44.1% of cases, with atelectasis being the most frequent. The median time on mechanical ventilation (MV) was 8 hours (1-48h) and 45 (40.5%) remained on MV for more than 24h. The median length of stay in the ICU was 7 days (4-12 days). 7 (14.3%) patients died. Conclusion: the investigated sample had a high incidence of pulmonary complications in the postoperative period of cardiac surgery

Impacto da pandemia do SARS-CoV-2 na ocupação e mobilização de pacientes de uma unidade de terapia intensiva cardiovascular / The impact of SARS-CoV-2 pandemic on the occupation and mobilization of patients in a cardiovascular intensive care unit

Introdução: a pandemia do SARS-CoV-2 causou impactos econômicos e sociais em todo o mundo, em especial nos sistemas de saúde, repercutindo no número de admissões hospitalares por outras doenças, na rotina dos cuidados, no acesso aos serviços e nos recursos materiais, humanos e financeiros disponibilizados. Objetivo: Analisar o impacto da pandemia SARS-CoV-2 no número de internamentos e mobilização de pacientes críticos de uma unidade de terapia intensiva cardiovascular. Metodologia: trata-se de um estudo transversal, retrospectivo, realizado na Unidade de Terapia Intensiva Cardiovascular do Hospital Geral Roberto Santos, Salvador-BA. Analisaram-se comparativamente os dados de internamento e mobilização dos pacientes, no período entre março de 2019 e fevereiro de 2020, isto é pré-pandemia, e o primeiro ano de sua ocorrência. Resultados: houve redução (p <0,001) no número de internações no setor, quanto a mobilização, embora impactada nos primeiros meses da pandemia, conseguiu manter dados estáveis, quando avaliada de maneira linear. Discussão: A redução na ocupação coincide com achados de estudos nacionais e internacionais, o que pode ter influência na orientação de distanciamento social e o receio de contágio pelo vírus. Quanto à mobilização, importante instrumento de atuação fisioterapêutica nas UTI, apresentou dados similares (p= 0,8), quando comparados os dois períodos do estudo. Conclusão: notou-se impacto da pandemia no número de internamentos em uma UTI cardiológica durante a pandemia, o que deve ser futuramente estudado para avaliar as reais consequências dessa redução assistencial. Quanto à mobilização, não foi observada alteração significativa na média, antes e após a pandemia.

Introduction: SARS-CoV-2 pandemic caused economic and social impacts around the world, especially in health systems, affecting the number of hospital admissions for other diseases, routine care, access to services and material and human resources and financial resources made available. Objective: to analyze the impact of SARS-CoV-2 pandemic on the number of admissions and mobilization of critically ill patients in a cardiovascular intensive care unit. Methodology: this is a cross-sectional, retrospective study carried out at the Cardiovascular Intensive Care Unit of Hospital Geral Roberto Santos, Salvador-BA. Data on hospitalization and patient mobilization between March 2019 and February 2020 (pre-pandemic) and during the first year of its occurrence were comparatively analyzed. Results: there was a reduction (p <0.001) in the number of hospitalizations in the sector and mobilization, although impacted in the first months of the pandemic, managed to maintain stable data when evaluated in a linear fashion. Discussion: the reduction in occupation coincides with findings from national and international studies, which may influence the orientation of social distancing and the fear of contagion by the virus. As for mobilization, an important instrument of physical therapy practice in the ICUs, it presented similar data (p=0.8), when comparing the two periods of the study. Conclusion: the impact of the pandemic was noted on the number of admissions to a cardiology ICU during the pandemic, which should be studied in the future to assess the real consequences of this reduction in care. As for mobilization, there was no significant change in the mean, before and after the pandemic.

Avaliação da segurança e viabilidade do protocolo de sentar-levantar observando os efeitos hemodinâmicos agudos em idosos hospitalizados / Assessment of the safety and feasibility of the sit-up protocol observing acute hemodynamic effects in hospitalized elderly

Introdução: o processo de envelhecimento associado à hospitalização prolongada gera diminuição de massa e de força muscular dos membros inferiores, sendo necessárias intervenções para minimizar esses efeitos deletérios, como o treinamento de sentar-levantar. Este treinamento utiliza o peso do próprio corpo e é um movimento essencial para a manutenção da independência funcional. As respostas cardiovasculares agudas estão relacionadas com a segurança desta atividade, por isso é imprescindível a monitorização constante. Objetivo: avaliar a segurança e a viabilidade da realização do protocolo de sentar-levantar, observando os efeitos hemodinâmicos agudos em idosos hospitalizados. Metodologia: em uma amostra composta de idosos com estabilidade clínica, realizou-se um protocolo de sentar-levantar progressivo, com oito níveis em apenas uma sessão. Avaliaram-se variáveis hemodinâmicas, como pressão arterial sistólica e diastólica, pressão arterial média, frequência cardíaca e duplo produto, em repouso e após 1 min, 10 min e 30 min, sendo analisados e comparados médias e desvio-padrão. Resultados: observou-se um leve aumento nas variáveis pressão arterial sistólica, na frequência cardíaca e duplo produto, com normalização nos minutos seguintes ao protocolo. A pressão arterial diastólica e a arterial média apresentaram uma discreta diminuição no decorrer das mensurações. Observaram-se poucos eventos adversos na amostra, os quais foram solucionados após o repouso. Houve significância estatística entre a maior parte das variáveis, porém não houve significância clínica. Conclusão: o protocolo de sentarlevantar é viável e seguro em idosos hospitalizados, desde que seja realizado de acordo com os critérios de elegibilidade e monitorados.

Introduction: the aging process associated with prolonged hospitalization generates a decrease in muscle mass and strength in the lower limbs, requiring interventions to minimize these harmful effects, such as sit-to-stand training. This training uses the body's own weight and is an essential movement for the maintenance of functional independence. Acute cardiovascular responses are related to the safety of this activity, so constant monitoring is essential. Objective: evaluate the safety and feasibility of performing the sit-to-stand protocol, observing the acute hemodynamic effects in hospitalized elderly. Methods: in a sample composed of elderly people with clinical stability, a progressive sit-to-stand protocol was performed, with eight levels in just one session. Hemodynamic variables were evaluated, such as systolic and diastolic blood pressure, mean arterial pressure, heart rate and double product, at rest and after 1 min, 10 min and 30 min, and means and standard deviations were analyzed and compared. Results: there was a slight increase in the variables systolic blood pressure, heart rate and double product, with normalization in the minutes following the protocol. Diastolic blood pressure and mean arterial pressure showed a slight decrease during the measurements. Few adverse events were observed in the sample, which were resolved after rest. There was statistical significance among most of the variables, but there was no clinical significance. Conclusion: the sit-to-stand protocol is feasible and safe in hospitalized elderly, as long as it is performed according to eligibility criteria and monitored.

Perfil das internações de crianças por malformações congênitas do aparelho circulatório no Brasil de 2010 a 2020 / Profile of Children's hospitalization due to congenital malformations of the circulatory apparatus in Brazil from 2010 to 2020

Introdução: a malformação congênita do aparelho circulatório é definida como qualquer anormalidade na estrutura e/ou função do coração durante a fase do desenvolvimento embrionário, podendo interferir no fluxo sanguíneo. Suas manifestações ocorrem em qualquer fase do desenvolvimento. No Brasil, essa enfermidade representa a segunda principal causa de mortalidade em crianças menores de um ano, caracterizando-se um problema de saúde pública. Objetivo: descrever o perfil das internações de crianças por malformações congênitas do aparelho circulatório no Brasil, de 2010 a 2020. Metodologia: trata-se de um estudo ecológico, realizado por meio de dados secundários, no período de 2010 a 2020. Analisaram-se as variáveis número de internações, sexo, região, raça/cor, faixa etária, custos hospitalares, óbito e taxa de mortalidade. As informações coletadas foram armazenadas e analisadas no software Microsoft Excel Office, versão de 365. Resultados: entre 2010 e 2020, foram notificadas 118.792 internações por essa comorbidades de crianças por malformação congênita do aparelho circulatório, sendo 51% do sexo masculino, com predomínio da cor branca (36%), tendo a região Sudeste apresentado o maior percentual de internações (43,5%). Observou-se maior ocorrência em crianças abaixo de um ano (62,7%), gerando um custo de 650 milhões de reais em serviços hospitalares. O maior percentual de internações ocorreu em 2019 (10,9%). Houve 10.477 óbitos entre 2010 e 2020 (8,8%), sendo 85,8% na população abaixo de um ano e 37,7% na região Sudeste. A taxa de mortalidade de crianças por essa comorbidade foi de 8,82/100 mil habitantes. Conclusão: observou-se que as malformações congênitas do aparelho circulatório, no período analisado, apresentaram uma distribuição homogênea em relação ao sexo, sendo mais frequentes na raça/cor branca, na região Sudeste e na faixa etária menor que um ano, gerando altos custos em serviços hospitalares.

Introduction: congenital malformation of the circulatory system is defined as any abnormality in the structure and/or function of the heart during the embryonic development phase, which may interfere with blood flow. Its manifestations can occur at any stage of development. In Brazil, it represents the second leading cause of mortality in children under one year of age, characterizing a public health problem. Objective: to describe the profile of hospitalizations of children due to congenital malformations of the circulatory system in Brazil, from 2010 to 2020. Method: this is an ecological study, using secondary data from the Informatics Department of the Unified Health System, by the Hospital Information System of the Unified Health System, from 2010 to 2020. The following variables were analyzed: number of admissions, sex, region, race/color, age group, hospital costs, death and mortality rate. From the information acquired by the TabNet tool, for purposes of processing and analyzing the information collected, data were stored and analyzed in Microsoft Excel Office software, version 365. Results: between 2010 and 2020, 118,792 hospitalizations were reported in children due to congenital malformation of the circulatory system, 51% of whom were male, with a predominance of whites (36%). Southeast region was the region with the highest percentage of hospitalizations (43.5%). A higher occurrence was observed in children under one year of age (62.7%), generating a cost of 650 million reais in hospital services. The highest percentage of hospitalizations was registered in the year 2019 (10.9%). There were 10,477 deaths between 2010 and 2020 (8.8%), being 85.8% in the population under one year of age and 37.7% in the Southeast region. The mortality rate of children due to this comorbidity was 8.82/100 thousand inhabitants. Conclusion: it was observed that the congenital malformations of the circulatory system, in the analyzed period, presented a homogeneous distribution in relation to sex, being more frequent in the white race/color, in the Southeast region and in the age group under one year, generating high costs in services hospitals.

Limitação ao fluxo expiratório em tabagistas em diferentes níveis de atividade física / Expiratory flow limitation in smokers at different levels of physical activity

Introdução: a verificação da limitação ao fluxo aéreo ocasionado pelo tabagismo, por meio da mensuração do pico de fluxo expiratório, é uma medida viável para estudos populacionais que permite a sinalização precoce ou prevenção da instalação da doença pulmonar obstrutiva crônica. Objetivo: avaliar o grau de limitação ao fluxo expiratório em tabagistas em diferentes níveis de atividade física. Metodologia: trata-se de um estudo transversal. Foram selecionados 68 fumantes ativos por mais de um ano, acima de 18 anos, de ambos os sexos. O pico de fluxo expiratório foi obtido por meio do medidor portátil do modelo Mini-WrightTM e o nível de atividade física foi avaliado pelo International Physical Activity Questionnaire 8.0. As variáveis estudadas foram descritas pela amplitude de variação das médias, desvios padrão, máximo, mínimo e coeficiente de variação, sendo estabelecido o nível de significância de 5% através do teste Qui-quadrado. Resultados: o percentual de redução dos valores do pico de fluxo expiratório, previsto em relação ao obtido, chegou a uma redução média de 56,87% em maiores de 60 anos e 53,19% em tabagistas com um tempo de prática maior de 30 anos. Houve aumento considerável do percentual médio de redução do pico de fluxo expiratório nos grupos de tabagistas insuficientemente ativos e sedentários. Conclusão: os resultados sugerem que a limitação ao fluxo expiratório foi mais acentuada em tabagistas do sexo feminino, acima de 60 anos, com tempo superior a 30 anos de prática do tabagismo e com baixo nível de atividade física. Os tabagistas considerados muito ativos apresentaram menor nível de limitação ao fluxo expiratório.

Introduction: the verification of airflow limitation caused by smoking, through the Peak Expiratory Flow is a viable measure for population studies that allows the early signaling or prevention of the onset of Chronic Obstructive Pulmonary Disease. Objective: assess the degree of expiratory flow limitation in smokers at different levels of physical activity. Methods: this is a cross-sectional study. 68 active smokers for more than one year, over 18 years, of both sexes were selected. Peak expiratory flow was obtained using a portable Mini-WrightTM model and the level of physical activity was assessed using the International Physical Activity Questionnaire 8.0. The variables studied were described by the range of variation of the means, standard deviations, maximum, minimum and coefficient of variation, with a significance level of 5% being established using the Chi-square test. Results: the percentage of reduction in the values of peak expiratory flow, predicted in relation to that obtained, reached a mean reduction of 56.87% in people over 60 years of age and 53.19% in smokers with more than 30 years of practice. There was a considerable increase in the mean percentage of reduction in peak expiratory flow in the groups of insufficiently active and sedentary smokers. Conclusion: results suggest that expiratory flow limitation was more accentuated in female smokers, over 60 years of age, with more than 30 years of smoking practice and with a low level of physical activity. Smokers considered very active had a lower level of limitation of expiratory flow.

Autonomia em procedimentos ventilatórios por fisioterapeutas que atuam em fisioterapia intensiva no estado da Bahia: um estudo transversal / Autonomy in ventilatory procedures by physiotherapists working in the intensive care in the state of Bahia: a cross-sectional study

| INTRODUÇÃO: A Unidade de Terapia Intensiva (UTI) é um local destinado ao suporte adequado para pacientes que requerem monitorização e cuidado constante. Neste ambiente o fisioterapeuta auxilia na manutenção de funções vitais e colabora para a redução de complicações clínicas e do índice de mortalidade. Além disso, dentro das suas áreas de domínio, o fisioterapeuta compartilha a responsabilidade do manejo de procedimentos ventilatórios que substituem a ventilação espontânea. OBJETIVO: Descrever a autonomia em procedimentos ventilatórios pelos fisioterapeutas que atuam em UTI no estado da Bahia. METODOLOGIA: Trata-se de um estudo transversal com fisioterapeutas que atuam em UTI no estado da Bahia, inscritos no Conselho Regional de Fisioterapia e Terapia Ocupacional da 7ª Região (CREFITO-7), utilizando um questionário eletrônico desenvolvido pelos pesquisadores. Os dados foram submetidos à análise estatística descritiva e multivariada. O nível de significância adotado foi de p < 0,05. O tratamento estatístico foi realizado utilizando-se o Statistical Package for the Social Sciences, versão 21.0 (SPSS Inc., Chicago, IL, EUA). RESULTADOS: Foram avaliados 265 fisioterapeutas que atuam em terapia intensiva no estado da Bahia, com média de idade de 32,4 ±5,4 anos, sendo 61,9% do sexo feminino. Em relação a autonomia profissional, 94,3% declararam que a tomada de decisão (sobre os procedimentos fisioterapêuticos na UTI em que atuam) é de responsabilidade do fisioterapeuta. O maior nível de autonomia sobre os procedimentos ventilatórios foi observado para a aplicação de Ventilação Mecânica Não Invasiva VNI (97,7%), seguido do desmame (97,4%), indicação (97%) e manutenção (96,2%). CONCLUSÃO: Através do presente estudo foi possível concluir que os fisioterapeutas que atuam em UTI no Estado da Bahia declaram possuir autonomia profissional em relação a procedimentos ventilatórios, sobretudo para os não invasivos.

INTRODUCTION: The Intensive Care Unit (ICU) is a ward intended to the specialized support to critically ill patients or after undergoing a highly complex procedure, who need constant monitoring and care. In this environment, the physiotherapist works to maintain vital functions and helps reduce clinical complications and mortality rates. Furthermore, within their domains, the physiotherapist shares the responsibility for managing methods that replace spontaneous breaths. OBJECTIVE: To describe the autonomy in ventilatory procedures by physiotherapists working in ICUs in the state of Bahia. METHODOLOGY: This is a cross-sectional study with physiotherapists working in ICUs in the state of Bahia, registered at the Regional Council of Physiotherapy and Occupational Therapy of the 7th Region (CREFITO-7). In data, collect was used an electronic questionnaire was developed by the researchers. The data collected was analyzed through descriptive and multivariate statistics. A p-value < 0.05 was set as statistically significant. Statistical analysis was performed with Statistical Package for the Social Sciences, 21.0 version (SPSS Inc., Chicago, IL, EUA). RESULTS: Were evaluated a total of two hundred and sixty-five (265) physiotherapists who work at an Intensive Care Unit in the state of Bahia, with a mean age of 32.4 ±5.4 years, being 61.9% female. Regarding professional autonomy, 94.3% declared that decision-making about physical therapy procedures in the ICU where they work is the responsibility of the physiotherapists. The highest level of autonomy over ventilatory procedures was observed for the application of non-invasive ventilation (97.7%), followed by weaning from mechanical ventilation (97.4%), indication (97%), and maintenance (96.2%). CONCLUSION: Through this study, it was possible to conclude that physiotherapists working in ICUs in the State of Bahia claim to have professional autonomy in relation to ventilatory procedures, especially for the non-invasive ones.

Seaweeds rehydration and boiling: Impact on iodine, sodium, potassium, selenium, and total arsenic contents and health benefits for consumption.

Considering the importance of seaweeds for the development of sustainable and innovative food products, this study aimed to characterize the impact of hydrothermal processing on iodine, sodium, potassium, selenium, and arsenic concentrations of four seaweed species (S. latissima, L. digitata, U. pinnatifida, and C. crispus) and on the associated health risks-benefits for consumers. These elements revealed a common pattern for leachable fractions of iodine, total arsenic, and selenium: L. digitata ≥ S. latissima > C. crispus > U. pinnatifida after rehydration and boiling during different periods. The behavior for sodium was: S. latissima > L. digitata > C. crispus > U. pinnatifida, and for potassium: U. pinnatifida > L. digitata > S. latissima > C. crispus. Generally, the species that attained more significant losses were S. latissima and L. digitata. A health-relevant sodium/potassium ratio below 0.7 was found for all species except for U. pinnatifida. In some species, the risk-benefit analysis revealed that high iodine and arsenic levels might promote risks for consumption, even after 20 min boiling, but 5 g of processed U. pinnatifida could contribute to adequate iodine, sodium, potassium, and selenium intakes for all population groups. Standardized processing treatments of seaweeds can open new opportunities for the sector.

Effects of a non-caffeinated coffee substitute on functional dyspepsia.

BACKGROUND: Functional dyspepsia (FD) is a debilitating functional gastrointestinal disorder characterized by early satiety, post-prandial fullness or epigastric pain related to meals. FD is diagnosed when organic etiology for the symptoms is not identified. It is widely believed that FD may be linked to the consumption of certain foods. In a clinical setting, it is often recommended that coffee be avoided in patients with FD. The lack of clinical research on non-caffeinated coffee substitute's effects on functional dyspepsia (FD) prompted the need to explore the topic clinically. AIM: The purpose of this study is to investigate the effect of drinking non-caffeinated coffee substitute on FD symptoms in order to determine if recommending a non-caffeinated coffee substitute in patients with pre-existing FD relieves the patient's symptoms. METHODS: This is a quantitative study with 51 patients diagnosed with FD. A patient-reported outcomes (PRO) instrument called the Gastrointestinal Symptom Rating Scale (GSRS) was used to determine the results. After the participants enrolled, they completed the pre-GSRS questionnaire. The participants were instructed to stop their daily consumption of caffeinated and/or decaffeinated coffee and replace it with the non-caffeinated coffee substitute. After one month, the participants returned to the physician's office to complete a post intervention GSRS questionnaire. RESULTS: The Wilcoxon Signed Rank test was used to test for significant change across time. Our study showed a statistically significant decrease from pre-intervention to post-intervention for functional dyspepsia symptoms, (3.67-1.00), p < 0.001. CONCLUSION: To our knowledge, this study is the first to evaluate whether removing coffee from a person's diet and replacing it with a non-caffeinated coffee substitute would result in the improvement of functional dyspepsia symptoms. Our results indicate that replacing a caffeinated or decaffeinated coffee with a non-caffeinated coffee substitute decreases FD symptoms.

Translation and cross-cultural adaptation of Nepali versions of the Patient-Reported Outcomes Measurement Information System (PROMIS®) Pain Intensity, Pain Interference, Pain Behavior, Depression, and Sleep Disturbance short forms in chronic musculoskeletal pain.

PURPOSE: The Patient-Reported Outcomes Meaurement Information System (PROMIS®) measures have been translated into many languages and have been shown to have strong measurement properties across a wide range of clinical conditions. However, Nepali translations of the PROMIS short forms are not yet available. The aim of this study was to translate and cross-culturally adapt the PROMIS Pain Intensity, Pain Interference, Pain Behavior, Depression, and Sleep Disturbance short forms into Nepali. METHODS: We used the Functional Assessment of Chronic Illness Therapy (FACIT) translation methodology, which incorporated two forward translations, synthesis of the translations, a back-translation, and three independent reviews, harmonization, cognitive debriefing, revisions, and proof reading. The translation and review teams were fluent in Nepali and English and represented five different countries and four continents. We evaluated the short forms for comprehensibility and relevance (two key aspects of the content validity of an instrument), conducting cognitive debriefing with six adults with chronic musculoskeletal pain, in compliance with recommendations by the COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN). The final version was proofread by two native Nepali speakers before and three new proofreaders after cognitive debriefing. RESULTS: All five short forms were successfully translated and cross-culturally adapted into Nepali while maintaining equivalence to the source. CONCLUSIONS: The translation and review team, along with a sample from the target population with chronic musculoskeletal pain and the proofreaders considered all five PROMIS short forms relevant and comprehensible. An important next step is to evaluate the measurement properties of these instruments.

Reproducibility of respiratory mechanics measurements in patients on invasive mechanical ventilation. / Reprodutibilidade das mensurações da mecânica respiratória em pacientes sob ventilação mecânica invasiva.

OBJECTIVE: To evaluate the intra- and interexaminer reproducibility of measurements of the resistance and static and dynamic compliance of the respiratory system in patients on mechanical ventilation. METHODS: This was an analytical study conducted with individuals aged ≥ 18 years who were on invasive mechanical ventilation and had no clinical diagnosis of respiratory system disease and/or chest abnormality. Three measurements of respiratory mechanics were performed with a 1-minute interval between them. The first and third measurements were performed by examiner A, the second by examiner B. The values for the resistance and static and dynamic compliance of the respiratory system were compared using the intraclass correlation coefficient. RESULTS: A total of 198 measurements of respiratory mechanics were performed for 66 patients on mechanical ventilation. The patients had a mean age of 52.6 ± 18.6 years and a mean body mass index of 21.6 ± 2.1kg/m2; a surgical profile (61.5%) and female sex (53.8%) were predominant. Mean values were obtained for the three measurements of respiratory system resistance (A1: 15.7 ± 6.8cmH2O/L/s; B1: 15.7 ± 6.4cmH2O/L/s and A2: 15.9 ± 6.2cmH2O/L/s), respiratory system static compliance (A1: 42.1 ± 13.7mL/cmH2O; B1: 42.4 ± 14.6mL/cmH2O and A2: 42.2 ± 14.5mL/cmH2O) and respiratory system dynamic compliance (A1: 21.3 ± 7.3mL/cmH2O; B1: 21.4 ± 7.5mL/cmH2O and A2: 21.3 ± 6.2mL/cmH2O). The intraclass correlation coefficient was also calculated for respiratory system resistance (R = 0.882 and p = 0.001; R = 0.949 and p = 0.001 - interexaminer A1 versus B and B versus A2, respectively; R = 0.932 and p = 0.001 - intraexaminer); respiratory system static compliance (R = 0.951 and p = 0.001; R = 0.958 and p = 0.001 - interexaminer A1 versus B and B versus A2, respectively; R = 0.965 and p = 0.001 - intraexaminer) and respiratory system dynamic compliance (R = 0.957 and p = 0.001; R = 0.946 and p = 0.001 - interexaminer A1 versus B and B versus A2, respectively; R = 0.926 and p = 0.001 - intraexaminer). CONCLUSION: The measurements of resistance and static and dynamic compliance of the respiratory system show good intra- and interexaminer reproducibility for ventilated patients.

OBJETIVO: Avaliar a reprodutibilidade intra e interexaminador das mensurações da resistência e das complacências estática e dinâmica do sistema respiratório em pacientes sob ventilação mecânica. MÉTODOS: Trata-se de estudo analítico realizado com indivíduos com idade ≥ 18 anos, em ventilação mecânica invasiva, que não tinham diagnóstico clínico de doença do aparelho respiratório e/ou anormalidade de caixa torácica. Foram realizadas três aferições da mecânica respiratória com intervalo de 1 minuto entre elas. A primeira e a terceira aferições foram realizadas pelo avaliador A e a segunda aferição, pelo avaliador B. A comparação dos valores de resistência e complacências estática e dinâmica do sistema respiratório foi calculada por meio do coeficiente de correlação intraclasse. RESULTADOS: Foram realizadas 198 aferições da mecânica respiratória em 66 pacientes sob ventilação mecânica, com idade média de 52,6 ± 18,6 anos, índice de massa corporal médio de 21,6 ± 2,1kg/m2, predomínio do perfil cirúrgico (61,5%) e sexo feminino (53,8%). Foram obtidos valores médios das três aferições para resistência do sistema respiratório (A1: 15,7 ± 6,8cmH2O/L/s; B1: 15,7 ± 6,4cmH2O/L/s e A2: 15,9 ± 6,2cmH2O/L/s), para complacência estática do sistema respiratório (A1: 42,1 ± 13,7mL/cmH2O; B1: 42,4 ± 14,6mL/cmH2O e A2: 42,2 ± 14,5mL/cmH2O) e para complacência dinâmica do sistema respiratório (A1: 21,3 ± 7,3mL/cmH2O; B1: 21,4 ± 7,5mL/cmH2O e A2: 21,3 ± 6,2mL/cmH2O). Também foram encontrados valores do coeficiente de correlação intraclasse para resistência do sistema respiratório (R = 0,882 e p = 0,001; R = 0,949 e p = 0,001 - interexaminadores A1 versus B e B versus A2, respectivamente; R = 0,932 e p = 0,001 - intraexaminador); complacência estática do sistema respiratório (R = 0,951 e p = 0,001; R = 0,958 e p = 0,001 - interexaminadores A1 versus B e B versus A2, respectivamente; R = 0,965 e p = 0,001 - intraexaminador) e complacência dinâmica do sistema respiratório (R = 0,957 e p = 0,001; R = 0,946 e p = 0,001 - interexaminadores A1 versus B e B versus A2 respectivamente; R = 0,926 e p = 0,001 - intraexaminador). CONCLUSÃO: A mensuração de mecânica respiratória apresenta boa reprodutibilidade intra e interexaminador para as aferições de resistência e complacências estática e dinâmica do sistema respiratório em pacientes ventilados.

Reprodutibilidade das mensurações da mecânica respiratória em pacientes sob ventilação mecânica invasiva / Reproducibility of respiratory mechanics measurements in patients on invasive mechanical ventilation

RESUMO Objetivo: Avaliar a reprodutibilidade intra e interexaminador das mensurações da resistência e das complacências estática e dinâmica do sistema respiratório em pacientes sob ventilação mecânica. Métodos: Trata-se de estudo analítico realizado com indivíduos com idade ≥ 18 anos, em ventilação mecânica invasiva, que não tinham diagnóstico clínico de doença do aparelho respiratório e/ou anormalidade de caixa torácica. Foram realizadas três aferições da mecânica respiratória com intervalo de 1 minuto entre elas. A primeira e a terceira aferições foram realizadas pelo avaliador A e a segunda aferição, pelo avaliador B. A comparação dos valores de resistência e complacências estática e dinâmica do sistema respiratório foi calculada por meio do coeficiente de correlação intraclasse. Resultados: Foram realizadas 198 aferições da mecânica respiratória em 66 pacientes sob ventilação mecânica, com idade média de 52,6 ± 18,6 anos, índice de massa corporal médio de 21,6 ± 2,1kg/m2, predomínio do perfil cirúrgico (61,5%) e sexo feminino (53,8%). Foram obtidos valores médios das três aferições para resistência do sistema respiratório (A1: 15,7 ± 6,8cmH2O/L/s; B1: 15,7 ± 6,4cmH2O/L/s e A2: 15,9 ± 6,2cmH2O/L/s), para complacência estática do sistema respiratório (A1: 42,1 ± 13,7mL/cmH2O; B1: 42,4 ± 14,6mL/cmH2O e A2: 42,2 ± 14,5mL/cmH2O) e para complacência dinâmica do sistema respiratório (A1: 21,3 ± 7,3mL/cmH2O; B1: 21,4 ± 7,5mL/cmH2O e A2: 21,3 ± 6,2mL/cmH2O). Também foram encontrados valores do coeficiente de correlação intraclasse para resistência do sistema respiratório (R = 0,882 e p = 0,001; R = 0,949 e p = 0,001 - interexaminadores A1 versus B e B versus A2, respectivamente; R = 0,932 e p = 0,001 - intraexaminador); complacência estática do sistema respiratório (R = 0,951 e p = 0,001; R = 0,958 e p = 0,001 - interexaminadores A1 versus B e B versus A2, respectivamente; R = 0,965 e p = 0,001 - intraexaminador) e complacência dinâmica do sistema respiratório (R = 0,957 e p = 0,001; R = 0,946 e p = 0,001 - interexaminadores A1 versus B e B versus A2 respectivamente; R = 0,926 e p = 0,001 - intraexaminador). Conclusão: A mensuração de mecânica respiratória apresenta boa reprodutibilidade intra e interexaminador para as aferições de resistência e complacências estática e dinâmica do sistema respiratório em pacientes ventilados.

ABSTRACT Objective: To evaluate the intra- and interexaminer reproducibility of measurements of the resistance and static and dynamic compliance of the respiratory system in patients on mechanical ventilation. Methods: This was an analytical study conducted with individuals aged ≥ 18 years who were on invasive mechanical ventilation and had no clinical diagnosis of respiratory system disease and/or chest abnormality. Three measurements of respiratory mechanics were performed with a 1-minute interval between them. The first and third measurements were performed by examiner A, the second by examiner B. The values for the resistance and static and dynamic compliance of the respiratory system were compared using the intraclass correlation coefficient. Results: A total of 198 measurements of respiratory mechanics were performed for 66 patients on mechanical ventilation. The patients had a mean age of 52.6 ± 18.6 years and a mean body mass index of 21.6 ± 2.1kg/m2; a surgical profile (61.5%) and female sex (53.8%) were predominant. Mean values were obtained for the three measurements of respiratory system resistance (A1: 15.7 ± 6.8cmH2O/L/s; B1: 15.7 ± 6.4cmH2O/L/s and A2: 15.9 ± 6.2cmH2O/L/s), respiratory system static compliance (A1: 42.1 ± 13.7mL/cmH2O; B1: 42.4 ± 14.6mL/cmH2O and A2: 42.2 ± 14.5mL/cmH2O) and respiratory system dynamic compliance (A1: 21.3 ± 7.3mL/cmH2O; B1: 21.4 ± 7.5mL/cmH2O and A2: 21.3 ± 6.2mL/cmH2O). The intraclass correlation coefficient was also calculated for respiratory system resistance (R = 0.882 and p = 0.001; R = 0.949 and p = 0.001 - interexaminer A1 versus B and B versus A2, respectively; R = 0.932 and p = 0.001 - intraexaminer); respiratory system static compliance (R = 0.951 and p = 0.001; R = 0.958 and p = 0.001 - interexaminer A1 versus B and B versus A2, respectively; R = 0.965 and p = 0.001 - intraexaminer) and respiratory system dynamic compliance (R = 0.957 and p = 0.001; R = 0.946 and p = 0.001 - interexaminer A1 versus B and B versus A2, respectively; R = 0.926 and p = 0.001 - intraexaminer). Conclusion: The measurements of resistance and static and dynamic compliance of the respiratory system show good intra- and interexaminer reproducibility for ventilated patients.

Cross-cultural adaptation, reliability, and construct validity of the Thai version of the Patient-Reported Outcomes Measurement Information System-29 in individuals with chronic low back pain.

PURPOSE: To culturally adapt the Patient-Reported Outcomes Measurement Information System-29 into Thai (T-PROMIS-29) and evaluate the reliability and validity of the culturally adapted questionnaire. METHODS: The translation was performed using the Functional Assessment of Chronic Illness Therapy (FACIT) translation guidelines. Unidimensionality, internal consistency, and test-retest reliability at a 1-week interval for the translated measure were computed. Construct validity was evaluated by computing correlations between the T-PROMIS-29 scores and selected SF-36 scale scores. RESULTS: The study sample comprised of 241 participants with chronic low back pain. Internal consistencies were good to excellent, with Cronbach's alphas ranging from 0.84 to 0.94. The test-retest stability of all T-PROMIS-29 domains were moderate to good, with ICCs(2,1) ranging from 0.57 to 0.74. Unidimensionality, convergent validity, and divergent construct validity were satisfactory. CONCLUSIONS: The findings support the reliability and validity of the T-PROMIS-29 scale scores. The measure can be used to assess key quality of life domains in individuals from Thailand with chronic low back pain.