Family-level moderators of daily associations between discrimination and distress among Mexican-origin youth.

The current study evaluated cultural values and family processes that may moderate associations between daily racial-ethnic discrimination and distress among Mexican-origin youth. Integrating micro-time (daily diary) and macro-time (longitudinal survey) research design features, we examined familism, family cohesion, and ethnic-racial socialization from youth-, mother-, and father- reports as potential buffers of daily associations between youth racial-ethnic discrimination and youth distress (negative affect and anger). The analytic sample, drawn from the Seguimos Avanzando study, included 317 Mexican-origin adolescents (Mage = 13.5 years) and their parents, recruited from the Midwestern United States. Results indicated that youth-reported familism and family cohesion significantly buffered daily associations between youth racial-ethnic discrimination and youth distress. In contrast, parent-reported familism and family cohesion and some aspects of ethnic-racial socialization exacerbated the discrimination to distress link. The implications of these results are discussed to inform efforts supporting the healthy development of Mexican-origin youth and their families.

Cross-Cultural Adaptation and Validation of the ICIQ-BD for Brazilian Women With Lower Urinary Tract Symptoms.

INTRODUCTION AND HYPOTHESES: The International Continence Society recommends the International Consultation on Incontinence Questionnaire-Bladder Diary (ICIQ-BD) for the assessment, management, and monitoring of lower urinary tract symptoms (LUTS). Translation, cross-cultural adaptation and validation will establish a valid and reliable tool for Brazilian women with LUTS. METHODS: A cross-sectional study involving 101 women was carried out at the Urogynecology Outpatient Clinic in Belo Horizonte, Brazil, between August 2020 and April 2022. The process of cross-cultural adaptation and validation was executed following the ICIQ Group's protocol. Reviewed by an expert committee, the first pre-test was followed by subsequent adaptations, resulting in a second adapted version that underwent expert revisions. A second pretest was conducted, followed by cross-cultural adaptation and construct validation. Finally, the International Consultation on Incontinence Questionnaire-Bladder Diary-Brazilian Portuguese Version (ICIQ-BD-Br) underwent a validation process. RESULTS: Construct validity (IVC >0.78) and internal consistency were satisfactory (α-Cronbach coefficient 0.87-0.94). The following adjustments were made: a specific field was created to document sleep and wake times, and a printed score ranging from 0 to 4 was included in the bladder sensation column. Test-retest reliability ranged from fair to excellent for all analyzed items (Spearman correlation: 0.64-0.95). Criterion validity analysis indicated slight agreement for one of the four symptoms analyzed (nocturia k=0.32). The final version was approved by the ICIQ Group. CONCLUSIONS: The ICIQ-BD-Br has been adapted for use in Brazilian Portuguese and has exhibited robust construct validity and reliability for Brazilian women with LUTS.

Implementação de diário em terapia intensiva: percepção de familiares e da equipe de enfermagem / Implementación del diario en cuidados intensivos: percepción de la familia y del equipo de enfermería / Implementation of intensive care diary: perception of the family and the nursing team

Resumo Objetivo identificar a percepção de familiares e da equipe de enfermagem sobre a implementação de um diário de Unidade de Terapia Intensiva à rotina de cuidados do paciente crítico. Método estudo descritivo, qualitativo, realizado em uma Unidade de Terapia Intensiva (UTI) adulto, entre julho e outubro de 2022. Implementou-se um diário, com registros de familiares e da equipe de enfermagem. A percepção dos familiares foi identificada através de entrevistas, e a da equipe, por meio de roda de conversa. Utilizou-se análise temática de Minayo. O estudo foi aprovado por Comitê de Ética em Pesquisa. Resultados participaram nove familiares; emergiram as seguintes categorias: Benefícios da utilização do diário de UTI e Fatores que podem influenciar no uso do diário de UTI". A partir da roda de conversa, com cinco profissionais de enfermagem, evidenciaram-se as categorias: Melhora da conexão com paciente e família; O diário como fonte de informações e Aspectos éticos relacionados aos registros. Considerações finais e implicações para a prática os familiares e os profissionais de enfermagem consideraram o instrumento benéfico, tanto para familiares quanto para pacientes. Para sua implementação, fluxos bem estabelecidos sobre o uso e a aproximação da família são essenciais para subsidiar o processo e obter a adesão das partes envolvidas.

Resumen Objetivo identificar la percepción de los familiares y del equipo de enfermería sobre la implementación del diario de Unidad de Cuidados Intensivos en el cuidado rutinario del paciente crítico. Método estudio descriptivo y cualitativo, realizado en una Unidad de Cuidados Intensivos (UCI) de adultos, entre julio y octubre de 2022. Se implementó un diario, con registros de los familiares y del equipo de enfermería. La percepción de los familiares fue identificada a través de entrevistas y la percepción del equipo a través de una rueda de conversación. Se utilizó el análisis temático de Minayo. El estudio fue aprobado por el Comité de Ética en Investigación. Resultados participaron nueve familiares; surgieron las siguientes categorías: Beneficios del uso del diario de UCI y Factores que pueden influir en el uso del diario de UCI. De la rueda de conversación, con cinco profesionales del equipo de enfermería, se destacaron las categorías: Mejora de la conexión con el paciente y la familia; El diario como fuente de información y Aspectos éticos relacionados con los registros. Consideraciones finales e implicaciones para la práctica los familiares y profesionales de enfermería consideraron beneficioso el instrumento, tanto para los familiares como para los pacientes. Para su implementación, son esenciales flujos bien establecidos sobre el uso y el alcance familiar para respaldar el proceso y obtener la aceptación de las partes involucradas.

Abstract Objective to identify the perception of family members and the nursing team regarding the implementation of an Intensive Care Unit diary into the routine care of critically ill patients. Method descriptive and qualitative study, carried out in an adult Intensive Care Unit (ICU), between July and October/2022. A diary was implemented, with records from family members and the nursing team. The family members' perception was identified through interviews, and the team's perception was identified through a conversation circle. Minayo thematic analysis was used. The study was approved by the Research Ethics Committee. Results nine family members participated; the following categories emerged: Benefits of using the ICU diary and Factors that may influence the use of the ICU diary. From the conversation circle, with five professionals from the nursing team, the categories were highlighted: Improved connection with patient and family; The diary as a source of information and ethical aspects related to records. Final considerations and implications for practice family members and nursing professionals considered the instrument beneficial, both for family members and patients. To support its implementation, well-established flows on use and family outreach are essential to support the process and obtain buy-in from the parties involved.

Bladder training compared to bladder training associated with pelvic floor muscle training for overactive bladder symptoms in women: A randomized clinical trial.

AIMS: To compare the effects of bladder training (BT) versus BT with pelvic floor muscle training (PFMT) in women with overactive bladder (OAB) symptoms. METHODS: Randomized controlled clinical trial including women with OAB symptoms, randomized into two groups: BT versus BT + PFMT. For 12 consecutive weeks, the women received home BT. The BT + PFMT performed supervised PFMT, once/week, associated at home PFMT protocol. Primary outcomes were urinary urgency, daytime voiding frequency, nocturia and urgency urinary incontinence assisted by both 3-day bladder diary and International Consultation on Incontinence OAB (ICIQ-OAB) questionnaire. Secondary outcomes were 24-h pad test and Patient Global Impression of Improvement. T-test, analysis of variance, Mann-Whitney (SPSS 20.0) and power/effect size (G-power) were applied in data analyses. RESULTS: Sixty-three women were included (B = 31; BT + PFMT = 32). There was no significant statistical difference between groups in terms of urinary symptoms: daytime frequency (BT: pre: 11.59 [±5.80], post: 9.10 [±4.05]; BT + PFMT: pre: 10.67 [±3.73], post: 8.08 [±3.38]) p = 0.75; nocturia: (BT: pre: 1.46 [±0.91], post: 0.82 [±0.82]; BT + PFMT: pre: 1.80 [±2.26], post: 0.82 [±1.15]) p = 0.70; urinary urgency (BT: pre: 3.22 [±4.70], post: 4.49 [±4.32]; BT + PFMT: pre: 6.87 [±5.60], post: 6.15 [±4.52]) p = 0.10; ICIQ-OAB total score: (BT: pre: 9.16 [±2.55], post: 6.32 [±3.77]; (BT + PFMT: pre: 9.75 [±2.06], post: 5.06 [±3.44] p = 0.30. CONCLUSIONS: Supervised PFMT added to BT did not provide further improvements than isolated BT in women with OAB symptoms.

Associations among Financial Well-Being, Daily Relationship Tension, and Daily Affect in Two Adult Cohorts Separated by the Great Recession.

Financial well-being may be an important context for daily emotional reactivity to relationship tension (e.g., arguments) whose salience varies across historical time or as a function of exposure to economic downturns. This study investigated how emotional reactivity, operationalized as daily fluctuations in negative and positive affect associated with the occurrence of daily relationship tension, varied by financial well-being among those who were and were not exposed to the Great Recession of 2008. Two matched, independent subsamples of partnered individuals from the National Study of Daily Experiences completed identical 8-day diary protocols, one before the Great Recession (n = 587) and one after (n = 351). Individuals reported higher negative affect and lower positive affect on days when relationship tension occurred. Further, results indicated that negative affect reactivity, but not positive affect reactivity, was moderated by both financial well-being and cohort status. For the pre-recession cohort, negative affect reactivity was stronger among those with lower financial well-being. However, among the post-recession cohort, financial well-being did not moderate negative affect reactivity to relationship tension. Findings highlight the utility of considering major societal events, such as economic downturns, to understand variability in emotional reactivity to day-to-day relationship tension in the context of financial well-being, as the salience of financial well-being in the ways relationship tension and negative affect are related on a daily basis appears to vary by historical context.

Utilização do diário de quedas como ferramenta de monitoramento das quedas em pessoas com doença de Parkinson: uma revisão sistemática / Use of fall diary as a fall monitoring tool in people with Parkinson's disease: a systematic review

As quedas em pessoas com Doença de Parkinson (DP) são fatores limitantes e incapacitantes, sua compreensão é complexa dada a natureza multifatorial. Neste contexto uma ferramenta, o diário de quedas, pode ser alternativa significante na compreensão deste evento. Objetivo: Avaliar a utilização do diário de quedas como ferramenta de monitoramento das quedas em pessoas com DP. Métodos: Trata-se de uma revisão sistemática de literatura que teve a seguinte questão norteadora: o diário de quedas é uma ferramenta adequada para monitorar as quedas em pessoas com DP? A busca nas bases de dados Pubmed, Medline, PEDro, Web of Science, Scopus e Cochrane Library foi realizada entre os meses de janeiro a março de 2022. A revisão foi registrada na plataforma PROSPERO sob o número de registro: CRD42018099127. Resultados: 192 estudos foram recuperados nas bases de dados, após adoção dos critérios de inclusão e exclusão, 6 estudos foram incluídos nesta revisão, a variável diário de quedas foi descrita sumariamente nos estudos analisados e extraído informações do que deveria conter em um diário de quedas. Conclusão: A análise permitiu concluir que os diários de quedas são ferramentas importantes para registro e compreensão do evento queda em pessoas com DP, no entanto, carecem de padronização

Falls in people with Parkinson's disease (PD) are limiting and disabling factors, their understanding is complex given their multifactorial nature. In this context, a tool, the fall diary, can be a significant alternative in understanding this event. Objective: Evaluate the use of the fall diary as a tool to monitor falls in people with PD. Methods: This is a systematic literature review that had the following guiding question: is the fall diary an adequate tool to monitor falls in people with PD? The search in Pubmed, Medline, PEDro, Web of Science, Scopus and Cochrane Library databases was carried out between January and March 2022. The review was registered on the PROSPERO platform under registration number: CRD42018099127. Results: A total of 192 studies were retrieved from the databases, after adopting the inclusion and exclusion criteria, 6 studies were included in this review, the daily variable of falls was briefly described in the analyzed studies and information was extracted from what it should contain in a falls diary. Conclusion: The analysis allowed us to conclude that fall diaries are important tools for recording and understanding the fall event in people with PD, however, they lack standardization

O papel dos diários intestinais na consulta de gastrenterologia / The role of bowel diaries in a "real-life" setting

ABSTRACT Background Despite the potential advantages of patients' self-recordings of bowel habits in lower digestive disorders, few studies evaluate the relevance of clinical information obtained through bowel diaries in clinical practice. Objective The main objective of this study was to evaluate the role of bowel diaries as an auxiliary diagnostic tool in lower gastrointestinal disorders consultations. Methods In this cross-sectional study, at the end of their gastroenterology consultation, patients were questioned about their bowel habits and gastrointestinal symptoms. The bowel diary was then filled by the patients at home for 2 weeks. The data collected from the clinical interview and from the bowel diaries were analyzed. Results Fifty-three patients participated in the study. Patients underestimated the number of their bowel movements (BM) in the interviews compared with the bowel diaries (P=0.007). There was a poor agreement between stool consistencies described in the interviews and recorded in the diaries (k=0.281). Patients overestimated their straining during evacuation in the interviews compared with the diaries (P=0.012). Regarding the subgroups' analysis, patients with proctological disorders described less BM in their interviews (P=0.033). Straining during evacuation was higher in the interviews of patients without proctological disorders (P=0.028) and in the interviews of more educated patients (P=0.028). Conclusion Overall, there were discrepancies between the clinical interview and the bowel diary regarding the number of BM, the stool consistency and straining. Bowel diaries are therefore a relevant instrument as a complement to the clinical interview to objectify patients' complaints and treat functional gastrointestinal disorders more adequately.

RESUMO Contexto: Apesar das potenciais vantagens do diário intestinal como complemento à entrevista clínica, raros estudos avaliam a relevância da informação clínica obtida a partir de diários intestinais na prática clínica. Objetivo Os principais objetivos deste estudo foram avaliar o papel do diário intestinal como ferramenta diagnóstica numa consulta dedicada a patologia digestiva baixa. Métodos Foi realizado um estudo transversal, num período de 3 meses, em que no final das consultas os pacientes foram entrevistados relativamente a dados demográficos, antecedentes clínicos e hábitos e sintomas intestinais. Em seguida, foi solicitado o auto-preenchimento de um diário intestinal durante 2 semanas. Foram comparadas as respostas obtidas na entrevista clínica com os registos dos diários intestinais. Resultados: Cinquenta e três pacientes participaram no estudo. A frequência de evacuações reportada nas entrevistas clínicas e nos diários intestinais dos pacientes foi significativamente diferente (P=0,007). Verificou-se apenas uma concordância mínima entre a consistência das fezes descrita nas entrevistas e registada nos diários (κ=0,281). Em relação ao esforço evacuatório os pacientes sobrestimaram o seu esforço ao evacuar nas entrevistas (P=0,012). Adicionalmente, verificou-se que pacientes com doenças proctológicas descreveram menos evacuações nas suas entrevistas (P=0,033). A descrição do esforço durante a evacuação foi superestimada nas entrevistas de pacientes sem distúrbios proctológicos (P=0,028) e de pacientes com um nível mais elevado de educação (P=0,028). Conclusão: Globalmente verificaram-se discrepâncias entre a entrevista clínica e o diário intestinal dos pacientes em relação ao número de dejeções, à consistência das fezes e ao esforço evacuatório. Assim, esta ferramenta revelou-se uma potencial mais-valia na prática clínica diária, permitindo objetivar as queixas e consequentemente tratar os pacientes de forma mais adequada.

Social connectedness, emotional regulation, and health behaviors as correlates of distress during lockdown for COVID-19: A diary study.

Mass lockdowns are a powerful infection-reduction strategy but are a significant stressor. This study aimed to explore whether various factors known to predict distress in normal contexts (e.g. social connectedness, emotional-regulation strategies, and health-related behaviors) are associated with daily distress under lockdown conditions. A time-based diary study evaluated how perceived social connectedness, health-promoting, and risk behaviors predicted within-person and between-person psychological distress. One hundred and nine adults completed surveys on these variables daily for 15 days while under stringent COVID-19 lockdown in Colombia. Emotional suppression and reappraisal were measured at the start of the study to explore whether they predicted distress. Distress was lower on the days that people experienced greater social connectedness (within-person analyses) but was not significantly predicted by between-participant differences in emotional regulation. Health-promoting behaviors such as exercising and meaningful activity were associated with lower distress, while watching COVID-19 news and eating high-calorie food were associated with higher distress. Looking at individual dynamics provides meaningful insights on daily behaviors associated with distress that might improve people's wellbeing during lockdown, such as social connectedness, meaningful activity, nutrition, exercise, and minimizing news exposure. Future research with alternative designs will enable causal conclusions to be drawn.

Monitoring daily symptoms and (self-reported) exacerbations in patients with bronchiectasis: a prospective study.

Background: Exacerbations are pivotal events in the natural history of patients with non-cystic fibrosis bronchiectasis (NCFB), since they have a negative impact on the functional evolution of these individuals. The daily symptoms of patients with NCFB show great variability, which negatively affects their self-perception of symptoms and exacerbations. The aim of this study was to identify daily symptoms in patients with NCFB, and to investigate whether there is a correlation between the frequency of self-reported exacerbations and events defined according to the criteria established in the literature to define exacerbation in bronchiectasis. Methods: This observational and prospective study was carried out in outpatient clinics of a Brazilian public university hospital. Over 24 weeks, patients completed a diary in which daily symptoms, self-reported exacerbations, and demands for medical care for respiratory symptoms were recorded. The instrument used (diary and symptom scores ranging from 0 to 12) were developed by the researchers. The participants also answered questionnaires mMRC, Leicester's, and St. George's Respiratory (SGRQ). Results: Twenty-eight patients returned the diary, their mean age was 54 years, and 50% out of them were classified as mild by the FACED score. Cough (64%) and expectoration (62%) were the most frequent symptoms. Correlations were found between the stability score and the mMRC (r=0.4727, p=0.011) and SGRQ (r=0.6748, p<0.0001) questionnaires. The number of self-perceived exacerbations (24) was significantly lower than exacerbations using the exacerbation consensus (63) (p<0.01). Additionally, no correlation was found between these two criteria. Conclusions: There was great variability of symptoms among the individuals sampled, and even for the same individual, over time. Patients had low self-perception of exacerbations, which suggests that strategies aimed at improving this self-perception may contribute to the early detection of exacerbations.

Diários de luto: um diálogo entre psicanálise e literatura em tempos de pandemia / Mourning Diaries: a dialogue between psychoanalysis and literature amidst a pandemic

Diante do negacionismo do governo brasileiro, que levou ao aumento exponencial do número de mortos pela COVID-19, aborda-se o trabalho de luto como um elemento no contexto das catástrofes coletivas que favorece uma tomada de posição política coletiva e uma elaboração subjetiva das situações traumáticas. Destaca-se, em seguida, como o luto comparece na literatura como uma estratégia de subjetivação do que foi perdido, sobretudo por meio da escrita de diários. Com base nos elementos teóricos de Freud sobre o luto e de Ferenczi acerca da apropriação do traumático, analisam-se três livros-diários de autores que descrevem o trabalho de luto (Rolland Barthes, Boris Fausto e Neal Peart). Verifica-se nesses textos como o luto promove um rearranjo das memórias, enodando o individual e o coletivo, o exterior e o interior, convocando um testemunho. Ele também favorece uma estabilização pulsional e narcísica, possibilitando novos endereçamentos e a construção de um projeto de vida futuro. Ao final, como contraponto ao desrespeito do governo federal em relação ao luto dos que perderam familiares e amigos durante a pandemia, reforça-se o dever de reconhecer o luto, valorizá-lo e oferecer suporte para a sua realização como estratégia política de promoção da saúde mental.

Faced with the Brazilian government's negationist attitude which led to the exponential increase of deaths by COVID-19, the work of mourning is approached, in this work, as an element in the context of collective catastrophes that favors a political stance and a subjective elaboration of traumatic situations. We will then underline how mourning appears in literature as a strategy of subjectivation of what has been lost, especially through the writing of diaries. Based on the theoretical elements of Freud on mourning and Ferenczi on the appropriation of the traumatic, three diaries by authors who describe the work of mourning (Rolland Barthes, Boris Fausto and Neal Peart) are analyzed. It can be seen in these texts how mourning promotes a rearrangement of memories, entangling the individual and the collective, the exterior and the interior, calling for testimony. It also favors instinctual and narcissistic stabilization, enabling new approaches and the construction of a future life project. In the end, as a counterpoint to the federal government's disrespect for the grief of those who lost relatives and friends during the pandemic, the duty to recognize grief, to value it and to offer support for its realization is highlighted as a political strategy to promote the mental health.

Free-time physical activity and pain perception: An analysis of daily records from Brazilian teachers.

The sensation of pain is frequent in teachers and its relationship with the practice of free-time physical activity still needs more scientific evidence. This study analyzed the association between free-time physical activity and pain symptoms experienced by teachers during the day and at bedtime. In this cross-sectional study, data were obtained through individual interviews and the fulfillment of an activity diary by teachers from a city located in southern Brazil. Statistical analysis was performed using logistic regression adjusted for sociodemographic, lifestyle and health variables. Among the 141 teachers included, pain perception was reported during the day by 66.7% and at bedtime by 66.0%. Analyses adjusted for sex, age, body mass index and time spent watching television indicated that practicing more than 240 minutes/week of free-time physical activity was associated with a lower likelihood of reported pain during the day (odds ratio, OR=0.18; 95% confidence interval, CI: 0.06-0.54) and at bedtime (OR=0.28; 95% CI: 0.10-0.79) compared to practicing ≤60 minutes/week of free-time physical activity. These associations lost statistical significance after the additional adjustment for depressive symptoms. In summary, this study showed that teachers who practiced more than 240 minutes/week of physical activity in free-time were less likely to report pain during the day and at bedtime. Depressive symptoms had an important confounding effect on this association. A multidisciplinary approach can optimize preventive strategies for pain prevention and management through health education programs in the workplace.

Symptom variability in outpatients with COPD and validation of the Colombian COPD Symptom Variability Instrument (EPOC-CoVaSy) / Variabilidad de síntomas en pacientes ambulatorios con EPOC y validación del Instrumento Colombiano de Variabilidad de Síntomas en EPOC (EPOC-CoVaSy)

Abstract Introduction: The variability of respiratory symptoms in chronic obstructive pulmonary disease (COPD) is considered to be low or nonexistent. However, some authors state that there may be fluctuations. Objectives: To describe symptom variability in patients with COPD throughout the day and night for four weeks using a patient diary, and to validate a questionnaire created for such purpose (Colombian Self-Ad -ministered Instrument of Symptom Variability in COPD - EPOC-CoVaSy). Materials and methods: Cohort study conducted in 96 patients with COPD treated between June and December 2016 at the Centro de Atención Pulmonar - CAP in Barranquilla, Colombia, who filled out a patient diary for four weeks and, after this period, the self-administered EPOC-CoVaSy instrument. Independence and comparison of frequencies of categorical and continuous variables were established using the chi- square and the Fisher ' s exact tests and the Pearson's correlation coefficient, respectively. A MANO-VA was performed using linear regression models to determine the correlations between the results of the diary and the instrument. Results: Participants' mean age was 73.3±8.3 years and 71.87% were male. According to the analysis of the diaries, the mean scores (visual analog scale) for all symptoms and the performance of activities of daily living ranged between 0.5 and 2.5, being higher in the morning (mean scores between 1.5 and 2.5) than in the afternoon and night (mean scores between 0.5 and 1.5); however, symptom variability was minimal. These results were similar to those obtained in the EPOC-CoVaSy instrument, demonstrating a high correlation between both instruments that allowed to confirm that EPOC-CoVaSy is a useful instrument to measure such variability. Conclusions. Based on the findings of the present study, it can be concluded that there is a slight variability in COPD symptoms throughout the day, which should be considered when establishing treatment regimens for this disease. Likewise, it was determined that the EPOC-CoVaSy instrument is valid to measure such variability in Colombian patients with COPD.

Resumen Introducción. Se considera que la variabilidad de los síntomas respiratorios de la enfermedad pulmonar obstructiva crónica (EPOC) es baja o inexistente. Sin embargo, algunos autores afirman que se pueden presentar fluctuaciones. Objetivos. Describir la variabilidad de síntomas en pacientes con EPOC a lo largo del día y la noche durante cuatro semanas mediante un diario del paciente, y validar un cuestionario desarrollado para tal fin (Instrumento Colombiano Autoadministrado de Variabilidad de Síntomas en EPOC: EPOC-CoVaSy). Materiales y métodos. Estudio de cohorte realizado en 96 pacientes con EPOC atendidos entre junio y diciembre de 2016 en el Centro de Atención Pulmonar - CAP, en Barranquilla, Colombia, quienes diligenciaron un diario del paciente durante cuatro semanas y, luego de este periodo, el instrumento autoadministrado EPOC-CoVaSy. La independencia y comparación de frecuencias de las variables categóricas y continuas se establecieron mediante las pruebas % 2 y exacta de Fisher y el coeficiente de correlación de Pearson, respectivamente. Se realizó un MANOVA, utilizando modelos de regresión lineal, para determinar las correlaciones entre los resultados del diario y el instrumento. Resultados. La edad promedio de los participantes fue 73.3±8.3 años y 71.87% eran hombres. Según el análisis de los diarios, los puntajes promedio (escala visual analógica) para todos los síntomas y el desempeño de actividades diarias oscilaron entre 0.5 y 2.5, siendo más altos en la mañana (puntajes promedio entre 1.5 y 2.5) que en la tarde y noche (puntajes promedio entre 0.5 y 1.5); sin embargo, esta variabilidad fue mínima, lo que coincidió con los resultados obtenidos en el EPOC-CoVaSy, evidenciándose una alta correlación entre ambos instrumentos que permitió confirmar que la herramienta diseñada es útil para medir dicha variabilidad. Conclusiones. Con base en los hallazgos del presente estudio, se puede concluir que existe una leve variabilidad en los síntomas de EPOC a lo largo del día, la cual debe considerarse a la hora de establecer esquemas de tratamiento para esta enfermedad. Asimismo, se estableció que el EPOC-CoVaSy es válido para medir dicha variabilidad en la población colombiana con EPOC.

Exploring family members' and health care professionals' perceptions on ICU diaries: a systematic review and qualitative data synthesis.

PURPOSE: Although the intensive care unit (ICU) diary has been proposed as a tool for preventing psychiatric symptoms in survivors of critical illness, relatives and health care providers may benefit from it too. This study aims to summarize the current qualitative evidence on families' and health care professionals' experiences of writing in and reading the ICU diaries. METHODS: We searched MEDLINE, OVID, Embase, and EBSCOhost from inception to February 2021, and included all the studies that presented any qualitative finding regarding relatives' and health care providers' experiences of writing in and reading an ICU diary. We used modified Critical Appraisal Skills Programme (CASP) and Confidence in the Evidence from Reviews of Qualitative Research (CERQual) for quality assessment. A thematic synthesis approach was used to analyze and synthesize the qualitative data. RESULTS: Twenty-eight studies were analyzed (15 including family members and 13 including health care professionals). For family members, the ICU diary is an important source of medical information, provides a way for them to register their presence at patient's bedside and express their feelings, and contributes to humanizing the ICU staff. This impression is shared by relatives of patients who did not survive critical illness. Health care providers believe the diary is beneficial for themselves and others; however, they are concerned with possible negative impressions from patients and family that could lead to judicial problems. They also remark on several obstacles they face when constructing the diaries (workload, creativity, and environment for writing), which can make it a distressful process. CONCLUSION: This qualitative synthesis shows that family members and health care professionals consider the ICU diary a valuable intervention. It also brings evidence to challenges faced during diary writing, which should be carefully approached in order to reduce the stress associated with this process.

A daily diary study of sleep chronotype among Mexican-origin adolescents and parents: Implications for adolescent behavioral health.

The current study used daily assessments of sleep to examine stability and change in sleep chronotype in adolescents and their parents. The study assessed adolescent sleep chronotype according to age, gender, and parent chronotype, and evaluated its associations with emotional and behavioral problems in youth. Participants included of 417 Mexican American adolescents (Mage = 16.0 years, Range = 13.9-20.0) and 403 caregivers, who reported bed and wake times daily for 2 consecutive weeks at two time points spaced 1 year apart. In addition, adolescents completed established self-report questionnaires of emotional and behavioral problems. Chronotype was computed as the midsleep point from bed to wake time on free days, correcting for sleep debt accumulated across scheduled days. Multilevel modeling showed a curvilinear association between adolescent age and chronotype, with a peak eveningness observed between ages 16 to 17. Adolescent and parent chronotypes were contemporaneously correlated, but each was only moderately stable over the 1-year period. Later adolescent chronotype was contemporaneously associated with more substance use in all adolescents. Individual development and the family context shape sleep chronotype in adolescents and parents. Sleep chronotype is implicated in adolescent behavioral health.

The Emotion Regulation Roots of Job Satisfaction.

Job satisfaction is a core variable in the study and practice of organizational psychology because of its implications for desirable work outcomes. Knowledge of its antecedents is abundant and informative, but there are still psychological processes underlying job satisfaction that have not received complete attention. This is the case of employee emotion regulation. In this study, we argue that employees' behaviors directed to manage their affective states participate in their level of job satisfaction and hypothesize that employee affect-improving and -worsening emotion regulation behaviors increase and decrease, respectively, job satisfaction, through the experience of positive and negative affect. Using a diary study with a sample of professionals from diverse jobs and organizations, for the most part, the mediational hypotheses were supported by the results albeit a more complex relationship was found in the case of affect worsening emotion regulation. This study contributes to expanding the job satisfaction and emotion regulation literatures and informs practitioners in people management in organizations about another route to foster and sustain positive attitudes at work.

A pesquisa-intervenção em Psicologia: os usos do diário de campo / Research-intervention in psychology: the uses of the field diary / Investigación de intervención em psicología: el campo de uso do diario

Este artigo problematiza a pesquisa-intervenção pelos caminhos da análise institucional e de suas ferramentas. Para tanto, pensa o processo de pesquisa por meio da noção de implicação e traz o diário de campo como ferramenta fundamental para as análises. Há intempestivos no pesquisar e é preciso estar atento ao que René Lourau chamou "fora-texto", aquilo que no círculo científico clássico não deve constar da asséptica escrita do texto final. O "fora-texto" é rico em possibilidade de análises, expõe as implicações, e sua escrita produz uma leitura da prática. Na intenção de entrecruzar diferentes ferramentas da análise institucional, o artigo procura trazer a pesquisa-invenção como uma metodologia que se interpõe aos princípios de neutralidade e objetividade da ciência positiva, às suas dicotomias e produção de verdades. Embora o pensamento de Renè Lourau conduza o artigo, não há uma leitura pura desse autor, mas deslocamentos nos usos de suas ferramentas de pesquisa.(AU)

This article know the research-intervention through paths of institutional analysis. Therefore, it examines the research process from the concept of implication and brings the field diary as a fundamental tool. Because of the researching process' surprises, there is a need to be aware of what Rene Lourau's thinking line calls the "hors text", which, in the classic scientific circle, should not appear on the aseptic writing of the final text. The "hors text" is rich in possibilities of analyzes, exposing implications and producing a reading of the practice. By crossing different tools of institutional analysis, the article seeks to bring the research-invention as a methodology that mediates the principles of neutrality and objectivity of positive science and its dichotomies and production of truths. Although Renè Lourau's line of thinking leads the article, there is not a pure read of this author, but displacements in the use of it tools the research.(AU)

En este artículo se discute la investigación de la intervención de los caminos de análisis institucional y sus herramientas. Por lo tanto, creo que el proceso de búsqueda a través de la noción de implicación y trae el diario de campo como herramienta fundamental para el análisis. Hay Molestias en la búsqueda y debemos estar alerta a lo que René Lourau llamado "off-texto", lo que en el círculo científico clásico no está en la aséptica escribir el texto final. El "fuera de texto" es rico en análisis de oportunidades, expone las implicaciones, y su escritura produce una lectura práctica. Con la intención de interponer diferentes herramientas de análisis institucional, el artículo pretende acercar la investigación relacionada con la invención como una metodología que representa los principios de neutralidad y objetividad de la ciencia positiva, sus dicotomías y verdades de producción. Aunque la idea de Renè Lourau conducen artículo, hay una lectura pura este autor, pero los cambios en el uso de sus herramientas de investigacíon.(AU)

Encontro de mulheres no CRAS: uma experiência na construção grupal / Meeting of women at CRAS: an experience in group construction / Encuentro de mujeres en el CRAS: una experiência en la construccion de grupos

Este estudo é resultado de uma pesquisa-intervenção realizada com um grupo de mulheres que participam de uma atividade regular em um CRAS da região metropolitana de Florianópolis - SC. O objetivo do artigo é apresentar e discutir o diário de campo produzido entre junho de 2017 a dezembro de 2018. As informações foram sistematizadas com o auxílio do software IRAMUTEQ que permitiu a identificação das categorias de análise do estudo, por meio da Classificação Hierárquica Descendente (CHD), distinguindo quatro classes que foram objeto de discussão e analisadas a partir da dialética de grupos de J. P. Sartre. Os resultados apontaram que a experiência grupal permitiu o estabelecimento do "nós" e da importância do outro e do grupo como mediador no fortalecimento de vínculos familiares e comunitários. O grupo de mulheres foi, também, um espaço importante de acesso ao serviço, pois por meio dele puderam acessar seus direitos sociais.

This study is the result of an intervention research fulfilled with a group of women participating in a regular activity in a CRAS of the metropolitan region of Florianópolis - SC. The objective of this paper is to present and discuss the field diary produced in between June 2017 to December 2018. The information was systematized with the help of the IRAMUTEQ software that allowed the identification of the study analysis categories through the Descending Hierarchical Classification (DHC), distinguishing four classes that were the subject of discussion and analyzed starting the J. P. Sartre groups dialectic. he results showed that the group experience allowed the establishment of the "we" and the importance of the other and the group as a mediator in fortification family and community ties. The women's group was also an important space for access to the service, because through it they could access their social rights.

Este estudio es el resultado de una investigación de intervención realizada con un grupo de mujeres que participa de una actividad regular en un CRAS da la zona metropolitana de Florianópolis - SC. El objetivo de este artículo es presentar y discutir el diario de campo producido desde junio de 2017 hasta diciembre de 2018. Las informaciones fueran sistematizadas con la ayuda del software IRAMUTEQ que permitió la identificación de las categorías de análisis del estudio, a través de la Classificação Hierárquica Descendente (CHD), distinguiendo cuatro clases que fueran objeto de discusión analizadas desde la dialéctica de grupos de J. P. Sartre. Los resultados apuntaron que la experiencia grupal permitió el establecimiento del "nosotros" y la importancia del otro y del grupo como mediador en el fortalecimiento de los lazos familiares y comunitarios. El grupo de mujeres fue, también, un espacio importante para acceder al servicio, pues a través de él pudieron acceder a sus derechos sociales.

Clinical records: the medical writing from the patient's story to the medical narrative.

A historical follow-up on the medical diaries about the patient is made, from the Hippocratic texts to the appearance of the current canon of the clinical history formulated by Boerhaave in the seventeenth century, through the medieval consilia and the curationes and observationes of the Renaissance; and it is discussed how much the patient's story is present in those writings. It is postulated that the medical narrative that starts from adequately listening to the patient and his story, and adopts a literary workshop format, it is a pedagogical tool that contributes to comprehensive medical training, and offers the patient the opportunity to be treated in an empathic and humanized environment.

Se hace un seguimiento histórico a los escritos médicos sobre el paciente, desde los textos hipocráticos hasta la aparición del canon actual de historia clínica formulado por Boerhaave en el siglo XVII, pasando por los consilia medievales y las curationes y observationes del renacimiento; y se discute qué tanto el relato del paciente está presente en esos escritos. Se postula que la narrativa médica que parte de escuchar adecuadamente al paciente y su historia, y se trabaja en formato de taller literario, es una herramienta pedagógica que contribuye a la formación médica integral y ofrece la posibilidad de que el paciente pueda ser tratado en un medio empático y humanizado.

Emotion Regulation, Positive Affect, and Promotive Voice Behavior at Work.

Promotive voice is an essential behavior in today's organizations to facilitate improvements and make constructive changes in the way that work is conducted. Expanding previous research on the individual drivers of voice behavior in organizations, and drawing on theory about emotion regulation, I propose that speaking out with ideas at work is a function of employee emotion regulation and positive affect. Accordingly, results of a weekly diary study, conducted with professionals from diverse organizations and industries, showed that employees using emotion regulation strategies to improve their feelings increase the experience of positive affect at work, while behaviors oriented to worsen their own feelings were negatively related to the same outcome. Positive affect, in turn, increases the likelihood of promotive voice behavior. These results contribute to the voice behavior literature by showing that emotion regulation is an individual factor that participates in the construction of positive affective experiences, which is in turn conducive to speaking out with ideas for improvements and changes at work. Furthermore, these findings inform organizational practitioners about the value of training emotion regulation strategies to improve organizational effectiveness.

Reproducibility of Dietary Intake Measurement From Diet Diaries, Photographic Food Records, and a Novel Sensor Method.

Objective: No data currently exist on the reproducibility of photographic food records compared to diet diaries, two commonly used methods to measure dietary intake. Our aim was to examine the reproducibility of diet diaries, photographic food records, and a novel electronic sensor, consisting of counts of chews and swallows using wearable sensors and video analysis, for estimating energy intake. Method: This was a retrospective analysis of data from a previous study, in which 30 participants (15 female), aged 29 ± 12 y and having a BMI of 27.9 ± 5.5, consumed three identical meals on different days. Four different methods were used to estimate total mass and energy intake on each day: (1) weighed food record; (2) photographic food record; (3) diet diary; and (4) novel mathematical model based on counts of chews and swallows (CCS models) obtained via the use of electronic sensors and video monitoring system. The study staff conducted weighed food records for all meals, took pre- and post-meal photographs, and ensured that diet diaries were completed by participants at the end of each meal. All methods were compared against the weighed food record, which was used as the reference method. Results: Reproducibility was significantly different between the diet diary and photographic food record for total energy intake (p = 0.004). The photographic record had greater reproducibility vs. the diet diary for all parameters measured. For total energy intake, the novel sensor method exhibited good reproducibility (repeatability coefficient (RC) of 59.9 (45.9, 70.4), which was better than that for the diet diary [RC = 79.6 (55.5, 103.3)] but not as repeatable as the photographic method [RC = 43.4 (32.1, 53.9)]. Conclusion: Photographic food records offer superior precision to the diet diary and, therefore, would be valuable for longitudinal studies with repeated measures of dietary intake. A novel electronic sensor also shows promise for the collection of longitudinal dietary intake data.