Validity Evidence of Brazilian Portuguese Version of the Professional Fulfillment Index.

PURPOSE: The questionnaire "Professional Fulfillment Index" (PFI) was validated to assess emotional exhaustion, interpersonal disengagement, and professional achievement among physicians. This study presents the process of cross-cultural adaptation of the PFI to the Brazilian context. DESIGN: Analytical cross-sectional study carried out between July and October 2020. Settings: For conceptual equivalence, a panel of experts was constituted who conducted analyzes on the translation and back-translation processes from English to Brazilian Portuguese. SUBJECTS: For the operational equivalence, 432 physicians in the field of Occupational Medicine were invited. MEASURES: They answered the PFI in an online platform. Analysis: Both exploratory and confirmatory factor analysis were performed to seek evidence of the hypothesized structure of PFI item responses. Reliability was assessed using three indicators. RESULTS: The Brazilian version can be considered similar to the original. Most of participants were female (57.6%) and mean age 49.6 years-SD 14.0. The mean time since graduation was 18.5 years-SD 9.67. Most of them had a full-time job (88.0%) and were trained through post-graduation courses 83.8%. The most frequent job task was to perform worker´s clinical evaluations (84.9%). Exploratory and confirmatory analyzes showed the adequacy of the items in measuring the instrument's construct, with stability for use in other populations and samples. CONCLUSION: The PFI was developed to evaluate positive and negative aspects of physicians' role and performance. The process described in this article was the first cross-cultural adaptation of the questionnaire. The PFI can help in mapping potential risk situations for negative impacts on physicians' occupational well-being and performance at work, in order to propose interventions that reduce exhaustion and expand professional fulfillment.

Epidemiological profile, occupational accidents, and socioeconomic characteristics of workers in the state of Amapá, Brazil: a time series analysis (2007-2017).

INTRODUCTION: The state of Amapá is located in Brazil's Legal Amazon and comprises 16 municipalities. Its history is marked by social vulnerability and industrial mining; therefore, its current socioeconomic and occupational context should be analyzed considering possible sociohistorical and geographic influences. OBJECTIVES: To analyze and/or describe the epidemiological profile of workers, occupational accidents, the socioeconomic context, and time evolution of the number of workers in the state and their relationship with the state's gross domestic product. METHODS: This is an analytic time series study based on official public data. We used a simple regression test to analyze the relationship between the number of workers and gross domestic product and to assess the time trend of the number of workers. The studied period was from 2007 to 2017. RESULTS: The number of workers presented an increasing trend over time (R2 = 0.902; p < 0.001), with a relative increase of 49.8% between 2007 and 2017. We observed a positive relationship between the annual increase in the number of workers and the state's gross domestic product (R2 = 0.899; p < 0.001). The economic activity with the highest mean number of workers was public administration, defense, and social security. The highest socioeconomic indicators were observed in the state capital Macapá. Non-hazardous waste management was the activity concentrating the highest absolute number of occupational accidents. CONCLUSIONS: This study highlighted important socioeconomic contrasts within the state. The significant increases in the gross domestic product and number of workers are signs of development, but the high number of occupational accidents represents a serious public health problem.

Microcephaly and Zika virus: neonatal neuroradiological aspects.

PURPOSE: The aim of this study is to describe some radiological features in the newborns with microcephaly caused by Zika virus infection during pregnancy. METHODS: We radiologically analyzed 13 cases of newborns with microcephaly born to mothers who were infected by the Zika virus in the early stage of pregnancy. RESULTS: The most frequently observed radiological findings were microcephaly and decreased brain parenchymal volume associated with lissencephaly, ventriculomegaly secondary to the lack of brain tissue (not hypertensive), and coarse and anarchic calcifications mainly involving the subcortical cortical transition, and the basal ganglia. CONCLUSIONS: Although it cannot be concluded that there is a definitive pathognomonic radiographic pattern of microcephaly caused by Zika virus, gross calcifications and anarchic distribution involving the subcortical cortical transition and the basal ganglia, in association with lissencephaly and in the absence of hypertensive ventriculomegaly, are characteristic of this type of infection.

On two-channel filter banks with directional vanishing moments.

The contourlet transform was proposed to address the limited directional resolution of the separable wavelet transform. One way to guarantee good approximation behavior is to let the directional filters in the contourlet filter bank have sharp frequency response. This requires filters with large support size. We seek to isolate the key filter property that ensures good approximation. In this direction, we propose filters with directional vanishing moments (DVM). These filters, we show, annihilate information along a given direction. We study two-channel filter banks with DVM filters. We provide conditions under which the design of DVM filter banks is possible. A complete characterization of the product filter is, thus, obtained. We propose a design framework that avoids 2-D factorization using the mapping technique. The filters designed, when used in the contourlet transform, exhibit nonlinear approximation comparable to the conventional filters while being shorter and, therefore, providing better visual quality with less ringing artifacts. Furthermore, experiments show that the proposed filters outperform the conventional ones in image approximation and denoising.

The nonsubsampled contourlet transform: theory, design, and applications.

In this paper, we develop the nonsubsampled contourlet transform (NSCT) and study its applications. The construction proposed in this paper is based on a nonsubsampled pyramid structure and nonsubsampled directional filter banks. The result is a flexible multiscale, multidirection, and shift-invariant image decomposition that can be efficiently implemented via the à trous algorithm. At the core of the proposed scheme is the nonseparable two-channel nonsubsampled filter bank (NSFB). We exploit the less stringent design condition of the NSFB to design filters that lead to a NSCT with better frequency selectivity and regularity when compared to the contourlet transform. We propose a design framework based on the mapping approach, that allows for a fast implementation based on a lifting or ladder structure, and only uses one-dimensional filtering in some cases. In addition, our design ensures that the corresponding frame elements are regular, symmetric, and the frame is close to a tight one. We assess the performance of the NSCT in image denoising and enhancement applications. In both applications the NSCT compares favorably to other existing methods in the literature.