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1.
Dement Neuropsychol ; 16(1): 8-18, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35719261

RESUMO

Aging is characterized by a reduction in physical, cognitive, and emotional functions, allowing multiple losses in the quality of life of the elderly. As a clinical situation that has a common association with pathological aging, neurocognitive disorder, previously named dementia, has become epidemiologically more relevant over the years. Thus, art therapy has recently emerged as an alternative technique for approaching these individuals, with the aim of improving cognitive, emotional, and quality of life aspects. Objective: The objective of this study was to analyze the effects of the application of art therapy based on visual creative processes on cognitive, emotional, and quality of life aspects in elderly people with neurocognitive disorder. Methods: This was a systematic review, carried out using CAPES, PubMed, SciELO, Bireme, PEDro, LILACS, and Scorpus databases between December 2020 and April 2021. Controlled and uncontrolled clinical trials were included in English, Spanish, French, and Portuguese, published between 1970 and 2021, with a focus on modalities of visual art production. The articles included at the end of the selection process were evaluated methodologically by the PEDro Scale of clinical trials. Results: A total of 14 articles were obtained at the end of the selection. Of note, 13 articles had a statistically significant outcome (p≤0.005) for quality of life, cognitive, and emotional functions after intervention with art therapy, being the most used interventions, such as drawing, paintings, and sculptures. Conclusions: The results show significant impacts after the application of art therapy in its visual modality. However, studies with greater methodological rigor are needed to strengthen the evidence presented.


O envelhecimento é caracterizado pela redução das funções físicas, cognitivas e emocionais, possibilitando múltiplas perdas na qualidade de vida do idoso. Como situação clínica que possui comum associação com o envelhecimento patológico, o transtorno neurocognitivo, anteriormente chamado de demência, vem-se tornando epidemiologicamente mais relevante com o passar dos anos. Desse modo, a terapia pela arte surgiu recentemente como técnica alternativa para a abordagem desses indivíduos, com o objetivo de melhorar o estado cognitivo e emocional e a qualidade de vida. Objetivo: Analisar os efeitos da aplicação da terapia pela arte baseada em processos criativos visuais nos aspectos cognitivos e emocionais e na qualidade de vida em idosos com transtorno neurocognitivo. Métodos: Trata-se de uma revisão sistemática, realizada nas bases de dados da Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES), PubMed, Scientific Electronic Library Online (SciELO), Centro Latino-Americano e do Caribe de Informação em Ciências da Saúde (Bireme), Physiotherapy Evidence Database (PEDro), Literatura Latino-Americana e do Caribe em Ciências da Saúde (Lilacs) e Scorpus, realizada entre dezembro de 2020 e abril de 2021. Foram incluídos ensaios clínicos controlados e não controlados em inglês, espanhol, francês e português, publicados entre 1970 e 2021, com enfoque em modalidades de produção de arte visual. Os artigos incluídos ao fim do processo de seleção foram avaliados metodologicamente pela escala PEDro de ensaios clínicos. Resultados: Catorze artigos foram obtidos ao fim da seleção. Treze tiveram desfecho estatisticamente significativo (p=<0,005) para qualidade de vida, funções cognitivas e emocionais após a intervenção com arte-terapia, sendo as intervenções mais usadas: elaboração de desenhos, pinturas e esculturas. Conclusões: Os resultados apontam para impactos significativos após a aplicação da arte-terapia em sua modalidade visual. No entanto, são necessários estudos com maior rigor metodológico para fortalecer as evidências apresentadas.

2.
Clin Breast Cancer ; 22(5): e615-e622, 2022 07.
Artigo em Inglês | MEDLINE | ID: mdl-35491321

RESUMO

BACKGROUND: Breast magnetic resonance imaging (MRI) is a useful imaging method, and studies have proven abbreviated protocols may reduce its time and costs with comparable accuracy. To assess the agreement of the abbreviated and full MRI protocols for breast cancer. PATIENTS AND METHODS: This retrospective cross-sectional study included consecutive women who underwent breast MRI from June 2019 to May 2020. Breast MRIs were performed in 2 hospitals, and 3 board-certified radiologists conducted its evaluations. The abbreviated breast MRI was assessed in the following order: MIP; subtraction; and T1W pre- and post-contrast. Findings were categorized according Breast Imaging - Reporting and Data System (BI-RADS 5th edition). The groups were named simplified BI-RADS and were adapted from BI-RADS 5-point scoring system. RESULTS: Four hundred and nineteen women (838 BI-RADS), with mean age of 49.5 ± 12.3 years were evaluated. A very good agreement was found between the protocols for total population (weighted kappa: 0.95; P <.001) and for MRI indication subgroups (weighted kappa: 0.86-1.00; P <.001). A high accuracy was also observed comparing abbreviated breast MRI compared to a full diagnostic MRI (97.6%). CONCLUSION: Abbreviated breast MRI has demonstrated performance comparable to full diagnostic MRI protocols for breast cancer screening and diagnostic. In addition, the present study proposes the use of the simplified BI-RADS as a new classification, in order to assist physicians in clinical management.


Assuntos
Neoplasias da Mama , Adulto , Neoplasias da Mama/diagnóstico por imagem , Neoplasias da Mama/patologia , Estudos Transversais , Feminino , Humanos , Imageamento por Ressonância Magnética/métodos , Pessoa de Meia-Idade , Estudos Retrospectivos , Sensibilidade e Especificidade
3.
Rev Paul Pediatr ; 40: e2020416, 2022.
Artigo em Inglês, Português | MEDLINE | ID: mdl-35442267

RESUMO

OBJECTIVE: To assess different ways of caring for preterm infants' development and for their families in neonatal units, with emphasis on the studies by André Bullinger. DATA SOURCE: A review of the literature in the databases PubMed, SciELO, and the Cairn.info portal, which publishes reviews in human sciences in French. Also, the books and articles of André Bullinger, available only in French, were reviewed. DATA SYNTHESIS: This review includes the Kangaroo Method, which is based on skin to skin contact and the encouragement of breastfeeding; the Newborn Individualized Developmental Care and Assessment Program (NIDCAP), based on the Synaptic Developmental Theory and aiming to positively change the neonatal environment, having the preterm newborn as the actor of their own development and the mother as a regulator; and the Bullinger Approach, which uses a sensory-motor perspective to approach child development, including preterm infants' development. CONCLUSIONS: The Kangaroo Method has changed child developmental care in countries with limited financial resources. NIDCAP was shown to be efficient, although only a few long-term studies have been conducted on the subject. The Bullinger Approach is well diffused in European neonatal units, with promising results for the prevention of neurodevelopmental disabilities, especially those related to orality.


Assuntos
Doenças do Prematuro , Método Canguru , Aleitamento Materno , Criança , Desenvolvimento Infantil , Feminino , Humanos , Recém-Nascido de Baixo Peso , Recém-Nascido , Recém-Nascido Prematuro , Unidades de Terapia Intensiva Neonatal
4.
Pesqui. prát. psicossociais ; 16(3): 1-11, set.-dez. 2021. ilus
Artigo em Português | LILACS, Index Psicologia - Periódicos | ID: biblio-1351273

RESUMO

O artigo objetiva discutir efeitos da reforma trabalhista no Brasil, em 2017, na relação deficiência e trabalho. Adotamos como questões: quais são os reposicionamentos que a multifuncionalidade do trabalhador, marca da especialização flexível, coloca para o modelo social da deficiência? E quais reposicionamentos estão colocados com o modelo social da deficiência, nas pistas de Débora Diniz, Marcia Moraes e Anahi Mello? Com base em pesquisa documental e bibliográfica, colocamos em cena o apagamento do trabalho no cenário brasileiro atual, com as leituras de David Harvey e Ricardo Antunes. A Carteira de Trabalho foi tomada como um analisador, pela escrita de Simone Guedes. A condição de contribuinte passa a ser determinante com a versão digital nas pactuações e contratações de trabalho, cada vez mais precárias. Junto com a "pejotização", cresce o trabalho informal e a marca do trabalho doméstico: a invisibilidade. O que apagamos e afirmamos com nossas escritas de pesquisa?


The article aims to discuss the effects of labor reform in Brazil, in 2017, on the relationship between disability and work. We adopt as questions: What are the repositioning that the multifunctionality of the worker, a mark of flexible specialization, poses to the social model of disability? And what repositioning are placed with the social model of disability, in the tracks of Deborah Diniz, Marcia Moraes and Anahi Mello? Based on a documentary and bibliographical research, we put on the scene the deletion of the work in the current Brazilian scenario, with the readings of David Harvey and Ricardo Antunes. The work card was taken as an analyzer by the writing of Simone Guedes. The condition of taxpayer becomes determinant with the digital version in the increasingly precarious agreements and hiring work. Along with "pejotização", informal work grows and the mark of domestic work: invisibility. What do we erase and affirm with our writing policies?


El artículo tiene como objetivo discutir los efectos de la reforma laboral en Brasil, en 2017, sobre la relación entre discapacidad y trabajo. Adoptamos como preguntas: ¿Cuáles son los reposicionamientos que la multifuncionalidad del trabajador, una marca de especialización flexible, pone para el modelo social de discapacidad? ¿Y qué reposicionamientos se colocan con el modelo social de discapacidad, en las pistas de Débora Diniz, Marcia Moraes y Anahi Mello? Basado en la investigación documental y bibliográfica, pusimos en escena la eliminación del trabajo en el escenario brasileño actual, con lecturas de David Harvey y Ricardo Antunes. La tarjeta de trabajo fue tomada como un analizador, por escrito de Simone Guedes. El estado del contribuyente se vuelve determinante con la versión digital en los acuerdos y contratos de trabajo, cada vez más precarios. Junto con la "pejotização", crece El trabajo informal y la marca del trabajo doméstico: invisibilidad. ¿Qué borramos y afirmamos con nuestros escritos de investigación?


Assuntos
Pessoas com Deficiência , Psicologia Social , Trabalho , Contratos , Emprego , Categorias de Trabalhadores
5.
Rev. baiana saúde pública ; 45(2): 82-102, 20211010.
Artigo em Português | LILACS-Express | LILACS | ID: biblio-1379640

RESUMO

A alimentação adequada e a confiabilidade das informações do Sistema de Informações sobre Nascidos Vivos (Sinasc) têm importância decisiva para análise da saúde materno-infantil. Este estudo avaliou a cobertura e completude das informações do Sinasc e o perfil de nascimentos de grupos populacionais em uma região da Bahia, em 2002-2007-2012-2017. A cobertura foi calculada pela razão entre nascidos vivos informados e estimados; a completude dos dados e perfil foram analisados avaliando as características maternas, gestação, parto e recém-nascido. As coberturas variaram entre 28% e 100%, com menores valores para o grupo de municípios de menor porte. Na região, houve crescimento de 23% na cobertura do Sinasc entre 2002 e 2012 e de 17,4% entre 2002 e 2017. Todos os municípios alcançaram coberturas superiores a 60% nos dois últimos anos. Em 2002, variáveis importantes como raça/cor, escolaridade e teste Apgar 5o minuto registraram completude de preenchimento de ruim a regular. O perfil predominante é de mães jovens (20-29 anos), da raça/cor negra, baixa escolaridade, com acesso a sete ou mais consultas de pré-natal, gestações a termo e partos vaginais. Os grupos de Robson mais frequentes foram o G3/G1/G5, considerados baixo risco para cesáreas. As maiores proporções de baixo peso ao nascer foram para o grupo de maior porte e a presença de anomalias congênitas não ultrapassou 1%. O estudo destaca razoável incremento na qualidade das informações do Sinasc, elevação no nível de escolaridade materna, adolescentes contribuindo com 20%-37% dos nascimentos, ampliação no número de consultas de pré-natal e aumento da frequência de cesarianas e nascimentos prematuros.


Adequate input and reliability of information from the Information System on Live Births (Sinasc) is key for analysis of maternal and child health. This study evaluated the coverage and completeness of Sinasc information and the birth profile of populational groups in southern Bahia, in 2002, 2007, 2012 and 2017. Coverage was calculated by the ration between reported and estimated live births. Data completeness and profile were analyzed by assessing the maternal, pregnancy, birth, and newborn characteristics. Coverage ranged from 28% to 100%, with lower values for smaller municipalities. The region saw a 23% increase in Sinasc coverage between 2002 and 2012, and 17.4% between 2002 and 2017. All municipalities reached coverages greater than 60% in the last two years. In 2002, important variables such as race/color, schooling level and 5th minute Apgar score registered poor to regular completeness. The predominant profile is of young black mothers (20-29 years old) with low schooling level, access to seven or more pre-natal visits, full-term pregnancies, and vaginal births. The most frequent Robson groups were G3, G1 and G5, considered low risk for caesarian sections. Low birth weight was highest in the larger group, and the presence of congenital anomalies did not exceed 1%. The study highlights a reasonable increase in the quality of Sinasc information, an increase in maternal schooling, adolescents contributing to 20%-37% of births, an increase in pre-natal consultations, and an increase in caesarian sections and premature births.


La alimentación adecuada y la confiabilidad de informaciones del Sistema de Informaciones sobre Nacidos Vivos (Sinasc) son claves para el análisis de salud materno-infantil. Este estudio evaluó la cobertura y totalidad de las informaciones en el Sinasc y el perfil de nacimientos de grupos poblacionales de una región de Bahía (Brasil), en 2002-2007, y 2012 y 2017. La cobertura se calculó con la razón entre nacidos vivos informados y estimados; la totalidad de los datos y perfil se analizaron con base en las características maternas, gestación, parto y recién nacido. Las coberturas variaran del 28% al 100%, con menores números para el grupo de municipios menores. Hubo incremento del 23% en la cobertura del Sinasc entre 2002 y 2012, y del 17,4% entre 2002 y 2017. Todos los municipios alcanzaran coberturas superiores al 60% en los últimos dos años. En 2002, variables importantes, como raza/color, nivel de estudios y Apgar 5o minuto, registraran una totalidad de información de mala a regular. El perfil predominante es de madres jóvenes (20-29 años), raza/color negro, bajo nivel de estudios, con acceso a siete o más consultas prenatales, gestaciones a término y partos vaginales. Los grupos de Robson más frecuentes fueran G3, G1, G5, considerados de bajo riesgo para cesáreas. Las mayores proporciones de bajo peso al nacer fueron del grupo de municipios más grandes y la presencia de anomalías congénitas no ultrapasó el 1%. El estudio destaca un razonable aumento en la cualidad de informaciones en Sinasc, aumento del nivel de estudios de la madre, adolescentes contribuyendo con el 20%-37% de los nacimientos, ampliación de consultas prenatales y de la frecuencia de cesarianas y nacimientos prematuros.

6.
Pathogens ; 10(8)2021 Jul 30.
Artigo em Inglês | MEDLINE | ID: mdl-34451429

RESUMO

Sapovirus is an important etiological agent of acute gastroenteritis (AGE), mainly in children under 5 years old living in lower-income communities. Eighteen identified sapovirus genotypes have been observed to infect humans. The aim of this study was to identify sapovirus genotypes circulating in the Amazon region. Twenty-eight samples were successfully genotyped using partial sequencing of the capsid gene. The genotypes identified were GI.1 (n = 3), GI.2 (n = 7), GII.1 (n = 1), GII.2 (n = 1), GII.3 (n = 5), GII.5 (n = 1), and GIV.1 (n = 10). The GIV genotype was the most detected genotype (35.7%, 10/28). The phylogenetic analysis identified sapovirus genotypes that had no similarity with other strains reported from Brazil, indicating that these genotypes may have entered the Amazon region via intense tourism in the Amazon rainforest. No association between histo-blood group antigen expression and sapovirus infection was observed.

7.
Rev Esc Enferm USP ; 55: e03779, 2021.
Artigo em Português, Inglês | MEDLINE | ID: mdl-34346971

RESUMO

OBJECTIVE: To compare the nursing technicians' perception with the nurses' self-perception of the exercise of nurses' coaching leadership and to check the influence of this leadership model on the safety climate and on the team's satisfaction. METHOD: This is a correlational study, carried out with 85 nurses and 85 nursing technicians, using the Questionnaire on the Nurse's Self-Perception of Leadership Exercise, the Questionnaire on Nursing Technicians' and Assistants' Perception of Leadership Exercise, and the subscales Safety climate and Satisfaction at Work. The relations among the professionals' responses were assessed using the Mann Whitney test and Spearman's coefficient. RESULTS: Nurses achieved higher means in the four dimensions of coaching Leadership, and in three, the differences were significant (p < 0.05). The dimensions of Coaching Leadership obtained positive and significant correlations with the subscales Safety Climate and Satisfaction, the majority being of moderate magnitude. CONCLUSION: Nurses' self-perception regarding the exercise of leadership was more positive than the technicians' assessment. The more the nurse exercises the dimensions of Coaching Leadership, the better the team's safety climate and satisfaction.


Assuntos
Tutoria , Recursos Humanos de Enfermagem no Hospital , Humanos , Satisfação no Emprego , Liderança , Segurança do Paciente , Satisfação do Paciente , Inquéritos e Questionários
8.
PLoS One ; 16(7): e0254217, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34234361

RESUMO

OBJECTIVE: This in vitro study characterized and monitored, by Optical Coherence Tomography (OCT) and Fourier Transformed Infrared Spectroscopy (FTIR), the effects of the association of acidulated phosphate fluoride gel (APF-gel) and Nd:YAG (neodymiun:yttrium-aluminum-garnet) laser, as sequencial treatments, in the prevention of incipient enamel caries lesions. METHODS: 120 human enamel samples were randomized into 3 groups (n = 40): APF-gel (1.23% F-, 4 min.); Laser+APF (Nd:YAG laser irradiation-0.6W, 84.9J/cm2, 10Hz, followed by APF-gel); and APF+Laser (APF-gel followed by laser irradiation). The samples were subjected to a 15-day pH-cycling, evaluated by OCT (quantification of optical attenuation coefficient-OAC) and FTIR (analysis of carbonate and phosphate content) before treatments, after treatments, and on the 5th, 10th and 15th days of pH-cycling. The statistical analysis was performed (α = 5%). RESULTS: The Optical Attenuation Coefficient (OAC) assessed by OCT increases with the progression of demineralization, and the Laser+APF presented the highest values of OAC in 10th and 15th days of pH-cycling. Nd:YAG decreased the carbonate content after treatment regardless of the application order of the APF-gel, while APF-gel did not interfere in the composition of enamel. The carbonate content was also changed in the first 5 days of the pH-cycling in all groups. CONCLUSION: Nd:YAG laser irradiation before or after the application of APF-gel did not influence the appearance of incipient caries lesions, showing no synergistic effect. Regardless of the application order of the APF-gel, laser irradiation reduces the carbonate content of the enamel, which also changes during the demineralization process. However, irradiation before the application of APF-gel increased the speed of progression of the lesions, which positively impacts public health as it can prevent caries disease, even in high risk individuals. OCT and FTIR are suitable for assessing this effect.


Assuntos
Fluoreto de Fosfato Acidulado/administração & dosagem , Cárie Dentária/prevenção & controle , Fluoretos/administração & dosagem , Suscetibilidade à Cárie Dentária/fisiologia , Humanos , Lasers de Estado Sólido/uso terapêutico , Microscopia Eletrônica de Varredura/métodos , Espectroscopia de Infravermelho com Transformada de Fourier/métodos , Tomografia de Coerência Óptica/métodos , Desmineralização do Dente/prevenção & controle , Erosão Dentária/prevenção & controle
9.
Int J Infect Dis ; 108: 494-502, 2021 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-34052409

RESUMO

OBJECTIVES: To verify the frequency of viruses causing acute gastroenteritis (AGE) in association with the histo-blood group antigen (HBGA) and Rotarix™ vaccination coverage in children from the Amazon region. DESIGN: Fecal and saliva samples were collected from children with AGE (n = 485) and acute respiratory infection (ARI) (n = 249) clinical symptoms. Rotavirus A (RVA), norovirus, human adenovirus (HAdV), and sapovirus (SaV) were verified in feces by molecular detection. Saliva samples were used for HBGA phenotyping/FUT3 genotyping. Blood group types, clinical aspects and Rotarix™ RVA vaccination data were recorded. RESULTS: Norovirus remained the most prevalently detected cause of AGE (38%, 184/485 and ARI 21.3%, 53/249). High HAdV frequencies were observed in AGE children (28.6%, 139/485) and ARI children (37.3%, 93/249). RVA was the third most prevalent virus causing AGE (22.7%, 110/485 and ARI 19.3%, 48/249) and a low RV1 coverage (61%, 448/734) was verified. The SaV frequencies were lower (7.2%, 35/485 for AGE and 6.8%, 17/249 for ARI). Secretor children were HBGA susceptible to HAdV infection (OR 1.5, 95% CI 1.0-2.3; P = 0.04) but not to RVA, norovirus or SaV infection. CONCLUSIONS: Norovirus could be considered the main etiological agent of AGE. No association was verified for HBGA susceptibility to RVA, norovirus and SaV. Secretor children showed a slight susceptibility to HAdV infection and the Le (a-b-) heterogeneous SNPs on the FUT3 gene.


Assuntos
Gastroenterite/virologia , Viroses/epidemiologia , Doença Aguda , Infecções por Adenovirus Humanos/epidemiologia , Infecções por Adenovirus Humanos/virologia , Adenovírus Humanos/isolamento & purificação , Antígenos de Grupos Sanguíneos/análise , Infecções por Caliciviridae/epidemiologia , Infecções por Caliciviridae/virologia , Pré-Escolar , Fezes/virologia , Feminino , Fucosiltransferases/genética , Gastroenterite/epidemiologia , Gastroenterite/genética , Genótipo , Humanos , Lactente , Masculino , Norovirus/isolamento & purificação , Polimorfismo de Nucleotídeo Único , Infecções Respiratórias/virologia , Rotavirus/isolamento & purificação , Infecções por Rotavirus/epidemiologia , Infecções por Rotavirus/virologia , Vacinas contra Rotavirus , Saliva , Sapovirus/isolamento & purificação , América do Sul/epidemiologia , Vacinas Atenuadas
10.
Rev. enferm. UFPE on line ; 15(1): [1-18], jan. 2021. ilus, tab
Artigo em Português | BDENF - Enfermagem | ID: biblio-1177408

RESUMO

Objetivo: elaborar e validar instrumento de auditoria para inserção e manutenção de cateteres vasculares. Auditorias podem auxiliar instituições de saúde na avaliação de processos de cuidados de saúde e contribuir para a qualidade da assistência. Método: estudo metodológico, que envolveu construção do instrumento, validação do conteúdo, pré-teste, e avaliação da confiabilidade. O comitê para avaliação do conteúdo foi composto por cinco especialistas. No pré-teste, foram considerados 30 pacientes, e 50 pacientes para avaliação da confiabilidade, selecionados de maneira intencional. A validade de conteúdo foi avaliada por meio do Índice de Validade de Conteúdo, e a confiabilidade interobservador, por meio do Coeficiente Kappa. Resultados: a versão inicial do instrumento, com 16 itens, sofreu modificações. Após duas rodadas de avaliação, o Índice de Validade de Conteúdo foi de 1,0 para todos os itens. O Coeficiente Kappa variou de 0,41 a 1,00. A versão final do instrumento ficou com 14 itens distribuídos em quatro seções (cobertura, manutenção, equipos/dispositivos, e manipulação do cateter). Conclusão: o instrumento "Auditoria de Cateteres Vasculares" é válido, confiável, e pode ser utilizado para identificar fragilidades, planejar atividades de capacitação das equipes, revisar processos de trabalho, e melhorar a qualidade da assistência à saúde e a segurança do paciente.(AU)


Objective: to develop and validate an audit instrument for vascular catheter insertion and maintenance. Audits can help healthcare institutions in the evaluation of healthcare processes and contribute to the quality of care. Method: a methodological study that involved the construction of the instrument, content validation, pre-testing, and reliability assessment. The committee for content evaluation was composed of five experts. In the pre-testing, 30 patients were considered, as well as 50 patients for the reliability evaluation, selected intentionally. Content validity was assessed by the Content Validity Index, whereas the interobserver reliability was assessed by the Kappa coefficient. Results: The initial version of the instrument, with 16 items, underwent modifications. After two rounds of evaluation, the Content Validity Index was 1.0 for all items. The Kappa coefficient ranged from 0.41 to 1.00. The final version of the instrument had 14 items distributed into four sections (dressing, maintenance, tubes/devices, and catheter management). Conclusion: the "Vascular Catheter Audit" instrument is valid, reliable, and can be used to identify weaknesses, plan staff training activities, review work processes, as well as improve the quality of health care and patient safety.(AU)


Objetivo: desarrollar y validar instrumento de auditoría para la inserción y mantenimiento de catéteres vasculares. Las auditorías pueden ayudar a las instituciones sanitarias a evaluar los procesos de atención de la salud y contribuir a la calidad de la atención. Método: estudio cualitativo, metodológico, que incluyó la construcción del instrumento, validación de contenido, prueba previa, y evaluación de fiabilidad. El comité de evaluación de contenido estuvo compuesto por cinco expertos. En la prueba previa, se consideraron 30 pacientes y 50 pacientes para la evaluación de la fiabilidad, seleccionados intencionalmente. La validez de contenido se evaluó mediante el Índice de Validez de Contenido y la confiabilidad entre evaluadores, mediante el Coeficiente Kappa. Resultados: la versión inicial del instrumento, con 16 ítems, sufrió modificaciones. Tras dos rondas de evaluación, el índice de validez del contenido fue de 1.0 para todos los ítems. El coeficiente Kappa osciló entre 0,41 y 1,00. La versión final del instrumento contó con 14 ítems distribuidos en cuatro apartados (cobertura, mantenimiento, equipos / dispositivos y manipulación del catéter). Conclusión: el instrumento "Auditoría de Catéteres Vasculares" es válido, confiable y puede ser utilizado para identificar fragilidades, planificar actividades de capacitación de los equipos, revisar procesos de trabajo y mejorar la calidad de la assistência a la salud y la seguridad del paciente.(AU)


Assuntos
Humanos , Masculino , Feminino , Qualidade da Assistência à Saúde , Cateterismo Venoso Central , Cateterismo Periférico , Reprodutibilidade dos Testes , Avaliação de Processos em Cuidados de Saúde , Infecções Relacionadas a Cateter/prevenção & controle , Cateteres , Segurança do Paciente , Cateteres Venosos Centrais
11.
Rev. Esc. Enferm. USP ; 55: e03779, 2021. tab
Artigo em Português | LILACS, BDENF - Enfermagem | ID: biblio-1287960

RESUMO

RESUMO Objetivo Comparar a percepção dos técnicos de enfermagem com a autopercepção do enfermeiro sobre o exercício da sua Liderança coaching e verificar a influência desse modelo de liderança no clima de segurança e na satisfação da equipe. Método Estudo correlacional, realizado com 85 enfermeiros e 85 técnicos de enfermagem, utilizando o Questionário de Autopercepção do Enfermeiro no Exercício da Liderança, o Questionário de Percepção do Técnico e Auxiliar de Enfermagem no Exercício da Liderança e as subescalas Clima de segurança e Satisfação no trabalho. As relações entre as respostas dos profissionais foram avaliadas pelo teste de Mann Whitney e coeficiente de Spearman. Resultados Os enfermeiros alcançaram maiores médias nas quatro dimensões da Liderança coaching, sendo que, em três, as diferenças foram significantes (p < 0,05). As dimensões da Liderança coaching obtiveram correlações positivas e significantes com as subescalas Clima de segurança e Satisfação, sendo a maioria de moderada magnitude. Conclusão A autopercepção dos enfermeiros, com relação ao exercício da liderança, foi mais positiva do que a avaliação dos técnicos. Quanto mais o enfermeiro exercer as dimensões da Liderança coaching, melhores serão o clima de segurança e a satisfação da equipe.


RESUMEN Objetivo Comparar la percepción de los técnicos de enfermería con la autopercepción del enfermero sobre la práctica de su Liderazgo coaching y verificar la influencia de ese modelo de liderazgo en el clima de seguridad y en la satisfacción del equipo. Método Estudio correlacional, realizado con 85 enfermeros y 85 técnicos de enfermería que utilizaron el Cuestionario de Autopercepción del Enfermero en la Práctica del Liderazgo, el Cuestionario de Percepción del Técnico y Auxiliar de Enfermería en la Práctica del Liderazgo y las subescalas clima de seguridad y Satisfacción en el trabajo. Las relaciones entre las respuestas de los profesionales fueron evaluadas por el test de Mann Whitney y coeficiente de Spearman. Resultados Los enfermeros alcanzaron mejores medias en las cuatro dimensiones del Liderazgo coaching, siendo que, en tres, las diferencias fueron significativas (p < 0,05). Las dimensiones del Liderazgo coaching obtuvieron correlaciones positivas y significativas con las subescalas Clima de seguridad y satisfacción, siendo la mayoría de moderada magnitud. Conclusión La autopercepción de los enfermeros, con relación a la práctica del liderazgo, fue más positiva que la evaluación de los técnicos. A la medida que el enfermero ejerce más las dimensiones de Liderazgo coaching, mejores serán el clima de seguridad y la satisfacción del equipo.


ABSTRACT Objective To compare the nursing technicians' perception with the nurses' self-perception of the exercise of nurses' coaching leadership and to check the influence of this leadership model on the safety climate and on the team's satisfaction. Method This is a correlational study, carried out with 85 nurses and 85 nursing technicians, using the Questionnaire on the Nurse's Self-Perception of Leadership Exercise, the Questionnaire on Nursing Technicians' and Assistants' Perception of Leadership Exercise, and the subscales Safety climate and Satisfaction at Work. The relations among the professionals' responses were assessed using the Mann Whitney test and Spearman's coefficient. Results Nurses achieved higher means in the four dimensions of coaching Leadership, and in three, the differences were significant (p < 0.05). The dimensions of Coaching Leadership obtained positive and significant correlations with the subscales Safety Climate and Satisfaction, the majority being of moderate magnitude. Conclusion Nurses' self-perception regarding the exercise of leadership was more positive than the technicians' assessment. The more the nurse exercises the dimensions of Coaching Leadership, the better the team's safety climate and satisfaction.


Assuntos
Administração de Serviços de Saúde , Supervisão de Enfermagem , Papel do Profissional de Enfermagem , Segurança do Paciente , Satisfação no Emprego , Liderança
12.
Braz. j. infect. dis ; 24(6): 575-579, Nov.-Dec. 2020. tab, graf
Artigo em Inglês | LILACS-Express | LILACS | ID: biblio-1153500

RESUMO

ABSTRACT Human astrovirus (HAstV) 1-8 and highly divergent HAstVMLB1−3 genotypes have been detected in children both with and without acute gastroenteritis (AGE). One hundred and seventy fecal samples from children (≤5 years old) living in the Amazon region were evaluated for the presence of HAstV1-8, HAstV MLB1−3 and HAstVVA1−3, using an usual RT-PCR protocol and a new protocol with specific primers designed to detect HAstVMLB1−3. HAstVMLB1 and HAstV MLB2, as well as the HAstV3 and 5 genotypes were detected. HAstVMLB1−2 genotype was detected for the first time in Brazil at a frequency of 3.5% (6/170).

13.
Pesqui. prát. psicossociais ; 15(3): 1-14, set.-dez. 2020.
Artigo em Português | LILACS, Index Psicologia - Periódicos | ID: biblio-1135587

RESUMO

Compartilharemos narrativas de pesquisa baseadas em nossa prática como pesquisadoras. Entendemos que narrar, pesquisar e tecer são processos entrelaçados que nos lançam em ações peculiares e imprevisíveis no encontro com o campo de pesquisa. A pesquisa é uma prática arriscada, envolve transformações que se constituem como um fazer artesanal e uma política ontológica: se não existe uma realidade dada de antemão, que realidades são realizadas com nossas práticas de pesquisa? Para que e para quem produzimos conhecimento? Discutiremos políticas de pesquisa a partir de um conhecimento local, situado e encarnado. Assim, compartilharemos o que produzimos em nossos grupos de pesquisa. Nossas produções científicas estão entrelaçadas como uma rede de conexões e afetações, guiadas pelo PesquisarCOM, ou seja, por uma maneira de fazer pesquisas que se entrelaçam com os outros e não sobre eles. Enfatizamos essa experiência como uma forma de fazer ciência no feminino e entendemos esse fazer como artesanal.


We will share research narratives based on our practice as researchers. We understand that narrating, researching and weaving are intertwined processes that throw us into peculiar and unpredictable actions in the encounter with the research field. Research is a risky practice, it involves transformations that constitute a craft and an ontological policy: If there is no reality given beforehand, what realities are accomplished with our research practices? For what and to whom do we produce knowledge? We will discuss research policies based on local knowledge, situated and embodied. Therefore we will share what we produce in our research groups. Our scientific productions are intertwined as a network of connections and affectations, guided by ResearchWITH, that is, a way of doing research that intertwines with others and not about them. We emphasize this experience as a way of doing science in the feminine and we understand this process as crafted.


Compartiremos narrativas de investigación basadas en nuestra práctica como investigadores. Entendemos que narrar, investigar y tejer son procesos entrelazados que nos lanzan a acciones peculiares e impredecibles en el encuentro con el campo de investigación. La investigación es una práctica arriesgada, implica transformaciones que constituyen un hacer artesanal y una política ontológica: si no se da una realidad de antemano, ¿qué realidades se realizan con nuestras prácticas de investigación? ¿Qué y para quién producimos conocimiento? Discutiremos las políticas de investigación basadas en el conocimiento local, situado y encarnado. Entonces compartiremos lo que producimos en nuestros grupos de investigación. Nuestras producciones científicas están entrelazadas como una red de conexiones y afectos, guiados por InvestigarCOM, es decir, una forma de hacer una investigación que se entrelaza con otros y no sobre ellos. Hacemos hincapié en esta experiencia como una forma de hacer ciencia en lo femenino y entendemos esto como hecho a mano.


Assuntos
Feminismo , Pesquisa , Ciência , Conhecimento , Grupos de Pesquisa , Atividades Científicas e Tecnológicas
15.
Braz J Infect Dis ; 24(6): 575-579, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-33157032

RESUMO

Human astrovirus (HAstV) 1-8 and highly divergent HAstVMLB1-3 genotypes have been detected in children both with and without acute gastroenteritis (AGE). One hundred and seventy fecal samples from children (≤5 years old) living in the Amazon region were evaluated for the presence of HAstV1-8, HAstV MLB1-3 and HAstVVA1-3, using an usual RT-PCR protocol and a new protocol with specific primers designed to detect HAstVMLB1-3. HAstVMLB1 and HAstV MLB2, as well as the HAstV3 and 5 genotypes were detected. HAstVMLB1-2 genotype was detected for the first time in Brazil at a frequency of 3.5% (6/170).


Assuntos
Infecções por Astroviridae , Gastroenterite , Mamastrovirus , Infecções por Astroviridae/diagnóstico , Infecções por Astroviridae/epidemiologia , Brasil , Criança , Fezes , Gastroenterite/diagnóstico , Genótipo , Humanos , Lactente , Mamastrovirus/genética , Filogenia , Reação em Cadeia da Polimerase Via Transcriptase Reversa
16.
Rev Bras Enferm ; 73Suppl 5(Suppl 5): e20190686, 2020.
Artigo em Inglês, Português | MEDLINE | ID: mdl-33027495

RESUMO

OBJECTIVE: To know the experiences and perceptions of nurses who care for dying cancer patients. METHOD: A descriptive, qualitative study, developed in a private hospital in Sao Paulo, with a total of nine nurses, aged between 24 and 46 years old, who participated in a semi-structured interview. RESULTS: Through Bardin's Content Analysis, three categories were highlighted: Death as a natural process and the final stage of the life cycle; Although it is difficult, it is important to get emotionally involved with dying patients and their family; and Reflecting on their experiences in the care of dying patients and their family. FINAL CONSIDERATIONS: The nurses' experiences and perceptions of the death of cancer patients showed the professional's involvement and feelings of anxiety and anguish. Adopting effective strategies to address people who are suffering, in the context of the study, can provide subsidies that will guide clinical practice in health.


Assuntos
Neoplasias , Adulto , Atitude do Pessoal de Saúde , Brasil , Emoções , Humanos , Pessoa de Meia-Idade , Papel do Profissional de Enfermagem , Percepção , Pesquisa Qualitativa , Adulto Jovem
17.
Int J Infect Dis ; 95: 32-37, 2020 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-32251804

RESUMO

OBJECTIVES: This study aimed to verify the frequency, genotypes, and etiological role of Human Bocavirus (HBoV) in younger Amazonian children with either acute gastroenteritis (AGE) or respiratory infections (ARI). The influence of Rotarix™ vaccination and co-infection status was also investigated. DESIGN: HBoV quantitative polymerase chain reaction (qPCR) testing was done on both fecal and saliva (1468 samples) from 734 children < 5 months old living in the Amazon (Brazil, Guyana, and Venezuela). High and median HBoV viral load samples were used for extraction, nested PCR amplification, and sequencing for genotyping. HBoV mRNA detection was done by reverse transcription following DNA amplification. RESULTS: The overall HBoV frequencies were 14.2% (69/485; AGE) and 14.1% (35/249; ARI) (p = 0.83). HBoV exclusively infected 4.5% (22/485; AGE) and 4% (10/249) of the Amazonian children (Odds ratios 1.13, 95% confidence interval= 2.42-0.52). HBoV 1 was mainly detected in feces and saliva from AGE children; and HBoV2, from ARI children. HBoV mRNA was detected only in feces. The Rotarix™ vaccination status did not affect the HBoV frequencies. CONCLUSIONS: We suggest that, after entry into the air/oral pathways, HBoV1 continues infecting toward the intestinal tract causing AGE. HBoV2 can be a causative agent of AGE and ARI in younger Amazonian children.


Assuntos
Gastroenterite/virologia , Bocavirus Humano/genética , Infecções por Parvoviridae/virologia , Infecções Respiratórias/virologia , Doença Aguda , Brasil , Coinfecção/virologia , Fezes/virologia , Feminino , Genótipo , Guiana , Bocavirus Humano/isolamento & purificação , Humanos , Lactente , Masculino , Reação em Cadeia da Polimerase , Saliva/virologia , Venezuela , Carga Viral
18.
Sci Rep ; 10(1): 6965, 2020 04 24.
Artigo em Inglês | MEDLINE | ID: mdl-32332841

RESUMO

Recent studies have investigated whether the human histo-blood group antigen (HBGAs) could affect the effectiveness of the oral rotavirus vaccines, suggesting secretor positive individuals develop a more robust response. We investigated the Rotavirus A (RVA) shedding in association with the host susceptibility profile in children from a birth community-cohort in Rio de Janeiro, Brazil, from 2014 to 2018. A total of 132 children were followed-up between 0 to 11-month-old, stool samples were collected before/after the 1st/2nd RV1 vaccination doses and saliva samples were collected during the study. RVA shedding was screened by RT-qPCR and G/P genotypes determined by multiplex RT-PCR and/or Sanger nucleotide sequencing. The sequencing indicated an F167L amino acid change in the RV1 VP8* P[8] in 20.5% of shedding follow-ups and these mutant subpopulations were quantified by pyrosequencing. The HBGA/secretor status was determined and 80.3% of the children were secretors. Twenty-one FUT2 gene SNPs were identified and two new mutations were observed. The mutant F167L RV1 VP8* P[8] was detected significantly more in Le (a+b+) secretors (90.5%) compared to non-secretors and even to secretors Le (a-b+) (9.5%). The study highlights the probable association between RV1 shedding and HBGAs as a marker for evaluating vaccine strain host susceptibility.


Assuntos
Gastroenteropatias/prevenção & controle , Gastroenteropatias/virologia , Brasil , Feminino , Gastroenteropatias/imunologia , Predisposição Genética para Doença/genética , Genótipo , Humanos , Masculino , Mutação/genética , Polimorfismo de Nucleotídeo Único/genética , Rotavirus/imunologia , Rotavirus/patogenicidade , Infecções por Rotavirus/imunologia , Infecções por Rotavirus/prevenção & controle , Infecções por Rotavirus/virologia , Vacinas contra Rotavirus/imunologia , Vacinas contra Rotavirus/uso terapêutico , Vacinas Atenuadas/imunologia , Vacinas Atenuadas/uso terapêutico
19.
Infect Genet Evol ; 82: 104280, 2020 08.
Artigo em Inglês | MEDLINE | ID: mdl-32165242

RESUMO

Norovirus has emerged as an important viral agent of acute pediatric gastroenteritis, with a growing genetic diversity reported in the last decades. Histo-blood group antigens (HBGAs) present on the surface of enterocytes are susceptibility factors for norovirus infection and differ between populations which could affects the epidemiology and evolution of these viruses. This study investigated the frequency, incidence and genetic diversity of noroviruses in a cohort of rotavirus A vaccinated children in association to the host HBGA (Secretor/Lewis) genetic susceptibility profile. Norovirus genogroups I and II (GI/GII) were screened by RT-qPCR in 569 stool samples from 132 children followed-up from birth to 11 months of age during 2014--2018. Noroviruses were identified in 21.2% of children enrolled in this study, with a norovirus detection rate of 5.6% (32/569), in 17.1% and 4.7% of acute diarrheic episodes (ADE) and non-ADE, respectively. The norovirus incidence was 5.8 infections per 100 child-months. Partial nucleotide sequencing characterized six different norovirus genotypes, with GII.4 Sydney 2012 being detected in 50% associated with three different polymerase genotypes (GII·P31, GII·P16 and GII·P4 New Orleans 2009). FUT3 genotyping was yielded seven new mutations in this population. A significant association between symptomatic norovirus infection and secretor profile could be inferred.


Assuntos
Infecções por Caliciviridae/epidemiologia , Infecções por Caliciviridae/genética , Fucosiltransferases/genética , Antígenos do Grupo Sanguíneo de Lewis/genética , Norovirus/genética , Brasil/epidemiologia , Infecções por Caliciviridae/virologia , Estudos de Coortes , Predisposição Genética para Doença , Variação Genética , Genótipo , Humanos , Incidência , Lactente , Recém-Nascido , Mutação , Norovirus/isolamento & purificação
20.
World J Urol ; 38(4): 981-991, 2020 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-31175458

RESUMO

PURPOSE: To evaluate the impact of the addition of quantitative apparent diffusion coefficient (ADC) data into the diagnostic performance of the Prostate Imaging Reporting and Data System version 2 (PI-RADSv2) scoring system to predict clinically significant prostate cancer (CSPCa). METHODS: We retrospectively included 91 consecutive patients who underwent prostate multiparametric magnetic resonance imaging (mp-MRI) and histopathological evaluation. Mp-MRI images were reported by the PI-RADSv2 scoring system and patients were divided into groups considering the likelihood of CSPCa. ADC value and ratio were obtained. Findings were correlated with histopathological data. RESULTS: CSPCa was found in 41.8% of cases (n = 38). PI-RADSv2 score 3-5 yielded a sensitivity of 97.4% (95% confidence intervals 86.5-99.5), a specificity of 50.9% (37.9-63.9), and AUC of 0.74 (0.67-0.81) to predict CSPCa. ADC value < 750 µm2/s and an ADC ratio < 0.62 were the most accurate thresholds for differentiation of CSPCa, with AUC of 0.81 and 0.76, respectively. Combined PI-RADSv2 score 3-5 and ADC value < 750 µm2/s yielded a specificity of 84.9 (72.9-92.2), sensitivity of 70.3 (54.2-82.5), and AUC of 0.77 (0.68-0.86). Combined PI-RADSv2 score 3-5 and ADC ratio < 0.62 yielded a specificity of 86.5 (74.7-93.3), sensitivity of was 64.9 (48.8-78.2), and AUC of 0.75 (0.66-0.84). CONCLUSION: Quantitative ADC data might not be beneficial to be used routinely in mp-MR imaging as criteria to detect clinically significant lesions due to the reduced sensitivity. Instead, when prostate lesions present a PI-RADSv2 score ≥ 3, additional quantitative ADC criteria can be helpful to increase the PI-RADS score specificity.


Assuntos
Imagem de Difusão por Ressonância Magnética , Neoplasias da Próstata/diagnóstico por imagem , Idoso , Sistemas de Dados , Imagem de Difusão por Ressonância Magnética/métodos , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Retrospectivos
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