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1.
Rev. biol. trop ; 70(1)dic. 2022.
Artigo em Inglês | LILACS-Express | LILACS, SaludCR | ID: biblio-1387709

RESUMO

Abstract Introduction: Video techniques are used worldwide to study marine communities. As elsewhere, the use of remote underwater videos has recently increased in Brazil and there is a need for information about their advantages, disadvantages, and reliability in tropical habitats. Objective: To evaluate the use of baited remote underwater video stations (BRUVS) in fish diversity research in a tropical habitat. Methods: We used baited video stations to record the fishes and their relationship with habitat type, underwater visibility and depth, in 79 random sites in the Metropolitan Region of Recife, Northeastern Brazil (11 days in November 2017). Results: We recorded 3 286 individuals (65 taxa, 29 families) along a 25 km section of the shoreline, 10.2 to 28.6 m depth. The Clupeidae dominated numerically, followed by Haemulidae, Carangidae, and Lutjanidae; by species, Haemulon aurolineatum, Opisthonema oglinum, Haemulon steindachneri, Lutjanus synagris and Caranx crysos. The highest mean number of species was detected over sediment close to shipwrecks, but we found no differences among the mean number of individuals between habitat types. More species and individuals were observed at a depth of 20-25 m depth. The highest mean number of species was in 2-3 m of visibility, and the highest number of individuals within 4-5 m. Conclusions: Video recording seemed to be a valid method, and indicated that -besides being relatively diverse- the local fish community is dominated by a few species of small and medium-sized mesopredators, and a few top predators.


Resumen Introducción: Las técnicas de video se utilizan en todo el mundo para estudiar las comunidades marinas. Como en otros lugares, el uso de videos submarinos remotos ha aumentado recientemente en Brasil y existe la necesidad de información sobre sus ventajas, desventajas y confiabilidad en los hábitats tropicales. Objetivo: Evaluar el uso de estaciones de video subacuáticas remotas cebadas en la investigación de la diversidad de peces en un hábitat tropical. Métodos: Utilizamos estaciones de video cebadas para registrar los peces y su relación con el tipo de hábitat, la visibilidad submarina y la profundidad, en 79 sitios aleatorios en la Región Metropolitana de Recife, noreste de Brasil (11 días en noviembre de 2017). Resultados: Registramos 3 286 individuos (65 taxones, 29 familias) a lo largo de una sección de 25 km de la costa, de 10.2 a 28.6 m de profundidad. Los Clupeidae dominaron numéricamente, seguidos de Haemulidae, Carangidae y Lutjanidae; por especies, Haemulon aurolineatum, Opisthonema oglinum, Haemulon steindachneri, Lutjanus synagris y Caranx crysos. El mayor número medio de especies se detectó sobre sedimentos cerca de naufragios, pero no encontramos diferencias entre el número medio de individuos entre tipos de hábitat. Se observaron más especies e individuos a una profundidad de 20-25 m. El mayor número medio de especies se registró en 2-3 m de visibilidad, y el mayor número de individuos en 4-5 m. Conclusiones: La grabación en video pareció ser un método válido e indicó que, además de ser relativamente diversa, la comunidad local de peces está dominada por unas pocas especies de mesodepredadores de tamaño pequeño y mediano, y pocos depredadores superiores.


Assuntos
Animais , Recursos Audiovisuais , Biodiversidade , Peixes , Brasil , Recifes de Corais
2.
BMC Musculoskelet Disord ; 23(1): 881, 2022 Sep 22.
Artigo em Inglês | MEDLINE | ID: mdl-36138377

RESUMO

INTRODUCTION: This study aims to compare cup inclination achieved (1) Using two orientation guides, whilst using the same 3-point pelvic positioner and (2) Using two types of pelvic positioners, whilst measuring intra-operative cup inclination with an inclinometer. MATERIALS AND METHODS: This is a prospective, diagnostic cohort study of a consecutive series of 150 THAs performed through a posterior approach. Two types of 3-point pelvic positioners were used (Stulberg and modified Capello Hip Positioners) and the cup was positioned freehand using one of two orientation guides (mechanical guide or digital inclinometer). Intra-operative inclination was recorded, radiographic cup inclination and anteversion were measured from radiographs. The differences in inclination due to pelvic position (ΔPelvicPosition) and orientation definitions (ΔDefinition) were calculated. Target radiographic inclination and anteversion was 40/20° ± 10°. RESULTS: There was no difference in radiographic cup inclination/ (p = 0.63) using a mechanical guide or digital inclinometer. However, differences were seen in ΔPelvicPosition between the positioners ((Stulberg: 0° ± 5 vs. Capello: 3° ± 6); p = 0.011). Intra-operative inclination at implantation was different between positioners and this led to equivalent cases within inclination/anteversion targets (Stulberg:84%, Capello:80%; p = 0.48). CONCLUSIONS: With the pelvis securely positioned with 3-point supports, optimum cup orientation can be achieved with both alignment guides and inclinometer. Non-optimal cup inclinations were seen when intra-operative inclinations were above 40° and below 32°, or the ΔPelvicPosition was excessive (> 15°; n = 2). We would thus recommend that the intra-operative cup inclination should be centered strictly between 30° and 35° relative to the floor. Small differences exist between different type of pelvic positioners that surgeons need to be aware off and account for.


Assuntos
Artroplastia de Quadril , Prótese de Quadril , Acetábulo/diagnóstico por imagem , Acetábulo/cirurgia , Artroplastia de Quadril/efeitos adversos , Recursos Audiovisuais , Estudos de Coortes , Humanos , Pelve/diagnóstico por imagem , Pelve/cirurgia , Estudos Prospectivos
3.
Kaku Igaku ; 59(Suppl): S1-S40, 2022.
Artigo em Japonês | MEDLINE | ID: mdl-36002325
5.
Comunidad (Barc., Internet) ; 24(2)julio 2022. tab
Artigo em Espanhol | IBECS | ID: ibc-206278

RESUMO

Antecedentes: La identificación de activos de salud y la difusión de los mismos por parte de los profesionales de Atención Primaria (AP) mejora la calidad de vida de las personas. En este proyecto se pretende dar voz a diversos activos comunitarios del Área Sanitaria de Vigo e iniciar la formación de una red local para la salud en el área. Método: Estudio cualitativo de investigación-acción participativa (IAP). Se hicieron cuatro entrevistas en formato vídeo a asociaciones que trabajan con grupos de población especialmente afectados por la situación sanitaria de pandemia de la COVID-19. Se publicaron en el canal de YouTube de la Unidad Docente de Atención Familiar y Comunitaria (UDAFyC) de Vigo. Se acompañaron de la transcripción de la entrevista y de la documentación facilitada por la propia asociación. Fueron difundidos por el grupo promotor del proyecto y otros recursos externos. Se evaluó el impacto analizando las visualizaciones en cada una de ellas. Resultados: Los vídeos tuvieron una duración media de 10 minutos. El pico de visualizaciones se encuentra entre los 2-3 primeros días tras su publicación y las visitas al canal de YouTube fueron un total de 618, siendo las aplicaciones externas WhatsApp (178) y Facebook (86) las más utilizadas para acceder a la plataforma. Únicamente una de las asociaciones entrevistadas compartió el vídeo realizado en sus redes sociales. Discusión: La mayor parte de la difusión ha sido a través del grupo promotor y de la Unidad Docente Multidisciplinar de Vigo, siendo efectiva la instauración del recurso de difusión vía telemática. La mayoría de los activos comunitarios están dispuestos a colaborar en este tipo de proyectos, aunque no tienen gran peso en la difusión posterior del vídeo. Es importante mantener este tipo de difusiones y evaluaciones en el tiempo para ampliar y mejorar los conocimientos de los activos comunitarios por parte de la población. (AU)


Background. The identification of community assets and their dissemination by primary care professionals improves people's quality of life. Therefore, in this project we tried to give a voice to different community assets in the Vigo Health Area and to start training a local health network in the area. Method. By means of qualitative study research - participatory action we performed four interviews in video format with associations who work with population groups especially affected by the COVID-19 pandemic health situation. They were published on the Vigo Family and Community Attention Teaching unit (UDAFyC) YouTube channel and were disseminated by the group promoting the project and other external resources. Next, we evaluated the impact by analyzing the number of times they were seen. Results. The videos lasted on average 10 minutes. The peak number of views was between the first two to three days after their publication and the YouTube channel received a total of 618 visits; WhatsApp and Facebook being the applications most used to access the platform. Only one association interviewed shared the video on their social networks. Discussion. Most dissemination was by means of the promoter group and the Vigo Multidisciplinary Teaching Unit. Establishment of the online dissemination resource was effective. Most community assets are willing to collaborate in this type of project, although they do not have a great weight in subsequent dissemination of the video. It is important to maintain this type of dissemination and evaluations over time to expand and improve the knowledge of community assets by the population. Conclusions. In total, the channel received a total of 618 visits with external sources such as WhatsApp and Facebook being the most used for access. (AU)


Assuntos
Humanos , Recursos Audiovisuais , Redes Comunitárias , Infecções por Coronavirus/epidemiologia , Pandemias
6.
Metas enferm ; 25(6): 50-56, Jul-Ago, 2022. tab, graf
Artigo em Espanhol | IBECS | ID: ibc-206877

RESUMO

Objetivo: evaluar la satisfacción de los estudiantes que optaban a la titulación de Matrona sobre el uso de una videoteca online como complemento al proceso enseñanza-aprendizaje en la asignatura Proceso de Atención de Enfermería Perinatal y Ginecológico. Método: se llevó a cabo un estudio transversal. Población de estudio: 123 estudiantes de segundo año que cursaban la asignatura Proceso de Atención de Enfermería Perinatal y Ginecológico (I), para optar al título de matrona en la Universidad San Sebastián (Santiago, Chile). El estudio se realizó durante el primer semestre del año 2020. Muestreo no probabilístico. Se creó un canal de YouTube® llamado “Saber y Salud USS” donde se subieron diez vídeos (videoteca). La satisfacción de los estudiantes se evaluó mediante un instrumento adaptado y validado. Resultados: participaron 89 (72,4%) estudiantes. En la dimensión integración teórico-práctica un 82% refirió estar “muy de acuerdo” y un 18% está “de acuerdo” con que hubo mejoras en la compresión de la teoría al visualizar los vídeos. En la dimensión formato y estructura de la videoteca, un 85,3% contestó estar “muy de acuerdo” y un 14,7% “de acuerdo” con que la organización de los procedimientos fue clara y ordenada. En la dimensión aportación al proceso enseñanza-aprendizaje, un 82% refirió estar “muy de acuerdo”, un 16,9% “de acuerdo” en haber obtenido mejores resultados en el aprendizaje.Conclusión: los estudiantes presentaron un alto grado de satisfacción respecto al uso de la videoteca online, como complemento al proceso enseñanza-aprendizaje en la asignatura Proceso de Atención de Enfermería Perinatal y Ginecológico.(AU)


Objective: to assess the satisfaction by students applying for the Midwife degree regarding the use of an online video library as a complement to the teaching-learning process for the subject Process of Care in Perinatal and Gynaecological Nursing. Method: a cross-sectional study was conducted. Study population: 123 students in their second year taking the subject Process of Care in Perinatal and Gynaecological Nursing (I), in order to apply for the Midwife degree at the Universidad San Sebastián (Santiago, Chile). The study was conducted during the first semester of 2020, with non-probability sampling. A YouTube® channel was created, called “Saber y Salud USS”, where ten videos were uploaded (video library). The satisfaction by students was measured through an adapted and validated instrument. Results: the study included 89 (72.4%) students. Regarding the Theoretical and Practical Integration dimension, 82% reported “strong agreement” and 18% “agreement” with improvement in understanding the theory by visualising the videos. In the dimension Format and Structure of the Video Library, 85.3% reported “strong agreement” and 14.7% “agreement” that the procedures were organized in a clear and systematic manner. In the dimension Contribution to the Teaching-Learning process, 82% reported “strong agreement” and 16.9% “agreement” regarding achieving better learning results. Conclusion: students presented a high level of satisfaction regarding the use of the online video library as a complement to the teaching-learning process in the subject Process of Care in Perinatal and Gynaecological Nursing.(AU)


Assuntos
Humanos , Masculino , Feminino , Tocologia , Enfermeiras Obstétricas , Recursos Audiovisuais , Enfermagem Neonatal , Ginecologia , Enfermeiras e Enfermeiros , Estudantes de Enfermagem , Educação à Distância , Educação em Enfermagem , Acesso à Internet , Estudos Transversais , Epidemiologia Descritiva
7.
Health Expect ; 25(4): 1930-1944, 2022 08.
Artigo em Inglês | MEDLINE | ID: mdl-35716082

RESUMO

INTRODUCTION: Our aim is to evaluate the visually informed community mental health education materials cocreated in our research on youth substance misuse in Assam, India, and to reflect on what we might learn for similar initiatives in low- and middle-income countries. METHODS: Materials consist of: (i) images participants brought to the interview; (ii) 30 posters cocreated by participants to convey key messages from their interview; (iii) six short films on the implications of addiction, and (iv) an animation of our Pathways to Recovery model. We also created a community education package that incorporated these materials. We analyse feedback from three groups of events and a social media campaign, which drew variably across our materials and engaged a range of audiences. RESULTS: Outcomes indicate the cocreation process and focus on the visual was successful in promoting young people's voice, increasing awareness and has potential for stigma reduction. Our educational package was deemed useful in increasing awareness and has potential for prevention and treatment. CONCLUSIONS: Our case study offers insights into community mental health education in low- and middle-income countries, confirming the importance of cocreation, the usefulness of visual materials and the potential of social media campaigns while acknowledging the importance of local context in health messaging, particularly for stigmatized topics. PATIENT OR PUBLIC CONTRIBUTION: Service users were involved in the cocreation of the materials evaluated in this study and contributed as presenters in one of the events reported. Members of the public took part in events in which the materials were shared and provided us with the feedback analysed in this article.


Assuntos
Recursos Audiovisuais , Serviços Comunitários de Saúde Mental , Países em Desenvolvimento , Educação em Saúde , Transtornos Relacionados ao Uso de Substâncias , Adolescente , Países em Desenvolvimento/economia , Educação em Saúde/métodos , Humanos , Índia , Estigma Social , Fatores Socioeconômicos , Transtornos Relacionados ao Uso de Substâncias/terapia
8.
J Clin Pediatr Dent ; 46(2): 86-106, 2022 Mar 01.
Artigo em Inglês | MEDLINE | ID: mdl-35533223

RESUMO

Dentists have a wide variety of techniques available to them such as tell -show-do, relaxation, distraction, systematic desensitisation, modelling, audio analgesia, hypnosis, and behaviour rehearsal. There is no concrete research as systematic review and meta-analysis indicating which explains the most effective distraction technique. AIM: To summarize effectiveness of audio and audio-visual (AV) distraction aids for management of pain and anxiety in children undergoing dental treatment. STUDY DESIGN: Literature search: PubMed/MEDLINE, DOAJ, Science Direct from June - July 2020 with randomized control clinical trials conducted on children with audio and AV distraction aids as intervention and those which had anxiety and pain as outcomes were searched. Fifty articles were identified and relevance was determined. 14 studies were included for qualitative synthesis and 05 were eligible for meta-analysis. Cochrane handbook used to assess the risk of bias. The meta analysis conducted using review manager 5.3 software. RESULTS: Meta-analysis, cumulative mean difference for audio and AV distraction techniques was calculated with main outcomes as pulse rate, O2 level, Vehman's picture and clinical test. These findings showed significant difference favoring the intervention (audio and AV) group when compared with control but indicating more effectiveness of AV distractions. CONCLUSION: Different audio-visual aids assist in reducing pain and anxiety in children but using audio distraction aids when audio-visual aids are not available could be acceptable way for distracting and treating children.


Assuntos
Ansiedade , Dor , Adulto , Ansiedade/prevenção & controle , Recursos Audiovisuais , Criança , Ansiedade ao Tratamento Odontológico/prevenção & controle , Assistência Odontológica , Humanos , Manejo da Dor
9.
PLoS One ; 17(4): e0266204, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35417491

RESUMO

Media bias has a substantial impact on individual and collective perception of news. Effective communication that may counteract its potential negative effects still needs to be developed. In this article, we analyze how to facilitate the detection of media bias with visual and textual aids in the form of (a) a forewarning message, (b) text annotations, and (c) political classifiers. In an online experiment, we randomized 985 participants to receive a biased liberal or conservative news article in any combination of the three aids. Meanwhile, their subjective perception of media bias in this article, attitude change, and political ideology were assessed. Both the forewarning message and the annotations increased media bias awareness, whereas the political classification showed no effect. Incongruence between an articles' political position and individual political orientation also increased media bias awareness. Visual aids did not mitigate this effect. Likewise, attitudes remained unaltered.


Assuntos
Viés , Meios de Comunicação de Massa , Atitude , Recursos Audiovisuais , Humanos , Política
10.
Rev. esp. patol ; 55(2): 85-89, abr-jun 2022. ilus, graf
Artigo em Espanhol | IBECS | ID: ibc-206778

RESUMO

Introducción y objetivo: La asignatura de Anatomía Patológica es fundamental en la formación del estudiante de Medicina. Sin embargo, para muchos estudiantes la asignatura presenta un excesivo contenido teórico, poco trasladable a la práctica clínica. Presentamos los resultados de un proyecto de innovación docente dirigido a facilitar la transmisión del conocimiento a distancia y hacer de la Anatomía Patológica una asignatura más práctica y atractiva para el estudiante de Medicina. Materiales y métodos: Elaboramos material didáctico integrando imágenes de enfermedad digital con videotutoriales para la exposición de casos clínicos donde los alumnos debían llegar al diagnóstico final. Creamos un vídeo explicativo donde exponemos como se procesan las biopsias y utilizamos redes sociales (Twitter) para mantener una comunicación más fluida con los estudiantes. Finalmente, valoramos la percepción del estudiante sobre las actividades realizadas a través de una encuesta. Resultados: Al final de la actividad todos los alumnos resolvieron los casos clínicos y llegaron al diagnóstico correcto de manera exitosa. El 89% de los alumnos mostró un alto nivel de satisfacción con la actividad. Para la mayoría de los participantes la actividad resultó interesante y didáctica, mejorando su experiencia de aprendizaje, por lo que recomendaban mantenerla en el futuro. Conclusiones: Nuestros resultados soportan la integración de la enfermedad digital en combinación con video tutoriales como una herramienta exitosa en el aprendizaje de la Anatomía Patológica. Este modelo podría mantenerse en el futuro como un recurso útil en combinación con el aprendizaje presencial.(AU)


Introduction and objectives: Although pathology is one of the cornerstone subjects of the medical curriculum, for many students it can prove too theoretical and remote from clinical relevance. We present the results of a new distance learning project designed to make the teaching of pathology more practical and render the subject more attractive to the medical student. Materials and methods: We developed a teaching programme which included digital pathology images and video tutorials of clinical cases; the students were required to arrive at a final diagnosis. An explanatory video of how biopsies are processed was also included. Twitter was used for rapid interaction with the students. A questionnaire was then completed by the participants evaluating the various aspects of the project. Results: All the students reached a correct diagnosis for the clinical cases. 89% of the participants were extremely satisfied with the project. The majority agreed that the different activities were interesting and useful for improving their understanding of pathology and thus recommended that they should be continued.Conclusions: Our results support the inclusion of digital pathology into the curriculum together with video tutorials to enhance undergraduate pathology teaching. In the future, such distance learning could prove a useful resource in combination with conventional face-to-face lectures and tutorials.(AU)


Assuntos
Humanos , Ensino/tendências , Tecnologia Educacional , Recursos Audiovisuais , Patologia/educação
11.
BMC Geriatr ; 22(1): 216, 2022 03 16.
Artigo em Inglês | MEDLINE | ID: mdl-35296238

RESUMO

BACKGROUND: Hearing and vision impairments and the use of audio-visual aids are associated with cognitive decline in community-dwelling older people, but effects in long-term care facilities (LFCF) are unclear. We hypothesize that visual and hearing impairment are associated with cognitive decline and these relationships are mediated by using visual and hearing aids. METHODS: Secondary data analysis of a longitudinal study was conducted in the 7 government-subsidized LTCF operated by one of the largest non-governmental organizations in Hong Kong using data between 2005 and 2016. Eligible residents were ≥ 60 years of age without severe cognitive impairment at baseline who had stayed in the facilities for more than 3 years. All variables were measured by using the Minimum Data Set-Resident Assessment Instrument Version 2.0, Hong Kong version. The outcome was cognitive decline. Predictors were visual and hearing impairments. Mediators were the use of visual and hearing aids. General linear models were employed to test the hypotheses. RESULTS: Results for 2,233 residents were analyzed, with a mean age of 82.1 ± 8.2 years and a mean follow-up period of 4.4 ± 0.8 years. Results showed that those who had visual impairment (p = 0.004) and hearing impairments (p = 0.022) had a higher risk of cognitive decline. Using hearing aids (coefficient = 0.0186, p < 0.05) positively mediates the effect of hearing impairment on cognitive decline. Using visual aids (coefficient = -0.0881, p < 0.05) negatively mediates the effects of visual impairment on cognitive decline. CONCLUSION: In LTCF, hearing and visual impairments are associated with a higher risk of cognitive decline. Hearing aids often-users were associated with a higher risk of cognitive decline. LTCF residents with visual impairment did not use visual aids. Use of visual aids demonstrated potential effects in slowing cognitive decline. A future study with a larger and more diverse sample with attention to quality of devices is proposed to confirm its effects.


Assuntos
Disfunção Cognitiva , Auxiliares de Audição , Perda Auditiva , Idoso , Idoso de 80 Anos ou mais , Recursos Audiovisuais , Disfunção Cognitiva/complicações , Disfunção Cognitiva/diagnóstico , Disfunção Cognitiva/epidemiologia , Perda Auditiva/diagnóstico , Perda Auditiva/epidemiologia , Perda Auditiva/terapia , Humanos , Assistência de Longa Duração , Estudos Longitudinais , Transtornos da Visão/complicações , Transtornos da Visão/diagnóstico , Transtornos da Visão/epidemiologia
12.
Front Public Health ; 10: 838106, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35356026

RESUMO

In the spring semester of 2020, online flipped classroom was used to replace offline face-to-face teaching of the physiology course at Xiangya School of Medicine. In order to analyze the preferences and utilization of different teaching resources by students, registered questionnaire was applied to investigate the preference divergence of the students on the duration of different teaching videos used in the online flipped classroom model. One hundred forty-seven students of clinical medicine in grade 2018 of Xiangya School of Medicine were selected as the research objects. Three formal surveys were conducted in total. The results showed that there were significant divergences in preference of students for different durations in the first two surveys. 56.43 and 50.00% of the students preferred 15 min mini-video, whereas 43.57 and 50.00% preferred 45 min complete video. Meanwhile, students showed a significant preference for mini-video in active learning before class, with 65.00 and 59.29% watched only mini-video, 17.14 and 25.71% watched only complete videos, and 17.86 and 15.00% watched both mini and complete videos. Although most students preferred to watch mini-video in active learning before class, there was a significant proportion of students who watched complete video before class. The results suggested that the individualization of student in the online flipped classroom is prominent. Multiple logistic regression analysis showed that the selection of videos with different durations at different time points (before, in and after class) was significantly associated with the characteristics of the videos themselves. Therefore, the construction of online teaching resources and the application of teaching methods should consider the requirements of different student groups and provide a variety of online curriculum resources.


Assuntos
Recursos Audiovisuais , Currículo , Educação à Distância , China , Educação Médica , Humanos , Aprendizagem Baseada em Problemas/métodos , Estudantes , Inquéritos e Questionários , Materiais de Ensino
13.
BMC Med Educ ; 22(1): 172, 2022 Mar 12.
Artigo em Inglês | MEDLINE | ID: mdl-35279156

RESUMO

BACKGROUND: Cinemeducation courses are used to supplement more standard teaching formats at medical schools and tend to emphasise biopsychosocial aspects of health. The purpose of this paper is to explore why medical students attend the cinemeducation course M23 Cinema (M23C) at LMU Munich and whether a film screening with a subsequent expert and peer discussion benefits their studies and their future careers as medical doctors. METHODS: An exploratory sequential mixed methods study design was used. Qualitative research, i.e. three focus groups, four expert interviews, one group interview and one narrative interview, was conducted to inform a subsequent quantitative survey. Qualitative data was analysed using qualitative content analysis and quantitative data was analysed descriptively. The findings were integrated using the "following a thread" protocol. RESULTS: In total, 28 people were interviewed and 503 participants responded to the survey distributed at seven M23C screenings. Participants perceive the M23C as informal teaching where they learn about perspectives on certain health topics through the combination of film and discussion while spending time with peers. The reasons for and reported benefits of participation varied with educational background, participation frequency and gender. On average, participants gave 5.7 reasons for attending the M23C. The main reasons for participating were the film, the topic and the ability to discuss these afterwards as well as to spend an evening with peers. Attending the M23C was reported to support the students' memory with regards to certain topics addressed in the M23C when the issues resurface at a later stage, such as during university courses, in the hospital, or in their private life. CONCLUSIONS: The M23C is characterised by its unique combination of film and discussion that encourages participants to reflect upon their opinions, perspectives and experiences. Participating in the M23C amplified the understanding of biopsychosocial aspects of health and illness in students. Thus, cinemeducative approaches such as the M23C may contribute to enabling health professionals to develop and apply humane, empathetic and relational skills.


Assuntos
Recursos Audiovisuais , Educação Médica , Estudantes de Medicina , Educação Médica/métodos , Humanos , Aprendizagem , Motivação , Grupo Associado , Estudantes de Medicina/psicologia
14.
Am J Obstet Gynecol ; 227(1): 87.e1-87.e13, 2022 07.
Artigo em Inglês | MEDLINE | ID: mdl-35351406

RESUMO

BACKGROUND: Laboratories offering cell-free DNA often reserve the right to share prenatal genetic data for research or even commercial purposes, and obtain this permission on the patient consent form. Although it is known that nonpregnant patients are often reluctant to share their genetic data for research, pregnant patients' knowledge of, and opinions about, genetic data privacy are unknown. OBJECTIVE: We investigated whether pregnant patients who had already undergone cell-free DNA screening were aware that genetic data derived from cell-free DNA may be shared for research. Furthermore, we examined whether pregnant patients exposed to video education about the Genetic Information Nondiscrimination Act-a federal law that mandates workplace and health insurance protections against genetic discrimination-were more willing to share cell-free DNA-related genetic data for research than pregnant patients who were unexposed. STUDY DESIGN: In this randomized controlled trial (ClinicalTrials.gov Identifier: NCT04420858), English-speaking patients with singleton pregnancies who underwent cell-free DNA and subsequently presented at 17 0/7 to 23 6/7 weeks of gestation for a detailed anatomy scan were randomized 1:1 to a control or intervention group. Both groups viewed an infographic about cell-free DNA. In addition, the intervention group viewed an educational video about the Genetic Information Nondiscrimination Act. The primary outcomes were knowledge about, and willingness to share, prenatal genetic data from cell-free DNA by commercial laboratories for nonclinical purposes, such as research. The secondary outcomes included knowledge about existing genetic privacy laws, knowledge about the potential for reidentification of anonymized genetic data, and acceptability of various use and sharing scenarios for prenatal genetic data. Eighty-one participants per group were required for 80% power to detect an increase in willingness to share data from 60% to 80% (α=0.05). RESULTS: A total of 747 pregnant patients were screened, and 213 patients were deemed eligible and approached for potential study participation. Of these patients, 163 (76.5%) consented and were randomized; one participant discontinued the intervention, and two participants were excluded from analysis after the intervention when it was discovered that they did not fulfill all eligibility criteria. Overall, 160 (75.1%) of those approached were included in the final analysis. Most patients in the control group (72 [90.0%]) and intervention (76 [97.4%]) group were either unsure about or incorrectly thought that cell-free DNA companies could not share prenatal genetic data for research. Participants in the intervention group were more likely to incorrectly believe that their prenatal genetic data would not be shared for nonclinical purposes than participants in the control group (28.8% in the control group vs 46.2% in the intervention; P=.03). However, video education did not increase participant willingness to share genetic data in multiple scenarios. Non-White participants were less willing than White participants to allow sharing of genetic data specifically for academic research (P<.001). CONCLUSION: Most participants were unaware that their prenatal genetic data may be used for nonclinical purposes. Pregnant patients who were educated about the Genetic Information Nondiscrimination Act were not more willing to share genetic data than those who did not receive this education. Surprisingly, video education about the Genetic Information Nondiscrimination Act led patients to falsely believe that their data would not be shared for research, and participants who identified as racial minorities were less willing to share genetic data. New strategies are needed to improve pregnant patients' understanding of genetic privacy.


Assuntos
Recursos Audiovisuais , Ácidos Nucleicos Livres , Privacidade Genética , Educação de Pacientes como Assunto , Feminino , Humanos , Gravidez
15.
Rev. esp. geriatr. gerontol. (Ed. impr.) ; 57(2): 79-84, mar. - abr. 2022. ilus, tab
Artigo em Espanhol | IBECS | ID: ibc-205495

RESUMO

Objetivo: Describir la usabilidad, la accionabilidad y la comprensión de videos para promover el ejercicio en el hogar de manera online durante la pandemia COVID-19, analizando las características de la población, su satisfacción, adherencia y barreras para realizar ejercicio físico.Material y métodos: Estudio de diseño observacional descriptivo, no experimental y transversal, con enfoque cuantitativo. Se crearon videos de ejercicio físico y educación sobre dolor para personas mayores de 60 años, y fueron distribuidos en la Región Metropolitana (Chile) durante los meses de octubre a diciembre del 2020. La intervención consistió en el uso independiente en el hogar de estos videos, y tuvo una duración de 4 semanas. Luego, una muestra que recibió estos videos contestó una encuesta voluntariamente.Resultados: Treinta y cuatro participantes evaluaron los videos como comprensibles y accionables. La usabilidad fue menor en las personas que percibían un nivel de manejo tecnológico menor. La adherencia promedio fue de 2 días a la semana durante 2,5 semanas. La principal barrera percibida fue la falta de voluntad, la cual mostró una mayor tendencia en las personas que realizaban ejercicio físico de manera grupal antes de las restricciones por la pandemia COVID-19.Conclusiones: Los videos desarrollados fueron una herramienta bien evaluada por parte de la población mayor, sin embargo, la brecha tecnológica puede ser una limitante para favorecer un uso fácil y sencillo. Dentro de las estrategias se deberían considerar intervenciones que favorezcan la interacción social para promover la motivación interpersonal, en especial en las personas que prefieren modalidades grupales de ejercicio. (AU)


Objective: Describe the usability, actionability and understanding of videos to promote exercise at home online during the COVID-19 pandemic, analyzing the characteristics of the population, their satisfaction, adherence and barriers to physical exercise.Material and methods: A descriptive, non-experimental and cross-sectional observational design study, with a quantitative approach. Home-based videos of physical exercise and education about pain were created for people over 60 years old and distributed in the Metropolitan Region (Chile) during the months of October to December 2020. Participants had to use these videos independently at home during 4 weeks. A sample who received these videos were then voluntarily surveyed.Results: Thirty-four participants rated the videos as understandable and actionable. Usability was lower in people who perceived a lower level of technological management. Average adherence was 2 days a week for 2.5 weeks. The main perceived barrier was the lack of will, which showed a greater tendency in people who performed physical exercise in a group way before the restrictions due to the COVID-19 pandemic.Conclusions: The videos were well evaluated by the elderly population, however the technological gap can be a limitation to favor an easy and simple use. Among the strategies, interventions that favor social interaction should be considered to promote interpersonal motivation, especially in people who prefer group modalities of exercise. (AU)


Assuntos
Humanos , Pessoa de Meia-Idade , Idoso , Idoso de 80 Anos ou mais , Exercício Físico , Recursos Audiovisuais , Infecções por Coronavirus , Epidemiologia , Pandemias , Estudos Transversais , Epidemiologia Descritiva , Chile
16.
Recurso na Internet em Português | LIS - Localizador de Informação em Saúde, LIS-bvsms | ID: lis-48668

RESUMO

A página do Ministério da Saúde no youtube divulga vídeos sobre a Covid-19, Campanhas de Saúde de 2021, Fala Doutor, Agendas do Ministro, O Brasil quer saber, Saúde Brasil 2021, Como parar de fumar e Vigilância em Saúde


Assuntos
Promoção da Saúde , Vigilância em Saúde Pública , Abandono do Hábito de Fumar , Saúde Pública , Recursos Audiovisuais
17.
PLoS One ; 17(2): e0263041, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35108328

RESUMO

This study aims to explore how visual aids (VA) are used in ambulatory medical practice. Our research group (two doctors, one graphic designer and one sociologist) have led a qualitative study based on Focus Groups. A semi-structured guide and examples of VA were used to stimulate discussions. Participants were healthcare professionals (HP) working in ambulatory practice in Geneva and French-speaking outpatients. After inductive thematic analysis, the coding process was analyzed and modified to eventually reach consensus. Six focus groups gathered twenty-one HP and fifteen patients. Our study underlines the variety of purposes of use of VA and the different contexts of use allowing the distinction between "stand-alone" VA used out of consultation by patients alone and "interactive" VA used during a consultation enriched by the interaction between HP and patients. HP described that VA can take the form of useful tools for education and communication during consultation. They have questioned the quality of available VA and complained about restricted access to them. Patients expressed concern about the impact of VA on the interaction with HP. Participants agreed on the beneficial role of VA to supplement verbal explanation and text. Our study emphasizes the need to classify available VA, guarantee their quality, facilitate their access and deliver pertinent instructions for use.


Assuntos
Instituições de Assistência Ambulatorial/estatística & dados numéricos , Recursos Audiovisuais/estatística & dados numéricos , Comunicação , Atenção à Saúde/normas , Pessoal de Saúde/psicologia , Determinação de Necessidades de Cuidados de Saúde/estatística & dados numéricos , Encaminhamento e Consulta , Adulto , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Pesquisa Qualitativa
18.
PLoS One ; 17(2): e0263353, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35139101

RESUMO

In the UK, it is currently recommended that owned cats be neutered from four months of age. However, its uptake is inconsistent across the veterinary profession. Here we assess the effect of a brief video intervention that aimed to encourage four month neutering, whilst preserving clinical autonomy. We compare this theory-driven approach with traditional information giving and a control group. Veterinary surgeons who regularly undertook feline neutering work in the UK but did not routinely neuter cats at four months and/or recommend four month neutering for client owned cats were randomised into three groups (n = 234). Participants received either no information, a written summary of evidence or the video. The primary behaviour outcomes were the recommending and carrying out of neutering cats at four months. Evaluative, belief and stages of change measures were also collected. Self-reported outcomes were assessed pre-intervention, immediately post-intervention, two months post-intervention and six months post-intervention. At two months, participants that had received the video intervention were significantly more likely to have started recommending neutering cats at four months. At six months, participants that had received the video intervention were significantly more likely to have started carrying out neutering cats at four months. There were no significant behaviour changes for the other groups. At two months, the video intervention was associated with a significant increase in thinking about, and speaking to colleagues about, four-month neutering, relative to the control group. The written summary of evidence had no similar effect on stages of change, despite it being perceived as a significantly more helpful resource relative to the video. To conclude, a brief one-off video intervention resulted in an increase in positive behaviours towards neutering cats at 4 months, likely mediated by the social influences of the intervention prompting the opportunity to reflect and discuss four-month neutering with colleagues.


Assuntos
Castração , Gatos/cirurgia , Educação Médica Continuada/métodos , Cirurgiões , Gravação em Vídeo , Adulto , Fatores Etários , Animais , Atitude do Pessoal de Saúde , Recursos Audiovisuais , Castração/educação , Castração/psicologia , Castração/veterinária , Cultura , Feminino , Seguimentos , Fidelidade a Diretrizes , Humanos , Masculino , Pessoa de Meia-Idade , Percepção , Padrões de Prática Médica/normas , Cirurgiões/educação , Cirurgiões/psicologia , Cirurgia Veterinária/normas , Materiais de Ensino , Reino Unido
19.
JAMA Netw Open ; 5(2): e2146971, 2022 02 01.
Artigo em Inglês | MEDLINE | ID: mdl-35119460

RESUMO

Importance: Stigma toward people with opioid use disorder (OUD) is pervasive in clinical settings, impeding delivery of high-quality care. To date, no study has evaluated the effect of different stigma-reduction messages or messengers among health care professionals. Objective: To evaluate the effect of OUD-related messages delivered by different messengers on stigma and attitudes toward people with OUD among health care professionals. Design, Setting, and Participants: This randomized clinical trial examined the effects of OUD-related messages delivered by a visual campaign alone or in combination with a written narrative vignette from the perspective of 1 of 3 messengers. Health care professionals in the US were recruited from 2 national online survey panels (Ipsos KnowledgePanel and SurveyHealthcareGlobus). A total of 1842 participants completed a web-based survey measuring stigma toward people with OUD from November 13 to 30, 2020. Interventions: Eight groups were exposed to 1 of 2 message frames. One frame (Words Matter) emphasized the harm of stigmatizing language, and the other (Medication Treatment Works) focused on the effectiveness of medications approved by the US Food and Drug Administration for the treatment of OUD. Message frames were communicated through either a visual campaign alone or a visual campaign in combination with a written narrative vignette from the perspective of a simulated patient with OUD, a clinician, or a health care system administrator. Main Outcomes and Measures: Dimensions of stigma toward people with OUD were measured on 5-point Likert scales that included items about desire for social distance from people with OUD, perception of individual blame for OUD, perspective of OUD as a medical condition, and support for increased governmental spending on OUD treatment. The level of warmth felt toward people with OUD was measured by a feeling thermometer (range, 0-100 points). Results: Among 1842 participants, the mean (SD) age was 47 (13) years; 1324 participants (71.9%) were female, 145 (7.9%) were Hispanic, 140 (7.6%) were non-Hispanic Black, 1344 (73.0%) were non-Hispanic White, and 213 (11.6%) were of other non-Hispanic race (ie, individuals who did not self-report race as Black or White and did not self-report ethnicity as Hispanic). Compared with nonexposure, exposure to the combination of visual campaign and narrative vignette communicating the importance of nonstigmatizing language from the perspective of a patient with OUD was associated with a lower probability (difference, -16.8 percentage points, 95% CI, -26.1 to -7.4; P < .001) of unwillingness to have a person with OUD marry into the family (a measure of social distance preference) and a 7.2-point (95% CI, 3.2-11.1; P < .001) higher warmth rating. Participants exposed to the combined visual campaign and patient vignette about the value of medication treatment for OUD also had significantly lower levels of stigma compared with those in the nonexposed control group (eg, unwillingness to have a person with OUD as a neighbor: difference, -15.3 percentage points; 95% CI, -24.6 to -6.0; P = .001). Conclusions and Relevance: In this study, messages about nonstigmatizing language and effective medication for OUD reduced stigma among health care professionals. Stigma-reduction efforts targeting health care professionals may improve health care system capacity to serve people with OUD. Trial Registration: ClinicalTrials.gov Identifier: NCT05127707.


Assuntos
Recursos Audiovisuais , Pessoal de Saúde/psicologia , Transtornos Relacionados ao Uso de Opioides/psicologia , Estereotipagem , Adulto , Feminino , Humanos , Masculino
20.
Ergonomics ; 65(10): 1326-1337, 2022 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-35023811

RESUMO

Acute bleeding during surgery or after trauma harms patients, and challenges involved physicians. Protocols and cognitive aids can help in such situations. This dual-centre study investigated physicians' opinions regarding two ways to present cognitive aids, graphic 'Haemostasis Traffic Light' and text-based, using the example of a coagulation management algorithm to identify the strengths and limitations of both presentation modalities. Using qualitative research methods, we identified recurring answer patterns and derived major topics and subthemes through inductive coding. Eighty-four physicians participated. We assigned each half randomly to one of the cognitive aids (graphic/text-based) and determined 447 usable statements. We qualitatively deduced the importance of having a cognitive aid for physicians. Furthermore, it is noticeable that the graphic group made more positive comments (154 of 242 (64%) statements), while the text-based participants made more negative annotations (126 of 205 (61%) statements), suggesting a generally stronger approval of this cognitive aid. Practitioner summary: This qualitative study provides an overview of physicians` positive and negative perceptions regarding two presentation ways for a coagulation management algorithm. Participants perceived the graphic method created according to user-centred design principles more positively. The analysis reveals components that an ideal algorithm should have to help streamline the decision-making process.


Assuntos
Recursos Audiovisuais , Médicos , Algoritmos , Humanos , Pesquisa Qualitativa
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