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1.
Medicina (B Aires) ; 85(1): 165-181, 2025.
Artigo em Espanhol | MEDLINE | ID: mdl-39900061

RESUMO

Management in primary health care (PHC) focuses on system design, improvement policies, and implementation of evidence-based interventions. This review identifies and describes management strategies used to improve PHC in terms of quality, accessibility, efficiency, and satisfaction of health professionals and patients. A review of the literature published in PubMed, Ovid/Medline, Cochrane Library, ScienceDirect, and Google Scholar was conducted. Research focused on management models, open access, and published in the last 5 years was selected. Validity was determined, results were described, and a thematic discussion of the content was conducted. Eighteen studies were included, most of which were narrative reviews (38.9%) (n = 7). The most frequently studied management strategies corresponded to the quality domain (94.4%) (n = 17), followed by efficiency (61.1%) (n = 11) and accessibility (38.9%) (n = 7). Strategies to improve the satisfaction of healthcare professionals and patients were the least studied, at 16.7% (n = 3) each. Strategies to improve management in PHC should cover several dimensions and adapt to the needs of the environment. It is recommended to emphasize optimizing quality, accessibility, efficiency, ensuring the well-being of professionals and improving the user experience, while fostering the ability to withstand challenges and innovate.


La gestión en atención primaria en salud (APS) se centra en el diseño de sistemas, políticas de mejoramiento, y la implementación de intervenciones basadas en evidencia. Esta revisión identifica y describe las estrategias de gestión utilizadas para mejorar la APS en términos de calidad, accesibilidad, eficiencia, y satisfacción de los profesionales de la salud y de los pacientes. Se realizóuna revisión de la literatura publicada en PubMed, Ovid/Medline, Cochrane Library, ScienceDirect y Google Scholar. Se seleccionaron investigaciones centradas en modelos de gestión, de acceso abierto y publicados en los últimos 5 años. Se determinósu validez, se describieron los resultados y se realizóuna discusión temática del contenido. Se incluyeron 18 estudios, la mayoría fueron revisiones narrativas en un 38.9% (n = 7). Las estrategias de gestión más frecuentemente estudiadas correspondieron al dominio de la calidad en 94.4% (n = 17), seguido por la eficiencia en un 61.1% (n = 11) y la accesibilidad en un 38.9% (n = 7). Por su parte, las estrategias para mejorar la satisfacción del profesional sanitario y los pacientes fueron las menos estudiadas en un 16.7% (n = 3) cada uno. Las estrategias para mejorar la gestión en APS deben abarcar varias dimensiones y adaptarse a las necesidades del entorno. Se recomienda hacer hincapié en optimizar la calidad, accesibilidad, eficiencia, garantizar el bienestar del profesional y mejorar la experiencia del usuario, al tiempo que se fomenta la capacidad para resistir los desafíos e innovar.


Assuntos
Atenção Primária à Saúde , Atenção Primária à Saúde/normas , Humanos , Satisfação do Paciente , Acessibilidade aos Serviços de Saúde , Melhoria de Qualidade , Eficiência Organizacional , Qualidade da Assistência à Saúde
2.
Rev Lat Am Enfermagem ; 33: e4431, 2025.
Artigo em Inglês, Espanhol, Português | MEDLINE | ID: mdl-39907349

RESUMO

to evaluate the evidence on the use of Donald Kirkpatrick's framework in nursing training evaluation.integrative literature review in the Latin American and Caribbean Health Sciences Literature, Medical Literature Analysis and Retrieval System and Web of Science databases. Studies that answered the review question "Which is the evidence in using Donald Kirkpatrick's framework to evaluate training in the nursing workplace?" published in Portuguese, English, or Spanish were included.out of 108 studies retrieved, thirteen were included. The majority evaluated the four levels proposed in the model (reaction, learning, behavior, and results) or, at least, a combination of the first three ones. Different instruments were used to evaluate nursing training, mainly in quantitative approaches for reaction and learning levels and qualitative for behavior and results levels. This approach highlights the flexibility of the model and the importance of choosing a reliable set of instruments, which is crucial to qualify the analysis at each level.Kirkpatrick's model has been used worldwide to evaluate training in the nursing field and has been shown to be suitable for it, as long as there is an appropriate selection of instruments at each level. BACKGROUND: (1) Kirkpatrick's framework is effective for evaluating various nursing training. (2) The framework upholds the choice of measuring instruments for each level. (3) The four-levels or a combination of the first three were the most commonly used to evaluate training. (4) The four-levels or a combination of the first three were the most common to evaluate training. (5) Evaluation of results in organizational practices is the most challenging level.


Assuntos
Educação em Enfermagem , Educação em Enfermagem/métodos , Educação em Enfermagem/normas , Humanos
3.
Rev Lat Am Enfermagem ; 33: e4449, 2025.
Artigo em Inglês, Espanhol, Português | MEDLINE | ID: mdl-39907391

RESUMO

OBJECTIVE: to evaluate the construct validity and reliability of the Brazilian version of the Instrument for the Evaluation of Advanced Practice Nurse Competencies in Primary Health Care. METHOD: methodological study carried out in 78 primary health care centers in the southeast of Brazil, with 215 nurses. Data was collected using three instruments: the sample characterization form, the Brazilian version of the Advanced Practice Nurse Competency Assessment Instrument and the Therapeutic Interventions category of the Nurse Competency Scale. Construct validity was verified using confirmatory factor analysis and Spearman's correlation coefficient. Reliability was assessed using Cronbach's alpha and composite reliability. RESULTS: in the factor analysis, the model converged on a satisfactory result, with six items excluded, resulting in an instrument with 38 items distributed over eight dimensions. In convergent construct validity, positive, significant correlations were observed (p<0.0001) and ranged from weak to moderate in magnitude (r=0.2701 and r=0.397). Satisfactory evidence was found through the Composite Reliability analysis (0.78-0.89). CONCLUSION: the instrument showed evidence of construct validity and internal consistency. It could be used to help implement strategies for developing advanced practice in nursing. BACKGROUND: (1) Encourage discussion on Advanced Practice Nursing (APN) in Brazil. (2) To provide an instrument for evaluating APN in Primary Health Care. (3) To help implement APN in Brazil in Primary Health Care. (4) The Brazilian version of the instrument can be applied in different contexts. (5) A strategy for strengthening the nursing workforce.


Assuntos
Prática Avançada de Enfermagem , Competência Clínica , Atenção Primária à Saúde , Atenção Primária à Saúde/normas , Prática Avançada de Enfermagem/normas , Humanos , Competência Clínica/normas , Feminino , Adulto , Masculino , Inquéritos e Questionários/normas , Pessoa de Meia-Idade , Brasil , Adulto Jovem
4.
Crit Care Sci ; 37: e20250242en, 2025.
Artigo em Inglês | MEDLINE | ID: mdl-39907364

RESUMO

Mechanical ventilation can be a life-saving intervention, but its implementation requires a multidisciplinary approach, with an understanding of its indications and contraindications due to the potential for complications. The management of mechanical ventilation should be part of the curricula during clinical training; however, trainees and practicing professionals frequently report low confidence in managing mechanical ventilation, often seeking additional sources of knowledge. Review articles, consensus statements and clinical practice guidelines have become important sources of guidance in mechanical ventilation, and although clinical practice guidelines offer rigorously developed recommendations, they take a long time to develop and can address only a limited number of clinical questions. The Associação de Medicina Intensiva Brasileira and the Sociedade Brasileira de Pneumologia e Tisiologia sponsored the development of a joint statement addressing all aspects of mechanical ventilation, which was divided into 38 topics. Seventy-five experts from all regions of Brazil worked in pairs to perform scoping reviews, searching for publications on their specific topic of mechanical ventilation in the last 20 years in the highest impact factor journals in the areas of intensive care, pulmonology, and anesthesiology. Each pair produced suggestions and considerations on their topics, which were presented to the entire group in a plenary session for modification when necessary and approval. The result was a comprehensive document encompassing all aspects of mechanical ventilation to provide guidance at the bedside. In this article, we report the methodology used to produce the document and highlight the most important suggestions and considerations of the document, which has been made available to the public in Portuguese.


Assuntos
Respiração Artificial , Sociedades Médicas , Humanos , Respiração Artificial/normas , Brasil , Medicina Baseada em Evidências , Guias de Prática Clínica como Assunto , Cuidados Críticos/normas , Cuidados Críticos/métodos
5.
Biomater Adv ; 169: 214165, 2025 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-39823944

RESUMO

Current hemodialysis treatments can cause adverse effects, many of which are linked to the membranes used in the process. These issues are being addressed through new materials and technologies, making it urgent to establish minimum guidelines for evaluating such membranes. This review proposes standardizing the biological tests and variables to evaluate the performance of new membranes, aiming to replicate hemodialysis conditions closely. The tests were categorized into protein adsorption, protein transmission, platelet adhesion, platelet activation, blood coagulation times, hemolysis, complement activation, and cytotoxicity. For protein adsorption, static tests are recommended as an initial step to rule out membrane adhesion, followed by dynamic tests that must be conducted using a crossflow system (>250 mL/min flow) and a solution mimicking real conditions (BSA, lysozyme, trypsin, pepsin, creatinine, urea, albumin, fibrinogen, and γ-globulin). Protein transmission tests must employ dynamic conditions, using human blood or platelet-rich plasma for a minimum time of 3.5 h. Complement activation should be tested using human blood and ELISA assays to detect C3, C5 TCC, and SC5b-9. Blood coagulation times (APTT, TT, FT, TCT, and TAT) should be measured with platelet-poor and platelet-rich plasma. Hemolysis tests should transition from water bath to continuous mode for at least 3.5 h. Cytotoxicity tests should compare the MTT assay with other methods (Alamar Blue, Lactate Dehydrogenase Assay, Flow Cytometry, or Trypan Blue Exclusion Test) and use different cell types for comprehensive validation. By implementing these minimum biological tests, membrane evaluations would more accurately reflect the real-world applications, ensuring biocompatibility, effectiveness, and efficiency.


Assuntos
Hemólise , Teste de Materiais , Membranas Artificiais , Diálise Renal , Humanos , Diálise Renal/normas , Diálise Renal/instrumentação , Diálise Renal/métodos , Teste de Materiais/normas , Teste de Materiais/métodos , Ativação do Complemento , Adsorção , Ativação Plaquetária/fisiologia , Adesividade Plaquetária , Coagulação Sanguínea/fisiologia
6.
PLoS One ; 20(1): e0317594, 2025.
Artigo em Inglês | MEDLINE | ID: mdl-39879255

RESUMO

INTRODUCTION: The one-minute sit to stand test (1min-STST) is a field test used to assess functional capacity. It is easily implementable and of significant clinical utility; however, no reference values are currently available for the Chilean population. The objective of this study was to establish reference values for the 1min-STST in a healthy Chilean population. METHODS: A multicenter cross-sectional study involving data collection from six locations in Chile was conducted. Healthy adults between 18 and 80 years of age were recruited. The anthropometric variables, levels of physical activity, smoking status, Borg scale ratings, and number of repetitions during the 1min-STST were recorded. Reference values were determined according to sex and age range. RESULTS: Four hundred ninety-nine healthy subjects (57.5% women, n = 287; median height, 1.63 (0.14) m; weight, 72.8 (20) kg; average BMI, 27.3 ± 4.1 kg/m2) were included in the study. The median (and the lower limit of normality (LLN) values) for the 1min-STST in men ranged from 18-29 years, with 38 (LLN 27) repetitions and 23 (LLN 15) repetitions for 70-80 years. For women aged 18-29 years, 38 (LLN 28) repetitions were performed, and for women aged 70-80 years, 24 (LLN 17) repetitions were performed. CONCLUSIONS: This study established reference values for the healthy adult Chilean population.


Assuntos
Teste de Esforço , Humanos , Masculino , Adulto , Feminino , Chile , Pessoa de Meia-Idade , Idoso , Valores de Referência , Adolescente , Estudos Transversais , Idoso de 80 Anos ou mais , Adulto Jovem , Teste de Esforço/normas , Teste de Esforço/métodos
7.
Cad Saude Publica ; 41(1): e00092624, 2025.
Artigo em Inglês | MEDLINE | ID: mdl-39879394

RESUMO

This study aimed to identify the competencies required by primary health care managers for the effective performance of their functions. A systematic review was conducted according to PRISMA, in the databases PubMed, Scopus, Web of Science, and CINAHL, up to May 2023, in the last 10 years. The inclusion criteria were quantitative, qualitative, or mixed studies that evaluated the competencies required for primary health care managers and published in English, Spanish, or Portuguese. Methodological quality was assessed using the Mixed Methods Appraisal Tool. This article identified 171 studies, including six to the analysis. The importance of leadership, teamwork, and communication was highlighted. Furthermore, the need for disciplinary training in the health area, knowledge in administration, and use of management indicators, as well as an autonomous and flexible attitude to challenges were highlighted. The evaluation of methodological quality showed an overall good performance, except for some studies that do not report sufficient information to determine sample representativeness. Primary health care managers must possess specific competencies to effectively perform their roles, given the relevance of primary care in each country's health system. This study provides a general framework of the required competencies for managerial responsibilities in this area. However, it is necessary to consider the particularities and local contexts of each center to develop managerial profiles adapted to their specific needs.


Assuntos
Liderança , Atenção Primária à Saúde , Competência Profissional , Humanos , Atenção Primária à Saúde/normas , Competência Profissional/normas , Administradores de Instituições de Saúde/normas
8.
Rev Lat Am Enfermagem ; 33: e4410, 2025.
Artigo em Inglês, Espanhol, Português | MEDLINE | ID: mdl-39879479

RESUMO

OBJECTIVE: to demonstrate the sizing of intensive care nursing staff estimated by two calculations, using the Nursing Activities Score as one of its central components. METHOD: descriptive, retrospective study that compiled the Nursing Activities Score scores of patients in five Intensive Care Units of a hospital in southern Brazil. Two calculations were used to size the nursing staff. In addition to other components, calculation I converted the Nursing Activities Score into minutes and hours; and calculation II used this score on a denominator corresponding to one nursing professional/day, considering two types of work shifts. In both equations, the proportion of 52% of nurses was respected. RESULTS: in the 9,610 evaluations, the mean of Nursing Activities Score was 85.9% (80.8% to 96.4%). While calculation I estimated 164 professionals, calculation II projected 176 and 140 workers for five and four shifts, respectively. The difference in nurses between the methods was 18 professionals. CONCLUSION: the choice of the calculation and the number of work shifts substantially interfere in the estimation of intensive care nursing staff. This may support a methodological review in the standardization of nursing sizing in this area.


Assuntos
Enfermagem de Cuidados Críticos , Recursos Humanos de Enfermagem Hospitalar , Estudos Retrospectivos , Humanos , Enfermagem de Cuidados Críticos/normas , Recursos Humanos de Enfermagem Hospitalar/estatística & dados numéricos , Feminino , Masculino , Adulto , Pessoa de Meia-Idade , Unidades de Terapia Intensiva , Cuidados Críticos
9.
Rev Lat Am Enfermagem ; 33: e4419, 2025.
Artigo em Inglês, Espanhol, Português | MEDLINE | ID: mdl-39879480

RESUMO

OBJECTIVE: to explore the nurses' perceptions among the quality of care to stroke patients in a public hospital in Northern Honduras. METHOD: a descriptive phenomenological study was carried out. The data collection was conducted by means of depth- interviews to 20 general nurses from the emergency and clinical medicine departments from the Atlántida General Hospital. Data analysis was by thematic technique. RESULTS: the research found three key themes, and 10 subthemes, which illustrated the quality of stroke patients care in a general hospital from Honduras. The finding points up the theme "negative outcomes regarding the structure dimension of the patient care units", which means the failure to improve or maintain the quality of healthcare. Likewise, "positive outcomes regarding the nursing process", defined as pleasant and helpful among the care of stroke patients, such as ethical and humanized caring, and activities on promoting patient self-care with involvement of the relatives. CONCLUSION: the results indicate that Honduran nurses do not have qualified graduate training in critical care, which is a limitation that compromises the quality of care. Therefore, it is recommended to have clear organization structures and better resources managing, consequently, it may increase user satisfaction, as well as reducing hospital stays.


Assuntos
Atitude do Pessoal de Saúde , Pesquisa Qualitativa , Qualidade da Assistência à Saúde , Acidente Vascular Cerebral , Humanos , Honduras , Qualidade da Assistência à Saúde/normas , Acidente Vascular Cerebral/enfermagem , Acidente Vascular Cerebral/terapia , Feminino , Adulto , Masculino , Pessoa de Meia-Idade , Recursos Humanos de Enfermagem Hospitalar/psicologia
10.
Rev Col Bras Cir ; 51: e20243863, 2025.
Artigo em Inglês, Português | MEDLINE | ID: mdl-39841725

RESUMO

The editorial discusses the need for the Specialist Title to be valued by Medical Societies, as a stage after the conclusion of medical residency and a mandatory prerequisite for taking the tests. Finally, it shows the experience of seven Medical Societies with their specialist title exams.


Assuntos
Sociedades Médicas , Brasil , Sociedades Médicas/organização & administração , Avaliação Educacional/métodos , Avaliação Educacional/normas , Humanos , Especialização , Internato e Residência/normas
11.
Rev Col Bras Cir ; 51: e20243858, 2025.
Artigo em Inglês, Português | MEDLINE | ID: mdl-39841722

RESUMO

The authors debate the arguments presented in the editorial "Reflections on the current context and evaluation of undergraduate medical education", bringing the context that culminated in the recent application of the National Proficiency Exam in Dentistry.


Assuntos
Educação de Graduação em Medicina , Educação de Graduação em Medicina/normas , Humanos , Avaliação Educacional/métodos , Brasil
12.
Trop Anim Health Prod ; 57(1): 20, 2025 Jan 08.
Artigo em Inglês | MEDLINE | ID: mdl-39777578

RESUMO

This study evaluated the effects of incorporating biological silage from tambaqui (Colossoma macropomum) by-products (BST) on the performance, hematological and plasma biochemical parameters, and egg quality (physical, proximate composition and sensory characteristics) of older commercial hens. The BST was prepared by ensiling tambaqui by-products with lactic acid bacteria, cassava trimmings, and preservatives, producing a nutrient-rich, high-protein feed ingredient. One hundred and twenty Hisex Brown hens (83 weeks old) were divided into five treatment groups, each receiving diets with 0, 1, 2, 3, or 4% BST. Performance metrics, egg quality parameters, and blood samples were collected over 63 days. The results showed that diets with 1 to 2% BST improved egg weight, eggshell quality, and feed efficiency without adverse effects on hen health. However, higher BST inclusion levels led to declines in feed intake, egg production, and mineral content in eggs, possibly due to the sensory properties of the tambaqui-based diets. Hematological analysis indicated an increase in MCV and MCH values with higher BST levels, while triglycerides increased and cholesterol decreased, suggesting potential benefits for lipid metabolism at moderate inclusion levels. Sensory analysis of eggs showed greater acceptance in diets with 3% to 4% BST due to yolk color enhancement, although higher levels were not optimal for hen productivity. These findings support BST as a viable alternative feed in poultry diets, promoting waste utilization in a sustainable, circular economy model for the agribusiness sector.


Assuntos
Galinhas , Dieta , Silagem , Animais , Galinhas/fisiologia , Galinhas/crescimento & desenvolvimento , Feminino , Silagem/análise , Dieta/veterinária , Ovos/análise , Ovos/normas , Ração Animal/análise , Fenômenos Fisiológicos da Nutrição Animal
13.
Gynecol Endocrinol ; 41(1): 2456578, 2025 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-39862138

RESUMO

OBJECTIVES: Polycystic Ovary Syndrome (PCOS) is a complex condition affecting approximately 1 in 10 women of reproductive age. However, limited data are available regarding the specific characteristics and needs of women with PCOS in Latin America. This consensus sought to evaluate the evidence-based practices for the management of PCOS for Latin American populations, consolidate regional insights, identify eventual gaps in implementation and identify key research opportunities. METHODS: Using the Delphi strategy, experts from various Latin American countries selected and reviewed a subset of recommendations from the 2023 International Evidence-Based Guideline (EBG) for the Assessment and Management of PCOS. Virtual and in-person meetings facilitated discussions on the selected recommendations, followed by voting rounds to achieve consensus. RESULTS: A total of 33 recommendations for PCOS diagnosis and treatment were evaluated. In the initial voting round, 25 recommendations achieved strong agreement (80%-100% support), while eight received less than 80% agreement. After further discussions on their relevance and potential to influence behavior change among health professionals and public health policies, the remaining recommendations achieved near-unanimous support in the second round. CONCLUSIONS: This consensus underscored evidence-based practices for PCOS diagnosis and treatment deemed appropriate for the Latin American context. It also highlighted implementation barriers such as cost and accessibility, while identifying opportunities for research to improve PCOS management and address regional challenges. These findings aim to enhance clinical care and inform public health strategies tailored to the needs of Latin American women living with PCOS.


Assuntos
Consenso , Síndrome do Ovário Policístico , Síndrome do Ovário Policístico/terapia , Síndrome do Ovário Policístico/diagnóstico , Humanos , Feminino , América Latina/epidemiologia , Prática Clínica Baseada em Evidências , Técnica Delphi , Endocrinologia/normas , Endocrinologia/organização & administração , Guias de Prática Clínica como Assunto , Ginecologia , Sociedades Médicas , Medicina Baseada em Evidências
14.
Int J Qual Health Care ; 37(1)2025 Jan 17.
Artigo em Inglês | MEDLINE | ID: mdl-39869420

RESUMO

Patients continue to suffer from preventable harm and uneven quality outcomes. Reliable clinical outcomes depend on the quality of robust administrative systems and reliable support processes. Critically ill patient handoffs from the operating room (OR) to the intensive care unit (ICU) are known to be high-risk events. We describe a novel perspective on how risk factors associated with the process of patient handoff communication between the OR and the ICU can lead to flawed communication, degraded team awareness, medical errors, and increased patient harm. Data were collected from two semi-structured focus groups using a five-step risk management approach at a tertiary hospital in São Paulo, Brazil. We conducted a failure modes and effects analysis (FMEA) with multidisciplinary healthcare providers consisting of attending physicians, anesthesiologists, nurses, and physiotherapists involved in patient handoffs. We analyzed the results using a similitude analysis to evaluate the effectiveness of implementing this novel risk management approach. We identified the handoffs risks associated with patients, staff, institution, and potential financial risks. The FMEA identified 12 process failures and 36 causes that generated 12 consequences and pointed to robust needed preventive measures to mitigate handoff risks. The clinical teams reported that this approach allowed them to see the process more completely as a whole not only in their narrow silos, thus understanding the enablers and difficulties of the other team members and how this understanding can shed light on their mental models, actions, and the process reliability. Teams identified key steps in the OR to ICU handoff process that are prone to the highest hazards to patients, the hospital, and staff, and are currently targeted for process improvement. Evidence-driven recommendations intended for reducing the risks associated with patient handoffs are presented. Implementing a dynamic risk management, interdisciplinary approach was used to redesign the OR to ICU patient handoff approach around the patient's and clinician's needs. The risk management program helped healthcare providers identify handoff steps, highlighting risky handoff process failures, making it possible to identify actionable failures, consequences, and define preventative action plans for mitigating the risks to improve the quality and safety of patient handoffs.


Assuntos
Unidades de Terapia Intensiva , Erros Médicos , Salas Cirúrgicas , Equipe de Assistência ao Paciente , Transferência da Responsabilidade pelo Paciente , Humanos , Transferência da Responsabilidade pelo Paciente/normas , Salas Cirúrgicas/normas , Unidades de Terapia Intensiva/organização & administração , Erros Médicos/prevenção & controle , Brasil , Segurança do Paciente , Comunicação , Dano ao Paciente/prevenção & controle , Grupos Focais , Centros de Atenção Terciária , Gestão de Riscos/métodos , Análise do Modo e do Efeito de Falhas na Assistência à Saúde
15.
Braz Oral Res ; 39: e002, 2025.
Artigo em Inglês | MEDLINE | ID: mdl-39841782

RESUMO

Although it is recognized that periodontal disease negatively impacts quality of life, there is no validated instrument to assess this impact in Brazil. This study aimed to translate, cross-culturally adapt, and validate the OHIP 14 PD (Oral Health Impact Profile Applied to Periodontal Diseases) for application among Brazilian patients. The original instrument was translated and validated into Brazilian Portuguese in a cross-sectional study with 110 participants recruited from a Dental School clinic. The sample was divided into two groups: 55 with periodontal disease and 55 without periodontal disease. The instrument was self-administered twice within an interval of 7 to 10 days for patients with periodontal disease. The psychometric properties of the Brazilian version were verified using internal consistency (Cronbach's α) and the reliability through the test-retest method (ICC, intraclass correlation coefficient), convergent validity (Spearman correlation), and discriminant validity (Mann-Whitney test), with p <0.05. Most of the sample consisted of women (n=69; ±40.65 years). The OHIP 14 DP - Br showed excellent internal consistency (α=0.997) and outstanding reliability using the test-retest method (ICC=0.945, p<0.001). There was a significant correlation between the scores obtained in all seven domains between this questionnaire and self-perceived gingival health (p=0.023). This study provides psychometric evidence supporting the cross-cultural validity of the OHIP 14 DP - Br version for use in Brazil.


Assuntos
Características Culturais , Saúde Bucal , Doenças Periodontais , Psicometria , Qualidade de Vida , Traduções , Humanos , Feminino , Brasil , Reprodutibilidade dos Testes , Estudos Transversais , Masculino , Doenças Periodontais/psicologia , Adulto , Pessoa de Meia-Idade , Inquéritos e Questionários/normas , Saúde Bucal/estatística & dados numéricos , Estatísticas não Paramétricas , Comparação Transcultural , Idoso , Adulto Jovem , Tradução , Idioma , Valores de Referência
16.
Rev Bras Enferm ; 77(6): e20230190, 2025.
Artigo em Inglês, Português | MEDLINE | ID: mdl-39813521

RESUMO

OBJECTIVES: to verify the construct validation of an instrument for evaluating care for people living with HIV in Primary Health Care. METHODS: methodological study carried out in 2021 with 260 health professionals in Recife, PE. Validation based on the internal structure was carried out at this stage using exploratory and confirmatory factor analysis, and validity based on item response theory. RESULTS: the validation determined the retention of five factors and 63 items. The instrument's internal consistency and quality of fit was 0.90, the Tukey-Lewis index was 0.915 and the comparative fit index was 0.918 in the confirmatory factor analysis. The indication for the absolute majority of items is adequate fit. CONCLUSIONS: the instrument has construct validity, making it possible to use it to evaluate the decentralization process and care for People Living with HIV in Primary Health Care.


Assuntos
Infecções por HIV , Atenção Primária à Saúde , Humanos , Atenção Primária à Saúde/normas , Infecções por HIV/terapia , Masculino , Feminino , Inquéritos e Questionários , Adulto , Reprodutibilidade dos Testes , Análise Fatorial , Psicometria/instrumentação , Psicometria/métodos , Pessoa de Meia-Idade , Brasil
17.
Arq Bras Cir Dig ; 37: e1848, 2025.
Artigo em Inglês | MEDLINE | ID: mdl-39813553

RESUMO

BACKGROUND: Perihilar cholangiocarcinoma presents unique challenges in perioperative management, requiring a comprehensive approach to optimize patient outcomes. AIMS: This case study focuses on the multidisciplinary management and innovative interventions performed in the perioperative care of a patient with hilar cholangiocarcinoma. METHODS: A comprehensive assessment and treatment strategy involving neoadjuvant therapy and interventional radiology techniques were implemented. Neoadjuvant chemotherapy was administered to reduce tumor size and improve resectability. The crucial role of interventional radiology in managing postoperative complications is highlighted, particularly in the case of massive pulmonary embolism. RESULTS: The neoadjuvant therapy successfully reduced tumor size, enabling an R0 surgical resection. Additionally, interventional radiology interventions, such as percutaneous pharmaco-mechanical thrombectomy, effectively addressed the life-threatening complication of massive pulmonary embolism. CONCLUSIONS: This article highlights the importance of a collaborative, multidisciplinary approach in managing complex oncological surgeries, especially regarding the hospital's rescue capacity for severe postoperative complications. Emergent management with interventional radiology had a central role in resolving life-threatening complications.


Assuntos
Neoplasias dos Ductos Biliares , Tumor de Klatskin , Terapia Neoadjuvante , Assistência Perioperatória , Humanos , Neoplasias dos Ductos Biliares/cirurgia , Neoplasias dos Ductos Biliares/terapia , Assistência Perioperatória/métodos , Assistência Perioperatória/normas , Tumor de Klatskin/cirurgia , Tumor de Klatskin/terapia , Masculino , Radiologia Intervencionista/métodos , Equipe de Assistência ao Paciente , Pessoa de Meia-Idade
18.
Rev Bras Enferm ; 78(1): e20240218, 2025.
Artigo em Inglês, Português | MEDLINE | ID: mdl-39813573

RESUMO

OBJECTIVE: To map studies on clinical simulation training directed at first responders during pediatric emergencies, focusing on interaction with families. METHODS: A scoping review based on the guidelines of the JBI Manual for Evidence Syntheses and reported according to the PRISMA-ScR checklist, covering eight databases and gray literature, without time or language restrictions. RESULTS: The ten selected studies indicated that most publications were from the United States. Simulations were predominantly conducted in hospital settings, with only one study associated with the pre-hospital context. The main designs used involved pediatric resuscitation scenarios and high-fidelity simulated environments. CONCLUSION: Simulation training is effective, increasing professionals' confidence and improving communication with families. However, the concentration in developed countries and hospital settings highlights the need for training in other settings, such as pre-hospital care, to integrate technical and family-centered approaches.


Assuntos
Treinamento por Simulação , Humanos , Treinamento por Simulação/métodos , Treinamento por Simulação/normas , Pediatria/métodos , Pediatria/educação , Socorristas/educação , Família/psicologia , Emergências , Criança
19.
Rev Bras Enferm ; 78(1): 20230263, 2025.
Artigo em Inglês, Português | MEDLINE | ID: mdl-39813572

RESUMO

OBJECTIVE: to develop a bundle for the safety of psychiatric patients during hospitalization. METHODS: a methodological study conducted in two stages. In the first, a comprehensive literature review was developed through a scoping review and conducted to examine evidence on the safety of psychiatric patients during hospitalization. In the second, based on the evidence listed, a set of actions was developed for the safety of psychiatric patients during hospitalization. RESULTS: twenty-six articles published between 2012 and 2022 were used, making it possible to categorize recommendations and build a bundle through four axes: safety culture; clinical decision-making; intervention planning; and interpersonal violence. CONCLUSIONS: the scientific evidence provided clear guidance on actions to improve the safety of psychiatric patients during hospitalization. This evidence also highlighted gaps in research, indicating the need for future studies in this area.


Assuntos
Hospitalização , Transtornos Mentais , Segurança do Paciente , Humanos , Transtornos Mentais/terapia , Segurança do Paciente/normas , Gestão da Segurança/métodos , Gestão da Segurança/normas
20.
BMC Res Notes ; 18(1): 17, 2025 Jan 16.
Artigo em Inglês | MEDLINE | ID: mdl-39819633

RESUMO

Publication of articles in international scientific journals has been one of the main strategies for the communication of scientific findings and ideas. Prepublication peer review is a fundamental aspect of the publishing process in indexed scientific journals and, associated with the large growth in journals and articles, there has been a recent challenge in having adequate peer reviewers for international journals. In this article, we provide a short overview of the publishing process, give recommendations to early career researchers about writing peer reviews of adequate quality, and discuss some possibilities for the future.


Assuntos
Revisão da Pesquisa por Pares , Publicações Periódicas como Assunto , Humanos , Publicações Periódicas como Assunto/normas , Revisão da Pesquisa por Pares/normas , Pesquisadores/normas , Editoração/normas , Revisão por Pares/normas
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