192 results on '"Statistical significance"'
Search Results
2. Does the Quality of Learning Outcomes Fall When Education Expands to Include More Disadvantaged Students? PISA in Focus. No. 75
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Organisation for Economic Cooperation and Development (OECD) (France)
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Globally, enrolment in secondary education has expanded dramatically over the past decades. This expansion is also reflected in PISA data, particularly for low- and middle-income countries. Between 2003 and 2015, Indonesia added more than 1.1 million students, Turkey and Brazil more than 400,000 students, and Mexico more than 300,000 students, to the total population of 15-year-olds eligible to participate in PISA. This welcome expansion in education opportunities makes it more difficult to interpret how mean scores in PISA have changed over time. Indeed, increases in coverage can lead to an underestimation of the real improvements that education systems have achieved. Household surveys often show that children from poor households, ethnic minorities or rural areas face a greater risk of not attending or completing lower secondary education. Typically, as populations that had previously been excluded gain access to higher levels of schooling, a larger proportion of low-performing students will be included in PISA samples.
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- 2017
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3. Clinical Validation of the 'Sedentary Lifestyle' Nursing Diagnosis in Secondary School Students
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de Oliveira, Marcos Renato, da Silva, Viviane Martins, Guedes, Nirla Gomes, and de Oliveira Lopes, Marcos Venícios
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This study clinically validated the nursing diagnosis of "sedentary lifestyle" (SL) among 564 Brazilian adolescents. Measures of diagnostic accuracy were calculated for defining characteristics, and Mantel--Haenszel analysis was used to identify related factors. The measures of diagnostic accuracy showed that the following defining characteristics were statistically significant: "average daily physical activity less than recommended for gender and age," "preference for activity low in physical activity," "nonengagement in leisure time physical activities," and "diminished respiratory capacity." An SL showed statistically significant associations with the following related factors: insufficient motivation for physical activity; insufficient interest in physical activity; insufficient resources for physical activity; insufficient social support for physical activity; attitudes, beliefs, and health habits that hinder physical activity; and insufficient confidence for practicing physical exercises. The study highlighted the four defining characteristics and six related factors for making decisions related to SL among adolescents.
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- 2016
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4. Random Forest as an Imputation Method for Education and Psychology Research: Its Impact on Item Fit and Difficulty of the Rasch Model
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Golino, Hudson F. and Gomes, Cristiano M. A.
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This paper presents a non-parametric imputation technique, named random forest, from the machine learning field. The random forest procedure has two main tuning parameters: the number of trees grown in the prediction and the number of predictors used. Fifty experimental conditions were created in the imputation procedure, with different combinations of predictors (from 1 to 10) and number of trees (10, 50, 100, 500 and 1000). We examined how each experimental condition affected the items fit and the difficulty of an inductive reasoning test to the dichotomous Rasch model. The results point that using random forest to impute missing values is a reliable technique to be used in psychological researches, since it led to statistically significant differences in the infit's median only in 4% of the experimental conditions investigated, compared to the original data set result. However, researchers should be aware that in 32% of the experimental conditions, the imputation procedure significantly increased the median of the estimated items' difficulty, compared to the original data set.
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- 2016
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5. Physiological Adaptations to Resistance Training in Prepubertal Boys
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dos Santos Cunha, Giovani, Sant'anna, Marcelo Morganti, Cadore, Eduardo Lusa, de Oliveira, Norton Luis, dos Santos, Cinara Bos, Pinto, Ronei Silveira, and Reischak-Oliveira, Alvaro
- Abstract
Purpose: The purpose of this study was to investigate the physiological adaptations of resistance training (RT) in prepubertal boys. Methods: Eighteen healthy boys were divided into RT (n = 9, M[subscript age] = 10.4 ± 0.5 years) and control (CTR; n = 9, M[subscript age] = 10.9 ± 0.7 years) groups. The RT group underwent a resistance training during 12 weeks, 3 times per week, performing 3 sets of 6 to 15 repetitions at intensities ranging from 60% to 80% of maximal dynamic strength (1-repetition maximum [1-RM] values). Before and after the training, the groups were assessed in their body mass and composition (dual-energy X-ray absorptiometry), isokinetic dynamometry, 1-RM, and ergoespirometry. Moreover, force per unit of muscle volume was calculated by the quotient between 1-RM and lean mass. Results: Both groups presented statistically significant (p < 0.05) increases in the 1-RM and force per unit of muscle volume in the knee extension and elbow flexion, but these strength increases were statistically significantly greater in the RT group (effect size [ES] = 2.83-9.00) than in the CTR group (ES = 0.72-1.00). Moreover, both groups statistically significantly increased in lean body mass variables (ES = 0.12-0.38). However, increases in the fat mass variables occurred only in the CTR group (ES = -0.01-0.50), whereas no changes were observed in the RT group. Furthermore, there were statistically significant increases in all bone mineral content variables (ES = 0.13-0.43), without differences between groups. No cardiorespiratory changes were observed. Conclusion: Twelve weeks of RT was effective in improving strength and force per unit of muscle volume and prevented fat mass increases in boys.
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- 2015
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6. Evaluation of Discrepancies Identified in Medication Reconciliation at Admission and Discharge of Older Patients in a Hospital Ward.
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Romeiro, Barbara Falaschi, de Oliveira, Alan Maicon, Rodrigues, João Paulo Vilela, de Almeida Campos, Marília Silveira, Varallo, Fabiana Rossi, and Pereira, Leonardo Régis Leira
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PEARSON correlation (Statistics) , *MEDICATION errors , *PATIENTS , *STATISTICAL significance , *RESEARCH funding , *HOSPITAL admission & discharge , *MEDICATION reconciliation , *POLYPHARMACY , *DESCRIPTIVE statistics , *LONGITUDINAL method , *DISEASES , *PATIENT monitoring , *DRUGS , *CONFIDENCE intervals , *DATA analysis software , *HOSPITAL wards , *OLD age - Abstract
The aging population, often burdened with multimorbidity and polypharmacy complexities, requires comprehensive care during healthcare transitions. These transitions contribute to increased prescriptions, exacerbating polypharmacy and frailty in older individuals. Medication reconciliation, a preventive strategy, optimizes medication lists through systematic analysis, particularly benefiting older patients grappling with polypharmacy. This practice holds substantial potential in enhancing patient safety during care transitions. Therefore, the aim of this study is to evaluate the discrepancies detected during the practice of medication reconciliation at the admission, discharge, or transfer of older individuals in a ward in Brazil. This is a single-cohort study of patients admitted to an older adult care ward in Brazil, monitored from September 2021 to April 2022. Older individuals hospitalized in the ward, exhibiting the characteristic clinical profile of multimorbidity and polypharmacy, were observed to identify discrepancies in the practice of medication reconciliation conducted as part of pharmaceutical care services. Medication reconciliation was carried out upon admission, discharge from the ward for older adult care, or transfer to other healthcare units. Sixty older individuals were monitored during the study period in the ward. The use of polypharmacy at home was evident in more than 70% of patients, and multimorbidity was present in over 90% of patients. On average, 8.6 discrepancies were identified per patient (± 4.7). Upon admission to the older adult care ward, 501 discrepancies were identified and assessed, decreasing to 200 at the time of hospital discharge or transfer to other units. In total, 48 medication errors were identified in the evaluated prescriptions and ongoing pharmacotherapy. The use of polypharmacy proved to be a contributing factor that increased the identification of discrepancies in medication reconciliation (p < 0.001). Analyzing medication reconciliation discrepancies uncovers intentional and unintentional aspects in prescriptions, with medication quantity, especially in polypharmacy, linked to potential harm. Continuous monitoring proved crucial, significantly enhancing patient safety in the older adult care ward. [ABSTRACT FROM AUTHOR]
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- 2024
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7. Impacts of childbirth on anxiety, disability, and depression: Results from a Brazilian cohort.
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Pabon, Stephanie, Guida, José Paulo, Lamus, Martha Narvaez, Charles, Charles MPoca, Parpinelli, Mary Angela, Escobar, María Fernanda, Cecatti, José Guilherme, and Costa, Maria Laura
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SUBSTANCE abuse , *DELIVERY (Obstetrics) , *SECONDARY analysis , *VIOLENCE , *T-test (Statistics) , *STATISTICAL significance , *PUERPERIUM , *DISABILITY evaluation , *THIRD trimester of pregnancy , *SEXUAL excitement , *QUESTIONNAIRES , *ANXIETY , *POSTPARTUM depression , *PREGNANT women , *TERTIARY care , *CHI-squared test , *DESCRIPTIVE statistics , *LONGITUDINAL method , *PREGNANCY complications , *CONFIDENCE intervals , *DATA analysis software , *COMORBIDITY , *CHILDBIRTH - Abstract
Conditions such as violence, drug abuse, sexual satisfaction, anxiety, depression, and disability interfere with a healthy pregnancy and can also account for maternal morbidity. The instrument WOICE was built by WHO to measure it. We applied WOICE in a prospective cohort of 125 pregnant women, using a before-after approach, during the third trimester of pregnancy, and after 42 until 90 days of childbirth. 60% had anxiety during pregnancy, decreasing to 48.8% after delivery (p = 0.07), and depression scores decreased from 7.56 to 5.80 (p = 0.014). Disability affected 62.4% and 56, respectively. 9.6% used drugs during pregnancy, reducing to 4.0% after delivery (RR 0.69, IC 0.49 − 0.69). [ABSTRACT FROM AUTHOR]
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- 2024
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8. Fasting Glucose, Glycated Hemoglobin, and 2h Post-load Blood Glucose Are Independently Associated With Arterial Stiffness in Diabetes: The ELSA-Brasil Study.
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Pereira, Wille D. S., Lelis, Deborah F., Cunha, Roberto S., Griep, Rosane H., Barreto, Sandhi M., Molina, Maria del Carmen B., Schmidt, Maria Inês, Duncan, Bruce B., Bensenor, Isabela, Lotufo, Paulo A., Mill, José Geraldo, and Baldo, Marcelo P.
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DIAGNOSIS of diabetes , *DIABETES complications , *CROSS-sectional method , *ARTERIAL diseases , *GLYCOSYLATED hemoglobin , *T-test (Statistics) , *STATISTICAL significance , *RESEARCH funding , *GLUCOSE tolerance tests , *CHI-squared test , *ANALYSIS of covariance , *DESCRIPTIVE statistics , *BLOOD sugar , *LONGITUDINAL method , *PULSE wave analysis , *ANTHROPOMETRY , *DATA analysis software , *DIABETES , *FASTING , *BIOMARKERS - Abstract
The association of diabetes with increased large artery stiffness is not definitively established. We aimed to describe the carotid-femoral pulse wave velocity (cf-PWV) in participants with and without diabetes and whether the cf-PWV could vary among the different laboratory-based criteria used. A cross-sectional analysis using baseline data from 13,912 adults was used. cf-PWV as well as anthropometric, biochemical, and clinical data were measured. Diabetes was defined by previous medical diagnosis, medication use, fasting glucose, an oral glucose tolerance test (GTT), or glycated hemoglobin (HbA1c). The prevalence of diabetes was 18.7%, higher in men than in women. After adjustment, participants with diabetes showed higher cf-PWV (men: 9.7 ± 1.7 vs 9.4 ± 1.7 m/s, P <.05; women: 9.4 ± 1.6 vs 9.1 ± 1.7 m/s, P <.05). We observed a progressive increase in cf-PWV as >1 laboratory-based criterion for diabetes diagnosis was reached. Also, participants with diabetes with alterations in any laboratory-based criteria had higher cf-PWV than participants without diabetes, regardless of sex. In summary, diabetes is associated with higher cf-PWV as is each laboratory-based parameter used for its diagnosis. These results support the strong consequences of glucose dysregulation on the vascular system and provide evidence to screen all parameters involved in glycemic metabolism to improve vascular health. [ABSTRACT FROM AUTHOR]
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- 2024
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9. Analysis of the dermoscopic features of excised melanomas and their relation with tumor thickness in a tertiary hospital in Brazil.
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Ávila, Ana C. A., Avancini, Joao, Abed, Nubia M., Pincelli, Marcella S., and Neto, Cyro F.
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DERMOSCOPY , *MELANOMA , *TUMORS , *STATISTICAL significance , *HOSPITALS - Abstract
Background: Dermoscopy is a non‐invasive, cost‐effective tool useful in the assessment of pigmented lesions. The aim of this study was to analyze the dermoscopic features in excised melanomas in a tertiary hospital in Brazil and the influence of Breslow thickness on the dermoscopic features observed. Methods: An observational, cross‐sectional study in which dermoscopic images of 43 melanomas were evaluated. The patients were divided into three groups: in situ, thin invasive melanoma (Breslow thickness <1 mm), and thick invasive melanoma (Breslow thickness ≥1 mm). Results: We studied 33 patients with 43 melanomas. Twenty‐one (48.8%) were melanoma in situ, 16 (37.2%) were thin melanomas, and 6 (14%) were thick melanomas. The most frequent dermoscopic criteria observed in all cases were atypical pigment network, multiple colors (3 or more), asymmetrical blotches, and peripheral asymmetric dots and globules. There was a statistically significant difference in the three groups regarding the frequency of atypical vessels, white scar areas, blue‐white veil, shiny white structures, and radial streaming. The group of invasive melanomas presented with a higher frequency and statistical significance (P < 0.05) of atypical vessels, white scar areas, blue‐white veil, and shiny white structures when compared to in situ melanomas. The presence of radial streaming and blue‐white veil was more frequent in thick invasive melanomas than in thin invasive melanomas. The presence of a higher number of structures was seen in invasive melanomas, with a median of 5 and 7.5 structures for thin and thick invasive tumors, respectively. Conclusions: In line with prior data, we identified an association between invasive melanomas and structures linked to fibrosis and tumor vascularity. Specifically, we noted the presence of atypical vessels, scar‐like white areas, a blue‐white veil, and shiny white structures. Also, a higher number of dermoscopic structures was seen in invasive melanomas. In thicker melanomas, we observed additional findings, including a higher frequency of radial streaming and a blue‐white veil. [ABSTRACT FROM AUTHOR]
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- 2024
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10. Validity of self‐reported oral conditions among Brazilian older women: Do socio‐economic factors matter?
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Nascimento, Gustavo G., Machado, Fernanda W., Cascaes, Andréia M., Silva, Alexandre E., Boscato, Noéli, and Demarco, Flávio F.
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SELF-evaluation ,COMMUNITY health services ,CROSS-sectional method ,STATISTICAL correlation ,INCOME ,RECEIVER operating characteristic curves ,STATISTICAL significance ,DENTURES ,SOCIOECONOMIC factors ,PSYCHOLOGY of women ,AGE distribution ,DESCRIPTIVE statistics ,STATISTICS ,CONFIDENCE intervals ,DATA analysis software ,ORAL health ,EDUCATIONAL attainment ,TOOTH loss ,SENSITIVITY & specificity (Statistics) - Abstract
Objective: To validate the level of agreement between self‐report and clinical examination for oral conditions and evaluate the effect of sociodemographic conditions on the validity of self‐report among women aged 60 and older. Methods: A cross‐sectional study was conducted in a social community center for seniors in Southern Brazil. Sociodemographic data (age, level of education, and income) were measured. Participants were interviewed and clinically examined for the number of teeth (DMF‐T index) and the use of dental prostheses. The self‐reported number of teeth in each arch and the use of dental prostheses were gathered through interviews. The level of agreement was estimated using the observed agreement, Kappa statistics, sensitivity/specificity (edentulism/prostheses) and Lin's concordance correlation coefficient, and related tests (number of teeth). The validity of the oral conditions was estimated according to sociodemographic information. Results: Ninety‐nine women participated in the study. High levels of agreement were observed for edentulism (97.8%; 95%CI 92.8;99.7; Kappa 0.947) and the use of dental prostheses (97.0%; 95%CI 91.3;99.4; Kappa 0.922). In both conditions, despite achieving similar concordance correlation coefficients (ranging from weak to moderate), the mean number of upper teeth was lower in clinical examination (7.1 ± 5.2) compared with self‐reported (8.6 ± 3.6), while the opposite was observed for lower teeth (clinical examination: 9.1 ± 3.4; self‐reported: 6.6 ± 5.3). Larger differences were found among women of low income and educational levels. Conclusions: Our findings suggest that the participants' socio‐economic position might influence their self‐reported number of teeth. [ABSTRACT FROM AUTHOR]
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- 2024
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11. Determinants of Neonatal and Postneonatal Mortality in Northeastern Brazil: A Cohort Study of Newborns Admitted to the Neonatal Intensive Care Unit.
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Barreto, Maria Goretti Policarpo, Silva, Cláudia, Barreto, Renata Policarpo, Barreto, Roberta Policarpo, de Vasconcelos, Lara Moreira Teles, and Manso, Maria Conceição
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RISK assessment ,HEALTH services accessibility ,PEARSON correlation (Statistics) ,INFANT mortality ,PATIENTS ,GOVERNMENT policy ,MEDICAL quality control ,MATERNAL health services ,STATISTICAL significance ,NEONATAL intensive care units ,HOSPITAL admission & discharge ,FISHER exact test ,MULTIPLE regression analysis ,NEONATAL intensive care ,TERTIARY care ,MULTIVARIATE analysis ,CATHETERIZATION ,CHI-squared test ,MANN Whitney U Test ,DESCRIPTIVE statistics ,LONGITUDINAL method ,MATHEMATICAL models ,STATISTICS ,CONFIDENCE intervals ,THEORY ,ASPHYXIA neonatorum ,HEALTH promotion ,QUALITY assurance ,HEALTH equity ,DATA analysis software ,ABORTION ,NEONATAL sepsis ,UMBILICAL cord - Abstract
Despite advances in neonatology, neonatal mortality from preventable causes remains high in the North and Northeast regions of Brazil. This study aimed to analyze the determinants associated with neonatal and postneonatal mortality in newborns admitted to a neonatal intensive care unit. A cohort study was carried out in a capital in the Brazilian Northeast from 2013 to 2018. The outcome studied was death. Poisson regression was performed in the multivariate analysis of variables. Four hundred and eighty newborns were eligible, and 8.1% (39 newborns) died. Among them, 34 died in the neonatal period. The determinants that remained significantly associated with neonatal and postneonatal mortality in the final adjustment model (p < 0.05) were history of abortion, perinatal asphyxia, early neonatal sepsis and umbilical venous catheterization. All causes of this outcome were preventable. The neonatal mortality rate, although it did not include twins, neonates with malformations incompatible with life and other conditions, was 3.47 deaths per thousand live births (95% CI:1.10−8.03‰), well below the national average. In this study, pregnant women from different social classes had in common a private plan for direct access to health services, which provided them with excellent care throughout pregnancy and postnatal care. These results indicate that reducing neonatal mortality is possible through public policies with strategies that promote improvements in access to health services. [ABSTRACT FROM AUTHOR]
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- 2024
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12. Long-Term Protective Effect of Tuberculosis Preventive Therapy in a Medium/High Tuberculosis Incidence Setting.
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Teixeira, Leidy Anne Alves, Santos, Braulio, Correia, Marcelo Goulart, Valiquette, Chantal, Bastos, Mayara Lisboa, Menzies, Dick, and Trajman, Anete
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TUBERCULOSIS epidemiology , *TUBERCULOSIS prevention , *HIV prevention , *ISONIAZID , *STATISTICAL significance , *DESCRIPTIVE statistics , *ANTITUBERCULAR agents , *KAPLAN-Meier estimator , *LOG-rank test , *CONFIDENCE intervals , *DATA analysis software , *RIFAMPIN , *DISEASE incidence - Abstract
Background The duration of the protective effect of tuberculosis preventive therapy (TPT) is controversial. Some studies have found that the protective effect of TPT is lost after cessation of therapy among people with human immunodeficiency virus (HIV) in settings with very high tuberculosis incidence, but others have found long-term protection in low-incidence settings. Methods We estimated the incidence rate (IR) of new tuberculosis disease for up to 12 years after randomization to 4 months of rifampin or 9 months of isoniazid, among 991 Brazilian participants in a TPT trial in the state of Rio de Janeiro, with an incidence of 68.6/100 000 population in 2022. The adjusted hazard ratios (aHRs) of independent variables for incident tuberculosis were calculated. Results The overall tuberculosis IR was 1.7 (95% confidence interval [CI], 1.01– 2.7) per 1000 person-years (PY). The tuberculosis IR was higher among those who did not complete TPT than in those who did (2.9 [95% CI, 1.3–5.6] vs 1.1 [.4–2.3] per 1000 PY; IR ratio, 2.7 [1.0–7.2]). The tuberculosis IR was higher within 28 months after randomization (IR, 3.5 [95% CI, 1.6–6.6] vs 1.1 [.5–2.1] per 1000 PY between 28 and 143 months; IR ratio, 3.1 [1.2–8.2]). Treatment noncompletion was the only variable associated with incident tuberculosis (aHR, 3.2 [95% CI, 1.1–9.7]). Conclusions In a mostly HIV-noninfected population, a complete course of TPT conferred long-term protection against tuberculosis. [ABSTRACT FROM AUTHOR]
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- 2024
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13. Analysis of wild animal hunting in the Caatinga biome, Bahia-Brazil: what factors influence species preference?
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Souza, Jeferson de Menezes, Landim, André Santos, Lins-Neto, Ernani Machado Freitas, and Silva Ferreira, Felipe
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PREDATION , *FOOD preferences , *SPECIES , *STATISTICAL significance , *BIOMES , *SOCIOCULTURAL factors , *FLAVOR - Abstract
Hunting comprises the extraction of wild animals from their natural environment for use in various purposes. In this sense, based on the Socioecological Theory of Maximization (TSM), semi-structured forms were applied to 45 hunters from rural communities located in the Caatinga region in the state of Bahia/Brazil to verify the influence of cost-benefit, perceived abundance, taste preference and multiple uses in the selection of hunted species. Fourteen species were selected to test whether hunting intensity is influenced by the presented variables. It was found that the only variable that showed statistical significance was flavor preference, increasing the chance of a species being hunted by up to three times (OR = 3.09). It is concluded that subjective variables related to culture significantly influence species selection in the study region. [ABSTRACT FROM AUTHOR]
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- 2024
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14. Measurement of green development and influencing factors in emerging economies: the empirical evidence from BRICS.
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Yuanhong Hu, Shuyu Zhang, Jingjing Wan, and Pengling Liu
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SUSTAINABLE development ,EMERGING markets ,TREND analysis ,STATISTICAL significance ,HUMAN capital - Abstract
This paper aims to construct a Green Development Index for emerging economies, focusing on the BRICS nations as the research subjects. The study measures the index of various indicators and explores the influencing factors from 2012 to 2021 using the entropy value method. The trend analysis indicates that the global level of green development is gradually increasing, albeit with significant fluctuations. China and Brazil lead with the highest levels of green development, while Russia consistently maintains a lower level. Regression results, in terms of estimated coefficients and statistical significance, suggest the greatest impact comes from industrial structure, followed by technological R&D, with human capital having the least impact. Implications are policy changes in emerging economies to enhance industrial structures, human capital, and sci-tech research. [ABSTRACT FROM AUTHOR]
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- 2024
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15. CUSTEIO ALVO: ANÁLISE DA ADOÇÃO E DESEMPENHO EM INDÚSTRIAS DE TRANSFORMAÇÃO NA CIDADE DE CAMPINA GRANDE-PB.
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Bazílio, Larissa, Aguiar do Monte, Paulo, and Cunha Callado, Aldo Leonardo
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CUSTOMER satisfaction ,INDUSTRIAL costs ,PRODUCT quality ,DESCRIPTIVE statistics ,STATISTICAL significance ,COST control ,MANUFACTURING industries - Abstract
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- 2023
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16. A Coordinated and Multidisciplinary Strategy can Reduce the Time for Antibiotics in Septic Patients at a University Hospital.
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Barberena Moraes, Rafael, Sangiogo Haas, Jaqueline, Vidart, Josi, Nicolaidis, Rafael, Deutschendorf, Caroline, Melo Silveira Moretti, Miriane, Friedman, Gilberto, and Silva, Daiandy
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ANTIBIOTICS , *INTENSIVE care units , *STATISTICAL significance , *ACADEMIC medical centers , *SCIENTIFIC observation , *HOSPITAL emergency services , *KEY performance indicators (Management) , *RAPID response teams , *FISHER exact test , *MANN Whitney U Test , *SEPSIS , *HEALTH care teams , *CLINICAL medicine , *QUALITY assurance , *CHI-squared test , *DESCRIPTIVE statistics , *SOCIODEMOGRAPHIC factors , *DATA analysis software , *LONGITUDINAL method - Abstract
Objectives: We carried out this work with the aim of assessing the effectiveness of a set of interventions over time for the administration of antibiotics. Design: Prospective observational study. Setting: Patients admitted to the emergency room and ICU of the hospital where the study was conducted are evaluated daily for some sociodemographic and clinical variables. Among them are some quality indicators, such as the time between the diagnosis of sepsis or septic shock until the start of the infusion of antibiotics. This indicator reflects several aspects related to a set of assistance measures (adequacy of antibiotic dispensation, rapid response team (RRT), sepsis care quality improvement program, antimicrobial management program, improvements in emergency department assistance). Patients or participants: Patients with sepsis or septic shock were admitted to the ICU of a university and public hospital in southern Brazil. Main variables of interest: The time between the diagnosis of sepsis or septic shock and the beginning of the infusion of antibiotics. Results: Between 2013 and 2018, 1676 patients were evaluated. The mean time for antibiotic infusion decreased from 6.1 ± 8.6 hours to 1.7 ± 2.9 hours (p < 0.001). The percentage of patients who received antibiotics in the first hour increased from 20.7 to 59.0% (p < 0.001). Conclusion: In this study, we demonstrated that a set of actions adopted in a large tertiary hospital was associated with decreased time to start antibiotic therapy in septic patients. [ABSTRACT FROM AUTHOR]
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- 2023
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17. Relationship Between Power Output and Speed-Related Performance in Brazilian Wheelchair Basketball Players.
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Loturco, Irineu, McGuigan, Michael R., Reis, Valter P., Santos, Sileno, Yanci, Javier, Pereira, Lucas A., and Winckler, Ciro
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PHYSIOLOGICAL effects of acceleration , *ATHLETIC ability , *BASKETBALL , *BIOMECHANICS , *STATISTICAL correlation , *SPRINTING , *MATHEMATICAL variables , *WHEELCHAIR sports , *STATISTICAL significance , *EXERCISE intensity , *DESCRIPTIVE statistics , *RESISTANCE training , *INTRACLASS correlation - Abstract
This study aimed to investigate the association between the optimum power load in the bench press (BP), shoulder press (SP), and prone bench pull (PBP) exercises and acceleration (ACC) and speed performances in 11 National Team wheelchair basketball (WB) players with similar levels of disability. All athletes were previously familiarized with the testing procedures that were performed on the same day during the competitive period of the season. First, athletes performed a wheelchair 20-m sprint assessment and, subsequently, a maximum power load test to determine the mean propulsive power (MPP) in the BP, SP, and PBP. A Pearson product–moment correlation was used to examine the relationships between sprint velocity (VEL), ACC, and the MPP in the three exercises. The significance level was set as p <.05. Large to very large significant associations were observed between VEL and ACC and the MPP in the BP, SP, and PBP exercises (r varying from.60 to.77; p <.05). The results reveal that WB players who produce more power in these three exercises are also able to accelerate faster and achieve higher speeds over short distances. Given the key importance of high and successive ACCs during wheelchair game-related maneuvers, it is recommended that coaches frequently assess the optimum power load in BP, SP, and PBP in WB players, even during their regular training sessions. [ABSTRACT FROM AUTHOR]
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- 2020
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18. The spatial signature of Plasmodium vivax and Plasmodium falciparum infections: quantifying the clustering of infections in cross-sectional surveys and cohort studies.
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Sandfort, Mirco, Monteiro, Wuelton, Lacerda, Marcus, Nguitragool, Wang, Sattabongkot, Jetsumon, Waltmann, Andreea, Salje, Henrik, Vantaux, Amélie, Witkowski, Benoit, Robinson, Leanne J., Mueller, Ivo, and White, Michael
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PLASMODIUM vivax , *PLASMODIUM falciparum , *TRYPANOSOMA , *THEILERIA , *COHORT analysis , *INFECTION , *STATISTICAL significance , *SKIN tests , *MOSQUITO nets - Abstract
Background: Over the last decades, enormous successes have been achieved in reducing malaria burden globally. In Latin America, South East Asia, and the Western Pacific, many countries now pursue the goal of malaria elimination by 2030. It is widely acknowledged that Plasmodium spp. infections cluster spatially so that interventions need to be spatially informed, e.g. spatially targeted reactive case detection strategies. Here, the spatial signature method is introduced as a tool to quantify the distance around an index infection within which other infections significantly cluster. Methods: Data were considered from cross-sectional surveys from Brazil, Thailand, Cambodia, and Solomon Islands, conducted between 2012 and 2018. Household locations were recorded by GPS and finger-prick blood samples from participants were tested for Plasmodium infection by PCR. Cohort studies from Brazil and Thailand with monthly sampling over a year from 2013 until 2014 were also included. The prevalence of PCR-confirmed infections was calculated at increasing distance around index infections (and growing time intervals in the cohort studies). Statistical significance was defined as prevalence outside of a 95%-quantile interval of a bootstrap null distribution after random re-allocation of locations of infections. Results: Prevalence of Plasmodium vivax and Plasmodium falciparum infections was elevated in close proximity around index infections and decreased with distance in most study sites, e.g. from 21.3% at 0 km to the global study prevalence of 6.4% for P. vivax in the Cambodian survey. In the cohort studies, the clustering decreased with longer time windows. The distance from index infections to a 50% reduction of prevalence ranged from 25 m to 3175 m, tending to shorter distances at lower global study prevalence. Conclusions: The spatial signatures of P. vivax and P. falciparum infections demonstrate spatial clustering across a diverse set of study sites, quantifying the distance within which the clustering occurs. The method offers a novel tool in malaria epidemiology, potentially informing reactive intervention strategies regarding radius choices of operations around detected infections and thus strengthening malaria elimination endeavours. [ABSTRACT FROM AUTHOR]
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- 2023
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19. Ghost Fat: Altered Female Body Perception After Bariatric Surgery.
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Souza, André Luiz L., de Souza, Perciliany M., Mota, Bruna E. F., Xavier, Christian L. F., Santiago, Fernando G., Oliveira, Juliano S., Borges, Samir A., Bearzoti, Eduardo, Gama, Eliane F., and Souza, Gabriela G. L.
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STATISTICAL significance , *BODY weight , *BARIATRIC surgery , *SELF-perception , *ANTHROPOMETRY , *TIME , *PSYCHOLOGY of women , *WEIGHT loss , *DESCRIPTIVE statistics , *RESEARCH funding , *BODY mass index , *BODY image , *BODY size - Abstract
Body perception is an individual's ability to recognize their body in attitudinal and/or dimensional aspects. We investigated women's body perceptions before and after bariatric surgery. Participants were 31 women (M age = 36.23, SD = 7.95 years old) with an average pre-operative body mass index of 44.58 (SD = 4.65) kg/m2. We collected anthropometric and body perception measures (attitudinal body image [ABI] and dimensional body image [DBI]) before bariatric surgery and 30, 60, 90, and 120 days after it. There was an average decrease of 21.09% in participants' body weight over the 120 days. Regarding ABI, 51.61% of participants had high body dissatisfaction before surgery, and this proportion of dissatisfied participants decreased to 3.23% 120 days after surgery. We observed no statistically significant differences in DBI perceptions. Fast weight loss caused by bariatric surgery appeared to generate a perception of ghost fat. Somatosensory interventions and/or a longer follow-up are needed to alter this persistent distortion of body dimensions. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
20. Yeni Sanayileşen Ülkelerde Çevresel Kuznets Eğrisi Yaklaşımının Geçerliliği: 1980-2021 Dönemi.
- Author
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KOPUK, Ezgi
- Subjects
- *
KUZNETS curve , *POLLUTION , *ENVIRONMENTAL policy , *STATISTICAL significance , *COINTEGRATION ,DEVELOPING countries - Abstract
In the study, it is aimed to determine under the Environmental Kuznets Curve Hypothesis whether the newly industrialized countries, which need high output in order to gain competitive advantage, provide their economic development by considering environmental policies. For this purpose, the hypothesis was tested with panel data analysis for the years 1980-2021. In the study, CADF unit root, Westerlund cointegration and Augmented Mean Group Estimator (AMG) tests were used. According to the obtained findings, although it is observed that there is a long-term relationship between the variables, it has been determined that the increase in per capita income in Brazil and Turkey reduces carbon emissions. In Mexico and the Philippines, it has been observed that increases in income and per capita income, respectively, increase carbon dioxide emissions. Although there is no statistical significance in terms of income per capita for the panel in general within the scope of newly industrialized countries that have not yet completed their development, it has been determined that increases in income used as a control variable increase CO2 emissions. The results show that the environmental Kuznets curve, which states that increases in per capita income first increase environmental pollution and then decrease it, is valid only in Brazil and Turkey. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
21. Work absences of Brazilian army soldiers associated with COVID-19: a cross-sectional study.
- Author
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de Almeida Neto, Júlio Ventura, Conrado de Almeida, Adriana, Bushatsky, Magaly, Alencar Trajano, Luina, da Costa Bispo, Helena Maria, Danierd, Alessandra, and Alencar Sousa Macau Furtado, Betise Mery
- Subjects
SICK leave ,NARCOTICS ,STATISTICS ,STATISTICAL significance ,IMMUNIZATION ,JOB absenteeism ,CROSS-sectional method ,RESEARCH methodology ,PEARSON correlation (Statistics) ,HOSPITAL care ,QUESTIONNAIRES ,CHI-squared test ,DESCRIPTIVE statistics ,PSYCHOLOGY of military personnel ,SOCIODEMOGRAPHIC factors ,COVID-19 testing ,INDUSTRIAL hygiene ,COVID-19 pandemic ,COMORBIDITY - Abstract
Copyright of Revista Enfermagem Digital Cuidado e Promoção da Saúde is the property of Revista Enfermagem Digital Cuidado e Promocao da Saude and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2023
- Full Text
- View/download PDF
22. Pedagogical concerns of physical therapist professors and their perceptions of the COVID-19 pandemic.
- Author
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Pereira de Araujo, Cintia and Olivo, Clarice Rosa
- Subjects
SCHOOL environment ,PHYSICAL therapists' attitudes ,DATA analysis ,STATISTICAL significance ,KRUSKAL-Wallis Test ,QUESTIONNAIRES ,TEACHING methods ,QUANTITATIVE research ,MANN Whitney U Test ,DESCRIPTIVE statistics ,COLLEGE teacher attitudes ,STATISTICS ,DATA analysis software ,COVID-19 pandemic - Abstract
Copyright of Fisioterapia e Pesquisa is the property of Universidade de Sao Paulo, Faculdade de Medicina and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2023
- Full Text
- View/download PDF
23. SELF-CARE BEHAVIOR AMONG PATIENTS WITH HEART FAILURE: RELATIONSHIP BETWEEN SOCIODEMOGRAPHIC AND CLINICAL VARIABLES.
- Author
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de Lima, Jannaína Gomes, Bottura Leite de Barros, Alba Lúcia, and de Lima Lopes, Juliana
- Subjects
HEART failure treatment ,HEALTH self-care ,PSYCHOLOGY of cardiac patients ,CROSS-sectional method ,STATISTICAL correlation ,PATIENT compliance ,DATA analysis ,STATISTICAL significance ,KRUSKAL-Wallis Test ,SEDENTARY lifestyles ,MULTIPLE regression analysis ,MANN Whitney U Test ,MULTIVARIATE analysis ,DESCRIPTIVE statistics ,HEALTH behavior ,RESEARCH ,STATISTICS ,SOCIODEMOGRAPHIC factors ,DATA analysis software ,EMPLOYMENT - Abstract
Copyright of Texto & Contexto Enfermagem is the property of Universidade Federal de Santa Catarina, Programa de Pos-Graduacao de Enfermagem and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2023
- Full Text
- View/download PDF
24. NURSING CONSULTATION FOR INSULIN USE: CONSTRUCTION AND VALIDITY OF A SIMULATION SCENARIO.
- Author
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Schlosser, Christian Nelson, Gomes Silva, Juliany Lino, Andrade, Silmara Nunes, Galindo Neto, Nelson Miguel, de Oliveira, Flávia, Melo Lima, Maria Helena, and Trevisan, Danilo Donizetti
- Subjects
NURSING education ,INSULIN therapy ,SCALE analysis (Psychology) ,STATISTICAL significance ,HUMAN research subjects ,RESEARCH evaluation ,TEACHING methods ,NURSING ,DESCRIPTIVE statistics ,SIMULATION methods in education ,TYPE 2 diabetes ,RESEARCH ,MATHEMATICAL models ,RESEARCH methodology ,INFORMED consent (Medical law) ,TEST validity ,THEORY ,SOCIODEMOGRAPHIC factors ,DATA analysis software ,NURSING students - Abstract
Copyright of Texto & Contexto Enfermagem is the property of Universidade Federal de Santa Catarina, Programa de Pos-Graduacao de Enfermagem and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2023
- Full Text
- View/download PDF
25. Heart Disease Knowledge Questionnaire: Psychometric Properties in Brazilian Adults.
- Author
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Lima, Fernanda Maria Alves, Jamas, Milena Temer, Miot, Hélio Amante, and Garcia de Avila, Marla Andréia
- Subjects
EXPERIMENTAL design ,RESEARCH ,STATISTICAL significance ,HEALTH education ,CONFIDENCE intervals ,STATISTICAL reliability ,RESEARCH evaluation ,RESEARCH methodology evaluation ,RESEARCH methodology ,CROSS-sectional method ,MULTIPLE regression analysis ,DISCRIMINATION (Sociology) ,HEALTH literacy ,PSYCHOMETRICS ,PEARSON correlation (Statistics) ,QUESTIONNAIRES ,DESCRIPTIVE statistics ,FACTOR analysis ,DATA analysis software ,STATISTICAL correlation ,STATISTICAL sampling ,INFORMATION needs ,HEART diseases ,EVALUATION - Abstract
The assessment of knowledge about cardiovascular diseases through instruments helps to identify gaps and educational needs of the target audience. To validate and verify the psychometric properties of the Brazilian version of the Heart Disease Knowledge Questionnaire (HDKQ-BR) for adults in Brazil. Cross-sectional methodological study carried out in a Brazilian city with 300 participants. Internal consistency, temporal stability (test-retest) and convergent structural validity were verified. Item Response Theory (IRT) was used to determine parameters a (discrimination) and b (difficulty) of each item and the unidimensionality of the instrument and the differential item functioning (DIF) for sex, education and age. The internal consistency of the HDKQ-BR was 0.694. The test-retest reliability was confirmed by the intraclass correlation coefficient (ICC = 0.779). According to the IRT, parameter a was between 0.176 and 1.175 and parameter b between −10.834 and 4.969. The HDKQ-BR showed unidimensional structure and adequate psychometric performance for its application in populations with the same profile in Brazil. To assess the knowledge of an adult population about CVDs is important for improving the health literacy. The study focused on Area I of Responsibilities for Health Education Specialists (Assessment of Needs and Capacity). [ABSTRACT FROM AUTHOR]
- Published
- 2022
- Full Text
- View/download PDF
26. Hand-foot syndrome caused by capecitabine: incidence, risk factors and the role of dermatological evaluation.
- Author
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Rodrigues de Queiroz, Marina Vieira, Tardin Rodrigues de Medeiros, Ana Carolina, Toledo, Sarah Pires, de Abreu Sarmenghi, Karina Demoner, and Fiorin de Vasconcellos, Vitor
- Subjects
- *
HAND-foot syndrome , *STATISTICAL correlation , *UNIVERSITY hospitals , *STATISTICAL significance , *DERMATOLOGY , *CANCER patients - Abstract
Hand-foot syndrome (HFS), or palmar-plantar erythrodysesthesia, is characterised by erythema, oedema and dysesthesia, which can progress to blistering and ulceration. This condition is described as a common adverse effect of the chemotherapeutic agent capecitabine. The study set out to evaluate real-world incidences; assess severity based on clinical criteria, such as local symptoms, dyschromia, erythema, oedema and ulcerations; and associated factors, such as type of solid tumour, chemotherapy regimen, number of cycles, sex, age and Eastern Cooperative Oncology Group Performance Scale of HFS, related to the use of capecitabine. This is a single-centre prospective cohort study carried out jointly by the departments of clinical oncology and dermatology of a university hospital in the southeast of Brazil. The study showed a 34% incidence of HFS, with most cases classified as mild. There was statistical significance in the correlation of the syndrome with sex and performance scores. HFS is the most common and limiting adverse reaction to capecitabine, and causes significant functional and quality impairments in patients with cancer. With this study, we have reinforced the importance of multidisciplinary assessment for early diagnosis and adequate follow-up. [ABSTRACT FROM AUTHOR]
- Published
- 2022
- Full Text
- View/download PDF
27. Initial experience with del Nido cardioplegia solution at a Pediatric and Congenital Cardiac Surgery Program in Brazil.
- Author
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Caneo, Luiz Fernando, Matte, Gregory S, R Turquetto, Aida Luiza, Pegollo, Luana Marques de Carvalho, Amato Miglioli, Maria Clara, T de Souza, Gisele, Amato, Luciana Patrick, Miana, Leonardo A, B Massoti, Maria Raquel, Penha, Juliano G, Tanamati, Carla, Jatene, Marcelo B, and Jatene, Fabio B
- Subjects
- *
CARDIAC surgery , *STATISTICAL significance , *STATISTICS , *LENGTH of stay in hospitals , *CONFIDENCE intervals , *CARDIOPLEGIC solutions , *CONGENITAL heart disease , *RETROSPECTIVE studies , *MANN Whitney U Test , *TREATMENT effectiveness , *T-test (Statistics) , *VENTRICULAR dysfunction , *DESCRIPTIVE statistics , *CHI-squared test , *LOGISTIC regression analysis , *DATA analysis software , *DEMOGRAPHY , *ODDS ratio , *CARDIOPULMONARY bypass , *EVALUATION - Abstract
Objective: The aim of this study was to evaluate outcome measures between our standard multidose cardioplegia protocol and a del Nido cardioplegia protocol in congenital heart surgery patients. Methods: Retrospective single-center study including 250 consecutive patients that received del Nido cardioplegia (DN group) with a mandatory reperfusion period of 30% of cross clamp time and 250 patients that received a modified St. Thomas' solution (ST group). Groups were matched by age, weight, gender, and Risk Adjustment for Congenital Heart Surgery (RACHS-1) scores. Preoperative hematocrit and oxygen saturation were also recorded. Outcomes analyzed were the vasoactive inotropic score (VIS), lactate, ventilation time, ventricular dysfunction with low cardiac output syndrome (LCOS), intensive care unit (ICU) length of stay (LOS), hospital LOS, bypass and aortic cross-clamp times, and in-hospital mortality. Results: Both groups were comparable demographically. Statistically significant differences (p ⩽ 0.05) were noted for cardiac dysfunction with LCOS, hematocrit at end of surgery (p = 0.0038), VIS on ICU admission and at end of surgery (p = 0.0111), and ICU LOS (p = 0.00118) with patients in the DN group having more desirable values for those parameters. Other outcome measures did not reach statistical significance. Conclusion: In our congenital cardiac surgery population, del Nido cardioplegia strategy was associated with less ventricular dysfunction with LCOS, a lower VIS and decreased ICU LOS compared with patients that received our standard myocardial protection using a modified St. Thomas' solution. Despite the limitation of this study, including its retrospective nature and cohort size, these data supported our transition to incorporate del Nido cardioplegia solution with a mandatory reperfusion period as the preferred myocardial protection method in our program. [ABSTRACT FROM AUTHOR]
- Published
- 2022
- Full Text
- View/download PDF
28. A new water quality index elaborated under the brazilian legislation perspective.
- Author
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Cicilinski, Alana Deduck and Virgens Filho, Jorim Sousa
- Subjects
- *
WATER quality , *WATER pollution , *STATISTICAL significance , *WATERSHEDS - Abstract
The main objective of this work was the development and evaluation of usage of a new water quality index (WQI) that linked the information of the parameters that compose it and the practicality of calculation to the current legislation in Brazil. For this, 30 water monitoring stations were selected, in the hydrographic unit of Upper Iguaçu-Parana-Brazil. Three methods of WQIs calculation were applied: National Sanitation Foundation- NSF (WQINSF), Bascaran (WQIb), and the new method proposed called Bascaran-CONAMA (WQIc). The calculation of the WQIc was adapted based on the WQIb and had its parameters based on Brazilian legislation (CONAMA 357). Statistical analysis at a significance level of 1% was performed in the comparison of the three indexes, by monitoring station and seasonal periods. It was verified that the results obtained through the calculation of the new index proposed had a greater coherence with the Brazilian scenario. Keywords: Brazilian Water Quality Index; Water Pollution; Watersheds Monitoring. [ABSTRACT FROM AUTHOR]
- Published
- 2022
- Full Text
- View/download PDF
29. Transtornos Mentais Comuns e rotina acadêmica na graduação em Enfermagem: impactos da pandemia de COVID-19.
- Author
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Andrade Gundim, Vivian, Pereira da Encarnação, Jhonatta, Rocha Fontes, Shauan Kevem, Freitas Silva, Aline Araújo, Carvalho dos Santos, Vanessa Thamyris, and Cardoso de Souza, Rozemere
- Subjects
PSYCHOLOGY of college students ,PSYCHIATRIC epidemiology ,STATISTICAL significance ,SOCIAL support ,PSYCHIATRIC drugs ,CONFIDENCE intervals ,RESEARCH methodology ,BACCALAUREATE nursing education ,MENTAL health ,QUANTITATIVE research ,ACADEMIC achievement ,DISEASE prevalence ,QUESTIONNAIRES ,DESCRIPTIVE statistics ,NURSING students ,STUDENT attitudes ,SOCIODEMOGRAPHIC factors ,COVID-19 pandemic ,PSYCHOLOGICAL stress - Abstract
Copyright of Portuguese Journal of Mental Health Nursing / Revista Portuguesa de Enfermagem de Saúde Mental is the property of Portuguese Society of Mental Health Nursing and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2022
- Full Text
- View/download PDF
30. Nurses' beliefs, attitudes, and opinions regarding a smoking ban in a psychiatric hospital.
- Author
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De Oliveira, Renata Marques, Santos, Jair Licio Ferreira, and Furegato, Antonia Regina Ferreira
- Subjects
- *
SMOKING prevention , *STATISTICAL significance , *STATISTICS , *NURSES' attitudes , *HUMAN research subjects , *CROSS-sectional method , *INTERVIEWING , *MENTAL health , *COGNITION , *FISHER exact test , *INFORMED consent (Medical law) , *HEALTH attitudes , *NURSES , *QUESTIONNAIRES , *FACTOR analysis , *DESCRIPTIVE statistics , *DATA analysis software , *PSYCHIATRIC hospitals , *EPIDEMIOLOGICAL research - Abstract
Purpose: This study aims to identify the beliefs, attitudes, and opinions of nursing professionals associated with tobacco smoking and its prohibition in a psychiatric hospital in Brazil. Methods: Using a cross-sectional epidemiologic study, a total of 73 nursing professionals in a smoke-free psychiatric hospital were interviewed. The Varimax Rotation and the Fisher's exact test at a 5% significance level were used to analyze the responses. Findings: Most nursing professionals reported observations of patients becoming calmer after smoking (n = 59, 80.8%) and tobacco withdrawal worsening patients' mental health symptoms, suggesting agreement among professionals that some psychiatric patients need to smoke tobacco. Most respondents stated that patients with mental health disorders have more difficulty with smoking cessation (79.4%) and are less interested in quitting smoking than those without disorders (95.9%). While one-third mentioned having used cigarettes as a reward or bribe, the majority (83.6%) was in favor of continuing the smoking ban, with more support observed from those working on a night shift and those who worked in the public psychiatric wards. Over 71% noted improvements in their health after the smoking ban. Conclusion: The nursing professionals were surprised by the effectiveness of the smoking ban and highlighted the improvement in the hospital environment after its implementation. Clinical relevance: As trusted healthcare professionals, nurses are essential in the fight against smoking and can contribute to awareness promotion, supporting patients during nicotine withdrawal, and decision-making processes for health policies. [ABSTRACT FROM AUTHOR]
- Published
- 2022
- Full Text
- View/download PDF
31. Hip Rotations' Influence of Electromyographic Activity of Gluteus Medius Muscle During Pelvic-Drop Exercise.
- Author
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Lima Monteiro, Renan, Hoverter Facchini, Joana, Galace de Freitas, Diego, Callegari, Bianca, and Amado João, Sílvia Maria
- Subjects
- *
HIP joint physiology , *QUADRATUS lumborum muscles , *GLUTEAL muscles , *ANALYSIS of variance , *ANTHROPOMETRY , *CLINICAL trials , *CONFIDENCE intervals , *CROSSOVER trials , *ELECTROMYOGRAPHY , *EXERCISE physiology , *MUSCLE contraction , *PROBABILITY theory , *ROTATIONAL motion , *STATISTICAL sampling , *STATISTICS , *STATISTICAL power analysis , *DATA analysis , *STATISTICAL significance , *EFFECT sizes (Statistics) , *RANDOMIZED controlled trials , *REPEATED measures design , *MEASUREMENT of angles (Geometry) , *DATA analysis software , *DESCRIPTIVE statistics , *RESISTANCE training , *PHYSIOLOGY - Abstract
Context: Pelvic-drop exercises are often used to strengthen the gluteus medius (GM) muscle with the aim of increasing or prioritizing its recruitment. However, the effect of hip rotation on the performance of the action of the GM is unknown. Objective: To evaluate the effect of hip rotation on the recruitment of the GM, tensor fasciae latae (TFL), and quadratus lumborum (QL). Method: Seventeen healthy subjects performed 2 sets of 4 repetitions of pelvic-drop exercise in random order with pelvic-drop lateral, medial, and neutral rotation of the hip. Main Outcome Measures: The electromyographic (EMG) activity of the GM, TFL, and QL was evaluated using surface electromyography. Results: There were significant increases in the activation of the GM with medial and neutral rotation compared with lateral rotation (P = .03, P = .01, respectively), and there was no difference between medial and neutral rotation (P = 1.00). There was no difference in EMG activity of the TFL and QL in any of the positions. The GM:TFL ratio was the same in all analyzed positions. Regarding the GM:QL ratio, there was a significant increase with medial rotation compared with lateral rotation (P = .02). Conclusions: Pelvic-drop exercises are more efficient for activating the GM when the hip is in medial rotation and neutral position. [ABSTRACT FROM AUTHOR]
- Published
- 2017
- Full Text
- View/download PDF
32. Arrabidaea chica chloroform extract modulates estrogen and androgen receptors on luminal breast cancer cells.
- Author
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Brandão, Douglas C., Lima, Paula M. A. P., Martins, Isabella C., Cordeiro, Carina S., Cordeiro, Antonielle O., Vecchi, Lara, Guerra, Joyce F. C., Orsolin, Priscila C., Gazolla, Matheus C., Costa, Danilo S., da Silva Filho, Ademar A., and Araújo, Thaise G.
- Subjects
STATISTICS ,NONPARAMETRIC statistics ,STATISTICAL significance ,MEDICINAL plants ,CELL culture ,ONE-way analysis of variance ,ESTROGEN antagonists ,CELL receptors ,ANTIOXIDANTS ,MANN Whitney U Test ,HEALTH outcome assessment ,CELL survival ,T-test (Statistics) ,GENE expression profiling ,CHI-squared test ,DESCRIPTIVE statistics ,RESEARCH funding ,PLANT extracts ,CELL lines ,ANDROGEN receptors ,POLYMERASE chain reaction ,DATA analysis ,DATA analysis software ,BREAST tumors - Abstract
Background: Breast Cancer (BC) is the most common cancer in women worldwide and, although 70% of patients are responsive to selective Estrogen Receptor (ER) modulators such as Tamoxifen (Tam), patients' survival is comprised by resistance to endocrine therapy. Brazilian flora, especially the Amazon biome, is one of the richest global sources of native species with potentially bioactive compounds. Arrabidaea chica is a plant native to the Amazon that has been used in the treatment of different diseases. However, its action on BC remains unclear. Methods: Herein the biological effects of the chloroform extract of A. chica (CEAC) were evaluated on BC cells and in in vivo model. After confirmation of CEAC antioxidant capacity, cells were treated with CEAC and Tam, alone and with CEAC+Tam. The cell viability was evaluated by MTT and hormone receptor transcripts levels were assessed (ESR1, ESR2 and AR). Finally, anticarcinogenicity of CEAC was recorded in Drosophila melanogaster through Epithelial Tumor Test (ETT). Results: The study confirmed the antioxidant activity of CEAC. CEAC was selective for MCF-7, downregulating ESR2 and AR transcripts and upregulating ESR2 expression. The modulatory effects of CEAC on ERs did not differ between cells treated with Tam and with CEAC+Tam. Interestingly, previous treatment with CEAC, followed by treatment with Tam promoted a significant decrease in cell viability. The extract also presented anticarcinogenic effect in in vivo assay. Conclusion: The bioassays on breast tumor cells demonstrated the antiproliferative activity of the extract, which modulated the expression of hormone receptors and sensitized luminal tumor cells to Tam. These results suggest that CEAC could be a complementary treatment for BC. [ABSTRACT FROM AUTHOR]
- Published
- 2022
- Full Text
- View/download PDF
33. Body dissatisfaction, drug use, and associated factors among adolescents in three Brazilian cities.
- Author
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Rocha, Ryvanne Paulino, de Oliveira Galvão, Patrícia Paiva, van der Meer Sanchez, Zila, Nogueira Rebouças, Lidiane, de Castro Júnior, André Ribeiro, Soares dos Santos, Luís Eduardo, Cavalcante Martins, Mariana, da Costa Pinheiro, Patrícia Neyva, Cunha Vieira, Neiva Francenely, and do Amaral Gubert, Fabiane
- Subjects
- *
RESEARCH , *OBESITY , *STATISTICS , *STATISTICAL significance , *SUBSTANCE abuse , *CONFIDENCE intervals , *CROSS-sectional method , *SELF-evaluation , *MULTIVARIATE analysis , *MULTIPLE regression analysis , *HEALTH outcome assessment , *PSYCHOLOGY of middle school students , *LEANNESS , *ALCOHOL drinking , *QUESTIONNAIRES , *DESCRIPTIVE statistics , *SOCIODEMOGRAPHIC factors , *ODDS ratio , *BODY image , *HEALTH promotion , *EVALUATION - Abstract
Objective: analyze the association between drug use and body dissatisfaction among adolescents in three Brazilian cities. Method: cross-sectional study, using a nested randomized controlled trial to evaluate the drug use prevention program #TamoJunto2.0 of the Ministry of Health in Brazilian schools. The sample consisted of 5,213 students from 73 schools in three Brazilian cities. The outcome body satisfaction was analyzed using the Stunkard scale and the explanatory variables were drug use and sociodemographic data. Results: the adolescents were between 12 and 14 years old; about 69.9% of them reported body dissatisfaction, and 35.67% used alcohol in the previous year. Dissatisfaction due to overweight was higher among girls (41.5%) and dissatisfaction due to underweight was higher among boys (33.1%). Adolescents who used marijuana were 39% (OR=1.39) more likely to feel dissatisfied due to underweight and being a girl increased the chances of feeling dissatisfied due to overweight by 24% (OR=1.24). Conclusion: the levels of body dissatisfaction deserve attention in hebiatric nursing care and reinforce the importance of educational strategies addressing body image and drug use, relating them to the various subjective attributes that can affect the health of adolescents, whether in the community or at school. [ABSTRACT FROM AUTHOR]
- Published
- 2022
- Full Text
- View/download PDF
34. THE MEANING OF WORK FOR MEN WITH SICKLE-CELL ANEMIA AND ULCERS.
- Author
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Carvalho do Nascimento, Dayse, Ramos Garcia, Luana, Nogueira Costa, Renata, Pozza, Renee, Silva Santos Soares, Samira, and Dantas de Oliveira Souza, Norma Valéria
- Subjects
STATISTICAL significance ,PSYCHOLOGY of men ,ULCERS ,CHRONIC wounds & injuries ,WORK ,RESEARCH methodology ,TIME ,INTERVIEWING ,QUALITATIVE research ,OSTOMY ,PEARSON correlation (Statistics) ,CHI-squared test ,DESCRIPTIVE statistics ,PATIENT care ,DATA analysis software ,SICKLE cell anemia ,OUTPATIENT services in hospitals - Abstract
Copyright of Texto & Contexto Enfermagem is the property of Universidade Federal de Santa Catarina, Programa de Pos-Graduacao de Enfermagem and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2022
- Full Text
- View/download PDF
35. Influence of an Enforced Fast Start on 10-km-Running Performance.
- Author
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do Carmo, Everton C., Barroso, Renato, Renfree, Andrew, Gil, Saulo, and Tricoli, Valmor
- Subjects
PHYSIOLOGICAL effects of acceleration ,ANALYSIS of variance ,ATHLETIC ability ,CARDIOPULMONARY system ,EXERCISE physiology ,EXERCISE tests ,HEART rate monitoring ,PROBABILITY theory ,RESEARCH funding ,STATISTICS ,T-test (Statistics) ,DATA analysis ,STATISTICAL significance ,TREADMILLS ,ANAEROBIC threshold ,REPEATED measures design ,OXYGEN consumption ,LONG-distance running ,EXERCISE intensity ,DATA analysis software ,DESCRIPTIVE statistics ,ONE-way analysis of variance - Abstract
The effects of an enforced fast start on long-distance performance are controversial and seem to depend on the athlete's capacity to delay and tolerate metabolic disruption. The aim of this study was to investigate the effects of an enforced start on 10-km-running performance and the influence of the some physiological and performance variables on the ability to tolerate an enforced fast start during the running. Fifteen moderately trained runners performed two 10-km time trials (TTs): free pacing (FP-TT) and fast start (FS-TT). During FS-TT, speed during the first kilometer was 6% higher than in FP-TT. Maximal oxygen uptake (VO
2max ), peak velocity (PV), velocity associated with VO2max (vVO2max ), ventilatory threshold, and running economy at 10 and 12 km/h and FP-TT average velocity (AV-10 km) were individually determined. There were no differences between FP-TT and FS-TT performance (45:01 ± 4:08 vs 45:11 ± 4:46 min:s, respectively, P = .4). Eight participants improved (+2.2%) their performance and were classified as positive responders (PR) and 7 decreased (-3.3%) performance and were classified as negative responders (NR). Running speed was significantly higher for PR between 6 and 9.2 km (P < .05) during FS-TT. In addition, PR presented higher PV (P = .02) and vVO2max (P = .01) than NR, suggesting that PV and vVO2max might influence the ability to tolerate a fast-start strategy. In conclusion, there was an individual response to the enforced fast-start strategy during 10-km running, and those who improved performance also presented higher vVO2max and PV, suggesting a possible association between these variables and response to the strategy adopted. [ABSTRACT FROM AUTHOR]- Published
- 2016
- Full Text
- View/download PDF
36. Observed changes in air temperature and precipitation extremes over Brazil.
- Author
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Regoto, Pedro, Dereczynski, Claudine, Chou, Sin Chan, and Bazzanela, Anna Carolina
- Subjects
- *
ATMOSPHERIC temperature , *SEASONS , *METEOROLOGY , *CLIMATE change , *STATISTICAL significance - Abstract
We analyse seasonal and annual trends of extreme indices of air temperature and precipitation over Brazil during the period 1961–2018. The main goal is to investigate whether the climate is changing and if so, to explore if there is any marked seasonality in such changes. The daily observed datasets of maximum and minimum temperatures, and precipitation, are provided by the Brazilian National Institute of Meteorology and National Water Agency. We use the Sen Curvature and Mann‐Kendall statistical tests to compute the magnitudes and to evaluate the statistical significance of climate extremes trends, respectively. The results show that the warm extremes frequency of occurrence is increasing significantly while the opposite occurs for cold extremes, which reveals a very consistent and widespread warming over Brazil. The highest increases in warm extremes occur during austral spring and summer while for the cold extremes the greatest decreases are observed during austral winter. Unlike temperature, precipitation extremes show heterogeneous signals for most of the country. In Northeast Brazil, there are changes towards a drier climate, especially in summer and autumn. In the Southern region, the climate is becoming wetter, with a reduction in consecutive dry days, especially in spring. For the other regions, there is no strong clear change sign, but both positive and negative precipitation extreme trends, without statistical significance (mostly in Southeast Region). [ABSTRACT FROM AUTHOR]
- Published
- 2021
- Full Text
- View/download PDF
37. High risk and low HIV prevention behaviours in a new generation of young trans women in Brazil.
- Author
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Wilson, Erin C., Jalil, Emilia M., Moreira, Ronaldo I., Velasque, Luciane, Castro, Cristiane V., Monteiro, Laylla, Veloso, Valdilea G., and Grinsztejn, Beatriz
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HIV infection epidemiology , *HIV prevention , *HIV infection risk factors , *RISK-taking behavior , *STATISTICAL significance , *CONFIDENCE intervals , *SURVEYS , *HEALTH literacy , *COMPARATIVE studies , *HEALTH behavior , *DISEASE prevalence , *DESCRIPTIVE statistics , *LOGISTIC regression analysis , *ODDS ratio , *SECONDARY analysis , *UNSAFE sex - Abstract
Adult trans women in Brazil are highly impacted by HIV, but little is known about risk for young trans women. Our study was conducted to compare the HIV prevalence and correlates of risk for young trans women ages 18–24 years old to adult trans women in Brazil. Trans women were recruited from Rio de Janeiro and Baixada (the metropolitan area of Rio de Janeiro), Brazil (N = 345). Youth ages 18–24 years of age had significantly greater odds of being HIV negative than adults (OR 0.4, 95% CI 0.2–0.6, p = 0.0002), but significantly lower odds of having post-exposure prophylaxis (PEP) knowledge (OR 0.5, 95% CI:0.3–0.9, p = 0.02) and PrEP awareness (OR 0.5, 95% CI: 0.3–0.8, p = 0.01). Young trans women also had significantly higher odds of using substances (OR 1.8, 95% CI 1.1–2.9, p = 0.02) and condomless anal intercourse with their last three sexual partners (OR 1.8, 95% CI: 1.1–3.0, p = 0.03) compared to adults. Already by age 24, one in four trans women in Brazil were infected with HIV pointing to a new generation at high risk of acquiring HIV. HIV prevention interventions are needed to change the healthcare system to reach and engage young trans women. [ABSTRACT FROM AUTHOR]
- Published
- 2021
- Full Text
- View/download PDF
38. Spatial patterns of fetal mortality: scenario before and after the implementation of surveillance.
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Lyra da Silva, Maria Carolina, Maria de Oliveira, Conceição, de Santana Cabral Silva, Amanda Priscila, and Vieira do Bonfim, Cristine
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FETAL death , *MORTALITY , *DEATH rate , *STATISTICAL significance , *VITAL statistics - Abstract
Objectives: to analyze the spatial distribution of fetal deaths before and after implementation of surveillance for this event in the city of Recife, in the Northeast Region of Brazil. Methods: an ecological study whose spatial analysis unit was the 94 neighborhoods. The gross fetal mortality rates were calculated and the local empirical Bayesian estimator was adopted to smooth out random fluctuations of such rates. To analyze the spatial autocorrelation, the Global Moran's Index was used, and spatial clusters were located by the Local Moran's Index. Results: during the period before implementation of death surveillance, 1,356 fetal deaths were reported, a coefficient of 9.9 deaths per thousand births. During the second period, 1,325 fetal deaths occurred, a coefficient of 9.6 deaths per thousand births. The Global Moran's Indexes (I) were I=0.6 and I=0.4 for the first and second periods, respectively, with statistical significance (p<0.05). For both periods analyzed, spatial clusters of high-risk neighborhoods were identified in the northern and eastern regions of the city. Conclusion: the spatial analysis indicated areas that persist as priorities for planning surveillance and health assistance actions to reduce fetal mortality. [ABSTRACT FROM AUTHOR]
- Published
- 2021
- Full Text
- View/download PDF
39. Fatores associados ao risco nutricional e desfechos clínicos em pacientes cirúrgicos não-oncológicos de um hospital universitário no nordeste brasileiro.
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BEZERRA, Jaíne Teixeira, DE-MELO, Nathaly Esperidião, Pereira COELHO, Patrícia Brazil, DE-AZEVEDO, Celina Dias, Siqueira DE-ANDRADE, Maria Izabel, and Vasconcelos de Melo ME MPOMO, Janatar Stella
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TREATMENT effectiveness ,ADULTS ,OLDER people ,BODY mass index ,STATISTICAL significance - Abstract
Copyright of Revista Nutrición Clínica y Dietética Hospitalaria is the property of Sociedad Espanola de Dietetica y Ciencias de la Alimentacion and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2021
- Full Text
- View/download PDF
40. Sensitivity of the Yo-Yo Intermittent Recovery Test and Cardiac Autonomic Responses to Training in Futsal Players.
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de Freitas, Victor H., Pereira, Lucas A., de Souza, Eberton A., Leicht, Anthony S., Bertollo, Maurizio, and Nakamura, Fabio Y.
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PHYSIOLOGICAL adaptation ,ANALYSIS of variance ,ANTHROPOMETRY ,ATHLETIC ability ,CARDIOPULMONARY system ,CONFIDENCE intervals ,STATISTICAL correlation ,EXERCISE physiology ,EXERCISE tests ,HEART rate monitoring ,RESEARCH methodology ,PROBABILITY theory ,RESEARCH funding ,SOCCER ,STATISTICS ,DATA analysis ,STATISTICAL significance ,PROFESSIONAL athletes ,PHYSICAL training & conditioning ,REPEATED measures design ,RESEARCH methodology evaluation ,DESCRIPTIVE statistics - Abstract
Purpose: This study examined the sensitivity of maximal (Yo-Yo Intermittent Recovery [IR] 1 and 2) and submaximal (5'-5') tests to identify training adaptations in futsal players along with the suitability of heart-rate (HR) and HR-variability (HRV) measures to identify these adaptations. Methods: Eleven male professional futsal players were assessed before (pretraining) and alter (posttraining) a 5-wk period. Assessments included 5'-5' and Yo-Yo IR1 and IR2 performances and HR and HRV at rest and during the IR and 5'-5' tests. Magnitude-based-inference analyses examined the differences between pre- and posttraining, while relationships between changes in variables were determined via correlation. Results: Posttraining, Yo-Yo IR1 performance likely increased while Yo-Yo IR2 performance almost certainly increased. Submaximal HR during the Yo-Yo IR1 and Yo-Yo IR2 almost certainly and likely, respectively, decreased with training. HR during the 5'-5' was very likely decreased, while HRV at icst and during the 5-5 was likely increased alter training. Changes in both Yo-Yo IR performances were negatively correlated with changes in HR during the Yo-Yo IR1 test and positively correlated with the change in HRV during the 5'-5'. Conclusions: The current study has identified the Yo-Yo IR2 as more responsive for monitoring training-induced changes of futsal players than the Yo-Yo IR1. Changes in submaximal HR during the Yo-Yo IR and HRV during the 5'-5' were highly sensitive to changes in maximal performance and are recommended for monitoring training. The 5'-5' was recommended as a time-efficient method to assess training adaptations for futsal players. [ABSTRACT FROM AUTHOR]
- Published
- 2015
- Full Text
- View/download PDF
41. Effects of a Very Congested Match Schedule on Body-Load Impacts, Accelerations, and Running Measures in Youth Soccer Players.
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Arruda, Ademir F. S., Carling, Christopher, Zanetti, Vinicius, Aoki, Marcelo S., Coutts, Aaron J., and Moreira, Alexandre
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PHYSIOLOGICAL effects of acceleration ,ANALYSIS of variance ,ANTHROPOMETRY ,ATHLETIC ability ,EXERCISE physiology ,GEOGRAPHIC information systems ,MULTIVARIATE analysis ,PROBABILITY theory ,RESEARCH funding ,RUNNING ,SOCCER ,STATISTICS ,PHYSIOLOGICAL stress ,DATA analysis ,STATISTICAL significance ,EFFECT sizes (Statistics) ,SPORTS events ,ELITE athletes ,EXERCISE intensity - Abstract
PURPOSE: To analyze the effects of a very congested match schedule on the total distance (TD) covered, high-intensity-running (HIR) distance, and frequency of accelerations and body-load impacts (BLIs) performed in a team of under-15 soccer players (N = 10; 15.1 ± 0.2 y, 171.8 ± 4.7 cm, 61 ± 6.0 kg) during an international youth competition. METHODS: Using global positioning systems, player performances were repeatedly monitored in 5 matches performed over 3 successive days. RESULTS: Significant differences were observed between matches (P < .05) for the frequency of accelerations per minute, BLIs, and BLIs per minute. No differences were observed for the TD covered, TD run per minute, number of high-intensity runs, distance covered in HIR, per-minute peak running speed attained, or frequency of accelerations. The frequency of accelerations per minute decreased across the competition while BLIs were higher during the final than in all other matches. CONCLUSIONS: These results suggest that BLIs and acceleration might be used as an alternative means to represent the external load during congested match schedules rather than measures related to running speed or distance covered. [ABSTRACT FROM AUTHOR]
- Published
- 2015
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- View/download PDF
42. Factors influencing quality of life in people with systemic lupus erythematosus.
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de Souza, Rebeca Rosa, Silva Marcon, Sonia, Ferraz Teston, Elen, dos Reis, Pamela, de Souza Campos Seguraço, Ricardo, Schunk Silva, Eraldo, Ciccone Giacon-Arruda, Bianca Cristina, and Aquiles, Grace Jacqueline
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STATISTICAL significance ,SAMPLE size (Statistics) ,CROSS-sectional method ,RESEARCH methodology ,AGE distribution ,CHRONIC diseases ,QUANTITATIVE research ,INTERVIEWING ,RACE ,SEX distribution ,INCOME ,QUALITY of life ,MENTAL depression ,QUESTIONNAIRES ,DESCRIPTIVE statistics ,SYSTEMIC lupus erythematosus ,MARITAL status ,LOGISTIC regression analysis ,DATA analysis software ,ODDS ratio ,OUTPATIENT services in hospitals ,EDUCATIONAL attainment - Abstract
Copyright of Acta Paulista de Enfermagem is the property of Universidade Federal de Sao Paulo, Escola Paulista de Enfermagem and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2021
- Full Text
- View/download PDF
43. Spatiotemporal analysis of bubonic plague in Pernambuco, northeast of Brazil: Case study in the municipality of Exu.
- Author
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Fernandes, Diego Leandro Reis da Silva, Gomes, Elainne Christine de Souza, Bezerra, Matheus Filgueira, e Guimarães, Ricardo José de Paula Souza, and de Almeida, Alzira Maria Paiva
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SMALL cities , *CITIES & towns , *TRADE routes , *CASE studies , *STATISTICAL significance , *CONTACT tracing - Abstract
Along with other countries in America, plague reached Brazil through the sea routes during the third pandemic. A brief ports phase was followed by an urban phase that took place in smaller inland cities and finally, it attained the rural area and established several foci where the ecological conditions were suitable for its continued existence. However, the geographic dispersion of plague in Brazil is still poorly studied. To better understand the disease dynamics, we accessed satellite-based data to trace the spatial occurrence and distribution of human plague cases in Pernambuco, Northeastern Brazil and using the municipality of Exu as study case area. Along with the satellite data, a historical survey using the Plague Control Program files was applied to characterize the spatial and temporal dispersion of cases in the period of 1945–1976. Kernel density estimation, spatial and temporal clusters with statistical significance and maximum entropy modeling were used for spatial data analysis, by means of the spatial analysis software packages. The use of geostatistical tools allowed evidencing the shift of the infection from the urban to the wild-sylvatic areas and the reemergence of cases after a period of quiescence, independent of the reintroduction from other plague areas. [ABSTRACT FROM AUTHOR]
- Published
- 2021
- Full Text
- View/download PDF
44. Distribution modeling of Amblyomma rotundatum and Amblyomma dissimile in Brazil: estimates of environmental suitability.
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Polo, Gina, Luz, Hermes R., Regolin, André Luis, Martins, Thiago F., Winck, Gisele R., da Silva, Hélio R., Onofrio, Valeria C., Labruna, Marcelo B., and Faccini, João L. H.
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AMBLYOMMA , *REPTILES , *CLIMATE change , *AMPHIBIANS , *STATISTICAL significance , *MAXIMUM entropy method , *TICKS , *SPECIES distribution - Abstract
The number of reports of tick parasitism in amphibians and reptiles has increased over the past few years, including new host and location records for Amblyomma rotundatum and Amblyomma dissimile. However, knowledge of the geographical distribution remains incomplete, and in many regions of Brazil, the presence of these vectors has not been investigated. Several candidate models were built using a correlative maximum entropy approach, and best-fitting models were selected based on statistical significance, predictive ability, and complexity based on current climatic trends and future projected climate changes. Final models showed a good ability to discriminate A. rotundatum and A. dissimile current and future potential distributions. The entire country had higher predicted suitability for A. rotundatum while A. dissimile was mainly restricted to the Amazon and Pantanal biomes. A. rotundatum is a species with enormous potential for dissemination in the next decades, potentially through the legal and illegal transport of reptiles and amphibians. The proposed model is useful for targeting surveillance efforts increasing the efficiency and accuracy of future ecological research and tick management efforts. [ABSTRACT FROM AUTHOR]
- Published
- 2021
- Full Text
- View/download PDF
45. Factors Associated with Functional Capacity in CKD Patients.
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Gravina, Emanuele Poliana Lawall, Pinheiro, Bruno Valle, Jesus, Luciana Angélica da Silva, Barros, Fabrício Sciammarella, Lucinda, Leda Marília Fonseca, Colugnati, Fernando Antonio Basile, Segura-Ortí, Eva, and Reboredo, Maycon Moura
- Subjects
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AGE distribution , *CHI-squared test , *CHRONIC kidney failure , *STATISTICAL correlation , *GLOMERULAR filtration rate , *HEALTH surveys , *INCOME , *LEG , *RESEARCH methodology , *MUSCLE strength , *QUESTIONNAIRES , *RESEARCH funding , *SEX distribution , *STATISTICS , *T-test (Statistics) , *COMORBIDITY , *SAMPLE size (Statistics) , *DATA analysis , *MULTIPLE regression analysis , *STATISTICAL significance , *EDUCATIONAL attainment , *BODY mass index , *REPEATED measures design , *CROSS-sectional method , *DATA analysis software , *FUNCTIONAL assessment , *DESCRIPTIVE statistics , *INDEPENDENT variables , *MANN Whitney U Test - Abstract
To evaluate the factors associated with functional capacity in patients with chronic kidney disease (CKD). All patients were submitted to six-minute walk test (6MWT), 10-repetition sit-to-stand test (STS-10) and SF-36 health-related quality of life questionnaire (HRQoL). Patients with functional capacity ≥80% exhibited higher education level, family income, body mass index, estimated glomerular filtration rate, and lower age and STS-10 time. Multiple linear regression showed that gender, age, family income, chronic kidney disease stage, STS-10 time, and physical component summary of HRQoL were significantly associated with the 6MWT distance. Functional capacity was significantly associated with gender, age, family income, CKD stage, STS-10 time, and physical component of HRQoL. The progression of CKD has an impact on the decrease in functional capacity in these patients. [ABSTRACT FROM AUTHOR]
- Published
- 2021
- Full Text
- View/download PDF
46. Associations Between Women's Obesity Status and Diminished Cutaneous Sensibility Across Foot Sole Regions.
- Author
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Bueno, Jair Wesley Ferreira, Coelho, Daniel Boari, Souza, Caroline Ribeiro de, and Teixeira, Luis Augusto
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FOOT physiology , *ANALYSIS of variance , *STATISTICAL correlation , *HEALTH status indicators , *INFORMED consent (Medical law) , *OBESITY , *RESEARCH funding , *STATISTICAL sampling , *SENSES , *STATISTICS , *WOMEN'S health , *DATA analysis , *STATISTICAL significance , *EFFECT sizes (Statistics) , *REPEATED measures design , *HUMAN research subjects , *DATA analysis software , *DESCRIPTIVE statistics , *INTRACLASS correlation - Abstract
People who are obese sustain very high foot pressures when standing, with potential consequences to their feet soles' cutaneous sensibility. In the current investigation, we performed a detailed assessment of foot sole sensibility in women with morbid obesity (n = 13; age = 38.85, SD = 8.09 years) status in comparison with leaner women (n = 13; age = 37.62, SD = 7.10 years). We estimated tactile feet sole sensibility through graduated monofilament light touch applied at several hotspots of both feet soles, covering the toes, metatarsal heads, midfoot internal and lateral arches, and heel. Intergroup comparisons per foot sole region indicated significantly lower sensibility for the group with morbid obesity under the fifth and third metatarsal heads, midfoot lateral and internal arches and heel. We found a large variation across the sole regions, with the lowest difference between the obese and lean groups observed under the hallux (18%) and the largest difference observed under the lateral arch of the midfoot (76%). Correlation analyses between body weight and sensibility scores revealed a significant positive correlation among participants who were leaner (r s = 0.56, p = 0.05) but not among participants who were obese (r s = –0.06, p = 0.83). Mainly, our results showed that morbid obesity was associated with significantly higher cutaneous sensibility thresholds, with large variability of the sensibility deficit across different regions of both feet soles. Due to its functional relevance for body balance control, reduced sensibility thresholds among women who are morbidly obese may have implications for stance stability. [ABSTRACT FROM AUTHOR]
- Published
- 2021
- Full Text
- View/download PDF
47. Excess weight in children living in rural areas related to the nutritional profile and to maternal habits.
- Author
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Barbosa Lagares, Erika, Alves Sousa, Paulo Henrique, Araujo Resende, Karolyne, Camilo Santos, Letícia, Rodrigues Silva, Luiz Henrique, Silva Belo, Vinícius, and Caetano Romano, Márcia Christina
- Subjects
FOOD habits ,MOTHERS ,LIFESTYLES ,STATISTICS ,STATISTICAL significance ,CHILDHOOD obesity ,RURAL conditions ,CROSS-sectional method ,ANTHROPOMETRY ,MULTIVARIATE analysis ,NUTRITIONAL requirements ,FISHER exact test ,MANN Whitney U Test ,QUALITATIVE research ,WAIST circumference ,DISEASE prevalence ,CHI-squared test ,DESCRIPTIVE statistics ,ETHNIC groups ,DATA analysis software ,STATISTICAL correlation ,DATA analysis ,LOGISTIC regression analysis ,ODDS ratio ,NUTRITIONAL status ,MOTHER-child relationship - Abstract
Copyright of Investigacion & Educacion en Enfermeria is the property of Universidad de Antioquia, Facultad de Enfermeria and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2021
- Full Text
- View/download PDF
48. Prevalence and factors associated with anxiety, depression and stress in a COVID-19 nursing team.
- Author
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Appel, Ana Paula, da Silva Carvalho, Ariana Rodrigues, and Passoni dos Santos, Reginaldo
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MENTAL depression risk factors ,RESEARCH ,STATISTICAL significance ,COVID-19 ,ACADEMIC medical centers ,JOB stress ,RESEARCH methodology ,CROSS-sectional method ,AGE distribution ,PSYCHOLOGY of nurses ,RISK assessment ,SEX distribution ,MATHEMATICAL variables ,MENTAL depression ,EMPLOYMENT ,SCALE analysis (Psychology) ,EMPLOYEES' workload ,DESCRIPTIVE statistics ,ANXIETY ,STATISTICAL sampling ,MARITAL status - Abstract
Copyright of Revista Gaucha de Enfermagem is the property of Revista Gaucha de Enfermagem and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2021
- Full Text
- View/download PDF
49. What is the most appropriate way to analyse the WHODAS 2.0 score?
- Author
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Castro, Shamyr S., Ferreira, Anderson Fuentes, Sampaio, Edgar G.M., Araujo, Camilla M., Dantas, Thaissa H.M., and Dantas, Diego de Sousa
- Subjects
LIFESTYLES ,CHRONIC pain ,STATISTICAL significance ,META-analysis ,SAMPLE size (Statistics) ,HUMAN research subjects ,PAIN measurement ,CONFIDENCE intervals ,RESEARCH methodology ,CHRONIC diseases ,EFFECT sizes (Statistics) ,DISABILITY evaluation ,WOMEN ,HEALTH status indicators ,REGRESSION analysis ,FISHER exact test ,MANN Whitney U Test ,FUNCTIONAL assessment ,INFORMED consent (Medical law) ,SOCIOECONOMIC factors ,MATHEMATICAL variables ,CHI-squared test ,DESCRIPTIVE statistics ,STATISTICAL sampling ,RECEIVER operating characteristic curves ,SECONDARY analysis ,POISSON distribution - Abstract
BACKGROUND: The World Health Organization Disability Assessment Schedule (WHODAS 2.0) is a practical, generic and widely used tool to assess the functioning and disability in several settings and health conditions. Although the use of categorical variables is common, this choice to present data could separate persons with very close functioning profiles into different categories. PURPOSE: This study aims to compare different ways of expressing the WHODAS score and give elements for the researcher to understand and choose the most appropriate way to statistically analyse the WHODAS scores. METHODS: A methodological study with secondary data of one hundred ninety-five women. The WHODAS score was analysed in different ways and associated with sociodemographic characteristics, lifestyle, and health aspects. The Poisson regression was chosen with the final WHODAS score in four variations (continuous, dichotomous, polytomous, and quartiles), and the presence of chronic disease. RESULTS: The analysis showed statistical significance in the univariate analysis for the adjustment variables and all the variations of the disability variable. The distribution analysis of the prevalence ratio and the AIC evidenced that the WHODAS score as a continuous variable had the lower AIC and statistical significance, as well as the most significant area under the ROC curve. CONCLUSIONS: These results show that the use of the continuous variable is the most indicated and that the categorization of the WHODAS score should be avoided. [ABSTRACT FROM AUTHOR]
- Published
- 2021
- Full Text
- View/download PDF
50. Gender differences in the manifestation of burden among family caregivers of people with mental disorders.
- Author
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Treichel, Carlos Alberto dos Santos, Jardim, Vanda Maria da Rosa, Kantorski, Luciane Prado, and Alves, Poliana Farias
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PSYCHOLOGY of caregivers , *CHI-squared test , *STATISTICAL correlation , *MENTAL illness , *QUESTIONNAIRES , *STATISTICAL sampling , *SCALE analysis (Psychology) , *SEX distribution , *T-test (Statistics) , *SAMPLE size (Statistics) , *STATISTICAL significance , *WELL-being , *BURDEN of care , *CROSS-sectional method , *DATA analysis software , *DESCRIPTIVE statistics - Abstract
This is a cross‐sectional study conducted with 537 family caregivers of people with mental disorders. The objective was to quantify the degree of burden experienced by men and women, and identify the most affected dimensions of their lives and the factors associated with burden manifestation by gender. The Zarit Burden Interview (ZBI) scale was used to assess burden. Mean burden was 22.8 points (SD = 6.3) for men and 27.8 points (SD = 17.8) for women. The most affected dimensions among the two groups were the same; however, among the 22 items on the scale, 11 presented significantly higher means among women. The factors associated with the manifestation of burden in both groups were as follows: low income; use of psychotropic drugs; greater degree of dependence of the service user; not receiving family support; and dissatisfaction with family relationships. For men, manifestation of burden was also associated with age. For women, there were further associations of the outcome with the presence of health problems, not having someone to share care with, and caring for the assisted person for >10 years. Our findings suggest that the degree of burden of family members caring for those with mental disorders is associated with gender, and this should be considered by services responsible for planning care shared by professionals and relatives. Guidelines for Strengthening the Reporting of Observational Studies in Epidemiology (STROBE Statement) were adhered to in this study. [ABSTRACT FROM AUTHOR]
- Published
- 2020
- Full Text
- View/download PDF
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