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To evaluate the test-retest reliability and validity of the Patient Generated Index (PGI) in individuals with Chronic Kidney Disease (CDK) undergoing hemodialysis. Through a non-experimental study with repeated measures, PGI was applied twice to assess internal consistency and test-retest reliability. Correlations with the Kidney Disease Quality of Life Short Form (KDQOL-SF), the Human Activity Profile (HAP) questionnaire, the Social Participation Scale, and the Glittre ADL Test were used. 91 individuals with CKD were evaluated. There was high reliability for the PGI (ICC= 0.97) PGI correlated with KQDOL – SF in Functional Capacity r = 0.38 (p < 0.001), Emotional Well-Being r = 0.31 (p = 0.003), Social Aspect r = 0.22 (p = 0.036), Emotional Function r = 0.22 (p = 0.038) and Effect of Kidney Disease r = 0.21 (p = 0.042), and Physical scores r = 0.24 (p = 0.021)), Mental r = 0.21 (p = 0.05) and General r = 0.22 (p = 0.037) summarized. There was a significant correlation between PGI and HAP r = 0.40 (p < 0.001) and the Social Participation Scale r = −0.36 (p < 0.001). There was no correlation between the PGI and Glittre ADL scores r = 0.12 (p = 0.247). In adults receiving hemodialysis, the PGI proved to be an accurate and reliable instrument for the assessment of the quality of life from the perspective of the patient.IMPLICATIONS FOR REHABILITATIONAlthough hemodialysis treatment is associated with increased survival and symptom control, there is a significant change in the patient’s lifestyle.In order to provide a more focused view of the individual, the Patient Generated Index (PGI) was created to evaluate the quality of life.PGI is reliable and correlates with KQDOL – SF and the Social Participation Scale in this population. Although hemodialysis treatment is associated with increased survival and symptom control, there is a significant change in the patient’s lifestyle. In order to provide a more focused view of the individual, the Patient Generated Index (PGI) was created to evaluate the quality of life. PGI is reliable and correlates with KQDOL – SF and the Social Participation Scale in this population.

Introduction: Data on the impact of left bundle-branch block after transcatheter aortic valve implantation (TAVI) are scarce, and treatment has been individualized. Based on this, the electrophysiological study (EPS) concomitant with TAVI may be a strategy for the early stratification of patients needing permanent pacemaker implantation (PPM). Objective: To describe the use of EPS in risk stratification of a definitive pacemaker in patients undergoing TAVI. Materials and methods: Data from seven patients with indications for TAVI due to critical aortic stenosis were retrospectively evaluated. The EPS was performed with a quadripolar diagnostic catheter in His bundle to measure the His-ventricle (HV) interval. Measurement of HV at 70 ms or above was used for discussion on PPM implant indication. Results: Four analyzed patients evolved with left bundle-branch block after TAVI. PPM implantation was indicated for one patient, and the surgery was performed uneventfully during the same hospital stay. Before TAVI, the HV interval ranged from 46 to 58 ms (mean = 53.2 ms), increasing to 52 to 84 ms (mean = 62.8 ms) immediately after valve intervention. Conclusion: The strategy of EPS during TAVI is viable to stratify patients early according to the risk of 2nd or 3rd-degree atrioventricular block, allowing adequate treatment.

Os pacientes em hemodiálise enfrentam inúmeros estresses físicos e psicológicos que resultam na perda da qualidade de vida e morte prematura. Neste sentido, faz-se necessário a vigilância regular dos exames laboratoriais como critérios para tomada de decisão duração do tratamento. Portanto, o presente trabalho objetivou descrever as caracteristicas clínico-laboratorial dos pacientes e identificar os fatores associados ao tempo de tratamento em hemodiálise. Realizou-se um estudo transversal retrospectivo no Serviço de Hemodiálise de um hospital de referência no Vale do Jequitinhonha, com informações de 306 pacientes obtidas no Dialsist software de gestão de nefrologia entre 2010 e 2018. Os resultados indicaram a prevanlência do diabetes como causa da doença renal crônica e consequente necessidade de hemodiálise, aprensentando um aumento de 16,7% de diabéticos em 2010 para 30,1% em 2018. O sexo masculino predominou (56,5%) e a faixa etária entre 18-64 anos concentrou 74,5% dos casos. Um total de 298 (97,4%) pacientes foram tratados pelo setor público e o tempo medio de tratamento 25,9 meses. Verificou diferença significativa para a creatinina e glicemia, entre os pacientes diabeticos e não diabeticos. Os níveis de hemoglobina, ferritina, cálcio, fósforo, paratormônio, creatinina, potássio e albumina foram associados ao tempo de hemodiálise classificados em grupos 1(≤12), 2(12< e ≤52) e 3(>52) e em meses tratamento. Conclui-se portanto, que para melhorar a qualidade de vida e as condições físicas dos pacientes é imprescindível garantir o monitoramento regular nos Serviço de Hemodiálise, como garantia da qualidade da assistência prestada.

Objective To assess difficulties in filling the International Consultation on Incontinence Questionnaire Bladder Diary (ICIQ-BD), determining the most troublesome items and patients’ characteristics (age, education level, and professional activity) related to these difficulties. Methods A text composed of a clinical history of a fictitious patient with Lower Urinary Tract Symptoms (LUTS) was designed. 95 healthy volunteers (49 females, 46 males, mean age 45.6 ± 17.3 years) were asked to fill in the ICIQ-BD according to the data from the fictitious clinical history. Filling errors were analyzed, and patients’ demographic characteristics tested as predictors. Results Bladder Sensation Score is the most problematic item of the ICIQ-BD, with only 38% of patients accurately filling this item. No association was found between total number of errors and age or education level, but participants working in less specialized professions had more difficulty in filling the BD (mean: 7.00 vs 3.94 errors, P= .002). Conclusion ICIQ-BD is a reliable tool to assess for LUTS, but filling the Bladder Sensation Score item was more likely to be incorrectly filled by manual workers and volunteers with less intellectually demanding current professions.

To evaluate the association between Maximal Inspiratory Pressure (MIP) and health-related quality of life (HRQoL) and to verify the reliability of the MIP in patients on hemodialysis.In a repeated-measures design, patients on hemodialysis performed MIP and specific HRQoL questionnaire (trial 1). The MIP was repeated after 6 to 8 weeks (trial 2) and reliability was assessed using Intra-class Correlation Coefficient. Standard Error of Measurement and Minimal Detectable Change scores were calculated.Sixty-one individuals (68.9% men) were evaluated in trial 1. MIP was associated with specific domains "Symptoms" (r = 0.45; RThe MIP is a reliable test, associated with physical domains of HRQoL in patients on hemodialysis. Thus, it is a useful method for respiratory evaluation in this population.

To investigate the validity and within-day reliability of the Glittre activities of daily living test (Glittre ADL-test) in patients on hemodialysis.Ninety-one patients on hemodialysis were evaluated using Glittre ADL-test, functional tests, health-related quality of life, human activity profile, and social participation. Convergent validity was analyzed by the correlation analysis. The Glittre ADL-test results were compared among different levels of the functional tests, human activity profile, and participation (known-groups validity). Within-day reliability was examined by Intra-class Correlation Coefficient (ICC).There was a significant moderate to strong correlation between Glittre ADL-test and functional tests (The Glittre ADL-test is a reliable test associated with functional parameters and physical aspects related to health-related quality of life, with potential value in the functional evaluation of patients on hemodialysis.Implications for rehabilitationFunctional impairment is a common clinical finding and is an important predictor of poor prognosis in patients on hemodialysis.The Glittre ADL-test has excellent within-day reliability and is a valid instrument for functional assessment in patients on hemodialysis.Activity limitations of patients on hemodialysis can be assessed by Glittre ADL-test.

INTRODUÇÃO: A Posição Prona (PP) geralmente é utilizada em casos de Insuficiência Respiratória Aguda (IRpA) grave, em pacientes com Síndrome da Angústia Respiratória Aguda (SARA) e em ventilação mecânica invasiva, com o objetivo de melhorar a oxigenação. Entretanto, pode ser útil em casos de IRpA leve secundária ao COVID -19 reduzindo a necessidade de ventilação mecânica invasiva e as complicações associadas ao ventilador. OBJETIVO: Descrever o relato de caso do uso da posição prona (PP) em pacientes em ventilação espontânea com Insuficiência Respiratória Leve secundária ao COVID-19. MÉTODO: Trata-se de um relato de caso de um paciente com diagnóstico de COVID-19, com IRpA leve, com dispneia, tosse, hipoxemia e dessaturação, que dentre as técnicas de tratamento utilizou um protocolo de posição prona por períodos de duas horas, duas vezes ao dia, durante todo o período de internação. RESULTADOS: O paciente apresentou hipoxemia (SPO2 -94% e PO2- 62,9), associada a dispneia (Borg 6) na admissão, tendo apresentado melhora na dispneia (Borg 4) e saturação na oximetria de pulso de 96% após 24 horas de início do protocolo. Após 48 horas apresentou melhora gasométrica com valores e SPO2 e PO2 de 96,5% e 80,6 mmHg respectivamente. CONCLUSÃO: A posição prona em pacientes em ventilação espontânea, com insuficiência respiratória leve secundária ao COVID-19 é segura e pode ser utilizada como terapia adjuvante ao tratamento desse perfil de pacientes.

Nowadays, Blockchain has been widely used to store decentralized and secure transactions involving cryptocurrency, e.g., Bitcoin, Ethereum, etc. However, Blockchain can also store other types of information besides monetary transactions. On the other hand, innovative solutions for smart cities are concerned with how services and information can be safely stored and shared. For this reason, smart city systems can benefit from using Blockchain to integrate their data and services. These smart solutions also demand consistency and standardization across the industry. However, this Blockchain integration varies according to its implementation. FIWARE, a framework of an open-source platform for smart solutions, adopts NGSI Standards (Context Information Management (CIM); NGSI-LD API: Tech. Rep., CIM and ETSI Industry Specification Group (ISG), 2020) to enable the integration of components and provides the basis for interoperability and portability among smart solutions. Unfortunately, FIWARE does not support any integration with Blockchain technology. Hence, this paper proposes a set of new components to allow FIWARE to be integrated with Blockchain technology. With these proposed components, it is possible to support Blockchain technology with smart city applications via the FIWARE platform. For instance, we have designed and implemented a FIWARE Blockchain adapter to submit/listen to transactions from/to FIWARE Context Broker to/from any Blockchain implementation without human intervention. In addition, we present a global post-pandemic vaccination case study to evaluate the proposed approach in the Smart City context.

O objetivo deste estudo foi avaliar a atividade antibacteriana de extratos vegetais no controle de bactérias causadoras de mastite em vacas leiteiras. O delineamento experimental foi inteiramente casualizado, onde as duas espécies de bactérias (Staphylococcus intermedius e Staphylococcus aureus) foram submetidas ao controle de inibição com 10 extratos diferentes: extrato de barbatimão, jamelão, mamica-de-porca, mama-cadela, jenipapo, pau-terra, pau-ferro e murici, e para efeito de controle positivo e negativo, utilizou-se a solução salina (EDTA) e disco esteril perfazendo assim, dois ensaios experimentais simultâneos, que possuíam 10 tratamentos com 5 repetições cada e o delineamento experimental inteiramente casualizado, em esquema fatorial 2 x 10 (microorganismo x extrato vegetal), totalizando 20 tratamentos com 5 repetições cada. Os resultados foram submetidos à análise de variância e as médias ao teste de Tukey a 5% de probabilidade. O extrato de pau-terra (Qualea grandiflora) teve um efeito significativo perante os microorganismos (Staphylococcus intermedius e Staphylococcus aureus).

Background: Learning to cycle is an important milestone in a child’s life, so it is important to allow them to explore cycling as soon as possible. The use of a bicycle with training wheels (BTW) for learning to cycling is an old approach practiced worldwide. Most recently, a new approach using the balance bike (BB) has received increased attention, and several entities believe that this could be most efficient. Drawing on the work of Bronfenbrenner (1995) and Newel (1986), this study aimed to analyse the effect of BB’s use on the learning process of cycling independently. Methods: Data were collected in Portugal from an online structured survey between November 2019 and June 2020. Results: A total of 2005 responses were obtained for adults and children (parental response). Results revealed that when the BB’s approach was used, learning age (LA) occurred earlier (M = 4.16 ± 1.34 years) than with the BTW’s approach (M = 5.97 ± 2.16 years) (p < 0.001); or than when there was only the single use of the traditional bicycle (M =7.27 ± 3.74 years) (p < 0.001). Conclusions: Children who used the BB as the first bike had a significantly lower LA than children who did not use it (p < 0.001). To maximize its effects, the BB should be used in the beginning of the learning process.

Blockchain has been widely used to store decentralized and secure transactions involving cryptocurrency (for instance, Bitcoin and Ethereum solutions). On the other hand, Smart City applications are concerned about how data and services can be safely stored and shared. In this regard, this research investigates the use of Blockchain in the Smart Cities scenario. Based on that, a platform named Orthus was proposed to support Blockchain in Smart City initiatives focused on scalability. This work presents a case study about how to use the proposed platform in the Natal Smart City Initiative in Brazil to handle land registration. Moreover, it also compares this platform with other implementations that use Blockchain in different domains. Finally, this research confirms that the use of blockchain technology has much to contribute to Smart City solutions once it enables the creation of solutions in distributed networks to meet the demand of the entire population.

Fundamento: O estado de saúde bucal pode ter influência física e psicológica sobre a vida dos indivíduos. Pode afetar simultaneamente o prazer na vida devido a interferência nas condições bucais, na fala, mastigação, sabor e deglutição, nos domínios sociais, sobre a aparência e autoconfiança dos indivíduos. Objetivo: Verificar se o tratamento protético odontológico é capaz de gerar melhoria na qualidade de vida e na autoestima de pacientes idosos submetidos a hemodiálise. Materiais e Métodos: Realizou-se um estudo intervencional com 26 pacientes submetidos à hemodiálise na cidade de Diamantina, Brasil. Os pacientes foram divididos em dois grupos de acordo com a realização do tratamento; com e sem tratamento. O grupo tratamento recebeu ajustes ou confecção de uma nova prótese odontológica, já o grupo sem tratamento recebeu apenas avaliação clínica e orientações sobre higiene bucal. A qualidade de vida foi avaliada através do instrumento Medical Outcomes Study 36-Item Short Form Health Questionnaire (SF-36) e Oral Health Impact Profile (OHIP) na sua versão 14. Já para a autoestima utilizou-se a Escala de Autoestima de Rosenberg. Resultados: A média de idade foi 69,08 anos (±05,90) e o índice CPO-D médio foi de 29,65 (±01,35). Houve significância estatística na dimensão aspecto emocional do SF-36 nos dois grupos. O grupo que recebeu tratamento apresentou significância na incapacidade física do OHIP-14 e melhora da autoestima. Conclusão: O tratamento protético odontológico gerou melhoria na qualidade de vida e impactou na autoestima de pacientes idosos submetidos à hemodiálise, sendo o impacto maior nos pacientes que realizaram tratamento protético.

Contexto: a insuficiência renal crônica dá-se quando os rins deixam de desenvolver suas multitarefas com eficácia, levando o paciente à hemodiálise ou transplante renal e um progressivo desgaste emocional Objetivo: avaliar percepção da qualidade de vida relacionada à saúde bucal e autoestima de pacientes descobertos à hemodiálise, após intervenções odontológicas e transplantes renais. Materiais e Métodos: Oitenta e dois pacientes responderam aos questionários SF-36, OHIP-14 e Escala de Autoestima de Rosenberg. Destes, 76 passaram por intervenções odontológicas e responderam aos questionários novamente. Doze foram transplantados e 10 responderam aos questionários ao final. Resultados: Apenas a autoestimativa melhora, com mudanças estatisticamente importantes. Conclusão: Tratamento odontológico e transplante renal melhoraram a autoestima dos pacientes. Ocorreu uma tendência de melhora no aspecto social.

Mestrado Bolonha em Gestão e Estratégia Industrial Com o aumento da competitividade dos mercados e simultaneamente rápida mudança dos mesmos, houve a necessidade de conseguir responder eficientemente a estas oscilações. De forma a conseguir responder eficientemente a esta volatilidade, desenvolveu-se a manufatura ágil, com o foco em produções flexíveis, altamente customizáveis e capazes de responder aos mais diversos requisitos dos clientes. No entanto, trata-se de uma abordagem complexa que obriga a uma adaptação por parte da empresa a uma escala estrutural, o que leva muitos gestores a questionar a sua viabilidade. Neste contexto, no presente estudo foi desenvolvido um modelo conceptual que relaciona a manufatura ágil com a capacidade de resposta aos clientes, a eficiência dos custos e a performance financeira. O modelo foi testado recorrendo a Structural equation modeling, mais especificamente, à metodologia Partial Least Squares (PLS), utilizando os dados obtidos de um questionário, previamente desenvolvido e realizado por inquérito a 298 empresas de manufatura portuguesa. Os resultados obtidos permitem concluir que as práticas de manufatura ágil tem um impacto direto na customer effectiveness e na performance financeira e afetam, ainda, indiretamente a cost efficiency, observando-se, assim, uma relação positiva e significativa com os diferentes desempenhos da empresa, podendo desta forma ser considerada uma mais-valia para as empresas de manufatura. With the increase in the competitiveness of the markets and at the same time their rapid change, there was a need to efficiently respond to these fluctuations. To respond efficiently to this volatility, agile manufacturing was developed, with a focus on flexible, highly customizable productions capable of responding to the most diverse customer requirements. However, it is a complex methodology that requires the company to adapt to a structural scale, which leads to many managers questioning its viability. In this context, in the present study a conceptual model was developed that relates agile manufacturing to customer responsiveness, cost efficiency and financial performance. The model was tested using Structural equation modeling, more specifically, the Partial Least Squares (PLS) methodology, using data obtained from a questionnaire previously developed and carried out through a survey of 298 Portuguese manufacturing companies. The results obtained allow us to conclude that agile manufacturing practices have a direct impact on customer effectiveness and financial performance and indirectly affect cost efficiency, thus observing a positive and significant relationship with the different performances of the company, thus, it can be considered an asset for manufacturing companies. info:eu-repo/semantics/publishedVersion

In this article, we intend to discuss the children’s right to the city, assuming their role as "spatialists" who participate in the transformation of public spaces into meaningful places. The signs of change in the conditions and dispositions of society in relation to the presence of children, as a moving body that transits between unequal spaces, bring with them common territories to different disciplines that investigate childhood. Thus, we situate here the contribution that environmental psychology offers to the dialogue between areas of knowledge that problematize the physical and social invisibility of children and demand public policies for childhood as a condition of citizenship.

Risk aversive perceptions and practices among ECEC practitioners and parents have proven to be an important reason for the decline of young children’s opportunities for free outdoor play. Yet, ther...