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The objective was to validate the "Emergency Contraceptive Pills (ECPs) - Attitude Scale" for the Portuguese university population, allowing the evaluation of the attitude of young people to oral emergency contraception (OEC). Translation, adaptation, and validation of the same for the Portuguese population. A study was carried out using a sample of 457 university students, and their psychometric characteristics were evaluated by developing studies of reliability and validity. The sample consisted mostly of female youth (61.71%), with a mean age of 21.14 years. After performing the psychometric studies, it was possible to obtain values of Cronbach's alpha coefficient of 0.820, for the Scale of Attitudes towards the use of Emergency Oral Contraception (EACOE) and for factor 1 (Fear of misuse) - 0.83; Factor 2 (Easy Access) - 0.826 and Factor 3 (Health Concerns) - 0.691. The scale was adequate and easy to use to assess young people's attitudes about EOC, which is fundamental to the perception of young people's predisposition to their use, which may prove to be harmful to the adoption of protective behaviors within the scope of the experience of their sexuality. [ABSTRACT FROM AUTHOR]

The article reviews the most relevant contributions on the construct of sexism. In particular, the theories of Masculinity and Femininity and the different contemporary models that have received more attention in the Spanish psychological literature are analyzed. In addition, the instruments generated as a result of their corresponding theories are discussed and a critical analysis of the most used instruments is carried out. Finally, a reflection is made on the current courses of the construct of sexism. [ABSTRACT FROM AUTHOR]

Copyright of Revista Ciência & Saúde Coletiva is the property of Associacao Brasileira de Pos-Graduacao em Saude Coletiva 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.)

Introduction: Instruments aimed to investigate general aspects of quality of life are scarce in the literature. Flanagan’s Quality of Life Scale (QoLS) is an alternative instrument which provides a more comprehensive evaluation of quality of life in different contexts. Objective: To investigate some psychometric properties of the QoLS and discuss the measurement of quality of life using this scale in heterogeneous and large populations. Methods: The QoLS comprises 16 items divided into five dimensions. Responses were measured using a 7-point rating scale. Data were collected from a stratified sample of primary health care users in the municipality of Ribeirão Preto, state of São Paulo, Brazil. Polychoric correlation matrix and exploratory and confirmatory factor analyses were performed. Results: A total of 1,054 primary health care users in 12 health care facilities were interviewed: 79.7% female; mean age = 36.97 years (standard deviation = 15.1). Moderate to low correlation coefficients were observed between almost all pairs of QoLS items. Items 7 and 9 as well as items 14 and 15 were the pairs presenting the highest correlation coefficient. The original structure of the QoLS, with five dimensions, showed adequate psychometric properties regarding the data collected. The inclusion of a single item on life satisfaction was proposed. Conclusion: The original structure of the QoLS was validated and found to be reliable when applied to primary health care users. A new general item was suggested for future studies to improve the interpretations and associations regarding general aspects of quality of life in large and heterogeneous populations. [ABSTRACT FROM AUTHOR]

Objective: To describe the process of cross-cultural adaptation of the Personality Inventory for DSM-5 (PID-5) to the Brazilian context. Methods: Cross-cultural adaptation involved the steps of independent translation of the instrument, synthesis version, and back-translation. Analysis of content validity was conducted by a multidisciplinary expert committee and consisted of quantitative assessment of agreement indicators. The test was then applied to a target population. Results: All the steps required for a cross-cultural adaptation were followed and satisfactory agreement values (≥ 4.75) were reached for most of the structures assessed. Most of the changes suggested by the experts were followed; these changes consisted primarily of adjustments to verb tense and agreement and the inclusion of letters and words to allow gender inflection. In the pre-test, no suggestions were made and the instrument was considered comprehensible. Conclusion: The Brazilian version of the PID-5 was found to be adequate to the Brazilian context from semantic, idiomatic, cultural, and conceptual perspectives. The Brazilian version assessed here can be freely used, was approved by the publishers who hold the copyright on the instrument, and is considered the official version of the instrument. New studies are underway to determine the validity and reliability of the PID-5. [ABSTRACT FROM AUTHOR]

Copyright of Archivos de Bronconeumología (English Edition) is the property of Sociedad Espanola de Neumologia y Cirugia Toracica (SEPAR) 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.)

The purpose of this study was to adapt and conduct a psychometric analysis of Ryff's Scales of Psychological Well- Being in a nonprobability sample of Argentinean adolescents aged between 14 and 16 years. The Spanish adaptation by Díaz et al. (2006) of the 39 items version proposed by van Dierendonck (2004) was used. Two studies were conducted: the first (80 adolescents and 20 expert judges) consisted in the adjustment of 11 items and the response format of the Spanish version according to their degree of theoretical consistency, clarity, and linguistic difficulty for Argentina, while the second (825 adolescents) was an analysis of the psychometric properties (internal consistency and construct validity) of the resulting Scales. Exploratory factor analysis revealed 4 factors: (a) Self-Acceptance, (b) Personal Growth and Purpose in Life, (c) Autonomy, and (d) Positive Relationships With Others. Confirmatory factor analysis showed a satisfactory level of fit for the model, which makes it possible to conclude that the adapted 20-item Scales are appropriate for assessing the psychological well-being of Argentinean adolescents. [ABSTRACT FROM AUTHOR]

Objective: To discuss the applicability of the Nursing Activities Score (NAS) in the light of the Comfort Theory, relating the range of care areas described in this instrument to the comfort contexts proposed in Kolcaba's theory. Methodology: theoretical study, critical analysis, based on the principles of Kolcaba comfort theory. Reflection: the activities evaluated by the NAS are congruent with the contexts of comfort proposed in the Kolcaba theory, and can contribute to the promotion of comfort. It is noted, however, that there are fewer items to evaluate the sociocultural, psycho-spiritual and environmental contexts. Most activities value the organic and biological needs of patients. Considerations: Although the activities of the NAS are consistent with the comfort contexts proposed by Kolcaba, it cannot be said that the care provided will be fully compatible with the theoretical assumptions, requiring further studies for clinical validation. [ABSTRACT FROM AUTHOR]

Introduction: Health problems may negatively affect the psychological and physical aspects of life, influencing the quality of life of older adults. The objective of this study was to analyze the effects of physical activity on quality of life, anxiety, and depression in the elderly population. Methods: We performed a cross-sectional study of 200 elderly people of both genders. Subjects were divided into two groups: one with 100 senior citizens engaged in physical activities in a social center for the elderly; and another composed of 100 subjects who lived in the community but were not engaged in physical activities. The instruments used to assess physical activities, quality of life, and anxiety and depression were, respectively: the modified Baecke questionnaire; the 36-Item Short Form Health Survey (SF-36); and the Hospital Anxiety and Depression Scale (HADS). The data were analyzed using the Student's t test, Pearson's r, and analysis of variance (ANOVA), with odds ratio and a 5% significance level (p<0.05). Results: We observed that the active group showed higher scores of physical activity and quality of life. Conversely, the sedentary group revealed higher scores of anxiety and depression. Data assessment revealed a strong correlation between the domains quality of life, level of vitality, and mental health (r=0.77). The prevalence ratio showed that physical activity is a protective factor against anxiety and depression in the elderly. Conclusion: The findings suggest a correlation between low levels of physical activity and symptoms of anxiety and depression in the elderly living in the community. [ABSTRACT FROM AUTHOR]

Measuring prosocial conduct, just as other constructs which are relevant for psychological adjustment, requires a base of knowledge which is orderly and up-to-date, which helps to identify and methodological aspects for its construction. The objective of this study is to identify the instruments for measuring prosocial behavior which are available today in the empirical literature, as well as to analyze their characteristics and psychometric properties. In this study, the bibliographic search was carried out on the databases of web of science (WOS) and Dialnet from 1900 to 2017 with special emphasis on the last decade. Sixteen instruments relevant to prosocial behavior were chosen describing its applications and characteristics. There is a discussion of the implications of continuing research into measures of prosocial behavior. [ABSTRACT FROM AUTHOR]

Copyright of Ciência & Trópico (03042685) is the property of Fundacao Joaquim Nabuco 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.)

Copyright of Paideia (0103863X) is the property of Paideia 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.)

The life of buildings over time and the phenomenon of obsolescence are clearly evident processes in the case of Valparaíso, Chile. Given the morphological characteristics and the associated ways of life, it is presumed that any rehabilitation action must take on a comprehensive approach by covering the material, functional, social and environmental dimensions. For the present study, exploratory research on how to improve this deterioration was carried out with the objective of developing a multiscale tool for characterizing problems and opportunities for sustainable architectural rehabilitation. Using a qualitative architectural analysis methodology, three potential areas for action were identified. Present in the "intermediate dimension," they make it possible to plan an intervention and include: the potential for comfort, the ability for socio-spatial self-regeneration, and the opportunity for revitalization. With different socio-spatial reconstruction instruments and theoretical support, obsolescence diagnostics were prepared taking into consideration the pre-existing conditions, which lead to the formulation of new interventions. [ABSTRACT FROM AUTHOR]

Copyright of Revista Iberoamericana de Turismo is the property of Revista Iberoamericana de Turismo 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.)

Introducción: La legalización del llamado matrimonio igualitario, y de la adopción de menores por parejas homosexuales, es un fenómeno reciente y que debe ser estudiado, para lo cual es necesario contar con medidas confiables que permitan dar cuenta de cómo la sociedad percibe esta nueva configuración familiar. Objetivo: Determinar las propiedades psicométricas de dos escalas: Actitudes frente a las familias Homoparentales (AFFH); y creencias acerca del ajuste de los niños de familias homoparentales (CANFH). Metodología: La AFFH, con 20 reactivos, fue diseñada para dar cuenta de las actitudes hacia las familias homoparentales. La CANFH tiene 14 reactivos organizados en las subescalas de oposición individual (OI) y oposición normativa (ON). Ambas escalas tienen afirmaciones que deben ser respondidas con opciones tipo Likert que van del 1 totalmente de acuerdo, al 5 totalmente en desacuerdo. La CANFH fue aplicada a 170 estudiantes universitarios (78 (46%) hombres, 92 (54%) mujeres. Media de edad: 18.4 DE+0.94), y la AFFH a 88 (35 (40%) hombres, 53 (60%) mujeres. Media de edad: 18.2 DE+0.84). Se determinaron las propiedades psicométricas por medio de análisis factorial y de consistencia interna. Resultados: La AFFH resultó con un α=0.91; los reactivos se organizaron en dos factores que explican 46.14% de la varianza. En el caso de la CANFH se confirmó la estructura factorial de dos subescalas explicativas de 65.49% de la varianza y con un α=0.94. Conclusiones: Los datos indican que ambas escalas poseen las propiedades psicométricas adecuadas para medir las actitudes de estudiantes mexicanos hacia las familias homoparentales y hacia los efectos que estas puedan tener en los menores adoptados. [Barragán-Pérez V, Berenzon-Gorn S, García-De la Torre GS, Lara-Muñoz MDC. Actitudes hacia la homoparentalidad: Validación psicométrica de dos escalas en una muestra de estudiantes mexicanos. MedUNAB 2016; 19(2): 85-94]

In this research, measures of adaptive efficacy and coping are compared with the aim of examining the extent to which they reflect similar aspects of the general functioning of individuals. The sample consisted of 103 undergraduate students, aged between 17 and 44 years (21.67 ± 4.78; 83.5% women). The instruments were The Escala Diagnóstica Adaptativa Operacionalizada de Autorrelato (EDAO-AR) and the Coping Response Inventory - Adult Form (CRI-A). We used t-test for independent samples and Pearson correlation for data analysis. Significant higher scores for women were observed only for coping strategy "emotional discharge” (t(97)=0.930, p=0.2, d= 0.2). Although the EDAO-AR and the CRI-A keep with each other some degree of association and theoretical overlap, the results indicated that the constructs of adaptive efficacy and coping focuses on different aspects of human activities. Limitations of the research and new perspectives are discussed.

ABSTRACT Hereditary spastic paraplegias (HSP) are characterized by progressive lower limb weakness and spasticity. There are no validated instruments to quantify disease severity in Portuguese. Objective To translate and validate the Spastic Paraplegia Rating Scale (SPRS) into Brazilian-Portuguese. Method Two experienced and English-fluent neurologists translated SPRS into Portuguese, creating SPRS-BR. We then assessed inter and intra-rater reliability of this version using coefficients of correlation and variability in a cohort of 30 patients. Results Mean age of patients and disease duration were 47.7 ± 10.5 and 17.0 ± 10.6 years, respectively. Twenty-one had pure HSP and SPG4 was the most frequent genotype. Mean Rankin and SPRS-BR scores were 2.2 ± 0.9 and 19.9 ± 9.9, respectively. Mean intra and inter-rater correlation coefficients of SPRS-BR scores were 0.951 and 0.934, whereas coefficients of variation were 11.5% (inter-rater) and 9.9% (intra-rater). Cronbach’s alpha for the whole SPRS-BR scale was 0.873. Conclusion SPRS-BR is a useful, reliable and valid clinical instrument.

RESUMO Objetivo: identificar a incidência e descrever os fatores associados à úlcera por pressão em pacientes críticos. Método: trata-se de uma coorte prospectiva, com 77 pacientes, usando a avaliação clínica, metabólica e de fatores associados à úlcera por pressão, aplicando as escalas de risco (Braden e Waterlow) e classificando as úlceras em categorias. Resultados: constatou-se uma incidência de 22% (IC 95% 12,6 - 31,5), sendo 17 com 32 úlceras por pressão em região sacral (47%) e na categoria I (72%). Tempo de internação maior que 10 dias (71%), tipo de internação cirúrgica (53%), insuficiência cardíaca congestiva (24%) e alto risco na Escala de Braden (59%). Conclusão: ressalta-se a elevada incidência de úlcera por pressão, características clínicas, metabólicas e fatores associados, além do desfecho por óbito, necessitando, portanto, de medidas de prevenção.

Resumo Objetivo Traduzir, adaptar e avaliar as propriedades psicométricas da Infiltration Scale para a cultura portuguesa. Métodos Estudo metodológico de adaptação transcultural com avaliação das propriedades psicométricas da Infiltration Scale em uma coorte com 110 adultos submetidos à terapia intravenosa. Resultados Na tradução e adaptação cultural, as adequações linguísticas foram discutidas pelos investigadores e um painel de especialistas, havendo concordância em 85,71% dos critérios clínicos, exceto “Possible numbness”. A escala captou infiltração em 48 pacientes (prevalência de 60%). O edema foi o principal sinal evidenciado na inserção e áreas adjacentes ao cateter venoso. A consistência interna, determinada pelo alfa de Cronbach, foi de 0,85. Conclusão A escala adaptada para a cultura portuguesa apresentou equivalência linguística em relação à original, mostrou-se válida e fidedigna, com boa consistência interna para avaliar a infiltração. A avaliação sistemática da infiltração com recurso a escala poderá subsidiar a tomada de decisão e implementação de medidas preventivas.

Introduction Myeloproliferative metastatic tumors (leukemia, multiple myeloma and lymphoma) are a problem that the spinal surgeon faces increasingly due to longer survival periods associated with their slower growth rates and improved oncological treatments available.Currently there is not consensus about any classifications that establish a prognosis and a treatment plan for the management of these pathologiesObjectiveTo apply and evaluate specific survival scale (ECOG and SCMMM) and treatment (Sins) for this type of spinal metastases. Material and MethodsPatients with diagnosis of metastatic spine myeloproliferative diseases had the above scale applied and also adding visual analog scale (VAS) and Oswestry (ODI) to quantify the evolution of treatment. Were included in this sample 5 patients with a minimum follow up of 6 months. ResultsOf the patients sampled 4 patients had a diagnosis of multiple myeloma and one a diagnosis of leukemia, 2 were operated and 3 were treated with radiotherapy, chemotherapy and corset; all improved EVA and Oswestry except one who died at 7 days by an extraspinal complication. ConclusionThe scales used are very useful for therapeutic decision of these patients to be more specific for these metastases.

AbstractThe use of instruments with evidence of validity in education research brings advances to the production of knowledge. This article reports the stages of a survey of teaching style and the evidence for its validity. One thousand teachers participated in a study of different levels of education. An exploratory factor analysis indicated a structure of four factors in which 55 items had a factorial load greater than .30. The correlation steps made it possible to identify how the four factors are related to each other. As a final result, the questionnaire was composed of 40 items, distributed into groups of 10 items organized by teaching style. Evidence of factorial validity and internal consistency of the items that make up the instrument was seen. Analysis of variance indicated that the scale is sensitive to individual differences in the comparison among the four different teaching styles and the gender and teaching level variables.

Resumo: Objetivo: Estimar a contribuição de variáveis sociodemográficas, laborais e do índice de massa corporal para a preocupação com a imagem corporal. Métodos: Para estimar a preocupação com a imagem corporal foram utilizadas as escalas Body Shape Questionnaire (BSQ) e Weight Concerns Scale (WCS)Foi realizada análise fatorial confirmatória das escalas e utilizados os índices Razão χ2 e graus de liberdade (χ2/gl), Confirmatory Fit Index (CFI), Normed Fit Index (NFI) e Root Mean Square Error of Approximation (RMSEA). A validade convergente foi estimada por Variância Extraída Média e Confiabilidade Composta e a consistência interna pelo Alfa de Cronbach padronizado (α). Foi confeccionado um modelo estrutural sendo a preocupação com a imagem corporal o construto central de segunda ordem. A adequação do modelo foi avaliada com base nos índices de ajustamento. O teste z foi utilizado para estimar a significância das trajetórias (β) utilizando-se 5% de significância. Resultados: Participaram 595 estudantes universitárias com média de idade de 20,42 ± 2,44 anos. O modelo completo, com a inserção de todas as variáveis independentes, apresentou ajustamento insatisfatório e foi refinado. O modelo final apresentou ajustamento satisfatório (χ2/gl = 5,75; CFI = 0,87; NFI = 0,85; RMSEA = 0,09) com a inclusão do consumo de medicamento devido aos estudos (β = 0,08; p = 0,04), desempenho acadêmico (β = 0,09; p = 0,02), classe econômica (β = 0,08; p = 0,03) e índice de massa corporal (β = 0,44; p < 0,001). Esse modelo explicou 22% da preocupação com a imagem corporal. Conclusão: O consumo de medicamentos devido aos estudos, o desempenho acadêmico, a classe econômica e o índice de massa corporal contribuem significativamente para a preocupação com a imagem corporal.

Este artigo analisa uma postagem publicada no site espanhol Dos Manzanas, que predica Pedro Almodóvar como “pedagogo da realidade LGBT”, e alguns dos comentários que esta suscita. Interessa-nos estudar a reflexividade metapragmática que essa pedagogia produz numa discussão online que avalia se a cinematografia almodovariana projeta uma fachada (GOFFMAN, [1967] 2011) favorável para o coletivo em questão. Para tal, focamos em processos de indexicalidade, de entextualização e escalares na construção de significados. O que se observa é que os textos fílmicos, ao serem entextualizados no referido site de notícias LGBT, mobilizam escalas, que inspiram posicionamentos das/dos participantes. Se, por um lado, tais posicionamentos questionam privilégios heteronormativos (BUTLER, 1990), por outro resvalam em essencialismos nada estratégicos (SPIVAK, 1988; BUTLER, 1990).

ABSTRACT Objective: To verify the association between the level of comfort of the caregiver and socio-demographic variables related to caregiving, and the patient’s functional status and symptoms. Method: Cross-sectional study with non-probabilistic intentional sample. The instruments Palliative Performance Scale (score 0 to 100%), Edmonton Symptom Assessment Scale (symptom scores from zero to ten) and Holistic Comfort Questionnaire (total score ranging from 49 to 294 and mean score from 1 to 6) were used. The relationship between comfort scores and independent variables was calculated by multiple linear regression. Results: Fifty informal caregivers participated in the study - 80% were female, 32% were 60 years old or older, 36% were children of the patient, 58% had paid work and 60% did not have help in the care. The mean overall comfort was 4.52 points. A better functional status of the patients was associated with higher levels of comfort of the caregivers. Older caregivers who received helped in the care activities presented higher comfort scores. Conclusion: The level of comfort of caregivers of cancer patients receiving palliative care was associated with socio-demographic variables and patients’ functional status and symptoms.

Paisaje es una palabra que siempre se refiere a un conjunto, a una agrupación de cosas que se desarrolla en el reino de las escalas medias, ni tan cercanas como para no permitir relacionar sus elementos, ni tan lejana para que estos se hagan invisibles, en resumen un área de tierra visible desde una posición estratégica. Muchas disciplinas han intentado clasificar los paisajes, y allí es particularmente interesante la idea de paisaje típico porque nos introduce en el mundo de los paisajes apropiados. Esto a veces choca con la idea de que todo paisaje es esencialmente dinámico, ya sea en forma espontánea al recibir los cambios que se producen en la cultura material de la sociedad o a veces planificado. Paisaje es un registro duradero y un testimonio de las vidas y trabajos de generaciones pasadas que han vivido en el mismo y que la hacerlo han dejado algo de ellos mismos.

El objetivo de la investigación fue conocer la capacidad diagnóstica de las escalas Braden Q y Norton para el desarrollo de úlceras por presión en pacientes pediátricos de Unidades Críticas en un hospital de alta complejidad en Chile. Es un estudio transversal de comparación de pruebas diagnósticas en pacientes ingresados a unidades críticas. La muestra fue no probabilística, por conveniencia de 118 niños. Se analizaron ambas escalas respetando los preceptos, para comparar la capacidad discriminativa de dos pruebas diagnósticas y verificar que ambas sean medidos simultáneamente aplicadas sobre los mismos sujetos. La investigación contó con aprobación de comité de Ética Servicio de Salud y Consentimiento Informado firmado de los padres de los niños. Se determinó que la sensibilidad de la escala Braden Q, a las 24 y 48 horas, es menor que la presentada por la Norton en las mismas evaluaciones; presenta valor predictivo positivo más alto en ambas mediciones, como también la razón de probabilidad (+). Se concluye que Braden Q es la escala idónea para valorar el riesgo de desarrollar UPP en la población pediátrica; presenta mayor confiabilidad.

ABSTRACT OBJECTIVE Evaluate the construct validity of a list of eight Stressful Life Events in pregnant women. METHODS A cross-sectional study was conducted with 1,446 pregnant women in São Luís, MA, and 1,364 pregnant women in Ribeirão Preto, SP (BRISA cohort), from February 2010 to June 2011. In the exploratory factorial analysis, the promax oblique rotation was used and for the calculation of the internal consistency, we used the compound reliability. The construct validity was determined by means of the confirmatory factorial analysis with the method of estimation of weighted least squares adjusted by the mean and variance. RESULTS The model with the best fit in the exploratory analysis was the one that retained three factors with a cumulative variance of 61.1%. The one-factor model did not obtain a good fit in both samples in the confirmatory analysis. The three-factor model called Stress-Producing Life Events presented a good fit (RMSEA < 0.05; CFI/TLI > 0.90) for both samples. CONCLUSIONS The Stress-Producing Life Events constitute a second order construct with three dimensions related to health, personal and financial aspects and violence. This study found evidence that confirms the construct validity of a list of stressor events, entitled Stress-Producing Life Events Inventory.

Esta investigação pretendeu colmatar a necessidade de desenvolver escalas de avaliação das perceções dos alunos quanto ao seu conhecimento de escrita, especialmente no ensino primário. Assim, validou-se a Escala de Perceção do Conhecimento de Escrita em Portugal, após tradução e adaptação de uma escala americana, junto de 338 alunos do 4.º ano de escolaridade, selecionados aleatoriamente. Os resultados explicam 38.5 % da variância dos dados. A escala final apresentou uma estrutura diferenciada composta por dois fatores: “Produzir conteúdo” e “Planificar” e 12 itens. O Alpha total da escala foi de .776 e reúne os critérios de fiabilidade exigidos.

Introduction: The impact of the pandemic on Higher Education Institutions, related to the teachinglearning process has become mostly online, associating difficulties related to curricular development, as well as digital literacy of teachers and students. During the pandemic, organizations with accredited courses as presential resorted to using e-Learning or a mixed model with synchronous and asynchronous classes. Objective: To understand the impact of the COVID-19 pandemic on educational technologies as a transition in curriculum development. Method: Research action with the participation of students and teachers, mobilizing the qualitative and quantitative paradigms. Results: Conception and scale validation to evaluate educational technologies in curriculum development transitions. Conclusions: Validation of the scale of educational technologies as a transition in curriculum development. [ABSTRACT FROM AUTHOR]

AbstractOBJECTIVECorrelating two unidimensional scales for measurement of self-reported pain intensity for elderly and identifying a preference for one of the scales.METHODA study conducted with 101 elderly people living in Nursing Home who reported any pain and reached ( 13 the scores on the Mini-Mental State Examination. A Numeric Rating Scale - (NRS) of 11 points and a Verbal Descriptor Scale (VDS) of five points were compared in three evaluations: overall, at rest and during movement.RESULTSWomen were more representative (61.4%) and the average age was 77.0±9.1 years. NRS was completed by 94.8% of the elderly while VDS by 100%. The association between the mean scores of NRS with the categories of VDS was significant, indicating convergent validity and a similar metric between the scales.CONCLUSIONPain measurements among institutionalized elderly can be made by NRS and VDS; however, the preferred scale for the elderly was the VDS, regardless of gender.

Antecedentes. El médico de atención primaria debe decidir qué hacer con un paciente que ha atentado contra su vida o manifiesta ideación suicida. Posiblemente puede interconsultar a psiquiatría; sin embargo, ocasionalmente esto se difiere. Objetivo. Encontrar un instrumento de evaluación del riesgo suicida en adultos que pueda ser aplicado por el médico general en el servicio de urgencias. Materiales y métodos. Revisión de la literatura en PubMed con los términos MeSH: ‘suicide’, ‘risk assessment’ y ‘scales’; se encontraron 270 artículos a los que se les analizaron los abstract y finalmente se incluyeron 24 estudios. Resultados. Se encontraron nueve instrumentos y se descartaron los demás por involucrar diagnóstico específico, grupos de edad distintos, poblaciones específicas diferentes, tiempo prolongado de aplicación y otros determinantes enfocados en los factores protectores y en opiniones del paciente acerca del suicidio. Conclusiones. Estas escalas se pueden usar como instrumento de ayuda para definir una conducta en un paciente con riesgo suicida, pero no reemplazan la entrevista psiquiátrica. Se postulan las escalas Modified Scale for Suicide Ideation y Plutchik Suicide Risk Scale por cumplir con las características psicométricas, por tener un tiempo de aplicación adecuado en el servicio de urgencias y por sus preguntas sencillas para ser utilizadas en atención primaria.

RESUMOObjetivo:Fazer a adaptação transcultural do Eular Sjögren's Syndrome Patient Reported Index (ESSPRI) para a língua portuguesa e avaliar as suas propriedades psicométricas.Método:Estudo transversal de pacientes com síndrome de Sjögren primária (SS). Foram estudadas as propriedades psicométricas (reprodutibilidade intraobservador e a validade de construto). Na validade de construto, o ESSPRI foi comparado com o Patient's Global Assessment (PaGA), Profile of Fatigue and Discomfort (Profad), Sicca Symptoms Inventory (SSI) e Functional Assessment of Chronic Illness Therapy (Facit-fatigue). Os testes estatísticos usados foram o α-Cronbach, coeficiente de correlação intraclasse (CCI), método de Bland-Altman e coeficiente de Spearman. Foi considerado significativo o p ≤ 0,05.Resultados:Não houve diferença entre as versões nas duas línguas e obteve-se, assim, a versão consensual brasileira. Todos os indivíduos foram mulheres de 49,4 ± 11,6 anos, com início dos sintomas de 7,2 ± 5,4 anos e tempo de diagnóstico de 3 ± 3,3 anos. A média do ESSPRI foi de 6,87 ± 1,97. A reprodutibilidade intraobservador foi alta e significativa (0,911) e, no método de Bland-Altman, não houve viés sistemático na concordância das medidas entre as avaliações. Houve correlação moderada do ESSPRI com todos os instrumentos testados.Conclusão:A versão do ESSPRI em português é válida e reprodutível.

Una de las pruebas que más influencia ha tenido recientemente en los estudios sobre adjetivos es la combinatoria con adverbios de grado para diagnosticar la estructura interna de las escalas. Este trabajo muestra que la combinatoria con estos adverbios no siempre refleja la estructura escalar del adjetivo, identifica otras tres lecturas y propone diagnósticos para diferenciarlas.

INTRODUCTION: It has become common to use scales to measure the degree of involvement of facial paralysis in phonoaudiological clinics. OBJECTIVE: To analyze the inter- and intra-rater agreement of the scales of degree of facial paralysis and to elicit point of view of the appraisers regarding their use. METHODS: Cross-sectional observational clinical study of the Chevalier and House & Brackmann scales performed by five speech therapists with clinical experience, who analyzed the facial expression of 30 adult subjects with impaired facial movements two times, with a one week interval between evaluations. The kappa analysis was employed. RESULTS: There was excellent inter-rater agreement for both scales (kappa > 0.80), and on the Chevalier scale a substantial intra-rater agreement in the first assessment (kappa = 0.792) and an excellent agreement in the second assessment (kappa = 0.928). The House & Brackmann scale showed excellent agreement at both assessments (kappa = 0.850 and 0.857). As for the appraisers' point of view, one appraiser thought prior training is necessary for the Chevalier scale and, four appraisers felt that training is important for the House & Brackmann scale. CONCLUSION: Both scales have good inter- and intra-rater agreement and most of the appraisers agree on the ease and relevance of the application of these scales.

En la búsqueda de medidas de mitigación y remediación de la crisis ambiental, la preparación de profesores para la Educación Ambiental es, en la actualidad, reconocida como una prioridad. Ello determina la necesidad de una transformación continua del rol docente, constituyéndose en agentes activos en la formación integral de nuevas generaciones, abordando los problemas ambientales con enfoques emergentes.El objetivo de esta investigación es comprobar si a lo largo de la intervención comunicacional se logra mejorar el perfil ambiental del profesorado del Colegio Nacional Integrado Jorge Basadre en Santa María del Valle, del distrito y provincia de Huánuco-Perú. Y, por tanto, optimizar sus capacidades hacia la enseñanzaaprendizaje del cuidado del ambiente, incorporando en el alumno el compromiso con el cuidado del ambiente. El estudio es experimental, prospectivo, longitudinal y analítico, con diseño de un solo grupo antes y después; de treinta y seis participantes voluntarios de la intervención comunicacional, desarrollada en sesiones mensuales, en un periodo de cinco meses. Se aplicaron satisfactoriamente una encuesta y dos escalas validadas y fiabilizadas. Se comprueban las hipótesis mediante el análisis de varianza de un factor de contrastes multivariados y la prueba t para medias de una muestra relacionada; apoyados en el SPWS V19. La influencia de la intervención comunicacional es demostrada mediante las diferencias significativas obtenidas en los momentos posteriores a la intervención respecto al momento basal. Según los hallazgos, se confirman las hipótesis que establecen diferencias en el comportamiento habitual, en la práctica pedagógica y en las percepciones hacia la educación ambiental de los participantes. Sin embargo, la intervención no mejora la práctica de valores y principios ambientales del profesorado, lo que supone la incidencia de futuros estudios que favorezcan tales cambios. De manera general, la intervención comunicacional aplicada es favorable en la promoción del perfil ambiental efectivo del profesorado en estudio.

Objective To investigate the correlation between the Alberta Program Early CT Score (ASPECTS) and the Scandinavian Stroke Scale (SSS) for the evaluation of neurological impairment in patients with acute stroke. Method 59 patients with a first acute ischemic stroke were evaluated. The ASPECTS were evaluated by 2 neurologists at admission and by another neurologist after 48 hours. The NIHSS and SSS was applied to determinate stroke severity. Correlations and agreements were analysed statistically by Spearman and Kappa tests. Results ASPECTS was correlated with National Institute of Health Stroke Scale (NIHSS) at admission (r = -0.52; p < 0.001) and SSS (r = 0.50; p < 0.001). The ASPECTS and SSS items were most correlated with arm (r = 0.52; p < 0.001) and hand (r = 0.49; p < 0.001) motor power, and speech (r = 0.51; p < 0.001). The SSS of 25.5 shows sensitivity (68%) and specificity (72%) when associated with ASPECTS ≤ 7. Conclusion The SSS can predict worst neurological impairment when associated with lower values of ASPECTS.

Aim: to identify the perceptions of nurses in relation to the use of an instrument to assess pain in preterm infants. Method: qualitative, exploratory and descriptive research conducted in a Neonatal Intensive Care Unit, in a University Hospital in Pelotas, Rio Grande do Sul. The study included four nurses, in the period of October to November 2010. Data were collected through semi-structured interviews and analyzed according to thematic analysis. Results: the following categories were addressed: Scale to assess pain in premature newborns: perception of nurses, and Pain Scale and premature newborns: implementation. Conclusion: nurses do not know the new technologies used to measure pain; however, all nurses demonstrated committment to a humanized assistance, as they reported being interested in the inclusion of this instrument of assessment

RESUMO Objetivo: realizar a adaptação transcultural a escala Nursing Students’ Attitudes Toward Mental Health Nursing and Consumers no Brasil. Métodos: os dados foram coletados em 2013, na cidade de Londrina-PR. As etapas metodológicas foram as de equivalência conceitual e de itens, equivalência semântica e equivalência operacional. Resultados: a validade de conteúdo realizada por um grupo de juízes, com o consenso mínimo de 80% resultou numa escala composta por 35 itens divididos em 6 fatores. Houve concordância de 100% dos juízes quanto aos parâmetros de clareza de linguagem, pertinência prática, e relevância teórica, assim como para exclusão de um fator. Conclusão: o instrumento está adaptado culturalmente para o Brasil, assim como apresenta validade de conteúdo satisfatória. São sugeridos estudos das propriedades psicométricas como a validade de construto, consistência interna e a confiabilidade do instrumento.

Objetivo Avaliar a equivalência semântica e a confiabilidade da Bergen Facebook Addiction Scale para o português (Brasil). Métodos O processo consistiu em cinco passos: tradução; retradução; revisão técnica e avaliação da equivalência semântica por profissionais; avaliação do instrumento por compreensão verbal por uma amostra de profissionais (n = 10) e de estudantes (n = 37); análise de consistência interna e estabilidade por meio do coeficiente de Cronbach e coeficiente de correlação intraclasse (CCI) respectivamente, em uma amostra de 359 estudantes de graduação. Resultados O instrumento apresentou no fim um excelente nível de compreensão verbal pela população-alvo, alfa de Cronbach de 0,92 e CCI de 0,81. Conclusão A versão adaptada do instrumento para o uso em nosso ambiente resultou em um instrumento equivalente do ponto de visão de equivalência semântica, assegurando a transferência do significado geral e referencial, mantendo níveis satisfatórios de confiabilidade.

OBJECTIVE: to analyse the Redness, Oedema, Ecchymosis, Discharge, Approximation (REEDA) scale reliability when evaluating perineal healing after a normal delivery with a right mediolateral episiotomy.METHOD: observational study based on data from a clinical trial conducted with 54 randomly selected women, who had their perineal healing assessed at four time points, from 6 hours to 10 days after delivery, by nurses trained in the use of this scale. The kappa coefficient was used in the reliability analysis of the REEDA scale.RESULTS: the results indicate good agreement in the evaluation of the discharge item (0.75< Kappa ≥0.88), marginal and good agreement in the first three assessments of oedema (0.16< Kappa ≥0.46), marginal agreement in the evaluation of ecchymosis (0.25< Kappa ≥0.42) and good agreement regarding redness (0.46< Kappa ≥0.66). For the item coaptation, the agreement decreased from excellent in the first assessment to good in the last assessment. In the fourth evaluation, the assessment of all items displayed excellent or good agreement among the evaluators.CONCLUSION: the difference in the scores among the evaluators when applying the scale indicates that this tool must be improved to allow an accurate assessment of the episiotomy healing process.

AIMS: to evaluate the accuracy of the Braden and Waterlow risk assessment scales in critically ill inpatients.METHOD: this prospective cohort study, with 55 patients in intensive care units, was performed through evaluation of sociodemographic and clinical variables, through the application of the scales (Braden and Waterlow) upon admission and every 48 hours; and through the evaluation and classification of the ulcers into categories.RESULTS: the pressure ulcer incidence was 30.9%, with the Braden and Waterlow scales presenting high sensitivity (41% and 71%) and low specificity (21% and 47%) respectively in the three evaluations. The cut off scores found in the first, second and third evaluations were 12, 12 and 11 in the Braden scale, and 16, 15 and 14 in the Waterlow scale.CONCLUSION: the Braden scale was shown to be a good screening instrument, and the Waterlow scale proved to have better predictive power.

Objective: To identify subgroups of women with Acute Coronary Syndrome according to symptom experience: perception, evaluation and response, based on the Symptom Management Conceptual Model. Methodology: Quantitative, descriptive, exploratory, cross-sectional study. The sample was made of 380 women positively diagnosed with Acute Coronary Syndrome, hospitalized in two institutions in Bogotá, Colombia. A measurement instrument was designed and validated. Results: Final instrument was made of 37 items that reported content validity, scale validity, discriminant validity, and construct validity. A Cronbach's Alpha coefficient of 0,76 was obtained, which guarantees homogeneity in the measurement according to the Maximum Validity-Maximum Reliability Model. A total of 11 subgroups of women with Acute Coronary Syndrome were identified, those were characterized by atypical coronary heart disease symptomatology, evaluation processes related to extra-cardiac causes and inadequate symptom management strategies. It was possible to demonstrate that psychosocial factors, previous coronary heart disease and delays were variables making a significant influence on the components of symptom experience. Conclusions: Women with Acute Coronary Syndrome, belonging to the 11 subgroups that were identified and studied, showed atypical symptoms. The instrument designed features a proven psychometric quality; it was valid, reliable, and useful for clinical research and practice.

Objetivo. Desde hace unos años, las Fuerzas Armadas de Argentina están realizando un proceso de modernización y cambio cultural para generar un cambio institucional. En esta línea, trabajaron conjuntamente personal castrense y psicólogos para diseñar instrumentos que evaluaran las características del liderazgo en el Colegio Militar de la Nación (Argentina) en situaciones de simulacro de guerra con altos niveles de estrés. Método. Participaron 110 cadetes de infantería del Colegio Militar de la Nación. Se construyeron cuatro escalas para medir la competencia del liderazgo militar, el trabajo en equipo, las capacidades físicas y los conocimientos técnicos y tácticos. Resultados. Los datos reportados demostraron que las escalas diseñadas para este estudio presentaron una alta consistencia y validez interna. Asimismo, se observó que las cuatro escalas podrían funcionar como una buena batería para medir el liderazgo en el contexto militar. Conclusión. Se propone que estos instrumentos también sirven como herramientas de evaluación para la implementación de los programas educativos que imparte la institución y que podrían aplicarse en organizaciones semejantes.