Resumo Introdução Questionários de avaliação são ferramentas habituais nas diferentes áreas de saúde. Frequentemente são desenvolvidos na língua inglesa e muitas vezes utilizados em populações diferentes daquelas para as quais foram originalmente criados. Nestes casos, é necessária adaptação transcultural na preparação e aplicação dos questionários, já que sua validade não depende somente de tradução, mas também de contextualização ao novo cenário cultural, para que mantenha suas propriedades psicométricas. Objetivo Revisar as metodologias utilizadas por pesquisadores brasileiros nos últimos 5 anos para a adaptação de instrumentos internacionais para português do Brasil e propor uma lista de verificação que possa guiar pesquisadores em futuras adaptações transculturais para nosso idioma, segundo recomendações internacionais já publicadas. Método Pesquisa foi realizada na Rede Scielo com as chaves de busca (questionario or instrumento) and (adaptacao or traducao or confiabilidade or validade), nos últimos 5 anos. Resultados Foram encontrados 111 artigos, dos quais 55 atendiam aos critérios de inclusão desta revisão. Destes, foram extraídas 15 referências metodológicas ao processo de ATC, cuidadosamente lidas e suas recomendações extraídas para a construção de check list operacional para a Adaptação Transcultural de Instrumentos de Aferição em Saúde. Conclusão Acreditamos que o modelo de check list proposto possa auxiliar na organização e realização de futuras ATCs em Saúde, em consonância com os métodos preconizados internacionalmente.
Significant advances in the understanding and management of Duchenne muscular dystrophy (DMD) have occurred since the publication of international guidelines for DMD care in 2010. Our objective was to provide an evidence-based national consensus statement for multidisciplinary care of DMD in Brazil. A combination of the Delphi technique with a systematic review of studies from 2010 to 2016 was employed to classify evidence levels and grade of recommendations for the guideline. Our recommendations were divided in two parts. Guideline methodology and overall disease concept descriptions are found in Part 1. Here we present Part 2, where we provide the results and recommendations on rehabilitation and systemic care for DMD.
(18) Fluorodeoxyglucose (FDG)-PET and PET-CT are highly accurate diagnostics tools for DTC recurrence in patients who present a negative whole-body scintigraphy and could impact the clinical and therapeutic management of DTC.
In the last few decades, there have been considerable improvements in the diagnosis and care of Duchenne muscular dystrophy (DMD), the most common childhood muscular dystrophy. International guidelines have been published and recently reviewed. A group of Brazilian experts has developed a standard of care based on a literature review with evidence-based graded recommendations in a two-part publication. Implementing best practice management has helped change the natural history of this chronic progressive disorder, in which the life expectancy for children of the male sex in the past used to be very limited. Since the previous publication, diagnosis, steroid treatment, rehabilitation, and systemic care have gained more significant insights with new original work in certain fields. Furthermore, the development of new drugs is ongoing, and some interventions have been approved for use in certain countries. Therefore, we have identified the need to review the previous care recommendations for Brazilian patients with DMD. Our objective was to create an evidence-based document that is an update on our previous consensus on those topics.
Objective: To highlight the changes and adaptations resulted from COVID-19 in Medical Undergraduate Teaching Assistantships (UTA) activities at an University in the south of Rio de Janeiro, emphasize the importance of education in health through social networks and enrich the scientific literature with the theme of virtual distance learning in Medicine. Experience report: The adaptation of the UTA to the virtual environment prevented to be interrupted the development of effective communication and teaching skills, which are important bases for medical training, promoting the continuity of teaching, albeit in a limited way. Be that as it may, being an undergraduate teaching assistant in a virtual class leads to the consolidation and detailing of knowledge, providing flexibility in the learning process, encouraging the development of teaching and digital skills, teamwork, use of different resources and collaborative performance. This fact stands out the role of the medical student in the teaching-learning process, especially at a time of new experiences and adaptations. Final considerations: It is necessary to evaluate how medical education has been harmed or benefited by the changes arising from the COVID-19 pandemic and how it will have a long-term impact on medical training.
OBJECTIVES: To compare the quality of mental health of those responsible for people with autism spectrum disorder (ASD) and those responsible for people up to 12 years old without autism during the COVID-19 pandemic, with regard to symptoms of different levels of depression, anxiety, and stress and find associations between these levels with psychosocial and economic variables. METHODS: It was a cross-sectional, observational, and quantitative study, which analyzed an online form with the DASS-21 scale and with questions regarding the psychosocial and economic characterization of residents of the municipalities in the south of the state of Rio de Janeiro during the COVID-19 pandemic. The disclosure took place through social networks and the data obtained were tabulated using Microsoft Excel 2016 software. RESULTS: 77 people participated in the study, divided into 2 groups: group A, of those responsible for people with ASD, totaled 30 people and group B, of those responsible for children without ASD up to 12 years old, 47 people. From group A, 60% had symptoms of depression, 76.67% with symptoms of anxiety, and 80% with symptoms of stress. In group B, 44.68% had symptoms of depression, 46.81% with symptoms of anxiety, and 70.21% with symptoms of stress. CONCLUSIONS: The results of this research address the need for interventions to prevent these disorders and the psychological support of this population, with the inclusion of the family nucleus in the therapeutic planning of people with autism and assistance in the development of crisis coping strategies, as in the current scenario.
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