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- ItemAcesso aberto (Open Access)Estudo de fidedignidade inter-avaliadores de uma escala para a avaliação da interação mãe-bebê(Sociedade de Psiquiatria do Rio Grande do Sul, 2004-04-01) Scappaticci, Anne Lise Sandoval Silveira [UNIFESP]; Iacoponi, Eduardo; Blay, Sergio Luis [UNIFESP]; Universidade Federal de São Paulo (UNIFESP); Institute of Psychiatry Health Services Research DepartmentOBJECTIVE: To develop a study to assess the inter-rater reliability of a modified version of Brown's scale designed to investigate early mother-child interaction. METHOD: Fourteen postpartum women and their newborn babies took part in this study. The tape-recorded observations lasted 15 minutes, and they were performed on the second day after birth, during breast-feeding. In a successive and isolated moment, two evaluators scored each item of the interaction established between the mother and the newborn. In order to do so, a modified version of the scale of Brown and collaborators (1975), was used and submitted to a reliability study. RESULTS: Nine out of ten items of the modified scale revealed an excellent inter-rater agreement: The Kappa coefficient was 0.85 or higher. Only one item showed a moderate degree of agreement = 0.59, concerning mother holds the baby. The results show that the modified scale is stable if used in a hospital setting for low-income mothers. CONCLUSIONS: The conclusion of this study indicates that categories are a reliable parameter to evaluate mother-baby interaction.
- ItemAcesso aberto (Open Access)Field Assessment Stroke Triage for Emergency Destination A Simple and Accurate Prehospital Scale to Detect Large Vessel Occlusion Strokes(Lippincott Williams & Wilkins, 2016) Lima, Fabricio O.; Silva, Gisele S. [UNIFESP]; Furie, Karen L.; Frankel, Michael R.; Lev, Michael H.; Camargo, Erica C. S.; Haussen, Diogo C.; Singhal, Aneesh B.; Koroshetz, Walter J.; Smith, Wade S.; Nogueira, Raul G.Background and Purpose-Patients with large vessel occlusion strokes (LVOS) may be better served by direct transfer to endovascular capable centers avoiding hazardous delays between primary and comprehensive stroke centers. However, accurate stroke field triage remains challenging. We aimed to develop a simple field scale to identify LVOS. Methods-The Field Assessment Stroke Triage for Emergency Destination (FAST-ED) scale was based on items of the National Institutes of Health Stroke Scale (NIHSS) with higher predictive value for LVOS and tested in the Screening Technology and Outcomes Project in Stroke (STOPStroke) cohort, in which patients underwent computed tomographic angiography within the first 24 hours of stroke onset. LVOS were defined by total occlusions involving the intracranial internal carotid artery, middle cerebral artery-M1, middle cerebral artery-2, or basilar arteries. Patients with partial, bihemispheric, and anterior+posterior circulation occlusions were excluded. Receiver operating characteristic curve, sensitivity, specificity, positive predictive value, and negative predictive value of FAST-ED were compared with the NIHSS, Rapid Arterial Occlusion Evaluation (RACE) scale, and Cincinnati Prehospital Stroke Severity (CPSS) scale. Results-LVO was detected in 240 of the 727 qualifying patients (33%). FAST-ED had comparable accuracy to predict LVO to the NIHSS and higher accuracy than RACE and CPSS (area under the receiver operating characteristic curve: FAST-ED=0.81 as reference
- ItemAcesso aberto (Open Access)Translation and validation into the Brazilian Portuguese of the restless legs syndrome rating scale of the International Restless Legs Syndrome Study Group(Academia Brasileira de Neurologia - ABNEURO, 2008-12-01) Masuko, Alice H. [UNIFESP]; Carvalho, Luciane Bizari Coin de [UNIFESP]; Machado, Marco Antonio Cardoso [UNIFESP]; Morais, José F. [UNIFESP]; Prado, Lucila Bizari Fernandes do [UNIFESP]; Prado, Gilmar Fernandes do [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)BACKGROUND: Restless legs syndrome (RLS) is a chronic sensory-motor disorder characterized by unpleasant limb sensations and an irresistible urge to move. The International Restless Legs Syndrome Study Group developed the Restless Legs Syndrome Rating Scale (IRLS) to assess the severity of RLS symptoms. The objective of this study was to translate and validate the IRLS into Brazilian Portuguese. METHOD: The IRLS was translated into Brazilian Portuguese, analyzed, back translated to English, and compared to the original version. It was applied to 10 patients for cultural verification. The language was adjusted and the final version was administered to 30 patients (13 male, mean age 58.88±14.82). RESULTS: There was correlation among the IRLS evaluation of three experts. Many linguistic adaptations were required to achieve cultural adequacy and the Cronbach's alpha coefficient showed reliability of 80%. CONCLUSION: IRLS was translated, adapted, and validated to Brazilian Portuguese language, showing good reliability and validity.
- ItemAcesso aberto (Open Access)Validação da versão brasileira do Questionnaire of Smoking Urges-Brief(Faculdade de Medicina da Universidade de São Paulo, 2007-01-01) Araujo, Renata Brasil; Oliveira, Margareth Da Silva [UNIFESP]; Moraes, João Feliz Duarte; Pedroso, Rosemeri Siqueira; Port, Franciny; Castro, Maria Da Graça Tanori De; Pontifícia Universidade Católica do Rio Grande do Sul; Wainer & Piccoloto - Centro de Psicoterapia Cognitivo-Comportamental; Universidade Federal de São Paulo (UNIFESP)BACKGROUND: The evaluation of craving is very important to treatment of tobacco dependence. OBJECTIVE:The objective of this research was to validate the Brazilian version of the Questionnaire of Smoking Urges-Brief (QSU-B). METHOD: Subjects enrolled to this experimental study were randomized into groups of zero, 30 and 60 minutes of tobacco abstinence. The study group was composed by 201 subjects (134 females and 67 males), age range: 18 to 65 (M = 38.15). The assessment instruments were, in addition to the QSU-B: Social and Demographical Data Form, Visual Analogic Scale for Craving, Fagerström Test for Nicotine Dependence and Anxiety and Depression Beck Inventories. RESULTS: The two-factor factorial analysis presented a total variation of 78.46% and the correlation between these factors was significant and of high intensity (r = 0.636; p < 0.001). All Cronbach s alpha values from QSU-B were above 0.70. We observed a correlation between the QSU-B total score and the Visual Analogic Scale (r = 0.656; p < 0.001), and also with Fagerström s question 1 (r = 0.201; p = 0.004) and question 2 (r = 0.257; p < 0.001). CONCLUSION: QSU-B s Brazilian version proved to be an adequate psychometric instrument for the use both in research and in clinical settings.
- ItemSomente MetadadadosValidity of the Center for Epidemiological Studies Depression scale in Type 2 diabetes(Pergamon-Elsevier Science Ltd, 2016) Carter, Jasmine; Cogo-Moreira, Hugo [UNIFESP]; Herrmann, Nathan; Merino, Daniel; Yang, Pearl; Shah, Baiju R.; Kiss, Alex; Reitav, Jaan; Oh, Paul I.; Swardfager, WalterObjective: Depressive symptoms are common among people with Type 2 diabetes mellitus (T2DM). This study aimed to validate the 3-factor structure of the 14-item Center for Epidemiological Studies Depression (CES-D) scale proposed by Carleton et al. (2013) in a T2DM population. Methods: The CES-D was administered to consecutive patients with T2DM entering a rehabilitation program. Construct validity was assessed using confirmatory factor analysis. Subscale viability, differential item functioning, and associations with clinical characteristics were tested in bifactor models. Results: Among adults with T2DM (n = 305, age 56.9 +/- 11.1, 44.9% male, duration of diabetes 7.8 +/- 7.9 years, HbA1c 0.076 +/- 0.014%), the construct validity of Carleton's 3-factor solution (negative affective, positive affective and somatic symptoms) was confirmed, although negative affective and somatic symptoms were highly correlated (r = 0.926). The CES-D items can be summed to arrive at a total score (omega(H) = 0.869), but not subscale scores (omega(s) > 0.7). Differential item functioning was not found based on age or body mass index (BMI), but Item 1 ("I was bothered by things that don't usually bother me") was inflated in women and Item 7 ("I felt that everything I did was an effort") was inflated in those with higher glycosylated haemoglobin (HbA1c). The general depression factor decreased with age (beta = 0.247, p < 0.001) and increased with BMI (beta= 0.102, p = 0.041) but not HbA1 c (beta= 0.065, p = 0.461). Negative affective symptoms (beta = 0.743, p = 0.001), but not other depressive symptoms, were higher in women. Conclusions: The 14-item CES-D retained construct validity in adults with T2DM. Depressive symptoms were associated with younger age, female gender and BMI, but not with glycemic control. (C) 2016 Elsevier Inc. All rights reserved.