Repositório Institucional - Unifesp :: Navegando por Palavras-chave "Classification"

Navegando por Palavras-chave "Classification"

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Absence epilepsy: Continuum of clinical presentation and epigenetics?
(W B Saunders Co Ltd, 2017) Guilhoto, Laura Maria de Figueiredo Ferreira [UNIFESP]
Purpose: Although absence seizures do predominate in childhood they may occur at all ages and clinical presentation varies widely. Albeit considered a benign seizure type, chronic evolution with therapeutic refractoriness is possible in some patients with absences. The aim of this paper is to summarize the main syndromic presentation of absence seizures and its outcome regarding treatment and prognosis. Method: We performed a review of literature with emphasis in historic and classical manuscripts about absence epilepsy. Results: Absence was described in the beginning of last century as a seizure type with good evolution, but it is still difficult to preview a strict prognosis for an individual patient. Some positive early predictors were reported such as response to initial treatment and seizure onset in childhood. Genetic aspects are not yet well understood although some families have been reported with rare mutations in ion channel coding genes. Conclusion: Absence seizures are present in different epilepsy syndromes and nosological classification is not always possible. Outcome depends on clinical variables such as age of onset, presence of other seizure types and initial response to treatment. (C) 2016 British Epilepsy Association. Published by Elsevier Ltd. All rights reserved.
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Age and regional differences in clinical presentation and risk of hospitalization for dengue in brazil, 2000-2014
(Hindawi Ltd, 2016) Burattini, Marcelo N. [UNIFESP]; Lopez, Luis F.; Coutinho, Francisco A. B.; Siqueira-, Joao B., Jr.; Homsani, Sheila; Sarti, Elsa; Massad, Eduardo
OBJECTIVES: Dengue cases range from asymptomatic to severe, eventually leading to hospitalization and death. Timely and appropriate management is critical to reduce morbidity. Since 1980, dengue has spread throughout Brazil, affecting an increasing number of individuals. This paper describes age and regional differences in dengue's clinical presentation and associated risk of hospitalization based on more than 5 million cases reported to the Brazilian Ministry of Health from 2000-2014. METHODS: We performed a retrospective analysis of similar to 5,450,000 dengue cases, relating clinical manifestations and the risk of hospitalization to age, gender, previous infection by dengue, dengue virus serotype, years of formal education, delay to first attendance and the occurrence of dengue during outbreaks and in different Brazilian regions. RESULTS: Complicated forms of dengue occurred more frequently among those younger than 10 years (3.12% vs 1.92%) and those with dengue virus 2 infection (7.65% vs 2.42%), with a delay to first attendance >2 days (3.18% vs 0.82%) and with <= 4 years of formal education (2.02% vs 1.46%). The risk of hospitalization was higher among those aged 6-10 years old (OR 4.57
Acesso aberto (Open Access)
Análise de sentimento de mensagens do Twitter em português brasileiro relacionadas a temas de saúde
(Universidade Federal de São Paulo (UNIFESP), 2014-07-31) Araujo, Gabriela Denise; Pisa, Ivan Torres; Universidade Federal de São Paulo (UNIFESP)
Objetivo: Construir um método de classificação de sentimento, aqui denominado Sentiment Descriptor Indexing (SDI) ou Indexador de Descritores Sentimentais, para ser aplicado em mensagens do Twitter em português brasileiro relacionadas a temas de saúde possibilitando oferecer uma análise de sentimento com caracterização de aspectos da popularidade e repercussão dos temas. Métodos: A primeira etapa considerou a construção do algoritmo SDI que se baseia na coocorrência de termos do Twitter com descritores do vocabulário ANEW-BR. Emoticons e tratamento de negação foram incorporados no SDI. Na segunda etapa foi realizada uma avaliação do desempenho do algoritmo SDI para mensagens sobre o tema “câncer” de um pe-ríodo de três semanas. As mensagens foram classificadas por voluntários como sa-úde ou não saúde, e positiva, negativa ou neutra e em paralelo pelo SDI. As classifi-cações foram pareadas gerando uma avaliação de desempenho. Também foram geradas análise de sentimento e nuvem de termos. Na terceira etapa foi realizado um experimento de análise de sentimento para os temas “câncer” e “diabetes” em um período de seis meses, com análises de repercussão e popularidade. Resulta-dos: As classificações humana e SDI concordaram na classificação majoritária posi-tiva. Os valores de precisão e revocação resultaram 0,68 e 0,67 respectivamente, gerando melhor desempenho com f0,5-measure 0,68. No experimento coletou-se um total de 25.230 mensagens sobre o tema "câncer" com classificação de sentimento positiva (71%). Pela nuvem de palavras foi possível observar que celebridades, insti-tutos, hospitais, campanhas de saúde e tipos de câncer são assuntos populares so-bre o tema. Para o tema "diabetes" 3.328 mensagens foram coletadas com classifi-cação de sentimento positiva (78%). Para este tema as palavras mais frequentes, indicadas na nuvem de palavras, estavam relacionadas a alimentos e doenças como obesidade e hipertensão. Conclusão: Os resultados obtidos na etapa de avaliação do classificador SDI mostrou que o SDI teve um bom desempenho na tarefa de clas-sificar mensagens do Twitter sobre saúde comparada a classificação realizada por humanos. Entretanto, o tema escolhido retornou mensagens difíceis de serem rotu-ladas até mesmo pelos humanos, gerando discordâncias nas classificações. As con-tribuições deste trabalho visam suprir a falta de métodos de análise de sentimentos para a língua portuguesa brasileira bem como incentivar sua aplicação na melhoria de outras atividades em processamento de linguagem natural.
Acesso aberto (Open Access)
The analysis of activities not performed by the nursing team regarding the diagnosis of ineffective breathing pattern in the elderly
(Univ Sao Paolo, 2012-06-01) Cavalcante, Agueda Maria Ruiz Zimmer [UNIFESP]; Nakatani, Adélia Yaeko Kyosen; Bachion, Maria Marcia [UNIFESP]; Garcia, Telma Ribeiro; Nunes, Daniella Pires; Nunes, Patricia Silva; Universidade Federal de Goiás (UFG); Universidade Federal de São Paulo (UNIFESP); Univ Fed Paraiba; Universidade de São Paulo (USP)
The objective of this cross-sectional, descriptive study was to identify the activities of the Nursing Intervention Classification considered as priorities for an Ineffective Breathing Pattern and not performed for elderly inpatients of a teaching hospital in the state of Goias. The study participants were 43 nursing professionals, and data collection was performed in the period spanning October to December 2008, after receiving approval from the Ethics Committee. It was observed that among the 67 activities considered to be priorities for the referred diagnosis, only seven were performed by all of the participants; the other activities, with a varied frequency, were not performed, with the main reason cited being that a professional from a different area completed the activity. It is understood that the fact that the nursing staff does not perform these activities can cause lack of complete coverage in nursing care; therefore there is a need for a legal apparatus to describe the activities that comprise professional practice exclusive to nursing personnel and those activities that have an interdisciplinary nature.
Acesso aberto (Open Access)
Are distal radius fracture classifications reproducible? Intra and interobserver agreement
(Associação Paulista de Medicina - APM, 2008-05-01) Belloti, Joao Carlos [UNIFESP]; Tamaoki, Marcel Jun Sugawara [UNIFESP]; Franciozi, Carlos Eduardo da Silveira [UNIFESP]; Santos, João Baptista Gomes dos [UNIFESP]; Balbachevsky, Daniel [UNIFESP]; Chap, Eduardo Chap [UNIFESP]; Albertoni, Walter Manna [UNIFESP]; Faloppa, Flávio [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
CONTEXT AND OBJECTIVE: Various classification systems have been proposed for fractures of the distal radius, but the reliability of these classifications is seldom addressed. For a fracture classification to be useful, it must provide prognostic significance, interobserver reliability and intraobserver reproducibility. The aim here was to evaluate the intraobserver and interobserver agreement of distal radius fracture classifications. DESIGN AND SETTING: This was a validation study on interobserver and intraobserver reliability. It was developed in the Department of Orthopedics and Traumatology, Universidade Federal de São Paulo (UNIFESP) - Escola Paulista de Medicina. METHOD: X-rays from 98 cases of displaced distal radius fracture were evaluated by five observers: one third-year orthopedic resident (R3), one sixth-year undergraduate medical student (UG6), one radiologist physician (XRP), one orthopedic trauma specialist (OT) and one orthopedic hand surgery specialist (OHS). The radiographs were classified on three different occasions (times T1, T2 and T3) using the Universal (Cooney), Arbeitsgemeinschaft für Osteosynthesefragen/Association for the Study of Internal Fixation (AO/ASIF), Frykman and Fernández classifications. The kappa coefficient (κ) was applied to assess the degree of agreement. RESULTS: Among the three occasions, the highest mean intraobserver k was observed in the Universal classification (0.61), followed by Fernández (0.59), Frykman (0.55) and AO/ASIF (0.49). The interobserver agreement was unsatisfactory in all classifications. The Fernández classification showed the best agreement (0.44) and the worst was the Frykman classification (0.26). CONCLUSION: The low agreement levels observed in this study suggest that there is still no classification method with high reproducibility.
Acesso aberto (Open Access)
Aspectos manométricos contributivos à Classificação de Chicago para categorização de pacientes como acalasia tipo I ou II
(Universidade Federal de São Paulo (UNIFESP), 2020-06-25) Anefalos, Alexandre [UNIFESP]; Fernandes, Fernando Augusto Mardiros Herbella [UNIFESP]; Universidade Federal de São Paulo
Background: Phenotypes of achalasia are based on esophageal body pressurization. The reasons that lead to wave pressurization are still unclear. This study aims to evaluate manometric parameters that may determine esophageal pressurization in patients with achalasia. Methods: 100 achalasia high resolution manometry tests were reviewed. We measured before each swallow: upper esophageal sphincter (UES) basal pressure, esophageal length, lower esophageal sphincter (LES) basal pressure, LES length, gastric and thoracic pressure, transdiaphragmatic pressure gradient (TPG) and LES retention pressure; during swallow: UES post-relaxation contraction pressure, UES residual pressure, UES recovery time, LES relaxation pressure, gastric and thoracic pressure, TPG and after swallow: esophageal length, LES length, wave amplitude, gastric and thoracic pressure and TPG. Results: Univariate analysis showed in pressurized waves before swallow: higher thoracic, UES and LES basal pressure, longer LES length, higher TPG and decrease of LES retention pressure; during swallow: higher thoracic, gastric and UES post-relaxation contraction pressure, higher UES and LES relaxation pressure and higher TPG; and after swallow: higher thoracic and gastric pressure and higher TPG. Multivariate analysis in pressurized waves showed as significant before swallow: thoracic and UES basal pressure; during swallow: thoracic, gastric and UES post-relaxation contraction pressure, UES residual pressure and UES recovery time; and after swallow: thoracic pressure. Conclusions: Manometric parameters that determined esophageal pressurization in patients with achalasia were: thoracic pressure (before, during and after swallow); UES basal pressure (before swallow); and UES post-relaxation contraction pressure, UES residual pressure and recovery time (during swallow).
Acesso aberto (Open Access)
Balanced scorecard como ferramenta de gestão estratégica no tratamento da fasciíte plantar
(Universidade Federal de São Paulo, 2019-02-18) Pazetti, José Augusto Theodosio [UNIFESP]; Yi, Liu Chiao [UNIFESP]; http://lattes.cnpq.br/6106154677645509; http://lattes.cnpq.br/8445469805205594; Universidade Federal de São Paulo (UNIFESP)
Os modelos de gestão empresarial têm influenciado, globalmente, mudanças em todas as áreas de negócio. Assim, as ações dos profissionais estão baseadas cada vez mais em informações confiáveis oriundas de sistemas de gerenciamento integrados. A Fasciíte Plantar (FP) é uma das lesões mais comuns que acometem o pé, sendo seu tratamento demorado e oneroso. Utilizar uma ferramenta de gestão como o Balanced Scorecard (BSC) poderá auxiliar no diagnóstico e tratamento da FP. Participaram do estudo 42 pacientes de ambos os sexos, com FP unilateral ou bilateral, com duração mínima dos sintomas de quatro meses e idades entre 35 e 65 anos. O modelo BSC para análise das cinco etapas do projeto, foi definido a partir de quatro perspectivas: (i) os resultados; (ii) o paciente; (iii) processo interno; (iv) aprendizagem e crescimento. Sendo a etapa 1 responsável pela identificação dos níveis da FP, a etapa 2 por associação entre o nível da FP e o melhor tratamento, a etapa 3 pela associação entre os níveis da FP com o perfil do paciente e o melhor tratamento, a etapa 4 responsável pela associação dos níveis da FP com o perfil do paciente e a etapa 5 com a análise de evasão ao tratamento. Desta forma, o presente estudo propõe contribuir no gerenciamento do tratamento da FP, fornecendo assistência na escolha do melhor tratamento por nível de lesão e perfil do paciente, na redução do tempo de tratamento, na evasão e reincidência da doença por meio da construção e da implementação de um modelo BSC.
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Breast cancer detection with logistic regression improved by features constructed by kaizen programming in a hybrid approach
(Elsevier Science Bv, 2016) de Melo, Vinicius Veloso [UNIFESP]
Breast cancer is known as the second largest cause of cancer deaths among women, but thankfully it can be cured if diagnosed early. There have been many investigations on methods to improve the accuracy of the diagnostic, and Machine Learning (ML) and Evolutionary Computation (EC) tools are among the most successfully employed modern methods. On the other hand, Logistic Regression (LR), a traditional and popular statistical method for classification, is not commonly used by computer scientists as those modern methods usually outperform it. Here we show that LR can achieve results that are similar to those of ML and EC methods and can even outperform them when useful knowledge is discovered in the dataset. In this paper, we employ the recently proposed Kaizen Programming (KP) approach with LR to construct high-quality nonlinear combinations of the original features resulting in new sets of features. Experimental analysis indicates that the new sets provide significantly better predictive accuracy than the original ones. When compared to related work from the literature, it is shown that the proposed approach is competitive and a promising method for automatic feature construction.
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Can neuroimaging be used as a support to diagnosis of borderline personality disorder? An approach based on computational neuroanatomy and machine learning
(Elsevier B.V., 2012-09-01) Sato, Joao Ricardo [UNIFESP]; Araujo Filho, Gerardo Maria de [UNIFESP]; Araujo, Thabata Bueno de [UNIFESP]; Bressan, Rodrigo Affonseca [UNIFESP]; Oliveira, Pedro Paulo de; Jackowski, Andrea Parolin [UNIFESP]; Universidade Federal do ABC (UFABC); Universidade Federal de São Paulo (UNIFESP); Universidade de São Paulo (USP)
Several recent studies in literature have identified brain morphological alterations associated to Borderline Personality Disorder (BPD) patients. These findings are reported by studies based on voxel-based-morphometry analysis of structural MRI data, comparing mean gray-matter concentration between groups of BPD patients and healthy controls. On the other hand, mean differences between groups are not informative about the discriminative value of neuroimaging data to predict the group of individual subjects. in this paper, we go beyond mean differences analyses, and explore to what extent individual BPD patients can be differentiated from controls (25 subjects in each group), using a combination of automated-morphometric tools for regional cortical thickness/volumetric estimation and Support Vector Machine classifier. the approach included a feature selection step in order to identify the regions containing most discriminative information. the accuracy of this classifier was evaluated using the leave-one-subject-out procedure. the brain regions indicated as containing relevant information to discriminate groups were the orbitofrontal, rostral anterior cingulate, posterior cingulate, middle temporal cortices, among others. These areas, which are distinctively involved in emotional and affect regulation of BPD patients, were the most informative regions to achieve both sensitivity and specificity values of 80% in SVM classification. the findings suggest that this new methodology can add clinical and potential diagnostic value to neuroimaging of psychiatric disorders. (C) 2012 Elsevier B.V. All rights reserved.
Acesso aberto (Open Access)
Classificação das áreas de conhecimento do CNPq e o campo da Enfermagem: possibilidades e limites
(Associação Brasileira de Enfermagem, 2013-09-01) Oliveira, Denize Cristina De; Ramos, Flávia Regina De Souza; Barros, Alba Lucia Bottura Leite de [UNIFESP]; Nóbrega, Maria Miriam Lima Da; Universidade do Estado do Rio de Janeiro Faculdade de Enfermagem Programa de Pós-Graduação em Enfermagem; Universidade Federal de Santa Catarina Departamento de Enfermagem Programa de Pós-Graduação em Enfermagem; Universidade Federal de São Paulo (UNIFESP); Universidade Federal da Paraíba Departamento de Enfermagem de Saúde Pública e Psiquiatria Programa de Pós-Graduação em Enfermagem
Knowledge areas have been discussed by Science and Technology managers and administrators and by the scientific community searching for tools to support data systematization, mainly for management and administrative activities. The main table in use by CNPq is admittedly outdated and requires revision or reclassification. The aim of this article is to contribute to the current debate based on previous results from participation in a table review study performed in the 1990s and on research results in the area of knowledge organization and representation in the context of Information Science. It presents a proposal to reformulate the Nursing Knowledge Area and some reflections about the possibilities of this ongoing process.
Acesso aberto (Open Access)
Classificação das intervenções de enfermagem
(Universidade de São Paulo, Escola de Enfermagem, 2001-06-01) Guimarães, Heloísa Cristina Quatrini Carvalho Passos; Barros, Alba Lucia Bottura Leite de [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
During the last years, Nursing is selking to classify its diagnoses, interventions/actions and outcomes. Here is presented one of the classifications of nursing interventions that was proposed by nurses of the University of Iowa in 1987, the Nursing Interventions Classifications (NIC) as well as the reasons os its creation, in order to contribute to the dissemination of one of the most advanced proposals for classifying nursing interventions.
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Classificação de Robson como instrumento de avaliação das taxas de cesáreas em um hospital público terciário da Amazônia ocidental brasileira
(Universidade Federal de São Paulo (UNIFESP), 2021) Lima, Sheley Borges Gadelha De [UNIFESP]; Gabrielloni, Maria Cristina [UNIFESP]; Universidade Federal de São Paulo
Objectives: Analyzing rates cesarean section according to Robson’s Classification System in a Brazilian Western Amazon town. Method: Prospective, exploratory transversal design study, carried out in a high risk reference maternity that exclusively serves the Unified Health System users, in Rio Branco, Acre State Capital and the neighboring towns. 1,581 childbirth admitted women in a six-month period were included. Data collection has gone through three stages. The first stage was made with all childbirth admitted women, by filling in Robson’s classification questionnaire and with Robson’s calculator App for Smartphone available. The second stage was carried out by filling in sociodemographic data available in the live birth declaration and vaginal birth record book. And the third stage was a structured interview aimed at the puerperal women who were submitted to cesarean section (CS) and complemented with prenatal card data, from maternal and newborn medical records. Descriptive and inferential analyses were performed using the Chi-square test to test the association between the variables. Results: 1,581 births out of 703 (44.5%) were CS, from these 37.3% were primiparous and 62.7% multiparous. Most of them were between 20 and 34 years old and were 12 years of study, on average. Most CS were performed in the labor absence in women with a gestational age of 39 weeks (61.1%). Regarding the distribution of Robson's groups, the largest group was G3 followed by G5, which had 75.0% of CS. This was the group that contributed most to the surgical births overall rate (30.7%). High rate of CS was also found in G2 67.1%, groups G6, G7, G8 had CS rates above 70%, with G9 having 100%. G10 had a 43.9% rate. The main CS medical indication was hypertensive disorder with 19.2%, followed by the previous cesarean section, 15.3%. The CS primary cause in Group 5 was the presence of an anterior CS (38%). Conclusion: Robson's Classification is a useful tool in CS rates monitoring and it is possible to identify the most affected population. The group that performed CS most was group 5, followed by groups 2 and 1. The indication for CS that most appeared was hypertensive disorder, followed by previous CS. The hypertensive disorder was not among the recommendations for CS programmed according to the CONITEC/MS guidelines. This finding becomes important to seek measures that aim to reduce the first CS in women without indication, reducing the chance of an CS in the next pregnancy and fetal, maternal complications.
Acesso aberto (Open Access)
Classificação dos tumores hematopoéticos e linfoides de acordo com a OMS: padronização da nomenclatura em língua portuguesa, 4ª edição
(Sociedade Brasileira de Patologia ClínicaSociedade Brasileira de PatologiaSociedade Brasileira de Citopatologia, 2011-12-01) Zerbini, Maria Cláudia Nogueira; Soares, Fernando Augusto; Morais, José Carlos; Vassallo, José; Velloso, Elvira Deolinda Rodrigues Pereira; Chauffaille, Maria de Lourdes Lopes Ferrari [UNIFESP]; Chiattone, Carlos Sergio; Aldred, Vera Lucia; Siqueira, Sheila Aparecida Coelho; Alves, Antonio Correa [UNIFESP]; Castelli, Jussara Bianchi; Oliveira, Claudia Regina Gomes Mendes Cardim de; Menezes, Yara de; Paes, Roberto Pinto; Universidade de São Paulo (USP); Hospital do Câncer A. C. Camargo Departamento de Anatomia Patológica; Universidade Federal do Rio de Janeiro Departamento de Patologia; Universidade Estadual de Campinas (UNICAMP); Hospital Israelita Albert Einstein Setor de Citogenética Laboratório Clínico; Universidade Federal de São Paulo (UNIFESP); Fleury Medicina Diagnóstica Laboratório de Citogenética; Santa Casa de São Paulo Faculdade de Ciências Médicas; Fleury Medicina Diagnóstica; Instituto Adolfo Lutz; Hospital Alemão Oswaldo Cruz; FCMSCSP Departamento de Patologia
INTRODUCTION: The World Health Organization (WHO) classification of hematopoietic and lymphoid tissue (4th edition, 2008) tumors constitutes an updated review of the 3rd edition published in 2001. The translation of the nomenclature used to describe the entities should be clear, precise and uniform so that clinicians, pathologists and researchers involved in the onco-hematopathological area may identify them accurately. OBJECTIVE: With this purpose, the authors present an updated proposal and a terminological standardization in Portuguese based on WHO/2008
Acesso aberto (Open Access)
Classificação por ressonância magnética da degeneração do disco intervertebral
(Sociedade Brasileira de Ortopedia e Traumatologia, 2009-01-01) Puertas, Eduardo Barros [UNIFESP]; Yamashita, Helio Kiitiro [UNIFESP]; Oliveira, Valdeci Manoel de [UNIFESP]; Souza, Paulo Satiro de [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
The authors suggest an analysis of the degeneration of intervertebral disks on human cadavers using magnetic resonance imaging. Nine lumbar spines were collected from fresh human cadavers and resonance images were captured. The images were analyzed and classified according to the degeneration grades, with the authors proposing a subdivision of type IV into IV-a and IV-b. Forty-four intervertebral disks were analyzed and authors found the following distribution: 4,5% type I; 40,9% type II; 32% type III and 18% type IV-a. However, the investigators disagreed with the conclusions in 4,5% of the disks. The authors found that the progressive signal lost in the T2-weighted images may be correlated to disk degeneration. Changes found in the magnetic resonance images must be standardized and classified for providing a better understanding.
Acesso aberto (Open Access)
Classificação psicoacústica do zumbido persistente
(Universidade Federal de São Paulo (UNIFESP), 2016-10-25) Suzuki, Flavia Alencar de Barros [UNIFESP]; Penido, Norma de Oliveira [UNIFESP]; http://lattes.cnpq.br/7060786297081212; http://lattes.cnpq.br/8460049642723926; Universidade Federal de São Paulo (UNIFESP)
Objective: To propose a new classification of persistent tinnitus using psychoacoustic characteristics and its association to the degree of discomfort, the impact on quality of life, the pitch, loudness and its masking. Method: A total of 110 adult patients of both genders treated at the Tinnitus Outpatient Clinic of UNIFESP according to the inclusion and exclusion criteria were included in the study. Patients underwent otorhinolaryngological, audiological, Pitch Matching and Loudness, Visual Analogue Scale (VAS), Tinnitus Handicap Inventory (THI) and Minimum Masking Level (MML) assessment. Results: A total of 181 complaints of tinnitus were identified in these 110 patients, being 93 (51%) Pure Tone (PT), and 88 (49%) Noise; 19 Low Pitch and 162 High Pitch; with a mean VAS score in PT of 5.47 and Noise of 6.66; mean PT Loudness of 12.31 dBSL and Noise of 10.51 dBSL. As for THI and MML, the 110 patients were separated into 3 groups with tinnitus, PT, Noise and multiple tinnitus (PT+Noise), with a mean THI being higher in the group with multiple tinnitus, of 61.38. For MML, we used White Noise (WN) and Narrow Band (NB) masking noise for high and low frequency. There were similarities between the groups with PT and multiple tinnitus. In the Noise group, different responses were found when using the NB at low frequency. Conclusion: In this psychoacoustic classification of tinnitus it was observed that: there is an association between the type of tinnitus perception and the sounds produced in the audiometer; the PT type showed higher loudness; the Noise type caused more discomfort; Multiple tinnitus is the one with a more severe effect on quality of life and less intensity is required for masking tinnitus when the pitch is similar to the masking noise used.
Acesso aberto (Open Access)
Comparison of the results from simple radiography, from before to after Salter osteotomy, in patients with Legg-Calvé-Perthes disease
(Sociedade Brasileira de Ortopedia e Traumatologia, 2014-10-01) Toma, Hugo Futoshi; Viana, Thiago de Almeida Oliveira Felippe; Meireles, Rostanda Mart; Borelli, Isabel Moreira; Blumetti, Francesco Camara [UNIFESP]; Takimoto, Eduardo Shoiti; Dobashi, Eiffel Tsuyoshi [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
Objectives: To determine whether the clinical variables and preoperative classification of patients with Legg-Calvé-Perthes disease (LCPD) who undergo Salter osteotomy correlate with the radiographic result at the time of skeletal maturity. Methods: In this retrospective cohort study, 47 individuals with LCPD who were treated using Salter osteotomy (1984-2004) were evaluated. The patients were evaluated according to sex, skin color, side affected and age at which osteotomy was performed. The preoperative radiographs were analyzed in accordance with the classifications of Waldenstrom, Catter-all, Laredo and Herring. The radiographs obtained at the time of skeletal maturity were classified using the Stulberg method. Results: The mean age at the time of surgical treatment was 82.87 months (6.9 years). The age presented a statistically significant correlation with the Stulberg grades at skeletal maturity (p < 0.001). Patients over the age of 6.12 years tended to present less favorable results. The variables of sex, skin color and side affected did not present any statistically significant correlation with the prognosis (p = 0.425; p = 0.467; p = 0.551, respectively). Only the Laredo classification presented a statistically significant correlation with the final result given by the Stulberg classification (p = 0.001). The other classifications used (Waldenstrom, Catterall and Herring) did not present any correlation between the time at which surgery was indicated and the postoperative result. Conclusions: The age at which the patients underwent surgical treatment and the Laredo classification groups were the only variables that presented significant correlations with the Stulberg classification.
Acesso aberto (Open Access)
Conservative interventions for treating middle third clavicle fractures in adolescents and adults
(Inst Israelita Ensino & Pesquisa Albert Einstein, 2016) Lenza, Mario; Faloppa, Flavio [UNIFESP]
Background Clavicle (collarbone) fractures account for around 4% of all fractures. Most (76%) clavicle fractures involve the middle-third section of the clavicle. Treatment of these fractures is usually non-surgical (conservative). Commonly used treatments are arm slings, strapping and figure-of-eight bandages. This is an update of a Cochrane review first published in 2009 and updated in 2014. Objectives To evaluate the effects (benefits and harms) of different methods for conservative (non-operative) treatment for acute (treated soon after injury) middle third clavicle fractures in adolescents and adults. Search methods We searched the Cochrane Bone, Joint and Muscle Trauma Group Specialised Register, the Cochrane Central Register of Controlled Trials, MEDLINE (from 1966), Embase (from 1980), LILACS (from 1982), trial registers, orthopaedic proceedings and reference lists of articles. We applied no language or publication restrictions. The date of the last search was 5 January 2016. Selection criteria Randomised and quasi-randomised controlled trials testing conservative interventions for treating adolescents and adults with acute middle third clavicle fractures. The primary outcomes were shoulder function or disability, pain and treatment failure. Data collection and analysis For this update, two review authors selected eligible trials, independently assessed risk of bias and cross-checked data extraction. We calculated risk ratios and 95% confidence intervals for dichotomous variables, and mean differences and 95% confidence intervals for continuous variables. There was very limited pooling of data. Main results We included four trials in this review with 416 participants, who were aged 14 years or above. One new trial was included in this update. Very low quality evidence was available from three trials (296 participants) that compared the figure-of-eight bandage with an arm sling for treating acute middle third clavicle fractures. The three trials were underpowered and compromised by poor methodology. Shoulder function was assessed in different ways in the three trials (data for 51, 61 and 152 participants)
Acesso aberto (Open Access)
Critérios diagnósticos para os transtornos alimentares: conceitos em evolução
(Associação Brasileira de Psiquiatria - ABP, 2002-12-01) Claudino, Angélica de Medeiros [UNIFESP]; Borges, Maria Beatriz Ferrari [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
This article presents the the state of art of the discussion over the current diagnostic criteria for eating disorders: Anorexia Nervosa (AN), Bulimia Nervosa (BN) and Binge-Eating Disorder (BED). Within the controversial aspects of AN, it is outlined: the conception of body image disturbance, the necessity of amenorrhea fpr the diagnosis and the possibility of AN without its characteristic aspect, the morbid fear of weight, in not Westernized cultures. For BN, it is specially discussed the conception of binge-eating and the frequency and duration of episodes necessary for the diagnosis. The article also presents the suggested criteria for BED diagnosis and comments on its difficult distinction from non-purging BN . The issues here discussed shall improve the nosology in the field.
Acesso aberto (Open Access)
Cross mapping of nursing  diagnoses in infant health using  the International Classification of Nursing Practice
(Universidade de São Paulo, Escola de Enfermagem, 2014-04-01) Luciano, Thaís Savini; Nóbrega, Maria Miriam Lima da; Saparolli, Eliana Campos Leite [UNIFESP]; Barros, Alba Lucia Bottura Leite de [UNIFESP]; Hospital São Luiz Morumbi; Universidade Federal da Paraíba Department of Nursing in Public Health and Psychiatry; Universidade Federal de São Paulo (UNIFESP)
This was a descriptive, retrospective study, with a quantitative method, with the aim of analyzing the nursing diagnoses contained in the records of children of 0 to 36 months of age who attended infant health nursing consults. A documentary analysis and the cross-mapping technique were used. One hundred eighty-eight different nursing diagnoses were encountered, of which 33 (58.9%) corresponded to diagnoses contained in the Nomenclature of Nursing Diagnoses and Interventions and 23 (41.1%) were derived from ICNP® Version 1.0. Of the 56 nursing diagnoses, 43 (76.8%) were considered to be deviations from normalcy. It was concluded that the infant health nursing consults enabled the identification of situations of normalcy and abnormality, with an emphasis on the diagnoses of deviations from normalcy. Standardized language favors nursing documentation, contributing to the care of the patient and facilitating communication between nurses and other health professionals. 
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A CT-based classification of prior ACL femoral tunnel location for planning revision ACL surgery
(Springer, 2012-07-01) Magnussen, Robert A.; Debieux, Pedro [UNIFESP]; Benjamin, Biju; Lustig, Sebastien; Demey, Guillaume; Servien, Elvire; Neyret, Philippe; Ohio State Univ; Universidade Federal de São Paulo (UNIFESP); Minist Hlth; Hop Croix Rousse
The purposes of this study are to describe an ACL femoral tunnel classification system for use in planning revision ACL reconstruction based on 3-D computed tomography (CT) reconstructions and to evaluate its inter- and intra-rater reliability.A femoral tunnel classification system was developed based on the location of the femoral tunnel relative to the lateral intercondylar ridge. the femoral tunnel was classified as Type I if it was located entirely below and posterior to the ridge as viewed from distally, Type II if it was slightly malpositioned (either vertically, anteriorly, or both), and Type III if it was significantly malpositioned. To evaluate the reproducibility of the classification system, CT scans of 27 knees were obtained from patients scheduled for revision ACL reconstruction, and 3-D reconstructions were created. Four views of the 3-D reconstruction of each femur were then obtained, and inter- and intra-observer reliability was determined following classification of the tunnels by eight observers.Twenty-five tunnels were classified as Type I (5 tunnels), Type II (9 tunnels), or type III (11 tunnels) by at least 5 of 8 observers, while insufficient agreement was noted to classify two tunnels. the interobserver reliability of tunnel classification as type I, II, or III yielded a kappa coefficient of 0.57, while intra-observer reliability yielded a kappa coefficient of 0.67. Subclassification of type II femoral tunnels into the subgroups anterior, vertical, and both was possible in four of the nine type II patients. the interobserver reliability of the complete classification system yielded a kappa coefficient of 0.50, while the intra-observer reliability yielded a kappa coefficient of 0.54.Classification of the location of ACL femoral tunnels utilizing 3-D reconstructions of CT data yields moderate to substantial inter- and intra-observer reliability.Diagnostic Level III.

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