Navegando por Palavras-chave "questionnaire"

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    Attitudes and practices about postmenopausal hormone therapy among female gynecologists in Brazil
    (Elsevier B.V., 2005-06-16) Pereira Filho, Alberto Soares; Soares Junior, Jose Maria [UNIFESP]; Arkader, Jacob; Maciel, Gustavo Arantes Rosa; Baracat, Edmund Chada [UNIFESP]; Universidade Federal de São Paulo (UNIFESP); Santa Casa Misericordia Rio de Janeiro; Universidade Federal Fluminense (UFF)
    Objectives: the aim of this study was to investigate the attitudes and practices of Brazilian female gynecologists surrounding their personal use of menopausal/postmenopausal hormone therapy (HT). Methods: This study was conducted in February 2001 using a mail survey. Three thousand eighty nine (n = 3089) female gynecologists over the age of 35 years and affiliated with the Brazilian Federation of Obstetricians and Gynecologists (FEBRASGO) were sent a questionnaire inquiring about their demographic, professional, medical, and behavioral background as well as their personal use of HT. Results: the response rate was 56.3%. Information on the menopausal status was available for 1655 respondents: 755 (45.7%) were postmenopausal, 172 indicated that they had irregular menses cycles (9.2%), and 728 (44.1%) underwent regular menses. Approximately, 47% of the postmenopausal respondents had been subject to a hysterectomy and were above the age of 50 years or had undergone bilateral oophorectomy. When asked about personal HT use, 61.1% and 10.3% of the respondents indicated that they were current or former users, respectively. 28.6% of the respondents had never used HT. the highest frequency of use occurred during their fifth decade. the main reasons for their use of HT included the attenuation of vasomotor symptoms, the prevention/treatment of osteoporosis, or the prevention of cardiovascular disease. Combined estrogen/progestin therapy was the preferred choice for postmenopausal gynecologists with an intact uterus. Family or personal histories of breast cancer or smoking were reported as deterrents against HT use for the female gynecologists. Conclusion: Brazilian postmenopausal gynecologists engage in a high frequency of HT use. High levels of personal use may influence the general population towards HT prescription and compliance. (c) 2004 Elsevier Ireland Ltd. All rights reserved.
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    Brazil Patient Knowledge Questionnaire (PKQ) and evaluation of disease-specific knowledge in patients with rheumatoid arthritis
    (Clinical & Exper Rheumatology, 2006-09-01) Jennings, Fabio [UNIFESP]; Toffolo, Sandra Regina [UNIFESP]; Assis, Marcos Renato de [UNIFESP]; Natour, Jamil [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    Objective To create a Brazilian version of the Patient Knowledge Questionnaire-PKQ, an instrument for measuring the knowledge of patients with rheumatoid arthritis (RA) as regards their disease, and through the use of this instrument, also measure the knowledge of RA patients from reference hospitals in the city of Sao Paulo.Methods Two teachers of English translated the PKQ into Portuguese in order to obtain a single version, which was then translated back into English to evaluate its equivalence to the original version (back translation). The final version in Portuguese was applied to 20 patients with RA for adaptation to cultural issues, and questions not understood by 20% or more patients were subsequently modified. Inter- and intraobserver reliability and the constructive validity of the PKQ were tested. The questionnaire was then applied to 100 RA patients, selected in four outpatient clinics at reference hospitals in the city, of Sao Paulo.Results Three of the PKQ questions were modified to adapt to cultural issues. Intraclass correlation coefficients used for the reliability and validity of the PKQ were between were between 0.62 and 0.94, therefore, statistically significant (p < 0.05). The mean PKQ score was 12.96 and the mean test application time was 10.3 minutes, for the 100 patients assessed. The lowest scores were observed in the domains of medications and joint protection/energy conservation. PKQ scores showed a positive correlation with the level of education (r=0.40) and a negative correlation with the patients' age (r=-0.32) and with HAQ (r=-0.28).Conclusions The Brazilian version of the PKQ that was created and proved to be a reliable and valid instrument. Patients' knowledge of RA is poor particularly in the domains regarding medications and joint protection/energy conservation.
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    Brazilian cross-cultural translation and adaptation of the Questionnaire of Life Quality Specific for Myasthenia Gravis-15 items
    (Assoc Arquivos Neuro- Psiquiatria, 2013-12-01) Mourao, Aline Mansueto; Araujo, Caroline Martins; Barbosa, Luiz Sergio Mageste; Gomez, Rodrigo Santiago; Burns, Ted M.; Lemos, Stela Maris Aguiar [UNIFESP]; Teixeira, Antonio Lúcio [UNIFESP]; Universidade Federal de Minas Gerais (UFMG); Univ Virginia; Universidade Federal de São Paulo (UNIFESP)
    Objective: To translate and to perform the cross-cultural adaptation of the Questionnaire of Life Quality Specific for Myasthenia Gravis - 15 items (MG-QOL15). Method: the original English version of the questionnaire was translated into Portuguese. This version was revised and translated back into English. Later, both English versions were compared and the divergences were corrected in the Portuguese text. At a second stage, ten patients with MG followed at the Neuromuscular Diseases Clinic from the University Hospital, Universidade Federal de Minas Gerais answered the questionnaire. the authors analyzed the difficulties and misunderstandings in the application of the questionnaire. Results: the questions 8, 13 and 15 were considered difficult to understand and were modified in the final Portuguese version. Most patients (70%) had a total score above 25, and the statements 3, 8 and 9 showed the highest scores. Conclusion: the Brazilian version of the questionnaire MG-QOL15 seems to be a promising tool for the assessment of Brazilian patients with MG.
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    Correlação entre dados obtidos em um questionário de exposição solar e os níveis séricos de 25-hidroxivitamina d em população de jovens e de idosos, caucasoides, da cidade de São Paulo, durante o verão e no inverno São Paulo 2015
    (Universidade Federal de São Paulo (UNIFESP), 2015-08-24) Bittar, Fernanda Barros [UNIFESP]; Szejnfeld, Vera Lucia Szejnfeld [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    Objective: The aim of the present study is to verify if there is a correlation between the sun exposure questionnaire developed by Hanwell et al. (2010) and the serum vitamin D level in healthy caucasian subjects, young and old during the summer and winter. Subjects and Methods: A cross-sectional study was carried out in healthy subjects living in São Paulo city. All participants answered a sun exposure questionnaire and had blood samples collected for the serum vitamin D concentrations at the same day. Anthropometric data were also collected. The relationship between the questionnaire variables (such as time of sun exposure, amount of exposed skin, Total Sun Exposure Score and other data) and serum vitamin D status of individuals was evaluated. These associations were studied in summer and winter, in young and elderly, as well as, in the total sample. It was adopted statistical significance level 5 %. Results:The study sample consisted of 200 subjects, divided into four groups: 50 young and 50 elderly in the summer, 50 young and 50 elderly in the summer. The average serum vitamin D concentration was 17.60 ng/ml (± 7.3) with no difference accordingmaturity (P = 0293). The Total Sun Exposure Score correlated with serum vitamin D levels in the analysis of all subjects(r = 0.264; p < 0.001). By dividing in young and old, summer and winter, it was observed that the correlation remained only among the elderly in the summer (r = 0.322; p < 0.023). BMI had inverse correlation with vitamin D status (OR = 0.926; p = 0.027). In linear regression, The Total Sun Exposure Score and BMI were significant to estimate serum vitamin D levels. The Total Sun Exposure ROC curve was analyzed, and the AUC had no significance in determining individuals with vitamin D insufficiency (p = 0.172). Conclusion: The questionnaire, when associated with BMI, can estimate serum vitamin D level, but does not define insufficient vitamin D subjects. The questionnaire had correlation with serum vitamin D only in the summer elderly group. More than half of the participants had serum vitamin D levels consistent with insufficiency.
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    Cri du Chat syndrome: Characteristics of 73 Brazilian patients
    (Wiley, 2018) Honjo, R. S.; Mello, C. B. [UNIFESP]; Pimenta, L. S. E.; Nunes-Vaca, E. C.; Benedetto, L. M. [UNIFESP]; Khoury, R. B. F.; Befi-Lopes, D. M.; Kim, C. A.
    BackgroundCri du Chat syndrome (CdCS) is a genetic syndrome caused by deletions in the short arm of chromosome 5. Although the main clinical features of CdCS are well known, the neurocognitive and behavioural characteristics of the phenotype are rarely described in detail in the literature. In this study, we analysed the main phenotypic features of CdCS from a parental perspective. MethodA questionnaire was sent to 700 Brazilian families that were registered in the Brazilian Association of CdCS. The questions involved specific domains of CdCS, such as pregnancy and birth conditions, recurrence of the disease in the family, current major health problems, and aspects of cognitive development. ResultsIn total, 73 questionnaires were completed: 44 females and 29 males, ranging from 9.5months old to 40years old (mean=13.8 years
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    Cross-cultural Adaptation and Measurement Properties of the Brazilian Portuguese Version of the Victorian Institute of Sport Assessment-Patella (VISA-P) Scale
    (J O S P T,, 2013-03-01) Wageck, Bruna Borges; Noronha, Marcos Amaral de; Lopes, Alexandre Dias [UNIFESP]; Cunha, Ronaldo Alves da [UNIFESP]; Takahashi, Ricardo Hisayoshi; Costa, Leonardo Oliveira Pena; Univ Estado Santa Catarina; La Trobe Rural Hlth Sch; Univ Cidade São Paulo; Universidade Federal de São Paulo (UNIFESP); Saude Plena
    STUDY DESIGN: Clinical measurement.OBJECTIVES: To translate, adapt, and test the measurement properties of the Brazilian Portuguese version of the Victorian Institute of Sport Assessment-Patella (VISA-P) questionnaire.BACKGROUND: It is important to objectively measure symptoms and functional limitations related to patellar tendinopathy using outcome measures that have been validated in the language of the target population. Cross-cultural adaptations are also useful to enhance the understanding of the measurement properties of an assessment tool, regardless of the target language.METHODS: the VISA-P questionnaire was translated into Brazilian Portuguese, culturally adapted, and titled VISA-P Brazil. It was then administered on 2 occasions with a 24- to 48-hour interval between them, and a third time after a month of physical therapy treatment. the following measurement properties were analyzed: internal consistency, test-retest reliability, agreement, construct validity, floor and ceiling effects, and responsiveness.ESULTS: the VISA-P Brazil had high internal consistency (Cronbach alpha =.76; if item deleted, Cronbach alpha = .69-18), excellent reliability and agreement (intraclass correlation coefficient = 0.91; 95% confidence interval: 0.85, 0.95; standard error of measurement, 5.2 points; minimal detectable change at the 90% confidence level, 12.2 points), and good construct validity (Pearson r = 0.60 compared to Lysholm). No ceiling and floor effects were detected for the VISA-P Brazil, and the responsiveness, based on 32 patients receiving physical therapy intervention for 1 month, demonstrated a large effect size of 0.97 (95% confidence interval: 0.68, 1.25).CONCLUSION: the VISA-P Brazil is a reproducible and responsive tool and can be used in clinical practice and research to assess the severity of pain and disability of patients with patellar tendinopathy.
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    Cross-cultural validation of the Chalder Fatigue Questionnaire in Brazilian primary care
    (Elsevier B.V., 2007-03-01) Cho, Hyong Jin; Costa, Erico; Menezes, Paulo Rossi; Chalder, Trudie; Bhugra, Dinesh; Wessely, Simon; Universidade Federal de São Paulo (UNIFESP); Kings Coll London; Fundacao Oswaldo Cruz; Universidade de São Paulo (USP)
    Objective: the Chalder Fatigue Questionnaire (CFQ) is an instrument used to measure physical and mental fatigue. We translated and adapted the questionnaire and tested its reliability and validity in a Brazilian primary care setting. Method: A pilot study with 204 consecutive primary care attenders in São Paulo, Brazil, verified the internal consistency and factor structure of the questionnaire. After some modifications through a rigorous translation, back-translation, and cross-cultural adaptation procedure, a validation study was conducted with 304 attenders, who also completed the fatigue section of the Revised Clinical Interview Schedule (CIS-R). Results: the internal consistency of the Brazilian CFQ slightly improved from the pilot to the validation study: Cronbach's alpha from .86 to .88. the two-factor structure (physical and mental fatigue) also improved. According to the receiver operating curve analysis with the fatigue section of the CIS-R as the standard criterion, 3/4 was chosen as the cutoff for Brazilian primary care (sensitivity 69.1% and specificity 79.4%). Conclusion: the Brazilian CFQ had good reliability and validity. the cutoff was determined as 3/4 and the factor structure of the English CFQ was closely reproduced. (c) 2007 Elsevier Inc. All rights reserved.
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    Desenvolvimento e validação da escala copas - chronic obstructive pulmonary disease activity scale em pacientes com doença pulmonar obstrutiva crônica (dpoc) no Brasil
    (Universidade Federal de São Paulo (UNIFESP), 2014-03-31) Gomes, Luiza Gabriela Pessoa de Carvalho [UNIFESP]; Nascimento, Oliver Augusto Nascimento [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    Introduction: Chronic obstructive pulmonary disease (COPD) is a preventable and treatable disease, which is characterized by persistent obstruction of airflow and is usually progressive and associated with a chronic inflammatory response of the lungs to noxious particles or gases. Although COPD affects the lungs, it also produces significant systemic consequences, including physical limitation. Objective: To develop a scale of physical activity, to assess its reproducibility and validate this instrument by comparing it to the test of six-minute walk and the results of the pedometer. Materials and Methods: The study included patients who did not undergo pulmonary rehabilitation in the past two years and who were treated as outpatients with COPD Pulmonary Rehabilitation Center of Pulmonology UNIFESP. Pulmonary function test, walk test six minutes and applied questionnaires on quality of life, anxiety and depression and physical activity was performed. The proposed scale of physical activity in this study - Chronic Obstructive Pulmonary Disease Activity Scale - COPAS was compared with objective measures of physical activity. The scale score was divided into three domains, resulting in a total score. Results: Through factor analysis it was observed that 13 of the 27 questions, had affinities between them and determined linear score 0-76 points. The COPAS showed good test-retest reproducibility in relation (with a variation of r: 0.78 to 0.94 ). Also showed a weak correlation with 6MWT (r= 0.28 ) , number of steps (r= 0.36 ) and moderate correlation with IPAQ (r: 0.44 ). The overall average steps per day was 7.290 ± 4.341, with women walking 8,099 ± 4,868 and 6,742 ± 3,890 men steps. Conclusion: The COPAS is reproducible and correlated with 6MWT and the number of steps by pedometer reviews.
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    Development of a tool for early referral of children and adolescents with signs and symptoms suggestive of chronic arthropathy to pediatric rheumatology centers
    (Wiley-Blackwell, 2006-06-15) Len, Claudio Arnaldo [UNIFESP]; Terreri, Maria Teresa Ramos Ascensão [UNIFESP]; Puccini, Rosana Fiorini [UNIFESP]; Wechsler, Rudolf [UNIFESP]; Silva, Edina Mariko Koga da [UNIFESP]; Oliveira, Leda Magalhães de [UNIFESP]; Barbosa, Cassia Maria Passarelli Lupoli [UNIFESP]; Pedroso, Glaura César [UNIFESP]; Hilário, Maria Odete Esteves [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    Objective. To develop an easy, time-efficient tool to identify children and adolescents with signs and symptoms suggestive of chronic arthropathies, and to evaluate its interobserver reproducibility and reliability.Methods. the instrument used standardized techniques as required for the development of health-related instruments, targeting parents of apparently healthy children and adolescents ages 1-16 years. A multidisciplinary team was involved in the design of the instrument.Results. Each health professional generated 10-15 questions addressing musculoskeletal complaints that they considered to be the most relevant. A total of 60 questions were listed. During the reduction step, each health professional scored questions from 1 to 4 according to the question's relevance. the tool comprised 12 questions and was administered to the parents of 3 groups: patients with juvenile idiopathic arthritis (JIA; n = 48), children with diffuse musculoskeletal pain (n = 39), and a healthy control group (n = 42). the JIA group achieved the highest scores, followed by the diffuse musculoskeletal pain group and the control group. Nine (18.7%) of 48 patients with JIA and 2 (5.1%) of 39 children with musculoskeletal pain had a score of 5. the interobserver reproducibility was confirmed. All 12 questions were included in the final version of the instrument. We determined that children and adolescents with a score >= 5 should be referred for a rheumatologic evaluation (cluster analysis and logistic regression).Conclusion. Our questionnaire seems to be a useful tool for the early detection of musculoskeletal problems in children that may need a referral for a rheumatologic evaluation.
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    Discriminative aspects of SF-36 and QQL-EPM related to asthma control
    (Taylor & Francis Inc, 2007-01-01) Oliveira, Maria Alenita de [UNIFESP]; Fernandes, Ana Luisa Godoy [UNIFESP]; Santos, Lucia Ande [UNIFESP]; Carvalho, Maria Amelia dos Santos [UNIFESP]; Faresin, Sonia [UNIFESP]; Santoro, Ilka Lopes [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    Aim. To study any discriminative properties of SF-36 and QQL-EPM in stable and non-controlled moderate asthmatic patients. Methods. A total of 63 asthmatic patients were assessed regarding asthma symptoms, FEV1% predicted value, PEF, ED visits and hospitalizations, QQL-EPM and SF-36 questionnaires. Results. QQL-EPM highlighted significance in all domains to distinguish stable from non controlled patients (p = 0.0001) while SF-36 was only significant in 3 of its 7 domains (p = 0.009). Conclusion. the study showed that the specific quality of life questionnaire for asthma (QQL-EPM) demonstrates better discriminative properties that characterize asthma control when compared with the more generic SF-36 questionnaire.
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    Drug hypersensitivity in students from São Paulo, Brazil
    (Hospital Clinicas, Univ São Paulo, 2010-01-01) Ensina, Luis Felipe Chiaverini; Amigo, Maria Helena Lopes; Koch, Thais; Guzman, Evelyn; Paoli, Renata; Camelo Nunes, Ines Cristina [UNIFESP]; Universidade de São Paulo (USP); Universidade Federal de São Paulo (UNIFESP)
    BACKGROUND: Drug hypersensitivity is responsible for substantial mortality and morbidity, and increased health costs. However, epidemiological data on drug hypersensitivity in general or specific populations are scarce.METHODS: We performed a cross-sectional survey of 1015 university students, using a self-reported questionnaire.RESULTS: the prevalence of self-reported drug hypersensitivity was 12,11% (123/1015). the most frequently implicated drugs were non-steroidal anti-inflammatory drugs (45,9%) and beta-lactam and sulfonamide antibiotics (25,40%). the majority of the patients reported dermatological manifestations (99), followed by respiratory (40), digestive (23) and other (19). Forty-five patients had an immediate type reaction, and 76,72% (89) had the drug by oral route.CONCLUSION: the results showed that drug hypersensitivity is highly prevalent in university students, and that nonsteroidal anti-inflammatory drug and antibiotics (beta-lactams and sulfonamide) are the most frequently concerned drugs.
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    The impact of lupus erythematosus cutaneous on the quality of life: the Brazilian-Portuguese version of DLQI
    (Springer, 2006-04-01) Ferraz, L. B.; Almeida, F. A.; Vasconcellos, M. R.; Faccina, A. S.; Ciconelli, R. M.; Ferraz, M. B.; Universidade Federal de São Paulo (UNIFESP)
    Objective: To translate into Brazilian-Portuguese, culturally adapt and validate the DLQI. Patients and Methods: the DLQI was translated into Brazilian-Portuguese and cultural adaptation was performed following the methodology proposed by Falcao. Inter-observer reliability and validity were assessed. Seventy-one patients with lupus erythematosus with cutaneous lesions selected from the outpatient dermatology clinic had their quality of life assessed by DLQI and SF-36. the validity of the Brazilian-Portuguese version of the DLQI was evaluated by the correlation of DLQI scores with SF-36 component scores and other outcome measures. Results: in the translation and cultural adaptation process the basic structure of DLQI was kept. Very few questions have very slightly modifications. of the 71 patients, 83% were women and the median (SD) age was 38 (12) years. the patients had a mean (SD) disease duration of 8(6) years. There were 46 patients with active cutaneous lesions and 37 patients with alopecia. the DLQI inter-observer reliability coefficient was 0.96 (p < 0.001). the DLQI mean (SD) score was 6.5 (5.6) and most of the SF-36 domains were between 60 and 70. the domains that had the lowest scores were 'Cygeneral health' (62) and 'Cymental health' (62). the Pearson correlation coefficient between DLQI and each SF-36 component score were highly statistically significant (p < 0.001), despite of being only moderate. As expected there was no correlation between DLQI or each one of the SF-36 components and age, disease duration or number of ACR criteria. Patients with active cutaneous lesions presented statistically significant lower scores of DLQI and SF-36 when compared to patients without active cutaneous lesions. Patients with alopecia presented a statistically significant lower score in DLQI when compared to patients without alopecia. Conclusions: the results suggest that the Brazilian-Portuguese version of the DLQI is a reliable and valid outcome measure to be used in LE clinical studies.
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    Influência de alimentos estimulantes nas parassonias em crianças
    (Universidade Federal de São Paulo (UNIFESP), 2014-11-30) Ruotolo, Fabiana [UNIFESP]; Carvalho, Luciane Bizari Coin de Carvalho [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    Objective: To verify if nighttime feeding habits can influence sleep, and especially parasomnia, in children. Method: Cross-sectional. Subjects: Children were classified as presence or absence of parasomnia, and data of dietary recall, starting time to school, physical activity, and nutritional status were studied. A total of 226 Sleep Disturbance Scale for Children (adapted to and validated for the Brazilian population) were distributed to the parents of children. The children aged from 7 to 8 years. The Chi-square Test was used for comparison of data between the parasomnia and non-parasomnia groups for the following independent categorical variables. Logistic Regression was performed for presence or absence of the dichotomous variable presence of parasomnia. The significance level was set at p< 0.05. Setting: Seven private and four public Elementary Schools in the city of São Paulo, Brazil, took part in the study. Results: Of the 226 questionnaires completed, 92 (41%) reported presence of parasomnia. Children who engaged in physical activity had a trend to experience parasomnia (62%) more than those who were not physically active (38%; p=0.09). There was no difference between parasomnia and no-parasomnia groups in terms of food type (solids, fluids, or both) (p=0.78) or timing of last meal before bedtime (p=0.50). Girls had 2.3 times more the chance of parasomnia than boys. Children who consumed stimulant foods had 2.6 times more chance to have parasomnia than those children who consumed non-stimulant foods. Conclusions: Our findings suggest that intake of stimulant foods is associated with development of parasomnia in children.
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    Latitude and social habits as determinants of the distribution of morning and evening types in Brazil
    (Taylor & Francis Ltd, 1998-12-01) Benedito-Silva, A. A.; Menna-Barreto, L.; Alam, M. F.; Rotenberg, L.; Moreira, LFS; Menezes, AAL; Silva, H. P. da; Marques, N.; Universidade de São Paulo (USP); Universidade Federal de São Paulo (UNIFESP); Univ Fed Pelotas; Fundacao Oswaldo Cruz; Univ Fed Rio Grande do Norte; Museu Emilio Goeldi
    Previous application of a Portuguese Version of the Horne and Ostberg (H&O) questionnaires in Brazil showed a displacement of the distribution of Morningness/Eveningness (M/E) types towards morningness, demanding a reclassification of the score's limits for each of the 5 possible M/E types. Among city, age and sex, city was the only factor determining significant group differences. in the present paper, the same version of the H&O's questionnaire was applied to a distinct population of 260 adults, balanced according to age, sex and city. Data were collected from October to December, to control the effect of the photoperiod. City remains the only factor determining significant group differences (p<0.001). Moreover, there does not appear a coherent latitude trend that could explain differences among cities as a function of photoperiod. Local social habits could probably explain our results, suggesting further investigations of peculiar temporal patterns.
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    Measurements and planes assessed during second-trimester scans in Brazil: an online survey
    (Informa Healthcare, 2012-11-01) Bruns, Rafael Frederico [UNIFESP]; Araujo Junior, Edward [UNIFESP]; Machado Nardozza, Luciano Marcondes [UNIFESP]; Martins, Wellington P.; Moron, Antonio Fernandes [UNIFESP]; Universidade Federal de São Paulo (UNIFESP); Universidade Federal do Paraná (UFPR); Universidade de São Paulo (USP); Escola Ultra Sonog & Reciclagem Med Ribeirao Pret; Inst Nacl Ciencia & Tecnol INCT Hormonios & Saude
    Objective: the purpose of this study was to estimate what measurements and planes are being assessed during second-trimester scan in Brazil, some characteristics from performing physicians and whether informed consent is being asked. Methods: Invitational e-mails were sent for all physicians registered in the database from three institutions. Participants who agreed to participate were directed to an online survey consisting 21 questions. All participants who agreed to participate and sent the online survey were included. We excluded participants who sent an incomplete survey; those who perform 510 second-trimester scans per month and those who do not work in Brazil. Results: A total of 41,847 invitational e-mails were submitted, and 467 participants were included in the final analysis. We observed a relatively low proportion of participants examining some important planes from fetal heart: only approximately 80% usually examine the five-chamber and three-vessel views and only 44.3% examine the tracheal view. Regarding the expertise of examiners, we observed that 10.7% of participants do not have any certificate acknowledged by our official institutions. Additionally, only 7.9% of the participants ask for signed informed consent before examination. Conclusions: Specific guidelines are still missing. A relatively high proportion of second-trimester scan do not evaluate even what is suggested to be performed in a routine second-trimester scan.
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    Prevalence of rhinitis-related symptoms in Latin American children - Results of the International Study of Asthma and Allergies in Childhood (ISAAC) phase three
    (Wiley-Blackwell, 2010-02-01) Sole, Dirceu [UNIFESP]; Mallol, Javier; Camelo-Nunes, Ines C. [UNIFESP]; Wandalsen, Gustavo F. [UNIFESP]; Latin Amer ISAAC Study Grp; Universidade Federal de São Paulo (UNIFESP); Univ Santiago Chile
    The aim of this study was to evaluate the prevalence of rhinitis-related symptoms among children living in different parts of Latin America (LA) considering all centers involved in ISAAC Phase Three (Ph3). 93,851 children (6-7 yr-old) from 35 centers in 14 LA countries and 165,917 adolescents (13-14 yr-old) from 56 centers in 17 LA countries were enrolled. the mean prevalence rate of current rhinoconjunctivitis was 12.7% and ranged from 5.5% in Rosario City (Argentina) to 21.2% in Caracas (Venezuela) for the schoolchildren. the mean prevalence rate of current rhinoconjunctivitis was 18.5% and ranged from 7.1% in Cuernavaca (Mexico) to 45.1% in Asuncion (Paraguay) for the adolescents. These indexes were among the higher observed during ISAAC Ph3. in general the prevalence of rhinitis-related symptoms was higher among the Spanish speaking centers. Environmental risk factors must be evaluated in order to explain the differences observed even in centers from the same country.
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    Primary care physician perceptions on the diagnosis and management of chronic obstructive pulmonary disease in diverse regions of the world
    (Dove Medical Press Ltd, 2012-01-01) Aisanov, Zaurbek; Bai, Chunxue; Bauerle, Otto; Colodenco, Federico D.; Feldman, Charles; Hashimoto, Shu; Jardim, Jose Roberto [UNIFESP]; Lai, Christopher K. W.; Laniado-Laborin, Rafael; Nadeau, Gilbert; Sayiner, Abdullah; Shim, Jae Jeong; Tsai, Ying Huang; Walters, Richard D.; Waterer, Grant; Pulmonol Res Inst; Fudan Univ; Ctr Med Amer; Hosp Rehabil Resp Maria Ferrer; Charlotte Maxeke Johannesburg Hosp; Univ Witwatersrand; Nihon Univ; Universidade Federal de São Paulo (UNIFESP); Chinese Univ Hong Kong; Univ Autonoma Baja California; GlaxoSmithKline; Ege Univ; Korea Univ; Chang Gung Mem Hosp; Univ Western Australia
    Chronic obstructive pulmonary disease (COPD) is a multicomponent disorder that leads to substantial disability, impaired quality of life, and increased mortality. Although the majority of COPD patients are first diagnosed and treated in primary care practices, there is comparatively little information on the management of COPD patients in primary care. A web-based pilot survey was conducted to evaluate the primary care physician's, or general practitioner's (GP's), knowledge, understanding, and management of COPD in twelve territories across the Asia-Pacific region, Africa, eastern Europe, and Latin America, using a 10-minute questionnaire comprising 20 questions and translated into the native language of each participating territory. the questionnaire was administered to a total of 600 GPs (50 from each territory) involved in the management of COPD patients and all data were collated and analyzed by an independent health care research consultant. This survey demonstrated that the GPs' understanding of COPD was variable across the territories, with large numbers of GPs having very limited knowledge of COPD and its management. A consistent finding across all territories was the underutilization of spirometry (median 26%; range 10%-48%) and reliance on X-rays (median 14%; range 5%-22%) for COPD diagnosis, whereas overuse of blood tests (unspecified) was particularly high in Russia and South Africa. Similarly, there was considerable underrecognition of the importance of exacerbation history as an important factor of COPD and its initial management in most territories (median 4%; range 0%-22%). Management of COPD was well below guideline-recommended levels in most of the regions investigated. the findings of this survey suggest there is a need for more ongoing education and information, specifically directed towards GPs outside of Europe and North America, and that global COPD guidelines appear to have limited reach and application in most of the areas studied.
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    Processo de adaptação de próteses auditivas em usuários atendidos em uma instituição pública federal: parte II: resultados dos questionários de auto-avaliação
    (ABORL-CCF Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial, 2007-10-01) Freitas, Carine Dias De; Costa, Maristela Julio [UNIFESP]; Universidade Federal de Santa Maria; Universidade Federal de Santa Maria Curso de Fonoaudiologia; Universidade Federal de São Paulo (UNIFESP)
    An efficient rehabilitation must be able to reduce impairment effects over the auditory and communication skills of individuals and promote psychosocial well being. AIMS: check the feasibility of using self-assessment questionnaires and compare the results achieved by hearing aid fitting in users from a federal public institution, with and without complaints related to hearing amplification characteristics. MATERIALS AND METHODS: 25 individuals, from 13 to 77 years of age, users of hearing aids. The HHIE-S/HHIA (Hearing Handicap Inventory for the Elderly Screening Version or for Adult) and APHAB (Abbreviated Profile of Hearing Aid Benefit) self-assessment questionnaires used with individuals without (Group 1) and with complaints related to amplification characteristics (Group 2). RESULTS: we did not find significant differences between the HHIE-S/HHIA and APHAB groups; except in APHAB s ease of communication item, where Group 1 seemed to benefit more. Moreover, we noticed a significant reduction in hearing disability with the use of hearing aids in favorable communication situations, noisy environments for both groups. CONCLUSION: these questionnaires proved to be valuable for predicting the difficulties faced by the users, and significant differences were found in favorable communication situations, where the group without complaints had the most benefit.
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    Qualidade de vida de crianças e adolescentes de São Paulo: confiabilidade e validade da versão brasileira do questionário genérico Pediatric Quality of Life InventoryTM versão 4.0
    (Sociedade Brasileira de Pediatria, 2008-08-01) Klatchoian, Denise Ascenção [UNIFESP]; Len, Claudio Arnaldo [UNIFESP]; Terreri, Maria Teresa Ramos Ascensão [UNIFESP]; Silva, Marina [UNIFESP]; Itamoto, Caroline [UNIFESP]; Ciconelli, Rozana Mesquita [UNIFESP]; Varni, James W.; Hilário, Maria Odete Esteves [UNIFESP]; Universidade Federal de São Paulo (UNIFESP); College of Medicine Department of Pediatrics; Texas A & M University College of Architecture Department of Landscape Architecture and Urban Planning
    OBJECTIVES: To evaluate the reliability and validity of the Brazilian version of the Pediatric Quality of Life InventoryTM (PedsQL TM 4.0) Generic Core Scales and measure the quality of life of healthy children and adolescents and patients with rheumatic diseases. METHODS: We followed the translation methodology proposed by the developer of the original English version of the PedsQL TM 4.0. The instrument was administered by interviews in two groups: 240 apparently healthy children and adolescents from São Paulo (SP, Brazil) and 105 patients with chronic rheumatic diseases, matched by age, as well as to their respective parents or caregivers. The parent proxy-report was administered to the children's parents or caregivers separately on the same day. RESULTS: Cronbach's alpha values were between 0.6 and 0.9 for all dimensions, demonstrating adequate internal consistency. Patients with rheumatic diseases reported significantly lower PedsQL TM scores on all dimensions when compared to the healthy control group (p < 0.0001). Construct validity of the Brazilian Portuguese version of the PedsQL TM 4.0 was also confirmed. Parent proxy-report of patients with rheumatic diseases highly correlated with child self-report for physical functioning (r = 0.77, p < 0.001) and school functioning (r = 0.73, p < 0.001). Lower correlations were observed for emotional and social functioning (r = 0.40 and 0.59, respectively, p < 0.001). CONCLUSIONS: The tool demonstrated reliability, validity and the administration was fast and easy. Quality of life of patients with rheumatic diseases was significantly lower than the healthy control group, supporting the necessity of a comprehensive approach to rheumatic disease management, focused on the psychosocial dimensions.
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    Quality of life in patients with osteoporosis fractures: Cultural adaptation, reliability and validity of the Osteoporosis Assessment Questionnaire
    (Clinical & Exper Rheumatology, 1999-09-01) Cantarelli, Fernanda Bernardini [UNIFESP]; Szejnfeld, Vera Lucia [UNIFESP]; Oliveira, L. M. [UNIFESP]; Ciconelli, Rozana Mesquita [UNIFESP]; Ferraz, Marcos Bosi [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    ObjectiveThe purpose of this study was to translate into Braziliart-Portuguese the Osteoporosis Assessment Questionnaire (OPAQ) and to evaluate its reliability and validity.MethodsThe OPAQ was translated into Brazilian-Portuguese. This version was then back-translated into art English version which was compared to the original version, and a second Brazilian-Portuguese version was generated. This draft version of the Brazilian-Portuguese OPAQ was administered to 30 patients with lumbar osteoporosis and no fractures. The non-applicable questions were modified and, after being administered again, this Brazilian-Portuguese version of the OPAQ was accepted as definitive. Its reliability was tested in 30 osteoporotic out-patients, and was administered three times to the patients to check the intra/interobserver reliability. The patients were also clinically evaluated using HAQ FIQ and a numerical rating scale for pain. For all patients the number of fractures and the bone mineral density at the spine were determined.ResultsThe mean age of the patients was 69 years (54 to 89 years) and the mean number of fractures was 2. 72. Twenty-one patients (70%) had had more than one vertebral fracture. All of the questionnaire components, except for mood (c16), presented statistically significant coefficients for intra/interobsewer reliability. The highest score was observed for the fear of falling (6.70). Correlations between the OPAQ components and the number of fractures, bone density and Z-score were not statistically significant.ConclusionsThis Brazilian-Portuguese version of the OPAQ is a reliable and valid instrument. Other aspects than bone mineral density and the number of fractures have an important influence on the quality of life in patients with osteoporosis and fractures.