Cardiovascular diseases represent a significant public health challenge, especially among older adults. Educational strategies that provide clear and accessible information can positively influence outcomes for older patients undergoing invasive procedures such as cardiac catheterization. This methodological study aimed to evaluate the evidence of content and appearance (face) validity of an educational video for older adults undergoing cardiac catheterization. The research was conducted in 3 stages: development of the video based on the 12 principles of the Cognitive Theory of Multimedia Learning; content validation by 11 multidisciplinary experts using the Suitability Assessment of Materials (SAM) instrument; and face validation with 10 older adults assisted in the hemodynamics unit of a university hospital, using the Health Educational Technology Appearance Validation Instrument. The final video consisted of 49 scenes, lasted 5 minutes and 55 seconds, and achieved a global SAM score of 97.1 and an Appearance Validity Index of 0.97. It was considered an appropriate and accessible educational resource by participants. The video constitutes an innovative tool to support health education for older adults and contributes to professional practice in interventional cardiology. Future research should evaluate its effectiveness and verify its impact on hemodynamic parameters, anxiety levels, and adherence to therapeutic guidelines.
Este artigo aborda um estudo exploratório, descritivo e quantiqualitativo, com o objetivo de analisar os vídeos mais populares no Brasil relacionados à doença denominada monkeypox e disseminados pelo YouTube. As buscas ocorreram em setembro de 2024, utilizando os termos “varíola dos macacos” e “mpox Brasil”. A amostragem por saturação incluiu os 20 vídeos mais populares, que somaram 4.897.347 visualizações e 240.800 curtidas. Emergiram quatro categorias: surgimento e propagação, abordagens preventivas e clínicas, estigmas da doença e correspondência com a covid-19. A maioria dos enunciados é condizente com as evidências científicas atuais; entretanto, alguns enfatizam a doença na população negra pauperizada e contêm termos técnicos de difícil compreensão. É necessário adequar os enunciados à educação em saúde mais ampla e evitar insinuações imagéticas às pessoas negras.
The prognostic implications of gastrointestinal symptoms and abnormal liver enzymes in COVID-19 patients have shown significant variability. This study aimed to describe the incidence of these manifestations and their correlation with disease severity in a Brazilian population during the early phase of the pandemic, a context with limited published data. This was a prospective cohort study of 253 consecutive patients with SARS-CoV-2 conducted in a tertiary hospital in João Pessoa, Brazil. Patients were evaluated for the presence of gastrointestinal symptoms, elevated liver enzymes, and clinical outcomes (ICU admission, mortality). Statistical analysis included Mann-Whitney, chi-square, or Fisher tests, and logistic regression. Inclusion criteria were a positive rRT-qPCR for SARS-CoV-2 or clinical-radiological findings (CO-RADS 5) with positive serology. Patients were classified as severe or critical based on respiratory rate, oxygen saturation, and organ failure requiring mechanical ventilation or ICU care. Forty-nine (19.37
Objetivo: Avaliar o desempenho oromiofuncional na introdução alimentar de crianças prematuras atendidas em um ambulatório de follow-up. Método: Estudo descritivo, observacional, transversal e quantitativo, com uma amostra de 45 crianças prematuras aos seis meses de idade gestacional corrigida. Utilizou-se o protocolo Avaliação Miofuncional Orofacial com Escores Expandido Lactentes (versão reduzida) para avaliar motricidade orofacial na introdução alimentar. Os critérios de inclusão foram: crianças prematuras, com seis meses de idade corrigida, que fizeram uso de sonda orogástrica, sem alterações neurológicas ou sindrômicas, permanência em unidade de terapia intensiva neonatal e uso de via de alimentação oral preservada. As variáveis foram analisadas por meio de estatística descritiva e teste Exato de Fisher. Resultados: As crianças avaliadas apresentaram idade gestacional entre 27 e 36 semanas e um dia, com peso ao nascer de 435 g a 3160 g. A média de permanência de internação foi de 19 dias, e média de 25 dias de uso de sonda orogástrica após nascimento até o desmame para via oral de alimentação. Não houve associação estatisticamente significativa entre as variáveis de idade gestacional, peso ao nascer, tempo de uso de sonda e tempo de internação em unidade de terapia intensiva neonatal com a avaliação oromiofuncional, embora o quantitativo de alterações tenha sido elevado em todos os grupos. Conclusão: Crianças avaliadas apresentaram elevada incidência de alterações motoras orais comprometendo o desempenho na introdução alimentar, independente das condições ao nascimento, evidenciando a necessidade de acompanhamento fonoaudiológico precoce e contínuo.
ABSTRACT Introduction: Bipolar Disorder (BD) often coexists with obsessive-compulsive symptoms, impacting quality of life and complicating treatment. Research on these symptoms in euthymic BD type I patients remains limited. Methods: A cross-sectional study was conducted at Hospital Universitário Lauro Wanderley, including 37 euthymic patients diagnosed with BD type 1. Euthymia was confirmed using the Montgomery-Åsberg Depression Rating Scale and the Young Mania Rating Scale. Obsessive-compulsive symptoms were assessed using the Obsessive Compulsive Inventory-Revised (OCI-R), and patients scoring ≥21 were classified as having a higher likelihood of comorbid Obsessive-Compulsive Disorder (OCD). Binary logistic regression analyzed predictors of belonging to this high-score group. Results: Of the sample, 35.1% scored ≥21 on the OCI-R, being classified as at higher risk for comorbid OCD. Belonging to this group was significantly associated with a greater frequency of healthcare visits due to mood elevation in the past year (p = 0.043). No significant associations were found with demographic factors, substance use, or previous suicide attempts. Discussion: Our findings suggest that patients with higher obsessive-compulsive scores require more frequent healthcare support due to mood instability, highlighting the need for targeted interventions in BD patients at risk of OCD. Early detection of these symptoms may improve treatment outcomes and quality of life in this population.
