Tendências Narcisistas: uma análise do transtorno de personalidade narcisista na era das redes sociais

Narcissism is a personality disorder, which has been related to the development of digital media, with a focus on Instagram and other networks, analyzing how the search for validation and recognition impacts online interactions. The objective was to understand the relationship between narcissism and digital social dynamics. The methodology included a bibliographic review of articles published in the last 10 years, using specific descriptors. The results highlighted the correlation between narcissistic disorder and social factors, highlighting the search for validation and recognition as key elements in online interactions. The analysis pointed to the amplification of narcissistic patterns in contemporary society through social networks, highlighting the importance of understanding the impacts of narcissism in the digital age. Therefore, the importance of understanding the challenges and nuances of narcissism in the digital age stands out, especially in the context of social networks such as Instagram. The analysis highlights the complex relationship between narcissism and online interactions, highlighting the incessant search for validation and recognition as a significant aspect. The final reflection emphasizes the need to consider the psychological and social impacts of narcissism in contemporary dynamics, highlighting the importance of promoting a deeper understanding of these phenomena to deal with the complexities of virtual relationships.El narcisismo es un trastorno de la personalidad, que se ha relacionado con el desarrollo de los medios digitales, con foco en Instagram y otras redes, analizando cómo la búsqueda de validación y reconocimiento impacta en las interacciones online. El objetivo fue comprender la relación entre el narcisismo y la dinámica social digital. La metodología incluyó una revisión bibliográfica de artículos publicados en los últimos 10 años, utilizando descriptores específicos. Los resultados resaltaron la correlación entre el trastorno narcisista y los factores sociales, destacando la búsqueda de validación y reconocimiento como elementos clave en las interacciones online. El análisis señaló la amplificación de los patrones narcisistas en la sociedad contemporánea a través de las redes sociales, destacando la importancia de comprender los impactos del narcisismo en la era digital. Por tanto, destaca la importancia de comprender los desafíos y matices del narcisismo en la era digital, especialmente en el contexto de redes sociales como Instagram. El análisis destaca la compleja relación entre el narcisismo y las interacciones en línea, destacando la búsqueda incesante de validación y reconocimiento como un aspecto significativo. La reflexión final enfatiza la necesidad de considerar los impactos psicológicos y sociales del narcisismo en las dinámicas contemporáneas, destacando la importancia de promover una comprensión más profunda de estos fenómenos para abordar las complejidades de las relaciones virtuales.O narcisismo é um transtorno de personalidade, o qual tem sido relacionado com o desenvolvimento dos meios de comunicação digitais, sendo está com foco no Instagram e em outras redes, analisando como a busca por validação e reconhecimento impacta as interações online. O objetivo foi compreender a relação entre o narcisismo e as dinâmicas sociais digitais. A metodologia incluiu uma revisão bibliográfica de artigos publicados nos últimos 10 anos, utilizando descritores específicos. Os resultados destacaram a correlação entre o transtorno narcisista e fatores sociais, ressaltando a busca por validação e reconhecimento como elementos-chave nas interações online. A análise apontou para a amplificação de padrões narcísicos na sociedade contemporânea através das redes sociais, evidenciando a importância de compreender os impactos do narcisismo na era digital. Portanto, destaca-se a importância de compreender os desafios e nuances do narcisismo na era digital, especialmente no contexto das redes sociais como o Instagram. A análise ressalta a complexa relação entre o narcisismo e as interações online, evidenciando a busca incessante por validação e reconhecimento como um aspecto significativo. A reflexão final enfatiza a necessidade de considerar os impactos psicológicos e sociais do narcisismo nas dinâmicas contemporâneas, ressaltando a importância de promover uma compreensão mais profunda desses fenômenos para lidar com as complexidades das relações virtuais

Assessment of risk scores to predict mortality of COVID-19 patients admitted to the intensive care unit

ObjectivesTo assess the ABC2-SPH score in predicting COVID-19 in-hospital mortality, during intensive care unit (ICU) admission, and to compare its performance with other scores (SOFA, SAPS-3, NEWS2, 4C Mortality Score, SOARS, CURB-65, modified CHA2DS2-VASc, and a novel severity score).Materials and methodsConsecutive patients (≥ 18 years) with laboratory-confirmed COVID-19 admitted to ICUs of 25 hospitals, located in 17 Brazilian cities, from October 2020 to March 2022, were included. Overall performance of the scores was evaluated using the Brier score. ABC2-SPH was used as the reference score, and comparisons between ABC2-SPH and the other scores were performed by using the Bonferroni method of correction. The primary outcome was in-hospital mortality.ResultsABC2-SPH had an area under the curve of 0.716 (95% CI 0.693–0.738), significantly higher than CURB-65, SOFA, NEWS2, SOARS, and modified CHA2DS2-VASc scores. There was no statistically significant difference between ABC2-SPH and SAPS-3, 4C Mortality Score, and the novel severity score.ConclusionABC2-SPH was superior to other risk scores, but it still did not demonstrate an excellent predictive ability for mortality in critically ill COVID-19 patients. Our results indicate the need to develop a new score, for this subset of patients

Table_3_Assessment of risk scores to predict mortality of COVID-19 patients admitted to the intensive care unit.docx

ObjectivesTo assess the ABC2-SPH score in predicting COVID-19 in-hospital mortality, during intensive care unit (ICU) admission, and to compare its performance with other scores (SOFA, SAPS-3, NEWS2, 4C Mortality Score, SOARS, CURB-65, modified CHA2DS2-VASc, and a novel severity score).Materials and methodsConsecutive patients (≥ 18 years) with laboratory-confirmed COVID-19 admitted to ICUs of 25 hospitals, located in 17 Brazilian cities, from October 2020 to March 2022, were included. Overall performance of the scores was evaluated using the Brier score. ABC2-SPH was used as the reference score, and comparisons between ABC2-SPH and the other scores were performed by using the Bonferroni method of correction. The primary outcome was in-hospital mortality.ResultsABC2-SPH had an area under the curve of 0.716 (95% CI 0.693–0.738), significantly higher than CURB-65, SOFA, NEWS2, SOARS, and modified CHA2DS2-VASc scores. There was no statistically significant difference between ABC2-SPH and SAPS-3, 4C Mortality Score, and the novel severity score.ConclusionABC2-SPH was superior to other risk scores, but it still did not demonstrate an excellent predictive ability for mortality in critically ill COVID-19 patients. Our results indicate the need to develop a new score, for this subset of patients.</p

Table_2_Assessment of risk scores to predict mortality of COVID-19 patients admitted to the intensive care unit.docx

ObjectivesTo assess the ABC2-SPH score in predicting COVID-19 in-hospital mortality, during intensive care unit (ICU) admission, and to compare its performance with other scores (SOFA, SAPS-3, NEWS2, 4C Mortality Score, SOARS, CURB-65, modified CHA2DS2-VASc, and a novel severity score).Materials and methodsConsecutive patients (≥ 18 years) with laboratory-confirmed COVID-19 admitted to ICUs of 25 hospitals, located in 17 Brazilian cities, from October 2020 to March 2022, were included. Overall performance of the scores was evaluated using the Brier score. ABC2-SPH was used as the reference score, and comparisons between ABC2-SPH and the other scores were performed by using the Bonferroni method of correction. The primary outcome was in-hospital mortality.ResultsABC2-SPH had an area under the curve of 0.716 (95% CI 0.693–0.738), significantly higher than CURB-65, SOFA, NEWS2, SOARS, and modified CHA2DS2-VASc scores. There was no statistically significant difference between ABC2-SPH and SAPS-3, 4C Mortality Score, and the novel severity score.ConclusionABC2-SPH was superior to other risk scores, but it still did not demonstrate an excellent predictive ability for mortality in critically ill COVID-19 patients. Our results indicate the need to develop a new score, for this subset of patients.</p

Table_1_Assessment of risk scores to predict mortality of COVID-19 patients admitted to the intensive care unit.docx

ObjectivesTo assess the ABC2-SPH score in predicting COVID-19 in-hospital mortality, during intensive care unit (ICU) admission, and to compare its performance with other scores (SOFA, SAPS-3, NEWS2, 4C Mortality Score, SOARS, CURB-65, modified CHA2DS2-VASc, and a novel severity score).Materials and methodsConsecutive patients (≥ 18 years) with laboratory-confirmed COVID-19 admitted to ICUs of 25 hospitals, located in 17 Brazilian cities, from October 2020 to March 2022, were included. Overall performance of the scores was evaluated using the Brier score. ABC2-SPH was used as the reference score, and comparisons between ABC2-SPH and the other scores were performed by using the Bonferroni method of correction. The primary outcome was in-hospital mortality.ResultsABC2-SPH had an area under the curve of 0.716 (95% CI 0.693–0.738), significantly higher than CURB-65, SOFA, NEWS2, SOARS, and modified CHA2DS2-VASc scores. There was no statistically significant difference between ABC2-SPH and SAPS-3, 4C Mortality Score, and the novel severity score.ConclusionABC2-SPH was superior to other risk scores, but it still did not demonstrate an excellent predictive ability for mortality in critically ill COVID-19 patients. Our results indicate the need to develop a new score, for this subset of patients.</p