Adaptación y validación del instrumento "Children Care Quality at Hospital" para el portugués

Objective: adapt and validate the instrument Children Care Quality at Hospital (CCQH) to assess the quality of nursing care of hospitalized children for the Portuguese language of Portugal. Materials and Methods: content, language, and conceptual validity methodological study, with translation, feedback, and reflection. A non-probabilistic simple was used of 252 children between 7 and 11 years of age, hospitalized due to acute disease in nine services of six Portuguese hospitals. The reliability and validity of the results were determinedm to measure the psychometric properties of the instrument. Construct validity was calculated through exploratory factor analysis of main components with Varimax rotation and the internal consistency by determining the Cronbach’s alpha coefficient. Results: the internal consistency has adequate psychometric characteristics suitable for the Portuguese population (Cronbach’s alpha values between 0.66 and 0.82). The instrument maintained 49 items grouped into three categories: characteristics, activities, and environment. The psychometric characteristics of the CCQH, adapted and validated for Portuguese, guarantees its reliability and validity to measure satisfaction with the quality of nursing care from the perspective of school-aged children. Conclusions: the instrument could be used to assess children’s satisfaction with the quality of nursing care during their hospitalizationObjetivo: adaptar e validar o instrumento Children Care Quality at Hospital (CCQH) de avaliação da qualidade dos cuidados de enfermagem à criança hospitalizada para o idioma português de Portugal. Materiais e método: estudo metodológico de validação de conteúdo, linguística e conceptual, com tradução, retrotradução e reflexão falada. Recorreu-se a uma amostra não probabilística de 252 crianças entre 7 e 11 anos, hospitalizadas por doença aguda em nove serviços de seis hospitais portugueses. Determinaram-se a confiabilidade e a validade dos resultados para aferir as propriedades psicométricas do instrumento. Foi calculada a validade de construto pela análise fatorial exploratória de componentes principais com rotação Varimax e a consistência interna pela determinação do coeficiente alfa de Cronbach. Resultados: a consistência interna apresenta características psicométricas adequadas para a população portuguesa (valores de alfa de Cronbach entre 0,66 e 0,82). O instrumento manteve 49 itens agrupados em três categorias: características, atividades e ambiente. As características psicométricas do CCQH, adaptado e validado para o idioma português, garantem-lhe a confiabilidade e a validade para medir a satisfação com a qualidade dos cuidados de enfermagem na perspetiva das crianças em idade escolar. Conclusões: esse instrumento poderá ser utilizado para avaliar a satisfação das crianças com a qualidade dos cuidados de enfermagem durante sua hospitalização.Objetivo: adaptar y validar el instrumento Children Care Quality at Hospital (CCQH) de evaluación de la calidad de los cuidados de enfermería al niño hospitalizado para el idioma portugués de Portugal. Materiales y método: estudio metodológico de validación de contenido, lingüística y conceptual, con traducción, retrotraducción y reflexión. Se recurrió a una muestra no probabilística de 252 niños entre 7 y 11 años, hospitalizados por enfermedad aguda en nueve servicios de seis hospitales portugueses. Se determinaron la fiabilidad y validez de los resultados para medir las propiedades psicométricas del instrumento. Se calculó la validez de constructo mediante análisis factorial exploratorio de componentes principales con rotación Varimax y la consistencia interna por la determinación del coeficiente alfa de Cronbach. Resultados: la consistencia interna presenta características psicométricas adecuadas a la población portuguesa (valores de alfa de Cronbach entre 0,66 y 0,82). El instrumento mantuvo 49 ítems agrupados en tres categorías: características, actividades y ambiente. Las características psicométricas del CCQH, adaptado y validado para el portugués, le garantiza la fiabilidad y validez para medir la satisfacción con la calidad de los cuidados de enfermería desde la perspectiva de los escolares. Conclusiones: el instrumento podrá utilizarse en la evaluación de la satisfacción de los niños con la calidad de los cuidados de enfermería durante su hospitalización.info:eu-repo/semantics/publishedVersio

Validación de la Escala de Satisfacción Ciudadana con los Cuidados de Enfermería para padres de niños hospitalizados

Enquadramento: A satisfação dos pais de crianças hospitalizadas tem sido utilizada para medir a qualidade dos cuidados de enfermagem. Objetivo: Adaptar e validar a Escala de Satisfação do Cidadão com Cuidados de Enfermagem (ESCCE) para pais de crianças hospitalizadas. Metodologia: Estudo metodológico realizado com recurso a uma amostra não probabilística de 251 pais de crianças entre os 7 e 11 anos hospitalizadas. Determinou-se a confiabilidade e a validade dos resultados, para aferir as propriedades psicométricas do instrumento. Na análise das propriedades psicométricas do instrumento determinou-se a confiabilidade através do cálculo do coeficiente alfa de Cronbach; e a validade de constructo, através de análise fatorial exploratória de componentes principais, com rotação ortogonal Varimax dos itens da escala. Resultados: A ESCCE apresenta características psicométricas adequadas para a população portuguesa de pais de crianças hospitalizadas (valor alfa de Cronbach de 0,92), garantindo-lhe a confiabilidade e validade para medir a satisfação com os cuidados de enfermagem. Conclusão: A ESCCE é um instrumento fiável e útil para avaliar a satisfação dos pais das crianças hospitalizadas.Background: The level of satisfaction of parents of hospitalized with nursing care has been used to measure nursing care quality. Objective: To adapt and validate the Citizen Satisfaction with Nursing Care Scale (CSNCS) for parents of hospitalized children. Methodology: Methodological study using a nonprobability sample of 251 parents of hospitalized children aged 7 to 11 years. The psychometric properties of reliability and validity were examined. Reliability was assessed by calculating Cronbach’s alpha coefficient. Construct validity was assessed through an exploratory factor analysis with principal components and orthogonal Varimax rotation. Results: The CSNCS has adequate psychometric characteristics for the Portuguese population of parents of hospitalized children (Cronbach’s alpha of 0.92), ensuring its reliability and validity for measuring satisfaction with nursing care. Conclusion: The CSNCS is a reliable and useful tool to assess the level of satisfaction of parents of hospitalized children.Marco contextual: La satisfacción de los padres de los niños hospitalizados se ha utilizado para medir la calidad de los cuidados de enfermería. Objetivo: Adaptar y validar la Escala de Satisfacción Ciudadana con los Cuidados de Enfermería (ESCCE) para los padres de niños hospitalizados. Metodología: Estudio metodológico realizado con una muestra no probabilística de 251 padres de niños de 7 a 11 años hospitalizados. Se determinó la fiabilidad y la validez de los resultados, para evaluar las propiedades psicométricas del instrumento. En el análisis de las propiedades psicométricas del instrumento, la fiabilidad se determinó mediante el cálculo del coeficiente alfa de Cronbach, y la validez del constructo se determinó mediante el análisis factorial exploratorio de los componentes principales, con rotación ortogonal Varimax de los elementos de la escala. Resultados: La ESCCE presenta características psicométricas adecuadas para la población portuguesa de padres de niños hospitalizados (valor del alfa de Cronbach de 0,92), lo que asegura la fiabilidad y la validez para medir la satisfacción con los cuidados de enfermería. Conclusión: La ESCCE es un instrumento fiable y útil para evaluar la satisfacción de los padres de los niños hospitalizados.info:eu-repo/semantics/publishedVersio

Immunologic evaluation and validation of methods using synthetic peptides derived from Mycobacterium tuberculosis for the diagnosis of tuberculosis infection

The goal of this study was to demonstrate the usefulness of an enzyme-linked immunosorbent assay (ELISA) for the serodiagnosis of pulmonary tuberculosis (PTB) and extrapulmonary TB (EPTB). This assay used 20 amino acid-long, non-overlapped synthetic peptides that spanned the complete Mycobacterium tuberculosis ESAT-6 and Ag85A sequences. The validation cohort consisted of 1,102 individuals who were grouped into the following five diagnostic groups: 455 patients with PTB, 60 patients with EPTB, 40 individuals with non-EPTB, 33 individuals with leprosy and 514 healthy controls. For the PTB group, two ESAT-6 peptides (12033 and 12034) had the highest sensitivity levels of 96.9% and 96.2%, respectively, and an Ag85A-peptide (29878) was the most specific (97.4%) in the PTB groups. For the EPTB group, two Ag85A peptides (11005 and 11006) were observed to have a sensitivity of 98.3% and an Ag85A-peptide (29878) was also the most specific (96.4%). When combinations of peptides were used, such as 12033 and 12034 or 11005 and 11006, 99.5% and 100% sensitivities in the PTB and EPTB groups were observed, respectively. In conclusion, for a cohort that consists entirely of individuals from Venezuela, a multi-antigen immunoassay using highly sensitive ESAT-6 and Ag85A peptides alone and in combination could be used to more rapidly diagnose PTB and EPTB infection

A nationwide pilot study on breast cancer screening in Peru

"Introduction: A high prevalence of advanced breast cancer (BC) is a common scenario in Latin America. In Peru, the frequency of BC at Stages III/IV is ≈50% despite implementation of a programme for breast cancer screening (BCS) along the country. We carried out a study to assess the feasibility and develop an instrument to evaluate the knowledge, barriers and perception about BCS in a nationwide pilot study in Peru among candidates for BCS. Methods: We conducted a systematic review of 2,558 reports indexed in PubMed, Scopus, Web of Science, Medline-Ovid and EMBASE, regarding to our study theme. In total, 111 were selected and a 51-items survey was developed (eight items about sociodemographic characteristics). Patients were recruited in public hospitals or private clinics, in rural and urban areas of nine departments of Peru. Results: We surveyed 488 women from: Lima (150), Cajamarca (93), Ica (59), Arequipa (56), Loreto (48), Ancash (38), Junín (15), Puerto Maldonado (15) and Huancavelica (14); 27.9% of them were from rural areas. The mean of age was 53.3 years (standard deviation ± 9.1). Regarding education level, 29.8% had primary, 33.2% secondary and 37.0% higher education. In total, 28.7% of women did not know the term ‘mammogram’ and 47.1% reported never receiving a BCS (36.9% from urban and 73.5% from rural population). In women that underwent BCS, only 67% knew it is for healthy women. In total, 54.1% of patients had low levels of knowledge about risk factors for BC (i.e. 87.5% of women respond that injuries in the breast produce cancer). Cultural, economic and geographic barriers were significantly associated with having a mammogram where 56.9% of participants considered a cost ≤ 7 USD as appropriate. Mammogram was perceived as too painful for 54.9% of women. In addition, women with a self-perception of low-risk for BC and a fatalistic perception of cancer were less likely to have a BCS. Conclusion: We found that it is feasible to conduct a large-scale study in Peru. The results of this pilot study highlight an urgent need of extensive education and awareness about BCS in Peru.

Azimuthal anisotropy of charged jet production in root s(NN)=2.76 TeV Pb-Pb collisions

We present measurements of the azimuthal dependence of charged jet production in central and semi-central root s(NN) = 2.76 TeV Pb-Pb collisions with respect to the second harmonic event plane, quantified as nu(ch)(2) (jet). Jet finding is performed employing the anti-k(T) algorithm with a resolution parameter R = 0.2 using charged tracks from the ALICE tracking system. The contribution of the azimuthal anisotropy of the underlying event is taken into account event-by-event. The remaining (statistical) region-to-region fluctuations are removed on an ensemble basis by unfolding the jet spectra for different event plane orientations independently. Significant non-zero nu(ch)(2) (jet) is observed in semi-central collisions (30-50% centrality) for 20 <p(T)(ch) (jet) <90 GeV/c. The azimuthal dependence of the charged jet production is similar to the dependence observed for jets comprising both charged and neutral fragments, and compatible with measurements of the nu(2) of single charged particles at high p(T). Good agreement between the data and predictions from JEWEL, an event generator simulating parton shower evolution in the presence of a dense QCD medium, is found in semi-central collisions. (C) 2015 CERN for the benefit of the ALICE Collaboration. Published by Elsevier B.V. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).Peer reviewe

Production of He-4 and (4) in Pb-Pb collisions at root(NN)-N-S=2.76 TeV at the LHC

Results on the production of He-4 and (4) nuclei in Pb-Pb collisions at root(NN)-N-S = 2.76 TeV in the rapidity range vertical bar y vertical bar <1, using the ALICE detector, are presented in this paper. The rapidity densities corresponding to 0-10% central events are found to be dN/dy4(He) = (0.8 +/- 0.4 (stat) +/- 0.3 (syst)) x 10(-6) and dN/dy4 = (1.1 +/- 0.4 (stat) +/- 0.2 (syst)) x 10(-6), respectively. This is in agreement with the statistical thermal model expectation assuming the same chemical freeze-out temperature (T-chem = 156 MeV) as for light hadrons. The measured ratio of (4)/He-4 is 1.4 +/- 0.8 (stat) +/- 0.5 (syst). (C) 2018 Published by Elsevier B.V.Peer reviewe

Forward-central two-particle correlations in p-Pb collisions at root s(NN)=5.02 TeV

Two-particle angular correlations between trigger particles in the forward pseudorapidity range (2.5 2GeV/c. (C) 2015 CERN for the benefit of the ALICE Collaboration. Published by Elsevier B. V.Peer reviewe

Event-shape engineering for inclusive spectra and elliptic flow in Pb-Pb collisions at root(NN)-N-S=2.76 TeV

Peer reviewe