Chatterbox

In the market, there are not many options or tools for people that once could speak. However, due to an accident or stroke, not only lost their voices and even some of their movements, but also sign language is not an option either. The issue is that whichever communication alternative that is available is either too expensive to use or too complicated for their actual situation such as google voice, notepads, general writing tools, etc. as each of them requires a little bit of work to manage. Therefore we intended to ease speech-impaired people’s lives by designing and developing an application that speaks for them by only one touch. It is a user friendly application, with different interfaces divided according to its category such as Emergency, Fun, Greetings, Feelings and Daily Chat. Each interface displays its own set of buttons with different sentences, and each button plays out its corresponding sentence as soon as it is tapped. The sentences were recorded by us, applying different intonations so, it would give the application a better humanized form. We hope to make their lives easier, and give them back the possibility of expressing themselves in an easier way and keep up a steady conversation

Ethics in public management

This article aims to discuss the subject of ethics in the context of public organizations, built on two main pillars: the Brazilian Federal Constitution and the legal framework of the Ethics Management System of the Federal Executive Power. To carry out their duties, public servants, in addition to technical qualifications, need political and ethical skills. This article is the result of a research that had the following objectives: to understand the meanings of ethics and public ethics for public servants and to identify the importance and difficulties for the exercise of ethics in the work process developed. This is an exploratory research using a qualitative approach. Information collection was carried out with semi-structured interviews, and the data collected analyzed by content analysis, in the thematic analysis mode. The research results supported reflections to help future decisions related to the studied topic, considering the objective of disseminating the importance of complying with the ethical precepts that should underpin the performance of public servants. The conclusive arguments support the need for a broad discussion of the topic of “Ethics” within the public reach and the urgency to promote postures aimed at improving relationships, reinforcing critical and reflective thoughts in the work process based on ethical imperatives.O presente artigo aborda o tema da ética no contexto das organizações públicas, edificada em dois grandes pilares: a Constituição Federal Brasileira e o marco legal do Sistema de Gestão da Ética do Poder Executivo Federal. Para o exercício das funções, os servidores, além da qualificação técnica, necessitam de competências políticas e éticas. Este trabalho é resultante de pesquisa que teve como objetivos: compreender os sentidos da ética e da ética pública para servidores públicos e identificar a importância e as dificuldades para o exercício da ética no processo de trabalho desenvolvido. Trata-se de uma pesquisa exploratória com utilização de abordagem qualitativa. A coleta de dados foi realizada por meio de entrevista semiestruturada e os dados coletados foram analisados por meio da análise de conteúdo, na modalidade de análise temática. Os resultados da pesquisa subsidiaram reflexões para auxiliar futuras decisões relacionadas ao tema estudado, tendo em vista o intuito de disseminar a importância do cumprimento dos preceitos éticos que devem alicerçar a atuação dos servidores. Os argumentos conclusivos reforçam a necessidade de uma ampla discussão do tema “Ética” dentro da esfera pública e a urgência em fomentar posturas que visem à melhoria das relações, cimentando pensamentos críticos e reflexivos no processo de trabalho com base em imperativos éticos

Laser therapy for genitourinary syndrome of menopause: systematic review and meta-analysis of randomized controlled trial

Abstract Objective: This meta-analysis of randomized controlled trials (RCTs) aimed to update evidence on the effectiveness and safety of laser therapy for treating genitourinary syndrome of menopause (GSM). Data sources: Manuscripts published until May 2023 were systematically searched in PubMed; Embase; Scopus; Web of Science; CENTRAL; CINAHL; and clinical trial databases (www.trialscentral.org, www.controlled-trials.com, and clinicaltrials.gov), with no language and year of publication restriction. Studies selection: RCTs with women diagnosed with GSM, and the intervention was vaginal laser therapy (CO2-laser or Er: YAG-laser) comparing with placebo (sham therapy), no treatment or vaginal estrogen therapy. Data collection: Two authors evaluated the publications for inclusion based on the title and abstract, followed by reviewing the relevant full-text articles. Disagreements during the review process were addressed by consensus, with the involvement of a third author. Data synthesis: Twelve RCTs, representing a total of 5147 participants, were included in this review. Vaginal health index (VHI) significantly improved in the carbon dioxide laser (CO2-laser) therapy group (MD=2.21; 95% CI=1.25 to 3.16), while dyspareunia (MD=−0.85; 95% CI=−1.59 to −0.10), dryness (MD=−0.62; 95% CI=−1.12 to −0.12) and burning (MD= −0.64; 95% CI=−1.28 to −0.01) decreased. No serious adverse effects were reported. Conclusion: CO2-laser increases VHI score and decreases dyspareunia, dryness and burning, especially when compared to sham-laser. However, the certainty of the evidence is low, thus preventing the recommendation of laser therapy for GSM management

EVALUATION INSTRUMENTS FOR PUBLIC HEALTH POLICIES FOR ELDERLY CARE: A COMPREHENSIVE SCOPING REVIEW PROTOCOL

Introduction: The global phenomenon of population aging is expanding rapidly, with the World Health Organization (WHO) projecting that the number of individuals aged 60 and over will reach 2 billion by 2050, a significant rise from 900 million in 2015. This pronounced growth poses substantial challenges to healthcare systems globally, necessitating the development of effective public policies to ensure adequate access to healthcare services for the elderly demographic. In this context, this scoping review aims to identify and map evaluation instruments regarding public health policies for the elderly worldwide. Methods and Analysis: This scoping review protocol is developed in accordance with the Joanna Briggs Institute manual and guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews (PRISMA-ScR). Article searches will be conducted in the following databases: Embase, Medline/PubMed, Scopus, Web of Science, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Latin American and Caribbean Literature in Health Sciences (LILACS), and ScienceDirect. Additionally, searches will be performed on Google Scholar and in the gray literature (www.opengrey.eu). A descriptive analysis of the mapped studies will be conducted, categorizing them by analysis categories. The results will be presented through a narrative summary of the findings to examine how they correlate with the review's objective and research question

Drug therapies for obstructive sleep apnoea: a systematic review and meta-analysis protocol

Introduction Obstructive sleep apnoea (OSA) is a common disorder that can affect the quality of life and increase the risk for psychiatric, neurological and cardiometabolic diseases. Despite the significant burden, it poses on health and well-being, there is a lack of evidence regarding the use of drug therapies in these patients. This work aims to evaluate the efficacy and safety of pharmacological treatment alternatives for patients with OSA.Methods and analysis Databases, including PubMed, Embase, Web of Science, SciELO, LILACS, Scopus, Cochrane Register of Controlled Trials and ClinicalTrials.gov, will be used for the search. A search strategy was developed to retrieve clinical trials that have evaluated polysomnographic primary outcome (Apnoea-Hypopnoea index) and secondary outcomes (eg, daytime sleepiness, adverse events) of any drug therapy used for OSA. No date or language restrictions will be applied. Two authors will independently select the studies meeting the inclusion criteria by screening the title, abstract and full text. Data will be extracted, and the risk of bias will be evaluated using the Cochrane Risk of Bias Tool. Review Manager V.5.4.1 will be used for data synthesis. The Grading of Recommendation Assessment, Development and Evaluation will be used to assess the strength of the evidence.Ethics and dissemination As a review of published data, it is not necessary to obtain ethical approval. The findings of this systematic review will be published in a peer-reviewed journal.PROSPERO registration number CRD42022362639

Prevalence of complications associated with the use of a peripherally inserted central catheter in newborns: A systematic review protocol.

BackgroundThe improper handling of a peripherally inserted central catheter (PICC) in newborns (NBs) may result in mechanical and infectious complications.AimThe aim of this systematic review (SR) is to estimate the prevalence of complications associated with the use of PICC in NBs.MethodsWe will utilize PubMed, Embase, CENTRAL, Web of Science, Scopus, Cochrane Library, CINAHL, and Google Scholar for the databases search. There will be no restrictions on the search for languages, and observational studies will be selected wherein the prevalence rate of complications associated with the use of PICC in NBs has been presented or can be calculated. The systematic review will follow the guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses. Two reviewers will independently select studies and assess their eligibility using predefined criteria. Using standardized forms, two other reviewers will independently extract data from each included study, and the random-effects pooled prevalence will be calculated in the meta-analysis with the respective 95% confidence intervals. The methodological quality of the studies will be assessed using the modified Newcastle-Ottawa Scale. Review Manager V.5.3.5 will be used for the qualitative and quantitative synthesis. A protocol was developed and published on PROSPERO (Registration number CRD42020211983).Expected resultsThis SR will show the prevalence of complications caused by the inadequate management of PICC in NBs, which is information considered important for clinical practice improvement

Análise de vídeos do YouTube sobre suporte básico de vida e reanimação cardiopulmonar

OBJETIVO: Analisar os vídeos no sítio de compartilhamento YouTube, observando quais os pontos tratados nos vídeos relacionados à reanimação cardiopulmonar e ao Suporte Básico de Vida. MÉTODOS: A análise foi baseada no Guidelines de 2010 da American Heart Association.Trata-se de uma pesquisa do tipo exploratória, quantitativa e qualitativa, realizada no sítio de compartilhamento do YouTube, utilizando-se os Descritores em Ciências da Saúde "reanimação cardiopulmonar" e "suporte básico de vida" para vídeos que tinham como foco o suporte básico de vida. RESULTADOS: Durante a investigação inicial encontrou-se 260 vídeos, foram escolhidos para análise,61. Estes,em sua maioria, foram postados por pessoa física e pertencem à categoria Education. Grande parte dos vídeos, apesar de serem adicionados ao sítio depois da publicação do Guidelines de 2010 da AHA, estava de acordo com as antigas diretrizes de 2005. CONCLUSÃO: Embora o sítio de compartilhamento de vídeos YouTube seja amplamente usado atualmente, nele há uma carência de vídeos a respeito de reanimação cardiopulmonar e Suporte Básico de Vida adequados às diretrizes da American Heart Association, podendo influenciar negativamente a população que o utiliza