PERFIL CLÍNICO E EPIDEMIOLÓGICO DE PACIENTES SUBMETIDAS A MASTECTOMIA NO NORTE DE MINAS GERAIS, 2017-2022

O objetivo do estudo foi descrever o perfil epidemiológico dos pacientes submetidos a mastectomia como tratamento do câncer de mama na região Norte de Minas Gerais no período de 2017 a 2022. O método utilizado foi um estudo transversal sobre base de dados secundária, que incluiu pacientes com câncer de mama submetidos a mastectomia, de ambos os sexos, maiores de 20 anos de idade, e excluiu os pacientes que realizaram outras modalidades intervenção cirúrgica e os óbitos. Os resultados apontaram que foram analisados 309 prontuários que evidenciaram que a maior parcela corresponde às pacientes mulheres, totalizando 98,05% pertencentes ao sexo feminino. Com relação à idade foi observado uma prevalência entre pacientes com 50 a 69 anos, que compõe 40,1%. Conclui-se que entre os pacientes com câncer de mama submetidos à mastectomia e em atendimento em um serviço público no município de Montes Claros-MG, houve predomínio do sexo feminino, raça parda, baixo nível de escolaridade e como principal abordagem cirúrgica, a mastectomia radical foi a maior evidênci

Domestic violence on children: development and validation of an instrument to evaluate knowledge of health professionals 1 Marise Fagundes Silveira 4 Lucinéia de Pinho 4 Antônio Prates Caldeira 4 Maísa Tavares de Souza Leite 4

Objective: to develop and validate an instrument to evaluate the knowledge of health professionals about domestic violence on children. Method: this was a study conducted with 194 physicians, nurses and dentists. A literature review was performed for preparation of the items and identification of the dimensions. Apparent and content validation was performed using analysis of three experts and 27 professors of the pediatric health discipline. For construct validation, Cronbach's alpha was used, and the Kappa test was applied to verify reproducibility. The criterion validation was conducted using the Student's t-test. Results: the final instrument included 56 items; the Cronbach alpha was 0.734, the Kappa test showed a correlation greater than 0.6 for most items, and the Student t-test showed a statistically significant value to the level of 5% for the two selected variables: years of education and using the Family Health Strategy. Conclusion: the instrument is valid and can be used as a promising tool to develop or direct actions in public health and evaluate knowledge about domestic violence on children

Instrumentos de mensuração emocional na enfermagem para uma prática de liderança avançada: uma revisão de escopo

O presente trabalho trata-se de uma revisão de escopo da literatura, construída com base no fluxograma proposto pelo PRISMA-ScR (Principais Itens para Relatar Revisões Sistemáticas e Meta-Análises) para Revisões de Escopo. No caso, o tema abordado são os instrumentos de mensuração emocional para profissionais de enfermagem na atenção terciária. Por isso foi realizada revisão de escopo para examinar a escala do fenômeno e resumir estudos preliminares que possam subsidiar pesquisas posteriores. A literatura registra a existência de instrumentos validados para aferir situações emocionais em profissionais de saúde, em especial enfermeiros. Diante dessas considerações para nortear a pesquisa, lançou-se a questão: Qual o panorama da verificação de condições e estados emocionais de profissionais de enfermagem na atualidade

Domestic violence on children: development and validation of an instrument to evaluate knowledge of health professionals

ABSTRACT Objective: to develop and validate an instrument to evaluate the knowledge of health professionals about domestic violence on children. Method: this was a study conducted with 194 physicians, nurses and dentists. A literature review was performed for preparation of the items and identification of the dimensions. Apparent and content validation was performed using analysis of three experts and 27 professors of the pediatric health discipline. For construct validation, Cronbach's alpha was used, and the Kappa test was applied to verify reproducibility. The criterion validation was conducted using the Student's t-test. Results: the final instrument included 56 items; the Cronbach alpha was 0.734, the Kappa test showed a correlation greater than 0.6 for most items, and the Student t-test showed a statistically significant value to the level of 5% for the two selected variables: years of education and using the Family Health Strategy. Conclusion: the instrument is valid and can be used as a promising tool to develop or direct actions in public health and evaluate knowledge about domestic violence on children

Validity and precision of the International Physical Activity Questionnaire for climacteric women using computational intelligence techniques.

This study aimed to evaluate the validity and precision of the International Physical Activity Questionnaire (IPAQ) for climacteric women using computational intelligence techniques. The instrument was applied to 873 women aged between 40 and 65 years. Considering the proposal to regroup the set of data related to the level of physical activity of climacteric women using the IPAQ, we used 2 algorithms: Kohonen and k-means, and, to evaluate the validity of these clusters, 3 indexes were used: Silhouette, PBM and Dunn. The questionnaire was tested for validity (factor analysis) and precision (Cronbach's alpha). The Random Forests technique was used to assess the importance of the variables that make up the IPAQ. To classify these variables, we used 3 algorithms: Suport Vector Machine, Artificial Neural Network and Decision Tree. The results of the tests to evaluate the clusters suggested that what is recommended for IPAQ, when applied to climacteric women, is to categorize the results into two groups. The factor analysis resulted in three factors, with factor 1 being composed of variables 3 to 6; factor 2 for variables 7 and 8; and factor 3 for variables 1 and 2. Regarding the reliability estimate, the results of the standardized Cronbach's alpha test showed values between 0.63 to 0.85, being considered acceptable for the construction of the construct. In the test of importance of the variables that make up the instrument, the results showed that variables 1 and 8 presented a lesser degree of importance and by the analysis of Accuracy, Recall, Precision and area under the ROC curve, there was no variation when the results were analyzed with all IPAQ variables but variables 1 and 8. Through this analysis, we concluded that the IPAQ, short version, has adequate measurement properties for the investigated population