Acesso de pacientes com AVC à telessaúde: quais são as principais barreiras e como são explicadas pelo modelo teórico UTAUT? Uma revisão sistemática

O acidente vascular cerebral (AVC),como condição crônica de saúde, requer monitoramento.Nesse sentido, a telessaúde surge com o objetivo depossibilitar um melhor acesso aos serviços de saúde.Porém, por estar relacionada ao uso de tecnologia,essa modalidade pode enfrentar novas barreiras.O objetivo desta pesquisa foi identificar, por meio de umarevisão sistemática da literatura, as barreiras percebidaspor pacientes com AVC quanto ao acesso à telessaúdee conceituá-las dentro do modelo da Teoria Unificadade Aceitação e Uso de Tecnologia (UTAUT). A revisãosistemática foi realizada nas seguintes bases de dadoseletrônicas: PubMed, MEDLINE, SciELO, LILACS e PEDro;por meio da combinação dos descritores “barreirasde acesso aos cuidados de saúde”, “telerreabilitação”,“telessaúde”, “acidente vascular cerebral” e “modalidadesde fisioterapia”. Inicialmente, foram encontrados298 artigos, sendo 295 por meio da busca em bases dedados e três por meio de busca ativa, e, destes, apenas seisartigos foram incluídos na revisão. Somados, os artigosrevelaram a percepção de mais de 220 indivíduos quesofreram AVC e oito tipos de barreiras, a maioria delasrelacionadas às dimensões de Expectativa de Esforço eCondições Facilitadoras do modelo UTAUT. As barreirasda dimensão Expectativa de Esforço relacionadas aoconhecimento no uso de tecnologias são passíveis deserem superadas, pois treinamentos podem ser realizadospreviamente ao serviço de telessaúde. No entanto,as barreiras relacionadas à dimensão das CondiçõesFacilitadoras no que se refere a aspectos financeiros,internet e contexto domiciliar são difíceis de superar,podendo, portanto, interferir na aceitação do usuárioquanto ao uso da telessaúde.El accidente cerebrovascular (ACV) como una condiciónde salud requiere de monitoreo. En este contexto, la telesaludemerge como una posibilidad que permite un mejor acceso a losservicios de salud. Sin embargo, dado que esta modalidad estárelacionada con el uso de la tecnología, se pueden surgir nuevasbarreras. El objetivo de esta investigación fue identificar, medianteuna revisión sistemática de la literatura, las barreras percibidaspor los pacientes con ACV con respecto al acceso a la telesaludy conceptualizarlas dentro del modelo de la Teoría Unificada deAceptación y Uso de la Tecnología (UTAUT). La revisión sistemáticase realizó en las siguientes bases de datos electrónicas: PubMed,MEDLINE, SciELO, LILACS y PEDro; a partir de la combinaciónde los descriptores “barreras de acceso a la atención médica”,“telerrehabilitación”, “telesalud”, “accidente cerebrovascular”y “modalidades de fisioterapia”. Inicialmente, se encontraron298 artículos, de los cuales se obtuvieron 295 mediante la búsquedaen la base de datos y tres por la búsqueda activa; de estos, solo seisartículos se incluyeron en la revisión. Los artículos revelaron lapercepción de más de 220 sujetos que sufrieron ACV y ocho tiposde barreras; la mayoría de ellas relacionadas con las dimensionesExpectativa de Esfuerzo y Condiciones Facilitadoras del modeloUTAUT. Las barreras de la dimensión Expectativa de Esfuerzo,relacionadas con el conocimiento en el uso de tecnologías, sepueden superar mediante una capacitación previa antes de utilizarla telesalud. Sin embargo, las barreras asociadas con la dimensiónde las Condiciones Facilitadoras respecto a los aspectos financieros,de Internet y el contexto del hogar son difíciles de superar y,por lo tanto, pueden interferir en la aceptación del uso de latelesalud por parte del usuarioStroke is a chronic health condition thatrequires monitoring. In this sense, telehealth emergesas a tool to enable better access. However, since it isrelated to use of technology, this modality might facenew barriers. Our goal was to identify, with a systematicliterature review, the perceived barriers to telehealthaccess by stroke patients and conceptualize them withinthe Unified Theory of Acceptance and Use of Technology(UTAUT) model. The systematic review was carried out in the following electronic databases: PubMed, MEDLINE, SciELO,LILACS, and PEDro; and the combination of descriptors were:“Barriers to Access to Health Care,” “Telerehabilitation,” “Telehealth,”“Stroke,” and “Physical Therapy Modalities.” The included studiesfocused on telehealth barriers perceived by stroke patients. Initially,298 articles were found, 295 via databases search, and threevia active search; of these, only six articles were included in thisreview. Overall, the articles revealed the perception of more than220 stroke patients, with barriers categorized into eight types,most of them related to the dimensions of Effort Expectancy andFacilitating Conditions of the UTAUT model. The barriers of theEffort Expectation dimension that are related to the knowledge inthe use of technologies are likely to be overcome since training canbe carried out before the telehealth service. However, the barriersrelated to the Facilitating Conditions dimension regarding financialaspects, the internet, and home context are difficult to overcome,possibly interfering with user’s acceptance of telehealth

A UTILIZAÇÃO DA TERMOGRAFIA INFRAVERMELHA NA AVALIAÇÃO DE EQUINOS: Uma Revisão Sistemática

Infrared thermography is a non-invasive, painless, non-contrast and diagnostic method that analyzes the cutaneous temperature distribution by means of thermal sensors positioned close to the examined, expressing by means of a pictorial representation the surface temperature distribution of a body. The objective of this study is to analyze, through the literature, the use of thermography in equine evaluation. This is a systematic review of the literature, carried out from December 2017 to February 2018 in diferents databases. 10796 articles were found and after application of the methodological criteria 5 were left to be integrally evaluated. It was verified in the research that the use of thermography technology through infrared radiation is an effective resource in several aspects within an evaluation in horses, such as identification of lesions, fear or pain present in horses.A termografia infravermelha é um método diagnóstico não invasivo, indolor e que não necessita de contraste. Ela analisa a distribuição da temperatura cutânea através de sensores térmicos posicionados próximo ao examinado. Seus resultados são expressos por meio de uma representação pictórica da distribuição da temperatura superficial de uma determinada região do corpo. O objetivo deste estudo foi analisar, por meio da literatura, o uso da termografia na avaliação de equinos. Trata-se de uma revisão sistemática da literatura, realizada no período de dezembro de 2017 a fevereiro de 2018 em diferentes bases de dados. Foram achados 10796 artigos e após aplicação dos critérios metodológicos restaram 5 para serem integralmente avaliados. Verificou-se na pesquisa que a utilização da tecnologia da termografia através de radiação infravermelha é um recurso eficaz em diversos aspectos dentro de uma avaliação em equinos, tais como identificação de lesões, medos ou dores presentes em equinos

RINOTRAQUEÍTE COM ENVOLVIMENTO DE PULMÃO E FÍGADO EM UM FELINO

O Herpes Vírus Felino tipo 1 é o principal agente causador do Complexo Respiratório Felino e causa infecção do trato respiratório superior. O objetivo desse trabalho foi relatar um caso de rinotraqueíte felina com envolvimento pulmonar e hepático. Um felino, sem raça definida, cinco meses, macho apresentou histórico de anorexia, secreção ocular e nasal seromucosa e espirros e morreu após o atendimento. Na necropsia observou-se cavidade nasal difusamente avermelhada, pulmões não colapsados e discretamente avermelhados. Microscopicamente, havia necrose do epitélio da cavidade nasal, dos pulmões e dos hepatócitos associada a inclusões anfofílicas intranucleares. O acometimento pulmonar e hepático por esse vírus é incomum e a histopatologia foi essencial para elucidação diagnóstica

Application of the participatory design in the testing of a baropodometric insole prototype for weight-bearing asymmetry after a stroke: A qualitative study

Introduction Currently studies indicate the need to incorporate the user`s perspective in the testing of new assistive technologies. The objective of this paper is to test a baropodometric insole prototype for monitoring and treatment weight-bearing asymmetry, according to the Participatory Design. Methods We used a qualitative case study approach during the testing phase of the baropodometric insole prototype. The focus group approach addressed topics related to the experience and accessibility of the potential user in conjunction with professionals, researchers, and physiotherapy students. Facilitators, barriers, and requirements for the device were collected through audio recordings of the discussions during and after prototype testing. Results Key steps in the prototype testing process were divided into (1) Test of the prototype according to the Participatory Design, divided into Who, When, How, and Why the potential user was involved in the study; and (2) Facilitators, barriers and requirements to improve the prototype. Conclusions The baropodometric insole prototype can be seen as a promising device for monitoring and treating weight-bearing asymmetry

Prevalence of rotavirus and human bocavirus in immunosuppressed individuals after renal transplantation in the Northern Region of Brazil

Ministério da Saúde. Secretaria de Vigilância em Saúde. Instituto Evandro Chagas. Programa de Pós-Graduação em Epidemiologia e Vigilância em Saúde. Ananindeua, PA, Brasil.Ministério da Saúde. Secretaria de Vigilância em Saúde. Instituto Evandro Chagas. Laboratório de Rotavírus. Ananindeua, PA, Brasil.Ministério da Saúde. Secretaria de Vigilância em Saúde. Instituto Evandro Chagas. Laboratório de Rotavírus. Ananindeua, PA, Brasil.Ministério da Saúde. Secretaria de Vigilância em Saúde. Instituto Evandro Chagas. Laboratório de Rotavírus. Ananindeua, PA, Brasil.Ministério da Saúde. Secretaria de Vigilância em Saúde. Instituto Evandro Chagas. Laboratório de Rotavírus. Ananindeua, PA, Brasil.Ministério da Saúde. Secretaria de Vigilância em Saúde. Instituto Evandro Chagas. Laboratório de Rotavírus. Ananindeua, PA, Brasil.Ministério da Saúde. Secretaria de Vigilância em Saúde. Instituto Evandro Chagas. Laboratório de Rotavírus. Ananindeua, PA, Brasil.Ministério da Saúde. Secretaria de Vigilância em Saúde. Instituto Evandro Chagas. Laboratório de Rotavírus. Ananindeua, PA, Brasil.Ministério da Saúde. Secretaria de Vigilância em Saúde. Instituto Evandro Chagas. Laboratório de Rotavírus. Ananindeua, PA, Brasil.Universidade Federal do Pará. Núcleo de Medicina Tropical. Belém, PA, Brasil.Ministério da Saúde. Secretaria de Vigilância em Saúde. Instituto Evandro Chagas. Laboratório de Rotavírus. Ananindeua, PA, Brasil.Ministério da Saúde. Secretaria de Vigilância em Saúde. Instituto Evandro Chagas. Laboratório de Rotavírus. Ananindeua, PA, Brasil.Ministério da Saúde. Secretaria de Vigilância em Saúde. Instituto Evandro Chagas. Laboratório de Rotavírus. Ananindeua, PA, Brasil.Immunosuppressive therapy causes severe impairment of host defense and diarrhea is a frequent complication in renal transplant recipients. This study aimed to describe the occurrence of Rotavirus A (RVA) and Human Bocavirus (HBoV) in fecal samples of immunosuppressed patients submitted to renal transplantation during posttransplant follow‐up. A longitudinal study was carried out involving a 25‐patient cohort, selected for kidney transplantation. A total of 126 fecal samples were collected between May 2014 and May 2016. Molecular techniques were used to detect and characterize circulating RVA and HBoV genotypes and statistical analysis were applied to verify the association between epidemiological and clinical characteristics. The prevalence of RVA and HBoV was 24% (6/25) and 40% (10/25), respectively. Among RVA and HBoV positive cases, the majority was female; did not conduct water treatment nor had adequate sewage facilities. The most detected genotypes were RVA G3 (62.5%) and HBoV‐3 (95%). Phylogenetic analysis of HBoV strains indicated that studied samples were similar to those found in Asian and American countries. The present study point out the circulation of these viral agents among immunosuppressed individuals and these findings will enable the construction of new knowledge and care perspectives on the cause of diarrhea in this population

Brazilian Flora 2020: Leveraging the power of a collaborative scientific network

International audienceThe shortage of reliable primary taxonomic data limits the description of biological taxa and the understanding of biodiversity patterns and processes, complicating biogeographical, ecological, and evolutionary studies. This deficit creates a significant taxonomic impediment to biodiversity research and conservation planning. The taxonomic impediment and the biodiversity crisis are widely recognized, highlighting the urgent need for reliable taxonomic data. Over the past decade, numerous countries worldwide have devoted considerable effort to Target 1 of the Global Strategy for Plant Conservation (GSPC), which called for the preparation of a working list of all known plant species by 2010 and an online world Flora by 2020. Brazil is a megadiverse country, home to more of the world's known plant species than any other country. Despite that, Flora Brasiliensis, concluded in 1906, was the last comprehensive treatment of the Brazilian flora. The lack of accurate estimates of the number of species of algae, fungi, and plants occurring in Brazil contributes to the prevailing taxonomic impediment and delays progress towards the GSPC targets. Over the past 12 years, a legion of taxonomists motivated to meet Target 1 of the GSPC, worked together to gather and integrate knowledge on the algal, plant, and fungal diversity of Brazil. Overall, a team of about 980 taxonomists joined efforts in a highly collaborative project that used cybertaxonomy to prepare an updated Flora of Brazil, showing the power of scientific collaboration to reach ambitious goals. This paper presents an overview of the Brazilian Flora 2020 and provides taxonomic and spatial updates on the algae, fungi, and plants found in one of the world's most biodiverse countries. We further identify collection gaps and summarize future goals that extend beyond 2020. Our results show that Brazil is home to 46,975 native species of algae, fungi, and plants, of which 19,669 are endemic to the country. The data compiled to date suggests that the Atlantic Rainforest might be the most diverse Brazilian domain for all plant groups except gymnosperms, which are most diverse in the Amazon. However, scientific knowledge of Brazilian diversity is still unequally distributed, with the Atlantic Rainforest and the Cerrado being the most intensively sampled and studied biomes in the country. In times of “scientific reductionism”, with botanical and mycological sciences suffering pervasive depreciation in recent decades, the first online Flora of Brazil 2020 significantly enhanced the quality and quantity of taxonomic data available for algae, fungi, and plants from Brazil. This project also made all the information freely available online, providing a firm foundation for future research and for the management, conservation, and sustainable use of the Brazilian funga and flora

NEOTROPICAL XENARTHRANS: a data set of occurrence of xenarthran species in the Neotropics

Xenarthrans—anteaters, sloths, and armadillos—have essential functions for ecosystem maintenance, such as insect control and nutrient cycling, playing key roles as ecosystem engineers. Because of habitat loss and fragmentation, hunting pressure, and conflicts with domestic dogs, these species have been threatened locally, regionally, or even across their full distribution ranges. The Neotropics harbor 21 species of armadillos, 10 anteaters, and 6 sloths. Our data set includes the families Chlamyphoridae (13), Dasypodidae (7), Myrmecophagidae (3), Bradypodidae (4), and Megalonychidae (2). We have no occurrence data on Dasypus pilosus (Dasypodidae). Regarding Cyclopedidae, until recently, only one species was recognized, but new genetic studies have revealed that the group is represented by seven species. In this data paper, we compiled a total of 42,528 records of 31 species, represented by occurrence and quantitative data, totaling 24,847 unique georeferenced records. The geographic range is from the southern United States, Mexico, and Caribbean countries at the northern portion of the Neotropics, to the austral distribution in Argentina, Paraguay, Chile, and Uruguay. Regarding anteaters, Myrmecophaga tridactyla has the most records (n = 5,941), and Cyclopes sp. have the fewest (n = 240). The armadillo species with the most data is Dasypus novemcinctus (n = 11,588), and the fewest data are recorded for Calyptophractus retusus (n = 33). With regard to sloth species, Bradypus variegatus has the most records (n = 962), and Bradypus pygmaeus has the fewest (n = 12). Our main objective with Neotropical Xenarthrans is to make occurrence and quantitative data available to facilitate more ecological research, particularly if we integrate the xenarthran data with other data sets of Neotropical Series that will become available very soon (i.e., Neotropical Carnivores, Neotropical Invasive Mammals, and Neotropical Hunters and Dogs). Therefore, studies on trophic cascades, hunting pressure, habitat loss, fragmentation effects, species invasion, and climate change effects will be possible with the Neotropical Xenarthrans data set. Please cite this data paper when using its data in publications. We also request that researchers and teachers inform us of how they are using these data