Metodología para el desarrollo de las cualidades coordinativas básicas, en la Educación Física del nivel inicial 2

El profesional de cultura física contribuye, con aportes importantes, al perfeccionamiento de los programas; aplica a la educación el ejercicio físico desde las primeras edades y favorece la formación integral. El objetivo de este trabajo consistió en diseñar una metodología para el desarrollo de las cualidades coordinativas básicas en la Educación Física del nivel inicial 2. Para ello, se realizó un estudio de diseño preexperimental de control mínimo, con dos años de duración (2020-2021). La muestra seleccionada respondió a un muestreo intencional estratificado, no probabilístico. Se emplearon métodos de los niveles teórico y empírico, tales como: análisis y síntesis, inductivo-deductivo, sistémico-estructural funcional, medición, experimento, criterio de expertos y estadística descriptiva, así como técnicas de investigación entre los que destacan, análisis documental, observación estructurada, entrevista y encuesta. La metodología se realizó mediante la implementación de ejercicios físicos. Participaron 229 niños del nivel inicial 2; a partir del diagnóstico realizado se determinó que el equilibrio dinámico (46,3 %) y la coordinación dinámica general (43,7%) fueron evaluados de regular, además de dificultades en todos los patrones de movimiento, la motricidad gruesa, la fina, los reflejos, las reacciones y patrones posturales. El estudio mostró que se puede mejorar el desarrollo de las cualidades coordinativas básicas en la Educación Física del nivel inicial 2.

O profissional de cultura física contribui, com contribuições importantes, para o aprimoramento dos programas; Aplica o exercício físico à educação desde tenra idade e promove uma formação integral. O objetivo deste trabalho foi desenhar uma metodologia para o desenvolvimento de qualidades coordenativas básicas em Educação Física do nível inicial 2. Para tanto, foi realizado um estudo de desenho pré-experimental de controle mínimo, com duração de dois anos (2020-2021). ). ). A amostra selecionada respondeu a uma amostragem estratificada e não probabilística intencional. Foram utilizados métodos dos níveis teórico e empírico tais como: análise e síntese indutivo-dedutivo sistêmico-estrutural-funcional medição experimento julgamento de especialistas e estatística descritiva bem como técnicas de pesquisa dentre as quais se destacam a análise documental observação estruturada, entrevista e inquérito. A metodologia foi realizada por meio da execução de exercícios físicos. Participaram 229 crianças do nível inicial 2; A partir do diagnóstico realizado, constatou-se que o equilíbrio dinâmico (46,3%) e a coordenação dinâmica geral (43,7%) foram avaliados como regulares, além de dificuldades em todos os padrões de movimento, motricidade grossa e fina, reflexos, reações e padrões posturais. O estudo mostrou que o desenvolvimento das qualidades coordenativas básicas pode ser melhorado na Educação Física no nível inicial 2.

The physical culture professional contributes, with important contributions, to the improvement of the programs; applies physical exercise to education, from the earliest ages and promotes comprehensive training. The objective of this work was to design a methodology for the development of basic coordinative qualities in Physical Education of the initial level 2. To this end, a pre-experimental design study of minimum control was carried out, lasting two years (2020-2021). The selected sample responded to a stratified, non-probabilistic intentional sampling. Methods from the theoretical and empirical levels were used, such as: analysis and synthesis, inductive-deductive, systemic-structural-functional, measurement, experiment, expert judgment and descriptive statistics, as well as research techniques, among which stand out documentary analysis, structured observation, interview and survey. The methodology was carried out through the implementation of physical exercises. 229 children from initial level 2 participated. Based on the diagnosis made, it was determined that dynamic balance (46.3 %) and general dynamic coordination (43.7 %) were evaluated as fair, in addition to difficulties in all movement patterns, gross and fine motor skills, reflexes, reactions and postural patterns. The study showed that the development of basic coordinative qualities can be improved in Physical Education at initial level 2.

Tendencias actuales en la preparación física del futbolista: una revisión documental

La preparación física en el fútbol es crucial para el rendimiento físico, por lo que es necesario estar al tanto de las últimas tendencias sobre los enfoques utilizados a fin de identificar las mejores prácticas y las áreas que requieren perfeccionarse. El objetivo de la investigación consistió en desarrollar una revisión exhaustiva de las tendencias actuales en la preparación física del futbolista profesional. Esta investigación fue de tipo teórica, se aplicó la técnica de revisión documental y el instrumento matriz de registro. Los pasos que se siguieron fueron la búsqueda y selección de artículos relevantes de preparación física, extracción de información, validación de fuentes, organización de hallazgos, identificación de patrones y síntesis narrativa. La investigación reveló las tendencias en la preparación física de los futbolistas y resaltó la importancia de la personalización, la planificación estratégica, el enfoque integral del entrenamiento y la alimentación adecuada. El estudio generó nuevas perspectivas en el campo de la preparación física, permitió una comprensión más completa y actualizada de las tendencias y prácticas en este ámbito, lo que sirve como base para futuras investigaciones y cubre brechas de conocimiento en el campo de la preparación física del futbolista profesional.

A preparação física no futebol é crucial para o desempenho físico, por isso é necessário estar atento às últimas tendências nas abordagens utilizadas para identificar as melhores práticas e áreas que necessitam de melhorias. O objetivo da pesquisa foi desenvolver uma revisão exaustiva das tendências atuais na preparação física de jogadores de futebol profissionais. Esta pesquisa teve caráter teórico, foram aplicadas a técnica de revisão documental e o instrumento matriz de registro. As etapas seguidas foram a busca e seleção de artigos relevantes sobre preparação física, extração de informações, validação de fontes, organização de achados, identificação de padrões e síntese narrativa. A investigação revelou tendências na preparação física dos jogadores de futebol e destacou a importância da personalização, do planeamento estratégico, de uma abordagem abrangente ao treino e de uma alimentação adequada. jogador profissional.

Physical preparation in soccer is crucial for physical performance, so it is necessary to be aware of the latest trends in the approaches used in order to identify best practices and areas that require improvement. The objective of the research was to develop an exhaustive review of current trends in the physical preparation of professional soccer player. This research was theoretical, the documentary review technique and the registration matrix instrument were applied. The steps followed were the search and selection of relevant articles on physical preparation, information extraction, validation of sources, organization of findings, identification of patterns and narrative synthesis. The research revealed trends in the physical preparation of foot players and highlighted the importance of personalization, strategic planning, a comprehensive approach to training and proper nutrition. The study generated new perspectives in the field of physical preparation, allowed a more complete and updated understanding of the trends and practices in this area, which serves as a basis for future research and covers knowledge gaps, in the field of physical preparation of the professional soccer player.

1. Outline of the 2022 Revision of the Model Core Curriculum for Medical Education in Japan / 医学教育

The basic policies of the 2022 revision of the Model Core Curriculum for Medical Education are : (1) revision of the basic qualities and abilities required of physicians in society in 2040 and beyond, (2) further development of outcome-based education (reorganization of learning objectives and the addition of a chapter on strategy and assessment), (3) consistency with legal and institutional changes in physician training, (4) streamlining and digitization of the document, (5) improvements to future researcher training and development, (6) evidence-based Model Core Curriculum content, and (7) Partial standardization with the core curricula of dentistry and pharmacy.　Major points of revision include the addition of "Generalism" and "Information Technology " to the list of qualities and abilities, reorganization of diseases are to be consistent with the national examination, description of infectious diseases are to based on actual clinical practice, and "basic departments/specialties for participatory clinical clerkship" following discussion with JACME.

Effect of Packaging Materials and Storage Temperatures on the Microbiological Quality of Hibiscus sabdarifa Drinks during Ambient and Refrigeration Storage

Aims: To evaluate the effect of packaging materials and storage temperatures on the microbiological quality of Hibiscus sabdarifa drinks produced with: 1) commercial pineapple flavour (HCPF) and; 2) Phoenix dactylifera (38%) and pineapple extract (2%) (HPPE). Methodology: Pasteurized drinks packaged in polyethylene sachets, plastic and glass bottles were stored at refrigeration (4.4±2oC) and ambient (25±2oC) temperatures for 27 and 9 days respectively. Results: There was significant (P≤0.05) decrease in total bacterial count in HCPF (≤4.51-≥2.14 Log10CFU/ml) with higher death rate (0.06) in plastic bottles at 4.4±2oC while at 25±2oC it increased significantly (P≤0.05) in HPPE samples (4.00-≤4.95 Log10CFU/ml) with least growth rate in plastic bottles (0.02). Yeast count at 25±2oC (1.28 – 2.15 Log10CFU/ml) was significantly (P≤0.05) higher than at 4.4±2oC (1.00 – 1.60 Log10CFU/ml) and drinks in plastic bottles had the least growth rates (≤0.03). Coliform (2.04 – 2.59 Log10CFU/ml), Escherichia coli (2.00 – 2.93 Log10CFU/ml) and Staphylococcus (2.00 – 2.50 Log10CFU/ml) sparingly detected, were unable to grow in the drinks with greater inhibition at 25±2oC in all packaging materials. No growth of Salmonella was observed in the drinks. Glass bottles favoured more microbial growth but the levels were satisfactory for all packaging which is indicative of microbiological safety. Conclusion: Any of the packaging material can be used for packaging of Hibiscus sabdarifa drinks with storage at refrigeration temperature for ≤ 21 days. It is informative to both consumers and producers that the then wasted pineapple peels can serve as an ingredient in Hibiscus sabdarifa drink production.

Physico-chemical and Microbiological Qualities of Abattoir Wastewater in Egbu, Imo State, Nigeria

Abbattoir waste water is of a complex composition. When discharged without being treated, poses a threat to human health and the environment. This is the practice common in Nigeria, and is worrisome.Objective: The aim of this study was to assess the physico-chemical and microbiological qualities of waste water from Egbu abattoir discharged into ‘Otamiri’ river in Owerri North local government area, Imo State, Nigeria.Methods: The microbial quality of abattoir wastewater was studied. The duration of the study was three months, from June to September, 2019. Sample collection was done in the morning (8-10am) and in the evening (4-6pm). A total of thirty samples (30) were collected from two sampling points, at the place of generation of the wastewater (Effluent source) and at the point of discharge into the river (POE). Standard methods were employed to assess the microbiological and physiochemical quality of the effluent. The microorganisms isolated from the samples included Escherichia coli, Salmonella, Staphylococcus, Aspergillus, Mucor, Listeria, Micrococcus and Candida species. The Total Heterotrophic Count (THC) of effluent samples, at source and POE were 8.51log10 cfu/ml and 6.15log10cfu/ml respectively, Total Coliform Count (TCC) for same samples were 6.77log10 cfu/ml and 4.56log10 cfu/ml respectively. The Total Fungal Count (TFC) of the effluent samples at source and at POE was 5.19log10 cfu/ml and 4.18log10 cfu/ml respectively. Results further revealed that the pH of the effluent at source was 6.58 while that at Point of Entry into the river was 7.30. The temperature of both samples was 25oC. The Total Dissolved Solid values of the effluent collected at source was higher, having a value of 1400mg/L against 1000mg/L at Point of Entry. Also the Biochemical Oxygen Demand (BOD) and Chemical Oxygen Demand (COD) values of the effluent at source were 5.10mg/L and 8.58mg/L respectively, while the BOD and COD of the water at the POE were 4.3mg/L and 7.9mg/L respectively.Conclusion: Abattoir wastes are becoming a major environmental health challenge and being discharged into the Otamiri River indiscriminately is of public health concern. The potential public health implications associated with discharging untreated abattoir wastewater into the environment and thus, the need for adequate treatment to ensure decontamination as well as providing wastewater treatment facility is imperative.

Phytobiotic effect of Marrubium vulgare and Leonurus sibiricus on productive performance of griller-type broilers / Efeito fitobiótico da Marrubium vulgare e Leonurus sibiricus sobre o desempenho produtivo de frangos de corte tipo griller

ABSTRACT: The food industry is in a continuous search for strategies of reducing of antibiotic residues in livestock production, given the development of antibiotic-resistant bacteria. In that context, there is a consistent increasing in the usage of alternative feed phytogenic additives. Due to the pharmacological, the plants Marrubium vulgare and Leonurus sibiricus, are both potential replacements for growth-promoting antibiotics. This study evaluated the productive performance and analyze the sensory qualities in the meat of broiler that were administered M. vulgare and L. sibiricus infusions. A total of 320 chicks from an poultry farm were distributed in 8 groups groups according treatments by 28 days: Control Group (Saline); Positive control (tylosin 1%, 50 ppm); Groups of M. vulgare (MV) infusion: 2% (MV2), 4% (MV4) and 6% (MV6); and groups treated with L. sibiricus (LS) infusion: 2% (LS2), 4% (LS4) and 6% (LS6), all of them received relative doses corresponding to the live weight percentage in milliliter. There was weght gain in MV6 and LS6 group and a better food conversion in MV4, MV6, LS4, and LS6. In addition, weight gain and enhancement of the pectoral muscles were observed in these groups. The sensory analysis revealed that the broilers' meat of MV had a more intense flavor. For marketing purposes the meat from birds that received LS had a better demand. Improvement of productive performance and sensory qualities of the broilers meat might be associated with the phytobiotic activity in it. Therefore, MV and LS can be used as natural growth promoter in broilers.

RESUMO: A indústria de alimentos busca a redução de resíduos de antibióticos na criação intensiva de animais de produção devido ao desenvolvimento de bactérias resistentes. Nesse contexto, tem havido um aumento no uso de aditivos fitogênicos alternativos nas rações. Devido às suas propriedades farmacológicas demonstradas anteriormente as plantas Marrubium vulgare e Leonurus sibiricus tem potencial como aditivos em substituição aos antibióticos promotores de crescimento. O objetivo desse estudo foi avaliar o desempenho produtivo e analisar as qualidades sensoriais da carne de frangos que receberam a administração da infusão da M. vulgare (MV) e da L. sibiricus (LS). 320 pintainhas de um criatório industrial foram distribuídas em oito grupos experimentais: Grupo Controle (Salina); Controle Positivo (tilosina 1%, 50 ppm); Grupos tratados com MV: 2% (MV2), 4% (MV4) e 6% (MV6); e grupos tratados com a LS: 2% (LS2), 4% (LS4) e 6% (LS6), e todos eles receberam doses relativas correspondendo à percentagem de peso vivo, em mililitros. Houve maior ganho de peso no 28o dia nos grupos MV6 e LS6 e melhor conversão alimentar em MV4, MV6, LS4 e LS6. Além disso, foi observado aumento no peso e circunferência dos músculos peitorais nesses grupos. A análise sensorial revelou que amostras de carne do grupo MV tiveram sabor mais intenso do que no grupo controle. Na intenção de compra, a carne dos animais que receberam LS teve maior preferência. A melhoria do desempenho produtivo e das características sensoriais da carne de frangos pode estar associada à atividade fitobiótica. Assim, MV e LS podem ser usados como promotores de crescimento naturais para frangos de corte.

Principal Component Analysis in Biometric, Pulp Quality and Anatomical Properties of Thronless Bamboo (Bambusa balcooa)

Aims: To estimate the impact, connection and association among the biometric attributes, pulping qualities and anatomical characters in Bambusa balcooa. Place and Duration of Study: The study was conducted across the agro climatic regions viz., North Eastern Zone, Northern Zone, Western Zone, Cauvery Delta Zone and Southern Zone of Tamil Nadu, India during 2017-2018. Methodology: The Principal Components Analysis (PCA) was examined to establish the numbers of clusters using Statistical Package for Social Studies (SPSS) version 16.0.1 software in order to identify the patterns of variation (PCA). The principal component analysis was computed using the equation PCA = Σa jXj. Results: The PCA separated into three cluster principal components among the nineteen parameters studied. Out of nineteen principal components generated, twelve principal components had contributed positively on pulp yield. Among these twelve traits, maximum contribution to the pulp yield was observed by the traits viz., numbers of culms, hollocellulose, kappa number, tear index, burst index, fibre wall thickness and vessel diameter with respect to Bambusa balcooa. Conclusion: The results showed some relationships between the biometric attributes, pulping qualities and anatomical characters in Bambusa balcooa. PCA was shown to be a useful tool for assessing the impact and connection for further research.

Analyze the mediating effect of the positive psychological qualities, between emotional intelligence and humanistic caring ability among the nursing interns / 中国实用护理杂志

Objective@#To explore the humanistic caring ability, and to analyze the relationship between the positive psychological qualities, emotional intelligence and humanistic caring ability among the nursing interns, and provide theoretical basis to improve nursing students’ humanistic caring ability.@*Methods@#A total of 132 nursing interns from a three Level of first-class hospital in Liaoning province, were investigated by using the general questionnaire, caring ability inventory, emotional intelligence scale and Positive Mental Characters Scale for China normal university.@*Results@#The score of humanistic caring ability was (180.74±18.75). Among them, the average score of cognitive was the highest (73.71±10.93) and the average score of courage was the lowest (48.43±11.91). Emotional intelligence and positive psychological qualities were positively correlated with the humanistic caring ability, and positive psychological qualities was a intermediate variable between emotional intelligence and humanistic caring ability, and the mediating effect size is 18.71%.@*Conclusion@#The level of humanistic caring ability in nursing interns is lower, which needs to be further improved. The emotional intelligence and positive psychological qualities have a significant positive effect on the humanistic caring ability. Schools and internship hospitals can improve their sense of humanistic caring ability by developing the emotional intelligence and positive psychological qualities to stabilize the development of nursing career.

Analyze the mediating effect of the positive psychological qualities, between emotional intelligence and humanistic caring ability among the nursing interns / 中国实用护理杂志

Objective To explore the humanistic caring ability ,and to analyze the relationship between the positive psychological qualities , emotional intelligence and humanistic caring ability among the nursing interns, and provide theoretical basis to improve nursing students’humanistic caring ability. Methods A total of 132 nursing interns from a three Level of first-class hospital in Liaoning province, were investigated by using the general questionnaire, caring ability inventory, emotional intelligence scale and Positive Mental Characters Scale for China normal university. Results The score of humanistic caring ability was (180.74±18.75) . Among them, the average score of cognitive was the highest (73.71± 10.93) and the average score of courage was the lowest (48.43±11.91 ). Emotional intelligence and positive psychological qualities were positively correlated with the humanistic caring ability, and positive psychological qualities was a intermediate variable between emotional intelligence and humanistic caring ability, and the mediating effect size is 18.71%. Conclusion The level of humanistic caring ability in nursing interns is lower, which needs to be further improved. The emotional intelligence and positive psychological qualities have a significant positive effect on the humanistic caring ability. Schools and internship hospitals can improve their sense of humanistic caring ability by developing the emotional intelligence and positive psychological qualities to stabilize the development of nursing career.

Evaluation of Nutritional and Sensory Quality of Complementary Food from Selected Spices, Soy and Maize Blends

Aims: This study examined the nutritional composition and consumer acceptability of complementary food produced using selected spices and soy-maize blends. Study Design: The produce formulated complementary food using different proportions of maize, soybeans, turmeric and ginger powders and to evaluate the blends for their nutritive and Sensory qualities. Place and Duration: The Processing and preparations were done in the Department of Family Nutrition and Consumer Sciences kitchen. All analyses were done at the Central Laboratory, Obafemi Awolowo University, Ile-Ife, Nigeria. The experiment was conducted between March and July 2018. Methodology: The blends were formulated by mixing maize flour, soybeans flour and ginger powder in the ratio of 85:10:5 and 70:20:10 respectively, and with turmeric powder in the same ratio. These blends were evaluated for their nutritive value using standard methods. Sensory evaluation was also carried out to assess the acceptability of the blends. Results obtained were subjected to statistical analysis. Results: The proximate analysis showed that samples 85:10:5 and 70:20:10 (Maize-soybeans-ginger) contained protein (18.9 and 34.7)%, fat (4.7 and 10.6)%, crude fibre (1.6 and 1.49)%, ash (2.9 and 3.5)% while sample 85:10:5 and 70:20:10 (Maize- soybeans- turmeric) contained protein (21.5 and 29.0)%, fat (8.6 and 19.7)%, crude fibre (1.3 and 2.8)% and ash (3.9 and 5.6)% respectively. Sensory evaluation showed that blend 85:10:5 (Maize-soybeans-ginger) was more preferred in terms of taste, flavour, and general acceptability while sample 70:20:10 (Maize- soybeans- turmeric) was generally more acceptable in terms of colour and texture. Conclusion: The study has shown that nutrient dense complementary food can be produced from blends of turmeric, ginger, soybeans and maize, which are locally available and will help reduce the cost of the products and also minimise the outlay of foreign currency, which is an important economic consideration for developing countries like Nigeria.

Effect of Herbal Supplement on the Laying Performance and Antioxidant Status of Serum and Egg Yolk of Laying Birds

Aims: The experiment was carried out to investigate the effect of herbal supplement on laying performance and antioxidant status of serum and egg yolk of laying birds. Study Design: The experiment employed a completely randomised design, all data generated were subjected to analysis of variance, P =0.05. Methodology: A total of ninety-six (26-week old laying birds) of Isa-brown laying birds were used in a 120-day feeding trial. The birds were assigned to 4 dietary treatments replicated eight times with 3 hens per replicate and were fed the control diet and diets supplemented with 5 g/kg garlic powder, 5 g/kg moringa leafmeal and 5 g/kg ginger powder as diets 2,3,4, respectively. The birds were fed with experimental diets for the 120-day period during which data were obtained on laying performance, internal and external egg qualities and antioxidant status of serum and egg yolk. Results: There was no significant difference in hen day production, feed intake in birds fed control diet and diets supplemented with herbs. Final live-weight and weight change decreased (p<0.05) with dietary herbal supplementation. Supplementation of diets with herbs resulted in a significant increase in egg weight, eggshell weight, eggshell thickness, eggshell surface area compared to the control diet. The yolk weight and albumen weight were significantly (p<0.05) influenced by the dietary herbal supplement. Serum superoxide dismutase (SOD) activity increased in the dietary herbal supplement and was maximised (288 µml-1) at diet 3 likewise, the egg yolk superoxide dismutase (SOD) activity increased (p<0.05) in the dietary herbal supplement and was maximised (9.21 µml-1) at diet 3. Conclusion: Diet supplemented with 5 g/kg moringa leafmeal gave optimum performance, 5g/kg moringa leafmeal may be used as feed additive to improve performance, egg qualities characteristics and antioxidant status of serum and egg yolk of laying birds.

Ofada Rice Identity, Physical Qualities and Processing Technology Options for Upgrading: A Review

The main aim is to provide an overview on identity of Ofada rice and technology options for quality upgrading. Ofada rice is one of the popular indigenous Nigerian rice with complicated identity. This local rice is robust with red/brown stripes and characterised with unappealing appearance causing downgrading or rejection. Physical qualities play a significant role in the determination of consumer preference. Aside from genetic, non genetic factors contribute substantially to the physical quality of rice. The quality differences between Nigerian rice and imported rice varieties have been of concern to the domestic rice industry. Careful examination of research findings have lent strength to the influence of post harvest rough rice handling and processing on the quality of Ofada rice. Most of these previous researches to improve Ofada rice quality focused on a particular processing unit operation (soaking condition and time, parboiling temperature, drying temperature and storage duration). Identity of Ofada rice and its physical attributes are re-examined. The traditional primary and secondary processing operations involved are also revisited. Appropriate technological options for improving physical qualities for better product quality and acceptability were compounded.

The Filipino well family: A qualitative study among selected families residing in Mandaluyong City

Background@#The Filipino family has always been described to have solid household, innate close family ties and high regard to interpersonal relationships. However, there has been paucity of local studies regarding Filipino families and how specifically do Filipinos see, define and perceive a family unit in general.@*Objective@#To explore Filipino family’s concepts and ideas of what qualities represent and define a well family. @*Method@#The study was qualitative in design with mixed data collection methods: 18 interviews, 10 Focus Group Discussions, and a literature review. @*Results@#Caring parents, unconditional love, able to maintain a good relationship between family members, constant presence for loved ones and capacity to forgive were reflected as important characteristics of a well Filipino family. Love and respect are considered to be the foundations and faith in God as an important component of a family. However, the wellness of the family begins with husband-wife relationship and that a strong and happy marital relationship will provide mutual support, encouragement and understanding. Likewise, financial capability combined with a commitment to provide for the family’s future was a quality believed to bind the family together. Physical well-being and the absence of diseases were also part of family wellness.@*Conclusion@#The nine qualities of a well Filipino family include loving, affectionate, responsible family members; spiritually healthy; has the capacity to provide; having strong husband-wife relationship; effective parents; has a system of open communication within the family; united with flexible family structure; spends time together; and physically healthy with good community life.

Non-technical skills assessment scale in nursing: construction, development and validation / Escala de avaliação de habilidades não técnicas em enfermagem: construção, desenvolvimento e validação / Escala de evaluación de habilidades no técnicas en enfermería: construcción, desarrollo y validación

ABSTRACT The introduction of non-technical skills during nursing education is crucial to prepare nurses for the clinical context and increase patient safety. We found no instrument developed for this purpose. Objectives: to construct, develop and validate a non-technical skills assessment scale in nursing. Method: methodological research. Based on the literature review and experience of researchers on non-technical skills in healthcare and the knowledge of the principles of crisis resource management, a list of 63 items with a five-point Likert scale was constructed. The scale was applied to 177 nursing undergraduate students. Descriptive statistics, correlations, internal consistency analysis and exploratory factor analysis were performed to evaluate the psychometric properties of the scale. Results: scale items presented similar values for mean and median. The maximum and the minimum values presented a good distribution amongst all response options. Most items presented a significant and positive relationship. Cronbach alpha presented a good value (0.94), and most correlations were significant and positive. Exploratory factor analysis using the Kaiser-Meyer-Olkin test showed a value of 0.849, and the Bartlett's test showed adequate sphericity values (χ2=6483.998; p=0.000). One-factor model explained 26% of the total variance. Conclusion: non-technical skills training and its measurement could be included in undergraduate or postgraduate courses in healthcare professions, or even be used to ascertain needs and improvements in healthcare contexts.

RESUMO A introdução de habilidades não técnicas durante o ensino de enfermagem é fundamental para preparar os enfermeiros para o contexto clínico e aumentar a segurança do paciente. Não foram encontrados quaisquer instrumentos desenvolvidos para essa finalidade. Objetivos: construir, desenvolver e validar uma escala de avaliação de habilidades não técnicas em enfermagem. Método: pesquisa metodológica. Com base na revisão da literatura e na experiência dos pesquisadores em habilidades não técnicas em saúde, e no conhecimento dos princípios do gerenciamento de recursos em crises, foi construída uma lista de 63 itens e com uma escala Likert de cinco pontos. A escala foi aplicada em 177 estudantes de graduação em enfermagem. Estatística descritiva, correlações, análises de consistência interna e análise fatorial exploratória foram realizadas para avaliar as propriedades psicométricas da escala. Resultados: os itens da escala apresentaram valores semelhantes para média e mediana. Os valores máximo e mínimo mostraram uma boa distribuição em todas as opções de resposta. A maioria dos itens apresentou uma relação significativa e positiva. O alfa de Cronbach apresentou um bom valor (0,94) e a maioria das correlações foi significativa e positiva. A análise fatorial exploratória através do teste de Kaiser-Meyer-Olkin apresentou um valor de 0,849, e o teste de Bartlett apresentou valores de esfericidade adequados (χ2=6483.998; p=0.000). O modelo de um fator explicou 26% da variância total. Conclusão: a formação em habilidades não técnicas e sua mensuração poderiam ser incluídos nos programas de graduação ou pós-graduação de profissões da saúde, ou até mesmo serem utilizadas para avaliar as necessidades e melhorias nos contextos de cuidados de saúde.

RESUMEN La introducción de habilidades no técnicas durante la educación de enfermería es fundamental para preparar a los enfermeros para el contexto clínico y aumentar la seguridad del paciente. No se encontraron instrumentos desarrollados para este propósito. Objetivos: construir, desarrollar y validar una escala de evaluación de habilidades no técnicas en enfermería. Método: investigación metodológica. Con base en la revisión de la literatura y la experiencia de los investigadores en habilidades no técnicas en el cuidado de la salud y el conocimiento de los principios del manejo de recursos en crisis, se construyó una lista de 63 ítems y con una escala Likert de cinco puntos. Se aplicó la escala a 177 estudiantes de pregrado en enfermería. Se realizaron estadísticas descriptivas, correlaciones, análisis de consistencia interna y análisis factorial exploratorio para evaluar las propiedades psicométricas de la escala. Resultados: los ítems de la escala presentaron valores similares para la media y la mediana. Los valores máximo y mínimo mostraron una buena distribución en todas las opciones de respuesta. La mayoría de los ítems presentaron una relación significativa y positiva. El alfa de Cronbach presentó un buen valor (0,94), y la mayoría de las correlaciones fueron significativas y positivas. El análisis factorial exploratorio mediante la prueba Kaiser-Meyer-Olkin mostró un valor de 0,849, y la prueba de Bartlett mostró valores de esfericidad adecuados (χ2=6483.998; p=0,000). El modelo de un factor explicó el 26% de la varianza total. Conclusión: la capacitación en habilidades no técnicas y su medición podrían incluirse en programas de grado y posgrado en profesiones de la salud, o incluso utilizarse para evaluar las necesidades y mejoras en los contextos de atención médica.

Intelligent surgery: Changing trend of surgical practice / 第二军医大学学报

In recent years, minimally invasive surgery has rapidly emerged and flourished owing to the advancement of information technology and the incomparable advantages such as small trauma and rapid recovery, and has become the embryo for the development of surgical intelligence. The continuous improvement of medical demands, the advancement of surgical intelligence, and the gradual accumulation of new technology, especially the breakthrough of artificial intelligence technology, eventually led to the birth of intelligent surgery. Intelligent surgery can raise the level of automation in surgical practice to new heights, change the thinking mode of surgeons, and create new surgical models and new medical industries. Intelligent technology will change the service logic of surgeons, so the surgeons must have comprehensive ability.

Escala de avaliação de inteligência para crianças deficientes visuais ­ versão professor: estudo de validade de conteúdo / Intelligence assessment scale for visually impaired children ­ school version: content validity study

Considerando a escassez de instrumentos psicológicos voltados para avaliação da inteligência de crianças com deficiência visual, este estudo teve como objetivo abusca por evidências de validade de conteúdo, através da avaliação da adequação dos itens que compõem a Escala de Avaliação de Inteligência para crianças deficientes visuais ­ Versão Professor. Para isso, cinco estudantes de pós-graduação atuaram como juízes, classificando os 40 itens do instrumento em cinco fatores (raciocino verbal, memória, raciocínio lógico, raciocínio numérico e criatividade). Os resultados demonstraram a adequação dos itens, tendo a maioria deles apresentado índices de concordância acima de 80% (n=31) e entre 60 e 80% (n=5). Apenas quatro itens apresentaram concordância inferior a 50%,sugerindo a necessidade de reformulações ou realocação em outro fator. As análises dos coeficientes Kappa evidenciaram índices entre 0,49 e 0,87. De forma geral, os resultados apontaram a adequação dos itens da escala aos conteúdos do modelo teórico adotado. Estudos futuros serão conduzidos com a finalidade de verificar se os mesmos fatores teóricos serão encontrados a partir de dados empíricos em amostra brasileira

Considering the shortage about psychological tests to evaluate the intelligence of children with visual impairment, this study investigates the evidence of content validity of the Brazilian version of the Intelligence Assessment Scale for visuallyimpaired children ­ school version. For this, five students graduate acted asjudges, ranking the 40 items of the instrument in five factors (verbal I reason, memory, logical reasoning, numerical reasoning and creativity). The results demonstrate the suitability of items, and most of them appear concordance rates above 80% (n = 31) and between 60 and 80% (n = 5). Only four items showed agreement less than 50%, suggesting the need for reformulation or relocation inanother factor. The analysis of Kappa coefficients showed rates between 0.49and 0.87. Overall, the results indicated the suitability of the scale items to theadopted theoretical model contents. Future studies will be conducted in order to verify whether the same theoretical factors will be found from empirical data in a Brazilian sample

Propriedades psicométricas do Children's Visual Function Questionnaire adaptado para avaliação de qualidade de vida relacionada à visão de crianças com toxoplasmose congênita / Psychometric properties of the Children's Visual Function Questionnaire adapted to assess vision-related quality of life in children with congenital toxoplasmosis

Introdução: A elevada prevalência da toxoplasmose congênita (TC) no Brasil, verificada também no estado de Minas Gerais, associada ao maior comprometimento ocular observado nas crianças brasileiras comparadas às europeias; e a evolução de muitos desses indivíduos para a baixa visão (BV), nos remetem à necessidade de compreender o impacto da perda visual na qualidade de vida em uma coorte de crianças infectadas identificadas no período neonatal e tratadas com antiparasitários durante o primeiro ano de vida. Objetivo: Adaptar o questionário Children's Visual Function Questionnaire (CVFQ) à realidade sociocultural de crianças brasileiras com toxoplasmose congênita e investigar as propriedades psicométricas para mensuração da qualidade de vida (QV) relacionada à visão nesses pacientes; descrever as lesões retinocoroideanas observadas em uma coorte de crianças pré-escolares com TC em Minas Gerais; avaliar quantitativamente o déficit visual e investigar sua correlação com a pontuação na percepção da QV relacionada à perda visual (CVFQ7-BR-toxo). Método: Estudo epidemiológico transversal aninhado, em uma coorte de 142 crianças acompanhadas prospectivamente nos Serviços de Infectologia Pediátrica e Oftalmologia do Hospital das Clínicas da UFMG. Questionários foram aplicados aos pais e cuidadores para avaliar a percepção sobre a QV de suas crianças com TC e para verificar a situação socioeconômica das famílias. Oftalmologistas do setor de uveite avaliaram a retina das crianças e descreveram as lesões de retinocoroidite quanto à localização, número de lesões, tamanho e lateralidade. No setor de baixa visão, oftalmologistas avaliaram a acuidade visual. Foram usadas técnicas de estatística multivariada para avaliar as propriedades psicométricas da escala de QV e testes de Kruskal Wallis e Mann Whitney para a comparação dos escores medianos da escala de QV em crianças com visão normal, perda visual leve e baixa visão. O estudo foi aprovado pelo Comitê de Ética em Pesquisa da UFMG. Resultado: Adaptações no CVFQ versão brasileira deram origem ao CVFQ7-BR-toxo, questionário para avaliar a percepção de pais/cuidadores sobre qualidade de vida relacionada a baixa visão de crianças com toxoplasmose congênita pré-escolares. Na análise fatorial exploratória o resultado do teste Kaiser-Meyer-Olkin Measure of Sampling Adequacy (KMO) foi de 0,74, indicando boa adequabilidade do modelo fatorial. Seis componentes (fatores) extraídos correspondem a 46,3% da variância total explicada, e são compostos por itens com coeficiente de saturação (carga fatorial) maior ou igual a 0,45. Pela descrição, estrutura de variabilidade, e interpretação do agrupamento dos itens do questionário CVFQ adaptado (CVFQ7-BR-toxo) identificaram-se seis subescalas: saúde geral; capacidade visual; desempenho visual/visão funcional; comportamento social e pessoal, impacto na família e tratamento. A homogeneidade das medidas para o construto QV no CVFQ adaptado foi avaliada pela consistência interna das subescalas. As subescalas Desempenho visual - visão funcional e o Impacto na família se mostraram adequadas, com coeficiente alfa de Cronbach de 0,75 e 0,77 respectivamente. As subescalas comportamento pessoal e social e, tratamento apresentaram valores de alfa de Cronbach menores que 0,7 (0,68 e 0,61 respectivamente). A correlação entre as subescalas e a escala global foram todas significativas (p-valor <0,001) variando de 0,42 a 0,75. As correlações item-escala globais foram significativas (p-valor <0,01) e maiores do que 0,20, sendo estes valores considerados aceitáveis. Verificou-se a validade discriminante do instrumento pelas diferenças significativas (p<0,005) na comparação das escalas do CVFQ7-BR-toxo para escores relatados pelo pai/cuidador de crianças com e sem baixa visão. A validação convergente foi verificada pela correlação (r=0,58; p<0,001) entre o escores globais do CVFQ7-BR-toxo e do PedsQL, com resultado moderado. Para análise dos exames clínicos oftalmológicos, das 142 crianças, duas foram excluídas por não terem realizado todos os exames. Das 140 crianças, 87,1% (121/139) apresentaram pelo menos uma lesão de retinocoroidite e, dentre elas, 20,7% (25/121) foram diagnosticadas com baixa visão (BV). A retinocoroidite esteve presente em ambos os olhos de 81,0% (98/121) das crianças com lesões, sendo que 25,5% (25/98) destas tinham BV. Lesão macular (foveal e/ou extrafoveal) em ambos os olhos ocorreu em 43,9% (43/98) das crianças e 51,2% (22/43) destas apresentaram BV. Pelo menos 50% das crianças com BV apresentaram lesões com tamanho médio superior a 3,0 diâmetros de disco óptico (DD). Ausência de lesão ocorreu em apenas 12,9% (18/140) das crianças. Na percepção dos pais cuidadores (CVFQ7-BR-toxo) das crianças diagnosticadas com BV, os escores medianos foram menores nas dimensões capacidade visual (p=0,002), desempenho funcional/visão funcional (p=0,002), impacto na família (p=0,001) e na QV global (p=0,009) quando comparados às crianças com perda visual leve e com visão normal. Conclusão: As propriedades psicométricas do CVFQ7-BR-toxo se mostraram adequadas quanto à validade do construto QV. O instrumento foi capaz de registrar o impacto no comprometimento da visão funcional e na família de crianças com toxoplasmose congênita. Na avaliação oftalmológica dessa população foram observadas lesões retinocoroideanas de maior gravidade, por serem em sua maioria maculares, múltiplas, bilaterais, resultando em comprometimento da função visual e menor acuidade visual. Na percepção dos pais e cuidadores sobre a QV relacionada a baixa visão, estas crianças apresentaram pior capacidade visual, pior desempenho funcional / visão funcional, com maior impacto nas suas famílias e piora da qualidade de vida global. Esses resultados podem subsidiar políticas para melhor controle e prevenção da toxoplasmose congênita.

Introduction: The high prevalence of congenital toxoplasmosis (CT) in Brazil, in addition to the high burden of ocular involvement in infected individuals, evolving to low vision (LV) in many of them, highlights the importance of assessing their quality of life (QOL). Objective:To adapt the Children's Visual Function Questionnaire (CVFQ) to the sociocultural reality of Brazilian children with CT, and to investigate the psychometric properties to measure vision-related quality of life (QOL) for these patients; to characterize retinochoroidal changes in a cohort of preschool children with CT in Minas Gerais; to quantitatively evaluate the visual deficit and to investigate its correlation with QOL perception scores (CVFQ7-BR-toxo instrument).Methods: Cross-sectional epidemiological study with nested cohort of 142 children prospectively followed at the Pediatric Infectious Disease and Ophthalmology Services of Hospital das Clínicas da Universidade Federal de Minas GeraisQuestionnaires were applied to parents and carers to evaluate QOL perception of their children with CT and to characterize the socioeconomic status of their families. Number, location, size and laterality of retinochoroidal lesions were recorded. Best-corrected visual acuity was also assessed. Multivariate statistical techniques were used to evaluate psychometric qualities of QOL scale. Kruskal Wallis and Mann Whitney test were employed for comparison of median scores of the QOL scale in children with normal visual, mild vision loss and low vision. Results: Adaptations in the CVFQ-Brazilian version originated the CVFQ7-BR-toxo, a questionnaire to evaluate perception of parents/carers about vision-related QOL of preschool children with CT. In the exploratory factor analysis, result of KaiserMeyer-Olkin Measure of Sampling Adequacy test (KMO) was 0.74, indicating good suitability of the factor model.Six extracted components (factors) explained 46.3% of total variance, consisting of items with saturation coefficient (factor load) ≥ 0.45. Six subscales were identified after description, variability structure and interpretation of grouping of items of CVFQ7-BR-toxo: Overall Health; Visual Acuity; Visual Performance/Functional Vision; Individual and Social Behavior, Impact on Family, and Treatment. Homogeneity of measures for the QOL construct in the adapted CVFQ was evaluated by internal consistency of the subscales: Subscales Visual Performance/Functional Vision and Impact on Family showed to be adequate, with Cronbach's alpha of 0.75 and 0.77 respectively.Subscales Individual and Social Behavior and Treatment showed Cronbach's alpha coefficient smaller than 0.7 (0.68 and 0.61 respectively). The correlations between subscales and the global scale were all statistically significant (p-value <0.001) ranging from 0.42 to 0.75. The global item-scale correlations were also significant (p-value <0.01) and greater than 0.20, with these values being considered acceptable. Discriminant validity of the instrument by significant differences (p <0.005) was verified in the comparison of CVFQ7-BR-toxo scales to the scores reported by the parent/carers of children with and without low vision.The convergent validity was verified by the moderate correlation (r = 0.58; p <0.001) between the overall scores CVFQ7- BR-toxo and PedsQL. For the analysis of the clinical examinations of the 142 children, two were excluded because they did not have all the exams. Of the 140 children, 87.1% (121/139) had at least one retinochoroidal lesion. Among them, 20.7% (25/121) were diagnosed with LV. Retinochoroiditis was found in both eyes in 81.0% (98/121), and 25.5% (25/98) of these had LV. Macular (foveal and/or extrafoveal) lesions in both eyes occurred in 43.9% (43/98); 51.2% (22/43) of these children had low LV. At least 50% of children with LV presented retinochoroidal lesions with an average size > 3 optic disc diameter. Absence of retinochoroidal lesions was recorded in only 12.9% (18/140) of children. In the perception of carers parents (CVFQ7-BR-toxo) of children diagnosed with LV, median scores were lower for visual ability dimensions (p = 0.002), functional performance- visual function (p = 0.002), impact on family (p = 0.001) and overall QOL (p = 0.009) when compared to those of children with mild visual loss and with normal vision. Conclusion: CVFQ7-BR-toxo psychometric properties were appropriate concerning the validity of the QOL construct. The questionnaire was able to register the impact of visual disability on families of children with CT. Retinochoroiditis, was more severe, with frequent multiple, bilateral and macular lesions, resulting in impaired visual function. According to QOL perception of parents and carers, children with LV presented worse scores for visual capacity, functional performance/functional vison, with greater impact on their families and decreased overall quality of life. These results can support policies for better control and prevention of CT.

Los diseños y estrategias para los estudios cualitativos. Un acercamiento teórico-metodológico / Strategies and designing for quality studies. A methodological-theoretical approach

Fundamento: La discusión epistemológica en torno a los paradigmas que se utilizan como apoyo a la investigación, ya han quedado atrás en los debates de la ciencia y carecen de base suficiente. Se reconoce hoy la necesaria complementariedad científica donde es la naturaleza del objeto de investigación la que traza las pautas para identificar los métodos y técnicas a utilizar, los que no están necesariamente vinculados a ­un paradigma. Objetivo: Valorar las diferentes alternativas a tomar en cuenta en los diseños y estrategias metodológicas para los estudios cualitativos. Conclusiones: El profesional que realiza investigaciones cualitativas debe poseer una profunda preparación teórico-metodológica que le permita, desde una mirada flexible y abierta, identificar el problema y discernir cuáles son las preguntas que lo han de conducir a través de todo el proceso investigativo, tomar en cuenta la creatividad que requiere el proceso que enfrenta, donde la teoría emerge de los datos, no es impuesta a los datos ni siquiera es contrastada con el dato y donde debe quedar claro que lo que no está escrito, no sucedió.

Background: The epistemology discussion regarding the paradigms that are used as a support of the investigations, has been left behind in the science debates and are without a sufficient base. Today is well known the scientific complementary need where the nature of the object of investigation is the one who mark the steps to identify the methods and techniques to use, which are not involved to a paradigm. Objective: To value the different alternatives to follow in the designing and methodological strategies for the qualities studies Conclusions: The professional who makes the quality investigations must have a deep theoretical-methodological preparation which allows him from a flexible and open look to identify the problem and which are the questions which have to guide him throughout the investigative process, to take into account the creativeness that require the facing process, where theory emerges from the data, is not imposed to the data not even compared with the data and where must be clear that what is not written, did not happened.

Estudos psicométricos de instrumentos breves de rastreio para múltiplos transtornos mentais / Psychometric studies of brief screening tools for multiple mental disorders

Objetivo Realizar uma revisão sistemática sobre as características psicométricas de instrumentos breves para rastreamento de múltiplos transtornos mentais em cuidados primários de saúde. Métodos Revisão sistemática da literatura nas bases de dados PubMed, Lilacs, SciELO e ISI, de artigos publicados até abril de 2014, utilizando descritores sobre rastreamento breve de múltiplos transtornos mentais em cuidados primários de saúde. Resultados Foram obtidos 277 estudos e selecionados 15 após a aplicação dos critérios de inclusão e exclusão. Oito estudos analisaram confiabilidade e/ou consistência interna e os resultados mostraram índices bastante satisfatórios. Nos artigos selecionados, estavam presentes as análises das validades preditiva, concorrente e discriminante. Conclusão As escalas de rastreamento são úteis para a triagem de pacientes com possíveis transtornos mentais, e o uso desses instrumentos melhoraria a capacidade de detecção desses transtornos em cuidados primários de saúde. .

Objective Conduct a systematic literature review about psychometric characteristics of brief tools used for screening multiple mental disorders in primary health care. Methods Systematic literature review on PubMed, Lilacs, SciELO and ISI databases until April 2014 using key words related to brief screening of multiple mental disorders in primary health care. Results Were obtained 277 articles; 15 articles were selected after considering inclusion and exclusion criteria. Eight articles assessed reliability and/or internal consistency and results showed satisfactory indices. In the selected articles, were present analyzes of predictive validity, concurrent and discriminant. Results ranged from moderate to good. Conclusion Screening scales are useful to identify patients with possible mental disorders and they increase chances of detecting such disorders in primary health care. .

Expected Qualities of a Lecturer: Perceptions of Medical Students in a Remote Setting.

Studies on medical student perceptions of their lecturers, in a resource poor setting is scarce. Lack of basic infrastructure hampers learning. Quality lecturers can compensate this handicap to some extent. In 2009, as a new medical school located in rural Sri Lanka 220 km away from Colombo, the Faculty of Medicine and Allied Sciences at Rajarata University had scarce human resources and lacked sufficient lecture halls, labs, and clinical space. In order to understand qualities students sought in a lecturer, 55 medical students were given a single, self-administered open-ended question, and responses were subjected to direct thematic analysis. Themes of ―Lecturer Qualities,‖ ―Lecture Preparation Procedure,‖ and ―Lecture Delivery Procedure‖ were identified, and then further divided into sub-themes, the most common of which being ―Speaking Style,‖ ―Content Design,‖ and ―Content Organization.‖ While the findings in this study closely mirrored those of similar studies, identified qualities were underpinned by implicit meaning that accurately reflects the emotional stressors among students coping with limited educational resources. Students emphasized the importance of clear communication due to language barriers and a strong desire for lecturer loyalty to their faculty and country. The examination of these real-life perceptions will not only help us better identify how to improve medical education in this medical faculty and may be useful to similar resource poor rural medical colleges around the world.