Equinodermos de la colección biológica del Laboratorio de Ecología Molecular, Microbiología y Taxonomía (LEMITAX) de la Universidad de Guadalajara, México / Echinoderms of the biological collection of the Laboratorio de Ecología Molecular, Microbiología y Taxonomía (LEMITAX) of the Universidad de Guadalajara, Mexico

Resumen Introducción: Las colecciones biológicas representan los cimientos para el conocimiento y manejo de la biodiversidad de una región. No obstante, en México, y en particular en el Pacífico central mexicano (PCM), las colecciones regionales enfocadas en equinodermos, son escasas. La colección biológica del Laboratorio de Ecología Molecular, Microbiología y Taxonomía (LEMITAX) pertenece al Centro Universitario de Ciencias Biológicas y Agropecuarias de la Universidad de Guadalajara, Jalisco, México y sirve como referencia de la biodiversidad marina de la región. Objetivo: Dar a conocer la riqueza de equinodermos resguardada en la colección del LEMITAX. Métodos: Los organismos depositados en LEMITAX se han recolectado mediante buceo libre, SCUBA, y arrastres de fondo con dragas biológicas en diversas áreas del Pacífico mexicano. Los especímenes están preservados en húmedo (alcohol al 70 %; Asteroidea, Echinoidea, Holothuroidea y Ophiuroidea) o en seco (Asteroidea y Echinoidea). Resultados: Los especímenes provienen de los estados de Sinaloa, Nayarit, Jalisco y Colima, incluyendo dos áreas naturales protegidas, el Parque Nacional Isla Isabel y el Santuario de las islas e islotes de Bahía de Chamela. La colección dispone de 20 761 ejemplares de equinodermos distribuidos en 75 especies (10 asteroideos, 17 ofiuroideos, 17 equinoideos y 31 holoturoideos). El estado mejor representado es Jalisco (64 especies) seguido de Nayarit (31), Colima (20) y Sinaloa (11). Bahía de Chamela es la mejor representada (60), seguido de Isla Isabel (22). Se aportan 34 registros nuevos, la mayor contribución es para Bahía de Chamela con 14 registros nuevos, seguido del estado de Jalisco (siete), Nayarit (cuatro), Colima (tres) e Isla Isabel (tres). Para el PCM, se reporta por primera vez la presencia de Astropecten ornatissimus, Luidia phragma, Cucumaria crax y Holothuria (Cystipus) casoae, lo que actualiza su riqueza de equinodermos a 197 especies. Se amplía el intervalo de distribución batimétrica de Ophiactis simplex, Ophiocomella alexandri y Holothuria (Cystipus) casoae, así como el intervalo de distribución geográfica de Cucumaria crax. Conclusiones: Las colecciones biológicas de las universidades contribuyen de manera sustancial al conocimiento de la biodiversidad, como se refleja en la colección LEMITAX, cuya revisión resultó en la actualización de la riqueza de equinodermos de la región.

Abstract Introduction: The biological collections represent the foundation for the knowledge and management of the biodiversity of a region. However, regional collections focused on echinoderms are scarce in Mexico, particularly in the Central Mexican Pacific (CMP). The biological collection of the Laboratorio de Ecología Molecular, Microbiología y Taxonomía (LEMITAX) belongs to the Centro Universitario de Ciencias Biológicas y Agropecuarias of the Universidad de Guadalajara, Jalisco, Mexico and it aims to serve as a reference for the region's marine biodiversity. Objective: To state the richness of echinoderms in the LEMITAX collection. Methods: The organisms deposited at the LEMITAX have been collected by SCUBA, free-diving, and bottom trawls with biological dredges in different areas of the Mexican Pacific. The specimens are wet-preserved (70 % ethanol; Asteroidea, Echinoidea, Holothuroidea, and Ophiuroidea) or dried (Asteroidea and Echinoidea). Results: The specimens are from the states of Sinaloa, Nayarit, Jalisco, and Colima, including two natural protected areas (NPAs), the Isabel Island National Park and the sanctuary of the Islands and Islets of Bahía de Chamela. The collection has 20 761 specimens of echinoderms distributed in 75 species (10 asteroids, 17 ophiuroids, 17 echinoids, and 31 holothuroids). The best-represented state is Jalisco (64 species), followed by Nayarit (31), Colima (20), and Sinaloa (11). Concerning the NPAs, Chamela is the best represented (60), followed by Isabel Island (22). Thirty-four new records are added; the largest contribution is for Chamela, with 14 new records, followed by the state of Jalisco (seven), Nayarit (four), Colima (three), and Isabel Island (three). For the CMP, the presence of Astropecten ornatissimus, Luidia phragma, Cucumaria crax, and Holothuria (Cystipus) casoae, is reported for the first time, updating the echinoderm richness to 197 species. The bathymetric distribution range of Ophiactis simplex, Ophiocomella alexandri, and Holothuria (Cystipus) casoae is extended, as well as the geographic range of Cucumaria crax. Conclusions: The biological collections deposited in the universities contribute substantially to the knowledge of biodiversity, as reflected in the LEMITAX collection, whose revision resulted in the updating of the echinoderm richness in the region.

Developing a checklist of educational guidelines for preoperative preparation for elective oncological surgeries / Elaboración de una lista de pautas educativas para la preparación preoperatoria para cirugías oncológicas electivas / Elaboração de lista de orientações educativas para preparo pré-operatório de cirurgias oncológicas eletivas

Objetivo: Identificar cómo se informó a los pacientes sometidos a cirugías oncológicas electivas sobre la preparación antes de la cirugía y, con base en esta información, desarrollar una lista educativa de pautas preoperatorias. Método: Investigación retrospectiva y transversal desarrollada en una institución de oncología del interior de São Paulo. Se utilizaron dos cuestionarios, uno para datos sociodemográficos y de perfil de salud, y otro para identificar retrospectivamente pautas preoperatorias. Se realizó análisis estadístico descriptivo. Resultados: De las 38 pacientes, el 65,8% eran mujeres y el 42% fueron sometidas a mastectomía. Prevaleció la orientación brindada de forma verbal y presencial, especialmente en lo que respecta al examen solicitado por el cirujano y la documentación personal, que presentó el mismo porcentaje, 78,9%. Hubo lagunas en la información brindada sobre la posibilidad de utilizar sonda, drenajes o tubos para el 63,2%. Conclusión: Los autoinformes de los pacientes sobre las guías preoperatorias revelaron fallas en la forma en que se transmitió esa información y apoyaron la construcción de la lista de guías educativas, destacando la importancia de herramientas escritas estructuradas para el equipo multidisciplinario que puedan mejorar la calidad y seguridad de las guías preoperatorias y la atención quirúrgica.Palabras clave: Oncología Quirúrgica, Procedimientos Quirúrgicos Electivos, Lista de Verificación, Seguridad del Paciente, Enfermería Perioperatoria. (AU)

Objective: To identify how patients who underwent elective oncological surgeries were informed about preparation before surgery and, based on this information, develop an educational checklist of preoperative guidelines. Method: This is a retrospective and cross-sectional research developed at an oncology institution in a small city in the state of São Paulo, Brazil. Two questionnaires were used, one for sociodemographic and health profile data, and the other to retrospectively identify preoperative guidelines. Descriptive statistical analysis was performed. Results: Of the 38 patients, 65.8% were women, with 42% undergoing mastectomy. The guidance provided verbally and in person prevailed, especially regarding the examination requested by the surgeon and personal documentation, which presented the same percentage: 78.9%. There were gaps in information provided about the possibil-ity of using a probe, drains, or tubes for 63.2%. Conclusion: Patients' self-reports on preoperative guidelines showed flaws in the way this information was passed on and supported the development of the checklist of educational guidelines, highlighting the importance of structured written tools for the multidisciplinary team that can improve the quality and safety of preoperative care.

Objetivo: Identificar como os pacientes que passaram por cirurgias oncológicas eletivas foram informados sobre o preparo antes da cirurgia e, com base nessas informações, elaborar uma lista educativa de orientações pré-operatórias. Método: Pesquisa retrospectiva e transversal desenvolvida em uma instituição de oncologia no interior de São Paulo. Dois questionários foram utilizados, um para os dados do perfil sociodemográfico e de saúde, e outro para identificar retrospectivamente as orientações pré-operatórias. Realizada análise estatística descritiva. Resultados: Dos 38 pacientes, 65,8% eram do sexo feminino, sendo 42% submetidas à mastectomia. Prevaleceram as orientações fornecidas de maneira verbal e presencial, especialmente sobre o exame solicitado pelo cirurgião e a documentação pessoal, que apresentaram o mesmo percentual: 78,9%. Houve lacunas de informação for-necida sobre a possibilidade de uso de sonda, drenos ou tubos para 63,2%. Conclusão: O autorrelato dos pacientes sobre as orientações pré-operatórias revelou falhas na forma de transmissão dessas informações e fundamentaram a construção da lista de orientações educativas, ressaltando a importância de ferramentas estruturadas de modo escrito para equipe multiprofissional que podem aprimorar a qualidade e a segurança do cuidado pré-cirúrgico. (AU)

Design and application of an enhanced postoperative recovery checklist for perioperative patients after laryngeal cancer surgery / 现代临床护理

Objective To design an enhanced postoperative recovery checklist for the patients who had surgery for laryngeal cancer,hence to instruct the patient with a standard procedure in rehabilitation.Methods A total of 72 patients who had surgery for laryngeal cancer in our department from April 2020 and April 2021 were enrolled as study subjects for a controlled study before and after surgery of different patients.A total of 37 patients who had surgery between April and September 2020 were assigned in the control group,while another 37 patients who had the surgery between October 2020 and April 2021 were assigned in the trial group.Patients in the control group were managed with a routine enhanced perioperative recovery plan,and those in the trial group were managed with the checklist,which was drafted by modification and improvement of the routine enhanced perioperative recovery plan through literature reviews and expert consultations.The two groups were compared in terms of the standardised rate of enhanced recovery compliance,medical staff satisfaction,average hospital-stay and patient satisfaction.Results The trial group showed significant improvement in comparison with the control group in terms of the standardised rate of enhanced recovery compliance(93.28%versus 84.08%),score of satisfaction level[(95.57±2.25)versus(92.60±2.49)],score of doctor satisfaction[(35.75±0.89)versus(32.88±1.50)],and the score of nurse satisfaction[(35.45±1.10)versus(33.00±1.30)](all P<0.05).The average hospital-stay in the trial group was significantly shorter than that in the control group[(9.89±3.32)days versus(12.60±4.33)days](P<0.05).Conclusion The designed checklist can improve the standardised rate of enhanced recovery compliance,the satisfaction of both medical staff and patients and facilitate the recovery of patient.

Effectof checklist management model on occurrence of adverse events in patients undergoing digestive endoscopy / 现代医院

Objective To explore the effect of checklist management model on the occurrence of adverse events in pa-tients undergoing digestive endoscopy.Methods 52 patients with digestive endoscopy who adopted conventional management model before the implementation of checklist management model in outpatient department of our hospital from January 2020 to De-cember 2021 were collected as control group,and 57 patients who underwent digestive endoscopy after the implementation of checklist management model from January 2022 to January 2023 were enrolled as test group.Kessler Psychological Distress Scale(K10)and Beck Anxiety Inventory(BAI)before and after examination,levels of cortisol(Cor)and norepinephrine(NE)before and after examination,incidence rates of adverse events and nursing satisfaction were compared between both groups.Results There were no significant differences in K10 score and BAI score between the two groups of subjects before examination(P＞0.05).After examination,the K10 score and BAI score in test group of subjects were lower compared with those in control group(P＞0.05).Before examination,there were no differences in the Cor and NE levels between the two groups of subjects(P＞0.05).After examination,the levels of Cor and NE were increased in both groups(P＜0.05),and the levels of Cor and NE were lower in test group than those in control group(P＜0.05).The adverse reactions in test group were lower than those in control group(P＜0.05).The nursing satisfaction in test group was much higher than that in control group(P＜0.05).Conclusion Checklist management model can reduce the incidence rates of adverse reactions and psychological distress degree,relieve the anxiety,reduce the levels of cortisol and norepinephrine,and improve the nursing satisfaction of subjects,and it has clinical promotion value.

Methodology for the Development of Clinical Practice Guidelines for Chinese Patent Medicine （Part 7）： Introduction and Interpretation of the Guideline Reporting Checklist / 中医杂志

The systematic and comprehensive introduction and interpretation of the Reporting Checklist of Clinical Practice Guidelines for Chinese Patent Medicines V1.0 is conducive to the presentation of high-quality clinical practice guidelines for Chinese patent medicines （CPMs）， thus improving their dissemination and use. The Reporting Checklist of Clinical Practice Guidelines for Chinese Patent Medicines V1.0 specifies the requirements for clear， complete and transparent reporting of the whole process of developing CPMs guidelines， containing 4 domains， 17 topics and 43 items， and involving the basic information， recommendations and methods of guideline development. Especially， it details the items related to the rules and regulations of the use of CPMs in the recommendations， which is helpful for improving the completeness， scientificity and practicality of the reporting of CPMs guideline.

Effects of the timing of satisfactory sedation with preoperative oral midazolam on anesthesia induction and recovery in children undergoing adenotonsillectomy / 中国临床药理学与治疗学

AIM: To investigate the effect of the timing of satisfactory sedation with preoperative oral midazolam on anesthesia induction and recovery in children undergoing adenotonsillectomy. METHODS: A total of 147 children undergoing elective adenotonsillectomy, with ASA physical status orⅡ, aged 2-7 years were selected from November 2022 to June 2023 in the Second Affiliated Hospital of Wenzhou Medical University. The children were orally administered 0.5 mg/kg midazolam in preoperative waiting area and were divided into 10-20 min (rapid onset, M1 group) and 21-30 min (slow onset, M2 group) based on the satisfactory sedation time, or equal volume of sugar pear drink orally (blank control group, C group). Children in all three groups received a general anesthesia method of propofol+fentanyl combined with sevoflurane induction and sevoflurane maintenance. The primary outcome measures were the induction compliance checklist (ICC) score and the pediatric anesthesia emergence delirium (PAED) score in the post-anesthesia care unit (PACU) to assess the occurrence of emergence agitation (EA), and the secondary outcome measures included the parental separation anxiety scale (PSAS), sedation Ramsay score, surgery duration, recovery time, PACU stay time, discharge time, the incidence of perioperative respiratory adverse events (PRAE) and other adverse events in the ward. RESULTS: 147 children were included in the result analysis, with 49 cases in each group. The proportion of perfect induction (ICC=0) were significantly higher in two M groups than that in group C (95.9% vs. 91.8% vs. 61.2%, P=0.001). The maximum and average PAED score in PACU in group M1 showed a significantly higher (6.4±5.0 vs. 4.4 ± 4.1, P=0.029; 5.2 ± 4.5 vs. 3.4 ± 3.6, P=0.030), and the incidence of EA was significantly higher than those in group C (10.2% vs. 30.6%, P=0.022), and increased compared to the group M2 (OR= 0.581, 95%CI 0.231-1.463, P=0.354). There was no statistically significant difference in the maximum and average PAED scores, incidence of EA between group M2 and group C (P>0.05). The Ramsay score and PSAS score in two M groups were higher, PACU stay time and recovery time was longer than those in group C (P0.05). CONCLUSION: Preoperative oral midazolam can improve the ICC and PSAS scores of children during induction, but it also leads to prolonged recovery time and PACU retention time. The rapid onset of midazolam did not result in better induction and recovery quality, but instead increased the incidence of EA and postoperative pain score.

The high biodiversity of benthic organisms in a coastal ecosystem revealed by an integrative approach / A alta biodiversidade de organismos bentônicos em um ecossistema costeiro revelada por uma abordagem integrativa

Abstract Increasing habitat modification and species loss demand consistent efforts to describe and understand biodiversity patterns. The BIOTA/FAPESP Program was created in this context and it has been a successful initiative to promote studies on biodiversity and conservation in Brazil. The BIOTA/Araçá is an interdisciplinary project that provided a detailed evaluation of the biodiversity of Araçá Bay, a coastal seascape located on the North coast of the state of São Paulo, Southeast Brazil. The bay encompasses multiple habitats, such as beaches, mangroves, rocky shores, and a tidal flat, and provides important ecosystem services. Unfortunately, the bay is the subject of complex social-environmental conflicts that oppose economic, social, and environmental demands (i.e., the expansion of neighboring harbor activities vs. small-scale artisanal fisheries and protection of biodiversity). The present study presents a survey of the benthic species occurring in the different habitats of Araçá Bay, including data obtained during the BIOTA/Araçá project and previous assessments of the area. The benthic species play an important role in marine environments and studying the diversity of these organisms that live associated with the bottom is indispensable for comprehending the environment's functioning. The macrofauna, meiofauna, and microorganisms associated with soft and hard bottom were listed, and additional information, such as the habitat and geographical distribution, were provided for each species. The checklist includes 826 species, almost 70% recorded during the BIOTA/Araçá project. The most speciose taxa were the annelids (225 spp.), mollusks (194 spp.), and crustaceans (177 spp.). Seven benthic species are endemic to Araçá Bay, 14 are considered threatened, and seven are economically exploited. Furthermore, the bay is the type locality of many taxa, and 11 new benthic species were described based on specimens sampled during the project. This project shows the importance of Araçá Bay as a unique biologically rich environment and highlights the need for conservation efforts in light of the current threats.

Resumo O aumento da modificação dos habitats e da perda de espécies demanda esforços consistentes para descrever e compreender os padrões de biodiversidade. O programa BIOTA/FAPESP foi criado nesse contexto e é uma iniciativa de sucesso para promover estudos em biodiversidade e conservação no Brasil. O BIOTA/Araçá é um projeto interdisciplinar que promoveu uma avaliação detalhada da biodiversidade da Baía do Araçá, um ecossistema costeiro localizado ao Norte do estado de São Paulo, Sudeste do Brasil. A baía engloba múltiplos habitats, tais como praias, manguezais, costões rochosos, e uma planície de maré, e também fornece importantes serviços ecossistêmicos. Infelizmente, a baía está sujeita à conflitos sócio-ambientais complexos que contrastam demandas econômicas, sociais e ambientais (i.e. a expansão das atividades do porto vizinho vs. a pesca artesanal de pequena escala e a proteção da biodiversidade). O presente estudo apresenta um levantamento das espécies bentônicas que ocorrem nos diferentes habitats da Baía do Araçá, incluindo dados obtidos durante o projeto BIOTA/Araçá e de investigações realizadas anteriormente na área. As espécies bentônicas desempenham um papel importante no ambiente marinho, e estudar a diversidade desses organismos que vivem associados ao fundo é indispensável para compreender o funcionamento do meio ambiente. A macrofauna, meiofauna, e microorganismos associados aos fundos consolidado e inconsolidado foram listados, e informações adicionais foram fornecidas para cada espécie, tais como a distribuição geográfica e nos habitats. O checklist inclui 826 espécies, quase 70% registradas durante o projeto BIOTA/Araçá. Os taxa mais especiosos foram os anelídeos (225 spp.), moluscos (194 spp.), e crustáceos (177 spp.). Entre as espécies bentônicas listadas, sete são endêmicas da Baía do Araçá, 14 são consideradas ameaçadas de extinção, e sete são exploradas economicamente. A baía é a localidade tipo de vários taxa, e 11 novas espécies bentônicas foram descritas com base em espécimes amostrados durante o projeto. Este projeto mostra a importância da Baía do Araçá como um ambiente de riqueza biológica única e demonstra a necessidade de esforços para a sua conservação considerando as atuais ameaças.

The ichthyofauna of streams from the Purus-Madeira interfluve: composition, new records, and conservation status for the south of the Amazon / A ictiofauna de igarapés do interflúvio Purus-Madeira: composição, novos registros de ocorrência e estado atual de conservação no sul do Amazonas

Abstract This study presents a survey of small-stream fish species from the Purus-Madeira interfluve, collected in four streams near Humaitá on the highway BR-319. The results reveal a rich and diversified ichthyofauna with 3016 collected individuals distributed in 84 species, six orders, 25 families, and 60 genera. Of all the specimens collected, the Characiformes was the most representative, with eight families, 26 genera, and 42 species, followed Siluriformes, with nine families, 20 genera, and 23 species. In terms of families, Characidae had the highest number of species (25), followed by Loricariidae (9), and Cichlidae (8). Among the 95 captured species,s 11 are the first records for the region, evidencing a high diversity in these environments. Of the 84 species recorded in this study, 15 have not been assessed by the IUCN, while the remaining 62 include 23 listed as Least Concern (LC), three as data deficient (DD), and one as Near Threatened (NT). The southeastern Amazon region still has few fish surveys, especially in the region comprising the Purus-Madeira Interfluve, which highlights the importance of surveys to fill gaps and understand the biodiversity distribution patterns in the region.

Resumo Este estudo apresenta um levantamento das espécies de peixes de pequenos riachos do interflúvio Purus-Madeira, coletadas em quatro riachos perto de Huimaitá na rodovia BR-319. Os resultados revelam uma ictiofauna rica e diversificada com 3016 indivíduos distribuídos em 84 espécies, seis ordens, 25 famílias e 60 gêneros. De todos os espécimes coletados, Characiformes foi a mais representativa, com oito famílias, 26 gêneros e 42 espécies, seguida da Siluriformes, com 9 famílias, 20 gêneros e 23 espécies. Em termos de famílias, Characidae apresentou o maior número de espécies (25), seguida de Loricariidae (9) e Cichlidae (8). Dentre as espécies capturadas, do total de 84 espécies, 11 são o primeiro registro da região, evidenciando uma alta diversidade nesses ambientes. Das 84 espécies registradas neste trabalho, 15 não foram avaliadas pela IUCN, 63 listadas como Menos Preocupante (LC), quatro como Deficientes em Dados (DD) e uma como Quase Ameaçada (NT). A região sudoeste da Amazônia ainda conta com poucos levantamentos de peixes, principalmente na região que compreende o Interflúvio Purus-Madeira, por isso é importante realizar levantamentos para preencher lacunas de coletas e compreender padrões de distribuição da biodiversidade da região.

Current knowledge of ferns and lycophytes in Sergipe state, northeastern Brazil / Conhecimento atual das samambaias e licófitas no estado de Sergipe, nordeste do Brasil

Abstract Brazil has one of the greatest diversity of ferns and lycophytes in the world, especially in its humid forests. The knowledge about these plants in the 27 federative units is uneven and can potentially hamper conservation actions aimed at them. In the state of Sergipe, collections of these groups have been sporadic and about 50 species have been cataloged so far, a low number when compared to other states. This study aimed to compile the species of ferns and lycophytes occurring in Sergipe based on herbaria materials and recent samples collected. Therefore, specimens from herbaria were accessed, together with online databases, as well as 13 botanical expeditions were carried out in three areas. Our study recorded of 20 families, 44 genera and 86 species (75 ferns and 11 lycophytes), with eight new records for the state. The most representative families were Pteridaceae (21 spp.), Polypodiaceae (12), Anemiaceae (nine) and Selaginellaceae (eight). The genera Adiantum L. (eight spp.), Anemia Sw. (nine spp.) and Selaginella P.Beauv. (eight spp.) had the highest number of species. The study shows that efforts like these are extremely necessary and may eventually indicate the extent to which the richness of ferns and lycophytes in Sergipe is underestimated, also promoting researches in this area of Botany.

Resumo O Brasil possui uma das maiores diversidades de samambaias e licófitas do mundo, principalmente em florestas úmidas. No entanto, o conhecimento sobre essas plantas nas 27 unidades federativas é desigual e isso pode dificultar as ações de conservação voltadas para elas. No estado de Sergipe, as coletas desses grupos têm sido esporádicas e cerca de 50 espécies foram catalogadas até o momento, um número baixo quando comparado a outros estados. Este estudo teve como objetivo compilar as espécies de samambaias e licófitas ocorrentes em Sergipe a partir de materiais de herbários e amostragens recentes. Para tanto, foram acessados espécimes em herbários, juntamente com bancos de dados on-line, bem como 13 expedições botânicas foram realizadas em três áreas. Nosso estudo registrou 20 famílias, 44 gêneros e 86 espécies (75 de samambaias e 11 de licófitas), com oito novos registros para o Estado. As famílias mais representativas foram Pteridaceae (21 spp.), Polypodiaceae (12), Anemiaceae (oito) e Selaginellaceae (oito). Os gêneros Adiantum L. (oito spp.), Anemia Sw. (nove spp.) e Selaginella P.Beauv. (oito spp.) apresentaram o maior número de espécies. O estudo mostra que esforços como esses são extremamente necessários e podem eventualmente indicar o quanto a riqueza de samambaias e licófitas em Sergipe está subestimada, promovendo também pesquisas nessa área da Botânica.

Safe practices for bed bathing in the intensive care unit: validation of a checklist / Prácticas seguras para baño en el lecho en la unidad de cuidados intensivos: validación de un checklist / Práticas seguras para banho no leito na unidade de terapia intensiva: validação de um checklist

ABSTRACT Objective: To validate a checklist for safe bathing in critically ill patients. Methods: This is a methodological and quantitative study. Researchers developed a checklist for safe bathing in critically ill patients consisting of 41 items, which were submitted to the apparent and content validation process, evaluated by eleven judges, and interobserver reliability. For reliability analysis, the instrument was applied in 54 bed bath procedures in the ICU; Kappa and CHF tests were used. Results: In the apparent and content validation, adjustments were made according to the judges' suggestions. Kappa values ranged from moderate to almost perfect (0.462 to 0.962), and, in some items, there was 100% agreement; the reliability of the instrument was excellent (ICC = 0.962). Conclusion: The instrument proved to be dependable and easy to apply. Its use will contribute to safe bed bathing and subsidize interventions aimed at increasing the quality of care.

RESUMEN Objetivo: Validar lista de verificación para el baño seguro en pacientes críticos. Métodos: Estudio metodológico y cuantitativo. Se elaboró una lista de verificación para baño seguro en paciente crítico compuesta por 41 ítems, que fue sometida al proceso de validación aparente y de contenido, evaluada por 11 jueces, y confiabilidad interobservadores. Para el análisis de confiabilidad, el instrumento fue aplicado en 54 procedimientos de baño en el lecho en UTI; utilizados las pruebas de Kappa e ICC. Resultados: En la validación aparente y de contenido, fueron realizados ayustes conforme sugestiones de los jueces. Los valores de Kappa variaron de moderado a casi perfecto (0,462 a 0,962); y, en algunos ítems, hubo 100% de concordancia; la confiabilidad del instrumento fue excelente (ICC = 0,962). Conclusión: El instrumento se demostró confiable y de fácil aplicación. Su utilización contribuirá para el baño en el lecho seguro y subsidiará intervenciones que objetiven aumentar la calidad asistencial.

RESUMO Objetivo: Validar uma lista de verificação para o banho seguro em pacientes críticos. Métodos: Estudo metodológico e quantitativo. Elaborou-se uma lista de verificação para banho seguro no paciente crítico composta por 41 itens, que foi submetida ao processo de validação aparente e de conteúdo, avaliada por 11 juízes, e confiabilidade interobservadores. Para a análise de confiabilidade, o instrumento foi aplicado em 54 procedimentos de banho no leito em UTI; utilizaram-se os testes de Kappa e ICC. Resultados: Na validação aparente e de conteúdo, foram realizados ajustes conforme sugestões dos juízes. Os valores de Kappa variaram de moderado a quase perfeito (0,462 a 0,962); e, em alguns itens, houve 100% de concordância; a confiabilidade do instrumento foi excelente (ICC = 0,962). Conclusão: O instrumento demonstrou-se confiável e de fácil aplicação. Sua utilização contribuirá para o banho no leito seguro e subsidiará intervenções que visem aumentar a qualidade assistencial.

Alta hospitalar de pacientes adultos e idosos: elaboração e validação de checklist / Alta hospitalaria de pacientes adultos y mayores: elaboración y validación de checklist / Hospital discharge of adults and older adults: checklist elaboration and validity

Resumo Objetivo Descrever a elaboração e a validação do conteúdo de um checklist para o preparo da alta hospitalar de pacientes adultos e idosos. Métodos Estudo metodológico desenvolvido de maio de 2020 a setembro de 2022 (em duas etapas) para elaboração e validação do checklist. Foi usada a técnica Delphi, com avaliação por um comitê de especialistas para validação de conteúdo. Para o cálculo do grau de concordância, utilizou-se a taxa de concordância e o Índice de Validade de Conteúdo (IVC). Resultados Foi elaborado e validado um checklist com 17 itens que ajudam a organizar a alta hospitalar. O checklist foi elaborado partindo da compilação dos resultados obtidos em entrevistas realizadas com os profissionais de uma equipe multidisciplinar, os quais atuavam em unidades de internação, revisão integrativa sobre a transição do cuidado na alta hospitalar de pacientes adultos e leitura de artigos sobre o uso de checklist para a alta. Na primeira etapa de validação, foi obtida uma média para a taxa de concordância, para abrangência (94%) e pertinência (91%) do instrumento. Ao final da segunda rodada, foi obtida a média do cálculo do IVC (clareza: 0,95; pertinência: 0,96). Conclusão O checklist foi validado quanto ao seu conteúdo por consenso pelo comitê de especialistas, podendo ser utilizado por equipes assistenciais ou de gestão de altas hospitalares.

Resumen Objetivo Describir la elaboración y la validación del contenido de una checklist para la preparación del alta hospitalaria de pacientes adultos y mayores. Métodos Estudio metodológico llevado a cabo de mayo de 2020 a septiembre de 2022 (en dos etapas) para la elaboración y validación de la checklist. Se utilizó el método Delphi, con evaluación realizada por un comité de especialistas para la validación de contenido. Para calcular el nivel de concordancia, se utilizó el índice de concordancia y el Índice de Validez de Contenido (IVC). Resultados Se elaboró y validó una checklist con 17 ítems que ayudan a organizar el alta hospitalaria. La checklist fue elaborada a partir de la compilación de los resultados obtenidos en entrevistas realizadas a profesionales de un equipo multidisciplinario que trabajaban en unidades de internación, de revisiones integradoras sobre la transición del cuidado en el alta hospitalaria de pacientes adultos y de la lectura de artículos sobre el uso de checklists para el alta. En la primera etapa de validación, se obtuvo un promedio del índice de concordancia, respecto al alcance (94 %) y pertinencia (91 %) del instrumento. Al final de la segunda ronda, se obtuvo el promedio del cálculo del IVC (claridad: 0,95; pertinencia: 0,96). Conclusión La checklist fue validada en cuanto a su contenido por consenso del comité de especialistas y puede ser utilizada por equipos asistenciales o de gestión de altas hospitalarias.

Abstract Objective To describe content elaboration and validity of a checklist for preparing adults and older adults for hospital discharge. Methods This is a methodological study, developed from May 2020 to September 2022 (in two stages), for checklist elaboration and validity. The Delphi technique was used, with assessment by an expert committee for content validity. To calculate the degree of agreement, the agreement rate and the Content Validity Index (CVI) were used. Results A checklist with 17 items that help organize hospital discharge was prepared and validated. The checklist was prepared based on the compilation of results obtained from interviews with multidisciplinary team professionals, who worked in inpatient units, an integrative review on transition of care at hospital discharge of adult patients and reading of articles on the use of discharge checklist. In the first stage of validity, a mean was obtained for the instrument's agreement rate, scope (94%) and relevance (91%). At the end of the second round, the mean CVI calculation was obtained (clarity: 0.95; relevance: 0.96). Conclusion The checklist was validated as to its content by consensus by an expert committee, and can be used by care teams or hospital discharge management.

Translation to Portuguese and cross-cultural adaptation of the epilepsy transition readiness checklist for use in Brazil

Abstract Objectives: Planning for the child and adolescent to have a safe handling in the epilepsy transition process is essential. In this work, the authors translated the "Readiness Checklists" and applied them to a group of patients and their respective caregivers in the transition process to assess the possibility of using them as a monitoring and instructional instrument. Methods: The "Readiness Checklists" were applied to thirty adolescents with epilepsy and their caregivers. The original English version of this instrument underwent a process of translation and cultural adaptation by a translator with knowledge of English and epilepsy. Subsequently, it was carried out the back-translation and the Portuguese version was compared to the original, analyzing discrepancies, thus obtaining the final version for the Brazilian population. Results: Participants were able to answer the questions. In four questions there was an association between the teenagers' educational level and the response pattern to the questionnaires. The authors found a strong positive correlation between the responses of adolescents and caregivers (RhoSpearman = 0.837; p < 0.001). The application of the questionnaire by the health team was feasible for all interviewed patients and their respective caregivers. Conclusion: The translation and application of the "Readiness Checklists" is feasible in Portuguese. Patients with lower educational levels felt less prepared for the transition than patients with higher educational levels, independently of age. Adolescents and caregivers showed similar perceptions regarding patients' abilities. The lists can be very useful tools to assess and plan the follow-up of the population of patients with epilepsy in the process of transition.

Comprehensive inventory of páramo birds and their habitat affinities in a conservation hotspot, the Macizo del Cajas Biosphere Reserve, southern Ecuador

The páramo ecosystem is a significant centre of Andean bird diversity with high concentrations of threatened species. The Macizo del Cajas Biosphere Reserve's páramos are a district of the biogeographic páramo province of northern Andes and are therefore considered a conservation hotspot with representative bird diversity. To enhance regional conservation efforts, comprehensive inventories of bird species that occupy this páramo are required. We present an updated bird inventory for the páramos of Macizo del Cajas and included validated records from eBird and GBIF databases along with records from continuous monitoring across this páramo landscape for five years. We also provide notes on habitat affinity and important new, rare, restricted range, and threatened birds. We report 112 bird species within the reserve, including five endemics, and three globally and 12 nationally threatened species. Finally, we discuss the use of habitat affinities as indicators of biodiversity patterns in páramo to improve conservation tools for key habitats.

El ecosistema de páramo es un centro importante de diversidad de aves andinas con altas concentraciones de especies amenazadas. Los páramos de la Reserva de la Biosfera Macizo del Cajas son un distrito biogeográfico de la provincia del páramo de los Andes del norte y por tanto, son un punto crítico de conservación con una diversidad de aves representativa. Inventarios exhaustivos de la avifauna que ocupa este páramo son requeridos para asegurar esfuerzos de conservación regional. El presente estudio brinda un inventario actualizado de aves de los páramos del Macizo del Cajas. Se incluyen registros verificados desde eBird y GBIF, así como registros de cinco años continuos de monitoreo a través del paisaje de páramo. Además, se incluyen notas acerca de la afinidad de hábitat y registros importantes, nuevos, raros y de aves amenazadas. En total, se reportan 112 especies de aves dentro de la reserva, incluyen cinco endémicas, tres globalmente amenazadas y 12 a escala nacional. Finalmente, se discute el uso de la afinidad de hábitat como indicador de los patrones de biodiversidad en el páramo para mejorar herramientas de conservación para hábitats clave.

Estudio sobre la salud mental de una población de niños y niñas escolarizados desde la perspectiva epidemiológica / Study on the mental health of a population of school children from an epidemiological perspective

Resumen Se presentan resultados de una investigación empírica sobre problemas comportamentales en niños y niñas escolarizados entre 6 y 11 años. El objetivo principal es describir, desde la perspectiva epidemiológica, los problemas comportamentales de una muestra clínica (N = 395; edad: . = 7.92 y DE = 1.75) y de una muestra no clínica (N = 363; edad: . = 8.78 años y DE = 1.73). Son objetivos específicos el analizar las diferencias por sexo y variables sociodemográficas en ambos contextos: clínico y no clínico. No se efectuó un estudio comparativo entre ambas muestras. Se administró el formulario Child Behaviour Checklist (CBCL) y una encuesta sociodemográfica a los adultos responsables. El análisis cuantitativo se efectuó mediante estudios de frecuencia, distribución y asociaciones entre variables con el objetivo de describir a ambas muestras desde el punto de vista de los resultados del CBCL y de las variables sociodemográficas. Se estudiaron asociaciones entre los valores de las escalas de síndromes del CBCL y las variables sociodemográficas mediante el análisis de la varianza (ANOVA). Se obtuvieron asociaciones estadísticamente significativas entre la presencia de problemas comportamentales y las condiciones socioeconómicas de la familia: a mayor vulnerabilidad socioeconómica y educativa, mayor deterioro en la salud mental infantil. Este estudio se encontró con la dificultad de las restricciones sanitarias por la pandemia de COVID-19 para continuar el trabajo de campo. Interesa replicar el estudio y considerar el impacto de la pandemia y el presunto deterioro de las variables sociodemográficas. Se debe priorizar la continuidad de una indagación sostenida para un seguimiento de la salud mental infantil.

Abstract This article shows the results of an empirical research study on behavioral and emotional problems in schoolchildren between 6 and 11 years old. From an epidemiological perspective the goal is to describe the behavioral problems of a clinical sample (N= 395, age: . = 7.92 y SD = 1.75) and a non-clinical sample (N = 363, age: M = 8.78 años y DE = 1.73). The specific objectives are to analyze the differences by sex and possible sociodemographic variables in both clinical and non-clinical contexts. A comparative study between both samples is not carried out. We administered the Child Behavior Checklist (CBCL) and a sociodemographic survey to the responsible adults. The quantitative analysis was carried out through studies of frequency, distribution and associations among variables in order to describe both samples from the point of view of the CBCL results and of the sociodemographic variables. In order to identify the possible sociodemographic conditioning factors in the childhood and youth psychopathology, we studied the associations among the CBCL syndrome scale scores and the different sociodemographic variables through the analysis of variance (ANOVA). The results of the clinical sample show mental health deterioration in boys and girls compared to previous studies. The increase of the internalizing and externalizing syndrome scores is significant. The prejudices and gender stereotypes constitute obstacles to gain access to mental health services in childhood, especially for girls whose psychological conditions may often go unnoticed. In the non-clinical sample, the gender distribution is even and the total average of average scores is lower compared to studies performed in other populations in previous years. In both samples we observe a significant relation between the psychological and behavioral problems and the socio-economic conditions of the family. The higher the educational and socio-economic vulnerability, the higher the deterioration of the children's mental health. The simultaneous study from the epidemiological perspective in both samples is necessary to detect psychopathological problems in childhood. This study encountered some limitations: the difficulty to continue the field work due to sanitary restrictions because of the COVID-19 pandemic. We want to replicate the study in both samples considering the impact of the pandemic and the alleged deterioration of the sociodemographic variables and family conditions. Another limitation has been the socio-economic homogeneity of the clinical sample. It would be useful in the future to include clinical samples that belong to other socioeconomic sectors who receive mental health care from private medical insurances or medical insurances run by labor unions. The shortage of epidemiological studies on emotional and behavioral problems in children and the lack of research work on the right to receive mental health care in childhood, indicate the absence of this topic in the political agenda. This deficit prevents the implementation of efficient programs to prevent and early detect mental health problems in children, to extend clinical care proposals in the community and to train professionals so that the programs can have an accurate impact on the population. It is a priority to continue the sustained inquiry in both populations in order to ensure the follow-up of the mental health conditions. Also, it would be useful to extend and deepen the analysis incorporating the examination of other family problems such as violence situations, consumption of psychoactive drugs, suicides and other loss situation.

Utility of the Teacher Behavior Checklist beyond Psychology Majors: Replication with Brazilian Physical Education Students / Utilidad del Teacher Behavior Checklist más allá de la psicología: replicación con estudiantes brasileños de educación física

Abstract The Teacher Behavior Checklist (TBC) is a worldwide valued instrument to measure teachers' performance. Nonetheless, the studies about TBC in Brazil are still scarce, with samples mainly composed of psychology and civil engineering students. The aim of this study was to replicate the research by Keeley et al. (2010) to evaluate the psychometric properties of the Brazilian version of the TBC with a new sample. Participants were 107 undergraduates from physical education courses from a Brazilian public university. Participants used the TBC to evaluate three types of teachers: the worst they had ever had, a regular one, and the best one. The order of evaluation of teacher types did not interfere with the response patterns, but as expected, statistically significant differences were found among the three types of teachers. Additionally, the two-factor model of the TBC was confirmed through Confirmatory Factor Analysis, providing additional evidence of construct validity. However evidence to advocate in favor of a one-factor solution was also found. McDonald's Omega results provided evidence of reliability. These findings support the use of TBC in the formative evaluation of teachers in Brazil.

Resumen The Teacher Behavior Checklist (TBC) es un instrumento valorado en todo el mundo para medir el desempeño de los profesores. Sin embargo, los estudios sobre el TBC en Brasil siguen siendo escasos, con muestras compuestas principalmente por estudiantes de psicología e ingeniería civil. El objetivo de este estudio fue replicar la investigación de Keeley et al. (2010) para evaluar las propiedades psicométricas de la versión brasileña del Teacher Behavior Checklist (TBC) con una nueva muestra. Participaron 107 estudiantes de educación física de una universidad pública brasileña. Los participantes utilizaron el TBC para evaluar tres tipos de profesores: el peor que hayan tenido, uno regular y el mejor. El orden de evaluación de los tipos de docentes no interfirió con los patrones de respuesta, pero como se esperaba, encontramos diferencias estadísticamente significativas entre los tres tipos de docentes. Además, el modelo de dos factores del TBC se confirmó a través de un análisis factorial confirmatorio, proporcionando evidencia adicional de validez de la construcción. No obstante, también encontramos evidencia para abogar a favor de una solución de un factor. Los resultados del Omega de McDonald indicaron evidencia de confiabilidad. Estos hallazgos apoyan el uso de TBC en la evaluación formativa de los docentes en Brasil.

Histological Techniques for the Study of the Dentogingival Junction: A Scoping Review Using the Anatomical Quality Assurance Checklist (AQUA) / Técnicas Histológicas para el Estudio de la Unión Dentogingival: Una Revisión de Alcance Utilizando el Anatomical Quality Assurance Checklist (AQUA)

SUMMARY: The dentogingival junction (DGJ) is an adaptation of the oral mucosa composed of epithelial and connective tissues intimately related with the mineralised tissues of the tooth. The histological evidence available is mainly based on studies in animals, separate evaluations of hard and soft tissues, and studies using conventional histological techniques that eliminate the enamel from preparations. The aim of this study was to carry out a review of the existing evidence on histological techniques available for study of the tooth and periodontium in conjunction in humans. A scoping review was carried out of the available literature referring to study of the tooth and the periodontium in conjunction in humans, in the Web of Science (WoS), EMBASE, Scopus and SciELO databases, using the terms "Histological Techniques"[Mesh]) and "Epithelial Attachment"[Mesh]. One hundred and fifty-nine articles were found, of which 54 were selected for full- text reading. Ten were finally included in the qualitative synthesis, and we applied the Anatomical Quality Assurance (AQUA) checklist for analysis the methodological quality of the selected articles. The results showed that the only articles with a low risk of bias in all five domains according to the AQUA criteria corresponded to Silva et al. (2011) and Agustín-Panadero et al. (2020). Finally, we conclude that the quality of the histological sections to observe tissues that simultaneously contain the tooth and the periodontium, is conditioned by the selected technique and by the care required in certain specific tasks during the histological processing of the samples.

La unión dentogingival (DGJ) es una adaptación de la mucosa oral compuesta por tejidos epitelial y conectivo íntimamente relacionados con los tejidos mineralizados del diente. La evidencia histológica disponible se basa principalmente en estudios en animales, evaluaciones separadas de tejidos duros y blandos y estudios utilizando técnicas histológicas convencionales que eliminan el esmalte de las preparaciones. El objetivo de este estudio fue realizar una revisión de la evidencia existente sobre las técnicas histológicas disponibles para el estudio del diente y el periodonto en conjunto en humanos. Se realizó un scoping review de la literatura disponible referente al estudio del diente y el periodonto en conjunto en humanos, en las bases de datos Web of Science (WoS), EMBASE, Scopus y SciELO, utilizando los términos "Histological Techniques"[Mesh]) y "Epithelial Attachment"[Mesh]. Se encontraron 159 artículos, de los cuales 54 fueron seleccionados para lectura de texto completo. Diez fueron finalmente incluidos en la síntesis cualitativa, y se aplicó la lista de verificación Anatómica Quality Assurance (AQUA) para el análisis de la calidad metodológica de los artículos seleccionados. Los resultados mostraron que los únicos artículos con bajo riesgo de sesgo en los cinco dominios según los criterios AQUA correspondían a Silva et al. (2011) y Agustín-Panadero et al. (2020). Finalmente, concluimos que la calidad de los cortes histológicos para observar los tejidos que contienen simultáneamente el diente y el periodonto, está condicionada por la técnica seleccionada y por el cuidado requerido en ciertas tareas específicas durante el procesamiento histológico de las muestras.

Effectiveness of checklist in objective structured practical examination as teaching tool for learning practical physiology

Background: Objective structured practical examination (OSPE) is becoming popular as an assessment tool among pre and paraclinical departments. Checklist being the important component of OSPE, which can set out skills, attitudes, strategies, and offers ways to systematically organize information that student needs to learn. Traditional demonstration (TD) with its own drawback makes us to look for newer teaching method of objective learning, which checklist of OSPE can serve. Hence, we intend to know whether the checklist of OSPE can be used as a tool for teaching practical physiology. Aims and Objectives: The aim of the study was to compare effectiveness of using checklist of OSPE and TD in teaching practical physiology and to evaluate the perception of students and faculty regarding checklist of OSPE as teaching tool. Materials and Methods: Sixty First MBBS students were sensitized to both checklist of OSPE and TD for six physiology practical sessions in two groups. Crossover was done between the groups for checklist of OSPE and TD. Marks obtained in OSPE were compared. Feedback was given to students about their performance after their OSPE assessment. Student’s and faculty’s perception on use of checklist of OSPE as teaching tool were obtained using questionnaires. Results: The mean marks scored in OSPE were compared using unpaired t-test. The total mean scores following the sensitization with checklist of OSPE were 53.36 ± 4.78 and with TD were 47.01 ± 5.52 and P value < 0.001, which was highly significant. The students and faculty felt that checklist of OSPE pattern was more objective, helped to learn clinical skills and knowledge better. Conclusions: Checklist of OSPE is a better tool to teach practical and clinical skills in physiology as it is more reliable, objective, and also helps to self-assess different aspects of knowledge.

Segurança do paciente cirúrgico pediátrico: uma revisão integrativa / Pediatric surgical patient safety: an integrative review / Seguridad del paciente quirúrgico pediátrico: una revisión integradora

No cuidado de enfermagem ao paciente cirúrgico pediátrico o checklist de cirurgia segura deve ser empregado, contribuindo para que as etapas do preparo e promoção de cirurgia segura sejam realizadas. O objetivo deste estudo foi conhecer a produção científica nacional de enfermagem sobre cirurgia segura do paciente pediátrico. Trata-se de uma revisão integrativa. A coleta de dados ocorreu nos meses de agosto e setembro de 2022, por meio da Biblioteca Virtual em Saúde e da base de dados Scientific Electronic Library Online (SciELO). É crescente a publicação sobre o tema. Pesquisas sobre a elaboração e validação de lista de verificação predominaram na amostra selecionada. O estudo revela que a implementação do checklist em cirurgias pediátricas merece destaque nas instituições de saúde que prestam atendimento ao paciente perioperatório. Este instrumento proporciona a verificação dos pontos críticos da assistência durante o processo cirúrgico, incorporando as boas práticas na rotina da equipe multidisciplinar.

In nursing care for pediatric surgical patients, the safe surgery checklist should be used, contributing to the steps of safe surgery preparation and promotion. The objective of this study was to know the national scientific nursing production on safe surgery for pediatric patients. This is an integrative review. Data collection took place in August and September 2022, through the Virtual Health Library and the Scientific Electronic Library Online (SciELO) database. There is a growing number of publications on the subject. Research on the creation and validation of checklists predominated in the selected sample. The study reveals that the implementation of the checklist in pediatric surgeries should be highlighted in health institutions providing perioperative patient care. This instrument provides verification of the critical points of assistance during the surgical process, incorporating good practices into the routine of the multidisciplinary team.

En el cuidado de enfermería al paciente quirúrgico pediátrico, se debe utilizar la lista de verificación de cirugía segura, que contribuye a los pasos de preparación y promoción para que se realice la cirugía segura. El objetivo fue conocer la producción científica nacional de enfermería sobre cirugía segura para pacientes pediátricos. Es una revisión integradora. La recolección de datos ocurrió en agosto y septiembre de 2022, a través de la Biblioteca Virtual en Salud y la base de datos Scientific Electronic Library Online. Es creciente el número de publicaciones sobre el tema. En la muestra predominó la investigación sobre la creación y validación de listas de cotejo. La implementación de la lista de verificación en las cirugías pediátricas merece ser destacada en las instituciones de salud que brindan atención al paciente. Lo que permite revisar puntos críticos de asistencia durante el proceso quirúrgico, incorporando las buenas prácticas a la rutina del equipo multidisciplinario.

Fitness checklist model for spontaneous breathing tests in pediatrics / Modelo de checklist de, aptidão para teste de respiração espontânea em pediatria

ABSTRACT Objective: To evaluate whether a model of a daily fitness checklist for spontaneous breathing tests is able to identify predictive variables of extubation failure in pediatric patients admitted to a Brazilian intensive care unit. Methods: This was a single-center, cross-sectional study with prospective data collection. The checklist model comprised 20 items and was applied to assess the ability to perform spontaneous breathing tests. Results: The sample consisted of 126 pediatric patients (85 males (67.5%)) on invasive mechanical ventilation, for whom 1,217 daily assessments were applied at the bedside. The weighted total score of the prediction model showed the highest discriminatory power for the spontaneous breathing test, with sensitivity and specificity indices for fitness failure of 89.7% or success of 84.6%. The cutoff point suggested by the checklist was 8, with a probability of extubation failure less than 5%. Failure increased progressively with increasing score, with a maximum probability of predicting extubation failure of 85%. Conclusion: The extubation failure rate with the use of this model was within what is acceptable in the literature. The daily checklist model for the spontaneous breathing test was able to identify predictive variables of failure in the extubation process in pediatric patients.

RESUMO Objetivo: Avaliar se um modelo de checklist diário de aptidão para o teste de respiração espontânea é capaz de identificar variáveis preditivas de falha no processo de extubação em pacientes pediátricos internados em uma unidade de terapia intensiva brasileira. Métodos: Estudo unicêntricotransversal, com coleta prospectiva de dados. O modelo de checklist foi elaborado com 20 itens e aplicado para avaliação de aptidão para o teste de respiração espontânea. Resultados: A amostra foi composta de 126 pacientes pediátricos em ventilação mecânica invasiva, 85 do sexo masculino (67,5%), para os quais foram aplicadas 1.217 avaliações diárias à beira do leito. A pontuação total ponderada do modelo de predição apresentou o maior poder de discriminação para a realização do teste de respiração espontânea, com índices de sensibilidade e especificidade para a falha de aptidão de 89,7% ou sucesso de 84,6%. O ponto de corte sugerido pelo checklist foi 8, com probabilidade de falha de extubação inferior a 5%. Observou-se que a falha aumentou progressivamente com o aumento da pontuação obtida, com probabilidade máxima de predição de falha de extubação de 85%. Conclusão: A taxa de falha de extubação com a utilização desse modelo ficou dentro do que é aceitável na literatura. O modelo de checklist diário para aptidão do teste de respiração espontânea foi capaz de identificar variáveis preditivas de falha no processo de extubação em pacientes pediátricos.