RESUMEN
ABSTRACT Objectives: to provide sources of content validity evidence for the Post-Stroke Guidance and Follow-up Booklet. Methods: a quantitative-qualitative approach, using two Delphi method and content analysis rounds. The Educational Content Validation Instrument in Health was sent to 53 independent judges. A Content Validity Index above 0.90 was considered. Results: of the 14 nurses who participated, 64.3% have experience with stroke care, 35.7% with primary care and 64.3% with educational material production. In content analysis, judges' suggestions were stratified into four categories: material conformation, objectivity, accuracy and perception. Spelling changes were made to the images, addition of functionality scale, adequacy of technical terms and language. The Content Validity Index in the second round showed a concordance of 0.97. Conclusions: the booklet presented satisfactory content validity sources of evidence.
RESUMEN Objetivos: proporcionar fuentes de evidencia de validación de contenido para el Manual de Orientación y Seguimiento Post-Accidentes Cerebrovascular. Métodos: abordaje cuantitativo-cualitativo, utilizando dos rondas del método Delphi y análisis de contenido. El Instrumento de Validación de Contenido de Educación en Salud fue enviado a 53 jueces independientes. Se consideró un Índice de Validez de Contenido superior a 0,90. Resultados: de los 14 enfermeros que participaron, el 64,3% tiene experiencia en el cuidado del ictus, el 35,7% en la atención primaria y el 64,3% en la producción de material educativo. En el análisis de contenido, las sugerencias de los jueces fueron estratificadas en cuatro categorías: conformación, objetividad, precisión y percepción del material. Se realizaron cambios ortográficos a las imágenes, adición de escala de funcionalidad, adecuación de términos técnicos y lenguaje. El Índice de Validez de Contenido en la segunda ronda mostró una concordancia de 0,97. Conclusiones: la cartilla presentó fuentes de evidencia de validez de contenido satisfactorias.
RESUMO Objetivos: prover fontes de evidências de validação de conteúdo para a Caderneta de Orientação e Acompanhamento Pós-Acidente Vascular Cerebral. Métodos: abordagem quanti-qualitativa, utilizando duas rodadas do método Delphi e análise de conteúdo. O Instrumento de Validação de Conteúdo Educativo em Saúde foi enviado para 53 juízes independentes. Considerou-se um Índice de Validade de Conteúdo acima de 0,90. Resultados: dos 14 enfermeiros que participaram, 64,3% têm experiência com atendimento a Acidente Vascular Cerebral, 35,7% com atenção primária e 64,3% com produção de material educativo. Na análise de conteúdo, as sugestões dos juízes foram estratificadas em quatro categorias: conformação, objetividade, precisão e percepção do material. Foram realizadas alterações ortográficas nas imagens, adição de escala de funcionalidade, adequação de termos técnicos e linguagem. O Índice de Validade de Conteúdo na segunda rodada demonstrou concordância de 0,97. Conclusões: a caderneta apresentou fontes de evidências de validade de conteúdo satisfatórias.
RESUMEN
Background@#and Purpose Recent studies suggested an increased incidence of cerebral venous thrombosis (CVT) during the coronavirus disease 2019 (COVID-19) pandemic. We evaluated the volume of CVT hospitalization and in-hospital mortality during the 1st year of the COVID-19 pandemic compared to the preceding year. @*Methods@#We conducted a cross-sectional retrospective study of 171 stroke centers from 49 countries. We recorded COVID-19 admission volumes, CVT hospitalization, and CVT in-hospital mortality from January 1, 2019, to May 31, 2021. CVT diagnoses were identified by International Classification of Disease-10 (ICD-10) codes or stroke databases. We additionally sought to compare the same metrics in the first 5 months of 2021 compared to the corresponding months in 2019 and 2020 (ClinicalTrials.gov Identifier: NCT04934020). @*Results@#There were 2,313 CVT admissions across the 1-year pre-pandemic (2019) and pandemic year (2020); no differences in CVT volume or CVT mortality were observed. During the first 5 months of 2021, there was an increase in CVT volumes compared to 2019 (27.5%; 95% confidence interval [CI], 24.2 to 32.0; P<0.0001) and 2020 (41.4%; 95% CI, 37.0 to 46.0; P<0.0001). A COVID-19 diagnosis was present in 7.6% (132/1,738) of CVT hospitalizations. CVT was present in 0.04% (103/292,080) of COVID-19 hospitalizations. During the first pandemic year, CVT mortality was higher in patients who were COVID positive compared to COVID negative patients (8/53 [15.0%] vs. 41/910 [4.5%], P=0.004). There was an increase in CVT mortality during the first 5 months of pandemic years 2020 and 2021 compared to the first 5 months of the pre-pandemic year 2019 (2019 vs. 2020: 2.26% vs. 4.74%, P=0.05; 2019 vs. 2021: 2.26% vs. 4.99%, P=0.03). In the first 5 months of 2021, there were 26 cases of vaccine-induced immune thrombotic thrombocytopenia (VITT), resulting in six deaths. @*Conclusions@#During the 1st year of the COVID-19 pandemic, CVT hospitalization volume and CVT in-hospital mortality did not change compared to the prior year. COVID-19 diagnosis was associated with higher CVT in-hospital mortality. During the first 5 months of 2021, there was an increase in CVT hospitalization volume and increase in CVT-related mortality, partially attributable to VITT.
RESUMEN
We studied the feeding aspects from 158 individuals of Serrasalmus spilopleura captured in Porto Colômbia Reservoir, situated on the Grande River, at the Paraná basin, between November 2001 and August 2002. Mesh nets were used to capture the individuals, with sizes ranging from 3 cm to 16 cm, between opposed knots set at sunset, and collected in the following morning; remaining exposed during approximately 12 hours. The analysis from the stomach content of the captured individuals showed a predominantly piscivore feeding habit, and exclusive to individuals over 22 cm. Aquatic insects were also found, complementing the diet of individuals belonging to smaller size groups, indicating a clear trophic ontogeny
Foram estudados aspectos da alimentação de 158 exemplares de Serrasalmus spilopleura capturados no reservatório de Porto Colômbia, localizado no rio Grande, bacia do rio Paraná, no período entre novembro de 2001 e agosto de 2002. Utilizaram-se redes de malhar com tamanhos entre 3cm e 16 cm entre nós opostos armadas ao entardecer e retiradas pela manhã, permanecendo expostas por um período de aproximadamente 12 horas. A análise da dieta dos exemplares mostrou-se predominantemente piscívora, sendo exclusivo para exemplares de comprimento padrão superior a 22 cm. Insetos aquáticos também foram ingeridos, complementando a dieta dos indivíduos pertencentes às menores classes de tamanho, demonstrando uma evidente ontogenia trófica