Tecnologias em saúde da hanseníase no âmbito da Atenção Primária à Saúde: revisão de escopo / Leprosy health technologies in Primary Health Care: a scoping review / Tecnologías en salud de la lepra en el ámbito de la Atención Primaria a la Salud: revisión del alcance

Objetivo: mapear as tecnologias em saúde para manejo no cuidado à pessoa com hanseníase na Atenção Primária à Saúde. Método: revisão de escopo baseada na metodologia do JBI, em seis bases de dados, seguindo a checklist Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews. Foram incluídos estudos publicados em qualquer idioma, com diferentes abordagens metodológicas. Resultados: os 14 estudos incluídos na revisão mostram que a aplicabilidade de tecnologias para o manejo do cuidado a pessoa com hanseníase na Atenção Primária à Saúde, possibilitam a confirmação de diagnóstico, acompanhamento, monitoramento e prevenção de incapacidades. Conclusão: nota-se que tecnologia em saúde se apresentam como ferramentas que auxiliam no processo de cuidado na assistência a pessoas com hanseníase, a fim de permitir aos profissionais de saúde conhecimento sobre a doença, proporcionando qualidade na sua prática de saúde.

Objective: to map health technologies for managing the care of people with leprosy in Primary Health Care. Method: scoping review based on the JBI methodology in six databases, following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews checklist. Studies published in any language were included, with different methodological approaches. Results: the 14 studies included in the review show that the applicability of technologies for the management of care for people with leprosy in Primary Health Care makes it possible to confirm diagnosis, follow-up, monitoring, and prevention of disabilities. Conclusion: it has been noted that health technologies are tools that help in the process of caring for people with leprosy, to provide health professionals with knowledge about the disease, improving quality of health practice.

Objetivo: mapear las tecnologías en salud para el manejo en el cuidado a la persona con lepra en la Atención Primaria a la Salud. Método: revisión del alcance basada en la metodología del JBI, en seis bases de datos, siguiendo la checklist Preferred Reporting Items for Systematic Reviews and Meta-Analysis extension for Scoping Reviews. Se han incluido estudios publicados en cualquier idioma, con diferentes enfoques metodológicos. Resultados: los 14 estudios incluidos en la revisión muestran que la aplicabilidad de tecnologías para el manejo del cuidado a la persona con lepra en la Atención Primaria a la Salud posibilita la confirmación de diagnóstico, seguimiento, monitoreo y prevención de incapacidades. Conclusión: se percibe que las tecnologías en salud se presentan como herramientas que ayudan en el proceso de cuidado en la asistencia a personas con lepra, con fines de permitir a los profesionales de salud el acceso al conocimiento sobre la enfermedad, proporcionando calidad en su práctica de salud.

Transformação digital na enfermagem perioperatória / Digital transformation in perioperative nursing / Transformación digital en enfermería perioperatoria

Objetivo: Promover a reflexão sobre os efeitos da transformação digital na enfermagem perioperatória. Métodos: Estudo reflexivo baseado em dados da literatura associado a prática do autor na enfermagem perioperatória e no projeto de automação. Resultados: evidenciou-se um misto de competências para enfermagem perioperatória, como atividades relacionadas a busca pelo hospital digital, uso da inteligência artificial e robótica. Conclusão: a reflexão deste tema incentiva o enfermeiro na busca de pesquisa, desenvolvimento digital e novos conhecimentos na área digital associados à sua prática clínica. (AU)

Objective: To promote reflection on the effects of digital transformation in perioperative nursing. Methods: Reflective study based on literature data associated with the author's practice in perioperative nursing and automation project. Results: a mix of skills for perioperative nursing was evidenced, such as activities related to the search for the digital hospital, use of artificial intelligence and robotics. Conclusion: the reflection on this theme encourages nurses to search for research, digital development and new knowledge in the digital area associated with their clinical practice. (AU)

Objetivo: Promover la reflexión sobre los efectos de la transformación digital en la enfermería perioperatoria. Métodos: Estudio reflexivo basado en datos de la literatura asociados a la práctica del autor en enfermería perioperatoria y proyecto de automatización. Resultados: se evidenció una mezcla de habilidades para la enfermería perioperatoria, como actividades relacionadas con la búsqueda del hospital digital, uso de inteligencia artificial y robótica. Conclusión: la reflexión sobre este tema anima al enfermero a buscar investigación, desarrollo digital y nuevos conocimientos en el área digital asociados a su práctica clínica. (AU)

Software educativo para la asignatura Estratificación de Riesgos Medioambientales / Educational software for the subject Stratification of Environmental Risks

Se realizó una investigación relacionada con la innovación tecnológica, en la Facultad de Enfermería-Tecnología de la Salud de Santiago de Cuba, durante el curso escolar 2019-2020, con el objetivo de diseñar un software educativo para la asignatura Estratificación de Riesgos Medioambientales, dirigido a los estudiantes de técnico medio en Vigilancia y Lucha Antivectorial. Se utilizaron los métodos teóricos: análisis-síntesis, histórico-lógico, modelación, sistémico-estructural e inductivo-deductivo; y empíricos: observación y análisis documental. La muestra fue de 44 estudiantes y 6 profesores escogidos al azar. Se concluye que el software propuesto es factible, pertinente y necesario como medio de enseñanza; proporciona información actualizada, su navegación es fácil y amena, y permite la autoevaluación de los estudiantes al interactuar con él mismo, lo que contribuye a mejorar el trabajo independiente.

An investigation related to the technological innovation was carried out in the Health Nursing-Technology Faculty from Santiago de Cuba, during the school course 2019-2020, aimed at designing an educational software for the subject Stratification of Environmental Risks, directed to medium technician students in Surveillance and Vector Control. The theoretical methods used were: analysis-synthesis, historical-logical, modelation, systemic-structural and inductive-deductive; and the empiric methods were: observation and documental analysis. The sample had 44 students and 6 professors chosen at random. It was concluded that the proposed software is feasible, pertinent and necessary as teaching aid; provides up-to-date information, it is easy and interesting to surf internet, and allows the self-appraisal of students in the interaction with themselves, what contributes to improve the independent work.

Tecnologías de Información y Comunicación en odontólogos docentes / Information and Communication Technologies in teaching dentists

Objetivo. Determinar la frecuencia de uso de las Tecnologías de Información y Comunicación (TIC) en docentes de odontología de una universidad pública. Métodos. Este estudio fue de tipo cuantitativo, observacional, descriptivo y de corte transversal. La muestra fue conformada por 67 docentes en labor de la Facultad de Odontología de la Universidad Nacional Mayor de San Marcos, quienes fueron seleccionados mediante el muestreo aleatorio estratificado. Dichos maestros respondieron a un formulario virtual tipo encuesta con una escala de Likert, cuyo contenido fue el cuestionario validado Uso de TIC. Resultados. Se obtuvo que el uso de las Tecnologías de Información y Comunicación fue en su mayoría alto con un 74.63%, y solo se presentó un caso de bajo uso de dicha variable en el sexo masculino y a la vez perteneciente al grupo docente que tenía de 31 a 40 años de experiencia. Conclusiones. Los catedráticos de odontología tienen una frecuencia de uso favorable de las Tecnologías de Información y Comunicación en su práctica docente.

Objective. Determine the frequency of use of Information and Communication Technologies (ICT) in dentistry teachers at a public university. Methods. This study was quantitative, observational, descriptive and cross-sectional. The sample was made up of 67 current teachers from the Faculty of Dentistry of the Universidad Nacional Mayor de San Marcos, who were selected through stratified random sampling. These teachers responded to a virtual survey-type form with a Likert scale, whose content was the validated Use of ICT questionnaire. Results. It was obtained that the use of Information and Communication Technologies was mostly high with 74.63%, and only one case of low use of said variable was presented in the male sex and at the same time belonging to the teaching group that was from 31 to 40 years of experience. Conclusions. Dentistry professors have a frequency of favorable use of Information and Communication Technologies in their teaching practice.

Evaluación de la usabilidad de la teleconsulta durante la pandemia por COVID-19 en un hospital pediátrico / Assessment of the usability of teleconsultations during the COVID-19 pandemic at a children's hospital

Introducción. La usabilidad en un sistema de teleconsulta afecta directamente la eficiencia y efectividad de la atención médica remota. Objetivo. Evaluar la usabilidad de la teleconsulta durante la pandemia por COVID-19. Población y método. Estudio de corte transversal. Incluimos a los cuidadores de niños/as de 1 mes a 12 años. Evaluamos la usabilidad mediante el Telehealth Usability Questionnaire adaptado en español. Además, evaluamos datos socioeconómicos. Resultados. Tasa de respuesta del 70,2 % (n = 221). La mayoría eran mujeres, edad promedio 33 años, con educación secundaria y cobertura de salud pública. El 87,8 % eligió atención telefónica y el 88,2 % tenía su primera teleconsulta. Alta satisfacción general con puntuaciones menores en facilidad de uso y aprendizaje en videollamadas. Conclusión. La teleconsulta mostró alta usabilidad, independientemente de la modalidad, para cuidadores de niños/as de 1 mes a 12 años.

Introduction. Usability in a telemedicine system directly affects the efficiency and effectiveness of remote health care. Objective. To assess the usability of teleconsultations during the COVID-19 pandemic. Population and method. This was a cross-sectional study. The caregivers of children aged 1 month to 12 years were included. Usability was assessed with the Telehealth Usability Questionnaire, adapted to Spanish. Socioeconomic data were also assessed. Results. The response rate was 70.2% (n = 221). Most responders were women whose average age was 33 years, had completed secondary education and had public health insurance. Of them, 87.8% selected telephone health care and 88.2% had their first teleconsultation. The overall satisfaction was high, with lower scores for ease of use and learning how to use video calls. Conclusion. Regardless of modality, the usability of teleconsultations by caregivers of children aged 1 month to 12 years was adequate.

Effect analysis of information-guided enteral nutrition-associated diarrhea treatment process in patients with chronic obstructive pulmonary disease undergoing continuous non-invasive assisted ventilation: a mixed cohort study of pre- and post-control / 中华危重病急救医学

Objective:To clarify the application effect of information-guided enteral nutrition-associated diarrhea (ENAD) management process in patients with chronic obstructive pulmonary disease (COPD) undergoing non-invasive assisted ventilation.Methods:A mixed cohort study of pre- and post-control was conducted. Thirty-nine patients with COPD who were admitted to the emergency intensive care unit (ICU) of Huzhou First People's Hospital from July 1, 2021 to July 31, 2022 were enrolled. Taking the completion of the software development of ENAD management software for critically ill patients on January 28, 2022 as the time node, 20 patients admitted from July 1, 2021 to January 28, 2022 were set as the control group, and 19 patients admitted from January 29 to July 31, 2022 were set as the observation group. The two groups of patients received the same enteral nutrition support treatment, and the control group implemented the conventional ENAD treatment process with enteral nutrition intolerance disposal process as the core. On the basis of the control group, the observation group implemented the information-guided ENAD treatment process, and the system software actively captured the information of ENAD patients and reminded the medical team to improve the patient's diarrhea-related examination and provide alternative treatment plans. The duration of antidiarrhea, feeding interruption rate, and energy and protein intake, blood biochemical indexes, incidence of abnormal blood electrolyte metabolism, daily continuous non-invasive assisted ventilation and endotracheal intubation after 7 days of targeted diarrhea intervention were compared between the two groups.Results:Except for the basal pulse rate, there were no significant differences in gender distribution, age, and vital signs, basic nutritional status, arterial blood gas analysis and blood biochemistry at admission between the two groups, indicating comparability between the two groups. When ENAD occurred, the patients in the observation group obtained earlier cessation of diarrhea than those in the control group [days: 3.00 (2.00, 3.25) vs. 4.00 (3.00, 5.00), P < 0.01], and the feeding interruption rate was significantly lower than that in the control group [10.53% (2/19) vs. 65.00% (13/20), P < 0.01]. After 7 days of diarrhea intervention, the energy intake of the observation group was significantly higher than that of the control group [kJ·kg -1·d -1: 66.28 (43.34, 70.36) vs. 47.88 (34.60, 52.32), P < 0.01], the levels of hemoglobin (Hb), albumin (Alb) and serum prealbumin (PAB) were significantly higher than those in the control group [Hb (g/L): 119.79±10.04 vs. 110.20±7.75, Alb (g/L): 36.00 (33.75, 37.25) vs. 31.00 (30.00, 33.00), PAB (mg/L): 155.79±25.78 vs. 140.95±14.97, all P < 0.05], the daily continuous non-invasive assisted ventilation duration was significantly shorter than that of the control group [hours: 14 (12, 16) vs. 16 (14, 18), P < 0.01], and the arterial partial pressure of carbon dioxide (PaCO 2) was significantly lower than that of the control group [mmHg (1 mmHg ≈ 0.133 kPa): 66.00 (62.00, 70.00) vs. 68.00 (67.50, 70.05), P < 0.05]. However, there were no significant differences in protein intake, incidence of abnormal electrolyte metabolism, and incidence of endotracheal intubation due to acute respiratory failure between the two groups. Conclusion:The information-guided ENAD treatment process can enable the COPD patients undergoing continuous non-invasive assisted ventilation who experience ENAD to receive earlier cessation of diarrhea, and improve the protein energy metabolism and respiratory function of the patients.

Application of intelligent information technology in the field of medical equipment management / 西安交通大学学报(医学版)

With the rapid development of information technology, what has been widely used in the field of medical and health care includes the home detection of aging population in communities, intelligent health management, special patient positioning care management, information sharing, and interconnection management, which has also brought new opportunities for the innovative management of medical equipment in recent years. We have taken "sense, knowledge and action" as the core, and effectively improved the level of lean management of medical equipment through data acquisition, data modeling and analysis, and remote service or decision response. This paper aims to summarize the application and research progress of intelligent information technology in the lean management of medical equipment in order to provide new ideas for the refined management of medical equipment.

Construction of Chinese Herbal Medicine Traceability System Based on Influencing Factors of Chinese Herbal Medicine Quality / 中国实验方剂学杂志

As a Chinese saying goes， "good Chinese medicinal material makes good medicine"， the quality of Chinese herbal medicines is related to the development prospect of Chinese medicine industry in China. With the rapid development of new technologies such as traceability methods and monitoring instruments， it is imperative to integrate and innovate traditional Chinese herbal medicines with new-generation information technology in view of the quality problems existing in the current production and circulation of Chinese herbal medicines， and it is of great significance for the construction of traceability system to ensure the quality and safety of Chinese herbal medicines and to promote the industry of Chinese herbal medicines to move towards high-quality development. This paper reviews the development history of the traceability system of Chinese herbal medicines in China， takes the influencing factors of the quality of Chinese herbal medicines as the entry point， and proposes that the construction of the traceability system should satisfy the traceability requirements of the characteristics of Chinese herbal medicines and their traditional medication experience. By analyzing the influencing factors of the quality of Chinese herbal medicines， it is pointed out that focusing on the influencing factors to build a traceability system is of great significance for targeting the problematic links at a later stage and exploring the interrelationship between environmental factors and the quality of Chinese herbal medicines. Based on the previous explorations， the author summarizes the system framework， functional modules and practical applications of the traceability system of Chinese herbal medicines， and looks forward to the development of a traceability system with risk early warning function and expert decision-making function in its functional development. Finally， based on the factors affecting the quality of Chinese herbal medicines， the author puts forward several thoughts on construction of the traceability system， and makes an in-depth analysis and puts forward a solution for the current situation that a unified， standardized and universal traceability system has not yet been built， with a view to providing ideas and references for the construction of traceability system of Chinese herbal medicines.

Design and baseline characteristics of a population-based birth cohort in Shanghai / 上海预防医学

ObjectiveTo introduce the basic design， development plan and objectives of a population-based birth cohort in Shanghai， and further present the main data and baseline characteristics of enrolled participants in the cohort， and to provide key information for reproductive health-related studies. MethodsThe Shanghai population-based birth cohort initiated on January 1， 2005， included newborns born in Shanghai every year and their parents， and collected information on reproductive health， reproductive treatment， birth characteristics， growth and development status， as well as the incidence， treatment and death of diseases by employing data linkage technology and investigations. This formed a birth cohort spanning the entire life cycle. ResultsAs of October 2022， a total of 2 978 538 newborns and their parents were included in the cohort. Among them， 2 905 135 （97.54%） were naturally conceived （NC）， and 73 403 （2.46%） were born through assisted reproductive technologies （ART）. The average age of parents was （32.56±4.12） years old for females and （34.62±5.34） years old for males in the ART group， which was higher than （28.02±4.71） years and （30.07±5.54） years for parents in the NC group. Among parents， females and males aged 30 and above accounted for 77.12% and 85.08%， respectively， which were higher than that of parents （35.28% for females and 49.66% for males） in the NC group. Furthermore， the percentage of parents with a college degree or above in the ART group was 73.23% for females and 73.66% for males， which were higher than those in the NC group （49.98% and 50.91%， respectively）. The multiple births rate in the ART group was 33.81%， which was higher than that in the NC group （1.88%）. The incidence of premature birth and low birth weight in the ART group were 24.47% and 19.08%， respectively， which was higher than that in the NC group （5.47% and 3.73%）. ConclusionThe comprehensive collection of reproductive health-related information in the birth cohort in Shanghai can provide essential resources to determine the influence of genetics， environment， reproductive treatment and other related factors on the health of offspring after birth.

Informatization Management and Practical Exploration of Information Technology Laboratories in Universities and Colleges of Traditional Chinese Medicine / 医学信息学杂志

Purpose/Significance To provide reference for the information technology laboratory management in universities and col-leges of traditional Chinese medicine(TCM).Method/Process The paper focuses on the main problems faced by information technology laboratory management in universities and colleges of TCM,and proposes ideas of informatization path selection based on practices in Hu-bei University of Chinese Medicine.It constructs informatization management system from the following aspects:network foundation of in-formation technology laboratory,terminal protection cloud service,internet of things technology application,laboratory opening,experi-mental teaching resource sharing,etc.Result/Conclusion The informatization management system significantly improves the utilization rate of the laboratory,greatly reduces the personnel cost and time cost.

Analysis on Demands and Application Scenarios of Disease Prevention and Control Informatization under the New Situation / 医学信息学杂志

Purpose/Significance To discuss the new demands and scenarios of disease prevention and control informatization brought about by emerging information technologies,and to provide references for the deep integration of information technology and the modernization of disease prevention and control system.Method/Process The paper analyzes the exploratory applications of emerging in-formation technologies in electronic medical record and disease report intelligent analysis,regional syndrome monitoring,large-scale dis-ease investigation and auxiliary epidemiological investigation,multi-channel monitoring and early warning,portable individual soldier communication under health emergency,and expounds the causes of problems that have not yet formed a systematic construction situation.Result/Conclusion Suggestions on the future development of modern disease prevention and control informatization are put forward to pro-vide technical support for improving public health service capabilities and innovating business changes.

The adoption of ICT and robotic automation systems in the pharmaceutical industry

Background: South African pharmacies face challenges like cost reduction, inventory management, and employee efficiency. Balancing dispensing error rates and customer satisfaction, along with ensuring accurate medication dispensing, is also crucial. An effective solution to these challenges is adopting automatic robotic dispensing systems, which enhance stock inventory management, integrated systems, and accurate dispensing capabilities. Objectives: The study delved into IT and robotic automation in South African pharmaceutical dispensing, assessing current methods and advocating for integrated IT and Automated Storage and Retrieval Systems in retail and hospital pharmacies. Method: The research used a quantitative approach to gather data from public and private hospital pharmacy employees, aiming to understand their requirements and expectations. It assessed the potential improvements that could result from adopting a new system. Results: The study found that most government and private pharmacies in South Africa prefer automated dispensing systems to reduce errors, lower costs, improve customer service, and enhance inventory management. Benefits also included minimising medication errors, improving operational efficiency, and ensuring patient safety. Conclusion: The study holds importance as it underscores the necessity of integrating Information Technology (IT) and Robotic Automation in the pharmaceutical sector to address prevailing issues. It identifies factors contributing to medication dispensing errors and demonstrates the potential of automated robotic systems in mitigating these errors. Contribution: South Africa's pharmaceutical sector must enhance efficiency and competitiveness by adopting integrated IT and Robotic Automation Systems. The study identified key factors for future implementation and emphasized the need for clear pre-implementation policies outlining functions and benefits.

Contribuições dos aplicativos móveis para o atendimento pré-hospitalar: revisão integrativa / Contribuciones de las aplicaciones móviles para la atención prehospitalaria: revisión integradora / Contributions of mobile applications to pre-hospital care: integrative review

Resumo Objetivo Analisar as contribuições científicas dos aplicativos móveis desenvolvidos para o atendimento pré-hospitalar. Métodos Estudo de revisão integrativa da literatura; as bases de dados usadas foram Scopus, Web of Science, CINAHL, SciELO, Embase, Lilacs, BDENF, Medline/PubMed, Biblioteca Digital Brasileira de Teses e Dissertações e ProQuest Dissertations & Theses Global; (período de 2017-2022), incluindo todas as categorias de artigo, (com resumo e textos completos, disponíveis com acesso gratuito) nos idiomas português, inglês ou espanhol, contendo as palavras-chave "Assistência Pré-Hospitalar", "Atendimento Pré-Hospitalar", "Serviços Pré-Hospitalares", "Atendimento de Emergência Pré-Hospitalar", "Enfermagem", "Aplicativos móveis", "Aplicativos de Software Portáteis", "Apps Móveis", nos títulos e/ou resumos. Dois pesquisadores aplicaram os critérios de elegibilidade dos estudos e coletaram os dados a partir do instrumento elaborado previamente. Resultados De um total de 944 estudos, 07 foram selecionados para avaliação. Os aplicativos móveis desenvolvidos para a área de atendimento pré-hospitalar são ferramentas tecnológicas que contribuíram para a triagem, primeiros socorros pediátricos, segurança do paciente, preparação de medicações durante parada cardíaca, qualidade da ressuscitação cardiopulmonar, comunicação entre equipe de emergência e registro eletrônico de enfermagem. Conclusão Os estudos apontaram as potencialidades referentes à utilização dos aplicativos móveis no atendimento pré-hospitalar, contribuindo especialmente para melhoria da segurança dos pacientes e a qualidade do cuidado prestado nas situações de urgência e emergência pré-hospitalar. A otimização do tempo de assistência e do diagnóstico precoce foram também mostrados como contribuições dos aplicativos na assistência, além de alertar para os detalhes que podem passar despercebidos.

Resumen Objetivo Analizar las contribuciones científicas de las aplicaciones móviles para la atención prehospitalaria. Métodos Estudio de revisión integradora de la literatura. Las bases de datos utilizadas fueron Scopus, Web of Science, CINAHL, SciELO, Embase, Lilacs, BDENF, Medline/PubMed, Biblioteca Digital Brasileira de Teses e Dissertações y ProQuest Dissertations & Theses Global (período de 2017-2022). Se incluyeron todas las categorías de artículos, con resumen y texto completo, disponibles con acceso gratuito, en los idiomas portugués, inglés o español, que contuvieran las palabras clave "Asistencia Prehospitalaria", "Atención Prehospitalaria", "Servicios Prehospitalarios", "Atención de Emergencia Prehospitalaria", "Enfermería", "Aplicaciones Móviles", "Aplicaciones de Software Portátiles", "Apps Móviles", en el título o resumen. Dos investigadores aplicaron los criterios de elegibilidad de los estudios y recopilaron los datos a partir de un instrumento elaborado previamente. Resultados De un total de 944 estudios, se seleccionaron siete para evaluación. Las aplicaciones móviles desarrolladas para el área de atención prehospitalaria son herramientas tecnológicas que contribuyeron para la clasificación, los primeros auxilios pediátricos, la seguridad del paciente, la preparación de medicaciones durante paro cardíaco, la calidad de la reanimación cardiopulmonar, la comunicación entre los equipos de emergencia y el registro electrónico de enfermería. Conclusión Los estudios señalaron el potencial referente a la utilización de las aplicaciones móviles en la atención prehospitalaria, lo que contribuye especialmente a la mejora de la seguridad del paciente y a la calidad del cuidado ofrecido en las situaciones de urgencia y emergencia prehospitalaria. La optimización del tiempo de la atención y el diagnóstico temprano también demostraron ser contribuciones de las aplicaciones de asistencia, además de advertir detalles que pueden pasar desapercibidos.

Abstract Objective Analyze the scientific contribution of mobile applications developed for pre-hospital care. Methods Integrative literature review study; the databases used were the following: Scopus, Web of Science, CINAHL, SciELO, Embase, Lilacs, BDENF, Medline/PubMed, Brazilian Digital Library of Theses and Dissertations, and ProQuest Dissertations & Theses Global; (period 2017-2022), including all article categories (with abstract and full texts available with free access) in Portuguese, English, or Spanish, containing the keywords "Pre-Hospital Assistance", "Pre-Hospital Care", "Pre-Hospital Services", "Pre-Hospital Emergency Care", "Nursing", "Mobile applications", "Portable Software Applications", and "Mobile Apps" in titles and/or abstracts. Two researchers applied the eligibility criteria of the studies and collected data using a previously prepared instrument. Results From a total of 944 studies, seven were selected for evaluation. Mobile applications developed for the pre-hospital care area are technological tools that have contributed to triage, pediatric first aid, patient safety, preparation of medications during cardiac arrest, quality of cardiopulmonary resuscitation, and communication between the emergency team and the electronic nursing record. Conclusions The studies highlighted the potential related to the use of mobile applications in pre-hospital care, contributing especially to improving patient safety and the quality of care provided in pre-hospital urgency and emergencies. The optimization of assistance and early diagnosis times was also shown as a contribution of applications to assistance, in addition to alerting to details that may be unnoticed.

Audience response system smartphone application as an adjunct to tuberculosis teaching for medical students during the coronavirus disease 2019 pandemic

SUMMARY OBJECTIVE: The growing availability of devices for mobile learning has created new opportunities for teaching. With the development of smartphone apps based on audience response systems, there is a possibility to quickly assess student knowledge. The education of health professionals, including medical students, is an essential strategy for tuberculosis control. In the context of the coronavirus disease 2019 pandemic, audience response systems are very useful as online assessment tools. The aim of this study was to use the audience response systems Socrative to assess medical students during a class on tuberculosis. METHODS: This is a quasi-experimental before-and-after study, with pre- and post-tests carried out through the Socrative app, respectively, before and after a lecture on tuberculosis for medical students. Also, a cross-sectional study was carried out after the course to evaluate the participant's satisfaction through an electronic, structured questionnaire with a Likert-type scale. RESULTS: A total of 126 students were included in the study. The overall mean pre- and post-test scores were 5.98±1.59 and 8.37±1.36, respectively, with a statistically significant difference (p<0.0001). Almost all students were totally satisfied with the use of Socrative on pre- and post-tests. CONCLUSION: This study describes how the use of Socrative in a tuberculosis class was well received by students. In addition, the baseline knowledge on tuberculosis was low in some topics, with some improvement after the lecture. These findings emphasize the need to further improve the students' knowledge on tuberculosis and help instructors customize the lecture based on the gaps identified in the Socrative assessment.

Manual informativo para a família da criança com leucemia: estudo de recepção / Manual informativo para familias de infantes con leucemia: estudio de recepción / Information manual for the family of the child with leukemia: reception study

Resumo Objetivo Compreender o sentido atribuído à recepção de um manual pelas famílias de crianças com leucemia aguda. Métodos Estudo qualitativo, embasado no referencial teórico do Estudo de Recepção. Foram realizadas entrevistas on-line com famílias de crianças em tratamento de leucemia aguda, em diferentes fases do tratamento e que utilizaram o manual 'Meu filho tem leucemia aguda. E agora?', por trinta dias. O software WebQDA® apoiou a organização dos dados que foram analisados de acordo com a Análise Qualitativa de Conteúdo indutiva. Resultados Participaram nove famílias, representadas por sete mães, um pai e uma avó. Da análise emergiram categorias analíticas relativas ao contexto vivenciado pela família ao receber o manual e a avaliação da linguagem e das ilustrações. O sentido atribuído pela família à recepção do manual, a partir das interações com o mesmo, é 'Ser Fortalecida na Esperança de Cura', que a ajuda a enfrentar as adversidades do tratamento e a mantém otimista em relação ao melhor prognóstico. Conclusão O uso de materiais informativos facilita a comunicação com a equipe, promove a literacia em saúde da família e fortalece sua esperança na cura.

Resumen Objetivo Comprender el sentido atribuido a la recepción de un manual por parte de familias de infantes con leucemia aguda. Métodos Estudio cualitativo, basado en el marco referencial teórico del estudio de recepción. Se realizaron entrevistas virtuales con familias de infantes en tratamiento de leucemia aguda, en diferentes fases del tratamiento, que utilizaron el manual "Mi hijo tiene leucemia aguda. ¿Y ahora?", durante 30 días. Se utilizó el software WebQDA® para organizar los datos, que fueron analizados de acuerdo con el análisis cualitativo de contenido inductivo. Resultados Participaron nueve familias, representadas por siete madres, un padre y una abuela. Del análisis, emergieron categorías analíticas relativas al contexto vivido por la familia al recibir el manual y a la evaluación del lenguaje y de las ilustraciones. A partir de las interacciones con el manual, el sentido atribuido por la familia al recibirlo es "fortalecerse en la esperanza de cura", que los ayuda a enfrentar las adversidades del tratamiento y los mantiene optimistas con relación al mejor pronóstico. Conclusión El uso de material informativo facilita la comunicación con el equipo, promueve la instrucción en salud de la familia y fortalece su esperanza en la cura.

Abstract Objective To understand the meaning attributed to the reception of a manual by families of children with acute leukemia. Methods Qualitative study based on the theoretical framework of the Reception Study. Online interviews were conducted with families of children undergoing treatment for acute leukemia at different stages of treatment and who used the manual 'My child has acute leukemia. How about now?' for thirty days. The WebQDA® software was used in the organization of data analyzed according to the inductive Qualitative Content Analysis. Results Participation of nine families represented by seven mothers, one father and one grandmother. From the analysis, emerged analytical categories related to the context experienced by the family when receiving the manual and to the evaluation of the language and illustrations. The meaning attributed by the family to receiving the manual, based on interactions with it, is 'Having the Hope of Healing Strengthened', which helps them to face the adversities of the treatment and keeps them optimistic about the best prognosis. Conclusion The use of informative materials facilitates communication with the team, promotes the family's health literacy and strengthens their hope for a cure.

IST Nurse®: development and validity evidence of a mobile application as a support for the clinical management of Sexually Transmitted Infections / IST Nurse ®: elaboração e evidências de validade de aplicativo móvel como subsídio ao manejo clínico de Infecções Sexualmente Transmissíveis / IST Nurse ®: desarrollo y evidencias de validez de una aplicación móvil como apoyo al manejo clínico de Infecciones de Transmisión Sexual

Abstract Objective: to develop and evaluate the validity evidence of a mobile application to support nurses in the clinical management of sexually transmitted infections. Method: methodological study conducted in four steps: analysis and definition of requirements; content definition; computational representation with system design; and coding with testing and refinement. In the first steps, nurses with expertise in the subject participated, and in the last, professionals with education in information and communication technology. Data analysis was performed by calculating the Content Validity Index (CVI), considering the minimum agreement value of 0.78. To confirm the viability of the CVI, the binomial test was used through the R software. Variables with p > 0.05 indicated agreement between the judges. Results: the CVI was 0.98 for content, 1.0 for usability and 0.85 for functional performance, showing that the developed application has high validity. Conclusion: it is believed that the IST Nurse® application represents an important technological tool in strengthening evidence-based nursing care. Intervention studies are therefore suggested.

Resumo Objetivo: elaborar e avaliar as evidências de validade de um aplicativo móvel para subsidiar o enfermeiro no manejo clínico de infecções sexualmente transmissíveis. Método: estudo metodológico conduzido em quatro etapas: análise e definição de requisitos; definição do conteúdo; representação computacional com projeto do sistema; e codificação com testes e refinamento. Nas primeiras etapas participaram enfermeiros com expertise na temática, e na última, profissionais com formação em tecnologia da informação e comunicação. A análise dos dados foi realizada por meio do cálculo do Índice de Validade de Conteúdo (IVC), sendo considerado o valor de concordância mínimo de 0,78. Para confirmar a viabilidade do IVC, utilizou-se o teste binomial por meio do software R. As variáveis com p > 0,05 indicaram haver concordância entre os juízes. Resultados: o IVC foi de 0,98 para conteúdo, 1,0 para usabilidade e 0,85 para desempenho funcional, evidenciando que o aplicativo elaborado apresenta alta validade. Conclusão: o aplicativo IST Nurse ® representa uma importante ferramenta tecnológica no fortalecimento do cuidado de enfermagem baseado em evidências. Sugere-se, portanto, estudos de intervenção.

Resumen Objetivo: desarrollar y evaluar evidencias de validez para una aplicación móvil para apoyar al enfermero en el manejo clínico de las infecciones de transmisión sexual. Método: estudio metodológico realizado en cuatro etapas: análisis y definición de requisitos; definición de contenido; representación computacional con diseño del sistema; y codificación con pruebas y refinamiento. En las primeras etapas participaron enfermeros con experiencia en el tema y en la última, profesionales con formación en tecnologías de la información y las comunicaciones. El análisis de los datos se realizó mediante el cálculo del Índice de Validez de Contenido (IVC), considerando el valor mínimo de acuerdo de 0,78. Para confirmar la viabilidad del IVC se utilizó la prueba binomial mediante el software R. Las variables con p > 0,05 indicaron acuerdo entre los expertos. Resultados: el IVC fue de 0,98 para contenido, 1,0 para usabilidad y 0,85 para desempeño funcional, mostrando que la aplicación desarrollada tiene alta validez. Conclusión: se cree que la aplicación IST Nurse ® representa una importante herramienta tecnológica para fortalecer el cuidado de enfermería basado en evidencias. Por lo tanto, se sugieren estudios de intervención.

Evolution of the availability of Information and Communication Technologies in primary health care in Brazil, 2012 to 2018 / Evolução da disponibilidade de Tecnologias de Informação e Comunicação na Atenção Primária à Saúde do Brasil, 2012 a 2018

ABSTRACT Objective: To verify the evolution of the availability of information and communication technology equipment and inputs in primary health care services that participated in the external evaluation of the Access and Quality Improvement Program in Primary Care and its distribution according to context characteristics social and geographic. Methods: Cross-sectional study, analyzed the distribution of information and communication technology equipment in basic health units in Brazil, during the three cycles (2012 to 2018) of the Program for Improving Access and Quality in Primary Care. The variables were examined at the municipal level and stratified by geopolitical region. Univariate analysis was performed, using the chi-square test and testing the distributions of exposures among themselves and between the outcome and exposures. Results: The availability of information and communication technology equipment increased from 9.4% (2012) to 17.5% (2018), with emphasis on the Southeast and South regions, in municipalities with a population size of up to 10,000 inhabitants², with greater family health coverage and high/very high HDI-M. Over the period from 2012 to 2018, basic units joined the program and increased availability of information and communication technologies, such as Internet access, which ranged from 45.2% (n=6,249) to 74.0% (n=21,423), with emphasis on the Northeast region, which increased from 19.1% (n=970) to 58.8% (n=7,087). Conclusion: Investment in technologies and constant evaluation of primary care in the country is necessary, contributing to its strengthening.

RESUMO Objetivo: Verificar a evolução da disponibilidade de equipamentos e insumos de tecnologia de informação e comunicação nos serviços de Atenção Primária à Saúde que participaram da avaliação externa do Programa de Melhoria do Acesso e da Qualidade na Atenção Básica e sua distribuição de acordo com características do contexto social e geográfico. Métodos: Estudo transversal, que analisou a distribuição de equipamentos de tecnologia de informação e comunicação nas unidades básicas de saúde do Brasil, durante os três ciclos (2012 a 2018) do Programa de Melhoria do Acesso e da Qualidade na Atenção Básica. As variáveis foram examinadas no nível dos municípios e estratificadas por região geopolítica. Realizou-se análise univariada, com o uso do teste χ2 e teste das distribuições das exposições entre si e entre o desfecho e as exposições. Resultados: A disponibilidade do conjunto de equipamentos de tecnologias de informação e comunicação evoluiu de 9,4% (2012) para 17,5% (2018), com destaque às Regiões Sudeste e Sul, em municípios com porte populacional de até 10 mil hab.², com maior cobertura de saúde da família e índice de desenvolvimento humano municipal — IDH-M alto/muito alto. Ao longo do período de 2012 a 2018, houve adesão de unidades básicas ao programa e aumento na disponibilidade de tecnologias de informação e comunicação, como o acesso à internet, que foi de 45,2% (n=6.249) a 74,0% (n=21.423), com destaque para a Região Nordeste com aumento de 19,1% (n=970) a 58,8% (n=7.087). Conclusão: São necessários o investimento em tecnologias e a constante avaliação da atenção primária no país, contribuindo para seu fortalecimento.

POTENTIAL CONTRIBUTION OF ChatGPT® TO LEARNING ABOUT SEPTIC SHOCK IN INTENSIVE CARE / POTENCIAL APORTE DE APLICAR ChatGPT® EN LA ENSEÑANZA DE SHOCK SÉPTICO EN CUIDADOS INTENSIVOS / CONTRIBUIÇÃO POTENCIAL DE APLICAÇÃO DO ChatGPT® NA APRENDIZAGEM DO CHOQUE SÉPTICO EM TERAPIA INTENSIVA

ABSTRACT Objective: to demonstrate the application of some prompts and to problematize the use of ChatGPT® to guide the best answers for nursing students and teachers on septic shock in intensive care learning. Method: a methodological study where prompt technology was applied in ChatGPT® to support nursing learning in intensive care with an emphasis on septic shock. The study was organized in 3 stages, covering an understanding of ChatGPT® and models, as well as testing and exercising prompts. Results: applications of prompts were presented, based on a structure of pre-defined stages that made it possible to exemplify the answers given and to organize an output generation diagram as a way of summarizing the process of decision support in intensive care. Conclusion: ChatGPT® is a natural language processing model that uses deep learning approaches to generate human-like answers. However, the generation of prompts for the teaching-learning process in intensive care nursing requires in-depth association with the pillars of evidence-based practice.

RESUMEN Objetivo: demostrar la aplicación de algunos prompts y debatir cómo se utiliza ChatGPT® para orientar las mejores respuestas a estudiantes y profesores de Enfermería sobre shock séptico en la enseñanza de cuidados intensivos. Método: estudio metodológico en el que se aplicó la tecnología de prompts en ChatGPT® para respaldar la enseñanza de Enfermería en cuidados intensivos con énfasis en shock séptico. El estudio se organizó en 3 etapas, contemplando lo que se sabe sobre ChatGPT® y diversos modelos, al igual que pruebas y prácticas con prompts. Resultados: Se presentaron aplicaciones de prompts a partir de una estructura de etapas predefinidas que permitieron ejemplificar respuestas dadas por el sistema y organizar un diagrama de generación de salidas como una manera de resumir el proceso de apoyo a las decisiones que se toman en cuidados intensivos. Conclusión: ChatGPT® es un modelo de procesamiento del lenguaje natural que utiliza enfoques de aprendizaje profundo para generar respuestas semejantes a las humanas. Sin embargo, la generación de los prompts para el proceso de enseñanza-aprendizaje en Enfermería de cuidados intensivos requiere una profunda asociación con los pilares de la práctica basada en evidencias.

RESUMO Objetivo: Demostrar a aplicação de alguns prompts e problematizar o uso do ChatGPT® para guiar as melhores respostas aos estudantes e professores de enfermagem sobre choque séptico na aprendizagem em terapia intensiva. Método: Estudo metodológico, com aplicação de tecnologia de prompts no ChatGPT® para apoiar a aprendizagem de enfermagem em terapia intensiva com ênfase no choque séptico. O estudo foi organizado em 3 etapas, contemplando o entendimento sobre o ChatGPT®, modelos, bem como teste e exercício de prompts. Resultados: Foram apresentadas aplicações de prompts a partir de uma estrutura de etapas pré-definidas que permitiram exemplificar respostas dadas e organizar um diagrama de geração de saídas como uma forma de resumir o processo de apoio à tomada de decisão em terapia intensiva. Conclusão: O ChatGPT® é um modelo de processamento de linguagem natural que usa abordagens de aprendizagem profunda para gerar respostas semelhantes às humanas. Contudo, a geração dos prompts para o processo de ensino-aprendizagem em enfermagem de terapia intensiva requer associação profunda com os pilares da prática baseada em evidência.

Percepción de fonoaudiólogos sobre nuevas tecnologías de la información y comunicación / Perception of speech therapist on new information and communication technologies

Objetivo: Analizar la percepción de los profesionales Fonoaudiólogos respecto al uso de nuevas Tecnologías de la Información y Comunicación en los procesos de evaluación e intervención fonoaudiológica. Métodos: Diseño de investigación cuantitativo, descriptivo, de corte transversal. Un total de 123 participantes contestaron el cuestionario de percepción. Se analizaron 14 ítems del módulo II, para los cuales se calculó el promedio, desviación estándar y coeficiente de variación. Además, se analizaron las respuestas positivas, respuestas neutras y respuestas negativas sobre el uso de las nuevas Tecnologías de la Información y Comunicación, la efectividad en distintos grupos etarios y las mejoras en los procesos de evaluación e intervención. Resultados: El 80% de los participantes declara que el uso de nuevas Tecnologías de la Información y Comunicación es efectivo en el proceso de evaluación, mientras que el 83% opina lo mismo en relación con la intervención. Además, el 51% declara que no tiene claridad de las mejoras en los resultados del proceso de evaluación y el 46% declara lo mismo en el proceso de intervención. Conclusión: Los profesionales perciben que las nuevas Tecnologías de la Información y Comunicación tienen mayor efectividad en niños y niñas mayores de 6 años. El uso de Tablet y Computador es percibido por los participantes como apropiado, sin embargo, no garantiza mejoras en los resultados de los procesos de evaluación e intervención. Los resultados respaldan futuras investigaciones en el campo de fonoaudiología para mejorar la atención a los usuarios y aprovechar las ventajas en este campo

Objective: To analyze the perception of speech-language pathologists professionals regarding the utilization of new Information and Communication Technologies in speechlanguage evaluation and intervention processes. Methods: Quantitative, descriptive, cross-sectional research design. A total of 123 participants responded to the perception questionnaire. Fourteen items were analyzed, for which the mean, standard deviation, and coefficient of variation were calculated. Furthermore, positive, neutral, and negative responses were examined concerning the use of new Information and Communication Technologies, their effectiveness across different age groups, and improvements in evaluation and intervention processes. Results: 80% of the participants affirm that the use of new Information and Communication Technologies is effective in the evaluation process, and 83% hold the same opinion regarding intervention. Furthermore, 51% state that they lack clarity regarding improvements in evaluation process outcomes with the use of new Information and Communication Technologies, while 46% declare the same in the intervention process. Conclusion: Professionals perceive that new Information and Communication Technologies are more effective for children over 6 years old. The use of tablet and computer is perceived by the participants as appropiate; however, it does not guarantee improvements in the outcomes of evaluation and intervention processes. The results support future research in the field of speech-language pathology to enhance user care and capitalize on the advantages of this domain

Usability of the ROBOVID mobile app for health education about COVID-19 / Usabilidad de la aplicación móvil ROBOVID para educación en salud acerca de la covid-19 / Usabilidade do aplicativo móvel ROBOVID para educação em saúde acerca da COVID-19

Objective: to evaluate the usability of the ROBOVID mobile application for health education about COVID-19. Method: methodological study with an applied quantitative approach, developed with 21 adults, using an electronic form. Usability was assessed using the System Usability Scale. The Statistical Package for the Social Sciences software was used to analyze the data. Results: the overall average score on the System Usability Scale questionnaire was 87.3, which classifies the usability of the ROBOVID application as the best achievable. Furthermore, the application has high scores for ease of memorization, user satisfaction and ease of getting to know the system, as well as excellent scores for absence of errors and speed in carrying out the tasks set. Conclusion: the ROBOVID application complies with the principles of usability in terms of efficiency, effectiveness and satisfaction in the evaluation of end users, showing that the application meets consumer needs in terms of its functionalities, demonstrating its viability in terms of the initial objectives.

Objetivo: evaluar la usabilidad de la aplicación móvil ROBOVID para educación en salud acerca de la COVID-19. Método: estudio metodológico con enfoque cuantitativo aplicado, desarrollado con 21 adultos, mediante formulario electrónico. La evaluación de la usabilidad se llevó a cabo mediante la System Usability Scale. Para el análisis de los datos se utilizó el software Statistical Package for the Social Sciences . Resultados: la media global por el cuestionario System Usability Scale fue de 87,3, lo que clasifica la usabilidad de la aplicación ROBOVID como mejor alcanzable. Además, la aplicación presenta índices elevados para facilidad de memorización, satisfacción del usuario y facilidad de conocimiento del sistema, además de excelentes índices para ausencia de errores y rapidez en la ejecución de las tareas establecidas. Conclusión: la aplicación ROBOVID posee conformidad con los principios de usabilidad en los criterios de eficiencia, eficacia y satisfacción en la evaluación de los usuarios finales, explicando que la aplicación satisface las necesidades de consumo frente a sus funcionalidades, demostrando su viabilidad en cuanto a los objetivos iniciales.

Objetivo: avaliar a usabilidade do aplicativo móvel ROBOVID para educação em saúde acerca da COVID-19. Método: estudo metodológico com abordagem quantitativa aplicado, desenvolvido com 21 adultos, por meio de formulário eletrônico. A avaliação da usabilidade ocorreu por meio da System Usability Scale . Para análise dos dados utilizou-se o software Statistical Package for the Social Sciences . Resultados: a média global pelo questionário System Usability Scale foi de 87,3, o que classifica a usabilidade do aplicativo ROBOVID como melhor alcançável. Ademais, o aplicativo apresenta índices elevados para facilidade de memorização, satisfação do usuário e facilidade de conhecimento do sistema, além de excelentes índices para ausência de erros e rapidez na execução das tarefas estabelecidas. Conclusão: o aplicativo ROBOVID possui conformidade com os princípios de usabilidade nos critérios de eficiência, eficácia e satisfação na avaliação dos usuários-finais, explicitando que o aplicativo atende às necessidades de consumo frente a suas funcionalidades, demostrando sua viabilidade no que tange aos objetivos iniciais.