Cross-cultural adaptation of the dysfunctional voiding score symptom (DVSS) questionnaire for Brazilian children

PURPOSE: To translate and culturally adapt the Dysfunctional Voiding Symptom Score (DVSS), questionnaire into Brazilian Portuguese. MATERIALS AND METHODS: The 10-item Dysfunctional Voiding Symptom Score (DVSS) was translated into Brazilian Portuguese according to a standard methodology: translation, synthesis, back-translation, Expert Committee, and pre-testing. After the translation process the final version was pre-tested and patient responses were analyzed to identify necessary modifications. Reliability was evaluated using the test-retest method, and internal consistency was assessed using Cronbach’s alpha. RESULTS: The Cronbach’s alpha coefficient was calculated in the test and retest phases. Internal consistency was found to be satisfactory, as confirmed by a Cronbach’s alpha coefficient of 0.76 for the test and 0.77 for the retest. A high degree of stability was found in the test/retest, with an intraclass correlation coefficient (ICC) of 0.960 (p < 0.001; 95 percent CI: 0.943-0.972). CONCLUSION: The cross-cultural adaptation process of the Dysfunctional Voiding Symptom Score questionnaire to be used on Brazilian children was successfully completed following internationally accepted methodologies.

Ensino Prático Integrado de Obstetrícia e Neonatologia em Maternidade: Relato da Experiência da UFPE / Integrated Practical Training in Obstetrics and Neonatology in a Maternity Hospital: A Case Report from Federal University in Pernambuco

Resumo: A atenção à saúde materno-infantil no período neonatal exige dos profissionais uma compreensão integral do binômio mãe-filho. Os conhecimentos estudados pela Obstetrícia e pela Neonatologia são intimamente relacionados e devem ser abordados de forma integrada, sobretudo durante a graduação médica, quando o futuro médico constrói a base de seus raciocínio clínico. Os alunos do 6o período do curso médico da UFPE realizam as atividades práticas de Obstetrícia e Neonatologia integradas em maternidades-escola, acompanhadas de monitores. A concepção teórica e a concretização prática deste ensino integrado contaram com algumas dificuldades no início de seu funcionamento. A dificuldade de compreensão da importância da prática integrada e a falta de motivação de alguns professores foram relatadas como dificuldades menores. O maior problema desde o início tem sido a infra-estrutura e demanda de pacientes atendidos nas maternidades. O trabalho democrático e participativo de construção coletiva do projeto de ensino realizado por alunos, monitores e a coordenação do estágio tem-se mostrado uma estratégia eficiente para a superação das dificuldades.

Abstract: Mother-child health care during the prenatal period demands that health care professionals have an integral understanding of the mother-child dyad. The bodies of knowledge studied by Obstetrics and Neonatology are intimately related and should receive an integrated approach, especially during basic medical training, when future physicians build the basis for their clinical reasoning. Sixth-semester students in the school of Medicine at UFPE perform integrated practical activities in Obstetrics and Neonatology at teaching maternity hospitals, accompanied by monitors. The theoretical concept and practical implementation of the integrated teaching process enconuntered several difficulties in its early stages. Difficulty in understanding the importance of integrated practice and lack of motivation on the part of some professors were reported as minor problems. The greatest problems have been with the infrastructure and patient demand served at the maternity hospitals. A democratic and participatory work process involving collective development of teaching proposal by students, monitors, and the rotation coordinators has proven be an efficient strategy for overcoming difficulties.