ABSTRACT
This article describes the process of developing and validating a virtual assistant to perform vaccine pharmacovigilance. We performed a pilot study with a panel of 22 healthcare professionals who performed content validation of the virtual assistant prototype. Usability was tested with 126 users, using the System Usability Scale. The data analysis was performed by the agreement rate and content validity index, and the κ test was used to verify the agreement between the evaluators. The content domains of the virtual assistant achieved excellent suitability, relevance, and representativeness criteria, all greater than 86%; the content validity index ranged from 0.81 to 0.98, with an average of 0.90 and an interrater reliability index of 1.00. There was excellent interrater agreement (average κ value, 0.76). The total usability score among users was 80.1, ranging from 78.2 in group 1 (users without reactions to vaccines) to 82.1 in group 2 (users with reactions) ( P = .002). The virtual assistant for vaccine pharmacovigilance obtained a satisfactory level of content validity and usability, giving greater credibility to the claim that this device provides greater surveillance and safety for patients.
Subject(s)
Pharmacovigilance , Humans , Reproducibility of Results , Pilot ProjectsABSTRACT
INTRODUCTION: The growing demand from patients with wounds from various causes has significantly challenged primary care nurses. A chatbot, with duly validated evidence-based content, can assist both nurses and patients in managing care. This work describes the development process of such a chatbot (BOTCURATIVO) that aims to help the treatment of wounds by non-specialists, by giving guidelines about the recommended wound dressing procedures for each type of wound. METHOD: Methodological research was carried out in three phases. The first one corresponded to the validation of the script's content through a panel of enterostomal therapist nurses, who evaluated the domains and items of the chatbot script. Data analysis was performed using the Content Validity Index by individual level and scale level (≥ 0.80). To verify the agreement between the evaluators, the Kappa test was used. In the second phase, the chatbot was developed, using GOOGLE'S DIALOGFLOW platform. Finally, in the third phase, the chatbot's usability was analyzed using the System Usability Scale (SUS), by 17 users, 8 of them being patients with chronic wounds, 5 caregivers of people with acute and chronic wounds and 4 nurses. RESULTS: The established domains achieved excellent suitability, relevance and representativeness criteria, all above 90 %; the content validity index per level of scale reached 0.97 and 0.82 by the methods of average and universal agreement, respectively, with excellent agreement between the evaluators (Kappa value: 0.83). The global usability score was 80.1. CONCLUSION: The script developed and incorporated into the chatbot prototype achieved a satisfactory level of content validity. The usability of the chatbot was considered good, adding to the credibility of the device.
Subject(s)
Bandages , HumansABSTRACT
The number of shoulder arthroscopy procedures is increasing and, because of this, the frequency of related complications is also increasing. This report presents a case of third-degree burn from an electrosurgical pad during this procedure and serves as an alert regarding the possible causes and how to try to prevent this rare, but possible complication.
ABSTRACT
O número de artroscopias de ombro está aumentando e, por causa disso, a frequência de complicações relacionadas também aumenta. O presente caso relata uma queimadura de terceiro grau na região da placa eletrocirúrgica durante esta cirurgia e alerta sobre possíveis causas e como tentar prevenir esta rara, mas possível complicação.
The number of shoulder arthroscopy procedures is increasing and, because of this, the frequency of related complications is also increasing. This report presents a case of third-degree burn from an electrosurgical pad during this procedure and serves as an alert regarding the possible causes and how to try to prevent this rare, but possible complication.
Subject(s)
Humans , Male , Adult , Arthroscopy , Burns/ethnology , Burns/prevention & control , Equipment FailureABSTRACT
O presente trabalho tem o objetivo de apresentar uma rara, porém possível complicação respiratória durante uma artroscopia de ombro executada na posição de "cadeira de praia". Houve extravasamento de líquido para o mediastino durante o procedimento quando se usava a bomba de infusão, ocasionando dificuldade respiratória. O tratamento foi conservador, com retardamento da extubação, internação em unidade de terapia intensiva, diuréticos e medidas de suporte. No quarto dia de pós-operatório, a paciente estava assintomática em relação a tal complicação.
This study is intended to present a rare but possible respiratory complication during a shoulder arthroscopy performed in the beach chair position. Fluid leaked into the mediastinum during the procedure when the infusion pump was being used, which caused respiratory difficulty. Treatment was conservative, with extubation delay, stay at the Intensive Care Unit, diuretic drugs, and support action. In the fourth postoperative day, the patient was asymptomatic regarding such complication.
Subject(s)
Humans , Female , Aged , Arthroscopy/adverse effects , Intraoperative Complications , Shoulder/surgery , Pleural EffusionABSTRACT
O artigo discute o engajamento atual e potencial das empresas multinacionais em atividades tecnológicas no Brasil. Argumenta que a maior propensão dessas empresas em realizar atividades de pesquisa e desenvolvimento (P&D) fora de seus países de origem pode representar uma oportunidade para reforçar o sistema nacional de inovação. A implementação de políticas públicas pertinentes é uma condição importante para o sucesso dessa empreitada.
Subject(s)
International Cooperation , Technological Development , Economics , BrazilABSTRACT
Os autores realizaram estudo duplo-cego, comparativo, avaliando as eficácia analgésica entre propifenazona (220mg), placebo e a associaçäo ácido acetilsalicílico (200mg)/paracetamol (150mg/cafeína (50mg) no pós-operatório de cirurgias odontológicas. A dor avaliada através de escala analógica visual. Os tratamentos ativos foram significativamente superiores ao placebo, näo havendo diferenças estatisticamente significativas entre propifenazona 220mg e a associaçäo empregada. Näo foram relatados efeitos colaterais no grupo propifenazona
Subject(s)
Adolescent , Adult , Middle Aged , Humans , Male , Female , Acetaminophen/administration & dosage , Antipyrine/administration & dosage , Aspirin/administration & dosage , Caffeine/administration & dosage , Pain, Postoperative/drug therapy , Double-Blind Method , Drug Therapy, Combination , Placebos/therapeutic useABSTRACT
(...)Tomava corpo a idéia de um índice, logo batizado Índice Brasil de Inovação - IBI, que ao longo de 10 números da revista, desde seu lançamento em abril de 2005, foi tomando forma graças ao apoio da Fapesp e do Instituto Uniemp e graças ao trabalho diligente da equipe de pesquisadores da Unicamp coordenada pelos professores Ruy Quadros e André Furtado, especialmente convidados para a realização técnica do projeto.O IBI agora se consolida e aponta, entre 30 empresas selecionadas das 60 que aderiram ao programa para esse primeiro exercício de classificação, 12 que, distribuídas por 4 grupos setoriais, 3 em cada grupo, formam o conjunto das mais inovativas.
