Cultural adaptation and validation of the Wexner scale in patients with anal incontinence in a Brazilian population.

INTRODUCTION AND HYPOTHESIS: Jorge and Wexner devised a questionnaire for anal incontinence (AI), known as the Wexner scale (WS). Specific validated questionnaires are essential for the assessment of symptom severity. The objective was to accomplish the cultural adaptation and validation of the Portuguese version of the WS. METHODS: The WS was validated according to the international criteria. A Brazilian version was tested, including the item "I do not understand" at the end of each question. If this answer was reported at a rate higher than 15 %, the item would be considered difficult to understand and would thus be modified. The final version of the WS and the Fecal Incontinence Quality of Life (FIQL) were completed by 50 women. Convergent validity was assessed by comparing the data from the first interview of the WS with the FIQL using Spearman's test. Reproducibility was assessed by means of a 2-week test-retest procedure using Cronbach's alpha coefficient. RESULTS: In the initial version of the questionnaire, we did not obtain a response of "I do not understand" at a rate greater than 15 % and this version was considered definitive. A significant negative relationship (r = -0.63) was found between the FIQL total score and the WS. The answers obtained on the "test-re-est" questionnaires showed a significant correlation according to the intraclass correlation coefficient (ICC). A high level of internal consistency was found, as demonstrated by a Cronbach's alpha of 0.932. CONCLUSION: The Brazilian Portuguese version of the WS is a reliable, consistent, and valid instrument.

Pediatria de A a Z: o uso do meio digital para divulgação de informações sobresaúde - a experiência do projeto Observatório da Criança e do Adolescente da Universidade Federal de Minas Gerais / Pediatria de A a Z: The use of social media to dissaminate health information - The expecience of Observatório da Criança e do Adolescente from Universidade Federal de Minas Gerais

Objetivo: Analisar o cenário atual de divulgação pela internet de informações da área da saúde com ênfase na experiência do Pediatria de A a Z, eixo que integra o projeto Observatório da Criança e Adolescente do Departamento de Pediatria da Faculdade de Medicina da Universidade Federal de Minas Gerais (FM-UFMG). Metodologia: Revisão bibliográfica utilizando as bases de dados SciELO, Portal Capes e MEDLINE - PubMed.Conclusão: O desenvolvimento de estratégias com a finalidade de assegurar a segurança de quem consulta informações sobre saúde em meios eletrônicos - tais como certificação de sites por especialistas, utilização do selo HON Code of Conduct, emitido pela Health On the Net Foundation (HON) pelos sites e a utilização do ?Guia Para Encontrar Informações Seguras? por quem procura - é uma questão de saúde pública. Em consonância com essa necessidade, o site do ?Pediatria de A a Z? criou um espaço interativo eletrônico certificado por equipe de médicos e estagiários, a fim de orientar os responsáveis por crianças e até as próprias crianças e adolescentes sobre a maneira correta de lidar com diferentes situações.

Objective: To analyse the current situation of internet dissemination of health information with emphasis on the experience of Pediatria de A a Z, that integrates the project Observatório da Criança e do Adolescente from the Universidade Federal de Minas Gerais. Methods: A literature review was made using the data bases SciELO, Portal Capes and MEDLINE-PubMed Conclusions: The development of strategies in order to protect the safety of those who consult health information in electronic media, such asthe certification of sites by experts, the use of HON Code of Conduct Seal, issued by Health On the Net Foundation (HON) or the use of the ?Guia para Encontrar Informações Seguras? is a public health issue. According this need, Pediatria de A a Z created an interactive electronic space, certified by a team of doctors and medical students in order to guide those responsible for children or even the children and adolescentes the rightway to deal with different situations.