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  1 / 295164 MEDLINE  
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Cherchiglia, Mariângela Leal
Texto completo SciELO Brasil
Texto completo SciELO Saúde Pública
[PMID]:28954166
[Au] Autor:Souza MF; Santos AFD; Reis IA; Santos MADC; Jorge AO; Machado ATGDM; Andrade EIG; Cherchiglia ML
[Ad] Endereço:Programa de Pós-Graduação em Saúde Pública. Faculdade de Medicina. Universidade Federal de Minas Gerais. Belo Horizonte, MG, Brasil.
[Ti] Título:Care coordination in PMAQ-AB: an Item Response Theory-based analysis.
[So] Source:Rev Saude Publica;51:87, 2017.
[Is] ISSN:1518-8787
[Cp] País de publicação:Brazil
[La] Idioma:eng; por
[Ab] Resumo:OBJECTIVE: Analyze the quality of the National Program for Primary Care Access and Quality Improvement variables to evaluate the coordination of primary care. METHODS: A cross-sectional study based on data from 17,202 primary care teams that participated in the National Program for Primary Care Access and Quality Improvement in 2012. Based on the Item Response Theory, Samejima's Gradual Response Model was used to estimate the score related to the level of coordination. The Cronbach's alpha and Spearman' coefficients and the point-biserial correlation were used to analyze the internal consistency and the correlation between the items and between the items and the total score. We evaluated the assumptions of unidimensionality and local independence of the items. Cloud-type word charts aided in the interpretation of coordination levels. RESULTS: The Program items with the greatest discrimination in coordination level were: telephone/Internet existence, institutional communication flows, and matrix support actions. The specialists' contact frequency with the primary care and integrated electronic medical record required a greater level of coordination among the teams. The Cronbach' alpha was 0.8018. The institutional communication flows and telephone/Internet items had a higher correlation with the total score. Coordination scores ranged from -2.67 (minimum) to 2.83 (maximum). More communication, information exchange, matrix support, health care in the territory and the domicile had a significant influence on the levels of coordination. CONCLUSIONS: The ability to provide information and the frequency of contact among professionals are important elements for a comprehensive, continuous and high-quality care. OBJETIVO: Analisar a qualidade das variáveis do Programa de Melhoria do Acesso e da Qualidade da Atenção Básica para avaliar a coordenação na atenção básica do cuidado. MÉTODOS: Estudo transversal baseado em dados de 17.202 equipes de atenção básica que participaram do Programa de Melhoria do Acesso e da Qualidade da Atenção Básica em 2012. Baseado na Teoria de Resposta ao Item, o Modelo de Resposta Gradual de Samejima foi utilizado para estimação do escore relacionado ao nível de coordenação. Os coeficientes alfa de Cronbach, Spearman e ponto bisserial foram utilizados para análise da consistência interna e da correlação entre os itens e de itens com o escore total. Foram avaliadas as suposições de unidimensionalidade e de independência local dos itens. Gráficos do tipo nuvem de palavras auxiliaram na interpretação dos níveis de coordenação. RESULTADOS: Os itens do Programa com maior discriminação do nível de coordenação foram: existência de telefone/internet, fluxos institucionais de comunicação e ações de apoio matricial. A frequência de contato de especialistas com a atenção básica e prontuário eletrônico integrado exigiram maior nível de coordenação das equipes. O coeficiente alfa de Cronbach total 0,8018. Os itens fluxos institucional de comunicação e telefone/internet tiveram maior correlação com o escore total. Os escores de coordenação variaram entre -2,67 (mínimo) e 2,83 (máximo). Maior grau de comunicação, troca de informações, apoio matricial, cuidado no território e domicílio tiveram peso relevante nos níveis de coordenação. CONCLUSÕES: A capacidade de disponibilizar a informação e a frequência de contato entre os profissionais são elementos importantes para o cuidado abrangente, contínuo e de qualidade.
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170929
[Lr] Data última revisão:
170929
[St] Status:In-Process


  2 / 295164 MEDLINE  
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[PMID]:28931244
[Au] Autor:Andrew MK; Shinde V; Ye L; Hatchette T; Haguinet F; Dos Santos G; McElhaney JE; Ambrose A; Boivin G; Bowie W; Chit A; ElSherif M; Green K; Halperin S; Ibarguchi B; Johnstone J; Katz K; Langley J; Leblanc J; Loeb M; MacKinnon-Cameron D; McCarthy A; McGeer A; Powis J; Richardson D; Semret M; Stiver G; Trottier S; Valiquette L; Webster D; McNeil SA; Serious Outcomes Surveillance Network of the Public Health Agency of Canada/Canadian Institutes of Health Research Influenza Research Network (PCIRN) and the Toronto Invasive Bacterial Diseases Network (TIBDN)
[Ad] Endereço:Canadian Center for Vaccinology, IWK Health Centre and Nova Scotia Health Authority, Dalhousie University, Halifax.
[Ti] Título:The Importance of Frailty in the Assessment of Influenza Vaccine Effectiveness Against Influenza-Related Hospitalization in Elderly People.
[So] Source:J Infect Dis;216(4):405-414, 2017 Aug 15.
[Is] ISSN:1537-6613
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Background: Influenza is an important cause of morbidity and mortality among older adults. Even so, effectiveness of influenza vaccine for older adults has been reported to be lower than for younger adults, and the impact of frailty on vaccine effectiveness (VE) and outcomes is uncertain. We aimed to study VE against influenza hospitalization in older adults, focusing on the impact of frailty. Methods: We report VE of trivalent influenza vaccine (TIV) in people ≥65 years of age hospitalized during the 2011-2012 influenza season using a multicenter, prospective, test-negative case-control design. A validated frailty index (FI) was used to measure frailty. Results: Three hundred twenty cases and 564 controls (mean age, 80.6 and 78.7 years, respectively) were enrolled. Cases had higher baseline frailty than controls (P = .006). In the fully adjusted model, VE against influenza hospitalization was 58.0% (95% confidence interval [CI], 34.2%-73.2%). The contribution of frailty was important; adjusting for frailty alone yielded a VE estimate of 58.7% (95% CI, 36.2%-73.2%). VE was 77.6% among nonfrail older adults and declined as frailty increased. Conclusions: Despite commonly held views that VE is poor in older adults, we found that TIV provided good protection against influenza hospitalization in older adults who were not frail, though VE diminished as frailty increased. Clinical Trials Registration: NCT01517191.
[Mh] Termos MeSH primário: Idoso Fragilizado
Hospitalização/estatística & dados numéricos
Vacinas contra Influenza/uso terapêutico
Influenza Humana/prevenção & controle
Potência de Vacina
[Mh] Termos MeSH secundário: Idoso
Idoso de 80 Anos ou mais
Estudos de Casos e Controles
Feminino
Humanos
Vacinas contra Influenza/administração & dosagem
Unidades de Terapia Intensiva
Modelos Logísticos
Masculino
Estudos Prospectivos
Estações do Ano
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE; MULTICENTER STUDY; OBSERVATIONAL STUDY
[Nm] Nome de substância:
0 (Influenza Vaccines)
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170928
[Lr] Data última revisão:
170928
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170921
[St] Status:MEDLINE
[do] DOI:10.1093/infdis/jix282


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[PMID]:28881955
[Au] Autor:Cruz-Esteban S; Rojas JC; Malo EA
[Ad] Endereço:El Colegio de la Frontera Sur (ECOSUR), Grupo de Ecología de Artrópodos y Manejo de plagas, Km. 2.5 Carretera Antiguo Aeropuerto, Apartado Postal 36, Tapachula, 30700, Chiapas, México.
[Ti] Título:Calling Behavior, Copulation Time, and Reproductive Compatibility of Corn-Strain Fall Armyworm (Lepidoptera: Noctuidae) From Populations in Mexico.
[So] Source:Environ Entomol;46(4):901-906, 2017 Aug 01.
[Is] ISSN:1938-2936
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:The calling behavior, mating time, and the reproductive compatibility of virgin adults of fall armyworms, Spodoptera frugiperda (J. E. Smith), were studied in this work. Larvae were collected on maize (Zea mays L.) from six states located on the Pacific coast (Chiapas, Michoacán, and Sinaloa), on the Gulf of Mexico (Veracruz and Yucatan), and in central Mexico (Morelos). Before the experiments, insects were reared under laboratory conditions for one generation. We recorded the age at which females called for the first time, the onset time of calling, the duration of calling, the onset time of copulation, and the duration of copulation. The calling rhythms of the six populations were dissimilar. Females from all populations began to call in the second or third scotophase. The time for onset of calling and the duration of calling were significantly different among the S. frugiperda populations studied. Spodoptera frugiperda pairs from Sinaloa, Veracruz, Yucatan, and Morelos started to copulate earlier than the pairs from Chiapas and Michoacán. Pairs from Veracruz and Yucatan copulated longer than those from Michoacán, Morelos, Chiapas, and Sinaloa. Our crossing experiment using females and males from the six populations showed that individuals from different populations could copulate and produce fertile offspring. Thus, although the S. frugiperda populations showed variability in the timing of reproduction, the populations were not reproductively incompatible, which indicated that geographic distance has not led to reproductive isolation in corn-strain populations of S. frugiperda in Mexico.
[Mh] Termos MeSH primário: Comunicação Animal
Isolamento Reprodutivo
Comportamento Sexual Animal
Spodoptera/fisiologia
[Mh] Termos MeSH secundário: Animais
Copulação
Feminino
Larva/crescimento & desenvolvimento
Masculino
México
Spodoptera/crescimento & desenvolvimento
Zea mays/crescimento & desenvolvimento
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170928
[Lr] Data última revisão:
170928
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170908
[St] Status:MEDLINE
[do] DOI:10.1093/ee/nvx120


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[PMID]:28827474
[Au] Autor:Wu L; Zhao F; Dai M; Li H; Chen C; Nie J; Wang P; Wang DW
[Ad] Endereço:From the Division of Cardiology, Department of Internal Medicine, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China; and Hubei Key Laboratory of Genetics and Molecular Mechanism of Cardiologic Disorders, Wuhan, China.
[Ti] Título:P2y12 Receptor Promotes Pressure Overload-Induced Cardiac Remodeling via Platelet-Driven Inflammation in Mice.
[So] Source:Hypertension;70(4):759-769, 2017 Oct.
[Is] ISSN:1524-4563
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Inflammation plays a critical role in adverse cardiac remodeling and heart failure. The P2y12 receptor is one of the predominant activating receptors for platelets, thus initiating inflammatory responses under various diseases. In this study, we investigated the functional significance of P2y12-mediated platelet activation in pressure overload-induced cardiac remodeling. Notably, P2y12 knockout (P2y12 ) mice exhibited suppressed transverse aortic constriction-induced changes in cardiac hypertrophy, collagen synthesis, inflammatory cell recruitment, and cardiac dysfunction. Activated platelets and platelet-leukocyte aggregates were markedly downregulated in P2y12 knockout mice compared with wild-type counterparts after transverse aortic constriction. Moreover, bone marrow chimera experiments revealed that wild-type recipients of P2y12 knockout bone marrow markedly improved cardiac function and attenuated cardiac remodeling, reversed by wild-type platelets reinjection. Platelet depletion and P-selectin inhibition mimicked these protective effects by limiting the interaction between activated platelets and leukocytes. Furthermore, activated wild-type platelets directly induced cardiomyocyte hypertrophy and collagen synthesis via α-granule exocytosis, vanished in P2y12 knockout platelets or those administered anti-NSF (N-ethlymalimide-sensitive factor) antibodies. The results suggest that P2y12-mediated platelet activation promotes cardiac remodeling by triggering a series of inflammatory changes and interacting with leukocytes and endotheliocytes.
[Mh] Termos MeSH primário: Plaquetas/fisiologia
Insuficiência Cardíaca
Inflamação
Leucócitos/fisiologia
Receptores Purinérgicos P2Y12
Remodelação Ventricular/fisiologia
[Mh] Termos MeSH secundário: Animais
Comunicação Celular/fisiologia
Regulação da Expressão Gênica
Insuficiência Cardíaca/metabolismo
Insuficiência Cardíaca/patologia
Insuficiência Cardíaca/fisiopatologia
Inflamação/metabolismo
Inflamação/patologia
Camundongos
Camundongos Knockout
Ativação Plaquetária/fisiologia
Receptores Purinérgicos P2Y12/genética
Receptores Purinérgicos P2Y12/metabolismo
Transdução de Sinal/fisiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Receptors, Purinergic P2Y12)
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170928
[Lr] Data última revisão:
170928
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170822
[St] Status:MEDLINE
[do] DOI:10.1161/HYPERTENSIONAHA.117.09262


  5 / 295164 MEDLINE  
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[PMID]:28813662
[Au] Autor:Sierro F; Evrard M; Rizzetto S; Melino M; Mitchell AJ; Florido M; Beattie L; Walters SB; Tay SS; Lu B; Holz LE; Roediger B; Wong YC; Warren A; Ritchie W; McGuffog C; Weninger W; Le Couteur DG; Ginhoux F; Britton WJ; Heath WR; Saunders BM; McCaughan GW; Luciani F; MacDonald KPA; Ng LG; Bowen DG; Bertolino P
[Ad] Endereço:Centenary Institute and AW Morrow Gastroenterology and Liver Centre, University of Sydney and Royal Prince Alfred Hospital, Sydney, NSW, Australia. Electronic address: frederis@ansto.gov.au.
[Ti] Título:A Liver Capsular Network of Monocyte-Derived Macrophages Restricts Hepatic Dissemination of Intraperitoneal Bacteria by Neutrophil Recruitment.
[So] Source:Immunity;47(2):374-388.e6, 2017 Aug 15.
[Is] ISSN:1097-4180
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The liver is positioned at the interface between two routes traversed by pathogens in disseminating infection. Whereas blood-borne pathogens are efficiently cleared in hepatic sinusoids by Kupffer cells (KCs), it is unknown how the liver prevents dissemination of peritoneal pathogens accessing its outer membrane. We report here that the hepatic capsule harbors a contiguous cellular network of liver-resident macrophages phenotypically distinct from KCs. These liver capsular macrophages (LCMs) were replenished in the steady state from blood monocytes, unlike KCs that are embryonically derived and self-renewing. LCM numbers increased after weaning in a microbiota-dependent process. LCMs sensed peritoneal bacteria and promoted neutrophil recruitment to the capsule, and their specific ablation resulted in decreased neutrophil recruitment and increased intrahepatic bacterial burden. Thus, the liver contains two separate and non-overlapping niches occupied by distinct resident macrophage populations mediating immunosurveillance at these two pathogen entry points to the liver.
[Mh] Termos MeSH primário: Macrófagos do Fígado/fisiologia
Listeria monocytogenes/imunologia
Listeriose/imunologia
Fígado/imunologia
Macrófagos/imunologia
Neutrófilos/imunologia
Peritônio/microbiologia
[Mh] Termos MeSH secundário: Animais
Comunicação Celular
Autorrenovação Celular
Interações Hospedeiro-Patógeno
Humanos
Imunidade Inata
Macrófagos do Fígado/microbiologia
Fígado/microbiologia
Fígado/patologia
Macrófagos/microbiologia
Camundongos
Camundongos Endogâmicos C57BL
Camundongos Knockout
Monócitos/imunologia
Infiltração de Neutrófilos
Peritônio/patologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170928
[Lr] Data última revisão:
170928
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170816
[St] Status:MEDLINE


  6 / 295164 MEDLINE  
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[PMID]:28813649
[Au] Autor:Caron E; Aebersold R; Banaei-Esfahani A; Chong C; Bassani-Sternberg M
[Ad] Endereço:Department of Biology, Institute of Molecular Systems Biology, ETH Zurich, Zurich, Switzerland. Electronic address: caron@imsb.biol.ethz.ch.
[Ti] Título:A Case for a Human Immuno-Peptidome Project Consortium.
[So] Source:Immunity;47(2):203-208, 2017 Aug 15.
[Is] ISSN:1097-4180
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:A multidisciplinary group of researchers gathered at the Hönggerberg Campus at ETH Zurich, Switzerland, for the first meeting on the Human Immuno-Peptidome Project (https://hupo.org/human-immuno-peptidome-project/). The long-term goal of this project is to map the entire repertoire of peptides presented by human leukocyte antigen molecules using mass spectrometry technologies, and make its robust analysis accessible to any immunologist. Here we outline the specific challenges identified toward this goal, and within this framework, describe the structure of a multipronged program aimed at addressing these challenges and implementing solutions at a community-wide level. Pillars of that program are: (1) method and technology development, (2) standardization, (3) effective data sharing, and (4) education. If successful, this community-driven endeavor might provide a roadmap toward new paradigms in immunology.
[Mh] Termos MeSH primário: Alergia e Imunologia
Mapeamento de Epitopos
Espectrometria de Massas/métodos
[Mh] Termos MeSH secundário: Apresentação do Antígeno
Antígenos HLA/metabolismo
Humanos
Disseminação de Informação
Comunicação Interdisciplinar
Peptídeos/metabolismo
Suíça
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (HLA Antigens); 0 (Peptides)
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170928
[Lr] Data última revisão:
170928
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170816
[St] Status:MEDLINE


  7 / 295164 MEDLINE  
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[PMID]:28803571
[Au] Autor:Helmuth IG; Poulsen A; Mølbak K
[Ad] Endereço:Department of Paediatrics and Adolescent Medicine,Rigshospitalet,Copenhagen,Denmark.
[Ti] Título:A national register-based study of paediatric varicella hospitalizations in Denmark 2010-2016.
[So] Source:Epidemiol Infect;145(13):2683-2693, 2017 Oct.
[Is] ISSN:1469-4409
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Varicella, usually a mild disease of childhood, can also cause complications and hospitalization. Universal varicella immunization is implemented in several countries worldwide, but not in Denmark. Taking advantage of unique national registers, we aimed to estimate the incidence of paediatric varicella hospitalizations and assess determinants for hospitalization. For this purpose, we designed a nationwide, retrospective register study of paediatric varicella hospitalizations and applied a case-cohort design and logistic regression analysis comparing hospitalized varicella patients to a sample of the entire paediatric population in Denmark. Varicella patients were identified in The Danish National Patient Register and referents were randomly selected from the Danish Civil Registration System. The incidence of paediatric varicella admissions was 11/100 000 children 0-18 years of age/year. Of admitted children 67·1% had complications and 30·0% had underlying disease. All categories of underlying disease significantly increased the odds of hospitalization as well as male gender and not having been born in Denmark. In conclusion, we found a considerable burden of paediatric varicella disease in Danish hospitals, of similar magnitude as in other European countries comparable to Denmark. With this study we have provided epidemiological data needed for considering implementation of varicella vaccine in Denmark.
[Mh] Termos MeSH primário: Varicela/epidemiologia
Hospitalização/estatística & dados numéricos
[Mh] Termos MeSH secundário: Adolescente
Varicela/virologia
Criança
Pré-Escolar
Estudos de Coortes
Dinamarca/epidemiologia
Feminino
Humanos
Incidência
Lactente
Recém-Nascido
Modelos Logísticos
Masculino
Sistema de Registros
Estudos Retrospectivos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170928
[Lr] Data última revisão:
170928
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170814
[St] Status:MEDLINE
[do] DOI:10.1017/S0950268817001777


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[PMID]:28803551
[Au] Autor:Anderson G; Deceuninck G; Zhou Z; Boucher FD; Bonnier Viger Y; Gilca R; DE Wals P
[Ad] Endereço:Department of Social and Preventive Medicine,Laval University,Quebec City,Canada.
[Ti] Título:Hospitalisation for lower respiratory tract infection in children in the province of Quebec, Canada, before and during the pneumococcal conjugate vaccine era.
[So] Source:Epidemiol Infect;145(13):2770-2776, 2017 Oct.
[Is] ISSN:1469-4409
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Streptococcus pneumoniae is an important cause of community-acquired pneumonia and pneumococcal conjugate vaccines (PCVs) may reduce this burden. This study's goal was to analyse trends in lower respiratory tract infections (LRTI) hospitalisations before and during a routine vaccination programme targeting all newborns with PCV was started in the province of Quebec, Canada in December 2004. The study population included hospital admissions with a main diagnosis of LRTI among 6-59 month-old Quebec residents from April 2000 to December 2014. Trends in proportions and rates were analysed using Cochran-Armitage tests and Poisson regression models. We observed a general downward trend in all LTRI hospitalisations rate: from 11·55/1000 person-years in 2000-2001 to 9·59/1000 in 2013-2014, a 17·0% reduction, which started before the introduction of PCV vaccination. Downward trends in hospitalisation rates were more pronounced for all-cause of pneumonia (minus 17·8%) than for bronchiolitis (minus 15·4%). There was also a decrease in the mean duration of hospital stay. There was little evidence that all-cause pneumonia decreased over the study period due mainly to the introduction of PCVs. Trends may be related to changes in clinical practice. This study casts doubt on the interpretation of ecological analyses of the implementation of PCV vaccination programmes.
[Mh] Termos MeSH primário: Hospitalização/estatística & dados numéricos
Vacinas Pneumocócicas/administração & dosagem
Infecções Respiratórias/epidemiologia
Vacinação/estatística & dados numéricos
[Mh] Termos MeSH secundário: Pré-Escolar
Infecções Comunitárias Adquiridas/epidemiologia
Infecções Comunitárias Adquiridas/microbiologia
Infecções Comunitárias Adquiridas/prevenção & controle
Humanos
Programas de Imunização/estatística & dados numéricos
Lactente
Vacinas Pneumocócicas/normas
Quebeque/epidemiologia
Infecções Respiratórias/microbiologia
Infecções Respiratórias/prevenção & controle
Estudos Retrospectivos
Vacinas Conjugadas/administração & dosagem
Vacinas Conjugadas/normas
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Pneumococcal Vaccines); 0 (Vaccines, Conjugate)
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170928
[Lr] Data última revisão:
170928
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170814
[St] Status:MEDLINE
[do] DOI:10.1017/S0950268817001510


  9 / 295164 MEDLINE  
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[PMID]:28749996
[Au] Autor:Pluviano S; Watt C; Della Sala S
[Ad] Endereço:Department of Psychology, University of Edinburgh, Edinburgh, United Kingdom.
[Ti] Título:Misinformation lingers in memory: Failure of three pro-vaccination strategies.
[So] Source:PLoS One;12(7):e0181640, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:People's inability to update their memories in light of corrective information may have important public health consequences, as in the case of vaccination choice. In the present study, we compare three potentially effective strategies in vaccine promotion: one contrasting myths vs. facts, one employing fact and icon boxes, and one showing images of non-vaccinated sick children. Beliefs in the autism/vaccines link and in vaccines side effects, along with intention to vaccinate a future child, were evaluated both immediately after the correction intervention and after a 7-day delay to reveal possible backfire effects. Results show that existing strategies to correct vaccine misinformation are ineffective and often backfire, resulting in the unintended opposite effect, reinforcing ill-founded beliefs about vaccination and reducing intentions to vaccinate. The implications for research on vaccines misinformation and recommendations for progress are discussed.
[Mh] Termos MeSH primário: Aceitação pelo Paciente de Cuidados de Saúde/psicologia
Vacinação/estatística & dados numéricos
[Mh] Termos MeSH secundário: Adulto
Transtorno Autístico/etiologia
Comunicação
Medo
Feminino
Conhecimentos, Atitudes e Prática em Saúde
Humanos
Masculino
Memória de Longo Prazo
Pais
Vacinas/efeitos adversos
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Vaccines)
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170928
[Lr] Data última revisão:
170928
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170727
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0181640


  10 / 295164 MEDLINE  
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[PMID]:28737455
[Au] Autor:Nyiro J; Hauser P; Zörgo S; Hegedus K
[Ad] Endereço:Magatartástudományi Intézet, Semmelweis Egyetem, Általános Orvostudományi Kar Budapest, Nagyvárad tér 4., 1089.
[Ti] Título:[Difficulties in communication with parents of pediatric cancer patients during the transition to palliative care].
[Ti] Título:A kommunikáció nehézségei daganatos gyermekek szüleivel a palliatív ellátásra történo áttérés során..
[So] Source:Orv Hetil;158(30):1175-1181, 2017 Jul.
[Is] ISSN:0030-6002
[Cp] País de publicação:Hungary
[La] Idioma:hun
[Ab] Resumo:INTRODUCTION: Adequate communication by medical personnel is especially important at certain points during the treatment of childhood cancer patients. AIM: To investigate the timing and manner of communication with parents concerning the introduction of palliative care in pediatric oncology. METHOD: Structured interviews, containing 14 questions, were carried out with physicians working in pediatric oncology (n = 22). Codes were generated inductively with the aid of Atlas.ti 6.0 software. RESULTS: Interviews show a tendency of a one-step transition to palliative care following curative therapy. Another expert is usually involved in communication, most likely a psychologist. Regarding communication, there are expressions utilized or avoided, such as expressing clarity, self-defense and empathy. The communication of death and dying was the most contradictory. CONCLUSION: This was the first investigation regarding communication in pediatric palliative care in Hungary. Our results show that a modern perspective of palliative communication is present, but necessitates more time to become entrenched. Orv Hetil. 2017; 158(30): 1175-1181.
[Mh] Termos MeSH primário: Atitude do Pessoal de Saúde
Barreiras de Comunicação
Estado Terminal/enfermagem
Cuidados Paliativos/métodos
Relações Médico-Paciente
[Mh] Termos MeSH secundário: Estado Terminal/psicologia
Gerenciamento Clínico
Feminino
Humanos
Cuidados Paliativos/psicologia
Relações Pais-Filho
Pais/psicologia
Qualidade da Assistência à Saúde
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170928
[Lr] Data última revisão:
170928
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170724
[St] Status:MEDLINE
[do] DOI:10.1556/650.2017.30815



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