Navegando por Palavras-chave "reprodutibilidade dos testes"
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- ItemAcesso aberto (Open Access)Reprodutibilidade dos métodos radiográficos para avaliação da adenoide(Associação Brasileira de Otorrinolaringologia e Cirurgia Cervicofacial, 2012-08-01) Feres, Murilo Fernando Neuppmann [UNIFESP]; Sousa, Helder Inocêncio Paulo De; Francisco, Sheila Márcia; Pignatari, Shirley Shizue Nagata [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)The assessment of adenoids by x-ray imaging has been the topic of heated debate, but few studies have looked into the reliability of most existing radiographic parameters. OBJECTIVE: This study aims to verify the intra-examiner and inter-examiner reproducibility of the adenoid radiographic assessment methods. MATERIALS AND METHODS: This is a cross-sectional case series study. Forty children of both genders aged between 4 and 14 were enrolled. They were selected based on complaints of nasal obstruction or mouth breathing and suspicion of pharyngeal tonsil hypertrophy. Cavum x-rays and orthodontic teleradiographs were assessed by two examiners in quantitative and categorical terms. RESULTS: All quantitative parameters in both x-ray modes showed excellent intra and inter-examiner reproducibility. Relatively better performance was observed in categorical parameters used in cavum x-ray assessment by C-Kurien, C-Wang, C-Fujioka, and C-Elwany over C-Cohen and C-Ysunza. As for orthodontic teleradiograph grading systems, C-McNamara has been proven to be more reliable than C-Holmberg. CONCLUSION: Most instruments showed adequate reproducibility levels. However, more research is needed to properly determine the accuracy and viability of each method.
- ItemSomente MetadadadosTradução, adaptação cultural e reprodutibilidade do questionário de qualidade de vida para tumor encefálico em pediatria fact pedsbr - versão 2(Universidade Federal de São Paulo (UNIFESP), 2016-11-30) Gimenes, Rafaela Okano [UNIFESP]; Gazzotti, Mariana Rodrigues Gazzotti [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)INTRODUCTION: The quality measurement of life (QoL) related to health has become (in clinical trials) an important health indicator improving strategies, research and evaluation of health services (in clinical practice). There isn?t in Brazil, for children and adolescents with brain tumor, a specific assessment tool QoL. OBJECTIVES: 1: translate, culturally adapt, and evaluate the reproducibility of the QoL Pediatric Functional Assessment of Cancer Therapy (FACT PedsBr ? Version 2) questionnaire for children and adolescents with brain tumors and their caregivers. 2: Evaluate the correlation between the FACT PedsBr-Version 2 with the generic QoL questionnaire PedsQL 4.0 Generic Core Scale and functionality Gross Motor Functional Classification System (GMFCS) and Barthel index. METHODS: We had the participation in this study of 60 patients with brain tumor between 7-18 years, both genders, from the Pediatric Orthopedics Institute of the Federal University of São Paulo. The process of initial and backward translation was developed and adapted to the language and Brazilian culture were also made. In the first meeting, the questionnaire was completed by patients and caregivers (FACT PedsBr) version for two independent researchers (interobserver reproducibility). After seven days, the researcher applied the questionnaire 1 for the intraobserver reproducibility could be verified. The intraclass correlation coefficient (ICC) was used to test the reproducibility and correlation FACT PedsBr - Version 2. RESULTS: The questionnaire for patients 7 to 12 yielded good intraobserver reproducibility (ICC = 0.65) and excellent interobserver (ICC = 0.99). For patients 13 to 18 years, the reproducibility of the FACT intraobserver (ICC = 0.97) and interobserver (ICC = 0.99) were excellent. It was found a negative correlation between the difference of FACT score and GMFCS in all areas when dealing with the functionality. FACT and the Barthel index in all areas, except for the "physical well-being." CONCLUSION: The completion of the questionnaire FACT PedsBr-version 2 translated and adapted to the Brazilian language and culture has shown that it has good reproducibility and can be applied to this population. There was a strong correlation between physical well-being domains and physical aspects of the PedsQL of patients between 7 and 12 years old. There were moderate correlations in patients 13 to 18 years, for the domains physical well-being and physical aspects and between total final scores of the questionnaires. There was a strong correlation in physical well-being and physical aspects when evaluating correlations of QoL questionnaires for caregivers of patients 7 to 12 years old. For caregivers aged 13 to 18 there was moderate correlation between emotional well-being domains and emotional aspects. In assessing the functional correlations of patients between FACT, GMFCS and Barthel index was found negative correlation in all areas, except for the "physical well-being" of FACT, because when correlated with the Barthel showed poor correlation between them.
- ItemAcesso aberto (Open Access)Versão brasileira da Escala Cornell de depressão em demência (Cornell depression scale in dementia)(Academia Brasileira de Neurologia - ABNEURO, 2007-09-01) Carthery-goulart, Maria Teresa; Areza-fegyveres, Renata; Schultz, Rodrigo R. [UNIFESP]; Okamoto, Ivan [UNIFESP]; Caramelli, Paulo; Bertolucci, Paulo Henrique Ferreira [UNIFESP]; Nitrini, Ricardo; Universidade de São Paulo (USP); Universidade Federal de São Paulo (UNIFESP)OBJECTIVE: Translating and adapting the Cornell scale for depression in dementia to the Portuguese language and verifying the interrater and test-retest reliability of the translated and adapted version. METHOD: The Cornell scale was translated into Portuguese and back translated into English. Divergences of translation were identified and discussed, resulting in a version which was submitted to a pre-test for cross-cultural adaptation. The final version was administered to a sample of 29 patients with probable AD and to their caregivers. RESULTS: The Cornell Scale presented good interrater (Kappa=0,77; p<0,001) and test-retest reliability (Kappa=0,76; p<0,001). The final version was easy to administer and well understood by the caregivers. CONCLUSION: The Brazilian version of the Cornell Scale is an instrument with good reliability to evaluate depression in patients with dementia. This tool will contribute to the evaluation and follow-up of depressed patients with dementia in our population and may also be used in multicentric studies with Brazilian population.