scholarly journals Content validation to support the monitoring of disclosure of HIV diagnosis in childhood

2022 ◽  
Vol 75 (suppl 2) ◽  
Author(s):  
Bruna Pase Zanon ◽  
Cristiane Cardoso de Paula ◽  
Aline Cammarano Ribeiro ◽  
Stela Maris de Mello Padoin
Keyword(s):  
Participatory Approach ◽  
Right To Know ◽  
Methodological Study ◽  
Hiv Diagnosis ◽  
Validity Index ◽  
Precision Data ◽  
Knowledge To Action ◽  
The Family ◽  
The Face ◽  
Living With Hiv

ABSTRACT Objectives: to create and validate the content of a guide for monitoring the communication of the HIV diagnosis in childhood. Methods: methodological study, with a design guided by the Knowledge-to-Action (KTA) Framework, supported by a participatory approach. The guide’s content was structured according to the communication elements proposed by Lasswel from review studies. Results: the content was validated by 26 experts from nursing, medicine, psychology and pedagogy, using a Likert-type scale for relevance, clarity and precision. Data collection took place online and achieved a Content Validity Index of 0.94. Conclusions: the guide can contribute to the practice of professionals who care for children living with HIV, to support the family in communication and to the child’s right to know their diagnosis. For further research, it is recommended to create and validate the face of the technology in order to implement it.

Mansfield Park

2008 ◽  
Author(s):  
Jane Austen ◽  
Jane Stabler
Keyword(s):  
The Novel ◽  
Mansfield Park ◽  
Sexual Jealousy ◽  
The Family ◽  
The World ◽  
The Face

‘Me!’ cried Fanny … ‘Indeed you must excuse me. I could not act any thing if you were to give me the world. No, indeed, I cannot act.’ At the age of ten, Fanny Price leaves the poverty of her Portsmouth home to be brought up among the family of her wealthy uncle, Sir Thomas Bertram, in the chilly grandeur of Mansfield Park. There she accepts her lowly status, and gradually falls in love with her cousin Edmund. When the dazzling and sophisticated Henry and Mary Crawford arrive, Fanny watches as her cousins become embroiled in rivalry and sexual jealousy. As the company starts to rehearse a play by way of entertainment, Fanny struggles to retain her independence in the face of the Crawfords’ dangerous attractions; and when Henry turns his attentions to her, the drama really begins… This new edition does full justice to Austen’s complex and subtle story, placing it in its Regency context and elucidating the theatrical background that pervades the novel.

scholarly journals Stigma mastery in people living with HIV: gender similarities and theory

2021 ◽  
Author(s):  
Charles Patrick Namisi ◽  
John C. Munene ◽  
Rhoda K. Wanyenze ◽  
Anne R. Katahoire ◽  
Rosalinda M. Parkes-Ratanshi ◽  
...  
Keyword(s):  
Older Women ◽  
Social Exclusion ◽  
Theoretical Framework ◽  
People Living With Hiv ◽  
Negative Effects ◽  
Hiv Diagnosis ◽  
Cross Sectional ◽  
Age Related ◽  
Related Stigma ◽  
Living With Hiv

Abstract Aims This study aimed to determine the prevalence of, factors associated with, and to build a theoretical framework for understanding Internalsed HIV-related Stigma Mastery (IHSM). Methods A cross-sectional study nested within a 2014 Stigma Reduction Cohort in Uganda was used. The PLHIV Stigma Index version 2008, was used to collect data from a random sample of 666 people living with HIV (PLHIV) stratified by gender and age. SPSS24 with Amos27 softwares were used to build a sequential-mediation model. Results The majority of participants were women (65%), aged ≥ 40 years (57%). Overall, IHSM was 45.5% among PLHIV, that increased with age. Specifically, higher IHSM correlated with men and older women “masculine identities” self-disclosure of HIV-diagnosis to family, sharing experiences with peers. However, lower IHSM correlated with feminine gender, the experience of social exclusion stress, fear of future rejection, and fear of social intimacy. Thus, IHSM social exclusion with its negative effects and age-related cognition are integrated into a multidimensional IHSM theoretical framework with a good model-to-data fit. Conclusion Internalised HIV-related Stigma Mastery is common among men and older women. Specificially, “masculine identities” self-disclose their own HIV-positive diagnosis to their family, share experiences with peers to create good relationships for actualising or empowerment in stigma mastery. However, social exclusion exacerbates series of negative effects that finally undermine stigma mastery by young feminine identities. Thus, stigma mastery is best explained by an integrated empowerment framework, that has implications for future practice, policy, and stigma-related research that we discuss.

scholarly journals Clinical characteristics and outcomes of people living with HIV hospitalized with COVID-19: a nationwide experience

2021 ◽  
Vol 32 (5) ◽  
pp. 435-443
Author(s):  
Maria Elena Ceballos ◽  
Patricio Ross ◽  
Martin Lasso ◽  
Isabel Dominguez ◽  
Marcela Puente ◽  
...  
Keyword(s):  
Mechanical Ventilation ◽  
Intensive Care ◽  
General Population ◽  
Clinical Characteristics ◽  
Cd4 Count ◽  
People Living With Hiv ◽  
Hiv Diagnosis ◽  
Hiv Viral Load ◽  
Risk Of Death ◽  
Living With Hiv

In this prospective, multicentric, observational study, we describe the clinical characteristics and outcomes of people living with HIV (PLHIV) requiring hospitalization due to COVID-19 in Chile and compare them with Chilean general population admitted with SARS-CoV-2. Consecutive PLHIV admitted with COVID-19 in 23 hospitals, between 16 April and 23 June 2020, were included. Data of a temporally matched-hospitalized general population were used to compare demography, comorbidities, COVID-19 symptoms, and major outcomes. In total, 36 PLHIV subjects were enrolled; 92% were male and mean age was 44 years. Most patients (83%) were on antiretroviral therapy; mean CD4 count was 557 cells/mm3. Suppressed HIV viremia was found in 68% and 56% had, at least, one comorbidity. Severe COVID-19 occurred in 44.4%, intensive care was required in 22.2%, and five patients died (13.9%). No differences were seen between recovered and deceased patients in CD4 count, HIV viral load, or time since HIV diagnosis. Hypertension and cardiovascular disease were associated with a higher risk of death ( p = 0.02 and 0.006, respectively). Compared with general population, the HIV cohort had significantly more men (OR 0.15; IC 95% 0.07–0.31) and younger age (OR 8.68; IC 95% 2.66–28.31). In PLHIV, we found more intensive care unit admission (OR 2.31; IC 95% 1.05–5.07) but no differences in the need for mechanical ventilation or death. In this cohort of PLHIV hospitalized with COVID-19, hypertension and cardiovascular comorbidities, but not current HIV viro-immunologic status, were the most important risk factors for mortality. No differences were found between PLHIV and general population in the need for mechanical ventilation and death.

Palaeonema phyticum gen. n., sp. n. (Nematoda: Palaeonematidae fam. n.), a Devonian nematode associated with early land plants

Nematology ◽  
2008 ◽  
Vol 10 (1) ◽  
pp. 9-14 ◽  
Author(s):  
George Poinar Jr ◽  
Hans Kerp ◽  
Hagen Hass
Keyword(s):  
Early Stage ◽  
Land Plant ◽  
Terrestrial Plants ◽  
Early Devonian ◽  
Plant Parasitism ◽  
New Family ◽  
The Earth ◽  
The Family ◽  
The Face ◽  
Early Land

AbstractNematodes are one of the most abundant groups of invertebrates on the face of the earth. Their extremely poor fossil record hinders our ability to assess just when members of this group invaded land and first became associated with plants. This study reports fossil nematodes from the stomatal chambers of the Early Devonian (396 mya) land plant, Aglaophyton major. These nematodes, which are tentatively assigned to the order Enoplia, are described as Palaeonema phyticum gen. n., sp. n. in the new family Palaeonematidae fam. n. Diagnostic characters of the family are: i) cuticular striations; ii) uniform, cylindrical pharynx with the terminal portion only slightly set off from the remainder; and iii) a two-portioned buccal cavity with the upper portion bearing protuberances. The presence of eggs, juveniles and adults in family clusters within the plant tissues provide the earliest evidence of an association between terrestrial plants and animals and may represent an early stage in the evolution of plant parasitism by nematodes.

scholarly journals Educational and Ethical Views of Attar Neishabouri

2016 ◽  
Vol 8 (1) ◽  
pp. 267
Author(s):  
Reza Yazdani
Keyword(s):  
Well Being ◽  
Health Issues ◽  
Mental Images ◽  
Divine Attributes ◽  
Age And Gender ◽  
Stages Of Growth ◽  
Self Confidence ◽  
The Family ◽  
The Face ◽  
And Gender

<p>Attar believes that some health standards and different hygienic methods should be taught to children. Although teaching the methods of healthcare and well-being is among the necessities of life, child’s understanding and intelligence should not be ignored. There is no doubt that religious give great importance to health issues and even emphasize that they should be taught to children. Dealing with appearance causes that their truth-seeking spirit is misled. Accordingly, Sufism recommends people to abandon appearance and deal with the interior. In the stages of growth, child’s mental images are related to sensory issues. He gradually understands lighting, heating and other things that are exposed to his senses and realizes their differences. Formation of mental images and attention to their differences are related to the growth and complexity of the child’s nerves and experience. Affection and kindness to children is desirable. But parents and educators should know that going to extremes in this case is harmful. Attar believes that loving the children excessively causes that he is brought up as a weak and powerless person and loses his self-confidence. So, he shows weakness in the face of problems. But if he is educated with moderation, he will act accordingly. Too much attention to children makes them timid. Treating the children with justice and fairness is one of the Divine attributes. According to Attar, parents should not discriminate between their children and should deal with them justly in all aspects just as you like to be treated with justice in all situations. In many educational books, it is said that the apparent treatment of parents with children may vary according to their age and gender and this is difference rather than discrimination. Attar states that we should act carefully and accurately. These differences should not make parents not act fairly in loving children, but they should justify the children that if they were in such a situation, they would receive the same treatment. Discrimination and injustice in the family, whether tangible or intangible, cause that children feel contempt and become alienated from their family and education.</p>

scholarly journals Pertussis in a child of the first month of life from family contact

2021 ◽  
Vol 13 (2) ◽  
pp. 149-153
Author(s):  
O. V. Iozefovich ◽  
S. M. Kharit ◽  
E. I. Bobova ◽  
E. A. Budnikova
Keyword(s):  
Young Children ◽  
Pregnant Women ◽  
Clinical Observation ◽  
Whooping Cough ◽  
Pertussis Infection ◽  
Early Stages ◽  
Parents And Children ◽  
The Family ◽  
The Face ◽  
Family Contact

A case of whooping cough in a moderate form in a child of the first month of life is described in the presented clinical observation. The moderate form was manifested by the duration of the preconvulsive period up to 5 days, the appearance of cyanosis of the face when coughing in the early stages of the disease (1 week), an increase in the number of coughing attacks. The difficulties of treating pertussis in young children are demonstrated by our observation of the course of the disease. There is no vaccination against pertussis in children in the family due to the refusal of parents and children with prolonged coughing were not examined at the outpatient stage. As a result, chemoprophylaxis was not performed on time and the newborn was discharged from the hospital to the center of pertussis infection. The solution to the problem of reducing the incidence in children in the first months of life should be vaccination of pregnant women in the last stages, and vaccination of the environment, including agerelated revaccinations. 

scholarly journals Terms of specialized nursing language for chronic renal patients undergoing conservative treatment

2020 ◽  
Vol 73 (suppl 6) ◽  
Author(s):  
Harlon França de Menezes ◽  
Alessandra Conceição Leite Funchal Camacho ◽  
Silvia Maria de Sá Basílio Lins ◽  
Tatiane da Silva Campos ◽  
Fillipe Rangel Lima ◽  
...  
Keyword(s):  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Conservative Treatment ◽  
Content Validity ◽  
Nursing Practice ◽  
Methodological Study ◽  
Validity Index ◽  
Content Validity Index ◽  
A Value ◽  
Nursing Language

ABSTRACT Objectives: to validate the terms of the specialized nursing language used in the care of people with chronic kidney disease undergoing conservative treatment identified in the literature by mapping them with terms of the International Classification for Nursing Practice, version 2019, and representing them by means of a mandala. Methods: descriptive, documentary and methodological study. The terms were collected in 53 scientific articles, standardized and mapped with the terminology. The validation was performed by six nurses through a focus group. The Content Validity Index was used and terms with a value ≥ 0.80 were validated. Results: the normalization resulted in 957 relevant terms, of which 499 were constant and 458 not included in the terminology. Terms were validated when Content Validity Index was between 0.86 and 1.0. Conclusions: the study allowed the validation of terms that will contribute to unify the professional language of nursing in the care of people with chronic kidney disease.

scholarly journals Spanish Version of the System Usability Scale for the Assessment of Electronic Tools: Development and Validation

10.2196/21161 ◽  
2020 ◽  
Vol 7 (4) ◽  
pp. e21161
Author(s):  
Magdalena Del Rocio Sevilla-Gonzalez ◽  
Lizbeth Moreno Loaeza ◽  
Laura Sofia Lazaro-Carrera ◽  
Brigette Bourguet Ramirez ◽  
Anabel Vázquez Rodríguez ◽  
...  
Keyword(s):  
Mobile App ◽  
Spanish Version ◽  
Face Validity ◽  
Electronic Systems ◽  
Validity Index ◽  
Clinical Counseling ◽  
System Usability Scale ◽  
System Usability ◽  
The Face ◽  
Development And Validation

Background The System Usability Scale (SUS) is a common metric used to assess the usability of a system, and it was initially developed in English. The implementation of electronic systems for clinical counseling (eHealth and mobile health) is increasing worldwide. Therefore, tools are needed to evaluate these applications in the languages and regional contexts in which the electronic tools are developed. Objective This study aims to translate, culturally adapt, and validate the original English version of the SUS into a Spanish version. Methods The translation process included forward and backward translation. Forward translations were made by 2 native Spanish speakers who spoke English as their second language, and a backward translation was made by a native English speaker. The Spanish SUS questionnaire was validated by 10 experts in mobile app development. The face validity of the questionnaire was tested with 10 mobile phone users, and the reliability testing was conducted among 88 electronic application users. Results The content validity index of the new Spanish SUS was good, as indicated by a rating of 0.92 for the relevance of the items. The questionnaire was easy to understand, based on a face validity index of 0.94. The Cronbach α was .812 (95% CI 0.748-0.866; P<.001). Conclusions The new Spanish SUS questionnaire is a valid and reliable tool to assess the usability of electronic tools among Spanish-speaking users.

scholarly journals Adaptation of an instrument to classify neonatal patients into care categories

2021 ◽  
Vol 55 ◽  
Author(s):  
Ariane Polidoro Dini ◽  
Andrezza de Cassia Vannucci de Oliveira ◽  
Beatriz Pera de Almeida-Hamasaki ◽  
Norma Mejias Quinteiro ◽  
Elenice Valentim Carmona
Keyword(s):  
Intensive Care ◽  
Pediatric Patients ◽  
Weighted Kappa ◽  
Kappa Coefficient ◽  
Patient Classification ◽  
Methodological Study ◽  
Validity Index ◽  
Nursing Team ◽  
Agreement Coefficient ◽  
Weighted Kappa Coefficient

ABSTRACT Objective: To adapt and validate a patient classification instrument for neonatal units. Method: Methodological study, with adaptation of the Pediatric Patients Classification Instrument for neonatal patients. After content validation by judges, the instrument was tested for reliability, applied to 33 neonates by two nurses, simultaneously. To assess the agreement among nurses regarding the scores of each patient on the classification scale, an intraclass agreement coefficient was applied. To assess the agreement regarding the classification in care categories, the weighted Kappa coefficient was calculated. Results: The adapted instrument consisted of a total of nine indicators, with three care categories: high dependence on care, semi-intensive care and intensive care. The Content Validity Index varied between 0.85 and 0.92 for items of the instrument. The intraclass agreement was 0.87 and the weighted Kappa for care categories was 0.56. Conclusion: An instrument that allows neonatal patients to be classified into care categories, with satisfactory reliability was validated to support the dimensioning of the nursing team.

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