Pregnancy in patients with chronic kidney disease undergoing dialysis.

Women with chronic kidney disease are less likely to become pregnant and are more susceptible to pregnancy complications when compared to patients with normal kidney function. As a result, these are considered high-risk pregnancies, both maternal and fetal. Over the years, there has been an increase in the incidence of pregnancies in dialysis patients, and an improvement in maternal and fetal outcomes.

Tracing gender variation in traditional knowledge: participatory tools to promote conservation in a Quilombola community in Brazil.

Background: Based on participatory research tools and analysis with a gender focus, we aim to identify the knowledge associated with native plants of the Atlantic Forest in one Quilombola community whose territory is juxtaposed with a protected area, in South Brazil.

Methods: Through the perception of the residents of the Quilombola community of São Roque, we classified the availability, harvesting intensity, abundance, and importance of fourteen plants native to the Atlantic Forest found in their territory. These fourteen plants were selected after initial interviews with a free listing of plants done with all adults (44 people), followed by plant collection and identification.

Bullying among nursing professionals in Brazil: validity and reliability of the Negative Acts Questionnaire-Revised.

Introduction: Bullying in the nursing work environment has negative consequences for both professionals and institutions. The early identification of this behavior can contribute to a positive organizational climate and better quality of life.

Objectives: This study analyzed the validity and reliability of the Negative Acts Questionnaire-Revised with nursing professionals.

Construction and validation of an instrument for evaluating Lean Healthcare in healthcare institutions.

Objective: To build and validate an instrument to evaluate Lean Healthcare in healthcare institutions.

Method: Methodological study conducted in three stages: 1) Instrument construction; 2) Content validity using the Delphi technique with 14 experts; and 3) Construct validation using Structural Equation Modeling with sample consisted of 113 professionals with experience in Lean Healthcare. Data collection carried out from October/2020 to January/2021 using a digital form.

Predictive variables for feelings of sadness and depression while working remotely in Brazil during the COVID-19 pandemic.

Background: Remote work was evidenced in the pandemic and studies in this area increased. Most studies focus on professionals of companies or professors/students in the academic environment. At the same time, non-academic staff, that provide all the support required for the core activities of the institutions (research/teaching/extension activities) have been neglected.

Impact of telemedicine on metabolic control and hospitalization of peritoneal dialysis patients during the COVID-19 pandemic: a national multicentric cohort study.

Introduction: The coronavirus-19 pandemic threatens the lives of all people, but results in higher mortality rates for patients with end-stage kidney disease (ESKD) including those on peritoneal dialysis (PD). Telemedicine was the main alternative to reduce exposure to the virus, but it was introduced in the Brazil without proper training.

Objective: To investigate the impact of telemedicine on metabolic control, peritonitis rates, and hospitalization in PD patients during the pandemic.

Moderating effect of OHS actions based on WHO recommendations to mitigate the effects of COVID-19 in multinational companies.

The objective of this study was to evaluate the moderating effect of Occupational Health and Safety actions based on the World Health Organization (WHO) recommendations to mitigate the negative effect of COVID-19 on the operational, logistical, marketing (OLMP), and health and safety performance (OHSP) of workers in multinational industries. The development of surveys in companies was the method adopted, which had confirmatory evaluations through Structural Equations Modelling (SEM). As a result, it was confirmed that this is one of the few scientific studies that expectedly validates that the COVID-19 pandemic has severely impacted operational, logistical, market, and Occupational Health and Safety (OHS) performance.

Position statement from the Brazilian Society of Nephrology regarding chloroquine and hydroxychloroquine drug dose adjustment according to renal function.

Chloroquine and hydroxychloroquine have shown promising preliminary results and have been discussed as therapeutic options for patients with Covid-19. Despite the lack of robust evidence demonstrating the benefits and justifying the use of one of these drugs, the final decision is the responsibility of the attending physician and should be individualized and shared, whenever possible. This position statement recommends dosage adjustment for these drugs in the context of renal impairment.

Good Practice Recommendations from the Brazilian Society of Nephrology to Dialysis Units Concerning the Pandemic of the New Coronavirus (Covid-19).

Dialysis units are environments potentially prone to the spread of Covid-19. Patients cannot suspend treatment, and they often have comorbidities, which assigns them a higher risk and worse prognosis. The Brazilian Society of Nephrology prepared this document of good practices, whose technical recommendations deal with general measures that can be implemented to reduce the risk of transmission and prevent the spread of the disease in the unit.

Recommendations from the Brazilian Society of Nephrology for approaching Covid-19 Diagnostic Testing in Dialysis Units.

The Covid-19 pandemic brought several challenges to the healthcare system: diagnosis, treatment and measures to prevent the spread of the disease. With the greater availability and variety of diagnostic tests, it is essential to properly interpret them. This paper intends to help dialysis units concerning the use of clinical criteria and diagnostic tests for decision making regarding the discontinuation of isolation of patients with suspected or confirmed Covid-19, as well as the return to work activities for employees with suspected or confirmed Covid-19.

Lean Healthcare in the institutional, professional, and patient perspective: an integrative review.

Objective: To analyze the scientific evidences in the literature about the evaluation of Lean Healthcare after its implementation.

Method: An integrative review conducted in the CINAHL, Scopus, WOS, and Embase databases, and in the PubMed portal, resulting in 18 articles published in English, Spanish and Portuguese, from 2008 to 2019.

Results: The findings were categorized into results for the institution, professional, and patient.

Validation of the Brazilian Version of the Patient Activation Measure 13.

Background And Purpose: To assess the psychometric properties of the PAM13 Brazilian-Portuguese (PAM13-B) among outpatients with chronic diseases.

Methods: 513 adults participated, diagnosed with a chronic disease for more than 6 months, under outpatient monitoring. Reliability was tested using internal consistency and test-retest reliability.

Cultural adaptation and validation of the Brazilian Version of the Patient Activation Measure-22 items.

Objective: To adapt and validate the Patient Activation Measure (PAM22) in a sample of Brazilians with chronic diseases under outpatient monitoring.

Method: Adaptation process comprises translation, back translation, analysis by a committee of judges, semantic analysis, and pre-test. Psychometric validation was performed with 513 individuals.

Acute tubulointerstitial nephritis with severe renal impairment associated with multisystem IgG4-related disease.

The IgG4-related disease has a wide clinical spectrum where multiple organs can be affected, and the diagnosis depends on typical histopathological findings and an elevated IgG4 expression in plasma cells in the affected tissue. We describe the clinical presentation and evolution of a patient with acute tubulointerstitial nephritis, severe kidney failure and systemic manifestations such as lymphadenomegaly and chronic pancreatitis. The diagnosis was confirmed by the clinical picture and kidney and lymph node histopathology, in which immunohistochemistry of the lymphoid tissue showed policlonality and increased expression of IgG4, with a IgG4/total IgG ratio > 80%.

Nursing practice environment, job outcomes and safety climate: a structural equation modelling analysis.

Aim: To assess correlations between the characteristics of the nursing practice environment, job outcomes and safety climate.

Background: The nursing practice environment is critical to the well-being of professionals and to patient safety, as highlighted by national and international studies; however, there is a lack of evidence regarding this theme in paediatric units.

Methods: A cross-sectional study, in two paediatric hospitals in Brazil, was conducted from December 2013 to February 2014.

Cross-cultural adaptation and validation of the teamwork climate scale.

Objective: To adapt and validate the Team Climate Inventory scale, of teamwork climate measurement, for the Portuguese language, in the context of primary health care in Brazil.

Methods: Methodological study with quantitative approach of cross-cultural adaptation (translation, back-translation, synthesis, expert committee, and pretest) and validation with 497 employees from 72 teams of the Family Health Strategy in the city of Campinas, SP, Southeastern Brazil. We verified reliability by the Cronbach's alpha, construct validity by the confirmatory factor analysis with SmartPLS software, and correlation by the job satisfaction scale.

Icodextrin reduces insulin resistance in non-diabetic patients undergoing automated peritoneal dialysis: results of a randomized controlled trial (STARCH).

Background: Insulin resistance is a common risk factor in chronic kidney disease patients contributing to the high cardiovascular burden, even in the absence of diabetes. Glucose-based peritoneal dialysis (PD) solutions are thought to intensify insulin resistance due to the continuous glucose absorption from the peritoneal cavity. The aim of our study was to analyse the effect of the substitution of glucose for icodextrin on insulin resistance in non-diabetic PD patients in a multicentric randomized clinical trial.

Validation of the Brazilian version of the Newcastle Satisfaction with Nursing Scales: a partial least squares path modeling approach.

Background And Purpose: Assessing patient satisfaction requires reliable and valid instruments. This study evaluated the reliability and validity of the Brazilian version of the Newcastle Satisfaction with Nursing Scales (B-NSNS).

Methods: This cross-sectional study enrolled 351 adult inpatients.

Validation of the Brazilian Version of the Newcastle Satisfaction With Nursing Scales: A Partial Least Squares Path Modeling Approach.

Background And Purpose: Assessing patient satisfaction requires reliable and valid instruments. This study evaluated the reliability and validity of the Brazilian version of the Newcastle Satisfaction with Nursing Scales (B-NSNS).

Methods: This cross-sectional study enrolled 351 adult inpatients.

An initial psychometric evaluation and exploratory cross-sectional study of the body checking questionnaire among Brazilian women.

Body checking is considered an expression of an excessive preoccupation with appearance. The first aim of this study was to evaluate the psychometric properties of a Brazilian Portuguese version of the Body Checking Questionnaire (BCQ). Additionally, we wanted to examine the questionnaire's associations with body avoidance behaviour, body mass index, dietary habits, and the intensity, frequency, and length of physical exercise.

Translation and validation of the Body Image Avoidance Questionnaire (BIAQ) for the Portuguese language in Brazil.

Brazilian researchers have not been provided with instruments with which to investigate body image avoidance behaviors. The aim of this study was to translate and validate the Body Image Avoidance Questionnaire (BIAQ) for Brazil. The translation, synthesis, back-translation, Brazilian questionnaire formulation, and pretest were carried out in the first phase of the study.

Solutes transport characteristics in peritoneal dialysis: variations in glucose and insulin serum levels.

Background: Differences in small solutes transport rate (SSTR) during peritoneal dialysis (PD) may affect water and solutes removal. Patients with high SSTR must rely on shorter dwell times and increased dialysate glucose concentrations to keep fluid balance. Glucose absorption during peritoneal dialysis (PD), besides affecting glucose and insulin metabolism, may induce weight gain.

Clinical features and outcomes of 134 Brazilians with acute promyelocytic leukemia who received ATRA and anthracyclines.

We report an increased incidence of high relapse risk features in 157 APL Brazilian patients. Out of 134 patients treated with ATRA and anthracyclines, only 91 (67.9%) achieved remission because 43 (32%) died during induction.