Rodrigo Randow de Freitas

AB1364 Adaptation and validation of the rheumatoid arthritis quality of life (RAQOL) scale for portugal

Background Rheumatoid Arthritis (RA) is a chronic inflammatory disease that has a major impact on patients’ quality of life. The Rheumatoid Arthritis Quality of Life Questionnaire (RAQoL) is a patient-centric outcome measure, specific to RA. The measure has not previously been available for use with Portuguese RA patients. Objectives To produce a Portuguese version of the RAQoL that is acceptable to Portuguese patients and demonstrates sound psychometric properties. Methods The dual panel methodology was used to translate the UK RAQoL into Portuguese. This involved conducting a bilingual panel (providing the initial translation into Portuguese) followed by a lay panel (where items are assessed for comprehension and acceptability). Cognitive debriefing interviews were conducted with Portuguese RA patients to determine the face and content validity of the translated scale. A large-scale postal validation survey was carried out to establish the psychometric properties of the Portuguese RAQoL. The measure was administered on two occasions to RA patients, alongside a comparator instrument – the Nottingham Health Profile (NHP). Internal consistency was assessed using Cronbach’s alpha coefficient. Spearman’s Rank correlation coefficient was employed to assess test-retest reliability. Convergent validity was tested by correlating RAQoL scores with those on the NHP sections. Known group validity was assessed using non-parametric tests for independent samples. This involved determining the ability of the RAQoL to distinguish between patients that differed according to their self-perceived severity of RA and general health. Results The translation panels produced a Portuguese version of the RAQoL that was easily understood and considered natural by native speakers. Interviewees considered the new language version to be relevant and appropriate. One hundred and seventy-eight RA patients (82% female) took part in the postal validation survey with a mean age of 56.6 (range 25 to 79) years. The Portuguese RAQoL demonstrated excellent internal consistency (Cronbach’s α=0.95) and test-retest reliability (r=0.92), indicating that the measure produces low levels of random measurement error. RAQoL scores correlated most strongly with scores on the NHP Physical mobility scale (r=0.77) and showed moderately strong correlations with the Emotional reactions, Pain and Energy level section scores. Non-parametric tests for independent samples demonstrated significant differences in RAQoL scores between patients who differed according to their self-perceived RA severity (p<0.001) and general health (p<0.001). Conclusions The Portuguese version of the RAQoL was found to be a comprehensive, reliable and valid questionnaire. The new language version is recommended for use in routine clinical practice and for research purposes, to assess quality of life in Portuguese RA patients. Disclosure of Interest None declared

História Oral de Pescadores da Comunidade de Pedra D'água, São Mateus, Espírito Santo

Para Paul Thompson (1992) a historia oral pode contribuir para o resgate da memoria nacional, mostrando-se como metodo bastante promissor para a realizacao de pesquisas em diferentes areas. E preciso preservar a memoria fisica, espacial e temporal, bem como tambem descobrir e valorizar a memoria do homem. A memoria de um pode ser a memoria de muitos, possibilitando a evidencia de fatos coletivos. O objetivo assim foi fazer o uso da oralidade, por meio de entrevistas gravadas, como fonte e trazer a percepcao e as dificuldades descritas por alguns pescadores a respeito da pesca.

Socio-economic, environmental and production index: marine and estuarine fishery potential towards a sustainable fishing

The fisheries sector has acquired major importance over the years. In addition, an artisanal fishery is the most traditional in Brazil and especially in the state of Espirito Santo, familys subsistence guarantee and supply trade. However, concerns regarding some issues social, economic, productive and environmental. This study aims to identify the strengths and vulnerabilities of the activity in the Spirit of 14 coastal municipalities that composes it. With the aid of method for decision-making (analytic hierarchy process), the hierarchy to such municipalities as a development potential in the sector and thus held environmental analysis with the use of a matrix for scenario analysis. The results showed that the production sub-index has greater importance facing the view of researchers in the field and the city of Vitoria (the state capital) acquired the first place in the overall ranking, thus presenting the greatest potential socio-economic, productive and environmental index in fisheries.

Use of performance indicators to assess the solid waste management of health services

Modern society faces serious challenges, among them, the complexity of environmental problems. Thus, there are several possible sources of environmental degradation, however, the waste produced by health services have an important peculiarity due to its toxic or pathogenic characteristics, since when managed improperly provide also health risk public. The involvement of solid waste from healthcare services environmental impact integrates matters a little more complex, because in addition to environmental health, they also interfere with the healthiness of environments that generate, with the consequences of nosocomial infections, occupational health and public. Thus, the management has become an urgent need, especially when we see no use of performance indicators management in healthcare environments in the city of São Mateus, ES. For this, we used the Analytic Hierarchy Process Method to prioritize such indicators as the potential improvement in health services waste management process - WHS and thus environmental analysis was performed with the use of a template for SWOT analysis. The results showed that the performance indicator training strategies developed with employees has the greatest potential to assist in improvements in WHS (Health Services Waste) management process followed indicator knowledge of the regulations associated with procedures performed by employees and importance of biosafety regulations.

Epidemiology of hepatitis B virus in the cities of the northern region of Espírito Santo, Brazil.

The World Health Organization (WHO) estimates that approximately 2 billion people worldwide have already had contact with hepatitis B virus (HBV) and 373 million have become chronic carriers. Hepatitis B is a major cause of chronic hepatitis, cirrhosis and hepatocellular carcinoma, leading to a large number of deaths annually. Both viral factors and the host immune response have been implicated in the pathogenesis and clinical result of HBV infection. Many Brazilian cities, including the cities of the northern region of the state of Espírito Santo are located in regions with little health infrastructure. Our study performed an epidemiological analysis of cases of Hepatitis B in São Mateus, using methodology of Geographic Information System (GIS), aiming to raise the number of disease cases, establishing preventive measures to control the disease, improving the quality of life of people affected by this pathology. The city of São Mateus had the largest number of reported cases of hepatitis B northern region of Espírito Santo. The age group with the highest number of hepatitis B notifications was 20-49 years, mostly females. The major forms of contact with HBV in these cities were dental treatment, use of injectable medications, surgical procedures and multiple sexual partners.