Skip to main content

Joao Ricardo Nickenig Vissoci

Assistant Professor in Emergency Medicine
Emergency Medicine
310 Trent Dr, Durham, NC 27710

Selected Publications


BNPA: An R package to learn path analysis input models from a data set semi-automatically using Bayesian networks[Formula presented]

Journal Article Knowledge-Based Systems · July 8, 2021 Epidemiologists constantly search for methodologies that help them better understand how diseases work. Populations urge these improvements to combat these diseases more effectively. The literature presents several authors defending the idea that epidemiol ... Full text Cite

A prospective blinded comparison of second trimester fetal measurements by expert and novice readers using low-cost novice-acquired 3D volumetric ultrasound.

Journal Article J Matern Fetal Neonatal Med · June 2021 RATIONALE AND OBJECTIVES: Two-dimensional (2D) ultrasound (US) is operator dependent, requiring operator skill and experience to selectively identify and record planes of interest for subsequent interpretation. This limits the utility of US in settings in ... Full text Link to item Cite

Road traffic crash experience among commercial motorcyclists in Kigali, Rwanda.

Journal Article Int J Inj Contr Saf Promot · June 2020 Objective: Road traffic injuries (RTI) cause ∼1.2 million deaths and 50 million injuries annually, disproportionately occurring in low- and middle-income countries. Although policy changes and infrastructural developments have continued to contribute to th ... Full text Link to item Cite

Towards defining the surgical workforce for children: a geospatial analysis in Brazil.

Journal Article BMJ Open · March 24, 2020 OBJECTIVES: The optimal size of the health workforce for children's surgical care around the world remains poorly defined. The goal of this study was to characterise the surgical workforce for children across Brazil, and to identify associations between th ... Full text Link to item Cite

How does women's bone health recover after lactation? A systematic review and meta-analysis.

Journal Article Osteoporos Int · March 2020 This is a systematic review aiming to evaluate the recovery of bone mass after lactation-related loss. Bone loss is transitory with recovery depending on the return of menstruation and weaning, and several compensatory homeostatic mechanisms are involved t ... Full text Link to item Cite

Perfectionism traits and coping strategies in soccer: A study on athletes’ training environment

Journal Article Journal of Physical Education and Sport · March 1, 2020 This study investigated the perfectionism trait and coping among soccer players according to training environment. Participants were 182 athletes from different training environments (professionalized and non-professionalized) from the State of Paraná. Dat ... Full text Cite

Suicide mortality among youth in southern Brazil: a spatiotemporal evaluation of socioeconomic vulnerability.

Journal Article Braz J Psychiatry · 2020 OBJECTIVE: To conduct a geospatial analysis of suicide deaths among young people in the state of Paraná, southern Brazil, and evaluate their association with socioeconomic and spatial determinants. METHODS: Data were obtained from the Mortality Information ... Full text Link to item Cite

Characteristics of primary care and rates of pediatric hospitalizations in Brazil.

Journal Article Rev Saude Publica · 2020 OBJECTIVE: To evaluate the association among characteristics of primary health care center (PHCC) with hospitalizations for primary care sensitive conditions (PCSC) in Brazil. METHOD: In this study, a cross-sectional ecological study was performed. This st ... Full text Open Access Link to item Cite

Association Between Socioeconomic and Demographic Characteristics and Non-fatal Alcohol-Related Injury in Maringá, Brazil.

Journal Article Front Public Health · 2020 Background: Previous research has corroborated a high burden of alcohol-related injury in Brazil and the presence of socioeconomic disparities among the injured. Yet, individual-level data is scarce. To fill this gap, we examined the association between de ... Full text Link to item Cite

Injury patients' perceptions of drink-driving: A qualitative assessment of drink-driving behavior in Moshi, Tanzania.

Journal Article PLoS One · 2020 BACKGROUND: Globally, about 2.3 billion people are current alcohol drinkers, and 283 million have an alcohol use disorder. Alcohol use while driving is a major contributor to road traffic injuries (RTI). We need to understand the culture and perception of ... Full text Link to item Cite

Validity, reliability and cut-offs of the Patient Health Questionnaire-9 as a screening tool for depression among patients living with epilepsy in Rwanda.

Journal Article PLoS One · 2020 BACKGROUND: Patients with epilepsy (PwE) have an increased risk of active and lifetime depression. Two in 10 patients experience depression. Lack of trained psychiatric staff in low- and middle-income countries (LMIC) creates a need for screening tools tha ... Full text Link to item Cite

Validity and reliability of telephone administration of the patient-specific functional scale for the assessment of recovery from snakebite envenomation.

Journal Article PLoS Negl Trop Dis · December 2019 OBJECTIVES: Although more than 1.8 million people survive snakebite envenomation each year, their recovery is understudied. Obtaining long-term follow-up is challenging in both high- and low-resource settings. The Patient-Specific Functional Scale (PSFS) i ... Full text Open Access Link to item Cite

An evaluation of outcomes in patients with traumatic brain injury at a referral hospital in Tanzania: evidence from a survival analysis.

Journal Article Neurosurg Focus · November 1, 2019 OBJECTIVE: The purpose of this study was to determine if patients with traumatic brain injury (TBI) in low- and middle-income countries who receive surgery have better outcomes than patients with TBI who do not receive surgery, and whether this differs wit ... Full text Link to item Cite

The effect of HIV infection, antiretroviral therapy on carotid intima-media thickness: A systematic review and meta-analysis.

Journal Article Life Sci · October 15, 2019 AIMS: We performed a systematic review and meta-analysis on the effect of HIV infection and antiretroviral therapy (ART) on carotid intima-media thickness (cIMT) to elucidate the role of HIV infection and ART. Also, an analysis on the role of ethnicity and ... Full text Link to item Cite

Dispositional Flow and Performance in Brazilian Triathletes

Journal Article Frontiers in Psychology · September 20, 2019 Flow is a mental state characterized by total immersion and focus in an activity; performing it pleasurably. Such a state is considered optimal for performance. The present study analyzed the relationship between dispositional flow and performance in triat ... Full text Cite

Sport and exercise psychology studies in Brazil: Performance or health?

Journal Article Frontiers in Psychology · September 1, 2019 The low professional insertion of psychologists in Brazilian sports teams, as well as the Sport Psychology course being seldom offered in undergraduate Psychology courses, may reflect in the current scenario of scientific research in Brazil. It is still no ... Full text Cite

A traumatic brain injury prognostic model to support in-hospital triage in a low-income country: a machine learning-based approach.

Journal Article J Neurosurg · May 10, 2019 OBJECTIVE: Traumatic brain injury (TBI) is a leading cause of death and disability worldwide, with a disproportionate burden of this injury on low- and middle-income countries (LMICs). Limited access to diagnostic technologies and highly skilled providers ... Full text Link to item Cite

Cross-cultural adaptation and psychometric properties of the MMSE and MoCA questionnaires in Tanzanian Swahili for a traumatic brain injury population.

Journal Article BMC Neurol · April 8, 2019 BACKGROUND: Traumatic Brain Injury (TBI) is the most common cause of injury-related death and disability globally, and a common sequelae is cognitive impairment. Addressing post-TBI cognitive deficits is crucial because they affect rehabilitation outcomes, ... Full text Link to item Cite

Does This Patient Have a Severe Snake Envenomation?: The Rational Clinical Examination Systematic Review.

Journal Article JAMA Surg · April 1, 2019 IMPORTANCE: Venomous snakebite severity ranges from an asymptomatic dry bite to severe envenomation and death. The clinical evaluation aids in prognosis and is essential to determine the risks and potential benefits of antivenom treatment. OBJECTIVES: To i ... Full text Link to item Cite

Optimizing Care for Ugandans with Untreated Abdominal Surgical Conditions.

Journal Article Ann Glob Health · April 1, 2019 BACKGROUND: Abdominal operations account for a majority of surgical volume in low-income countries, yet population-level prevalence data on surgically treatable abdominal conditions are scarce. OBJECTIVE: In this study, our objective was to quantify the bu ... Full text Link to item Cite

BNPA: An R package to learn path analysis input models from a data set semi-automatically using Bayesian networks[Formula presented]

Journal Article Knowledge-Based Systems · July 8, 2021 Epidemiologists constantly search for methodologies that help them better understand how diseases work. Populations urge these improvements to combat these diseases more effectively. The literature presents several authors defending the idea that epidemiol ... Full text Cite

A prospective blinded comparison of second trimester fetal measurements by expert and novice readers using low-cost novice-acquired 3D volumetric ultrasound.

Journal Article J Matern Fetal Neonatal Med · June 2021 RATIONALE AND OBJECTIVES: Two-dimensional (2D) ultrasound (US) is operator dependent, requiring operator skill and experience to selectively identify and record planes of interest for subsequent interpretation. This limits the utility of US in settings in ... Full text Link to item Cite

Road traffic crash experience among commercial motorcyclists in Kigali, Rwanda.

Journal Article Int J Inj Contr Saf Promot · June 2020 Objective: Road traffic injuries (RTI) cause ∼1.2 million deaths and 50 million injuries annually, disproportionately occurring in low- and middle-income countries. Although policy changes and infrastructural developments have continued to contribute to th ... Full text Link to item Cite

Towards defining the surgical workforce for children: a geospatial analysis in Brazil.

Journal Article BMJ Open · March 24, 2020 OBJECTIVES: The optimal size of the health workforce for children's surgical care around the world remains poorly defined. The goal of this study was to characterise the surgical workforce for children across Brazil, and to identify associations between th ... Full text Link to item Cite

How does women's bone health recover after lactation? A systematic review and meta-analysis.

Journal Article Osteoporos Int · March 2020 This is a systematic review aiming to evaluate the recovery of bone mass after lactation-related loss. Bone loss is transitory with recovery depending on the return of menstruation and weaning, and several compensatory homeostatic mechanisms are involved t ... Full text Link to item Cite

Perfectionism traits and coping strategies in soccer: A study on athletes’ training environment

Journal Article Journal of Physical Education and Sport · March 1, 2020 This study investigated the perfectionism trait and coping among soccer players according to training environment. Participants were 182 athletes from different training environments (professionalized and non-professionalized) from the State of Paraná. Dat ... Full text Cite

Suicide mortality among youth in southern Brazil: a spatiotemporal evaluation of socioeconomic vulnerability.

Journal Article Braz J Psychiatry · 2020 OBJECTIVE: To conduct a geospatial analysis of suicide deaths among young people in the state of Paraná, southern Brazil, and evaluate their association with socioeconomic and spatial determinants. METHODS: Data were obtained from the Mortality Information ... Full text Link to item Cite

Characteristics of primary care and rates of pediatric hospitalizations in Brazil.

Journal Article Rev Saude Publica · 2020 OBJECTIVE: To evaluate the association among characteristics of primary health care center (PHCC) with hospitalizations for primary care sensitive conditions (PCSC) in Brazil. METHOD: In this study, a cross-sectional ecological study was performed. This st ... Full text Open Access Link to item Cite

Association Between Socioeconomic and Demographic Characteristics and Non-fatal Alcohol-Related Injury in Maringá, Brazil.

Journal Article Front Public Health · 2020 Background: Previous research has corroborated a high burden of alcohol-related injury in Brazil and the presence of socioeconomic disparities among the injured. Yet, individual-level data is scarce. To fill this gap, we examined the association between de ... Full text Link to item Cite

Injury patients' perceptions of drink-driving: A qualitative assessment of drink-driving behavior in Moshi, Tanzania.

Journal Article PLoS One · 2020 BACKGROUND: Globally, about 2.3 billion people are current alcohol drinkers, and 283 million have an alcohol use disorder. Alcohol use while driving is a major contributor to road traffic injuries (RTI). We need to understand the culture and perception of ... Full text Link to item Cite

Validity, reliability and cut-offs of the Patient Health Questionnaire-9 as a screening tool for depression among patients living with epilepsy in Rwanda.

Journal Article PLoS One · 2020 BACKGROUND: Patients with epilepsy (PwE) have an increased risk of active and lifetime depression. Two in 10 patients experience depression. Lack of trained psychiatric staff in low- and middle-income countries (LMIC) creates a need for screening tools tha ... Full text Link to item Cite

Validity and reliability of telephone administration of the patient-specific functional scale for the assessment of recovery from snakebite envenomation.

Journal Article PLoS Negl Trop Dis · December 2019 OBJECTIVES: Although more than 1.8 million people survive snakebite envenomation each year, their recovery is understudied. Obtaining long-term follow-up is challenging in both high- and low-resource settings. The Patient-Specific Functional Scale (PSFS) i ... Full text Open Access Link to item Cite

An evaluation of outcomes in patients with traumatic brain injury at a referral hospital in Tanzania: evidence from a survival analysis.

Journal Article Neurosurg Focus · November 1, 2019 OBJECTIVE: The purpose of this study was to determine if patients with traumatic brain injury (TBI) in low- and middle-income countries who receive surgery have better outcomes than patients with TBI who do not receive surgery, and whether this differs wit ... Full text Link to item Cite

The effect of HIV infection, antiretroviral therapy on carotid intima-media thickness: A systematic review and meta-analysis.

Journal Article Life Sci · October 15, 2019 AIMS: We performed a systematic review and meta-analysis on the effect of HIV infection and antiretroviral therapy (ART) on carotid intima-media thickness (cIMT) to elucidate the role of HIV infection and ART. Also, an analysis on the role of ethnicity and ... Full text Link to item Cite

Dispositional Flow and Performance in Brazilian Triathletes

Journal Article Frontiers in Psychology · September 20, 2019 Flow is a mental state characterized by total immersion and focus in an activity; performing it pleasurably. Such a state is considered optimal for performance. The present study analyzed the relationship between dispositional flow and performance in triat ... Full text Cite

Sport and exercise psychology studies in Brazil: Performance or health?

Journal Article Frontiers in Psychology · September 1, 2019 The low professional insertion of psychologists in Brazilian sports teams, as well as the Sport Psychology course being seldom offered in undergraduate Psychology courses, may reflect in the current scenario of scientific research in Brazil. It is still no ... Full text Cite

A traumatic brain injury prognostic model to support in-hospital triage in a low-income country: a machine learning-based approach.

Journal Article J Neurosurg · May 10, 2019 OBJECTIVE: Traumatic brain injury (TBI) is a leading cause of death and disability worldwide, with a disproportionate burden of this injury on low- and middle-income countries (LMICs). Limited access to diagnostic technologies and highly skilled providers ... Full text Link to item Cite

Cross-cultural adaptation and psychometric properties of the MMSE and MoCA questionnaires in Tanzanian Swahili for a traumatic brain injury population.

Journal Article BMC Neurol · April 8, 2019 BACKGROUND: Traumatic Brain Injury (TBI) is the most common cause of injury-related death and disability globally, and a common sequelae is cognitive impairment. Addressing post-TBI cognitive deficits is crucial because they affect rehabilitation outcomes, ... Full text Link to item Cite

Does This Patient Have a Severe Snake Envenomation?: The Rational Clinical Examination Systematic Review.

Journal Article JAMA Surg · April 1, 2019 IMPORTANCE: Venomous snakebite severity ranges from an asymptomatic dry bite to severe envenomation and death. The clinical evaluation aids in prognosis and is essential to determine the risks and potential benefits of antivenom treatment. OBJECTIVES: To i ... Full text Link to item Cite

Optimizing Care for Ugandans with Untreated Abdominal Surgical Conditions.

Journal Article Ann Glob Health · April 1, 2019 BACKGROUND: Abdominal operations account for a majority of surgical volume in low-income countries, yet population-level prevalence data on surgically treatable abdominal conditions are scarce. OBJECTIVE: In this study, our objective was to quantify the bu ... Full text Link to item Cite

Surgical need among the ageing population of Uganda.

Journal Article Afr Health Sci · March 2019 BACKGROUND: Uganda's ageing population (age 50 years and older) will nearly double from 2015 to 2050. HIV/AIDS, diabetes, stroke among other disease processes have been studied in the elderly population. However, the burden of disease from surgically-treat ... Full text Link to item Cite

Characteristics of basic health units and detection of tuberculosis cases.

Journal Article Rev Soc Bras Med Trop · January 14, 2019 INTRODUCTION: Tuberculosis (TB) is an infectious and contagious disease caused by Mycobacterium tuberculosis. TB emerged in the 21st century as an unsolved public health problem. This study aimed to analyze the relationship between the characteristics of b ... Full text Link to item Cite

Is there a fair distribution of the structure of dental services in the capitals of the Brazilian Federative Units?

Journal Article Int J Equity Health · January 8, 2019 BACKGROUND: Brazilian Primary Care Facilities (PCF) provide primary care and must offer dental services for diagnosis, prevention, and treatment of diseases. According to a logic of promoting equity, PCF should be better structured in less developed places ... Full text Link to item Cite

Temporal Delays Along the Neurosurgical Care Continuum for Traumatic Brain Injury Patients at a Tertiary Care Hospital in Kampala, Uganda.

Journal Article Neurosurgery · January 1, 2019 BACKGROUND: Significant care continuum delays between acute traumatic brain injury (TBI) and definitive surgery are associated with poor outcomes. Use of the "3 delays" model to evaluate TBI outcomes in low- and middle-income countries has not been perform ... Full text Open Access Link to item Cite

The distribution of cardiac diagnostic testing for acute coronary syndrome in the Brazilian healthcare system: A national geospatial evaluation of health access.

Journal Article PLoS One · 2019 BACKGROUND: Little is known about the utilization of cardiac diagnostic testing in Brazil and how such testing is related with local rates of acute coronary syndrome (ACS)-related mortality. METHODS AND RESULTS: Using data from DATASUS, the public national ... Full text Open Access Link to item Cite

The validity, reliability and minimal clinically important difference of the patient specific functional scale in snake envenomation.

Journal Article PLoS One · 2019 OBJECTIVE: Valid, reliable, and clinically relevant outcome measures are necessary in clinical studies of snake envenomation. The aim of this study was to evaluate the psychometric (validity and reliability) and clinimetric (minimal clinically important di ... Full text Link to item Cite

Disparities in surgical care for children across Brazil: Use of geospatial analysis.

Journal Article PLoS One · 2019 BACKGROUND: Health systems for surgical care for children in low- and middle-income countries remain poorly understood. Our goal was to characterize the delivery of surgical care for children across Brazil and to identify associations between surgical reso ... Full text Link to item Cite

Geospatial modeling of microcephaly and zika virus spread patterns in Brazil.

Journal Article PLoS One · 2019 Microcephaly and Zika Virus infection (ZIKV) were declared Public Health Emergencies of International Concern by the World Health Organization in 2016. Brazil was considered the epicenter of the outbreak. However, the occurrence of both ZIKV and microcepha ... Full text Link to item Cite

Lifetime prevalence of intimate partner violence against women in an urban Brazilian city: A cross-sectional survey.

Journal Article PLoS One · 2019 BACKGROUND: Intimate partner violence is a global health burden that disproportionately affects women and their health outcomes. Women in Brazil are also affected by interpersonal violence. We aimed to estimate the lifetime prevalence of three forms of int ... Full text Open Access Link to item Cite

Comparative evaluation of the psychometric properties of orthopedic scales for low back pain

Journal Article Coluna/ Columna · January 1, 2019 Objective: To evaluate the reliability, response capacity and validity of four scales for low back pain and correlate these scales with each other and the Self-Administered Comorbidity Questionnaire (SACQ). Methods: We evaluated the psychometric properties ... Full text Cite

Geolocation of hospitalizations registered on the Brazilian National Health System's Hospital Information System: a solution based on the R Statistical Software.

Journal Article Epidemiol Serv Saude · December 13, 2018 OBJECTIVE: to describe a solution enabling geolocation of hospital admissions (AIH), processed on the Brazilian National Health System's Hospital Information System. METHODS: in order to spatialize AIHs an R language script was written, based on the microd ... Full text Link to item Cite

Mhealth: Smart wearable devices and the challenges of a refractory context

Chapter · October 24, 2018 The development of smart wearable devices has strengthened a new area: mHealth. This is characterized by the use of mobile technologies for the diagnosis, monitoring, and intervention of health conditions. When inserted into the wider universe comprising t ... Full text Cite

Trends in neurosurgical care in Western Uganda: an interrupted time series analysis.

Journal Article Neurosurg Focus · October 2018 OBJECTIVE: In addition to the rising burden of surgical disease globally, infrastructure and human resources for health remain a great challenge for low- and middle-income countries, especially in Uganda. In this study, the authors aim to explore the trend ... Full text Link to item Cite

Availability of post-hospital services supporting community reintegration for children with identified surgical need in Uganda.

Journal Article BMC Health Serv Res · September 20, 2018 BACKGROUND: Community services and supports are essential for children transitioning home to recover from the hospital after surgery. This study assessed the availability and geographic capacity of rehabilitation, assistive devices, familial support, and s ... Full text Open Access Link to item Cite

[Dialogues on the work process in oral health in Brazil: an analysis based on the PMAQ-AB survey].

Journal Article Cad Saude Publica · September 6, 2018 The study aimed to: (1) describe the work process in Brazil's oral health teams, based on the essential attributes of primary health care, according to geographic region, type of team, and the municipality's socioeconomic characteristics and (2) verify whe ... Full text Link to item Cite

Road traffic crashes and built environment analysis of crash hotspots based on local police data in Galle, Sri Lanka.

Journal Article Int J Inj Contr Saf Promot · September 2018 Road traffic crashes (RTCs) are a leading cause of death and disability. In low- and middle-income countries, vulnerable road users are commonly involved in injurious RTCs. This study describes epidemiological and built environment analysis (BEA) of in Gal ... Full text Link to item Cite

Built environment analysis for road traffic hotspot locations in Moshi, Tanzania.

Journal Article Int J Inj Contr Saf Promot · September 2018 Road traffic injuries (RTIs) cause significant morbidity and mortality in low- and middle-income countries. Investigation of high risk areas for RTIs is needed to guide improvements. This study provides built environmental analysis of road traffic crash ho ... Full text Link to item Cite

Perceived barriers by health care providers for screening and management of excessive alcohol use in an emergency department of a low-income country.

Journal Article Alcohol · September 2018 Annually, alcohol causes 3.3 million deaths; countless more alcohol-related injury patients are treated in emergency departments (EDs) worldwide. Studies show that alcohol-related injury patients reduce their at-risk alcohol-use behavior with a brief negot ... Full text Link to item Cite

Impact of resilience on stress and recovery in athletes

Journal Article Revista Brasileira de Medicina do Esporte · September 1, 2018 Introduction: Resilience is a positive psychological characteristic that reflects an individual’s capacity to better perceive, deal with, and overcome adversity; the sports environment is replete with adversities, which increase athletes’ stress levels and ... Full text Cite

Are Nonpharmacologic Pain Interventions Effective at Reducing Pain in Adult Patients Visiting the Emergency Department? A Systematic Review and Meta-analysis.

Journal Article Acad Emerg Med · August 2018 OBJECTIVES: Pain is a common complaint in the emergency department (ED). Its management currently depends heavily on pharmacologic treatment, but evidence suggests that nonpharmacologic interventions may be beneficial. The purpose of this systematic review ... Full text Link to item Cite

Cross-cultural adaptation and psychometric properties of the Kessler Scale of Psychological Distress to a traumatic brain injury population in Swahili and the Tanzanian Setting.

Journal Article Health Qual Life Outcomes · July 27, 2018 BACKGROUND: To evaluate the psychometric properties of a Swahili version of the Kessler Psychological Distress scale in an injury population in Tanzania. METHODS: Swahili version of the Kessler Psychological Distress scale was developed by translation and ... Full text Link to item Cite

Parental involvement in the development process of the sporting career among former athletes of the rhythmic gymnastics Brazilian team: building a theoretical model

Journal Article Revista Brasileira de Ciencias do Esporte · April 1, 2018 This study aimed to develop a theoretical model of parental involvement in the sporting career among Rhythmic Gymnastics athletes and analyze the attributes that lead to sports self‐realization. 15 former gymnasts and 20 parents answered a retrospective se ... Full text Cite

Zika virus infection and microcephaly: Evidence regarding geospatial associations.

Journal Article PLoS Negl Trop Dis · April 2018 BACKGROUND: Although the Zika virus (ZIKV) epidemic ceased to be a public health emergency by the end of 2016, studies to improve knowledge about this emerging disease are still needed, especially those investigating a causal relationship between ZIKV in p ... Full text Link to item Cite

The impact of alcohol among injury patients in Moshi, Tanzania: a nested case-crossover study.

Journal Article BMC Public Health · February 21, 2018 BACKGROUND: Globally, alcohol is responsible for 3.3 million deaths annually and contributes to 5.9% of the overall global burden of disease. In Sub-Saharan Africa, alcohol is the leading avoidable risk factor accounting for a substantial portion of death ... Full text Link to item Cite

Prevalence of Surgically Untreated Face, Head, and Neck Conditions in Uganda: A Cross-Sectional Nationwide Household Survey.

Journal Article World Neurosurg · February 2018 BACKGROUND: The Surgeons OverSeas Assessment of Surgical Need tool (SOSAS) was created to evaluate the burden of surgically treatable conditions in low- and middle-income countries. The goal of our study is to describe the face, head, and neck (FHN) condit ... Full text Link to item Cite

Cross-Cultural Adaptation and Psychometric Properties of the AUDIT and CAGE Questionnaires in Tanzanian Swahili for a Traumatic Brain Injury Population.

Journal Article Alcohol Alcohol · January 1, 2018 AIMS: To develop Swahili versions of the Alcohol Use Disorders Identification Test (AUDIT) and CAGE questionnaires and evaluate their psychometric properties in a traumatic brain injury (TBI) population in Tanzania. METHODS: Swahili versions of the AUDIT a ... Full text Link to item Cite

Injury prevalence and safety habits of boda boda drivers in Moshi, Tanzania: A mixed methods study.

Journal Article PLoS One · 2018 BACKGROUND: Traffic crashes are a major cause of global morbidity and mortality disproportionately affecting low- and middle-income countries (LMICs). Motorcycle taxi (boda boda) drivers are particularly vulnerable because they are exposed to traffic risks ... Full text Link to item Cite

Effect of the coaches' leadership style perceived by athletes on team cohesion among elite Brazilian futsal players

Journal Article Cuadernos de Psicologia del Deporte · January 1, 2018 This study investigated the effect of the coach leadership style as perceived by athletes on team cohesion among elite futsal athletes. Participants were 120 athletes from the top-8 teams participating in the Paraná's state Professional League 2013. Instru ... Cite

Cross-Culture Adaptation and Psychometric Properties of the DrInC Questionnaire in Tanzanian Swahili.

Journal Article Front Public Health · 2018 Aims: To develop Swahili versions of the Drinker Inventory of Consequences (DrInC) and evaluate its psychometric properties among a mixed population in Tanzania. Methods: A Swahili version of the DrInC was developed by a panel of bilingual Swahili and Engl ... Full text Link to item Cite

Psychometric properties of the brazilian version of the basic needs satisfaction in sport scale (BNSSS)

Journal Article Psicologia: Teoria e Pesquisa · January 1, 2018 This study investigated the psychometric properties of the Brazilian version of the Basic Needs Satisfaction in Sport Scale (BNSSS). The instrument was translated and adapted by three experts. A total of 475 athletes participated in this study: 395 in a va ... Full text Cite

Spatially balanced provision of health equipment: a cross-sectional study oriented to the identification of challenges to access promotion.

Journal Article Int J Equity Health · December 4, 2017 BACKGROUND: Access to health services is in part defined by the spatial distribution of healthcare equipment. To ensure equity in the provision of health services, it is important to examine availability across different health care providers taking into a ... Full text Link to item Cite

Qualitative evaluation of trauma delays in road traffic injury patients in Maringá, Brazil.

Journal Article BMC Health Serv Res · December 2, 2017 BACKGROUND: Road traffic injuries (RTIs) are the eighth leading cause of death worldwide, with an estimated 90% of RTIs occurring in low- and middle-income countries (LMICs) like Brazil. There has been minimal research in evaluation of delays in transport ... Full text Link to item Cite

Access to emergency care services: a transversal ecological study about Brazilian emergency health care network.

Journal Article Public Health · December 2017 OBJECTIVES: Studies of health geography are important in the planning and allocation of emergency health services. The geographical distribution of health facilities is an important factor in timely and quality access to emergency services; therefore, the ... Full text Link to item Cite

Are Well-Informed Potential Trial Participants More Likely to Participate?

Journal Article J Empir Res Hum Res Ethics · December 2017 Bearing in mind the importance of the informed consent, flaws in this process may be a barrier to participants' recruitment. Our objective was to determine the relationship between the degree of comprehension of the informed consent document plus the impor ... Full text Open Access Link to item Cite

The mediating role of basic needs satisfaction on the relationship of perfectionism traits and team cohesion among elite futsal athletes

Journal Article International Journal of Sport Psychology · November 1, 2017 This study investigated mediating role of basic needs satisfaction (BNS) on the effect of perfectionism traits on social and task cohesion among elite futsal athletes. Participants were 301 athletes from the teams participating in the Brazilian National Le ... Full text Cite

Oral primary care: an analysis of its impact on the incidence and mortality rates of oral cancer.

Journal Article BMC Cancer · October 30, 2017 BACKGROUND: Oral cancer is a potentially fatal disease, especially when diagnosed in advanced stages. In Brazil, the primary health care (PHC) system is responsible for promoting oral health in order to prevent oral diseases. However, there is insufficient ... Full text Link to item Cite

Road traffic injury in sub-Saharan African countries: A systematic review and summary of observational studies.

Journal Article Traffic Inj Prev · October 3, 2017 OBJECTIVE: The aim of this study is to evaluate, through a systematic review of hospital-based studies, the proportion of road traffic injuries and fatalities in sub-Saharan Africa (SSA). METHODS: In accordance with Preferred Reporting Items for Systematic ... Full text Link to item Cite

Geospatial analysis of unmet pediatric surgical need in Uganda.

Journal Article J Pediatr Surg · October 2017 BACKGROUND: In low- and middle-income countries (LMICs), an estimated 85% of children do not have access to surgical care. The objective of the current study was to determine the geographic distribution of surgical conditions among children throughout Ugan ... Full text Link to item Cite

Addressing geographic access barriers to emergency care services: a national ecologic study of hospitals in Brazil.

Journal Article Int J Equity Health · August 22, 2017 BACKGROUND: Unequal distribution of emergency care services is a critical barrier to be overcome to assure access to emergency and surgical care. Considering this context it was objective of the present work analyze geographic access barriers to emergency ... Full text Link to item Cite

The epidemiology and hotspots of road traffic injuries in Moshi, Tanzania: An observational study.

Journal Article Injury · July 2017 Road traffic injuries (RTIs) continue to increase with the proliferation of motor vehicles, especially in low-income countries where safe road infrastructure is lacking. Knowing where and why RTIs occur would allow for increased safety and prevention plann ... Full text Link to item Cite

Epidemiology and Characteristics of Neurosurgical Conditions at Mbarara Regional Referral Hospital.

Journal Article World Neurosurg · June 2017 BACKGROUND: The unmet surgical need, specifically neurosurgical need, in Uganda is significant, yet only 2 public hospitals currently perform neurosurgery in the country. This study examines the epidemiology and outcomes of neurosurgical conditions present ... Full text Link to item Cite

A prospective registry evaluating the epidemiology and clinical care of traumatic brain injury patients presenting to a regional referral hospital in Moshi, Tanzania: challenges and the way forward.

Journal Article Int J Inj Contr Saf Promot · March 2017 Traumatic brain injury (TBI) is the most common cause of death and disability globally disproportionately affecting low- and middle-income countries where increasing injury rates are compounded by limited quality care. The objective of this study is to des ... Full text Link to item Cite

Perioperative outcomes for pediatric neurosurgical procedures: analysis of the National Surgical Quality Improvement Program-Pediatrics.

Journal Article J Neurosurg Pediatr · March 2017 OBJECTIVE Existing studies have shown a high overall rate of adverse events (AEs) following pediatric neurosurgical procedures. However, little is known regarding the morbidity of specific procedures or the association with risk factors to help guide quali ... Full text Link to item Cite

Factors Associated With Attrition in Randomized Controlled Trials of Vocal Rehabilitation: Systematic Review and Meta-Analysis.

Journal Article J Voice · March 2017 OBJECTIVES/HYPOTHESIS: This study aimed to determine the dropout rates and the reasons for dropout in randomized clinical trials of vocal rehabilitation. STUDY DESIGN: This study used systematic review and meta-analysis (CRD42013003807). METHODS: We includ ... Full text Link to item Cite

Geospatial Analysis of Unmet Surgical Need in Uganda: An Analysis of SOSAS Survey Data.

Journal Article World J Surg · February 2017 BACKGROUND: Globally, a staggering five billion people lack access to adequate surgical care. Sub-Saharan Africa represents one of the regions of greatest need. We sought to understand how geographic factors related to unmet surgical need (USN) in Uganda. ... Full text Link to item Cite

Coagulation parameters in copperhead compared to other Crotalinae envenomation: secondary analysis of the F(ab')2 versus Fab antivenom trial.

Journal Article Clin Toxicol (Phila) · February 2017 CONTEXT: Coagulation derangements in copperhead envenomation are considered less severe than other crotaline envenomations, resulting in recommendations to limit both coagulation testing and antivenom treatment. A prospective, blinded, multicenter, randomi ... Full text Link to item Cite

Primary Health Care and Cervical Cancer Mortality Rates in Brazil: A Longitudinal Ecological Study.

Journal Article J Ambul Care Manage · 2017 Cervical cancer is a common neoplasm that is responsible for nearly 230 000 deaths annually in Brazil. Despite this burden, cervical cancer is considered preventable with appropriate care. We conducted a longitudinal ecological study from 2002 to 2012 to e ... Full text Link to item Cite

A prospective neurosurgical registry evaluating the clinical care of traumatic brain injury patients presenting to Mulago National Referral Hospital in Uganda.

Journal Article PLoS One · 2017 BACKGROUND: Traumatic Brain Injury (TBI) is disproportionally concentrated in low- and middle-income countries (LMICs), with the odds of dying from TBI in Uganda more than 4 times higher than in high income countries (HICs). The objectives of this study ar ... Full text Open Access Link to item Cite

Quantifying the pediatric surgical need in Uganda: results of a nationwide cross-sectional, household survey.

Journal Article Pediatr Surg Int · November 2016 PURPOSE: Little is known about the prevalence of pediatric surgical conditions in low- and middle-income countries. Many children never seek medical care, thus the true prevalence of surgical conditions in children in Uganda is unknown. The objective of th ... Full text Link to item Cite

Hotspots and causes of motor vehicle crashes in Baltimore, Maryland: A geospatial analysis of five years of police crash and census data.

Journal Article Injury · November 2016 INTRODUCTION: Road traffic injuries are a leading killer of youth (aged 15-29) and are projected to be the 7th leading cause of death by 2030. To better understand road traffic crash locations and characteristics in the city of Baltimore, we used police an ... Full text Link to item Cite

The emerging adolescent World of Warcraft video gamer: A five factor exploratory profile model

Journal Article Entertainment Computing · November 1, 2016 This exploratory study discovered personality patterns among emerging adults (EA; aged 18–25) who played World of Warcraft (WoW). The authors examined differences between the 44-item personality measure Big Five Inventory (BFI) and emerging adult play styl ... Full text Cite

The epidemiology of road traffic injury hotspots in Kigali, Rwanda from police data.

Journal Article BMC Public Health · August 2, 2016 BACKGROUND: Road traffic injuries (RTIs) are the eighth-leading cause of death worldwide, with low- and middle-income countries sharing a disproportionate number of fatalities. African countries, like Rwanda, carry a higher burden of these fatalities and w ... Full text Link to item Cite

Monophasic and biphasic shock for transthoracic conversion of atrial fibrillation: Systematic review and network meta-analysis.

Journal Article Resuscitation · March 2016 OBJECTIVES: Conduct a systematic review of the literature to compare the efficacy of different biphasic and monophasic shock waveforms technologies for transthoracic cardioversion of Atrial Fibrillation (AF). METHODS: We searched PubMed, EMBASE, The Cochra ... Full text Link to item Cite

Road Traffic Injury Prevention Initiatives: A Systematic Review and Metasummary of Effectiveness in Low and Middle Income Countries.

Journal Article PLoS One · 2016 BACKGROUND: Road traffic injuries (RTIs) are a growing but neglected global health crisis, requiring effective prevention to promote sustainable safety. Low- and middle-income countries (LMICs) share a disproportionately high burden with 90% of the world's ... Full text Open Access Link to item Cite

Effects of Single Low Dose of Dexamethasone before Noncardiac and Nonneurologic Surgery and General Anesthesia on Postoperative Cognitive Dysfunction-A Phase III Double Blind, Randomized Clinical Trial.

Journal Article PLoS One · 2016 UNLABELLED: Postoperative cognitive dysfunction (POCD) is a multifactorial adverse event most frequently in elderly patients. This study evaluated the effect of dexamethasone on POCD incidence after noncardiac and nonneurologic surgery. METHODS: One hundre ... Full text Link to item Cite

Quality of the Development of Traumatic Brain Injury Clinical Practice Guidelines: A Systematic Review.

Journal Article PLoS One · 2016 Traumatic brain injury (TBI) is a leading cause of death worldwide and is increasing exponentially particularly in low and middle income countries (LMIC). To inform the development of a standard Clinical Practice Guideline (CPG) for the acute management of ... Full text Link to item Cite

Self-determined motivation and coping strategies in football players: A study with players at different stages of athletic development

Journal Article Revista de Psicologia del Deporte · January 1, 2016 This study investigated the relationship between coping and motivation in professional and amateur footballers in a first division team in the Brazilian football league. A total of 182 footballers at two different stages of their careers took part. Data co ... Cite

The impact of perfectionism traits on motivation in highperformance soccer athletes

Journal Article Revista Brasileira de Cineantropometria e Desempenho Humano · September 25, 2015 This study investigated the impact of performance traits on self-determined motivation in high-performance soccer athletes. Participants were professionalized and non-professionalized athletes from a soccer club of the state of Paraná, totaling 182 subject ... Full text Cite

Adaptation and validation of the Sport Multidimensional Perfectionism Scale-2 (SMPS-2) for the Brazilian sport context

Journal Article Motriz. Revista de Educacao Fisica · April 1, 2015 The purpose of this paper was to adapt and validate the Sport-Multidimensional Perfectionism Scale-2 (SMPS-2) for the Brazilian population using a three-step approach. For content validity, four participants translated the SMPS-2 to Portuguese and six expe ... Full text Cite

Agreement of olecranon fractures before and after the exposure to four classification systems.

Journal Article J Shoulder Elbow Surg · March 2015 BACKGROUND: Although classification systems of olecranon fractures are important to help choose the best treatment and to predict prognosis, their degree of observer agreement is poorly investigated. The objective of this study was to investigate the intra ... Full text Link to item Cite

Brazilian road traffic fatalities: a spatial and environmental analysis.

Journal Article PLoS One · 2014 BACKGROUND: Road traffic injuries (RTI) are a major public health epidemic killing thousands of people daily. Low and middle-income countries, such as Brazil, have the highest annual rates of road traffic fatalities. In order to improve road safety, this s ... Full text Open Access Link to item Cite

System dynamics modeling in the evaluation of delays of care in ST-segment elevation myocardial infarction patients within a tiered health system.

Journal Article PLoS One · 2014 BACKGROUND: Mortality rates amongst ST segment elevation myocardial infarction (STEMI) patients remain high, especially in developing countries. The aim of this study was to evaluate the factors related with delays in the treatment of STEMI patients to sup ... Full text Link to item Cite

Cross-cultural adaptation and psychometric properties analysis of the sport motivation scale-ii for the Brazilian context

Journal Article Revista da Educacao Fisica · January 1, 2014 This study analyzed the cross-cultural adaptation of the Sport Motivation Scale-II (SMS-II). To this end, three studies were conducted. The first consisted of translating SMS-II to the Portuguese language and adapt its content to the Brazilian context. In ... Full text Cite

Factors that drive dentists towards or away from dental caries preventive measures: systematic review and metasummary.

Journal Article PLoS One · 2014 BACKGROUND: Dental caries is a serious public health concern. The high cost of dental treatment can be avoided by effective preventive measures, which are dependent on dentists' adherence. This study aimed to evaluate the factors that drive dentists toward ... Full text Link to item Cite

The meaning of sport practice to basketball athletes in wheelchairs: A social integration and health promotion process?

Journal Article Revista Brasileira de Ciencias do Esporte · January 1, 2014 This study had as main goal to analyze sport practice as social integration and quality of life with wheelchair basketball players. The population was constituted by 25 athletes from three sports teams from Parana state. Instruments used were: Quality of L ... Full text Cite

Validation of the Brazilian version of the musculoskeletal tumor society rating scale for lower extremity bone sarcoma.

Journal Article Clin Orthop Relat Res · December 2013 BACKGROUND: The Musculoskeletal Tumor Society (MSTS) rating scale is an English-language instrument used worldwide to assess functional evaluation of patients with musculoskeletal cancer. Despite its use in several studies in English-speaking countries, it ... Full text Link to item Cite

Perceived parental support, self-determined motivation and coping: Validation of a structural equation model

Journal Article Revista da Educacao Fisica · January 1, 2013 The objective of this study was to investigate the relationship between Parental Support (SP) and coping strategies (ICE), mediated by self-determined motivation. A total of 126 soccer athletes took part in study, aged between 13 and 20 years, belonging to ... Full text Cite

Glocal clinical registries: pacemaker registry design and implementation for global and local integration--methodology and case study.

Journal Article PLoS One · 2013 BACKGROUND: The ability to apply standard and interoperable solutions for implementing and managing medical registries as well as aggregate, reproduce, and access data sets from legacy formats and platforms to advanced standard formats and operating system ... Full text Link to item Cite

Validation of the Simple Shoulder Test in a Portuguese-Brazilian population. Is the latent variable structure and validation of the Simple Shoulder Test Stable across cultures?

Journal Article PLoS One · 2013 BACKGROUND: The validation of widely used scales facilitates the comparison across international patient samples. The objective of this study was to translate, culturally adapt and validate the Simple Shoulder Test into Brazilian Portuguese. Also we test t ... Full text Link to item Cite

A systematic review of the psychometric properties of self-reported scales assessing burn contractures reveals the need for a new tool to measure contracture outcomes.

Journal Article Wound Repair Regen · 2013 Approximately 40% of burn patients develop scar contractures. It is unknown which scar contracture therapy best optimizes activities of daily living (ADL).The appropriateness of self-reported outcome tools in measuring anti-scar contracture therapies has n ... Full text Link to item Cite

Research training program: Duke University and Brazilian Society of Cardiology.

Journal Article Arq Bras Cardiol · December 2012 BACKGROUND: Research coaching program focuses on the development of abilities and scientific reasoning. For health professionals, it may be useful to increase both the number and quality of projects and manuscripts. OBJECTIVE: To evaluate the initial resul ... Full text Link to item Cite

Sport psychology: An emergent field in psychology

Journal Article Psicologia em Estudo · April 1, 2010 This manuscript presents the Sport Psychology field as a psychologist's emergent field of action in Brazil. A historical analysis is performed concerning the path of Sport Psychology presenting the areas of professional action (research, teaching and inter ... Full text Cite