Joao Ricardo Nickenig Vissoci

Journal Article Psychiatry Res Neuroimaging · April 2025 Substance use disorders (SUD) are associated with cognitive alterations, influenced by genetic, neurodevelopmental, and environmental factors, and frequently co-occur with emotional disorders, complicating treatment strategies. Employing the Research Domai ... Full text Link to item Cite

Reduced gray matter volume in limbic and cortical areas is associated with anxiety and depression in alcohol use disorder patients.

Journal Article Psychiatry Res Neuroimaging · March 2025 Alcohol use disorder (AUD) is a multifactorial disease closely related to neurodevelopment and environmental factors that influence behavior. This study explored the relationships between brain volume and behavior from an Exploratory Structural Equation Mo ... Full text Link to item Cite

Self-Reported Post-COVID Symptoms at 18 Months After Infection Among Adults in Southern Brazil: A Cross-Sectional Study

Journal Article Healthcare (Switzerland) · February 1, 2025 Background/Objectives: Currently, there is a limited understanding of the long-term consequences following acute COVID-19, referred to as long COVID. This cross-sectional study aims to analyze the prevalence of persistent signs and symptoms of long COVID, ... Full text Cite

Emergency care knowledge, utilization, and barriers in Northern Tanzania: A community-based survey.

Journal Article PLOS Glob Public Health · 2025 BACKGROUND: Emergency care systems are critical to improving care for time-sensitive emergency conditions. The growth and development of these systems in Sub-Saharan Africa is becoming a priority. Layperson knowledge and recognition of emergency symptoms a ... Full text Link to item Cite

Using the ADAPT guidance to culturally adapt a brief intervention to reduce alcohol use among injury patients in Tanzania.

Journal Article PLOS global public health · January 2025 Harmful alcohol use is a leading risk factor for injury-related death and disability in low- and middle-income countries (LMICs). Brief negotiational interventions (BNIs) in emergency departments (EDs) effectively reduce alcohol intake and re-injury rates. ... Full text Cite

Adaptation and validation of a Rwanda-focused version of the Alcohol Use Disorder Identification Test (AUDIT).

Journal Article PLoS One · 2025 In Rwanda, alcohol use disorder (AUD) is estimated to affect 7% of the population. The Alcohol Use Disorder Identification Test (AUDIT) is an excellent screening instrument for AUD, but a Rwanda-focused version previously was unavailable. Our objective was ... Full text Link to item Cite

Local DEA app: Saving lives with accessible and well-located automated external defibrillators.

Journal Article PLoS One · 2025 PURPOSE: Developing technological solutions to reduce care delay and mortality in out-of-hospital cardiac arrest (OHCA) cases is a challenge both in Brazil and worldwide. The aim of this study was to develop and validate a geolocation application for locat ... Full text Link to item Cite

Cross-cultural adaptation and psychometric evaluation of the Emergency Medical Services Safety Attitudes Questionnaire in the Brazilian context^*

Journal Article Journal of Patient Safety and Risk Management · November 1, 2024 Background: Ensuring patient safety is essential to prevent and minimize adverse events, and pre-hospital services play a vital role in the healthcare network, serving as the starting point for quality care. This study aimed to adapt the Emergency Medical ... Full text Cite

Assistance time and peripheral oxygen saturation in prehospital emergency data as predictors of COVID19 hospital outcomes.

Journal Article Sci Rep · September 6, 2024 To verify if data obtained in the prehospital evaluation of patients with severe acute respiratory syndrome (SARS) during the initial response to the COVID-19 pandemic is associated with clinical outcomes: mechanical ventilation, hospital discharge, and de ... Full text Link to item Cite

Long COVID among Brazilian Adults and Elders 12 Months after Hospital Discharge: A Population-Based Cohort Study

Journal Article Healthcare (Switzerland) · July 1, 2024 The persistence of symptoms for more than three months following infection with severe acute respiratory syndrome coronavirus 2 is referred to as “Long COVID”. To gain a deeper understanding of the etiology and long-term progression of symptoms, this study ... Full text Cite

Continuous epileptiform discharges are associated with worse neurodevelopmental findings in a congenital Zika syndrome prospective cohort.

Journal Article Seizure · May 2024 PURPOSE: This study aimed to identify continuous epileptiform discharges (CEDs) on electroencephalograms (EEG) and to determine their clinical significance in children with congenital Zika syndrome (CZS). METHODS: This prospective cohort study included 75 ... Full text Link to item Cite

Correlates of Intimate Partner Violence Victimization and Perpetration in Adolescents and Young Adults in Sub-Saharan Africa: A Systematic Review.

Journal Article Trauma Violence Abuse · April 2024 Intimate partner violence (IPV) is a global public health crisis with long-term adverse consequences for both victims and perpetrators. Patterns of violence often begin during adolescence, yet most interventions target adult relationships. A systematic rev ... Full text Link to item Cite

Capacity of community health centers to treat snakebite envenoming in indigenous territories of the Brazilian Amazon.

Journal Article Toxicon · April 2024 INTRODUCTION: The deaths from and morbidities associated with snakebites - amputations, loss of function in the limb, visible scarring or tissue damage - have a vast economic, social, and psychological impact on indigenous communities in the Brazilian Amaz ... Full text Link to item Cite

hglobal-Index: A Novel Author-Level Measure of the Diffusion of Scientific Ideas Among High-, Low-, and Middle-Income Countries.

Journal Article World Neurosurg · April 2024 OBJECTIVE: To describe an intuitive and useful method for measuring the global impact of a medical scholar's research ideas by examining cross-border citations (CBCs) of peer-reviewed neurosurgical publications. METHODS: Publication and citation data for a ... Full text Link to item Cite

A systematic review and cross-sectional survey of rehabilitation resources for injury patients in the Kilimanjaro Region of Tanzania.

Journal Article Disabil Rehabil · March 2024 PURPOSE: An estimated 10 million people across Tanzania have a condition that would benefit from rehabilitative care. However, access to rehabilitation remains inadequate to meet the needs of Tanzania's population. The goal of this study was to identify an ... Full text Link to item Cite

Population-level surgical rates and unmet need in India: a retrospective analysis of districts and states from 2011 to 2019.

Journal Article Int J Surg · March 1, 2024 Full text Open Access Link to item Cite

Perceived quality of life and associated factors in long COVID syndrome among older Brazilians: A cross-sectional study.

Journal Article J Clin Nurs · January 2024 AIMS AND OBJECTIVES: This paper aims to: (a) determine the personal, sociodemographic, clinical, behavioural, and social characteristics of older Brazilians with clinical evidence of long COVID; (b) evaluate perceived quality of life and determine its asso ... Full text Link to item Cite

Scaling up antivenom for snakebite envenoming in the Brazilian Amazon: a cost-effectiveness analysis.

Journal Article Lancet Reg Health Am · January 2024 BACKGROUND: Snakebite envenoming (SBE) affects nearly three million people yearly, causing up to 180,000 deaths and 400,000 cases of permanent disability. Brazil's state of Amazonas is a global hotspot for SBE, with one of the highest annual incidence rate ... Full text Link to item Cite

Photobiomodulation Therapy to Treat Snakebites Caused by Bothrops atrox: A Randomized Clinical Trial.

Journal Article JAMA internal medicine · January 2024 ImportanceBothrops venom acts almost immediately at the bite site and causes tissue damage.ObjectiveTo investigate the feasibility and explore the safety and efficacy of low-level laser therapy (LLLT) in reducing the local manifestations ... Full text Cite

Prevalence and factors associated with the death of older people hospitalized due to Covid-19 in the state of Paraná.

Journal Article Rev Esc Enferm USP · 2024 OBJECTIVE: To estimate the prevalence and to analyze the factors associated with the death of older people hospitalized due to Covid-19 in the state of Paraná. METHOD: Cross-sectional study conducted with secondary data from older people with a positive di ... Full text Link to item Cite

Hospitalization of elderly people due to COVID-19 in the State of Paraná, Brazil: analysis of associated factors

Journal Article ACTA Paulista de Enfermagem · January 1, 2024 Objective: To analyze the prevalence and factors associated with hospitalization of elderly people with COVID-19 in the State of Paraná, PR, Brazil. Methods: A cross-sectional study linked to the cohort "Longitudinal Monitoring of adults and elderly people ... Full text Cite

Development and validation of a minimum requirements checklist for snakebite envenoming treatment in the Brazilian Amazonia.

Journal Article PLoS Negl Trop Dis · January 2024 BACKGROUND: Currently, antivenoms are the only specific treatment available for snakebite envenoming. In Brazil, over 30% of patients cannot access antivenom within its critical care window. Researchers have therefore proposed decentralizing to community h ... Full text Link to item Cite

Applicability of machine learning algorithm to predict the therapeutic intervention success in Brazilian smokers.

Journal Article PLoS One · 2024 Smoking cessation is an important public health policy worldwide. However, as far as we know, there is a lack of screening of variables related to the success of therapeutic intervention (STI) in Brazilian smokers by machine learning (ML) algorithms. To ad ... Full text Link to item Cite

Designing, development and validation of an app to reduce the response time of the emergency medical services.

Journal Article PLoS One · 2024 INTRODUCTION: Delays in prehospital care attributable to the call-taking process can often be traced back to miscommunication, including uncertainty around the call location. Geolocation applications have the potential to streamline the call-taking process ... Full text Link to item Cite

Framework proposal for Role-Playing Games as mental health intervention: the Critical Skills methodology

Journal Article Frontiers in Psychiatry · January 1, 2024 Gamified interventions are an emerging approach in mental health treatment and prevention. Their positive effects on managing various clinical conditions stem from enhancing social skills. However, cost-effective options like Table-top Role-Playing Games ( ... Full text Cite

Development of culturally-appropriate text message booster content to follow a brief intervention focused on reducing alcohol related harms for injury patients in Moshi, Tanzania.

Journal Article PLOS Glob Public Health · 2024 Alcohol use is a risk factor for death and disability and is attributed to almost one-third of injury deaths globally. This highlights the need for interventions aimed at alcohol reduction, especially in areas with high rates of injury with concurrent alco ... Full text Link to item Cite

Bayesian Modeling and Estimation of Spatial Risk for Hospitalization and Mortality from Ischemic Heart Disease in Paraná, Brazil.

Journal Article Glob Heart · 2024 OBJECTIVE: Despite significant advancements in understanding risk factors and treatment strategies, ischemic heart disease (IHD) remains the leading cause of mortality worldwide, particularly within specific regions in Brazil, where the disease is a burden ... Full text Link to item Cite

Editorial: Gamification, social skills and mental health promotion

Journal Article Frontiers in Psychiatry · January 1, 2024 Full text Cite

Sex differences in alcohol use patterns and related harms: A mixed-methods, cross-sectional study of men and women in northern Tanzania.

Journal Article PLOS Glob Public Health · 2024 In northern Tanzania, alcohol use disorders (AUD) are under-diagnosed and under-treated, and current services are mostly limited to men in clinical settings despite significant alcohol-related harm in the community. The study objective was to identify sex ... Full text Link to item Cite

"It's his cheerfulness that gives me hope": A qualitative analysis of access to pediatric cancer care in Northern Tanzania.

Journal Article PLOS Glob Public Health · 2024 Pediatric cancer is a significant and growing burden in low- and middle-income countries. The objective of this project was to describe the factors influencing access to pediatric cancer care in Northern Tanzania using the Three Delays Model. This was a cr ... Full text Link to item Cite

Analysis of the Predictors of Mortality from Ischemic Heart Diseases in the Southern Region of Brazil: A Geographic Machine-Learning-Based Study.

Journal Article Glob Heart · 2024 BACKGROUND: Mortality due to ischemic heart disease (IHD) is heterogeneously distributed globally, and identifying the sites most affected by it is essential in developing strategies to mitigate the impact of the disease, despite the complexity resulting f ... Full text Link to item Cite

Hospitalização de idosos por COVID-19 no Paraná: uma análise de fatores associados

Journal Article Acta Paulista de Enfermagem · December 20, 2023 Full text Cite

AI-based approach for transcribing and classifying unstructured emergency call data: A methodological proposal.

Journal Article PLOS Digit Health · December 2023 Emergency care-sensitive conditions (ECSCs) require rapid identification and treatment and are responsible for over half of all deaths worldwide. Prehospital emergency care (PEC) can provide rapid treatment and access to definitive care for many ECSCs and ... Full text Link to item Cite

The Impact of Time, Region, and Income Level on Stillbirth and Neonatal Mortality in Brazil, 2000-2019.

Journal Article J Pediatr · November 2023 OBJECTIVE: To describe trends in perinatal loss across Brazil, a country that transitioned in 2006 from a lower-middle income to an upper-middle income country, from 2000 to 2019 and analyze the effect of municipal wealth status on perinatal outcomes. STUD ... Full text Link to item Cite

A feasibility assessment of a traumatic brain injury predictive modelling tool at Kilimanjaro Christian Medical Center and Duke University Hospital

Journal Article PLOS Global Public Health · November 1, 2023 Traumatic brain injury (TBI) is the most common cause of death and disability globally. TBI, which disproportionately affects low middle-income countries (LMIC), uses significant amounts of health system resources in costly care and management. Innovative ... Full text Cite

Adaptation and Evaluation of a Picture-Based Measure of Parent Discipline

Journal Article Journal of Child and Family Studies · October 1, 2023 Harsh parenting behaviors are some of the most commonly used discipline practices in the United States but are often difficult to measure. Self-report instruments are the most used method of assessing parenting behaviors, but likely result in response bias ... Full text Cite

Built environment influence on the incidence of elderly pedestrian collisions in a medium-large city in southern Brazil: a spatial analysis.

Journal Article Int J Inj Contr Saf Promot · September 2023 Trauma disproportionately affects vulnerable road users, especially the elderly. We analyzed the spatial distribution of elderly pedestrians struck by vehicles in the urban area of Maringa city, from 2014 to 2018. Hotspots were obtained by kernel density e ... Full text Link to item Cite

Optimizing a Drone Network to Respond to Opioid Overdoses.

Journal Article West J Emerg Med · September 2023 Introduction:Effective out-of-hospital administration of naloxone in opioid overdoses is dependent on timely arrival of naloxone. Delays in emergency medical services (EMS) response time could potentially be overcome with drones to deliver naloxone efficie ... Full text Link to item Cite

In Utero Exposure to Metals and Birth Outcomes in an Artisanal and Small-Scale Gold Mining Birth Cohort in Madre de Dios, Peru.

Journal Article Environ Health Perspect · September 2023 BACKGROUND: Few birth cohorts in South America evaluate the joint effect of minerals and toxic metals on neonatal health. In Madre de Dios, Peru, mercury exposure is prevalent owing to artisanal gold mining, yet its effect on neonatal health is unknown. OB ... Full text Link to item Cite

Associations of hospitalisation - admission, readmission and length to stay - with multimorbidity patterns by age and sex in adults and older adults: the ELSI-Brazil study.

Journal Article BMC Geriatr · August 21, 2023 BACKGROUND: Although the association between multimorbidity (MM) and hospitalisation is known, the different effects of MM patterns by age and sex in this outcome needs to be elucidated. Our study aimed to analyse the association of hospitalisations' varia ... Full text Link to item Cite

Brief Report: Task-Shifting "Gold Standard" Clinical Assessment and Safety Planning for Suicide Risk Among People Living With HIV: A Feasibility and Fidelity Evaluation in Tanzania.

Journal Article J Acquir Immune Defic Syndr · August 15, 2023 BACKGROUND: Suicide is a leading cause of death among people living with HIV (PLWH) worldwide, with suicide deaths occurring twice as frequently among PLWH than among the general public. In Tanzania, resources for mental health care are sorely lacking, wit ... Full text Link to item Cite

KeyLoop retractor for global gasless laparoscopy: evaluation of safety and feasibility in a porcine model.

Journal Article Surg Endosc · August 2023 BACKGROUND: Many surgeons in low- and middle-income countries have described performing surgery using gasless (lift) laparoscopy due to inaccessibility of carbon dioxide and reliable electricity, but the safety and feasibility of the technique has not been ... Full text Link to item Cite

Special issue editorial: Resource mapping for the management of snakebite envenomation

Journal Article Toxicon: X · June 1, 2023 Full text Cite

Evaluating the status of the Lancet Commission on Global Surgery indicators for India.

Journal Article Lancet Reg Health Southeast Asia · June 2023 For universal surgical, obstetric, trauma, and anesthesia care by 2030, the Lancet Commission on Global Surgery (LCoGS) suggested tracking six indicators. We reviewed academic and policy literature to investigate the current state of LCoGS indicators in In ... Full text Link to item Cite

Antivenom access impacts severity of Brazilian snakebite envenoming: A geographic information system analysis.

Journal Article PLoS Negl Trop Dis · June 2023 BACKGROUND: Snakebite envenoming (SBE) is a neglected tropical disease capable of causing both significant disability and death. The burden of SBE is especially high in low- and middle-income countries. The aim of this study was to perform a geospatial ana ... Full text Link to item Cite

Children Growing Up with Severe Disabilities as a Result of Snakebite Envenomations in Indigenous Villages of the Brazilian Amazon: Three Cases and Narratives

Journal Article Toxins · June 1, 2023 Snakebites are a major public health problem in the Brazilian Amazon and may lead to local complications and physical deficiencies. Access to antivenom treatment is poorer in indigenous populations compared to other populations. In this study, we report th ... Full text Cite

River dataset as a potential fluvial transportation network for healthcare access in the Amazon region.

Journal Article Sci Data · April 6, 2023 Remote areas, such as the Amazon Forest, face unique geographical challenges of transportation-based access to health services. As transportation to healthcare in most of the Amazon Forest is only possible by rivers routes, any travel time and travel dista ... Full text Link to item Cite

Validation of the Pediatric Resuscitation and Trauma Outcome (PRESTO) model in injury patients in Tanzania.

Journal Article BMJ Open · April 5, 2023 INTRODUCTION: Sub-Saharan Africa has the highest rate of unintentional paediatric injury deaths. The Pediatric Resuscitation and Trauma Outcome (PRESTO) model predicts mortality using patient variables available in low-resource settings: age, systolic bloo ... Full text Link to item Cite

"Two Cultures in Favor of a Dying Patient": Experiences of Health Care Professionals Providing Snakebite Care to Indigenous Peoples in the Brazilian Amazon.

Journal Article Toxins (Basel) · March 3, 2023 In the Brazilian Amazon, deaths and disabilities from snakebite envenomations (SBEs) are a major and neglected problem for the indigenous population. However, minimal research has been conducted on how indigenous peoples access and utilize the health syste ... Full text Link to item Cite

Perspectives on snakebite envenoming care needs across different sociocultural contexts and health systems: A comparative qualitative analysis among US and Brazilian health providers.

Journal Article Toxicon X · March 2023 With the advancements in therapeutics and available treatment options, almost all deaths and permanent disabilities from snakebite envenoming (SBE) are preventable. The challenge lies in implementing these evidence-based treatments and practices across dif ... Full text Link to item Cite

Snakebite envenoming in Brazilian children: clinical aspects, management and outcomes.

Journal Article Journal of tropical pediatrics · February 2023 Snakebite envenoming is currently considered a neglected tropical disease, which affects over 5 million people worldwide, and causes almost 150 000 deaths every year, as well as severe injuries, amputations and other sequelae. Snakebite envenoming in child ... Full text Cite

Hypertension in an Emergency Department Population in Moshi, Tanzania; A Qualitative Study of Barriers to Hypertension Control.

Journal Article PloS one · January 2023 BackgroundSub-Saharan Africa has a high prevalence of hypertension with a low rate of awareness, treatment adherence, and control. The emergency department (ED) may represent a unique opportunity to improve hypertension screening, awareness, and l ... Full text Cite

Emergency department use and Artificial Intelligence in Pelotas: design and baseline results.

Journal Article Rev Bras Epidemiol · 2023 OBJETIVO: To describe the initial baseline results of a population-based study, as well as a protocol in order to evaluate the performance of different machine learning algorithms with the objective of predicting the demand for urgent and emergency service ... Full text Link to item Cite

Effectiveness of mobile applications as intervention tools in suicidal ideation: a systematic review and meta-analysis

Journal Article Estudos de Psicologia · January 1, 2023 Objective Evaluate the effectiveness of mobile applications developed for intervention in suicide risk in adults. Method Searches for articles were carried out in four databases (PubMed, Web of Science, Scopus and PsychINFO). For the meta-analyses, we used ... Full text Cite

SURVIVRS: Surround Video-Based Virtual Reality for Surgery Guidance

Conference Proceedings - 2023 IEEE Conference on Virtual Reality and 3D User Interfaces Abstracts and Workshops, VRW 2023 · January 1, 2023 There is a strong demand for virtual reality (VR) to bring quality healthcare to underserved populations. This paper addresses this need with the design and prototype of SURVIVRS: Surround Video-Based Virtual Reality for Surgery Guidance. SURVIVRS allows a ... Full text Cite

Exploring Affordances for AR in Laparoscopy

Conference Proceedings - 2023 IEEE Conference on Virtual Reality and 3D User Interfaces Abstracts and Workshops, VRW 2023 · January 1, 2023 This paper explores the possibilities of designing AR interfaces to be used during laparoscopy surgery. It suggests that the laparoscopic video be displayed on AR headsets and that surgeons can consult preoperative image data on that display. Interaction w ... Full text Cite

Exploring regional disparities in lung cancer mortality in a Brazilian state: A cross-sectional ecological study.

Journal Article PLoS One · 2023 BACKGROUND: Lung cancer (LC) is one of the main causes of mortality in Brazil; geographic, cultural, socioeconomic and health access factors can affect the development of the disease. We explored the geospatial distribution of LC mortality, and associated ... Full text Link to item Cite

Protocol for a pilot randomized controlled trial of a telehealth-delivered counseling intervention to reduce suicidality and improve HIV care engagement in Tanzania.

Journal Article PLoS One · 2023 OBJECTIVE: Suicidal ideation is strikingly common among people living with HIV (PLWH) worldwide, leading to higher burden of disease, poor HIV care engagement, and loss of life. In low- and middle-income countries such as Tanzania, mental health resources ... Full text Link to item Cite

Feasibility of a pragmatic randomized adaptive clinical trial to evaluate a brief negotiational interview for harmful and hazardous alcohol use in Moshi, Tanzania.

Journal Article PLoS One · 2023 INTRODUCTION: Low-resourced settings often lack personnel and infrastructure for alcohol use disorder treatment. We culturally adapted a Brief Negotiational Interview (BNI) for Emergency Department injury patients, the "Punguza Pombe Kwa Afya Yako (PPKAY)" ... Full text Link to item Cite

Prioritization of surgical, obstetric, trauma, and anesthesia care in India over seven decades: A systematic analysis of policy documents.

Journal Article PLOS Glob Public Health · 2023 Improving access to surgical care in India requires policy-level prioritization of surgical, obstetric, trauma, and anesthesia (SOTA) care. We quantified SOTA care prioritization in the last seven decades by analyzing India's national policy and programmat ... Full text Link to item Cite

Applicability of machine learning technique in the screening of patients with mild traumatic brain injury.

Journal Article PloS one · January 2023 Even though the demand of head computed tomography (CT) in patients with mild traumatic brain injury (TBI) has progressively increased worldwide, only a small number of individuals have intracranial lesions that require neurosurgical intervention. As such, ... Full text Cite

Psychometric Properties of the Brazilian Version of the Multidimensional Sportspersonship Orientations Scale (MSOS)

Journal Article Psicologia: Teoria e Pesquisa · January 1, 2023 This study investigated the psychometric properties of the Brazilian version of the Multidimensional Sportspersonship Orientations Scale (MSOS). The cross-cultural adaptation committee was composed of three experts. Our validation sample consisted of 643 a ... Full text Cite

The Brazilian National Oral Health Policy and oral cancer mortality trends: An autoregressive integrated moving average (ARIMA) model.

Journal Article PLoS One · 2023 OBJECTIVE: This study analyzes the effect of the Brazilian National Oral Health Policy (NOHP) on oral cancer mortality rates (OCMR). METHOD: This is an ecological study with secondary oral cancer death data, using interrupted time series analysis (ARIMA, A ... Full text Link to item Cite

Machine learning models to predict traumatic brain injury outcomes in Tanzania: Using delays to emergency care as predictors.

Journal Article PLOS Glob Public Health · 2023 Constraints to emergency department resources may prevent the timely provision of care following a patient's arrival to the hospital. In-hospital delays may adversely affect health outcomes, particularly among trauma patients who require prompt management. ... Full text Link to item Cite

A mixed-methods comparison of gender differences in alcohol consumption and drinking characteristics among patients in Moshi, Tanzania.

Journal Article PLOS Glob Public Health · 2023 Excessive alcohol use stands as a serious threat to individual and community well-being, having been linked to a wide array of physical, social, mental, and economic harms. Alcohol consumption differs by gender, a trend seen both globally and in Moshi, Tan ... Full text Link to item Cite

Clinical evaluation of the alcohol use disorders identification test (AUDIT) in Moshi, Tanzania.

Journal Article PLoS One · 2023 BACKGROUND: Alcohol use disorder is a major cause of morbidity and mortality in low- and middle-income countries. Alcohol screening using a validated tool is a useful way to capture high-risk patients and engage them in early harm reduction interventions. ... Full text Link to item Cite

Alcohol use among emergency medicine department patients in Tanzania: A comparative analysis of injury versus non-injury patients.

Journal Article PLOS Glob Public Health · 2023 BACKGROUND: Alcohol is a leading behavioral risk factor for death and disability worldwide. Tanzania has few trained personnel and resources for treating unhealthy alcohol use. In Emergency Medicine Departments (EMDs), alcohol is a well-known risk factor f ... Full text Link to item Cite

Validation of a culturally sensitive, Swahili-translated instrument to assess suicide risk among adults living with HIV in Tanzania.

Journal Article Glob Ment Health (Camb) · 2023 In Tanzania, there are high rates of suicidal thoughts and behavior among people living with HIV (PLWH), yet few instruments exist for effective screening and referral. To address this gap, we developed and validated Swahili translations of the Columbia Su ... Full text Link to item Cite

Correction: Applicability of machine learning technique in the screening of patients with mild traumatic brain injury.

Journal Article PLoS One · 2023 [This corrects the article DOI: 10.1371/journal.pone.0290721.]. ... Full text Link to item Cite

Hospitalization of elderly people due to COVID-19 in the State of Paraná, Brazil: analysis of associated factors

Journal Article ACTA Paulista de Enfermagem · January 1, 2023 Objective: To analyze the prevalence and factors associated with hospitalization of elderly people with COVID-19 in the State of Paraná, PR, Brazil. Methods: A cross-sectional study linked to the cohort “Longitudinal Monitoring of adults and elderly people ... Full text Cite

Prevalence and factors associated with the death of older people hospitalized due to Covid-19 in the state of Paraná

Journal Article Revista da Escola de Enfermagem · January 1, 2023 Objective: To estimate the prevalence and to analyze the factors associated with the death of older people hospitalized due to Covid-19 in the state of Paraná. Method: Cross-sectional study conducted with secondary data from older people with a positive di ... Full text Cite

Injury characteristics and their association with clinical complications among emergency care patients in Tanzania.

Journal Article Afr J Emerg Med · December 2022 BACKGROUND: Over 5 million people annually die from injuries and millions more sustain non-fatal injuries requiring medical care. Ninety percent of injury deaths occur in low- and middle-income countries (LMICs). This study describes the characteristics, p ... Full text Open Access Link to item Cite

Mapping of clinical management resources for snakebites and other animal envenomings in the Brazilian Amazon.

Journal Article Toxicon X · December 2022 Snakebite envenomings (SBEs) and other envenomings triggered by venomous animals (VAEs) represent a significant disease burden in Brazil, with 29,152 SBEs reported in 2021 alone with nearly half of those occurring in the remote Brazilian Amazon. In 2021, B ... Full text Link to item Cite

Impact of socioeconomic factors and health determinants on preterm birth in Brazil: a register-based study.

Journal Article BMC Pregnancy Childbirth · November 24, 2022 BACKGROUND: More than 15 million children are born preterm annually. While preterm survival rates have increased in high-income countries. Low- and middle-income countries, like Brazil, continue to battle high neonatal mortality rates due to a lack of adeq ... Full text Link to item Cite

Roadblocks and solutions to planning surgical care for a billion Indians.

Journal Article BMJ Glob Health · November 2022 Full text Link to item Cite

Post-acute COVID and long-COVID among adults and older adults in the State of Paraná, Brazil: protocol for an ambispective cohort study.

Journal Article BMJ Open · September 8, 2022 INTRODUCTION: Since 2020, the world has been going through a viral pandemic with a high morbidity and mortality rate along with the potential to evolve from an acute infection to post-acute and long-COVID, which is still in the process of elucidation. Diag ... Full text Link to item Cite

Utility of Family Reports in Predicting Emergency Department Patient Alcohol Use in Tanzania.

Journal Article J Stud Alcohol Drugs · September 2022 OBJECTIVE: Myriad reasons, including stigma, may prevent patients from self-reporting harmful use of alcohol in Tanzania. Family members may be more forthright but might not know the extent of the patient's alcohol use or suffer alcohol-related stigma as w ... Full text Link to item Cite

Cross-Cultural Adaptation and Psychometric Properties of the SF-8 Questionnaire in Tanzanian Swahili for Injury Population

Journal Article Disabilities · September 1, 2022 Background: There is a lack of tools to screen for health-related quality of life (HRQoL) in acute injury patients, despite the critical need for having a good understanding of the characteristics of mental health during the rehabilitation process. The SF- ... Full text Cite

Scarf Injury: a qualitative examination of the emergency response and acute care pathway from a unique mechanism of road traffic injury in Bangladesh.

Journal Article BMC Emerg Med · August 4, 2022 BACKGROUND: Road traffic injuries (RTI) are the leading cause of death worldwide in children over 5 and adults aged 18-29. Nonfatal RTIs result in 20-50 million annual injuries. In Bangladesh, a new mechanism of RTI has emerged over the past decade known a ... Full text Link to item Cite

Multimorbidity patterns and hospitalisation occurrence in adults and older adults aged 50 years or over.

Journal Article Scientific reports · July 2022 Multimorbidity is highly prevalent in older adults and can lead to hospitalisation. We investigate the prevalence, associated factors, and multimorbidity pattern associated to hospitalisation, readmission, and length of stay in the population aged 50 years ... Full text Cite

Predictors of ICU admission and patient outcome for traumatic brain injury in a Tanzanian referral hospital: Implications for improving treatment guidelines.

Journal Article Injury · June 2022 Traumatic brain injuries (TBI) are a critical global health challenge, with disproportionate negative impact in low- and middle-income countries (LMICs). People who suffer severe TBI in LMICs are twice as likely to die than those in high-income countries, ... Full text Link to item Cite

Validation of a Culturally Relevant Snakebite Envenomation Clinical Practice Guideline in Brazil.

Journal Article Toxins (Basel) · May 28, 2022 Snakebite envenoming (SBE) is a neglected tropical disease with significant global morbidity and mortality. Even when antivenom is available in low-resource areas, health workers do not receive adequate training to manage SBEs. This study aims to develop a ... Full text Link to item Cite

The Development and Psychometric Evaluation of the HIV Stigmatizing Attitudes Scale (HSAS) in Tanzania.

Journal Article AIDS Behav · May 2022 HIV stigmatizing attitudes are embedded in social context, making it important to develop culturally specific tools for accurate measurement. The goal of this study was to develop and evaluate the psychometric properties of the HIV Stigmatizing Attitudes S ... Full text Link to item Cite

Patient-level interventions to reduce alcohol-related harms in low- and middle-income countries: A systematic review and meta-summary.

Journal Article PLoS Med · April 2022 BACKGROUND: Disease and disability from alcohol use disproportionately impact people in low- and middle-income countries (LMICs). While varied interventions have been shown to reduce alcohol use in high-income countries, their efficacy in LMICs has not bee ... Full text Link to item Cite

Measuring timely geographical access to surgical care in India: a geospatial modelling study.

Journal Article Lancet Glob Health · March 2022 BACKGROUND: In 2015, the Lancet Commission on Global Surgery proposed timely access to surgical care facilities as an indicator of preparedness in surgical systems. Since then, several African and South American countries have mapped the population coverag ... Full text Link to item Cite

Effects of exercise modality and intensity on the CD4 count in people with HIV: a systematic review and meta-analysis.

Journal Article AIDS Care · February 2022 The purpose of this study was to assess the effect of training modality and exercise intensity on the modulation of lymphocytes CD4 count in people living with HIV (PLWH). A search for randomised controlled trials was performed using five databases (PubMed ... Full text Link to item Cite

PRACT: a pragmatic randomized adaptive clinical trial protocol to investigate a culturally adapted brief negotiational intervention for alcohol use in the emergency department in Tanzania.

Journal Article Trials · February 2022 BackgroundAlcohol use in resource-limited settings results in significant morbidity and mortality. These settings lack the necessary specialty-trained personnel and infrastructure. Therefore, implementing evidence-based interventions from high-inc ... Full text Cite

Corticosteroid Randomization after Significant Head Injury and International Mission for Prognosis and Clinical Trials in Traumatic Brain Injury Models Compared with a Machine Learning-Based Predictive Model from Tanzania.

Journal Article J Neurotrauma · January 2022 Hospitals in low- and middle-income countries (LMICs) could benefit from decision support technologies to reduce time to triage, diagnosis, and surgery for patients with traumatic brain injury (TBI). Corticosteroid Randomization after Significant Head Inju ... Full text Link to item Cite

BITES study: A qualitative analysis among emergency medicine physicians on snake envenomation management practices.

Journal Article PLoS One · 2022 INTRODUCTION: Antivenom is currently considered standard treatment across the full spectrum of severity for snake envenomation in the United States. Although safe and effective antivenoms exist, their use in clinical practice is not universal. OBJECTIVE: T ... Full text Link to item Cite

Spatial correlation of covid-19 with intensive care unit beds in Paraná.

Journal Article Rev Saude Publica · 2022 OBJECTIVE: To analyze the spatial correlation between confirmed cases of covid-19 and the intensive care unit beds exclusive to the disease in municipalities of Paraná. METHODS: This is an epidemiological study of ecological type which used data from the E ... Full text Link to item Cite

Experiences of COVID-19 infection in North Carolina: A qualitative analysis.

Journal Article PloS one · January 2022 Background and aimIt has been demonstrated that marginalized populations across the U.S. have suffered a disproportionate burden of the coronavirus disease 2019 (COVID-19) pandemic, illustrating the role that social determinants of health play in ... Full text Open Access Cite

Barriers to accessing follow up care in post-hospitalized trauma patients in Moshi, Tanzania: A mixed methods study.

Journal Article PLOS Glob Public Health · 2022 Disproportionately high injury rates in Sub-Saharan Africa combined with limited access to care in both the acute injury phase and for injury patients requiring continued care after hospital discharge remains a challenge. We aimed to characterize barriers ... Full text Link to item Cite

Decolonizing Global Surgery: Bethune Round Table, 2022 Conference on Global Surgery (virtual), June 16-18, 2022.

Journal Article Can J Surg · 2022 Full text Link to item Cite

The epidemiology of pediatric traumatic brain injury presenting at a referral center in Moshi, Tanzania.

Journal Article PLoS One · 2022 BACKGROUND: Over 95% of childhood injury deaths occur in low- and middle-income countries (LMICs). Patients with severe traumatic brain injury (TBI) have twice the likelihood of dying in LMICs than in high-income countries (HICs). In Africa, TBI estimates ... Full text Link to item Cite

Bolsa Família Program and deaths from oral cancer in Brazil: an ecological study

Journal Article Revista Panamericana de Salud Publica/Pan American Journal of Public Health · January 1, 2022 Objective. To assess the effect of coverage of the Bolsa Família Program (BFP) on oral cancer mortality rates in Brazil between 2005 and 2017, adjusting for health care coverage and socioeconomic characteristics of the Brazilian federative units. Methods. ... Full text Cite

Feasibility of SMS booster for alcohol reduction in injury patients in Tanzania.

Journal Article PLOS Glob Public Health · 2022 Alcohol use is associated with 3 million annual deaths globally. Harmful alcohol use, which is associated with a high burden of disease in low- and middle-income countries (LMICs), often increases the probability of traumatic injury. Treatments for harmful ... Full text Link to item Cite

Prospective evaluation of novice-acquired three-dimensional point-of-care ultrasound for carotid stenosis.

Journal Article Acad Emerg Med · December 2021 Full text Link to item Cite

[Spatial analysis of the quality of Primary Health Care services in reducing child mortality].

Journal Article Cien Saude Colet · December 2021 This study sought to analyze the correlation of the quality of Primary Health Care services in reducing child mortality, via geoprocessing. It involved an ecological study, with a cross-sectional approach, in which secondary data from all 5,565 Brazilian m ... Full text Link to item Cite

Emergency Care Sensitive Conditions in Brazil: A Geographic Information System Approach to Timely Hospital Access.

Journal Article Lancet Reg Health Am · December 2021 BACKGROUND: The benefits of treatment for many conditions are time dependent. The burden of these emergency care sensitive conditions (ECSCs) is especially high in low- and middle-income countries. Our objective was to analyze geospatial trends in ECSCs an ... Full text Link to item Cite

The Impact of Violence on the Anxiety Levels of Healthcare Personnel During the COVID-19 Pandemic

Journal Article Frontiers in Psychiatry · November 5, 2021 Introduction: The COVID-19 pandemic stressed the importance of healthcare personnel. However, there is evidence of an increase in violence against them, which brings consequences, such as anxiety. The aim of this study was to analyze the anxiety levels of ... Full text Cite

Data-driven risk stratification for preterm birth in Brazil: a population-based study to develop of a machine learning risk assessment approach.

Journal Article Lancet regional health. Americas · November 2021 BackgroundPreterm birth (PTB) is a growing health issue worldwide, currently considered the leading cause of newborn deaths. To address this challenge, the present work aims to develop an algorithm capable of accurately predicting the week of deli ... Full text Cite

Leadership, mental toughness, and attachment relationship in the world beach volleyball context

Journal Article Sustainability (Switzerland) · October 1, 2021 For a long time, competitive sport has focused only on aspects related to performance. However, studies in social psychology have indicated the importance of focusing on the human development of athletes, which can occur through training environments that ... Full text Cite

Smart Check - COVID-19 triage system: Evaluation of the impact on the screening time and identification of clinical manifestations of SARS-CoV-2 infection in a public health service.

Journal Article Int J Clin Pract · October 2021 INTRODUCTION: Most patients with COVID-19 have mild or moderate manifestations; however, there is a wide spectrum of clinical presentations and even more severe repercussions that require high diagnostic suspicion. Vital sign acquisition and monitoring are ... Full text Link to item Cite

Contextualizing the Impact of Snakebite Envenoming on Patients: A Qualitative Content Analysis of Patient-Specific Functional Scale Activities Using the International Classification of Functioning, Disability and Health.

Journal Article Int J Environ Res Public Health · September 12, 2021 To categorize the Patient-specific Functional Scale (PSFS) activities in snakebite envenoming (SBE) using the International Classification of Function (ICF) model in order to describe the impact of SBE on patients' activities and daily lives and to develop ... Full text Link to item Cite

Completeness of reporting and risks of overstating impact in cluster randomised trials: a systematic review.

Journal Article Lancet Glob Health · August 2021 Overstating the impact of interventions through incomplete or inaccurate reporting can lead to inappropriate scale-up of interventions with low impact. Accurate reporting of the impact of interventions is of great importance in global health research to pr ... Full text Link to item Cite

Novel tool for assessing the quality of feedback in the emergency room (FEED-ER).

Journal Article AEM Educ Train · August 2021 BACKGROUND: The Accreditation Council for Graduate Medical Education (ACGME) emphasizes constructive feedback as a critical component of residency training. Despite over a decade of using competency-based milestone evaluations, emergency medicine (EM) resi ... 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

National COVID-19 vaccination plan: using artificial spatial intelligence to overcome challenges in Brazil.

Journal Article Cien Saude Colet · May 2021 This article explores the use of spatial artificial intelligence to estimate the resources needed to implement Brazil's COVID-19 immu nization campaign. Using secondary data, we conducted a cross-sectional ecological study adop ting a time-series design. T ... Full text Link to item Cite

Pilot Outcomes of Maisha: An HIV Stigma Reduction Intervention Developed for Antenatal Care in Tanzania.

Journal Article AIDS Behav · April 2021 HIV stigma is a persistent barrier to curbing the spread of HIV and improving quality of life for people living with HIV. We developed and pilot tested Maisha, an HIV stigma reduction intervention in antenatal care (ANC) with two objectives: 1) among indiv ... Full text Link to item Cite

Estimating prognosis for traumatic brain injury patients in a low-resource setting: how do providers compare to the CRASH risk calculator?

Journal Article J Neurosurg · March 1, 2021 OBJECTIVE: Traumatic brain injury (TBI), a burgeoning global health concern, is one condition that could benefit from prognostic modeling. Risk stratification of TBI patients on presentation to a health facility can support the prudent use of limited resou ... Full text Link to item Cite

Influence of the global crisis of 2008 and the brazilian political oscillations of 2014 on suicide rates: An analysis of the period from 2002 to 2017.

Journal Article SSM Popul Health · March 2021 Global suicide rates have increased in recent decades becoming a serious social and public health problem. In Brazil, rates have been increasing annually. We aimed to analyze the correlation between suicide mortality rates and global economic and political ... Full text Link to item Cite

A painful journey to antivenom: The therapeutic itinerary of snakebite patients in the Brazilian Amazon (The QUALISnake Study).

Journal Article PLoS neglected tropical diseases · March 2021 Access to antivenoms is not guarranteed for vulnerable populations that inhabit remote areas in the Amazon. The study of therapeutic itineraries (TI) for treatment of snakebites would support strategies to provide timely access to users. A TI is the set of ... Full text Cite

The Impact of Socioeconomic Factors, Coverage and Access to Health on Heart Ischemic Disease Mortality in a Brazilian Southern State: A Geospatial Analysis.

Journal Article Glob Heart · January 20, 2021 BACKGROUND: No other disease has killed more than ischemic heart disease (IHD) for the past few years globally. Despite the advances in cardiology, the response time for starting treatment still leads patients to death because of the lack of healthcare cov ... Full text Open Access Link to item Cite

Validity of the Personal Impact of Epilepsy Scale (PIES) in patients with epilepsy in Uganda.

Journal Article Epilepsy Behav · January 2021 PURPOSE: We sought to address the construct validity and reliability of the Personal Impact of Epilepsy Scale (PIES), an epilepsy-specific quality-of-life measure, in patients with epilepsy in Uganda. We also sought to assess the applicability of the scale ... Full text Link to item Cite

Progress and challenges in potential access to oral health primary care services in Brazil: A population-based panel study with latent transition analysis.

Journal Article PLoS One · 2021 OBJECTIVE: Compared indicators of potential access to oral health services sought in two cycles of the Program for Improvement of Access and Quality of Primary Care (PMAQ-AB), verifying whether the program generated changes in access to oral health service ... Full text Open Access Link to item Cite

Prosocial and antisocial behavior sport scale (Pabss) in brazil psychometric parameters of the prosocial and antisocial behavior sport scale (pabss) for the brazilian context

Journal Article Acta Colombiana de Psicologia · January 1, 2021 Having an appropriate psychometric measure for assessing the morally relevant behaviors of athletes is important to en-courage research and enable effective intervention strategies. The aim of this research was to verify the psychometric properties of the ... Full text Cite

Helicopter Transportation of Brazilian Trauma Patients: A Comparison of Times to Care.

Journal Article Air Med J · 2021 OBJECTIVE: The purpose of this study was to analyze helicopter emergency medical service (HEMS) transport with secondary land ambulance transfer, comparing landings performed inside and outside the hospital complex to the emergency department. METHODS: Thi ... Full text Link to item Cite

Access to care solutions in healthcare for obstetric care in Africa: A systematic review.

Journal Article PloS one · January 2021 BackgroundEmergency Medical Services (EMS) systems exist to reduce death and disability from life-threatening medical emergencies. Less than 9% of the African population is serviced by an emergency medical services transportation system, and nearl ... Full text Cite

Machine learning analysis to predict health outcomes among emergency department users in Southern Brazil: a protocol study.

Journal Article Rev Bras Epidemiol · 2021 OBJECTIVE: Emergency services are essential to the organization of the health care system. Nevertheless, they face different operational difficulties, including overcrowded services, largely explained by their inappropriate use and the repeated visits from ... Full text Link to item Cite

Emergency Care Gap in Brazil: Geographical Accessibility as a Proxy of Response Capacity to Tackle COVID-19.

Journal Article Front Public Health · 2021 Background: The new coronavirus disease (COVID-19) has claimed thousands of lives worldwide and disrupted the health system in many countries. As the national emergency care capacity is a crucial part of the COVID-19 response, we evaluated the Brazilian He ... Full text Link to item Cite

Spatial inequalities of major lower limb amputation rates in Paraná state, Brazil.

Journal Article BMJ Open · December 24, 2020 OBJECTIVE: The aim of this observational cross-sectional study was to analyse the spatial distribution of major lower limb amputation (MLLA) rates and associate them to socioeconomic, demographic and public healthcare access-related variables in the State ... Full text Link to item Cite

Providing Antivenom Treatment Access to All Brazilian Amazon Indigenous Areas: 'Every Life Has Equal Value'.

Journal Article Toxins (Basel) · December 5, 2020 Snakebites are more frequent in the Brazilian Amazon than in other parts of Brazil, representing a high cost for the health system since antivenoms are only available through medical prescription from central municipal hospitals in most cases. The need for ... Full text Link to item Cite

Alcohol stigma as it relates to drinking behaviors and perceptions of drink drivers: A mixed method study in Moshi, Tanzania.

Journal Article Alcohol · November 2020 BACKGROUND: Alcohol is a leading risk factor for road traffic injury in low- and middle-income countries, such as Tanzania. This research seeks to explore the drinking patterns, perceptions, and stigma of drink driving behavior of injury patients at Kilima ... Full text Link to item Cite

Provision and Utilization of Team- and Community-Based Operative Care for Patients With Cleft Lip/Palate in North Carolina.

Journal Article Cleft Palate Craniofac J · November 2020 OBJECTIVE: To characterize operative care for cleft lip and/or palate (CL/P) based on location (ie, from American Cleft Palate Craniofacial Association [ACPA]-approved multidisciplinary teams or from community providers). DESIGN: Cross-sectional analysis o ... Full text Open Access Link to item Cite

Alcohol Availability, Cost, Age of First Drink, and Its Association with At-Risk Alcohol Use in Moshi, Tanzania.

Journal Article Alcohol Clin Exp Res · November 2020 BACKGROUND: The Kilimanjaro region has one of the highest levels of reported alcohol intake per capita in Tanzania. Age at first drink has been found to be associated with alcohol problems in adulthood, but there is less information on the age of first dri ... Full text Link to item Cite

Alcohol-Related Risky Behavior Patterns and Their Association With Alcohol Use and Perceived Alcohol Stigma in Moshi, Tanzania.

Journal Article J Stud Alcohol Drugs · September 2020 OBJECTIVE: The Kilimanjaro region has one of the highest rates of reported alcohol use per capita in Tanzania. Alcohol-related risky behaviors pose substantial threats to the health and well-being of alcohol users and the people around them. This study see ... Full text Link to item Cite

History and development of Sport Psychology in Latin America

Journal Article International Journal of Sport Psychology · September 1, 2020 The present study aimed to investigate the historical course of the sport psychology (SP) field and its development in Latin America. The keywords “history,” “sport psychology,” and related terms were searched for in Web of Science, ScienceDirect, LILACS, ... Full text Cite

A Mixed-Methods Study: Sex Differences in Experiences of Stigma Associated With Alcoholism and Alcohol Use Disorders Among Injury Patients in Tanzania.

Journal Article Alcohol Clin Exp Res · August 2020 BACKGROUND: Each year, alcohol use causes 3.3 million deaths globally and accounts for nearly 30% of injuries treated at Kilimanjaro Christian Medical Center (KCMC) in Moshi, Tanzania. Prior research found significant stigma toward patients reporting alcoh ... Full text Link to item Cite

Validity, Reliability, and Diagnostic Cut-off of the Kinyarwandan Version of the Hamilton Depression Rating Scale in Rwanda

Journal Article Frontiers in Psychology · July 3, 2020 Introduction: In Rwanda, major depressive disorder affects 11.9% of the population and up to 35% of genocide survivors. Mental health services remain underutilized due to stigma and lack of awareness. Increasing the ability and capacity to diagnose and tre ... Full text Cite

An Attitude Survey and Assessment of the Feasibility, Acceptability, and Usability of a Traumatic Brain Injury Decision Support Tool in Uganda.

Journal Article World Neurosurg · July 2020 BACKGROUND: Traumatic brain injury (TBI) prognostic models are potential solutions to severe human and technical shortages. Although numerous TBI prognostic models have been developed, none are widely used in clinical practice, largely because of a lack of ... Full text Link to item Cite

Built Environment Analysis for Road Traffic Crash Hotspots in Kigali, Rwanda

Journal Article Frontiers in Sustainable Cities · June 5, 2020 Introduction: Road traffic injuries (RTIs) are a significant cause of morbidity and mortality in Rwanda. Investigations of the high risk areas for road traffic crashes (RTCs) are urgently needed to guide improvements in road safety. This study aims to iden ... 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 · June 1, 2020 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

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

Bottlenecks for access to treatment of snakebites and scorpion stings, with special attention to clinical consequences

Journal Article Toxicon : official journal of the International Society on Toxinology · April 20, 2020 Full text 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

Perceptions of alcohol use among injury patients and their family members in Tanzanian society.

Journal Article Alcohol · March 2020 Alcohol is one of the leading causes of death and disability worldwide. Rates of alcohol abuse in Moshi, Tanzania, are about 2.5 times higher than the Tanzanian average. We sought to qualitatively assess the perceptions of alcohol use among injury patients ... 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

Good death: An exploratory study on perceptions and attitudes of patients, relatives, and healthcare providers, in northern Tanzania.

Journal Article PLoS One · 2020 IMPORTANCE: In the Kilimanjaro region of Tanzania, there are no advance care planning (ACP) protocols being used to document patient preferences for end-of-life (EoL) care. There is a general avoidance of the topic and contemplating ACP in healthcare-limit ... Full text Link to item Cite

Comprehending the lack of access to maternal and neonatal emergency care: Designing solutions based on a space-time approach.

Journal Article PLoS One · 2020 OBJECTIVE: The objective of this study was to better understand how the lack of emergency child and obstetric care can be related to maternal and neonatal mortality levels. METHODS: We performed spatiotemporal geospatial analyses using data from Brazilian ... Full text Link to item Cite

An analysis of emergency care delays experienced by traumatic brain injury patients presenting to a regional referral hospital in a low-income country.

Journal Article PloS one · January 2020 BackgroundTrauma is a leading cause of death and disability worldwide. In low- and middle-income countries (LMICs), trauma patients have a higher risk of experiencing delays to care due to limited hospital resources and difficulties in reaching a ... Full text Open Access Cite

Mapping risk of ischemic heart disease using machine learning in a Brazilian state.

Journal Article PLoS One · 2020 Cardiovascular diseases are the leading cause of deaths globally. Machine learning studies predicting mortality rates for ischemic heart disease (IHD) at the municipal level are very limited. The goal of this paper was to create and validate a Heart Health ... Full text Link to item Cite

Prevention of childhood unintentional injuries in low- and middle-income countries: A systematic review.

Journal Article PLoS One · 2020 Injuries are a leading cause of death and disability among children. Numerous injury prevention strategies have been successful in high-income countries, but the majority of unintentional injuries happen to children living in low- and middle-income countri ... Full text Open Access 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

Coach-athlete relationship and collective efficacy in volleyball: Is the association explained by athletes’ goal orientations

Journal Article Motricidade · September 30, 2019 The mediating role of goal orientations in the association between coach-athlete relationship (CAR) and collective efficacy (CE) was investigated. Participants were 185 Brazilian young volleyball players participants of a State championship. Data were obta ... Full text 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

Hip Disability and Osteoarthritis Outcome Score (HOOS): A cross-cultural validation of the Brazilian Portuguese version study

Journal Article Revista Brasileira de Ortopedia · May 1, 2019 Objective Translated and validated outcome instruments are of great importance, since they can be used by researchers studying different populations with the same problem. The objective of the present study was to translate, culturally adapt and validate t ... Full text 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

Addressing inequalities in medical workforce distribution: evidence from a quasi-experimental study in Brazil.

Journal Article BMJ Glob Health · 2019 BACKGROUND: Brazil faces huge health inequality challenges since not all municipalities have access to primary care physicians. The More Doctors Programme (MDP), which started in 2013, was born out of this recognition, providing more than 18 000 doctors in ... Full text 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

Proposal for a methodology to estimate the potential coverage of primary care teams

Journal Article Revista Panamericana de Salud Publica/Pan American Journal of Public Health · January 1, 2019 Objective. To present a methodology for the empirical evaluation of primary health care (PHC) through the construction of digital representations of potential PHC coverage areas. Methods. In this methodological study, potential areas were constructed by co ... 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

Geospatial Analysis of Risk Factors Contributing to Loss to Follow-up in Cleft Lip/Palate Care.

Journal Article Plast Reconstr Surg Glob Open · September 2018 BACKGROUND: Multidisciplinary cleft care depends on follow-up at specified time points to monitor and address functional or aesthetic concerns that may arise during a child's development. However, loss to follow-up (LTFU) is common and can lead to missed o ... 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

Pediatric traumatic brain injury at Mbarara Regional Referral Hospital, Uganda.

Journal Article J Clin Neurosci · January 2018 BACKGROUND: In Uganda, TBI constitute the majority of neurosurgical admissions and deaths specially in the pediatric population. This study aims to determine the factors associated with poor outcome among pediatric TBI cases at a major referral hospital in ... 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

A systematic review and quality analysis of pediatric traumatic brain injury clinical practice guidelines.

Journal Article PLoS One · 2018 BACKGROUND: Traumatic brain injuries (TBI) are a significant cause of mortality and morbidity for children globally. Adherence to evidence-based treatment guidelines have been shown to improve TBI outcomes. To inform the creation of a pediatric TBI managem ... 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

Mortality predictors in traumatic brain injury due to motorcycle crashes in Rwanda.

Journal Article Traffic Inj Prev · 2018 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

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

Pilot Use of a Novel Tool to Assess Neurosurgical Capacity in Uganda.

Journal Article World Neurosurg · December 2017 INTRODUCTION: There is a significant burden of unmet surgical need in many low- and middle-income countries (>80% in parts of Africa). This need is even larger for specialties such as neurosurgery. Surgical capacity tools have been developed and used to as ... 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

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

Journal Article International journal for equity in health · December 2017 BackgroundAccess 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 ... Full text 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 Journal of pediatric surgery · October 2017 BackgroundIn 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 througho ... Full text Cite

Erratum to "Mortality-Associated Characteristics of Patients with Traumatic Brain Injury at the University Teaching Hospital of Kigali, Rwanda" [World Neurosurgery 102 (2017) 571-582].

Journal Article World Neurosurg · October 2017 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

Mortality-Associated Characteristics of Patients with Traumatic Brain Injury at the University Teaching Hospital of Kigali, Rwanda.

Journal Article World Neurosurg · June 2017 OBJECTIVE: Traumatic brain injury (TBI) is a leading cause of death and disability. Patients with TBI in low and middle-income countries have worse outcomes than patients in high-income countries. We evaluated important clinical indicators associated with ... 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 · January 2017 BackgroundTraumatic 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 s ... Full text Open Access Cite

Is sport a context for fostering emancipation or colonization in the identity formation process?

Journal Article Revista de Psicologia del Deporte · January 1, 2017 This study analyzed the influence of sport on identity formation of 25 athletes through a semantic pattern and the life story characterization. Three groups characterized by the expression of their identity metamorphoses were identified. The first presente ... 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 · January 6, 2016 BackgroundRoad 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 ... Full text Open Access Link to item Cite

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

Journal Article PLoS One · 2016 Full text 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

Cross-cultural adaptation and psychometric properties of the Brazilian coach-athlete relationship questionnaire (CART-Q)-athlete Version

Journal Article Revista Brasileira de Cineantropometria e Desempenho Humano · January 1, 2015 The aim of this study was to test the psychometric properties of the Brazilian version of the Coach-Athlete Relationship Questionnaire (CART-Q)-Athlete Version. For this, three studies were performed. In the first, four translators and five experts in Spor ... Full text Cite

Impact of coach-athlete relationship on the collective efficacy of young volleyball players

Journal Article Revista Brasileira de Cineantropometria e Desempenho Humano · January 1, 2015 This study investigated the impact of the coach-athlete relationship (CAR) on the collective efficacy (CE) of young volleyball players. The sample consisted of 185 athletes from male and female teams participating in the Under-18 Parana Championship. The C ... Full text 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

Using linked data to evaluate the impact of research and development in Europe: A structural equation model

Conference Lecture Notes in Computer Science (including subseries Lecture Notes in Artificial Intelligence and Lecture Notes in Bioinformatics) · December 1, 2013 Europe has a high impact on the global biomedical literature, having contributed with a growing number of research articles and a significant citation impact. However, the impact of research and development generated by European countries on economic, educ ... Full text 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

Mood states and motor performance: A study with high performance voleybol athletes

Journal Article Revista Brasileira de Cineantropometria e Desempenho Humano · December 1, 2008 The objective of this research was to investigate the relationship between the sporting performance and mood states of high performance volleyball athletes. Twenty-three adult athletes of both sexes were assessed. The measurement instrument adopted was the ... Full text Cite

It's a matter of time: contemporary pre-hospital management of acute ST elevation myocardial infarction.

Journal Article Heart (British Cardiac Society) · December 2005 Full text Cite