Affectively rated image databases have their main application in studies that require inducing distinct stimuli on subjects. Widespread databases are designed to cover a broad range of stimuli, from negative to positive (valence), and relaxed to excited (arousal). The availability of narrow domain databases, designed to cover and thoroughly analyze a few categories of images that induce a particular stimulus, is limited. We present a narrow domain affective database with positive images, named e-Nature Positive Emotions Photography Database (e-NatPOEM), consisting of 433 high-quality images produced by professional and amateur photographers. A total of 739 participants evaluated them using a web-based tool to input valence-arousal values and a single word describing the evoked feeling. Ratings per image ranged from 36 to 108, median: 57; first/third quartiles: 56/59. 84% of the images presented valence > middle of the scale and arousal < middle of the scale. Words describing the images were classified into semantical groups, being predominant: Peace/tranquility (39% of all words), Beauty (23%), and Positive states (15%). e-NatPOEM is free and publicly available, it is a valid resource for affective research, and presents the potential for clinical use to assist positive emotions promotion.

Facing critical situations such as the ones triggered by COVID-19 may take healthcare professionals to confront their psychological resources, which may induce a higher stress level. We aimed to understand the feelings experienced by nurses, physiotherapists, and medical doctors in a field hospital dedicated to patients with COVID-19 in the biggest city of Brazil. Methods: We performed a qualitative study in a state field hospital in São Paulo city, Brazil, in a sample of 25 volunteer healthcare professionals. Participants answered to a sociodemographic electronic survey and were subjected to an individual semi-structured on-site interview. Results: Participants were mostly female (68%), comprised eight nurses, eight physiotherapists, and nine medical doctors, had an average age of 36.8 years, and were professionally experienced. Speech analysis revealed two thematic categories (related to work and assistance in the pandemic) and 11 subcategories: adaptation to the scenario, stressing experience, psychological support, difficulties with workwear, safety with workwear, non-verbal communication, empathy, patient comfort, outstanding experiences, major challenges, and teamwork. Conclusion: Nurses, physiotherapists, and medical doctors' experiences while working in the field hospital were permeated by both positive and negative feelings. Those feelings originated directly from the fear of the unknown when dealing with a new disease without well-established scientific evidence, the use of medical workwear for long periods, and communication and environmental difficulties. In contrast, positive feelings, related to teamwork and empathy, arose and overlapped with the difficulties.

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ObjectiveTwin pregnancy is currently an exclusion criterion for the prenatal repair of open spina bifida. The objective of this study was to report our experience in the treatment of twin pregnancies using the SAFER technique for repair. We also discuss the rationale of currently exclusion criteria for fetal spina bifida repair.MethodsWe have successfully repaired eight affected fetuses in seven twin pregnancies. Six were dichorionic with only one twin affected, and one was monochorionic with both twins affected. Percutaneous fetoscopy was performed under CO2 insufflation in the sac of the affected twin. Neurosurgical repair was performed using a biocellulose patch to protect the placode and skin suture to hold the patch in place, with or without a myofascial flap. Neurodevelopment was assessed by the PEDI scale in babies older than 6 months and Alberta scale below 6 months of corrected age.ResultsFourteen fetuses were liveborn, of which eight presented open spina bifida. None required any additional repair. Gestational age at surgery varied from 27.3 to 31.1 weeks and gestational age at birth varied from 31.6 to 36.0 weeks. Sequalae of prematurity was not found in any of the unaffected twins and their short‐term neurodevelopment was normal, assessed at a median chronological age of 12.5 (interquartile range, 2.7‐18.1) months. In the affected group, only one baby had a ventricle‐peritoneal shunt placed.ConclusionsPrematurity is frequent after fetal surgery, and the risk is increased in twin pregnancies. Nevertheless, prenatal surgery using the SAFER technique is feasible with low risk to both twins and their mother, when performed by a highly experienced team. Long‐term cognitive assessment of the unaffected twin is needed.This article is protected by copyright. All rights reserved.