The Brazilian Portuguese version was developed and the final version is suitable for use in Brazil.

Objetivo: desenvolver e validar um instrumento para avaliar o conhecimento de alunos de graduação em situações de emergência. Métodos: estudo metodológico que contemplou as seguintes etapas: levantamento bibliográfico, elaboração dos itens, validação de conteúdo por especialistas no assunto e representantes do público-alvo, análise das propriedades psicométricas do instrumento. Resultados: Construiu-se instrumento com trinta itens que apresentou índice de validade de conteúdo global de 0,80 pelos juízes e nível de concordância de 92% das respostas positivas pelos representantes do público-alvo. Os itens do instrumento apresentaram boa consistência interna (alfa de Cronbach=0,73) e, de maneira geral, uma distribuição homogênea considerando que os mesmos têm análises de comportamento independentes. Na análise apenas um item teve uma baixa discriminação. Conclusão: Desenvolveu-se um instrumento específico para avaliar intervenção destinada à capacitação de alunos de graduação em situações de emergência, com validade de conteúdo e desempenho psicométrico adequados.

OBJECTIVES: To describe and discuss a rare adverse reaction to drugs diagnosed in an elderly female patient after using levofloxacin and metronidazole: the DRESS syndrome (Drug Rash with Eosinophilia and Systemic Symptoms). CASE DESCRIPTION: A 77-year-old elderly woman was diagnosed with pneumonia. After undergoing treatment with metronidazole and levofloxacin, she developed pruritic skin lesions, eosinophilia, and fever. INVESTIGATIONS: We established a suspected diagnosis of levofloxacin-induced DRESS syndrome, and therefore we switched the antibiotics and then administered corticotherapy. The patient exhibited rapid and progressive improvement without damage to other organs. DIFFERENTIAL DIAGNOSIS: Conditions involving eosinophilia, drug hypersensitivity, and/or skin rash. COMMENTS: This syndrome is characterized by skin eruption, systemic symptoms, and eosinophilia. Although the patient did not meet all clinical criteria in the literature, the lack of consensus among authors means that a DRESS syndrome diagnosis could not be ruled out. The condition is rare, but clinicians should be alert to this diagnosis in aged individuals, given its severity and high risk of mortality. KEYWORDS: drug hypersensitivity syndrome; aged; levofloxacin. ABSTRACTOBJETIVOS: Descrever e discutir um efeito colateral incomum às drogas, diagnosticado em uma paciente idosa em uso de levofloxacino e metronidazol: a síndrome DRESS (Drug Rash with Eosinophilia and Systemic Symptoms). DESCRIÇÃO DO CASO: Uma idosa de 77 anos, diagnosticada com pneumonia, em tratamento com metronidazol e levofloxacino, desenvolveu lesões pruriginosas em pele, eosinofilia e febre. INVESTIGAÇÃO: Foi estabelecida a hipótese diagnóstica de síndrome DRESS induzida por levofloxacino e, portanto, foram trocados os antibióticos e administrada corticoterapia. Houve melhora rápida e progressiva, sem comprometimento de outros órgãos em todo o processo. DIAGNÓSTICO DIFERENCIAL: Condições envolvendo eosinofilia, reações adversas a drogas e/ou lesões cutâneas. COMENTÁRIOS: Esta síndrome é caracterizada por erupção cutânea, sintomas sistêmicos e eosinofilia. Apesar da paciente não preencher os critérios clínicos existentes na literatura, por não haver consenso entre os autores, não se pode descartar completamente o diagnóstico de síndrome DRESS. Apesar de incomum, é importante estar atento para esse diagnóstico em idosos, dado a gravidade e o alto risco de mortalidade. PALAVRAS-CHAVE: síndrome de hipersensibilidade a medicamentos; idoso; levofloxacino.

Objective: to create a scale for assessing the adherence of healthcare providers to good practices for COVID-19 in the hospital setting and determine its content and face validity. Methods: A methodological study was developed in three sequential phases: creation of items and domains based on a literature review and administration of the questionnaire to 16 nursing professionals; assessment of content and face validity by experts; and semantic analysis. Results: The 51-item scale was submitted to the evaluation of seven experts. Items with a content validity index ≥ 0.83 were maintained. During the semantic analysis performed by the administration of the scale to 37 healthcare providers, no suggestions for changes were made and the comprehension rate was 87%. Conclusions: the 47-item instrument with three dimensions (personal, organizational, and psychosocial) achieved satisfactory content and face validity, meeting the parameters established in the literature.

Purpose: As elderly population is increasing, prediction and prevention of functional decline in the elderly are of great concern. This study aimed to evaluate whether poor self-reported health status (SRHS) could predict functional decline after two years in the elderly population.Methods: Data from the KLoSA panel, a national representative sample of the aging Koreans, were used. Subjects of investigation were the elderly population aged 65 or more without disability in carrying out activities of daily living (ADL) at baseline. The survey asked respondents about their subjective health status. Setting the respondents who stated their health status 'very good' or 'good' as the reference group, multivariable logistic regression analysis was performed to compare functional decline according to the baseline SRHS.Results: A total of 2,824 subjects were included in the analysis. Among them, 138 (4.9 %) reported functional decline of at least one of the 7 ADL components after two years. In multivariable logistic regression analysis, SRHS was significantly associated with subsequent functional decline in respondents who chose 'Bad' (odds ratio (OR), 3.32; 95 % confidence interval (CI), 1.71 -6.44) or 'Very bad' (OR, 4.75; 95 % CI, 2.12 -10.66). Moreover, poorer SRHS was significantly associated with subsequent impairment in each ADL components. Also, SRHS predicted overall subsequent impairment in the instrumental ADL.Conclusions: SRHS predicted functional decline after two years in the elderly without baseline disabilities. SRHS can be a good predictor of future functional decline in the elderly population. Objectives: To describe the changes in activities of daily living (ADL) function occurring before, after hospital admission and discharge in inpatients elderly with medical illness and to assess the effect of frailty on loss of ADL function. LOSS OF INDEPENDENCE IN ACTIVITIES OF DAILY LIVING IN OLDER ADULTS HOSPITALIZEDDesign: Prospective observational study. Setting: Brazilian university hospital. Participants: One-hundred ninety-five patients (mean age 74 years, 59% men).Measurements: At the time of hospital admission, patients were interviewed about their independence in ADLs (Katz index) 2 weeks before admission (M0), at admission (M1), discharge (M2) and 15 days after discharge (M3) and about frailty (M0) (Cardiovascular Health Study index). Outcome measures included functional decline between M0-M1, between M0-M2, between M0-M3 and between M2-M3.Results: Eighteen percent of patients were dependent (Katz index < 3) and 38.4% were frailty in M0. The ADL function of 31% of the patients did not decline between M0-M2. Thirty-five percent declined between M0-M3. This included the 17.1% of patients who declined between M0-M1 and failed to recover to baseline function. Fifty-nine percent declined between M1-M2. Twenty -four percent recovered between M2-M3. Several studies report that basic motor abilities, including muscular strength and static and dynamic balance influence the risk of falls in elderly people. Howev...