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Article ; Online: Contribution of high-technology procedures to public healthcare expenditures: the case of ischemic heart disease in Portugal, 2002-2015.

Ma, Wenkang / Timóteo, Ana / Ribeiro, Vanessa / Mateus, Céu / Perelman, Julian

International journal of health economics and management

2024

Abstract: The magnitude of the impact of technological innovations on healthcare expenditure is unclear. This paper estimated the impact of high-technology procedures on public healthcare expenditure for patients with ischemic heart disease (IHD) in Portugal. The ... ...

Abstract	The magnitude of the impact of technological innovations on healthcare expenditure is unclear. This paper estimated the impact of high-technology procedures on public healthcare expenditure for patients with ischemic heart disease (IHD) in Portugal. The Blinder-Oaxaca decomposition method was applied to Portuguese NHS administrative data for IHD discharges during two periods, 2008-2015 vs. 2002-2007 (N = 434,870). We modelled per episode healthcare expenditures on the introduction of new technologies, adjusting for GDP, patient age, and comorbidities. The per episode healthcare expenditure was significantly higher in 2008-2015 compared to 2002-2007 for IHD discharges. The increase in the use of high-technology procedures contributed to 28.6% of this growth among all IHD patients, and to 18.4%, 6.8%, 11.1%, and 29.2% for acute myocardial infarction, unstable angina, stable angina, and other IHDs, respectively. Changes in the use of stents and embolic protection and/or coronary brachytherapy devices were the largest contributors to expenditure growth. High-technology procedures were confirmed as a key driver of public healthcare expenditure growth in Portugal, contributing to more than a quarter of this growth.
Language	English
Publishing date	2024-03-29
Publishing country	United States
Document type	Journal Article
ZDB-ID	2817492-6
ISSN	2199-9031 ; 2199-9023
ISSN (online)	2199-9031
ISSN	2199-9023
DOI	10.1007/s10754-024-09372-5
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Voice Disorder Classifications: A Scoping Review-Part B.

Constantini, Ana C / Ribeiro, Vanessa V / Behlau, Mara

Journal of voice : official journal of the Voice Foundation

2023

Abstract: The terminology and classification of voice disorders are complex topics. For this reason, developing a consensus in the scientific community regarding such a topic would bring a wide range of benefits to this field of study. The study is originally ... ...

Abstract	The terminology and classification of voice disorders are complex topics. For this reason, developing a consensus in the scientific community regarding such a topic would bring a wide range of benefits to this field of study. The study is originally divided into parts A and B, and part A explored general propositions of voice disorder classification systems. Now, Part B of this study explores the classification of voice disorders in specific conditions and diagnoses. A scoping review was performed after an electronic and manual search, resulting in the inclusion of 20 studies in Part B. The articles were published between 1993 and 2020, most of which originated from the United States. The specific conditions covered by the studies were muscle tension dysphonia (MTD), spasmodic dysphonia, dystonias, and psychogenic voice disorders, among others. The terminology used to refer to these conditions, especially when hyper-functional aspects of the larynx are involved also varied. Six studies proposed classification systems, while another 14 studies discussed classifications and/or stressed the need for additional studies regarding laryngeal conditions such as these. Among the studies that proposed classification methods, the number of groups varied between two and six, with MTD being the most studied condition. In conclusion, recent studies seek to reduce the number of classifying categories in voice disorders, despite understanding the specificity of wide-ranging clinical profiles. Disorder etiology is the foundation for these proposals. In Part B of this study, specific diagnoses of voice and laryngeal conditions are shown to be classified with a descriptive and visual approach, such as an examination of the larynx. Technological evolution can improve voice and laryngeal semiotics and lead to more automated classification of voice disorders.
Language	English
Publishing date	2023-09-02
Publishing country	United States
Document type	Journal Article ; Review
ZDB-ID	17459-2
ISSN	1873-4588 ; 1557-8658 ; 0892-1997
ISSN (online)	1873-4588 ; 1557-8658
ISSN	0892-1997
DOI	10.1016/j.jvoice.2023.07.012
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Article ; Online: Mapping of the characteristics in the CoDAS journal publications in the voice area: a scoping review.

Chamun, Walter Williams Albrechet / Ribeiro, Vanessa Veis / Madazio, Glaucya / Behlau, Mara

CoDAS

2023 Volume 35, Issue 3, Page(s) e20220088

Abstract: Purpose: To map and describe the characteristics present in the publications of the CoDAS journal in the voice segment.: Research strategies: The research was carried on the Scielo database using the descriptor voice.: Selection criteria: CoDAS ... ...

Title translation	Mapeamento das características das publicações da revista CoDAS na área de voz: uma revisão de escopo.
Abstract	Purpose: To map and describe the characteristics present in the publications of the CoDAS journal in the voice segment. Research strategies: The research was carried on the Scielo database using the descriptor voice. Selection criteria: CoDAS publications in the field of voice. Data analysis: Specific data collected according to delineation, summarized by descriptive analysis and analyzed in narrative format. Results: Studies published in 2019 and with cross-sectional delineation were more frequent. The most frequent result in the cross-sectional studies was the vocal self-assessment. Most intervention studies were of immediate single-session-only effect. The most frequent procedures in the validation studies were translation and transcultural adaptation. Conclusion: There was a gradual increase in the number of publications of voice studies, though these had heterogeneous characteristics.
MeSH term(s)	Humans ; Voice Quality ; Cross-Sectional Studies ; Voice ; Voice Disorders ; Self-Assessment
Language	English
Publishing date	2023-06-05
Publishing country	Brazil
Document type	Review ; Journal Article
ISSN	2317-1782
ISSN (online)	2317-1782
DOI	10.1590/2317-1782/20232022088pt
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Article ; Online: Cross-cultural adaptation of the Dysphonia Screening Tool (DST-Br) for European Portuguese (EP).

Correia, Cláudia / Ribeiro, Vanessa Veis / Silva, Priscila Oliveira Costa / Behlau, Mara

CoDAS

2023 Volume 36, Issue 2, Page(s) e20230080

Abstract: Purpose: To perform a cross-cultural adaptation of the Brazilian Dysphonia Screening Tool (DST-Br) for European Portuguese (EP).: Methods: The cross-cultural adaptation of the DST-Br for EP was carried out in four stages: translation, back- ... ...

Title translation	Adaptação transcultural do Instrumento de Rastreio para a Disfonia (IRD-Br) para o Português Europeu (PE).
Abstract	Purpose: To perform a cross-cultural adaptation of the Brazilian Dysphonia Screening Tool (DST-Br) for European Portuguese (EP). Methods: The cross-cultural adaptation of the DST-Br for EP was carried out in four stages: translation, back-translation, expert committee review, and pre-testing. The pre-testing involved 30 dysphonic individuals (24 women and 6 men) aged between 18 and 87 years old. Results: An additional statement was required in the EP version of the instrument. Disagreement in the back-translation of the title was resolved through an expert committee review. One item presented discrepancies in the translation and back-translation, with the final version determined through an expert committee review. One item and the answer key reached a consensus in all stages. During pre-testing, all items received 100% "yes" or "no" responses, and none were marked as "not applicable". Conclusion: The cross-cultural adaptation of DST-Br for use in EP was successfully carried out. The European Portuguese version of the instrument was named the Instrumento de Rastreio para a Disfonia em português europeu (IRD-PT) / Dysphonia Screening Tool in European Portuguese.
MeSH term(s)	Male ; Humans ; Female ; Adolescent ; Young Adult ; Adult ; Middle Aged ; Aged ; Aged, 80 and over ; Cross-Cultural Comparison ; Dysphonia/diagnosis ; Surveys and Questionnaires ; Portugal ; Translations ; Brazil
Language	English
Publishing date	2023-12-18
Publishing country	Brazil
Document type	Journal Article
ISSN	2317-1782
ISSN (online)	2317-1782
DOI	10.1590/2317-1782/20232023080pt
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Article ; Online: Reliability of Vocal Self-assessment Tools in Individuals With Vocal Complaints Applied Using a Digital Platform and In-person.

da Rocha, Luise Marques / Ribeiro, Vanessa Veis / Zambon, Fabiana / Behlau, Mara

Journal of voice : official journal of the Voice Foundation

2023

Abstract: Objective: To verify the reliability of vocal self-assessment tools in individuals with vocal complaints using a digital platform and in-person.: Methods: Data from 50 Brazilian adults with vocal complaints were collected. The participants answered ... ...

Abstract	Objective: To verify the reliability of vocal self-assessment tools in individuals with vocal complaints using a digital platform and in-person. Methods: Data from 50 Brazilian adults with vocal complaints were collected. The participants answered the Voice Symptoms Scale (VoiSS), the Voice Handicap Index - 10 (VHI-10), and questions regarding personal information and their general health. The data collection occurred in two moments, within a period of 2-14 days, with time variation between participants, and always in the same collection order: 1. using a digital platform (Google Forms); 2. In-person. The data were analyzed descriptively and inferentially using the SPSS 25.0 software and the Wilcoxon Test. Results: The self-perception of vocal symptoms in the Emotional factors for women presented a statistical difference between the digital platform and the in-person response (P = 0.029); higher scores were observed when answers were given in-person compared to using a digital platform. Conclusion: Overall, the participants perceived their voice symptoms and voice handicap similarly when answers were given using a digital platform and in-person. The Emotion voice symptoms in women were the only exception, although remaining deviated; however, the perception of the symptoms may have been attenuated during the in-person care.
Language	English
Publishing date	2023-06-19
Publishing country	United States
Document type	Journal Article
ZDB-ID	17459-2
ISSN	1873-4588 ; 1557-8658 ; 0892-1997
ISSN (online)	1873-4588 ; 1557-8658
ISSN	0892-1997
DOI	10.1016/j.jvoice.2023.04.014
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Article ; Online: Voice Disorder Classifications: A Scoping Review - Part A.

Constantini, Ana Carolina / Ribeiro, Vanessa Veis / Behlau, Mara

Journal of voice : official journal of the Voice Foundation

2022

Abstract: Voice is a complex and multidimensional phenomenon of interest to different disciplines. Divergent terminologies and, consequently, classification systems constitute, historically, a difficulty in this field of knowledge, which limits communication ... ...

Abstract	Voice is a complex and multidimensional phenomenon of interest to different disciplines. Divergent terminologies and, consequently, classification systems constitute, historically, a difficulty in this field of knowledge, which limits communication between professionals from different countries, backgrounds, and clinical experiences, and well as limiting clinical management and discussion of scientific research findings. This article aims to map and analyze the different diagnostic classifications in voice by describing the findings of a scoping review, consisting of both electronic and manual searches. The results are presented in two parts. In Part A of this article, we explore propositions for comprehensive diagnostic classifications, which involve theoretical frameworks for the constitution of each proposal. The included studies were classified as either articles with theoretical propositions, called G1, or articles using automated computerized classification systems called G2. A total of 44 articles were included: 27 in G1 and 17 in G2. In G1, we found studies from 1947 to 2021, most of which were from the USA, the authors having created theoretical propositions on the subject, considering mainly the etiology of vocal disorder. In G2, we found studies from 2009 onwards, emphasizing automated extraction of acoustic measurements and machine learning to create classification systems. G1 shows the propositions of classifications ranging from two to 11 main groups, each with possible subgroups. In G2, the classifications ranged from four to seven groups, showing preference to distinguish them by descriptions of laryngeal conditions. Conclusion: There is limited convergence between the different theoretical classifications, which is highlighted by the need to create different subgroups, or categories, to include different vocal disorders. The studies with a computerized approach reduce this variability to a certain extent; however, although promising, they should consider theoretical foundations in the proposition of classifications to be applicable to clinical setting.
Language	English
Publishing date	2022-12-03
Publishing country	United States
Document type	Journal Article ; Review
ZDB-ID	17459-2
ISSN	1873-4588 ; 1557-8658 ; 0892-1997
ISSN (online)	1873-4588 ; 1557-8658
ISSN	0892-1997
DOI	10.1016/j.jvoice.2022.11.016
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Article ; Online: NFIXing Cancer: The Role of NFIX in Oxidative Stress Response and Cell Fate.

Ribeiro, Vanessa / Martins, Susana G / Lopes, Ana Sofia / Thorsteinsdóttir, Sólveig / Zilhão, Rita / Carlos, Ana Rita

International journal of molecular sciences

2023 Volume 24, Issue 5

Abstract: NFIX, a member of the nuclear factor I (NFI) family of transcription factors, is known to be involved in muscle and central nervous system embryonic development. However, its expression in adults is limited. Similar to other developmental transcription ... ...

Abstract	NFIX, a member of the nuclear factor I (NFI) family of transcription factors, is known to be involved in muscle and central nervous system embryonic development. However, its expression in adults is limited. Similar to other developmental transcription factors, NFIX has been found to be altered in tumors, often promoting pro-tumorigenic functions, such as leading to proliferation, differentiation, and migration. However, some studies suggest that NFIX can also have a tumor suppressor role, indicating a complex and cancer-type dependent role of NFIX. This complexity may be linked to the multiple processes at play in regulating NFIX, which include transcriptional, post-transcriptional, and post-translational processes. Moreover, other features of NFIX, including its ability to interact with different NFI members to form homodimers or heterodimers, therefore allowing the transcription of different target genes, and its ability to sense oxidative stress, can also modulate its function. In this review, we examine different aspects of NFIX regulation, first in development and then in cancer, highlighting the important role of NFIX in oxidative stress and cell fate regulation in tumors. Moreover, we propose different mechanisms through which oxidative stress regulates NFIX transcription and function, underlining NFIX as a key factor for tumorigenesis.
MeSH term(s)	Humans ; Cell Differentiation/physiology ; Neoplasms ; NFI Transcription Factors/metabolism ; Oxidative Stress
Chemical Substances	NFI Transcription Factors ; NFIX protein, human
Language	English
Publishing date	2023-02-21
Publishing country	Switzerland
Document type	Journal Article ; Review
ZDB-ID	2019364-6
ISSN	1422-0067 ; 1422-0067 ; 1661-6596
ISSN (online)	1422-0067
ISSN	1422-0067 ; 1661-6596
DOI	10.3390/ijms24054293
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Presentation of the Therapy Program for Management of Chronic Cough.

Ribeiro, Vanessa Veis / Lopes, Leonardo Wanderley / Behlau, Mara

CoDAS

2021 Volume 33, Issue 3, Page(s) e20200057

Abstract: Purpose: To present a proposal for speech-language pathology rehabilitation called the Therapy Program for Management of Chronic Cough (TMCC) for the treatment of refractory chronic cough.: Methods: TMCC was developed based on two stages: literature ... ...

Title translation	Apresentação do Programa de Terapia para Manejo da Tosse Crônica.
Abstract	Purpose: To present a proposal for speech-language pathology rehabilitation called the Therapy Program for Management of Chronic Cough (TMCC) for the treatment of refractory chronic cough. Methods: TMCC was developed based on two stages: literature and clinical analysis. The literature analysis stage was carried out through the following procedures: electronic and manual search for articles and books published until June 2019 that included adult participants with chronic cough and intervention with speech-language pathology therapy; selection of sources; analysis of articles and books included; and, preparation of the initial version of the therapy program. The initial version of the therapy program resulting from literature analysis stage was submitted to clinical analysis stage through the following procedures: analysis by three judges; revision of the proposal by the authors; judges' re-analysis; elaboration of the final version called the Therapy Program for Management of Chronic Cough (TMCC). Results: TMCC synthesizes scientific knowledge and current clinical experience on the behavioral management of refractory chronic cough into a program with three main components, each one with specific objectives and strategies. TMCC consists of four sessions, with weekly frequency and duration between 30-45 minutes per session, executed in hierarchical phases, with specific objectives and strategies per session. Conclusion: TMCC is a program structured to offer global cough rehabilitation. To obtain scientific evidence about its effectiveness is necessary, so that it can be used in clinical practice.
MeSH term(s)	Adult ; Chronic Disease ; Cough/therapy ; Humans ; Speech Therapy ; Speech-Language Pathology
Language	English
Publishing date	2021-05-31
Publishing country	Brazil
Document type	Journal Article
ISSN	2317-1782
ISSN (online)	2317-1782
DOI	10.1590/2317-1782/20202020057
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Article ; Online: Validation of the Questionnaire "Knowledge, Attitudes and Practices" in populations of pregnant women exposed to pesticides.

Cassol, Karlla / Magni, Cristiana / Ribeiro, Vanessa Veis / Mondelli, Maria Fernanda Capoani Garcia / Lopes, Andrea Cintra

CoDAS

2023 Volume 35, Issue 3, Page(s) e20210285

Abstract: Purpose: to validate the CAP questionnaire in populations of pregnant women exposed to pesticides in the State of Paraná.: Methods: 382 pregnant women participated in the study, divided into two groups: Exposed to Pesticides (n = 320) and Not Exposed ...

Title translation	Validação do Questionário “Conhecimento, Atitudes e Práticas” em populações de gestantes expostas a agrotóxicos.
Abstract	Purpose: to validate the CAP questionnaire in populations of pregnant women exposed to pesticides in the State of Paraná. Methods: 382 pregnant women participated in the study, divided into two groups: Exposed to Pesticides (n = 320) and Not Exposed (n = 62). The validation process involved the validity of content, criteria and construct. The research stages were developed between August / 2018 to December / 2019 in the western and central-western regions of Paraná. Results: the instrument demonstrated an acceptable agreement on the content validity through the evaluation of judges; the criterion validity through the established criterion showed no association; in the analysis of construct validity using the technique of known groups, it demonstrated homogeneity in the variables age, nationality and family income. Conclusion: the developed analysis indicated that the psychometric properties of the validation of the Brazilian version of the scale are consistent and adequate, which allows the recommendation of the application of the instrument in a national context.
MeSH term(s)	Humans ; Female ; Pregnancy ; Pregnant Women ; Health Knowledge, Attitudes, Practice ; Pesticides ; Reproducibility of Results ; Surveys and Questionnaires ; Psychometrics/methods
Chemical Substances	Pesticides
Language	English
Publishing date	2023-06-26
Publishing country	Brazil
Document type	Journal Article
ISSN	2317-1782
ISSN (online)	2317-1782
DOI	10.1590/2317-1782/20212021285pt
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Tosse Crônica e Fonoaudiologia.

Dornelas, Rodrigo / Ribeiro, Vanessa Veis / Behlau, Mara

CoDAS

2021 Volume 34, Issue 1, Page(s) e20210127

Title translation	Tosse Crônica e Fonoaudiologia.
Language	Portuguese
Publishing date	2021-10-29
Publishing country	Brazil
Document type	Letter
ISSN	2317-1782
ISSN (online)	2317-1782
DOI	10.1590/2317-1782/20212021127
Database	MEDical Literature Analysis and Retrieval System OnLINE

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