EDNA MARIA DE ALBUQUERQUE DINIZ

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Departamento de Pediatria, Faculdade de Medicina - Docente
Instituto da Criança, Hospital das Clínicas, Faculdade de Medicina - Médico
LIM/36 - Laboratório de Pediatria Clínica, Hospital das Clínicas, Faculdade de Medicina

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  • article 14 Citação(ões) na Scopus
    EVALUATION OF USABILITY OF A NEONATAL HEALTH INFORMATION SYSTEM ACCORDING TO THE USER’S PERCEPTION
    (2018) PADRINI-ANDRADE, Lucio; BALDA, Rita de Cássia Xavier; ARECO, Kelsy Catherina Nema; BANDIERA-PAIVA, Paulo; NUNES, Marynéa do Vale; MARBA, Sérgio Tadeu Martins; CARVALHO, Werther Brunow de; RUGOLO, Ligia Maria Suppo de Souza; ALMEIDA, João Henrique Carvalho de; PROCIANOY, Renato Soibelmann; DUARTE, José Luiz Muniz Bandeira; REGO, Maria Albertina Santiago; FERREIRA, Daniela Marques de Lima Mota; ALVES FILHO, Navantino; GUINSBURG, Ruth; DINIZ, Edna Maria de Albuquerque; SANTOS, Juliana Paula Ferraz dos; TESTONI, Daniela; SILVA, Nathalia Moura de Mello e; GONZALES, Maria Rafaela Conde; SILVA, Regina Vieira Cavalcante da; MENESES, Jucille; GONÇALVES-FERRI, Walusa Assad; PERUSSI-E-SILVA, Ricardo; BOMFIM, Olga
    ABSTRACT Objective: To measure the level of satisfaction regarding the usability of a neonatal health information system and identify if demographic factors can influence the usability of a health information system. Methods: A cross-sectional, exploratory study was carried out with a convenience sample of 50 users of the Brazilian Neonatal Research Network. The instrument chosen for the usability evaluation was the System Usability Scale between February and March 2017. The statistical analysis of the collected variables was carried out in order to describe the sample, to quantify the level of satisfaction of the users and to identify the variables associated with the level of satisfaction. Results: The female gender represented 75% of the sample. The mean age was 52.8 years; 58% had a doctoral degree, average time of graduation was 17 years, with area of practice in medicine (neonatology), with intermediate knowledge in computer science (74%) and mean system use time of 52 months. Regarding usability, 94% rated the system as “good”, “excellent” or “better than imaginable”. The usability of the system was not associated with age, gender, education, profession, area of practice, knowledge in computer science and time of system use. Conclusion: The level of satisfaction of the computerized health system user was considered good. No demographic factors were associated with the satisfaction of the users.
  • article 44 Citação(ões) na Scopus
    T-piece versus self-inflating bag ventilation in preterm neonates at birth
    (2018) GUINSBURG, Ruth; ALMEIDA, Maria Fernanda Branco de; CASTRO, Junia Sampel de; GONCALVES-FERRI, Walusa Assad; MARQUES, Patricia Franco; CALDAS, Jamil Pedro Siqueira; KREBS, Vera Lucia Jornada; RUGOLO, Ligia Maria Suppo de Souza; ALMEIDA, Joao Henrique Carvalho Leme de; LUZ, Jorge Hecker; PROCIANOY, Renato S.; DUARTE, Jose Luiz Muniz Bandeira; PENIDO, Marcia Gomes; FERREIRA, Daniela Marques de Lima Mota; FILHO, Navantino Alves; DINIZ, Edna Maria de Albuquerque; SANTOS, Juliana Paula; ACQUESTA, Ana Lucia; SANTOS, Cristina Nunes dos; GONZALEZ, Maria Rafaela Conde; SILVA, Regina P. G. Vieira Cavalcanti da; MENESES, Jucile; LOPES, Jose Maria de Andrade; MARTINEZ, Francisco Eulogio
    Objective To verify whether the use of the T-piece resuscitator compared with the self-inflating bag in preterm infants ventilated at birth modifies survival to hospital discharge without major morbidities. Design Pragmatic prospective cohort study. Setting 20 Brazilian university hospitals of Brazilian Network on Neonatal Research. Patients were 1962 inborn infants in 2014-2015 ventilated at birth with 23-33' weeks gestation and birth weight 400-1499 g without malformations. Patients transferred until the 27th day after birth were excluded. Interventions Positive pressure ventilation at birth with T-piece resuscitator or self-inflating bag without positive end expiratory pressure valve. Intervention with ventilation followed the Brazilian Society of Pediatrics guidelines. The choice of the equipment was at the neonatologist's discretion in each delivery. The main outcome measures were survival to hospital discharge without bronchopulmonary dysplasia, severe peri-intraventricular haemorrhage and periventricular leucomalada. Logistic regression adjusted for confounding variables was applied for main outcome. Results 1456 (74%) were only ventilated with T-piece resuscitator and 506 (26%) with the self-inflating bag. The characteristics of those ventilated with T-Piece resuscitator versus self-inflating bag were birth weight 969 +/- 277 vs 941 +/- 279 g, gestational age 28.2 +/- 2.5 vs 27.8 +/- 2.7 weeks and survival to hospital discharge without major morbidities 47% vs 35%, Logistic regression adjusted for maternal characteristics, obstetric and neonatal morbidities showed that the T-piece resuscitator increased the chance of survival to hospital discharge without major morbidities (OR=1.38; 95% Cl 1.06 to 1.80; Hosmer-Lemeshow goodness of fit: 0.695). Conclusion This study is the first that highlights the effectiveness of T-piece resuscitator ventilation in improving relevant outcomes in preterm neonates.
  • article 8 Citação(ões) na Scopus
    Assessment of oxidative damage and enzymatic antioxidant system activity on the umbilical cord blood and saliva from preterm newborns with risk factors for early-onset neonatal sepsis
    (2018) COUTINHO, Fabio Goncalves; DINIZ, Edna Maria de Albuquerque; KANDLER, Ingrid; CIANCIARULLO, Marco Antonio; SANTOS, Natalia Rodrigues dos
    BACKGROUND: To determine the concentration of the Lipid Peroxidation Marker: Malondialdehyde (MDA), and Antioxidant Markers: Superoxide Dismutase (SOD), Glutathione Peroxidase (GPX), Catalase (CAL) in umbilical cord blood and in unstimulated saliva in the first 24 and 48 hours of life in the PTNB of mothers with and without risk factors for early-onset neonatal sepsis. METHODS: Cross-sectional study with the signing of informed consent by the pregnant women and application of a standard questionnaire classifying the PTNB in Group 1 or 2. RESULTS: Twenty-one PTNB were studied. Regarding gender, birth weight, need for oxygen, use of phototherapy, diagnosis of assumed sepsis, presence of fetal distress, number of pregnancies, type of delivery, use of corticosteroids, premature rupture of membranes, maternal fever, chorioamnionitis, APGAR at the 5th and 10th minute of life. Statistical analysis was performed with the Mann-Whitney test (p = 0.019) on the GPX variable of umbilical cord blood in the group of mothers with risk factors for early-onset neonatal sepsis. There was no statistical difference in the MDA, SOD, and CAT variables of the group with risk factors and in any variable of the group without risk factors. CONCLUSION: There was an increase of the GPX concentration in the blood from the umbilical vein in the group with risk factors for early-onset neonatal sepsis. There was no statistical significance in the comparison of saliva and umbilical cord blood. There was no statistically significant difference in MDA, SOD, CAT.