array:22 [
  "pii" => "S2666275224001851"
  "issn" => "26662752"
  "doi" => "10.1016/j.abdp.2024.07.030"
  "estado" => "S300"
  "fechaPublicacion" => "2024-11-01"
  "aid" => "1012"
  "copyrightAnyo" => "2024"
  "documento" => "simple-article"
  "crossmark" => 1
  "subdocumento" => "crp"
  "abierto" => array:3 [
    "ES" => false
    "ES2" => false
    "LATM" => false
  ]
  "gratuito" => false
  "lecturas" => array:1 [
    "total" => 0
  ]
  "Traduccion" => array:1 [
    "en" => array:17 [
      "pii" => "S0365059624001715"
      "issn" => "03650596"
      "doi" => "10.1016/j.abd.2024.02.005"
      "estado" => "S300"
      "fechaPublicacion" => "2024-11-01"
      "aid" => "1012"
      "documento" => "simple-article"
      "crossmark" => 1
      "subdocumento" => "crp"
      "abierto" => array:3 [
        "ES" => false
        "ES2" => false
        "LATM" => false
      ]
      "gratuito" => false
      "lecturas" => array:1 [
        "total" => 0
      ]
      "en" => array:10 [
        "idiomaDefecto" => true
        "cabecera" => "<span class="elsevierStyleTextfn">Letter - Research</span>"
        "titulo" => "Translation&#44; cultural adaptation&#44; and validation of the Family Dermatology Life Quality Index instrument into the Brazilian Portuguese language &#40;FDLQI-BRA&#41;"
        "tienePdf" => "en"
        "tieneTextoCompleto" => "en"
        "paginas" => array:1 [
          0 => array:2 [
            "paginaInicial" => "939"
            "paginaFinal" => "942"
          ]
        ]
        "contieneTextoCompleto" => array:1 [
          "en" => true
        ]
        "contienePdf" => array:1 [
          "en" => true
        ]
        "resumenGrafico" => array:2 [
          "original" => 0
          "multimedia" => array:8 [
            "identificador" => "fig0005"
            "etiqueta" => "Fig&#46; 1"
            "tipo" => "MULTIMEDIAFIGURA"
            "mostrarFloat" => true
            "mostrarDisplay" => false
            "figura" => array:1 [
              0 => array:4 [
                "imagen" => "gr1.jpeg"
                "Alto" => 1234
                "Ancho" => 2508
                "Tamanyo" => 221877
              ]
            ]
            "detalles" => array:1 [
              0 => array:3 [
                "identificador" => "at0005"
                "detalle" => "Fig&#46; "
                "rol" => "short"
              ]
            ]
            "descripcion" => array:1 [
              "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Distribution of the Brazilian Portuguese version of the Family Dermatology Life Quality Index scores in each item &#40;n&#160;&#61;&#160;111&#41;&#46;</p>"
            ]
          ]
        ]
        "autores" => array:1 [
          0 => array:2 [
            "autoresLista" => "Maria Laura Malzoni Souza, H&#233;lio Amante Miot, Jos&#233; Eduardo Martinez"
            "autores" => array:3 [
              0 => array:2 [
                "nombre" => "Maria Laura Malzoni"
                "apellidos" => "Souza"
              ]
              1 => array:2 [
                "nombre" => "H&#233;lio Amante"
                "apellidos" => "Miot"
              ]
              2 => array:2 [
                "nombre" => "Jos&#233; Eduardo"
                "apellidos" => "Martinez"
              ]
            ]
          ]
        ]
      ]
      "idiomaDefecto" => "en"
      "Traduccion" => array:1 [
        "pt" => array:9 [
          "pii" => "S2666275224001851"
          "doi" => "10.1016/j.abdp.2024.07.030"
          "estado" => "S300"
          "subdocumento" => ""
          "abierto" => array:3 [
            "ES" => false
            "ES2" => false
            "LATM" => false
          ]
          "gratuito" => false
          "lecturas" => array:1 [
            "total" => 0
          ]
          "idiomaDefecto" => "pt"
          "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2666275224001851?idApp=UINPBA00008Z"
        ]
      ]
      "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0365059624001715?idApp=UINPBA00008Z"
      "url" => "/03650596/0000009900000006/v1_202410230911/S0365059624001715/v1_202410230911/en/main.assets"
    ]
  ]
  "itemSiguiente" => array:18 [
    "pii" => "S266627522400184X"
    "issn" => "26662752"
    "doi" => "10.1016/j.abdp.2024.07.029"
    "estado" => "S300"
    "fechaPublicacion" => "2024-11-01"
    "aid" => "1011"
    "copyright" => "Sociedade Brasileira de Dermatologia"
    "documento" => "simple-article"
    "crossmark" => 1
    "subdocumento" => "crp"
    "abierto" => array:3 [
      "ES" => false
      "ES2" => false
      "LATM" => false
    ]
    "gratuito" => false
    "lecturas" => array:1 [
      "total" => 0
    ]
    "pt" => array:10 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Cartas &#8208; Investiga&#231;&#227;o</span>"
      "titulo" => "Avalia&#231;&#227;o do tratamento de malforma&#231;&#245;es vasculares cut&#226;neas capilares e venosas com uso do <span class="elsevierStyleItalic">laser</span> Nd&#58;YAG de pulso longo 1064<span class="elsevierStyleHsp" style=""></span>nm e da luz intensa pulsada"
      "tienePdf" => "pt"
      "tieneTextoCompleto" => "pt"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "942"
          "paginaFinal" => "945"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "pt" => true
      ]
      "contienePdf" => array:1 [
        "pt" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:7 [
          "identificador" => "fig0005"
          "etiqueta" => "Figura 1"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "gr1.jpeg"
              "Alto" => 1650
              "Ancho" => 2508
              "Tamanyo" => 567427
            ]
          ]
          "descripcion" => array:1 [
            "pt" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Paciente com clareamento<span class="elsevierStyleHsp" style=""></span>&#62; 75&#37; antes &#40;A&#41; e ap&#243;s &#40;B&#41; a realiza&#231;&#227;o de nove sess&#245;es de <span class="elsevierStyleItalic">laser</span> Nd&#58;YAG 1064<span class="elsevierStyleHsp" style=""></span>nm de pulso longo associado &#224; luz intensa pulsada&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Ludmilla Cardoso Gomes, Mariana Figueiroa Careta, Isabelle I&#46; Hue Wu, Vivian Barzi Loureiro, Lu&#237;s Antonio Ribeiro Torezan"
          "autores" => array:5 [
            0 => array:2 [
              "nombre" => "Ludmilla Cardoso"
              "apellidos" => "Gomes"
            ]
            1 => array:2 [
              "nombre" => "Mariana Figueiroa"
              "apellidos" => "Careta"
            ]
            2 => array:2 [
              "nombre" => "Isabelle I&#46; Hue"
              "apellidos" => "Wu"
            ]
            3 => array:2 [
              "nombre" => "Vivian Barzi"
              "apellidos" => "Loureiro"
            ]
            4 => array:2 [
              "nombre" => "Lu&#237;s Antonio Ribeiro"
              "apellidos" => "Torezan"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "pt"
    "Traduccion" => array:1 [
      "en" => array:9 [
        "pii" => "S0365059624001703"
        "doi" => "10.1016/j.abd.2023.12.009"
        "estado" => "S300"
        "subdocumento" => ""
        "abierto" => array:3 [
          "ES" => false
          "ES2" => false
          "LATM" => false
        ]
        "gratuito" => false
        "lecturas" => array:1 [
          "total" => 0
        ]
        "idiomaDefecto" => "en"
        "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0365059624001703?idApp=UINPBA00008Z"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S266627522400184X?idApp=UINPBA00008Z"
    "url" => "/26662752/0000009900000006/v1_202410301154/S266627522400184X/v1_202410301154/pt/main.assets"
  ]
  "itemAnterior" => array:18 [
    "pii" => "S2666275224001875"
    "issn" => "26662752"
    "doi" => "10.1016/j.abdp.2024.07.032"
    "estado" => "S300"
    "fechaPublicacion" => "2024-11-01"
    "aid" => "1014"
    "copyright" => "Sociedade Brasileira de Dermatologia"
    "documento" => "simple-article"
    "crossmark" => 1
    "subdocumento" => "crp"
    "abierto" => array:3 [
      "ES" => false
      "ES2" => false
      "LATM" => false
    ]
    "gratuito" => false
    "lecturas" => array:1 [
      "total" => 0
    ]
    "pt" => array:10 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Cartas &#8208; Investiga&#231;&#227;o</span>"
      "titulo" => "Carcinoma ductal &#233;crino escamoide&#58; s&#233;rie de cinco casos de tumor raro"
      "tienePdf" => "pt"
      "tieneTextoCompleto" => "pt"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "936"
          "paginaFinal" => "939"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "pt" => true
      ]
      "contienePdf" => array:1 [
        "pt" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:7 [
          "identificador" => "fig0005"
          "etiqueta" => "Figura 1"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "gr1.jpeg"
              "Alto" => 1716
              "Ancho" => 2508
              "Tamanyo" => 762670
            ]
          ]
          "descripcion" => array:1 [
            "pt" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Histopatologia&#46; &#40;A&#41; Corte histol&#243;gico evidenciando tumor com crescimento infiltrativo invadindo a derme profunda &#40;Hematoxilina &#38; eosina&#44; 4<span class="elsevierStyleHsp" style=""></span>&#215;<span class="elsevierStyleHsp" style=""></span>&#41;&#46; &#40;B&#41; Diferencia&#231;&#227;o escamosa nas por&#231;&#245;es mais superficiais &#40;Hematoxilina &#38; eosina&#44; 20<span class="elsevierStyleHsp" style=""></span>&#215;<span class="elsevierStyleHsp" style=""></span>&#41;&#46; &#40;C&#41; Diferencia&#231;&#227;o ductal &#233;crina na profundidade do tumor &#40;Hematoxilina &#38; eosina&#44; 10<span class="elsevierStyleHsp" style=""></span>&#215;<span class="elsevierStyleHsp" style=""></span>&#41;&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Cec&#237;lia Mirelle Almeida Honorato, Giovanna Gelli Carrascoza, Nubia Marrer Abed, Fernanda Gon&#231;alves Moya"
          "autores" => array:4 [
            0 => array:2 [
              "nombre" => "Cec&#237;lia Mirelle Almeida"
              "apellidos" => "Honorato"
            ]
            1 => array:2 [
              "nombre" => "Giovanna Gelli"
              "apellidos" => "Carrascoza"
            ]
            2 => array:2 [
              "nombre" => "Nubia Marrer"
              "apellidos" => "Abed"
            ]
            3 => array:2 [
              "nombre" => "Fernanda Gon&#231;alves"
              "apellidos" => "Moya"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "pt"
    "Traduccion" => array:1 [
      "en" => array:9 [
        "pii" => "S0365059624001752"
        "doi" => "10.1016/j.abd.2023.10.006"
        "estado" => "S300"
        "subdocumento" => ""
        "abierto" => array:3 [
          "ES" => false
          "ES2" => false
          "LATM" => false
        ]
        "gratuito" => false
        "lecturas" => array:1 [
          "total" => 0
        ]
        "idiomaDefecto" => "en"
        "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0365059624001752?idApp=UINPBA00008Z"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2666275224001875?idApp=UINPBA00008Z"
    "url" => "/26662752/0000009900000006/v1_202410301154/S2666275224001875/v1_202410301154/pt/main.assets"
  ]
  "pt" => array:18 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Cartas &#8208; Investiga&#231;&#227;o</span>"
    "titulo" => "Tradu&#231;&#227;o&#44; adapta&#231;&#227;o cultural e valida&#231;&#227;o do instrumento <span class="elsevierStyleItalic">Family Dermatology Life Quality Index</span> para a l&#237;ngua portuguesa &#40;FDLQI&#8208;BRA&#41;"
    "tieneTextoCompleto" => true
    "saludo" => "<span class="elsevierStyleItalic">Prezado Editor</span>&#44;"
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "939"
        "paginaFinal" => "942"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "Maria Laura Malzoni Souza, H&#233;lio Amante Miot, Jos&#233; Eduardo Martinez"
        "autores" => array:3 [
          0 => array:4 [
            "nombre" => "Maria Laura Malzoni"
            "apellidos" => "Souza"
            "email" => array:1 [
              0 => "dralauramalzoni@gmail.com"
            ]
            "referencia" => array:2 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
              1 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">&#42;</span>"
                "identificador" => "cor0005"
              ]
            ]
          ]
          1 => array:3 [
            "nombre" => "H&#233;lio Amante"
            "apellidos" => "Miot"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">b</span>"
                "identificador" => "aff0010"
              ]
            ]
          ]
          2 => array:3 [
            "nombre" => "Jos&#233; Eduardo"
            "apellidos" => "Martinez"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:2 [
          0 => array:3 [
            "entidad" => "Departamento de Dermatologia&#44; Pontif&#237;cia Universidade Cat&#243;lica de S&#227;o Paulo&#44; Sorocaba&#44; SP&#44; Brasil"
            "etiqueta" => "a"
            "identificador" => "aff0005"
          ]
          1 => array:3 [
            "entidad" => "Departamento de Infectologia&#44; Dermatologia&#44; Diagn&#243;stico por Imagem e Radioterapia&#44; Faculdade de Medicina&#44; Universidade Estadual Paulista&#44; Botucatu&#44; SP&#44; Brasil"
            "etiqueta" => "b"
            "identificador" => "aff0010"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor0005"
            "etiqueta" => "&#8270;"
            "correspondencia" => "Autor para correspond&#234;ncia&#46;"
          ]
        ]
      ]
    ]
    "resumenGrafico" => array:2 [
      "original" => 0
      "multimedia" => array:7 [
        "identificador" => "fig0005"
        "etiqueta" => "Figura 1"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr1.jpeg"
            "Alto" => 1228
            "Ancho" => 2508
            "Tamanyo" => 227139
          ]
        ]
        "descripcion" => array:1 [
          "pt" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Distribui&#231;&#227;o dos escores de <span class="elsevierStyleItalic">Family Dermatology Life Quality Index</span> vers&#227;o brasileira em cada item &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>111&#41;&#46;</p>"
        ]
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Afec&#231;&#245;es dermatol&#243;gicas s&#227;o muito prevalentes&#59; entretanto&#44; apesar de geralmente apresentarem baixa mortalidade&#44; podem infligir alta morbidade e impacto na qualidade de vida &#40;QV&#41;&#46; Ademais&#44; o conv&#237;vio com portadores de dermatoses pode refletir ang&#250;stia&#44; demandar cuidados e gasto financeiro&#46; Assim&#44; a doen&#231;a dermatol&#243;gica pode interferir na din&#226;mica familiar&#46; O impacto da doen&#231;a na QV do paciente &#233; denominado &#8220;impacto prim&#225;rio&#8221;&#44; e quando envolve os familiares e&#47;ou conviventes&#44; chama&#8208;se &#8220;impacto secund&#225;rio&#8221;&#46;<a class="elsevierStyleCrossRef" href="#bib0065"><span class="elsevierStyleSup">1</span></a> Compreender as dificuldades enfrentadas pelos familiares &#233; essencial para a cria&#231;&#227;o de programas educacionais e planejamento de apoio para a promo&#231;&#227;o de QV de quem convive com pacientes dermatol&#243;gicos&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">O <span class="elsevierStyleItalic">Family Dermatology Life Quality Index</span> &#40;FDLQI&#41; &#233; instrumento gen&#233;rico&#44; autopreenchido&#44; para a avalia&#231;&#227;o do impacto secund&#225;rio aos conviventes com portadores de doen&#231;as dermatol&#243;gicas&#46; Comp&#245;e&#8208;se de 10 itens de respostas graduadas em escala do tipo <span class="elsevierStyleItalic">Likert</span>&#44; que variam de 0 &#40;&#8220;nada&#8221;&#41; a 3 &#40;&#8220;muit&#237;ssimo&#8221;&#41;&#44; considerando aspectos f&#237;sicos &#40;cansa&#231;o e sobrecarga f&#237;sica&#41;&#44; psicol&#243;gicos e sociais&#44; assim como os relacionados a rela&#231;&#245;es pessoais&#44; laborais e financeiras&#46;<a class="elsevierStyleCrossRef" href="#bib0070"><span class="elsevierStyleSup">2</span></a> O FDLQI apresentou elevada consist&#234;ncia interna para diversas l&#237;nguas como ingl&#234;s &#40;original&#41;&#44; japon&#234;s e persa&#46;<a class="elsevierStyleCrossRefs" href="#bib0075"><span class="elsevierStyleSup">3&#44;4</span></a> Foi desenvolvido na Universidade de Cardiff &#40;Pa&#237;s de Gales&#41;&#44; pelo mesmo grupo que elaborou o <span class="elsevierStyleItalic">Dermatology Life Quality Index</span> &#40;DLQI&#41;&#46; N&#227;o h&#225; outros instrumentos gen&#233;ricos para avalia&#231;&#227;o da QV de conviventes com portadores de dermatoses&#46; Todavia&#44; h&#225; question&#225;rios espec&#237;ficos dispon&#237;veis&#44; como o <span class="elsevierStyleItalic">Psoriasis Family Index</span> &#40;PFI&#41; e o <span class="elsevierStyleItalic">Family</span><span class="elsevierStyleItalic">Dermatitis Impact</span> &#40;FDI&#41;&#44; ambos traduzidos e validados no Brasil&#46;<a class="elsevierStyleCrossRefs" href="#bib0085"><span class="elsevierStyleSup">5&#44;6</span></a></p><p id="par0015" class="elsevierStylePara elsevierViewall">Conduziu&#8208;se estudo tipo metodol&#243;gico com objetivo de traduzir&#44; adaptar culturalmente e validar o FDLQI para a l&#237;ngua portuguesa do Brasil &#40;FDLQI&#8208;BRA&#41;&#46; O projeto foi aprovado pelo comit&#234; de &#233;tica institucional e o consentimento foi obtido dos participantes&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">Ap&#243;s autoriza&#231;&#227;o dos autores&#44; conduziu&#8208;se a tradu&#231;&#227;o para o portugu&#234;s e retrotradu&#231;&#227;o&#46; Para essa etapa&#44; quatro especialistas fluentes em portugu&#234;s e ingl&#234;s&#44; e um n&#227;o especialista&#44; geraram vers&#227;o traduzida consensual&#44; cuja retrotradu&#231;&#227;o foi aprovada pelos autores do instrumento&#46;<a class="elsevierStyleCrossRef" href="#bib0095"><span class="elsevierStyleSup">7</span></a></p><p id="par0025" class="elsevierStylePara elsevierViewall">Para a adapta&#231;&#227;o cultural&#44; 10 familiares de pacientes portadores de doen&#231;as dermatol&#243;gicas responderam ao question&#225;rio&#44; e foram interrogados a respeito da clareza da linguagem utilizada&#44; sobre a adequa&#231;&#227;o dos termos lingu&#237;sticos adotados&#44; acerca da aplicabilidade do instrumento e sua relev&#226;ncia na pr&#225;tica cl&#237;nica dermatol&#243;gica&#46; Essa etapa gerou a vers&#227;o final brasileira&#58; FDLQI&#8208;BRA &#40;<a class="elsevierStyleCrossRef" href="#sec0020">Material Suplementar 1 e 2</a>&#41;&#46;</p><p id="par0030" class="elsevierStylePara elsevierViewall">Para valida&#231;&#227;o de conte&#250;do&#44; foram selecionados cinco dermatologistas experientes&#44; e solicitados que avaliassem os itens conforme sua relev&#226;ncia e pertin&#234;ncia&#46; Essa avalia&#231;&#227;o foi realizada por escala do tipo <span class="elsevierStyleItalic">Likert</span>&#44; graduada de 1 a 5 &#8208; em que 1 &#233; irrelevante&#47;pouco pertinente e 5 &#233; muit&#237;ssimo relevante&#47;pertinente&#46;<a class="elsevierStyleCrossRef" href="#bib0095"><span class="elsevierStyleSup">7</span></a> O c&#225;lculo do &#205;ndice de Valida&#231;&#227;o de Conte&#250;do &#40;IVC&#41; resultou em escores &#8805; 0&#44;8 na maioria dos itens&#44; com exce&#231;&#227;o ao item 6 &#40;&#8220;recrea&#231;&#227;o e lazer&#8221;&#41;&#44; com 0&#44;6&#46;<a class="elsevierStyleCrossRef" href="#bib0100"><span class="elsevierStyleSup">8</span></a></p><p id="par0035" class="elsevierStylePara elsevierViewall">Para a fase de valida&#231;&#227;o do FDLQI&#8208;BRA&#44; foram inclu&#237;dos 111 participantes com idade &#8805; 18 anos&#44; que coabitavam o domic&#237;lio do paciente&#46; Os crit&#233;rios de n&#227;o inclus&#227;o foram familiares portadores de comorbidades complicadas ou n&#227;o controladas&#44; que possam interferir em sua QV&#46; O dimensionamento amostral inicial baseou&#8208;se na necessidade de cerca de 10 participantes para cada item do instrumento unidimensional em valida&#231;&#227;o&#44; totalizando ao menos 100 familiares&#46;<a class="elsevierStyleCrossRef" href="#bib0105"><span class="elsevierStyleSup">9</span></a></p><p id="par0040" class="elsevierStylePara elsevierViewall">Os participantes foram recrutados tanto nos ambulat&#243;rios do servi&#231;o de dermatologia da Faculdade de Medicina de Botucatu &#40;Unesp&#44; Botucatu&#8208;SP&#44; Brasil&#41; quanto no consult&#243;rio privado da pesquisadora &#40;Sorocaba&#8208;SP&#41;&#46; N&#227;o houve sele&#231;&#227;o por doen&#231;a&#46;</p><p id="par0045" class="elsevierStylePara elsevierViewall">Um subgrupo de 20 familiares respondeu novamente o question&#225;rio em intervalo de 3 a 10 dias&#44; conquanto que relatada a manuten&#231;&#227;o do quadro dermatol&#243;gico do paciente&#44; para estimar a estabilidade temporal do instrumento&#46; Outro subgrupo de 20 familiares respondeu o question&#225;rio em intervalo de 30 a 60 dias&#44; ap&#243;s constata&#231;&#227;o de melhora cl&#237;nica do quadro dermatol&#243;gico&#44; para estimar a responsividade do instrumento&#46;</p><p id="par0050" class="elsevierStylePara elsevierViewall">A consist&#234;ncia interna foi avaliada pelo coeficiente Cronbach&#8208;&#945;&#46; A correla&#231;&#227;o entre os itens do instrumento foi calculada pelo coeficiente de Spearman&#46; A estabilidade temporal foi estimada pelo coeficiente de correla&#231;&#227;o intraclasses&#44; e a responsividade&#44; pelo teste de Wilcoxon&#46;</p><p id="par0055" class="elsevierStylePara elsevierViewall">Os achados demogr&#225;ficos dos familiares est&#227;o representados na <a class="elsevierStyleCrossRef" href="#tbl0005">tabela 1</a>&#44; e os diagn&#243;sticos dermatol&#243;gicos dos pacientes est&#227;o descritos na <a class="elsevierStyleCrossRef" href="#tbl0010">tabela 2</a>&#46; Todos os question&#225;rios foram preenchidos completamente&#44; n&#227;o havendo d&#250;vidas sobre a composi&#231;&#227;o dos itens&#46;</p><elsevierMultimedia ident="tbl0005"></elsevierMultimedia><elsevierMultimedia ident="tbl0010"></elsevierMultimedia><p id="par0060" class="elsevierStylePara elsevierViewall">Os escores do FDLQI&#8208;BRA variaram de 0 a 27&#46; A distribui&#231;&#227;o das pontua&#231;&#245;es foi assim&#233;trica para a maioria dos itens &#40;<a class="elsevierStyleCrossRef" href="#fig0005">fig&#46; 1</a>&#41;&#46; Concomitante a isso&#44; os itens F5 &#40;&#8220;vida social&#8221;&#41;&#44; F6 &#40;&#8220;recrea&#231;&#227;o&#47;lazer&#8221;&#41; e F9 &#40;&#8220;trabalho&#47;estudo&#8221;&#41; apresentaram mais de 60&#37; das ocorr&#234;ncias classificadas como &#8220;nada&#8221;&#44; gerando &#8220;efeito ch&#227;o&#8221;&#46;<a class="elsevierStyleCrossRef" href="#bib0110"><span class="elsevierStyleSup">10</span></a></p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0065" class="elsevierStylePara elsevierViewall">A an&#225;lise da consist&#234;ncia interna global do FDLQI&#8208;BRA &#40;coeficiente Cronbach&#8208;&#945;&#41; resultou em 0&#44;855 &#40;95&#37;CI 0&#44;818&#8208;0&#44;887&#41;&#44; revelando&#8208;se adequada para esse instrumento&#46;</p><p id="par0070" class="elsevierStylePara elsevierViewall">A an&#225;lise paralela de Horn indicou unidimensionalidade para o FDLQI&#8208;BRA&#46; O coeficiente KMO foi de 0&#44;803 &#40;p&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;01&#41;&#44; indicando adequa&#231;&#227;o da amostra para an&#225;lise fatorial explorat&#243;ria&#46; A vari&#226;ncia da vari&#225;vel latente explicada pelo fator unidimensional foi de 53&#44;6&#37;&#44; e a matriz de correla&#231;&#227;o item&#8208;item e item&#8208;total resultou nos coeficientes dispostos na <a class="elsevierStyleCrossRef" href="#tbl0015">tabela 3</a>&#46;</p><elsevierMultimedia ident="tbl0015"></elsevierMultimedia><p id="par0075" class="elsevierStylePara elsevierViewall">Quanto &#224; estabilidade temporal&#44; o coeficiente de correla&#231;&#227;o intraclasse para completa concord&#226;ncia foi de 0&#44;998 &#40;p &#60;<span class="elsevierStyleHsp" style=""></span>0&#44;05&#41;&#46; J&#225; na an&#225;lise da responsividade&#44; ou sensibilidade do instrumento &#224; mudan&#231;a&#44; houve redu&#231;&#227;o dos escores de FDLQI&#8208;BRA ap&#243;s institu&#237;dos tratamentos e melhora cl&#237;nica da doen&#231;a &#40;p &#60;<span class="elsevierStyleHsp" style=""></span>0&#44;01&#41;&#59;&#46; os valores do teste tiveram m&#233;dia &#40;DP&#41; 11 &#40;4&#44;6&#41;&#44; e os valores do reteste&#44; 4 &#40;3&#44;7&#41;&#46;</p><p id="par0080" class="elsevierStylePara elsevierViewall">A an&#225;lise psicom&#233;trica do FDLQI&#8208;BRA promoveu resultados que garantiram a validade de conte&#250;do&#44; estrutural&#44; de construto&#44; estabilidade temporal e responsividade&#44; indicando&#8208;o como instrumento v&#225;lido para uso cl&#237;nico no Brasil&#46;</p><p id="par0085" class="elsevierStylePara elsevierViewall">A distribui&#231;&#227;o dos escores e a consist&#234;ncia interna foram similares a outras valida&#231;&#245;es internacionais&#44; o que maximiza sua interpretabilidade&#46;<a class="elsevierStyleCrossRefs" href="#bib0070"><span class="elsevierStyleSup">2&#44;3</span></a> Entretanto&#44; o instrumento apresentou algumas ressalvas no comportamento de alguns itens pouco correlatos entre si&#44; especialmente influenciados pelo efeito &#8220;ch&#227;o&#8221; de alguns temas abordados&#44; uma vez que trabalho&#44; esporte&#47;lazer e vida social podem n&#227;o ser homog&#234;neos na popula&#231;&#227;o&#46;<a class="elsevierStyleCrossRef" href="#bib0110"><span class="elsevierStyleSup">10</span></a></p><p id="par0090" class="elsevierStylePara elsevierViewall">Deve ser destacado que a amostra de familiares compreendeu&#44; em sua maioria&#44; mulheres e m&#227;es&#46; os dados de homens foram restritos&#46; Al&#233;m disso&#44; como os question&#225;rios foram aplicados ap&#243;s consultas ambulatoriais&#44; e n&#227;o em pronto&#8208;atendimentos e unidades de interna&#231;&#227;o&#44; foi inclu&#237;da uma maioria de pacientes de leve a moderado impacto na QV&#46; Por fim&#44; n&#227;o h&#225; outro instrumento padr&#227;o ouro para a valida&#231;&#227;o de crit&#233;rio do tipo concorrente&#46;<a class="elsevierStyleCrossRefs" href="#bib0095"><span class="elsevierStyleSup">7&#44;11</span></a></p><p id="par0095" class="elsevierStylePara elsevierViewall">Dada a dimens&#227;o do impacto das doen&#231;as dermatol&#243;gicas na QV&#44; alguns autores j&#225; demonstraram aumento na frequ&#234;ncia de doen&#231;as psiqui&#225;tricas em pacientes dermatol&#243;gicos&#44; bem como risco aumentado de suic&#237;dio&#59; a doen&#231;a dermatol&#243;gica muitas vezes pode causar maior preocupa&#231;&#227;o nos indiv&#237;duos do que certas doen&#231;as sist&#234;micas&#46;<a class="elsevierStyleCrossRef" href="#bib0120"><span class="elsevierStyleSup">12</span></a></p><p id="par0100" class="elsevierStylePara elsevierViewall">Diante disso&#44; o entendimento&#44; aperfei&#231;oamento e desenvolvimento de instrumentos de avalia&#231;&#227;o da QV s&#227;o fundamentais para a pr&#225;tica cl&#237;nica do dermatologista&#44; para os ensaios terap&#234;uticos e para o aperfei&#231;oamento das pol&#237;ticas educativas para a popula&#231;&#227;o&#46;</p><p id="par0105" class="elsevierStylePara elsevierViewall">Em conclus&#227;o&#44; traduziu&#8208;se e adaptou&#8208;se uma vers&#227;o brasileira para FDLQI&#44; que se mostrou v&#225;lida e consistente &#40;FDLQI&#8208;BRA&#41;&#46;</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Suporte financeiro</span><p id="par0110" class="elsevierStylePara elsevierViewall">Nenhum&#46;</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Contribui&#231;&#227;o dos autores</span><p id="par0115" class="elsevierStylePara elsevierViewall">Maria Laura Malzoni Souza&#58; Concep&#231;&#227;o e o desenho do estudo&#59; revis&#227;o cr&#237;tica da literatura&#59; levantamento dos dados&#59; reda&#231;&#227;o do artigo&#46;</p><p id="par0120" class="elsevierStylePara elsevierViewall">H&#233;lio Amante Miot&#58; Idealiza&#231;&#227;o do estudo&#44; coleta dos dados&#44; an&#225;lise dos dados&#44; escrita e aprova&#231;&#227;o do texto final&#46;</p><p id="par0125" class="elsevierStylePara elsevierViewall">Jos&#233; Eduardo Martinez&#58; Concep&#231;&#227;o e o desenho do estudo&#59; participa&#231;&#227;o efetiva na orienta&#231;&#227;o da pesquisa&#59; aprova&#231;&#227;o final da vers&#227;o final do manuscrito&#46;</p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Conflito de interesses</span><p id="par0130" class="elsevierStylePara elsevierViewall">Nenhum&#46;</p></span></span>"
    "textoCompletoSecciones" => array:1 [
      "secciones" => array:4 [
        0 => array:2 [
          "identificador" => "sec0005"
          "titulo" => "Suporte financeiro"
        ]
        1 => array:2 [
          "identificador" => "sec0010"
          "titulo" => "Contribui&#231;&#227;o dos autores"
        ]
        2 => array:2 [
          "identificador" => "sec0015"
          "titulo" => "Conflito de interesses"
        ]
        3 => array:1 [
          "titulo" => "Refer&#234;ncias"
        ]
      ]
    ]
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "fechaRecibido" => "2023-12-01"
    "fechaAceptado" => "2024-02-15"
    "NotaPie" => array:2 [
      0 => array:2 [
        "etiqueta" => "&#9734;"
        "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Como citar este artigo&#58; Souza ML&#44; Miot HA&#44; Martinez JE&#46; Translation&#44; cultural adaptation&#44; and validation of the Family Dermatology Life Quality Index instrument into the Brazilian Portuguese language &#40;FDLQI&#8208;BRA&#41;&#46; An Bras Dermatol&#46; 2024&#59;99&#58;939&#8211;42&#46;</p>"
      ]
      1 => array:2 [
        "etiqueta" => "&#9734;&#9734;"
        "nota" => "<p class="elsevierStyleNotepara" id="npar0010">Trabalho realizado no Ambulat&#243;rio de Dermatologia&#44; Faculdade de Medicina&#44; Universidade Estadual Paulista&#44; Botucatu&#44; SP&#44; Brasil e Pr&#225;tica Privada&#44; Sorocaba&#44; SP&#44; Brasil&#46;</p>"
      ]
    ]
    "apendice" => array:1 [
      0 => array:1 [
        "seccion" => array:1 [
          0 => array:4 [
            "apendice" => "<p id="par0140" class="elsevierStylePara elsevierViewall"><elsevierMultimedia ident="upi0005"></elsevierMultimedia></p>"
            "etiqueta" => "Appendix A"
            "titulo" => "Material adicional"
            "identificador" => "sec0025"
          ]
        ]
      ]
    ]
    "multimedia" => array:5 [
      0 => array:7 [
        "identificador" => "fig0005"
        "etiqueta" => "Figura 1"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr1.jpeg"
            "Alto" => 1228
            "Ancho" => 2508
            "Tamanyo" => 227139
          ]
        ]
        "descripcion" => array:1 [
          "pt" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Distribui&#231;&#227;o dos escores de <span class="elsevierStyleItalic">Family Dermatology Life Quality Index</span> vers&#227;o brasileira em cada item &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>111&#41;&#46;</p>"
        ]
      ]
      1 => array:8 [
        "identificador" => "tbl0005"
        "etiqueta" => "Tabela 1"
        "tipo" => "MULTIMEDIATABLA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "detalles" => array:1 [
          0 => array:3 [
            "identificador" => "at1"
            "detalle" => "Tabela "
            "rol" => "short"
          ]
        ]
        "tabla" => array:2 [
          "leyenda" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">DP&#44; desvio&#8208;padr&#227;o&#59; p25&#8208;p75&#44; primeiro e terceiro quartis&#46;</p>"
          "tablatextoimagen" => array:1 [
            0 => array:2 [
              "tabla" => array:1 [
                0 => """
                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " colspan="2" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Vari&#225;veis</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Resultados&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " rowspan="5" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Rela&#231;&#227;o familiar</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Pais&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">54 &#40;49&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Companheiros&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">30 &#40;27&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Irm&#227;os&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">12 &#40;11&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Filhos&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">8 &#40;7&#44;5&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Av&#243;s&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">7 &#40;6&#44;5&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " rowspan="2" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Sexo</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Feminino&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">79 &#40;71&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Masculino&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">32 &#40;29&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Idade&#44; anos&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">M&#233;dia &#40;DP&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">42 &#40;13&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " rowspan="3" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">N&#237;vel de educa&#231;&#227;o</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Fundamental&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">31 &#40;27&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">M&#233;dio&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">40 &#40;36&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Superior&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">40 &#40;36&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">FDLQI&#8208;BRA&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Mediana &#40;p25&#8208;p75&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">6 &#40;4&#8208;12&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
              ]
              "imagenFichero" => array:1 [
                0 => "xTab3706862.png"
              ]
            ]
          ]
        ]
        "descripcion" => array:1 [
          "pt" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Principais dados dos familiares que participaram do est&#225;gio de valida&#231;&#227;o do FDLQI&#8208;BRA &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>111&#41;</p>"
        ]
      ]
      2 => array:8 [
        "identificador" => "tbl0010"
        "etiqueta" => "Tabela 2"
        "tipo" => "MULTIMEDIATABLA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "detalles" => array:1 [
          0 => array:3 [
            "identificador" => "at2"
            "detalle" => "Tabela "
            "rol" => "short"
          ]
        ]
        "tabla" => array:1 [
          "tablatextoimagen" => array:1 [
            0 => array:2 [
              "tabla" => array:1 [
                0 => """
                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Diagn&#243;stico&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">N&#250;mero de pacientes&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">&#37;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Acne&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">18&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">16&#37;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Dermatite at&#243;pica&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">11&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">10&#37;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Psor&#237;ase&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">6&#37;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">C&#226;ncer de pele&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">6&#37;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Verruga viral&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">5&#37;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Dermatite de contato&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">4&#37;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Ceratose act&#237;nica&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3&#37;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Melasma&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3&#37;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Ros&#225;cea&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3&#37;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Alopecia areata&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3&#37;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Dermatite seborreica&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3&#37;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#218;lcera dos membros inferiores&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3&#37;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Alopecia androgen&#233;tica&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&#37;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">L&#250;pus&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&#37;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Disidrose&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&#37;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Molusco contagioso&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&#37;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Outros&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">32&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">27&#37;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
              ]
              "imagenFichero" => array:1 [
                0 => "xTab3706860.png"
              ]
            ]
          ]
        ]
        "descripcion" => array:1 [
          "pt" => "<p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Diagn&#243;sticos dermatol&#243;gicos dos pacientes &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>111&#41;</p>"
        ]
      ]
      3 => array:8 [
        "identificador" => "tbl0015"
        "etiqueta" => "Tabela 3"
        "tipo" => "MULTIMEDIATABLA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "detalles" => array:1 [
          0 => array:3 [
            "identificador" => "at3"
            "detalle" => "Tabela "
            "rol" => "short"
          ]
        ]
        "tabla" => array:2 [
          "leyenda" => "<p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">FDLQI&#8208;BRA&#44; Family Dermatology Life Quality Index vers&#227;o brasileira&#46;</p>"
          "tablatextoimagen" => array:1 [
            0 => array:2 [
              "tabla" => array:1 [
                0 => """
                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">F1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">F2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">F3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">F4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">F5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">F6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">F7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">F8&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">F9&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">F10&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">F2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;563&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">F3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;283&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;569&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">F4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;323&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;315&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;395&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">F5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;258&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;363&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;508&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;316&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">F6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;308&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;470&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;400&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;177&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;50&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">F7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;345&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;479&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;190&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;277&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;220&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;150&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">F8&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;206&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;352&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;318&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;341&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;381&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;249&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;440&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">F9&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;354&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;379&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;377&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;154&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;377&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;336&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;153&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;171&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">F10&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;244&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;561&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;366&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;211&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;220&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;305&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;404&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;404&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;177&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">FDLQI&#8208;BRA&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;689&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;825&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;641&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;564&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;566&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;564&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;601&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;576&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;451&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;628&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
              ]
              "imagenFichero" => array:1 [
                0 => "xTab3706861.png"
              ]
            ]
          ]
        ]
        "descripcion" => array:1 [
          "pt" => "<p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Correla&#231;&#227;o &#40;<span class="elsevierStyleItalic">rho</span> de Spearman&#41; item&#8208;item e item&#8208;total do FDLQI&#8208;BRA &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>111&#41;</p>"
        ]
      ]
      4 => array:5 [
        "identificador" => "upi0005"
        "tipo" => "MULTIMEDIAECOMPONENTE"
        "mostrarFloat" => false
        "mostrarDisplay" => true
        "Ecomponente" => array:2 [
          "fichero" => "mmc1.docx"
          "ficheroTamanyo" => 14922
        ]
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "Refer&#234;ncias"
      "seccion" => array:1 [
        0 => array:2 [
          "identificador" => "bibs0015"
          "bibliografiaReferencia" => array:12 [
            0 => array:3 [
              "identificador" => "bib0065"
              "etiqueta" => "1"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Measuring the impact of dermatological conditions on family and caregivers&#58; a review of dermatology&#8208;specific instruments"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "F&#46; Sampogna"
                            1 => "A&#46;Y&#46; Finlay"
                            2 => "S&#46;S&#46; Salek"
                            3 => "P&#46; Chernyshov"
                            4 => "F&#46;J&#46; Dalgard"
                            5 => "A&#46;W&#46;M&#46; Evers"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1111/jdv.14288"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Eur Acad Dermatol Venereol&#46;"
                        "fecha" => "2017"
                        "volumen" => "31"
                        "paginaInicial" => "1429"
                        "paginaFinal" => "1439"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/28426906"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib0070"
              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The family dermatology life quality index&#58; measuring the secondary impact of skin disease"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "M&#46;K&#46;A&#46; Basra"
                            1 => "R&#46; Sue-Ho"
                            2 => "A&#46;Y&#46; Finlay"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1111/j.1365-2133.2006.07617.x"
                      "Revista" => array:6 [
                        "tituloSerie" => "Br J Dermatol&#46;"
                        "fecha" => "2007"
                        "volumen" => "156"
                        "paginaInicial" => "528"
                        "paginaFinal" => "538"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/17300244"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib0075"
              "etiqueta" => "3"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Measurement of family impact of skin disease&#58; further validation of the Family Life Quality Index &#40;FDLQI&#41;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "M&#46;K&#46;A&#46; Basra"
                            1 => "O&#46; Edmunds"
                            2 => "M&#46;S&#46; Salek"
                            3 => "A&#46;Y&#46; Finlay"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1111/j.1468-3083.2008.02593.x"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Eur Acad Dermatol Venereol&#46;"
                        "fecha" => "2008"
                        "volumen" => "22"
                        "paginaInicial" => "813"
                        "paginaFinal" => "821"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/18312324"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib0080"
              "etiqueta" => "4"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Preliminary reliability and validity of Persian version of the Family Dermatology Life Quality Index &#40;FDLQI&#41;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "H&#46; Safizadeh"
                            1 => "N&#46; Nakhaee"
                            2 => "S&#46; Shamsi-Meymandi"
                            3 => "N&#46; Pourdamghan"
                            4 => "M&#46;K&#46; Basra"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1007/s11136-013-0514-6"
                      "Revista" => array:6 [
                        "tituloSerie" => "Qual Life Res&#46;"
                        "fecha" => "2014"
                        "volumen" => "23"
                        "paginaInicial" => "869"
                        "paginaFinal" => "875"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/24052325"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib0085"
              "etiqueta" => "5"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Translation into Brazilian portuguese and validation of the psoriasis family index"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "J&#46;C&#46; Boza"
                            1 => "M&#46;K&#46;A&#46; Basra"
                            2 => "R&#46;C&#46; Vanin"
                            3 => "R&#46;R&#46; Carvalho"
                            4 => "M&#46;B&#46; Weber"
                            5 => "T&#46;R&#46; Cestari"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "An Bras Dermatol&#46;"
                        "fecha" => "2013"
                        "volumen" => "88"
                        "paginaInicial" => "482"
                        "paginaFinal" => "484"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            5 => array:3 [
              "identificador" => "bib0090"
              "etiqueta" => "6"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Impact of atopic dermatitis on the quality of life of the family"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "S&#46;L&#46;C&#46; Carvalho"
                            1 => "A&#46;P&#46; Boguchewski"
                            2 => "F&#46;L&#46;S&#46; Nascimento"
                            3 => "L&#46;M&#46; Dalmas"
                            4 => "V&#46;O&#46; Carvalho"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Arq Asma Alerg Imunol&#46;"
                        "fecha" => "2017"
                        "volumen" => "1"
                        "paginaInicial" => "305"
                        "paginaFinal" => "310"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            6 => array:3 [
              "identificador" => "bib0095"
              "etiqueta" => "7"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Developing and evaluating cross&#8208;cultural instruments from minimum requirements to optimal models"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "M&#46; Bullinger"
                            1 => "R&#46; Anderson"
                            2 => "D&#46; Cella"
                            3 => "N&#46; Aaronson"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Qual Life Res&#46;"
                        "fecha" => "1993"
                        "volumen" => "2"
                        "paginaInicial" => "451"
                        "paginaFinal" => "459"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            7 => array:3 [
              "identificador" => "bib0100"
              "etiqueta" => "8"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Content validity in the development and adaptation processes of measurement instruments"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "N&#46;M&#46;C&#46; Alexandre"
                            1 => "M&#46;Z&#46;O&#46; Coluci"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1590/s1413-81232011000800006"
                      "Revista" => array:6 [
                        "tituloSerie" => "Cien Saude Colet&#46;"
                        "fecha" => "2011"
                        "volumen" => "16"
                        "paginaInicial" => "3061"
                        "paginaFinal" => "3068"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21808894"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            8 => array:3 [
              "identificador" => "bib0105"
              "etiqueta" => "9"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Applied psychometrics&#58; sample size and sample power considerations in factor analysis &#40;EFA CFA&#41; and SEM in general"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "T&#46;A&#46; Kyriazos"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Psychology&#46;"
                        "fecha" => "2018"
                        "volumen" => "24"
                        "numero" => "9"
                        "paginaInicial" => "2207"
                        "paginaFinal" => "2230"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            9 => array:3 [
              "identificador" => "bib0110"
              "etiqueta" => "10"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Impact of the disease&#58; Acceptability&#44; ceiling and floor effects and reliability of an instrument on heart failure"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "S&#46;L&#46;L&#46; Rodrigues"
                            1 => "R&#46;C&#46;M&#46; Rodrigues"
                            2 => "T&#46;M&#46; S&#227;o-Jo&#227;o"
                            3 => "R&#46;B&#46;B&#46; Pavan"
                            4 => "K&#46;M&#46; Padilha"
                            5 => "M&#46;C&#46; Gallani"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1590/S0080-623420130000500012"
                      "Revista" => array:6 [
                        "tituloSerie" => "Rev Esc Enferm USP&#46;"
                        "fecha" => "2013"
                        "volumen" => "47"
                        "paginaInicial" => "1091"
                        "paginaFinal" => "1097"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/24346448"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            10 => array:3 [
              "identificador" => "bib0115"
              "etiqueta" => "11"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The validity of the psychological tests&#58; is it possible to find the way again&#63;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "L&#46; Pasquali"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Psicol Teor Pesq&#46;"
                        "fecha" => "2006"
                        "volumen" => "23"
                        "paginaInicial" => "99"
                        "paginaFinal" => "107"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            11 => array:3 [
              "identificador" => "bib0120"
              "etiqueta" => "12"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Skin disease in children&#58; effects on quality of life&#44; stigmatization&#44; bullying&#44; and suicide risk in pediatric acne&#44; atopic dermatitis&#44; and psoriasis patients"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "K&#46;A&#46; Kelly"
                            1 => "E&#46;A&#46; Balogh"
                            2 => "S&#46;G&#46; Kaplan"
                            3 => "S&#46;R&#46; Feldman"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.3390/children8111057"
                      "Revista" => array:5 [
                        "tituloSerie" => "Children &#40;Basel&#41;&#46;"
                        "fecha" => "2021"
                        "volumen" => "8"
                        "paginaInicial" => "1057"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/34828770"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "pt"
  "url" => "/26662752/0000009900000006/v1_202410301154/S2666275224001851/v1_202410301154/pt/main.assets"
  "Apartado" => array:4 [
    "identificador" => "95147"
    "tipo" => "SECCION"
    "en" => array:2 [
      "titulo" => "Cartas - Investiga&#231;&#227;o"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "en"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/26662752/0000009900000006/v1_202410301154/S2666275224001851/v1_202410301154/pt/main.pdf?idApp=UINPBA00008Z&text.app=https://clinics.elsevier.es/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2666275224001851?idApp=UINPBA00008Z"
]
Compartilhar
Informação da revista
Vol. 99. Núm. 6.
Páginas 939-942 (1 novembro 2024)
Compartilhar
Compartilhar
Baixar PDF
Mais opções do artigo
Visitas
658
Vol. 99. Núm. 6.
Páginas 939-942 (1 novembro 2024)
Cartas ‐ Investigação
Acesso de texto completo
Tradução, adaptação cultural e validação do instrumento Family Dermatology Life Quality Index para a língua portuguesa (FDLQI‐BRA)
Visitas
658
Maria Laura Malzoni Souzaa,
Autor para correspondência
dralauramalzoni@gmail.com

Autor para correspondência.
, Hélio Amante Miotb, José Eduardo Martineza
a Departamento de Dermatologia, Pontifícia Universidade Católica de São Paulo, Sorocaba, SP, Brasil
b Departamento de Infectologia, Dermatologia, Diagnóstico por Imagem e Radioterapia, Faculdade de Medicina, Universidade Estadual Paulista, Botucatu, SP, Brasil
Este item recebeu
Informação do artigo
Texto Completo
Bibliografia
Baixar PDF
Estatísticas
Figuras (1)
Tabelas (3)
Tabela 1. Principais dados dos familiares que participaram do estágio de validação do FDLQI‐BRA (n=111)
Tabela 2. Diagnósticos dermatológicos dos pacientes (n=111)
Tabela 3. Correlação (rho de Spearman) item‐item e item‐total do FDLQI‐BRA (n=111)
Mostrar maisMostrar menos
Material adicional (1)
Texto Completo
Prezado Editor,

Afecções dermatológicas são muito prevalentes; entretanto, apesar de geralmente apresentarem baixa mortalidade, podem infligir alta morbidade e impacto na qualidade de vida (QV). Ademais, o convívio com portadores de dermatoses pode refletir angústia, demandar cuidados e gasto financeiro. Assim, a doença dermatológica pode interferir na dinâmica familiar. O impacto da doença na QV do paciente é denominado “impacto primário”, e quando envolve os familiares e/ou conviventes, chama‐se “impacto secundário”.1 Compreender as dificuldades enfrentadas pelos familiares é essencial para a criação de programas educacionais e planejamento de apoio para a promoção de QV de quem convive com pacientes dermatológicos.

O Family Dermatology Life Quality Index (FDLQI) é instrumento genérico, autopreenchido, para a avaliação do impacto secundário aos conviventes com portadores de doenças dermatológicas. Compõe‐se de 10 itens de respostas graduadas em escala do tipo Likert, que variam de 0 (“nada”) a 3 (“muitíssimo”), considerando aspectos físicos (cansaço e sobrecarga física), psicológicos e sociais, assim como os relacionados a relações pessoais, laborais e financeiras.2 O FDLQI apresentou elevada consistência interna para diversas línguas como inglês (original), japonês e persa.3,4 Foi desenvolvido na Universidade de Cardiff (País de Gales), pelo mesmo grupo que elaborou o Dermatology Life Quality Index (DLQI). Não há outros instrumentos genéricos para avaliação da QV de conviventes com portadores de dermatoses. Todavia, há questionários específicos disponíveis, como o Psoriasis Family Index (PFI) e o FamilyDermatitis Impact (FDI), ambos traduzidos e validados no Brasil.5,6

Conduziu‐se estudo tipo metodológico com objetivo de traduzir, adaptar culturalmente e validar o FDLQI para a língua portuguesa do Brasil (FDLQI‐BRA). O projeto foi aprovado pelo comitê de ética institucional e o consentimento foi obtido dos participantes.

Após autorização dos autores, conduziu‐se a tradução para o português e retrotradução. Para essa etapa, quatro especialistas fluentes em português e inglês, e um não especialista, geraram versão traduzida consensual, cuja retrotradução foi aprovada pelos autores do instrumento.7

Para a adaptação cultural, 10 familiares de pacientes portadores de doenças dermatológicas responderam ao questionário, e foram interrogados a respeito da clareza da linguagem utilizada, sobre a adequação dos termos linguísticos adotados, acerca da aplicabilidade do instrumento e sua relevância na prática clínica dermatológica. Essa etapa gerou a versão final brasileira: FDLQI‐BRA (Material Suplementar 1 e 2).

Para validação de conteúdo, foram selecionados cinco dermatologistas experientes, e solicitados que avaliassem os itens conforme sua relevância e pertinência. Essa avaliação foi realizada por escala do tipo Likert, graduada de 1 a 5 ‐ em que 1 é irrelevante/pouco pertinente e 5 é muitíssimo relevante/pertinente.7 O cálculo do Índice de Validação de Conteúdo (IVC) resultou em escores ≥ 0,8 na maioria dos itens, com exceção ao item 6 (“recreação e lazer”), com 0,6.8

Para a fase de validação do FDLQI‐BRA, foram incluídos 111 participantes com idade ≥ 18 anos, que coabitavam o domicílio do paciente. Os critérios de não inclusão foram familiares portadores de comorbidades complicadas ou não controladas, que possam interferir em sua QV. O dimensionamento amostral inicial baseou‐se na necessidade de cerca de 10 participantes para cada item do instrumento unidimensional em validação, totalizando ao menos 100 familiares.9

Os participantes foram recrutados tanto nos ambulatórios do serviço de dermatologia da Faculdade de Medicina de Botucatu (Unesp, Botucatu‐SP, Brasil) quanto no consultório privado da pesquisadora (Sorocaba‐SP). Não houve seleção por doença.

Um subgrupo de 20 familiares respondeu novamente o questionário em intervalo de 3 a 10 dias, conquanto que relatada a manutenção do quadro dermatológico do paciente, para estimar a estabilidade temporal do instrumento. Outro subgrupo de 20 familiares respondeu o questionário em intervalo de 30 a 60 dias, após constatação de melhora clínica do quadro dermatológico, para estimar a responsividade do instrumento.

A consistência interna foi avaliada pelo coeficiente Cronbach‐α. A correlação entre os itens do instrumento foi calculada pelo coeficiente de Spearman. A estabilidade temporal foi estimada pelo coeficiente de correlação intraclasses, e a responsividade, pelo teste de Wilcoxon.

Os achados demográficos dos familiares estão representados na tabela 1, e os diagnósticos dermatológicos dos pacientes estão descritos na tabela 2. Todos os questionários foram preenchidos completamente, não havendo dúvidas sobre a composição dos itens.

Tabela 1.

Principais dados dos familiares que participaram do estágio de validação do FDLQI‐BRA (n=111)

VariáveisResultados 
Relação familiarPais  54 (49%) 
Companheiros  30 (27%) 
Irmãos  12 (11%) 
Filhos  8 (7,5%) 
Avós  7 (6,5%) 
SexoFeminino  79 (71%) 
Masculino  32 (29%) 
Idade, anos  Média (DP)  42 (13) 
Nível de educaçãoFundamental  31 (27%) 
Médio  40 (36%) 
Superior  40 (36%) 
FDLQI‐BRA  Mediana (p25‐p75)  6 (4‐12) 

DP, desvio‐padrão; p25‐p75, primeiro e terceiro quartis.

Tabela 2.

Diagnósticos dermatológicos dos pacientes (n=111)

Diagnóstico  Número de pacientes 
Acne  18  16% 
Dermatite atópica  11  10% 
Psoríase  6% 
Câncer de pele  6% 
Verruga viral  5% 
Dermatite de contato  4% 
Ceratose actínica  3% 
Melasma  3% 
Rosácea  3% 
Alopecia areata  3% 
Dermatite seborreica  3% 
Úlcera dos membros inferiores  3% 
Alopecia androgenética  2% 
Lúpus  2% 
Disidrose  2% 
Molusco contagioso  2% 
Outros  32  27% 

Os escores do FDLQI‐BRA variaram de 0 a 27. A distribuição das pontuações foi assimétrica para a maioria dos itens (fig. 1). Concomitante a isso, os itens F5 (“vida social”), F6 (“recreação/lazer”) e F9 (“trabalho/estudo”) apresentaram mais de 60% das ocorrências classificadas como “nada”, gerando “efeito chão”.10

Figura 1.

Distribuição dos escores de Family Dermatology Life Quality Index versão brasileira em cada item (n=111).

(0.22MB).

A análise da consistência interna global do FDLQI‐BRA (coeficiente Cronbach‐α) resultou em 0,855 (95%CI 0,818‐0,887), revelando‐se adequada para esse instrumento.

A análise paralela de Horn indicou unidimensionalidade para o FDLQI‐BRA. O coeficiente KMO foi de 0,803 (p<0,01), indicando adequação da amostra para análise fatorial exploratória. A variância da variável latente explicada pelo fator unidimensional foi de 53,6%, e a matriz de correlação item‐item e item‐total resultou nos coeficientes dispostos na tabela 3.

Tabela 3.

Correlação (rho de Spearman) item‐item e item‐total do FDLQI‐BRA (n=111)

  F1  F2  F3  F4  F5  F6  F7  F8  F9  F10 
F2  0,563                   
F3  0,283  0,569                 
F4  0,323  0,315  0,395               
F5  0,258  0,363  0,508  0,316             
F6  0,308  0,470  0,400  0,177  0,50           
F7  0,345  0,479  0,190  0,277  0,220  0,150         
F8  0,206  0,352  0,318  0,341  0,381  0,249  0,440       
F9  0,354  0,379  0,377  0,154  0,377  0,336  0,153  0,171     
F10  0,244  0,561  0,366  0,211  0,220  0,305  0,404  0,404  0,177   
FDLQI‐BRA  0,689  0,825  0,641  0,564  0,566  0,564  0,601  0,576  0,451  0,628 

FDLQI‐BRA, Family Dermatology Life Quality Index versão brasileira.

Quanto à estabilidade temporal, o coeficiente de correlação intraclasse para completa concordância foi de 0,998 (p <0,05). Já na análise da responsividade, ou sensibilidade do instrumento à mudança, houve redução dos escores de FDLQI‐BRA após instituídos tratamentos e melhora clínica da doença (p <0,01);. os valores do teste tiveram média (DP) 11 (4,6), e os valores do reteste, 4 (3,7).

A análise psicométrica do FDLQI‐BRA promoveu resultados que garantiram a validade de conteúdo, estrutural, de construto, estabilidade temporal e responsividade, indicando‐o como instrumento válido para uso clínico no Brasil.

A distribuição dos escores e a consistência interna foram similares a outras validações internacionais, o que maximiza sua interpretabilidade.2,3 Entretanto, o instrumento apresentou algumas ressalvas no comportamento de alguns itens pouco correlatos entre si, especialmente influenciados pelo efeito “chão” de alguns temas abordados, uma vez que trabalho, esporte/lazer e vida social podem não ser homogêneos na população.10

Deve ser destacado que a amostra de familiares compreendeu, em sua maioria, mulheres e mães. os dados de homens foram restritos. Além disso, como os questionários foram aplicados após consultas ambulatoriais, e não em pronto‐atendimentos e unidades de internação, foi incluída uma maioria de pacientes de leve a moderado impacto na QV. Por fim, não há outro instrumento padrão ouro para a validação de critério do tipo concorrente.7,11

Dada a dimensão do impacto das doenças dermatológicas na QV, alguns autores já demonstraram aumento na frequência de doenças psiquiátricas em pacientes dermatológicos, bem como risco aumentado de suicídio; a doença dermatológica muitas vezes pode causar maior preocupação nos indivíduos do que certas doenças sistêmicas.12

Diante disso, o entendimento, aperfeiçoamento e desenvolvimento de instrumentos de avaliação da QV são fundamentais para a prática clínica do dermatologista, para os ensaios terapêuticos e para o aperfeiçoamento das políticas educativas para a população.

Em conclusão, traduziu‐se e adaptou‐se uma versão brasileira para FDLQI, que se mostrou válida e consistente (FDLQI‐BRA).

Suporte financeiro

Nenhum.

Contribuição dos autores

Maria Laura Malzoni Souza: Concepção e o desenho do estudo; revisão crítica da literatura; levantamento dos dados; redação do artigo.

Hélio Amante Miot: Idealização do estudo, coleta dos dados, análise dos dados, escrita e aprovação do texto final.

José Eduardo Martinez: Concepção e o desenho do estudo; participação efetiva na orientação da pesquisa; aprovação final da versão final do manuscrito.

Conflito de interesses

Nenhum.

Referências
[1]
F. Sampogna, A.Y. Finlay, S.S. Salek, P. Chernyshov, F.J. Dalgard, A.W.M. Evers, et al.
Measuring the impact of dermatological conditions on family and caregivers: a review of dermatology‐specific instruments.
J Eur Acad Dermatol Venereol., 31 (2017), pp. 1429-1439
[2]
M.K.A. Basra, R. Sue-Ho, A.Y. Finlay.
The family dermatology life quality index: measuring the secondary impact of skin disease.
Br J Dermatol., 156 (2007), pp. 528-538
[3]
M.K.A. Basra, O. Edmunds, M.S. Salek, A.Y. Finlay.
Measurement of family impact of skin disease: further validation of the Family Life Quality Index (FDLQI).
J Eur Acad Dermatol Venereol., 22 (2008), pp. 813-821
[4]
H. Safizadeh, N. Nakhaee, S. Shamsi-Meymandi, N. Pourdamghan, M.K. Basra.
Preliminary reliability and validity of Persian version of the Family Dermatology Life Quality Index (FDLQI).
Qual Life Res., 23 (2014), pp. 869-875
[5]
J.C. Boza, M.K.A. Basra, R.C. Vanin, R.R. Carvalho, M.B. Weber, T.R. Cestari.
Translation into Brazilian portuguese and validation of the psoriasis family index.
An Bras Dermatol., 88 (2013), pp. 482-484
[6]
S.L.C. Carvalho, A.P. Boguchewski, F.L.S. Nascimento, L.M. Dalmas, V.O. Carvalho.
Impact of atopic dermatitis on the quality of life of the family.
Arq Asma Alerg Imunol., 1 (2017), pp. 305-310
[7]
M. Bullinger, R. Anderson, D. Cella, N. Aaronson.
Developing and evaluating cross‐cultural instruments from minimum requirements to optimal models.
Qual Life Res., 2 (1993), pp. 451-459
[8]
N.M.C. Alexandre, M.Z.O. Coluci.
Content validity in the development and adaptation processes of measurement instruments.
Cien Saude Colet., 16 (2011), pp. 3061-3068
[9]
T.A. Kyriazos.
Applied psychometrics: sample size and sample power considerations in factor analysis (EFA CFA) and SEM in general.
Psychology., 24 (2018), pp. 2207-2230
[10]
S.L.L. Rodrigues, R.C.M. Rodrigues, T.M. São-João, R.B.B. Pavan, K.M. Padilha, M.C. Gallani.
Impact of the disease: Acceptability, ceiling and floor effects and reliability of an instrument on heart failure.
Rev Esc Enferm USP., 47 (2013), pp. 1091-1097
[11]
L. Pasquali.
The validity of the psychological tests: is it possible to find the way again?.
Psicol Teor Pesq., 23 (2006), pp. 99-107
[12]
K.A. Kelly, E.A. Balogh, S.G. Kaplan, S.R. Feldman.
Skin disease in children: effects on quality of life, stigmatization, bullying, and suicide risk in pediatric acne, atopic dermatitis, and psoriasis patients.
Children (Basel)., 8 (2021), pp. 1057

Como citar este artigo: Souza ML, Miot HA, Martinez JE. Translation, cultural adaptation, and validation of the Family Dermatology Life Quality Index instrument into the Brazilian Portuguese language (FDLQI‐BRA). An Bras Dermatol. 2024;99:939–42.

Trabalho realizado no Ambulatório de Dermatologia, Faculdade de Medicina, Universidade Estadual Paulista, Botucatu, SP, Brasil e Prática Privada, Sorocaba, SP, Brasil.

Baixar PDF
Idiomas
Anais Brasileiros de Dermatologia (Portuguese)
Opções de artigo
Ferramentas
Material Suplementar
en pt
Cookies policy Política de cookies
To improve our services and products, we use "cookies" (own or third parties authorized) to show advertising related to client preferences through the analyses of navigation customer behavior. Continuing navigation will be considered as acceptance of this use. You can change the settings or obtain more information by clicking here. Utilizamos cookies próprios e de terceiros para melhorar nossos serviços e mostrar publicidade relacionada às suas preferências, analisando seus hábitos de navegação. Se continuar a navegar, consideramos que aceita o seu uso. Você pode alterar a configuração ou obter mais informações aqui.