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<article xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:mml="http://www.w3.org/1998/Math/MathML" dtd-version="3.0" article-type="letter" xml:lang="pt">
  <front>
    <journal-meta>
      <journal-id journal-id-type="nlm-ta">Arq. Bras. Cardiol.</journal-id>
      <journal-title-group>
        <journal-title>Arquivos Brasileiros de Cardiologia</journal-title>
        <abbrev-journal-title abbrev-type="publisher">Arq. Bras. Cardiol.</abbrev-journal-title>
      </journal-title-group>
      <issn pub-type="ppub">0066-782X</issn>
      <issn pub-type="epub">1678-4170</issn>
      <publisher>
        <publisher-name>Sociedade Brasileira de Cardiologia</publisher-name>
      </publisher>
    </journal-meta>
    <article-meta>
      <article-id pub-id-type="publisher-id" specific-use="scielo-v3">b8wpbvsZsDFYbkxX4Wjz8Rs</article-id>
      <article-id pub-id-type="publisher-id" specific-use="scielo-v2">S0066-782X2014000400013</article-id>
      <article-id pub-id-type="other">00013</article-id>
      <article-id pub-id-type="doi">10.5935/abc.20140035</article-id>
      <article-categories>
        <subj-group subj-group-type="heading">
          <subject>Carta ao Editor</subject>
        </subj-group>
      </article-categories>
      <title-group>
        <article-title xml:lang="pt">Uso da Internet pelo Paciente</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="author">
          <name>
            <surname>Miranda</surname>
            <given-names>George Barreto</given-names>
          </name>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Cordeiro</surname>
            <given-names>Jo&#227;o Ricardo</given-names>
          </name>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Grinberg</surname>
            <given-names>Max</given-names>
          </name>
          <xref ref-type="corresp" rid="c01"/>
        </contrib>
        <aff>
          <institution content-type="orgname">USP</institution>
          <institution content-type="orgdiv1">FM</institution>
          <institution content-type="orgdiv2">HC</institution>
          <institution content-type="orgdiv3">Instituto do Cora&#231;&#227;o</institution>
          <addr-line>
            <named-content content-type="city">S&#227;o Paulo</named-content>
            <named-content content-type="state">SP</named-content>
          </addr-line>
          <country>Brasil</country>
          <institution content-type="original">InCor Instituto do Cora&#231;&#227;o HC-FMUSP, S&#227;o Paulo,
                  SP - Brasil</institution>
        </aff>
      </contrib-group>
      <author-notes>
        <corresp id="c01"><bold>Correspond&#234;ncia: Max Grinberg</bold>, Rua Manoel Antonio Pinto, 04, apto. 21A,
               Parais&#243;polis. CEP 05663-020, S&#227;o Paulo, SP - Brasil E-mail:
                  <email>max@cardiol.br</email>, <email>grinberg@incor.usp.br</email>
            </corresp>
      </author-notes>
      <pub-date pub-type="epub-ppub">
        <month>04</month>
        <year>2014</year>
      </pub-date>
      <volume>102</volume>
      <issue>4</issue>
      <fpage>414</fpage>
      <lpage>414</lpage>
      <history>
        <date date-type="received">
          <day>16</day>
          <month>10</month>
          <year>2013</year>
        </date>
        <date date-type="rev-recd">
          <day>25</day>
          <month>10</month>
          <year>2013</year>
        </date>
        <date date-type="accepted">
          <day>25</day>
          <month>10</month>
          <year>2013</year>
        </date>
      </history>
      <permissions>
        <license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by-nc/3.0/">
          <license-p>This is an Open Access article distributed under the terms of the Creative
                  Commons Attribution Non-Commercial License which permits unrestricted
                  non-commercial use, distribution, and reproduction in any medium, provided the
                  original work is properly cited. </license-p>
        </license>
      </permissions>
      <kwd-group xml:lang="pt">
        <kwd>Acesso &#224; Informa&#231;&#227;o</kwd>
        <kwd>Bio&#233;tica</kwd>
        <kwd>Internet / utiliza&#231;&#227;o</kwd>
      </kwd-group>
      <counts>
        <fig-count count="0"/>
        <table-count count="1"/>
        <equation-count count="0"/>
        <ref-count count="1"/>
        <page-count count="1"/>
      </counts>
    </article-meta>
  </front>
  <body>
    <p>
      <bold>Caro Editor,</bold>
    </p>
    <p>No Brasil de crescente inclus&#227;o digital domiciliar<xref ref-type="bibr" rid="B01">1</xref>
         h&#225; car&#234;ncia de dados sobre uso da internet pelo paciente sobre necessidades de sa&#250;de.
         Pesquisa entre 118 pacientes no Ambulat&#243;rio de Valvopatias do InCor resultou nos dados da
            <xref ref-type="table" rid="t01">Tabela 1</xref>. </p>
    <table-wrap id="t01">
      <label>Tabela 1</label>
      <caption>
        <title>Perfil dos pacientes entrevistados</title>
      </caption>
      <table frame="hsides" rules="rows">
        <tbody>
          <tr>
            <td>Sexo feminino</td>
            <td align="center">65,2%</td>
          </tr>
          <tr>
            <td>Idade ( acima de 51 anos)</td>
            <td align="center">66%</td>
          </tr>
          <tr>
            <td>Escolaridade: ensino fundamental incompleto</td>
            <td align="center">53%</td>
          </tr>
          <tr>
            <td>Escolaridade: ensino superior</td>
            <td align="center">5,9%</td>
          </tr>
          <tr>
            <td>Acesso a internet (frequentemente ou sempre que poss&#237;vel)</td>
            <td align="center">16,9%</td>
          </tr>
          <tr>
            <td>Acesso a internet (raramente)</td>
            <td align="center">10%</td>
          </tr>
          <tr>
            <td>Acesso internet (N&#227;o utilizam)</td>
            <td align="center">72%</td>
          </tr>
          <tr>
            <td>J&#225; procuraram na internet sobre seu problema de sa&#250;de</td>
            <td align="center">12%</td>
          </tr>
          <tr>
            <td>Conseguiram encontrar informa&#231;&#245;es sobre seu problema</td>
            <td align="center">11%</td>
          </tr>
        </tbody>
      </table>
    </table-wrap>
    <p>O percentual de 11% de participa&#231;&#227;o ativa, embora modesto, sinaliza o valor das iniciativas
         de treinamento em comunica&#231;&#227;o na rela&#231;&#227;o m&#233;dico-paciente.</p>
  </body>
  <back>
    <ref-list>
      <title>Refer&#234;ncia</title>
      <ref id="B01">
        <label>1</label>
        <mixed-citation>1. IBGE. Pesquisa Nacional por Amostra de Domic&#237;lio. Acesso &#224; internet e
               posse de telefone m&#243;vel celular para uso pessoal. Rio de Janeiro: IBGE; 2011. [Acesso
               em 2013 out 14]. Dispon&#237;vel em
               ftp://ftp.ibge.gov.br/Acesso_a_internet_e_posse_celular/2011/PNAD_Inter_2011.pdf</mixed-citation>
        <element-citation publication-type="web">
          <person-group person-group-type="author">
            <collab>IBGE</collab>
          </person-group>
          <source xml:lang="pt">Pesquisa Nacional por Amostra de Domic&#237;lio. Acesso &#224; internet e
                  posse de telefone m&#243;vel celular para uso pessoal</source>
          <publisher-loc>Rio de Janeiro</publisher-loc>
          <publisher-name>IBGE</publisher-name>
          <year>2011</year>
          <date-in-citation content-type="access-date">Acesso em 2013 out 14</date-in-citation>
          <comment>
            <ext-link ext-link-type="uri" xlink:href="ftp://ftp.ibge.gov.br/Acesso_a_internet_e_posse_celular/2011/PNAD_Inter_2011.pdf">ftp://ftp.ibge.gov.br/Acesso_a_internet_e_posse_celular/2011/PNAD_Inter_2011.pdf</ext-link>
          </comment>
        </element-citation>
      </ref>
    </ref-list>
  </back>
  <sub-article article-type="translation" id="SA1" xml:lang="en">
    <front-stub>
      <article-categories>
        <subj-group subj-group-type="heading">
          <subject>Letter to the Editor</subject>
        </subj-group>
      </article-categories>
      <title-group>
        <article-title xml:lang="en">Patients' use of the Internet</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="author">
          <name>
            <surname>Miranda</surname>
            <given-names>George Barreto</given-names>
          </name>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Cordeiro</surname>
            <given-names>Jo&#227;o Ricardo</given-names>
          </name>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Grinberg</surname>
            <given-names>Max</given-names>
          </name>
          <xref ref-type="corresp" rid="c02"/>
        </contrib>
        <aff>
          <institution content-type="original">InCor Instituto do Cora&#231;&#227;o HC-FMUSP, S&#227;o Paulo,
                  SP - Brazil</institution>
        </aff>
      </contrib-group>
      <author-notes>
        <corresp id="c02"><bold>Mailing Address: Max Grinberg</bold>, Rua Manoel Antonio Pinto, 04, apto. 21A,
               Parais&#243;polis. Postal Code 05663 020, S&#227;o Paulo, SP Brazil. E mail:
                  <email>max@cardiol.br</email>, <email>grinberg@incor.usp.br</email>
            </corresp>
      </author-notes>
      <kwd-group xml:lang="en">
        <kwd>Access to Information</kwd>
        <kwd>Bioethics</kwd>
        <kwd>Internet / utilization</kwd>
      </kwd-group>
    </front-stub>
    <body>
      <p>
        <bold>Dear Editor,</bold>
      </p>
      <p>In Brazil, a country where digital inclusion at home is growing<xref ref-type="bibr" rid="B01">1</xref>, there is a lack of data on the patients' use of the Internet for
            health information. A survey conducted among 118 patient in the Heart Valve Diseases
            Outpatient Clinic of InCor, resulted in the findings shown in <xref ref-type="table" rid="t02">Table 1</xref>. </p>
      <table-wrap id="t02">
        <label>Table 1</label>
        <caption>
          <title>Profile of the patients interviewed</title>
        </caption>
        <table frame="hsides" rules="rows">
          <tbody>
            <tr>
              <td>Female gender</td>
              <td align="center">65.2%</td>
            </tr>
            <tr>
              <td>Age (above 51 years of age)</td>
              <td align="center">66%</td>
            </tr>
            <tr>
              <td>Level of education: did not complete elementary school</td>
              <td align="center">53%</td>
            </tr>
            <tr>
              <td>Level of education: tertiary school</td>
              <td align="center">5.9%</td>
            </tr>
            <tr>
              <td>Internet access (frequently or whenever possible)</td>
              <td align="center">16.9%</td>
            </tr>
            <tr>
              <td>Internet access (hardly ever)</td>
              <td align="center">10%</td>
            </tr>
            <tr>
              <td>Internet access (do not use)</td>
              <td align="center">72%</td>
            </tr>
            <tr>
              <td>Have already searched the Internet about their health problem</td>
              <td align="center">12%</td>
            </tr>
            <tr>
              <td>Were able to find information on their problem</td>
              <td align="center">11%</td>
            </tr>
          </tbody>
        </table>
      </table-wrap>
      <p>The figure of 11% of active participation, albeit modest, signals the value of
            initiatives in communication training in the doctor-patient relationship.</p>
    </body>
  </sub-article>
</article>
