Sa´úde Coletiva (Barueri)

Nicotine Dependence and Associated Factors

2025-03-24T14:41:35-03:00

Objective: to identify factors associated with nicotine dependence in participants in anti-smoking groups held by four Basic Health Units in Caxias do Sul in 2023. Methodology: this is a cross-sectional study with a quantitative approach, carried out with data from 73 instruments of clinical anamnesis. The research project was approved by the research ethics committee under opinion number 6,740,787 and CAAE 77888524.1.0000.5341. Results: 20.5% of participants had a low degree of nicotine dependence, 50.7% moderate and 28.8% high. Multiple ordinal logistic regression revealed greater chances of high nicotine dependence in participants with a history of lung problems (OR= 5.42 95% CI= 1.92-15.32). Conclusion: Nicotine dependence causes serious harm to population health. The use of all forms of nicotine must be avoided.

An Analysis of Women's Work and Illness

2025-03-24T15:43:09-03:00

This article analyzes the relationship between work overload and women's health deterioration, arguing that the unequal division of labor—combining paid and unpaid work—significantly contributes to women's physical and emotional strain. Statistical data were used to demonstrate the work overload and the higher prevalence of physical and psychological illness among women. The research highlights that, although women take better care of their health and seek medical services more frequently, they exhibit higher rates of chronic diseases, anxiety disorders, and depression compared to men. The text discusses the invisibility of domestic work and its contribution to gender inequality, as well as the need for more comprehensive public policies to support women's overall health. It proposes a redefinition of care work, suggesting a more equitable and sustainable model that values and redistributes these responsibilities, promoting greater social justice and well-being for women.

Analysis of the Family Functionality of University Students During the Covid-19 Pandemic

2025-03-21T10:36:24-03:00

Objective: To analyze the family functionality of university students during the COVID-19 pandemic. Method: Cross-sectional study with 251 students, using an online questionnaire to obtain information about sociodemographic profile and family functionality, evaluated through the Family APGAR. Results: The majority of the students were female, with an average age of 23.8 years, self-declared as non-white, enrolled in their first undergraduate program, not from the university's host city, living in a non-owned house with their father and/or mother, and belonging to the Christian religion. There was a higher prevalence of students belonging to families with good family functionality (94; 37.5%; 95% CI 31.1-43.8), followed by high family dysfunction (88; 35.1%; 95% CI 29.5-41.4). Regarding the domains of the Family APGAR, "Growth" (Development/growth) and "Resolve" (Problem-solving/shared time), were highlighted with 79.8% and 77.7% in functional families, respectively. Conclusion: University students received family support, especially during the COVID-19 pandemic period.

Relevance of Rhythmic Activities in the Training of Physical Education Teachers

2025-04-03T16:38:57-03:00

Objective: To understand the perceptions of undergraduate students in Physical Education about rhythmic activities and dances, and how they can help in professional training. Method: A qualitative study of ethnographic and descriptive type, analytical and interpretative character, carried out in a higher education institution, applying the content analysis technique in a selection of 20 students, using a focus group and participant observation. Result: The problem of scarcity of content in this area in Physical Education classes in Basic Education was evidenced, lack of information and training of Basic Education teachers regarding dance, which directly affects students.Conclusion: Prejudice was presented as a reason for the lack of offer of these classes, along with the lack of information and training of educators on this subject. The importance of rhythmic activities and dance for the development of this audience was highlighted, benefiting motor, cognitive and social aspects.

Comparative Analysis of Vaccination Coverage in Southeast Region

2025-03-21T10:35:51-03:00

Objective: To compare vaccination coverage among the states of the Southeast Region of Brazil from 2018 to 2022, emphasizing observed trends and potential public health impacts. Method: Descriptive epidemiological study based on DATASUS data. The coverage of the main mandatory childhood immunobiologicals was assessed. Statistical analysis was performed using one-way ANOVA in GraphPad Prism 10.0.0, considering p < 0.05. Results: The regional coverage exceeded the national average (69.60%), with Minas Gerais recording the highest rate (79.96%) and Rio de Janeiro the lowest (56.47%). Yellow Fever had the lowest coverage (66.40%), while the MMR vaccine had the highest (85.33%). Conclusion: It is essential to conduct a more detailed analysis of social determinants and health service issues that influence vaccine adherence to promote more specific and effective strategies to achieve the WHO’s 95% coverage goal.

Quality of Life in Patients with Post-COVID-19 Syndrome

2025-03-21T10:39:06-03:00

Objective: to evaluate the quality of life of patients living with post-COVID-19 syndrome. Method: Cross-sectional study that used the European quality of life questionnaire EQ-5D-5L, post-COVID functional status scale, dyspnea scale, and fatigue scale. Results: 111 patients participated, of which 80.18% were female, had completed high school (45.9%), self-declared brown (73%), married/stable union (45.04%), and income of up to 1 minimum wage (47.7%). The average EQ-5D-5L index was 0.610. Married men had a higher quality of life index. On the post-COVID-19 functional status scale, low levels of quality of life were identified in individuals with moderate/severe limitations and in grades 2 and 3 of the dyspnea scale; on the fatigue scale, the increase in score reduced the quality of life index. Dyspnea, fatigue, and memory changes were the most reported symptoms. Conclusion: Quality of life was low due to sociodemographic factors and sequelae of the disease.

The Family Impact of the Diagnosis of Autistic Spectrum Disorder

2025-03-21T10:39:04-03:00

Objective: to identify the family impact in the face of the diagnosis of autism spectrum disorder. Method: descriptive exploratory qualitative study, carried out through semi-structured interviews with a sample of 10 mothers of school-age children diagnosed with Autism, accompanied in a project that serves children with special needs in the metropolitan region of São Paulo. The interviews were analyzed through Bardin's Content Analysis. Results: four central categories were listed: Having the previous distrust of the diagnosis; It is difficult to accept the diagnosis; Seeking knowledge to better understand the diagnosis and Changing family social life. Conclusion: the family impact after the diagnosis brings permanent changes in the family, being necessary a restructuring to support the child and adapt to the new reality.

Evaluation of Quality of Life and Impact of Treatment in Men with Prostate Cancer

2025-03-24T13:47:56-03:00

Objetivo: Avaliar a qualidade de vida e o impacto do tratamento em pacientes com diagnóstico de câncer de próstata. Método: Estudo transversal com abordagem quantitativa realizado em uma unidade de oncologia de alta complexidade do Estado do Pará. Participaram 80 homens com câncer de próstata. A coleta de dados ocorreu por meio de roteiro de entrevista e aplicação do instrumento Qualiry of Life Questionnaire. Análise por estatística descritiva utilizando o software BioEstat 5.4. Resultado: Houve predomínio de homens, procedentes do interior do estado, acima de 60 anos, pardos. As médias dos escores na escala de sintomas indicam dificuldades financeiras e fadiga, que impactam na qualidade de vida. Conclusão: Os domínios mais afetados pelos pacientes com diagnóstico de câncer de próstata foram relacionados à escala de sintomas e dificuldades financeiras, com destaque para aqueles que estavam em intervenção quimioterápica.

Life with HIV/AIDS in Family Relationships

2025-03-21T10:36:26-03:00

Most studies on HIV/AIDS focus mainly on people living with HIV, with little study of these people's family relationships. Objective: To analyze how HIV is configured in the family relationships of people living with HIV. Method: Study conducted at an Infectious Diseases Outpatient Clinic in São Paulo/SP with 37 elderly people living with HIV and 19 family members. Results: Show that HIV in family relationships can be a supporting factor or a determining factor in these relationships. It can be a supporting factor when other family problems are more serious and living with HIV does not interfere with family relationships. However, other families live on constant alert for fear of infecting someone, fear that other people will find out and limit relationships, causing family isolation. Conclusion: HIV in family relationships reveals the quality of these relationships prior to HIV, so that it brings out some changes that need to be addressed in order to promote the protagonism of its members.

Keywords: Elderly; HIV/AIDS; family relationships.

Clinical and Epidemiological Description of Covid-19: Data from a Sentinel Study in Health Units in Rio de Janeiro

2025-03-21T10:36:31-03:00

Objective: To investigate the distribution and clinical characteristics of COVID-19 in individuals treated at health units in the state of Rio de Janeiro, between June and October 2020. Method: Serial cross-sectional observational study with 10,329 participants. Clinical-epidemiological data were collected through an electronic form, with RT-PCR testing for SARS-CoV-2 and IgM/IgG serology. Statistical analysis included data processing in R software, categorization of variables, and use of descriptive tools. Results: Positivity was 14% for RT-PCR, 8.4% for IgM, and 10% for IgG. Women (60%) and mixed-race individuals (45%) predominated. Testing centers had a higher positivity rate (RT-PCR: 16%; IgM: 13%). Headache (41%) and myalgia (33%) were the most common symptoms, while anosmia was reported by 18%. Conclusion: The study highlighted the temporal relationship between diagnostic methods and the clinical profile of COVID-19, highlighting the importance of integrated testing strategies for epidemiological and clinical management.

Youth Under Pressure: Social and Family Demands on Psychoemotional Health

2025-03-21T10:39:10-03:00

Adolescence is a period marked by intense changes in the individual. These changes occur in biological, psychological, social, behavioral, and other ways. Social and family pressures play a significant role in the construction of identity and the emotional development of young people. This study analyzes the impact of these pressures on the psycho-emotional health of this group, highlighting the relationship between external expectations and the increase in common disorders such as anxiety, depression, Attention Deficit Hyperactivity Disorder (ADHD), and panic syndrome. In addition, it investigates the influence of social networks on the formation of self-image, the culture of high performance, and the challenges faced in the academic environment. The research also addresses the role of the family in the emotional regulation of young people, highlighting how the lack of adequate support can aggravate psychological suffering. In the school context, pressure to perform and bullying are factors that contribute to the worsening of already existing psycho-emotional problems. Coping strategies, such as social support, promotion of resilience, and socio-emotional education, are discussed as alternatives to minimize the effects of such pressures. It is possible to see that the implementation of measures aimed at the mental health of adolescents, both in the family and school environment, become fundamental in reducing the impacts that deteriorate the health of the child and youth population. The creation of safe spaces for dialogue and the encouragement of emotional self-regulation are essential strategies for strengthening the psycho-emotional well-being of this group.

Protocol for Assessing the Capacity and Return to Work of Workers with RSI/WMSD

2025-03-21T10:36:12-03:00

Objective: This study critically analyzed the Protocol for Work Capacity Assessment and Return to Work in workers with repetitive strain injuries and musculoskeletal disorders. Method: The protocol was applied to 17 workers at the Occupational Health Services of CEREST in Piracicaba and the Occupational Medicine outpatient clinic of the Hospital de Clínicas at Unicamp. Result: Results indicate that the protocol is comprehensive and functional, requiring a multidisciplinary team and approximately three hours for full application. Conclusion: Application of the protocol requires specialized training, attention to mental health, worker comprehension, and space adjustments for record-keeping. The study concludes that it is an effective tool for work reintegration, contributing to occupational rehabilitation and the prevention of work-related disabilities.

The Impact of Socioeconomic Conditions on the Oral Health of Socially Vulnerable Children and Adolescents

2025-03-21T10:35:53-03:00

Objective: To analyze the impact of socioeconomic conditions on the oral health of vulnerable children and adolescents, considering household head education, income, and ethnic and gender disparities. Methods: Cross-sectional study with 267 children and adolescents (mean age: 6.7 years) from non-profit schools in the Federal District of Brazil. Sociodemographic and clinical data (dmft, DMFT) were collected and statistically analyzed to assess associations with oral health conditions. Results: Education and per capita income were significantly correlated with dental caries, with higher prevalence in families with lower education levels (primary dentition: 52.5%, permanent dentition: 60.5%). Brown-skinned children had a higher prevalence of caries (58.9%) than white children (29.1%). The DMFT index was higher among girls. A positive correlation was observed between age and caries in permanent teeth. Conclusion: Socioeconomic factors influence children's oral health, exacerbating racial and gender inequalities. The findings highlight the need for public policies to expand access to oral healthcare and preventive strategies for vulnerable populations.

Analysis of Muscle Activation of the Lower Limbs in Variations of Footwork Pilates Exercises

2025-03-21T10:36:28-03:00

The Pilates method can be performed on the mat or with spring-equipped machines, such as the Reformer. Footwork exercises performed on the Reformer can have three variations of foot contact with the machine's bar: the toes, the mid-foot, and the heel. The aim of the study was to analyze the differences in lower limb muscle activation in different foot positions during the Footwork exercise of the Pilates method on the Reformer. Twenty-five healthy university students who did not practice Pilates were evaluated through anamnesis, physical examination, and electrical muscle activity of the right lower limb (Electromyograph, 8 channels). During the electromyography, the Footwork exercise was performed on the Reformer with foot variations on the toes, mid-foot, and heels on the bar. The electrical activation of the vastus medialis, vastus lateralis, rectus femoris, and biceps femoris muscles was similar, regardless of the foot position. However, the anterior tibial muscle showed greater activation when the heel was in contact with the bar. The long fibular, gastrocnemius, and soleus muscles were more activated when the toes were in contact with the Reformer (on tiptoe). The study contributed to a better understanding of muscle activation during Pilates exercises and may assist in more individualized therapeutic prescription of Pilates exercises for rehabilitation and performance.

Caregivers' Perception of Elderly Patients' Hospital Discharge and Continuity of Care at Home

2025-03-21T10:36:35-03:00

OBJECTIVE: To investigate caregivers' perception of the guidance provided for hospital discharge of elderly patients, as well as to describe caregivers' sociodemographic and clinical aspects. METHOD: A descriptive and qualitative study conducted with 20 caregivers of elderly patients discharged in the last 30 days. Data collection took place at home and in primary care through a sociodemographic questionnaire and an open-ended question about their perception of the received guidance. The analysis followed the guidelines of the Collective Subject Discourse and descriptive statistics.RESULTS: The caregivers were mostly women (90%), married (50%), and aged between 41 and 50 years (30%). Most reported feeling prepared to provide care but considered the guidance unsatisfactory. Perceptions were categorized into two themes: “Positive Perception of Guidance” and “Negative Perception of Guidance”. CONCLUSION: Although caregivers feel prepared, dissatisfaction with the guidance highlights the need for more effective and continuity-focused strategies.

Prevalence of Burnout Syndrome in Teachers: Systematic Review Protocol

2025-03-21T10:36:00-03:00

Objective: This systematic review protocol aims to analyze the prevalence of Burnout Syndrome among teachers. Method: Registered in PROSPERO (CRD420250651910) and following PRISMA guidelines, it will include observational studies (cross-sectional, cohort, and case-control) that use validated instruments. The search will be conducted in the MEDLINE (PubMed), EMBASE, LILACS (BVS), PsycInfo, and Google Scholar databases. The selection and extraction of data will be carried out by two independent reviewers, with a third to resolve any discrepancies. The risk of bias will be assessed using the ROBINS-E and JBI tools. The data synthesis will include meta-analysis with random effects models and evaluation of the quality of evidence using the GRADE system. Conclusion: This review will provide a comprehensive overview of the prevalence of burnout among teachers, identifying associated factors and contributing to new perspectives on the topic.

The Importance of Psychological Prenatal Care in Preventing Postpartum Depression: An Integrative Literature Review

2025-03-21T10:36:10-03:00

The aim of this study was to understand the importance of psychological prenatal care in preventing postpartum depression. This is an integrative literature review. The data was collected by searching the following databases: Periódicos Capes, Scientific Electronic Library Online (SciELO), Latin American and Caribbean Literature in Health Sciences (LILACS). The Health Sciences Descriptors (DeCS/MeSH) used were: ‘Prenatal Care’, ‘Pregnancy’, ‘Postpartum Depression’, together with the Boolean operator AND. Seven articles were included in the study and categorised into four categories for discussion. The study showed that psychological prenatal care has a positive impact not only on the prevention of postpartum depression, but also on other mental disorders, helping women and their families to cope with the transformations of this period.

Social Assistance Policy in Addressing Sexual Violence Against Children and Adolescents

2025-03-21T10:36:33-03:00

This work is a bibliographic research study with a narrative literature review approach, using a qualitative, exploratory, and descriptive method that aims to analyze the role of the Social Assistance Policy in the care and social protection of children and adolescents who are victims of sexual violence, using scientific publications in the field as the information source. The research was conducted in three databases: Scielo, the CAPES Periodicals Portal, and Medline, and resulted in a final total of 17 articles that were read and analyzed. Currently, in Brazil, children and adolescents are the largest victims of sexual violence, and the Social Assistance policy, through CREAS, is an important space for intervention in addressing such situations. In this sense, it is concluded that sexual violence against children and adolescents primarily occurs in their own homes, and family members or close individuals are the main perpetrators.

Diagnostic Criteria for Fibromyalgia: Challenges and Future Perspectives

2025-03-21T10:35:58-03:00

Fibromyalgia is a chronic syndrome that affects millions of people around the world, characterized by widespread pain, fatigue, hypersensitivity and several other clinical and psycho-emotional symptoms, including sleep disorders and cognitive difficulties. Due to the lack of objective markers, unknown pathophysiology and high variability of clinical presentations, the diagnosis of fibromyalgia remains a very controversial topic today. In this context, this article aims to critically review the diagnostic criteria for fibromyalgia, with an emphasis on its challenges, social impacts and future perspectives. To this end, a literature review was carried out in the PubMed, LILACS and SciElo databases, selecting scientific articles that were in line with the theme. The studies confirmed that, despite the existence of established and validated criteria, the diagnosis of fibromyalgia is still a clinical process that encounters several barriers, negatively impacting the quality of life of affected patients. Therefore, we hidhlight the importance of continued education and research in the field to increase diagnostic accuracy and improve patient care.

Neuropsychological Impacts of Screen Use in Children

2025-03-21T10:35:55-03:00

Objective: Check whether the use of screens is harmful to children and what the impacts of this practice are. Method: A literature review was carried out, using the Scielo, PubMed, BVSc and Google Scholars databases, where articles and book chapters written in Portuguese, English and Spanish, published between 2018 and 2025, were selected. Results: 135 publications were found, of which 35 were selected. Conclusion: Currently, it is considered that the excessive use of screens, if not well monitored, dosed and assisted, can cause harm, especially for children. Indiscriminate and unsupervised use can have negative impacts on the child's neurobiological, cognitive, behavioral development and school life.

Artificial Intelligence Algorithm for Early Detection of Pathogens in Clinical Samples

2025-03-21T10:36:07-03:00

The development of algorithmic automation for the early detection of pathogens represents a significant advance in health diagnostics. Traditional techniques, such as smear microscopy and biochemical assays, often suffer from lengthy processing times and limited sensitivity, necessitating faster and more accurate detection solutions. In addition to improving diagnostic capabilities, it supports timely treatment decisions in a scenario increasingly challenged by emerging infectious diseases. Its transformative role, particularly highlighted during the COVID-19 pandemic, has facilitated rapid diagnostic processes and improved clinical decision-making through data analysis. They have enabled the development of sophisticated algorithms capable of identifying pathogens with remarkable accuracy, as demonstrated by studies showing the effectiveness of models such as Gradient Boosting Machines (GBM) and K-Nearest Neighbors (KNN) in clinical settings. They help in antibiotic susceptibility testing, optimizing treatment strategies. Despite the promising potential, several notable challenges and controversies remain. Problems related to the quality and representativeness of data can lead to algorithmic biases, which can hinder the effectiveness of AI applications in various patient demographic groups. Regulatory frameworks are also evolving to address the complexities of AI in healthcare, with a focus on safety, efficacy and ethical considerations around patient data privacy and algorithm transparency.

Dysthanasia in Pediatric Patients: A Bioethical Discussion

2025-03-21T10:35:48-03:00

Objective: This study develops a bioethical analysis, from the perspective of principlism, on dysthanasia in pediatrics, with the aim of discussing this practice in the medical setting, the decision-making of those involved and its bioethical implications. Method: A search was conducted in the SciELO and PubMed databases for a literature review. Results: Dysthanasia consists of a treatment that only prolongs pain, making any investment in a cure an attack on human dignity. When the patient is a child close to death, the professionals' difficulty becomes even greater. Conclusion: Therefore, greater attention is needed to the curriculum, raising discussions and reflections on the subject, in order to train professionals to deal with finitude and play their role of offering support and comfort, as well as helping families to identify what quality of life means to them and how it can be achieved.

Approach of National Scientific Publications on Dysphagia in the Last 5 Years: Integrative Review

2025-03-21T10:36:15-03:00

Dysphagia is a change in the swallowing process. In addition to assistance, thinking about the progress of research in the area is extremely important for professionals when discussing evidence-based practice. Therefore, the objective of this study is to conduct a data collection on the design of scientific productions in the area of Swallowing/Dysphagia and analyze the results of the literature on the research approach. 24,682 articles were obtained in the initial search in the selected databases. Productions with objectives relating to swallowing and/or dysphagia that met the inclusion criteria were selected. The final sample comprised 27 articles. 4 discussion blocks were categorized. There is a prevalence in the area of dysphagia in adults and the elderly. There has been progress in scientific production on dysphagia, however, it is still necessary to publish national studies on operations with tracheostomy.

Approaches for Inclusive Education of Students With Autism Spectrum Disorder in Early Childhood and Elementary Education in Brazil

2025-03-21T10:36:40-03:00

Objective: To investigate educational policies and strategies for the inclusion of students with Autism Spectrum Disorder in Early Childhood and Primary Education in Brazil. Method: An Integrative Literature Review was conducted, analyzing policies and pedagogical approaches. The research was carried out using Google Scholar and SciELO, focusing on articles published between 2020 and 2025, following PRISMA 2020 criteria. In addition to database searches, other sources were consulted, including diagnostic manuals, public policies, and government documents. Results: Thirteen articles were selected for their original contributions and relevance. The findings highlighted the importance of Specialized Educational Assistance, teacher training, curricular adaptations, public policies, assistive technologies, and mediation strategies. Conclusion: Teacher training and the implementation of assistive technologies are essential for the inclusion of students with autism. By understanding local challenges and reflecting on pedagogical practices and viable solutions, the aim is to enhance inclusive educational policies.

The Nurse's Role in the Organ Donation Process in Brain Death

2025-03-21T10:36:19-03:00

The objective of this study was to understand the role of nurses in the process of organ donation in conditions of brain death, identifying the barriers in the nurses' work process. Methodology: This is an integrative literature review, using the PICo strategy, searching the PubMed and VHL databases, between 2014 and 2024. Results and Discussions: Studies were obtained that emphasize resistance to trust in donations and the transplant system, processes, technical and ethical aspects of donation; Nurses need more health education and specific knowledge about procedures in the context, which is one of the weaknesses of nursing. Conclusions: We realized that the role of communication and health education are fundamental for nurses. The impact that active, enlightened and empathetic communication promotes in changing this scenario is notable, making it necessary to provide training that adds to the improvement of conduct.

Benefits of Artificial Intelligence for Safe Care: Integrative Review

2025-03-28T11:50:41-03:00

This study investigated the benefits of Artificial Intelligence (AI) in nursing practice, focusing on improving care quality and patient safety. Through an integrative review using the PICo strategy, 14 studies published between 2014 and 2024 in Portuguese and English were analyzed, from SciELO, BVS, EBSCO, and PubMed databases. AI was applied in areas such as vital signs monitoring, image analysis, handover processes, and workload assessment. Benefits included improved diagnosis, reduced complications, and enhanced clinical care. However, challenges such as data bias and overfitting were noted, highlighting the need for further research and professional training. Despite limitations, AI shows significant potential to transform nursing practice and improve patient safety, with promising advances in healthcare.

Technological Educational Products: Teaching Surgical Site Infection Epidemiological Surveillance in Undergraduate Nursing

2025-03-21T10:39:08-03:00

In recent years, the use of educational technologies has gained prominence due to their proven benefits in educational practice, allowing learning to occur anytime and anywhere. This research aims to analyze which technological educational products are used in the teaching-learning process in undergraduate Nursing programs for the instruction of epidemiological surveillance of surgical site infections. An Integrative Literature Review (ILR) was chosen as the research method. The research was conducted in the following scientific databases: SCIELO (Scientific Electronic Library Online), Health Sciences, and the Virtual Health Library (BVS), as well as the National Library of Medicine (PubMed). The descriptors were crossed within each database using the boolean operators AND and OR, with the following descriptors: Hospital Infection, Nursing Education, Educational Technologies. Based on the articles found, it is evident that educational technologies, in general, have gained traction and significantly contributed to the learning of nursing students. The adoption of educational technologies in nursing education has been widely discussed as an effective strategy to enhance the learning of future professionals. Although the literature addresses various aspects of the use of these technologies in teaching and clinical practice, there is a noticeable gap in studies specifically analyzing the impact of these tools on teaching epidemiological surveillance of surgical site infections (SSI).

Knowledge and Assistance in Nursing Team Practices in the Face of Postpartum Hemorrhage: An Integrative Literature Review

2025-03-21T10:36:05-03:00

OBJECTIVE: To identify what knowledge, attitudes and practices the Nursing team uses in obstetric care to promote the necessary care for postpartum women in the face of postpartum hemorrhage. METHOD: Integrative literature review, carried out in January 2025 in the following databases: Cochrane Library; Web of Science; Medical Literature Analysis and Retrieval System Online; Nursing Database; Latin American and Caribbean Literature in Health Sciences, using the Health Sciences Descriptors: “Knowledge”, “Postpartum Hemorrhage”, “Nursing Team”. RESULT: 11 articles made up the sample. The Nursing team points out some measures to prevent and manage postpartum hemorrhage: administration of uterotonics, monitoring vital and clinical signs, observing blood loss, massaging the fundus of the uterus after placental delivery, examining the placenta, and performing controlled cord traction. CONCLUSION: With the findings, it was possible to identify that the team has essential knowledge to carry out good practices in the face of postpartum hemorrhage.

Matrix Support in Male and Female Workers' Mental Health in Brazil: an Integrative Review

2025-03-21T10:39:17-03:00

Matrix Support (MA) in Mental Health (MH) is a clinical and pedagogical work tool, used as a sharing arrangement between services in more complex MH cases. On the national scene, we have few records of AM in SM in cases of Workers' Health (STTT). Objective: to evaluate and discuss the experiences of AM in mental health in PHC and occupational health services. Method: This is an integrative review of national production on practical experiences of AM in SM and SMTT care based on articles published between 2009 and 2022. Results: 35 articles were selected, organized into 4 categories: 1) Attention Primary Health (PHC); 2) STT; 3) Psychosocial Care Network (RAPS) and 4) Combined AM strategies in PHC and RAPS. Discussion: It was evident that AM is a powerful tool in expanding care in Primary Health Care (PHC) and transforming the care model, in addition to bringing matrix providers and matrix providers closer together and services. Among the challenges of matrix support in SMTT is the need for greater integration of PHC Occupational Health care networks, with the latter being the organizer of a line of care. Conclusions: The results show that there is weakness in the articulation of networks for SMTT care, as well as the potential of Matrix Support (AM) to strengthen the integration between the Occupational Health Care Network (RENAST) and the Psychosocial Care Network ( RAPS) in the care of workers' mental health.

The Influence of Formative Feedback on the Development of Self-regulated Learning in Medical Education

2025-03-28T11:50:39-03:00

This study aimed to investigate how formative feedback can promote self-regulated learning in medical education. An integrative literature review was conducted, searching for articles in the PubMed, SciELO, and ERIC databases, considering publications between 2019 and 2024. After applying the inclusion and exclusion criteria, 19 studies were selected and analyzed. The results showed that structured and continuous formative feedback plays a crucial role in developing self-regulated learning, helping medical students monitor their academic performance and refine their study strategies. The literature indicates that approaches such as multimodal feedback, reflective feedback, and a combination of peer and faculty feedback enhance self-regulated learning and positively impact students' performance. However, challenges such as faculty workload and resistance to adopting innovative assessment models still hinder the effective implementation of these practices. It is concluded that investing in formative feedback-based assessment methodologies is essential to strengthening the autonomy and professional competence of future physicians.

The Utilization and Access to Health Services by Elderly People in Primary Care

2025-03-21T10:36:44-03:00

Objective: To investigate the utilization and access to health services by elderly people in Primary Care. Method: A quantitative, exploratory, and descriptive study, carried out in a city in the interior of Paraná, with 396 elderly people registered in five Basic Health Units, selected by representative probabilistic sampling. Data were collected by questionnaires and analyzed by descriptive and inferential statistics. Result: Most participants reported having no difficulty going to the doctor alone (67.9%); received a flu vaccine in the last year (84.6%); sought the same service when they needed care (83.3%); with annual frequency (84.1%). Among users in the last month (46.0%), most sought care for illness or continuity of treatment (46.2%). Conclusion: It is emphasized that Primary Health Care is fundamental to guarantee access and use of health services by elderly people.

Use of Antidepressants and Risk of Falls in Active Women Aged 50 and Over

2025-03-21T10:36:42-03:00

Objective: to evaluate the influence of physical and cognitive abilities on the risk of falls in physically independent women aged 50 years or older. Methods: the sample included 255 participants (63.5 ± 6.3 years) of the Physical Exercise Program for the Elderly of the Escola de Educação Física e Esporte de Ribeirão Preto (USP). Variables such as age, education, medications (including antidepressants), presence of chronic diseases, level of physical activity, muscle strength, flexibility, agility, aerobic capacity, cognitive performance, and symptoms of depression and anxiety were analyzed. A logistic regression (stepwise) was performed. Results: the only factor significantly associated with the risk of falls was the use of medications for depression (OR = 4.32; 95%CI 1.65 – 11.30; p = 0.042), which can be explained by their side effects. Conclusion: it is important to have strict monitoring of mental health, through multi and interdisciplinary work, preventing falls and promoting physical strengthening, emotional stability and psychosocial well-being.

Performative Care: An Articulation Between Art and Mental Health in the Care of People Who Use Drugs

2025-03-21T10:36:17-03:00

In the relationship between art and Harm Reduction, discussions about care generally address practices that integrate art therapy, art education, and the aesthetic experience of art as strategies for Harm Reduction. This study investigated the artistic objects created by the Coletivo Arte e RD from Belo Horizonte, analyzing their contributions to performative acts that enhance the care of people who use drugs. A content analysis of the collective’s works was conducted, accompanied by a narrative review of the existing literature. It concludes that performative care, as the perception-image of performative acts, offers a new perspective to Public Health, centered on the reconstruction of fragmented bodies and their desires for reinvention.

The Emotional Impact on People Affected by an Extratropical Cyclone: a Descriptive Study

2025-03-21T10:38:45-03:00

Environmental disasters have been occurring more frequently in recent years, and these events have the potential to cause significant impacts, whether material or emotional, both on the affected city and on the individuals residing there. In this context, the objective of this study is to describe the possible emotional impacts of environmental disasters on people affected by the cyclone in the municipality of Caraá, Rio Grande do Sul. Additionally, it aims to understand the feelings and emotions of individuals affected by the disaster and the importance of community support in post-disaster reconstruction. A qualitative method was employed, using content analysis by categories based on theoretical references. The instruments used for data collection included a virtual communication group, a focus group, unstructured interviews, naturalistic observation, and photographic records of the environment. The study involved 10 participants, 6 women and 4 men, all over the age of 18, residing in the municipality whose homes and/or businesses were affected by the cyclone in June 2023. The results show that the participants experienced predominantly depowering emotional impacts, highlighting their vulnerability even a year and a half after the disaster. On the other hand, community resilience and mutual support emerged as important factors in rebuilding their lives following the disaster.

Technological Innovation of Oxygen Therapy in the National Health System During COVID-19: Experience Report

2025-04-04T11:10:09-03:00

The shortage of hospital ventilators during the COVID-19 pandemic has compromised the care of critically ill patients in the Brazilian Unified Health System (SUS). This experience report describes the development of an innovative technology for oxygen therapy, created by an interdisciplinary group that works from the perspective of in-service teaching. 140 prototypes of the “adapted High Flow Nasal Connector (CNAF)” were produced by 3D printing, with a unit cost of R$510.00. The device generated a flow of 15 L/min of oxygen, with the possibility of expanding to 30 L/min for an additional R$100.00. Complete commercial high-flow oxygen systems can cost up to R$25,000.00. The developed solution significantly reduced costs and expanded access to oxygen therapy in the SUS, demonstrating the potential of technological innovation to optimize resources and improve health care.