Centro Universitário UNINOVAFAPI

As tentativas de autoextermínio configuram-se como importante problema de saúde pública e representam demanda frequente e complexa nos serviços de urgência e emergência, que, muitas vezes, constituem o primeiro ponto de contato dessas pessoas com o sistema de saúde. Nesse contexto, a qualificação do cuidado e a atuação integrada das equipes tornam-se fundamentais para além da estabilização clínica imediata. Objetivo: Analisar as evidências científicas disponíveis sobre o manejo multiprofissional de pessoas vítimas de tentativas de autoextermínio no contexto dos serviços de emergência. Método: Trata-se de uma revisão integrativa da literatura, conduzida segundo as recomendações do PRISMA 2020 e do Joanna Briggs Institute, com buscas em bases de dados nacionais e internacionais. Foram incluídos estudos que abordassem estratégias assistenciais, organização dos serviços e intervenções no cuidado a pessoas em situação de crise psíquica atendidas na emergência. Resultados: Os achados evidenciam a importância de fluxos assistenciais organizados, avaliação ampliada, acolhimento qualificado e atuação integrada entre diferentes profissionais, bem como do seguimento estruturado após a alta. Conclusão: O manejo multiprofissional deve ser compreendido como processo articulado, envolvendo organização dos serviços, práticas colaborativas e integração com a rede de atenção psicossocial.

Physical exercise can significantly impact chronic disease prevention and health promotion in older adults. This retrospective cohort study evaluated the association between participation in a multidisciplinary physical exercise program and cardiovascular health outcomes in older adults over 6years. The Active Life circuit resistance training program incorporated aerobic, strength, balance, and flexibility exercises delivered in a community-based setting. While the Active Life Program was prospectively planned and implemented as a 6-year community-based intervention, the present study is a retrospective analysis of participants selected based on adherence (≥75% attendance) and availability of complete data from a digital platform. Thirty participants (n = 30; mean age 70.2 ± 5.4years) completed the program, with 30 sedentary controls (n = 30) included for comparison. Eligibility criteria included age ≥60, presence of chronic cardiovascular risk factors, and ability to engage in moderate physical exercise. A concurrent sedentary control group (attendance <25%) was selected from the same eligible population. Cardiovascular risk factors were assessed at 6-month intervals. Compared to the sedentary group, the Active Life group demonstrated significantly lower systolic arterial pressure (p = 0.0009, η2 = 11.53%), with an average between-group difference of 10.5 ± 2.4mmHg over the 1.5-6.0-year period. A significant reduction in the triglyceride-to-HDL-C ratio was observed starting at 2.5 years (p = 0.0146, η2 = 7.09%). Additionally, the Active Life group exhibited lower triglyceride levels (p = 0.0134, η2 = 5.73%; average difference: 33.9 ± 5.8mg/dL) and fasting glucose levels (p = 0.0163, η2 = 6.23%; average difference: 16.1 ± 4.9mg/dL) over the 3.0-6.0-year period compared to controls. No significant differences were observed in diastolic blood pressure, total cholesterol, LDL-C, or HDL-C. This retrospective analysis suggests that sustained participation in a circuit resistance training program may be associated with favorable cardiovascular and metabolic profiles in older adults. However, given the non-randomized design, small sample size, and potential selection bias, these findings should be considered preliminary and exploratory. Future randomized controlled trials are needed to confirm these associations and establish causality.

ABSTRACTBackgroundSpiritual care is a dynamic and multifaceted concept. The EPICC project, launched to improve nurses' competence in spiritual care through innovative education, supports this approach. The EPICC framework includes several tools and resources with the Spiritual Care Education Standard as the core tool.AimTranslation, validation and cross‐cultural adaptation of the EPICC Spiritual Care Education Standard into European Portuguese language and culture.MethodsValidation study using the Cross‐Cultural Adaptation method. This method involves a six‐step framework: translation, synthesis, back‐translation, review by the expert panel (n = 6), pre‐testing, and concluding with the submission and approval of all documents by the original instrument authors and the expert panel. EQUATOR checklist: GRRAS.Ethical Issues and ApprovalDoctoral research project (approved by the Ethics Committee on 19 July 2023).ResultsThe data were collected between November 2023 and April 2024 and showed 100% agreement and a Content Validity Index (CVI) of 1 for all items among experts. The pre‐test, collected in May 2024, with 39 nursing students showed 90% agreement and minimal response variability among the items.ConclusionsThe study successfully adapted the EPICC Spiritual Care Education Standard to European Portuguese, highlighting the need for ongoing investment in spiritual care education in nursing curricula.ImplicationsThis study highlights the importance of students' spiritual care competencies in nursing education and practice, emphasising their integration into curricula and the ongoing relevance of healthcare policy in supporting this dimension of holistic care.

BackgroundDeep brain stimulation (DBS) is a treatment for dystonia, with most trials conducted in developed countries. Data from developing countries like Brazil are limited.ObjectiveTo evaluate the landscape of DBS for dystonia in Brazil, assessing motor outcomes compared with the existing literature.MethodsA retrospective multicenter cohort study was conducted via medical record review. Demographics and motor outcomes were collected and analyzed using the Burke-Fahn-Marsden Dystonia Rating Scale (BFMDRS) from patients across four of Brazil's five macro-regions.ResultsThe cohort included 60 patients (44.3% female), with DBS primarily targeting the globus pallidus internus (73.3%) or subthalamic nucleus (18.3%). The BFMDRS motor scores decreased from 63.0 ± 26.2 (n = 24) at baseline to 36.7 ± 24.6 at 1-year post-DBS (n = 22,p = 0.0018) and 43.6 ± 35.0 at the last assessment (n = 13,p = 0.0327).ConclusionThe use of DBS yielded significant, sustained motor improvements, consistent with developed countries, highlighting its feasibility and effectiveness in Brazil within diverse healthcare settings.

Esse artigo buscou relatar a experiência de uma estudante de Farmácia convivendo com a anemia falciforme, destacando os desafios cotidianos, o impacto da doença na formação profissional e as reflexões sobre o cuidado ao paciente. Trata-se de um estudo do tipo relato de experiência, com abordagem qualitativa, realizado com uma paciente residente em Teresina (PI), diagnosticada na infância com anemia falciforme. A coleta de dados ocorreu por meio de entrevista semiestruturada, composta por perguntas subjetivas, visando compreender a vivência com a doença, bem como a evolução do diagnóstico e do tratamento. A participante, mulher, 31 anos, parda, solteira e acadêmica de Farmácia, foi diagnosticada aos 17 anos após histórico de múltiplas internações por crises dolorosas, icterícia e esplenomegalia. O diagnóstico foi confirmado por eletroforese de hemoglobina no HEMOMAR, iniciando-se terapia com ácido fólico e acompanhamento periódico. Posteriormente, com a introdução da hidroxiureia e o seguimento especializado, observou-se redução das crises falcêmicas, diminuição das internações e melhora da qualidade de vida. Conclui-se que o acompanhamento contínuo, a adesão ao tratamento e a atuação multiprofissional, com destaque para a orientação farmacêutica, são fundamentais para o manejo adequado da anemia falciforme e para a promoção do autocuidado.

A ecocardiografia funcional neonatal (Targeted Neonatal Echocardiography – TnECHO) tem sido utilizada como ferramenta de triagem hemodinâmica precoce em recém-nascidos pré-termo extremos, permitindo a avaliação da fisiologia cardiovascular em tempo real e a individualização das condutas clínicas. O presente estudo tem como objetivo avaliar o papel prognóstico de marcadores ecocardiográficos funcionais e investigar o impacto da triagem hemodinâmica precoce guiada por ecocardiografia funcional neonatal (TnECHO) sobre a morbimortalidade neonatal em recém-nascidos pré-termo extremos. Este estudo observacional multicêntrico avaliou o papel prognóstico de marcadores ecocardiográficos funcionais e o impacto da triagem precoce guiada por TnECHO na morbimortalidade neonatal. Foram incluídos recém-nascidos pré-termo &lt;27–28 semanas e/ou &lt;1.250 g, comparando-se aqueles submetidos à triagem entre 12 e 18 horas de vida com um grupo sob cuidado padrão. O desfecho primário foi morte ou hemorragia intraventricular grave até 36 semanas de idade pós-menstrual. A implementação da triagem precoce associou-se à redução significativa do desfecho composto, de 29% para 16%, com maior chance de sobrevivência livre de hemorragia intraventricular grave após ajuste. A hipertensão pulmonar precoce identificada pela TnECHO destacou-se como o principal marcador prognóstico. Em síntese, a TnECHO realizada precocemente mostrou-se uma ferramenta útil para estratificação de risco hemodinâmico e redução de desfechos adversos em prematuros extremos.

The economy of Treviso, a city in southern Santa Catarina, Brazil, is fundamentally based on coal mining. The recent closure of a major mining facility, however, necessitated a strategy for diversifying the local economy. Consequently, a technical and economic feasibility study was commissioned to assess the viability of implementing two photovoltaic power plants on municipality-owned plots of land that had been environmentally degraded by mining activities. The core goal of this effort was to identify a robust solution for the city's economic future. Financial modeling identified two sites, with respective installed capacities of 10.48 MW and 14.83 MW. Considering the potential deployment of single-axis tracking systems at both locations, the study estimated a payback period of 10 years for fixed systems and 11 years for tracking systems. Furthermore, the installation of these plants is projected to create up to 633 direct and indirect jobs in the region.

A cirurgia bariátrica consiste em um procedimento com foco destinado a modificar o fluxo gastrointestinal, também pode ser chamada de cirurgia de redução do estômago ou gastroplastia. Atualmente, a obesidade é um problema para muitos brasileiros com excesso de peso devido à má alimentação, falta de exercícios físicos, predisposição genética, alterações hormonais e o uso de algumas medicações que colaboram ao seu desenvolvimento. Vale ressaltar que sua existência pode colaborar para agravamento de outras patologias e comorbidades. É importante destacar que, neste problema de saúde pública, a cirurgia bariátrica tem se revelado como um tratamento eficaz e potencialmente seguro no que diz respeito ao tratamento de obesidades moderadas (II) e graves (III) com o objetivo de melhorar a qualidade de vida e bem estar dos pacientes. No entanto, além de seus benefícios, a cirurgia não é indicada para quaisquer casos, e sua realização pode igualmente acarretar em efeitos negativos nos pacientes. Neste contexto, o objetivo deste estudo é analisar a cirurgia bariátrica e sua eficácia. Para a construção desse estudo foi realizado um levantamento de dados em bibliotecas virtuais, os materiais encontrados foram examinados, discutidos e serviram de base para essa pesquisa.

Purpose This study aims to comparatively analyze how generalist and specialized incubators in Brazil and Portugal deal with the paradox of hybridity, address institutional gaps, and adapt their services in the incubation process of Social Businesses (SBs). Design/methodology/approach This qualitative study used content analysis of 12 semi-structured interviews and documents from six incubators in each country, selected through purposeful sampling. Deductive coding and Atlas.ti software were used for data analysis. Findings Generalist incubators provide a broader range of services, though often generic and based on standardized logics (e.g. the CERNE model). Specialist incubators adopt adaptive and territorial approaches, offering services more closely aligned with SBs’ needs. Divergences were identified in selection criteria (innovation vs. impact), incubation duration (up to 2 years in Brazil, up to 4 in Portugal), and support for different hybrid typologies. Policies such as PIS 2030 (Portugal) mitigate institutional voids, while in Brazil challenges remain regarding access to capital and regulation. Research limitations/implications The sample was limited to 12 incubators and did not include the perspectives of incubated entrepreneurs. Practical implications The study recommends the creation of modular incubation pathways for SBs, the fostering of international partnerships, and the development of hybrid impact metrics. Social implications The findings highlight the strategic role of incubators in promoting ventures that balance social mission and financial sustainability, contributing to the reduction of institutional voids and the strengthening of social innovation ecosystems. Originality/value This study proposes a Three-Dimensional Analytical Model (Context, Incubator Typology, Incubation Process) to better understand the effectiveness of support for SBs.

This qualitative review aims to synthesize the evidence on nurses’ experience of intervening with fathers when providing care to their young children. Five databases were searched. Inclusion criteria were (a) nurses’ experience, (b) intervention with fathers, (c) written in English or French. Data were extracted by two independent reviewers. Qualitative thematic synthesis of 17 peer-reviewed studies was performed by 12 family nurse researchers from six countries. Three analytical themes were identified: “Conceiving of the father’s role in terms of his involvement within the family”; “Working with fathers based on the nurse’s individual conception of the paternal role”; and “Developing a sense of efficacy in working with fathers.” The results highlight the importance of raising family nurses’ awareness of fathers’ individual realities. Training in this regard makes it possible to modify nurses’ perceptions of the paternal role and to promote the adoption of father inclusive practices within the family.