Faculdade Frassinetti do Recife

The objective of this scoping review is to map the evidence on using smartwatches to objectively measure physical activity (PA), sedentary behavior (SB), and sleep in children, adolescents, adults, and older adults. This review followed the Joanna Briggs Institute (JBI) guidelines for scoping reviews, following a previously published protocol. The searches were conducted in January 2022 on Medline, Scopus, Web of Science, IEEE Xplore Digital Library, Scielo, LILACS, Health Technology Assessment Database, Cochrane clinical trials, and clinical trials. The screening was performed independently by two authors. A narrative synthesis was used. After the electronic search, 5,925 records were identified and 2,008 duplicates removed. Screening of 3,917 titles and abstracts resulted in 491 full-text articles assessed for eligibility. A total of 427 studies were excluded for not meeting inclusion criteria, with one study added after author contact. Thus, 64 of these studies were included. Sample sizes ranged widely from 4 to 6,454 participants, with most studies (80.9%) including 100 or fewer participants. Most studies were conducted in the United States (46.9%), followed by China (9.4%). A total of 18 different smartwatch brands were identified, with Apple® being the most investigated (46.9%), followed by Samsung® (15.6), Fitbit® (14.1%), Motorola® (10.9%), Polar® (10.9%), Garmin® (9.4%), Asus® (3.1%), and others (1.6% each. Smartwatches were primarily used to validate measurements of PA, SB, and/or sleep parameters, followed by their use in assessing these variables as exposures or outcomes, testing feasibility, supporting self-monitoring, and other purposes. The most frequently measured variables were steps, total sleep time, and SB. This review can help studies, interventions, and health professionals that aim to use this technology as a measurement instrument, as well as help end users who use it on a daily basis.

To evaluate the efficacy and safety of conservative (oxygen saturation [Sp o2 ] 88-94% or Pa o2 < 80 mm Hg) vs. liberal oxygen targets (Sp o2 ≥ 94% or Pa o2 ≥ 90 mm Hg) in mechanically ventilated critically ill adults. PubMed, Cochrane CENTRAL, Embase, and ClinicalTrials.gov . We conducted the OXY-BREATHES, a systematic review and meta-analysis of randomized controlled trials (RCTs) comparing conservative vs. liberal oxygen targets in mechanically ventilated ICU patients. Primary outcomes were 90-day mortality and ICU length of stay. Secondary outcomes included ventilator- and vasopressor-free days, renal replacement therapy, nosocomial pneumonia, and cardiac or cerebral ischemic events. Subgroup analyses included patients with sepsis/septic shock and post-cardiac arrest. Data were collected according to study selection criteria. Certainty of evidence was appraised with Grading of Recommendations, Assessment, Development, and Evaluation, and risk of bias with the Cochrane tool. Data were analyzed using a random-effects model. Nine RCTs enrolling 20,447 patients were included. Conservative and liberal targets showed no substantial differences in 90-day (risk ratio [RR], 1.01; 95% CI, 0.94-1.09) or ICU length of stay (mean difference [MD], -0.17; 95% CI, -0.41 to 0.06). Secondary outcomes, including organ support-free days and the incidence of adverse events, were comparable between groups. In subgroup analyses, conservative targets yielded more vasopressor-free days in septic patients (MD, 2.0; p = 0.008) and a potential survival benefit in post-cardiac arrest patients (RR, 0.89; p = 0.05). Certainty of evidence was rated moderate for 90-day mortality, ICU length of stay, vasopressor-free days, and ventilator-free days; low for renal replacement therapy and nosocomial pneumonia; and very low for cerebral and cardiac ischemia due to imprecision and open-label trial designs. Conservative oxygenation is comparable to liberal oxygen targets in mechanically ventilated critically ill patients, with possible advantages in sepsis and post-cardiac arrest. Future condition-specific RCTs are warranted to define optimal ICU oxygen strategies.

Periodontitis is a highly prevalent chronic inflammatory disease initiated by dysbiotic biofilms and sustained by an exaggerated host immune response, for which scaling and root planing (SRP) remains the cornerstone of therapy. However, mechanical debridement alone may be insufficient to fully resolve inflammation in complex cases and in susceptible patients. In this context, natural products and host modulatory strategies have emerged as potential adjunctive therapies owing to their antimicrobial, anti-inflammatory, antioxidant, and immunomodulatory properties. This systematic review and meta-analysis aimed to evaluate the effectiveness of natural products used as adjuncts to SRP on periodontal clinical outcomes. Comprehensive electronic searches were conducted in MEDLINE/PubMed, Scopus, Web of Science, Cochrane CENTRAL, Embase, SciELO, and Google Scholar through December 2025, and randomized controlled clinical trials were included. Ninety studies were eligible for qualitative synthesis, and thirty-three were incorporated into the meta-analysis. The interventions encompassed a broad spectrum of plant-derived, host-modulatory and nutraceutical compounds, including curcumin, resveratrol, propolis, Aloe vera, green tea catechins, and omega-3 fatty acids, administered via local, systemic, or rinse-based approaches. Meta-analytic findings demonstrated that adjunctive natural products significantly enhanced probing pocket depth (PPD) reduction and clinical attachment level (CAL) gain compared with SRP alone, with additional improvements in gingival inflammation and bleeding outcomes; however, substantial heterogeneity was observed among studies. Overall, natural products provide measurable adjunctive benefits to SRP in the management of periodontitis, although further well-designed, standardized, and long-term randomized trials are necessary to support their routine clinical implementation.

Oral rehabilitation of the atrophic maxilla is a common clinical challenge, especially in edentulous patients, due to significant bone loss that compromises implant stability and smile esthetics. The All-on-Four protocol has emerged as an effective, minimally invasive, and predictable alternative, eliminating the need for bone grafting procedures while promoting satisfactory functional and aesthetic outcomes. This case report presents a clinical scenario of the rehabilitation of an atrophic maxilla using the All-on-Four technique. The patient, a 70-year-old female who was fully edentulous in the maxilla, reported aesthetic and functional dissatisfaction with her current prosthesis. After clinical and tomographic evaluation, the All-on-Four protocol was indicated for the placement of four Morse taper implants. Two anterior straight implants and two posterior implants angled at 45° were placed to maximize bone utilization and avoid the maxillary sinus. The surgical procedure was performed under local anesthesia, followed by relining of the provisional prosthesis. No adverse event or complications were observed on the day of the surgical procedure or in the postoperative period. After the osseointegration period, intermediate abutments were placed, and the definitive prosthesis was installed. After 6 months, the patient reported complete satisfaction with the treatment, which enhanced both the esthetic and masticatory functions. The case report demonstrates the benefits of the technique, including reduced treatment time, good primary stability, absence of significant morbidity, and excellent functional and esthetic outcomes for the patient. The All-on-Four protocol proved to be an effective and safe rehabilitative solution for cases of atrophic maxilla, contributing to improvements in the patient’s quality of life.

O presente artigo aborda as práticas de escrita no ensino de língua portuguesa, realizado por meio do Programa de Residência Pedagógica, com alunos do 6º ano do Ensino Fundamental da Escola de Referência em Ensino Fundamental e Ensino Médio Governador Barbosa Lima. O subprojeto da residência intitulado “Leitura, compreensão e produção textual: multiletramento e a multimodalidade nas novas práticas discursivas” teve como objeto de estudo gêneros textuais no campo jornalístico-midiático, com a criação do jornal escolar EGBL News. A metodologia envolveu uma abordagem qualitativa, com pesquisas bibliográficas, analisando habilidades e competências estabelecidas pela Base Nacional Comum Curricular (BNCC). O artigo destaca a importância do ensino de língua portuguesa contextualizado nos usos cotidiano e social. Dentre as conclusões, destaca-se que a atividade de produção textual realizada com objetivos bem definidos e de forma adequada logra êxito, promovendo o aperfeiçoamento na escrita e reflexão dos alunos quanto à língua.

Abstract Background Elite athletes face unique mental health challenges, yet the use of antidepressants in this population remains under-researched. Despite the prevalence of depressive and anxiety symptoms, there are no specific pharmacological guidelines tailored to athletes’ mental health needs or performance demands. Objective This scoping review aimed to explore the current literature on the use of antidepressant medications in elite athletes with symptoms of or diagnosed with depressive or anxiety disorders, focusing on treatment effectiveness, safety, performance, and, mainly, the athlete`s well-being. Methods A systematic search was conducted in PubMed, Embase, and PsycINFO (February 18–20, 2025) following PRISMA-ScR guidelines employing predefined terms related to athletes, antidepressants, and psychiatric disorders. Studies were included if they involved elite athletes treated with antidepressants for Major Depressive Disorder, Bipolar Depression, or Generalized Anxiety Disorder. Data were charted and narratively synthesized. Results Of 34,131 records screened, 15 studies met inclusion criteria: 10 narrative reviews, 3 systematic reviews, 1 survey, and 1 position statement. Most studies extrapolated recommendations from general populations, offering limited data on elite athletes with formal diagnoses. Few reported treatment durations or mental health outcomes. Performance effects were often emphasized, while psychological recovery was rarely addressed. Selective serotonin reuptake inhibitors—particularly escitalopram, fluoxetine, and sertraline—were the most commonly suggested. Conclusion There is a lack of robust evidence to guide antidepressant use in elite athletes. Future research should prioritize trials involving clinically diagnosed athletes, structured protocols, and outcomes centered on mental health and well-being rather than merely performance.

تهدف هذه الدراسة إلى تقديم نموذج مفاهيمي متكامل لتقييم الأداء المؤسسي في المؤسسات العامة، من خلال دمج مبادئ الحوكمة والإدارة الحديثة بشكل تكاملي. يرتكز النموذج على أربعة أبعاد رئيسية: المؤسسي، والاستراتيجي، والتشغيلي، والمجتمعي، ويعمل كل منها بوصفه ركيزة أساسية في بناء نموذج تقييم شامل وفعال. وقد أظهر التحليل أن النماذج التقليدية تعاني من قصور بنيوي واضح (Bouckaert & Halligan, 2008; Pollitt & Bouckaert, 2011)، مما يستدعي تطوير نموذج أكثر شمولية ومرونة ومواءمة للبيئات الإدارية العربية التي تتسم بالتعقيد والتغير المستمر. تم تطوير النموذج من خلال تحليل نقدي منهجي للأدبيات والنماذج القائمة، بالاعتماد على مراجعة متعددة المصادر، واقتُرحت توصيات عملية قابلة للتطبيق التدريجي في المؤسسات العامة. يسهم هذا النموذج في بناء ثقافة تقييم مؤسسية فعالة قائمة على النتائج، والشفافية، والمساءلة، والتحسين المستمر. تركز التوصيات على تحسين كفاءة المؤسسات العامة من خلال تعزيز أدوات الحوكمة وإدارة الأداء المستندة إلى النتائج. كما تبرز الدراسة أهمية هذا النموذج في السياقات العربية ويوفر أدوات عملية لتجاوز التحديات الراهنة في تقييم الأداء في القطاعات العامة. وتُعتبر هذه الدراسة مساهمة هامة في تطوير الممارسات الإدارية وتحسين الأداء المؤسسي في المؤسسات العامة.

Objetivo: Desenvolver e validar teoricamente um questionário para avaliar fatores associados ao desempenho executivo em adultos com Transtorno de Déficit de Atenção e Hiperatividade (TDAH). Métodos: Estudo qualitativo e transversal, focado na validação teórica de um questionário elaborado para identificar disfunções executivas e emocionais associadas ao TDAH. A validação foi realizada com 9 especialistas em neuropsicologia que avaliaram os critérios de clareza, simplicidade, relevância, objetividade e variedade. Participaram também 8 estudantes de psicologia diagnosticados com TDAH, que responderam ao questionário e foram submetidos a testes neuropsicológicos (BPA-2, FDT, ETDAH-AD, EPF-TDAH, BDEFS). A análise consistiu em verificar a sensibilidade do questionário em identificar os déficits relatados. Resultados: A validação por especialistas alcançou 100% de concordância nos critérios de clareza, simplicidade, relevância e objetividade, e 88,9% em variedade. O questionário demonstrou alta sensibilidade na identificação de dificuldades como desorganização (100%), procrastinação (87,5%) e problemas de controle emocional (87,5%), alinhando-se aos resultados dos testes neuropsicológicos. Conclusões: O questionário validado se apresenta como uma ferramenta promissora e sensível para complementar o diagnóstico de TDAH em adultos, possibilitando intervenções mais direcionadas. Limitações como a ausência de tabelas normativas e o tamanho reduzido da amostra indicam a necessidade de estudos futuros para ampliar sua aplicabilidade.