O Mundo da Saúde
type: channel
description: O jornal O Mundo da Saúde é uma publicação trimestral de divulgação científica do Centro Universitário São Camilo , sob a responsabilidade do seu Editor-Chefe, bem como o apoio do seu Editor Científico, Associado Editorial e Conselho Editorial, composto por conceituados representantes nacionais e pesquisadores estrangeiros. A revista tem como foco a divulgação de estudos e pesquisas na área da saúde e demais áreas de pesquisa a ela vinculadas. O objetivo é possibilitar um exercício crítico e reflexivo a fim de aprofundar a compreensão de questões pertinentes e relevantes que contribuem para o alcance da saúde integral do ser humano e para a criação de perspectivas inovadoras e comprometidas. A revista é especializada em diversas áreas interdisciplinares da saúde, com ênfase em Medicina, Saúde Pública, Enfermagem , Nutrição, Fonoaudiologia, Informática, Psicologia, Saúde Ambiental, Tecnologia em Radiologia, Terapia Ocupacional, entre outras. Recebemos manuscritos nos seguintes idiomas: português, espanhol e inglês. Os artigos submetidos em português são traduzidos pela nossa revista para o inglês e publicados nos dois idiomas. Para artigos submetidos em inglês, há tradução para o português. E para os em espanhol, traduzimos para o português e inglês.
publisher: Centro Universitário São Camilo
language: en-US
publication name: O Mundo da Saúde
issn: 0104-7809
items: Mental health and physical activity assessed in university students of Education
items: Mental health and emotional self-regulation in secondary education teachers
items: Implementation of a Program to Tackle Dental Caries in Schoolchildren in the State of São Paulo through Continuing Education
items: Release of nickel and chromium from metallic brackets used in orthodontic treatment: an in vitro study
items: Anxiety and depression as risk factors for suicidal ideation in adolescentes
items: Urinary tract infection in pregnant women attended in Primary Health Care: a clinical and epidemiological analysis
items: Functional performance analysis in individuals recovered from COVID-19: assessment through the six-minute walk test
items: Differences in food intake, body composition, and physical activity between university students with normal - weight obesity and normal - weight lean
items: Needs and access to health services by people in post-COVID-19 Condition in Brazil: a qualitative study
items: Stress levels, eating habits, and body weight of adults in Higher Education Institutions
items: Nursing assessment in cardiovascular rehabilitation: manifestations of the subject dimension
items: Assessment of learning in Interprofessional Education in Health Higher Education: protocol for an integrative literature review on pedagogical approaches
items: The influence of SGLT2 inhibitors on the risk of urinary tract infection in patients with type 2 Diabetes Mellitus: an integrative literature review
items: Knowledge about transsexuality among a nursing team in a teaching clinic in the city of São Paulo
items: Parental confidence in vaccines since the COVID-19 pandemic: a qualitative meta-synthesis
items: Epidemiological profile, risk factors, and types of treatment in patients who died from gastric carcinoma
items: Evaluation of the main neurological manifestations in patients from the Post-COVID outpatient clinic of URI Erechim
items: Clinical and epidemiological characteristics of hospitalizations for diabetic ketoacidosis in children and adolescentes
items: Mental health and access to healthcare among vulnerable populations in Brazil
items: The use of medicinal plants in the supplementary treatment of Diabetes Mellitus
items: Evaluation and monitoring of interprofessional work and education: scoping review protocol
items: Impact of family and community medicine residency on performance indicators
items: Toxicological effects of nanoparticles on Plankton: implications for Environmental Health
items: Classes of medications prescribed for pediatrics and neonatology during COVID-19
items: Prosociality in adolescents: an intervention experience
items: RULA method in the ergonomic analysis of an ophthalmic surgeon’s work: a case study
items: Burnout syndrome during the development of pre-professional practices in university students
items: Characterization of Patagonian Salicornia: nutritional, sensory and microbiological aspects
items: School physical education and health based on the principles of body literacy: propositions and validation of an educational technology
items: Development of butter fermented with kefir: probiotic properties and sensory acceptance
items: Urban-rural water cycle and environmental health: systemic interrelations and strategies for resilient services in climate change contexts
items: Probiotic supplementation in reducing exercise-induced gastrointestinal symptoms in endurance athletes: an integrative review
items: Errors and challenges in the collection of the colpocytological exam: a scoping review
items: Psychological factors associated with suicidal ideation in high school adolescentes
items: Epidemiological profile of leprosy in the Marajó I region, Pará, Brazil
items: Quality of life and prevalence of burnout among military police officers in southern Brazil: a cross-sectional study
items: Physical activity practice and negative self-rated health among university students during COVID-19
items: Association between parenting styles, food selectivity, and nutritional status in children with Autism Spectrum Disorder
items: Perception of health managers regarding health information systems and the usefulness of epidemiological data
items: Validity evidence of the Edinburgh Postnatal Depression Scale: an integrative review
items: School health in different countries
items: Benchmarking the quality of antenatal care services in public health services in Timor-Leste and the Setabelan Community Health Center, Surakarta City, Indonesia, based on the Juran Trilogy
items: Healthy eating practices for optimal nutrition and well-being: a systematic review
items: Ecosystemic health: considerations and insights on a kelp forest in the Strait of Messina (Italy)
items: Deaths of women of reproductive age in the municipalities of Eunápolis, Porto Seguro, and Teixeira de Freitas – BA, between 2018 and 2022
items: Identification of the consumption of medications that increase the risk of falls in hospitalized patients
items: Contributions of emotional intelligence in facing leadership challenges in nursing
items: An epidemiological study of tuberculosis in vulnerable populations in a municipality of Southeastern Mato Grosso during the COVID-19 pandemic
items: Therapeutic ultrasound alters the physicochemical properties of nanostructured lipid carriers
items: Use of digital tools in nutritional management in pediatrics and adolescent medicine

Mental health and physical activity assessed in university students of Education
type: item
description: The objective of this study was to investigate whether physical activity predicts levels of anxiety, depression, and stress among Education students at the Universidad Nacional del Altiplano de Puno. A quantitative approach with an explanatory research design was adopted. The study included 544 university students, 280 men (51.5%) and 264 women (48.5%), with a mean age of 20.19 ± 3.075 years. Multiple linear regression and Pearson’s correlation analyses were employed. This predictive model (R² = 0.278) identified three main variables as significant determinants: physical activity (β = –0.141; P < 0.001), age (β = –0.118; P < 0.01), and living arrangements in the city of Puno (β = –0.134; P < 0.001). Physical activity showed an inverse correlation with depressive symptoms, indicating that higher levels of physical activity are associated with decreased depressive symptoms. Conversely, age demonstrated a moderate negative correlation, suggesting that as individuals grow older, depression levels tend to decrease slightly. Finally, it was also found that living alone in the city of Puno correlates with depressive symptoms.
creator: Percy Samuel Yabar Miranda
creator: Heber Nehemias Chui Betancur
creator: Edgar Octavio Roque Huanca
rights: Copyright (c) 2025 O Mundo da Saúde https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-11-10
publication date: 2025-11-10
volume: 49
doi: 10.15343/0104-7809.202549e17182025E

Mental health and emotional self-regulation in secondary education teachers
type: item
description: The study aimed to assess the influence of emotional self-regulation on the management of depression, anxiety, and stress among secondary education teachers at the Local Educational Management Unit of Puno. It was a basic, quantitative, descriptive–correlational study with a sample of 150 secondary school teachers, using the Socioemotional Assessment Test and the DASS-21 to measure depression, anxiety, and stress. Pearson’s correlation and a multiple linear regression model were applied. The research revealed a significant negative correlation among the studied variables, highlighting that stress exerts the greatest negative effect on self-regulation. It is concluded that there is indeed a relationship among the variables; moreover, teachers with higher self-regulation skills present lower levels of depression, anxiety, and stress. Data analysis through multiple linear regression showed that nearly half of the variance in the ability to self-regulate emotions can be explained by the variables of the model (R² = 0.457). The results indicate that both anxiety (β = -0.4; p < 0.05) and stress (β = -0.442; p < 0.05) play an important role in predicting how individuals self-regulate their emotions. Conversely, depression, gender, and employment status did not demonstrate a significant influence on emotional self-regulation in this sample. In conclusion, the study demonstrates that anxiety and stress are indeed predictors of emotional self-regulation, whereas depression, gender, and employment status do not show significant influence.
creator: Rosmery Cruz Gutierrez
creator: Melvi Isabel Condori Juarez
creator: Magui Cotrado Mendoza
creator: Juan Pablo Cuentas Yupanqui
creator: Heber Nehemías Chui Betancur
rights: Copyright (c) 2025 O Mundo da Saúde https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-09-04
publication date: 2025-09-04
volume: 49
doi: 10.15343/0104-7809.202549e16822024I

Implementation of a Program to Tackle Dental Caries in Schoolchildren in the State of São Paulo through Continuing Education
type: item
description: Despite the advances of the National Oral Health Policy (Brasil Sorridente Program) in reducing the prevalence of caries, challenges persist, especially among more vulnerable groups. This study aimed to describe and analyze the process of the first seven months of implementing a government program of Continuing Education to tackle dental caries in schoolchildren in the state of São Paulo, using Information and Communication Technologies (ICTs) to disseminate Minimal Intervention Dentistry practices in partnership with the University. This is a case report with a qualitative-quantitative approach. Data sources included document analysis and statistics produced by YouTube. Classes were conducted via the YouTube platform, with interaction through WhatsApp groups and Google Classroom. Workshops were developed to support the implementation process of the new oral health care model in the state. The experience reported in this study highlights the effectiveness of using ICTs, as a considerable audience was reached, with at least one representative from each Regional Health Department (DRS) present. There was a higher prevalence of access via mobile devices, underscoring the potential of technologies to complement traditional strategies and help reduce inequalities in access. Collaboration between teaching, service, and the community allowed for implementation aligned with the specificities of each municipality, highlighting the role of science in professional practice. Furthermore, it is noteworthy that Continuing Education empowered workers, as information from professionals who participated in virtual clinics was disseminated to service professionals.
creator: Amanda Iida Giraldes
creator: Luana Camila Brisolla Ferreira
creator: Ana Maria Cervato-Mancuso
creator: Fernanda Campos de Almeida Carrer
rights: Copyright (c) 2025 O Mundo da Saúde https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-03-21
publication date: 2025-03-21
volume: 49
doi: 10.15343/0104-7809.202549e16882024I

Release of nickel and chromium from metallic brackets used in orthodontic treatment: an in vitro study
type: item
description: The objective of this study was to evaluate the release of nickel (Ni) and chromium (Cr) ions from conventional metallic brackets of different commercial brands immersed in artificial saliva with and without fluoride. A total of 600 metallic brackets (Morelli®, Orthometric®, and Azdent®) were randomly allocated into an experimental group (fluoride-containing artificial saliva) and a control group (fluoride-free artificial saliva), both maintained at pH 6.5 and 37 °C for 28 days. Ni and Cr ion release was determined using inductively coupled plasma mass spectrometry (ICP-MS). Data were analyzed using the Mann–Whitney U and Kruskal–Wallis tests. The results showed that Ni ion release was higher in the presence of fluoride for all brands evaluated, with a tendency toward higher values in Azdent® brackets (383.36 µg/L). Regarding Cr ions, Azdent® brackets exhibited significantly greater release in fluoride-containing saliva (1.52 µg/L), whereas no significant differences were observed for Morelli® and Orthometric® groups. When comparing the three brands in fluoride-containing artificial saliva, all exhibited increased ion release, which was significant for Azdent® (p < 0.05). Exposure to fluoride increases Ni and Cr release, particularly in Azdent® brackets. The material and surface finish influence corrosion, constituting a key factor in clinical orthodontic selection.
creator: Edelmira Diana Durand-Zea
creator: Tania Carola Padilla-Cáceres
creator: Juan Carlos Tuesta Hidalgo
creator: Nadia Rodríguez Hamamura
creator: Roy Alexander Arévalo Pérez
creator: Gaelord Vladimir Huacasi-Supo
rights: Copyright (c) 2025 O Mundo da Saúde https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-12-09
publication date: 2025-12-09
volume: 49
doi: 10.15343/0104-7809.202549e17532025I

Anxiety and depression as risk factors for suicidal ideation in adolescentes
type: item
description: Suicidal ideation in adolescents is a complex and multifactorial problem that has gained significant relevance in recent decades. Stigmatized as a critical stage, adolescence is a period in which emotions are more intense, as cognitive development is still in progress, making young people more vulnerable. It is considered by some as the most problematic phase, where high-risk issues, including suicidal ideation, emerge. For many, adolescence represents the healthiest period from a biological perspective, with its understanding being more of a cultural construct rather than solely a biological transition. Consequently, this study aimed to understand the factors influencing suicidal ideation in students from a Secondary Education Institution in the city of Juliaca, Peru. The research followed a cross-sectional design with a descriptive-explanatory approach. A total of 801 students from the first to the fifth year of secondary school participated in the study, all enrolled and actively attending their academic activities. The average age was 14.97 ± 1.92 years, with 423 being female (52.8%) and 378 male (47.2%). The research findings revealed significant results in three factors: anxiety (β = 0.395; P < 0.001), depression (β = 0.258; P < 0.01), and adolescents’ age (β = 0.101; P < 0.001). In this context, preventive interventions, emotional education, and family support are essential to mitigate the risk of suicide in adolescents.
creator: Francisco Castillo-Barriga
creator: Ana Benilda Cartagena-Condori
creator: Carolina Casiana Ccallo Cardeña
creator: Heber Nehemias Chui Betancur
rights: Copyright (c) 2025 O Mundo da Saúde https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-04-08
publication date: 2025-04-08
volume: 49
doi: 10.15343/0104-7809.202549e16672024E

Urinary tract infection in pregnant women attended in Primary Health Care: a clinical and epidemiological analysis
type: item
description: This study evaluated the prevalence of Urinary Tract Infection (UTI) in pregnant women receiving care in Primary Health Care (PHC) and analyzed its association with sociodemographic aspects, adequacy of prenatal care according to the guidelines of the Brazilian Ministry of Health (MoH), and pregnancy outcomes. A cross-sectional study was conducted in PHC units in Marau/RS, Brazil, with pregnant women of any age and expected date of delivery between February 2019 and June 2020. Data were collected from medical records, and descriptive statistics as well as the distribution of UTI outcomes and adverse pregnancy events were presented (chi-square test or Fisher’s exact test; statistical significance set at 5%). A total of 364 pregnant women were included, of whom 20.9% had UTI. Despite an adequate number of consultations, fewer than half (42.9%) underwent urine testing as recommended by the MoH protocol. A statistically significant association was observed between paid employment, performance of at least one qualitative urine test and urine culture during prenatal care, compliance with the MoH protocol, and the occurrence of UTI (p < 0.05). UTI was present in approximately one-fifth of the pregnant women. Fewer than half were screened for UTI according to the MoH protocol, a concerning scenario given the potential for underdiagnosis and consequent lack of treatment of this infection.
creator: Bianca Knieling Ferreira
creator: Silvane Nenê Portela
creator: Ivana Loraine Lindemann
creator: Regina Inês Kunz
creator: Gustavo Olszanski Acrani
creator: Marindia Biffi
creator: Jossimara Polettini
rights: Copyright (c) 2025 O Mundo da Saúde https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-10-16
publication date: 2025-10-16
volume: 49
doi: 10.15343/0104-7809.202549e17272025P

Functional performance analysis in individuals recovered from COVID-19: assessment through the six-minute walk test
type: item
description: The COVID-19 pandemic has posed significant challenges to healthcare systems, with physiotherapy playing a crucial role in the management of post-infection patients. This descriptive study investigated the Six-Minute Walk Test (6MWT) as an assessment tool to monitor physiological and functional changes in post-COVID patients. Conducted at the Outpatient Clinic of Physiotherapy in Cardiology and Pulmonology at Universidade São Francisco, Bragança Paulista/SP, the study included 18 individuals referred for pulmonary rehabilitation, with a median age of 47 years (±13.40), body mass of 74.50 kg (±20.48), and mean height of 1.65 m (±0.09). The median distance covered in the 6MWT was 481 meters (±106.20), corresponding to 78.9% of the predicted value according to the guidelines of the American Thoracic Society and the European Respiratory Society, indicating reduced tolerance to submaximal aerobic exercise. Statistically significant differences were observed between initial and final values of systolic blood pressure (p < 0.005), heart rate (p < 0.002), rate-pressure product (p < 0.001), and Borg’s Rating of Perceived Exertion scale, both respiratory (p < 0.006) and muscular (p < 0.007). However, no significant differences were found in oxygen saturation (p > 0.34) or diastolic blood pressure (p > 1.00). The results suggest that cardiovascular and hemodynamic adjustments occurred physiologically, reinforcing the use of the 6MWT as a valuable tool for assessing submaximal functional capacity and physiological responses to exercise. The 6MWT proved to be useful in evaluating exercise tolerance in post-COVID individuals.
creator: Gisele Jesus Furlan
creator: Arthur Nunes Marche
creator: André Cabral Sardim
creator: Ricardo Luís Salvaterra Guerra
creator: Ricardo Farinasso Caboclo
creator: Taís Mendes de Camargo
rights: Copyright (c) 2025 O Mundo da Saúde https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-10-16
publication date: 2025-10-16
volume: 49
doi: 10.15343/0104-7809.202549e17442025I

Differences in food intake, body composition, and physical activity between university students with normal - weight obesity and normal - weight lean
type: item
description: Normal-weight obesity (NWO) is a prevalent health issue characterized by a normal Body Mass Index (BMI) alongside a high body fat percentage (BF%). An unhealthy lifestyle, characterized by poor quality of food intake and lack of physical activity, is a contributing factor to NWO. This study aims to investigate the differences in healthy food intake, physical activity, and body composition parameters between students identified as NWO and normal‑weight lean (NWL). This was a cross-sectional study involving 149 university students. Body composition measurements were carried out using the InBody 370s. Physical activity data were measured using the General Physical Activity Questionnaire, and food intake quality was collected using the Food Frequency and Recommended Food Score (RFS). Comparative tests were applied to assess differences in measured variables between groups. Among the participants, 31.5% were classified as NWO, 49.7% engaged in moderate physical activity, and only 27.52% adhered to a healthy diet. Furthermore, we found lower physical activity (PA) scores and healthy food intake in NWO students compared to NWL group. Significant differences were also observed in body composition parameters, where BMI, PBF, fat-mass, fat-free mass, and BMR were higher in students with normal weight (p<0.05). This study highlights the urgent need for interventions aimed at promoting healthy lifestyles, which can help students achieve and maintain a balanced body composition. By focusing on enhancing physical activity levels and improving dietary intake, it is possible to mitigate the risks associated with NWO and achieve better health outcomes. Thus, the findings suggest that universities should implement targeted wellness programs, such as nutrition education, campus fitness initiatives, and accessible wellness resources, to encourage sustainable lifestyle changes. These measures can help prevent obesity-related health problems and improve students’ overall well-being and a…
creator: Agus Hariyanto
creator: Theo Welly Evert Mautang
creator: Arifuddin Usman
creator: Imran Akhmad
creator: Hartati Hartati
creator: Nasuka Nasuka
creator: Anindya Mar´ atus Sholikhah
rights: Copyright (c) 2025 O Mundo da Saúde https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-05-07
publication date: 2025-05-07
volume: 49
doi: 10.15343/0104-7809.202549e16852024P

Mental health and emotional self-regulation in secondary education teachers
type: item
description: The study aimed to assess the influence of emotional self-regulation on the management of depression, anxiety, and stress among secondary education teachers at the Local Educational Management Unit of Puno. It was a basic, quantitative, descriptive–correlational study with a sample of 150 secondary school teachers, using the Socioemotional Assessment Test and the DASS-21 to measure depression, anxiety, and stress. Pearson’s correlation and a multiple linear regression model were applied. The research revealed a significant negative correlation among the studied variables, highlighting that stress exerts the greatest negative effect on self-regulation. It is concluded that there is indeed a relationship among the variables; moreover, teachers with higher self-regulation skills present lower levels of depression, anxiety, and stress. Data analysis through multiple linear regression showed that nearly half of the variance in the ability to self-regulate emotions can be explained by the variables of the model (R² = 0.457). The results indicate that both anxiety (β = -0.4; p < 0.05) and stress (β = -0.442; p < 0.05) play an important role in predicting how individuals self-regulate their emotions. Conversely, depression, gender, and employment status did not demonstrate a significant influence on emotional self-regulation in this sample. In conclusion, the study demonstrates that anxiety and stress are indeed predictors of emotional self-regulation, whereas depression, gender, and employment status do not show significant influence.
creator: Rosmery Cruz Gutierrez
creator: Melvi Isabel Condori Juarez
creator: Magui Cotrado Mendoza
creator: Juan Pablo Cuentas Yupanqui
creator: Heber Nehemías Chui Betancur
rights: Copyright (c) 2025 O Mundo da Saúde https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-09-04
publication date: 2025-09-04
volume: 49
doi: 10.15343/0104-7809.202549e16822024E

Needs and access to health services by people in post-COVID-19 Condition in Brazil: a qualitative study
type: item
description: Post-COVID-19 condition involves persistent symptoms that impact quality of life and require ongoing care. This study aimed to identify the health needs and health care services used by individuals in post-COVID-19 condition, as well as to describe the costs borne by the users. This is a qualitative study conducted at the post-COVID outpatient clinic of a teaching hospital in the city of Pelotas, Rio Grande do Sul, Brazil. Ten families participated, comprising ten individuals in post-COVID-19 condition and ten family members, totaling twenty participants. The sample was intentional, and data collection took place between March and August 2022 through semi-structured interviews. Data were organized using the IRAMUTEQ software and analyzed through content analysis. Individuals in post-COVID-19 condition presented health needs that made them dependent on family care and required multidisciplinary care. They accessed different services within the SUS care network, as well as private services paid for out-of-pocket, such as medical consultations, physical therapy, tests, and medication purchases. People in post-COVID-19 condition require continuous care, both in primary and specialized care, with a multidisciplinary team for rehabilitation, prevention of functional dependency progression, and new complications.
creator: Kelly Laste Macagnan
creator: Teila Ceolin
creator: Caroline Vasconcellos Lopes
creator: Vanessa de Araujo Marques
creator: Juliana Graciela Vestena Zillmer
rights: Copyright (c) 2025 O Mundo da Saúde https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-07-11
publication date: 2025-07-11
volume: 49
doi: 10.15343/0104-7809.202549e17402025P

Stress levels, eating habits, and body weight of adults in Higher Education Institutions
type: item
description: To analyze the prevalence of perceived stress during the period of social isolation imposed by the Covid-19 pandemic, according to sociodemographic characteristics, food consumption, and other health-related behaviors, among adult workers and students from Higher Education Institutions in the state of São Paulo, Brazil. This is a cross-sectional study conducted in 2020 with 524 individuals. Participants completed an online questionnaire on perceived stress (Perceived Stress Scale), in addition to reporting the weekly frequency of consumption of healthy and unhealthy foods. Adjusted prevalence ratios (PR) and corresponding 95% confidence intervals were estimated using Poisson regression. The highest level of perceived stress reached 31.1% of the sample and was even higher among individuals with lower household income (≤ 3 minimum wages, PR=2.14; 95% CI: 1.22–3.73), those who consumed fried foods (PR=1.80; 95% CI: 1.15–2.82), those who consumed sweets ≥ 2 days per week (PR=1.69; 95% CI: 1.11–2.56), those who reported increased alcohol consumption (PR=1.76; 95% CI: 1.15–2.68), and those who reported body weight reduction (PR=2.62; 95% CI: 1.25–5.51) during the Covid-19 pandemic. The findings of this study show that more than one-third of students and education professionals exhibited high levels of stress, along with greater consumption of foods with low nutritional quality, increased alcohol use, and weight loss during Covid-19-related isolation.
creator: Gabriela Baptista
creator: Joana Pereira de Carvalho-Ferreira
creator: Daniela de Assumpção
creator: Marina Padovan
creator: Alice Helena de Souza Paulino
creator: Caroline Dário Capitani
rights: Copyright (c) 2025 O Mundo da Saúde https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-09-26
publication date: 2025-09-26
volume: 49
doi: 10.15343/0104-7809.202549e17412025P

Nursing assessment in cardiovascular rehabilitation: manifestations of the subject dimension
type: item
description: Nursing assessment is an important step in the nursing process within the context of cardiovascular rehabilitation. The use of measurement instruments to support this activity, such as the Cardiovascular Rehabilitation Measurement Scale, is essential to ensure that interventions are aligned with the patient’s actual needs, considering all dimensions involved in the phenomenon. Therefore, this study aimed to describe the manifestations of the subject dimension that are indicative of cardiovascular rehabilitation (CR), in the context of clinical nursing care assessment. This is an integrative review, conducted between April and September 2022, guided by the following research question: “What are the essential elements/indicators of CR in the context of clinical care?” Data collection was carried out in five databases, resulting in a final sample of 30 studies. The indicators of the subject dimension were organized into the subdimensions of physical conditioning, psycho-emotional situations, and health behaviors, referring to the set of aspects manifested by the individual themselves that are indicative of the effectiveness — or lack thereof — of their rehabilitation process. By clarifying this dimension, it becomes possible to conduct an appropriate evaluation of nursing care in CR programs or processes, considering biological, psycho-emotional, and behavioral factors.
creator: Kairo Cardoso da Frota
creator: Lúcia de Fátima da Silva
creator: Keila Maria de Azevedo Ponte
creator: Maria Laiane Nascimento
creator: Simone Ribeiro Portela
rights: Copyright (c) 2025 O Mundo da Saúde https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-05-28
publication date: 2025-05-28
volume: 49
doi: 10.15343/0104-7809.202549e16862024I

Assessment of learning in Interprofessional Education in Health Higher Education: protocol for an integrative literature review on pedagogical approaches
type: item
description: Interprofessional Education (IPE) is defined as situations in which professionals or students from two or more different fields learn with and about each other, with the aim of improving collaboration and the quality of healthcare services provided. When introducing IPE into teaching experiences, it is also necessary to address the assessment of learning within this process. One of the critical issues in assessing learning in IPE is the pedagogical approach adopted by the educational program. In general, such approaches are either not explicitly stated or, when they are, are not reflected in the proposed assessment methods. The objective of this study is to identify and analyze, through an Integrative Literature Review (ILR), the pedagogical approaches used in the assessment of learning in IPE experiences in Health Higher Education. The ILR is a methodology that allows for the rigorous identification and synthetic evaluation of studies available on the topic under investigation. The review question for this study was developed using the strategy that includes Population, Interest, and Context. The ILR methodology will follow six steps: formulation of the research question, definition of inclusion and exclusion criteria, data collection and literature search strategies, rigorous evaluation of the selected studies, analysis and synthesis of the findings, and presentation and interpretation of the results. This ILR aims to identify the predominance of traditional assessments that limit interprofessional learning and to emphasize the importance of integrating formative and summative assessment methods into the teaching process. The description of pedagogical approaches in this ILR may contribute to the development of effective assessment practices in IPE, guiding educators and academic administrators. The results are expected to promote more effective pedagogical policies aligned with the demands of Health Higher Education.
creator: Rafael Silvério de Moraes
creator: Camila Mendes da Silva Souza
creator: Valéria Marli Leonello
rights: Copyright (c) 2025 O Mundo da Saúde https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-07-17
publication date: 2025-07-17
volume: 49
doi: 10.15343/0104-7809.202549e16872024P

The influence of SGLT2 inhibitors on the risk of urinary tract infection in patients with type 2 Diabetes Mellitus: an integrative literature review
type: item
description: The objective of the present study was to gather information on the influence of Sodium-Glucose Cotransporter 2 inhibitors (SGLT2i) on the risk of developing urinary tract infection (UTI) in patients with type 2 Diabetes Mellitus (T2DM). This is an Integrative Literature Review (ILR) that collected data from the following databases: Virtual Health Library (VHL) and the National Library of Medicine (PubMed). Inclusion criteria were: articles published between 2020 and 2024, in English, Portuguese, or Spanish, free of charge and available in full text. Exclusion criteria included: articles outside the scope of the topic, duplicates, paid-access publications, and monographs. A total of 73 articles were identified, of which 10 remained after selection and analysis using Zotero software. The included studies indicated an association between SGLT2i use and an increased risk of UTI and urogenital infections, mainly related to dapagliflozin, remogliflozin, and glycosuria. Factors such as higher body mass index and female sex play a more relevant role in UTI predisposition than the isolated use of these drugs. Despite the divergences, the benefits of SGLT2 inhibitors outweigh the potential risks, and their use remains recommended, provided that adequate professional supervision is ensured.
creator: Elionai Felipe Rocha de Souza
creator: Baraci da Silva Lima Junior
creator: Gabriel Costa Farias
creator: Núbia Caroline Costa de Almeida
rights: Copyright (c) 2025 O Mundo da Saúde https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-11-19
publication date: 2025-11-19
volume: 49
doi: 10.15343/0104-7809.202549e17482025P

Knowledge about transsexuality among a nursing team in a teaching clinic in the city of São Paulo
type: item
description: This article aims to identify the knowledge of the nursing team in a Teaching Clinic regarding the trans population. It is a qualitative and descriptive study conducted with 10 nursing professionals from this Teaching Clinic located in the city of São Paulo. Data were collected in June 2023 through in-person interviews, consisting of both closed and open-ended questions, which were transcribed and analyzed using the Collective Subject Discourse technique. The empirical material was analyzed and grouped into six key expressions: Transgender Identity; Transition; Appearance and Respect; Nursing Care; Lack of Preparation. It was identified that, although there is an understanding of the health needs of this population, difficulties persist in implementing care practices that respect gender-specific needs. The study highlights the importance of integrating the topic of transsexuality into training curricula and continuing education spaces to ensure more inclusive and equitable healthcare services.
creator: Rafael Luiz de Souza
creator: Gabriela Sousa da Silva
creator: Maria Fernanda Terra
creator: Caroline Terrazas
rights: Copyright (c) 2025 O Mundo da Saúde https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-02-24
publication date: 2025-02-24
volume: 49
doi: 10.15343/0104-7809.202549e16642024I

Parental confidence in vaccines since the COVID-19 pandemic: a qualitative meta-synthesis
type: item
description: Parental hesitancy toward vaccines is associated with multiple factors—historical, cultural, and socioeconomic—along with new perspectives related to vaccine confidence since the COVID-19 pandemic. This study aimed to understand parents’ perceptions of the vaccination phenomenon and the influence of the COVID-19 pandemic period. A qualitative systematic review and meta-synthesis of the results were conducted. Searches were carried out in the Medline, Scopus, PubMed, Scielo, and Lilacs databases. The methodological quality of the studies was assessed using the Critical Appraisal Skills Programme (CASP). After applying inclusion criteria, nine studies comprised the meta-synthesis. Thematic synthesis followed the approach proposed by Thomas and Harden. Rumors and concerns about vaccine efficacy, distrust in government, and lack of perceived disease severity were associated with low confidence. Confidence and acceptance were related to protection, return to normal routines, disease severity, risk of infection, concern with comorbidities, and previous experiences. The media, government, community leaders, social networks, health organizations, and healthcare professionals were identified as influential actors in vaccination decisions. Strategies are needed to bring the population closer to scientific reality and to foster citizens’ confidence in vaccines.
creator: Bruna Rykelly Ramos dos Santos
creator: Pedro Henrique Ferreira dos Santos
creator: Eduardo Micael Gomes dos Santos
creator: Erika Salgueiro da Cruz
creator: Gisely Lavínia Lourenço de Paula
creator: Hylka Karoline Cavalcante Santos Melo
creator: Karol Fireman de Farias
rights: Copyright (c) 2025 O Mundo da Saúde https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-11-05
publication date: 2025-11-05
volume: 49
doi: 10.15343/0104-7809.202549e17512025I

Epidemiological profile, risk factors, and types of treatment in patients who died from gastric carcinoma
type: item
description: Gastric cancer is a global health concern. In 2020, it ranked sixth in global incidence, with over one million new cases, and held the seventh highest mortality rate. This study aimed to analyze the epidemiological profile, clinical presentation, and treatments applied to patients diagnosed with gastric cancer who subsequently died. This is a retrospective study based on medical records, histological, and anatomopathological reports. Descriptive statistics, chi-square test, and Fisher’s exact test were used for data analysis. Results showed a predominance of male patients (65.2%), with a mean age of 61.6 years (SD = 12.68), White race/skin color (91.3%), family farmers (37.7%), smokers (66%), histological type adenocarcinoma (94.2%), poorly differentiated histological grade (43.5%), and locally advanced disease (65.2%). It is concluded that the epidemiological profile of deceased patients included White male family farmers and smokers who presented symptoms such as weight loss, loss of appetite, and asthenia associated with death.
creator: Yuri dos Santos Barbosa Carneiro
creator: Igor Fiorese Vieira
creator: José Luiz Lopes Vieira
creator: Luana Matias Silva
creator: Julia Pedron
creator: Fernando Luís Visoni Poliseli
rights: Copyright (c) 2025 O Mundo da Saúde https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-07-07
publication date: 2025-07-07
volume: 49
doi: 10.15343/0104-7809.202549e16922024P

Evaluation of the main neurological manifestations in patients from the Post-COVID outpatient clinic of URI Erechim
type: item
description: The objective of this study was to assess the profile of patients treated at the Post-COVID-19 Rehabilitation Outpatient Clinic of URI Erechim, the neurological manifestations observed, and to correlate patients’ symptoms with the need for orotracheal intubation. This is an observational, retrospective, and mixed-methods (qualitative and quantitative) study. Physiotherapy records of patients receiving care at the Post-COVID-19 Rehabilitation Outpatient Clinic, referred by physicians in 2021, were analyzed. The following instruments were employed: the Neurological Manifestations Assessment Questionnaire, the Montreal Cognitive Assessment (MoCA), and the Prospective and Retrospective Memory Questionnaire (PRMQ). Descriptive statistics and MoCA scores were used to compare pre- and post-rehabilitation data using a paired t-test, and to compare intubated and non-intubated participants using a t-test. Values lower than 0.05 were considered statistically significant. Analyses were performed using GraphPad Prism 9.2 software. A total of 16 patients were evaluated; most reported neurological symptoms, with 50% presenting memory lapses and 13% demonstrating cognitive deficits. This study concluded that COVID-19 caused short-term neurological damage, but no significant memory or cognitive impairment was detected in the sample, nor was any association observed between orotracheal intubation and cognitive alterations.
creator: Laura Fagundes da Silva
creator: Annuara Cechett
creator: Miriam Salete Wilk Wisniewski
creator: Eduarda Gabrieli Machado de Jesus
creator: Christiane de Fatima Colet
creator: Fernanda Dal’ Maso Camera
rights: Copyright (c) 2025 O Mundo da Saúde https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-11-14
publication date: 2025-11-14
volume: 49
doi: 10.15343/0104-7809.202549e17612025P

Clinical and epidemiological characteristics of hospitalizations for diabetic ketoacidosis in children and adolescentes
type: item
description: The aim of this study was to analyze the clinical and epidemiological characteristics of hospitalizations for diabetic ketoacidosis (DKA) in children and adolescents admitted to a reference service of the Brazilian Unified Health System (SUS). This was a cross-sectional study based on the analysis of secondary data extracted from medical records. The variables investigated included sex, age, nutritional status, season of the year, signs and symptoms at admission, predisposing factors, length of hospitalization, ICU admission, complications, degree of acidosis, first decompensation, and therapeutic protocols used. A higher frequency of hospitalizations was observed among adolescents (54.7%), females (57.1%), and during the winter (30.9%). The mean age was 10.1 years. The most prevalent signs and symptoms at admission were dehydration, vomiting, nausea, and abdominal pain. The main causes associated with DKA were infections and missed insulin doses (49.9%). Complications occurred in 50% of cases, with hypokalemia and hyponatremia being the most prominent. Most hospitalizations involved mild or moderate degrees of acidosis (85.8%). First decompensation cases occurred in younger children, usually presenting with classic diabetes symptoms (polydipsia, polyuria, polyphagia). Among patients with a previous diagnosis, nausea and vomiting were more common. The most frequently used treatment consisted of continuous infusion of regular insulin and hydration with 0.9% saline solution. Hospitalizations for DKA were more frequent among female adolescents, especially during the winter. Mild to moderate acidosis predominated, with treatment aligned with current guidelines.
creator: Bruno Kostrzevicz Campos de Oliveira
creator: Ian Mateus da Silva
creator: Deisi Maria Vargas
rights: Copyright (c) 2025 O Mundo da Saúde https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-07-11
publication date: 2025-07-11
volume: 49
doi: 10.15343/0104-7809.202549e16712024I

Evaluation of the main neurological manifestations in patients from the Post-COVID outpatient clinic of URI Erechim
type: item
description: The objective of this study was to assess the profile of patients treated at the Post-COVID-19 Rehabilitation Outpatient Clinic of URI Erechim, the neurological manifestations observed, and to correlate patients’ symptoms with the need for orotracheal intubation. This is an observational, retrospective, and mixed-methods (qualitative and quantitative) study. Physiotherapy records of patients receiving care at the Post-COVID-19 Rehabilitation Outpatient Clinic, referred by physicians in 2021, were analyzed. The following instruments were employed: the Neurological Manifestations Assessment Questionnaire, the Montreal Cognitive Assessment (MoCA), and the Prospective and Retrospective Memory Questionnaire (PRMQ). Descriptive statistics and MoCA scores were used to compare pre- and post-rehabilitation data using a paired t-test, and to compare intubated and non-intubated participants using a t-test. Values lower than 0.05 were considered statistically significant. Analyses were performed using GraphPad Prism 9.2 software. A total of 16 patients were evaluated; most reported neurological symptoms, with 50% presenting memory lapses and 13% demonstrating cognitive deficits. This study concluded that COVID-19 caused short-term neurological damage, but no significant memory or cognitive impairment was detected in the sample, nor was any association observed between orotracheal intubation and cognitive alterations.
creator: Laura Fagundes da Silva
creator: Annuara Cechett
creator: Miriam Salete Wilk Wisniewski
creator: Eduarda Gabrieli Machado de Jesus
creator: Christiane de Fatima Colet
creator: Fernanda Dal’ Maso Camera
rights: Copyright (c) 2025 O Mundo da Saúde https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-11-14
publication date: 2025-11-14
volume: 49
doi: 10.15343/0104-7809.202549e17612025I

Mental health and access to healthcare among vulnerable populations in Brazil
type: item
description: Vulnerable populations, including people experiencing homelessness, LGBTQIAPN+ individuals (lesbian, gay, bisexual, transgender and transvestite, queer, intersex, asexual, pansexual, non-binary, and other gender and sexuality groups and variations), Black people, and Indigenous peoples, are more susceptible to mental disorders and face multiple barriers in accessing healthcare. However, the scientific literature still lacks a study that synthesizes findings on this topic. This work synthesized the relationship between mental health and access to healthcare among vulnerable groups in Brazil. A search was conducted in PubMed, LILACS, and Google Scholar based on the question: “What is the relationship between mental health and access to healthcare in vulnerable populations in Brazil?” A total of 578 records were identified, of which 7 met the inclusion criteria. The LGBTQIAPN+ population showed poorer access to healthcare due to financial issues and prejudice. Stigmatization, social discrimination, and lack of resources affected access to mental health services and the quality of care for the homeless population. Race/ethnicity and low educational attainment were the main factors associated with reduced access to depression diagnosis and treatment among Black individuals. Data collected on the topic in the Indigenous population were inconsistent, preventing a conclusive analysis for this group. The implementation of public policies aimed at improving the availability and quality of healthcare services for vulnerable populations is essential to reduce access inequalities in the Brazilian population and mitigate their social and economic impacts.
creator: Pérola Teixeira dos Santos
creator: Thiago Afonso Rodrigues Melo
creator: Patricia Melo Aguiar
rights: Copyright (c) 2025 O Mundo da Saúde https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-07-30
publication date: 2025-07-30
volume: 49
doi: 10.15343/0104-7809.202549e17022025P

The use of medicinal plants in the supplementary treatment of Diabetes Mellitus
type: item
description: Diabetes Mellitus (DM) is a chronic metabolic disorder with high prevalence, and the use of medicinal plants has emerged as a promising complementary approach for the treatment of this condition. This study aimed to review the efficacy of Aloe vera, Curcuma longa, and Ginkgo biloba in glycemic control and in the reduction of complications associated with DM. A systematic review was conducted following the PRISMA method, using the descriptors “Aloe vera,” “Curcuma,” “Ginkgo biloba,” and “Diabetes” in databases such as PubMed, BVS, and SciELO. Articles published between 2013 and 2024 were selected, considering only complete experimental and clinical studies that met the inclusion criteria. In total, seven studies were included in the analysis. The results showed that Aloe vera significantly reduced glycated hemoglobin (HbA1c) and capillary blood glucose, demonstrating efficacy as an adjuvant to metformin treatment. Curcumin combined with piperine exhibited antioxidant and anti-inflammatory properties, also contributing to the reduction of HbA1c and capillary blood glucose. Ginkgo biloba, in turn, presented benefits in capillary blood glucose control and in the prevention of chronic complications such as retinopathy and nephropathy. Although the analyzed herbal medicines demonstrated significant therapeutic potential, the reviewed studies presented methodological limitations, such as small sample sizes and lack of protocol standardization. Despite these limitations, Aloe vera, Curcuma longa, and Ginkgo biloba are promising alternatives for the supplementary management of DM, with potential to reduce associated complications. However, further high-quality studies are required to consolidate their clinical use within well-defined protocols.
creator: Rayssa Claudia Oliveira Duarte
creator: Guilherme Silva de Souza
creator: Livia Cavalcante de Araújo
creator: Sávia Denise Silva Carlotto Herrera
creator: Renata Ferreira Diogo
creator: Maykon Jhuly Martins de Paiva
rights: Copyright (c) 2025 O Mundo da Saúde https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-09-12
publication date: 2025-09-12
volume: 49
doi: 10.15343/0104-7809.202549e17782025P

Epidemiological profile, risk factors, and types of treatment in patients who died from gastric carcinoma
type: item
description: Gastric cancer is a global health concern. In 2020, it ranked sixth in global incidence, with over one million new cases, and held the seventh highest mortality rate. This study aimed to analyze the epidemiological profile, clinical presentation, and treatments applied to patients diagnosed with gastric cancer who subsequently died. This is a retrospective study based on medical records, histological, and anatomopathological reports. Descriptive statistics, chi-square test, and Fisher’s exact test were used for data analysis. Results showed a predominance of male patients (65.2%), with a mean age of 61.6 years (SD = 12.68), White race/skin color (91.3%), family farmers (37.7%), smokers (66%), histological type adenocarcinoma (94.2%), poorly differentiated histological grade (43.5%), and locally advanced disease (65.2%). It is concluded that the epidemiological profile of deceased patients included White male family farmers and smokers who presented symptoms such as weight loss, loss of appetite, and asthenia associated with death.
creator: Yuri dos Santos Barbosa Carneiro
creator: Igor Fiorese Vieira
creator: José Luiz Lopes Vieira
creator: Luana Matias Silva
creator: Julia Pedron
creator: Fernando Luís Visoni Poliseli
rights: Copyright (c) 2025 O Mundo da Saúde https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-07-07
publication date: 2025-07-07
volume: 49
doi: 10.15343/0104-7809.202549e16922024I

Evaluation and monitoring of interprofessional work and education: scoping review protocol
type: item
description: The literature identifies interprofessional work and education as promising approaches for improving the quality and effectiveness of health services and professional training. Interprofessional practices, both in the domains of work and education, are those developed based on effective communication among professionals from different fields and between these professionals and service users, integrating the actions of professionals and students from diverse backgrounds, with a focus on the health needs of users, families, and communities, as well as on the comprehensiveness of care. This study aims to describe the planning of a scoping review that will map the indicators adopted for the evaluation and monitoring of interprofessional work and education in health, as well as the processes involved in their development. This is a scoping review protocol structured in five stages: (a) formulating the review question; (b) mapping studies from the literature and other sources; (c) selecting the studies; (d) extracting the data; and (e) collating, summarizing, and presenting the results. It is expected that the results of the scoping review planned from this protocol will enable the identification and description of indicators used to assess and monitor interprofessionality in the health field. The identification of these indicators represents a preliminary stage to support future processes of construction, adaptation, and validation of measures aligned with the principles and guidelines of the Brazilian Unified Health System (Sistema Único de Saúde – SUS), as well as the development of health workforce and education management policies that incorporate an interprofessional perspective.
creator: Camila Mendes da Silva Souza
creator: Claudia Fell Amado
creator: Crislaine Loqueti Santos Rainho Prado
creator: Jaqueline Alcântara Marcelino da Silva
creator: Monique Azevedo Esperidião
creator: Marcelo Viana da Costa
creator: Marina Peduzzi
rights: Copyright (c) 2025 O Mundo da Saúde https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-11-28
publication date: 2025-11-28
volume: 49
doi: 10.15343/0104-7809.202549e17982025I

Impact of family and community medicine residency on performance indicators
type: item
description: This study aimed to evaluate the impact of implementing the Family and Community Medicine Residency Program on health indicators in Campinas, comparing the results with those of other Brazilian cities. The study employed an observational and descriptive design, analyzing secondary data obtained from the Primary Health Care Information System for the years 2018 to 2023. The analysis was conducted using Student’s t-test and the Difference-in-Differences (DiD) methodology. The results showed significant improvements in the mentioned indicators, with increases ranging from 3.61% to 85.09% in health indicators in Campinas, while the other cities did not show such substantial variations. These findings indicate a positive impact of the residency program on Primary Health Care, suggesting that the presence of family and community physicians contributed to improving the quality of and access to health services in Campinas. It is concluded that the continuation and expansion of the program are recommended, as well as the continuous monitoring of health indicators to ensure the sustainability of the achieved results.
creator: Guilherme Coelho
creator: Danielle Satie Kassada
rights: Copyright (c) 2025 O Mundo da Saúde https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-07-31
publication date: 2025-07-31
volume: 49
doi: 10.15343/0104-7809.202549e17132025P

Toxicological effects of nanoparticles on Plankton: implications for Environmental Health
type: item
description: Nanoparticles (NPs) have emerged as ubiquitous contaminants in aquatic environments due to their extensive industrial, biomedical, and agricultural applications. Their small size, high surface reactivity, and potential for toxic ion release confer upon these particles a unique capacity to interact with aquatic biota, particularly planktonic communities, which form the base of aquatic food webs. This review compiles and analyzes recent ecotoxicological findings on the effects of metallic (Ag, ZnO, TiO₂, Cu, Fe₃O₄), polymeric, and composite nanoparticles on zooplankton and phytoplankton, with emphasis on physiological, biochemical, and population-level responses. Evidence indicates that NPs can induce oxidative stress, membrane damage, growth inhibition, reproductive impairment, and metabolic disruptions in species such as Daphnia magna, Ceriodaphnia silvestrii, and Chlorella vulgaris. Ionic dissolution (e.g., Ag⁺, Zn²⁺) and reactive oxygen species (ROS) generation have been identified as primary toxicity pathways, although surface interactions and protein corona formation also modulate their bioavailability and toxicity. Sublethal and chronic exposures often disrupt planktonic community composition and productivity, with potential cascading effects on higher trophic levels and ecosystem stability. Despite advances, significant knowledge gaps persist regarding long-term ecological consequences, toxicity of mixtures with other pollutants, and NP behavior under environmentally realistic conditions. Future research should integrate mechanistic toxicology, nanoinformatics, and ecological modeling to predict environmental fate and impacts of NPs. The synthesis of green nanoparticles and implementation of standardized testing protocols are crucial for risk mitigation and guiding sustainable nanotechnology practices. By elucidating the complex interactions between NPs and planktonic organisms, this study contributes to a broader understanding of nanoparticle-induced perturba…
creator: Edison Barbieri
creator: Pedro Luiz Barbosa
creator: Pinto Leonidio Hanamulamba
creator: Thalassia Giaccone
rights: Copyright (c) 2025 O Mundo da Saúde https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-12-16
publication date: 2025-12-16
volume: 49
doi: 10.15343/0104-7809.202549e18092025I

Mental health and access to healthcare among vulnerable populations in Brazil
type: item
description: Vulnerable populations, including people experiencing homelessness, LGBTQIAPN+ individuals (lesbian, gay, bisexual, transgender and transvestite, queer, intersex, asexual, pansexual, non-binary, and other gender and sexuality groups and variations), Black people, and Indigenous peoples, are more susceptible to mental disorders and face multiple barriers in accessing healthcare. However, the scientific literature still lacks a study that synthesizes findings on this topic. This work synthesized the relationship between mental health and access to healthcare among vulnerable groups in Brazil. A search was conducted in PubMed, LILACS, and Google Scholar based on the question: “What is the relationship between mental health and access to healthcare in vulnerable populations in Brazil?” A total of 578 records were identified, of which 7 met the inclusion criteria. The LGBTQIAPN+ population showed poorer access to healthcare due to financial issues and prejudice. Stigmatization, social discrimination, and lack of resources affected access to mental health services and the quality of care for the homeless population. Race/ethnicity and low educational attainment were the main factors associated with reduced access to depression diagnosis and treatment among Black individuals. Data collected on the topic in the Indigenous population were inconsistent, preventing a conclusive analysis for this group. The implementation of public policies aimed at improving the availability and quality of healthcare services for vulnerable populations is essential to reduce access inequalities in the Brazilian population and mitigate their social and economic impacts.
creator: Pérola Teixeira dos Santos
creator: Thiago Afonso Rodrigues Melo
creator: Patricia Melo Aguiar
rights: Copyright (c) 2025 O Mundo da Saúde https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-07-30
publication date: 2025-07-30
volume: 49
doi: 10.15343/0104-7809.202549e17022025I

Classes of medications prescribed for pediatrics and neonatology during COVID-19
type: item
description: COVID-19 was a global pandemic that affected millions of people, including children and adolescents. Although several therapies were proposed, the scarcity of therapeutic options for the pediatric population was evident, resulting in the use of off-label medications. This study aimed to analyze the prescription of medications for pediatric patients diagnosed with COVID-19 and admitted to neonatal and pediatric intensive care units. This was a retrospective cross-sectional study conducted in two intensive care units at the São João de Deus Health Complex, in Divinópolis, Minas Gerais, Brazil, between 2020 and 2021. The study involved 68 patients diagnosed with COVID-19, of whom 35 required admission to intensive care. Data collection included information on prescribed drugs, route of administration, sociodemographic characteristics, and clinical outcomes. A total of 643 prescriptions were analyzed, comprising 3,026 prescribed medications. Results showed that most patients diagnosed with COVID-19 required intensive care support, with 51.5% admitted to the ICU and a mortality rate of 20% among those requiring intensive therapy. The most prescribed drugs were electrolytes (26.3%), analgesics (14.0%), and antimicrobials (13.4%). The scarcity of effective treatments for COVID-19 led to the use of unlicensed medications, posing a risk of adverse effects. It is concluded that most prescriptions were for symptomatic management, with high mortality rates among critically ill patients.
creator: Ana Elisa Melo
creator: André Oliveira Baldoni
creator: Isamara Graziele Lima de Souza
creator: Ricardo Augusto dos Santos Silva
creator: Tatiane da Silva Dal Pizzol
creator: Thaísa Amorim Nogueira
creator: Mariana Linhares Pereira
rights: Copyright (c) 2025 O Mundo da Saúde https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-12-05
publication date: 2025-12-05
volume: 49
doi: 10.15343/0104-7809.202549e17382025I

Prosociality in adolescents: an intervention experience
type: item
description: The present study introduces an intervention conducted with adolescent students from municipal public schools. The intervention involved two groups (n = 20; n = 18) of sixth-grade students. The intervention program was based on the “Core Program” developed by LIPA (Applied Prosocial Research Laboratory) at the Autonomous University of Barcelona and was adapted for this application. Prosociality can be defined as a set of voluntary behaviors intended to benefit others without the expectation of external rewards. These behaviors strengthen social bonds and foster fundamental values for the development of healthy interpersonal relationships. Given the current social and economic conditions, adolescents living in urban centers are immersed in a reality marked by violence and antisocial behaviors. The objective was to observe changes in adolescents’ behaviors following the intervention, measuring the level of prosociality. Twenty 90-minute sessions were conducted weekly, along with three evaluations to identify the participants’ levels of prosociality (baseline, final, and follow-up). The instrument used was the EPA-A (Prosocial Behavior Assessment Scale for Adolescents). An improvement in prosocial behaviors among the adolescents was observed following the intervention, as evidenced by their interactions with peers in the group and with the researcher. In the various dimensions analyzed (Helping, Sharing, Positive Climate, Caring, and Empathy), positive trends were noted when positive and healthy attitudes were encouraged. This indicates that introducing socioemotional interventions in the school environment can lead to both individual and collective changes.
creator: Claudia Regina de Freitas
creator: Celso Stephan
rights: Copyright (c) 2025 O Mundo da Saúde https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-02-06
publication date: 2025-02-06
volume: 49
doi: 10.15343/0104-7809.202549e16632024P

RULA method in the ergonomic analysis of an ophthalmic surgeon’s work: a case study
type: item
description: Work-related musculoskeletal disorders (WRMSDs) represent a widespread occupational health issue across many countries, leading to high organizational costs and constituting one of the main causes of work disability. Ophthalmic surgery requires a high level of concentration, precision, and physical effort, often associated with the adoption of static and inadequate postures, which predispose these professionals to the development of WRMSDs. This study aimed to characterize the posture of an ophthalmic surgeon in the operating room using the RULA (Rapid Upper Limb Assessment) method. This is a descriptive case study conducted according to the Case Report (CARE) guidelines. The results revealed that the surgeon remains seated and static for extended periods, adopting potentially harmful postures. The application of the RULA method indicated an urgent need for ergonomic intervention, with recommendations including seat adjustments, arm support, and workspace reorganization. The importance of implementing regular breaks, stretching exercises, and strategies to reduce visual fatigue is also emphasized. The use of more comprehensive, complementary ergonomic assessment methods is recommended for a more complete analysis. It is concluded that ergonomic adaptation of the workstation is essential for promoting the surgeon’s health, safety, and performance, and that the RULA method is a valuable tool for identifying risks associated with WRMSDs.
creator: Teresa Alexandra Vaz Ferreira
creator: Cláudia Cristina Cabral de Carvalho
rights: Copyright (c) 2025 O Mundo da Saúde https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-06-25
publication date: 2025-06-25
volume: 49
doi: 10.15343/0104-7809.202549e17212025P

Burnout syndrome during the development of pre-professional practices in university students
type: item
description: Burnout is a highly impactful issue among university students. The objective of this study was to compare the dimensions of burnout during the development of pre-professional practices among Secondary Education students at the Universidad Nacional del Altiplano de Puno. The study employed a quantitative approach with a comparative design and included 230 students. To assess burnout syndrome, the MBI instrument, composed of 22 items, was used. The results of the analysis of variance (ANOVA) indicate significant levels of burnout across the three dimensions analyzed: Emotional Exhaustion (F = 80.154, p < 0.001), Depersonalization (F = 206.161, p < 0.001), and Low Personal Accomplishment (F = 90.848, p < 0.001). The pre-professional practices carried out during semesters V, VI, VII, VIII, IX, and X are associated with higher emotional exhaustion, increased depersonalization, and a lower sense of personal accomplishment. This phenomenon may be related to the increasing burden of responsibilities and the direct exposure to complex and stressful situations in the work environment, which generate progressive psychological strain. Furthermore, the continuous exposure to emotional demands and pressure to meet professional standards may negatively affect motivation and the sense of accomplishment — key factors for overall well-being.
creator: Heber Nehemias Chui-Betancur
creator: Fredy Sosa Gutierrez
creator: Yudy Yaneth Tapia-Centellas
creator: Esther Lidia Jinez-Garcia
creator: Ruth Mery Cruz Huisa
creator: Cesar Augusto Achata-Cortez
creator: Teófilo Yucra-Quispe
creator: Efrain Humberto Yupanqui Pino
rights: Copyright (c) 2025 O Mundo da Saúde https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-06-16
publication date: 2025-06-16
volume: 49
doi: 10.15343/0104-7809.202549e16942024P

Characterization of Patagonian Salicornia: nutritional, sensory and microbiological aspects
type: item
description: Halophytic plants offer an alternative for food production by using species adapted to high salinity, such as Salicornia. Salicornia magellanica, in Tierra del Fuego, and Salicornia neei, in the provinces of Chubut and southwestern Buenos Aires, are species widely distributed across the coastal marine intertidal plains and inland saline lagoons of the Patagonian territory. Studies conducted in natural Patagonian environments allowed for the analysis of their spatial distribution, plant productivity, and cultivation methods, both in open fields and in pots for home gardens, using seawater or saline wastewater from the fishing industry. These efforts aim to diversify agricultural production for human consumption and forage for ruminant livestock. This halophytic plant has proven to be a high-quality food, with 60% of its fatty acid content in the form of essential omega-3 and omega-6, a protein content ranging from 6% to 10%, and high levels of complex salts. Its cultivation is viable in both coastal areas and domestic settings with minimal seawater supply. In the studied region, between 70,000 and 100,000 hectares of salt marshes with Salicornia were estimated, with yields ranging from 15 to 40 tons per hectare of fresh product. Moreover, as summer forage, it has been used in mixed pastures with Puccinellia, Suaeda, Agropyron, or Atriplex, for the production of sheep and cattle with low cholesterol levels. Preliminary results from evaluations on the health effects of Salicornia consumption have been promising. Indicators such as an increase in HDL (good cholesterol) showed significant differences between the beginning and end of intake.
creator: Oscar Alberto Bianciotto
creator: Fernando Martín Aras
creator: Maria Elena Arce
creator: Eduardo Levy
rights: Copyright (c) 2025 O Mundo da Saúde https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-05-21
publication date: 2025-05-21
volume: 49
doi: 10.15343/0104-7809.202549e16742024P

Toxicological effects of nanoparticles on Plankton: implications for Environmental Health
type: item
description: Nanoparticles (NPs) have emerged as ubiquitous contaminants in aquatic environments due to their extensive industrial, biomedical, and agricultural applications. Their small size, high surface reactivity, and potential for toxic ion release confer upon these particles a unique capacity to interact with aquatic biota, particularly planktonic communities, which form the base of aquatic food webs. This review compiles and analyzes recent ecotoxicological findings on the effects of metallic (Ag, ZnO, TiO₂, Cu, Fe₃O₄), polymeric, and composite nanoparticles on zooplankton and phytoplankton, with emphasis on physiological, biochemical, and population-level responses. Evidence indicates that NPs can induce oxidative stress, membrane damage, growth inhibition, reproductive impairment, and metabolic disruptions in species such as Daphnia magna, Ceriodaphnia silvestrii, and Chlorella vulgaris. Ionic dissolution (e.g., Ag⁺, Zn²⁺) and reactive oxygen species (ROS) generation have been identified as primary toxicity pathways, although surface interactions and protein corona formation also modulate their bioavailability and toxicity. Sublethal and chronic exposures often disrupt planktonic community composition and productivity, with potential cascading effects on higher trophic levels and ecosystem stability. Despite advances, significant knowledge gaps persist regarding long-term ecological consequences, toxicity of mixtures with other pollutants, and NP behavior under environmentally realistic conditions. Future research should integrate mechanistic toxicology, nanoinformatics, and ecological modeling to predict environmental fate and impacts of NPs. The synthesis of green nanoparticles and implementation of standardized testing protocols are crucial for risk mitigation and guiding sustainable nanotechnology practices. By elucidating the complex interactions between NPs and planktonic organisms, this study contributes to a broader understanding of nanoparticle-induced perturba…
creator: Edison Barbieri
creator: Pedro Luiz Barbosa
creator: Pinto Leonidio Hanamulamba
creator: Thalassia Giaccone
rights: Copyright (c) 2025 O Mundo da Saúde https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-12-16
publication date: 2025-12-16
volume: 49
doi: 10.15343/0104-7809.202549e18092025P

Characterization of Patagonian Salicornia: nutritional, sensory and microbiological aspects
type: item
description: Halophytic plants offer an alternative for food production by using species adapted to high salinity, such as Salicornia. Salicornia magellanica, in Tierra del Fuego, and Salicornia neei, in the provinces of Chubut and southwestern Buenos Aires, are species widely distributed across the coastal marine intertidal plains and inland saline lagoons of the Patagonian territory. Studies conducted in natural Patagonian environments allowed for the analysis of their spatial distribution, plant productivity, and cultivation methods, both in open fields and in pots for home gardens, using seawater or saline wastewater from the fishing industry. These efforts aim to diversify agricultural production for human consumption and forage for ruminant livestock. This halophytic plant has proven to be a high-quality food, with 60% of its fatty acid content in the form of essential omega-3 and omega-6, a protein content ranging from 6% to 10%, and high levels of complex salts. Its cultivation is viable in both coastal areas and domestic settings with minimal seawater supply. In the studied region, between 70,000 and 100,000 hectares of salt marshes with Salicornia were estimated, with yields ranging from 15 to 40 tons per hectare of fresh product. Moreover, as summer forage, it has been used in mixed pastures with Puccinellia, Suaeda, Agropyron, or Atriplex, for the production of sheep and cattle with low cholesterol levels. Preliminary results from evaluations on the health effects of Salicornia consumption have been promising. Indicators such as an increase in HDL (good cholesterol) showed significant differences between the beginning and end of intake.
creator: Oscar Alberto Bianciotto
creator: Fernando Martín Aras
creator: Maria Elena Arce
creator: Eduardo Levy
rights: Copyright (c) 2025 O Mundo da Saúde https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-05-21
publication date: 2025-05-21
volume: 49
doi: 10.15343/0104-7809.202549e16742024E

School physical education and health based on the principles of body literacy: propositions and validation of an educational technology
type: item
description: Body Literacy (BL) is recognized by the World Health Organization as a key element in promoting a more active and healthy life. Technologies aimed at strengthening the competencies of School Physical Education (SPE) teachers to recognize this element in pedagogical practice are urgently needed. This study aimed to develop and validate an Educational Technology (ET) on the principles of BL within the pedagogical practice of SPE. This methodological study was grounded in the principles of Instructional Design and conducted in three phases: (1) analysis and planning (literature review), (2) development of the ET (didactic unit of a self-instructional teacher training course), and (3) content and appearance validation. In the final phase, 21 judges (9 researchers and 12 primary/ secondary school teachers) assessed the content and appearance of the ET using standardized instruments. Data analysis included the calculation of the Content Validity Index (CVI), Content Validity Ratio (CVR), and Appearance Validity Index (AVI). The developed ET comprises 17 pages, structured around three topics: School Physical Education as a promoter of health, the concept and principles of BL, and successful practical experiences. In the validation process, the ET achieved a total CVI of 0.98, a CVR of 0.75 for content, and an AVI of 0.95, indicating excellent validation indices. In conclusion, this ET may serve as a training resource for teachers on how BL can be incorporated into SPE pedagogical practices, contributing to holistic student development and health promotion in schools.
creator: Evelyne Ferreira de Castro
creator: Magna Leilane da Silva
creator: Allana Kelly Cerqueira Lima Carvalho
creator: Patrícia Ribeiro Feitosa Lima
creator: José Airton Pontes Junior
creator: Valter Cordeiro Barbosa Filho
rights: Copyright (c) 2025 O Mundo da Saúde https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-07-18
publication date: 2025-07-18
volume: 49
doi: 10.15343/0104-7809.202549e17352025P

Mental health and emotional self-regulation in secondary education teachers
type: item
description: The study aimed to assess the influence of emotional self-regulation on the management of depression, anxiety, and stress among secondary education teachers at the Local Educational Management Unit of Puno. It was a basic, quantitative, descriptive–correlational study with a sample of 150 secondary school teachers, using the Socioemotional Assessment Test and the DASS-21 to measure depression, anxiety, and stress. Pearson’s correlation and a multiple linear regression model were applied. The research revealed a significant negative correlation among the studied variables, highlighting that stress exerts the greatest negative effect on self-regulation. It is concluded that there is indeed a relationship among the variables; moreover, teachers with higher self-regulation skills present lower levels of depression, anxiety, and stress. Data analysis through multiple linear regression showed that nearly half of the variance in the ability to self-regulate emotions can be explained by the variables of the model (R² = 0.457). The results indicate that both anxiety (β = -0.4; p < 0.05) and stress (β = -0.442; p < 0.05) play an important role in predicting how individuals self-regulate their emotions. Conversely, depression, gender, and employment status did not demonstrate a significant influence on emotional self-regulation in this sample. In conclusion, the study demonstrates that anxiety and stress are indeed predictors of emotional self-regulation, whereas depression, gender, and employment status do not show significant influence.
creator: Rosmery Cruz Gutierrez
creator: Melvi Isabel Condori Juarez
creator: Magui Cotrado Mendoza
creator: Juan Pablo Cuentas Yupanqui
creator: Heber Nehemías Chui Betancur
rights: Copyright (c) 2025 O Mundo da Saúde https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-09-04
publication date: 2025-09-04
volume: 49
doi: 10.15343/0104-7809.202549e16822024P

Development of butter fermented with kefir: probiotic properties and sensory acceptance
type: item
description: Kefir is a fermented milk product obtained through gelatinous grains containing probiotic microorganisms, known for millennia worldwide due to its numerous benefits. Fermented foods, such as kefir, have been widely recognized for their health-promoting properties, including anti-inflammatory, antioxidant, and antimicrobial activities, as well as their ability to modulate the gut microbiota—factors that contribute to the prevention of chronic diseases and the promotion of overall well-being. The aim of this study was to develop a butter with probiotic properties by fermenting cream with kefir and to evaluate its acceptance. After cream fermentation with kefir, butter was obtained through the churning process. Yield, moisture content, titratable acidity, lactic acid bacteria (LAB) count, and yeast count were assessed. Product acceptance was evaluated by sensory analysis using a 9-point hedonic scale and a 5-point purchase intent scale, and results were compared to a commercial butter brand considered as the standard. Sensory analysis was carried out for each butter sample (kefir and standard) on different days. The kefir butter showed higher moisture and acidity levels compared to the standard. The LAB and yeast counts were approximately 10⁷ and 10³ CFU/g, respectively. The kefir butter had good acceptance, achieving an overall score of 7.6 and a purchase intent score of 4.4. The butter obtained from cream fermented with kefir demonstrated good acceptance and a high LAB count, indicating functional and probiotic properties. However, improvements are needed to reduce moisture and acidity, which could enhance both shelf life and consumer acceptance. The use of kefir as a fermenting culture in dairy products, such as butter, represents a promising innovation, allowing the incorporation of viable probiotic microorganisms into diverse food matrices and expanding probiotic consumption options beyond traditional yogurts and fermented beverages.
creator: Jessica Isabel Vellido
creator: Natalia Portes Thiago Pereira
creator: Andrea Carvalheiro Guerra Matias
creator: Isabela Rosier Olimpio Pereira
rights: Copyright (c) 2025 O Mundo da Saúde https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-05-21
publication date: 2025-05-21
volume: 49
doi: 10.15343/0104-7809.202549e16982024I

Differences in food intake, body composition, and physical activity between university students with normal - weight obesity and normal - weight lean
type: item
description: Normal-weight obesity (NWO) is a prevalent health issue characterized by a normal Body Mass Index (BMI) alongside a high body fat percentage (BF%). An unhealthy lifestyle, characterized by poor quality of food intake and lack of physical activity, is a contributing factor to NWO. This study aims to investigate the differences in healthy food intake, physical activity, and body composition parameters between students identified as NWO and normal‑weight lean (NWL). This was a cross-sectional study involving 149 university students. Body composition measurements were carried out using the InBody 370s. Physical activity data were measured using the General Physical Activity Questionnaire, and food intake quality was collected using the Food Frequency and Recommended Food Score (RFS). Comparative tests were applied to assess differences in measured variables between groups. Among the participants, 31.5% were classified as NWO, 49.7% engaged in moderate physical activity, and only 27.52% adhered to a healthy diet. Furthermore, we found lower physical activity (PA) scores and healthy food intake in NWO students compared to NWL group. Significant differences were also observed in body composition parameters, where BMI, PBF, fat-mass, fat-free mass, and BMR were higher in students with normal weight (p<0.05). This study highlights the urgent need for interventions aimed at promoting healthy lifestyles, which can help students achieve and maintain a balanced body composition. By focusing on enhancing physical activity levels and improving dietary intake, it is possible to mitigate the risks associated with NWO and achieve better health outcomes. Thus, the findings suggest that universities should implement targeted wellness programs, such as nutrition education, campus fitness initiatives, and accessible wellness resources, to encourage sustainable lifestyle changes. These measures can help prevent obesity-related health problems and improve students’ overall well-being and a…
creator: Agus Hariyanto
creator: Theo Welly Evert Mautang
creator: Arifuddin Usman
creator: Imran Akhmad
creator: Hartati Hartati
creator: Nasuka Nasuka
creator: Anindya Mar´ atus Sholikhah
rights: Copyright (c) 2025 O Mundo da Saúde https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-05-07
publication date: 2025-05-07
volume: 49
doi: 10.15343/0104-7809.202549e16852024I

Functional performance analysis in individuals recovered from COVID-19: assessment through the six-minute walk test
type: item
description: The COVID-19 pandemic has posed significant challenges to healthcare systems, with physiotherapy playing a crucial role in the management of post-infection patients. This descriptive study investigated the Six-Minute Walk Test (6MWT) as an assessment tool to monitor physiological and functional changes in post-COVID patients. Conducted at the Outpatient Clinic of Physiotherapy in Cardiology and Pulmonology at Universidade São Francisco, Bragança Paulista/SP, the study included 18 individuals referred for pulmonary rehabilitation, with a median age of 47 years (±13.40), body mass of 74.50 kg (±20.48), and mean height of 1.65 m (±0.09). The median distance covered in the 6MWT was 481 meters (±106.20), corresponding to 78.9% of the predicted value according to the guidelines of the American Thoracic Society and the European Respiratory Society, indicating reduced tolerance to submaximal aerobic exercise. Statistically significant differences were observed between initial and final values of systolic blood pressure (p < 0.005), heart rate (p < 0.002), rate-pressure product (p < 0.001), and Borg’s Rating of Perceived Exertion scale, both respiratory (p < 0.006) and muscular (p < 0.007). However, no significant differences were found in oxygen saturation (p > 0.34) or diastolic blood pressure (p > 1.00). The results suggest that cardiovascular and hemodynamic adjustments occurred physiologically, reinforcing the use of the 6MWT as a valuable tool for assessing submaximal functional capacity and physiological responses to exercise. The 6MWT proved to be useful in evaluating exercise tolerance in post-COVID individuals.
creator: Gisele Jesus Furlan
creator: Arthur Nunes Marche
creator: André Cabral Sardim
creator: Ricardo Luís Salvaterra Guerra
creator: Ricardo Farinasso Caboclo
creator: Taís Mendes de Camargo
rights: Copyright (c) 2025 O Mundo da Saúde https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-10-16
publication date: 2025-10-16
volume: 49
doi: 10.15343/0104-7809.202549e17442025P

Prosociality in adolescents: an intervention experience
type: item
description: The present study introduces an intervention conducted with adolescent students from municipal public schools. The intervention involved two groups (n = 20; n = 18) of sixth-grade students. The intervention program was based on the “Core Program” developed by LIPA (Applied Prosocial Research Laboratory) at the Autonomous University of Barcelona and was adapted for this application. Prosociality can be defined as a set of voluntary behaviors intended to benefit others without the expectation of external rewards. These behaviors strengthen social bonds and foster fundamental values for the development of healthy interpersonal relationships. Given the current social and economic conditions, adolescents living in urban centers are immersed in a reality marked by violence and antisocial behaviors. The objective was to observe changes in adolescents’ behaviors following the intervention, measuring the level of prosociality. Twenty 90-minute sessions were conducted weekly, along with three evaluations to identify the participants’ levels of prosociality (baseline, final, and follow-up). The instrument used was the EPA-A (Prosocial Behavior Assessment Scale for Adolescents). An improvement in prosocial behaviors among the adolescents was observed following the intervention, as evidenced by their interactions with peers in the group and with the researcher. In the various dimensions analyzed (Helping, Sharing, Positive Climate, Caring, and Empathy), positive trends were noted when positive and healthy attitudes were encouraged. This indicates that introducing socioemotional interventions in the school environment can lead to both individual and collective changes.
creator: Claudia Regina de Freitas
creator: Celso Stephan
rights: Copyright (c) 2025 O Mundo da Saúde https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-02-06
publication date: 2025-02-06
volume: 49
doi: 10.15343/0104-7809.202549e16632024I

Urban-rural water cycle and environmental health: systemic interrelations and strategies for resilient services in climate change contexts
type: item
description: Case study based on observations carried out at CEGELAH over a 16-year period, promoting research, innovation, and technology transfer aimed at strengthening the planning capacities of small- and medium-scale drinking water services in the province of Entre Ríos. There are four levels of interrelations between the internal and external aspects of water supply systems. The objective is to identify areas of intervention in terms of innovations that can counteract the main vulnerabilities detected at this scale of services in a context of climate change. The first level involves understanding the urban/rural water cycle as a complex system, highlighting the scientific approach provided by General Systems Theory as an interdisciplinary language that enables the parts to be addressed not in isolation, but in interrelation. A second relational level is the expansion of the knowledge base through the participation not only of specialists, but also of key social actors in formulating this systemic understanding of the issues and in grounding the design of consensus-based action strategies. A third level consists of inclusive possibilities for rural sectors as beneficiaries with equal rights to urban users of the water supply. And a fourth relational level concerns the formation of public-private partnerships that progressively shape the water value chain, fostering synergies among the public water service, local governments, the scientific-technological system, suppliers of materials, equipment and services, professionals in the sector, laboratories, etc.
creator: Mario Alejandro Nudelman
creator: Fernando Diego Bach
rights: Copyright (c) 2025 O Mundo da Saúde https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-06-16
publication date: 2025-06-16
volume: 49
doi: 10.15343/0104-7809.202549e16912024P

Probiotic supplementation in reducing exercise-induced gastrointestinal symptoms in endurance athletes: an integrative review
type: item
description: Endurance exercise can cause significant disturbances in the gastrointestinal tract, known as “exercise-induced gastrointestinal syndrome.” These disturbances may lead to gastrointestinal symptoms and affect athletes’ performance and health. This integrative review evaluated the effect of probiotic supplementation in reducing gastrointestinal symptoms associated with endurance exercise, discussing possible underlying mechanisms. The review was conducted in August 2024 across four electronic databases (PubMed, Scopus, Cochrane Library, ScienceDirect), using a search strategy based on the PICO criteria. The search terms included: “Endurance athletes” OR “Elite athletes” AND “Probiotic” AND “Gastrointestinal” OR “Gut” AND “Symptoms” OR “Health” OR “Disorder.” Randomized controlled clinical trials involving adult endurance athletes were included. A total of 265 articles were identified, of which nine met the eligibility criteria. The interventions involved supplementation with various strains of probiotic bacteria and produced different effects in both the number and severity of GI symptoms during training periods, reducing the number of reported incidents among participants. Due to methodological differences among the studies, it was not possible to determine the best supplementation protocol. Most studies did not report promising outcomes regarding GI-related symptom parameters, yielding heterogeneous results. The methodological variability across studies hinders result interpretation and introduces confounding factors in the analysis. Thus, probiotic supplementation should be approached with caution, respecting GI symptoms and the individual response of each athlete.
creator: Rafael Virmond Taques Andreoli
creator: Anderson Zampiér Ulbrich
creator: Renata Labronici Bertin
rights: Copyright (c) 2025 O Mundo da Saúde https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-06-17
publication date: 2025-06-17
volume: 49
doi: 10.15343/0104-7809.202549e16902024P

Errors and challenges in the collection of the colpocytological exam: a scoping review
type: item
description: Cervical cancer, the third most common malignancy in Brazil, can be screened through the colpocytological exam, whose success depends on proper sample collection and directly impacts the reduction of cases of this disease. Up to 75% of false-negative results stem from failures in the pre-analytical phase, underscoring the need for continuous training of healthcare professionals responsible for sample collection. This study aimed to map the errors and difficulties encountered by professionals during the pre-analytical phase of the colpocytological exam. A scoping review was conducted following the methodology of the Joanna Briggs Institute and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses – Extension for Scoping Reviews (PRISMA-ScR) guidelines. Searches were carried out in databases and grey literature covering the period from 2013 to 2023. Nine studies were included, revealing technical, structural, and educational problems such as inadequate fixation, improper slide transport, misuse of collection devices, and incomplete requisition forms. External factors, including deficient infrastructure and logistical barriers, were also highlighted. The quality of the colpocytological exam depends on precise sample collection. Training initiatives increase the proportion of satisfactory samples, as observed in Goiânia and Santa Catarina, reducing false negatives. Continuing education and strict quality control, combined with molecular diagnostic technologies, strengthen cervical cancer screening. Strategies such as ongoing training, infrastructure improvements in remote services, and techniques like speculum lubrication have proven promising in reducing errors and improving collection quality. Investments in professional development and the standardization of procedures are crucial to enhancing cervical cancer screening effectiveness.
creator: Valdo Souza Araújo
creator: Raniele Romano dos Santos
creator: Robson José de Souza Domingues
rights: Copyright (c) 2025 O Mundo da Saúde https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-12-02
publication date: 2025-12-02
volume: 49
doi: 10.15343/0104-7809.202549e17562025P

Probiotic supplementation in reducing exercise-induced gastrointestinal symptoms in endurance athletes: an integrative review
type: item
description: Endurance exercise can cause significant disturbances in the gastrointestinal tract, known as “exercise-induced gastrointestinal syndrome.” These disturbances may lead to gastrointestinal symptoms and affect athletes’ performance and health. This integrative review evaluated the effect of probiotic supplementation in reducing gastrointestinal symptoms associated with endurance exercise, discussing possible underlying mechanisms. The review was conducted in August 2024 across four electronic databases (PubMed, Scopus, Cochrane Library, ScienceDirect), using a search strategy based on the PICO criteria. The search terms included: “Endurance athletes” OR “Elite athletes” AND “Probiotic” AND “Gastrointestinal” OR “Gut” AND “Symptoms” OR “Health” OR “Disorder.” Randomized controlled clinical trials involving adult endurance athletes were included. A total of 265 articles were identified, of which nine met the eligibility criteria. The interventions involved supplementation with various strains of probiotic bacteria and produced different effects in both the number and severity of GI symptoms during training periods, reducing the number of reported incidents among participants. Due to methodological differences among the studies, it was not possible to determine the best supplementation protocol. Most studies did not report promising outcomes regarding GI-related symptom parameters, yielding heterogeneous results. The methodological variability across studies hinders result interpretation and introduces confounding factors in the analysis. Thus, probiotic supplementation should be approached with caution, respecting GI symptoms and the individual response of each athlete.
creator: Rafael Virmond Taques Andreoli
creator: Anderson Zampiér Ulbrich
creator: Renata Labronici Bertin
rights: Copyright (c) 2025 O Mundo da Saúde https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-06-17
publication date: 2025-06-17
volume: 49
doi: 10.15343/0104-7809.202549e16902024I

Mental health and physical activity assessed in university students of Education
type: item
description: The objective of this study was to investigate whether physical activity predicts levels of anxiety, depression, and stress among Education students at the Universidad Nacional del Altiplano de Puno. A quantitative approach with an explanatory research design was adopted. The study included 544 university students, 280 men (51.5%) and 264 women (48.5%), with a mean age of 20.19 ± 3.075 years. Multiple linear regression and Pearson’s correlation analyses were employed. This predictive model (R² = 0.278) identified three main variables as significant determinants: physical activity (β = –0.141; P < 0.001), age (β = –0.118; P < 0.01), and living arrangements in the city of Puno (β = –0.134; P < 0.001). Physical activity showed an inverse correlation with depressive symptoms, indicating that higher levels of physical activity are associated with decreased depressive symptoms. Conversely, age demonstrated a moderate negative correlation, suggesting that as individuals grow older, depression levels tend to decrease slightly. Finally, it was also found that living alone in the city of Puno correlates with depressive symptoms.
creator: Percy Samuel Yabar Miranda
creator: Heber Nehemias Chui Betancur
creator: Edgar Octavio Roque Huanca
rights: Copyright (c) 2025 O Mundo da Saúde https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-11-10
publication date: 2025-11-10
volume: 49
doi: 10.15343/0104-7809.202549e17182025P

Psychological factors associated with suicidal ideation in high school adolescentes
type: item
description: Suicide is a major public health issue that is often overlooked, surrounded by stigma, myths, and taboos. The aim of this article was to identify psychological factors, such as depression, stress, and anxiety, that predict suicidal ideation in high school adolescents. The study was conducted with 292 students with a mean age of 15.52 ±1.64 years from the Institución Educativa Secundaria Nuestra Señora del Carmen, located in the city of Ilave, Puno region, during the months of May to August 2024. This study employed a descriptive-explanatory cross-sectional design. The results of the multiple linear regression analysis show a significant relationship between depression, stress, and suicidal ideation, suggesting that these factors play an important role in increasing the risk of suicidal thoughts (R² = 0.432). In particular, depression emerged as the strongest predictor (β = 0.462, p < 0.001) compared to stress (β = 0.188, p < 0.05), highlighting the urgency of targeted interventions that prioritize depressive symptoms in suicide prevention strategies. These findings emphasize the need for healthcare professionals to implement comprehensive mental health assessments and interventions that not only focus on alleviating symptoms of depression and stress but also promote resilience and coping mechanisms among at-risk populations.
creator: Heber Nehemias Chui Betancur
creator: Vidnay Noel Valero Ancco
creator: Lily Maribel Trigos Sánchez
creator: Yudy Yaneth Tapia Centellas
creator: Katia Perez Argollo
creator: Teofilo Yucra Quispe
creator: Edgar Darío Callohuanca Avalos
creator: Cesar Augusto Achata Cortez
rights: Copyright (c) 2025 O Mundo da Saúde https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-06-18
publication date: 2025-06-18
volume: 49
doi: 10.15343/0104-7809.202549e16972024E

Epidemiological profile of leprosy in the Marajó I region, Pará, Brazil
type: item
description: Leprosy still represents a major public health problem in Brazil and, as it predominantly affects socioeconomically disadvantaged populations, it is considered a neglected disease with multiple barriers to control and elimination. The objective of this study was to investigate the sociodemographic and clinical-epidemiological profile of leprosy cases in the Marajó-I region, Pará. This is an ecological epidemiological study conducted using data from the Notifiable Diseases Information System (SINAN), accessed through its official database. Data were collected from leprosy patients of both sexes, residing in one of the nine municipalities of the Marajó-I region, regardless of treatment completion status, who had records in SINAN. Between 2017 and 2021, a total of 225 cases of leprosy were reported in the region under study. Most cases occurred among mixed-race men, with a mean age of 42.3 years (±19.01), living in urban areas, with incomplete primary education, and working as fishermen. Regarding the clinical and epidemiological characteristics, there was a predominance of multibacillary cases, mainly of the dimorphous clinical form, with grade 0 physical disability, followed by grade I at diagnosis. The results indicate that the detection rate of new leprosy cases in the Marajó region remains high, suggesting that the disease continues to be a significant public health issue in this area. These findings highlight the importance of strategies aimed at expanding timely diagnosis and strengthening leprosy control actions.
creator: Rayme Ferreira Barros
creator: Ilmara Luzia Santos Matias
creator: Rodolfo Gomes do Nascimento
creator: Ketlin Jaquelline Santana de Castro
rights: Copyright (c) 2025 O Mundo da Saúde https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-11-06
publication date: 2025-11-06
volume: 49
doi: 10.15343/0104-7809.202549e17762025P

RULA method in the ergonomic analysis of an ophthalmic surgeon’s work: a case study
type: item
description: Work-related musculoskeletal disorders (WRMSDs) represent a widespread occupational health issue across many countries, leading to high organizational costs and constituting one of the main causes of work disability. Ophthalmic surgery requires a high level of concentration, precision, and physical effort, often associated with the adoption of static and inadequate postures, which predispose these professionals to the development of WRMSDs. This study aimed to characterize the posture of an ophthalmic surgeon in the operating room using the RULA (Rapid Upper Limb Assessment) method. This is a descriptive case study conducted according to the Case Report (CARE) guidelines. The results revealed that the surgeon remains seated and static for extended periods, adopting potentially harmful postures. The application of the RULA method indicated an urgent need for ergonomic intervention, with recommendations including seat adjustments, arm support, and workspace reorganization. The importance of implementing regular breaks, stretching exercises, and strategies to reduce visual fatigue is also emphasized. The use of more comprehensive, complementary ergonomic assessment methods is recommended for a more complete analysis. It is concluded that ergonomic adaptation of the workstation is essential for promoting the surgeon’s health, safety, and performance, and that the RULA method is a valuable tool for identifying risks associated with WRMSDs.
creator: Teresa Alexandra Vaz Ferreira
creator: Cláudia Cristina Cabral de Carvalho
rights: Copyright (c) 2025 O Mundo da Saúde https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-06-25
publication date: 2025-06-25
volume: 49
doi: 10.15343/0104-7809.202549e17212025I

Quality of life and prevalence of burnout among military police officers in southern Brazil: a cross-sectional study
type: item
description: The work performed by military police officers involves risks that negatively affect their quality of life and mental health. This study assessed the quality of life and the prevalence of Burnout Syndrome among military police officers, as well as the correlations between these variables. This is a cross-sectional, descriptive, and correlational study conducted with 267 officers from the 3rd Military Police Battalion of Paraná (3º BPM/PR). The instruments used were the WHOQOL-BREF and the Maslach Burnout Inventory (MBI). Burnout Syndrome was identified in 33.7% of the officers, with 28.8% presenting a high level and 4.9% a moderate level. The lowest mean quality-of-life score was observed in the Environment domain (score: 58.7), while the highest were in the Psychological (score: 68.8) and Physical (score: 67.6) domains. A moderate and negative correlation was found between Emotional Exhaustion and the Physical (r = -0.552; p < 0.001) and Psychological (r = -0.557; p < 0.001) domains, and a positive correlation between Personal Accomplishment and the Psychological domain (r = 0.452; p < 0.001). Officers without Burnout exhibited significantly higher quality-of-life scores across all domains (p < 0.001). The findings indicate a negative association between Burnout and quality of life, particularly in the physical and environmental domains. The implementation of mental health programs and improvements in working conditions are recommended as priority strategies to promote the well-being of these professionals.
creator: Evellym Vieira
creator: Luciano Garcia Lourenção
creator: Fernando Braga dos Santos
creator: Natalia Sperli Geraldes Marin dos Santos Sasaki
creator: Thiago Roberto Arroyo
rights: Copyright (c) 2025 O Mundo da Saúde https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-11-25
publication date: 2025-11-25
volume: 49
doi: 10.15343/0104-7809.202549e17192025I

Physical activity practice and negative self-rated health among university students during COVID-19
type: item
description: During the pandemic, significant changes in university students’ routines affected their lifestyle and health. This study aimed to determine the prevalence of negative self-rated health (NSRH) among university students and to analyze its association with moderate-intensity aerobic physical activity (MPA) and muscle-strengthening physical activity (MSPA) during the pandemic. A cross-sectional study was conducted with 1,150 students from Estácio de Sá University, Rio de Janeiro, with a mean age of 31.43 years (SD: 11.07), of whom 63.8% were women. Self-rated health was assessed through a single question, with “fair,” “poor,” and “very poor” considered negative responses. MPA and MSPA practices were assessed using the PERMEV instrument between August 2021 and April 2022. Descriptive analyses and binary logistic regression were performed to estimate associations, with calculation of Odds Ratios (OR) and 95% confidence intervals (95% CI), in both crude and adjusted analyses. The significance level adopted was 5%. The prevalence of NSRH was 38.6%, higher among women (42%) than men (32.5%). Increased MSPA was associated with lower odds of NSRH in both sexes, while maintaining MSPA showed an additional protective effect among men. There was a significant relationship between MSPA and NSRH in both sexes during the pandemic, suggesting that MSPA may reduce negative impacts on health perception during prolonged crisis periods, highlighting the importance of strategies to encourage this type of exercise in situations of physical and social distancing.
creator: Juliana de Souza Soares
creator: Thiago Ferreira de Sousa
creator: Maria Isabel Martins Mourão-Carvalhal
creator: Sandra Celina Fernandes Fonseca
rights: Copyright (c) 2025 O Mundo da Saúde https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-07-18
publication date: 2025-07-18
volume: 49
doi: 10.15343/0104-7809.202549e17082025P

Association between parenting styles, food selectivity, and nutritional status in children with Autism Spectrum Disorder
type: item
description: To evaluate parenting styles related to feeding and the nutritional status of children with Autism Spectrum Disorder. This was a quantitative, cross-sectional, observational study using primary data collection. A total of 52 parents and/or guardians of children of both sexes aged 5 to 10 years participated. Parenting style was identified using the Parental Feeding Style Questionnaire. Food selectivity was assessed using the Eating Behavior Assessment Scale for Patients with Autism Spectrum Disorder. Nutritional status was determined through the following indices: weight-for-age, height-for-age, and body mass index-for-age. The three parenting styles identified in this research were uninvolved, responsive, and permissive. Regarding food selectivity, most children (76.9%) were classified as always selective (48.1%) or frequently selective (28.8%). Half (50%) of the children presented adequate weight-for-age. Concerning body mass index, half (50%) were classified as adequate; however, the prevalence of obesity and severe obesity among boys (15.4% and 17.9%, respectively) was higher than among girls (0% and 7.7%, respectively). The uninvolved parenting style was the most prevalent. Moreover, a high presence of food selectivity was observed among children with Autism Spectrum Disorder. Although most children were eutrophic, it is important to monitor cases of excess weight, especially among boys.
creator: Ana Luiza Gonzaga
creator: Adriana Garcia Peloggia de Castro
creator: Fernanda Ferreira Corrêa
rights: Copyright (c) 2025 O Mundo da Saúde https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-12-15
publication date: 2025-12-15
volume: 49
doi: 10.15343/0104-7809.202549e18032025I

Physical activity practice and negative self-rated health among university students during COVID-19
type: item
description: During the pandemic, significant changes in university students’ routines affected their lifestyle and health. This study aimed to determine the prevalence of negative self-rated health (NSRH) among university students and to analyze its association with moderate-intensity aerobic physical activity (MPA) and muscle-strengthening physical activity (MSPA) during the pandemic. A cross-sectional study was conducted with 1,150 students from Estácio de Sá University, Rio de Janeiro, with a mean age of 31.43 years (SD: 11.07), of whom 63.8% were women. Self-rated health was assessed through a single question, with “fair,” “poor,” and “very poor” considered negative responses. MPA and MSPA practices were assessed using the PERMEV instrument between August 2021 and April 2022. Descriptive analyses and binary logistic regression were performed to estimate associations, with calculation of Odds Ratios (OR) and 95% confidence intervals (95% CI), in both crude and adjusted analyses. The significance level adopted was 5%. The prevalence of NSRH was 38.6%, higher among women (42%) than men (32.5%). Increased MSPA was associated with lower odds of NSRH in both sexes, while maintaining MSPA showed an additional protective effect among men. There was a significant relationship between MSPA and NSRH in both sexes during the pandemic, suggesting that MSPA may reduce negative impacts on health perception during prolonged crisis periods, highlighting the importance of strategies to encourage this type of exercise in situations of physical and social distancing.
creator: Juliana de Souza Soares
creator: Thiago Ferreira de Sousa
creator: Maria Isabel Martins Mourão-Carvalhal
creator: Sandra Celina Fernandes Fonseca
rights: Copyright (c) 2025 O Mundo da Saúde https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-07-18
publication date: 2025-07-18
volume: 49
doi: 10.15343/0104-7809.202549e17082025I

Perception of health managers regarding health information systems and the usefulness of epidemiological data
type: item
description: This study aimed to describe health managers’ perceptions regarding the usefulness of epidemiological data. It employed a cross-sectional design including all municipal health managers in the state of Rio Grande do Sul between 2017 and 2019. Individual data were collected through a questionnaire, while municipal data were obtained from health information systems. The outcome of interest was the perceived usefulness of data from Health Information Systems (HIS). Multiple logistic regression analysis was conducted, and variables with a p-value <0.15 were retained in the final model. Among the 404 participants (81% response rate), 50% were women, 63.8% held a higher education degree, 78.7% had management experience, 77.2% were affiliated with political parties, 46.8% were previously employed by the SUS, and 59.2% presented a technical-scientific profile (postgraduate education, use of evidence-based guidelines, participation in scientific events). Overall, 75.5% perceived surveillance data as always useful for decision-making. Municipalities with implemented HISs were 3.17 times more likely (OR = 3.17; 95% CI: 1.70–5.92) to consider epidemiological data highly useful in the decision-making process. We conclude that differences exist in the importance attributed to epidemiological data in municipalities where HISs are implemented, influencing managers’ decision-making processes.
creator: Fernando Ritter
creator: Luiza Chagas Pires
creator: Violeta Rodrigues Aguiar
creator: Fabiana da Silva Cabreira
creator: Letícia Possebon Müller
creator: Samuel Jorge Moyses
creator: Paulo Savio Angeira Goes
creator: Roger Keller Celeste
rights: Copyright (c) 2025 O Mundo da Saúde https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-12-03
publication date: 2025-12-03
volume: 49
doi: 10.15343/0104-7809.202549e17912025I

Quality of life and prevalence of burnout among military police officers in southern Brazil: a cross-sectional study
type: item
description: The work performed by military police officers involves risks that negatively affect their quality of life and mental health. This study assessed the quality of life and the prevalence of Burnout Syndrome among military police officers, as well as the correlations between these variables. This is a cross-sectional, descriptive, and correlational study conducted with 267 officers from the 3rd Military Police Battalion of Paraná (3º BPM/PR). The instruments used were the WHOQOL-BREF and the Maslach Burnout Inventory (MBI). Burnout Syndrome was identified in 33.7% of the officers, with 28.8% presenting a high level and 4.9% a moderate level. The lowest mean quality-of-life score was observed in the Environment domain (score: 58.7), while the highest were in the Psychological (score: 68.8) and Physical (score: 67.6) domains. A moderate and negative correlation was found between Emotional Exhaustion and the Physical (r = -0.552; p < 0.001) and Psychological (r = -0.557; p < 0.001) domains, and a positive correlation between Personal Accomplishment and the Psychological domain (r = 0.452; p < 0.001). Officers without Burnout exhibited significantly higher quality-of-life scores across all domains (p < 0.001). The findings indicate a negative association between Burnout and quality of life, particularly in the physical and environmental domains. The implementation of mental health programs and improvements in working conditions are recommended as priority strategies to promote the well-being of these professionals.
creator: Evellym Vieira
creator: Luciano Garcia Lourenção
creator: Fernando Braga dos Santos
creator: Natalia Sperli Geraldes Marin dos Santos Sasaki
creator: Thiago Roberto Arroyo
rights: Copyright (c) 2025 O Mundo da Saúde https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-11-25
publication date: 2025-11-25
volume: 49
doi: 10.15343/0104-7809.202549e17192025P

Validity evidence of the Edinburgh Postnatal Depression Scale: an integrative review
type: item
description: The prevalence of common mental disorders, including depression, post-traumatic stress disorder, obsessive-compulsive disorder, and a variety of anxiety disorders, represents a major global burden of disease in both high- and low-income countries. This study aimed to identify validity evidence of the Edinburgh Postnatal Depression Scale (EPDS) tested in puerperal women. An integrative review was conducted using the PICO strategy to construct the research question: What validity evidence is available for the Edinburgh Postnatal Depression Scale in puerperal women? The databases searched were PubMed, CINAHL, Embase, Scielo Org., and SCOPUS. Screening was carried out in Rayyan, following the PRISMA 2020 flowchart. Searches were conducted from october to november 2022. Based on inclusion criteria, 17 studies were selected for analytical synthesis. The Edinburgh Postnatal Depression Scale is widely recognized as the gold standard for detecting postpartum depression in women worldwide. This instrument allows the identification of depression risk through different cutoff scores. Understanding how the EPDS functions and its limitations is essential for its effective use across diverse contexts, ensuring accurate screening and early identification of cases requiring specialized follow-up.
creator: Renata Costa da Silva
creator: Nayara de Jesus Oliveira
creator: Joise Magarão Queiroz Silva
creator: Renata Fernandes do Nascimento Rosa
creator: Patrícia Figueiredo Marques
creator: Katia Santana Freitas
creator: Edméia de Almeida Cardoso Coelho
rights: Copyright (c) 2025 O Mundo da Saúde https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-09-30
publication date: 2025-09-30
volume: 49
doi: 10.15343/0104-7809.202549e17312025I

Anxiety and depression as risk factors for suicidal ideation in adolescentes
type: item
description: Suicidal ideation in adolescents is a complex and multifactorial problem that has gained significant relevance in recent decades. Stigmatized as a critical stage, adolescence is a period in which emotions are more intense, as cognitive development is still in progress, making young people more vulnerable. It is considered by some as the most problematic phase, where high-risk issues, including suicidal ideation, emerge. For many, adolescence represents the healthiest period from a biological perspective, with its understanding being more of a cultural construct rather than solely a biological transition. Consequently, this study aimed to understand the factors influencing suicidal ideation in students from a Secondary Education Institution in the city of Juliaca, Peru. The research followed a cross-sectional design with a descriptive-explanatory approach. A total of 801 students from the first to the fifth year of secondary school participated in the study, all enrolled and actively attending their academic activities. The average age was 14.97 ± 1.92 years, with 423 being female (52.8%) and 378 male (47.2%). The research findings revealed significant results in three factors: anxiety (β = 0.395; P < 0.001), depression (β = 0.258; P < 0.01), and adolescents’ age (β = 0.101; P < 0.001). In this context, preventive interventions, emotional education, and family support are essential to mitigate the risk of suicide in adolescents.
creator: Francisco Castillo-Barriga
creator: Ana Benilda Cartagena-Condori
creator: Carolina Casiana Ccallo Cardeña
creator: Heber Nehemias Chui Betancur
rights: Copyright (c) 2025 O Mundo da Saúde https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-04-08
publication date: 2025-04-08
volume: 49
doi: 10.15343/0104-7809.202549e16672024P

School health in different countries
type: item
description: Schools are recognized as key settings that articulate health and education actions aimed at fostering values, habits, and behaviors conducive to health in many countries. This study describes how school-oriented health actions are organized and implemented across different nations, with the aim of analyzing their school health activities based on the principles of comprehensiveness, intersectorality, and health promotion. An exploratory and descriptive study was conducted through documentary analysis of primary sources: official documents from eight countries, identified digitally, addressing the theme of school health, from july to september 2022. Data were organized in a matrix to systematize the analysis through the lens of comprehensiveness, intersectorality, and health promotion. The findings revealed that the countries established programmatic actions aimed at fostering lifelong habits among students and their families, particularly nutritional care; prevention of childhood obesity; promotion of physical activities, bodily practices, and leisure; prevention of alcohol, tobacco, crack, and other psychoactive substance use; mental health; sexual and reproductive rights; and prevention and control of Sexually Transmitted Infections. Convergence across countries was observed in school health actions, although variations were noted according to cultural and structural contexts. Comprehensiveness and intersectorality remain ongoing challenges, with preventive and assistential practices still prevailing. Nonetheless, schools have consolidated their role as strategic environments for health promotion and for strengthening public policies. The differences identified stem from the cultural and developmental characteristics of each country; however, intersectorality, comprehensiveness, and health promotion remain challenges within the experiences analyzed.
creator: Vanessa Bordin
creator: Rosa Maria Rodrigues
creator: Solange de Fátima Reis Conterno
creator: Nádile Juliane Costa de Castro
rights: Copyright (c) 2025 O Mundo da Saúde https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-12-12
publication date: 2025-12-12
volume: 49
doi: 10.15343/0104-7809.202549e18052025I

Benchmarking the quality of antenatal care services in public health services in Timor-Leste and the Setabelan Community Health Center, Surakarta City, Indonesia, based on the Juran Trilogy
type: item
description: The achievement of the fourth antenatal visit (K4) in public health services in Timor-Leste remains low. One factor that may contribute to achieving the fourth visit target is quality management. Therefore, this research aims to provide recommendations for improving the quality of antenatal care services using the Juran Trilogy. A descriptive and cross-sectional observational approach was employed. There were 17 respondents in this study, consisting of 15 midwives and 2 Maternal and Child Health coordinators. Based on the data obtained, the implementation of quality planning, quality control and quality improvement was positive. However, there is a lack of implementation of customer knowledge and customer expectation surveys, which prevents the identification and fulfillment of customer needs. Furthermore, in quality control, there are deficiencies in the implementation of customers as service assessors, making it difficult to measure satisfaction. In terms quality improvement, there is no quality improvement team, which limits the optimal implementation of service enhancements. It is therefore recommended that public health services in Timor-Leste conduct customer knowledge, expectation, and satisfaction surveys, and establish a quality improvement team to increase the achievement of the fourth antenatal visit (K4) rate.
creator: Frieda Ani Noor
creator: Aris Prastyoningsih
creator: Oliva Virvizat Prasastin
creator: Nella Tri Surya
creator: Anggi Putri Aria Gita
creator: Aulia Siti Nur Rahmah
creator: Erinda Nur Pratiwi
creator: Sufina Pinto
rights: Copyright (c) 2025 O Mundo da Saúde https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-06-18
publication date: 2025-06-18
volume: 49
doi: 10.15343/0104-7809.202549e16702024I

Validity evidence of the Edinburgh Postnatal Depression Scale: an integrative review
type: item
description: The prevalence of common mental disorders, including depression, post-traumatic stress disorder, obsessive-compulsive disorder, and a variety of anxiety disorders, represents a major global burden of disease in both high- and low-income countries. This study aimed to identify validity evidence of the Edinburgh Postnatal Depression Scale (EPDS) tested in puerperal women. An integrative review was conducted using the PICO strategy to construct the research question: What validity evidence is available for the Edinburgh Postnatal Depression Scale in puerperal women? The databases searched were PubMed, CINAHL, Embase, Scielo Org., and SCOPUS. Screening was carried out in Rayyan, following the PRISMA 2020 flowchart. Searches were conducted from october to november 2022. Based on inclusion criteria, 17 studies were selected for analytical synthesis. The Edinburgh Postnatal Depression Scale is widely recognized as the gold standard for detecting postpartum depression in women worldwide. This instrument allows the identification of depression risk through different cutoff scores. Understanding how the EPDS functions and its limitations is essential for its effective use across diverse contexts, ensuring accurate screening and early identification of cases requiring specialized follow-up.
creator: Renata Costa da Silva
creator: Nayara de Jesus Oliveira
creator: Joise Magarão Queiroz Silva
creator: Renata Fernandes do Nascimento Rosa
creator: Patrícia Figueiredo Marques
creator: Katia Santana Freitas
creator: Edméia de Almeida Cardoso Coelho
rights: Copyright (c) 2025 O Mundo da Saúde https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-09-30
publication date: 2025-09-30
volume: 49
doi: 10.15343/0104-7809.202549e17312025P

Healthy eating practices for optimal nutrition and well-being: a systematic review
type: item
description: The lack of knowledge and application of healthy eating practices negatively impacts human nutrition and well-being. Therefore, it is crucial to implement strategies aimed at improving eating habits. These actions are essential to promote health in vulnerable populations. The objective of this study was to analyze relevant information on dietary patterns that promote health and reduce the risk of chronic diseases, based on high-impact scientific journals. The research methodology was grounded in a systematic review and the selection of scientific articles. The study sample consisted of 30 scientific articles published in the last six years, retrieved from databases such as Google Scholar, SciELO, Scopus, Science Direct, ERIC, and PubMed, considering as variables: healthy eating practices, nutritional quality, consumption frequency, and effects on metabolic health. A total of 279 scientific documents were identified, of which 30 articles were selected for analysis. An increase in scientific production was observed, with a peak in 2024 and continuous progress in 2025. The studies highlight that nutritional education and food knowledge are essential to improve eating behaviors and prevent chronic diseases. They also emphasize the need for context-specific interventions and public policies that promote healthy and equitable nutrition. It is concluded that nutritional education and interventions tailored to the social and health contexts of specific populations are fundamental to improving eating habits and preventing chronic diseases. Promoting evidence-based practices and strengthening public policies with a life-course approach are essential to ensuring healthy and equitable nutrition.
creator: Manuela Daishy Casa-Coila
creator: Henry Mark Vilca-Apaza
creator: Dometila Mamani-Jilaja
creator: Katia Perez-Argollo
creator: Eder Pacori-Zapana
creator: Diana Agueda Vargas-Velásquez
creator: Zara Turpo-Puma
rights: Copyright (c) 2025 O Mundo da Saúde https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-09-15
publication date: 2025-09-15
volume: 49
doi: 10.15343/0104-7809.202549e17422025P

Ecosystemic health: considerations and insights on a kelp forest in the Strait of Messina (Italy)
type: item
description: The forests of Laminaria ochroleuca in the Strait of Messina and the Alboran Sea (Mediterranean Sea) are true Atlantic relict species, probably dating back to the Pliocene or earlier, that have remained isolated in these areas of the Mediterranean Sea due to the presence of chemical and physical conditions similar to those of the temperate Atlantic Ocean from which they originate. They represent a priority habitat, i.e., a natural habitat to which the European Community has assigned conservation priority. These giant kelp forests are resilient and highly relational species, establishing numerous sustainable reciprocal relationships with the biotic and abiotic environment and with the Mediterranean native coastal populations, providing various ecosystem services. The reciprocal and interconnected relationships characterizing the ecosystem services of these forests trigger a domino effect (or butterfly effect), with positive consequences for the integral health of the ecosystem in which native coastal populations are among the many beneficiary species. The well-being of a species inherently reflects the integral well-being of an ecosystem. Mediterranean native coastal populations therefore should develop a new awareness and relational skills. The objectives of this scientific contribution are to provide valuable considerations and insights on the interconnections between ecosystem services of L. ochroleuca’s forests, preliminary data, and remarks concerning participatory science and research activities carried out by researchers and divers in the Strait of Messina, as well as the integral health of the marine environment and the native Mediterranean populations living along these shores.
creator: Thalassia Giaccone
rights: Copyright (c) 2025 O Mundo da Saúde https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-05-14
publication date: 2025-05-14
volume: 49
doi: 10.15343/0104-7809.202549e17032025P

Deaths of women of reproductive age in the municipalities of Eunápolis, Porto Seguro, and Teixeira de Freitas – BA, between 2018 and 2022
type: item
description: Although women constitute the majority of the Brazilian population, several epidemiological, demographic, and political factors directly and significantly influence their health, lives, and deaths — most often in a negative way. The aim of this study is to analyze the factors contributing to the deaths of women of reproductive age, based on data from the Brazilian Institute of Geography and Statistics (IBGE) census for the years 2018–2022, specifically in the municipalities of Porto Seguro, Eunápolis, and Teixeira de Freitas, located in the extreme south of Bahia. This descriptive, cross-sectional, and observational study was conducted using secondary data on female mortality and related variables obtained from the Department of Informatics of the Unified Health System (DATASUS), using information from the Mortality Information System (SIM). Population estimates were retrieved from the IBGE. Results indicate that in the municipalities analyzed, the highest crude mortality rates among women of reproductive age were observed among mixed-race women aged 40–49 years, who, paradoxically, have greater access to public healthcare services. Female mortality in reproductive age in Brazil reflects deep structural and social challenges that extend beyond the limits of public health. An intersectoral approach and the strengthening of reproductive health policies are essential steps toward achieving the Sustainable Development Goals (SDGs) and ensuring the right to health for all women.
creator: Camila Soares Nascimento
creator: Rayane de Oliveira Ferreira Albuquerque
creator: Anna Vitória Ferreira Viana Baia
creator: Camille Ferraz Galvão
creator: Esther Albares Pagung
creator: Henika Priscila Lima Silva
creator: Sabrina Bastos de Lima Portugal
rights: Copyright (c) 2025 O Mundo da Saúde https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-11-07
publication date: 2025-11-07
volume: 49
doi: 10.15343/0104-7809.202549e16832024P

Stress levels, eating habits, and body weight of adults in Higher Education Institutions
type: item
description: To analyze the prevalence of perceived stress during the period of social isolation imposed by the Covid-19 pandemic, according to sociodemographic characteristics, food consumption, and other health-related behaviors, among adult workers and students from Higher Education Institutions in the state of São Paulo, Brazil. This is a cross-sectional study conducted in 2020 with 524 individuals. Participants completed an online questionnaire on perceived stress (Perceived Stress Scale), in addition to reporting the weekly frequency of consumption of healthy and unhealthy foods. Adjusted prevalence ratios (PR) and corresponding 95% confidence intervals were estimated using Poisson regression. The highest level of perceived stress reached 31.1% of the sample and was even higher among individuals with lower household income (≤ 3 minimum wages, PR=2.14; 95% CI: 1.22–3.73), those who consumed fried foods (PR=1.80; 95% CI: 1.15–2.82), those who consumed sweets ≥ 2 days per week (PR=1.69; 95% CI: 1.11–2.56), those who reported increased alcohol consumption (PR=1.76; 95% CI: 1.15–2.68), and those who reported body weight reduction (PR=2.62; 95% CI: 1.25–5.51) during the Covid-19 pandemic. The findings of this study show that more than one-third of students and education professionals exhibited high levels of stress, along with greater consumption of foods with low nutritional quality, increased alcohol use, and weight loss during Covid-19-related isolation.
creator: Gabriela Baptista
creator: Joana Pereira de Carvalho-Ferreira
creator: Daniela de Assumpção
creator: Marina Padovan
creator: Alice Helena de Souza Paulino
creator: Caroline Dário Capitani
rights: Copyright (c) 2025 O Mundo da Saúde https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-09-26
publication date: 2025-09-26
volume: 49
doi: 10.15343/0104-7809.202549e17412025I

Identification of the consumption of medications that increase the risk of falls in hospitalized patients
type: item
description: Falls represent a significant public health issue due to their high prevalence and physical, psychological, and social impacts. Medications that affect balance and motor coordination are modifiable risk factors associated with an increased incidence of falls and hospitalizations. Accordingly, this study aimed to identify the consumption of medications that potentiate fall risk among hospitalized patients who experienced this event in a general hospital in Belo Horizonte, Minas Gerais, between February 2023 and February 2024. Data from the Patient Safety Center were analyzed regarding medication use, assessed through the Medication Fall Risk Score (MFRS) of ISMP Brazil and the Screening Tool of Older Persons Prescriptions in older adults with high fall risk (STOPPFall). Among patients who experienced falls, 57.1% (n=40) were older adults. A total of 13,448 medication doses were consumed, of which 59% (n=8,436) posed a fall risk according to MFRS and 35% (n=5,012) according to STOPPFall. The most frequently consumed medication classes associated with fall risk were antipsychotics (24.6%), anticonvulsants (14.9%), and opioids (14.6%) according to STOPPFall, and anticoagulants (15.5%), antipsychotics (13.6%), and anticonvulsants (8.2%) according to MFRS. The study demonstrated a high consumption of fall-risk medications, particularly among older adults. These findings underscore the need for preventive measures to mitigate the impact of such medications on the health of hospitalized patients, contributing to a reduction in fall risk.
creator: Ana Luiza Cardoso Rocha
creator: Lariene Pires de Souza Rocha Santos
creator: Elaine Ferreira Dias
creator: Aline Manacés Souto Dias
creator: Carla Jorge Machado
creator: Josiane Moreira da Costa
rights: Copyright (c) 2025 O Mundo da Saúde https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-09-19
publication date: 2025-09-19
volume: 49
doi: 10.15343/0104-7809.202549e17052025I

Benchmarking the quality of antenatal care services in public health services in Timor-Leste and the Setabelan Community Health Center, Surakarta City, Indonesia, based on the Juran Trilogy
type: item
description: The achievement of the fourth antenatal visit (K4) in public health services in Timor-Leste remains low. One factor that may contribute to achieving the fourth visit target is quality management. Therefore, this research aims to provide recommendations for improving the quality of antenatal care services using the Juran Trilogy. A descriptive and cross-sectional observational approach was employed. There were 17 respondents in this study, consisting of 15 midwives and 2 Maternal and Child Health coordinators. Based on the data obtained, the implementation of quality planning, quality control and quality improvement was positive. However, there is a lack of implementation of customer knowledge and customer expectation surveys, which prevents the identification and fulfillment of customer needs. Furthermore, in quality control, there are deficiencies in the implementation of customers as service assessors, making it difficult to measure satisfaction. In terms quality improvement, there is no quality improvement team, which limits the optimal implementation of service enhancements. It is therefore recommended that public health services in Timor-Leste conduct customer knowledge, expectation, and satisfaction surveys, and establish a quality improvement team to increase the achievement of the fourth antenatal visit (K4) rate.
creator: Frieda Ani Noor
creator: Aris Prastyoningsih
creator: Oliva Virvizat Prasastin
creator: Nella Tri Surya
creator: Anggi Putri Aria Gita
creator: Aulia Siti Nur Rahmah
creator: Erinda Nur Pratiwi
creator: Sufina Pinto
rights: Copyright (c) 2025 O Mundo da Saúde https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-06-18
publication date: 2025-06-18
volume: 49
doi: 10.15343/0104-7809.202549e16702024P

Implementation of a Program to Tackle Dental Caries in Schoolchildren in the State of São Paulo through Continuing Education
type: item
description: Despite the advances of the National Oral Health Policy (Brasil Sorridente Program) in reducing the prevalence of caries, challenges persist, especially among more vulnerable groups. This study aimed to describe and analyze the process of the first seven months of implementing a government program of Continuing Education to tackle dental caries in schoolchildren in the state of São Paulo, using Information and Communication Technologies (ICTs) to disseminate Minimal Intervention Dentistry practices in partnership with the University. This is a case report with a qualitative-quantitative approach. Data sources included document analysis and statistics produced by YouTube. Classes were conducted via the YouTube platform, with interaction through WhatsApp groups and Google Classroom. Workshops were developed to support the implementation process of the new oral health care model in the state. The experience reported in this study highlights the effectiveness of using ICTs, as a considerable audience was reached, with at least one representative from each Regional Health Department (DRS) present. There was a higher prevalence of access via mobile devices, underscoring the potential of technologies to complement traditional strategies and help reduce inequalities in access. Collaboration between teaching, service, and the community allowed for implementation aligned with the specificities of each municipality, highlighting the role of science in professional practice. Furthermore, it is noteworthy that Continuing Education empowered workers, as information from professionals who participated in virtual clinics was disseminated to service professionals.
creator: Amanda Iida Giraldes
creator: Luana Camila Brisolla Ferreira
creator: Ana Maria Cervato-Mancuso
creator: Fernanda Campos de Almeida Carrer
rights: Copyright (c) 2025 O Mundo da Saúde https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-03-21
publication date: 2025-03-21
volume: 49
doi: 10.15343/0104-7809.202549e16882024P

Parental confidence in vaccines since the COVID-19 pandemic: a qualitative meta-synthesis
type: item
description: Parental hesitancy toward vaccines is associated with multiple factors—historical, cultural, and socioeconomic—along with new perspectives related to vaccine confidence since the COVID-19 pandemic. This study aimed to understand parents’ perceptions of the vaccination phenomenon and the influence of the COVID-19 pandemic period. A qualitative systematic review and meta-synthesis of the results were conducted. Searches were carried out in the Medline, Scopus, PubMed, Scielo, and Lilacs databases. The methodological quality of the studies was assessed using the Critical Appraisal Skills Programme (CASP). After applying inclusion criteria, nine studies comprised the meta-synthesis. Thematic synthesis followed the approach proposed by Thomas and Harden. Rumors and concerns about vaccine efficacy, distrust in government, and lack of perceived disease severity were associated with low confidence. Confidence and acceptance were related to protection, return to normal routines, disease severity, risk of infection, concern with comorbidities, and previous experiences. The media, government, community leaders, social networks, health organizations, and healthcare professionals were identified as influential actors in vaccination decisions. Strategies are needed to bring the population closer to scientific reality and to foster citizens’ confidence in vaccines.
creator: Bruna Rykelly Ramos dos Santos
creator: Pedro Henrique Ferreira dos Santos
creator: Eduardo Micael Gomes dos Santos
creator: Erika Salgueiro da Cruz
creator: Gisely Lavínia Lourenço de Paula
creator: Hylka Karoline Cavalcante Santos Melo
creator: Karol Fireman de Farias
rights: Copyright (c) 2025 O Mundo da Saúde https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-11-05
publication date: 2025-11-05
volume: 49
doi: 10.15343/0104-7809.202549e17512025P

Psychological factors associated with suicidal ideation in high school adolescentes
type: item
description: Suicide is a major public health issue that is often overlooked, surrounded by stigma, myths, and taboos. The aim of this article was to identify psychological factors, such as depression, stress, and anxiety, that predict suicidal ideation in high school adolescents. The study was conducted with 292 students with a mean age of 15.52 ±1.64 years from the Institución Educativa Secundaria Nuestra Señora del Carmen, located in the city of Ilave, Puno region, during the months of May to August 2024. This study employed a descriptive-explanatory cross-sectional design. The results of the multiple linear regression analysis show a significant relationship between depression, stress, and suicidal ideation, suggesting that these factors play an important role in increasing the risk of suicidal thoughts (R² = 0.432). In particular, depression emerged as the strongest predictor (β = 0.462, p < 0.001) compared to stress (β = 0.188, p < 0.05), highlighting the urgency of targeted interventions that prioritize depressive symptoms in suicide prevention strategies. These findings emphasize the need for healthcare professionals to implement comprehensive mental health assessments and interventions that not only focus on alleviating symptoms of depression and stress but also promote resilience and coping mechanisms among at-risk populations.
creator: Heber Nehemias Chui Betancur
creator: Vidnay Noel Valero Ancco
creator: Lily Maribel Trigos Sánchez
creator: Yudy Yaneth Tapia Centellas
creator: Katia Perez Argollo
creator: Teofilo Yucra Quispe
creator: Edgar Darío Callohuanca Avalos
creator: Cesar Augusto Achata Cortez
rights: Copyright (c) 2025 O Mundo da Saúde https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-06-18
publication date: 2025-06-18
volume: 49
doi: 10.15343/0104-7809.202549e16972024P

Epidemiological profile of leprosy in the Marajó I region, Pará, Brazil
type: item
description: Leprosy still represents a major public health problem in Brazil and, as it predominantly affects socioeconomically disadvantaged populations, it is considered a neglected disease with multiple barriers to control and elimination. The objective of this study was to investigate the sociodemographic and clinical-epidemiological profile of leprosy cases in the Marajó-I region, Pará. This is an ecological epidemiological study conducted using data from the Notifiable Diseases Information System (SINAN), accessed through its official database. Data were collected from leprosy patients of both sexes, residing in one of the nine municipalities of the Marajó-I region, regardless of treatment completion status, who had records in SINAN. Between 2017 and 2021, a total of 225 cases of leprosy were reported in the region under study. Most cases occurred among mixed-race men, with a mean age of 42.3 years (±19.01), living in urban areas, with incomplete primary education, and working as fishermen. Regarding the clinical and epidemiological characteristics, there was a predominance of multibacillary cases, mainly of the dimorphous clinical form, with grade 0 physical disability, followed by grade I at diagnosis. The results indicate that the detection rate of new leprosy cases in the Marajó region remains high, suggesting that the disease continues to be a significant public health issue in this area. These findings highlight the importance of strategies aimed at expanding timely diagnosis and strengthening leprosy control actions.
creator: Rayme Ferreira Barros
creator: Ilmara Luzia Santos Matias
creator: Rodolfo Gomes do Nascimento
creator: Ketlin Jaquelline Santana de Castro
rights: Copyright (c) 2025 O Mundo da Saúde https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-11-06
publication date: 2025-11-06
volume: 49
doi: 10.15343/0104-7809.202549e17762025I

Contributions of emotional intelligence in facing leadership challenges in nursing
type: item
description: This study aims to analyze nurses’ perceptions regarding leadership challenges and the elements of emotional intelligence necessary for professional practice. It is a qualitative, exploratory, and descriptive study, with the participation of nine nurses who held leadership positions between 2021 and 2024. Data collection took place between November 2023 and January 2024 through remotely conducted semi-structured interviews. Thematic analysis resulted in two categories: Leadership Challenges in Nursing and Emotional Intelligence in Leadership Practice. It was identified that achieving and maintaining leadership positions is a challenge, especially in people management, with the pleasure of dealing with people being the main motivator for assuming such a position. Among the elements of emotional intelligence, self-awareness was highlighted as a source of motivation for leadership, but also as a challenge within the leadership process. Other aspects considered essential included social skills, motivation, empathy, and communication. It is concluded that emotional intelligence is a differentiating factor for success in nursing leadership, with people management being the greatest challenge and, at the same time, the main motivation for leading. The most frequently cited elements - self-awareness, social skills, motivation, empathy, and communication - were recognized as fundamental for the exercise of leadership.
creator: Fernanda Tavares de Mello Abdalla
creator: Maria Elisa Gonzalez Manso
creator: Renata Laszlo Torres
creator: Mariana Almeida Rocha
creator: Maria Fernanda Terra
rights: Copyright (c) 2025 O Mundo da Saúde https://creativecommons.org/licenses/by/4.0/
license: https://creativecommons.org/licenses/by/4.0/
date: 2025-05-07
publication date: 2025-05-07
volume: 49
doi: 10.15343/0104-7809.202549e16932024P

An epidemiological study of tuberculosis in vulnerable populations in a municipality of Southeastern Mato Grosso during the COVID-19 pandemic
type: item
description: Tuberculosis is an infectious disease with social determinants and is considered a serious public health problem. This study aimed to analyze tuberculosis (TB) cases among vulnerable populations during the COVID-19 pandemic in Rondonópolis, Mato Grosso, Brazil. This is an analytical, retrospective epidemiological study using secondary data from tuberculosis cases reported to Epidemiological Surveillance between March 2020 and March 2023. Vulnerable populations were defined as individuals deprived of liberty, people experiencing homelessness, and beneficiaries of government income transfer programs. Logistic regression models were used to assess the relationship between vulnerability and unfavorable treatment outcomes. Among the 315 tuberculosis cases reported in the general population, 22.5% were classified as belonging to vulnerable groups. Being deprived of liberty and presenting the extrapulmonary form were identified as protective factors for successful outcomes (adjusted OR = 0.16; 95% CI = 0.03–0.75) and (adjusted OR = 0.24; 95% CI = 0.07–0.86), respectively, whereas HIV/AIDS co-infection and illicit drug use were found to be risk factors for unsuccessful outcomes (adjusted OR = 2.4; 95% CI = 1.85–6.78) and (adjusted OR = 3.65; 95% CI = 1.06–12.53). The outcomes of tuberculosis cases differed among the studied populations, emphasizing the need for implementing specific health promotion strategies.
creator: Rafaela de Lima Pereira Sapiecinske
creator: Raíza Martha Lopes dos Santos Vilela
creator: Maraísa Delmut Borges
creator: Letícia Silveira Goulart
creator: Ricardo Alves de Olinda
creator: Débora Aparecida da Silva Santos
rights: Copyright (c) 2025 O Mundo da Saúde https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-12-04
publication date: 2025-12-04
volume: 49
doi: 10.15343/0104-7809.202549e17652025P

Therapeutic ultrasound alters the physicochemical properties of nanostructured lipid carriers
type: item
description: Quercetin has therapeutic potential in the recovery of musculoskeletal injuries; however, when administered orally, this polyphenol exhibits low absorption. Its skin penetration can be enhanced by nanostructured lipid carriers loaded with quercetin (NLC-Q) applied in combination with pulsed therapeutic ultrasound (PTU). However, different intensities of 1 MHz ultrasound may compromise the physicochemical properties of NLC-Q, and this interaction has not yet been evaluated. The aim of this study was to assess the effects of different 1 MHz PTU intensities on the physicochemical properties of a gel containing nanostructured lipid carriers loaded with quercetin (NLC-Q). NLC-Q was developed using the high shear rate method. PTU (1 MHz, for 5 min, 20% duty cycle) was applied to the gel at intensities of 0.1, 0.2, 0.4, and 0.6 W/cm2 SATA (spatial average temporal average intensity). Physicochemical properties (pH, temperature, mean particle size, polydispersity index, and concentrations of quercetin within the nanostructured lipid carriers) were evaluated before and after the application of different PTU intensities. Intensities of 0.1 and 0.2 W/cm2 SATA did not alter the physicochemical properties of NLC-Q, while intensities of 0.4 and 0.6 W/cm2 SATA increased particle size by 14% and 44%, respectively (P < 0.001). These intensities also increased the polydispersity index by 28% and 88% (P < 0.001). PTU intensities above 0.4 W/cm2 SATA lead to instability of NLC-Q within the gel, which does not favor the topical delivery of the active ingredient.
creator: Jefferson Potiguara de Moraes
creator: Luis Ulisses Signori
creator: Gustavo Orione Puntel
creator: Bianca Vedoin Copês Rambo
creator: Thiago Durand Mussoi
creator: Camila Franco
creator: Virgínia Cielo Rech
rights: Copyright (c) 2025 O Mundo da Saúde https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-06-27
publication date: 2025-06-27
volume: 49
doi: 10.15343/0104-7809.202549e17162025P

Use of digital tools in nutritional management in pediatrics and adolescent medicine
type: item
description: The advancement of digital technologies has transformed the healthcare field, offering new possibilities for behavioral interventions and health promotion. In nutrition, these tools have been applied to support dietary management among children and adolescents, with the potential to personalize care and enhance engagement. The aim of this study was to analyze the use of digital tools as part of nutritional care for children and adolescents. A narrative literature review was conducted through searches in the MEDLINE/PubMed, Scielo, and Bireme databases, including studies published in the past ten years in Portuguese, English, and Spanish. Systematic reviews, meta-analyses, and full studies on child and adolescent nutrition associated with digital technologies were included. Of the 170 articles retrieved, 17 were selected. The use of mobile applications, digital games, telehealth platforms, and exergames was identified in the prevention and treatment of childhood obesity, promotion of breastfeeding, diet therapy for specific clinical conditions, and nutrition education. Evidence indicates that these tools have the potential to personalize interventions, monitor dietary intake and physical activity, and support clinical decision-making. Despite their promise, challenges remain, including digital access inequality, the need for scientific validation, child and family adherence, data privacy and security, and ethical limitations in the use of Artificial Intelligence in pediatric populations. Digital technologies show promising potential for nutritional support in children and adolescents, with the ability to enhance intervention effectiveness. However, further studies are needed to assess long-term impacts, ensure ethical safety, and strengthen the integration of these solutions into clinical practice.
creator: Fernanda Ferreira Corrêa
creator: Natalia Carvalho da Silva
creator: Priscila Dias dos Santos Barbosa
creator: Daniele de Souza Paula
creator: Daísy Fini Faustino
creator: Ana Paula de Queiroz Mello
rights: Copyright (c) 2025 O Mundo da Saúde https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-11-18
publication date: 2025-11-18
volume: 49
doi: 10.15343/0104-7809.202549e17602025I

Ecosystemic health: considerations and insights on a kelp forest in the Strait of Messina (Italy)
type: item
description: The forests of Laminaria ochroleuca in the Strait of Messina and the Alboran Sea (Mediterranean Sea) are true Atlantic relict species, probably dating back to the Pliocene or earlier, that have remained isolated in these areas of the Mediterranean Sea due to the presence of chemical and physical conditions similar to those of the temperate Atlantic Ocean from which they originate. They represent a priority habitat, i.e., a natural habitat to which the European Community has assigned conservation priority. These giant kelp forests are resilient and highly relational species, establishing numerous sustainable reciprocal relationships with the biotic and abiotic environment and with the Mediterranean native coastal populations, providing various ecosystem services. The reciprocal and interconnected relationships characterizing the ecosystem services of these forests trigger a domino effect (or butterfly effect), with positive consequences for the integral health of the ecosystem in which native coastal populations are among the many beneficiary species. The well-being of a species inherently reflects the integral well-being of an ecosystem. Mediterranean native coastal populations therefore should develop a new awareness and relational skills. The objectives of this scientific contribution are to provide valuable considerations and insights on the interconnections between ecosystem services of L. ochroleuca’s forests, preliminary data, and remarks concerning participatory science and research activities carried out by researchers and divers in the Strait of Messina, as well as the integral health of the marine environment and the native Mediterranean populations living along these shores.
creator: Thalassia Giaccone
rights: Copyright (c) 2025 O Mundo da Saúde https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-05-14
publication date: 2025-05-14
volume: 49
doi: 10.15343/0104-7809.202549e17032025I

Perception of health managers regarding health information systems and the usefulness of epidemiological data
type: item
description: This study aimed to describe health managers’ perceptions regarding the usefulness of epidemiological data. It employed a cross-sectional design including all municipal health managers in the state of Rio Grande do Sul between 2017 and 2019. Individual data were collected through a questionnaire, while municipal data were obtained from health information systems. The outcome of interest was the perceived usefulness of data from Health Information Systems (HIS). Multiple logistic regression analysis was conducted, and variables with a p-value <0.15 were retained in the final model. Among the 404 participants (81% response rate), 50% were women, 63.8% held a higher education degree, 78.7% had management experience, 77.2% were affiliated with political parties, 46.8% were previously employed by the SUS, and 59.2% presented a technical-scientific profile (postgraduate education, use of evidence-based guidelines, participation in scientific events). Overall, 75.5% perceived surveillance data as always useful for decision-making. Municipalities with implemented HISs were 3.17 times more likely (OR = 3.17; 95% CI: 1.70–5.92) to consider epidemiological data highly useful in the decision-making process. We conclude that differences exist in the importance attributed to epidemiological data in municipalities where HISs are implemented, influencing managers’ decision-making processes.
creator: Fernando Ritter
creator: Luiza Chagas Pires
creator: Violeta Rodrigues Aguiar
creator: Fabiana da Silva Cabreira
creator: Letícia Possebon Müller
creator: Samuel Jorge Moyses
creator: Paulo Savio Angeira Goes
creator: Roger Keller Celeste
rights: Copyright (c) 2025 O Mundo da Saúde https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-12-03
publication date: 2025-12-03
volume: 49
doi: 10.15343/0104-7809.202549e17912025P

Needs and access to health services by people in post-COVID-19 Condition in Brazil: a qualitative study
type: item
description: Post-COVID-19 condition involves persistent symptoms that impact quality of life and require ongoing care. This study aimed to identify the health needs and health care services used by individuals in post-COVID-19 condition, as well as to describe the costs borne by the users. This is a qualitative study conducted at the post-COVID outpatient clinic of a teaching hospital in the city of Pelotas, Rio Grande do Sul, Brazil. Ten families participated, comprising ten individuals in post-COVID-19 condition and ten family members, totaling twenty participants. The sample was intentional, and data collection took place between March and August 2022 through semi-structured interviews. Data were organized using the IRAMUTEQ software and analyzed through content analysis. Individuals in post-COVID-19 condition presented health needs that made them dependent on family care and required multidisciplinary care. They accessed different services within the SUS care network, as well as private services paid for out-of-pocket, such as medical consultations, physical therapy, tests, and medication purchases. People in post-COVID-19 condition require continuous care, both in primary and specialized care, with a multidisciplinary team for rehabilitation, prevention of functional dependency progression, and new complications.
creator: Kelly Laste Macagnan
creator: Teila Ceolin
creator: Caroline Vasconcellos Lopes
creator: Vanessa de Araujo Marques
creator: Juliana Graciela Vestena Zillmer
rights: Copyright (c) 2025 O Mundo da Saúde https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-07-11
publication date: 2025-07-11
volume: 49
doi: 10.15343/0104-7809.202549e17402025I

Errors and challenges in the collection of the colpocytological exam: a scoping review
type: item
description: Cervical cancer, the third most common malignancy in Brazil, can be screened through the colpocytological exam, whose success depends on proper sample collection and directly impacts the reduction of cases of this disease. Up to 75% of false-negative results stem from failures in the pre-analytical phase, underscoring the need for continuous training of healthcare professionals responsible for sample collection. This study aimed to map the errors and difficulties encountered by professionals during the pre-analytical phase of the colpocytological exam. A scoping review was conducted following the methodology of the Joanna Briggs Institute and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses – Extension for Scoping Reviews (PRISMA-ScR) guidelines. Searches were carried out in databases and grey literature covering the period from 2013 to 2023. Nine studies were included, revealing technical, structural, and educational problems such as inadequate fixation, improper slide transport, misuse of collection devices, and incomplete requisition forms. External factors, including deficient infrastructure and logistical barriers, were also highlighted. The quality of the colpocytological exam depends on precise sample collection. Training initiatives increase the proportion of satisfactory samples, as observed in Goiânia and Santa Catarina, reducing false negatives. Continuing education and strict quality control, combined with molecular diagnostic technologies, strengthen cervical cancer screening. Strategies such as ongoing training, infrastructure improvements in remote services, and techniques like speculum lubrication have proven promising in reducing errors and improving collection quality. Investments in professional development and the standardization of procedures are crucial to enhancing cervical cancer screening effectiveness.
creator: Valdo Souza Araújo
creator: Raniele Romano dos Santos
creator: Robson José de Souza Domingues
rights: Copyright (c) 2025 O Mundo da Saúde https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-12-02
publication date: 2025-12-02
volume: 49
doi: 10.15343/0104-7809.202549e17562025I

Therapeutic ultrasound alters the physicochemical properties of nanostructured lipid carriers
type: item
description: Quercetin has therapeutic potential in the recovery of musculoskeletal injuries; however, when administered orally, this polyphenol exhibits low absorption. Its skin penetration can be enhanced by nanostructured lipid carriers loaded with quercetin (NLC-Q) applied in combination with pulsed therapeutic ultrasound (PTU). However, different intensities of 1 MHz ultrasound may compromise the physicochemical properties of NLC-Q, and this interaction has not yet been evaluated. The aim of this study was to assess the effects of different 1 MHz PTU intensities on the physicochemical properties of a gel containing nanostructured lipid carriers loaded with quercetin (NLC-Q). NLC-Q was developed using the high shear rate method. PTU (1 MHz, for 5 min, 20% duty cycle) was applied to the gel at intensities of 0.1, 0.2, 0.4, and 0.6 W/cm2 SATA (spatial average temporal average intensity). Physicochemical properties (pH, temperature, mean particle size, polydispersity index, and concentrations of quercetin within the nanostructured lipid carriers) were evaluated before and after the application of different PTU intensities. Intensities of 0.1 and 0.2 W/cm2 SATA did not alter the physicochemical properties of NLC-Q, while intensities of 0.4 and 0.6 W/cm2 SATA increased particle size by 14% and 44%, respectively (P < 0.001). These intensities also increased the polydispersity index by 28% and 88% (P < 0.001). PTU intensities above 0.4 W/cm2 SATA lead to instability of NLC-Q within the gel, which does not favor the topical delivery of the active ingredient.
creator: Jefferson Potiguara de Moraes
creator: Luis Ulisses Signori
creator: Gustavo Orione Puntel
creator: Bianca Vedoin Copês Rambo
creator: Thiago Durand Mussoi
creator: Camila Franco
creator: Virgínia Cielo Rech
rights: Copyright (c) 2025 O Mundo da Saúde https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-06-27
publication date: 2025-06-27
volume: 49
doi: 10.15343/0104-7809.202549e17162025I

Nursing process from the student’s perspective: a qualitative approach
type: item
description: During clinical training, students perceived difficulties in applying the nursing process as taught and established in Brazil by Resolution 736/2024 of the Federal Nursing Council. In light of this, there was interest in elucidating the facilitators and challenges faced by students during undergraduate studies. The objective was to uncover students’ perceptions of the theoretical teaching and practical application of the nursing process during supervised internship. This was a qualitative, exploratory, descriptive study conducted between march and april 2024. Data collection took place through online interviews via the Microsoft Teams platform, following approval by the Research Ethics Committee (Opinion No. 6.644.807) and informed consent from participants. Seventeen 10th-semester undergraduate nursing students from a private higher education institution participated. At the end of data collection, the recorded interviews were transcribed for content analysis according to the framework of Laurence Bardin. Analysis of the discourse resulted in five thematic categories: learning difficulties; difficulties in practice; adaptations of theoretical teaching for greater proximity to practice; problems faced by nurses in applying the nursing process; and nursing care management. The findings highlighted a gap between theory and the practical application of the nursing process, both for students and professionals. Therefore, it is necessary to improve the theoretical approach through innovative teaching methodologies, optimizing the understanding of the use of this instrument and taxonomies in nursing practice.
creator: Carolina Piovani dos Santos
creator: Dhara Maria Orlando Costa da Cruz
creator: Marianna Magalhães Monteiro
creator: Ana Claudia Alcântara Garzin
creator: Carla Maria Maluf Ferrari
rights: Copyright (c) 2025 O Mundo da Saúde https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-09-23
publication date: 2025-09-23
volume: 49
doi: 10.15343/0104-7809.202549e17322025I

Assessment of learning in Interprofessional Education in Health Higher Education: protocol for an integrative literature review on pedagogical approaches
type: item
description: Interprofessional Education (IPE) is defined as situations in which professionals or students from two or more different fields learn with and about each other, with the aim of improving collaboration and the quality of healthcare services provided. When introducing IPE into teaching experiences, it is also necessary to address the assessment of learning within this process. One of the critical issues in assessing learning in IPE is the pedagogical approach adopted by the educational program. In general, such approaches are either not explicitly stated or, when they are, are not reflected in the proposed assessment methods. The objective of this study is to identify and analyze, through an Integrative Literature Review (ILR), the pedagogical approaches used in the assessment of learning in IPE experiences in Health Higher Education. The ILR is a methodology that allows for the rigorous identification and synthetic evaluation of studies available on the topic under investigation. The review question for this study was developed using the strategy that includes Population, Interest, and Context. The ILR methodology will follow six steps: formulation of the research question, definition of inclusion and exclusion criteria, data collection and literature search strategies, rigorous evaluation of the selected studies, analysis and synthesis of the findings, and presentation and interpretation of the results. This ILR aims to identify the predominance of traditional assessments that limit interprofessional learning and to emphasize the importance of integrating formative and summative assessment methods into the teaching process. The description of pedagogical approaches in this ILR may contribute to the development of effective assessment practices in IPE, guiding educators and academic administrators. The results are expected to promote more effective pedagogical policies aligned with the demands of Health Higher Education.
creator: Rafael Silvério de Moraes
creator: Camila Mendes da Silva Souza
creator: Valéria Marli Leonello
rights: Copyright (c) 2025 O Mundo da Saúde https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-07-17
publication date: 2025-07-17
volume: 49
doi: 10.15343/0104-7809.202549e16872024I

Release of nickel and chromium from metallic brackets used in orthodontic treatment: an in vitro study
type: item
description: The objective of this study was to evaluate the release of nickel (Ni) and chromium (Cr) ions from conventional metallic brackets of different commercial brands immersed in artificial saliva with and without fluoride. A total of 600 metallic brackets (Morelli®, Orthometric®, and Azdent®) were randomly allocated into an experimental group (fluoride-containing artificial saliva) and a control group (fluoride-free artificial saliva), both maintained at pH 6.5 and 37 °C for 28 days. Ni and Cr ion release was determined using inductively coupled plasma mass spectrometry (ICP-MS). Data were analyzed using the Mann–Whitney U and Kruskal–Wallis tests. The results showed that Ni ion release was higher in the presence of fluoride for all brands evaluated, with a tendency toward higher values in Azdent® brackets (383.36 µg/L). Regarding Cr ions, Azdent® brackets exhibited significantly greater release in fluoride-containing saliva (1.52 µg/L), whereas no significant differences were observed for Morelli® and Orthometric® groups. When comparing the three brands in fluoride-containing artificial saliva, all exhibited increased ion release, which was significant for Azdent® (p < 0.05). Exposure to fluoride increases Ni and Cr release, particularly in Azdent® brackets. The material and surface finish influence corrosion, constituting a key factor in clinical orthodontic selection.
creator: Edelmira Diana Durand-Zea
creator: Tania Carola Padilla-Cáceres
creator: Juan Carlos Tuesta Hidalgo
creator: Nadia Rodríguez Hamamura
creator: Roy Alexander Arévalo Pérez
creator: Gaelord Vladimir Huacasi-Supo
rights: Copyright (c) 2025 O Mundo da Saúde https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-12-09
publication date: 2025-12-09
volume: 49
doi: 10.15343/0104-7809.202549e17532025P

Knowledge about transsexuality among a nursing team in a teaching clinic in the city of São Paulo
type: item
description: This article aims to identify the knowledge of the nursing team in a Teaching Clinic regarding the trans population. It is a qualitative and descriptive study conducted with 10 nursing professionals from this Teaching Clinic located in the city of São Paulo. Data were collected in June 2023 through in-person interviews, consisting of both closed and open-ended questions, which were transcribed and analyzed using the Collective Subject Discourse technique. The empirical material was analyzed and grouped into six key expressions: Transgender Identity; Transition; Appearance and Respect; Nursing Care; Lack of Preparation. It was identified that, although there is an understanding of the health needs of this population, difficulties persist in implementing care practices that respect gender-specific needs. The study highlights the importance of integrating the topic of transsexuality into training curricula and continuing education spaces to ensure more inclusive and equitable healthcare services.
creator: Rafael Luiz de Souza
creator: Gabriela Sousa da Silva
creator: Maria Fernanda Terra
creator: Caroline Terrazas
rights: Copyright (c) 2025 O Mundo da Saúde https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-02-24
publication date: 2025-02-24
volume: 49
doi: 10.15343/0104-7809.202549e16642024P

Climate change and relational sustainability: a shared future?
type: item
description: We are living in a time when climate change is one of the most pressing challenges facing humanity and the planet Earth. The response to this crisis must address the root of the problem, the way we live, interact, and relate to the environment, and not be limited to reducing greenhouse gas emissions or developing green technologies. Relational sustainability is a novel approach to the problems caused by pollution. It focuses on human-nature and human-human relationships, moving away from environmental sustainability that focuses on ‘physical’ approaches. This approach brings together the search for answers on several levels, involving disciplines such as the natural sciences, social sciences, law, economics, philosophy, psychology, and education. It cuts across various scientific, social and humanistic fields. This has enabled sustainability researchers to generate rich insights and significant socio-political work, leading to the development of new ways of thinking about possible solutions to environmental impacts and their consequences. Relational sustainability can be strengthened through collective awareness and action to address environmental challenges. Open communication, social innovation, psychological support, promotion of sustainable lifestyles, inclusion and diversity, and shared responsibility are suggested as possible solutions.
creator: Anna De Felice
creator: Stella Carolina Di Prisco
creator: Antonella Fusco
creator: Andrea Liberati
creator: Tiziano Natale
creator: Onofrio Cozzolino
creator: Stefania Papa
rights: Copyright (c) 2025 O Mundo da Saúde https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-05-21
publication date: 2025-05-21
volume: 49
doi: 10.15343/0104-7809.202549e17262025I

Association between polypharmacy, medication adherence, and quality of life in patients with chronic kidney disease: a preliminary study in the Brazilian Amazon
type: item
description: Chronic kidney disease (CKD) is a progressive condition that requires complex pharmacological management, with polypharmacy being highly prevalent and potentially compromising treatment adherence and quality of life. This cross-sectional study included 52 patients with CKD treated at a regional hospital in northern Brazil. Its objective was to examine the association between polypharmacy, treatment adherence, and quality of life. Adherence was assessed using the Morisky-Green Test, while quality of life was measured with the abbreviated version of the WHOQOL-BREF instrument. Results demonstrated that 65% of patients presented moderate adherence, while 35% exhibited low adherence, which was significantly associated with lower quality-of-life scores, particularly in the physical and psychological domains. Female sex, higher educational level, and recent diagnosis (1–3 years) were predictors of better adherence. Statistical analyses included chi-square tests and logistic regression, with a 5% significance level and adjustments for sociodemographic variables. These findings reinforce the negative impact of low adherence to pharmacotherapy on the quality of life of patients with CKD and highlight the importance of targeted interventions, including individualized pharmacotherapy review, health education programs, and psychosocial support, to improve adherence and promote patient well-being.
creator: Jaqueline da Trindade Valente
creator: Maria Pantoja Moreira de Sena
creator: Carolina Heitmann Mares Azevedo Ribeiro
creator: José Luiz Fernandes Vieira
creator: Luann Wendel Pereira de Sena
rights: Copyright (c) 2025 O Mundo da Saúde https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-10-15
publication date: 2025-10-15
volume: 49
doi: 10.15343/0104-7809.202549e17452025P

Characterization of Patagonian Salicornia: nutritional, sensory and microbiological aspects
type: item
description: Halophytic plants offer an alternative for food production by using species adapted to high salinity, such as Salicornia. Salicornia magellanica, in Tierra del Fuego, and Salicornia neei, in the provinces of Chubut and southwestern Buenos Aires, are species widely distributed across the coastal marine intertidal plains and inland saline lagoons of the Patagonian territory. Studies conducted in natural Patagonian environments allowed for the analysis of their spatial distribution, plant productivity, and cultivation methods, both in open fields and in pots for home gardens, using seawater or saline wastewater from the fishing industry. These efforts aim to diversify agricultural production for human consumption and forage for ruminant livestock. This halophytic plant has proven to be a high-quality food, with 60% of its fatty acid content in the form of essential omega-3 and omega-6, a protein content ranging from 6% to 10%, and high levels of complex salts. Its cultivation is viable in both coastal areas and domestic settings with minimal seawater supply. In the studied region, between 70,000 and 100,000 hectares of salt marshes with Salicornia were estimated, with yields ranging from 15 to 40 tons per hectare of fresh product. Moreover, as summer forage, it has been used in mixed pastures with Puccinellia, Suaeda, Agropyron, or Atriplex, for the production of sheep and cattle with low cholesterol levels. Preliminary results from evaluations on the health effects of Salicornia consumption have been promising. Indicators such as an increase in HDL (good cholesterol) showed significant differences between the beginning and end of intake.
creator: Oscar Alberto Bianciotto
creator: Fernando Martín Aras
creator: Maria Elena Arce
creator: Eduardo Levy
rights: Copyright (c) 2025 O Mundo da Saúde https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-05-21
publication date: 2025-05-21
volume: 49
doi: 10.15343/0104-7809.202549e16742024I

Lead levels in teeth of inhabitants near a river contaminated with heavy metals: pilot study
type: item
description: The objective of this study was measured the concentration of lead in teeth of patients from health establishments near the Coata River in Puno, Peru. This descriptive design study was approved by the Institutional Research Ethics Committee of the Universidad Nacional del Altiplano. The concentration of lead (Pb) in permanent teeth was assessed in 33 patients of both sexes which were donated as a result of planned extractions in the dental offices of the health establishments near the Coata River with prior informed consent. The concentration of Pb in teeth was measured with a Plasma Atomic Emission Spectrophotometer in the environmental monitoring and evaluation laboratory of the Faculty of Mining Engineering of the National University of the Altiplano Puno. The age range in Coata was 36 to 65 years and in Huata 35 to 63 years.The average age of the sample in the Coata district was 47.5 years and in Huata it was 47.6 years. The people living near the Coata River had a Pb concentration mostly in the range of 0.46 - 0.92 ug/g; and it was the men who had higher concentrations than women, without this difference being significant. It is concluded that teeth can be useful to determine Pb concentration due to chronic environmental exposure.
creator: Tania Carola Padilla-Cáceres
creator: Luz Caballero-Apaza
creator: Manuela Daishy Casa-Coila
creator: Vilma Mamani-Cori
creator: Heber Isac Arbildo-Vega
rights: Copyright (c) 2025 O Mundo da Saúde https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-02-13
publication date: 2025-02-13
volume: 49
doi: 10.15343/0104-7809.202549e16772024I

Classes of medications prescribed for pediatrics and neonatology during COVID-19
type: item
description: COVID-19 was a global pandemic that affected millions of people, including children and adolescents. Although several therapies were proposed, the scarcity of therapeutic options for the pediatric population was evident, resulting in the use of off-label medications. This study aimed to analyze the prescription of medications for pediatric patients diagnosed with COVID-19 and admitted to neonatal and pediatric intensive care units. This was a retrospective cross-sectional study conducted in two intensive care units at the São João de Deus Health Complex, in Divinópolis, Minas Gerais, Brazil, between 2020 and 2021. The study involved 68 patients diagnosed with COVID-19, of whom 35 required admission to intensive care. Data collection included information on prescribed drugs, route of administration, sociodemographic characteristics, and clinical outcomes. A total of 643 prescriptions were analyzed, comprising 3,026 prescribed medications. Results showed that most patients diagnosed with COVID-19 required intensive care support, with 51.5% admitted to the ICU and a mortality rate of 20% among those requiring intensive therapy. The most prescribed drugs were electrolytes (26.3%), analgesics (14.0%), and antimicrobials (13.4%). The scarcity of effective treatments for COVID-19 led to the use of unlicensed medications, posing a risk of adverse effects. It is concluded that most prescriptions were for symptomatic management, with high mortality rates among critically ill patients.
creator: Ana Elisa Melo
creator: André Oliveira Baldoni
creator: Isamara Graziele Lima de Souza
creator: Ricardo Augusto dos Santos Silva
creator: Tatiane da Silva Dal Pizzol
creator: Thaísa Amorim Nogueira
creator: Mariana Linhares Pereira
rights: Copyright (c) 2025 O Mundo da Saúde https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-12-05
publication date: 2025-12-05
volume: 49
doi: 10.15343/0104-7809.202549e17382025P

The use of medicinal plants in the supplementary treatment of Diabetes Mellitus
type: item
description: Diabetes Mellitus (DM) is a chronic metabolic disorder with high prevalence, and the use of medicinal plants has emerged as a promising complementary approach for the treatment of this condition. This study aimed to review the efficacy of Aloe vera, Curcuma longa, and Ginkgo biloba in glycemic control and in the reduction of complications associated with DM. A systematic review was conducted following the PRISMA method, using the descriptors “Aloe vera,” “Curcuma,” “Ginkgo biloba,” and “Diabetes” in databases such as PubMed, BVS, and SciELO. Articles published between 2013 and 2024 were selected, considering only complete experimental and clinical studies that met the inclusion criteria. In total, seven studies were included in the analysis. The results showed that Aloe vera significantly reduced glycated hemoglobin (HbA1c) and capillary blood glucose, demonstrating efficacy as an adjuvant to metformin treatment. Curcumin combined with piperine exhibited antioxidant and anti-inflammatory properties, also contributing to the reduction of HbA1c and capillary blood glucose. Ginkgo biloba, in turn, presented benefits in capillary blood glucose control and in the prevention of chronic complications such as retinopathy and nephropathy. Although the analyzed herbal medicines demonstrated significant therapeutic potential, the reviewed studies presented methodological limitations, such as small sample sizes and lack of protocol standardization. Despite these limitations, Aloe vera, Curcuma longa, and Ginkgo biloba are promising alternatives for the supplementary management of DM, with potential to reduce associated complications. However, further high-quality studies are required to consolidate their clinical use within well-defined protocols.
creator: Rayssa Claudia Oliveira Duarte
creator: Guilherme Silva de Souza
creator: Livia Cavalcante de Araújo
creator: Sávia Denise Silva Carlotto Herrera
creator: Renata Ferreira Diogo
creator: Maykon Jhuly Martins de Paiva
rights: Copyright (c) 2025 O Mundo da Saúde https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-09-12
publication date: 2025-09-12
volume: 49
doi: 10.15343/0104-7809.202549e17782025I

Climate change and relational sustainability: a shared future?
type: item
description: We are living in a time when climate change is one of the most pressing challenges facing humanity and the planet Earth. The response to this crisis must address the root of the problem, the way we live, interact, and relate to the environment, and not be limited to reducing greenhouse gas emissions or developing green technologies. Relational sustainability is a novel approach to the problems caused by pollution. It focuses on human-nature and human-human relationships, moving away from environmental sustainability that focuses on ‘physical’ approaches. This approach brings together the search for answers on several levels, involving disciplines such as the natural sciences, social sciences, law, economics, philosophy, psychology, and education. It cuts across various scientific, social and humanistic fields. This has enabled sustainability researchers to generate rich insights and significant socio-political work, leading to the development of new ways of thinking about possible solutions to environmental impacts and their consequences. Relational sustainability can be strengthened through collective awareness and action to address environmental challenges. Open communication, social innovation, psychological support, promotion of sustainable lifestyles, inclusion and diversity, and shared responsibility are suggested as possible solutions.
creator: Anna De Felice
creator: Stella Carolina Di Prisco
creator: Antonella Fusco
creator: Andrea Liberati
creator: Tiziano Natale
creator: Onofrio Cozzolino
creator: Stefania Papa
rights: Copyright (c) 2025 O Mundo da Saúde https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-05-21
publication date: 2025-05-21
volume: 49
doi: 10.15343/0104-7809.202549e17262025P

Nursing assessment in cardiovascular rehabilitation: manifestations of the subject dimension
type: item
description: Nursing assessment is an important step in the nursing process within the context of cardiovascular rehabilitation. The use of measurement instruments to support this activity, such as the Cardiovascular Rehabilitation Measurement Scale, is essential to ensure that interventions are aligned with the patient’s actual needs, considering all dimensions involved in the phenomenon. Therefore, this study aimed to describe the manifestations of the subject dimension that are indicative of cardiovascular rehabilitation (CR), in the context of clinical nursing care assessment. This is an integrative review, conducted between April and September 2022, guided by the following research question: “What are the essential elements/indicators of CR in the context of clinical care?” Data collection was carried out in five databases, resulting in a final sample of 30 studies. The indicators of the subject dimension were organized into the subdimensions of physical conditioning, psycho-emotional situations, and health behaviors, referring to the set of aspects manifested by the individual themselves that are indicative of the effectiveness — or lack thereof — of their rehabilitation process. By clarifying this dimension, it becomes possible to conduct an appropriate evaluation of nursing care in CR programs or processes, considering biological, psycho-emotional, and behavioral factors.
creator: Kairo Cardoso da Frota
creator: Lúcia de Fátima da Silva
creator: Keila Maria de Azevedo Ponte
creator: Maria Laiane Nascimento
creator: Simone Ribeiro Portela
rights: Copyright (c) 2025 O Mundo da Saúde https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-05-28
publication date: 2025-05-28
volume: 49
doi: 10.15343/0104-7809.202549e16862024P

Association between polypharmacy, medication adherence, and quality of life in patients with chronic kidney disease: a preliminary study in the Brazilian Amazon
type: item
description: Chronic kidney disease (CKD) is a progressive condition that requires complex pharmacological management, with polypharmacy being highly prevalent and potentially compromising treatment adherence and quality of life. This cross-sectional study included 52 patients with CKD treated at a regional hospital in northern Brazil. Its objective was to examine the association between polypharmacy, treatment adherence, and quality of life. Adherence was assessed using the Morisky-Green Test, while quality of life was measured with the abbreviated version of the WHOQOL-BREF instrument. Results demonstrated that 65% of patients presented moderate adherence, while 35% exhibited low adherence, which was significantly associated with lower quality-of-life scores, particularly in the physical and psychological domains. Female sex, higher educational level, and recent diagnosis (1–3 years) were predictors of better adherence. Statistical analyses included chi-square tests and logistic regression, with a 5% significance level and adjustments for sociodemographic variables. These findings reinforce the negative impact of low adherence to pharmacotherapy on the quality of life of patients with CKD and highlight the importance of targeted interventions, including individualized pharmacotherapy review, health education programs, and psychosocial support, to improve adherence and promote patient well-being.
creator: Jaqueline da Trindade Valente
creator: Maria Pantoja Moreira de Sena
creator: Carolina Heitmann Mares Azevedo Ribeiro
creator: José Luiz Fernandes Vieira
creator: Luann Wendel Pereira de Sena
rights: Copyright (c) 2025 O Mundo da Saúde https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-10-15
publication date: 2025-10-15
volume: 49
doi: 10.15343/0104-7809.202549e17452025I

Lead levels in teeth of inhabitants near a river contaminated with heavy metals: pilot study
type: item
description: The objective of this study was measured the concentration of lead in teeth of patients from health establishments near the Coata River in Puno, Peru. This descriptive design study was approved by the Institutional Research Ethics Committee of the Universidad Nacional del Altiplano. The concentration of lead (Pb) in permanent teeth was assessed in 33 patients of both sexes which were donated as a result of planned extractions in the dental offices of the health establishments near the Coata River with prior informed consent. The concentration of Pb in teeth was measured with a Plasma Atomic Emission Spectrophotometer in the environmental monitoring and evaluation laboratory of the Faculty of Mining Engineering of the National University of the Altiplano Puno. The age range in Coata was 36 to 65 years and in Huata 35 to 63 years.The average age of the sample in the Coata district was 47.5 years and in Huata it was 47.6 years. The people living near the Coata River had a Pb concentration mostly in the range of 0.46 - 0.92 ug/g; and it was the men who had higher concentrations than women, without this difference being significant. It is concluded that teeth can be useful to determine Pb concentration due to chronic environmental exposure.
creator: Tania Carola Padilla-Cáceres
creator: Luz Caballero-Apaza
creator: Manuela Daishy Casa-Coila
creator: Vilma Mamani-Cori
creator: Heber Isac Arbildo-Vega
rights: Copyright (c) 2025 O Mundo da Saúde https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-02-13
publication date: 2025-02-13
volume: 49
doi: 10.15343/0104-7809.202549e16772024P

Urban-rural water cycle and environmental health: systemic interrelations and strategies for resilient services in climate change contexts
type: item
description: Case study based on observations carried out at CEGELAH over a 16-year period, promoting research, innovation, and technology transfer aimed at strengthening the planning capacities of small- and medium-scale drinking water services in the province of Entre Ríos. There are four levels of interrelations between the internal and external aspects of water supply systems. The objective is to identify areas of intervention in terms of innovations that can counteract the main vulnerabilities detected at this scale of services in a context of climate change. The first level involves understanding the urban/rural water cycle as a complex system, highlighting the scientific approach provided by General Systems Theory as an interdisciplinary language that enables the parts to be addressed not in isolation, but in interrelation. A second relational level is the expansion of the knowledge base through the participation not only of specialists, but also of key social actors in formulating this systemic understanding of the issues and in grounding the design of consensus-based action strategies. A third level consists of inclusive possibilities for rural sectors as beneficiaries with equal rights to urban users of the water supply. And a fourth relational level concerns the formation of public-private partnerships that progressively shape the water value chain, fostering synergies among the public water service, local governments, the scientific-technological system, suppliers of materials, equipment and services, professionals in the sector, laboratories, etc.
creator: Mario Alejandro Nudelman
creator: Fernando Diego Bach
rights: Copyright (c) 2025 O Mundo da Saúde https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-06-16
publication date: 2025-06-16
volume: 49
doi: 10.15343/0104-7809.202549e16912024I

Urban-rural water cycle and environmental health: systemic interrelations and strategies for resilient services in climate change contexts
type: item
description: Case study based on observations carried out at CEGELAH over a 16-year period, promoting research, innovation, and technology transfer aimed at strengthening the planning capacities of small- and medium-scale drinking water services in the province of Entre Ríos. There are four levels of interrelations between the internal and external aspects of water supply systems. The objective is to identify areas of intervention in terms of innovations that can counteract the main vulnerabilities detected at this scale of services in a context of climate change. The first level involves understanding the urban/rural water cycle as a complex system, highlighting the scientific approach provided by General Systems Theory as an interdisciplinary language that enables the parts to be addressed not in isolation, but in interrelation. A second relational level is the expansion of the knowledge base through the participation not only of specialists, but also of key social actors in formulating this systemic understanding of the issues and in grounding the design of consensus-based action strategies. A third level consists of inclusive possibilities for rural sectors as beneficiaries with equal rights to urban users of the water supply. And a fourth relational level concerns the formation of public-private partnerships that progressively shape the water value chain, fostering synergies among the public water service, local governments, the scientific-technological system, suppliers of materials, equipment and services, professionals in the sector, laboratories, etc.
creator: Mario Alejandro Nudelman
creator: Fernando Diego Bach
rights: Copyright (c) 2025 O Mundo da Saúde https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-06-16
publication date: 2025-06-16
volume: 49
doi: 10.15343/0104-7809.202549e16912024E

Use of digital tools in nutritional management in pediatrics and adolescent medicine
type: item
description: The advancement of digital technologies has transformed the healthcare field, offering new possibilities for behavioral interventions and health promotion. In nutrition, these tools have been applied to support dietary management among children and adolescents, with the potential to personalize care and enhance engagement. The aim of this study was to analyze the use of digital tools as part of nutritional care for children and adolescents. A narrative literature review was conducted through searches in the MEDLINE/PubMed, Scielo, and Bireme databases, including studies published in the past ten years in Portuguese, English, and Spanish. Systematic reviews, meta-analyses, and full studies on child and adolescent nutrition associated with digital technologies were included. Of the 170 articles retrieved, 17 were selected. The use of mobile applications, digital games, telehealth platforms, and exergames was identified in the prevention and treatment of childhood obesity, promotion of breastfeeding, diet therapy for specific clinical conditions, and nutrition education. Evidence indicates that these tools have the potential to personalize interventions, monitor dietary intake and physical activity, and support clinical decision-making. Despite their promise, challenges remain, including digital access inequality, the need for scientific validation, child and family adherence, data privacy and security, and ethical limitations in the use of Artificial Intelligence in pediatric populations. Digital technologies show promising potential for nutritional support in children and adolescents, with the ability to enhance intervention effectiveness. However, further studies are needed to assess long-term impacts, ensure ethical safety, and strengthen the integration of these solutions into clinical practice.
creator: Fernanda Ferreira Corrêa
creator: Natalia Carvalho da Silva
creator: Priscila Dias dos Santos Barbosa
creator: Daniele de Souza Paula
creator: Daísy Fini Faustino
creator: Ana Paula de Queiroz Mello
rights: Copyright (c) 2025 O Mundo da Saúde https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-11-18
publication date: 2025-11-18
volume: 49
doi: 10.15343/0104-7809.202549e17602025P

Pediatric guidance in prenatal care: longitudinality of child care
type: item
description: This study aimed to investigate the pediatric guidance provided by Primary Health Care professionals during prenatal consultations, from the perspective of postpartum women. A qualitative study was conducted through semi-structured interviews with postpartum women. Data collection took place after approval by the Research Ethics Committee, in a Primary Health Care service in a municipality located in the central region of the State of Rio Grande do Sul, during the first semester of 2024, and was subjected to thematic content analysis. Thirteen postpartum women participated in the study, of whom eight reported receiving pediatric guidance during prenatal care from nurses and physicians. The guidance addressed included breastfeeding, hygiene, newborn skin care, prevention of childhood accidents, first aid, newborn visits, immunizations, labor, and birth. Topics that generated insecurity in child care were identified, such as sleep, breastfeeding, disease prevention, relief of colic, bathing, cry management, and maternal role overload. The study concluded that there is a need to develop strategies that enable spaces for discussion of these topics. In addition, the application of educational technologies on pediatric care in the prenatal context is necessary, with the aim of providing safety for postpartum women and their support networks, thereby promoting the longitudinality of child care.
creator: Aline Cammarano Ribeiro
creator: Isabela Ferreira Bellato
creator: Kaoana Silva Ferreira
creator: Cíntia Vanuza Monteiro Bugs
creator: Raquel Einloft Kleinubing
creator: Graciela Dutra Sehnem
creator: Tassiane Ferreira Langendorf
rights: Copyright (c) 2025 O Mundo da Saúde https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-10-22
publication date: 2025-10-22
volume: 49
doi: 10.15343/0104-7809.202549e17092025I

Mental health and physical activity assessed in university students of Education
type: item
description: The objective of this study was to investigate whether physical activity predicts levels of anxiety, depression, and stress among Education students at the Universidad Nacional del Altiplano de Puno. A quantitative approach with an explanatory research design was adopted. The study included 544 university students, 280 men (51.5%) and 264 women (48.5%), with a mean age of 20.19 ± 3.075 years. Multiple linear regression and Pearson’s correlation analyses were employed. This predictive model (R² = 0.278) identified three main variables as significant determinants: physical activity (β = –0.141; P < 0.001), age (β = –0.118; P < 0.01), and living arrangements in the city of Puno (β = –0.134; P < 0.001). Physical activity showed an inverse correlation with depressive symptoms, indicating that higher levels of physical activity are associated with decreased depressive symptoms. Conversely, age demonstrated a moderate negative correlation, suggesting that as individuals grow older, depression levels tend to decrease slightly. Finally, it was also found that living alone in the city of Puno correlates with depressive symptoms.
creator: Percy Samuel Yabar Miranda
creator: Heber Nehemias Chui Betancur
creator: Edgar Octavio Roque Huanca
rights: Copyright (c) 2025 O Mundo da Saúde https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-11-10
publication date: 2025-11-10
volume: 49
doi: 10.15343/0104-7809.202549e17182025I

Development of butter fermented with kefir: probiotic properties and sensory acceptance
type: item
description: Kefir is a fermented milk product obtained through gelatinous grains containing probiotic microorganisms, known for millennia worldwide due to its numerous benefits. Fermented foods, such as kefir, have been widely recognized for their health-promoting properties, including anti-inflammatory, antioxidant, and antimicrobial activities, as well as their ability to modulate the gut microbiota—factors that contribute to the prevention of chronic diseases and the promotion of overall well-being. The aim of this study was to develop a butter with probiotic properties by fermenting cream with kefir and to evaluate its acceptance. After cream fermentation with kefir, butter was obtained through the churning process. Yield, moisture content, titratable acidity, lactic acid bacteria (LAB) count, and yeast count were assessed. Product acceptance was evaluated by sensory analysis using a 9-point hedonic scale and a 5-point purchase intent scale, and results were compared to a commercial butter brand considered as the standard. Sensory analysis was carried out for each butter sample (kefir and standard) on different days. The kefir butter showed higher moisture and acidity levels compared to the standard. The LAB and yeast counts were approximately 10⁷ and 10³ CFU/g, respectively. The kefir butter had good acceptance, achieving an overall score of 7.6 and a purchase intent score of 4.4. The butter obtained from cream fermented with kefir demonstrated good acceptance and a high LAB count, indicating functional and probiotic properties. However, improvements are needed to reduce moisture and acidity, which could enhance both shelf life and consumer acceptance. The use of kefir as a fermenting culture in dairy products, such as butter, represents a promising innovation, allowing the incorporation of viable probiotic microorganisms into diverse food matrices and expanding probiotic consumption options beyond traditional yogurts and fermented beverages.
creator: Jessica Isabel Vellido
creator: Natalia Portes Thiago Pereira
creator: Andrea Carvalheiro Guerra Matias
creator: Isabela Rosier Olimpio Pereira
rights: Copyright (c) 2025 O Mundo da Saúde https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-05-21
publication date: 2025-05-21
volume: 49
doi: 10.15343/0104-7809.202549e16982024P

Epidemiological Surveillance of pertussis in Minas Gerais: temporal trends and spatial patterns (2014–2024)
type: item
description: Pertussis is an acute respiratory infection with worldwide distribution that can be prevented through immunization and represents a significant risk to child health. This study aimed to analyze the spatiotemporal distribution of pertussis in Minas Gerais between 2014 and 2024, identifying high-risk areas and the temporal dynamics of the disease. This was a population-based ecological study using secondary data from the Minas Gerais Health Surveillance Portal. Generalized Additive Models (GAM) and spatial scan statistics were applied to detect spatiotemporal clusters. In Minas Gerais, 2,161 cases of pertussis were confirmed, with an average incidence of 1.95 per 100,000 inhabitants. The highest incidences were observed in the Central (6.47/100,000), Southern (3.86/100,000), and Northern Triângulo (2.42/100,000) macro-regions. The GAM-based graphical analysis revealed a decline in risk between 2015 and 2021, followed by a resurgence beginning in 2022. High-risk clusters were identified at different time points, particularly in 2024, involving the Northern, Northwestern, Jequitinhonha, Central, Western, Southern, Southwestern, and Central-Southern macro-regions. The study identified a cyclical and heterogeneous pattern of pertussis in Minas Gerais, with recrudescence after 2022 and high-risk clusters in vulnerable regions. These findings reinforce the need for continuous and georeferenced surveillance, with a focus on socioeconomically vulnerable areas, to prevent disease reemergence and support effective public health policies.
creator: Claúdio Luiz Ferreira Júnior
creator: Wadson Souza da Silva
creator: Renata Di Pietro Carvalho
creator: Carolina Di Pietro Carvalho
creator: Kesley Duarte de Jesus
creator: Mariana Cristina Rocha Nunes
creator: Cleya da Silva Santana Cruz
rights: Copyright (c) 2025 O Mundo da Saúde https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-12-03
publication date: 2025-12-03
volume: 49
doi: 10.15343/0104-7809.202549e17772025P

Records of the indiscriminate prescription of infant formulas in a Baby-Friendly Hospital
type: item
description: Brazil mandates compliance with ten requirements of the Baby-Friendly Hospital Initiative (BFHI) to grant a hospital quality seal in both public and private sectors, certifying the commitment to ensuring the right to breastfeeding. This study aimed to evaluate the procedure for prescribing infant formula to newborns admitted to a Baby-Friendly Hospital in a capital city in Northeast Brazil. This is a retrospective documentary study based on a review of infant formula prescription records at a municipal maternity hospital accredited as a Baby-Friendly Hospital in Recife, Pernambuco, Brazil. A structured form—mirroring the institution’s official infant formula prescription document—was used to assess recorded information on patient identification, medical reasons for prescription, formula characteristics, and prescriber information. A total of 662 prescriptions issued between August and November 2022 were analyzed. Medical record numbers were present in 71.9% of the prescriptions, but only 24.9% included the newborn’s age. In 42.2% of the cases, no justification was given for the use of artificial formula, compromising the promotion of exclusive breastfeeding during the maternity stay. The prescription of artificial formulas for newborns was deemed to be of low quality due to the lack of adequate justification and improper patient identification, contravening the BFHI guidelines and potentially leading to early weaning. These findings raise concerns about child health outcomes and healthcare management practices within Brazil’s Unified Health System (SUS).
creator: Luana Carolina da Silva Barbosa
creator: Sabrina Gomes Ferreira Clark
rights: Copyright (c) 2025 O Mundo da Saúde https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-07-02
publication date: 2025-07-02
volume: 49
doi: 10.15343/0104-7809.202549e16892024I

Suicidal ideation, suicide attempt, and suicide among workers in Brazil: a scoping review
type: item
description: Suicide is a complex phenomenon that affects multiple dimensions of life, including the workplace. Changes in working conditions can increase psychological distress and contribute to suicide cases. In Brazil, growing concern about this issue underscores the need for epidemiological studies. This study conducted a review of the scientific literature through searches in the PubMed and SciELO databases for quantitative studies addressing suicide among Brazilian workers. A total of 167 articles were identified, of which 20 met the inclusion criteria. Cross-sectional studies predominated, with a greater concentration in the southern region of the country, most of them focusing on rural workers. The available evidence remains limited, and critical aspects such as exposure to psychosocial factors at work are still poorly explored. It is concluded that there is a pressing need to expand scientific production on this topic, encompassing different occupational groups and employing more robust methodological approaches to support prevention policies.
creator: Eliza Piazzetta Carniato
creator: Sergio Roberto de Lucca
creator: Marcia Bandini
creator: Marcos Felipe Bom Sampaio
creator: Cristine Scattolin Andersen
creator: João Silvestre Silva-Junior
rights: Copyright (c) 2025 O Mundo da Saúde https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-11-27
publication date: 2025-11-27
volume: 49
doi: 10.15343/0104-7809.202549e17742025I

Pediatric guidance in prenatal care: longitudinality of child care
type: item
description: This study aimed to investigate the pediatric guidance provided by Primary Health Care professionals during prenatal consultations, from the perspective of postpartum women. A qualitative study was conducted through semi-structured interviews with postpartum women. Data collection took place after approval by the Research Ethics Committee, in a Primary Health Care service in a municipality located in the central region of the State of Rio Grande do Sul, during the first semester of 2024, and was subjected to thematic content analysis. Thirteen postpartum women participated in the study, of whom eight reported receiving pediatric guidance during prenatal care from nurses and physicians. The guidance addressed included breastfeeding, hygiene, newborn skin care, prevention of childhood accidents, first aid, newborn visits, immunizations, labor, and birth. Topics that generated insecurity in child care were identified, such as sleep, breastfeeding, disease prevention, relief of colic, bathing, cry management, and maternal role overload. The study concluded that there is a need to develop strategies that enable spaces for discussion of these topics. In addition, the application of educational technologies on pediatric care in the prenatal context is necessary, with the aim of providing safety for postpartum women and their support networks, thereby promoting the longitudinality of child care.
creator: Aline Cammarano Ribeiro
creator: Isabela Ferreira Bellato
creator: Kaoana Silva Ferreira
creator: Cíntia Vanuza Monteiro Bugs
creator: Raquel Einloft Kleinubing
creator: Graciela Dutra Sehnem
creator: Tassiane Ferreira Langendorf
rights: Copyright (c) 2025 O Mundo da Saúde https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-10-22
publication date: 2025-10-22
volume: 49
doi: 10.15343/0104-7809.202549e17092025P

School health in different countries
type: item
description: Schools are recognized as key settings that articulate health and education actions aimed at fostering values, habits, and behaviors conducive to health in many countries. This study describes how school-oriented health actions are organized and implemented across different nations, with the aim of analyzing their school health activities based on the principles of comprehensiveness, intersectorality, and health promotion. An exploratory and descriptive study was conducted through documentary analysis of primary sources: official documents from eight countries, identified digitally, addressing the theme of school health, from july to september 2022. Data were organized in a matrix to systematize the analysis through the lens of comprehensiveness, intersectorality, and health promotion. The findings revealed that the countries established programmatic actions aimed at fostering lifelong habits among students and their families, particularly nutritional care; prevention of childhood obesity; promotion of physical activities, bodily practices, and leisure; prevention of alcohol, tobacco, crack, and other psychoactive substance use; mental health; sexual and reproductive rights; and prevention and control of Sexually Transmitted Infections. Convergence across countries was observed in school health actions, although variations were noted according to cultural and structural contexts. Comprehensiveness and intersectorality remain ongoing challenges, with preventive and assistential practices still prevailing. Nonetheless, schools have consolidated their role as strategic environments for health promotion and for strengthening public policies. The differences identified stem from the cultural and developmental characteristics of each country; however, intersectorality, comprehensiveness, and health promotion remain challenges within the experiences analyzed.
creator: Vanessa Bordin
creator: Rosa Maria Rodrigues
creator: Solange de Fátima Reis Conterno
creator: Nádile Juliane Costa de Castro
rights: Copyright (c) 2025 O Mundo da Saúde https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-12-12
publication date: 2025-12-12
volume: 49
doi: 10.15343/0104-7809.202549e18052025P

Impact of family and community medicine residency on performance indicators
type: item
description: This study aimed to evaluate the impact of implementing the Family and Community Medicine Residency Program on health indicators in Campinas, comparing the results with those of other Brazilian cities. The study employed an observational and descriptive design, analyzing secondary data obtained from the Primary Health Care Information System for the years 2018 to 2023. The analysis was conducted using Student’s t-test and the Difference-in-Differences (DiD) methodology. The results showed significant improvements in the mentioned indicators, with increases ranging from 3.61% to 85.09% in health indicators in Campinas, while the other cities did not show such substantial variations. These findings indicate a positive impact of the residency program on Primary Health Care, suggesting that the presence of family and community physicians contributed to improving the quality of and access to health services in Campinas. It is concluded that the continuation and expansion of the program are recommended, as well as the continuous monitoring of health indicators to ensure the sustainability of the achieved results.
creator: Guilherme Coelho
creator: Danielle Satie Kassada
rights: Copyright (c) 2025 O Mundo da Saúde https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-07-31
publication date: 2025-07-31
volume: 49
doi: 10.15343/0104-7809.202549e17132025I

An epidemiological study of tuberculosis in vulnerable populations in a municipality of Southeastern Mato Grosso during the COVID-19 pandemic
type: item
description: Tuberculosis is an infectious disease with social determinants and is considered a serious public health problem. This study aimed to analyze tuberculosis (TB) cases among vulnerable populations during the COVID-19 pandemic in Rondonópolis, Mato Grosso, Brazil. This is an analytical, retrospective epidemiological study using secondary data from tuberculosis cases reported to Epidemiological Surveillance between March 2020 and March 2023. Vulnerable populations were defined as individuals deprived of liberty, people experiencing homelessness, and beneficiaries of government income transfer programs. Logistic regression models were used to assess the relationship between vulnerability and unfavorable treatment outcomes. Among the 315 tuberculosis cases reported in the general population, 22.5% were classified as belonging to vulnerable groups. Being deprived of liberty and presenting the extrapulmonary form were identified as protective factors for successful outcomes (adjusted OR = 0.16; 95% CI = 0.03–0.75) and (adjusted OR = 0.24; 95% CI = 0.07–0.86), respectively, whereas HIV/AIDS co-infection and illicit drug use were found to be risk factors for unsuccessful outcomes (adjusted OR = 2.4; 95% CI = 1.85–6.78) and (adjusted OR = 3.65; 95% CI = 1.06–12.53). The outcomes of tuberculosis cases differed among the studied populations, emphasizing the need for implementing specific health promotion strategies.
creator: Rafaela de Lima Pereira Sapiecinske
creator: Raíza Martha Lopes dos Santos Vilela
creator: Maraísa Delmut Borges
creator: Letícia Silveira Goulart
creator: Ricardo Alves de Olinda
creator: Débora Aparecida da Silva Santos
rights: Copyright (c) 2025 O Mundo da Saúde https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-12-04
publication date: 2025-12-04
volume: 49
doi: 10.15343/0104-7809.202549e17652025I

Beaton’s guidelines in cross-cultural adaptation studies in Brazil: a systematic review
type: item
description: This study aimed to evaluate the application of the guidelines proposed by Beaton et al. in Brazil for the cross-cultural adaptation of health instruments into Brazilian Portuguese. A systematic review was conducted of articles published between 2015 and 2022 in the BVS, CINAHL, MEDLINE, and SCOPUS databases. Open-access articles that detailed the cross-cultural adaptation process based on the steps proposed by Beaton et al. were included. Review articles, studies published before 2015, or those that did not detail the adaptation steps were excluded. Analysis of the 27 selected articles revealed that only 7 fully followed Beaton et al.’s guidelines. Changes to the steps were common: pre-testing (11 studies), synthesis (7), translation (6), expert committee (5), and back-translation (2). Furthermore, 11 articles combined other methodologies, 10 added steps, 5 excluded steps, and 6 altered the proposed order. It was concluded that the work of Beaton et al. remains a key reference in the literature, and the proposed steps have proven feasible and applicable in Brazilian cross-cultural adaptation studies. However, frequent modifications suggest the need to further study the Brazilian context to understand the possibilities for developing country-specific practical guidelines.
creator: Maiara Medeiros dos Santos Bento
creator: Carina Sousa Elias
creator: Patrícia Carla de Souza Della Barba
rights: Copyright (c) 2025 O Mundo da Saúde https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-06-06
publication date: 2025-06-06
volume: 49
doi: 10.15343/0104-7809.202549e17202025P

Burnout syndrome during the development of pre-professional practices in university students
type: item
description: Burnout is a highly impactful issue among university students. The objective of this study was to compare the dimensions of burnout during the development of pre-professional practices among Secondary Education students at the Universidad Nacional del Altiplano de Puno. The study employed a quantitative approach with a comparative design and included 230 students. To assess burnout syndrome, the MBI instrument, composed of 22 items, was used. The results of the analysis of variance (ANOVA) indicate significant levels of burnout across the three dimensions analyzed: Emotional Exhaustion (F = 80.154, p < 0.001), Depersonalization (F = 206.161, p < 0.001), and Low Personal Accomplishment (F = 90.848, p < 0.001). The pre-professional practices carried out during semesters V, VI, VII, VIII, IX, and X are associated with higher emotional exhaustion, increased depersonalization, and a lower sense of personal accomplishment. This phenomenon may be related to the increasing burden of responsibilities and the direct exposure to complex and stressful situations in the work environment, which generate progressive psychological strain. Furthermore, the continuous exposure to emotional demands and pressure to meet professional standards may negatively affect motivation and the sense of accomplishment — key factors for overall well-being.
creator: Heber Nehemias Chui-Betancur
creator: Fredy Sosa Gutierrez
creator: Yudy Yaneth Tapia-Centellas
creator: Esther Lidia Jinez-Garcia
creator: Ruth Mery Cruz Huisa
creator: Cesar Augusto Achata-Cortez
creator: Teófilo Yucra-Quispe
creator: Efrain Humberto Yupanqui Pino
rights: Copyright (c) 2025 O Mundo da Saúde https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-06-16
publication date: 2025-06-16
volume: 49
doi: 10.15343/0104-7809.202549e16942024I

Anxiety and depression as risk factors for suicidal ideation in adolescentes
type: item
description: Suicidal ideation in adolescents is a complex and multifactorial problem that has gained significant relevance in recent decades. Stigmatized as a critical stage, adolescence is a period in which emotions are more intense, as cognitive development is still in progress, making young people more vulnerable. It is considered by some as the most problematic phase, where high-risk issues, including suicidal ideation, emerge. For many, adolescence represents the healthiest period from a biological perspective, with its understanding being more of a cultural construct rather than solely a biological transition. Consequently, this study aimed to understand the factors influencing suicidal ideation in students from a Secondary Education Institution in the city of Juliaca, Peru. The research followed a cross-sectional design with a descriptive-explanatory approach. A total of 801 students from the first to the fifth year of secondary school participated in the study, all enrolled and actively attending their academic activities. The average age was 14.97 ± 1.92 years, with 423 being female (52.8%) and 378 male (47.2%). The research findings revealed significant results in three factors: anxiety (β = 0.395; P < 0.001), depression (β = 0.258; P < 0.01), and adolescents’ age (β = 0.101; P < 0.001). In this context, preventive interventions, emotional education, and family support are essential to mitigate the risk of suicide in adolescents.
creator: Francisco Castillo-Barriga
creator: Ana Benilda Cartagena-Condori
creator: Carolina Casiana Ccallo Cardeña
creator: Heber Nehemias Chui Betancur
rights: Copyright (c) 2025 O Mundo da Saúde https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-04-08
publication date: 2025-04-08
volume: 49
doi: 10.15343/0104-7809.202549e16672024I

Association between parenting styles, food selectivity, and nutritional status in children with Autism Spectrum Disorder
type: item
description: To evaluate parenting styles related to feeding and the nutritional status of children with Autism Spectrum Disorder. This was a quantitative, cross-sectional, observational study using primary data collection. A total of 52 parents and/or guardians of children of both sexes aged 5 to 10 years participated. Parenting style was identified using the Parental Feeding Style Questionnaire. Food selectivity was assessed using the Eating Behavior Assessment Scale for Patients with Autism Spectrum Disorder. Nutritional status was determined through the following indices: weight-for-age, height-for-age, and body mass index-for-age. The three parenting styles identified in this research were uninvolved, responsive, and permissive. Regarding food selectivity, most children (76.9%) were classified as always selective (48.1%) or frequently selective (28.8%). Half (50%) of the children presented adequate weight-for-age. Concerning body mass index, half (50%) were classified as adequate; however, the prevalence of obesity and severe obesity among boys (15.4% and 17.9%, respectively) was higher than among girls (0% and 7.7%, respectively). The uninvolved parenting style was the most prevalent. Moreover, a high presence of food selectivity was observed among children with Autism Spectrum Disorder. Although most children were eutrophic, it is important to monitor cases of excess weight, especially among boys.
creator: Ana Luiza Gonzaga
creator: Adriana Garcia Peloggia de Castro
creator: Fernanda Ferreira Corrêa
rights: Copyright (c) 2025 O Mundo da Saúde https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-12-15
publication date: 2025-12-15
volume: 49
doi: 10.15343/0104-7809.202549e18032025P

Clinical and epidemiological characteristics of hospitalizations for diabetic ketoacidosis in children and adolescentes
type: item
description: The aim of this study was to analyze the clinical and epidemiological characteristics of hospitalizations for diabetic ketoacidosis (DKA) in children and adolescents admitted to a reference service of the Brazilian Unified Health System (SUS). This was a cross-sectional study based on the analysis of secondary data extracted from medical records. The variables investigated included sex, age, nutritional status, season of the year, signs and symptoms at admission, predisposing factors, length of hospitalization, ICU admission, complications, degree of acidosis, first decompensation, and therapeutic protocols used. A higher frequency of hospitalizations was observed among adolescents (54.7%), females (57.1%), and during the winter (30.9%). The mean age was 10.1 years. The most prevalent signs and symptoms at admission were dehydration, vomiting, nausea, and abdominal pain. The main causes associated with DKA were infections and missed insulin doses (49.9%). Complications occurred in 50% of cases, with hypokalemia and hyponatremia being the most prominent. Most hospitalizations involved mild or moderate degrees of acidosis (85.8%). First decompensation cases occurred in younger children, usually presenting with classic diabetes symptoms (polydipsia, polyuria, polyphagia). Among patients with a previous diagnosis, nausea and vomiting were more common. The most frequently used treatment consisted of continuous infusion of regular insulin and hydration with 0.9% saline solution. Hospitalizations for DKA were more frequent among female adolescents, especially during the winter. Mild to moderate acidosis predominated, with treatment aligned with current guidelines.
creator: Bruno Kostrzevicz Campos de Oliveira
creator: Ian Mateus da Silva
creator: Deisi Maria Vargas
rights: Copyright (c) 2025 O Mundo da Saúde https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-07-11
publication date: 2025-07-11
volume: 49
doi: 10.15343/0104-7809.202549e16712024P

Nursing process from the student’s perspective: a qualitative approach
type: item
description: During clinical training, students perceived difficulties in applying the nursing process as taught and established in Brazil by Resolution 736/2024 of the Federal Nursing Council. In light of this, there was interest in elucidating the facilitators and challenges faced by students during undergraduate studies. The objective was to uncover students’ perceptions of the theoretical teaching and practical application of the nursing process during supervised internship. This was a qualitative, exploratory, descriptive study conducted between march and april 2024. Data collection took place through online interviews via the Microsoft Teams platform, following approval by the Research Ethics Committee (Opinion No. 6.644.807) and informed consent from participants. Seventeen 10th-semester undergraduate nursing students from a private higher education institution participated. At the end of data collection, the recorded interviews were transcribed for content analysis according to the framework of Laurence Bardin. Analysis of the discourse resulted in five thematic categories: learning difficulties; difficulties in practice; adaptations of theoretical teaching for greater proximity to practice; problems faced by nurses in applying the nursing process; and nursing care management. The findings highlighted a gap between theory and the practical application of the nursing process, both for students and professionals. Therefore, it is necessary to improve the theoretical approach through innovative teaching methodologies, optimizing the understanding of the use of this instrument and taxonomies in nursing practice.
creator: Carolina Piovani dos Santos
creator: Dhara Maria Orlando Costa da Cruz
creator: Marianna Magalhães Monteiro
creator: Ana Claudia Alcântara Garzin
creator: Carla Maria Maluf Ferrari
rights: Copyright (c) 2025 O Mundo da Saúde https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-09-23
publication date: 2025-09-23
volume: 49
doi: 10.15343/0104-7809.202549e17322025P

Healthy eating practices for optimal nutrition and well-being: a systematic review
type: item
description: The lack of knowledge and application of healthy eating practices negatively impacts human nutrition and well-being. Therefore, it is crucial to implement strategies aimed at improving eating habits. These actions are essential to promote health in vulnerable populations. The objective of this study was to analyze relevant information on dietary patterns that promote health and reduce the risk of chronic diseases, based on high-impact scientific journals. The research methodology was grounded in a systematic review and the selection of scientific articles. The study sample consisted of 30 scientific articles published in the last six years, retrieved from databases such as Google Scholar, SciELO, Scopus, Science Direct, ERIC, and PubMed, considering as variables: healthy eating practices, nutritional quality, consumption frequency, and effects on metabolic health. A total of 279 scientific documents were identified, of which 30 articles were selected for analysis. An increase in scientific production was observed, with a peak in 2024 and continuous progress in 2025. The studies highlight that nutritional education and food knowledge are essential to improve eating behaviors and prevent chronic diseases. They also emphasize the need for context-specific interventions and public policies that promote healthy and equitable nutrition. It is concluded that nutritional education and interventions tailored to the social and health contexts of specific populations are fundamental to improving eating habits and preventing chronic diseases. Promoting evidence-based practices and strengthening public policies with a life-course approach are essential to ensuring healthy and equitable nutrition.
creator: Manuela Daishy Casa-Coila
creator: Henry Mark Vilca-Apaza
creator: Dometila Mamani-Jilaja
creator: Katia Perez-Argollo
creator: Eder Pacori-Zapana
creator: Diana Agueda Vargas-Velásquez
creator: Zara Turpo-Puma
rights: Copyright (c) 2025 O Mundo da Saúde https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-09-15
publication date: 2025-09-15
volume: 49
doi: 10.15343/0104-7809.202549e17422025I

Contributions of emotional intelligence in facing leadership challenges in nursing
type: item
description: This study aims to analyze nurses’ perceptions regarding leadership challenges and the elements of emotional intelligence necessary for professional practice. It is a qualitative, exploratory, and descriptive study, with the participation of nine nurses who held leadership positions between 2021 and 2024. Data collection took place between November 2023 and January 2024 through remotely conducted semi-structured interviews. Thematic analysis resulted in two categories: Leadership Challenges in Nursing and Emotional Intelligence in Leadership Practice. It was identified that achieving and maintaining leadership positions is a challenge, especially in people management, with the pleasure of dealing with people being the main motivator for assuming such a position. Among the elements of emotional intelligence, self-awareness was highlighted as a source of motivation for leadership, but also as a challenge within the leadership process. Other aspects considered essential included social skills, motivation, empathy, and communication. It is concluded that emotional intelligence is a differentiating factor for success in nursing leadership, with people management being the greatest challenge and, at the same time, the main motivation for leading. The most frequently cited elements - self-awareness, social skills, motivation, empathy, and communication - were recognized as fundamental for the exercise of leadership.
creator: Fernanda Tavares de Mello Abdalla
creator: Maria Elisa Gonzalez Manso
creator: Renata Laszlo Torres
creator: Mariana Almeida Rocha
creator: Maria Fernanda Terra
rights: Copyright (c) 2025 O Mundo da Saúde https://creativecommons.org/licenses/by/4.0/
license: https://creativecommons.org/licenses/by/4.0/
date: 2025-05-07
publication date: 2025-05-07
volume: 49
doi: 10.15343/0104-7809.202549e16932024I

Mental health aspects and the doctor-patient relationship do matter in the management of refractory chronic pain
type: item
description: Chronic non-cancer pain (CNCP) is among the clinical conditions that most challenge curative medicine due to its high therapeutic failure rates. In many cases, pain management teams are unable to identify a clear organic cause for the pain condition; in others, an etiological factor is found that can be attributed to the condition, but it is recognized, either promptly or after some years, that this organic substrate is insufficient to sustain the patient’s suffering for such a prolonged period; finally, there are cases in which the presumed organic cause of pain is corrected, yet the patient does not improve or does not improve as expected. The aim of this paper is to present a literature review on mental health aspects and the doctor-patient relationship involved in the management of patients with refractory CNCP. A systematic search and literature review methodology was employed, using the descriptors intractable pain, pain management, medical history, medication review, physician-patient relationship, and mental health evaluation in the Cochrane Central, PubMed, and LILACS databases, with no restrictions regarding study design, language, or publication date. Ten suggestions are presented as a result of the analysis of the included articles and the authors’ experience, some related to the semiological approach and others to the therapeutic follow-up of patients with CNCP. The suggestions presented may be useful in the management of refractory CNCP cases and should preferably be implemented before indicating invasive procedures.
creator: João Paulo Consentino Solano
creator: José Eduardo Guimarães Pereira
creator: Rayane da Silva Souza Barbosa
creator: Hazem Adel Ashmawi
rights: Copyright (c) 2025 O Mundo da Saúde https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-07-23
publication date: 2025-07-23
volume: 49
doi: 10.15343/0104-7809.202549e16842024P

Healthy eating practices for optimal nutrition and well-being: a systematic review
type: item
description: The lack of knowledge and application of healthy eating practices negatively impacts human nutrition and well-being. Therefore, it is crucial to implement strategies aimed at improving eating habits. These actions are essential to promote health in vulnerable populations. The objective of this study was to analyze relevant information on dietary patterns that promote health and reduce the risk of chronic diseases, based on high-impact scientific journals. The research methodology was grounded in a systematic review and the selection of scientific articles. The study sample consisted of 30 scientific articles published in the last six years, retrieved from databases such as Google Scholar, SciELO, Scopus, Science Direct, ERIC, and PubMed, considering as variables: healthy eating practices, nutritional quality, consumption frequency, and effects on metabolic health. A total of 279 scientific documents were identified, of which 30 articles were selected for analysis. An increase in scientific production was observed, with a peak in 2024 and continuous progress in 2025. The studies highlight that nutritional education and food knowledge are essential to improve eating behaviors and prevent chronic diseases. They also emphasize the need for context-specific interventions and public policies that promote healthy and equitable nutrition. It is concluded that nutritional education and interventions tailored to the social and health contexts of specific populations are fundamental to improving eating habits and preventing chronic diseases. Promoting evidence-based practices and strengthening public policies with a life-course approach are essential to ensuring healthy and equitable nutrition.
creator: Manuela Daishy Casa-Coila
creator: Henry Mark Vilca-Apaza
creator: Dometila Mamani-Jilaja
creator: Katia Perez-Argollo
creator: Eder Pacori-Zapana
creator: Diana Agueda Vargas-Velásquez
creator: Zara Turpo-Puma
rights: Copyright (c) 2025 O Mundo da Saúde https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-09-15
publication date: 2025-09-15
volume: 49
doi: 10.15343/0104-7809.202549e17422025E

Urinary tract infection in pregnant women attended in Primary Health Care: a clinical and epidemiological analysis
type: item
description: This study evaluated the prevalence of Urinary Tract Infection (UTI) in pregnant women receiving care in Primary Health Care (PHC) and analyzed its association with sociodemographic aspects, adequacy of prenatal care according to the guidelines of the Brazilian Ministry of Health (MoH), and pregnancy outcomes. A cross-sectional study was conducted in PHC units in Marau/RS, Brazil, with pregnant women of any age and expected date of delivery between February 2019 and June 2020. Data were collected from medical records, and descriptive statistics as well as the distribution of UTI outcomes and adverse pregnancy events were presented (chi-square test or Fisher’s exact test; statistical significance set at 5%). A total of 364 pregnant women were included, of whom 20.9% had UTI. Despite an adequate number of consultations, fewer than half (42.9%) underwent urine testing as recommended by the MoH protocol. A statistically significant association was observed between paid employment, performance of at least one qualitative urine test and urine culture during prenatal care, compliance with the MoH protocol, and the occurrence of UTI (p < 0.05). UTI was present in approximately one-fifth of the pregnant women. Fewer than half were screened for UTI according to the MoH protocol, a concerning scenario given the potential for underdiagnosis and consequent lack of treatment of this infection.
creator: Bianca Knieling Ferreira
creator: Silvane Nenê Portela
creator: Ivana Loraine Lindemann
creator: Regina Inês Kunz
creator: Gustavo Olszanski Acrani
creator: Marindia Biffi
creator: Jossimara Polettini
rights: Copyright (c) 2025 O Mundo da Saúde https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-10-16
publication date: 2025-10-16
volume: 49
doi: 10.15343/0104-7809.202549e17272025I

Beaton’s guidelines in cross-cultural adaptation studies in Brazil: a systematic review
type: item
description: This study aimed to evaluate the application of the guidelines proposed by Beaton et al. in Brazil for the cross-cultural adaptation of health instruments into Brazilian Portuguese. A systematic review was conducted of articles published between 2015 and 2022 in the BVS, CINAHL, MEDLINE, and SCOPUS databases. Open-access articles that detailed the cross-cultural adaptation process based on the steps proposed by Beaton et al. were included. Review articles, studies published before 2015, or those that did not detail the adaptation steps were excluded. Analysis of the 27 selected articles revealed that only 7 fully followed Beaton et al.’s guidelines. Changes to the steps were common: pre-testing (11 studies), synthesis (7), translation (6), expert committee (5), and back-translation (2). Furthermore, 11 articles combined other methodologies, 10 added steps, 5 excluded steps, and 6 altered the proposed order. It was concluded that the work of Beaton et al. remains a key reference in the literature, and the proposed steps have proven feasible and applicable in Brazilian cross-cultural adaptation studies. However, frequent modifications suggest the need to further study the Brazilian context to understand the possibilities for developing country-specific practical guidelines.
creator: Maiara Medeiros dos Santos Bento
creator: Carina Sousa Elias
creator: Patrícia Carla de Souza Della Barba
rights: Copyright (c) 2025 O Mundo da Saúde https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-06-06
publication date: 2025-06-06
volume: 49
doi: 10.15343/0104-7809.202549e17202025I

Records of the indiscriminate prescription of infant formulas in a Baby-Friendly Hospital
type: item
description: Brazil mandates compliance with ten requirements of the Baby-Friendly Hospital Initiative (BFHI) to grant a hospital quality seal in both public and private sectors, certifying the commitment to ensuring the right to breastfeeding. This study aimed to evaluate the procedure for prescribing infant formula to newborns admitted to a Baby-Friendly Hospital in a capital city in Northeast Brazil. This is a retrospective documentary study based on a review of infant formula prescription records at a municipal maternity hospital accredited as a Baby-Friendly Hospital in Recife, Pernambuco, Brazil. A structured form—mirroring the institution’s official infant formula prescription document—was used to assess recorded information on patient identification, medical reasons for prescription, formula characteristics, and prescriber information. A total of 662 prescriptions issued between August and November 2022 were analyzed. Medical record numbers were present in 71.9% of the prescriptions, but only 24.9% included the newborn’s age. In 42.2% of the cases, no justification was given for the use of artificial formula, compromising the promotion of exclusive breastfeeding during the maternity stay. The prescription of artificial formulas for newborns was deemed to be of low quality due to the lack of adequate justification and improper patient identification, contravening the BFHI guidelines and potentially leading to early weaning. These findings raise concerns about child health outcomes and healthcare management practices within Brazil’s Unified Health System (SUS).
creator: Luana Carolina da Silva Barbosa
creator: Sabrina Gomes Ferreira Clark
rights: Copyright (c) 2025 O Mundo da Saúde https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-07-02
publication date: 2025-07-02
volume: 49
doi: 10.15343/0104-7809.202549e16892024P

Release of nickel and chromium from metallic brackets used in orthodontic treatment: an in vitro study
type: item
description: The objective of this study was to evaluate the release of nickel (Ni) and chromium (Cr) ions from conventional metallic brackets of different commercial brands immersed in artificial saliva with and without fluoride. A total of 600 metallic brackets (Morelli®, Orthometric®, and Azdent®) were randomly allocated into an experimental group (fluoride-containing artificial saliva) and a control group (fluoride-free artificial saliva), both maintained at pH 6.5 and 37 °C for 28 days. Ni and Cr ion release was determined using inductively coupled plasma mass spectrometry (ICP-MS). Data were analyzed using the Mann–Whitney U and Kruskal–Wallis tests. The results showed that Ni ion release was higher in the presence of fluoride for all brands evaluated, with a tendency toward higher values in Azdent® brackets (383.36 µg/L). Regarding Cr ions, Azdent® brackets exhibited significantly greater release in fluoride-containing saliva (1.52 µg/L), whereas no significant differences were observed for Morelli® and Orthometric® groups. When comparing the three brands in fluoride-containing artificial saliva, all exhibited increased ion release, which was significant for Azdent® (p < 0.05). Exposure to fluoride increases Ni and Cr release, particularly in Azdent® brackets. The material and surface finish influence corrosion, constituting a key factor in clinical orthodontic selection.
creator: Edelmira Diana Durand-Zea
creator: Tania Carola Padilla-Cáceres
creator: Juan Carlos Tuesta Hidalgo
creator: Nadia Rodríguez Hamamura
creator: Roy Alexander Arévalo Pérez
creator: Gaelord Vladimir Huacasi-Supo
rights: Copyright (c) 2025 O Mundo da Saúde https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-12-09
publication date: 2025-12-09
volume: 49
doi: 10.15343/0104-7809.202549e17532025E

Psychological factors associated with suicidal ideation in high school adolescentes
type: item
description: Suicide is a major public health issue that is often overlooked, surrounded by stigma, myths, and taboos. The aim of this article was to identify psychological factors, such as depression, stress, and anxiety, that predict suicidal ideation in high school adolescents. The study was conducted with 292 students with a mean age of 15.52 ±1.64 years from the Institución Educativa Secundaria Nuestra Señora del Carmen, located in the city of Ilave, Puno region, during the months of May to August 2024. This study employed a descriptive-explanatory cross-sectional design. The results of the multiple linear regression analysis show a significant relationship between depression, stress, and suicidal ideation, suggesting that these factors play an important role in increasing the risk of suicidal thoughts (R² = 0.432). In particular, depression emerged as the strongest predictor (β = 0.462, p < 0.001) compared to stress (β = 0.188, p < 0.05), highlighting the urgency of targeted interventions that prioritize depressive symptoms in suicide prevention strategies. These findings emphasize the need for healthcare professionals to implement comprehensive mental health assessments and interventions that not only focus on alleviating symptoms of depression and stress but also promote resilience and coping mechanisms among at-risk populations.
creator: Heber Nehemias Chui Betancur
creator: Vidnay Noel Valero Ancco
creator: Lily Maribel Trigos Sánchez
creator: Yudy Yaneth Tapia Centellas
creator: Katia Perez Argollo
creator: Teofilo Yucra Quispe
creator: Edgar Darío Callohuanca Avalos
creator: Cesar Augusto Achata Cortez
rights: Copyright (c) 2025 O Mundo da Saúde https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-06-18
publication date: 2025-06-18
volume: 49
doi: 10.15343/0104-7809.202549e16972024I

Deaths of women of reproductive age in the municipalities of Eunápolis, Porto Seguro, and Teixeira de Freitas – BA, between 2018 and 2022
type: item
description: Although women constitute the majority of the Brazilian population, several epidemiological, demographic, and political factors directly and significantly influence their health, lives, and deaths — most often in a negative way. The aim of this study is to analyze the factors contributing to the deaths of women of reproductive age, based on data from the Brazilian Institute of Geography and Statistics (IBGE) census for the years 2018–2022, specifically in the municipalities of Porto Seguro, Eunápolis, and Teixeira de Freitas, located in the extreme south of Bahia. This descriptive, cross-sectional, and observational study was conducted using secondary data on female mortality and related variables obtained from the Department of Informatics of the Unified Health System (DATASUS), using information from the Mortality Information System (SIM). Population estimates were retrieved from the IBGE. Results indicate that in the municipalities analyzed, the highest crude mortality rates among women of reproductive age were observed among mixed-race women aged 40–49 years, who, paradoxically, have greater access to public healthcare services. Female mortality in reproductive age in Brazil reflects deep structural and social challenges that extend beyond the limits of public health. An intersectoral approach and the strengthening of reproductive health policies are essential steps toward achieving the Sustainable Development Goals (SDGs) and ensuring the right to health for all women.
creator: Camila Soares Nascimento
creator: Rayane de Oliveira Ferreira Albuquerque
creator: Anna Vitória Ferreira Viana Baia
creator: Camille Ferraz Galvão
creator: Esther Albares Pagung
creator: Henika Priscila Lima Silva
creator: Sabrina Bastos de Lima Portugal
rights: Copyright (c) 2025 O Mundo da Saúde https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-11-07
publication date: 2025-11-07
volume: 49
doi: 10.15343/0104-7809.202549e16832024I

Burnout syndrome during the development of pre-professional practices in university students
type: item
description: Burnout is a highly impactful issue among university students. The objective of this study was to compare the dimensions of burnout during the development of pre-professional practices among Secondary Education students at the Universidad Nacional del Altiplano de Puno. The study employed a quantitative approach with a comparative design and included 230 students. To assess burnout syndrome, the MBI instrument, composed of 22 items, was used. The results of the analysis of variance (ANOVA) indicate significant levels of burnout across the three dimensions analyzed: Emotional Exhaustion (F = 80.154, p < 0.001), Depersonalization (F = 206.161, p < 0.001), and Low Personal Accomplishment (F = 90.848, p < 0.001). The pre-professional practices carried out during semesters V, VI, VII, VIII, IX, and X are associated with higher emotional exhaustion, increased depersonalization, and a lower sense of personal accomplishment. This phenomenon may be related to the increasing burden of responsibilities and the direct exposure to complex and stressful situations in the work environment, which generate progressive psychological strain. Furthermore, the continuous exposure to emotional demands and pressure to meet professional standards may negatively affect motivation and the sense of accomplishment — key factors for overall well-being.
creator: Heber Nehemias Chui-Betancur
creator: Fredy Sosa Gutierrez
creator: Yudy Yaneth Tapia-Centellas
creator: Esther Lidia Jinez-Garcia
creator: Ruth Mery Cruz Huisa
creator: Cesar Augusto Achata-Cortez
creator: Teófilo Yucra-Quispe
creator: Efrain Humberto Yupanqui Pino
rights: Copyright (c) 2025 O Mundo da Saúde https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-06-16
publication date: 2025-06-16
volume: 49
doi: 10.15343/0104-7809.202549e16942024E

Suicidal ideation, suicide attempt, and suicide among workers in Brazil: a scoping review
type: item
description: Suicide is a complex phenomenon that affects multiple dimensions of life, including the workplace. Changes in working conditions can increase psychological distress and contribute to suicide cases. In Brazil, growing concern about this issue underscores the need for epidemiological studies. This study conducted a review of the scientific literature through searches in the PubMed and SciELO databases for quantitative studies addressing suicide among Brazilian workers. A total of 167 articles were identified, of which 20 met the inclusion criteria. Cross-sectional studies predominated, with a greater concentration in the southern region of the country, most of them focusing on rural workers. The available evidence remains limited, and critical aspects such as exposure to psychosocial factors at work are still poorly explored. It is concluded that there is a pressing need to expand scientific production on this topic, encompassing different occupational groups and employing more robust methodological approaches to support prevention policies.
creator: Eliza Piazzetta Carniato
creator: Sergio Roberto de Lucca
creator: Marcia Bandini
creator: Marcos Felipe Bom Sampaio
creator: Cristine Scattolin Andersen
creator: João Silvestre Silva-Junior
rights: Copyright (c) 2025 O Mundo da Saúde https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-11-27
publication date: 2025-11-27
volume: 49
doi: 10.15343/0104-7809.202549e17742025P

School physical education and health based on the principles of body literacy: propositions and validation of an educational technology
type: item
description: Body Literacy (BL) is recognized by the World Health Organization as a key element in promoting a more active and healthy life. Technologies aimed at strengthening the competencies of School Physical Education (SPE) teachers to recognize this element in pedagogical practice are urgently needed. This study aimed to develop and validate an Educational Technology (ET) on the principles of BL within the pedagogical practice of SPE. This methodological study was grounded in the principles of Instructional Design and conducted in three phases: (1) analysis and planning (literature review), (2) development of the ET (didactic unit of a self-instructional teacher training course), and (3) content and appearance validation. In the final phase, 21 judges (9 researchers and 12 primary/ secondary school teachers) assessed the content and appearance of the ET using standardized instruments. Data analysis included the calculation of the Content Validity Index (CVI), Content Validity Ratio (CVR), and Appearance Validity Index (AVI). The developed ET comprises 17 pages, structured around three topics: School Physical Education as a promoter of health, the concept and principles of BL, and successful practical experiences. In the validation process, the ET achieved a total CVI of 0.98, a CVR of 0.75 for content, and an AVI of 0.95, indicating excellent validation indices. In conclusion, this ET may serve as a training resource for teachers on how BL can be incorporated into SPE pedagogical practices, contributing to holistic student development and health promotion in schools.
creator: Evelyne Ferreira de Castro
creator: Magna Leilane da Silva
creator: Allana Kelly Cerqueira Lima Carvalho
creator: Patrícia Ribeiro Feitosa Lima
creator: José Airton Pontes Junior
creator: Valter Cordeiro Barbosa Filho
rights: Copyright (c) 2025 O Mundo da Saúde https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-07-18
publication date: 2025-07-18
volume: 49
doi: 10.15343/0104-7809.202549e17352025I

The influence of SGLT2 inhibitors on the risk of urinary tract infection in patients with type 2 Diabetes Mellitus: an integrative literature review
type: item
description: The objective of the present study was to gather information on the influence of Sodium-Glucose Cotransporter 2 inhibitors (SGLT2i) on the risk of developing urinary tract infection (UTI) in patients with type 2 Diabetes Mellitus (T2DM). This is an Integrative Literature Review (ILR) that collected data from the following databases: Virtual Health Library (VHL) and the National Library of Medicine (PubMed). Inclusion criteria were: articles published between 2020 and 2024, in English, Portuguese, or Spanish, free of charge and available in full text. Exclusion criteria included: articles outside the scope of the topic, duplicates, paid-access publications, and monographs. A total of 73 articles were identified, of which 10 remained after selection and analysis using Zotero software. The included studies indicated an association between SGLT2i use and an increased risk of UTI and urogenital infections, mainly related to dapagliflozin, remogliflozin, and glycosuria. Factors such as higher body mass index and female sex play a more relevant role in UTI predisposition than the isolated use of these drugs. Despite the divergences, the benefits of SGLT2 inhibitors outweigh the potential risks, and their use remains recommended, provided that adequate professional supervision is ensured.
creator: Elionai Felipe Rocha de Souza
creator: Baraci da Silva Lima Junior
creator: Gabriel Costa Farias
creator: Núbia Caroline Costa de Almeida
rights: Copyright (c) 2025 O Mundo da Saúde https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-11-19
publication date: 2025-11-19
volume: 49
doi: 10.15343/0104-7809.202549e17482025I

Identification of the consumption of medications that increase the risk of falls in hospitalized patients
type: item
description: Falls represent a significant public health issue due to their high prevalence and physical, psychological, and social impacts. Medications that affect balance and motor coordination are modifiable risk factors associated with an increased incidence of falls and hospitalizations. Accordingly, this study aimed to identify the consumption of medications that potentiate fall risk among hospitalized patients who experienced this event in a general hospital in Belo Horizonte, Minas Gerais, between February 2023 and February 2024. Data from the Patient Safety Center were analyzed regarding medication use, assessed through the Medication Fall Risk Score (MFRS) of ISMP Brazil and the Screening Tool of Older Persons Prescriptions in older adults with high fall risk (STOPPFall). Among patients who experienced falls, 57.1% (n=40) were older adults. A total of 13,448 medication doses were consumed, of which 59% (n=8,436) posed a fall risk according to MFRS and 35% (n=5,012) according to STOPPFall. The most frequently consumed medication classes associated with fall risk were antipsychotics (24.6%), anticonvulsants (14.9%), and opioids (14.6%) according to STOPPFall, and anticoagulants (15.5%), antipsychotics (13.6%), and anticonvulsants (8.2%) according to MFRS. The study demonstrated a high consumption of fall-risk medications, particularly among older adults. These findings underscore the need for preventive measures to mitigate the impact of such medications on the health of hospitalized patients, contributing to a reduction in fall risk.
creator: Ana Luiza Cardoso Rocha
creator: Lariene Pires de Souza Rocha Santos
creator: Elaine Ferreira Dias
creator: Aline Manacés Souto Dias
creator: Carla Jorge Machado
creator: Josiane Moreira da Costa
rights: Copyright (c) 2025 O Mundo da Saúde https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-09-19
publication date: 2025-09-19
volume: 49
doi: 10.15343/0104-7809.202549e17052025P

Evaluation and monitoring of interprofessional work and education: scoping review protocol
type: item
description: The literature identifies interprofessional work and education as promising approaches for improving the quality and effectiveness of health services and professional training. Interprofessional practices, both in the domains of work and education, are those developed based on effective communication among professionals from different fields and between these professionals and service users, integrating the actions of professionals and students from diverse backgrounds, with a focus on the health needs of users, families, and communities, as well as on the comprehensiveness of care. This study aims to describe the planning of a scoping review that will map the indicators adopted for the evaluation and monitoring of interprofessional work and education in health, as well as the processes involved in their development. This is a scoping review protocol structured in five stages: (a) formulating the review question; (b) mapping studies from the literature and other sources; (c) selecting the studies; (d) extracting the data; and (e) collating, summarizing, and presenting the results. It is expected that the results of the scoping review planned from this protocol will enable the identification and description of indicators used to assess and monitor interprofessionality in the health field. The identification of these indicators represents a preliminary stage to support future processes of construction, adaptation, and validation of measures aligned with the principles and guidelines of the Brazilian Unified Health System (Sistema Único de Saúde – SUS), as well as the development of health workforce and education management policies that incorporate an interprofessional perspective.
creator: Camila Mendes da Silva Souza
creator: Claudia Fell Amado
creator: Crislaine Loqueti Santos Rainho Prado
creator: Jaqueline Alcântara Marcelino da Silva
creator: Monique Azevedo Esperidião
creator: Marcelo Viana da Costa
creator: Marina Peduzzi
rights: Copyright (c) 2025 O Mundo da Saúde https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-11-28
publication date: 2025-11-28
volume: 49
doi: 10.15343/0104-7809.202549e17982025P

Mental health aspects and the doctor-patient relationship do matter in the management of refractory chronic pain
type: item
description: Chronic non-cancer pain (CNCP) is among the clinical conditions that most challenge curative medicine due to its high therapeutic failure rates. In many cases, pain management teams are unable to identify a clear organic cause for the pain condition; in others, an etiological factor is found that can be attributed to the condition, but it is recognized, either promptly or after some years, that this organic substrate is insufficient to sustain the patient’s suffering for such a prolonged period; finally, there are cases in which the presumed organic cause of pain is corrected, yet the patient does not improve or does not improve as expected. The aim of this paper is to present a literature review on mental health aspects and the doctor-patient relationship involved in the management of patients with refractory CNCP. A systematic search and literature review methodology was employed, using the descriptors intractable pain, pain management, medical history, medication review, physician-patient relationship, and mental health evaluation in the Cochrane Central, PubMed, and LILACS databases, with no restrictions regarding study design, language, or publication date. Ten suggestions are presented as a result of the analysis of the included articles and the authors’ experience, some related to the semiological approach and others to the therapeutic follow-up of patients with CNCP. The suggestions presented may be useful in the management of refractory CNCP cases and should preferably be implemented before indicating invasive procedures.
creator: João Paulo Consentino Solano
creator: José Eduardo Guimarães Pereira
creator: Rayane da Silva Souza Barbosa
creator: Hazem Adel Ashmawi
rights: Copyright (c) 2025 O Mundo da Saúde https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-07-23
publication date: 2025-07-23
volume: 49
doi: 10.15343/0104-7809.202549e16842024I

Epidemiological Surveillance of pertussis in Minas Gerais: temporal trends and spatial patterns (2014–2024)
type: item
description: Pertussis is an acute respiratory infection with worldwide distribution that can be prevented through immunization and represents a significant risk to child health. This study aimed to analyze the spatiotemporal distribution of pertussis in Minas Gerais between 2014 and 2024, identifying high-risk areas and the temporal dynamics of the disease. This was a population-based ecological study using secondary data from the Minas Gerais Health Surveillance Portal. Generalized Additive Models (GAM) and spatial scan statistics were applied to detect spatiotemporal clusters. In Minas Gerais, 2,161 cases of pertussis were confirmed, with an average incidence of 1.95 per 100,000 inhabitants. The highest incidences were observed in the Central (6.47/100,000), Southern (3.86/100,000), and Northern Triângulo (2.42/100,000) macro-regions. The GAM-based graphical analysis revealed a decline in risk between 2015 and 2021, followed by a resurgence beginning in 2022. High-risk clusters were identified at different time points, particularly in 2024, involving the Northern, Northwestern, Jequitinhonha, Central, Western, Southern, Southwestern, and Central-Southern macro-regions. The study identified a cyclical and heterogeneous pattern of pertussis in Minas Gerais, with recrudescence after 2022 and high-risk clusters in vulnerable regions. These findings reinforce the need for continuous and georeferenced surveillance, with a focus on socioeconomically vulnerable areas, to prevent disease reemergence and support effective public health policies.
creator: Claúdio Luiz Ferreira Júnior
creator: Wadson Souza da Silva
creator: Renata Di Pietro Carvalho
creator: Carolina Di Pietro Carvalho
creator: Kesley Duarte de Jesus
creator: Mariana Cristina Rocha Nunes
creator: Cleya da Silva Santana Cruz
rights: Copyright (c) 2025 O Mundo da Saúde https://creativecommons.org/licenses/by/4.0
license: https://creativecommons.org/licenses/by/4.0
date: 2025-12-03
publication date: 2025-12-03
volume: 49
doi: 10.15343/0104-7809.202549e17772025I