Zucatti PB, Trindade CRPD, Evangelista-Poderoso R
… +2 more, Guirardello EB, Lima MADDS
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· 2025 · PMID 41379190
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to map available evidence on the experiences of adult patients and family members regarding the transition of care between intensive care and inpatient units. scoping review conducted according to Joanna Briggs Institute...to map available evidence on the experiences of adult patients and family members regarding the transition of care between intensive care and inpatient units. scoping review conducted according to Joanna Briggs Institute guidelines. Primary studies, reviews, dissertations, and theses published in Portuguese, English, or Spanish were included, with no time limit. The final search was conducted on health portals and databases and in digital libraries. The selection was performed by two reviewers in a blind and independent manner. The data were extracted using a script and presented in figures, descriptive and deductive qualitative analysis, categorizing the experiences between the stages of assessment, planning, execution, and follow-up after discharge. thirty articles comprised the sample. The experiences mapped highlight the transition as a critical moment in hospitalization, marked by emotional impact and informational weaknesses. Reports of unpreparedness, feelings of abandonment, and communication failures compromise the continuity of care and the adaptation of patients and family members. the experiences described point to the transition of care between intensive care and inpatient units as a complex and multifaceted process. The gaps identified require structured communication strategies, timely information, and alignment between units.
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· 2025 · PMID 41379189
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to analyze the effectiveness of messages sent by cell phone on adherence to the use of masks, hand hygiene and social distancing during the COVID-19 pandemic. a multicenter quasi-experimental clinical trial conducted in...to analyze the effectiveness of messages sent by cell phone on adherence to the use of masks, hand hygiene and social distancing during the COVID-19 pandemic. a multicenter quasi-experimental clinical trial conducted in four Brazilian universities between July and October 2020. The sample consisted of 429 people from different Brazilian cities who received messages every two days for seven weeks about individual protection measures. Adherence to the measures was analyzed by an instrument developed by the researchers of the main center and refined in collaboration with researchers from the other centers, consisting of 13 questions and a five-point Likert scale, with the overall score ranging from 13 to 65 points, in which the higher the score, the greater the adherence. Statistical analysis was performed using multivariate analysis of variance (MANOVA), considering p<0.05 as significant. an improvement in the adherence score was observed over the weeks. When compared with the score obtained before the intervention, there was a significant improvement in adherence in the last two weeks (p<0.001). the intervention using messages sent by cell phone showed to be effective in promoting adherence to individual protection practices against COVID-19. However, the observed sample loss may have affected the results, limiting the generalizability of the findings. Therefore, the effects identified should be interpreted with caution. The Brazilian Registry of Clinical Trials (RBR-2s94rb).
Pontes-Pereira PS, Santana RC, Gir E
… +1 more, Reis RK
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· 2025 · PMID 41259553
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to evaluate the effect of antiretrovirals on renal function in individuals receiving HIV pre-exposure prophylaxis. a descriptive, longitudinal survey design was used in a retrospective cohort study for 48 weeks. The samp...to evaluate the effect of antiretrovirals on renal function in individuals receiving HIV pre-exposure prophylaxis. a descriptive, longitudinal survey design was used in a retrospective cohort study for 48 weeks. The sample consisted of 203 participants. Non-probabilistic convenience sampling was used. Sociodemographic, clinical, and laboratory variables were analyzed. Absolute and relative frequencies, mean, standard deviation, minimum and maximum values, Fisher's exact test, and Friedman test were used, with a significance level of <5%. the participants were predominantly cisgender men (86.2%), white (69.1%), highly educated (76.7%), and had a mean age of 34 years. The presence of markers of renal damage was low. Proteinuria increased until the 12th week (2.6%), maintaining a small variation until the 48th week. The decline in estimated Glomerular Filtration Rate (eGFR) ≥25% from baseline was 4.4%, 3%, 4.4%, and 3% at weeks 12, 24, 36, and 48, respectively. There was no significant association between eGFR decline ≥25% and the presence of any of the markers of renal damage. the low incidence of events characterizing renal dysfunction, such as eGFR decline ≥25% and the presence of mild and isolated events of proteinuria, glycosuria, uricosuria, and cylindruria, was confirmed at 48 weeks of follow-up.
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· 2025 · PMID 41259552
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to seek evidence of validity of the Assessment Interprofessional Collaborative Leadership Scale for Brazilians, in Portuguese, and to analyze evidence of content, response process and internal structure. psychometric eva...to seek evidence of validity of the Assessment Interprofessional Collaborative Leadership Scale for Brazilians, in Portuguese, and to analyze evidence of content, response process and internal structure. psychometric evaluation study, with translation, back-translation, and evaluation by a committee of experts regarding linguistic and content equivalence. The pre-test was carried out with 40 participants and, subsequently, the final version was applied to 318 health workers. Exploratory factor analysis and reliability testing were performed using Cronbach's alpha and McDonald's omega. in the content validation, four items presented scores below the critical value. Of the participants, the majority were nurses (81%) and physiotherapists (10%), and were female (79%). The factorability obtained was Kaiser-Meyer-Olkin = 0.94 and Bartlett's sphericity = 2991.4 with p < 0.05. Parallel analysis indicated a one-dimensional model, with variance explained by 63.71%. The model's adequacy indices showed satisfactory levels. And adequate reliability indices (Cronbach's alpha = 0.97 and McDonald's omega = 0.97). the Interprofessional Collaborative Leadership Assessment Scale, with a unidimensional structure and 28 items, presented good evidence of content validity, response process and internal structure, considered adequate to measure interprofessional collaborative leadership.
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· 2025 · PMID 41259551
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to develop and validate the Risk Assessment Scale for the Development of Medical Adhesive-related Skin Injuries in hospitalized adults. methodological study consisting of the development, face validity, content validity,...to develop and validate the Risk Assessment Scale for the Development of Medical Adhesive-related Skin Injuries in hospitalized adults. methodological study consisting of the development, face validity, content validity, predictive criterion validity, and interobserver reliability analysis of the scale. It was developed using risk factors obtained in an integrative review and underwent face and content validation by seven judges. Three hundred and twenty-nine patients participated in the predictive criterion validity and 32 in the reliability analysis. the scale consists of 48 items and eight domains. Scores < 11 classify patients as low risk and ≥ 11 as high risk for developing medical adhesive injuries. In face validity, there was 100% agreement among the judges, and in content validity, a total content validity coefficient of 0.94 was obtained. In predictive criterion validity, there was a statistically significant association (p < 0.001) between the score generated by the scale and the occurrence of medical adhesive injuries. The reliability analysis obtained an intraclass correlation coefficient of 0.92. the scale developed is a valid and reliable tool for identifying the risk of injury from medical adhesives in hospitalized adults.
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· 2025 · PMID 41259550
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to translate, cross-culturally adapt and validate the Person-centered Practice Inventory-Staff into Brazilian Portuguese. the methodological study followed the stages of translation, synthesis, back-translation, expert e...to translate, cross-culturally adapt and validate the Person-centered Practice Inventory-Staff into Brazilian Portuguese. the methodological study followed the stages of translation, synthesis, back-translation, expert evaluation and pre-testing. Content validity was assessed using the Content Validity Index and the Content Validity Ratio. Convergent and discriminant construct validity was verified using confirmatory factor analysis. Internal consistency was checked by Cronbach's alpha, Composite Reliability and McDonald's Omega. 15 professionals took part in the content validation and 307 in the evaluation of the construct and reliability. Content validity obtained values above 0.87 for the Content Validity Index and 0.73 for the Content Validity Ratio. The confirmatory factor analysis distributed the 59 items in the 17 original domains, with average variance extracted greater than 0.49 and factor loadings greater than 0.61. Internal consistency showed Cronbach's alpha between 0.56 and 0.85; composite reliability between 0.75 and 0.89; and McDonald's Omega between 0.61 and 0.88. the Brazilian version of the Person-centered Practice Inventory-Staff demonstrated satisfactory validity and reliability to assess the perception of person-centered care practice among nursing professionals in the hospital context.
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· 2025 · PMID 41259549
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to analyze the tendencies and spatial distribution of precarious work for nurses in Brazil, based on the type of employment relationships, between 2010 and 2023, according to the level of health care. ecological study wi...to analyze the tendencies and spatial distribution of precarious work for nurses in Brazil, based on the type of employment relationships, between 2010 and 2023, according to the level of health care. ecological study with data extracted from the National Registry of Health Establishments. The indicator analyzed was the percentage of precarious work relationships. The temporal tendency was assessed by the Prais-Winsten regression model and the spatial distribution was assessed by means of choropleth maps. there was an increasing tendency in the precarious work of nurses in Brazil based on the type of employment relationships, regardless of the level of health care. The North region showed the highest percentages of increase in the indicator in Primary Health Care, Secondary Health Care, and Tertiary Health Care. The North and Northeast regions had the highest numbers of municipalities with a high percentage of precarious work conditions. the precariousness of nursing employment relationships showed an increasing tendency at all levels of health care, being higher in Primary Health Care and increasing more in Tertiary Health Care within the time horizon analyzed.
Nogueira WPS, Gir E, Menegueti MG
… +3 more, Freire MEM, Barroso BIL, Oliveira E Silva AC
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· 2025 · PMID 41221921
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compare the use of personal protective equipment among nurses in the pre- and post-COVID-19 vaccination periods in the state of Paraíba, Brazil. cross-sectional, analytical study with nurses from the state of Paraíba, Br...compare the use of personal protective equipment among nurses in the pre- and post-COVID-19 vaccination periods in the state of Paraíba, Brazil. cross-sectional, analytical study with nurses from the state of Paraíba, Brazil. Data collection in two periods (pre- and post-COVID-19 vaccination), online, using a survey instrument. Descriptive and comparative analyses. Comparative analysis of variables for combined use of personal protective equipment in direct care and aerosol-generating procedures for people with suspected or diagnosed COVID-19 using the Z-test for proportions. participation of 579 nurses in period 1 and 734 nurses in period 2. Gloves, face shield, N95 mask, surgical cap, and gown were the pieces of equipment most used by nurses in the care of people with suspected and/or diagnosed COVID-19. The combined use of personal protective equipment was higher in the pre-vaccination period compared with post-vaccination period. combined use of personal protective equipment by nurses decreased after the introduction of the COVID-19 vaccine. Thus, it is necessary to implement educational strategies and trainings on the proper use of these pieces of equipment.
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· 2025 · PMID 41221920
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to analyze the measures implemented in practice for the prevention of hypothermia during the intraoperative period in public and private hospitals. quantitative, descriptive-exploratory study. The sample consisted of 201...to analyze the measures implemented in practice for the prevention of hypothermia during the intraoperative period in public and private hospitals. quantitative, descriptive-exploratory study. The sample consisted of 201 nurses, invited via social media, Facebook, Instagram, and email. Data collection was performed using an online form created on the Survey Monkey® virtual platform. For analysis, descriptive statistics and association tests were applied to investigate the differences between the defined groups in relation to the study variables. in both types of institutions, most participants were female and married/in a stable relationship. There was a significant difference between the types of hospitals in terms of operating room temperature control (p<0.001), patient body temperature monitoring (p=0.027), and use of active skin warming methods (p=0.009). the forced-air warming was the active method most frequently used, and nursing staff were the professional category most often indicated as responsible for implementing prewarming and using active methods in the types of institutions investigated. There is still a need to increase the daily implementation of measures to prevent hypothermia, pointing out to managers the need for investment and training of human resources.
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· 2025 · PMID 41221919
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to analyze the effectiveness of individual coping strategies and hospital work environment adaptations for nurses with musculoskeletal pain. a systematic review was conducted following the Preferred Reporting Items for S...to analyze the effectiveness of individual coping strategies and hospital work environment adaptations for nurses with musculoskeletal pain. a systematic review was conducted following the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guidelines. The search was performed in six databases, including experimental and pre-experimental studies. Risk of bias was assessed using the RoB2 (Risk of Bias 2) and ROBINS-I (Risk of Bias In Non-randomized Studies of Interventions) tools. Methodological quality was evaluated using the Joanna Briggs Institute model, the Jadad Scale and the Melnyk, Buck and Gallagher-Ford Levels of Evidence. eight studies were included, identifying individual coping strategies such as stretching exercises, auriculotherapy and mindfulness. Workplace-based strategies were multidisciplinary, integrated and focused on training for identifying and preventing musculoskeletal risks while improving working conditions. the most effective strategies combine workers' individual actions with improvements in working conditions, addressing physical, psychosocial and ergonomic factors to adapt the work environment, prevent musculoskeletal pain progression and maintain job performance. PROSPERO registration number: CRD42024575014.
Dias JL, Borges EL, Mendes E Torres D
… +7 more, Gamba MA, Pereira ÂL, Malaquias SG, Barros LDS, Martins MA, Guimarães RA, Bachion MM
Rev Lat Am Enfermagem
· 2025 · PMID 41221918
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to perform the cross-cultural adaptation of the SINBAD System Classification for Brazilian Portuguese and analyze its content validity and reliability. clinimetric study, including cross-cultural adaptation of the SINBAD...to perform the cross-cultural adaptation of the SINBAD System Classification for Brazilian Portuguese and analyze its content validity and reliability. clinimetric study, including cross-cultural adaptation of the SINBAD System Classification, used to assess foot ulcers in people with diabetes. Verification of semantic and cultural equivalence and clinical usability using the inter-rater reliability (IRR) index (≥ 0.80); content validity using the Content Validity Ratio (CVR) p < 0.05, and internal consistency using McDonald's omega (> 0.70). The sample involved nurses, physicians, and people with diabetes-related foot ulcers. Data collection was performed using online forms and in-person clinical evaluation of patients treated at referral services in Goiânia, Jataí, São Paulo, Belo Horizonte, and primary care center in Palmas. fifteen nurses participated in the cognitive debriefing; 20 experts (physicians and nurses) participated in content validation; and 113 patients with 120 diabetes-related foot ulcers participated. Eight items (terms and expressions) from the SINBAD System underwent cross-cultural adaptation. CVR = 0.84 and McDonald's omega = 0.635 were obtained. the SINBAD system is adapted to Brazilian Portuguese and has satisfactory content validity indices, but it needs investment to achieve greater robustness in terms of reliability and internal consistency.
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· 2025 · PMID 41221917
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to analyze the relation between nursing care demand and frailty condition and markers in hospitalized older adults. analytical cross-sectional study with a sample of 400 older adults. Data collection used a sociodemograp...to analyze the relation between nursing care demand and frailty condition and markers in hospitalized older adults. analytical cross-sectional study with a sample of 400 older adults. Data collection used a sociodemographic questionnaire, frailty phenotype tests, and a nursing care complexity assessment scale. Fisher's exact test, Kruskal-Wallis test and Dunn's test were applied, considering statistical significance for p≤0.05. there was a predominance of pre-frail (48.7%), followed by frail (35.8%) and non-frail individuals(15.5%). Most frail older adults required high-dependency nursing care (44.8%). The minimum nursing care demand was 80.6% for non-frail, 60.5% for pre-frail, and 14% for frail older adults. Frail older adults required higher nursing care level than the non-frail in the areas: mental state, oxygenation, motility, ambulation, elimination, and therapy (p<0.001). There was association between minimal to intensive nursing care demand and reduced hand grip strength (p<0.001), reduced gait speed (p<0.001), fatigue/exhaustion (p<0.001), reduced physical activity level (p<0.001), and unintentional weight loss (p<0.019). higher nursing care demand was associated with worse frailty condition and markers. Frailty assessment is indispensable to trace specific needs and support nursing care planning.
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· 2025 · PMID 41221916
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to analyze the evidence on the effectiveness of audiovisual interventions in increasing knowledge about sexually transmitted infections in different age groups. systematic review, conducted on February 21, 2023, in the C...to analyze the evidence on the effectiveness of audiovisual interventions in increasing knowledge about sexually transmitted infections in different age groups. systematic review, conducted on February 21, 2023, in the Cumulative Index to Nursing and Allied Health Literature, Cochrane, Embase, Latin American and Caribbean Health Sciences Literature, Nursing Database, Spanish Bibliographic Index in Health Sciences, MEDLINE, Scopus, and Web of Science. Experimental studies that used audiovisual resources to improve knowledge were included, compared with other interventions or none. The synthesis of results was narrative, with assessment of risk of bias and certainty of evidence. the sample consisted of 25 studies (10 randomized clinical trials and 15 quasi-experimental studies). Educational videos were the most widely used resource. Compared to other interventions or no intervention, the intervention group achieved significant improvements in knowledge in the medium and long term, as well as changes in perception and predisposition to reduce risky behavior. The certainty of the evidence was low for randomized studies and very low for quasi-experimental studies. audiovisual interventions have shown effectiveness in different populations and age groups, highlighting the need to consider specific parameters in creating these resources.
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· 2025 · PMID 41221915
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to map strategies aimed at promoting and maintaining breastfeeding following nurslings' hospitalization. a scoping review guided by the recommendations of the Joanna Briggs Institute Reviewer's Manual. The search was car...to map strategies aimed at promoting and maintaining breastfeeding following nurslings' hospitalization. a scoping review guided by the recommendations of the Joanna Briggs Institute Reviewer's Manual. The search was carried out in seven databases and in repositories of theses and dissertations. The selection of studies was conducted on a web application by two independent blind reviewers. The data were analyzed descriptively. in total, 1,325 publications were obtained, of which 29 were included in the study. The following were identified as health strategies associated with breastfeeding: education and guidance, support and follow-up, clinical and technical interventions, complementary therapies, technology and innovation, environment and physical conditions, nutrition and hydration, protocol and guidelines. the evidence reinforces that multifaceted strategies are essential post-discharge in order to strengthen self-management and sustain breastfeeding beyond the hospital setting. Primary Health Care can play an important role in care continuity.
Rodrigues RCP, Antonini M, Lima LDES
… +3 more, Rocha DM, Gir E, Reis RK
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· 2025 · PMID 41221914
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to understand the motivations, benefits, and barriers to the use of HIV pre-exposure prophylaxis. a qualitative study grounded on the Health Belief Model. Sixteen people using HIV pre-exposure prophylaxis were followed u...to understand the motivations, benefits, and barriers to the use of HIV pre-exposure prophylaxis. a qualitative study grounded on the Health Belief Model. Sixteen people using HIV pre-exposure prophylaxis were followed up at two Testing and Counseling Centers in a large municipality in the interior of the state of São Paulo, Brazil. Data were collected through individual audio-recorded interviews. Data analysis followed Rosenstock's Health Belief Model and Bardin's Content Analysis. susceptibility to HIV was influenced by uncertainty about partners' serology and condom failure. The severity of HIV is perceived as greater due to its incurability. Benefits include greater protection, safety, and well-being. Barriers involve difficulties in access, side effects, and social stigma. the study revealed that the motivation for using Pre-Exposure Prophylaxis was the perception of susceptibility to HIV, the severity of the disease, and benefits such as protection and psychological well-being, while barriers involved difficulties in access, complexity of the clinical protocol, and stigma. Knowing the beliefs and barriers can favor more effective interventions by the health team.
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· 2025 · PMID 41191699
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to analyze the relationship between the perception of nursing professionals in intensive care units about the practice environment, the burnout level and job satisfaction, based on a theoretical model. a cross-sectional...to analyze the relationship between the perception of nursing professionals in intensive care units about the practice environment, the burnout level and job satisfaction, based on a theoretical model. a cross-sectional correlational study was carried out with 114 nursing professionals from a university hospital in the northwest of São Paulo state. A personal and professional characterization form, the Practice Environment Scale, the Maslach Burnout Inventory and the job satisfaction subscale of the Safety Attitudes Questionnaire were used. Descriptive analyses were carried out, and comparison tests (non-paired Student's t-test, Mann-Whitney, ANOVA and Kruskal-Wallis), correlations (Pearson or Spearman) and structural equation modeling were used in order to evaluate the mediating effect. the professionals reported a favorable practice environment, job satisfaction, low levels of emotional exhaustion, high levels of personal fulfillment and moderate levels of depersonalization. Job satisfaction was found to have a partial mediating effect between the practice environment and burnout. actions aimed at improving the practice environment can directly reduce burnout or mediate it by increasing job satisfaction. Understanding these relationships is fundamental to promoting a favorable environment, minimizing burnout and increasing job satisfaction.
Szychta LF, Sombra SEL, Lima GA
… +3 more, Ventura MWS, Oliveira BSB, Lima FET
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· 2025 · PMID 41191698
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to map the scientific literature regarding complementary therapies used by health professionals for children with Attention Deficit Hyperactivity Disorder. this scoping review was based on the recommendations proposed by...to map the scientific literature regarding complementary therapies used by health professionals for children with Attention Deficit Hyperactivity Disorder. this scoping review was based on the recommendations proposed by the Joanna Briggs Institute. Five data sources were searched. Inclusion criteria comprised articles published in English, Spanish, or Portuguese; children aged one to nine years diagnosed with Attention Deficit Hyperactivity Disorder, regardless of additional age ranges covered; and no restrictions on publication date, study design, or bibliographic type. Therapies were grouped into four categories: mind-body therapies, supplementation, herbal therapy, and dietary therapy. a total of 1,444 publications were identified, with 133 peer-reviewed articles selected for analysis. Sixty-five complementary therapies were identified, with neurofeedback (n=38) being the most frequently cited mind-body therapy. Other interventions included a prevalence of polyunsaturated fatty acid supplementation (n=14), Ginkgo biloba use (n=6) in phytotherapy, and oligo-antigenic diet (n=5) in dietary therapy. complementary therapies show potential for alleviating symptoms of Attention Deficit Hyperactivity Disorder in childhood. However, some therapies still lack scientific validation, highlighting the need for targeted experimental studies to ensure safe and effective use.
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· 2025 · PMID 41191697
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to map the literature on skin-related quality of life questionnaires and assessment tools applied to cancer patients undergoing radiotherapy who developed radiodermatitis. scoping review conducted in accordance with JBI...to map the literature on skin-related quality of life questionnaires and assessment tools applied to cancer patients undergoing radiotherapy who developed radiodermatitis. scoping review conducted in accordance with JBI recommendations. The search was conducted in seven sources of information and in the grey literature. There were no restrictions on the publication period or language of the articles. A qualitative synthesis of the data was performed, presented descriptively and through tables and figures. thirty-two studies were included, most of which were from North America (n=14). The instruments used to assess skin-related quality of life were: the Dermatology Life Quality Index (n=17), Skindex-16 (n=11), Skindex-29 (n=1), and Padua Skin-Related Quality of Life (n=1). The most frequently applied instruments were the Dermatology Life Quality Index and Skindex-16, used predominantly in patients with breast cancer. different instruments used to assess skin-related quality of life in patients with radiodermatitis were identified, with emphasis on Skindex-16 and DLQI. The diversity of tools points to the absence of consolidated guidelines on the choice of the best instrument to be implemented in this clinical context.
Peppe MV, Costa FBPD, Pedrilio LS
… +3 more, Prado CAC, Baraldi ACP, Stefanello J
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· 2025 · PMID 41191696
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to analyze the time-series trend for maternal mortality before and during the COVID-19 pandemic. ecological time-series study in the state of São Paulo and in its seventeen Regional Health Departments. Collection of seco...to analyze the time-series trend for maternal mortality before and during the COVID-19 pandemic. ecological time-series study in the state of São Paulo and in its seventeen Regional Health Departments. Collection of secondary data provided by the Ministry of Health. Study variables: total, direct and indirect maternal mortality ratios. Analysis was performed by segmented regression model. maternal mortality ratio trends were stationary in 2011-2019, followed by a 25.6% increase in 2019-2021. The direct maternal mortality ratio had an upward trend of 7.2% in 2011-2017 and a stationary trend in 2017-2021. The indirect maternal mortality ratio was stationary in 2011-2019, followed by a 70.5% increase in 2019-2021. The regional health departments of the Metropolitan Area of São Paulo, Araçatuba, Bauru, Campinas, Presidente Prudente, São João da Boa Vista, São José do Rio Preto and Sorocaba showed an upward trend for maternal mortality in 2011-2021. the COVID-19 pandemic severely influenced the increase in maternal mortality, especially from indirect causes, with 2021 being the worst year in the time series. The findings were important to assist in the organization of maternal mortality reduction strategies by directing them to priority areas.