Revista Pró-UniverSUS

Palliative care in Chronic Kidney Disease: an analysis based on Paterson and Zderad

Sat, 31 Jan 2026 00:00:00 -0300

Introduction: Chronic kidney disease, because it requires longitudinal care, requires a palliative care approach that is not restricted to the end of life. To this end, Paterson and Zderad's Humanistic Care develops assistance to this individual that goes beyond technical practice and considers all the needs that permeate this illness process. Materials and Method: descriptive-exploratory-qualitative research, carried out in two hemodialysis clinics in southwestern Bahia, with 10 nurses. The collection used: drawing-text-theme and semi-structured interview analyzed using an interactive content analysis model. Results: converged into four categories coinciding with phases of the humanistic model. Discussion: The care process highlights the professional's self-knowledge, intuitive interaction, the use of technical-scientific knowledge, and the transformation of lived experience into shared knowledge. Final considerations: The humanistic lenses reveal the Palliative Care process as an integral and continuous work of the multidisciplinary team, which, based on the established bond, is capable of developing a therapeutic project of shared care with the family.

Keywords: Palliative Care; Renal Dialysis; Nursing, Empathy.

Implementation of the National Policy for Comprehensive Health of the Black Population: Facilitators and Challenges

Sat, 31 Jan 2026 00:00:00 -0300

Introduction: The 2022 National Household Sample Survey (PNAD) revealed that 56.0% of the Brazilian population self-identifies as Black, and 67.0% of this group relies on the Unified Health System (SUS). In this context, the present study aims to identify the facilitators and challenges observed by the staff of a Basic Health Unit (UBS) regarding the implementation of the National Policy for Comprehensive Health Care of the Black Population (PNSIPN). Methods: This is a qualitative, exploratory, and descriptive study conducted in a UBS located in the interior of Rio Grande do Sul, under the jurisdiction of the 13th Regional Health Coordination. Seven professionals participated in semi-structured interviews in September 2023. Professionals with at least six months of service were included, while those on medical leave or vacation were excluded. Content analysis followed the methodology proposed by Laurence Bardin. Results and Discussion: Participants’ professional experience ranged from one year and two months to 17 years, with an average of eight years. One professional identified racism as a factor impacting care delivery, while three cited socioeconomic and physiological factors as facilitators. Only two professionals had superficial knowledge of the PNSIPN, while the others were unaware of it. Three interviewees highlighted the role of social services within the Health Care Networks (RAS), whereas others were unaware of such initiatives. Final Considerations: Ethnic-racial training of healthcare professionals is essential to improve service delivery and strengthen the coordination within the RAS, ultimately enhancing care for the black population.

Keywords: Patient Care Team; Black People; Family Health Strategy; Nurses.

Mental health of women during the gestational period and their experience of pregnancy

Sat, 31 Jan 2026 00:00:00 -0300

The gestational period represents a phase of significant physical, social and psycho-emotional transitions in a woman's life. This process, although natural, brings with it changes that can directly affect the mental health of the pregnant woman, including positive and negative emotions. This study aimed to understand how the mental health of pregnant women has behaved in relation to planning, prenatal monitoring and support during pregnancy. This is a qualitative, exploratory study conducted with 14 pregnant women in the area covered by a Family Health Unit (FHU) in a city in the interior of Bahia. The information was collected through semi-structured interviews, the final product of which was subjected to analysis using the content analysis technique proposed by Laurence Bardin. The results were organized into three thematic categories: Mental health of pregnant women after discovering a planned, unplanned or unwanted pregnancy, prenatal care and its repercussions on the mental health of pregnant women, and the importance of a support network for the comfort and support of women during pregnancy. It was found that unplanned or unwanted pregnancies are associated with feelings of insecurity, rejection and psychological distress. In addition, prenatal care and the existence of a solid support network were shown to be decisive for the emotional well-being of pregnant women. In this way, the study contributes to the appreciation of a more humanized and comprehensive approach during prenatal care, reinforcing the need for care practices that contemplate women's subjectivity and the promotion of their mental health.

Keywords: Pregnancy; Prenatal Care; Psychoemotional Disorders; Mental health.

Acute kidney injury in patients admitted to Intensive Care Units

Sat, 31 Jan 2026 00:00:00 -0300

Objective: To analyze the prevalence and factors associated with Acute Kidney Injury (AKI) in patients admitted to the Intensive Care Unit (ICU) of a general hospital in southwestern Bahia. Method: This is a cross-sectional, retrospective and quantitative study of 304 medical records of patients admitted to the ICU between June and September 2024. The data collected included sociodemographic, admission and clinical variables. The Chi-square test, Fisher's exact test and the Student's t-test were used to identify differences in the proportions of variables. Results: the occurrence of AKI was 8.2% (n=25), with the majority of individuals being male (76%) and smokers (28% vs. 10.1%; p=0.016). With regard to clinical conditions and hospitalization complications, patients with AKI stayed in the ICU for longer (11 ± 11 vs. 7 ± 9 days; p=0.040), had a greater demand for invasive mechanical ventilation (IMV) (80.0% vs. 51.6%; p=0.005) and a greater need for vasoactive drugs (76.0% vs. 48.7%; p=0.007). In addition, there was a higher prevalence of pressure injuries (44.0% vs. 13.3%; p<0.0001), sepsis (32.0% vs. 7.9%; p=0.001) and cardiac arrest (36.0% vs. 12.2%; p=0.004). Death was more frequent among patients with AKI (52.0% vs. 24.4%; p=0.005). Conclusion: The results indicate that AKI is a significant problem in ICUs and is influenced by smoking, IMV, vasoactive drug use, sedation, LPP, sepsis and CA. Patients with AKI stayed longer in the ICU and had a higher mortality rate.

Keywords: Acute Kidney Injury; Intensive Care Units; Prevalence; Risk Factors.

Adolescents' Perception of Self-Care in the Context of Cancer

Sat, 31 Jan 2026 00:00:00 -0300

Introduction: Pediatric cancer is directly related to genetic factors in which cells of the blood system, as well as supporting tissues, are affected. Throughout the treatment of childhood and adolescent cancer, impairments in physical capacity can be observed, along with reduced muscle strength, fatigue, and changes in bodily functions. Given this context, the study aimed to describe adolescents’ perception of self-care in the context of cancer. Materials and Methods: This is a descriptive-exploratory study with a qualitative approach. Data collection took place from August to November 2023. Information was gathered through semi-structured interviews using an instrument developed by the researchers themselves, containing questions for the sociodemographic characterization of participants. Results: Five adolescents aged between 13 and 17 participated in the study, three of whom were female and two male. From data analysis, the following thematic categories emerged: From diagnosis to treatment: feelings and life changes, and Self-care: definitions, perceptions, and experiences from the adolescent’s perspective. Discussion: The diagnosis of a chronic illness during this stage of life leads adolescents to feel even more frustrated with their life expectations, as the illness causes a pause in their goals due to the various changes that occur in their daily lives. Final Considerations: Based on the results, it can be understood that adolescents with cancer have a simplified perception of self-care.

Keywords: Cancer; Adolescent; Treatmen; Self-Care.

The experience of pediatric surgery by children's companions regarding preoperative nursing guidelines

Sat, 31 Jan 2026 00:00:00 -0300

Introduction: Pediatric hospitalization is permeated by different aspects that directly influence the experience of the child and their companion. Objective: To identify the perception of children's companions regarding the preoperative period. Materials and Methods: The methodological design consists of a qualitative approach, exploratory and descriptive study. The research setting was a pediatric surgery ward and pediatrics ward of a university hospital in the city of Rio de Janeiro. The target audience was those accompanying children in surgical situations. The sample was defined by convenience. 103 interviews were carried out grouping open and closed questions to understand the companions' perception regarding the perioperative period guidelines. Data were collected during the period from August 2021 to December 2022. The research was submitted to the Research Ethics Committee (CEP), obtaining an opinion of 2,940,781 after approval. Results and Discussion: The guidelines regarding the preoperative period cited by the interviewees were regarding fasting time, bathing, dressing for the surgical center, care with post-operative dressings and probes, information regarding the surgical procedure, anesthetic and operation of the surgical center. Preoperative guidelines are crucial for promoting the active participation of companions and pediatric patients in the scenario in which they are inserted, based on the process of efficient communication, humanization of hospitalization and resolution of questions, enabling the reduction of anxiety and fear experienced by the binomial. Conclusion: The nursing team plays a direct and fundamental role in promoting health education during surgical hospitalization.

Keywords: Pediatrics; Surgical Operative Procedures; Accompanying Family Members; Pre-Operative Period; Perioperative Nursing.

Efectos físicos y emocionales de los anticonceptivos orales: concepción de los estudiantes de salud

Sat, 31 Jan 2026 00:00:00 -0300

Introduction: The use of contraceptive methods has increased significantly in recent decades; however, prolonged exposure to these methods can have significant impacts on women’s physical and emotional health. Objectives: To identify the physical and emotional changes most frequently reported by health students using oral contraceptives and to analyze at which stages of the oral contraceptive cycle these changes occur most frequently and intensely. Methodology: This is a qualitative study with a descriptive and exploratory approach. The participants were students enrolled in health courses at a public university in southwestern Bahia. Data collection began after approval by the Research Ethics Committee, opinion 7,467,294, through a self-completed semi-structured questionnaire in April 2025, using the Google Forms platform and WhatsApp groups. Bardin’s Content Analysis Technique was used to organize the data. Results: Most participants were between 22 and 25 years old, enrolled in their 5th to 9th semester, were predominantly Catholic, and were studying nursing. They unveiled different viewpoints about contraceptive methods. It was observed that random use can cause health problems. The physical and emotional changes reported ranged from the first month to seven years of use, including weight gain, water retention, nausea, acne, mood swings, and breast tenderness. Conclusion: The use of oral contraceptives in health students triggered adverse reactions, highlighting the importance of professional monitoring.

Keywords: Oral Contraceptives; Health Sciences; Nursing; Students.

From Reason to Emptiness: The Crisis of Meaning in Liquid and Consumer Soci

Sat, 31 Jan 2026 00:00:00 -0300

This study addresses the crisis of meaning in contemporary society, starting from the central problem of the emergence and exacerbation of existential emptiness. This phenomenon, formalized by Viktor Frankl as noogenic neurosis, has its roots in the rise of rationality and Humanism. The main objective of this research is to analyze how the search for filling this void manifests itself in postmodern social structures. The methodology consisted of an interdisciplinary theoretical analysis, anchored in references from Contemporary Sociology and Philosophy, especially the works of Byung-Chul Han, Zygmunt Bauman, and Gilles Lipovetsky. The results demonstrate that emptiness is structured by the performance society, where self-exploitation and multitasking lead to exhaustion, and by liquid modernity, in which narcissism weakens relationships. The incessant search for identity and satisfaction in consumption and social doping only highlights and perpetuates the emptiness. It is concluded that overcoming this cycle requires a rediscovery of meaning that transcends the imperative of productivity and consumption.

Keywords: Existential Emptiness; Crisis of meaning; Narcissism; Liquid Modernity; Consumerism; Performance Society.

Can Galleria mellonella be compared to mammalian models for in vivo assays?

Sat, 31 Jan 2026 00:00:00 -0300

Purpose: To conduct a systematic review on the use of Galleria mellonella as a non-mammalian model for in vivo studies and assess its potential as an analogue to mammalian models. Methods: This review followed PRISMA guidelines and its guiding question was: “Can G. mellonella be used as an analogue to mammalian models in biological assays?”, defined by PICOs strategy. Searches were conducted in PubMed, MEDLINE Ovid, Scopus, and Web of Science. Inclusion criteria were in vivo studies that performed the same assays in both G. mellonella and mammalian models, published as research articles in English, Portuguese, or Spanish. Other insect models and reviews were excluded. Risk of bias was assessed using a modified SYRCLE tool. Results: Seven studies were included and their assays investigated virulence, antimicrobial efficacy, and toxicity in both G. mellonella and mammalian models. One study showed low risk of bias, five moderate risk, and one high risk. Comparable trends were observed for virulence and drug efficacy, although methodological heterogeneity limited direct comparisons. Conclusion: G. mellonella is a valuable preclinical model but cannot fully replace mammalian studies. It is best applied as a preliminary screening tool, and further comparative research is required to validate its translational relevance.

Keywords: biological assays, greater wax moth, mammalian model.

Management and Effects of Therapies to Reduce Intracranial Pressure in Patients Victims of Severe Traumatic Brain Injury

Anna Victória Coelho Andrade Delgado Fonseca, Vitor Moreira Alvarenga — Sat, 31 Jan 2026 00:00:00 -0300

Traumatic brain injury (TBI) is one of the medical emergencies with high morbidity and
mortality, and is the leading cause of death in young adult patients. Primary injuries caused by
trauma are found, but the primary goal is to prevent secondary brain injury, which is caused by
elevated intracranial pressure (ICP). The objective of this review was to determine possible
management and effects on reducing ICP in patients with severe TBI. A search for previous
articles was carried out on the PubMed and Regional Portal of the Virtual Health Library (VHL)
platforms. The study included articles published in the last 5 years (2019-2024); controlled
clinical trials and observational studies and available free of charge. Articles that deviated from
the topic addressed and duplicates were excluded. At the end of the analysis, 17 scientific
articles were selected. The studies analyzed showed that ICP monitoring with non-conventional
devices, or through cerebral oxygenation pressure, partial pressure of carbon dioxide and
treatment with hypertonic saline or mannitol were the most effective in reducing ICP. Although
there are divergences regarding the intervention of elevated ICP, there is evidence that when it
is controlled, it changes the patient's prognosis, assuming an important role in clinical practice.
In conclusion, the most effective interventions were the use of partial pressure of carbon
dioxide, hypertonic saline and mannitol and early monitoring of cerebral oxygenation by
cerebral oxygenation pressure (PbtO2), emphasizing the need for ICP monitoring in order to
reduce mortality.

Keywords: Severe Traumatic Brain Injury; Intracranial Pressure; Management.

Editorial V16 N4

Editora Universidade de Vassouras — Sat, 31 Jan 2026 00:00:00 -0300

Expediente V16 N4

Editora das Revistas da Universidade de Vassouras — Sat, 31 Jan 2026 00:00:00 -0300

Health training for the care of the transgender population: scoping review protocol

Sat, 31 Jan 2026 00:00:00 -0300

Introduction: The transgender population faces significant inequalities in access to health services, marked by structural, interpersonal, and institutional barriers that compromise the effectiveness of care. The lack of specific training for health professionals exacerbates these disparities, reinforcing the need for inclusive and ongoing educational strategies. This study aims to map and synthesize the literature on the training of health professionals to care for the transgender population. Materials and methods: A scoping review protocol based on the Joanna Briggs Institute methodology, the PRISMA-ScR checklist, and the PAGER Framework acronym was used and registered on the OSF platform. The research question was defined using the PCC mnemonic. The search will cover databases such as PubMed, ScienceDirect, SciELO, Cochrane, and Lilacs, with no time restrictions, and will include gray literature in Portuguese, English, and Spanish. Expected results: The aim is to provide a comprehensive overview of health training for the care of the transgender population, identifying knowledge gaps, pedagogical strategies, and barriers, supporting more inclusive curricula, public policies, and practices that promote equity.

Keywords: Transgender Persons; Health Education; Sexual and Gender Minorities.

Ethical use of artificial intelligence in undergraduate medical education

Sat, 31 Jan 2026 00:00:00 -0300

Introduction: Artificial Intelligence (AI) has been increasingly incorporated into medical practice and undergraduate education, offering benefits such as improved diagnostic accuracy, personalized treatments, and learning support, while also raising pertinent ethical concerns. This protocol aims to describe the development of a scoping review that will map and analyze the scientific evidence on the ethical use of AI in medical education, identifying gaps, trends, and strategies for its responsible integration into the curriculum. Materials and Methods: The methodological guidelines of the Joanna Briggs Institute will be followed, and reporting will comply with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews. The findings will be presented according to the PAGER Framework. The research question will be structured based on the mnemonic PCC, and the search will be conducted across four databases, utilizing both Health Sciences Descriptors and Medical Subject Headings, combined with Boolean operators. The protocol is registered in the Open Science Framework platform, ensuring transparency and reproducibility. Expected Results: The data will be extracted into a standardized spreadsheet containing information on objectives, methods, results, and ethical implications, and will be presented in both tabular and narrative formats. Final Considerations: This review will inform educational policies, teaching practices, and future research, thereby fostering medical training that is ethical, critical, and aligned with technological advancements.

Keywords: Artificial Intelligence; Medical Ethics; Medical Education.

University Extension as a Strategy for Critical and Humanized Nursing Education: an experience report

JULIANA CEZARIO FERREIRA DA SILVA LINO — Sat, 31 Jan 2026 00:00:00 -0300

This article reports the teaching experience in conducting the extension course "Nursing Care in Collective and Family Health" at a private university in the state of Rio de Janeiro during the first semester of 2025. The course aimed to provide meaningful experiences integrating theory and practice, bringing Nursing students closer to the social realities of local territories and the challenges of health promotion in Primary Health Care (PHC). Three educational actions developed by student groups were described, targeting school-aged children, caregivers in a shelter institution, and women in a religious community. The experience demonstrated that university extension strengthens the ethical, civic, and humanized education of future Nursing professionals.

Keywords: University Extension; Health Promotion; Professional Training.

Physical education in Brazil: an analysis of scientific production in the biodynamics subfield

Sat, 31 Jan 2026 00:00:00 -0300

This article aimed to discuss the academic production of programs in stricto sensu postgraduate courses in Physical Education, from 2001 to 2010. 618 master's dissertations and 175 doctoral theses were analyzed, from postgraduate programs: USP, UNESP, UFRGS, UNICAMP and UGF from the biodynamic subarea. When analyzing the dissertations, the findings indicated a predominance of the Sports Training category in the programs at USP, UNESP and UNICAMP. The theses presented a greater concentration in the Exercise Physiology/Biochemistry category, with a greater concentration in the programs at UNESP, UFGRS and UGF. The analysis of the works showed great interest among researchers in the production of studies aimed at discussions around the improvement of sports performance, as well as the acute and chronic effects of physical exercise, a result that is in line with the literature.
Keywords: Physical Education and Training; Scientific and Technical Activities; Scientific and Technical Activities.

Impacts of emergency remote teaching on the mental health of nursing students

Sat, 31 Jan 2026 00:00:00 -0300

Introduction: The COVID-19 pandemic, due to social isolation, changed the model of in-person classes, making emergency remote teaching the only way to continue the training process in nursing. The study aims to identify the main impacts of emergency remote teaching offered during the COVID-19 pandemic on the mental health of nursing students. Materials and method: This is an integrative review study, guided by the question: "What are the impacts of emergency remote teaching on the mental health of nursing students during the COVID-19 pandemic? The search was carried out in the Virtual Health Library and National Library of Medicine - PubMed, resulting in 8 articles after applying the filters and exclusion criteria. Results and discussion: Scientific evidence revealed that nursing students, due to emergency remote teaching, experienced unique challenges that directly impacted their emotional well-being, as they presented unpleasant feelings/sensations driven by social isolation, interruption of practical activities, lack of technological support, among others. Such feelings/sensations were: anxiety, stress, fear, overload, frustration, abandonment, worry, irritability, exhaustion, depression, discomfort, mental exhaustion and professional disqualification. Final considerations: offering/strengthening psychological and technical support, expanding technical simulation laboratories and curricular flexibility for supervised care practices are some strategies to be implemented by higher education institutions in order to ensure the development of the skills necessary for training. of nursing students who experienced the COVID-19 pandemic.

Keywords: Covid-19; Student; Nursing; Remote Education; Mental Health.

Challenges in Nursing practice in the care of elderly people with Alzheimer's Disease – Narrative review

Sat, 31 Jan 2026 00:00:00 -0300

Alzheimer's Disease (AD), first described in 1906 by physician Alois Alzheimer, is characterized as the most common neurodegenerative disorder among the elderly, with risk increasing with age and a multifactorial origin. Among the professionals who play an important role in caring for patients affected by this condition are nurses. Thus, the present study aimed to discuss the main challenges faced by nursing professionals in this context through a narrative literature review conducted with scientific articles available in the databases of the Virtual Health Library (BVS), Scielo, and Google Scholar. The included studies highlight the level of knowledge about the disease, as well as the burden on professionals, as the greatest challenges faced. The pursuit of professional development is also presented as another factor discussed by the authors included in this review. Therefore, strengthening public policies that provide continuing education for these professionals, health education for family members, and space for discussion about the multiple nuances involved in the caregiving process emerges as a possible way to mitigate this issue.

Keywords: Elderly Care; Nursing Care; Occupational Stress.

Advances in the treatment of childhood leukemia: new therapies to improve cure rates

Sat, 31 Jan 2026 00:00:00 -0300

Introduction: Acute lymphoblastic leukemia (ALL) is the most prevalent form of pediatric cancer, with a peak incidence between 2 and 5 years of age. Despite chemotherapy being the standard treatment, new therapies emerge as hope for refractory cases. Methodology: This study is a descriptive and exploratory literature review examining therapeutic advancements in pediatric ALL, focusing on the impact on cure rates and quality of life, analyzing scientific articles and guidelines from 2018 to 2025. Results and Discussion: New therapies such as CAR-T cells represent an innovative approach in refractory and relapsed cases, involving the genetic modification of the patient's T lymphocytes to recognize and eliminate leukemia cells expressing CD19. The CRISPR-Cas9 system, used for gene editing, has shown potential in personalized treatments, modulation of T cells, and investigation of molecular mechanisms in cancer. Nanotechnology has revolutionized cancer treatment by enabling the development of controlled drug delivery systems, improving therapeutic efficacy, and reducing adverse effects. In ALL, nanotechnology has been used to deliver chemotherapy agents and immunotherapies, as well as overcoming tumor resistance. Conclusion: The review highlights the progress in ALL treatment with CAR-T, CRISPR, and nanotechnology, improving survival and quality of life. However, the high cost and the need for long-term studies remain challenges.

Keywords: Pediatric Health; Leukemia; Immunotherapy; Gene Therapy; Nanotechnology; Pharmacological Treatment.

Relationship between nursing records, auditing and hospital costs

Sat, 31 Jan 2026 00:00:00 -0300

Introduction: Completeness of healthcare records is essential to reduce nonconformities, avoid glosses and generate profits for the hospital institution, and the responsibility of the nursing team regarding complete and adequate records is essential. Objective: to map the literature in health sciences on the relationship between nursing records, auditing and costs in hospitals. Method: scoping review, carried out in five stages, as proposed by the Joanna Briggs Institute, with searches for records in the Medical Literature Analysis and Retrieval System Online, Latin American and Caribbean Literature in Health Sciences, Web of Science, Scopus, and gray literature in Google Scholar and the Digital Bank of Dissertations and Theses. The software used was Endnote, to remove duplicate records and Rayyan, to select studies. Data analysis was performed descriptively. Results: the search resulted in 437 records and the sample consisted of 19 publications, most of which were from Brazil and were review studies. The data showed that the quality of nursing records influences the financial issues of the hospital institution and that auditing plays a key role in identifying this problem and implementing improvement actions. Final considerations: the importance of investing in training and standardization of nursing practices to ensure quality of care and financial sustainability is highlighted.

Keywords: Nursing Records; Nursing Audit; Hospitals; Hospital Costs; Review.

Child growth and development: the role of the nurse in Primary Health Care

Sat, 31 Jan 2026 00:00:00 -0300

Introduction: The National Policy for Comprehensive Child Health Care highlights the importance of comprehensive care in early childhood, a crucial phase of human development. In this context, the Child Growth and Development consultation, carried out by nurses, is strategic for monitoring child health, allowing early detection of changes and timely interventions. This study aims to discuss the role of nurses in monitoring child growth and development within the scope of Primary Health Care. Materials and Methods: This is an integrative literature review, carried out by searching the Virtual Health Library, in the second half of 2024, using the descriptors: “Growth”, “Child Development”, “Nursing” and “Primary Care” interconnected by the Boolean operator AND. Results: A total of 95 articles were identified, of which 9 studies were analyzed, mostly qualitative, published between 2015 and 2024, with a predominance of Brazilian authors. Discussion: The analysis showed that nurses play a central role in childcare consultations, promoting child growth and development. However, they face challenges such as low adherence by caregivers, work overload, inadequate structure and other problems that compromise the quality of care. Conclusion: It is concluded that investments in infrastructure, professional training and strengthening of public policies are necessary, as well as new research that further qualifies child care in Primary Health Care.

Keywords: Primary Care; Growth; Child Development; Nursing.

Characteristics of Near Miss in adults in Primary Health Care

Sat, 31 Jan 2026 00:00:00 -0300

Objective: To map the characteristics of Near miss in adults in Primary Health Care. Methods: The scoping review protocol was developed based on the Joanna Briggs Institute (JBI) method and the PRISMA-ScR guidelines. Studies published from 2000 onwards, in English, Spanish, and Portuguese, addressing Near miss in Primary Health Care will be included. The search strategy was built from a preliminary search to identify keywords and specific terms. The selected databases include MEDLINE (PubMed), SCOPUS, EMBASE (Elsevier), LILACS, BDENF (BVS), and SCIELO (Bireme). The study selection will be conducted by two independent and blinded reviewers, with disagreements resolved by a third reviewer. The EndNote Web 21 software will be used for duplicate removal, while Rayyan will assist in screening and abstract analysis. Expected Results: The scoping review will identify, catalog, and describe the characteristics of Near miss in Primary Health Care. The results will be analyzed and synthesized narratively, with findings presented through charts, flowcharts, tables, and figures. Additionally, an instructional booklet will be developed, based on scientific evidence, containing practical recommendations and strategies aimed at risk mitigation, with the goal of promoting patient safety and improving care practices at this level of healthcare.

Keywords: Near Miss; Patient Safety; Primary Health Care.

Nursing: diagnosis, treatment, differentiation of chlamydia and gonorrhea

Sat, 31 Jan 2026 00:00:00 -0300

This study aims to address how the knowledge of nursing professionals related to chlamydia and gonorrhea aids in the diagnosis, treatment, and differentiation of these two diseases. Furthermore, it also seeks to clarify the infections and their characteristics, such as etiological agents, transmission, symptoms, and similarities. This is a narrative study, conducted through bibliographic research on chlamydia and gonorrhea, using official documents available from Google Scholar, the Ministry of Health (MS), the World Health Organization (WHO), the Virtual Health Library (BVS), LILACS, Scielo, as well as scientific articles related to the topic.

Keywords: Chlamydia; Gonorrhea; Sexually Transmitted Infections (STI); Similarities; Public Health; Treatment.

Nursing care for people with respiratory stomas

Sat, 31 Jan 2026 00:00:00 -0300

Introduction: Tracheostomy is a surgical procedure to maintain the airway by means of a tracheal tube. Nursing is essential in managing the device and preventing complications. Objective: To analyze the scientific evidence regarding nursing care for people with respiratory ostomies. Method: An integrative literature review using PubMed, Web of Science, Embase, CINAHL and LILACS, with no time frame. Controlled terms were used in Portuguese, English and Spanish, combined with the “AND” and “OR” operators. Results: The studies showed that nursing care for the person with a respiratory stoma involves cannula management, prevention of complications, aspiration of secretions and continuous assessment. They also highlighted the importance of professional training and communication adapted to the tracheostomized patient. Conclusion: Well-structured nursing interventions that integrate technical, psychosocial and contextual aspects are fundamental to improving care for people with respiratory stomas, promoting safety, adaptation and quality of life.

Keywords: Tracheostomy; Tracheotomy; Nursing Care; Review; Evidence-Based Clinical Practice.

Stress and burnout among dentists: a narrative review

Sat, 31 Jan 2026 00:00:00 -0300

Justification: Dentistry has been considered a stressful profession, often associated with health problems, both physical and mental. Stress and burnout syndrome are prevalent problems affecting dental professionals around the world. Objective: This article aims to provide a current comprehensive review of the state of research on stress and burnout in the dental profession. Method: The research was carried out in May 2024, and data collection was carried out on the following search portals: PUBMED, Scientific Electronic Library Online and Connected Papers. Original articles, literature reviews, theses and dissertations, gray literature in English, Spanish and Portuguese, published in the last 10 years, were considered for inclusion. Final Considerations: By identifying the underlying causes, manifestations, and consequences of stress and burnout in dentistry, stakeholders can implement specific interventions to support dental surgeons' mental health and resilience.Keywords: Stress, burnout syndrome, dentists.

Keywords: Stress, Burnout Syndrome, Dentists.

The impact of social media on maternal perception of fluoride use: a cross-sectional study

Sat, 31 Jan 2026 00:00:00 -0300

Social media have consolidated themselves as relevant tools for sharing information. Nowadays, it is no longer necessary to be a technology expert to recognize that the internet is fully integrated into everyday life. The exchange of experiences, the search for guidance and the sharing of information about child care have transformed social media into an important means of communication between groups of parents. In view of this need to understand how mothers seek and receive information about the use of fluoride, this research aimed to relate the efficacy and safety of the information received by mothers of children aged 0 to 4 years through social media about the use of fluorides. This is a cross-sectional study that was carried out through a questionnaire, elaborated on the Google Forms platform and distributed by the Whatsapp application to groups of mothers. In general, it was found that the inaccuracy of information about fluoride, disseminated through social media, compromises the mothers' discernment as to its authenticity. Maternal perception of fluoride shows a strong association with information disseminated on social networks. However, the guidance provided during regular visits to the dentist has an influence on the decision-making process regarding the veracity of the information.

Keywords: Disinformation; Fluoride; Social Media.