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A mostrar 1 - 10 de 2017
  • Physical activity in nursing curricula: a multicenter cross-sectional study
    Publication . Cruz, Arménio; Novo, André; Queirós, Carmen; Viana, Maria Clara; Veríssimo, Cristina; Petronilho, Fernando; Couto, Germano; Sousa, Luís; Ferreira, Maria Salomé; Souto, Nisa; Azevedo, Paulo; Ferreira, Paulo; Queiroz, Sandra; Gonçalves, Rodrigo; Pinto, Vanda
    Background: regular physical activity is essential for health promotion, disease prevention, and individual rehabilitation. As health professionals involved in combating physical inactivity, nurses benefit from academic curricula enriched with content on physical activity and exercise in order to enhance the population’s physical literacy. Objective: to map course units and programmatic content related to physical activity and exercise in nursing curricula in Portugal. Methodology: a multicentre cross-sectional study with a convenience sample of 15 schools (8 public; 7 private), analyzing 2023–2024 study plans and extracting data using peer-validated grids. Results: no course units exclusively dedicated to physical activity or exercise were identified, except for elective modules offered in master’s programmes in Rehabilitation Nursing (n = 4; 14.8%). A scattered integration of these topics was observed throughout the study cycles, with greater emphasis in the second cycle compared to the first (52.5%). Conclusion: these findings highlight the need to update curricula (mandatory modules on physical activity and exercise), strengthen pedagogical development for faculty, and promote research and continuing education to improve the assessment, counselling, and effective prescription of physical activity in healthcare practice.
  • Photodynamic inactivation mediated by TMPyP and potassium iodide: a promising strategy for Vibrio anguillarum control in aquaculture
    Publication . Vieira, Cátia; Bartolomeu, Maria; Gallego, Pedro P.; Neves, M. Graça P. M. S.; Romalde, Jesús L.; Faustino, M. Amparo F.; Almeida, Adelaide
    Vibrio anguillarum is a pathogenic bacterium associated with high mortality rates and economic losses in the aquaculture sector. This bacterium is often found in brine shrimp nauplii, a common live food for fish, making it a notable vector for pathogen transmission. This study aimed to evaluate the potential of antimicrobial photodynamic inactivation (aPDI) as a proof-of concept approach for decontamination and prophylactic control of V. anguillarum infections in aquaculture. To accomplish this, the efficiency of aPDI was assessed in: i) photoinactivating V. anguillarum in seawater; ii) decontaminating brine shrimp nauplii (Artemia franciscana) contaminated with V. anguillarum; and iii) preventing infections in turbot (Scophthalmus maximus L.) pre-challenged with V. anguillarum. These experiments employed the tetracationic photosensitizer 5,10,15,20-tetrakis(1-methylpyridinium-4-yl)porphyrin (TMPyP; 5.0 μM), combined with the well-known aPDI adjuvant potassium iodide (KI, 10-100 mM), under white light irradiation (100 mW cm–2). For the in vivo assays, treatment conditions were selected through toxicity assays and then applied to brine shrimp nauplii and turbot juveniles artificially contaminated with V. anguillarum. The results showed that aPDI mediated by TMPyP + KI efficiently reduced V. anguillarum concentration in seawater to undetectable levels in less than 10 min. Toxicity assays confirmed that TMPyP (5.0 μM) + KI (10 mM) did not induce detectable adverse effects in turbot and brine shrimp under the tested conditions. This combination also significantly reduced bacterial loads on brine shrimp nauplii (>3 log CFU mL-1) after 30 min. In turbot trials, a 5-min treatment was associated with an attenuation of disease symptoms but did not result in a statistically significant reduction in mortality. Overall, aPDI showed strong potential for reducing V. anguillarum contamination in seawater and live food, supporting its applicability as an environmental decontamination and prophylactic strategy. However, its effectiveness in directly preventing an stablished fish infection appears limited under the tested conditions and may require an earlier or repeated application. Further studies should focus on optimizing timing, dosage, and delivery protocols to improve in vivo protection prophylactic efficacy.
  • Profile of sports nurses in Portugal: a cross-sectional study
    Publication . Antunes, Nuno; Esperto, José Pena; Martins, Susana Rafaela; Mâncio, Pedro; Caldas, Artur; Santos, João Gonçalves; Fernandes, Rúben Duarte
    Background: The pursuit of maximum sports performance, together with the need to prevent injuries and complications, has increased the demand for highly specialized health professionals. However, the profile and perceptions of sports nurses in Portugal remain insufficiently explored. Objective: To characterize the profile of sports nurses in Portugal. Methodology: A cross-sectional study was conducted with 129 nurses using an online questionnaire addressing sociodemographic characteristics, education, professional experience, satisfaction, perspectives, and professional practice in sports settings. Results: Participants were predominantly male (64.3%), with complementary training and varied professional experience (mean of 14 years). Despite contractual challenges, nurses reported moderate levels of professional satisfaction. Multidisciplinary work, diversity of roles, and the need for professional recognition stand out. Conclusion: The broad scope of practice of sports nurses is crucial in supporting athletes’ health, although greater academic and professional recognition is still required. This study contributes to the knowledge in this field and suggests future research to optimize practice.
  • Adaptation and validation of the caregiver health engagement scale for the Portuguese cultural context
    Publication . Leão, André Manuel Pacheco Barbosa; Vieira, Margarida Maria Silva; Machado, Paulo Alexandre Puga
    Background: Assuming the role of family caregiver is a complex process that requires engagement, negotiation, and resolution among all involved. Promoting caregiver engagement fosters a more active approach to caregiving. Using instruments to measure engagement enables the guidance of nursing interventions and improves the health and quality of life of family caregivers and the people they care for. Objective: To translate, adapt, and validate the Caregiver Health Engagement Scale for the Portuguese language and culture. Methodology: Methodological study with content, linguistic, and conceptual validation. Reliability was assessed using Cronbach’s alpha, and construct validity was evaluated through exploratory factor analysis with Varimax rotation. Results: The sample comprised 91 caregivers, predominantly women (82.4%), with a median age of 65 years; 46.2% were caring for a parent, and 30.8% were spouses of the care recipient. The scale demonstrated good internal reliability (α = 0.825), a clear unifactorial structure, and satisfactory convergent and divergent validity. Conclusion: The Portuguese version of the Caregiver Health Engagement Scale is psychometrically robust and culturally appropriate and can be integrated into assessment protocols for family caregivers.
  • Novel potential risk loci for migraine in the Portuguese population
    Publication . Marco, Rodrigo De; Pucci, Kevin; Santos, Mariana; Gil-Gouveia, Raquel; Cavadas, Bruno; Sousa, Alda; Alves-Ferreira, Miguel; Azevedo, Luísa; Lemos, Carolina; Dias, Andreia
    Common forms of migraine are complex disorders characterized by significant clinical diversity. Their genetic basis has been extensively studied but remains unclear. This study represents the first pilot genome-wide association study (GWAS) integrating a polygenic risk score (PRS) in the Portuguese population, designed to identify migraine susceptibility loci through a case–control study and unravel population-specific variants. Genotyping data was acquired with Applied Biosystems Axiom™ PMDA array, producing 12,035,248 singlenucleotide polymorphisms (SNPs) post-imputation, providing a comprehensive scope for GWAS analysis. PRS models were created and tested using a k-folds cross-validation framework and the optimal significance threshold was assessed. We detected 12 potential risk loci corresponding to 12 lead SNPs (RP11-204N11.2, CTA-481E9.4/CTA-481E9.3, RAP1A, TIGD4, CADPS2, RP11-46E17.6, RP4-569D19.5, RP11-398K14.1, PCBP1-AS1, TCF15, IL6R and UNC13A). The top three variants (RP11-204N11.2, CTA-481E9.4/CTA-481E9.3 and RAP1A) were also supported by the PRS model. We highlight that several variants present putative biological relevance to migraine pathophysiology, reinforcing the importance of neurotransmitter release, synaptic transmission and the involvement of vascular components in migraine pathophysiology.
  • Therapeutic potential of phenolic acids in bone tissue healing and regeneration: a scoping review
    Publication . Peres, Geórgia Rondó; Nunes, Gabriel Pereira; Alves, Renata de Oliveira; Martins, Tamires Passadori; Toledo, Priscila Toninatto Alves de; Horta, Haylla de Faria; Duque, Cristiane
    This scoping review evaluated the effects of dietary phenolic acids on bone healing and regeneration, focusing on their osteogenic and antiresorptive properties. The review followed the PRISMA-ScR guidelines. A comprehensive search was conducted in PubMed, Scopus, Web of Science, Embase, and Cochrane Library. Eligible studies included in vitro and in vivo investigations assessing the effects of phenolic acids on bone tissue. Two reviewers independently screened studies, extracted data, and synthesized the findings. Of 1053 records identified, 49 studies were included. Phenolic acids, naturally found in fruits, vegetables, coffee, tea, cereals, and other plant-derived foods, demonstrated osteoprotective effects in experimental models. Caffeic acid (CAPE), chlorogenic acid, and ferulic acid stimulated osteoblast proliferation and differentiation, enhanced mineralization and osteogenic gene expression, and inhibited osteoclastogenesis and inflammatory pathways. Other compounds, including cinnamic and gallic acids, also exhibited anabolic and antiresorptive effects. In animal models, CAPE and chlorogenic acid prevented bone loss, whereas ferulic acid promoted bone repair and regeneration. Overall, phenolic acids demonstrated multifunctional properties related to osteogenesis, modulation of bone metabolism, and inhibition of bone resorption, thereby contributing to bone regeneration and homeostasis. However, current evidence remains predominantly preclinical, and translation to humans may be influenced by factors such as dietary intake, bioavailability, metabolism, and long-term exposure. Therefore, well-designed clinical and nutritional studies are needed to validate their efficacy and translational applicability in human bone health.
  • The use of technology in continuous nursing training in hospitals: a scoping review protocol
    Publication . Cunha, Daniel José Nunes Madureira da; Marques, Ana Jorge Santos; Silva, Carina Isabel Fernandes da; Machado, Paulo Alexandre Puga; Padilha, José Miguel Santos Castro
    Objective: To map and analyze scientific evidence on the use of technology in continuous nursing training at hospitals. Method: To prepare a scoping review protocol using the recommendations of the Joanna Briggs Institute. The following sources will be selected to search for reference: PubMed, Scopus, Web of Science, EBSCO aggregator, Open Access Scientific Repositories of Portugal, Google Scholar, and OpenGrey. The results of the research will be analyzed by title, abstract, and full text by two independent reviewers. The review report, which will be disclosed to the scientific community, will provide clues about information transmission models or strategies that increase participants’ motivation to learn and consequently offer a better response to health service clients.
  • Contributos de enfermagem para a construção de um legado em cuidados paliativos: uma revisão integrativa
    Publication . Dias, Patrícia; Oliveira, Nádia; Cunha, Daniela
    A vivência de uma doença grave, progressiva e limitante de vida leva a desafios psicossociais e existenciais, onde a falta de sentido, utilidade e propósito na vida podem constituir uma ameaça à dignidade da pessoa. A criação de um legado permite à pessoa a manutenção da sua identidade, o reconhecimento da sua trajetória e conquistas, e a realização de algo que sobreviva à sua própria morte, contribuindo para a redução do sofrimento existencial e psicossocial. Relativamente aos familiares/cuidadores é facilitadora do processo de luto. Desta forma, o objetivo desta revisão integrativa foi sintetizar os contributos da Enfermagem para a construção de um legado em Cuidados Paliativos considerando as dimensões emocionais, espirituais, relacionais e simbólicas da prática do legado. Para responder a este objetivo recorreu-se às bases de dados MEDLINE Complete, CINAHL Complete, eBook Nursing Collection, eBook Collection, eBook Medical Collection e PubMed, tendo sido incluídos 13 artigos. O referencial teórico utilizado como base deste estudo foi a A Teoria do Cuidado Humano de Jean Watson que permitiu identificar três grandes dimensões dos contributos de enfermagem na construção de um legado: intrapessoal, relacional-transpessoal e espiritual-existencial. Os estudos evidenciaram que a Enfermagem contribui para que a construção de um legado como prática de cuidado espiritual e simbólico, onde a escuta, a presença e a intenção são instrumentos de cura e transcendência. A atuação do enfermeiro assume-se como catalisadora de um cuidado intencional e compassivo, centrado na pessoa, que acolhe a sua história, respeita os seus valores e dignifica a sua existência.
  • Nurses’ responsibilities towards victims of violence in the preservation of forensic traces and evidence: a scoping review
    Publication . Rabiais, Isabel; Rosas, Adília; Sousa, Luís; Gonçalves, Susana; Monteiro, Paulo; Deodato, Sérgio; Severino, Sandy
    Background/Objectives: The objective of this review is to map nurses’ responsibilities in addressing individuals who are victims of violence, specifically in the preservation of forensic evidence in both intra- and extra-hospital contexts. The research question is as follows: What are a nurse’s responsibilities regarding the care of victims of violence for the preservation of forensic evidence in in-hospital and out-of-hospital emergencies? Methods: The mnemonic PCC (P-Population, C-Concept, and C-Context) method was followed according to the recommendations of the Joanna Brigs Institute (2024). The population is defined as “individuals who are victims of violence”, the concept (phenomenon of interest) as “nursing interventions determining responsibilities in forensic evidence preservation”, and the context as “intra- and extra-hospital emergencies”. A search was conducted in the following databases: CINAHL Complete via EBSCO Host, Medline Complete via EBSCO Host, PubMed, Web of Science, and RCAAP via B-ON. From the total articles retrieved, 18 were selected for analysis. Results: The 18 articles emphasized the critical role of nurses in preserving forensic evidence in both intra- and extra-hospital contexts. These findings were grouped into six domains to clarify the topic: (1) knowledge and training of nurses on forensic evidence preservation and the implementation of standardized protocols; (2) collection of biological and non-biological samples to preserve evidence on the victim’s body; (3) collection of biological and non-biological samples to preserve evidence on the victim’s objects and belongings; (4) documentation of forensic traces and evidence; (5) maintenance of the chain of custody; and (6) ongoing interprofessional collaboration between nurses, law enforcement, and judicial authorities. Conclusions: Intra- and extra-hospital emergencies, teams must be proficient in recognizing victims of violence and in conducting appropriate evidence preservation to ensure their legal admissibility.