RESUMO: A produção de manga (Mangifera indica) está se expandindo em muitos países e seus resíduos tem o potencial de ser usado para a fabricação de dietas para peixes. Este estudo avaliou a substituição parcial de fubá de milho por farinha de manga (FM) em dietas para piava (Megaleporinus obtusidens) em termos de performance zootécnica, glicose do plasma, enzimas intestinais e análise microbiológica. Piavas (n = 160) foram distribuídas em um esquema completamente randomizado (quatro tratamentos e quatro repetições) e alimentadas por 45 dias com dietas contendo diferentes níveis de inclusão de FM (0, 33, 66 e 100%). Não houve nenhuma contaminação microbiológica (bolor, coliformes totais, Bacillus cereus e Salmonella sp.) na FM. Os fenóis totais e taninos totais foram maiores na dieta com FM (P < 0.05). Dietas com 100% de fubá de milho substituído por MM reduziu a performance de crescimento e aumento a taxa de conversão alimentar (TCA) e os níveis de glicose nos peixes (P < 0.05). De acordo com a análise de regressão de segunda ordem, o nível ideal de inclusão de FM na dieta estimado com base no ganho de peso e o TCA foi de 23,68 e 19,75%, respectivamente (P < 0.05). O aumento gradual dos níveis de FM substituindo fubá de milho na dieta reduziu a atividade das enzimas intestinais amilase, lipase e protease alcalina (P < 0.05). Em conclusão, recomendamos a substituição de 19,75-23,68% de fubá de milho por FM, que pode ser usada nas dietas de piava. RESUMO Mangifera indica (FM Megaleporinus obtusidens zootécnica plasma n 160 repetições 4 0, 0 (0 33 6 100%. 100 . 100%) bolor, bolor (bolor sp. sp P 0.05. 005 0.05 05 0.05) (TCA ordem 2368 23 68 23,6 1975 19 75 19,75% amilase conclusão 19,7523,68% 19752368 19,75 23,68% 19,75-23,68 16 ( 3 10 00 0.0 236 2 23, 197 1 7 7523 19,7523,68 1975236 19,7 19,75-23,6 0. 752 19,7523,6 197523 19, 19,75-23, 19,7523, 19752 19,75-23 19,7523 19,75-2 19,752 19,75-

ABSTRACT: Mango (Mangifera indica) production is expanding in many countries, and its discarded residues have the potential to be used in the manufacture of fish diets. This study evaluated replacing part of the corn meal (CM) with mango meal (MM) in diets for piava (Megaleporinus obtusidens) in terms of zootechnical performance, plasma glucose, and intestinal enzymes. Piavas (n = 160) were distributed in a completely randomized design (four treatments and four replications) and were fed for 45 days with diets containing different levels of MM inclusion (0, 33, 66, and 100%). There was no microbiological contamination (mold, total coliforms, Bacillus cereus, and Salmonellasp.) in MM. The MM diet had higher total phenols and total tannins (P < 0.05). Diets with 100% of the CM replaced by MM reduced the growth performance and increased the feed conversion ratio (FCR) and plasma glucose levels in piava (P < 0.05). According to the second-order regression analysis, the optimal level of MM inclusion in the diet estimated based on weight gain and FCR was 23.68 and 19.75%, respectively (P < 0.05). The gradual increase in MM levels replacing CM in the diet reduced the activity of the intestinal enzymes amylase, lipase, and alkaline protease (P < 0.05). In conclusion, we recommended replacing 19.75-23.68% of CM with MM, which can be used in piava diets. ABSTRACT Mangifera indica countries (CM (MM Megaleporinus obtusidens n 160 replications 4 0, 0 (0 33 66 100%. 100 . 100%) mold, mold (mold coliforms cereus Salmonellasp. Salmonellasp P 0.05. 005 0.05 05 0.05) (FCR secondorder second order analysis 2368 23 68 23.6 1975 19 75 19.75% amylase lipase conclusion 19.7523.68% 19752368 19.75 23.68% 19.75-23.68 16 ( 3 6 10 00 0.0 236 2 23. 197 1 7 7523 19.7523.68 1975236 19.7 19.75-23.6 0. 752 19.7523.6 197523 19. 19.75-23. 19.7523. 19752 19.75-23 19.7523 19.75-2 19.752 19.75-

Resumo Objetivou-se analisar a percepção de estudantes e egressos sobre a utilização da Aprendizagem Baseada em Problemas (ABP) na formação do enfermeiro. Trata-se de um estudo qualitativo que utiliza a modalidade compreensiva e interpretativa proposta pela Hermenêutica-Dialética. Realizaram-se quatro grupos focais com a participação de 17 estudantes e 16 egressos de uma instituição de ensino superior que aplica a ABP na formação de enfermeiros. A análise dos resultados permitiu a definição de cinco categorias temáticas: dificuldade de adaptação em relação ao método; conquista de autonomia sobre o próprio aprendizado; incentivo ao desenvolvimento do raciocínio clínico; aprimoramento da comunicação e das relações interpessoais e integração entre teoria e prática. Evidencia-se que a utilização da ABP favorece a aproximação com as proposições das diretrizes curriculares para a formação do enfermeiro por meio do desenvolvimento de habilidades e competências como autonomia, comunicação, relações interpessoais e raciocínio clínico mediante práticas integrais e contextualizadas. Entretanto, os estudantes enfrentam dificuldades com as mudanças observadas ao serem inseridos nela ABP, as quais são superadas no decorrer do processo de implementação. Objetivouse Objetivou se (ABP Tratase Trata HermenêuticaDialética. HermenêuticaDialética Hermenêutica Dialética. Dialética Hermenêutica-Dialética Realizaramse Realizaram 1 enfermeiros temáticas método aprendizado prática Evidenciase Evidencia contextualizadas Entretanto implementação

Abstract This study aimed to analyze students’ and graduates’ perceptions regarding the use of Problem-Based Learning (PBL) in nurse education. This is a qualitative study that employs the comprehensive and interpretative approach proposed by Dialectical Hermeneutics. Four focus groups were conducted with the participation of 17 students and 16 graduates from a higher education institution that implements PBL in nurse education. The analysis of results allowed for the identification of five thematic categories: difficulty in adapting to the method; attainment of autonomy in one’s own learning; encouragement of clinical reasoning development; enhancement of communication and interpersonal relationships; and integration between theory and practice. It is evident that the use of PBL promotes alignment with the propositions of curriculum guidelines for nurse education by fostering the development of skills and competencies such as autonomy, communication, interpersonal relationships, and clinical reasoning through comprehensive and contextualized practices. However, students encounter challenges with the changes observed when introduced to PBL, which are overcome during the implementation process. ProblemBased Problem Based (PBL Hermeneutics 1 categories method ones one s learning relationships practice practices However process

Resumo Objetivou-se realizar uma análise espacial da taxa de mortalidade hospitalar (TMH) por síndrome respiratória aguda grave (SRAG) atribuída à COVID-19 em crianças e adolescentes no Brasil no período de 2020 a 2021. Utilizou-se o método de cluster para agrupar as unidades federativas (UFs) com base na TMH. Em 2020, clusters com altas TMHs foram formados por UFs Norte/Nordeste. Em 2021, houve redução na TMH. Os clusters com maiores taxas permaneceram na região N/NE. Diferenças regionais foram observadas nas TMHs. Os achados podem refletir as desigualdades sociais e o acesso à atenção hospitalar, principalmente na faixa etária de menores de 1 ano pela gravidade da doença neste grupo.

Abstract The objective was to perform a spatial analysis of the hospital mortality rate (HMR) due to severe acute respiratory syndrome (SARS) attributed to COVID-19 among children and adolescents in Brazil from 2020 to 2021. A cluster method was used to group federal units (FUs) based on HMR. In 2020, clusters with high HMRs were formed by north/northeast FUs. In 2021, there was a reduction in HMR. Clusters with higher rates remained in the N/NE region. Regional differences were observed in the HMR. The findings may reflect social inequalities and access to hospital care, especially in the under 1-year-old age group due to the severity of the disease in this group.

Abstract The objective was to perform a spatial analysis of the hospital mortality rate (HMR) due to severe acute respiratory syndrome (SARS) attributed to COVID-19 among children and adolescents in Brazil from 2020 to 2021. A cluster method was used to group federal units (FUs) based on HMR. In 2020, clusters with high HMRs were formed by north/northeast FUs. In 2021, there was a reduction in HMR. Clusters with higher rates remained in the N/NE region. Regional differences were observed in the HMR. The findings may reflect social inequalities and access to hospital care, especially in the under 1-year-old age group due to the severity of the disease in this group.

Resumo Objetivou-se realizar uma análise espacial da taxa de mortalidade hospitalar (TMH) por síndrome respiratória aguda grave (SRAG) atribuída à COVID-19 em crianças e adolescentes no Brasil no período de 2020 a 2021. Utilizou-se o método de cluster para agrupar as unidades federativas (UFs) com base na TMH. Em 2020, clusters com altas TMHs foram formados por UFs Norte/Nordeste. Em 2021, houve redução na TMH. Os clusters com maiores taxas permaneceram na região N/NE. Diferenças regionais foram observadas nas TMHs. Os achados podem refletir as desigualdades sociais e o acesso à atenção hospitalar, principalmente na faixa etária de menores de 1 ano pela gravidade da doença neste grupo.

Resumo Objetivou-se analisar a percepção de estudantes e egressos sobre a utilização da Aprendizagem Baseada em Problemas (ABP) na formação do enfermeiro. Trata-se de um estudo qualitativo que utiliza a modalidade compreensiva e interpretativa proposta pela Hermenêutica-Dialética. Realizaram-se quatro grupos focais com a participação de 17 estudantes e 16 egressos de uma instituição de ensino superior que aplica a ABP na formação de enfermeiros. A análise dos resultados permitiu a definição de cinco categorias temáticas: dificuldade de adaptação em relação ao método; conquista de autonomia sobre o próprio aprendizado; incentivo ao desenvolvimento do raciocínio clínico; aprimoramento da comunicação e das relações interpessoais e integração entre teoria e prática. Evidencia-se que a utilização da ABP favorece a aproximação com as proposições das diretrizes curriculares para a formação do enfermeiro por meio do desenvolvimento de habilidades e competências como autonomia, comunicação, relações interpessoais e raciocínio clínico mediante práticas integrais e contextualizadas. Entretanto, os estudantes enfrentam dificuldades com as mudanças observadas ao serem inseridos nela ABP, as quais são superadas no decorrer do processo de implementação.

Abstract This study aimed to analyze students’ and graduates’ perceptions regarding the use of Problem-Based Learning (PBL) in nurse education. This is a qualitative study that employs the comprehensive and interpretative approach proposed by Dialectical Hermeneutics. Four focus groups were conducted with the participation of 17 students and 16 graduates from a higher education institution that implements PBL in nurse education. The analysis of results allowed for the identification of five thematic categories: difficulty in adapting to the method; attainment of autonomy in one’s own learning; encouragement of clinical reasoning development; enhancement of communication and interpersonal relationships; and integration between theory and practice. It is evident that the use of PBL promotes alignment with the propositions of curriculum guidelines for nurse education by fostering the development of skills and competencies such as autonomy, communication, interpersonal relationships, and clinical reasoning through comprehensive and contextualized practices. However, students encounter challenges with the changes observed when introduced to PBL, which are overcome during the implementation process.

Objective: To ascertain whether sociodemographic and health-related characteristics known from previous research to have a substantive impact on recovery from depression modified the effect of a digital intervention designed to improve depressive symptoms (CONEMO). Methods: The CONEMO study consisted of two randomized controlled trials, one conducted in Lima, Peru, and one in São Paulo, Brazil. As a secondary trial plan analysis, mixed logistic regression was used to explore interactions between the treatment arm and subgroups of interest defined by characteristics measured before randomization – suicidal ideation, race/color, age, gender, income, type of mobile phone, alcohol misuse, tobacco use, and diabetes/hypertension – in both trials. We estimated interaction effects between the treatment group and these subgroup factors for the secondary outcomes using linear mixed regression models. Results: Increased effects of the CONEMO intervention on the primary outcome (reduction of at least 50% in depressive symptom scores at 3-month follow-up) were observed among older and wealthier participants in the Lima trial (p = 0.030 and p = 0.001, respectively). Conclusion: There was no evidence of such differential effects in São Paulo, and no evidence of impact of any other secondary outcomes in either trial. Clinical trial registration: NCT02846662 (São Paulo, Brazil – SP), NCT03026426 (Lima, Peru – LI). Funded by the U.S. National Institute of Mental Health (grant U19MH098780). Objective healthrelated health related CONEMO. . (CONEMO) Methods trials Paulo analysis ideation racecolor race color race/color age gender income phone misuse use diabeteshypertension diabetes hypertension models Results reduction 50 3month month 3 followup follow up follow-up 0030 0 030 0.03 0001 001 0.001 respectively. respectively respectively) Conclusion registration NCT NCT0284666 SP, SP , SP) NCT0302642 (Lima LI. LI LI) US U S U.S grant U19MH098780. U19MH098780 UMH MH U19MH098780) (CONEMO 5 003 03 0.0 000 00 0.00 NCT028466 NCT030264 U19MH09878 0. NCT02846 NCT03026 U19MH0987 NCT0284 NCT0302 U19MH098 NCT028 NCT030 U19MH09 NCT02 NCT03 U19MH0 NCT0 U19MH

Resumo O artigo analisou os conflitos e injustiças socioambientais decorrentes da cana-de-açúcar na Reserva Extrativista Acaú-Goiana, Pernambuco, Brasil. Foi realizado estudo de caso de caráter descritivo com trabalhadores rurais a partir da cartografia social e documentos, analisados segundo as categorias do EJAtlas. O Atlas Global de Justiça Ambiental (EJAtlas) é um inventário na web que reúne conflitos e injustiças ambientais, servindo como base para denúncias de territórios afetados. Mesmo com a criação da Reserva para proteção dos bens naturais e vida dos ecossistemas, emergiram novos conflitos decorrentes da instalação de empreendimentos que pressionam o território, e que se somam a problemas seculares como o cultivo da cana-de-açúcar. Entre outros impactos, destacam-se a poluição do ar, contaminação do solo e recursos hídricos, perda de biodiversidade, insegurança alimentar e nutricional, aumento da violência, violações de direitos humanos e problemas de saúde mental. canadeaçúcar cana açúcar AcaúGoiana, AcaúGoiana Acaú Goiana, Goiana Acaú-Goiana Pernambuco Brasil documentos EJAtlas (EJAtlas ambientais afetados ecossistemas território canadeaçúcar. açúcar. impactos destacamse destacam ar hídricos biodiversidade nutricional violência mental

Abstract The article analyzed the sugarcane-derived socioenvironmental conflicts and injustice in the Acaú-Goiana Extractive Reserve, Pernambuco, Brazil. A descriptive case study was conducted with rural workers based on social cartography and documents, analyzed under the EJAtlas categories. The Global Atlas of Environmental Justice (EJAtlas) is a web inventory that gathers environmental conflicts and injustice, serving as a basis for reporting affected territories. Even with the creation of the Reserve to protect natural assets and ecosystem life, new conflicts emerged from the installation of enterprises that put pressure on the territory and added to centuries-old problems such as sugarcane cultivation. Other impacts include air pollution, contamination of soil and water resources, biodiversity loss, food and nutritional insecurity, increased violence, human rights violations, and mental health problems. sugarcanederived derived AcaúGoiana Acaú Goiana Pernambuco Brazil documents categories (EJAtlas territories life centuriesold centuries old cultivation pollution resources loss insecurity violence violations

Resumen Los conflictos socioambientales son la clave para entender contradicciones e injusticias del actual modelo de desarrollo. El Atlas Global de Justicia Ambiental (EJAtlas) es un inventario en Internet de los conflictos e injusticias ambientales, que sirve para las denuncias de los territorios afectados. El artículo analiza los conflictos e injusticias socioambientales derivados de la caña de azúcar en la Reserva Extractiva de Acaú-Goiana, Pernambuco, Brasil. Se realizó un estudio de caso descriptivo con trabajadores rurales basado en cartografía social y documentos, analizados según las categorías del EJAtlas. En la Reserva, creada para la protección de los bienes naturales han surgido nuevos conflictos debido a la instalación de granjas camaroneras y condominios privados que presionan el territorio. Entre otros impactos, destacan la contaminación del aire, del suelo y de los recursos hídricos, la inseguridad alimentaria y nutricional, las violaciones de los derechos humanos y los problemas de salud mental. desarrollo EJAtlas (EJAtlas ambientales afectados AcaúGoiana, AcaúGoiana Acaú Goiana, Goiana Acaú-Goiana Pernambuco Brasil documentos territorio impactos aire hídricos nutricional mental

ABSTRACT BACKGROUND: The Positive Aspects of Caregiving (PAC) scale is used to assess psychosocial benefits provided to caregivers by the task of caring. The PAC scale consists of nine items, assessed using a five-point Likert scale, with higher values indicating greater positive perceptions and gains from the caregiving experience. OBJECTIVE: To translate and culturally adapt the PAC scale for informal Brazilian caregivers of people with dementia. DESIGN AND SETTING: A methodological study was conducted at the Federal University of São Carlos. METHODS: The following stages were carried out: Translation; Synthesis of the translations; Back-translation; Evaluation by an experts’ committee; and Pre-test. RESULTS: Two independent professionals translated the PAC scale. The consensus version was obtained by merging both translations, which were back-translated into English by a third translator. The expert committee comprised three specialists in the area and project researchers. All scale items presented a Content Validity Index of 1 (CVI = 1.0), and thus remained in the pre-final version of the instrument. The instrument was pre-tested with seven caregivers of people with dementia, the majority of whom were women (57.1%), with a degree of kinship corresponding to sons/daughters (57.1%) and an average age of 55.2 (± 4.1) years. The caregivers considered it clear and understandable and made no suggestions for changes. CONCLUSION: The PAC scale was translated and culturally adapted for use by informal caregivers of people with dementia in Brazil. However, a psychometric analysis of the instrument is necessary to provide normative data for this population group. BACKGROUND (PAC caring fivepoint five point experience OBJECTIVE SETTING Carlos METHODS out Translation translations Backtranslation Back translation Back-translation experts Pretest. Pretest Pre test. test Pre-test RESULTS backtranslated back translator researchers CVI 1.0, 10 1.0 , 0 1.0) prefinal pre final pretested tested 57.1%, 571 57.1% 57 sonsdaughters sons daughters (57.1% 552 55 2 55. ± ( 4.1 41 4 years changes CONCLUSION Brazil However group 1. 57.1 5 (57.1 4. 57. (57. (57 (5

RESUMO O senso de domínio é conceituado como um aspecto positivo do cuidado voltado às pessoas que vivem com demência, um mecanismo de enfrentamento para reduzir a sobrecarga e que pode representar um fator protetor para a saúde mental e física do cuidador. Objetivo: Traduzir e adaptar culturalmente a Pearlin Mastery Scale para o Brasil. Métodos: Estudo metodológico conduzido na Universidade Federal de São Carlos, em que foram seguidas as etapas de tradução inicial; síntese; retrotradução; revisão pelo comitê de juízes pela análise do Índice de Validade de Conteúdo (IVC); e teste da versão pré-final. Resultados: Dois especialistas traduziram a escala para o português brasileiro e definiram uma versão consensual com os pesquisadores. Posteriormente, outros dois especialistas retrotraduziram a versão consensual, que foi revisada por três juízes doutores na área, considerando todos os itens da escala como muito equivalentes (IVC=1,0), mantendo-os na versão pré-final do instrumento. Esta foi testada em um primeiro grupo de cuidadores, a fim de se apontarem adequações. As sugestões foram acatadas mediante a modificação de três itens e, depois, a escala foi testada em um segundo grupo, o qual não apresentou dificuldades em responder ao instrumento. Conclusão: A Pearlin Mastery Scale foi traduzida e adaptada culturalmente para o Brasil, demonstrando equivalência. Entretanto, análises psicométricas futuras do instrumento são necessárias para disponibilizá-lo para uso entre essa população. demência cuidador Objetivo Brasil Métodos Carlos inicial síntese retrotradução IVC (IVC) préfinal. préfinal pré final. final Resultados pesquisadores Posteriormente área IVC=1,0, IVC10 IVC=1,0 , 1 0 (IVC=1,0) mantendoos mantendo cuidadores adequações depois Conclusão equivalência Entretanto disponibilizálo disponibilizá lo população (IVC IVC1 IVC=1, (IVC=1,0 IVC=1 (IVC=1, IVC= (IVC=1 (IVC=

ABSTRACT The sense of mastery is conceptualized as a positive aspect of care targeted at people living with dementia, a coping mechanism to reduce burden, and may represent a protective factor for caregivers’ mental and physical health. Objective: To translate and culturally adapt the Pearlin Mastery Scale for Brazil. Methods: A methodological study was conducted at the Federal University of São Carlos in which the initial translation stages were followed; synthesis; back-translation; review by the committee of judges by analyzing the Content Validity Index (CVI); and test of the pre-final version. Results: Two specialists translated the scale into Brazilian Portuguese and defined a consensus version with the researchers. Subsequently, another two specialists back-translated the consensus version, which was reviewed by three judges who are PhDs in the area, considering all scale items as very equivalent (CVI=1.0), and maintaining them in the pre-final version of the instrument. This was tested in a first group of caregivers for them to point out adjustments. The suggestions were accepted by modifying three items and, afterward, the scale was tested in a second group, which did not present difficulties answering the instrument. Conclusion: The Pearlin Mastery Scale was translated and culturally adapted for Brazil, showing equivalence. However, future psychometric analyses of the instrument are required to make it available for use in this population. dementia burden health Objective Brazil Methods followed synthesis backtranslation back back-translation CVI (CVI) prefinal pre final Results researchers Subsequently backtranslated area CVI=1.0, CVI10 CVI=1.0 , 1 0 (CVI=1.0) adjustments afterward Conclusion equivalence However population (CVI CVI1 CVI=1. (CVI=1.0 CVI=1 (CVI=1. CVI= (CVI=1 (CVI=

Resumo Objetivou-se realizar uma análise espacial da taxa de mortalidade hospitalar (TMH) por síndrome respiratória aguda grave (SRAG) atribuída à COVID-19 em crianças e adolescentes no Brasil no período de 2020 a 2021. Utilizou-se o método de cluster para agrupar as unidades federativas (UFs) com base na TMH. Em 2020, clusters com altas TMHs foram formados por UFs Norte/Nordeste. Em 2021, houve redução na TMH. Os clusters com maiores taxas permaneceram na região N/NE. Diferenças regionais foram observadas nas TMHs. Os achados podem refletir as desigualdades sociais e o acesso à atenção hospitalar, principalmente na faixa etária de menores de 1 ano pela gravidade da doença neste grupo. Objetivouse Objetivou se TMH (TMH SRAG (SRAG COVID19 COVID 19 COVID-1 202 2021 Utilizouse Utilizou (UFs NorteNordeste Norte Nordeste Norte/Nordeste NNE N NE N/NE grupo COVID1 COVID- 20 2

Abstract The objective was to perform a spatial analysis of the hospital mortality rate (HMR) due to severe acute respiratory syndrome (SARS) attributed to COVID-19 among children and adolescents in Brazil from 2020 to 2021. A cluster method was used to group federal units (FUs) based on HMR. In 2020, clusters with high HMRs were formed by north/northeast FUs. In 2021, there was a reduction in HMR. Clusters with higher rates remained in the N/NE region. Regional differences were observed in the HMR. The findings may reflect social inequalities and access to hospital care, especially in the under 1-year-old age group due to the severity of the disease in this group. HMR (HMR SARS (SARS COVID19 COVID 19 COVID-1 202 2021 FUs (FUs northnortheast north northeast NNE N NE region care 1yearold yearold 1 year old COVID1 COVID- 20 2

Abstract Sjogren’s disease (SjD) is an autoimmune disease that is characterized not only by the sicca symptoms it causes but also by its systemic nature, which is capable of several and not yet fully understood extraglandular manifestations. To gain a clearer understanding of these manifestations as well as a better practical approach, a panel of experts from the Brazilian Society of Rheumatology conducted a systematic review and meta-analysis on the identification of epidemiologic and clinical features of the extraglandular manifestations present in ESSDAI (EULAR Sjogren´s syndrome disease activity index), followed by a voting panel with recommendations for clinical practice. This publication is complementary to others already published and covers cutaneous and hematological manifestations, with prevalence data generated by a meta-analysis of 13 clinical or laboratory manifestations and 6 clinical management recommendations. Sjogrens Sjogren s SjD (SjD nature approach metaanalysis meta analysis EULAR index, index , index) practice 1

RESUMO Objetivo: mapear evidências científicas acerca da utilização de dispositivos de pressão local no alívio da dor durante a aplicação de injeções em pacientes. Métodos: revisão de escopo, conforme recomendações do JBI Manual for Evidence Synthesis e PRISMA-ScR, com busca nas bases PubMed, EMBASE, CINAHL, LILACS e PsycINFO, sem recorte temporal e data limite até março de 2023. Resultados: foram encontrados 1.514 estudos, sendo incluídos 20 artigos na amostra final. O dispositivo ShotBlocker® foi utilizado durante a aplicação de injeções subcutânea e intramuscular em crianças e adultos, sendo benéfico na redução da dor, da ansiedade e do medo associados ao procedimento. Considerações finais: o ShotBlocker® é um dispositivo de baixo custo e fácil manuseio a ser utilizado para aprimorar a prática clínica da Enfermagem durante a realização de procedimentos dolorosos. Contudo, estudos com o dispositivo brasileiro Pikluc® são escassos. Recomenda-se a realização de estudos com ambos os dispositivos de pressão local. Objetivo pacientes Métodos escopo PRISMAScR, PRISMAScR PRISMA ScR, ScR PRISMA-ScR PubMed EMBASE CINAHL PsycINFO 2023 Resultados 1514 1 514 1.51 2 final ShotBlocker adultos procedimento finais dolorosos Contudo Pikluc escassos Recomendase Recomenda se 202 151 51 1.5 15 5 1.

ABSTRACT Objective: to map scientific evidence regarding the use of local pressure devices in pain relief during injection procedures in patients. Methods: scoping review, following the recommendations of the JBI Manual for Evidence Synthesis and PRISMA-ScR, with searches conducted in the PubMed, EMBASE, CINAHL, LILACS, and PsycINFO databases, without temporal restrictions and with a cutoff date of March 2023. Results: a total of 1,514 studies were identified, with 20 articles included in the final sample. The ShotBlocker® device was utilized during subcutaneous and intramuscular injections in children and adults, proving beneficial in reducing pain, anxiety, and fear associated with the procedure. Final considerations: the ShotBlocker® is a low-cost, easy-to-use device that can enhance nursing clinical practice during painful procedures. However, studies involving the Brazilian Pikluc® device are scarce. Further research involving both local pressure devices is recommended. Objective patients Methods review PRISMAScR, PRISMAScR PRISMA ScR, ScR PRISMA-ScR PubMed EMBASE CINAHL LILACS databases 2023 Results 1514 1 514 1,51 identified 2 sample ShotBlocker adults anxiety procedure considerations lowcost, lowcost low cost, cost low-cost easytouse easy However Pikluc scarce recommended 202 151 51 1,5 15 5 1,

RESUMEN Objetivo: mapear evidencia científica sobre el uso de dispositivos de presión local en el alivio del dolor durante la aplicación de inyecciones en pacientes. Métodos: revisión de alcance, siguiendo las recomendaciones del Manual JBI para Síntesis de Evidencia y PRISMA-ScR, con búsqueda en las bases de datos PubMed, EMBASE, CINAHL, LILACS y PsycINFO, sin restricciones temporales y con fecha límite hasta marzo de 2023. Resultados: se identificaron un total de 1,514 estudios, con 20 artículos incluidos en la muestra final. El dispositivo ShotBlocker® se utilizó durante las inyecciones subcutáneas e intramusculares en niños y adultos, demostrando ser beneficioso en la reducción del dolor, la ansiedad y el miedo asociados con el procedimiento. Consideraciones finales: el ShotBlocker® es un dispositivo de bajo costo y fácil manejo que puede mejorar la práctica clínica de enfermería durante procedimientos dolorosos. Sin embargo, los estudios sobre el dispositivo brasileño Pikluc® son escasos. Se recomienda realizar estudios con ambos dispositivos de presión local. Objetivo pacientes Métodos alcance PRISMAScR, PRISMAScR PRISMA ScR, ScR PRISMA-ScR PubMed EMBASE CINAHL PsycINFO 2023 Resultados 1514 1 514 1,51 2 final ShotBlocker adultos procedimiento finales dolorosos embargo Pikluc escasos 202 151 51 1,5 15 5 1,

Abstract This descriptive study analyzed the perceptions of Brazilian hospital pharmacists towards their clinical attributions related to “interventions in the prescription” and “monitoring the use of medication” in view of the current Basel Declaration of the International Federation of Pharmacists (Federação Internacional de Farmacêuticos - FIP). Brazilian hospitals of high and medium complexity were identified and a pre-tested questionnaire based on the 65 recommendations of the Basel Statments was sent via e-mail, directed to the pharmacists of the 2,054 hospitals. The results were categorized into: a) they meet the statement, b) they do not meet, or c) they did not respond. Pharmacists from 111 hospitals returned the survey. For the recommendations of the theme “influences on prescribing”, the highest percentage of compliance was related to the effective performance of pharmacists in the Pharmacy and Therapeutics Committee (PTC), which occurred in 54.1% of the hospitals. While for the “monitoring the use of medication” was refered to the existence of an easily accessible system for notifying technical complaints, in 47.7 % of the hospitals. The results emphasize that these activities need to be reviewed and aligned, to offer better quality and more safety to the patient in relation to the use of medication. interventions prescription monitoring medication Federação FIP. FIP . FIP) pretested pre tested 6 email, email e mail, mail e-mail 2054 2 054 2,05 into statement b c respond 11 survey influences prescribing, prescribing , prescribing” PTC, PTC (PTC) 541 54 1 54.1 complaints 477 47 7 47. aligned 205 05 2,0 (PTC 5 54. 4 20 0 2,

ABSTRACT Objective To describe and analyze the aspects regarding the cost and length of stay for elderly patients with bone fractures in a tertiary reference hospital. Methods A cross-sectional retrospective study using data obtained from medical records between January and December 2020. For statistical analysis, exploratory analyses, Shapiro-Wilk test, χ2 test, and Spearman correlation were used. Results During the study period, 156 elderly patients (62.2% women) with bone fractures were treated. The main trauma mechanism was a fall from a standing height (76.9%). The most common type of fracture in this sample was a transtrochanteric fracture of the femur, accounting for 40.4% of cases. The mean length of stay was 5.25 days. The total cost varied between R$2,006.53 and R$106,912.74 (average of R$15,695.76) (updated values). The mean daily cost of hospitalization was R$4,478.64. A positive correlation was found between the length of stay and total cost. No significant difference in cost was observed between the two main types of treated fractures. Conclusion Fractures in the elderly are frequent, resulting in significant costs. The longer the hospital stay for treatment, the higher the total cost. No correlation was found between total cost and number of comorbidities, number of medications used, and the comparison between the treatment of transtrochanteric and femoral neck fractures. crosssectional cross sectional 2020 analysis analyses ShapiroWilk Shapiro Wilk test χ used period 15 62.2% 622 62 2 (62.2 women 76.9%. 769 76.9% . 76 9 (76.9%) femur 404 40 4 40.4 cases 525 5 25 5.2 days R200653 R 006 53 R$2,006.5 R10691274 106 912 74 R$106,912.7 average R$15,695.76 R1569576 695 updated values. values values) R447864 478 64 R$4,478.64 frequent costs comorbidities 202 1 62.2 6 (62. 76.9 7 (76.9% 40. 52 5. R20065 00 R$2,006. R1069127 10 91 R$106,912. R$15,695.7 R156957 69 R44786 47 R$4,478.6 20 62. (62 76. (76.9 R2006 0 R$2,006 R106912 R$106,912 R$15,695. R15695 R4478 R$4,478. (6 (76. R200 R$2,00 R10691 R$106,91 R$15,695 R1569 R447 R$4,478 ( (76 R20 R$2,0 R1069 R$106,9 R$15,69 R156 R44 R$4,47 (7 R2 R$2, R106 R$106, R$15,6 R15 R4 R$4,4 R$2 R10 R$106 R$15, R1 R$4, R$ R$10 R$15 R$4 R$1

Abstract Objective To review current literature to support the use of mesna as a preventive therapy for hemorrhagic cystitis and bladder cancer in patients with systemic autoimmune diseases and systemic vasculitis treated with cyclophosphamide. Materials and methods The search for articles was conducted systematically through MEDLINE, LILACS, Cochrane Library, and Embase databases. Only articles in English were selected. For available records, titles and abstracts were selected independently by two investigators. Results Eighteen studies were selected for analysis. The known adverse effects of cyclophosphamide were hematological toxicity, infections, gonadal toxicity, teratogenicity, increased risk for malignancy and hemorrhagic cystitis. Long-term toxicity was highly dependent on cyclophosphamide cumulative dose. The risk of bladder cancer is especially higher in long-term exposure and with cumulative doses above 36 g. The risk remains high for years after drug discontinuation. Hemorrhagic cystitis is highly correlated with cumulative dose and its incidence ranges between 12 and 41%, but it seems to be lower with new regimens with reduced cyclophosphamide dose. No randomized controlled trials were found to analyze the use of mesna in systemic autoimmune rheumatic diseases and systemic vasculitis. Retrospective studies yielded conflicting results. Uncontrolled prospective studies with positive results were considered at high risk of bias. No evidence was found to support the use of mesna during the treatment with cyclophosphamide for autoimmune diseases or systemic vasculitis to prevent hemorrhagic cystitis and bladder cancer. In the scenarios of high cumulative cyclophosphamide dose (i.e., > 30 g), patients with restricted fluid intake, neurogenic bladder, therapy with oral anticoagulants, and chronic kidney disease, mesna could be considered. Conclusion The current evidence was found to be insufficient to support the routine use of mesna for the prophylaxis of hemorrhagic cystitis and bladder cancer in patients being treated for systemic autoimmune diseases and systemic vasculitis with cyclophosphamide. The use may be considered for selected cases. MEDLINE LILACS Library databases records investigators analysis infections teratogenicity Longterm Long term longterm long 3 g discontinuation 1 41 41% bias i.e., ie i e (i.e. g, , g) intake anticoagulants disease cases 4 i.e. (i.e i.e