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Plano de parto no pré-natal: percepções do enfermeiro da atenção primária à saúde

Mon, 23 Feb 2026 00:00:00 GMT

Título: Plano de parto no pré-natal: percepções do enfermeiro da atenção primária à saúde Autor(es): Soares, Stefany Karoline de Almeida

Práticas integrativas e complementares em saúde na formação acadêmica: estudo quantitativo transversal com estudantes de cursos de graduação em ciências da saúde

Mon, 23 Feb 2026 00:00:00 GMT

Título: Práticas integrativas e complementares em saúde na formação acadêmica: estudo quantitativo transversal com estudantes de cursos de graduação em ciências da saúde Autor(es): Trindade, Mônica Viviany Silveira Abstract: Introduction: integrative and Complementary Health Practices (ICHP) are important for comprehensive care within the Brazilian Unified Health System (SUS), as established by Law No. 8.080/90. However, studies indicate a lack of knowledge about these practices in the training of health professionals. General objective: To analyze the opinions, attitudes, interests, and use of Integrative and Complementary Health Practices among undergraduate students in Health Sciences programs at a Federal University. Materials and Methods: This was a quantitative, analytical, and exploratory cross-sectional study, with a convenience sample of undergraduate students enrolled in Health Sciences programs at the Federal University of Sergipe. Data were collected online and in person through a self-administered questionnaire (sociodemographic characteristics, lifestyle habits, and ICHP) between December 2024 and May 2025. Descriptive statistical analysis (frequency, mean, and standard deviation) and association tests (Chisquare and Fisher’s exact test) were performed using SPSS software (version 20.0). Results: a total of 290 students participated in the study, most of whom self-identified as Black/Brown (60%), with a mean age of 22.77 years. The majority were female (63.8%), had no children (96.9%), reported a family income of up to two minimum wages (51.4%), did not engage in paid work (91.7%), and did not receive a university scholarship (83.1%). Most participants (72.1%) recognized the health benefits of ICHP, 44.8% had previously used ICHP, and 15.5% reported current use for health care. However, formal academic exposure was low, as 70.3% had not attended courses or disciplines addressing the topic, despite recognizing the importance of learning about ICHP at the university (97.3%). The analysis showed that female sex and the presence of a health condition were significantly associated with greater use of and interest in training in ICHP (p < 0.05). Perceived importance of learning about ICHP at the university was strongly associated with interest in training courses (p < 0.001). In addition, following ICHP-related profiles or groups on social media was significantly associated with participation in academic activities related to ICHP, including disciplines (p < 0.001), extension projects (p < 0.001), and research groups (p < 0.001). Final considerations: The study demonstrated high receptivity, interest, and personal use of ICHP among undergraduate Health Sciences students. However, this enthusiasm contrasts with limited and incipient formal academic training. This curricular dissonance prevents high interest from being legitimized by evidence-based knowledge and highlights the need to restructure curricula to integrate ICHP transversally. Such integration would ensure that future health professionals are able to apply these practices ethically, safely, and comprehensively, in alignment with the principles of the SUS.

Escore de mehran como preditor da injúria renal aguda induzida por contraste: estudo prospectivo

Wed, 25 Feb 2026 00:00:00 GMT

Título: Escore de mehran como preditor da injúria renal aguda induzida por contraste: estudo prospectivo Autor(es): Santos, Maria Jérsica Cruz Abstract: Introduction: Contrast-induced acute kidney injury (CI-AKI) is the third leading cause of inhospital acute kidney injury. The Mehran score is a predictive tool that has been used to support preventive interventions against CI-AKI. Objective: To assess the risk of CI-AKI using the Mehran score in hospitalized patients undergoing percutaneous coronary intervention in the context of acute coronary syndrome. Materials and methods: A prospective observational cohort study with a quantitative approach was conducted in a private hospital located in the city of Aracaju, Sergipe, Brazil, from August 2024 to August 2025. Patients aged ≥18 years diagnosed with acute coronary syndrome, who underwent percutaneous coronary intervention and remained hospitalized for more than 24 hours, with available records of baseline and postprocedure serum creatinine in the medical charts for the relevant analyses, were included. Records lacking essential information for specific analyses were excluded only from those analyses, according to the variable evaluated. CI-AKI was defined according to the KDIGO criteria. Data were recorded on the REDCap platform and analyzed using appropriate statistical methods with RStudio® software. Qualitative variables were expressed as absolute and relative frequencies, and quantitative variables as mean and standard deviation or median and interquartile ranges. The significance level adopted was p≤0.05. The discriminatory performance was evaluated by the ROC curve (AUC; 95% CI). Results: The sample consisted of 83 patients, with a mean age of 68.1 years, a predominance of males (66%). The incidence of CI-AKI was 58% (n=48). There was an average increase of 0.31 mg/dL in creatinine and an average percentage increase of 34.36%. The median Mehran score was 4 (IQR 0–8), classifying 65% of patients as low risk. However, among these, 51.9% developed AKI. Comparative analysis between groups with and without AKI revealed a significant difference only in the angina classification (p=0.008). Renal biomarkers, such as the absolute and percentage change in creatinine, were significantly higher in the AKI group (p<0.001). There was no difference between the groups for the other sociodemographic, clinical, and hemodynamic variables. The Mehran score showed limited discriminatory ability, with an AUC of 0.524. Sensitivity was low (41.7%), specificity was moderate (74.3%), and the Kappa coefficient indicated weak agreement (14.9%). Discussion: CI-AKI remains frequent in patients with acute coronary syndrome undergoing percutaneous coronary intervention, especially in populations with multiple comorbidities. The findings indicate that clinical and hemodynamic factors have a greater impact on the development of injury than the type or volume of contrast used. Furthermore, traditional scores have limited predictive ability in complex clinical settings, highlighting the importance of continuous monitoring and individualized preventive strategies conducted by multidisciplinary teams. Conclusion: The Mehran score did not show adequate performance as a predictive tool for CI-AKI under the studied conditions, showing low discriminatory capacity and limited accuracy for risk stratification.

Point-of-care ultrasound na avaliação da congestão pulmonar no pós-operatório de cirurgia cardíaca: um estudo de acurácia diagnóstica na prática da enfermagem

Fri, 27 Feb 2026 00:00:00 GMT

Título: Point-of-care ultrasound na avaliação da congestão pulmonar no pós-operatório de cirurgia cardíaca: um estudo de acurácia diagnóstica na prática da enfermagem Autor(es): Santos, Maria José Oliveira dos Abstract: ntroduction: Pulmonary congestion is a frequent condition in the postoperative period of cardiac surgery and may be present even in the absence of overt clinical signs. Although the Clinical Congestion Score (CCS) is widely used in routine care, its ability to detect early congestion is limited, particularly in hemodynamically complex patients. In this context, point-of-care ultrasound (POCUS) has emerged as a valuable tool for identifying subclinical pulmonary congestion through the Lung Ultrasound Score (LUS) and inferior vena cava (IVC) assessment, potentially enhancing the accuracy of nursing clinical evaluation. Objective: To evaluate the diagnostic accuracy and clinical applicability of POCUS in detecting pulmonary congestion in the postoperative period of cardiac surgery, compared with traditional clinical assessment. Methods: This prospective cohort study was conducted in accordance with the STROBE (Strengthening the Reporting of Observational studies in Epidemiology) guidelines and included patients in the postoperative period of cardiac surgery. Sociodemographic and clinical data were collected, and congestion was assessed using the CCS and pulmonary and IVC POCUS. Clinical, hemodynamic, and in-hospital outcomes were compared between patients with and without pulmonary congestion. Results: Ultrasound assessment identified pulmonary congestion in 84.9% of patients, whereas the CCS classified 31.4% as congested. Among patients with POCUS-detected congestion, 65.8% presented mild congestion and 34.2% moderate congestion; no cases of severe congestion were identified, and all patients classified as non-congested by POCUS showed normal LUS findings. Clinical congestion assessed by the CCS was associated with greater systemic severity, with the SOFA score remaining the only independently associated factor in multivariable analysis (p < 0.05). Regarding congestion detected by POCUS, lower urine output was the only associated variable, with no significant associations with mechanical ventilation, intensive care unit length of stay, total hospital length of stay, or mortality. The area under the curve (AUC) was 0.527 (95% CI: 0.332–0.721), indicating low discriminatory capacity of the clinical score to identify pulmonary congestion when compared to the ultrasound method. Conclusion: POCUS demonstrated superior diagnostic capacity for detecting pulmonary congestion compared with traditional clinical assessment, enabling the identification of subclinical congestion in the postoperative period of cardiac surgery. These findings support the role of POCUS as a complementary tool to clinical evaluation, enhancing diagnostic accuracy and strengthening nursing practice in critical care settings.