Reliability, Concurrent Validity, Responsiveness and Measurement Error of the Portuguese Version of Comprehensive Motor Coordination Scale in Individuals With Parkinson's Disease.

INTRODUCTION: Assessment of motor coordination in patients with Parkinson's disease (PD) is based on motor performance and does not consider movement quality. OBJECTIVE: To validate the Comprehensive Coordination Scale (CCS) in patients with PD and correlate it with motor impairment. METHODS: This cross-sectional and case-control study included 15 individuals with PD and 15 healthy older individuals as controls. Motor impairments were measured using the MDS-UPDRS (Part III). Motor coordination (CCS) was evaluated by five examiners and classified into four domains: upper and lower limbs and unilateral and bilateral tasks. CCS scores were compared between the groups using the Mann-Whitney test; concurrent validity was evaluated using Spearman's correlation between CCS and PD scales; and the inter-rate reliability was calculated by intraclass correlation coefficient (ICC). RESULTS: There was significant difference between the groups in the upper limb (p < 0.001), lower limb (p = 0.006), unilateral (p < 0.001), bilateral (p = 0.015), and total (p < 0.001) CCS scores. Total CCS score (ICC 0.78), upper limb (ICC 0.71), lower limb (ICC 0.86) and unilateral (ICC 0.74) showed high inter-rate reliability. Bilateral domain (ICC 0.92) showed very high inter-rate reliability. And, there was negative correlation between CCS upper limb and postural tremor of hands (r = -0.716; p = 0.008), unilateral CCS domain with postural tremor of hands (r = -0.687; p = 0.012), and CCS total score with postural tremor of hands (r = -0.804; p = 0.002). CONCLUSION: There was high inter-rater agreement for all CCS items, mainly in the lower limb and bilateral tasks. And, there was a moderate-to-very strong correlation between the total and sub-items of the CCS and motor impairment.

Factors driving misinformation production and user engagement with toothache content on Facebook.

Objectives: This study characterized toothache-related Portuguese Facebook posts, identifying factors driving misinformation production and user engagement. Methods: Investigators qualitatively analyzed 500 posts published between August 2018 and August 2022, screening on language and theme. Posts were selected using CrowdTangle and assessed for motivation, author profile, content, sentiment, facticity, and format. The interaction metrics (total interactions/overperforming scores) were compared between groups of dichotomized characteristics, including time of publication. Data were evaluated by descriptive analysis, the Mann-Whitney U test, and the path analysis by generalized structural equation modeling. Results: 39.6% of posts (n = 198) contained misinformation, significantly linked to noncommercial posts with positive sentiment, links, and videos from regular users motivated by financial motivation. Additionally, user engagement was only positively associated with business/health authors' profiles and the time of publication. Conclusion: Toothache-related posts often contain misinformation, shared by regular users in links and video formats, tied to positive sentiments, and generally with financial motivation.

Research skills developed in post-graduation and their translation into clinical nursing practices.

OBJECTIVE: To explore how the development of research skills through postgraduate training is transferred to the use of research in clinical nursing practice. METHOD: This was a qualitative, exploratory, descriptive study developed based on a focus group in October 2021, using an intentional sample of eight postgraduate nurses from a healthcare institution in the region of Baixo Alentejo, Portugal. Bardin's content analysis was performed to analyze data. The participants and two reviewers legitimized the findings. In addition, the consolidated criteria for reporting qualitative research checklist were applied to this study to ensure the quality of the research report. RESULTS: From the data analysis, three categories emerged: 1) transfer of research skills to clinical practice, 2) constraints to the development of research, and 3) expectations concerning the development of nursing research. CONCLUSION: Appreciation of research skills in contexts of practice, team involvement, improvement of nursing care outcomes, greater understanding of the research process, communication of results, and transferring knowledge to the clinic are contributions of research skills acquired in postgraduation training. The findings from this study can contribute to the development of health and nursing education policies.

[Environment and public health: epidemics in Modern Age Portugal]. / Meio ambiente e saúde pública: as epidemias em Portugal na Idade Moderna.

The issue of public health and epidemics is again in the spotlight today because of the recent epidemic we have experienced, which, although weaker, continues to be the object of our attention. In this article, we attempt to understand the relationship between the environment and public health, within this context exploring the main epidemics known to have occurred in Portugal in the Modern Age. Conditions in Portugal at that time were favorable for the spread of several epidemics; the environment encouraged the spread of disease and boosted virulence at a time when medicine was unable to cope, causing mortality rates to soar.

A questão da saúde pública e das epidemias conheceu nos nossos dias novamente a ribalta, devido à recente epidemia vivida e que, embora mais enfraquecida, continua a ser objeto da nossa atenção. Procuramos, neste artigo, compreender a relação existente entre meio ambiente e saúde pública e, nesse âmbito, estudar as principais epidemias conhecidas em Portugal ao longo da Idade Moderna. Foram várias as epidemias que encontraram no Portugal moderno condições favoráveis à sua propagação. O meio ambiente favoreceu o alastramento da doença e potenciou a sua virulência num período em que a medicina era incapaz de fazer face à doença, disparando as taxas de mortalidade.

Variables related to perceived stress and resilience among international migrants: a multicenter study (AFFAIR Project).

OBJECTIVE: To identify variables related to perceived stress and resilience of international migrants. METHOD: Multicenter, observational, cross-sectional study carried out with 403 migrants residing in Brazil, Spain, or Portugal. The following instruments were used to collect data: Perceived Stress Scale and Resilience Scale. Student's t-test and analysis of variance were applied in the analysis. RESULTS: Perceived stress was related to: living in Brazil or Portugal; shorter stay in the host country; being black or brown; and having no religion. Greater resilience was related to: not being divorced; having less education and lower family income; being from developing countries; living in Spain; and having a religion. CONCLUSION: Aspects such as host and origin country, skin color, income, marital status, education, length of stay in the host country, and religion are related to the level of stress and/or resilience of migrants. Knowing this profile is useful for developing public integration policies and interventions that seek to reduce stress and improve resilience.

[Hospitals in Portugal from the nineteenth to the mid-twentieth centuries]. / Os hospitais em Portugal no século XIX e na primeira metade do século XX.

Since the modern era, healthcare in Portugal has been provided primarily by hospitals, many of which were founded by the Sisters of Mercy and known as Misericordias. However, the creation of new hospitals in the nineteenth century and first half of the twentieth century did not necessarily yield improved patient care, since these institutions tended to be small, poorly equipped, and lacking in human and material resources. This study presents a reflection on developments in Portuguese hospitals from 1834 through to the first decades of the twentieth century, drawing on data on several institutions to identify changes and continuities in the healthcare offered.

Desde a época moderna, em Portugal, a assistência à doença foi prestada, sobretudo, pelos hospitais, muitos deles criados pelas Misericórdias. No entanto, a criação de novos hospitais no século XIX e nas primeiras décadas do século XX não trouxe, necessariamente, uma melhoria no tratamento dos doentes, visto que, salvo raras exceções, eram espaços pequenos, mal equipados e carentes de recursos humanos e materiais. O objetivo deste texto é apresentar uma reflexão sobre a resposta hospitalar em Portugal entre 1834 e as primeiras décadas do século XX. Pretendemos apontar as mudanças e continuidades que, nesse período, ocorreram no campo da assistência à doença, fazendo referência à criação de diversas instituições.

Advancing insights in critical COVID-19: unraveling lymphopenia through propensity score matching - Findings from the Multicenter LYMPH-COVID Study.

OBJECTIVE: To elucidate the impact of lymphopenia on critical COVID-19 patient outcomes. METHODS: We conducted a multicenter prospective cohort study across five hospitals in Portugal and Brazil from 2020 to 2021. The study included adult patients admitted to the intensive care unit with SARS-CoV-2 pneumonia. Patients were categorized into two groups based on their lymphocyte counts within 48 hours of intensive care unit admission: the Lymphopenia Group (lymphocyte serum count < 1 × 109/L) and the Nonlymphopenia Group. Multivariate logistic regression, propensity score matching, Kaplan‒Meier survival curve analysis and Cox proportional hazards regression analysis were used. RESULTS: A total of 912 patients were enrolled, with 191 (20.9%) in the Nonlymphopenia Group and 721 (79.1%) in the Lymphopenia Group. Lymphopenia patients displayed significantly elevated disease severity indices, including Sequential Organ Failure Assessment and Simplified Acute Physiology Score 3 scores, at intensive care unit admission (p = 0.001 and p < 0.001, respectively). Additionally, they presented heightened requirements for vasopressor support (p = 0.045) and prolonged intensive care unit and in-hospital stays (both p < 0.001). Multivariate logistic regression analysis after propensity score matching revealed a significant contribution of lymphopenia to mortality, with an odds ratio of 1,621 (95%CI: 1,275 - 2,048; p < 0.001). Interaction models revealed an increase of 8% in mortality for each decade of longevity in patients with concomitant lymphopenia. In the subanalysis utilizing three-group stratification, the Severe Lymphopenia Group had the highest mortality rate, not only in direct comparisons but also in Kaplan‒Meier survival analysis (log-rank test p = 0.0048). CONCLUSION: Lymphopenia in COVID-19 patients is associated with increased disease severity and an increased risk of mortality, underscoring the need for prompt support for critically ill high-risk patients. These findings offer important insights into improving patient care strategies for COVID-19 patients.

[Portuguese health and medicine during the first quarter of the twentieth century through the lenses of Jorge Marçal da Silva]. / A saúde e a medicina portuguesas no primeiro quartel do século XX pelas lentes de Jorge Marçal da Silva.

This paper aims at illustrating the panorama of health and medicine in Portugal in the first quarter of the twentieth century using the photographic collection of Jorge Marçal da Silva, a doctor and amateur photographer, which has been preserved by his family. From his collection, we have chosen a selection of photographs that illustrate the modus vivendi of the Portuguese population, in the rural interior, on the fishing coast and in city life, as well as some that depict hospital environments and medical care in the capital, in order to reflect on their importance as a source for the historiographical reflection on the history of Portuguese medicine in the 1900s.

Este trabalho pretende ilustrar o panorama da saúde e da medicina em Portugal no primeiro quartel do século XX a partir do espólio fotográfico de Jorge Marçal da Silva, médico e fotógrafo amador, que tem sido preservado pela família. Da sua coleção, escolhemos uma seleção de fotografias que ilustram o modus vivendi da população portuguesa, no interior rural, no litoral piscatório e na vida citadina, bem como algumas das que retratam os ambientes hospitalares e a assistência médica na capital, no sentido de reflectir sobre a sua importância como fonte de reflexão historiográfica para a história da medicina portuguesa de Novecentos.

Hospitals and medical specialization in Lisbon, 1880-1933.

This study analyzes the influence of hospitals on medical specialization and resulting implications for the history of public health from 1880 to 1933, with a focus on Lisbon as a case study. After the 1755 earthquake, a shift occurred from Renaissance-style hospitals to a network of hospitals that strategically occupied diverse urban spaces, significantly shaping the modernization of medicine and governmental healthcare policies. Employing the framework of the history of science, technology and medicine studies, this research enriches the historiography of hospitals, offering comprehensive insight into their societal significance during the study period.

The influence of miasmatic theory on the construction of the Hospital Geral de Santo António in Porto in the nineteenth century.

The aim of this work is to ascertain the relevance of the miasmatic theory for the construction and spatial organization of the Hospital Geral de Santo António in Porto, Portugal, in the 19th century, from then recent graduate physicians' viewpoint. The methodology consists of analyzing the inaugural dissertations presented to the Escola Médico-Cirúrgica do Porto in order to assess the physicians' perceptions of the Santo António Hospital building, with emphasis on the relationship between health, medicine and environment. This work intends to contribute to better understand the relationship between the theoretical referential approach to disease and medical practice, at the interface of health, medicine, and environment by analyzing interspecies encounters.

Excess potential years of working life lost in six countries from Latin America and Europe in 2020 and 2021.

OBJECTIVE: This descriptive study aimed to measure the excess all-cause mortality potential years of working life lost (PYWLL) in the working-age population of six Ibero-American countries in 2020 and 2021. METHODS: This study was based on all-cause deaths for the age group 15-69 years for men and women in six countries: Colombia, Costa Rica, México, Peru, Portugal and Spain. The expected PYWLL was the average value determined from the previous 5 years (2015-2019). To estimate the excess of PYWLL, the expected PYWLL was subtracted from the observed PYWLL values for 2020 and 2021, separately. RESULTS: In the four Latin American countries, the excess PYWLL per death was approximately double (between 12 and 16 years) that of the two European countries (between 3 and 9 years). CONCLUSIONS: The loss of working-age individuals will probably have a profound social and economic recovery impact, affecting families and communities. The informal employment and labour market structures may be contributing to the adverse effects of the pandemic in the region. Investing in universal, comprehensive and sustainable health and social protection systems in the Latin American countries is crucial to build resilience against current and future crises.

Analyzing innovative policies and practices for palliative care in Portugal: a qualitative study.

BACKGROUND: Countries with formal policies for palliative care, and advanced and integrated practices in this field, such as Portugal, face challenges in achieving excellence in care, particularly in home-based assistance. Issues include care coordination among providers, confusion regarding the roles of each health care professional in the network, and a lack of monitoring and evaluation of actions. Our objective was to analyze the implementation of palliative care in primary health care in Portugal. METHODS: We conducted a qualitative, descriptive, and exploratory study in Portugal involving health care professionals with experience in palliative care. The data were collected through semistructured interviews and focus groups between March and October 2023. Eighteen health care professionals participated. We used the Alceste software for lexicographic analysis. The research was authorized by an Ethics Committee. RESULTS: Four classes were identified; classes 1 and 2, comprising 77% of the corpus, addressed the study objectives. Participants highlighted inequitable access, strategic development plans with unattainable short-term goals; and low literacy. They emphasized the importance of legislation, professional training initiatives for generalist palliative care at home, and early referral. Home-based challenges included professionals' lack of exclusive dedication, absence of 24/7 coverage, and unavailability of capable family caregivers. The networks' response to hospital admissions and patient transitions from hospital to home, with access to the specialized team, was also inadequate. CONCLUSIONS: Health care professionals aim to increase patients' time spent at home, reduce emergency department visits, and minimize hospitalizations by leveraging the resources of the national palliative care network. In addition to investments to sustain network implementation and legally guaranteed palliative care rights, the country must focus on measurable indicators for evaluating and monitoring actions, providing better guidance in the short, medium, and long term.

Construction and enhancement of a prototype for a medical-hospital equipment for hypodermoclysis: a qualitative study.

OBJECTIVES: to construct a Subcutaneous Hydration Device semi-functional prototype and gather initial information to improve this prototype design and realize its acceptance potential. METHODS: a qualitative, descriptive and exploratory study, which used focus group, following the Technology Acceptance Model. The group was held at the Escola Superior de Enfermagem de Coimbra, Portugal, in December 2022, composed of nine participants from six different disciplinary areas, and followed thematic analysis. RESULTS: four topics emerged associated with the device components: elastomeric infusion pump; needle/access device; clamp; administration set. From these topics, topics were triggered that highlighted: characteristics about the target population; ease of use and accessories; patient comfort and safety; and device application context. FINAL CONSIDERATIONS: the Subcutaneous Hydration Device semi-functional prototype is viable and interesting for the clinic. The results support its improvement and direct future investments for experimental studies.

[Food and nutrition surveillance actions in Brazil and Portugal: a comparative documentary analysis]. / Ações de vigilância alimentar e nutricional no Brasil e em Portugal: uma análise documental comparativa.

Food and nutrition surveillance is fundamental to the formulation, implementation, monitoring, and evaluation of public policies on food and nutrition. The comparative analysis of the evolution of food and nutrition surveillance actions between countries makes it possible to learn about advances, challenges and innovations for the planning of interventions. This study aimed to describe and compare food and nutrition surveillance actions in Brazil and Portugal, countries with different geographical dimensions and socio-economic profiles, but with the common characteristic of having a universal healthcare system. We manually searched for documents describing food and nutrition surveillance actions and for potential data sources on the institutional websites of the Brazilian and Portuguese governments. The recommendations of the READ approach were used (59 documents were identified for Brazil and 29 for Portugal). In Brazil, food and nutrition surveillance actions are included in health policies and in the constraints of conditional cash transfer programs. The Brazilian Households Budget Surveys and health surveys are used simultaneously with the Brazilian National Food and Nutrition Surveillance System (SISVAN). In Portugal, food and nutrition surveillance actions are part of health policies, via the National Program and the Integrated Strategy for the Promotion of Healthy Eating. Among the data sources identified are the Portuguese Food Balance Sheet and household budget, health and food surveys, as well as initiatives to monitor the nutritional status of children and adolescents. In both countries, strategies need to be improved in terms of the regularity of data recording, the harmonization of food consumption indicators and the dissemination of information.

A vigilância alimentar e nutricional é fundamental para a formulação, a implementação, o monitoramento e a avaliação de políticas públicas de alimentação e nutrição. A análise comparativa da evolução das ações de vigilância alimentar e nutricional entre países permite o conhecimento de avanços, desafios e inovações para o planejamento de intervenções. O objetivo foi descrever e comparar as ações de vigilância alimentar e nutricional no Brasil e em Portugal, países com dimensões geográficas e perfis socioeconômicos distintos, mas com sistema de saúde universal em comum. Nós buscamos por documentos que descrevessem as ações de vigilância alimentar e nutricional e por potenciais fontes de dados de maneira manual em websites institucionais dos governos brasileiro e português. O estudo utilizou as recomendações da abordagem READ (59 documentos foram identificados para o Brasil e 29 para Portugal). No Brasil, as ações de vigilância alimentar e nutricional estão inseridas em políticas de saúde e nas condicionalidades dos programas de transferência condicionada de renda. As Pesquisas de Orçamentos Familiares e os inquéritos de saúde são utilizados simultaneamente no Sistema de Vigilância Alimentar e Nutricional (SISVAN). Em Portugal, as ações de vigilância alimentar e nutricional estão inseridas nas políticas de saúde, por meio do Programa Nacional e da Estratégia Integrada para a Promoção da Alimentação Saudável. Entre as fontes de dados identificadas estão a Balança Alimentar Portuguesa, os inquéritos de orçamentos familiares, de saúde e alimentares, além de iniciativas para o monitoramento do estado nutricional de crianças e adolescentes. Em ambos os países, as estratégias precisam ser aprimoradas em relação à regularidade do registro de dados, à harmonização dos indicadores do consumo alimentar e à disseminação das informações.

La vigilancia alimentaria y nutricional es fundamental para la formulación, implementación, monitoreo y evaluación de las políticas públicas de alimentación y nutrición. El análisis comparativo de la evolución de las acciones de vigilancia alimentaria y nutricional entre países permite el conocimiento de los avances, desafíos e innovaciones para la planificación de intervenciones. El objetivo fue describir y comparar las acciones de vigilancia alimentaria y nutricional en Brasil y en Portugal, países con diferentes dimensiones geográficas y perfiles socioeconómicos, pero con un sistema de salud universal en común. Buscamos documentos que describieran las acciones de vigilancia alimentaria y nutricional y posibles fuentes de datos manualmente en sitios web institucionales de los gobiernos de Brasil y Portugal. El estudio utilizó las recomendaciones del enfoque READ (se identificaron 59 documentos para Brasil y 29 para Portugal). En Brasil, las acciones de vigilancia alimentaria y nutricional están incluidas en políticas de salud y en las condicionalidades de los programas de transferencia condicionada de ingresos. Las Encuestas de Presupuestos Familiares y los estudios de salud se utilizan simultáneamente con el Sistema de Vigilancia Alimentaria y Nutricional (SISVAN). En Portugal, las acciones de vigilancia alimentaria y nutricional están incluidas en las políticas de salud, por medio del Programa Nacional y de la Estrategia Integrada para la Promoción de una Alimentación Saludable. Entre las fuentes de datos identificadas, se encuentran la Balanza Alimentaria Portuguesa, las encuestas de presupuestos familiares, de salud y alimentarias. Además de iniciativas para el monitoreo del estado nutricional de niños y adolescentes. En ambos países, es necesario mejorar las estrategias con relación a la regularidad del registro de datos, a la armonización de los indicadores de consumo de alimentos y a la difusión de la información.

MULT: An allometric body mass index (ABMI) reference to assess nutritional status of multiethnic children and adolescents.

OBJECTIVES: To develop an allometric body mass index (ABMI) reference that adjusts the weight in relation to height, taking into account the changes during development (MULT ABMI reference), and to compare it with international BMI references. METHODS: The MULT ABMI reference was constructed through the LMS method, calculated with 65 644 ABMI observations of 17 447 subjects aged 5-22 years, from the United Kingdom, Ethiopia, India, Peru, Vietnam, Portugal, and Brazil. The M, S, and L curves of the MULT ABMI reference were compared with the curves of the MULT, World Health Organization (WHO), Centers for Disease Control and Prevention (CDC), International Obesity Task Force (IOTF), and Dutch Growth Study (DUTCH). RESULTS: The greater differences in the M curve between MULT ABMI and WHO, CDC, IOTF, DUTCH, and MULT BMI references were around puberty (138 to 150 months for boys; 114 to 132 for girls). MULT ABMI presented S values similar to IOTF and DUTCH BMI references for boys 60 to 114 months and then became higher, approaching the MULT BMI S values from 198 to 240 months. For girls the MULT ABMI S values were close to the IOTF, CDC, and DUTCH from 60 to 110 months, and then became higher, approaching the MULT BMI S values until 240 months. CONCLUSION: MULT ABMI presented an advantage in comparison to the existing BMI references because it takes into account the growth changes during puberty and is a new option to assess the nutritional status of multiethnic populations.

Initial outcomes and safety of MR guided focused ultrasound (MRgFUS) thalamotomy for essential tremor of the first FUS Medical Unit in Portugal.

BACKGROUND: The magnetic resonance imaging-guided focused ultrasound (MRgFUS) has emerged as an innovative treatment for patients with medically refractory essential tremor (ET). OBJECTIVE: This retrospective observational study aims to present the results of the first five patients with medically refractory ET who underwent MRgFUS treatment at this pioneering medical unit in Portugal. METHODS: We conducted a retrospective chart review for the first five patients who underwent unilateral MRgFUS thalamotomy of the ventral intermediate (Vim) nucleus to treat medically refractory ET at our medical unit. RESULTS: The mean patient age was 65.4 (26-84) years, and 60% were male. All patients had a family history of ET. The mean duration of disease was 17.4 years (range 10-24 years), and their dominant hand was the right. According to personal preference, the thalamotomy was performed on the left side in four patients, and on the right side in one. The MRgFUS thalamotomy led to significant improvements in both the clinical rating scale for tremor (CRST) score, by 62%, and the CRST composite score for the treated hand, by 73%. All patients experienced improvements in functionality and quality of life, by 52%. No severe adverse events were observed, and those that did occur during and following the procedure were mild and transient. CONCLUSION: The initial results from Portugal's first MRgFUS medical unit indicate promising outcomes, with improvement in quality of life, as well as mild and temporary adverse events These findings contribute to the growing body of literature supporting the efficacy and safety of MRgFUS as a viable treatment option for patients with medication-resistant ET.

ANTECEDENTES: A talomotomia por ultrassons focados - guiada por imagem de ressonância magnética (MRgFUS) surgiu recentemente como um tratamento inovador para pacientes com tremor essencial (TE) refratário ao tratamento médico. OBJETIVO: Este estudo observacional retrospectivo tem como objetivo apresentar os resultados dos primeiros cinco pacientes com TE refratário à medicação submetidos ao tratamento com MRgFUS numa unidade médica pioneira em Portugal. MéTODOS: Realizamos uma revisão retrospectiva dos dados clínicos dos cinco primeiros pacientes submetidos a talamotomia MRgFUS unilateral do núcleo ventral intermédio (Vim) para tratamento do TE medicamente refratário em nossa unidade médica. RESULTADOS: A idade média dos pacientes era de 65,4 (26­84) anos, e 60% eram do sexo masculino. Todos os pacientes tinham história familiar de TE. A duração média da doença foi de 17,4 anos, e todos eram destros. De acordo com a preferência individual, em 4 pacientes, a talamotomia foi realizada no lado esquerdo, e em um, no lado direito. A talamotomia por MRgFUS levou a melhorias significativas tanto na pontuação da escala de classificação clínica para tremor (CRST), de 62%, e na pontuação composta da CRST para a mão tratada, de 73%. Todos os pacientes apresentaram melhorias na funcionalidade e na qualidade de vida, de 52%. Não foram observados efeitos adversos graves e os que ocorreram durante e após o procedimento foram ligeiros e transitórios. CONCLUSãO: Os resultados iniciais da primeira unidade médica MRgFUS de Portugal indicam melhorias na qualidade de vida dos pacientes, com efeitos adversos ligeiros e transitórios. Estes dados reforçam a evidência crescente sobre a eficácia e segurança da talamotomia por MRgFUS como opção viável para pacientes com TE resistente à medicação.

Exploring the factors driving higher interactions in false amber necklace posts on Facebook.

The consumption and sharing of information on social media contribute to the circulation of false health content. In this sense, popular belief-driven posts recommending the use of amber necklaces to prevent symptoms of teething can be easily found on social media, even when they offer health risks for children. Accordingly, this study aimed to characterize posts in Portuguese by identifying message-based factors associated with higher user interactions of Facebook. A total of 500 Facebook posts published in Portuguese between August 2016 and August 2021 were retrieved by CrowdTangle, and analyzed quantitatively according to time of publication, total user interaction, and post overperforming score, and then qualitatively by two independent investigators, according to motivation, authors' profiles, and sentiment. The data were evaluated by descriptive analysis, Mann-Whitney U test, chi-square test, and multiple logistic regression models regarding interaction metrics. The posts were published predominantly by commercial profiles, with social, psychological, and financial motivations, and expressed positive sentiment. Furthermore, time of publication (OR=2.65), regular user profiles (OR=3.30), and neutral/negative sentiment (OR=2.76) were associated positively with total interactions, whereas only time of publication was associated with post overperforming scores (OR=1.65). In conclusion, Facebook posts promoting efficacy of amber necklaces in managing teething symptoms are primarily created by commercial profiles with vested interests in marketing the product. The key factors that contribute to the success of posts containing false information about amber necklaces on Facebook can be identified by considering the author's profile, sentiment, and time of publication.

Emoções e estratégias adotadas por brasileiros e portugueses durante a pandemia da covid-19 / Emotions and strategies adopted by brazilians and portuguese during the covid-19 pandemic / Emociones y estrategias adoptadas por brasileños y portugueses durante lapandemia de covid-19

Introdução:No final de 2019 um novo coronavírus com alta taxa de transmissibilidade foi identificado na China. Em março de 2020a Organização Mundial da Saúde declarou apandemia de Covid-19. Apandemiateve impacto na vida dos indivíduos, das famílias e da sociedade em geral. As pessoas tiveram dese adaptar à nova realidadee manifestaram diferentes emoçõese sentimentosdevido à situação pandêmica. As emoções vividas eo isolamento social necessário motivarama adoção de estratégias por parte das pessoas para se sentirem mais adaptadas e equilibradas anível físico e mental no seu dia a dia.Objetivo:O presente artigo tem como objetivo descrever e analisar as emoções, sentimentose estratégias adotadas por brasileiros e portugueses durante a pandemia da Covid-19. Metodologia:Este estudo faz parte de uma pesquisa mais ampla, realizada através de um questionário sociodemográfico com perguntas abertas e fechadas, efetuadono Google Forms, aplicado onlineem maio de 2020. Noquestionário foram abordadas as emoções e estratégias desenvolvidas e adotadas pelos 438 entrevistados (257 brasileiros;181 portugueses) durante a pandemia.A análise dosdados foi realizada através deestatística descritiva e análise de conteúdo temática.Resultados:Verificou-se que nos dois países, as emoções mais manifestadas foram medo e tristeza e as principais estratégias adotadas foram a criação de horários com rotinas diárias eexercício físicomas também algumas estratégias diferentes entre brasileiros e portugueses.Conclusões:Em momentos de crise pessoas de diferentes culturas experienciam emoções semelhantes tais como medo e tristeza e ajustam as suas rotinas diárias criando diferentes estratégias para enfrentar a adversidade de acordo com o seu contexto sociocultural (AU).

Introduction:At the end of 2019, a new coronavirus with a high transmissibility rate was identified in China. In March 2020, the World Health Organization declared the Covid-19 pandemic. The pandemic situation has had an impact on people's lives, families, and society.People had to adapt to the new reality and expressed different emotions and feelings due to the pandemic situation. The emotions experienced and the necessary social isolation motivated people to adopt strategies to feel more adapted and balanced on a physical and mental level in their daily lives. Objective: This article aims to describe and analyze the emotions, feelings and strategies adopted by Brazilians and Portuguese during the Covid-19 pandemic. Methodology:This study is part of a broader research, carriedout using a sociodemographic questionnaire with open and closed questions, carried out on Google Forms, applied online in May 2020. The questionnaire addressed the emotions and strategies developed and adopted by the 438 interviewees (257 Brazilians and 181 Portuguese) during the pandemic. Data analysis was carried out using descriptive statistics and thematic content analysis. Results: It was found that in both countries, the most expressed emotions were fear and sadness and the main strategies adopted were the creation of schedules with daily routines and physical exercise but also some different strategies between Brazilians and Portuguese. Conclusions: In times of crisis, people from different cultures experience similar emotions such as fear and sadness and adjust their daily routines, creating different strategies to face adversity according to their sociocultural context (AU).

Introducción: A finales de 2019, se identificó en China un nuevo coronavirus con una alta tasa de transmisibilidad. En marzo de 2020, la Organización Mundial de la Salud declaró la pandemia de Covid-19. La situación de pandemia ha repercutido en la vida de las personas, las familias y la sociedad. Las personas han tenido que adaptarse a la nueva realidad. En este contexto pandémico, las personas han expresado diferentes emociones y sentimientos debido a la nueva realidad social que han experimentado, y han creado estrategias para sentirse más adaptadas y equilibradas a nivel físico y mental en su vida diaria.Objetivo: Identificar y describir las principales emociones y sentimientos experimentados por brasileños y portugueses, así como crear estrategias para adaptarse a la situación durante el periodo de bloqueo de la pandemia Covid-19.Metodología:Este estudio forma parte de una encuesta más amplia, llevada a cabo mediante un cuestionario sociodemográfico con preguntas abiertas y cerradas, realizado en Google Forms, aplicado onlineen mayo de 2020, que indagaba sobre las emociones y los sentimientos experimentados en relación con la situación de pandemia y las estrategias creadas. La muestra fue de 438 participantes, 181 portugueses y 257 brasileños. Los datos se analizaron mediante estadística descriptiva y análisis del discurso.Resultados: En ambos países, el miedo y la tristeza fueron las emociones más expresadas. La mayoría de las estrategias utilizadas fueron el establecimiento de un horario y el ejercicio físico, pero también hubo algunas estrategias diferentes entre brasileños y portugueses.Conclusiones: En momentos de crisis, personas de diferentes culturas experimentan emociones similares como el miedo y la tristeza y ajustan sus rutinas diarias creando diferentes estrategias para enfrentar la adversidad de acuerdo con su contexto sociocultural (AU).

Brazilian-Portuguese Version of My Strengths My Health System: A Methodological Study.

My Strengths My Health (MSMH) is a simplified version of the Omaha System developed for the use of patients and their caregivers. Its main objective is to enable a whole-person assessment with the participation of the patients in understanding the concepts that comprise their care plan. Since 2021, we joined a worldwide initiative to translate MSMH to other languages and this paper reports the Brazilian experience in 3 stages, developed from January 2022 to December 2023: translation and back translation of terms, its validation by freshman nursing students and its adoption by patients at an outpatient facility. Among the results, we highlight the patients' comments on the perceived ease of use of the system. MSMH adoption by caregivers and populations of different cultures and languages can amplify the comprehension of biological, psychological, social, spiritual and environmental determinants of health worldwide specially if issues on digital health literacy are considered.

Nurses' perspectives on nurses' work methods.

OBJECTIVES: To analyze nurses' perspectives on nurses' work methods in the hospital context. METHODS: A descriptive study with a qualitative approach was conducted in a hospital in northern Portugal, involving 17 nurses. Semi-structured interviews were used for data collection. Data collected between May and June 2023 underwent content analysis, supported by Atlas.ti software. RESULTS: Three thematic areas emerged: "Nurses' work methods in a hospital context," highlighting the conception and components of work methods and the methods in use; "Implementation of nurses' work methods," emphasizing influencing factors and challenges to implementation; and "Impact of nurses' work methods on patients, nurses, and institutions." FINAL CONSIDERATIONS: Nurses' work methods constitute the structure of nursing care. Some factors influence and some challenges arise in the implementation of these methods, producing impacts on patients, nurses, and institutions.