SALUD, ARTE Y CUIDADO (SAC) is an open access, refereed and indexed scientific journal of the Research Unit of the Nursing Program of the Deanship of Health Sciences of the Universidad Centroccidental Lisandro Alvarado, Venezuela. Its publication is biannual, it accepts scientific works related to Nursing and other related Sciences in its philosophy of care. The journal receives manuscripts permanently, with edition closings in the months of July and December. Email: Saludarte@ucla.edu.ve. ISSN 1856-9528, EISSN 2957-4463.
Universidad Centroccidental Lisandro Alvarado
Derechos del/de autor/es a partir del año de publicación Esta obra está bajo la licencia: Creative Commons Reconocimiento-NoComercial-CompartirIgual 4.0 Internacional (CC BY-NC-SA 4.0) Las opiniones expresadas por los autores no necesariamente reflejan la postura del editor de la publicación ni de la UCLA. Se autoriza la reproducción total o parcial de los textos aquí publicados, siempre y cuando se cite la fuente completa y la dirección electrónica de esta revista. Los autores(as) tienen el derecho de utilizar sus artículos para cualquier propósito siempre y cuando se realice sin fines de lucro. Los autores(as) pueden publicar en internet o cualquier otro medio la versión final aprobada de su trabajo, luego que esta ha sido publicada en esta revista.
Meeting for innovation in clinical nursing practice: skills for the future. As part of the 30th Anniversary Celebration of the Nursing Program
As part of the 30th Anniversary celebration of the Nursing Program at the Lisandro Alvarado Central-Western University (UCLA), the scientific and academic conference entitled "Innovation in Clinical Nursing Practice: Skills for the Future" was held. This event established itself as a high-level institutional forum for discussion, knowledge sharing, and professional development in the face of emerging global health challenges. The central purpose of the conference was to examine cutting-edge trends and technological tools that are transforming the practice of human care. During the sessions, the urgent need to develop technical, digital, and socio-emotional competencies in nursing staff was addressed, thus ensuring safe, efficient, and humanized clinical practice. Through keynote addresses and workshops, leading experts and faculty members discussed the integration of scientific evidence into decision-making, new hospital management models, and ethics in the digital health era. This meeting not only celebrated three decades of educational excellence and social commitment from the UCLA Nursing Program, but also reaffirmed its leadership in training healthcare professionals. The day's conclusions outline a clear roadmap for curriculum adaptation and clinical practice, positioning nursing in Lara state and throughout the nation toward the quality standards demanded by the future.
Copyright (c) 2026 https://creativecommons.org/licenses/by-nc-sa/4.0
Progressive fibrodysplasia osificans in pediatrics: about a clinical case
Fibrodysplasia ossificans progressiva is one of the most unique and significant constitutional bone diseases, to the point of having been considered "the Mount Everest of musculoskeletal disorders of genetic origin." The scarcity of epidemiological data is a deficiency that FOP shares with all rare diseases. A clinical case is presented: an 11-year-old female adolescent, product of non-consanguineous parents, from a rural environment, with a history of cervical rectification diagnosed in the neonatal period, untreated, community-acquired pneumonia at 3 years of age, who required hospitalization for 7 days, left middle hearing loss and agenesis of the mastoid process diagnosed at 3 years by means of a brain magnetic resonance study; tonsillectomy at 5 years, without complications. SARS-CoV-2 infection in December 2021, empirically treated. Presenting, onset of the current disease in December 2021, after a mild SARS COV-2 infection, characterized by severe abdominal pain, worsening during walking, swelling of the abdominal and suprascapular muscles that limit flexion-extension is evident. cervical, its admission for multidisciplinary management is decided, in discussion, a probable diagnosis of Fibrodysplasia Ossificans Progressiva (FOP) is considered, deciding to carry out the respective bibliographic review
Lymphoma of the marginal nodal zone with positive CD5 marker, report of a case in an adolescent patient
In this moment, there are three types of marginal zone lymphoma (MZL) they are: MZL splenic LZM, extranodal LZM (MALT lymphoma) and primary lymph node LZM (NM LZM). These kinds of lymphomas have morphological and phenotypic characteristics that somewhat overlapping so different in clinical presentation and behavior. In the same vein, the marginal zone lymphoma (LMZ) it is an indolent mature B-cell neoplasm with variable clinical presentation and distinctive histopathological features. As mentioned above, there is a case of a 15-year-old female adolescent. She is from Anzoátegui state, Venezuela. Her parents are non-consanguineous, with a personal youth history of polyp polypectomy, and paroxysmal disorder (corrected), competent mitral valve prolapse, inborn error of immunity: common variable immunodeficiency, infection by Epstein-Barr Virus and Hepatitis C Virus. She has a Family history of hemoglobinopathy in her father and brother. Her brother died of Acute Lymphoblastic Leukemia. Who presented a medical condition for twelve (12) months with intermittent fever, cutaneous mucosal sickly, polyarthralgia, diffuse perumbilical abdominal pain, abdominal distension, hyporexia, asthenia, weight loss, cervical, axillary and inguinals adenomegaly, with nephromegaly, subsequently associated with dizziness, erythematous maculopapular lesions on the face and lower limbs, with persistence of febrile episodes, which temporarily improve with the use of oral steroid for four (4) months. Multidisciplinary evaluations were performed, which included cervical lymph node excision, resulting in immunohistochemical findings compatible with CD5-positive lymphoma of the Marginal Zone Lymph Node, for which the pertinent bibliographic review was carried out.
Ethics of care and humanistic learning in the training of cardiologists: a semi-systematic review
This article aimed to reflect on the ethics of care and humanistic learning in the training of cardiologists. The theoretical development was conceived around three core aspects: ethical foundations of care in cardiology practice, humanistic learning in specialized medical education, and the formative and institutional implications of cardiology specialization. The methodological approach was carried out through a semi-systematic review of the English-language literature, focusing on the theoretical aspects investigated. The analysis covered publications between 2019 and 2025, applying the PRISMA guideline for abstract selection. The search was conducted in the PubMed/MEDLINE, Scopus, Web of Science, Embase, and DOAJ databases, using Boolean operators (AND, OR) and specific keywords. The findings revealed that the ethics of care and humanistic learning are manifested in the training of cardiologists through empathy, respect, professionalism, and ethical and social commitment. Furthermore, the need for a transformative curriculum that integrates embodiment, gratitude, and collaborative humanistic learning experiences is highlighted. It is concluded that humanistic learning and its educational implications in clinical cardiology demand an integration of technical knowledge, the ethics of care, and emotional sensitivity. The future vision of this academic production is oriented toward achieving specialized medical education that evolves toward dual certification with a humanistic approach, strengthening cardiologists' capacity to face complex challenges.
Revision Sistematica Y Evidencia Cientifica
Printed educational technologies for health educativon of people with cardiometabolic diseases: a scoping review
The objective is to map the printed educational technologies available in the literature for health education of people with Cardiomatabolic Diseases. This is a scoping review with a search carried out from July to August 2024, being updated in November and December 2024, in the following databases: PubMed/MEDLINE, Web of Science, Scopus, SciELO, LILACS, BDENF, BDTD, Capes and ProQuest Thesis and Dissertation Catalog. 42 studies were included in the final sample of the review. The printed educational technologies identified were booklets, serial albums, leaflets, pamphlets, posters, games, manuals, comic books, folders, conversation maps and mobile panel. These resources proved to be valid and effective in improving aspects such as knowledge, self-care, quality of life, adherence to medication and non-medication treatment, and foot self-care. It is concluded that printed educational technologies are adequate, valid and effective soft-hard tools, which support the patient in coping with the health-disease-care process.
Objective: To update and analyze the epidemiological aspects, risk factors, and burden of disease in pregnant women in malaria-endemic areas worldwide Methods: A systematic literature review was conducted from January 2018 to April 2024. The process involved identifying 154 documents, screening based on inclusion and exclusion criteria, and selecting 31 articles for analysis. These articles were characterized by year of completion, study population, and thematic focus to analyze statistics and existing prevention strategies. Results: Effective management of malaria in pregnant women requires integrated responses, including intermittent preventive therapeutic intervention. Timely diagnosis and combination therapies are crucial to reducing disease severity and complications. Conclusions: Malaria in pregnancy presents a complex and multifaceted challenge with diverse clinical manifestations and underlying mechanisms across the entire spectrum of endemicity worldwide. Its significant impact on women and children needs prioritization in future research to reduce the disease burden in this vulnerable population.
Factors associated with adverse events: a systematic review
All professional and work practices carry risks for the person performing them. However, in the field of nursing practice in healthcare, these risks involve both the nursing professional and the patient receiving care. When these risks cause unintended and unplanned harm, they are called adverse events. The objective was to describe the main adverse events in health, drugs, nursing, and medication. The PRISMA methodology was used to integrate a systematic review, which included articles from 2017 to 2023 in the following categories: health, drugs, nursing, and medication. The sample finally consisted of 17 articles, which were categorized. It can be said that adverse events in health are preventable in a high percentage of cases and have a major health, economic, and social impact. It is concluded that it is important to improve healthcare and further strengthen knowledge, even taking into account that mistakes can be made, and to seek ways to obtain improved results for the patient, as there are many factors that influence the occurrence of an adverse event.
Resources in hypnotherapy to address the depressed subject
The current essay provides valuable tools to health professionals in approaching depressed patients through the use of hypnotherapy, where therapeutic resources are proposed to improve the practice of this method, in which key elements are provided that will help these patients. Experts to carry out hypnotherapeutic work more effectively; the present dialogic is based on the paradigm of hermeneutics.
Developmental Coordination Disorder: an invisible challenge in the prevention of non-communicable diseases
Introduction: Developmental coordination disorder, or developmental dyspraxia, is a condition characterized by movement difficulties. It is commonly identified at an early age, although it often persists into adolescence and adulthood. This presents as a cause of vulnerability to the increase in non-communicable diseases. Objective: To argue that developmental dyspraxia is a cause of early risk for the prevention of non-communicable diseases, integrating both the motor dimension and mental health in its treatment. Development: Dyspraxia and its associated movement difficulties lead to reduced participation in sports activities by those who suffer from it, generating a series of physical, social, and emotional difficulties, which require systematic action from the public health sector, seeking comprehensive improvement measures. Conclusions: Dyspraxia is a complex pathology that affects people in a multidimensional way. Therefore, it must be addressed through comprehensive programs from an early age, through public and educational policy actions that are focused at the well-being of future generations.
love of work or addiction? Understanding workaholics
Workaholism is defined as a person working more than their job requires. Although there is no specific medical definition, it is associated with some forms of stress and obsessive-compulsive personality disorders. One of the key elements in workaholism is the person's denial of what is happening to them. The addict has a type A behavior pattern by being constantly involved in an excessive and chronic struggle to achieve an unlimited number of goals in the shortest possible time, even against the opinion of other people or the circumstances that surround them, coming to believe the justifications they resort to when faced with complaints from their family or coworkers. Their efforts are more than what is expected by their superiors, neglecting their health and work-life balance, generating negative consequences. However, despite everything, there are also positive consequences expressed in job satisfaction and respect in the workplace. Several basic characteristics determine people with this addiction, such as working compulsively, focusing on their work more than the process, the inability to relax after work, presenting a need to be in control and to do things their way, and giving greater importance to work than to relationships with others. To measure workaholic status, there are various self-report questionnaires, such as the WO-5, WART, and DUWAS, among others. In conclusion, workaholism is a topic that urgently needs further study by experts. It is imperative to recognize the presence of this disorder in workers in order to establish prevention and intervention strategies.
Scientific writing in mental health: a necessity in the Latin American scientific community
In the diverse academic committees in which we have participated, it has been noted that mental health professionals write their research reports with numerous abbreviations, jargon specific to their field, and overly technical scientific language, which is sometimes incomprehensible to professionals from other disciplines. Based on this, the present study aims to help mental health professionals in Latin America improve their scientific writing by taking literary philosophy into account. If these specialists adopt these principles, their articles would be accessible to all members of the scientific community and to readers interested in the topic covered. Consequently, it would help to further systematize the content specific to their specialty and could enrich interscience. Keywords: scientific writing, mental health, literary philosophy, scientific article, master's thesis, doctoral thesis
Actions by Brazilian federal universities to support health workers in tackling COVID-19
This study identifies the actions implemented by the nursing departments and schools of federal public universities in Brazil to support health workers in facing the COVID-19 pandemic. A documentary analysis was conducted based on data obtained from social networks and the websites of the nursing departments and schools of five public universities: the Federal University of Santa Catarina, the Federal University of São Paulo, the University of Brasília, the Federal University of Amazonas, and the Federal University of Ceará. The content was analyzed using Bardin's Content Analysis technique. Several action fronts were established to design and implement initiatives aimed at the university community, health professionals, and society, encompassing managerial, educational, and assistance measures. The nursing departments and schools of Brazilian public universities have developed initiatives aligned with frontline professionals, providing scientific support for safe and effective action during the pandemic.
Returning to the Self: Spiritual and Humanistic Curricular Trends in 21st-Century Education.
The curriculum study addresses the urgent need to reconfigure curricular approaches in 21st-century education, highlighting the importance of incorporating spiritual and humanistic dimensions into academic training. In a context characterized by challenges such as globalization, climate change, social crises, and technological acceleration, there is a need for education that goes beyond technical and utilitarian knowledge. The purpose is to explore how current curricular trends are responding to these challenges by integrating practices that favor the integral development of the human being, promoting cognitive, ethical, emotional, and spiritual competencies. Within this framework, from an interpretative paradigm, qualitative approach, and hermeneutic curricular methodology, the holistic and humanistic approach is analyzed, which proposes a vision of the human being as an interconnected system, addressing his mind, body, and spirit integrally. In conclusion, it is highlighted that returning to Self responds to contemporary demands, preparing students to build a more ethical, conscious, and sustainable future. Education, understood as a profoundly human act, must inspire wisdom, compassion, and a sense of collective responsibility in the face of global challenges.
Use of a non-sterile water trap in patients with chest trauma
Proper management of the water trap for pleural drainage in thoracic trauma is essential. This study aimed to evaluate the usefulness of using a non-sterile water trap for pleural drainage in thoracic trauma patients at the “Servicio de Cirugía de Tórax del Servicio Autónomo Hospital Universitario de Maracaibo”. Fifty-six patients of both sexes, aged 18 to 85 years, diagnosed with thoracic trauma were studied. The most common complications were hemothorax and pneumothorax, and less frequently, hemopneumothorax and diaphragmatic hernia. Only two patients (3.6%) presented with an insertion site infection, neither of whom received antibiotics. It is concluded that non-sterile water traps can be safely used in patients with thoracic trauma, and it is recommended that these patients receive antibiotic therapy with cephalosporins.
Older adults who are victims of COVID-19: Multiple case reports. Ambrosio Grillo Hospital
Introduction: During the COVID-19 pandemic in Cuba, the highest mortality rate at the Ambrosio Grillo Hospital occurred in the elderly. Therefore, the general objective was set: to describe the morbidity and mortality of older adults diagnosed with COVID-19 at the Ambrosio Grillo Hospital. Period from January 2020 to December 2021. Method: The current research responds to a type of descriptive, observational study in older adult patients with COVID-19 admitted to the Ambrosio Grillo Portuondo Hospital, supported by quantitative methodology and verticalized by the paradigm of positivism. The universe and sample were represented by 37 subjects of both sexes. Results: Females aged 80 to 89 predominated, coinciding with several authors. The most frequent morbidity was Arterial Hypertension and Diabetes Mellitus, the highest frequency of symptoms presented was respiratory and the need for invasive ventilation. Non-hypostatic out-of-hospital bacterial bronchopneumonia was the most common underlying cause of death.
Educational intervention on acute diarrheal disease for parents with children aged 0-5 years
Objective emerges: Establish an educational intervention to increase adequate knowledge in parents of children from 0 to 5 years old about acute diarrheal disease, from the Reynaldo Chang Vargas Polyclinic, Songo La Maya municipality, Cuba. period from March 2023 to September 2024. Method: The current investigation responds to a type of descriptive study and educational intervention, using the methods: observation, medical interview, group techniques, under the mixed research methodology. Universe constituted by 188 parents and a non-probabilistic sample using the simple random method, resulting in 82 parents. Results: The level of knowledge about acute diarrheal disease after the intervention rose to 84%, food and nutrition to 91%, breastfeeding to 89%, preventive measures to 87%, diarrhea due to infection to 83%, and use of rehydration salts to 87%. Conclusions: In the reviewed studies, there are different approaches to the form of health education. Better health policies are needed to maintain effective prevention strategies. The challenge now is to minimize social determinants and care for populations with risk factors. The educational intervention on knowledge of acute diarrheal disease in parents of children aged 0 to 5 years was effective, since the majority obtained an adequate evaluation in the test applied after the educational program.
Functional dentition and the role of diabetes, hypertension, and smoking in its prevalence among adults in Tlaxcoapan, Hidalgo, Mexico
Objective: To evaluate the prevalence and factors associated with functional dentition (FD) in adults from Tlaxcoapan, Hidalgo, Mexico, with a focus on chronic diseases (diabetes and hypertension) and smoking. Materials and Methods: A cross-sectional study was conducted in 60 adults (18–80 years) selected by non-probability sampling from an urban health center. FD was defined as the presence of ≥21 natural teeth (dependent variable). Independent variables included age, education, sex, smoking, diabetes, and hypertension (self-reported). Univariate and bivariate analyses (Mann-Whitney U, chi-square, and Fisher exact tests) were used with Stata 14.0 (α=0.05). Results: The mean age was 50.7±16.2 years, and 50% were women. 71.7% of participants had functional dentition. Participants without FD were on average older (56.9 ± 13.4 years) than those with FD (48.2 ± 16.7 years), with a marginally significant difference (p = 0.0758). Fifty-five percent of participants with diabetes did not have FD, compared to 15% among those without diabetes (p = 0.001). The distribution of sex, education, smoking, and hypertension was similar between groups (p>0.05). Conclusion: Diabetes was shown to be the main factor associated with the loss of functional dentition in this population, supporting its impact on oral health. Although advanced age showed a relevant trend, other factors such as smoking did not reach statistical significance, possibly due to the limited sample size. Keywords: Functional dentition, diabetes, oral health, adults, Mexico.
Oral Health-Related Quality of life in children and dental caries: A review of measurement instruments
Introducción: Quality of life is a fundamental aspect of human health, as it reflects how people perceive their environment in relation to disease and well-being-oriented treatments. Oral health-related quality of life (OHRLQL) is the ability to enjoy and express emotions confidently, without pain, discomfort, or disease in the craniofacial complex. Oral health reflects psychological and social conditions crucial to quality of life, influencing self-image and self-perception. Objetive: To present the instruments used to measure OHRLQL and childhood dental caries. Methodology: The search strategy was carried out in the PubMed, Scopus, and LILACS databases from 2010 to 2024. The Mesh terms “quality of life”, “oral health”, “children”, “validation”, “Caries” and “instruments” were used. Articles that evaluated OHROoL, and caries were selected in the following dimentions: oral function, pain, appearance and psychosocial impact. Conclusions: Instruments for measuring OHRQoL in children, adapted to specific age ranges and contexts, allow for a comprehensive assessment of oral function, pain, appearance, and psychosocial impact. When applied to measure caries burden and other oral conditions in childhood, they provide a solid basis for clinical practice and community or educational interventions.
El riesgo de cáncer cérvico-uterino: una preocupación de las mujeres
Objective: to identify biological, social, and sexual behavior risk factors associated with the occurrence of cervical câncer at the Josue Teaching Polyclinic, Santiago de Cuba, from January 2024 to December 2024. Method: Responds to a type of descriptive study, methods: interview, observation, clinical laboratory analysis, and data correlation. Using quantitative research methodology, a sample of 108 women (case-control). Results: The women studied were between 35 and 59 years old, 78.12% of the cases had this family history, 83.33% had begun their first sexual relationship before the age of 18, while the controls had this situation in 34.72%, and 83.33% of the cases presented multiple episodes of STIs, in the controls these infections were present in 34.72%. When comparing the results with the reviewed research, there were no significant differences. Conclusions: There was a causal association between all the biological, sexual behavior, and socioeconomic risk factors studied and the occurrence of cervical cancer. A history of cervical cancer, repeated episodes of STIs and oncovirus infections, a family history of cancer, multiple sexual partners, and an unfavorable socioenvironmental status were the factors most strongly associated with the development of this neoplasia in the health area studied.
Insomnio en usuarios de pantallas emisoras de luz azul
The objective of this research was to characterize insomnia in people over fifteen years of age who use blue light-emitting screens and attend the “Don Felipe Ponte” type III urban clinic during the period June-December 2023, through cross-sectional descriptive research. Data collection was carried out by applying an instrument consisting of eleven closed questions to identify the most used blue light-emitting devices, the time of use, and the presence of insomnia. As important results, it was obtained that the largest age group is over 55 years of age, and it is the group that uses more than two blue light-emitting devices. It is also the group that presents the most insomnia, this being chronic. This research seeks to create a precedent in the study of the presence of insomnia and the use of blue light-emitting devices that serve as objective data for future research and that, in addition, can be used to raise awareness and prevent insomnia in the population.
Bianca Carolina Chiquinquira Semprún Sandrea
Perception of quality of virtual courses in nursing training
The sudden halt and confinement of the world due to the pandemic dramatically changed teaching and learning with the migration from face-to-face to virtual scenarios, impacting the achievement of competencies in higher education, even more so in disciplines whose curriculum contains high loads of face-to-face practice, such as nursing. Objective: to determine the perception of quality of the virtual disciplinary courses taken by nursing students of a private and public Higher Education Institution (HEI) during the pandemic. Methodology: a cross-sectional observational study by convenience, in which 288 students participated. The Santoveña virtual course quality evaluation questionnaire was applied, with a Cronbach's alpha of 0.93. Results: The comparative analysis showed better perceptions of general quality and by dimensions in the students of the public HEI compared to the private one; however, the recommendations to improve didactics, platforms, multimedia resources, and the promotion of teacher-student interaction with better pedagogical practices in virtual scenarios were mostly mentioned by the students of the private HEI. Conclusion: After discussing and comparing the findings, it can be affirmed that the results contribute to the formulation of improvement plans that encourage didactic planning through the use of technologies in the learning processes of nursing students.
Strategic planning design for the optimization of internal processes at the foundation of a healthy lifestyle
Objective: Analyze the perception after the implementation of a strategic planning design to optimize internal processes of a healthy lifestyle foundation. Material and method: Qualitative study with action research design. The sample was five people. Initially, a semi-structured interview, a focus group, and a review of records were applied. During the intervention, various tools were used for analysis, determination of objectives, and the strategic plan. In the final stage of perception analysis, a semi-structured interview and a focus group were used. Results: Participants initially recognize the lack of strategic and organizational guidelines. After the intervention, they positively value the strategic planning design. Conclusions: Based on the analysis carried out in the foundation, through the incorporation of strategic tools in the design of strategic planning, it was possible to improve the organization of its operations, and the proposed mechanisms led to more efficient achievement of its objectives and the optimization of its internal processes.
Oxygen therapy humidification: study of the efficiency
Objective: To analyze the clinical practice of using humidifiers during oxygen therapy, compare the efficacy and safety of reusable vs. disposable models, and study their impact on clinical parameters and costs. Materials and methods: Single-center study (tertiary hospital, Spain) with two components: 1. Qualitative survey of 29 healthcare professionals on the cleaning and disinfection of reusable humidifiers. 2. Controlled experimental study measuring humidity, temperature, and noise in seven humidifiers (1 reusable, 6 disposable) under oxygen flows ranging from 0-15 liters per minute. Results: - Clinical practice: Only 13.79% of professionals performed daily cleaning; none complied with daily high-level disinfection. - Technical performance: All humidifiers significantly improved humidity compared to unhumidified direct flow (p<0.01), but increased noise at high flow rates (≥10 lpm), exceeding 60 dB. - Safety: Disposable humidifiers showed a lower microbiological risk. - Cost: Disposable humidifiers were more cost-effective than reusable humidifiers. Discussion: Non-compliance with humidifier cleaning and disinfection protocols exists, posing risks to patient safety. Disposable humidifiers offer cost-efficiency advantages and improve patient safety and comfort by increasing the humidity percentage at any flow rate; however, they cause significant noise at flow rates above 10 lpm. Conclusions: It is recommended to implement standardized protocols, provide ongoing training, and prioritize the purchase of disposable humidifiers for use with oxygen therapy at any flow rate.
Frequency of food consumption in children aged 2 to 4 years in a school in the Andrés Eloy Blanco community. Barquisimeto, Lara state, Venezuela
A descriptive cross-sectional study was conducted to assess the nutritional status, frequency of anemia, and food consumption in children aged 2-4 years attending early childhood education centers in the Andrés Eloy Blanco community. The non-probability convenience sample consisted of 104 children aged 2-4 years and their parents or guardians who were surveyed to determine the weekly frequency of food consumption. Preschoolers were weighed and measured, and the data were entered into the WHO Anthro® program. A presumptive nutritional diagnosis was made based on the height/age and weight/height indicators. Finally, venous blood samples were taken and analyzed to obtain hemoglobin values. The data were processed using the SPSS-18 statistical program, resulting in 14.4% with stunting and 12.5% with overweight or obesity. The frequency of anemia was 10.6%, and the frequency of fruit and vegetable consumption was low compared to the recommendations of the food pyramid, with less than 20 times per week (82.7%). Preschoolers identified with malnutrition, anemia, and/or inadequate dietary habits were referred to the pediatric clinic. These results highlight the need to train healthcare professionals to promote healthy eating habits, with the aim of improving the nutritional status of children and the general population in the medium and long term.
Absenteeism factors in nursing technicians in a Brazilian hospital
Objective: To identify the most relevant factors contributing to absenteeism as perceived by nursing technicians at a Brazilian regional reference hospital. Methodology: A cross-sectional case study was conducted with 284 nursing technicians from this hospital. The Absenteeism Factors at Work Scale was used, and both the overall average and the averages for the scale’s four dimensions were calculated. Results: The main causes of absenteeism were fatigue (score = 2.63), low pay (2.48), work overload (2.39), the need to resolve unavoidable personal or family-related bureaucratic matters (2.38), the need for time for continuing education or postgraduate studies (2.30), lack of professional recognition (2.20), stress and anxiety (2.19), and demotivation (2.03). Conclusions: The primary reasons for absenteeism among nursing technicians are fatigue, low pay, and work overload. These factors are multifactorial in nature, and the perceived importance of each varies according to the professionals’ demographic profiles. The findings enable managers to plan and implement effective actions in education, prevention, and health surveillance, helping to adapt the work environment and reduce the risk of absenteeism.
Conflicts in the nursing team in the surgical units of a highly complex hospital.
Objective: To identify the conflicts experienced by nursing professionals in hospital inpatient units, considering their sociodemographic characteristics. Methodology: This is an exploratory and quantitative study conducted in a high-complexity philanthropic hospital in São Paulo, Brazil. The research was carried out in four surgical inpatient units, with a final sample of 191 nursing professionals, including nurses, technicians, and nursing assistants. Data collection was performed using a structured questionnaire addressing sociodemographic aspects and the perception of conflict occurrence. Statistical analysis was conducted using SPSS 20.0 softwares, applying descriptive and inferential tests to verify associations between variables. Results: The majority of nursing professionals (75.4%) reported experiencing conflicts in their daily work routine, with the most frequent conflicts occurring between nursing assistants/technicians and nurses (56.0%). Conflicts between nurses and coordinators were less frequently reported (9.9%) but showed a significant association in some units. Conclusions: Conflicts in the hospital environment are inevitable, especially within the nursing team. The adoption of structured mediation strategies can contribute to a more harmonious work environment and improve the quality of patient care. Future studies should further explore the impact of these tensions on the team and patient safety, as well as investigate specific interventions for conflict management in the hospital setting.
What are the risk factors for gestational diabetes?
Identifying and managing all risk factors associated with gestational diabetes is essential for reducing the complications this disease presents for both mother and infant. Therefore, a preventative approach that considers the pregnant woman's health history, lifestyle, and context promotes a healthy pregnancy and reduces healthcare costs. Thus, it is crucial that all healthcare professionals adopt a comprehensive approach that promotes activities and strategies prioritizing early detection and preventative intervention, fostering environments and resources that support a healthy lifestyle for mothers and families.
Copyright (c) 2025 https://creativecommons.org/licenses/by-nc-sa/4.0
Young woman with puerperal endometritis: A holistic approach
Puerperal endometritis is a uterine infection that affects the endometrium and is associated with vaginal births and especially cesarean sections. It can progress to puerperal sepsis, affecting structures such as the myometrium and parametrium, and is the third cause of maternal death, according to the PAHO (2020)1 and the WHO (2020)2. These infections are more common in cesarean sections, reaching up to 27%, and result in prolonged hospitalizations with high costs. The case presented describes a 19-year-old patient who, five days after a cesarean section, presented with fever, epigastric pain, and swelling in the surgical area. She was diagnosed with puerperal endometritis and a gynecological infection. Treatment included the nursing care process: assessment, identification of altered domains, interrelated care planning, implementation of interventions, and evaluation of outcomes, resulting in satisfactory health outcomes. Knowledge of preventable complications and the implementation of an evidence-based nursing care process are crucial for reducing risks during the postpartum period and ensuring comprehensive care. This case underscores the importance of specialized care to effectively prevent and treat puerperal infections in institutions such as the HCUAMP.
Extra Node-like nk-t cell lymphoma of the nasal type: a case report
Objective: Describe the evolution, diagnosis and treatment as well as record of the case. A case is reported of a 54-year-old male patient with a diagnosis of extra-nodal T/NK Cell Lymphoma of the nasal type. Clinical Case: A 54-year-old male patient who presents with a current illness of 1 month of evolution characterized by an increase in volume in the vestibule of the right nasal fossa after local trauma in said area, which complies with antibiotic therapy without improvement. A tomography of the nose and paranasal sinuses was performed, an initial inconclusive biopsy was taken, an MRI was performed and a decision was made to take a sample for biopsy and immunohistochemistry in the operating room to decide on conduct. This report reported Extra Nodal T/NK Cell Lymphoma of the nasal type. Discussion: This pathology is a predominantly extranodal lymphoma, associated with the Epstein-Barr virus in contrast to this case, it has a nasal location, it is characterized by vascular damage with angiocentric and angiodestructive patterns similar to the reported case; whose treatment is based on chemotherapy and radiotherapy. Conclusion: Timely diagnosis and adequate treatment improves survival depending on the type of disease and stage at diagnosis, with a 5-year overall survival of 54%. This case contributes tools and knowledge to manage this rare pathology
A Praxiological view of the care, academic and research role from the Ontology Of Nursing
This essay reflects on the importance of nursing research, highlighting the need to integrate care, teaching, management and research activities for the development of the discipline. Despite the fact that research is recognized as essential, many nursing professionals, especially those in care, have not incorporated it into their practice. The article aims to raise awareness among professionals about the value of research, both in clinical and academic practice, and its impact on the development of the discipline. Academic nursing not only transmits technical knowledge, but also fosters critical, ethical, and leadership competencies. However, perceptions of nurses' role as teachers and researchers vary among students, colleagues, and administrators. Nursing research, conceptualized as a scientific process that validates and generates knowledge, faces challenges due to the lack of adequate training and motivation. Barriers include deficiencies in methodological knowledge and resource limitations in health and educational institutions. It is concluded that this context creates a vicious cycle where the lack of research demotivates professionals to train, perpetuating the perception of research as something secondary to their professional role.