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Prática deliberada em ciclos rápidos como estratégia de ensino no atendimento inicial ao paciente com dor torácica
(Universidade Federal do Espírito Santo, 2025-03-31) Chiesa, Raquel Alves da Costa; Campos, Juliana Faria; https://orcid.org/0000-0001-7254-5251; http://lattes.cnpq.br/3598433823574228; Sipolatti, Walckiria Garcia Romero; https://orcid.org/0000-0002-1365-4797; http://lattes.cnpq.br/8069042373689306; https://orcid.org/0009-0001-5210-6291; http://lattes.cnpq.br/1269755412234540; Fioresi, Mirian; https://orcid.org/0000-0002-8560-4385; http://lattes.cnpq.br/2275021494677338; Coutinho, Verônica Rita Dias; https://orcid.org/0000-0001-8073-4562; Furieri, Lorena Barros; https://orcid.org/0000-0003-3859-2227; http://lattes.cnpq.br/0526203649991750
Initial care for patients presenting with chest pain must be precise, assertive, and performed as quickly as possible in order to enable early detection of acute coronary syndromes, promote myocardial reperfusion, and increase patient survival. In this context, the qualification of nursing actions is essential, particularly in high-complexity care settings. To enhance professional practice, this continuing education project proposes the use of Rapid Cycle Deliberate Practice (RCDP) simulation, directed at nurses working in the Critical Care Unit, where the researcher is professionally embedded. RCDP applied to initial patient assessment promotes technical accuracy, reduces errors, and optimizes time management, which is a critical factor in the care of patients with time-dependent conditions. This study is aligned with the nursing care research line focused on the human development process.The aim of this dissertation was to develop a training program for nurses in the initial care of patients with chest pain, based on Rapid Cycle Deliberate Practice simulation.This research consisted of two interdependent studies. The first was a retrospective exploratory study designed to conduct a situational diagnosis regarding compliance with recommended practices and to identify potential areas for improvement in nursing care for patients presenting with chest pain. Data collection was performed through the analysis of physical and electronic medical records of patients who were spontaneously admitted with chest pain to a university hospital between January and June 2024.The second study was methodological in nature and was conducted between June 2024 and March 2025, aiming to develop, validate, and pilot test a Rapid Cycle Deliberate Practice–based simulation training instrument for nurses involved in the initial management of chest pain. This study was carried out in two phases: the first phase focused on the development of the methodological instruments, while the second phase involved the application and evaluation of the developed instruments and the simulated scenario by a pilot team composed of five nurses from the Critical Care Unit, through training using RCDP simulation. The study was approved by the Research Ethics Committee under opinion number 7,315,332 and Certificate of Presentation for Ethical Consideration (CAAE) number 84726724.8.0000.5071. Analysis of the retrospective data revealed a lack of standardization in the initial care of patients with chest pain, despite the existence of an institutional chest pain protocol. Additionally, the mean times for risk classification and electrocardiogram performance (door-to-electrocardiogram time) exceeded the values recommended by current clinical guidelines. In parallel, the training instruments developed—namely the RCDP Application Guide, pre- and post training checklists, and the simulated scenario script—underwent preliminary validation and were tested and refined based on feedback from the pilot nursing team. It is concluded that the developed instruments have the potential to be implemented according to institutional demands and to be adapted for use in other healthcare institutions with similar chest pain care workflows. The proposed product is expected to contribute to the standardization of nursing care, early intervention in chest pain management, and improvement of quality indicators such as door-to electrocardiogram time, risk classification time, and door-to-balloon time, thereby reducing complications and increasing survival among patients with chest pain associated with acute coronary syndromes and other time-dependent conditions.
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Controle mecânico de espécies exóticas arbóreas em área protegida da Mata Atlântica
(Universidade Federal do Espírito Santo, 2025-11-26) Santos, Amanda Magda Almeida; Miyajima, Ricardo Hideaki ; https://orcid.org/0000-0002-6200-0060; http://lattes.cnpq.br/1812496049170578; Fiedler, Nilton Cesar ; https://orcid.org/0000-0002-4376-3660; http://lattes.cnpq.br/8699171075880935; https://orcid.org/0000-0003-1028-6391; http://lattes.cnpq.br/9052988632932356; Freitas, Luis Carlos de ; https://orcid.org/0000-0002-8448-0843; http://lattes.cnpq.br/5424078810153491; Canto, Juliana Lorensi do ; https://orcid.org/0000-0003-1551-1543; http://lattes.cnpq.br/3730343975000138; Dias, Patrícia Borges ; https://orcid.org/0000-0002-5227-8341; http://lattes.cnpq.br/1194831380343570
Biological invasions are among the main drivers of environmental transformation on a global scale, threatening ecosystems such as the Atlantic Forest, reducing biodiversity, altering ecosystem processes, and generating impacts. The control of exotic tree species in Protected Areas can be efficiently conducted using forest operations techniques. This study aimed to analyze the technical and operational aspects of mechanical control of exotic trees through chainsaw felling in a Protected Area of the Atlantic Forest, considering productivity, quality, costs, and environmental impacts resulting from the operation. The results indicated an effective productivity of 4.93 m³/h, with 22.84% productive time and 77.16% non-productive time. A significant relationship was observed between diameter at breast height (DBH) and cutting time, indicating that trees with larger DBH required more operational time. The quality in terms of technical criteria for tree felling was assessed as 60% non-compliant with the directed felling method. The total operational cost of chainsaw cutting was R$ 304.40 per effective hour, resulting in an average cost of R$ 61.76 per cubic meter, with operational labor costs accounting for 46.93% of the total costs. The main damages observed during the operations were breakage, toppling, and crushing of native species, canopy opening, soil exposure, and wildlife disturbance. The results show that technical training and procedural standardization are essential for the sustainability of mechanical control of exotic tree species in the Pacotuba National Forest, as they can reduce costs, increase productivity, and minimize environmental impacts
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Barreiras e facilitadores à implementação de uma ferramenta digital de detecção precoce de câncer de boca na atenção primária à saúde : um estudo qualitativo das percepções dos profissionais de saúde
(Universidade Federal do Espírito Santo, 2025-12-09) Menezes, Amanda Ferreira; Esposti, Carolina Dutra Degli ; https://orcid.org/0000-0001-8102-7771; http://lattes.cnpq.br/7465412734380334; Zeidler, Sandra Lúcia Ventorin von ; https://orcid.org/0000-0002-8897-5747; http://lattes.cnpq.br/5785612863130498; https://orcid.org/0000-0002-1002-2110; http://lattes.cnpq.br/2022867562359986; Silva, Everton Nunes ; https://orcid.org/0000-0001-8747-4185; http://lattes.cnpq.br/3121617627863531; Valle, Isabella Bittencourt do ; https://orcid.org/0000-0002-3221-3057; http://lattes.cnpq.br/3069021711512099
Oral cancer (OC) is a public health problem in Brazil due to its high morbidity and mortality. The impact of OC can be reduced through diagnosis at early stages, when the chances of cure are greater and the patient's prognosis is favorable. Primary Health Care (PHC) is the main gateway to the Unified Health System (SUS) and is responsible for screening and early diagnosis of the disease. Digital technologies have been incorporated as support tools for screening high-risk populations for the disease. This study aimed to analyze the perception of PHC professionals regarding barriers and facilitators to the implementation of the web-responsive platform "SobreVidas", designed for screening and monitoring populations at risk for OC. This is an intervention research with a qualitative approach in which a semi-structured script based on the COM-B and TDF theoretical models was used to interview eight PHC professionals in Espírito Santo, Brazil. The results identified as barriers work overload, duplicate records, lack of interoperability with existing electronic health records, and technological infrastructure limitations. As facilitators, the clinical specificity of the tool for screening high-risk groups for OC, agility in clinical records, and the potential for improving clinical practice were highlighted. It is concluded that the adoption of digital technologies in PHC requires strategies that address organizational, structural, and behavioral factors to favor their effective incorporation into health services
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Efeito da suplementação de bicarbonato de sódio em indicadores de dano muscular e análises psicofisiológicas em indivíduos treinados: um estudo Cross over, duplo cego e randomizado
(Universidade Federal do Espírito Santo, 2025-12-03) Leite, Carine Daniellle Ferreira Costa; Maia, Adriano Fortes; https://orcid.org/0000-0003-1880-3998; http://lattes.cnpq.br/0599968037984955; Bocalini, Danilo Sales; https://orcid.org/0000-0003-3993-8277; http://lattes.cnpq.br/6290090639004596; https://orcid.org/0000-0002-9047-5557; http://lattes.cnpq.br/1717786581326028; Aquino, Rodrigo Leal de Queiroz Thomaz de; https://orcid.org/0000-0002-4885-7316; http://lattes.cnpq.br/1239238116592257; Rodrigues, Lívia Carla de Melo; https://orcid.org/0000-0002-6004-7981; http://lattes.cnpq.br/2084216553746326; Cardozo, Ludmila Ferreira Medeiros de Franca; https://orcid.org/0000-0001-8507-2369; http://lattes.cnpq.br/2547887546741044; Santos, Ronald Marques dos; https://orcid.org/0000-0003-4387-3293; http://lattes.cnpq.br/9641129677884783; Mallett, Gregg; https://orcid.org/0000-0003-0075-4999
Bodyweight HIIT (HIIT-C) utilizes bodyweight exercises such as jumping jacks, burpees, mountain climbers, and jump squats in a high-intensity "all-out" session followed by a period of passive or active recovery. Intramuscular acidosis resulting from the accumulation of H + ions during highintensity activity is considered an important factor in muscle fatigue, and therefore, sodium bicarbonate (NaHCO3) supplementation has been considered capable of increasing buffering capacity, resulting in decreased acidosis and increased performance. There is no data in the literature on the effect of NaHCO3 supplementation in bodyweight HIIT (HIIT-C) sessions on markers of exercise-induced muscle damage (EIMD) and psychophysiological parameters, which is the objective of this study. Methodology: Thirteen healthy male volunteers, aged between 20 and 40 years, who regularly practiced physical activity, participated in the study. All participants signed an informed consent form. This study was approved by the Ethics Committee for Human Research at the Federal University of Espírito Santo under opinion number 5.185.275/2021. Supplementation was performed through the ingestion of 0,3 g/kg of body weight of NaHCO3 and placebo (0,3 g/kg of body weight of calcium carbonate), in a crossover, double-blind, and randomized design. Participants randomly performed the following protocols: 1) HIIT-C session, "all out" intensity, and NaHCO3 supplementation. 2) HIIT-C session, "all out" intensity, and placebo supplementation, with a session duration of 20 minutes, consisting of 30 seconds of active exercise and 30 seconds of passive exercise. Subjective perception of effort and pain was recorded using the Borg scale (0-10), VAS, Corlet diagram, pressure algometer, as well as limb circumference, physical performance, mood and pleasure scale analyses, all of which were evaluated at baseline (without capsules and without HIIT), pre-session, immediately after sessions, and 24 hours after sessions. Serum samples were collected for the evaluation of creatine kinase (CK), creatine kinase-MB (CK-MB), lactate dehydrogenase (LDH), pH, and bicarbonate concentration (HCO3 - ) at baseline, pre-session, immediately after, and 24 hours after the session, in addition to lactate collection and its evaluation using a portable device at baseline, pre- and post-HIIT-C. All data are presented as mean ± standard deviation (SD). Differences between post-exercise and intra-condition measurements were assessed using ANOVA and Tukey or Bonferroni post-hoc tests at the p≤0.05 level, using the PRISMA program. Results: NaHCO3 supplementation increased (p≤0.05) [HCO3 - ] before the start of exercise and resulted in higher (p≤0.05) [La-] and pH when compared to placebo. Although the NaHCO3 session had a higher (p≤0.05) HR, it did not differ (p≤0.05) in RPE and RRP from the placebo session. The NaHCO3 session showed a higher (p≤0.05) total number of movements when compared to the placebo session. Both supplementations showed a reduction in pleasure, with increased fatigue, mental confusion, mood disturbance, and pain in the leg and extended arm after HIITC, but without differing (p≤0.05) between the supplementations. A reduction in the pressure pain threshold in the biceps was observed after the placebo session, but without differing (p≤0.05) from NaHCO3, and a reduction in the pressure pain threshold in the triceps was also observed after the NaHCO3 session, but 13 without differing (p≤0.05) from placebo, with a significant increase (p≤0.05) in pain in the right thigh after HIIT-C with NaHCO3 when compared to placebo. No significant changes (p ≤ 0.05) were found in limb circumferences and countermovement jump between the protocols, placebo, and NaHCO3. A significant increase (p ≤ 0.05) was observed in triceps thickness 24 hours after the NaHCO3 session when compared to pre-placebo. Significant increases (p≤0.05) in CK were observed 24 hours after the placebo session, and significant increases in LDH and CK-MB were observed immediately after the placebo session. The NaHCO3 session showed a significant increase (p≤0.05) in CK-MB immediately afterward, but without differing from the placebo session. Conclusion: Supplementation with NaHCO3 improved performance and possibly attenuated or prevented DMIE
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Adaptação transcultural e avaliação das evidências de validade do “health care provider HIV/AIDS stigma scale” para uso no Brasil
(Universidade Federal do Espírito Santo, 2024-05-03) Ribeiro, Paula Gonçalves; Torres, Thiago Silva; https://orcid.org/0000-0002-2557-601X; http://lattes.cnpq.br/6023441612547324; Araújo, Dyego Carlos Souza Anacleto de; https://orcid.org/0000-0001-6631-465X; http://lattes.cnpq.br/5120426619544250; https://orcid.org/0009-0008-1426-6279; http://lattes.cnpq.br/6360303933334244; Luz, Paula Mendes; https://orcid.org/0000-0001-9746-719X; http://lattes.cnpq.br/1664190810210313; Santos, Sabrina Cerqueira; https://orcid.org/0000-0001-6748-727X; http://lattes.cnpq.br/8757541282986479
Introduction. The stigma of healthcare students towards people living with HIV (PLHIV) is a potential barrier to effective care. In Brazil, the absence of instruments assessing the stigma of healthcare students towards PLHIV prevents understanding the extent of this issue. Objective. To validate the Health Care Provider Stigma Scale (HPASS) for use among healthcare students in Brazil. Method. The research was conducted in three phases: 1) Cross-cultural adaptation of the HPASS into Brazilian Portuguese; 2) Evaluation of validity evidence based on the content of the HPASS; 3) Evaluation of the psychometric properties of the HPASS. Phase 1: Cross-cultural adaptation was performed in six steps: translation into Brazilian Portuguese, synthesis of translations, evaluation of equivalence by an expert committee, evaluation by the target audience, and back-translation into English. Phase 2: Content validity evidence was established based on feedback from a committee of four specialists. Phase 3: Psychometric properties were evaluated using a sample of Brazilian healthcare students (Nursing, Pharmacy, Medicine, Dentistry) by convenience sampling. Evidence of validity based on internal structure was examined through exploratory factor analysis (EFA). Internal consistency was assessed by composite reliability. Evidence of validity based on relationship with other variables was evaluated through correlation between HPASS scores and indices of religiosity and knowledge about HIV/aids. The project was approved by the Ethics and Research Committee of the Federal University of Espírito Santo (CAAE: 59670422.8.0000.5060 n° 5.995.451). Results. In phase 1, the cross-cultural translation and adaptation performed were considered satisfactory for the target audience and the author of the original scale. Phase 2: The content validity coefficient for the Brazilian version of the HPASS was 0.90. Phase 3: The sample consisted of 553 healthcare students. Analysis of evidence of validity based on internal structure, conducted through parallel analysis, indicated retention of two factors, with explained variance of factor 1= 42.08% (discrimination/prejudice) and factor 2= 9.92% (stereotype). Composite reliability for the factors was 0.96 (discrimination/prejudice) and 0.85 (stereotype). Evaluation of evidence of validity based on relationship with other variables showed statistically significant correlation between scores of the Brazilian version of the HPASS and religiosity and knowledge about HIV/aids. Conclusion. The Brazilian version of the HPASS is a psychometrically valid measure for assessing HIV stigma among Portuguese-speaking healthcare students in Brazil. Its psychometric properties were satisfactory, and it proved to be a simple and reliable scale. The adapted HPASS can be used for educational and research purposes among healthcare students. Future studies should investigate the scale's properties among healthcare students from different regions and healthcare professionals.