1.Knowledge and Risk Behaviors Regarding Human Immunodeficiency Virus Transmission among Portuguese Healthcare Students
Bárbara Joana Alvarenga CARVALHO ; António Miguel da CRUZ-FERREIRA
Korean Journal of Family Medicine 2023;44(1):35-43
Background:
Human immunodeficiency virus (HIV), the agent responsible for acquired immunodeficiency syndrome, remains a worldwide public health problem. Therefore, this study aimed to assess Portuguese healthcare students’ knowledge of HIV, identify risk behaviors for HIV transmission, and assess the frequency of HIV testing and its dissemination by general practitioners.
Methods:
A cross-sectional observational study was conducted using an anonymous questionnaire published online. The questionnaire was administered to Portuguese healthcare students who voluntarily agreed to participate in the study after clarifying its objectives and procedures.
Results:
Most students were aware of the three main HIV transmission routes; however, 66.3% were unaware of the level A recommendation for HIV screening in adolescents and adults. In addition, 59.6% of the students were never informed by their general practitioner about HIV screening tests or risk behaviors for HIV transmission. Of the sample, 78.9% had never been tested for HIV infection. Of the 74.6% of sexually active students, 82.0% had or had already had unprotected sex (without a condom). Men showed riskier sexual behaviors than women. None of the inquiries reported intravenous drug use, and most students (69.9%) never shared personal objects.
Conclusion
General practitioners and awareness campaigns need to alert and disseminate HIV screening tests. Sexual health and risk behaviors should be addressed more frequently in schools to educate this population because prevention is the best strategy against HIV transmission/contraction.
2.Antiresorptive medication in oncology: the clinical and dental profile of patients in a reference center
Vitor Hugo Candido FERREIRA ; Aristilia Tahara KEMP ; Joana VENDRUSCOLO ; Laurindo Moacir SASSI ; Juliana Lucena SCHUSSEL
Journal of the Korean Association of Oral and Maxillofacial Surgeons 2021;47(1):20-24
Objectives:
The aim of this study was to evaluate the profile of patients on antiresorptive therapies for cancer treatment and assess presence of oral lesions, oral hygiene status, and knowledge regarding medication-related osteonecrosis of the jaw (MRONJ).
Materials and Methods:
This was an observational cross-sectional study that evaluated patients treated with antiresorptive medication at a single cancer hospital. Clinical data were collected and oral examination was performed to assess patient oral health.
Results:
From July 2017 to December 2018, 90 patients were assessed; 64 were female and 26 were male, and the mean age was 61 years. The most common drug was an intravenous bisphosphonate, zoledronic acid. Among the 90 patients, 47 presented with some type of oral disease, isolated or associated. Among these 47 patients, 9 patients (10%) developed osteonecrosis. Oral hygiene was evaluated, and most patients, with or without MRONJ, presented with regular to poor condition. Regarding patient knowledge of the risks of MRONJ and the risks associated with dental surgery, 60% stated that they were not aware of the risks.
Conclusion
Identifying the profile of patients and their needs facilitates not only the preventive process, but also the emergence of new therapeutic options. Our study shows that most patients are weakened both by metastatic disease and antineoplastic treatment as well as by issues associated with aging because most were over 60 years of age. Collectively, this information should be considered for management of preventive and therapeutic measures.
4.Salutogenic factors and hospital work environments: A cross-sectional study in a small Portuguese hospital.
Andre Rafael Coutinho Faria ; Jani de Oliveira Carvalho ; Maria Margarida Silva Vieira Ferreira ; Diogo Guedes Vidal ; Joana Margarida Pinheiro Teixeira
Philippine Journal of Nursing 2023;93(1):57-65
BACKGROUND AND AIM:
A healthy work environment is one in which workers and managers cooperate in the process of continuous
improvement regarding the protection, and promotion of workers' health and well-being, for the sake of work sustainability. The
current state of the art shows that an unfavourable work environment contributes to nurses' dissatisfaction, burnout and
emotional exhaustion, and the intention to leave the workplace/service. This study aimed to identify the Nurses' Work
Environment in a small Portuguese Hospital, diagnose the situation, and focus on a healthy work environment.
METHODS AND MATERIALS:
This is a quantitative, descriptive, and cross-sectional study, with a convenience sample of 90 nurses.
The “Escala de Ambiente de Trabalho da Prática de Enfermagem” (Nursing Practice Work Environment Scale), validated and
adapted by Ferreira & Amendoeira (2014) for the Portuguese population, was applied. The statistical treatment was performed
using SPSS 27.
RESULTS:
The sample is mostly composed of female nurses (87%) with an average age of 26 years, and 75.5% are single. The
dimension "Management and Leadership of the Head Nurse" had a mean value of x̅ =3.3 (out of 4) and σ=0.5, which was the
dimension with the best assessment. The dimension with less encouraging results was "Nurses' Participation in Hospital Affairs"
with x̅ =2.8 (out of 4) and σ=0.7. Overall, all domains assessed had a mean value above 2.5, which was considered a favourable
work environment by the nurses.
CONCLUSION
The results, although generally satisfactory, show the need to carefully intervene and assess each dimension in an
integrated perspective, to promote a healthy work environment and workers' well-being, since its imbalance may negatively affect
quality of their work, impacting the quality of health care provided to the user . In addition, these results should be understood as
an important factor to be considered in the design of future care teams. Regardind future research, it would be important to
consider large samples and deepen the topic explored among different departments in the health care facilities.
Nurses
;
Workplace
;
Health Promotion