S1 Health literacy and health education in adolescence Catarina Cardoso Tomás S2 The effect of a walking program on the quality of life and well-being of people with schizophrenia Emanuel Oliveira, D. Sousa, M. Uba-Chupel, G. Furtado, C. Rocha, A. Teixeira, P. Ferreira S3 Diagnosis and innovative treatments - the way to a better medical practice Celeste Alves S4 Simulation-based learning and how it is a high contribution Stefan Gisin S5 Formative research about acceptability, utilization and promotion of a home fortification programme with micronutrient powders (MNP) in the Autonomous Region of Príncipe, São Tomé and Príncipe Elisabete Catarino, Nelma Carvalho, Tiago Coucelo, Luís Bonfim, Carina Silva S6 Safety culture of the patient: a reflexion about the therapeutic approach on the patient with vocal pathology Débora Franco S7 About wine, fortune cookies and patient experience Jesús Alcoba González O1 The psychological impact on the emergency crews after the disaster event on February 20, 2010 Helena G. Jardim, Rita Silva O2 Musculoskeletal disorders in midwives Cristina L. Baixinho, Mª Helena Presado, Mª Fátima Marques, Mário E. Cardoso O3 Negative childhood experiences and fears of compassion: Implications for psychological difficulties in adolescence Marina Cunha, Joana Mendes, Ana Xavier, Ana Galhardo, Margarida Couto O4 Optimal age to give the first dose of measles vaccine in Portugal João G. Frade, Carla Nunes, João R. Mesquita, Maria S. Nascimento, Guilherme Gonçalves O5 Functional assessment of elderly in primary care Conceição Castro, Alice Mártires, Mª João Monteiro, Conceição Rainho O6 Smoking and coronary events in a population of Spanish health-care centre: An observational study Francisco P. Caballero, Fatima M. Monago, Jose T. Guerrero, Rocio M. Monago, Africa P. Trigo, Milagros L. Gutierrez, Gemma M. Milanés, Mercedes G. Reina, Ana G. Villanueva, Ana S. Piñero, Isabel R. Aliseda, Francisco B. Ramirez O7 Prevalence of musculoskeletal injuries in Portuguese musicians Andrea Ribeiro, Ana Quelhas, Conceição Manso O8 Hip fractures, psychotropic drug consumption and comorbidity in patients of a primary care practice in Spain Francisco P. Caballero, Jose T. Guerrero, Fatima M. Monago, Rafael B. Santos, Nuria R. Jimenez, Cristina G. Nuñez, Inmaculada R. Gomez, Mª Jose L. Fernandez, Laura A. Marquez, Ana L. Moreno, Mª Jesus Tena Huertas, Francisco B. Ramirez O9 The role of self-criticism and shame in social anxiety in a clinical SAD sample Daniel Seabra, Mª Céu Salvador O10 Obstruction and infiltration: a proposal of a quality indicator Luciene Braga, Pedro Parreira, Anabela Salgueiro-Oliveira, Cristina Arreguy-Sena, Bibiana F. Oliveira, Mª Adriana Henriques O11 Balance and anxiety and depression symptoms in old age people Joana Santos, Sara Lebre, Alda Marques O12 Prevalence of postural changes and risk factors in school children and adolescents in a northern region (Porto) Clarinda Festas, Sandra Rodrigues, Andrea Ribeiro, José Lumini O13 Ischemic stroke vs. haemorrhagic stroke survival rate Ana G. Figueiredo O14 Chronobiological factors as responsible for the appearance of locomotor pathology in adolescents Francisco J. Hernandez-Martinez, Liliana Campi, Mª Pino Quintana-Montesdeoca, Juan F. Jimenez-Diaz, Bienvenida C. Rodriguez-De-Vera O15 Risk of malnutrition in the elderly of Bragança Alexandra Parente, Mª Augusta Mata, Ana Mª Pereira, Adília Fernandes, Manuel Brás O16 A Lifestyle Educational Programme for primary care diabetic patients: the design of a complex nursing intervention Mª Rosário Pinto, Pedro Parreira, Marta L. Basto, Ana C. Rei, Lisete M. Mónico O17 Medication adherence in elderly people Gilberta Sousa, Clementina Morna, Otília Freitas, Gregório Freitas, Ana Jardim, Rita Vasconcelos O18 Hospitalization for cervical cancer of residents in the metropolitan region of Porto Alegre, Southern Brazil, 2012 to 2014 Lina G. Horta, Roger S. Rosa, Luís F. Kranz, Rita C. Nugem, Mariana S. Siqueira, Ronaldo Bordin O19 Oncologic assistance of high complexity: evaluation of regulating accesses Rosiane Kniess, Josimari T. Lacerda O20 Perceived barriers for using health care services by the older population as seen by the social sector: findings from the Vila Nova de Gaia Gerontological Plan Joana Guedes, Idalina Machado, Sidalina Almeida, Adriano Zilhão, Helder Alves, Óscar Ribeiro O21 Sleep difficulties and depressive symptoms in college students Ana P. Amaral, Ana Santos, Joana Monteiro, Mª Clara Rocha, Rui Cruz O22 Psychopathological symptoms and medication use in higher education Ana P. Amaral, Marina Lourenço, Mª Clara Rocha, Rui Cruz O23 Sexually transmitted diseases in higher education institutions Sandra Antunes, Verónica Mendonça, Isabel Andrade, Nádia Osório, Ana Valado, Armando Caseiro, António Gabriel, Anabela C. Martins, Fernando Mendes O24 Alcohol consumption and suicide ideation in higher education students Lídia Cabral, Manuela Ferreira, Amadeu Gonçalves O25 Quality of life in university students Tatiana D. Luz, Leonardo Luz, Raul Martins O26 Male and female adolescent antisocial behaviour: characterizing vulnerabilities in a Portuguese sample Alice Morgado, Maria L. Vale-Dias O27 Risk factors for mental health in higher education students of health sciences Rui Porta-Nova O28 International classification of functioning disability and health as reflexive reasoning in primary attention in health Tânia C. Fleig, Éboni M. Reuter, Miriam B. Froemming, Sabrina L. Guerreiro, Lisiane L. Carvalho O29 Risk factors and cardiovascular disease in Portalegre Daniel Guedelha, P....

Background & Aim: The importance of breastfeeding and its exclusivity in the first six months of a child’s life is worldwide recognized. Despite that adherence to exclusive breastfeeding is far from international standards. Therefore, updating evidence on this topic is essential to demonstrate to parents and health professionals the benefits of exclusive breastfeeding, demystifying ideas, and promoting adherence. Methods & Materials: An integrative review was conducted with a search in Medline, SciELO, and CINHAL databases, with the descriptors “breastfeeding", "breast", "feeding", "breastfeeding", "exclusive" and "benefits”, combined with the Boolean operator "AND" and “OR”, for studies published between 2014 and 2019. Of the 221 studies identified, eight were included for review. Results: Short-term and long-term benefits of exclusive breastfeeding for children were identified such as healthier eating habits, reduced length of hospital stay, favorable weight increase, lower body mass index, lower adiposity, lower total cholesterol values, better cognitive and behavioral development, as well as stability of metabolic levels in children with metabolic disorders. Conclusion: There are benefits for exclusive breastfeeding that must be explained to parents. Nurses must incorporate the best available evidence into their practice to enable parents to realize the impact of the choice of exclusive breastfeeding on the child's health, increasing their adherence.

Dysphagia is frequent after stroke, and it increases the risk of respiratory infection, dehydration and malnutrition, resulting in worse outcomes. Different clinical guidelines present recommendations for the assessment and management of dysphagia in stroke patients in a scattered way. These best practice recommendations address seven clinical questions on the assessment and management of dysphagia in stroke patients, gathering the best-updated evidence. A systematic literature review using the PICO strategy was performed. The recommendations draft was then appraised by a multidisciplinary panel of experts (nutritionists, physiatrists, speech-language pathologists and rehabilitation nurses) in a total of 3 Delphi rounds. A minimum of 80% consensus was established, and the final version offers a total of 21 recommendations for use in clinical practice for stroke patients. These clinical recommendations are an overview of the most recent evidence combined with experts’ consensus and translated into clinically relevant statements. In implementing recommendations at the local level, health professionals should identify facilitators and barriers to evidence-based practice within their contexts and determine the best strategies to address local needs. Where the change is needed, initial and continuing training on all recommendations is essential and relevant.

Enquadramento: no contexto de emergência de saúde pública internacional por SARS-CoV-2, a suspensão das atividades letivas presenciais criou uma disrupção ao regular funcionamento das instituições de ensino superior com impacte na comunidade académica. Objetivo: avaliar o impacte da pandemia COVID-19 no percurso académico e de vida dos estudantes e sua satisfação com as medidas adotadas. Metodologia: estudo descritivo, exploratório. Recolha de dados por questionário online, com questões centradas nas condições para o ensino à distância, nas vivências dos estudantes e no impacte e satisfação com o Plano de Contingência. A amostra não probabilística e de conveniência. Análise estatística dos dados de acordo com a natureza das variáveis. Resultados: participaram 264 estudantes com idade média de 28,2±10,2 anos. No geral, referem muito boas condições em casa para concretização do ensino à distância (X=4,4±0,67,2−5). A maioria (79,2%, n=209) refere ter participado nas atividades não presenciais após a ativação do Plano de Contingência. Da análise do impacte verificam-se níveis de adequação muito elevados das plataformas educativas. Constata-se também, uma elevada satisfação com a informação fornecida. Conclusão: as medidas adotadas foram adequadas tendo contribuído para reduzir o impacte do COVID-19 no processo de ensino, aprendizagem e avaliação dos estudantes.

Background & Aim: Leadership style influences nursing team satisfaction, impacting organizational behavior, performance, outcomes, and quality of nursing care. This study aimed to describe the relationship between transformational leadership and nurses' satisfaction with their teams. Methods & Materials: A cross-sectional study with 95 participants enrolled by a snowball sample technique, using the Global Transformational Leadership Scale and the Group Satisfaction Scale for data collection, was developed. Quantitative data were analyzed with SPSS 26, and qualitative data were analyzed through conventional content analysis assisted by QDA Miner Lite 4. Results: A statistically significant difference between the participants' length of service and Group Satisfaction and an association between Transformational Leadership and Group Satisfaction was found. Communication skills are highlighted by the participants as characteristics a leader should have. Conclusion: Health organizations should value transformational leadership, especially nowadays, where health work environments are characterized by instability. Training leaders to assume this type of leadership is needed.

Enquadramento: a prática de enfermagem está relacionada com atividades que requerem solicitação músculo-esquelética constante e desajustada, como consequência do desequilíbrio entre o profissional/equipamento/doente, levando os profissionais a adotarem posturas incorretas e prejudiciais à sua própria saúde. Objetivo: conhecer a prevalência das lesões músculo-esqueléticas relacionadas com o trabalho (LMERT) nos enfermeiros. Metodologia: para responder ao objetivo deste estudo realizou-se uma revisão integrativa, com uma pesquisa nas bases de dados Medline, SciELO e CINHAL, com os descritores "nurses", "musculoskeletal diseases" e "prevalence", combinados com o operador booleano "AND", dos estudos de prevalência publicados entre 2012 e 2017. Dos 174 estudos identificados, 24 foram incluídos para a revisão. Resultados: verifica-se elevada prevalência de LMERT, variando de 25 a 98%, destacando-se a lesão da coluna lombar. Conclusão: as LMERT têm um impacte negativo na vida pessoal, profissional e social do enfermeiro. A investigação nesta área deverá ser dirigida para a interpretação dos fatores causais e implementação de medidas preventivas/corretivas e a capacitação das instituições para a importância de ações a nível preventivo, comportamental e instituição de medidas ergonómicas.