Objective: To evaluate and compare the effects of conventional proprioceptive training and games with motion monitoring on plantar tactile sensitivity in older women. Methods: A randomized controlled clinical trial, with 50 older women randomized into three groups: conventional proprioception (n = 17), games with motion monitoring (n = 16), and the control (n = 17). They underwent 24 intervention sessions, three times a week, for eight weeks. The conventional proprioception group performed exercises involving gait, balance, and proprioception. The games performed by the motion monitoring group included exercises using the Xbox Kinect One video game from Microsoft^®. The evaluation of tactile pressure sensitivity was performed using Semmes–Weinstein monofilaments. Intragroup comparisons between the two paired samples were performed using paired Student’s t-test or Wilcoxon test. Intergroup comparisons between the three independent samples were performed using the Kruskal–Wallis test and Dunn’s post hoc test, with p ≤ 0.05. Results: The older women submitted to conventional games with motion monitoring training and showed improvement in plantar tactile sensitivity in the right and left feet. When comparing the intergroup results, the two training modalities obtained an improvement in the plantar tactile sensitivity of the older women when compared to the control group. Conclusions: We conclude that both training modalities may favor the improvement of plantar tactile sensitivity in older women, with no significant differences between conventional and virtual training.

Introduction/Objective: Falls affect approximately 30% of the older adult population. We aimed to compare the associations between fall risk and different multidimensional health aspects among older adults receiving care in the Brazilian Primary Health Care (PHC) system. Method: Cross-sectional, quantitative study involving older adults from PHC. The Fall Risk Score, Mini Nutritional Assessment, Mini-Mental State Examination, Edmonton Frail Scale, Barthel Index, Lawton & Brody Scale, and Medical Outcomes Study Questionnaire Short Form was used to measure the variables of interest. Correlation analyses and binary logistic regression were also employed. Results: A total of n = 257 individuals participated, of whom n = 102 (39.7%) were with risk for falls. Preserved cognition, absence of frailty, and better functionality levels were identified as protective factors against fall risk through association and correlation analyses. The binary logistic regression analysis found that the factors contributing most to the reduction of fall risk were higher nutritional scores, better cognitive function, preserved functionality (BADL and IADL), and the functional domain of quality of life (QoL). Conclusion: Better nutritional status, cognition, functionality, and QoL were associated with a lower risk of falls. Although frailty exhibited similar results, it did not stand out equally as a contributing factor to fall risk.

As mãos dos profissionais de saúde são os principais meios de transmissão de microrganismos e, portanto, se faz necessário reduzir essa contaminação por meio da higienização de mãos. Nesta perspectiva, o presente estudo tem como objetivo mensurar a adesão dos profissionais de saúde do Hospital Metropolitano Oeste Pelópidas Silveira às práticas de higienização de mãos, por meio da Estratégia Multimodal da OMS e elaborar um plano de ação com o intuito de prevenir a transmissão de microrganismos e infecções relacionadas à assistência à saúde. Estudo observacional do tipo pesquisa-ação. Identificou-se uma adesão à higienização de mãos de 63,7% dos profissionais observados e, desses, os técnicos de enfermagem foram os que menos aderiram a esse procedimento (54,3%) enquanto que os enfermeiros, médicos e outros apresentaram um percentual aproximado (71,8% a 79,6%). Quanto aos produtos mais utilizados nas ações de higienização de mãos, água e sabão obteve 89% de adesão, seguido de álcool gel com 11%. Conclui-se que a adesão dos profissionais à prática de higienização das mãos não foi satisfatória e, portanto, há necessidade de educação continuada para a equipe que integra o serviço. O plano de ação, quando implementado, poderá contribuir na tomada de decisão das próximas ações realizadas pela instituição no que se refere ao controle de infecções relacionadas à assistência à saúde.

Background: Although rare, the rates of diagnosis of male breast cancer (MBC) have been increasing over the years, and it can be quite aggressive in the male organism. Some strategies such as health education disseminating knowledge about MBC can be essential for early discovery and finding better prognosis. Objective: Protocol to map the available evidence of health education approaches on MBC. Methods: A scoping review on health education on MBC will be carried out in Latin American and Caribbean Literature on Health Sciences (LILACS), Web of Science, Scopus, Scielo, Online System of Literature Search and Analysis Medical (MEDLINE), Embase, Virtual Health Library (VHL). Two independent reviewers will perform screening, data extraction, and risk of bias assessment through the Joanna Briggs Institute (JBI) Critical Assessment Checklist. For the quality of evidence, the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) Analysis will be used. Results: The results of this review will be published in a peer-reviewed journal. Conclusions: This scoping review will provide evidence of how health education on MBC is being addressed in health systems. Evidence can help healthcare professionals and patients recognize the most effective educational inventions in disseminating knowledge and preventing MBC.

Objective: to identify the instruments used to assess patients hospitalized in palliative care. Method: integrative literature review carried out in January 2024 on the online data platforms: National Library of Medicine and Latin America and the Caribbean Literature on Health Sciences (LILACS) and the virtual library Scientific Electronic Library Online. Twelve scientific articles were analyzed. Results: Sixteen instruments were identified, seven of them generic, four specific for people in palliative care, four specific for oncology patients and one for the diagnosis of COVID-19. The Palliative Performance Scale and Edmonton Symptom Assessment were the most used instruments in the studies and the most relevant aspects to be evaluated in patients receiving palliative care were functional capacity, physical and psychological symptoms and old age. Conclusion: The instruments were useful as they guided health professionals, assessed patients, and planned care and decision-making.