Background/Objectives: The use of digital technologies among children and adolescents has been increasing exponentially, raising concerns about the potential impacts on physical, mental, cognitive, educational, and social development. Understanding these effects is key to informing clinical and educational practices and public policies that promote digital wellbeing in childhood and adolescence. The main objective of this study was to map the latest available scientific evidence on the patterns of digital technology use by children and adolescents and its main impact, identifying risk factors, opportunities, and strategies for promoting digital wellbeing. Methods: A rapid review was carried out following the Joanna Briggs Institute (JBI) guidelines. Quantitative, qualitative, and mixed studies published between 2020 and 2025, in Portuguese or English, that addressed the use of digital technologies by children and adolescents were included. The assessment of methodological quality was based on JBI’s Critical Appraisal Tools. Results: Ten studies from diverse contexts showed an association between excessive screen time and risks of sedentary lifestyles, sleep disorders, anxiety, depression, attention difficulties, and low academic performance. Occasional benefits arose with adult mediation and educational use; parental mediation and socioeconomic background were key factors. Conclusions: The use of digital technologies is a complex and multifactorial phenomenon that requires integrated approaches; the promotion of digital literacy, public policies for equitable access to quality digital resources, and longitudinal and intercultural studies are recommended to clarify causal relationships and adapt interventions to local contexts.

Contextualização: As doenças cardiovasculares são a principal causa de morte em todo o mundo, principalmente devido ao aumento da prevalência do enfarte do miocárdio, com um impacto real no sistema de saúde e na qualidade de vida da pessoa cuidada. O desenvolvimento de intervenções preventivas de melhoria da autogestão da doença parece estar positivamente correlacionado com maiores ganhos em saúde. No entanto, verifica-se uma diversidade de práticas que não consideram as necessidades individuais da pessoa e que são insuficientes para promover a sua capacitação. Objetivos: Caracterizar os programas terapêuticos de prevenção secundária para os doentes e famílias pós-EAM, identificando e avaliando abordagens exemplares para a sua implementação. Metodologia: Scoping review estruturada pelas diretrizes Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) 2021 e a mnemónica PCC: população, conceito e contexto. Pesquisa realizada nas bases de dados Scopus-Elsevier, PubMed e Web of Science, entre setembro de 2022 e novembro de 2023. Estudos qualitativos, quantitativos e mistos, publicados em inglês, espanhol ou português entre 2006 e 2023. Protocolo registado no Open Science Framework. Resultados: Foram incluídos 46 artigos provenientes de 24 países. A qualidade de vida, os níveis de satisfação, a adesão ao regime terapêutico (nutrição, medicação, exercício físico), a literacia em saúde, os custos de saúde, o tempo de permanência, a mortalidade e as morbilidades foram os principais resultados relatados. Considerações finais: Estes programas devem ser personalizados, mais acessíveis e ajustados às necessidades emocionais e informativas dos doentes. É importante integrar modelos de prestação de cuidados inovadores na conceção de novos programas de reabilitação cardíaca, como a telereabilitação. É necessário ampliar a investigação qualitativa e mista neste âmbito, com especial enfoque nas minorias populacionais e na implementação de avaliações de custo-efetividade.

Introduction: Patient safety is a topic of global relevance, especially with regard to the reporting of safety incidents associated with healthcare practice, considering the potential harm that these incidents can cause to patients. Objective: To identify and analyze evidence from Portuguese scientific publications on the management of safety incident risk in hospital settings. Method: This is a study of trends in Portuguese theses and dissertations, in the form of a narrative literature review, with a search conducted in September and October 2024 in RepositoriUM, the Scientific Repository, Universidade de Coimbra, and in the Repositório Científico de Acesso Aberto de Portugal (RCAAP). The trend referred to in this study is the mapping of Portuguese scientific productions on the subject, defended in master’s and doctoral courses in higher education institutions in the country, which includes quantitative analysis of publications, temporal and thematic overview. Content analysis was used to analyze data extracted from the assessed productions. Results: Of the thousands of publications identified, 44 were selected for full reading, and 24 comprised the final corpus of the study. The main findings were organized into categories that discussed: types and contributing factors to incidents; facilitators and barriers to reporting in the information system; and risk management strategies focused on patient safety, promoting a culture of safety, and reinforcing healthcare professionals’ awareness of reporting in the system. Final considerations: The study analyzed Portuguese scientific publications on risk management and incident reporting, highlighting the relevance of the topic in publications. The need for research to assess the effectiveness of institutional strategies to promote a culture of patient safety through incident reporting in the reporting system was identified.

Background/Objectives: Cardiovascular diseases are the leading cause of death and disability worldwide, exacerbated by poor diet, sedentary lifestyles, and precarious living conditions. In women’s prisons, diets often rely on ultra-processed foods that are nutrient-poor and high in sodium and fats, increasing cardiovascular risks. The lack of access to healthy options and the absence of nutritional education programs make prevention even more challenging. Additionally, sociocultural and emotional factors negatively influence inmates’ eating habits. Given the scarcity of studies on this relationship, listening to professionals working in this context can help identify specific needs and develop nutritional intervention strategies to promote the health of this population. The main aim of this study is to report on the challenges faced by professionals working in a women’s prison setting in relation to the prevention of cardiovascular disease, particularly in relation to eating habits. Methods: We adopted a qualitative, exploratory, and descriptive approach, using the focus group technique to collect data in a Portuguese women's prison, in July 2024. Data saturation was achieved in a single session. The data obtained was analyzed using thematic content analysis, according to Bardin's protocol (2016). Results: Three thematic categories emerged from the subsequent content analysis: 1) Contextual challenges of the prison system; 2) Socio-cultural factors contributing to resistance against behavioral change; and 3) Sustainable intervention strategy. Conclusions: This study highlights the complexity of the female prison system in addressing cardiovascular disease, with a focus on dietary habits. It highlights the significance of a multidisciplinary approach to address these challenges, as well as the urgent need to improve the production of scientific knowledge in this area, with a sense of creating and sustaining more powerful policies and strategies, effective and humanized.

Background: Cardiovascular disease (CVD) is the leading cause of death worldwide and is exacerbated by poor dietary habits, particularly in settings such as women’s prisons. Incarcerated women are often exposed to ultra-processed foods, limited nutritional education, and restricted living conditions that increase their risk of CVD. Objectives: This study aimed to explore the challenges perceived by professionals in a Portuguese women’s prison regarding the prevention of CVD, particularly through dietary interventions. Methods: A qualitative, exploratory and descriptive study was conducted using a focus group with six professionals. Data were collected in July 2024 and analysed using thematic content analysis. Results: Three thematic categories emerged: (1) contextual challenges of the prison system (e.g., sedentary lifestyle, limited food options); (2) socio-cultural resistance to behavioural change (e.g., low adherence to health programmes, use of food as a coping mechanism); and (3) the need for sustainable and interdisciplinary intervention strategies. Conclusions: The findings highlight the complexity of promoting cardiovascular health in female prisoners. Interventions need to take into account mental health support, prisoner autonomy and institutional constraints. Future research should develop and test targeted, context-specific nutrition programmes in similar settings.