Isaque Lima de Farias

Objective: To identify latent profiles of psychological distress in the Brazilian academic community and analyze their association with sociodemographic inequalities. Methods: A nationwide online survey was conducted with 3,770 participants, including undergraduate and graduate students, faculty, and administrative staff from public higher education institutions. Standardized instruments were used to assess symptoms of common mental health conditions. Statistical modeling was applied to identify distinct profiles of psychological distress and examine their relationship with sociodemographic characteristics. Results: Five profiles of psychological distress were identified: acute anxious-depressive (14.0%), substance-related distress (9.0%), multimorbidity (10.6%), low symptom burden (39.4%), and severe internalizing (27.0%). These profiles were consistent across students, faculty, and staff. Higher levels of psychological distress were observed among undergraduate students, women, non-binary individuals, and participants from Black, Brown, and Indigenous groups, as well as those with lower income. Older age and higher income were associated with lower likelihood of belonging to more severe profiles. The findings reflect a high burden of self-reported symptoms rather than prevalence of diagnosed mental disorders. Conclusions: Psychological distress in higher education is heterogeneous and socially patterned. The identification of distinct profiles highlights the need for targeted and equitable institutional strategies, including mental health screening, psychosocial support, and interventions focused on vulnerable groups

Objetivo: mapear os tipos de tecnologias digitais utilizadas no cuidado de pessoas com feridas bem como suas funcionalidades e aplicações clínicas. Métodos: trata-se de uma revisão de escopo, conduzida por meio de buscas em bases de dados nacionais, internacionais e na literatura cinzenta. Foram incluídas publicações no período entre 2015 e 2025. A seleção e extração dos dados seguiram as recomendações metodológicas do JBI. Resultados: foram incluídos 30 estudos, com predominância de aplicativos móveis, algoritmos de inteligência artificial e curativos inteligentes. Os estudos relataram redução no tempo de mensuração das lesões, acurácia superior a 85% na classificação tecidual por inteligência artificial e erro metrológico aproximado de 2% em aplicativos de mensuração digital. Predominaram estudos de desenvolvimento e validação tecnológica, especialmente em contextos ambulatoriais e hospitalares. Conclusão: aplicativos móveis, algoritmos de inteligência artificial, plataformas digitais e curativos inteligentes constituíram as principais tecnologias digitais identificadas no cuidado de feridas, com aplicações voltadas principalmente à mensuração, monitoramento, documentação clínica e suporte à decisão. Contribuição para a prática: a integração tecnológica no Sistema Único de Saúde e setor privado exige planejamento estrutural, capacitação profissional, indicadores econômico-clínicos e articulação intersetorial para garantir um cuidado eficiente, sustentável e equitativo.

This scoping review mapped, synthesized, and critically analyzed the evidence on financial toxicity in Chagas disease, focusing on its determinants, impacts, and management strategies. Financial toxicity refers to the financial burden and distress experienced by individuals and their families as a result of healthcare expenses. The review followed the Joanna Briggs Institute methodology and the PRISMA-ScR guidelines. Comprehensive searches were conducted across seven electronic databases and the gray literature. Studies were selected and data extracted independently using the population-exposure-outcome framework, and 14 studies included. Most studies described indicators of the economic burden of Chagas disease rather than directly measuring patient-level financial toxicity. Substantial indirect costs were associated with absenteeism, productivity loss, and premature mortality, accounting for 44% to 75% of total costs. The findings also indicated that financial hardship may be intensified by structural vulnerabilities, including extreme poverty, lack of health insurance, and precarious migration status. Available evidence suggests that individuals affected by Chagas disease are at increased risk of healthcare-related financial hardship. However, studies directly assessing financial toxicity are scarce, with most relying on indirect economic indicators. This highlights an important gap in the literature and underscores the need for validated measures to evaluate financial toxicity in this population. Interventions that reduce financial barriers and strengthen access to healthcare services may help mitigate the economic consequences of Chagas disease. Future research should prioritize patient-centered assessments of financial toxicity to better inform policies and strategies aimed at reducing the financial burden associated with the disease.

Objectives: to verify the paternal involvement in pregnancy according to maternal and clinical factors. Methods: cross-sectional study conducted in two primary health care units in Fortaleza, Brazil, during prenatal consultations with 130 women between May 2022 and March 2023. Participants completed the Paternal Involvement in Pregnancy Inventory and a form on sociodemographic, obstetric, and prenatal characteristics. Statistical analyses included the Shapiro-Wilk test, Mann-Whitney U test, and Spearman’s correlation. Results: half of the fathers never accompanied women to medical appointments, although most were always involved in other aspects. Paternal involvement was associated with paid employment (p = 0.049), family income (p = 0.022), living with a partner (p < 0.001), children at home (p = 0.035), and number of pregnancies (p = 0.035). Conclusions: greater paternal involvement was observed among employed women, living with a partner, with fewer children at home, and up to two pregnancies, while lower income was associated with less involvement.

RESUMO Objetivo: Conhecer a percepção de trabalhadores de saúde sobre o fenômeno da normalização do desvio em um hospital pediátrico. Método: Estudo exploratório, descritivo e qualitativo realizado em hospital público pediátrico do nordeste brasileiro em 2021. Aplicou-se entrevista em profundidade a 21 trabalhadores de saúde, submetida à Análise de Conteúdo Categorial Temática no Software MAXQDA®. Resultados: Emergiram 128 unidades de contexto da análise de conteúdo. Esses dados foram apresentados em três categorias analíticas, as quais abordam concepções sobre normalização do desvio, exemplos e fatores contribuintes. Destacam-se a omissão da prática de higienização das mãos e do uso correto dos equipamentos de proteção individual, e o desligamento de alarmes como principais desvios percebidos pelos trabalhadores de saúde. Como fatores contribuintes, preponderaram os fatores humanos e os fatores organizacionais. Conclusão: Os trabalhadores percebem a normalização do desvio como negligência, imprudência e violações de boas práticas, com consequências para a segurança do paciente.

Objective: To know the perception of health workers about the phenomenon of normalization of deviance in a pediatric hospital. Method: Exploratory, descriptive, and qualitative study conducted in a public pediatric hospital in northeastern Brazil in 2021. An in-depth interview was applied to 21 health workers, submitted to Thematic Categorical Content Analysis in the MAXQDA® Software. Results: 128 context units emerged from the content analysis. These data were presented in three analytical categories, which address conceptions about normalization of deviance, examples and contributing factors. The omission of the practice of hand hygiene and the correct use of personal protective equipment,and turning off alarms stand out as the main deviance perceived by health workers. As contributing factors, human factors and organizational factors prevailed. Conclusion: Workers perceive the normalization of deviance as negligence, recklessness, and violations of good practices, with consequences for patient safety.