https://repositorio.ufu.br/handle/123456789/5156 Wed, 08 Apr 2026 15:52:57 GMT 2026-04-08T15:52:57Z https://repositorio.ufu.br:443/retrieve/852c283d-3164-494b-ae2a-163962e01e7b/Novo Logomarca FAMED - OPÇÃO 2.png https://repositorio.ufu.br/handle/123456789/5156 https://repositorio.ufu.br/handle/123456789/48588 Title: Comparação de instrumentos de avaliação nutricional em pacientes oncológicos: uma revisão integrativa da literatura Abstract: To identify, based on scientific evidence, which nutritional assessment tool shows the greatest sensitivity, specificity, and applicability for detecting malnutrition in oncology patients. Method: This is an integrative literature review, in which the searches were limited to publications from the last ten years in the following electronic databases: PubMed/Medline, CAPES Journals Portal, LILACS, and SciELO, in Portuguese, English, and Spanish, using the following descriptors: “malnutrition”, “nutritional status”, “nutritional assessment tools”, and “oncology patient”. Results: A total of 324 articles were initially identified in the databases; after selection according to the predefined exclusion criteria, 5 articles fully met all criteria and therefore composed the final sample of this integrative review. The included studies compared nutritional screening and assessment tools, with GLIM, NRS-2002, and PG-SGA being the most prevalent. Conclusion: The findings of this review indicate that the combination of instruments, with initial screening followed by detailed diagnostic assessment (PG-SGA and/or GLIM), is the most effective strategy for the early identification of malnutrition in cancer patients. Due to the methodological heterogeneity of the studies included in this review and the absence of a universal gold standard for nutritional diagnosis, important gaps in the literature were identified, highlighting the need for more rigorous standards in future research. Thu, 11 Dec 2025 00:00:00 GMT https://repositorio.ufu.br/handle/123456789/48588 2025-12-11T00:00:00Z https://repositorio.ufu.br/handle/123456789/48580 Title: Protocolo assistencial para o manejo da síndrome do desconforto respiratório agudo em pediatria em unidade de terapia intensiva pediátrica Tue, 24 Feb 2026 00:00:00 GMT https://repositorio.ufu.br/handle/123456789/48580 2026-02-24T00:00:00Z https://repositorio.ufu.br/handle/123456789/48578 Title: Sistemas de classificação de pacientes e dimensionamento do pessoal de enfermagem na assistência domiciliar no Brasil: revisão integrativa da literatura Abstract: The growth of home care services in Brazil poses challenges related to work organization and nursing staffing. This study aimed to identify the main patient classification systems used in home care in Brazil and to analyze how Brazilian legislation addresses home care within this context. This is an integrative literature review conducted in six stages: identification of the guiding question, establishment of inclusion and exclusion criteria, literature search, critical appraisal of studies, data analysis, and synthesis of findings. Searches were performed in the SciELO, BVS, and PubMed databases using the descriptors “Home Care,” “Personnel Staffing and Scheduling,” and “Triage,” combined with Boolean operators. The study selection process was organized according to PRISMA recommendations, adapted to the integrative review design. After applying the eligibility criteria, three studies composed the final sample. The findings reveal a scarcity of recent scientific publications addressing specific staffing systems for home care and highlight methodological proposals aimed at estimating nursing care hours based on patient dependency and care complexity. From a regulatory perspective, Brazilian legislation establishes general guidelines for workforce planning in nursing but does not provide exclusive and detailed parameters for home care services. It is concluded that the absence of specific regulation indicates the need for stronger scientific consolidation and regulatory development to enhance technical and legal security in this field. Thu, 12 Mar 2026 00:00:00 GMT https://repositorio.ufu.br/handle/123456789/48578 2026-03-12T00:00:00Z https://repositorio.ufu.br/handle/123456789/48574 Title: Associação entre o uso de clorexidina ou cetilpiridínio oral para prevenção de pneumonia associada à ventilação e a ocorrência de lesão pulmonar aguda em pacientes vítimas de traumatismo cranioencefálico: um ensaio clínico randomizado Abstract: Introduction: Oral hygiene for critically ill patients on mechanical ventilation (MV) is an important strategy for preventing ventilator-associated pneumonia (VAP), and worldwide, the use of chlorhexidine in this procedure has been recommended and disseminated as routine. However, meta-analyses of double-blind randomized clinical trials have reported an association between the use of chlorhexidine in oral hygiene and increased mortality, and no reduction in VAP rates. The mechanism suggested to explain this increase in mortality is the occurrence of acute lung injury, since chlorhexidine is an acidic substance and, when aspirated, could cause direct pulmonary toxicity. Objectives: To evaluate whether there is an association between the use of chlorhexidine (CHX) in the oral hygiene of critically ill patients on mechanical ventilation and the occurrence of ALI, and whether cetylpyridinium chloride (CCP) is a safe option. Methods: This study is a randomized controlled clinical trial, registered under number RBR-7p6568 in the Brazilian Registry of Clinical Trials. The experimental protocols were approved by the local ethics committee and comply with the CONSORT (CONsolidated Standards of Reporting Trials) guidelines. Of the 59 eligible patients, 34 consented and were randomly allocated to three different groups: (A) oral hygiene with 0.12% chlorhexidine digluconate; (B) 0.075% cetylpyridinium chloride; (C) sterile water. The primary outcome was the occurrence of acute lung injury. Secondary outcomes were all-cause mortality, duration of mechanical ventilation, length of stay in the Intensive Care Unit (ICU), ICU-acquired infections, and antimicrobial resistance. The collected data were pooled and compared. Results: The use of chlorhexidine for oral hygiene in critically ill patients on mechanical ventilation showed a non-statistically significant association with an increased occurrence of acute lung injury and ICU-acquired infections. Statistical analysis showed no differences in prevalence percentages between groups for any variable, applying the Z-test of proportions with Bonferroni correction. In addition, the patients’ daily P/F ratio was collected for 14 days, and this data was analyzed using a Mixed Linear Model, in which no statistically significant differences were observed between the three groups in the daily P/F values throughout the follow-up period. Discussion: Considering that international guidelines have modified their recent recommendations and no longer 11 recommend chlorhexidine for oral hygiene in all critically ill patients, it is imperative to evaluate alternatives to chlorhexidine. In this study, the results showed no evidence of harm with the use of CCP, corroborating the fact that, unlike CHX, it is not an acidic substance. Conclusion: In institutions whose protocols guide the use of oral chlorhexidine only when specifically prescribed, CCP remains a possible alternative. Further investigations will be necessary to assess whether cetylpyridinium chloride in oral hygiene is a safe and effective strategy for preventing VAP and could, therefore, be recommended by guidelines for routine use in all critically ill patients on mechanical ventilation. Fri, 20 Feb 2026 00:00:00 GMT https://repositorio.ufu.br/handle/123456789/48574 2026-02-20T00:00:00Z