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Experiences of women with preeclampsia

Preeclampsia is a pregnancy complication characterized by high blood pressure and proteinuria that arises after a gestational age of 20 weeks. Pre-eclampsia is one of the obstetric diseases with the most severe complication rates. Research on increasing knowledge, causes, prevention, treatment of pre-eclampsia, and strong evidence of the traumatic impact on short-term and long-term psychological health has been widely undertaken. However, there has been relatively little study on mothers' experiences with preeclampsia. This Scoping Review aims to find out the experiences of mothers with pre-eclampsia. The method used is Scoping Review using Willey Online Library, PubMed, and ScienceDirect databases. The search results that match the criteria are then analyzed to generate these articles. The appraisal study uses Joana Briggs Institute (JBI), and the synthesis method uses PEOS modification. Of the 152 articles relevant to titles and abstracts, seven articles met the inclusion and exclusion criteria. The review discovered four themes that affect mother experience with preeclampsia: maternal reaction, obstacles, impact, and coping. This study contributes to the understanding that the condition of women with preeclampsia during pregnancy and childbirth still requires medical professionals' attention, particularly regarding awareness of perceived symptoms and information regarding pregnancy with preeclampsia.

Pregnant women's perceptions of anemia and iron supplement consumption

Anemia is a condition that is commonly indicated by low hemoglobin levels in the blood. This situation is proven by the lack of quality and quantity of red blood cells that consequently decrease the amount of oxygen transported into the tissue. The high incidence of anemia in pregnancy can cause high maternal mortality after childbirth resulting from pregnancy complications such as bleeding. A lot of research on the factors that influence anemia and the prevention of anemia during pregnancy has been conducted previously. However, there is still few of research exploring women's perception of anemia and the consumption of iron supplements. This Scoping Review aims to determine the extent of women's perception of anemia and iron supplement consumption. The method used is Scoping Review using Wiley Online Library, PubMed, and ScienceDirect databases. The research results that match the criteria are then analyzed with the aim of generating these articles. Appropriational study applied here uses Joana Briggs Institute (JBI), and the synthesis method uses PEOS modification. Six of the 141 articles relevant to titles and abstracts met the inclusion and exclusion criteria.

Technology usage for teaching and learning in nursing education: An integrative review.

BackgroundThe increasing availability of technology devices or portable digital assistant devices continues to change the teaching-learning landscape, including technology-supported learning. Portable digital assistants and technology usage have become an integral part of teaching and learning nowadays. Cloud computing, which includes YouTube, Google Apps, Dropbox and Twitter, has become the reality of today’s teaching and learning and has noticeably improved higher education, including nursing education.ObjectivesThe aim of this integrative literature review was to explore and describe technology usage for teaching and learning in nursing education.MethodA five-step integrative review framework by Whittemore and Knafl was used to attain the objective of this study. The authors searched for both empirical and non-empirical articles from EBSCOhost (health information source and health science), ScienceDirect and African Journals Online Library databases to establish what is already known about the keywords. Key terms included in literature search were coronavirus disease 2019 (COVID-19), digital learning, online learning, nursing, teaching and learning, and technology use.ResultsNineteen articles were selected for analysis. The themes that emerged from this review were (1) technology use in nursing education, (2) the manner in which technology is used in nursing education, (3) antecedents for technology use in nursing education, (4) advantages of technology use in nursing education, (5) disadvantages of technology use in nursing education and (6) technology use in nursing education amidst COVID-19.ConclusionTechnology in nursing education is used in both clinical and classroom teaching to complement learning. However, there is still a gap in its acceptance despite its upward trend.ContributionThe findings of this study contribute to the body of knowledge on the phenomenon of technology use for teaching and learning in nursing education.

Impact of the Moderating Effect of National Culture on Adoption Intention in Wearable Health Care Devices: Meta-analysis.

BackgroundWearable health care devices have not yet been commercialized on a large scale. Additionally, people in different countries have different utilization rates. Therefore, more in-depth studies on the moderating effect of national culture on adoption intention in wearable health care devices are necessary.ObjectiveThis study aims to explore the summary results of the relationships between perceived usefulness and perceived ease of use with adoption intention in wearable health care devices and the impact of the moderating effect of national culture on these two relationships.MethodsWe searched for studies published before September 2021 in the Web of Science, EBSCO, Engineering Village, China National Knowledge Infrastructure, IEEE Xplore, and Wiley Online Library databases. CMA (version 2.0, Biostat Inc) software was used to perform the meta-analysis. We conducted publication bias and heterogeneity tests on the data. The random-effects model was used to estimate the main effect size, and a sensitivity analysis was conducted. A meta-regression analysis was used to test the moderating effect of national culture.ResultsThis meta-analysis included 20 publications with a total of 6128 participants. Perceived usefulness (r=0.612, P<.001) and perceived ease of use (r=0.462, P<.001) positively affect adoption intention. The relationship between perceived usefulness and adoption intention is positively moderated by individualism/collectivism (β=.003, P<.001), masculinity/femininity (β=.008, P<.001) and indulgence/restraint (β=.005, P<.001), and negatively moderated by uncertainty avoidance (β=-.005, P<.001). The relationship between perceived ease of use and adoption intention is positively moderated by individualism/collectivism (β=.003, P<.001), masculinity/femininity (β=.006, P<.001) and indulgence/restraint (β=.009, P<.001), and negatively moderated by uncertainty avoidance (β=-.004, P<.001).ConclusionsThis meta-analysis provided comprehensive evidence on the positive relationship between perceived usefulness and perceived ease of use with adoption intention and the moderating effect of national culture on these two relationships. Regarding the moderating effect, perceived usefulness and perceived ease of use have a greater impact on adoption intention for people in individualistic, masculine, low uncertainty avoidance, and indulgence cultures, respectively.

Effects of therapeutic hypothermia on the safety of children with severe traumatic brain injury: a systematic review and meta-analysis.

BackgroundTherapeutic hypothermia (TH) is effective to treat adult traumatic brain injury (TBI), but there is still controversy about its safety to treat the children with severe TBI.MethodsClinical studies on TH in children with severe TBI from January 2000 to September 2020 were screened in PubMed, Web of Science, Embase, Cochrane Library, Nature, NCKI, and Wanfang online databases. Data were meta-analyzed by Rev Man 5.3. Differences in mortality, adverse outcomes, duration of Pediatric Intensive Care Unit (PICU), incidence of infection, and incidence of arrhythmia were compared between experimental group and control group. The heterogeneity of the results was evaluated by chi-square test and I2 test in Rev Man 5.3, and publication bias was evaluated by funnel plot.ResultsFive articles were included, including 421 children. Cochrane evaluation was B grade or above, and Jadad scale score was over three points. The overall mortality between two groups showed great difference [odds ratio (OR) =1.72, 95% CI: 0.98–3.02, Z=1.87, P=0.04]. The incidence of adverse outcomes (OR =1.39, 95% CI: 0.86–2.25, Z=1.34, P=0.18), the duration of PICU [mean difference (MD) =0.51, 95% CI: −0.33 to 1.35, Z=1.19, P=0.24], the incidence of infection (OR =0.79, 95% CI: 0.51–1.23, Z=1.03, P=0.30), and the incidence of arrhythmia (OR =3.10, 95% CI: 0.77–12.50, Z=1.59, P=0.11) were not considerably different.DiscussionTH significantly reduced overall mortality in children with severe TBI, but did not significantly improve the incidence of adverse outcomes, PICU duration, infection rate, or arrhythmia. These results provided a reference for selecting proper clinical treatment methods for children with severe TBI.

A LEITURA E A ESCRITA NA DEFICIÊNCIA INTELECTUAL: EXPERIÊNCIAS QUE FAVORECERAM O PROCESSO DE ALFABETIZAÇÃO

Students with intellectual disabilities account for 67% of students targeted by special education. It is a neurodevelopmental disorder, characterized by deficits in intellectual and adaptive functions, it is possible to observe an extra time to appropriate reading and writing, to understand written language and difficulties related to abstract thinking. Thus, it is important that teachers know the methods and the theories that are available in the literacy process. The objective of this research consisted in gathering Brazilian experiences that contributed to the advance of the process of reading and writing acquisition of students with intellectual deficiency. For this purpose, we developed a bibliographic research, consulting the Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (Coordination for the Improvement of Higher Education Personnel - CAPES), Biblioteca Digital Brasileira de Teses e Dissertações (Brazilian Digital Library of Theses and Dissertations - BDTD), Scientific Electronic Library Online (Scielo) and Academic Google databases (GA). As a result, we verified experiments that used the Phonovisuoarticulatory, Abacada and Phonic methods and a practice that did not use a specific method. We observed that none of the practices started from the whole to the parts, being common to all of them the teaching of letters, syllables and the commitment of those involved in providing a methodology to achieve the proposed objective. We hope that this work will contribute to a rethinking of the proposed activities, towards inclusion, the development of the maximum potential and the comprehensive education of the student.

The Supraclavicular Artery Island Flap for Pharynx Reconstruction.

The supraclavicular artery island flap (SCAIF) is a reliable, easy-to-harvest and versatile fasciocutaneous flap that can be used for pharynx reconstruction. Instead of free flaps, it requires no microsurgical technique, reduced operating time and postoperative care, making it an ideal option, especially during the COVID-19 pandemic. The primary aim of our study was to present two cases of a total laryngectomy and reconstruction with the SCAIF during the pandemic. The secondary aim was to review the literature concerning surgical techniques, complications and contradictions of the SCAIF for pharynx reconstruction. A literature search was performed using the PubMed, ScienceDirect, Wiley Online Library, Google Scholar, Scopus and Cochrane Library databases, using MeSH terms: larynx AND reconstruction AND flap. Ten full-text articles comprising 92 patients with 93 supraclavicular flaps were included. The patch graft, pharyngeal interposition graft, tubularization or “U”-shaped SCAIF were the main surgical techniques. Pharyngocutaneous fistula was the most frequent postoperative complication, especially in patients with previous radiotherapy, but just 19% of patients required secondary intervention. The lack of donor-site morbidity, low flap loss rates and stenosis rates favored this reconstructive option. This review underlined that the SCAIF has comparable results with other reconstructive options, consolidating this flap in the workhorse of pharynx reconstruction.

Connecting Healthcare with Income Maximisation Services: A Systematic Review on the Health, Wellbeing and Financial Impacts for Families with Young Children.

Financial counselling and income-maximisation services have the potential to reduce financial hardship and its associated burdens on health and wellbeing in High Income Countries. However, referrals to financial counselling services are not systematically integrated into existing health service platforms, thus limiting our ability to identify and link families who might be experiencing financial hardship. Review evidence on this is scarce. The purpose of this study is to review “healthcare-income maximisation” models of care in high-income countries for families of children aged between 0 and 5 years experiencing financial difficulties, and their impacts on family finances and the health and wellbeing of parent(s)/caregiver(s) or children. A systematic review of the MEDLINE, EMBase, PsycInfo, CINAHL, ProQuest, Family & Society Studies Worldwide, Cochrane Library, and Informit Online databases was conducted according to the Preferred Reporting Items for Systemic Reviews and Meta-Analyses (PRISMA) statement. A total of six studies (five unique samples) met inclusion criteria, which reported a total of 11,603 families exposed to a healthcare-income maximisation model. An average annual gain per person of £1661 and £1919 was reported in two studies reporting one Scottish before–after study, whereby health visitors/midwives referred 4805 clients to money advice services. In another UK before–after study, financial counsellors were attached to urban primary healthcare centres and reported an average annual gain per person of £1058. The randomized controlled trial included in the review reported no evidence of impacts on financial or non-financial outcomes, or maternal health outcomes, but did observe small to moderate effects on child health and well-being. Small to moderate benefits were seen in areas relating to child health, preschool education, parenting, child abuse, and early behavioral adjustment. There was a high level of bias in most studies, and insufficient evidence to evaluate the effectiveness of healthcare-income maximisation models of care. Rigorous (RCT-level) studies with clear evaluations are needed to assess efficacy and effectiveness.

Scoping review: Neglect of the elderly by nuclear family members

Neglect of the elderly in the context of a global aging population is of concern, more so neglect caused to the elderly by nuclear family members. However, the literature on the subject of neglect of the elderly by nuclear family members has yet to be mapped out to afford academics insight into future research directions on the subject. Therefore, a scoping review guided by the PRISMA-ScR checklist was undertaken and mapped out the relevant literature, identified gaps and made suggestions on the subject of neglect of the elderly by nuclear family members. To gain a wider range of possible sources of evidence, the Thai Journals Online (ThaiJO) and China National Knowledge Infrastructure (CNKI) were searched in tandem with the English-Language based Wiley Online Library and ScienceDirect databases. The databases were searched for academic articles published between July 2011 and mid-July 2021. The screening process reduced the initial 975 articles found to 15 sources of evidence. The content of these 15 sources of evidence was mapped out and synthesized via a charting table. Gaps identified include how and why physical necessities are withheld from the elderly; how financial restraints on the elderly by nuclear family members occur; the interplay between finances and neglect; how stress levels, family dynamics, family history and living conditions exacerbate psychological neglect; and, a needed exploration of the forms of verbal neglect perpetrated on the elderly by nuclear family members. Suggestions for future research based on these identified gaps were discussed and offered in this manuscript.

Psychological Factors Involved in Weight Gain after Bariatric Surgery. Systematic Review

Obesity (WHO, 2019), is an incurable and chronic pathological condition, of degenerative evolution, which affects thousands of people around the world. The objectives of the study are to analyze the psychological factors in patients undergoing bariatric surgery who have gained weight and to relate adherence to the multidisciplinary team as a cause. This is a systematic literature review research with articles in the databases: Scientific and Technical Literature of Latin America and the Caribbean, National Library of the United States, MEDLINE and in the Scientific Eletronic Library Online database, with descriptors: "Postoperative Bariatric Surgery", "Psychology and Bariatric Surgery" and "Weight Gain after Bariatric Surgery" associated with the Boolean operator AND. Between 2017 and 2022, a total of 794 articles in Portuguese, Spanish and English were analyzed. We excluded 760 articles because they were not within the focus of this review, as well as those that did not meet the inclusion criteria. The final sample had 33 publications. The analysis of the data demonstrated unequivocally that the abandonment of psychological and nutritional counseling contributed decisively to the weight gain of patients.

Effect of radical lymphadenectomy in colorectal cancer with para-aortic lymph node metastasis: a systematic review and meta-analysis

BackgroundColorectal cancer (CRC) with para-aortic lymph node metastasis (PALNM) is an intractable clinical situation, and the role of radical lymphadenectomy in the treatment of CRC with PALNM is still controversial. The aim of the current system review and meta-analysis is to evaluate the clinical efficacy and safety of radical lymphadenectomy in CRC patients with PALAN.MethodsWe performed a systematic search of PubMed, Embase, Cochrane Library and other online databases up to 31 October 2021. The clinical data including overall survival and postoperative complications were screened and analyzed after data extraction. Odds ratios (ORs) were applied to analyze these dichotomous outcomes with a fixed effects model.ResultsA total of 7 available retrospective clinical studies involving 327 patients were finally included. CRC patients with PALNM who underwent radical lymphadenectomy showed significantly overall survival (OR: 6.80, 95% CI: 3.46–13.38, P < 0.01; I2 = 0%) when compared to those who did not receive radical lymphadenectomy. Moreover, in terms of postoperative complications (OR: 0.71, 95% CI: 0.35–1.44, P = 0.48; I2 = 0%), there was no statistical difference between radical lymphadenectomy treatment and control groups.ConclusionsThe radical lymphadenectomy treatment has showed the expected clinical efficacy in prolonging overall survival time of CRC patients with PALAN. Moreover, the preemptive radical lymphadenectomy could not cause additional postoperative complications.

Immunohistochemical Profile of Polymorphous Adenocarcinoma of Minor Salivary Gland: A Systematic Review and Meta-Analysis.

Polymorphous adenocarcinoma (PAC) is a rare variant of minor salivary gland tumors. Because of its architectural diversity, histological diagnosis of PAC can be difficult especially for small biopsies, and immunohistochemistry is of great help in differentiating it from its histologic mimics. The aim of this study is to conduct a systematic literature review to identify reliable immunohistochemical markers for PAC. We conducted an electronic literature search of the MEDLINE, ScienceDirect, SpringerLink, and Wiley Online Library databases, covering the literature published in the period between 1988 and 2021. The eligibility criteria included case reports and retrospective studies of PAC cases with details of immunohistochemical markers. Following the search and selection process, 32 studies with 409 cases were included in this systematic review. Overall, > 90% positivity was observed for pan-cytokeratin (CK) (97.3%), CK7 (96.8%), CK7/8 (97.4%), E-cadherin (90.0%), Vimentin (92.5%), S100 (97.0%), p63 (91.7%), and SOX10 (100%), while little to no positivity was observed for CK20 (0.0%), p40 (0.0%), and GFAP (5.0%). The average MIB-1 labeling index was 3.78%. The results of this systematic review indicate that CK7+/CK20-, p63+/p40-, S100+, Vimentin+, and GFAP-immunophenotype have diagnostic value for PAC. In addition, the use of S100, MSA, p40, and c-Kit provide additional layers of information helpful to differentiate PAC from adenoid cystic carcinoma, one of challenging differential diagnoses.

Augmented Reality: Mapping Methods and Tools for Enhancing the Human Role in Healthcare HMI

Background: Augmented Reality (AR) represents an innovative technology to improve data visualization and strengthen the human perception. Among Human–Machine Interaction (HMI), medicine can benefit most from the adoption of these digital technologies. In this perspective, the literature on orthopedic surgery techniques based on AR was evaluated, focusing on identifying the limitations and challenges of AR-based healthcare applications, to support the research and the development of further studies. Methods: Studies published from January 2018 to December 2021 were analyzed after a comprehensive search on PubMed, Google Scholar, Scopus, IEEE Xplore, Science Direct, and Wiley Online Library databases. In order to improve the review reporting, the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guidelines were used. Results: Authors selected sixty-two articles meeting the inclusion criteria, which were categorized according to the purpose of the study (intraoperative, training, rehabilitation) and according to the surgical procedure used. Conclusions: AR has the potential to improve orthopedic training and practice by providing an increasingly human-centered clinical approach. Further research can be addressed by this review to cover problems related to hardware limitations, lack of accurate registration and tracking systems, and absence of security protocols.

Effects of probiotic supplementation on glucose metabolism and inflammatory biomarkers in pregnant women with gestational diabetes mellitus: an integrative review

Aims: This literature review aims to investigate the effect of probiotic supplementation on glucose metabolism and inflammatory biomarkers in pregnant women with gestational diabetes mellitus. Methods: Data were collected using the National Library of Medicine (Medline), Latin American &amp; Caribbean Health Sciences Literature (Lilacs), Virtual Health Library (BVS) and Scientific Electronic Library Online (Scielo) databases. The following descriptors were used: “gestational diabetes”, “probiotic” and “inflammation”. Results: The main findings emphasized the improvement in fasting glucose and insulin resistance and a lesser impact on the improvement of inflammatory markers after probiotic supplementation in pregnant women diagnosed with gestational diabetes mellitus. Conclusions: The use of probiotics in pregnant women with gestational diabetes mellitus has shown positive actions to control glucose metabolism and proinflammatory factors, which may improve serum glucose levels, insulin sensitivity and inflammation.

Methodological Challenges for Cross-cultural Research in Sport Psychology: A Review

This review investigates methodological challenges in conducting cross-cultural studies in sport psychology. Over the last few decades, there has been an increase in the number of studies to incorporate culture and cultural identities in research and interventions in this field. As sport grows more transnational and multicultural, the need to explore better research methods and the challenges in conducting these cross-cultural sport psychology studies emerges. For this review, we examined studies that were published between January 1985 and July 2021, written in English, and focused on cross-cultural studies in the field of sport psychology. The literature search was conducted in EBSCO (e.g., MEDLINE, APA PsychARTICLES, Academic Search Ultimate, and ERIC), Sciencedirect, Researchgate, Springer link and Wiley Online library databases. A total of 18 articles matched the inclusion criteria and were selected. The study observed that quantitative approach was the most often used methodology in the studies due to popularity and easy administration. Qualitative and mixed (quantitative and qualitative) approaches are now gradually being used by researchers to overcome the cultural insensitivity in the quantitative research, although these studies are scarce and need to be highlighted more. We discussed research designs formulated by researchers in their quantitative and qualitative studies and methodological challenges they encountered, such as sample representativeness, small and unequal sample sizes, gender inequality, and comparing different kinds of sports across countries. Therefore, this review addressed the gap in the literature and paved the way for future research studies.

USOS DOS RESULTADOS DAS AVALIAÇÕES EXTERNAS PELAS SECRETARIAS DE EDUCAÇÃO, GESTORES ESCOLARES E PROFESSORES: ANÁLISE DA PRODUÇÃO CIENTÍFICA PUBLICADA NO BRASIL (2008-2018)

The research aimed to analyze the scientific production published in scientific articles, theses, dissertations and event proceedings on the uses of the results of external evaluations by the departments of education, school managers and teachers, seeking to understand how the authors of the productions analyzed point out that these instances of education networks appropriate the results of these evaluations. Methodologically, this is a bibliographic study, which was carried out in the Scientific Electronic Library Online (SciELO) databases and in the Portal Educ@ online education publications of the Carlos Chagas Foundation (articles), in the Brazilian Digital Library of Theses and Dissertations (BDTD) (theses and dissertations) and on the websites of the National Association of Education Policy and Administration (ANPAE) and the National Association for Research and Graduate Studies (ANPEd) (annals of events), having as search descriptors the words "external evaluation”, “secretariat of education/managers/teachers” and “use of results”. The results of the survey on the uses of the results of the external evaluation pointed to 12 studies referring to the departments of education, 8 studies focusing on school management and 10 dealing with uses by teachers, totaling 27 productions, considering that 3 works are repeated in the analyzed focuses. External assessment is centralized and predominantly focuses on student performance. These assessments are mainly based on Portuguese Language and Mathematics contents, which ends up leading to a narrowing of the curriculum, which also end up signaling the investment of education departments, school management and teachers in contents that will be charged for in exams carried out by the government.

Sugar-energy bioelectricity in energy trading environments: reasons for the lack of competitiveness

PurposeRenewables such as sugar-energy biomass can contribute to national electrical security, job creation and mitigation of greenhouse gas emissions. However, after the auction of reserve energy, in 2008, exclusive biomass, in the regulated contracting environment (RCE), the authors observe that this energy environment has lost competitiveness in the auctions. Thus, a study on the present theme is justified, based on the problem: What are the reasons for the lack of competitiveness of sugar-energy bioelectricity in the Auctions of the RCE of the National Electric Energy Agency? The purpose of this study is to understand the situation of sugar-energy bioelectricity in the Brazilian market.Design/methodology/approachLiterature review was conducted through the Scientific Electronic Library Online database, as well as the survey of primary documents at Sugarcane Industry Union and Electric Energy Trading Chamber.FindingsThe reasons for lack of competitiveness in RCE electricity auctions are: distant location of transmission lines; difficulties in obtaining licensing; delay in responses from environmental agencies; difficulties in securing financing for electricity generation projects for distilleries; non-pricing of positive environmental externalities as adequate disposal of waste; and the non-recovery of the cost of retrofit of the plants. The present situation may create economic, social and ecological circumstances adverse for Brazilian development, such as a lack of employment and income generation, loss of international currencies from imports of technologies not developed and produced in the country and more significant inefficiency greenhouse gas mitigation.Originality/valueThe originality of this study is in the contribution to the scarce literature on the understanding of the reasons for the lack of competitiveness of the Brazilian sugarcane sector in auctions of the regulated energy environment, based on SWOT analysis and, based on this understanding, to propose solutions for the expansion of this important matrix energy.

USOS DOS RESULTADOS DAS AVALIAÇÕES EXTERNAS PELAS SECRETARIAS DE EDUCAÇÃO, GESTORES ESCOLARES E PROFESSORES: ANÁLISE DA PRODUÇÃO CIENTÍFICA PUBLICADA NO BRASIL (2008-2018)

The research aimed to analyze the scientific production published in scientific articles, theses, dissertations and event proceedings on the uses of the results of external evaluations by the departments of education, school managers and teachers, seeking to understand how the authors of the productions analyzed point out that these instances of education networks appropriate the results of these evaluations. Methodologically, this is a bibliographic study, which was carried out in the Scientific Electronic Library Online (SciELO) databases and in the Portal Educ@ online education publications of the Carlos Chagas Foundation (articles), in the Brazilian Digital Library of Theses and Dissertations (BDTD) (theses and dissertations) and on the websites of the National Association of Education Policy and Administration (ANPAE) and the National Association for Research and Graduate Studies (ANPEd) (annals of events), having as search descriptors the words "external evaluation”, “secretariat of education/managers/teachers” and “use of results”. The results of the survey on the uses of the results of the external evaluation pointed to 12 studies referring to the departments of education, 8 studies focusing on school management and 10 dealing with uses by teachers, totaling 27 productions, considering that 3 works are repeated in the analyzed focuses. External assessment is centralized and predominantly focuses on student performance. These assessments are mainly based on Portuguese Language and Mathematics contents, which ends up leading to a narrowing of the curriculum, which also end up signaling the investment of education departments, school management and teachers in contents that will be charged for in exams carried out by the government.

Parenting peer education on adolescent mothers

The study aims to review the evidence related to the application of parenting peer education in several countries and to find out the effectiveness of parenting peer education for adolescent mothers. This study used Scoping Review-PRISMA-ScR on the Wiley Online Library, PubMed, Science Direct, and EBSCO databases. Articles that meet the inclusion and exclusion criteria were then subjected to a critical appraisal using the Joanna Briggs Institute tools. 12 articles were identified in this review. The results showed that there were four themes: partner support, family support, social support, and the effectiveness of peer education. Partner support could provide inner peace, while parents could advise during the transition period as parents. In addition, peer counseling could also be used as a strategy to assist women in becoming new roles as mothers. Peer counseling was able to increase the mother's trust due to similar experiences. They offered a unique empathic understanding, conveyed information in simple language, and were able to help in making the right decision. The support needed by adolescent mothers depends on the context of their relationships with others.

Microwave Ablation for Colorectal Liver Metastases: A Systematic Review and Pooled Oncological Analyses.

Simple SummaryLiver resection for colorectal liver metastases (CRLM) represents the best curative option; however, few patients are candidates for surgery. Microwave ablation (MWA) can be a valid alternative in selected patients. This systematic review reports the oncological results of MWA for CRLM. The literature available on the Web was analyzed for reports concerning MWA for resectable CRLM, published before January 2021. Finally, 12 papers concerning MWA complications, recurrence-free (RF) cases, patients free from local recurrence (FFLR), and overall survival rates (OS) were selected. Global RF rates at 1, 3, and 5 years were 65.1%, 44.6%, and 34.3%, respectively. Global FFLR at 3, 6, and 12 months were 96.3%, 89.6%, and 83.7%, respectively. Global OS rates at 1, 3, and 5 years were 86.7%, 59.6%, and 44.8%, respectively. A better FFLR was achieved with an MWA surgical approach at 3, 6, and 12 months, with 97.1%, 92.7%, and 88.6%, respectively. Surgical MWA for CRLM smaller than 3 cm was a safe and valid option. MWA can be entered as part of the flowchart decision of CRLM curative treatment, especially for use in the parenchyma-sparing strategy and as a complement to surgery.(1) Background: colorectal liver metastases (CRLM) are the most common extra-lymphatic metastases in colorectal cancer; however, few patients are fit for curative surgery. Microwave ablation (MWA) showed promising outcomes in this cohort of patients. This systematic review and pooled analysis aimed to analyze the oncological results of MWA for CRLM. (2) Methods: Following PRISMA guidelines, PubMed, Scopus, EMBASE, Google Scholar, Science Direct, and the Wiley Online Library databases were searched for reports published before January 2021. We included papers assessing MWA, treating resectable CRLM with curative intention. We evaluated the reported MWA-related complications and oncological outcomes as being recurrence-free (RF), free from local recurrence (FFLR), and overall survival rates (OS). (3) Results: Twelve out of 4822 papers (395 patients) were finally included. Global RF rates at 1, 3, and 5 years were 65.1%, 44.6%, and 34.3%, respectively. Global FFLR rates at 3, 6, and 12 months were 96.3%, 89.6%, and 83.7%, respectively. Global OS at 1, 3, and 5 years were 86.7%, 59.6%, and 44.8%, respectively. A better FFLR was reached using the MWA surgical approach at 3, 6, and 12 months, with reported rates of 97.1%, 92.7%, and 88.6%, respectively. (4) Conclusions: Surgical MWA treatment for CRLM smaller than 3 cm is a safe and valid option. This approach can be safely included for selected patients in the curative intent approaches to treating CRLM.