http://hdl.handle.net/10174/29576 Fri, 10 Apr 2026 09:32:23 GMT 2026-04-10T09:32:23Z http://hdl.handle.net/10174/41772 Title: Environmental status of TBT pollution in the Portuguese coastline: insights into persistence and regulatory implementation challenges Authors: Galante-Oliveira, S; Coelho, S; Pereira, D; Oliveira, I B; Laranjeiro, F; Sousa, Ana Catarina; Potes, ML; Batista, R; Fillmann, G; Barroso, CM Abstract: This study constitutes the most comprehensive assessment of imposex along the Portuguese coast. It is based on a 22-year biomonitoring program using Nucella lapillus and Tritia reticulata, comparing new measurements from 2022 with historical data collected at the same locations. Since the EU ban on organotin (OT) antifouling (AF) systems in 2003, the intensity of imposex and OT tissue concentrations have declined in both species; however, in 2022, imposex remained widespread, with moderate to high levels still recorded in several areas. N. lapillus met the OSPAR Ecological Quality Objective (EcoQO) at all sampled sites, whereas T. reticulata failed to meet this target at 44% of the locations. This contrast reflects species distribution: T. reticulata inhabits a broader range of habitats, including more contaminated areas, making it a more effective bioindicator of OT pollution along the entire coast. Despite OT-based AF systems being banned on small vessels in 1993 by the Directive 89/677/EEC – nearly three decades before the current survey – and banned on all vessels in 2003 by the Regulation (EC) No. 782/2003, TBT continues to cause imposex, particularly in areas dominated by small-boat activity. These findings indicate spatially heterogeneous recovery patterns and suggest that vessel-size-dependent management and monitoring frameworks may influence post-ban environmental outcomes. Strengthened monitoring strategies targeting small-vessel-dominated areas may therefore support more effective long-term recovery. Tue, 31 Mar 2026 23:00:00 GMT http://hdl.handle.net/10174/41772 2026-03-31T23:00:00Z http://hdl.handle.net/10174/41556 Title: The effects of body-oriented interventions in cancer-related symptoms of women who survived breast cancer: A Protocol for Systematic Review Authors: Guerreiro, Daniela; Cruz-Ferreira, Ana; Santos, Graça; Silva, Brenda; Marmeleira, José; Veiga, Guida Abstract: ABSTRACT Background: Breast cancer is one of the most prevalent cancers worldwide, with a five-year survival rate exceeding 90%. Despite advances in treatment, survivors frequently experience persistent cancer- and treatment-related symptoms, that negatively impact their quality of life (QoL). Body-oriented interventions (BOI) have demonstrated effectiveness in symptom management, however, systematic reviews focused exclusively on BOI for women who survived breast cancer (WSBC) remain limited. This systematic review protocol outlines the methodology for evaluating the scientific evidence on the effects of BOI on cancer- and treatment-related symptoms in WSBC. Objective: To examine the scientific evidence on the effects of BOI on cancer- and treatment-related symptoms in WSBC. Methods: This protocol follows the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Protocols (PRISMA-P). We will conduct searches in six electronic databases: PubMed, Cochrane, Web of Science, Scopus, APA PsycNet and Portal Regional da BVS. We will include experimental studies focusing on BOI for WSBC. The methodological quality of the studies will be assessed using the PEDro scale, and the level of scientific evidence will be measured through the Best Evidence Synthesis. Two experienced independent reviewers will conduct study selection, data extraction, methodological quality and, scientific evidence assessment. Disagreements will be resolved by a third reviewer. Results: The anticipated outcomes will synthesize the scientific evidence on the effects of BOI on cancer- and treatment-related symptoms in female WSBC. Conclusions: This review will systematically synthesize the effects of BOI on cancer- and treatment-related symptoms in WSBC. The findings will provide health professionals with reliable evidence and methodological guidance for further research. Clinical Trial: CRD42023452519 Wed, 01 Jan 2025 00:00:00 GMT http://hdl.handle.net/10174/41556 2025-01-01T00:00:00Z http://hdl.handle.net/10174/41502 Title: Beyond Care: Family Health Nursing as a Promoter of Family Resilience and Coping; a Systematic Literature Review Authors: Monteiro, Rui; Gomes, José Carlos; Caldeira, Ermelinda; Paulo, Marília Abstract: Introduction: The growing global aging population intensifies the burden on informal caregivers, particularly for individuals with chronic conditions. Family health nursing offers a model emphasizing relational care and psychosocial support, yet evidence on its impact on family resilience and coping remains fragmented. Objective: To map scientific literature on family-centered nursing interventions and their association with the promotion of resilience and family coping, acting on resilience and coping, which in turn function as mediators of care empowerment in informal caregivers and families. Methods: Following PRISMA 2020 guidelines, this systematic literature review included studies published between March 2015 and March 2025 in English, Portuguese, French, and German. Databases consulted: CINAHL, MEDLINE, Scopus, Web of Science, and Psychology and Behavioral Sciences Collection. Methodological quality was assessed using Joanna Briggs Institute (JBI) tools, and data synthesis employed a metanarrative approach. Results: Seven studies were included: 1 systematic review, 2 scoping reviews, 2 qualitative studies, 1 quantitative study, and 1 opinion article. Interventions like psychoeducation, mindfulness, and cognitive-behavioral therapy (CBT) promoted emotional regulation, reduced caregiver burden, and strengthened relational resilience, positively impacting the care recipient's quality of life. The metanarrative identified four themes: (1) Meaning-making through adversity (Benefit Finding and Posttraumatic Growth); (2) Relational and contextual mediation of resilience; (3) Transformative potential of psychosocial nursing interventions; and (4) The relationship between informal caregiver resilience and care recipient quality of life. Conclusions: Family-centered nursing interventions significantly enhance the psychosocial well-being and adaptive capacities of caregivers and families. Future longitudinal, methodologically robust, and culturally sensitive studies are needed to generalize these findings. Implications for Clinical Practice: This review highlights the importance of structured, family-sensitive interventions in family health nursing, promoting caregiver and family engagement, health system sustainability, and improved quality of life in long-term care. Wed, 01 Jan 2025 00:00:00 GMT http://hdl.handle.net/10174/41502 2025-01-01T00:00:00Z http://hdl.handle.net/10174/41494 Title: Health gains from rehabilitation programs implemented by nurses among older people with impaired mobility and self-care deficit: A scoping review Authors: Alves, Elisabete; Ramos, A; Pereira, P; Lopes, M; Fonseca, C Abstract: Introduction: Ageing is a multifactorial and progressive process that leads to a gradual decline in mental and physical function, directly impacting the ability to perform daily living activities and health-related quality of life. Thus, it is essential to develop strategies that prioritize the maintenance of the functional capacity and the enhancement of the quality of life and well-being of older adults. Objective: This scoping review intends to map the rehabilitation programs, used by rehabilitation nurses, for promoting mobility and self-care, among older adults, to identify the main health gains resulting from the rehabilitation programs implemented. Methods: This scoping review follows the JBI methodology and the results obtained are described according to the PRISMA-ScR guidelines, and was registered in the OSF (osf.io/zqkp3/). The electronic databases CINAHL Complete; Complete MEDLINE; Cochrane Central Register of Controlled Trials; Web of Science, Scopus, and Google Scholar, were searched in March 2025, for papers published in the last 10 years. Two researchers independently analyzed the papers for eligibility and extracted the data. Data on health gains whose association with the intervention was described were collected and synthetized, through narrative synthesis. Results: The initial search yielded a total of 15,347 records, and after screening, 12 papers were included. The evaluation of the methodological quality and levels of evidence of the studies, according to the JBI Critical Appraisal Tool, concluded that the average quality score of the studies ranged from 67% to 100%. The results revealed a variety of interventions implemented, targeting different aspects of rehabilitation, with a wide range in the duration (15 to 60 min) and frequency of sessions (three to 56), as well as the use of diverse instruments to assess the effectiveness of the interventions. The health gains associated with the musculoskeletal system were reported most frequently, followed by those related to neurocognitive enhancements. Respiratory and renal gains were only reported by one study each. Conclusions: This scoping review reinforces the evolving vision of nursing rehabilitation as a cornerstone of comprehensive healthcare, demonstrating its significant impact on enhancing health gains at several physiologic systems among older adults. Adopting a multiple physiological system-based framework for the analysis and implementation of these interventions may enhance the precision, accountability, and efficacy of care. Such poses nursing rehabilitation as an essential strategy in the continuum of care, advocating for its integration into healthcare systems and policies to support the health and sustainable recovery of the older population. Thu, 01 Jan 2026 00:00:00 GMT http://hdl.handle.net/10174/41494 2026-01-01T00:00:00Z