Background Cancer is an important public health problem with an increasing global incidence in the recent decades. Breast cancer has become the leading cause of death in women worldwide. Women suffering from breast cancer, as well as survivors, may experience some adverse effects of treatment–including cancer-related fatigue, sleep disorders, and pain–which may manifest alone or in combination with other symptoms. Non-pharmacological interventions, such as physical activity, have been associated with improvements in these adverse effects. This study aims to evaluate the effects of dance therapy in women with breast cancer. Methods We will perform a systematic review according to the Cochrane methodology. An overall search strategy will be developed and adapted for PubMed, Virtual Health Library, PEDro, SciELO, SciVerse Scopus, Cochrane Library, and Web of Science using the descriptors “Dance therapy” or “Dancing” and “Breast neoplasms” or “Breast cancer.” The size of the intervention effect (Z) will be calculated for each outcome included in this review. Outcomes will be pain, cancer-related fatigue, sleep disturbance, body image and depression in women with breast cancer. Quality assessment will be performed using the Cochrane instrument. Metanalysis, if plausible, will be performed using Review Manager 5.3. Discussion Studies have reported positive results of dance therapy as a non-pharmacological intervention in women with breast cancer. Thus, it is expected that robust and conclusive evidence of the effects of dance therapy during or after treatment (radiotherapy, chemotherapy, hormone therapy, and/or surgery) can be obtained. Trial registration Systematic review registration: CRD42020152876. (S1 File).

BACKGROUND: The COVID-19 pandemic highlighted the need for a new dynamic in the organization and practices of health services, as it required rapid restructuring to promote safe and harm-free assistance. OBJECTIVE: To assess the dimensions of the patient safety culture (PSC) from the perspective of the health team professionals in clinical-surgical ICU (G1) compared to a COVID-19 ICU (G2). METHODS: Cross-sectional, analytical, descriptive and inferential study, using the “Hospital Survey on Patient Safety Culture” questionnaire. RESULTS: The domain “Supervisor/Manager Expectations and Actions Promoting Patient Safety (PS)” was a potential weakness for G1 (p = 0.003). G2 was most positive on improving PS, being informed about errors, considering PS as a top priority to management, and that the units work together to provide the best care (p > 0.05). G1 was most negative about the work culture with staff from other units, exchange of information across units, and shift changes (p > 0.05). The highest PS grade was related to greater communication, and a smaller frequency of events was reported only for G2 (p > 0.05). CONCLUSION: There must be a balance in terms of attention focused on PS between different ICUs in times of crisis, especially regarding the supervisors/managers actions.

Objective: To analyze whether maternal, obstetric, anthropometric data of the neonate and respiratory variables influence the use of BHMs in neonates admitted to the NICU. In addition, to evaluate the impact of the applicability of this type of technique on the morbidity, mortality and survival of these neonates. Methods: Retrospective, quantitative study with descriptive and inferential analysis. Initially, the sample consisted of 599 medical records. The study involved newborns of both sexes admitted to the Neonatal Intensive Care Unit (NICU) of the tertiary referral hospital at maternal and child health, during 2017. The respiratory variables, maternal, obstetric, data of the neonate, morbidity and mortality were selected. Results: BHMs were associated with neonates whose mothers had a number of pregnancies ≥ 3 or newborns who had cephalic presentation at the time of delivery. In addition, there are particularities among neonates who receive this intervention, such as higher capillary glycemia, lower head circumference and occurrence of jaundice. The technique was not related to prematurity factors, such as pregnancy time ≤ 24 weeks, or respiratory factors, such as apnea, flapping of the nose wing, cyanosis and intercostal retraction. However, the use of the BHMs increases neonatal survival and reduces the mortality. Conclusion: The BHMs use is determined by maternal, obstetric and neonatal variables, being determinant to reduce the risk of death and increase the survival in NICU. RESUMO Objetivo: Analisar se dados maternos, obstétricos, antropométricos e variáveis respiratórias influenciam o uso de BHMs em neonatos internados em UTIN. Além disso, avaliar o impacto da aplicabilidade desse tipo de técnica na morbimortalidade e sobrevida desses neonatos. Métodos: Estudo retrospectivo, quantitativo com análise descritiva e inferencial. Inicialmente, a amostra era composta por 599 prontuários. O estudo envolveu recém-nascidos de ambos os sexos internados na Unidade de Terapia Intensiva Neonatal (UTIN) do hospital terciário de referência em saúde materno-infantil, durante 2017. Foram selecionadas as variáveis respiratórias, maternas, obstétricas, dados do neonato, morbimortalidade.Resultados: os BHMs foram associados a neonatos cujas mães tiveram um número de gestações ≥ 3 ou recém-nascidos que apresentaram apresentação cefálica no momento do parto. Além disso, existem particularidades entre os neonatos que recebem essa intervenção, como aumento da glicemia capilar, menor perímetro cefálico e ocorrência de icterícia. A técnica não foi relacionada a fatores de prematuridade, como tempo de gestação ≤ 24 semanas, ou fatores respiratórios, como apneia, batimento da asa nasal, cianose e retração intercostal. Porém, o uso dos BHMs aumenta a sobrevida neonatal e reduz a mortalidade. Conclusão: O uso de BHMs é determinado por variáveis maternas, obstétricas e neonatais, sendo determinante para reduzir o risco de óbito e aumentar a sobrevida em UTIN.

Objective: To analyze whether maternal, obstetric, anthropometric and postnatal variables of neonates admitted to the neonatal intensive care unit (NICU) are different in pregnant women who had adverse gestational events (AGE). In addition, it seeks to analyze whether AGE are predictors of mortality. Methods: Observational, retrospective and quantitative study, with a descriptive and inferential approach based on the medical records of patients seen at the tertiary reference hospital in health located in a municipality in Pará, during 2017. Data were collected to verify the relationship between present and absent AGE. Results: AGE (+) were associated with alcoholism, loss of amniotic fluid, premature labor, breench presentation, increased capillary glycemia and pneumonia. AGE (-) were associated with absent prenatal care, intact amniotic membrane, amniotic fluid with thick meconium and fetal trauma at birth. The other data were not significant. Conclusion: Maternal, obstetric, anthropometric and postnatal variables in neonates admitted to the nicu are associated with AGE (+). The events analyzed did not increase the chances of death.

Apgar Score (AS) < 7 is a predictor of mortality. Survival is shorter in newborns, with AS5min < 7 and the use of invasive mechanical ventilation (IMV). Thus, the objective of this study was to analyze whether maternal, obstetric, anthropometric, and postnatal variables of newborns admitted to the neonatal intensive care unit (NICU) may be associated with AS5min < 7. If this score is a predictor of morbidity and mortality, and if factors most associated with the worse AS interfere with survival. This observational, retrospective, and quantitative study used a descriptive and inferential approach to analyze the medical records of patients of both sexes treated in the NICU of a tertiary hospital which is a recognized reference center of maternal and child health, during 2017. Data were collected to verify the relationship between AS values ​​(AS5min < 7 and AS5min ≥ 7). AS5min < 7 was associated with hypertensive disorders of pregnancy (HDP), premature rupture of the amniotic membrane, vaginal delivery, fetal trauma at birth, abdominal perimeter, and ventilatory support. Among these, HDP and the use of IMV were predictors of lower survival. Conclusion: AS5min was associated with maternal, obstetric, anthropometric, and postnatal variables of neonates admitted to the NICU. Specific maternal and postnatal variables interfered with the survival of these newborns.