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Publicações

Publicações por CEGI

2025

Effects of Physical Exercise on Chemotherapy-Induced Peripheral Neuropathy: A Systematic Review and Meta-Analysis

Autores
Amarelo, A; da Mota, MCC; Amarelo, BLP; Ferreira, MC; Fernandes, CS;

Publicação
PAIN MANAGEMENT NURSING

Abstract
Objective: The aim of this systematic review and meta-analysis is to systematically collect, evaluate, and critically synthesize research findings on the effects of physical exercise on chemotherapy-induced peripheral neuropathy (CIPN). Method: The Joanna Briggs Institute (JBI) methodology for systematic reviews was adopted for this study. We searched the Medline (R), CINAHL, SportDiscus, and Scopus databases to identify relevant articles published from inception to March 2024. This review was reported in accordance with the guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). Results: Twelve studies met the inclusion criteria, totaling 928 participants. Interventions ranged from aerobic and resistance exercises to balance and strength training. A range of physical exercise interventions was explored, including brisk walking, endurance training, weight exercises, and resistance bands, as well as combined programs of aerobics, resistance, and balance training, all tailored to improve symptoms and quality of life in patients with chemotherapy-induced peripheral neuropathy. The meta-analysis focused on five studies that used the FACT/GOG-Ntx scale indicated a standardized mean difference of 0.50 (95% CI: 0.26, 0.74), favoring exercise, reflecting significant improvements in neuropathy symptoms. The heterogeneity among the studies was low (I 2 = 2%), suggesting consistency in the beneficial effects of exercise. Conclusions: From the results analyzed, the descriptive analysis of the 12 included studies shows promising outcomes not only related to individuals' perceptions of CIPN severity but also in terms of physical functioning, balance, ADL (Activities of Daily Living) performance, pain, and quality of life. The findings support the integration of structured exercise programs into oncological treatment plans. (c) 2024 The Authors. Published by Elsevier Inc. on behalf of American Society for Pain Management Nursing. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/)

2025

Prototyping 'Typical Day': Building a Gamified Experience To Reflect Immigrant Challenges

Autores
Martins, D; Campos, MJ; Ferreira, MC; Fernandes, CS;

Publicação
JOURNAL OF IMMIGRANT AND MINORITY HEALTH

Abstract
This article describes the steps involved in creating a prototype with a gamified approach aimed at highlighting the challenges encountered by immigrants in foreign countries. This serious game sought to provide an interactive experience that mirrored the real-life obstacles faced by immigrants, fostering empathy among non-immigrant players in these scenarios, with the goal of improving attitudes toward immigrants. During the development phase of the game, a user-centered design approach was employed. The project was divided into several phases: understanding the context, comprehending user needs, iterative prototyping, and usability testing. Both immigrants and non-immigrants participated in the study, directly contributing to defining requirements and evaluating the game. The serious game Typical Day, designed to simulate everyday situations faced by immigrants through interactive scenarios and critical decisions, demonstrated positive acceptance in terms of usability and engagement. The results indicated that Typical Day provided an engaging and educational gaming experience, successfully balancing entertainment and information. Positive feedback from 45 non-immigrant participants highlighted its potential as an educational tool to raise awareness about the experiences of immigrants. However, further studies are needed to evaluate its long-term impact on attitudes and behaviors. In conclusion, this study contributes to the literature by addressing a gap in gamified approaches to immigrant challenges, laying the foundation for future developments in serious games aimed at promoting attitude change.

2025

Interprofessional Collaboration in Healthcare with escape room: a scoping review

Autores
Cunha, A; Campos, MJ; Ferreira, MC; Fernandes, CS;

Publicação
JOURNAL OF INTERPROFESSIONAL CARE

Abstract
Interprofessional collaboration is an essential competency for healthcare professionals, and escape rooms have emerged as an innovative strategy to enhance teamwork and communication. The purpose of this scoping review was to identify and summarize how escape rooms are used in the teaching and enhancement of interprofessional collaboration skills. We conducted a scoping review following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses for Scoping Review (PRISMA-ScR) guidelines. A search of five databases, Scopus (R), Web of Science (R), CINAHL Complete (R), MEDLINE (R) and PsychINFO (R) was conducted for all articles until 1 January 2024. The review included 15 studies, mostly from the USA, involving a total of 2,434 participants across various healthcare professions. Key findings indicated significant improvements in group cohesion, communication, understanding of team roles, and interprofessional skills. Escape rooms can be an effective pedagogical tool in enhancing interprofessional competencies among healthcare students and professionals. Further research is needed to explore the sustainability of skills gained over time through escape rooms and to refine assessment methods.

2025

Road Traffic Events Monitoring Using a Multi-Head Attention Mechanism-Based Transformer and Temporal Convolutional Networks

Autores
Reza, S; Ferreira, MC; Machado, JJM; Tavares, JMRS;

Publicação
IEEE TRANSACTIONS ON INTELLIGENT TRANSPORTATION SYSTEMS

Abstract
Acoustic monitoring of road traffic events is an indispensable element of Intelligent Transport Systems to increase their effectiveness. It aims to detect the temporal activity of sound events in road traffic auditory scenes and classify their occurrences. Current state-of-the-art algorithms have limitations in capturing long-range dependencies between different audio features to achieve robust performance. Additionally, these models suffer from external noise and variation in audio intensities. Therefore, this study proposes a spectrogram-specific transformer model employing a multi-head attention mechanism using the scaled product attention technique based on softmax in combination with Temporal Convolutional Networks to overcome these difficulties with increased accuracy and robustness. It also proposes a unique preprocessing step and a Deep Linear Projection method to reduce the dimensions of the features before passing them to the learnable Positional Encoding layer. Rather than monophonic audio data samples, stereophonic Mel-spectrogram features are fed into the model, improving the model's robustness to noise. State-of-the-art One-dimensional Convolutional Neural Networks and Long Short-term Memory models were used to compare the proposed model's performance on two well-known datasets. The results demonstrated its superior performance by achieving an improvement in accuracy of 1.51 to 3.55% compared to the studied baselines.

2025

Living with chemotherapy-induced peripheral neuropathy: A qualitative meta-synthesis of patient experiences

Autores
Amarelo, A; Amarelo, B; Ferreira, MC; Fernandes, CS;

Publicação
EUROPEAN JOURNAL OF ONCOLOGY NURSING

Abstract
Purpose: To aggregate, interpret, and synthesize findings from qualitative studies on patients' experiences with chemotherapy-induced peripheral neuropathy (CIPN). Methods: A qualitative metasynthesis was conducted following the thematic synthesis approach of Thomas & Harden. A systematic literature search was performed in MEDLINE, CINAHL, Psychology and Behavioral Sciences Collection, and Scopus, including studies published up to December 2024. Two researchers independently conducted the screening and data extraction. They also independently evaluated the quality of the included studies. The data from these studies were then thematically analyzed and synthesized using Dorothea Orem's model. Results: Eighteen studies were included. Four main categories were identified: (1) Physical and Functional Impact of CIPN, (2) Emotional and Psychological Impact, (3) Coping Strategies and Self-management, and (4) Support and Barriers to Health. The findings revealed distinct self-care deficits related to functional limitations, emotional distress, and coping challenges. Utilizing Orem's Nursing Theory of Self-Care Deficit, these deficits were mapped onto different levels of nursing intervention, ranging from compensatory support to educational and self-management strategies, emphasizing an action-oriented approach in patient care. Conclusions: This metasynthesis highlights the complex and multidimensional effects of peripheral neuropathy on the lives of cancer patients. Applying Orem's model underscores the critical role of nurses in addressing healthcare system gaps, functional impairments, and long-term adaptation challenges to enhance supportive care for individuals suffering from CIPN.

2025

Enhancing carsharing pricing and operations through integrated choice models

Autores
Oliveira, BB; Ahipasaoglu, SD;

Publicação
TRANSPORTATION RESEARCH PART E-LOGISTICS AND TRANSPORTATION REVIEW

Abstract
Balancing supply and demand in free-floating one-way carsharing systems is a critical operational challenge. This paper presents a novel approach that integrates a binary logit model into a mixed integer linear programming framework to optimize short-term pricing and fleet relocation. Demand modeling, based on a binary logit model, aggregates different trips under a unified utility model and improves estimation by incorporating information from similar trips. To speed up the estimation process, a categorizing approach is used, where variables such as location and time are classified into a few categories based on shared attributes. This is particularly beneficial for trips with limited observations as information gained from similar trips can be used for these trips effectively. The modeling framework adopts a dynamic structure where the binary logit model estimates demand using accumulated observations from past iterations at each decision point. This continuous learning environment allows for dynamic improvement in estimation and decision-making. At the core of the framework is a mathematical program that prescribes optimal levels of promotion and relocation. The framework then includes simulated market responses to the decisions, allowing for real-time adjustments to effectively balance supply and demand. Computational experiments demonstrate the effectiveness of the proposed approach and highlight its potential for real-world applications. The continuous learning environment, combining demand modeling and operational decisions, opens avenues for future research in transportation systems.

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