Medical Sciences Forum

One Health & Public Health

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6 pages, 186 KB

Open AccessProceeding Paper

A One Health Perspective on the Clinical, Behavioural, and Environmental Risks of Chronic Proton Pump Inhibitor Use in Older Adults

by Maria Deolinda Auxtero

Med. Sci. Forum 2025, 37(1), 1; https://doi.org/10.3390/msf2025037001 - 18 Aug 2025

Viewed by 426

Abstract

This study explores the clinical, behavioural, and environmental risks of chronic proton pump inhibitor (PPI) use in older adults through a One Health perspective. Among 246 participants, 32.5% were receiving PPI therapy, with 91.3% on long-term treatment, frequently lacking clear clinical justification. Polypharmacy, [...] Read more.

This study explores the clinical, behavioural, and environmental risks of chronic proton pump inhibitor (PPI) use in older adults through a One Health perspective. Among 246 participants, 32.5% were receiving PPI therapy, with 91.3% on long-term treatment, frequently lacking clear clinical justification. Polypharmacy, drug interactions, and risky lifestyle behaviours were common. Environmental review highlighted the potential persistence of PPI transformation products in water systems, raising concerns about ecological impact and antimicrobial resistance. These findings underscore the urgency of implementing deprescribing strategies, enhancing patient education, and adopting sustainable prescribing practices that align human and environmental health. Full article

5 pages, 475 KB

Open AccessProceeding Paper

Pharmaceutical Profiling of Fentanyl Use in Portugal: Consumption Patterns and Abuse Deterrence Gaps

by Ana Isabel Fernandes

Med. Sci. Forum 2025, 37(1), 3; https://doi.org/10.3390/msf2025037003 - 19 Aug 2025

Viewed by 438

Abstract

Fentanyl, a potent synthetic opioid used in pain management, has seen a marked rise in outpatient use in Portugal between 2015 and 2022. During this period, consumption nearly doubled, with transdermal patches and sublingual tablets dominating the market. Rapid-onset formulations lacking abuse-deterrent features [...] Read more.

Fentanyl, a potent synthetic opioid used in pain management, has seen a marked rise in outpatient use in Portugal between 2015 and 2022. During this period, consumption nearly doubled, with transdermal patches and sublingual tablets dominating the market. Rapid-onset formulations lacking abuse-deterrent features pose have heightened the risks of misuse and diversion. Despite these concerns, no abuse-deterrent fentanyl products are currently available in Portugal. These findings expose critical regulatory and pharmaceutical gaps. To mitigate public health and environmental risks, a coordinated strategy—encompassing prescription monitoring, education, safer formulations, and a One Health approach—is urgently needed to ensure responsible opioid use and stewardship. Full article

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5 pages, 297 KB

Open AccessProceeding Paper

Patterns of Supplement Consumption and Interaction Risks Among Polymedicated Older Adults: A Descriptive Study

by Maria Deolinda Auxtero and Ana Isabel Fernandes

Med. Sci. Forum 2025, 37(1), 4; https://doi.org/10.3390/msf2025037004 - 19 Aug 2025

Viewed by 449

Abstract

This study investigates the use of food supplements (FS) among polymedicated elderly individuals and assesses potential FS–drug interaction risks. A total of 98 community-dwelling older adults were surveyed and 18.4% reported FS use. FS were mostly used for musculoskeletal and cognitive support, with [...] Read more.

This study investigates the use of food supplements (FS) among polymedicated elderly individuals and assesses potential FS–drug interaction risks. A total of 98 community-dwelling older adults were surveyed and 18.4% reported FS use. FS were mostly used for musculoskeletal and cognitive support, with 71% having potential metabolic interactions via CYP enzymes or P-glycoprotein. Monthly costs reached €55. The findings reveal a complex interaction landscape and financial burden, underscoring the need for medication reviews and health literacy efforts to ensure safer FS use in older adults. This study aligns with One Health principles by linking clinical, social, and economic aspects of aging. Full article

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Education & Pedagogy

Jump to: One Health & Public Health, Dental, Oral Health & Orthodontics, Other

5 pages, 201 KB

Open AccessProceeding Paper

Attitudes Toward Community Service Among Higher Health Sciences Students

by Sónia Vicente, Ângela Maria Pereira, Ana Cristina Vidal and Cláudia Maria Costa

Med. Sci. Forum 2025, 37(1), 2; https://doi.org/10.3390/msf2025037002 - 19 Aug 2025

Viewed by 397

Abstract

University Social Responsibility (USR) integrates academic goals with ethics, civic engagement, and sustainability. This study assessed community service attitudes among 529 higher health sciences students using the Portuguese Community Service Attitudes Scale. Although 52.9% reported prior volunteer experience, 75.2% had not participated in [...] Read more.

University Social Responsibility (USR) integrates academic goals with ethics, civic engagement, and sustainability. This study assessed community service attitudes among 529 higher health sciences students using the Portuguese Community Service Attitudes Scale. Although 52.9% reported prior volunteer experience, 75.2% had not participated in community service during university. An association was found between academic programme and prior involvement, particularly among Dental Medicine and Physiotherapy students. While no sex differences were observed, programme-specific trends suggest that practical training fosters stronger civic responsibility. Integrating structured, discipline-specific community service into curricula may enhance civic identity and better align education with sustainable development goals. Full article

5 pages, 498 KB

Open AccessProceeding Paper

The Impact of a Modular Curriculum on Veterinary Students’ Quality of Life and Academic Knowledge: Proof of Concept

by Bárbara Gonçalves, Joana Moreira da Silva, Maria Soares, Rita Pequito, Lara Alves, Liliana Silva, Alexandre Trindade and Manuel Pequito

Med. Sci. Forum 2025, 37(1), 5; https://doi.org/10.3390/msf2025037005 - 20 Aug 2025

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Abstract

This study examined quality of life and deep learning among 109 veterinary medicine students across three cohorts (2021–2023) in an integrated modular curriculum in Portugal. Quality of life was measured three times per academic year using the WHOQOL-BREF, whereas deep learning was assessed [...] Read more.

This study examined quality of life and deep learning among 109 veterinary medicine students across three cohorts (2021–2023) in an integrated modular curriculum in Portugal. Quality of life was measured three times per academic year using the WHOQOL-BREF, whereas deep learning was assessed twice yearly via assessment tests. The results revealed consistently low scores in the psychological domain of the quality-of-life assessment and a noticeable decline in both quality of life and assessment tests during the second year. These findings highlight the need to monitor student well-being and adapt teaching strategies to sustain motivation and academic success. Full article

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5 pages, 370 KB

Open AccessProceeding Paper

Rethinking Science Teaching for the 21st Century: A SWOT Analysis of a Multi-Strategic Model

by Ana Isabel Fernandes and Margarida Miranda

Med. Sci. Forum 2025, 37(1), 7; https://doi.org/10.3390/msf2025037007 - 21 Aug 2025

Viewed by 546

Abstract

This work presents the Integrated Multi-Strategy Teaching (IMST) model, developed for science education to enhance autonomy, engagement, and professional competencies. Applied in a pharmacy course, IMST combines flipped classrooms, peer assessment, and scenario-based learning. A SWOT analysis based on student and faculty feedback [...] Read more.

This work presents the Integrated Multi-Strategy Teaching (IMST) model, developed for science education to enhance autonomy, engagement, and professional competencies. Applied in a pharmacy course, IMST combines flipped classrooms, peer assessment, and scenario-based learning. A SWOT analysis based on student and faculty feedback highlights strengths in skill development and practical relevance, while noting challenges such as workload and classroom constraints. The results support the effectiveness of IMST and suggest improvements to promote broader acceptance and sustainability. Full article

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Dental, Oral Health & Orthodontics

Jump to: One Health & Public Health, Education & Pedagogy, Other

5 pages, 188 KB

Open AccessProceeding Paper

Efficacy of Topical Sialogogues in Xerostomia Treatment on Chronic Residents of C.H.P.L.

by Edna Verissimo, Cecília Rozan and Ana Cristina Manso

Med. Sci. Forum 2025, 37(1), 6; https://doi.org/10.3390/msf2025037006 - 20 Aug 2025

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Abstract

Institutionalized psychiatric patients on chronic psychotropic medication are prone to xerostomia due to reduced salivary flow. This study evaluated the effectiveness of a topical sialogogue gel (Xeros Dentaid^®) in relieving drug-induced dry mouth in 81 residents at the Lisbon Psychiatric [...] Read more.

Institutionalized psychiatric patients on chronic psychotropic medication are prone to xerostomia due to reduced salivary flow. This study evaluated the effectiveness of a topical sialogogue gel (Xeros Dentaid^®) in relieving drug-induced dry mouth in 81 residents at the Lisbon Psychiatric Hospital Centre (C.H.P.L.). Over 15 days, unstimulated and stimulated salivary flow rates, pH, and buffer capacity were measured before and after application. Results showed a significant increase in salivary flow (p < 0.001) and improved subjective symptoms. Topical sialogogues may represent an accessible and effective strategy for managing xerostomia in this vulnerable population. Full article

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Other

Jump to: One Health & Public Health, Education & Pedagogy, Dental, Oral Health & Orthodontics

5 pages, 209 KB

Open AccessProceeding Paper

Compassion Fatigue in Portuguese Firefighters: Preliminary Results of the Compassion Fatigue Scale

by Lucas Sousa, Joana Antunes, Bruna Dias, Adriana Coelho, Karolina Costa, Andreia Conceição, Marina Carvalho, Carla Tomás and Mária Viegas

Med. Sci. Forum 2025, 37(1), 8; https://doi.org/10.3390/msf2025037008 - 25 Aug 2025

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Abstract

The present study had the purpose of creating and studying the psychometric properties of the Compassion Fatigue Scale (CFS) in a sample of 286 firefighters, 69% of whom were males and 78% had previous exposure to a limit situation. All participants were assessed [...] Read more.

The present study had the purpose of creating and studying the psychometric properties of the Compassion Fatigue Scale (CFS) in a sample of 286 firefighters, 69% of whom were males and 78% had previous exposure to a limit situation. All participants were assessed after their informed consent through a protocol composed of a sociodemographic data section, the CFS and the Professional Quality of Life scale (ProQOL). The CFS evidenced a two-dimensional structure, Compassion Fatigue and Compassion Satisfaction, with Cronbach’s alphas superior to 0.90 and correlations in the expected direction with ProQOL. Females showed higher levels of compassion fatigue than males, demonstrating that CFS can be a reliable and valid self-report measure of compassion fatigue in firefighters. Full article

5 pages, 361 KB

Open AccessProceeding Paper

Compensatory Muscle Activity Inhibition with Kinesiotape Application to the Unaffected Hemiface in a Person with Peripheral Facial Palsy: Two Case Reports

by Ana Cristina Sequeira, Cláudia Maria Costa, Wanda Neves, Sofia Pinto, Maria do Céu Nunes, António Ramos, Angela Maria Pereira and Susana Almeida

Med. Sci. Forum 2025, 37(1), 9; https://doi.org/10.3390/msf2025037009 - 25 Aug 2025

Viewed by 196

Abstract

Facial palsy (FP) is a nerve disorder causing unilateral facial muscle paralysis, impacting facial symmetry and non-verbal communication. This case study describes two idiopathic FP patients treated with physiotherapy and inhibitory kinesiotape (KT) applied to the unaffected side to reduce muscle hyperactivity. The [...] Read more.

Facial palsy (FP) is a nerve disorder causing unilateral facial muscle paralysis, impacting facial symmetry and non-verbal communication. This case study describes two idiopathic FP patients treated with physiotherapy and inhibitory kinesiotape (KT) applied to the unaffected side to reduce muscle hyperactivity. The intervention aimed to improve facial symmetry and psychological well-being. Both patients showed improvements in the Sunnybrook Facial Palsy Scale and the Hospital Anxiety and Depression Scale. Despite these promising outcomes, the small sample size limits our conclusions. Further controlled studies with larger samples are needed to confirm KT’s effectiveness and clarify its role in FP rehabilitation. Full article

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4 pages, 1337 KB

Open AccessProceeding Paper

Influence of Coca-Cola^® on Thermoplastic Degradation in Clear Orthodontic Aligners

by Margarida Pitschieller, Dinis Pereira, Ana Sintra Delgado and Carla Ascenso

Med. Sci. Forum 2025, 37(1), 10; https://doi.org/10.3390/msf2025037010 - 26 Aug 2025

Viewed by 2195

Abstract

Clear orthodontic aligners, primarily composed of thermoplastic polymers, are increasingly popular but susceptible to degradation through thermal, chemical, and mechanical stress. This preliminary pilot study assessed the release of microplastics from two commercial aligner brands under simulated oral conditions. Aligners were exposed to [...] Read more.

Clear orthodontic aligners, primarily composed of thermoplastic polymers, are increasingly popular but susceptible to degradation through thermal, chemical, and mechanical stress. This preliminary pilot study assessed the release of microplastics from two commercial aligner brands under simulated oral conditions. Aligners were exposed to daily cycles of Coca-Cola^® or artificial saliva, with mechanical agitation replicating masticatory friction. Fourier-transform infrared spectroscopy confirmed microplastic release in both environments, with a notably higher particle count after Coca-Cola^® exposure. These findings indicate the potential health and environmental risks linked to acidic beverage consumption during orthodontic treatment. Further comprehensive studies are required to validate and expand upon these results. Full article

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5 pages, 198 KB

Open AccessProceeding Paper

Determinants of Exclusive Breastfeeding Duration: A Population-Based Study from Southern Portugal

by Flávia Oliveira and Sónia Vicente

Med. Sci. Forum 2025, 37(1), 11; https://doi.org/10.3390/msf2025037011 - 26 Aug 2025

Viewed by 232

Abstract

Exclusive breastfeeding for the first six months is the gold standard in infant nutrition, yet rates in Europe remain below recommendations. This descriptive cross-sectional study identified maternal, perinatal and social determinants associated with shorter exclusive breastfeeding duration in the Algarve region. Statistically significant [...] Read more.

Exclusive breastfeeding for the first six months is the gold standard in infant nutrition, yet rates in Europe remain below recommendations. This descriptive cross-sectional study identified maternal, perinatal and social determinants associated with shorter exclusive breastfeeding duration in the Algarve region. Statistically significant factors included in-hospital formula use, caesarean section, lack of skin-to-skin contact, and negative or absent previous experience of breastfeeding. In-hospital formula use and previous breastfeeding duration emerged as key predictors. These findings emphasise the importance of integrated strategies across the healthcare, workplace, and policy sectors, aligned with the lived experiences of women, to effectively support breastfeeding. Full article

5 pages, 202 KB

Open AccessProceeding Paper

Sexual Harassment in Higher Education Students

by Margarida M. C. Ramos, Marta Reis, Telma C. Almeida and Jorge Cardoso

Med. Sci. Forum 2025, 37(1), 12; https://doi.org/10.3390/msf2025037012 - 27 Aug 2025

Viewed by 1313

Abstract

Sexual harassment, globally recognized as a complex phenomenon, presents gaps regarding its characteristics and diversity of impacts, particularly in the Portuguese context. This study aims to better understand sexual harassment in Portuguese universities, namely the prevalence of these experiences, their types, perpetrators, and [...] Read more.

Sexual harassment, globally recognized as a complex phenomenon, presents gaps regarding its characteristics and diversity of impacts, particularly in the Portuguese context. This study aims to better understand sexual harassment in Portuguese universities, namely the prevalence of these experiences, their types, perpetrators, and settings, as well as the psychosocial factors associated with them, specifically distress, intrusive negative thoughts, academic engagement, and resilience. Positive correlations were found between unwanted sexual experiences, distress, intrusive negative thoughts, and academic engagement. These findings highlight the need for more effective policies to prevent sexual harassment and for psychological support programs for victims of sexual harassment. Full article

5 pages, 224 KB

Open AccessProceeding Paper

Satisfaction with Physiotherapy Care for Individuals with Cystic Fibrosis Across Face-to-Face, Online, and Blended Rehabilitation Settings

by Sofia O. Vieira, Ana Paula Martins, Ângela Pereira, Virgínia Marques, Inês Gano, Filipa Moita de Deus, Margarida Sousa and Sónia Vicente

Med. Sci. Forum 2025, 37(1), 13; https://doi.org/10.3390/msf2025037013 - 27 Aug 2025

Viewed by 165

Abstract

This study assessed satisfaction with physiotherapy care for individuals with cystic fibrosis across face-to-face, online, and blended formats at the National Association for Cystic Fibrosis. Forty participants, including patients and legal representatives, reported high satisfaction overall. Key strengths included respectful communication, involvement in [...] Read more.

This study assessed satisfaction with physiotherapy care for individuals with cystic fibrosis across face-to-face, online, and blended formats at the National Association for Cystic Fibrosis. Forty participants, including patients and legal representatives, reported high satisfaction overall. Key strengths included respectful communication, involvement in decision-making, scheduling flexibility, and therapist support. Face-to-face care received the highest ratings, though privacy, understanding, and engagement were consistently strong across all modalities. The results highlight the importance of patient-centred approaches and suggest that high-quality care can be delivered effectively across different treatment formats, reinforcing satisfaction as a key indicator of healthcare quality and effectiveness. Full article

5 pages, 174 KB

Open AccessProceeding Paper

Robotic Gait Training in an Adolescent with Idiopathic Transverse Myelitis: A Case Report

by Maria Ana Neves, André Lima, Gonçalo Duarte, Susana Wandschneider, Tiago Teixeira, Lia Jacobsohn, Carlos Ernesto Júnior and Isabel Batalha

Med. Sci. Forum 2025, 37(1), 14; https://doi.org/10.3390/msf2025037014 - 27 Aug 2025

Viewed by 240

Abstract

Transverse myelitis is a rare spinal cord condition that can cause severe motor, sensory, and autonomic dysfunction. This case report describes a 16-year-old male with incomplete paraplegia due to idiopathic transverse myelitis who underwent robotic-assisted gait training (RAGT) using the EKSO exoskeleton, integrated [...] Read more.

Transverse myelitis is a rare spinal cord condition that can cause severe motor, sensory, and autonomic dysfunction. This case report describes a 16-year-old male with incomplete paraplegia due to idiopathic transverse myelitis who underwent robotic-assisted gait training (RAGT) using the EKSO exoskeleton, integrated into an intensive rehabilitation programme. After one month, he showed significant improvements in gait speed, dynamic balance, effort tolerance, and trunk mobility. RAGT promoted better weight distribution and reduced compensatory patterns during ambulation. The intervention proved safe and clinically beneficial, highlighting the potential of robotic technologies as effective adjuncts in paediatric spinal cord injury rehabilitation. Full article

4 pages, 585 KB

Open AccessProceeding Paper

Assessment of the Diagnostic Delay in a Portuguese Population of Patients with Burning Mouth Syndrome—A Preliminary Study

by Mariana Vallera Machete, José Grillo Evangelista, Luís Proença, Pedro Ferreira Trancoso, António Mano Azul and Carlos Zagalo

Med. Sci. Forum 2025, 37(1), 15; https://doi.org/10.3390/msf2025037015 - 1 Sep 2025

Abstract

Burning Mouth Syndrome (BMS) presents diagnostic and therapeutic challenges due to its unclear etiology and complex symptomatology. This study, part of a doctoral research project, explores diagnostic delay, triggering factors, and psychotropic medication use in BMS patients. By retrospectively analyzing 300 clinical records, [...] Read more.

Burning Mouth Syndrome (BMS) presents diagnostic and therapeutic challenges due to its unclear etiology and complex symptomatology. This study, part of a doctoral research project, explores diagnostic delay, triggering factors, and psychotropic medication use in BMS patients. By retrospectively analyzing 300 clinical records, the study offers insight into patterns of diagnosis and treatment, with a focus on differences related to age and sex. The findings contribute to a better understanding of BMS and emphasize the need for timely diagnosis, particularly in older adults, to improve patient outcomes. Full article

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4 pages, 177 KB

Open AccessEditorial

7th International Congress of CiiEM—Empowering One Health to Reduce Social Vulnerabilities

by Ana I. Fernandes, João R. Vaz and Cristina Soeiro

Med. Sci. Forum 2025, 37(1), 16; https://doi.org/10.3390/msf2025037016 - 2 Sep 2025

Abstract

Amidst the increasingly complex and interconnected challenges of our time, from climate change and emerging pandemics to deepening social inequalities, the One Health approach has gained renewed relevance as a guiding framework for research, policy, and practice [...] Full article

5 pages, 691 KB

Open AccessProceeding Paper

Patient Awareness and Acceptance of Laser Technology in Endodontics: A Cross-Sectional Study

by Marta Alves Duarte, João Albernaz Neves and Javier Flores-Fraile

Med. Sci. Forum 2025, 37(1), 17; https://doi.org/10.3390/msf2025037017 - 2 Sep 2025

Abstract

Laser technology is becoming an essential part of endodontic practice due to its clear clinical advantages. A cross-sectional survey of 501 participants found that, although awareness remains limited, the results suggest that patients are willing to trust and accept laser-based treatments when recommended [...] Read more.

Laser technology is becoming an essential part of endodontic practice due to its clear clinical advantages. A cross-sectional survey of 501 participants found that, although awareness remains limited, the results suggest that patients are willing to trust and accept laser-based treatments when recommended by dentists. In addition to the benefits of improved precision, reduced discomfort and superior disinfection, the use of lasers also promotes a sense of safety and confidence. These findings emphasise the importance of improving public understanding of, and support for, the integration of laser technology into modern dental care, since patient acceptance is essential for wider implementation. Full article

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0 pages, 212 KB

Open AccessProceeding Paper

Ventilatory Profile of Big Wave Surfers: An Exploratory Study

by Pedro Seixas, Ana Laura-Ricci-Vitor and Lara Costa e Silva

Med. Sci. Forum 2025, 37(1), 19; https://doi.org/10.3390/msf2025037019 - 2 Sep 2025

Abstract

Big wave surfing, a high-risk sport involving rides on waves over 30 feet tall, exposes athletes to intense physical demands, particularly during wipeouts requiring extended breath-holding (apnea). Despite its growing popularity and professional status, the ventilatory profile of these elite athletes remains underexplored. [...] Read more.

Big wave surfing, a high-risk sport involving rides on waves over 30 feet tall, exposes athletes to intense physical demands, particularly during wipeouts requiring extended breath-holding (apnea). Despite its growing popularity and professional status, the ventilatory profile of these elite athletes remains underexplored. This study is the first to examine the respiratory characteristics of Big Wave Surfers (BWS), focusing on lung function, respiratory muscle strength, and potential ventilatory adaptations or compromises. Findings suggest that BWS exhibit enhanced respiratory capacity, likely from apnea training and glossopharyngeal breathing, but also show signs of small airway obstruction, warranting further investigation and preventive health strategies. Full article

6 pages, 203 KB

Open AccessProceeding Paper

Parental Satisfaction in Short-Stay Pediatric Emergency Unit: A Cross-Sectional, Descriptive and Observational Study

by Vanessa Antunes, Paula Pereira, Tatiana Cardoso, Célia Pereira, Miguel Ladeira, Ricardo Antunes and Fernanda Loureiro

Med. Sci. Forum 2025, 37(1), 21; https://doi.org/10.3390/msf2025037021 - 3 Sep 2025

Abstract

This study evaluated parental satisfaction with nursing care in a pediatric emergency department short-stay unit. Using the Citizen Satisfaction with Nursing Care Scale, 205 parents of hospitalized children participated in a descriptive, cross-sectional study. Results showed consistently high satisfaction, regardless of parental sociodemographic [...] Read more.

This study evaluated parental satisfaction with nursing care in a pediatric emergency department short-stay unit. Using the Citizen Satisfaction with Nursing Care Scale, 205 parents of hospitalized children participated in a descriptive, cross-sectional study. Results showed consistently high satisfaction, regardless of parental sociodemographic characteristics. While parents of newborns and employed parents showed slightly higher satisfaction, differences were not statistically significant. These trends suggest areas for further qualitative research to better understand parental expectations. The findings highlight the importance of ongoing evaluation and structured feedback to maintain high-quality, responsive nursing care in pediatric emergency settings. Full article

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