JRG Journal of Academic Studies

Maternal mortality in Brazil (2020-2024): macro-regional distribution, direct and indirect causes and the role of Rede Cegonha and PNAISM

2025-09-02T18:06:12+02:00

Introduction: Maternal mortality is a sensitive indicator of health quality and social inequalities. It involves direct, often preventable, and indirect, often underreported causes. In low- and middle-income countries, such as Brazil, the problem persists as a structural and public health challenge, requiring continued attention. Objective: To analyze the distribution and evolution of maternal mortality from direct and indirect causes in Brazil's macroregions (2020-2024) and to discuss the areas of action of the RC and PNAISM. Methods: Quantitative research of secondary data. Data were obtained from the Maternal Mortality Monitoring Panel. Deaths from direct and indirect causes, aged 10 to 49 years, were selected. Statistical analyses were performed in Microsoft Excel® and scripts via Google Colab®, using one-way ANOVA, Tukey's test (HSD), and Poisson regression. Results: The analysis of maternal mortality due to direct causes revealed significant differences between regions (F = 93.96; p < 0.001). The Northeast and Southeast had higher mean rates than the Central-West, North, and South (p < 0.0001). Poisson regression indicated temporal stability (β = -0.0003) and a three-fold higher risk in the Northeast (3.30) and Southeast (3.13) compared to the Central-West. For indirect causes, ANOVA did not detect significant regional differences (F = 1.79; p = 0.17), but the regression showed higher relative rates in the Southeast (3.55) and Northeast (2.59), in addition to a 30% annual reduction in indirect mortality (relative rate = 0.70). Conclusion: Maternal mortality in Brazil reveals significant regional disparities, especially in direct causes, highlighting the urgency of public policies aimed at ensuring safe and equitable maternal care.

An epidemiological analysis of hospital admissions for inguinal hernia in the brazilian state Maranhão from 2015 to 2024

2025-09-08T05:18:32+02:00

Introduction: Inguinal hernia (IH) is a process of displacement of the abdominal wall, through dysfunctional muscle tone, which allows organs to move from the abdominal space and protrude into the inguinal region. The diagnosis of this pathology and its symptoms may manifest late, as a bulge in the inguinal region and associated pain, which contribute to a better diagnosis of the patient and treatment by surgery and medication. Methodology: This is a retrospective study with a descriptive and quantitative approach to data on hospitalizations for inguinal hernia, in which data were collected from the Hospital Information System of the Unified Health System (SIH/SUS), made available by the platform of the Department of Informatics of the Unified Health System (DATASUS), between 2015 and 2024. The variables analyzed were: cases per health region (CIR), hospitalizations per year, age group, gender, color/race, annual expenditure, type of care, and days of hospitalization. Results: During the period, in Maranhão, 59,619 hospitalizations due to HI were recorded, with a total expenditure of n=R$35,056,212.24 between 2015-2024, with 2023 and 2024 being the years with the highest number of hospitalizations, totaling 15,528 (25.6%). In the state, the age group between 60 and 69 years predominated, with 9,692 notifications (16.25% in the period). The mixed-race group was the most notable, with 36,651 hospitalizations confirmed (61.47%). In addition, males were the most affected in the state, accounting for 78.64% of hospitalizations. Elective cases also predominated, accounting for 62% of hospitalizations during the period, with an average stay of 2.2 days in a hospital setting. Conclusion: It is important to emphasize the importance of paying attention not only to heredity but also to lifestyle, revealing the need for strategic action and scientific relevance in combating the disease.

Assaults, accidents, and self-inflicted deaths as causes of mortality in women: an epidemiological analysis in Goiás, 2019–2022.

2025-09-04T15:03:05+02:00

Introduction: External causes represent a major public health problem, with differential impacts on men and women. Among women, accidents, homicides, and suicides stand out, reflecting social, demographic, and regional vulnerabilities. Objective: To describe the epidemiological profile of female mortality due to assaults, accidents, and self-inflicted injuries in Goiás State, Brazil, from 2019 to 2022. Methods: Descriptive study based on secondary data from the Mortality Information System (SIM). Analyses considered the distribution of causes, sociodemographic characteristics, and regional inequalities. Results: Accidents accounted for 71.6% of external cause deaths, mainly falls and traffic accidents. Homicides represented 14.8% and suicides 13.6%. Motorcyclists and pedestrians accounted for 37.8% of traffic accident victims. Among homicides, sharp or blunt objects predominated (44.8%). In suicides, 63.6% occurred at home. Brown-skinned women were the most affected, especially in homicides and suicides. Regional disparities were observed, with higher mortality rates in São Patrício I, Sudoeste I, North, and Northeast I. Conclusion: Findings highlight the need for intersectoral public policies aimed at reducing traffic accidents, preventing falls among the elderly, combating violence against women, and expanding access to mental health services.

Knowledge and practices of the nursing team in promoting exclusive breastfeeding in a child-friendly maternity hospital

2025-08-30T01:13:57+02:00

Objective: To describe the knowledge and practices of nursing staff in a maternity hospital with the Baby-Friendly Hospital Initiative to promote exclusive breastfeeding. Methods: This was a cross-sectional study conducted with 19 nurses and 25 nursing technicians of both sexes, aged between 19 and 53. The data was collected using a semi-structured instrument and analyzed using Jamovi software, with descriptive statistics. Results: The professionals showed preparedness to provide guidance, as well as knowledge about exclusive breastfeeding, did not indicate other liquids, alternative techniques and their application, performed the manual breast milk extraction technique, and were aware of the recommendations regarding the start and duration of breastfeeding. However, there was evidence of a lack of knowledge regarding correct latch-on. Conclusion: The implementation of educational practices and ongoing support have the potential to generate long-term public health benefits, as well as improving the experience of motherhood and child development.

Female leadership in the public sector: a systematic literature mapping

2025-08-29T22:19:45+02:00

Female leadership has emerged as an important driver of diversity, innovation, and inclusion within organizations, including the public sector. Although recent years have brought significant progress and achievements, the path for women to assume management positions in organizations remains highly challenging. Aiming to map the existing studies on female leadership in public organizations between 2019 and 2024, a systematic literature mapping was conducted. The results highlight seven main themes addressed in the analyzed articles, including challenges in leadership roles, barriers to career development for women, and gender inequality. Public universities are among the most frequently studied research settings, and there are notable gaps regarding methodological approaches and the depth of thematic analysis. Overall, most studies focused on identifying the challenges women face in reaching leadership positions. Although there has been significant growth in the inclusion of women in strategic roles, persistent barriers continue to hinder both access to and permanence in decision-making positions. Phenomena such as the glass ceiling, the leadership labyrinth, and the queen bee syndrome illustrate the complexity of the obstacles encountered. Nevertheless, the findings underscore the need for further studies addressing other important aspects of the topic, such as empirical analyses of the impact of gender equity policies, evaluations of successful career advancement strategies, and insights into the learning processes of women leaders, among others.

Comics as an assessment tool in Biology teaching

2025-09-07T02:10:17+02:00

This article presents an assessment proposal using comic book production in Biology teaching, applied to high school students. The activity aimed to foster content review in a creative and engaging way. A total of 380 students participated, with 215 voluntarily answering an evaluation questionnaire. Data were analyzed using descriptive statistics and inferential tests (Chi-square, ANOVA, and Pearson correlation). Results show high acceptance of the activity, with positive student perceptions regarding learning and content review. Although no statistically significant differences were found among the variables, qualitative data suggest student engagement, effort, and meaning-making. It is concluded that using comics as an assessment tool enhances student involvement and expands the possibilities for innovative teaching practices in Biology education.

Art Education as a Territory of Encounter and Development

2025-07-01T00:35:00+02:00

This experience report discusses how art education, beyond a mere technical resource, emerges as a space for exchange and discovery where children are protagonists. The proposal is to mediate and foster the spontaneous flow of collectivity, moving away from predetermined and restrictive views of art. This work analyzes the "Cirandar" project, developed in a school, which aimed to invite a group of children to engage in perception, observation, and a sense of collectivity through music and movement, contributing to their holistic development. The study is an analytical experience report, aligned with the perspective of meanings and qualitative epistemology. It recognizes lived experience as a legitimate form of knowledge production, valuing the researcher's involvement and the ethical dimension of practice. The "Cirandar" project, involving over one hundred children in circular dance activities and circle songs, demonstrated improved synchronicity, the formation of a collective concept, and strengthened bonds. There was also an expansion of cultural repertoire, improved concentration, and increased engagement from the entire school community. Artistic activities promote the development of individual and collective consciousness, non-verbal expression of corporeality, cultural and sensory broadening, fostering autonomy and affectivity, and enhancing concentration. Art mobilizes higher psychological functions and reconfigures the subject-world relationship, promoting humanization. By integrating music and dance, art education transcends disciplinary fragmentation, activating senses, imagination, and subjective expression. It asserts itself as a powerful field for shaping sensitive, creative, and critical individuals, driving more humane and meaningful educational experiences.

Fake news and the maintenance of the political public sphere: Disinformation as a Threat to Human Rights and Democracy

2025-07-07T23:12:19+02:00

The spread of fake news is not a modern phenomenon, although the term “fake news” has recently gained notoriety. History shows that the manipulation of information has always been a tool of domination, used to distort reality and seize power. From a philosophical perspective, politics arises from the creation of a public space for debate, where free individuals engage in dialogue and make collective decisions, as opposed to the isolation of private life. Hannah Arendt was instrumental in investigating how totalitarian regimes sought to undermine this public space in order to exercise control. With technological advances, attacks on the public space have become more modern. Currently, the dissemination of fake news in the virtual environment occurs rapidly and without prior control, fragmenting the space for dialogue and replacing it with extremism, isolation, and hate speech. Given this, this work starts from the following question: how does the dissemination of fake news contribute to eroding the public political space? A qualitative approach is adopted, using exploratory procedures and bibliographic methods, based on articles and academic texts on political freedom in Arendt, seeking to understand how her theory helps explain the phenomenon of fake news. The objective is to use Arendtian thought as a theoretical lens to analyze this contemporary dynamic. After discussing the impact of fake news on the public sphere, the work revisits its historical use as a constant threat to democracy, highlighting the need for regulation. It concludes that the preservation of the public sphere requires not only legal measures against disinformation, but above all, citizen awareness of the political role of information and an ethical commitment to the truth.

Unraveling the layers of mass incarceration in Brazil: an intersectional perspective of gender and race on structural racism

2025-05-04T10:20:41+02:00

The present research centers on structural racism and the intersectionality of gender and race within the context of mass incarceration in Brazil. Its general objective is to analyze structural racism and the intersectionality of gender and race as factors contributing to the increase in female incarceration in Brazil. The specific objectives are: to conceptualize structural racism and the intersectionality of gender and race, as well as to situate them within the Brazilian historical context; to study incarceration rates among white and black women, and between these women and men, based on official data, literature, and pertinent legislation; and to verify structural racism and the intersectionality of gender and race as factors for the increase in female incarceration in Brazil. This is explanatory research with a mixed-methods approach, employing a deductive research method. The technical procedures used include bibliographic research—books, official data, scientific articles, and relevant legislation. The central issue highlighted is: can it be affirmed that structural racism and the intersectionality of gender and race are factors contributing to the increase in female incarceration in Brazil? Therefore, this research is divided into three parts. Firstly, the historical concept of structural racism and the intersectionality of gender and race will be studied. Subsequently, based on official data, literature, and pertinent legislation, the rates of female incarceration in Brazil will be examined, as well as their relationship with structural racism. Finally, the consequences of structural racism and the intersectionality of gender and race in the current Brazilian prison reality will be discussed. In conclusion, this research reveals the profound interconnection between race, gender, and the prison system, highlighting how these dynamics shape carceral practices and perpetuate systemic inequalities. By analyzing specific data from Brazil, it becomes evident that black women are disproportionately affected by incarceration, reflecting a deeply rooted pattern of racial and gender discrimination.

Breastfeeding: maternal self-efficacy in preterm infants in a kangaroo care unit

2025-08-22T20:46:27+02:00

Objective: To estimate and analyze maternal self-efficacy in the process of breastfeeding preterm newborns in a kangaroo care unit. Methods: A descriptive, quantitative study carried out in a public maternity hospital in Manaus, with 37 puerperal women. Data was collected using the Breastfeeding Self-Efficacy Scale. Results: The majority of mothers showed high self-efficacy. The items with the highest scores involved latching on correctly, adapting to the baby's needs, confidence when breastfeeding in front of family members and satisfaction with the practice, while avoiding complementary milk, breastfeeding while the baby is crying, the challenges of breastfeeding and the desire to continue breastfeeding obtained low scores. Conclusions: the need for health education and continuous family support to strengthen mothers' confidence and ensure breastfeeding is highlighted.

University Extension as a Preventive Tool Against Zoonoses in Lower Secondary Education

2025-07-19T04:27:42+02:00

University extension is one of the pillars of higher education, playing a fundamental role in promoting integration between university and society through actions that encourage social development, civic engagement, and the democratization of knowledge. This study aimed to develop and evaluate an extension activity focused on the prevention of zoonoses among middle school students at Escola Municipal João Ferreira Matos, in Jaguarari-BA, Brazil. The methodology consisted of two stages: a theoretical explanation about four zoonoses (rabies, leptospirosis, toxoplasmosis, and spotted fever), followed by playful activities using educational games ("Zoonosis Trail," "Rabies Domino," and "Zoonosis Board Game"). The results showed a high level of student participation and good assimilation of the topics covered. The use of playful methods favored meaningful learning, aroused students' interest, and encouraged the collective construction of knowledge. The discussion suggests that using games as a pedagogical tool not only facilitates the teaching-learning process but also promotes student protagonism and the sharing of information with the community. Based on this, it became evident that university extension, when combined with active and interactive methodologies, is an effective strategy for strengthening health education. It not only raises awareness but also directly contributes to the fight against zoonoses and to the strengthening of public health at the local level.

Factors Associated with Exclusive Breastfeeding in Premature Newborns Cared for in the Kangaroo Method

2025-08-22T16:23:00+02:00

Objective: To identify the factors associated with exclusive breastfeeding in preterm infants monitored during the three stages of the kangaroo method. Method: retrospective cross-sectional study using medical records from 2023. Results: Exclusive breastfeeding was prevalent among females, with a gestational age of 34 weeks and an average weight of 2,134.52 grams. The diagnosis of jaundice was the most prevalent in newborns using the three types of diet. There was a moderate relationship between the type of diet and the days of follow-up in the Kangaroo Method (KM) and the relationship with the other variables was considered weak. Conclusion: It was noted that exclusive breastfeeding was associated with the evolution of newborns monitored in the three stages of the kangaroo method, and was related to shorter hospital stays. It is essential to learn about and implement the kangaroo method through up-to-date training courses and encouraging research in the area.

Diagnósticos de enfermagem em pacientes críticos com Covid- 19: uma revisão integrativa de literatura

2025-09-01T16:02:13+02:00

Objetivo: Identificar os principais diagnósticos de enfermagem em pacientes críticos infectados pelo coronavírus baseados na taxonomia internacional NANDA. Método: Trata-se de uma revisão integrativa de literatura e o método de análise de dados ocorreu através de seis etapas: pergunta norteadora, busca, coleta de dados, análise crítica dos estudos incluídos, discussão dos resultados e exposição da revisão integrativa de literatura. Resultados: Dentre os três estudos analisados, Barioni elenca 30 diagnósticos de enfermagem, Azevedo 26 e Buffon 14 DEs, sendo os DE comuns a 100% dos estudos são: “ventilação espontânea prejudicada”, “padrão respiratório ineficaz”, “mobilidade física prejudicada” e “risco de lesão por pressão”. Conclusão: Este estudo permitiu identificar os diagnósticos de enfermagem mais frequentes em pacientes críticos acometidos por COVID-19 possibilitando uma melhor compreensão dos aspectos clínicos da doença que ainda não está totalmente elucidada pela literatura.

Temporal analysis of land use and land cover in the Soledade river basin, PB

2025-06-09T00:27:18+02:00

The Rio Soledade hydrographic basin, located in a semi-arid region of Brazil, has been the stage for significant changes in its landscape, driven by anthropogenic pressures such as agricultural expansion and inadequate soil use, added to the effects of climatic oscillations like prolonged droughts. This study analyzed the dynamics of the basin's vegetation cover between the years 1985 and 2025, using the Normalized Difference Vegetation Index (NDVI), derived from satellite images. The hypothetical results indicated a general trend of reduction in average NDVI values over the decades, with emphasis on the expansion of exposed soil areas and the fragmentation of denser vegetation formations. Initially, in 1985, more robust Caatinga formations predominated, with NDVI values indicating dense vegetation. However, from 2005 onwards, and more accentuated after 2015, a progressive degradation of vegetation cover is observed. The analysis of the maps showed that the areas with the greatest vegetation loss would be concentrated in the portions of the basin with greater agricultural activity and close to urban settlements, indicating the direct influence of human activities. The decrease in NDVI reflects the substitution of shrub-tree formations by low-lying vegetation or exposed soil, evidencing the impact of unsustainable agricultural activities and the basin's vulnerability to adverse climatic conditions. NDVI, in this context, proved to be an essential tool for monitoring environmental degradation, allowing for the identification of critical areas and the understanding of spatial and temporal patterns of vegetation cover loss.

Swine atrophic rhinitis and its economic impact: a review

2025-08-04T20:23:17+02:00

Atrophic rhinitis in swine is a respiratory disease that affects pigs raised in intensive farming systems. Direct contact between animals, combined with unfavorable environmental factors, facilitates the spread of the disease. This study aims to present the main aspects related to atrophic rhinitis, including its causative agents, clinical signs, diagnostic methods, prevention and treatment strategies, as well as its economic impact on swine production. It is a multifactorial disease, caused by the combined action of Bordetella and Pasteurella multocida bacteria, which lead to inflammation, destruction of nasal tissues, and facial deformities. Symptoms appear early and impair the animals’ development, directly affecting their productive performance. Diagnosis involves clinical observation and laboratory tests. Prevention includes vaccinating breeding females and improving management and biosecurity practices. Treatment requires the use of specific antibiotics, with protocols adjusted to the severity of each case. It becomes evident that implementing preventive measures and ensuring early detection are essential to minimizing economic losses and maintaining farm productivity.

Educational technology about prenatal milking in people with diabetes mellitus

2025-06-01T02:37:07+02:00

Breastfeeding is considered a complete food because it contains all the nutrients necessary and easy to digest for the baby, in addition to antibodies that help protect the baby against infections and diseases. However, people with diabetes mellitus, that is, those with any degree of glucose intolerance, which may or may not persist after birth, may face difficulties in breastfeeding. This proposal was conceived due to the perception of the difficulty of diabetic pregnant women in maintaining breastfeeding for the time necessary for each child, which involves introducing complementary foods to the newborn's diet and early withdrawal of breastfeeding before six months of life. Thus, this study aimed to develop an educational brochure on prenatal care for people with gestational diabetes mellitus. This is a methodological study with a proposal for educational technology. The development of the technology followed the following steps: free translation of the technique, development of content and layout of the material. For the information, a standard script was followed on the construction of educational health materials, organized into three domains: objectives, structure/presentation and relevance. The folder has the dimensions of A4 paper, folds into three parts, front and back, in landscape orientation. In addition, the content was discussed based on national and international scientific productions related to the prenatal ordering technique. This research does not require ethical procedures, as it corresponds to the construction of a health care technology, although it intends to proceed with formal copyright registrations. The Canva® platform allowed the creation of the product with texts related to the concept and definition, indication, ordering techniques, care for the requested milk, and strategies for offering milk. The colors in shades of pink, blue and gold are linked to femininity, motherhood and breastfeeding. In addition to tranquility and clarity, they bring the necessary attention to the information, attracting the reader's curiosity. The chosen font was chosen as simple and clear, bringing seriousness and sensitivity with a refined and efficient design. The folder was discussed based on the literature, in order to deepen the basic information contained in the final product. It is concluded that the product allowed for the sharing of knowledge, faithful to the protocol, incorporating actions and strategies that can guarantee adequate basic knowledge for diabetic pregnant women, strengthening the search for more in-depth information that promotes adherence to breastfeeding.
Keywords: Breastfeeding; Milk extraction; Mothers; Gestational diabetes

The Impacts of Employee Turnover on Workers' Health in the United States of America

2025-07-02T18:18:07+02:00

This narrative review aimed to assess the impacts of employee turnover on the health of workers in the United States. High turnover rates have become increasingly frequent, especially in post-pandemic and economically unstable environments, bringing adverse effects not only to organizational productivity but also to the physical and mental health of remaining employees. The methodology included a qualitative review of scientific articles, dissertations, and theses from platforms such as Scielo, PubMed, and Google Scholar. The main findings reveal that employee turnover contributes to increased stress, anxiety, burnout, and even physical conditions such as heart disease and musculoskeletal problems. Older employees and those in insecure jobs are particularly vulnerable. Turnover also disrupts work-life balance and team dynamics, increasing the likelihood of dissatisfaction and surge the agitations. Financially, high turnover generates direct and indirect costs related to hiring, training, and productivity losses. The conclusion emphasizes that managing turnover effectively is vital to preserving not only organizational health but also individual well-being. Strategies such as individualized HR practices, mental health promotion, and predictive analytics are suggested. Ultimately, turnover affects not just the departing employees but significantly burdens those who stay behind. Further research is recommended to explore organizational-level solutions to mitigate the health impacts of high turnover.

Between the Unconscious and Institutional Protocols: A Case Study on the Challenges of Psychoanalytic Practice in a University Psychology Training Clinic

2025-08-27T16:08:48+02:00

This study examines the challenges of psychoanalytic practice within a university psychology training clinic, focusing on the tensions between the ethics of the unconscious and institutional protocols. The aim is to report the experiences of undergraduate trainees during their professional practicum, confronted with the demands of a scientistic model. The methodology consists of a qualitative case study, based on direct observation and researchers’ field journals over the course of three semesters. The results highlight central conflicts, such as the requirement to produce detailed summaries of clinical sessions—which opposes Freud’s recommendation of “evenly suspended attention”—and the imposition of a fixed 50-minute session length, which contrasts with the “logical time” of the unconscious proposed by Lacan. The study also points to difficulties in managing transference with the clinic’s coordination, which at times interfered with case conduction. It concludes that, although undergraduate psychology programs aim to train psychologists rather than psychoanalysts, the practicum—structured around the tripod of personal analysis, supervision, and theoretical study—functions as a device of introduction to analytic formation, subverting institutional logic in order to transmit the ethics of psychoanalysis. The presence of psychoanalysis in such spaces is defended as a continuation of Freud’s desire to provide a public and accessible clinic.

Epidemiological profile of leprosy in children under fifteen years of age from 2015 to 2024 in the capital of Alagoas

2025-08-13T01:39:42+02:00

Introduction: Leprosy is a chronic, neglected, and notifiable infectious disease that still presents active transmission in several regions of Brazil, especially in contexts of social vulnerability. Its occurrence in children under 15 years of age indicates failures in the control of the transmission chain and demands specific attention. Objective: To analyze the epidemiological profile of leprosy cases in children under 15 years of age in the city of Maceió, Alagoas, from 2015 to 2024. Methodology: This was a cross-sectional, retrospective study with a quantitative approach, using data from the Notifiable Diseases Information System (SINAN), obtained through DATASUS. The variables analyzed included age group, sex, race, education level, clinical presentation, mode of admission, and mode of discharge of cases. Results: A total of 46 reported cases were identified, with a predominance of patients aged 10 to 14 years (63%), males (74%), and brown (78.3%). The most prevalent clinical form was borderline (39%), followed by tuberculoid (28%). A reduction in reports was observed after 2020, possibly associated with the COVID-19 pandemic. Approximately 70% of cases were cured. Conclusion: The data reveal the persistence of leprosy in children and adolescents, especially in vulnerable populations, reinforcing the need for intersectoral strategies for early diagnosis, appropriate treatment, and prevention. Qualified primary care, combined with health education and improved epidemiological surveillance, is essential for combating the disease and protecting children and adolescents.

Florence Nightingale’s environmental theory analyzed in adult intensive care units

2025-06-26T01:13:27+02:00

Abstract

The research was developed based on Florence Nightingale’s environmental theory, with the aim of studying the intensive care environment in the judgment of adults hospitalized in this treatment unit. Objective: to evaluate, from the patients’ perspective, the influence of the environment on the recovery of their health condition. Methodology: a qualitative research conducted through a semi-structured interview with patients hospitalized in ICU beds in two different hospitals, one environmentalist and the other not, from the Federal District Health Department. Results: the patients who participated in the study reported various needs for changes and factors they consider important for health recovery, among which family/friend visits, noise, lighting, privacy, and good professionals stand out. Conclusion: the results suggest that the environment influences the recovery of patients hospitalized in intensive care units and can support often simple changes but with a significant impact on the recovery of people hospitalized in ICUs.

Keywords: Intensive care unit; Environment; Patient; Nursing theory; Quality of health care.

Breaking bad news in the context of neonatal death: synthesis of evidence from an integrative review

2025-08-22T19:11:40+02:00

Neonatal mortality remains one of the major global health challenges, accounting for nearly half of deaths among children under five years of age. In this context, communicating neonatal death is an ethical, relational, and humanized process that directly affects both parental grieving and healthcare professionals’ well-being. This study aimed to analyze, through an integrative review, the strategies used by healthcare professionals in delivering news of neonatal death, highlighting humanizing practices, recurrent weaknesses, and emotional impacts. The review was conducted in March 2025 in PubMed, LILACS, SciELO, BDENF, and CINAHL, using DeCS/MeSH descriptors, and included studies published between 2015 and 2025 in Portuguese, English, and Spanish. From 742 initially retrieved articles, six met the inclusion criteria, carried out in Brazil, the United Kingdom, Belgium, and India. The analysis revealed three main axes: humanized strategies, such as acknowledging parenthood and offering farewell opportunities; structural and training barriers, including lack of formal preparation, inadequate settings, and absence of post-death support; and emotional impacts on professionals, who reported psychological suffering and overload, fitting the “second victim” perspective. Structured protocols like SPIKES proved relevant but are still incompletely applied. In conclusion, communicating neonatal death is a critical act of care, and its qualification requires investments in formal training, development of institutional protocols, and implementation of public policies that guarantee comprehensive and humanized support for both families and healthcare teams.

O papel da enfermeira no acolhimento às mulheres em situação de violência doméstica: uma revisão integrativa

2025-08-19T16:55:25+02:00

Objetivo: Identificar o papel da enfermeira no acolhimento às mulheres em situação de violência doméstica. Metodologia: Trata-se de uma revisão integrativa da literatura, que teve enquanto questão de pesquisa: qual o papel da enfermeira no acolhimento à mulher em situação de violência doméstica? Os artigos foram coletados na Biblioteca Virtual em Saúde a partir das bases de dados MEDLINE, LILACs e SCIELO, assumindo-se os seguintes critérios de inclusão: publicados em português, inglês e espanhol, entre os anos de 2010 a 2020 que apresentasse adequação ao tema de pesquisa. Resultados: Para a Enfermeira contemplar o acolhimento no processo de cuidado à mulher em situação de violência doméstica é preciso atentar-se para uma escuta ativa, sensível e qualificada, geração de vínculo e o conhecimento de leis e protocolo que proporcione um encaminhamento correto. Conclusão: O acolhimento é a principal estratégia de cuidado da Enfermeira diante de situações de violência doméstica.

Feline hyperesthesia syndrome: A behavioural review

2025-07-18T03:24:57+02:00

The feline hyperesthesia syndrome is a multifactorial disorder of unclear etiology. Described as “apparent neuritis”, “atypical neurodermatitis”, “wavy skin syndrome” or “angry cat disease”, these terms provide an overview of its main clinical signs, where affected patients present: spasms in the lumbosacral region, excessive vocalizations, self-mutilation, seizures and altered mood. It is classified as a neurological disease but with emotional triggers, since challenging spaces tend to promote more intense clinical signs and with evident progressions for these patients. Back movements are classified as neuropathic pain conditions, requiring more complex drug therapies for these patients. As a treatment, it is based on the need to primarily modulate behavior and consequently manage the quality of life of these patients, therefore, in addition to well-used medications, cognitive behavioral therapies are essential to promote well-being. Among the most commonly used medications are allopathic medications of the psychoactive class, as well as phytotherapy, which follows a diversity of plants with increasingly extensive studies on this disease. The objective of this study is a broad review of HFS in order to promote complementary study material for the academic community.

Portuguese language teaching: theoretical foundations and pedagogical implications of linguistic analysis

2025-08-15T19:05:44+02:00

This article discusses linguistic analysis as a structuring axis of Portuguese language teaching, highlighting its role in overcoming the traditional grammar-based model, centered on rule memorization and linguistic normalization. Based on authors such as Geraldi (1997), Antunes (2003), Travaglia (2009), and Koch (2011), the paper presents the theoretical foundations that support linguistic analysis as a reflective and contextualized pedagogical practice. It also examines how official documents, PCNs, BNCC, and RECAL, address the topic and the implications for teaching practices. The study emphasizes the teacher’s role as mediator and the student’s role as an active subject in the learning process, as well as the importance of valuing linguistic diversity and combating linguistic prejudice. In addition, it presents didactic proposals and possibilities for articulating teaching, research, and outreach. It concludes that linguistic analysis, understood as a living and critical practice, contributes to the formation of autonomous individuals, conscious readers and text producers capable of critically engaging with the discourses circulating in society.

The relationship between Obstetric Violence and Breastfeeding in a Baby-Friendly Initiative Maternity Hospital.

2025-08-11T00:18:31+02:00

Objective: To describe the relationship between obstetric violence and breastfeeding among puerperal women in a maternity hospital accredited by the Baby-Friendly Hospital Initiative (BFHI). Method: This was a cross-sectional study in which 110 puerperal women took part. The data obtained was entered manually into a Microsoft Excel® spreadsheet and analyzed using the Jamovi software, describing absolute and relative frequencies. Results: The study consisted of 110 puerperal women, the occurrence of obstetric violence was reported with emphasis on physical violence and more than half of the women breastfed in the first hour after birth and made skin-to-skin contact. Conclusion: Breastfeeding involves factors that go beyond the biological, and obstetric violence is one of the factors that can affect the success of this practice, measures such as professional training, guidance to women and accreditation as an HFHI are essential to promote good practices and breastfeeding.

Use of LED in the prevention of radiodermatitis in breast cancer: a randomized clinical trial

2025-08-07T17:37:50+02:00

INTRODUCTION: Radiotherapy is a common treatment for breast cancer, but one of its frequent adverse effects is radiodermatitis, a skin toxicity. Photobiomodulation (PBM) has been proposed as an approach to prevent or minimize these changes in irradiated skin by acting on inflammatory processes. OBJECTIVE: To evaluate the applicability of PBM through LED therapy in preventing radiodermatitis in breast cancer compared to standard local care. METHODS: This is a single-blind, randomized clinical trial conducted with women diagnosed with breast cancer and undergoing three-dimensional conformal radiotherapy (3D-CRT) between March and September 2024 at the Radiotherapy Outpatient Clinic of Hospital de Base IGESDF. Participants were divided into two groups: (1) Control Group, which received standard skin care with the device turned off, and (2) PBM Group, treated with LED panels applied to the breast and axillary regions at a dose of 4.8 Joules for 10 minutes, twice a week after radiotherapy. RESULTS: The results showed that 16 patients were included (control = 9 and treatment = 7). Radiodermatitis in the breast area was less frequent in the PBM group compared to the control group (12.6% vs. 50% - p=0.015). CONCLUSION: These data suggest that photobiomodulation may be effective in preventing acute radiodermatitis in breast cancer patients, and further research is needed to confirm these findings.

Multidrug-resistant E. coli infection in healthcare units: A systematic literature review

2025-05-21T01:19:39+02:00

Bacterial resistance currently represents a significant threat worldwide, which has been mobilizing and worrying health entities and institutions, especially since the group of bacteria comprised of pathogenic strains of Escherichia coli is one of the most worrying due to the recent levels of multidrug resistance reached. In this context, the objective of the study was to analyze the epidemiology, characterizing infection sites, virulence and resistance mechanisms, as well as to describe the current situation of possible therapies for urinary tract infections caused by the uropathogenic strain. A systematic review was carried out using bibliography provided by the Ministry of Health and selection of original articles in online indexers, following the items of the Guidelines for Systematic Reviews and Meta-Analyses (PRISMA), which described the epidemiology of E. coli multidrug resistance. As a result, after screening, we obtained 16 studies included in the qualitative synthesis. At the end of the study, it was concluded that the current scenario is challenging, given the increasing percentages of multidrug resistance in the country and limited therapeutic alternatives.

Utilization of a mobile application as an adjunct tool for the management of urinary incontinence in pregnant women

2025-08-04T15:22:28+02:00

Urinary incontinence is defined as any involuntary loss of urine and is commonly classified into three main types: stress urinary incontinence, urge urinary incontinence, and mixed urinary incontinence. This condition is prevalent among women, particularly during pregnancy, due to factors such as increased intra-abdominal pressure, fetal compression on the pelvic floor musculature, and neuromuscular injuries associated with vaginal delivery. With the advancement of technology, mobile health (mHealth) applications have emerged as supportive tools for pregnant women, providing features such as Pelvic Floor Muscle Training. These digital resources aim to promote self-management and improve adherence to conservative therapeutic strategies. The objective of this study was to conduct a literature review to identify mobile applications available for the management of urinary incontinence in pregnant women. The search was performed in the PubMed, LILACS, Cochrane Library, and SciELO databases, covering publications from 2014 to 2024. Eligible studies included original research articles, clinical trials, cross-sectional studies, and feasibility studies. Out of 434 articles initially retrieved, only six met the inclusion criteria after the screening and eligibility assessment. Data were analyzed both qualitatively and quantitatively, focusing on variables such as type of application, intervention duration, and methodological design. The findings highlight the promising role of mHealth technologies as innovative and accessible tools to support the treatment of urinary incontinence in pregnant women.

Sociodemographic and clinical profile of patients hospitalized for Covid-19 in a teaching hospital

2025-08-06T16:31:04+02:00

The need to expand knowledge about the relationship between the sociodemographic and clinical profile of patients is evident, considering the severity of the disease and unique aspects of care. The objective of this study was to identify the sociodemographic and clinical profile of patients hospitalized for covid-19 in a teaching hospital. This is a documentary, retrospective, quantitative study, carried out based on the analysis of 153 physical medical records of patients hospitalized for covid-19 between March 2020 and March 2022. Data analysis was carried out using an exploratory method, with a time lapse of the bibliography of the last five years. There was a predominance of females (82) (53.59%), age group 30 to 39 years (36) (23.53%), brown race (84) (54.90%), single marital status (63) (41.18%), and high school diploma (41) (26.80%). The most frequent occupations were self-employed, bricklayer, and fisherman (34, 22.22%), followed by retirees (18, 11.54%), and those with incomes up to 1 minimum wage (6, 3.90%). Most patients came from hospitals or emergency care units in the capital (83, 54.25%). The most frequent comorbidities were systemic arterial hypertension (58, 26.73%) and diabetes mellitus (37, 17.05%). Mild cases of covid-19 accounted for the majority (81, 52.94%), followed by severe cases (19, 12.42%). It is concluded that the study contributed to assessing the sociodemographic and clinical profile of covid-19 patients in the hospital setting, potentially guiding and qualifying patient care.

Epidemiological Comparison in Oral Health - Brazil 2010 and 2023

2025-08-04T04:00:58+02:00

This study presents a comparative analysis of the epidemiological data on oral health obtained in the editions of the SB Brazil Project held in 2010 and 2023. The research focuses on indicators such as the DMFT index in children aged 12 and adults aged 35 to 44, in addition to the proportion of individuals free from caries. The data show a trend of improvement in the oral health of the population, reflecting advances in public policies, especially with the expansion of the Brasil Sorridente program and the Oral Health Teams in Primary Care. Despite progress, regional inequalities and challenges in adult and elderly care persist. The analysis highlights the importance of preventive strategies, intersectoral actions and continuous investments for the maintenance and expansion of these advances. The study reinforces the need for updated and disaggregated data to guide more effective and equitable oral health policies in Brazil.

Tu, você or cê? A sociolinguistic perspective on the second-person singular pronoun in brazilian portuguese

2025-06-06T22:17:43+02:00

In this article, we discuss the pronominal variation of the second-person singular in Brazilian Portuguese, focusing on the forms tu, você, and cê, from a sociolinguistic perspective. We conducted a literature review, articulating the principles of the Theory of Linguistic Variation and Change (Labov, 2008) and the Theory of Power and Solidarity (Brown & Gilman, 1960). We explore the historical aspects of the grammaticalization of você, the treatment of these forms in both prescriptive and descriptive grammars, the regional distribution patterns, and the linguistic and social factors that influence their selection. Throughout the analysis, we demonstrate that these pronominal forms not only coexist, but are mobilized according to linguistic and extralinguistic factors. By acknowledging this variation, we aim to contribute to a critical reflection on the actual uses of the language.

Teaching through assessment: the construction of learning in the early years of elementary school beyond the classification logic

2025-07-18T01:46:00+02:00

This article discusses assessment in the early years of elementary school as an essential tool for promoting students' comprehensive development. It advocates for a formative, continuous, and reflective approach to assessment that seeks to understand learning processes and respect students' unique characteristics. Assessment should be understood as a process that aims to support learning and inclusion, not as an end in itself. To achieve this, it is necessary to change the culture of assessment, which is often seen as a classificatory and punitive mechanism. Qualitative research was conducted to better understand how assessment is viewed and practiced by teachers. Based on authors such as Luckesi, Vasconcellos, and Perrenoud, it advocates for a formative approach to assessment that seeks to understand learning processes and support student development. The article highlights the importance of assessment practices that are more consistent with the formative approach, such as self-assessment, co-assessment, the use of portfolios, reflective journals, systematic observations, interdisciplinary projects, and constructive feedback. The conclusion is that promoting an assessment culture that contributes to the comprehensive development of students requires changes in teacher training, pedagogical planning, and the collective engagement of the school community. Assessment must be understood as a critical and ethical tool to support learning and inclusion.

Effects of physical exercise on the health status of children with cystic fibrosis: a systematic review

2025-07-01T20:10:55+02:00

Introduction: Cystic Fibrosis (CF) is a chronic and progressive genetic disease that affects multiple systems, especially the respiratory system, leading to airway obstructions due to viscous secretions. These factors impact children's quality of life, compromising daily, school, and recreational activities. Thus, physical exercise emerges as a potentially beneficial intervention, and it is necessary to investigate the effects of exercise in the treatment of children with CF. Objective: To verify the scientific evidence present in the literature regarding the effectiveness of physical exercise on the health status of children with Cystic Fibrosis. Methodology The search was conducted in the following databases: PubMed, Cochrane Library and MEDLINE based on the question developed through the PICO strategy. Using different combinations of the following keywords: “cystic fibrosis”, “child”, “physical exercise”, randomized controlled clinical trials published between 2019 and 2024, involving children up to 12 years old diagnosed with CF, were selected. In addition, the methodological quality of the articles was assessed by the PEDro scale. Results: A total of 240 studies were initially found, with only 6 meeting the previously chosen inclusion criteria. Among them, the interventions included aerobic, resistance, postural and combined exercises that analyzed different outcomes such as functional capacity, muscle strength, quality of life, bone mineral density, respiratory function and cardiac variability. Conclusion: Physical exercise showed positive results in the treatment of children with Cystic Fibrosis, with improvements in functional capacity, muscle strength and quality of life. However, longer studies, large samples and homogeneous protocols are needed to consolidate practical and specific recommendations for this population.

Keywords: cystic fibrosis; child; physical exercise; systematic review.

Sustainability and family farming in a mountain community in the semi-arid region of Bahia

2025-07-12T18:14:25+02:00

This research addresses the productive and social dynamics of family farmers in the Adro de São Gonçalo community, located in the mountainous region of the municipality of Itiúba, Bahia. The objective is to analyze the farmers' profile and the local agricultural production and marketing process. A qualitative methodology was used, with data collection based on analysis of the registration forms of members of the Itiúba Mountains Rural Products Community Association (ACPRS) and field research. The field phase lasted one year and included weekly visits to the farms, the open-air market, and ACPRS meetings. Observation and listening were conducted during farm work, association meetings, and conversations at the open-air market. The entire community works on family farming, which is the main source of local income. It was observed that the farmers have a low level of education, with men being less educated than women. Agriculture is carried out entirely manually and organically, with traditional soil care practices, planting, cultivation, and management practices such as pruning, weeding, and the use of natural fertilizers to treat plant diseases. Beans and corn are the most widely cultivated legumes and grasses, while mangoes, oranges, avocados, and lemons are among the fruits. Produce is sold at the open-air market in the municipal center, and surplus produce is used within the community to feed people and animals, as well as to fertilize the soil. The community's agricultural activity is sustainable and aligns with agroecological practices, also aiming for a circular economy and full utilization of production.

The role of the nurse in pediatric palliative care: an integrative literature review

2025-06-29T19:28:07+02:00

The role of nurses in pediatric palliative care is essential to ensuring humanized and comprehensive care for children and their families. These professionals play a central role in symptom management, emotional support, and continuous care for families throughout the entire care process. The objective of this study is to identify and summarize, in the national literature, the role of nurses in the palliative care of pediatric patients. This is an integrative literature review, conducted using the BVS and SciELO (Scientific Electronic Library Online) databases. The following descriptors were used: oncology, palliative care, hospitalized child, psychological stress, patient comfort, neoplasms, nursing professional role, nurse, and cancer. The Boolean operator used was "AND". Empirical articles and literature reviews published in full, in Portuguese, in Brazil, between January 2010 and March 2023 were included. Duplicates, commentaries, editorials, grey literature, and articles that did not address the study objective were excluded. A total of 3,106 articles were found, of which 8 met the inclusion criteria and were included in this review. The findings revealed that nursing practice in pediatric palliative care must be humanized, empathetic, and centered on the needs of the child and their family. The main focus is on pain relief, comfort, and the promotion of quality of life, with emphasis on effective communication and the use of playful strategies. The importance of professional training is also highlighted, as it is crucial for providing sensitive and comprehensive care in end-of-life situations. The role of nurses in pediatric palliative care is fundamental for promoting comfort, emotional support, and quality of life for children and their families. Specific training for healthcare professionals is indispensable to ensure ethical, sensitive, and holistic care.

Factors associated with discontinuation of HIV treatment: an integrative review

2025-06-27T15:29:23+02:00

Introduction: Treatment dropout rates in HIV-infected patients are high, resulting in negative treatment outcomes and subsequent spread of HIV. Objective: to conduct an integrative literature review in order to understand the factors associated with HIV treatment dropout. Methodology: A literature survey was conducted in October 2024, in renowned databases. The descriptors used were: ‘‘Acquired Immunodeficiency Syndrome” AND ‘’Patients who drop out of treatment” AND ‘’Patient acceptance of health care” AND ‘’Epidemiology’’ and, in English, ‘’Acquired immunodeficiency syndrome” AND ‘’Patients who drop out of treatment’’ AND ‘’Patient acceptance of health care’’ AND ‘’Epidemiology’’. Thus, 9 articles were selected, being included according to the eligibility criteria: articles in English and Portuguese, in the last five years, involving factors associated with HIV treatment abandonment. The exclusion criteria were: literature review articles or meta-analysis. Results: From the data analysis, it was possible to verify that most authors reported that there are several factors associated with ART treatment abandonment, involving sociodemographic characteristics such as being male, single, socioeconomic factors, low educational level and young age, but also events such as pregnancy, hospitalization, infection by an opportunistic disease and clinical progress can have an impact in treatment adherence. And not only that, but also side effects, clinical status, drug use, mental health problems, homelessness or unstable housing, stigmatization, among other factors. Conclusion: Failure to adhere to ART is a public health problem. It is essential to implement or improve public policies, improve communication, access and distribution of medicines, and carry out educational actions, such as lectures, to combat stigma. This work aims to serve as a basis for future research on the subject.

Health of the transgender population in Brazil: an integrative review

2025-06-07T00:33:40+02:00

The transgender population in Brazil faces multiple barriers to accessing health care, marked by historical and social inequalities. The scarcity of data, insufficient training of professionals, and the absence of adequate care practices contribute to negative outcomes that disproportionately affect this population. This study aimed to gather and analyze available data on the health conditions of the transgender population in Brazil, through an integrative literature review. The search was conducted in the SciELO and PubMed databases, from 2019 to 2025, using the descriptors “Transgender People”, “Data Analysis”, and “Health”, in Portuguese, English, and Spanish. Ten articles met the inclusion criteria and comprised the corpus of the analysis. The main results indicate high rates of psychological distress, mental disorders, suicide attempts, and self-harm. Also noteworthy is the frequent use of hormones without a medical prescription, in addition to the high prevalence of sexually transmitted infections and low vaccination coverage. These data reveal the urgency of actions that promote more inclusive care, with effective public policies, ongoing training of professionals and increased access to services. It is concluded that promoting the health of the transgender population requires intersectoral commitment and sensitivity to their specificities.

Epidemiological characterization of mortality from heart failure in the state of Piauí, Brazil, 2013-2023

2025-08-05T19:33:56+02:00

Introduction: Heart failure (HF) is a clinical condition characterized by symptoms such as shortness of breath, ankle swelling, and fatigue, caused by structural and/or functional heart abnormalities. Objective: The aim of this study is to investigate the epidemiological characterization of HF mortality in the state of Piauí between 2013 and 2023. Methods: This is an epidemiological study with data collected from Death Certificates registered in SIM/DATASUS. Descriptive data analysis was performed using absolute and relative frequencies, organized in tables. Results: During the studied period, 4,789 deaths due to HF were recorded in the state. Most of the victims were male (52.99%), mixed-race (67.94%), aged 80 and over (49.29%), illiterate (53.42%), and married (42.52%). Additionally, more than half of the deaths occurred in a hospital setting (66.74%). Conclusion: These results indicate the need for the implementation of early preventive strategies, risk factor diagnosis, strengthening access to proper treatment, and promoting healthy habits to improve quality of life and significantly reduce HF mortality in the state of Piauí.

Nursing interventions in dengue prevention and control: an integrative review of practices and results

2025-06-27T17:42:18+02:00

Introduction: Dengue is a viral disease primarily transmitted by the Aedes aegypti mosquito, representing a serious public health threat in tropical and subtropical regions. In Brazil, the climate conditions favor the proliferation of the vector, making the disease endemic. As there is still no specific cure, prevention is essential, with an emphasis on breeding site control, educational campaigns, and strengthening primary health care. Methodology: This study is an integrative literature review with a qualitative approach. The research was built upon articles indexed in the databases Scientific Electronic Library Online (SciELO), Latin American and Caribbean Health Sciences Literature (LILACS), and Google Scholar. Results and Discussion: The study was based on the analysis of 12 scientific articles published between 2014 and 2024, selected from SciELO, LILACS, and Google Scholar, focusing on nursing interventions in the prevention and control of dengue. The selection followed specific inclusion and exclusion criteria. The analysis identified 98 keywords, with the most frequent being “Dengue,” followed by “Health,” “Nursing,” and “Education,” highlighting the scientific emphasis on preventive and educational practices carried out by nursing professionals. Conclusion: Nursing interventions in the prevention and control of dengue are fundamental pillars for health promotion and for addressing this arbovirus, which remains a significant public health challenge.

Nursing and the clinical evaluation of military divers in the fire departments of three northeastern brazilian states

2025-07-06T14:31:23+02:00

Introduction: Military diving activities impose risks to physical and mental health, requiring continuous clinical monitoring. The absence of specific protocols compromises the safety of military firefighters divers, especially in the Northeast region, where preventive nursing actions are scarcely evidenced. Objective: To analyze the role of nursing in the clinical assessment of divers and how this evaluation is conducted in the Fire Departments of three states in the Northeast. Methodology: A descriptive study with a qualitative and quantitative approach. Twenty-five military divers from States A, B, and C participated. Data collection was performed through a structured questionnaire and semi-structured interviews. Quantitative data were analyzed using simple descriptive statistics; qualitative data were analyzed by thematic content analysis. States and participants were not identified. Results: Most participants had advanced technical training and less than 10 years of experience. In 87.0% of cases, there was no periodic clinical follow-up; 100% reported the absence of institutional protocols for pre- and post-dive assessments; only 4.3% regularly underwent laboratory tests. Nursing care was limited to emergencies. There was dissatisfaction with health assistance (95.7%) and lack of knowledge about specific regulations (100%). Discussion: Institutional weaknesses and the absence of nursing policies in clinical evaluation were evident, representing an occupational risk. Conclusion: The study revealed an extreme deficiency in health care for military divers, highlighted the need for effective and qualified nursing practice, and emphasized the urgency of developing clinical protocols and preventive strategies to ensure safe, humane, and effective care.

Therapeutic approaches in polycystic ovary syndrome associated with obesity: an integrative literature review

2025-06-10T03:05:44+02:00

Polycystic ovary syndrome (PCOS) is a multifactorial endocrine disorder that affects women of reproductive age, often associated with obesity and insulin resistance, which aggravates their clinical and metabolic condition. It is estimated that approximately 50% of women with PCOS are overweight or obese. This study aimed to review, through an integrative literature approach, the main current evidence on therapeutic interventions in the management of PCOS associated with obesity. The research was carried out in accordance with the PRISMA guidelines, using the PICO strategy to structure the systematic search in the PubMed, Cochrane, LILACS and CINAHL databases, including publications between 2014 and 2024. Twenty-seven studies that evaluated women diagnosed with PCOS, according to the Rotterdam criteria, and with a body mass index ≥ 25 kg/m² were selected. The main stages included weight loss, improvement of metabolic, hormonal and reproductive function parameters. The results showed that drugs such as metformin, liraglutide, exenatide, beinaglutide, orlistat and roflumilast promote benefits in body composition, insulin resistance and hormonal regulation. Non-pharmacological interventions, such as the DASH diet, low-calorie diets, supplementation with myo-inositol, carnitine, chromium, in addition to regular supervised physical exercise and motivational support, also demonstrated efficacy. It is concluded that combined strategies, involving lifestyle changes and drug therapies, are more effective in the management of PCOS with obesity, bringing clinical and metabolic improvements and in the quality of life of these patients.

Clinical and epidemiological aspects of autism spector disorder in children: a global overview

2025-05-09T23:58:57+02:00

Introduction: Autism spectrum disorder (ASD) is a neurodevelopmental disorder described by the Diagnosis and Statistical Manual of Mental Disorders (DSM-5) as a persistent deficit in communication and social interactions in different environments, involving limitations in social reciprocity, in the use of gestures and facial expressions during interactions, as well as in the ability to create, maintain and interpret interpersonal bonds. Additionally, behaviors characterized by repetitive and restricted patterns are observed, both in actions and in interests and in daily activities. The present study sought to evaluate the clinical aspects of this disorder in children, as well as its epidemiology in the global context. Methods: Narrative review of the literature in the Lilacs, PubMed, Virtual Health Library and Scielo databases, using the keywords Epidemiology, General Symptoms, Autism Spectrum Disorder, Childhood with the Boolean operator and. Twenty-two full articles published from 2000 to November 2024 were included. Twenty-six articles that were not aligned with the proposed theme were excluded after applying the inclusion and exclusion criteria. Results and Discussion: Studies indicate that the broad spectrum of ASD allows variation in the presence and intensity of some symptoms; however, clinically it presents as a deficit in social interaction and communication, associated with restrictive and repetitive behavior patterns. Regarding the epidemiological aspect, a higher prevalence was observed in males, advanced parental age, perinatal and neonatal complications, in addition to prenatal exposures such as maternal infections, obesity, gestational diabetes, use of antidepressants from the selective serotonin reuptake inhibitor (SSRI) class, antibiotics, and exposure to toxins. Ethnic, socioeconomic, and regional factors remain controversial due to the lack of standardization of the analysis method. Conclusion: It is concluded that knowledge of the clinical and epidemiological aspects of ASD is essential to optimize the clinical management of this disorder.

The invisibility of children and adolescents with disabilities in the profile desired by adopters in Pernambuco, based on data from the National Adoption and Foster Care System

2025-06-12T00:47:25+02:00

This study analyzed the invisibility of children and adolescents with disabilities within the preferred adoption profiles in the state of Pernambuco, based on empirical data extracted from the National Adoption and Foster Care System (SNA). Using a mixed-methods approach, the research revealed an alarming mismatch: while 1,086 children with disabilities were available for adoption in Brazil in 2025, only 1,885 of the 33,662 registered prospective adoptive parents declared themselves willing to adopt them. In the specific context of Pernambuco, it was observed that the effective adoption rate of this group is significantly lower, evidencing a structural pattern of exclusion. The main factors identified were ableism, the idealization of the "perfect child," and the lack of adequate support. The study concluded that inclusive adoption requires coordinated public policies to support families, permanent awareness campaigns, and technical preparation for adoptive parents and legal teams. It was also found that legal provisions aimed at inclusion often operate symbolically, without effective practical application. The research contributes to the institutional debate on equity within the adoption system, offering data and reflections that can inform public policies that are more sensitive to diversity and more committed to ensuring the right to family life.

Use of geoprocessing in the generation of the soil map of the Camaratuba river watershed – Paraíba

2025-05-11T01:47:37+02:00

consisting of natural catchment areas that channel rainwater runoff into a water body. Accurate soil characterization in these areas is essential for assessing agricultural potential and proposing sustainable land use strategies. Soil classification in Brazil was updated by Embrapa (2018), making it necessary to reclassify previously studied areas. This study aimed to reclassify the soils of the Camaratuba River watershed using the updated methodology of the Brazilian Soil Classification System (Embrapa, 2018), with the support of the open-source software QGIS version 3.26. Based on the adopted methodology, a new soil map of the watershed was generated, identifying four main soil classes: Plinthosols (Argiluvic), Quartzarenic Neosols, Thionic Gleysols, and Fluvic Neosols. Plinthosols (Argiluvic) were the most representative, occupying 61.17% of the watershed area, while Thionic Gleysols accounted for only 1.31%. The results reflect the region's geological and climatic conditions, characterized by deep, weathered soils, with limestone rocks in the western portion and sedimentary formations such as sandstones and siltstones (Francisco et al., 2023). The distribution of the drainage network and artesian wells showed a higher concentration of structures in the western sector of the watershed, which is also related to local geology. It was found that Plinthosols (Argiluvic) are predominant in the Camaratuba River watershed, followed by Quartzarenic Neosols. The use of QGIS software proved effective in generating maps and performing spatial analysis of soils, contributing to the area's environmental planning. The application of Embrapa’s updated guidelines enabled a relevant revision of the pedological classification, which is essential to support actions in management, conservation, and the rational use of the watershed’s natural resources

The nurse's role in ostomy care: an integrative review

2025-07-05T23:22:39+02:00

Nursing care for ostomized patients requires specialized practice that goes beyond technical skills, encompassing welcoming, health education, and psychosocial support. The complexity of this care highlights the need for proper professional training, as well as the adoption of evidence-based practices. This study aimed to gather and synthesize the available national literature on nursing care provided to ostomized patients. It is an integrative literature review conducted in the BVSalud database and the SciELO (Scientific Electronic Library Online), using the following descriptors: “stoma,” “nursing care,” “role of the nursing professional,” “nurses,” “patients,” “inclusive education,” “teaching,” “ostomy care,” and “ostomy,” employing the Boolean operator AND. Empirical texts, literature reviews, monographs, theses, and dissertations published between January 2020 and March 2025, available in full, in Portuguese, and published in Brazil were included. Duplicated texts, commentaries, editorials, and articles not addressing the study objective were excluded. A total of 1,416 articles were found, of which 14 were included for qualitative analysis. The analyzed studies highlight the central role of nurses in promoting self-care, rehabilitation, and improving the quality of life of patients with ostomies. Although training initiatives and care protocols exist, weaknesses persist in academic preparation and the structure of the healthcare network. Recurring barriers include insufficient technical training, lack of resources, and limited emotional support. In this context, strategies such as advanced nursing practice, the use of educational technologies, and greater family involvement have shown promise in enhancing the quality of care and supporting patients’ social reintegration. This study demonstrated that care for ostomized individuals must be comprehensive, continuous, and humanized, requiring investment in professional education and the implementation of more effective health policies. The role of nurses is essential to ensure the safety, autonomy, and quality of life of these patients.

Clinical and laboratory profile of kidney recipients regarding biomarkers of mineral and bone disorders

2025-07-03T03:03:58+02:00

Kidney transplantation is the ideal therapy for advanced kidney disease, aiming to restore homeostasis of affected systems, such as renal function and bone metabolism. However, after undergoing hyperplasia, the parathyroid glands may undergo reabsorption of calcium from the bones and hypophosphatemia, even after transplantation, requiring continuous monitoring. This is a quantitative and cross-sectional study, carried out from the medical records of kidney transplant patients undergoing outpatient follow-up at a university hospital in Recife-PE, aimed to evaluate the clinical and laboratory conditions of these patients. Data collection included sociodemographic, clinical and laboratory information. Data were analyzed using SPSS version 30.1 software, and data normality was verified by the Shapiro-Wilk test. The study involved 177 medical records, with ages ranging from 21 to 76 years. Most patients were brown (79.1%). Only (8.5%) of the patients had completed higher education. Hypertension was the most common comorbidity (70.6%), and the glomerular filtration rate indicated that most patients were in stage 2 of chronic kidney disease (33%). The diagnosis of hyperparathyroidism was found in few patients (9%). In addition, there was a predominance of patients who were not followed up by the Mineral and Bone Disorders outpatient clinic (91%). It is possible to conclude that the profile of the patients in the study is predominantly male, of mixed race, with a mean age of 50 years and low education. Most received transplant after hemodialysis, with hypertension being the most common comorbidity. Hemodialysis was the most reported renal therapy as a form of treatment and laboratory tests indicated high levels of phosphorus, creatinine and parathyroid hormone.

Technologies for care transition at hospital discharge of adult patients: protocol for a scoping review

2025-05-07T14:54:55+02:00

The transition of care at the time of hospital discharge represents a critical phase for ensuring continuity of care and patient safety in adult populations. In this context, health technologies have emerged as promising tools to support this process, offering assistance from discharge planning through to post-discharge monitoring. However, the potential benefits and limitations of these technologies remain insufficiently synthesized in the scientific literature. This study presents the protocol for a scoping review aimed at mapping the available evidence on technologies used to support the transition of care for adult patients at hospital discharge. The review will be conducted in accordance with the Joanna Briggs Institute methodological framework and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR). The review is guided by the following question: What are the strengths and limitations of the technologies employed in the transition of care for adult patients at the time of hospital discharge? Searches will be carried out across seven electronic databases using controlled health-related vocabulary, in addition to gray literature retrieved from four complementary sources. Three independent reviewers will perform the screening and analysis of the studies, with a fourth reviewer available to resolve any disagreements. Primary studies employing various methodological approaches will be included, as well as gray literature such as manuals, dissertations, theses, books, and protocols, published in English or Spanish. Findings will be presented narratively, in tables, and through visual diagrams, following the PRISMA-ScR reporting guidelines.

Auriculotherapy in primary care: a chronological analysis in brazilian regions

2025-07-22T14:58:19+02:00

The Integrative and Complementary Practices in Health (PICS) are therapeutic approaches aimed at promoting, preventing, and recovering people's health. They have been part of the Brazilian Unified Health System (SUS) since 2006, with the establishment of the National Policy on Integrative and Complementary Health Practices (PNPIC), which highlights the importance of public participation in health, especially within Primary Health Care (PHC). Since then, PICS have gained supporters and prominence within the SUS context and in the approaches made available by municipalities. Among the practices implemented in the public health service, auriculotherapy stands out. It is a technique of traditional Chinese medicine used to treat physical and emotional pain through stimulation of the ear. This approach is considered easily accessible and low-cost, which facilitates its application during PHC consultations.
Objective: This study aims to present a chronological analysis of the growth of auriculotherapy in the Brazilian regions, considering the increasing availability of PICS within SUS.
Method: Data were collected from the Department of Informatics of the Brazilian Unified Health System (DATASUS) regarding auriculotherapy procedures performed in PHC across the five Brazilian regions between 2020 and 2024.
Results: Data analysis confirmed a higher number of procedures performed during the study period in all Brazilian regions.
Conclusions: Considering that, in recent years, SUS has provided training in auriculotherapy for PHC professionals, a linear increase in the availability of this PICS has been observed, directly contributing to health promotion. Furthermore, the importance of these tools is evident in improving healthcare delivery and allowing a clearer understanding of the different needs across Brazilian regions, thereby promoting equity by providing more training in areas that still face challenges in offering integrative/complementary treatments.

Keywords: PICS; Auriculotherapy; Primary Health Care; SUS; DATASUS

The experience of a woman’s partner with breast cancer

2025-07-21T20:01:38+02:00

Introduction: Considering the great social and emotional impact that the diagnosis and treatment of breast cancer has on the lives of women and their partners, it is necessary to analyze how partners feel when faced with their wife's diagnosis of breast cancer. Objective: to understand the experience of the partner of a woman with breast cancer, in the period that covers diagnosis, treatment and rehabilitation. Method: 15 companions of women diagnosed with breast cancer, users of the reference hospital in João Pessoa-PB, were interviewed and the content analysis proposed by Bardin was used as a methodological reference. Results: three categories were identified: Feelings experienced upon receiving the diagnosis of the disease; Social support received in the natural process of the disease; Changes in the marital relationship. The companions reported that they feared losing their companions when they witnessed their suffering in the face of the diagnosis, but they hid their feelings as a way of strengthening both of them. Conclusion: marital support for coping with the disease served as a foundation in the complex process involving the disease.

The Role of Nurses in the Care of NCDs in Primary Health Care

2025-07-05T01:21:44+02:00

This study addressed the essential role of nurses in caring for Non-Communicable Chronic Diseases (NCDs) in Primary Health Care (PHC), highlighting their functions in continuous monitoring, health education, and emotional support for patients. Nurses play a crucial role in health promotion and in the management of NCDs, in addition to implementing strategies for preventing complications and improving the quality of life for patients. Health education, focused on behavior change and treatment adherence, is one of the primary interventions used by nurses to improve self-management and reduce complications. However, several challenges were identified, such as workload overload, lack of resources, and the need for continuous training. Interprofessional integration was identified as an essential factor for improving care and ensuring the effectiveness in managing NCDs. It is concluded that strengthening the nurse’s role in PHC, through continuous training and improving working conditions, is essential to ensure effective care and promote the quality of life of patients with NCDs.

Causes of breast milk loss in human milk collection centers

2025-07-21T20:39:12+02:00

Introduction: Breastfeeding is essential for child development and provides significant benefits for both mothers and infants. The donation of human milk is vital for the nutrition of vulnerable newborns; however, losses resulting from nonconformities compromise its effectiveness. Issues such as dirtiness, acidity, and contamination negatively affect the quality of donated milk. Objective: To identify the causes of losses and nonconformities in human milk at Human Milk Collection Centers (PCLH). Method: This was an ecological study with a quantitative approach, based on the analysis of nonconformity report data from 2023 to 2024 at the Human Milk Collection Center of Lauro Wanderley University Hospital (CAAE 84805624.0.0000.5183). A structured instrument was used to record variables such as volume donated, dirtiness, acidity, contamination, viable and non-viable milk. Results: The sample included 911 donors, classified as exclusive or general. Exclusive donors provided milk for their own hospitalized newborns, while general donors donated to any newborn in need. The majority of donations (72.75%) came from general donors, totaling 554,798 liters, while exclusive donors contributed 207,811 liters (27.25%). Of the total volume of 762,609 liters, only 259,936 liters (34.09%) met quality standards, while 502,673 liters (65.91%) showed nonconformities—mainly due to dirtiness (55.38%) and acidity (10.53%). Conclusion: Human Milk Banks and Collection Centers play a crucial role in neonatal health by ensuring the supply of breast milk to at-risk infants. The study revealed significant milk losses, particularly due to dirtiness and acidity. Investing in the training of professionals, good milking practices, hygiene, storage, and the use of monitoring technologies is essential. Raising awareness among donors and strengthening public policies can reduce losses, optimize the use of collected milk, and promote the well-being of the newborns who benefit from it.

Pain beyond the physical: the need for a holistic approach in managing total pain syndrome in oncology

2025-07-02T03:55:12+02:00

Total pain syndrome, which encompasses physical, emotional, social, and spiritual dimensions, is often underdiagnosed, negatively impacting patients' quality of life. The lack of preparedness among healthcare professionals to address this complexity exacerbates patient suffering, especially in palliative care settings. This article aims to report the experience of a nursing technician in caring for oncology patients with total pain syndrome, highlighting gaps in care and proposing strategies for a more humanized and comprehensive approach. This is an experience report based on the first author’s practice over 10 years in a hospital unit, focusing on the care of adult oncology patients. A lack of training among the multidisciplinary team to diagnose and manage total pain syndrome was identified, leading to fragmented care focused solely on relieving physical pain. Work overload and the absence of specific protocols hinder a holistic assessment of pain. As solutions, the article proposes professional training, multidisciplinary integration, the inclusion of spiritual support, and increased awareness among healthcare managers about the need for more humanized care. Total pain syndrome demands a holistic and interdisciplinary approach, emphasizing professional development and the implementation of protocols that address all dimensions of pain. Changes in care practices, such as active listening and multidimensional assessment, are essential to improve patients' quality of life and to promote more dignified and effective care.

Microbiological, toxicological and phytochemical analysis of the plant species Bromelia laciniosa Mart. (Macambira)

2025-07-16T05:32:41+02:00

Bromelia laciniosa (Macambira), a member of the Bromeliaceae family, is a terrestrial species native to the semi-arid regions of northeastern Brazil, with numerous significant applications. This study evaluated the dried crude extract of B. laciniosa for its phytochemical composition, antimicrobial activity, and toxicity. The toxicological test was performed using the Artemia salina lethality assay, which indicated low toxicity (LC₅₀ > 1000 µg/mL). The antimicrobial activity, tested via agar dilution against standard bacterial strains, revealed inhibition zones for Enterococcus faecalis, Escherichia coli, and Staphylococcus aureus. However, in the antiparasitic test involving direct exposure to the extract, no significant effect was observed. Phytochemical screening identified tannins (via ferric chloride reaction), flavonoids (through aluminum chloride reaction), and phytosterols (Liebermann-Burchard test). The results suggest that B. laciniosa extract exhibits antimicrobial activity against specific strains, low toxicity, and the presence of promising bioactive compounds, indicating the plant's potential as a therapeutic source.

“Remember Me”, a memorial to COVID-19 victims on social media: experience report

2025-06-25T14:36:36+02:00

Objective: To share the experience of the university extension project on social media, conceived as a tribute to the victims of COVID-19. Methodology: This is a descriptive experience report on a program of curricular extension activities (PACE), called "Remember Me: Virtual Memorial to the Victims of COVID-19 in the Amazon", which was implemented during emergency distance learning from August to December 2020. Results: The use of Facebook and Instagram social media accounts to pay virtual tributes to the victims of COVID-19 allowed for reflection on death and mourning, as well as remembrance practices based on aspects of Mexican culture. The posts were made on All Souls' Day and were well received, with positive comments from participants. Conclusion: PACE had a significant social impact, enabling relatives and friends to pay their respects virtually through social media, demonstrating resilience and resilience during the pandemic, providing comfort and helping in the grieving process of these individuals, as well as showing that social media was an indispensable tool for centralizing the dissemination of information.

Keywords: social media, virtual memorial, communication, COVID-19.

Trichomonas vaginalis and HIV: a narrative review

2025-06-16T23:06:57+02:00

Introduction: Trichomonas vaginalis is a protozoan parasite responsible for trichomoniasis, a common asymptomatic sexually transmitted infection (STI), which is associated with complications such as vaginal inflammation and an increased susceptibility to HIV infection. Tissue damage and the local immune response may facilitate viral entry. This study aims to examine the association between trichomoniasis and HIV, as well as its implications for public health. Methodology: A narrative literature review was conducted through searches in the MEDLINE and LILACS databases. The selection criteria included open-access articles published within the past five years, using the DECS descriptors “Trichomonas vaginalis,” “HIV,” and “Women.” Results: The literature indicates that co-infection with Trichomonas vaginalis and HIV enhances viral transmission and disease progression due to factors such as genital inflammation, mucosal disruption, and alterations in the genital microbiota. Additionally, asymptomatic male carriers serve as vectors, while adolescents and pregnant women constitute particularly vulnerable populations. Mechanisms including elevated viral load and the modulatory role of galectins further intensify the risk. Consequently, early detection and treatment are essential to reduce complications and transmission rates. Conclusion: Infection with Trichomonas vaginalis significantly increases the risk of acquiring and transmitting HIV. Therefore, its management should be incorporated into comprehensive STI control strategies, including prevention, early diagnosis, and treatment, with a particular emphasis on at-risk populations.

Lactose in the pharmaceutical industry: properties and applications

2025-07-07T20:50:17+02:00

Lactose, a disaccharide composed of galactose and glucose, is the primary carbohydrate found in mammalian milk and is biosynthesized by the enzyme lactose synthase. Its physicochemical properties, including mutarotation, are influenced by factors such as temperature, pH, and solvent type, making it a compound of significant interest across various applications. In industry, lactose plays a crucial role in both food and pharmacology. It is extensively utilized as a pharmaceutical excipient, particularly in tablets and inhalation powders, owing to its ability to enhance drug stability, solubility, and flow characteristics. The commercial production of lactose involves whey crystallization, yielding either α-lactose monohydrate or anhydrous β-lactose, each possessing distinct properties suitable for different contexts. Furthermore, the reactivity of lactose's hydroxyl groups facilitates the synthesis of derivatives with therapeutic and prebiotic applications, such as lactulose and β-galactooligosaccharides (GOS), which have demonstrated benefits for intestinal health. While the safety of lactose consumption is well-documented, lactose intolerance, stemming from lactase enzyme deficiency, remains a substantial concern for a segment of the population. The stability of lactose monohydrates is critical for ensuring the integrity of pharmaceutical products; however, its reducing potential may necessitate considering alternative excipients in specific formulations or in cases of galactosemia. The global pharmaceutical lactose market is currently experiencing significant expansion, propelled by the growth of the broader pharmaceutical industry and continuous technological advancements, thereby solidifying lactose's position as an indispensable excipient in innumerous applications.

Applications of 3d printing in industrial design: advances, materials, and sustainability

2025-07-04T14:53:28+02:00

3D printing, or additive manufacturing, has established itself as a transformative technology in industrial design, offering new possibilities in prototyping, mass customization, and sustainable development. This study presents a narrative literature review that analyzes the main technological advances, the materials employed, and the environmental implications of 3D printing within the context of industrial design. A total of 38 scientific articles published between 2015 and 2024 were selected from the Scopus, ScienceDirect, and Google Scholar databases. The findings indicate that this technology has driven innovation in design and production processes, particularly through the use of advanced software, generative algorithms, and integration with emerging digital technologies. The diversity of materials, including polymers, metals, ceramics, and composites, expands the range of applications, although technical, regulatory, and economic challenges still limit its large-scale adoption. From an environmental perspective, 3D printing stands out for reducing waste and enabling practices aligned with the circular economy. However, further development of regulatory frameworks and robust life cycle assessments is needed. It is concluded that 3D printing represents a paradigm shift in industrial design, with significant potential for sustainable innovation and future advances toward more efficient and integrated models.

Health Education in Type 2 Diabetes Management: An Experience Report in Primary Health Care

2025-07-07T23:27:02+02:00

Type 2 Diabetes Mellitus (T2DM) is one of the main health challenges faced by professionals in Primary Health Care. Food and nutrition education emerges as a key strategy for T2DM patient care due to its potential to promote self-management, debunk dietary myths, and encourage accessible healthy choices considering regional food culture and economic constraints.This study aims to report the experience of an educational intervention on diabetes, addressing its health impacts. It is an experience report conducted at the Lúcio Flávio Primary Health Care Unit in the Betânia neighborhood of Manaus, focusing on mindful eating for individuals with T2DM. The intervention was designed using participatory methodologies, emphasizing community knowledge, social bonds, and self-care autonomy. Interactive tools such as the "Conscious Plate Challenge" and discussion groups on food labeling addressed topics like macronutrient balance, ultra-processed food consumption, and critical analysis of food packaging. The initiative achieved its short-term goals by fostering knowledge, critical reflection, and shared responsibility among participants regarding their dietary choices. Results demonstrate that health education, when grounded in dialogue, active listening, and respect for local food culture, has transformative potential in holistic care for chronic conditions. This reaffirms the strategic role of Primary Health Care as a space for empowerment and social justice.

Teaching in times of artificial intelligence: adaptation or professional reinvention?

2025-07-07T23:57:38+02:00

This article aims to critically reflect on the impacts of Artificial Intelligence (AI) on teaching practices, analyzing whether the integration of such technologies in the educational context requires mere adaptation or a true reinvention of the teacher's role. Using a bibliographic review methodology, the study selected publications from 2020 to 2025, including articles authored by the researcher, which discuss the use of AI in the teaching-learning process from different perspectives. The analysis revealed that although AI-based tools can optimize planning, assessment, and personalized learning, their effectiveness depends directly on the teacher's critical and intentional mediation. Furthermore, it is emphasized that the adoption of these technologies must consider social inequalities and ensure equitable access and teacher training. The study concludes that the presence of AI in education does not replace teachers but demands a reconfiguration of their practice, guided by ethical, pedagogical, and humanizing principles. Thus, teaching in times of artificial intelligence requires a conscious movement of professional reinvention, aiming for more meaningful, inclusive, and student-centered education.

Justice in favor of nature: the Xingu River as a subject of rights in the case of the construction of the Belo Monte hydroelectric pla

2025-07-09T23:43:16+02:00

Taking into account an anthropocentric context of rivers and waters, they are not matters of law, given this scenario, nature constantly suffers human actions, most of the time they are devastating. This work addressed the issue of the history of the construction of the Belo Monte plant, which was built along the bed of the Xingu River, being a project marked by struggles, resistance and in controversies, both in the environmental sphere and in the violation of the rights of indigenous peoples. Ask yourself: will there be an anxious change in parameters regarding the rights of nature, which include rivers, their basins, their tributaries and their waters so that they are, in fact, protected? This research aimed to study the concept of rights of nature, its historical evolution and its contemporary relevance in the context of the global environmental crisis. The methodology used was bibliographical research, which consists of reviewing the literature related to the topic addressed. To this end, books, periodicals, articles, websites, complaints, lawsuits, among other sources were used. Therefore, it is concluded, based on the research, that rivers, in scientific decisions, are matters of law, through a legal representative, due to their civil legal incapacity and, in this context, there is the possibility of them being considered, as proven by this work, subjects of Law. The rights of nature have emerged as an interdisciplinary field of study that seeks confidentiality and protection of protective rights to ecosystems and natural elements.

Being a teacher and the Education of Young People and Adults

2025-07-22T20:46:35+02:00

This article presents a study covering the theme of youth and adult education mode and assumptions of teacher training, in order to clarify and provide educators and stakeholders an insight into the front significant observations theme in the educational sector. Delineated by a qualitative approach, aims to characterize the formation of teachers active in mode and their professional training needs for expertise in adult and youth education for quality of teaching and learning and students ' incentive. It is worth mentioning that the adult and youth education refers to our ability to access to the right to education prescribed by law, to those kids and adults who, for some reason, did not have access to schooling or could not complete it. And, to which access is effected so exorbitant, the professionals involved and responsible for this range of teaching, need to get the expansion of knowledge through continuing training programmes in order to achieve, together with the offer of a significant learning, adding values to the methods used in teaching content components of the curriculum, respecting the peculiarities and limitations of each student.

Benefits of paternal participation for newborn in the intensive care unit: an integrative review

2025-07-17T19:12:44+02:00

Introduction: Prematurity is any birth occurring before 37 completed weeks of gestation, and can be classified, according gestation age, into extreme prematurity (from 22 to less than 28 weeks), severe prematurity (from 28 to less than 32 weeks) and moderate or late (from 32 to less than 37 weeks). Differents facts influence, such as: genetic, sociodemographic, environmental and especially those reletad to pregnancy. The active presence of the father in the neonatal care has been emphasized by ministerial standards, being seen as eesential for the development of the father, mother, baby triad, providing emotional and psychological benefits for the family. The kangaroo method is a proposal for humanized care for low birth weight newborns, promoted by brazilian the Ministry of Health, Its aims to integrate the family, into neonatal care, especially in cases of prematurity, and is developed in three stages, in the first stage, the presence of the fathers in the neonatal intensive care unit is encouraged, in the second stage, their participation is intensified, highlighting the importance of partenal involvement. Objective : The final objective of this work will be to review the literature to identify the benefits of paternal participation in the stages of the kangaroo method. Methodology : An integrative review of current scientific literature was carried out, which consists of searching for data based on keyword research and analysis of relevant studies that meet the eligibility criteria, based on the last 10 years (2014 to 2024). The search was carried out in the VHL database (LILACS, BDENF, MEDLINE and academic GOOGLE).

Consumer Protection Legal Guarantees in Online Purchase and Sale Contracts in Brazil

2025-08-01T13:38:11+02:00

This article analyzes the specificities of consumer electronic contracts within the Brazilian legal context, highlighting their formation, characteristics, and distinctions in relation to traditional physical contracts, while also addressing their similarities. The research adopts a qualitative, exploratory, and documentary approach, based on the analysis of current legislation, specialized legal doctrine, and relevant case law. It examines the mechanisms for verifying the legitimacy and identity of the contracting parties, as well as the types of evidence admissible in this contractual modality. Furthermore, it discusses the criteria for determining the competent jurisdiction to resolve disputes and the legal guarantees provided by Brazilian legislation applicable to online consumer relations. The study concludes that, although electronic contracts present particularities inherent to the virtual environment, Brazilian law provides effective instruments to ensure consumer protection and the legal security of such transactions.

The role of strategic consulting in the digital transformation of organizations

2025-07-22T20:37:00+02:00

Digital transformation has become a strategic imperative for organizations across various sectors, requiring deep changes in management models, operational processes, and organizational culture. In this context, strategic consulting emerges as a facilitator of change, contributing to the definition of digital guidelines, the alignment between technology and strategy, and the development of organizational capabilities. This article aims to analyze, through a narrative literature review, the role played by strategic consulting in the digital transformation of organizations. National and international publications from 2010 to 2025 were examined, based on relevant authors from the fields of management, innovation, and emerging technologies. The findings indicate that consulting practices range from digital maturity assessment to the implementation of technological solutions, increasingly mediated by digital platforms, artificial intelligence, and automation. Significant barriers were also identified, including resistance to change, strategic misalignment, and weak digital governance. It is concluded that strategic consulting, when integrated into institutional reality, plays a decisive role in building sustainable and adaptive digital trajectories.

Vulnerability and Cyber Risk Analysis in Public Wi-Fi Networks: A Case Study in the Food Court of Paseo Shopping Riobamba

2025-08-13T21:58:05+02:00

Public Wi-Fi networks in high-traffic commercial spaces present significant cybersecurity risks, often exacerbated by users' low security awareness. The objective of this case study was to analyze and assess the technical vulnerabilities and cybersecurity risks in the food court of the Paseo Shopping mall in Riobamba, Ecuador. A mixed-methods approach was employed, combining a technical analysis of 15 detected Wi-Fi networks with surveys administered to a sample of 30 users and non-participant observation to evaluate knowledge, behavior, and risk perception. The results reveal a high-risk environment: 66.7% of the analyzed networks operate with null or obsolete security protocols. Concurrently, 73.3% of users possess low or no knowledge of common threats, and 60% admit to connecting to networks without verifying their security. Notably, 50% of respondents feel secure, showing a dangerous dissonance with the actual risk reality. A statistically significant negative correlation (ρ = -0.58, p < 0.05) was found between the level of knowledge and the frequency of risky behaviors. It is concluded that the convergence of a vulnerable infrastructure and an underprepared human factor creates a 'perfect storm' that significantly elevates the risk of incidents. Cybersecurity education emerges as the most critical intervention to foster responsible digital citizenship.

Benefits of physical activity in the face of longevity: a scoping review

2025-07-23T15:22:28+02:00

This study investigates the main benefits of physical activity for the health and well-being of the elderly, considering scientific evidence produced between 2006 and 2024. The general objective is to prove the importance of strength training for the health, well-being, and quality of life of the elderly. Specifically, it seeks to identify the main benefits of weight training for physical health, evaluate its influence on mental health, and determine its impact on the prevention of chronic diseases and functional autonomy. Methodologically, a qualitative bibliographic review is developed, analyzing articles published in the Scientific Electronic Library Online (SCIELO) database within the delimited period. Inclusion criteria cover works that address the topic comprehensively, as well as health manuals and protocols related to the research descriptors. Exclusion criteria eliminate references that do not cover the topic in its entirety. The results demonstrate that weight training promotes significant transformations in the physical health of the elderly, providing superior levels of muscle strength and functional capacity when compared to other exercise modalities. It is evidenced that resistance exercises have significant neuroprotective effects, contributing to the preservation of cognitive function and improvement of psychological well-being. Regular practice demonstrates proven effectiveness in preventing chronic diseases, controlling blood pressure, improving functional balance, and reducing the risk of falls. It is concluded that weight training constitutes a highly effective multidimensional intervention for healthy aging, recommending the implementation of specific programs supervised by qualified professionals.

Teaching statistics in the early years of elementary school

2025-07-23T15:44:38+02:00

Statistics for the initial years from 1st to 5th grade of elementary school is useful for children to have this contact from the beginning so that it is not something so distant from their educational reality where they have this support, for which purpose they like statistics and see it present in their teaching, statistics benefits in obtaining data, analyzing and interpreting it, helping in their daily lives, this teaching helps in their formation throughout the course of these initial educations so that children understand statistics in their school life. Finally, teachers can offer elements of their daily lives for them to analyze the data and obtain results.

Importance of Mathematical Games in Early Elementary Education

2025-07-28T12:31:42+02:00

The article emphasizes the need to assign educators the role of encouraging students to learn through mathematical games, making this playful approach a natural part of teaching in school environments. The goal is to engage students in the learning process, providing them with meaningful learning experiences and significantly improving their academic performance. When teachers incorporate these resources into the classroom, it helps students overcome difficulties and achieve better results in both learning and in understanding the content developed by the educator. As a result, the content studied is more likely to be retained, since games are designed to promote meaningful learning. It becomes clear that teachers should present their content in a fun and light-hearted way so that student engagement develops progressively. Mathematical games—and mathematics itself—require this approach to truly involve students with the subject matter and prevent learning from becoming monotonous.

Trends in access to medications for Myasthenia Gravis in Brazil, 2011 to 2023

2025-07-29T13:18:13+02:00

Objective: To identify access to medications for Myasthenia Gravis, a rare disease, in the Unified Health System. Methods: This is an ecological study, with a time series from 2011 to 2023, based on an analysis of the records of Authorizations for Outpatient Procedures in the Outpatient Information System, DATASUS. Demographic data and the type of medication authorized were analyzed, and the population-based access coefficient was calculated. Results: Given the total of 10,582 patients undergoing drug treatment, access showed an upward trend over the period [R²= 98.4%; Durbin-Watson = 0.459, p < 0.01]. On average, the coefficient was 0.41 patients per 100,000 inhabitants. There was a predominance of females and patients aged 50 or over (p < 0.05). Azathioprine (29.3%) and pyridostigmine (27.4%) as monotherapy and in combination therapy (22.6%) were more frequent. Conclusion: For the period studied, it was possible to identify an increase in the number of new cases of the disease, accompanied by an increase in procedure authorizations for access to specific drugs. There are limitations in terms of underestimating cases. Above all, the use of secondary records proved to be strategic in describing access to medicines for rare and degenerative diseases in the Unified Health System.

Advanced Practices in Maternal and Child Health

2025-07-30T20:33:09+02:00

This article presents a theoretical-critical reflection on advanced nursing practices in maternal and child health, with an emphasis on the role of obstetric nurses in the context of the Unified Health System (SUS). The analysis was structured around three thematic axes: the structural challenges of obstetric care in Brazil, the potential of advanced practice as a promoter of humanized care, and the political and institutional barriers to its implementation. It was shown that advanced practice represents a concrete alternative to reorganize the obstetric care model by expanding the role of nursing, favoring women's autonomy, and improving perinatal outcomes. However, its consolidation still faces regulatory obstacles, interprofessional disputes, and institutional weaknesses. Thus, the full adoption of advanced practice requires paradigmatic changes, investment in specialized training, and political recognition of the transformative role of obstetric nursing in strengthening the SUS.

The Use of geotechnologies in Biology Education: Challenges and Opportunities

2025-07-30T21:18:32+02:00

This article aimed to discuss the application of geotechnologies to Biology content, highlighting objectives, interactions with geotechnologies, the classroom approach and the tools and instruments to be adopted. It also proposed the use of geotechnologies in the context of other subjects such as Philosophy, Chemistry, Physics, Mathematics, History and Geography. The research was conducted in a qualitative, exploratory and descriptive, involving literature review, document analysis, and the elaboration of a synthesis table. The contents of Ecology, Biological Evolution, Genetics and Epidemiology were listed, which the Biology teacher can explore together with the Geography teacher. In addition, ways were presented of how geotechnologies interact with the content, the teaching approach in the classroom and the tools and instruments needed. Content from other subjects such as Philosophy, Chemistry, Physics, Mathematics, History and Geography were also listed. Geotechnologies represent a significant advance for teaching, offering a range of opportunities for developing students' skills, provided that the challenges, such as the lack of adequate infrastructure, the need for continuing teacher training and the guarantee of digital inclusion for all students, are met. Although this work does not exhaust the interdisciplinary possibilities of geotechnologies, it seeks to serve as a guide for teachers in various areas.

Games and learning: the role of gamification in constructing mathematical knowledge

2025-07-31T14:16:46+02:00

Teaching mathematics is complex and challenging, as is learning the concepts. Because it is a subject with a large amount of content to be taught during the week, students often feel unmotivated to learn. The block that many people have, not just children, comes from the way in which the main concepts were taught during the early years of elementary school. This is the basis for the development of learning in the years to come. This article deals with the use of Gamification, an active methodology that, when used as a resource for teaching mathematics, brings a series of benefits to students and teachers. According to data from QEdu.com, the SAEB 2023 results for 5th grade classes in Maranhão were that only 2% of students have the level of learning considered sufficient for the stage (Proficient or Advanced level in Saeb). Aiming for better results in the year 2025, as well as meaningful learning for children, the municipal school system in Bacabal, Maranhão, has developed a series of mock exams to check learning of the content that will be included in the exam. Based on the results, the teachers at the U.E.F. started to use Gamification in the math content, held every 15 days, with problem situations based on the content that was taught during that period. The National Common Core Curriculum (2018, p.529) emphasizes that, “for the development of skills that involve reasoning, it is necessary that students can, in interaction with their peers and teachers, investigate, explain and justify the solutions presented to problems, with an emphasis on the processes of mathematical argumentation.” Thus advocating the use of digital technologies in learning and the development of skills such as creativity, critical thinking and problem solving.

The Brokerage Commission in Real Estate Development: A Legal Analysis in Light of the Principle of Good Faith

2025-08-01T13:30:15+02:00

This article analyzes the charging of brokerage fees within the scope of real estate development, questioning its compliance with the principle of good faith. The practice, frequently adopted by developers, involves passing the brokerage cost on to the buyer, often without due transparency, raising concerns about its legality and consumer protection. Through qualitative research, based on literature review and documentary analysis, the legal, doctrinal, and principled foundations underlying the issue were examined. The findings indicate that, although the transfer of this expense is allowed under certain circumstances, the absence of clear and prior information constitutes a breach of the duty of good faith, characterizing an abusive practice. It is concluded that adherence to the principle of objective good faith is essential to ensure contractual balance and security in consumer relations in the real estate market

Subjectivity and identity in old age – aging and LGBTQIA+ identities

2025-08-05T21:26:29+02:00

This article investigates the construction of identity and strategies of resistance among LGBTQIA+ older adults facing processes of social, affective, and political invisibility that shape their experiences in old age. Based on a qualitative and phenomenological approach, through narrative interviews, the study aims to understand how these individuals affirm or silence their identities in contexts marked by homophobia, transphobia, and ageism. The theoretical framework draws on Social Representations Theory and Intersectionality Studies, allowing for an analysis of the subjective effects of exclusion and the modes of personal and collective reinvention developed by this population. The findings reveal that, despite institutional marginalization and historical neglect, many LGBTQIA+ elders build networks of belonging and resilience that challenge normative discourses on aging and sexuality. This research contributes to expanding the field of psycho-gerontology by incorporating new narratives about aging and reaffirming the right to visibility, care, and dignity in dissident old age.

The kitchen as a sacred space in the Òrìṣà worship: introductory notes

2025-08-08T15:14:00+02:00

This article presents a reflection on the role of the kitchen in the Òrìṣá tradition as a sacred territory, where food not only nourishes the body but also serves as a vehicle of communication between the material (ayé) and spiritual (òrùn) worlds. Through a qualitative and exploratory approach, the research adopts the method of participant observation (Mónico et al., 2018) and incorporates an autoethnographic perspective (Balbina and Medeiros, 2021), as the authors are initiated practitioners who document ancestral knowledge from within. The theoretical framework draws on authors such as Juana Elbein dos Santos (2012), Pierre Verger (2023), Jacob Olupona (2011), Roger Bastide (1961), and Claude Lévi-Strauss (1976), highlighting the ritual, symbolic, and communal functions of food in traditional African religions. Key elements discussed include the role of the Ìyábase, sacred commensality, food taboos (Èèwọ̀), and the narratives in itan and odù Ifá that relate food to mythical stories and Òrìṣà preferences. The paper demonstrates how the preparation, consecration, and sharing of food reenact ancestral pacts within a cyclical understanding of time, reinforcing ties between individuals, the community, and deities. It concludes by framing food offerings as a form of radical hospitality that welcomes the sacred into everyday life and sustains ethical and spiritual equilibrium.

Role of the community health agent in monitoring individuals with arterial hypertension: a scoping review

2025-08-11T14:09:32+02:00

The Community Health Agent (CHA) performs an important role in the Family Health Strategy (FHS) and actively participates in health promotion and prevention of cardiovascular diseases (CVD), especially Systemic Arterial Hypertension (SAH). Thus, a scoping review was carried out in January and February 2024, whose objective was to map scientific evidence on the performance of the CHA inserted in the FHS for the follow-up of people with SAH. This is a Scoping Review (ScR), according to the steps proposed by the Joanna Briggs Institute Reviewer's Manual. The protocol of this study was published in the Open Science Framework: DOI 10.17605/OSF. E/TFQNZ. The evidence was interpreted and related according to the Action Axes of the Cardiovascular Health Strategy in Primary Health Care. In the context of cardiovascular health, health education emerges as a crucial aspect, due to its importance in modifying lifestyle for the control and prevention of SAH. In the care axis, it includes the measurement of blood pressure at home by the CHA, a standardized practice, but associated with work overload and professional mischaracterization. Guidance on behavioral changes, effective communication, and counseling on healthy lifestyle, both for hypertensive and normotensive patients, in addition to home visits and active search for SAH patients for regular consultations were evidenced. The role of CHWs in the promotion and prevention of cardiovascular diseases is also highlighted, including the promotion of physical activity during home visits, with an impact on lifestyle changes in adults with risk factors. The importance of the participation of CHWs in blood pressure control and cardiovascular health promotion is recognized, emphasizing the need for continuous training and precise definition of their attributions within the Family Health team

Degradación Sistémica por Minería Aurífera Ilegal en la Amazonía de Ecuador: Un Análisis Integral de sus Consecuencias y Estrategias de Mitigación

2025-08-12T14:47:03+02:00

La extracción ilegal de aurífera en la Amazonía ecuatoriana ha precipitado una crisis socio-ecológica de carácter sistémico, intensificando la degradación ambiental, la fragmentación de los ecosistemas y la vulnerabilidad social. Este estudio examina meticulosamente las implicaciones multidimensionales (ambientales, sanitarias y socioterritoriales) de la contaminación fluvial, junto con las estrategias de mitigación y regulación existentes. Mediante una revisión bibliográfica, se evidenció una alarmante expansión geográfica de la minería ilegal en regiones delicadas como Zamora Chinchipe y Napo, con un incremento del 300% entre los años 2015 y 2021. La problemática de la contaminación hídrica es preocupante: se liberan anualmente 29,6 toneladas de mercurio, se emplea cianuro y se incrementa la carga sedimentaria, factores que modifican la hidromorfología fluvial. Las consecuencias biológicas son alarmantes, comprendiendo desde la bioacumulación de mercurio en organismos acuáticos hasta la amenaza a la seguridad alimentaria y a la salud humana, con un riesgo para la salud infantil que se duplica en escenarios de vivienda. Desde un punto de vista social, la minería ilegal se asocia con conflictos territoriales, la existencia de agrupaciones armadas y la falta de gobernanza. La implementación deficiente del marco jurídico actual, la vulnerabilidad institucional y la exclusión de las comunidades indígenas intensifican la problemática existente. Se concluye que una solución efectiva debería ser holística, integrando estrategias tecnológicas para una minería sin mercurio y biorremediación, con el robustecimiento de la gobernanza, la formalización de la minería artesanal y la promoción de alternativas económicas sostenibles como el turismo comunitario. La salvaguarda de la Amazonía ecuatoriana es fundamental para la preservación global, la protección de los derechos humanos y la estabilidad regional.

Assistive technologies for the retention of visually impaired students in higher education: results of the state of knowledge

2025-08-14T15:40:13+02:00

The objective of this article is to present the results of the state-of-the-art knowledge survey of the master's degree research project "Assistive technologies for the retention of students with visual impairments during the pandemic: experience reports of university students" (AMORIM, 2021). This review sought to analyze the academic production regarding the use of assistive technologies in teaching and learning for students with visual impairments. The corpus of analysis defined for this study consisted of 33 papers, including 29 dissertations and four theses, researched in the Brazilian Digital Library of Theses and Dissertations (BDTD). Based on Bardin's (2016) principles of Content Analysis, the papers were categorized as Analog Technology, Digital Technology, Analog and Digital Technology. The results revealed the need to expand discussions on this topic in the context of higher education, since of the total analyzed, only three papers focused on this topic. Significant contributions were also identified in the use of assistive technologies to improve learning and enhance the retention of students with visual impairments in an increasingly equitable, welcoming, and inclusive academic trajectory.

Inclusive Education: Teaching Mathematics to Students with Autism Spectrum Disorder

2025-08-14T15:52:02+02:00

Teaching mathematical content is cited as a challenging process for most autistic students, who are unable to understand the basic and more complex concepts of the subject. In this context, the objective of this study is to understand the main strategies used by teachers to expand the learning opportunities of Mathematics for students with Autism Spectrum Disorder - ASD. A bibliographic review of scientific articles published in the Capes Periodicals Portal database was carried out, collected using the keywords: autism spectrum disorder and mathematics. The following inclusion criteria were used: articles in Portuguese; published in the last 5 years, from 2020 to 2025; and with open access. Consequently, the exclusion criteria involved: international articles, published in other languages, before 2020 and with restricted access. Articles aimed at Early Childhood Education and the initial years of Elementary School were excluded; and those that addressed educational practice in teaching other subjects. The studies analyzed demonstrate that the main strategies for teaching Mathematics to students with ASD involve the use of hyperfocus to increase perception of the content covered in the classroom; insertion of maker culture in activities to improve the interactive and creative capacity of students with ASD; and use of digital technologies to expand learning opportunities, offering support during the approach to mathematical content and, consequently, facilitating the understanding of the content.

Peace and Prosperity: An Empirical Analysis Using GPI and GDP per Capita

2025-08-14T16:06:56+02:00

This paper investigates the empirical relationship between national peacefulness and economic wealth using recent cross-sectional data. By combining Global Peace Index (GPI) scores for 2023 with GDP per capita figures from the World Bank for the same year, the study analyzes a stratified sample of thirty countries divided into three groups: the ten most peaceful, ten mid-ranked, and the ten least peaceful countries. Descriptive statistics, summary measures, and a scatter plot reveal a clear pattern indicating that higher levels of peacefulness are generally associated with higher national income. The Pearson correlation coefficient for the full sample is –0.7544, confirming a strong negative linear relationship between GPI scores and GDP per capita. Although outliers such as Portugal, Slovenia, the United Arab Emirates, and the United States illustrate that peace and prosperity do not always align perfectly, the overall trend remains robust. These findings reinforce the theoretical claim that peaceful environments promote economic development by reducing the costs associated with conflict and insecurity, enhancing governance, and attracting investment. The paper also highlights that peace alone is not sufficient: factors such as governance quality, resource endowments, and technological capacity shape how peace translates into wealth. The results offer valuable insights for policymakers, suggesting that promoting peacefulness should be integral to development strategies aimed at sustainable growth. Future research could build on this evidence by employing panel data to track peace–prosperity dynamics over time and by incorporating broader development metrics beyond GDP per capita.

From symbol to everyday life: thinking about the human from an imago-poetic essay

2025-08-19T15:52:48+02:00

The thematic focus of this imago-poetic essay emerges from images captured from everyday life and that give thought to epistemological issues between prison youth and human rights education (HRE) through an aesthetics of hope. Image-image power that provokes us to think why young people are imprisoned? where do we fail with education, if thought from human rights? With this writing we intend to reflect on prison youth and EDH dimensioned by the symbolic image. The methodological path was the 'conversation' that - freed from crystallized dominant models - enables writing about bodies that affect us - crosses in everyday life. In (in)conclusive lines, we reflect that the EDH walks through an exercise that has not yet managed to reach in a more integrated way the learning spaces in all its dimensions.

Inclusive Science Education: Review of Pedagogical Strategies for Students with ADHD

2025-08-19T22:05:42+02:00

This study aims to analyze, through a literature review, the main challenges and pedagogical strategies related to the inclusion of students with Attention Deficit Hyperactivity Disorder (ADHD) in Science education. Considering the advances in public policies aimed at inclusive education, it discusses the need for pedagogical practices that address the cognitive, behavioral, and affective particularities of these students. The research is grounded in authors from the field of Education, as well as in legal documents that regulate school inclusion in Brazil. The methodology consisted of a narrative literature review, in which three scientific articles were analyzed, organized, and categorized into thematic axes on challenges and pedagogical strategies for students with ADHD in Science education. The results indicate that, although there are legislative advances and greater awareness of ADHD, there is still a need for specific teacher training and appropriate methodologies for Science teaching. It is concluded that overcoming these issues requires the articulation between theoretical knowledge, continuous training, and playful and inclusive pedagogical practices, capable of valuing diversity and promoting expanded learning for all students.

Assistive technology and quality of life for people with leprosy-related limitations: scoping review

2025-08-19T22:26:36+02:00

Introduction: Quality of life is a multidimensional concept associated with an individual's perception of various life contexts and is related to health perspectives. However, in the context of people with leprosy, there is a general impairment in quality of life, which can lead to physical disabilities and neuropathies. Given the indispensability of aspects that aim to intervene in these factors and promote quality of life, Assistive Technology resources can be used. Objective: To map the existing scientific literature that addresses the use of assistive technology as an improvement in the quality of life of people with limitations resulting from leprosy. Methods: This is a scoping review study, with articles published between 2020 and 2024, conducted in the Medline databases via PubMed, Biblioteca Virtual em Saúde (BVS), LILACS via BVS, and SciELO, based on the guiding question: “What scientific evidence is available on the use of assistive technology to improve the quality of life of people with limitations resulting from leprosy?” The search used the descriptors “assistive technology, assistive devices, self-help devices, assistive equipment, self-help equipment, leprosy, hansen’s disease, quality of life, and health-related quality of life” and their respective portuguese equivalents, combined with the boolean operators “AND” and “OR.” Results: Initially, 9.357 studies were identified, and after applying inclusion and exclusion criteria, eliminating duplicate papers, and conducting a detailed evaluation of the full texts, five studies met the eligibility criteria and were included in the final sample. Conclusion: Based on the analysis of the included studies, it was observed that assistive technology has significant potential to restore functionality, promote autonomy, and reduce the limitations imposed by physical disabilities caused by the disease, in terms of physical and psychological aspects.

Meta-Analysis of the Financial Impact of Employee Turnover in United States Companies

2025-08-19T22:47:55+02:00

This meta-analysis aimed to quantify the financial impact of high employee turnover in companies located in the United States, consolidating estimates from empirical studies indexed on databases such as PubMed, Scopus, Web of Science and Google Scholar. Articles published between 2010 and 2024 that reported direct and indirect costs of turnover were included. The analysis used random effects model, considering the sectoral and methodological heterogeneity, and synthesized the data in a Forest Plot. The combined estimate was US$ 17,800 per employee disconnected (95% CI: US$ 15,600 - US$ 20,000), with significant heterogeneity (I2 = 78%). Costs ranged from $5,000 to $22,000 per employee, depending on the sector and hierarchical level, ranging from direct expenses for recruitment and training to indirect losses such as reduced productivity and institutional knowledge. It is concluded that measuring and understanding these costs is essential to support talent retention strategies, justifying investments in benefits, professional development and improvements in the organizational environment. It is recommended the standardization of metrics and calculation methods to improve human resources management and reduce financial losses resulting from turnover.

Contributions from young people in the development of a digital game about teenage pregnancy

2025-08-19T22:58:52+02:00

Objective: To identify adolescents’ perceptions of topics addressed in a digital educational game about teenage pregnancy. Method: Descriptive qualitative study with 13 students from public middle and high schools. Data were collected through focus group discussions and analyzed using content analysis in WeQDA software. Results: Most participants were female, with a mean age of 15.6 years, attending the 1st year of high school, and living with their mother and siblings. Two thematic categories emerged: (1) health policies and intersectoral practices for adolescent sexual and reproductive health; and (2) sexual and reproductive health education. Participants suggested including topics in the game such as sexual and reproductive rights, challenges of teenage pregnancy, menstrual cycle, contraceptive methods, and communication with partners and family. Conclusion: The study highlights key themes for developing digital educational games and underscores health education as a tool for promotion, literacy, and empowerment among adolescents.

The executive power and public security policies: a study in the Multiannual Plan - PPA of the Federal Government

2025-08-19T23:12:59+02:00

The Multiannual Plan (PPA) is a fundamental government planning tool responsible for defining priorities and goals for the next four years, establishing essential guidelines for the execution of the Annual Investment Plan. This planning is crucial to guide the allocation of resources, ensuring that public policies are implemented effectively and within the established timeframes. This study investigates the role of the Executive Branch in the formulation and implementation of public security policies in Brazil, based on the principles of the Federal Constitution of 1988. The main objective of the research is to evaluate the allocation of resources to public security programs during the 2020-2023 Multiannual Plan cycle. The adopted methodological approach was qualitative and documentary in nature, focusing on analyzing federal budget execution for the mentioned programs. The research results indicate that, although 80% to 90% of the planned resources were effectively committed, there were significant limitations in the realization of the planned actions. Despite the financial allocation, a considerable portion of the analyzed programs was not fully implemented, highlighting the urgent need to improve public management and the efficient use of resources allocated to security. These limitations point to structural challenges in the administration of federal resources, which reflect in the incomplete execution of essential projects and actions for the improvement of public security in Brazil. Therefore, this study suggests the adoption of more effective control and monitoring mechanisms, as well as a more robust budget planning approach, to ensure that the goals of the PPA are fully and effectively achieved.

Between Equations and Phenomena: Paths for the Articulation between Physics and Mathematics in the Integrated Technical Courses of IFPA

2025-08-20T17:31:58+02:00

This article investigates how the articulation between Physics and Mathematics curricular components can contribute to overcoming learning difficulties and fostering curricular integration in integrated technical high school courses at the Federal Institute of Pará – Conceição do Araguaia Campus. The research, with a qualitative and exploratory approach, was based on a literature review and documental analysis of the Pedagogical Course Projects (PPCs) of Agronomy, Building Construction, and Informatics, focusing on syllabi, curricular matrices, and institutional guidelines. Seven recent studies addressing the relationship between Physics and Mathematics in the context of professional education were also examined. The results show that, although both subjects are present in all courses, their articulation remains incipient, marked by compartmentalized curricula, lack of integrated planning, and fragmentation of knowledge. As possible pathways, the study highlights the implementation of interdisciplinary projects, the reorganization of contents into common thematic blocks, and continuing teacher education focused on interdisciplinarity. It is concluded that overcoming learning difficulties requires a more articulated and contextualized curriculum, committed to the students’ holistic education, in line with the principles of professional and technological education.

Epidemiological profile and temporal trend of suicide mortality in Pará, Brazil: from 2010 to 2020

2025-08-23T00:48:00+02:00

Suicide is one of the oldest health-related issues. According to the World Health Organization (WHO), Brazil ranks 8th among countries with the highest suicide rates. The objective of this study was to trace the overall temporal trend in suicide mortality and the epidemiological profile of these deaths in the population of the state of Pará from 2010 to 2020. This is a quantitative cross-sectional study, conducted with data provided by SINAN, based on the categories of intentional self-harm, death by year, sex, age, race/ethnicity, marital status, education, and place of occurrence. The analysis demonstrated a predominance of suicides occurring at home, among men aged 20 to 39, of mixed race, who had four to seven years of education, and were single. Suicide is a significant public health problem that affects people of all ages, genders, and backgrounds, at varying rates, and tends to increase year after year, as seen in the state of Pará. These findings highlight the severity of the problem and highlight the need for the development of comprehensive public policies coordinated across various sectors of society.

Experience of family caregivers of people with dementia from a phenomenological perspective: a systematic review

2025-08-24T23:31:57+02:00

This study aims to understand and analyze the current research landscape on the experience of family caregivers of people with dementia. The main objective was to identify contemporary trends in scientific studies from the last five years through a systematic literature review. Articles that adopted the phenomenological approach were considered, either as a research method or as a framework for data analysis. The search was conducted in six databases (CAPES, SciELO, PePSIC, PUBMED, APA PsycNET, and LILACS), resulting in 405 publications, of which 22 met the inclusion and exclusion criteria. The studies had a broad geographic distribution, with a predominance of publications between 2023 and 2024, and the majority of caregivers were women over 50. The findings were organized into seven categories: (1) feelings and negative aspects of caregiving; (2) motivations and positive aspects of caregiving; (3) changes in family relationships and loss of identity; (4) multidimensional challenges to care provision; (5) coping strategies; (6) transition to institutions; and (7) intersections between prejudice and sociocultural contexts. The review concluded that it contributed to broadening our understanding of the experiences of caregivers of people with dementia, and highlights the need for further research in the Brazilian context.

Onboard crisis management: a literature review of safety protocols and conflict de-escalation in commercial aviation

2025-08-25T15:33:05+02:00

This narrative review examines onboard crisis management in commercial aviation, focusing on safety protocols and conflict de-escalation strategies. We searched academic databases (Scopus, Web of Science, ScienceDirect, Taylor & Francis) and regulatory/institutional repositories (ICAO, EASA, FAA, IATA) for publications from 2014 to August 2025. Eligible sources included international standards, manuals, and guidelines, as well as peer-reviewed empirical studies addressing disruptive passenger behavior, cabin-crew training, and interagency coordination. Findings show convergence around the ICAO Annex 6 operational framework and two key manuals—Doc 10002 (competency-based cabin-crew training) and Doc 10117 (legal aspects of unruly passengers)—reinforced by the 2014 Montreal Protocol. Operationally, EASA ORO.CC.140 and FAA AC 120-51E anchor CRM/TEM competencies. Across sources, responses are graduated and proportional, privileging prevention (pre-boarding messaging, responsible alcohol service, behavioral triage) and verbal de-escalation, with physical restraint as a last resort. AIRPOL/ACI-Europe guidelines structure aircraft-airport-police coordination after landing. Post-2020 evidence documents incident spikes linked to contextual factors and supports zero-tolerance policies combined with realistic training and data-driven governance within the Safety Management System (SMS). Persistent gaps include the lack of standardized taxonomies/metrics and limited controlled evaluations of specific de-escalation techniques. We conclude that effectiveness depends on an integrated system that aligns people, processes, and data to prevent incidents, respond proportionally, and learn continuously.

Physical and chemical characteristics of honey from africanized bees (Apis mellifera) sold in the northern Piedmont of Itapicuru, Bahia

2025-08-25T15:45:00+02:00

Objective: To analyze the physical-chemical characteristics of honey from Africanized bees sold in street markets, small businesses and public markets. Methods: Percentages of eight physical and chemical tests were tested: moisture and ash (0%), free acidity (5%), reducing sugars (10%), apparent sucrose and water-insoluble solids (15% each), diastase activity (25%) and hydroxymethylfurfural (45%). Results: Of the 20 samples, 60% did not meet the regulatory standards in at least one parameter. Of the three towns, Filadélfia complied in all but water-insoluble solids, with two samples not meeting the standard. Senhor do Bonfim complied well overall, but not in free acidity (12%), diastase activity (12%) and HMF (50%). Ponto Novo complies least, particularly in the parameters of HMF (83%) and diastase activity (67%), maybe due to possible aging, heating or adulteration. Conclusion: The high rate of samples that do not comply with legislation highlights the need for better control of beekeeping activity in the Piedmont North region of Itapicuru, given the economic importance of this activity for the region, as well as the importance of food safety.

The relationship between insulin resistance and the risk of infertility in polycystic ovarian syndrome: an integrative review from 2014 to 2023

2025-08-27T23:11:32+02:00

Polycystic ovary syndrome is a disease that involves metabolic and endocrine dysfunctions, demonstrating as clinical characteristics: oligovulation/anovulation, infertility, hyperandrogenism and polycystic ovaries. Insulin resistance is a common metabolic alteration in this syndrome, which consequently leads to hyperinsulinemia, an aggravating situation of other dysfunctions existing in PCOS, among them, hyperandrogenism, and can lead to infertility, since this excess is harmful to the ovaries. OBJECTIVE: To evaluate the relationship between insulin resistance and the risk of infertility in women with PCOS. METHODOLOGY: The work is an integrative review of the literature with articles published between 2014 and 2023 in the SciELO, PUBMED and LILACS databases. The analysis and search for articles, carried out using the flowchart, aimed to answer the following guiding question: “What is the relationship between insulin resistance and the risk of infertility in PCOS?”. The data were organized into tables for later discussion of the selected articles. RESULTS AND DISCUSSION: Through the analysis of the 15 articles included in the results, it was observed that 12 demonstrated the use of therapies that improve both insulin resistance and reproductive function parameters, and three reported a higher occurrence of reproductive alterations in PCOS combined with insulin resistance. CONCLUSION: Insulin resistance is related to the risk of infertility through the observation, in our findings, of the higher occurrence of sexual and oocyte hormonal alterations in women with PCOS associated with insulin resistance. Furthermore, within our results, this relationship is also corroborated by the existence of therapies that attenuate both reproductive dysfunction and insulin resistance in women with this syndrome. The main limitation of the work is related to the scarcity of studies, obscuring characteristics of this syndrome, and, from this perspective, there must be new research to elucidate knowledge gaps about this disease that affects the quality of life of many women.

The Duality of Global Airports: A Study on the Divergence Between Passenger Nodes and Cargo Hubs

2025-08-28T19:11:19+02:00

This study analyzes the divergence between the roles of global airports as passenger nodes and cargo hubs. Although airports are crucial components of global transportation networks, leadership in passenger connectivity does not guarantee dominance in cargo operations. The research employs a comparative framework integrating three key data sources: the 2024 Air Connectivity Index (ACI), 2024 Freight & Mail volumes from the Airports Council International (ACI), and the 2023 Logistics Performance Index (LPI) Infrastructure sub-index from the World Bank. A Spearman correlation is used to examine the association between connectivity and the quality of national logistics infrastructure across 20 European airports. The results reveal a notable specialization among airports. European airports such as Frankfurt (FRA) and Paris (CDG) present a balanced performance. The correlation analysis found no statistically significant association between the ACI Connectivity Index and the LPI ranking (ρ = -0.235, p = 0.318), suggesting that high-quality national logistics performance does not directly translate into greater air passenger connectivity. The study concludes that air cargo competitiveness is a multidimensional outcome, significantly influenced by institutional frameworks and specific policies beyond physical infrastructure. It is argued that airports must adopt integrated strategies that combine infrastructure, institutional efficiency, and targeted cargo policies rather than relying solely on connectivity as a measure of success.

Between isolation and care: effects of the pandemic on people with chronic noncommunicable diseases and on Primary Health Care

2025-08-29T20:35:56+02:00

Introduction: Chronic noncommunicable diseases are one of the main public health problems in Brazil and worldwide, due to their prevalence, impact on quality of life, and costs to the healthcare system, with particular emphasis on high blood pressure, obesity, and diabetes mellitus. The emergence of the COVID-19 pandemic disproportionately worsened the health status of individuals with NCDs, and in the Northeast, these effects were even more intense, highlighting the need for continuous monitoring of those with these comorbidities through regular access to services, adherence to treatment, and promotion of self-care, in which Primary Health Care (PHC) plays a central role. Objective: To analyze the effects of the COVID-19 pandemic on the health of the population with chronic noncommunicable diseases and on the organization of Primary Health Care services in a municipality in Northeastern Brazil. Methods: This is a qualitative, prospective study with a descriptive and exploratory approach. Data collection took place between August 2021 and March 2022 with 35 health professionals from seven Family Health Strategy units, with at least six months of experience in Primary Care. Results: Among the main health problems faced by this population, the following stand out: lack of knowledge about the disease itself, inadequate lifestyle and habits, sedentary lifestyle, increased mental illness, alcoholism, and Covid-19. Regarding the challenges of PHC, structural limitations and insufficient resources, weaknesses of the disease-centered biomedical model, and barriers to maintaining connections with the population were highlighted. Conclusion: The COVID-19 pandemic had significant effects on the health of the population with NCDs and on the organization of PHC in a northeastern municipality. The study observed worsening clinical conditions, impacts on mental health, and socioeconomic repercussions, in addition to unprecedented challenges faced by PHC. This highlights the importance of strengthening comprehensive care for NCDs, expanding health education strategies, and improving management and equity in access to services, providing support for more effectively addressing future health crises.

Swimming as an intervention to reduce low back pain in sedentary individuals: a systematic review

2025-08-29T21:01:13+02:00

Low back pain (LBP) is a prevalent and disabling condition, with a higher risk of chronification in sedentary individuals. Swimming emerges as a promising intervention, leveraging the properties of the aquatic environment to promote muscle strengthening with low joint impact. This systematic review aimed to analyze the efficacy of swimming in reducing the intensity and frequency of low back pain in sedentary adults. The protocol followed PRISMA guidelines, with searches conducted in PubMed, Cochrane Library, SciELO, PEDro, LILACS, and Scopus databases, using the descriptors "Low Back Pain", "Swimming", "Aquatic Therapy", and "Sedentary Lifestyle" for clinical trials published between 2015 and 2024. Studies involving sedentary adults with chronic LBP undergoing structured swimming programs (≥8 sessions), compared to control groups or other interventions, were included. Methodological quality was assessed using the Cochrane RoB 2.0 tool. From the 10 studies included in the final synthesis, the results demonstrate that swimming promoted clinically significant reductions in pain intensity (assessed by the Visual Analogue Scale and Numeric Pain Rating Scale) and improved functionality (measured by the Oswestry Disability Index and Roland-Morris Questionnaire) when compared to inactive control groups. Additionally, improvements in secondary outcomes were observed, such as quality of life, body composition, trunk muscle strength, and gait parameters. In conclusion, swimming is an effective and safe intervention for reducing low back pain and improving functionality in sedentary individuals and can be recommended as a non-pharmacological strategy in the management of this condition.

The importance of psychotherapy for mothers of atypical children

2025-08-29T21:22:56+02:00

This article highlights the importance of psychotherapy for mothers of children with neurodevelopmental disorders, such as Autism Spectrum Disorder (ASD) and Attention Deficit Hyperactivity Disorder (ADHD), a reality defined as "atypical motherhood". Based on professional experiences in a Psychology School-Service at a public university, this qualitative experience report notes that these mothers face significant emotional overload, social isolation, high stress, and low self-esteem due to the intense demands of care.The well-being of these caregivers is crucial, as their physical and emotional exhaustion can directly affect the quality of care provided to their children. Psychotherapy emerges as an essential tool, offering a space for these women to be heard and cared for, helping to build self-confidence and coping strategies. Furthermore, psychoeducation within the therapeutic process provides valuable information about the child's condition, benefiting the entire family. The study concludes by emphasizing the need for social support and access to mental health services, advocating for public health policies that include psychological support for these mothers, thereby promoting a more inclusive approach for atypical families.

Physical Education and Health Promotion: A Systematic Review on Challenges and Perspectives in Public Schools

2025-09-01T15:41:32+02:00

Objective: To systematically review the relationship between Physical Education and health in public schools, identifying challenges and health promotion strategies. Method: A search was conducted in the Periódicos Capes, Scielo, and Google Scholar databases between 2005 and 2024, using combined descriptors. Articles in Portuguese, English, and Spanish were included and assessed using the STROBE statement and the Downs & Black Checklist. Results and Discussion: Four articles were selected. Results indicate that interventions to increase physical activity are not always effective, the prevalence of hypertension in adolescents is associated with overweight, and there is a sectoral imbalance in the implementation of intersectoral programs such as the PSE, with a predominance of the health sector. Conclusion: Physical Education in public schools must transcend sports practice, incorporating social and environmental determinants of health. A balanced intersectoral approach is necessary for the effectiveness of health promotion actions.

Peripheral Giant Cell Granuloma: Case Report with Atypical Location and Dimensions

2025-09-01T15:54:49+02:00

Introduction: Peripheral giant cell granuloma (PGCG) is a benign reactive lesion, most frequently affecting the gingiva and alveolar ridge. Although relatively common, its clinical presentation may vary, and cases with atypical dimensions or unusual locations are rarely reported. Objective: To report a case of PGCG in a young patient, located in the hard and soft palate and maxillary alveolar ridge, with uncommon clinical and radiographic features. Case Report: A 32-year-old male presented with a vegetative, ulcerated, erythematous, and hemorrhagic nodule measuring approximately 5 cm, located in the hard/soft palate and left alveolar ridge, associated with bone resorption and dental displacement. Incisional biopsy revealed aggregates of multinucleated giant cells in a spindle-cell stroma with hemorrhagic areas, confirming the diagnosis of PGCG. Laboratory tests ruled out hyperparathyroidism. The lesion was surgically removed under general anesthesia in a hospital setting. Discussion: This case is remarkable due to the lesion’s large size, palatal location, and exuberant hemorrhagic behavior, uncommon features that complicate the differential diagnosis with central giant cell granulomas and bone neoplasms. Recent reports corroborate the rarity of palatal PGCG and emphasize the need for clinical, radiographic, and histopathological correlation for accurate diagnosis. Conclusion: Although benign, PGCG can exhibit locally aggressive behavior, requiring careful therapeutic planning. Cases with atypical dimensions and unusual location should be documented to broaden the clinical spectrum and guide management of this lesion.

Evaluation of Mothers’ Knowledge of Premature Infants Regarding the Importance of Exclusive Breastfeeding

2025-09-01T16:10:34+02:00

Objective: assessing the knowledge of premature infants' mothers about breastfeeding in a public maternity hospital. Methods: descriptive, quantitative study using two instruments: sociodemographic and obstetric form and the KNOWL scale, which assess maternal breastfeeding knowledge. Results: evaluation carried out with 50 premature infants' mothers, in which satisfactory knowledge was obtained about the composition of breast milk, the benefits of colostrum and breastfeeding techniques. In addition, knowledge gaps and mistaken beliefs were identified, highlighting the need for actions to correct inadequate practices and promote adequate awareness. Conclusion: By applying the KNOWL scale to mothers, it was found out satisfactory knowledge in various areas related to exclusive breastfeeding in premature infants' mother from a public maternity hospital accredited by the Hospital Amigo da Criança's initiative.

Bronchiolitis in newborns and children: the role of nursing

2025-09-02T20:49:56+02:00

Bronchiolitis is an acute respiratory viral infection common in infants and represents one of the main causes of pediatric hospitalization, especially in premature infants and children with comorbidities. Effective management of the disease requires a multi-professional approach, with an emphasis on nursing at all levels of care. The aim of this study was to analyze, based on recent studies, the importance of nursing care for children with bronchiolitis. A literature review was carried out in order to answer the guiding question; It was found that nursing professionals play a central role in early clinical assessment, continuous monitoring of vital signs, administration of oxygen therapy and non-invasive respiratory support. In addition, they carry out preventive interventions, guide caregivers and act directly in hygiene promotion and infection control. Respiratory physiotherapy rehabilitation techniques are also relevant in more serious cases, with the support of specialized nursing. Communication with the multi-professional team and the family is essential to ensure integrated and safe care. The conclusion is that qualified nursing care contributes significantly to reducing morbidity and mortality, improving clinical outcomes and humanizing care.

Discussion paper: the world tariff conflict seen through monetary policies and exchange rate strategies

2025-09-02T21:19:03+02:00

The following discussion paper aims clarify tariffs issues in the international trade, the constraint and issues to be solved aiming to reduce the trade conflict between the U.S., Europe and BRICS. The impact on general trade encompass trade balance but has also financial and monetary issues. The currency has three function: medium of exchange, unit of account, and stock of value. In other word it is a product and a service itself and in the actual global trade there are distortions on trade flows (are not homogeneous) and on currency values (dollar dominance). Thus the change in the actual system impacts on many variables of the trade and PIBs, is not only a matter of products and services exchanges or tariffs but a complex mix of all of them. The result of the discussion shows how strategies are related to all other partners strategies in the international trade. That way it is impossible to negotiate only limited politics and tariffs agreements or bilateral negotiations, but, to bypass conflicts, a new form of international trade and international agencies are needed. The main economies have to cooperate and compete in the same time.

International trends in dental insurance plans: a literature review on regulatory strategies and market expansion

2025-09-03T13:58:16+02:00

Oral health has gained increasing relevance in global health agendas due to its high prevalence and systemic impacts associated with conditions such as dental caries, periodontal disease, and edentulism. In this context, dental insurance plans have emerged as a central strategy for expanding access and ensuring sector sustainability, responding to the demand for preventive and rehabilitative care as well as to the high costs of dental treatments. This narrative critical review aimed to map international trends in dental insurance plans, with emphasis on regulatory strategies and market expansion mechanisms. Searches were conducted in databases such as PubMed, Scopus, Web of Science, and BVS/LILACS, in addition to technical documents from international organizations and regulatory agencies. The results indicate that the global market shows strong growth, with estimates ranging from USD 255 to 410 billion by 2030, alongside the consolidation of hybrid financing models and the incorporation of technological innovations such as teledentistry and artificial intelligence. Significant regulatory heterogeneity was identified: while countries such as Japan and France integrate dental care into universal health coverage, Brazil, the United States, and much of Latin America remain largely dependent on the expansion of private plans. It is concluded that the convergence of clear regulation, preventive strategies, and technological innovation constitutes the key axis for the sustainable and equitable expansion of dental insurance plans on an international scale.

The Influence of Persuasive Communication on the Success of B2B Sales

2025-09-03T22:48:38+02:00

Persuasive communication is one of the cornerstones of performance in business-to-business (B2B) sales, given the complexity of organizational decision-making processes, which involve multiple stakeholders, high investments, and long purchasing cycles. This literature review aimed to critically analyze the influence of persuasive communication on the success of B2B sales, integrating theoretical foundations and empirical evidence published between 2010 and 2025 in databases such as Scopus, Web of Science, ScienceDirect, Emerald Insight, SpringerLink, and SciELO. A total of 32 studies were selected and analyzed using the SALSA framework (Search, AppraisaL, Synthesis and Analysis). The findings indicate that classical persuasion models, such as the Elaboration Likelihood Model (ELM), the Heuristic-Systematic Model (HSM), and the Persuasion Knowledge Model (PKM), provide valuable insights into how messages are processed in B2B contexts. Moreover, the use of adaptive influence tactics, combined with adaptive selling and sales communication competence, proved crucial for value co-creation and trust building in commercial relationships. The literature also emphasizes that interorganizational communication quality is essential for satisfaction, partnership continuity, and strategic customer loyalty. On the other hand, gaps were identified, such as the lack of longitudinal studies, the need to consider cultural differences, and the ethical implications of persuasion strategies in sales. It is concluded that persuasive communication, when applied ethically and strategically, represents not only an immediate competitive advantage but also a driver of sustainability in B2B relationships, while opening avenues for future research on the impact of digitalization on persuasive processes.

Multichannel prospecting in b2b sales: a critical review of strategies and impacts on qualified lead generation

2025-09-04T20:59:04+02:00

This article presents a critical literature review on multichannel prospecting in B2B sales, focusing on strategies and their impacts on generating qualified leads. Fifteen peer-reviewed studies published between 2014 and 2025 were analyzed, covering topics such as channel orchestration, standardized lead qualification metrics, social selling, marketing automation, marketing–sales alignment, and the digital transformation of sales teams. The results indicate that multichannel prospecting is more effective when combined with clear metrics, technological integration, team coordination, relevant content, and timely approaches. The review identified gaps in the standardization of qualification indicators and in conducting experimental comparative studies between different cadences. It concludes that multichannel prospecting is an essential strategy for B2B companies seeking to increase commercial effectiveness in a competitive, digitally driven environment.

Between territory and care in Primary Care: contributions of situational strategic planning in the nursing work process

2025-09-06T14:08:58+02:00

Introduction: Primary Health Care (PHC) is a SUS care model that focuses health on the needs of the individual, family, and territory, encompassing health promotion, prevention, diagnosis, treatment, rehabilitation, and maintenance. In this context, nursing plays a fundamental role in the coordination, organization, and implementation of health actions. Objective: to analyze the contributions of nursing to health promotion in primary care, considering the territory, the work process, and the bond with the community. Methods: This is a qualitative, descriptive, and exploratory study with 35 professionals from seven Family Health Strategy Units in Delmiro Gouveia, Alagoas. Data were collected through discussion groups guided by Situational Strategic Planning (SSP). Results: Three categories emerged: (1) territory, living conditions, and adherence to self-care; (2) team work process; (3) reception, bonding, and reorganization of care during the pandemic. Social determinants and staff overload negatively impact care, while welcoming and humanization strengthen adherence and obligations with the community. Conclusion: The findings indicate the need for intersectional strategies, health education, and professional development to strengthen PHC, promote humanized care, and reduce inequalities.

The contract as a tool for social justice: perspectives for legal and economic inclusion

2025-09-09T15:29:20+02:00

This article analyzes contracts from a social justice perspective, focusing on their potential as instruments of legal and economic inclusion. Based on liberal principles such as free will, formal equality, and binding force, contracts have historically contributed to perpetuating inequalities, especially in situations of significant social asymmetries. Therefore, it is necessary to reinterpret them in light of the constitutional principles of human dignity, solidarity, and social function. Thus, the scope of this work is to demonstrate how contracts, beyond an agreement between parties, can be tools for social transformation, capable of promoting access to rights and the redistribution of opportunities. The methodological approach was qualitative, using the deductive method, based on a bibliographic review of classical and contemporary doctrines, highlighting the contributions of Roppo (1977) and Timm (2012). Thus, it is concluded that contracts, when conceived from a constitutional and functional perspective, can break with the exclusionary logic of the market and act as a vector for citizenship and equity.

Association of the use of mesotherapy in physiotherapeutic rehabilitation: a systematic review

2025-09-09T15:51:20+02:00

This study aimed to evaluate the effectiveness of mesotherapy combined with physiotherapeutic rehabilitation in the treatment of musculoskeletal disorders. Through a systematic literature review, 20 articles published between 2015 and 2025 were analyzed, selected based on specific criteria and indexed in major scientific bases. The results showed that mesotherapy, when integrated with physiotherapy resources such as kinesiotherapy, electrotherapy, and manual therapy, promotes pain relief, improves functionality and quality of life, and has a low incidence of adverse effects. Additionally, a reduction in the use of systemic medications was observed, making it an effective and safe alternative in clinical practice. It is concluded that the association between mesotherapy and physiotherapy enhances rehabilitation outcomes, although further studies are needed to standardize application protocols.

Perception and prevalence of electronic cigarette use by students at the State University of Tocantins

2025-09-10T23:04:15+02:00

Introduction: Smoking is a global epidemic and causes millions of preventable deaths. Although campaigns have reduced the consumption of traditional cigarettes, the use of electronic cigarettes (ECs) is growing among young people, especially college students, attracted by their modern appearance and varied flavors. This study investigates the use and perception of ECs among students at Unitins – Augustinópolis Campus. Methodology: This is an exploratory, quantitative and qualitative study, with a quantitative and qualitative approach, administered via an online questionnaire to students in Accounting, Law, Nursing and Medicine. The estimated sample size was 100 participants. The analysis used Excel. Results: 81 students participated. Most were female, young, medical students, unemployed, and with a family income above three minimum wages. Approximately 26% reported EC use, mainly at parties. Use was associated with social influence, alcohol, and a sense of relaxation. Most recognize the health risks but consider ECs more socially acceptable than traditional cigarettes. Final Considerations: EC use among university students represents an emerging risk. Research has shown that men are more likely to use EC, and that this use is strongly linked to alcohol consumption and partying. Even with access to information, many underestimate the potential harms. Stronger educational and regulatory measures are needed to curb this growth.

Proposal for multidisciplinary group intervention for caregivers of patients in Palliative Care

2025-09-11T21:06:28+02:00

Advances in healthcare technology have increased the life expectancy of the Brazilian population. In this context, caregivers, both formal and informal, become increasingly necessary and present. Caregivers play an extremely important role in the well-being of patients with serious illnesses, and their absence directly hinders treatment. However, despite the importance of caregivers' presence, the literature indicates that there is no systematized care for this group. Therefore, we propose a qualitative, exploratory study based on a focus group. This study aims to identify the main needs of caregivers of patients receiving oncology and geriatric palliative care and develop a proposal for a multidisciplinary group intervention aimed at caregivers of patients admitted to a specialized hospital.

Challenges of inclusive geometry teaching for the visually impaired

2025-09-12T15:40:15+02:00

This paper aims to analyze the tools and teaching resources presented by the selected articles in order to assess the effectiveness in helping the interpretation of geometric shapes in basic education from a systematic literature review, built through the Google Scholar database and SciELO (Scientific Electronic Library Online) with search in themes such as geometry, inclusion, visual impairment and manipulatives in publications that composed the theoretical framework as the basis of the research and selected publications for the analysis performed in the discussion of results, between the years 2012 and 2021. It was a consensus among the selected articles that the use of manipulatives for the visually impaired has the ability to promote significant educational advancement, provided they are well implemented. The students' behavior when facing the implementation of the analyzed resources shows that the barrier imposed by visual impairment can be circumvented, thus enabling inclusive education in geometry.

The Efficacy of the Conciliation Center of the Judicial Power of the District of Palmas in the State of Tocantins

2025-09-12T16:29:11+02:00

This paper focuses on the effectiveness of the Judiciary Conciliation Center (CEJUSC) of the District of Palmas, which is justified by the crisis of effectiveness and the procedural overload affecting the Brazilian Judiciary. As a result, the policy of adequate conflict treatment was created, materialized in the CEJUSCs, institutions that, through conciliation, seek to offer a faster and more peaceful solution for citizens. These centers have the capacity to reduce the volume of cases and transform the culture of litigation. In view of this, the State has encouraged the creation and strengthening of these bodies as a means of ensuring more effective access to justice. In this sense, the main objective of this study was to analyze the effectiveness of the CEJUSC of Palmas, from the perspective of its quantitative and qualitative results, in light of Resolution No. 125/2010 of the National Council of Justice (CNJ) and the Code of Civil Procedure (CPC) of 2015. To this end, it was necessary to conceptualize the crisis in the Judiciary, present the conciliation policy as a response and investigate the contribution of the Center through productivity data, also identifying the challenges that limit its full potential. In addition, the method used was deductive, with bibliographic and documentary research and quantitative analysis of primary data. Therefore, it is concluded that, despite the persistence of a culture of litigation, the CEJUSC of Palmas proves to be an effective instrument, with success rates that reached 20.11% in 2023 and 25.01% in 2024, but its systemic effectiveness is still limited by operational challenges and dependence on periodic events.

Sustainable Use of Amazonian Biodiversity and Solidarity Economy: The Waorani Cosmetic Enterprise in Daipare as a Model of Local Bioeconomy

2025-09-14T17:14:47+02:00

Este estudio analiza el aprovechamiento sustentable de la biodiversidad amazónica y la economía solidaria a través de la experiencia del emprendimiento cosmético desarrollado por la comunidad Waorani de Daipare, en la provincia de Pastaza, Ecuador, como modelo de bioeconomía local. Se empleó un enfoque cualitativo con diseño de estudio de caso, que combinó observación directa en el área de producción y en el punto de comercialización con entrevistas semiestructuradas a actores clave: una representante comunitaria, la presidenta de la tienda distribuidora, un consumidor nacional y un consumidor extranjero. El análisis reveló que la elaboración de las cremas se sustenta en el cultivo agroecológico de cúrcuma, jengibre y vainilla, bajo prácticas ancestrales y sin empleo de agroquímicos, lo que asegura un manejo responsable de los recursos naturales y refuerza la identidad cultural. La organización comunitaria se caracteriza por el trabajo en mingas, la toma de decisiones colectivas y la distribución equitativa de beneficios destinados a cubrir necesidades básicas como educación y salud. La comercialización en un punto de venta local ha permitido posicionar el producto en un segmento de consumidores que valoran su calidad, su origen amazónico y su impacto socioambiental. Las percepciones de los consumidores confirmaron su potencial para acceder a mercados especializados, aunque persisten retos relacionados con la producción a pequeña escala, la irregularidad en la oferta y la necesidad de fortalecer la presentación, la certificación y las estrategias de mercadeo. La experiencia de Daipare demuestra que es posible articular conservación, economía comunitaria e identidad cultural en un modelo de desarrollo sostenible y replicable.

Merleau-ponty and the phenomenological foundations of inclusive education

2025-09-15T15:38:18+02:00

This essay explores the relevance of Merleau-Ponty's phenomenology for inclusive education. Rather than focusing on diagnoses, the phenomenological perspective emphasizes the primacy of perception, the body itself as "being-in-the-world," and intersubjectivity. This allows us to rethink inclusion as a recognition of diversity and unique ways of inhabiting the world. The critique of empiricism and intellectualism emphasizes that the individual is not a passive recipient or a detached consciousness, but a complete being who actively interacts with the environment. Inclusive education, inspired by this philosophy, must value the lived experience of each student, adapting the curriculum and pedagogical practices to welcome and celebrate differences, fostering an environment where diversity is a collective benefit.

Review: the moral question in the anthropology in antology

2025-07-07T15:39:53+02:00

This review aims to provide notes that, in general terms, address the work “The Moral Question: a critical anthology”, organized by French researchers Didier Fassin and Samuel Lézé, which, in locating and compiling texts by different authors and at different times, illustrate not only the development of anthropology as a field of knowledge, but also its evolution as scientific knowledge that reveals the values of morality as a guiding axis for individuals and social practices.