JRG Journal of Academic Studies

Nursing navigation: radiodermatitis in women undergoing the fast-forward protocol – a case report

2025-09-30T22:39:32+02:00

Objective: To report the experience of implementing nurse navigation in the monitoring and management of radiodermatitis in women with breast cancer treated with the FAST-Forward protocol at a private hospital in Porto Alegre, Brazil.
Methods: Descriptive study conducted between 2020 and 2024, involving 98 women who underwent adjuvant ultra-hypofractionated radiotherapy (26 Gy in five consecutive fractions). Nurse navigation included an initial in-person consultation and structured teleorientation on days 7, 14, 30, and 60 after completion of radiotherapy. Radiodermatitis was assessed using the Radiation Therapy Oncology Group (RTOG) scale. Results: The mean age of participants was 73 years (40–94). On days 7 and 14 post-treatment, 39% and 38% of patients presented with grade 1 radiodermatitis, respectively. There was a progressive reduction on day 30 (32%) and day 60 (17%), indicating gradual recovery of irradiated skin. No cases of grade ≥2 radiodermatitis were recorded. Nurse navigation, combined with teleorientation, enabled timely interventions, treatment adherence, and continuity of care, even under the constraints imposed by the COVID-19 pandemic. Conclusion: Nurse navigation proved to be an effective and safe strategy for monitoring women undergoing the FAST-Forward protocol, supporting early detection of radiodermatitis, individualized care, and maintenance of treatment adherence. The findings reinforce the relevance of oncology nursing in managing adverse effects and highlight the international applicability of this model in hypofractionated radiotherapy settings.

Factors related to the interruption of exclusive breastfeeding among infants aged 0-6 months in basic health unit in Manaus - AM

2025-08-30T01:08:11+02:00

Objective: To investigate the factors associated with the interruption of exclusive breastfeeding (EBF) among infants aged zero to six months in a Primary Health Care Unit (PHCU) in Manaus, Brazil. Methods: This is a cross-sectional study conducted with 24 randomly selected women attending routine consultations or routine vaccinations at a PHCU. Data was collected through a multidimensional questionnaire. The study was approved by a Research Ethics Committee. Results: Most participants were single women aged between 15 and 39 years, with a high school education and no formal employment. Most infants were full-term. Except for three participants, all were breastfeeding, however, only 15% practiced EBF. Conclusion: The main factors associated with EBF interruption were incorrect or inadequate latch, low milk supply, areolar fissures, SARS-CoV-2 infection, postpartum depression, signs of infant hunger, breastfeeding-related pain, and lack of adequate guidance about the breastfeeding process, its benefits, and characteristics. These factors led to the early introduction of other foods, such as water, infant formula, and teas.

Tools Used by Nurses in the Care of Children with Autism: Application, Training, and Challenges

2025-10-20T16:40:27+02:00

The care of children with Autism Spectrum Disorder (ASD) represents a significant challenge for nursing, particularly due to the need for early identification of the disorder’s signs and the provision of comprehensive, humanized, and family-centered care. This study aimed to analyze the tools used by nurses in the care of children with ASD, highlighting their practical application, professional training, and the main challenges encountered in the care process. It is an integrative literature review, conducted in the Scientific Electronic Library Online (SciELO) and Bireme databases, accessed through the Virtual Health Library (VHL), including studies published between 2020 and 2025. The analysis revealed that early detection of ASD remains limited due to the lack of specific training, the absence of standardized protocols, and the insecurity of primary care professionals in addressing suspected cases of the disorder. It was also observed that many nurses limit their role to referrals, without providing longitudinal follow-up, emphasizing the need for continuing education and greater intersectoral collaboration among health, education, and family services. Furthermore, the studies highlighted that welcoming approaches, active listening, empathy, and humanized practices are essential to strengthen the bond with families, ensure adherence to health services, and provide comprehensive care, especially in emergency and urgent care settings. It is concluded that investing in continuous professional training, multiprofessional integration, and humanized strategies is crucial to improve early detection, enhance the quality of care, and contribute to the social inclusion and holistic development of children with ASD.

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.

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.

Epidemiological analysis of hospitalizations and mortality due to acute myocardial infarction in Baixada Maranhense (2015–2024).

2025-09-06T15:05:42+02:00

Cardiovascular diseases are the leading cause of death globally and nationally. In Brazil, acute myocardial infarction (AMI) is the most frequent acute clinical manifestation of coronary artery disease, which is the leading cause of cardiovascular death. In this perspective, it is essential to investigate the epidemiological profile of AMI in different regions of Brazil, such as the Baixada Maranhense. Thus, this study aimed to analyze hospitalizations and deaths due to AMI in the Baixada Maranhense over the last decade. This is a quantitative, cross-sectional, and retrospective epidemiological study. Secondary data were extracted from the Department of Informatics of the Unified Health System (DATASUS), Hospital Morbidity section, ICD-10 code (I121), with a time frame from 2015 to 2025. To analyze the statistical association between categorical variables and the outcome of hospital death, JAMOVI software was used to apply the Chi-square contingency test, with a significance level of 5%. There were 416 hospitalizations recorded in the analyzed period, with a higher incidence in males, brown skin color/race, and the 60-69 age group. Regarding the death profile, there was a predominance among males, brown skin color/race, and the 70-79 age group. In the statistical analysis, a significant association was observed between death and age group (p=0.009). In addition, during the pandemic period, there was a decrease in hospitalizations related to low demand for medical care. The limitations of the study include the use of secondary data, which are subject to underreporting and inconsistencies. The results of this study reinforce the need for health strategies focused on prevention, especially in the elderly, as well as the importance of implementing specific care protocols and expanding the structure of equipment for timely diagnosis and treatment.

Parental knowledge about sudden infant death syndrome: an integrative review

2025-10-14T15:37:40+02:00

Despite advances in pediatrics and neonatology, Sudden Infant Death Syndrome (SIDS) remains among the leading causes of mortality in children under one year of age. This condition is characterized by the sudden and unexpected death of apparently healthy infants, commonly occurring during sleep, and has a significant impact on both families and healthcare professionals. Given its silent and highly devastating nature, it is essential to assess parental knowledge regarding preventive measures associated with SIDS, which can significantly reduce the risk of occurrence. In this context, the present study aimed to analyze, through an integrative literature review, parents’ knowledge about SIDS and the most widely disseminated preventive strategies. Identifying gaps in this knowledge may support educational initiatives and health promotion strategies aimed at reducing infant mortality. The relevance of this topic lies in its potential to contribute to the preservation of life through the dissemination of accessible, evidence-based information.

Clinical-epidemiological profile of leprosy in Southern Brazil: analysis of a decade of reported cases

2025-09-20T22:09:54+02:00

Leprosy is a chronic disease caused by the parasite Mycobacterium leprae and is characterized by skin lesions and sensory alterations. It has a millennial history and is treated free of charge by the Brazilian Unified Health System (SUS), yet it remains a public health problem in Brazil—a country with disparities in the geographic distribution of the disease. The aim of this study was to describe the sociodemographic and clinical profile of reported cases in the Southern Region of Brazil. This ecological, cross-sectional, observational, retrospective, and descriptive study analyzed SINAN/DATASUS data on cases reported in the Southern Region of Brazil between 2013 and 2023. A total of 11,789 cases were recorded during this period, with a predominance of males (60.24%), white individuals (69.29%), those aged 50 to 79 years (54.45%), and low educational level, particularly incomplete primary education. Regarding the clinical profile, most cases were new (78.32%), with borderline clinical form (39.56%), more than five skin lesions (52.24%), and positive bacilloscopy (35.19%). The majority evolved to cure (75.09%), while 2.76% resulted in death. Limitations include underreporting, especially in 2020, and a high proportion of incomplete data. It is concluded that leprosy remains a significant challenge in the Southern Region, emphasizing the need for qualified epidemiological surveillance, prevention strategies, early diagnosis, and integration of healthcare and social interventions for effective control and stigma reduction.

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.

Temporal analysis of land use and occupation in the municipality of Gurjão-PB

2025-10-13T05:03:18+02:00

The municipality of Gurjão, located in the semi-arid region of Paraíba, Brazil, has been experiencing increasing environmental degradation driven by human activities and climatic variations. This study analyzed the dynamics of land cover in the region from 1985 to 2025 using the Normalized Difference Vegetation Index (NDVI), derived from Landsat-5 and Landsat-8 satellite imagery. The results revealed a significant decline in average NDVI values, indicating a reduction in vegetative vigor and an expansion of exposed soil areas. Shrub vegetation, which predominated in the early decades, showed continuous regression, especially after 1995, highlighting the intensification of agricultural practices, deforestation, and decreasing rainfall as key factors in this degradation. The multitemporal analysis identified clear spatial patterns of vegetation fragmentation, particularly in areas under greater anthropogenic pressure. NDVI proved to be an effective tool for environmental monitoring, enabling the assessment of cumulative ecological impacts and supporting sustainable land-use planning. The findings underscore the urgent need for public policies aimed at restoring native vegetation and promoting sustainable resource management, as a strategy to mitigate desertification and ensure ecological resilience in the region.

The place of grammar between norm and text: a reflection on mother-tongue teaching

2025-10-15T20:08:06+02:00

The article critically examines the historical relationship between text and grammar, highlighting how the normative tradition and the disciplinary consolidation of grammar in Brazil have generated a fragmented teaching practice detached from real language use. It argues that grammar, since Antiquity, emerged as a tool for reading and textual interpretation, and that the so-called “grammatization revolution” (AUROUX, 1992) transformed language into an object of teaching and cultural power. In the Brazilian context, the consolidation of normative grammar, described by authors such as Chervel (1990) and Bechara (2009), reinforced a prescriptive and decontextualized pedagogy that separated grammar from the production and comprehension of texts. The discursive turn, inaugurated by textual linguistics and enunciative-discursive approaches (MARCUSCHI, 2008; KOCH, 2014; ANTUNES, 2014), redefines grammar as a tool for textualization and meaning-making, placing the text at the core of language learning. The study concludes that reintegrating text and grammar requires overcoming rigid normative models, valuing linguistic diversity, and strengthening linguistic analysis as a formative axis.

From loneliness to extremism: an existential phenomenological analysis of social isolation in adolescence

2025-10-05T01:44:24+02:00

Introduction: Social media has transformed adolescent interactions, fostering the creation of virtual personas that meet the need for belonging but also pose challenges such as isolation and online harassment. Adolescence, characterized by group tendencies, intensifies the search for identity and self-transcendence, as per Frankl’s logotherapy. Objective: To analyze how social media impacts adolescent sociability, considering existential emptiness and radicalization. Methodology: A literature review based on works by Frankl, Freud, and others, alongside 18 articles from repositories like SciELO and PePSIC, and journalistic sources, structured around three axes: technology and communication, the pandemic, and radicalization. Results: Social media promotes controlled sociability but fosters I-It relationships, isolation, and extremism, amplified by the pandemic. The group tendency, linked to existential emptiness, increases susceptibility to radicalization. Conclusion: Social media intensifies isolation and the risk of mass neuroses, necessitating the promotion of responsibility and existential meaning to mitigate radicalization.

Evaluation of the nutritional composition of olive oil and blended vegetable oil commercialized in the city of Fortaleza, Brazil

2025-09-25T15:06:25+02:00

Extra virgin olive oil is widely recognized for its beneficial lipid profile, particularly due to its high concentration of monounsaturated fatty acids, such as oleic acid, and the presence of antioxidant compounds. However, in the Brazilian market, there are products labeled as “blended oils,” which may contain only a small fraction of olive oil in their formulation, potentially misleading consumers. This observational, descriptive-comparative study was conducted in supermarkets in Fortaleza, Brazil, between September 2024 and January 2025. Six products from different brands were collected and categorized into two groups: extra virgin olive oil and blended vegetable oil. Nutritional information was extracted from labels and standardized to 100 mL to enable nutritional comparison. Analysis showed that both groups presented similar energy values (108–117 kcal/13 mL). However, extra virgin olive oils exhibited significantly higher levels of monounsaturated fats (9.1–9.8 g/serving), whereas blended oils had lower levels of this nutrient and higher amounts of polyunsaturated fats, which are more susceptible to oxidation. Furthermore, the labeling of blended oils, containing only 10–15% olive oil, may mislead consumers by suggesting equivalence with pure olive oil. The study highlights the nutritional superiority of extra virgin olive oil compared to blended oils, particularly in terms of monounsaturated fat content and antioxidant potential. It reinforces the importance of careful label reading and nutrition education as strategies for healthier and more informed food choices aligned with cardiovascular health promotion.

Between texts, media, and languages: multiliteracies in the portuguese language classroom

2025-10-15T19:59:49+02:00

This article discusses the theoretical foundations and pedagogical implications of the multiliteracies approach in Portuguese language teaching, in light of the sociocultural and technological transformations that characterize contemporary society. Starting from a critique of the traditional model of teaching centered on normative grammar and alphabetic writing, the text proposes a conception of language as a social, multimodal, and historically situated practice. Grounded in authors such as Rojo (2009, 2012), Kleiman (2005), and the New London Group (1996), the study analyzes the transition from literacy to multiliteracies, highlighting how this shift impacts the role of the school and the teacher in the formation of critical readers and producers of meaning. It also examines the alignment of this perspective with curricular documents PCNs (1998), BNCC (BRASIL, 2018), and the Alagoas Curricular Framework (ReCAL, 2023) which reaffirm the centrality of language in building citizenship and in the ethical use of digital technologies. Finally, it emphasizes the interface between teaching, research, and extension as the core of an educational praxis that integrates multiple languages, media, and knowledges, fostering inclusion, authorship, and critical reflection. It concludes that multiliteracies represent a concrete possibility for re-signifying Portuguese language teaching practices, guiding them toward a democratic, plural, and transformative linguistic education.

Feminine Faces, Spirituality, and Embellishment: Symbolism in Afro-Brazilian Jewelry in 19th-Century Rio de Janeiro

2025-10-21T03:45:34+02:00

This article seeks to portray the relationship between enslaved and freed black women in the 19th century in Rio de Janeiro and their material culture – Afro-Brazilian jewelry. The study analyzes the history and development of slavery with a focus on women during the 19th century, as well as the degrading conditions of existence imposed on these human beings. For this purpose, iconographies created by Jean-Baptiste Debret, Johann Moritz Rugendas, and other artists are used as supporting material. The research highlights the different worldviews, agencies, and strategies organized by these women, even in the face of oppression, which triggered and stimulated the development of various pieces of jewelry and adornments mentioned in this work. In light of this reality, the study underscores the importance of archaeological research focused on the African diaspora and gender, providing more accurate data that was originally neglected in the human sciences, thus granting these women their deserved prominence.

Clinical-functional profile of puerperal women assisted in a maternity hospital in eastern maranhão

2025-10-02T19:02:03+02:00

Introduction: The puerperium is marked by several adaptations of the woman's body, caused by pregnancy and childbirth, with the purpose of reestablishing the body to the pre-pregnancy state. In the immediate puerperium, puerperal women cite their main complaints, which impact on quality of life, such as: perineal pain due to the pressure exerted due to the last weeks of pregnancy and childbirth; constipation due to the fact that the pelvic floor muscles are weakened due to gestational changes and enlargement of the uterus; edema in the lower limbs, among other occurrences. Objective: to analyze the clinical-functional profile of puerperal women assisted in a maternity hospital in the eastern region of Maranhão. Methodology: this is a descriptive, cross-sectional and quantitative research, carried out with 101 puerperal women attended at the Carmosina Coutinho Maternity Hospital, located in the city of Caxias, Maranhão. Results: most women (72.3%) were between the 1st and 3rd day after delivery; the most frequent gestational complications were edema (36.7%), urinary tract infection (22.7%) and gestational hypertension (20.7%). Most women received prenatal care (93%), and 60.3% underwent cesarean section. Conclusion: the evaluation of the functionality of puerperal women, carried out through clinical parameters, demonstrated that most participants had limitations that could be minimized with adequate support. However, the research revealed low adherence or knowledge about physiotherapy in the puerperal context, which highlights a gap in the care provided.

Characterization of Leishmaniasis-related deaths in Brazil (2014–2023)

2025-09-23T20:34:54+02:00

Leishmaniasis is a disease caused by the protozoan Leishmania, transmitted by the bite of phlebotomine sandflies. It may presente as cutaneous lesions or, int the visceral form, affect intern organs such as the liver and spleen, being potentially fatal if left untreated. This study was a retrospective, descriptive, and quantitative investigation aimed at characterizing deaths from leishmaniasis in Brazil between 2014 from 2023. Data were obtained from the Department of Informatics of the Brazilian Unified Health System (DATASUS) and the Mortality Information System (SIM). A total of 2,974 death records were analyzed. The descriptive-analytical findings indicated a predominance of male patients, ag 50-59 years, with mixed race skin, from the state of Maranhão, and with hospital enviroment as the main place of death. The year 2017 recorded the highest number of deaths. The findings demonstrate that mortality from leishmaniasis represents a serious public health problem, exacerbated by factors such as social inequalities, poor access to health services, disorderly urban sprawl, and treatment limitations.

Human Immunodeficiency Virus (HIV) Infection in Pregnant Women Living in a Northeastern Brazilian State: Detection and Geographical Distribution (2014–2023)

2025-10-09T04:33:43+02:00

Objective: To analyze the detection rate of the human immunodeficiency virus (HIV) in pregnant women and its geographical distribution according to Health Regions in the state of Maranhão, Brazil, from 2014 to 2023. Method: Ecological, observational, and descriptive study developed from secondary data obtained from TABNET/DATASUS. All pregnant women notified with HIV infection during the study period were included. Detection rates per 1,000 live births and annual averages per Health Region were calculated. Descriptive analyses, Pearson’s correlation, and spatial distribution assessment were performed. Results: A total of 2,437 notifications were recorded during the study period, decreasing from 281 cases (11.5%) in 2014 to 116 cases (4.8%) in 2023, representing a reduction of 58.26%. The state detection rate increased from 2.27 in 2014 to 2.89 in 2023, with a difference of +0.62. The correlation between rate and year was positive but not significant (r=0.337; p=0.341). Among the Health Regions, rates ranged from 0.10 to 8.15, with higher averages in São Luís (3.61), Pinheiro (3.61), and Açailândia (3.56), and lower averages in Pedreiras (1.10) and Bacabal (1.15), revealing a relevant geographic inequality. In 2020, the rate decreased from 2.45 (2019) to 2.08, coinciding with the COVID-19 pandemic period, followed by an increase in 2021 (2.86). Conclusion: There was a decline in notifications and an increase in the detection rate, with marked geographic variation and temporal influence of the pandemic. These findings highlight the need to expand coverage and quality of HIV testing during prenatal care and to strengthen notification and surveillance

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.

When My Body Dies Before Me: Understanding the Coping with Finitude in Cancer Patients under Exclusive Palliative Care

2025-10-08T15:38:46+02:00

This study aimed to understand the coping strategies for finitude in cancer patients under exclusive palliative care, examining their relationship with the disease experience, death, and the subjective resources mobilized in this process. This quanti and qualitative mixed-methods research was conducted in a public hospital in the Federal District, Brazil, between May and July 2025, with six terminally ill cancer patients. Data were collected through a sociodemographic form, the Folkman and Lazarus Coping Strategies Inventory (1988), and semi-structured interviews analyzed using the Collective Subject Discourse technique. Results indicated that the main coping strategies were self-control, positive reappraisal, acceptance of responsibility, distancing, and social support, whereas confrontation and escape-avoidance were less frequent. Qualitative analysis revealed five central themes: faith, family and social support, physical and emotional suffering, resilience and overcoming, and hope. Faith emerged as a unanimous resource for re-signifying the proximity of death, while family and social support proved essential for participants’ dignity and comfort. The findings demonstrate that coping with cancer in exclusive palliative care transcends the biomedical dimension, integrating emotional, social, and spiritual aspects. It is concluded that spirituality, support networks, and resilience are fundamental pillars in facing finitude, highlighting the need for multiprofessional practices guided by a biopsychosocial-spiritual approach.

Use of supplementation in life cycles: a literature review

2025-10-21T00:00:06+02:00

The use of nutritional supplementation throughout the life cycle plays an important role in maintaining health and preventing deficiencies, covering childhood, adolescence, adulthood, pregnancy, and aging. The objective was to analyze current evidence on the benefits, risks, and applications of supplements such as creatine, whey protein, vitamins, minerals, omega-3 fatty acids, and antioxidant compounds. The methodology consisted of a literature review. In children and adolescents, supplementation is indicated when there are documented deficiencies, contributing to growth, neurocognitive development and immunity; Every prescription must respect age groups and safety. In adults, gains in performance, muscle recovery, and metabolic support stand out, with a consolidated role of creatine in strength and power, and whey in protein synthesis, when necessary. In pregnant women, iron, folic acid, and vitamin D support maternal-fetal outcomes, and screening and dose protocols should be followed. In the elderly, high-quality protein, vitamin D, calcium, and creatine can help prevent sarcopenia, preserving functionality and quality of life. Risks arise from self-medication, contamination, drug interactions and megadoses, especially fat-soluble vitamins; Clinical-laboratory monitoring is recommended. The discussion reinforces individualization, integrating clinical status, eating habits, objectives and cost-benefit. It is concluded that supplementation should act as a complementary and timed resource, anchored in evidence and professional guidance, without replacing a varied and balanced dietary pattern. The adoption of monitoring routines, nutritional education and periodic review of doses enhances results and reduces serious adverse events.

Burnout in nursing professionals and its influence on care provided: a literature review

2025-10-28T02:57:33+01:00

Burnout syndrome has been widely discussed in the health context, especially among nursing professionals, due to the negative impacts it causes both on the mental health of workers and on the quality of patient care. The objective of this study is to analyze how Burnout syndrome influences the care provided by nursing professionals, based on a review of recent scientific literature. The methodology used consisted of a bibliographic search based on scientific articles published between 2020 and 2025, obtained through the databases: Scielo, LILACS, BVS and Google Scholar. The inclusion criteria included studies that addressed the relationship between Burnout and care practices in nursing, with a focus on hospital settings and primary care units.

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.

Perceived subtle gender bias index in the academic environment: cultural adaptation of the perceived subtle gender bias index (psgbi) for Brazil

2025-09-22T22:35:51+02:00

This methodological study, with a qualitative approach and cross-sectional design, aimed to conduct the cultural adaptation of the Perceived Subtle Gender Bias Index (PSGBI) for the Brazilian context. The choice for cultural adaptation is justified by the fact that it is an internationally validated instrument, whose application in another country requires linguistic and cultural contextualization. The process followed seven steps: (1) Initial translation by two bilingual translators; (2) Synthesis of the translations, generating a common version (Version 1); (3) Back-translation by native English speakers with no prior knowledge of the instrument; (4) Review by a multidisciplinary expert committee composed of eight women; (5) Calculation of the Content Validity Index (CVI), with items considered adequate when CVI ≥ 0.80; (6) Pretest with 34 faculty members and/or researchers from different fields, also using the Feasibility Assessment Questionnaire; and (7) Final adjustments based on the participants’ suggestions and questions. The analysis revealed semantic, idiomatic, cultural, and conceptual equivalence between the translated and original versions, as well as good comprehension and acceptance of the items by the participants. The respondents’ suggestions were discussed with the committee for the development of the final version of the instrument. It is concluded that the Brazilian version of the PSGBI presents initial evidence of content validity and is suitable for assessing subtle forms of perceived gender bias in the Brazilian academic environment. Conducting studies to determine the psychometric properties of the PSGBI – Brazilian Version is of great importance.

Psychology and existential vacuum: the lack of meaning in the era of artificial intelligence

2025-09-26T00:08:40+02:00

The rise of artificial intelligence (AI) has sparked ethical, social, and psychological debates, particularly concerning the risk of profession extinction and the consequent impact on human existential meaning. This study aims to analyze, from a phenomenological and logotherapeutic perspective, the effects of technological advancement on existential emptiness and psychological suffering in contemporary society. The methodology was based on a narrative review, supported by scientific literature, classical works of existential psychology, as well as journalistic articles published between 2010 and 2023. The results indicate that technological evolution, although inevitable and necessary for human progress, generates increased job insecurity, anticipatory anxiety, and psychological vulnerability associated with the risk of mass unemployment. It was also found that work, as a source of meaning, undergoes disruptions that may trigger existential frustrations and noogenic neuroses. It is concluded that adaptation is an essential condition for coping with the effects of technology, with logotherapy being a key resource for reframing suffering and fostering self-transcendence, thus transforming the challenge of existential emptiness into an opportunity for human growth.

Behavioral Profile of Women with Obesity in a Continuing Care Group at a Primary Health Unit in Brasília/DF – Brazil

2025-10-21T23:07:10+02:00

Objective: To describe the socioeconomic, clinical and behavioral profile of women with obesity participating in a continuous care group at primary health care and to analyze the effect of a multiprofessional intervention on anthropometric parameters and lifestyle habits. Methods: Longitudinal descriptive study with 27 women (body mass index ≥ 30 kg/m²) followed by a primary health care unit in the Federal District, Brazil. Sociodemographic information, health conditions, eating habits, physical activity, and anthropometric measurements were collected before and after participation in at least seven in-person meetings of the 'Viver Melhor' group, over a minimum period of three months. Descriptive statistics were applied and mean differences were compared. Results: Most participants were married (55.6 %) and had completed secondary education (40.7 %). Women were primarily responsible for household food purchases (70.97 %) and meal preparation (80 %). Although 70.3 % had previously attempted dieting, 96.3 % had never taken part in weight‑loss groups. Hypertension (36.4 %), diabetes (18.2 %) and dyslipidemia (15.9 %) were common comorbidities. Baseline mean weight was 88.63 kg (± 11.18) with a mean BMI of 34.92 kg/m² (± 3.23); after the intervention, mean weight decreased to 87.72 kg (± 12.93) and some participants shifted from obesity to overweight.All participants reported positive changes, including improved willingness to engage in physical activities and healthier food choices, such as reduced consumption of sugary drinks, increased intake of vegetables, and a decrease in the number of participants eating meals with some form of distraction.Conclusion: The multiprofessional group in primary health care fostered modest yet meaningful improvements in anthropometric indicators and encouraged lifestyle changes. Integrated health‑care actions grounded in theoretical frameworks such as the Transtheoretical Model and Cognitive Behavioral Therapy were effective in promoting autonomy and adherence among women with obesity, underlining the value of collective strategies within primary health care.

Health and work: a study on absenteeism in supermakets in Marabá

2025-10-04T16:43:41+02:00

This study aimed to analyze sickness-related absenteeism in a supermarket chain located in Marabá, in the northern region of Brazil. Absenteeism was understood as the worker’s absence due to health, organizational, or personal factors. The research adopted a documentary approach, using records from the company’s Human Resources department covering the period from January 2022 to January 2025. A total of 296 medical certificates were examined, accounting for 2,876 days of absence. The data revealed a predominance of absences in the operational sector, followed by the front-of-store and administrative sectors, with a notable prevalence of female workers. The main medicais diagnoses were related to musculoskeletal disorders, fractures, respiratory infections, and reproductive health conditions such as maternity leave and high-risk pregnancy supervision. Most employees on leave had completed secondary education, with some variation in the operational sector. Conducting this study in Brazil’s North region highlights the importance of expanding occupational health research in underrepresented contexts, contributing to more inclusive public policies and organizational practices. Despite the advances provided by the research, some limitations must be acknowledged. The analysis was restricted to available documentary data, which may have limited the understanding of subjective and contextual factors influencing absenteeism, such as organizational climate, emotional strain, and perceptions of well-being. Furthermore, the absence of interviews or questionnaires applied directly to employees prevented a deeper exploration of personal and organizational aspects. Future studies are encouraged to incorporate complementary approaches to broaden the understanding of health-related absenteeism in the retail sector.

Epidemiological analysis of cytopathological tests of the cervix in the municipality of Bragança-PA, from 2015 to 2024

2025-10-17T04:58:16+02:00

Cervical cancer remains a major public health issue in Brazil and worldwide, with the cytopathological exam (Pap smear) being one of the main tools for screening and prevention. This study aimed to analyze the epidemiological profile of cervical cytopathological exams performed in the municipality of Bragança, Pará, from 2015 to 2024, highlighting temporal evolution, sociodemographic characteristics of the women examined, sample quality, and distribution of cytological alterations. It is an epidemiological, descriptive, and retrospective study based on secondary data from the Cancer Information System (SISCAN), considering variables such as age group, race/skin color, educational level, sample adequacy, and types of cellular atypia. A total of 41,846 exams were analyzed, with a predominance of mixed-race women (49.79% brown and 44.57% yellow), mostly aged between 25 and 44 years (53.9%). A positive evolution was observed in the number of exams, with progressive growth after 2020, reflecting post-pandemic recovery and consolidation of screening activities. Most samples were satisfactory in quality (96.8%) and adequately represented the transformation zone (60.25%). Among cytological alterations, low-grade intraepithelial lesions (HPV/NIC I) were the most frequent, followed by atypical squamous cells of undetermined significance (ASC-US), mainly in younger age groups. High-grade lesions and invasive carcinomas were less common but more prevalent among women over 35 years old. It is concluded that cervical cancer screening in Bragança has shown significant advances in coverage and quality, but still faces challenges regarding the completeness of records and equity in access. The findings highlight the importance of strengthening surveillance systems, continuous team training, and the gradual implementation of molecular HPV testing as a complementary strategy to improve early diagnosis and reduce cervical cancer mortality.

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.

Ocular Inflammation and Uveitis: Insights into Immunology and Therapeutics

2025-09-24T18:48:04+02:00

Ocular inflammation, particularly uveitis, represents a significant global cause of visual impairment and blindness, affecting individuals across different age groups and geographical regions. This work provides a comprehensive overview of the immunological basis of ocular inflammation, with emphasis on cytokines, chemokines, and cellular infiltration processes that contribute to the pathophysiology of uveitis. The study reviews the epidemiology, classification, and clinical manifestations of uveitis, highlighting the impact of infectious and non-infectious etiologies. Special attention is given to the molecular pathways involved in ocular immunity, as well as to the advances in immunomodulatory and biological therapies, such as monoclonal antibodies and emerging nanomedicine-based strategies. The discussion also addresses the challenges of treatment adherence, adverse effects of conventional therapies, and the need for personalized medicine. Future perspectives point to the integration of gene therapy and artificial intelligence as promising tools to optimize diagnosis, management, and prognosis of ocular inflammatory diseases. These insights contribute to a deeper understanding of ocular immunopathology and pave the way for safer and more effective therapeutic strategies.

Recurrent vulvovaginitis: habits, hygiene products, behaviors and related factors, an integrative review of the period 2014 to 2023

2025-10-20T00:27:21+02:00

Introduction: Among the most common complaints among women of reproductive age, vaginal discharge, burning, and itching deserve special mention. These symptoms, especially those associated with vulvovaginitis (VV), directly impact the lives of patients with recurrent cases, causing discomfort, generating expenses, compromising tasks and relationships, and exacerbating negative feelings. Unfortunately, healthcare, especially when it comes to female genital care, involves several taboos, making it difficult to elucidate aspects that may be associated with recurrence. Objective: To analyze habits, hygiene products, behaviors, and factors that may be related to the occurrence and recurrence of VV. Methodology: Integrative literature review of articles published between 2014 and 2023 in the SCIELO, PUBMED, and BVS databases. A combination of descriptors in Portuguese, English, and Spanish was used. Results and discussion: Thirteen articles were selected for this review. It has been observed that socioeconomic status, when it interferes with knowledge acquisition, and the modern lifestyle, with little time for self-care, predispose women to developing VV. Habits that can contribute to this imbalance include excessive cleansing of the vaginal area; douching; the use of non-breathable pads, intimate soaps, and products such as deodorants; tight clothing; the types of underwear worn; and intimate waxing. Regarding sexual behavior, partners can act as a reservoir for Candida, and anal sex, when fecal matter is transported, can increase the risk of infection. Other factors still require further investigation. Final considerations: Many of the harmful habits mentioned are part of the daily lives of women with VV. Therefore, it is essential that they are informed about the risks of certain practices. It is up to healthcare professionals to promote education for the prevention and control of this disease, with a personalized approach to changes in care practices.

The Use of Benznidazole in the Treatment of Patients with Acute Chagas Disease: A Literature Review

2025-09-24T14:31:09+02:00

Chagas disease (CD), caused by the protozoan Trypanosoma cruzi, affects several regions of Brazil, especially vulnerable areas. In the acute phase, CD can present with fever, headache, swelling, nausea, and intense weakness, while in the chronic phase, cardiac and gastrointestinal impairment. Transmission can occur orally, vertically, through blood transfusions, organ transplants from infected donors, and laboratory accidents. Benznidazole (BZN) is the main medication used to treat the disease and is currently offered by the Unified Health System (SUS). Its efficacy is proven but can cause adverse effects such as headache, fever, nausea, and heart disease. In cases of congenital Chagas disease, treatment should be as rapid as possible, thus enabling a 90% cure rate. This is extremely important for newborns, pregnant women, and women of childbearing age. Controlling CD requires early diagnosis and treatment to improve clinical cases and improve the quality of life of these patients, both to prevent more serious complications and to control the infection.

Peanut production at different population densities

2025-10-09T15:11:19+02:00

Given the scarcity of information on growing peanuts at different population densities for the BR 1, BRS 151 L7, BRS Havana and Tatuí varieties, this work was carried out with the aim of evaluating the behavior of these cultivars in relation to different planting densities and contributing to boosting production by adding practical recommendations. The experiment was carried out in Cáceres (MT), in a randomized block design in a 4 x 3 factorial scheme, with four cultivars (BR 1, BRS 151 L7, BRS Havana and Tatuí) and three sowing densities (6, 8 and 10 plants per linear meter), and three replications, totaling 36 plots. The variables analyzed were: number of pods per plant; number of grains per plant; number of grains per pod; pod yield per plant; grain yield per plant; thousand-grain weight; yield in pods and yield in grains. Among the cultivars, grain yield was highest for BR 1(2114 kg ha^-1) and BRS 151 L7 (1931 kg ha^-1), with no difference in yield depending on the number of plants per linear meter. As for pod yield, it was highest for cultivar BR 1 with six plants per linear meter, and cultivar BRS 151 L7 achieved the highest yield with eight plants per linear meter. The highest yields of peanuts in shell were achieved by the BR1 cultivar using 6 to 8 plants per linear meter. As for grain yield, cultivar BR1 and cultivar BRS 151 L7 have the highest yields regardless of plant density

Uveitis secondary to hemoparasitosis in dogs: a case report

2025-10-21T02:05:40+02:00

The uvea, consisting of the iris, ciliary body, and choroid, is crucial for ocular vascularization and pigmentation. Uveitis, an inflammation of this layer, can be triggered by various systemic and infectious diseases. Babesiosis, caused by the protozoan Babesia spp. and transmitted by Rhipicephalus ticks, is a notable cause of uveitis in dogs. In babesiosis, the protozoan infects erythrocytes, leading to an immune response that results in the formation of immune complexes. These complexes can deposit in the uvea, causing inflammation and complement system activation, which leads to ocular damage. Clinically, uveitis associated with babesiosis presents with symptoms such as corneal opacification (flare), corneal precipitates, and ocular discharge. Systemic infection often accompanies anemia, thrombocytopenia, and hepatic enzyme alterations. This study underscores the importance of considering parasitic infections like Babesia canis in the differential diagnosis of uveitis. Effective management of babesiosis is crucial for addressing ocular inflammation and preventing severe complications. The findings highlight the need for comprehensive diagnostic approaches in cases of uveitis to ensure appropriate treatment and resolution.

Integrative and complementary practices in the prevention and treatment of diabetic foot ulcers

2025-10-01T20:59:15+02:00

Objective: To evaluate the effectiveness of Integrative and Complementary Health Practices (ICHP) in the prevention and treatment of diabetic foot ulcer (DFU), focusing on wound healing, reduction of complications, and improvement of quality of life. Methods: Qualitative integrative review, with searches conducted in PubMed, SciELO, VHL, and VHL-MTCI databases over the past 10 years, using the descriptors "diabetic foot," "complementary therapies," and related terms. Eight studies were included after screening for eligibility criteria (Portuguese/English languages, open access, clinical approach to ICHP). Results: It was identified that: laser therapy and LED phototherapy accelerate healing; herbal medicines (Calendula, Copaiba) have anti-inflammatory effects; sea salt spray showed antimicrobial action; and skin thermometry helps in prevention. These therapies demonstrated effectiveness, low cost, and lower risk of adverse effects compared to conventional treatment. However, implementation faces challenges such as lack of standardization and trained professionals. Conclusion: ICHP represent a promising strategy in DFU management but require standardized protocols, professional training, and public policies for expansion within the Brazilian Unified Health System (SUS). Their integration into conventional care may improve clinical outcomes and patients’ quality of life.

Energy optimization in an educational institution in Vitória da Conquista: a techno-economic feasibility case study

2025-10-20T21:05:20+02:00

The growing demand for sustainability and operational cost reduction drives the need for energy consumption optimization in commercial and educational buildings. This

article presents a detailed case study conducted at the Federation of Industries of the State of Bahia (FIEB) unit in Vitória da Conquista to assess the potential for energy efficiency through the modernization of its lighting and air conditioning systems. The methodology consisted of an energy diagnosis, including the analysis of 2023 energy bills, an inventory of installed loads, and the development of technological replacement proposals. The results indicate a potential monthly saving of BRL 1,553.92 by replacing 872 fluorescent lamps with LED models, requiring an investment of BRL 35,575.98 and showing a discounted payback period of 2.2 years. Additionally, the replacement of 66 low-efficiency air conditioning units with high-performance models (PROCEL A- rated) would generate monthly savings of BRL 10,293.38, with an investment of BRL 449,474.00 and a discounted payback period of 4 years. The study concludes that the proposed interventions are technically and economically feasible, offering a practical roadmap for other institutions to achieve significant cost reductions and improved environmental performance.

Using drones to Identify potential breeding sites of the Aedes aegypti mosquito in the university neighborhood, Areia-PB

2025-10-28T03:44:01+01:00

Arboviruses, such as Dengue, Zika, and Chikungunya, represent a serious and ongoing public health challenge, with the control of their main vector, the Aedes aegypti mosquito, being a complex task. Conventional surveillance strategies face severe operational limitations, especially in inspecting hard-to-reach areas like rooftops, slabs, and the backyards of closed properties, which become "blind spots" and potential unmonitored breeding sites. Given this scenario, the present study proposes and validates an innovative methodology based on geotechnologies to enhance vector control in the municipality of Areia, Paraíba. Using an Unmanned Aerial Vehicle (UAV) equipped with a high-resolution camera, a detailed aerial mapping of the study area was conducted. The collected images were processed to generate a georeferenced orthomosaic, which served as a basis for the visual identification of potential breeding sites within a Geographic Information System (GIS) environment. The analysis allowed for the precise location of epidemiologically relevant risk targets, such as uncovered water tanks, untreated swimming pools, and an exposed cesspool. The results confirm that the approach is highly effective in overcoming the physical barriers of ground-based surveillance, enabling a transition from a reactive model to one of precision surveillance. This methodology not only optimizes the allocation of resources and the deployment of health teams but also generates cartographic products that can be used in community engagement campaigns, establishing a strategic, low-cost, and replicable model to modernize the fight against the mosquito.

Democratic Management as a Principle of Quality in Public Education: Perspectives, Challenges, and Participatory Practices

2025-10-15T16:14:11+02:00

Democratic management has been consolidated as a dynamic and essential process for the effective implementation of collective participation in school institutions, ensuring practices of collaboration and engagement of the educational community. This form of management requires a deep understanding of the challenges present in pedagogical practice, articulating theory and action in the school context. Participatory management, understood as a fundamental principle for educational quality, is based on the construction of mutual relationships between the school team and the administration, guided by commitment, shared responsibility, and professionalism. Therefore, this study aims to analyze the participation of principals and advisors in the process of democratic management in public schools, highlighting its relevance, as well as the advances and challenges faced in this context. Furthermore, it seeks to present the main instruments that support participatory and autonomous management within public schools. The research adopts a qualitative bibliographic approach, based on the collection and analysis of data obtained through books, scientific articles, journals, and other documents that contributed to the understanding and reflection of the results achieved.

Morphometric Characterization and Environmental Analysis of River Basins: An Integration of Geotechnologies and Hydrological Indicators for Sustainable Planning

2025-10-24T05:42:56+02:00

The watershed is the fundamental territorial unit for the planning and management of water resources, as it integrates physical, biotic, and anthropic processes. Morphometric analysis, based on classic works, is presented as an essential quantitative tool to understand the hydrological response and susceptibility to floods and erosion, with its analytical potential expanded by geotechnologies, such as GIS and remote sensing. The study's methodology consisted of a literature review focused on the Brazilian context, identifying a consolidated workflow that starts with the automatic delineation of basins using Digital Elevation Models, followed by the calculation of morphometric parameters and the analysis of land use with satellite imagery, all integrated by the Landscape Geoecology approach. The discussed results indicate that this combination of techniques allows for robust diagnoses, revealing the strong anthropic pressure on water resources, such as the improper occupation of Permanent Preservation Areas (PPAs), where a case study pointed out that 59% of spring-related PPAs were irregularly occupied. The discussion reinforces that the most effective methodology cross-references morphometric indicators with land use data and the legal boundaries of PPAs to prioritize management areas. Finally, the work concludes that the integrated characterization, combining morphometry, geotechnologies, and the geoecological approach, is indispensable for sustainable planning, providing the quantitative foundations, operational tools, and theoretical framework for effective water resource management

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.

Probiotic potential and technological properties of lactic acid bacteria isolated from Minas Frescal cheese

2025-09-16T23:27:14+02:00

Lactic acid bacteria (LAB) are recognized for their biotechnological and industrial potential, particularly due to the production of bacteriocins, organic acids, and hydrogen peroxide, compounds associated with antimicrobial activity and applicable as natural preservatives. The isolation of LAB from foods, especially milk and dairy products, is strategic for the development of new probiotic products. This study investigated the occurrence and probiotic potential of LAB isolated from Minas Frescal cheese. Biochemical identification included Gram staining, catalase test, gas production from glucose, arginine hydrolysis, and growth under different temperatures and NaCl concentrations. Probiotic and technological assessments included inhibition assays against Staphylococcus aureus and Escherichia coli, tolerance to acidic pH values (7.0, 3.0, and 2.5), and bile salt concentrations (0.3 - 0.7%), as well as analyses of enzymatic and metabolic activity. All isolates were Gram-positive, catalase-negative, and mostly belonged to the genus Leuconostoc (73.3%). Regarding antimicrobial susceptibility, 96.6% of the isolates were sensitive to ampicillin, and 3.3% were sensitive to imipenem. Strong inhibitory activity was observed against S. aureus and E. coli; however, the cell-free supernatant did not exhibit antagonistic effects. Most strains (96.6%) survived at pH 2.5, and all tolerated bile salts. High proteolytic activity (>97%) was detected, whereas production of diacetyl, capsule, lipase, and hydrogen peroxide was absent. Lactic fermentation occurred in 96.6% of the strains, characterized by the formation of a gel. In conclusion, LAB isolated from Minas Frescal cheese exhibited promising probiotic and technological properties, highlighting their potential application in functional foods with benefits for gut health and food safety.”

The Impact of Youth, Adult and Elderly Education (EJAI) on Students’ Professional Trajectory and Autonomy

2025-09-19T17:07:10+02:00

Schooling aimed at young people, adults, and the elderly constitutes an indispensable alternative for understanding how late educational trajectories impact individual autonomy and integration into the labor market. This study aimed to examine the effects of this modality on students’ lives, drawing on frameworks related to lifelong learning, educational equity, and inclusion policies. The investigation was based on an integrative literature review, encompassing national and international publications from the last decade, selected from scientific databases through combined descriptors and clearly defined eligibility criteria. The findings show that this educational provision broadens cultural repertoires, strengthens cognitive and digital skills, and creates conditions for greater social and professional participation, particularly in contexts of inequality. It also became evident that contextualized pedagogical practices, combined with technological resources, foster meaningful learning and the development of autonomy. The study concludes that this modality is not limited to a compensatory function but stands as a strategic space for education, capable of promoting social transformation and strengthening citizenship. The results reinforce the need for consistent policies and teacher education that is sensitive to diversity, ensuring that today’s schools fulfill their commitment to equity and educational justice.

International legal cooperation in combating corruption and money laundering

2025-09-22T02:09:05+02:00

Corruption and money laundering are transnational phenomena that challenge state sovereignty and demand coordinated global responses. International legal cooperation thus emerges as a key instrument for investigation, prosecution, and asset recovery. This study aimed to analyze the main normative frameworks, mechanisms, and challenges of international cooperation in tackling these crimes, with emphasis on the period from 2015 to 2025. It is a narrative literature review, complemented by integrative elements, conducted in indexed databases (Scopus, Web of Science, PubMed, SciELO) and in institutional portals (UNODC, FATF/GAFI, OECD, OAS/MESICIC, and Egmont Group). Normative documents, national legislation, and peer-reviewed articles were included, categorized into six thematic axes: international normative frameworks, cooperation instruments, beneficial ownership transparency, financial intelligence, peer monitoring, and the Brazilian case study. Results show that, despite the existence of multilateral conventions such as UNCAC and UNTOC, and international standards established by FATF and OECD, significant gaps persist, such as delays in mutual legal assistance requests, lack of reliable beneficial ownership registries, and institutional asymmetries among countries. In Brazil, advances such as the creation of COAF, the enactment of Law 12.846/2013, and the role of DRCI highlight greater alignment with international commitments, although structural challenges remain. It is concluded that the effectiveness of cooperation depends on regulatory harmonization, corporate transparency, and the strengthening of national institutions, so as to translate normative commitments into concrete results.

The contribution of physiotherapy in primary care for child motor development of patients with autism spectrum disorder

2025-09-22T02:23:16+02:00

Objective: This study aims to analyze the contribution of physical therapy in the context of Primary Health Care to the motor development of children with Autism Spectrum Disorder (ASD). Considering that ASD can significantly impact motor development, the role of the physical therapist at this level of care is essential to promote functional skills, increase mobility, and foster the child's autonomy in their daily activities. Method: The methodological principles are based on a literature review, considering studies and guidelines involving physical therapy practice in Primary Care for children with ASD. The physical therapy intervention involves individualized monitoring, application of physical therapy techniques with detailed functional assessment, and individualized treatment planning Results: Analysis of the studies revealed that physical therapy in Primary Care significantly contributes to improving the motor functions of children with ASD. Among the observed benefits are increased muscle strength, improved overall and fine coordination, greater postural stability, and improved performance of activities of daily living. Conclusion: Physical therapy plays an essential role in Primary Care, working not only in motor rehabilitation but also in promoting functionality and quality of life for children with ASD. Working alongside other health professionals allows for more comprehensive and efficient care. Therefore, the presence of a physical therapist on the Primary Care team is strategic for ensuring adequate motor development, promoting greater independence, and facilitating the social inclusion of these children.

Integral Education: Beyond the Extension of School Hours

2025-09-23T16:53:32+02:00

Full-time schooling in Brazil has been shaped by advances, discontinuities, and reinventions across different historical and political contexts. Experiences such as the Integrated Centers for Public Education (CIEPs) and the Centers for Comprehensive Child Care (CAICs) demonstrate that integrality has been conceived as a response to social and educational inequalities. However, its consolidation continues to face structural obstacles, policy discontinuity, and challenges related to the effectiveness of pedagogical practices. This article analyzes recent literature on the subject and highlights that integral education must be understood beyond the mere extension of school hours, taking shape as a reorganization of school time and space. From this perspective, integrality enables interdisciplinary practices that articulate culture, arts, sports, science, and citizenship, fostering meaningful learning and broadening the conditions for equity in access to knowledge. The analysis also shows that the implementation of this model requires consistent public policies, adequate teacher training, and stronger articulation between school, community, and the State. By problematizing the potential and limitations of full-time schooling, this study contributes to the contemporary debate on the role of public education in building a fairer, more democratic, and inclusive society.

Reception, public policies and the impacts of sexual violence against women: a narrative review

2025-09-23T17:06:06+02:00

Objective: To analyze reception strategies, the evolution of public policies, and the impacts of sexual violence against women. Methods: A narrative review was conducted in national and international databases (VHL, SciELO, PubMed) and Google Scholar, with no time restrictions. Original articles, reviews, institutional reports, and legal documents addressing victim reception, addressing sexual violence, and Brazilian public policies were included. The texts were read in full, critically reviewed, and descriptively synthesized. Results: The analysis identified that humane reception is essential for empowering victims, fostering bonds of trust and access to a safety net. Brazil has made progress in public policies, notably the Maria da Penha Law, the Women's Living Without Violence Program, and the Feminicide Law, although gaps persist in coverage, service integration, and overcoming cultural barriers. The impacts of sexual violence have been demonstrated across multiple dimensions: physical (infections, unwanted pregnancies), psychological (anxiety, depression, post-traumatic stress disorder), and social (school dropout, unemployment, family breakdown), with lasting effects on victims' quality of life. Conclusion: Sexual violence against women remains a serious public health problem, with individual and collective repercussions. Strengthening support services, expanding support networks, and intersectoral integration are essential to reduce harm and promote reparation. Robust public policies, combined with sensitive and inclusive clinical practices, are crucial to effectively addressing this complex phenomenon.

Rehabilitation with virtual reality in neurological patients

2025-09-23T17:26:24+02:00

This work presents a literature review on the application of virtual reality (VR) in the rehabilitation of neurological patients. The research was based on recent academic publications analyzing the effects of VR in motor, cognitive and emotional recovery processes. Databases such as SciELO, PubMed, were consulted, considering studies from 2015 to 2025. The results indicate that VR can be an important ally in neurorehabilitation, with significant improvements observed in patients with stroke, multiple sclerosis, and spinal cord injuries. Furthermore, it highlights increased patient engagement and motivation during therapy. Nevertheless, challenges remain regarding protocol standardization and access to the technology. It is concluded that VR is a promising tool that still requires further investment in controlled clinical research.

Pejotization: employment relationship and the convergence between the civil code and the Consolidation of Labor Laws (CLT)

2025-09-25T16:25:19+02:00

Pejotization represents a growing practice in the Brazilian labor market, characterized by hiring professionals as legal entities instead of through the CLT employment regime, aiming to reduce labor and tax burdens. This contracting model has generated relevant debates regarding its effects on labor protection, social security, and the economic balance of labor relations, especially after the 2017 Labor Reform and the advancement of flexibilizing court decisions. The objective of this study was to analyze to what extent pejotization constitutes a legitimate form of labor flexibility or a labor fraud, considering its legal, economic, social security, and tax implications. Methodologically, a qualitative, descriptive, and documentary research was conducted, based on the analysis of legislation, legal doctrine, case law from the Superior Labor Court (TST) and the Federal Supreme Court (STF), as well as official statistical data from IBGE, Federal Revenue Service, INSS, and SEBRAE. Comparative simulations of labor and tax costs between CLT and PJ modalities in companies under the Presumed Profit and Actual Profit tax regimes were also carried out. The results showed that pejotization provides significant savings for employers while fully transferring risks and reducing workers’ rights, generating individual economic losses and compromising social security funding. Furthermore, a jurisprudential trend of flexibility was observed, with the STF extensively applying ADPF 324 and Topic 725, expanding the legal space for hiring through legal entities even in the presence of subordination and personal nature of services. It is concluded that pejotization, under the guise of contractual autonomy, has operated as an instrument of labor precarization and weakening of the social security system, requiring critical review to ensure balance between economic freedom and social protection in the Brazilian legal system.

Teacher training in religious education: challenges, impacts and perspectives in contemporary education

2025-09-25T16:38:42+02:00

This article analyzes the lack of initial and continuing training of Religious Education teachers and the impacts of this gap on the teaching and learning process. The research, qualitative in nature, was developed through a bibliographic review, based on the analysis of ten scientific articles published in national journals. The study showed that the subject faces conceptual, methodological, and identity weaknesses that hinder its consolidation as a curricular component aimed at citizenship, pluralism, and a culture of peace. The results were organized into three axes: (a) the professional identity of Religious Education teachers, still under construction and marked by the absence of structured training; (b) the need to value cultural and religious diversity, with emphasis on the recognition of African-based religions and the promotion of inter-religious dialogue; and (c) the contemporary challenges related to the integration of digital technologies and Education 5.0. It is concluded that the consolidation of Religious Education depends on the implementation of public policies for initial and continuing teacher training that combine epistemological foundations, respect for diversity, and digital skills. Only with well-prepared teachers will it be possible to strengthen the subject as a democratic, inclusive, and updated curricular component, capable of effectively contributing to the integral formation of students.

Digital protocol exocad in restorative dentistry: efficiency, personalization, and clinical predictability

2025-09-25T18:04:56+02:00

Digital transformation in restorative dentistry has revolutionized clinical and laboratory workflows, providing greater accuracy, efficiency, and treatment predictability. Among the available technologies, Exocad (DentalCAD) stands out as one of the most versatile and widely used platforms, integrating intraoral scanning, cone-beam computed tomography (CBCT), facial imaging, and functional records within a single digital environment. This study conducted a narrative review with a critical and integrative approach, structured using the SALSA framework (Search, AppraisaL, Synthesis, and Analysis), covering publications from 2018 to August 2025. Searches were performed in the PubMed/MEDLINE, Scopus, Web of Science, ScienceDirect databases and institutional repositories of manufacturers and dental associations. The results indicate that Exocad use leads to a significant reduction in clinical and laboratory time, enhanced interdisciplinary communication, and greater esthetic and functional predictability of restorations compared to conventional methods. However, key limitations were identified, including high implementation costs, the need for continuous professional training, and a lack of long-term clinical studies. It is concluded that Exocad has a high disruptive potential in restorative dentistry, representing an essential tool for more efficient and personalized care, although its adoption must be supported by robust scientific evidence and standardized protocols.

Effects of physical exercise on mental health and academic performance of university students: a systematic review

2025-09-25T18:17:35+02:00

This study aimed to synthesize scientific evidence on the effects of physical exercise on the mental health and academic performance of university students. This is a systematic review conducted according to PRISMA guidelines, with searches performed in PubMed, Scopus, Web of Science, SciELO, and PsycINFO, between 2015 and 2024. Randomized clinical trials and quasi-experimental studies that evaluated physical exercise interventions in university students were included. The results indicated that physical exercise is consistently associated with reduced symptoms of burnout, depression, anxiety, and stress, as well as improvements in physiological markers such as heart rate variability. Aerobic, resistance, and mind-body modalities demonstrated efficacy, especially combined interventions (physical and psychological). It is concluded that physical exercise is an effective and feasible strategy for promoting mental health and potentially improving academic performance in university students.

Brucellosis and Infectious Bovine Rhinotracheitis (IBR) in the Dairy Cattle: a systematic approach

2025-09-25T18:28:59+02:00

Brucellosis, a zoonosis caused by gram-negative bacteria, its causative agent is Brucella, mainly known for infertility problems and abortions in cattle farming. Bringing economic losses and with wide distribution in Brazil, as well as worldwide. This bacterium was initially discovered in 1895 by Bernhard Bang in Veterinary Medicine, affecting about 10 species of animals. Being able to remain outside the host for up to 5 days, Brucella survives on foods of animal origin, such as milk and meat in natura, and can be transmitted in the absence of correct preparation of the same. For an animal to be infected by B. abortus, direct contact of the mucosa with the agent is necessary, with the oral mucosa being the main route for contagion. The National Program for the Control and Eradication of Brucellosis and Tuberculosis (PNCEBT) has defined the monitoring and mandatory monitoring of calves by registered veterinarians together with the state's agricultural defense agencies. Infectious Bovine Rhinotracheitis (IBR), an obligate intracellular virus, affects the respiratory and reproductive tracts of ruminants, and is its main form of contamination and transmission through direct contact with infected animals. The first description of the disease was given in XIX, in Germany, and it spread worldwide with about 30-70% of Brazilian bovine herds affected. The clinical sign of IBR is the formation of pustules and nasotracheal secretions. For diagnosis, laboratory tests, seroneutralization or ELISA tests should be performed. The control of the pathology can be carried out with or without vaccination, and the history of occurrences of each property should be evaluated. In Paraná, 90.5% of dairy cattle are affected by the disease, in which research in the western region of the state found 190 positive animals out of 295 herds analyzed.

Self-medication in old age: risks and the importance of nursing in care

2025-09-25T19:20:18+02:00

This study, titled "Self-Medication in the Elderly: Risks and the Importance of Nursing Care," aims to analyze the risks associated with the indiscriminate use of medications among the elderly and reflect on the role of nursing in promoting safe medication practices. The research was conducted through an integrative literature review, gathering articles published between 2013 and 2025 in relevant databases, using the descriptors "self-medication", "elderly" and "nursing". Data analysis revealed that factors such as lack of medical guidance, easy access to medications, and a lack of information are determinants for self-medication, which can cause serious health damages, such as drug interactions and complications from pre-existing diseases. In conclusion, the study highlights the urgent need for educational and preventive actions by the nursing team, aiming to raise awareness among the elderly about rational use of medications and reduce health risks for this population.

Risk mitigation strategies in exports to markets with exchange restrictions: an integrative review

2025-09-26T21:43:20+02:00

This article presents an integrative literature review on risk mitigation strategies in exports to markets with exchange restrictions. A total of 52 publications were analyzed, including peer-reviewed articles and institutional reports from international organizations, published between 2000 and 2025. The results were organized into three main axes: (i) financial strategies, such as derivatives, natural hedging, and currency invoicing; (ii) operational and contractual strategies, involving exchange rate adjustment clauses, shorter payment terms, and geographic diversification; and (iii) institutional instruments, such as letters of credit, export credit insurance, and support from export credit agencies. The analysis revealed that there is no single solution to risk mitigation in contexts of exchange restrictions, but rather a need for hybrid strategies that combine financial, contractual, and institutional mechanisms. It is concluded that the alignment between business practices and public policies is essential to reduce transaction costs and ensure international competitiveness, especially for small and medium-sized enterprises.

Maxillary sinus mucocele with atypical evolution – a literature review and case report

2025-09-26T21:59:40+02:00

The objective of this study was to report a clinical case of diagnosis and treatment of mucocele and to present a review of the literature that deals specifically with this topic. The clinical case refers to the care referred to a patient who sought the Stomatology Clinic complaining of the presence of a lesion in the left jaw, which emerged was identified eight months ago, also reporting the completion of an exodontia of # 26 times ago. The patient was treated with clinical procedures and a negative aspiration puncture, followed by an excisional biopsy based on the Caldweel-Luc technique. From these procedures, it was possible to remove a content with thick consistency and greenish color, whose origin was identified in the secretion of mucus. The conclusions of the study point out that the accurate and safe diagnosis of any abnormalities in the maxillary sinuses is indispensable the knowledge about salt anatomy and variations, since they endow the dental professional with the capacity of a good interpretation of the situation of his patient and, in this way, facilitate the most appropriate choice for treatment.

Chronic complications of diabetes mellitus and the role of nurses in secondary prevention

2025-09-30T21:53:24+02:00

The objective of this research was to identify, through the scientific literature of the last five years, the chronic complications of Diabetes Mellitus and the role of nurses in the secondary prevention of these complications. Method: The methodology adopted was an integrative literature review, using the PRISMA protocol to organize and analyze the selected studies. The PICO strategy was employed to formulate the research question, and the search was conducted in the LILACS and SciELO databases, resulting in four full-text articles in Portuguese. The research covered studies published between 2021 and 2025. Results: The results showed that chronic complications associated with Diabetes Mellitus, such as neuropathy, retinopathy, nephropathy, and cardiovascular diseases, are responsible for significant morbidity and mortality rates, directly impacting the quality of life of patients. The role of the nurse was found to be essential in continuous glucose monitoring, health education, and complication prevention. The review revealed that education on healthy habits, glycemic control, and monitoring comorbidities such as hypertension and dyslipidemia are key practices for secondary prevention. However, challenges such as treatment non-adherence, resource scarcity, and inadequate professional training were identified as barriers to effective interventions. Conclusion: It is concluded that the nurse plays a crucial role in the secondary prevention of Diabetes Mellitus complications, being essential for early complication detection and promoting self-care among patients. To optimize outcomes, investment in professional training and greater access to care, especially for vulnerable populations, is necessary. Public policies that integrate multidisciplinary care and health promotion are essential to improving the management of Diabetes Mellitus and reducing the impact of its chronic complications.

The use of alternative therapies in the healing process of venous ulcer

2025-09-30T22:11:51+02:00

Venous ulcers are chronic, difficult-to-heal wounds, often associated with chronic venous insufficiency, and have a significant impact on patients' quality of life. Given the challenges of conventional treatment, this study aimed to analyze the use of alternative therapies in the healing process of these lesions, considering their clinical contributions and the role of nursing in this context. Through a literature review, practices such as phytotherapy, ozone therapy, aromatherapy, and low-level laser therapy were investigated. The results indicate that these interventions, when applied in a complementary manner and with technical support, can promote tissue regeneration, alleviate symptoms, reduce healing time, and provide more humane and comprehensive care. The conclusion is that alternative therapies are promising strategies and can be effective in the care of venous ulcers.

Implementation of tax reform in Brazil: impacts, challenges, and opportunities over the next 10 years

2025-10-03T18:01:27+02:00

This study stems from the relevance of Tax Reform Implementation for the national economy, with potential impacts for businesses, consumers, and governments following its implementation. The overall objective of the research sought to analyze the main aspects of tax reform proposals in Brazil, outlining their impacts, challenges, and opportunities for implementation over the next 10 years. The study adopted a qualitative and applied research approach, mapping data through documentary and bibliographic analysis of technical reports, bills, and institutional publications on Tax Reform. The quantitative research involved simulating tax calculations by product and service item using the Tax Reform Calculator provided by the Federal Revenue Service, as well as simulating data from a model company registered with the "Domínio Sistemas" accounting software provided by the State University of Tocantins. The results demonstrated that the Tax Reform tends to simplify the tax collection structure by replacing several taxes with two main taxes (CBS and IBS). The model company's calculations demonstrated that, based on the Tax Reform, in 2027 the company could experience a tax increase of 11.42%, however, in 2033 it could benefit from a reduction of 40.37%. The study highlights that the replacement of old taxes with innovative formats such as IBS and CBS tends to improve tax bureaucratic aspects; however, erroneous tax classifications may unduly burden the taxes calculated. The analysis also investigates how the reform can reshape the work of accounting professionals to stand out in the market and benefit from the opportunities provided by the implementation of the Tax Reform. In summary, the research highlights a substantial change in the Brazilian tax collection pattern, with notable progress towards modernization

The role of women in the popular and solidarity economy in Puyo: paths to economic autonomy

2025-10-04T14:56:53+02:00

This document analyzed the role of women in the popular and solidarity economy in Puyo, Ecuador, focusing on their participation as a driver of economic autonomy in contexts of structural inequality. The research aimed to highlight women's contributions within a socioeconomic model that prioritized equity and collective well-being. The main objective was to understand how women built paths to economic autonomy through productive initiatives while facing social, cultural, and economic barriers. Using a qualitative approach and a collective case study design, data were collected through semi-structured interviews and document analysis, with a purposive sample of adult women involved in solidarity-based enterprises. Thematic analysis allowed for the identification of four main axes: levels of economic autonomy, challenges, support received, and future outlook. Although 40% of participants reported having achieved financial autonomy, many continued to depend on family dynamics and faced fluctuating incomes. Common obstacles included persistent machismo, the double burden of labor, and limited market access. Support networks, technical training, and institutional accompaniment played a key role in empowerment processes. It was concluded that the popular and solidarity economy represented an effective pathway for women's empowerment, as long as it was supported by gender-sensitive public policies. Furthermore, it was found that women not only sought to improve their economic conditions but also to contribute actively to local development through solidarity-based, resilient, and community-rooted initiatives.

Bibliographic Analysis of Active Methodological Strategies Used in the Development of Logical-Mathematical Reasoning in First-Grade Basic Education Students

2025-10-06T18:38:33+02:00

Este estudio analiza las estrategias metodológicas activas empleadas para potenciar el razonamiento lógico-matemático en estudiantes de primer año de educación básica, mediante una revisión sistemática de literatura científica publicada entre 2020 y 2025 en bases de datos indexadas como Scopus, Scielo y Web of Science. El enfoque fue cualitativo, con diseño no experimental y alcance descriptivo, revisando investigaciones arbitradas que abordaran metodologías activas en dicho nivel educativo. Los resultados muestran que las estrategias más efectivas incluyen el aprendizaje basado en problemas (PBL), actividades lúdicas, materiales manipulativos físicos y digitales, gamificación, tecnologías de la información y comunicación (TIC), retroalimentación formativa y aprendizaje cooperativo, todas respaldadas por teorías constructivistas y enfoques de aprendizaje significativo. Tal como se presenta en la Tabla 1, estas estrategias son complementarias: por ejemplo, las actividades lúdicas se potencian mediante retroalimentación formativa y manipulativos en un enfoque PBL. Se identificó que el PBL es la estrategia más frecuente, seguido de actividades lúdicas y uso de manipulativos. Se concluye que la combinación de estas metodologías favorece la construcción de aprendizajes significativos, el pensamiento crítico y la resolución colaborativa de problemas, aunque persiste la falta de estudios longitudinales y en contextos rurales. Los hallazgos ofrecen orientaciones para el diseño curricular y la formación docente en contextos diversos, con especial relevancia para la realidad ecuatoriana caracterizada por su heterogeneidad cultural y pedagógica.

Impact of professional qualification on aviation operational safety

2025-10-07T14:28:03+02:00

This literature review critically analyzed the impact of professional qualification on aviation operational safety, considering pilots, cabin crew, maintenance technicians, and organizational programs. The search was carried out in international databases such as PubMed/MEDLINE, Scopus, Web of Science, and IEEE Xplore, in addition to institutional documents from ICAO, IATA, EASA, and FAA, covering publications between 2015 and 2025 as well as relevant classical references. A total of 49 studies and normative documents were included, comprising 28 scientific articles and 21 institutional reports or manuals. The findings showed that contemporary training models such as Competency-Based Training and Assessment (CBTA) and Evidence-Based Training (EBT) are more effective in pilot preparation, while Crew Resource Management (CRM) proved essential for strengthening non-technical skills. Upset Prevention and Recovery Training (UPRT) demonstrated relevance in mitigating Loss of Control-In Flight (LOC-I), and programs focused on human factors, such as MLOSA and MOSS, were effective in aircraft maintenance. At the organizational level, audits such as IOSA were associated with better safety indicators. It is concluded that aviation operational safety depends on the integration of individual qualification, non-technical skills, and organizational safety management systems, although gaps remain in longitudinal and comparative studies capable of robustly measuring the impact of qualification on accident indicators, reinforcing the need for the development of standardized metrics and multicenter analyses to strengthen the empirical evidence base.

Strategic tax planning in multinational enterprises: a comparative review of models

2025-10-07T14:37:59+02:00

This study aimed to comparatively analyze the main models of strategic tax planning in multinational enterprises between 2015 and 2025, focusing on the evolution of the international regulatory framework and its implications for corporate tax governance. A narrative literature review was conducted, with searches in indexed databases such as Scopus, Web of Science, SciELO, and Google Scholar, in addition to official documents from the OECD and the European Union. MeSH/DeCS descriptors and free terms related to the theme were used, including Base Erosion and Profit Shifting (BEPS), transfer pricing, DEMPE, effective tax rate (ETR), Anti-Tax Avoidance Directive (ATAD), country-by-country reporting (CbCR), FATCA, and Global Anti-Base Erosion (GloBE), resulting in 49 studies and official documents selected after applying inclusion and exclusion criteria. The results were organized into five analytical axes: the consolidation of the post-BEPS and ATAD regulatory framework, the evolution of transfer pricing methods with emphasis on the DEMPE model, the management of ETR as a strategic planning metric, the expansion of transparency and compliance mechanisms such as CbCR and FATCA, and the implementation of Pillar Two (GloBE), which establishes a global minimum taxation floor of 15%. The analysis showed a transition from practices centered on tax arbitrage to strategies based on economic substance, transparency, and regulatory coherence. It is concluded that international tax planning is undergoing structural reorganization, in which the competitive advantage of multinational enterprises depends less on exploiting regulatory gaps and more on the ability to integrate taxation, accounting, and tax governance, with strategic ETR management, the adoption of robust tax governance structures, and alignment with global minimum standards emerging as key factors for legitimacy and sustainability in the current regulatory scenario.

Analysis of morbidity and mortality from complications of bariatric surgery in Brazil - an integrative literature review

2025-10-07T15:04:39+02:00

Objective: To highlight the main complications of bariatric surgery, as well as their impact on patient morbidity and mortality. Method: This study is a literature review, and the data evaluation method consisted of six steps: guiding question, database search, data collection, critical appraisal of the included studies, discussion of the results, and presentation of the literature review. The inclusion criteria were articles in Portuguese and English, published between 2016 and 2025, freely available in full, and addressing the topic of bariatric surgery, its complications, and its impact on morbidity and mortality. Exclusion criteria included any work that did not meet the aforementioned inclusion criteria. Results: Bariatric surgery offers many benefits in reducing mortality from severe obesity and improving parameters in Chronic Noncommunicable Diseases (NCDs). Complications resulting from this surgical procedure can be divided according to postoperative time as early (up to 30 days), immediate (up to 6 months), and late (more than 6 months). Regarding outcomes, we can list complications inherent to surgical procedures, such as hemorrhage, anastomotic fistulas, deep vein thrombosis, pulmonary embolism, and internal hernias. Furthermore, in the nutritional context, bariatric surgery can lead to micronutrient deficiencies (vitamins D, B1, B12, iron, and folic acid). These deficiencies can cause general anemia, asthenia, peripheral neuropathy, and cognitive impairment, but can also lead to specific conditions such as Wernicke-Korsakoff syndrome, linked to low vitamin B1 levels. In addition to these complications, postprandial hypoglycemia is another common condition that can occur postoperatively after bariatric surgery. In addition, the patient may also develop psychological and behavioral impairments. Some studies included in this literature review highlighted alcohol abuse as a possible compensatory mechanism for binge eating or even changes in the anatomical and physiological processes of absorption. Regarding surgical techniques, vertical gastrectomy (SG) has seen an increase in its performance rate in Brazil, with lower rates of immediate complications. However, a stronger link between this and the development of gastroesophageal reflux and gastritis in bariatric patients was observed. Roux-en-Y Gastric Bypass (RYGB) is highly effective in sustained weight loss, but it is more frequently associated with metabolic and behavioral complications. Conclusion: This study allowed us to understand the benefits of bariatric surgery and highlighted the complications associated with the procedure, which can directly impact patients' morbidity, mortality, and quality of life.

Obstetric violence: analysis of civil liability for violations of women's physical and psychological integrity

2025-10-08T14:51:35+02:00

Obstetric violence represents a serious violation of women's human rights, manifested through abusive and disrespectful practices during pregnancy, childbirth, and the postpartum period, causing physical and psychological harm. This study aimed to analyze the legal implications of this violence, with an emphasis on the civil liability of healthcare professionals and the institutions involved. The methodology used was qualitative, exploratory research, based on a review of the literature, legislation, and case law. Publications were collected through consultation of the Scientific Electronic Library Online (SciELO), CAPES, Google Scholar, and case law from May to June 2025. The study included free scientific articles, legal doctrines, legal norms, and court decisions related to the topic, published between 2019 and 2025 in Portuguese. The results demonstrated that in the case of public hospitals or SUS units, the State's liability is objective, as per Article 37, §6 of the Federal Constitution. Case law has recognized that abandonment of pregnant women during labor, verbal or physical abuse, and failure to provide adequate care constitute failures in the public health service, giving rise to the obligation to compensate.

Work accidents and civil liability: prevention and the company's duty to communicate

2025-10-08T15:02:48+02:00

Work-related accidents are a recurring problem in labor relations, with serious consequences for workers' health and legal and economic impacts for companies. The employer's civil liability in these cases is directly related to its obligation to prevent accidents and ensure a safe work environment, as determined by Brazilian law. Given this scenario, the objective of this study was to analyze the company's civil liability for work-related accidents. The methodology used was qualitative, exploratory research, based on a review of the literature, legislation, and case law. The survey of publications was carried out by consulting the following databases: Scientific Electronic Library Online (SciELO), CAPES, Google Scholar, and case law in the period from 2020 to 2025. Free scientific articles, legal doctrines, legal standards, and court decisions related to the topic, published between 2020 and 2025 in Portuguese, were included. The results showed that the case law of labor courts has also consolidated the understanding that the employer is primarily responsible for managing risks in the workplace, and is expected to adopt measures such as periodic training, adapting working conditions, monitoring safe conduct and promoting an organizational culture focused on prevention.

Trends in the Innovation of Grounding Systems for Data Centers and Their Impact on ICT Security

2025-10-08T15:30:34+02:00

This study analyzes current trends in the innovation of grounding systems for data centers and their impact on information and communication technology (ICT) security. Through a qualitative and descriptive methodology, the research examines advanced solutions such as Smart Earthing, characterized by the integration of IoT sensors, continuous digital monitoring, automated alerts, and compliance with international standards (IEC 60364-1, TIA-607-B, IEEE-142). Findings reveal a significant shift from passive to predictive systems capable of real-time anomaly detection, reducing electrical faults, electromagnetic interference, and operational risks. In the Ecuadorian context, a critical gap is identified between technical standards and actual implementation practices, particularly in public institutions and critical infrastructure. The study underscores the importance of adopting intelligent grounding technologies to ensure service continuity and safeguard digital infrastructure. The results also establish a theoretical link between technological innovation and organizational resilience, laying the groundwork for future quantitative research focused on technical and economic indicators such as energy efficiency, grounding impedance, and return on investment. This contribution offers relevant insights for decision-makers seeking to improve the safety, reliability, and regulatory alignment of electrical protection systems in mission-critical environments.

The importance of palliative care in the management of the elderly with advanced dementia

2025-10-08T20:20:50+02:00

Dementia can be defined as a syndrome characterized by a progressive and global decline in memory and other cognitive functions. This study is a literature review aimed at describing the importance of palliative care in assisting elderly individuals with advanced dementia. It is a bibliographic study using a qualitative narrative review method. Data were collected from the following databases: Scientific Electronic Library Online (SciELO), National Library of Medicine (PubMed), Latin American and Caribbean Health Sciences Literature (LILACS), and the Virtual Health Library (VHL). As a contribution, this research provides a foundation for critical reflection on the care provided to elderly people with advanced dementia and highlights the value of the palliative approach as an ethical, humane, and effective strategy. The study concludes that there is a notable weakness in the progress of care provided to this vulnerable elderly population.

Intercultural branding strategies: adaptation of campaigns for multicultural audiences in the United States

2025-10-09T17:49:05+02:00

This article presents a narrative literature review on intercultural branding strategies and their application in the adaptation of advertising campaigns targeted at multicultural audiences in the United States. The research was conducted using the Scopus, Web of Science, PubMed, and SciELO databases, covering publications from 2015 to 2025, with the objective of identifying practices, challenges, and trends related to brand communication in culturally diverse contexts. The results showed that the effectiveness of intercultural branding depends on the ability of companies to balance global coherence with local flexibility, valuing diversity as a strategic asset. The analysis demonstrated that approaches based on transcreation, digital segmentation, and cultural co-creation strengthen consumer identification and enhance brand engagement. On the other hand, challenges such as stereotyping, symbolic imbalance, and the lack of longitudinal studies still limit the consolidation of consistent intercultural models. It is concluded that understanding culture as a dynamic and relational process is essential for developing more inclusive, ethical, and effective communication strategies.

Challenges in the management of arterial hypertension in black people: reflections on nursing practice – a literature review

2025-10-09T20:15:25+02:00

Objective: To analyze the influences of social determinants of health on the development and control of hypertension in black ethnicity and the challenges for nursing practice. Method: A review of scientific studies published between 2020 and 2025 in the LILACS, SciELO, PubMed, BDENF databases was carried out, using the descriptors: arterial hypertension, antihypertensives, Afro-descendants, black people, practices, nursing. Results: Blacks have higher blood pressure values, a higher prevalence of complications and a differentiated response to medications, in addition to being more susceptible to exposure due to social factors. Conclusion: The control of hypertension in the black population requires an approach that goes beyond the biomedical model, integrating sensitive nursing strategies and combating social health vulnerabilities to promote equity.

Objective good faith in contracts: types, functions and incidence in brazilian law

2025-10-10T19:02:53+02:00

This article analyzes the principle of objective good faith within the scope of Brazilian contract law, highlighting its distinction from subjective good faith and the relevance of its incorporation into the 2002 Civil Code. It examines its legal nature as a general clause and normative principle, as well as its main functions (interpretative, controlling, and integrative) and its practical application in all phases of the contractual relationship: pre-contractual, contractual, and post-contractual. The study seeks to demonstrate how objective good faith represents a milestone of ethics in the private law system, ensuring standards of loyalty, cooperation, and mutual trust between contracting parties, in harmony with constitutional values.

Case report: appendicular osteosarcoma concurrent with bladder distension in a dog

2025-10-10T19:11:34+02:00

Osteosarcoma (OSA) is the most common primary bone neoplasm in dogs, characterized by aggressive behavior, rapid growth, local bone destruction, and high metastatic potential, mainly to the lungs. This study reports a clinical case of vertebral osteosarcoma concomitant with neurogenic bladder (bexigoma) in a female German Shepherd dog, presented with pelvic limb paraparesis, cachexia, prostration, and abdominal distension. Physical examination revealed absence of neurological reflexes, severe bradycardia, and a distended urinary bladder upon palpation. Laboratory findings showed normocytic anemia with apparent hyperchromia, marked neutrophilic leukocytosis with left shift, and lymphopenia, suggestive of severe systemic inflammation. Radiographic evaluation demonstrated osteolytic and proliferative lesions in multiple thoracic and lumbar vertebrae, highly indicative of bone neoplasia with possible metastatic spread. The main diagnostic hypothesis was vertebral osteosarcoma with spinal cord compression, with osteomyelitis considered less likely. Due to the severity of the condition, the poor prognosis, and the owners’ financial limitations, humane euthanasia was elected. Postmortem histopathological analysis confirmed the diagnosis of osteosarcoma. The presence of a distended bladder, likely secondary to neurogenic dysfunction, added complexity to the clinical management. This case highlights the diagnostic and therapeutic challenges posed by axial skeletal tumors, emphasizing the need for an integrated clinical approach, thorough imaging, and the consideration of socioeconomic factors in clinical decision-making. Furthermore, it underscores the importance of case reports as valuable educational and scientific tools, especially when dealing with atypical presentations or comorbid conditions.

The social function of the contract: foundations, legal nature and effectiveness

2025-10-10T19:25:52+02:00

This article examines the principle of the social function of contracts in Brazilian civil law, based on art. 421 of the Civil Code and on the amendments introduced by Law No. 13,874/2019 (known as the Economic Freedom Act). It analyzes its legal nature as a general clause and a rule of public order, linked to the principle of sociality, as well as its role as a limit on private autonomy. The study addresses doctrinal critiques regarding the lack of precise conceptual boundaries and the difficulty of applying the principle autonomously. It also highlights its connection with the movement of constitutionalization of civil law and with the horizontal and diagonal effectiveness of fundamental rights, which reinforce the direct incidence of constitutional values in private relations. Finally, it emphasizes the dual effectiveness of the social function of contracts (internal, directed toward the contractual relationship itself, and external, aimed at preventing harm to specific third parties or to the community, as well as at avoiding undue interference by third parties that may frustrate its execution), demonstrating its importance for harmonizing contractual freedom with constitutional values such as solidarity and human dignity.

Real estate investment strategies for foreign investors: regulatory barriers and market opportunities

2025-10-11T22:09:53+02:00

This narrative review, based on a qualitative and interpretive approach, examines regulatory barriers and market opportunities related to foreign real estate investment. A comprehensive yet non-systematic search was conducted in Scopus, Web of Science, PubMed, and SciELO for peer-reviewed studies published between 2015 and 2025 in Portuguese, English, and Spanish. Eligible articles addressed non-resident investors and at least one of the following: price dynamics, transaction volumes, rents, housing supply/stock, or affordability, as well as policy instruments such as foreign-buyer surcharges, ownership restrictions or bans, residency-by-investment programs, and capital controls. Screening proceeded in two stages (titles/abstracts and full texts), and findings were synthesized through thematic analysis using a standardized evidence chart. Results indicate that surcharges targeted at non-resident buyers tend to moderate prices in the short term, with heterogeneous magnitude across segments and locations; residency-by-investment schemes show modest aggregate impacts but can create localized heating near eligibility thresholds; inbound-oriented capital controls may dampen cycles depending on domestic financial settings; and increased foreign participation often pressures upper-tier segments without a proportional supply response. The review concludes that policy mixes combining selective demand-side instruments with supply-expanding measures and granular monitoring by segment and territory are more likely to foster market stability and affordability. Limitations inherent to narrative designs were mitigated through explicit search, selection, and qualitative appraisal criteria.

The anti-inflammatory diet and its relationship with the regulation of the menstrual cycle in women’s hormonal health

2025-10-13T19:29:59+02:00

Menstrual irregularities and hormonal disorders, such as Polycystic Ovary Syndrome (PCOS), are often associated with low-grade chronic inflammatory processes. In this scenario, the anti-inflammatory diet has emerged as an effective non-pharmacological alternative, modulating the inflammatory response and favoring female hormonal regulation. This article presents an integrative review of the literature published over the last ten years in national and international scientific databases, analyzing the impact of dietary patterns - such as the Mediterranean, DASH and Low-Carb diets - on women's reproductive and metabolic health. The results show consistent benefits in improving insulin sensitivity, reducing pro-inflammatory cytokines and restoring ovarian cyclicity. In addition, the potential of Amazonian foods (açaí, tucumã, guaraná, Brazil nuts and cupuaçu) as sources of bioactive compounds that reinforce the anti-inflammatory effect and broaden therapeutic perspectives is highlighted. It is concluded that the anti-inflammatory diet, combined with the valorization of Amazonian socio-biodiversity, constitutes a relevant nutritional strategy for promoting hormonal health and preventing reproductive and metabolic pathologies.

Judicialization of Health in Brazil: Budgetary Challenges and the Sustainability of the SUS

2025-10-14T15:34:12+02:00

The right to health, enshrined in the 1988 Federal Constitution as a fundamental and social right, faces significant challenges to its full realization due to budgetary constraints and inefficiencies in public management. This article analyzes the regulation of this right in Brazil, the role of the Unified Health System (SUS), and the impacts of judicialization, which often compels the State to finance high-cost treatments without considering technical criteria. It also discusses the legal principles guiding the implementation of the right to health, with emphasis on the role of the National Committee for Health Technology Incorporation (Conitec). It is argued that judicialization, although necessary in exceptional cases, cannot replace structured public health policies. The study contends that the balance between individual rights and collective sustainability must be based on cost-effectiveness assessments and greater interinstitutional cooperation (Conitec–CNJ–managers). This qualitative research, grounded in bibliographic and documentary review, aims to provide theoretical and practical contributions to the rationalization of public health in Brazil.

Supplementation with Omega-3 and its relationship with brain health

2025-10-15T14:54:01+02:00

This study seeks to deepen discussions on omega-3 supplementation and its relationship with Alzheimer's disease, based on reflections on the importance of supplementation, as potential factors of benefit for the brain, and, considering current global trends in nutritional supplementation, highlighting current discoveries and important scientific discussions on mental health, in this case AD, based on the conception of the relevant relationship between the areas of nutrition and mental health as positive factors to improve people's quality of life. For the theoretical-methodological support, we decided on a qualitative approach, with integrative literature review procedures, with data collection from original studies indexed in the following databases: Scielo, Pubmed and BVS and Banco de Teses e Dissertações da Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (Capes) and the Brazilian Digital Library of Theses and Dissertations (BDTD).

From philosophical hermeneutics to the hermeneutic-concretizing method: the role of the interpreter in constitutional realization

2025-10-15T15:09:04+02:00

This article analyzes KONRAD HESSE’s hermeneutic-concretizing method based on its foundations in HANS-GEORG GADAMER’s philosophical hermeneutics. It examines how this methodological proposal was consolidated as a response to the limitations of legal formalism and classical positivism, seeking to reconcile the primacy of the constitutional text with the historicity of the interpreter. The research is based on the understanding of the hermeneutic phenomenon formulated by HANS-GEORG GADAMER, in order to demonstrate that legal interpretation cannot be reduced to a purely logical or neutral process. From this theoretical foundation, the hermeneutic-concretizing method is presented as an instrument aimed at realizing the normative force of the Constitution within social reality, structured upon the subjective and objective presuppositions and the hermeneutic circle that interconnects them. The study concludes that KONRAD HESSE’s proposal embodies the spirit of post-positivism by preserving the rationality of legal interpretation while acknowledging its historical, social, and axiological dimensions, reaffirming the interpreter’s role as a mediator between the constitutional norm and the reality it seeks to shape.

The role of nursing in promoting breastfeeding and the support of milk banks in child development

2025-10-15T15:19:52+02:00

Breastfeeding is widely recognized as an essential practice for promoting health and child development, being recommended exclusively until six months of age and complementarily up to two years or beyond. In this context, nursing plays a key role in encouraging, guiding, and supporting mothers throughout the pregnancy-puerperal cycle, significantly contributing to the success of breastfeeding. In addition, human milk banks play a fundamental role in ensuring adequate nutrition for newborns who, for various reasons, cannot be breastfed directly by their mothers. This study aims to analyze the role of nursing in promoting breastfeeding and the support provided by human milk banks in child development. It is a qualitative research with an exploratory and descriptive approach, conducted through a literature review. Sources such as SciELO and Google Scholar were used, selecting 20 articles published between 2021 and 2025, chosen for their relevance, timeliness, and pertinence to the theme. The results show that the joint efforts of nursing professionals and human milk banks provide direct benefits to neonatal health, contributing to the reduction of infant mortality and promoting healthier development, especially among premature or low birth weight newborns.

The influence of spiritual traditions on the evolution of integrative art practices

2025-10-15T15:30:31+02:00

This literature review aimed to analyze the influence of spiritual traditions on the development of integrative artistic practices, considering their symbolic, therapeutic, and cultural foundations. The research was conducted between February and September 2025, through searches in the PubMed, Scopus, Web of Science, SciELO, ScienceDirect, and Google Scholar databases, as well as official documents from the World Health Organization and the Brazilian Ministry of Health. Studies published between 2000 and 2025 addressing the relationship between art, spirituality, and integrative practices in health, educational, or cultural contexts were included. The results demonstrated that spiritual traditions play a structuring role in the conception of artistic practices aimed at care, emotional expression, and the strengthening of belonging. Modalities such as dance/movement therapy and spiritual art therapy were shown to foster mind-body integration and promote psychosocial well-being. The growing institutionalization of these practices in public health policies reflects the expansion of spirituality as an essential dimension of comprehensive health. It is concluded that integrative artistic practices inspired by spiritual traditions represent an expanding interdisciplinary field capable of connecting science, art, and spirituality to foster human development and the promotion of integral care.

Exploratory observation on quilombola school education in the state of Pernambuco

2025-10-15T15:47:40+02:00

This study presents an exploratory observation on Quilombola School Education in Pernambuco, analyzing legislation, articles, and local experiences. The methodology adopted consisted of a qualitative literature review, with analysis of official documents and academic publications that made it possible to identify advances and challenges in the Quilombola educational context. Achievements related to cultural and identity appreciation stand out, but problems such as lack of structure, limited teacher training, racial prejudice, and the absence of contextualized teaching materials persist. It is concluded that Quilombola Education is essential for strengthening communities, requiring effective public policies and inclusive pedagogical practices.

The construction of meaning in the text: theoretical and discursive perspectives on coherence and cohesion

2025-10-15T19:50:08+02:00

This article discusses the theoretical, curricular, and pedagogical foundations of textual coherence and cohesion in Portuguese language teaching, understanding them as constitutive dimensions of meaning-making and discursive interaction. Grounded in the principles of Text Linguistics and Discourse Studies, it draws on authors such as Koch (2014), Beaugrande and Dressler (1981), Halliday and Hasan (1976), Marcuschi (2008), Antunes (2010), Dolz and Schneuwly (2004), and Rojo (2009), articulating their contributions with the analysis of Brazilian curricular guidelines, PCNs, BNCC, and RECAL. The study argues that coherence and cohesion, traditionally treated as formal linguistic categories, must be understood as cognitive, linguistic, and social practices that enable meaning construction and authorship. The teaching proposals section presents methodological pathways based on didactic sequences, rewriting workshops, and the integration of reading and writing, emphasizing the teacher’s role as a critical mediator in the text production process. It concludes that the teaching of coherence and cohesion must transcend technicist approaches and adopt an emancipatory perspective, fostering linguistic education that forms autonomous, reflective subjects capable of participating ethically in contemporary discursive spaces.

The scientific production of Behavior Analysis: Characterization examination of articles published in the Journal Interbio

2025-10-16T20:58:15+02:00

Brazil is currently one of the largest centers of Behavior Analysis after the United States. In this country, the institutionalization of Behavior Analysis occurs differently in each state. Based on this observation, we aimed to characterize the institutionalization of Behavior Analysis in Mato Grosso do Sul, based on the productions related to the field published in the Interbio Journal, published by the School of Biological and Health Sciences at UNIGRAN. For these purposes, the documents located and analyzed were articles published in the Journal between 2007 and 2024. The inclusion criterion was to be based on Behavior Analysis. Information was collected on (a) authorship, (b) title of the work, (c) publication details (year, volume, issue, first and last pages), (d) objectives of the article, (e) materials and methods, (f) results presented, (g) conclusions presented, and (h) references. Two articles were identified, read, analyzed, and classified as applied, basic, and historical-conceptual. These two articles represent 0.73% of the total volume of Interbio Journal. The article made it possible to characterize the state's production of Behavior Analysis, based on the review of articles published in a local journal. Expanding studies and publications on the topic can enrich knowledge on the subject and promote advances in the practice of behavior analysts in Mato Grosso do Sul.

Nursing Care for Children with Cow’s Milk Protein Allergy

2025-10-17T16:37:25+02:00

This study aimed to analyze nursing care for children with cow’s milk protein allergy (CMPA), highlighting the clinical, nutritional, social, and educational dimensions involved in management. Through an integrative literature review, the main signs and symptoms of CMPA were identified, including gastrointestinal, cutaneous, and respiratory manifestations, and in more severe cases, anaphylaxis. Early diagnosis was shown to be challenging, since the clinical diversity of the condition requires specific protocols and multidisciplinary follow-up. In this scenario, nursing plays a key role in identifying early manifestations, providing guidance to families, and supporting them during the adaptation to a restrictive diet. It was also evidenced that the educational role of nurses contributes to greater adherence to treatment, prevention of complications, and strengthening of family autonomy. It is concluded that nursing care for children with CMPA is essential for health promotion, risk reduction, and improvement of the quality of life of both the child and their caregivers.

Learning process mediated by ICTs and digital playful tools

2025-10-17T18:04:47+02:00

Digital technological resources are increasingly being used by the global population, influencing different areas of life, including learning processes. In this context, theaim of this article is to analyze how Information and Communication Technologies (ICTs) and digital games affect the teaching-learning process. Through a literature review, it was highlighted that the "Digital Age" has transformed social and educational interactions, bringing new pedagogical practices. From the theoretical perspective of authors such as Coll (2013) and Costa and Souza (2017), it is argued that this new learning model does not replace the teacher, but can act as supportive resources that promote greater dynamism and interactivity in teaching and learning practices. Furthermore, the importance of teacher training and digital inclusion is emphasized to reduce inequalities and expand access to technologies. Games and other digital resources are shown to be effective means of making learning more engaging and creative. Additionally, studies have shown that the use of these tools in education is important to meet the new demands of society and enhance students' development, in accordance with the guidelines of the National Common Curricular Base (BNCC).

Nursing Care in the Neonatal Intensive Care Unit: Humanization of Care for the Premature Newborn

2025-10-17T20:21:26+02:00

Introduction: Given the complexity found in the NICU, it is important to highlight the need for care that goes beyond technical skills and scientific knowledge, in order to promote the well-being and safety of the newborn, aiming at healthy development. Objective: This study aims to present an integrative literature review on nursing care in the NICU, with a focus on the humanization of care for premature newborns. Method: This study is an integrative review. Results: The pursuit of comprehensive neonatal development has established humanization as an essential component of care in neonatal units. Rethinking practices and behaviors in the context of humanized care in the NICU is indispensable for the implementation of positive interventions. Among the most prominent strategies in this context, communication emerges as a central resource, while the reduction of stressful stimuli constitutes another direct and relevant measure for the newborn’s development. Conclusion: Humanized practices applied in the NICU are easily applicable, do not require high-cost resources or specialized technical training, and provide highly significant benefits to the newborn and to their developmental process.

The impact of street running on the physical and mental health of amateur practitioners from Rio Branco - Acre

2025-10-20T13:50:22+02:00

his article aimed to analyze the impact of street running on the physical and mental health of its practitioners in the city of Rio Branco. Running, as it is a low-cost and easily accessible activity, has gained popularity as a way of promoting health. The research sought to investigate the benefits of running for the body, such as increasing cardiovascular and muscular capacity, as well as examining the effects on mental health, including reducing stress and improving emotional well-being. The methodology used an integrative literature review, combined with the application of an anonymous and voluntary online questionnaire, which did not collect sensitive or identifying data. The study had the participation of 128 amateur runners. The results contributed to the understanding of the role of street running in maintaining physical and mental health, through benefits such as weight reduction, increased muscle strength, improved self-esteem and reduced stress, confirming the initial hypothesis that the practice brings numerous benefits.

Innovation and sustainability: the potential of recycling in the context of school environmental education

2025-10-20T14:20:03+02:00

The present article discusses the role of recycling as an innovative strategy that strengthens the construction of a culture of sustainability in educational institutions, considering the role and relevance of Environmental Education in the school curriculum. The research problem sought to answer the following guiding question: How can recycling be incorporated into pedagogical practices as an innovative instrument for building a culture of sustainability in the school environment? The article aims to analyze how recycling can be incorporated into pedagogical practices as an innovative educational resource, promoting ethical, social, and environmental values among students. The methodology consisted of a bibliographic research, carried out through a literature review of scientific articles, book chapters, and institutional documents published within the last five years, available in Portuguese in databases such as Google Scholar and Scielo Brazil, which address the relationship between pedagogical innovation, the culture of sustainability, and recycling practices in the school context. The data analysis aimed at categorizing and deepening the information for the construction of knowledge about the central theme. The results found highlight the relevance of recycling, when integrated into pedagogical projects, as it goes far beyond the simple act of reusing materials, opening space for cooperation, student protagonism, and the strengthening of collective responsibility, thus fostering the development of a culture of sustainability. The discussion demonstrates that well-elaborated and executed recycling practices can transform the school environment towards sustainability, concluding that recycling is an innovative and decisive resource for promoting Environmental Education within the school.

Demonstrate the Effectiveness of Ozone Therapy as a Therapeutic Resource in the Treatment of Injuries in the Nursing Area

2025-10-20T14:32:52+02:00

Skin lesions represent a recurring challenge in nursing clinical practice, especially when they become chronic and difficult to heal. In this context, ozone therapy has gained prominence as a complementary therapeutic resource due to its antimicrobial, anti-inflammatory, and regenerative properties. The objective of this study is to evaluate the effectiveness of ozone therapy as a therapeutic resource in the treatment of wounds in nursing care. This is a qualitative literature review developed through critical analysis of scientific studies published between 2019 and 2025, available in SciELO, PubMed/Medline, and CAPES Journal Portal databases. The results indicate that ozone therapy significantly contributes to accelerating the healing process, reducing infections, and decreasing local pain. Improvements were also observed in tissue oxygenation, stimulation of cell regeneration, and shorter hospital stays. It is concluded that ozone therapy is an effective, safe, and accessible alternative for wound treatment, strengthening evidence-based practice and promoting comprehensive patient care. Despite the promising results, further clinical studies and expanded technical training for nursing professionals are recommended to consolidate its responsible and scientifically grounded use in the care context.

Complications of burnout syndrome in nurses working in hospital areas

2025-10-20T15:00:54+02:00

Introduction: Burnout Syndrome represents a multifactorial psychological condition characterized by emotional exhaustion, depersonalization, and low professional accomplishment, especially affecting nurses working in hospital environments. The exhausting routine, work overload, and lack of institutional recognition intensify the physical and mental illness of these professionals, compromising the quality of patient care. Objective: To analyze the main complications resulting from Burnout Syndrome in hospital nursing professionals, identifying its physical, emotional, and professional effects, as well as its implications for nursing practice and the quality of health care. Method: This is a bibliographical research of the integrative review type, based on scientific articles published between 2020 and 2024 in the SciELO, LILACS, MEDLINE, and Cochrane Library databases. Twenty studies that met the inclusion criteria were selected, allowing a critical and updated analysis of the topic. Results: It was found that Burnout significantly affects the physical and mental health of nurses, manifesting as chronic fatigue, sleep disorders, anxiety, depression, and decreased professional performance. There was also a lack of institutional policies aimed at emotional support, professional appreciation, and mental health promotion. Conclusion: Burnout Syndrome is a collective and systemic phenomenon arising from working conditions and the prevailing organizational culture. Its mitigation requires institutional strategies that prioritize active listening, human appreciation, and the creation of safer and more humanized environments, preserving nurses’ mental health and ensuring the quality of care.

Promoting well-being and improving academic performance through positive psychology: literature review

2025-10-20T16:34:00+02:00

Introduction: In Psychology, the investigation of pathologies is much more frequent than the study of the positive aspects of human nature. However, Positive Psychology emphasizes aspects associated with optimal functioning, highlighting concepts like well-being and optimism. This perspective is present in various fields, including education. Objective: To conduct a literature review on the promotion of well-being and academic performance through Positive Psychology. Methodology: This is a qualitative and descriptive literature review conducted using the SciELO, PsycINFO, and CAPES Journals databases. The review considered studies from 2000 to 2025. Results: After applying inclusion and exclusion criteria, 10 articles were selected. Conclusion: Positive Psychology holds significant potential in the school context, where it is evident that well-being and academic performance are closely related. Both can be promoted by interventions that incorporate self-compassion, empathy, and other factors. Furthermore, a scarcity of studies on this topic was noted, which highlights the need for more scientific research in the field.

Field classes as a tool to facilitate learning in chemistry education

2025-10-20T22:41:04+02:00

The main objective of this article is to discuss the importance of field trips as a pedagogical methodology to facilitate understanding of chemistry teaching, based on an analysis of the characteristics of gypsum at the gypsum hub in the city of Araripina (PE). The methodology will be a bibliographic research, through an analysis of scientific documents by renowned authors on the subject, and propose a lesson plan within chemistry teaching for the field trip. Teaching and learning in the discipline of chemistry with content on the study of gypsum can be quite volatile within the pedagogical proposal, working with methodologies such as reports, photos, experiments, observations, chats, conversation circles, examples, fieldwork, and others. The contributions of chemistry teaching within fieldwork are highly reflective and essential within the teaching and learning process, seeking to transform students into more thoughtful, critical, and active individuals.

Baking as a tool for rural development: an experience at the Capim I Farm in Araripina (PE)

2025-10-21T14:33:41+02:00

This article presents a qualitative report on baking as a tool for rural development at the Capim I Farm Association in the municipality of Araripina (PE), conducted by SENAI Pernambuco - Innovation and Technology, supplemented by a bibliographic study. The study aimed to investigate how practical baking classes can contribute to the development of productive and entrepreneurial skills among members of a rural association. The methodology used combined a qualitative experience report, complemented by a bibliographic review conducted in the Google Scholar database, using the specific keywords “Professional Training in Rural Areas” and “Baking within Rural Associations.” The inclusion and exclusion criteria will be based on the relevance, timeliness, and methodological quality of the selected articles, with the aim of highlighting results regarding the importance of professional training in the rural context. The practical classes provided participants with the opportunity to learn professional techniques for preparing, handling ingredients, fermenting, shaping, and baking bread, including French bread and potato bread.During the workshop, members of the Capim I Site Association developed technical, productive, and entrepreneurial skills, as well as autonomy in production and community leadership, while encouraging collaborative work, production planning, work organization, time management, and creativity. The results and discussions indicated that all participants acquired significant practical knowledge applicable to income generation and the strengthening of local entrepreneurship. In addition, the experience and literature review highlighted the importance of integrating technical knowledge and entrepreneurial practices, strengthening the local economy and community identity. This experience report demonstrates that practical baking courses represent an effective strategy for training rural associations, enhancing economic and social development, and promoting an improvement in the quality of life of members.

Nursing care in child health with ASD: a literature review

2025-10-21T14:46:40+02:00

This paper addresses nursing care for children with Autism Spectrum Disorder (ASD). Autism is a widely discussed condition in contemporary times and has sparked the interest of scholars from various fields because it is a health condition with serious implications for the individual's life. Therefore, early diagnosis and interventions for autism can provide greater autonomy and resilience for the individual, directly contributing to their overall quality of life. Therefore, the overall objective of the study is to identify the greatest challenges nursing faces in caring for children with autism. A literature review was used for the research, and data processing was conducted using a qualitative approach to the selected information. Among the authors selected for the theoretical framework are: Brasil (2015); Bonfim et al. (2020); Lima et al. (2024); Jerônimo et al. (2023); Nascimento et al. (2018), among other researchers.

Clinical and epidemiological characterization of deaths from Diabetes Melittus in Brazil from 2014 to 2023

2025-10-22T13:19:20+02:00

Diabetes Mellitus (DM) is a metabolic disorder resulting from a deficiency in insulin production or action. It is divided into type 1, of autoimmune origin, and type 2, related to genetic factors and lifestyle habits. The objective of this study is to characterize the clinical and epidemiological profile of deaths from Diabetes Mellitus in Brazil between 2014 and 2023. This is a descriptive, quantitative, and cross-sectional study using secondary data obtained from the Mortality Information System (SIM/DATASUS). The variables analyzed included sex, age group, education level, race/color, regions of the country, and ICD-10 classification categories. During the analyzed period, 674,416 deaths from DM were recorded, with a cumulative rate of 32.24 per 100,000 population. The highest mortality rate was observed in the Northeast region, while the lowest occurred in the Central-West region. The death profile showed a predominance of women, elderly individuals aged 80 or older, those with low levels of education, and those of white race/color. The "unspecified diabetes mellitus" category (E14) had the highest number of records, indicating weaknesses in the reporting and classification systems. Therefore, it is concluded that there is a need to improve information systems, strengthen primary care, and implement more effective prevention and control strategies targeted at vulnerable populations.

Perceptions and practices of social work internship supervisors regarding health equity for people with disabilities at a CER in Maceió

2025-10-22T13:30:35+02:00

This article analyzes the perception of social workers supervising internships regarding Health Equity Policies aimed at people with physical and intellectual disabilities, in the context of a Specialized Rehabilitation Center located in Maceió, Brazil. The research was conducted at the Association of Physically Disabled People of Alagoas, a non-governmental organization linked to the Unified Health System, which provides physical, intellectual, and auditory rehabilitation services. The motivation for the study arose from the author's professional concern and the perceived gap in the training of social workers regarding the themes of health equity and continuing education. A qualitative methodology was used, with data collection through a focus group composed of nine social workers with at least six months of experience in internship supervision. Content analysis, based on Bardin (2016), identified four units of record: understanding of health equity; concept applied to disability; professional experiences; and suggestions for improvement. The results revealed varying levels of understanding of the concept of equity, often confused with equality, and an application that is still in its infancy in institutional practices. The participants pointed out the need for continuing education, intersectoral coordination, and systematic training to consolidate equitable practices in the care of persons with disabilities. It was concluded that strengthening critical knowledge about health equity in the field of social work is essential for promoting social rights and improving the quality of health care, reaffirming the strategic role of social workers in building inclusive and transformative practices in the context of rehabilitation.

Nurse competencies in the management of patients undergoing theranostic treatment: personalized and multidisciplinary care

2025-10-22T15:37:10+02:00

Theranostic therapy has gained prominence in nuclear medicine by combining diagnosis and treatment in a single approach, using radiopharmaceuticals that bind to specific tumor targets, providing more precise and less invasive interventions. In this context, the role of the nurse stands out as a fundamental piece for the safety and quality of the provided assistance. The general objective of this work was to investigate the competencies of the nurse in the management of patients undergoing theranostic treatment, with a focus on personalized and multidisciplinary care. This is an integrative literature review with a qualitative approach, conducted between March and April 2025. The searches were conducted in the LILACS, PubMed, MEDLINE, SCIELO, and BDENF databases, with inclusion criteria focused on articles published between 2020 and 2025, available in full text, and addressing the role of nursing in this context. The results demonstrated that the nurse performs essential functions in the administration of radiopharmaceuticals, in the monitoring of patients, in the application of biosafety protocols, and in the guidance of the team and users. Difficulties were also identified, such as the lack of specific training, occupational health risks, and emotional challenges in oncological care. It is concluded that the development of technical, scientific, and emotional competencies is essential to ensure safe, effective, and humanized care. Continuing education, interdisciplinary collaboration, and the strengthening of radioprotection education are fundamental for the qualification of nursing practice in nuclear medicine.

The contribution of active methodologies to strengthening environmental education in elementary schools

2025-10-23T14:34:45+02:00

This article, entitled "THE CONTRIBUTION OF ACTIVE METHODOLOGIES TO STRENGTHENING ENVIRONMENTAL EDUCATION IN ELEMENTARY SCHOOLS” addresses the importance of innovative pedagogical methodologies aimed at promoting Environmental Education, specifically within the elementary school context. The main objective is to investigate the significance of active methodologies for Environmental Education in elementary education. Understanding the practices employed, their advantages, and limitations is essential to enhance teacher training, improve teaching quality, and inspire more effective public education policies. The central research question focuses on the role and relevance of active methodologies in Environmental Education in elementary schools. To achieve this, a bibliographic methodology was adopted, involving a careful review of academic articles and documents published in the last five years in Portuguese-language sources, retrieved from relevant databases in the fields of Environmental Education, Active Methodologies, and Elementary Education. The review aimed to analyze pedagogical methodologies and didactic resources used in Environmental Education, seeking to understand their contributions to student engagement and effective learning. Results indicate that active methodologies, such as project-based learning, problem-solving, and investigative activities, are widely recommended and have a positive impact on the construction of environmental knowledge. The discussion emphasizes that, despite the potential of these approaches, challenges remain related to teacher training, lack of specific materials, and structural limitations of schools, highlighting the need for focused public policies and ongoing educator professional development. In summary, this article contributes to understanding the most effective pedagogical methodologies in Environmental Education for elementary schools, highlighting the necessity of integrated actions among educators, communities, and administrators to strengthen environmental culture in schools.

Between desire and the law: A Psychoanalytic reading of the Oedipus Complex in The Piano Teacher

2025-10-23T15:14:47+02:00

This study presents a psychoanalytic analysis of the film The Piano Teacher (2001), aiming to understand how the Oedipus Complex, castration, and the phallus, concepts developed by Freud and expanded by Lacan, are manifested in the character Erika Kohut. The research adopts a qualitative approach based on the interpretative observation of scenes, dialogues, and behaviors of the protagonist, relating them to psychoanalytic theory through bibliographic review. The results indicate that the symbiotic and narcissistic relationship between Erika and her mother, marked by the absence of the paternal function, prevents symbolic separation and sustains a perverse structure characterized by fetishism, voyeurism, exhibitionism, sadism, and masochism. The study also highlights Erika’s refusal of castration and her constant pursuit of the symbolic phallus, represented by love, power, and art, which leads her to a persistent experience of anguish and frustration. It is concluded that the character embodies the conflict between desire and law, revealing, from a psychoanalytic perspective, the impossibility of achieving full jouissance and the permanence of lack as a structural condition of the subject.

Occupational Safety: The Use of Virtual Reality in Professional and Technological Education

2025-10-23T19:21:28+02:00

Virtual Reality (VR) has the potential to create innovative educational environments, such as the simulation of work situations that may be dangerous. The use of VR equipment intechnical schools can enhance learning in Occupational Safety, allowing students to practice selecting and using Personal Protective Equipment (PPE) in a virtual environment. Utilizing Unreal Engine and tools like Blender and GIMP, the project aims to create a virtual locker room where students interact with PPE, choosing the appropriate ones for different tasks. The goal is to reinforce the habit of using PPE, integrating theoretical knowledge with virtual practice. Moreover, the use of VR in educational settings can increase student motivation and knowledge retention by simulating real situations without the associated risks. This project serves as an initial step to investigate the feasibility of using virtual reality and developing a more comprehensive and sophisticated virtual learning environment.

Native Forest Species with Potential for Urban Forestry in the Ecuadorian Amazon

2025-10-23T19:50:41+02:00

Urban forestry seeks to integrate plant species into urban environments to generate ecological, social, and economic benefits. In the Ecuadorian Amazon, the wealth of native species offers significant potential for their incorporation into parks, plazas, and peri-urban areas, promoting biodiversity conservation and strengthening urban ecosystems. This study conducted a narrative literature review of native Amazonian forest species, evaluating their taxonomy, potential, benefits, and limitations in urban contexts. The results identified species such as Inga spp., Ceiba pentandra, Ficus spp., Mauritia flexuosa, and Cedrela odorata, which stand out for their ornamental, ecological, and economic contributions, as well as their adaptability to different environmental conditions. It was shown that these species can provide shade, improve air quality, provide food resources, and strengthen the cultural identity of Amazonian cities. However, challenges associated with their management were also identified, such as the space required for growth, the need for pruning, seed dispersal, and adaptation to specific humidity and soil conditions. The findings suggest that the integration of native species requires strategic planning and management tailored to each urban environment to optimize their benefits and minimize risks. In conclusion, the conscious use of Amazonian flora in urban forestry contributes to creating more sustainable, resilient, and harmonious cities with the natural environment, while reducing dependence on exotic species.

Impact of Domestic Violence and Cognitive Development in the Early Years of Life (Early Childhood Education)

2025-10-23T20:09:02+02:00

This article aims to examine the influence of domestic violence on cognitive development during the early years of life. It employs a systematic review methodology designed to raise awareness and contribute to the improvement of society, as well as to promote ethical and moral development in addressing this social phenomenon. Domestic violence represents one of the major challenges faced by families. It encompasses acts of aggression perpetrated by one family member against another with the intent to cause harm, thereby affecting the victim’s integrity. Such acts have led to negative outcomes within family dynamics and have generated a critical issue that directly impacts children’s cognitive development. Within this framework, the main research question posed is: What is the relationship between domestic violence and cognitive development in Early Childhood Education? The objective is to identify factors associated with domestic violence and the cognitive development of children, to highlight relevant aspects of human cognitive development during the first years of life and its implications for the learning process, and to assess and review key elements that influence interaction within the environment.

Alzheimer's and the challenges of nursing care for the elderly and their family caregivers

2025-10-24T15:17:20+02:00

Introduction: In recent years, there has been an increase in life expectancy, accompanied by aging and a higher incidence of chronic degenerative diseases, such as Alzheimer's disease. This progressive condition leads to dependence, loss of autonomy, cognitive impairment, memory changes, neuropsychiatric symptoms, and behavioral changes, necessitating the constant presence of a caregiver. Objective: To describe the role of primary care nurses in the treatment of Alzheimer's disease and to understand the care needs of patients and their caregivers. Materials and Methods: An integrative literature review was conducted, including scientific articles in the SciELO, LILACS, and PubMed databases. Articles available in full, in Portuguese or English, were included, and opinion pieces, editorials, and duplicates were excluded. Results: The initial search identified 556 publications (3 in SciELO, 547 in LILACS, and 6 in PubMed). After screening on the Rayyan platform, 40 duplicates were removed, leaving 516 articles for title and abstract analysis, of which 498 were excluded for not meeting the eligibility criteria. Eighteen articles were evaluated in full, resulting in the exclusion of 12 studies, and, ultimately, six articles were considered eligible for review. The studies highlighted that caring for older adults with Alzheimer's disease presents significant challenges, especially in Primary Health Care, due to limited professional training, difficulty in early diagnosis, caregiver burden, and structural and resource constraints. Cultural barriers, disease stigma, and fragile continuity of care were also identified, affecting the comprehensiveness of care. Final Conclusion: Although professionals recognize Alzheimer's disease as a neurodegenerative condition that affects cognitive functions, there is a gap in the implementation of specific care strategies that effectively improve the quality of life of patients and support their families. The research highlights the need for investment in ongoing training for nursing professionals, the development of specific public policies, and the creation of structured support networks for caregivers, promoting more humane, effective, and sustainable care.

Prevalence and impacts of depression in intensive care unit nurses: an integrative literature review (2021-2025)

2025-10-24T15:35:17+02:00

Depression is a common mental disorder among healthcare professionals, especially nurses working in Intensive Care Units (ICUs), due to the high emotional burden, pressure of care, and constant exposure to human suffering. This study aimed to identify the factors associated with depression in ICU nurses and discuss the implications for their occupational health. This is an integrative literature review conducted in the Scientific Electronic Library Online (SciELO), Virtual Health Library (VHL), PubMed, and Google Scholar databases, using the descriptors "depression," "nursing," and "intensive care unit," combined by the Boolean operators AND and OR. Articles published between 2021 and 2025, available in Portuguese and English, that addressed depression among ICU nurses were included. After applying the inclusion and exclusion criteria, 14 studies comprised the final sample. The results indicate that physical and psychological overload, scarcity of resources, pressure to perform, and low institutional support exacerbate the psychological distress of nursing professionals. It is concluded that the occurrence of depression among nurses working in Intensive Care Units constitutes a relevant problem, with direct repercussions on patient safety and the quality of care provided, demanding the adoption of institutional measures aimed at prevention and strengthening the mental health of these professionals.

The impact of environmental health education to the users of Primary Health Care: a literature review

2025-10-24T15:47:14+02:00

Health promotion has been a fundamental pillar to the consolidation of fairer health systems that are more involved and promote greater resolutions. In the context of Brazil, Primary Health Care represents the main ordering strategy of the Sistema Único de Saúde (SUS) [Unified Health System], and is responsible for continuous and comprehensive care that meets the community’s needs. Within this context, Health Education comes as a vital tool capable of strengthening the bond between professionals and patients. It also enhances individual and collective autonomy in self care. This dissertation - based on scientific evidence put under a critical perspective – comes from the need to deepen comprehension on the role of Health Education in the context of Primary Health Care. When reflecting on the impacts of these practices in the everyday lives of SUS’s patients, the focus is to contribute to the development of tasks performed by the health care teams. Furthermore, there is the need to identify the primary obstacles faced in its implementation. The work in question is a literature review. Research was made in databases, and the most recurrent were: Scientific Electronic Library Online (SciELO), Virtual Health Library (VHL) and Google Scholar. Health Education is an important tool to Primary Health Care teams when it comes to the propagation of health related information. It is of great importance to establish that the health-illness process is of mutual responsibility of both health care professionals and patients. Teaching forms of prevention and ways to avoid the worsening of illnesses is equivalent to providing autonomy in self care. A person who detains knowledge will certainly get sick less often and, when sick, have a better adherence to treatments.

The Role of Nursing in the Prevention and Control of Human Papillomavirus (HPV) Infection: An Integrative Review

2025-10-24T20:10:57+02:00

The structured abstract should concisely present the research field, objectives, ABSTRACT: The Human Papillomavirus (HPV) represents one of the main public health challenges, being responsible for persistent infections that can progress to cervical cancer and other neoplasms. In Brazil, the high incidence of HPV and the low adherence to vaccination make it urgent to strengthen preventive strategies within health services. In this context, this study aimed to analyze, through an integrative literature review, the role of Nursing in the prevention and control of HPV infection. This is an integrative review conducted in the LILACS, MEDLINE, SCOPUS, and PUBMED databases, using descriptors related to nursing care and HPV prevention. Primary studies published between 2019 and 2024, in Portuguese and English, were included, totaling six articles selected after applying inclusion and exclusion criteria. The results showed that Nursing plays a central role in promoting vaccination, health education, and the early detection of precursor lesions of cervical cancer. The use of digital technologies, motivational communication strategies, and culturally adapted approaches proved to be effective in increasing vaccine coverage and reducing population hesitancy. It is concluded that the nurse’s performance, based on education, empathy, and technological innovation, is essential to strengthen public policies for HPV prevention. The leadership of Nursing significantly contributes to health promotion, infection control, and the reduction of morbidity and mortality rates associated with the virus.

Knowledge in libras for nursing care to the deaf communiy: integrative review

2025-10-24T20:39:05+02:00

Communication is an essential element for the quality of healthcare delivery, directly influencing diagnostic accuracy, treatment adherence, and patient satisfaction. In the case of the Brazilian deaf community, the Brazilian Sign Language (LIBRAS) is an indispensable tool for promoting inclusion and equity. Despite the legal recognition of LIBRAS as an official means of communication (Law No. 10,436/2002; Decree No. 5,626/2005; Law No. 13,146/2015), many healthcare professionals, especially nurses, still present knowledge gaps. The objective of this study was to investigate how the knowledge of LIBRAS among nursing professionals influences the care provided to the deaf community. This study is an integrative review that employed the PICo method to formulate the guiding question: “What is the level of knowledge of LIBRAS among nursing professionals in the care provided to the deaf community?” The bibliographic search was conducted in the BVS, LILACS, and SciELO databases, including articles published between 2020 and 2024, using the descriptors “Care,” “Nursing,” and “LIBRAS,” combined with the Boolean operator AND. The results indicate that the lack of proficiency in LIBRAS among healthcare professionals compromises effective communication, fosters misunderstandings, generates insecurity in patients, and may lead to diagnostic and therapeutic errors. It was found that many consultations still rely on gestures, written communication, and family mediation. It is concluded that qualification in LIBRAS goes beyond fulfilling a legal requirement, representing an ethical, human, and professional commitment. Inclusive communication strengthens the therapeutic bond, enhances patient safety, and promotes comprehensive and equitable care.

Complementary and alternative therapies for climacteric: challenges for nursing practice

2025-10-24T21:01:43+02:00

The climacteric is characterized by changes in ovarian hormone production, described through several manifestations such as hot flashes, sleep disorders, mood changes, and alterations in body composition. In recent years, a growing trend has been observed regarding the use of complementary and alternative therapies for symptoms related to the climacteric period. The aim of this study was to id[1]entify and discuss scientific evidence on complementary and alternative therapeutic approaches in relation to the climacteric, as well as the challenges faced by nursing practice. This is an integrative and exploratory review guided by the PICo strategy, from which the following research question emerged: “What are the challenges faced by nursing in the use of complementary and alternative therapies in the care of women during the climacteric, according to the scientific evidence available in the literature?”. The study included articles published between 2019 and 2024, selected from the BVS, LILACS, and SciELO databases, using specific descriptors, and excluding duplicate, incomplete articles, theses, dissertations, and abstracts. Six studies met the eligibility criteria. The results reveal gaps in knowledge about the climacteric, both among women and nurses, leading to the underutilization of non-hormonal therapies despite their proven effectiveness in reducing symptoms. It is concluded that nursing practice in this context still faces numerous barriers, mainly the lack of technical and scientific training, the absence of institutional recognition, and the scarcity of public policies encouraging the use of complementary therapies within the Unified Health System (SUS)

The impact of abortion on women’s mental health: an integrative review

2025-10-24T22:52:05+02:00

Abortion, whether spontaneous or induced, involves not only physical implications but also emotional and psychological effects that can significantly impact women's well-being. The objective was to analyze the impact of abortion on women's mental health, identifying the main psychological consequences and the most recommended interventions to promote emotional well-being. This is an integrative review conducted according to the PICo method, guided by the question: “How does abortion affect women's mental health, and what are the main interventions suggested in the literature to provide support during the post-abortion period?” Publications from the BVCS, LILACS, and SCIELO databases were included, covering the period from 2019 to 2024, using specific descriptors. Out of 100 articles initially identified, only 5 met the inclusion criteria and comprised the final sample. The results showed that abortion, whether spontaneous or induced, is frequently associated with feelings of guilt, sadness, anxiety, depression, and, in some cases, post-traumatic stress disorder. These repercussions are influenced by social, cultural, religious, and family factors. It was observed that the absence of adequate support, social stigma, and lack of professional assistance increase psychological suffering. It is concluded that abortion, in its different forms, profoundly impacts women's mental health, requiring comprehensive and humanized care. Empathetic support and specialized psychological assistance are fundamental to reducing emotional harm. The role of nursing is essential in qualified listening and sensitive care. The implementation of public policies that ensure accessible psychological support is indispensable.

Promoting interdisciplinarity and sustainability: the importance of Project-Based Learning (PBL) in high school

2025-10-26T14:23:22+01:00

This article discusses the importance of adopting innovative methodologies in education, focusing on Project-Based Learning (PBL) as a strategy to overcome disciplinary barriers and engage students in real and complex issues related to sustainability. Contemporary education faces the challenge of preparing young people to deal with urgent problems, such as climate change and environmental degradation, which require not only theoretical knowledge but also critical thinking, responsibility, and collaborative action. In this context, PBL emerges as an active methodology capable of promoting interdisciplinarity and meaningful learning by involving students in authentic situations that articulate different areas of knowledge, stimulate investigation, creativity, and conscious decision-making. The overall objective of this study is to analyze how PBL contributes to the development of students who are more critical and engaged with sustainability. To this end, the following specific objectives were defined: to examine the contributions of PBL to student leadership and the development of cognitive and socio-emotional skills; to discuss the implications of the methodology for the critical, participatory, and responsible education of students in relation to sustainability; and to reflect on the challenges and possibilities of its implementation as an interdisciplinary pedagogical practice in high school. The methodology adopted consisted of a qualitative literature review based on a careful analysis of scientific articles, books, theses, and official documents published in the last five years, selected according to criteria of relevance, timeliness, and methodological rigor. The results indicate that PBL promotes greater student participation and autonomy, in addition to enabling the practical application of school knowledge in real and meaningful contexts. In summary, the implementation of PBL as a teaching strategy proves to be a promising path for the effectiveness of education for sustainability, strengthening the school as a space for social transformation and the construction of practices aligned with the complex challenges of the 21st century.

Strict vegetarian cuisine in the graduation of gastronomy professionals in the brazilian northeast

2025-10-26T14:32:42+01:00

Gastronomy degree programs have been increasingly offered by higher education institutions across Brazil. Addressing the complexity of the food phenomenon requires the training of professionals capable of going beyond the creation and development of dishes and menus. These professionals must be prepared to acquire and integrate, with creativity and innovation, emerging standards and perspectives within the contemporary food sector. This study, therefore, sought to identify the presence of strict vegetarian cuisine in the education of future gastronomy graduates at four federal universities in Northeastern Brazil, through an analysis of the syllabi of 26 courses included in the curricula of these programs in 2023. Strict vegetarian cuisine and plant-based products have been gaining ground among consumers, with the Northeast region of Brazil standing out in research on the subject. A complete dish composed entirely of 100% plant-based ingredients can appeal to a much broader audience than vegetarians alone. Culinary science professionals must keep pace with this segment and its expansion, whether through menus in new establishments or by adapting the menus of existing businesses. Moving beyond meat and dairy products in menu composition requires that students’ training include content that fosters an expanded perspective on plant-based cuisine, overcoming its myths and prejudices.

Physiotherapy in bronchiolitis: survey of respiratory techniques

2025-10-26T14:55:24+01:00

The article "Physiotherapy in bronchiolitis: survey of respiratory techniques" consists of an integrative literature review that analyzes the effectiveness of respiratory physiotherapy maneuvers in the treatment of Acute Viral Bronchiolitis (AVB) in pediatric patients. The study highlights that AVB, mainly caused by Respiratory Syncytial Virus (RSV), is one of the main causes of hospitalization in children under two years of age. Respiratory physiotherapy emerges as an essential component of supportive treatment, aiming to clear the airways, reduce pulmonary hyperinflation, and remove secretions. The article classifies and describes various techniques, dividing them into non-invasive (such as Expiratory Flow Acceleration - EFA, High-Flow Nasal Cannula - HFNC, and Continuous Positive Airway Pressure - CPAP) and invasive (such as Tracheobronchial Aspiration and Manual Hyperinflation). The review points out that, although physiotherapy is widely used and demonstrates benefits in symptom improvement and complication prevention, there is a gap in the scientific literature regarding protocol standardization and evidence of the effectiveness of many techniques, reinforcing the need for more research to establish consistent evidence and optimize clinical decision-making.

Nursing care for children with acute lymphoid leukemia: a humanized approach in the pediatric oncological context

2025-10-27T16:05:36+01:00

The nurse plays the main role in approaching the care provided to cancer patients, including prevention, diagnosis, treatment and palliative care, where humanization of care is essential. Acute Lymphoblastic Leukemia - ALL is a disease caused by the multiplication of immature cells of lymphoid origin (LEITE, et al., 2017). The diagnosis of the disease is sometimes devastating, so the nursing team must be sufficiently prepared to deal not only with physical issues, but also with emotional issues (GONÇALVES, et al., 2019). The main objective is to identify what nursing care is required for pediatric cancer patients with ALL. According to studies, nursing plays a crucial role in creating a welcoming environment, in empathetic communication, and in implementing strategies that reduce the stress of hospitalization (NASCIMENTO, et al., 2023). The professional role of nursing in pediatric oncology is to promote quality of life, ensuring that, even during treatment, children have access to recreational and social activities that respect their limitations and that give them confidence in the care provided. By building a bond of trust with parents and guardians, the nursing team helps to reduce anxiety and create a more serene environment for dealing with acute lymphoblastic leukemia (SAMPAIO, et al., 2021).

Bacterial biofilms: impact on antimicrobial resistance and clinical implications

2025-10-27T17:41:30+01:00

This study addresses the topic of bacterial biofilms and their relationship with antimicrobial resistance, emphasizing the clinical implications arising from this phenomenon. Biofilm formation is a natural process in which bacteria adhere to surfaces and produce a protective extracellular matrix, providing greater tolerance to external factors, including the immune system and antibiotic action. The main objective of this study is to understand how bacterial biofilms contribute to antimicrobial resistance and to analyze their implications for the treatment of infections associated with medical devices and chronic diseases. The research was conducted through a narrative literature review, based on scientific articles and updated academic sources, addressing biofilm formation, the resistance mechanisms they confer to bacteria, and emerging therapeutic strategies. In addition, the study includes an assessment of the clinical implications of these infections, highlighting the role of innovative approaches such as quorum sensing inhibitors and enzyme-based therapies. It is concluded that a deeper understanding of bacterial biofilms is essential for the development of new antimicrobial strategies capable of overcoming resistance and improving the effectiveness of clinical treatments, representing a significant advance for public health and for the management of persistent infections.

Active methodologies and neuroeducation: Keys to personalized teaching in basic education

2025-10-27T18:17:08+01:00

The growing diversity in classrooms, both in-person and virtual, poses complex challenges for teachers, who must adapt their practices to the particular requirements of their students throughout the educational process. To talk about neuroeducation is to talk about what is known about the brain of a child, to take advantage of existing methodologies and learning processes in order to adapt and enhance them so that teaching can be improved. Neuroeducation is an integrative discipline that analyzes brain function in learning contexts, integrating contributions from neuroscience, psychology, sociology, and pedagogy in order to optimize educational processes. Its basis is neuroplasticity, understood as the brain's adaptive ability to reorganize itself based on experience and what the environment can offer it. This foundation allows for the design of active methodologies that stimulate processes such as concentration, memory, emotion, imagination, and motivation. These student-centered methodologies, such as problem-solving learning, project development, teamwork, the use of multisensory tools, the flipped classroom, gamification, and metacognitive reflection, among others, align with the natural functioning of the brain to promote active student participation, leadership, emotional engagement, and knowledge construction. This article analyzes how the principles of neuroeducation, based on neuroplasticity and brain functioning, can be integrated with active methodologies to promote personalized teaching based on scientific evidence. Through a bibliographic analysis, the theoretical foundations of both currents, their connection with pedagogical practice, and their transformative potential are explored. Neuromyths are dismissed, and a critical and applied approach is proposed that allows for the individual needs of students to be met through active strategies and practical applications that promote autonomy and deep learning.

What fashion was like in the 1920s

2025-10-27T18:46:47+01:00

This article aims to contribute to existing discussions about fashion in the 1920s. However, a bibliographical research was carried out on the literature collected. The general objective of this study is to provide detailed information about what fashion was like in the 1920s. In this sense, it was possible to analyze fashion in the 1920s in Europe. Based on this aspect, the decade also became known as the Crazy Years. This study then set out to understand what habits and clothing were like in the 1920s. The problem this research faced was to verify what clothing was like in the 1920s throughout Europe? The article is a qualitative research as it obtains many references from authors who discuss fashion in the 1920s. When analyzing the sources of this research, it was found that they were fundamental to the development of this article.

The role of the nurse in the prevention and control of healthcare-associated infections

2025-10-27T23:11:56+01:00

Healthcare-Associated Infections (HAIs) represent a constant challenge for hospitals, negatively affecting patient recovery and increasing hospital costs. This study aimed to present the main complications caused by HAIs, analyze the contribution of nurses in their prevention, and describe procedures adopted by the nursing team. This is a narrative descriptive literature review, based on searches in SciELO, Google Scholar, Virtual Health Library (VHL) and nursing journals, prioritizing publications from 2020 to 2025 in Portuguese and English. The main consequences of HAIs include sepsis, increased length of hospital stay, and higher mortality rates. Key control measures highlighted were proper hand hygiene, adequate use of Personal Protective Equipment (PPE), and strict adherence to protocols. Factors such as work overload and scarcity of resources hinder full compliance with these measures. Nurses play a central role in HAI prevention and control, requiring continuous training and commitment to standards to ensure patient safety and quality care.

Strategies used by primary health care nurses to promote exclusive breastfeeding: integrative review

2025-10-28T23:13:11+01:00

Exclusive breastfeeding (EBF) is globally recognized for its numerous benefits to child and maternal health, standing out as a priority public health strategy. Nevertheless, early weaning is still frequent, influenced by social, cultural, and structural factors. In this context, the role of nurses in Primary Health Care (PHC) is essential to strengthen this practice through educational actions, continuous support, and family follow-up. The objective of this study was to describe the main strategies used by nurses in PHC to promote EBF, identifying educational actions, challenges faced by mothers, and factors related to early weaning. This is an integrative literature review conducted in the LILACS, MEDLINE/PubMed, and BDENF databases, including articles published between 2019 and 2025. Original studies in Portuguese, available in full text, and addressing the role of nurses in promoting EBF were included. The selection process followed the PRISMA 2020 flowchart, resulting in a final sample of nine articles. The studies analyzed pointed out the main nursing strategies as educational activities during prenatal and postpartum care, home visits, support groups, practical guidance on breastfeeding techniques, and continuous support for mothers. Factors such as maternal insecurity, early return to work, low socioeconomic status, and lack of family support were identified as barriers to maintaining EBF. The importance of professional training and the use of communication technologies as tools to support mothers, especially in adverse contexts such as the COVID-19 pandemic, was also evidenced. It is concluded that strengthening nursing strategies in PHC is essential to increase adherence to EBF, reduce early weaning, and promote the overall health of children and families. The need for consistent public policies, investment in professional training, and research evaluating the effectiveness of innovative actions in the field of breastfeeding is reinforced.

Risk perception and prior knowledge about Acute Coronary Syndrome

2025-10-28T23:30:57+01:00

Cardiovascular diseases (CVDs) are the leading cause of death in Brazil and worldwide, with acute coronary syndrome (ACS) and acute myocardial infarction (AMI) standing out as the most frequent and severe conditions. This study aimed to analyze how risk perception and prior knowledge about ACS influence the time taken to seek medical care. It is a qualitative and descriptive bibliographic research, based on the analysis of 13 national and international articles obtained from databases such as SciELO, PubMed, and Google Scholar. The results revealed a low level of public knowledge about the signs and symptoms of ACS, contributing to delays in medical assistance and increased mortality rates. Differences between sexes were identified, with women being more susceptible to atypical symptoms and delayed diagnosis. Risk factors such as advanced age, low education level, and barriers to accessing health services further aggravate the condition. It is concluded that health education is essential for early recognition and reduction of response time, reinforcing the strategic role of nursing in the prevention and promotion of cardiovascular health.

Evaluation and management of anomalous origin of the right coronary artery in athletes: literature review

2025-10-29T02:11:10+01:00

The anomalous origin of the right coronary artery (AORCA) represents a rare congenital anatomical variation, yet one of significant clinical relevance, particularly due to its association with sudden cardiac death in young athletes. Fifteen articles published between 2020 and 2024 were analyzed, including case reports, clinical series, and narrative reviews, addressing epidemiological, pathophysiological, diagnostic, and therapeutic aspects of AORCA. The main findings indicate that although many patients remain asymptomatic, manifestations such as syncope, chest pain, and arrhythmias may occur, especially in the context of intense physical exercise. The interarterial course of the right coronary artery, located between the aorta and the pulmonary trunk, is considered the highest-risk variant. Therapeutic strategies range from clinical follow-up in asymptomatic cases to surgical intervention in symptomatic patients or those at high risk of a potentially fatal outcome. Management should be individualized according to clinical presentation, anatomical characteristics, and estimated risk of sudden death. Pre-participation evaluation of athletes is essential to prevent adverse complications. Despite being a rare condition, it should be considered in young athletes, with careful assessment through imaging tests such as coronary computed tomography angiography.

Intervalo entre diagnóstico e início do tratamento oncológico: uma análise no estado de Sergipe

2025-10-29T02:24:26+01:00

Cancer, characterized by disordered cell growth, seriously affects individuals' health. Early diagnosis and prompt access to treatment are essential to improve patients' prognosis and quality of life. Identifying the duration of this process is important, as it allows for reflection on the efficiency of the healthcare system and the need for improvements. The objective of this study is to elucidate the time between diagnosis and the start of cancer treatment in the state of Sergipe. This study is a descriptive and observational research, based on the collection of secondary data provided by the Oncology Panel of the Department of Informatics of the Unified Health System (DATASUS), referring to the years 2021 to September 2025. The time interval between diagnosis and the start of cancer treatment in Sergipe was evaluated. The data showed that, on average, the waiting time for the start of cancer treatment varies from less than 30 to 730 days. This wide variation can be attributed to factors such as high demand and limited capacity for care in health units. The analysis also revealed that 3,112 patients wait between 91 and 730 days to start treatment. The results indicate that there is an urgent need to improve the speed of processes and the management of available resources, with a view to ensuring faster and more effective care for cancer patients in the state.

Potential years of life lost due to neoplasms and oncology care coverage in Sergipe between 2020 and 2023

2025-10-29T02:34:32+01:00

Increased life expectancy and advances in diagnostic methods have contributed to the rise in the prevalence of chronic diseases, such as cancer, a rising cause of death in Brazil. This study analyzes the correlation between Years of Potential Life Lost (YPLL) due to neoplasms and cancer care coverage in the state of Sergipe, from 2020 to 2023. This is an observational, descriptive, and quantitative study based on secondary data from DATASUS. Indicators of incidence, mortality, and cancer care were evaluated, with YPLL calculated by age, sex, and municipality. Ethics approval was not required because the information is in the public domain. The results showed 56,855.5 PYLL due to cancer in Sergipe, corresponding to an average rate of 6.73 potential years of life lost per 1,000 inhabitants, between 2020 and 2023. The temporal analysis showed that 2023 presented the highest values, totaling approximately 15,653.5 PYLL, followed by 2020 (14,504 PYLL), 2022 (13,552.5 PYLL), and 2021 (13,145.5 PYLL). Regarding age groups, the 50-59 and 40-49 age groups contributed the most to the total potential years of life lost, while children and adolescents presented the lowest values. It was also observed that the Sergipe territory experienced an increase in PYLL in parallel with the concentration of the main cancer treatment centers in the capital, Aracaju. Thus, it is concluded that, even with the expansion of healthcare coverage, early mortality indicators remain high, reinforcing the need to decentralize oncology services and to use PYLL as a strategic tool for planning public policies that promote greater equity in care.

Nursing care in identifying and assisting postpartum depression (PPD)

2025-10-29T14:40:50+01:00

Motherhood is a defining moment in a woman's life, full of physical, emotional, and social transformations. However, this period is not always lived to the fullest. This study focuses on postpartum depression, a silent condition that can compromise the mother's well-being and her bond with her baby. Through an integrative review of the literature, we sought to understand the main factors associated with the emergence of this disorder, as well as the role of nursing and the support network in caring for the postpartum woman. The analysis of the studies revealed that active listening, early identification of symptoms, and the constant presence of family and professional support are fundamental strategies for preventing and coping with postpartum depression. The study reinforces the importance of attentive and empathetic attention on the part of health professionals, especially in primary care, where the basis for continuous and humanized care is built. We conclude that talking about maternal mental health is an act of care and respect for the complexity of being a woman and a mother

Active methodologies and neuroeducation: Keys to personalized teaching in basic education

2025-10-29T18:45:55+01:00

Palliative care in intensive care: nursing skills and challenges

2025-10-29T21:05:57+01:00

Palliative care goes beyond the mistaken idea of being restricted to the dying process or therapeutic abandonment. In the Intensive Care Unit, many critically ill patients with potentially fatal diseases require continuous support and comprehensive care (PIRES, 2020). Palliative interventions prioritize rigorous symptom control, pain relief, and ethical and compassionate communication with the patient and their family, seeking to ensure quality of life and preserve dignity until the end (SOUZA, 2021). The nurse, as an essential professional in comprehensive care, actively participates in the implementation of therapeutic and care practices, considering not only physiological aspects but also the emotional, psychological, spiritual, and social dimensions of the patient. The objective of this study was to evaluate the scientific evidence and the role of the nurse working in an intensive care unit in relation to palliative care. This is an integrative literature review. Thirty-one articles were identified in different databases. Of the 31 articles, 15 were excluded after title and abstract analysis because they did not meet the initial criteria. 10 duplicate articles were eliminated, resulting in 6 articles selected for full-text reading. During the full-text reading, 2 articles were excluded for not answering the study question. This left 4 complete studies evaluated for eligibility. After evaluation, 2 studies were included in the final analysis.

School sustainability and inclusion of neurodivergent children

2025-10-30T16:05:21+01:00

This study examines the relationship between school sustainability and the inclusion of neurodivergent children, seeking to understand how socio-environmental practices can foster more equitable educational environments. The aim was to synthesize evidence on school gardens, recycling projects, and renewable energy initiatives as strategies that, in addition to promoting environmental awareness, may enhance engagement, participation, and self-regulation among students with different neurocognitive profiles. The theoretical framework articulates perspectives from sustainable education, neurodiversity, and Universal Design for Learning (UDL). Methodologically, an integrative literature review was conducted across national and international academic databases, using systematic selection and analysis criteria. The findings suggest that school sustainability practices may contribute to socio-emotional development and to the reduction of participation barriers, although the available evidence remains heterogeneous. It is concluded that the integration between sustainability and inclusion is a promising approach, whose effectiveness depends on specific teacher training, intentional pedagogical planning, and supportive institutional policies.

Impacts of obstetric violence on women's health and mother-child relationship: an integrative review

2025-10-30T18:46:25+01:00

Obstetric violence is understood as any action or omission that causes physical, psychological, or moral harm to women during pregnancy, childbirth, or the postpartum period, constituting a violation of human and gender rights. Its impacts extend beyond the moment of birth, negatively impacting the woman's mental health and the development of an emotional bond with her baby. This study analyzes the available evidence in the scientific literature on the impacts of obstetric violence on the mental health and mother-child relationship of women victims. This integrative literature review, based on the PICo strategy, defined the guiding question: What are the impacts of obstetric violence on the mental health and mother-child relationship of women victims of violence during pregnancy, childbirth, and postpartum? Scientific articles were selected from the SciELO, LILACS, and PubMed databases, using the following Health Sciences Descriptors: "Obstetric violence," "Trauma," "Childbirth," "Mother-child relationship," and "Mental health," cross-referenced with the Boolean operator AND. Complete scientific articles, available in full, published in Portuguese or English between 2019 and 2024, were included. Opinion articles, editorials, reviews, and those found to be duplicates in the databases were excluded. The final sample consisted of six articles, all of which highlighted the impacts of obstetric violence on women's mental health, with the emergence of feelings of fear, shame, helplessness, anxiety, depression, and post-traumatic stress disorder. Furthermore, three studies found that obstetric violence harms the establishment of the mother-child bond, compromising maternal sensitivity, responsiveness in interactions, breastfeeding, and the formation of secure attachment, all of which are essential factors for the child's emotional and cognitive development. Obstetric violence compromises women's mental health and directly interferes with the development of the mother-child bond, affecting breastfeeding, maternal sensitivity, and the baby's emotional development. These findings reinforce the need for humane obstetric practices that promote respect, autonomy, and acceptance, as well as the implementation of public policies and psychosocial support strategies to prevent and minimize the negative impacts of obstetric violence.

Collaborative construction of an algorithm for implementing a clinical pharmacy service in oncology

2025-10-31T14:07:21+01:00

Objective: To address methodological procedures for collaboratively developing a decision-making algorithm for implementing a clinical pharmacy service in oncology within a hospital setting within the Unified Health System (SUS). Proposal: Research conducted between July and November 2024, encompassing theoretical and empirical procedures, such as problem definition, establishing the conceptual framework of the ideas and purpose of the construct itself, constructing the items, structuring, and operationalizing the content, and semantic evaluation by a group of service experts. The architecture of the algorithm, Expert System, was based on problematizing the daily work routine at a general hospital, a macro-regional reference center in the Southern Triangle of the state of Minas Gerais, Brazil. An in-depth documentary analysis of the relevant regulatory framework guided the knowledge base. Eight thematic units were identified, considered attributes of the algorithm's architecture, and 36 inference mechanisms. Using a semi-structured digital questionnaire, the first version of the product was evaluated by nine pharmacists specializing in oncology, who had worked at the hospital for an average of 20 years and represented 81.8% of the intentional sample. Overall impressions, layout, and content showed agreement within acceptable parameters (100%), while marginal parameters related to the vocabulary used in the inference mechanisms (89%). Conclusions: The service's pharmacists unanimously agreed that the product is a technological alternative for expanding and improving access to medications in oncology care. Above all, collaborative research tends to ensure solutions more focused on the needs of those involved, improving governance and participation in research on the use of artificial intelligence in the Unified Health System (SUS).

Impact of Occupational Stress on the Health and Performance of Nursing Professionals

2025-10-31T17:33:58+01:00

Objective: To understand the impact of occupational stress on the health and performance of nurses in their daily lives. Method: This research was conducted through a literature review, searching for and selecting studies published in the last 10 years. Results: Continued exposure to stressors in the nursing professional's workplace results in the development of occupational stress, which in turn significantly impacts the physical, psychological, and emotional health of these individuals, generating conditions such as high blood pressure, sleep disorders, burnout, anxiety, and depression, as well as increased dissatisfaction with the workplace, loss of productivity, absenteeism, and reduced quality of services offered within the institution. Conclusion: The importance of preventing, controlling, and addressing occupational stress in healthcare institutions is notable for preserving the health and well-being of nurses, as well as for the effectiveness of the care provided to these individuals.

Nursing practice in cancer treatment with a focus on antimetastatic vaccination

2025-10-31T18:15:18+01:00

The training of nursing professionals and their team of technicians and assistants is crucial for the comprehensive and direct care of oncology patients. Conceptualizing scientific and socially relevant technical knowledge is essential for providing quality care in light of information on therapeutic methods against cancer. Therefore, we conducted an integrative review based on articles from the last 5 years, including one publication from 2017 and another from 2018. The research presented yielded extensive results regarding the potential of specific individuals for the development of CAR-T immunotherapy. Due to the factors described, the vaccine against malignant neoplasms being developed by the Butantan Institute is a new formula that demonstrates the remission of tumor metastases, representing an advancement in biotechnology.

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.