JRG Journal of Academic Studies

Samba's Syncopation and Mental Health: Contributions of Dona Ivone Lara

2024-12-06T16:53:56+01:00

The article aims to highlight Dona Ivone Lara's trajectory in mental health and samba. She worked as a nurse and social worker in Rio de Janeiro until retiring from her job at a psychiatric hospital. She was also a partner of psychiatrist Nise da Silveira in using artistic expressions with the patients. Through an integrative literature review, we observed the relevance of Ivone Lara's legacy in using music as an innovative strategy for mental health, demonstrating a humanized and anti-asylum perspective for black people institutionalized in Brazil. Finally, we emphasize samba as a constitutive element of quilombagem, religiosity, rhythm, and corporeality in opposition to the various policies of oppression and erasure inherent in Brazil's colonial system.

The faces of intolerance towards religions of African origin

2025-03-15T22:40:16+01:00

Religious intolerance to candomblé adherents is the product of the ramifications of racism, which has been structured over the years, not Brazil, since the arrival of the colonizers. In this context, the religions of african matrix had their deconstruction, in which they added the demonization in the rites and cultural customs of the Africans here enslaved. Such rites and rituals were criminalized for four centuries and only from the 21st century were the right to legal and political speech. This study aimed to discuss the various faces of intolerance to religions of African origin, specific to candomblé, though research to journalistic reports in newspapers and magazines of great circulation, blogs, websites of broadcasters and social networks such as YouTube, Facebook, Instagram, related to religious intolerance. Forty selected subjects were analyzed. The discussion highlighted cases of religious intolerance, which mostly were reported in police stations and support from black movement entities, but it was also perceived the lack of a more energetic positioning of justice and government agencies, so that the laws could be complied with. It is concluded that there is necessary to have education for diversity in order to minimize cases of intolerance and violence, but also government policies.

Teacher Training for Early Childhood Education on the Inclusion of Children with ASD

2024-12-28T21:41:09+01:00

Teacher training has been widely discussed in various spaces, especially in the education sector, as a way of promoting advances in education, especially when it comes to the inclusion of children with disabilities and Autism Spectrum Disorder (ASD). The aim of this study was to do mapping the training of early childhood education teachers in the inclusion of children with ASD. As a methodology, a survey was carried out in the CAPES Journal Portal database between 2018 and 2024 using the following descriptors: teacher training, ASD and early childhood education, thus 16 papers were found, of which only 3 were directly related to the theme. It was found that there is still little research on the inclusion of children with ASD in schools; it was observed that, although continuing training is important, there is a need for coordination between the state, the school, teachers and parents in order to promote the development of students. It was also pointed out that the training supports the teachers, giving them a theoretical basis for teaching children with ASD. Thus, it can be concluded that there are few articles on the subject studied, which demonstrates the need for more research that relates training for early childhood education teachers and children with ASD, so that there is greater and better elucidations on the training of early childhood education teachers from the perspective of school inclusion

Nursing team interventions in victims of stroke in the Emergency Room

2025-01-18T03:56:11+01:00

The objective of the study was to discuss nursing interventions in victims of ischemic stroke in the emergency department. Stroke is one of the main causes of death in the world, showing the importance of nursing care in care where minutes are precious and team dynamics and speed can save a life. The study is a literature review research, with a qualitative approach. In the discussion, the disease is marked by an obstruction in the arteries that supply irrigation to the brain. Its main causes include the formation of blood clots or the displacement of emboli, resulting in reduced flow of oxygen and nutrients to the brain region. In the period of 24 hours, such injuries can affect several aspects, such as loss of strength in the upper and lower limbs, lack of coordination, impaired communication, vision, difficulty swallowing, in addition to impacting cognitive functions such as understanding, reasoning, memory and state of consciousness. The study showed that complications, if not treated correctly, can lead to death without an additional apparent cause, so much so that when also addressing the risk factors, requested exams, complex and intense care provided to the patient, developed by the guidelines of the Health Directorate and the American Stoke Association (ASA) are important for effective care.

Nutritional and sociodemographic profile of elderly patients with dementia hospitalized in a specialized palliative care unit

2025-02-06T20:36:41+01:00

Introduction: There has been an increase in dementia syndromes, which are among the most disabling in the elderly. The palliative care approach becomes imperative, as it aims to improve the quality of life of patients/families with a serious disease that threatens the continuity of life. This study aimed to describe the nutritional and sociodemographic profile of elderly patients with dementia hospitalized in a specialized palliative care unit and to correlate the nutritional profile of patients with clinical outcome. Methods: Cross-sectional, prospective and analytical study, with a sample of 46 elderly patients with dementia and age ≥ 60 years, admitted to a hospital specialized in palliative care. The sample characterization data, nutritional aspects, functionality scales (PPS and FAST), clinical outcome and length of hospitalization were analyzed. Results: The majority were female (52.17%), aged > 80 years (78.26%), with the most frequent etiologies being Alzheimer's dementia (28.26%) and FAST 7 (78.7%). The most common nutritional diagnosis was severe malnutrition (47.82%), followed by moderate malnutrition (43.48%). The most prevalent feeding route was enteral (47.83%), followed by oral (41%). Of the participants, 86.96% died during the study. Malnutrition was not related to death (p=0.347); however, there was a correlation between the prescribed enteral volume (p=0.031) and the outcome of death, so that smaller volumes were more frequent in patients with this outcome. Conclusion: The prevalence of malnutrition in 91.3% of the sample stands out, as well as a significant correlation between the lowest volume of enteral diet and death. There is a lack of knowledge on the part of health professionals regarding the appropriate indication of the feeding route for these patients, given the high prevalence of enteral nutrition, originating from units that are not specialized in palliative care.

Antioxidant activity, total phenolics, total flavonoids and phytochemical screening of Solanum sanctae-catharinae Dunal (Solanaceae) aerial parts

2025-03-26T20:04:11+01:00

Solanum sanctae-catharinae Dunal it’s a native tree from Brazilian Atlantic Forest. The Solanum genus comprises numerous species that have been found to exhibit antidiabetic, antitumor, and antimalarial properties. The current study seeks to assess the antioxidant properties, of crude extracts and crude extracts fractions of S. sanctae-catharinae aerial parts. The Folin-Ciocalteu method and the aluminum-trichloride method were used to determine TPC and TFC in crude extracts and fractions of aerial parts. Two assays were conducted to evaluate antioxidant activity: the DPPH test and the phosphomolibdenium method. Differences between sample means and control groups were determined using ANOVA (one way) with Tukey’s test coupled. Correlations were obtained using the Pearson correlation coefficient for bivariate correlations. Our findings shown that the remnant fraction of the ethanolic crude extract demonstrates the most relevant antioxidant activity, followed by the chloroform fraction of the ethanolic crude extract, the remnant fraction of the ethanolic-acetic crude extract. The presence of secondary metabolites such as phenols, flavonoids, coumarins, and alkaloids in S. sanctae-catharinae phytochemical screening suggest that this antioxidant activity can be attributed to the presence of this secondary metabolites. Furthermore, the results indicate a substantial quantity of polyphenols and flavonoids in both extracts.

Civil liability of digital influencers in the promotion of gambling: Legal analysis and implications in the Brazilian context

2025-04-24T02:36:53+02:00

This article analyzes the growing involvement of digital influencers in promoting gambling activities on online platforms, highlighting the legal and social challenges arising from this practice. The main objective of this study is to examine the civil liability of digital influencers for promoting gambling in the digital environment, in light of Brazilian legislation. The research employed the deductive method, based on a review of scientific articles, case law, legal doctrines, and current legislation. It concludes that, although part of the legal doctrine and judicial decisions acknowledge the objective and joint liability of influencers, there is still a noticeable interpretative divergence in court rulings. Ultimately, the study supports the need for regulatory updates, stricter oversight of advertising strategies related to gambling, and the professional regulation of influencers, aiming to ensure greater legal certainty and the establishment of clear standards for conduct and accountability.

Breastfeeding in Focus: Causes of Early Weaning and the Obstacles to Overcome

2024-11-25T19:26:23+01:00

Breastfeeding is an essential process for the nutrition and development of babies. Despite the recommendacions of the World Health Organization (WHO) and the Ministry of Health, which indicate exclusive breastfeeding until six month of life, many babies end up being weaned early. To identify the main causes that lead to early weaning in a municipality in the interior of Paraná. This study was haracterized as a cross-sectional, descriptive and exploratory research, with a quantitative-qualitative approach, aimed at woen who stopped breastfeeding before six months of age. The main problems highlighted by the participants were the difficulty in breastfeeding and the lack of information during pregnancy. The present study identified the main causes of early weaning and the challenges faced by mothers during the breastfeeding process, emphasizing the importance of professional health support. The lack of adequate information and practical difficulties in breastfeeding were highlighted as factors that contribute to the early interruption of breastfeeding.

Smart and Sustainable Cities: a brief critical reflection

2025-01-29T00:37:19+01:00

Smart and sustainable cities use urban indicators, which serve as a basis for measuring, analyzing and understanding the context of cities. This study proposes to reflect on a topic of a global and modern nature, in addition to being extremely relevant, it is a brief critical reflection on the characteristics that chose smart and sustainable cities, with a focus on Salvador (BA). In this sense, the main objective is to critically reflect the common characteristics among the ten smart and sustainable cities in Brazil in 2024, with an emphasis on Salvador (BA), using a qualitative approach, the deductive method and the bibliographic procedure. The Google Scholar platform is used as a database. The study is justified as a result of critical reflection on the common characteristics of the ten smart and sustainable Brazilian cities, with a careful perception in Salvador. In the literature review process, it was noted that there are Public Policies and Programs that encourage cities to become smart and sustainable. There are also Rankings, making it possible to understand, compare and evaluate the progress of cities towards a more sustainable and intelligent future. In the 2024 edition, the Connected Smart Cities Ranking chooses Salvador (BA), the focus of this research, as the top 10. Although the Bahian capital was awarded among the ten smart cities, there is still a gap between this reality and the great challenges faced in other thematic axes, such as education, safety, health and environment.

POP contributions to nursing care for the treatment of thyroid neoplasia in the therapeutic room

2025-04-04T18:40:08+02:00

Objective: To discuss nursing care based on the Standard Operating Procedure (SOP) for the treatment of patients who underwent thyroid neoplasia removal and use the therapeutic room for the application of radioiodine I-131. Methodology: This is a scoping review that used PRISMA as a strategy to search for studies. Discussion: The research showed that nursing care can have good results with quality for patients, and it is essential to formulate training and update the SOPs, with the involvement of the nursing and multidisciplinary team in the review of procedures, aiming at the treatment and implications of the necessary care. Conclusion: To ensure the effectiveness and safety of treatment, it is necessary to promote regular training and updates for the nursing team, ensuring that all members are well informed and prepared, to the point of carrying out periodic reviews of the SOPs to incorporate new evidence and emerging practices, adjusting the protocols as necessary to improve the quality of care.

Consolidation of the partogram by an obstetric nurse in a natural birth center

2024-12-26T21:43:17+01:00

The partogram is the main tool for monitoring normal labor. However, the lack of adherence to this instrument or its incorrect use still is a common practice in the care notice in a lot of birth places. The study aimed is to consolidate the use of the partogram by obstetric nurses in a natural birth center. It is based in a convergent care research as a method, with a qualitative nature, this research try to connect the professional practice and scientific research. The Study was held in a normal birth center of a maternity hospital in the city of Lagarto, the participants are 06 obstetric nurses and 10 obstetric nursing residents. Data collection was occurred using a knowledge questionnaire and training meetings on the use of the partograph. The product of this intervention was the construction of a guidance flowchart for completing the partogram, which improved professionals' adherence, in addition to raising awareness of the importance of the instrument for care practice. Thus, it contributed to opening up discussion on the topic and improve the use of the partograph in labor care.

Youth Outside the Law: Social Pedagogy and Factors Influencing Criminal Recidivism

2025-04-22T22:47:38+02:00

The proposal and execution of this article were made possible by research in the Post-Doctorate Program in Education at the Faculty of Education of the University of São Paulo (FE/USP), which aimed to understand the socio-pedagogical effectiveness of socio-educational measures, developed in a state program, imposed on adolescents, considering the possibility of interrupting the delinquent career of adolescents who commit an offense. For this analysis, the research took place in a city located in the interior of the state of São Paulo-SP and consisted of a bibliographic review, documentary research, field observation and in-depth interviews with a group of adolescents who were repeat offenders. The entire perspective of analysis of research data is based on the Social Pedagogy method, which was conceived by Professor Roberto da Silva, in memoriam.

Keywords: Social Pedagogy; Socio-Educational Measures Program; Criminal Recidivism.

The role of nursing in the impacts of obstetric violence on women's mental health

2024-11-12T13:54:29+01:00

This study aims to investigate obstetric violence and its impact on women’s mental health, highlighting the potential for emotional and psychological trauma resulting from experiences of non-consensual procedures and negligence. Understanding and preventing obstetric violence are essential to promoting humanized care, ensuring a positive experience for women during childbirth and the postpartum period. The methodology involved a qualitative analysis based on interviews with 20 participants, including mothers of children under five years and pregnant women, addressing sociodemographic aspects and experiences of physical and verbal violence. The study seeks to clarify women’s rights and raise awareness among healthcare professionals about the importance of respect during childbirth. Data analysis reveals that obstetric violence persists and requires improvement to build a safer and more welcoming environment for mothers and babies over time.

Factors Associated with the Interruption of Chemotherapy in Patients Treated at a High-Complexity Oncology Care Unit in Brasília

2025-02-07T14:28:34+01:00

The discontinuation of chemotherapy compromises its efficacy and reduces the life expectancy of cancer patients. This study aimed to identify the factors associated with the interruption of chemotherapy sessions in patients treated at the Oncology Outpatient Clinic of the Hospital Regional de Taguatinga (HRT), a High-Complexity Oncology Care Unit in Brasília, Brazil. This is a cross-sectional observational study conducted between March and September 2024, involving adult patients diagnosed with cancer. Data collection was carried out through a review of electronic medical records and an analysis of scheduling records. Of the 4,311 scheduled sessions, 979 (22.7%) were canceled or rescheduled. The majority of patients were female (71.8%), with a mean age of 56 years. Breast cancer was the neoplasm most associated with interruptions (30.6%), followed by colorectal cancer (16.0%) and cervical cancer (12.9%). Clinical stage assessment revealed a predominance of advanced diagnoses, with 36.2% in stage III and 34.6% in stage IV, characterized by metastatic disease. Clinical factors accounted for 59.1% of suspensions, with hematologic toxicity (25.6%) and infections (18.1%) being the most prominent causes. Personal factors represented 20.9%, with unexplained patient absence as the primary reason (54.6%). Institutional factors accounted for 16.7%, mainly due to a lack of infusion time availability (35.0%) and scheduling errors (19.0%). The findings highlight the need to optimize hospital management, improve protocols for managing toxicities and infections, and strengthen educational and psychosocial support for patients, aiming to minimize interruptions and optimize clinical outcomes.

Antigravity experiements as tool for developing the concept of universal gravitation

2025-03-13T17:50:42+01:00

The formation of concepts is a cognitive process linked to the process of constructing meanings (Vygotsky, 2009). Furthermore, so-called anti-gravity experiments, as they challenge gravity, can be enriching tools in the teaching and learning process, as demonstrated in this research. Thus, this work aims to establish the theoretical and methodological elements that allow structuring learning and the formation of scientific concepts from experimentation. Based on the cognitive learning theory presented by Vygotsky (2009), this research adopted an approach grounded in social interaction and the development of an instigation for attractive experiments in students' perception. Thus, we adopted the Didactic Sequence (SD) as proposed by Zabala (1998) for a structured didactic foundation with a beginning, middle, and end. In this context, anti-gravity experiments brought an instigative framework for the understanding of the scientific concept, although we know that gravity cannot be annulled, we perceived in the results a collaborative participation in the students in groups and in the oral presentation. Finally, we highlight that this article is a cut of a completed master's research.

Investigation of basic physics concepts in the sports practice of footvolley: a case study

2025-04-02T21:48:48+02:00

The application of experimental activities that correlate sporting activity and the sciences present in nature allows students to verify scientific occurrences in a practical way. The aim of this article is therefore to explore the relationship between the kinematics and dynamics content taught in Physics and its application in the everyday practice of footvolley. The aim is to expose and analyze the basic concepts with the aim of observing their practical manifestation, promoting a connection between what is studied theoretically and what happens in sports practice. In order to minimize the gap between the scientific knowledge approached in the academic environment and its application in the sporting context, this study proposes to clarify how some physical principles are manifested in the technical gestures characteristic of footvolley. This work is structured in such a way as to contextualize sport by associating the two areas of study, demonstrating the interdependence between theoretical concepts and their practical applicability in sport.

Use of sunscreen in patients attending dermatological consultations in Lagarto, Sergipe

2024-12-24T01:58:28+01:00

Skin cancer is the most common neoplasm in Brazil, with ultraviolet (UV) radiation being the predominant carcinogen, and its effects influenced by geographic region, sun exposure, sun protection, and skin phototype. Topical sunscreens are products containing substances that interfere with the skin's absorption of energy from UV radiation. However, according to an estimate from the Brazilian Society of Dermatology, about 63% of people expose themselves to the sun without any form of protection. The literature presents few studies that assess the epidemiological profile of sunscreen use in Brazil, particularly in the North and Northeast regions, which experience the highest accumulated doses of UV radiation in the country, thus highlighting the demand for research on this topic. The objective of this study was to evaluate the association between sunscreen use and epidemiological and dermatological variables in patients treated at a dermatology outpatient clinic, as well as to describe the baseline characteristics of the patients. This was an analytical, observational, cross-sectional study, with data collected through an interview using a tool designed to assess clinical and epidemiological aspects of photoprotection, among patients at the dermatology outpatient clinic at the Medical Specialties Center of Lagarto. The sample consisted of 314 individuals. Bivariate analysis revealed a positive association with education level and prior guidance on photoprotection, and a negative association with male sex, moderate to high skin phototype, and sun exposure of 3 or more hours daily. Multivariate regression showed sex, education level, skin phototype, and prior guidance as independent variables. An independent association was observed between sex, education level, skin phototype, and prior guidance on photoprotection with sunscreen use.

Epidemiological profile of transient ischemic stroke (CVA) and related syndromes in adults and elderly people in Northeast Brazil from 2018 to 2023

2025-01-15T14:42:14+01:00

Introduction: Ischemic stroke (ISC) is a neurological dysfunction resulting from a focal cerebral, spinal or retinal infarction, constituting one of the main causes of death and disability in the world. Objective: To analyze the epidemiological profile of adults and elderly individuals with ischemic stroke in the Brazilian Northeast between 2018 and 2023. Methodology: Descriptive epidemiological study using secondary data from the SUS Hospital Information System (SIH/SUS), Tabnet, and the Brazilian Institute of Geography and Statistics (IBGE), tabulated in Microsoft Excel, according to the cases registered during the period from January 2018 to December 2023. The variables analyzed were states, sex, race/ethnicity and age group over 20 years, number of hospitalizations and deaths. Results: In the period analyzed, the states with the highest prevalence per 100,000 inhabitants were Alagoas (191.81), Maranhão (88.13), and Pernambuco (80.45); and those with the lowest were Sergipe (16.2), Paraíba (23.7), and Rio Grande do Norte (30.15). Additionally, a higher prevalence was observed in males (53.14%), brown people (51.07%), and those over 50 years of age (60.88%). Finally, the highest proportion of deaths occurred in the states of Sergipe (21.42%), Paraíba (12.74%), and Maranhão (12.23%). Conclusion: Based on the results, brown men over 50 years of age have a higher prevalence of stroke, correlating with the greater presence of risk factors. Furthermore, the states with the highest number of deaths have the lowest number of hospitalizations, in the case of the states of Sergipe and Paraíba, suggesting disparity in access to health services, especially those of high complexity.

Efficacy of music therapy as a care tool in Nursing

2025-02-05T03:13:04+01:00

Music therapy is performed through the reproduction of music, creation of sounds or stimulation of musical composition and can bring several health benefits, acting to reduce physical and psychological symptoms, in addition to promoting an improvement in quality of life. The objective of the study was to verify the evidence available in the literature on the effectiveness of music therapy as a tool for education and care in nursing. This is an integrative literature review, carried out in the Scientific Electronic Library Online (SciELO), Latin American and Caribbean Literature in Health Sciences (LILACS) and Nursing Database (BDENF) databases, between october and november 2023, selecting primary studies, with open access between the years 2019 to 2023 and carried out in practice settings. A total of 12 articles were selected and three categories were identified: Music therapy and its meanings; Music therapy and its clinical interface and Music therapy in palliative care. Music therapy has shown positive results in hemodynamic and ventilatory parameters, anxiety, fear, loneliness, isolation, mood, depression, well-being and socialization. It aided in the development of cognition, attention, memory and relaxation and provided a safe, stimulating and playful environment, favoring interaction and feelings with family and friends. It is concluded that music therapy has a significant impact on the physical, emotional and social aspects of individuals, being an effective tool for nursing care.

Impact of resistance exercise in the relief of musculoskeletal pain associated with postural deviations: a systematic review of literature

2025-02-24T01:20:57+01:00

This study carried out a systematic review of the literature to evaluate the impact of resistance exercise on relieving musculoskeletal pain associated with postural deviations, such as scoliosis, hyperlordosis and kyphosis. Randomized clinical trials, controlled and observational studies published in English, Portuguese or Spanish, with participants between 10 and 60 years old, were included. Studies that addressed interventions unrelated to resistance exercise, with pediatric or geriatric samples, or with low methodological quality, were excluded. The search was carried out in the databases PubMed, Scopus, BVS, Lilacs, Scielo and Research, Society and Development (RSD), using keywords such as "resistance exercise", "musculoskeletal pain", "postural deviation", among others. The selection process occurred in two phases: initial screening (reading titles and abstracts) and complete reading of the selected studies. The methodological quality of the studies was assessed using the Cochrane Risk of Bias Tool for randomized clinical trials and the Observational Studies Quality Scale (MINORS) for non-randomized studies. The objective was to consolidate the evidence on the effects of resistance exercise on musculoskeletal pain and improving postural alignment. The conclusion of this systematic review is that resistance exercise has proven to be an effective approach in relieving musculoskeletal pain and improving postural alignment in individuals with postural deviations. Despite the heterogeneity in the methods of the studies analyzed, the results indicate that muscle strengthening can significantly contribute to pain reduction and postural correction.

Over-indebtedness, banking frauds, and legal protection in Brazil: the existential minimum and human dignity in the protection of the elderly

2025-03-25T16:53:44+01:00

The evolution of society has brought technological innovation and increased consumption, driven by easy credit, such as payroll loans. However, retired seniors are vulnerable to abusive practices by financial institutions, suffering undue discounts on their social security benefits. The 1988 Federal Constitution protects consumers and ensures human dignity, directly linked to the concept of Minimum Existence, guaranteeing basic rights such as housing and health. The Consumer Protection Code (CDC) classifies financial abuse as illegal, imposing sanctions such as double refunds and compensation for moral damages. In addition, Summary 297 of the Superior Court of Justice confirms the applicability of the CDC to financial institutions, reinforcing consumer protection. A common and harmful practice is the hiring of the Consignable Margin Reserve (RMC), which discounts amounts from retirees without a defined term, resulting in ongoing debt. Many seniors, who are digitally illiterate and have little family support, are unable to identify or contest these charges. To address over-indebtedness, Law 14.181/2021 was created, improving consumer protection and allowing debt renegotiation, while preserving the Minimum Existence. The limit of 30% of monthly income for discounts is also being discussed, according to INSS IN 28/2008, aiming to avoid the financial vulnerability of the elderly. Despite the regulations, abusive practices persist, harming retirees and disrespecting their fundamental rights.

Surgical treatment of oral lymphangioma: clinical case report

2025-01-27T15:09:37+01:00

Lymphatic malformations (LMs), or lymphangiomas, are benign congenital anomalies of the lymphatic system, often associated with syndromes. Although the diagnosis occurs mainly in childhood, cases in adults are rare. They mainly affect the head, neck and oral cavity, and can cause macroglossia and functional difficulties. This work aims to report a case of diagnosis and treatment of a circumscribed lymphangioma in the tongue region of a 7-year-old patient who had been presenting signs and symptoms for approximately 2 years. The diagnosis was clinical and concluded with the results of an anatomopathological examination. The treatment carried out consisted of surgical excision, and the patient improved significantly after the procedure.

Development of a conceptual map on Georges Canguilhem's epistemology: experience report

2025-04-01T06:40:57+02:00

The aim is to describe the experience of creating a conceptual map on Georges Canguilhem's epistemology. The work “The Normal and the Pathological” by Georges Canguilhem, which deals with issues related to health, illness and healing, was used as a reflection. Key concepts were identified in Canguilhem's work, such as "norm", "pathology", "vitalism" and "knowledge" and six main categories: 1) Definitions and Distinctions; 2) Responsibility of the Living Being; 3) Relativity of Health and Illness; 4) Examples and Case Studies; 5) Philosophical and Physiological Perspectives; 6) Health as a Feeling and Meaning of Life. The conceptual map was created using the Canva application, which allowed for a calear visualization of the interconnections between the concepts. The study highlighted the importance of the conceptual map to understand the complexity of the notions of health and illness, according to Canguilhem, which challenges traditional and positivist definitions. The analysis revealed that illness should be understood not as the absence of health, but as an expression of the body to maintain balance and homeostasis, taking into account the individuality and subjectivity of each individual. In this way, normality cannot be seen as a fixed and immutable state, but as a dynamic and constantly evolving process, an expression of the organism's adaptation to its conditions. And, the boundary between normal and pathological is not a clear and objective line, but a space of transformation and complexity, with interaction of the subject with the environment through its normative character (normativity), and which responds to natural adversities. It is concluded that the construction of the conceptual map not only organized and synthesized knowledge in a visual way, but also functioned as an effective pedagogical tool to foster critical thinking about scientific knowledge and its ethical implications in the health area.

Use of Cannabis as an alternative treatment for Autism Spectrum Disorder (ASD)

2024-12-22T16:54:27+01:00

Given the complexity of Autism Spectrum Disorder (ASD), multidisciplinary treatments are essential, with recent emphasis on the therapeutic potential of cannabidiol (CBD), derived from Cannabis. This study aims to review the literature on the use of Cannabis as an alternative treatment for ASD, seeking to provide robust data for clinical practice. An integrative literature review was conducted in the SciELO, PubMed, and LILACS databases, using the English descriptors “Autism Spectrum Disorder,” “Cannabidiol,” “Cannabis,” and “Treatment.” Inclusion criteria included full-text studies published since 2018, available for free in Portuguese or English, while comments, editorials, articles published before 2018, and paid articles were excluded. The data analysis involved a full reading of the selected articles, the creation of a synthesis matrix, and the organization of information regarding the form of Cannabis use, doses, and effects from 16 articles. The reviewed studies suggest that the use of Cannabis extracts, especially those with high concentrations of cannabidiol (CBD), represents a promising approach for managing behavioral and social symptoms associated with ASD. CBD has shown effectiveness in reducing symptoms such as anxiety, agitation, and repetitive behaviors, as well as improving social interaction and communication in individuals with ASD. These results indicate that Cannabis compounds may offer a complementary therapeutic alternative to conventional approaches, highlighting the need for further research to elucidate the mechanisms of action, optimize dosages, and assess long-term effects, thus ensuring greater safety and efficacy in the use of these extracts in the clinical context of ASD.

Nutritional Screening and Diagnostic Instruments in Cancer Patients: An Integrative and Contemporary Approach.

2025-01-13T23:06:37+01:00

Cancer represents a complex condition with significant global prevalence, affecting approximately 1 in 5 people. Malnutrition, closely associated with the disease, can vary between 20% and 80% of cases, directly impacting the therapeutic outcomes and quality of life of patients. The present study aims to analyze and integrate contemporary instruments for nutritional screening and diagnosis in cancer patients, aiming to understand their characteristics, applicability and potential contributions to nutritional management. This is an integrative bibliographic review carried out between November 2023 and October 2024. Databases such as SciELO, Pubmed, and Lilacs were used, with inclusion criteria for studies published between 2014-2024, involving adults and older adults with cancer, in Portuguese, English, and Spanish. Instruments such as NRS-2002, Graz Malnutrition Screening (GMS), AND-ASPEN and GLIM were identified, each with specific characteristics of nutritional screening and diagnosis. The MSG showed greater sensitivity compared to the NRS-2002, while the GLIM method proved to be robust for diagnosing moderate and severe malnutrition. The results highlighted the complexity of oncological nutritional assessment, highlighting the importance of multidisciplinary approaches and standardized instruments for early identification of nutritional risks. It is recommended to implement integrated protocols that combine multiple instruments, potentially reducing morbidity and mortality and improving the quality of life of cancer patients.

Use of geoprocessing tools in the morphometric characterization os the city of Riachão do Poço - PB

2025-01-25T22:28:24+01:00

One of the biggest problems when it comes to monitoring natural resources is the size of the territories to be analyzed. In this context, the use of geotechnologies proves to be a good alternative for obtaining this data, helping in the process and development of strategies that improve the way of managing water resources. The mentioned work aimed to use digital elevation models and geoprocessing techniques to delimit hydrographic micro basins, morphometric characteristics and the drainage network to carry out comparative analysis with the existing official database, available by AESA – Executive Management Agency of the Waters of the State of Paraíba. The results were obtained from a digital elevation model for the municipality of Riachão do Poço – PB, namely, SRTM image that respectively present 30 m of spatial resolution, through the use of a Geographic Information System for use free, QGIS version 3.34. 9 micro basins were delimited for the study area, where the results showed an average tendency to floods, with a good drainage and hydrographic density. Most of the relief was gently undulating, with an altitude varying from 40 to 100 meters. The drainage network obtained with the use of MDE's presented a significant difference in relation to the existing drainage network available by AESA, proving that the tools currently available through geotechnologies are excellent alternatives to assist in generating these results.

Nutritional Interventions in the Treatment of Cancer Cachexia: a literature review

2025-02-13T14:16:16+01:00

Objective: Cancer cachexia is a debilitating condition associated with cancer, characterized by weight loss, muscle mass depletion, and metabolic disorders, negatively impacting patients' quality of life. This review aimed to analyze nutritional interventions in the management of cancer cachexia, focusing on supplementation with omega-3 fatty acids, specialized diets and nutritional counseling. Methodology: Clinical and observational studies published in the last 15 years were selected from the PubMed/MedLine, Scopus, and Cochrane Library databases. Results: The analysis revealed that omega-3 supplementation contributes to body weight stabilization and systemic inflammation reduction, although it has not shown a significant impact on cachexia reversal. Specialized diets, such as the Mediterranean diet, have been more effective in preserving muscle mass and improving functionality compared to conventional hospital diets. Personalized nutritional counseling presented contradictory results, possibly due to the advanced stage of the disease in the studied patients. TPN proved effective in patients with impaired oral intake, but the composition of nutritional substrates directly influenced outcomes. Conclusion: Although the results indicate that individualized nutritional strategies can improve quality of life and nutritional status, the heterogeneity of studies and the lack of consensus on diagnostic criteria for cancer cachexia highlight the need for further research with methodological rigor, diagnostic standardization, and long-term follow-up.

Benefits of using medicinal plants as therapy for leishmaniasis: a narrative review

2024-12-18T13:40:13+01:00

Objective: To address the benefits of using medicinal plants to treat leishmaniasis in humans, providing low cost and reducing resistance to chemotherapy. Methodology: This is a narrative review conducted in the Virtual Health Library (VHL), Scientific Electronic Library Online (SciELO), Public Medline (MEDLINE), and Latin American and Caribbean Literature on Health Sciences (LILACS). In addition, Google Scholar was used in isolation to complement the search. Results: The review consisted of eight articles. Several medicinal plants have been studied for the treatment of leishmaniasis. Bidens pilosa and Punica granatum have shown efficacy against the parasite, but Bidens pilosa also has immunomodulatory properties that may affect disease control. S. lucocarpum, A. glabra, and S. striata have also demonstrated leishmanicidal activity. Zerumbone, present in natural foods, has several biomedical properties. Jatropha multifida has shown antileishmanial activity and inhibition of bacterial growth. Studies with other plants, such as Carthamus tinctorius, Pimpinella anisum, Cuminum cyminum, Cinnamomum verum and Alhagi persarum, have shown efficacy against the parasite. These plants have potential as therapeutic alternatives for leishmaniasis; however, further research is needed to confirm their efficacy and safety. Final considerations: These studies highlighted the potential of several plants and plant extracts as sources of compounds with antiparasitic activity. Although further research and clinical studies are still needed to evaluate their efficacy and safety, these findings pave the way for the development of new therapies and drugs against leishmaniasis.

Assessment of the efficacy of Dupilumab in the treatment of Atopic Dermatitis in adults: an integrative review from 2019 to 2023

2025-01-04T23:35:57+01:00

Atopic dermatitis (AD) is a chronic inflammatory skin disease that affects both adults and children, with significant impacts on quality of life. In cases of moderate to severe AD in adults, conventional treatments are often insufficient for effective symptom control. In this context, dupilumab, a recently approved biologic for the management of AD, has emerged as a promising therapeutic alternative. The aim of this research is to evaluate the efficacy of dupilumab in the treatment of AD in adults. This study is an integrative literature review. Research was conducted through the analysis of 16 articles published between 2019 and 2023, selected from the LILACS, PUBMED, and SCIELO databases, based on the guiding question: "What is the efficacy of dupilumab in the treatment of atopic dermatitis in adults?". Articles published in Portuguese and/or English were selected, organized, and systematized using a flow diagram. The results indicated that dupilumab was effective in reducing AD symptoms, such as pruritus and skin lesions, with a significant improvement in EASI and SCORAD scores. Efficacy was observed both as monotherapy and in combination with topical treatments, with more pronounced effects in a biweekly administration regimen. The treatment was well tolerated, with adverse reactions such as conjunctivitis and upper respiratory infections generally being mild and manageable. The analysis showed that frequent administration regimens sustain the therapeutic benefits over time. It is concluded that dupilumab is an effective and safe option for the treatment of AD in adults, offering an alternative to fill a therapeutic gap in the management of the disease, providing prolonged efficacy that was not achieved with previous treatments.

Technological resources in probability teaching: a literature review of theses and dissertations

2025-01-25T01:47:43+01:00

The aim of this article was to identify recent scientific production on the application of technological resources in the teaching of probability in basic education, more specifically in the mathematics curriculum. Methodologically, we adopted a literature review protocol with the strings "technology", "teaching" and "probability", from 2018 to 2024, in works written in Portuguese available in the Brazilian Digital Library of Theses and Dissertations (BDTD). This protocol consisted of inclusion and exclusion criteria, as well as questions that supported the qualitative analysis of the productions. As a result, three studies were selected and analyzed using the interpretative bias of Creswell's spiral (2014), which led us to draw up two analytical categories: a) identification of the choice of technological resources and their representativeness; and b) the contribution of these resources to student learning. The results of these studies reinforce the importance of technological resources as facilitators in the educational context. In addition, we present opportunities for future research that can contribute to a more in-depth understanding of technology in the process of contributing to teaching and learning practice.

The Challenge of Teacher Education in the 21st Century: Between Scarcity and Technological Innovation

2025-03-09T16:29:37+01:00

The teaching practice in the contemporary educational context requires the teacher to adapt to the technological, social, and pedagogical changes of the 21st century. The educator's role goes beyond simply transmitting content, encompassing the mediation of learning and promoting collaborative and critical learning. Teacher training, therefore, must be guided toward the development of competencies that allow educators to respond to new educational demands, using technology as tools to facilitate knowledge construction. However, the Brazilian reality still faces challenges regarding teachers' initial training, with the precariousness of undergraduate courses and the lack of adequate working conditions. Continuing education emerges as a necessity to fill these gaps but often limits itself to compensatory actions, far from the goal of updating and deepening knowledge. For education to be effective, it is essential to invest in policies that promote teacher appreciation, improve their working conditions, and encourage the continuous development of their skills. Teacher appreciation and recognition are crucial for building a fair and efficient educational system that meets the needs of the 21st century and provides quality education for all. Therefore, the training and appreciation of teachers are central issues for the success of the educational process and for the future of new generations.

Criteria for inclusion of cancer patients undergoing antineoplastic treatment in the Home Enteral Nutrition Therapy Program: a proposal independent of the malnutrition criterion

2025-03-30T16:19:49+02:00

National and international guidelines recommend early nutritional intervention in cancer treatment as a prevention against malnutrition. Paradoxically, access to prior nutritional therapy, when linked to the Home Enteral Nutritional Therapy Program, is subject to the malnutrition criterion. Objective: To characterize the nutritional profile of patients undergoing antineoplastic treatment, according to the criteria of the Home Enteral Nutritional Therapy Program, regardless of malnutrition. Methods: A cross-sectional, observational, and analytical study. 55 patients undergoing antineoplastic treatment with at least one of the criteria of the Home Enteral Nutritional Therapy Program and non-malnourished patients were included. Onco-hematological patients, children, and elderly patients over 65 years old and under exclusive palliative care were excluded. For nutritional risk screening, the Patient-Generated Subjective Global Assessment (PG-SGA) was used. The analyses were performed in the R software (R Core Team 2024), with a significance level set at 5% (p<0.05). The results showed a significant difference between well-nourished, moderately malnourished, and severely malnourished patients, regarding BMI (p=0.01), percentage weight loss in 6 months (p=0.0001), with severely malnourished patients having lower BMI and greater weight loss. Regarding symptoms and therapeutic regimens used, a marginally significant result was obtained (p=0.06). There was a significant difference between candidates and non-candidates for the Home Enteral Nutritional Therapy Program, regarding weight (p=0.005) and BMI (p=0.004), being lower in patients who were candidates for the program. There was a significant relationship between being a candidate or not for the program (p=0.004), as well as medications in use (p=0.01). The conclusion demonstrated that cancer patients undergoing antineoplastic treatment, candidates for the Home Enteral Nutritional Therapy Program regardless of the malnutrition criterion, had significantly lower BMI and weight compared to non-candidates and presented more symptoms and a greater association with cytotoxic regimens. Suggested that new inclusion criteria for patients undergoing antineoplastic treatment be considered for the Home Enteral Nutritional Therapy Program, regardless of the malnutrition criterion.

Development of a health education technology for the elderly with systemic arterial hypertension

2024-12-14T00:39:53+01:00

Objective: To report the experience of nursing students during the construction of an educational technology for elderly people with systemic arterial hypertension, assisted by primary health care in a municipality in the interior of the state of Amazonas. Methods: This is an experience report study, developed as the final activity of the curricular internship II of the Nursing Course, from January to March 2022. The educational booklet in printed format, linked to a health action plan, emerged from the observation and identification of the difficulty of adherence to the hypertension control program by the elderly. Results: The construction of the technology was based on three stages: situational diagnosis, bibliographic survey and construction of the technology. The educational intervention was carried out with 20 elderly people registered in an area covered by a Family Health Strategy team. Health education is crucial for preventing complications related to hypertension in the elderly. Conclusion: Educational technologies can help in the process of health education for elderly people with chronic diseases. It is possible that by implementing innovative tools containing simple information, changes in lifestyle and adherence to drug and non-drug treatment can occur.

Patient safety in a Pediatric Intensive Care Unit

2025-01-31T23:15:56+01:00

Objective: To analyze the knowledge of professionals at the Pediatric Intensive Care Unit (PICU) of the Hospital Materno Infantil de Brasília (HMIB) regarding patient safety goal protocols. Methodology: Prospective exploratory research carried out with HMIB PICU employees between June 2024 and August 2024, using a multiple choice questionnaire and simple statistical analysis. Results and discussion: The majority of professionals (72.06%) demonstrated full knowledge of the protocols, although 27.94% reported insecurity in applying them. Despite adherence to the hand hygiene protocol, practices such as the use of checklists and communication during shift handovers presented weaknesses that could compromise patient safety. Structural issues, such as bed layout, were also highlighted as challenges. Conclusion: HMIB PICU professionals are aware of patient safety protocols, yet gaps in communication, practical application and infrastructure highlight the need for ongoing training and organizational improvements.

Leprosy: epidemiology and clinic in an area of medium endemicity

2025-02-17T19:20:47+01:00

Leprosy is an infectious disease, neglected, stigmatized, makes no distinction between sex, age group or ethnicity, little known among people, especially regarding forms of contagion, prevention and treatment. The objective of this research was to analyze the epidemiology and clinical history of individuals positive for leprosy. This is a secondary database study, based on SINAN\DATASUS. The location investigated was the municipality of Picos\PI. The sociodemographic and clinical variables of leprosy were collected, including all positive cases reported between the years 2019 and 2024 and data with incomplete information were excluded. The data revealed a higher prevalence among women 51%, adults 70.5%, incomplete primary education 22.8%, black people 81.9% In terms of disease presentation 84.6% multibacillary, 36.2% had more than five lesions, 57.7% dimorphic, 33.6% grade I disability, 81.9% polychemotherapy 12 doses, 23.5% type I episode and 71.8% with no records of disability due to cure. The study reaffirms the need for early diagnosis, transmitted listening and timely treatment, to avoid transmission and disabling forms and a more specific look at the mental health of those affected by the disease.

Health services for trans bodies: an integrative review

2025-04-11T15:48:18+02:00

Introduction: The trans community, in the search for visibility and rights, has been gaining ground over the years, however, they are exposed to alarming rates of prejudice in accessing health services in order to affirm their gender. Objective: This study aimed to understand the challenges faced by trans people in the search for adequate health services for the gender transition process. Methodology: This is an integrative review of specialized literature of a qualitative nature based on the following guiding question: “What challenges are faced by the trans population who seek health services for gender transition?”. PubMed databases from the National Library of Medicine, BIREME and SciELO were consulted and studies available in their entirety published in the years 2018 to 2023, in Portuguese, Spanish and English, were used. Results and discussion: Ten studies were included in this review and these showed that in the search for health services for the gender transition process, the main barriers faced by the trans public are the lack of services and professionals specialized in trans health, prejudices in care of health, omission of rights, lack of knowledge and unpreparedness of professionals regarding the health demands of trans people, in addition to causing this population to evade the health system. Conclusion: it is clear that there are still few services that provide qualified care for trans people who wish to begin their gender transition and the transsexualization process does not provide a sufficient response to the care of this population.

Machine Learning-Based Palliative Performance Status (PPS) Prediction in Palliative Care Patients Who Have Undergone Hypodermoclysis

2025-01-24T20:18:14+01:00

Palliative care aims to provide a better quality of life, in addition to preventing and alleviating the multidimensional suffering of patients with life-threatening diseases and is of great relevance for cancer patients. In this context, the need to improve techniques that minimize negative impacts, such as pain and other discomforts, is highlighted, and it is essential to disseminate knowledge about the use and benefits of hypodermoclysis. In addition, the study explores an innovative dimension by addressing the application of Machine Learning in Public Health, demonstrating its viability as a predictive tool in the context of palliative care. This study aimed to analyze the use of hypodermoclysis in patients admitted to the Oncology Palliative Care Unit of the Hospital de Apoio de Brasília – HAB/SES-DF, relate sociodemographic and pathological data and, above all, evaluate the effectiveness of Machine Learning algorithms in predicting the Palliative Performance Scale (PPS) and in analyzing its degradation based on sociodemographic variables and clinical evolution recorded in medical records.

The study also reinforces the potential of Machine Learning in Public Health, especially by demonstrating the ability of these algorithms to predict the clinical evolution of cancer patients, as evidenced by the prediction of PPS and its degradation over time. The results highlight the applicability of machine learning techniques as a promising approach to improve palliative care management, enabling more accurate and efficient decision-making, in addition to contributing to the planning of personalized interventions that meet the specific needs of each patient.

Prevalence of Sarcopenia and Associated Multidimensional Factors in Elderly Women Attended by an Outpatient Unit in the Federal District

2025-02-11T00:14:48+01:00

Introduction: The growing aging population is extremely important for studies in the health area, as this process is associated with several factors that impact their quality of life. Sarcopenia, for example, is a condition that affects a large part of this population, and knowing that it directly affects the health of elderly individuals, it is considered necessary to understand the aspects related to the causes and ways of preventing and treating it. Objectives: to identify the prevalence of sarcopenia and associated factors in elderly women in an Outpatient Unit. Methods: cross-sectional study, with 258 elderly women. The risk of sarcopenia was assessed using the SARC-F questionnaire and muscle strength using a dynamometer. Confirmation of sarcopenia was assessed using bioimpedance testing, following the protocol of the European Working Group on Sarcopenia in Elderly People (EWGSOP2). The chi-square test, Fisher's exact test and univariate logistic regression were performed. Results: The prevalence of sarcopenia was 20.1%, and the main associated factors were education, age group, physical activity and teething. Conclusion: The study revealed a high prevalence of sarcopenia, associated with advanced age, edentulism and risk of malnutrition. Polypharmacy, multimorbidity and physical activity were associated with sarcopenia, but without significance. The importance of knowing these factors is highlighted to guide managers and health professionals in preventive interventions.

Use of condoms as a method of prevention among women who have sex with women for STI/HIV

2024-12-06T19:55:32+01:00

Introduction: Female homosexual sexual practices were made invisible, especially during the AIDS epidemic. The understanding that the population of women who have sex with women (MSM) was less vulnerable to infection through sexual intercourse made the perception of lesbian and bisexual women absent, with regard to the use of condoms as a method of protection against HIV/AIDS. Method: An exploratory and descriptive survey was carried out with a cross-sectional and quantitative approach. It was carried out at the Specialized HIV/AIDS Assistance Service located at Hospital Oswaldo Cruz, in the city of Recife between May and December 2021 and the target population was made up of women who declared having sex with women and with women and men. Results: 96.19% of the interviewees responded that they had knowledge of the means of HIV transmission, 56.19% stated that they took measures to prevent HIV/AIDS, but only 30 (41.09%) responded that they used condoms. Discussion: The study revealed that despite knowledge, the perception of the absence of risk leads most of the interviewees to not carry out adequate prevention practices. The lack of perception of the risks that MSM have of HIV/AIDS infection occurs due to the certainty of not being infected in sexual relations between women, causing greater confidence and belief in less need for the use of condoms for protection. Final considerations: Thus, the main factors that influence the increased vulnerability of MSM to HIV/AIDS infection are the belief in low vulnerability, the lack of clarification about possible means of prevention and the absence of educational actions aimed at the lesbian and bisexual public.

Tax planning in rural livestock activity breeding and raising cattle with an emphasis on income tax

2025-04-16T15:19:10+02:00

Tax planning has been used to describe the organization of a company's business with a view to reducing its tax burden. Taxation in agribusiness, especially in rural activities, is a topic that deserves further exploration due to the existence of rules that allow for the reduction of tax burdens and the lack of knowledge on the subject among many accountants. A positive result in rural activities can fully offset previous losses, reducing the tax base due. However, if the producer opts for the 80% presumption regime on gross revenue, this offset will not be possible, which may lead to a higher future tax burden. Thus, this study aimed to highlight the importance of tax planning in rural livestock activities in the cattle breeding and rearing cycle, identifying the best form of taxation for rural producers. The methodology used is descriptive in nature and aimed to analyze financial information in a case study, to identify the best form of taxation with the lowest incidence of income tax for rural producers in the livestock sector, raising and rearing cattle, who have been operating as individuals, located in the municipality of Rio Sono/TO, taking into account their form of exploration of rural activity. In light of these issues, the study concludes that the choice between an individual and a legal entity for tax purposes should consider factors such as the complexity of accounting management, the volume of revenue, and the need for strategic tax planning. For producers with high financial turnover and the possibility of consistent profits, formalizing as a legal entity may be more advantageous, as it allows for more efficient tax planning and the offsetting of losses without restrictions. For smaller producers, remaining as an individual may offer greater administrative simplicity and flexibility in taxation, provided there is adequate control of revenues and expenses. Therefore, it is recommended that rural producers periodically evaluate their tax structure and consult a tax planning specialist to optimize their tax burden and ensure the financial sustainability of their activity.

Microbial philogenetic analysis using molecular data: a review

2025-01-02T21:02:03+01:00

The idea of designing and scheming biological evolution through phylogenetic trees probably started with the development of the classification system by Linnaeus in the 18th century, giving rise to phylogeny. The study of evolutionary relationships between organisms has long been explored by science and for a long time these processes were analyzed using morphological and behavioral data. In recent decades this has changed significantly thanks to the development of molecular biology techniques and the emergence of molecular phylogenetics. Beginning in 2005, with the development and democratization of DNA sequencing techniques, known as New Generation Sequencing (NGS), a new large-scale sequencing approach was allowed, leading to an exponential increase in the volume of information available on the genetic characteristics of organisms. The capacity that these techniques have to solve issues of great complexity has promoted phylogenetic analysis into essential tools for an increasing diversity of research areas. It is known that the manual processing of such a large volume of information becomes unfeasible, hence the need to develop tools capable of working with huge databases. From that need bioinformatics arises, which is an interdisciplinary field of science that combines biology, computer science, statistics, mathematics and engineering to promote proper analysis, interpretation and processing of these biological data. This study presents a narrative review on the main concepts and methodologies applied to evolutionary models and phylogenetic reconstruction, aiming to contextualize and provide subsidies for a better understanding of the steps of a phylogenetic analysis to researchers who want to use this tool in their studies.

Female Sex Hormones, Menopause and Periodontal Disease: A Literature Review

2024-12-04T00:25:28+01:00

Introduction: Periodontitis is a periodontal disease of bacterial origin that frequently affects and may destroy the periodontium. Menopause occurs exclusively in women and is defined as amenorrhea lasting more than 12 consecutive months, accompanied by estrogen deficiency, which can lead to osteoporosis. Osteoporosis is characterized by a decrease in bone mineral density, weakening the bones and increasing the risk of fractures. Objective: To highlight the influence of female sex hormones on periodontal changes after menopause. Materials and Methods: Articles published up to 2022 were selected using the following keywords: female sex hormones, menopause, periodontal disease, periodontitis, and their equivalents in English: "female sex hormones," "menopause," "periodontal disease," and "periodontitis. "Results: It is challenging to isolate a specific factor related to menopause that directly contributes to periodontal disease. The simultaneous accumulation of multiple risk factors, interacting with each other, appears to have a more significant influence on the progression of periodontal disease.However, estrogen deficiency or osteoporotic conditions may exacerbate periodontal disease and increase the likelihood of recurrence after treatment. Conclusion: It is the responsibility of the dental surgeon to assess each patient individually, using clinical and radiographic data, supported by scientific knowledge, to provide appropriate therapeutic resources for managing periodontal diseases during the climacteric phase.

Pharmacological and non-pharmacological treatments for ADHD in children: a review

2024-12-30T03:29:48+01:00

Attention Deficit Hyperactivity Disorder (ADHD) is a neurodevelopmental disorder in children, characterized by inattention, hyperactivity, and impulsivity. This study reviewed pharmacological and non-pharmacological treatments, documenting their characteristics, benefits, and limitations. The research consisted of an integrative literature review with 21 studies published between 2020 and 2024, obtained from databases such as PubMed, SciELO, and BVS. Pharmacological treatments, mainly stimulants like methylphenidate and lisdexamfetamine, showed effectiveness in reducing symptoms but presented side effects, such as insomnia and appetite loss, as well as possible long-term impacts on brain development. Among non-pharmacological therapies, Cognitive Behavioral Therapy (CBT) stood out for improving emotional and organizational control. Music therapy and art therapy facilitated emotional expression and social interaction, while dietary therapy emphasized the role of nutrients such as omega-3, iron, and zinc, along with the reduction of sugars and artificial colorings. Physical activities, such as swimming, were associated with improvements in attention and emotional regulation. Neurofeedback proved promising despite methodological challenges and low clinical acceptance. It is concluded that the integrated use of pharmacological and non-pharmacological approaches presents a promising model for managing ADHD, especially in mild to moderate cases, promoting quality of life for patients and their families. However, more robust comparative studies are needed to evaluate the relative effectiveness of each method.

Nurses' role in pre- and post-operative care for bariatric surgery patients: an integrative review

2025-01-18T19:33:21+01:00

Bariatric surgery is currently the most effective way of treating morbid obesity in the short and long term. Nursing care is therefore essential for pre- and post-bariatric surgery follow-up. The aim is therefore to analyze how the role of nurses can interfere in the care of patients before and after bariatric surgery. Method: This is an integrative literature review, carried out in the following databases: SCIELO, LILACS and BDENF, between December 2023 and May 2024, using exclusion and inclusion criteria. Results: 15 articles were selected in the synthesis of the research, where the analysis showed nursing care in the preoperative period, as the main one, health education; and in the postoperative period, as the main one, the evaluation of vital signs stood out, with pain being the 5th vital sign. The conclusion is that there is a need for training and skills for members of the multi-professional team, and that further studies on the subject are also important, given the increase in the number of bariatric surgeries in Brazil.

Temporal, patterns and factors associated with salivary gland cancer in Northeastern Brazil (2014-2023)

2024-12-03T20:00:44+01:00

Salivary Gland Cancer (SGC) accounts for 2 to 6.5% of all head and neck neoplasms. Predisposing factors for its development include exposure to chemicals, radiation, genetic factors, viral etiology, smoking, and alcohol consumption. The complexity and biological and morphological diversity of SGC contribute to challenges in diagnosis, classification, and treatment. This study aims to evaluate the temporal trends and associated factors of SGC in the Northeast region of Brazil from 2014 to 2023, considering age groups and gender. This is a quantitative, exploratory, and analytical ecological time-series study conducted with data collected from 2014 to 2023 on SGC in the Northeast of Brazil. Data were extracted from the oncology panel of TabNet, from the Department of Informatics of the Unified Health System (DATASUS). The selected variables were sex and age group. The Joinpoint regression model was adopted to calculate temporal trends. Poisson Regression was used to verify the factors associated with gender and age groups, evaluating the influence of these variables on SGC. Data analysis revealed a significant increase in the prevalence of SGC between 2014 and 2019 (APC=31.14; p=0.02), followed by stabilization from 2020 (p=0.88). No significant influence of gender was identified in the progression of SGC (p=0.90). The age group analysis revealed a significant increase (p < 0.001) in SGC diagnosis in individuals aged 20 to 39 years (PR=2.954; 95% CI=1.90 - 4.77), 40 to 59 years (PR=5.470; 95% CI=3.646 - 8.62), and 60 years or older (PR=6.410; 95% CI=4.296 - 10.06), compared to the reference age group (0 to 19 years). There was a significant increase in the incidence of SGC from 2014 to 2019, followed by a stationary period from 2020 to 2023. Age group significantly impacted SGC prevalence, with the highest incidence in individuals aged 60 years or older. Gender did not significantly influence the results obtained.

How to Identify the Quality of Life of Retirees and Pensioners in Public Organizations?

2025-01-29T15:39:03+01:00

With the improvement of social conditions, the life expectancy of the world's population has increased, resulting in an increasing number of elderly people. In Brazil, the trend is for accelerated aging, with projections indicating a higher proportion of people aged 60 and over in the coming decades. The aging process brings challenges to organizations, and quality of life is a central aspect in this context, since longevity must be accompanied by physical, mental, and social well-being. The need for adaptations by organizations is evident, including the review and implementation of people management policies. Thus, the objective of this work is to present how public institutions can measure the quality of life after retirement. A systematic review of the literature was carried out in the Scopus, Web of Science and Science Direct databases, and the most appropriate tools to assess people's quality of life were identified, with the most used instruments being the WHOQOL-BREF, WHOQOL-OLD, SF-36 AND EQ-5D/3L. It is hoped that this study can support public institutions in the implementation of actions aimed at the elderly in order to promote healthy aging.

Weaving memories: trajectories of professor Edésia Corrêa Rabello

2024-12-27T19:40:21+01:00

Introduction: Currently, studies developed in the field of History of Education dialogue with Cultural History. In this approach, the trajectory of teachers has been investigated, with the aim of making the performance of school subjects visible. Objective: This article aims to investigate the personal and professional trajectories of the teacher from Minas Gerais, Edésia Corrêa Rabello. Methodology: For the production of data, bibliographic research was adopted, with the aim of knowing the academic productions that discuss the teacher in question. In this list, the studies of Costa (2008), Pinto (2015), Souza (2001) and Thomé (2017) stand out. Next, documentary research was carried out, in the Diamantina press; in the collection of the Diamantina School Group (Promotion and Payroll books); in the materials of the investigated authorship, the articles published in the Revista do Ensino and the memorialistic book, “Lá em casa era assim” (Like this at home) (1964). Results: The data reveal that Professor Edésia graduated from the Escola Normal de Diamantina and began her career at the city's School Group. In teacher training, she worked at the Escola Normal Américo Lopes and years later, she took on the role of History teacher at the Escola Normal Modelo de Belo Horizonte. Conclusion: Her pedagogical conception presents traits of the Escola Nova movement, which can be seen in the articles published in the Revista do Ensino. For almost three decades, Professor Edésia worked in the intellectual training of the people of Minas Gerais.

Evaluation of the nursing team's knowledge about care during pediatric cardiorespiratory arrest in a referral hospital

2025-01-17T18:04:18+01:00

Considering that nursing professionals are the ones who usually spend time with patients, it is valuable that these professionals know how to identify and act in the event of a cardiorespiratory arrest (CPR). Therefore, the objective of this work is to analyze the knowledge of the nursing team at a maternal and child referral hospital regarding care in pediatric CPR.
To this end, a cross-sectional, quantitative, descriptive and exploratory study was carried out through the access of a structured pre-test questionnaire. This questionnaire sought to investigate the knowledge of the hospital's nursing professionals about care in pediatric CPR during the offering of a Nursing Course on Pediatric Emergencies, which occurred in January 2024.
Thus, it is observed that there were 58 participants, distributed among nurses and nursing technicians/aides. There was no statistically significant difference between the responses of higher and technical professional; professionals working in the pediatric ICU and neonatal ICU answered more questions correct than those from sectors such as wards and PS; professionals with specialization have more knowledge on the topic. Furthermore, in most responses with p-value analysis, a value lower than 0.05 was obtained, which allows us to conclude that the knowledge of professionals in this area is statistically insuficiente.

Keywords: knowledge. Nursing team. Cardiac arrest. Pediatrics.

The impact of social stigma and prejudice associated with tuberculosis

2025-03-03T21:08:26+01:00

Tuberculosis (TB) is an infectious disease that is transmitted from person to person, caused by the etiological agent Mycobacterium tuberculosis, which primarily affects the lungs and can also affect other organs and systems. Approximately 10 million new cases and 1 million deaths are reported worldwide every year, and is therefore considered a major public health problem worldwide. In view of this, this study seeks to highlight how stigma and prejudice related to tuberculosis affect the diagnosis and treatment of the disease, as well as to describe strategies to address these paradigms. A review of the literature was carried out and, after using the inclusion and exclusion criteria, 19 articles were selected to compose this production. The stigmatization surrounding TB is generally related to the exaggerated concept of contagiousness and fear of infection. Therefore, due to the lack of information and understanding, people end up having false conclusions that TB is an incurable and highly contagious disease throughout the treatment course. However, to combat this social stigma and prejudice, it is necessary to promote health education, with the aim of creating means to demystify the stigma related to tuberculosis and promote strategies to encourage patients with the disease to start treatment and, mainly, to follow the treatment correctly, a fact that is crucial for the control and cure of the disease.

Civil liability of airlines for the death of animals during transportation: the urgent need to improve the legal protection of companion animals

2025-04-24T02:36:56+02:00

The air transport of companion animals in Brazil is governed by regulations issued by ANAC, as well as by the Consumer Protection Code and the Civil Code, which impose strict liability on airlines as service providers. However, recurring incidents involving the death or injury of animals suggest that the current legal framework may require improvement. This study aims to examine the civil liability of airlines in incidents involving companion animals during air transportation, in accordance with Brazilian legislation, and to assess the need for enhancing the legal framework to ensure more effective legal protection. The methodology employed is deductive, with a qualitative approach, based on a bibliographical review of relevant case law, legal doctrines, and applicable legislation. The research confirms the existence of regulatory gaps in this mode of transport. Although initiatives such as the Animal Air Transport Plan (PATA) and pending legislative proposals represent progress, the adoption of a consolidated legal framework is necessary to ensure safety for both animal guardians and their pets, as well as for airlines.

The approach to grief between palliative care in oncology patients

2024-11-25T18:46:33+01:00

Palliative care is a holistic approach aimed at improving the quality of life of patients with serious and terminal illnesses, encompassing physical, emotional, spiritual, and social aspects. In the context of grief, this approach also offers support to family members, helping them cope with the pain of loss. The aim of this study is to identify, through an integrative literature review, the role of the nursing team in oncological palliative care and their involvement in addressing the grief of patients. The research analyzed seven articles, divided into two categories: one focusing on nursing and palliative care, and the other on oncological patients and their families. The results showed that 71.42% of the studies addressed nursing and self-care, highlighting the importance of spiritual care and the impact of professional interactions on the well-being of patients. The second category, focused on patients and families, emphasized the importance of a multidisciplinary team to improve communication and alleviate suffering. The need to develop personalized interventions in the grieving process and strengthen family support is evident. Scientific production on this topic is limited, particularly regarding the grieving process of oncological patients and their families, but the available studies indicate positive effects of the approach.

Depressive symptoms in university students: relationships with sociodemographic and impostor phenomenon variables

2025-04-04T16:27:33+02:00

The impostor phenomenon and depression are constructs frequently noted in the university context, caused by the high competition and academic demands that are common in this environment. In this regard, this study aimed to analyse the prevalence of the impostor phenomenon and depression in undergraduate students from XX. Furthermore, it is intended to investigate impostorism and sociodemographic variables (sex) as potential predictors of depression in the target population. A total of 314 university students participated in this study, responding to the Clance Impostor Phenomenon Scale (CIPS) and the Patient Health Questionnaire-9 (PHQ-9), as well as completing sociodemographic questionnaires. For data analysis, descriptive and frequency analyses, correlation analyses, and hierarchical regression for analysis of multiple outcomes were performed in the Statistical Package for the Social Sciences (SPSS), version 25. The results revealed that severe levels of the impostor phenomenon (39.6%) and mild levels of depressive symptoms (27.3%) were prevalent in the sample, with a significant positive correlation between the two constructs. Regarding sociodemographic variables, it was found that males show higher levels of depressive symptoms in the presence of the Impostor Phenomenon. Therefore, it was found that feelings of impostorism and depressive symptoms are prevalent among college students, with the impostor phenomenon serving as a significant predictor of depression, especially in males.

Prevention of orthopedic pathologies through a healthy lifestyle in women: a scoping review for the period 2014-2023

2024-12-26T16:07:01+01:00

INTRODUCTION: Orthopedic pathologies can be characterized as injuries, fractures, inflammations, infections and metabolic disorders that cause loss of bone mass, pain, stiffness or weakness in bones, muscles and joints, being more present in females. Therefore, in order to prevent the occurrence of such conditions, it is necessary for women to reinforce vitamin and mineral intake, through diet and pharmaceutical supplementation, in addition to establishing an exercise routine to strengthen the locomotor system. OBJECTIVE: to understand the influence of a healthy lifestyle on the prevention of orthopedic pathologies in women. METHODOLOGY: this is a scoping literature review with articles published between 2014 and 2023 in the SCIELO, PUBMED and LILACS databases. Combined descriptors were used in Portuguese and English, such as (“Doenças Ósseas”) AND (“Mulheres”) AND (“Prevenção”) and (“Bone Diseases”) AND (“Women”) AND (“Prevention”). RESULTS AND DISCUSSION: 12 studies were selected to compose this review. It was observed that dietary habits, especially total fat intake, protein consumption and the individual's BMI level, can be associated with bone mineral density (BMD) and bone mineral content (BMC) levels. Furthermore, there was a divergence regarding the influence of vitamin D and calcium supplementation on the macro and microstructure of the female locomotor system. In addition, the adoption of a high or low intensity exercise routine by women is also a determinant of their bone-muscular-joint health. Regarding the other variables of the BMD indexes, the presence of the woman's endocrine profile and her adiposity were observed. CONCLUSION: A healthy lifestyle, consisting of a balanced diet with high protein intake, low fat intake, and regular physical exercise, of low to high intensity, can positively influence the prevention of orthopedic diseases in women, such as osteoporosis, sarcopeia, and joint diseases. Such lifestyle habits act especially in strengthening the macro and microstructure of bone and joints, helping to resist daily wear and tear. The relationship between vitamin and mineral supplementation and bone well-being is inconclusive, and additional studies are needed to obtain more information on this topic.

Urogynecological physiotherapy for strengthening the pelvic floor: Prevention and rehabilitation of urinary incontinence in patients with multiple sclerosis

2025-04-22T01:46:14+02:00

Multiple Sclerosis (MS) is a chronic demyelinating disease that affects the Central Nervous System (CNS). Lesions can occur in various regions, leading to diverse symptoms, including visual, motor, sensory, and urinary problems. Physiotherapy plays a key role in improving aerobic capacity, functional independence, fatigue resistance, muscle strength, gait speed, proprioceptive sensitivity, balance, and reducing spasticity. The objective of this study is to guide physiotherapy toward techniques capable of alleviating lower urinary tract symptoms in individuals diagnosed with multiple sclerosis associated with urinary incontinence, and to highlight physiotherapeutic treatment as an essential and innovative tool—not only in symptom management but also in promoting patient autonomy and social reintegration. The search for publications from the current decade (2014–2024) was conducted using Health Science Descriptors (DeCS) with the terms: “urinary incontinence” AND “multiple sclerosis” AND “physiotherapy”, combined according to the specificities of each consulted database. The databases included the BVS Regional Portal (Virtual Health Library), PubMed (developed by the National Center for Biotechnology Information, NCBI), and the PEDro Platform (Physiotherapy Evidence Database).The importance of urogynecological physiotherapy in managing urinary symptoms in MS patients is well-supported by evidence, particularly when combined with pelvic floor muscle training, electrotherapy, and posterior tibial nerve stimulation. The integration of new technologies and innovative approaches, such as guided rehabilitation and neural stimulation, can expand therapeutic options and improve treatment adherence. Personalized treatment, tailored to individual patient needs, is crucial for maximizing clinical outcomes.

The therapeutic use of cannabis sativa l. as a treatment option for orofacial pain and disorders caused in the temporomandibular joint

2025-01-10T10:23:30+01:00

Cannabis sativa L. is a plant rich in several cannabinoids, many of which have significant therapeutic properties. Among these compounds, cannabidiol (CBD) and tetrahydrocannabinol (THC) stand out, which have shown potential in several treatments. In the field of dentistry, the adequate and supported use of these cannabinoids can be incorporated into the pharmacological routine for pain management, providing relief and substantial benefits to patients suffering from orofacial pain and temporomandibular dysfunction (TMD). In view of this, this study aims, through a literature review, to highlight the importance of Cannabis sativa-based medications in the relief of orofacial pain during dental treatments. Studies show that the use of medicinal Cannabis, especially CBD and THC, has shown to be a promising alternative for the treatment of chronic orofacial pain, due to its analgesic and anti-inflammatory properties. It is important to note that this plant is extremely diverse, containing more than 500 components, among which cannabinol (CBN) and cannabigerol (CBG) also stand out, both recognized for their great therapeutic potential, which indicates their application in various treatments. It is worth mentioning that the combination of CBD with THC enhances the effect of the drugs (CBD, CBG and CBN), resulting in a more efficient and targeted treatment, reducing the harmful effects when compared to the use of THC alone. Therefore, dentists must be aware of the dosage and the correct therapeutic indication, considering factors such as the individuality of the patient, the duration and intensity of the pain, and the interaction of Cannabis with other medications used in dental treatment. Furthermore, it is essential that the professional evaluates the therapeutic efficacy and is aware of possible adverse effects. It is known that the management of orofacial pain is one of the most common challenges faced in dental practice, and the use of Cannabis sativa appears to be an effective approach that can complement or enhance conventional treatments, or even replace them in certain cases. However, despite the promising results, further studies are still needed to ensure the safety of long-term use, in addition to investigating possible adverse effects and drug interactions with other drugs. Mastering this knowledge by the dentist is essential for safe and effective clinical application.

Oncology and Gender: Analysis of the Sociodemographic Profile of Women with Cancer Treated at HRAN

2025-01-28T01:57:07+01:00

This article examines the sociodemographic profile of 367 women with cancer treated at the Hospital Regional da Asa Norte (HRAN) in Brasília between 2019 and 2023. The research, of a qualitative-quantitative and documentary nature, investigated how social determinants of health, particularly gender, influence the illness process. The majority of the patients were elderly (54.2%), with family care predominantly provided by women (66.9%); A significant portion came from the surrounding area of the Federal District (15.8%) and other states (7.9%); Low educational levels were observed (48.8% without completing high school), and limited access to social benefits was noted (73% without access). The most common cancers were breast (20.5%) and skin (14.8%); The main point of entry into the public health system (SUS) was the emergency room (59.7%), revealing weaknesses in primary care. It was concluded that social and gender factors impact cancer incidence in women, necessitating equitable public policies to promote access to healthcare.

Health Education Activities of Social Work in Nephrology: a systematic review of the literature

2025-03-13T01:32:43+01:00

Chronic Kidney Disease (CKD), broadly speaking, can be explained as a loss of renal function, occurring progressively and irreversibly, leading to the need for replacement treatments. The process of illness comes with changes that impact the daily lives of patients and their families, affecting social, psychological, and physical aspects, making it necessary to have multidisciplinary support. From this, the role of the Social Worker emerges, aiming to provide socio-economic support and guarantee of rights in response to the changes occurring throughout the health/disease process. Concurrently, the theme of health education activities is addressed, used as an approach to facilitate understanding of the context in which the patient is inserted, enabling the process of raising awareness towards emancipation and social transformation. Thus, the present article aims to analyze scientific productions related to Health Education Activities within the Social Work profession in the context of Nephrology. A systematic literature review methodology was used, finding 10 productions. The quantity indicates a deficit in academic work on the topic. Therefore, the research intends to highlight the role of the social worker and health education activities carried out by this professional category. We observe the need for scientific productions to validate the various intervention methods that enable comprehensive healthcare in nephrology.

Profile of pharmaceutical interventions in a hospital specializing in Palliative Care

2024-12-23T22:29:09+01:00

INTRODUCTION: Palliative care aims to improve the life quality of patients with serious illness and their families. At the hospital, the pharmacist provides pharmaceutical care by identifying the problem and producing Pharmaceutical Interventions (PI) to enhance treatments. OBJECTIVE: Describe the pharmaceutical experience through PI analyses and correlate variables to observe aspects of causality, tendencies, dependence, or impact. METHOD: The research employed secondary databases from “Diretoria de Assistência Farmacêutica” (DIASF) with PI registered between 2019 and 2023, at a reference hospital. The PI were analyzed using descriptive statistics and correlation, applying Pearson’s chi-squared test and evaluating p < 0.05 as statistically significant. RESULTS: A total of 778 PI were analyzed, showing an increase of more than 50% in the number of interventions between 2020 and 2021. The age distribution was 45 to 80 years (Ward A) and 75 to 90 years (Ward C). The medical team was the most contacted and the drugs most involved with PI were: morphine, haloperidol, and domperidone. Among the primary problems, the major ones were related to prescriptions and dispensations. When correlating primary problems with the adherence rate, the result was x² = 54.169 and p = 4.51 × 10⁻⁸. The primary strategy with the highest frequency was “prescription alterations” and by correlating it with the adherence rate, the result was x² = 35.24 and p = 0.0001. The adherence rates were 90% (Ward A) and 89% (Ward C). When comparing problems and strategies, the outcomes were x² = 524.69 and p = 5.82 × 10⁻⁹⁵. CONCLUSION: The study's emphasis was on the PI in palliative care, with an adherence rate of 90% for interventions. Problems related to prescriptions were the most common, reinforcing the essential role of pharmacists in patient safety and quality of life. Future research must create indicators to monitor impacts of interventions.

The duties of the social worker in the hospital environment understanding the multidisciplinary team about professional performance

2025-01-14T05:57:50+01:00

Confusion and doubts about the professional role of social workers in the health sector are common. When created, the profession had a conservative bias, linked to religious precepts, whose actions were seen as favor or charity. Although the social worker is a liberal professional enrolled in the social and technical division of work, this external difficulty in understanding professional work can compromise comprehensive care for SUS users. Objective: This study proposed to investigate social workers' perception of the multidisciplinary team's knowledge regarding their duties. Method: Research was carried out using an online questionnaire with statutory social workers who work in a hospital in Brasília and a review of literature related to the topic. Results: Based on the data collected, it was evident that social workers consider there to be significant challenges in exercising their profession. These challenges are linked to integration with multidisciplinary teams and the recognition of their responsibilities, in addition to pointing out the referral of inappropriate demands and the need for communication strategies in the hospital environment. Conclusion: The research demonstrated the need to value the role of the social worker, overcoming demotivation caused by lack of knowledge of their duties. Promoting mutual respect between categories and clarifying roles is essential to reduce undue demands and strengthen interdisciplinarity. Improving communication, collaborative work and professional development policies are fundamental to integrating social dimensions into health care and improving service in the SUS.

Assessment of Noise-induced Temporary Threshold Shift in Dentistry Students Following Oral Magnesium Intake

2025-02-04T10:45:41+01:00

Long‐term exposure to sounds ≥85 dB causes noise-induced hearing loss, which can be temporary or permanent, and it can be improved through the use of magnesium. This study aimed to determine whether noise in the dental laboratory negatively affects dental students’ auditory system and whether magnesium ion supplementation prevents hearing loss. Sound pressure levels (SPLs) were monitored during the laboratory class and expressed in logarithmic function. Students attending regular dental practical classes were randomized into two groups: the study group (received 200 mg of magnesium 1 h before the laboratory class) and the control group (received 200 mg placebo at the same time). Distortion product otoacoustic emission (DPOAE) tests were performed before and after noise exposure during the class. The mean SPL equivalent was 75.3 dB; however, SPL peaked at 97.3 dB. DPOAE parameters did not change after approximately 3 h of exposure. There were no significant differences between the groups in all the frequencies studied for the amplitude (p=0.82) and S/N ratio (p=0.08) analyses. A single magnesium supplementation did not produce any side effects; however, no benefit was observed in hearing preservation. Occupational noise and magnesium supplementation did not alter DPOAE results.

Microbiological Quality of Commercial Organic Honey

2025-02-23T21:53:05+01:00

Organic honey is a product free from agricultural pesticides and undesirable antibiotics, it has diversity and quality. The aim of this study was to measure the hygiene and health quality of samples of commercial organic honey purchased in e-commerce. The study was carried out at the Microbiology Laboratory of the Center for Human, Social, and Agrarian Sciences (CCHSA) of the Federal University of Paraíba (UFPB). Seven commercial brands were used, with four replicates. For microbiological analysis, Escherichia coli; mesophilic aerobic bacteria; filamentous yeast fungi; Clostridium perfringens; Bacillus cereus; Staphylococcus aureus; Lactobacillus; acetic bacteria; osmophilic yeasts; and Salmonella sp. were evaluated, a completely randomized design (DIC), analysis of variance and the Tukey test (p < 0.05) were applied using the R^® software for the microbiological criteria. The commercial brands of organic honey have acceptable sanitary quality and meet the normative standards of the legislation.

Keywords: Honey; microbiology; quality; safety.

Cupping therapy as na integrative and complementary practice in the treatment of stress

2025-01-07T23:44:23+01:00

The increase in stress in contemporary society has driven the search for treatments and in this scenario, Integrative and Complementary Practices are an alternative, including Cupping Therapy. This research is a review study with an integrative approach that analyzed works that relate cupping therapy with the treatment of stress and/or symptoms that are associated with stress, as well as studies that combine cupping therapy with other integrative and complementary practices, but who obtained results in terms of reducing symptoms and stress and thus improving quality of life. It aimed to evaluate the evidence supporting the use of cupping therapy to relieve stress symptoms. A search was carried out on the Google Scholar electronic database to identify studies that examined the relationship between cupping therapy and stress. The studies selected for analysis were mainly qualitative and involved small samples. The results showed that participants who received cupping therapy reported significant improvements in several stress-related symptoms, including anxiety, depression and physical pain. Additionally, combining cupping therapy with other complementary therapies, such as acupuncture and music therapy, has been shown to increase overall therapeutic effects. However, the lack of large-scale randomized clinical trials and the heterogeneity of study designs and results make it difficult to establish a causal relationship between cupping therapy and stress reduction. Further research with rigorous methodologies is needed to confirm patient-reported outcomes and elucidate underlying mechanisms of action.

Evaluation of Healthcare Professional’s Knowledge about the use of oxygen therapy in a pediatric hospital

2025-01-27T12:54:02+01:00

Introduction: Oxygen therapy is frequently used in hospitals and, like any other medication, its inappropriate use can cause serious problems for individuals, especially for children whose respiratory systems have not yet fully developed. Objective: To assess the knowledge of healthcare professionals (nurses, physiotherapists, doctors and nursing technicians) about when and how to use oxygen therapy in pediatric patients. Methodology: Thirty-six healthcare professionals, including nurses, physiotherapists, doctors and nursing technicians who work in the wards and pediatric emergency room of the Hospital Materno Infantil de Brasília Dr. Antônio Lisboa (HMIB) in Brasília, DF, participated in this study. The professionals' level of knowledge was assessed through a semi-structured and semi-open online questionnaire that addressed topics on academic background, length of experience, refresher courses and knowledge about oxygen therapy. Data analysis was performed using an Excel spreadsheet version 2024. Results: A good level of knowledge of professionals regarding the use of oxygen therapy was demonstrated, with approximately 57% of correct answers in total. More than 80% of professionals understand the clinical signs of hypoxemia, but approximately 60% of them do not know the indications for the use of oxygen therapy and more than 86% do not know the harmful effects generated by hyperoxia. Conclusion: Professionals generally know when and how to use oxygen therapy in the pediatric population, but they do not understand all the risks that these children may be exposed to when the therapy is used inappropriately.

Home peritoneal dialysis (CAPD): role of the nurse in health education promoting self-care in patients using the therapy

2025-03-31T22:18:54+02:00

Objective: To describe the role of nurses in health education, promoting self-care in patients undergoing CAPD therapy. Methodology: this is a descriptive integrative review with a qualitative approach. It began with a broad search on Google Scholar, gradually refining the period (2019-2024) and applying Boolean operators (AND and OR) to reach 152 publications. Sixty-three references were selected from the SciELO database, of which 26 comprised the final analysis. The following inclusion criteria were adopted: publication between 2019 and 2024, open access, languages (Portuguese, English or Spanish) and relevance to the topic. Texts that did not meet these requirements were excluded. Results: the active and systematic presence of nurses is crucial to the success of CAPD, evidencing their importance not only in technical procedures, but mainly in the educational process, emotional support and promotion of self-care. Conclusion: By taking the lead in providing technical, emotional and social guidance, nurses become a key player in the success of treatment, reducing complications, improving quality of life and ensuring greater autonomy for the patient. Continuous education, based on the patient-nurse-family triad, is essential to minimize barriers and improve the knowledge needed for self-care, a determining component in adherence to treatment and in coping with limitations imposed by the disease.

Effectiveness of physical exercise in reducing the symptoms in patients with hypothyroidism: a literature review

2024-12-19T04:24:16+01:00

Introduction: Hypothyroidism is an endocrine disorder characterized by reduced production of the hormones T3 and T4, causing a range of debilitating symptoms that significantly impact the quality of life of patients. The standard treatment involves hormone replacement with levothyroxine, however, in many cases, symptoms persist, indicating the need for complementary approaches. In this context, physical exercise has been identified as an effective intervention to improve both the physical and mental aspects of these patients. The aim of this study is to evaluate the effectiveness of physical exercise as a complement to pharmacological treatment in managing hypothyroidism. Methodology: This is a literature review of studies that link physical exercise to the reduction of symptoms in patients with hypothyroidism, published in the last five years in English, Portuguese, Spanish, and Polish. Twenty articles were selected through a data search based on a guiding question across the platforms Google Scholar, Virtual Health Library (BVS), and National Library of Medicine (PubMed). Results and Discussion: Regular physical exercise, especially aerobic and combined exercises, provided significant benefits. Among the main effects, the reduction in TSH levels, improvement in the modulation of T3 and T4 hormones, better weight control, increased muscular strength, and improvements in cardiorespiratory capacity stood out. Furthermore, exercise positively impacted mental health and cognitive functions, reducing depressive symptoms and improving quality of life. Combining physical exercise with pharmacological treatment showed superior results compared to isolated approaches, enhancing the management of the disease. Conclusion: Based on the studies reviewed, it can be concluded that physical exercise is an effective strategy to complement pharmacological treatment in patients with hypothyroidism, promoting both physical and psychological benefits.

Relationship between Vitamin D Use and Sarcopenia in Critical Patients – An Integrative Review

2025-02-19T21:37:38+01:00

Sarcopenia is a condition characterized by the progressive loss of muscle mass and strength, frequently observed in critically ill patients admitted to intensive care units (ICU). Vitamin D deficiency has been identified as a contributing factor to this condition due to its essential role in muscle function and bone homeostasis. This study conducted an integrative literature review to investigate the relationship between vitamin D supplementation and sarcopenia in critically ill patients. Findings revealed that hypovitaminosis D is highly prevalent in this group and is associated with impaired mobility, increased length of hospital stay, and higher mortality risk. Vitamin D supplementation has shown potential to improve muscle strength and reduce complications, although challenges remain regarding dose standardization and intervention strategies. It is concluded that monitoring serum vitamin D levels and implementing personalized nutritional strategies are essential for managing sarcopenia in critically ill patients.

Active learning, formation, and development of scientific concepts in thermodynamics

2025-04-15T02:09:43+02:00

The formation and development of scientific concepts are fundamental processes for the meaningful construction of knowledge in teaching and learning. Based on active learning, this research seeks to innovate the educational process by introducing methodological strategies that foster cognition and interactivity, especially among the new generation of students who are hyperconnected to digital and communication technologies. This study is guided by the following scientific question: how can active learning contribute to the formation of scientific concepts in thermodynamics in high school education? Thus, the objective is to structure a teaching and learning process that promotes the formation of scientific concepts through methodologies that stimulate students' active participation. The research, with a qualitative and participatory approach, was conducted with first-year students of the new high school curriculum (2024) in a school located in the East Zone of Manaus, using a case study as the methodological strategy. The results highlight the importance of interactive and experimental practices in promoting active learning, developing skills and competencies, and enhancing the educational experience. This article presents an excerpt from a completed master's dissertation.

Analysis of the relationship between high blood pressure and coronary artery disease

2025-01-06T18:46:21+01:00

Hypertension (HTN) is an important risk factor for the progression of coronary artery disease (CAD). The relationship between hypertension and CAD involves mechanisms such as increased atherosclerosis, endothelial dysfunction, damage to the heart and vessels, and arterial stiffness, which compromises coronary perfusion. This contribution highlights the need for strict blood pressure control in high-risk patients. Therapeutic strategies include beta-blockers, statins, antiplatelet therapy, and lifestyle changes, enhanced by mobile technologies that aid in monitoring and adherence. Procedures such as coronary bypass are indicated in advanced cases. Integrated management is essential to reduce the overall burden of CAD and improve cardiovascular outcomes. Studies such as SPRINT and STEP demonstrate that stricter blood pressure targets (<120 mmHg) significantly reduce the risk of cardiovascular events in the elderly, while meta-analyses show that each 5 mmHg reduction in SBP reduces cardiovascular events by 10%. Blood pressure control prevents inflammation, endothelial dysfunction, and vascular remodeling, slowing the progression of atherosclerosis. However, economic and social barriers, especially in Latin America, hinder the adequate management of hypertension. Educational campaigns, access to medications, and public policies are crucial to overcoming these challenges, highlighting the need for strategies that integrate clinical control and socioeconomic support to reduce inequalities. Therefore, strict blood pressure control reduces cardiovascular risks, so a combination of pharmacological control, lifestyle changes, and inclusive public policies is necessary to reduce the global burden of cardiovascular diseases.

The profile of elderly people hospitalized in the internal medicine of a public hospital in federal district and the factors related to prolonged hospitalization

2025-01-25T17:16:56+01:00

Objective: To identify the sociodemographic and illness characteristics of elderly people hospitalized in the internal medicine of a public hospital in the Federal District, to report the reasons that lead them to be hospitalized and to describe which factors contribute to the prolonged hospitalization of these patients. Method: descriptive research using documentary analysis, with a mixed qualitative and quantitative approach. Data collection took place retrospectively, and records from July to December 2023 were observed by transcribing information from the Electronic Patient Record (EPP). Bardin's Triangulation of Methods and Content Analysis were used to analyze the data. Results: Four categories were delineated: electronic health record, sociodemographic aspects, reasons for hospitalization and factors related to prolonged hospitalization. Most of the patients were brown (65.63%), aged between 65 and 69, (53.75%). According to the data obtained, 388 reasons for hospitalization were recorded, with the main causes being genitourinary diseases (21.65%), respiratory diseases (17.53%), circulatory diseases (10.05%) and neoplasms (9.54%). It was found that (81.87%) of patients had Systemic Arterial Hypertension (SAH) and 49.37% had Diabetes Mellitus (DM). In addition, (96.1%) of patients had a support network. The average length of hospital stay was 32.22 days and “21.24%” of hospitalizations resulted in death. Final considerations: It is essential to expand studies that analyze the epidemiological nature of certain diseases with a higher incidence in the elderly population, considering sociodemographic and multifactorial aspects, with a view to implementing and/or improving public health policies aimed at this population group.

Neuropsychiatric manifestations of COVID-19: a literature review

2025-03-10T01:02:24+01:00

The recent emergence of COVID-19, associated with its rapid expansion and systemic involvement, leads to a lack of knowledge regarding the scope of manifestations resulting from the disease. Thus, post-COVID syndrome constitutes several persistent sequelae after the period of SARS-COV-2 infection, which have not yet been completely elucidated. This study, therefore, aims to review in the literature the conditions resulting from post-COVID syndrome in the nervous system and also psychiatric scope. Thus, psychiatric disorders, sleep disorders, cognitive deficits, neurovascular disorders, syndromes related to the central and peripheral nervous systems were observed in this condition and described in this study. Furthermore, it characterizes the risk factors related to greater involvement in certain populations, such as female sex and chronic diseases, and greater severity of COVID-19, which, in general, have a pathophysiological relationship based on the exacerbation of the inflammatory process of these conditions and that arising from SARS-COV-2 infection. It is worth highlighting the importance of the biopsychosocial aspect when observing the stressful nature generated by social isolation and its consequences.

Analysis of the perception of lesbians and bisexual women about HIV health care

2024-12-16T21:00:00+01:00

In Brazil, HIV is considered a public health problem; the cultural, social and political context interferes with the exposure and vulnerability of some population groups to the virus. There has been a lack of discussion about the exposure of lesbian and bisexual women to HIV since the AIDS epidemic began in 1980, since the topic of lesbian and bisexual women's health has not been a priority among the issues raised.The aim of this study was to analyze the perception of lesbian and bisexual women about HIV health care. This is a quantitative, descriptive study based on primary data collected through remote research with women who claim to have sex with women and/or men. The study was carried out in the city of Recife, the collection initially came from the Specialized HIV/AIDS Care Service located at the Oswaldo Cruz Hospital, the research was carried out between the months of May and December 2021. The target population consisted of 35 women over the age of 18, who reported having sex only with women or with both women and men, and was conducted in accordance with the principles governing research involving human beings in Resolution 510/2016. In the study, 51.4% said they had encountered difficulties in relation to the health professionals who attended to them. 54.3% said they had told professionals about their sexuality and 82.9% said they had suffered prejudice because of their sexual orientation; 100% said they knew how HIV is transmitted and 51.4% said they prevented it. By analyzing the responses, it was possible to identify flaws in the care provided by health professionals, which give rise to misinformation, prejudice and the perpetuation of exclusion. In addition to points of weakness, which expose the discomfort, fear and fear of prejudice against the conduct of health professionals, they corroborate the risk of exposure to HIV in the face of erroneous beliefs about forms of prevention carried out by these women.

Adverse effects and safety of metamizole (dipirone): a review of the risks

2025-02-02T13:58:56+01:00

Metamizole, commonly called dipyrone, is a drug widely used to relieve pain and reduce fever in various parts of the world, and is especially used in clinical situations involving these symptoms. Despite being effective, its use generates debate because of the risk of adverse reactions, including agranulocytosis, which is a rare condition, but which can be fatal. This work aims to analyze mainly the risks associated with undesirable adverse of metamizole, investigating its safety and the factors that may contribute to these events. The research was carried out based on a literature analysis in the PubMed, SciELO and Virtual Health Library (VHL) databases. The descriptors used for the search were "metamizole", "dipyrone", "adverse effects", "agranulocytosis", "drug safety" and "pharmacovigilance", in Portuguese, English and Spanish. The inclusion criteria included articles published in the last 20 years, available in full text, that addressed the safety of metamizole, its adverse reactions, or pharmacovigilance studies involving this drug. Clinical studies, systematic reviews, were prioritized. The exclusion criteria included publications that did not have direct relevance to the topic, studies with incomplete or duplicate data, and research carried out on animals or that did not specify human populations.The research discusses the clinical circumstances in which the drug is recommended, the main dangers involved, and the correla-tion between dosage and response. The findings underscore the need to assess the safety profile of metamizole, especially in more susceptible groups, such as the elderly and individuals with comorbidities. The importance of this evaluation lies in the extensive use of metamizole, especially in nations where it presents itself as an affordable alternative for the treatment of pain and fever. This research aims to improve clinical practice in a safe way, offering recent data to health professionals and emphasizing the urgency of a conscious use of the drug.

Assessment of adductor pollicis muscle thickness as a predictor of protein energy wasting in patients on maintenance hemodialysis

2025-02-18T14:22:16+01:00

Introduction: Protein energy wasting (PEW) in individuals with chronic kidney disease (CKD) is a common condition, with multifactorial etiology and related to morbidity and mortality. For diagnosis, the assessment of the adductor pollicis muscle thickness (APMT) is an effective and easily applicable method. Objective: to evaluate APMT as a predictor of PEW in individuals on hemodialysis (HD). Methods: observational, cross-sectional study, with CKD individuals undergoing HD more than 3 months, both sexes, over 18 years old, in a nephrology unit in the Federal District. Clinic data were collected, present comorbidities and dialysis vintage through information in medical records. The APMT was collected on the hand on the opposite side to the vascular access using the adipometer. PEW was performed by applying the 7-point Subjective Global Assessment (7p-SGA) and the Malnutriton Inflammation Score (MIS). Results: the sample was 30 participants, mean age 56.23±13.68 years, 17 (57%) adults, 15 (50%) male, 26 (87%) had hypertension and 13 (43%) diabetes. According to the 7p-SGA, 13 (43%) of the participants presented some level of malnutrition. APMT showed moderate positive correlation with 7p-SGA (rho = 0,5; p<0,001) and moderate negative correlation with MIS (rho= -0,5; p<0,001). By Receiver Operating Characteristic (ROC) curve, APMT was a predictor of PEW, with area of 0.805, sensitivity of 76.5%, specificity of 69.2% and cutoff point of 11.66 mm. Conclusion: APMT was associated with nutritional markers and was a predictor of PEW in individuals on HD.

Integration of digital technologies in education from the perspective of learning theories

2025-03-20T00:29:54+01:00

The advent of digital technologies has profoundly transformed teaching and learning processes, necessitating a revision and adaptation of traditional educational theories. This study aims to analyze how teaching and learning theories are reinterpreted and applied in the context of digital technologies, considering changes in pedagogical practices, interactions between teachers and students, and the construction of knowledge. The research, of a qualitative and bibliographic nature, is based on peer-reviewed scientific publications, using inclusion and exclusion criteria to select sources relevant to the scope of the study. The research reveals that digital technologies not only expand teaching possibilities but also demand new theoretical approaches that integrate cognitive, social, and technological aspects. It concludes that the integration of these technologies into education requires a critical review of existing theories and the proposal of hybrid models that consider the specificities of the digital environment.

Benefits of simulations for skill training in anesthesiology residency: a systematic review

2025-04-13T19:44:40+02:00

Introduction: Medical training requires the integration of theoretical knowledge and practical skills to prepare anesthesiology residents to handle the clinical challenges of the specialty. In this context, the use of simulations has proven to be essential, allowing the development of both technical and non-technical competencies in a controlled and safe environment. Objective: Identify and synthesize evidence on the benefits of using simulations for skills training in anesthesiology residency. Method: A literature review was conducted following PRISMA guidelines, analyzing studies from 2019 to 2024 in the PubMed and LILACS databases. The review focused on types of simulations, skills developed, and clinical impact. Results: Thirteen studies, published between 2020 and 2024, were selected, which highlighted benefits such as greater accuracy in ultrasound-guided procedures, effective crisis management and improved patient safety. Technologies such as virtual reality and artificial intelligence were described as tools capable of accelerating the learning curve and enhancing educational experience. Despite these advancements, the implementation of simulation-based environments faces significant challenges. The high cost of equipment, the need for advanced infrastructure, and the lack of standardized methodologies hinder widespread adoption. In resource-limited regions, these barriers are even more pronounced. Suggested strategies include the use of cost-effective models, structured feedback, remote training programs, periodic session repetition, and the integration of simulations into medical curricula. Conclusion: Simulations are essential in anesthesiology training, enhancing technical skills and patient safety. Despite cost and logistical challenges, strategies such as accessible technologies and structured feedback can improve their effectiveness and broaden their reach.

The role of Judicial Intelligence Centers in Combating the Predatory Litigation Phenomenon

2025-01-25T00:18:29+01:00

This article investigates the role of Judicial Intelligence Centers in combating predatory litigation, a contemporary phenomenon that compromises the efficiency of the Brazilian judicial system. It aims to analyze institutional strategies developed to identify and mitigate abusive procedural practices that overburden the Judiciary. Uses an interdisciplinary methodology, with documentary analysis and bibliographic review. Identifies Intelligence Centers as an organizational innovation based on data analysis and implementation of preventive solutions. Concludes that these units represent a relevant strategic response for identifying, preventing, and combating predatory litigation, transforming judicial performance from a reactive perspective to a proactive and dialogic approach.

The importance of playful activity for self-care caregiver of patient admitted to rehabilitation in a public rehabilitation hospital in Brasília

2025-02-11T00:59:47+01:00

This study investigated the influence of recreational activities on the self-care of caregivers of patients undergoing hospital rehabilitation. The research, of a qualitative and exploratory nature, included five participants selected for convenience. Data were found through semi-structured and detailed interviews based on Bardin's content analysis. The results indicate that caregivers face physical and emotional challenges, such as overload and social isolation, but report improvements in well-being and social interaction after participating in recreational activities. It is concluded that playfulness is an effective strategy to minimize the negative impacts of prolonged care, favoring a more humanized hospital environment and promoting the emotional and physical balance of caregivers.

Patients Profile with Fractures Treated at the Lagarto’s University Hospital from 2021 to 2023

2025-03-09T16:12:29+01:00

Fractures represent a significant clinical condition requiring specialized medical attention and are among the leading causes of morbidity and mortality worldwide. This study aimed to investigate the profile of patients admitted to the Trauma-Orthopedic sector of the Regional Hospital of Lagarto with fractures, focusing on demographic characteristics, fracture types, injury mechanisms, and other relevant aspects. A retrospective, observational, cross-sectional design was adopted, analyzing medical records using non-probabilistic sampling based on inclusion and exclusion criteria. Statistical tests such as the Student’s t-test, ANOVA, or non-parametric tests were employed to compare clinical outcomes across fracture types and injury mechanisms. The analysis of 365 fractures (2021–2023) revealed a male predominance (65.75%) and higher incidence among urban residents (57.42%). Most fractures occurred in single individuals aged 19 to 59, with falls as the leading cause (59.45%). Patients aged 19–59 and over 60 exhibited higher surgical demand and longer hospital stays. All 11 deaths (lethality rate 3.01%) occurred in patients aged over 60, underlining their increased vulnerability. The findings emphasize the prevalence of fractures among young and adult urban males, along with the heightened susceptibility of the elderly to severe fractures. Falls and traffic accidents emerged as the primary injury mechanisms, highlighting the need for preventive safety campaigns and environmental adjustments, particularly for older adults.

Pharmaceutical Assistance in the Management of Gestational Diabetes Mellitus: an Integrative Literature Review

2024-12-11T15:07:57+01:00

Pharmacists play a fundamental role in monitoring the rational use of medicines. In this sense, they are an essential professional in monitoring patients with gestational diabetes mellitus (GDM). With this in mind, this literature review reports on pharmaceutical care for patients with GDM. To this end, an active search was carried out for articles published in Portuguese and English between 2019 and 2024 in different databases. Six relevant articles were selected for this review, from which important information was extracted to generate tables for better description and understanding of the data. The results indicated a scarcity of recent articles dealing directly with pharmaceutical care for pregnant women with GDM during the period in question. This assistance, based on the six articles, consisted of dispensing antidiabetic drugs; counseling on lifestyle changes, with or without supplementary drug treatment; the Medication Therapy Management Service; and the use of a smartphone application led by a clinical pharmacist for better drug therapy management. This reinforces the need for greater investment in scientific research into the potential of pharmacists to monitor and treat metabolic diseases such as GDM, as well as encouraging these professionals to perform their duties with quality.

Temporal pattern of suicides in Brazil according to sex and age group in the last 10 years

2025-01-31T14:57:45+01:00

Objective: to evaluate the temporal trend in suicide mortality in Brazil according to young people, adults and elderly people in the period from 2012 to 2021. Methods: Ecological study with data on suicide in Brazil, regions and states. Data were collected from the mortality information system, stratified by sex and age group. Suicide rates were calculated and used to estimate trends using the JoinPoint method. Results: Over the 10 years analyzed, Brazil presented more than 120 thousand deaths by suicide, representing an approximate average of 6 deaths for every 100 thousand inhabitants per year. Sociodemographic characteristics indicate a predominance of deaths in men, with more than 78% of deaths and a coefficient of approximately 10 deaths per 100 thousand. Among the age groups, adults stand out with more than 74% of the country's total occurrences, however, suicide rates are slightly higher among the elderly. In Brazil, the growth variation in young people stands out with 8.3% (95%CI: 6.6; 9.9) per year for females, and 6.1% (95%CI: 4.9; 7. 4) for the male. In the elderly, the trend was stationary for females and an increase of 1.8% (95%CI: 1.1; 2.6) for males. Conclusion: High suicide rates were evidenced. Elderly people showed the highest coefficients, as did males. Overall, the trend in Brazil is growth.

The pharmacist's role in mitigating medication errors in oncology: an integrative literature review

2025-01-03T16:43:55+01:00

This article emphasizes the critical importance of pharmacists in preventing medication errors in oncology, highlighting their pivotal role in ensuring patient safety. Oncology is a field characterized by the high complexity of treatments and the significant risk of adverse events associated with the use of chemotherapeutic agents, making the pharmacist's involvement essential to safeguard patients and optimize treatment outcomes. Their presence is indispensable in oncology care. The article further explores the pharmacist’s vital contributions to reducing medication errors in the oncology setting, analyzing how their interventions enhance patient safety and improve treatment quality. This integrative literature review draws on studies selected from virtual databases, focusing on research published in the past five years in Portuguese. The findings reveal that pharmacists play a key role within the multidisciplinary oncology team, actively promoting patient safety and preventing medication errors, which can have severe consequences in such a vulnerable context. Their expertise is essential for identifying inconsistencies, encouraging the rational use of medications, and ensuring adherence to treatment protocols.

Adherence to treatment and self-care capacity of people living with osteoporosis

2025-02-11T13:23:47+01:00

The aim of this study was to evaluate the self-care capacity and adherence to treatment of patients diagnosed with osteoporosis treated at an outpatient clinic specializing in endocrine disorders. Nineteen patients took part in the study and three instruments were used to collect data: a form with sociodemographic and clinical variables, the appraisal of self-care agency scale to assess self-care and the morisky test to analyze adherence to treatment. The data was processed using the Statistical Package for the Social Sciences (SPSS) software version 20.0, adopting a significance level of p < 0.05. The results showed that 58% of the participants rated their self-care ability as very good, 21% as good, 16% as fair and 5% as excellent. As for adherence to treatment, 63% of participants showed moderate adherence, while 37% showed high adherence. Despite the self-care capacity and adherence to treatment found, there was vulnerability associated with therapeutic management, especially due to the presence of multicomorbidities and polypharmacy.

Nursing professionals' perception of parents' hesitation regarding children's vaccination

2025-03-28T23:27:46+01:00

Immunization is essential in public health, as it prevents potentially fatal diseases and complications. One of the factors that explain the drop in childhood immunization coverage is vaccine hesitancy. Objective: To identify the perception of nursing professionals about the factors that prevent parents from keeping their children's vaccination records up to date. Method: Qualitative and descriptive study. For data analysis, we chose to base the research on Roy's Adaptation Theory. Results: The research included 7 female nursing professionals who work in vaccination rooms, aged between 35 and 50 years. Among the participants, 2 had technical training in Nursing, and 5 had a degree in Nursing. The data collection instrument was a questionnaire, and after data analysis, two thematic categories emerged and were discussed: “The influence of Fake News on children's immunization” and “Parents' and caregivers' fear of adverse reactions after vaccination”. Final considerations: It is essential that health professionals implement effective educational strategies, promote clear and consistent communication from health authorities, and offer emotional and psychological support to overcome barriers associated with immunization.

Bundle for prevention of pneumonia associated with mechanical ventilation: literature review

2024-12-04T00:52:21+01:00

Ventilator-Associated Pneumonia (VAP) is one of the most frequent Healthcare-Associated Infections (HAIs) in intensive care settings. Therefore, packages were designed to prevent this condition, with the aim of reducing its incidence in Intensive Care Units and increasing patient recovery rates. This study carries out an integrative literature review from 2020 to 2024, in the Google Scholar, Virtual Health Library and National Library of Medicine databases, with the aim of synthesizing the main findings on the prevention of packages in the incidence of VAP. From the reading, it was possible to infer that the packages have a satisfactory performance in most hospitals, especially in smaller institutions. Some barriers in implementation can compromise the results, such as the low rate of adherence of professionals to all items of the package and the lack of available resources. The packages usually include items such as head elevation of 30° to 45°, oral care, maintenance of cuff pressure, discontinued sedation, appropriate locations for the ventilation system, subglottic suction, hand hygiene and respiratory physiotherapy. The use of strategies to ensure adherence to all elements by caregivers is important, such as the use of mnemonics and surveillance. In addition, continuing education can be applied; it has been shown that recurring training can be good allies in maintaining good practices regarding VAP prevention. We can conclude that there are some obstacles to be overcome, however, the use of the package is extremely beneficial.

Application of interactive technologies in pops teaching: development and validation of ENFPOP

2025-03-18T02:16:13+01:00

Objective: To build, validate, and evaluate the effect of a mobile application on the knowledge of nurses at the Obstetric Center of the Professor Alberto Antunes University Hospital about SOP. Method: This is an exploratory and explanatory research based on the design method, where the application was developed using the Application Factory platform, with the following characteristics: ease of construction, without the need for knowledge of computer programming, and reduced cost. Results: Participants agreed that the application met the criteria of functional suitability, reliability, usability, and performance efficiency, and demonstrated satisfaction. It was considered effective in the application of SOPs, facilitating the understanding and use of these procedures. The receptiveness of nurses to using the application in their on-call routines suggested interest in technological tools to optimize their clinical practices. The advantages pointed out include standardization of care, reduction of errors and accidents, and safe and efficient practice. It highlighted the continued importance of adopting SOPs for the quality and safety of patient care. Final considerations: The implementation of the SOP application represents a significant advance in nursing practice, promoting standardization, safety and quality in the care provided. The findings of this study provide a solid foundation for future educational interventions and the development of technologies that can further optimize clinical and educational processes in hospital settings. It is expected that similar initiatives can be replicated and improved to benefit not only nursing professionals, but also patients and health institutions as a whole.

Evaluation of visual acuity in children in public education systems: experience report

2025-04-07T22:56:16+02:00

The study aimed to report the experience of nursing and medical students in assessing the visual acuity of children in the public school system in the city of Parnaíba-PI. This is an experience report, with a descriptive and exploratory approach, based on the activities carried out in the extension project “Pequenas Visões”, which aimed to detect visual problems early through eye health actions for children and adolescents aged six to 12 in public schools in the city of Parnaíba-PI. The team was composed of 12 students, eight from the Nursing course and four from the Medical course. The extension actions included an educational lecture on the importance of eye health, followed by the application of the Snellen scale. A total of 315 children and adolescents, aged six to 12 years, were evaluated from May to September 2024. 77 (24.44%) were referred for an ophthalmological consultation. The percentage of students referred highlights the need for regular ophthalmological monitoring, especially among pre-adolescents and adolescents, in order to prevent the progression of uncorrected problems. Furthermore, the project also contributed to the training of the students involved.

Prevalence of Intestinal Parasitic Infections in the Elderly Population at a Primary Health Unit in Abaetetuba, Pará.

2025-01-02T19:28:22+01:00

This article investigates the prevalence of intestinal parasitic infections among the elderly population served by the Roberto Contente Primary Healthcare Unit in the municipality of Abaetetuba, Pará, Brazil. This epidemiological, qualitative-quantitative, and cross-sectional study was conducted with a sample of 813 individuals aged 60 years or older between February and December 2023. Data were collected through parasitological stool examinations, analyzing variables such as sex, age, types of identified parasites, polyparasitism, and the months with the highest prevalence of enteroparasitoses.The results revealed a high prevalence of intestinal parasitic infections among this population, with more than half of the total sample testing positive for at least one enteroparasite. Regarding age groups, individuals aged 60 to 69 years were the most affected. Entamoeba coli and Endolimax nana were the most frequently identified species. Female individuals demonstrated higher incidence rates across all variables. The analysis indicates that advanced age is a significant risk factor for parasitic infections, further exacerbated by preexisting health conditions and a compromised immune system.The study underscores the need for public health initiatives focused on education and sanitary control to mitigate the impact of parasitic infections on the quality of life of the elderly population.

A study on the factors that lead clients to drop out of personalized fitness training

2025-01-21T18:38:56+01:00

The study aimed to identify and describe the factors that lead clients to give up on Personal Trainer services. The applied, field, quantitative, descriptive research investigated 10 former personalized training practitioners from the cities of Porto União - SC and União da Vitória - PR, of both sexes, regardless of age and purpose with the practice, all of them in the bodybuilding modality, characterizing an intentional non-probabilistic sample. As a research instrument, a questionnaire was applied, constructed by the researchers themselves specifically for this study. First, the study was approved by the Ethics and Bioethics Center of Uniguaçu, followed by contacting the former students/practitioners, inviting them to participate in the study, being familiarized with the research objectives and the instrument used. Data collection, which took place during August 2019, took place in a reserved place, individually. The data were tabulated, analyzed and interpreted from descriptive statistics, using Microsoft Excel software, and presented in graphs and charts. In the end, it is considered that the main factors that led students to give up on practicing personalized physical training were the lack of motivation for the practice and financial issues.

Micronutrient adequacy of pediatric patients on enteral nutritional therapy during hospitalization

2025-01-04T18:08:56+01:00

Background: Childhood is a critical step in developing and growing, not yet physically but mentally and immunologically. In the hospitalization context, a correct, adequate, and complete nutritional apport is extremely important for optimization of treatment. In this context, this research aims to evaluate the nutritional adequacy of patients admitted to the Maternal and Child Hospital of Brasília who are on full enteral exclusive nutritional therapy. Methods: That’s a quantitative research in which the participants were patients between 0 and 14 years of age during the medical hospitalization and that were using an exclusive enteral feeding tube with the diet equal to the final nutritional goal planned. The data were taken from the electronic medical record and the prevalence of each micronutrient was calculated and for adequation was considered a percentage between 90% to 110%. This research was approved by the research ethics committee. Results: 117 patients were chosen, most are male, between 0 to 6 months, and have the principal hospitalization diagnostic of a respiratory disease. The prevalence of adequacy of micronutrients shows that sodium and potassium are nutrients with lower adequacy, vitamin A is the most adequate, and the upper limit recommended for some nutrients was surpassed. Conclusion: This research showed that dietary recommendations for micronutrients are not completely respected for pediatric patients who are on full enteral exclusive nutritional therapy with the diet equal to the final nutritional goal planned. This intake out of references to micronutrients may be posing health risks for this group and this demonstrates the need to investigate the cause and the consequence of this intaking profile. To transform this, a law revision is necessary, supported by more studies and researches about the micronutrients adequation in the pediatric context, finding to establish the Brazilian child’s micronutrients recommendations.

Rural Lease and Partnership Agreements: Accounting and Legal Aspects

2025-01-04T18:22:49+01:00

Rural lease and partnership agreements play a fundamental role in structuring Brazil’s agribusiness, providing access to land and enabling agricultural production. This study analyzes the legal and accounting aspects of these agreements, highlighting their differences, regulation, and economic impacts. Through a bibliographic review and normative analysis, the article explores the applicable legislation, practical challenges, and accounting implications, suggesting guidelines to improve legal certainty and financial efficiency in the rural sector.

The use of competitive intelligence (CI) methodology for diagnosis of tourist networks on the island of PAG (CROATIA-2023)

2025-01-06T16:32:04+01:00

This article aims to prepare a brief diagnosis of the inter-organizational networks that exist between companies on the Island of Pag by business activity using Competitive Intelligence (CI). The general objective is to analyze the main statistical metrics present in this business network using Graph Theory. Therefore, the following question was asked: How intense is this network between companies? A qualitative and quantitative approach was used, using three types of research: bibliographic research, internet research and exploratory research using the Competitive Intelligence (CI) methodology using the Q-Gis and Gephi software (instruments). In the end, it was concluded that the Tourism and Leisure sector is the main network in the location. However, the connection between companies is 45.011% intra-cluster and with very low influence between them (0.2%), indicating the need to improve co-optation and the relationship between them, as well as the issue of green hospitality and sustainability.

Jehovah's Witnesses and blood transfusion refusal: a narrative review of ethical and legal aspects

2025-01-08T17:54:00+01:00

Introduction: Jehovah's Witnesses, a religious group founded in the late 19th century by Charles Russell, have as one of their core beliefs the rejection of practices they consider incompatible with biblical teachings, notably the refusal of blood transfusions. Based on a literal interpretation of biblical passages such as Acts 15:29 and Leviticus 17:10-14, this practice raises ethical, legal, and social implications, especially in medical contexts where blood transfusions are often essential to saving lives. This study analyzes the ethical and legal aspects of this refusal, focusing on the relationship between religious freedom, individual autonomy, and the right to health. Methodology: The research was conducted through a narrative literature review, addressing scientific articles and jurisprudence from the Federal Supreme Court (STF) and the Superior Court of Justice (STJ). Results: During the search, 248 articles were found, of which 16 were selected, along with relevant jurisprudence. Discussion: The refusal of blood transfusion, supported by biblical interpretations, represents an ethical dilemma, especially in life-threatening situations, when the rights to autonomy and health conflict. The analysis revealed that Jehovah's Witnesses base their refusal on passages that prohibit the consumption of blood. The study also discussed Brazilian jurisprudence, which has prioritized the preservation of life, often to the detriment of religious freedom, as shown in decisions authorizing transfusions against the patient's will. The recent decision by the STF, recognizing the right of adult and capable Jehovah's Witnesses to refuse transfusions with viable alternatives, marks progress in protecting religious autonomy. However, for minors, the principle of the best interest of health prevails. Conclusion: It is concluded that, despite legislative progress, it is necessary to balance the protection of religious freedom with the preservation of health and life, ensuring viable medical alternatives.

Incidence of malaria in the legal amazon: a descriptive ecological study from 2012 to 2022

2025-01-10T23:42:54+01:00

INTRODUCTION: Malaria is an infectious disease caused by the parasite of the genus Plasmodium, transmitted to humans through the bite of the mosquito of the genus Anopheles (“nail mosquito”). With historical and social importance within the context of the Legal Amazon, which has 99.8% of cases of the disease, malaria in this area is the object of study in this work. OBJECTIVE: Knowing the impact of malaria on the health of Brazil and the Amazon region, the work aims to analyze the epidemiological profile of malaria in the Legal Amazon over the last 10 years of notification of the disease (2012 to 2022), aiming to obtain and organize data that serve as a basis for preventive and disease-solving actions. METHODOLOGY: This is a descriptive, cross-sectional and observational study, retrospective in nature regarding the epidemiological profile of patients positive for malaria in the Legal Amazon from 2012 to 2022. Secondary data available in DATASUS is used. The specifications are: number of people diagnosed with malaria, respective sex and age, seasonality of the disease and its clinical form. RESULTS: In the region, there were 448 cases of malaria in the period studied, the highest concentration occurring in males, between the ages of 20 and 59 years and in the months of February to September, with a predominance of P. vivax infections. CONCLUSION: Through the results acquired, it is clear that by studying patterns in the subject it is possible to mitigate the impacts of malaria in the studied territory, in order to increasingly benefit susceptible populations.

Health rights in the black population: A focus on primary health care for this ethnic/social group

2025-01-11T00:03:43+01:00

Introduction: This study analyzes the structural and institutional barriers that undermine Brazil’s Unified Health System (SUS) in ensuring comprehensive and equitable healthcare for the Black population. Despite the National Policy for the Comprehensive Health of the Black Population, its implementation remains insufficient in the face of challenges posed by structural and institutional racism. The Black population experiences the worst socioeconomic and health indicators, compounded by discriminatory practices within healthcare services. Methodology: The research was conducted through a literature review of publications from 2009 to 2023, using descriptors related to the health of the Black population and institutional racism. Initially, 23 articles were selected, and after applying inclusion and exclusion criteria, 18 were included in the study. Results and Discussion: The findings indicate that institutional racism manifests through discriminatory attitudes, neglect, and barriers to accessing healthcare services. These practices perpetuate inequalities, negatively impacting the health of the Black population, with psychosocial consequences such as mental suffering and exclusion. Cases of obstetric violence and challenges in reproductive care against Black women were highlighted, exposing the SUS’s inability to uphold its principles of equity and comprehensiveness. Strengthening public policies, monitoring specific health indicators, and professional training are essential to address these inequalities and promote anti-racist practices. Conclusion: The assessment of disparities indicates that structural and institutional racism remains a significant obstacle to the realization of SUS principles. Therefore, overcoming these challenges requires improved health indicator monitoring, enhanced professional training, and the implementation of more effective initiatives to combat racism.

The importance of primary care in medical education: an experience report at the UBS Vila da Prata, Manaus

2025-01-11T00:25:06+01:00

This article describes practical experiences at the Vila da Prata Basic Health Unit (UBS) in Manaus, part of the "Collective Health III" course in the Federal University of Amazonas (UFAM) Medical School. Between October and November 2024, students engaged in weekly activities in primary care sectors, including pharmacy, triage, vaccination, medical and nursing offices, SISREG, and laboratory test collection. These experiences were enriched by home visits with community health agents and educational initiatives, such as lectures during the "Blue November" campaign and school vaccination efforts. The close interaction with the community allowed students to experience the challenges and strengths of primary care, emphasizing the importance of bonding, humanization, and interdisciplinarity in health care. These experiences reinforced the transformative role of medical education aligned with SUS and population needs.

Mortality from COVID-19 Among the Indigenous Population of the State of Amazonas: An Analysis of Secondary Data

2025-01-11T00:45:52+01:00

Introduction: High rates of infection and mortality from COVID-19 were diagnosed among indigenous people, when compared to the general population. This fact can be justified by difficulties in accessing health services and social vulnerability. Methodology: This is an observational, descriptive, retrospective cohort study, carried out through the analysis of open access health information sources. Data on mortality among indigenous people in the state of Amazonas was collected from January 2020 to January 2022. Ethnicity, age group, gender and access to health services were the indicators analyzed. Results: São Gabriel da Cachoeira represents the municipality with the highest number of deaths, justified by the city being the municipality in Amazonas with the highest concentration of indigenous population in the country. The most affected ethnic group were the Yanomami living there. Diseases of the circulatory system were the most prevalent, with emphasis on SAH (Systemic Arterial Hypertension), which was the most common pathology. The age group of 80 years and over had the highest mortality rates among these people. Conclusion: It was concluded that measures must be taken so that these people have access to health services, prevention and monitoring of prevalent comorbidities, giving them a greater quality and life expectancy, according to their customs.

Experiences in Public Health in a Family Health Unit (USF) by medical students in Amazonas

2025-01-11T01:01:17+01:00

Objective: To report the experience of medical students at a public university in the State of Amazonas, through practices developed in the Primary Health Care territory. Experience report: The practical activity began with knowledge of the territory and the structure of the Health Unit from Família Vicente Pallotti, obtaining some data about the territory. The students then actively participated in the unit's activities, such as triage, infirmary, reception, vaccination room, dressing room and SISREG room, visits and home care, in order to understand how the care process works. In addition, there was the development of health education actions: Lilac March, which addressed women's health and encouraged care and examinations, and the “D' day to combat racial discrimination, promoting reflection on issues social. Final considerations: These experiences not only provided a practical understanding of the USF environment, but also strengthened ties with the community and addressed important health and society issues, contributing to training that is more integrated with the reality of the Unified Health System for future medical professionals.

Experience report on the production of a micropolitical project in primary health care

2025-01-11T01:08:50+01:00

Introduction: Men’s health faces challenges related to disease prevention, primarily influenced by cultural factors, social stigmas, and men’s resistance to primary care. This report presents an experience in developing a project aimed at addressing these issues, with a specific focus on prostate cancer prevention and men’s self-care, promoting health education and awareness among this population. Methodology: Medical students, guided by professors and UBS professionals, carried out various educational activities at the Dom Milton Corrêa Pereira UBS. These included discussion groups, lectures, interactive dynamics, and the distribution of educational materials and self-care kits. Additionally, joint actions with community health agents and the use of social media expanded the reach of these initiatives. Results: The project achieved greater adherence by men to seeking care at the unit and greater interest in their comprehensive care, such as adopting healthy lifestyle habits combined with preventive consultations and examinations. There was also a reduction in stigmas related to the health of this group, with the aim of improving the UBS's indicators. Conclusion: The project underscores the importance of health education combined with humanized practices to foster bonds between users and healthcare workers, break taboos, and highlight the need for healthy habits.

Primary care and workers' health: actions of the family health strategy to qualify compulsory notifications

2025-01-11T01:25:43+01:00

Workers' health can be considered a field of knowledge and practices that aims to study, analyze and intervene in relationships between work, which has a theoretical-methodological approach that considers the health-disease process and its care demands in all areas of care. The experience of Workers' Health in Primary Health Care represents pressure from trade union movements that demanded attention from public services to workers' health problems. Notification of worker health problems is compulsory and is a legal requirement and underreporting of these problems constitutes a limiting factor considering both the prevention and legal points of view. This work aims to identify the underreporting of nine worker health problems in the state of Mato Grosso do Sul, describing the relationship between worker health and the Family Health Strategy, as well as listing which actions are developed in Primary Care, by through the Family Health Strategy that qualify notifications of health problems and promote worker health. This is research based on a qualitative, descriptive, bibliographical approach, with collection of secondary and primary data. Data collection will take place through bibliographical research, recovering the knowledge present in the literature, in the SINAN database and Smartlab, as well as IBGE data, referring to the year 2022. Workers' health needs to be promoted in basic care and, in turn, in the Family Health Strategy, since it is the worker's gateway and obligatory notification of worker health problems. With these notifications, health authorities will be able to take measures to eliminate or contain them.

Aiwã se Mimbira: an experience report on the care-producing networks in the mothering process in an Amazonian scenario

2025-01-11T01:37:58+01:00

Abstract

Health promotion is one of the fundamental strategies in the field of health within the Unified Health System (SUS), especially in the context of Primary Health Care (PHC). It operates in the capacity building and empowerment of the community, mainly through health education practices, with the aim of mitigating social vulnerabilities and improving the quality of life and health of the population. Thus, particularly in maternal and child health care, health promotion and care initiatives during prenatal care in PHC contribute to ensuring that pregnant women receive quality care practices, with a welcoming approach and comprehensive care for both mother and baby. Therefore, the objective of this report is to describe the health promotion practices, with a focus on health education, experienced within the context of an extension project in PHC aimed at women in the pregnancy and postpartum period, both indigenous and non-indigenous. This is a qualitative work in the form of an experience report, carried out between June and September 2024, in the health spaces of the family health units (FHU) within the PHC territories of the Tarumã-Açu neighborhood in the city of Manaus, Amazonas. The meetings addressed relevant topics for the gestational period as well as the postpartum period, such as clinical signs of labor, quality of mental health during pregnancy, oral hygiene education, and the need for healthy nutrition. Beyond that, these were also spaces for each pregnant woman to share and discuss their experiences with others, creating a protected and supportive environment for the mothers. Therefore, the health promotion activities highlighted the importance of the integration between education, services, and the community, and showed the positive effects of the meetings with pregnant women, as they brought them closer to the health team and academic members, strengthening the bond and contributing to the autonomy of these women in their care process during pregnancy.

Indigenous Medicine, Decolonization, Tukano People and Bahsesse: a narrative

2025-01-11T02:00:33+01:00

This study aims to investigate the work of Pajés and Benzedores, indigenous healing specialists, during the height of the Covid-19 pandemic in 2020 in the city of Manaus, home to the greatest diversity of indigenous peoples in Brazil. The research is based on a qualitative methodology, using narrative interviews to systematize the experiences of these caregivers. The results reinforce the critical importance of indigenous medicines in a context of collapsing biomedical health services. In addition, the work addresses the training of indigenous healing specialists, especially the Tukano people, highlighting the Kumuã's ability to offer healing practices and health care to indigenous and non-indigenous communities through a complex process of transmitting ancestral knowledge, reinforcing the epistemological, material and symbolic relevance of indigenous medicines in the face of the coloniality of knowledge. The study reinforces the urgent need to value the knowledge produced by indigenous peoples, the recognition of indigenous medicines as an indigenous medical rationality that promotes health, emphasizing their significant impact on collective health during the pandemic.

Experience of UFAM medical students at UBS Lúcio Flávio de Vasconcelos Dias: an experience report

2025-01-11T02:20:53+01:00

The Public Health III discipline provides experience in Primary Health Care (PHC), which is the first level of care and is characterized by disease prevention, promotion, protection, and maintenance of health. In this perspective, this work aims to report the experience lived during the Public Health III discipline at UBS Lúcio Flávio de Vasconcelos Dias. This is an experience report of the practices of the “Public Health III” discipline of the Medicine course at UFAM, which took place in the period of 2024.2 at UBS Lúcio Flávio de Vasconcelos Dias in the city of Manaus/AM, based on the systematic observation of reality. A rotating model was adopted to monitor the unit's sectors, in which a micropolitical project was built with the aim of recognizing the needs of the local community and intervening, in a creative way, to alleviate the health problems found in that territory. Furthermore, the importance of the territorial map for PHC was addressed, which gathers information from the micro-regions of the Family Health Strategy Team for an analysis of the living and health conditions of the different population groups present in the territory. Finally, as a way of evaluating the learning from the practice, the creation of an individual cartographic diary for the group members was proposed. During the practices, the students were able to understand how the unit works, as well as observe the relationship between the professionals and the community. The students' experiences highlighted the importance of PHC as an essential axis of the SUS. The practical activities helped in the understanding of the work of Primary Health Care.

Between Theory and Practice: a report on experiences in medical training at SUS in the Amazon contexto

2025-01-11T02:50:27+01:00

The experiences of medical students in basic health units (UBS) are essential to develop ethical, human and technical skills in Primary Health Care (PHC), valuing the Unified Health System (SUS). At UBS Vicente Pallotti, the activities met territorial demands, integrating students into the daily life of the SUS and promoting anti-racist health practices, focusing on users, including quilombolas in urban contexts, and workers. Results highlighted the strengthening of understanding of SUS principles, such as comprehensiveness and equity, in addition to engagement in educational actions, such as the demystification of the physical examination in “Blue November” and explanation about HIV/AIDS in “Red December”. Workshops and dynamics promoted knowledge and community participation. The experience consolidated technical and reflective skills aligned with the principles of the SUS, deepening the understanding of the social determinants of health and reinforcing humanized and equitable practices. Despite the benefits, challenges such as scarcity of resources and limitations of the health system have hampered broader measures. For future experiences, it is suggested to expand the themes and include the community more in the activities. The experience was fundamental for medical training, strengthening practical and reflective skills in PHC.

The SUS as a learning center to integrate students, health professionals and the community in educational actions to promote health: Experience report

2025-01-11T03:50:58+01:00

Introduction: The use of SUS as a learning space to integrate students, healthcare professionals, and the community in health education activities during the Blue November campaign is addressed. Methodology: Participatory strategies such as Phillips 66, brainstorming, and dramatization were applied at the USF Porte 4 in Manaus, aiming to demystify misconceptions and encourage preventive exams for prostate cancer. Results: There was good community engagement and effectiveness of the activities, despite variations in participation and understanding. Discussion: The importance of adapting approaches to the audience’s characteristics was highlighted, with adjustments made to improve communication and ensure better comprehension. Additionally, methods such as dramatization and brainstorming promoted more intense interaction between participants and presenters, emphasizing the relevance of accessible language and interactive practices to engage diverse audiences. Conclusion: The strategies were effective in promoting.

Immersion in the Teaching of Medicine in a Health Unit in Manaus-AM: a report of experiences in Primary Health Care

2025-01-11T04:09:34+01:00

Practical classes in health units provide students with a range of theoretical and practical knowledge, since they arouse curiosity among those involved. These experiences show how the gateway to the Unified Health System (SUS) works and enable health promotion actions to be carried out. In addition, through these field experiences, students come to understand the importance of interdisciplinary work between the various services and staff present at the site, humanized care, universal access, equity in care, longitudinal care and attention to the demands of each population in the territory. Therefore, this experience report will show how practical classes influenced the learning of a group of students in Collective Health, a subject offered in the medical course at the Federal University of Amazonas (UFAM).

Elaboração de tecnologia educativa para manejo de parada cardiorrespiratória na pediatria

2025-01-17T11:46:46+01:00

Considering the management of Pediatric Cardiopulmonary Resuscitation (CPR), professionals' technical-scientific knowledge and preparation are crucial for reversing the clinical condition and improving patient prognosis. Printed educational technologies serve as valuable information and sensitization resources. Objective: To develop an educational technology to guide the pediatric multiprofessional team on care in pediatric cardiopulmonary arrest situations and cardiopulmonary resuscitation maneuvers. Methods: This methodological study aims to create an educational technology in folder format, clarifying cardiopulmonary resuscitation (CPR) care. The study consists of three stages: bibliographic research, educational technology development, and presentation to relevant authorities. Result: The methodology employed in this study successfully developed an educational folder guiding the team on care in cardiopulmonary arrest situations, pending future validation.

Continuing Education in Cardiopulmonary Resuscitation as a qualifying strategy for Nursing – Reference Hospital of the Federal District

2025-01-17T15:51:15+01:00

Objective: to understand how continuing education influences the health knowledge of the Nursing team at a maternal and child referral hospital in the Federal District. Method: this is a descriptive, cross-sectional study with a quantitative approach that seeks to investigate the knowledge of Nursing professionals after training in management during a cardiorespiratory arrest. Results and discussion: the sample was composed of 13 nurses and 19 nursing technicians from a hospital in the Federal District. Through the questionnaires applied before and after the theoretical-practical course on pediatric emergencies, an improvement in professionals' knowledge regarding the management of CA in pediatric patients was observed. Conclusion: carrying out courses and training for health professionals and teams provides a theoretical basis and greater training for the continuity of more critical and safe care for patients.

"The elephant in the living room" - the perspective of the social worker on the importance of welcoming practices by the multidisciplinary team in caring for oncology patients: an experience report

2025-01-22T02:48:25+01:00

This study aims to highlight the importance of the care provided by the multidisciplinary team in attending to oncology patients during hospitalization, focusing on its implications for the work of social workers. It is a descriptive study with a qualitative approach, based on an experience report that shares the author's professional experience in assisting oncology patients and working with the multidisciplinary team. Additionally, it explores the theme of care and promotes critical reflection on the subject.The experience report goes beyond merely describing reality, offering a critical analysis based on the resident social worker's experience during her work with patients diagnosed with malignant neoplasms at the Regional Hospital of Asa Norte (HRAN).The study concludes that the care provided by the multidisciplinary team is essential in attending to patients with malignant neoplasms, as it ensures that their needs are addressed comprehensively, taking into account all biopsychosocial aspects. This process facilitates the patient’s understanding of their illness and prognosis. Furthermore, the study emphasizes that the role of the social worker is crucial, as it enables the dissemination of rights guaranteed by public policies, promoting democratic access to information and social rights for individuals with cancer, as established by the Statute of the Person with Cancer¹.Therefore, the multidisciplinary team's care provides a new perspective on the disease, helping to dismantle the stigmas and taboos surrounding cancer.

Health education on the use of Naltrexone as an adherence strategy in alcohol and other drug users: a systematic review

2025-01-23T21:18:57+01:00

Objectives: To evaluate the effectiveness of health education on adherence to Naltrexone in the context of Alcohol and Other Drugs (AD). Methodology: A systematic review of articles indexed in the BVS, PUBMED and SCIELO databases was carried out and the findings were treated through thematic analysis. Results: Of the 81 studies identified in the three databases, 5 articles were selected according to the inclusion criteria. The evidence extracted from these articles allowed the formulation of four relevant themes: 1- Adherence to Naltrexone and Health Education: highlighting the importance of informing and educating patients to improve adherence to treatment; 2 - Changes in Psychoactive Substance Use Behavior: highlighting how interventions can positively influence these behaviors; 3 - Educational Impact of Health Professionals: the articles also explored the transformative impact of education promoted by nurses and pharmacists, highlighting the role of these professionals in improving community health; 4 - Influence of the Administration Method on Medication Adherence: suggesting that the way the medication is administered may be a crucial factor for the success of the treatment. Conclusion: The studies included in this systematic review indicate that health education by nurses and pharmacists as members of the multidisciplinary team significantly impacts patient adherence to medication. The need for further studies is highlighted in order to investigate the potential impact of the use of Naltrexone by the Brazilian population that abuses psychoactive substances.

Use of double-carbapenem therapy in an intensive care unit

2025-01-28T20:56:53+01:00

Infections in critically ill patients admitted to Intensive Care Units (ICUs), especially Healthcare-Associated Infections (HAIs), are common due to the severity of clinical condition and invasive procedures, increasing susceptibility to infections mainly caused by multidrug-resistant microorganisms. Observational studies have shown some benefit of using double-carbapenem therapy in treatment of severe infections, especially those caused by multidrug-resistant gram-negative bacteria. A survey was conducted on the profile of double-carbapenem use in the ICU of a public hospital in the Federal District through retrospective data collection from the medical records of 72 critically ill adult patients who had used a double-carbapenem therapeutic regimen for at least 48 hours between March 2021 and February 2023. The average age was 54 years, with respiratory diseases, notably acute respiratory failure from COVID-19, being the main reason for hospitalization. The start of treatment was mostly empirical (81.94%), and the majority of patients (61.11%) had at least one positive culture result during their hospitalization in the ICU, with an average stay of 29.4 days. Among the cultures that led to double-carbapenem use, there was a predominance of the identification of multidrug-resistant Klebsiella pneumoniae bacteria. Almost all patients received an increased dose of meropenem in extended infusion, associated with ertapenem with optimized scheduling. There were 37 (51.39%) deaths, and it was not possible to establish a relationship with the treatment. By identifying the use profile of the double-carbapenem regimen, it is possible to observe the need for a multidisciplinary and integrated approach to promote its judicious use through assertive actions, such as continuous education and the adoption of institutional protocols to optimize infection treatment in the ICU.

Profile of premature babies cared for by speech therapy team in a kangaroo neonatal intermediate care unit

2025-01-30T02:48:00+01:00

Purpose: To describe the profile of premature newborns who require speech therapy at the Kangaroo Neonatal Intermediate Care Unit in a reference maternal and child hospital. Methods: Descriptive, prospective, and quantitative study in which data from electronic medical records of hospitalized patients who required speech therapy care in June 2024 were analyzed. The data were transferred to a Google Forms form, tabulated, and analyzed in absolute and relative numbers. Results: 30 premature babies were treated and included. Of these, 60% were male and 40% female. The most common probable cause of premature birth was gestational hypertension (25,5%). The most frequent number of prenatal consultations was 6 to 10 (53,3%). The gestational age at birth and the age at the start of care in the KNICU were 31 to 35 weeks and more than 35 weeks post-conceptional age. Most (58,1%) had low birth weight and were born appropriate for gestational age (86,7%). The majority (46,7%) started speech therapy with a weight above 2000g and were discharged from the hospital with a weight above 2000g (73,3%). The most frequent feeding route at the beginning of care was suction on the mother’s breast associated with a nasogastric tube (76,7%), at the time of transfer to the KNICU. The majority (46,7%) underwent 6 to 10 speech therapy sessions and the most common associated neonatal change was neonatal jaundice (n=16). The most common risk indicator for hearing loss was hospitalization in the KNICU for more than 5 days (n=11), followed by the use of ototoxic medications (n=4). The majority (96,7%) presented normal results in both ears during the hearing screening. Conclusion: It was possible to describe the profile of patients treated by the Speech Therapy team and the importance of therapeutic monitoring in the search for exclusive breastfeeding.

Challenges and perspectives for the integration of ChatGPT in higher education: a systematic literature review

2025-01-30T18:26:52+01:00

This study examines the challenges and prospects of integrating ChatGPT into higher education, highlighting its applications, such as personalized learning, academic writing support, and administrative task automation. A systematic approach was employed, analyzing bibliographic data and ChatGPT-generated responses, while addressing ethical concerns related to plagiarism, intellectual property, and responsible use of technology. The research underscores the need for clear policies, digital literacy, and technological inclusion to maximize the benefits of this tool while mitigating its risks. It concludes that ChatGPT has the potential to transform higher education if integrated ethically and strategically.

Freedom of expression and combating disinformation: The STF and the Principle of Proportionality in post-expression accountability

2025-01-31T13:35:56+01:00

This study addresses the challenge of balancing freedom of expression with combating disinformation within the Brazilian legal context, focusing on the application of the principle of proportionality by the Federal Supreme Court (STF). Freedom of expression, recognized as a fundamental right and a pillar of democracy, faces limitations when it conflicts with values such as human dignity and the protection of public order. In this scenario, the STF plays a central role in interpreting conflicts between the right to freedom of expression and the need for accountability for abusive manifestations, especially in cases involving the proliferation of disinformation and hate speech. The general objective of this study is to analyze how the STF has balanced these fundamental rights. The research adopts a qualitative, exploratory, and theoretical approach, based on the hypothetical-deductive method. It relies on a bibliographic review of authors such as Schauer (1982) and Dworkin (1996), as well as jurisprudential analysis of landmark cases such as ADPF 130, RE 1010606, and Inquiry 4781. The results reveal that the STF takes a dynamic stance, using the principle of proportionality to weigh conflicting values. Decisions such as the declaration of unconstitutionality of the Press Law in ADPF 130 reinforce the prohibition of prior censorship, while post-expression accountability, as in RE 1010606, highlights the protection of historical memory and collective interests. In Inquiry 4781, the STF demonstrates judicial activism in addressing digital disinformation, holding actors and platforms accountable for illicit practices. The study concludes that the STF has sought to consolidate a balance between freedom of expression and combating disinformation, aligning itself with contemporary theories of law and political philosophy. However, its activist stance in certain cases raises debates about the limits of its role and the impacts on legal certainty and digital governance in Brazil.

Sexual violence against children: pregnancy and acess to legal abortion in the Distrito Federal

2025-01-31T13:48:05+01:00

This study analyzed the access of pregnant children to the Pregnancy Interruption Program Predicted by Law (PIGL) of the Federal District in the period from 2021 to 2023. Through a retrospective, descriptive study, developed through quantitative analysis research, through a literature review and analysis of secondary data, the result was confirmation that children's access to the Pregnancy Interruption Program provided for by law in the Federal District does not follow the statistics of rape and live births of women in this age group. As a result, it was observed that 34 children accessed the PIGL during the studied period, in contrast, there were 292 births of girls of the same age and 975 recorded rapes. The research also demonstrated that it is necessary to discuss the expansion of access for pregnant girls in a situation of sexual violence to information about their rights, in order to promote the right of access to information, as well as greater dissemination of the Program and training of health professionals. health and those who work in the child protection network.

Estimation of malnutrition prevalence using the GLIM criteria in critically ill patients and results of concurrent and predictive validation

2025-02-03T13:53:23+01:00

Malnutrition in critically ill patients is an aggravating factor in clinical prognosis, increasing mortality and prolonging hospital stay. The Global Leadership Initiative on Malnutrition (GLIM) tool has been proposed as a standardized method for nutritional diagnosis; however, its concurrent and predictive validity still lacks robust studies. This study aimed to estimate the prevalence of malnutrition in critically ill patients using the GLIM and to assess its concurrent and predictive validity. An integrative review was conducted based on articles published between 2021 and 2024 in the PubMed, SciELO, and LILACS databases, considering studies that compared the GLIM with established methods such as the Subjective Global Assessment (SGA). The results showed that the prevalence of malnutrition in critically ill patients, according to the GLIM criteria, was 53.75%. Regarding concurrent validity, studies indicated a sensitivity above 80% for severe malnutrition cases but variable specificity. Predictive validity demonstrated an association between malnutrition identified by GLIM and longer hospital stays, higher costs, and increased mortality. However, no studies comparing the GLIM with the AND-ASPEN tool were found, indicating a gap in the literature. It is concluded that, although the GLIM appears to be a promising approach for diagnosing malnutrition in critically ill patients, it still can be more refined to address critically ill patient. Further studies are required to validate its methodological criteria and define more precise cut-off points, ensuring greater clinical applicability and diagnostic reliability

Cinema as a Pedagogical Tool: Analyzing the Film “A Bug's Life” in the Teaching of Biology - Ecology

2025-02-03T14:06:59+01:00

This study aimed to analyze the film "A Bug's Life" by Disney Pixar (1998) from a biological perspective, with an emphasis on ecological concepts. The film's plot revolves around an ant colony that engages in a battle against grasshoppers who seek to exploit resources by using the ants as slave labor. The resolution of this conflict is achieved through the unity and intraspecific relationships among the ants, as well as interspecific interactions with other insects, ultimately defeating the grasshoppers and restoring freedom and harmony within the colony. In this context, the film presents scenes with significant potential for the discussion and exploration of ecological topics, particularly concerning community ecological relationships, both positive and negative, and it also allows for discussions on biological conservation, taxonomy, and zoology. The methodology employed in this study is qualitative in nature, involving a documentary analysis based on articles and studies sourced from national directories such as Google Scholar and EduCAPES, as well as specialized literature. The results indicate that "A Bug's Life" features scenes with substantial educational potential, making it an effective tool for stimulating and facilitating the learning of ecological concepts and other areas of Biology in high school education. Finally, the study proposes a structured lesson plan that can be used by teachers in the classroom, aimed at enhancing the teaching of Biology, particularly in the area of Ecology, by using the film as a didactic resource to trigger knowledge and facilitate discussions on various theoretical topics.

Level of knowledge ofpediatric medical residents and children's health multiprofessionals about oxygen therapy

2025-02-03T23:57:07+01:00

Oxygen therapy consists of oxygen (O²) supplementation, with the aim of ensuring tissue oxygenation by raising alveolar and blood O² levels. Studies show a lack of protocols regarding the use of O², due to the fact that this therapy is still initiated, modified or interrupted without communication between the team. The aim of this study was to identify the level of knowledge of pediatric medical residents and child health multi-professionals at a reference maternal and child hospital about the use and devices used in oxygen therapy for children. This is a cross-sectional quantitative and qualitative, descriptive and observational study, with an intentional sample, carried out with pediatric residents from a maternal and child reference hospital, by filling out an online questionnaire. The study revealed that the majority of residents are young, female. It can be seen that the majority of participants got the questions right, and that there was a gradual increase in the number of correct answers according to the year of residency, indicating that the residents' clinical experience is accompanied by updates to the literature. It was therefore concluded that the residents have a good level of knowledge in relation to oxygen therapy. There was also great difficulty in getting participants to take part in studies using online questionnaires, since only 47.6% of residents from the two programs took part in the survey.

White coat syndrome: humanization in care for patients with iatrophobia

2025-02-05T20:59:05+01:00

Introduction: Iatrophobia or white coat syndrome is a multifactorial challenge arising from multiple causes, capable of resulting in numerous consequences, especially with regard to avoidance of health services. Objective: to describe aspects surrounding the humanization of care for patients affected by iatrophobia, based on an analysis of the psychosocial causes of such a condition. Methods: this is a reflective theoretical essay, guided by Meneghetti's theoretical assumptions, where we sought to articulate concepts, reflections and evidence from the scientific literature collected through a comprehensive search in the main national and international portals and search engines. Results and discussions: the study is presented in three sections that discuss: the multifactorial nature of iatrophobia, its psychological, sociocultural and relational causes and the paths to humanize the care of patients affected by this condition, identifying aspects and reflections relevant to the humanization of care for people with this condition. Final considerations: it is identified that the humanized provision of care to people with iatrophobia involves understanding the biopsychosocial aspects of the condition, followed by a reorientation in care praxis with a view to overcoming its triggering stimuli.

Family conferences in palliative care: a communication tool for breaking bad news in a hospice setting in the Federal District

2025-02-06T12:47:45+01:00

Introduction: Palliative care aims to improve the quality of life of patients with life-threatening illnesses through a multidimensional approach that includes physical, social, psychological, and spiritual aspects. This practice requires multidisciplinary teams and adaptation to different care settings, such as general hospitals, specialized outpatient clinics, home care, and specialized units such as hospices. In this context, communication, especially during family conferences, is essential for aligning expectations, clarifying doubts, and providing emotional support. Objective: To understand the impact of communication between family, patient, and healthcare team during family conferences in the context of palliative care in a hospice in the Federal District, analyzing its influence on diagnostic and prognostic understanding and categorizing its application in a specialized healthcare unit. Method: This is a qualitative study based on the analysis of medical records of patients admitted to the Hospital de Apoio de Brasília between March 2023 and September 2023, in which at least one family conference was conducted during this period. Results: A total of 40 medical records were analyzed. Among them, 52.5% belonged to male patients; 75% of the conferences were held to communicate bad news related to prognosis or the active dying process; 27.5% aimed at patient discharge planning; 30% were conducted for mediating family conflicts, and 10% were focused on managing the silence barrier between family members and patients. Conclusion: Our research highlights the importance of effective communication with patients and their families, often carried out during family conferences, to promote the humanization of care, empower both the patient and their family, and facilitate decision-making processes. We emphasize the significance of continuous professional training in delivering bad news to ensure effective communication.

The Importance of Pricing Formation for Individual Micro-Entrepreneurs in Balsas-MA

2025-02-06T14:33:26+01:00

This article explores the importance of pricing formation as a crucial element for the success of businesses, especially individual micro-entrepreneurs (MEIs) in Balsas-MA. Bibliographical research, combined with data collection through questionnaires, reveals that appropriate pricing is vital to ensure the sustainability and growth of businesses. The study identifies the main factors influencing pricing formation and addresses common mistakes made by small traders in setting sales values. It was found that many individual micro-entrepreneurs (MEIs) face difficulties in developing pricing strategies due to a lack of knowledge and information about costs and the market. The article concludes that to ensure profitability and competitiveness, it is necessary to understand not only direct and indirect costs but also the consumer's perception of value. Thus, knowledge about pricing becomes a fundamental ally in the pursuit of entrepreneurs' prosperity. This work is characterized as a qualitative and quantitative analysis of the theme, proposing practical recommendations for pricing formation.

Nitrogen balance as a tool for identifying ideal protein intake in critically ill patients: an integrative review

2025-02-07T14:42:45+01:00

This study is an integrative review and aims to verify the main findings on the ideal amount of protein in the nutritional therapy of critically ill patients in order to stimulate positive nitrogen balance. The articles selected for this review indicated that a high-protein diet, with 1.2 to 2 grams of protein per kg of weight, is related to better results in nitrogen balance, as well as more favorable clinical outcomes, such as shorter mechanical ventilation time, ICU stay, hospital stay, in addition to reducing mortality. Thus, it can be concluded that a high-protein diet stimulates positive nitrogen balance. However, the ideal amount of protein for this stimulus is controversial in the literature, due to the multiple specificities of intensive care patients.

Reflections on TRRS in the construction of mathematical knowledge: understanding the role of representations in learning

2025-02-07T15:21:41+01:00

In this study, we analyze representation modes and transition processes in register changes in Mathematics learning. The aim of this research is to understand how the representations chosen by students throughout activities contribute to learning. Students employ different forms of representation to facilitate the understanding and exploration of mathematical object registers. The processes involving the universe of representations do not emerge as definitive answers to all desired discoveries but function as a map constructed from logical clues. Within the framework of the Theory of Semiotic Representation Registers (TSRR), signs are not limited to means of signification or reference to an object; they act as instruments of thought, understanding, reasoning, and learning. From this perspective, certain tasks are directly related to cognition in mathematical activity. The methodology adopted was based on a Literature Review process. The analyzed studies indicate that TSRR can assist in understanding the visualization of a mathematical object, that is, how it is perceived, identified, associated, interpreted, and conceptualized. Thus, the application of this theory contributes to understanding the processes of teaching and learning Mathematics.

Use of photobiomodulation in head and neck câncer patients undergoing radiotherapy: an integrative literature review

2025-02-10T12:04:09+01:00

This review aims to analyze and synthesize the scientific evidence regarding the efficacy, treatment protocols, ideal dosages, and potential side effects of photobiomodulation in the prevention and management of radiodermatitis in patients with head and neck cancer undergoing radiotherapy. The research was conducted using the PubMed database, employing the descriptors “photobiomodulation,” “radiodermatitis,” and “neck cancer,” along with the boolean operator “and” to broaden the results. Only clinical and observational studies in humans that addressed photobiomodulation as an intervention for radiodermatitis, written in English and Portuguese, published up to August 2024, were selected. The initial search yielded 12 studies, of which only seven were considered eligible after applying inclusion and exclusion criteria. All selected studies were in English and published between 2019 and 2023, indicating a growing interest in the topic. The review suggests that Photobiomodulation is a safe and potentially effective therapeutic resource for the prevention and treatment of radiotherapy-induced radiodermatitis in patients with head and neck cancer.

Impact of Pulmonary Resection on Respiratory Function in Lung Cancer Patients: An Integrative Literature Review

2025-02-11T14:37:25+01:00

Introduction: Lung cancer is one of the leading causes of death in Brazil and worldwide, with high incidence rates, especially among smokers. Pulmonary resection, although effective, can impact respiratory function, making pulmonary function evaluation and rehabilitation essential to prevent complications and improve patients' quality of life.Methodology: A search was conducted in PubMed using the terms "pulmonary function test," "lung cancer," "surgical," and "rehabilitation" to identify studies on pulmonary function in lung cancer patients undergoing pulmonary resection, with no restrictions on publication period or language.Discussion: Pulmonary resection in lung cancer patients can reduce respiratory function, particularly after lobectomies, with decreases in parameters such as FEV1 and FVC, affecting quality of life and increasing fatigue. Pulmonary recovery occurs gradually and rarely returns to baseline levels. Preoperative evaluation of pulmonary function is crucial for selecting at-risk patients, with tests like spirometry and DLCO helping to plan surgery. Alternatives such as segmentectomy and minimally invasive techniques have shown better results in preserving pulmonary function. Pulmonary rehabilitation, both pre- and post-operatively, improves recovery, reduces complications, and provides significant physical and emotional benefits.Conclusion: Lung cancer is one of the leading causes of death globally, and pulmonary resection, while common, impacts respiratory function in patients. Pulmonary function evaluation, such as spirometry and DLCO, is essential for identifying risks and guiding treatment. Pulmonary rehabilitation has shown benefits in reducing complications and improving functional capacity. However, further studies are needed to refine evaluation and rehabilitation strategies, assess long-term effects, and improve the prognosis of lung cancer patients.

Playing in contemporary pedagogy: revisiting play – a study carried out in the 3rd year of elementary education at the integrated unit padre Edimilson de Sousa Freire in the municipality of Buriticupu/MA

2025-02-11T14:58:00+01:00

This work addresses the importance of play as a pedagogical tool in elementary education, especially in the early years, focusing on the 3rd year of elementary school. The study proposes an analysis of positive play practices for the integral development of children, considering cognitive, social and emotional aspects. The main objective was to investigate the relevance of playfulness in the teaching-learning process, highlighting the difficulties and benefits associated with its application in the school curriculum. The research is justified by the need to compensate for teaching methodologies in the initial years, valuing play as an effective pedagogical approach. The methodology adopted was a quantitative-qualitative approach, using action research, with the application of questionnaires and participant observation in the classroom. The research was carried out at the Padre Edmilson de Sousa Freire Integrated Unit, in Buriticupu-MA, with the participation of 19 students and one teacher. The results indicated that recreational activities, when incorporated into the curriculum, increase student performance, favoring the learning of content such as mathematics, in addition to promoting greater socialization and emotional development. However, barriers were also identified, such as the lack of resources and the resistance of some students to participation, factors that need to be overcome to fully implement these practices. It is concluded that playfulness, when well planned, is a powerful tool for improving the quality of teaching and the school experience of students, being fundamental for a more inclusive and integral education.

The role of social workers in multidisciplinar teams of oncology services: na integrative review

2025-02-13T12:59:25+01:00

This research aims to analyze the role of the Social Worker in multidisciplinary teams within oncology services, specifically seeking to understand the importance of this professional's role in the approach to oncology patients, their relevance within the teams, as well as the work carried out with patients and their families. This study intends to broaden the debate on this topic within the scope of research in the field of Social Work. It is a descriptive study with a qualitative approach, using the Integrative Literature Review method, in which ten articles published between 2013 and 2023 were selected. These articles were found using the following keywords: multidisciplinary team, Social Work, oncology services, healthcare team, and oncology patient. A spreadsheet was then created to conduct a more detailed analysis of each selected article. The results show that social workers play a fundamental role within multidisciplinary teams in various oncology services, providing support and guidance not only to patients but also to their families. This support can help them cope with the consequences of treatment, especially the social repercussions brought by the diagnosis and prognosis. It was also observed that there is a scarcity of academic studies on this topic, with a greater number of articles focusing on the role of social workers in assisting oncology patients, while fewer studies reflect on their work within multidisciplinary teams in oncology services.

Proposal of an oral diet evolution scale for pediatric patients

2025-02-13T22:28:48+01:00

Introduction: Bedside speech therapy is linked to clinical assessment, which is essential for clinical diagnosis and definition of conduct. As an aid in assessment, there are scales that measure oral route functionality, validating the evolution of patients' feeding. For pediatric patients, a scale that considers the specificities of age and neuropsychomotor development regarding feeding is necessary. Objective: To propose an oral route evolution scale for pediatric patients. Methodology: The development of the scale occurred in three stages: literature review on existing protocols and scales; review of the profile of patients treated by the speech therapy team at a Tertiary Hospital in the Federal District; and discussion with the team to define the terms for classification and differentiation of patients, necessary in the service, for the development of the scale. Results: The proposed scale has 5 levels of classification: exclusive alternative route; alternative route and gustatory stimulation by oral route; initiated oral route and alternative route with volume reduction; total oral route for age with consistency restriction; and, total oral route for age without restrictions. Conclusion: The scale presented is relevant for speech therapy work at the bedside, as it takes into account dietary differences in pediatrics.

Assessment of the nutritional risk of preterm infants hospitalized in a Neonatal Intensive Care Unit

2025-02-13T22:42:20+01:00

Objective: To analyze whether the nutritional risk of preterm newborns is related to the length of hospital stay, nutritional status, and achievement of nutritional goals at discharge from the Neonatal Intensive Care Unit (NICU). Methodology: A prospective longitudinal study with data collected from electronic medical records of preterm newborns, aged 0 to 28 days, hospitalized between March and June 2024 in the NICU of a public hospital in the Federal District. Nutritional risk was assessed using the Neonatal Nutritional Risk Assessment Tool (FARNNeo). Data were analyzed using descriptive statistics. Results: A total of 29 preterm newborns participated, most of whom were classified as high nutritional risk (HNR). The average hospital stay was 46.7 days, significantly longer in HNR neonates (67.4 days). At discharge, 31% of the sample had a weight below the expected range for post-conceptional gestational age (W/PCGA < -2 z-score), a condition more prevalent in the HNR group (p=0.037). Additionally, most participants received caloric and protein intake below the recommended levels at discharge. Conclusion: The findings indicate that high nutritional risk is associated with worse outcomes, such as longer hospital stays and impaired nutritional status at discharge. Dietary inadequacy may have been a determining factor for unsatisfactory weight gain, highlighting the need for strategies to optimize nutritional therapy in the NICU.

Active Methodologies: A Study on the Application of Playfulness in the Teaching and Learning Process in Early Childhood Education at Prof.ª Maria da Natividade Marques Freire Kindergarten in Buriticupu Municipality

2025-02-13T23:00:11+01:00

Understanding how teachers use active methodologies and playfulness to facilitate the teaching-learning process is fundamental, as this practice contributes to the integral development of students. Active methodologies emerge as a creative approach that places the student’s at the center of the learning process. Transforming the student's role from a passive receiver to an active and participatory agent within this process, in which the teacher must act as a mediator and facilitator of learning. The use of playfulness emerges as a significant strategy to engage students to actively participate in the construction and re-signification of their academic and social knowledge. Playfulness makes learning more attractive and contributes to the construction of knowledge in a pleasant and meaningful way. Playfulness is essential for the cognitive, social, and psychomotor development of children, as the playful approach promotes creativity, interaction, and socialization among students. Early childhood education should be fun and stimulating to provide meaningful learning. In other words, within active methodologies, playfulness is essential to stimulate motivation, interaction, and facilitate learning. Moreover, games can be applied practically in different areas of experience. Playfulness consists of activities such as games, playful activities, music, and stories, in which educational games, problem-solving, and case studies can be significant strategies in the teaching-learning process. Therefore, the research developed was exploratory and descriptive with a qualitative approach, aiming to know the playful methodologies used by teachers in early childhood education, which facilitate the understanding of educational content and stimulate children's interest in learning at the Municipal Creche Prof.ª Maria da Natividade Marques Freire in the Municipality of Buriticupu.

Effects of a multidisciplinary treatment program for patients with obesity on quality of life, body composition and eating behavior

2025-02-14T13:39:43+01:00

Introduction: Obesity is a multifactorial chronic condition associated with an increased incidence of chronic diseases and reduced quality of life. The assessment of body composition, using electrical bioimpedance, and eating behavior, using the Food Frequency Questionnaire, is essential for effective treatment. This study evaluated the effects of a multidisciplinary program in secondary health care in the Federal District on quality of life, body composition and eating behavior. Methods: This is a descriptive, analytical, quantitative and qualitative, retrospective, and longitudinal study based on the analysis of medical records of 35 patients followed for up to 18 months. Data on body composition, quality of life, and eating frequency were collected. Results and Discussion: Of the 52 initial patients, 35 completed the study. There was an improvement in BMI reduction from 41.13 to 39.78 kg/m², body fat percentage from 47.64% to 45.64% and lean mass increased from 29.45% to 30.48%. Regular exercise was maintained by 55.5% of participants, associated with greater weight loss (2.27%), without statistical significance. Daily fruit consumption increased from 68.5% to 81.4% and vegetable consumption from 74.2% to 88.8%, while sweets intake decreased from 17.1% to 11.1%, despite the increase in weekly consumption to 48.1%. Quality of life improved initially, but showed fluctuations after 15 to 18 months, especially in vitality. Conclusion: Multidisciplinary treatment showed positive effects on body composition, quality of life and eating behavior of patients. However, maintaining healthy habits and a positive perception of quality of life in the long term remains a challenge. These findings reinforce the need for individualized strategies and ongoing support to ensure adherence and therapeutic success in obesity management.

Parents and caregivers' perception of the performance of the multidisciplinary team in a pediatric intensive care unit

2025-02-14T14:13:43+01:00

Introduction: By implementing the National Humanization Policy (PNH), integrated and individualized care became a greater concern in health. Aiming for greater effectiveness in the user's therapeutic plan, health services expanded care through other non-medical professionals and non-nurses. The presence of the multidisciplinary team in the intensive care unit (ICU) favors humanized care and meets the needs of each patient with multi and interdisciplinary care. Objective: To evaluate companions’ knowledge about the work of professionals in the multidisciplinary team. Methodology: This is a prospective, cross-sectional exploratory study, where a questionnaire was applied to assess the knowledge of caregivers in the pediatric ICU of the Hospital Materno Infantil de Brasília, about the professionals and their respective activities. Data collection took place from March to August 2024. Results: 60 parents/companions were interviewed, of which 96.66% were female and 3.33% were male. The sample showed that 60% were in an ICU for the first time and 40% had prior knowledge of an ICU. Knowledge about the activities of some professions, such as doctors, nurses and physiotherapists, demonstrates knowledge prior to the professional's experience in the ICU. Conclusion: A higher level of knowledge was observed regarding the professions that make up the minimum mandatory team in the ICU, while the other professions in the multidisciplinary team have a low understanding of their professional role.

Incidence of withdrawal syndrome in critically ill children undergoing a protocol for discontinuation of analgesia and sedation in a pediatric intensive care unit in Brasília, DF

2025-02-14T19:55:23+01:00

Background: Analgesia and sedation administered to critically ill pediatric patients in a Pediatric Intensive Care Unit (PICU) can increase the length of stay, tolerance, and the incidence of withdrawal syndrome (WS). This study aimed to assess the incidence of withdrawal signs in critically ill children undergoing an analgesia and sedation discontinuation protocol (ASDP) in a PICU at a hospital in Brasília, DF. Methods: This was a prospective cohort study of children admitted to a PICU who underwent the ASDP. Patients aged between 1 month and 14 years, who were on mechanical ventilation and hospitalized for over 72 hours, and using opioids and benzodiazepines, were included. Patients were categorized according to the ASDP into low, moderate, high, and very high-risk groups. Data were collected through interviews with the responsible person at the patient's bedside, the application of the WAT-1 tool, and the review of the patient's electronic medical record. The study was approved by the Research Ethics Committee (CAEE 78210624.7.0000.5553). Results: A total of 28 patients with respiratory diagnoses as the main cause were studied. The patients were classified as low (n = 15, 53.6%), moderate (n = 9, 32.1%), and high (n = 4, 14.3%) risk. The incidence of WS was 35.7% (n = 10), and 4 patients required rescue doses of morphine for symptom relief. Conclusion: The incidence of WS was lower than that reported in the literature, although no statistical difference was found between the groups stratified by risk.

Challenges for Including Religiosity and Spirituality in the Care Plan for Patients in Palliative Care

2025-02-14T20:10:48+01:00

Spirituality and religiosity are integral components of Palliative Care, enhancing the quality of life of patients and families confronting life-threatening illnesses. This study examines the challenges encountered by healthcare professionals in incorporating these dimensions into care planning. A qualitative and documentary research approach was employed, involving a narrative literature review of primary and secondary sources published between 2014 and 2024. The findings indicate that inadequate preparation and infrastructure hinder the integration of these dimensions into care, underscoring the need for urgent professional development. The study highlights the challenges and proposes strategies and tools to facilitate the inclusion of religiosity and spirituality in care planning.

Multidisciplinary treatment of obesity: an analysis of the stage of motivation and change in eating behavior

2025-02-17T16:20:39+01:00

Introduction: Obesity is a global public health issue that requires a multidisciplinary approach to promote sustainable lifestyle changes. Beyond weight reduction, it is essential to adopt strategies that modify behaviors. The transtheoretical model, by assessing the stages of behavior change, is effective in encouraging healthy habits. In this context, the Revised Diet Quality Index (IQD-R) helps to monitor dietary evolution and guide effective interventions for weight loss and maintenance.Objectives: To evaluate the effect of multidisciplinary obesity treatment on the motivation stage and dietary behavior change in patients enrolled in a therapeutic treatment program within the secondary healthcare system of the Federal District.Methods: This is a qualitative-quantitative, descriptive, retrospective, and longitudinal study that analyzed the medical records of 35 adult and elderly patients. Data on anthropometry, a weight loss motivation questionnaire, and 24-hour dietary recalls were collected at the beginning of treatment, after six months, and after 12 months.Results and Discussion: The average weight loss was 4.37%. There was progression in the motivation stage, with an increase in the percentage of patients in the maintenance stage from 40% to 81.41%. The IQD-R indicated a reduction in inadequate diets from 20% to 11.1%, and an increase in those requiring dietary adjustments from 80% to 85.19%, demonstrating a transition in dietary quality. Additionally, protein intake increased from 0.61g/kg to 0.72g/kg, and fiber intake rose from 14.44g to 15.45g, while lipid intake decreased from 47.09g to 38.8g. However, these changes were not linear, with some regression observed in certain parameters at 12 months.Conclusion: Multidisciplinary treatment has a positive impact on dietary behavior and motivation. However, adherence to treatment remains a challenge, requiring effective strategies to sustain long-term results. The implementation of public policies and continuous follow-up programs is essential to expand access to and improve the effectiveness of interventions.

Food and Nutrition Education: impacts on eating behavior and nutritional profile of adults and elderly people in Primary Health Care

2025-02-17T16:34:03+01:00

Brazil has been facing significant changes in health patterns, with the transition from infectious diseases to chronic non-communicable diseases (NCDs), such as obesity, diabetes and hypertension, especially among adults and the elderly. These groups often face difficulties in accessing healthy foods and nutritional education. Food and Nutrition Education (EAN) has emerged as an important strategy to promote healthy habits, with a relevant impact on Primary Health Care (PHC). This study aimed to evaluate the impact of an EAN program on the modification of eating habits and nutritional profile of individuals attended at the Basic Health Unit (UBS), in the Federal District. The research included 22 participants (15 elderly and 7 adults), who underwent collective EAN activities. Questionnaires were used to assess the socioeconomic profile, eating habits, nutritional status and motivation to change eating behavior. The results indicated that, before the intervention, most participants were overweight or obese. Following the program, there were small reductions in Body Mass Index (BMI), but no major changes. Participants demonstrated improvements in some dietary habits, such as increased consumption of fresh fruit, reduced meals eaten with electronic distractions, and increased number of meals per day. However, there was an increase in consumption of ultra-processed foods, such as hamburgers and sweets. In addition, progress was made in the stages of dietary behavior change, with a significant increase in the number of participants in the “action” stage. Despite limitations, such as the small sample size and short duration of the intervention, the study highlights the importance of EAN programs as effective tools for health promotion, especially for vulnerable groups. Future studies should explore longer interventions and larger sample sizes to more accurately assess long-term outcomes.

Assessment of serum sodium level in patients hospitalized in the medical clinic ward of the University Hospital of the Federal University of Sergipe

2025-02-17T17:50:19+01:00

Objective: To evaluate the frequency, impact on length of hospital stay, clinical progression, associated factors and deaths of this clinical condition in our setting. Methods: A descriptive observational cross-sectional study was conducted in a sample of 80 individuals, consisting of 39 (48.7%) female patients and 41 (51.3%) male patients. Demographic, clinical, laboratory data, comorbidities, medications in use and length of hospital stay were collected. Results: During the study period, 44 (55%) patients presented hyponatremia. The length of hospital stay of patients admitted with hyponatremia (29.5 ± 29.7 days) was longer when compared to the length of hospital stay of patients admitted with eunatremia, who had a mean hospital stay of 20.8 days. No patient in the study died. Some type of treatment was proposed for 22 (50%) of the hyponatremic patients. At hospital discharge, 30 (37.5%) patients were hyponatremic. 20 (80%) of the 25 patients using diuretics had hyponatremia. 12 (70.5%) of the 17 patients using antidepressants had hyponatremia. Five (71.4%) of the seven patients diagnosed with Congestive Heart Failure were hyponatremic patients. Four (80%) of the five patients diagnosed with liver cirrhosis were hyponatremic. Four (80%) of the five patients diagnosed with Chronic Kidney Disease were hyponatremic. Conclusion: Hyponatremia is a common electrolyte disorder in patients hospitalized at HU-UFS, resulting in longer hospital stays and hospital readmissions. It is inferred that the use of diuretics, antidepressants and previous pathologies presented by patients such as Congestive Heart Failure, Chronic Kidney Disease and Cirrhosis contribute to the onset of hyponatremia.

Analgesia and sedation in children admitted to hospital: an integrative review

2025-02-17T18:26:39+01:00

Analgesia and sedation are crucial in the management of hospitalized children, especially during invasive and painful procedures. The aim of this study was to review analgesia and sedation practices in hospitalized children. This is an integrative review, which includes articles published in English between 2013 and 2023 in PubMed, using the Medical Subject Headings (MeSH) descriptors: (Conscious Sedation OR Deep Sedation) AND Analgesia) AND Child) OR Infant AND Clinical Protocols AND Respiration, Artificial). Eight publications were reviewed, and the drugs cited included opioids, benzodiazepines, nonsteroidal anti-inflammatory drugs, and dissociative anesthetics. The choice of medication depends on the desired level of sedation, ranging from minimal to deep sedation, requiring the use of assessment scales for proper monitoring. The reviewed literature indicates that the combination of fentanyl and midazolam is widely used, while alternatives such as dexmedetomidine and ketamine show significant efficacy in certain contexts. Furthermore, drug rotation and the use of clinical protocols may reduce complications, such as withdrawal syndrome and prolonged hospitalization. Therefore, pediatric analgesia and sedation should be individualized, ensuring safety and effectiveness in hospital care.

Physical exercise as a strategy for prevention and control of hypertension: a systematic review of the literature

2025-02-19T14:40:54+01:00

This is study presents a systematic review of the effects of physical exercise on the control and prevention of hypertension (HT), a prevalent chronic condition and a major risk factor for cardiovascular diseases. The research followed the PRISMA guidelines and included studies published in the last 10 years, focusing on clinical trials, meta-analyses, and reviews regarding the most effective types of exercise in controlling blood pressure. The search was conducted in the PubMed, Scopus, Google Scholar, and Lilacs databases, using terms such as "physical exercise", "hypertension", "blood pressure", "control", and "prevention". The results indicate that regular physical exercise, particularly aerobic exercises and high-intensity interval training (HIIT), is effective in reducing blood pressure, improving cardiovascular health, and stabilizing blood pressure fluctuations. The combination of aerobic exercises with resistance also showed superior benefits in controlling hypertension, with positive impacts on body composition and cardiorespiratory fitness. The evidence suggests that exercise prescription should be personalized, considering intensity, frequency, and duration of programs, as well as individual patient characteristics. This study provides practical guidelines for healthcare professionals and patients, highlighting physical exercise as an accessible, effective, and non-pharmacological strategy for managing hypertension.

Mental health of family and community medicine residents: an integrative review

2025-02-20T21:41:41+01:00

Objective: To assess the impacts on the mental health of family and community medicine resident physicians during their medical residency. Methodology: An interactive review of articles indexed in the SCIELO, BVS and PUBMED databases was conducted, and the findings were analyzed using thematic analysis. Results: Of the 592 studies identified in the three databases, 25 articles were selected according to the inclusion criteria. The evidence found in these articles allowed the identification of four relevant themes: 1. Risk Factors; 2. Protective Factors; 3. Intervention Proposals and 4. Institutional Support. Conclusion: The studies included in this interactive review indicate that expanding measures to promote mental health and prevent the risk of illness among family and community medicine resident physicians is essential to improve medical residency programs and ensure the strengthening of health care in primary care.

Inclusive Education: A Study on the Pedagogical Practices Used by Teachers in the Teaching and Learning Process of Students with Autism Spectrum Disorder (ASD) in the Municipality of Buriticupu-MA

2025-02-24T14:27:59+01:00

The main objective of this study was to investigate the teaching practices employed by teachers in the process of teaching and learning students with Autism Spectrum Disorder (ASD) in regular schools. The specific objectives were: to identify the main challenges and barriers faced by teachers when applying their teaching practices with students with ASD; to understand how educational resources can assist in the teaching and learning process of students with Autism Spectrum Disorder (ASD); and to propose educational resources that aid in the holistic development of students with Autism Spectrum Disorder (ASD) in the school environment. The research followed an exploratory and qualitative approach, defined as a case study, and was conducted with two teachers from regular classrooms, both in a municipal school network. The instruments used to collect information included observations and the application of questionnaires. The research was theoretically grounded in authors and documents such as Leo Kanner (1943), Bandim (2011), the Brazilian National Education Guidelines and Framework Law (LDBEN, 1996), the Brazilian Inclusion Law (LBI), Individualized Educational Plan (IEP), Bosa (2006), and Mantoan (2006). The results highlighted that despite limitations, the teachers' commitment to adapting their teaching practices to meet the specific needs of students with ASD was evident. Even in the face of limited resources, the teachers showed creativity and dedication in developing inclusive strategies that promote learning. The data analysis revealed, however, the urgent need for greater investment in public policies that prioritize the continuous professional development of teachers, provision of adequate materials, and the expansion of assistive technologies in the school context.

The importance of resistance exercise in the treatment of knee injuries: a systematic review of the literature

2025-03-01T13:27:54+01:00

This study carried out a systematic review of the literature on the importance of resistance exercise in the treatment of knee injuries. The main objective was to evaluate the effects of this practice on functional recovery, muscle strength, pain and functionality, focusing on ligament and meniscal injuries and osteoarthritis. The review followed the PRISMA method, divided into four stages: identification, screening, evaluation and inclusion of studies. The results confirm that resistance exercise, when customized to the type of injury, is effective in improving muscle strength, joint stabilization and reducing pain, being a superior approach to passive interventions. It is concluded that resistance exercise should be integrated into rehabilitation protocols, offering significant benefits in recovery and prevention of new injuries.

Economic Impact of Public Markets: Effects of Resident and Tourist Consumption in Brazil and Internationally

2025-03-06T18:13:54+01:00

Introduction: Public markets are essential to the local economy, functioning as commercial centers that attract both residents and tourists. In addition to their commercial functions, these markets are important for the cultural promotion and economic development of the regions in which they are located. In the tourism scenario, public markets stand out as attractions that boost economic flow, generating income through the consumption of visitors. This study aims to explore the impact of this consumption on public markets, both in Brazil and internationally, and how these dynamics manifest themselves in different cultural and economic contexts. Objective: The objective of this research is to evaluate the economic impact of public markets, focusing on the effects of consumption by residents and tourists in different regions of Brazil and the world. The study seeks to identify how these markets contribute to local economic development and the variables that influence this impact, considering regional and international differences. Method: The research adopted a scoping review methodology, which included the analysis of academic literature, economic reports and case studies published in the last fifteen years. The scoping review allowed mapping the evidence on the economic impact of public markets, considering the consumption dynamics of tourists and residents. Studies that addressed the relationship between public markets and economic development, the role of markets in the tourism sector, and the strategies used to maximize local economic benefits were included. Results: The results of the review indicate that public markets have a significant economic impact on local economies, especially in areas with high tourist activity. In Brazil, as in other parts of the world, these markets attract both residents and tourists, generating considerable revenues that benefit local traders and producers. Internationally, it has been observed that tourist consumption in public markets can serve as an engine for local economic growth, particularly in sectors such as food, crafts, and cultural tourism. However, the success of these markets depends on effective management, adequate infrastructure, and marketing strategies aimed at attracting both residents and tourists. Final Considerations: This study demonstrates that public markets are fundamental to the economic development of the regions in which they operate, acting as consumption hubs for residents and tourists. Comparative analysis between Brazil and other international contexts suggests that, although there are variations in practices and impacts, public markets have the potential to foster sustainable economic growth, as long as they are supported by appropriate public policies and management strategies that value both local culture and the visitor experience.

Cultural Aspects and Sustainability in Gastronomic Places: Analysis in Tourist Cities in Brazil and Europe

2025-03-06T18:23:30+01:00

Introduction: Gastronomic tourism has emerged as an important aspect of cultural tourism, offering authentic experiences that reflect the identity and traditions of a region. In tourist cities, both in Brazil and in Europe, gastronomy plays a crucial role in promoting cultural aspects and implementing sustainable practices. The intersection between culture, sustainability and gastronomy is a field of study that deserves attention, as these dynamics can influence both cultural preservation and sustainable economic development in these regions. Objective: This study aims to analyze the relationship between cultural aspects and sustainability practices in gastronomic venues located in tourist cities in Brazil and Europe. The research seeks to identify how local gastronomy can serve as a vehicle for promoting culture and at the same time fostering sustainable practices, contributing to responsible tourism and the preservation of local resources. Method: To achieve this objective, a scoping review was conducted, which included the analysis of scientific articles, reports from international organizations and case studies published in the last ten years. The scoping review allows mapping the available evidence on the relationship between culture, sustainability and gastronomy in tourism contexts, offering a comprehensive view of the practices and strategies adopted in different regions. Inclusion criteria were established to ensure the relevance of the selected studies, considering aspects such as cultural representativeness, adoption of sustainable practices and impact on local tourism. Results: The review indicated that gastronomic venues in tourist cities in Brazil and Europe use gastronomy as a powerful tool for cultural preservation and promotion of sustainability. In Brazil, the valorization of native ingredients and traditional culinary techniques has proven effective in preserving local cultures, while in Europe, the integration of sustainable production and consumption practices is more consolidated. However, both contexts face challenges, such as the need to balance tourism demand with the preservation of natural and cultural resources, as well as the management of the environmental impact generated by tourism. Final Considerations: This study highlights the importance of gastronomic venues as promoters of culture and sustainability in tourist cities. The practices adopted in both Brazil and Europe show that it is possible to align cultural preservation with sustainable development, as long as appropriate policies and strategies are implemented.

Students’ perspectives on the assessment of attitudes and values as transversal competences in higher education

2025-03-07T19:17:40+01:00

Comprehensive education in higher education, as highlighted by the Bologna Process, is associated with training that encompasses both technical-scientific and transversal competences. Transversal competences are a set of knowledge, skills, values and attitudes that have a transdisciplinary nature (responsibility, commitment, oral and written communication, autonomy and group work, ability to make agreements, among others). This qualitative research is an exploratory study based on the epistemological principles of the interpretative paradigm, which objective is to understand how teachers evaluate attitudes and values as transversal competences in higher education, privileging the student's perspective. Data collection was carried out through semi-structured interviews with one undergraduate and one master's student in Educational Sciences, and two undergraduate students in Psychology from a Portuguese university. The results indicate that it is possible to assess responsibility, commitment, oral and written communication through the perception of student participation in the classroom, in various situations: attendance and punctuality of the student in class; their motivation for learning through questions and interactions with peers and the teacher; when the student sends emails to the teacher with questions or suggestions; by the way they make their presentations and the quality of their slides. To assess autonomy, group work and the ability to make agreements, it is understood that the teacher can promote various group dynamics. In general, learning that achieves the formation of attitudes and values as transversal competences is associated with an inclusive, dialogic assessment that is open to mutual feedback.

The impact of the social context on the teaching and learning process: challenges and strategies for the development of 2nd grade students at the José de Ribamar integrated unit in the municipality of Buriticupu-MA

2025-03-07T19:28:56+01:00

This article investigates the influence of the social context on the teaching and learning process of students in the second year of elementary school, focusing on the challenges faced and the pedagogical strategies adopted. The research was carried out at the José de Ribamar Integrated Unit, in the municipality of Buriticupu-MA, and used a qualitative and exploratory-descriptive approach, through semi-structured questionnaires applied to teachers and observation of school dynamics. The results show that factors such as socioeconomic status, family support and the availability of educational resources have a direct impact on students' academic performance. Teachers reported challenges such as the lack of involvement from guardians and the shortage of suitable teaching materials. On the other hand, they highlighted the importance of active methodologies, such as playful activities, group dynamics and strengthening the bond between school and family, to mitigate the impacts of social inequalities. The conclusion is that understanding and considering the social context of students is essential to promoting a more equitable education that favors both the cognitive and socio-emotional development of children.

Urban Dances and the Construction of Identity in the LGBTQIA+ Community of Rio Branco, Acre: An Analysis of the Narratives of Local Dancers

2025-03-08T23:34:58+01:00

This article investigates the relationship between urban dances and the construction of identity in the LGBTQIA+ community of Rio Branco, Acre. The research aimed to understand how urban dances, such as hip-hop, jazz funk, waacking, and voguing, function as means of expression and strengthening gender identity and sexuality within this community. Through interviews with local dancers, it was possible to analyze how these artistic practices contribute to the affirmation of gender identity and sexuality, in addition to being a space for cultural resistance. The methodology adopted was qualitative, with content analysis of the interviews. The study highlighted the scarcity of research on the topic in the Amazon context and the relevance of understanding the dynamics of cultural and social expression in this community. The research contributes to reflection on dance as a space of resistance and identity affirmation.

Quilombola education and higher education: challenges, barriers, and the impact of affirmative policies

2025-03-08T23:45:49+01:00

Education in quilombola communities in Brazil still faces numerous challenges, especially regarding access to and retention in higher education. The Quilombo Jutaí Remnant Community, located in Breu Branco, Pará, illustrates this reality, highlighting the structural and social difficulties that limit the educational opportunities of its residents. The absence of high school education within the community and the provision of a discontinuous modular model hinder students' academic preparation and reduce their chances of entering universities. Thus, the central problem of this study is to understand how the educational barriers faced by quilombolas impact their academic trajectory and what measures can be taken to promote greater inclusion. The objective of this study is to analyze the challenges quilombola students face in accessing higher education, based on the reality of Quilombo Jutaí, and to discuss the impact of affirmative policies, such as Law No. 12.711/2012 (Quota Law), on the inclusion of these groups. To achieve this, the research adopted a qualitative approach, based on bibliographic and documentary analysis, examining academic texts, legislation, and institutional reports on the subject. The justification for this study lies in the need to expand the debate on the inclusion of quilombola students in universities, considering the persistent inequality of opportunities. Although affirmative policies have brought progress, barriers still hinder the retention and success of these students. As a final consideration, the study highlights the importance of more effective public policies that not only guarantee access but also provide financial, academic, and social support for these students. Promoting educational equity and strengthening quilombola identity in the university environment are fundamental steps toward building a fairer and more inclusive society.

Art Therapy in the context of promoting mental health in Psychosocial Care Centers for Alcohol and Other Drugs

2025-03-10T13:40:19+01:00

The Brazilian Psychiatric Reform spurred the creation of substitute services to the asylum model, promoting deinstitutionalization and the human rights of individuals experiencing psychological distress. The Psychosocial Care Centers for Alcohol and Other Drugs (CAPS AD) emerged as spaces for welcoming and treatment, prioritizing user autonomy and social reintegration. In this context, art therapy stands out as a complementary care strategy, fostering emotional expression, subjectivation, and strengthening the therapeutic bond. Objective: To analyze the association between art therapy and the promotion of mental health in CAPS AD. Methodology: An integrative review with a qualitative approach, based on national scientific articles indexed in Google Scholar. Seventeen articles published between 2020 and 2025 were selected. Data analysis followed a structured script, addressing the integration of art therapy in CAPS AD, its main practices, its impacts on user subjectivation and autonomy, and the deinstitutionalization process. Results and Discussion: Art therapy emerges as an effective tool in promoting mental health and reducing social stigma among CAPS AD users. Among the most frequent practices are drawing, modeling, music, dance, and literature. Studies highlight benefits such as improved mood, reduced anxiety, and strengthened identity among participants, making it a relevant alternative for psychosocial rehabilitation. However, the analyzed studies revealed a limitation in scientific production on the topic, particularly concerning families of chemical dependents and other socially marginalized groups. Conclusion: Art therapy in CAPS AD proves to be a powerful resource in promoting subjectivation, autonomy, and psychosocial rehabilitation of users, aligning with the principles of the Psychiatric Reform. Nevertheless, there is a need for expanded research in the field, including more diverse approaches and investigations into the long-term effects of art therapy on mental health promotion.

Pharmacological approach to delirium in elderly critically ill patients: an integrative review

2025-03-11T13:10:32+01:00

Intensive Care Unit (ICU) is characterized by critically ill patients, with approximately 60% elderly. In this context, delirium emerges as a frequent and clinically significant complication due to its association with increased morbidity and mortality. It is characterized by an acute alteration in various cognitive and behavioral aspects, which can be hyperactive, hypoactive or mixed. Strategies for managing delirium include non-pharmacological approaches that require collaboration among the multidisciplinary team, family, and patient, as well as often complex pharmacological interventions. This study aims to identify the main pharmacological options currently used for managing delirium in elderly patients in ICUs. This is an integrative review that searched for studies published from 2019 to 2023 in the MEDLINE, SciELO, and BVS databases, in English, Portuguese, and Spanish, using the terms delirium, elderly, ICU, and pharmacological treatment. Studies with inaccessible full-text and those including participants under 60 years old were excluded. Ten relevant studies were selected for this topic. Delirium management in elderly ICU patients often involves the use of antipsychotics such as haloperidol, quetiapine, olanzapine and lurasidone, other medications like dexmedetomidine, valproic acid, melatonin, and measures that include reducing the use of anticholinergics and benzodiazepines. There are no statistically significant results proving the benefit of most of these medications for the elderly, except for dexmedetomidine, which showed a reduction in delirium incidence and ICU stay, despite increasing the risk of bradycardia. Complementary measures, such as reducing medications that precipitate delirium and early reconciliation of neuropsychiatric medications, appear promising. New studies are needed to confirm the safety and efficacy of these therapeutic options.

Autism from a Neuropsychological Perspective – A Case Study with a Child in Brasília - DF

2025-03-11T13:25:42+01:00

Autism Spectrum Disorder (ASD) is a neuropsychiatric condition characterized by variations in brain functioning that affect cognition, emotional regulation, and social interaction. Research has shown significant neuroanatomical differences, such as increased brain volume in autistic children, as well as atypical patterns of functional connectivity that influence sensory perception and communication. This study combines a literature review with a case study to provide a deeper understanding of ASD. The literature review synthesizes high-impact research to establish a strong theoretical foundation, while the case study offers an in-depth analysis of an autistic child’s unique experiences, challenges, and responses to interventions. By integrating these approaches, the study highlights the complexity of ASD

Awareness about excessive screen use: Impact on child health and development, at the Luz do Saber daycare center, in the municipality of Buriticupu-MA

2025-03-14T14:40:42+01:00

This project investigates the growing concern regarding excessive screen time among children, considering the negative impacts on health and child development. Although technology offers benefits for learning, excessive use can cause significant harm. The research emphasizes the importance of effective strategies to promote healthy habits in children and their families, addressing improvements in the school environment and pedagogical practices that develop socio-emotional and cognitive skills. The central issue is: how does excessive screen time impact children's cognitive and social development, as well as their physical health, and what methods can be adopted to mitigate these effects? Conducted over four months at the Luz do Saber Kindergarten in Buriticupu-MA, the research utilized literature review, semi-structured questionnaires, and a logbook with 47 preschool students. The children demonstrated being well-informed about the impacts of using electronic devices, recognizing the importance of balancing screen time with play and social interactions. The results indicate that it is essential to promote dialogues about responsible technology use among children, parents, and educators, aiming for healthy development. It concludes that the educational intervention conducted had a significant impact on raising children's awareness about excessive screen time and its consequences. Through lectures and distributed informational materials, it was possible not only to convey information but also to engage children in a dialogue about healthy practices.

Application of educational video for teaching best practices in CME to nursing interns

2025-03-14T20:35:37+01:00

Introduction: The increasing complexity of hospital processes and the evolution of medical technologies pose significant challenges to the management of CSSD. Objective: To apply an educational technology in video format to teach best practices in the processing of healthcare products. Methodology: This involved the production and validation of an educational video (EV) lasting 9 minutes and 20 seconds, evaluated by students and expert judges in the CSSD field. The sample consisted of 21 qualified professionals, including master’s and doctoral degree holders, working in various hospital and academic contexts. Results: The evidence demonstrated theeffectiveness of the EV as an educational tool, highlighting its contribution to the practical and theoretical understanding of CSSD processes, such as material classification and sterilization monitoring. Approximately 85% of the students reported that the video consolidated theoretical knowledge and improved practical skills. The analysis conducted by professional judges highlighted the technical and scientific relevance of the video, suggesting minor terminological adjustments. Additionally, the video received 57 views and 30 likes on the YouTube platform, with positive feedback regarding its clarity and didactic approach. Discussion: It emphasizes that the use of educational technologies in healthcare is essential to enhance practical learning and patient safety, meeting contemporary demands. Conclusion: The EV represents a significant innovation, promoting quality and standardization in CSSD practices, making it a replicable tool in various contexts of professional training.

The Professional Practice of CAPSi in the Federal District and Mental Health Services for Black Children and Adolescents

2025-03-15T14:58:39+01:00

This article investigates mental health professional practices aimed at the Black child and adolescent population in the Federal District, focusing on care strategies implemented in a local Child and Adolescent Psychosocial Care Center (CAPSi). A qualitative approach was adopted, using bibliographic research and semi-structured interviews with staff from the health unit. Data were analyzed using content analysis. Results revealed that interviewees hold a universal view on race and, despite identifying racism as a problem, specific interventions for the Black population are lacking. According to the professionals' perception, this population faces discrimination, especially in school environments.

Old age for brazilian elderly people in context of the Covid-19 pandemic: a Psychosocial Analysis

2025-03-16T14:11:47+01:00

Population aging is a relevant topic, especially considering the COVID-19 pandemic. This study aimed to investigate the social representations of old age among Brazilian elderly individuals. It is a qualitative research based on the theoretical-methodological framework of Social Representations (SR). The instruments used were a sociodemographic questionnaire and a semi-structured interview, analyzed using SPSS and Iramuteq software. The study included 250 participants aged between 60 and 95 years, mostly female (66.4%), self-declared mixed-race (46.4%), Catholic (76.4%), and with an income between one and two minimum wages (37.2%). The identified SRs were organized into three classes: the importance of elderly care and social interaction; the gains and losses in old age; and the perception of aging as a natural process influenced by psychosocial aspects. The data may support strategies to improve psychosocial practices for the elderly in the post-pandemic context.

Quality of life among elderly brazilian and chilean women: their social representations

2025-03-19T18:58:03+01:00

This study aimed to identify the social representations of quality of life among Brazilian and Chilean elderly women. A total of 25 Brazilian and 25 Chilean elderly women participated, with a mean age of 69.44 years (SD = 6.09) and 68.72 years (SD = 4.98), respectively. Most participants in both groups reported being married, Catholic, having a secondary education, and earning up to one minimum wage. Data were collected using a sociodemographic questionnaire and semi-structured interviews, compiled into an online form (Google Forms). The interviews were then analyzed using the Iramuteq software through the Descending Hierarchical Classification method, which identified classes of semantic approximation. The social representations of quality of life among both Brazilian and Chilean women were associated with health and the repercussions of the COVID-19 pandemic. However, some specific differences between the two groups were also identified. The social representations of quality of life among Brazilian and Chilean elderly women highlight the plurality of meanings attributed to this concept, aligning with the scientific literature.

Treatment and nutritional management of cancer cachexia: a systematic review

2025-03-19T20:10:52+01:00

Cancer cachexia is a multifactorial syndrome characterized by the continuous loss of skeletal muscle mass, which may or may not be accompanied by loss of adipose mass and which cannot be completely reversed with nutritional support. Nutritional intervention has a great importance in the treatment of cancer cachexia, however, there is still low evidence when it comes to specific interventions. The present review aims to analyze forms of treatment and nutritional management of cancer cachexia available in the literature, synthesize the results of original studies on nutritional treatment for cancer cachexia and describe the outcomes related to quality of life, survival, nutritional status, laboratory tests, functional capacity and adverse effects related to nutritional therapy. This is a systematic literature review study, which brought together the results of original studies on nutritional treatment for cancer cachexia in adult patients over the last 10 years, using Pubmed as a database. The PICO strategy was used to formulate the research question. Seven original articles that address the question of this review were analyzed. The heterogeneity of available studies was observed, such as variation in study design, sample, types of nutritional intervention, feeding routes (oral, enteral and parenteral) and outcomes, which made it difficult to compare the analyzed results. In conclusion, nutrition plays a fundamental role in the management of cancer cachexia, being able to improve quality of life, muscle mass, strengthening the immune system, and improving the clinical condition. However, more studies would be needed to elucidate such nutritional strategies and make recommendations for clinical practice.

Home Office and Women: Benefits, Challenges, and the Right to Disconnect in the Remote Work Environment

2025-03-19T20:43:11+01:00

Telework, formally incorporated into the Brazilian legal framework through the 2017 Labor Reform, has undergone exponential expansion as a consequence of the Covid-19 pandemic, consolidating itself as a widely adopted modality by various organizations. The present study examines the benefits and challenges arising from this work arrangement, with particular attention to the specific impacts on female workers, notably concerning professional and domestic overload, as well as the effectiveness of the right to disconnect. Grounded in national labor legislation and international norms, the study employs a qualitative and exploratory methodology, anchored in legislative analysis and empirical data derived from recent research on the subject. The findings indicate that, although telework enhances functional autonomy and reduces operational costs for employers, it also intensifies gender inequalities, undermines the separation between professional and personal life, and complicates the oversight of working conditions. The research contributes to a critical reflection on the necessity of normative improvements and the implementation of effective mechanisms for the protection of workers, particularly regarding the right to rest and the regulation of working hours. The originality of the study lies in its articulation between existing legal frameworks and the practical challenges faced by women in remote work environments, underscoring the need for more precise regulation to safeguard fundamental rights.

Female old age among brazilian and spanish elderly women: a psychosocial study

2025-03-21T14:16:24+01:00

The phenomenon of feminization of old age is understood as a predominance of elderly women in relation to elderly men when observing an aging population. However, even with a predominantly female and elderly world, there are inequalities between the sexes that are caused by structural and socioeconomic conditions in various circumstances that modify health conditions, family dynamics and income. The study is exploratory-descriptive, with a qualitative approach, with a non-probabilistic and convenience sample. The research involves the participation of 102 Brazilian and Spanish elderly women, divided equally with 51 participants each, aged respectively between 60 and 86 years old, and 60 and 92 years old. To collect data, a sociodemographic questionnaire and a semi-structured interview were used. The findings demonstrate that the social representations of elderly women are anchored in difficulties that both groups present; feeling of gratitude and sadness; factors that are understood as quality of life; and also negative understandings of this phase. The results reveal that there are particularities within this experience as it causes impacts in different and individual ways. When comparing the Social Representations of the women targeted in this study on female old age, it was observed that both groups, based on their speeches, often come closer, but it also differs depending on economic, social and cultural differences between the countries studied. It is hoped that this research can contribute to the dissemination of information and expansion of the debate on the feminization of old age in a social and academic way.

Sustainable business models for health and wellness clinics

2025-03-22T23:51:33+01:00

This study aims to analyze sustainable business models in health and wellness clinics, focusing on the practices adopted, the challenges faced, and the perceptions of patients. The research reveals that clinics are adopting sustainable strategies in environmental, social, and economic dimensions, with an emphasis on reducing environmental impact, promoting employee well-being, and improving services offered. However, challenges include high initial costs for implementing technologies, cultural resistance to change, and a lack of clear regulations. Patient perceptions of these practices remain limited, although there is a growing interest in services that promote integrative health and social well-being. It is concluded that sustainability can be a competitive differentiator for clinics if communicated effectively and strategically incorporated into the business model. The results indicate that health clinics that integrate sustainability into their business model can become references in the sector, promoting positive impacts on both society and the environment.

Challenges and strategies in managing remote and multicultural teams in e-commerce

2025-03-24T14:44:03+01:00

This paper aims to explore the dynamics of virtual teams in e-commerce and their relationship with innovation, highlighting the factors that influence effective collaboration and the creation of innovative solutions in digital work environments. Through a literature review, studies on technology use, team diversity management, and the impacts of virtual communication on team performance and creativity were analyzed. Additionally, the role of leadership, knowledge integration, and collaborative practices as facilitators of innovation was investigated. This study contributes to the understanding of the challenges and opportunities of virtual teams in e-commerce, highlighting the impact of digital transformation and the pandemic on innovation and remote collaboration.

Calcifying odontogenic cyst with atypical clinical and radiographic presentation: a case report

2025-03-24T21:17:12+01:00

Calcifying Odontogenic Cyst (COC) is a considerably rare lesion that occurs more in a range of 30 to 40 years of life, which occurs without predisposition to sex or arches according to numerous articles and also described by Neville, however the anterior region is the most common place. Almost always patients do not report pain or discomfort and do not appear on extra-oral physical examination. Calcifying Odontogenic Cyst does not have many characteristics in intra and extra-oral examinations, therefore in radiographic examination, which is often the discovery of the lesion, it presents characteristics such as: radiolucent lesion with radiopaque points, unilocular, with defined limits, corticalized margins and may have root resorption. The cyst if treated correctly, that is, surgical enucleation, its chance of recessive is minimal. The work aims to report a case of a patient in which the characteristics of Gorlin's Cyst, so also known, are exactly as described in articles and scientific studies.

Basic Education and the importance of Quilombola School Education in the Reamaining Quilombo Community - Jutaí, Breu Branco/PA

2025-03-25T18:05:40+01:00

This article aims to reflect on the importance of Quilombola Education in the Remnant Community of Quilombo Jutaí, located in the municipality of Breu Branco in Pará, as well as to present the legal and constitutional aspects of Basic Education as a fundamental and necessary right, in addition to analyzing the relationship between basic education and Human Rights. The methodology follows a qualitative approach, carried out through bibliographic, documentary, legislative review and personal experience.

Statics of bacteria in the intestinal microbiota in patients with obesity

2025-03-25T23:15:04+01:00

The intestinal microbiota plays a crucial role in metabolic health, influencing immune and energy functions. In obese individuals, there is reduced microbial diversity, an increase in pro-inflammatory bacteria, such as Firmicutes, and a reduction in beneficial species, such as Bifidobacterium and Faecalibacterium prausnitzii. These changes favor greater energy extraction from food, chronic inflammation, and weight gain. Diets rich in fiber promote bacteria that produce short-chain fatty acids, such as propionate and butyrate, which improve the intestinal barrier, regulate appetite, and increase insulin sensitivity. Strategies such as probiotics, prebiotics, and fecal microbiota transplantation show potential to modulate the microbiota and treat obesity. In addition, the microbiota influences the gut-brain axis, affecting eating behaviors and neurotransmitters such as dopamine, which perpetuates cycles of overeating. Despite advances, further studies are needed to personalize therapeutic interventions

Challenges Faced by Working Students in Balancing Studies and Work: An Analysis of Undergraduate Students in Public Health

2025-03-26T17:26:20+01:00

Work and study are different activities that occupy a large portion of a person's time. This reality is often experienced by workers who, in addition to working, are also students, referred to as "worker-students." Thus, this study aimed to identify the difficulties that worker-students face when trying to balance work with study, through a descriptive and exploratory research with a qualitative approach, where data were collected through interviews conducted between October and November 2020 with 7 worker-students. The difficulties in balancing work with study were: lack of time; commuting from work to university; academic requirements outside of class hours; and lack of communication with work management. Despite these challenges, worker-students are motivated by the idea of a better future. Therefore, the importance of discussing this issue within the educational institution, department, and course coordination is emphasized, as these students represent a significant population in higher education. It is necessary for educational institutions to reflect on support, monitoring, and academic and psychological guidance tools for worker-students.

Comparative Analysis between Conventional Plaster Models and Digital Models in the Accuracy of Prosthetic Adaptation

2025-03-26T19:30:32+01:00

The comparison between conventional plaster cast models and digital models in the accuracy of prosthetic fitting is a relevant topic in modern dentistry. Several studies have shown that digital models, obtained by intraoral scanning, have advantages in terms of accuracy, processing time, and patient satisfaction over conventional plaster models. While both methods can be effective, digital models offer greater flexibility, allowing for better fitting of prostheses, with fewer impression errors and greater reproducibility. However, it is important to consider the variations that may occur depending on the scanning technique and the region of the dental arch, which can influence the final results. This study aims to analyze the benefits and limitations of each method, in order to offer a clear orientation for dental professionals in choosing the best technique for prosthetic fitting.

Human Rights: Indigenous School Education as a Means of Strengthening the Cultural Identity of the Gavião People – PA

2025-03-26T20:00:40+01:00

This study investigates the role of Indigenous School Education as a tool for resistance and cultural appreciation among the Gavião Parkatêjê, Kyikatêjê, and Akrãtikatêjê peoples, inhabitants of the Mãe Maria Indigenous Land in the state of Pará, Brazil. The central issue lies in the socio-environmental impacts caused by large infrastructure projects, such as the BR-222 highway and the Carajás Railway, which threaten the identity and social cohesion of the Gavião people. Using a qualitative approach, the methodology is based on bibliographic and documentary analysis, including legislation, dissertations, and case studies. The main objective is to analyze Indigenous education as a strategy for cultural strengthening in the face of colonization and economic expansion challenges. The study is justified by the school’s importance as a space for transmitting traditional knowledge, promoting bilingualism, and reinforcing Indigenous autonomy. The Tatakti Kyikatêjê School and the Mundiar Project are concrete examples of this articulation, combining formal education with cultural practices such as the sustainable harvesting of Brazil nuts and the preservation of the Jê-Timbira language. The study concludes that differentiated education is essential for preserving the identity and self-determination of Indigenous peoples. Despite legal advances, obstacles such as inadequate infrastructure and external interference persist. Active community participation in developing pedagogical projects is crucial to ensuring intercultural, contextualized education that aligns with local realities, contributing to social justice and the recognition of ethnic diversity in Brazil.

Environmental Accounting and Social Balance

2025-03-27T14:21:14+01:00

Environmental issues have always been prominent in Brazil and in the world, but in the last decades the discussions have been narrowing since the demystification of natural resources as an infinite and inexhaustible good. In this perspective, the environmental accounting returns its concern for the rational use of such resources, presenting as a way for the resolution or minimization of environmental impacts criteria for their rational use. The present work makes a conceptual approach to environmental assets and seeks to present the possible benefits derived from it. The same counted on the contribution of authors such as Conceição, et al. (2014), Silva and Rios (2014), Neves (2006), among others. In the course of the work, the awakening to the environmental issue is perceived from the perception that the environment is not something inexhaustible, thus offering the risk to society in general, beginning with the means of production, affecting large, medium and small business owners, the community as a whole, from the interference in their quality of life.

Fatigue and functional performance of patients with hematologic cancer: a cross-sectional study

2025-03-28T20:37:41+01:00

Hematological cancers such as leukemia, lymphoma, and multiple myeloma affect the bone marrow and lymphatic system. These cancers can cause intense fatigue and changes in patients' functional capacity, impacting their quality of life. This research aims to assess fatigue and functional performance in patients with hematological cancer hospitalized in a specialized hospital in the Federal District. It is a descriptive cross-sectional study with a quantitative approach. Descriptive analysis of numerical variables was conducted using measures of central tendency and dispersion. Categorical variables were presented as absolute and percentage frequencies, and correspondence analysis was applied to explore associations between symptoms and types of hematological neoplasms. Linear regression models were used to investigate the relationships between muscle strength, fatigue, and functional fitness. A significance level of 5% was adopted. The study analyzed 56 medical records, with 37 eligible patients, mostly women (51.4%) with an average age of 49 years. The most common comorbidity was systemic arterial hypertension (40.54%), and non-Hodgkin’s lymphoma was the most prevalent cancer (35.14%). At diagnosis, participants reported symptoms such as weight loss, fever, and weakness. Functional performance assessed by the KPS scale revealed that most patients were able to perform activities of daily living with occasional assistance. According to the Piper scale, fatigue ranged from mild to moderate, with a greater impact on the affective dimension. There was a positive correlation between muscle strength and functional performance, but no significant association was observed between strength and fatigue. Thus, it is concluded that physiotherapy is essential for preserving muscle strength and patient autonomy. Cancer-related fatigue should be treated in a multidisciplinary manner, considering physical, emotional, and social aspects, to improve functionality and well-being in onco-hematological patients.

Clinical and laboratory profile of living kidney donors undergoing outpatient follow-up

2025-03-28T21:14:43+01:00

Kidney transplantation is considered the ideal renal replacement therapy for treating end-stage renal disease. Thus, a kidney from a living donor is the most suitable option for transplantation, as it promotes better survival compared to a kidney from a deceased donor. However, there are concerns about the possible long-term adverse medical consequences in these living donors. The study aims to outline the clinical and laboratory profile of living kidney donors. This is a quantitative, descriptive, retrospective cross-sectional study conducted with patients undergoing outpatient follow-up at a university hospital in the city of Recife-PE. Data collection was performed using a structured form prepared by the researcher that included four blocks of variables: sociodemographic, clinical, laboratory, and anthropometric measurements. Descriptive statistical analyses, including measures of position (mean, mode, median) and dispersion (variance, standard deviation), were performed to characterize the population. The data collection procedure was performed only after approval by the Human Research Ethics Committee, in accordance with Resolution 466/12 of the National Health Council. The study involved 32 livings kidney donors, predominantly male (56.2%) and aged between 26 and 66 years. The majority had completed high school (59.4%) and self-identified as brown (78.1%). The comorbidities found in these patients were dyslipidemia (68.8%), obesity (37.9%), and hypertension (31.2%). Regarding laboratory results, the tests were within acceptable limits for both males and females. Therefore, it can be concluded that the profile of living kidney donors is predominantly male, with a mean age of 48.2 years, complete high school education, and brown skin color. Clinically, the majority have normal weight, no diabetes, dyslipidemia, and decline in renal function in older age groups.

The (des)preparation of the student in the face of palliative care and thanatology: a qualitative study

2025-03-31T14:28:24+02:00

Introduction: The nurse is one of the professionals who maintains constant contact with the patient, and in order to be able to deal with the chronicity process and death/ dying, training is necessary during graduation. However, studies show that only 11 nursing courses in Brazil offer disciplines exclusively focused on the discussion of these topics and in only one institution this discipline is mandatory in the curriculum. Objective: To understand the (des)preparation of the student in the face of palliative care (PC) and tanatology. Methodology: Exploratory, descriptive research with a qualitative approach. The study was conducted with students from the last period of nursing course at a private Higher Education Institution (HEI) in the Federal District, between July and March 2024. Two instruments were used for data collection. The corpus of interviews was submitted to content analysis with the help of IRAMUTEQ software. Results: Eight students participated in the study. After content analysis, 6 classes emerged divided into two axes: Axis 1 brought personal perceptions and feelings about the preparation in front of CP and, Axis 2, approached how participants understand and perceive CP and finitude. Final considerations: It was evidenced the

unpreparedness of students in front of the themes, but also the interest and curiosity about them. It is necessary to include and discuss topics about Tanatology and CP in higher courses of nursing, aiming at the improvement of the students, so that they can be able to professional practice.

Expectations and Challenges in the Physical Education Career: A Study on Freshmen and Students in the Last Term of Bachelor's and Degree courses in physical education at the Federal University of Acre

2025-03-31T14:39:34+02:00

This study examined the expectations and challenges faced by students in the Bachelor's and Licentiate degrees in Physical Education at the Federal University of Acre (UFAC). Using a quantitative approach, online questionnaires were administered to 96 participants, comparing the perspectives of freshmen and senior students. Results showed that 27% of freshmen prioritized autonomous work and sports training, while 26% of seniors focused on health promotion and wellness. Key challenges included difficulties with theoretical subjects (35%), balancing studies with work (28%), and lack of academic support (14%). The findings suggest that academic experiences significantly reshape initial expectations, highlighting the need for greater integration between theory and practice in professional training.

Functionality and quality of life after breast cancer: a cross-sectional study

2025-04-02T16:09:16+02:00

Breast cancer is the most prevalent neoplasm among women and one of the main causes of mortality. Surgical treatment, although essential, can have a negative impact on the functionality and quality of life of these patients. The aim is to assess the functionality and quality of life of women diagnosed with breast cancer who have undergone surgical treatment. This is a cross-sectional, observational and quantitative study carried out in a physiotherapy outpatient clinic in the Federal District. The EORTC QLQ-C30, QLQ-BR23 and DASH questionnaires were applied, as well as assessing handgrip strength. Statistical analysis was carried out using R software, considering a significance level of 5%, and using Spearman's coefficient for correlations. The sample included 43 women with a mean age of 53.5 years. The average global quality of life score was 67.63 ±25.47, with the worst performance in the role function (48.44 ±37.93). The most prevalent symptoms were fatigue (36.69 ±27.27) and pain (41.08 ±38.37). Functionality showed moderate impairment (DASH= 47.34±21.03), mainly affecting work activities. There was a significant moderate correlation between worse functionality and lower quality of life, especially in the physical (-0.65) and arm symptoms (0.67) domains. The study showed that surgical treatment for breast cancer significantly affects patients' quality of life and functionality, emphasising the need for multidisciplinary follow-up for rehabilitation and post-operative support.

Knowledge about health technology assessment among academics and residents of a university hospital

2025-04-06T14:24:07+02:00

Health technology assessment (HTA) performs a systematic analysis of properties, providing support to health administrators in applying the results obtained to deepen their understanding of the merits of a health technology. Materials and Methods: Descriptive, cross-sectional, and quantitative study. Conducted with 82 residents from HC-UFPE and 90 students from health and medicine courses at the Recife campus of the Federal University of Pernambuco. Results and Discussion: Reveals a trend of limited knowledge about Health Technology Assessment (HTA) among both undergraduate students and residents. Conclusion: A lack of awareness about Health Technology Assessment among academic residents in the health field was evidenced. It is suggested that further comparative studies be conducted between students at the beginning and end of their undergraduate studies to assess the acquisition of knowledge about HTA over and after this period.

Games and playful activities as possibilities for organizing the teaching of mathematics in the early years of elementary education

2025-04-06T15:02:22+02:00

We are currently facing a concerning reality regarding the learning of mathematics, as students' performance is far below expectations, according to data from the National Institute for Educational Studies and Research (INEP). One of the elements that may contribute to this low level of learning is the way mathematics has historically been taught—through the repetition of calculations and the application of decontextualized and mechanical formulas that prevent students from understanding it as a human creation. In this context, this study aims to understand the importance of using games and playful activities as one of the possible ways to organize the teaching of mathematics in the early years of elementary education. To achieve this, we conducted a bibliographic review, focusing on authors whose theoretical approach expresses an understanding of the historical-cultural nature of knowledge production, the learning process, and the development of human psyche. This study shows that games and playful activities, when intentionally organized and selected, can foster learning through social interaction, as students learn school content while playing.

The effectiveness of ChatGPT in teaching medicine through systematic mapping

2025-04-07T14:38:58+02:00

Introduction: With the increasing integration of artificial intelligence (AI) technologies into various educational domains, assessing their effectiveness becomes paramount. This study investigates the efficacy of ChatGPT, a state-of-the-art conversational AI model, in the field of medical education. Objective: To analyze the scientific production on medical education assisted by ChatGPT. Methodology: A systematic and descriptive mapping, with a qualitative nature, was employed. The research question was formulated following the PICO strategy (Population, Intervention, Comparison, Outcome): In medical students (P), how does the integration of ChatGPT-assisted teaching (I), as a complement to conventional teaching methods (C), positively influence academic performance improvement and learning satisfaction (O)? The screening of studies used the PRISMA tool (Preferred Reporting Items for Systematic and Meta-Analyses). For article selection, descriptors were defined: ChatGPT, Teaching, Medicine, Learning, Artificial Intelligence, Evaluation Studies as Topic, Educational Measurement, and Education, Medical, Undergraduate. Searches were conducted using long and short search strings: Long string: ChatGPT AND Medicine AND (Teaching OR Learning OR Assessment OR Evaluation Studies as Topic OR Educational Measurement OR Education Medical Undergraduate) end Short string: ChatGPT AND medicine AND (teaching OR learning), These searches were performed in virtual libraries (PubMed, CAPES Journals, Wiley Online Library, BVS, SciELO, and ScienceDirect) by combining descriptors in Portuguese and English, using the Boolean operator (AND). The search strings included: Portuguese: ChatGPT AND medicina AND (ensino OR aprendizagem OR avaliação) end English: ChatGPT AND medicine AND (teaching OR learning OR assessment). Categories were created using Bardin's content analysis method applied to ChatGPT. Results and Discussion: Fifty articles were selected. Using Bardin's content analysis, six thematic categories and one subcategory emerged: Applications of ChatGPT in Medical Education: ChatGPT is a complementary tool that enhances learning and critical skill development by offering personalized and interactive experiences. Its integration into medical education requires supervision to ensure efficacy; Ethical Considerations in ChatGPT Use in Medical Education: The use of ChatGPT demands human oversight and critical evaluation, without replacing medical expertise. Ethical training for future doctors is essential to ensure safe and effective application; Subcategory: Reliability of ChatGPT in Medical Education: ChatGPT's reliability requires constant supervision, as it may generate inaccurate information. Its application in education should be guided by qualified educators to ensure content accuracy; Challenges of ChatGPT in Medical Education: ChatGPT faces challenges such as inaccuracy, inconsistency, and lack of interpersonal skills, limiting its efficacy as a substitute for human knowledge. Close monitoring is essential; Contributions of ChatGPT Use in Medical Education: ChatGPT enhances medical education by personalizing learning, providing immediate feedback, and enriching the understanding of complex concepts, making it a valuable educational tool; ChatGPT’s Performance in Medical School Exams: ChatGPT performs well in medical exams, with approval rates comparable to human students, but its results require rigorous supervision and evaluation due to limitations; Future Directions and Recommendations for ChatGPT Integration in Medical Education: Effective and ethical integration of ChatGPT requires clear guidelines, AI literacy, and ongoing critical evaluation, ensuring it complements human clinical judgment. Conclusion: The analysis of scientific production on ChatGPT in medical education highlights its potential as a complementary tool capable of enhancing learning and critical skill development among students. While ChatGPT has shown promising results in medical exams and offers significant contributions, such as personalized learning and immediate feedback, its use demands constant supervision and critical evaluation. Challenges related to inaccuracy and the absence of interpersonal skills underscore the importance of careful and ethical integration. For effective implementation, the development of clear guidelines, AI literacy promotion, and continuous monitoring are recommended. When used ethically and under supervision, ChatGPT can enrich the educational experience, complement conventional methods, and contribute to the training of better-prepared and more critical medical professionals.

The role of teachers and school management: promoting inclusion and diversity

2025-04-09T14:28:00+02:00

This article explores inclusion and diversity in education, highlighting the role of the pedagogue and school management in analyzing inclusive practices and diversity policies, examining the importance of professionals in promoting equitable education for individuals with specific needs. This study will consider the research of Sassaki (2005, 2006), as well as the reflections of Mantoan (2003, 2013), Menezes (2012) and Freire (2001, 2005, 2008) applying research methods of Gil (2002) and Lakatos & Marconi (2021). From this discussion, the evolution of Brazil’s public education system will be evaluated, driven by the struggle of people with disabilities and the implementation of laws that ensure inclusion, access, permanence, and learning of students with disabilities in conventional classrooms. Using bibliographic research and Boolean research through Google Scholar, to achieve the objectives. The article includes studies that reinforce that the school should represent an inclusive environment not only in its physical structure but also in its pedagogical practices. To achieve this goal, the studies point out that it is necessary to invest in the constant training of teachers. It is concluded with the study that an increase in the load of responsibility of teachers is frequently observed in the face of the demands of educational inclusion. Brazil has developed strategies that value and benefit students and their singularities, however, it is evident that there are several other aspects related to this issue that require special attention, that said, the work in question presents issues related to access to inclusion through specific legislation in a careful look at inclusion treating the stands as subjects of law and leads the school to rethink inclusion as pedagogical praxis.

The Potencials of the paper Inverson Techique as a Pschoterapetic Resources: an Analysis of the Movie “The Shack”

2025-04-14T15:27:06+02:00

Psychodrama was born with live theater, and one of its most important and widely used techniques is role reversal—a historical technique that consists of placing the protagonist in the role of the other in order to discover, feel, and understand the other’s beliefs and values. In the film The Shack, this technique appears when the protagonist enters a cave and meets Wisdom, who proposes that he judge Papa (God). To do so, he sits on a throne and makes a series of judgments that he had already established beforehand. Then, Wisdom, acting as an ego auxiliary, manages to show him that being God is not easy and that many things that happen in the world do not occur by God’s will, but rather by another will. In this sense, this essay aims to analyze the film/book The Shack, especially this scene, using Content Analysis to demonstrate that films can serve as therapeutic (and sometimes psychotherapeutic) resources.

Management methodologies in civil construction: a comparative study of traditional and agile models

2025-04-15T15:06:45+02:00

Project management in the construction industry faces significant challenges related to project complexity, the involvement of multiple stakeholders, tight deadlines, and the need for strict resource control. Traditionally, structured methodologies such as the waterfall model and the PMBOK guide have been widely adopted in the sector. However, with the advancement of digital transformation and the growing demand for flexibility, agile methodologies have increasingly been adapted to the construction context. This article presents a narrative literature review aimed at comparing traditional and agile project management approaches, analyzing their characteristics, advantages, limitations, and potential for integration. The findings indicate a growing trend toward the adoption of hybrid models that combine control and adaptability, enabled by digital technologies such as BIM, BI dashboards, and collaborative platforms. It is concluded that the most effective methodological choice depends on project-specific conditions, organizational maturity, and the strategic goals of the company.

The Role of Music Therapy in the Adult Intensive Care Unit: An Integrative Review

2025-04-17T21:55:09+02:00

Objective: To discuss the role of music therapy in adult patients in the intensive care unit as a tool for its incorporation into the care plan given the promising potential for clinical improvement in patients. Method: This is an integrative, descriptive, exploratory literature review, with a qualitative approach carried out in the databases Virtual Health Library (BVS), Scopus, Cochrane Library, National Library of Medicine (PubMed/MEDLINE), Embase and Proquest Digital Dissertations. Results: The acceptance of music therapy in Intensive Care Units and its use as a complementary method has led to positive responses, such as changes in blood pressure, respiratory rate, reduced pain, less need for sedatives, reduced anxiety, and emotional responses, such as increased comfort, joy and peace. Conclusion: The benefits of music therapy demonstrate its potential use as a complementary method and the need for more research in other countries, such as those in South America. Its use also denotes the possibility of developing public policies in order to expand its use.

Maternal satisfaction in the care provided by obstetric nurses in supporting humanized birth

2025-04-17T22:10:49+02:00

Childbirth is a special and complex event involving physical, psychological, social, and cultural aspects. Each woman experiences it uniquely, influenced by her personal conditions. Humanized childbirth combines science and sensitivity, creating a safe and welcoming environment. This model promotes a healthy birth and an emotionally enriching experience for the mother, the baby, and everyone involved. Objective: To describe maternal satisfaction with the care provided by obstetric nurses in supporting humanized childbirth. Methodology: An integrative bibliographic review with a qualitative approach. The research gathered relevant studies and sources published between 2013 and 2024 to build a solid foundation on the topic. Materials that meet the study’s objectives will be selected, while those that do not align will be excluded.

Socioeconomic profile and management of rural properties: an analysis of accounting services in cerrado

2025-04-24T14:57:38+02:00

The article aims to analyze the socioeconomic profile of rural producers served by accounting offices in Palmas/TO, identify the main management challenges and evaluate satisfaction with the accounting services received. The research is exploratory and descriptive in nature, using both qualitative and quantitative methods. Data were collected through a structured questionnaire, answered by 14 rural producers, between August and October 2024. The main findings reveal that the majority of producers are young, with low education and moderate experience in the agricultural sector. The majority have small properties (less than 10 hectares), with a predominance of agricultural activities. Among the challenges faced are fluctuations in commodity prices, climate variations and limited access to credit. In relation to accounting services, the majority only use general accounting and tax planning, with moderate to high satisfaction regarding the quality of service. However, there is a low demand for more strategic services, such as financial consultancy. The study concludes that, although there is recognition of the importance of accounting, the use of this resource beyond tax obligations is still limited. There is room to improve the relationship between producers and accounting professionals, especially with regard to strategic management and the use of technology to improve the efficiency of rural properties.

Pregnancy on the streets: the difficulties faced by homeless pregnant women in Brazil

2025-04-24T15:17:24+02:00

The article aimed to understand violence against women and homelessness in the experience of pregnancy, childbirth, puerperium and the right to motherhood. Seeking tounderstand how women deal with this type of violence and the need for public policies andstrategies that guarantee their rights and promote their protection and dignity. An integrativeliterature review was carried out, from August to November 2024, in the Virtual Health Library (VHL) database. According to the descriptors used and after the filter guided by theinclusion criteria, 23 results were found. However, only 7 fit the established eligibility criteriaand comprised the final sample. The studies analyzed highlight challenges faced by homelesswomen, related to violence and social vulnerability, such as precarious health care, in pregnancy, in addition to the need for more effective and humanized public policies. Allstudies reinforce the urgency of integrated actions that address health, gender andmarginalization, in addition to equal access to essential services. The review reported here isof fundamental importance, given the need for new studies that expand this theme and ensurevisibility for this population segment.

Characteristics of the population vaccinated against Covid-19 in Maceió

2025-04-24T20:11:33+02:00

Introduction: the only effective preventive strategy to control SARS-CoV-2 is the vaccine used on a large scale. Objective: analyze the profile of the population of Maceió vaccinated against covid-19. Methodology: descriptive, retrospective study with a quantitative approach. Results and discussion: In the period from January 18, 2021 to August 2, 2022, 2,151,203 doses of vaccines against COVID-19 were applied in Maceió. The rate of vaccinated women is higher than that of men. The most vaccinated age group is between 18-29 years. Conclusion: the importance of this analysis at the municipal level is fundamental in Primary Care in the Unified Health System, as it allows the application of prevention, promotion and health education measures.

Accounting Applied to Agribusiness: Evidence and Measurement of Assets

2025-04-25T19:58:52+02:00

Accounting applied to agribusiness has gained prominence in Brazil due to the dynamism, innovation, and significant contribution of this sector to the Brazilian Gross Domestic Product (GDP) in recent years. The unique characteristics of the sector have led to the development of specific accounting treatments. As a result, in 2009, the Accounting Pronouncements Committee (CPC) issued CPC 29, based on IAS 41, which addresses the disclosure and measurement of biological assets. This ensures that information is provided with greater relevance and transparency. The objective of this research was to conduct a detailed analysis of the disclosure and measurement of biological assets presented in the explanatory notes of the business groups listed on B3: JBS, Brasil Foods (BRF), and Marfrig Group, for the base year 2024. The justification for this research lies in the significant role of Brazilian agribusiness and the importance of using accurate information. In this context, there is a need to raise awareness regarding potential issues in the disclosure and measurement of biological assets published in the reports available on B3. The research adopted a qualitative approach, and data collection procedures included bibliographic and documentary research, through which the explanatory notes of the mentioned companies were analyzed with regard to the disclosure and measurement practices used, along with the CPC standards concerning asset accounting. Overall, it is concluded that JBS, BRF, and Marfrig measure their biological assets based on CPC 29. However, some disclosures are not being provided, such as the quantitative data of biological assets by Marfrig and the procedures described in item 49 of CPC 29. These companies are expected to disclose such procedures.