The journal Research, Society and Development (abbreviated as Res. Soc. Dev.) is a multidisciplinary scientific publication focused on promoting the dissemination of knowledge, using scientific methodologies for social, scientific and technological development through the publication of manuscripts, results and conclusions of research, in the various areas of knowledge. It is a monthly online journal. Submissions are evaluated by peers (Double Blind Review) with experience in the area of ​​the manuscript. Ad hoc revisors 2025 We thank all of the more than 340 “ad hoc” reviewers who contributed to this Journal in their evaluations (double-blind peer review). Reviewers 2025
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Application of Applied Behavior Analysis (ABA) in the speech-language pathology context: Management of escape behaviors in children with learning difficulties
Introduction: Speech-language pathology has faced increasing challenges in the face of learning disorders and difficulties, whose high prevalence and impacto n child development require increasingly specialized interventions. Objective: To analyze the application of Applied Behavior Analysis (ABA) strategies in the speech-language pathology context, focusing on the management of escape behaviors exhibited by children with learning difficulties. Methodology: This is a qualitative study in the form of a narrative literature review. The databases SciELO, PubMed, and LILACS were consulted, and articles published between 2020 and 2025 were selected. Descriptors in Portuguese and English were used, obtained from the Health Sciences Descriptors (DeCS) platform: “Applied Behavior Analysis” AND “speech-language pathology” AND “escape behavior” AND “specific learning disorder.” Results and Discussion: The analysis showed that the integration between ABA and Speech-Language Pathology enhances therapeutic outcomes, especially when considering the child’s preference and motivation in the selection of procedures. Conclusion: The use of ABA in the speech-language pathology context not only contributes to the control of escape behaviors but also strengthens the development of communication, learning, and social inclusion, although research gaps still remain regarding learning disorders specifically.
Copyright (c) 2026 Amanda Valéria Mendes de Sousa, Cristhiane Brito Sousa, Élida da Costa Monção, Ruth Raquel Soares de Farias https://creativecommons.org/licenses/by/4.0
The impacts of using cell salvage in cardiac surgery: An integrative review
The overall objective of this work is to identify the impacts of using cell salvage in cardiac surgery to reduce allogeneic blood transfusions, aiming to decrease postoperative complications and reduce costs. To this end, the following specific objectives were defined: contextualizing blood transfusion in the intra- and postoperative periods; the use of cell salvage in cardiac surgery; and identifying the main impacts of using this technology, focusing on the reduction of postoperative complications. Addressing the use of cell salvage in cardiac surgery is justified by the relevance and high complexity of cardiac surgical procedures. This technique has proven to be an effective strategy to increase patient safety and contribute to better clinical outcomes. This study consists of descriptive, qualitative research, structured from an integrative literature review, using the following keywords: cell salvage, cardiac surgery, and postoperative cardiac care, performed in the PubMed database, from 2015 to 2025. Through the collection of information throughout the research and the analysis of the data, it was possible to conclude that the use of cell salvage is associated with a reduction in the need for allogeneic blood transfusions, better maintenance of hemoglobin levels, and attenuation of the systemic inflammatory response, provided it is used appropriately. Further studies, especially in the national context, are needed for a better evaluation of its cost-benefit ratio.
Copyright (c) 2026 Flávia Helena Fornazeiro Abegão , Renata London Rodrigues Nascimento, Nathalia de Souza Fernandes, Kênio Salgueiro Okamura, Isabella Marcondes Ibrahim, Vanessa Bernardo Nunes https://creativecommons.org/licenses/by/4.0
Comparative evaluation of the aqueous and ethanolic extracts of Erythrina mulungu: Chemical composition and biological activities
Plant extracts are widely used as sources of bioactive compounds, especially phenols, flavonoids, and alkaloids, whose extraction depends directly on the type of solvent employed. This study aimed to compare the aqueous and ethanolic extracts obtained from the bark of Erythrina mulungu, evaluating their chemical and functional characteristics through High-Performance Liquid Chromatography (HPLC), Fourier Transform Infrared Spectroscopy (FTIR), total phenolic content, antimicrobial activity, and antioxidant activity analyses. The aqueous extract showed lower chemical diversity and reduced bioactivity, with a phenolic content of 7.64 mg GAE/g, antimicrobial halos smaller than 14 mm, and 14.70% inhibition in the DPPH assay. In contrast, the ethanolic extract exhibited a more complex composition, with chromatographic peaks associated with erythrinic alkaloids and lipophilic phenols, as well as additional FTIR bands consistent with carbonyls, ethers, and amines. This extract presented a phenolic content of 729.68 mg GAE/g, halos of 21.50 mm (E. coli) and 35.75 mm (S. aureus), and high antioxidant activity (92.82%). The results demonstrate that ethanol promotes a more efficient extraction of bioactive metabolites, whereas the aqueous extract shows a more restricted composition. Thus, solvent selection directly influences the chemical profile and biological performance of Erythrina mulungu extracts, reinforcing the importance of choosing an appropriate extraction method in phytochemical studies.
Copyright (c) 2026 Girlaine Santos da Silva, Mariana Alves Henrique, Severino Alves Júnior, Glória Maria Vinhas https://creativecommons.org/licenses/by/4.0
Weight loss by ketogenic diet among overweight and obese Kurds-Kurdistan region of Iraq
Objective: This study aims to ascertain the impact of a Ketogenic (keto) Diet (KD) on weight loss. Material and Methods: The study uses questionnaires and surveys to collect data in the Kurdistan region of Iraq between October 2024 and February 2025 and uses keto-diet stores, and in-person encounters to evaluate body mass index, obesity levels, and perceptions of the KD. Results: For the individuals' sociodemographic characteristics, frequency and percentage were employed. The consistency of weight loss, weeks of keto diet, and blood glucose and cholesterol levels for each group of men and women were calculated using an unpaired T-test (independent) with a P-value of less than 0.05 for the baseline before and after the keto diet for perception. Of the 130 participants, 48% were women and 52% were men, and they ranged in age from 10 to 69. Both sexes were heavily following the KD between the ages of 30 and 39: 34.92% of women and 35.82% of men. 35.82% of men and 38.10% of women were categorized as Class 1 and Class 2 obese, respectively, based on body mass index. In addition, ladies lost 15.3 kg in 33.1 weeks (p < 0.0001), while males lost an average of 23.7 kg in 49.2 weeks (p < 0.001). Conclusion: The utilization of the KD as a therapeutic intervention for obesity, illnesses related to nutrition, and other new treatments may be supported by these findings.
Copyright (c) 2026 Samiaa J. Abdulwahid-Kurdi, Zhyan Zero Shoro, Chawerwan Hamza Ahmed, Awat Bahram https://creativecommons.org/licenses/by/4.0
Food and nutritional insecurity in indigenous villages in the state of Pará: An integrative review
Food and nutritional insecurity is defined as one of the main public health challenges in Brazil,affecting populations such as indigenous peoples most intensely. In the state of Pará, socioeconomic, territorial, and environmental factores exacerbate the dificultou of regular access to adequate food, compromising the health and food sovereignty of these populations. The objective of this study was to analyze the available scientific evidence on food and nutritional insecurity indigenous villages in the state of Pará through na integrative literature review.The search was conducted in the SciELO /LILACS/PubMed and Virtual Health Library databases, considering articles published between 2021 ano 2025. After applying the inclusion and exclusion criteria, 10 studies comprised the final sample. The results showed a high prevalencd of food insecurity, associated with the loss of traditional territories, the replacement of traditional foods with ultra-processed products, and the fragility of public policies directed at indigenous health. It is concluded that food and nutritional insecurity actions that valeu tradicional food sistema and guarantee the humano right tô adequate food.
Copyright (c) 2026 Ildete Pedrosa Maia, Ana Lucia da Silva Rezende, Luísa Margareth Carneiro da Silva https://creativecommons.org/licenses/by/4.0
Vaccination coverage among children under one year of age in the Agreste region of Pernambuco from 2019 to 2023: A descriptive analysis
Objective: To analyze vaccination coverage among children under one year of age in the 21 municipalities of the V Regional Health Management of Pernambuco from 2019 to 2023, comparing coverage rates across localities. Methods: This is a descriptive and retrospective epidemiological study using secondary data from the Department of Informatics of the Brazilian Unified Health System. Mean vaccination coverage rates (frequency measure) were calculated for the following vaccines: BCG, Hepatitis B, Pentavalent, Poliomyelitis, Pneumococcal, Rotavirus, Meningococcal C, and Yellow Fever. Analysis of variance and Tukey’s test were applied to assess dispersion and statistical differences among municipalities. Results: Analysis of aggregated data indicated that mean regional vaccination coverage remained below the 95% target recommended by the Ministry of Health. Specifically, the Pentavalent vaccine showed a mean coverage of 88.08%, and the Meningococcal C vaccine reached 85.27%. Statistical tests revealed heterogeneity in coverage rates among the evaluated municipalities. Conclusion: The V Regional Health Management of Pernambuco presented insufficient immunization rates during the study period, failing to achieve collective protection targets. The statistical disparities identified among municipalities highlight areas of greater vulnerability that compromise the effectiveness of the regional immunological barrier.
Copyright (c) 2026 Brenda Cristina Alves Moreira Santos, Daniela Vieira Barbosa, Elâne Rafaella Cordeiro Nunes Serafim, Gisely Passos Martins, João Ataide de Lima Neto, Paula Ângela Brunet Freitas Pimentel, Rafaella Menezes de Oliveira Parente, Synara Laís Silva Araujo https://creativecommons.org/licenses/by/4.0
Polioencephalomalacia in a Dorper sheep – Case report
Polioencephalomalacia (PEM) is a neurological disorder that affects the gray matter of the brain in ruminants, characterized by cortical necrosis and central nervous system clinical signs, with significant sanitary and productive impact. Its etiology is multifactorial and mainly associated with thiamine deficiency, excessive sulfur intake, abrupt dietary changes, and metabolic disturbances, occurring as isolated cases or outbreaks. This study aims to report a case of polioencephalomalacia in a young Dorper sheep, with a presumptive diagnosis based on clinical signs and therapeutic response. A three-month-old male sheep was admitted presenting diarrhea, visual impairment, head pressing, head tilt, circling, ataxia, intention tremors, and anorexia. Physical and neurological examinations revealed central neurological impairment, associated with electrolyte imbalances identified by blood gas analysis. Differential diagnoses included traumatic brain injury, intoxications, and infectious diseases; however, due to the clinical suspicion of PEM, immediate treatment with high-dose thiamine, associated with dexamethasone, clinical support, and antiparasitic therapy, was instituted. The animal showed marked improvement in neurological signs within a few hours after treatment initiation, with complete recovery within 24 hours and clinical discharge after six days, without recurrence. The favorable outcome reinforces the importance of early clinical diagnosis and prompt thiamine administration as an essential therapeutic approach, as well as the relevance of appropriate nutritional management in preventing the disease in small ruminants.
Copyright (c) 2026 Júlia Cristóvão dos Santos, Ana Carolina de Oliveira Pinheiro, Jéssica Turmina Fraccanabbia, Rafaella Dias Laudino https://creativecommons.org/licenses/by/4.0
Technological and sensory profile of comercial heart of palm preserves
Brazil is the world's largest producer of heart of palm, a product obtained from the edible inner portion of various palm species. Among the most commonly marketed types are açaí, juçara, peach palm (pupunha), and royal palm, each with distinct sensory characteristics in terms of color, flavor, and texture. This study aims to evaluate the sensory attributes and physicochemical quality of four preserved heart of palm species sold in the municipality of Colombo, Paraná. The sensory analysis was based on parameters such as color, sour taste, salty taste, and texture, as well as overall acceptance. Physicochemical characteristics included firmness, cutting resistance, pH, vacuum pressure, and instrumental color. Additionally, the products were assessed to determine whether they met the requirements for composition, quality, safety, and labeling according to current legislation. Açaí heart of palm showed the highest firmness and a yellowish hue, while peach palm stood out for its ideal texture and lower cutting resistance. The pH of all samples was within legal limits, ensuring microbiological safety. The products were well accepted by consumers, with peach palm and açaí receiving the highest ratings. The packaging complied with labeling regulations. These findings support the appreciation of regional producers and the advancement of production and commercialization practices.
Copyright (c) 2026 Maria Iolanda Mendes Silva, Rossana Catie Bueno de Godoy https://creativecommons.org/licenses/by/4.0
Use of Artificial Intelligence for the identification of sings and characteristics of Autism Spectrum Disorder
Autism Spectrum Disorder (ASD) is a neurodevelopmental disorder characterized by persistent impairments in social communication and by the presence of restricted and repetitive patterns of behavior, interests, or activities, with significant impact on the individual’s adaptive functioning. In this context, Artificial Intelligence (AI) has emerged as a promising technological resource, especially due to its ability to process large volumes of data and identify complex patterns through machine learning techniques. The present study aimed to analyze, through an integrative literature review, advances in the use of Artificial Intelligence for the identification of signs and characteristics of Autism Spectrum Disorder. The search was conducted in the PubMed database. After applying the inclusion and exclusion criteria, as well as a careful analysis of the abstracts, 13 studies were selected to compose the final sample. The results indicate that AI has been mainly applied in the analysis of behavioral patterns, eye movements, facial expressions, biometric data, and biomarkers, showing potential to assist in screening and supporting ASD diagnostic processes. However, the literature highlights relevant methodological limitations, such as dependence on the quality and heterogeneity of the data used to train the algorithms, as well as ethical challenges related to privacy, information security, and potential algorithmic biases. It is concluded that Artificial Intelligence constitutes a complementary tool to specialized clinical assessment, requiring methodological rigor, empirical validation, and integration into multiprofessional practices for its responsible application.
Copyright (c) 2026 Julia Beatriz Mendes e Silva https://creativecommons.org/licenses/by/4.0
Incidence of acute chest syndrome following cholecystectomy in children with sickle cell anemia: A meta-analysis
Background: Cholecystectomy is a common procedure in children with Sickle Cell Disease (SCD) due to the high prevalence of gallstones. However, the perioperative period poses a high risk for the development of Acute Chest Syndrome (ACS), a severe and potentially fatal pulmonary complication in this population. Objective: To estimate the pooled incidence of ACS in the postoperative period following cholecystectomy in children and adolescents with SCD. Methods: A systematic review with single proportion meta-analysis was conducted following PRISMA guidelines. Searches were performed in PubMed/MEDLINE, ScienceDirect, LILACS, and Google Scholar, with no date or language restrictions. Observational studies reporting the occurrence of post-cholecystectomy ACS in SCD patients aged ≤18 years were included. Risk of bias was assessed using the ROBINS-I tool. Synthesis was performed using a random-effects model with Freeman-Tukey transformation. Results: Seven studies (638 procedures) were included. The pooled incidence of ACS was 4.32% (95% CI: 2.41% – 5.99%), with moderate to substantial heterogeneity (I² = 57.65%). Individual rates ranged from 0% to 20%. Sensitivity analysis confirmed the robustness of the result. Publication bias was not detected. The overall quality of evidence was limited by moderate to serious risk of bias in the primary studies. Conclusion: Approximately 1 in 23 children with SCD undergoing cholecystectomy develops postoperative ACS. This non-negligible risk reinforces the need for detailed preoperative counseling, active postoperative monitoring, and the implementation of standardized, multidisciplinary perioperative protocols to mitigate this serious outcome.
Socorro D’ Paula Nay Leite Loiola de Siqueira
Copyright (c) 2026 Élida Lorena Leal Reis, Adriano Pádua Reis, Bruno Pinheiro Falcão, Socorro D’ Paula Nay Leite Loiola de Siqueira, Rogério de Araújo Medeiros https://creativecommons.org/licenses/by/4.0
Polycystic Ovary Syndrome: A literature review
Objective: To conduct a systematic analysis of Polycystic Ovary Syndrome (PCOS), including its charac­teristics and symptoms. Literature review: As an endocrine disorder, polycystic ovary syndrome is common in women of reproductive age. The main symptoms of PCOS are menstrual irregularity, excess hair growth (hirsutism), hair loss (androgenetic alopecia), polycystic ovaries in the ovaries, and difficulty getting preg­nant (infertility). The main complications include weight gain (obesity), insulin resistance, which can in­crease the risk of developing type 2 diabetes, and psychological problems such as mood swings, anxiety, and depression. Acne and dark spots (acanthosis nigricans) can also trigger psychological factors in women with this syndrome, such as low self-esteem.Physical exercise combined with good eating habits is one of the treatments. Final considerations: PCOS is a metabolic endocrine disorder that affects women during their reproductive years and causes various physical and psychological problems. Therefore, it is extremely important to have a thorough medical evaluation based on some of the symptoms mentioned, so that early diagnosis can be made and treatment can be successful. Pharmacological treatment for women with this syndrome should also be prioritized, such as physical activity and a balanced diet.
Copyright (c) 2026 Kate Kristiny da Silva Pacheco, Cristiane Pereira Novaes, Daniela Sousa Oliveira, Daniel Pereira Novaes, Esli Souza Costa, Emanuella Soares Fraga Fernandes, Agnes Claudine Fontes De La Longuiniere https://creativecommons.org/licenses/by/4.0
Systemic Arterial Hypertension in Older Adults: An Epidemiological Study in Pará de Minas, Minas Gerais, Brazil
This study aimed to analyze the prevalence of arterial hypertension among older adults living in Pará de Minas and to identify associated factors. A quantitative, descriptive, and exploratory approach was adopted, using secondary data from the Diagnostic, Situational, and Epidemiological Survey of Older Adults in Pará de Minas (FAPAM, 2024). The methodology employed descriptive statistical analysis, including estimates of absolute and relative frequencies and the presentation of results through tables and graphs, in order to characterize the sociodemographic profile and explore associations with risk factors and comorbidities. The results indicated a high prevalence of arterial hypertension among older adults, associated with physical inactivity, excess weight, and low treatment adherence, as well as the coexistence of cardiometabolic comorbidities. It is concluded that strengthening nursing actions in Primary Health Care, with emphasis on health education, monitoring, and support for treatment adherence, is essential for hypertension control and the promotion of healthy aging in the municipality.
Copyright (c) 2026 Ana Flávia Pereira Barbosa, Guilherme Augusto Ferreira da Costa, Josiane Libéria Nascimento, Letícia Estefani da Silva Faria https://creativecommons.org/licenses/by/4.0
Implementation of palliative care and its impact on acute Stroke: A literature review
Stroke is a leading cause of global mortality and disability. This study aims to analyze the impact of early palliative care implementation on quality of life and decision-making for patients with acute stroke. The methodology employed was an integrative literature review, with searches conducted in PubMed and VHL (LILACS) databases, resulting in a selection of 22 articles published between 2006 and 2025. Results demonstrate that while palliative care significantly improves symptom management, such as pain and dyspnea (increasing opioid use by up to 31 times when necessary), and reduces family anxiety, its implementation remains delayed and underutilized. Cultural barriers and failures in prognostic communication lead to futile interventions and untreated suffering. The study concludes that early integration of a palliative approach, alongside curative treatment, is essential to align medical procedures with patient values, optimizing comfort and family satisfaction without accelerating death.
Copyright (c) 2026 Kethelen Konstansky Jacob, Rosangela Silva Rigo https://creativecommons.org/licenses/by/4.0
Evidence of the role of nursing in the care of women who are victims of acute myocardial infarction and cardiorespiratory arrest
Introduction and objective: Acute myocardial infarction and subsequent cardiorespiratory arrest are becoming increasingly common in cardiovascular diseases, particularly affecting women. Nursing, responsible for care, must pay closer attention to sociocultural issues, such as gender, in addition to biological considerations, in order to understand comorbidity. Thus, the objective was to review the literature on the role of nursing in the care of women who have suffered acute myocardial infarction and cardiorespiratory arrest.Method: This is an integrative literature review. To conduct the study, the databases linked to the Virtual Health Library and PubMed were used as research sources, in order to find publications of scientific articles in the period from 2013 to 2023 (last 10 years), using the DeCS: "Nursing team" AND "Emergency" AND "Acute Myocardial Infarction" AND "Cardiopulmonary Arrest" AND "Women". Eligibility criteria were applied to filter publications that supported this study, which were submitted to semantic content analysis. Results: A synoptic table was prepared with the basic information of the articles and, with the subsequent analysis, two categories emerged: perspectives and challenges of nursing in the face of cardiac emergency services in AMI/CPR; the nurse's knowledge in the face of cardiac emergency situations. Conclusion: It is concluded that the nurse understands their role within the multidisciplinary team and their performance is indispensable in the recovery and maintenance of patients' health.
Copyright (c) 2026 Jonathan Donato de Oliveira Rocha, Matheus Pereira Fonseca https://creativecommons.org/licenses/by/4.0
Growth and productivity of sesame as a function of mineral and organomineral fertilizer
Sesame has been gaining ground among farmers. To increase production, it is necessary to properly feed the crop, which can be achieved through mineral or organomineral fertilizers. The objective of this study was to evaluate the morphological and productive development of sesame in relation to different sources of nutrient supply. An experiment was established with the cultivar BRS Anahí, carried out in randomized blocks, with four treatments and four replicates, two treatments with mineral fertilizer and two treatments with organomineral, with different topdressing fertilization doses, 60 kg N and 120 kg N. Plant height, stem diameter, number of plants per ha, number of capsules per plant, grain weight per plant, weight of 1,000 grains and grain yield were evaluated. Fertilization promotes an increase in the morphological development of the sesame plant, presenting an advantage in height and diameter with the use of organomineral fertilization and urea as topdressing. Mineral fertilization associated with 120 kg of topdressing fertilization showed better yield.
Copyright (c) 2026 João dos Santos Netto, Matheus Borges da Costa, Cláudia Fabiana Alves Rezende https://creativecommons.org/licenses/by/4.0
Proportion of tooth extractions in relation to the total number of preventive and curative procedures: A comparative analysis between a municipality in the metropolitan region of Curitiba, state of Paraná, and other g100 municipalities
Oral health in Brazil still faces significant challenges, with dental extractions being prioritized over conservative treatments that preserve functional teeth. This study aimed to analyze the proportion of extractions performed in Piraquara-PR, a municipality in the Metropolitan Region of Curitiba, and compare it with other G100 municipalities, defined as those with more than 80,000 inhabitants considered socioeconomically vulnerable. This is a cross-sectional ecological study based on data from the Primary Health Care Information System (SISAB), covering the period from March 2024 to February 2025, and correlating the results with variables such as the Municipal Human Development Index (MHDI), Gini coefficient, coverage of oral health teams, and the presence of Dental Specialty Centers (CEOs). Seventy-four municipalities were analyzed, with Piraquara presenting an extraction rate of 15.95%, classified as “regular.” A positive correlation was observed between extraction rates and income inequality (Gini), and a negative correlation with MHDI and the presence of CEOs, indicating that more developed municipalities with specialized services perform fewer extractions. Coverage of oral health teams showed no significant association with extraction rates. The results indicate that even among socioeconomically similar municipalities, there are substantial differences in dental practices, highlighting the need for public policies aimed at expanding specialized services and promoting preventive care to reduce mutilating procedures and improve population oral health.
Copyright (c) 2026 Matheus Lincoln Souza de Oliveira, Eduardo Pizzatto https://creativecommons.org/licenses/by/4.0
ESCAPE ROOM: Humanizing Nursing Education in Mental Health
Objective: To describe the experience of applying an Escape Room as an innovative pedagogical strategy in mental health education for technical nursing training. Method: This qualitative experience report was conducted with 21 students and employed gamification, interactive questionnaires (Google Forms), and progressive QR code–based puzzles focused on reviewing the content of a curricular unit. Results: The activity promoted student engagement, enabling critical content review and reflection on the humanization of care. Fifteen of the nineteen participants completed all challenges within the stipulated time of 20 minutes. Conclusion: The methodology proved to be an effective active learning tool; however, its implementation requires adaptation to the institutional context and systematic evaluation of educational outcomes.
Copyright (c) 2026 Juliana Arantes, Julio Cesar David Pereira https://creativecommons.org/licenses/by/4.0
Training of nurse educators in the management of care in pediatric oncology: Narratives from graduates
In highly complex contexts such as pediatric oncology, the educational role of nurses is essential for comprehensive care. However, its consolidation as a recognized dimension of professional practice still faces formative and institutional challenges. This study analyzes how nurses perceive the influence of their undergraduate education on the development of their role as educators and how they experience this practice in the management of care in a pediatric oncology hospital. This is an exploratory, qualitative study grounded in the framework of Symbolic Interactionism and Grounded Theory. Semi-structured interviews were conducted with nine nurses who graduated from the Paulista School of Nursing (UNIFESP) and are working at the Pediatric Oncology Institute (IOP/GRAACC). The analysis followed the stages of open, axial, and selective coding. Six categories emerged that highlight the construction of the nurse's educational role from undergraduate studies to daily professional practice. The graduates reported formative experiences marked by the integration of teaching, service, and community, educational practices with patients, families, and teams, and feelings of institutional recognition or insecurity. Education was described as a structuring axis of care, demanding pedagogical skills, empathy, planning, and relational sensitivity. The identity of the nurse-educator is continuously constructed and expressed in the articulation between teaching and care. The findings reinforce the importance of formative practices and institutional policies that value the educational dimension of Nursing and promote continuing education in health services.
Francisco Rosemiro Guimarães Ximenes Neto
Copyright (c) 2026 Ana Lygia Pires Melaragno, Isabel Cristina Kowal Olm Cunha, Luiza Hiromi Tanaka, Francisco Rosemiro Guimarães Ximenes Neto https://creativecommons.org/licenses/by/4.0
Influence of pathologies on female fertility: An integrative review
Female infertility constitutes an important public health problem due to its high prevalence, its impact on women’s quality of life, and the associated social, psychological, and reproductive implications. It presents a multifactorial etiology, involving hormonal, structural, infectious, metabolic, and oncological alterations. This study aimed to analyze, through an integrative review, the main pathologies associated with female infertility and their repercussions on the reproductive process. The literature search was conducted in the LILACS, BVS, PubMed, and SciELO databases, resulting in the inclusion of 18 articles published between 2010 and 2025. The results show that conditions such as endometriosis, Chlamydia trachomatis infection, polycystic ovary syndrome (PCOS), uterine fibroids, endometrial polyps, obesity, vaginal microbiota dysbiosis, and viral infections, especially HPV, are strongly associated with reduced fertility. It was also observed that sexually transmitted infections and microbial imbalances represent potentially preventable causes of infertility, reinforcing the importance of adequate screening and treatment. In addition, treatments for gynecological neoplasms, despite therapeutic advances, can significantly compromise ovarian reserve. It is concluded that female infertility should be understood as a multifactorial condition that requires a multidisciplinary approach, early diagnosis, and strategies for fertility prevention and preservation.
Copyright (c) 2026 Samanta de Cassia Moreno Ribeiro, Daniel Lira Dias, Joyce Nascimento Santos, Ana Luiza do Rosário Palma https://creativecommons.org/licenses/by/4.0
The Occupational Therapy perspective on the brega musical genre among young people from Pernambuco
Brega music is a genre present in Pernambuco’s culture and recognized as Intangible Cultural Heritage of the city of Recife. It represents identity, expression, and resistance of popular groups that have historically been marginalized, constituting a symbol of belonging and cultural affirmation. Music, as a cultural element, permeates people’s daily lives and directly influences their occupations, functioning as a space for leisure, socialization, and bonding. This study aimed to understand, from the perspective of Occupational Therapy, the implications of the brega musical genre on the occupations of young people from Pernambuco. This is a mixed-methods and exploratory study, with data collected through an online questionnaire and analyzed using simple descriptive statistics and the Collective Subject Discourse technique. Sixty young people aged 18 to 24 participated in the study. The results showed that brega music is present in different occupations, especially in the dimensions of leisure and social participation, promoting bonds and subjective expression among participants. Despite the stigma still associated with the genre, brega emerges as a symbolic field of resistance and identity, challenging prejudice and valuing peripheral cultural productions. From the perspective of Occupational Therapy, brega is understood as being intertwined with young people’s everyday practices, strengthening community ties and experiences of well-being. It is concluded that brega goes beyond entertainment and constitutes a legitimate expression of culture, identity, and resistance, and should be recognized by Occupational Therapy as a powerful element in understanding human occupations.
Copyright (c) 2026 Júlia Guedes Feitosa Neves, Flávia Pereira da Silva, Ana Lúcia Marinho Marques, Sayonara Queiroz Coelho, Antonio Luan Vasconcelos de Sousa, Ilka Veras Falcão https://creativecommons.org/licenses/by/4.0
The Importance of Teacher Training in Multigrade Classrooms Through Lesson Study: A study in the rural context of Mimoso do Sul (ES, Brazil)
Rural education presents specific challenges related to pedagogical organization, especially in the context of multigrade classrooms, in which a single teacher works with students from different grade levels. In this scenario, continuing teacher education becomes a central element for improving pedagogical practices and ensuring students’ right to learning. This article aims to analyze the importance of teacher education in multigrade classrooms in rural schools of the municipality of Mimoso do Sul, Espírito Santo, Brazil, based on the Lesson Study method as a strategy for professional development. This is a qualitative, bibliographic, and analytical study grounded in scientific literature addressing rural education, multigrade teaching, teacher education, and Lesson Study. The results indicate that Lesson Study contributes to strengthening collaborative culture, re-signifying lesson planning, and promoting more formative and contextualized assessment practices. It is concluded that the implementation of Lesson Study represents a relevant formative alternative for teachers working in multigrade classrooms, provided it is articulated with school management actions and public policies aimed at valuing rural education.
Copyright (c) 2026 Graciele Maria Landi, Camilla Viana de Souza Andrade https://creativecommons.org/licenses/by/4.0
Applications of Artificial Intelligence in the Circular Economy: Ethical, social and governance dimensions
This article aims to analyze recent scientific production that connects Artificial Intelligence (AI) and the Circular Economy (CE), focusing on the ethical, social, and governance dimensions. Based on a qualitative and exploratory literature review, 25 studies published between 2020 and 2025 were examined, selected through systematic searches on Google Scholar. The works were classified into four analytical dimensions — technical, social, ethical, and governance — according to the predominant approach adopted. The results reveal a strong predominance of studies with a technical and instrumental character, oriented toward process efficiency, productive innovation, and environmental indicators, while the social, ethical, and governance dimensions remain marginalized and fragmented. AI is often treated as a neutral tool to support sustainability, with limited problematization of its distributive impacts, ethical risks, algorithmic biases, and regulatory challenges. The lack of studies that consistently integrate AI, circular economy, and democratic governance points to a structural gap in the literature, indicating risks of reproducing inequalities and power asymmetries in the transition to circular models. It is concluded that advancing a circular economy supported by artificial intelligence requires interdisciplinary approaches that recognize the sociotechnical nature of these technologies, incorporating principles of socio-environmental justice, ethics, and responsible governance.
Copyright (c) 2026 Willian Guimarães de Carvalho Costa, Jeniffer de Nadae https://creativecommons.org/licenses/by/4.0
Deaf Education: The bilingual linguistic environment as a perspective for bilingual education
This study addresses the education of deaf individuals within the global and Brazilian historical context, from Ancient Egypt to contemporary times, with an emphasis on teaching and learning processes from the perspective of bilingual education. The objective is to understand educational policies aimed at deaf education, to contextualize inclusive education within a bilingual approach in the national scenario, and to reflect on the constitution of bilingual linguistic environments as a pedagogical perspective that values Brazilian Sign Language (Libras) and the Portuguese language. This is a qualitative, exploratory study developed through documentary and bibliographic analysis of books, scientific articles, legislation, and materials available in digital media. The analysis of the historical trajectory of deaf education reveals different pedagogical conceptions, political disputes, and social movements advocating for an education that respects cultural and linguistic diversity and promotes the social, cognitive, and identity development of deaf individuals. The results indicate that Art and Technology are relevant resources within the bilingual proposal, contributing to the organization of visually accessible and linguistically inclusive educational environments, as exemplified by the educational products developed. It is concluded that the implementation of bilingual education for deaf individuals still faces structural challenges, requiring the presence of qualified professionals, training in Libras, and the participation of deaf teachers in the constitution of bilingual educational spaces.
Copyright (c) 2026 Wilton Dourado Teixeira, Pedro Stieler https://creativecommons.org/licenses/by/4.0
Prevalence and etiology of non-carious cervical lesions at the Clinic of the Faculdade Evangélica de Goianésia
Dental wear is a natural process influenced by aging, hygiene, and dietary or parafunctional habits. Non-carious cervical lesions (NCCLs) are wear defects that occur in the area near the cementoenamel junction, with a multifactorial etiology. This cross-sectional observational clinical study aimed to identify the prevalence of NCCLs and associated etiological factors in 100 patients treated at the Teaching Dental Clinic (COE) of the Faculdade Evangélica De Goianésia (FACEG). The research involved a clinical diagnosis and the application of a structured questionnaire. The clinical analysis identified a total of 698 lesions, with erosion being the most prevalent type (59.74% of total lesions). Self-reported risk factors included a high prevalence of reflux/gastritis (40.2%) and frequent acid consumption (43.1%), which correlates with the predominance of erosive lesions. Furthermore, 52% of the patients reported having occlusal interferences, and 44.1% reported tooth clenching. The distribution of lesions varied with age: erosion was significantly higher in the 18 to 30 age group (79.35%), while abfraction was more prevalent in the group over 60 years old (24.32%). It was concluded that NCCLs have a high prevalence in the studied population, with a clear predominance of erosive etiology. It is essential that the dentist performs a complete anamnesis for the management of chemical, mechanical, and functional factors, aiming for the prevention and early diagnosis of these lesions.
Copyright (c) 2026 Vitor Henrique Moreira Moreno, Aline Silva de Jesus, Amanda Gabrielle Alvarenga, Ranniele de Jesus Queiroz, Carolina Vansan Martins da Silva https://creativecommons.org/licenses/by/4.0
Functional outcomes of abdominal wall reconstruction with biological versus synthetic meshes in complex hernia repairs
Introduction. The choice of mesh type for abdominal wall reconstruction in complex hernia repairs, especially in contaminated surgical fields, has been the subject of increasing debate in surgical practice. Objective. This study aimed to compare the clinical outcomes associated with the use of synthetic, biological, and biosynthetic meshes in complex hernia repairs, with emphasis on hernia recurrence, infectious complications, length of hospital stay, and hospital costs. Methodology. This is a narrative review of the literature, with selection of studies published between 2015 and 2025 in the PubMed, Scopus, Web of Science, Google Scholar, and Cochrane Library databases. Meta-analyses, systematic reviews, and comparative studies presenting quantitative data on the main clinical outcomes were included. Results and Discussion. Analysis of the nine selected studies indicated that synthetic meshes, even in contaminated environments, are associated with lower recurrence rates and significantly lower costs, without a proportional increase in infection rates. In contrast, biological meshes showed inferior outcomes in several studies. Biosynthetic meshes, such as RBOR, demonstrated promising performance, particularly in high-risk patients, although long-term studies are still lacking. Conclusion. Current evidence supports synthetic meshes as the first choice in complex hernia repairs, including contaminated fields. Biosynthetic meshes emerge as a promising intermediate alternative, and material selection should consider the patient’s clinical profile, associated costs, and institutional availability.
Camila de Britto Cunha Cockeis Guimarães
Anna Caroline Menezes Vasconcelos Negreiros
Copyright (c) 2026 Daniela Linhares Lima de Oliveira, Maria Fernanda Seixas Oliveira, Isabela Coqueiro da Silva, Samantha Habib Miguel Bomfim Ferreira, Thays Pessoa Tanajura, Rafaella Dantas de Carvalho, Camila de Britto Cunha Cockeis Guimarães, Joseane Oliveira Braga Nascimento, Rebeca Sampaio Feitosa, Anna Caroline Menezes Vasconcelos Negreiros, Lis Armede de Matos, Alice Oliveira de Almeida https://creativecommons.org/licenses/by/4.0
Climate perception and adaptability in urban/rural settlements of the Bolívar canton
The objective of this research is to evaluate the perception and climate adaptability of human settlements in urban and rural environments of the Bolívar canton, with the aim of generating key data that contribute to more efficient decision-making in climate change matters. An exploratory and descriptive approach was used, with a sample of 230 people distributed across the parishes of Calceta, Quiroga, and Membrillo. The research integrated climate data from the last decade (2015–2024) with surveys on perception, vulnerability, and response capacity. The climate data show variations in maximum and minimum temperatures, with significant decreases in 2020 followed by recovery, as well as marked irregularity in precipitation, with extremes of drought and intense rainfall. Regarding perception, more than 90% of respondents recognize significant impacts of climate change on their environment, highlighting alterations in rainfall patterns, loss of biodiversity, and effects on agricultural production. Furthermore, 95% identify that the temperature increase compromises water availability. In the socioeconomic sphere, 76% of participants earn less than $450, and 67% depend on agriculture, which increases their vulnerability. Urban communities demonstrate a greater capacity to respond through planning, education, and resilience projects, while rural communities rely on traditional practices such as crop diversification and seed banks. The study concludes that community resilience can be strengthened through ecosystem-based adaptation strategies, linking local initiatives with national policies.
Copyright (c) 2026 José Manuel Calderón Pincay, Carlos Neptalí Vera Solórzano https://creativecommons.org/licenses/by/4.0
Asthma and sleep disorders in adults: A narrative literature review
Asthma is a chronic inflammatory disease of the airways with high prevalence and substantial clinical impact in adults, particularly when disease control is inadequate. Sleep disorders are among the factors associated with poor control and remain frequently under-recognized in clinical practice. This study aimed to analyze the association between asthma and sleep disorders in adults, with emphasis on clinical implications. A qualitative narrative review was conducted based on searches in PubMed and the Regional Portal of the Virtual Health Library (BVS), including full-text studies in English or Portuguese published in the last five years. After screening, eligibility assessment and removal of duplicates, 35 studies were included. The evidence shows a consistent association between asthma and sleep disorders, especially obstructive sleep apnea and insomnia, which are linked to worse asthma control, more frequent exacerbations, intensified nocturnal symptoms and impaired quality of life. Additional findings support a potentially bidirectional interaction between sleep disturbances and asthma and highlight the contribution of circadian mechanisms to nocturnal worsening. In conclusion, sleep disorders are relevant comorbidities in adults with asthma and should be systematically considered in clinical management to optimize control and health outcomes.
Copyright (c) 2026 Ana Carla Sonoda Matsubara, Caroline Torres Augusto https://creativecommons.org/licenses/by/4.0
Hematologic disturbs in Down Syndrome: an scoping review protocol
Introduction: Down syndrome (DS) is the most common chromosomal disorder and is associated with a broad and distinctive spectrum of hematological abnormalities throughout life, ranging from transient neonatal conditions to persistent disorders and an increased risk of hematological malignancies. Despite extensive scientific production, the available evidence is fragmented across different fields, hindering an integrated understanding of hematological manifestations in DS. Objective: To map and synthesize the available evidence on hematological abnormalities described in individuals with Down syndrome across all age groups, study designs, and healthcare settings. Methods: This scoping review will be conducted in accordance with the Joanna Briggs Institute (JBI) methodology and reported following the PRISMA-ScR guidelines. The research question will be structured using the PCC framework, considering individuals with DS, hematological alterations (erythroid, myeloid, leukocytic, platelet, immunological, bone marrow, and hematological neoplasms), and clinical, epidemiological, experimental, or genetic studies. Searches will be performed in PubMed/MEDLINE, Embase, Scopus, Web of Science, SciELO, the Cochrane Library, and LILACS, with no restrictions on publication date or language. Study selection and data extraction will be carried out independently by two reviewers, and results will be synthesized using a descriptive and narrative approach. Conclusions: This scoping review aims to provide a comprehensive overview of hematological abnormalities in Down syndrome, identify knowledge gaps, and support clinical practice, research development, and future diagnostic and therapeutic strategies.
Copyright (c) 2026 Vivian Menezes Irineu, Henrique Pires Bramante https://creativecommons.org/licenses/by/4.0
Virtual Museum in the Metaverse: An educational experience on History and Racism in Nursing
Objective: To develop an innovative educational proposal using the metaverse to promote an immersive and reflective experience on the history of nursing and its historical challenges. The initiative aimed to expand students understanding of the role of Black women in the profession, highlighting the intersectionality between technology, education, and social empowerment. Method: This study is characterized as an experience report conducted in a technical nursing program in the interior of the state of São Paulo, Brazil. The experience involved four face-to-face sessions totaling 14 hours, during which students explored a virtual museum, interacted with historical content, and participated in gamified activities. Tools such as Spatial.io and Ready Player Me were used to create virtual environments and avatars, providing an accessible and interactive educational experience. Results: The findings demonstrated that the use of the metaverse enhanced learning and promoted critical reflections on inclusion, racism, and professional identity. Conclusion: Digital immersion is a strategy capable of integrating pedagogical sensitivity and technology, making teaching more dynamic and inclusive.
Ana Silvia Sartori Barraviera Seabra Ferreira
Copyright (c) 2026 Juliana Arantes, Julio Cesar David Pereira, Ana Silvia Sartori Barraviera Seabra Ferreira https://creativecommons.org/licenses/by/4.0
The Programming Club as a space for technological development and student leadership in the Sertão Pernambucano: An experience report
This article aims to report the experience of the Programming Club, a project focused on helping and encouraging the fight against the lack of technology integration in schools, promoting inclusive and collaborative environments, guiding the learning and practice of programming, thus enabling the exchange of knowledge and skills among participants. The research adopts a narrative approach, grounded in the experience lived during the project's execution. The methodology combines theory and practice through partnerships with schools and weekly meetings that included lectures, workshops, group problem-solving, and practical project development. Over six months, 320 students participated, 120 from IFSertãoPE Campus Floresta and 200 from the State Technical School Deputado Afonso Ferraz ETEDAF, aged between 15 and 18 years. The Club also encouraged participation in events and educational activities, strengthening interaction with the programming community. Key results include the partnerships established, in which programming logic classes were taught using VisuAlg 3.0 and Scratch, as well as mini-courses and programming marathons held at IFSertãoPE. Evaluations indicate positive outcomes, such as the strengthening of student leadership and the development of computational thinking among participants.
Copyright (c) 2026 Clara Gabrielle da Silva Filha, Breno Leonardo Gomes de Menezes Araujo https://creativecommons.org/licenses/by/4.0