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
Authors who publish with this journal agree to the following terms: 1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal. 2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal. 3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.
Effectiveness of educational accommodations and interventions for students with ADHD: An integrative literature review
Objective: To critically synthesize the scientific evidence on non-pharmacological educational interventions and accommodations aimed at improving academic performance and school engagement in children and adolescents with Attention-Deficit/Hyperactivity Disorder (ADHD). Methods: This study is an integrative literature review guided by the PICO strategy. Electronic searches were conducted in PubMed, SciELO and EBSCOHost databases, including studies published in Portuguese and English between 2011 and 2025. Eligible studies addressed school-based non-pharmacological interventions, including assessment accommodations, physical classroom adaptations, organizational and self-management strategies, behavioral interventions, and technology-based approaches. The study selection process was guided by the PRISMA guidelines. Results: The findings indicate that widely implemented accommodations, such as extended testing time, provide limited and non-specific benefits for students with ADHD. In contrast, individualized interventions—particularly those targeting organizational skills, self-regulation, continuous behavioral support, and environmental modifications—demonstrated more consistent improvements in academic engagement, executive functioning, and classroom behavior. Technology-based interventions showed domain-specific cognitive benefits, especially in attention and working memory, but did not replace broader treatment approaches. Conclusion: The evidence supports the implementation of individualized, evidence-based educational interventions as a core component of multimodal ADHD management. Structured and personalized strategies appear more effective than generic accommodations, underscoring the importance of integrated school and family involvement to optimize academic outcomes.
Attention Deficit Hyperactivity Disorder
Copyright (c) 2026 Felipe Mitsunaga Costa, Flávio Rodrigues de Almeida, Yuri Pereira da Silva, Matheus Alves de Carvalho Freitas https://creativecommons.org/licenses/by/4.0
Blood clot formation in blood bags: Operational evidence, contributing factors, and mitigation strategies in a public blood transfusion service
The formation of clots in blood bags represents a critical event for transfusion quality and safety, being associated with operational failures throughout the hemotherapy cycle. Identifying these events requires a systemic approach, considering the interaction between technical, human, and organizational factors involved in the processes of collection, homogenization, and monitoring of blood components. This study aims to analyze clot formation in blood bags within a public blood transfusion service, based on operational and regulatory evidence, identifying contributing factors throughout the blood transfusion cycle and discussing mitigation strategies aimed at strengthening process quality and transfusion safety. This is an observational, retrospective, and documentary study with a quantitative and operational approach, developed from routine records of a public blood transfusion service located in Northeast Brazil, covering the period from January to December 2025. The results demonstrated that clot formation occurred predominantly without exceeding the classic acceptable time and volume limits, indicating that the overall collection time, in isolation, was not a primary determining factor. Clot formation in blood bags should be understood as a systemic event affecting transfusion quality and safety. Preventing these events requires strengthening the standardization of phlebotomy, continuous monitoring of processes, training of teams, and the structured application of root cause analysis, contributing to the reduction of losses, improvement in the quality of blood components, and increased safety of care in public hemotherapy services.
Copyright (c) 2026 Weber de Santana Teles, Max Cruz da Silva, Florita Moura Aquino, Brenna Loreny Santos Chagas, Mariamália Newton Andrade, Douglas Abilio, Ana Paula Barreto Prata Silva, Ádamo Newton Marinho Andrade, Orleane Souza Rezende, Bruna Medeiros Nóbrega https://creativecommons.org/licenses/by/4.0
Applicability of Nursing theories by students and their importance for care at different levels of Health Care
Introduction: Nursing theories are fundamental for the understanding of phenomena and their aspects within the context of professional practice and can describe, explain, diagnose and even prescribe actions for care practice. Thus, the objective of the present study was to evaluate the knowledge, visualization, perception and applicability of nursing theories by students and to investigate the importance of the theory for professional practice. Methodology: This is an evaluative, exploratory, descriptive and cross-sectional study with a quantitative and qualitative approach. After authorization from the research site, the project was inserted in the Brazil Platform and directed to the Research Ethics Committee (CEP) of the University Center of UNIGRAN de Dourados, with opinion No. 7,280,445. Results and discussion: A total of 71 nursing students participated in the research. Considering this total, the applicability of nursing theories in practice during student care is highlighted, in which only 47.88% of the respondents were aware of the theory to be applied and could easily apply it. Final considerations: This study allowed us to know the challenges faced by the students and the importance of nursing theories in the care and quality of patient care was evidenced, both in Primary Care, with regard to health promotion and prevention, and at the Secondary and Tertiary levels, by demonstrating how health determinant factors directly influence illness, the worsening, improvement and rehabilitation of health.
Copyright (c) 2026 Lana Carolina Rezende Bessa, Matheus Santos Pereira, Matheus Gonçalves Oliveira, José Osvaldo Sampaio Bueno, Bruno do Nascimento Medeiros, Maura Cristiane e Silva Figueira https://creativecommons.org/licenses/by/4.0
Application of foliar nutrients on the quality of sweet pepper seedlings under protected cultivation
Sweet pepper (Capsicum annuum L.) is a vegetable crop of high economic relevance in Brazil and shows good adaptation to different growing conditions, including semiarid regions such as Irecê, Bahia. This study aimed to evaluate the application of two foliar fertilizers at different rates on the performance and quality of sweet pepper seedlings under protected cultivation. The experiment was carried out in a greenhouse using a randomized complete block design, with five treatments and six replications. Morphological and biomass traits were measured, including number of leaves, stem diameter, root and shoot length, plant height, fresh mass (root, shoot, and total), and total dry mass. Analysis of variance indicated no significant differences among treatments for the evaluated variables. Therefore, under the conditions of this study, foliar fertilizer application at the nursery stage showed no agronomic relevance for improving seedling quality, suggesting that its use may be unnecessary at this stage. These results highlight the need for technical validation before recommending foliar fertilization for early sweet pepper development, considering environment, management practices, and the formulations used.
Copyright (c) 2026 Ione Silva dos Reis, Izadora da Silva Dourado, Deivson Nacim Teixeira Sousa, Erislan Fonseca Santos, Ralph Wendel Oliveira de Araújo, Ariston de Lima Cardoso, André Nunes Loula Tôrres https://creativecommons.org/licenses/by/4.0
Public policies and child labor: Limits and the role of social assistance
This study is characterized as an exploratory and descriptive bibliographic review on the role of social assistance in combating child labor in Brazil. The objective was to critically analyze the role of the Unified Social Assistance System (SUAS) in tackling child labor, emphasizing the identification of structural challenges and weaknesses in intersectoriality that compromise the effectiveness of contemporary public policies in Brazil. The methodology was structured in three stages: bibliographic survey, analytical reading by thematic categories, and interpretive synthesis of secondary data. The search utilized Boolean operators and standardized descriptors in databases such as SciELO, VHL (BVS), and institutional and governmental repositories. The timeframe covers the period from 2010 to 2025, prioritizing the consolidation of SUAS and post-pandemic socioeconomic impacts, without ignoring regulatory frameworks such as the Federal Constitution and the Statute of the Child and Adolescent (ECA). Data analysis was based on Bardin’s thematic content analysis technique, organizing the findings into five categories, including intersectoriality and social inequality. The theoretical framework articulates current legislation with authors such as Freire, Junqueira, and Vicente. As a limitation, the study points to the dependence on secondary sources and possible gaps in specific regional data.
Unified Social Assistance System - SUAS.
Copyright (c) 2026 Ivanilda Bandeira da Silva, Samanta Coimbra Marinho, Thaís Nasário Prado, Victor Oliveira Silva, Amanda Soares Ubiratá Braga Monteiro, José Eduardo Silva https://creativecommons.org/licenses/by/4.0
Numerical modeling of an active package – a theoretic study
This article presents an analytical-numerical study of active food packaging is presented. Such packages have in their compositions materials through which oxygen may flow in both directions (from inside to external environment and vice versa), or just one (vaccum inside) and models describing this problem are usually formulated as coupled nonlinear partial differential equations. The main contribution of this paper is to show that a solution can be obtained from a well-known model using free software, following a combined analytical and numerical approach. The results obtained suggested that such an approach is valid and may lead to further developments in more accurate modeling. Our focus in this research is not to analyze what happens to the food contained in these packages, their practical uses, or their possible ecological and financial impacts on the food industry. We are focused on how to simulate these packages and collaborate with the research process on them.
Copyright (c) 2025 Dyonathan Felipe Kreuz, Wanderson Gonçalves Wanzeller, Carlos Augusto Fernandes D’Agnone https://creativecommons.org/licenses/by/4.0
Environmental Education in the teaching–learning process: A Study at the Mukolongondjo
This article investigates environmental education in the teaching–learning process at the Primary Teacher Training College of Mukolongondjo, Angola, aiming to develop didactic actions that promote environmental knowledge and preservation. The main objective is to propose educational strategies that involve teachers, students, and the community, strengthening environmental awareness and attitudes. The methodology adopted combines a mixed approach (qualitative and quantitative), including bibliographic research, a case study, interviews, questionnaires, observation, and document analysis. The study population includes teachers, students, school management, and the school community. The data reveal difficulties in the implementation of environmental education, such as limited teacher training, lack of institutional policy, and low student engagement, with students showing limited knowledge of the subject. The results indicate that, despite recognizing its importance, there are obstacles to effective implementation, highlighting the need for continuous training, participatory actions, and contextualized practices. The main discussions emphasize the importance of innovative pedagogical strategies, an interdisciplinary approach, and greater involvement of the entire school community in environmental practices. As recommendations, practical didactic actions are proposed, such as ecological walks, awareness projects, tree planting, and cultural activities, in order to transform the school into a space for environmental awareness and responsibility. Thus, the study contributes to strengthening environmental education in the school context, promoting a more responsible generation committed to sustainability.
Augusta da Glória Vilengalenga Venâncio Chivundo
Copyright (c) 2026 Tomás Muimo Tchihaqui Namuele, Severino António Moco, Augusta da Glória Vilengalenga Venâncio Chivundo, Meniel Siveinge Osondili José, Arsénio Pedro, Vlademiro Pedro Hifindaka, Benilde Clara Félix Penyadi, Ivana Joaquim, Emilia José Pacavira Mungongo, José Tchilai Abílio, Yadira Marcedes Torres Arguelles, Anair Verónica Manuel Luís, Hilário Saumba Laurentino, Manuel Calemba, Paulina Matilde Olimpia Catumbela https://creativecommons.org/licenses/by/4.0
Clinical and epidemiological profile of congenital syphilis at a neonatal reference center in the state of Pará-Brazil: An analysis from 2019 to 2024
Objective: To analyze the clinical and epidemiological profile of newborns diagnosed with congenital syphilis at a reference neonatal center in the state of Pará, Brazil, from 2019 to 2024. Methods: A retrospective, descriptive, single-center cohort study based on the analysis of medical records and Live Birth Certificates of neonates diagnosed with congenital syphilis (ICD A50), born at the Fundação Santa Casa de Misericórdia do Pará (FSCMPA). The variables analyzed included neonatal characteristics (sex, race, birth anthropometry, Apgar score from the 1st to the 5th minute, and presence of congenital anomalies) and maternal characteristics (age group, educational level, obstetric history and current pregnancy). Results: A total of 309 eligible medical records were analyzed, showing annual variation in case numbers over the study period and a marked increase in notifications in 2023, which accounted for 141 cases (45.6%). Most newborns presented adequate anthropometric measurements at birth; however, 42.7% showed values below normal ranges. Apgar scores from the 1st to the 5th minute were satisfactory, and congenital anomalies were infrequent but clinically relevant. The maternal profile was predominantly characterized by young women with low educational attainment and an insufficient number of prenatal visits. Conclusion: Congenital syphilis remains an important public health concern in the Amazon region, reflecting persistent gaps in prenatal care and social inequalities. These findings reinforce the need to strengthen screening policies, timely treatment, and epidemiological surveillance to reduce vertical transmission and its neonatal impacts.
Copyright (c) 2026 Glendse Giovanna Costa Pinheiro, Luiza Maciel Milanez, Yuri do Carmo da Silva, Alexandre Ferreira da Silva https://creativecommons.org/licenses/by/4.0
Comparative analysis of factors associated with the choice of percutaneous and surgical intervention in the treatment of coronary artery disease: An integrative review
Coronary Artery Disease (CAD) is among the pathologies responsible for high mortality rates in Brazil, associated with a significant increase in cardiovascular risk factors. In this context, the purpose of this integrative literature review is to analyze and compare the factors influencing the appropriate choice between percutaneous coronary intervention (PCI) and coronary artery bypass grafting (CABG) in managing this cardiac condition, considering clinical and anatomical variables and the SYNTAX score. CAD presents a broad spectrum of clinical manifestations, and the therapeutic decision depends on individual patient characteristics, including lesion complexity, age, associated comorbidities, and ventricular function. CABG is the preferred clinical alternative for patients with diffuse disease and complex coronary anatomy, while PCI demonstrates better results in less severe lesions with faster recovery. Given the above, this research adopts an integrative literature review approach, seeking to consolidate evidence from the last five years to understand the criteria used in clinical practice and their implications for health outcomes. This comparative analysis aims to promote a more personalized management of CAD, assisting evidence-based therapeutic choices that optimize results for different patient profiles.
Copyright (c) 2026 Luiz Gustavo Juliatto de Moraes, João Pedro Kern Alves, Marcelo Gomes de Gomes https://creativecommons.org/licenses/by/4.0
Shrinkflation in the food industry: a review of market strategies, labeling, and consumer perception
In an unstable global economic scenario, marked by volatility in raw material costs and tax complexity, shrinkflation has established itself as a strategy within the food industry to mitigate inflationary pressures. The practice consists of reducing the net content of products without a proportional decrease in the final price. This study aims to conduct a bibliographic review of the phenomenon, examining its economic implications, its framework within labeling regulations, and its repercussions on consumer rights and public perception. The methodology is based on a narrative review, compiling data from databases such as SciELO and Google Scholar, as well as regulations from institutions like IBGE, ABIA, and ANVISA. The findings indicate that shrinkflation is interpreted by the sector as an "incremental innovation" necessary for financial sustainability. Although Brazilian legislation permits quantitative changes, it imposes the duty to clearly inform the modification on the main label panel for a determined period. However, consumer perception is mostly negative, characterized by feelings of betrayal and loss of brand trust, influenced by psychological and behavioral factors. From the perspective of the Consumer Defense Code (CDC), the practice borders on misleading advertising when the omission of information or lack of transparency misleads the individual regarding the product's real value. It is concluded that shrinkflation, while legitimate under a strict regulatory prism, demands greater ethics and responsibility, representing a critical opportunity for improving regulations and developing more honest and transparent market strategies.
Copyright (c) 2026 Paloma Gomes de Sousa, Marina Cabral Rebouças, Janaina Maria Martins Vieira, Maria Flávia Azevedo da Penha, Vanderson da Silva Costa https://creativecommons.org/licenses/by/4.0
Implementation of a physical activity guidance program in the operational units of the Military Police of Alagoas (PMAL)
The work of the Military Police requires a high capacity for response and physical endurance, due to the unpredictability of occurrences, which are characterized by exposure to risks and the requirement for intense effort. In view of this, the general objective of this study was to analyze the need to implement a guidance program for the practice of physical activities for the operational personnel of the area units of the Military Police of Alagoas. The methodological design was descriptive–exploratory, cross-sectional, with a mixed quantitative–qualitative approach. Data was collected in PMAL Operational Units linked to the Capital Policing Command (CPC). A non-probabilistic convenience sampling strategy was used, with equal distribution per unit, in order to encompass different physical demands of the operational routine. The results indicate that 76% of participants reported having been removed from PMAL operational activities due to service-related illnesses. Regarding physical conditioning, an unsatisfactory scenario was found, as 38% rated their conditioning as fair and 12% as poor, totaling 50% of the sample in these categories. In addition, 94% stated that they had not received institutional guidance on the practice of physical activities within the Corporation. It is concluded that the implementation of an institutional program providing guidance on physical activity practice in PMAL operational units may improve physical conditioning, health, and functional performance of the personnel.
Copyright (c) 2026 Raphael Vieira Marinho https://creativecommons.org/licenses/by/4.0
Spatial analysis of outpatient physiotherapy supply in Brazil’s public health system
Objective: To identify the presence of healthcare clusters and differences according to municipal population size and the coefficient of physiotherapists providing care through the Brazilian Health System (CoFSUS). Methods: This ecological study employed quantitative and spatial analyses of secondary data from 5,570 municipalities using the 2024 records of the Outpatient Information System (SIA) and the National Registry of Health Establishments of the Unified Health System (SUS). Nonparametric tests and spatial autocorrelation analyses were applied to identify patterns and clusters. Results: Physiotherapy services were recorded in the SIA for 58.9% (3,281) of Brazilian municipalities. Coverage was lower in small municipalities (47.1%), although these showed the highest mean [0.37 – SD (0.44)] and median 0.25 [Q1 (0.11)–Q3 (0.48)] for the Outpatient Care Coefficient (CoA). A very weak correlation (r = 0.167, p < 0.01) was found between CoA and CoFSUS per 1,000 inhabitants. Spatial analysis revealed a weak positive correlation (global Moran’s I = 0.11) and clusters of healthcare service gaps. Conclusion: The availability of outpatient physiotherapy services within Brazil’s public healthcare system is asymmetrical and does not depend on municipal population size or the proportion of physiotherapists.
Copyright (c) 2026 Peterson Marco de Oliveira Andrade, Otávio Amarante Cunha Acipreste, Charlene Rezende da Silva, Simone Lacerda Bispo, Leandro Roberto de Macedo, Fernanda de Oliveira Ferreira https://creativecommons.org/licenses/by/4.0
Characterization of oropharyngeal dysphagia screening in hospitalized adults
Introduction: In the hospital setting, dysphagia is a frequent symptom among patients requiring speech-language pathology (SLP) intervention. It can compromise the safe ingestion of food, liquids, and saliva, adversely affect quality of life, and lead to complications such as malnutrition and aspiration pneumonia. The use of screening instruments is essential for early detection and the reduction of hospital costs. The Oropharyngeal Dysphagia Screening for the Elderly (RaDI) stands out as a validated tool for geriatric populations, though it possesses potential for application in hospitalized adults. Objective: To describe the profile of hospitalized adults screened with the RaDI protocol and their clinical SLP outcomes during hospitalization. Methodology: This is a descriptive, quantitative, and retrospective study involving the analysis of secondary data from adults aged 18 to 59 years, admitted to a University Hospital between May 2023 and May 2024. The variables analyzed included sociodemographic data, RaDI scores, Functional Oral Intake Scale (FOIS) levels, and the requirement for SLP follow-up. Results: A total of 888 patients were screened, 84.6% of whom presented no risk for oropharyngeal dysphagia. Among patients with a RaDI score below 4, a subset required SLP intervention due to clinical progression during their hospital stay. Conclusions: It is estimated that the Oropharyngeal Dysphagia Screening for the Elderly (RaDI) can also be utilized for hospitalized adults, contributing to the enhancement of speech-language pathology clinical practice.
Copyright (c) 2026 Inara Karolyne Mota Silva Costa, Isabel Cristina Sabatini Perez-Ramos, Estér Almeida Sales, Liz Duque Magno https://creativecommons.org/licenses/by/4.0
Report on the experiences of a pedagogical advisor in rural school education: A reflection on the experience on the waterways of the Amazon River
This study addresses educational policies with an emphasis on the training of teachers working in multi-grade classrooms in rural schools in the riverine region of Amazonas. It is undeniable that teacher training policy is an advancement, and that its objective, however noble—improving the quality of education—is still far from what could be expected. This study aims to contribute to the educational experience in rural schools and, at the same time, reflect on the conceptions that teachers have about multi-grade classrooms. Specific objectives: To highlight the author's life trajectory; to show rural education and pedagogical practice in two communities and schools in Amazonas; to verify teachers' conceptions about education in multi-grade classrooms. Methodology: This is a descriptive study. The theme showed that, in addition to teacher training policies, more needs to be done for the education of rural subjects, especially those living along the riverbanks. Among all the observed and spoken investigations, based on the teachers' oral accounts, in a contemplation of the topic being studied and researched, they report that, despite all the anxiety they experience throughout the school year in taking on multi-grade classes and suspecting that they will not be able to obtain good results in the teaching-learning process at the end of the year, the difficulties in following the curriculum proposal for the initial grades are almost insurmountable. And, to their surprise and joy, they are methodologically rewarded with the results presented by the students.
Copyright (c) 2026 Maria Eliana Rodrigues de Vasconcelos https://creativecommons.org/licenses/by/4.0
Integration of dominance effects into genomic models for enhancing the understanding of heterosis in dairy cattle
Molecular heterozygosity and heterosis are gaining importance in the evaluation of various species. However, the exploration of estimated heterosis based on the genome in purebred populations remains limited. We aimed at investigating the use of heterozygosity as a potential indicator of genomic heterosis in purebred populations. Using a simulated dataset for milk production and quality traits, we considered three scenarios (h² = 0.10, 0.30, and 0.50). We adapted the Genome-Wide Association Study (GWAS) to capture non-additive variations for milk yield (MY), fat percentage (FP), protein percentage (PP), casein percentage (CP), and polyunsaturated fatty acid percentage (PUFA). Heterozygosity ranged from 35.4% to 35.6% in the simulated scenario, with genomic heterosis ranging from 3.2% to 17.0%. Regression coefficients emphasized the significance of heterozygosity for genomic heterosis, varying from 4.8 to 6.07. In real data, most identified genomic regions showed consistency between additive and non-additive models. An increase of 1.96 kg/day in MY was associated with a one-unit increase in heterozygosity, along with a 0.0059% increase in PUFA. Eight genes, including the SOX5 gene associated with PUFAs, have been identified in the literature as important for human health. Selection based on heterozygosity is proposed to favor genomic heterosis, and considering dominance effects in GWAS contributes to marker and QTL identification with potential heterozygous advantages. Our study significantly contributes to understanding how heterosis can be utilized for animal selection in pure breeds using genomic information. Our findings suggest predictive approaches tailored to include genetic dominance effects in genetic evaluation and genome-wide association studies.
Copyright (c) 2026 Fabrício Pilonetto, Giovanni Coelho Ladeira, Juliana Petrini, Mayara Salvian, Izally Carvalho Gervásio, Flavia de Oliveira Scarpino van Cleef, Darlene dos Santos Daltro, Aline Zampar, Paulo Fernando Machado, Luiz Lehmann Coutinho, Gerson Barreto Mourão https://creativecommons.org/licenses/by/4.0
Utilization of agro-industrial vegetable residues in bakery products: Systematic review on nutritional, technological and sensory impact
The vegetable processing industry generates a massive volume of by-products, such as peels and pomace, which are frequently discarded despite their high nutritional potential. This systematic review aimed to evaluate the technical feasibility and consolidate evidence regarding the nutritional, technological, and sensory impact of incorporating vegetable by-product flours into bakery products. The bibliographic survey covered the ScienceDirect, MDPI, and SciELO databases, spanning the period from 2009 to 2025. The results demonstrated that the utilization of these residues significantly increases the content of fibers, minerals, and bioactive compounds in the products. However, it was observed that the addition of insoluble fibers interferes with the gluten network and water absorption, resulting in technological challenges such as reduced specific volume and increased crumb hardness. Sensory analysis indicated that acceptance is not linear, with the ideal substitution limit lying between 5 and 10% for yeast-leavened breads and up to 20% for cookies and gluten-free products. It is concluded that the utilization of waste in bakery is a viable circular economy strategy, transforming low-cost ingredients into functional foods, provided that formulation limits are respected to ensure technological quality.
Copyright (c) 2026 Gessika Danielly de Mendonça Dantas, Pahlevi Augusto de Souza, Saint Clair Lira Santos, Luan Ícaro Freitas Pinto https://creativecommons.org/licenses/by/4.0
Integration of geospatial databases in rural land regularization: Reduction of cadastral inconsistencies
Rural land regularization in Brazil relies on consistent, interoperable spatial information. However, the coexistence of geospatial databases with different purposes, scales, and validation levels has fostered overlaps, perimeter discrepancies, and cadastral ambiguities, with direct impacts on the efficiency of georeferencing workflows and legal certainty. This study aimed to analyze, in the Brazilian context, recent evidence on geospatial database integration applied to rural land regularization, emphasizing contributions of geoprocessing to reduce cadastral inconsistencies and operational rework. Methodologically, a systematic literature review (2021 to 2026) was conducted, with searches in widely covered scientific databases and portals. Portuguese and English descriptors were used for georeferencing, land regularization, the Rural Environmental Registry (CAR), SIGEF, interoperability, validation, and overlap, followed by eligibility screening and a thematic narrative synthesis. The results and discussion indicate that informational fragmentation between self declared registries and certified databases is a structural driver of geometric and semantic inconsistencies, increasing the analysis backlog and inducing successive corrections across certification, validation, and registration stages. The reviewed literature further indicates that integration strategies supported by data governance, unique property identification, reliability hierarchies, and automated routines for topological control and cross validation tend to anticipate discrepancies, improve inter database consistency, and reduce rework in georeferencing. The findings support the hypothesis that integrating geospatial databases, when technically structured and institutionally coordinated, helps mitigate cadastral inconsistencies and optimize rural land regularization processes, strengthening legal certainty and territorial governance.
Copyright (c) 2026 Ralph Wendel Oliveira de Araujo, Ariston de Lima Cardoso, Deivson Nacim Teixeira Sousa, Raillane Oliveira de Araujo, Luiz Artur dos Santos da Silva, Luiz Henrique dos Santos Fonseca https://creativecommons.org/licenses/by/4.0
Diode laser-assisted gingivectomy and gingivoplasty associated with osteotomy for altered passive eruption: A case report
Altered passive eruption (APE) is a clinical a developmental condition where the gingival margin fails to recede to the cemento-enamel junction, caused by excessive gum overlapping over the enamel limits, resulting in a short clinical crown. Minimally invasive surgical approaches using diode laser have been proposed for APE management due to their hemostatic properties and potential for improved postoperative comfort. The aim of this case report is to describe APE treated with diode laser-assisted gingivectomy and gingivoplasty combined with osteotomy. A 28-year-old systemically healthy female patient presented with esthetic complaint of excessive gingival display and short clinical crowns. Clinical and radiographic examinations revealed gingival enlargement associated with APE and vestibular exostoses, without signs of active periodontal disease. Initial therapy included oral hygiene conditioning and scaling and root planing. The treatment consisted of diode laser-assisted gingivectomy and gingivoplasty (980 nm, Therapy XT, DMC), combined with osteotomy and osteoplasty to reestablish biologic width and improve crown proportions. Postoperative photobiomodulation using low-level laser therapy was performed to support tissue healing. Clinical follow-up was performed weekly, with final evaluation at 90 days. The patient reported absence of postoperative pain, favorable healing pattern, and high satisfaction with the esthetic outcome. This case demonstrates that diode laser-assisted periodontal plastic surgery associated with osseous resective therapy may represent a conservative therapeutic approach for management of gingival excess associated with APE.
Copyright (c) 2026 Carlos Eduardo Melo Horta, Leonam Amadeu Pinheiro de Ataide, Marina Alamar Nunes Rodrigues, Antonio Carlos Melo Horta, Ricardo Roberto de Souza Fonseca https://creativecommons.org/licenses/by/4.0
Continuous hemodialysis versus intermittent hemodialysis: A rapid review focused on efficiency
Introduction: Renal dysfunction is a global health issue, associated with high morbidity and mortality. The main renal replacement therapy modalities include peritoneal dialysis, hemodialysis, and hemofiltration, with treatment choice determined by clinical conditions and resource availability. Objective: This study compared continuous hemodialysis (CHD) and intermittent hemodialysis (IHD) in critically ill patients with acute renal failure to assess their impact on mortality rates. Material and Methods: The systematic review included Health Technology Assessment reports, systematic reviews, and randomized clinical trials extracted from the PubMed, Cochrane, EMBASE, and UpToDate databases. The search terms used were “continuous renal replacement therapy” and “intermittent renal replacement therapy,” excluding books, abstracts, and guidelines. Of the 218 articles initially identified, 11 met the eligibility criteria after screening and inclusion of additional sources. Results: The analysis showed no significant difference in mortality rates between CHD and IHD. However, CHD demonstrated a higher renal recovery rate and better cost-effectiveness in critically ill patients. Conclusion: These findings highlight CHD’s potential advantages in improving clinical and economic outcomes in acute renal failure management.
Intermit- tent renal replacement therapy
Erika Michelle do Nascimento Facundes Barbosa
Copyright (c) 2025 Erika Michelle do Nascimento Facundes Barbosa, Bárbara Helena de Brito Ângelo, Nara Gualberto Cavalcanti, Rodrigo Cabral Alves, Kheyla Santos do Nascimento, Lúcia Reis do Nascimento, Naélia Vidal de Negreiros da Silva https://creativecommons.org/licenses/by/4.0
Success and failure factors in ventilator weaning protocols: What the scientific evidence says
This study aimed to analyze, based on current scientific evidence, the main factors associated with the success and failure of ventilator weaning protocols in critically ill patients. To this end, a literature review was conducted using the PubMed, PEDro, SciELO, and Cochrane databases, employing descriptors related to ventilator weaning. Studies published between 2018 and 2025, with robust methodology and full-text availability, were included. Data were organized and analyzed descriptively. The results showed that strict clinical criteria and the spontaneous breathing trial are fundamental methods for assessing readiness for extubation. Successful extubation depends on clinical stability, adequate gas exchange, muscle strength, and the ability to protect the airways. Failure is associated with prolonged mechanical ventilation, increased incidence of pneumonia, and higher mortality. The role of physiotherapy proves to be decisive in the extubation process. Post-extubation strategies, such as noninvasive ventilation and high-flow oxygen therapy, have demonstrated effectiveness in preventing reintubation and improving clinical outcomes, especially in high-risk patients. Therefore, it is concluded that ventilator weaning requires a careful and continuous assessment, with the physiotherapist as one of the main professionals involved, and that its success depends on multiple factors.
Copyright (c) 2026 Carlos Henrique Rodrigues, Kelly Mariana Queiroz da Fonseca, Isabel Cristina Silva Sousa https://creativecommons.org/licenses/by/4.0
“Janela Amazônia”: Introductory considerations on Television and Cinema in The Amazon
The goal of this article is to present introductory considerations on television, cinema, and audiovisual production in the Amazon, based on the experience and reflections developed within the “Janela Amazônia” research group, based in Belém do Pará. The text argues for audiovisual practice as a language, an artistic practice, and a research method capable of producing situated knowledge by articulating creation, critical reflection, and territorial experience. In a context marked by the intensification of information flows and the advancement of artificial intelligences, the urgency of critical education and the dissemination of knowledge is emphasized, especially in the field of the arts. The discussion draws on Boaventura de Sousa Santos’ concepts of transcoding and the double epistemological break to argue that academic knowledge must return to common sense, transforming society while also being transformed by it. Considering the specificities of Brazil’s Northern region, the article highlights the strategic role of audiovisual media in cultural mediation, memory-building, and the democratization of access to knowledge in the Amazonian region, marked by historical inequalities, geographic isolation, and symbolic invisibility. In addition, it addresses the centrality of the image in the constitution of memory and identities, emphasizing its symbolic, epistemic and aesthetic functions. Finally, it reaffirms that thinking about Amazonian audiovisual practices entails recognizing the territory’s plurality, the dispute over imaginaries, and the power of collective practices of creation, writing, and exchange among artists as essential forms of research and cultural production.
Copyright (c) 2026 Suanny Lopes Costa, Cássio Mauro Oliveira Tavernard https://creativecommons.org/licenses/by/4.0
Knowledge of pregnant women regarding the Family Planning Law and the insertion of a copper intrauterine device (IUD) in the immediate postpartum period
This study aimed to evaluate the level of knowledge of pregnant women attending a reference maternity hospital in Belém, Pará, regarding the Family Planning Law and the insertion of the copper intrauterine device (IUD) in the immediate postpartum period. A cross-sectional and descriptive study, with a quantitative-qualitative approach, was conducted with 116 pregnant women attending a reference hospital in the state for high-risk maternity care. Data collection was carried out using a structured questionnaire containing questions about sociodemographic characteristics and others related to knowledge about some aspects of Law No. 14.443/2022 and about the copper IUD. Statistical analysis was performed using Jamovi® software, considering a significance level of p ≤ 0.05. The results showed a low level of knowledge among pregnant women regarding both the Family Planning Law and the characteristics and advantages of the copper IUD in the immediate postpartum period, as well as significant associations between sociodemographic variables and the degree of information. These findings reinforce the importance of strengthening contraceptive counseling during prenatal care and obstetric care, as a strategy to promote reproductive autonomy and improve the quality of care.
Copyright (c) 2026 Thaynnar Laryssa Kizan da Silva Miranda, Leticia da Cunha Andrade, Claudia Campos Coêlho França https://creativecommons.org/licenses/by/4.0
Specifics of lithium carbonate in psychiatric emergencies
Introduction: Lithium carbonate plays an essential function in the management of mood disorders, standing out for its robust mood-stabilizing efficacy and its well-established protective effect against suicide. Nevertheless its application in emergency situations necessitates prudence owing to its low therapeutic index, very gradual initiation of action, coupled with the necessity for ongoing clinical and laboratory surveillance. Objective: To critically analyze the use of lithium carbonate in psychiatric emergencies, focusing on clinical indications, associated risks, management of intoxication, and implications for the organization of health services. Method: This is a narrative literature review based on a non-systematic search of the PubMed/MEDLINE, Scopus, and SciELO databases, complemented by international clinical guidelines, consensus statements from scientific societies, and classical psychiatric texts. Original studies, narrative and systematic reviews, clinical trials, observational studies, and normative documents relevant to the use of lithium in urgent and emergency contexts were included. Results: Lithium has well-established efficacy in acute mania, relapse prevention, and reduction of suicide risk. In emergency settings, its prescription should be limited to situations involving adequate clinical assessment, demonstrated capacity for adherence, absence of a recent history of intoxication or medication-related suicide attempts, and assurance of outpatient follow-up with appropriate laboratory monitoring. Lithium intoxication is potentially severe, requiring early recognition and prompt, appropriate clinical management. Conclusion: Despite its substantial benefits, the use of lithium carbonate in psychiatric emergencies must be judicious, individualized, and integrated into a comprehensive care plan that ensures continuity of treatment, with the goal of maximizing therapeutic benefits while minimizing preventable risks.
Copyright (c) 2026 Leonardo Baldaçara https://creativecommons.org/licenses/by/4.0
Maternal and neonatal risk factors that predispose to NICU admission: A literature review
Introduction: The Neonatal Intensive Care Unit (NICU) is essential for the treatment of life-threatening newborns, promoting the survival and physiological well-being of premature neonates and/or those with associated pathologies. Care begins with quality, humanized prenatal care, facilitating the detection of complications that may affect the pregnancy. Objective: To analyze the maternal and neonatal risk factors that predispose to admission to NICUs. Methodology: This is a narrative literature review using articles from the National Library of Medicine (PubMed MEDLINE), Scientific Electronic Library Online (SCIELO), Cochrane Database of Systematic Reviews (CDSR), Google Scholar, Virtual Health Library (VHL) and the Ministry of Health. The search covered articles published between 2010 and 2022, using descriptors such as “Neonatal Intensive Care Units”, “Gestational age”, “Risk factors”, “Hospitalization units”, “Newborn” and “Maternal behavior”. Discussion: Maternal conditions and the development of the newborn increase the need for admission to the NICU, such as prematurity, low birth weight and severe asphyxia, in addition to maternal factors, including advanced age, high parity, low schooling and unfavorable socioeconomic conditions. Hypertensive syndromes during pregnancy, such as pre-eclampsia, increase the risk of prematurity and low birth weight, as well as complications such as respiratory distress syndrome and neonatal infection, and are another important obstetric risk factor. Conclusion: Preventing scenarios that predispose to admission to the NICU is essential. Therefore, maternal and neonatal risk factors should be managed with adequate prenatal care, thus guaranteeing optimal care possibilities in the current situations.
Copyright (c) 2026 Marcela Cardoso e Castro, Isadora Oliveira, Júlia Oliveira Alves, Francis Jardim Pfeilstcker https://creativecommons.org/licenses/by/4.0
Soil water infiltration under distinct cotton cropping systems in the Bahia Cerrado
This study aimed to evaluate the effects of different cotton production systems on the soil water infiltration rate in a sandy Red-Yellow Latosol in Luís Eduardo Magalhães, Bahia, after seven years of cultivation. The quantitative and experimental research used a randomized block design with six management systems: monoculture and succession (conventional tillage) and four crop rotations under a no-tillage system (SPD), plus a native Cerrado area as a control. Infiltration was determined using the double-ring infiltrometer method. Results indicated that the native Cerrado had the highest stable infiltration rate (Tie) (34.8 cm h⁻¹), while all agricultural systems significantly reduced this capacity. Among the crops, the conventional system with millet/cotton succession achieved the highest Tie (16.0 cm h⁻¹), surpassing the SPD treatments. This is attributed to mechanical tillage that temporarily increases porosity in sandy soils, although this structure is unstable and subject to rapid rearrangement. In SPD, rotations including legumes were superior to exclusive cereal rotations, highlighting the importance of root diversification for improving biopores. It is concluded that land use severely impacts water dynamics, with the maintenance of native areas and the adoption of complex rotations being fundamental for the sustainability of cotton farming and aquifer recharge in the Bahia Cerrado.
Copyright (c) 2026 João Henrique Zonta, Julio Cesar Bogiani, Alexandre Cunha de Barcellos Ferreira, Luis Fernando Perissoto https://creativecommons.org/licenses/by/4.0
Acute kidney injury associated with glomerulopathy and paraneoplastic pulmonary thromboembolism in pulmonary adenocarcinoma
Introduction: Paraneoplastic Glomerulopathies (PGN) are renal manifestations secondary to extrarenal solid or hematological malignancies, with a progressive increase in recognition over recent years. Their diagnosis and management remain challenging due to the variable temporal relationship between renal manifestations and cancer diagnosis, often resulting in delayed recognition and high morbidity and mortality. Objective: To report a case of probable paraneoplastic glomerulopathy associated with lung adenocarcinoma, complicated by acute kidney injury and pulmonary embolism, highlighting diagnostic and therapeutic challenges in a resource-limited setting. Methodology: This is a case report developed in accordance with the CARE guidelines, based on data collected from electronic medical records and supported by a narrative literature review for clinical contextualization. Results: A 49-year-old male patient with a recent diagnosis of lung adenocarcinoma developed pulmonary embolism, significant proteinuria, hematuria with dysmorphic erythrocytes, and acute kidney injury requiring renal replacement therapy. The inability to perform a renal biopsy led to a presumptive diagnosis of paraneoplastic glomerulopathy. Discussion: This case illustrates the complex interplay between malignancy, a prothrombotic state, and glomerular involvement, reinforcing the importance of clinical suspicion and a multidisciplinary approach. Clinical presentation, diagnostic strategies, therapeutic interventions, and clinical evolution are discussed in light of current scientific evidence. Conclusion: Early recognition of glomerular involvement in oncological patients may significantly influence prognosis, even in the absence of histological confirmation.
Copyright (c) 2026 Maria Eduarda Vieira Ribeiro Garcia, Lucas Lelis Spirandeli de Queiroz, Vanessa Teixeira Barsalini Ruivo, Gilson Fernandes Ruivo https://creativecommons.org/licenses/by/4.0
Integrative review of esophageal neoplasms: Anatomical, diagnostic and therapeutic aspects from 2015 to 2025
Esophageal cancer represents one of the greatest challenges in contemporary oncology, being responsible for a high global mortality rate and frequently reported in advanced events. This research aims to synthesize the most recent evidence on esophageal neoplasms, from their anatomical and pathophysiological aspects to contemporary therapeutic approaches. This integrative review analyzed scientific publications from 2015 to 2025, focusing on the anatomical, diagnostic, and therapeutic aspects of esophageal neoplasms. Clinical studies, systematic reviews, and observational research covering topics ranging from molecular biology to clinical practices were included. The results highlight important advances, such as the application of artificial intelligence in endoscopies, the incorporation of minimally invasive techniques, and the introduction of targeted therapies and immunotherapy in the management of advanced cases. Furthermore, a deeper understanding of esophageal anatomy and tumor propagation pathways has influenced the personalization of treatment. However, there are still significant inequalities in access to early diagnosis and modern treatments, especially in low- and middle-income countries. The review highlights the urgent need for public policies, professional training, and integration between science and clinical practice to improve outcomes for patients with this aggressive cancer.
Copyright (c) 2026 Miguel Wesley Nogueira Paixão https://creativecommons.org/licenses/by/4.0
People Management and Neuroendocrine Balance: Development of the Occupational Biochemical Roadmap (ROBO) for Integrated Mental Health
This article aims to develop the Occupational Biochemical Roadmap (OBR), a protocol that translates the rigor of neuroscience into the practice of People Management. It is observed that mental health in the workplace faces increasing challenges due to chronic stress and disruption of the circadian rhythm, aggravated by hyperconnectivity and intense work demands. Traditional People Management models often neglect the physiological basis of resilience and performance. This study, through an integrative literature review, proposes to integrate neuroendocrine knowledge into People Management, focusing on key chemical messengers (hormones such as cortisol, melatonin, and oxytocin; neurotransmitters such as dopamine, serotonin, and GABA) that regulate relevant physiological axes: stress/adaptation, recovery/circadian rhythm, plasticity/cognition, and socio-emotional/vigor. The Occupational Biochemical Routine (OBR) was developed, a daily protocol based on consolidated scientific evidence, which includes practices such as active breaks for endorphin release and GABA/glutamate balance, and social interactions for oxytocin modulation. The OBR aims to optimize neuroendocrine resilience, promoting healthier and more productive workers, with organizational benefits. However, as a conceptual model, it requires future empirical validation through studies with biomarkers.
Copyright (c) 2026 Raissa Dália Paulino, Ricardo Moreira da Silva, Evandro Brandão de Oliveira, Ionete Cavalcanti de Moraes, Lindalva Silva Correia https://creativecommons.org/licenses/by/4.0
Oral and cutaneous manifestations of Erythema Multiforme related to the use of oxcarbazepine in a patient with epilepsy: A case report
Oxcarbazepine is an anticonvulsant widely used in the treatment of epilepsy; however, it may be associated with mucocutaneous adverse reactions, such as erythema multiforme. This study aims to report a case of erythema multiforme major with oral and cutaneous manifestations associated with oxcarbazepine use in a young patient with epilepsy and neuropsychomotor impairment. A 25-year-old female patient, under continuous oxcarbazepine therapy for more than ten years, presented recurrent episodes of vesiculobullous and ulcerative lesions in the oral cavity, preceding cutaneous lesions on the palmar surface of the hands. Extensive laboratory investigations revealed no significant abnormalities. Lesion remission was observed after discontinuation of oxcarbazepine, with recurrence following drug reintroduction, establishing a causal relationship. Drug replacement combined with systemic and topical corticosteroid therapy resulted in complete lesion resolution. The diagnosis of erythema multiforme was based on clinical features and disease progression. This case highlights the importance of recognizing oral manifestations as early indicators of adverse drug reactions and emphasizes the role of dental professionals in multidisciplinary patient care.
Copyright (c) 2026 Aline do Nascimento Pires, Priscila Faquini Macedo, Patrick Aparecido da Silva Pereira, Luan Borges Venturi, Matheus Branco Elias Dib, André Pereira Falcão https://creativecommons.org/licenses/by/4.0
Challenges and advances in gynecological cytology: An integrative review
The aim of this study is to analyze the main challenges and advances in gynecological cytology in the context of cervical cancer screening and prevention. The methodology adopted was a literature review, with a quantitative and descriptive approach, based on the analysis of 16 national and international studies published between 2019 and 2025. The sources were obtained from the SciELO, PubMed, LILACS, and Virtual Health Library (VHL) databases. The results demonstrate that, despite technical advances—such as liquid-based cytology, the use of biomarkers, and automation—the Pap smear test is still not equitably accessible to Brazilian women. Factors such as low education levels, reduced income, lack of educational campaigns, fragile health services, and discontinuity of care were associated with lower adherence to preventive examinations, especially in riverside, peripheral, and low-income populations. HPV vaccination, although effective, still faces low coverage in vulnerable regions. In this context, prevention strategies must go beyond the technical dimension, incorporating territorial, educational, and intersectoral actions. It is concluded that the success of cervical cancer screening depends on overcoming the social and structural barriers that still limit the effectiveness of gynecological cytology in Brazil. Public policies sensitive to the reality of women, accompanied by investment in professional training, health education, and strengthening of primary care, are fundamental to transforming scientific advances into accessible and universal care practices.
Copyright (c) 2026 Taise Stefani Pertuzzatti, Ana Caroline Tissiani https://creativecommons.org/licenses/by/4.0