bluuebunny/crossref_metadata_2025 huggingface dataset:
Leading and partnering in a crisis
Authors: Hunger Iris , Hanefeld Johanna , Meinus Carolin , Wieler Lothar H. , Nabarro David
Published: November 2024

International health emergencies are growing ever more complex. An interdisciplinary, well-coordinated response is needed to limit the impact of such events. The networks of health crisis responders are becoming more diverse and require new models of leadership. Recent events have shown that established incident management systems with their hierarchical structures need to be supplemented with well-managed networks to allow a more agile, context-aware crisis response.

Trusted leadership is a key element in functional networks which arise from careful trust-building efforts amongst network partners and the active promotion of ongoing meaningful communication and interaction. Preparing for the next health emergency requires investment in such functional networks of health crisis responders, including the building up of a sufficiently large and resourced healthcare and public health workforce at all levels. Strategic preparation enables a well-coordinated response.

All actors involved in the health emergency response require clear strategic direction. A shared vision, a consensus on goals, and clarity on how to reach those goals are central for actors at all levels to work collaboratively using their respective capacities and capabilities. A shared narrative, based on respected good-quality evidence, enables all actors to best use their respective strengths, expertise, and resources. The creation of such a narrative is a key leadership skill.

Effective coordination of actors and activities prevents duplication, interference, and gaps in emergency response. While always challenging in practice, effective coordination can create synergies and allows an agile, needs-based, community-centred, and broad health emergency response.
Managing risk in mass gatherings
Authors: Lewis Jacob , Memish Ziad , McCloskey Brian
Published: November 2024

Mass gatherings present specific challenges to public health systems and need effective and comprehensive public health planning. The COVID-19 pandemic demonstrated both perceived and actual risks of mass gatherings, in the context of novel infectious diseases, leading to many gatherings being cancelled or postponed. Learning, experience, and evidence from mass gatherings over recent decades have shown that risks can be managed but only if they are recognised, with appropriate mitigation measures put in place and with those measures tested and monitored. Effective planning for mass gatherings can allow important events to proceed safely with reassurance to organisers, participants, and communities that they will not be put at undue risk.
Mental health and psychosocial support
Authors: Boagey Heather , Barakat Maha , Carreño Glaría Cristina
Published: November 2024

While efforts to contain the spread of an infectious agent can be highly effective, containing the impact of those efforts on the mental health of the population can be considerably more complex. A pandemic introduces new stressors, including anxiety surrounding the contagion itself. Restriction of freedom can heighten existing sources of stress, such as relationships and finances. Many of the coping mechanisms we rely on become less accessible as socialising and entertainment options are limited. The mental health of different groups is affected in a variety of ways, depending on the extent of disruption to daily life, levels of exposure to infection, and the specific consequences of infection for individuals. Existing users of psychiatric services may find these disrupted, triggering an acute deterioration in their mental state. By implementing an organised programme of mental health and psychosocial support, the potential for both acute and chronic damage can be mitigated. This approach integrates care with existing services in a sustainable fashion, with preventative and curative arms reaching both those who present to services and those requiring identification in the population.
Protecting the vulnerable
Authors: Liu Elyssa , Sun Louisa
Published: November 2024

A community’s most vulnerable populations are often placed starkly in the spotlight in times of public health emergencies. Vulnerable groups can include, but are not limited to, women, children, the elderly, healthcare workers, indigenous peoples, people with disabilities or pre-existing conditions, migrants, refugees, and other individuals and communities marginalised by language, geography, and educational level. Vulnerability may be related to the groups’ inability to fully care for themselves (e.g., the frail elderly) or those who are more able but are vulnerable by virtue of their poor living or working conditions or the stigma and prejudice they face in society.

Even before emergencies occur, these groups struggle with healthcare challenges, and during infectious disease outbreaks, their difficulties are compounded. They tend to suffer more from disease, encounter greater barriers to healthcare access, face exclusion from public health initiatives, and are at an increased risk of violence, exploitation, and harm. Vulnerable populations bring to light the existing cracks within healthcare systems, emergency response plans, national policies, and institutional frameworks that failed to adequately anticipate their needs, and which only become more pronounced under the pressure of crisis. The vulnerabilities of these specific groups are not isolated phenomena but indicative of broader societal weaknesses, making it clear that addressing their needs effectively strengthens the entire community's resilience against infectious disease emergencies.
Successful risk communication and community engagement
Authors: Tam Wai Jia , Peh Rachel
Published: November 2024

Communication and community engagement form a key, yet sometimes neglected, pillar in public health emergency response. The emergency response community has created a methodology and professional practice here which goes by the acronym RCCE, which stands for Risk Communication and Community Engagement. While previously under-recognised, RCCE practice was pushed to the forefront by the COVID-19 pandemic, becoming a key response pillar equal to that of surveillance or infection prevention and control (IPC) in some contexts. However, more can be done. Effective RCCE plays a crucial role in breaking the chains of transmission and mitigating the impact of a pandemic by targeting people’s behaviour and willingness to follow public health and social measures. In this chapter, we give an overview of the objectives and functions of RCCE during an emergency. Guidelines to the components of effective and successful RCCE along with challenges to its implementation will also be discussed.
Infodemics and information management
Authors: Hess Sarah , Briand Sylvie , Nguyen Tim , Wilhelm Elisabeth , Purnat Tina D
Published: November 2024

“An infodemic is an overabundance of information, accurate or not, in the digital and physical space, accompanying an acute health event such as an outbreak or epidemic.”
Working with communities and volunteers
Authors: Phua Sylvia , Eamer Gwendolen
Published: November 2024

Outbreaks start in communities and are controlled by communities. Affected communities, volunteers, and local health and social workers are central to the rapid and effective resolution of the health emergency. Early and sustained implementation of public health measures is not possible without the full participation and engagement of communities and volunteers. This chapter highlights the importance of the role of community-based organisations and volunteers in outbreak response and covers key issues such as how to maximise the capacities and skills of affected communities, the different ways to harness community skills and resources, and adaptations that might be required to manage differences in and between different community groups.
Learning the lessons: Recovery and review
Authors: Lim Jen O. , Okereke Ebere , Robalo Magda , Bindra Renu
Published: November 2024

The recovery phase of an infectious disease emergency is rarely a linear process, but it represents an opportunity to ‘build back better’. In this chapter, we focus on efforts to restore a community’s health system, though broadly understood, recovery also refers to restoring (and improving) all emergency-affected systems and structures. Restoration of health system functions needs to be done while still controlling the disease, addressing the inequalities and disproportionate impacts that the emergency has revealed, and beginning the process of effective reviews that will feedback in to future preparedness efforts.
Capacity building through stakeholder training
Authors: Christensen Renée , Effler Paul , Greiner Ashley , Salmon Sharon
Published: November 2024

An adequately trained multidisciplinary workforce is essential to the success of any outbreak response and therefore fundamental in long-term preparedness efforts. In recognition of the critically important role that training plays in a public health emergency response, international organisations, public health institutes, and governments around the world continue to invest in designing and delivering outbreak response trainings. However, these trainings can vary in quality and utility. In this chapter, we explore the different contexts of outbreak response training and present the best practice approaches for designing and delivering outbreak and public health emergency response trainings to the highest standards.
Ethics to inform decision-making
Authors: Edwards Sarah J.L. , Gordon Caitlin , Silaigwana Blessing , Mathur Roli
Published: November 2024

Ethical considerations are an important part of decision-making processes at each stage of an infectious disease emergency. This chapter introduces the notion that ethical thinking begins with a process of clarification of the values and moral principles at work in decision-making, and evolves a set of procedures to reason morally in each decision-making context. Certain moral concepts are necessary to highlight in the ethics of infectious disease emergencies, particularly ideas of autonomy, beneficence, and justice. The chapter then works through the different phases of emergency response, introducing the key ethical issues and questions at each phase.

Ethical thinking does not provide single ideal answers, but enables decision-makers to identify and articulate the value components of decisions, so as to balance, for example, considerations of individual liberties with public health outcomes in an emergency. Elaborate processes of consideration and consultation are often in tension with the challenges of making critical decisions rapidly and under uncertainty. That is why trustworthy institutions and continued community engagement are crucial, particularly in culturally diverse settings.

The chapter concludes by emphasising the need for ongoing ethical reflection and preparedness to better manage future outbreaks, advocating for a sustained social conversation on the balance between protecting public health and respecting individual rights.
Teamwork and decision-making
Authors: Devnarain Nikita , S. Abdool Karim Salim
Published: November 2024

Action, panic, blame, and denial are common stress-driven responses in the face of any calamity, including a pandemic. When attempting concerted action as a response, doctors, nurses, scientists, politicians, and the myriad of others involved will work most effectively if they see a common purpose in coordinated action. This requires leadership to build a common vision, feasible approach, and concerted plan that can be followed by all those involved. These elements create the foundation for effective teamwork in any organisation, particularly in a pandemic response where urgency is of the essence. A key characteristic of a team is that the individual members contribute different strengths which achieve synergy when combined. Working together to realise a common objective is a requirement of effective teams, where members of a team are committed and support each other to achieve shared goals. Teamwork, whether at a family, organisation, or even country level, is a key element in preparing to navigate through a pandemic with the most effective response.
Operational logistics support and supply chains
Authors: Lai Matthew Y.S. , Boulet-Desbareau Pierre , Azé JC , Blanchard Robert
Published: November 2024

Supply chain management and health logistics are a long-neglected, under-represented, and underinvested aspect of public health policy and practice. Recent disease outbreaks exposed the vulnerability of the global supply chain to the emergence of a novel health threat. There is a dearth of resources available to introduce policymakers, emergency planners, and non-logisticians to the fundamental concepts of supply chain strategy.

The following chapter explains key aspects of logistics and supply chain management and provides a set of recommendations for policymakers and stakeholders. Public health logisticians are responsible for implementing the logistics measures necessary to develop and deploy emergency preparedness and response plans. They hold a unique body of knowledge but are generally under-recognised as a profession, despite the critical nature of strategies surrounding supply chain management and the effect of disease outbreaks on international supply chain dynamics. Key investments can make supply chains more robust in the future to greatly mitigate the financial and health ramifications of epidemics. It is paramount that logisticians are integrated into decision-making authorities in crisis situations alongside other key leaders as a core pillar of outbreak response.
Border controls and public health emergencies of international concern (PHEICs)
Authors: Ihekweazu Vivianne , KC Sarin , Heymann David L.
Published: November 2024

The international spread of infectious diseases and the measures taken to control and prevent their transmission across borders has driven disease control efforts, starting from the implementation of quarantine during the 14th century plague by the city-state of Venice. The subsequent international agreements that evolved, from the International Sanitary Regulations (ISR) in 1951 to the current International Health Regulations (IHR) of 2005, were in a bid to control the spread of infectious diseases. The revision of the IHR in 2005 introduced a new approach and focused on detecting and stopping disease outbreaks at their source and maintaining open borders, along with developing core public health capacities to effectively respond to public health events. Communication plays a very important role during public health emergencies, empowering populations and disseminating information, and the declaration of Public Health Emergencies of International Concern (PHEICs) and the unique communication challenges associated with each instance provides important lessons. Various measures are often put in place to control the spread of infectious diseases. The COVID-19 pandemic witnessed the closure of borders and varying requirements by countries that led to confusion about international travel, highlighting the need for coordinated international efforts and consistent communication to minimise confusion and ensure the safety of international travel and trade.
ANÁLISE ECONÔMICA DOS CULTIVOS ANUAIS SUBMETIDAS AO MANEJO BIOAGRÍCOLA
Authors: Bellé Leocemar Andrade , Da Luz Gean Lopes , Lajús Cristiano Reschke , Girardi Natalia , Sauer Aline Vanessa , Dalcaton Francieli , Busnello Fábio José
Published: November 2024

The growing need for food worldwide causes changes in supply, which is not always concerned with the quality in which this food is being offered to consumers. That said, the concern with producing quality food, aiming at the maximum organic bases and available inputs, combined with the ability to produce one's own bioinputs on the farm, reduces dependence on external inputs, and greater control of production costs within the properties demonstrates a total internal interdependence for the production of food or raw materials. The research aims to evaluate the economic sustainability in the cultivation systems of the most important annual crops in the country; Soybeans, Corn, Wheat and Beans in the use of bioinputs on the farm to obtain a reduction in production costs. Research conducted in the municipality of Chapecó - SC during the 2021/2022 and 2022/2023 harvests. The research design is a factorial (3x6), factor A crop management, factor B different doses of basalt powder for the crops of Corn Harvest, Beans Harvest, Wheat Harvest and Soybean Harvest. Qualitative research on product/dose/target values. Economic results differed between production costing, attractive in scale in R$/ha-¹ in biological management (A) and Bioagricultural (C) in the crops of corn, beans and soybeans. As well as the break-even point, the economic and financial results of the four crops evaluated were equivalent and positive in biological management (A). Significantly positive analysis in the economic indicators of profitability, between the different cultivable managements and doses of basalt powder.
OXIDANTES Y BARRERA HEMATORRETINIANA: LA PROGRESIÓN Y LOS MECANISMOS MOLECULARES DE LA RETINOPATÍA DIABÉTICA
Authors: Filho Silvio Stafi , Comby Isabeli , Garcez Lorena Rocha , Lima Dayanne Santos , Veloso Manuelle Santana , Ramos Carlos Cauê Rocha , Furtado Pedro Paulo do Santos , Ferreira Arlyson David Silva , Machado Letícia Alves de Oliveira , Santana Gabryel Victor de Andrade , Benevides Camila de Arruda , Bisneto João Salvador
Published: November 2024

La retinopatía diabética es una complicación microvascular del ojo que surge como consecuencia del mal control de la hiperglucemia en pacientes con diabetes mellitus. Esta afección se caracteriza por un daño progresivo de los vasos sanguíneos de la retina, que provoca un aumento de la permeabilidad vascular, microaneurismas, hemorragias intrarretinianas y, en estadios más avanzados, neovascularización. Según su grado de progresión, puede clasificarse en una forma no proliferativa, más frecuente en las fases iniciales, y una forma proliferativa, que aparece en fases avanzadas y se asocia a un mayor riesgo de pérdida visual grave. En cuanto a su fisiopatología, la hiperglucemia crónica desencadena una serie de vías metabólicas y moleculares perjudiciales, como la acumulación de especies reactivas del oxígeno, que causan estrés oxidativo y contribuyen conjuntamente al daño endotelial y a la disfunción de la barrera hematorretiniana. Los pacientes con esta complicación necesitan un control glucémico estricto y continuo mediante fármacos hipoglucemiantes capaces de reducir los trastornos osmolares característicos de la diabetes, combinados con terapias oculares específicas como los inhibidores del factor de crecimiento endotelial, que ralentizan la neovascularización y, en consecuencia, reducen la probabilidad de ceguera. Sin embargo, incluso con protocolos de tratamiento, la retinopatía diabética sigue siendo la principal causa de ceguera en adultos en todo el mundo, lo que subraya la importancia de la prevención y el diagnóstico precoz. Este estudio se basó en el método bibliográfico, recopilando datos médicos científicos de revistas especializadas como PUBMED y Scielo publicadas entre 2018 y 2023. Los resultados destacan la estrecha relación entre los estados hiperglucémicos y la retinopatía diabética, Así, se concluye que es fundamental desarrollar nuevas terapias que ataquen no solo los síntomas avanzados de la enfermedad, sino también los cambios moleculares tempranos que se producen durante las primeras etapas de la retinopatía diabética, combatiendo eficazmente la causa y el efecto de la patología.
INVISIBLES AT SCHOOL: RE-SIGNIFYING FOSTER CARE PEDAGOGIES FOR ADOPTED AND INSTITUTIONAL CHILDREN AND ADOLESCENTS
Authors: Welter Cristiane Backes , Rossetti Leticia Capra
Published: November 2024

This article presents the results of a qualitative research on adopted institutional care children and adolescents that investigated the need to re-signify Foster Care Pedagogies to reverse their invisibility in schools. Freire's (2000) and Skliar's (2019) contributions on inclusion and diversity pointed to the need for greater attention to the uniqueness of each child and adolescent enrolled in elementary schools. It was executed a case study based on Yin (2000), where three interviews were conducted with the teacher, pedagogical coordinator and principal; four interviews with families of adopted children; and a workshop with twenty-two students in a municipal school in Caxias do Sul/RS, Brazil. Categories of analysis were built considering the pedagogies of Reception, the planning of the pedagogical strategy for children and adolescents adopted and the impact of institutional care for children. It was possible to observe that when the condition of adoption or institutional foster care is made invisible in educational spaces, and it can cause significant changes in the learning and development of these human beings. For data analysis, it was used the content analysis technique of Bardin (1994). The results indicated that it is necessary to accomplish inclusive actions that consider the differences of children and adolescents adopted or in institutional care.
EFFICACY OF GOVERNANCE MECHANISMS AND SOCIAL PARTICIPATION OF THE NATIONAL PORT MASTER PLAN – TO: A FOCUS ON THE HISTORIC CENTER
Authors: Muniz Cejane P. L. , Santana Fabian Serejo , Bazzoli João Aparecido , Rosa Rafael Augusto dos Anjos , Carvalho Philipe Lira
Published: November 2024

This article aimed to analyze the effectiveness of governance mechanisms and citizen participation in the ongoing review of the Urban Development Master Plan of Porto Nacional, Tocantins, with a focus on the importance of preserving the Historic Center. The relevance of the proposed work lies in the search for understanding how governance structures and community participation affect both sustainable urban development and the conservation of cultural heritage. Using a methodology that integrates documentary analysis and bibliographic review, the study sought to understand the way in which governance and community participation are being incorporated into the process of reviewing the Municipal Master Plan, especially in light of the detection of abandonment and deterioration of properties located in the city's Historic Center. In conclusion, it is found that the findings related to the phenomenon studied indicate the need to improve actions aimed at the use of community participation and governance instruments so that society is assured the full exercise of the right to the city and the safeguarding of cultural heritage.
DIGITAL HEALTH AND PUBLIC POLICIES: EVOLUTION AND CHALLENGES FOR BRAZIL
Authors: Ribeiro Rafael Dias , Gomes Valter , Gomes Daniela
Published: November 2024

Digital health is a field that involves the use of information and communication technologies to improve the quality, efficiency, and equity of health services. In Brazil, digital health has gained prominence especially after the COVID-19 pandemic, which required the adoption of social distancing measures and the expansion of access to telemedicine, telehealth, and electronic medical records. However, the country faces several challenges in creating public policies that can guide and regulate the creation, implementation, and use of the benefits of digital health. Among these challenges, we can highlight the territorial dimension and regional inequalities, which hinder the universalization and integration of health information systems and the availability of adequate technological infrastructure in all areas of the country. This paper presents a review of public initiatives and policies in Brazil, analyzing scientific publications, standards, resolutions, and laws that address this topic and proposes, as a result, the challenges that need to be overcome in the development or improvement of existing policies in the field of digital health. The challenges facing the development of these policies include the large population and socioeconomic diversity, which require personalized solutions adapted to the different realities and needs of users, as well as ensuring digital inclusion and health literacy; the unequal distribution of medical professionals and other health professionals, which imposes limits on the supply and quality of health services, especially in the most remote and vulnerable areas, and which requires ongoing training of digital health workers; the General Data Protection Law (LGPD) and the adoption of new technologies, which bring new ethical, legal and technical challenges for the protection of the privacy and security of personal health data, as well as for the evaluation of the efficacy, effectiveness and security of digital health solutions. In view of these challenges, it is essential that Brazil develop a national digital health strategy that can define the objectives, guidelines, responsibilities and actions to promote the appropriate and sustainable use of information and communication technologies in health, for the benefit of the Brazilian population.
PREPARATION, NUTRITIONAL AND SENSORY ANALYSIS OF PEANUT BUTTER FLAVORED WITH MOZZARELLA CHEESE
Authors: Resosemito Franky Soedirlan , da Silva Wendel Jefferson Reis , Leal Edney Harrison Ferreira , Schmid Giselle , da Costa Filho Hostilio Caio Pereira , dos Santos Elisvanda Ramos
Published: November 2024

Peanuts are one of the foods that are closely linked to the Brazilian Northeastern culture. The consumption of this legume ranges from the seed in its natural state, roasted and salted, to sweets (such as the traditional Northeastern paçoca), as well as derivative products that contain peanuts in their formulation. However, there is still the possibility of adding value and innovation using peanuts, since the food industry is always looking for innovative and healthier products. Accordingly, peanut butter is an excellent alternative, since it is a peanut-based product that is well accepted by a large part of the population and is consumed by all social classes and age groups, in addition to being a food that is very rich in nutritional aspects. Peanut butter can also be supplemented with other foods, in order to increase its nutritional and sensory values. With this in mind, using cheese as an alternative to supplement peanut butter is a viable option, since it is a food that is highly appreciated by the Brazilian population due to its sensory and nutritional characteristics. In this sense, the present study aims to prepare peanut butter with cheese using the following ingredients: peanuts, mozzarella cheese, vegetable oil and salt. The nutritional composition and sensory evaluation of the peanut butter enriched with mozzarella cheese were analyzed in order to determine the public's acceptance and purchase intention. In this study, five peanut butter formulations were prepared, varying respectively from 0, 10, 15, 20 and 25% of mozzarella cheese. It was observed that the greater the amount of mozzarella cheese added to the peanut butter, the less energy the product produced. According to the results obtained, it is possible to conclude that the peanut butters enriched with mozzarella cheese did not reach the minimum result in relation to all the parameters analyzed (appearance, color, texture, flavor and overall acceptance), with the average of 7 (seven) being the minimum expected result. It is worth noting that sample E with 35% mozzarella cheese was the closest to the minimum sensory requirements, while sample C with 25% mozzarella cheese was the closest to the minimum sensory requirements for purchase intention. That said, it is clear that there is a need for better adaptation in the formulation or addition of extra components that increase the sensory qualities of the product. It is also clear that the product developed is unusual to the Brazilian palate, thus causing a high deviation in relation to the sensory requirements.
LIFE CYCLE ANALYSIS OF VITICULTURE FOR THE PRODUCTION OF WHOLE GRAPE JUICE
Authors: Silva Paulo Henrique Franzão , Ribeiro Izadora Finco , Souza Ana Samily de Oliveira , Yamaguchi Natália Ueda , Gasparotto Francielli
Published: November 2024

Sustainability in agriculture and food processing has been attracting great attention from conscious consumers who demonstrate a critical and analytical profile focused on environmental practices. Thus, the objective of this research is to evaluate the impacts caused by grape production in the conventional system for the production of whole juice using the Life Cycle Assessment (LCA) approach. The Life Cycle Inventory (LCI) data were collected through a questionnaire on a property located in the municipality of Marialva in the interior of the state of Paraná/BR and the following stages of viticulture production were taken into account: fertilization, protection against diseases and pests, logistics, labor and harvesting. It was found that viticulture is responsible for emitting several greenhouse gases that contribute to the generation of potential environmental impacts and degradation of the quality of natural resources. Among the components of the viticulture inventory on the property under study, synthetic fertilizers in viticulture were responsible for impacts in the largest number of impact categories, followed by fuels and pesticides. In order to achieve sustainability, changes are necessary in the way crops are managed to reduce the impacts resulting from activities such as the use of synthetic fertilizers and pesticides.
THE LEGALITY OF RESOLUTION Nº 976/2021, EDITED BY THE COURT OF JUSTICE OF THE STATE OF MINAS GERAIS AND WHICH CREATED NEW EXTRAJUDICIAL OFFICES
Authors: Costa Fabrício Veiga , Silva Frederico Rodrigues Assumpção
Published: November 2024

The aspects involving Resolution No. 976/2021, issued by the Court of Justice of the State of Minas Gerais (TJMG), will be analyzed in light of the 1988 Constitution of the Republic, state legislation and the case law of the Supreme Federal Court. The aforementioned Resolution promoted the splitting of the extrajudicial offices corresponding to the 2nd, 6th and 7th Real Estate Registry Offices of the district of Belo Horizonte/MG, creating the 8th, 9th and 10th Offices. This involves the creation of new extrajudicial offices and the modification of districts by means of a resolution of the state judiciary. In the case under analysis, it is important to determine whether the then existing state law (Law No. 12.920/1998) would be sufficient to authorize the act by the TJMG; in other words, would it be necessary to issue a formal law by the Legislative Assembly of the State of Minas Gerais? In order to understand the legal aspects involving the construction and legality of the Resolution, the Constitution of the Republic of 1988, State Law No. 12,920/1998 and the decision of the Supreme Federal Court in direct unconstitutionality action No. 2,415/SP (which dealt with a similar situation) will be analyzed.
ORAL HEALTH OF AGROINDUSTRY WORKERS: CHALLENGES OF THE 2030 AGENDA AND ESG CRITERIA, PROMOTING WELL-BEING AND INCLUSION TO INCREASE PRODUCTIVITY
Authors: Parisoto Giancarlo Baggio , Mollo Neto Mario
Published: November 2024

Contemporary dentistry aims to replace private care with a health-related model. Agribusiness workers have difficulty accessing dental services. The dental care system has difficulties in acquiring, updating, referring, and monitoring patients. Artificial intelligence is a computer system that performs tasks that require human knowledge and skills, such as recognizing patterns and images, understanding open written and spoken language, perceiving relationships/connections, following decision algorithms, understanding concepts, and reasoning through the integration of new experiences, thus improving itself. This research aims to demonstrate the importance of a convolutional network for analyzing dental data that enables the diagnosis of different pathologies that may be found in agribusiness workers and the respective referral to services for recovery and control of the oral health of this target population. With the bibliometric review carried out, it was noticed that the construction and widespread use of convolutional networks in different dental specialties can contribute to the improvement of basic oral health care, in the private network and especially in the public network, thus benefiting agribusiness workers with an increase in quality of life, in oral health indexes and indicators, as well as in their productivity.
SUCESSÃO DO CÔNJUGE E DO COMPANHEIRO: UM EXEMPLO DA NECESSIDADE DE ATUALIZAÇÃO DO CÓDIGO CIVIL
Authors: De Brito Ícaro Fellipe Alves Ferreira , Almeida Maíra Gondim , De Assis Lucas Câmara , Carvalho Vinícius Farias Santos , Maia Felipe Martins , Siqueira Heidy Cristina Boaventura , Tiago Josiellen Cristhian da Silva , Santos Matheus Junio Souza
Published: November 2024

This article, completed in November 2024, investigates legislative inconsistencies and anachronisms in the succession of spouse and partner, with the aim of discussing possible updates to the Civil Code. The methodology includes documentary analysis and jurisprudential review, with emphasis on new academic interpretations and decisions of the higher courts. The study is current in the context of the institution of the Senate's committee of jurists, in September 2023, with the preparation of a draft to update the Civil Code. The result of the study indicates that the current legislation presents uncertainties regarding the inheritance of the spouse and partner, generating legal uncertainty. The conclusion reinforces the need for normative revision to ensure greater clarity and normative alignment with current social values, promoting greater predictability in succession situations.
WHAT LITERATURE HAS TO SAY ABOUT HEMIBALLISM ASSOCIATED WITH HYPERGLYCEMIA: A SYSTEMATIC REVIEW
Authors: Bechara Gabriela Ilias , Lazzari Giovanna , Diani Laura Maria , Fonseca Bruno Bedeschi Casagrande , Ferreira Fernanda Cechinato , Augusto Aline Sobral , da Gama Paulo Diniz
Published: November 2024

Background: Hyperosmolar Hemiballism (HH) is a rare and debilitating neurological condition characterized by involuntary, abrupt movements on one side of the body, often linked to lesions in the subthalamic nucleus. Objective: This review aims to synthesize the clinical, pathophysiological, and therapeutic aspects of HH, emphasizing recent scientific findings and diagnostic challenges. Methods: A literature review was conducted on PubMed and Cochrane databases using MeSH terms: "hemiballismus" and "hyperglycemia" or "hyperosmolarity," covering articles from the last 25 years in Portuguese, English, and Spanish. The PRISMA guidelines were followed for the selection of studies, focusing on article quality and relevance to the topic. Results: Most patients had the left putamen affected, with right-sided hemiballism being the most common movement. The prevalent comorbidity was pre-existing Type II Diabetes (80%). Blood glucose levels varied widely from 292 mg/dL to 1043 mg/dL, with most patients not presenting ketone bodies in their urine. Hyperglycemia correction was the primary treatment, leading to positive outcomes in all reported cases. Women represented 69.33% of the study population, and all patients were over 50 years old. Conclusion: Effective glycemic control markedly improves HH symptoms. Despite its rarity, HH is a critical differential diagnosis in elderly patients with Type II Diabetes, as appropriate diagnosis and treatment significantly influence clinical outcomes.
SUBJECTIVE MOBILIZATION IN THE WORK OF POPULAR CULTURE ARTISTS
Authors: de Freitas Lêda Gonçalves , Ghizoni Liliam Deisy
Published: November 2024

The peculiarities of subjective mobilization in the work of popular artists are examined. It is based on the psychodynamics of work and the power to act from Spinoza's perspective. Semi-structured interviews were conducted with artists who work with clay, wood, and oil on canvas. The interviews were recorded, transcribed, and analyzed. It was found that the peculiarities of subjective mobilization are revealed from the specificity of the act of making art itself. As a work, making art reveals a subjective mobilization through complex and permanent psychic elaboration, not to account for the organization of work, but to create. It is concluded that subjective mobilization is not to face suffering and transform it into pleasure; but rather, a joy of living for art.
ENVIRONMENTAL MANAGEMENT: CHALLENGES AND SOLUTIONS IN THE SEGREGATION OF HEALTHCARE WASTE IN BELÉM
Authors: Maciel Maria Jackeline Dias , Hanna Leila Maués de Oliveira
Published: November 2024

Healthcare waste (HSW) refers to materials resulting from healthcare activities, both human and animal, which may present biological, chemical or radiological risks, depending on their nature. This study aimed to investigate the effectiveness of healthcare waste segregation in the city of Belém, based on the evaluation of two large hospitals in the city; seeking to identify and mitigate the non-conformities observed in relation to current regulations, as well as to propose solutions. This is a cross-sectional, descriptive and exploratory research, with a quantitative and qualitative approach, carried out at the Ophir Loyola and Mário Pinotti hospitals, in the city of Belém. The investigation highlighted significant failures in the separation and management of waste in several sectors of these units, compromising environmental safety and the effectiveness of public policies. The analysis was guided by the regulations of Resolution RDC No. 222/2018, of the National Health Surveillance Agency (Anvisa), and Resolution No. 358/2005, of the National Environmental Council (CONAMA). The results indicate the existence of structural and operational gaps that hinder compliance with regulatory guidelines, revealing the need for urgent corrective measures to ensure efficient and safe management of HCW. The research highlights the importance of strengthening team training, improving segregation processes and encouraging the implementation of sustainable practices, thus ensuring the protection of public health and the environment.
ASSOCIAÇÃO DO POLIMORFISMO DO GENE RECEPTOR DE VITAMINA D COM REABSORÇÃO RADICULAR APICAL EXTERNA EM PACIENTES TRATADOS ORTODONTICAMENTE
Authors: Romagni Gabriela Paschoalini , Rossato Mayara Delfino Sentone , Poli Regina Célia
Published: November 2024

The vitamin D receptor influences host immune responses and aspects of bone development, growth, and homeostasis. The aim of this study was to investigate the association of the polymorphism of the vitamin D receptor gene TaqI with external apical root resorption during orthodontic treatment. Methods: Our sample consisted of 50 patients aged between 12 and 40 years, who received fixed total orthodontic treatment during the years 1999 and 2000. External apical root resorption (RAAR) of the maxillary incisors was evaluated on periapical radiographs taken before and after 6 months of treatment. After DNA collection and purification, the analysis of the TaqI polymorphism of the vitamin D receptor was performed by polymerase chain reaction followed by restriction fragment length polymorphism. Univariate and multivariate analyses were performed to verify the association of clinical and genetic variables with external apical root resorption (P<0.05). There was a correlation between the VDR and RRAE variables (r= 0.306 and p= 0.030). The genotype resulting from Taq1 cleavage and allele frequencies differed between the groups with and without RAAR. Individuals containing the T allele were more likely to develop RAAR when compared to individuals carrying the tt genotype (OR= 7.5; 95% CI= 1.8 – 31.4; p= 0.0094). The TaqI polymorphism of the vitamin D receptor gene was associated with external apical root resorption in orthodontically treated patients.
QUALITY OF LIFE IN WOMEN DURING MENOPAUSE IN A MUNICIPALITY IN THE WESTERN BRAZILIAN AMAZON
Authors: Ribeiro Walesca Viana , Galina Mariana Santos de Sá , da Silva Alan Patricio
Published: November 2024

Objective: To assess the quality of life of women in menopause who are or are not using hormone replacement therapy. Method: A quantitative, descriptive, cross-sectional study was carried out with the application of a questionnaire to all women between 40 and 65 years of age registered in the Family Health Program of the Senador Adalberto Sena Family Health Unit in Cruzeiro do Sul (Acre) from August to October 2023. The research instrument used for evaluation was the Medical Outcomes Study 36-item Short Health Survey (SF-36) and to assess climacteric symptoms, the Menopause Rating Scale (MRS) was used. Results: When evaluating the domains of the quality of life questionnaire (SF-36), it was noted that the variables pain, general health status, and social aspects were the most cited, with mean values ​​above 50% and MSR above 90% in all domains, except heart discomfort with 85.2%. Conclusion: Coping with menopause brings many anxieties, doubts, and fears on the part of women. It was observed that almost all of the women in this study had symptoms related to menopause and were not being treated. Better attention, care, and guidance are needed so that women can have quality of life at this stage of life.
THE DEVELOPMENT OF THE SENSES AND DIGITAL TECHNOLOGY: A REFLECTION BASED ON THE STEINERIAN VIEW AND NEUROSCIENCE
Authors: Neves Selma Cardoso , Romanelli Rosely Aparecida
Published: November 2024

The objective of this article is to share the notion about the development of the senses and their role in human cognition according to the Steinerian phenomenological view and the contribution of neuroscience to its understanding. The methodology used is bibliographical, and part of the theoretical framework was that researched in the master's dissertation whose excerpt constitutes the article, added to some authors with whom a new dialogue was established in the expansion and continuation of the study. The result that emerges is a reflection on the effects observed by neuroscience in this development due to the intense use of digital technologies with children and young people both in education and in leisure. The conclusion is that some effects can be harmful and it becomes necessary to rethink a return to face-to-face education and leisure in nature and in social contact between people, as well as the use of drawing, artistic procedures and playfulness in education.
LEARNING CONTENT TYPOLOGIES AS A SUPPORT FOR TEACHING BIOCLIMATISM IN UNDERGRADUATE COURSES IN ARCHITECTURE AND URBAN PLANNING
Authors: de Sousa Juliana Andrade Borges , Dantas Otília Maria Alves da Nóbrega Alberto
Published: November 2024

This article addresses the impact of the learning content typologies proposed by Zabala (2007) on teaching planning. The study aims to analyze the impact of this theory on the learning of second-semester students of the Architecture and Urbanism course at the University of Brasília. The theoretical foundation is based on the didactic-pedagogical principles of education, especially teaching in Zabala (2007), Dantas (2007), Libâneo (2017), Pimenta, Anastasiou and Cavallet (2002), Masetto (2012) and, in learning, in Pozo (2009), among others. The methodology is qualitative, characterized as a case study. The experiment took place during the course of the discipline "Environmental Studies: Bioclimatism", organized considering the contents of a conceptual, procedural and attitudinal nature in the proposition of objectives, in the systematization of activities and in the evaluation of students. The research instrument consisted of document analysis (Discipline Plans and Pedagogical Project of the Course) and a questionnaire applied to the students. In the final stage of the discipline, the students answered the questionnaire, in order to evaluate the perception of the adequacy of each activity according to the intended objective. The results and conclusions indicated that the activities were evaluated as “very effective” or “effective”, indicating that the teaching planning based on the typologies of learning content had a positive impact on the teaching-learning process, and this planning approach can be used, without prejudice, in other disciplines in the context of Architecture and Urbanism, considering that all teachers must know and appropriate the didactic-pedagogical foundations to develop the teaching work successfully.
SYSTEMATIC REVIEW STUDY (BASED ON THE PRISMA METHOD) ON THE HARMFUL EFFECTS CAUSED BY THE USE OF ANABOLIC STEROIDS
Authors: Esteves Felipe Laranjeira , Nascimento Hitalo Matheus Mendonça , Sakamoto Sabrina Ramires , Rodrigues Julio Cesar , Agostini Lucas , Petrallas George , Ozaki Guilherme Akio Tamura , Campos Filho Donaldo Aparecido , Fabrizzi Fernando
Published: November 2024

Beauty standards and the search for a perfect body have led to the use of substances that can facilitate the acquisition of voluminous muscles and the reduction of body fat. Thus, many individuals have sought the use of Anabolic Androgenic Steroids (AAS), since these substances play an anabolic role, with regard to the synthesis of contractile proteins (increasing muscle volume and strength) and a catabolic role, in relation to lipid metabolism (stimulating lipolysis). In sports, AAS have been widely used, since they develop greater strength capacity in athletes and, therefore, bring improvements in speed, power and also cardiorespiratory capacity, since they can lead to better recovery, thus influencing sports performance. However, the responses are not always beneficial, and can trigger considerable problems in AAS users, both at a physical level, such as cardiovascular, metabolic and endocrine changes, and at a psychological and social level, through changes in mood, cognition and behavior. Therefore, searching for, compiling and understanding the possible harms caused by the indiscriminate use of AAS is of great importance for the academic community and society as a whole. Thus, the objective of this systematic review was to search, through the PRISMA method, for primary studies that present the harms caused by the use of AAS. Results: After applying the exclusion and inclusion criteria, eleven articles were found relating various harms in AAS users in the last 5 years. Among the harms, physiological changes were found such as increased blood pressure, cardiac arrhythmias and increased shear rate, heart disease, atrial fibrillation, cardiac depolarization problems, thrombi, infertility, decreased testosterone and erectile dysfunction; metabolic changes such as increased low-density lipoproteins (LDL) and very low-density lipoproteins (VLDL), creatinine, urea, liver enzymes in the blood; psychobehavioral symptoms such as suicidal ideation, increased verbal and nonverbal aggression, cognitive and memory impairments. Conclusion: Therefore, it was possible to conclude, through this systematic review, that the use of anabolic steroids can trigger harm involving the physiology, metabolism, behavior and social interaction of users.