RECISATEC SCIENTIFIC JOURNAL - ISSN 2763-8405
The journal is published in the city of São Paulo - SP, Brazil. The RECISATEC Scientific Journal aims to promote and disseminate research and studies in all areas of knowledge, with an emphasis on teaching and research. Adopting an open access policy, the journal allows anyone to access its website to read and download full articles without the need for registration or payment. Publishing content from all fields of knowledge, RECISATEC emerges as a result of multidisciplinary debates that address social, environmental, technological, and sustainable issues, according to the relevance of each area. The articulation between teaching and research has played a fundamental role over time in promoting theoretical and practical advances in various fields of science, and RECISATEC aims to broaden this dialogue by disseminating national and international studies that contribute to the development of these areas. RECISATEC is a Multidisciplinary Electronic Journal published monthly, in continuous flow, registered with ISSN 2763-8405. It is an independent production, managed by its chief editors, with the support of the editorial and scientific board, guided by its Mission and Regulations, available for consultation on the website. Although it is a young journal, it is already classified by CAPES in the Qualis system, with a B4 ranking in the 2021–2024 quadrennium. The journal offers the possibility of publishing articles in Portuguese, English, and Spanish. If the manuscript is written in another language, prior contact with the editors is recommended to verify the feasibility of publication.
Os direitos autorais dos artigos/resenhas/TCCs publicados pertecem à revista RECISATEC, e seguem o padrão Creative Commons (CC BY 4.0), permitindo a cópia ou reprodução, desde que cite a fonte e respeite os direitos dos autores e contenham menção aos mesmos nos créditos. Toda e qualquer obra publicada na revista, seu conteúdo é de responsabilidade dos autores, cabendo a RECISATEC apenas ser o veículo de divulgação, seguindo os padrões nacionais e internacionais de publicação.
DECISION-MAKING BY NURSES IN THE HOSPITAL SETTING: AN INTEGRATIVE LITERATURE REVIEW
To analyze recent scientific production on nurses’ decision-making in the hospital context. An integrative literature review was conducted in national and international databases, including studies published between 2020 and 2024. Afterapplying eligibility criteria, 14 studies were selected.Data were submitted to content analysis and organized into four thematic categories: decision-making practices; leadership for decision-making; multiprofessional decision making; anddecision-support tools. The results showed that nurses’ decision making is multifactorial, influenced by technicalscientific competencies, clinical leadership, interprofessional collaboration, organizational conditions, and the use of supporttools. A direct impact was observed on quality of care, patient safety, and care coordination. It is concluded that decision-making constitutes a strategic competence of hospital nursing.
Copyright (c) 2026 RECISATEC SCIENTIFIC JOURNAL - ISSN 2763-8405 https://creativecommons.org/licenses/by/4.0
Tumor Electrometabolic Instability Induced by Exogenous Electric Fields and Photobiomodulation: A Biophysical–Theoretical Framework
Tumor cells differ from normal cells not only in genetic and biochemical terms but also in their electrical, dielectric, and energetic properties. This article proposes a theoretical framework in which solid tumors are treated as dissipative electrodynamic systems, characterized by high ionic conductivity, an acidic microenvironment, intensive metabolism, and functionally unstable cellular circuitry. It is argued that the combined application of low-voltage, high-frequency exogenous transdermal electric fields, together with near-infrared photobiomodulation (~850 nm), may act as a physical perturbation capable of increasing the tumor’s energetic cost, inducing oxidative stress, and compromising the electrome tabolic stability of the tumor system. The work does not propose therapeutic protocols but instead organizes existing physical and biological concepts into a coherent, falsifiable model oriented toward future investigation.
The Experience was developed from the relevant growth of children with a clinical diagnosis of Autism Spectrum Disorder (ASD) and cases of children with behaviors comparable to the disorder, but with no diagnosis. This disorder is characterized by conditions that compromise the individual's social behavior, communication, and language. Not knowing how to act in the face of a new situation, family members and guardians of users/patients sought support in health, education and social assistance in the municipality of Capela-SE. The immediate search was for a Neuropediatrician for continuity of clinical treatment and in an attempt to confirm the diagnosis clinically. Then, he sought support from specialists from the multidisciplinary team for intellectual, motor and labor development. Finally, monitoring at school and a space for coexistence for pedagogical learning, social interaction and adaptation to the local reality. The municipal management brought together professionals from the departments of health, education and social assistance to develop a project that would expand care from integrality and longitudinality, based on the problem-solving strategies necessary for users and family members who experience ASD.
REVIEWS - TRANSLATIONS - INTERVIEWS - BOOK CHAPTER - SCIENTIFIC REPORTS
BIOELECTRICAL SIGNATURE AND SONIFICATION OF PORCINE BLOOD BEFORE AND AFTER RED LIGHT PHOTOBIOMODULATION: A PROOF-OF-CONCEPT STUDY
Blood constitutes a complex electroactive biological system whose bioelectrical properties emerge from interactions among cells, plasma, and membrane interfaces. Although extensively investigated under conventional biochemical and hematological parameters, its dynamic electrical behavior remains largely unexplored. This study presents a proof of concept for characterizing the bioelectrical signature of fresh porcine blood through direct electrical acquisition, spectral analysis, and scientific sonification, before and after photobiomodulation with red light (≈650 nm). Porcine blood, obtained from a slaughterhouse and analyzed immediately after collection to minimize activation of the coagulation cascade, was used as a translational model due to its high hematological similarity to human blood, thereby obviating the need for research ethics committee approval. Bioelectrical signals were compared with a simple electrolytic control (saline solution), modeled according to the Cole–Cole formalism, and converted to the acoustic domain while preserving their temporal and spectral characteristics. As an original contribution, the Normalized Bioelectroacoustic Index (IBAN) is proposed as a functional biomarker derived from the power spectral density of the sonified signal. The results indicate that blood exhibits an organized bioelectrical signature distinct from saline, and that photobiomodulation induces spectral redistribution consistent with functional cellular reorganization. Sonification revealed additional dynamic patterns, suggesting potential complementary diagnostic applications based on dynamic bioelectricity.
IMPACTS OF VITAMIN D AND B12 ON MENTAL HEALTH QUALITY
Depression is a multifactorial mental disorder that affects millions of people and is increasingly associated with nutritional factors. This study aimed to analyze the impacts of vitamins D and B12 on mental health, particularly regarding depression and anxiety. A bibliographic review was conducted between 2020 and 2025 using the PubMed, SciELO, MEDLINE, and Google Scholar databases, selecting 15 studies that addressed the association between serum levels of these vitamins and psychological well-being indicators. The results indicate that vitamin D acts as a neurosteroid, influencing gene expression and the modulation of neurotransmitters such as serotonin and dopamine, in addition to exerting anti-inflammatory and neuroprotective effects. Its deficiency has been associated with increased depressive symptoms, especially in elderly individuals and those with metabolic disorders. Vitamin B12, in turn, is essential for DNA synthesis, maintenance of the myelin sheath, and regulation of homocysteine, whose elevation is related to cognitive dysfunction and the onset of depressive symptoms. Studies suggest that supplementation with these vitamins can reduce symptoms of depression and anxiety, particularly when used as an adjunct to conventional treatment. It is concluded that adequate levels of vitamins D and B12 are essential for maintaining mental health and should be incorporated into clinical practice as a preventive and therapeutic strategy. However, more standardized clinical studies are needed to establish effective guidelines for dosage and duration of supplementation.
Copyright (c) 2025 RECISATEC SCIENTIFIC JOURNAL - ISSN 2763-8405 https://creativecommons.org/licenses/by/4.0
DEPRESSION: THE “METAMORPHOSIS” OF BEHAVOUR
This literature review examines the behavioral changes associated with depression, as well as the main theories that seek to explain its etiology and clinical manifestation. The study discusses the interaction between environmental, psychological, and biological factors, highlighting the heterogeneity of depressive disorders and their impacts on emotional, social, and neurocognitive functioning. Adaptive and non-adaptational evolutionary approaches are presented and contrasted, with emphasis on their explanatory models. The elderly population is analyzed as a group with greater vulnerability, given its clinical particularities and higher prevalence of depressive symptoms. Finally, the work emphasizes the need for effective and integrated therapeutic strategies, considering the increase in severe cases and the strong association between depression and suicidal behavior.
Depression. Behavior. Mental disorders. Literature review.
ARTIFICIAL INTELLIGENCE AS A STRATEGIC TOOL IN THE PHARMACEUTICAL INDUSTRY: IMPACTS AND CHALLENGES
This research examined how Artificial Intelligence (AI) can be strategically employed in the pharmaceutical sector, considering its effects, uses, and obstacles. The overall goal was to analyze the effects of AI, taking into account both practical applications and the main ethical, regulatory, and operational challenges. A qualitative bibliographic study was used to identify and discuss the various applications of AI in the sector's production chain. The results confirmed that AI is a tool with the potential to significantly transform the industry, supporting the idea that its ethical application makes processes more efficient, safe, and personalized. The most relevant areas of application identified include Research and Development (accelerating molecule discovery), Pharmacovigilance (monitoring adverse effects), and Data Management (analyzing large volumes of data and machine learning). Predicting physicochemical characteristics, reducing costs, and speeding up drug development are some of the most significant advantages. The main challenges include protecting sensitive data (LGPD), algorithmic transparency, and defining legal responsibility. It can be concluded that AI is a driver of innovation; however, its successful implementation requires careful planning, a multidisciplinary approach, and strict ethical and regulatory management.
DIGITAL ABSENCE AND SUBJECTIVITY: A PSYCHOANALYTIC ANALYSIS OF THE NON-USE OF SOCIAL MEDIA
This article analyzes, from a psychoanalytic perspective, the subjective effects of the absence of social media in the lives of individuals who chose not to use these platforms or who abandoned them. The qualitative research involved 52 volunteers whose narratives were interpreted through the lens of Freud’s theories and contemporary Brazilian psychoanalytic authors. The findings indicate the presence of defense mechanisms such as sublimation, rationalization, and repression, associated with the search for subjective authenticity, reduction of psychic overload, and reorganization of unconscious investments. For many participants, digital withdrawal emerged as an attempt to reorganize the psyche in response to the discomfort produced by constant exposure and the performative logic of social networks. The analysis shows that this distancing can be both a gesture of subjective resistance and a process of emotional self-regulation.
REAL-TIME PHOTOBIOMODULATION OF BLOOD AN INTEGRATED APPROACH WITH THERMOGRAPHY AND OSCILLOSCOPY
Photobiomodulation (PBM) has been extensively studied for its effects on biological tissues, particularly regarding mitochondrial modulation. This study presents an experimental approach to assess, in real time, the bioelectric responses of in vitro animal blood samples exposed to 808 nm radiation. Digital oscilloscopy and infrared thermography techniques were employed, allowing integrated analysis of electrical parameters across experimental groups: saline solution, irradiated saline, blood, and irradiated blood. Conclusion: Irradiation with an 808 nm infrared LED modulated the bioelectrical activity of blood, maintaining stable amplitudes and frequencies even with a slight thermal increase. Photobiomodulation preserved the cellular biopotential without overload, and the integration of oscilloscopy and thermography constitutes a robust strategy for real-time analysis and investigation of cellular bioelectrical mechanisms.
Photobiomodulation, Biophotonics, Bioelectronics, Photoceutics.
INFORMATICS AS A RESEARCH SUPPORT TOOL: ORGANIZATION, ANALYSIS, AND KNOWLEDGE MANAGEMENT IN THE DIGITAL AGE
This article explores the impact of information technology and digital tools on the scientific research process, highlighting their importance in organizing, analyzing, and managing knowledge. It presents the evolution of information organization, from bibliographic classification systems to modern digital platforms. It discusses the use of boolean operators and search refinement techniques, such as quotation marks, asterisks, and proximity filters, which enhance the precision of information retrieval. Additionally, it addresses tools for reference management, qualitative and quantitative analysis, and the creation of personal databases. The adaptation to new technologies and interdisciplinarity are emphasized as essential for scientific progress in the digital age. Based on an exploratory bibliographic review, the article reinforces the need for researchers to master these tools to optimize their work and enhance scientific production.
FREQUENCY OF SEXUALLY TRANSMITTED INFECTIONS IN USERS OF PRE-EXPOSURE PROPHYLAXIS FOR HIV
Introduction: Since 2017, the Sistema Único de Saúde has provided Pre-Exposure Prophylaxis (PrEP) for HIV as a public health strategy to control the epidemic. Objective: To analyze the relationship between the frequency of Sexually Transmitted Infections (STIs) and the sexual behaviors of PrEP users at the Centro Especializado em Doenças Infecciosas do Distrito Federal. Methodology: A structured questionnaire was administered, and medical records were reviewed. Results: Among 101 participants, most were cisgender homosexual men in their thirties with higher education. Condom use declined over time with PrEP use. STIs were reported by 41% during PrEP use, with Gonorrhea, Herpes, and Syphilis being most common; Syphilis was recurrent in half the cases. Discrepancies were observed between self-reported STI symptoms and medical records. Conclusions: High adherence to PrEP was associated with increased sexual risk behaviors. Findings varied when compared to national and international literature, underscoring the lack of Latin American research on this topic.
HIV. Sexually Transmitted Diseases. Pre-Exposure Prophylaxis.
TECHNOLOGICAL TOOLS USED IN THE NURSING TEACHING-LEARNING PROCESS
Technology, understood as the set of knowledge applied to a specific field of activity, with emphasis on the scientific aspect, when used in teaching, represents what we specify as educational technology, being a relevant tool for the application, inclusion and strengthening of pedagogical strategies. The objective was to identify, in the scientific literature, technological tools used in teaching and learning in Nursing courses in Brazil. An integrative review was carried out in an academic database and 48 works were identified, of which 6 were duplicates and 10 works were selected. The main technologies identified were educational software, online learning platforms, educational games and hypermedia. The analysis revealed the use of educational software, online platforms, educational games and hypermedia in disciplines such as mental health, semiotics and intensive care. Although the number of studies is small for definitive conclusions, it is possible to identify a trend of greater adoption of educational technologies after the beginning of the pandemic, driven by the need to adapt teaching to remote and hybrid formats. Therefore, it was identified that there was a significant increase in scientific production on educational technologies, the reviewed data suggest a trend towards greater appreciation and implementation of these tools in nursing education, especially in times of pandemic.
REVIEW OF THE ROLE OF ARTIFICIAL INTELLIGENCE IN ASSISTED REPRODUCTION TECHNIQUES
Artificial intelligence (AI)-based methods are ideal for manipulating, processing, and analyzing large volumes of data generated throughout the stages of Assisted Reproductive Techniques (ART). These data can be of various types, including numbers, texts, and images. This can occur during the assessment of the patient's reproductive potential with the aim of individualizing protocols and optimizing the chances of pregnancy. They have emerged as objective, quantifiable, and non-invasive tools for rapid and accurate analysis, increasing the chances of success in treatments. The objective of this review is to comprehensively examine the literature and explore in chronological order the latest advances in AI, specifically in the ART stages, including controlled ovarian stimulation and oocyte and semen analysis. We summarized 19 articles published between 2021 and 2025, extracted from two electronic databases, using the following terms: “in vitro fertilization”, “ovarian stimulation”, “trigger”, “oocytes”, “sperm”, “Artificial Intelligence”, “Deep Learning”, and “Machine Learning”. The review, in addition to helping researchers gain a more comprehensive understanding of the status and future trends of AI work in TRA, will enable interdisciplinary researchers to propose combined techniques to conduct individualized approaches that reduce socioeconomic and possibly environmental impacts.
COMPARATIVE ANALYSIS OF TOTAL FLAVONOID CONTENT IN *PASSIFLORA INCARNATA* TEA AND ITS COMMERCIAL HERBAL MEDICINE
This study compared the flavonoid content in teas prepared from Passiflora incarnata leaves and in a commercial herbal medicine derived from the same plant. The analysis was conducted using spectrophotometry, with rutin as the reference standard. Samples were extracted with a hydroethanolic solution and analyzed through AlCl₃ complexation. Results showed that the herbal medicine presented significantly higher flavonoid concentrations, likely due to the standardized material and powdered extract. In contrast, the teas exhibited greater variability among samples, which was attributed to differences in the plant parts used. It was concluded that although tea is a natural and affordable alternative, the standardized herbal product ensures more precise dosage control. This work encourages critical reflection on the rational use of natural versus industrialized products, highlighting their advantages, limitations, and therapeutic relevance.
Passiflora incarnata. Flavonoids. Herbal medicine. Tea. Spectrophotometry.
EARLY DIAGNOSIS OF ADHD AND ITS CONTROVERSIES
Attention Deficit Hyperactivity Disorder (ADHD) is characterized by inattention, agitation and impulsivity. Considering the complexity of its early diagnosis, which can often be confused with typical childhood behaviors, the significant increase in this diagnosis in the last decade raises concerns about the accuracy and validity of these assessments. The aim is to analyze the complexity of early diagnosis of ADHD, the high rate of wrong diagnoses and the reasons underlying this situation. To this end, a bibliographical review and analysis of articles published in recent years on the topic are carried out. Thus, it is observed that the difficulty in distinguishing normal behaviors from ADHD symptoms contributes to inaccurate diagnoses, which leads to the conclusion that there is an urgent need for more rigorous and specific criteria for diagnosing ADHD in children.
BIBLIOMETRIC STUDY ON PROFESSIONAL BURNOUT SYNDROME IN THE SCIENTIFIC ELECTRONIC LIBRARY ONLINE (SciELO)
The objective of this study was to conduct a bibliometric analysis of scientific production on burnout among federal public servants. For this purpose, the SciELO database was used, searching for articles that addressed the topic in different languages. The research results were analyzed using the VOSviewer software, which allowed the creation of co-occurrence maps of keywords and the identification of research clusters. It was found that nine journals concentrated 5.9% of all articles published between 2000 and 2024. Additionally, only 37 authors had more than five articles indexed in the analyzed database, and only 14 emerged in co-authorship. Regarding the topic, it was found that most of the works focused on burnout and mental health issues of health professionals, especially nurses. No reports were found addressing burnout syndrome in federal public servants, revealing a research gap to be explored in future studies.
POST-COVID-19 PANDEMIC: PSYCHIATRIC AND SOCIAL IMPACTS AND THE INCREASE IN PSYCHOTROPIC DRUGS
With the onset of the COVID-19 pandemic and the sudden advance of the coronavirus, fear and uncertainty spread among the population and health professionals who worked on the front line of care. Thus, this group of people was exposed to various feelings, including anxiety, depression and mood disorders, due to changes in routine activities, deaths, lack of infrastructure for treatments and even domestic violence. In view of this new reality, interventions were created to contain such emotional crises and, consequently, there was an increase in the use of psychotropic drugs during and after this pandemic period. Among the interventions, psychological and psychiatric interventions stand out, which had to be taken due to several impasses, especially due to social isolation. Isolation that also resulted in several post-pandemic complications, such as weight gain scenarios with pharmacological therapies for weight loss, as well as the implementation of the technological environment in various work environments, including the health area. Thus, it could be seen that the pandemic has caused numerous consequences in the daily life of humanity and the vast majority are closely related to feelings of depression and anxiety. Therefore, the article aims at the increase in psychiatric sequelae during and after the Covid-19 pandemic linked to the use of psychotropic drugs and the greater establishment of telemedicine.
POLITICAL DEPRESSION AND ANXIETY IN VOTERS RESISTANT TO THE RETURN OF LEFT-WING PARTIES IN BRAZIL
This study explores the relationship between political polarization and mental health, investigating how Brazilian voters react to the return of left-wing parties to power. Using semi-structured interviews with 30 participants, stress and anxiety levels related to the electoral context were analyzed with the support of AI tools. The analysis of the interviews, aided by ChatGPT artificial intelligence to ensure precision in quantitative data, revealed a generalized distrust in democratic institutions and concerns about the integrity of the electoral process. The results show that most participants are unwilling to accept the electoral outcome if the winner holds a leftist ideology, highlighting a significant impact on mental health, with reports of symptoms associated with anxiety and depression. This article concludes that there is an urgent need for intervention strategies to mitigate the negative impact of highly contested elections on voters' mental health, suggesting that future research should continue to explore these dynamics in subsequent elections.
Political polarization. Mental health. Electoral anxiety. Emotional health. Brazilian elections. Democratic crisis. Social psychology. Electoral disputes. Electoral sociology. Psychological disorders.
Copyright (c) 2024 RECISATEC SCIENTIFIC JOURNAL - ISSN 2763-8405 https://creativecommons.org/licenses/by/4.0
VULNERABILITIES TO SEXUALLY TRANSMITTED INFECTIONS AMONG HEALTH ACADEMICS
This article explores the delicate identification and analysis of vulnerabilities to sexually transmittedinfections (STIs) among students in the health field. Based on the results of a quantitative descriptivestudy, the objective is to propose with the aim of analyzing the knowledge and attitude among academics in the health field regarding STIs and sexual behaviors. The study monitored, for the mostpart, young students between 18 and 25 years old, with a prevalence of female, heterosexual and single individuals. Of the total responses obtained, 96.7% of the participants had had sexual intercourse in the last twelve months and, of these sexually active participants, 91.9% indicated that they had not acquired any sexually transmitted disease, while the others divided their responses regarding certain sexual diseases, with genital herpes being the most prevalent, with 3.2% of the STIs acquired by the participants. Despite the low incidence of STIs among participants in the health courses in the proposed research, the importance of linking not only knowledge about sexually transmitted infections to professional practice, but also self-care, was revealed. This also reinforcesthe need for this topic to be addressed in health and related courses, since 62.90% of participants hadnever been tested for certain diseases, such as HIV/AIDS, syphilis and hepatitis, although all students had already been exposed to situations in which STIs are transmitted.
DISEASES THAT ARE MISTAKEN FOR MENTAL DISORDERS
This article examines the complex intersections between organic diseases and psychiatric disorders, focusing on physical conditions that often mimic mental health issues, leading to misdiagnoses and inadequate treatments. The overlap of symptoms between these conditions underscores the critical importance of a differential diagnostic approach to avoid errors that prolong the patient's suffering. Public policies, such as the São Paulo Legislative Assembly project, are highlighted for their relevance in raising public awareness of this issue. Additionally, recent research revealed that 86% of Brazilians exhibit some form of mental disorder, reinforcing the need for careful diagnoses. The literature review covers studies on pathologies such as hypothyroidism, lupus, fibromyalgia, multiple sclerosis, and hormonal disorders, whose symptoms are easily confused with mental disorders like depression and anxiety. The research draws on national and international databases, emphasizing the relevance of a clinical evaluation that integrates biopsychosocial aspects and is conducted by interdisciplinary teams. Thus, it is concluded that differential diagnosis between organic and psychiatric conditions should be a constant practice in the field of mental health, aiming to ensure more precise interventions and the well-being of patients.
Organic Diseases. Psychiatric Disorders. Differential Diagnosis. Fibromyalgia. Hypothyroidism. Psychiatry.
IMPLEMENTATION OF A NAVIGATION MODEL FOR CANCER PATIENTS IN THE STATE OF PARÁ
Objective: To develop a computerized navigation model for oncology patients in the public network, linked to the Unified Health System (SUS), in the state of Pará. Methods: Descriptive and methodological study, divided into two stages (creation and validation of the website: Caminho Contra o Câncer). In the first stage, health and technology experts discussed and developed a website based on already consolidated tools and artificial intelligence. In the second stage, validation occurred through the opinion of nine experts in the field of oncology, using a Likert scale. The data were consolidated and analyzed in tables for analysis of the opinions of these judges. Results: The development of this tool, which could be accessible from anywhere and without bureaucracy that would slow down contact and support to the patient, was carried out. It can be found at the following electronic address: https://www.caminhocontraocancer.com.br/. In the process of validating this navigation model for cancer patients, it was possible to contribute the opinions of nine judges, who absolutely positively evaluated the website. Conclusion: this work demonstrated that combining technological tools, truthful information, and the possibility of accessing medical specialists can lead to the creation of a website that provides a safe, reliable, and easy path for cancer patients.
Patient Navigation. Healthcare Models. Integrative Oncology.
Copyright (c) 2024 RECISATEC - SCIENTIFIC JOURNAL HEALTH AND TECHNOLOGY https://creativecommons.org/licenses/by/4.0
NURSING CARE PROCESS IN A PATIENT WITH HEMOPHILIA TYPE A - CLINICAL CASE REPORT
Hemophilia A is a genetic or orphan disease of low prevalence, since its occurrence is considered singular and lacks therapeutic options, depending on the severity of hemophilia should be subjected to different treatments, either prophylaxis or on demand. These have affected the population for decades, being one of the most important hemorrhagic diseases and with the highest morbidity and mortality worldwide, it is an alteration in the coagulation cascade, directly affecting factor VIII, preventing hemostasis in the face of possible bleeding; these can occur in different body areas, the most vulnerable being the joints and muscles. We present the case of a 10-year-old male patient diagnosed with severe hemophilia A who was treated with Octanate, a complex coagulant anti-inhibitor, activated Eptacog alfa and Emicizumab, with the role of nursing being a fundamental axis to achieve the objective of improving the patient's quality of life.
Hemophilia A. Factor VIII. Risk factors. Complications. Prevalence. Nursing care.
URGENCY AND EMERGENCY CARE IN PRIMARY HEALTH CARE FROM THE PERSPECTIVE OF THE NURSE PROFESSIONAL
Professionals are often hesitant to recognize urgency and emergency situations within the Family Health Strategy (ESF), as they do not perceive the ESF as a service capable of providing urgent care. They believe this type of assistance deviates from the principle guiding Primary Health Care, and thus, they use referrals as a way to handle these situations that arise daily. This study aimed to identify the perception of nurses working in Primary Health Care (PHC) when faced with urgent and emergency situations at this level of care. It was a descriptive, exploratory research with a qualitative approach, conducted in the Family Health Strategies (ESFs) located in the urban network of the municipality of Diamantino/MT. Data collection was carried out through semi-structured interviews, which yielded three themes: (1) Nurse training for assistance in urgent and emergency cases in the ESF, (2) Difficulties faced by nurses in urgent and emergency care in the ESF, and (3) The conduct of nurses in acute case management in the ESF. The results indicate that the knowledge acquired in this area was self-obtained through postgraduate courses, training, or daily practice. The conclusions suggest that professional training should be accompanied by improvements in material and physical infrastructure to handle urgent and emergency cases in these units.
Grasiela Cristina Silva Botelho Silvestre
QUALITY MANAGEMENT SYSTEMS IN DENTAL CLINICS: A BIBLIOGRAPHIC REVIEW
Oral health is recognized as an essential determinant of general health and well-being, associated not only with physical and mental health, but also with other factors. Dental diseases worldwide account for approximately $356.80 billion in direct costs and $187.61 billion in indirect costs. Therefore, it is essential that dental clinics adopt a management system that will help ensure operational efficiency and clinical excellence in the different aspects of dental practice. Objective: Evaluate Quality Management Systems in Dental Clinics in order to encourage dentists to implement ISO quality management systems in dental clinics and evaluate the impact of quality on management and patient perception. Materials and methods: The SALSA framework strategy was used, conducting a search in three digital databases: Google academic, PubMed and Scielo, where articles in English and Spanish, published in the last five years (2018-2023), were collected. Results: The 18 articles included in this review used various surveys in their methodology to determine if the professional provides quality services, the implementation of ISO quality management systems evaluates the impact of quality on management and patient perception. Good communication is essential for both the patient and the dental clinic staff to disseminate any information of better quality. Each professional must be encouraged to improve quality and therefore disseminate the culture of quality. Conclusion: The application of ISO standards in dental practices contributes to the standardization of processes, the improvement of quality and safety, as well as effective quality management.
Management systems. ISO quality. Dental clinics. Impact. Patients.
APPLICATION OF CORTICOTOMY IN ORTHODONTIC TREATMENT: A LITERATURE REVIEW
Corticotomy is a surgical procedure that allows cutting, perforating or mechanically altering the cortical bone, without really affecting the medullary bone and promoting tooth movement. This technique has yielded exceptional results and can be used satisfactorily in orthodontic treatment. Objective: To evaluate and compile the available scientific evidence that supports the application of corticotomy and its efficacy during orthodontic treatment as an alternative to accelerate tooth movement, as well as its indications, advantages, contraindications and adverse effects. Methodology: The search for articles was carried out in electronic databases included such as: PubMed, Google Scholar, Sciencedirect, Dentistry & Oral Sciences Source and Scielo. The review included 22 articles that meet the inclusion criteria and allow a simple and clear understanding. Conclusion: Corticotomy allows to obtain better results and in less time possible in orthodontic treatment by applying its different techniques compared to the conventional technique, prior to the orthodontic procedure, it is necessary to carry out a thorough evaluation of the specific needs of each patient, as well as the expectations of the treatment. Although corticotomy is a promising technique, the scientific evidence is still low to support its effectiveness.
Corticotomy orthodontic, Orthodontic surgery, Orthodontic tooth movement.
ORTHODONTICS AND ITS IMPACT ON SLEEP QUALITY CAUSED BY OBSTRUCTIVE APNEA
Obstructive sleep apnea (OSA) is a respiratory disorder characterized by episodes of partial and/or complete obstruction during sleep, where breathing is interrupted or becomes shallow, resulting in decreased oxygen in the blood and micro-arousals that fragment sleep. The objective is to understand the connection between orthodontic or orthopedic treatments and the improvement they produce in this disorder. Identify the causes and consequences of obstructive sleep apnea in patients, as well as the effects of orthodontic treatments used to improve the condition. The search was conducted in PubMed, Scielo, Google Scholar, and Springerlink; MeSH terms "Sleep Apnea, Obstructive/therapy" AND Orthodontics.
ROOT RESORPTIONS ASSOCIATED TO ORTHODONTIC TREATMENT: A LITERATURE REVIEW
The dental movement produced by orthodontics involves mechanical forces that manage to induce inflammatory processes necessary to produce physiological changes in the periodontium. It is common for apical root resorption (ARR) to occur after orthodontic treatment, mainly affecting incisors and molars. Given its correlation with bone loss and tooth mobility, its early detection is crucial. The present article was carried out with the aim of identifying the cause and the most common type of root resorption in teeth undergoing orthodontic treatment, as well as the risk factors associated with its appearance. Methodology: A literature search was carried out using keywords such as "root resorption", "orthodontics", "orthodontic movement", "strength" and "etiology" in databases such as PubMed, Scopus and Google Scholar. A total of 3841 results related to the search patterns were found, from which 3113 studies not relevant to the topic were excluded, obtaining 668 in which the aforementioned exclusion criteria were applied, leaving 164 studies, which were read to select the studies most relevant to the topic, leaving 40, which were used in this narrative literature review. Conclusion: Root resorption (RR), which affects root cementum and dentin, is a common condition in orthodontics. To prevent and control this condition, early radiographs and proper management with moderate orthodontic forces are essential. Although pharmacological options exist, their use in practice is limited by side effects and lack of studies.
Root resorption. Orthodontics. Orthodontic movement. Force. Etiology.
AI INNOVATIONS IN DIAGNOSIS AND TREATMENT PLANNING IN ORTHODONTICS
Digital dentistry, initiated in 1973 by Professor François Duret, has evolved considerably in orthodontics, through the use of digital flow and artificial intelligence (AI). These technologies enable accurate diagnosis, prognosis and treatment. AI has greatly improved the efficiency of diagnosis and treatment planning in orthodontics, with increasing applications due to advances in algorithms, processing and data availability. Objective: Evaluate AI applications for diagnosis, orthodontic treatment planning and improving patient satisfaction. Conclusion: The integration of AI into orthodontics has significantly transformed the way treatment is diagnosed, planned and administered, offering notable advantages in terms of precision and efficiency. However, its use presents challenges, such as the need for specialized training, prior professional experience to determine reference standards and the integration of these technologies into clinical practice. As technology continues to advance, the tools used will be improved and the current limitations overcome.
CANDIDEMIA, A BRIEF BIBLIOGRAPHIC REVIEW
Candidemia is considered one of the complications of infections caused by Candida fungi in hospitalized patients, resulting in high mortality and morbidity rates. It is a systemic infectious process originating from species of the Candida genus, recognized as the fourth most prevalent cause of bloodstream infections. Therefore, the aim of this work is to conduct a concise literature review addressing topics such as candidemia, resistance, virulence factors, diagnosis, and treatment. For this purpose, a literature review was conducted with secondary data analysis on candidemia in hospitalized patients. Various repositories were used, such as BVS Brazil, Scielo, Pubmed, LILACS, Elsevier, and Medline, with specific descriptors. Studies in Portuguese, English, and Spanish from 2018 to 2023 were included, covering case studies, clinical studies, and systematic reviews, while works outside this period and criteria were excluded. The literature review highlights the growing concern with candidemia due to its high morbidity and mortality, especially in hospitalized patients. Given the diversity of Candida species and their virulence factors, such as Candida auris, multidisciplinary approaches involving clinical evaluation, laboratory cultures, and molecular techniques are crucial for effective diagnosis and treatment, requiring epidemiological monitoring to guide control and prevention strategies.
candidemia, candida, resistance, virulence factors, Candida auris
KNOWLEDGE GAPS OF LATENT TUBERCULOSIS AND DEVELOPMENT OF APPLICATION TO DIAGNOSE AND TREAT TUBERCULOSIS AND LATENT TUBERCULOSIS IN CHILDHOOD
Objective: To identify knowledge and attitude gaps among healthcare professionals regarding the management of LTBI and to develop an application to assist in diagnosing and treating LTBI and active TB in childhood. Methods: Pilot study of developing and testing a prototype application divided into three stages: pre-test, validation with experts, and implementation in primary care. Statistical analysis included calculating the mean, as well as measures of central tendency and dispersion. Results: There were 24 volunteers who responded to the pre-test; 20 responded to the usability questionnaire, and 9 provided personal data. Regarding knowledge gaps, the main one identified was regarding which household contacts should receive treatment for TB prevention, especially in the absence of tuberculin testing. The application was well-received and evaluated as easy to use. Conclusions: The present study showed that the application will be well accepted by primary care health professionals as the majority agree that its use will facilitate the diagnosis of TB and LTBI in childhood and the prescription of treatment.
Pulmonary Tuberculosis, Latent Tuberculosis, Technology, Mobile Applications