Revista Brasileira Multidisciplinar

Expansão da citricultura no estado de São Paulo (2000 – 2022): novas regiões produtivas e concentração da produção

PAULO, Helena Carvalho De Lorenzo , Vera Mariza Henriques de Miranda Costa — Mon, 01 Sep 2025 00:00:00 -0300

This article analyzes the changes that have occurred in the structure of citrus production in the State of São Paulo since the 2000s, when the Citrus Agroindustrial Complex (CAI) expanded globally, gaining new markets, technological self-sufficiency, and greater operational capacity. This is a qualitative and quantitative study, of an exploratory nature, with a historical and descriptive perspective, based on secondary sources, which mapped 20 years of orange production. The study identified the presence of new production regions, the intensive use of technology, changes, and strong land concentration that led to the exclusion of approximately 14,000 small and medium-sized producers without a minimum production scale. It revealed the role of Fundecitrus, which changed its institutional profile with the use of science and technology, contributed to increasing the verticalization of production, and strengthened the capitalist strategy of maintaining the largest and most efficient system for transforming renewable natural resources into financial resources.

Socioeconomic profile and agricultural practices of farmers in traditional communities of Jangada, Mato Grosso, Brazil

Mon, 01 Sep 2025 00:00:00 -0300

Agricultural diversity depends on natural conditions and the cultural and socioeconomic profiles of farmers. The present study aimed at assessing the socioeconomic characteristics of four contiguous traditional rural communities (Mutum, Vaquejador, Ribeirão das Pedras Acima and Quilombo) located in the municipality of Jangada, Mato Grosso, Brazil, and their effects on the preservation of agrobiodiversity. Semi-structured interviews involving at least half of all family units confirmed that small-scale agriculture was performed in all communities although Mutum presented the lowest proportion of farmers. Socioeconomic profiles of families were similar with agricultural activities conducted mainly by males of median age 56 years. Mutum showed the largest proportion of young people who had left the community (63.9 %), while Ribeirão das Pedras Acima had the highest percentage of new family units located in the same community (64.3 %). The main reasons for the departure of young people were deficient infrastructure (limited educational and health services) and inferior job opportunities. Our results demonstrate that reassessment of public policies and educational strategies in rural communities is necessary to stimulate the appreciation of traditional agricultural knowledge and practices, and to persuade young people to remain by breaking the maxim that urban living is superior to country reality.

Use of the term indian: between stigmas and impostures of the indigenous way of being

Mon, 01 Sep 2025 00:00:00 -0300

This essay brought to the light, the debate concerning the use of the widespread term indian, proposing to investigate the way in which this denomination affects the quality of the Multidisciplinary Indigenous Health Team workers. Defined as a qualitative exploratory and descriptive approach, our research took into consideration two theoretical-methodological axes: the hermeneutic-dialectic method as well as the Health Surveillance Model. Throughout the work, we showed that it is coherent to replace the generic name indian for a more affirmative reference of indigenous self-identification, in the exercise of an educative; supportive and critical citizenship, aligned with the dialogical and ethical process necessary in territories marked by intercultural coexistence. We conclude that it is not just about exchanging one word for another, but in how it highlights the expression of an improved cultural sensitivity, by guiding the ability to rethink some long-rooted conceptions. The permanent and coherent practice of the recommended healthcare model contributed to catalyze and encourage a sense of respect for cultural diversity, showing impact over the resolution actions, when in front of vulnerabilities and health needs of indigenous communities originating in Brazil.

Amazon Caviar – Profile of fatty acids, omegas and lipid quality indeces in roes of Arapaima gigas

Mon, 01 Sep 2025 00:00:00 -0300

The study evaluated the fatty acid profile, omegas, and lipid quality indices in roes of paiche (Arapaima gigas) to determine its viability as the "Amazonian Caviar." A total of four samples were analyzed in triplicate, obtained from 20 fish with an average weight of 4.5 kg, sourced from a fish processing agroindustry in Rondônia registered with SISBI-POA. The roe was lyophilized for the analysis of dry matter, minerals, crude protein, and total lipids. Lipid extraction used 3.5 g of sample and ethanol/chloroform solvents. Minerals with daily value percentages (DV%) above 15% were considered sources, such as iron (women), calcium, and magnesium; below 15%, they were classified as rich, including iron (men), potassium, and sodium. The roe showed 2.3% omega-6, 1.75% omega-3, 1.71% omega-9, and 8.68% omega-7, along with atherogenicity (0.85%), thrombogenicity (1.90%), and h/H (0.73%) indices.

Analysis of SENAR's ATeG in dairy properties in the Tijuco river basin in Uberlândia

Mon, 01 Sep 2025 00:00:00 -0300

The aim of this study was to analyze whether the goals of the Technical and Managerial Assistance (ATeG) methodology were achieved and the impacts of the program on dairy producers assisted in the Tijuco River Basin in Uberlândia/MG. A bibliographic-documentary research method was used, allowing the collection of primary information obtained from the Technical and Managerial Assistance Management System (SISATEG). This information was organized into two categories of analysis: Productive Indicators and Economic Indicators. According to the results, it was observed that there was no significant change in the productive indicators during the period, following a market trend where there was a reduction in the values found in properties assisted by ATeG, similar to the reduction occurring in properties in Minas Gerais and Brazil as a whole. However, the analysis of economic indicators shows that there was more assertive and balanced managerial control by the dairy properties assisted by ATeG. Even in a period of extreme concern for the sector, with rising input prices and all production costs, the properties assisted by the program achieved significant improvements in gross margin, net margin, and profit per liter of milk produced. According to the evaluation of the producers themselves, the assistance provided by ATeG is rated in the excellence zone according to the Net Promoter Score (NPS) satisfaction assessment methodology.

Spicy sweet and sour sauce based on products from amazonian fruit farming and meliponiculture: technological development, physicochemical characterization, and sensory analysis

Mon, 01 Sep 2025 00:00:00 -0300

The Amazon region is a treasure trove of exotic ingredients with authentic flavors rich in bioactive substances that contribute to the socioeconomic development of traditional populations. The objective of this work is to analyze the acceptability and physicochemical characteristics of different formulations of a food sauce based on products from Amazonian fruit farming and meliponiculture. The sauce was made using samburá and stingless bee honey, cupuaçu pulp, pepper in varying proportions. The proximate composition ranged from 1.48 ± 0.06 g/100 g to 1.61 ± 0.12 g/100 g for proteins, 0.78 ± 0.14 g/100 g to 0.80 ± 0.05 g/100 g for lipids, and 68.74 ± 0.01 g/100 g to 66.95 ± 0.29 g/100 g for carbohydrates, determined according to official AOAC methods (Associaton of Official Analytical Chemists). The highest purchase intent percentages for the spicy sweet and sour sauce were observed for the formulation containing the lowest concentration of samburá and the highest concentrations of honey and cupuaçu pulp (Formulation A). It was possible to develop an innovative product with ingredients from Amazonian biodiversity, with good sensory acceptance and purchase intent. Additionally, the sauce showed desirable physicochemical properties and significant nutritional value, making it a viable alternative to family production systems, promoting the local bioeconomy.

Listeria spp. isolated from fishes and antimicrobial resistance.

Mon, 01 Sep 2025 00:00:00 -0300

The genus Listeria is a group of bacterial species that are highly pathogenic in humans. It has been identified in a range of foods, particularly animal products, acting as a conduit for pathogens to humans and a reservoir for antibiotic-resistant microorganisms. The objective of the study was to investigate the prevalence and antimicrobial resistance of Listeria spp. in fish sold in Cuiabá, Mato Grosso, Brazil. A total of 72 samples of two species of freshwater fish were obtained and separated into 12 combinations, resulting from the interaction of three factors: species (leather/scale), marketing methods (fresh/frozen), and establishments (market/fish market). The presence of Listeria spp. was confirmed in 44 samples, with the highest occurrence of Listeria innocua. The examination of the data revealed that the species was the sole factor associated with the presence of Listeria spp. It was observed that leather fish exhibited a higher susceptibility to contamination. The isolates demonstrated high resistance to oxacillin (88.72%) and greater sensitivity to chloramphenicol (100%). Accordingly, the identification of this microbial agent within the samples under investigation underscores the imperative for monitoring its prevalence. In this context, chloramphenicol represents the preferred antibiotic for the eradication of Listeria spp.

Evaluation of lab lab extract (Lablab purpureus) as an antioxidant additive to biodiesel

Mon, 01 Sep 2025 00:00:00 -0300

There is a growing interest in advancing the development of biofuels, with biodiesel entering the Brazilian national market. The oxidative stability of biodiesel, or induction period (IP), is one of the important factors for determining the quality of this biofuel, thus allowing its commercialization and ensuring its validity during storage. Biodiesel is formed by methyl or ethyl esters with the presence of unsaturations from the raw material used in the synthesis, making it susceptible to the oxidation reaction. Natural extracts are replacing antioxidant additives of synthetic origin. This research aimed to evaluate the influence of adding lab lab leaves extract as a natural antioxidant additive on the oxidative stability of biodiesel and kinetic parameters. Samples containing extract showed higher induction periods and lower rate constants when compared to the control in the test at a temperature of 110°C. Since the leaves have low costs, lab lab extract with antioxidant properties has potential for commercial application to increase the oxidative stability of biodiesel.

Technical and economic feasibility of implementing rural photovoltaic farms in relation to beef cattle production

Mon, 01 Sep 2025 00:00:00 -0300

The main objective of this work was to carry out a comparative study of the feasibility of implementing rural photovoltaic farms in relation to the production of beef cattle in different states in Brazil. The study aims to assist rural producers with the decision to occupy a rural area with a photovoltaic generation system, while it could be used for agricultural production. Since, due to its agricultural vocation and food supply needs, this area would be unavailable for production for the duration of the system's useful life. Therefore, data were collected in relation to production costs in beef cattle farming, as well as the costs for implementing photovoltaic systems. Based on these data, it was possible to calculate the profit for each of the activities, subtracting the costs associated with production from the revenue obtained through the sale of inputs. Finally, cash flows were prepared and the net present value - NPV for each activity was subsequently calculated. Photovoltaic energy generation resulted in the highest NPV in all states, with Paraná standing out with a VPL of R$4,340,184.85. Beef cattle farming proved to be a low-return activity, the State of Goiás obtained the best results for this activity with a NPV of R$ 12,469.65. However, both activities proved to be viable due to having VLP greater than zero.

Análise de viabilidade econômica de implantação de minigeração distribuída utilizando cavaco de madeira em indústria cimenteira

Gabriel Jackson da Silva, Clainer Bravin Donadel — Mon, 01 Sep 2025 00:00:00 -0300

Entende-se que o caminho para a sustentabilidade esteja relacionado as energias renováveis pois, a partir delas, a sociedade alcançará uma redução da emissão de gases poluentes na atmosfera. A queima de cavaco de madeira, usada em plantas industriais cimenteiras para secagem de escória, é uma alternativa energética sustentável e rentável. Este trabalho apresenta uma análise de viabilidade econômica de uma usina de minigeração distribuída utilizando cavaco de madeira como fonte de energia, com foco na indústria cimenteira. A pesquisa visa avaliar a viabilidade dessa tecnologia, considerando detalhadamente os aspectos econômicos envolvidos. Foram criados diferentes cenários para avaliar se é viável usar cavaco de madeira para gerar energia elétrica e reduzir custos para a indústria cimenteira. A análise econômica revela que, apesar dos investimentos iniciais, a tecnologia pode proporcionar uma redução substancial nas despesas com energia elétrica a longo prazo. Adicionalmente, a utilização dessa tecnologia pode favorecer uma maior autonomia energética para a indústria de cimentos, por meio da utilização de uma fonte de energia renovável e acessível na região. O estudo concluiu que a usina de minigeração distribuída é uma opção sustentável e vantajosa para a indústria de cimentos, contribuindo para a eficiência energética e a diminuição de despesas operacionais.

Sorção de antimicrobianos veterinários em um solo argiloso brasileiro e em turfa

Professor, Professor, Professor, Professor — Mon, 01 Sep 2025 00:00:00 -0300

O destino de antimicrobianos veterinários (AVs) no ambiente é um assunto preocupante devido aos sistemas intensivo de produção de aves e bovinos. Antimicrobianos são amplamente utilizados na medicina veterinária, podendo contaminar o meio ambiente por meio de lançamento no solo e sofrer transformações, transporte e retenção. A retenção pode ser estimada pelo coeficiente de partição entre o solo e a solução do solo (Kd), sendo determinada por ensaios de sorção. Este estudo apresenta a validação de método por cromatografia líquida de alta eficiência com detecção por fluorescência (Flu) e ultravioleta (UV) (HPLC-Flu-UV) de oito AVs, ciprofloxacina, enrofloxacina, norfloxacina (fluoroquinolonas), amoxicillina (β-lactâmico), tilosina (macrolídeo), lincomicina (lincosamida), sulfadiazina (sulfonamida) e trimetoprima (pirimidina) para determinar e comparar os valores de Kd em um típico solo brasileiro argiloso e em turfa, rica em matéria orgânica e alto valor de capacidade de troca catiônica (CTC). As isotermas de Freundlich e Langmuir foram testadas e o modelo melhor ajustado foi o de Freundlich, com valores de coeficiente de sorção variando de 0,008 a 3,921 μg1−1/n(cm3)1/ng−1 para o solo (0,81% carbono orgânico, 29,6 mmolc kg-1, pH 4,8) e de 1,046 a 9,708 μg1−1/n(cm3)1/ng−1 para a turfa (24,52% carbono orgânico, 192,1 mmolc kg-1 CTC, pH 3,6). A alta solubilidade em água pode explicar a baixa influência da matéria orgânica ou da CTC na retenção dos AVs ENR e NOR em turfa. Os resultados ressaltam a importância dos estudos de sorção dos AVs em turfa, uma matriz pouco estudada e que pode influenciar no destino dos AVs no ambiente.

Perfil de atendimentos clínicos de farmacêuticos na atenção primária de um município de Minas Gerais

Mon, 01 Sep 2025 00:00:00 -0300

The role of the pharmacist in health services goes beyond promoting the rational use of medicines. This study aimed to evaluate the profile of clinical care provided by pharmacists in Primary Health Care (PHC) in a municipality in Minas Gerais. This is a quantitative, analytical, cross-sectional and retrospective study developed in Primary Health Care teams based on the verification of data contained in the Electronic Health Record of the information system used by the municipality. The research results showed that the profile of people served was mostly female and aged between 20 and 59 years. There was a higher prevalence of services distributed in relation to age groups by the pharmacist integrated into the Family Health Strategy when compared to the Expanded Family Health and Primary Care Center. The majority of consultations took place in 2019 and the main International Classification of Primary Care (ICPC-2) were Arterial Hypertension (K87) and Diabetes Mellitus (T90). The presence of the pharmacist in providing assistance throughout all life cycles is extremely important. The clinical role of the pharmacist favors gaining space and recognition within PHC and, consequently, throughout the health system.

Keywords: Pharmaceutical Care; Pharmaceutical Assistance; Primary Health Care.

evolution of vaccination coverage and the covid-19 pandemic impacts on routine immunization targets for children under one years old in brazilian northeast.

Mon, 01 Sep 2025 00:00:00 -0300

Vaccination is essential for preventing infectious diseases, representing a cost-effective health investment. However, vaccine coverage in Brazil has declined in recent years, particularly during the COVID-19 pandemic, leading to the resurgence of preventable diseases, as well as delays in the childhood vaccination schedule. In this sense, this study aimed to analyze the evolution of vaccine coverage and the impacts of the COVID-19 pandemic on routine immunization goals in children under 1 year of age in the Northeast region of Brazil between 2013 and 2021. This was an ecological and observational study that used secondary data (SINASC, SI-PNI, IDH-IBGE), as well as the In-Loco Social Isolation Index (IIS), to determine annual vaccine coverage rates, as well as possible correlations using the linear regression method. The results showed that 6 out of 8 vaccines reached vaccination targets in 2013, only 3 in 2016, and no vaccine reached the target during the pandemic. The correlation between the IIS and vaccine coverage was significant (p <0.05), while the Human Development Index (HDI) was not sufficient to explain the decreases in vaccine coverage rates. This study highlights the serious vaccine situation of children in the Northeast of the country, the population most affected by the indirect effects of the pandemic. Social isolation factors were determinants for this backward scenario, while social variables were not represented by the Human Development Index, despite potentially being related to the reduction in vaccine coverage rates.

Impact of COVID-19 on medicines spending in an intensive care center in Manaus/AM

Sabrina Santarém de Moraes, Vivian do Nascimento Pereira, Marcelo Campese — Mon, 01 Sep 2025 00:00:00 -0300

The study addresses the analysis of the impact of COVID-19 on medication spending in an ICU in Manaus/AM. This is a cross-sectional and retrospective study using data from medication use reports and hospital indicators for the months of January and February 2020, 2021 and 2022. The ABC Curve was performed on medication consumption and classification of total amounts spent by group main anatomical (ATC classification) and by medication. During the 2nd wave of COVID-19 (2021), beds increased by 244% and care increased by 139%, reflecting an 841% expenditure on medicines compared to the same period in 2020. In 2022, with the vaccine available, the number of cases of COVID-19 increased by 20%, but spending on medicines in the ICU reduced by 85.2%. Medications related to the Nervous System were the most consumed during the months of the study, highlighting fentanyl and medications listed as intubation kits, classified among those of greatest economic relevance. Data analysis confirms that care for patients with COVID-19 had an impact on medication spending, highlighting that management methods such as the ABC Curve can direct the manager to plan inventory more precisely even in the face of a health crisis with the COVID-19 pandemic.

Sexual violence: epidemiological characterization of rape cases in the state os Maranhão

Mon, 01 Sep 2025 00:00:00 -0300

Summary: The development of actions and policies to combat sexual violence occurs through a careful analysis of the numbers of the cases reported by the health services responsible for caring for people in situations of violence. The study aimed to characterize the epidemiological profile of rape cases in the state of Maranhão (2019-2022). Using an ecological approach and data from DATASUS, it identified a predominance of female victims (95.04%), mixed race (72.83%), and an age group of 10 to 14 years (44.43%). "Friends/acquaintances" were the main authors (27.25%), with 79.69% of the author's life cycle recorded as "ignored". The "residence" was the main location of incidents (69.23%). The results offer a comprehensive view of the sociodemographic panorama of rapes in the state, highlighting the epidemiological importance and contributing to prevention and intervention strategies.

The operationalization of e-SUS APS in the dynamics of multidisciplinary teams in a Recife Health District

Mon, 01 Sep 2025 00:00:00 -0300

In Brazil, e-SUS APS represents the main computerization strategy for Primary Care, committed to qualifying health information and care management. The objective of this study was to understand the operationalization of e-SUS regarding registration, monitoring and evaluation from the perspective of multidisciplinary teams in the city of Recife – PE. This is an exploratory study, with a qualitative approach, carried out with eight professionals from multidisciplinary teams from Health District I, Recife – PE. Data were collected through interviews with a semi-structured script and analyzed according to Content Analysis. The results indicate that computerization in PHC is still compromised by the lack of equipment and structure, coupled with poor compatibility with the dynamics of eMulti. Despite this, e-SUS is considered a promising resource for PHC care.

Microbiological profile of patients with urinary tract infection admitted to the Covid ICU of a reference hospital

Mon, 01 Sep 2025 00:00:00 -0300

Introduction: The Covid-19 pandemic, a highly transmissible disease that has surpassed the milestone of millions of deaths worldwide and has been demanding major challenges for health systems. Many patients require an intensive care unit, which can make them more vulnerable to the risk of infection. In this context, urinary tract infection is one of the most frequent causes of infectious pathology found in medical practice. This study aims to identify the microbiological profile of patients with urinary tract infections admitted to the Covid ICU of a reference hospital. Method: descriptive exploratory study, with a quantitative approach. Carried out through documentary analysis of the results of 23 urine cultures from April to December 2020, in a reference hospital in Pernambuco. Results: Urinary tract infections (UTI) predominated in females (56.52%), with the most affected age group being 66 to 80 years, in both sexes (57%). The most present microorganisms were Klebsiella pneumoniae (26%), followed by Enterococcus faecium (22%), followed by Escherichia coli and Pseudomonas aeruginosa with the same percentage (13%). There was greater resistance to pyrazinamide, amphotericin B and habekacin, and greater sensitivity to amikacin, followed by co-trimoxazole. Conclusion: This study identified the epidemiological profile of patients with urinary tract infections admitted to the covid-19 ICU, highlighting the importance of the study to assist healthcare professionals in observing and identifying possible risks in the genitourinary system and renal function of patients. patients affected by covid-19.

Perceptions of patients with diabetes mellitus regarding multiprofessional assistance in the family health strategy

Mon, 01 Sep 2025 00:00:00 -0300

Type 2 Diabetes Mellitus (T2DM) is one of the leading causes of morbidity and mortality. Brazil has a high incidence of T2DM, ranking fifth worldwide. Primary Health Care (PHC) plays a crucial role in the management of T2DM through the Family Health Strategy (FHS) and multiprofessional teams. The aim of this study is to comprehend the perception of female users diagnosed with T2DM regarding the assistance provided by the multiprofessional team in the Family Health Strategy. This is a descriptive, qualitative study conducted in a municipality in the southeastern region of Mato Grosso, with female users diagnosed with T2DM and followed up by an FHS. Data were collected through semi-structured interviews and subjected to thematic content analysis. The ethical aspects of research with human beings were ensured. Eight women participated in the study, and two categories emerged from the interviews: “Bond and welcoming relationship between users and the multiprofessional team” and “Perception of the educational activities carried out by the multiprofessional team in disease management.” The importance of establishing bonds and the positive perception of the welcoming approach were noted. However, some users expressed dissatisfaction with communication and the lack of information about T2DM during consultations. There is a perceived need for improvements in communication between professionals and users, emphasizing the importance of health education to promote changes in lifestyle habits and better management of T2DM.

Antioxidant potential of peel off facial mask with ethanolic extract of Cochlospermum regium

Mon, 01 Sep 2025 00:00:00 -0300

The present work is dedicated to developing a peel-off facial mask formulation with ethanolic extract from the leaves of Cochlospermum regium (Schrank) Pilger, as well as evaluating its antioxidant activity and comparing it with a commercial mask. A peel-off facial mask base containing the ethanolic extract of C. regium leaves was prepared and tested for its stability and antioxidant potential. The antioxidant activity was investigated through the mechanism of 2,2-diphenyl-1-picrylhydrazyl (DPPH) free radical scavenging and compared with a commercially available facial mask marketed as an antioxidant product. The C. regium peel-off mask exhibited good viscosity, spreadability, color, odor, and film formation. In terms of antioxidant activity, the formulation showed an IC₅₀of 5.10, close to that of the control, ascorbic acid, whereas the commercial facial mask did not demonstrate the advertised activity (IC₅₀ > 250). The results are novel and promising for the use of C. regium extracts in cosmetic products, as the developed formulation allows for easy application and removal, in addition to excellent antioxidant activity that may help prevent or reduce skin disorders associated with oxidative stress.

Physical-Chemical Stability and Microbiological Evaluation of a Moisturizing Emulsion Produced with β-Carotene Extracted from Carrot Peel

Ana Camile Bueno, Sandra Inês Adams Angnes Gomes, Maria Aparecida de Souza — Mon, 01 Sep 2025 00:00:00 -0300

Abstract: The average food waste in households is approximately 41.6 kg per person per year. This waste mainly occurs due to inadequate management throughout the entire production and consumption chain. Among the improperly discarded materials are fruit and vegetable peels, which have great potential for reuse. These types of waste are rich in bioactive compounds, such as carotenoids, which possess antioxidant activities and provitamin A properties. Aiming at the reuse of this waste, the present study extracted β-carotene, a compound from the carotenoid group, from carrot peels and incorporated it into oil-in-water emulsions. The produced emulsion underwent physical-chemical stability tests, such as centrifugation, preliminary stability, organoleptic characteristics, pH, and density, as well as microbiological evaluation. The results showed that the emulsion is stable, with no evidence of degradation-related alterations, and its microbiological load is within the limits established by current legislation. Therefore, the use of β-carotene extracted from discarded carrots in emulsions proved to be promising in terms of both physical-chemical and microbiological stability.

Keywords: Carrot waste; Carotenoids; Emulsion systems; Stability.

Indigenous peoples and the challenges of accessing the right to health as a way of preventing conflicts in the judiciary and the achievement of citizenship

Marcia Aparecida Salatini Dos Santos Gallatti, Augusto Martinez Perez Filho — Mon, 01 Sep 2025 00:00:00 -0300

This article explores the challenges faced by indigenous peoples in Brazil in accessing the right to health, guaranteed constitutionally and by international treaties. Although the creation of the Indigenous Health Care Subsystem by Law 9,836/1999 represents a legislative advance, practical application still faces difficulties. Among the main obstacles are the precariousness of health infrastructure, the lack of financial resources, the absence of efficient public policies and the devastation caused by illegal activities, such as mining and deforestation. The study uses a qualitative approach and the deductive method to evaluate how important these factors are in maintaining the health crisis in indigenous communities. The analysis suggests that, in addition to greater government commitment, a more humanized and sensitive approach to the cultural and geographic specificities of this population is necessary to guarantee the full exercise of the right to health and the promotion of citizenship.

O Toque do Cuidado: Enfermagem e a jornada da amamentação

Mon, 01 Sep 2025 00:00:00 -0300

Breast milk is the most important food for a child, as it meets their nutritional needs, especially in the early years of life. The recommendation is that breastfeeding should begin in the delivery room within the first hour of life and, preferably, be exclusive during the first six months and continue for at least up to two years of age. However, studies conducted in Brazil have revealed that the duration of breastfeeding is still not in accordance with the Ministry of Health's guidelines, highlighting the need for the involvement of healthcare professionals who work directly in maternal and child care, particularly nursing professionals. Therefore, the objective of this study is to identify and describe the main nursing care practices in breastfeeding through a literature review conducted in the LILACS, BDENF, and MEDLINE databases via BVS. The primary care that the nursing team can provide to mothers during the breastfeeding period includes prenatal education, proper latch assessment, emotional support, milk production evaluation, assessment and resolution of complications, promotion of exclusive breastfeeding, education on breast milk storage, promotion of skin-to-skin contact, assessment of the health status of the mother and baby, and postnatal care counseling. Thus, nursing must remain committed to providing quality care, ensuring that more mothers and children can enjoy the long-lasting benefits of breastfeeding.

Application and Benefits of Self-Activated Phthalocyanine in Dentistry: An Integrative Review

Mon, 01 Sep 2025 00:00:00 -0300

The objective of this study was to conduct an integrative literature review regarding the properties of Phthalocyanines and the benefits of their application in dentistry. A bibliographic search was conducted using the MEDLINE/PubMed database for the period from 2020 to 2022. The search terms used were "phthalocyanine" AND "dentistry." A total of 8 articles were included in the review. In vitro and in vivo studies demonstrated the self-activated phthalocyanine with potential antibacterial, antifungal, antibiofilm, antiviral effects, non-cytotoxic characteristics, and positive effects in complementary therapy for periodontal disease and tissue repair. Phthalocyanine exhibits excellent antimicrobial properties against bacteria, fungi, and viruses, along with low cytotoxicity, showing promising results in wound healing processes. It can be considered a suitable chemical agent for post-operative control.

Intersections between the gut-brain-microbiota axis and the pathophysiological mechanisms of depressive disorders: a narrative review.

thiago victor ayrolla da rocha, Adrielli Tenfen Voltolini, Vivian Binder Neis — Mon, 01 Sep 2025 00:00:00 -0300

Depression impacts millions of people globally, with severe individual and societal repercussions. Despite decades of efforts, its etiology remains uncertain. A growing body of literature has been dedicated to exploring the interactions of the gut-brain-microbiota axis and its association with the onset and progression of neurological and neuropsychiatric conditions, including depression. In this article, we review the literature on the intersections between the mentioned axis and the pathophysiological mechanisms of depressive disorders. To do so, a search for full articles published from 2018 onwards, indexed in the PubMed/MEDLINE database, was conducted. We address the components of the gut-brain-microbiota axis, the function of the intestinal barrier, the role of the autonomic nervous system, and the hypothalamus-pituitary-adrenal axis in the interactions between the brain and gut, in addition to the apparent link between stress, dysbiosis, and depression mediated by pro-inflammatory cytokines. Although it is not possible, given the current body of evidence, to establish a causal relationship between gut dysbiosis and depression, understanding the intersections between these two conditions paves the way for research aimed at determining biomarkers and contributes to expanding the scope of therapeutic interventions.

Grupo de estudos de filosofia na sala de aula: uma experiência PIBID

Mon, 01 Sep 2025 00:00:00 -0300

Trata-se de apresentar o relato de experiências PIBID a partir da criação de grupos de estudos de filosofia na Escola Estadual Benedita de Castro Lima. Com o objetivo de iniciar os graduandos na docência e preparar os estudantes do ensino médio para prova do ENEM, o esforço foi direcionado para a leitura, interpretação e discussão de textos clássicos. Tal atividade se mostrou produtiva na medida em que as leituras despertaram o interesse dos alunos, melhorando suas habilidades de redação e resultando em bons desempenhos no ENEM. Os relatos dos estudantes secundaristas evidenciam que o PIBID enriqueceu as aulas de filosofia, trazendo dinamismo e permitindo que os pibidianos, supervisionados por um professor, liderassem grupos de estudos. Essa prática aprimorou as capacidades de leitura, compreensão e discussão de textos filosóficos dos alunos, que vivenciaram um acompanhamento direto. Além disso, a experiência foi benéfica para os graduandos, que puderam exercitar diversas atividades docentes, como a condução de grupos, seleção de textos, discussão e realização de atividades escritas. O PIBID impactou positivamente a educação pública, fornecendo ferramentas teóricas aos alunos e inspirando-os a considerar a universidade como um caminho possível. Para os licenciandos, a iniciação à docência revelou-se uma oportunidade singular de confirmar sua vocação docente.

Editorial

Helena Carvalho De Lorenzo, Maria Lucia Ribeiro, Revista Brasileira — Mon, 01 Sep 2025 00:00:00 -0300