International Seven Journal of Multidisciplinary
The International Seven Multidisciplinary Journal (ISMJ) ISSN- 2764-9547 is a journal dedicated to the publication of articles and studies related to all areas of knowledge, with bilingual publications in English, Spanish and Portuguese.
TREATMENT OF ORBITAL FRACTURES: SURGICAL AND CONSERVATIVE APPROACHES
Orbital fractures are common and complex facial trauma injuries, with the potential to cause significant functional and aesthetic impairments such as diplopia and enophthalmos. Proper management depends on accurate diagnosis, often supported by Computed Tomography (CT), to identify emergencies such as Orbital Compartment Syndrome and muscle entrapment in “trapdoor” fractures. Most cases allow for an initial conservative approach. However, surgery is indicated in the presence of persistent diplopia, significant enophthalmos, or large bony defects. Surgical techniques have evolved to include materials such as titanium meshes and personalized implants, although complications and the need for reintervention remain challenges, especially due to improper implant positioning.
Copyright (c) 2026 https://creativecommons.org/licenses/by-nc/4.0
AORTIC DISSECTION: THERAPEUTIC STRATEGIES AND MODERN GUIDELINES
Aortic dissection is a cardiovascular emergency with high morbidity and mortality, whose early diagnosis remains challenging due to its variable and often nonspecific clinical presentation. This article aims to critically review contemporary evidence on aortic dissection, with emphasis on diagnostic challenges, emerging pathophysiological mechanisms, and current therapeutic strategies. This is a narrative literature review based on articles published over the past five years and selected from the PubMed database. The findings highlight the relevance of clinical suspicion combined with the timely use of computed tomography angiography, as well as the complementary role of biomarkers and risk stratification tools. Recent advances have expanded the understanding of the disease’s pathophysiology, demonstrating the involvement of inflammatory, immunological, and genetic pathways, in addition to new clinical scenarios, such as aortic changes associated with prolonged use of left ventricular assist devices. It is concluded that the integration of early diagnosis, advanced pathophysiological understanding, and individualized management is essential to reduce mortality and improve the care of patients with aortic dissection.
Copyright (c) 2025 https://creativecommons.org/licenses/by-nc/4.0
DEMENTIA WITH LEWY BODIES: CLINICAL AND PHARMACOLOGICAL MANAGEMENT STRATEGIES
Dementia with Lewy bodies (DLB) is a progressive neurodegenerative disease characterized by the pathological accumulation of α-synuclein in the central nervous system and represents the second most prevalent cause of neurodegenerative dementia after Alzheimer’s disease (GALVIN, 2024; PRASAD et al., 2023). Clinically, it is manifested by cognitive fluctuations, recurrent visual hallucinations, spontaneous parkinsonism, and a high prevalence of sleep disorders, in addition to marked sensitivity to neuroleptics (WALKER; ZACCAI; QIZILBASH, 2015; ELDER et al., 2022). This study aimed to review the current evidence on the clinical and pharmacological management of DLB. This is a narrative literature review based on articles indexed in the PubMed database. The findings indicate that diagnosis is predominantly clinical, supported by biomarkers, and that treatment is essentially symptomatic, with emphasis on acetylcholinesterase inhibitors and multidisciplinary non-pharmacological interventions, which are fundamental to reducing iatrogenesis and improving quality of life (ALTY; LARNER, 2020; PARMERA et al., 2022).
IDIOPATHIC NEPHROTIC SYNDROME IN CHILDREN: DIAGNOSTIC STRATEGIES AND CURRENT CRITERIA
Idiopathic nephrotic syndrome (INS) in childhood is the most common glomerulopathy in pediatrics and is characterized by nephrotic-range proteinuria, hypoalbuminemia, and edema. Current diagnostic criteria include nephrotic proteinuria defined by a urinary protein-to-creatinine ratio ≥ 2.0 mg/mg (or ≥ 200 mg/mmol) associated with serum albumin < 30 g/L, with laboratory confirmation recommended before initiating treatment (Trautmann et al., 2023). Clinical classification guides management: steroid-sensitive nephrotic syndrome (SSNS) is characterized by complete remission within up to 4 weeks of prednisone, and the definition of frequently relapsing disease (≥ 2 relapses within 6 months or ≥ 3 within 12 months) supports early introduction of steroid-sparing strategies (Trautmann et al., 2023).Recent advances suggest that a subset of INS has a humoral autoimmune basis, with identification of anti-nephrin autoantibodies correlated with disease activity and response to B-cell–depleting therapies (Chan; Boyer, 2025), as well as models in which immune triggers induce anti-podocyte antibodies leading to podocyte injury (Al-Aubodah et al., 2025). In congenital forms (onset < 3 months), the etiology is predominantly genetic, and genetic testing is recommended as first-line evaluation (Boyer et al., 2021). Management includes corticosteroids and, in cases of frequent relapses or steroid dependence, steroid-sparing agents and rituximab in selected cases, with monitoring for hypogammaglobulinemia (Trautmann et al., 2023; Chan; Boyer, 2025). Additionally, evidence-based nutritional management is recommended, avoiding high-protein diets and adjusting sodium restriction according to the clinical phase (Lella et al., 2023; Trautmann et al., 2023). Biomarkers and genotyping support the transition toward precision medicine (Chan; Boyer, 2025; Vincenti; Angeletti; Ghiggeri, 2023).
VULVAR CANCER: CLINICAL AND ONCOLOGICAL MANAGEMENT STRATEGIES
Vulvar cancer is a gynecological neoplasm with low incidence, yet with significant clinical impact due to its frequently late diagnosis and the morbidity associated with treatment. In recent decades, a shift in its epidemiological profile has been observed, with an increase in cases among younger women, especially related to persistent infection with human papillomavirus (HPV) (OLAWAIYE; CUELLO; ROGERS, 2021; NOGUEIRA-RODRIGUES et al., 2025). Squamous cell carcinoma is the predominant histological subtype and develops through two etiopathogenic pathways: an HPV-dependent pathway, associated with high-grade vulvar intraepithelial neoplasia and a better prognosis, and an HPV-independent pathway, related to lichen sclerosus and differentiated vulvar intraepithelial neoplasia, which is more aggressive (SANCHEZ; RAFFI; KRAUS, 2022). Staging and inguinofemoral lymph node status are key prognostic determinants, reinforcing the importance of early diagnosis (PLANCHAMP et al., 2023). Treatment has evolved toward more conservative and individualized approaches, aiming to reduce morbidity without compromising oncological control (OLAWAIYE; CUELLO; ROGERS, 2021; JHINGRAN, 2022).
WEALTH MANAGEMENT AND ASSET ALLOCATION: STRATEGIES FOR HIGH-NET-WORTH INVESTORS AND STRUCTURED FAMILIES
This article examines how high-net-worth individuals and structured families organize, preserve, and grow their wealth through asset-allocation frameworks and portfolio-management practices. Drawing on empirical research in portfolio theory, global diversification, private banking, and family-office management, the discussion evaluates the applicability of classical models—such as the 60/40 portfolio, risk parity, and permanent portfolios—to the Brazilian market. It also analyzes the role of multimarket funds and international diversification in enhancing risk-adjusted returns for affluent investors, and compares active versus passive management strategies in private-banking and family-office contexts. Evidence suggests that wealth management for high-net-worth clients requires a combination of strategic allocation, disciplined rebalancing, global exposure, and governance structures that protect long-term capital amid changing economic regimes.
FULL-TIME EDUCATION: CHALLENGES AND POSSIBILITIES FOR THE HOLISTIC DEVELOPMENT OF STUDENTS
This article aims to analyze the possibilities and challenges of full-time education as an educational policy committed to the holistic development of students. It is a bibliographic study with a qualitative approach and a descriptive-analytical character, grounded in current research that discusses the role of the school in promoting meaningful learning, equity, and human development. The discussion highlights that the extension of school hours should not be limited to the mere increase of time, but should adopt a pedagogical perspective that integrates knowledge, values, emotions, culture, and social interaction. In this sense, the full-time school is strengthened as a space for building bonds, providing social protection, and expanding formative opportunities, contributing to student protagonism and the improvement of educational quality. Based on the analysis of academic productions, it was observed that the curriculum plays a central role in making the proposal effective, requiring interdisciplinary practices, participatory methodologies, and integration with educational territories. It is also evident that teacher training, adequate infrastructure, and collaborative school management are challenges that must be addressed to ensure the continuity and improvement of the policy. The results reinforce that full-time education can significantly contribute to reducing inequalities, strengthening citizenship, and promoting the full development of children and adolescents, especially in vulnerable contexts. It is concluded that the advancement of this proposal depends on investments, ongoing monitoring, and collective participation, in order to ensure that the extension of school time translates into the expansion of rights, learning, and life opportunities for all students. Thus, this study contributes to the educational debate by highlighting the relevance of holistic education as a path toward building a more human, democratic, and transformative school.
MANAGEMENT OF RANULA: TREATMENT PROTOCOLS AND OUTCOMES
A ranula is a pseudocyst resulting from mucous extravasation secondary to damage of the sublingual gland, showing variability in its growth rate and a high recurrence rate. The lack of consensus regarding a standard treatment stems from the diversity of clinical presentations and the range of available surgical techniques. The complex anatomy of the sublingual gland plays a decisive role in the formation of the ranula, which can be classified as oral, plunging, or mixed. Diagnosis is based on clinical examination and may be complemented by imaging exams, especially for plunging ranulas. Therapeutic modalities include conservative and surgical approaches, with micromarsupialization recommended for oral ranulas and radical excision of the sublingual gland being the most effective technique for recurrent or plunging cases. It is concluded that therapeutic choice should consider lesion extent, risk of recurrence, and the anatomical characteristics involved.
TREATMENT OF AMELOGENESIS IMPERFECTA: RESTORATIVE AND FUNCTIONAL APPROACHES
Amelogenesis imperfecta (AI) is a hereditary disorder that compromises the formation of dental enamel, affecting function, esthetics, and patients’ quality of life. This narrative review aimed to synthesize the main restorative and functional strategies described in the literature for managing AI. The literature search was conducted in the PubMed database, prioritizing publications from the past five years. The analyzed studies show that, in primary and mixed dentition, provisional treatment with stainless-steel crowns and direct restorations is essential to protect dental structure and preserve the vertical dimension of occlusion. In adolescents and young adults, direct and indirect restorative options, such as prefabricated veneers and ceramic crowns, provide good esthetic and functional outcomes. In more complex cases, full-mouth rehabilitation with an increased vertical dimension—especially using lithium disilicate crowns—demonstrates high predictability and durability. The literature also highlights the importance of a multidisciplinary approach and longitudinal planning. It is concluded that AI treatment must be individualized, considering age, phenotype severity, and functional demands, prioritizing structural preservation, esthetics, and full restoration of oral function.
BURNOUT IN HEALTHCARE PROFESSIONALS: A VISIBLE PROBLEM OR A NEGLECTED REALITY?
This study aimed to analyze, through a literature review, the occurrence of Burnout Syndrome among healthcare professionals, highlighting risk factors, consequences, and coping strategies. This is an integrative review based on the analysis of scientific publications available in the SciELO, LILACS, PubMed, and Google Scholar databases, from 2015 to 2025, in Portuguese, English, and Spanish. The literature indicates that burnout is characterized by emotional exhaustion, depersonalization, and reduced professional accomplishment, being especially prevalent among nurses and nursing technicians. The main risk factors identified include long working hours, emotional overload, direct contact with patients in distress, and lack of institutional support. Studies also show that the pandemic period intensified the syndrome’s prevalence, particularly among professionals working in Intensive Care Units. The consequences go beyond the individual level, affecting the quality of care and increasing absenteeism, turnover, and errors in healthcare services. It is concluded that, despite the growing number of studies on the topic, there is still institutional neglect regarding the mental health of healthcare workers, making it necessary to implement prevention strategies, psychological support, and public policies that prioritize occupational well-being.
PUBLIC HEALTH AS A SOCIAL SECURITY POLICY: THE BRAZILIAN CONTEXT
The present article analyzes public health as an essential component of social security in Brazil, reflecting on its historical, normative, and social dimensions. It begins with the understanding of social security as an integrated system that seeks to ensure well-being and social protection through health, social insurance, and social assistance. Health is treated here as a fundamental and universal right, constitutionally recognized, and as a structuring element for the realization of citizenship. The study discusses the role of the Unified Health System (SUS) as a central public policy for promoting equity, universality, and comprehensiveness in health care, highlighting the advances and limitations of its implementation. Based on a critical review of the literature and normative frameworks, the article analyzes the contradictions between the universal right to health and the challenges imposed by social inequalities, underfunding, and the growing influence of the private sector. The article also presents reflections on contemporary challenges, such as population aging, the expansion of service coverage, the impacts of health crises, and the social and economic transformations affecting public health in Brazil. It concludes that strengthening public health is imperative to ensure social justice and the effectiveness of social security.
INTEGRATION OF PALLIATIVE CARE INTO PRIMARY HEALTH CARE IN BRAZIL: SUMMARY OF A PREVIOUSLY PUBLISHED ARTICLE
The increase in life expectancy in Brazil and worldwide has required greater use of new approaches in medicine, including the expansion of the availability of previously existing demands, with particular emphasis on the role of palliative care (PC). This article aimed to summarize a previously published paper in the Revista Brasileira de Medicina de Família e Comunidade, which characterized the PC practices carried out by family and community physicians (FCP) in Brazilian PHC, according to the domains of the National Consensus Project for Quality Palliative Care. PC practices in PHC were shown to be limited by training gaps, low availability of qualified teams, difficulties accessing opioids, and insufficient approaches to psychosocial and communication aspects. It was concluded that the provision of PC in Brazilian PHC is restricted and depends not only on the competencies of FCPs but also on public policies that enable a structured multidisciplinary practice. Further studies are needed to deepen and compare these findings, as well as promote the strengthening of PC within the scope of PHC in the country.
THE EVOLUTION OF CRIMINAL POLICE IN THE CONTEXT OF PUBLIC SECURITY IN BRAZIL
This article analyzes the evolution of the Correctional Police (Polícia Penal) in Brazil, emphasizing its historical transformation, constitutional recognition, and strategic role in public security. After Constitutional Amendment No. 104/2019 officially established the federal, state, and district Correctional Police, the career underwent significant structural changes, shifting from na administrative activity to na essential police institution. The study examines the trajectory from traditional prison guards and penitentiary agents to the modern correctional police officer, who is trained to confront organized crime, manage risks, and cooperate with other security forces. The conclusion indicates that the evolution of the Polícia Penal is a fundamental institutional advancement for strengthening the prison system and enhancing public safety.
HIGH-PERFORMANCE FISCAL LEADERSHIP: HOW THE HANDS-ON STYLE STRENGTHENS RESULTS AND TEAM ENGAGEMENT
This article explores the role of high-performance fiscal leadership, emphasizing how a hands-on leadership style strengthens organizational results and team engagement in complex fiscal environments. It discusses the integration of participative leadership models that balance technical authority with empathy, focusing on critical aspects such as conflict management, technical capacity building, and motivation of multidisciplinary teams. By actively engaging in daily operations and fostering open communication, hands-on leaders cultivate a culture of accountability, continuous learning, and collaboration. This leadership approach equips teams to navigate regulatory complexities effectively while maintaining high motivation and resilience. The article highlights empirical findings and theoretical frameworks supporting the transformative impact of hands-on leadership on fiscal team performance and organizational success.
PAIN RELIEF IN ONCOLOGY WITH NON-PHARMACOLOGICAL MEASURES: A LITERATURE REVIEW
Oncologic pain is one of the most prevalent symptoms in patients with cancer and represents a significant challenge for the healthcare team, especially for nurses, who play a fundamental role in managing and relieving this suffering. Historically, the treatment of oncologic pain has been based on pharmacological approaches, such as the use of opioids, which, although effective, present limitations and important side effects. However, non-pharmacological practices have emerged as effective alternatives for pain control, providing relief from physical and emotional distress. The present study aims to analyze the applicability of non-pharmacological measures in relieving pain in oncology patients, highlighting the effectiveness of these practices and the role of nursing professionals in this process. This is an integrative literature review that included articles published in the last five years in databases such as PubMed, SciELO, and LILACS. The study emphasized that non-pharmacological interventions, such as music therapy, phytotherapy, and kinesiotherapy, are effective strategies for improving patients’ quality of life, reducing symptoms such as fatigue and insomnia. However, adherence to these practices is still limited, mainly due to the lack of knowledge and training among healthcare professionals. Moreover, the underuse of opioids remains a challenge in pain management, often due to patients’ and families’ fear regarding dependence and adverse effects. This resistance reinforces the need for health education to demystify the use of these medications and promote more effective pain control. The study also highlights the importance of multidisciplinary and individualized care, considering the particularities of each patient. Integration among nursing staff, physicians, and mental health professionals can optimize treatment, ensuring more humane care focused on patient well-being. It is concluded that the implementation of non-pharmacological interventions, along with public policies that encourage professional training, can significantly contribute to the control of oncologic pain. Investment in education, research, and integrated care is essential to provide more effective treatment, reducing patients’ suffering and promoting better quality of life.
SNELL LAW FOR AN ELECTROMAGNETIC PULSE TRAVELLING OVER A TORUS SURFACE AND SCATTERED BY A FLAT
We apply a new tool that is the Maxwell-Fredholm equations, to study the collision of an electromagnetic pulse with a flat surface of separation between the two parts of a torus-shaped artefact with a highly anisotropic refractive index that forces it to move over its surface. We find that it is possible to establish a relationship between the different angles involved depending on the parameters of the toroidal coordinates, which we call a particularization of Snell's law.
APPROACH TO FACIAL TRAUMA IN POLYTRAUMATIZED PATIENTS
Facial trauma in polytraumatized patients is a highly complex condition that requires a robust interdisciplinary approach, frequently associated with traffic accidents and high-energy injuries. This narrative review analyzes current management strategies, emphasizing the prioritization of hemodynamic stabilization and airway maintenance according to Advanced Trauma Life Support (ATLS) protocols, often postponing definitive facial treatment under the Damage Control doctrine. The findings indicate the superiority of surgical intervention with rigid osteosynthesis over conservative treatment in reducing functional and aesthetic sequelae, such as malocclusion and asymmetry. The study discusses specific challenges, such as the management of fractures in atrophic mandibles (which may require bone grafting according to the Luhr classification) and the need for immediate microsurgical replantation in cases of traumatic amputations.
ODONTOMA: SURGICAL APPROACHES AND CONSIDERATIONS IN CLINICAL MANAGEMENT
Odontoma is the most prevalent benign odontogenic tumor, accounting for approximately 22% of all odontogenic tumors according to the WHO. Classified as compound or complex, these hamartomatous malformations are often asymptomatic and incidentally diagnosed during routine examinations, commonly associated with eruption disturbances such as tooth impaction. This narrative literature review analyzed the surgical approaches and clinical management of these lesions, based on articles published in the last five years in the PubMed database. Accurate diagnosis depends on the correlation between clinical, histopathological, and imaging examinations, with Cone-Beam Computed Tomography (CBCT) being essential for planning in complex cases. The treatment of choice is surgical enucleation, which offers an excellent prognosis and a low recurrence rate. In cases involving associated impacted teeth, a multidisciplinary approach with orthodontic traction is often required. It is concluded that early diagnosis and meticulous surgical planning are essential to minimize complications and preserve adjacent structures.
ADVANCED STRATEGIES FOR OPEX PLANNING IN MULTINATIONAL ENVIRONMENTS
This article explores advanced strategies for operational expenditure (OPEX) planning in multinational environments, emphasizing the integration of strategic cost management, digital forecasting, and adaptive governance mechanisms. In the context of increasing globalization, volatile markets, and regulatory complexity, effective OPEX planning requires balancing global standardization with local flexibility. By combining activity-based costing, driver-based budgeting, rolling forecasts, and scenario analysis, multinational corporations can enhance resource allocation, improve responsiveness to market dynamics, and reduce financial uncertainty. The study also highlights the importance of data integration, digital platforms, and interorganizational cost transparency in achieving operational excellence. Empirical evidence from recent academic and practitioner research demonstrates that organizations employing advanced, data-driven OPEX planning achieve greater cost efficiency and strategic resilience across global operations.
CAUSES OF MORTALITY OF MICRO AND SMALL COMPANIES: A DETAILED ANALYSIS
Micro and small companies play a fundamental role in the global economy. However, many of them face significant challenges that lead to their premature closure. This review article explores the main causes of mortality in micro and small companies, providing information designed to help entrepreneurs overcome obstacles and promote the sustainability of their enterprises. The bibliographic research presented here adopted a qualitative approach to the data obtained. The central conclusion reached after the analysis is that the early mortality of micro and small companies cannot be attributed to a single internal or external factor, as these elements are interconnected and contribute to the success or failure of the business.
RIGHTS OF CHILDREN AND ADOLESCENTS IN AMAZONAS IN LIGHT OF HUMAN RIGHTS AND THE ECA
The protection of the rights of children and adolescents is a topic of great social and legal relevance, especially in the state of Amazonas, where socioeconomic and cultural challenges intensify the vulnerability of this population. This study analyzes the work of the Center for Assistance to Victims and Vulnerable Individuals – NAVIV/Recomeçar, an initiative aimed at promoting and guaranteeing the rights of children and adolescents, assessing its effectiveness in light of the principles of Human Rights and the Statute of Children and Adolescents (ECA). This bibliographical research seeks to understand how the program’s actions contribute to the realization of these rights, identifying advances, limitations, and possible paths for improving public policies directed at childhood and adolescence. The results show that NAVIV/Recomeçar has played an important role in building a more efficient and humanized protection network, operating in an intersectoral manner and aligned with the principles of comprehensive protection and absolute priority. The jurisprudential analysis of state courts reinforces the importance of judicial action in demanding the enforcement of the rights established in the ECA, especially in the face of state omission. In addition, the incorporation of the debate on the Digital ECA expands the discussion to virtual environments, revealing new dimensions of child and adolescent protection. It is concluded that the strengthening of public policies directed at childhood and adolescence in Amazonas depends on continuous investment, institutional coordination, and political commitment. For future research, it is suggested to conduct longitudinal evaluations of the impact of NAVIV/Recomeçar, comparative studies among states in the Northern region, and analyses regarding the implementation of the Digital ECA in vulnerable territories.
SOCIOEMOTIONAL EDUCATION IN EARLY CHILDHOOD: PATHWAYS TO INTEGRAL AND AFFECTIVE DEVELOPMENT
Socioemotional education during early childhood is pivotal for fostering integral and affective development, laying foundations for emotional regulation, social competence, and lifelong well-being. This article synthesizes contemporary research demonstrating how socioemotional learning (SEL) programs enhance children's prosocial behavior, self-awareness, and cognitive skills. It highlights the neuroscientific underpinnings of early interventions and the critical role of caregivers and educators in nurturing emotional and social growth. Longitudinal evidence underscores the lasting impact of socioemotional education on reducing behavioral problems and improving academic success, supporting the case for its inclusion in early childhood curricula worldwide. The holistic development achieved through socioemotional education contributes not only to individual well-being but also to fostering resilient and cohesive communities.
STRATEGIES FOR MARKETING AND SALES CHANNEL DEVELOPMENT: THE IMPACT OF INDIRECT CHANNELS ON BUSINESS EXPANSION
This article explores the influence of indirect sales programs on commercial expansion and market share growth. Through a case study approach, it investigates strategic marketing and the development of distribution channels, focusing on how indirect sales via intermediaries such as distributors, retailers, and partners allow companies to broaden their reach, optimize logistics, and foster loyalty among sales partners. The findings connect theory to practical experience with channel creation and incentive management, demonstrating how effective marketing and channel strategies drive sustainable growth and partner engagement.
This paper investigates how goods assembled form ecosystem that determines their values independently of the price system. While this aspect has roots in old classical economic theory, it has periodically been overlooked in the development of consumer theory. It draws inspiration from the assertions by M. Douglas and B. Isherwood that nothing possesses inherent value and focuses on approaches of making correct choices by G. Gigerenzer, as well as examples drawn from the marketing systems of supermarkets, superstores, hypermarkets, and mega malls, where a diverse array of products is made available to buyers. The findings of this study suggest that interconnected goods within an ecosystem establish standards of exchange-values that significantly contribute to consumer choice.
Jorge Alejandro Silva Rodríguez de San Miguel
Intensive Physiotherapy in Elderly Patients: Prevention of Respiratory Complications and Optimization of Pulmonary Function
The aging population in intensive care units (ICUs) presents significant challenges due to the increased vulnerability of elderly patients to respiratory complications such as atelectasis and pulmonary infections. These issues arise from age-related anatomical and physiological changes that reduce lung elasticity, weaken respiratory muscles, and impair cough reflexes, exacerbating risks during critical illness. Intensive physiotherapy protocols are critical in geriatric ICUs to prevent these complications and optimize pulmonary function. These protocols typically include lung expansion techniques, airway clearance methods, early mobilization practices, and ventilatory support tailored to the unique needs of elderly patients. Evidence supports that these combined respiratory strategies reduce pulmonary complications, enhance clinical outcomes, decrease ICU length of stay, and improve functional independence. Implementing individualized physiotherapy plans within multidisciplinary teams further supports holistic recovery and better quality of life for elderly ICU patients.
The Impact of Orofacial Harmonization on the Quality of Life of Dental Patients: A Longitudinal Clinical Study
This longitudinal clinical study investigates the impact of orofacial harmonization (OFH) on the oral health-related quality of life (OHRQoL) of dental patients. While traditional dentistry focuses on functional and dental aesthetics, OFH integrates various procedures, such as botulinum toxin and dermal fillers, to achieve a more balanced facial appearance. The study aims to fill a gap in the literature by systematically assessing the subjective benefits of these treatments. A cohort of patients will be followed over a 12-month period, with data collected using validated patient-reported outcome measures, including the Oral Health Impact Profile (OHIP), at baseline, 3, 6, and 12 months post-treatment. We hypothesize that OFH procedures will lead to a significant and sustained improvement in patients' OHRQoL, particularly in psychosocial and functional domains. The findings will provide empirical evidence for the therapeutic value of OFH, contributing to the development of patient-centered treatment protocols and re-establishing these procedures as an integral part of holistic dental care.
Copyright (c) 2023 Anna Laira Malaquias Santiago https://creativecommons.org/licenses/by-nc/4.0
THE EVOLUTION OF THE SECURITY GUARD PROFESSIONAL PROFILE IN BRAZIL: SKILLS AND CHALLENGES
This study examines the evolution of the professional profile of security guards in Brazil, focusing on competencies required and challenges arising from technological, organizational and regulatory changes, assuming that the profession is undergoing a reconfiguration in which the combination of technical-operational knowledge, socioemotional skills and attention to occupational health becomes central to effective performance, the investigation integrated empirical evidence on training, working conditions and institutional arrangements, identified heterogeneity in training provision, gaps in occupational health programs and ambivalences in relations between the private sector and police forces, the results point to the need for modular curricula, certification mechanisms with practical assessments and policies that articulate regulation, training and worker protection, it is recommended to implement continuous qualification programs, ergonomic measures and psychosocial support, as well as the consolidation of interface protocols between companies and public bodies, in summary, an integrated agenda is proposed to promote professionalization, legal certainty and social valorization of the security guard category in the contemporary Brazilian context.
THE IMPORTANCE OF STRATEGIC PLANNING IN PRIVATE SECURITY MANAGEMENT
This study examines the importance of strategic planning in private security management, linking risk management, contractual governance, technology and human capital development, with a focus on practices that improve operational effectiveness and service continuity, a documentary and analytical review identified patterns connecting formal plans to higher compliance rates and coordinated incident response, the conclusions stress the need for initial diagnostics, well-defined indicators, technical contractual clauses and training programs, as well as the integration of technological investments with governance models that ensure interoperability and maintenance, it is recommended to institutionalize control panels, oversight committees and regular review cycles to support budgetary and operational decisions based on evidence, measures that contribute to organizational resilience, service quality and institutional credibility in the national context.
EGYPTIAN WAX DEPILATION: ORIGIN, TECHNIQUE AND EFFECTS ON SKIN HEALTH
The Egyptian wax hair removal method, with ancient origins, has gained prominence in contemporary aesthetics for combining tradition, effectiveness, and sustainability. This study aimed to investigate the origin, technique, and dermatological effects of Egyptian wax, emphasizing its therapeutic benefits and professional applicability. The research was based on a qualitative and descriptive literature review, gathering academic and technical publications addressing the natural composition of the wax, required care, and physiological reactions observed after the procedure. The analysis revealed that Egyptian wax, composed of honey, sugar, and lemon, provides efficient hair removal without harming the skin, offering moisturizing, antiseptic, and healing properties. The method favors epidermal regeneration, reduces folliculitis incidence, and improves skin texture and radiance. In addition to delivering aesthetic results, the technique contributes to well-being and environmental awareness, as it employs biodegradable ingredients and minimizes chemical impacts. Therefore, Egyptian wax is consolidated as a safe, therapeutic, and environmentally responsible practice, reaffirming the relevance of traditional knowledge integrated with modern cosmetology.
POST-WAXING CARE: EVIDENCE ON SOOTHING AND ANTI-INFLAMMATORY PRODUCTS
Hair removal is a widely used aesthetic procedure that, despite its hygienic and aesthetic purpose, causes microtrauma and inflammation to the skin, requiring specific care in the post-procedure period. This study aimed to analyze scientific evidence on the use of soothing and anti-inflammatory products in restoring the skin barrier after different hair removal methods. Through a qualitative bibliographic review, national publications from 2013 to 2022 were analyzed, addressing the physiological impacts of hair removal and dermocosmetic strategies to minimize irritation and inflammation. It was found that natural agents such as aloe vera, chamomile, marigold, and andiroba oil show significant efficacy in reducing erythema, burning, and edema, in addition to promoting tissue regeneration and deep hydration. It was also observed that the combination of antioxidants, vitamins, and phytotherapeutic compounds enhances soothing and protective effects. The results highlight the importance of well-structured post-depilation protocols that include cleansing, hydration, antisepsis, and photoprotection, promoting the physiological rebalancing of the skin and preventing complications. It is concluded that the use of soothing and anti-inflammatory products based on scientific evidence represents a safe and effective strategy in contemporary cosmetology, contributing to healthier and more sustainable aesthetic practices.