VOLUMETRIC EVALUATION OF BONE TISSUE BY SUBTRACTION IN CONE BEAM TOMOGRAPHS AFTER GUIDED BONE REGENERATION: REVIEW OF CURRENT CONCEPTS
Cone beam computed tomography (CBCT) has become an indispensable exam in dentistry as it allows accurate three-dimensional images with lower cost and radiation compared to conventional tomography. Among its applications, the subtraction of images obtained before and after guided bone regeneration (ROG) procedures stands out, a resource that allows objective measurement of volumetric changes in bone tissue. This chapter aims to critically review the literature on the use of subtraction in CBCT in the assessment of bone gains after ROG, highlighting its clinical applicability, limitations and scientific relevance. To this end, a systematic search was carried out in the SciELO, LILACS, MEDLINE and PubMed databases, covering articles published between 2000 and 2025. The studies analyzed indicate that the technique has been successfully used in different areas of Dentistry, such as alveolar preservation, maxillary sinus lifting and graft evaluation, in addition to presenting promising results in quantifying the effectiveness of regenerative protocols. It is concluded that CBCT subtraction constitutes a promising and reliable tool for volumetric assessment, although the lack of methodological standardization still limits its broad application. DOI: https://doi.org/10.56238/edimpacto2025.093-009
APPLICATIONS OF CONE BEAM COMPUTED TOMOGRAPHY IN ENDODONTIC DIAGNOSIS
Radiology plays an indispensable role in Endodontics, being used from initial diagnosis to postoperative follow-up. Periapical radiographs are still the most widely used method due to their practicality, low cost, and low radiation dose. However, because they provide two-dimensional images, they have limitations that can compromise diagnostic accuracy in complex situations. In this context, cone-beam computed tomography (CBCT) has stood out as a complementary resource, capable of offering high-resolution three-dimensional images with a lower radiation dose than conventional tomography. The objective of this work was to review the scientific literature on the applications of CBCT in Endodontics, highlighting its relevance in diagnosis, planning, and clinical follow-up. The literature review shows that CBCT is superior in the early detection of periapical lesions, identification of fractures and resorptions, evaluation of root morphology, and planning of endodontic surgeries, providing greater predictability and safety in treatments. It is concluded that CBCT represents a significant advancement in endodontic radiology and should be indicated judiciously as a complementary examination to traditional two-dimensional techniques. DOI: https://doi.org/10.56238/edimpacto2025.091-036
THE IMPORTANCE OF ADULTS READING ALOUD TO CHILDREN'S NEUROPLASTICITY
The main objective of this study is to investigate the importance of adult reading aloud for the neuroplasticity of children. To this end, a qualitative bibliographic research was conducted, considering both physical books and digital articles. The research indicated that the sound of adult speech passes through numerous and complex neural pathways until it reaches distinct areas of the brain so that words, phonemes, prosody, and all other linguistic aspects can be perceived, analyzed, and understood by the child. If the authors define brain plasticity or neuroplasticity as a kind of remodeling or establishment of new pathways for brain functions to be maintained or improved, it is possible to conclude that the repetition of adult reading aloud will lead to constant and important brain activity in the child. The results obtained can be considered in future studies on the relevance of reading aloud for both early diagnosis and early intervention in various childhood developmental disorders. DOI: https://doi.org/10.56238/edimpacto2025.092-051
THE PRACTICE OF READING FOR PRESCHOOLERS AND ITS RELATION TO LANGUAGE DEVELOPMENT
The main objective of this study is to investigate the relationship between adult reading practice and the development of children's language. To this end, a qualitative bibliographic research was conducted considering physical books and digital articles. The author also drew upon her experience as a literature teacher in early childhood education, where she observed that, in literature classes, children are subjected to strong linguistic stimuli and the teacher makes extensive use of resources such as exaggerated intonation, good articulation, rhymes, repetition of syllables and sounds—in short, resources that facilitate both the perception of the sounds (phonemes) of the language and their production. Research has indicated that the consistent practice of reading aloud to children has a positive impact on lexical and phonological development, among other linguistic skills. DOI: https://doi.org/10.56238/edimpacto2025.092-050
KNOWLEDGE MANAGEMENT IN THE DEVELOPMENT OF SCIENTIFIC RESEARCH: A COMPARATIVE STUDY OF RESEARCH GROUPS IN BRAZIL/PORTUGAL
Knowledge management (KM) has become a strategic factor for the development and improvement of scientific research, as it facilitates the organization, sharing, and efficient use of information generated in research groups. This study compares KM practices in research groups in Brazil and Portugal, aiming to identify similarities, differences, and critical factors that influence scientific productivity and innovation. The methodology adopted combines an integrated literature review and semi-structured interviews with researchers coordinating research groups from both countries. The results indicate that, while Portuguese groups show greater integration with digital knowledge management platforms and policies to encourage international collaboration, Brazilian groups stand out for their thematic diversity and resilience in the face of technological infrastructure limitations. It is concluded that strengthening knowledge management practices, coupled with the creation of more systematized and valued institutional policies, significantly contributes to the efficiency and visibility of scientific production, promoting the consolidation of collaborative networks and knowledge transfer. DOI: https://doi.org/10.56238/edimpacto2025.083-005
BEYOND FUNCTION: THE AESTHETIC REVOLUTION OF GINGIVAL CHARACTERIZATION IN COMPLETE DENTURES
This literature review establishes gingival characterization in complete dentures as a contemporary paradigm in aesthetic oral rehabilitation. A critical analysis of the scientific evidence demonstrates the technique's superiority in reproducing biologically plausible gingival morphologies and pigmentations. Its technical foundation lies in the polymeric advancements of latest-generation heat-polymerized resins, whose molecular architecture provides precise chromatic modulation and remarkable color stability. Technological progress has elevated the optical and physical properties of these materials to a new level, resulting in: precise marginal adaptation, uniform pigment distribution, light interaction that mimics natural gingival tissue, and a clinically superior surface smoothness. This evolution represents a radical shift from the previous scenario, which was limited to rosaceous monochromacyan aesthetic restriction recognized as a primary factor in prosthetic failure and patient rejection. The analysis demonstrates that an integrated clinical and laboratory planning protocol enables predictable outcomes, synthesizing the principles of bioesthetics, masticatory function, and psychosocial expectations. It is concluded that meticulous rigor in each clinical and laboratory phase is a fundamental determinant for rehabilitative success, guided by the principle of tissue personalization that redefines the standards of naturalness in complete denture rehabilitation. DOI: https://doi.org/10.56238/edimpacto2025.067-004
USING A HIGH-RESOLUTION SCHEME IN A FINITE VOLUME CODE TO SIMULATE SUPERSONIC COMPRESSIBLE FLUID FLOWS IN NOZZLES
In this work, numerical simulations were carried out for supersonic compressible fluid flows inside geometries related to rocket engines — specifically, convergent-divergent nozzles. To investigate the flow behavior within these nozzles, the Euler and Navier–Stokes equations were numerically solved. The simulations were performed using the HYNE2D code, which is based on the finite volume method and implemented in the Fortran 2003 programming language. The HYNE2D code includes numerous convective and viscous flux functions and performs time discretization either explicitly or implicitly on unstructured meshes. The simulations based on the Euler equations aimed to verify the numerical accuracy of the code through the physical consistency of the results. For the Navier–Stokes equations, the objective was to assess whether the high-resolution method accurately captures shock and expansion waves while reproducing a Mach number equal to one at the nozzle throat. Additionally, the study analyzed the conversion of thermal energy into kinetic energy in bell-shaped and conical nozzles. The results obtained in this work were compared with related literature, showing good accuracy. DOI: https://doi.org/10.56238/edimpacto2025.086-003
FOOD CHEMISTRY – ITS IMPACT ON HUMAN HEALTH
Because various foods contain nutrients and elements from the periodic table, and their ingestion can cause reactions within the human body, we will present some of these elements and chemical reactions that can be beneficial or harmful to health, including high-energy foods, while others can cause serious harm, such as detox foods. To discover how the body processes, absorbs, and utilizes nutrients and chemical elements, we can study which may be beneficial or harmful, and analyze improved nutrition to avoid excesses that could cause allergies or intolerances. Finally, we can determine what happens to our bodies when nutrients are lacking. This study included research on websites related to nutrition and the chemical composition of foods, seeking information that would complement the data for consistent publication. Food chemistry can be analyzed from various angles. One phase begins with ingestion and the breakdown of the starch molecule into maltose. During the ingestion process, the food undergoes transformations, subjecting it to chemical action by the human body. It's important to emphasize that a given process can reveal food intolerances or allergies, how the body obtains energy for consumption in various forms, and how detox foods can harm the human body. DOI: https://doi.org/10.56238/edimpacto2025.087-021
TEACHER TRAINING AND DIGITAL TECHNOLOGIES – DEVELOPING DIGITAL COMPETENCE FOR THE CRITICAL AND INCLUSIVE USE OF TECHNOLOGICAL RESOURCES IN CONTEMPORARY EDUCATION
Given the massive presence of technologies in school settings, it has become evident that the ways of teaching and learning have undergone profound transformations. Educational platforms, virtual environments, artificial intelligence, social networks, and mobile devices permeate school culture, generating tensions but also opening paths toward more collaborative, interactive, and inclusive practices. However, these possibilities do not emerge automatically. Without critical reflection, the use of technologies may reproduce inequalities, reinforce logics of control and surveillance, and distance teachers and students from genuinely meaningful formative experiences. Therefore, it is essential to discuss teacher education aimed at developing digital competence, understood not merely as operational mastery of tools, but as the ability to think pedagogically with technology. Continuous, situated, and dialogical training – capable of articulating technical aspects with pedagogical, ethical, cultural, and political dimensions – strengthens teachers as authors of their practice rather than mere executors of pre-packaged platforms. Thus, technology ceases to be an instrument of standardization and becomes a device for creating more autonomous, creative, and democratic learning processes. The purpose of this chapter is to analyze how teacher education can foster the development of a critical and inclusive digital competence, strengthening experiences that broaden student participation, respect diversity, and deepen the quality of learning. In this sense, the guiding question is: to what extent does teacher education contribute to building a digital competence that enables the critical, ethical, and inclusive use of technologies in contemporary education? Theoretically, this study draws on the works of Freire (1992; 2013; 2014), Zuboff (1995; 2004; 2019), Ball (1994; 2005; 2007; 2008), Apple (1999; 2006; 2008; 2011; 2012; 2019), Selwyn (2012), Gentili; Apple; Frigotto; Albe (1999), Carr (2010), Castells; Cardoso (2005; 2011), Buckingham (2010; 2013), Tingstad (2010), Santos et al. (2024), among others. The research is qualitative in nature (Minayo, 2008), descriptive and bibliographic (Gil, 2007), with an analytical-comprehensive orientation (Weber, 1949). The findings show that teacher education, when understood as a continuous and critical practice, enhances teacher autonomy in relation to digital technologies and supports intentional pedagogical uses. It was found that digital competence requires integrating technical, ethical, and political dimensions, promoting inclusive practices attentive to social inequalities. The study also observed that training programs incorporating accessibility, universal design, and assistive technologies strengthen democratic learning environments. Likewise, experiences based on authorship, experimentation, and collaboration expand teacher creativity and resignify the use of technologies. Thus, well-designed training allows technology to become a mediator of participation and learning. DOI: https://doi.org/10.56238/edimpacto2025.092-049
INTERDISCIPLINARY PEDAGOGICAL WORK WITH MUSIC IN A PUBLIC SCHOOL IN RONDONÓPOLIS
This article addresses the understanding of processes related to interdisciplinary pedagogical work with music in elementary school classes at EMEB Gisélio da Nóbrega in Rondonópolis-MT, in the year 2025. The objective is to present music as an educational activity in interdisciplinary pedagogical work, highlighting that, by listening to and interpreting music, students develop critical, analytical, and reflective skills. The research was conducted through participatory practices that integrated music, playfulness, and knowledge construction. Using the song "Parabolicamará" by Gilberto Gil, the theme of globalization was explored, promoting playful interpretation, discussion, and the creation of fact sheets on advances in transportation, communication, and the circulation of information. The results indicate significant advances in the teaching and learning process in the classes involved, confirming that music contributes to expression, self-esteem, social integration, sensitivity, and cognitive development. DOI: https://doi.org/10.56238/edimpacto2025.092-048
DIAGNOSIS OF SLEEP DISORDERS IN THE ELDERLY: CLINICAL AND POLYSOMNOGRAPHIC EVALUATION
Human aging causes physiological changes in sleep architecture; however, the prevalence of pathological disorders in this population is high, affecting approximately 50% of the elderly and impacting their quality of life and cardiovascular health. This narrative review analyzes diagnostic strategies for such disorders, emphasizing that detailed clinical evaluation, supported by validated questionnaires (PSQI, ISI) and sleep diaries, constitutes the basis of diagnosis, especially for chronic insomnia. For this, Cognitive-Behavioral Therapy (CBT-I) is the gold standard treatment, surpassing pharmacotherapy in long-term safety and efficacy. On the other hand, conditions such as Obstructive Sleep Apnea (OSA) and movement disorders (MLD) require instrumental confirmation via polysomnography. The study also highlights the bidirectional relationship between alterations in circadian rhythm and neurodegenerative diseases, suggesting that sleep monitoring may serve as an early marker for conditions such as Alzheimer's and Parkinson's. DOI: https://doi.org/10.56238/edimpacto2025.091-035
OVARIAN CANCER TREATMENT: THERAPEUTIC APPROACHES AND RECENT ADVANCES
Ovarian cancer, particularly epithelial carcinoma, is a lethal and challenging neoplasm, frequently diagnosed at advanced stages and with high recurrence rates. This narrative review analyzes contemporary therapeutic strategies, highlighting the transition from standard chemotherapy (platinum and taxanes) to precision medicine. The identification of biomarkers such as BRCA mutations and Homologous Recombination Deficiency (HRD) has validated the use of PARP inhibitors (e.g., olaparib), which demonstrate significant benefits in overall survival. The emerging role of combined immunotherapy (checkpoint inhibitors associated with antiangiogenics) to modulate the immunosuppressive tumor microenvironment is discussed. Furthermore, the review addresses the potential of artificial intelligence and radiomics as non-invasive tools to predict therapeutic response and platinum sensitivity, aiming to overcome resistance and personalize treatment. DOI: https://doi.org/10.56238/edimpacto2025.091-034
CHRONIC URTICARIA: CLINICAL MANAGEMENT AND PHARMACOLOGICAL APPROACHES
Chronic urticaria (CU) is a heterogeneous dermatological condition characterized by persistent hives and angioedema lasting more than six weeks, with a significant impact on quality of life. This narrative review analyzes current guidelines and pharmacological innovations for the management of the disease. First-line treatment is based on second-generation H1 antihistamines, whose dose can be escalated up to four times to control symptoms. For refractory cases, the monoclonal antibody omalizumab has established itself as an effective and safe adjuvant therapy. The review also highlights promising emerging therapies, such as Bruton's tyrosine kinase (BTK) inhibitors, and discusses management in special populations, such as pregnant women. It concludes that a stepped and personalized approach is essential for disease control. DOI: https://doi.org/10.56238/edimpacto2025.091-033
Karen Lilian Morais Figueirêdo de Mendonça
DIAGNOSIS OF SICK SINUS SYNDROME: CLINICAL AND ELECTROCARDIOGRAPHIC EVALUATION
Sinus Node Syndrome (SNS), or Sinus Node Dysfunction, is a disorder of cardiac automaticity and conduction prevalent in the elderly, characterized by sinus bradycardia, pauses, and chronotropic incompetence. This narrative review analyzes current diagnostic strategies, highlighting the importance of correlating clinical symptoms of hypoperfusion (syncope, dizziness) and electrocardiographic findings. The etiology is multifactorial, encompassing irreversible intrinsic causes, such as degenerative fibrosis, and reversible extrinsic causes, including the use of drugs (e.g., Remdesivir) and metabolic disorders. Diagnosis is challenging due to the intermittency of symptoms and may require prolonged monitoring (Holter) to detect occult arrhythmias. The study also addresses tachycardia-bradycardia syndrome and the need to differentiate SNS from neurological conditions that mimic its symptoms. DOI: https://doi.org/10.56238/edimpacto2025.091-032
SICKLE CELL ANEMIA: DIAGNOSTIC STRATEGIES AND EARLY IDENTIFICATION
Sickle cell anemia (SCA) is a globally relevant hereditary hemoglobinopathy caused by a mutation in the beta-globin gene that results in the production of hemoglobin S (HbS), leading to vaso-occlusion and chronic hemolysis. This narrative review analyzes current diagnostic strategies, highlighting universal neonatal screening as a game-changer in reducing infant morbidity and mortality by enabling early prophylaxis against infections. The study discusses diagnostic methods such as hemoglobin electrophoresis, HPLC, and genetic testing, essential for risk stratification. Furthermore, it addresses the correlation between accurate diagnosis and the implementation of disease-modifying therapies (such as hydroxyurea and new drugs like voxelotor and crizanlizumab) and emerging curative therapies (stem cell transplantation and gene editing), emphasizing the need for equitable access to these innovations. DOI: https://doi.org/10.56238/edimpacto2025.091-031
Milena Raquel de Brito Crisóstomo Borges
GUILLAIN-BARRÉ SYNDROME: EVIDENCE-BASED THERAPEUTIC STRATEGIES
Guillain-Barré syndrome (GBS) is an acute immune-mediated polyradiculoneuropathy and the leading cause of acquired neuromuscular paralysis in adults, with a low incidence but a significant impact on morbidity, mortality, and functional disability. This narrative review, based on recent international guidelines and high-impact studies, discusses in an integrated manner acute therapeutic strategies, prognostic stratification, rehabilitation, and emerging therapies. In acute treatment, intravenous immunoglobulin (IVIg) and plasmapheresis (PLEX) show globally equivalent efficacy in accelerating functional recovery when used within the therapeutic window, while the isolated use of corticosteroids and the routine repetition of a second course of IVIg are not recommended. Risk stratification using validated scores, such as EGRIS/EGBS, EGOS, and mEGOS, allows estimation of the probability of mechanical ventilation and independent ambulation, and should be used in a complementary way to clinical judgment. In the subacute and chronic phases, supervised and multidisciplinary rehabilitation plays a central role, particularly in reducing fatigue, improving strength and quality of life, compared to unsupervised home programs. In the field of molecular therapies, complement inhibitors, especially C1q blockade, and agents targeting FcRn, still under investigation, are emerging. Simultaneously, neurofilament light chain (NfL) is emerging as an important biomarker of axonal damage and functional prognosis. Together, these advances point to a future of more personalized management of GBS, without negating the need for rigorous application of already established evidence. DOI: https://doi.org/10.56238/edimpacto2025.091-030
THE RELEVANCE OF CURRICULAR AND METHODOLOGICAL ADAPTATIONS IN THE INDIVIDUALIZED EDUCATION PLAN (IEP)
This study addresses the relevance of curricular and methodological adaptations in the Individualized Education Plan (IEP), highlighting its importance for the inclusion of students with disabilities, Autism Spectrum Disorder (ASD), or learning difficulties. Based on the theoretical foundations of authors such as Maria Teresa Mantoan, Cláudia Werneck, Romeu Kazumi Sassaki, Vygotsky, Howard Gardner, Basil Bernstein, and Paulo Freire, the article explores the concept of IEP and its educational implications. The difference between small and large-scale curricular adaptations is discussed, as well as methodological strategies that promote effective and inclusive learning. The research also analyzes the crucial role of diagnostic and continuous assessment in the context of the IEP, as well as the importance of collaboration between teachers, Specialized Educational Services (SES), family, and the multidisciplinary team for the success of inclusive education. The study concludes that the effective implementation of the IEP, supported by a collaborative partnership, contributes significantly to building a more equitable and inclusive educational environment. DOI: https://doi.org/10.56238/edimpacto2025.092-047
EFFECTIVENESS OF THE PUSH (PRESSURE ULCER SCALE FOR HEALING) SCALE IN ASSESSING THE HEALING OF VENOUS ULCERS TREATED CONVENTIONALLY OR WITH LASER THERAPY
Venous ulcers represent a significant public health problem, affecting 1% to 3% of the population, particularly older adults, and generating high healthcare costs as well as a substantial impact on quality of life. In this context, standardized wound assessment is essential for safely monitoring healing progression. This study aimed to analyze the effectiveness of the PUSH Tool as a monitoring instrument for chronic wounds treated with conventional therapy or combined with photobiomodulation (PBM) using a Gallium Arsenide (AsGa) laser. Wound progression was recorded at two time points (day 0 and 15th session) using the PUSH Tool, which evaluates wound area, tissue type, and exudate amount. The wound area (cm²) was measured with a Vernier caliper (0–15 cm measuring range) and analyzed using ImageJ® software.The results demonstrated that the PUSH Tool was sensitive in detecting significant changes in the healing process, allowing for the identification of area reduction and improved tissue characteristics, regardless of the therapeutic modality used. Although the PBM group showed faster progression, the central finding of this study is the PUSH Tool’s capability to objectively, reproducibly, and clinically monitor the evolution of venous ulcers, highlighting its usefulness across services with varying resources and demands. It is concluded that the PUSH Tool is an essential instrument for the systematic follow-up of venous ulcers, contributing to safer therapeutic decision-making and to the standardization of clinical practice. Future studies should expand its application in diverse contexts and encourage the standardization of assessment protocols. DOI: https://doi.org/10.56238/edimpacto2025.087-020
DEFINITION OF AN INTERVENTION POLICY FOR ROAD MAINTENANCE AND CONSERVATION: COST-BENEFIT ANALYSIS IN BENGUELA, ANGOLA
Considering the accelerated degradation of road infrastructure in Angola and its socioeconomic impacts, this study aims to propose an efficient intervention policy for road maintenance and conservation, focusing on cost-benefit analysis. To this end, a mixed-methods investigation was conducted, combining qualitative (semi-structured interviews) and quantitative (surveys and technical inspections) methods in the municipality of Benguela. In this way, it is observed that the absence of formal conservation plans, insufficient funding, and the predominance of a reactive management model are the main obstacles. Recurring pathologies in flexible pavements are identified, such as cracks, alligator cracking, and deformations. Four types of intervention are proposed, ranging from localized actions to complete redesign, which allows us to conclude that the adoption of preventive policies, based on cost-benefit analyses and supported by emerging technologies, is essential to ensure the sustainability of the road network and optimize public resources. DOI: https://doi.org/10.56238/edimpacto2025.086-003
BASIC ASPECTS OF COMPOSITES BASED ON EPOXY RESIN OR UNSATURATED POLYESTER REINFORCED WITH FIBERS DERIVED FROM ANCHORAGE CABLES
The reuse of waste materials for the creation of new products is fully aligned with sustainability principles and is supported by two essential premises: reducing the volume of potentially polluting waste in disposal areas and decreasing the reliance on virgin raw materials. In this context, waste containing synthetic polymers emerges as a particularly relevant candidate for repurposing, given its high potential for environmental impact when improperly discarded. Among these materials, synthetic cables—widely used in the anchoring of floating units—represent, at the end of their service life, a strategic source of high-performance fibers. When reintegrated into production processes, these fibers can act as reinforcement in thermoset-based composites, improving properties such as mechanical strength, thermal stability, and durability in harsh environments. Accordingly, this text presents the fundamentals related to the development of composites based on epoxy and unsaturated polyester resins reinforced with synthetic polyester fibers derived from post-industrial anchoring cables, which may have advanced applications in sectors such as naval structures, automotive components, structural panels, and protection systems. DOI: https://doi.org/10.56238/edimpacto2025.086-002
Antonio Henrique Monteiro da Fonseca Thomé da Silva
FEDERAL TERRITORIES AND DECENTRALIZED GOVERNANCE IN BRAZIL: A CONSTITUTIONAL AND INSTITUTIONAL ANALYSIS
This article presents a doctrinal and normative analysis of the modalities of administrative decentralization enshrined in the Brazilian Federal Constitution. It examines their legal applicability to the various governmental entities comprising the Federation, including federal territories, administrative regions, metropolitan regions, microregions, urban agglomerations, and municipal districts. The study offers a systematic exposition of the constitutional framework governing administrative decentralization, supported by an interpretive exegesis of the relevant provisions. The primary objective is to undertake a legal inquiry into the structural and regulatory dimensions of decentralization within the Brazilian federative system, grounded in the hermeneutic interpretation of constitutional norms. DOI: https://doi.org/10.56238/edimpacto2025.084-018
ABDOMINAL INFECTIOUS COMPLICATIONS IN A PATIENT WITH UTERINE NEOPLASM AND CHRONIC KIDNEY DISEASE ON DIALYSIS: EXPERIENCE REPORT
Infectious complications in patients with advanced uterine neoplasia and chronic kidney disease on dialysis constitute a growing challenge for health services, due to the combination of immunosuppression, metabolic changes and therapeutic limitations. The introduction of this study highlights the clinical and care relevance of these cases, especially when they evolve into abdominal infections that are difficult to manage. The main objective was to analyze the complexity of multidisciplinary care in the face of an abdominal infectious condition in a patient with advanced uterine cancer and dependent on dialysis, emphasizing limits, risks and therapeutic requirements. The methodology consisted of an experience report based on clinical analysis, updated literature review and discussion based on the care practices involved in the case. The results showed infectious worsening associated with immunological fragility, difficulty in pharmacological adjustment and the need for integrated interventions for hemodynamic stabilization. The discussion pointed out that clinical management depends on the interaction between specialized teams, continuous monitoring and therapeutic planning aligned with the patient's renal, oncological and infectious conditions. The ethical complexity involved in refusing cancer treatment was also highlighted, reinforcing the importance of clear communication and respect for autonomy. It is concluded that care for patients with this profile requires a multidisciplinary approach, specific protocols, shared decisions and scientific in-depth analysis of safe therapies for dialysis populations, representing a relevant field for future research. DOI: https://doi.org/10.56238/edimpacto2025.091-029
Literacy is defined as a process in which the individual constructs representative schemes of writing using letters and their diverse variations, decoding them. The school must be open to receiving the student, as well as the educators who will welcome them into their classrooms. As educators, we must understand that each student is unique and has different ways of learning. DOI: https://doi.org/10.56238/edimpacto2025.092-046
TEACHERS’ AND STUDENTS’ PERCEPTIONS IN THE USE OF DIGITAL MEDIA
In this research, the topic of digital media was approached based on bibliographical research, which is carried out through a survey of already proven theoretical references, and published through written and electronic means, such as books, scientific articles, web pages, websites. From an understanding of the concept of digital media, benefits perceived by teachers and students in the use of technological resources will be addressed, which demonstrate practices as pedagogical tools. Afterwards, we conclude that in order to be successful in this educational endeavor, constant dialogue between teachers and students is necessary in the search for better educational benefits and even friendship, even if restricted to the school environment, always within the limits of the ethics and classification, both necessary for each agent to realize their responsibility in the process, that is, the student presenting a questioning and thinking attitude about the perceived contents; and the teacher exposing through digital media and demanding the fixation of this content. DOI: https://doi.org/10.56238/edimpacto2025.092-045
CHILDHOOD AS AN INVESTIGATIVE SPACE: PLAYFULNESS AND THE CONSTRUCTION OF SCIENTIFIC KNOWLEDGE
This article analyzes the role of playfulness as a structuring axis in the construction of scientific knowledge in Early Childhood Education, examining how Geography, Biology, Chemistry, Physics and Mathematics emerge from children’s sensory experiences, social interactions and spontaneous investigations. Considering childhood as an inherently investigative stage, the study seeks to answer the following question: how do play, exploration and multiple languages foster the initial development of scientific thought in young children? The research is justified by the need to strengthen pedagogical practices that recognize children as active subjects, capable of formulating hypotheses, observing phenomena, interpreting regularities and producing explanations about the natural and social world. In contexts where fragmented or content-based approaches still prevail, understanding playfulness as an epistemological foundation becomes essential for expanding scientific education from early childhood, in line with national guidelines and contemporary perspectives in psychology and science education. Methodologically, this study is characterized as a qualitative, bibliographic and analytical research. It draws on classical theorists such as Piaget, Vygotsky and Wallon, as well as authors in science and mathematics education, including Carvalho, Krasilchik, Mortimer, D’Ambrosio, Lorenzato and Kishimoto. Books, peer-reviewed articles, dissertations and thematic studies were analyzed and organized into thematic axes addressing: childhood as an investigative field, playfulness as an epistemological language, articulations among different scientific domains, and the role of teacher mediation in early scientific development. The results indicate that playfulness is not merely a teaching strategy but a necessary condition for the emergence of scientific thinking, since it involves observation, manipulation, comparison, hypothesis formulation, problem solving and symbolic representation. The study concludes that the sciences and mathematics are intrinsic dimensions of children’s daily lives and that investigative, sensitive and experience-rich environments strengthen autonomy, creativity and holistic development, promoting meaningful, culturally situated and intellectually profound learning. DOI: https://doi.org/10.56238/edimpacto2025.092-044
MANDIBULAR RECONSTRUCTION: TECHNIQUE, INDICATIONS AND RESULTS
Mandibular reconstruction is essential to restore function and aesthetics after bone loss resulting from trauma or tumor resection. The gold standard continues to be the use of autologous grafts, such as the fibula free flap, which offers good bone volume and support for rehabilitation. This review analyzes current techniques, highlighting that the integration of digital technologies, such as virtual surgical planning (VSP) and 3D printing of guides, has significantly increased surgical precision and reduced operative time. The superiority of reconstruction bars over miniplates in terms of stability and lower complication rate is discussed. Less invasive alternatives, such as mandibular ramus grafts, show promise for the elderly. Furthermore, advances in tissue engineering, such as bioengineered vascularized bones, point to a future with less dependence on donor areas. DOI: https://doi.org/10.56238/edimpacto2025.093-008
TREATMENT OF CEMENTOOSSIFIING FIBROMA: CLINICAL APPROACHES AND CURRENT MANAGEMENT
Cemento-ossifying fibroma (CFO) is a benign fibro-osseous neoplasm of odontogenic origin, characterized by the replacement of normal bone by mineralized fibrous tissue. This narrative review analyzes current therapeutic approaches, highlighting the need to distinguish between conventional OCF and its juvenile variants (trabecular and psammomatoid), which present distinct clinical behavior. The results indicate that conservative treatment, via enucleation and curettage, is the predominant and effective choice for conventional OCF, with low recurrence rates. In contrast, juvenile variants demonstrate greater aggressiveness and high recurrence rates (40-63%) when treated conservatively, justifying more radical surgical approaches. For peripheral ossifying fibroma, excision should include deep curettage of the periodontal ligament. The study also addresses innovations such as dental autotransplantation and digital planning for rehabilitation, concluding that management must be strictly individualized based on the histological subtype and extent of the lesion. DOI: https://doi.org/10.56238/edimpacto2025.093-007
TREATMENT OF EARLY CHILDHOOD CARIES: CURRENT AND EFFECTIVE STRATEGIES
Early Childhood Caries (ECC) is a prevalent pathology, resulting from the interaction between biofilm, diet and host factors, with serious repercussions on children's quality of life. This narrative review examines current preventative and therapeutic strategies, highlighting that controlling ECC requires a multifaceted approach. The rational use of fluorides (toothpastes and varnishes) remains the gold standard of prevention. Antimicrobial alternatives, such as xylitol and probiotics, show comparable efficacy to chlorhexidine in reducing Streptococcus mutans, with fewer adverse effects. The study also emphasizes the influence of systemic factors, such as vitamin D deficiency on enamel formation, and social determinants, where family stability acts as a protective factor against disease progression. Integration of accurate diagnostics (ICDAS II) with educational and nutritional interventions is essential for effective management. DOI: https://doi.org/10.56238/edimpacto2025.093-006
PUBLIC POLICIES AND LEGISLATION IN THE FIELD OF SPECIAL EDUCATION AND YOUTH AND ADULT EDUCATION: THE CHALLENGES OF INCLUSION
This article addresses the public policies and legislation that guide Special Education and Youth and Adult Education (EJA), discussing their interfaces in guaranteeing the right to education for the target audiences of these modalities. The reflection has as its axis the inclusion of the target audience of special education (PAEE) in EJA, The analysis shows that, although the official documents and the National Education Plan (2014-2024) support the right to education, and affirm goals to expand access and permanence for historically excluded groups, their achievement does not occur automatically. It is a complex process, crossed by disputes between the State, civil society and different social forces. It is noteworthy that legislation and public policies offer guidelines for the inclusive schooling of the PAEE in EJA; However, its effectiveness requires federative articulation in the collaboration regime, in addition to continuous mechanisms of follow-up, monitoring and evaluation. Added to this is the need for adequate financing and investments compatible with the proposed actions. It is concluded that consolidating the inclusion of the PAEE in EJA requires political commitment and structural conditions that ensure, in fact, the right to education. Part of the reflections stems from research developed at the doctoral level and in-depth in a postdoctoral internship. DOI: https://doi.org/10.56238/edimpacto2025.092-043
This article addresses the importance of Inclusive Education in different contexts, including the COVID-19 pandemic. The role of technology in promoting educational inclusion is explored, highlighting how digital resources and online tools can support the personalization of teaching, the accessibility of teaching materials and communication between students and teachers. Furthermore, the challenges faced during the pandemic are discussed, such as the transition to remote teaching and the need to ensure equity in access to education. The article also emphasizes the importance of flexible and adaptable approaches, as well as adequate investments in infrastructure and emotional support for students. In short, the text highlights the ongoing need to promote Inclusive Education that meets the needs of all students, even in times of crisis. DOI: https://doi.org/10.56238/edimpacto2025.092-042