Supply chains involve several stakeholders, with different environmental, social, economic, and ethical attributes, and are exposed to various risks along all stages. One of these risks relates to conditions or events related to sustainability that have the potential to generate harmful reactions from stakeholders in the supply chain. Those risks can materialize through stakeholders’ responses, when they hold companies responsible for unfavorable conditions in the supply chain, leading to reputational damage. Understanding the supply chain’s sustainability risk factors can help companies improve supply chain resilience. This article aims to empirically identify the most influential risk factors in the Brazilian cosmetics supply chain and, additionally, analyze the interrelationships between these risks. The methodology combines interpretative structural modeling (ISM) and matrix cross-impact multiplication (MICMAC) analysis, and is grounded in the opinions of cosmetics industry experts. Firstly, the critical causes and consequences are identified, called factors. Secondly, the ISM model is built, representing the interrelationships between factors and their hierarchy. Thirdly, the MICMAC analysis is performed, unfolding the strength of the relationship among the influencing factors. Fourthly, measures are designed to act on and mitigate the factors identified in the previous steps. The results show that the Brazilian cosmetic companies analyzed do not take advantage of the opportunity to take leadership in cost reduction, differentiation, and engagement with their partners. “Financial risks” were identified as the most influential among the set of risks, while “Technology and innovation” and “Legislation and responsibility” were identified as root risk factors. This research identified measures that could be implemented to act on and mitigate the root risk factors, thus contributing to the research relating to sustainability risks in supply chains.

This article explores the emerging field of Healthcare 4.0, which integrates advanced technologies from Industry 4.0 to enhance decision-making processes in the healthcare context. As the healthcare landscape evolves, there is a pressing need to understand how these innovations can support clinical and operational management, ultimately improving patient outcomes and healthcare efficiency. This study employs a systematic literature review (SLR) methodology to investigate the current state of research on Healthcare 4.0 solutions, focusing on their applications across various healthcare sectors. The main scientific databases were considered and we evaluated peer-reviewed articles published in scientific journals until July 2024. The review identifies key themes, trends, and gaps in the literature, revealing that while the field is still in its infancy, there is a notable increase in publications, indicating growing interest and potential for future research. The findings categorize applications into several areas, including hospital general facilities and specific environments, highlighting the diverse contexts in which Healthcare 4.0 technologies are being implemented. Additionally, the study examines the geographical distribution of research, with a significant emphasis on developments in Asia and Europe. Regarding the decision objectives, we highlight the use of Healthcare 4.0 solutions to improve the performance of activities related to data exchange, diagnosis, and patient monitoring. Furthermore, considering the main techniques and tools adopted by the authors, Artificial Intelligence, Internet of Things, and Blockchain stand out, as well as hybrid approaches which integrate different solutions. By synthesizing these insights, the article contributes to a deeper understanding of how Healthcare 4.0 can transform decision-making in health facilities, offering directions for future research and practical implications for healthcare researchers and professionals.

O conceito de cultura pode ser definido como o jeito no qual as coisas são realizadas em determinado ambiente, que vai desde uma casa, até um país, e passa pelos diversos agentes envolvidos nas relações. Para se tratar da questão nas empresas, existe a chamada cultura organizacional. Nas organizações a cultura é influenciada por questões como o poder, a hierarquia e o conservadorismo. A pesquisa apresenta os resultados da avaliação da cultura organizacional no setor de cosmético brasileiro, por meio da análise de segmentação e de correspondência. As análises mostram que o perfil geral da cultura nessas empresas é rígido, e há influência baseada no cargo, priorização dos aspectos individuais, e valores tradicionalmente masculinos. A análise de correspondência mostrou que empresas inglesas e com mais de 500 funcionários apresentam associação com aquelas de maior flexibilidade na cultura, não existência de privilégios diferenciados para níveis distintos, a priorização do grupo em detrimento do individual, acesso dos funcionários aos diretores é comum, e a não presença de divisões de papéis ligados ao gênero. Empresas de nacionalidade chinesa e japonesa associam-se a empresas com divisão clara dos papéis entre homens e mulheres e empresas com ausência de pensamento analítico.