Abstract Resilience is a significant topic in university education, it has gained relevance in recent years due to the contingency experienced during and after the confinement by Covid-19. The foregoing led to a search within the competencies acquired at this time, those that could be mobilized or updated. This research aimed to determine if resilience is related to the development of favorable traits and competitive tools in university students. The research approach was quantitative of the survey and correlational type. The information was obtained through the Survey of Resilience, Favorable Traits and Competitive Tools (E-RRHC). The sample was 6 712 undergraduate students from the Autonomous University of Sinaloa. The statistical analysis of the instrument was performed with Spearman's correlation. Among the most significant results we can point out that university students had greater resilience through the development of favorable traits and competitive tools. In most of the items there is a moderate positive or strong positive correlation. It is reflected that the resilient process that the students of the Autonomous University of Sinaloa endured during and after the pandemic gave them the opportunity to mature and that is that the worst fall is when the human being learns to fly. A student with academic resilience is characterized by being a responsible, meticulous, constant person who works through school failures and looks for options to be better every day.

Resumo A resiliência é um tema significativa no ensino universitário, que ganhou relevância nos últimos anos devido à contingência vivida durante e após o confinamento da covid-19. Isto levou a buscar, dentro das competências adquiridas naquele momento, aquelas que pudessem ser mobilizadas ou atualizadas. Portanto, esta pesquisa teve como objetivo determinar se a resiliência está relacionada ao desenvolvimento de características favoráveis e ferramentas competitivas em estudantes universitários. Para isso, a abordagem da pesquisa foi quantitativa do tipo survey e correlacional. As informações foram obtidas por meio da Pesquisa de Resiliência, Características Favoráveis e Ferramentas Competitivas (E-RRHC). A amostra foi composta por 6.712 estudantes de graduação da Universidade Autônoma de Sinaloa. A análise estatística do instrumento foi realizada por meio da correlação de Spearman. Dentre os resultados podemos destacar que os estudantes universitários apresentaram maior resiliência através do desenvolvimento de características favoráveis e ferramentas competitivas. Além disso, na maioria dos itens houve correlação positiva moderada ou positiva forte. Concluindo, pode-se indicar que o processo resiliente que os estudantes da Universidade Autônoma de Sinaloa enfrentaram durante e após a pandemia lhes deu a oportunidade de amadurecer. Em suma, um aluno com resiliência acadêmica se caracteriza por ser uma pessoa responsável, meticulosa, constante, que trabalha o fracasso escolar e busca opções para ser melhor a cada dia.

Resumen La resiliencia es un tema significativo en la formación universitaria, el cual ha cobrado relevancia en los últimos años debido a la contingencia vivida durante y después del confinamiento por covid-19. Esto llevó a buscar dentro de las competencias adquiridas en este tiempo, aquellas que podrían ser movilizadas o actualizadas. Por tanto, esta investigación tuvo como objetivo determinar si la resiliencia está relacionada con el desarrollo de rasgos favorables y herramientas competitivas en los estudiantes universitarios. Para ello, el enfoque de investigación fue cuantitativo de tipo encuesta y correlacional. La información se obtuvo por medio de la Encuesta de Resiliencia, Rasgos Favorables y Herramientas Competitivas (E-RRHC). La muestra estuvo conformada por 6712 estudiantes de licenciatura de la Universidad Autónoma de Sinaloa. El análisis estadístico del instrumento se realizó con la correlación de Spearman. Entre los resultados podemos resaltar que los estudiantes universitarios tuvieron una mayor resiliencia a través del desarrollo de rasgos favorables y herramientas competitivas. Además, en la mayoría de los ítems, existió una correlación positiva moderada o positiva fuerte. En conclusión, se puede indicar que el proceso resiliente que sobrellevaron los estudiantes de la Universidad Autónoma de Sinaloa durante y después de la pandemia les dio la oportunidad de madurar. En síntesis, un estudiante con resiliencia académica se caracteriza por ser una persona responsable, meticulosa, constante, que trabaja los fracasos escolares y busca opciones de ser mejor cada día.

Resumen La sistematización de experiencias es una práctica que se ha desarrollado con el objetivo de mejorar las actividades realizadas en cualquier ámbito a través de la observación retrospectiva de lo que se ha realizado para identificar los aciertos y las oportunidades de cambio. De esta manera, el profesor puede observar su propio desempeño, así como las interacciones que existen en el aula, y ser crítico con su experiencia para mejorar continuamente su actividad docente. Por tanto, el objetivo de esta investigación fue proponer una estrategia de sistematización de experiencias educativas en la práctica docente para la asignatura de Tecnologías y Manejo de la Información de la Facultad de Ciencias de la Cultura Física. Para ello, se desarrollaron andamios educativos que se aplicaron en los grupos del primer semestre. En una segunda intervención, se aplicaron encuestas a los estudiantes y se compararon los resultados con grupos en los que no se intervino con andamios, utilizando técnicas estadísticas como Anova, regresión lineal y K-medias. Al aplicar la estrategia de sistematización de experiencias educativas, se determinó que la planeación con andamios realmente tuvo un impacto positivo en la percepción de los estudiantes. Los resultados muestran que existe una diferencia significativa entre los grupos con y sin intervención, siendo los grupos con intervención los que mejor evaluaron el curso y utilizaron una mayor variedad de medios y formatos de carácter tecnológico. Se logró que, a través del pensamiento complejo, los alumnos pudieran tener una visión externa de la escuela de las problemáticas que existen en su comunidad. La incorporación de elementos innovadores, como la creación de grupos cerrados con los estudiantes de cada salón en la red social Facebook y las videograbaciones de las clases, fueron elementos que utilizaron en su favor para el aprendizaje de los temas de la materia. La sistematización permitió adaptar y mejorar la clase al observar las fortalezas y debilidades del profesor en el proceso de enseñanza y las actitudes tomadas por los estudiantes. Esta observación permitió modificar las estrategias utilizadas para la materia y aplicar dichas estrategias en posteriores aplicaciones. En consecuencia, se recomienda la implementación de esta estrategia de sistematización de experiencias educativas en la práctica docente para mejorar el aprendizaje de los estudiantes.

Abstract Systematizing experiences is a practice that has been developed with the goal of improving activities in any field by retrospectively observing what has been done in order to identify successes and opportunities for change. This allows teachers to observe their own performance, as well as the interactions that take place in the classroom, and be critical of their experiences in order to continuously improve their teaching activities. The aim of this research was to propose a strategy for systematizing educational experiences in teaching practice, specifically for the subject of Technologies and Information Management in the Faculty of Physical Culture Sciences. Educational scaffolds were developed and applied in the first semester groups to achieve this goal. In a second intervention, surveys were conducted with the students, and the results were compared with groups in which scaffolds were not used, using statistical techniques such as ANOVA, linear regression, and K-means. The results of applying the strategy of systematizing educational experiences showed that planning with educational scaffolds had a positive impact on student perception. There was a significant difference between the intervention and non-intervention groups, with the intervention groups rating the course better and using a greater variety of technological media and formats. The incorporation of innovative elements, such as the creation of closed groups with students from each classroom on the Facebook social network and video recordings of classes, were elements that students used to their advantage for learning the subject matter. Through complex thinking, the students were able to have an external view of the problems that exist in their community. Systematization allowed for the adaptation and improvement of the class by observing the teacher's strengths and weaknesses in the teaching process and the attitudes taken by the students. This observation allowed for the modification of the strategies used for the subject and the application of those strategies in subsequent classes. Therefore, the implementation of this strategy of systematizing educational experiences in teaching practice is recommended to improve student learning.

Resumo A sistematização de experiências é uma prática que vem sendo desenvolvida com o objetivo de aprimorar as atividades realizadas em qualquer área por meio da observação retrospectiva do que foi feito para identificar sucessos e oportunidades de mudança. Dessa forma, o professor pode observar o seu próprio desempenho, bem como as interações que existem em sala de aula, e fazer críticas à sua experiência de forma a melhorar continuamente a sua atividade docente. Portanto, o objetivo desta pesquisa foi propor uma estratégia para a sistematização de experiências educativas na prática docente para a disciplina de Tecnologias e Gestão da Informação da Faculdade de Ciências da Cultura Física. Para isso, foram desenvolvidos andaimes educacionais que foram aplicados nas turmas do primeiro semestre. Numa segunda intervenção, foram aplicados inquéritos aos alunos e os resultados foram comparados com grupos em que não houve intervenção de scaffolding, utilizando técnicas estatísticas como Anova, regressão linear e K-means. Ao aplicar a estratégia de sistematização de experiências educativas, determinou-se que o planejamento com scaffolding realmente teve um impacto positivo na percepção dos alunos. Os resultados mostram que existe uma diferença significativa entre os grupos com e sem intervenção, sendo os grupos com intervenção os que melhor avaliaram o curso e utilizaram maior variedade de mídias e formatos de natureza tecnológica. Conseguiu-se que, por meio do pensamento complexo, os alunos pudessem ter uma visão externa da escola dos problemas existentes em sua comunidade. A incorporação de elementos inovadores, como a criação de grupos fechados com os alunos de cada turma na rede social Facebook e as gravações em vídeo das aulas, foram elementos que utilizaram a seu favor para aprender os temas da disciplina. A sistematização permitiu adaptar e melhorar a aula observando os pontos fortes e fracos do professor no processo de ensino e as atitudes tomadas pelos alunos. Essa observação possibilitou modificar as estratégias utilizadas para o assunto e aplicar essas estratégias em aplicações posteriores. Assim, recomenda-se a implementação dessa estratégia de sistematização de experiências educativas na prática docente para melhorar o aprendizado dos alunos.

Resumen Antecedentes: el uso de los inhaladores es algo complejo, con este trabajo en pacientes con EPOC debido a su complejidad, lo que se pretende es que tras la intervención de un farmacéutico se garantice el uso adecuado de dichos medicamentos con el fin de mejorar la calidad de vida. Métodos: se citaba a los pacientes para la realización de una espirometría por parte de la enfermera y por otro lado la farmacéutica en una consulta valoraba el uso de los inhaladores y realizaba los test de adherencia y calidad de vida. A los tres meses los pacientes acudían a la segunda visita y la farmacéutica repetía el mismo el proceso para detectar los posibles cambios tras la intervención. Resultados: en aquellos pacientes que acudieron a las dos visitas se observó que había cambios estadísticamente significativos entre las puntuaciones de adherencia en la primera visita respecto a la segunda. La media de puntuaciones es mayor en la segunda visita (49,09) respecto a la primera (46,45), diferencia significativa con una p<0,05. La calidad de vida era igual en ambas visitas y la media de errores en el uso de inhaladores en la segunda visita (1,773) se reduce de forma significativa respecto a la media de errores en la primera visita (4,727). Conclusiones: la intervención de un farmacéutico en un equipo multidisciplinar para el seguimiento de pacientes EPOC ha resultado beneficiosa para dichos pacientes, sobre todo en cuanto al manejo de los inhaladores y la adherencia al tratamiento.

Abstract Background: the usage of inhalers is something complex. This work with COPD patients pretends that, after the pharmacist intervention, the correct usage of these drugs is guaranteed so as to improve the quality of life. Methods: the nurse set a date to do an spirometry to the patients. On the other hand, the pharmacist assessed the usage of the inhalers and carried out the adherence and quality of life tests. Three months after, the patients came back to the consultation and the pharmacist repeated the same procedure to detect any possible change after the intervention. Results: on those patients that attended both appointments, it was seen that there were statistically significant changes between the adherence punctuation regarding both appointments. The average of punctuation is higher in the second appointment (49.09) in respect to the first one (46.45), this is a significant difference with a p<0.05. The quality of life was the same in both appointments and the errors average in the usage of inhalators in the second appointment decreased (1773) significantly in respect to the errors average in the first appointment (4727). Conclusion: the intervention of a pharmacist in a multidisciplinary team to the following of COPD patients is advantageous to these patients, mainly in relation to the usage of inhalers and the adherence to treatment.

Abstract Background: The COVID-19 lockdown possibly meant a delay in the diagnosis and treatment of melanoma and therefore, worsening its prognosis. This unique situation of diagnosis deferral is an exceptional opportunity to investigate melanoma biology. Objectives: To evaluate the immediate and mid-term impact of diagnosis delay on melanoma. Methods: A retrospective observational study of melanoma diagnosed between March 14th 2019 and March 13th 2021. We compared the characteristics of melanomas diagnosed during the first 6-month period after the lockdown instauration and a second period after recovery of normal activity with the same periods of the previous year, respectively. Results: A total of 119 melanomas were diagnosed. There were no differences in age, sex, incidence, location, presence of ulceration or mitoses, and in situ/invasive melanoma rate (p > 0.05). After the recovery of the normal activity, Breslow thickness increased in comparison with the previous year (2.4 vs 1.9 mm, p < 0.05) resulting in a significant upstaging according to the AJCC 8th ed. (p < 0.05). Study limitations: The main limitation is that this is a single-center study. Conclusions: The COVID-19 lockdown implied a diagnosis delay leading to a mid-term increase in Breslow thickness and an upstaging of invasive melanomas. However, the detection deferral did not result in a higher progression of in situ to invasive melanoma, in our sample.

Resumen Introducción: La Unidad de Enlace Centralizada de Vacunación contra la COVID19 (UECeV) de la Dirección de Atención Primaria Metropolitana Nord del Institut Català de la Salut se creó para resolver las consultas de usuarios y/o profesionales sanitarios relacionadas con la vacunación contra el virus SARS-CoV-2. El objetivo principal del presente análisis fue describir la actividad de la UECeV. Método: Realizamos un estudio observacional retrospectivo a partir del registro de consultas atendidas desde la UECeV entre 31 de abril y 31 de octubre de 2021. Población de referencia: 1.139.411 habitantes adultos asignados. La UECeV se creó en tres sedes territoriales atendidas cada una por dos farmacéuticos/farmacólogos de Atención Primaria (FAP) y un administrativo. La atención telefónica fue a jornada completa adaptable según actividad. Variable principal del análisis: número y tipos de consultas atendidas. Se calculó valores absolutos y porcentajes, medianas y desviación estándar para las variables cuantitativas y para las variables cualitativas se realizó un análisis descriptivo. Resultados: 3.103 consultas gestionadas de 3.030 usuarios; 2.180 (70,25%) contestadas por el FAP. Consulta más frecuente: compatibilidad vacuna según patología/medicación de base 1.008 (32,5%). 2.830 (93,4%) usuarios se vacunaron después de la intervención (2.210 consultaron antes de la primera dosis y 618 antes de la segunda). La vacuna mayoritaria fue la Comirnaty®. Conclusiones: Las UECeV coordinadas por el FAP con atención directa a los usuarios y/o profesionales sanitarios constituyen un elemento de apoyo a los equipos de vacunación de atención primaria para la gestión experta de las consultas de vacunación contra la COVID19.

Abstract Introduction: The North Metropolitan Primary Care Direction of the Institut Català de la Salut created the Centralized Liaison Unit for anti-COVID19 vaccination (UECeV) to solve queries from users and/or health professionals related to vaccination against the SARS-CoV-2 virus. The main objective of the present analysis was to describe the activity of UECeV. Method: We carried out a retrospective observational study based on the registry of consultations attended from the UECeV between April 31st and October 31, 2021. We have an equal or above 18 years old reference population of 1,139,411 inhabitants. The UECeV was set up in three territorial offices, each attended by two Primary Care pharmacists/pharmacologists (FAP) and one administrative staff member. The telephone service was full-time and could be adapted according to activity. The main variable of the analysis was the number and types of queries attended. Absolute values and percentages, medians and standard deviation were calculated for the quantitative variables and a descriptive analysis was performed for qualitative variables. Results: 3,103 queries were managed out of 3,030 users; 2,180 (70.25%) were answered by the FAP. Most frequent consultation was: vaccine compatibility according to pathology/basic medication 1,008 (32.5%). 2,830 (93.4%) users were vaccinated after the consultation (2,210 consulted before the first dose and 618 before the second). The majority vaccine was Comirnaty® Conclusions: The UECeV coordinated by the FAP with direct attention to users and/or health professionals constitutes a support element for primary care vaccination teams for the expert management of AntiCOVID19 vaccination consultations.

Resumen Objetivo: determinar la calidad de vida, la sobrecarga del rol del cuidador y el apoyo social percibido de las cuidadoras principales de pacientes pertenecientes a la Cartera de Servicios de la Atención Domiciliaria de tres Centros de Salud del Área de Salud de Gran Canaria. Método: estudio descriptivo-transversal, con un muestreo aleatorio simple de cuidadoras. Participaron 89 cuidadoras, las cuáles realizaban 4 cuestionarios: uno de elaboración propia, Zarit (sobrecarga), Duke (apoyo social percibido) y Coop-Wonca (calidad de vida). Este proyecto permite conocer la realidad psicosocial de las cuidadoras principales y con ello visibilizar su situación.

Abstract Objective: to determine the quality of life, caregiver role overload and perceived social support of the main caregivers of patients belonging to the Home Care Service Portfolio of three Health Centres in the Health Area of Gran Canaria. Method: descriptive-cross-sectional study, with simple random sampling of caregivers. Eighty-nine carers took part, completing four questionnaires: one selfcompleted questionnaire, Zarit (overload), Duke (perceived social support) and Coop-Wonca (quality of life). This project allows us to know the psychosocial reality of the main carers and thus to make their situation more visible.

ABSTRACT Objective This study aimed to investigate the association between depressive symptoms and food insecurity in households with older adults. Methods This is a cross-sectional, quantitative study conducted with community-dwelling older adults attended to in the Family Health Strategy in a municipality in the Brazilian Northeast. Depressive symptoms were evaluated using the Geriatric Depression Scale and food insecurity was assessed using the Brazilian Food Insecurity Scale. The chi-squared test was applied for a bivariate analysis and binary logistic regression was used to verify the association between depressive symptoms and food insecurity, adjusted for potential confounding variables. The significance level was p<0.05. Results A total of 316 older adults were evaluated, with a mean age of 70.5 (±7.5 years). The prevalence of depressive symptoms was 27.5% and that of food insecurity was 63.3%, with 25.6% of households with older adults experiencing moderate/severe insecurity. In the multivariate analysis, households experiencing mild food insecurity presented 3 times (OR: 3.02; 95% CI: 1.42-6.39) more chance of developing depressive symptoms, while in those experiencing moderate/severe food insecurity the chance was 5 times higher (OR: 5.01; 95% CI: 2.30-10.92). Conclusion An association was found between food insecurity and depressive symptoms in households with older adults of the Family Health Strategy, with more chances for those experiencing moderate/severe food insecurity.

RESUMO Objetivo Investigar a associação entre sintomas depressivos e insegurança alimentar em domicílios com idosos. Métodos Estudo transversal, quantitativo e realizado com idosos comunitários atendidos na Estratégia Saúde da Família em um município do Nordeste brasileiro. Sintomas depressivos foram avaliados pela Escala Geriátrica de Depressão; e a insegurança alimentar, com a Escala Brasileira de Insegurança Alimentar. Foi aplicado o teste qui-quadrado para análise bivariada e a regressão logística binária para verificar a associação entre sintomas depressivos e insegurança alimentar, ajustada por potenciais variáveis de confundimento. O nível de significância foi p<0,05. Resultados Foram avaliados 316 idosos, com média de idade de 70,5 (±7,5 anos). A prevalência de sintomas depressivos foi de 27,5% e a de insegurança alimentar foi de 63,3%, sendo que 25,6% dos domicílios com idosos estavam em insegurança moderada/grave. Na análise multivariada, domicílios com insegurança alimentar leve apresentaram 3 vezes (OR=3,02; IC 95%1,42-6,39) mais chances de desenvolverem sintomas depressivos, enquanto que aqueles em insegurança alimentar moderada/grave a chance foi 5 vezes maior (OR=5,01; IC 95% 2,30-10,92). Conclusão Foi encontrada associação entre insegurança alimentar e sintomas depressivos em domicílios com idosos da Estratégia Saúde da Família, com mais chances para aqueles com insegurança alimentar moderada/grave.

Abstract Objective To evaluate the prevalence of risk for Burnout Syndrome among health professionals in areas of care for patients with COVID-19, as well as to verify possible associations of the syndrome with the perceived social support and food insecurity of these workers. Methods Analytical cross-sectional study, with workers from intensive care units (ICU) and wards caring for patients with COVID-19, in a university hospital. Data collection was carried out from September to October 2021, using the instruments: Maslach Burnout Inventory (MBI-HSS), Multidimensional Perceived Social Support Scale and Food Insecurity Experience Scale (FIES). Statistical analysis used Poisson regression models and multiple Poisson regression, considering statistically significant differences and associations if p<0.05. Results A total of 75 workers from three wards (48%) and from one ICU (52%) participated in the survey, and the professionals are mostly female (89.3%), trained as health care technicians (66.7%). Regarding the risk of Burnout Syndrome, 26.7% of the workers had scores for at least one dimension of the scale, mainly referring to high emotional exhaustion (20%). There was a positive association between the risk of developing Burnout Syndrome and food insecurity (PR = 1.11; 95%CI = (1.04; 1.18); p = 0.002). The number of children was significantly negatively associated with the incidence of Burnout Syndrome (PR = 0.90; 95%CI = (0.83; 0.97); p = 0.008). Conclusion Positive associations were observed with a higher risk of BS in professionals with food insecurity and also that the number of children acts as a protective factor against the risk of Burnout Syndrome, which may be directly related to perceived social support.

Resumen Objetivo Evaluar la prevalencia de riesgo de síndrome de burnout en profesionales de la salud de áreas de asistencia a pacientes con COVID-19, así como verificar posibles relaciones del síndrome con el apoyo social percibido y la inseguridad alimentaria de estos trabajadores. Métodos Estudio transversal analítico, con trabajadores de unidades de cuidados intensivos (UCI) y de enfermerías de asistencia a pacientes con COVID-19 en un hospital universitario. La recopilación de datos fue realizada en el período de septiembre a octubre de 2021, utilizando los instrumentos: Cuestionario Maslach de Burnout (MBI-HSS), Escala Multidimensional de Apoyo Social Percibido y Escala de Experiencias de Inseguridad Alimentaria (FIES). En el análisis estadístico se utilizaron modelos de regresión de Poisson y regresión múltiple de Poisson, donde se consideraron diferencias y asociaciones estadísticamente significativas si p<0,05. Resultados Participaron del estudio 75 trabajadores de tres enfermerías (48 %) y de una UCI (52 %), donde los profesionales, en su mayoría, eran de sexo femenino (89,3 %), graduados(as) como técnicos de enfermería (66,7 %). Con relación al riesgo de síndrome de burnout , el 26,7 % de los trabajadores presentó puntuación en por lo menos una dimensión de la escala, principalmente en la referente al alto agotamiento emocional (20 %). Se verificó una asociación positiva entre el riesgo de padecer síndrome de burnout y la inseguridad alimentaria (RP = 1,11; IC95 % = (1,04; 1,18); p = 0,002). El número de hijos se asoció significativamente de forma negativa a la incidencia de síndrome de burnout (RP = 0,90; IC95 % = (0,83; 0,97); p = 0,008). Conclusión Se observaron asociaciones positivas de mayor riesgo de síndrome de burnout en profesionales con inseguridad alimentaria, además de que el número de hijos actúa como factor protector del riesgo de síndrome de burnout , lo que puede estar directamente relacionado con el apoyo social percibido.

Resumo Objetivo Avaliar a prevalência de risco para a Síndrome de Burnout entre profissionais da saúde de áreas de atendimento a pacientes com COVID-19, bem como verificar possíveis associações da síndrome com o apoio social percebido e com a insegurança alimentar desses trabalhadores. Métodos Estudo transversal analítico, com trabalhadores de unidades de terapia intensiva (UTI) e de enfermarias de atendimento a pacientes com COVID-19, em um hospital universitário. A coleta de dados foi realizada no período de setembro a outubro de 2021, utilizando os instrumentos: Inventário de Burnout de Maslach (MBI-HSS), Escala Multidimensional de Suporte Social Percebido e Escala de Vivência da Insegurança Alimentar (FIES). A análise estatística utilizou modelos de regressão de Poisson e regressão múltipla de Poisson, sendo consideradas diferenças e associações estatisticamente significativas se p<0,05. Resultados 75 trabalhadores de três enfermarias (48%) e de uma UTI (52%) participaram da pesquisa, sendo que os profissionais são, em sua maioria, do sexo feminino (89,3%), formados(as) como técnicos de enfermagem (66,7%). Em relação ao risco de Síndrome de Burnout , 26,7% dos trabalhadores apresentaram escores para pelo menos uma dimensão da escala, principalmente à referente a alta exaustão emocional (20%); verificou-se a associação positiva entre o risco de desenvolver Síndrome de Burnout e a insegurança alimentar (RP = 1,11; IC95% = (1,04; 1,18); p = 0,002). O número de filhos associou-se significativamente de forma negativa à incidência de Síndrome de Burnout (RP = 0,90; IC95% = (0,83; 0,97); p = 0,008). Conclusão Foram observadas associações positivas de maior risco de SB em profissionais com insegurança alimentar e, também, que o número de filhos atua como fator protetivo ao risco de Síndrome de Burnout , o que pode estar relacionado diretamente ao apoio social percebido.

Resumen Objetivo: Describir las características de los pacientes pediátricos atendidos en urgencias por sobreingesta de amoxicilina. Método: Estudio unicéntrico observacional, retrospectivo, en pacientes de 0-16 años atendidos en urgencias pediátricas por sobreingesta de amoxicilina entre 2011 y 2021. Se analizaron datos epidemiológicos, antropométricos, circunstancias de la sobreingesta, síntomas, manejo y destino. Resultados: Se incluyeron 15 pacientes, 66,6% varones, mediana de edad de 3,8 años (rango intercuartílico 1,9). La causa más frecuente de sobreingesta fue la ingesta accidental por el paciente (8/15; 53,3%). Fue administrada en forma de suspensión en todos los casos, excepto en un paciente con intención autolítica (comprimidos). El 80% (12/15) recibieron una única dosis. La mediana de tiempo de llegada a urgencias desde la sobreingesta fue de 2,1 horas (rango intercuartílico 2,7) y la mediana de dosis de 219 mg/kg/dosis (rango intercuartílico 148). Todos estaban asintomáticos con exploración normal. Se realizó analítica sanguínea en 7 (46,6%) y sedimento urinario en 2 (13,3%), sin alteraciones. Cinco (33,3%) recibieron carbón activado, con una mediana de tiempo hasta la administración de 1 hora (rango intercuartílico 1,2). Todos fueron dados de alta, suspendiendo el tratamiento 11 (73,3%). Conclusiones: En este estudio, la sobredosificación de amoxicilina no se relacionó con efectos adversos, a pesar de exceder las dosis recomendadas.

Abstract Objective: To describe the characteristics of pediatric patients treated in the emergency department due to amoxicillin overdosing. Method: A retrospective single-center observational study was conducted on patients aged 0 to 16 years treated in a pediatric emergency department due to amoxicillin overdosing between 2011 and 2021. Epidemiological and anthropometric data was collected as well as information on the circumstances of overdosing, clinical manifestations, emergency department management, and discharge destination. Results: The study comprised 15 patients, 66.6% of them male, with a median age of 3.8 years (interquartile range: 1.9). The most frequent cause of overdosing was accidental ingestion (8/15; 53.3%). Amoxicillin was mainly ingested in liquid form, except for one case with autolytic attempt, where it was ingested in the form of tablets. Eighty percent of subjects (12/15) received a single dose of the drug. The median time to presentation to emergency department was 2.1 hours from ingestion (interquartile range: 2.7) and the median dose of amoxicillin was 219 mg/kg/dose (interquartile range: 148). All patients were asymptomatic, with a normal physical examination. Blood tests were performed in 7 patients (46.6%) and urinary sediment analysis in 2 (13.3%), all of them without alterations. Activated charcoal was administered to 5 (33.3%), patients with a median time to administration of one hour (interquartile range: 1.2). All patients were discharged to their homes. Eleven cases (73.3%) required withdrawal of amoxicillin. Conclusions: Amoxicillin overdosing in this study did not appear to result in adverse effects, despite the fact that the recommended doses were significantly exceeded.

Resumen Introducción: a raíz de la emergencia por la COVID-19, las medidas de distanciamiento social adoptadas para mitigar la tasa de infección pueden influenciar los hábitos alimentarios y otros factores de estilo de vida. El objetivo de este estudio fue evaluar la relación del distanciamiento social y los factores de estilo de vida en adultos del sureste brasilero durante la primera ola pandémica. Metodología: se trata de un estudio transversal con 1828 adultos de entre 18 y 83 años, de ambos sexos, realizado a través de un cuestionario en línea; se recolectaron y analizaron datos sociodemográficos, alimentarios, sanitarios y de estilo de vida, en función de si se guardó o no el distanciamiento social. Resultados: los resultados mostraron disminución del desayuno (12,5 %) y aumento del consumo de meriendas (24,5 % matutina y 12,5 % vespertina) y picoteos entre comidas (20,4 %), así como de la ingesta de verduras y leguminosas entre quienes estaban en distanciamiento social y de pescado y comida rápida entre los que no lo estaban; la mayoría de participantes reportó ganancia de peso a lo largo de este periodo. Las personas en confinamiento dormían más y su principal causa de ansiedad fueron las estadísticas de la enfermedad. Conclusiones: los hallazgos sugieren la necesidad de implementar estrategias de promoción de la salud acordes a circunstancias como la actual.

Abstract Introduction: In the context of the COVID-19 pandemic, measures of social distancing to reduce the rate of infection can influence eating habits and other lifestyle factors. This study aimed to assess the relationship between social distancing and lifestyle factors in adults in southeastern Brazil during the first wave of the COVID-19 pandemic. Methods:: It was a cross-sectional study with 1,828 adults between 18 and 83 years of age, of both sexes, carried out through an online questionnaire; sociodemographic, food, health, and lifestyle data were collected and analyzed based on whether or not the social distancing was carried out. Results: The results showed a decrease in breakfast consumption (12.5%) and an increase in the consumption of snacks (24.5% morning snack; 12.5% afternoon snack) and snacks between meals (20.4%) during the pandemic, as well as an increase in the consumption of vegetables and legumes among people who did social distancing and in the consumption of fish and fast food among those who did not do social distancing; most participants reported weight gain during social distancing. People who were in social distancing slept more compared to those who were not in social distancing. The main cause of anxiety among those who kept social distancing were COVID-19 statistics. Conclusion: The findings suggest the need for health promotion strategies adapted to the condition of confinement in circumstances such as the current pandemic.

ABSTRACT Objective: To investigate the influence of a passive mobilization session on endothelial function in patients with sepsis. Methods: This was a quasi-experimental double-blind and single-arm study with a pre- and postintervention design. Twenty-five patients with a diagnosis of sepsis who were hospitalized in the intensive care unit were included. Endothelial function was assessed at baseline (preintervention) and immediately postintervention by brachial artery ultrasonography. Flow mediated dilatation, peak blood flow velocity and peak shear rate were obtained. Passive mobilization consisted of bilateral mobilization (ankles, knees, hips, wrists, elbows and shoulders), with three sets of ten repetitions each, totaling 15 minutes. Results: After mobilization, we found increased vascular reactivity function compared to preintervention: absolute flow-mediated dilatation (0.57mm ± 0.22 versus 0.17mm ± 0.31; p < 0.001) and relative flow-mediated dilatation (17.1% ± 8.25 versus 5.08% ± 9.16; p < 0.001). Reactive hyperemia peak flow (71.8cm/s ± 29.3 versus 95.3cm/s ± 32.2; p < 0.001) and shear rate (211s ± 113 versus 288s ± 144; p < 0.001) were also increased. Conclusion: A passive mobilization session increases endothelial function in critical patients with sepsis. Future studies should investigate whether a mobilization program can be applied as a beneficial intervention for clinical improvement of endothelial function in patients hospitalized due to sepsis.

RESUMO Objetivo: Investigar a influência de uma sessão de mobilização passiva na função endotelial de pacientes com sepse. Métodos: Este foi um estudo quase-experimental duplo-cego e de braço único com desenho pré e pós-intervenção. Participaram 25 pacientes com diagnóstico de sepse hospitalizados em unidade de terapia intensiva. Avaliou-se a função endotelial basal (pré-intervenção) e imediatamente pós-intervenção por meio de ultrassonografia da artéria braquial. Foram obtidas a dilatação mediada pelo fluxo, a velocidade pico de fluxo sanguíneo e a taxa de cisalhamento pico. A mobilização passiva consistiu na mobilização bilateral (tornozelos, joelhos, quadris, pulsos, cotovelos e ombros), com três séries de dez repetições cada, totalizando 15 minutos. Resultados: Após a mobilização, encontramos aumento da função de reatividade vascular em relação à pré-intervenção: dilatação mediada pelo fluxo absoluta (0,57mm ± 0,22 versus 0,17mm ± 0,31; p < 0,001) e dilatação mediada pelo fluxo relativa (17,1% ± 8,25 versus 5,08% ± 9,16; p < 0,001). O pico de fluxo sanguíneo na hiperemia (71,8cm/s ± 29,3 versus 95,3cm/s ± 32,2; p < 0,001) e a taxa de cisalhamento (211s ± 113 versus 288s ± 144; p < 0,001) também aumentaram. Conclusão: Uma sessão de mobilização passiva foi capaz de aumentar a função endotelial em pacientes graves com sepse. Estudos futuros são necessários para investigar se um programa de mobilização pode ser aplicado como intervenção benéfica para melhorar clinicamente a função endotelial em pacientes hospitalizados por sepse.

Abstract Introduction. Cholelithiasis has a prevalence of 15%, and 21% will have choledocholithiasis at the time of cholecystectomy, with a 50% probability of presenting associated complications. Since the advent of laparoscopic cholecystectomy, the approach to choledocholithiasis has been endoscopic, normative at a different time than the gallbladder; however, advances in laparoscopy have made it possible to explore the common bile duct by the same route, being able to perform both procedures in a single time safely. Methods. A search of the existing literature was performed regarding the one-step approach compared to the two-step approach for the management of cholelithiasis and choledocholithiasis. Results. There is evidence that demonstrates greater effectiveness of the two-step approach with ERCP and subsequent laparoscopic cholecystectomy over the one-step approach, especially in the rate of bile leak and the incidence of retained stones. The one-step approach with bile duct exploration and laparoscopic cholecystectomy at the same time is safe, with a high success rate, low incidence of complications, shorter hospital stay, and lower costs. Conclusion. The one-step laparoscopic approach is a safe and effective procedure for the management cholelithiasis and concomitant choledocholithiasis, with the benefit of a shorter hospital stay; however, advanced technical skills in laparoscopic surgery are required. In our environment there is already an infrastructure for hybrid management with ERCP and laparoscopic cholecystectomy, both of which can be performed at the same time to reduce hospital stay and costs.

Resumen Introducción. La colelitiasis tiene una prevalencia del 15 % y el 21 % tendrá coledocolitiasis al momento de la colecistectomía, con 50 % de probabilidad de presentar complicaciones asociadas. Desde el advenimiento de la colecistectomía laparoscópica, el abordaje de la coledocolitiasis ha sido endoscópico, usualmente en un tiempo diferente al vesicular, sin embargo, los avances en laparoscopia han permitido explorar la vía biliar común por la misma vía, pudiendo realizar ambos procedimientos en el mismo tiempo de forma segura. Métodos. Se realizó una búsqueda de la literatura existente con relación al enfoque para el manejo de la colecisto-coledocolitasis en un paso comparado con dos pasos. Resultados. Existe evidencia que demuestra mayor efectividad del abordaje en dos pasos, con CPRE y posterior colecistectomía laparoscópica, sobre el abordaje en un paso, especialmente en la tasa de fuga biliar y de cálculos retenidos. El enfoque en un paso con exploración de vías biliares y colecistectomía laparoscópica en el mismo tiempo es seguro, con alta tasa de éxito, baja incidencia de complicaciones, menor estancia hospitalaria y costos. Conclusión. El abordaje laparoscópico en un solo paso es un procedimiento seguro y eficaz para el manejo de la colecisto-coledocolitiasis, con el beneficio de estancia hospitalaria menor, sin embargo, se requieren habilidades técnicas avanzadas en cirugía laparoscópica. En nuestro medio ya existe una infraestructura para el manejo híbrido con CPRE y colecistectomía laparoscópica, pudiéndose realizar ambos en el mismo tiempo, para reducir estancia y costos.

Resumen La finalidad de este estudio es conocer y comparar los resultados de la puesta en práctica de un sistema de evaluación formativa y compartida en la actividad de aprendizaje denominada proyectos de aprendizaje tutorado (PAT) en una asignatura de Formación Inicial del Profesorado de una universidad pública española. Realizamos un estudio ex post facto con una muestra de 38 alumnos del grado de educación infantil y 52 alumnos del programa de estudios conjunto del grado de educación infantil y educación primaria. La recogida de datos se realizó mediante un cuestionario anónimo validado con escala tipo Likert. Los resultados son muy positivos: los alumnos están bastante satisfechos con la experiencia; consideran que es útil y que desarrolla competencias profesionales. Todos los grupos de PAT lograron aprobar la actividad y el rendimiento académico de ambos cursos superó el 80 por ciento de aprobados.

Abstract The purpose of this study is to gather and compare the results of the implementation of a formative and shared evaluation system in the learning activity known as tutored learning projects (TLP) in one of the Initial Teacher Training subjects of a Spanish public university. In order to do this, we carried out an ex post facto study with a sample of 38 students from the Early Childhood Education program and 52 students from the Early Childhood Education and Primary Education joint study program. Data collection was performed using an anonymous questionnaire validated with a Likert-type scale. The results were very positive: the students are quite satisfied with the experience; they consider it useful and helpful for developing professional skills. All the TLP groups managed to obtain a passing grade and both courses had an academic performance above 80%.

ABSTRACT. The objective of this work was to analyze the effect of the addition of condensed tannins (CT) in the efficiency of digestion, methanogenic potential and energy distribution between the fermentation products of two forages. An assay was carried out using the in vitro gas production technique in which extracts of Quebracho (Schinopsis balansae) and Lotus corniculatus were evaluated with fermentation patterns of derived products from Ryegrass (RG, Lolium perenne) and a tropical forage, Megathyrsus maximus (MM). Tannins were added to the substrate at a concentration of 30 mg g-1. MM presented higher and delayed gas production (GP), and in vitro dry matter, organic matter and fiber digestibilities (ivDMD, ivOMD and NDFD, respectively) were relatively high but lower than RG. In addition, MM presented higher CH4 production (CH4p) than RG in 24 and 48h. Even though CT of Quebracho induced a decrease in the NDFD, contrary to what was expected, CH4p was greater, although this effect could not be attributed to the presence of CT. The stoichiometric evaluation indicated that while the highest CH4p in Quebracho treatments were associated with acetogenic profiles, CH4p with Lotus did not show any relationship with the volatile fatty acids (VFA) profile, but it did show a relationship with the highest total VFA production and the highest GP.

Abstract Tectonic rejuvenation has been widely described in ancient rifting areas of intraplate settings, despite extensive active tectonics being discontinued long ago. Various models have been invoked to justify such tectonic rejuvenation, suggesting that the long-term deformation in intraplate interiors may be more complex than once supposed. Inherited weakness zones, e.g., pre-existing faults are stress concentrators. However, not all weakness zones in plate interiors show tectonic rejuvenation and recognizing intraplate fault reactivation remains puzzling. Bedrock channels play an essential role in tectonically unstable landscapes and therefore they may unveil which pre-existing structures have been rejuvenated. Here we explore the Cinzas Catchment in order to investigate the interactions between tectonic rejuvenation, bedrock inheritance and geomorphic river signatures in an important Brazilian rifting feature, the Ponta Grossa Arch. We perform a geomorphic analysis combined with fieldwork, dating techniques and existing data to evaluate whether the geomorphic responses of the major rivers show perturbations related to the bedrock inheritance and post-rift rejuvenation. We also show that the interactions between river signatures and the bedrock fault zones are responses to post-rifting rejuvenation coupled with bedrock inheritance. This post-rifting rejuvenation is consistent with a mosaic of superimposed mechanisms which have been invoked by previous studies.