Abstract Climate change crisis is a global concern for the humanity and for achieving Sustainable Development Goals (SDG). One of the solutions proposed is family planning which plays a dual role. Firstly, family planning must ensure gender equality (SDG 5) and good health (SDG 3) that “strengthen resilience and adaptive capacity to climate-related hazards and natural disasters in all countries” (SDG 13.1). Secondly, it would make it possible to contribute to the reduction in population growth, which will turn lead to a reduction in the levels of greenhouse gas emissions. This article analyzes this dual role to determine whether family planning could be an ethical solution for climate change and for contributing to sustainable development for a better future of humanity.

Resumen La crisis del cambio climático es una preocupación mundial para la humanidad y para la consecución de los Objetivos de Desarrollo Sostenible (ODS). Una de las soluciones propuestas es la planificación familiar, que desempeña un doble papel. En primer lugar, la planificación familiar debe garantizar la igualdad de género (ODS 5) y una buena salud (ODS 3) que “refuerce la resiliencia y la capacidad de adaptación a los riesgos relacionados con el clima y los desastres naturales en todos los países” (ODS 13.1). En segundo lugar, permitiría contribuir a la reducción del crecimiento demográfico, lo que a su vez conllevaría una reducción de los niveles de emisiones de gases de efecto invernadero. Este artículo analiza esta doble función para determinar si la planificación familiar podría ser una solución ética para el cambio climático y para contribuir al desarrollo sostenible para un futuro mejor de la humanidad.

RESUMO O desastre-crime do petróleo em 2019 é tido como o maior desastre ocorrido no litoral do Brasil. Considerada a primeira linha de enfrentamento de desastres no território, a gestão municipal de saúde é fundamental no processo de gestão de risco de desastre. Objetivou-se analisar a atuação de uma secretaria municipal de saúde da região metropolitana do Recife, Pernambuco, em relação ao derramamento do petróleo ocorrido em 2019. Foi realizado um estudo de caso do tipo descritivo com abordagem qualitativa. Foi realizada Análise de Conteúdo, com utilização do software IRaMuTeQ, das entrevistas com gestores da saúde, cujos resultados revelaram quatro categorias: gestão municipal na atenção com o mar; governança de risco de desastre e suas ausências; sindemia da covid-19 e impactos na reabilitação e recuperação das comunidades afetadas pelo desastre do petróleo; o que fazer se um desastre voltar a acontecer. No município em análise, houve a organização antecipada das ações de enfrentamento, a ausência da governança no desastre-crime e o enfoque da gestão em saúde na sindemia da covid-19, que foram apontados como dificuldades e vulnerabilidades na atuação, enquanto a educação permanente e a articulação com pescadores(as) e marisqueiras foram algumas das lições aprendidas. desastrecrime crime 201 Brasil território Objetivouse Objetivou Recife Pernambuco qualitativa Conteúdo IRaMuTeQ categorias mar ausências covid19 covid 19 covid-1 acontecer análise covid19, 19, pescadoresas pescadores as pescadores(as aprendidas 20 covid1 1 covid- 2

ABSTRACT The 2019 oil disaster-crime is considered the largest disaster on the Brazilian coast. Given the frontline in disaster response, the municipal health secretariat is crucial in the disaster risk management process. This study aimed to analyze the performance of a municipal health secretariat in the metropolitan region of Recife, Pernambuco, regarding the 2019 oil spill, adopting a descriptive, qualitative case study. We performed content Analysis with the IRaMuTeQ software on interviews with health managers, and the results revealed four categories: municipal management in marine care; disaster risk governance and its absence; the COVID-19 syndemic and its impacts on the rehabilitation and recovery of oil disaster-affected communities; what to do if a disaster strikes again. In the municipality under study, we noted early organization of response actions, the lack of governance in the disaster-crime, and health management focus on COVID-19 syndemic, which were identified as difficulties and vulnerabilities in their actions, while continuing education and coordination with fishermen and shellfish gatherers were among the lessons learned. 201 disastercrime crime coast process Recife Pernambuco spill descriptive managers categories care absence COVID19 COVID 19 COVID-1 disasteraffected affected communities again actions disastercrime, crime, learned 20 COVID1 1 COVID- 2

RESUMO Com o objetivo de analisar os processos de vulnerabilização socioambientais e em saúde das populações expostas ao petróleo bruto, no contexto da pandemia de covid-19 e apresentar caminhos para a reparação integral comunitária, este estudo assumiu uma perspectiva teórico-metodológica ancorada na Abordagem Ecossistêmica em Saúde, na Reprodução Social da Saúde e na Determinação Social da Saúde. Recorreu-se à pesquisa-ação como estratégia para a interação dialógica com os sujeitos dos territórios e construção de experiências emancipatórias na luta por saúde, ambiente e desenvolvimento sustentável. Apresenta-se, de forma geral, o processo de determinação social da saúde das comunidades da pesca artesanal, a promoção de interlocuções comunitária-institucional. Os resultados reforçam a necessidade de estudos no campo da saúde ambiental que alie o conhecimento acadêmico e a sabedoria dos povos das águas à busca por verdade, justiça e reparação. Para tal, é necessário desvelar as injustiças ambientais, o racismo ambiental e os conflitos ambientais, dialogando sobre o modelo de desenvolvimento e o neoextrativismo na sociedade, enquanto importantes desafios e oportunidades para promoção de Territórios Saudáveis e Sustentáveis. bruto covid19 covid 19 covid-1 comunitária teóricometodológica teórico metodológica Recorreuse Recorreu se pesquisaação pesquisa ação sustentável Apresentase, Apresentase Apresenta se, Apresenta-se geral artesanal comunitáriainstitucional. comunitáriainstitucional institucional. institucional comunitária-institucional verdade tal ambientais sociedade Sustentáveis covid1 1 covid-

ABSTRACT This study adopted a theoretical-methodological perspective anchored in the Ecosystem Approach to Health, the Social Reproduction of Health, and the Social Determinants of Health to analyze the socioenvironmental vulnerability and health of populations exposed to crude oil during the COVID-19 pandemic and present pathways for comprehensive community reparation. We employed action research as a strategy for dialogic interaction with the subjects of the territories and the construction of emancipatory experiences in the struggle for health, the environment, and sustainable development. We presented a general outlook on the social determination of the health of small-scale fishing communities and the promotion of community-institutional dialogues. The results reinforce the need for environmental health studies that combine academic knowledge with the wisdom of water peoples in the pursuit of truth, justice, and reparation. To do so, it is necessary to unveil environmental injustice, racism, and conflicts, engaging in dialogue about the development model and neo-extractivism in society as essential challenges and opportunities for promoting Healthy and Sustainable Territories. theoreticalmethodological theoretical methodological COVID19 COVID 19 COVID-1 reparation environment smallscale small scale communityinstitutional institutional dialogues truth justice so injustice racism conflicts neoextractivism neo extractivism Territories COVID1 1 COVID-

Resumen Este texto reflexiona sobre el uso de abordajes metodológicos colaborativos en proyectos de extensión específicos en el área de la comunicación, más específicamente para la comunicación estratégica en contextos de desastres socioambientales. Para ello, aborda las acciones del proyecto de extensión de la carrera de Relaciones Públicas de la Universidad Federal de Alagoas, Brasil, el Laboratorio de Comunicación Colaborativa. Se parte de una comprensión de la extensión universitaria como el intercambio de conocimientos —académicos y populares— que resulta en la democratización del conocimiento, la participación efectiva de la comunidad en las actividades universitarias y una producción resultante de enfrentarse con la realidad. Se sostiene que los procesos colaborativos, distintos de los cooperativos, generan aprendizajes para todos los involucrados, allanan el camino para la apropiación de acciones, lenguajes y tecnologías, además de posibilitar la problematización colectiva de cuestiones sociales.

Abstract This paper discusses the use of collaborative methodological approaches in university extension projects in the area of communication, more specifically for strategic communication in contexts of socio-environmental disasters. To this end, see the actions of the extension project for the Public Relations course at the Federal University of Alagoas, Brazil, the Collaborative Communication Laboratory. It starts from an understanding of university extension as the exchange of knowledge —academic and popular— resulting in the democratization of knowledge, the effective participation of the community in the university’s activities and a production resulting from the confrontation with reality. It is argued that collaborative processes, which are distinct from cooperatives, generate learning for everyone involved, paving the way for the appropriation of actions, languages and technologies, in addition to enabling collective problematization of social issues.

Resumo O presente texto faz uma reflexão sobre a utilização de abordagens metodológicas colaborativas em projetos de extensão voltados para a área da comunicação, mais especificamente para a comunicação estratégica em contextos de desastres socioambientais. Para tanto, olha para as ações do projeto de extensão do curso de Relações Públicas da Universidade Federal de Alagoas, Brasil, o Laboratório Colaborativo de Comunicação. Parte-se de uma compreensão de extensão universitária como a troca de saberes –acadêmico e popular– tendo como consequência a democratização do conhecimento, a participação efetiva da comunidade na atuação da universidade e uma produção resultante do confronto com a realidade. Defende-se que os processos colaborativos, que são distintos dos cooperativos, geram aprendizados para todos os envolvidos, abrindo caminho para a apropriação dos fazeres, linguagens e tecnologias, além de possibilitar problematizações coletivas das questões sociais.

ABSTRACT: Moche pictorial art, despite its simplicity of style, reveals to contain multiple mystical meanings. Centuries of cultural heritage and philosophical thought fall on its figures and narrative forms. Thus, once their most basic techniques are understood, the narrative and metaphorical meaning they contain can be studied. One of the most recurrent of these figures and metaphors was the one referring to the snake-jaguar animal hybrid, a mythological creature referring to renewal. Its image of regeneration emphasized, in its deepest interpretation, the inexhaustible circle of life after death; applied with special interest to agriculture and the maintenance of human order. The other vision, the most profane, referred to the necessary renewal of political power; to the death and rebirth of the authority of the Moche rulers. The strategy of the Mochica ruling elite went through various moments of anguish, especially due to the climatological disasters caused by unexpected floods and torrents or received without proper preparation, which put the authorities in charge of dealing with the divinities and praying, for a climate without surprises, directly on the target. Therefore, regeneration, that is, the death and rebirth of the ruling leadership, was necessary. Through it, it was stated that the new authorities had overcome their weaknesses and were returning, this time stronger, to continue occupying their position. The icon with which the Mochicas expressed this phenomenon of exhaustion of authority and its subsequent reinforcement was that of snakes with the heads of jaguars. ABSTRACT art style meanings forms Thus understood studied snakejaguar snake jaguar hybrid emphasized interpretation order vision profane power rulers anguish preparation praying surprises target Therefore is leadership returning stronger position jaguars

RESUMEN: El arte pictórico mochica, pese a su simplicidad de estilo, revela contener múltiples significados místicos. Sobre sus figuras y formas narrativas recaen siglos de herencia cultural y pensamiento filosófico. Así, comprendida sus técnicas más elementales, puede estudiarse el sentido narrativo y metafórico que encierran. Una de las más recurrentes de esas figuras y metáforas fue la referida al híbrido animal serpiente-jaguar, una criatura mitológica referida a la renovación. Su imagen de regeneración hacía hincapié, en su interpretación más profunda, en el círculo inagotable de la vida tras la muerte; aplicado con especial interés a la agricultura y al sostenimiento del orden humano. La otra visión, la más profana, hacía referencia a la renovación necesaria del poder político; a la muerte y renacimiento de la autoridad de los gobernantes Moche. La estrategia de la élite gobernante mochica pasó por momentos diversos de angustia, especialmente debido a los desastres climatológicos provocados por los aluviones y torrentes no esperados o recibidos sin la debida preparación, lo que ponía a las autoridades, encargadas de tratar con las divinidades y rogar por un clima sin sorpresas, directamente en la diana. Por ello, la regeneración, esto es, la muerte y renacimiento de la cúpula gobernante, resultaba necesaria. A través de ella se hacía constar que las nuevas autoridades habían superado sus flaquezas y volvían, esta vez más fuertes, para seguir ocupando su puesto. El icono con que los mochicas expresaban este fenómeno de agotamiento de la autoridad y su ulterior reforzamiento, fue el de las serpientes con cabeza de jaguar. RESUMEN estilo místicos filosófico Así elementales encierran serpientejaguar, serpientejaguar serpiente jaguar, jaguar serpiente-jaguar hincapié profunda humano visión profana político Moche angustia preparación sorpresas diana ello es volvían fuertes puesto reforzamiento

Academics from South African Universities have recently been bound to possess digital skills for curriculum delivery due to the lessons learned from the COVID-19 era. Universities have implemented various interventions to enhance digital skills in academics, which include but are not limited to training workshops, organised webinars, and seminars. Irrespective of these interventions, some academics still lack the digital skills to deliver effective digital curricula. The primary aim of the research is to develop other methods to address the shortage of digital skills among scholars. This research is based on a three-year qualitative interpretive study carried out at a university in South Africa, exploring a scenario where academics share their experiences on utilising digital platforms for teaching and learning following the COVID-19 pandemic. Data was generated purposefully and conveniently by sampling thirty-two academics from the school of education. The methods used for data generation included e-reflective activities, Zoom group discussions, and semi-structured interviews conducted one-on-one via WhatsApp. After thematic analysis, findings show that academics' digital background becomes the barrier to having the necessary digital skills for digital curriculum delivery. Hence, most of them were driven by informal skills for social needs and personal digital skills for individual needs at the expense of formal digital skills for discipline needs. With universities in developing countries still becoming victims of student protests, natural disasters, and other challenges, alternatives are being sought to accommodate the transition from face-to-face to online or hybrid curriculum delivery modes.

ABSTRACT Rainfall forecasts are of great importance to prevent disasters, economic losses in crops and several important aspects for the country's hydroeconomy, hence the need to develop rainfall prediction models. At the Villa Clara Provincial Meteorological Center (CMPVC), mathematical models with a high level of accuracy are used, but they require a lot of processing time. Hence, the need to look for more current and accurate, ways to make accurate rainfall forecasts but in a faster way. The progress of artificial intelligence and especially artificial neural networks have allowed the development of models to solve the problem of rainfall prediction; using the metrics provided by the World Meteorological Organization (WMO) from 1975 to 2016. In this work, an analysis of the different regression models with multiple outputs to predict rainfall is carry out in the months of May, June, July and August. The regression models that best fit this problem were linear regression, regression tree, k-nearest neighbors, direct regression, chained regression and multilayer perceptron. After running the models, the multilayer perceptron was the regression model with the best results, with a high degree of efficiency for rainfall forecasting.

RESUMEN Los pronósticos de las precipitaciones tienen gran importancia para prevenir desastres, pérdidas económicas en cultivos y varios aspectos importantes para la hidroeconomía del país, de ahí la necesidad de desarrollar modelos de predicción de precipitaciones. En el Centro Meteorológico Provincial de Villa Clara (CMPVC) se emplean modelos matemáticos con un nivel de precisión alto, pero requieren mucho tiempo de procesamiento. De ahí la necesidad de buscar maneras más actuales y precisas para realizar pronósticos de lluvia acertados, pero de manera más rápida. El progreso de la inteligencia artificial y en especial, las redes neuronales artificiales han permitido desarrollar modelos para dar solución al problema de predicción de precipitaciones; mediante las métricas proporcionadas por la Organización Meteorológica Mundial (OMM) comprendidas entre los años 1975 hasta el 2016. En este trabajo se realiza un análisis de los diferentes modelos de regresión con múltiples salidas para predecir las precipitaciones en los meses mayo, junio, julio y agosto. Los modelos de regresión que más se ajustaron a esta problemática fueron la regresión lineal, el árbol de regresión, el k-vecinos más cercanos, la regresión directa, la regresión encadenada y el perceptrón multicapa. Luego de realizar las corridas de los modelos resultó el perceptrón multicapa, el modelo de regresión con mejores resultados, con un alto grado de eficacia para el pronóstico de las precipitaciones.

Abstract The hotel industry faces a series of challenges and crisis situations that can have significant repercussions on its operations, profitability, and reputation. From natural disasters such as earthquakes and hurricanes to economic crises and public health situations like pandemics, these contingencies can cause significant disruptions in hotel operations and affect guest demand. It is essential to understand how crises impact hotel facilities and what measures can be taken to mitigate negative effects and achieve a rapid recovery. The main objective of this research is to assess the impacts of the COVID-19 crisis on the Brisas Guardalavaca hotel through a procedure that collects and analyzes relevant data to evaluate the direct and indirect impacts of the crisis on the hotel and identify its main strengths and weaknesses in this regard. Indeed, the results indicate a negative impact caused by the pandemic and identify areas for implementing improvement actions.

Resumen La industria hotelera se enfrenta a una serie de desafíos y situaciones de crisis que pueden tener repercusiones significativas en su funcionamiento, rentabilidad y reputación. Desde desastres naturales como terremotos y huracanes, hasta crisis económicas y situaciones de salud pública como pandemias, estas contingencias pueden causar interrupciones significativas en las operaciones hoteleras y afectar la demanda de los huéspedes. Es esencial comprender cómo las crisis impactan a las instalaciones hoteleras y qué medidas se pueden tomar para mitigar los efectos negativos y lograr una rápida recuperación. El objetivo principal de esta investigación es evaluar los impactos provocados por la crisis del COVID-19 en el hotel Brisas Guardalavaca a través de un procedimiento que recopila y analiza datos relevantes para evaluar los impactos directos e indirectos de la crisis en el hotel e identificar las principales fortalezas y debilidades de la instalación en este sentido. Precisamente, los resultados arrojan un impacto negativo provocado por la pandemia e identifica áreas para la implementación de acciones de mejora.

RESUMEN El estudio explora la vulnerabilidad sísmica en instituciones públicas del cantón El Empalme, Ecuador, enfocándose en el impacto en la operatividad y gestión económica ante desastres. Frente al desafío de una respuesta limitada a terremotos, se propone como objetivo el evaluar cómo la vulnerabilidad estructural y el deterioro de infraestructuras económicas comprometen la eficiencia en situaciones de emergencia, incluyendo el análisis económico de las pérdidas humanas causadas por esta problemática. Mediante una metodología mixta, que incluye encuestas basadas en recomendaciones del Programa de las Naciones Unidas para el Desarrollo, se busca identificar áreas críticas para mejorar la capacidad de respuesta y evaluación ante desastres. Los resultados subrayan la necesidad urgente de fortalecer la preparación y resiliencia, promoviendo el desarrollo de políticas y estrategias para una gestión de riesgo más efectiva y la protección de la población e infraestructura frente a eventos sísmicos.

ABSTRACT The study explores seismic vulnerability in public institutions in the canton El Empalme, Ecuador, focusing on its impact on the operability and economic management in the face of disasters. Faced with the challenge of a limited response to earthquakes, the objective is to evaluate how structural vulnerability and the deterioration of economic infrastructure compromise efficiency in emergency situations, including the economic analysis of the human losses caused by this problem. Through a mixed methodology, which includes surveys based on recommendations of the United Nations Development Program, it seeks to identify critical areas to improve disaster response and assessment capacity. The results underscore the urgent need to strengthen preparedness and resilience, promoting the development of policies and strategies for more effective risk management and the protection of the population and infrastructure against seismic events.

Abstract: The article seeks to provide evidence to the characterization of a long-standing process of social construction of disaster risk, in which risk-insensitive territorial planning is recognized as the main underlying risk drivers. Through a processual approach, we conclude about the close relationship between neoliberal urbanization processes and the multilevel deployment of business power, which mobilizes real estate developments that have promoted an environmentally predatory urban-tourist expansion for the area of interest and directly influenced in the exposure to disaster risk of residents and built infrastructure. Through the forensic investigation methodology that analyzes the underlying causes of disasters (FORIN), it is possible to deconstruct the situation currently experienced by a group of buildings located in the exclusive coastal residential sector of Cochoa, Reñaca Norte, Viña del Mar, Valparaíso Region Chile, which they have been categorized as uninhabitable due to two neighboring sinkholes that condition their stability and occupation since august 2023. Located on a fragile ecosystem such as a dune field, there were technical studies that accounted for the risk of overloading it with buildings, however, the recognition of risk was omitted in the respective territorial planning instrument —Communal Regulatory Plan of Viña del Mar— defining the location area as a residential zone.

Resumen: El artículo busca aportar evidencia a la caracterización de un proceso de construcción social del riesgo de desastres de larga data, en el cual la planificación territorial insensible al este se reconoce como el principal factor subyacente. Mediante un enfoque procesual se concluye sobre la estrecha relación existente en procesos de urbanización neoliberal y el despliegue multinivel del poder empresarial, el que moviliza desarrollos inmobiliarios que han promovido una expansión urbana-turística depredadora ambientalmente para la zona de interés e incidido directamente en la exposición a riesgo de desastres de los residentes y de la infraestructura construida. Mediante la metodología de investigación forense que analiza las causas de base de los desastres (Forensic Investigations of Disaster, FORIN), es posible deconstruir la situación que experimenta actualmente un conjunto de edificios ubicados en el exclusivo sector costero residencial de Cochoa, Reñaca norte, Viña del Mar, Región de Valparaíso en Chile, los que han sido categorizados como inhabitables debido a dos socavones aledaños que condicionan suestabilidad y ocupación desde el mes de agosto de 2023. Emplazados sobre un ecosistema frágil, como lo es un campo dunar, existieron estudios técnicos que daban cuenta del riesgo de sobrecargarlo con edificaciones, no obstante, se omitió el reconocimiento de riesgo en el respectivo instrumento de planificación territorial —Plan Regulador Comunal de Viña del Mar— definiendo el área de emplazamiento como zona residencial.

Abstract: Background: The Covid-19 pandemic has become one of the largest health, economic, and social disasters in human history. In this context, there has been a substantial increase in various emotional disorders such as anxiety, depression, stress, and emotional exhaustion. Given these issues, there is concern about the impact this may have on patients with cardiovascular risk factors (CVRF) during this health emergency. Objective: To analyze the impact of the COVID-19 pandemic on CVRF and mental health in subjects undergoing private cardiology consultation. Method: Observational, analytical, cross-sectional study. The target population consisted of 100 users attending a private cardiology consultation, all of them giving informed consent, with anon-probabilistic convenience sample. DASS-21 survey was conducted during the COVID-19 pandemic to evaluate depression, anxiety, and stress. Anthropometric measurements and tests for glycemia, insulinemia, glycosylated hemoglobin (HbA1c), lipid profile, and blood pressure were performed for the pre-pandemic (PP) and during-pandemic (IP) COVID-19 periods. Statistical analysis, measures of central tendency, and bivariate analysis with Chi2 test. was performed using a Stata software package. Results: The sample consisted of 100 subjects, 51.5% female, with an average age of 60.8 ± 13.7 years. Subjects had a high socio-economic Level (SEL)in 55.5% and higher education level in 63.6%. Comparing PP and IP periods, the most relevant results, re were respectivly: altered blood pressure (BP) 16.6% vs 22.9%, overweight/obesity 65.8% vs 70.7%, HbA1c 16.6% vs 31.9%, altered insulinemia 15.7% vs 21%, altered non-HDL cholesterol 52.7%, vs 50.5%, and HOMA index 44.5% vs 54.3%. A significant increase in mental health disorders in IP was evidenced, which were: mild/moderate depression 20%, and severe/extremely severe depression 11%; mild/moderate anxiety 25%, and severe/extremely severe anxiety 22%, mild/moderate stress 21%, and severe/ extremely severe stress 18%. Conclusions: In the IP phase there was a statistically significant alteration in clinical variables such as BP, HbA1c, HOMA index, insulinemia, non-HDL cholesterol, and overweight/ obesity. Also, a high percentage of depression, anxiety, and stress was observed. The COVID-19 pandemic has impacted CVR and mental health in subjects being cared for in the private health system.

Resumen: Antecedentes: La pandemia de Covid-19 se ha convertido en uno de los desastres de salud, económicos y sociales más grandes de la historia de la humanidad. En este contexto se evidencia un aumento sustancial de trastornos emocionales diversos como, la ansiedad, la depresión, estrés y agotamiento emocional. Es preocupante el impacto que puede representar en los pacientes con factores de riesgo cardiovasculares (FRCV) durante la emergencia sanitaria. Objetivo: Analizar el impacto de la pandemia Covid 19 en los FRCV y en la salud mental en usuarios de consulta privada cardiológica. Método: Estudio observacional, analítico de corte transversal. Población objetivo 100 usuarios atendidos en consulta privada cardiológica, todos con consentimiento informado. Muestra no probabilística por conveniencia. Se realizó encuesta DASS-21 intra pandemia Covid 19 para medición de depresión, ansiedad y estrés. Medición antropométrica y exámenes de glicemia, insulinemia, hemoglobina glicosilada (HbA1c), perfil lipídico y presión arterial, para los periodos pre pandemia (PP) e intra pandemia (IP) Covid 19. Se usó software Stata para el análisis estadístico de medidas de tendencia central y el análisis bivariado con prueba de Chi2. Resultados: La muestra incluyó 100 usuarios: 51,5% de género femenino, y el promedio de edad fue 60,8 ±13,7 años. El nivel socioeconómico (NSE) fue Alto en 55,5%. El 63,6% presentaban nivel de escolaridad enseñanza superior (NEES). Al analizar ambos periodos, PP e IP, los resultados con mayor relevancia fueron: presión arterial (PA) alterada 16,6% en PP y 22,9% en IP; sobrepeso/obesidad 65,8% en PP y 70,7% en IP; HbA1c 16,6% PP y 31,9% en IP; insulinemia alterada 15,7% PP y 21% en IP; colesterol no HDL alterado 50,5% en PP y 52,7% en IP; índice HOMA alterado 44,5% en PP y 54,3% en IP. Se evidenció un importante aumento en trastornos de salud mental en IP que fueron depresión leve/moderada en 20% y depresión severa/extremadamente severa en 11%; ansiedad leve/moderada 25% y ansiedad severa/extremadamente severa 22%, estrés leve/moderado 21% y estrés severo/extremadamente severo 18%. Conclusiones: En el periodo IP hubo una alteración estadísticamente significativa en las variables clínicas como PA, HbA1c, índice HOMA, insulinemia, colesterol noHDL y sobrepeso/obesidad. En el periodo IP hubo un alto porcentaje de depresión, ansiedad y estrés, especialmente en mujeres. La pandemia por Covid 19 ha tenido impacto en los FRCV y en la salud mental en usuarios del sistema privado de salud.

Abstract Hilar cavernous transformation is the formation of venous structures rich in collateral around the portal vein. Portal vein thrombosis is a rare entity. Although there are many reasons for its etiology, few cases have been reported secondary to hydatid cysts in the liver. Here, we present a 24-year-old patient with complaints of abdominal pain and swelling. Her CT and MRI scans show cholelithiasis with portal vein thrombosis and hilar cavernous transformation due to giant hydatid cyst compression in the lateral liver sector.

Resumen La transformación cavernosa hiliar es la formación de estructuras venosas ricas en colaterales alrededor de la vena porta. La trombosis de la vena porta es una afección poco frecuente. Aunque existen muchas razones en su etiología, se han descrito pocos casos secundarios a quiste hidatídico en el hígado. Aquí se presenta el caso de una paciente de 24 años con quejas de dolor abdominal e hinchazón. La tomografía computarizada y la resonancia magnética mostraron colelitiasis con trombosis de la vena porta y transformación cavernosa hiliar por compresión del quiste hidatídico gigante en el sector lateral del hígado.

ABSTRACT Against the background of a sharp decline in soybean planting, rising imports, and natural disasters in China, finding appropriate distribution areas for soybean has become a matter of urgency so that soybean planting policies can be formulated and soybean food security ensured. Among the numerous ecological niche models, the most suitable one for predicting potential distribution areas of soybean in the frigid region must be identified. Based on 65 soybean occurrence points and nine environmental variables, three ecological niche models, MaxEnt, BIOCLIM, and DOMAIN, were applied to the prediction of potential distribution areas for soybean. According to the analytical comparison, the three models predicted the potential distribution of soybean and, specifically, MaxEnt, stood out above the other two models as regards predicting the soybean distribution (Receiver Operating Characteristic curve, AUC = 0.916, Kappa = 0.685). The potential distribution areas (from low suitability to high suitability) predicted by MaxEnt was the largest and accounted for 59.5 % of the total area. The potential suitable distribution area of soybean was mainly concentrated in relatively flat terrain. The Sanjiang Plain and the Northeast Plain accounted for 9.4 % of the total area in the frigid region and are highly suitability for soybean. At the same time, annual mean temperature, elevation and Apr solar radiation were the key determinants affecting soybeans’ habitat. On the whole, the selection of ecological niche models and the prediction of soybean potential distribution can provide an essential reference for soybean planting and planning. Moreover, it would be a reliable example for the subsequent related research on soybean habitats. imports China ensured identified 6 variables BIOCLIM DOMAIN comparison specifically Receiver curve 0916 0 916 0.916 0.685. 0685 0.685 . 685 0.685) from 595 59 5 59. terrain 94 9 4 9. time temperature soybeans habitat whole planning Moreover habitats 091 91 0.91 068 0.68 68 09 0.9 06 0.6 0.