RESUMO Objetivo: Examinar a associação entre o tempo de tela autorreportado e os sintomas de estresse, ansiedade e depressão em adolescentes. Métodos: Foi realizado estudo com delineamento transversal com 982 adolescentes entre 12-15 anos, matriculados na rede pública de ensino da cidade de Jacarezinho (PR). Para mensurar o tempo de tela, os adolescentes responderam à pergunta: “Considerando um dia típico, quanto tempo você passa assistindo TV, jogando videogame, usando computador ou smartphone?”. O questionário DASS-21 (versão curta) foi utilizado para avaliar os sintomas de depressão, ansiedade e estresse. Análises brutas e ajustadas (idade, sexo e nível de escolaridade materna) entre tempo de tela e indicadores de saúde mental foram realizadas por meio do modelo de regressão linear generalizado, com distribuição de Poisson, adotando a significância de p<0,05. Resultados: Maiores sintomas depressivos foram observados em adolescentes com tempo de tela de 4–6 horas/dia (RP 1,35, IC95% 1,13–1,61) e ≥6 horas/dia (RP 1,88, IC95% 1,62–2,19) quando comparados com seus pares com ≤2 horas/dia. O mesmo foi observado para os sintomas de ansiedade com tempo de tela de 4–6 horas/dia (RP 1,23, IC95% 1,04–1,46) e ≥6 horas/dia (RP 1,50, IC95% 1,28–1,77); e estresse, com 4–6 horas/dia (RP 1,25, IC95% 1,08–1,44) e ≥6 horas/dia (RP 1,49, IC95% 1,30–1,71), também comparados com seus pares com ≤2 horas/dia. Conclusões: O tempo de tela foi associado positivamente com os sintomas de depressão, ansiedade e estresse em adolescentes. Atenção especial deve ser dada àqueles que passam mais de quatro horas por dia em frente a uma tela. Objetivo Métodos 98 1215 12 15 12-1 anos PR. PR . (PR) pergunta Considerando típico TV videogame smartphone. smartphone smartphone?” DASS21 DASS 21 DASS-2 versão curta idade, idade (idade materna generalizado Poisson p005 p 0 05 p<0,05 Resultados 46 4 6 4– horasdia RP 135 1 35 1,35 IC95 IC 1,13–1,61 113161 13 61 ≥ 188 88 1,88 1,62–2,19 162219 62 2 19 ≤ 123 23 1,23 1,04–1,46 104146 04 150 50 1,50 1,28–1,77 128177 28 77 1,28–1,77) 125 25 1,25 1,08–1,44 108144 08 44 149 49 1,49 1,30–1,71, 130171 1,30–1,71 , 30 71 1,30–1,71) Conclusões 9 121 12- (PR smartphone? DASS2 DASS- p00 p<0,0 3 1,3 IC9 1,13–1,6 11316 18 8 1,8 1,62–2,1 16221 1,2 1,04–1,4 10414 5 1,5 1,28–1,7 12817 7 1,08–1,4 10814 14 1,4 13017 1,30–1,7 p0 p<0, 1, 1,13–1, 1131 1,62–2, 1622 1,04–1, 1041 1,28–1, 1281 1,08–1, 1081 1301 1,30–1, p<0 1,13–1 113 1,62–2 162 1,04–1 104 1,28–1 128 1,08–1 108 130 1,30–1 p< 1,13– 11 1,62– 16 1,04– 10 1,28– 1,08– 1,30– 1,13 1,62 1,04 1,28 1,08 1,30 1,1 1,6 1,0

ABSTRACT Objective: To examine the associations between self-reported screen time and symptoms of stress, anxiety, and depression in adolescents. Methods: A cross-sectional study was conducted with 982 adolescents aged between 12 and 15 years, enrolled in public schools in Jacarezinho (PR), Brazil. Screen time was assessed by the question “Considering a typical day, how much time do you spend watching TV, playing videogame, using computer or smartphone?” The DASS-21 questionnaire (short form) was used to assess symptoms of depression, anxiety, and stress. Crude and adjusted analyses (age, sex, and maternal level of education) between screen time and mental disorders symptoms were performed using general linear regression models, with Poisson distribution, with significance level at p<0.05. Results: Higher depressive symptoms were observed in adolescents who reported screen time of 4–6 hours/day (PR 1.35, 95%CI 1.13–1.61) and ≥6 hours/day (PR 1.88, 95%CI 1.62–2.19), compared with their pairs with <2 hours/day. The same was observed for anxiety symptoms with screen time of 4–6 hours/day (PR 1.23, 95%CI 1.04–1.46) and ≥6 hours/day (PR 1.50, 95%CI 1.28–1.77); and stress, with 4–6 hours/day (PR 1.25, 95%CI 1.08–1.44) and ≥6 hours/day (PR 1.49, 95%CI 1.30–1.71), also compared with their pairs with <2 hours/day. Conclusions: Screen time was positively associated with depressive, anxiety, and stress symptoms in adolescents. Special attention should be given to those who spend more than four hours a day in front of a screen. Objective selfreported self Methods crosssectional cross sectional 98 1 years PR, PR , (PR) Brazil Considering TV videogame smartphone smartphone? DASS21 DASS 21 DASS-2 short form age, age (age sex education models distribution p005 p 0 05 p<0.05 Results 46 4 6 4– hoursday 135 35 1.35 95CI CI 95 1.13–1.61 113161 13 61 ≥ 188 88 1.88 1.62–2.19, 162219 1.62–2.19 62 2 19 1.62–2.19) < 123 23 1.23 1.04–1.46 104146 04 150 50 1.50 1.28–1.77 128177 28 77 1.28–1.77) 125 25 1.25 1.08–1.44 108144 08 44 149 49 1.49 1.30–1.71, 130171 1.30–1.71 30 71 1.30–1.71) Conclusions 9 DASS2 DASS- p00 p<0.0 3 1.3 1.13–1.6 11316 18 8 1.8 16221 1.62–2.1 1.2 1.04–1.4 10414 5 1.5 1.28–1.7 12817 7 1.08–1.4 10814 14 1.4 13017 1.30–1.7 p0 p<0. 1. 1.13–1. 1131 1622 1.62–2. 1.04–1. 1041 1.28–1. 1281 1.08–1. 1081 1301 1.30–1. p<0 1.13–1 113 162 1.62–2 1.04–1 104 1.28–1 128 1.08–1 108 130 1.30–1 p< 1.13– 11 16 1.62– 1.04– 10 1.28– 1.08– 1.30– 1.13 1.62 1.04 1.28 1.08 1.30 1.1 1.6 1.0

Abstract Barriers to compare opposed or alternative scientific theories exist, based on diverse premises. One is the concept of incommensurability, the idea suggesting that different paradigms or theories cannot be contrasted since they do not share common tenets. This paper proposes the use of nested models for testing the efficacy of isolated disciplinary explanations of psychological and social problems versus the power of interdisciplinary explanations. According to this approach, such nested models would include alternative disciplinary theories competing against each other and against an inclusive model that combines these unidisciplinary explanations. This situation is illustrated with an empirical study using a questionnaire on predictors of precautionary behaviors against COVID-19. Data was analyzed using structural equations, considering a psychological and a health-science perspective, and integrated into an interdisciplinary model. Results from this study showed that the best model was the interdisciplinary model, thus providing some evidence for the use of nested models as a method to integrate different disciplines. The advantages of this approach are discussed in the face of the growing, complex, and serious problems that humanity is nowadays experiencing.

Resumen Basadas en diversas premisas, existen barreras para comparar teorías científicas opuestas o alternativas. El concepto de inconmensurabilidad es una de estas dificultades, la idea que sugiere que diferentes paradigmas o teorías no pueden contrastarse porque no comparten principios comunes. Este artículo propone el uso de modelos anidados para probar la eficacia de explicaciones disciplinarias aisladas de problemas psicológicos y sociales en comparación con la de explicaciones interdisciplinarias. Según este enfoque, tales modelos anidados incluirían teorías disciplinarias alternativas que compiten entre sí y contra un modelo inclusivo que combine estas explicaciones unidisciplinarias. Esta situación se ilustra con un estudio empírico sobre predictores de conductas de precaución frente al COVID-19. Los resultados fueron analizados mediante ecuaciones estructurales, considerando una perspectiva psicológica y de ciencias de la salud, e integrados en un modelo interdisciplinario. Los hallazgos mostraron que era mejor el modelo interdisciplinario, proporcionando evidencia para el uso de modelos anidados como método para integrar diferentes disciplinas. Se discuten las ventajas de utilizar este enfoque frente a los crecientes, complejos y graves problemas que vive hoy la humanidad.

Abstract: Given the prevalence of mental disorders and elevated psychological symptoms, there has been a call for action to scale up health services. To provide optimal care, detecting symptoms early and evaluating the psychological state is essential. Self-report measures are useful to evaluate specific diagnoses and explore psychological symptoms. The present study aimed to provide new psychometric evidence of the Argentine version of the Brief Symptoms Checklist. Through non-probabilistic and intentional sampling, 760 individuals aged 18 to 63 (M = 28.1; SD = 8.61) were selected. Confirmatory factor analysis showed that the nine correlated factors model exhibited the best-fit indices and yielded full configural, metric and scalar invariance across gender and region. The factors mainly showed adequate reliability values similar to previous research. T values are provided as population-based norms. The results showed that the instrument is valid and reliable, and could be a valuable tool in various contexts, particularly in primary care, where the evaluation requires a very short time and useful information.

Resumen: Dada la prevalencia de los trastornos mentales y los síntomas psicológicos elevados, ha habido un llamado a la acción para ampliar los servicios de salud. Para brindar una atención óptima, es fundamental la detección temprana de los síntomas y la evaluación del estado psicológico. Las medidas de autoinforme tienen una amplia utilidad para evaluar diagnósticos específicos y explorar síntomas psicológicos. El objetivo de este estudio fue aportar nuevas evidencias psicométricas de la versión argentina de la versión breve del Inventario de Síntomas Psicológicos. Mediante un muestreo no probabilístico e intencional, se seleccionaron 760 individuos de 18 a 63 años (M = 28.1; DE = 8.61). A través de análisis factoriales confirmatorios se halló que el modelo de nueve factores correlacionados mostró un mejor ajuste y se encontraron evidencias acerca de su invariancia escalar, métrica y configural según género y región. Los factores mostraron mayormente valores de confiabilidad adecuados, concordantes con investigaciones previas. Se proporcionaron puntajes normativos T. Los resultados mostraron que el instrumento es válido y confiable, y podría ser una herramienta valiosa en diversos contextos, particularmente en la atención primaria, donde la evaluación exige tiempos muy breves e información de utilidad.

Resumo: Dada a prevalência dos transtornos mentais e sintomas psicológicos elevados, houve um apelo à ação para ampliar os serviços de saúde. A detecção precoce dos sintomas e a avaliação do estado psicológico são fundamentais para oferecer cuidados ideais. As medidas de autorrelato têm ampla utilidade para avaliar diagnósticos específicos e explorar sintomas psicológicos. O objetivo deste estudo foi gerar novas evidências psicométricas da adaptação argentina da versão curta do Inventário de Sintomas Psicológicos. Por meio de amostragem não probabilística e intencional, foram selecionados 760 indivíduos de 18 a 63 anos (M = 28,1; DP = 8,61). Por meio de análises fatoriais confirmatórias, constatou-se que o modelo de nove fatores correlacionados apresentou melhor ajuste e foram encontradas evidências sobre sua invariância escalar, métrica e configuracional segundo gênero e região. Os fatores apresentaram majoritariamente valores de confiabilidade adequados, condizentes com pesquisas anteriores. São fornecidos escores normativos T. Os resultados mostraram que o instrumento é válido e confiável, podendo ser uma ferramenta valiosa em vários contextos, particularmente na atenção primária, onde a avaliação requer tempos muito curtos e informações úteis.

Abstract: This study analyzes the experiences of 17 Colombian primary education teachers in caring for students with disabilities, registered in 17 educational institutions in 11 municipalities between 2018 and 2022. Through a narrative design and a questionnaire with open-ended questions, the interactions of these teachers with the educational environment were explored. Twelve psychological and thirteen pedagogical factors were identified, and their impact was examined depending on the types of disabilities and the specific characteristics of the students and educational contexts. The results reveal high variability and subjectivity in these factors, which can both favor and hinder inclusive educational practices. Additionally, the study examines the Individual Plan for Reasonable Adjustments, highlighting significant deficiencies in its implementation and resistance from some school sectors. This underscores challenges in adopting the inclusive education model promoted by the Colombian State. This analysis provides valuable insights for the continuous improvement of inclusive practices in the Colombian educational system

Resumen: Este estudio analiza las experiencias de 17 docentes colombianos de educación primaria en la atención a estudiantes con discapacidad, registradas en 17 instituciones educativas de 11 municipios entre 2018 y 2022. Mediante un diseño narrativo y un cuestionario de preguntas abiertas, se exploraron las interacciones de estos docentes con el entorno educativo. Se identificaron 12 factores psicológicos y 13 pedagógicos y se examinó su impacto en función de los tipos de discapacidad y las características específicas de los estudiantes y contextos educativos. Los resultados revelan una alta variabilidad y subjetividad en estos factores, los cuales pueden ser tanto favorecedores como obstaculizadores de las prácticas educativas inclusivas. Adicionalmente, el estudio examina el Plan Individual de Ajustes Razonables, destacando deficiencias significativas en su implementación y resistencia por parte de algunos sectores escolares, lo cual subraya desafíos en la adopción del modelo de educación inclusiva promovido por el Estado colombiano. Este análisis proporciona insights valiosos para la mejora continua de las prácticas inclusivas en el sistema educativo colombiano

Resumo: Este estudo analisa as experiências de 17 docentes colombianos do ensino primário no atendimento a alunos com deficiência, matriculados em 17 instituições de ensino em 11 municípios entre 2018 e 2022. Por meio de um desenho narrativo e de um questionário de perguntas abertas, foram exploradas as interações destes professores com o ambiente educacional. Foram identificados 12 fatores psicológicos e 13 pedagógicos e o seu impacto foi examinado em função dos tipos de deficiência e das características específicas dos estudantes e dos contextos educativos. Os resultados revelam alta variabilidade e subjetividade nesses fatores, o que pode favorecer ou dificultar práticas educativas inclusivas. Além disso, o estudo examina o Plano Individual de Ajustes Razoáveis, destacando falhas significativas na sua implementação e resistência por parte de alguns setores escolares, o que salienta desafios na adoção do modelo de educação inclusiva promovido pelo Estado colombiano. Esta análise fornece insights valiosos para a melhoria contínua das práticas inclusivas no sistema educacional colombiano

Resumo: Chatbots podem utilizar-se de interações rápidas, e por vezes, especializada em diferentes situações, tornando-os uma opção na escolha de ferramentas para coletar informações. Na avaliação psicológica de crianças e adolescentes, podem atuar como fontes complementares, e auxiliar a descrever, qualificar e mensurar características psicológicas e comportamentais, nas suas diversas formas de expressão, em diferentes contextos. Este estudo objetivou apresentar o Psico Bot, um chatbot desenvolvido para avaliar sintomas de ansiedade e depressão em crianças e adolescentes. Composto por 20 questões que mapeiam sintomas físicos e psicológicos dos constructos selecionados, sendo desenvolvido por meio da linguagem natural Dialogflow para uso na plataforma de conversação Google Assistente, o design do Psico Bot pauta-se em representação neutra, sem sexo ou idade determinados, facilitando a rápida identificação do usuário. Respaldando-se na utilização de multimétodos avaliativos, o Psico Bot pode oferecer informações relevantes sobre a saúde mental de crianças e adolescentes utilizando linguagem e dispositivos de fácil compreensão e manuseio por essa população. Para o avaliador, a ferramenta oferece resposta rápida e informações específicas sobre cada constructo, possibilitando intervenções mais efetivas em elementos de maior necessidade.

Abstract: Chatbots can use fast, and sometimes specialized interactions in different situations, making them an option in the choice of tools to collect information. In the psychological assessment of children and adolescents, they can act as complementary sources, and help to describe, qualify and measure psychological and behavioral characteristics, in its various forms of expression, in different contexts. This study aimed to present Psico Bot, a chatbot developed to assess symptoms of anxiety and depression in children and adolescents. Consisting of 20 questions that map physical and psychological symptoms of the selected constructs, it was developed through the natural language Dialogflow for use in the Google Assistant conversation platform. The design of Psico Bot is based on a neutral representation, with no determined gender or age, facilitating quick identification by the user. Based on the use of multimethod evaluations, the Psico Bot can offer relevant information about the mental health of children and adolescents using language and devices that are easy to understand and handle by this population. For the evaluator, the tool offers quick response and specific information about each construct, enabling more effective interventions in elements of greatest need.

Resumen: Los chatbots pueden utilizar interacciones rápidas y, a veces especializadas, en diferentes situaciones, lo que los convierte en una opción en la elección de herramientas para recopilar información. En la evaluación psicológica de niños y adolescentes pueden actuar como fuentes complementarias y ayudar a describir, calificar y medir las características psicológicas y de comportamiento en sus diversas formas de expresión en diferentes contextos. Este estudio tuvo como objetivo presentar Psico Bot, un chatbot desarrollado para evaluar síntomas de ansiedad y depresión en niños y adolescentes. Compuesto por 20 preguntas que mapean síntomas físicos y psicológicos de los constructos seleccionados, fue desarrollado mediante el lenguaje natural Dialogflow para su uso en la plataforma de conversación Google Assistant. El diseño de Psico Bot se basa en una representación neutra, sin género ni edad determinados, lo que facilita la rápida identificación por parte del usuario. A partir del uso de evaluaciones multimétodo, Psico Bot puede ofrecer información relevante sobre la salud mental de niños y adolescentes utilizando un lenguaje y dispositivos de fácil comprensión y manejo para esta población. Para el evaluador, la herramienta ofrece una respuesta rápida e información específica sobre cada constructo, lo que permite intervenciones más eficaces en los elementos de mayor necesidad.

Abstract Maladaptive behaviors in children constitute a problem that affects their overall development. Various studies have explored the role of parenting styles as a factor associated with these behaviors. The objective of this study was to analyze the relationship between parenting styles and maladaptive behaviors in a sample of 100 students aged 8 to 11 from the city of Ambato, Ecuador. A non-experimental, correlational, cross-sectional design was used. Participants were selected through stratified probability sampling from a school in the city. The Behavior Assessment System for Children and Adolescents (BASC-3) was administered to measure maladaptive behaviors, and the Abbreviated Parenting Styles Perception Questionnaire (CRPBI) was used to assess perceived parenting styles. The results indicate that 48% of the sample exhibited some behavior problems according to the BASC-3, primarily of an externalizing nature. Correlational analysis revealed that the parenting style of affection is negatively associated with behavior problems, while psychological control and rejection are positively related. The parenting style that best predicts the presence of behavior problems is parental rejection according to the regression analysis conducted. In conclusion, parenting styles characterized by low levels of affection and high levels of psychological control and rejection are associated with a greater presence of maladaptive behaviors in children. It is recommended to implement parent guidance programs to promote positive parenting styles and prevent behavior problems from an early age.

Resumen Las conductas desadaptativas en los niños constituyen un problema que afecta su desarrollo integral. Diversos estudios han explorado el rol de los estilos parentales de crianza como factor asociado a estas conductas. El objetivo de este estudio fue analizar la relación entre los estilos parentales y las conductas desadaptativas en una muestra de 100 estudiantes de 8 a 11 años de la ciudad de Ambato, Ecuador. Se utilizó un diseño no experimental, correlacional y de corte transversal. Los participantes fueron seleccionados mediante un muestreo probabilístico estratificado de una escuela de la ciudad. Se administró el Sistema de Evaluación de la Conducta de Niños y Adolescentes (BASC-3) para medir las conductas desadaptativas y el Cuestionario de Percepción de Estilos de Crianza Abreviado (CRPBI) para evaluar los estilos parentales percibidos. Los resultados indican que la muestra presentó algún problema de comportamiento según el BASC-3, principalmente de tipo externalizante. El análisis correlacional evidenció que el estilo parental de afecto se asocia negativamente con los problemas de conducta, mientras que el control psicológico y el rechazo se relacionan positivamente. El estilo de crianza que mejor predice la presencia de problemas de conducta es el de rechazo parental según el análisis de regresión efectuado. En conclusión, los estilos parentales caracterizados por niveles bajos de afecto y altos de control psicológico y rechazo se asocian a mayor presencia de conductas desadaptativas en los niños. Se recomienda implementar programas de orientación a padres para promover estilos de crianza positivos y prevenir problemas de comportamiento desde edades tempranas.

Abstract The objective of this study is to determine the relationship between family violence and resilience in adolescents from a public institution in the department of Ayacucho belonging to a VRAEM area. Likewise, it seeks to identify the relationship between the dimensions of the variables. The research is of a basic and correlational type with a non-experimental design and we worked with a sample of 238 adolescents aged between 11 and 17 years. Regarding the instruments, the Family Violence Questionnaire (CVIFA) and the Resilience Scale were used. The results showed that there is no relationship between family violence and resilience, but according to sex there is a significant difference in the violence variable (p=.041) and its psychological dimension (p=.005), where women perceive a higher level of family violence. In addition, regarding the work of the fathers, the children of those mothers who work present greater psychological violence.

Resumen El presente estudio tiene como objetivo determinar la relación entre la violencia familiar y la resiliencia en adolescentes de una institución pública del departamento de Ayacucho pertenecientes a una zona del VRAEM. Asimismo, se busca identificar la relación entre las dimensiones de las variables. La investigación es de tipo básico y correlacional con diseño no experimental y se trabajó con una muestra de 238 adolescentes con edades entre 11 y 17 años. Respecto a los instrumentos, se empleó el Cuestionario de Violencia Familiar (CVIFA) y la Escala de Resiliencia. Los resultados arrojaron que no hay relación entre la violencia familiar y resiliencia, pero según el sexo existe una diferencia significativa en la variable violencia (p=,041) y su dimensión psicológica (p=,005), donde las mujeres perciben un nivel mayor de violencia familiar. Además, respecto al trabajo de los padres, los hijos de aquellas madres que trabajan presentan mayor violencia psicológica.

Resumen La cirugía es una parte indispensable en la atención médica, siendo el componente quirúrgico y el anestésico fundamentales dentro del sistema de salud en países de todos los niveles de desarrollo. Anualmente, se realizan alrededor de 230 millones de procedimientos quirúrgicos en todo el mundo, siendo la cirugía pediátrica un porcentaje, ya que alrededor del 85 % de los niños requiere un procedimiento quirúrgico; sin embargo, la prestación de servicios quirúrgicos y anestésicos seguros desde la formación y entrenamiento de los actores involucrados en la atención quirúrgica infantil en países de medianos y bajos ingresos ha estado ausente del discurso de salud global. El desarrollo del campo de la anestesia en pediatría enfrenta múltiples retos: es una especialidad relativamente nueva, presenta desafíos clínicos relacionados con las diferencias anatómicas, fisiológicas, psicológicas y procedimentales, así como existen pocas oportunidades de entrenamiento con el consecuente número limitado de especialistas en anestesiología pediátrica capacitados y calificados. Para América latina, las posibilidades de aplicar a una especialización en anestesiología pediátrica son limitadas y específicamente para Colombia no ha sido posible crear la subespecialidad de anestesiología pediátrica, por lo que se debe fomentar la formación formal e informal en esta disciplina, con el fin de ofrecer una atención anestésica segura y con calidad para los niños. Este artículo hace un recuento del desarrollo de la formación en anestesiología pediátrica en el mundo y en Colombia, visibilizando la relación con la incidencia de complicaciones anestésicas y la necesidad de formación en esta disciplina.

Abstract Surgery is a key pillar in medical care, and both the surgical as well as the anesthetic components are essential within the health systems in countries of all levels of development. Every year, close to 230 million surgical procedures are performed worldwide, with pediatric surgery being representative, as around 85% of children require a surgical procedure. However, the issue of education and training of the people involved in pediatric surgery who can provide safe surgical and anesthetic care in medium and low income countries has been absent from the global health debate. The development of anesthesia in pediatrics faces many challenges: it is a relatively new specialty, it has to deal with clinical challenges associated with anatomical, physiological, psychological and procedure-related differences, while it faces the reality of few training opportunities which results in a limited number of duly trained and qualified specialists in pediatric anesthesiology. In Latin America, the possibility of applying to a specialization in pediatric anesthesia is limited. In particular in Colombia it has not been possible to establish a pediatric anesthesia subspecialty, creating the need to promote formal and informal training in this discipline in order to ensure that safe, good quality anesthetic care is provided to children. This article describes the development of pediatric anesthesia training in the world and in Colombia, highlighting the relationship between the incidence of anesthetic complications and the need for training in this discipline.

Abstract During the pandemic, there were a lot of lockdowns that brought changes to the population’s daily routine, reducing social interactions, changing work and study methods, isolating the family at their home, which brought changes to family dynamics. These changes sparked the interest of nursing students in carrying out a research study. Starting from the question: What is the role of the dog in the family dynamics in times of pandemic? and the objective: identify the guardians’ perceptions about the role of the dog in the family dynamics in a period of confinement, a qualitative, exploratory, and descriptive study was carried out, collecting data through a focus group with six guardians from different families. Bardin’s protocol was used to analyze and process the data. Three categories emerged in this study, highlighting the benefits in terms of mental health, physical and psychological well-being of the family with the presence of the dog, its importance in strengthening family ties and the lessons learned from adopting the dogs. We conclude that, in nursing, it is necessary to highlight the presence of the dog in the family since it brings benefits to its dynamics. pandemic populations population s routine interactions methods home question objective confinement qualitative exploratory families Bardins Bardin health wellbeing well being dogs

Resumo Com o confinamento imposto pelo SARS-CoV-2, houve mudanças na dinâmica familiar. Para os estudantes de enfermagem este foi um assunto que gerou interesse em investigar. Partindo da questão: Qual o papel do cão na dinâmica familiar em tempo de pandemia? e do objetivo: identificar as perceções dos tutores sobre o papel do cão na dinâmica familiar num período de confinamento, enveredámos por um estudo qualitativo, descritivo, com recurso a focus group e amostra de seis membros de famílias diferentes. O tratamento e análise de dados seguiu o protocolo de Bardin. Identificámos que a existência de cão numa família influencia a sua dinâmica através dos benefícios obtidos quer a nível da saúde mental e bem-estar psicológico, quer a nível da saúde física. Igualmente, destacaram-se vantagens, apesar de algumas desvantagens. O vínculo afetivo entre cão e família, advém da reflexão sobre legislação portuguesa, proteção dos direitos dos animais, responsabilidades dos tutores e configuração familiar. Concluímos que na enfermagem, é necessário relevar a presença do cão na família uma vez que traz benefícios para a sua dinâmica. Esta torna-se uma visão inovadora quando pretendemos contribuir para a manutenção da saúde familiar focada nas necessidades de cada indivíduo, família e comunidade. SARSCoV2, SARSCoV2 SARSCoV SARS CoV 2, 2 SARS-CoV-2 investigar questão pandemia objetivo qualitativo descritivo diferentes Bardin bemestar bem estar psicológico física Igualmente destacaramse destacaram se vantagens desvantagens portuguesa animais tornase torna indivíduo comunidade SARS-CoV- SARS-CoV

Abstract The informal caregiver provides non-remunerated permanent or regular care to dependent older adults. This qualitative study aimed to identify the perceptions of informal caregivers about motivations, needs, and benefits of caring for dependent older adults. It was conducted with ten Portuguese informal caregivers, based on an instrument with questions about the care provided to older adults and their perceptions about performing this role. The results revealed the following motivations for care: proximity and trust relationship, duty of care, more available family members, home proximity, lack of vacancies, high cost of shelter institutions, and older adults’ desire to remain in their homes. The primary care activities for older adults are hydration, hygiene, food, therapeutic administration, companionship, emotional support, comfort, entertainment, and promoting autonomy and dignity. The needs identified by the caregivers were home, social security, and the caregiver’s employer support, financial help, psychological support, and training to care for the older adults. The benefits of informal care for dependent older adults were prompt family support, physical and emotional security, affection, and companionship. This study gives voice to crucial citizens. nonremunerated non remunerated role relationship members vacancies institutions homes hydration hygiene food administration companionship support comfort entertainment dignity security s help affection citizens

Resumo O cuidador informal presta cuidados permanentes ou regulares a pessoas idosas em situação de dependência, sem remuneração. Objetivou-se identificar as percepções de cuidadores informais sobre motivações, necessidades e benefícios do cuidado ao idoso dependente. Estudo qualitativo realizado com 10 cuidadoras informais portuguesas, a partir de um instrumento com questões sobre o cuidado prestado ao idoso e suas percepções sobre o exercício dessa função. Os resultados revelaram como motivações para o cuidado: relação de proximidade e confiança, dever de cuidar, familiar mais disponível, proximidade da residência, inexistência de vagas e elevado custo das instituições de acolhimento e desejo do idoso permanecer na sua habitação. Os principais cuidados aos idosos são: hidratação, higiene, alimentação, administração terapêutica, companhia, apoio emocional, conforto, entretenimento, promoção da autonomia e dignidade. As necessidades identificadas pelas cuidadoras foram: apoio domiciliário, da segurança social e da entidade empregadora do cuidador, ajuda financeira, suporte psicológico e capacitação para cuidar do idoso. Os benefícios do cuidado informal para o idoso dependente apontados foram: celeridade do apoio familiar, segurança física e emocional, afeto e companheirismo. Este estudo dá voz a cidadãos cruciais. dependência remuneração Objetivouse Objetivou se 1 portuguesas função confiança disponível residência habitação são hidratação higiene alimentação terapêutica companhia emocional conforto entretenimento dignidade foram domiciliário financeira companheirismo cruciais

Resumo O uso de preservativos pode ser influenciado por aspectos psicológicos e socioculturais, que podem ser modulados por atitudes individuais. O objetivo foi propor uma versão em português brasileiro da Short-Form Condom Attitude Scale (Short-Form CAS), descrevendo os procedimentos de tradução, adaptação transcultural e avaliação das propriedades psicométricas em uma amostra de universitários. Trata-se de estudo transversal com estudantes matriculados na Universidade de São Paulo (USP), Campus Ribeirão Preto (n = 491; 61,2% feminino; média de idade: 22 anos; desvio-padrão: quatro anos). Foi realizada análise fatorial confirmatória. O modelo unifatorial com sete itens apresentou boa validade fatorial e confiabilidade, sugerindo ser a melhor solução fatorial para a Short-Form CAS. Há poucos estudos sobre os fatores comportamentais associados ao uso de preservativos em populações-chave, o que pode ser influenciado pela falta de instrumentos. A principal contribuição deste estudo foi propor uma versão simples e adaptada transculturalmente da Short-Form CAS com algumas propriedades psicométricas verificadas. Uma vez que o uso de preservativos é um componente do comportamento sexual de risco, a escala se apresenta como uma nova opção para futuros estudos na população brasileira. socioculturais individuais ShortForm Short Form CAS, , CAS) tradução universitários Tratase Trata USP, USP (USP) n 491 612 61 2 61,2 feminino idade anos desviopadrão desvio padrão desvio-padrão anos. . anos) confirmatória confiabilidade populaçõeschave, populaçõeschave populações chave, chave populações-chave instrumentos verificadas risco brasileira (USP 49 6 61, 4

Abstract The condom use can be influenced by psychological and sociocultural aspects, which can be modulated by individual’s attitudes. The aim was to propose a Brazilian Portuguese version of the Short-Form Condom Attitude Scale (Short-Form CAS), describing all procedures of translation, transcultural adaptation, and psychometric properties evaluation when applied to undergraduate students. A cross sectional study was conducted among students enrolled at University of São Paulo (USP), Campus Ribeirão Preto (n = 491; 61.2% female; average age: 22 years; standard deviation: four years). Confirmatory factor analysis was performed. A one-factor model with seven items exhibited good factorial validity and reliability, suggesting to be a better factorial solution of the Short-Form CAS in the sample. Few studies have been carried out on the behavioral factors associated with condom use in key populations, which can be exacerbated by a lack of appropriate scales. Therefore, the main contribution of the present study was to propose a simplified and transculturally adapted version of the Short-form CAS with some psychometric properties verified. Since the use of condoms is a component of the study of sexual risk behavior, this scale might be an option to be applied in various Brazilian population segments for this purpose. aspects individuals individual s attitudes ShortForm Short Form CAS, , CAS) translation adaptation USP, USP (USP) n 491 612 61 2 61.2 female age years deviation years. . years) performed onefactor one reliability sample populations scales Therefore Shortform form verified behavior purpose (USP 49 6 61. 4

ABSTRACT Erectile dysfunction is observed in about 50% of men. It has been found that diabetes mellitus increases its prevalence to 19-86.3%, necessitating attention to a therapeutic strategy. Among the available treatment methods, intracavernosal injections of mesenchymal stem cells have proven to be particularly effective. Objective The purpose of study is to assess and analyse the effectiveness of their use in the treatment of erectile dysfunction in patients with diabetes mellitus. Materials and Methods The literature search was conducted using systematic methods and analysis in databases such as Web of Science, Scopus, PubMed, Elsevier, and Springer, with 41 sources included for further review. Results The study highlights microangiopathic and neuropathic links as key factors in erectile dysfunction development in diabetic patients, stemming from endothelial dysfunction and conductivity disturbances. Mesenchymal stem cell therapy from bone marrow, adipose tissue, and umbilical cord mitigates pathogenic impact through regenerative and anti-apoptotic effects. Due to this, most studies indicate high efficacy of the treatment and rapid therapeutic action through intracavernosal administration. Some studies suggest an increase in the body’s receptor sensitivity to other drugs, such as sildenafil. Conclusion From the perspective of further research on this issue, standardising the preparation of stem cells and the treatment method using a large sample size is essential to introduce such a method as an extremely promising therapy for this delicate issue in men into practical medicine. The practical value of the study lies in the systematisation of information on different sources of mesenchymal stem cells for treating erectile dysfunction. 50 1986.3%, 19863 19 86.3%, 86 3 19-86.3% strategy effective Science Scopus PubMed Elsevier Springer 4 review disturbances marrow tissue antiapoptotic anti apoptotic effects administration bodys body s drugs sildenafil medicine 5 1986 1986.3% 1 863 86.3% 8 19-86.3 198 1986.3 86.3 19-86. 1986. 86. 19-86 19-8 19-

Abstract Background Neurofibromatosis type 1 (NF1) is a rare genetic disorder with a wide range of clinical manifestations, notably neurocutaneous features, that can lead to emotional and physical consequences. Objectives This study assessed the influence of sociodemographic factors and clinical features of the disease on the quality of life of Brazilian individuals with NF1. Methods This is a descriptive cross-sectional study. Data were collected from 101 individuals with NF1 using the Brazilian version of the Impact of NF1 on Quality of Life Questionnaire (INF1-QoL), a form with information on sociodemographic characteristics, and an NF1 visibility self-evaluation scale. The relationship between variables was evaluated through statistical testing, and the significance level was defined as 0.05. Results The study included 101 adults with NF1 aged 18 to 59 years, with a mean age of 35.54 years (±9.63) and a female predominance (n = 84, 83.17%). The mean total INF1-QoL score was 10.62 (±5.63), with a median of 10, minimum value of 0, and maximum of 31 points. Two characteristics of the participants were significantly associated with the quality of life: educational level (p = 0.003) and familial history of NF1 (p = 0.019). There was a statistically significant correlation between the INF1-QoL score and the degree of disease visibility (rho = 0.218; p = 0.028). Study limitations Cross-sectional study, conducted with a convenience sample and using self-reported measures. Conclusions The findings support the significant impact of NF1 on quality of life. The authors recommend multidisciplinary follow-up for patients, with adherence to anticipatory clinical care measures, adequate pain control, psychological assistance, and genetic counseling. NF (NF1 manifestations consequences crosssectional cross sectional 10 INF1QoL, INF1QoL INFQoL INF1 QoL , INF (INF1-QoL) selfevaluation self evaluation scale testing 005 0 05 0.05 5 3554 35 54 35.5 ±9.63 963 9 63 (±9.63 n 84 83.17%. 8317 83.17% . 83 17 83.17%) 1062 62 10.6 ±5.63, 563 ±5.63 (±5.63) 3 points 0.003 0003 003 0.019. 0019 0.019 019 0.019) rho 0.218 0218 218 0.028. 0028 0.028 028 0.028) Crosssectional Cross selfreported reported measures followup follow up patients control assistance counseling (NF (INF1-QoL 00 0.0 355 35. ±9.6 96 6 (±9.6 8 831 83.17 106 10. 56 ±5.6 (±5.63 0.00 000 001 0.01 01 0.21 021 21 002 0.02 02 0. ±9. (±9. 83.1 ±5. (±5.6 0.2 2 ±9 (±9 83. ±5 (±5. ± (± (±5 (

Abstract Objective: To provide healthcare professional-friendly practical recommendations for early detection of cleft palate-related deformities in newborns and offer an overview of managing these high-prevalent congenital abnormalities. Source of data: PubMed, SciELO, Lilacs, Cochrane, ScienceDirect, and Scopus databases were reviewed for cleft- and diagnosis-related studies. Summary of the findings: Unfortunately, the global prevalence of delayed detection of cleft palate-related deformities remains unacceptably high, with over a quarter of cleft palates missed at birth. This delayed identification causes physical and psychological distress for patients and families, including feeding challenges and weight faltering. To improve cleft management, it is essential to adopt routine detailed, in-depth intraoral examination immediately after birth. It is recommended not only to finger-assisted palpate the intraoral structures but also to visually inspect the oral cavity from gingiva to uvula using a wooden tongue depressor and light-assisted examination. With timely diagnosis and referral to specialized care, pediatricians, nurses, speech therapists, and plastic surgeons provide life-changing treatments, including health care maintenance, anticipatory guidance, feeding support, primary surgical reconstruction, and age-and condition-specific protocols. Conclusions: Encouraging neonatologists and pediatricians, who are the first to examine new-borns, to actively investigate the intraoral region for cleft palate-related deformities is instrumental in optimizing therapeutic approaches and prioritizing age-phases in treatment. Their crucial role in early detection and referral can lead to transformative outcomes, impacting not only the future of the newborns by facilitating functional integration into society but also yielding positive effects on families and the health system. Objective professionalfriendly professional friendly palaterelated palate related highprevalent high prevalent abnormalities data PubMed SciELO Lilacs Cochrane ScienceDirect diagnosisrelated studies findings Unfortunately birth faltering management detailed indepth depth fingerassisted finger assisted lightassisted light pediatricians nurses therapists lifechanging life changing treatments maintenance guidance support reconstruction ageand age conditionspecific condition specific protocols Conclusions newborns, new borns, borns new-borns agephases phases treatment outcomes system

Resumo A pandemia de Covid 19 aprofundou dinâmicas de vulnerabilidade que há muito já eram sentidas por certos agrupamentos sociais. Nesse contexto, a solidez das redes de suporte material e psíquico frequentemente emerge como aquilo que amortece aqueles que foram os efeitos mais corrosivos da pandemia. Neste artigo, trago reflexões sobre esse tema a partir de uma etnografia feita nos ambientes virtuais em que uma importante liderança dos motoristas de aplicativo em Pernambuco se faz presente. Além de identificar algumas das arbitrariedades sofridas pelo grupo de trabalhadores que esse interlocutor representa (publicizadas em seu Instagram), também mapeio como os próprios motoristas se associam para lidar com tais vulnerabilidades. Por fim, demonstro que foi o meu próprio sofrimento psíquico (aprofundado pelo isolamento social da pandemia) que me fez procurar um motorista engajado com a defesa dessa categoria de trabalhadores. 1 sociais contexto artigo presente publicizadas Instagram, Instagram , Instagram) vulnerabilidades fim aprofundado

Abstract The COVID-19 pandemic has deepened dynamics of vulnerability that had long been felt by certain social groups. In this context, the solidity of material and psychological support networks often emerged as what buffers the most corrosive effects of the pandemic. In this article, I reflect on this topic based on an ethnography carried out in virtual environments in which an important leadership of app drivers in Pernambuco is present. In addition to identifying some of the arbitrariness suffered by the group of workers that this interlocutor represents (publicized on his Instagram), I also map how the drivers themselves come together to deal with such vulnerabilities. Finally, I demonstrate that it was my own psychological suffering (deepened by the social isolation of the pandemic) that made me look for a driver committed to defending this category of workers. COVID19 COVID 19 COVID-1 groups context article present publicized Instagram, Instagram , Instagram) vulnerabilities Finally COVID1 1 COVID-