Resumen Marco contextual: Las ambulancias de soporte vital inmediato (SVI) permiten al personal de enfermería intervenir en un contexto prehospitalario, con el apoyo de sus conocimientos técnico-científicos y de complejos protocolos de actuación y regulación médica a través de la telemedicina. Objetivo: Analizar las aportaciones de la intervención del personal de enfermería del SVI en la evolución del estado clínico de la persona en situación crítica (PSC). Metodología: Estudio cuantitativo, descriptivo-correlacional, retrospectivo, realizado en centros de SVI del norte de Portugal. Se analizaron 574 historias clínicas electrónicas entre el 1 de noviembre y el 31 de diciembre de 2019, correspondientes al mismo número de personas evaluadas. Se utilizó la escala National Early Warning Score (NEWS) para evaluar la evolución clínica de la PSC. Resultados: Se observó una evolución positiva en el score NEWS de la PSC, tras la intervención del personal de enfermería del SVI (M = 4,43 ± 3,901 vs 3,34 ± 3,329; sig < 0,001). Por el contrario, el riesgo clínico disminuyó significativamente tras la intervención del personal de enfermería. Conclusión: Se demostró la relevancia de la intervención del personal de enfermería del SVI en el contexto prehospitalario, como garantía de seguridad, calidad y mejora continua en la atención a la PSC.

Abstract Background: Immediate life support (ILS) ambulances allow nurses to intervene in pre-hospital settings, supported by their technical-scientific knowledge and complex protocols of action and regulation through telemedicine. Objective: To analyze the contributions of nursing interventions in the evolution of the clinical state of critical patients. Methodology: Quantitative, descriptive-correlational, retrospective, and observational study conducted in ILS settings in northern Portugal. A total of 574 electronic clinical records were analyzed between 1 November and 31 December 2019, corresponding to the same number of people evaluated. The National Early Warning Score (NEWS) was used to assess the clinical evolution of critical patients. Results: There was a positive evolution of the NEWS score of critical patients after the intervention of ILS nurses (M = 4.43 ± 3.901 vs. 3.34 ± 3.329; sig < 0.001). Similarly, the clinical risk of critical patients decreased after the nurse’s intervention. Conclusion: This study demonstrated the importance of nurses in prehospital care, as a guarantee of safety, quality, and continuous improvement of care for critical patients.

Resumo Enquadramento: As ambulâncias de suporte imediato de vida (SIV) possibilitam ao enfermeiro capacidade de intervenção em contexto pré-hospitalar, suportada pelo seu conhecimento técnico-científico, protocolos complexos de atuação e regulação médica por telemedicina. Objetivo: Analisar os contributos da intervenção dos enfermeiros SIV, na evolução do estado clínico da pessoa em situação crítica (PSC). Metodologia: Estudo quantitativo, descritivo-correlacional, retrospetivo, realizado em meios SIV, na região norte de Portugal. Analisados 574 registos clínicos eletrónicos, entre 01 de novembro e 31 de dezembro de 2019, que correspondem ao mesmo número de pessoas avaliadas. Utilizada a escala National Early Warning Score (NEWS) para avaliar a evolução clínica da PSC. Resultados: Observou-se uma evolução positiva do score NEWS da PSC, após a intervenção do enfermeiro SIV (M = 4,43 ± 3,901 vs 3,34 ± 3,329; sig < 0,001). Em sentido inverso, o risco clínico diminuiu significativamente após a intervenção do enfermeiro. Conclusão: Demonstrou-se a relevância da intervenção do enfermeiro SIV no contexto pré-hospitalar, enquanto garantia de segurança, qualidade e melhoria contínua dos cuidados à PSC.

Resumo Introdução: Disfunção erétil (DE) é um problema sexual comum entre homens com doença renal crônica (DRC). A gravidade da disfunção sexual tende a piorar com a lesão renal. Este estudo tem como objetivo avaliar função erétil e qualidade de vida sexual de pacientes homens adultos com DRC em hemodiálise (HD) em um hospital na Amazônia brasileira. Métodos: Realizou-se estudo quantitativo transversal no Setor de HD da Unidade de Nefrologia, incluindo homens com DRC ≥ 18 anos, submetidos a ≥ 3 sessões semanais de HD por ≥ 3 meses e sexualmente ativos por ≥ 6 meses. Utilizamos o Quociente Sexual Masculino (QSM) para medir satisfação sexual e o Índice Internacional de Função Erétil (IIEF5) para estabelecer função erétil. A análise estatística foi realizada com o SPSS 21.0 usando testes apropriados, como Mann-Whitney e Kruskal-Wallis (P < 0,05). Resultados: Avaliamos 98 pacientes (51,68 ± 15,28 anos). Eles eram predominantemente casados/ou vivendo com um(a) parceiro(a) (60,20%), com tempo de HD entre 1 e 5 anos (55,10%) e KTV médio de 1,17. A prevalência de DE foi 66,30% e foi associada a maior faixa etária (p = 0,01), menor renda familiar (p = 0,02), diabetes (p = 0,01), menor hemoglobina corpuscular média (p = 0,04), maior cálcio total (p = 0,04) e menor albumina (p = 0,03). Aproximadamente 75% classificaram sua vida sexual como regular a excelente. Conclusão: Apesar da elevada prevalência de DE, a maioria dos homens com DRC em HD relatou vida sexual regular a excelente. O estudo ressalta a importância de estabelecer triagem eficaz e realizar avaliações de rotina sobre questões sexuais nesses homens. Introdução (DE DRC. . (DRC) (HD brasileira Métodos Realizouse Realizou se Nefrologia QSM (QSM IIEF5 IIEF (IIEF5 210 21 0 21. apropriados MannWhitney Mann Whitney KruskalWallis Kruskal Wallis P 0,05. 005 0,05 05 0,05) Resultados 9 51,68 5168 51 68 (51,6 1528 15 28 15,2 anos. anos) casadosou casados ou uma um(a parceiroa parceiro parceiro(a 60,20%, 6020 60,20% , 60 20 (60,20%) 55,10% 5510 55 10 (55,10% 117 17 1,17 6630 66 30 66,30 p 0,01, 001 0,01 01 0,01) 0,02, 002 0,02 02 0,02) 0,04, 004 0,04 04 0,03. 003 0,03 03 0,03) 75 excelente Conclusão (DRC (IIEF 2 00 0,0 51,6 516 (51, 152 15, 602 60,20 (60,20% 55,10 551 (55,10 11 1,1 663 66,3 7 0, 51, (51 60,2 (60,20 55,1 (55,1 1, 66, (5 60, (60,2 55, (55, ( (60, (55 (60 (6

Abstract Introduction: Erectile dysfunction (ED) is a common sexual problem among men with chronic kidney disease (CKD). The severity of sexual dysfunction tends to worsen with kidney damage. This study aims to evaluate the erectile function and sexual quality of life of adult male CKD patients undergoing hemodialysis (HD) in a hospital located in the Brazilian Amazon. Methods: A cross-sectional quantitative study was performed within the HD Sector of the Nephrology Unit including men with CKD aged ≥ 18 years, undergoing ≥ 3 weekly HD sessions for ≥ 3 months who had been sexually active for ≥ 6 months. We used the Male Sexual Quotient (MSQ) to measure sexual satisfaction and the International Index of Erectile Function (IIEF5) to establish erectile function. Statistical analysis was performed with SPSS 21.0 using appropriate tests, such as Mann-Whitney and Kruskal-Wallis (P < 0.05). Results: Ninety-eight patients (51.68 ± 15.28 years) were evaluated. They were primarily married/or living with a partner (60.20%), with HD time between 1 to 5 years (55.10%), and an average KTV of 1.17. ED prevalence was 66.30%, and it was associated with a higher age group (p = 0.01), lower family income (p = 0.02), diabetes (p = 0.01), lower mean corpuscular hemoglobin (p = 0.04), higher total calcium (p = 0.04), and lower albumin (p = 0.03). Around 75% classified their sex life as regular to excellent. Conclusion: Despite the high ED prevalence, most men with CKD in HD reported experiencing regular to excellent sex life. The study underscores the importance of establishing effective screening and conducting routine evaluations regarding sexual issues in these men. Introduction (ED CKD. . (CKD) damage (HD Amazon Methods crosssectional cross sectional MSQ (MSQ IIEF5 IIEF (IIEF5 210 21 0 21. tests MannWhitney Mann Whitney KruskalWallis Kruskal Wallis P 0.05. 005 0.05 05 0.05) Results Ninetyeight Ninety eight 51.68 5168 51 68 (51.6 1528 15 28 15.2 evaluated marriedor married or 60.20%, 6020 60.20% , 60 20 (60.20%) 55.10%, 5510 55.10% 55 10 (55.10%) 117 17 1.17 6630 66 30 66.30% p 0.01, 001 0.01 01 0.01) 0.02, 002 0.02 02 0.02) 0.04, 004 0.04 04 0.04) 0.03. 003 0.03 03 0.03) 75 Conclusion (CKD (IIEF 2 00 0.0 51.6 516 (51. 152 15. 602 60.20 (60.20% 551 55.10 (55.10% 11 1.1 663 66.30 7 0. 51. (51 60.2 (60.20 55.1 (55.10 1. 66.3 (5 60. (60.2 55. (55.1 66. ( (60. (55. (60 (55 (6

Abstract Introduction: México has a high rate of teenage pregnancy, which symbolizes a risk to the health and socio-economic development of this group. The prevention of a second pregnancy at this stage is relevant to improve quality of life. Objective: To explore the social representations of prenatal contraceptive counseling based on the experiences and expectations of pregnant adolescents and health providers in a second level care hospital. Methodology: Qualitative study based on Serge Moscovici’s Social Representations Theory with ten primiparous adolescents in any quarter of pregnancy and seven health providers, adolescents without pregnancy condition were excluded. We used semi-structured interviews recorded and analyzed in their integrity through fluctuating reading by two researchers, the discourse of the proposed thematic axes was contrasted. Integrity, confidentiality, and autonomy were respected. Results: The realities represented by adolescents showed a need for knowledge, values, respect, kindness, and patience. Providers evoked paternalistic counseling, but with recognition of focused counseling and reproductive rights. Conclusion: More participants stated that the ideal time to receive counseling is during pregnancy, since pregnant adolescents expressed the need to receive information and have more time lapse between their pregnancies. The expectations of the Prenatal Contraceptive Counseling (CAP by its acronym in Spanish) differed in terms of values to give rise to a paternalistic attitude on the part of the health provider and the preference of adolescents for counseling based on respect, honesty, and trust, among others.

Abstrato Introdução: O México tem um alto índice de gravidez na adolescência, o que simboliza um risco para a saúde e o desenvolvimento socioeconômico desse grupo. A prevenção de uma segunda gravidez nesta fase é relevante para melhorar sua qualidade de vida. Objetivo: Explorar as representações sociais do aconselhamento contraceptivo pré-natal a partir das experiências e expectativas de gestantes adolescentes e profissionais de saúde em um segundo nível de atenção hospitalar. Metodologia: Estudo qualitativo baseado na Teoria das Representações Sociais de Serge Moscovici com dez adolescentes primíparas em qualquer trimestre da gravidez e sete profissionais de saúde; foram excluídas as adolescentes sem condições de gravidez. Foram utilizadas entrevistas semiestruturadas gravadas e analisadas em sua integridade por meio da leitura flutuante de dois pesquisadores, contrastando o discurso dos eixos temáticos propostos. Integridade, confidencialidade e autonomia foram respeitadas. Resultados: As realidades representadas pelos adolescentes mostraram necessidade de conhecimento, valores, respeito, gentileza e paciência. Os prestadores evocaram aconselhamento paternalista, más com reconhecimento de aconselhamento focado e direitos reprodutivos. Conclusão: Um número maior de participantes afirmou que o momento ideal para receber aconselhamento é durante a gravidez, pois as adolescentes grávidas expressaram a necessidade de receber informações e de ter mais tempo entre as gestações. As expectativas da aconselhamento contraceptivo pré-natal (CAP, na sigla em espanhol) diferiram quanto aos valores para dar lugar a uma atitude paternalista por parte do provedor de saúde e a preferência das adolescentes por uma assessoria baseada no respeito, honestidade, confiança, entre outros

Resumen Introducción: México presenta una tasa elevada de embarazo adolescente lo que simboliza un riesgo a la salud y desarrollo socioeconómico de este grupo. La prevención de un segundo embarazo en esta etapa es relevante para mejorar su calidad de vida. Objetivo: Explorar las representaciones sociales de la consejería anticonceptiva prenatal a partir de las experiencias y expectativas de adolescentes gestantes y proveedores de salud en un hospital de segundo nivel de atención. Metodología: Estudio cualitativo basado en la Teoría de las Representaciones Sociales de Serge Moscovici con diez adolescentes primíparas en cualquier trimestre de embarazo y siete proveedores de salud, se excluyeron adolescentes sin condición de embarazo. Se utilizó entrevista semiestructurada grabadas y analizadas en su integridad mediante lectura fluctuante realizada por dos investigadores, se contrastó el discurso de los ejes temáticos propuesto. Se respetó la integridad, confidencialidad y autonomía. Resultados: Las realidades representadas por las adolescentes mostraron necesidad de conocimientos, valores, respeto, amabilidad y paciencia. Los proveedores evocaron una consejería paternalista, pero con reconocimiento de una consejería focalizada y derechos reproductivos. Conclusión: Las experiencias similares de los participantes fueron que el momento ideal para recibir la consejería es durante el embarazo, en virtud de que las adolescentes embarazadas manifestaron necesidad de recibir información y espaciar sus embarazos. Las expectativas de la consejería anticonceptiva prenatal difirieron en los valores para dar lugar a una actitud paternalista por parte del proveedor de salud y la preferencia de las adolescentes por una consejería basada en el respeto, honestidad, confianza, entre otros.

Summary: The state of Chiapas presents degradation processes of dif ferent kinds, as a consequence of the current established agricultural model. It is estimated that, in the near future, the surface of the state of Chiapas will present more than 55% degradation, generating changes in the physical, chemical and biological properties of the soil, af fecting the quality of life of human beings, mainly due to scarcity of food. The objective of this research was to evaluate the quality of the soils in three municipalities of the central depression of Chiapas, Mexico. The analysis were interpreted taking NOM-021-SEMARNAT-2000 as a reference and were classified according to the world reference base (WRB), version 2014. For the evaluation of soil quality, the sustainable use of land subindex (SUSS). 144 soil samples corresponding to 21 profiles were analyzed. Of the 21 profiles studied, 17 present poor soil qualities, two a sensitive quality, one acceptable quality and one with good quality. Only two soil groups presented good fertility and are classified as Vertisols and Phaeozems, which present good quality and capacity to maintain sustainable agricultural production in this region.

Resumen: El estado de Chiapas presenta procesos de degradación de diferente índole, como consecuencia del actual modelo agrícola establecido. Se estima que, en el futuro cercano, la superficie del estado de Chiapas presente más de 55% de degradación, generando modificaciones en las propiedades físicas, químicas y biológicas del suelo; afectando la calidad de vida de los seres humanos, principalmente por escasez de alimentos. El objetivo de esta investigación fue evaluar la calidad de los suelos en tres municipios de la depresión central de Chiapas, México. Los análisis se interpretaron tomando como referencia la NOM-021-SEMARNAT-2000 y se clasificaron de acuerdo con la world reference base (WRB), versión 2014, para la evaluación de calidad del suelo se utilizó el subíndice de uso sustentable del suelo (SUSS). Se analizaron 144 muestras de suelo correspondientes a 21 perfiles. De los 21 perfiles estudiados, 17 presentan calidad de suelo pobre, dos calidades sensibles, uno calidad aceptable y uno con calidad buena. Solo dos Grupos de suelo presentaron buena fertilidad y son clasificados como Vertisols y Phaeozems, los cuales presentan buena calidad y capacidad para mantener producción agrícola sostenible en esta región.

Summary: Excessive use of chlorpyrifos affects the quality of agricultural soils causing negative effects on the safety of harvested food. The behavior of chlorpyrifos residues depends on soil properties, especially organic matter. Our aim in this research was to determine the effect of the application of vermicompost on the residual and dissipation of chlorpyrifos in an entisol soil of semi-arid climate with variations in its edaphic fertility. Four treatments were studied. T1: 7.5% vermicompost (V) and 92.5% soil (S); T2: 5% V and 95% S; T3: 2.5% V and 97.5% S; T4: 0% V and 100% S. The treatments were subjected to a seven-day incubation period. Subsequently, a dose of chlorpyrifos of 1.5 mg kg-1 as active ingredient was applied once for each treatment. A completely randomized design was used with three replicates for each treatment, forming 12 experimental units. The analytical determination of chlorpyrifos was carried out by high performance liquid chromatography (HPLC). The evaluations were carried out 1.7, 14, 28, 42, 70 and 98 days after the application of chlorpyrifos. The results showed that the incorporation of vermicompost to the soil at increasing levels promoted a decrease in the residual concentration of chlorpyrifos and facilitated its gradual dissipation. The chlorpyrifos dissipation curves correspond to a first order logarithmic equation where the effects of the treatments caused greater dissipation of chlorpyrifos as the evaluation period elapsed. At 98 days of evaluation, T1 registered lower residuality (0.786 m kg-1), higher daily dissipation rate (0.008) and lower half-life of chlorpyrifos (86.64 days). At the end of the research period, edaphic levels of P, K, EC and CEC increased while OM, N and pH decreased after vermicompost application.

Resumen: El uso excesivo de clorpirifos afecta la calidad de los suelos agrícolas provocando efectos negativos en la inocuidad de los alimentos cosechados. El comportamiento de los residuos de clorpirifos depende de las propiedades edáficas especialmente la materia orgánica. El objetivo de la investigación fue determinar el efecto de la aplicación de vermicompost en la residualidad y disipación de clorpirifos en un suelo entisol de clima semiárido con variaciones en su fertilidad edáfica. Se estudiaron cuatro tratamientos. T1: 7.5% vermicompost (V) y 92.5% suelo (S); T2: 5% V y 95% S; T3: 2.5% V y 97.5% S; T4: 0% V y 100% S. Los tratamientos fueron sometidos a un periodo de incubación de siete días. Posteriormente, se aplicó una dosis de clorpirifos de 1.5 mg kg-1 como ingrediente activo en una sola oportunidad por cada tratamiento. Se utilizó un diseño completamente al azar con tres repeticiones por cada tratamiento conformando 12 unidades experimentales. La determinación analítica de clorpirifos se efectuó por cromatografía líquida de alta resolución (HPLC). Las evaluaciones se realizaron a 1,7, 14, 28, 42, 70 y 98 días de la aplicación de clorpirifos. Los resultados demostraron que la incorporación de vermicompost al suelo en niveles crecientes promovió la disminución de la concentración residual de clorpirifos y facilitó su disipación de manera gradual. Las curvas de disipación de clorpirifos corresponden a una ecuación logarítmica de primer orden donde los efectos de los tratamientos ocasionaron mayor disipación de clorpirifos conforme transcurrió el periodo de evaluación. A 98 días de evaluación el T1 registró menor residualidad (0.786 m kg-1), mayor tasa de disipación diaria (0.008) y menor vida media de clorpirifos (86.64 días). Al final del periodo de investigación, los niveles edáficos de P, K, CE y CIC se incrementaron mientras que la MO, N y pH descendieron luego de la aplicación de vermicompost.

Abstract This article intends to analyze innovative projects that have been successful in the promotion of sustainable development and improvement in quality of life of indigenous communities in Mexico. Three projects are considered: eco-touristic park, communal house and agro-businesses in the indigenous community of Tlajomulco (Jalisco), to study the scope and limitations of social innovation in the promotion of sustainable local development. A qualitative methodology was used involving participative investigation-action. The findings show that collaboration is essential to achieve success in such projects, but they do not depend exclusively on the existence of trust and mutual benefit between the parties involved as literature suggests, but also the capacity to transcend individual interests and work jointly towards attaining collective interests that promote sustainable development of the community. This finding represents a contribution to specialized literature in the area and calls to reflection and action to promote effective collaborative practices in the field of sustainable local development.

Resumo Esse artigo tem o objetivo de analisar projetos inovadores exitosos na promoção do desenvolvimento sustentável e melhoramento da qualidade de vida das comunidades indígenas em México. Consideraram-se três projetos: parque eco turístico, casa comunal e agronegócios na comunidade indígena de Tlajomulco (Jalisco) para o estudo dos alcances e limitações da inovação social na promoção do desenvolvimento local sustentável. Usou-se uma metodologia qualitativa com pesquisa-ação participativa. As conclusões da pesquisa verificaram que a colaboração é essencial para que os projetos sejam exitosos, mas sem depender exclusivamente da existência de confiança e benefícios mútuos dos atores involucrados do jeito que sugeriu a literatura, mas também da capacidade para transcender os interesses individuais e trabalhar conjuntamente para a realização dos interesses coletivos que fomentem o desenvolvimento sustentável da comunidade. Isso representa uma contribuição à literatura especializada da área e chama a refletir e agir para promover práticas colaborativas efetivas boas no campo do desenvolvimento local sustentável.

Resumen Este artículo tiene como objetivo analizar proyectos innovadores que han sido exitosos en el fomento del desarrollo sostenible y en el mejoramiento de la calidad de vida de comunidades indígenas en México. Se consideran tres proyectos: parque ecoturístico, casa comunal y agronegocios en la comunidad indígena de Tlajomulco (Jalisco), para estudiar los alcances y limitaciones de la innovación social en la promoción del desarrollo local sostenible. Se utilizó una metodología cualitativa con investigación-acción participativa. Los hallazgos constatan que la colaboración resulta crucial para lograr el éxito de proyectos, pero no dependen exclusivamente de la existencia de confianza y beneficio mutuo entre los actores involucrados, como lo sugiere la literatura, sino también depende de la capacidad para trascender los intereses individuales y trabajar en conjunto hacia la consecución de intereses colectivos que promuevan el desarrollo sostenible de la comunidad. Este hallazgo representa un aporte a la literatura especializada en el campo y hace un llamado a la reflexión y la acción para promover prácticas colaborativas efectivas en el ámbito del desarrollo local sostenible.

Abstract The importance of humanitarian social intervention in situations of vulnerability in Ecuador is a topic that is extremely important to discuss since human solidarity is derived from it to help people who are going through some type of crisis, the objective of this article. It is to publicize the help that is provided to people or groups who are going through extreme problems and difficulties. The purpose of carrying out research focused on humanitarian social intervention in vulnerable environments in Ecuador is to offer information and knowledge through a bibliographic analysis. This will allow professionals and organizations involved in social intervention to design and apply effective strategies to address the needs of vulnerable people. Research can be key to identifying the underlying causes of vulnerability, evaluating the effectiveness of current interventions and proposing new solutions to improve the quality of life of those affected. This study seeks to determine the impact of humanitarian social interventions in vulnerable contexts in Ecuador and highlight their relevance. It is hoped that this analysis will not only inform current practices, but also inspire innovation and promote collaboration among diverse actors involved in caring for vulnerable populations.

Resumen La importancia de la intervención social humanitaria en situaciones de vulnerabilidad en Ecuador es un tema del cual se de suma importancia discutir ya que de este se deriva la solidaridad humana en ayuda de las personas que están atravesando algún tipo de crisis, el objetivo de este artículo es dar a conocer la ayuda que se brinda a las personas o grupos que están pasando por problemas y dificultades extremas. El propósito de llevar a cabo una investigación centrada en la intervención social humanitaria en entornos vulnerables en Ecuador es ofrecer información y conocimientos a través de un análisis bibliográfico. Esto permitirá a los profesionales y organizaciones implicadas en la intervención social diseñar y aplicar estrategias efectivas para atender las necesidades de las personas vulnerables. La investigación puede ser clave para identificar las causas subyacentes de la vulnerabilidad, evaluar la eficacia de las intervenciones actuales y proponer nuevas soluciones para mejorar la calidad de vida de los afectados. Este estudio busca determinar el impacto de las intervenciones sociales humanitarias en contextos vulnerables en Ecuador y destacar su relevancia. Se espera que este análisis no solo informe las prácticas actuales, sino que también inspire la innovación y promueva la colaboración entre diversos actores involucrados en la atención a poblaciones vulnerables.

Abstract A series of cases is reported of women in whom, after an esthetic procedure of injection of biopolymers into the buttocks, they present complications due to the extensive migration (and spreading) of these and post-surgical complications secondary to the extraction of the exogenous material. Although the complications of biopolymers are more common over time, they are rare cases and have few reports in the literature. More and more late effects of iatrogenic allogenosis are seen, and it becomes a topic of medical interest to recognize the main radiological findings associated with biopolymers, which awakens the need to report cases, recognize their complications, and carry out a review of the literature to update and thus improve the outcomes, the quality of life, and the long-term side effects.

Resumen Se reporta una serie de casos de mujeres en quienes posterior a un procedimiento estético de inyección de biopolímeros en los glúteos, presentan complicaciones dadas por la diseminación extensa de estos y posquirúrgicas secundarias a la extracción del material exógeno. Aunque las complicaciones de los biopolímeros son más comunes en el tiempo, son casos infrecuentes y con pocos reportes en la literatura. Cada vez se ven más efectos tardíos de la alogenosis iatrogénica y se convierte en un tema de interés médico reconocer los principales hallazgos radiológicos asociados a los biopolímeros, el cual despierta la necesidad de reportar casos, reconocer sus complicaciones y hacer una revisión de la literatura con el fin de actualizarse y de esta forma mejorar en los desenlaces, en la calidad de vida y en las secuelas a larga plazo.

Abstract Introduction Facial trauma can cause damage to the facial nerve, which can have negative effects on function, aesthetics, and quality of life if left untreated. Objective To evaluate the effectiveness of peripheral facial nerve direct end-to-end anastomosis and/or nerve grafting surgery for patients with facial nerve injury after facial trauma. Methods Fifty-nine patients with peripheral facial nerve paralysis after facial injuries underwent facial nerve rehabilitation surgery from November 2017 to December 2021 at Ho Chi Minh City National Hospital of Odontology. Results All 59 cases of facial trauma with damage to the peripheral facial nerve underwent facial nerve reconstruction surgery within 8 weeks of the injury. Of these cases, 25/59 (42.3%) had end-to-end anastomosis, 22/59 (37.3%) had nerve grafting, and 12/59 (20.4%) had a combination of nerve grafting and end-to-end anastomosis. After surgery, the rates of moderate and good recovery were 78.4% and 11.8%, respectively. All facial paralysis measurements showed statistically significant improvement after surgery, including the Facial Nerve Grading Scale 2.0 (FNGS 2.0) score, the Facial Clinimetric Evaluation (FaCE) scale, and electroneurography. The rate of synkinesis after surgery was 34%. Patient follow-up postoperatively ranged from 6 to > 36 months; 51 out of 59 patients (86.4%) were followed-up for at least 12 months or longer. Conclusion Nerve rehabilitation surgery including direct end-to-end anastomosis and nerve grafting is effective in cases of peripheral facial nerve injury following facial trauma. The surgery helps restore nerve conduction and improve facial paralysis. function aesthetics untreated endtoend end andor Fiftynine Fifty nine 201 202 Odontology 5 2559 25 25/5 42.3% 423 42 3 (42.3% 2259 22 22/5 37.3% 373 37 (37.3% 1259 12/5 20.4% 204 20 4 (20.4% 784 78 78.4 118 11 11.8% respectively 2 0 2. FNGS score FaCE (FaCE scale electroneurography 34 34% followup follow up 86.4% 864 86 (86.4% followedup followed 1 longer 255 25/ 42.3 (42.3 225 22/ 37.3 (37.3 125 12/ 20.4 (20.4 7 78. 11.8 86.4 (86.4 42. (42. 37. (37. 20. (20. 11. 86. (86. (42 (37 (20 (86 (4 (3 (2 (8 (

Abstract Introduction Spinocerebellar ataxias (SCAs) are a heterogeneous group of neurodegenerative diseases. Objective To evaluate the living standard of patients with SCA, by applying the Vestibular Disorders Activities of Daily Living Scale (VADL) and Activitiesspecific Balance Confidence Scale (ABC) questionnaires. Methods An uncontrolled clinical trial study was conducted with 28 patients who underwent anamnesis, ENT evaluation, and vestibular assessment and the application of questionnaires VADL and ABC before and after rehabilitation with virtual reality. Results The vestibular exam was altered in 64.3% of the cases. The result between the correlation of the VADL and ABC questionnaires showed significant results in all cases (p < 0.005). The correlation between the ages and disease length with the VADL and ABC questionnaires was significant in the T3 assessment (p = 0.015). The correlation between the disease length and the VADL questionnaire was significant in all cases (p < 0.005). The comparison of the vestibular rehabilitation result (T1 to T2) showed a significant difference for all the applied games, except for the ski slalom. The comparison of the vestibular rehabilitation result (T1 to T3) showed significant difference for all the applied games (p < 0.005) (1st assessment before the start of rehabilitation designated T1, after 10 rehabilitation sessions, considered T2 and, at the end of 20 rehabilitation sessions, called T3). Conclusion We can point out a direct improvement in the living standard, reflected by the reduction of falls, better balance, and march, contributing to a higher self-confidence in patients in daily activities. SCAs (SCAs diseases SCA (VADL (ABC 2 anamnesis evaluation reality 643 64 3 64.3 p 0.005. 0005 0.005 . 0 005 T 0.015. 0015 0.015 015 0.015) T1 (T slalom 1st st 1 sessions T3. falls balance march selfconfidence self confidence activities 6 64. 000 0.00 00 001 0.01 01 0.0 0.

A gravidez na adolescência é um problema significativo de saúde pública no Brasil, contribuindo para altas taxas de morbimortalidade entre mulheres jovens. Durante a gestação, muitas adolescentes abandonam a escola e o trabalho, o que resulta em menor qualificação e maior vulnerabilidade ao mercado de trabalho informal. Além disso, as adolescentes grávidas enfrentam riscos elevados de complicações gestacionais e desafios emocionais, como ansiedade e depressão. A pandemia exacerbou essas vulnerabilidades, especialmente em relação ao abuso doméstico, devido ao isolamento social. Este estudo justifica-se pela necessidade de compreender o perfil demográfico e as características das parturientes adolescentes no Ceará entre 2020 e 2022, oferecendo subsídios para políticas públicas que visem melhorar a qualidade de vida dessas jovens e de seus filhos. Todos os dados foram analisados utilizando R. Durante o período analisado, foram registrados 331.924 nascimentos vivos no Ceará, dos quais 21.667 (6,53%) eram de mães com idade igual ou inferior a 17 anos. A idade média das mães adolescentes foi de 15,93 ± 1,11 anos, enquanto a média para as mães adultas foi de 28,00 ± 6,21 anos, evidenciando uma diferença estatisticamente significativa (Teste-t de Student, P &lt; 0,05). A análise também revelou uma diferença significativa entre a idade dos pais de crianças nascidas de mães adolescentes (22,25 ± 5,72 anos) em comparação à idade dos pais de crianças nascidas de mães adultas (32,45 ± 7,81 anos) (Figura 3, Teste-T, P &lt; 0,05). No que se refere à etnia, adolescentes indígenas representaram 9,95% dos casos de gravidez, seguidas pelas adolescentes pardas (7,26%) e pretas (5,9%). A menor proporção foi observada entre adolescentes brancas (4,43%). Não houve diferença estatisticamente significativa entre os grupos indígenas, pardas, pretas e a população amarela. Quanto ao estado civil, 71% das adolescentes se declararam solteiras. A análise educacional demonstrou uma tendência significativa de gravidez entre adolescentes com Ensino Fundamental II incompleto, completo, ou Ensino Médio incompleto, indicando que essas jovens ainda estavam em fase de conclusão desses ciclos escolares. Não foi observada uma relação significativa entre a redução da idade materna e a diminuição do escore APGAR em recém-nascidos (APGAR = 0,014 × “IDADE DA MÃE” + 8,5; P &lt; 0,05, R² = 0,0004). Além disso, não houve diferença significativa na proporção de anomalias congênitas entre os nascimentos de mães adolescentes e adultas.

El embarazo en la adolescencia es un problema significativo de salud pública en Brasil, que contribuye a altas tasas de morbimortalidad entre las mujeres jóvenes. Durante el embarazo, muchas adolescentes abandonan la escuela y el trabajo, lo que resulta en menor calificación y mayor vulnerabilidad en el mercado laboral informal. Además, las adolescentes embarazadas enfrentan mayores riesgos de complicaciones gestacionales y desafíos emocionales, como ansiedad y depresión. La pandemia exacerbó estas vulnerabilidades, especialmente en relación con el abuso doméstico, debido al aislamiento social. Este estudio se justifica por la necesidad de comprender el perfil demográfico y las características de las madres adolescentes en Ceará entre 2020 y 2022, ofreciendo apoyo para políticas públicas que busquen mejorar la calidad de vida de estas jóvenes y sus hijos. Todos los datos fueron analizados utilizando R. Durante el período analizado, se registraron 331.924 nacimientos vivos en Ceará, de los cuales 21.667 (6,53%) eran de madres de 17 años o menos. La edad promedio de las madres adolescentes fue de 15,93 ± 1,11 años, mientras que la media para las madres adultas fue de 28,00 ± 6,21 años, evidenciando una diferencia estadísticamente significativa (Prueba t de Student, P &lt; 0,05). El análisis también reveló una diferencia significativa entre la edad de los padres de niños nacidos de madres adolescentes (22,25 ± 5,72 años) en comparación con la edad de los padres de niños nacidos de madres adultas (32,45 ± 7,81 años) (Prueba de Wilcoxon, P &lt; 0,05). En cuanto a la etnia, las adolescentes indígenas representaron el 9,95% de los casos de embarazo, seguidas por las adolescentes mestizas (7,26%) y negras (5,9%). La menor proporción se observó entre las adolescentes blancas (4,43%). No hubo diferencia estadísticamente significativa entre los grupos indígenas, mestizas, negras y la población amarilla. En cuanto al estado civil, el 71% de las adolescentes se declararon solteras. El análisis educativo demostró una tendencia significativa de embarazo entre adolescentes con secundaria incompleta o completa, o educación media incompleta, lo que indica que estas jóvenes aún estaban en proceso de completar estos niveles educativos. No se observó una relación significativa entre la disminución de la edad materna y la reducción de la puntuación APGAR en los recién nacidos (APGAR = 0,014 × "EDAD DE LA MADRE" + 8,5; P &lt; 0,05, R² = 0,0004). Además, no hubo diferencia significativa en la proporción de anomalías congénitas entre los nacimientos de madres adolescentes y adultas.

Adolescent pregnancy is a significant public health issue in Brazil, contributing to high morbidity and mortality rates among young women. During pregnancy, many adolescents drop out of school and work, leading to lower qualifications and increased vulnerability to the informal labor market. Moreover, pregnant adolescents face higher risks of gestational complications and emotional challenges, such as anxiety and depression. The pandemic exacerbated these vulnerabilities, particularly concerning domestic abuse, due to social isolation. This study is justified by the need to understand the demographic profile and characteristics of adolescent mothers in Ceará between 2020 and 2022, providing support for public policies aimed at improving the quality of life for these young women and their children. All data were analyzed using R. During the analyzed period, 331,924 live births were recorded in Ceará, of which 21,667 (6.53%) were from mothers aged 17 years or younger. The average age of adolescent mothers was 15.93 ± 1.11 years, while the average for adult mothers was 28.00 ± 6.21 years, showing a statistically significant difference (Student's t-test, P &lt; 0.05). The analysis also revealed a significant difference between the age of fathers of children born to adolescent mothers (22.25 ± 5.72 years) compared to the age of fathers of children born to adult mothers (32.45 ± 7.81 years) (Wicoxon test, P &lt; 0.05). Regarding ethnicity, indigenous adolescents accounted for 9.95% of pregnancy cases, followed by brown (7.26%) and black (5.9%) adolescents. The lowest proportion was observed among white adolescents (4.43%). There was no statistically significant difference among indigenous, mixed-race, black, and yellow populations. Concerning marital status, 71% of adolescents declared themselves single. Educational analysis showed a significant trend of pregnancy among adolescents with incomplete or complete middle school or incomplete high school education, indicating that these young women were still in the process of completing these educational levels. There was no significant relationship between decreasing maternal age and a reduction in newborns' APGAR scores (APGAR = 0.014 × "MOTHER'S AGE" + 8.5; P &lt; 0.05, R² = 0.0004). Additionally, there was no significant difference in the proportion of congenital anomalies between births of adolescent and adult mothers.

Resumen El incremento de la incidencia y prevalencia de las patologías Parkinson y Alzheimer generan una alarma en los sistemas de salud debido a sus consecuencias en los individuos, familia y sociedad. El desarrollo de tratamientos no farmacológicos dirigidos a la rehabilitación cognitiva abre nuevas posibilidades para el incremento de la calidad de vida de estos pacientes.

Abstract The increase in the incidence and prevalence of Parkinson's and Alzheimer's diseases is causing alarm in health systems due to their consequences on individuals, families, and society. The development of non-pharmacological treatments aimed at cognitive rehabilitation opens new possibilities for increasing the quality of life of these patients.

Resumen El sector turístico en la actualidad está marcado por las concepciones de gestión, los espacios y la visión económica de las regiones, territorios y ciudades. Además, se aprecia que, como industria y como campo, debe contribuir al desarrollo social y comunitario sostenible en función de elevar la calidad de vida de los habitantes. El objetivo de la investigación estuvo encaminado en analizar la producción científica sobre turismo sostenible en la base de datos SCOPUS en el período 2022-2024. Para ello se implementó un diseño mixto en dos etapas, con un estudio bibliométrico como principal y una revisión hermenéutica de la literatura adaptada a los intereses cognoscitivos y metas de la investigación. Los resultados de la primera etapa evidenciaron un ligero incremento de la producción del año 2022 al año 2023, siendo las áreas más representativas las ciencias sociales y las ciencias ambientales. En la segunda etapa se examinó la relación entre sostenibilidad y turismo en el marco de los objetivos del desarrollo sostenible, así como las principales tendencias y retos.

Abstract The tourism sector today is marked by management concepts, spaces and the economic vision of regions, territories and cities. Furthermore, it is appreciated that, as an industry and as a field, it must contribute to sustainable social and community development in order to raise the quality of life of the inhabitants. The objective of the research was aimed at analyzing the scientific production on sustainable tourism in the SCOPUS database in the period 2022-2024. To achieve this, a mixed design was implemented in two stages, with a bibliometric study as the main one and a hermeneutical review of the literature adapted to the cognitive interests and goals of the research. The results of the first stage showed a slight increase in production from 2022 to 2023,0 with the most representative areas being social sciences and environmental sciences. In the second stage, the relationship between sustainability and tourism was examined within the framework of the sustainable development objectives, as well as the main trends and challenges.

Resumen Los efectos del estrés laboral están asociados con las horas de trabajo y las actividades mentales, como pensar y tomar decisiones, necesarias para la preparación y cualificación de tareas. El objetivo del estudio fue analizar la carga mental percibida en dos instituciones educativas con similitudes socioeconómicas, geográfica y planes educativos similares de la ciudad de Ibagué en el departamento del Tolima, Colombia. Se optó por una metodología cuantitativa no experimental de tipo transversal descriptivo, utilizando el NASA TLX para medir la carga mental, sometiendo los datos a un análisis estadístico no paramétrico de varianzas ANOVA de Kruskal-Wallis y la prueba DSCF para comparaciones post hoc. Los resultados revelaron que las diferencias en la carga de trabajo percibida están más relacionadas con el contexto institucional que con factores individuales como la edad, el género o la asignación académica que imparten los docentes. Esto sugiere que las características internas de las instituciones educativas y las habilidades de afrontamiento utilizadas por los docentes son cruciales para comprender y gestionar adecuadamente la carga mental percibida. Estos hallazgos enmarcan la importancia de adaptar las estrategias de gestión de la carga mental a las particularidades de cada institución educativa para mejorar la calidad de vida laboral de los profesionales y, en última instancia, la calidad de la educación que ofrecen.

Abstract The effects of work stress are associated with work hours and mental activities, such as thinking and decision making, necessary for the preparation and qualification of tasks. The objective of the study was to analyze the perceived mental load in two educational institutions with socioeconomic and geographic similarities and similar educational plans in the city of Ibagué in the department of Tolima, Colombia. A descriptive cross-sectional non-experimental quantitative methodology was chosen, using the NASA TLX to measure mental load, subjecting the data to a non-parametric statistical analysis of variances ANOVA by Kruskal-Wallis and the DSCF test for post hoc comparisons. The results revealed that differences in perceived workload are more related to the institutional context than to individual factors such as age, gender, or the academic assignment taught by teachers. This suggests that the internal characteristics of educational institutions and the coping skills used by teachers are crucial to adequately understand and manage perceived mental load. These findings frame the importance of adapting mental load management strategies to the particularities of each educational institution to improve the quality of work life of professionals and, ultimately, the quality of the education they offer.

Abstract Background Molecularly targeted therapies, such as monoclonal antibodies (mAbs) and Janus Kinase inhibitors (JAKis), have emerged as essential tools in the treatment of dermatological diseases. These therapies modulate the immune system through specific signaling pathways, providing effective alternatives to traditional systemic immunosuppressive agents. This review aims to provide an updated summary of targeted immune therapies for inflammatory skin diseases, considering their pathophysiology, efficacy, dosage, and safety profiles. Methods The review followed the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines. A systematic search was conducted on PubMed over the past 10 years, focusing on randomized clinical trials, case reports, and case series related to targeted immune therapies in dermatology. Eligibility criteria were applied, and data were extracted from each study, including citation data, study design, and results. Results We identified 1360 non-duplicate articles with the initial search strategy. Title and abstract review excluded 1150, while a full-text review excluded an additional 50 articles. The review included 143 studies published between 2012 and 2022, highlighting 39 drugs currently under investigation or in use for managing inflammatory skin diseases. Study limitations The heterogeneity of summarized information limits this review. Some recommendations originated from data from clinical trials, while others relied on retrospective analyses and small case series. Recommendations will likely be updated as new results emerge. Conclusion Targeted therapies have revolutionized the treatment of chronic skin diseases, offering new options for patients unresponsive to standard treatments. Paradoxical reactions are rarely observed. Further studies are needed to fully understand the mechanisms and nature of these therapies. Overall, targeted immune therapies in dermatology represent a promising development, significantly improving the quality of life for patients with chronic inflammatory skin diseases. mAbs (mAbs JAKis, JAKis , (JAKis) diseases pathways agents pathophysiology efficacy dosage profiles Metaanalyses Meta PRISMA (PRISMA guidelines 1 years trials reports applied design 136 nonduplicate non duplicate strategy 1150 fulltext full text 5 14 201 2022 3 emerge treatments observed Overall development (JAKis 13 115 20 202 11 2