Resumen El fenómeno migratorio en México ha cobrado relevancia debido al aumento del tránsito de centroamericanos por el país para llegar a Estados Unidos a cumplir el sueño americano. En este artículo se identifican los imaginarios y fuentes de información de los migrantes respecto a su trayectoria y destino final. Se llevaron a cabo 60 entrevistas en una casa del migrante en la ciudad de Monterrey a participantes provenientes de Honduras, El Salvador, Guatemala y Nicaragua. Las conclusiones demuestran imaginarios romantizados, cuyos fundamentos son primordialmente fuentes interpersonales (otros migrantes y conocidos que ya han hecho el viaje) y fuentes mediáticas (televisión, cine, Internet y periodismo). Desde una perspectiva sociológica y de ciencias de la información, este caso de estudio revisa la idea de los imaginarios como parte elemental en la toma de decisiones de los migrantes que arriesgan sus vidas para alcanzar destinos meta.

Abstract The topic of migration in Mexico has gained relevance since there has been a significant increase of Central American migrants traveling through the country towards the United States, to achieve the American dream. This article identifies the imaginaries and sources of information of migrants regarding their transit and final destination. Sixty people were interviewed in a local shelter of the city of Monterrey with participants from Honduras, El Salvador, Guatemala, and Nicaragua. The conclusions show romanticized imaginaries, founded primarily on interpersonal sources (other migrants and acquaintances who have made the trip) and media sources (television, cinema, the Internet, and journalism). From a sociological and information science perspective, this case study reviews the idea of imaginaries as a fundamental part in the decision making of migrants who risk their lives in order to reach target destinations.

Abstract The research analyzes the variables that influence the strengthening of business and tax culture through knowledge management. Methodologically, it is a study with a qualitative and analytical approach. The study highlights the importance of knowledge management as a catalyst for improving organizational culture and tax compliance in companies. Variables such as effective communication allow the organization to improve tax and administrative management through the individual knowledge of each employee. The acquisition of skills and knowledge through training and education strengthens the resilience of individuals to regulatory changes. Technology, used as a management and process optimization tool, reduces error variability while increasing efficiency and performance. Teamwork in the execution of tasks facilitates more efficient planning and optimal allocation of individual responsibilities. Finally, by implementing a risk management approach, it is possible to exercise greater diligence in the early detection of errors and minimize their impact on the ongoing business development context.

Resumen La investigación analiza las variables que influyen en el fortalecimiento de la cultura empresarial y tributaria a través de la gestión del conocimiento. A nivel metodológico es un estudio con enfoque cualitativo y analítico. El estudio destaca la importancia de la gestión del conocimiento como un catalizador para mejorar la cultura organizacional y el cumplimiento tributario en las empresas. Variables como la comunicación efectiva, permite en la organización el mejoramiento en la gestión tributaria y administrativa por medio del conocimiento individual de cada trabajador; la adquisición de habilidades y conocimientos a través de la formación y capacitación fortalece la resiliencia de los individuos ante las modificaciones regulatorias; la tecnología, utilizada como un instrumento para la gestión y optimización de los procesos, reduce la variabilidad de errores, al tiempo que aumenta la eficiencia y el rendimiento; el trabajo en equipo en la ejecución de tareas facilita una planificación más eficiente y una asignación óptima de las responsabilidades individuales; y finalmente, mediante la implementación de un enfoque de gestión de riesgos, es posible ejercer una mayor diligencia en la detección temprana de fallos y en la minimización de su impacto en el contexto del desarrollo del negocio en marcha.

Abstract Violence against women is a serious public health problem, with a marked social and economic impact. The objective of this article is to synthesize the theories that explain violence against women, contributing, from a theoretical perspective, to the understanding of risk factors. The research is basic and descriptive; the analytical-synthetic method was used to establish the essential elements of the information collected and formalize conclusions in this regard. The search for bibliographic sources was carried out in the Google Scholar database. Theories such as the cycle of violence, traumatic union, paradoxical punishment, battered women, among others, are presented. In addition, the importance of factors such as poverty, victimization, dysfunctional families, ineffective educational and judicial systems is recognized. Risk factors for gender violence were identified according to the different theoretical positions analyzed. The conclusions recognize the conduct of a significant amount of research on violence against women in the context of the pandemic. The proposal of theoretical foundations for each of the risk factors was made, which contributes to future research, especially in the Latin American space. It is considered that theories must be understood within the very dynamics that this phenomenon presents, focused on the variety of criteria, elements, variables, causes, consequences, conditions, etc.

Resumen La violencia contra la mujer constituye un grave problema de salud pública, con un marcado impacto social y económico. El objetivo de este artículo es sintetizar las teorías que explican la violencia contra la mujer, contribuyendo desde una perspectiva teórica a la comprensión los factores de riesgo. La investigación es básica y descriptiva; el método analítico-sintético se utilizó para establecer los elementos esenciales de la información recopilada y formalizar conclusiones al respecto. Se efectuó la búsqueda de fuentes bibliográficas en la base de datos Google Scholar. Se presentan teorías como el ciclo de la violencia, la unión traumática, el castigo paradójico, la mujer maltratada, entre otras. Además, se reconoce la importancia de factores como la pobreza, la victimización, familias disfuncionales, sistemas educativos y judiciales poco efectivos. Se identificaron los factores de riesgo para la violencia de género según las distintas posiciones teóricas analizadas. Las conclusiones reconocen la realización de una cantidad importante de investigaciones sobre violencia contra la mujer en el contexto de la pandemia. Se realizó la propuesta de fundamentos teóricos para cada uno de los factores de riesgo, lo que contribuye para futuras investigaciones, sobre todo en el espacio latinoamericano. Se considera que las teorías deben comprenderse dentro de la propia dinámica que presenta este fenómeno, centrados en la variedad de criterios, elementos, variables, causas, consecuencias, condiciones, etc.

Abstract The article explores the implementation of an edu-communicative strategy with a group of 23 tenth-grade students, between 14 and 17 years of age, who are at risk of delinquency and school violence. A quasi-experimental study with qualitative analysis was conducted, using the Participatory Action Research method. The results showed that the selected students were able to reflect on the conditions of vulnerability affecting them, move away from previous risk situations, and broaden their expectations for a better future.

Resumo O artigo explora a implementação de uma estratégia educomunicativa com um grupo de 23 alunos do ensino médio, com idades entre 14 e 17 anos, que estão em risco de delinquência e violência escolar. Foi realizado um estudo quase-experimental com análise qualitativa, usando o método de pesquisa-ação participativa. Os resultados mostraram que os alunos selecionados foram capazes de refletir sobre as condições de vulnerabilidade que os afetam, afastar-se de situações de risco anteriores e ampliar suas expectativas de um futuro melhor.

Resumen El artículo explora la implementación de una estrategia educomunicativa con un grupo de 23 estudiantes de décimo grado, con edades entre 14 y 17 años, en riesgo de delincuencia y violencia escolar. Se realizó un estudio cuasi-experimental con análisis cualitativo, utilizando el método de Investigación Acción Participativa. Los resultados mostraron que los estudiantes seleccionados lograron reflexionar sobre las condiciones de vulnerabilidad que los afectan, alejarse de situaciones de riesgo previas y ampliar sus expectativas de un futuro mejor.

ABSTRACT Introduction: Chronic kidney disease is a global health problem. Its most serious manifestation, chronic kidney failure, affects the Cuban context and determines the growth of patients on hemodialysis. The objective of the text is to evaluate the main results of the diagnosis and characterization of the problematic situation in a psychosocial study with patients with Chronic Renal Failure in the Hemodialysis room of the Florida municipality, of the county of Camagüey. Method: It is an experimental participatory action research, which takes place between January 2023 and December 2024, which constitutes the output of the research project System of psychosocial actions for the improvement of comprehensive care for patients with non-communicable diseases. The universe is made up of 56 patients and the sample is made up of 22, who receive purifying and conservative treatment, 22 family members and 12 service professionals. The research instrument par excellence was the participant survey. Results: The age of the patients is not definitive of an age group; men predominate; A high percentage of patients are found to have low tolerance for adherence to treatment and insufficient development of psychosocial skills and declare the need to possess knowledge to achieve health states that lead to survival. Discussion: There is no coincidence with what was found in the determination of the prevalence age groups for the disease, but specialists insist that the disease is not exclusive to a specific period of life; recognize the importance of the patient's knowledge of risk factors for prevention, promotion and health education and highlight the need for communication and empathy between health personnel and the patient, to achieve favorable results and emotional states in the face of the disease and treatment.

RESUMEN Introducción: La enfermedad renal crónica es un problema de salud a nivel mundial, su manifestación más grave, la insuficiencia renal crónica, incide en el contexto cubano y determina el crecimiento de pacientes en hemodiálisis. El objetivo del texto es valorar los principales resultados del diagnóstico y caracterización de la situación problémica en un estudio de carácter psicosocial con pacientes con Insuficiencia Renal Crónica en la sala de Hemodiálisis del municipio Florida, de la provincia de Camagüey. Método: Es una investigación-acción participativa de corte experimental, que se desarrolla entre enero 2023 y diciembre del 2024 la cual constituye salida del proyecto de investigación Sistema de acciones psicosociales para el perfeccionamiento de la atención integral a los pacientes con enfermedades no transmisibles. El universo está constituido por 56 pacientes y la muestra por 22, que reciben tratamiento depurador y conservador, 22 familiares y 12 profesionales del servicio. El instrumento de investigación por excelencia fue la encuesta a participantes. Resultados: La edad de los pacientes no es definitiva de un grupo etario; predominan los hombres; se constata un elevado por ciento de pacientes con poca tolerancia a la adherencia al tratamiento e insuficiente desarrollo de las habilidades psicosociales y declaran la necesidad de poseer conocimientos para lograr estados de salud que conlleven a la sobrevida. Discusión: No existe coincidencia con lo constatado en la determinación de los grupos etarios de prevalencia para la enfermedad, pero los especialistas insisten en que la enfermedad no es privativa de un período de vida específico; reconocen la importancia del conocimiento de los factores de riesgo por el paciente para la prevención, promoción y educación en salud y resaltan la necesidad de la comunicación y la empatía entre el personal de salud y el paciente, para lograr resultados y estados emocionales favorables ante la enfermedad y el tratamiento.

Abstract The COVID 19 pandemic generated consequences for children, reflecting the social and psychological impact worldwide due to changes such as the absence of face-to-face classes and the transfer of education to homes. This not only represented a challenge for children, but also for families and educational institutions, who are in charge of the development of children's emotional regulation. This qualitative research based on grounded theory, aims to analyze the role of protective and risk factors related to the development of emotional regulation in children aged 4 and 5 years that were present during the context of remote education due to the COVID-19 pandemic. in 2020. For this, 5 interviews were conducted virtually with staff from an educational institution, as well as with 2 mothers of students who were in preschool in 2020, and a focus group with 5 mothers. In addition, an in-person activity was carried out with two groups of children, lasting approximately 40 minutes with each group, who were taught the story of the “Color Monster” to talk and identify emotions, as well as a space to paint and develop a dialogue, which allowed us to know their perspective of the pandemic, and the labeling of emotions they have. Protective and risk factors were also identified, such as listening to and discussing emotions, communication between family and school, support in the educational process, among others. It is concluded that, similar to international studies, this situation caused changes in daily routines, eating, sleeping, socialization with peers, and childhood emotions. For families it meant assuming a new role as educators for which they were not prepared. Both teachers and families highlighted the overload experienced. Protective and risk factors were identified such as listening to and discussing emotions, communication between family and school, support in the educational process, among others.

Resumen La pandemia por COVID 19 generó consecuencias en la niñez. La afectación a nivel social y psicológico se reflejó mundialmente debido a cambios como la ausencia de clases presenciales y el traslado de la educación a los hogares. Esto no solo significó un reto para la niñez, sino también para las familias y para las instituciones educativas a cargo del desarrollo de la regulación emocional de esta. Esta investigación, de corte cualitativo y abordada según la teoría fundamentada, analiza el papel de los factores protectores y riesgosos relacionados con el desarrollo de la regulación emocional en niñez de 4 y 5 años, que estuvo presente durante el contexto de la educación remota por motivo de la pandemia por COVID-19 en el año 2020. Para esto se realizaron 5 entrevistas virtuales con personal de una institución educativa, con 2 madres de estudiantes que estuvieron en preescolar en el año 2020, y con un grupo focal de 5 madres. Además, se realizó una actividad presencial de aproximadamente 40 minutos con dos grupos de estudiantes, a quienes se les enseñó el cuento “Monstruo de colores” para conversar e identificar emociones. Asimismo, se abrió un espacio para pintar y desarrollar un diálogo con el fin de conocer la perspectiva de la pandemia y el etiquetamiento de emociones que poseían. Se concluyó que, de manera similar a estudios internacionales, esta situación desencadenó cambios en rutinas cotidianas, alimentación, sueño, socialización con pares y cambios en las emociones de la niñez. A su vez, para las familias, supuso asumir un nuevo rol como personas educadoras para el cual no estaban preparadas. Se identificaron factores protectores y riesgosos como la escucha y el diálogo de las emociones, la comunicación entre familia y escuela, el apoyo en el proceso educativo, entre otros.

Abstract The political, cultural and economic features that characterize the society of the 21st century have allowed the emergence of the so-called digital society, characterized by the dominant use of information and communication technologies for the development of activities such as research, communication, sharing knowledge and information, producing, among others. In this framework, the objective of this work is to design and program an immersive augmented reality application that allows the visualization of 3D iconography to inform about the life risk to which the occupants of the case study building are exposed. To do this, we will work with a quasi-experimental methodology that combines design, programming and verification procedures through trial and error. Concluding that it is possible to integrate seismic risk iconography for visualization in the augmented reality application.

Resumen Los rasgos políticos, culturales y económicos que caracterizan a la sociedad del siglo XXI, han permitido el surgimiento de la llamada sociedad digital la cual se caracteriza por el uso dominante de las tecnologías de la información y comunicación para el desarrollo de actividades tales como investigación, comunicación, compartir conocimiento e información, producir, entre otros. En este marco, el presente trabajo tiene por objetivo diseñar y programar una aplicación de tecnología inmersiva de realidad aumentada que permita la visualización de iconografía en 3D para informar sobre el riesgo de vida a los que están expuestos los ocupantes del edificio caso de estudio. Para ello se trabajará con una metodología cuasi-experimental que combina procedimientos de diseño, programación y verificación a través de prueba y error. Concluyendo que es posible integrar la iconografía sobre riesgo sísmico edilicio para su visualización en la aplicación de realidad aumentada.

O artigo se dedica a examinar a articulação entre dois movimentos de contestação da representação, identificados nos domínios da política e da literatura. Refiro-me aqui aos questionamentos da democracia representativa que acompanhamos na série de protestos entre 2010-2013 e à discussão sobre a legitimidade das produções artísticas para representar integrantes de minorias diversas. Esses abalos da representação serão analisados, sobretudo, como pressões por alterações na chamada partilha do sensível (Rancière). Ao buscar traçar correspondências entre esses dois movimentos de contestação, destacarei suas ligações com modificações tecnológicas e discursivas de impacto, tais como o desenvolvimento da comunicação em rede, a expansão do discurso do testemunho e de suas formas próprias de subjetivação. Por fim, discutirei o risco dessa demanda por mudança na partilha do sensível resultar não na ampliação concreta da democracia nos domínios da política e da literatura, mas na criação de bolhas digitais e culturais caracterizadas pela homogeneidade e pela intransigência.

The article is dedicated to examining the link between two movements challenging representation, identified in the fields of politics and literature. I am referring here to the questioning of representative democracy that was part of the series of protests between 2010-2013 and the discussion about the legitimacy of artistic productions to represent members of diverse minorities. These upheavals in representation will be analyzed above all as pressures for changes in the so-called distribution of the sensible (Rancière). In seeking to trace correspondences between these two movements of contestation, I will highlight their links with impactful technological and discursive changes, such as the development of network communication, the expansion of the discourse of testimony, and its forms of subjectivation. Finally, I will discuss the risk of this demand for change in the distribution of the sensible resulting not in the concrete expansion of democracy in the realms of politics and literature, but in the creation of digital and cultural bubbles characterized by homogeneity and intransigence.

Abstract The Autism Spectrum Disorder is a neurobiological based disorder with a high percentage of heritability and a wide list of possible etiologies that presents very heterogeneous changes in neuronal architecture, con nectivity and synaptogenesis with characteristic clinical manifestations whose origin points to environmental, immunological, genetic and other causes, without hav ing been confirmed specific biomarkers. Diagnosis con tinues to be based on typical features including repeti tive behaviors and impaired communication and social interaction. Their genetic and non-genetic risk factors are reviewed to advance knowledge about the pathologi cal processes that may be related to their origin.

Resumen El Trastorno del Espectro Autista es una patología de base neurobiológica con alto porcentaje de hereda bilidad y amplia lista de posibles etiologías, que pre senta cambios muy heterogéneos en la arquitectura, conectividad y sinaptogénesis neuronal, con manifes taciones clínicas características, cuyo origen apunta a causas ambientales, inmunológicas, genéticas y otras, sin haberse confirmado biomarcadores específicos. El diagnóstico se sigue basando en características típicas que incluyen conductas repetitivas y comunicación e interacción social deterioradas. Se revisan sus factores de riesgo genéticos y no genéticos para avanzar en el conocimiento sobre los procesos patológicos que pueden relacionarse a su origen.

Resumo Introdução/objetivo: esta pesquisa objetiva analisar as competências em tecnologias da informação e da comunicação (TIC) exigidas pelo mercado aos contadores no Brasil. Metodologia: estabeleceu-se como procedimento metodológico a análise de conteúdo, a qual envolveu a verificação de 300 ofertas de vagas para contador promovidas por empresas de todas as regiões do Brasil. Resultados: os resultados indicam que, além de competências técnicas básicas, tais como conhecimento em sistemas de gestão empresarial (ERP, em inglês) e pacotes Microsoft, são exigidos conhecimentos relacionados ao uso das TIC para aperfeiçoar a eficiência e a eficácia da comunicação, à análise de banco de dados, ao suporte das TIC nas tomadas de decisões, à gestão de riscos e à otimização de sistemas organizacionais. A ênfase dos achados acerca da comunicação ressalta o contador como elo entre a equipe contábil e as outras áreas da empresa. Os resultados também evidenciam que há diferenças significativas das competências técnicas das TIC entre os níveis hierárquicos. Conclusões: promover a discussão da atualização e do aprimoramento das competências em TIC na formação dos profissionais da contabilidade no Brasil é considerado como principal contributo do estudo. Além disso, constata-se a necessidade de os profissionais de contabilidade investirem na aquisição e no desenvolvimento dessas competências técnicas a fim de atingir posições hierárquicas estratégicas e destacáveis nas organizações.

Resumen Introducción/Objetivo: esta investigación tiene como objetivo analizar las competencias en Tecnología de la Información y Comunicación (TIC) exigidas por el mercado para los contadores en Brasil. Metodología: el procedimiento metodológico adoptado fue el análisis de contenido, que involucró la verificación de 300 ofertas de empleo para contadores, promovidas por empresas de todas las regiones de Brasil. Resultados: los resultados indican que, además de las competencias técnicas básicas como el conocimiento en sistemas de planificación de recursos empresariales (ERP, por sus siglas en inglés) y paquetes Microsoft, se requieren conocimientos relacionados con el uso de las TIC para mejorar la eficiencia y eficacia de la comunicación, el de bases de datos, el apoyo de las TIC en la toma de decisiones, la gestión de riesgos y la optimización de sistemas organizacionales. La relevancia de los hallazgos sobre la comunicación destaca al contador como el vínculo entre el equipo contable y otras áreas de la empresa. También se evidencian diferencias significativas en las competencias técnicas en TIC entre los diferentes niveles jerárquicos. Conclusiones: como principales contribuciones del estudio, se destaca la necesidad de promover la discusión sobre la actualización y el perfeccionamiento de las competencias en TIC en la formación de los profesionales de la contabilidad en Brasil. Además, se señala la importancia de que los profesionales de la contabilidad inviertan en la adquisición y desarrollo de estas competencias técnicas, con miras a alcanzar posiciones jerárquicas estratégicas y destacadas en las organizaciones.

Abstract Introduction/objective: This research aims to analyze the skills in information and communication technologies (ICT) required by the market for accountants in Brazil. Methodology: Content analysis was established as a methodological procedure, which involved checking 300 vacancies for accountants promoted by companies from all regions of Brazil. Results: The results indicate that, in addition to basic technical skills, such as knowledge of enterprise resource planning (ERP) and Microsoft packages, knowledge related to the use of ICT is required to improve the efficiency and effectiveness of communication, database analysis, the support of ICT in decision making, risk management and the optimization of organizational systems. The emphasis of the findings on communication highlights the accountant as a link between the accounting team and other areas of the company. The results also show that there are significant differences in ICT technical skills between hierarchical levels. Conclusions: Promoting the discussion of updating and improving ICT skills in the training of accounting professionals in Brazil is considered the main contribution of the study. Furthermore, there is a need for accounting professionals to invest in the acquisition and development of these technical skills in order to reach strategic and notable hierarchical positions in organizations.

RESUMO O artigo se dedica a examinar a articulação entre dois movimentos de contestação da representação, identificados nos domínios da política e da literatura. Refiro-me aqui aos questionamentos da democracia representativa que acompanhamos na série de protestos entre 2010-2013 e à discussão sobre a legitimidade das produções artísticas para representar integrantes de minorias diversas. Esses abalos da representação serão analisados, sobretudo, como pressões por alterações na chamada partilha do sensível (Rancière). Ao buscar traçar correspondências entre esses dois movimentos de contestação, destacarei suas ligações com modificações tecnológicas e discursivas de impacto, tais como o desenvolvimento da comunicação em rede, a expansão do discurso do testemunho e de suas formas próprias de subjetivação. Por fim, discutirei o risco dessa demanda por mudança na partilha do sensível resultar não na ampliação concreta da democracia nos domínios da política e da literatura, mas na criação de bolhas digitais e culturais caracterizadas pela homogeneidade e pela intransigência. literatura Refirome Refiro me 20102013 2010 2013 2010-201 diversas analisados sobretudo Rancière. Rancière . (Rancière) impacto rede subjetivação fim intransigência 2010201 201 2010-20 (Rancière 201020 20 2010-2 20102 2 2010-

ABSTRACT The article is dedicated to examining the link between two movements challenging representation, identified in the fields of politics and literature. I am referring here to the questioning of representative democracy that was part of the series of protests between 2010-2013 and the discussion about the legitimacy of artistic productions to represent members of diverse minorities. These upheavals in representation will be analyzed above all as pressures for changes in the so-called distribution of the sensible (Rancière). In seeking to trace correspondences between these two movements of contestation, I will highlight their links with impactful technological and discursive changes, such as the development of network communication, the expansion of the discourse of testimony, and its forms of subjectivation. Finally, I will discuss the risk of this demand for change in the distribution of the sensible resulting not in the concrete expansion of democracy in the realms of politics and literature, but in the creation of digital and cultural bubbles characterized by homogeneity and intransigence. literature 20102013 2010 2013 2010-201 minorities socalled so called Rancière. Rancière . (Rancière) contestation communication testimony subjectivation Finally intransigence 2010201 201 2010-20 (Rancière 201020 20 2010-2 20102 2 2010-

Resumo Introdução: O enfermeiro especialista na pessoa idosa é fundamental no acompanhamento sistemático da saúde desta população. O desenvolvimento de uma Consulta de Enfermagem (CE) estruturada à Pessoa Idosa (PI) que permita uma avaliação multidimensional para identificação das principais Síndromes Geriátricas (SG) é essencial, pelo que a Unidade de Saúde Familiar X (USFX) desenvolveu um projeto com o objetivo de implementar um guião de CE de avaliação multidimensional da PI de forma resumida, tendo por base o preconizado pela OMS para prevenir as SG e promover um envelhecimento ativo e saudável. Métodos: Investigação-ação-formação em cinco fases: diagnóstico da situação, planeamento, implementação, avaliação e divulgação de resultados. Para além de ações de partilha da informação e discussão, com base na literatura, foi construído um guião de consulta para estruturar as intervenções de enfermagem, a partir de entrevistas semiestruturadas realizadas aos 5 enfermeiros da USFX. Na implementação da CE os participantes foram 48 PI, inscritos para consulta especializada e presencial na USFX, após consentimento informado. Este projeto obteve o parecer positivo da Comissão de Ética nº157/CES/INV/2019.Resultados: O guião da CE especializada à PI foi desenvolvido com base no modelo de parceria para promoção do Cuidado-de-Si e o preconizado pela OMS. Através do mesmo foi possível identificar que 8% das PI tinham défice de memória; 25% risco de queda; 10% apresentaram diminuição da capacidade funcional; 23% depressão; 19% síndrome da fragilidade; 6% incontinência urinária; 4% anorexia e 27% das PI avaliadas apresentavam mais que uma SG associada. Conclusão: A metodologia de investigação-ação-formação contribuiu para promover a reflexão acerca da importância da realização da CE sistematizada e para a construção de um guião que direciona a intervenção do enfermeiro, suportada num Modelo, o que se torna numa estratégia eficaz na identificação e avaliação precoce das principais SG em tempo reduzido e incentiva a promoção do Cuidado-de-Si.

Abstract Introduction: A specialist nurse in the elderly is fundamental in the systematic monitoring of the health of the elderly population (EP). The development of a structured Nursing Consultation (NC) for the elderly that allows a multidimensional assessment to identify the main Geriatric Syndromes (GS) is essential, therefore the Health Care Center X (USFX) integrated in the Nursing Centers project “Age-Friendly Education and Health Institutions”, in partnership with ESEL, developed a project with the objective of implementing a NC guide for the multidimensional evaluation of EP in a summarized way, based on what is recommended by the WHO to identify the real problems/needs of the EP, to prevent GS and to promote active and healthy aging. Methods: Research-action-training in five phases: diagnosis of the situation, planning, implementation, evaluation, and disclosure of results. Data collection instruments: consultation guide to structure nursing interventions. To create it, interviews were carried out with the nurses and content analysis made, in addition to information sharing actions and discussion based on the literature. In the implementation of the NC, the participants were aged 65 or over, enrolled for consultation at the USFX, without cognitive impairment or communication deficit, after informed consent. 48 face-to-face NC specialist were carried out. This project obtained the positive opinion of the Ethics Commission nº 157/CES/INV/2019. Results: The guide used at the NC specialized in elderly was developed based on a theoretical model of nursing to promote of Care-of-the-Self (Gomes, 2021) and recommended by the WHO (2008). Through the use of the script in the NC it was possible to identify that 8% of the older people had memory deficit; 25% risk of falling; 10% had a decrease in functional capacity; 23% depression; 19% frailty syndrome; 6% urinary incontinence; 4% anorexia and 27% of older people evaluated had more than one associated GS. Conclusion: The research-action-training methodology contributed to promote reflection on the importance of carrying out the systematized NC and for the construction of a script that directs the nurse's intervention, supported by a Model, which becomes an effective strategy in the early identification and assessment of the main GS in a short time and encourages the promotion of Care-of-the-Self.

RESUMEN La gestión de riesgos es fundamental para el éxito de las organizaciones orientadas a proyectos. Una forma práctica de gestionar los riesgos potenciales es mediante la utilización de bases de conocimientos. En el presente trabajo utilizando la metodología de Kitchenham como guía para realizar revisiones sistemáticas, se discute la importancia de utilizar bases de conocimientos para la gestión de riesgos en organizaciones orientadas a proyectos. Se destacan los beneficios clave de utilizar bases de conocimientos, incluyendo mayor precisión en la identificación de riesgos, mejora en la toma de decisiones, ahorro de tiempo y recursos, y aumento de la transparencia y la comunicación dentro del equipo del proyecto. La metodología de Kitchenham puede ser utilizada como una técnica de revisión sistemática para evaluar la calidad de los estudios existentes sobre la utilización de bases de conocimientos para la gestión de riesgos en proyectos. El principal resultado de la presente investigación es la identificación de factores limitantes de la no utilización de las bases de conocimientos en la gestión de riesgos asumida en las organizaciones orientadas a proyectos.

ABSTRACT Risk management is critical to the success of project-oriented organizations. One practical way to manage potential risks is through the use of knowledge bases. In this article, using Kitchenham's methodology as a guide for conducting systematic reviews, the importance of using knowledge bases for risk management in project-oriented organizations is discussed. Key benefits of using knowledge bases are highlighted, including increased accuracy in risk identification, improved decision making, time and resource savings, and increased transparency and communication within the project team. Kitchenham's methodology can be used as a systematic review technique to assess the quality of existing studies on the use of knowledge bases for project risk management. The main result of this article is the identification of some limiting factors of the non-use of knowledge bases in risk management assumed in project-oriented organizations.

Abstract: During the winter of 2023, Chile faced a complex situation related to the respiratory syncytial virus (RSV). After experiencing a decline in RSV circulation during the years of the SARS-CoV-2 pandemic, a late outbreak was observed in the spring of 2022 and an early onset of the outbreak in 2023, with a significant increase in the number of serious cases. The ineffectiveness of strategic planning and risk communication contributed to the complexity of the situation. To avoid the above next winter, measures such as active surveillance, unification of definitions for acute respiratory infections, identification of RSV variants, public education about infections and advance preparation regarding hospital beds and health personnel are suggested. The importance of immunization and intersectoral collaboration to acquire new preventive alternatives is highlighted, as well as the need for early communication about the importance of immunization and identification of high-risk groups, improvement in training of medical personnel and strategic planning of the Ministry of Health. seeking a proactive and collaborative approach to address the complex RSV situation in future winters. The Chilean Immunization Advisory Committee has already carried out an analysis and recommendation on a new prevention alternative. This working group will support any decision of the Ministry of Health in public policies that attempt a change in the paradigm of control of this disease for the health of the children of our country.

Resumen: Durante el invierno de 2023, Chile enfrentó una compleja situación relacionada con al virus respiratorio sincicial (VRS). Después de experimentar una disminución en la circulación del VRS durante los años de la pandemia de SARS-CoV-2, se observó un brote tardío en la primavera de 2022 y un inicio anticipado del brote en 2023, con un aumento significativo en el número de casos graves. La poca efectividad en la planificación estratégica y comunicación de riesgo contribuyeron a la complejidad de la situación. Para evitar lo anterior el próximo invierno, se sugieren medidas como vigilancia activa, unificación de definiciones para infecciones respiratorias agudas, identificación de variantes del VRS, educación pública sobre contagios y preparación anticipada respecto a camas hospitalarias y personal de salud. Se destaca la importancia de la inmunización y colaboración intersectorial para adquirir nuevas alternativas preventivas como también la necesidad de una comunicación temprana sobre la importancia de la inmunización e identificación de grupos de alto riesgo, mejora en capacitaciones del personal médico y planificación estratégica del Ministerio de Salud buscando un enfoque proactivo y colaborativo para abordar la compleja situación del VRS en futuros inviernos. El Comité Asesor en Vacunas y Estrategias de Inmunización de Chile ya realizó un análisis y recomendación sobre una nueva alternativa de prevención. Este grupo de trabajo apoyará cualquier decisión del Ministerio de Salud en políticas públicas que intenten un cambio en el paradigma del control de esta enfermedad por la salud de los niños/as de nuestro país.

ABSTRACT Objectives. Determine the factors associated with the consumption of medicinal plants as a preventive measure against COVID-19 in the Peruvian population. Materials and methods. A population over 18 years of age, living in Peru and without a history of COVID-19 disease, was evaluated. The factors associated with the consumption of medicinal plants were evaluated using a Poisson regression model with robust variances. Results. Of the 3231 participants included, 84.6% were young adults (18-29 years old), 62.7% were women, and 59.7% consumed a medicinal plant to prevent COVID-19 infection. The factors associated with the consumption of medicinal plants to prevent COVID-19 infection were residing in the Peruvian highlands, having had a family member diagnosed with COVID-19, having had a family member die from COVID-19, considering their family to be at increased risk of infection, having used medications or chlorine dioxide to prevent COVID-19, having medical information as the main source of information about COVID-19, thinking that medicinal plants are effective in preventing COVID-19 disease, or not being informed about their effectiveness. Conclusion. Sixty percent of the participants reported having consumed a medicinal plant to prevent COVID-19. Authorities must apply communication strategies about the implications of consuming medicinal plants, prioritizing population groups with higher consumption patterns.

RESUMEN Objetivos . Determinar los factores asociados al consumo de plantas medicinales como prevención de la COVID-19 en la población peruana. Materiales y métodos. Se evaluó población mayor de 18 años, residentes en Perú y sin antecedentes de enfermedad por COVID-19. Los factores asociados al consumo de plantas medicinales se evaluaron mediante un modelo de regresión de Poisson con varianzas robustas. Resultados. De 3231 participantes incluidos, el 84,6% eran jóvenes (18-29 años), el 62,7% eran mujeres y el 59,7% consumía alguna planta medicinal para prevenir la COVID-19. Los factores asociados al consumo de plantas medicinales para prevenir el contagio de COVID-19 fueron residir en la sierra peruana, haber tenido un familiar diagnosticado con COVID-19, haber tenido un familiar fallecido por COVID-19, considerar que su familia se encuentra en mayor riesgo de infección, haber usado medicamentos o dióxido de cloro para prevenir la COVID-19, tener información médica como principal fuente de información sobre la COVID-19, pensar que las plantas medicinales son efectivas para prevenir la enfermedad COVID-19 o no estar informado sobre su eficacia. Conclusión . El 60% de los participantes reportó haber consumido alguna planta medicinal para prevenir la COVID-19. Es importante que las autoridades apliquen estrategias de comunicación sobre lo que implica el consumo de plantas medicinales, priorizando los grupos poblacionales que tienen mayores patrones de consumo.