Abstract Purpose: To analyze diabetes mellitus (DM) in a multifactorial manner with the consumption of sugar-sweetened beverages (SSB) and variables like nutritional status, sex, genetic predisposition, age and ethnicity; in order to determine the relationship between BGA and DM in the Mazahua Otomí (MO) community. Methodological design: This quantitative survey on social and nutritional variables was designed, validated and applied. A logistic model was developed to find the relationship of DM in relation to the variables: SSB consumption, sex, genetic predisposition, age, body mass index and ethnicity. Results: The Mazahua otomi community has a monthly family income below the extreme poverty line; they do not have disease control: 68% are obese or overweight and SSB consumption is medium to high in 90% of the population. In a multifactorial manner and according to the model, there is a probability of manifesting DM depending on the variables mentioned above; while, with the exception of nutritional status and age, the others are the most significant. In taste and preferences, 52% opt for the Coca-Cola SSB brand. Research limitations: The results found should be complemented in other case studies in communities with similar characteristics and a broader probabilistic population sample. Finding: In the MO community there is a relationship between BGA consumption and DM and there is no control of the disease. This work contributes to the design of public policies to prevent health damage because of excessive consumption of SSB and its relationship with DM; likewise, those policies that rescue and promote good nutritional practices of the communities of indigenous peoples.

Resumen Objetivo: Analizar en forma multifactorial la diabetes mellitus (DM) con el consumo de las bebidas gaseosas azucaradas (BGA) y de las variables estado nutricional, sexo, predisposición genética, edad y etnia, para determinar la relación de las BGA y la DM en la comunidad Mazahua Otomí (MO). Diseño Metodológico: El estudio fue cuantitativo. Se diseñó, validó y aplicó una encuesta estructurada sobre variables sociales y nutricionales. Se elaboró un modelo logístico para encontrar la relación de DM con las variables: consumo de BGA, sexo, predisposición genética, edad, índice de masa corporal y etnia. Resultados: En la comunidad MO que se investigó un padre de familia promedio tiene un ingreso mensual por debajo de la línea de pobreza extrema y no existe control de la enfermedad de estudio: 68% tiene obesidad o sobrepeso y el consumo de BGA es entre medio y alto en 90% de la población. En forma multifactorial, hay probabilidad de manifestar la DM en función de las variables antes señaladas; mientras que, a excepción de estado nutricional y la edad, las demás son las más significativas. En gustos y preferencias, 52% opta por la marca de BGA Coca-Cola. Limitaciones de la investigación: Los resultados encontrados deberán complementarse con estudios de caso en comunidades con características similares y una muestra poblacional probabilística más amplia. Hallazgos: En la comunidad MO existe una relación entre el consumo de BGA y la DM y no hay control de la enfermedad. Este trabajo aporta al diseño de políticas públicas de prevención del daño a la salud por el consumo excesivo de BGA y su relación con la DM. De igual manera aquellas políticas públicas que rescaten y fomenten las buenas prácticas nutritivas entre las comunidades de los pueblos originarios.

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.

Resumen Durante las últimas décadas en Puno, Perú, la problemática de la contaminación se fue agudizando por la acción combinada del crecimiento desordenado de la población urbana, gestión deficiente de residuos sólidos, descarga de aguas servidas sin tratamiento en la bahía del lago Titicaca y prácticas de sanidad e higiene inadecuadas; situaciones que afectan severamente el ambiente y la salud humana. El objetivo del estudio fue caracterizar las actitudes y comportamientos proambientales de la población de la ciudad de Puno en relación al saneamiento, la contaminación y la gestión ambiental. La investigación es no experimental, cuantitativa, trans¬versal, descriptiva, correlacional y nivel de análisis micro. El universo de estudio fue la población mayor de 18 años del área urbana, que comprende 97.264 habitantes; la muestra, deter¬minada al azar simple, fue de 382 personas. Se aplicó un cuestionario estructurado. El análisis descriptivo, inferencial y prueba de hipótesis se realizó con el software estadístico SPSS. Los resultados señalan que las actitudes ambientales de la mayoría de la población son positivas respecto a factores y fuentes de contaminación y efectos en la salud humana; contrariamente, las prácticas ambientales son inadecuadas en gestión ambiental en el hogar y condiciones de sanidad e higiene en la vivienda. Se concluye, que la mejora sostenible de actitudes y comportamientos proambientales, demanda de una nueva política pública de educación ambiental, cuya implementación incorpore la participación efectiva de la sociedad civil con base a un sistema de incentivos.

Abstract During the last decades in Puno, Peru, the problem of contamination has worsened due to the combined action of the disorderly growth of the urban population, poor management of solid waste, discharge of untreated sewage into the bay of Lake Titicaca and practices of inadequate sanitation and hygiene, severely affecting the environment and human health. The objective of the study was to characterize the pro-environmental attitudes and behaviors of the city’s population of Puno in relation to sanitation, pollution and environmental management. The research is nonexperimental, quantitative, cross-sectional, descriptive, correlational and micro level of analysis. The universe of study was the population over 18 years of age in the urban area, which comprises 97,264 inhabitants; the sample, determined at simple random, was 382 people. A structured questionnaire was applied. Descriptive and inferential analysis and hypothesis testing were performed with SPSS statistical software. The results indicate that the environmental attitudes of the majority of the population are positive regarding factors and sources of pollution and effects on human health. On the contrary, environmental practices are inadequate in environmental management in the home and health and hygiene conditions in the home. It is concluded that the sustainable improvement of pro-environmental attitudes and behaviors demands a new public policy of environmental education, whose implementation incorporates the effective participation of civil society based on an incentive system.

Resumo A partir de duas pesquisas realizadas em comunidades indígenas de Puno, Peru, a uma altitude superior a 3910 metros, entre 2015 e 2017, busca-se compreender as possíveis contribuições do conhecimento tradicional para a elaboração e gestão de políticas públicas relacionadas à biodiversidade e à adaptação às mudanças climáticas. As pesquisas realizadas mostram conhecimentos milenares que fornecem diretrizes estratégicas, as quais devem ser reconhecidas no âmbito das convenções nacionais e políticas públicas específicas de biodiversidade, mudanças climáticas e adaptação. A sistematização de práticas comunitárias em Puno revela conhecimentos tradicionais sobre diferentes problemas, a partir dos quais se derivam práticas milenares de adaptação ligadas a saberes e uma biocultura alimentar sustentável e saudável. As contribuições são essenciais para fornecer conteúdo de gestão de políticas públicas em nível nacional, regional e local. No entanto, as controvérsias em torno do conhecimento científico e do conhecimento tradicional persistem, gerando ceticismo em relação à possibilidade de avançar nos acordos de biodiversidade e, especialmente, nos objetivos de desenvolvimento sustentável projetados para 2030.

Abstract The investigation aimed to identify the contribution of traditional knowledge in the construction and management of public policies for biodiversity conservation and adaptation to climate change. It was based on two studies conducted between 2015 and 2017 in two indigenous rural communities situated above 3,910 meters above sea level in the northern Puno region of Peru. The results have been synthesized to generate a proposal for strategic guidelines for high mountain agriculture with a focus on adaptation to climate change. The identified categories of traditional knowledge encompass: a) soil, b) water, c) plant health, d) measures against hailstorms, e) measures against frost, f) organization and ritual, and g) varieties and mixtures tolerant to climatic extremes. A workspace is the community itself. In the absence of public policies that take into consideration the promotion of traditional knowledge, the community establishes guidelines and actions rooted on traditional knowledge of biodiversity conservation and adaptation to climate change in plans of life aligned with the local worldview, with the aim of escalating to the district level.

Resumen A partir de dos investigaciones en comunidades originarias de Puno, Perú, a más de 3910 m.s.n.m., entre 2015 y 2017, se busca conocer los aportes potenciales del conocimiento tradicional en la construcción y gestión de las políticas públicas sobre biodiversidad y adaptación al cambio climático. Las investigaciones realizadas dan muestras de conocimientos milenarios que dan lineamientos estratégicos, los cuales deben ser reconocidos en el marco de las convenciones nacionales y políticas públicas específicas de biodiversidad, cambio climático y adaptación. La sistematización de prácticas comunitarias en Puno, dan cuenta de conocimientos tradicionales sobre diferentes problemas, a partir de estos, se derivan prácticas milenarias de adaptación ligadas a saberes y una biocultura alimentaria sostenible y saludable. Los aportes son fundamentales para dar contenidos de gestión de las políticas públicas a nivel nacional, regional y local; no obstante, las controversias sobre el conocimiento científico y el conocimiento tradicional persiste, llenando de escepticismo la posibilidad de avanzar en los convenios de biodiversidad y, en particular, en los objetivos de desarrollo sostenible proyectados al 2030.

Abstract This document reviews and analyzes the challenges of inclusion in universities, taking up the perspectives of the student population. With this purpose, three spheres inhabited by part of the students of the Universidad Veracruzana are investigated: transgender identities, maternity in undergraduate students and the situation of the mental health of students in the “post-pandemic context” and the return face-to-face on campus. From these spheres of dialogue, the main challenges for the inclusion of university students with gender identities and specific life situations that disrupt their school life and academic training are posed. The objective of this article is to present the complexity involved in the dialogue between a public university in the south-southeast of Mexico and its students, in favor of inclusion and their right to education.

Resumen En este documento se hace una revisión y análisis sobre los retos de la inclusión en las universidades, retomando perspectivas de la población estudiantil. Con este propósito se indaga en tres esferas que habita parte del alumnado de la Universidad Veracruzana: identidades transgénero, maternidades en alumnas de licenciatura y la situación que guarda la salud mental de estudiantes en el “contexto postpandemia” y del regreso presencial a los campus. Desde estas esferas de interlocución, se plantean los principales retos para la inclusión del alumnado universitario con identidades de género y situaciones de vida específicas que trastocan su vida escolar y formación académica. El objetivo de este artículo es presentar la complejidad que entraña el diálogo entre una universidad pública del sur sureste de México y su alumnado a favor de la inclusión y su derecho a la educación.

Abstract During the neoliberal regime, food policy in Mexico focused on the paradigm of ensuring physical and economic access to safe and cheap food; However, the measures to meet this objective caused, among other things, a trade deficit in basic foods such as corn, orientation of production towards export crops, environmental and people’s health deterioration. In response to this problem, in the mid-1990s, the concept of food sovereignty gained strength. This paradigm contributed to making visible the problems faced by small family productive units and the importance of including in public policy actions that respect the diversity of cultivated seeds, traditional agricultural practices, the care of resources and the reproduction of culturally accepted foods. In this context, the objective of this work is to characterize corn production in three lake regions of Michoacán (Mexico) from the perspective of food sovereignty and, based on this, raise considerations for its strengthening. A comparative analysis was carried out on the approaches of the food sovereignty paradigm based on own information obtained through a survey applied to corn producers from three lake regions of the state of Michoacán. The results show the coexistence of diverse production systems ranging from traditional to intensive production in each region, with manifest experiences of food sovereignty in the Pátzcuaro region and silent in the Cuitzeo region.

Resumen Durante el régimen neoliberal, la política alimentaria en México se centró en el paradigma de asegurar el acceso físico y económico a alimentos inocuos y baratos; sin embargo, las medidas para atender este objetivo provocaron, entre otras consecuencias, un creciente déficit en la balanza comercial de alimentos básicos como el maíz, la orientación de la producción hacia cultivos de exportación, y el paulatino deterioro de la calidad ambiental y de la salud de las personas. Frente a esta compleja problemática, a mediados de la década de los años noventa, surge con fuerza el paradigma de soberanía alimentaria, cuyo concepto contribuyó a visibilizar los problemas que enfrentan las pequeñas unidades productivas familiares y la importancia de incluir en la política pública acciones que respeten la diversidad de las semillas cultivadas, las prácticas agrícolas tradicionales, el cuidado de los recursos y la reproducción de alimentos culturalmente aceptados. En este contexto, el presente trabajo tiene como objetivo caracterizar la producción de maíz de tres regiones lacustres de Michoacán desde la perspectiva de la soberanía alimentaria y, a partir de ello, delinear algunas consideraciones de política pública para su fortalecimiento. Para ello, se realizó un análisis comparado sobre los planteamientos del paradigma de soberanía alimentaria a partir de información propia obtenida mediante una encuesta aplicada a productores de maíz de tres regiones lacustres del estado de Michoacán. Los resultados muestran la coexistencia de diversos sistemas productivos que van desde los tradicionales hasta la producción intensiva en cada región, observando experiencias de soberanía alimentaria manifiestas en la región Pátzcuaro y silenciosas en la región Cuitzeo.

Abstract Sudden cardiac death is a common occurrence. Out-of-hospital cardiac arrest is a global public health problem suffered by ≈3.8 million people annually. Progress has been made in the knowledge of this disease, its prevention, and treatment; however, most events occur in people without a previous diagnosis of heart disease. Due to its multifactorial and complex nature, it represents a challenge in public health, so it led us to work in a consensus to achieve the implementation of cardioprotected areas in Mexico as a priority mechanism to treat these events. Public access cardiopulmonary resuscitation (CPR) and early defibrillation require training of non-medical personnel, who are usually the first responders in the chain of survival. They should be able to establish a basic and efficient CPR and use of the automatic external defibrillator (AED) until the emergency services arrive at the scene of the incident. Some of the current problems in Mexico and alternative solutions for them are addressed in the present work.

Resumen La muerte súbita cardíaca (SCD) es un acontecimiento común. El paro cardiaco extrahospitalario (OHCA) es un problema de salud pública mundial que sufren ≈3.8 millones de personas al año. Se ha avanzado en el conocimiento de esta enfermedad, su prevención y tratamiento, sin embargo, la mayoría de los eventos se producen en personas sin diagnóstico previo de cardiopatía. Debido a su carácter multifactorial y complejo, representa un reto en salud pública, lo que obliga a trabajar en un consenso para lograr la implementación de "Espacios Cardio protegidos" en México, como mecanismo prioritario de atención a estos eventos. La reanimación cardiopulmonar básica (RCPB) y la desfibrilación temprana de acceso público requieren de entrenamiento al personal no médico, que suelen ser los primeros respondientes para iniciar la cadena de la supervivencia. Ellos deberían instaurar una RCPB eficiente y el uso del desfibrilador automático externo (AED) hasta que lleguen al lugar del incidente los servicios de emergencias. El presente trabajo menciona algunos de los problemas actuales en México y algunas opciones de solución para los mismos.

Resumen El artículo presenta los resultados de una investigación documental de enfoque cualitativo que tiene por objetivo describir la gramática de las emociones de los equipos docentes de pregrado de tres universidades públicas regionales chilenas en contexto de pandemia de covid-19. Dado que la preocupación universitaria durante el confinamiento se centró en el estamento estudiantil, la salud mental docente fue desplazada en su contención inmediata y se desconocen antecedentes de su situación en pandemia. Las unidades de análisis correspondieron a clases teóricas virtuales impartidas por los equipos docentes de las instituciones participantes del estudio y grabadas audiovisualmente durante el confinamiento sanitario, seleccionadas por criterio de representatividad estructural intencionada. Los criterios de revisión corresponden a contexto temporal, características de interacción docente-estudiantes y expresión de emociones docentes. El análisis se centra en las emociones docentes expresadas en las clases virtuales contextualizadas temporalmente, que son las bases de las cadenas y complejos emocionales que dan origen a la gramática de las emociones docentes. Los resultados identifican un complejo emocional docente negativo, constituido por cadenas emocionales convergentes, y un complejo emocional docente negativo-positivo, conformado por cadenas emocionales divergentes, que reflejan el costo emocional docente asumido en la realización del proceso formativo en condiciones de confinamiento.

Resumo O artigo apresenta os resultados de uma pesquisa documental de enfoque qualitativo que tem por objetivo descrever a gramática das emoções das equipes docentes de pré-graduação de três universidades públicas regionais chilenas no contexto da pandemia COVID-19. Dado que a preocupação universitária durante o confinamento se centrou no nível estudantil, a saúde mental docente foi deslocada em sua contenção imediata e desconhecem-se antecedentes de sua situação em pandemia. As unidades de análise corresponderam a aulas teóricas virtuais dadas pelas equipas docentes das instituições participantes do estudo e gravadas audiovisualmente durante o confinamento sanitário, selecionadas por critérios de representatividade estrutural intencional. Os critérios de revisão correspondem a contexto temporal, características de interação docente-estudantes e expressão de emoções docentes. Os resultados identificam um complexo emocional docente negativo, constituído por cadeias emocionais convergentes, e um complexo emocional docente negativo-positivo, formado por cadeias emocionais divergentes, que refletem o custo emocional docente assumido na realização do processo formativo em condições de confinamento.

Abstract The article presents the results of a documentary research of a qualitative approach that aims to describe the grammar of emotions of the undergraduate teaching teams of three Chilean regional public universities in the context of pandemic COVID-19. Given that university concern during confinement focused on the student body, the mental health of teachers was displaced in its immediate containment and no history of their pandemic situation is known. The units of analysis corresponded to virtual theoretical classes taught by the teaching teams of the institutions participating in the study and recorded audiovisually during the sanitary confinement, selected on the basis of intended structural representativeness. The review criteria correspond to temporal context, characteristics of teacher-student interaction and expression of teaching emotions. The analysis focuses on the teaching emotions expressed in the temporarily contextualized virtual classes, which are the bases of the chains and emotional complexes that give rise to the grammar of the teaching emotions. The results identify a negative emotional teaching complex, made up of convergent emotional chains, and a negative/positive emotional teaching complex, made up of divergent emotional chains, which reflect the emotional cost of teaching assumed in the performance of the training process under conditions of confinement.

Resumo A pandemia da Covid-19 pode ser considerada um dos maiores problemas de saúde pública internacional dos últimos decénios, sendo evidentes os problemas de saúde mental ligados à imposição do confinamento durante a mesma. Realizamos uma revisão sistemática de literatura com o objetivo de analisar os efeitos da restrição da liberdade e do isolamento social na qualidade de vida das pessoas em Portugal durante o período de pandemia. Recorremos à Biblioteca do Conhecimento Online (B-On), procurando artigos publicados entre setembro de 2019 e março de 2022, e utilizando os termos: “Mental Health AND Confinement OR Quarantine OR Lockdown”, com seleção do campo “[TI Título]” e “Portugal OR Portuguese”. Os artigos incluídos no estudo identificaram efeitos negativos do confinamento no bem-estar mental e no estado emocional, associados a comportamentos de estilo de vida pouco saudáveis, inatividade física e social, má qualidade de sono, comportamentos alimentares pouco saudáveis, desemprego ou inatividade laboral e maior utilização da tecnologia durante o período de confinamento. As medidas de restrição culminaram no agravamento da sintomatologia depressiva, de ansiedade e na diminuição da qualidade de vida, associada a sentimentos de solidão e isolamento social.

Abstract Covid-19 pandemic can be considered one of the biggest international public health problems in the last decades, and had a severe impact on the mental health and wellbeing of people around the world linked to the imposition of confinement. We carried out a systematic literature review with the aim of analyzing the effects of restriction of freedom and social isolation on the quality of life of people in Portugal during the pandemic period. We used the Online Knowledge Library (B-On), looking for articles published between September 2019 and March 2022, and using the terms: “Mental Health AND Confinement OR Quarantine OR Lockdown”, selecting the field “[TI Title]” and “Portugal OR Portuguese”. We tried to identify negative effects of confinement on mental well-being and emotional state, associated with unhealthy lifestyle behaviors, physical and social inactivity, poor sleep quality, unhealthy eating behaviors, unemployment or work inactivity and greater use of technology during the confinement period. The restriction measures culminated in the worsening of depressive and anxiety symptoms and a decrease in quality of life, associated with feelings of loneliness and social isolation.

Resumo Pretendeu-se estudar como os portugueses avaliam a sua saúde mental e as atitudes face à procura de apoio psicológico profissional. 615 portugueses, com média de idades de 38,75 anos (DP=14,88) autoavaliaram a sua saúde mental por um único item e completaram a escala atitudes face ao apoio psicológico profissional (ATSPPH-SF). Os portugueses avaliaram favoravelmente o apoio psicológico profissional, principalmente as mulheres e quem já recorreu a esse serviço; os mais jovens e sujeitos com maior nível de escolaridade dão maior valor ao apoio psicológico profissional. A grande maioria dos participantes autoavaliou como positivo o seu estado psicológico. Os grupos com valores de saúde mental mais baixos foram as mulheres, os mais jovens, as pessoas com doenças graves e aqueles com apoio psicológico profissional, sendo também os que apresentaram atitudes mais favoráveis. Os resultados permitem refletir sobre o estado psicológico dos portugueses, podendo repercutir-se em programas de saúde pública direcionados para as populações identificadas como mais vulneráveis e para os menos dispostos a ter acompanhamento psicológico profissional.

Abstract The objective of this study was to investigate the self-assessment of mental health and attitudes toward seeking professional psychological assistance among the Portuguese population. A total of 615 Portuguese individuals, with an average age of 38.75 years (SD=14.88), participated in this research. They evaluated their own mental health through a single-item self-assessment and completed the Attitudes Toward Seeking Professional Psychological Help Scale (ATSPPH-SF). The findings of this study revealed that Portuguese individuals generally held positive views regarding the utilization of professional psychological support, with particular emphasis on more approving attitudes among women and those who had previous experience with such services. Furthermore, it was observed that younger individuals and those with higher levels of education placed a greater value on the importance of seeking professional psychological assistance. The majority of participants in this study expressed a positive self-assessment of their psychological well-being. Notably, subgroups characterized by lowest mental health scores included women, younger individuals, people with serious medical conditions, and those who had already engaged with professional psychological support. These subgroups also exhibited more positive attitudes toward seeking professional psychological assistance. The implications of these results are significant, as they provide insights into the psychological well-being of the Portuguese population. These findings can inform the development of public health programs targeted at populations identified as more vulnerable, as well as those who may be less inclined to seek professional psychological assistance.

Resumo Várias medidas foram implementas por governos em todo o mundo para impedir a disseminação da COVID-19. Contudo, pouco se sabe sobre a forma como as populações percecionaram essas medidas e a sua implementação. Assim, este estudo pretende explorar a forma como as pessoas adultas residentes em Portugal percecionam a gestão da pandemia COVID-19 pelas entidades governamentais. Foram entrevistadas 88 pessoas adultas (n = 45; 51%; Min: 19 anos; Máx.: 92 anos). As entrevistas semiestruturadas foram realizadas entre janeiro e setembro de 2022, transcritas e analisadas de acordo com a Análise Temática codebook. Foram identificados três temas principais: (a) Medidas indispensáveis no combate à pandemia da COVID-19; (b) As autoridades oficiais fizeram o melhor que puderam; e (c) O lado negro da gestão da pandemia COVID-19 em Portugal. As nossas conclusões sugerem que os participantes consideraram a gestão da pandemia COVID-19 como bem-sucedida, afirmando que o governo adotou medidas bem concebidas, mesmo com informações e recursos limitados. No entanto, as pessoas adultas queixaram-se de não compreenderem o raciocínio por detrás de algumas das medidas, do atraso na implementação de algumas medidas e de falhas na comunicação governamental. Assim, os governos devem aumentar a transparência no processo de tomada de decisão, bem como melhorar a comunicação com a população, aumentando assim potencialmente a adesão às medidas necessárias e os sentimentos de segurança e tranquilidade durante uma crise de saúde pública.

Abstract Several measures were undertaken by governments globally to prevent the dissemination of COVID-19. However, little is known about how populations perceived these measures and their implementation. Thus, this study aims to explore how adults residing in Portugal perceived the management of the COVID-19 pandemic by governmental entities. A sample of 88 adults were interviewed (n = 45; 51%; age range: 19 to 92 years). Semi-structured interviews were conducted between Jan-Sep 2022, transcribed, and analyzed according to codebook Thematic Analysis. Three main themes were identified: 1) Indispensable measures in the fight against the COVID-19 pandemic; 2) The government did the best it could; and 3) The dark side of the COVID-19 pandemic’s management in Portugal. Our findings suggest that participants perceived the COVID-19 pandemic’s management as successful, stating that the government adopted well-conceived measures, even with limited information and resources. However, adults complained about not understanding the reasoning behind some of the measures, the off-timing of some measures’ implementation, and failures in governmental communication. Thus, governments should increase transparency in the decision-making process, as well as improve communication with the population, thus potentially increasing adherence to the necessary measures and feelings of safety and tranquility during a public health crisis.

Introduction: Burns are injuries caused by various agents that promote the destruction of the skin and can lead to the exposure of deeper tissues. To make better use of this variety of treatment options, it is important to know its causes, extent and treatment methods. Objective: Update the use of nanocellulose membranes with glycerol, vascular endothelial growth factor and other complements in burn healing. Method: Review carried out with material and analysis selected from research on virtual platforms (SciELO, Google Scholar, Virtual Health Library, Pubmed and Scopus) using the descriptors: “bacterial membrane proteins; vascular endothelial growth factor; VEGFR; biological dressings; dressings” with AND or OR search, considering the title and/or abstract. Afterwards, the articles were read in full. Result: 45 articles were included. Conclusion: Although more research is needed, published studies show that the enrichment of nanocellulose membranes with some additives such as Vascular Endothelial Growth Factor VEGF) and incorporation of sensors that can monitor wound conditions will result in highly effective dressings. Considering the technological advances to produce low-cost membranes, associated with artificial intelligence and the efforts of researchers, the benefit to public health will soon be evident.

Introdução: Queimaduras são lesões causadas por diversos agentes que promovem a destruição da pele podendo chegar à exposição de tecidos mais profundos. Para melhor uso desta variedade de opções de seu tratamento é importante conhecer-se suas causas, extensão e métodos de tratamento. Objetivo: Atualizar o uso de membranas de nanocelulose, fator de crescimento do endotélio vascular e outros complementos na cicatrização de queimaduras. Método: Revisão feita com material e análise  selecionados a partir de pesquisa em plataformas virtuais (SciELO, Google Scholar, Biblioteca Virtual em Saúde, Pubmed e Scopus) por meio dos descritores: “proteínas da membrana bacteriana; fator de crescimento do endotélio vascular; VEGFR; curativos biológicos; curativos” e seus equivalentes em inglês “bacterial outer membrane proteins; vascular endothelial growth fator; dressing; VEGFR; biological dressings” com busca AND ou OR, considerando o título e/ou resumo. Após, foi feita leitura na íntegra dos artigos. Resultado: Foram incluídos 45 artigos. Conclusão: Embora sejam necessárias mais pesquisas, estudos já publicados evidenciam que o enriquecimento das membranas de nanocelulose com alguns aditivos como o Fator de Crescimento do Endotélio Vascular VEGF) e incorporação de sensores que possam monitorar as condições das feridas resultará em curativos altamente eficazes. Considerando o avanço tecnológico para produzir membranas de baixo custo, associado à inteligência artificial e os esforços dos pesquisadores, em breve o benefício à saúde pública será evidente.

RESUMEN Introducción: A nivel mundial, la cobertura de vacunación contra el COVID-19, así como contra la influenza es baja tanto en la población general como en los profesionales de la salud a pesar de que la vacuna es gratuita y obligatoria en el personal sanitario. Objetivo: Describir la cobertura de vacunación contra el COVID -19, y la influenza en personal de salud y administrativo de un hospital de referencia del Ministerio de Salud Pública y Bienestar Social en el periodo 2021-2022. Metodología: Estudio observacional descriptivo de corte trasverso. Se hizo la revisión de los registros del personal sanitario y administrativo del centro vacunatorio del Hospital Nacional de Itauguá de la campaña vacunal contra el COVID-19 y de anti-influenza en el periodo 2021- 2022. Resultados: De los 3.586 funcionarios, 999 (27,9 %) eran médicos, 1494 (41,7 %) personal de enfermería, 366 (10,2 %) otra categoría de personal sanitario, y 727 (20,3 %) personal administrativo. En forma global, el 86,5 % de los funcionarios recibió por lo menos las dos dosis que constituyen el esquema primario y el 73 % la dosis de refuerzo. El 2,1 % del personal no recibió ninguna dosis de vacuna anti covid-19, la cifra fue mayor en el personal administrativo (4,8 %). La cobertura de vacunación contra la influenza fue de 20 % en el 2021 y 25 % en el 2022. Discusión: Si bien cobertura de vacunación anti-COVID-19 fue comparable a otros países, la vacunación contra la influenza fue muy baja. Es urgente implementar estrategias dirigidas a aumentar la percepción de riesgo y aceptabilidad de las vacunas obligatorias para el personal sanitario.

ABSTRACT Introduction: Worldwide, vaccination coverage against COVID-19, as well as against influenza, is low both in the general population and in health professionals, despite the fact that the vaccine is free and mandatory for health personnel. Objective: To describe the COVID -19 and influenza vaccination coverage in health and administrative personnel of a reference hospital of the Ministry of Public Health and Social Welfare in the period 2021-2022. Methods: Cross-sectional descriptive observational study. Charts of the health and administrative personnel of the vaccination center of the Itauguá National Hospital of the COVID-19 and influenza vaccination campaign in the period 2021-2022 were reviewed. Results: Of the 3,586 personnel, 999 (27.9%) were medical personnel, 1,494 (41.7%) nursing personnel, 366 (10.2%) other category of health personnel, and 727 (20.3%) administrative personnel. Overall, 86.5% of the employees received at least the two doses that constitute the primary schedule and 73% the booster dose; 2.1% of the staff did not receive any dose of the anti COVID-19 vaccine, which was higher in the administrative staff (4.8%). Influenza vaccination coverage was 20% in 2021 and 25% in 2022. Discussion: Even though the vaccination coverage of anti-COVID-19 was comparable to other countries, vaccination anti-influenza was very low. It is urgent to implement strategies aimed at increasing the perception of risk and acceptability of mandatory vaccines for health personnel.

RESUMEN Introducción: La sífilis en embarazadas, sigue siendo un gran problema de salud pública en todo el mundo, y en Paraguay, no es la excepción. La sífilis congénita puede provocar abortos, muertes fetales y neonatales, peso bajo al nacer, prematuridad y otras anomalías congénitas, el conocimiento general de la población en edad fértil es fundamental. Objetivo: Analizar los conocimientos y prácticas sobre sífilis materna y sífilis congénita en adolescentes embarazadas en un Hospital General de Paraguay. Metodología: Se realizó un estudio cualitativo, fenomenológico descriptivo. Para la recolección de datos se utilizó la entrevista, simple que fue grabada con previa autorización del participante, la conclusión y recomendación serán entregados a la institución y a las adolescentes embarazadas. Resultados: Participaron diez adolescentes, en su mayoría de 19 años de edad, cinco conocen que la sífilis se transmite a través de las relaciones sexuales, sin embargo, desconocen acerca de cómo se transmite la sífilis congénita. Cinco de las adolescentes menciona haber iniciado las relaciones sexuales a los 16 años. Dos adolescentes a los 15 años, dos a los 14 años y una a los 17 años, nueve de las adolescentes embarazadas mencionan acudir a sus controles prenatales de forma periódica. Dos aún no se han realizado el test de VDRL. Discusión: Se concluye en cuanto al conocimiento, que solo cinco de diez adolescentes conocen acerca de la sífilis, sin embargo, no conocen sobre la sífilis congénita. En cuanto a las prácticas preventivas, 10 acuden de forma periódica a sus controles prenatales.

ABSTRACT Introduction: Syphilis in pregnant women continues to be a major public health problem throughout the world, and in Paraguay, it is no exception. Congenital syphilis can cause abortions, fetal and neonatal deaths, low birth weight, prematurity, and other congenital anomalies; general knowledge of the population of childbearing age is essential. Objective: To analyze the knowledge and practices about maternal syphilis and congenital syphilis in pregnant adolescents in a General Hospital in Paraguay. Methodology: A qualitative, descriptive phenomenological study was carried out. A simple interview was used to collect data, which was recorded with prior authorization from the participant. The conclusion and recommendation will be delivered to the institution and to the pregnant adolescents. Results: Ten adolescents participated, mostly 19 years of age, five know that syphilis is transmitted through sexual relations, however, they do not know how congenital syphilis is transmitted. Five of the adolescent’s mention having started sexual relations at the age of 16. Two adolescents at 15 years old, two at 14 years old and one at 17 years old, nine of the pregnant adolescent’s mention attending their prenatal check-ups periodically. Two have not yet been tested for VDRL. Discussion: It is concluded in terms of knowledge that only five out of ten adolescents know about syphilis; however, they do not know about congenital syphilis. Regarding preventive practices, 10 attend their prenatal check-ups periodically.

RESUMEN Introducción: Las barreras de acceso a los servicios de salud primario conforman estructuras sociales que agravan la situación de salud de los adolescentes, impactando negativamente en el ejercicio pleno de la salud sexual reproductiva, situando a los adolescentes en una población de riesgo social. Objetivo: Determinar las barreras en el acceso a los servicios primarios de Salud Sexual y Reproductiva de atención diferenciada a los adolescentes del Centro de Salud I - 4 Pampa Grande Tumbes 2018. Metodología: Estudio analítico de caso control, se entrevistaron a 288 adolescentes del tercero, cuarto y quinto de secundaria de la institución educativa pública Túpac Amaru del centro poblado Pampa Grande de Tumbes en el año 2019, entre experimento y control con una razón de 1 a 1. Se aplicaron cuestionarios anónimos para evaluar las barreras de accesibilidad a los servicios primarios de salud. Se recogieron variables: características sociodemográficas y culturales que son consideradas, como barreras de acceso a los servicios de salud. Se realizó un análisis descriptivo e inferencial con el programa SPSS® v.23. Resultados: La edad, sexo e ingreso económico están directa y significativamente relacionadas con la accesibilidad a los servicios de salud sexual y reproductiva (p<0.01 IC 95 %); La disposición de recursos económicos para asumir los costos de traslado al centro de salud (OR = 4,23); la utilización del transporte público (OR = 1,58), el conocimiento de los servicios de salud sexual y reproductiva (OR = 1,15) incrementan la probabilidad de acceder a los servicios de salud sexual y reproductiva de los adolescentes. Discusión: Las barreras socioeconómicas a los servicios de salud sexual y reproductiva de los adolescentes son modificables y dependen de la gestión en salud pública.

ABSTRACT Introduction: The barriers to access to primary health services make up social structures that aggravate the health situation of adolescents, negatively impacting the full exercise of reproductive sexual health, placing adolescents in a population at social risk. Objective: To determine the barriers in the access to the primary services of Sexual and Reproductive Health of differentiated attention to the adolescents of the Health Center I - 4 Pampa Grande Tumbes 2018. Methods: Analytical case control study, 288 adolescents from the third, fourth and fifth grade of secondary school of the public educational institution Túpac Amaru in the Pampa Grande de Tumbes town center were interviewed in 2019, between experiment and control with a ratio of 1 to 1. Anonymous questionnaires were applied to assess accessibility barriers to primary health services. Variables were collected: sociodemographic and cultural characteristics that are considered as barriers to access to health services. A descriptive and inferential analysis was carried out with the SPSS® v.23 program. Results: Age, sex and economic income are directly and significantly related to accessibility to sexual and reproductive health services (p<0.01 95% CI); The availability of economic resources to assume the costs of transportation to the health center (OR = 4.23); the use of public transport (OR = 1.58), knowledge of sexual and reproductive health services (OR = 1.15) increase the probability of accessing sexual and reproductive health services for adolescents. Discussion: Socioeconomic barriers to sexual and reproductive health services for adolescents are modifiable and depend on public health management.