Resumen (Objetivo) El objetivo fue analizar la composición de aves asociadas a cultivos orgánicos de cacao (Theobroma cacao) manejado debajo de 3 diferentes tipos de cobertura arbórea. (Metodología) Distribuimos 3 puntos de conteo en cada finca, para registrar todas las aves observadas y escuchadas, en muestreos de 5 minutos. Los conteos fueron realizados por triplicado, tanto en las primeras horas de la mañana como al atardecer. La diferencia en la composición de la avifauna entre las fincas fue analizada con la prueba ANOSIM. Las abundancias se transformaron por medio de la función decostand y el método Hellinger del paquete estadístico R-Vegan. La agrupación de las especies entre las plantaciones se efectuó mediante el escalamiento multidimensional no métrico (nMDS) y el índice de Bray-Curtis. La contribución de las especies a la disimilitud entre grupos fue analizada con el módulo SIMPER. Consideramos diferencias estadísticamente significativas cuando P ≤ 0,05. (Resultados) Observamos 428 individuos, clasificados en 49 especies y 23 familias. La finca donde las plantas de cacao crecen en condiciones más sombreadas, debido al desarrollo del dosel, mostró mayor cantidad de especies (34) y de individuos (146). La composición de aves varió significativamente entre las fincas (F(1,8) = 3,22; P < 0,02). La abundancia media de 19 especies (39,6 %) hizo notar diferencias significativas (P < 0,05), al comparar la finca con mayor sombra y menor sombra. (Conclusión) La composición de aves es más compleja en aquellas fincas de cacao orgánico que conservan un mayor desarrollo estructural de los árboles de dosel y que están cerca de bosque en regeneración.

Resumo (Objetivo) O objetivo foi analisar a composição das aves associadas às plantações de cacau orgânico (Theobroma cacao) manejadas sob três tipos diferentes de cobertura arbórea. (Metodologia) Distribuímos 3 pontos de contagem em cada fazenda, para registrar todas as aves observadas e ouvidas, em amostragens de 5 minutos. As contagens foram realizadas em triplicata, tanto nas primeiras horas da manhã quanto no final da tarde. A diferença na composição da avifauna entre as fazendas foi analisada com o teste ANOSIM. As abundâncias foram transformadas usando a função de costande o método Hellinger do pacote estatístico R-Vegan. O agrupamento de espécies entre as plantações foi feito usando o escalonamento multidimensional não métrico (nMDS) e o índice de Bray-Curtis. A contribuição das espécies para a dissimilaridade entre os grupos foi analisada com o módulo SIMPER. Consideramos as diferenças estatisticamente significativas quando P ≤ 0,05. (Resultados) Observamos 428 indivíduos, classificados em 49 espécies e 23 famílias. A fazenda onde as plantas de cacau crescem em condições mais sombreadas, devido ao desenvolvimento do dossel, apresentou um número maior de espécies (34) e indivíduos (146). A composição das aves variou significativamente entre as fazendas (F(1,8) = 3,2 apresentou diferenças significativas (P < 0,05) n; Paco< 0, mpa 02). A abundância média de 19 espécies (39,6%) ração entre a fazenda mais sombreada e a menos sombreada. (Conclusão) A composição das avesé mais complexa nas fazendas de cacau orgânico que mantêm árvores de dossel mais desenvolvidas estruturalmente e estão próximas à floresta em regeneração.

Abstract (Objective) The objective of this investigation was to analyze the composition of birds associated with organic cocoa (Theobroma cacao) crops managed under 3 different types of tree cover. (Methodology) Three census points were established in each farm to record all birds observed and heard in 5-minute sample periods. Counts were conducted in triplicate, both in the early morning and at dusk. Differences in avifauna composition between farms were analyzed using the ANOSIM test. Abundances were transformed using the Decostand function and the Hellinger method in the R-Vegan statistical package. Analysis of clustering of species among plantations was performed using non-metric multidimensional scaling (nMDS) and the Bray-Curtis index. Contribution of species to the dissimilarity between groups was analyzed with the SIMPER module. Statistically significant differences were considered when P ≤ 0.05. (Results) Four hundred and twenty-eight individuals were observed, and classified into 49 species and 23 families. The farms where cocoa plants grow in shadier conditions due to canopy development showed a higher number of species (34) and individuals (146). Bird comp P < 0.02). The mean abundance of 19 species osit (39.ion 6%) varied significantly between farms (F (1,8) = 3.22; showed significant differences (P < 0.05) when comparing the farms with the most and least shade. (Conclusion) Bird composition is more complex on organic cocoa farms, which have more developed canopies and are near regenerating forests.

Resumo A Empresa de Telecomunicaciones de Cuba dedica especial atenção à promoção da gestão do conhecimento organizacional como uma forma fundamental de desenvolver seus recursos humanos. Dessa forma, são realizadas diferentes ações de treinamento para adquirir o conhecimento necessário para elevar o nível profissional de seus trabalhadores, e é no resultado de suas produções científicas (PC) que esse conhecimento se materializa. Por esse motivo, é essencial contar com ferramentas que permitam localizar, organizar e registrar todas as PC geradas como resultado dessas ações. De acordo com o exposto, o objetivo geral desta pesquisa é realizar um diagnóstico do processo de gestão do conhecimento organizacional na Diretoria Central de Capital Humano, a fim de conhecer o estado atual dos diferentes subprocessos que compõem essa atividade. Os métodos utilizados foram a observação científica para conhecer o comportamento dos estudos de pós-graduação; a análise e a síntese para o estudo dos fundamentos teóricos e metodológicos; a estatística descritiva para a análise e o processamento dos dados obtidos na aplicação dos instrumentos utilizados. Como resultado da pesquisa, destaca-se a proposta de um instrumento metodológico para gerenciar a produção científica e aumentar a produtividade do conhecimento.

Resumen La Empresa de Telecomunicaciones de Cuba presta especial atención en promover la gestión del conocimiento organizacional como vía fundamental para desarrollar sus recursos humanos, de esta forma se realizan distintas acciones de formación que permiten adquirir los conocimientos necesarios para elevar el nivel profesional de sus trabajadores, y es en el resultado de sus producciones científicas (PC) donde se ven materializados estos saberes. Por ello es fundamental contar con herramientas que permitan localizar, organizar y registrar toda la PC que se genera como resultado de estas acciones. En correspondencia con lo anterior, se plantea como objetivo general de esta investigación realizar un diagnóstico del proceso de gestión del conocimiento organizacional en la Dirección Central de Capital Humano que permita conocer el estado actual de los distintos subprocesos que componen esta actividad. Utilizando como métodos la observación científica para conocer el comportamiento de los estudios de posgrados; de análisis y síntesis para el estudio de los fundamentos teóricos y metodológicos; la estadística descriptiva para el análisis y procesamiento de los datos obtenidos en la aplicación de los instrumentos utilizados. Destacándose como resultado de la investigación la propuesta de un instrumento metodológico que permita gestionar la producción científica e incrementar la productividad del conocimiento.

Abstract The Cuban Telecommunications Company pays special attention to promoting organizational knowledge management as a fundamental way to develop its human resources, thus different training actions are carried out to acquire the necessary knowledge to raise the professional level of its workers, and it is in the result of their scientific productions (CP) where this knowledge is materialized. Therefore, it is essential to have tools that make it possible to locate, organize and record all the CP generated as a result of these actions. Accordingly, the general objective of this research is to carry out a diagnosis of the process of organizational knowledge management in the Central Directorate of Human Capital that allows to know the current status of the various sub-processes that make up this activity. Using as methods the scientific observation to know the behavior of the postgraduate studies; of analysis and synthesis for the study of the theoretical and methodological foundations; the descriptive statistics for the analysis and processing of the data obtained in the application of the instruments used. As a result of the research, the proposal of a methodological instrument to manage scientific production and increase the productivity of knowledge stands out.

Resumen El accidente cerebrovascular (ACV) es la principal causa de discapacidad y la tercera causa de mortalidad en nuestro país. Argentina y la región de las Américas se encuentran atravesando el peor brote epidémico de dengue del que se tenga registro, con una importan te demanda en el sistema de salud. El dengue podría aumentar el riesgo de ACV y dada la naturaleza tiem po dependiente del manejo de esta enfermedad para reducir la morbilidad y mortalidad, y las potenciales consideraciones a tener en cuenta en los pacientes con dengue, se presenta una revisión breve de la literatura con puntos de incertidumbre y aspectos a considerar en el protocolo o código de ACV, considerando las ca racterísticas clínicas y alta demanda del sistema de salud provocada por el dengue. Se realiza también un llamado a generar evidencia sobre el manejo del ACV en pacientes con dengue.

Abstract Stroke is the leading cause of disability and the third leading cause of mortality in our country. Argentina and the Region of the Americas are going through the worst epidemic outbreak of dengue on record with significant demand on the health system. Dengue could increase the risk of stroke and given the time-dependent nature of the management of this disease to reduce morbidity and mortality and the potential considerations to be taken into account in patients with dengue, we present a focused review of the literature with points of uncer tainty and aspects to be considered in the stroke code considering the clinical characteristics and high demand of the health system caused by the dengue fever. A call is also made to generate evidence on the management of stroke in patients with dengue.

Abstract: The dry forest ecosystem is characterized by their rich biodiversity and adaptations to arid conditions. This study focused on determining the composition and structure of the vegetation, examining species interactions, and estimating carbon stored in its aboveground biomass (AGB) using an allometric equation proposed for mixed dry forests. We used 10 plots of 10 x 20 m to record data on trees with a diameter at breast height (DBH) ≥ 5 cm. Taxonomic classification was initially obtained using experts and specialized databases. Ecological importance was assessed through the Importance Value Index (IVI), and species association was determined using the Indicator Value Index (IndVal%). We identified 148 individuals of 21 species, 19 genera, and 12 families in four groups with strong associations, with C. Trischistandra standing out for its high IVI. The Kruskal-Wallis test did not show significant differences in carbon stored between plots, and was estimated a storage potential of 70.47 Mg C ha-1. This research highlights the importance of key species in carbon capture, which is crucial for mitigating climate change. Effective management of these species could have a positive impact on the conservation of the dry forest ecosystem and the fight against global warming. This analysis provides a deep understanding of the structure of this ecosystem.

Resumen: El ecosistema del bosque seco se caracteriza por su rica biodiversidad y adaptaciones a condiciones áridas. Este estudio se centró en determinar la composición y estructura de la vegetación, examinar las interacciones entre las especies y estimar el carbono almacenado en su biomasa aérea (AGB), se usó una ecuación alométrica propuesta para bosques secos mixtos. Utilizamos 10 parcelas de 10 x 20 m para registrar datos sobre árboles con un diámetro a la altura del pecho (DAP) ≥ 5 cm. Inicialmente, la clasificación taxonómica se obtuvo consultando a expertos y bases de datos especializadas. La importancia ecológica se evaluó a través del Índice de Valor de Importancia (IVI) y la asociación de especies se determinó utilizando el Índice de Valor Indicador (IndVal%). Se identificaron 148 individuos de 21 especies, 19 géneros y 12 familias en cuatro grupos con fuertes asociaciones, destacándose C. Trischistandra por su alto IVI. El test de Kruskal-Wallis no mostró diferencias significativas en el carbono almacenado entre las parcelas y se estimó un potencial de almacenamiento de 70.47 Mg C ha-1. Esta investigación resalta la importancia de especies clave en la captura de carbono, lo cual es crucial para mitigar el cambio climático. El manejo efectivo de estas especies podría tener un impacto positivo en la conservación del ecosistema de bosque seco y en la lucha contra el calentamiento global. Este análisis brinda un entendimiento profundo de la estructura de este ecosistema.

Resumen En este trabajo se presentan los primeros resultados obtenidos al estudiar un registro arqueobotánico de la ciudad de San Miguel de Tucumán (1565-1685), recuperado en campañas de excavación arqueológica -durante 2021 y 2022-. Se realizaron análisis de micro (fitolitos) y macrorrestos (carbón) identificándose especies autóctonas, como Anadenanthera colubrina (cebil), Geoffroea deconticars (chañar), Neltuma alba (algarroba blanco), Salix humboldtiana (sauce criollo), Zea mays (maíz), y especies exóticas como Citrus aurantium L. (naranjo agrio). Se pudo relevar la gestión de dichas plantas en una unidad doméstica española y, en este sentido, los resultados muestran la incorporación y naturalización de la flora exótica en el área de la ciudad, como también la continuidad en el uso de ciertas especies nativas. La articulación de diferentes líneas de evidencia permitió mostrar los cambios ocurridos en el paisaje natural de la zona, vinculados también con las modificaciones socioeconómicas generadas por la conquista española.

Abstract This work presents the first results obtained by studying an archaeobotanical record of the city of San Miguel de Tucumán (1565-1685), recovered in archaeological excavation campaigns -during 2021 and 2022-. Analysis of micro (phytoliths) and macro-remains (charcoal) was carried out identifying native species, such as Anadenanthera colubrina (cebil), Geoffroea deconticars (chañar), Neltuma alba (white carob), Salix humboldtiana (criollo willow), Zea mays (corn), and exotic species such as Citrus aurantium L. (sour orange tree). It was possible to survey the management of these plants in a Spanish domestic unit and, in this sense, the results show the incorporation and naturalization of exotic flora in the city area, as well as the continuity in the use of certain native species. The articulation of different lines of evidence allowed us to show the changes that occurred in the natural landscape of the area, also linked to the socioeconomic modifications generated by the Spanish conquest.

BACKGROUND. Cystic echinococcosis (CE) is a zoonotic disease with an Africa-wide prevalence of 1.7%. CE is caused by the tapeworm Echinococcus granulosus sensu lato, with the liver being the most commonly affected organ. In South Africa (SA), there is a paucity of data on liver CE demographics and management. OBJECTIVES. To describe the demographics and clinical profile of patients with liver CE in a single tertiary hospital in Eastern Cape Province, SA. METHODS. A 4-year (2019 - 2022) retrospective clinical record review study was conducted on patients presenting with liver CE to the Department of Surgery at Frere Hospital. The demographics, clinical characteristics and management of patients with liver CE are reported. RESULTS. A total of 56 patients diagnosed with and managed for liver CE were included in the study. The mean age of the patients was 37.5 years. Abdominal pain (n=39; 69.6%) was the most common presenting symptom, and a palpable abdominal mass (n=36; 64.3%) was the predominant presenting sign. Most patients had disease confined to the liver (n=35; 62.5%). The right lobe of the liver was most commonly affected (n=38; 67.9%), and most patients had a single liver cyst on imaging (n=32; 57.1%). The majority of the patients ( n=36; 64.3%) were managed with surgical partial cystectomy, with a perioperative bile leak being the most common complication. CONCLUSION. In our setting, liver CE contributes to a significant local burden of the disease. The disease often has a nonspecific clinical presentation, necessitating imaging for the diagnosis. We observed good short-term outcomes in patients managed with combined partial cystectomy and medical therapy, although there is a risk of perioperative bile leak.

BACKGROUND. Registrars in specialisation training programmes encounter numerous difficulties in completing the research component of the Master of Medicine degree. Poor patient record-keeping hinders the research process. OBJECTIVES. To investigate current types of medical patient record-keeping systems (electronic v. paper) in training health facilities, and the effect data accessibility has on specialist training and research. METHODS. This was a mixed-methods study that included both descriptive and analytical components. Of 610 postgraduate students enrolled in the University of KwaZulu-Natal College of Health Sciences Master of Medicine programme, 168 completed a cross-sectional survey to collect data and 11 did follow-up interviews. The survey and interviews explored issues related to medical record-keeping in the participants' department or hospital, emphasising their experiences with data access while conducting research. The quantitative data were analysed using descriptive statistics, and the qualitative data were analysed thematically. Ethical approval was obtained from the institution's Biomedical Research Ethics Committee. RESULTS. Of the 168 participants, 94 (56%) reported that problems with data access hindered their research, while 56 (33%) indicated that data access did not affect their research. Only 30 participants (18%) had no difficulty in obtaining data for their research, while the rest (n=138; 82%) experienced varying degrees of difficulty. A total of 110 participants (65%) indicated that paper-based record-keeping was mainly being used in their department or hospital, while electronic record-keeping was reported by the rest (n=58; 35%). Many (n=125; 74%) expressed the need to improve hospital data management practices, and 39 (23%) reported that plans were being implemented to improve these practices. Participants expressed frustration with regard to accessing data even in departments that used electronic systems, and they raised concerns regarding data security. CONCLUSION. The migration to electronic patient record-keeping has not yet been implemented in many hospitals, with poor patient record-keeping affecting training and research.

ABSTRACT Introduction: the medical record is the most important legal document in healthcare management, systematically reflecting the biological, psychological, and social aspects of the patient. The creation of the electronic medical record at the 'Dr. Carlos Castellanos Blanco' Nursing Home benefits both the patient and the professional due to the security and confidence it provides. Objective: to develop the architecture for managing the information of medical records at the 'Dr. Carlos Castellanos Blanco' Nursing Home in Pinar del Río. Methods: the research is based on observation, interviews with those involved in the processes, and document review, incorporating technological innovation using Extreme Programming as the methodology for software analysis and design stages. Unified Modeling Language (UML) and StarUML are employed for artifact modeling, and Axure Rp is used to create the prototype of the computer application. Results: it allowed the analysis, management, and decision-making in all patient entry processes related to medical records in the nursing home. Conclusions: a prototype was developed that facilitated the evaluation of the computer application with the doctors before its implementation, ensuring its alignment with the proposed objective.

RESUMEN Introducción: la historia clínica es el documento legal de mayor importancia en la gestión médica asistencial, donde se reflejan, de forma sistemática, los aspectos biológicos, psicológicos y sociales del enfermo. Con la creación de la Historia Clínica electrónica del Hogar de Ancianos se beneficia el paciente y el profesional por la seguridad y confianza que genera. Objetivo: desarrollar la arquitectura para la gestión de la información de las historias clínicas, en el Hogar de Ancianos “Dr. Carlos Castellanos Blanco” de Pinar del Río. Métodos: investigación apoyada en la observación, la entrevista con los implicados en los procesos y la revisión de documentos, siendo la misma de innovación tecnológica utilizando la Programación Extrema como metodología para el desarrollo de las etapas de análisis y diseño del software; el Lenguaje Unificado de Modelado y StarUML la herramienta para la modelación de los artefactos y el Axure Rp para elaborar el prototipo de la aplicación informática. Resultados: permitió analizar, gestionar y toma de decisiones en todos los procesos de entrada al paciente que se realiza con relación a la historia clínica en el hogar de anciano. Conclusiones: se desarrolló un prototipo que facilitó la evaluación de la aplicación informática, con los médicos, antes de su implementación, garantizando que la misma integre el objetivo propuesto.

Resumen Objetivo Analizar las contribuciones científicas de las aplicaciones móviles para la atención prehospitalaria. Métodos Estudio de revisión integradora de la literatura. Las bases de datos utilizadas fueron Scopus, Web of Science, CINAHL, SciELO, Embase, Lilacs, BDENF, Medline/PubMed, Biblioteca Digital Brasileira de Teses e Dissertações y ProQuest Dissertations & Theses Global (período de 2017-2022). Se incluyeron todas las categorías de artículos, con resumen y texto completo, disponibles con acceso gratuito, en los idiomas portugués, inglés o español, que contuvieran las palabras clave “Asistencia Prehospitalaria”, “Atención Prehospitalaria”, “Servicios Prehospitalarios”, “Atención de Emergencia Prehospitalaria”, “Enfermería”, “Aplicaciones Móviles”, “Aplicaciones de Software Portátiles”, “Apps Móviles”, en el título o resumen. Dos investigadores aplicaron los criterios de elegibilidad de los estudios y recopilaron los datos a partir de un instrumento elaborado previamente. Resultados De un total de 944 estudios, se seleccionaron siete para evaluación. Las aplicaciones móviles desarrolladas para el área de atención prehospitalaria son herramientas tecnológicas que contribuyeron para la clasificación, los primeros auxilios pediátricos, la seguridad del paciente, la preparación de medicaciones durante paro cardíaco, la calidad de la reanimación cardiopulmonar, la comunicación entre los equipos de emergencia y el registro electrónico de enfermería. Conclusión Los estudios señalaron el potencial referente a la utilización de las aplicaciones móviles en la atención prehospitalaria, lo que contribuye especialmente a la mejora de la seguridad del paciente y a la calidad del cuidado ofrecido en las situaciones de urgencia y emergencia prehospitalaria. La optimización del tiempo de la atención y el diagnóstico temprano también demostraron ser contribuciones de las aplicaciones de asistencia, además de advertir detalles que pueden pasar desapercibidos. literatura Scopus Science CINAHL SciELO Embase Lilacs BDENF MedlinePubMed Medline PubMed Medline/PubMed período 20172022. 20172022 2017 2022 . 2017-2022) artículos completo gratuito portugués español Asistencia Prehospitalaria, Prehospitalaria , Prehospitalaria” Atención Servicios Prehospitalarios, Prehospitalarios Prehospitalarios” Enfermería, Enfermería “Enfermería” Aplicaciones Móviles, Móviles Móviles” Portátiles, Portátiles Portátiles” Apps previamente 94 evaluación clasificación pediátricos cardíaco cardiopulmonar enfermería asistencia desapercibidos 2017202 201 202 2017-2022 “Enfermería 9 201720 20 2017-202 20172 2 2017-20 2017-2 2017-

Abstract Objective Analyze the scientific contribution of mobile applications developed for pre-hospital care. Methods Integrative literature review study; the databases used were the following: Scopus, Web of Science, CINAHL, SciELO, Embase, Lilacs, BDENF, Medline/PubMed, Brazilian Digital Library of Theses and Dissertations, and ProQuest Dissertations & Theses Global; (period 2017-2022), including all article categories (with abstract and full texts available with free access) in Portuguese, English, or Spanish, containing the keywords “Pre-Hospital Assistance”, “Pre-Hospital Care”, “Pre-Hospital Services”, “Pre-Hospital Emergency Care”, “Nursing”, “Mobile applications”, “Portable Software Applications”, and “Mobile Apps” in titles and/or abstracts. Two researchers applied the eligibility criteria of the studies and collected data using a previously prepared instrument. Results From a total of 944 studies, seven were selected for evaluation. Mobile applications developed for the pre-hospital care area are technological tools that have contributed to triage, pediatric first aid, patient safety, preparation of medications during cardiac arrest, quality of cardiopulmonary resuscitation, and communication between the emergency team and the electronic nursing record. Conclusions The studies highlighted the potential related to the use of mobile applications in pre-hospital care, contributing especially to improving patient safety and the quality of care provided in pre-hospital urgency and emergencies. The optimization of assistance and early diagnosis times was also shown as a contribution of applications to assistance, in addition to alerting to details that may be unnoticed. prehospital pre hospital study following Scopus Science CINAHL SciELO Embase Lilacs BDENF MedlinePubMed Medline PubMed Medline/PubMed Global period 20172022, 20172022 2017 2022 , 2017-2022) access Portuguese English Spanish PreHospital Pre Hospital Assistance, Assistance Assistance” Care, Care Care” Services, Services Services” Nursing, Nursing “Nursing” applications, applications” Portable Applications, Applications Applications” Apps andor abstracts instrument 94 evaluation triage aid arrest resuscitation record emergencies unnoticed 2017202 201 202 2017-2022 “Nursing 9 201720 20 2017-202 20172 2 2017-20 2017-2 2017-

Resumo Objetivo Analisar as contribuições científicas dos aplicativos móveis desenvolvidos para o atendimento pré-hospitalar. Métodos Estudo de revisão integrativa da literatura; as bases de dados usadas foram Scopus, Web of Science, CINAHL, SciELO, Embase, Lilacs, BDENF, Medline/PubMed, Biblioteca Digital Brasileira de Teses e Dissertações e ProQuest Dissertations & Theses Global; (período de 2017-2022), incluindo todas as categorias de artigo, (com resumo e textos completos, disponíveis com acesso gratuito) nos idiomas português, inglês ou espanhol, contendo as palavras-chave “Assistência Pré-Hospitalar”, “Atendimento Pré-Hospitalar”, “Serviços Pré-Hospitalares”, “Atendimento de Emergência Pré-Hospitalar”, “Enfermagem”, “Aplicativos móveis”, “Aplicativos de Software Portáteis”, “Apps Móveis”, nos títulos e/ou resumos. Dois pesquisadores aplicaram os critérios de elegibilidade dos estudos e coletaram os dados a partir do instrumento elaborado previamente. Resultados De um total de 944 estudos, 07 foram selecionados para avaliação. Os aplicativos móveis desenvolvidos para a área de atendimento pré-hospitalar são ferramentas tecnológicas que contribuíram para a triagem, primeiros socorros pediátricos, segurança do paciente, preparação de medicações durante parada cardíaca, qualidade da ressuscitação cardiopulmonar, comunicação entre equipe de emergência e registro eletrônico de enfermagem. Conclusão Os estudos apontaram as potencialidades referentes à utilização dos aplicativos móveis no atendimento pré-hospitalar, contribuindo especialmente para melhoria da segurança dos pacientes e a qualidade do cuidado prestado nas situações de urgência e emergência pré-hospitalar. A otimização do tempo de assistência e do diagnóstico precoce foram também mostrados como contribuições dos aplicativos na assistência, além de alertar para os detalhes que podem passar despercebidos. préhospitalar. préhospitalar pré hospitalar. hospitalar literatura Scopus Science CINAHL SciELO Embase Lilacs BDENF MedlinePubMed Medline PubMed Medline/PubMed Global período 20172022, 20172022 2017 2022 , 2017-2022) artigo completos gratuito português espanhol palavraschave palavras chave Assistência PréHospitalar, PréHospitalar Pré Hospitalar Pré-Hospitalar” Atendimento Serviços PréHospitalares, PréHospitalares Hospitalares Pré-Hospitalares” Enfermagem, Enfermagem “Enfermagem” Aplicativos móveis, móveis” Portáteis, Portáteis Portáteis” Apps Móveis, Móveis Móveis” eou resumos previamente 94 0 avaliação triagem pediátricos paciente cardíaca cardiopulmonar enfermagem préhospitalar, hospitalar, despercebidos 2017202 201 202 2017-2022 Pré-Hospitalar Pré-Hospitalares “Enfermagem 9 201720 20 2017-202 20172 2 2017-20 2017-2 2017-

Abstract The increasing need for sustainable alternatives to synthetic insecticides has driven the analysis of extracts from Solanum habrochaites, a wild tomato, through fractionated column chromatography. Potential bioactive compounds for pest management, a clean and promising biotechnological solution, have been reported from this plant. The objective is to provide detailed gas chromatography data, including peaks, structural formulas, and retention indices for the extracts of S. habrochaites aerial parts. Column chromatographic analysis was conducted with five fractions (F1, F2, F5, F3, and F4) of S. habrochaites extracts. Long-chain hydrocarbons such as hexadecanoic acid and docosano were identified in the F1 fraction; fatty acid esters, including hexadecanoate and octadecenoate ethyls in the F2 and methyl ketones, with tridecan-2-one as the major component in the F5, while no identifiable compounds were disclosed in the F3 and F4 fractions. The column chromatography provided valuable insights into compounds in the F1, F2, and F5 fractions of S. habrochaites extracts, highlighting fatty acid esters, long-chain hydrocarbons, and methyl ketones. The bioactive compounds, from extracts of this plant, including the first record of the docosanoate, hexadecanoate and octadecanoate ethyls in S. habrochaites and Solanaceae, reinforces their promising biological application in different areas of science. tomato management solution plant data peaks formulas S parts F (F1 Longchain Long chain fraction esters ketones tridecan2one tridecanone tridecan 2 one longchain long docosanoate Solanaceae science (F

Resumo A crescente necessidade por alternativas sustentáveis no manejo de pragas motivou a análise de extratos de plantas do tomate silvestre, Solanum habrochaites, por cromatografia em coluna de fração. O objetivo foi detalhar resultados da cromatografia gasosa, incluindo picos, fórmulas estruturais e índices de retenção para compostos de extratos de partes aéreas de S. habrochaites. A análise cromatográfica em coluna foi realizada para cinco frações (F1, F2, F5, F3 e F4) dos extratos de S. habrochaites. Hidrocarbonetos de cadeia longa, como ácidos hexadecanóico e docosanoato, foram identificados na fração F1; ácidos graxos, incluindo hexadecanoato de etila e octadecanoato de etila na F2 e metilcetonas, com tridecan-2-ona como o composto majoritário, na F5 e nenhum composto nas frações F3 e F4. A análise dos extratos de S. habrochaites, por cromatografia em coluna, identificou compostos nas frações F1, F2 e F5, desta planta, destacando ésteres de ácidos graxos, metilcetonas e hidrocarbonetos de cadeia longa e o primeiro relato dos docosanoato, hexadecanoato e octadecanoato nessa planta e em Solanaceae. silvestre habrochaites gasosa picos S F1 F (F1 F4 docosanoato graxos tridecan2ona tridecanona tridecan 2 ona majoritário Solanaceae (F

ABSTRACT Objective: To assess prescription patterns for short-acting b2 agonists (SABAs) and other asthma medications in asthma patients treated by specialists and participating in the SABA use IN Asthma (SABINA) study in Brazil. Methods: This was an observational, cross-sectional study conducted at five sites in different regions of Brazil. The primary endpoints were to record SABA prescriptions and obtain data on over-the-counter (OTC) SABA purchases at the pharmacy. Results: Data on 218 asthma patients were analyzed. Of those 218 patients, 80.3% were prescribed SABAs in addition to their maintenance therapy, with a mean of 11.2 SABA canisters in the previous 12 months. Of those patients, 71.4% were prescribed ≥ 3 canisters and 42.2% were prescribed ≥ 10 canisters. None of the patients were prescribed SABA monotherapy. A total of 14.2% of the patients reported purchasing SABAs OTC at a pharmacy without a prescription. Of those, 48.4% purchased ≥ 3 SABA canisters. A fixed-dose combination of an inhaled corticosteroid and a long-acting b2 agonist was prescribed to 95.0% of the patients. In the year before the study visit, 45.0% of the patients received at least one course of oral corticosteroid burst treatment. Asthma was well controlled in 43.1% of the patients, partly controlled in 34.9%, and uncontrolled in 22.0%. Patients reported a mean of 1.1 severe asthma exacerbations, with 49.1% experiencing 1 or more severe exacerbations. Conclusions: Overprescription and OTC purchases of SABAs are common in Brazil, possibly leading to the need for courses of oral corticosteroids. The health care community should collaborate to implement evidence-based recommendations and promote health education to improve asthma management in Brazil. Objective shortacting short acting b (SABAs SABINA (SABINA Brazil Methods observational crosssectional cross sectional overthecounter over counter (OTC Results 21 analyzed 803 80 80.3 therapy 112 11 2 11. months 714 71 4 71.4 422 42 42.2 monotherapy 142 14 14.2 484 48 48.4 fixeddose fixed dose longacting long 950 95 0 95.0 visit 450 45 45.0 treatment 431 43 43.1 349 34 9 34.9% 220 22 22.0% 1. exacerbations 491 49 49.1 Conclusions corticosteroids evidencebased evidence based 8 80. 7 71. 42. 14. 48. 95. 45. 43. 34.9 22.0 49. 34. 22.

RESUMO Objetivo: Avaliar os padrões de prescrição de short-acting b2 agonists (SABAs, b2-agonistas de curta duração) e outros medicamentos para asma em pacientes tratados por especialistas e participantes do estudo SABA use IN Asthma (SABINA) no Brasil. Métodos: Trata-se de um estudo transversal observacional realizado em cinco locais em diferentes regiões do Brasil. Os desfechos primários foram registrar as prescrições de SABAs e obter dados a respeito da compra de SABAs sem receita médica na farmácia. Resultados: Foram analisados dados a respeito de 218 pacientes com asma. Dos 218 pacientes, 80,3% receberam prescrição de SABA além da terapia de manutenção, com uma média de 11,2 frascos de SABA nos 12 meses anteriores. Destes, 71,4% receberam prescrição de ≥ 3 frascos e 42,2% receberam prescrição de ≥ 10 frascos. Nenhum dos pacientes recebeu prescrição de monoterapia com SABA. Do total de pacientes, 14,2% relataram que compraram SABAs sem receita médica na farmácia. Destes, 48,4% compraram ≥ 3 frascos de SABA. Foram prescritas doses fixas combinadas de corticosteroide inalatório e b2-agonista de longa duração para 95,0% dos pacientes. No ano anterior à visita do estudo, 45,0% dos pacientes receberam pelo menos um ciclo de tratamento de curta duração com corticosteroide oral. A asma estava bem controlada em 43,1% dos pacientes, parcialmente controlada em 34,9% e não controlada em 22,0%. Os pacientes relataram uma média de 1,1 exacerbações graves da asma, sendo que 49,1% apresentaram uma ou mais exacerbações graves. Conclusões: A prescrição excessiva e a compra de SABAs sem receita médica são comuns no Brasil e possivelmente levam à necessidade de uso de corticosteroides orais. A comunidade de profissionais de saúde deve colaborar para implantar recomendações baseadas em evidências e promover a educação em saúde para melhorar o manejo da asma no Brasil. Objetivo shortacting short acting b SABAs, (SABAs b2agonistas bagonistas agonistas SABINA (SABINA Métodos Tratase Trata se farmácia Resultados 21 803 80 80,3 manutenção 112 11 2 11, 1 anteriores Destes 714 71 4 71,4 422 42 42,2 142 14 14,2 484 48 48,4 b2agonista bagonista agonista 950 95 0 95,0 450 45 45,0 oral 431 43 43,1 349 34 9 34,9 220 22 22,0% 1, 491 49 49,1 Conclusões orais 8 80, 7 71, 42, 14, 48, 95, 45, 43, 34, 22,0 49, 22,

ABSTRACT BACKGROUND: Loxosceles spp are arthropods found worldwide. Its bite may produce cutaneous loxoscelism (necrotic or edematous) or cutaneous-visceral loxoscelism. Depending on their severity and location, cutaneous forms are managed with local cold application and systemic administration of antihistamines, corticosteroids, antibiotics, polymorphonuclear inhibitors, and analgesics. OBJECTIVE: This study aimed to report a case of cutaneous loxoscelism and to identify the main dermatological manifestations associated with the Loxosceles spp bite. DESIGN AND SETTING: This case report and literature review was conducted in a Mexican university. METHODS: A detailed report on the medical management of a patient with cutaneous loxoscelism treated at the emergency department of a public hospital was published. Scopus, PubMed, Web of Science, and Google Scholar databases were searched to identify articles reporting cutaneous loxoscelism. The following keywords were used during the database search: “loxoscelism” OR “spider bite,” OR “loxosceles” OR “loxosceles species” OR “loxosceles venom” OR “loxoscelism case report” AND “cutaneous” OR “dermonecrotic arachnidism.” RESULTS: A 62-year-old female patient with cutaneous loxoscelism was treated with systemic dapsone and local heparin spray. Eighteen studies with 22 clinical cases were included in this systematic review. Of the 22 patients, 12 (54.5%) were men. L. rufescens was the predominant spider species. CONCLUSIONS: The administration of dapsone and heparin for the management of cutaneous loxoscelism demonstrated success in this case, with no sequelae observed. In general, the literature review indicated favorable outcomes in patients treated with antimicrobials and corticosteroids, with continuous healing of skin lesions. SYSTEMATIC REVIEW REGISTRATION: PROSPERO ID CRD42023422424 (https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42023422424). BACKGROUND worldwide necrotic edematous cutaneousvisceral visceral location antihistamines corticosteroids antibiotics inhibitors analgesics OBJECTIVE SETTING university METHODS published Scopus PubMed Science search bite, loxosceles species venom “cutaneous dermonecrotic arachnidism. arachnidism RESULTS 62yearold yearold 62 year old spray 2 1 54.5% 545 54 5 (54.5% men L CONCLUSIONS observed general lesions REGISTRATION CRD CRD4202342242 https//www.crd.york.ac.uk/prospero/display_record.phpID=CRD42023422424. httpswwwcrdyorkacukprosperodisplayrecordphpIDCRD42023422424 httpswwwcrdyorkacukprosperodisplayrecordphpIDCRD https //www.crd.york.ac.uk/prospero/display_record.php ID=CRD42023422424 . www crd york ac uk prospero display record php (https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42023422424) 6 54.5 (54.5 CRD420234224 phpID https//www.crd.york.ac.uk/prospero/display_record.phpID=CRD42023422424 httpswwwcrdyorkacukprosperodisplayrecordphpIDCRD4202342242 wwwcrdyorkacukprosperodisplayrecordphp IDCRD42023422424 IDCRD ID=CRD4202342242 (https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42023422424 54. (54. CRD42023422 https//www.crd.york.ac.uk/prospero/display_record.phpID=CRD4202342242 httpswwwcrdyorkacukprosperodisplayrecordphpIDCRD420234224 IDCRD4202342242 ID=CRD420234224 (https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD4202342242 (54 CRD4202342 https//www.crd.york.ac.uk/prospero/display_record.phpID=CRD420234224 httpswwwcrdyorkacukprosperodisplayrecordphpIDCRD42023422 IDCRD420234224 ID=CRD42023422 (https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD420234224 (5 CRD420234 https//www.crd.york.ac.uk/prospero/display_record.phpID=CRD42023422 httpswwwcrdyorkacukprosperodisplayrecordphpIDCRD4202342 IDCRD42023422 ID=CRD4202342 (https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42023422 ( CRD42023 https//www.crd.york.ac.uk/prospero/display_record.phpID=CRD4202342 httpswwwcrdyorkacukprosperodisplayrecordphpIDCRD420234 IDCRD4202342 ID=CRD420234 (https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD4202342 CRD4202 https//www.crd.york.ac.uk/prospero/display_record.phpID=CRD420234 httpswwwcrdyorkacukprosperodisplayrecordphpIDCRD42023 IDCRD420234 ID=CRD42023 (https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD420234 CRD420 https//www.crd.york.ac.uk/prospero/display_record.phpID=CRD42023 httpswwwcrdyorkacukprosperodisplayrecordphpIDCRD4202 IDCRD42023 ID=CRD4202 (https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42023 CRD42 https//www.crd.york.ac.uk/prospero/display_record.phpID=CRD4202 httpswwwcrdyorkacukprosperodisplayrecordphpIDCRD420 IDCRD4202 ID=CRD420 (https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD4202 CRD4 https//www.crd.york.ac.uk/prospero/display_record.phpID=CRD420 httpswwwcrdyorkacukprosperodisplayrecordphpIDCRD42 IDCRD420 ID=CRD42 (https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD420 https//www.crd.york.ac.uk/prospero/display_record.phpID=CRD42 httpswwwcrdyorkacukprosperodisplayrecordphpIDCRD4 IDCRD42 ID=CRD4 (https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42 https//www.crd.york.ac.uk/prospero/display_record.phpID=CRD4 IDCRD4 ID=CRD (https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD4 https//www.crd.york.ac.uk/prospero/display_record.phpID=CRD (https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD

ABSTRACT Length-weight (LWR) and length-length (LLR) relationships are widely used in management programs and monitoring of fish stocks. We estimated the LWR and LLR of 10 fish species sampled from nine streams of the lower reach of the Iguassu River Basin, Paraná, Brazil. All LWR fits were significant, with b values ranging from 2.37 to 3.62 and an average value of 3.07. Most species showed isometric growth. Significant differences in the LWR between sexes were observed only for Phalloceros harpagos Lucinda, 2008 in the Três Barras stream. All LLR fits were significant, with b values ranging from 0.98 to 1.25 and an average value of 1.15. Significant differences between sexes for the LLR were observed for Rhamdia voulezi Haseman, 1911 in the Arroio Passo Liso stream. First records of the LWR for four species - Ancistrus mullerae Bifi, Pavanelli & Zawadzki, 2009, Bryconamericus pyahu Azpelicueta, Casciotta & Almirón, 2003, Cambeva stawiarski (Miranda Ribeiro, 1968), and Cambeva taroba (Wosiacki & Garavello, 2004) - and the LLR for six species - A. mullerae, B. pyahu, C. davisi, C. stawiarski, C. taroba, and P. harpagos - and a new record of maximum standard length for two species - C. taroba and B. pyahu - are presented. Lengthweight Length weight (LWR lengthlength (LLR stocks 1 Basin Paraná Brazil significant 237 2 37 2.3 362 3 62 3.6 307 07 3.07 growth Lucinda 200 stream 098 0 98 0.9 125 25 1.2 115 15 1.15 Haseman 191 Bifi Zawadzki 2009 Azpelicueta Almirón 2003 Miranda Ribeiro 1968, 1968 , 1968) Wosiacki Garavello 2004 A B C davisi P presented 23 2. 36 6 3. 30 3.0 20 09 9 0. 12 1. 11 1.1 19 196

ABSTRACT Introduction: Information management contributes to the development of organizations, as it enables the availability, access and use of information for decision making. Objective: This article seeks to present the challenges of information management at the strategic level of a company in the banking sector. Methodology: The interview was used as the instrument for collecting data that was analyzed through the Discourse of the Collective Subject, with the identification of three categories of analysis: access, registration and organization. Results: Difficulties in accessing and understanding information and the need to turn to experts, the owner of the information, were identified; in addition to the large volume of information and limited time to access and interact with it and the lack of incentive or appreciation for recording information in project development and the existence of multiple channels that make access and appropriation of information by subjects difficult. Conclusion: The results point to the need for greater attention to the user in information management processes, in order to provide adequate and facilitated access to information repositories, management of available channels, encouragement of registration and the need to discard information obsolete. Introduction organizations availability making Objective sector Methodology Subject analysis organization Results experts identified difficult Conclusion processes repositories obsolete

RESUMO Introdução: A gestão da informação contribui para o desenvolvimento das organizações, à medida que possibilita a disponibilização, acesso e uso da informação para a tomada de decisões. Objetivo: Este artigo busca apresentar os desafios da gestão da informação no nível estratégico de uma empresa do setor bancário. Metodologia: Utilizou-se da entrevista como instrumento de coleta de dados que formam analisados por meio do Discurso do sujeito coletivo, com a identificação de três categorias de análise, quais sejam acesso, registro e organização. Resultados: Foram identificadas a dificuldade de acesso e compreensão da informação e a necessidade de recorrer a especialistas, ao dono da informação; além do grande volume de informações e tempo escasso para acesso e interação com elas e de não haver incentivo ou valorização do registro de informações em desenvolvimento de projetos e a existência de múltiplos canais que dificultam o acesso e apropriação da informação pelos sujeitos. Conclusão: Os resultados apontam a necessidade de maior atenção ao usuário nos processos de gestão da informação, a fim de propiciar o acesso adequado e facilitado aos repositórios de informação, o gerenciamento dos canais disponíveis, o incentivo ao registro e a necessidade do descarte da informação obsoleta. Introdução organizações disponibilização decisões Objetivo bancário Metodologia Utilizouse Utilizou se coletivo análise organização Resultados especialistas sujeitos Conclusão disponíveis obsoleta

Resumo Objetivo: Este artigo investiga a reação do mercado acionário brasileiro à pandemia da Covid-19 e as características que tornaram algumas empresas menos vulneráveis do que outras, a partir da mensuração do retorno anormal utilizando a metodologia de estudo de eventos. Originalidade/valor: O artigo fornece informações para a tomada de decisões fundamentadas, pois os resultados expandem a literatura sobre os impactos de eventos extremos no mercado acionário de um país emergente, contribuindo para as estratégias de gestão de riscos e portfólios dos investidores. Des/gn/metodologia/abordagem: Considerou-se o dia 11 de março de 2020 como data de referência, dia do anúncio da pandemia pela Organização Mundial da Saúde. A janela do evento incluiu cinco dias anteriores e posteriores à data de referência, que abrange alguns dos marcos do início da pandemia, como a primeira transmissão interna, a primeira morte no Brasil e o registro de transmissão comunitária. O retorno anormal foi estimado a partir do modelo de mercado, e utilizou-se o modelo de regressão para explicar o retorno anormal acumulado, anali-sando-se a importância das características das empresas. Resultados: Os resultados mostraram que 98 empresas apresentaram retorno anormal acumulado negativo e significativo, representando 71,53% do total da amostra. Ainda, as ações das empresas da amostra tiveram um retorno anormal acumulado de -26,85%, indicando a magnitude da influência nos preços das empresas. Em termos específicos, observou-se que as empresas de capital aberto de maior tamanho, menos alavancadas, de menor turnover e que aderem a práticas de sustentabilidade empresarial, sofreram menor impacto adverso no início da pandemia. Objetivo Covid19 Covid 19 Covid-1 outras Originalidade/valor Originalidadevalor Originalidade valor fundamentadas emergente investidores Des/gn/metodologia/abordagem Desgnmetodologiaabordagem Des gn abordagem Considerouse Considerou se 1 202 referência Saúde interna comunitária utilizouse utilizou analisandose anali sando Resultados 9 significativo 7153 71 53 71,53 Ainda 26,85%, 2685 26 85 -26,85% específicos observouse observou tamanho alavancadas empresarial Covid1 Covid- 20 715 7 5 71,5 26,85% 268 2 8 -26,85 71, 26,85 -26,8 26,8 -26, 26, -26 -2 -

Abstract Purpose: This article investigated the reaction of the Brazilian stock market to the Covid-19 pandemic and the characteristics that made some companies less vulnerable than others based on the measurement of abnormal returns using the event study methodology. Originality/value: The article contributes to informed decision-making, as the results expand the literature on the impacts of extreme events on the stock market of an emerging country, contributing to investors’ risk and portfolio management strategies. Design/methodology/approach: March 11, 2020, was considered the reference date, the day of the pandemic announcement by the World Health Organization. The event window included five days before and after the reference date, which covers some of the milestones of the pandemic’s beginning, such as the first internal transmission, the first death in Brazil, and the record of community transmission. The abnormal return was estimated using the market model, and the regression model was used to explain the accumulated abnormal return, analyzing the importance of the characteristics of the companies. Findings: The results showed that 98 companies presented negative and significant cumulative abnormal return (CAR), representing 71.53% of the total sample. Furthermore, the shares of the companies in the sample had an accumulated abnormal return of -26.85%, indicating the magnitude of the influence on companies’ prices. In specific terms, it was found that publicly traded companies that are larger, less leveraged, with lower turnover, and that adhere to responsibility practices suffered less adverse impact at the beginning of the pandemic. Purpose Covid19 Covid 19 Covid-1 methodology Originality/value Originalityvalue Originality value decisionmaking, decisionmaking decision making, making decision-making country investors strategies Design/methodology/approach Designmethodologyapproach Design approach 11 2020 date Organization pandemics s transmission Brazil Findings 9 CAR, CAR , (CAR) 7153 71 53 71.53 Furthermore 26.85%, 2685 26 85 -26.85% prices terms larger leveraged turnover Covid1 1 Covid- 202 (CAR 715 7 5 71.5 26.85% 268 2 8 -26.85 20 71. 26.85 -26.8 26.8 -26. 26. -26 -2 -