ABSTRACT Introduction: sexual satisfaction and safety are key elements for male well-being, integrating physical and emotional aspects of intimacy. These concepts encompass the full enjoyment of sexual relationships, along with comfort and confidence in the protective practices used. Objective: determine sexual happiness and satisfaction with sexual safety in men from Asunción and Central during 2023. Methodology: a cross-sectional study was carried out in Asunción and Central during the months of September to November 2023. The study population consisted of eligible men who were over 18 years of age, who were assigned the sex male at birth, residents of the selected cities. The study variables were demographics, mental health (anxiety, depression and suicidal ideation). Results: the study included 143 participants. Of these, 55.24 % (79) were between 18 and 29 years old, 69.23 % (99) identified as gay, and 12.59 % (18) as bisexual. Men who have sex with men showed a higher probability of reporting satisfaction, with an age-adjusted odds ratio of 2.82 (95 % CI: 1.41-3.57, p=0.001) compared to heterosexuals. Having three or more stable partners and eleven or more non-stable partners was strongly associated with being MSM (p=0.003 and p=0.001, respectively). Conclusion: men who have sex with men reported higher levels of sexual satisfaction, suggesting a positive experience in their intimate relationships. However, this group also showed a tendency to have a higher number of sexual partners, both stable and non-stable. These differences in sexual behaviors may indicate distinct social norms or personal preferences among the studied groups.

RESUMEN Introducción: la satisfacción y seguridad sexual son elementos clave para el bienestar masculino, integrando aspectos físicos y emocionales de la intimidad; estos conceptos engloban el disfrute pleno de las relaciones sexuales, junto con la comodidad y confianza en las prácticas de protección utilizadas. Objetivo: determinar la felicidad sexual y satisfacción con la seguridad sexual en hombres de Asunción y Central durante el 2023. Metodología: se realizó un estudio observacional, descriptivo de corte transversal en Asunción, y Central durante los meses de setiembre a noviembre del 2023. La población de estudio lo constituyeron los hombres elegibles que tenían mayor de 18 años, a quienes se les asignó el sexo masculino al nacer, residentes de las ciudades seleccionadas. Las variables del estudio fueron las demográficas, salud mental (ansiedad, depresión e ideación suicida). Resultados: el estudio incluyó 143 participantes. De estos, el 55,24 % (79) tenía entre 18 y 29 años, el 69,23 % (99) se identificó como gay, y el 12,59 % (18) como bisexual. Los Hombres que tienen sexo con hombres mostraron una mayor probabilidad de reportar satisfacción, con una odds ratio ajustada por edad de 2,82 (IC 95 %: 1,41-3,57, p=0,001) en comparación con los heterosexuales, tener tres o más parejas estables y once o más parejas no estables se asoció fuertemente con ser HSH (p=0,003 y p=0,001, respectivamente). Conclusión: los hombres que tienen sexo con hombres reportaron niveles más altos de satisfacción sexual, lo que sugiere una experiencia positiva en sus relaciones íntimas. Sin embargo, este grupo también mostró una tendencia a tener un mayor número de parejas sexuales, tanto estables como no estables. Estas diferencias en comportamientos sexuales pueden indicar distintas normas sociales o preferencias personales entre los grupos estudiados.

Abstract: Objective: To determine the antibiotic storage characteristics of families in a suburban population in Mexico. Methodology: The study approach is quantitative, observational, cross-sectional and descriptive in scope. The unit of study was families living in the area under study in a suburban zone of Mexico. Results: A total of 235 families were surveyed, within which there are different age groups, with 153 families predominantly aged between 36 and 64 years old. It was obtained that more than 70 % presented illnesses and, regarding the possibility that they had stored expired or soon to expire antibiotic drugs, 68.1 % mentioned that it was not likely. Conclusions: The significant number of adult population, the wide presence of comorbidities and various sociodemographic factors impact practices and attitudes regarding the ways in which families obtain, use, store and dispose of medications within their homes. This research seeks to contribute to the awareness and creation of various programs for the adoption of safety measures for the storage of medicines within the home, as well as to serve as a guide in the identification of optimal, efficient and effective procedures to deal with this phenomenon.

Resumo: Objetivo: Determinar as características do armazenamento de antibióticos das famílias em uma população suburbana no México. Metodologia: A abordagem do estudo é quantitativa, observacional, transversal e de escopo descritivo. A unidade de estudo foram as famílias que viviam na área de estudo de uma zona suburbana no México. Resultados: Foram pesquisadas 235 famílias, de diversas faixas etárias, das quais predominaram as idades de 36 a 64 anos em 153 famílias. Verificou-se que mais de 70% apresentavam enfermidades, e com relação à possibilidade de terem medicamentos antibióticos vencidos ou prestes a vencer armazenados, 68,1 % mencionaram que não era provável. Conclusões: O significativo número de população adulta, a ampla presença de comorbidades e vários fatores sociodemográficos impactam nas práticas e atitudes relativas às formas como as famílias obtêm, usam, armazenam e descartam medicamentos em suas residências. Esta pesquisa busca contribuir para a conscientização e a criação de vários programas para a adoção de medidas de segurança para o armazenamento de medicamentos em casa, bem como servir de guia na identificação de procedimentos ideais, eficientes e eficazes para lidar com esse fenômeno.

Resumen: Objetivo: Determinar las características de almacenamiento de los antibióticos de las familias en una población suburbana en México. Metodología: El enfoque del estudio es cuantitativo, observacional, de corte transversal y alcance descriptivo. La unidad de estudio fueron las familias que vivían en el área de estudio de una zona suburbana en México. Resultados: Se encuestaron un total de 235 familias, dentro de las cuales existen diversos grupos etarios, de los cuales predominaron las edades de entre 36 a 64 años en 153 familias. Se obtuvo que más del 70 % presentaban enfermedades y, respecto a la posibilidad de que tuviesen almacenados medicamentos antibióticos caducados o próximos a caducar, el 68.1 % mencionó que no era probable. Conclusiones: El importante número de población adulta, la amplia presencia de comorbilidades y diversos factores sociodemográficos impactan en las prácticas y actitudes en relación con las formas en que las familias obtienen, usan, almacenan y desechan los medicamentos dentro de sus hogares. Esta investigación busca contribuir a la concientización y creación de diversos programas para la adopción de medidas de seguridad para el almacenamiento de medicamentos dentro del hogar, así como servir de guía en la identificación de procedimientos óptimos, eficientes y eficaces para tratar este fenómeno.

ABSTRACT Introduction: Endoscopic Combined Intrarenal Surgery (ECIRS) has emerged as a promising technique for the management of large and complex kidney stones, potentially offering advantages over traditional Percutaneous Nephrolithotomy (PCNL). This study aims to evaluate best practices, outcomes, and future perspectives associated with ECIRS. Materials and Methods: A comprehensive PubMed search was conducted from 2008 to 2024, using MESH terms and the following key words: "ECIRS" and "Endoscopic Combined Intrarenal Surgery" The search yielded 157 articles, including retrospective cohort studies, two randomized controlled trials (RCTs), and four meta-analyses comparing ECIRS with PCNL. Most important findings were summarized regarding indications, patient positioning, kidney access, tract size, surgical outcomes, and complications. Results: ECIRS demonstrated higher stone-free rate, lower complication rate, and a reduced need for multiple procedures compared to traditional PCNL. Additionally, ECIRS has the potential to integrate new technologies to further enhance outcomes. Conclusion: ECIRS demonstrates significant advantages in the management of large kidney stones. Future research should focus on well-designed RCTs to provide robust evidence of its efficacy, safety, and cost-effectiveness, potentially establishing ECIRS as the first option treatment for complex kidney stones. Introduction (ECIRS stones PCNL . (PCNL) practices outcomes Methods 200 2024 words "ECIRS 15 articles studies RCTs, , (RCTs) metaanalyses meta analyses indications positioning access size complications Results stonefree stone free rate Additionally Conclusion welldesigned well designed efficacy safety costeffectiveness, costeffectiveness cost effectiveness, effectiveness cost-effectiveness (PCNL 20 202 1 (RCTs 2

Resumo: Objetivo: Analisar a relação entre as práticas de amamentação e a percepção das mães sobre a qualidade do atendimento aos seus filhos menores de 1 ano em um centro de saúde de atenção primária no Peru. Materiais e métodos: Foi utilizado um método quantitativo, com um tipo de pesquisa analítica e desenho transversal em uma amostra de 202 mães de crianças menores de 1 ano na área de Controle de Crescimento e Desenvolvimento do Centro de Saúde Mazamari, por meio do instrumento SERVQUAL e um questionário sobre práticas de amamentação exclusiva. Resultados: As práticas de amamentação exclusiva apresentaram uma relação significativa, com magnitude fraca e direção positiva, com as dimensões de qualidade de atendimento: confiabilidade (ρ = 0,344; p = 0,001) e empatia (ρ = 0,349; p = 0,001); no entanto, não foi encontrada nenhuma correlação significativa entre capacidade de resposta (p = 0,057), segurança (p = 0,108) e aspectos tangíveis (p = 0,710). Conclusão: Níveis mais altos de confiança nos profissionais de saúde e empatia da equipe de saúde estão relacionados às práticas de amamentação exclusiva em mães de crianças menores de 1 ano que frequentaram o Centro de Saúde Mazamari.

Resumen: Objetivo: Analizar la relación de las prácticas de lactancia materna y percepción de las madres sobre la calidad de atención a sus niños menores de 1 año en un centro de salud de atención primaria en Perú. Materiales y método: Se siguió un método cuantitativo, tipo de investigación analítico y diseño transversal en una muestra de 202 madres de niños menores a 1 año del área de Control de Crecimiento y Desarrollo del Centro de Salud Mazamari, mediante el instrumento SERVQUAL y un cuestionario sobre prácticas de lactancia materna exclusiva. Resultados: Las prácticas de lactancia materna exclusiva se relacionaron significativamente, con magnitud débil y dirección positiva con las dimensiones de calidad de atención: fiabilidad (ρ = 0.344; p = 0.001) y empatía (ρ = 0.349; p = 0.001); sin embargo, no se encontró correlación significativa entre capacidad de respuesta (p = 0.057), seguridad (p = 0.108) y aspectos tangibles (p = 0.710). Conclusión: Mayores niveles de confianza en los profesionales de salud y empatía del personal de salud se relacionan con las prácticas de lactancia materna exclusiva en madres de niños menores a 1 año que acudieron al Centro de Salud Mazamari.

Abstract: Objective: To analyze the relationship between breastfeeding practices and mothers’ perception of the quality of care for their children under 1 year of age in a primary health care center in Peru. Methods: A quantitative method, analytical type of research and cross-sectional design were used in a sample of 202 mothers of children under 1 year of age from the Growth and Development Control area of the Mazamari Health Center, using the SERVQUAL instrument and a questionnaire on exclusive breastfeeding practices. Results: Exclusive breastfeeding practices were significantly related, with weak magnitude and positive direction with the dimensions of quality of care: reliability (ρ = 0.344; p = 0.001) and empathy (ρ = 0.349; p = 0.001); however, no significant correlation was found between responsiveness (p = 0.057), safety (p = 0.108) and tangible aspects (p = 0.710). Conclusion: Higher levels of trust in health professionals and empathy of health personnel are related to exclusive breastfeeding practices in mothers of children under 1 year of age who attended the Mazamari Health Center.

Abstract Introduction The optimal time for tracheostomy changes is unknown. Most surgeons opt to wait until five to seven days postoperatively, while more recent studies suggest that changes occurring as early as two to three days postoperatively are also safe. Objective To evaluate the safety of changing the tracheostomy tube later than 14 days postoperatively. Methods The charts of patients who underwent tracheostomy placement and change at a tertiary care center from 2015 to 2019 were retrospectively reviewed, and the subjects were divided into 2 cohorts (late and very late), depending on the time of the first tracheostomy change. Results The study included 198 patients, 53 of whom aged between 0 and 18 years, and 145, aged > 18 years. The time until the first tracheostomy change was on average of 131.1 days. The most common indication for tracheostomy tube placement was prolonged intubation. Adverse events were observed in 30.8% of the cases (the most common being the formation of granulation tissue), a rate that does not differ much from the incidence reported in the literature (of 34% to 77%) when tracheostomy tubes are changed as early as 3 to 7 days postoperatively. There was no significant difference in the incidence of complications between patients undergoing late and very late changes (p = 0.688), or between pediatric and adult subjects (p = 0.36). There were no significant correlations regarding the time of the first or second change and the incidence of complications (r = −0.014; p = 0.84 for the first change; and r = −0.57; p = 0.64 for the second change). Conclusion The late first tracheostomy tube change was safe and could save resources and decrease the financial burden of frequent changes. It is always crucial to provide adequate information about home tracheostomy care for patients. unknown 1 201 reviewed late, , late) 19 5 years 145 1311 131 131. intubation 308 30 8 30.8 tissue, tissue tissue) 34 77% 77 0.688, 0688 0.688 688 0.688) 0.36. 036 0.36 . 36 0.36) −0.014 0014 014 084 84 0.8 −0.57 057 57 064 64 0.6 change) 20 13 30. 068 0.68 68 03 0.3 −0.01 001 01 08 0. −0.5 05 06 6 −0.0 00 −0. −0 −

Abstract Framework: The Covid-19 pandemic has brought several challenges at an economic, labor, social, and organizational level, and organizations had to adopt strategies to ensure their functioning, as well as to ensure and promote the health and well-being of workers. Research Question/Goals: This study aimed to identify and describe (1) the impact of Covid-19 on the world of work and (2) the strategies that organizations have adopted to minimize this impact. Method: A descriptive qualitative cross-sectional study was carried out, where data were collected from 18 participants (10 Human Resources Managers, five specialists from relevant fields regarding professional experiences with Covid-19, and three representatives of public entities and Portuguese civil society from the fields of work and gender) through semi-structured interviews. The data were analyzed using thematic categorical content analysis with the support of NVivo®. Results: The pandemic impacted (RQ1) on work, economic and labor, work-life balance, and health and well-being. The measures (RQ2) most frequently implemented by the organizations were in terms of health and safety at work, adaptation to teleworking, work-life balance, and communication. Final considerations: The data points to increasingly remote and flexible work transformed by new technologies. In the (re)design of the work, it is essential to consider the characteristics and needs of each worker.

Resumo Introdução/Enquadramento: A pandemia Covid-19 trouxe diversos desafios a nível económico e laboral, social e organizacional, tendo as organizações que adotar estratégias para garantir o seu funcionamento, mas também garantir e promover a saúde e bem-estar dos trabalhadores. Questão de Investigação/Objetivos: Este estudo teve como objetivo identificar e descrever: (1) o impacto da Covid-19 no mundo do trabalho, e (2) as estratégias que as organizações adotaram para minimizar esse impacto. Método: Foi realizado um estudo transversal qualitativo descritivo, onde foram recolhidos dados de 18 participantes (10 Gestores de Recursos Humanos, cinco especialistas de áreas relevantes sobre as vivências profissionais com a Covid-19 e três representantes de entidades públicas e da sociedade civil portuguesa nas áreas do trabalho e do género) através de entrevistas semiestruturadas. Os dados foram analisados à luz da análise de conteúdo categorial temática, com o apoio do NVivo®. Resultados: A pandemia teve impacto (QI1) a nível do trabalho, económico e laboral, da conciliação, e da saúde e bem-estar. As medidas (QI2) mais frequentemente implementadas pelas organizações foram ao nível da higiene e segurança no trabalho, adaptação ao teletrabalho, conciliação e comunicação. Considerações finais: Os dados apontam para um mundo do trabalho cada vez mais remoto e flexível, transformado pelo uso das novas tecnologias. No (re)desenho do trabalho é essencial ter em conta as características e necessidades de cada trabalhador.

Abstract Introduction: Organizational management models influence supervisory activity in nursing. Collaborative practice between students and health professionals in the provision of person- and family-centred care allows them to evolve in the process of autonomy and knowledge transfer. However, this does not guarantee the acquisition of supervisory practices and inter-organisational interaction between the hospital and the academy, which are necessary for carrying out safe and qualified clinical procedures. However, this does not guarantee efficient acquisition of supervisory practices and inter-organizational interaction between hospital and academia, which are necessary to provide safe and effective clinical procedures. Objectives: The aim is to understand the possible dimensions of inter-organisational collaborative practice (academic and hospital), identifying its possible processes and results capable of guaranteeing the safety and quality of clinical procedures. Methods: This study emerges from a first mixed research intervention with N=50 nurse supervisors, non-randomized, using the snowball technique. We will, nevertheless, focus on its qualitative, exploratory, and descriptive approach, using the Focus Group technique in which seven nurse supervisors took part. By using Bardin's assumptions, we conducted the content analysis of the participants' speech. Results: The content analysis allowed us to recognise the Processes of Inter-Collaborative Supervision in Nursing as the main dimension of analysis. The results identify, on the one hand, potential threats, highlighted by the time dedicated to supervision and access to information in the hospital context and, on the other hand, opportunities for articulation, highlighted by the importance of involving the various actors in each context, both in planning training programmes and in using supervisory strategies. Conclusion: This study explores the collaborative processes of nursing supervision between academia and hospitals, highlighting common elements of care and education. It reveals the influence of both bureaucratic and anarchic models in shaping these relationships. The findings underscore the importance of inter-organizational coordination, which plays a critical role in effective health promotion practices.

The purpose of the study reported on here was to explore the implementation of learner integration and its challenges in a selected former Model C school. This is an expansion of the findings of a larger study, "Understanding and enhancing of learner integration in a selected ex-model C school" by Theresia Joakim Kanyopa. Based on South Africa's history, the term "former Model C" (also ex Model C) is still commonly used to describe those schools that were formerly Whites-only but are now multiracial schools. Learner integration is a major issue in global contemporary education practice. Contemporary literature on learner integration in former Model C schools reveals complex impediments. Some of the impediments are essentially beyond the capabilities and competencies of learners, teachers and principals. In this article we argue that the lack of an effectively designed practice is central to the impediments to learner integration. This was a qualitative case study grounded within the critical research paradigm, hence the critical emancipatory research (CER) theoretical framework was adopted. We used purposive and convenience sampling to select the research site and participants. Four Grade 11 learners (2 boys and 2 girls) were purposively selected because of their availability and willingness to participate in the study. Their ages were between 16 and 19 years. Data were generated through interviews and reflective writing. Importantly, to achieve successful learner integration in former Model C schools, we affirm that these schools must revise their practices, programmes and policies to create an integrative learning environment that ensures learner safety and an environment that supports, develops end enhances their academic goals. The findings from the study indicate that learner integration in former Model C schools can be successfully done by valuing the learners' diversities regardless of their backgrounds, ethnic groups, status or races.

RESUMEN Introducción: En Cuba se dispone de un sistema de normas cubanas de seguridad y salud en el trabajo como instrumentos que estandarizan los métodos de medición y los criterios de evaluación del ruido en los puestos y áreas de trabajo, pero carece de una guía de buenas prácticas que permita el empleo de los resultados de las evaluaciones como potenciales pruebas para la investigación científica del factor de riesgo. Objetivo: Proponer los requisitos mínimos para una guía de buenas prácticas en el estudio del factor de riesgo ruido laboral. Métodos: Se desarrolla un proceso de búsqueda de consenso entre expertos, a través de la técnica de los cuatro procesos de resolución de problemas para proponer los requisitos mínimos que se deben considerar en las evaluaciones de ruido laboral. Resultados: Se establecieron los requisitos mínimos necesarios en los estudios de ruido respetando las normativas nacionales, lo que se estructuró en los siguientes elementos: glosario de términos, métodos de medición por el objetivo que se persigue, criterios de evaluación del ruido, métodos de medición por el tipo de puesto de trabajo (puestos de trabajos fijos, variables y aleatorios), finalidad de las evaluaciones, requisitos medibles, utilidad del mapa de ruido y requisitos informativos. Conclusiones: La guía elaborada propone mejoras metodológicas dentro de la investigación experimental del ruido laboral, ella no obliga sino solo recomienda una estrategia investigativa, da espacio a las interpretaciones personales y referencias elaboradas como verdades hipotéticas consensuadas, las que a futuro pueden incidir en nuevas propuestas metodológicas y normativas.

ABSTRACT Introduction: In Cuba it exists a system of Cuban norms of security and health in the work like instruments that standardize the mensuration methods and the approaches of evaluation of the noise in the positions and work areas, but it lacks a guide of good practical that allows the employment of the results of the evaluations like potentials tests for the scientific investigation of the factor of risk. Objective: To propose the minimum requirements for a guide of good practical in the study of the factor of risk labor noise. Methods: A process of consent search is developed among experts, through the technique of the four processes of resolution of problems to propose the minimum requirements that should be considered in the evaluations of labor noise. Results: The necessary minimum requirements settled down in the studies of noise respecting the normative ones national, what was structured in the following elements: glossary of terms, mensuration methods for the objective that is pursued, approaches of evaluation of the noise, mensuration methods for the type of work position (positions of fixed works, variables and aleatory), purpose of the evaluations, requirements metrological, utility of the map of noise and informative requirements. Conclusions: The elaborated guide proposes methodological improvements inside the experimental investigation of the labor noise, she doesn't force but alone it recommends an investigative strategy, it gives space to the personal interpretations and references elaborated as truths hypothetical, those that can impact in new methodological and normative proposals to future.

Emergency medical services (EMS) are a vital component of the health system and provide pre-hospital emergency care and specialised transport for patients requiring access to health facilities, thereby contributing to universal health coverage and improving health outcomes. Evidence regarding the current state of EMS within South Africa to fulfil this role is lacking and was the motivation for this review. Our objective was to describe the current state of EMS in South Africa. A literature search was conducted using keywords, BOOLEAN operating terms, and eligibility criteria on Sabinet, EBSCOhost, Google Scholar, ProQuest, Medline, PubMed, and ScienceDirect databases to find articles related to the components of the EMS system in South Africa. The articles were critically assessed, and six themes emerged: leadership and governance; resources; preparedness (knowledge, attitude, and practices) of the emergency care provider; health and safety; training; and communications. Challenges were found in all themes at a provincial EMS level despite improvements in legislation, leadership, and governance from the National Department of Health. These themes demonstrate that all components in the EMS system are not functioning optimally and may be affecting its contribution to improving universal health coverage and health outcomes. The current state of EMS appears to be constrained and requires greater leadership and governance from the Provincial Departments of Health to improve poorly functioning components of the EMS system. SIGNIFICANCE: The current state of EMS in South Africa lacks efficiency in its role to provide emergency care and transportation for patients wanting to access health facilities. Poorly functioning components of the EMS system have been identified and provide an opportunity for health authorities to make improvements so that the goal of universal health coverage and improved health outcomes can be realised.

Abstract Introduction: Patient safety is a critical global public health issue, focused on a care delivery system that prevents errors and is built on a safety culture involving all healthcare professionals, organizations, and patients. Objective: To evaluate the level of health professionals' literacy regarding patient safety at a hospital center in the central region of Portugal. Methods: A quantitative, descriptive-correlational, cross-sectional study was carried out to assess the level of patient safety literacy among healthcare professionals. A sample of 300 professionals from a hospital center in central Portugal answered the World Health Organisation's ‘Questionnaire to Evaluate the Implementation of the Multiprofessional Guide.’ Most of the health professionals included in the study were female (76.3%), 50.3% were in the 36-50 age group and the majority were nurses (90%). Results: 44.0% of the respondents demonstrated low literacy in the "Error and Patient Safety" dimension. Similarly, 44.7% exhibited low literacy in the "Health System Safety" dimension. Regarding the "Personal Influence on Safety" dimension, more than half of the sample (52.7%) showed high literacy. Lastly, the majority of respondents displayed low literacy (54.7%) in the "Personal Attitudes towards Patient Safety" dimension. Conclusion: The findings indicate significant gaps in healthcare professionals' literacy concerning patient safety, predominantly in the "Personal Attitudes towards Patient Safety" dimension. Therefore, it is essential that healthcare professionals receive further training in patient safety to ensure the public's trust in their professional practices and confidence in the healthcare system. This translation is tailored for submission to a high-impact Q1 scientific journal, ensuring the use of precise and specialized technical English suitable for an academic audience.

Resumo Introdução: A segurança do doente é uma questão séria de saúde pública global, focada num sistema de prestação de cuidados que previne erros e é construído sobre uma cultura de segurança que envolve todos os profissionais de saúde, organizações e doentes. Objetivo: Avaliar o nível de literacia dos profissionais de saúde em relação à segurança do doente num centro hospitalar na região central de Portugal. Métodos: Foi realizado um estudo quantitativo, descritivo-correlacional e transversal para avaliar o nível de literacia dos profissionais de saúde em relação à segurança do doente. Uma amostra de 300 profissionais de um Centro Hospitalar na região central de Portugal respondeu ao "Questionário para Avaliar a Implementação do Guia Multiprofissional" da Organização Mundial de Saúde. A maioria dos profissionais de saúde incluídos no estudo são do sexo feminino (76,3%), encontram-se na faixa etária (dos 36-50 anos) 50,3% e são maioritariamente enfermeiros (90%). Resultados: 44,0% dos inquiridos demonstraram baixa literacia na dimensão "Erro e segurança do doente". De forma semelhante, 44,7% apresentaram baixa literacia na dimensão "Segurança do Sistema de Saúde". Quanto à dimensão "Influência Pessoal na Segurança", mais de metade da amostra (52,7%) é altamente letrada. Por último, a maioria dos inquiridos mostrou baixa literacia (54,7%) na dimensão "Atitudes Pessoais em relação à Segurança do Doente". Conclusão: Os resultados apontam existir lacunas por parte dos profissionais de saúde sobre literacia na segurança do doente, com predominância na dimensão "Atitudes Pessoais em Relação à Segurança do Doente". Assim, é essencial que os profissionais de saúde recebam mais formação em segurança do doente para garantir a confiança dos cidadãos nas suas práticas profissionais e na confiança no sistema de saúde.

Resumen Introducción: La seguridad del paciente es un problema crítico de salud pública global, enfocado en un sistema de prestación de cuidados que previene errores y está construido sobre una cultura de seguridad que involucra a todos los profesionales de la salud, organizaciones y pacientes. Objetivo: Evaluar el nivel de alfabetización sobre la seguridad del paciente de los profesionales de la salud en un centro hospitalario en la región central de Portugal. Métodos: Se realizó un estudio cuantitativo, descriptivo-correlacional y transversal para evaluar el nivel de alfabetización en seguridad del paciente entre los profesionales sanitarios. Una muestra de 300 profesionales de un centro hospitalario del centro de Portugal respondió al «Cuestionario para evaluar la aplicación de la Guía Multiprofesional» de la Organización Mundial de la Salud. La mayoría de los profesionales sanitarios incluidos en el estudio eran mujeres (76,3%), el 50,3% tenían entre 36 y 50 años y la mayoría eran enfermeras (90%). Resultados: El 44,0% de los encuestados demostró baja alfabetización en la dimensión "Error y Seguridad del Paciente". De manera similar, el 44,7% mostró baja alfabetización en la dimensión "Seguridad del Sistema de Salud". En cuanto a la dimensión "Influencia Personal en la Seguridad", más de la mitad de la muestra (52,7%) mostró alta alfabetización. Por último, la mayoría de los encuestados mostró baja alfabetización (54,7%) en la dimensión "Actitudes Personales hacia la Seguridad del Paciente". Conclusión: Los resultados indican brechas significativas en la alfabetización sobre la seguridad del paciente de los profesionales de la salud, predominantemente en la dimensión "Actitudes Personales hacia la Seguridad del Paciente". Por lo tanto, es esencial que los profesionales de la salud reciban más formación en seguridad del paciente para asegurar la confianza del público en sus prácticas profesionales y la confianza en el sistema de salud. Esta traducción está diseñada para la presentación en una revista científica de alto impacto Q1, asegurando el uso de un español técnico preciso y especializado adecuado para una audiencia académica.

Resumen Introducción: Este artículo de carácter reflexivo busca formular una matriz teórica de abordaje de los procesos colectivos que permita recuperar el conocimiento, la reflexión, la articulación de las vivencias y saberes esenciales para producir -o conservar- condiciones para la reproducción de la vida. Objetivo: Para dar cuenta de los objetivos, se reflexiona sobre los procesos iniciados en ollas populares y merenderos vecinales, como respuesta a la inseguridad alimentaria acentuada por la pandemia en el Departamento de Maldonado, Uruguay entre 2020 y 2021. Estos procesos deben ser observados en el contexto de políticas públicas implementadas a nivel nacional y departamental, con enfoques y asignaciones presupuestales deficitarias. Método y técnica: Para ello, se optó por un encuadre metodológico de análisis, reflexión y sistematización de información secundaria de diversos artículos e información actualizada al respecto. Resultados: Algunos resultados del artículo refieren a la construcción de un marco referencial que permitió ilustrar vacíos y nodos teóricos que posibilitan mecanismos de reflexividad en relación con las «nuevas necesidades», sentidos y significaciones de las comunidades y organizaciones de la sociedad civil enfocadas a la seguridad alimentaria en el Departamento de Maldonado. Conclusiones: Este abordaje resulta estratégico para el análisis de las prácticas que propendan al fortalecimiento de derechos, la solidaridad, el cuidado comunitario y las potencialidades de construcción de «lo común», sus tensiones, contradicciones y desafíos. En este sentido, resulta una aproximación pertinente para dar cuenta de las contingencias y dinamismo que posee el objeto de estudio desde un punto de vista experiencial.

Abstract Introduction: This reflective article seeks to formulate a theoretical matrix to approach collective processes that allows recovering knowledge, reflection, and the articulation of experiences and essential knowledge to produce -or preserve- conditions for the reproduction of life. Objective: It reflects on the processes initiated in popular pots and merenders as a response to food insecurity, accentuated by the pandemic and the mitigation measures that were initiatives of neighbors or groups of neighbors implemented in the Department of Maldonado, Uruguay, between 2020 and 2021. These processes must be observed in the context of public policies implemented at the national and departmental levels, with deficit apprhes and budgy otros locations. Method and technique: The methodological framework of analysis, reflection and systematization of secondary information was chosen, taking into account various articles and updated information in this regard. Results: Some of the results of the article refer to the construction of a referential framework that made it possible to illustrate gaps and theoretical nodes that enable mechanisms of reflexivity in relation to the «new needs», senses and meanings of communities and civil society organizations focused on food security in the Department of Maldonado. Conclusions: This approach is strategic for the analysis of practices aimed at strengthening rights, solidarity, community care and the potential of building «the common«, its tensions, contradictions and challenges. In this sense, it is a pertinent approach to account for the contingencies and dynamism of the object of study from an experiential point of view.

Digital information and data are crucial drivers of progress in various industries, including mining, where data-driven decision making optimizes resource extraction, enhances safety, and ensures sustainability. The adoption of digital technologies like artificial intelligence (AI) and the Internet of Things has amplified the importance of digital information. However, the integrity and security of this information are paramount, leading to the exploration of blockchain technology as a potential solution for secure digital value exchange in mining. This research examines blockchain's capabilities, drawing insights from its applications in sectors like banking, government, healthcare, and entertainment, and evaluates their relevance to mining's core value chain processes. The study identifies blockchain's distributed ledger technology, cryptographic security, and decentralization as unique advantages that can revolutionize mining by enhancing transaction speed, reducing costs, and improving supply chain transparency and compliance with sustainability standards. Blockchain's transparent and auditable records can enhance business transparency, fostering trust among stakeholders, including investors and regulatory bodies. The technology's consensus mechanisms and smart contracts further promote trust in collaborative ventures. This research provides a foundational understanding for decision-makers in the mining industry to evaluate blockchain's feasibility and potential return on investment, guiding strategic planning and resource allocation for blockchain applications. By leveraging blockchain, mining companies can optimize operations, improve sustainability practices, and establish a robust foundation for future growth, positioning blockchain as a transformative technology in the sector.

Resumen Introducción: El uso de catéteres venosos periféricos (CVP) es el procedimiento de enfermería más frecuente y conlleva riesgos para los clientes, concretamente el desarrollo de flebitis. Se creó un protocolo de cuidados de enfermería para el CVP a nivel institucional con el fin de estandarizar las prácticas de las enfermeras. Objetivo: Analizar la incidencia de la flebitis asociada a la CVP antes (Grupo A) y después (Grupo B) de la aplicación del protocolo; caracterizar la flebitis asociada a la CVP; Identificar los factores de riesgo que contribuyen al desarrollo de la flebitis asociada a la CVP. Métodos: Se realizó un estudio observacional, cuantitativo y descriptivo, con muestras no probabilísticas por conveniencia, en el que cada grupo estaba formado por 50 participantes. Resultados: Tras aplicar el protocolo, se produjo una reducción de la tasa de incidencia de flebitis del 26% al 12%, así como una reducción de las flebitis de grado 3, identificándose únicamente flebitis de grado 1 y 2. También se descubrió que alrededor del 90% de los participantes con flebitis recibían tratamiento antibiótico, concretamente Amoxicilina + Ácido Clavulánico y Flucloxacilina. Conclusión: El protocolo podría tener beneficios en términos de reducción de la incidencia de la flebitis mediante la estandarización de prácticas basadas en pruebas científicas, proporcionando una mejor calidad de la atención y reduciendo los costes asociados a la hospitalización.

Resumo Introdução: A utilização de cateteres venosos periféricos (CVP) é o procedimento de enfermagem mais comum e acarreta riscos para os clientes, nomeadamente, o desenvolvimento de uma flebite. Foi criado, a nível institucional, um protocolo de cuidados de enfermagem ao CVP, de forma a padronizar as práticas dos enfermeiros. Objetivo: Analisar a incidência de flebite associada ao CVP antes (Grupo A) e após (Grupo B) a implementação do protocolo; caracterizar as flebites associadas ao CVP; Identificar fatores de risco que contribuem para o desenvolvimento de flebites associadas ao CVP. Métodos: Realizou-se um estudo observacional, quantitativo e descritivo, com amostras não probabilísticas por conveniência, em que cada grupo é constituído por 50 participantes. Resultados: Após a implementação do protocolo, verificou-se a diminuição na taxa de incidência de flebites de 26% para 12%, assim como decréscimo das flebites de grau 3, sendo identificadas apenas flebites de grau 1 e 2. Constatou-se, ainda, que cerca de 90% dos participantes que apresentavam flebite, estavam sob antibioterapia, nomeadamente Amoxicilina + Ácido Clavulânico e Flucloxacilina. Conclusão: O protocolo instituído poderá ter benefícios no que diz respeito à diminuição da incidência de flebites, pela uniformização de práticas com base na evidência científica, proporcionando uma melhor qualidade de cuidados e menores custos associados ao internamento hospitalar.

Abstract Introduction: The use of peripheral venous catheters (PVC) is the most common nursing procedure and carries patient risks, including developing phlebitis. A nursing care protocol for PVC was created at the institutional level to standardize nurses' practices. Objective: To analyze the incidence of phlebitis associated with PVC before (Group A) and after (Group B) implementation of the protocol; Characterize phlebitis associated with PVC; Identify risk factors that contribute to the development of phlebitis associated with PVC. Methods: An observational, quantitative, and descriptive study was carried out, with non-probabilistic samples for convenience, in which each group consisted of 50 participants. Results: After implementing the protocol, there was a reduction in the incidence rate of phlebitis from 26% to 12%, as well as a decrease in grade 3 phlebitis, with only grade 1 and 2 phlebitis being identified. It was also found that around 90% of the participants with phlebitis were undergoing antibiotic therapy, namely Amoxicillin + Clavulanic Acid, and Flucloxacillin. Conclusion: The protocol could have benefits in reducing the incidence of phlebitis by standardizing practices based on scientific evidence, providing better quality of care, and lowering the costs associated with hospitalization.

Abstract: The automotive manufacturing industry faces diverse challenges, including designing new parts, optimizing schedule times, developing aerodynamic car designs, refining painting processes, and advancing autonomous driving. The car painting process is a new optimization area in the computational context due to the complexity and damage caused by various factors. Our research focuses on designing a robotic arm with five degrees of freedom that operates in a two-dimensional plane and is integrated with metaheuristics for path optimization. Our methodology consists of defining and limiting the problem, analyzing requirements, designing the robotic arm, implementing routes, and conducting tests. For the design of data instances, the Methodology proposed by [42] was used in this work. Subsequently, a pool of perturbation heuristics and an iterated local search algorithm are used, which allowed us to design the best combination of heuristics that can provide a competitive solution to the problem of route design for the robotic arm in the automobile painting process. This study includes a comprehensive review of related work, theoretical concepts, and the application of metaheuristics. The results highlight the effectiveness of the proposed heuristics, with the K-OPT heuristic demonstrating superior performance. Statistical tests confirm the significance of the differences among the heuristics. This paper concludes with insights into future research directions, emphasizing the importance of safety practices and Industry 4.0 technology in mitigating health risks associated with the automotive painting process.