RESUMO Objetivo: Descrever as características epidemiológicas de pacientes pediátricos com doença falciforme (DF) e avaliar o uso de plantas medicinais concomitantemente ao tratamento medicamentoso. Métodos: Realizou-se revisão de prontuários de pacientes pediátricos de uma instituição pública com nível de atendimento terciário; o critério de seleção foi ser criança ou adolescente com DF em acompanhamento pediátrico neste ambulatório. Nos prontuários dos pacientes selecionados foi procurado o registro do uso de plantas com finalidades medicinais. Resultados: Foram revisados 154 prontuários (100% dos pacientes ativos desse ambulatório): 99 crianças e 55 adolescentes. O genótipo predominante foi SS (58,4%), seguido do SC (29,2%). O uso de ao menos uma medicação para a DF foi relatada em 95,5% dos prontuários. Em 70,1% dos prontuários havia o relato do uso de plantas medicinais, em 276 citações, sendo 64 plantas citadas ao todo; destas, seis espécies foram citadas para o tratamento da doença de base (DF), sendo “ora-pro-nobis” (Pereskia aculeata) a principal. Das 276 citações de plantas medicinais nos prontuários, 60,5% incluíram o uso de plantas medicinais em sintomas gripais e/ou COVID-19 (tanto prevenção quanto tratamento), sendo relatadas 35 para este uso, exclusivamente ou não. Essa foi a principal finalidade de uso encontrada nos prontuários dos pacientes, seguida do uso para sintomas de dor (14,2% das citações). Conclusões: Notou-se que a maioria dos pacientes avaliados faz uso da medicina convencional, aliada à tradicional/ complementar/ alternativa, o que leva à necessidade de mais estudos nessas áreas, especialmente na pediatria, visando principalmente à segurança do paciente. Objetivo (DF medicamentoso Métodos Realizouse Realizou se terciário ambulatório Resultados 15 100% 100 (100 ambulatório) 9 5 adolescentes 58,4%, 584 58,4% , 58 4 (58,4%) 29,2%. 292 29,2% . 29 2 (29,2%) 955 95 95,5 701 70 1 70,1 27 6 todo destas DF, orapronobis ora pro nobis “ora-pro-nobis Pereskia aculeata 605 60 60,5 eou COVID19 COVID 19 COVID-1 tanto tratamento, tratamento) 3 não 14,2% 142 14 (14,2 citações. citações) Conclusões Notouse Notou convencional tradicional complementar alternativa áreas pediatria paciente 10 (10 58,4 (58,4% 29,2 (29,2% 95, 7 70, 60, COVID1 COVID- 14,2 (14, (1 58, (58,4 29, (29,2 14, (14 ( (58, (29, (58 (29 (5 (2

ABSTRACT Objective: The aim of this study was to describe the epidemiological characteristics of pediatric patients with sickle cell disease (SCD) and evaluate the use of medicinal plants in these patients concomitantly with their drug treatment. Methods: This is a review of the medical records of pediatric patients at a public institution with tertiary care. The selection criterion was to be a child or adolescent with SCD undergoing pediatric follow-up at this outpatient clinic. In the medical records of the patients selected, records of the use of plants for medicinal purposes were sought. Results: In total, 154 records (100% of total active patients followed in this clinic) were reviewed: 99 children and 55 adolescents. The predominant genotype was SS (58.4%), followed by SC (29.2%). The use of at least one medication for SCD was reported in 95.5% of the medical records. The use of medicinal plants was reported by 70.1% of patients, with 276 citations in the medical records referring to 64 different types of plants. Six plants were used for the treatment of SCD, the main one being Lemonvine/Ora-pro-nóbis (Pereskia aculeata). The use of medicinal plants was reported for flu-like symptoms and/or COVID-19 (both for prevention and treatment) by 60.5% of the citations, with 35 different plants reported for this use, exclusively or not. This use was followed by pain symptoms (14.2% of citations). Conclusions: The majority of patients in this study use both conventional and traditional/complementary/alternative medicine, highlighting the need for more studies in the area, with a special focus on patient safety. Objective (SCD Methods care followup follow up clinic selected sought Results 15 100% 100 (100 reviewed 9 5 adolescents 58.4%, 584 58.4% , 58 4 (58.4%) 29.2%. 292 29.2% . 29 2 (29.2%) 955 95 95.5 701 70 1 70.1 27 6 Lemonvine/Orapronóbis LemonvineOrapronóbis Lemonvine/Ora pro nóbis Lemonvine Ora Pereskia aculeata. aculeata aculeata) flulike flu like andor COVID19 COVID 19 COVID-1 605 60 60.5 3 not 14.2% 142 14 (14.2 citations. citations) Conclusions traditionalcomplementaryalternative traditional complementary alternative medicine area safety 10 (10 58.4 (58.4% 29.2 (29.2% 95. 7 70. Orapronóbis LemonvineOra COVID1 COVID- 60. 14.2 (14. (1 58. (58.4 29. (29.2 14. (14 ( (58. (29. (58 (29 (5 (2

Abstract Objectives: Clinical-laboratory comparison of a population of children and adolescents with DM1 followed at a Brazilian outpatient university clinic, at two different periods (2014 and 2020), regarding changes made both to the insulin therapy scheme and to the nutritional approach to carbohydrate counting. Methods: The data of patients with DM1 aged 0–19 years enrolled in the service in 2014 and 2020 were collected. Student’s t-test was performed to compare the means of HbA1c and the variables of interest. Results: NPH + regular insulin was predominantly used in 2014 (49.1%), while in 2020, the predominance shifted to insulin analogs (48.4%). Pump use tripled from 1.3% in 2014 to 4.4% in 2020, and the percentage of patients performing carbohydrate counting reduced from 28.3% to 17.8%. Regarding HbA1c, the 2014 group of patients had a mean of 9.8%, while the 2020 group had a mean of 9.6% (p = 0.49). Conclusion: The change in treatments between 2014 and 2020 did not result in a significant improvement in HbA1c levels. However, it was identified the importance of carbohydrate counting and the use of insulin analogs to improve metabolic control in this population at both times. Objectives Clinicallaboratory Clinical laboratory DM clinic (201 , 2020) Methods 019 0 19 0–1 201 202 collected Students Student s ttest t test HbAc HbA c interest Results 49.1%, 491 49.1% 49 1 (49.1%) 48.4%. 484 48.4% . 48 4 (48.4%) 13 3 1.3 44 4.4 283 28 28.3 178 17 8 17.8% 98 9 9.8% 96 6 9.6 p 0.49. 049 0.49 0.49) Conclusion levels However times (20 01 0– 20 49.1 (49.1% 48.4 (48.4% 1. 4. 2 28. 17.8 9.8 9. 04 0.4 (2 49. (49.1 48. (48.4 17. 0. ( (49. (48. (49 (48 (4

ABSTRACT Foundation: Children and adolescents constitute a particularly vulnerable group in times of pandemic, which is why it is necessary to detect risk situations arising from them that may compromise the mental health of this population. Objective: To characterize the mental health status present in pediatric patients’ convalescent from COVID-19 in Cienfuegos. Methods: An exploratory, cross-sectional study was carried out on 153 children and adolescents (3-18 years) who attended the provincial multidisciplinary consultation for convalescents from COVID-19 at the Paquito González Cueto University Pediatric Hospital in Cienfuegos. To obtain the information, a semi-structured interview, psychiatric examination and Abilities and Difficulties Questionnaire were used. The database and statistical processing were done through the SPSS system, version 21.0. Descriptive statistical tests were used. Results: Children and adolescents recovering from COVID-19 are characterized by high levels of anxiety. It was the affective functions that were most affected by the psychiatric examination, represented in 29.4 % of the cases, followed by sleep and eating needs and habits (14.4 %). Anxiety disorder, adjustment disorder and sleep disorder were the main mental disorders diagnosed. Conclusion: The mental health of the child and youth population of a group of patient’s convalescents from COVID-19 has been affected, however, not all psychological responses can be classified as illnesses, because the majority are normal reactions to a situation abnormal.

RESUMEN Fundamento: Los niños y adolescentes constituyen un grupo de especial vulnerabilidad, en tiempos de pandemia, por lo que resulta necesaria la detección de situaciones de riesgo derivadas que puedan comprometer la salud mental de esta población. Objetivo: Caracterizar el estado de salud mental presente en pacientes en edad pediátrica convalecientes de la COVID-19 en Cienfuegos. Métodos: Se realizó un estudio exploratorio, de corte transversal en 153 niños y adolescentes (3-18 años) que asistieron a la consulta multidisciplinaria provincial para convalecientes de la COVID-19 en el Hospital Pediátrico Universitario Paquito González Cueto de Cienfuegos. Para la obtención de la información se empleó la entrevista semiestructurada, examen psiquiátrico y Cuestionario de Capacidades y Dificultades. La base de datos y el procesamiento estadístico se realizó a través del sistema SPSS. versión 21.0. Se utilizaron pruebas estadísticas descriptivas. Resultados: Los niños y adolescentes convalecientes de la COVID-19 se caracterizan por presentar niveles altos de ansiedad. Fueron las funciones afectivas las que más se vieron afectadas al examen psiquiátrico, representadas en el 29,4 % de los casos, seguidas por las necesidades y hábitos de sueño y alimentación (14,4 %). El trastorno por ansiedad, el trastorno de adaptación y del sueño fueron los principales trastornos mentales diagnosticados. Conclusiones: La salud mental de la población infantil y juvenil de un grupo de los pacientes convalecientes a la COVID-19 se ha visto afectada, sin embargo, no todas las respuestas psicológicas podrán calificarse como enfermedades, porque la mayoría son reacciones normales ante una situación anormal.

ABSTRACT Introduction: teenage pregnancy is considered a social phenomenon that must be addressed by all agents and agencies involved in the comprehensive training and education of adolescents. Objective: to characterize the population of pregnant adolescents in the Pinar del Río municipality. Methods: an observational, descriptive and retrospective study was carried out in a period from September 2019 to July 2023 in the Pinar del Río municipality, Pinar del Río province. From a total of 339 pregnant adolescents from the Special, Basic Secondary, Pre-University and Technical and Professional Education levels, a sample of 66 pregnant adolescents from the Pinar del Río municipality was selected through intentional sampling. The dialectical materialist, statistical, qualitative and comparative methods were used. Results: 50 % of pregnant adolescents correspond to the Pre-University educational level, the school years with the highest absolute numbers are 2020-2021 and 2021-2022. 59,1 % of all pregnant adolescents have inadequate knowledge about comprehensive sexual education. 48,5 % have inadequate knowledge about contraceptive methods. In relation to the consequences of pregnancy in this age period, 45,4 % of the sample has inadequate communication with their parents and 63,6 % of grandparents take care of the babies of pregnant adolescents. Conclusions: the lack of education and communication about responsible sexuality from the earliest ages leads to pregnancy in adolescence.

RESUMEN Introducción: el embarazo en la adolescencia es considerado un fenómeno social que debe ser atendido por todos los agentes y agencias implicados en la formación y educación integral de los adolescentes. Objetivo: caracterizar la población de embarazadas adolescentes del municipio Pinar del Río. Método: se realizó un estudio observacional, descriptivo y retrospectivo, en un período de septiembre 2019 a julio 2023 en el municipio Pinar del Río, provincia Pinar del Río. De un total de 339 adolescentes embarazadas de los niveles educativos Especial, Secundaria Básica, Preuniversitario y la Educación Técnica y Profesional se seleccionó, mediante el muestreo intencional, una muestra de 66 adolescentes embarazas del municipio Pinar del Río. Se emplearon como métodos el dialéctico materialista, estadístico, cualitativo y comparativo. Resultados: el 50 % de las adolescentes embarazadas corresponden al nivel educativo Preuniversitario, los cursos escolares con mayores cantidades absolutas son 2020-2021 y 2021-2022. El 59,1 % del total de adolescentes embarazadas poseen un inadecuado conocimiento sobre educación sexual integral. El 48,5 % posee un conocimiento inadecuado sobre los métodos anticonceptivos. Con relación a las consecuencias del embarazo en este período etario, el 45,4 % de la muestra posee una inadecuada comunicación con sus padres y el 63,6 % de los abuelos se hacen cargo de los bebés de las adolescentes embarazadas. Conclusiones: la falta de educación y comunicación sobre sexualidad responsable desde las edades más tempranas conllevan al embarazo en la adolescencia.

RESUMO Os disturbios de linguagem podem interferir na integrando social e afetar o desenvolvimento dos individuos. O trabalho multidisciplinar entre fonoaudiologia e odontologia é muito importante para a promogdo da saúde. O equilibrio do sistema estomatognático interfere na linguagem. Objetivo Analisar os100 artigos mais citados sobre distúrbios de linguagem em criannas e adolescentes e verificar a interando com a odontologia por meio de análise bibliométrica. Material e Método Foi realizada uma busca pelos 100 artigos mais citados sobre distúrbios de linguagem na base de dados Web of Science Core Collection até dezembro de 2021. Quatro pesquisadores extrairam os dados referentes a número de citanoes, titulo, autores, país, ano de publicando, periódicos, desenho de estudo, condinoes clínicas prevalentes e área de especializando. As análises foram realizadas utilizando VOSviewer e Excel. Resultados O número total de citanoes variou de 251 a 1.431. Quatro artigos foram citados mais de 1.000 vezes. Bishop DVM (10 artigos; 3.653 citanoes) e Tomblin JD (10 artigos; 4.261 citanoes) foram os autores mais frequentemente citados. As instituinoes com maior número de publicanoes foram a Universidade de Oxford/Inglaterra (11%) e a Universidade de Kansas/EUA (8%). O desenho de estudo observacional foi o mais frequente (77%). O transtorno do espectro autista (18%) e a dislexia (14%) foram as condinoes clínicas mais amplamente investigadas. A Fonoaudiologia (32%) foi a área de atuando com maior número de artigos e nenhum estudo, entre os top100, mostrou interando com a Odontologia. Conclusao Os 100 artigos mais citados sobre distúrbios de linguagem sdo em sua maioria observacionais, abordam principalmente transtornos do espectro do autismo e estdo na área de fonoaudiologia. Nenhum estudo apresentou interando com a odontologia.

ABSTRACT Language disorders may interfere with social integration and affectpersonal development. Beca-use the balance of the stomatognathic system can interfere with language, it is important for speech therapy and dentistry to work together, providing multidisciplinar y Healthcare. Aim To analyze the 100 most frequently cited articles on language disorders in children and adolescents and assess the interplay with dentistry by means of a bibliometric analysis. Materials and Method A search of the 100 most frequently cited articles up to December 2021 on language disorders was performed in the Web of Science Core Collection database. Four researchers extracted the data on number of citations, title, authors, country, year of publication, journals, study design, prevalent clinical conditions, and area of expertise. The analyses were performed using VOSviewer and Excel. Results The total number of citations ranged from 251 to 1,431. Four articles were cited more than 1,000 times. Bishop DVM (10 articles; 3,653 citations) and Tomblin JD (10 articles; 4,261 citations) were the most frequently cited authors. The institutions with the largest number of publications were the University of Oxford/England (11%) and the University of Kansas/USA (8%). Observational study design was the most frequent (77%). Autism spectrum disorder (18%) and dyslexia (14%) were the most broadly investigated clinical conditions. Speech-language pathology (32%) was the area of expertise with the largest number of articles, and none of the top 100 studies showed interplay with dentistry Conclusion The 100 most widely cited articles on language disorders are mostly observational, mainly address autism spectrum disorder, and are in the field of speech-language pathology No study reported interplay with dentistry

RESUMEN Objetivo: Analizar la relación entre factores sociodemográficos y clínicos con la alfabetización en salud de adolescentes brasileños. Método: Se trata de un estudio transversal llevado con 526 adolescentes entre 14 y 19 años. Los datos se recogieron virtualmente entre julio y septiembre de 2021 mediante un cuestionario de caracterización sociodemográfica, de perfil clínico y de la Health Literacy Assessment Tool – versión en portugués. Las variables se sopesaron por regresión linear múltiple con respuesta normal y significación p < 0,05. Resultados: La edad promedio era de 16,9 años (±1,6) y la puntuación media en alfabetización en salud de 25,3 (±5,4). El sexo femenino (p = 0,014), la mayor escolaridad (p = 0,002) y el uso de medicación (p = 0,020) estaban relacionados con niveles más altos de alfabetización en salud. Los adolescentes con enfermedades crónicas obtuvieron una puntuación total de alfabetización más alta, en media, 1,51 puntos, en comparación con los que no padecían dichas enfermedades. Conclusión: Adolescentes del sexo masculino y aquellos con menos escolaridad presentaron un desempeño pobre en la alfabetización en salud y, por esa razón, necesitan atención especial durante las acciones de promoción de la salud. Objetivo brasileños Método 52 1 202 sociodemográfica portugués 005 0 05 0,05 Resultados 169 16 9 16, ±1,6 6 (±1,6 253 25 3 25, ±5,4. 54 ±5,4 . 5 4 (±5,4) 0,014, 0014 0,014 , 014 0,014) 0,002 0002 002 0,020 0020 020 alta 151 51 1,5 puntos Conclusión razón 20 00 0,0 ±1, (±1, 2 ±5, (±5,4 001 0,01 01 0,00 000 0,02 02 15 1, 0, ±1 (±1 ±5 (±5, ± (± (±5 (

ABSTRACT Objective: To analyze the relationship between sociodemographic and clinical factors with health literacy in Brazilian adolescents. Method: This is a cross-sectional study with 526 adolescents aged 14 to 19. Data were collected virtually between July and September 2021 using a sociodemographic characterization questionnaire, clinical profile and the Health Literacy Assessment Tool – Portuguese version. The variables were evaluated by multiple linear regression with normal response, with significance p < 0.05. Results: The average age was 16.9 years (±1.6), the average health literacy score was 25.3 (±5.4). Female gender (p = 0.014), university educational level (p = 0.002) and use of medication (p = 0.020) were related to higher levels of health literacy. Adolescents with chronic illnesses had a higher total literacy score, on average 1.51 points, compared to those without chronic illnesses. Conclusion: Male adolescents and those with less education performed worse in health literacy and, therefore, deserve special attention in health promotion actions. Objective Method crosssectional cross sectional 52 1 19 202 questionnaire version response 005 0 05 0.05 Results 169 16 9 16. ±1.6, ±1.6 , 6 (±1.6) 253 25 3 25. ±5.4. 54 ±5.4 . 5 4 (±5.4) 0.014, 0014 0.014 014 0.014) 0.002 0002 002 0.020 0020 020 151 51 1.5 points Conclusion therefore actions 20 00 0.0 ±1. (±1.6 2 ±5. (±5.4 001 0.01 01 0.00 000 0.02 02 15 1. 0. ±1 (±1. ±5 (±5. ± (±1 (±5 (± (

RESUMO Objetivo: Analisar a relação entre fatores sociodemográficos e clínicos com o letramento em saúde de adolescentes brasileiros. Método: Trata-se de um estudo transversal com 526 adolescentes de 14 a 19 anos. Os dados foram coletados virtualmente entre julho e setembro de 2021 por meio de questionário de caracterização sociodemográfica, do perfil clínico e do Health Literacy Assessment Tool – versão em português. As variáveis foram avaliadas por regressão linear múltipla com resposta normal, com significância p < 0,05. Resultados: A média de idade foi de 16,9 anos (±1,6), a pontuação média do letramento em saúde foi de 25,3 (±5,4). Sexo feminino (p = 0,014), maior escolaridade (p = 0,002) e uso de medicamentos (p = 0,020) foram relacionados a maiores níveis de letramento em saúde. Adolescentes com doenças crônicas apresentaram pontuação total do letramento superior, em média 1,51 pontos, comparados aos sem doença crônica. Conclusão: Adolescentes do sexo masculino e os com menor escolaridade apresentaram pior desempenho no letramento em saúde e, por isso, merecem especial atenção nas ações de promoção da saúde. Objetivo brasileiros Método Tratase Trata se 52 1 202 sociodemográfica português normal 005 0 05 0,05 Resultados 169 16 9 16, ±1,6, ±1,6 , 6 (±1,6) 253 25 3 25, ±5,4. 54 ±5,4 . 5 4 (±5,4) 0,014, 0014 0,014 014 0,014) 0,002 0002 002 0,020 0020 020 superior 151 51 1,5 pontos crônica Conclusão isso 20 00 0,0 ±1, (±1,6 2 ±5, (±5,4 001 0,01 01 0,00 000 0,02 02 15 1, 0, ±1 (±1, ±5 (±5, ± (±1 (±5 (± (

RESUMEN Objetivo: Explorar las asociaciones y las diferencias de género entre el comportamiento de búsqueda de OHI (información sanitaria en línea) y los conocimientos sobre e-Salud (salud electrónica) entre estudiantes universitarios chinos. Métodos: Se utilizaron cuestionarios en línea de la escala de conocimientos en e-Salud y conductas de búsqueda de OHI creadas con el software Wenjunxing. En el análisis de los datos, se utilizó el programa SPSS para llevar a cabo las pruebas de chi-cuadrado, pruebas t y análisis de correlación de Pearson. Resultados: De los 5.383 participantes, el 72,4% estaba formado por muchachas, el 77,5% vivía en zonas rurales, el 51,2% era licenciado en Humanidades y el 76,6% tenía padres con bajo nivel educativo. Las puntuaciones medias del C-eHEALS para chicos y chicas fueron 26,53 ± 5,861 y 26,84 ± 5,816, respectivamente, sin diferencias significativas (P = 0,084). Las tres conductas principales de búsqueda de la OHI para muchachos y muchachas, así como para los grupos de C-eHEALS bajo y alto, fueron “encontrar información sobre ejercicio físico”; “leer o compartir información sobre salud a través de las redes sociales”; “encontrar información sobre nutrición y dietas”, todos ellos con diferencias significativas de género y de aprendizaje sobre e-Salud. Conclusiones: Las diferencias de género y de conocimientos en e-Salud deben centrarse en la intervención a la hora de desarrollar e implementar la formación en cibersalud para padres y adolescentes en escuelas y comunidades. Objetivo eSalud Salud electrónica chinos Métodos Wenjunxing datos chicuadrado, chicuadrado chi cuadrado, cuadrado chi-cuadrado Pearson Resultados 5383 5 383 5.38 participantes 724 72 4 72,4 muchachas 775 77 77,5 rurales 512 51 2 51,2 766 76 6 76,6 educativo CeHEALS C eHEALS 2653 26 53 26,5 5861 861 5,86 2684 84 26,8 5816 816 5,816 respectivamente P 0,084. 0084 0,084 . 0 084 0,084) alto encontrar físico físico” leer sociales sociales” dietas, dietas , dietas” eSalud. Salud. Conclusiones comunidades 538 38 5.3 7 72, 77, 51, 76, 265 26, 586 86 5,8 268 8 581 81 5,81 008 0,08 08 3 5. 58 5, 00 0,0 0,

ABSTRACT Objective: to explore associations and gender differences between OHI-seeking (online health information seeking) behaviors and eHealth (electronic health) literacy among Chinese university students. Methods: Online questionnaires of eHealth literacy scale and OHI-seeking behaviors created in software Wenjunxing were used in this survey. Chi-squared tests, t-test, and Pearson correlation analysis were performed using SPSS for data analysis. Results: Among 5,383 participants, 72.4% were girls, 77.5% lived in rural areas, 51.2% majored in liberal arts, 76.6% with low education parents. The average C-eHEALS scores of boys and girls were 26.53 ± 5.861 and 26.84 ± 5.816, respectively, with no significant difference (P = 0.084). The top three OHI-seeking behaviors for boys and girls, as well as for the C-eHEALS low and high groups, were “finding information about physical exercises” “reading or sharing health information via social media” “finding information about nutrition and diet”, all of which had significant gender and eHealth literacy differences. Conclusions: Gender and eHealth literacy differences should be focused for intervention when developing and implementing eHealth intervention training for parents and adolescents in schools and communities. Objective OHIseeking OHI seeking online electronic students Methods survey Chisquared Chi squared tests ttest, ttest t test, test t-test Results 5383 5 383 5,38 participants 724 72 4 72.4 775 77 77.5 areas 512 51 2 51.2 arts 766 76 6 76.6 CeHEALS C eHEALS 2653 26 53 26.5 5861 861 5.86 2684 84 26.8 5816 816 5.816 respectively P 0.084. 0084 0.084 . 0 084 0.084) groups finding exercises reading media diet, diet , diet” Conclusions communities 538 38 5,3 7 72. 77. 51. 76. 265 26. 586 86 5.8 268 8 581 81 5.81 008 0.08 08 3 5, 58 5. 00 0.0 0.

RESUMO Objetivo: Visa explorar associações e diferenças de gênero entre comportamentos de busca de OHI (busca de informações de saúde on-line) e letramento em e-Saúde (saúde eletrônica) entre estudantes universitários chineses. Métodos: Questionários on-line da escala de letramento em e-Saúde e comportamentos de busca de OHI criados no software Wenjunxing foram utilizados nesta pesquisa. Testes qui-quadrado, teste t e análise de correlação de Pearson foram realizados utilizando SPSS para análise de dados. Resultados: Dos 5.383 participantes, 72,4% eram meninas, 77,5% viviam em áreas rurais, 51,2% eram formados em artes liberais, 76,6% tinham pais com baixa escolaridade. As pontuações médias do C-eHEALS de meninos e meninas foram 26,53 ± 5,861 e 26,84 ± 5,816, respectivamente, sem diferença significativa (P = 0,084). Os três principais comportamentos de busca de IHO para meninos e meninas, bem como para os grupos baixo e alto do C-eHEALS, foram “encontrar informações sobre exercícios físicos”; “ler ou compartilhar informações de saúde através das redes sociais”; “encontrar informações sobre nutrição e dieta”, todos com diferenças significativas de gênero e de letramento em e-Saúde. Conclusões: As diferenças de gênero e de letramento em e-Saúde devem ser focadas na intervenção ao desenvolver e implementar formação de intervenção em e-Saúde para pais e adolescentes em escolas e comunidades. Objetivo online on line eSaúde Saúde eletrônica chineses Métodos pesquisa quiquadrado, quiquadrado qui quadrado, quadrado qui-quadrado dados Resultados 5383 5 383 5.38 participantes 724 72 4 72,4 775 77 77,5 rurais 512 51 2 51,2 liberais 766 76 6 76,6 escolaridade CeHEALS C eHEALS 2653 26 53 26,5 5861 861 5,86 2684 84 26,8 5816 816 5,816 respectivamente P 0,084. 0084 0,084 . 0 084 0,084) CeHEALS, eHEALS, encontrar físicos físicos” ler sociais sociais” dieta, dieta , dieta” eSaúde. Saúde. Conclusões comunidades 538 38 5.3 7 72, 77, 51, 76, 265 26, 586 86 5,8 268 8 581 81 5,81 008 0,08 08 3 5. 58 5, 00 0,0 0,

RESUMEN Las habilidades sociales poseen importante papel en la vida escolar y profesional. En este estudio, de naturaleza descriptiva y correlacional, se analiza los efectos de un Curso de extensión intitulado “Inmersión en la Universidad: usted es protagonista de su futuro”, sobre las habilidades sociales de estudiantes de la enseñanza secundaria de la red pública. Para tanto, se aplicó el Inventario de Habilidades Sociales en Adolescentes (IHSA-DelPrette) en el momento inicial y tres meses tras el término del curso, considerando dos indicadores: (1) frecuencia y (2) dificultad con que reaccionaran a las diferentes demandas de interacción social. Se verificó diferencia estadísticamente significante entre los escores pre y tras intervención (p = 0,014), evidenciando aumento de la frecuencia de las habilidades. Para la dificultad no se observó diferencia significante, aunque haya sucedido una disminución del 13,45%. La universidad puede ser un espacio no solo para capacitación analítica e instrumental, pero también para el desarrollo interpersonal de la comunidad interna y externa. profesional estudio correlacional Inmersión Universidad futuro, futuro , futuro” pública tanto IHSADelPrette IHSA DelPrette (IHSA-DelPrette curso indicadores 1 (1 2 (2 social p 0,014, 0014 0,014 0 014 0,014) 1345 13 45 13,45% instrumental externa ( 001 0,01 01 134 4 13,45 00 0,0 13,4 0, 13,

ABSTRACT Social skills play an important role in school and professional life. This descriptive and correlational study analyzes the effects of an extension course entitled “Immersion in the University: you are the protagonist of your future”, about the social skills of High School students in public schools. To this end, the Inventory of Social Skills in Adolescents (IHSA-DelPrette) was applied at the beginning and three months after the end of the course, considering two indicators: (1) assiduity and (2) difficulties they had when handling the different demands of social interaction. There was a statistically significant difference between the pre and post intervention scores (p = 0.014), showing an increase in the frequency of skills. For difficulty, no significant difference was observed, although there was a decrease of 13.45%. The university can be a space not only for analytical and instrumental training, but for the interpersonal development of both the internal and external community. life Immersion University future, future , future” schools IHSADelPrette IHSA DelPrette (IHSA-DelPrette indicators 1 (1 2 (2 interaction p 0.014, 0014 0.014 0 014 0.014) difficulty observed 1345 13 45 13.45% training community ( 001 0.01 01 134 4 13.45 00 0.0 13.4 0. 13.

RESUMO As habilidades sociais têm importante papel na vida escolar e profissional. Este estudo, de natureza descritiva e correlacional, analisa os efeitos de um Curso de extensão intitulado "Imersão na Universidade: você protagonista do seu futuro”, sobre as habilidades sociais de estudantes do Ensino Médio da rede pública. Para tanto, aplicou-se o Inventário de Habilidades Sociais em Adolescentes (IHSA-DelPrette) no momento inicial e três meses após o término do curso, considerando dois indicadores: (1) frequência e (2) dificuldade com que reagiam às diferentes demandas de interação social. Verificou-se diferença estatisticamente significante entre os escores pré e pós intervenção (p = 0,014), evidenciando aumento da frequência das habilidades. Para a dificuldade não foi observada diferença significante, embora tenha ocorrido uma diminuição de 13,45%. A universidade pode ser um espaço não apenas para capacitação analítica e instrumental, mas para o desenvolvimento interpessoal tanto da comunidade interna quanto externa. profissional estudo correlacional Imersão Universidade futuro, futuro , futuro” pública aplicouse aplicou se IHSADelPrette IHSA DelPrette (IHSA-DelPrette curso indicadores 1 (1 2 (2 social Verificouse Verificou p 0,014, 0014 0,014 0 014 0,014) 1345 13 45 13,45% instrumental externa ( 001 0,01 01 134 4 13,45 00 0,0 13,4 0, 13,

Abstract Background Violent behaviors in romantic relationships among adolescents and young people are pressing social matter as they have an effect on both victims and aggressors. Moreover, in the last decades, new forms of harassment, control, and abuse through social networks and mobile phones have arisen. Therefore, now forms of online and offline dating violence coexist. Objectives The aim was to analyze the prevalence rates by sex and age and the co-occurrence of online and offline dating violence. Moreover, the roles of online and offline dating violence aggressors and victims for their self-esteem, hostility, general psychological state, and emotional intelligence were investigated. Method Three hundred forty-one university students from the Basque Country, Spain, participated in the study. They completed six validated instruments related to the mentioned variables. Results Results highlight the high prevalence of online and offline dating violence in the sample and the co-occurrence of both types. No gender nor sex differences were found for online and offline dating violence perpetration and victimization. The correlation between online and offline dating violence was confirmed, and the reciprocity of violence is greater for offline violence. In relation to the role, both types of victims (online and offline) showed higher levels of hostility and psychological symptomatology than non-victims, but differences in self-esteem and emotional regulation were found in these modalities. Online and offline perpetrators shared hostility and some psychological symptoms as characteristics compared to non-victims, but differed in other symptoms and emotional intelligence. Conclusion There is a continuum between offline and online victimization perpetration albeit differences in the characteristics such as self-esteem, emotional intelligence, and general functioning exist. Moreover decades harassment control arisen Therefore coexist cooccurrence co occurrence selfesteem, selfesteem self esteem, esteem state investigated fortyone forty one Country Spain study variables confirmed role nonvictims, nonvictims non victims, non-victims modalities exist

Abstract This study aimed to analyze screen time usage among children and adolescents in both home and hospital settings from their caregivers’ perception. An exploratory and cross-sectional research with a quantitative approach was conducted at a public university hospital in a Brazilian capital. Data collection involved administering two questionnaires to caregivers: one on socioeconomic and hospitalization factors, and another on screen time usage at home and in the hospital and their perceptions thereof. Descriptive and inferential statistics were used for data analysis. The study included 40 caregivers of hospitalized children and adolescents, the majority of whom were female (90%, n=36). Regarding the children and adolescents’ characteristics, the majority were male (55%, n=22), aged between 8 months and 17 years. As for the reasons for hospitalization, it was identified that 40% (n=16) were due to diseases of the skin and subcutaneous tissue, and the length of hospital stay ranged from 1 to 37 days, with an average of 11 days. The results indicated screen time usage above recommended levels, though no significant difference was found between home and hospital usage, between weekdays, and/or between types of screens. Regarding caregivers’ perceptions, it was observed that some believe the amount of screen time is appropriate, indicating a need for greater training on the topic. perception crosssectional cross sectional capital factors thereof analysis 4 90%, 90 (90% n=36. n36 n n=36 . 36 n=36) characteristics 55%, 55 (55% n=22, n22 n=22 , 22 n=22) years n=16 n16 16 (n=16 tissue 3 days levels weekdays andor or screens appropriate topic 90% 9 (90 n3 n=3 55% 5 (55 n2 n=2 2 n=1 n1 (n=1 (9 n= (5 (n= ( (n

Resumo Este estudo objetivou analisar o tempo de uso de telas por crianças e adolescentes nos contextos domiciliar e hospitalar sob a percepção de seus cuidadores. Foi realizada pesquisa exploratória e transversal com abordagem quantitativa em um hospital público e universitário de uma capital brasileira. Para coleta de dados, foram aplicados dois questionários aos cuidadores: com questões socioeconômicas e da internação e questões sobre o tempo de uso de telas em casa e no hospital e a percepção deles a esse respeito. Foi utilizada estatística descritiva e inferencial para análise de dados. Participaram do estudo 40 cuidadores de crianças e adolescentes hospitalizados, a maioria do sexo feminino (90%, n=36). Quanto à caracterização das crianças e adolescentes, a maioria era do sexo masculino (55%, n=22), com idade entre 8 meses e 17 anos. Sobre o motivo das internações, identificou-se que 40% (n=16) delas foram ocasionadas por doenças da pele e tecido subcutâneo, e o tempo de internação variou de 1 a 37 dias, com média de 11 dias. Os resultados obtidos indicaram tempo de uso de telas superior ao recomendado, embora não tenha sido constatada diferença significativa entre o tempo de uso em casa e no hospital, entre os dias da semana e/ou entre os tipos de tela. Em relação à percepção dos cuidadores, observou-se que parte deles acredita que o tempo de uso de telas é adequado, indicando a necessidade de sua maior capacitação sobre o tema. brasileira dados respeito 4 hospitalizados 90%, 90 (90% n=36. n36 n n=36 . 36 n=36) 55%, 55 (55% n=22, n22 n=22 , 22 n=22) anos internações identificouse identificou se n=16 n16 16 (n=16 subcutâneo 3 recomendado eou ou tela observouse observou adequado tema 90% 9 (90 n3 n=3 55% 5 (55 n2 n=2 2 n=1 n1 (n=1 (9 n= (5 (n= ( (n

Resumo Helicobacter pylori (HP) é um elemento vital na etiologia de úlceras pépticas e câncer gástrico. Esta pesquisa teve como objetivo determinar a frequência, distribuição e determinantes da infecção por HP em adultos e adolescentes com sintomas gástricos no distrito de Haripur, Khyber Pakhtunkhwa, Paquistão. Este estudo transversal foi realizado de junho de 2018 a junho de 2020 no Departamento de Tecnologia de Laboratórios Médicos da Universidade de Haripur, Paquistão. A presença de HP foi uma variável de pesquisa, enquanto sexo, faixas etárias, escolaridade, superlotação, hábitos alimentares, ingestão de leite, fonte de água potável e contato com animais foram variáveis de agrupamento. A técnica imunocromatográfica (TIC) foi utilizada para a detecção sorológica de anticorpos para HP. Todas as variáveis foram representadas por frequência e percentual com IC 95%. A prevalência de HP e sua distribuição por oito variáveis sociodemográficas foi comprovada pelo teste de ajuste do qui-quadrado, enquanto a associação foi verificada pelo teste de associação do qui-quadrado. Do total de 1.160 casos, 557 (48%) foram positivos para HP. A prevalência populacional foi maior em homens, na faixa etária de 20 a 40 anos, analfabetos, família ≤ 10 pessoas, consumindo comida de restaurante, usando tetra pack, usando água municipal e tendo contato com animais. A prevalência observada de HP foi semelhante à sua prevalência esperada na população. A distribuição observada de HP na amostra foi diferente de sua distribuição esperada na população por oito variáveis sociodemográficas. A presença de HP foi associada a todas as oito variáveis sociodemográficas além das faixas etárias.

Abstract Helicobacter pylori (HP) is a vital element in the etiology of peptic ulcers and gastric cancer. This research aimed to determine the frequency, distribution, and determinants of HP infection in adults and adolescents with gastric symptoms in district Haripur, Khyber Pakhtunkhwa, Pakistan. This cross-sectional study was performed from June 2018 to June 2020 at the Medical Laboratory Technology Department, The University of Haripur, Pakistan. Presence of HP was a research variable, while sex, age groups, education status, overcrowding, dining habits, milk intake, drinking water source and animal contact were grouping variables. Immuno-chromatographic technique (ICT) was used to for serological detection of HP antibodies. All variables were represented by frequency and percentage with 95%CI. Prevalence of HP and its distribution by eight socio-demographic variables was testified by the chi-square goodness-of-fit test while association was testified by chi-square test of association. Out of total 1160 cases, 557 (48%) were positive for HP. Population prevalence was higher in men, in the age group 20-40 years, illiterate, family size ≤ 10 persons, taking restaurant food, using tetra pack, using municipal water, and having animal contact. The observed prevalence of HP was similar to its expected prevalence in the population. The observed distribution of HP in the sample was different from its expected distribution in population by eight socio-demographic variables. Presence of HP was associated with all eight socio-demographic variables besides age groups.

RESUMEN Fundamento: el alcoholismo es una drogadicción que conduce a la dependencia de otros tipos de drogas peligrosas y dañinas para la salud humana, por lo que es un fenómeno que debe ser comprendido con objetividad para el desarrollo de acciones eficaces en su erradicación. Objetivo: exponer la efectividad de una intervención educativa para incrementar los conocimientos sobre el alcoholismo en adolescentes. Métodos: se realizó un estudio cuasiexperimental de intervención educativa, en el Policlínico Universitario “Ramón López Peñaˮ de Santiago de Cuba, en el período febrero-agosto de 2023. La población de estudio estuvo constituida por 45 adolescentes consumidores de riesgo, que cumplieron los criterios de inclusión, a los que se les aplicó un cuestionario inicial que permitió conocer los conocimientos antes y después de la intervención. Se utilizaron métodos teóricos: histórico-lógico, analítico-sintético e inductivo-deductivo para la recogida de datos y fundamentación de la investigación. Del nivel empírico: el cuestionario y la observación. Resultados: la intervención educativa aplicada en sesiones de trabajo grupal a través de técnicas participativas, favoreció la motivación de los adolescentes. Se modificaron los conocimientos relacionados con tipos de consumo, motivos y consecuencias, conducta a seguir ante el consumo excesivo y prevención del alcoholismo. Conclusiones: fue efectiva al incrementar los conocimientos de los adolescentes sobre el alcoholismo, con acciones para fortalecer la promoción y prevención de esta enfermedad, en el primer nivel de atención de salud.

ABSTRACT Background: Alcoholism is a drug addiction that leads to dependence on other types of drugs that are dangerous and harmful to human health, so it is a phenomenon that must be understood objectively for the development of effective actions to eradicate it. Objective: to present the effectiveness of an educational intervention to increase knowledge about alcoholism in adolescents. Methods: a quasi-experimental educational intervention study was carried out at “Ramón López Peña” University Polyclinic in Santiago de Cuba, from February to August 2023. The study population consisted of 45 adolescent risk consumers, who met the inclusion criteria, to whom an initial questionnaire was applied that allowed to know the knowledge before and after the intervention. Theoretical methods were used: historical-logical, analytical-synthetic and inductive-deductive for data collection and research foundation. From the empirical level: the questionnaire and observation. Results: The educational intervention applied in group work sessions through participatory techniques favored the motivation of adolescents. Knowledge related to types of consumption, reasons and consequences, actions to follow in the face of excessive consumption and prevention of alcoholism were modified. Conclusions: It was effective in increasing adolescents' knowledge about alcoholism, with actions to strengthen the promotion and prevention of this disease, at the first level of health care.

RESUMO O artigo tem como objetivo discutir a questão da vulnerabilidade, ampliando seus horizontes e tocando na vulnerabilidade educacional com foco nas infâncias na rua. É importante entender que vulnerabilidade educacional é um fator a ser considerado nesse cenário de proteção e de garantias de direitos, onde os pensamentos e as práticas ainda permanecem colonizadoras. Para esta discussão, é necessário se aproximar das dinâmicas da criança e do adolescente em situação de rua no contexto urbano, sob a perspectiva da politização da infância. As problematizações deste artigo, advindas da extensão universitária e da pesquisa-ação no contexto das praças públicas de Niterói, em articulação com a práxis dos e das trabalhadoras sociais, vêm para contribuir com outras práticas de pesquisa que destapem os ouvidos para escutar as vozes que emergem das ruas, buscando entender o espaço como instrumental de infâncias reais dentro de ocupações urbanas, casarões abandonados, abrigadas em barracas e que brincam e produzem vida nas ruas das cidades em que ocupam. As relações entre a formação docente, a escola e a rua precisam, urgentemente, de outros olhares e práticas, constituindo, assim, a infância como sujeitos políticos. Alertamos que todas as transformações ocorrem por meio e através do corpo. Olhar atentamente para esses corpos que vivem nas ruas pode dar pistas sobre formas de acolhimento e práticas pedagógicas que reduzam as vulnerabilidades, dentre elas, a educacional. direitos colonizadoras discussão urbano pesquisaação ação Niterói sociais urbanas abandonados ocupam docente precisam urgentemente constituindo assim políticos corpo vulnerabilidades elas

ABSTRACT The article aims to discuss the issue of vulnerability, broadening its horizons and touching on educational vulnerability with a focus on childhood on the streets. It’s important to understand that educational vulnerability is a factor to be considered in this scenario of protection and guarantees of rights, where thoughts and practices still remain colonizing. For this discussion, it’s necessary to approach the dynamics of children and adolescent living on the streets in the urban context, from the perspective of the politicization of childhood. The problematizations of this article, arising from university extension and action research in the context of Niterói’s public squares in conjunction with the praxis of social workers, come to contribute to other research practices that open the ears to listen to the voices that emerge from the streets, seeking to understand space as an instrument of real childhoods - within urban occupations, abandoned mansions, sheltered in tents and that play and produce life in the streets of the cities in which they occupy. The relations between teacher training, the school and the street urgently need other perspectives and practices, thus constituting childhood as political subjects. We warn that all transformations occur through and through the body. Looking closely at these bodies living on the streets can provide clues about forms of reception and pedagogical practices that reduce vulnerabilities, including education. Its It s rights colonizing discussion it Niteróis Niterói workers occupations mansions occupy training subjects body vulnerabilities education

Abstract Background Smartphone addiction is a growing concern, especially among adolescents, due to its negative impact on health. This study examines how leisure physical activity influence this relationship. Objective This study aimed to investigate the relationship between smartphone addiction and adolescent health, examining the mediating role of loneliness and the moderating effect of leisure physical activity. Methods A survey of 1271 Chinese university students was conducted using the PAPS Health and Fitness Scale, Smartphone Addiction Scale, and Leisure Time Exercise Scale. Results Smartphone addiction negatively affects adolescent health. Loneliness mediates this relationship, while leisure physical activity moderates it. High levels of physical activity reduce the negative impact of loneliness on health (bsimple = -0.49, P < 0.001), whereas low levels enhance this impact (bsimple = —0.21, P < 0.001). Conclusion These research have practical implications for preventing and reducing smartphone addiction and offer a theoretical foundation for promoting healthier lifestyles among adolescents. concern adolescents 127 Scale it bsimple 0.49, 049 0 49 -0.49 0.001, 0001 0.001 , 001 0.001) 0.21, 021 21 —0.21 0.001. . 12 0.49 04 4 -0.4 000 0.00 00 0.21 02 2 —0.2 1 0.4 -0. 0.0 0.2 —0. 0. -0 —0 - —

BACKGROUND: The use and abuse of substances, especially among the youth, continues to be of serious concern within the international community. This behaviour affects them as individuals, their families, the community in which they live, and society at large. Findings from a study conducted by the researcher indicate that adolescents who abuse substances experience a range of emotional, physical, academic and social setbacks, and challenges. Ultimately, the mental health of these adolescents is affected AIM: The study aims to identify and define the central concept 'facilitation of mental health' of adolescents abusing substances SETTING: The researcher's minor dissertation, whereby the lived experiences of adolescents abusing substances were explored. The basic elements, structure and functions were examined and analysed METHODS: The concept's basic elements, structure and functions were examined, followed by an analysis and reasoning strategies to define the central concept. The process was implemented over two phases RESULTS: The central concept 'facilitation of mental health' of adolescents abusing substances was identified and defined using dictionary and subject definitions CONCLUSION: The identification and definition of the central concept is an important part of developing a model as a frame of reference for psychiatric nurses to facilitate the mental health of adolescents abusing substances CONTRIBUTION: The findings of the study would assist in the development of a model as a frame of reference for psychiatric nurses to facilitate the mental health of adolescents abusing substances