RESUMO: O ensino de anatomia vem se modificando ao longo dos anos, introduzindo métodos tecnológicos, principalmente após o período pandêmico. Questiona-se o uso exclusivo da tecnologia em comparação aos métodos tradicionais de dissecação e aulas teóricas presenciais no que diz respeito à aquisição de conhecimento. Este artigo analisou a percepção de conhecimento de alunos de diversos semestres do curso de Medicina Veterinária, comparando alunos que tiveram aulas apenas online com aqueles que tiveram aulas presenciais de Anatomia Descritiva dos Animais Domésticos. Para tanto, questões foram enviadas por meio de formulário, com preenchimento voluntário e anônimo, e posteriormente analisadas estatisticamente. Os resultados indicam que 11,5% dos alunos que cursaram a disciplina remotamente falharam na aplicação dos conhecimentos em outras disciplinas, enquanto nenhum aluno do ensino presencial relatou o mesmo. A maioria dos alunos, tanto dos grupos remotos quanto dos presenciais, lembram-se do assunto, mas revisam o conteúdo com frequência. Em relação ao conhecimento teórico, o grupo online (80,8%) compreendeu melhor à medida que o curso avançava, comparado a 59,6% do grupo presencial. A ligação entre Anatomia e outras disciplinas foi mais destacada pelo grupo presencial (30,8%) em comparação ao online (15,4%). Ambos os grupos concordam que o contacto físico com peças anatômicas é essencial, mas alguns consideram possível ter um primeiro contacto com imagens ou fotografias 3D. Baseado nesse estudo preliminar, conclui-se que as interações iniciais com a área de Anatomia devem incluir técnicas pedagógicas diversificadas com comunicação empática. A utilização de recursos tecnológicos modernos é um aliado do processo de ensino-aprendizagem, e após a abstração dos conteúdos é possível o uso singular da tecnologia na manutenção e atualização do conhecimento anatômico. RESUMO anos pandêmico Questionase Questiona Veterinária Domésticos formulário anônimo estatisticamente 115 11 5 11,5 mesmo lembramse lembram assunto frequência teórico 80,8% 808 80 8 (80,8% avançava 596 59 6 59,6 30,8% 308 30 (30,8% 15,4%. 154 15,4% . 15 4 (15,4%) essencial 3D D preliminar concluise conclui empática ensinoaprendizagem, ensinoaprendizagem aprendizagem, aprendizagem ensino-aprendizagem anatômico 1 11, 80,8 (80,8 59, 30,8 3 (30,8 15,4 (15,4% 80, (80, 30, (30, 15, (15,4 (80 (30 (15, (8 (3 (15 ( (1

ABSTRACT: Anatomy teaching has been changing over the years, introducing technological methods especially after the pandemic period. An ongoing debate revolves around whether exclusive reliance on technology for anatomy classes, as opposed to traditional methods and face-to-face instruction, enhances knowledge acquisition. This study analyzed the knowledge perception of students from various semesters throughout the Veterinary Medicine course, comparing students who only had online classes with those who had face-to-face classes in Gross Anatomy of Domestic Animals. For this purpose, a questionnaire was distributed for voluntary and anonymous completion, and the responses were subsequently analyzed statistically. The results indicated that 11.5% of the students who took Anatomy remotely failed to apply the knowledge in other subjects, while no face-to-face learning student reported the same. Most students, both remote and face-to-face groups, remember the subject but review the content frequently. Regarding theoretical knowledge, the online group (80.8%) understood better as the course progressed, compared to 59.6% of the face-to-face group. The connection between Anatomy and other subjects was more highlighted by the face-to-face group (30.8%) compared to the online group (15.4%). Both groups agree that physical contact with anatomical specimens is essential; however, some believe that initial exposure through 3D images or photographs is feasible. We concluded based on this preliminary study that the initial interactions with the Anatomy field should include diversified pedagogical techniques with empathetic communication. The use of modern technological resources are allies in the teaching-learning process. Furthermore, after abstracting the contents, technology alone can effectively maintain and update anatomical knowledge. ABSTRACT years period facetoface face instruction acquisition Animals purpose completion statistically 115 11 5 11.5 same frequently 80.8% 808 80 8 (80.8% progressed 596 59 6 59.6 30.8% 308 30 (30.8% 15.4%. 154 15.4% . 15 4 (15.4%) essential however D feasible communication teachinglearning process Furthermore contents 1 11. 80.8 (80.8 59. 30.8 3 (30.8 15.4 (15.4% 80. (80. 30. (30. 15. (15.4 (80 (30 (15. (8 (3 (15 ( (1

Abstract Advances in the diagnosis and treatment of multiple myeloma have led to the modification of diagnostic criteria and initiation of therapy, incorporating myeloma-defining events into the CRAB criteria. Imaging has evolved from radiographic study to whole-body techniques, including low-dose computed tomography (LDCT), 18F-fluorodeoxyglucose positron emission tomography (PET/CT), and whole-body magnetic resonance imaging (MRI), being an important part of the evaluation of myeloma precursors, the staging of the disease and the evaluation of treatment response. LDCT has greater sensitivity in the detection of bone lesions compared to the radiographic study, MRI has the greatest sensitivity in the evaluation of bone marrow infiltration and PET/CT is the method of choice in the evaluation of treatment response. The radiologist must know the morphological characteristics of the lesions originating from myeloma in the different techniques and recognize the advantages and disadvantages of the different types of study.

Resumen Los avances en el diagnóstico y el tratamiento del mieloma múltiple han llevado a la modificación de los criterios diagnósticos y de inicio de terapia, incorporándose a los criterios CRAB los eventos definitorios de mieloma. Las imágenes han evolucionado desde el estudio radiográfico hasta las modalidades de cuerpo completo, incluyendo la tomografía computada de baja dosis (TCBD), la tomografía computada por emisión de positrones (PET/CT) con 18F-fluorodesoxiglucosa y la resonancia magnética (RM) de cuerpo completo, siendo parte importante de la evaluación de los precursores del mieloma, de la estadificación de la enfermedad y de la evaluación de la respuesta a tratamiento. La TCBD posee mayor sensibilidad en la detección de lesiones óseas en comparación con el estudio radiográfico, la RM la mayor sensibilidad en la evaluación de la infiltración de la médula ósea y la PET/CT es la modalidad de elección en la valoración de la respuesta al tratamiento. El radiólogo debe conocer las características morfológicas de las lesiones originadas del mieloma en las distintas modalidades y reconocer las ventajas y desventajas de los diferentes tipos de estudio.

Resumo Este estudo buscou explorar a perspectiva dos docentes de medicina sobre a saúde mental de seus alunos. Este estudo qualitativo baseado em grupo focal faz parte de uma pesquisa longitudinal que estudou a saúde mental de estudantes brasileiros. Um grupo foi conduzido com professores empregados em uma faculdade de medicina. Os temas discutidos abrangeram o conceito de saúde mental e educação médica. Seis professores participaram de um grupo. A saúde mental dos estudantes de medicina é um construto que engloba aspectos emocionais, capacidade de resolução de problemas e múltiplas facetas do ser humano, segundo os participantes. As práticas artísticas, os momentos de socialização e de lazer foram percebidos como estimuladores da boa saúde mental dos estudantes. Exigências excessivas geram competitividade e a expectativa do professor pelo bom desempenho do aluno com base na própria experiência pode prejudicar a saúde mental do aluno. Os participantes destacaram também que é necessária uma reformulação pedagógica que faça sentido para o processo de aprendizagem do aluno para atualizar os currículos tradicionais. A saúde mental dos estudantes de medicina é influenciada pelas experiências e trocas durante o curso de medicina, principalmente entre professor e aluno, entendidas como necessárias e inerentes ao processo de tornar-se médico. Os achados deste estudo mostram a necessidade de mudanças curriculares no processo de formação médica e de atualização da formação docente para boas práticas que reforcem a boa saúde mental.

Resumen Este estudio buscó explorar la perspectiva de los profesores de medicina sobre la salud mental de sus estudiantes. Este estudio cualitativo basado en un grupo focal es parte de una investigación longitudinal que estudió la salud mental de estudiantes brasileños. Un grupo se llevó a cabo con profesores empleados en una escuela de medicina. Los temas tratados abarcaron el concepto de salud mental y educación médica. Seis docentes participaron en un grupo. La salud mental de los estudiantes de medicina es un constructo que abarca aspectos emocionales, capacidad de resolución de problemas y múltiples facetas del ser humano, según los participantes. Las prácticas artísticas, los momentos de socialización y el ocio fueron percibidos como estimulantes de la buena salud mental de los estudiantes. Las exigencias excesivas generan competitividad y la expectativa del docente sobre el buen desempeño del estudiante basándose en su propia experiencia puede perjudicar la salud mental del estudiante. Los participantes también resaltaron que es necesaria una reformulación pedagógica que tenga sentido para el proceso de aprendizaje del estudiante para actualizar los currículos tradicionales. La salud mental de los estudiantes de medicina está influenciada por las experiencias y los intercambios durante la carrera de medicina, principalmente entre profesor y estudiante, entendidos como necesarios e inherentes al proceso de convertirse en médico. Los hallazgos de este estudio muestran la necesidad de cambios curriculares en el proceso de formación médica y de actualización de la formación docente hacia buenas prácticas que refuercen la buena salud mental.

Abstract This study sought to explore the perspective of medical faculty on the mental health of their students. This qualitative study based on a focus group is part of a longitudinal research that studied the mental health of Brazilian students. One group was conducted with faculty employed at a medical school. Topics discussed covered the concept of mental health and medical education. Six professors participated in one group. The mental health of medical students is a construct that encompasses emotional aspects, ability to solve problems and multiple facets of a human being, according to the participants. Artistic practices, moments of socialization and leisure were perceived as stimulating students' good mental health. Excessive demands generate competitiveness and the teacher's expectation of the student's good performance based on their own experience can harm the student's mental health. Participants also highlighted that a pedagogical reformulation that makes sense for the student's learning process is necessary to update traditional curricula. Medical students’ mental health is influenced by experiences and exchanges during the medical school, mainly between professor and student, understood as necessary and inherent to the process of becoming physician. The findings of this study show the need for curriculum changes in the medical education process and updating teacher training for good practices that reinforce good mental health.

Abstract: Smart Grids have revolutionized the electricity industry by enabling more efficient control and monitoring of the electricity supply, with a key component being smart meters (SM). These collect information on demand, energy, and harmonic distortion, among others, which must be stored and managed efficiently in a metering data management system (MDMS). The MDMS must ensure that a complete set of data is obtained for use in algorithms to ensure the reliability and quality of the power supply. To address the challenge of management the big data generated by SM, short, medium, and long-term measurement forecasting techniques have been proposed, highlighting the use of artificial intelligence such as Artificial Neural Networks (ANN) and Deep Learning (DL) methods due to their ability to adapt to different input and output variables with various time horizons. In addition, the influence of the diversity of Information and Communication Technologies (ICT) on the update time and data storage in the MDMS is highlighted. In this sense, this work aims to identify which ANN or DL architecture(s) could be more suitable for enterprise, survey, or research applications, demonstrating favorable performance metrics in different scenarios of sampling frequency and typical data update times in Smart Grids. This is relevant due to the need for MDMS to perform multivariate and multi-pass predictions in the short term to complete the information until the information is available or updated.

Resumen: Las Redes Eléctricas Inteligentes de Distribución (REID) han revolucionado la industria eléctrica al permitir un control y monitoreo más eficiente del suministro eléctrico, con un componente clave siendo los medidores inteligentes (SM). Estos recopilan información sobre la demanda, energía, distorsión armónica, entre otros, que deben ser almacenados y gestionados eficientemente en un sistema de gestión de datos de medición (MDMS). El MDMS debe garantizar la obtención de un conjunto completo de datos para su uso en algoritmos que aseguren la confiabilidad y calidad del suministro eléctrico. Para abordar el desafío de gestionar la gran cantidad de datos generados por los SM, se han propuesto diferentes técnicas de predicción de mediciones a corto, mediano y largo plazo, destacando el uso de inteligencia artificial como las Redes Neuronales Artificiales (ANN) y métodos de Aprendizaje Profundo (DL) debido a su capacidad de adaptación a diferentes variables de entrada y salida con diversos horizontes temporales. Además, se destaca la influencia de la diversidad de Tecnologías de la Información y Comunicación (TIC) en el tiempo de actualización y almacenamiento de datos en un MDMS. En este sentido, este trabajo tiene como objetivo identificar qué arquitectura o arquitecturas de ANN o DL podrían ser más adecuadas para aplicaciones en empresas, estudios o investigaciones, demostrando métricas de rendimiento favorables en diferentes escenarios de frecuencia de muestreo y tiempos de actualización de datos típicos en un REID. Esto es relevante debido a la necesidad del MDMS de realizar predicciones multivariables y multipaso a corto plazo para completar la información, hasta que la misma esté disponible o se actualice.

Resumo: O Brasil e o Uruguai são países com tradição histórica na acolhida de refugiados, especialmente daqueles que são vítimas de conflitos armados ao redor do mundo e, devido à proximidade das regiões continentais, daqueles que são forçados a abandonar seus países devido a crises políticas e financeiras. Com base nessas premissas, o presente trabalho acadêmico abordará o panorama dos direitos fundamentais dos refugiados, destacando a legislação do Brasil e do Uruguai, e explorando os desenvolvimentos específicos relacionados a novas questões de proteção de vulnerabilidades de gênero e sexualidade, assim como questões coletivas, como os impactos irreversíveis causados pelas mudanças climáticas. Por fim, pretende-se demonstrar a possibilidade de adotar novos critérios técnicos e legislativos e medidas para fortalecer a proteção dos refugiados, destacando a importância de implementar políticas públicas que atendam a um maior número de necessitados e atualizem os conceitos e instrumentos jurídicos que tratam das novas dificuldades desse cenário

Resumen: Brasil y Uruguay son países con tradición histórica en la acogida de refugiados, especialmente aquellos que son víctimas de conflictos armados en el mundo y, por las regiones continentales cercanas, aquellos que se ven obligados a abandonar sus países debido a crisis políticas y financieras. Con estas premisas, el presente trabajo académico abordará el panorama de los derechos fundamentales de los refugiados, destacando la legislación de Brasil y Uruguay, y explorando los desarrollos específicos relacionados con nuevas cuestiones de protección de vulnerabilidades de género y sexualidad, así como cuestiones colectivas, como los impactos irreversibles causados por el cambio climático. Finalmente, se pretende demostrar la posibilidad de adoptar nuevos criterios técnicos y legislativos y medidas para fortalecer la protección de los refugiados, destacando la importancia de implementar políticas públicas que abarquen a un mayor número de necesitados y actualicen los conceptos e instrumentos jurídicos que aborden las nuevas dificultades del escenario

Abstract: Brazil and Uruguay have a historical tradition of welcoming refugees, especially those who are victims of armed conflicts around the world, and, due to their proximity to neighboring regions, those forced to leave their countries due to political and financial crises. With these premises, this academic paper will explore the landscape of fundamental rights for refugees, focusing on the legislation of Brazil and Uruguay. It will also delve into specific developments related to new issues of protection concerning gender and sexuality vulnerabilities, as well as collective issues, such as the irreversible impacts of climate change. Finally, the paper aims to demonstrate the possibility of adopting new technical and legislative criteria and measures to strengthen refugee protection. The importance of implementing public policies that reach a greater number of people in need and that update the legal concepts and instruments to address the emerging challenges is highlighted

Abstract Hailey-Hailey disease is a rare genodermatosis described in 1939, with an autosomal dominant inheritance pattern, characterized by compromised adhesion between epidermal keratinocytes. It has an estimated prevalence of 1/50,000, with no gender or race predilection. It results from a heterozygous mutation in the ATP2C1 gene, which encodes the transmembrane protein hSPA1C, present in all tissues, with preferential expression in keratinocytes. Mutations in the ATP2C1 gene cause changes in the synthesis of junctional proteins, leading to acantholysis. It usually begins in adulthood, with isolated cases at the extremes of life. It manifests as vesico-bullous lesions mainly in the flexural areas, which develop into erosions and crusts. Chronic lesions may form vegetative or verrucous plaques. Pruritus, a burning feeling and pain are common. It evolves with periods of remission and exacerbation, generally triggered by humidity, friction, heat, trauma and secondary infections. The diagnosis is based on clinical and histopathological criteria: marked suprabasal acantholysis, loosely joined keratinocytes, giving the appearance of a “dilapidated brick wall”, with a few dyskeratotic cells. The acantholysis affects the epidermis and spares the adnexal epithelia, which helps in the differential diagnosis with pemphigus vulgaris. Direct immunofluorescence is negative. The main differential diagnoses are Darier disease, pemphigus vegetans, intertrigo, contact dermatitis, and inverse psoriasis. There is no cure and the treatment is challenging, including measures to control heat, sweat and friction, topical medications (corticosteroids, calcineurin inhibitors, antibiotics), systemic medications (antibiotics, corticosteroids, immunosuppressants, retinoids and immunobiologicals) and procedures such as botulinum toxin, laser and surgery. There is a lack of controlled clinical trials to support the choice of the best treatment. HaileyHailey Hailey 1939 pattern keratinocytes 150000 1 50 000 1/50,000 predilection ATPC ATP C ATP2C hSPA1C hSPAC hSPA tissues proteins adulthood life vesicobullous vesico bullous areas crusts plaques Pruritus common exacerbation humidity friction heat infections criteria dilapidated wall, wall , wall” cells epithelia vulgaris negative vegetans intertrigo dermatitis psoriasis challenging corticosteroids (corticosteroids inhibitors antibiotics, antibiotics antibiotics) (antibiotics immunosuppressants immunobiologicals toxin surgery 193 15000 5 00 1/50,00 19 1500 0 1/50,0 150 1/50, 15 1/50 1/5 1/

ABSTRACT. Body condition (BC) can affect the reproductive output and hatchling survival of nesting olive ridley turtles (Lepidochelys olivacea). However, little is known about the BC of nesting females during the arrival event at nesting sites. Therefore, this study aimed to evaluate the BC of females nesting in La Escobilla Beach Sanctuary (La Escobilla) during the 2021 nesting season. Nesting females were measured and weighed. The mean size for nesting L. olivacea was 60.41 ± 2.98 cm for straight carapace length, 52.69 ± 2.57 cm for straight carapace width, and 34.35 ± 3.94 kg for weight (n = 483). The mean (± standard deviation, SD) Fulton′s/Bjorndal BC index estimated for nesting females was 1.54 ± 0.15, while the mean (± SD) of body mass index was 2.18 ± 0.23. Based on these indexes, 28 individuals were classified as in bad condition, 315 in good condition, and 19 in excellent condition. This first estimation of the olive ridley turtle body condition in a nesting colony showed that BC is a good body condition for most nesting females in La Escobilla. This study is a valuable baseline for nesting L.olivacea's health condition.

ABSTRACT. This work aims to report the phytoplankton species composition and cell density in the Mazatlán coastal region (eastern entrance of the Gulf of California (GC), Mexico) during the strong El Niño event of 2023. Surface water samples (at 2 m depth) for phytoplankton cell determinations were collected in December of 2023, a month in which the numerical value of the Oceanic Niño Index was 2.0. The results showed a total of 197 species, including 113 diatoms (with a total cell density of 51,444 cells L-1), 76 dinoflagellates (with a total cell density of 31,260 cells L-1), four silicoflagellates (with a total cell density of 420 cells L-1), two cyanobacteria (with a total cell density of 2,020 cells L-1), one Euglenophyta (with a total cell density of 900 cells L-1) and one ciliate (with a total cell density of 7,820 cells L-1). The diatom Dactyliosolen phuketensis (B.G. Sundström) G.R. Hasle, 1996 and the dinoflagellate Gyrodinium fusiforme (Kofoid & Swezy, 1921) presented the highest cell densities with 4,100 and 5,900 cells L-1, respectively, species that have been previously reported in high abundances in Mexican waters in years of warming events, including El Niño. The results presented here contribute to understanding the effects of strong El Niño events on the phytoplankton community structure of the southeastern GC. This topic still needs to be fully addressed. This study also provides an update on the taxonomic lists available for the region of a group of organisms whose nomenclature has been constantly changing in recent years.

ABSTRACT The National Institute of Water Resources promotes efficient water management in agricultural enterprises, based on the application of scientific research results. In spite of the investment made in the Laguna Blanca Agricultural Enterprise, there are still difficulties in making agricultural production sustainable, due to the low agro-productivity of the soils and the decrease in the efficiency of irrigation water use. For this reason, it is necessary to update, from the design of the installations, the operating parameters of the irrigation systems with centre pivot and reel machines. Based on the solution of two real case studies, the negative effects of the presence of salts in the soil solution on crop yields and on the sustainability of the supply sources involved in the irrigation activity are addressed. The hypothetical-deductive method was used to validate the convenience of considering salinity in the soil saturation extract at the design stage. As a result, the average pumping flow rate was identified as the design parameter that significantly influences the operation of these irrigation machines; the increase of this parameter infers the need to establish plot drainage systems to reduce the effects of soil saturation and the presence of salts in the soil solution.

RESUMEN El Instituto Nacional de Recursos Hidráulicos promueve la gestión eficiente del agua en las empresas agropecuarias, sobre la base de aplicar resultados de investigaciones científicas. A pesar de la inversión realizada en la Empresa Agropecuaria Laguna Blanca, aún persisten dificultades para hacer sostenible las producciones agrícolas, debido a la baja agroproductividad de los suelos y el descenso de la eficiencia en el uso del agua de riego, por ello se infiere la necesidad de actualizar, desde el diseño de las instalaciones, los parámetros de explotación de los sistemas de riego con máquinas de Pivote Central y Enrolladores. Se aborda, a partir de la solución de dos casos de estudios reales, los efectos negativos de la presencia de sales en la solución del suelo, sobre el rendimiento de los cultivos y en la sostenibilidad de las fuentes de abasto implicadas en la actividad del riego. Se empleó el método hipotético - deductivo, para validar la conveniencia de considerar en la etapa de diseño, la salinidad en el extracto de saturación del suelo. Como resultado se identificó el caudal medio de bombeo, como el parámetro de diseño que influye significativamente en la explotación de estas máquinas de riego; el incremento de este parámetro infiere la necesidad de establecer sistemas de drenaje parcelario para disminuir los efectos de la saturación de los suelos y la presencia de sales en la solución del suelo.

Abstract This text reviews the experiences of dialogue and collaboration with María Bertely Busquets, with whom I was able to share and work together. It explains how the Intercultural Inductive Method (IIM) influenced our work training indigenous teachers in Brazil, in the Intercultural Bachelor's Course of the Insikiran Institute of Indigenous Higher Education at the Federal University of Roraima, showing different moments of epistemological ruptures and multiple learnings. The application of the Intercultural Inductive Method in Brazil has been interesting and brought diverse inspirations in the training of indigenous teachers from the Macuxi, Wapichana, Ingarikó, Patamona, Taurepang, and Wai Wai peoples in Roraima, as well as others in different regions and States. It has not been a mechanical application but a critical review and update, about which María recognized the Method's potential to make and even promote educational innovations.

Resumen En este texto se revisan las experiencias de diálogo y colaboración con María Bertely Busquets, con quien pude compartir y trabajar en conjunto. Se explica cómo el Método Inductivo Intercultural (MII) influenció nuestro trabajo de formación de maestros indígenas en Brasil, en el Curso de Licenciatura Intercultural del Instituto Insikiran de Educación Superior Indígena en la Universidad Federal de Roraima, mostrando diferentes momentos de rupturas epistemológicas y de aprendizajes múltiples. La aplicación del Método Inductivo Intercultural en Brasil ha sido interesante y ha traído inspiraciones diversas en la formación de maestros indígenas de los pueblos Macuxi, Wapichana, Ingarikó, Patamona, Taurepang y Wai Wai, en Roraima, además de otras comunidades en diferentes regiones y Estados. No ha sido una aplicación mecánica, sino una revisión y actualización crítica, sobre lo cual María reconocía el potencial del Método para hacer, e incluso promover, innovaciones educativas.

Abstract A series of cases is reported of women in whom, after an esthetic procedure of injection of biopolymers into the buttocks, they present complications due to the extensive migration (and spreading) of these and post-surgical complications secondary to the extraction of the exogenous material. Although the complications of biopolymers are more common over time, they are rare cases and have few reports in the literature. More and more late effects of iatrogenic allogenosis are seen, and it becomes a topic of medical interest to recognize the main radiological findings associated with biopolymers, which awakens the need to report cases, recognize their complications, and carry out a review of the literature to update and thus improve the outcomes, the quality of life, and the long-term side effects.

Resumen Se reporta una serie de casos de mujeres en quienes posterior a un procedimiento estético de inyección de biopolímeros en los glúteos, presentan complicaciones dadas por la diseminación extensa de estos y posquirúrgicas secundarias a la extracción del material exógeno. Aunque las complicaciones de los biopolímeros son más comunes en el tiempo, son casos infrecuentes y con pocos reportes en la literatura. Cada vez se ven más efectos tardíos de la alogenosis iatrogénica y se convierte en un tema de interés médico reconocer los principales hallazgos radiológicos asociados a los biopolímeros, el cual despierta la necesidad de reportar casos, reconocer sus complicaciones y hacer una revisión de la literatura con el fin de actualizarse y de esta forma mejorar en los desenlaces, en la calidad de vida y en las secuelas a larga plazo.

Abstract Diabetic ketoacidosis is caused by extreme insulin deficiency and is characterized by dehydration, hyperglycemia, acidosis, and ketosis. Treatment includes basic life support, parenteral hydration to replace fluids and electrolytes and insulin therapy to reverse acidosis, ketosis, and normalize blood glucose levels. Management requires following guidelines for strict clinical and laboratory monitoring to avoid complications and obtain a favorable clinical outcome. The guidelines published in our previous Consensus on Diabetic Ketoacidosis diagnosis and treatment are presented, modified according to the latest changes in ISPAD (International Society of Pediatric and Adolescent Diabetes) and the Ministry of Public Health and Social Welfare Diabetes Program guidelines.

RESUMEN La cetoacidosis diabética constituye la manifestación extrema del déficit de insulina caracterizada por deshidratación, hiperglicemia, acidosis y cetosis. El tratamiento incluye soporte vital básico, hidratación parenteral para reposición de líquidos y electrolitos, insulinoterapia, con el objetivo de revertir la acidosis, la cetosis y obtener glucemia cercanas a lo normal. Exige un monitoreo estricto clínico y laboratorial siguiendo guías de manejo para evitar complicaciones y obtener una evolución favorable. Se presentan las modificaciones en las directrices publicadas en el Primer Consenso de diagnóstico y tratamiento de la Cetoacidosis diabética, en base a las actualizaciones sugeridas por la ISPAD (International Society of Pediatric and Adolescent Diabetes) y el Programa de Diabetes del Ministerio de Salud Pública y Bienestar Social (MSPBS).

ABSTRACT This research addresses the conception of integrative evaluations in high school teacher training as a way to improve the evaluation process. The objective was defined to conceive alternatives that contribute to the implementation of integrative evaluation with a professional pedagogical approach that would contribute to the fulfillment of the general objective, the skills and the objectives declared in the Graduate Profile in the third and fourth years of the specialties Primary Education English Teacher and Basic Secondary Teacher English Specialty. To this end, a procedure was proposed for the design and implementation of integrative evaluations that are included in the new study plans of both specialties. The results obtained allowed us to update the conception of integrative evaluations for the training of English teachers for the 21st century in teacher training colleges. In addition, it was shown greater coherence between the subject programs and the professional workshops subject to integration. Therefore, three integrative evaluations were proposed to be applied in the third year and one for the fourth year, which require higher levels of performance, besides contributing to the pedagogical professional approach in the training of Primary and Basic Secondary teachers of English.

RESUMEN La presente investigación aborda la concepción de las evaluaciones integradoras en la formación docente de nivel Medio Superior como vía de perfeccionamiento del proceso evaluativo. Se definió como objetivo concebir alternativas que contribuyan a la implementación de la evaluación integradora con un enfoque profesional pedagógico para el cumplimiento de los planes de estudio de las especialidades Maestro de Inglés de Educación Primaria y Profesor de Secundaria Básica Especialidad Inglés. Se plantea un procedimiento para el diseño y la implementación de las evaluaciones integradoras que se incluyen en los nuevos planes de estudio de ambas especialidades. Los resultados obtenidos permiten actualizar la concepción de las evaluaciones integradoras para la formación de maestros y profesores de inglés para el siglo XXI en las escuelas pedagógicas; además se muestra una mayor coherencia entre los programas de las asignaturas y los talleres profesionales objeto de integración, y se proponen tres evaluaciones integradoras a aplicar en tercero y una para el cuarto año las que requieren de niveles de desempeño superior durante su formación como maestros o profesores de inglés.

Abstract Mexico has great traditional knowledge of the use of medicinal plants, threatened by globalization and the standardization of educational systems. In Aguascalientes, the semiarid areas of the east are little studied on the ethnobotanical topic. The objective was to evaluate and update ethnobotanical knowledge of eastern Aguascalientes. Interviews, field trips, and collections of the mentioned medicinal plants were carried out. The Knowledge Wealth Index (KWI) and analysis of variance (ANOVA) were calculated by the age and sex of the interviewees. 52 medicinal species were identified, with main uses in the treatment of digestive, respiratory, renal, and traumatic diseases. Low KWI was obtained with a mean of 0.13 (limited knowledge), and without significant differences in knowledge between men and women, and age. The importance of documenting and preserving traditional knowledge and the use of medicinal plants in eastern Aguascalientes is highlighted.

Resumen México posee gran conocimiento tradicional en el uso de plantas medicinales, amenazado por la globalización y la estandarización de los sistemas educativos. En Aguascalientes, la región semiárida del oriente es un área poco estudiada en el ámbito etnoflorístico. El objetivo fue evaluar y actualizar el conocimiento etnoflorístico del oriente de Aguascalientes. Se hicieron entrevistas, recorridos en campo y colectas de las plantas medicinales mencionadas. Se calculó el índice de riqueza de conocimiento (IRC) y análisis de varianza (ANOVA) por edad y sexo de los entrevistados. Se identificaron 52 especies medicinales, con usos principales en el tratamiento de enfermedades digestivas, respiratorias, renales, y traumatismos. Se obtuvo bajo IRC con media de 0.13 (conocimiento limitado), y sin diferencias significativas en el conocimiento entre hombres y mujeres, ni por edad. Se destaca la importancia de documentar y preservar el conocimiento tradicional y el uso de plantas medicinales en el oriente de Aguascalientes.

The resurgence of monkeypox, subsequent to its designation as a Public Health Emergency of International Concern by the World Health Organization in 2022, underscores the critical need for rigorous infection control protocols within dental settings. Due to the inherent nature of dental procedures, that involve working in close proximity to patients and potential exposure to infectious bodily fluids, the dental profession faces significant challenges in mitigating the transmission of mpox. This update provides a comprehensive review of the virological characteristics, transmission pathways, and clinical presentation of mpox, with particular emphasis on its oral manifestations and the implications for dental practitioners. It delineates both standard and enhanced infection control measures, including the application of personal protective equipment, stringent hand hygiene practices, meticulous environmental disinfection, and the prudent management of aerosol-generating procedures. Additionally, is addresses the importance of patient screening, isolation of suspected cases, and the education of both dental staff and patients regarding the transmission and prevention of mpox. The necessity for dental professionals to maintain vigilance, remain current with evolving guidelines, and implement comprehensive infection control strategies is emphasized, highlighting the pivotal role of dental practices in the early detection and control of mpox transmission during the ongoing outbreak.