Resumo O objetivo deste artigo é realizar uma revisão sistemática sobre o uso da teoria ator-rede (tar) como ferramenta metodológica na pesquisa em ciências sociais. Para tanto, nos baseamos na metodologia Scoping Review para realizar uma busca em três bases de dados, utilizando como critério de seleção o uso do termo ator-rede no título, palavras-chave e resumo. Filtramos as pesquisas relacionadas a coletivos e redes em que a tar é utilizada como referência metodológica e as catalogamos por campo de estudo, identificando elementos comuns nas categorias. Este artigo de revisão destaca as possibilidades e limitações do art. Concluímos que o uso da tar requer assumir uma postura ontológica baseada na compreensão da realidade como uma rede de atores simétricos que atuam como agentes para outros, transformando as referências que os incluem a partir de processos de mediação e tradução que podem ser estudados a partir do empirismo radical. Isso faz da tar a alternativa capaz de descrever, analisar e intervir em redes a partir da compreensão dos atores que as compõem.

Resumen Este artículo tiene como objetivo realizar una revisión sistemática referente a la utilización de la teoría de actor red (tar) como referente metodológico en la investigación de las ciencias sociales. Para este fin, se realiza una búsqueda basada en la metodología del Scoping Review en tres bases de datos, usando como criterio de selección la utilización de términos de referencia "actor red" en título, palabras clave y resumen; se filtra las investigaciones relacionadas con colectivos y redes donde se use la tar como referente metodológico y se cataloga por su campo de estudio; finalmente, se procede a señalar los elementos comunes de las categorías. Como síntesis, se señala las posibilidades y limitaciones de este referente. Concluimos que la utilización de la tar requiere asumir una postura ontológica que se basa en la comprensión de la realidad como una red de actores simétricos que agencian a otros, transformando las referencias que los incluyen, a partir de procesos de mediación y traducción, que pueden ser estudiados desde el empirismo radical, poniéndola como una alternativa de estudio que puede describir, analizar e intervenir las redes, desde una comprensión de los actores que la componen.

Abstract The aim of this article is to carry out a systematic review of the use of the actor-network theory (art) as a methodological tool in social science research. For this purpose, we relied on the Scoping Review methodology to conduct a search in three databases, using as selection criteria the use of the term network actor in the title, keywords and abstract. We filtered the publications related to collectives and networks where art is used as a methodological reference and we catalogued them by field of study, identifying common elements in the categories. This review article highlights the possibilities and limitations of art. We conclude that the use of art requires assuming an ontological posture based on the understanding of reality as a network of symmetrical actors who act as agents for others, transforming the references that include them starting from processes of mediation and translation that can be studied from radical empiricism. This makes art an alternative that can describe, analyze and intervene networks from an understanding of the actors that compose them.

Resumen Objetivos: Comunicar los resultados funcionales y radiográficos en seis pacientes con fractura “en pico de pato” (beak fracture) y realizar una revisión de la bibliografía. Materiales y Métodos: Se evaluaron los resultados funcionales (escala de la AOFAS) y radiológicos en seis pacientes (3 hombres y 3 mujeres; edad promedio 35.6 años). El tiempo promedio transcurrido entre la lesión y el ingreso en el quirófano fue de 2.83 h. Se realizó la rama vertical del abordaje lateral extendido. Se fijó con tornillos canulados y macizos de 3,5; 4,0 o 4,5 mm solos o combinados con placas de 3,5 y 2,7 mm bloqueadas. Resultados: Después de un seguimiento de entre 8 y 24 meses, todos los pacientes tenían signos francos de consolidación. Al ingresar, todos presentaban signos de sufrimiento de partes blandas sin signos de necrosis. El puntaje de la escala de la AOFAS fue de 82,4 (5, buenos y 1, regular). Las complicaciones fueron: una infección profunda y pérdida de la reducción en el mismo paciente. Conclusiones: Las fracturas “en pico de pato” pueden generar complicaciones de partes blandas si no son tratadas de manera urgente, debido al compromiso inicial de partes blandas. La reducción abierta y la fijación con tornillos y placas es el sistema de fijación más estable.

Abstract Objectives: To present the functional and radiographic outcomes of six patients with beak fractures and to carry out a literature review. Materials and Methods: The functional (AOFAS Score) and radiological outcomes of six patients were evaluated. Three patients were male and three were female (mean age: 35.6 years). The mean time interval between injury and admission to the operating room was 2.83 hours. The extensile lateral approach was used. The fracture was fixed with 3.5, 4.0, or 4.5mm cannulated and solid screws alone or in combination with 3.5 and 2.7mm locking plates. Results: After a follow-up period of between 8 and 24 months, all the patients had clear signs of consolidation. On admission, all presented signs of soft tissue pain without signs of necrosis. The AOFAS score was 82.4 (5 good and 1 fair). The complications observed were a deep infection and loss of reduction in the same patient. Conclusions: Beak fractures can generate soft tissue complications if they are not treated urgently due to initial soft tissue involvement. Open reduction and fixation with screws and plates is the most stable fixation system.

Resumo: Introdução: a exposição a estímulos dolorosos e ao estresse na fase neonatal, sem tratamento correto, traz consequências a curto e longo prazo. O diagnóstico adequado é um desafio, uma vez que as escalas clínicas são subjetivas e são necessárias ferramentas de triagem com melhor objetividade e capacidade de interpretar o desconforto/dor neonatal. A Avaliação Parassimpática do Recém-Nascido (NIPE™) é uma tecnologia não invasiva para monitoramento contínuo da dor em neonatos, desenvolvida recentemente devido à dificuldade de objetivar a dor usando métodos convencionais na prática clínica. Esta tecnologia baseia-se na análise da variabilidade da frequência cardíaca (FC), o que nos permite aproximar a atividade do sistema parassimpático. Objetivos: o objetivo desta pesquisa foi avaliar o desconforto em recém-nascido modelo suíno (RN) e em neonatos humanos expostos a manobras nociceptivas com uso de tecnologia não invasiva (NIPE), na maternidade do Hospital Universitário. Material e métodos: foi realizado um estudo observacional, longitudinal, em 6 suínos RN, anestesiados, monitorados hemodinamicamente e submetidos a um procedimento cirúrgico de grande porte (toracotomia lateral esquerda com abordagem cardíaca, pericardiostomia e acesso vascular pulmonar transventricular direito) e 12 procedimentos minimamente invasivos, da prática clínica. rotina como vacinação BCG, hemoglicoteste e triagem, que geram estímulo nociceptivo em 8 recém-nascidos a termo saudáveis. Foram incluídos recém-nascidos a termo saudáveis (IG entre 37-41 semanas mais 6 dias) internados no alojamento conjunto mãe-filho, foram excluídos do A amostra incluiu RNs que apresentavam alguma patologia e aqueles cujos pais não aceitaram a participação no estudo. Resultados: a variabilidade da FC foi comparada por meio de detecção automatizada (NIPETM) para estimativa objetiva de dor/desconforto. Foi comparado na clínica com uma escala validada e amplamente utilizada em neonatos: Premature Infant Pain Profile (PIPP). Para avaliar a associação entre as variáveis do NIPE™ e a FC, utilizou-se a correlação de Spearman, o teste de Kruskall-Wallis ou o teste Qui-quadrado com correção de Fisher, conforme apropriado. Foi encontrada correlação negativa entre a FC e o NIPETM para ambos os grupos de neonatos. (r=-1; p=0,008) e para o modelo animal (r=-0,6; p=0,0004). Não foi encontrada associação significativa entre o NIPETM e a escala PIPP. A variação entre os valores de NIPE™ pré e pós-estímulo em RN humanos foi significativa (p=0,008). Conclusões: concluímos que em ambos os cenários explorados, os valores do NIPE™ diminuem diante de estímulos nociceptivos e as alterações na FC estão relacionadas aos seus valores, independente da espécie ou da agressividade da manobra. Este trabalho é o primeiro a nível nacional a incorporar a utilização desta tecnologia, acreditamos que terá impacto na forma como a dor é avaliada e abordada pelas equipas de saúde e experimentais.

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Summary: Introduction: exposure to painful stimuli and stress in the neonatal stage, without correct treatment, has short and long-term consequences. Proper diagnosis is a challenge since clinical scales are subjective, and we require more objective screening tools and a better ability to interpret neonatal discomfort/pain. Newborn Infant Parasympathetic Evaluation (NIPE™) is a non-invasive technology for continuous pain monitoring in neonates, recently developed given the difficulty to objectify pain using conventional methods in clinical practice. This technology is based on the analysis of heart rate variability (HR), which allows us to approximate the activity of the parasympathetic system. Objectives: the objective of this research was to assess discomfort in a newborn pig model (NB) and in human neonates exposed to nociceptive maneuvers with the use of non-invasive technology (NIPE), in the maternity ward of the University Hospital. Material and methods: an observational, longitudinal study was carried out in 6 NB pigs, anesthetized, hemodynamically monitored and subjected to a major surgical procedure (left lateral thoracotomy with cardiac approach, pericardiostomy and right trans ventricular pulmonary vascular access) and 12 minimally invasive procedures, from clinical practice. routine such as BCG vaccination, hemoglucotest and screening, which generate a nociceptive stimulus in 8 healthy term newborns. Healthy term newborns (GA between 37-41 weeks plus 6 days) admitted to the mother-child joint accommodation were included, We excluded those NB patients who presented some pathology or whose parents did not accept participation in the study. Results: HR variability was compared using automated detection (NIPETM) for objective estimation of pain/discomfort. It was compared in the clinic with a validated and widely used scale in neonates: Premature Infant Pain Profile (PIPP). We used the Spearman’s correlation, the Kruskall-Wallis test or the Chi square test with Fisher’s correction to assess the association between NIPE™ variables and HR, as needed. A negative correlation was found between HR and NIPETM for both the group of neonates. humans (r=-1; p=0.008) and for the animal model (r=-0.6; p=0.0004). No significant association was found between NIPETM and the PIPP scale. The variation between pre- and post-stimulus NIPE™ values in human NBs was significant (p=0.008). Conclusions: we conclude that in both scenarios explored, NIPE™ values decrease when faced with nociceptive stimuli and changes in HR are related to its values, regardless of the species or the aggressiveness of the maneuver. This paper is the first at a national level to incorporate the use of this technology, we believe it will have an impact on the way pain is assessed and addressed by healthcare and experimental teams.

Resumen Antecedentes: El archipiélago cubano posee la mayor diversidad de cactus en el Caribe. Pese a que en los últimos años se han realizado numerosos estudios que facilitan la delimitación de sus especies, los inventarios existentes aún no han considerado toda la evidencia disponible. Preguntas: ¿Cuántos cactus nativos y naturalizados hay en Cuba? ¿Qué porcentaje de los cactus nativos son endémicos? Especies de estudio: Familia Cactaceae. Sitio y años de estudio: Cuba, 2013-2023. Métodos: Se revisó la información disponible sobre cactáceas cubanas donde se incluyeran listas o descripciones de especies, estudios taxonómicos, sistemáticos y filogenéticos. Además, se realizó un extenso trabajo de campo durante una década que abarcó toda la isla de Cuba. Se consideraron especies nativas las que están presentes en el archipiélago debido a causas naturales y que no llegaron debido a la intervención humana, mientras como especie naturalizada se consideraron las que fueron introducidas, intencional o no, por diferentes actividades humanas y que pueden reproducirse (sexual o asexual) de forma regular y mantener poblaciones por varias generaciones sin la intervención antrópica. Resultados: Registramos para Cuba 71 especies nativas o naturalizadas de 20 géneros de cactus, de estas, 49 especies son nativas (75.51 % endémicas) y 22 naturalizadas. Conclusiones: Cuba se ratifica como la isla con mayor diversidad de cactus en el Caribe.

Abstract Background: The Cuban archipelago has the greatest diversity of cactus in the Caribbean. Although in recent years there have been numerous studies that facilitate the delimitation of their species, existing inventories have not yet considered all available evidence. Questions: How many native and naturalized cacti are there in Cuba? What percentage of native cacti are endemic? Studied species: Cactaceae family. Study site and dates: Cuba, 2013-2023. Methods: The information available on Cuban cacti was reviewed that includes lists or descriptions of species, taxonomic, systematic and phylogenetic studies. In addition, an extensive field work was carried out for a decade that covered the entire island of Cuba. Native species were considered that are present in the archipelago due to natural causes and that did not arrive due to human intervention, while as a naturalized species, those that were introduced, intentional or not, by different human activities and that can be reproduced (sexual or asexual) regularly and maintain populations for several generations without anthropic intervention. Results: We recorded for Cuba 71 native or naturalized species of 20 genera of cacti, of these, 49 species are native (75.51 % endemic) and 22 naturalized. Conclusions: Cuba is ratified as the island with greater diversity of cactus in the Caribbean.

Abstract The history of prison medical services goes back approximately half a century, in the now extinct National Penitentiary, where, for a long time, it was in charge of representatives of CCSS. It is not, until at the end of the 80's, with the closure of the penal center located on San Lucas Island, the creation of health centers belonging to the Ministerio de Justicia y Paz (MJP) is achieved. In 1993, the first inter-institutional agreement between the CCSS and the MJP was reached, updated in 1998, which is still endorsed by the Attorney General's Office. Currently, the MJP has 87 positions assigned to positions related to health services throughout the Costa Rican territory.

Resumen: La historia de los servicios médicos penitenciarios se remonta hace aproximadamente medio siglo, en la extinta Penitenciaria Nacional, donde al igual que, durante mucho tiempo estuvo a cargo de personeros de la Caja Costarricense del Seguro Social (CCSS). No es, hasta que al finalizar la década de los 80's, con el cierre del centro penal ubicado en la Isla San Lucas, se logra concretar la creación de plazas de salud propias del Ministerio de Justicia y Paz (MJP). En 1993 se logra el primer convenio interinstitucional entre la CCSS y el MJP, actualizado en 1998, el cual aún se encuentra refrendado por la Procuraduría General de la República. Actualmente, el MJP cuenta con 87 plazas asignas a puestos relacionados con servicios de salud a lo largo y ancho del territorio costarricense.

Resumen: Para las y los autores de este proyecto, ganador del concurso para albergar la obra del escultor Mario Irarrázabal, un museo puede entenderse como un jardín -definido por sus límites, pero también abierto al cambio-. Para nosotros en ARQ, este proyecto también demuestra cómo los edificios pueden ser herramientas para la recuperación ecológica, donde las lógicas de emplazamiento, circulación y redes de infraestructura se tratan como oportunidades para favorecer a las especies más-que-humanas que ya habitan este lugar.

Abstract: For the authors of this winning competition entry to house sculptor Mario Irarrázabal’s work, a museum can be understood as a garden -defined by its limits but also open to change. For us at ARQ, this project also demonstrates how buildings can be tools for ecological recovery, wherein the logic of their positioning, circulation, and infrastructural networks are treated as opportunities to favor the more-than-human species that already inhabit the site.

Resumen Este trabajo analiza la distribución de planes sociales en Argentina y presenta un resultado contraintuitivo. El Partido Justicialista de Argentina, que la literatura describe como clientelar, incrementó los fondos programáticos durante el gobierno de Cristina Fernández de Kirchner, mientras que la coalición Cambiemos, que se presentó como programática, invirtió más en la distribución discrecional durante el gobierno de Mauricio Macri. El estudio presenta un análisis cuantitativo del total de 364 programas del gobierno nacional entre 2008 y 2019, explora los procesos que llevaron a los resultados en ambas administraciones usando fuentes secundarias y concluye con algunas implicancias comparadas. El principal argumento es que ambos partidos distribuyeron fondos discrecionales a través de movimientos sociales para contener posibles estallidos sociales, intercambiándolos por paz social y gobernabilidad.

Abstract This work analyzes the distribution of social programs in Argentina and present a counterintuitive observation. The Justicialista Party of Argentina, which the literatur describes as clientelistie, increased programmatic funds during the government of Cristina Fernández de Kirchner, while the Cambiemos coalition, which presented itself as programmatic, invested more in discretionary funds during the government of Mauricio Macri. The study presents a quantitative analysis of a total of364 national government programs between 2008 and 2019, explores the processes that led to the results in both administrations using secondary sources, and concludes with some comparative implwations. The main argument is that both parties in government distributed discretionary funds through social movements to contain possible social unrest, exchanging them for social peace and governability.

Background: The measurement of plasma thyroglobulin (Tg) is widely used in the monitoring of differentiated thyroid cancer (CDT). In recent years, its value as a prognostic marker prior to ablation with radioiodine has increased, demonstrating its high negative predictive value. Recent studies indicate that a wide variety of factors could potentially influence pre-ablative Tg values, including residual tumor burden and stimulation modality. Aim: To relate the value of pre-ablative Tg with the amount of preoperative disease burden, lymph node metastases, treatment, and presence of residual disease. Material and Methods: Retrospective observational study of 70 patients with CDT treated between 2012 and 2018. The amount of disease burden was defined as the sum of largest diameter of individual tumors in each patient, and as the individually largest tumor per patient and number of metastatic lymph nodes. Results: A smaller tumor size and absence of remnant tissue was associated with lower Tg values, although the association was not always significant. Furthermore, no significant difference was found between Tg levels measured within or more than 14 days after the surgical procedure. Thus, an early measurement of pTg after surgery would allow an initial therapeutic decision making. Conclusions: A statistical association between pre-ablative Tg levels and the amount of preoperative tumor tissue burden was found in some subgroups of patients.

Abstract Objective: To determine the initial management and in-hospital mortality of patients with acute coronary syndrome who attended referral hospitals in Paraguay. Method: Observational, multicenter study, in patients over 18 years with a confirmed diagnosis of acute coronary syndrome. Results: 780 patients were included from May 2015 to February 2016; the mean age was 64.1 ± 12.3 years, 64.1% male. The clinical presentation was acute coronary syndrome with ST elevation in 40.1% and without elevation in 59.9%. In patients with ST elevation there is a high percentage of late attendance, more than 12 h of evolution in 49.8%; those with less than 12 h of evolution underwent reperfusion in 52.2% of the cases, received fibrinolytics in 36.3% of the cases, and primary percutaneous coronary intervention 15.9%. In-hospital mortality for acute coronary syndrome was 10.3%, with ST-segment elevation was 12.8%, and without ST-segment elevation was 8.6%. Conclusions: The management of acute coronary syndrome in Paraguay needs a comprehensive approach, which promotes earlier care, and increases the implementation of reperfusion therapies in the health services network, in order to improve the therapeutic response rates and decrease hospital mortality.

Resumen Objetivo: Determinar el tratamiento inicial y la mortalidad intrahospitalaria de pacientes con síndrome coronario agudo que acudieron a centros hospitalarios de referencia de Paraguay. Método: Estudio observacional y multicéntrico en pacientes mayores de 18 años con diagnóstico confirmado de síndrome coronario agudo. Resultados: Se incluyó a 780 pacientes desde mayo de 2015 hasta febrero de 2016; la edad media fue de 64.1 ± 12.3 años y el género masculino representó el 64.1%. La presentación clínica fue la de síndrome coronario agudo con elevación del ST en 40.1% y sin elevación del ST en 59.9%. En pacientes con elevación del ST se observó un alto porcentaje de consultas tardías, mayor de 12 h de evolución en 49.8%; en aquéllos con menos de 12 h de evolución se indicó la reperfusión en 52.2%, el 36.3% recibió fibrinolíticos y 15.9% intervención coronaria percutánea primaria. La mortalidad hospitalaria del síndrome coronario agudo fue de 10.3%, con elevación del segmento ST en 12.8% y sin elevación del segmento ST en 8.6%. Conclusiones: El tratamiento del síndrome coronario agudo en el Paraguay requiere un abordaje integral, que promueva consultas más tempranas y aumente la institución de tratamientos de reperfusión en la red de servicios de salud; el objetivo es mejorar los índices de respuesta terapéutica y disminuir la mortalidad hospitalaria.

Elevated intracranial pressure (ICP) is a devastating complication, with great impact on neurological status and high morbidity and mortality. Intracranial hypertension (ICH) has multiple etiologies. The natural history of this condition can lead to brain death. The successful management of patients with elevated ICP (> 20-25 mmHg) requires fast and timely recognition, judicious use of invasive monitoring and therapies aimed to reversing its underlying cause. Therefore, it must be managed as a neurological emergency. The objective of this review is to present in a friendly way the diagnostic approach and the management of ICH, focused on general practitioners.

Abstract Objectives: To analyse the possible gender differences within the clinical risk profile of lower-limb amputee patients who had a non-traumatic amputation. Method: A retrospective study with 697 lower-limb amputee patients, classified according to their gender, has been conducted at the Angiology and Vascular Surgery Department for 5 years. The variables considered were demographic variables (age and gender) and clinic variables (cause of the amputation, comorbidity, cardiovascular risk factors and the amputation level). Results: Regarding to the results, the average of women was older than men (75.3 ± 12 vs. 68.9 ± 11 years; p < 0.001), showing an increasing frequency to concomitant cardiovascular risk factors, such as diabetes, hypertension, and obesity. However, men present a higher frequency to smoking. There were no gender differences in the main cause of the amputation, the ischemic cause, being notably into this cause the subgroup of arteriosclerosis cause. Women showed a higher frequency and predisposition for major amputation. Conclusions: This study showed that women had a more unfavorable cardiovascular risk profile than men, being the female gender an independent predictor to a major lower-limb amputation with non-traumatic amputation.

Resumen Objetivo: Analizar las diferencias según el sexo en el perfil clínico de riesgo de los pacientes amputados de miembro inferior por causa no traumática. Método: Estudio retrospectivo descriptivo con 697 pacientes amputados de miembro inferior por causa no traumática, en un Servicio de Angiología y Cirugía Vascular, durante un periodo de 5 años y divididos en función del sexo. Se analizaron variables demográficas (edad) y clínicas (causa, comorbilidad, factores de riesgo cardiovascular y nivel de amputación). Resultados: La edad media (± desviación estándar) de las mujeres fue mayor (75.3 ± 12 frente a 68.9 ± 11 años; p < 0.001) y ellas presentaron mayor frecuencia de factores de riesgo cardiovascular concomitantes, tales como diabetes, hipertensión y obesidad, que los varones, mientras que ellos presentaron mayor frecuencia de tabaquismo. No hubo diferencia significativa entre sexos respecto a la distribución de las causas de amputación, siendo la principal causa la isquémica, destacando la arteriosclerosis. Las mujeres presentaron mayor frecuencia y predisposición para un nivel de amputación mayor. Conclusiones: En nuestro estudio, las mujeres presentaron un perfil de riesgo cardiovascular más desfavorable y el sexo femenino fue un predictor independiente de amputación mayor de miembro inferior por causa no traumática.

ABSTRACT INTRODUCTION : Colorectal cáncer (CRC) is the thirdmost frequent neoplasm and the fourth cause of death from cáncer worldwide. In Argentina it is the second most frequent malignancy, with 11.8% of the cases. The objective of the study was to assess the evidence on the effectiveness of workplace interventions aimed at increasing the screening rate of CRC. METHODS : A search was conducted in bibliographic databases, generic Internet search engines, and national health and education ministry websites. RESULTS : Two cluster randomized clinical trials (RCTs), one RCT, five non-control group implementation studies, program reports and clinical practice guidelines for CRC screening developed in American countries as well as a European guideline were included. Workplace interventions are effective for increasing the rate of screening. The delivery of faecal occult blood test (FOBT) kits was the most frequently usedintervention, followed by information distribution and educational meetings. Interventions were more effective in those who had a family history of CRC or who were informed of the individual risk of developing the disease. Educational meetings in the workplace are an acceptable environment for disseminating information and distributing FOBT kits. DISCUSSION : An approach consisting of workplace interventions could increase the rate of CRC screening in the general population.

RESUMEN INTRODUCCIÓN : El cáncer de colon y recto (CCR) es la tercera neoplasia más frecuente y la cuarta causa de muerte por cáncer a nivel mundial. En Argentina es la segunda neoplasia maligna más frecuente, con el 11,8% de los casos. El objetivo del informe fue evaluar la evidencia sobre la eficacia de intervenciones efectuadas en el ámbito laboral para incrementar el rastreo de CCR. MÉTODOS : Se realizó una búsqueda en bases de datos bibliográficas, buscadores genéricos de Internet y sitios ministeriales de salud y educación nacionales. RESULTADOS : Se incluyeron dos estudios clínicos aleatorizados (ECA) por conglomerados, un ECA, cinco estudios de implementación sin grupo control, reportes de programas y guías de prácticas clínicas de rastreo del CCR desarrollados en países de América y una guía europea. Las intervenciones en el ámbito laboral son eficaces para aumentar la tasa de rastreo. La entrega de kits para test de sangre oculta en materia fecal (TSOMF) fue la intervención más utilizada, seguida por distribución de información y sesiones educativas. Se vio mayor eficacia de las intervenciones en quienes contaban con historia familiar de CCR o recibían información sobre el riesgo individual de desarrollar la enfermedad. Los encuentros educativos en ámbitos laborales son un entorno aceptable para difundir información y distribuir kits para TSOMF. DISCUSIÓN : Un abordaje compuesto por intervenciones en el ámbito laboral podría incrementar la tasa de rastreo de CCR en la población general.