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Resumen El objetivo general del artículo fue analizar sistemáticamente mediante la revisión de literatura el impacto de la vulneración del derecho a contradicción en el proceso de colaboración eficaz que recurre al empleo de la prueba pericial. La metodología utilizada fue cualitativa, de tipo básico y con diseño de revisión sistemática, por ello contó con una muestra de 6 artículos relacionados con la temática del estudio. Respecto a los resultados, se determinó que la prueba pericial aporta cogniciones de otras materias cuya relación con el Derecho acrecienta la posibilidad de comprender la situación y resolver un juicio de la manera más integral posible, para lo cual también debe cerciorarse el principio de contradicción. Por otra parte, la indagación se limitó al no realizar comparaciones constitucionales con otros sistemas legales para concebir las diferencias constantes que implican concepciones a tener en consideración; sin embargo, el valor del estudio recayó en el reconocimiento del impacto que la vulneración del derecho mencionado implica para las sociedades y los individuos según su responsabilidad y las imputaciones por las cuales deben responder. Finalmente, se concluyó que el principio de contradicción es crucial para un juicio íntegro y debe reforzarse cuando se reciba evidencia desde otras ramas del conocimiento.

Abstract The general objective of the article was to systematically analyze through literature review the impact of the violation of the right to contradiction in the process of effective collaboration that resorts to the use of expert evidence. The methodology used was qualitative, basic and with a systematic review design, so it had a sample of 6 articles related to the subject of the study. Regarding the results, it was determined that the expert evidence provides cognitions of other matters whose relationship with the Law increases the possibility of understanding the situation and resolving a trial in the most comprehensive way possible, for which the principle of contradiction must also be ascertained. On the other side, the inquiry was limited by not making constitutional comparisons with other legal systems to conceive the constant differences that imply conceptions to be taken into consideration; however, the value of the study lay in the recognition of the impact that the violation of the aforementioned right implies for companies and individuals according to their responsibility and the imputations for which they must respond. Finally, it was concluded that the adversarial principle is crucial for an integral judgment and should be reinforced when evidence is received from other branches of knowledge.

https://doi.org/10.35290/rcui.v11n1.2023.997

Understanding the dynamics of deceased organ donation and utilization in Colombia
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Cruz Mususú, William

; García-Lopez, Andrea

; Lozano-Suarez, Nicolás

; Gómez-Montero, Andrea

; Orellano-Salas, Milena

; Vargas-Pérez, Luisa

; Escobar-Chaves, Ximena

; Girón-Luque, Fernando

Revista Panamericana de Salud Pública

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2024, Volume 48 elocation e24

Abstract: Es En Pt | Text: Es En Pt | PDF: Es | PDF: En | PDF: Pt

RESUMEN Objetivo. Presentar una descripción integral de la donación, utilización y descarte de órganos en todo el proceso de donación en Colombia. Métodos. Estudio retrospectivo de 1 451 donantes posibles, distribuidos en tres regiones de Colombia, que fueron evaluados en el 2022. Se describen las características generales, el diagnóstico y las causas de contraindicación de los donantes potenciales. Resultados. De los 1 451 donantes posibles, 441 (30,4%) cumplían con los criterios de muerte encefálica y constituyeron el conjunto de donantes potenciales. Las familias consintieron la donación de órganos en 141 casos aptos desde el punto de vista médico, mientras que en 60 casos se recurrió a la presunción legal, con lo que se llegó a 201 donantes aptos (13,9%). De estos, 160 (11,0%) fueron donantes reales (en los que se les practicó una incisión quirúrgica para la extracción de órganos o se obtuvo al menos un órgano). En última instancia, hubo 147 donantes utilizados (10,1%) (de los que se trasplantó al menos un órgano). Se observaron diferencias estadísticamente significativas entre las regiones en cuanto a edad, sexo, diagnóstico de muerte encefálica y vía crítica del donante. Se trasplantaron un total de 411 órganos procedentes de 147 donantes utilizados; los riñones fueron los órganos obtenidos y trasplantados con mayor frecuencia, ya que supusieron 280 (68,1%) del total de órganos, seguidos del hígado (85, 20,7%), el corazón (31 , 7,5%), los pulmones (14, 3,4%) y el páncreas (1, 0,2%). La tasa de descarte de los donantes fallecidos disponibles fue del 8,1%. Conclusiones. Aproximadamente una décima parte de los donantes son utilizados, de hecho, para realizar trasplantes. Estos datos destacan las áreas en las que se han obtenido buenos resultados y aquellas en las que se presentan desafíos, lo cual proporciona una base para futuras mejoras en Colombia.

ABSTRACT Objective. To obtain a comprehensive overview of organ donation, organ utilization, and discard in the entire donation process in Colombia. Methods. A retrospective study of 1 451 possible donors, distributed in three regions of Colombia, evaluated in 2022. The general characteristics, diagnosis, and causes of contraindication for potential donors were described. Results. Among the 1 451 possible donors, 441 (30.4%) fulfilled brain death criteria, constituting the potential donor pool. Families consented to organ donation in 141 medically suitable cases, while 60 instances utilized legal presumption, leading to 201 eligible donors (13.9%). Of those, 160 (11.0%) were actual donors (in whom operative incision was made with the intent of organ recovery or who had at least one organ recovered). Finally, we identified 147 utilized donors (10.1%) (from whom at least one organ was transplanted). Statistically significant differences were found between age, sex, diagnosis of brain death, and donor critical pathway between regions. A total of 411 organs were transplanted from 147 utilized donors, with kidneys being the most frequently procured and transplanted organs, accounting for 280 (68.1%) of the total. This was followed by 85 livers (20.7%), 31 hearts (7.5%), 14 lungs (3.4%), and 1 pancreas (0.2%). The discard rate of procured deceased donors was 8.1%. Conclusions. About one-tenth of donors are effectively used for transplantation purposes. Our findings highlight areas of success and challenges, providing a basis for future improvements in Colombia.

RESUMO Objetivo. Obter uma visão geral e abrangente da doação, do aproveitamento e do descarte de órgãos em todo o processo de doação na Colômbia. Métodos. Estudo retrospectivo de 1 451 possíveis doadores em três regiões da Colômbia que foram avaliados em 2022. Foram descritas as características gerais, o diagnóstico e os motivos para a contraindicação de potenciais doadores. Resultados. Dentre os 1 451 possíveis doadores, 441 (30,4%) preencheram os critérios de morte encefálica, formando o grupo de potenciais doadores. Em 141 casos considerados clinicamente aptos, as famílias consentiram com a doação de órgãos, e em 60 casos utilizou-se o princípio da presunção legal, resultando em 201 doadores elegíveis (13,9%). Desses, 160 (11,0%) foram doadores efetivos (ou seja, doadores nos quais foi feita uma incisão cirúrgica com a intenção de remover um órgão ou pessoas com pelo menos um órgão removido). Por fim, foram identificados 147 doadores utilizados (10,1%) (ou seja, que doaram pelo menos um órgão que foi transplantado). Foram encontradas diferenças estatisticamente significantes entre idade, sexo, diagnóstico de morte encefálica e itinerário crítico de doação entre as regiões. Um total de 411 órgãos foram transplantados de 147 doadores utilizados. Os rins foram os órgãos mais frequentemente removidos e transplantados, representando 280 (68,1%) do total, seguido de 85 fígados (20,7%), 31 corações (7,5%), 14 pulmões (3,4%) e 1 pâncreas (0,2%). A taxa de descarte de doadores falecidos com órgãos removidos foi de 8,1%. Conclusões. Cerca de um décimo dos doadores são efetivamente usados para fins de transplante. Nossos achados destacam áreas de sucesso e desafios, oferecendo uma base para futuras melhorias na Colômbia.

https://doi.org/10.26633/rpsp.2024.24

Is ankle taping effective to limit the ankle dorsiflexion in a single-training session? An observational study in semi-professional basketball players
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Romero-Morales, Carlos

; Pedraza-García, Isabel

; López-López, Daniel

; Berlanga, Luis

; Cruz, Blanca de la

; Calvo-Lobo, César

; García-Sanz, Fernando

Sao Paulo Medical Journal

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2024, Volume 142 N. 3 elocation e2022578

Abstract: En | Text: En | PDF: En

ABSTRACT BACKGROUND: Ankle taping (AT) is effective in preventing ankle sprain injuries in most common sports and is employed in rehabilitation and prevention sports. OBJECTIVE: This study aimed to investigate the effectiveness of AT to restricting excessive frontal plane ankle movements in semi-professional basketball players throughout the training session. DESIGN AND SETTING: A cross-sectional study was performed at the Universidad Europea de Madrid. METHODS: Forty male and female semi-professional basketball players were divided into two groups. The ankle dorsiflexion range of motion (ROM) and interlimb asymmetries in a weight-bearing lunge position were evaluated at four time points: 1) with no tape, 2) before practice, at 30 min of practice, and 3) immediately after practice. RESULTS: In male basketball players, no differences were observed in the right and left ankles between the baseline and 30 min and between baseline and 90 min of assessment. In female athletes, significant differences were reported between baseline and pre-training assessments for the right ankle and also significant differences between baseline and 90 min in both ankles. CONCLUSIONS: Ankle taping effectively decreased the ankle dorsiflexion ROM in male and female basketball players immediately after application. However, ROM restriction was very low after 30 and 90 min, as assessed in a single basketball practice. Therefore, the classic taping method should be revised to develop new prophylactic approaches, such as the implementation of semi-rigid bracing techniques or the addition of active stripes during training or game pauses.

https://doi.org/10.1590/1516-3180.2022.0578.r1.06032023

Performance Evaluation of Geometrically Different Pediatric Arterial Cannulae in a Pediatric Cardiopulmonary Bypass Model
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Carvalho, Gabriela B. de O.

; Caneo, Luiz Fernando

; Matte, Gregory

; Cruz, Caio Henrique de A.

; Silva, Everton Neri da

; Carletto, Luciana P.

; Castro, Ana Vitória C. X. de

; Silva, Betina G. Madueño

; Policarpo, Valéria C.

; Cestari, Idágene A.

; Jatene, Fabio B

; Jatene, Marcelo Biscegli

Brazilian Journal of Cardiovascular Surgery

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2024, Volume 39 N. 1 elocation e20230110

Abstract: En | Text: En | PDF: En

ABSTRACT Objective: To define a reference chart comparing pressure drop vs. flow generated by a set of arterial cannulae currently utilized in cardiopulmonary bypass conditions in pediatric surgery. Methods: Cannulae from two manufacturers were selected considering their design and outer and inner diameters. Cannula performance was evaluated in terms of pressure drop vs. flow during simulated cardiopulmonary bypass conditions. The experimental circuits consisted of a Jostra HL-20 roller pump, a Quadrox-i pediatric oxygenator (Maquet Cardiopulmonary AG, Rastatt, Germany), and a custom pediatric tubing set. The circuit was primed with lactated Ringer’s solution only (first condition) and with human packed red blood cells added (second condition) to achieve a hematocrit of 30%. Cannula sizes 8 to 16 Fr were inserted into the cardiopulmonary bypass circuit with a “Y” connector. The flow was adjusted in 100 ml/min increments within typical flow ranges for each cannula. Pre-cannula and post-cannula pressures were measured to calculate the pressure drop. Results: Utilizing a pressure drop limit of 100 mmHg, our results suggest a recommended flow limit of 500, 900, 1400, 2600, and 3100 mL/min for Braile arterial cannulae sizes 8, 10, 12, 14, and 16 Fr, respectively. For Medtronic DLP arterial cannulae sizes 8, 10, 12, 14, and 16 Fr, the recommended flow limit is 600, 1100, 1700, 2700, and 3300 mL/min, respectively. Conclusion: This study reinforces discrepancies in pressure drop between cannulae of the same diameter supplied by different manufacturers and the importance of independent translational research to evaluate components’ performance.

https://doi.org/10.21470/1678-9741-2023-0110

Modelo de estrategia metacognitiva para el desarrollo de la resolución de problemas matemáticos
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Velázquez-Tejeda, Míriam Encarnación

; Goñi Cruz, Félix Fernando

Páginas de Educación

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2024, Volume 17 N. 1 elocation e3313

Abstract: Es En Pt | Text: Es En Pt | PDF: Es | PDF: En | PDF: Pt

Resumen: El estudio se llevó a cabo con estudiantes y docentes del área disciplinaria de Matemáticas de una institución educativa en Perú. El objetivo fue diseñar una estrategia metacognitiva para fomentar el desarrollo de la resolución de problemas en estudiantes de Secundaria. La metodología empleada se adscribe al paradigma sociocrítico, con un enfoque mixto y una investigación aplicada de alcance transformativo. El diseño adoptado fue el anidado concurrente de modelo dominante. La muestra incluyó a 16 estudiantes y seis docentes. Durante el diagnóstico de campo se aplicaron diversos instrumentos, como la guía de entrevista semiestructurada, la guía de observación, un cuestionario y una prueba pedagógica, los cuales permitieron evidenciar el estado actual del problema. Los resultados de la prueba pedagógica revelaron un nivel bajo de conocimientos y habilidades para resolver problemas matemáticos, con un 56.25 % en el indicador de comprensión del problema. En el indicador de concepción del plan, el 50 % se encontró en un nivel bajo, mientras que, en el indicador de ejecución del plan y examen de la solución, el 44 % también se ubicó en un nivel bajo. Además, las entrevistas, observaciones y cuestionarios evidenciaron que esta situación era una consecuencia de las metodologías empleadas en clase. En conclusión, se presenta un modelo de estrategia metacognitiva que orienta el desempeño del docente con el fin de estimular el protagonismo estudiantil en la construcción del conocimiento y el desarrollo de habilidades para la resolución de problemas

Abstract: The study was conducted with secondary school students and teachers of Mathematics at an educational institution in Peru. The objective was to design a metacognitive strategy to promote the development of problem-solving skills. The methodology employed aligns with the socio-critical paradigm, utilizing a mixed approach and applied research of transformative scope. The adopted design was the nested concurrent dominant model. The sample consisted of 16 students and six teachers. Various instruments, including semi-structured interviews, observation guides, questionnaires, and a pedagogical test, were utilized during the field diagnosis to assess the current state of the problem. Results revealed a low level of knowledge and skills in solving mathematical problems, with 56.25% scoring low in problem comprehension and 50% in plan conception, while 44% scored low in plan execution and solution examination. Furthermore, interviews, observations, and questionnaires indicated that this situation stemmed from the methodologies employed in the classroom. In conclusion, a metacognitive strategy model is presented to guide teachers in empowering students and fostering their engagement in knowledge construction and problem-solving skills development.

Resumo: O estudo foi realizado com estudantes e professores de matemática em uma instituição educativa no Peru. O objetivo foi criar uma estratégia metacognitiva para promover o desenvolvimento da resolução de problemas em estudantes do ensino médio. A metodologia utilizada é atribuída ao paradigma sociocrítico, com uma abordagem mista e uma pesquisa aplicada com um alcance transformador. O desenho adotado foi o aninhado concomitante de modelo simultâneo. A amostra incluiu 16 estudantes e seis professores. Durante o diagnóstico de campo, foram aplicados vários instrumentos, como o roteiro de entrevista semiestruturada, o roteiro de observação, um questionário e um teste pedagógico, que permitiram evidenciar a situação atual do problema. Os resultados do teste pedagógico revelaram um baixo nível de conhecimento e habilidades para resolver problemas matemáticos, com 56,25% no indicador de compreensão do problema. No indicador de concepção do plano, 50% estavam em um nível baixo, enquanto no indicador de execução do plano e exame da solução, 44% também estavam em um nível baixo. Além disso, entrevistas, observações e questionários mostraram que essa situação era consequência das metodologias usadas em sala de aula. Em conclusão, é apresentado um modelo de estratégia metacognitiva que orienta o desempenho do professor para estimular o protagonismo do estudante na construção do conhecimento e no desenvolvimento de habilidades de resolução de problemas.

https://doi.org/10.22235/pe.v17i1.3313

Self-perception of mental health, COVID-19 and associated sociodemographic-contextual factors in Latin America
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Roa, Pablo

; Rosas, Guillermo

; Niño-Cruz, Gloria Isabel

; Moreno-López, Sergio Mauricio

; Mejía-Grueso, Juliana

; Aguirre-Loaiza, Haney

; Alarcón-Aguilar, Javiera

; Reis, Rodrigo

; Hino, Adriano Akira Ferreira

; López, Fernando

; Salvo, Deborah

; Ramírez-Varela, Andrea

Cadernos de Saúde Pública

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2024, Volume 40 N. 3 elocation e00157723

Abstract: Pt Es En | Text: Pt Es En | PDF: Pt | PDF: Es | PDF: En

Resumo Este estudo teve como objetivo estimar a prevalência de alterações na autopercepção de saúde mental durante a pandemia de COVID-19 e seus fatores associados em quatro países da América Latina. Este é um estudo transversal de dados coletados de adultos em 2021 por meio da pesquisa Resposta Colaborativa à COVID-19 da Academia McDonnell na Universidade Washington em St. Louis (Estados Unidos). A amostra foi composta por 8.125 pessoas do Brasil, Colômbia, México e Chile. O estudo utilizou um modelo linear generalizado para uma variável de desfecho binário com uma conexão logística e efeitos fixos do país. No total, 2.336 (28,75%) pessoas consideraram ter sofrido alterações na autopercepção de saúde mental. Os desempregados (OR = 1,40; IC95%: 1,24-1,58), aqueles com qualidade de vida ruim/regular (OR = 5,03; IC95%: 4,01-6,31) e aqueles com alto nível socioeconômico (OR = 1,66; IC95%: 1,41-1,96) apresentaram maior risco de alterações na autopercepção de saúde mental do que aqueles com emprego em tempo integral, excelente qualidade e baixo nível socioeconômico. De acordo com o modelo de efeitos fixos, os brasileiros que viviam no país durante a pandemia, que discordavam das decisões do governo (OR = 2,05; IC95%: 1,74-2,42) e não confiavam em seu governo (OR = 2,10; IC95%: 1,74-2,42) apresentaram maior risco de alterações na autopercepção de saúde mental. Quase 30% dos entrevistados indicaram que a pandemia da COVID-19 alterou sua autopercepção de saúde mental. Esse desfecho estava associado a fatores políticos, sociodemográficos e de risco à saúde. Estes achados devem ajudar os formuladores de políticas a desenvolver intervenções comunitárias pós-pandemia.

Resumen Este estudio tuvo como objetivo estimar la prevalencia de alteraciones en la autopercepción de la salud mental durante la pandemia de COVID-19 y sus factores asociados en cuatro países de América Latina. Este es un estudio transversal de datos recopilados de adultos en el 2021 por medio de la investigación Respuesta Colaborativa a COVID-19 de la Academia McDonnell en la Universidad Washington en St. Louis (Estados Unidos). La muestra estuvo compuesta por 8.125 personas de Brasil, Colombia, México y Chile. El estudio utilizó un modelo lineal generalizado para una variable de desenlace binario con un enlace logístico y efectos fijos por país. En total, 2.336 (28,75%) personas consideraron que habían sufrido alteraciones en la autopercepción de la salud mental. Los desempleados (OR = 1,40; IC95%: 1,24-1,58), aquellos con calidad de vida mala/regular (OR = 5,03; IC95%: 4,01-6,31) y aquellos con alto nivel socioeconómico (OR = 1,66; IC95%: 1,41-1,96) presentaron mayor riesgo de alteraciones en la autopercepción de la salud mental que aquellos con empleo a tiempo completo, excelente calidad y bajo nivel socioeconómico. Según el modelo de efectos fijos, los brasileños que vivían en el país durante la pandemia y que no estuvieron de acuerdo con las decisiones del gobierno (OR = 2,05; IC95%: 1,74-2,42) y no confiaban en su gobierno (OR = 2,10; IC95%: 1,74-2,42) presentaron mayor riesgo de alteraciones en la autopercepción de la salud mental. Casi el 30% de los encuestados indicaron que la pandemia de COVID-19 alteró su autopercepción de la salud mental. Este desenlace se asoció con factores políticos, sociodemográficos y de riesgo a la salud. Estos hallazgos deben ayudar a los formuladores de políticas a desarrollar intervenciones comunitarias pospandémicas.

Abstract This study aimed to estimate the prevalence of alterations in self-perceived mental health during the COVID-19 pandemic and their associated factors in four Latin American countries. This is a cross-sectional study based on data collected from adults in 2021 through the Collaborative Response COVID-19 Survey by the MacDonnell Academy at Washington University in St. Louis (United States). The sample was composed of 8,125 individuals from Brazil, Colombia, Mexico, and Chile. A generalized linear model for a binary outcome variable with a logistic link and fixed country effects was used. There were 2,336 (28.75%) individuals who considered having suffered alterations in self-perceived mental health. Unemployed individuals (OR = 1.40; 95%CI: 1.24-1.58), those with bad/regular quality of life (OR = 5.03; 95%CI: 4.01-6.31), and those with high socioeconomic status (OR = 1.66; 95%CI: 1.41-1.96) had a higher risk of self-perceived mental health alterations than those with full-time employment, excellent quality, and low socioeconomic status. According to the fixed-effects model, Brazilians living in the country during the pandemic, who disagreed with their government’s decisions (OR = 2.05; 95%CI: 1.74-2.42) and lacked trust in their government (OR = 2.10; 95%CI: 1.74-2.42) had a higher risk of having self-perceived mental health alterations. Nearly 30% of respondents indicated that the COVID-19 pandemic altered their self-perceived mental health. This outcome was associated with political, sociodemographic, and health risk factors. These findings should help policymakers develop post-pandemic community interventions.

https://doi.org/10.1590/0102-311xen157723

A influência da cor na percepção de necessidade de esforço para a abertura de embalagens de água mineral com tampa de rosca. rosca
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Bonfim, Gabriel Henrique Cruz

; Silva, Fernando Moreira da

; Paschoarelli, Luis Carlos

Convergências - Revista de Investigação e Ensino das Artes

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dec 2023, Volume 16 N. 32 Pages 24 - 32

Abstract: En Pt | Text: En Pt | PDF: En | PDF: Pt

Abstract Most of the appreciation of a product occurs through colours and, if misused, can lead to failure The objective of the present study was to verify if the colour of the container influences the perception of the effort to be exerted to open mineral water bottles with screw caps. For this, three packages with identical shapes were used, but in three different colours: red, blue and transparent. The subjects could not touch the packages, only observe and then classify them in a Likert Scale (with ideograms) of three points. The results show that youth and adults considered the blue bottle as the one that apparently requires less effort to be opened, while for the elderly apparently less effort is required to open the transparent bottle. In all cases the red package was related to the greater effort, with significant difference when compared to the other packages. However, there was no significant difference when the blue and transparent bottles were compared to each other. misused caps this used ideograms points opened However

Resumo A maior parte da apreciação de um produto se dá por meio das cores e, se estas forem mal utilizadas, podem levar ao insucesso. O objetivo do presente estudo foi verificar se a cor do recipiente influencia na percepção do esforço a ser exercido para abrir embalagens de água mineral com tampa de rosca. Para isso, foram utilizadas três embalagens com formatos idênticos, porém em três cores diferentes: vermelha, azul e transparente. Os sujeitos não podiam tocar nas embalagens, apenas observa-las e em seguida classifica-las em uma Likert (com ideogramas) de três pontos. Os resultados mostram que jovens e adultos consideraram a embalagem de cor azul como aquela que aparentemente requer menos esforço para ser aberta, enquanto que para os idosos aparentemente é necessário menos esforço para abrir a embalagem transparente. Em todos os casos a embalagem vermelha foi relacionada ao maior esforço, havendo diferença significativa quando comparada com as demais embalagens. No entanto, não houve diferença significativa quando as embalagens azul e transparente foram comparadas entre si. insucesso rosca isso idênticos diferentes observalas observa las classificalas classifica ideogramas pontos aberta entanto si

https://doi.org/10.53681/c1514225187514391s.32.180

Validación de Escalas de Estrés, Fatalismo y Preocupación por Contagio de COVID-19 en Docentes Mexicanos
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Luna Pérez, David Gabriel

; Figuerola Escoto, Rosa Paola

; Vargas de la Cruz, Ivette

; Barrera Hernández, Laura Fernanda

; Montiel Cortés, Miguel

; Lezana Fernández, Miguel Ángel

; Meneses González, Fernando

Psicumex

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dec 2023, Volume 13 elocation e568

Abstract: Es En | Text: Es En | PDF: Es | PDF: En

Resumen El COVID-19 ha provocado consecuencias negativas en la salud mental de los docentes, especialmente ante la instrumentación de un regreso gradual a actividades presenciales. El objetivo del estudio fue validar la estructura factorial de los instrumentos: escala de preocupación por el contagio de la COVID-19 (EPCov-19), escala de estrés percibido relacionado con la pandemia de COVID-19 (EEP-10-C) y escala de fatalismo ante la posibilidad de contagio por el coronavirus (F-COVID-19) en docentes mexicanos del nivel medio superior, superior y posgrado. Participaron 276 docentes de diferentes estados de México, de entre 24 y 77 años (M = 46.88; DE = 10.62), quienes respondieron una ficha de identificación, además de las escalas EPCov-19, EEP-10-C y F-COVID-19. La validez de constructo de las escalas se calculó a través de análisis factorial exploratorio y confirmatorio, previo a estos, se llevó a cabo un análisis paralelo. La consistencia interna se obtuvo mediante α de Cronbach y ω de McDonald. Se detectó que cada una de las escalas posee una estructura unifactorial, que explican entre el 53 % y 78 % de la varianza y poseen una consistencia interna de elevada a muy elevada. Las escalas presentan adecuadas propiedades psicométricas y pueden ser utilizadas en docentes mexicanos.

Abstract COVID-19 has shown negative consequences on the mental health of teachers, especially because of the implementation of a gradual return to mostly face-to-face activities. The objective of the study was to identify the factorial structure of the instruments: COVID-19 Concern Scale (EPCov-19), Pandemic-Related Perceived Stress Scale of Covid-19 (EEP-10-C), and the Fatalism by COVID-19 Scale (F-COVID-19) in Mexican teachers at high school, higher and postgraduate levels. Method. 276 teachers from different states of Mexico, from 24 to 77 years old participated (M = 46.88; SD = 10.62) who answered an identification form, the EPCov-19, EEP-10-C and F-COVID-19. The construct validity of the scales was calculated through exploratory and confirmatory factor analysis, prior to these, a parallel analysis was carried out. Internal consistency was obtained using Cronbach's α and McDonald's ω. Results. It was detected that each of the scales has a unifactorial structure, which explains between 53% and 78% of the variance and has a high to very high internal consistency. Conclusions. The scales have adequate psychometric properties and can be used in Mexican teachers.

https://doi.org/10.36793/psicumex.v13i1.568

Cierre de la orejuela izquierda frente a anticoagulantes orales en FA e implante de stents coronarios. Registro DESAFIO
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López-Mínguez, José Ramón

; Suárez-Corchuelo, Estrella

; López-Tejero, Sergio

; Nombela-Franco, Luis

; Freixa-Rofastes, Xavier

; Bastos-Fernández, Guillermo

; Millán-Álvarez, Xavier

; Moreno-Gómez, Raúl

; Fernández-Díaz, José Antonio

; Amat-Santos, Ignacio

; Benito-González, Tomás

; Alfonso-Manterola, Fernando

; Salinas-Sanguino, Pablo

; Cepas-Guillén, Pedro

; Arzamendi, Dabit

; Cruz-González, Ignacio

; Nogales-Asensio, Juan Manuel

REC: Interventional Cardiology

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dec 2023, Volume 5 N. 4 Pages 287 - 296

Abstract: Es En | Text: Es En | PDF: Es | PDF: En

RESUMEN Introducción y objetivos: El tratamiento de los pacientes con fibrilación auricular no valvular (FANV) que requieren implante de stents coronarios es un desafío. El objetivo del estudio fue investigar si el cierre de la orejuela izquierda (COI) podría ser una opción posible y beneficiosa para estos pacientes. Para ello, se analiza el impacto del COI más tratamiento antiagregante plaquetario (AP) en comparación con la combinación de anticoagulantes orales (ACO), incluidos los ACO directos, y tratamiento AP en los resultados a largo plazo de estos pacientes Métodos: Se analizaron los resultados de 207 pacientes con FANV sometidos consecutivamente a implante de stents coronarios. Recibieron ACO 146 pacientes (74 acenocumarol, 71 ACO de acción directa) y en 61 se realizó COI. La mediana de seguimiento fue de 35 meses. Los pacientes también recibieron tratamiento AP por prescripción de su cardiólogo. El estudio recibió la debida supervisión ética. Resultados: La edad (media: 75,7 años) y el antecedente de accidente vascular cerebral fueron similares en ambos grupos, aunque el grupo de COI presentó más características desfavorables (antecedente de enfermedad de las arterias coronarias [CHA2DS2-VASc], antecedente de hemorragias significativas [BARC ≥ 2] y HAS-BLED). La aparición de acontecimientos adversos graves (muerte, accidente vascular cerebral, accidente isquémico transitorio, hemorragia grave) y cardiovasculares graves (muerte de causa cardiaca, accidente vascular cerebral, accidente isquémico transitorio, infarto de miocardio) fue significativamente mayor en el grupo de ACO que en el de COI: 19,75 frente a 9,06% (HR = 2,18; p = 0,008) y 6,37 frente a 1,91% (HR = 3,34; p = 0,037), respectivamente. Conclusiones: La combinación de COI y tratamiento AP en pacientes con FANV conlleva mejor pronóstico clínico a largo plazo que el tratamiento con ACO y terapia AP, a pesar de las características basales desfavorables del grupo de COI.

ABSTRACT Introduction and objectives: The treatment of patients with non-valvular atrial fibrillation (NVAF) who need coronary stenting is challenging. The objective of the study was to determine whether left atrial appendage occlusion (LAAO) could be a feasible option and benefit these patients. To this end, we studied the impact of LAAO plus antiplatelet drugs vs oral anticoagulants (OAC) (including direct OAC) plus antiplatelet drugs in these patients' long-term outcomes. Methods: The results of 207 consecutive patients with NVAF who underwent coronary stenting were analyzed. A total of 146 patients were treated with OAC (75 with acenocoumarol, 71 with direct OAC) while 61 underwent LAAO. The median follow-up was 35 months. Patients also received antiplatelet therapy as prescribed by their cardiologist. The study received the proper ethical oversight. Results: Age (mean 75.7 years), and the past medical history of stroke were similar in both groups. However, the LAAO group had more unfavorable characteristics (history of coronary artery disease [CHA2DS2-VASc], and significant bleeding [BARC ≥ 2] and HAS-BLED). The occurrence of major adverse events (death, stroke/transient ischemic events, major bleeding) and major cardiovascular events (cardiac death, stroke/transient ischemic attack, and myocardial infarction) were significantly higher in the OAC group compared to the LAAO group: 19.75% vs 9.06% (HR, 2.18; P = .008) and 6.37% vs 1.91% (HR, 3.34; P = .037), respectively. Conclusions: In patients with NVAF undergoing coronary stenting, LAAO plus antiplatelet therapy produced better long-term outcomes compared to treatment with OAC plus antiplatelet therapy despite the unfavorable baseline characteristics of the LAAO group.

https://doi.org/10.24875/recic.m23000386

10.

Asociación entre empatía, ansiedad y bienestar psicológico en estudiantes mexicanos de medicina. Estudio transversal
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Luna, David

; Vargas-de la Cruz, Ivette

; Núñez-Gaytán, Óscar A.

; Figuerola-Escoto, Rosa P.

; Barrera-Hernández, Laura F.

; Meneses-González, Fernando

; Lezana-Fernández, Miguel A.

Cirugía y cirujanos

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oct 2023, Volume 91 N. 5 Pages 685 - 689

Abstract: Es En | Text: Es En | PDF: Es | PDF: En

Resumen Antecedentes: La expresión de empatía mejora la calidad de la atención a la salud, y por ello se sugiere su instrucción durante los años de formación académica de estudiantes de medicina. No obstante, la expresión de empatía también puede ocasionar ansiedad y perjudicar el bienestar psicológico. Objetivo: Identificar perfiles que describan la relación entre empatía, ansiedad y bienestar psicológico en estudiantes mexicanos de medicina. Método: Estudio transversal en estudiantes mexicanos de medicina que completaron la Escala Multidimensional de Empatía, el Inventario de Ansiedad de Beck y la Escala de Bienestar Psicológico para Adultos. Resultados: Las mujeres presentaron mayor empatía y ansiedad, y menor bienestar psicológico (p < 0.01). La ansiedad en estudiantes del último año de formación fue menor que en los estudiantes de primer y segundo año (p < 0.01). Se detectaron cuatro perfiles: 1) hombres, ansiedad mínima, empatía baja; 2) estudiantes de primer año de formación, ansiedad moderada a grave, bienestar psicológico bajo, empatía alta; 3) último año de formación, ansiedad leve, bienestar psicológico adecuado, empatía media; 4) mujeres, segundo y tercer años de formación, muy alta empatía. Conclusiones: Los estudiantes de medicina del primer año de formación constituyen una población de riesgo. Son necesarias estrategias de atención para este grupo estudiantil.

Abstract Background: The expression of empathy improves the quality of health care, which is why its instruction is suggested during the years of academic training of medical students. However, expressing empathy can also cause anxiety and impair psychological well-being. Objective: To identify profiles that describe the relationship between empathy, anxiety and psychological well-being in Mexican medical students. Method: Cross-sectional study in Mexican medical students completed the Multidimensional Empathy Scale, the Beck Anxiety Inventory, and the Psychological Well-Being Scale for Adults. Results: Women presented greater empathy and anxiety and lower psychological well-being (p < 0.01). Anxiety in students of the last year of training was lower compared to students of the first and second year (p < 0.01). Four profiles were detected: 1) men, minimal anxiety, low empathy; 2) first-year students, moderate to severe anxiety, low psychological well-being, high empathy; 3) last year of training, mild anxiety, adequate psychological well-being, medium empathy; 4) women, second and third year of training, very high empathy. Conclusions: Medical students in their first year of training constitute a population at risk. Attention strategies are necessary for this student group.

https://doi.org/10.24875/ciru.22000264

11.

Complicaciones tromboembólicas y hemorrágicas en pacientes portadores de prótesis valvulares del corazón en un centro de tercer nivel. ¿Qué hemos aprendido?
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Sánchez-Medina, Fernando F.

; Valenzuela-Antelo, Olivia

; Valenzuela-Molina, Lucía C,

; Arias-Martínez, Joel

; López-Morales, Cruz M.

; Ornelas-Aguirre, José M.

Gaceta médica de México

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jun 2023, Volume 159 N. 3 Pages 215 - 223

Abstract: Es En | Text: Es En | PDF: Es | PDF: En

Resumen Antecedentes: El reemplazo valvular por prótesis mecánicas o biológicas implica riesgo de tromboembolismo y complicaciones hemorrágicas. Objetivo: Determinar las complicaciones relacionadas con la terapia de anticoagulación complementaria y la probabilidad de riesgo en pacientes portadores de prótesis valvulares del corazón. Métodos: Se estudiaron 163 pacientes entre 2002 y 2016, portadores de prótesis mecánicas y biológicas, quienes recibieron antagonistas de la vitamina K posterior al egreso hospitalario. La terapia de anticoagulación se categorizó en óptima y no óptima conforme a los valores de INR previos a las complicaciones. Fueron excluidos los pacientes con comorbilidades y otros factores de riesgo de trombosis y/o sangrado. Resultados: a 68.7 % de los pacientes se les colocó prótesis mecánica y a 31.3 %, biológica (p ≤ 0.001); 25.2 % presentó las complicaciones motivo de estudio (p ≤ 0.001), hemorrágicas en 48.8 %, tromboembólicas en 26.8 % y de ambos tipos en 24.4 % (riesgo relativo = 4.229); a 95.1 % de los pacientes con complicaciones se les colocó prótesis mecánica y a 4.9 %, biológica (p = 0.005); 49.7 % presentó INR no óptimo (p ≤ 0.001). Conclusiones: Ante riesgo alto de complicaciones tromboembólicas y hemorrágicas, la elección de las prótesis valvulares, la prevención y el seguimiento son prioridades, principalmente en quienes requieren terapia de anticoagulación.

Abstract Background: Heart valve replacement surgery with mechanical or biological prostheses entails a risk of thromboembolism and bleeding complications. Objective: To determine the complications related to complementary anticoagulation therapy and the probability of risk. Methods: One-hundred and sixty-three patients who underwent heart valve replacement between 2002 and 2016 with either mechanical or biological prostheses, and who received vitamin K antagonists after hospital discharge, were studied. Anticoagulation therapy was categorized into optimal and non-optimal according to INR values prior to the development of complications. Patients with comorbidities and other risk factors for thrombosis and/or bleeding were excluded. Results: In total, 68.7 % of patients received mechanical prostheses, and 31.3 %, biological prostheses (p ≤ 0.001); 25.2 % experienced the complications that motivated the study (p ≤ 0.001), which were hemorrhagic in 48.8 %, thromboembolic in 26.8 %, and of both types in 24.4 % (relative risk = 4.229). Among the patients with complications, 95.1 % received mechanical prostheses, and 4.9 %, biological (p = 0.005); non-optimal INR was identified in 49.7 % (p ≤ 0.001). Conclusions: Given the high risk of thromboembolic and hemorrhagic complications, valve prostheses must be carefully chosen, and care priorities should include prevention and follow-up, especially in those patients who require anticoagulation therapy.

https://doi.org/10.24875/gmm.22000373

12.

Meta-análise da informação científica sobre Ação Humanitária e a invasão da Ucrânia. O Modelo MA&MT para Análise de Informação Técnica e Científica
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Bandeira, Fernando Cruz

; Cairrão, Álvaro

População e Sociedade

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jun 2023, N. 39 Pages 46 - 62

Abstract: En Pt | Text: En Pt | PDF: En | PDF: Pt

Abstract Through the use of the MA&MT Model for Analysis of Technical and Scientific Information, this article makes the meta-analysis of the information with the search terms "Ukraine" and "Humanitarian Action". The collection under analysis focuses on the publications made in the post-invasion of Ukraine by the Russian Federation (24 February 2022). Methodologically, the basis of analysis diverges in two planes: that of content, which contemplates the information conveyed in the text; and the formal that refers to characteristics external to the documents. In the foreground, data mining methodologies are used (keywords; word list; co-occurrences; among others). In the formal plan, the evaluation of variables external to the content is made (author affiliation; document type; number of words). The article allowed to draw pertinent conclusions, both regarding the diversity of perspectives on the problem, and regarding the variables under analysis such as: sources; country of origin; methods used.

Resumo Mediante a utilização do Modelo MA&MT para Análise de Informação Técnica e Científica foi realizada a meta-análise da informação com os termos de pesquisa “Ukraine” e “Humanitarian Action”. O acervo em análise foca as publicações feitas pós-invasão da Ucrânia pela Federação Russa (24 de fevereiro de 2022). Metodologicamente, a base de análise diverge em dois planos: o do conteúdo, que contempla a informação veiculada no texto; e o formal que remete para características exteriores aos documentos. No primeiro plano, são usadas metodologias de mineração de dados (palavras-chave; saco de palavras; coocorrências; entre outros). No plano formal é feita a avaliação de variáveis externas ao conteúdo (filiação de autores; tipo de documento; número de palavras). O artigo permitiu retirar conclusões pertinentes, quer quanto à diversidade de perspetivas sobre a problemática, quer quanto às variáveis em análise tais como fontes, país de origem e métodos usados.

https://doi.org/10.52224/21845263/rev39a4

13.

Guía de práctica clínica para el manejo del cáncer de pulmón de células pequeñas: enfermedad extensa
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Cabrera-Miranda, Luis A.

; Díaz-García, Diego A.

; Corona-Cruz, José F.

; Lozano-Ruiz, Francisco J.

; Sánchez-Reyes, Roberto

; Álvarez-Bojórquez, Mario E.

; Blake-Cerda, Mónika

; Rivera-Márquez, Raúl

; López-Saucedo, Raúl A.

; Pérez-Álvarez, Sandra I.

; Bolaño-Guerra, Laura M.

; Alatorre-Alexander, Jorge A.

; Alexander-Meza, Francisco

; Barrón-Barrón, Feliciano

; Blanco-Vázquez, Yazmín C.

; Campos-Gómez, Saúl

; Mata-Moya, Dolores de la

; Figueroa-Martínez, Pedro

; González-Cisneros, Paulina E.

; Íñiguez-García, Marco A.

; Lázaro-León, Jesús M.

; Loyola-García, Ulises

; Morales-Rivera, Marcelino

; Olivares-Torres, Carlos

; Ramos-Ramírez, Maritza

; Sáenz-Frías, Julia A.

; Silva-Bravo, Fernando

; Trejo-Rosales, Rogelio

; Souto-del Bosque, Miguel

; Arrieta, Óscar

Gaceta mexicana de oncología

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jun 2023, Volume 22 N. 2 Pages 55 - 73

Abstract: Es En | Text: Es En | PDF: Es | PDF: En

Resumen Antecedentes: El cáncer de células pequeñas (CPCP) representa el 13-15% del total de neoplasias primarias de pulmón. Se caracteriza por su rapidez en la tasa de crecimiento y en el desarrollo de metástasis a distancia. Objetivos: Orientar y estandarizar el tratamiento del CPCP enfermedad extensa en México basado en evidencia clínica nacional e internacional. Material y métodos: Este documento se desarrolló como una colaboración del Instituto Nacional de Cancerología y la Sociedad Mexicana de Oncología en cumplimiento con estándares internacionales. Se integró un grupo conformado por oncólogos médicos, cirujanos oncólogos, cirujanos de tórax, radio-oncólogos y metodólogos con experiencia en revisiones sistemáticas de la literatura y guías de práctica clínica. Resultados: Se consensaron, por el método Delphi y en reuniones a distancia, las recomendaciones en CPCP enfermedad extensa, producto de preguntas de trabajo. Se identificó y evaluó la evidencia científica que responde a cada una de dichas preguntas clínicas antes de incorporarla al cuerpo de la guía. Conclusión: Esta guía proporciona recomendaciones clínicas para el manejo de la enfermedad extensa del CPCP y durante el proceso de toma de decisiones de los clínicos involucrados con su manejo en nuestro país para mejorar la calidad de la atención clínica para estos pacientes.

Abstract Background: Small cell lung cancer (SCLC) represents 13-15% of all primary lung neoplasms and is characterized by its rapid growth rate and the rapid development of distant metastases. Objectives: To guide and standardize the treatment of extensive disease small cell lung cancer in Mexico based on national and international clinical evidence. Material and methods: This document was developed as a collaboration between the National Cancer Institute and the Mexican Society of Oncology in compliance with international standards. An interdisciplinary group was formed, including medical oncologists, oncological surgeons, thoracic surgeons, radiation oncologists, and methodologists with experience in systematic reviews of the literature and clinical practice guidelines. Results: A consensus was reached, both by the Delphi method and in remote meetings, of extensive disease recommendations resulting from work questions. The scientific evidence that answers each of these clinical questions was identified and critically evaluated, before being incorporated into the body of evidence of the Guide. Conclusions: This Clinical Practice Guide provides clinical recommendations for the management of extensive disease of SCLC to contribute to the decision-making process of the clinicians involved with its management in our country, hoping that this will contribute to improving the quality of clinical care in these patients.

https://doi.org/10.24875/j.gamo.22000122

14.

Misoprostol use in obstetrics: Number 6 - June 2023
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Nomura, Roseli Mieko Yamamoto

; Nakamura-Pereira, Marcos

; Nomura, Roseli Mieko Yamamoto

; Brizot, Maria de Lourdes

; Trapani Júnior, Alberto

; Paro, Helena Borges Martins da Silva

; Rosas, Cristião Fernando

; Medeiros, Robinson Dias de

; Surita, Fernanda Garanhani

; Luz, Adriana Gomes

; Mattar, Rosiane

; Ferreira, Elton Carlos

; Alves, Álvaro Luiz Lage

; Cordioli, Eduardo

; Damásio, Lia Cruz Vaz da Costa

; Wender, Maria Celeste Osório

; Braga, Antonio

Revista Brasileira de Ginecologia e Obstetrícia

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jun 2023, Volume 45 N. 6 Pages 356 - 367

Abstract: En | Text: En | PDF: En

https://doi.org/10.1055/s-0043-1770931

15.

Cierre dinámico y toxina botulínica: una alternativa novedosa para el cierre definitivo del abdomen abierto y contenido
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Nogueira, Facundo

; Iudica, Guadalupe

; López Meyer, Juan Cruz

; Barragán, Francisco

; Iudica, Fernando

; Cingolani, Pablo

Revista argentina de cirugía

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may 2023, Volume 115 N. 1 Pages 70 - 76

Abstract: En Es | Text: En Es | PDF: En | PDF: Es

ABSTRACT We report the case of a 54-year-old male patient hospitalized for COVID-19 pneumonia who developed septic shock due to acute Hinchey IV diverticulitis and required Hartmann’s surgery. The patient evolved with colonic ischemia and underwent total colectomy and open abdomen (OA) with temporary abdominal closure (TAC) that was managed with a vacuum-assisted wound closure (VAWC) system for 7 weeks, resulting in a Björck grade 3A OA with a 16-cm gap. As he had a favorable clinic course, dynamic closure with mesh-mediated fascial traction was decided, associated with botulinum toxin (BT) injection. This strategy allowed primary fascial closure (PFC) of the abdominal wall 5 weeks after treatment was initiated, thus avoiding the complications of healing by secondary intention.

RESUMEN Se presenta el caso de un paciente masculino de 54 años que, cursando internación por neumonía- COVID-19, intercurrió con shock séptico por diverticulitis aguda Hinchey IV, por lo que se realizó cirugía de Hartmann. Evolucionó con isquemia colónica, se realizó colectomía total y abdomen abierto y contenido (AAyC). El manejo del AAyC se realizó con sistema de vacío (VAC) durante 7 semanas, resultando un AAyC tipo IIIa (Björck) con un gap de 16 cm. Se decidió iniciar, una vez dadas las condiciones clínicas del paciente, el cierre dinámico (CD) con tracción fascial con malla de polipropileno asociado a inyección de toxina botulínica (TB). Esta estrategia permitió el cierre fascial primario (CFP) de la pared abdominal en la quinta semana de comenzado el tratamiento, evitando de esta manera la morbilidad de un cierre por segunda intención.

https://doi.org/10.25132/raac.v115.n1.1641

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