Abstract Evapotranspiration (ET) is the second most important variable in the hydrological cycle and influences several atmospheric processes. Therefore, the scientific interest in studying changes in that variable under the context of climate change and the usual occurrence of droughts in the Northeast of Brazil (NEB) is particularly valid. ET trends in the NEB were analysed from high resolution grid data (0.25°x0.25°) for the period between 1980 and 2016, comprising 2071 points in the NEB. A cluster analysis has shown that the region is climatically divisible into four homogenous groups. Group 1 represents the semiarid area in the central portion of the NEB. Group 2 is formed by the non-contiguous lands that surround the semiarid region. Group 3 is located in the north of Maranhão, whereas Group 4 is composed of patches spreading mostly over the eastern coast and the northwest of the NEB. By analysing the mean ET trend, it is possible to observe that groups 2, 3 and 4 show significant upward trends of 2.7 mm/year, 3.51 mm/year and 2.57 mm/year, respectively. According to a step-by-step analysis, the central (semiarid) area of the NEB presented a positive ET trend (~0.8 mm/year), whilst the northwestern coast and part of central Bahia showed negative trends (~ -1 mm/year). Such results may be linked to recent temperature and rainfall trends observed in the NEB, with important impacts for the desertification nuclei observed in many parts of the region, which represent a warning for environmental and water resources managers.

Resumo A Evapotranspiração (ET) é a segunda variável mais importante do ciclo hidrológico e influencia inúmeros processos da atmosfera. Desta forma, é interessante estudar as mudanças desta variável sob o contexto das mudanças climáticas antropogênicas e da constante ocorrência de secas no Nordeste Brasileiro (NEB). Foram analisadas as tendências da ET no NEB entre 1980 e 2016 a partir de dados em grade com alta resolução de 0.25° x 0.25º, constituindo 2071 pontos no NEB. Uma análise de agrupamentos mostrou que é plausível dividir a região em quatro grupos homogêneos. O grupo 1 é referente a área do semiárido na porção central do NEB. O grupo 2 é a faixa que circunda o semiárido. O grupo 3 localiza-se ao norte do Maranhão e o 4 na costa e noroeste do NEB. Analisando-se a tendência média da ET, observa-se que os grupos 2, 3 e 4 apresentaram tendências significativas de aumento da ET de 2,7 mm/ano, 3,51 mm/ano e 2,57 mm/ano, respectivamente. Em análise ponto por ponto, a porção central do NEB e semiárido apresentaram tendências positivas de ET anual (~0.8 mm/ano), enquanto o litoral noroeste e uma parte da região central da Bahia apresentaram tendências negativas (~1 mm/ano). Tais resultados devem estar associados as recentes tendências de temperatura e chuvas observadas no NEB, com impactos importantes nos núcleos de desertificação observados em muitas áreas da região, servindo de alerta a gestores ambientais e de recursos hídricos.

ABSTRACT Introduction: In Paraguay, tobacco smoking’s negative impact demands the adoption of all available measures to reduce that impact. The presence or not of public support could potentially influence the adoption these measures. Objective: To determine the presence of public support to tobacco control policies. Methods: The present was a cross-sectional descriptive study that used an online survey to assess public support to 13 tobacco control policies using a Likert-type scale from 1 to 5 (strongly agree, agree, neutral, disagree, strongly disagree). Results: There were 502 participants, 67.73% of which were women, 87.65% had completed studies at a tertiary level, and 63,75% were non-smokers. Measures that the most support were banning smoking from public transport (98,01%) and from public buildings (93,63%), banning tobacco sales to people under the age of 18 (96,81%), and issuing a fine to those who do it (96,22%), and raising tobacco taxes either to support for the health care expenditure attributable to smoking (94,02%) or to reduce the prevalence of smoking (90,64%). Measures that received the least support were banning tobacco advertisement in points of sale (56,97%) and banning tobacco display on points of sale (51%). Conclusion: All 13 tobacco control policies assessed in the present study received the majority of support from all participants. We recommend the adoption and enforcement of these measures.

RESUMEN Introducción: El impacto negativo del tabaquismo en Paraguay demanda la adopción de todas las medidas disponibles para disminuir dicho impacto. La presencia o ausencia de apoyo ciudadano podría influenciar la implementación de estas medidas. Objetivo: Determinar la presencia de apoyo ciudadano a políticas para el control del tabaco. Materiales y métodos: Estudio observacional descriptivo de corte transversal, mediante una encuesta en línea en la que se evaluó, a través de una escala tipo Likert de 1 al 5 (muy en desacuerdo, en desacuerdo, neutral, de acuerdo, muy de acuerdo), la presencia de apoyo ciudadano a 13 políticas para el control del tabaco. Resultados: Participaron del estudio 502 adultos con (5 años de residencia en el país, el 67,73% mujeres, el 87,65% universitarios, y el 63,75% no fumadores. Las medidas para el control del tabaco que recibieron mayor apoyo son prohibir fumar en el transporte público (98,01%) y en los edificios públicos (93,63%), prohibir la venta de tabaco a menores de 18 años (96,81%) y multar a aquellos que lo hagan (96,22%), y aumentar los impuestos al tabaco para pagar por los costos a la salud debidos al mismo (94,02%) o para disminuir su prevalencia (90,64%). Las medidas que recibieron menor apoyo fueron prohibir la publicidad de tabaco (56,97%) y prohibir el exhibir tabaco (51%) en los lugares de venta. Conclusiones: Las 13 políticas para el control del tabaco evaluadas en el presente trabajo recibieron el apoyo mayoritario de los participantes. Se sugiere implementar y hacer cumplir estas medidas.

ABSTRACT Appendicitis is the inflammation of the ileocecal appendi. Patients and methods: 892 cases of Acute Appendicitis undergoing surgery in the Adult Emergency Service of the Hospital de Clínicas San Lorenzo between the years 2015 and 2019, retrospective, descriptive, cross-sectional work that aims to investigate the relationship of the leukocyte count with deviation on the left and the surgical finding. Result: A 77.6% was found in terms of the white blood cell count equal to or greater than 11,000, with an average percentage of neutrophils of 79,77?8,42. The uncompromised base was found in 96% of the cases. The most frequent surgical finding was gangrenous with 37.7%. Conclusion: We evidenced the presence of leukocytosis in 77% related to acute appendicitis.

RESUMEN La apendicitis es la inflamación del apéndice ileocecal. Pacientes y métodos: 892 casos de Apendicitis Aguda sometidos a cirugía en el servicio de Urgencias Adultos del Hospital de Clínicas San Lorenzo entre los años 2015 al 2019, trabajo retrospectivo, descriptivo, transversal que tiene como objetivo investigar la relación del recuento de leucocitos con desviación a la izquierda y el hallazgo quirúrgico. Resultado: En un 77,6% el conteo de glóbulos blancos fue igual o mayor a 11.000, con promedio de porcentaje de neutrófilos de 79,77?8,42. La base no comprometida se encontró en 96% de los casos. El hallazgo quirúrgico más frecuente fue la Gangrenosa (37,7%). Conclusión: Evidenciamos presencia de leucocitosis en un 77 % relacionado a apendicitis aguda.

Resumen La rosácea es una alteración cutánea crónica que se ha asociado con factores etiológicos inespecíficos y diversas manifestaciones sistémicas. La rosácea cutánea suele evolucionar a rosácea ocular del 6 al 72 % de los pacientes. Al no existir criterios específicos que la caractericen, la rosácea ocular implica un reto diagnóstico. Para fortalecer la sospecha diagnóstica temprana, se presentan tres casos de pacientes con evolución clínica distinta, pero que tuvieron en común el retraso diagnóstico, lo que se tradujo en manifestaciones graves y daño ocular extenso.

Abstract Rosacea is a chronic skin disorder that has been associated with unspecific etiological factors and diverse systemic manifestations. Cutaneous rosacea usually evolves to ocular rosacea in 6 to 72% of patients. In the absence of specific criteria to characterize this pathology, ocular rosacea can mean a diagnostic challenge. To strengthen early diagnostic suspicion, we present three cases of patients with different clinical evolution who had in common diagnostic delay resulting in severe manifestations and extensive ocular damage.

Resumen Es posible que exista tolerancia al virus de la mancha anular del papayo (PRSV-p) en plantas nativas de Carica papaya. Se evaluó la respuesta de 13 accesiones (Acc) de papayo nativo y la variedad Maradol roja respecto a la incidencia y severidad del PRSV-p, inoculado con el insecto vector Aphis nerii, y su relación con el manejo de la planta observado durante su colecta. Las Acc se colectaron en estado silvestre, en traspatio o cultivadas. A los tres meses de edad se inocularon las plantas con el virus. Se evaluó semanalmente la incidencia y severidad en nueve ocasiones. Las Acc 203 y 205 mostraron el menor índice de severidad (1.0), seguidas de 147a y 60 (con 1.7), 94a (2.0) y 197a (2.2); las Acc 64a (2.5) y 150 (2.8) alcanzaron una severidad intermedia, seguidas de la 65 y 210b (con 3.3), y de 80, 169 y 188a (con 4.3). La var. Maradol roja presentó el mayor índice de severidad (4.8). La severidad promedio en las Acc colectadas en manejo silvestre fue significativamente menor (P = 0.032) que en Maradol roja, aunque no fue diferente en las Acc que provenían de manejo de plantaciones cultivadas o de traspatio. Es posible que entre las Acc silvestres se encuentren genes de tolerancia al PRSV-p.

Abstract Tolerance to the papaya ring spot virus (PRSV-p) may exist in native Carica papaya plants. The response of 13 native papaya accessions (Acc) and the commercial variety Red Maradol to the incidence and severity of the PRSV-p, inoculated with the vector insect Aphis nerii, and their relation with the observed plant management during their collection were evaluated. Acc were collected in the wild, in backyards or in production fields. Three months old-plants were infected with the virus. Disease incidence and severity were measured nine times weekly. Acc 203 and 205 showed the lowest disease severity index (1.0), followed by 147a and 60 (both with 1.7), 94a (2.0) and 197a (2.2); Acc 64a (2.5) and 150 (2.8) reached intermediate severity, followed by 65 and 210b (with 3.3), and by 80, 169 and 188a (with 4.3). Red Maradol variety showed the highest severity index (4.8). In relation to the management in which plants were collected, mean severity in Acc coming from the wild was significantly lower (P=0.032) than in Red Maradol, although they were not different from Acc coming from cultivated orchards or from backyards. It is possible that PRSV-p tolerance genes might be found in wild Acc.

Resumo Objetivo Comparar o efeito de alta dose de vitamina A (VitA) no seguimento pósmolar de pacientes com gonadotrofina coriônica humana (hCG) sérica apresentando valoresbaixoseem platô(L&P). Métodos Estudo retrospectivo de série de casos comparando duas coortes não simultâneas. Grupo controle (CG): 34 pacientes com títulos de hCG sérico L&P submetidos a manejo expectante por 6 meses após o esvaziamento uterino, de 1992 a 2010; Grupo de Estudo (SG): de 2011 a 2017, 32 pacientes em condições semelhantes de hCG receberam Vit-A na dose de 200.000 IU por dia, do momento da identificação dohCG em platôate o primeirohCG normaloudiagnóstico de progressão para neoplasia trofoblástica gestacional (NTG). O presente estudo foi aprovado pelo Comitê de Ética da Instituição na qual foi desenvolvido. Resultados Em ambososgrupos, aprevalência de hCGL&P foi < 5%. No SG, os níveis de hCGemplatô forammaiores (CG = 85.5 versus SG = 195 IU/L; p = 0,028), e foram significantemente menores tanto a prevalência de NTG pós-molar (CG = 29.4% versus SG = 6.3%, p = 0,034) como o tempo de seguimento (CG = 14 versus SG = 10 meses, p < 0.001). Na evolução para NTG não houve diferença no estadiamento da Interna tional Federation of Gynecology and Obstetrics (FIGO, na sigla em inglês) ou na agressividade do tratamento. Com altas doses de Vit-A não houve qualquer efeito tóxico relevante. Não houve casos de recidiva de NTG ou de óbito. Conclusão O uso limitado de altas doses de Vit-A parace ser seguro e apresenta efeitos significativos na evolução de pacientes em controle pós-molar com títulos de hCG sérico L&P, e pode diminuir o desenvolvimento de NTG pós-molar nessa população.

Abstract Objective To compare the effect of high-dose vitamin A (HD Vit-A) use during postmolar follow-up of patients with low and plateauing (L&P) serum human chorionic gonadotropin (hCG) levels, from the moment serum hCG plateaued (P-hCG) to the first normal serum hCG value (< 5IU/L). Methods The present retrospective series case study compared two nonconcurrent cohorts of patients. Control group (CG): 34 patients with L&P serum hCG levels who underwent expectant management for 6 months after uterine evacuation, from 1992 to 2010; study group (SG): 32 patients in similar conditions who received 200,000 IU of Vit-A daily, from the identification of a P-hCG level to the first normal hCG value or the diagnosis of progression to gestational trophoblastic neoplasia (GTN), from 2011 to 2017. The present study was approved by the Ethics Committee of the institution where it was conducted. Results In both groups, the prevalence of persistent L&P serum hCG levels was < 5%. In the SG, hCG levels at plateau were higher (CG = 85.5 versus SG = 195 IU/L; p = 0.028), the rate of postmolar GTN was lower (CG = 29.4% versus SG = 6.3%, p = 0.034) and follow-up was shorter (CG = 14 versus SG = 10 months, p < 0.001). During GTN follow-up, there were no differences in GTN staging or treatment aggressiveness in both groups. High-dose Vit-A use did not have any relevant toxic effect. There were no GTN relapses or deaths. Conclusion The limited use of HD Vit-A seems to have a safe and significant effect on the treatment of postmolar patients with L&P serum hCG levels and may decrease the development of postmolar GTN in this population.

Abstract Problems linked with stereotypes, discrimination and inequality due to gender, are present in a variety of social institutions, including those responsible to administering justice. The article sought to know whether if sociodemographic features, the labor rank, gender variables and the characteristics of the labor court influence gender representations within the Chilean Judicial Branch. The issue is relevant within both, the framework of the International Human Rights commitments acquired by Chile, and the gender equality and non-discrimination policy of the PJUD.

Resumen Los problemas asociados a estereotipos, discriminación y brecha de género, atraviesan a las diversas instituciones sociales, incluidas aquellas encargadas de administrar justicia. El artículo buscó conocer si el perfil sociodemográfico, el escalafón de pertenencia, variables de género y las características del tribunal de trabajo influyen en las representaciones de género en el PJUD. El tema es relevante en el marco de los compromisos internacionales de DDHH adquiridos por Chile y de la Política de igualdad de género y no discriminación del PJUD.

Abstract Background Adherence to antihypertensive medication is a major challenge in the management of hypertension, and non-adherence is an important barrier to effective management of hypertension. Objectives To determine the adherence rate to hypertensive drug treatment and the factors that influence non-adherence in a cohort of the Argentinean population. Methods A multicenter cross-sectional study was conducted in eight cities of Argentina. Consecutive hypertensive patients seen in general practice offices, receiving pharmacological treatment for at least six months were included. Blood pressure measurements were performed by physicians during the patient visit. The level of adherence was assessed using the Morisky questionnaire, and patients were divided into non-adherent and adherent. Continuous variables were compared using independent t-test. Categorical variables were compared using the χ2 test. To identify the variables independently associated with non-adherence, a forward stepwise binary regression logistic model was performed, and the results expressed as odds ratio (OR) with 95% of confidence interval. All tests were two-tailed, and p-values < 0.05 were considered statistically significant. Results A total of 852 individuals (52% women, 62 ± 13 years) were included. The main reason for lack of adherence was forgetfulness of medication intake and errors in the time of intake (~ 40% in both). Individuals with more cardiovascular risk factors (smoking, diabetes, dyslipidemia and previous cardiovascular events) had lower adherence to antihypertensive treatment, and considerably younger (~ five years younger). Conclusions Adherence rate to antihypertensive drug treatment in our study group was higher than the one reported in previous studies, and the main reason for non-adherence was forgetfulness of medication intake. (Int J Cardiovasc Sci. 2020; 33(3):272-277)

ABSTRACT Objective. To identify the food industry’s arguments against front-of-package nutrition labels in Uruguay. Methods. Content analysis and inductive coding were applied to the comments made by the food industry during the public consultation on the draft decree regulating the inclusion of front-of-package nutrition labels (warnings) in Uruguay. Results. Most of the comments expressed concern about the high prevalence of obesity and noncommunicable diseases in the country and emphasized a commitment to implementing actions to help combat these health problems. However, 81% of the comments disagreed with the draft decree presented for public consultation; these included general criticisms of its validity. The content of the comments related to seven areas: lack of rationale for the measure; violation of international commitments; criticisms of the warning system; discrimination against industrialized packaged food; criticisms of the nutrient profile model; other criticisms of aspects specific to the draft decree; and adverse economic effects. For each area, there is discussion of the technical and normative relevance and consistency of the content presented by the industry representatives. Conclusions. Despite apparent agreement about the need to adopt measures, it is clear that the food industry is strongly opposed to the policy and, in particular, to the warning system. The results of this analysis may help to facilitate the process of implementing similar regulations in other countries.

RESUMO Objetivo. Identificar os argumentos da indústria alimentícia contra a rotulagem frontal de advertência nutricional no Uruguai. Métodos. Realizou-se uma análise do conteúdo dos comentários de representantes da indústria alimentícia obtidos em uma consulta pública conduzida no Uruguai durante o processo de elaboração do decreto para regulamentar a inclusão de rotulagem frontal de advertência nutricional com uso de códigos indutivos. Resultados. Os comentários, na sua maioria, revelaram preocupação com a alta prevalência de obesidade e doenças crônicas não transmissíveis no país e destacaram o compromisso com a implementação de ações para combater estes problemas de saúde. No entanto, verificou-se que, em 81% dos comentários, os participantes discordavam da proposta do decreto apresentada na consulta pública e teceram críticas gerais quanto à sua validade. Observaram-se sete dimensões distintas no conteúdo dos comentários: falta de justificação da medida, descumprimento de compromissos internacionais, críticas ao sistema de advertência, discriminação de alimentos industrializados em embalagens, críticas ao modelo de perfil nutricional, outras críticas relativas a aspectos específicos do projeto do decreto e repercussão econômica negativa. Para cada dimensão, foram discutidas a relevância e a coerência técnica e normativa do conteúdo dos comentários feitos pelos representantes da indústria. Conclusões. Apesar de uma suposta concordância quanto à necessidade de adotar medidas, observou-se uma firme oposição da indústria alimentícia à política e, em particular, ao sistema de advertência nutricional propostos. Os resultados desta análise servem para facilitar o processo de implementação de regulamentações semelhantes em outros países.

RESUMEN Objetivo. Identificar los argumentos de la industria alimentaria en contra del etiquetado frontal de advertenciasnutricionales en Uruguay. Métodos. Se realizó un análisis de contenido de los comentarios de la industria alimentaria recibidos durante la consulta pública implementada durante el proceso de diseño del decreto que reglamenta la inclusión de rotulación nutricional frontal basada en advertencias en Uruguay mediante una codificación inductiva. Resultados. La mayoría de los comentarios manifestaron la preocupación por la elevada prevalencia de obesidad y enfermedades no transmisibles en el país y destacaron el compromiso con la implementación de acciones que contribuyan a combatir esta problemática de salud. Sin embargo, 81% de los comentarios planteó desacuerdo con la propuesta de decreto elevada a consulta pública y realizó críticas generales sobre su validez. El contenido de los comentarios se relacionó con siete dimensiones: falta de justificación de la medida, violación de compromisos internacionales, críticas al sistema de advertencias, discriminación a alimentos industrializados envasados, críticas al modelo de perfil de nutrientes, otras críticas a aspectos específicos del proyecto de decreto y efectos económicos negativos. En cada dimensión se discute la pertinencia y consistencia técnica y normativa de los contenidos vertidos por los representantes de la industria. Conclusiones. Bajo un aparente acuerdo con la necesidad de adoptar medidas, se evidenció, sin embargo, una fuerte oposición a la política y en particular al sistema de advertencias por parte de la industria alimentaria. Los resultados del análisis aportan insumos para facilitar el proceso de implementación de regulaciones similares en otros países.

Resumen: El objetivo de este artículo es determinar la importancia del metamizol como analgésico en México, al conocer la frecuencia de su uso y los mecanismos de acción y así clasificar adecuadamente al medicamento dentro de la farmacopea de analgésicos. Pocos fármacos generan discusión sobre su filiación, pero el metamizol, desde que salió al mercado en 1922 hasta el día de hoy, se mantiene sin definirse claramente. Comúnmente cuando se busca una clasificación de los antiinflamatorios no esteroideos (AINE), se clasifica al metamizol dentro de los mismos como derivados de la pirazolona. Se debe comenzar entonces con los aspectos farmacológicos para relacionar las semejanzas y diferencias con otros AINEs y poder sacar conclusiones adecuadas. Aun así, el medicamento es de los más utilizados por los médicos en los hospitales de segundo y tercer nivel (82%), aunque la mayoría no sabe en realidad cuál es su mecanismo de acción (91%), por ello, la importancia de conocer el mecanismo de acción de este fármaco.

Abstract: The aim of this article is to know the importance of metamizol as analgesic in Mexico, knowing the frequency of their use and the mechanisms of action and to adequately classify the drug in the pharmacopoeia of painkillers. Few drugs generate discussion about their parentage but metamizol from that hits the market in 1922 until today, it has no clearly defined. Commonly when NSAIDs rated seeks to metamizol is classified within the same as pyrazolone derivatives. We then start with the pharmacological aspects and later to know the similarities and differences with other NSAIDs and can draw appropriate conclusions. Even so, the medicine is one of the most used by physicians in second and third level hospitals (82%), although most do not really know what their mechanism of action is (91%), so the importance of knowing the mechanism of action of this drug.

Resumen: En los últimos años, se ha visto un incremento en el interés por los pacientes con enfermedad por reflujo gastroesofágico que presentan reflujo no ácido o duodenogástrico. Su importancia se debe a las consecuencias patológicas que conlleva, ya que se ha asociado con gastritis alcalina, esofagitis severa, mayor riesgo de esófago de Barrett y de progresión a cáncer, reflujo duodenogástrico (RDG) sintomático sin lesiones y síntomas atípicos. Sin embargo, el papel que tiene esta patología como una enfermedad independiente del reflujo gastroesofágico no es nada claro. La mayoría de los estudios se enfocan en los síntomas y trastornos que presenta este reflujo a nivel del esófago, y existe escasa información sobre el impacto que tiene a nivel gástrico independientemente de lo que sucede en el esófago. Presentamos una guía para el correcto uso de las definiciones relacionadas con el reflujo no ácido y el reflujo duodenogástrico, así como una clasificación basada en sus causas.

Abstract: In recent years, there has been a growing interest in duodenogastric or non-acid reflux in patients with GERD (gastroesophageal reflux disease). This is due to the association of this disease with alkaline gastritis, severe esophagitis, Barrett’s esophagus and high risk of cancer. However, the role of this disease as an independent entity from GERD is not clear. Most studies focus on symptoms and problems caused by this kind of reflux in the esophagus, ignoring the impact on the gastric level. We present a guide for the proper use of the definitions related to non-acid and duodenogastric reflux and a cause-based classification.

RESUMEN Existe amplia evidencia de los efectos de la ansiedad precompetitiva (e.g. Bueno, Capdevila y Fernández- Castro, 2002; Caracuel y Jaenes, 2015) en las prácticas y pruebas deportivas, así como del rol protector de las estrategias de afrontamiento que emplean los deportistas (e.g., Soto, 2003). Sin embargo, debido a que las prácticas deportivas competitivas se diferencian, entre otras cosas, en su carácter colectivo o individual, tanto la ansiedad competitiva como las estrategias de afrontamiento involucradas pudiesen diferenciarse según dicha condición (e.g., Simón y Martens,1979). El presente estudio corresponde a una exploración sobre posibles efectos diferenciales del tipo de práctica sobre la ansiedad precompetitiva, las estrategias de afrontamiento y la relación entre ambas. El diseño fue transversal de tipo correlacional, en el cual se aplico el Inventario de Ansiedad Competitiva en el Deporte (CSAI-2) y el Cuestionario de Aproximación al Afrontamiento en el Deporte (ACSQ-1) a 22 nadadores individuales y 28 jugadores de waterpolo, minutos antes de una competición oficial. Los resultados indican que existen diferencias solo en los niveles de autoconfianza, pero que la relación entre estrategias de afrontamiento y ansiedad precompetitiva es distinta entre grupos. Finalmente, se sugieren modelos diferenciados de intervención, el alcance de los resultados, las limitaciones del estudio y se sugieren nuevas investigaciones.

ABSTRACT There is extensive evidence of the effects of precompetitive anxiety (e.g. Bueno, Capdevila,& Fernández-Castro, 2002; Caracuel and Jaenes, 2015) in sports practices and events, as well as the protective role of coping strategies employed by athletes (e.g., Soto, 2003). However, because competitive sports practices differ, among other things, in their collective or individual character, both competitive anxiety and the coping strategies involved could be differentiated according to that condition (e.g., Simon and Martens, 1979). This study corresponds to an exploration of possible differential effects of the type of practice on precompetitive anxiety, coping strategies and the relationship between both. The design was transversal and correlational kind, in which the Inventory of Competitive Anxiety in Sport (CSAI-2) and the Questionnaire of Approach to Facing in Sport (ACSQ-1) were applied to 22 individual swimmers and 28 water polo players, minutes before an official competition. Results indicate that there are differences only in levels of self-confidence, but that the relationship between coping strategies and precompetitive anxiety is different between groups. Finally, differentiated models of intervention, the scope of the results, the limitations of the study, and new research are suggested.

RESUMO Objetivo: descrever o processo de construção teórica dos documentos de apoio ao Processo de Enfermagem nos cenários de atendimento à COVID-19. Métodos: trata-se de um relato de experiência da atividade conjunta da Rede de Pesquisa em Processo de Enfermagem, formada por pesquisadores de Instituições de Ensino Superior e de Saúde do Brasil. Resultados: cinco instrumentos foram organizados coletivamente, envolvendo os elementos da prática de enfermagem (diagnósticos, resultados e intervenções de enfermagem) na assistência à comunidade; ao paciente (suspeito ou com COVID-19 leve e moderada, crítico e residente em Instituições de Longa Permanência para Idosos); e ao suporte à saúde do trabalhador de enfermagem, subsidiando igualmente o registro e a documentação durante a pandemia de COVID-19. Considerações finais: valorizar os fenômenos manifestados por famílias/comunidades, pacientes e profissionais de saúde é essencial para sua identificação precoce, intervenção e prevenção de agravos.

ABSTRACT Objective: to describe the theoretical construction process of nursing process support documents in COVID-19 care scenarios. Methods: an experience report of the joint activity of the Brazilian Nursing Process Research Network (Rede de Pesquisa em Processo de Enfermagem) composed of Higher Education and Health Institution researchers in Brazil. Results: five instruments were organized collectively, involving the elements of nursing practice (nursing diagnoses, outcomes and interventions) in assistance for community; for patients (with suspected or mild, moderate, and critical COVID-19 and residents in Nursing Homes); for nursing workers’ health support, also subsidizing registration and documentation during the COVID-19 pandemic. Final considerations: valuing the phenomena manifested by families/communities, patients and health professionals is essential for early detection, intervention, and prevention of diseases.

RESUMEN Objetivo: describir el proceso de construcción teórica de los documentos de respaldo del Proceso de Enfermería en los escenarios de asistencia al COVID-19. Métodos: es un relato de experiencia de la actividad conjunta de la Red de Investigación de Procesos de Enfermería, formada por investigadores de las Instituciones de Educación Superior y Salud de Brasil. Resultados: se organizaron cinco instrumentos de manera colectiva, involucrando elementos de la práctica de enfermería (diagnósticos, resultados e intervenciones de enfermería) en el cuidado comunitario; al paciente (sospechoso o con COVID-19 leve y moderado, crítico y residente en Hogares para Ancianos); y apoyo a la salud del trabajador de enfermería, subsidiando además el registro y documentación durante la pandemia de COVID-19. Consideraciones finales: valorar los fenómenos manifestados por las familias/comunidades, pacientes y profesionales de la salud es fundamental para su identificación temprana, intervención y prevención de enfermedades.