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Abstract Introduction: In Mexico, cardiac rehabilitation (CR) as an interdisciplinary intervention with therapeutic impact in patients with heart disease is growing. There is the need to know actual conditions of CR in our country. Objectives: The objective of this National Registry is to follow-up those existing and new CR units in Mexico through the comparison between the two previous registries, RENAPREC-2009 and RENAPREC II-2015 studies. This is a descriptive study focused on diverse CR activities such as assistance training, and certification of health professionals, barriers, reference, population attended, interdisciplinarity, permanence over time, growth prospects, regulations, post-pandemic condition, integrative characteristics, and scientific research. Results: Data were collected from 45 CR centers in the 32 states, 75.5% are private practice units, 67% are new, 33% were part of RENAPREC II-2015, and 17 have continued since 2009. With a better distribution of CR units along the territory, the median reference of candidates for CR programs is 9% with a significant reduction into tiempo of enrollment to Phase II admission (19 ± 11 days). Regarding to previous registries, the coverance of Phases I, II, and III is 71%, 100%, and 93%, respectively; and a coverance increases in evaluation, risk stratification, and prescription, more comprehensive attendance and prevention strategies. Conclusions: CR in Mexico has grown in the past 7 years. Even there is still low reference and heterogeneity in specific processes, there are strengths such as interdisciplinarity, scientific professionalization of specialists, national diversification, and an official society that are consolidated over time.

https://doi.org/10.24875/acm.22000235

Floral quality in third-generation descendants of outstanding gladiolus cultivars obtained by gamma irradiation
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Jesús, Eduardo Piña de

; Pale, Jesus Ricardo Sanchez

; Castañeda-Vildózola, Álvaro

; Mora, Omar Franco

; Villada, Arlin Emma Ayala

; Piña, Luis Demetrio

Ornamental Horticulture

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oct 2023, Volume 29 N. 4 Pages 454 - 461

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

Abstract The gladiolus is one of the most commercially important cut flowers in Mexico. It was traditionally considered a funeral flower, but its uses have now diversified to many other decorative floral arrangements due to its variety of colors and forms. All the new varieties on the market in Mexico are of foreign origin, such that the generation of new genotypes is needed. In a previous study, flowers originating from irradiated Blanca Borrega variety corms expressed different floral characteristics, shape and size; however, it is unknown whether these characters are fixed in subsequent generations. The objective of the current work was therefore to evaluate the fixed characteristics in the ornamental quality of outstanding cultivars of Blanca Borrega variety gladiolus descended from irradiation with60Co. During the fall-winter (2020-2021) period, corms of outstanding cultivars generated by distinct irradiation doses were planted in sterilized substrate to evaluate corm germination (%), plant height, number of leaves per stem, spike length (cm), combined stem and spike length (cm), number of flowers per spike, flower size (cm), number of leaves, and survival, and to categorize cut flower quality under the United Nations Economic Commission for Europe (UN/ECE) criteria. Our results indicated that the outstanding cultivar derived from the 80 Gy dose presented a Class I classification (Second quality) of the UN/ECE parameters due to its stem height and number of buds, followed by the cultivars descended from irradiation at 10, 30 and 50 Gy and the control, which were placed in Class II (Third quality). Thus, in the third generation the favorable esthetic characteristics of the outstanding cultivars remain fixed.

Resumo O gladíolo é uma das flores de corte mais importantes comercialmente no México. Era tradicionalmente considerada uma flor funerária, mas seus usos agora se diversificaram para muitos outros arranjos florais decorativos devido à sua variedade de cores e formas. Todas as novas variedades no mercado mexicano são de origem estrangeira, de modo que é necessária a geração de novos genótipos. Em estudo anterior, flores provenientes de rebentos irradiados da variedade Blanca Borrega expressaram diferentes características florais, forma e tamanho; no entanto, não se sabe se esses caracteres são corrigidos nas gerações subsequentes. O objetivo do presente trabalho foi, portanto, avaliar as características fixas na qualidade ornamental de cultivares destacadas de gladíolo da variedade Blanca Borrega descendentes da irradiação com 60Co. Durante o período de outono-inverno (2020-2021), rebentos de cultivares excepcionais gerados por diferentes doses de irradiação foram plantados em substrato esterilizado para avaliar a germinação do rebento (%), altura da planta, número de folhas por haste, comprimento do espigão (cm), combinado comprimento do caule e espiga (cm), número de flores por espiga, tamanho da flor (cm), número de folhas e sobrevivência, e para categorizar a qualidade da flor cortada sob os critérios da Comissão Econômica das Nações Unidas para a Europa (UN/ECE). Nossos resultados indicaram que a cultivar de destaque derivada da dose de 80 Gy apresentou classificação Classe I (Segunda qualidade) dos parâmetros UN/ECE devido à altura do caule e número de gemas, seguida pelas cultivares descendentes da irradiação aos 10, 30 e 50 Gy e o controle, que foram colocados na Classe II (Terceira qualidade). Assim, na terceira geração, as características estéticas favoráveis das cultivares de destaque permanecem fixas.

https://doi.org/10.1590/2447-536x.v29i4.2616

Seasonality of chrysanthemum commercialization in the west region of São Paulo: the case of breeder
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Franco, Lucas Morais Nahass

; Vendruscolo, Eduardo Pradi

; Bastos, Fernanda Espíndola Assumpção

; Cunha, Pamela Stephany Jennings

; Martins, Murilo Battistuzzi

; Vetruve, Ítalo Ferreira

Ornamental Horticulture

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oct 2023, Volume 29 N. 4 Pages 430 - 437

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

Abstract The Flowers and Ornamental Plant sector supports an extensive network of entrepreneurs, in all stages related to cultivation, transport and commercialization. In this aspect, there is a great demand for skilled labor, making this sector a source of employment and income generation in the regions covered. However, there is great interference on the commercialization of flowers and ornamental plants by the seasonality of demand, which is often related to festive dates, weather, among other factors. Thus, knowledge about seasonal demands allows the sector to develop a plan, directing efforts to offer products with greater demand in a given period. This study aimed to generate information, through a case study based on the analysis of commercialization data, and verify the seasonal demand on the commercialization of ornamental species in western São Paulo. There was an increase in the demand for chrysanthemum cuttings, both for the domestic and export markets, during the years 2019 and 2020, in addition to fluctuations in the demand for some cultivars of cuttings of chrysanthemum in one year compared to the other. Through the analysis, it is concluded that the seasonality of commercialization of ornamental plants in the West Region of São Paulo really occurs, especially between the 26th and 34th week of the year, with the purpose of serving the domestic market of chrysanthemums. This result allows planning the planting and harvesting time, as well as the definition of the best varieties to be cultivated in these periods.

Resumo O setor de Flores e Plantas Ornamentais apoia uma extensa rede de empreendedores, em todas as etapas relacionadas ao cultivo, transporte e comercialização. Neste aspecto, há uma grande demanda por mão-de-obra qualificada, tornando este setor fonte de emprego e geração de renda nas regiões abrangidas. Porém, há grande interferência na comercialização de flores e plantas ornamentais pela sazonalidade da demanda, que muitas vezes está relacionada a datas festivas, clima, entre outros fatores. Assim, o conhecimento sobre as demandas sazonais permite ao setor desenvolver um planejamento, direcionando esforços para oferecer produtos com maior demanda em determinado período. Este estudo teve como objetivo gerar informações, por meio de um estudo de caso baseado na análise de dados de comercialização, e verificar a demanda sazonal na comercialização de espécies ornamentais no oeste paulista. Houve aumento na demanda por mudas de crisântemo, tanto para o mercado interno quanto para exportação, durante os anos de 2019 e 2020, além de oscilações na demanda por algumas cultivares de mudas de crisântemo em um ano em relação ao outro. Através desta análise conclui-se que a sazonalidade da comercialização de plantas ornamentais na Região Oeste de São Paulo realmente ocorre, principalmente entre a 26ª e a 34ª semana do ano, com a finalidade de atender ao mercado interno de crisântemos. Este resultado permite planejar a época de plantio e colheita, bem como a definição das melhores variedades a serem cultivadas nestes períodos.

https://doi.org/10.1590/2447-536x.v29i4.2585

INOVATIVIDADE: VALIDAÇÃO DE UMA ESCALA MULTIDIMENSIONAL PARA MICRO E PEQUENAS EMPRESAS A PARTIR DOS PRINCÍPIOS DA GESTÃO DA QUALIDADE TOTAL1
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D’anjour, Miler Franco

; Medeiros, Bruno Campelo

; Añez, Miguel Eduardo Moreno

REAd. Revista Eletrônica de Administração (Porto Alegre)

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sep 2023, Volume 29 N. 3 Pages 573 - 598

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

The present research focuses on organizational innovativeness, based on the identification of gaps in the understanding of this concept in the organizational context, measuring its dimensions and effects. In this context, this research presents as a general objective to validate a multidimensional scale to assess innovativeness, based on the principles of Total Quality Management (TQM) in Micro and Small Enterprises (MSE's) in the Metropolitan Region of Natal/RN. An exploratory research was conducted by means of a survey, applied to 542 MPE's that are located in the metropolitan region of Natal/RN. The data was statistically treated by applying Exploratory Factor Analysis techniques and Confirmatory Factor Analysis through a measurement model elaborated based on PLS-SEM. The research developed and validated an instrument to measure the dimensions of innovativeness, theoretically based on the dimensions of the Management Excellence Model (MEG), resulting in a measurement scale consisting of 30 variables related to five constructs for innovativeness. As a managerial implication, the proposed model can be a guide to the process for the development of innovation in MSE's, in which the manager can draw a strategic basis for managing an innovation process capable of driving competitive advantage.

La presente investigación se centra en la innovatividad organizacional, a partir de la identificación de brechas en la comprensión de este concepto en el contexto organizacional, la medición de sus dimensiones y sus efectos. En este contexto, esta investigación presenta como objetivo general validar una escala multidimensional para evaluar la innovatividad, basada en los principios de la Gestión de la Calidad Total (GCT) en Micro y Pequeñas Empresas (MPE's) de la Región Metropolitana de Natal/RN. Se realizó una investigación exploratoria por medio de una encuesta, aplicada a 542 MPEs que se localizan en la región metropolitana de Natal/RN. Los datos fueron tratados estadísticamente mediante la aplicación de técnicas de Análisis Factorial Exploratorio y Análisis Factorial Confirmatorio a través de un modelo de medición basado en PLS-SEM. La investigación desarrolló y validó un instrumento de medición de las dimensiones de la innovación, basado teóricamente en las dimensiones del Modelo de Excelencia en Gestión (MEG), resultando en una escala de medición compuesta por 30 variables relacionadas con 5 constructos de la innovación. Como implicación gerencial, el modelo propuesto puede ser una guía para el proceso de desarrollo de la innovación en las EMES, en el que el gestor puede trazar una base estratégica para la gestión de un proceso de innovación capaz de impulsar la ventaja competitiva.

RESUMO A presente pesquisa se debruça sobre a inovatividade organizacional, a partir da identificação de lacunas na compreensão deste conceito no âmbito organizacional, mensurando suas dimensões e seus efeitos. Nesse contexto, esta pesquisa apresenta como objetivo geral validar uma escala multidimensional para avaliar a inovatividade, a partir dos princípios da Gestão da Qualidade Total (TQM), em Micro e Pequenas Empresas (MPEs), na Região Metropolitana de Natal/RN. Foi realizada uma pesquisa exploratória conduzida por meio de uma survey, aplicada em 542 MPEs que estão sediadas na Região Metropolitana de Natal/RN. Os dados foram tratados estatisticamente pela aplicação de técnicas de Análise Fatorial Exploratória e de Análise Fatorial Confirmatória, através de um modelo de mensuração elaborado com base em PLS-SEM. A pesquisa elaborou e validou um instrumento para a mensuração das dimensões da inovatividade, alicerçado teoricamente nas dimensões do Modelo de Excelência em Gestão (MEG), resultando em uma escala de mensuração constituída por 30 variáveis relacionadas a cinco construtos para a inovatividade. Como implicação gerencial, o modelo proposto pode ser um guia para o processo de desenvolvimento da inovação em MPEs, no qual o gestor pode traçar uma base estratégica para gerenciar um processo de inovação capaz de impulsionar a vantagem competitiva.

https://doi.org/10.1590/1413-2311.393.130554

Recesión mandibular única tratada con colgajo desplazado lateral: Reporte de un caso
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Hernández-Juárez, Eduardo

; Díaz-Alfaro, Lizbeth

; Rodríguez-Pulido, Jesús Israel

; Rodríguez-Franco, Norma Idalia

; Garza-Enríquez, Marianela

International journal of interdisciplinary dentistry

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aug 2023, Volume 16 N. 2 Pages 152 - 155

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

ABSTRACT: Introduction: Nowadays, one of the reasons for consultation of patients is the dissatisfaction with their aesthetic appearance due to the presence of gingival recessions. Among the various techniques to treat this type of defects is the laterally positioned flap, which is used for root coverage of single gingival recessions in mandibular teeth and whose results have shown gain in height of keratinized tissue, clinical attachment gain and complete root coverage. Case Report: 32-year-old female patient, diagnosed with a single mucogingival defect around tooth 3.1 and treated with a laterally positioned flap in combination with enamel matrix derivatives, in order to cover the gingival recession. Conclusion: The laterally positioned flap technique is a viable and effective treatment for complete root coverage of single mucogingival defects around the tooth. In addition, there is a gain in keratinized gingiva and in clinical attachment.

RESUMEN: Introducción: Hoy en día, uno de los motivos de consulta de los pacientes es la inconformidad con su apariencia estética debido a la presencia de recesiones gingivales. Dentro de las diversas técnicas para tratar este tipo de defectos se encuentra el colgajo posicionado lateral, el cual, se utiliza para la cobertura radicular de recesiones gingivales únicas en dientes mandibulares y cuyos resultados han demostrado ganancia en altura de tejido queratinizado, ganancia en inserción clínica y una cobertura radicular completa. Reporte de Caso: Paciente femenino de 32 años, diagnosticado con defecto mucogingival único en torno a pieza dental 3.1 y que fue tratado con un colgajo posicionado lateral en combinación con proteínas derivadas de la matriz del esmalte, con el objetivo de cubrir la recesión gingival. Conclusión: La técnica de colgajo posicionado lateral es un tratamiento viable y eficaz para la cobertura radicular completa de defectos mucogingivales únicos en torno a diente, donde además se obtiene ganancia en altura de encía queratinizada, así como de nivel de inserción clínica.

https://doi.org/10.4067/s2452-55882023000200152

Procalcitonina y proteína C reactiva: marcadores en el diagnóstico temprano de fuga anastomótica
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Maldonado-Hernández, Isadora G.

; Vega-Chavarría, Eduardo

; Nacud-Bezies, Yamir A.

; Cordero-Franco, Hid F.

; Palacios-Saucedo, Gerardo C.

Cirugía y cirujanos

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aug 2023, Volume 91 N. 4 Pages 542 - 549

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

Resumen Objetivo: Determinar la eficacia de la procalcitonina (PCT) y la proteína C reactiva (PCR) séricas en el diagnóstico de fuga anastomótica (FA) en los pacientes sometidos a cirugía colorrectal. Método: Prueba diagnóstica en un hospital de tercer nivel. Se excluyeron los pacientes que no tuvieron mediciones preoperatorias de PCT y PCR. Se eliminaron los que cursaron con infección posoperatoria no relacionada con FA. Las medidas de eficacia diagnóstica fueron sensibilidad (S), especificidad (E), valores predictivos positivo (VPP) y negativo (VPN), razones de verosimilitud positiva (RV+) y negativa (RV−), y área bajo la curva característica operativa del receptor (AUROC). Resultados: Se analizaron 39 pacientes, de los cuales 6 (15.4%) tuvieron FA. La PCT y la PCR aumentaron al segundo día posoperatorio solo en los pacientes con FA. Los puntos de corte al día 2 fueron 1.55 ng/ml para PCT y 11.25 mg/l para PCR. La prueba más eficaz fue la PCR al día 2 (AUROC: 1.00; S: 100%; E: 96.7%; VPP: 85.7%; VPN: 100%; RV+: 33.0). Conclusiones: La PCR en el segundo día posoperatorio fue la prueba más eficaz en el diagnóstico temprano de FA en los pacientes sometidos a cirugía colorrectal, con un punto de corte inferior a lo reportado en la literatura internacional.

Abstract Objective: To determine the efficacy of serum procalcitonin (PCT) and C-reactive protein (CRP) in the early diagnosis of anastomotic leak (AL) in patients undergoing colorectal surgery. Method: Diagnostic test in a tertiary care hospital. Patients who did not have preoperative measurements of PCT and CRP were excluded. Those with postoperative infection not related to AL were eliminated. The diagnostic efficacy measures were sensitivity (Sn), specificity (Sp), positive (PPV) and negative (NPV) predictive values, positive (LR+) and negative (LR−) likelihood ratios, and area under the receiver operating characteristic curve (AUROC). Results: Thirty-nine patients were analyzed; six had AL (15.4%). PCT and CRP increased on the second postoperative day, only in patients with AL. The cut-off points at the second postoperative day were 1.55 ng/mL for PCT and 11.25 mg/L for CRP. The most efficacious test was PCR at second postoperative day (AUROC: 1.00; Sn: 100%; Sp: 96.7%; PPV: 85.7%; NPV: 100%; LR+: 33.0). Conclusions: CRP at second postoperative day was the most effective test in the early diagnosis of AL in patients undergoing colorectal surgery, with a cut-off point lower than that reported in the international literature.

https://doi.org/10.24875/ciru.22000116

Desarrollo y validación de una escala de percepción de riesgo de COVID-19 en Perú
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Zeladita-Huaman, Jhon Alex

; Franco-Chalco, Eduardo

; Zegarra-Chapoñan, Roberto

; Iguiñiz-Romero, Ruth

; Amemiya-Hoshi, Isabel

Revista Peruana de Medicina Experimental y Salud Pública

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jun 2023, Volume 40 N. 2 Pages 170 - 178

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

RESUMEN Objetivos. Desarrollar y validar una escala de percepción de riesgo ante la COVID-19 (PR-COVID-19-PE) en población peruana. Materiales y métodos. Estudio transversal psicométrico, realizado en el 2022. En la fase 1 se diseñó la escala inicial mediante revisión teórica, grupos focales, panel de expertos y revisión documental de escalas. En la fase 2 se determinó la escala mediante juicio de expertos y una prueba piloto. En la fase 3 se hizo una encuesta virtual en 678 pobladores peruanos adultos. Se efectuó un análisis factorial confirmatorio. Para determinar la validez de criterio se realizó un análisis correlacional (r de Pearson) con una escala válida de percepción de riesgo y la escala de miedo a la COVID-19. Resultados. La PR-COVID-19-PE está compuesta por dos dimensiones (cognitivo y emocional), presentó buen ajuste en la validez de constructo (x2/gl=2,34, Comparative Fit Index = 0,96, Tucker-Lewis Index = 0,96, Root Mean Square Error of Approximation = 0,05 y Standarized Root Mean-Square = 0,07) y óptima consistencia interna (ώ=0,88). Asimismo, reportó correlación con otra escala de percepción de riesgo ante la COVID-19 (r=0,70, p<0,001) y miedo a la COVID-19 (r = 0,41, p < 0,001). Además, presenta invarianza métrica y escalar tanto por sexo como por nivel educativo. Conclusiones. La escala PR-COVID-19-PE presentó adecuada confiabilidad y validez de contenido, constructo y criterio. Constituye un instrumento para medir la percepción de riesgo ante la COVID-19 en poblaciones similares. Sin embargo, se requiere estudios adicionales en diferentes grupos poblacionales.

ABSTRACT Objectives. To develop and validate a risk perception scale for COVID-19 (PR-COVID-19-PE) in the Peruvian population. Materials and methods. Psychometric cross-sectional study conducted in 2022. In phase 1, in order to design the scale, we carried out a theoretical review and a documentary review of scales, we also used focus groups as well as an expert panel. Phase 2 included expert judgment and a pilot test. A virtual survey was conducted among 678 Peruvian adults during phase 3. A confirmatory factor analysis was carried out as well. We used a correlational analysis (Pearson’s r) with a valid risk perception scale and the COVID-19 fear scale to determine criterion validity. Results. The PR-COVID-19-PE has two dimensions (cognitive and emotional) and showed good fit during construct validity (x2/gl=2.34, Comparative Fit Index=0.96, Tucker-Lewis Index=0.96, Root Mean Square Error of Approximation= 0.05 and Standardized Root Mean-Square=0.07) and optimal internal consistency (ώ=0.88). Likewise, the PR-COVID-19-PE showed correlation with another COVID-19 risk perception scale (r=0.70, p< 0.001) and a fear of COVID-19 scale (r=0.41, p<0.001). In addition, it presents metric and scalar invariance by both sex and educational level. Conclusions. The PR-COVID-19-PE scale showed adequate reliability and content, construct and criterion validity. It is an instrument that can measure COVID-19 risk perception in similar populations. However, further studies are required for different populations.

https://doi.org/10.17843/rpmesp.2023.402.12289

Concordancia entre cinco criterios de síndrome metabólico en adolescentes de una zona altoandina del Perú
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Romaní-Romaní, Franco

; Pachacama Ramirez, Luis Fernando

; Pichihua Grandez, Juan Diego

; Guevara Rodríguez, Diego Maximiliano

; Cornejo Luyo, Viviana

; Sheen Vargas, Christian Eduardo

; Ninatanta-Ortiz, Juana Aurelia

; Abanto Villar, Martha Vicenta

; Pérez Cieza, Katia Maribel

; Chávez Farro, Rosa Ricardina

; García Flores, Segunda Aydeé

Revista Peruana de Medicina Experimental y Salud Pública

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jun 2023, Volume 40 N. 2 Pages 150 - 160

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

RESUMEN Objetivo. Determinar la concordancia entre cinco criterios diagnósticos de síndrome metabólico (SM) entre adolescentes residentes de una zona altoandina del Perú. Materiales y métodos. Se realizó un estudio transversal con datos secundarios de un estudio de intervención en dos escuelas públicas en el año 2019. Participaron 397 adolescentes que residen en la ciudad de Cajamarca ubicada en la región andina del Perú. Se aplicaron cinco criterios diagnósticos: Third Adult Treatment Panel (ATP-III) modificados por Cook, de la Federación Internacional de Diabetes (IDF), de la American Heart Association (AHA), de Ferranti, y de la Organización Mundial de Salud (OMS). Se estimaron las prevalencias puntuales y de intervalo con los cinco criterios. Se estimó el coeficiente de concordancia de Kappa con su respectivo intervalo de confianza al 95% (IC 95%). Resultados. El criterio de Ferranti identificó un 17,1% (IC 95%: 13,4 a 20,8) de adolescentes con SM, seguido del criterio de la ATP-III con 4,3% (IC 95%: 2,3 a 6,3); los demás criterios identificaron una menor frecuencia. La mejor concordancia fue encontrada entre los criterios de la AHA y la ATP-III (k = 0,905), los criterios de la OMS e IDF tuvieron un coeficiente de 0,628. Los cinco criterios coincidieron en clasificar como SM a seis adolescentes (1,5%). Conclusiones. Los criterios de la AHA y la ATP-III modificados por Cook tuvieron una concordancia casi perfecta, que se mantuvo en ambos sexos. Los criterios ATP-III, de Ferranti, IDF, AHA y OMS concuerdan en menos del 2% en identificar SM en el mismo grupo de adolescentes.

ABSTRACT Objective. To determine the concordance between five diagnostic criteria for metabolic syndrome (MS) among teenagers from a Peruvian high Andes region. Materials and methods. A cross-sectional study was carried out with secondary data from an intervention study in two public schools in 2019. We included 397 teenagers who lived in the city of Cajamarca, in the Andean region of Peru. We applied the criteria from the Adult Treatment Panel III (ATP-III) modified by Cook, the International Diabetes Federation (IDF), the American Heart Association (AHA), Ferranti, and the World Health Organization (WHO). The point prevalence and interval prevalence were estimated with the five criteria. The Kappa concordance coefficient with an 95% confidence interval (95%CI) was estimated. Results. The Ferranti criterion identified 17.1% (95%CI: 13.4 to 20.8) of teenagers with MS, followed by the ATP-III criterion with 4.3% (95%CI: 2.3 to 6.3); the other criteria identified a lower frequency. The best concordance was found between the AHA and ATP-III criteria (k = 0.905); the WHO and IDF criteria had a coefficient of 0.628. The five criteria coincided in classifying six adolescents (1.5%) as MS. Conclusions. The AHA and ATP-III criteria modified by Cook had almost perfect concordance, which was also found for both sexes. The ATP-III, Ferranti, IDF, AHA and WHO criteria agree in less than 2% when identifying MS in the same group of adolescents.

https://doi.org/10.17843/rpmesp.2023.402.12546

Desarrollo y validación de una escala de percepción de riesgo de COVID-19 en Perú
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Zeladita-Huaman, Jhon Alex

; Franco-Chalco, Eduardo

; Zegarra-Chapoñan, Roberto

; Iguiñiz-Romero, Ruth

; Amemiya-Hoshi, Isabel

Revista Peruana de Medicina Experimental y Salud Publica

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apr 2023, Volume 40 N. 2 Pages 170 - 178

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

https://doi.org/10.17843/rpmesp.2023.402.12289

10.

Concordancia entre cinco criterios de síndrome metabólico en adolescentes de una zona altoandina del Perú
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Romaní-Romaní, Franco

; Pachacama Ramirez, Luis Fernando

; Pichihua Grandez, Juan Diego

; Guevara Rodríguez, Diego Maximiliano

; Cornejo Luyo, Viviana

; Sheen Vargas, Christian Eduardo

; Ninatanta-Ortiz, Juana Aurelia

; Abanto Villar, Martha Vicenta

; Pérez Cieza, Katia Maribel

; Chávez Farro, Rosa Ricardina

; García Flores, Segunda Aydeé

Revista Peruana de Medicina Experimental y Salud Publica

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apr 2023, Volume 40 N. 2 Pages 150 - 160

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

https://doi.org/10.17843/rpmesp.2023.402.12546

11.

Risco e rabisco: representações sociais de crianças expressas em desenhos acerca do procedimento de coleta sanguínea
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Lucas, Eduardo Alexander Júlio César Fonseca

; Rocha, Tatiana da Silva Mello

; Santos, Antonio Eduardo Vieira dos

; Lima, Juliana Dias Vieira

; Souza, Samhira Vieira Franco de

; Lemos, Natália Rodrigues Pontes

; Telles, Alexandre Oliveira

; Lucas, Simone Fonseca

; Evaristo, Fernanda Fonseca Lucas

Ciência & Saúde Coletiva

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apr 2023, Volume 28 N. 4 Pages 1031 - 1042

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

Abstract The scope of this article was to identify the social representations of children in a municipal public school in Rio de Janeiro, with respect to the blood sampling procedure and to discuss the social representations that emerge, in the light of the performance of the family health team in carrying out this procedure. Moscovisci’s method/theory of analysis of social representations based on a qualitative approach was used. For data collection, the projective technique of the esthetic production scene and the student’s speech was used. The results were grouped into four categories: 1) structural dimensions involved in the blood sampling procedure; 2) dimension of the human component and its interface in the blood sampling procedure; 3) the psycho-emotional dimension portrayed in the blood sampling procedure; and 4) blood sampling: the importance for student health. With respect to the importance of blood sampling, we highlight the perception of students regarding the importance of actions aimed at prevention and health care promotion.

Resumo Objetivou-se identificar as representações sociais de crianças de uma escola pública municipal do Rio de Janeiro acerca do procedimento de coleta sanguínea e discutir as representações sociais emergidas, à luz da atuação da equipe de saúde da família na realização desse procedimento. Utilizou-se o método e a teoria de análise das representações sociais fundamentadas por Moscovisci e Jodelet, numa abordagem qualitativa. Para a coleta de dados, empregou-se a técnica projetiva de cena de produção estética e do discurso do escolar. Os resultados foram agrupados em quatro categorias: 1) dimensões estruturais que envolvem o procedimento de coleta sanguínea; 2) dimensão do componente humano e sua interface no procedimento de coleta sanguínea; 3) a dimensão psicoemocional retratada no procedimento de coleta sanguínea e 4) a coleta de sangue: a importância para a saúde do escolar. No que diz respeito à importância da coleta sanguínea, evidenciamos a percepção de escolares para a importância de ações voltadas à prevenção e promoção da saúde.

https://doi.org/10.1590/1413-81232023284.00552022

12.

Seroprevalence of SARS-CoV-2 antibodies in schoolchildren in the city of São Paulo, 2020
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Kamioka, Gabriela Akemi

; Madalosso, Geraldine

; Albuquerque, José Olimpio Moura de

; Costa, Selma Anequini

; Ferreira, Paula Bisordi

; Sato, Ana Paula Sayuri

; Glasser, Paula Regina

; Pino, Francisco Alberto

; Burihan, Patrícia Carla Piragibe Ramos

; Carvalho, Ana Carolina Aguiar de

; Amorim, Ana Beatriz Pagliaro

; Cavazzana, Cinthya Luzia

; Aires, Caroline Cotrim

; Kataoka, Ana Paula Arruda Geraldes

; Savani, Elisa San Martin Mouriz

; Bessa, Thirsa Alvares Franco

; Aguiar, Breno Souza de

; Failla, Marcelo Antunes

; Santos, Edson Aparecido dos

; Brito, Edjane Maria Torreão

; Santos, Maria Cristina Honório dos

; Caldeira, Luiz Artur Vieira

; Silva, Solange Maria Saboia e

; Zamarco, Luiz Carlos

; Fonseca, Sandra Maria Sabino

; Lima, Marcia Maria de Cerqueira

; Marques, Ivanilda Argenau

; Mauro, Athenê Maria de Marco França

; Masi, Eduardo de

Revista de Saúde Pública

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2023, Volume 57 Suppl. 1 elocation 6s

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

RESUMO OBJETIVO Estimar a soroprevalência de anticorpos do vírus SARS-CoV-2 em escolares de quatro a 14 anos de idade residentes no município de São Paulo, segundo variáveis clínicas, demográficas, epidemiológicas e sociais, durante o período de fechamento das escolas como medida de controle da covid-19. MÉTODOS Realizou-se um inquérito sorológico em setembro de 2020 com amostra aleatória estratificada por tipo de rede de ensino (pública municipal, pública estadual e privada). Foi coletada amostra de sangue venoso utilizando-se o teste de imunoensaio de fluxo lateral da fabricante Wondfo para detecção de anticorpos totais contra o vírus SARS-CoV-2. Aplicaram-se questionários semiestruturados para o levantamento de dados clínicos, demográficos, sociais e epidemiológicos. RESULTADOS A soroprevalência de anticorpos do vírus SARS-CoV-2 em escolares foi de 16,6% (IC95% 15,4–17,8). O estudo encontrou soroprevalências mais elevadas na rede pública municipal (18,5%; IC95% 16,6–20,6) e estadual (16,2%; IC95% 14,4–18,2) em relação à rede privada (11,7; IC95% 10,0–13,7) e entre escolares da raça/cor preta e parda (18,4%; IC95% 16,8–20,2) e no estrato social mais vulnerável (18,5%; IC95% 16,9–20,2). A pesquisa identificou menores soroprevalências nos escolares que relataram seguir as medidas recomendadas de proteção contra a covid-19. CONCLUSÃO A soroprevalência de anticorpos contra o vírus SARS-CoV-2 atinge principalmente os escolares socialmente mais vulneráveis. Este estudo pode contribuir para embasar políticas públicas que reforcem a importância da suspensão das aulas presenciais e da necessidade de estratégias de medidas de proteção e acompanhamento do status sorológico daqueles que ainda não foram contemplados no calendário vacinal.

ABSTRACT OBJECTIVE To estimate seroprevalence of SARS-CoV-2 antibodies in schoolchildren aged 4 to 14 years living in the city of São Paulo, according to clinical, demographic, epidemiological, and social variables, during the school closure period as a measure against covid-19 spread. METHODS A serological survey was made in September 2020 with a random sample stratified by school system (municipal public, state public and private) type. A venous blood sample was collected using the Wondfo SARS-CoV-2 Antibody Test (lateral flow method) for detection of total SARS-CoV-2 virus antibodies. Semi-structured questionnaires were applied to collect clinical, demographic, social, and epidemiological data. RESULTS Seroprevalence of SARS-CoV-2 antibodies in schoolchildren was of 16.6% (95%CI 15.4–17.8). The study found higher seroprevalence in the municipal (18.5%; 95%CI 16.6–20.6) and state (16.2%; 95%CI 14.4–18.2) public school systems compared to the private school system (11.7; 95%CI 10.0–13.7), among black and brown students (18.4%; 95%CI 16.8–20.2) and in the most vulnerable social stratum (18.5 %;95%CI 16.9–20.2). Lower seroprevalence was identified in schoolchildren who reported following the recommended protective measures against covid-19. CONCLUSION Seroprevalence of SARS-CoV-2 antibodies is found mainly in the most socially vulnerable schoolchildren. This study can contribute to support public policies that reinforce the importance of suspending face-to-face classes and developing strategies aimed at protective measures and monitoring of the serological status of those who have not yet been included in the vaccination schedule.

https://doi.org/10.11606/s1518-8787.2023057004782

13.

Risco e rabisco: representações sociais de crianças expressas em desenhos acerca do procedimento de coleta sanguínea
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Lucas, Eduardo Alexander Júlio César Fonseca

; Rocha, Tatiana da Silva Mello

; Santos, Antonio Eduardo Vieira dos

; Lima, Juliana Dias Vieira

; Souza, Samhira Vieira Franco de

; Lemos, Natália Rodrigues Pontes

; Telles, Alexandre Oliveira

; Lucas, Simone Fonseca

; Evaristo, Fernanda Fonseca Lucas

Ciência & Saúde Coletiva

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2023, Volume 28 N. 4 Pages 1031 - 1042

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

https://doi.org/10.1590/1413-81232023284.00552022

14.

Efectos de la Pandemia y las Medidas de Confinamiento sobre la Salud Mental en Población Infantil de Chile
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Escobar, María Josefina

; Panesso, Carolina

; Chalco, Eduardo Franco

; Cardemil, Andrea

; Grez, Alejandra

; del Río, Pilar

; del Río, Juan Pablo

; Vigil, Pilar

; Duran-Aniotz, Claudia

Psykhe (Santiago)

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2023, Volume 32 N. 2 elocation 00102

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

Abstract: The COVID-19 pandemic has evolved complex challenges especially for families with children and adolescents. The impact of the pandemics' confinement on mental health has been described as devastating, limiting the resources available to families and increasing caregivers' stress levels and demands on their efforts. This study showed the results of an online survey of caregivers, mothers or fathers, with at least one child between 0 and 11 years old who lived the first weeks of confinement throughout Chile. The variables associated with physical symptoms, anxiety, mood, disruptive behavior, sleep problems, low frustration tolerance, attentional difficulties, hyperactivity and regressive behaviors that are related to the psychological impact that the measure of confinement has had on children from 0 to 11 years of age were studied through a questionnaire quantifying their frequency by age group, identifying how these effects are expressed in relation to the vital stages of child development. The results indicate that the younger the age of the children (0 to 3 years) the greater the presence of disruptive behaviors, while the older the age (9 to 11 years) the greater the presence of symptoms such as sadness, anxiety, listlessness and sleep problems. The implications of these results are discussed in terms of policies and strategies to address them, which should consider both the developmental stage of the children and the main caregivers, given the protective role they can play in stressful situations.

Resumen: La pandemia por COVID-19 que afectó al mundo entero ha traído desafíos complejos, especialmente para las familias con niños y adolescentes. Se ha descrito que el impacto del encierro o confinamiento de la pandemia sobre la salud mental ha sido devastador, ya que ha limitado los recursos con los que las familias contaban, incrementando en los cuidadores mayores niveles de estrés y demanda de esfuerzos. Este estudio presenta los resultados de un cuestionario online dirigido a cuidadores, madres o padres, con al menos un hijo entre los 0 a 11 años que vivieron las primeras semanas de confinamiento a lo largo de Chile. Se estudiaron las variables asociadas a síntomas físicos, ansiosos, del estado de ánimo, conducta disruptiva, problemas del sueño, baja tolerancia a la frustración, dificultades atencionales, hiperactividad y conductas regresivas que están relacionadas al impacto psicológico que ha tenido la medida de confinamiento en niños de 0 a 11 años, a través de un cuestionario cuantificando su frecuencia por tramo de edad, identificando cómo estos efectos se expresan en relación a las etapas vitales del desarrollo infantil. Los resultados señalan que a menor edad de los niños (0 a 3 años) mayor presencia de conductas disruptivas, mientras que a mayor edad (9 a 11 años) se observa mayor presencia de síntomas como tristeza, ansiedad, desgano y problemas asociados al sueño. Se discuten las implicancias de estos resultados en términos de políticas y estrategias de abordaje de los mismos, las cuales debiesen considerar tanto la etapa del desarrollo de los niños/as, como a los cuidadores principales dado el rol protector que estos pueden cumplir frente a las situaciones estresantes.

https://doi.org/10.7764/psykhe.2021.31815

15.

Consumo abusivo de álcool em idosos com diabetes mellitus tipo 2 da atenção primária à saúde: um estudo transversal
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Oliveira, Rinaldo Eduardo Machado de

; Consoli, Lívia Maria Ferrante Vizzotto

; Godoy, Anelize Roveri Arcanjo

; Franco, Laercio Joel

Ciência & Saúde Coletiva

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2023, Volume 28 N. 8 Pages 2355 - 2362

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

Resumo Objetivou-se analisar o consumo abusivo de álcool em idosos com diabetes mellitus tipo 2 da atenção primária à saúde. Trata-se de um estudo transversal com coleta de dados domiciliar, realizado no período de março a outubro de 2018, na Estratégia Saúde da Família de Ribeirão Preto, São Paulo. Os dados foram obtidos por entrevistas face a face com aplicação de um formulário. O padrão de consumo de álcool foi estimado pelo Alcohol Use Disorders Identification Test-C. Participaram 338 idosos com diabetes mellitus tipo 2, sendo que 19,2% (IC95% 15,0-23,4) consumiam álcool abusivamente. Entre eles, observou-se maior frequência do sexo masculino (63,1%), faixa etária entre 60 e 64 anos (35,4%), classe econômica C (49,2%), escolaridade de 1 a 4 anos (53,8%) e multimorbidade (92,3%). Verificou-se a associação negativa entre consumo abusivo de álcool e adesão à farmacoterapia (RP = 0,55; IC95% 0,36-0,86). A frequência do consumo abusivo de álcool, bem como a não adesão ao tratamento medicamentoso entre aqueles com padrão de consumo elevado mostrou-se preocupante, uma vez que pode conduzir a complicações do diabetes. Logo, salienta-se a importância do cuidado multidimensional ao idoso e a educação em saúde na atenção primária.

Abstract This cross-sectional study aimed to analyze alcohol abuse in older adults with type 2 diabetes mellitus in primary health care. Household data were collected from March to October 2018 in the Family Health Strategy in Ribeirão Preto, São Paulo through face-to-face interviews with a form application. The pattern of alcohol consumption was estimated with the Alcohol Use Disorders Identification Test-C. A total of 338 older adults with type 2 diabetes mellitus participated, and 19.2% (95%CI 15.0-23.4) engaged in alcohol abuse. Among them, we observed a higher frequency of males (63.1%), aged 60 to 64 years (35.4%), economic class C (49.2%), 1-4 schooling years (53.8%), and multimorbidity (92.3%). There was a negative association between alcohol abuse and drug therapy adherence (PR = 0.55; 95%CI 0.36-0.86). The frequency of alcohol abuse and non-adherence to drug treatment among those with a high consumption pattern is troubling since it can lead to diabetes complications. Therefore, we underscore the importance of multidimensional elderly care and health education in primary care.

https://doi.org/10.1590/1413-81232023288.06492023

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