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Abstract This integrative review systematized the factors that influence access to mental health services for the Homeless Population (HP) in harmful use of alcohol and other drugs in the Psychosocial Care Network (RAPS) in Brazil by categorizing the factors into access “barriers” and “facilitators”. We selected 13 corresponding articles and subsequently assessed their methodological quality. We identified 19 access barriers and 22 access facilitators, observing a convergence and complementarity of the factors identified, with no disagreements between authors. Although there are specific barriers and facilitators related to substance use, most are connected to HP’s conditions and lifestyles or how services address the HP. Discrimination, bureaucratic rigidity of services, and a lack of intra- and intersectoral integration were identified as significant barriers. On the other hand, Street Outreach Clinics and practices such as harm reduction and matrix-based support emerged as notable facilitators, adapting to patients’ needs. Future studies should explore specific factors and the relationships between these factors.

Resumo Esta revisão integrativa sistematizou os fatores que influenciam o acesso da População em Situação de Rua (PSR) que faz uso prejudicial de álcool e outras drogas aos serviços de saúde mental na Rede de Atenção Psicossocial (RAPS) no Brasil, a partir da categorização dos fatores em “barreiras” e “facilitadores” de acesso. Selecionou-se 13 artigos correspondentes, com avaliação posterior de sua qualidade metodológica. Foram encontradas 19 barreiras e 22 facilitadores de acesso, observando uma convergência e complementaridade dos fatores identificados, sem dissensos entre autores. Embora existam barreiras e facilitadores específicos relacionados ao uso de substâncias, a maioria são vinculadas às condições e modos da vida da PSR, ou às formas dos serviços de lidar com a PSR. A discriminação, rigidez burocrática dos serviços, e a falta de integração intra e intersetorial foram identificadas como barreiras significativas. Por outro lado, os Consultórios na Rua e práticas como a redução de danos e o matriciamento emergiram como facilitadores notáveis, adaptando-se às necessidades dos usuários. Há necessidade de estudos futuros que se aprofundem em fatores específicos e nas relações entre estes fatores.

Resumen Esta revisión integradora sistematizó los factores que influyen en el acceso de la Población Sin Hogar (PSH) que hace uso nocivo de alcohol y otras drogas a los servicios de salud mental en la Red de Atención Psicosocial (RAPS) en Brasil, a partir de la categorización de factores en “barreras” y “facilitadores” del acceso. Se seleccionaron 13 artículos correspondientes, con posterior evaluación de su calidad metodológica. Se encontraron 19 barreras y 22 facilitadores de acceso, observándose una convergencia y complementariedad de los factores identificados, sin disensos entre autores. Aunque existen barreras y facilitadores específicos relacionados con el uso de sustancias, la mayoría están vinculados a las condiciones y estilos de vida de la PSH, o a las formas en que los servicios abordan la PSH. Se identificaron como barreras importantes la discriminación, la rigidez burocrática de los servicios y la falta de integración intra e intersectorial. Por otro lado, las Clínicas en la Calle y prácticas como la reducción de daños y el apoyo matricial emergieron como facilitadores notables, adaptándose a las necesidades de los usuarios. Es necesario realizar estudios futuros que profundicen en factores específicos y las relaciones entre estos factores.

https://doi.org/10.1590/1413-81232025301.07752024

Transformando práticas em modelo: caminhos para uma Rede de Atenção à Saúde da População em Situação de Rua
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Dantas, Ana Carolina de Moraes Teixeira Vilela

; Fernandes, Luísa da Matta Machado

; Martins, Ana Luísa Jorge

; Marinho, Rafaela Alves

; Rodrigues, Diadorim Maria

; Silva, Gabriela Drummond Marques da

; Souza, Anelise Andrade de

; Paes-Sousa, Rômulo

Ciência & Saúde Coletiva

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jan 2025, Volume 30 N. 1 elocation e03102024

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

Abstract The Homeless Population (HP) has grown exponentially in the last decade, causing different challenges for the Brazilian Unified Health System, especially during the COVID-19 pandemic. A cross-sectional, descriptive, and exploratory study, with triangulated quantitative and qualitative methods, was conducted from 2020 to 2022, exploring care practices geared to the HP in Belo Horizonte. The quantitative stage adopted official datasets from the health and social assistance secretariats, and 48 semi-structured interviews and four focus groups were conducted in the qualitative stage, totaling 86 participants. The results point to the need for implementing a polyarchic and multidisciplinary Healthcare Network (RAS-PSR) with intersectoral support, guided care territorialization and longitudinality integrated with information systems to address the complex approach and based on the logic of the expanded clinic. Updating HP records in health systems and qualifying services is needed to achieve RAS-PSR efficacy. Understanding the dynamics of actions developed or broadened by the municipality and lessons learned locally can assist the development of effective social care and health policies that can be upscaled to the national level.

Resumo A População em Situação de Rua (PSR) apresentou um crescimento exponencial na última década acarretando diferentes desafios para o Sistema Único de Saúde, especialmente durante a pandemia de COVID-19. Estudo transversal, descritivo e exploratório, com triangulação de métodos quantitativos e qualitativos, de 2020 a 2022, que explorou as práticas de cuidado no município de Belo Horizonte voltadas à PSR. Na etapa quantitativa utilizou-se bancos oficiais das secretarias de saúde e assistência social, e na etapa qualitativa foram realizadas 48 entrevistas semiestruturadas e 4 grupos focais, totalizando 86 participantes. Os resultados apontam para a necessidade de uma Rede de Atenção à Saúde (RAS PSR) poliárquica e multiprofissional, com apoio intersetorial, orientada pela territorialização e longitudinalidade do cuidado, integrada aos sistemas de informação, visando a complexidade da abordagem e pautada na lógica da clínica ampliada. A atualização cadastral da PSR nos sistemas de saúde e qualificação dos serviços são cruciais para a eficácia da RAS PSR. Compreender a dinâmica das ações implementadas e/ou ampliadas no município e lições aprendidas localmente possibilita auxiliar na elaboração de políticas de cuidado efetivas.

Resumen La Población Sin Hogar (PSH) ha mostrado un crecimiento exponencial en la última década, provocando diferentes desafíos para el Sistema Único de Salud brasileño, especialmente durante la pandemia de COVID-19. Se ha implementado un estudio transversal, descriptivo y exploratorio con triangulación de métodos cuantitativos y cualitativos de 2020 a 2022, que exploró las prácticas de atención en la ciudad de Belo Horizonte dirigidas a la PSH. En la etapa cuantitativa se utilizaron bancos oficiales de las secretarías de salud y asistencia social, y se realizaron 48 entrevistas semiestructuradas y cuatro grupos focales en la etapa cualitativa, totalizando 86 participantes. Los resultados apuntan a la necesidad de una Red de Atención de Salud (RAS-PSR) poliárquica y multiprofesional, con apoyo intersectorial, orientada por la territorialización y longitudinalidad de la atención, integrada con sistemas de información, apuntando a la complejidad del abordaje y basada en la lógica de la clínica expandida. La actualización de los registros de la PSH en los sistemas de salud y los servicios de calificación son cruciales para la eficacia de la RAS-PSR. Comprender la dinámica de las acciones implementadas y/o ampliadas en el municipio y las lecciones aprendidas localmente permite coadyuvar en el desarrollo de políticas de cuidado efectivas y escalables a nivel nacional.

https://doi.org/10.1590/1413-81232025301.03102024

Safety of two-dose schedule of COVID-19 adsorbed inactivated vaccine (CoronaVac; Sinovac/Butantan) and heterologous additional doses of mRNA BNT162b2 (Pfizer/BioNTech) in immunocompromised and immunocompetent individuals
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Miyaji, Karina Takesaki

; Ibrahim, Karim Yaqub

; Infante, Vanessa

; Moreira, Raquel Megale

; Santos, Carolina Ferreira dos Belizário, Juliana de Cássia Pinto, Maria Isabel de Moraes Marinho, Ana Karolina Barreto Berselli Pereira, Juliana Marquezi Mello, Liliane Saraiva de Silva, Vitor Gabriel Lopes da Sato, Paula Keiko Strabelli, Tânia Mara Varejão Ragiotto, Lucas Pacheco, Pedro Henrique Theotonio de Mesquita Braga, Patricia Emilia Loch, Ana Paula Precioso, Alexander Roberto Sartori, Ana Marli Christovam França, João Ítalo Lima, Marcos Alves de Ando, Mauricio Cesar Sampaio Rodrigues, Camila Cristina Martini Song, Alice Tung Wan Lara, Amanda Nazareth Belizário, Ana Cristina Lima, Anna Helena Simões Bortulucci de Zanetti, Ariane Cristina Barboza Paulo, Audrey Rose da Silveira Amancio de Rosa, Barbara Miranda dos Santos Moraes, Bruna Del Guerra de Carvalho Oliveira, Bruna Ribeiro de Picone, Camila de Melo Aranda, Carolina Sanches Troli, Carolinne Paioli Kokron, Cristina M. Terrabuio, Debora Raquel Benedita Abdala, Edson David Neto, Elias Nakanishi, Érika Yoshie Shimoda Lima, Fabiana Mascarenhas Souza Firmino, Fabio Batista Santos, Fernanda Barone Alves dos Bacal, Fernando Fatobene, Giancarlo Santana, Jaqueline Oliveira Kalil, Jorge Barbosa, Julia Gonçalves, Leandro Peres Otuyama, Leonardo Jun Pierrotti, Ligia Camera Compte, Livia Caroline Mariano Marinho, Livia Chaer, Livia Netto Seguro, Luis Fernando Azevedo, Luiz Sergio Ueda, Márcia Aiko Terreri, Maria Teresa Barros, Myrthes Anna Maragna Toledo Grecco, Octávio Sejas, Odeli Nicole Encinas Musqueira, Priscila Tavares Ito, Raquel Keiko de Luca Teixeira, Samia Silveira Souza Fidalgo, Serafim Costa, Silvia Figueiredo Campos, Silvia Vidal Fernandes, Tamiris Hinsching Rocha, Vanderson Geraldo Coelho, Vivian Caso

Revista do Instituto de Medicina Tropical de São Paulo

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2025, Volume 67 elocation e2

Abstract: En | Text: En | PDF: En

ABSTRACT Immunocompromised individuals were considered high-risk for severe disease due to SARS COV-2 infection. This study aimed to describe the safety of two doses of COVID-19 adsorbed inactivated vaccine (CoronaVac; Sinovac/Butantan), followed by additional doses of mRNA BNT162b2 (Pfizer/BioNTech) in immunocompromised (IC) adults, compared to immunocompetent/healthy (H) individuals. This phase 4, multicenter, open label study included solid organ transplant and hematopoietic stem cell transplant recipients, cancer patients and people with inborn errors of immunity with defects in antibody production, rheumatic, end-stage chronic kidney or liver disease, who were enrolled in the IC group. Participants received two doses of CoronaVac and additional doses of mRNA BNT162b2. Adverse reactions (AR) data were collected within seven days after each vaccination. Serious adverse events and of special interest (AESI) were monitored throughout the study. We included 241 immunocompromised and 100 immunocompetent subjects. Arthralgia, fatigue, myalgia, and nausea were more frequent in the IC group after CoronaVac. Following the first additional dose of mRNA BNT162, pain, induration, and tenderness at injection site, fatigue and myalgia were more frequent in the H group. A heart transplant recipient had a graft rejection temporally associated with the second CoronaVac dose, but there was no literature evidence of causal association. Four cases of AESI were considered related to the vaccine: three erythema multiforme after CoronaVac, all in IC participants, and one paresthesia after mRNA, in a H participant. Our findings were comparable to other studies that evaluated the safety of COVID-19 vaccines in different immunocompromised populations. Both vaccines were safe for immunocompromised participants.

https://doi.org/10.1590/s1678-9946202567002

Biópsias de Tempo Zero no Transplante Renal de Doador Falecido: Valor Preditivo dos Achados Histológicos na Função do Enxerto a Longo Prazo
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Beirão, Bárbara

; Borges, Henrique

; Medeiros, Joana Trigo

; Rodrigues, Filipa Fonte

; Pena, Ana

; Góis, Mário

; Viana, Helena

; Jorge, Cristina

Brazilian Journal of Transplantation

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2025, Volume 28 elocation e0325

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

ABSTRACT Background: Time-zero biopsies (TzB) provide insights into donor-derived lesions, but their predictive value for long-term outcomes remains uncertain. We aimed to identify clinical and histological factors from TzB of deceased donors influencing glomerular filtration rate (GFR) at 3- and 5-year post-transplantation. Methods: We retrospectively analyzed TzB performed from January 2015 to August 2019. Nineteen biopsies were excluded due to recipient death before 3 years. We examined donor and recipient-related characteristics and histological findings categorized using the Banff scoring system. Results: Among 147 biopsies, 61.9% of donors were male, with a mean age of 51.8 ± 13.5 years, and 27.2% met expanded criteria. Histologic analysis revealed 44.2% had alterations in the Banff chronic scoring system: 29.1% in vascular fibrous intimal thickening (Cv), 26.6% in arteriolar hyalinosis (Ah), and 8.3% in interstitial fibrosis (Ci)/tubular atrophy (Ct). Mean GFR was 54.8 ± 21.2 and 52.3 ± 23.0 mL/min/1.73 m2 at 3 and 5 years, respectively. At 3 years, Ah > 0, Ci/Ct > 0, Cv > 0, Banff chronic sum score > 0, glomerulosclerosis (GE), donor age > 50 years, expanded criteria donors, and rejection episodes were significantly associated with lower GFR. With the exception of Ci/Ct, all other parameters were also significantly associated with lower GFR at 5 years. Linear regression indicated donor age [β (95%CI) = -0.257 (-0.783, -0.021); p = 0.039] and arteriolar hyalinosis [β (95%CI) = -0.207 (-16.767, -0.448); p = 0.039]; p = 0.039) as predictors of GFR at 3 years, with donor age maintaining predictive value at 5 years [β (95%CI) = -0.276 (-0.776, -0.137); p = 0.006]. A tendency towards predictive value for GFR at 5 years was noted for GE [β (95%CI) = -0.198 (120.0, 1.038); p = 0.054]. Conclusion: TzB provide valuable prognostic information for long-term graft function with histological findings (particularly arteriolar hyalinosis and GE) and donor age serving as significant predictors of GFR at 3 and 5 years post-transplantation. These findings suggest TzB can be useful for risk stratification and personalized management of KT recipients.

RESUMO Introdução: As biópsias de tempo zero [time-zero biopsies (TzB)] fornecem informações sobre lesões provenientes do doador, mas seu valor preditivo para os resultados a longo prazo permanece incerto. O objetivo deste trabalho foi identificar fatores clínicos e histológicos das TzB de doadores falecidos que influenciam a taxa de filtração glomerular (TFG) aos 3 e 5 anos pós-transplante renal. Métodos: Analisámos retrospectivamente TzB realizadas de janeiro de 2015 a agosto de 2019. Foram excluídas 19 biópsias por óbito do receptor antes de 3 anos de seguimento. Avaliamos características relacionadas ao doador e receptor, além dos achados histológicos categorizados usando o sistema de escore de Banff. Resultados: Dentre 147 biópsias, 61,9% dos dadores eram do sexo masculino, com idade média de 51,8 ± 13,5 anos, e 27,2% eram doadores de critérios expandidos. A análise histológica revelou que 44,2% apresentavam alterações no escore de Banff crónico: 29,1% com alterações em Cv (vascular fibrous intimal thickening), 26,6% em Ah (arteriolar hyalinosis) e 8,3% em Ci (interstitial fibrosis)/Ct (tubular atrophy). A TFG média foi de 54,8 ± 21,2 e 52,3 ± 23,0 mL/min/1,73 m² aos 3 e 5 anos, respectivamente. Aos 3 anos, Ah > 0, Ci/Ct > 0, Cv > 0, escore de Banff crônico > 0, glomeruloesclerose, idade do doador > 50 anos, doador de critérios expandidos e episódios de rejeição associaram-se significativamente a uma TFG mais baixa. Com exceção de Ci/Ct, todos os outros parâmetros também apresentaram associação significativa com TFG reduzida aos 5 anos. A regressão linear indicou que a idade do doador [β (IC95%) = -0,257 (-0,783, -0,021); p = 0,039] e hialinose arteriolar [β (IC95%) = -0,207 (-16,767, -0,448); p = 0,039] foram preditores de TFG aos 3 anos, sendo que a idade do doador manteve valor preditivo aos 5 anos [β (IC95%) = -0,276 (-0,776, -0,137); p = 0,006]. Observou-se uma tendência de valor preditivo para TFG aos 5 anos para glomeruloesclerose [β (IC95%) = -0,198 (-120,0, 1,038); p = 0,054]. Conclusão: As TzB fornecem informações prognósticas valiosas sobre a função do enxerto a longo prazo, sendo os achados histológicos (particularmente hialinose arteriolar e glomeruloesclerose) e a idade do doador preditores significativos da TFG aos 3 e 5 anos pós-transplante. Esses achados sugerem que as TzB podem ser úteis na estratificação de risco e na gestão personalizada de receptores de transplante renal.

https://doi.org/10.53855/bjt.v28i1.638_port

Modelo de Negócios Canvas aplicado a repositórios digitais institucionais
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Alves, Renato Marques

; Silva, Ana Paula Lopes da

; Duarte, Francisco Ricardo

; Ramos, Jorge Luis Cavalcanti

; Oliveira, Lúcia Marisy Souza Ribeiro de

RDBCI: Revista Digital de Biblioteconomia e Ciência da Informação

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2025, Volume 23 elocation e025005

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

ABSTRACT Introduction: In the era of the knowledge economy, information management is a challenge for institutions regarding long-term digital preservation, metadata management, and copyright standards for open access. The DSpace repository was created for the management and dissemination of content produced by an institution; however, its implementation requires the involvement of various collaborators and task organization, which can be structured through a business model for complex organizational systems. Objective: To structure a Business Model Canvas for the digital repository of the Federal University of Vale do São Francisco. Methodology: A literature review was conducted on business models and the Business Model Canvas applied to digital repositories, along with an analysis of official documents from public agencies. For the practical execution of the research, the Business Model Canvas method was used, following these steps: 1) identification and understanding of the nine blocks that make up the method; 2) delimitation of the order of filling; 3) gathering of preliminary information; 4) comparison with models applied to digital repositories; 5) adaptation and application to the context of the RIU; 6) structuring of the RIU/Univasf Business Model Canvas. Results: The model is presented as a practical tool to clarify the proposal and understanding of the business, facilitating conceptual communication between managers and stakeholders. Conclusion: It is suggested that the structured Business Model Canvas for the Univasf digital repository be reapplied in the implementation process and validated in subsequent research.

RESUMO Introdução: Na era da economia do conhecimento, o gerenciamento da informação é um desafio para as instituições no que se refere à preservação digital a longo prazo, à gestão de metadados e às normas de direito autoral para acesso aberto. O repositório DSpace foi criado para gestão e difusão de conteúdos produzidos por uma instituição, porém, sua implementação exige atuação de diversos colaboradores e organização de tarefas, e pode ser estruturada por meio de um modelo de negócios para sistemas organizacionais complexos. Objetivo: Estruturar um Modelo de Negócios Canvas para o repositório digital da Universidade Federal do Vale do São Francisco. Metodologia: Foi realizada uma revisão da literatura sobre modelo de negócios e Business Model Canvas aplicada a repositórios digitais e análise de documentos oficiais de órgãos públicos. Para execução prática da pesquisa, utilizou-se o método Business Model Canvas, seguindo-se as etapas: 1) identificação e compreensão dos nove blocos que compõem o método; 2) delimitação da ordem de preenchimento; 3) levantamento de informações prévias; 4) comparação com modelo aplicado a repositórios digitais; 5) adaptação e aplicação ao contexto do RIU; 6) estruturação do Business Model Canvas RIU/Univasf. Resultados: Apresenta-se o modelo como ferramenta prática para clarificar a proposta e o conhecimento do negócio, e facilitar a comunicação conceitual entre os gestores e stakeholders. Conclusão: Sugere-se que o Modelo de Negócios Canvas estruturado para o repositório digital da Univasf seja reaplicado no processo de implantação e validado em pesquisas posteriores.

https://doi.org/10.20396/rdbci.v23i00.8676600

Joint statement on evidence-based practices in mechanical ventilation: suggestions from two Brazilian medical societies
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Ferreira, Juliana Carvalho

; Vianna, Arthur Oswaldo de Abreu

; Pinheiro, Bruno Valle

; Maia, Israel Silva

; Baldisserotto, Sérgio Vasconcellos

; Isola, Alexandre Marini

; Cavalcanti, Alexandre Biasi Gama, Ana Maria Casati Nogueira da Rocha, Angelo Roncalli Miranda Oliveira, Antonio Gonçalves de Serpa Neto, Ary Farias, Augusto Manoel de Carvalho Orlando, Bianca Rodrigues Esteves, Bruno da Costa Mazza, Bruno Franco Silveira, Camila de Freitas Martins Soares Carvalho, Carlos Roberto Ribeiro de Toufen Junior, Carlos Barbas, Carmen Silvia Valente Teixeira, Cassiano Silveira, Débora Dutra da Medeiros, Denise Machado Parolo, Edino Costa, Eduardo Leite Vieira Caser, Eliana Bernadete Oliveira, Ellen Pierre de Banholzer, Eric Grieger Carvalho, Erich Vidal Amorim, Fabio Ferreira Saddy, Felipe Gonçalves, Fernanda Alves Ferreira Galas, Filomena Regina Barbosa Gomes Zanatta, Giovanna Carolina Gardini Silva, Gisele Sampaio Westphal, Glauco Adrieno Matos, Gustavo Faissol Janot de Souza, João Claudio Emmerich de Silva Junior, João Manoel Valiatti, Jorge Luis dos Santos Nascimento Junior, José Ribamar do Rocco, Jose Rodolfo Hajjar, Ludhmila Abrahão Forgiarini Junior, Luiz Alberto Malbuisson, Luiz Marcelo Sá Holanda, Marcelo Alcantara Amato, Marcelo Britto Passos Park, Marcelo Oliveira, Marco Antonio da Rosa e Reis, Marco Antonio Soares Tavares, Marcos Soares Souza, Mario Henrique Dutra de Damasceno, Marta Cristina Pauleti Lira-Batista, Marta Maria da Silva Pattacini, Max Morais Assunção, Murillo Santucci Cesar de Oliveira, Neymar Elias de Franzosi, Oellen Stuani Rocco, Patricia Rieken Macedo Caruso, Pedro Silva, Pedro Leme Mendes, Pedro Vitale Duarte, Pericles Almeida Delfino Santa Neto, Renato Fabio Alberto Della Rodrigues, Ricardo Goulart Cordioli, Ricardo Luiz Palazzo, Roberta Fittipaldi Goldwasser, Rosane Pinheiro, Sabrina dos Santos Justino, Sandra Regina Nemer, Sergio Nogueira Oliveira, Vanessa Martins de Silva, Vinicius Zacarias Maldaner da Nedel, Wagner Luis Bellissimo-Rodrigues, Wanessa Teixeira Oliveira Filho, Wilson de

Critical Care Science

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2025, Volume 37 elocation e20250242en

Abstract: En | Text: En | PDF: En

ABSTRACT Mechanical ventilation can be a life-saving intervention, but its implementation requires a multidisciplinary approach, with an understanding of its indications and contraindications due to the potential for complications. The management of mechanical ventilation should be part of the curricula during clinical training; however, trainees and practicing professionals frequently report low confidence in managing mechanical ventilation, often seeking additional sources of knowledge. Review articles, consensus statements and clinical practice guidelines have become important sources of guidance in mechanical ventilation, and although clinical practice guidelines offer rigorously developed recommendations, they take a long time to develop and can address only a limited number of clinical questions. The Associação de Medicina Intensiva Brasileira and the Sociedade Brasileira de Pneumologia e Tisiologia sponsored the development of a joint statement addressing all aspects of mechanical ventilation, which was divided into 38 topics. Seventy-five experts from all regions of Brazil worked in pairs to perform scoping reviews, searching for publications on their specific topic of mechanical ventilation in the last 20 years in the highest impact factor journals in the areas of intensive care, pulmonology, and anesthesiology. Each pair produced suggestions and considerations on their topics, which were presented to the entire group in a plenary session for modification when necessary and approval. The result was a comprehensive document encompassing all aspects of mechanical ventilation to provide guidance at the bedside. In this article, we report the methodology used to produce the document and highlight the most important suggestions and considerations of the document, which has been made available to the public in Portuguese.

https://doi.org/10.62675/2965-2774.20250242-en

Factors associated with the dietary total antioxidant capacity of pregnant Brazilian women
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Carvalho, Roberta Rejane Santos de

; Viola, Poliana Cristina de Almeida Fonseca

; Crispim, Sandra Patrícia

; França, Ana Karina Teixeira da Cunha

; Navarro, Anderson Marliere

; Souza, Bruno Feres de

; Faria, Franciane Rocha de

; Sperandio, Naiara

; Pizato, Nathalia

; Macedo, Mariana de Souza

; Pereira, Renata Junqueira

; Franceschini, Sylvia do Carmo Castro

; Carvalho, Carolina Abreu de

; Navarro, Anderson Marliere

; Carvalho, Carolina Abreu de

; Silva, Danielle Góes da

; Faria, Franciane Rocha de

; Sperandio, Naiara

; Meléndez, Jorge Gustavo Velásquez

; Barbosa, Míriam do Carmo Rodrigues

; Pizato, Nathalia

; Macedo, Mariana de Souza

; Pereira, Renata Junqueira

; Crispim, Sandra Patrícia

; Priore, Silvia Eloiza

; Franceschini, Sylvia do Carmo Castro

Revista Brasileira de Epidemiologia

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2025, Volume 28 elocation e250002

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

RESUMO Objetivo: Investigar os fatores sociodemográficos, maternos e gestacionais associados à capacidade antioxidante total da dieta em gestantes brasileiras. Métodos: Estudo transversal com 2.232 gestantes com 18 anos ou mais, no primeiro, segundo e terceiro trimestres de gestação de onze cidades das cinco regiões brasileiras. Foi aplicado um questionário semiestruturado para avaliação dos dados socioeconômicos, demográficos e de saúde, e o recordatório de 24h (R24h) para avaliação do consumo alimentar e análise da Capacidade Antioxidante Total da Dieta (CATd), estimada usando o método Ferric Reducing Antioxidant Power (FRAP). Resultados: A mediana de CATd foi de 5,32 mmol/dia. Aracaju (SE) apresentou a maior mediana de CATd (6,44 mmol/dia) e Palmas (TO) a menor (4,71 mmol/dia). As gestantes de 20 a 34 anos (OR 1,86; IC95% 1,26-2,76), 35 anos ou mais (OR 3,68; IC95% 2,21-6,14) e que estavam no segundo trimestre de gestação (OR 1,50; IC95%; 1,11-2,01) tiveram mais chances de estarem acima da mediana de CATd, enquanto as gestantes com maior escolaridade tinham 67% menos chance de estarem acima da mediana de CATd (OR 0,67; IC95% 0,48-0,92). Conclusão: O estudo demonstrou que há diferenças no consumo de antioxidantes em diferentes cidades do Brasil e que fatores associados, como idade, escolaridade e trimestre gestacional podem impactar na ingestão de alimentos ricos em antioxidantes. O perfil encontrado chama atenção para a importância de uma alimentação adequada e rica em antioxidantes durante o pré-natal.

ABSTRACT Objective: To investigate the sociodemographic, maternal, and gestational factors associated with the dietary total antioxidant capacity in pregnant Brazilian women. Methods: A cross-sectional study with 2,232 pregnant women aged 18 years old or older, in the first, second, and third trimesters of pregnancy, from eleven cities in the five Brazilian regions. A semi-structured questionnaire was applied to assess socioeconomic, demographic, and health data, and a 24-hour dietary recall (R24h) was used to assess food consumption and analyze the dietary total antioxidant capacity (DTAC), estimated using the ferric reducing antioxidant power (FRAP) method. Results: The median of DTAC was 5.32 mmol/day. Aracaju, Sergipe (SE) had the highest median of DTAC (6.44 mmol/day) and Palmas, Tocantins (TO) had the lowest (4.71 mmol/day). Pregnant women aged 20 to 34 years (OR 1.86; 95%CI 1.26-2.76), 35 years old or older (OR 3.68; 95%CI 2.21-6.14) and who were in the second trimester of pregnancy (OR 1.50; 95%CI 1.11-2.01) were more likely to be above the median DTAC. While pregnant women with higher education had a 67% lower chance of being above the median DTAC (OR 0.67; 95%CI 0.48-0.92). Conclusion: The study demonstrated that there are differences in antioxidant consumption in different cities in Brazil and that associated factors such as age, education, and gestational trimester can impact the intake of foods rich in antioxidants. The profile found draws attention to the importance of an adequate diet rich in antioxidants during prenatal care.

https://doi.org/10.1590/1980-549720250002

Entre as ruas e a RAPS: Revisão integrativa sobre acesso das pessoas em situação de rua aos Serviços de Saúde Mental
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Fraga, Priscilla Victória Rodrigues

; Araújo, Maria Cecília Assis de

; Souza, Anelise Andrade de

; Martins, Ana Luísa Jorge

; Dantas, Ana Carolina de Moraes Teixeira Vilela

; Marinho, Rafaela Alves

; Rodrigues, Diadorim Maria

; Paes-Sousa, Rômulo

Ciência & Saúde Coletiva

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2025, Volume 30 N. 1 elocation e07752024

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

https://doi.org/10.1590/1413-81232025301.07752024

Transformando práticas em modelo: caminhos para uma Rede de Atenção à Saúde da População em Situação de Rua
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Dantas, Ana Carolina de Moraes Teixeira Vilela

; Fernandes, Luísa da Matta Machado

; Martins, Ana Luísa Jorge

; Marinho, Rafaela Alves

; Rodrigues, Diadorim Maria

; Silva, Gabriela Drummond Marques da

; Souza, Anelise Andrade de

; Paes-Sousa, Rômulo

Ciência & Saúde Coletiva

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2025, Volume 30 N. 1 elocation e03102024

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

https://doi.org/10.1590/1413-81232025301.03102024

10.

Envejecimiento y prevención de las enfermedades cardiovasculares. Una mirada desde la ciencia de medicina familiar
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Hierrezuelo Rojas, Naifi

; Hernández Magdariaga, Alfredo

; González Guerrero, Lourdes

; de la Cruz LLaugert, Jorge

; Limia Dominguez, Ana Josefa

Multimed

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2025, Volume 29 elocation e2926

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

RESUMEN Se revelan controversias respecto a las mejores estrategias de prevención de las enfermedades cardiovasculares en los ancianos, dado el bajo de número de pacientes de este grupo de edad incluidos en la mayor parte de ensayos clínicos de prevención. Con el objetivo de recopilar información sobre el envejecimiento y la prevención de las enfermedades cardiovasculares en el contexto de la atención primaria de salud, se realizó una revisión narrativa sobre este tema. La búsqueda se efectuó consultando las bases de datos Pubmed, Infomed y SciELO, sin restricción de fecha, en los idiomas español e inglés. La contradicción por el desafío que representa el proceso de envejecimiento poblacional para la economía, la sociedad y en particular para la salud pública, infiere la necesidad de la promoción de salud y prevención de los factores de riesgos para el mejoramiento de la salud de estos pacientes y elevar su calidad de vida. A pesar del nivel de desarrollo alcanzado por el sistema de salud y los escenarios políticos, económicos y sociales del país, la calidad y preparación del capital humano creado, que permitan trabajar sobre bases objetivas, es insuficiente la búsqueda de soluciones científicas para el diseño de una herramienta en la atención primaria de salud, dirigida a identificar de forma oportuna a los pacientes adultos mayores con mayor susceptibilidad de sufrir un evento cardiovascular.

ABSTRACT Controversies are revealed regarding the best cardiovascular diseases prevention strategies in the elderly, given the low number of patients in this age group included in most prevention clinical trials. With the objective of collecting information on aging and the prevention of cardiovascular diseases in the context of primary health care, a narrative review on this topic was carried out. The search was carried out by consulting the Pubmed, Infomed and SciELO databases, without date restriction, in Spanish and English. The contradiction due to the challenge that the population aging process represents for the economy, society and in particular for public health, infers the need for health promotion and prevention of risk factors to improve the health of these patients. and raise their quality of life. Despite the level of development reached by the health system and the political, economic and social scenarios of the country, the quality and preparation of the human capital created, which allow working on objective bases, the search for scientific solutions for the design of a tool in primary health care, aimed at timely identification of older adult patients with greater susceptibility to suffering a cardiovascular event.

RESUMO Revelam-se controvérsias quanto às melhores estratégias para a prevenção de doenças cardiovasculares em idosos, dado o baixo número de pacientes nesta faixa etária incluídos na maioria dos ensaios clínicos de prevenção. Com o objetivo de coletar informações sobre o envelhecimento e a prevenção de doenças cardiovasculares no contexto da atenção primária à saúde, foi realizada uma revisão narrativa sobre o tema. A busca foi realizada por meio da consulta às bases de dados Pubmed, Infomed e SciELO, sem restrição de data, nas línguas espanhola e inglesa. A contradição devido ao desafio que o processo de envelhecimento populacional representa para a economia, a sociedade e, em particular, para a saúde pública, infere a necessidade de promoção da saúde e prevenção de fatores de risco para melhorar a saúde desses pacientes e melhorar sua qualidade de vida. Apesar do nível de desenvolvimento alcançado pelo sistema de saúde e dos cenários político, econômico e social do país, a qualidade e o preparo do capital humano criado, que permitem trabalhar em bases objetivas, a busca de soluções científicas para o desenho de uma ferramenta na atenção primária à saúde, visando identificar em tempo hábil pacientes idosos com maior suscetibilidade a sofrer um evento cardiovascular, é insuficiente.

11.

Sensibilidad del cultivo de maíz (Zea mays L.) a diferentes períodos de déficit hídrico controlado
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Sáez-Cigarruista, Ana

; Morales-Guevara, Donaldo

; Gordon-Mendoza, Roman

; Jaén-Villarreal, Jorge

; Franco-Barrera, Jorge

; Ramos-Manzané, Francisco

Agronomía Mesoamericana

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dec 2024, Volume 35 N. 1 elocation 55660

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

Resumen Introducción. El maíz es uno de los granos alimenticios más antiguos conocido. Con el cambio climático y las sequías severas y frecuentes, se reducirá en gran medida el agua disponible en el suelo. El déficit hídrico afecta en diversos grados el desarrollo del cultivo de maíz y la sensibilidad a este estrés varía en las diferentes etapas de desarrollo. Objetivo. Identificar las etapas fenológicas más sensibles al déficit hídrico en el cultivo de maíz. Materiales y métodos. El experimento se realizó durante dos ciclos en los años 2020 y 2021 en El Ejido, Provincia de Los Santos, Panamá. Se desarrolló bajo condiciones semicontroladas en la casa de cultivo del Instituto Coronel Segundo de Villarreal. Se utilizó el híbrido de maíz comercial ADV-9293. El manejo agronómico se realizó según las recomendaciones del Instituto de Innovación Agropecuaria de Panamá (IDIAP). Durante todo el ciclo del cultivo, se determinaron las variables altura de planta, largo y ancho de hojas, diámetro del tallo, biomasa y los componentes del rendimiento como número de hileras por mazorca, número de granos por hilera y peso de cien granos. También, se determinó la humedad del suelo por el método gravimétrico. El déficit hídrico en distintas etapas se generó a través de la simulación de sequía. Resultados. El rendimiento de grano del testigo superó los diferentes tratamientos evaluados con 12,83 t ha-1, seguido por el tratamiento con estrés en el llenado de grano con 10,31 t ha-1. Se determinaron dos períodos más sensibles al déficit hídrico; los cuales son las etapas comprendidas desde los 20 a 35 y 40 a 55 dds. El déficit hídrico, durante las diferentes etapas fenológicas del cultivo, tuvo un impacto negativo en el contenido relativo de clorofilas. Conclusión. Las etapas de prefloración y floración resultaron más sensibles a la deficiencia hídrica en el cultivo del maíz.

Abstract Introduction. Corn is one of the oldest known food grains. With climate change and frequent and severe droughts, the water available in the soil will be considerably reduced. Water deficit affects maize crop development to varying degrees, and sensitivity to this stress varies at different development stages. Objective. To identify the phenological stages most sensitive to water deficit in maize. Materials and methods. The experiment was conducted during two growing seasons in 2020 and 2021 in El Ejido, Los Santos province, Panama, under semi-controlled conditions in the greenhouse facilities of the Instituto Coronel Segundo de Villarreal. The commercial corn hybrid ADV-9293 was used and agronomic management was carried out according to the recommendations of the Institute for Agricultural Innovation of Panamá (IDIAP). Plant height, leaf length and width, stem diameter, biomass and yield components, such as number of rows per ear, number of grains per row and 100-grain mass, were determined throughout the crop cycle. Soil moisture was also determined by the gravimetric method. Water deficit at different stages was generated by drought simulation. Results. The grain yields of the control were higher than the different treatments evaluated with 12.83 t ha-1, followed by the treatment with grain filling stress with 10.31 t ha-1. Two periods were determined to be more sensitive to water deficit; these were the stages from 20 to 35 and 40 to 55 days after planting. Water deficit in the different phenological stages of the crop had a negative impact on the relative chlorophyll content. Conclusion. The pre-flowering and flowering stages were more sensitive to water deficiency in maize.

https://doi.org/10.15517/am.2024.55660

12.

Radiosensibilidad de tres variedades de tomate (Solanum lycopersicum L.) irradiadas con rayos gamma de Cobalto-60
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Jaén Villarreal, Jorge Enrique

; González Cepero, María Caridad

; Camargo Buitrago, Ismael

; Saéz Cigarruista, Ana Elida

; Guillama Alonso, Rodolfo

; Guerra Murillo, José Ángel

Agronomía Mesoamericana

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dec 2024, Volume 35 N. 1 elocation 54329

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

Resumen Introducción. El tomate (Solanum lycopersicum L.) es considerado uno de los cultivos más importantes en el mundo. La mejora genética del tomate ha empleado diferentes métodos para generar variabilidad, la inducción de mutaciones es una de las técnicas empleadas en la obtención de variedades mejoradas. El primer paso, en el uso de esta herramienta, es el estudio de radiosensibilidad para determinar la dosis de irradiación a emplear. Objetivo. Determinar la radiosensibilidad y la dosis de rayos gamma de cobalto-60 a emplear en tres variedades de tomate. Materiales y métodos. Esta investigación se desarrolló en enero del año 2020, en el Instituto Nacional de Ciencias Agrícolas de Cuba. Se irradiaron con rayos gamma de Cobalto-60 semillas de tres variedades de tomate, con dosis entre 100 Gy y 900 Gy, con intervalos de dosis de 100 Gy; también se empleó un control sin irradiar. Se evaluaron el porcentaje de germinación, la altura y la sobrevivencia de las plántulas. Resultados. Se observó que a mayores dosis de irradiación se redujo la germinación, la sobrevivencia y la altura de las plántulas. Las variedades IDIAP T-7 e IDIAP T-9 redujeron su germinación a la dosis de 400 Gy y el cultivar DINA RPs a los 300 Gy. Los genotipos presentaron valores de sobrevivencia por debajo del 50 % a la dosis de 800 Gy. La reducción de altura inició a la dosis de 200 Gy para la variedad IDIAP T-7, 300 Gy para DINA RPs y 400 Gy para IDIAP T-9. Conclusión. Las dosis de DL-50 identificadas fueron 692, 588 y 630 Gy y las dosis deGR-50 fueron 407, 467 y 380 Gy para las variedades IDIAP T-7, IDIAP T-9 Y DINA RPs, respectivamente. Se seleccionó la dosis GR-50 de cada una de las variedades para el programa de mejora por mutaciones.

Abstract Introduction. Tomato (Solanum lycopersicum L.) is considered one of the most important crops in the world. Genetic improvement of tomatoes has employed different methods to generate variability, and mutation the induction of mutations is one of the techniques used to obtaining improved varieties. The first step in using this tool is studying radiosensitivity to determine the irradiation dose to be used. Objective. To determine the radiosensitivity and the dose of cobalt-60 gamma rays to be used in three tomato varieties. Materials and methods. This research was conducted in January 2020 at the Instituto Nacional de Ciencias Agrícolas of Cuba. Seeds of three tomato varieties were irradiated with cobalt-60 gamma rays, with doses ranging from 100 Gy to 900 Gy, at intervals of 100 Gy; an unirradiated control was also used. The percentage of germination, plant height, and seedling survival were evaluated. Results. It was observed that higher irradiation dose reduced germination, survival, and plant height. The IDIAP T-7 and IDIAP T-9 varieties reduced germination at a dose of 400 Gy, while the DINA RPs cultivar reduced germination at 300 Gy. Genotypes showed survival values below 50 % at a dose of 800 Gy. Height reduction began at doses of 200 Gy for IDIAP T-7, 300 Gy for DINA RPs, and 400 Gy for IDIAP T-9. Conclusion. The DL-50 doses were identified as 692, 588, and 630 Gy, and the GR-50 doses were 407, 467, and 380 Gy for the IDIAP T-7, IDIAP T-9, and DINA RPs varieties, respectively. The GR-50 dose of each variety was selected for the mutation breeding program.

https://doi.org/10.15517/am.2024.54329

13.

Strawberry (Fragaria ananassa) seedlings formation under different intensities of violet, blue and red LED light
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Ruiz Nieto, Jorge Eric

; Mireles Arriaga, Ana Isabel

; Hernández Ruiz, Jesús

; Laguna Estrada, María Isabel

; López Núñez, Adolfo Rafael

; Zárate-Castrejón, José Luis

Agronomía Mesoamericana

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dec 2024, Volume 35 N. 1 elocation 54103

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

Resumen Introducción. La formación de plántulas en condiciones controladas es fundamental para cultivar especies como la fresa. Dado que la tecnología de iluminación artificial LED ha permitido un mayor control de la luz, la variación de componentes como la longitud de onda y la intensidad pueden ser manipulados para generar plántulas con diferentes características. Sin embargo, es necesario generar información para el desarrollo de prácticas precisas y eficientes en el control de la luz. Objetivo. Evaluar la formación de plántulas de fresa en diferentes intensidades de luz LED violeta, azul y roja. Materiales y métodos. El estudio se realizó durante 2020 en el Laboratorio de Genética Vegetal del Departamento de Agronomía de la Universidad de Guanajuato, Guanajuato, México. Se recuperaron semillas de frutos de la variedad San Andreas y se sembraron plántulas en luz LED violeta, azul y roja a intensidades alta, media y baja. Se realizaron determinaciones de color del área del cotiledón, índice de saturación de color y ángulo Hue. Además, se midieron variables fisiotécnicas, químicas y actividad antioxidante. Resultados. Los tratamientos más adecuados fueron luz violeta de intensidades altas y medias; así como luz azul de alta intensidad, debido a que el porcentaje de germinación superó el 60 %. Las plántulas no se alargaron ni adelgazaron, presentaron las mayores áreas de cotiledones y concentraciones de clorofila. Además, estos tratamientos de luz consumieron en promedio 31,2 % menos energía eléctrica. Conclusiones. Además de la luz blanca, los tratamientos más adecuados para la formación de plántulas de fresa fueron la luz violeta a alta y media intensidad, así como la luz azul a alta intensidad. Se sugiere evaluar los tratamientos de luz violeta y azul en otros cultivares para confirmar el efecto positivo en las plántulas de fresa. La luz roja limitó la germinación y mostró mayor actividad antioxidante.

Abstract Introduction. Seedlings formation under controlled conditions is crucial for cultivating species like strawberry. With LED artificial lighting technology allowing greater control over light, variations in components such as wavelength and intensity can be manipulated to generate seedlings with different characteristics. However, there is a need to generate information for the development of precise and efficient light control practices. Objective. The evaluate strawberry seedling formation under different intensities of violet, blue, and red LED light. Material and methods. The study was conducted in 2020 at the Plant Genetics Laboratory of the Department of Agronomy at the Universidad de Guanajuato, Guanajuato, Mexico. Seeds from San Andreas variety fruits were collected, and seedlings were grown under violet, blue, and red LED light at high, medium, and low intensities. Color determinations of cotyledon area, Chroma saturation index, and Hue angle were performed. Additionally, physio-technical, chemical, and antioxidant activity variables were measured. Results. The most suitable treatments were high and medium intensity violet light, as well as high intensity blue light, with germination range exceeding 60 %. Seedlings did not elongate or thin out and exhibited the largest cotyledons areas and chlorophyll concentrations. Furthermore, these light treatments consumed, on average, 31.2 % less electrical energy. Conclusions. In addition to white light, the most suitable treatments for strawberry seedlings formation were high and medium intensity violet light, as well as high intensity blue light. It is suggested to evaluate violet and blue light treatments in other cultivars to confirm their positive effect on strawberry seedlings. Red light limited germination and showing higher antioxidant activity.

https://doi.org/10.15517/am.2024.54103

14.

La red social TikTok y su incidencia en el cambio de comportamiento: un estudio bibliométrico
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Jordán Correa, Dennys Patricia

; Izaguirre Olmedo, Jorge Andrés

; López, Ana Luisa

Intersecciones en comunicación

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dec 2024, Volume 2 N. 18 Pages 5 -

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

Resumen TikTok se ha transformado en uno de los canales de comunicación más empleados por la relevancia de su contenido. Las herramientas propias de la red han revolucionado la forma en que las personas realizan sus prácticas cotidianas. Esta investigación tiene por objeto analizar la literatura existente sobre la incidencia de TikTok en el comportamiento para identificar brechas del conocimiento que determinen futuras líneas de investigación con énfasis en Ecuador y la región. La metodología empleada consiste en un estudio bibliométrico en SCOPUS que incluyó a 891 papers de los cuales se tomaron 29 para el análisis específico. Los resultados presentan una incidencia de la red social TikTok sobre el comportamiento de los usuarios en cuanto a consumo, orientación política, estrategias de estudio, entre otras decisiones. Se concluye en la influencia que tiene TikTok en las tendencias globales y su efecto sobre los consumidores. Se recomienda profundizar en estudios específicos que indiquen cómo afecta la red social a las decisiones de consumo y las percepciones de marca locales.

Abstract TikTok has become one of the most widely used communication channels due to the relevance of its content. The platform’s tools have revolutionized the way people engage in their daily practices. This research aims to analyze the existing literature on TikTok’s incidence on behavior to identify knowledge gaps that could guide future research lines, with a focus on Ecuador and the region. The methodology used consists of a bibliometric study on SCOPUS, which included 891 papers, of which 29 were selected for specific analysis. The results show an incidence of the TikTok social network on user behavior in terms of consumption, political orientation, study strategies, and other decision-making areas. The study concludes that TikTok influences global trends and impacts consumer behavior. Further studies are recommended to explore how the platform affects consumption decisions and local brand perceptions.

https://doi.org/10.51385/jzxcbs79

15.

Proyecto de vida y género en profesorado joven de Educación Física
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García Villanueva, Jorge

; Canseco López, Ana Belén

; Hernández Ramírez, Claudia Ivonne

Revista latinoamericana de estudios educativos

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dec 2024, Volume 54 N. 3 Pages 307 - 336

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

Resumen En la actualidad, las investigaciones sobre proyecto de vida recaen, sobre todo, en las etapas de la adolescencia y la adultez mayor, dejando un vacío en la adultez joven. La presente investigación tiene un enfoque cualitativo, se trabajó con 13 personas que se dedican a la docencia e impartición de la asignatura de educación física en programas públicos de la Ciudad de México y en diferentes niveles educativos. La técnica fue una entrevista semiestructurada y el instrumento que se aplicó fue una guía de entrevista con base en las categorías: proyecto de vida, relaciones y desarrollo socioafectivo, metas y éxito. En los hallazgos, se identificó que las orientaciones de los proyectos de vida de las personas entrevistadas han sido instauradas y configuradas por las circunstancias vivenciales y por su contexto social, el cual ha permeado su estructura psicológica, pensamientos e ideales, sin embargo, no tienen estructurado ni escrito un proyecto de vida con objetivos concretos. El proyecto de vida no es un fin o medio para llegar a una meta, sino constituye una parte vital del ser humano.

Abstract Currently, research on life projects mainly focuses on the stages of adolescence and older adulthood, leaving a void in young adulthood. The present study has a qualitative approach, we worked with 13 people dedicated to teaching Physical Education in public programs in Mexico City and at different educational levels. The technique was a semi-structured interview and the instrument applied was an interview guide based on the categories: life project, relationships, and socio-affective development, goals, and success. In the findings, it was identified that the orientations of the life projects of the people interviewed have been established and configured by their life circumstances and by their social context, which has permeated their psychological structure, thoughts, and ideals; however, they do not have a structured and written life project with concrete objectives. The life project is not an end or a means to reach a goal but constitutes a vital part of the human being.

https://doi.org/10.48102/rlee.2024.54.3.654

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aff_institution	author affiliation institution
volume	article volume
issue	article issue
elocation	elocation
doi	DOI number
issn	journal ISSN
in	SciELO colection code (e.g. scl - Brasil, col - Colômbia)
use_license	article usage license code

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