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Do baseline participant characteristics impact the effectiveness of a mobile health intervention for depressive symptoms? A post-hoc subgroup analysis of the CONEMO trials symptoms posthoc post hoc
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Claro, Heloísa Garcia

; Menezes, Paulo Rossi

; Fernandes, Ivan Filipe

; Seward, Nadine

; Miranda, Juan Jaime

; Saidel, Maria Giovana Borges

; Baquete, Aline Geovanna de Lima

; Daley, Kate L. Aschar, Suzana Cruz, Daniela Vera Castro, Hellen Carolina Martins Rocha, Thais Quayle, Julieta Peters, Tim J. Araya, Ricardo

Brazilian Journal of Psychiatry

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2024, Volume 46 elocation e20233172

Abstract: En | Text: En | PDF: En

Objective: To ascertain whether sociodemographic and health-related characteristics known from previous research to have a substantive impact on recovery from depression modified the effect of a digital intervention designed to improve depressive symptoms (CONEMO). Methods: The CONEMO study consisted of two randomized controlled trials, one conducted in Lima, Peru, and one in São Paulo, Brazil. As a secondary trial plan analysis, mixed logistic regression was used to explore interactions between the treatment arm and subgroups of interest defined by characteristics measured before randomization – suicidal ideation, race/color, age, gender, income, type of mobile phone, alcohol misuse, tobacco use, and diabetes/hypertension – in both trials. We estimated interaction effects between the treatment group and these subgroup factors for the secondary outcomes using linear mixed regression models. Results: Increased effects of the CONEMO intervention on the primary outcome (reduction of at least 50% in depressive symptom scores at 3-month follow-up) were observed among older and wealthier participants in the Lima trial (p = 0.030 and p = 0.001, respectively). Conclusion: There was no evidence of such differential effects in São Paulo, and no evidence of impact of any other secondary outcomes in either trial. Clinical trial registration: NCT02846662 (São Paulo, Brazil – SP), NCT03026426 (Lima, Peru – LI). Funded by the U.S. National Institute of Mental Health (grant U19MH098780). Objective healthrelated health related CONEMO. . (CONEMO) Methods trials Paulo analysis ideation racecolor race color race/color age gender income phone misuse use diabeteshypertension diabetes hypertension models Results reduction 50 3month month 3 followup follow up follow-up 0030 0 030 0.03 0001 001 0.001 respectively. respectively respectively) Conclusion registration NCT NCT0284666 SP, SP , SP) NCT0302642 (Lima LI. LI LI) US U S U.S grant U19MH098780. U19MH098780 UMH MH U19MH098780) (CONEMO 5 003 03 0.0 000 00 0.00 NCT028466 NCT030264 U19MH09878 0. NCT02846 NCT03026 U19MH0987 NCT0284 NCT0302 U19MH098 NCT028 NCT030 U19MH09 NCT02 NCT03 U19MH0 NCT0 U19MH

https://doi.org/10.47626/1516-4446-2023-3172

A Costura Queer como Modo de Vida: resistências aos neoconservadorismos de raça e gênero Vida
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Miranda, Shirley Aparecida de

; Silva, Jaime Peixoto da

Revista Brasileira de Estudos da Presença

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2024, Volume 14 N. 3 elocation e132182

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

RESUMO Este artigo evidencia estratégias de enfrentamento aos neoconservadorismos de gênero e raça por meio do que aqui é nomeado costura queer. Com base nos retalhos narrativos produzidos em pesquisa de doutorado, discute-se a relação entre as roupas e a norma. Mobilizam-se os conceitos de ancestralidade e de interseccionalidade, para problematizar a remodelagem de si no confronto com a cis-heteronorma e a bran-quitude normativa. Percebeu-se que a costura queer pode ser vista como um modo estratégico de vida, ao evidenciar certo trabalho sobre si mesmo por parte do sujeito que diz de um modo ético de existir no mun-do, um processo no qual não só roupas foram produzidas, mas, principalmente, uma forma de existência doutorado discutese discute se norma Mobilizamse Mobilizam interseccionalidade cisheteronorma cis heteronorma branquitude bran quitude normativa Percebeuse Percebeu vida mundo, mundo mun do, mun-do produzidas mas principalmente

ABSTRACT This article brings out strategies for confronting neoconservatisms of gender and race through what is here called queer sewing. Based on the narrative patches produced in doctoral research, the relationship between clothes and the norm is discussed. The concepts of ancestry and intersectionality are mobilized to problematize the remodeling of the self in the confrontation with cisheteronorm and normative whiteness. It was noticed that queer sewing can be seen as a strategic way of life, as it highlights a certain work on oneself on the part of the subject that speaks of an ethical way of existing in the world, a process in which not only clothes were pro-duced, but, mainly, a form of existence. research discussed whiteness life world produced, pro duced, duced pro-duced but mainly existence

RÉSUMÉ Cet article met en lumière des stratégies pour affronterles néoconservatismes de genre et de race à travers ce que l’on appelle ici la couture queer. À partir des fragments narratifs produits lors de la recherche doctorale, la relation entre le vêtement et la norme est discutée. Les concepts d’ascendance et d’intersectionnalité sont mobilisés pour problématiser le remodelage de soi dans la confrontation avec la cisheteronorm et la blan-cheur normative. Il a été remarqué que la couture queer peut être considérée comme un mode de vie straté-gique, car elle met en évidence un certain travail sur soi de la part du sujet qui parle d'une manière éthique d’exister dans le monde, un processus dans lequel non seulement les vêtements sont produit, mais surtout une forme d’existence. lon l on doctorale discutée dascendance d ascendance dintersectionnalité intersectionnalité blancheur blan cheur normative stratégique, stratégique straté gique, gique straté-gique dune dexister exister monde produit dexistence. dexistence existence. existence d’existence

https://doi.org/10.1590/2237-2660132182vs01

Valor epistemológico de los modelos estadísticos ante la tasa de letalidad por COVID-19
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Argota Pérez, George

; Miranda Benavente, Jaime Edgar

; Álvarez Becerra, Rina María

; Almeida Galindo, José Santiago

; Aliaga Guillén, Narciso Eusebio

Revista Cubana de Salud Pública

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2024, Volume 50 elocation e15155

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

ABSTRACT Introduction: Statistical methods allow predicting the prevalence of epidemics, although they are insufficient when pandemics are random and, therefore, it is difficult to generalize a result. Objective: To describe the epistemological value of statistical models regarding the fatality rate due to COVID-19. Methods: The Google Scholar database was selected where the information was managed in English and the filter precision with the symbology of quotes and the Boolean operators AND and OR. The search equation was “statistical modeling” and “prediction case fatality rate”, pandemic “COVID-19”, infection prevalence. Using non-probabilistic selection for convenience, nine scientific articles published in 2020 were analyzed. According to the inclusion criterion, 50 or more citations were discriminated. Conclusions: Given the description of the contagion cases and the fatality rate in 2021, the prediction of the mathematical models was imprecise for the control of COVID-19.

RESUMEN Introducción: Los métodos estadísticos permiten predecir la prevalencia de epidemias, aunque son insuficientes cuando las pandemias son aleatorias y, por tanto, es difícil generalizar un resultado. Objetivo: Describir el valor epistemológico de los modelos estadísticos ante la tasa de letalidad por COVID-19. Métodos: Se seleccionó la base de datos Google Académico donde la información se gestionó en inglés, precisión de filtro con la simbología de comillas y los operadores booleanos AND y OR. La ecuación de búsqueda fue: “statistical modeling” and “prediction case fatality rate”, pandemic “COVID-19”, infection prevalence. Mediante la selección no probabilística por conveniencia se analizaron 9 artículos científicos pertenecientes al año 2020, se discriminaron, según el criterio de inclusión, 50 o más citaciones. Conclusiones: Ante la descripción de los casos de contagio y la tasa de letalidad en el año 2021, la predicción de los modelos matemáticos fue imprecisa para el control de la COVID-19.

La crisis alimentaria en el contexto del cambio climático y los objetivos de desarrollo sostenible
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Miranda, J. Jaime

; Zavaleta-Cortijo, Carol

Revista Peruana de Medicina Experimental y Salud Pública

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dec 2023, Volume 40 N. 4 Pages 392 - 394

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

https://doi.org/10.17843/rpmesp.2023.404.13553

Implementación de Kanban para incrementar la efectividad de un almacén tipo supermercado en una empresa manufacturera
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León-Duarte, Jaime A.

; Román-Gastélum, Eduardo

; Romero-Dessens, Luis F.

; Olea-Miranda, Jaime

Información tecnológica

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dec 2023, Volume 34 N. 6 Pages 1 - 10

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

Resumen: Este estudio presenta el desarrollo de un programa de actualización para almacén tipo supermercado que apoya el suministro de materiales en una empresa manufacturera ubicada en el noroeste de México. Se aplica la herramienta Kanban para alcanzar y mejorar la distribución, organización y determinación de los puntos de reabastecimiento del proceso de producción. Se sigue una metodología de cinco pasos y se seleccionan 70 materiales para su almacenamiento y actualización de niveles de inventario en el sistema de gestión del almacén. Los resultados muestran un incremento del 33.53% en el cumplimiento del métrico de entrega general y del 5.49% en el aprovechamiento del supermercado. Se concluye que el desarrollo del programa de actualización del sistema de supermercado mejora la eficiencia del suministro de materiales, al lograr un incremento del cumplimiento del tiempo objetivo de entrega y la participación del supermercado en el suministro.

Abstract: This study presents the development of an upgrading program for a supermarket-type warehouse that supports the supply of goods in a manufacturing company located in northwestern Mexico. The tool Kanban is applied to achieve and improve the redistribution, reorganization, and identification of replenishment points for the production process. A five-step methodology is followed and 70 materials are selected to update their storage and inventory levels on the warehouse management system. The results show an increase of 33.53% on overall delivery metric compliance and a 5.49% increment on supermarket maximization. It is concluded that upgrading the warehouse management system improves the efficiency of materials supply since it increments successful on-time delivery objetives and since it increments the supermarket’s share on supply.

SOCIAL AND ENVIRONMENTAL ANALYSIS CONTRIBUTIONS TO FLORICULTURE IN THE HYDRANGEA SECTOR THROUGH A LIFE CYCLE ASSESSMENT APPROACH
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González, María Alejandra

; Botero, Jaime

; Arenas, Cindy Natalia

; Miranda, Juliana

; Ríos, José Adrián

; Molina, Nicolás Fernando

; Quintero, Juliana

; Betancur, Mariluz

Revista Ingenierías Universidad de Medellín

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dec 2023, Volume 22 N. 43 elocation a1

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

Resumen En la provincia de La Paz (Antioquia Oriental, Colombia), la floricultura de hortensias ha surgido como un importante motor de desarrollo económico y social tras la situación de posconflicto, ofreciendo contribuciones de alto valor agregado al territorio. El objetivo fue identificar los aspectos sociales y ambientales del cultivo de hortensias por parte de pequeños y medianos productores, evaluando los impactos ambientales y externalidades a lo largo del ciclo de vida del cultivo. Esta iniciativa tuvo como propósito fomentar un crecimiento sostenible en la producción de floricultura en condiciones eco-amigables, salvaguardando la salud humana y beneficiando a los actores locales. Para establecer un marco metodológico, el estudio se adhirió a los requisitos y pautas delineados en las normas ISO 14040 y 14044 para la evaluación del ciclo de vida ambiental, además de utilizar la Guía Metodológica del PNUMA. La investigación reveló hallazgos significativos, resaltando los impactos ambientales clave que afectan la producción de hortensias a lo largo de su ciclo de vida. Estos impactos provienen principalmente del uso excesivo de agroquímicos, que representan riesgos para la salud humana y los ecosistemas debido a alteraciones en las propiedades del suelo. Además, la dependencia de recursos fósiles (como plásticos y combustibles) en diversas etapas del proceso de cultivo contribuye a estos impactos. Desde una perspectiva social, el estudio identificó actores y aspectos críticos que requieren mejoras, incluyendo la integración, la seguridad, la salud ocupacional, el manejo adecuado de agroquímicos, el cumplimiento normativo y los problemas de reemplazo del sistema. Estos desafíos subrayan la complejidad de lograr la sostenibilidad, enfatizando la necesidad de apoyo técnico especializado y nuevos conocimientos para los productores. La implementación de tecnologías rentables es crucial para mitigar los impactos ambientales, junto con fomentar modelos de asociatividad entre productores de hortensias, lo cual contribuye significativamente a mejorar las condiciones de cultivo.

ABSTRACT In La Paz Province (Eastern Antioquia, Colombia), hydrangea floriculture has emerged as a significant driver of economic and social development following the post-conflict situation, offering high value-added contributions to the territory. The objective was to identify both the social and environmental aspects of hydrangea cultivation by small and medium-sized growers, assessing the environmental impacts and externalities across the crop's life cycle. This initiative aimed to foster sustainable growth in floriculture production under eco-friendly conditions, safeguarding human health, and benefiting local stakeholders. To establish a methodological framework, the study adhered to the requirements and guidelines outlined in ISO 14040 and 14044 standards for environmental life cycle assessment, in addition to utilizing the UNEP Methodological Guide. The research revealed significant findings, highlighting the key environmental impacts affecting hydrangea production throughout its life cycle. These impacts primarily stem from the excessive use of agrochemicals, which pose risks to human health and ecosystems due to alterations in soil properties. Moreover, the reliance on fossil resources (such as plastics and fuels) at various stages of the cultivation process contributes to these impacts. From a social perspective, the study identified stakeholders and critical aspects requiring improvement, including integration, safety, occupational health, proper agrochemical handling, regulatory compliance, and system replacement issues. These challenges underscore the complexity of achieving sustainability, emphasizing the need for specialized technical support and new knowledge for growers. Implementing cost-effective technologies is crucial to mitigate environmental impacts, along with fostering associativity models among hydrangea crop producers, which significantly contribute to enhancing growing conditions.

https://doi.org/10.22395/rium.v22n43a1

La crisis alimentaria en el contexto del cambio climático y los objetivos de desarrollo sostenible
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Miranda, J. Jaime

; Zavaleta-Cortijo, Carol

Revista Peruana de Medicina Experimental y Salud Publica

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oct 2023, Volume 40 N. 4 Pages 392 - 394

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

https://doi.org/10.17843/rpmesp.2023.404.13553

Desarrollo de un sistema de control de inventario para una empresa comercializadora de sistemas de riego
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Corella-Parra, Luis Manuel

; Olea-Miranda, Jaime

Ingeniería, investigación y tecnología

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mar 2023, Volume 24 N. 1 elocation e1982

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

Resumen La globalización ha eliminado brechas comerciales que limitaban las relaciones internacionales, uno de los fundamentos de la economía moderna que impulsó el desarrollo de miles de negocios. El problema, la saturación del mercado donde se ofrecen los mismos servicios o bienes, dejando a la deriva empresas que no pueden adaptarse a la variabilidad en la demanda u ofrecer ese valor añadido o singular que marca la diferencia de la competencia. El presente proyecto se desarrolla en una empresa comercializadora de productos para riego en la zona noroeste del estado de Sonora. La problemática es la presencia de problemas de organización en almacén, lo que se traduce en tiempos excesivos en atención y servicio al cliente, agotamiento, sobre inventario, pérdida de productos y registros conflictivos. Mediante la implementación de varios elementos de control y gestión se desarrolló un sistema de control de inventario, capaz de mejorar el flujo de materiales en almacén y llevar registros precisos y confiables al enlazar herramientas físicas y digitales; la implementación de estas acciones de mejora se expresan en el incremento significativo de la satisfacción del cliente al proveer el producto correcto en tiempo y forma. La metodología e implementación presentan la importancia de cada elemento dentro del sistema, la dependencia entre estos y la capacidad de adaptarse a las necesidades y limitantes de la empresa. Estos métodos, técnicas u herramientas utilizadas son de uso común en el campo de la ingeniería industrial, lo cual habilita una sencilla integración y entendimiento en empresas con poca experiencia en el tema.

Abstract Globalization has eliminated trade gaps that limited international relations, one of the foundations of the modern economy that boosted the development of thousands of businesses; the problem, the saturation of the market where the same services or goods are offered, leaving apart companies that cannot adapt to the variability in demand or offer that added or unique value that makes the difference from the competition. This project is developed in a trading company for irrigation products in the northwestern area of the state of Sonora. The presence of serious organizational problems in the warehouse, results in long customer service times, exhaustion, over-inventory, loss of products and conflicting records. Through the implementation of several control and management elements, an inventory control system is developed capable of improving the flow of materials in the warehouse and keeping accurate and reliable records by linking physical and digital tools, all of which allowed the increase in customer satisfaction by providing the correct product in a timely manner. The methodology and implementation present the importance of each element within the system, the dependence between them and the ability to adapt to the needs and limitations of the company. These methods, techniques or tools used are of little complexity in the field of industrial engineering, which enables a simple integration and understanding in companies with little experience in the subject.

https://doi.org/10.22201/fi.25940732e.2023.24.1.006

Respondiendo a las necesidades de salud sexual y reproductiva de las migrantes venezolanas en Lima
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Pesantes, M. Amalia Cortez, Leonardo Scaramutti, Carolina Portocarrero, Jill Haghparast-Bidgoli, Hassan Miranda, J. Jaime

Revista Panamericana de Salud Pública

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2023, Volume 47 elocation e69

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

RESUMO Objetivo. Apresentar e analisar a resposta do sistema de saúde peruano às necessidades de saúde sexual e reprodutiva de mulheres venezuelanas radicadas em Lima, Peru, e identificar algumas explicações para essa resposta. Métodos. Entrevistas telefônicas semiestruturadas detalhadas com 30 mulheres venezuelanas, 10 profissionais de saúde e 2 funcionários do Ministério da Saúde. Resultados. Com base nas experiências das mulheres venezuelanas que recorreram a esses serviços no período de 2019 a 2020 e nas perspectivas de profissionais e autoridades de saúde, apresentamos uma análise da capacidade e das limitações dos serviços de saúde pública para atender às necessidades de saúde sexual e reprodutiva dessa população. Os relatos das mulheres migrantes indicam uma experiência positiva com um sistema de saúde, que, apesar das deficiências, responde às necessidades mais comuns de saúde sexual e reprodutiva. Isso está em conformidade com os relatos dos profissionais de saúde e das autoridades, que enfatizam a existência de políticas prioritárias de atenção à saúde sexual e reprodutiva. Conclusão. Este estudo mostra de que maneira um âmbito de prioridade nacional (reduzir a mortalidade materna) e mecanismos operacionais de proteção social (como o Seguro Integral de Saúde) se convertem em instrumentos complementares, afetando positivamente e estendendo benefícios à população migrante, embora essa população não tenha sido levada em consideração quando da elaboração dessas políticas.

ABSTRACT Objectives. To present and analyze the Peruvian health system's response to the sexual and reproductive health needs of Venezuelan women living in the city of Lima, Peru, and to identify some of the reasons underlying this response. Methods. Information was collected through semi-structured, in-depth telephone interviews with 30 Venezuelan women, 10 healthcare workers, and two Ministry of Health officials. Results. Based on the experiences of Venezuelan women who sought care through these services during 2019-2020 and the perspectives of healthcare personnel and health authorities, we present an analysis of the public health services' capacity and limitations in meeting the sexual and reproductive health needs of this population. Migrant women's testimonies reported a positive experience with a health system that, despite shortcomings, responds to the most common sexual and reproductive health needs. These perspectives parallel the testimonies of healthcare personnel and authorities who emphasized the existence of priority policies for sexual and reproductive health care. Conclusion. This study shows how a national priority framework (reducing maternal mortality), accompanied by operational mechanisms for social protection (such as the Comprehensive Health Insurance program), represent complementary instruments that have a positive impact on and extend benefits to migrants, even though this population was not considered when designing these policies.

RESUMEN Objetivo. Presentar y analizar la respuesta que el sistema de salud peruano viene dando a las necesidades en salud sexual y reproductiva de las mujeres venezolanas que radican en la ciudad de Lima, Perú e identificar algunas de las razones que nos permite entender esta respuesta. Métodos. La información se recogió mediante entrevistas a profundidad semiestructuradas por vía telefónica a 30 mujeres venezolanas, 10 trabajadores de salud y 2 funcionarios del Ministerio de Salud. Resultados. A partir de las experiencias de mujeres venezolanas que acudieron a estos servicios durante el 2019-2020 y de las perspectivas del personal y autoridades de salud presentamos un análisis de la capacidad y limitaciones que los servicios de salud públicos tienen para atender las necesidades de salud sexual y reproductiva de esta población. Los testimonios de las mujeres migrantes reportan una experiencia positiva con un sistema de salud que, a pesar de las deficiencias, responde a las necesidades de salud sexual y reproductiva más comunes. Estas coinciden con los testimonios del personal de salud y con las de las autoridades quienes enfatizan la existencia de políticas prioritarias para la atención de la Salud Sexual y Reproductiva. Conclusión. Este estudio muestra cómo un marco de prioridad nacional (disminuir la mortalidad materna), acompañado de mecanismos operativos de protección social (como el Seguro Integral de Salud), se convierten en instrumentos complementarios, que repercute de manera positiva y extiende beneficios para las y los migrantes, a pesar de no haber considerado a esta población durante el diseño de estas políticas.

https://doi.org/10.26633/rpsp.2023.69

10.

How many species of Mollusca are there in Brazil? A collective taxonomic effort to reveal this still unknown diversity Brazil
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Machado, Fabrizio M.

; Miranda, Marcel S.

; Salvador, Rodrigo B.

; Pimenta, Alexandre D.

; Côrtes, Mariana O.

; Gomes, Jaime A.J.

; Miyahira, Igor C.

; Agudo-Padrón, Ignacio

; Oliveira, Cléo D.C.

; Caetano, Carlos H.S.

; Coelho, Paulo R.S.

; D’Ávila, Sthefane

; Arruda, Eliane P. de

; Almeida, Sérgio M. de

; Gomes, Suzete R.

; Alvim, Juliana

; Galvão-Filho, Hilton

; L. Ferreira-Júnior, Augusto

; Marques, Rodrigo C.

; Martins, Inês

; Souza, Leonardo S. de

; Arruda, Janine O.

; Cavallari, Daniel C.

; Santos, Sonia B. dos

; Pedro, Natan C.

; Salles, Anna C. de A.

; Dornellas, Ana P.S.

; Lima, Tarcilla C. de

; Amaral, Vanessa S. do

; Silva, Fernanda S.

; Passos, Flávio D.

; Thiengo, Silvana S.

; Leite, Tatiana S.

; Simone, Luiz R.L.

Zoologia (Curitiba)

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2023, Volume 40 elocation e23026

Abstract: En | Text: En | PDF: En

ABSTRACT The expression ‘you need to know to conserve’ is a well-known cliche among biologists. Documenting the richness of a group of organisms is the first step towards understanding biodiversity and preparing efficient conservation plans. In this context, many efforts have been made to quantify the number of species on Earth and estimate the number of species still unknown to science. A few countries have complete and integrated databases estimating the approximate number of species recorded for their territory, particularly in the Global South. In Brazil, a country of continental dimensions, revealing the richness of the second most diverse clade of invertebrates (=Mollusca) has been a goal of taxonomists. Recently, in an unprecedented, collective, and integrated effort among Brazilian malacologists, it was possible to estimate how many valid species of molluscs are there in Brazil. In this effort, more than 30 mollusc experts joined together to update the Taxonomic Catalogue of the Brazilian Fauna (TCBF), a governmental website that allows a quick and real-time updating of all Metazoan. So far, more than 5,000 updates have been made in TCBF, indicating the presence of 3,552 valid species of molluscs in Brazil, distributed among the main clades as follows: Caudofoveata (10 spp.), Solenogastres (6 spp.), Polyplacophora (35 spp.), Scaphopoda (43 spp.), Cephalopoda (92 spp.), Bivalvia (629 spp.) and Gastropoda (2,737 spp.). The present study, in addition to demonstrating for the first time the richness of Brazilian molluscs, also presents the state of the art of this important phylum of invertebrates highlighting its most representative and neglected groups. you conserve wellknown well known biologists plans context science territory South Brazil dimensions =Mollusca Mollusca (=Mollusca taxonomists Recently unprecedented collective malacologists 3 TCBF , (TCBF) realtime real Metazoan far 5000 5 000 5,00 3552 552 3,55 follows 10 (1 spp., spp spp. 6 ( 35 (3 43 (4 92 (9 629 (62 2,737 2737 2 737 (2,73 spp.. . study groups (TCBF 500 00 5,0 355 55 3,5 1 4 9 62 2,73 273 73 (2,7 50 0 5, 3, 2,7 27 7 (2, 2, (2

https://doi.org/10.1590/s1984-4689.v40.e23026

11.

Factores de riesgo de la enfermedad hepática grasa asociada a disfunción metabólica en población hispano-mexicana
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Morales-Romero, Jaime Ortíz-León, María Cristina Hernández-Gutiérrez, Héctor Bahena-Cerón, Roberto A Miranda-Reza, Aidé Marín-Carmona, José A Rodríguez-Romero, Edit Mora, Silvia I García-Román, Jonathan Peréz-Carreón, Julio I Rivadeneyra-Domínguez, Eduardo Riande-Juárez, Gabriel García-Román, Rebeca

Revista Española de Salud Pública

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2023, Volume 97 elocation e202306053

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

ABSTRACT Background: Metabolic dysfunction-associated fatty liver disease (MAFLD) is a poor attended disease, which has gained attention due the elevated number of cases in countries as Mexico, where the incidence is the number 4th globally. MAFLD develops in obese or overweighted individuals and is characterized by triglycerides accumulation in the liver, this condition can develop to hepatocellular carcinoma. It has been observed that MAFLD depends on the genetics and lifestyle. Due to the high prevalence of this disease among Hispanic population, we focused on this study in the characteristics and prevalence of MAFLD in Mexican patients. Methods: In this study were included 572 overweighted and obese patients, who underwent a screening analysis using the fatty liver index (IHG), clinical parameters were analysed, demographic and comorbidities. Frequency of variables were obtained, and the data were analysed by Chi-square test or Fisher test, odd ratio (OR) and binary logistic regression. Results: A MALFD prevalence of 37% were obtained, where the history of familiar obesity, paracetamol usage, carbohydrate and fat intake are shown to be risk factors. It was found that high blood pressure, central obesity and hypertriglyceridemia were also associated to the MAFLD development. On the other hand, physical exercise was a protector factor. Conclusions: Our results show the necessity to study the MAFLD causalities in Mexican patients, focused on the paracetamol intake.

RESUMEN Fundamentos: La enfermedad hepática grasa asociada a disfunción metabólica (MAFLD) es una enfermedad poco considerada, que ha recibido atención debido al número de casos en países como México, donde ocupa el 4º lugar mundial de incidencia. La MAFLD se desarrolla en personas con sobrepeso u obesidad y se caracteriza por la acumulación de triglicéridos en el hígado, donde puede evolucionar hacia carcinoma hepatocelular. Se ha observado que la MAFLD depende de la genética y del estilo de vida. Tomando en cuenta la alta prevalencia de MAFLD en la población hispana, nos enfocamos en este trabajo en estudiar la prevalencia y características relacionadas con esta enfermedad en pacientes mexicanos. Métodos: En este estudio se incluyeron 572 pacientes con sobrepeso u obesidad, a los cuales se les realizó un análisis de cribado mediante el índice de hígado graso (IHG), se analizaron parámetros clínicos, demográficos y comorbilidades. Se obtuvieron frecuencias de las variables y se analizaron los datos mediante chi cuadrado o exacta de Fisher, razón de momios (OR) y regresión logística binaria. Resultados: Se obtuvo una prevalencia del 37% de MAFLD, donde la historia familiar de obesidad, el uso de paracetamol, así como el consumo de carbohidratos y grasas fueron factores de riesgo para su desarrollo. Se encontró que la hipertensión arterial, la obesidad visceral y la hipertrigliceridemia también estaban asociados al desarrollo de la MAFLD. Por otro lado, el ejercicio fue un factor protector. Conclusiones: Nuestros resultados ponen de manifiesto la necesidad de realizar estudios relacionados con las causalidades de la MAFLD en los pacientes mexicanos, principalmente en el uso del paracetamol.

12.

Representações sociais da maternidade para mulheres em privação de liberdade no sistema prisional feminino
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Medeiros, Anderson Brito de

; Silva, Glauber Weder dos Santos

; Lopes, Thaís Rosental Gabriel

; Carvalho, Jovanka Bittencourt Leite de

; Caravaca-Morera, Jaime Alonso

; Miranda, Francisco Arnoldo Nunes de

Ciência & Saúde Coletiva

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dec 2022, Volume 27 N. 12 Pages 4541 - 4551

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

Resumo Neste artigo, objetivou-se analisar as representações sociais da maternidade de mulheres gestantes, lactantes e que vivenciaram a gestação em privação de liberdade no sistema prisional. Trata-se de estudo qualitativo, ancorado nos pressupostos do Paradigma Teórico das Representações Sociais, realizado com 42 mulheres. As participantes eram, em maioria, jovens entre 18 e 39 anos de idade (90,5%; n=38) e se encontravam solteiras (50,0%; n=21); 61,9% (n=26) relataram duas ou mais gestações e 47,6% (n=20) referiram um ou mais abortamentos. A possível representação do ser mãe na prisão se cristalizou, em termos semânticos, principalmente pelos termos “separação” (f=27; OME: 2,9), “tristeza” (f=18; OME: 2,3), “horrível” (f=16; OME: 2,1) e “dor” (f=12; OME: 2,8). Na zona de substituição e de descontextualização, as representações foram objetivadas pelos termos “separação” (f=18; OME: 3), “tristeza” (f=13; OME: 2,5), “medo” (f=11; OME: 2,2) e “horrível” (f=10; OME: 1,5). Evidenciou-se que a centralidade das representações sociais para as participantes do estudo reflete o sofrimento vivenciado pela separação da díade mãe-filho.

Abstract This paper aimed to analyze the social representations of motherhood of pregnant women, breastfeeding women, and those who experienced pregnancy in deprivation of liberty in the prison system. This qualitative study was conducted with 42 women and is grounded on the assumptions of the Theoretical Paradigm of Social Representations. Most participants were young women aged 18-39 (90.5%; n=38) and single (50.0%; n=21); 61.9% (n=26) reported two or more pregnancies and 47.6% (n=20) reported one or more miscarriages. The possible representation of being a mother in prison was crystallized, in semantic terms, mainly by the terms “separation” (f=27; OME: 2.9), “sadness” (f=18; OME: 2.3), “horrible” (f=16; OME: 2.1) and “pain” (f=12; OME: 2.8). In the substitution and decontextualization zone, representations were objectified by the terms “separation” (f=18; OME: 3), “sadness” (f=13; OME: 2.5), “fear” (f=11; OME: 2.2) and “horrible” (f=10; OME: 1.5). It was evident that the centrality of social representations for the study participants reflects the suffering experienced by the separation of the mother-child dyad.

https://doi.org/10.1590/1413-812320222712.11522022

13.

Consenso del Comité de Psiquiatría de Enlace de la Asociación Colombiana de Psiquiatría sobre el diagnóstico y tratamiento del delirium en el contexto de la pandemia por COVID-19
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Franco, José G. Molano, Juan Carlos Rincón, Hernán Velasquez Tirado, Juan David Cardeño, Carlos Patarroyo Rodriguez, Liliana Oviedo Lugo, Gabriel Fernando Bernal Miranda, Jaime Rojas Moreno, Monica

Revista Colombiana de Psiquiatría

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sep 2022, Volume 51 N. 3 Pages 245 - 255

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

RESUMEN La pandemia por el nuevo coronavirus denominado SARS-CoV-2 plantea retos sin precedentes en la atención de la salud. Entre ellos se cuenta el aumento en los casos de delirium. La enfermedad grave por SARS-CoV-2, COVID-19, tiene vulnerabilidades comunes con el delirium y produce alteraciones en órganos como el pulmón o el cerebro, entre otros, que tienen potencial para precipitar el trastorno mental; de hecho, este puede ser la primera manifestación de la infección, antes de la fiebre, el malestar general, la tos o las alteraciones respiratorias. Está ampliamente sustentado que el delirium incrementa la morbilidad y la mortalidad de quienes lo padecen durante una hospitalización, por lo que se debe buscar activamente para realizar las intervenciones pertinentes. Ante la ausencia de evidencia sobre el abordaje del delirium en el contexto de la COVID-19, se elaboró este consenso sobre tres aspectos fundamentales: diagnóstico, tratamiento no farmacológico y tratamiento farmacológico, en pacientes ingresados en el hospital general. El documento contiene recomendaciones sobre uso sistemático de herramientas diagnósticas, cuándo hospitalizar al paciente con delirium, la aplicación de acciones no farmacológicas dentro de las restricciones que impone la COVID-19 y la utilización de antipsicóticos teniendo en cuenta los efectos secundarios más relevantes y las interacciones farmacológicas.

ABSTRACT The pandemic caused by the new coronavirus named SARS-CoV-2 poses unprecedented challenges in the health care. Among them is the increase in cases of delirium. The severe SARS-CoV-2 disease, COVID-19, has common vulnerabilities with delirium and produces alterations in organs such as the lungs or the brain, among others, which have the potential to trigger the mental disorder. In fact, delirium may be the first manifestation of the infection, before fever, general malaise, cough or respiratory disturbances. It is widely supported that delirium increases the morbidity and mortality in those who suffer from it during hospitalization, so it should be actively sought to carry out the relevant interventions. In the absence of evidence on the approach to delirium in the context of COVID-19, this consensus was developed on three fundamental aspects: diagnosis, non-pharmacological treatment and pharmacological treatment, in patients admitted to the general hospital. The document contains recommendations on the systematic use of diagnostic tools, when to hospitalize the patient with delirium, the application of non-pharmacological actions within the restrictions imposed by COVID-19, and the use of antipsychotics, taking into account the most relevant side effects and pharmacological interactions.

https://doi.org/10.1016/j.rcp.2020.11.008

14.

¿Cómo la investigación influencia las políticas en salud?
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Miranda, J Jaime Beran, David Diez-Canseco, Francisco Buse, Kent Mendoza, Walter Peiris, David

Gaceta Sanitaria

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jun 2022, Volume 36 N. 3 Pages 201 - 203

Abstract: Es | Text: Es | PDF: Es

https://doi.org/10.1016/j.gaceta.2021.11.005

15.

¿Cómo la investigación influencia las políticas en salud?
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Miranda, J Jaime Beran, David Diez-Canseco, Francisco Buse, Kent Mendoza, Walter Peiris, David

Gaceta Sanitaria

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jun 2022, Volume 36 N. 3 Pages 201 - 203

Abstract: Es | Text: Es | PDF: Es

https://doi.org/10.1016/j.gaceta.2021.11.005

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