Abstract This research focuses on proposing a procedure for the rehabilitation of abandoned mines of stone materials. The procedure is applicable to different geographical contexts where restoration from an ecological perspective is needed. In this work such procedure is applied to the mines of San Pablo Autopan, Estado de México. It begins with documentary research, which allowed the analysis of the information and the collection of cartographic data containing geological-environmental and ecological information of the site. In addition, physical, social, and regulatory indicators are assessed (current environmental regulations for each country). A recreational use was proposed for the affected site, where people can practice recreational activities, such as hiking and sports. The application of the proposal in the abandoned mines of the San Pablo Autopan community could reduce the inadequate disposal of municipal solid waste and its subsequent negative impact on the environment.

Resumen La investigación se enfoca en proponer un procedimiento para la rehabilitación de minas de materiales pétreos abandonadas. El procedimiento es aplicable a diferentes contextos geográficos donde se desee restaurar bajo una perspectiva ecológica. En este trabajo se realiza la aplicación del procedimiento a las minas de San Pablo Autopan, Estado de México. Se inicia con la investigación documental, que permitió el análisis de la información y la colecta de datos cartográficos que contenía información geológico-ambiental y ecológica del sitio. Además, se valoran indicadores físicos, sociales y normativos (normatividad ambiental vigente para cada país). Se propuso un uso recreativo para el sitio afectado, donde se pueden realizar actividades de esparcimiento como el senderismo y actividades deportivas. La aplicación de la propuesta en minas abandonadas de la comunidad de San Pablo Autopan podría reducir la disposición inadecuada de residuos sólidos urbanos y los subsecuentes impactos negativos al medio ambiente.

Resumen Más allá de la frecuente coexistencia del trastorno por déficit de atención con hiperactividad (TDAH) y el trastorno específico del aprendizaje de la lectura, la presente revisión pretende examinar la evidencia empírica disponible sobre cómo el TDAH impacta negativamente sobre el aprendizaje de la lectura. Los datos existentes apuntan a que la presencia del trastorno (especialmente los síntomas de falta de atención), puede afectar a i) la correcta adquisición de lectura, ya sea de manera directa o a través de su influencia sobre los precursores de la lectura; ii) las propias habilidades de decodificación (precisión y fluidez lectora), tanto de manera directa como indirecta a través de su influencia sobre procesos cognitivos como la distracción o las funciones ejecutivas; y ii) la comprensión lectora, probablemente de manera indirecta por las dificultades eje cutivas y en la memoria de trabajo verbal características del TDAH. Estas conclusiones presentan importantes implicaciones para caracterizar e intervenir mejor sobre las dificultades lectoras en el TDAH, ya sean clínicas o subclínicas.

Abstract Beyond the frequent coexistence of attention deficit hyperactivity disorder (ADHD) and reading dis order (dyslexia), the present review aims to examine the available empirical evidence on how ADHD negatively impacts on learning to read. Existing data suggest that the presence of the disorder (especially inattention symp toms), may affect i) the correct acquisition of reading, either directly or through its influence on the precursors to reading; ii) decoding skills themselves (reading accuracy and fluency), both directly and indirectly through its influence on cognitive processes such as distractibility or executive functions; and iii) reading comprehension, probably indirectly through the executive and verbal memory difficulties characteristic of ADHD. These findings have important implications for better characterizing and intervening on reading difficulties in ADHD, whether clinical or subclinical.

Abstract Background Enhanced Recovery After Surgery (ERAS) protocol is composed by evidence-based interventions that aim to improve recovery through a reduction in surgical stress response. Although ERAS protocols have been introduced across the globe, exhaustive implementation is not as common. We aimed to study the ERAS protocol compliance in colorectal surgery, assessing the relationship between compliance and postoperative complications. Methods A single-center cohort study was conducted. All consecutive patients admitted to elective colorectal surgery were included. We assessed study endpoints according to ERAS protocol perioperative compliance score above 75%. Our primary endpoint was a composite of postoperative events, which includes in-hospital postoperative complications and need for reoperation after 30 days and need for readmission after discharge. Secondary endpoints were surgery-to-discharge time, postoperative use of only non-opioid adjuvants and the individual components of the primary endpoint. Results A total of 224 colorectal patients were included. The primary endpoint occurred in 59.2% (n = 58) of non-compliant patients comparing to 34.1% (n = 43) in compliant patients. In univariate analysis, compliance to ERAS protocol had an inferior risk for the primary endpoint (p< 0.001). In a logistic regression model, compliance was independently associated with a reduced risk for the primary endpoint with a odds-ratio of 0.42 (95% CI 0.23-0.75, p= 0.004). Conclusion Compliance with the ERAS protocol is associated with less complications, a reduced surgery-to-discharge time and use of only non-opioid adjuvants in the postoperative period. More studies are needed to target the most appropriate compliance goal. (ERAS evidencebased evidence based response globe common singlecenter single center conducted included 75 75% events inhospital hospital 3 discharge surgerytodischarge nonopioid non opioid 22 592 59 2 59.2 n 58 noncompliant 341 34 1 34.1 43 analysis p< p (p 0.001. 0001 0.001 . 0 001 0.001) model oddsratio odds ratio 042 42 0.4 95% 95 (95 0.230.75, 023075 0.23 0.75, 23 0.23-0.75 0.004. 0004 0.004 004 0.004) period goal 7 5 59. 34. 4 000 0.00 00 04 0. 9 (9 230 0.230.75 02307 023 0.2 075 0.75 0.23-0.7 0.0 ( 0.230.7 0230 02 07 0.7 0.23-0. 0.230. 0.23-0 0.230 0.23-

Resumen La cuantificación de la carga de entrenamiento se ha convertido en una obligación para el personal entrenador y el personal técnico en los deportes de equipo. Dentro de las variables analizadas, la distancia recorrida en distintas zonas de velocidad es una de las más estudiadas. Sin embargo, no existe consenso en la definición de zonas de velocidad en los artículos publicados sobre cada uno de estos deportes, por lo que dificulta la comparación entre ellos. Por tanto, los objetivos de este artículo fueron establecer un criterio estándar en la clasificación de zonas de velocidad en los deportes de equipo y analizar su aplicación práctica en baloncesto. Se establecieron cinco categorías de velocidad para el baloncesto siguiendo la metodología descrita anteriormente: 0-10 km/h, >10-13,8 km/h, >13,8-17,6 km/h, >17,6-21,5 km/h y >21,5 km/h. Los resultados muestran entre períodos en desplazamientos de alta velocidad y esprints, velocidad máxima, desaceleraciones y aceleraciones totales. En conclusión, la categorización de las demandas basadas en la desviación estándar, según la velocidad máxima, podría ser una opción viable para individualizar el análisis de la distancia recorrida por velocidades en deportes de equipo como el baloncesto. Su utilización puede ayudar a una mejor comprensión y contextualización de los datos de desplazamientos en deportes y equipos específicos.

Resumo A quantificação da carga de treinamento se tornou uma obrigação para treinadores e pessoal técnico em esportes coletivos. Entre as variáveis analisadas, a distância percorrida em diferentes zonas de velocidade é uma das mais estudadas. Entretanto, não há consenso na definição de zonas de velocidade nos artigos publicados sobre cada esporte coletivo, o que torna difícil a comparação entre eles. Portanto, os objetivos deste artigo eram estabelecer um critério padrão na classificação das zonas de velocidade nos esportes coletivos e analisar sua aplicação prática no basquetebol. Foram estabelecidas cinco categorias de velocidade para o basquetebol seguindo a metodologia descrita acima: 0-10 km/h, >10-13,8 km/h, >13,8-17,6 km/h, >17,6-21,5 km/h, >21,5 km/h. Os resultados mostram entre períodos de alta velocidade e sprints, velocidade máxima, desacelerações e acelerações totais. Em conclusão, a categorização das demandas com base no desvio padrão de acordo com a velocidade máxima poderia ser uma opção viável para individualizar a análise da distância percorrida pelas velocidades em esportes coletivos como o basquetebol. Seu uso pode ajudar a compreender e contextualizar melhor os dados de movimento em esportes e equipes específicas.

Abstract The quantification of training load has become mandatory for coaches and team staff. Within the analyzed variables, distance covered at different speed zones is one of the most studied. However, there is no consensus in the definition of speed zones in the published articles about each team sport, so it makes difficult a comparison between them. Therefore, the purposes of this article were to establish a criteria standard in the classification of speed zones in team sports and to analyze its practical application in basketball. Five speed categories were established for basketball following the methodology described above: 0-10km/h, >10-13.8 km/h, >13.8-17.6 km/h, >17.6-21.5 km/h, and >21.5 km/h. The results showed differences between periods in high-speed displacements and sprints, maximum speed, total decelerations, and accelerations. In conclusion, the categorization of workload based on standard deviation according to maximum speed could be a viable option to individualize the analysis of distance covered per speeds in team sports such as basketball. Its use may lead to a better understanding and contextualization of the locomotion data in specific sports and teams.

ABSTRACT Introduction: COVID-19 is an infectious disease caused by the SARS-CoV-2 virus, which can cause acute respiratory syndrome and is currently an international public health emergency. Objective: to identify the epidemiological clinical factors of COVID-19 in the period from March 2020 to May 2021 in Pinar del Rio. Methods: a descriptive cross-sectional study was conducted in Pinar del Rio province. Data collected from the statistical reports of the Provincial Unit of Hygiene and Epidemiology of COVID-19 discharged patients were explored. Clinical and epidemiological variables were identified. Results: the age groups 41-50 years, 51-60 years represented 17,16 % for both, followed by the group 21-30 years which represented 16,23 %. Male sex predominated over the female sex, representing 52,82 %. Cases with asymptomatic evolution predominated, representing 53,28 %. The symptomatic course of the disease predominated in the age groups 21-30 and 51-60 years old. The most predominant symptoms were cough and fever, followed by rhinorrhea and odynophagia. Hypertension was the most frequent disease followed by asthma and type 2 diabetes mellitus. The Pinar del Rio municipality presented the highest number of positive cases. Conclusions: there was a slight predominance of asymptomatic patients. Fever and respiratory symptoms prevailed. The most frequent chronic diseases were hypertension and asthma. Pinar del Rio municipality was the most affected region.

RESUMEN Introducción: la COVID-19 es una enfermedad infecciosa causada por el virus SARS-CoV-2, que puede provocar un síndrome respiratorio agudo por lo que constituye en la actualidad una emergencia de salud pública internacional. Objetivo: identificar los factores clínicos epidemiológicos de la COVID-19 en el período de marzo de 2020 a mayo de 2021 en Pinar del Río. Métodos: se realizó un estudio transversal descriptivo en la provincia de Pinar del Río. Se exploraron los datos tomados de los informes estadísticos de la Unidad Provincial de Higiene y Epidemiología de los pacientes egresados por COVID-19. Se identificaron variables clínicas y epidemiológicas. Resultados: los grupos etarios de 41-50 años, 51-60 años representaron el 17,16 % para ambos seguido del grupo de 21-30 años que representó 16,23 %. El sexo masculino predominó sobre el femenino, para un 52,82 %. Predominaron los casos con evolución asintomática, lo que representó el 53,28 %. El curso sintomático fue mayor en los grupos etarios de 21-30 años y 51-60 años. Los síntomas predominantes fueron tos y fiebre, seguidos por rinorrea y odinofagia. La hipertensión arterial fue la enfermedad más frecuente seguida del asma y diabetes mellitus tipo 2. El municipio de Pinar del Río presentó el mayor número de casos positivos. Conclusiones: existió un ligero predominio de pacientes asintomáticos. La fiebre y los síntomas respiratorios fueron predominantes. Las enfermedades crónicas más frecuentes fueron la hipertensión arterial y el asma. El municipio Pinar del Río fue el más afectado.

Resumen Actualmente, hay un aumento en la utilización de la polea cónica en el entrenamiento de fuerza; por lo tanto, es necesario monitorearlo con un dispositivo preciso y confiable. El presente estudio probó: (1) la precisión de un dispositivo de medición inercial (IMU), para medir correctamente la velocidad angular y (2) su confiabilidad entre unidades para la medición de carga externa. El análisis se realizó utilizando la correlación de Pearson y el Coeficiente de Correlación Intra-clase (CCI). La precisión de la IMU se probó usando Bland-Altman y la confiabilidad con el Coeficiente de Variación (CV). Diez jugadores de fútbol de nivel élite realizaron 10 series de 5 repeticiones en un ejercicio de fila de pie con una mano (5 series con cada brazo). Se encontró una precisión casi perfecta (ICC = .999) y una muy buena confiabilidad entre dispositivos (Sesgo = -. 010; CV = .017%). IMU´s es un dispositivo confiable y válido para evaluar objetivamente la velocidad angular en el entrenamiento inercial de la polea cónica.

Resumo Atualmente, há um aumento na utilização da polia cônica no treinamento de força; portanto, é necessário monitorá-lo com um dispositivo preciso e confiável. O presente estudo testou: (1) a precisão de um dispositivo de medição inercial (IMU), para medir corretamente a velocidade angular e (2) sua confiabilidade interunidades para medição de carga externa. A análise foi realizada por meio da correlação de Pearson e do Coeficiente de Correlação Intraclasse (ICC). A precisão do IMU foi testada usando Bland-Altman e a confiabilidade com o Coeficiente de Variação (CV). Dez jogadores de futebol de elite realizaram 10 séries de 5 repetições em um exercício de linha em pé com uma mão (5 séries com cada braço). Foi encontrado uma precisão quase perfeita (ICC = 0,999) e confiabilidade entre dispositivos muito boa (Bias = - 0,010; CV = 0,017%). IMU's é um dispositivo confiável e válido para avaliar objetivamente a velocidade angular no treinamento inercial da polia cônica.

Abstract There is currently an increase in inertial flywheel application in strength training; thus, it must be monitored by an accurate and reliable device. The present study tested: (1) the accuracy of an inertial measurement device (IMU) to correctly measure angular velocity and (2) its inter-unit reliability for the measurement of external load. The analysis was performed using Pearson Correlation and Intraclass Correlation Coefficient (ICC). The IMU accuracy was tested using Bland-Altman and the reliability with the coefficient of variation (CV). Ten elite-level football players performed ten series of 5 repetitions in a one-hand standing row exercise (5 series with each arm). A nearly perfect accuracy (ICC=.999) and a very good between-device reliability (Bias=-.010; CV=.017%) was found. IMU is a reliable and valid device to assess angular velocity in inertial flywheel workout objectively.

Resumen: Introducción y objetivo: A más de un año del surgimiento de la COVID-19, se han considerado muchas terapias farmacológicas, todas basadas en la evaluación crítica de la literatura emergente. El objetivo principal de nuestro estudio fue conocer el tratamiento prehospitalario de los pacientes con COVID-19. Material y métodos: Se revisaron 101 expedientes clínicos de pacientes hospitalizados en el Instituto Nacional de Enfermedades Respiratorias Ismael Cosío Villegas (INER) con diagnóstico de COVID-19 durante la segunda ola de la pandemia. Se conformó una base de datos y se realizó estadística descriptiva utilizando el programa GraphPad Prism versión 8. Resultados: El promedio de edad de los pacientes fue de 52.3 (± 11.9) años. Los pacientes recibieron de 4-5 medicamentos como tratamiento prehospitalario; los medicamentos que más se prescribieron fueron corticosteroides y antibióticos. Conclusiones: Los pacientes con COVID-19 recibieron un gran número de medicamentos innecesarios durante la atención médica prehospitalaria; varios de ellos se prescribieron a pesar de la falta de evidencia científica sobre su uso y de las recomendaciones nacionales e internacionales para tratamiento de la enfermedad.

Abstract: Introduction and objective: More than a year after the emergence of COVID-19, many drug therapies have been considered, all based on a critical evaluation of the emerging literature. The main objective of our study was to know the pre-hospitalary treatment of patients with COVID-19. Material and methods: We reviewed 101 clinical records of hospitalized patients at the Instituto Nacional de Enfermedades Respiratorias Ismael Cosío Villegas National (INER) diagnosed with COVID-19 during the second wave of the pandemic. A database was created, and descriptive statistics were performed using the software GraphPad Prism version 8. Results: The mean age of the patients was 52.3 (± 11.9) years. Patients received 4-5 medications as pre-hospital treatment; the most commonly prescribed medications were corticosteroids and antibiotics. Conclusions: COVID-19 patients received a large number of unnecessary medications during pre-hospital medical care; several of them were prescribed despite the lack of scientific evidence on their use and the national and international recommendations for treating the disease.

Abstract This study aims to contribute to a better understanding of at tention deficit hyperactivity disorder (ADHD) by comprehensively examining the relationship between two of the main cognitive deficits of the disorder (attention and inhibitory control), symptomatology (inattention and hyperactivity/impulsivity) and functional impairment in 85 children and adolescents with ADHD without other comorbid disorders. We found, independent of general intellectual functioning and age, that i) greater atten tional and inhibitory deficits predicted greater severity of ADHD symptoms, ii) greater attentional and inhibitory deficits predicted greater functional impairment, but not in a direct way but through symptoms, and iii) greater symptomatic severity predicted greater functional impairment. Beginning to explore and understand the com plexity of ADHD is key to advance our knowledge of the disorder and for correct clinical decision making.

Resumen Este estudio pretende contribuir a una mejor comprensión del trastorno por déficit de atención con hiperactividad (TDAH) examinado de manera exhaustiva la relación entre dos de los principales déficits cognitivos del trastorno (la atención y el control inhibitorio), la sintomatología (falta de atención e hipe ractividad/impulsividad) y la repercusión funcional en 85 niños/as y adolescentes con TDAH sin otros trastornos comórbidos. Encontramos, con independencia del funcionamiento intelectual general y de la edad, que i) un mayor déficit atencional e inhibitorio, predijo una mayor gravedad de los síntomas del TDAH, ii) un mayor déficit atencional e inhibitorio predijo un mayor deterioro funcional, pero no de una manera directa sino a través de los síntomas, y iii) una mayor severidad sintomática predijo una mayor repercusión funcional. Comenzar a explorar y comprender la complejidad del TDAH es clave para avanzar en nuestro conocimiento del trastorno y para la correcta toma de decisiones clínicas.

Resumo: Introdução: A anatomia humana é uma disciplina indispensável para a formação médica. Além do conteúdo teórico, sabe-se que o aprendizado por meio da prática é insubstituível. Entretanto, a pandemia de Covid-19 impôs desafios ao ensino de anatomia. Por isso, novas estratégias de ensino foram desenvolvidas para adaptar o currículo médico. Relato de experiência: Na Unicamp, o conteúdo de anatomia foi oferecido virtualmente por meio de atividades síncronas e assíncronas. Para as práticas, professores e monitores gravaram aulas com peças anatômicas verdadeiras. Os alunos também tiveram monitorias com revisão de conteúdo e quizzes. As provas finais foram feitas em formulários do Google Forms. Ao fim de cada semestre letivo, aplicaram-se questionários para que os estudantes avaliassem as novas ferramentas de ensino. Discussão: O novo método teve pontos positivos e negativos, mas foi importante para garantir a manutenção do processo de ensino-aprendizagem. Todas as ferramentas foram aprovadas pelos alunos, e atingiram-se os objetivos do curso sem financiamento adicional. Conclusão: Essa experiência demonstrou que a união entre professores e monitores é de grande valia para o processo de ensino-aprendizagem. Além disso, revelou que ferramentas tecnológicas de baixo custo podem ser úteis nesse contexto. Entretanto, esse modelo não substitui o ensino presencial.

Abstract: Introduction: Human Anatomy is an essential subject for medical education. In addition to the theoretical content, practice is an irreplaceable way of learning. However, the COVID-19 pandemic brought up new challenges to the teaching of Anatomy. Therefore, new strategies were implemented aiming to adapt the medical curriculum. Experience report: At UNICAMP, Anatomy was taught virtually, through synchronous and asynchronous activities. For practical sessions, teachers and teaching assistants recorded lessons using real anatomical structures. The students had tutoring sessions with content review and quizzes. The anatomy final exams were taken on Google Forms. At the end of each semester, questionnaires were applied so that the students could evaluate the teaching tools. Discussion: The new method had both positive and negative aspects, but it was important to assure the maintenance of the teaching-learning process. All tools were approved by the students and the objectives of the course were achieved with no additional funding. Conclusion: This experience demonstrated that a teaching team consisting of teachers and monitors is of great value in the learning process. Furthermore, it showed that low-cost technology tools are helpful in overcoming adversities. Nevertheless, this model does not replace face-to-face teaching.

RESUMO: A propagação seminal de pequizeiro acarreta grande variabilidade na taxa de germinação e no genótipo das mudas produzidas, mostrando a necessidade do desenvolvimento de técnicas para a propagação vegetativa dessa espécie, como a alporquia. Os objetivos deste estudo foram avaliar a eficácia da alporquia, bem como o efeito do diâmetro do caule e da planta-mãe na sobrevivência, no calejamento e no enraizamento de alporques de pequizeiro. O processo de alporquia foi realizado em meados de dezembro de 2019, nos seguintes diâmetros de caule: inferior a 15 mm; 15-19 mm; 20-24 mm; 25-29 mm e superior a 29 mm. Os tratamentos foram testados em quatro repetições de 10 alporques. Após três meses, avaliaram-se as porcentagens de sobrevivência, de calejamento e de enraizamento, além do vigor de enraizamento. As porcentagens de sobrevivência e de calejamento nos alporques, independentemente da planta matriz, foram superiores a 85%, mostrando o grande potencial dessa técnica na reprodução de pequizeiro. A taxa de diferenciação de calos em raízes variou entre as matrizes. Considerando os parâmetros avaliados, diâmetros de caule de 20 a 24 mm são os mais adequados para a alporquia em pequizeiro. Esses resultados indicam o potencial da técnica de alporquia para a produção comercial de mudas de pequizeiro.

ABSTRACT: Seed propagation of pequizeiro (Caryocar brasiliense) has many disadvantages, including low germination rates and high genetic variability of the resulting plants. Therefore, vegetative propagation techniques, such as the air layering process, are potentially important for this species. This study evaluated the effects of stem diameter and parental plant on the air layering efficacy of pequizeiro. The air layering process was carried out in mid-December 2019, in the following stem diameters: less than 15 mm; 15-19 mm; 20-24 mm; 25-29 mm and above 29 mm. The treatments comprised four replicates of 10 air layers. After 3 months, the percentages of survival, callus formation and rooting were evaluated, in addition to the rooting vigor. The percentages of survival and callus formation observed in the air layering, regardless the parental plant, were higher than 85%, showing the high potential of this technique in the propagation of pequizeiro. The callus differentiation rate in roots varied between the parental plants. Considering the evaluated parameters, stem diameters ranging from 20 to 24 mm are the most suitable ones for the air layering process in pequizeiro. These results indicated the high potential of the air layering technique for the commercial propagation of pequizeiro.

Abstract: The pandemic caused by COVID-19 has revealed some deficiencies and associated risks in Community Mental Health Care for the most severe patients. The objective of this study is to analyze the needs in a sample of people with Severe Mental Illness during the peak of the COVID-19 pandemic in the Communities of Madrid, Valencia, Extremadura, and the Basque Country (in Spain). The Needs of Assessment (NCA) instrument and the Life Restriction Scale (ERVI) were used. The sample consisted of 669 people and 144 cohabiting family caregivers. The clinical problems most frequently encountered were anxiety, followed by slowness, low activity, and depression. In the area of skills and abilities, the most frequent problems were sleep structuring, community integration, time occupation, and cognitive ability. In the area of support, the main problem was the lack of a social support network. Regarding the degree of coverage, 71% of the clinical problems were covered. In the skills area, the percentage drops to 68% and in social media to 66%. It is concluded that it is necessary to reinforce Psychosocial Rehabilitation Programs to meet the needs of serious mental health patients. In addition, the care models should be adapted to ensure their continuity and permanence in periods of distance from the community.

Resumen: La pandemia provocada por la COVID-19 ha mostrado algunas carencias y riesgos asociados en la atención comunitaria de la salud mental a los pacientes más graves. El objetivo de este estudio es analizar las necesidades asistenciales en una muestra de personas con trastorno mental grave durante el pico de la pandemia por COVID-19 en España en la Comunidad de Madrid, la Comunidad Valenciana, Extremadura y el País Vasco. Se utilizó el instrumento Needs of Assesment (NCA) y la Escala de Restricción de Vida (ERVI). La muestra fue de 669 personas y 144 cuidadores familiares convivientes. Los problemas clínicos más frecuentemente encontrados fueron los de ansiedad, seguidos de lentitud, baja actividad y depresión. En el área de destrezas y habilidades, los problemas más frecuentes fueron la estructuración del sueño, la integración comunitaria, la ocupación del tiempo y la capacidad cognitiva. En el área de soportes de apoyo, el principal problema fue la falta de red de apoyo social. Respecto al grado de cobertura, el 71% de los problemas clínicos estuvieron cubiertos. En el área de habilidades, el porcentaje desciende hasta un 68% y en los soportes sociales hasta el 66%. Se concluye que es necesario reforzar los Programas de Rehabilitación Psicosocial para atender las necesidades de pacientes graves de salud mental. Además, los modelos de atención deberían ser adaptados para asegurar su continuidad y permanencia en periodos de distanciamiento de la comunidad.

Background: The impact of donor quality on post-kidney transplant survival may vary by candidate condition. Objective: Analyzing the combined use of the Kidney Donor Profile Index (KDPI) and the estimated post-transplant survival (EPTS) scale and their correlation with the estimated glomerular filtration rate (eGFR) decline in deceased-donor kidney recipients (DDKR). Methods: This was a retrospective, observational cohort study. We included DDKRs between 2015 and 2017 at a national third-level hospital. Results: We analyzed 68 DDKR. The mean age at transplant was 41 ± 14 years, 47 (69%) had sensitization events, 18 (26%) had delayed graft function, and 16 (23%) acute rejection. The graft survival at 12 and 36 months was 98.1% (95% CI 94-100) and 83.7% (95% CI 65-100), respectively. The Pearson correlation coefficient between the percentage reduction in the annual eGFR and the sum of EPTS and KDPI scales was r = 0.61, p < 0.001. The correlation coefficient between the percentage reduction in the annual eGFR and the EPTS and KDPI scales separately was r = 0.55, p < 0.001, and r = 0.53, p < 0.001, respectively. Conclusions: The sum of EPTS and KDPI scales can provide a better donor-recipient relationship and has a moderately positive correlation with the decrease in eGFR in DDKR.

Abstract The keyword spotting and handgun detection tasks have been widely used to manipulate devices and monitor surveillance systems in a more efficient manner. In spite of the advances of deep learning approaches dominating those tasks, the effectiveness of them is mostly tested and evaluated in datasets of exceptional qualities. This paper aims to analyze the performance of these tools when information captured by common devices is used, for example; commercial surveillance systems based on standard resolution cameras or microphones from smartphones. For this, we propose to build an audio dataset consisting of speech commands recorded from mobile devices and different users. In the audio section, we evaluate and compare some state of art keyword spotting techniques with our own model, which outperforms the baselines and reference approaches. In this evaluation we obtained an accuracy of 83%. For the handgun detection, we did a fine tuning of YOLOv5 to adapt the model and perform the detection of handguns in images and videos. This model was tested on a new dataset that uses labeled images from commercial security cameras.

Resumen El objetivo del presente estudio fue analizar la variación de la velocidad de carrera y la frecuencia cardíaca en corredores aficionados durante un maratón en un entorno de alto índice térmico. Dieciocho corredores aficionados (peso: 65.2 ± 12.21 kg, altura: 168.4 ± 10.6 cm, VO2max: 52.9 ± 7.1 ml/kg/min) corrieron un maratón (42 195 m) en cercanía al mar bajo un índice térmico de 27.8 ± 3.52ºC y con recorrido de 0-80 m.s.n.m. La prueba de Pearson mostró una correlación significativa entre el aumento del índice de estrés termal (TGBH) y la variación de la velocidad (r = 0.168, p = 0.049). En este sentido, la duración total de la carrera presentó una relación directa con la velocidad (r = 0.675, p = 0.003) y la variación de la frecuencia cardíaca (r= 0.631, p = 0.007). El tiempo final de carrera se explicó en un 61.6% y 37% por la variación de la velocidad de 26 a 30 km (r 2 = 0.61; F = 26.17; p < 0.001) y por la variabilidad de la frecuencia cardíaca en el lapso de 31 a 35 km (r 2 = 0.37; F= 10.38; p < 0.001) respectivamente. En conclusión, el índice térmico provoca una disminución en el ritmo de la velocidad, este efecto mayor en la segunda mitad de la carrera. Por lo anterior, entrenadores deben planificar entrenamientos y estrategias para mitigar el impacto de estas condiciones en el desempeño físico y fisiológico de los corredores amateur.

Resumo O presente estudo teve como objetivo analisar a variação da velocidade da corrida e a frequência cardíaca em corredores amadores durante uma maratona em um ambiente de alto índice térmico. Dezoito corredores amadores (peso: 65,2 ± 12,21 kg, altura: 168,4 ± 10,6 cm, VO2max: 52,9 ± 7,1 ml/kg/min) correram uma maratona (42195 m) em proximidade ao mar, sob um índice térmico de 27,8 ± 3,52 ºC e com percurso de 0-80 metros acima do nível do mar. O teste de Pearson apresentou uma correlação significativa entre o aumento do índice de estresse térmico (IBUTG) e a variação da velocidade (r= 0,168, p= 0,049). Neste sentido, a duração total da corrida apresentou uma relação direta com a velocidade (r= 0,675, p= 0,003) e a variação da frequência cardíaca (r= 0,631, p= 0,007). O tempo final da corrida se interpretou em 61,6% e 37% pela variação da velocidade de 26 a 30 km (r 2 = 0,61; F= 26,17; p< 0,001) e pela variabilidade da frequência cardíaca no lapso de 31 a 35 km (r 2 = 0,37; F= 10,38; p< 0,001), respectivamente. Em suma, o índice térmico provoca uma diminuição no ritmo da velocidade, sendo esse efeito maior na segunda metade da corrida. Devido a isso, os preparadores devem planejar treinamentos e estratégias para mitigar o impacto dessas condições no desempenho físico e fisiológico dos corredores amadores.

Abstract The purpose of the study was to analyze the variation of running speed and heart rate in amateur runners during a marathon in a hot environment. Eighteen runners (weight: 65.2 ± 12.21 kg, height: 168.4 ± 10.6 cm, VO2max: 52.9 ± 7.1 ml/kg/min) took part of a beach-side marathon (42195 m) under a temperature of 27.8 ± 3.52 ºC and at 0-80 m altitude. Pearson’s correlation showed a significant linear relationship between the increase in thermal stress index (WGBT) and the speed variation (r= 0.168, p= 0.049). In this respect, the total duration of the race revealed a direct relationship with speed (r= 0.675, p= 0.003) and heart rate (r= 0.631, p= 0.007) variation. Multiple regressions analysis showed that 61.6% of the final race time was explained by the speed variation in the 26 to 30 km course section (r 2 = 0.61; F= 26.17; p< 0.001) and 37% by the heart rate variation in the 31 to 35 km section (r 2 = 0.37; F= 10.38; p< 0.001). In conclusion, an increase in the environmental temperature provoked a decrease in running pacing, with a stronger effect in the second half of the race. Therefore, coaches should take these aspects into account in training and strategies to mitigate the impact of these conditions on the physical and physiological performance of amateur runners.

Abstract Background: The prevalence of allergic diseases has increased worldwide. Recent studies have informed that the dysbiosis of some specific members of the human microbiota may enhance the allergic response of the respiratory tract. Objective: To retrospectively explore the role of some microorganisms of the human microbiota on the skin reactivity and their effect on the chronicity of allergic respiratory diseases in humans. Methods: A retrospective analysis of a 5-year database of patients with allergic respiratory tract disease. The frequency and magnitude of the reactivity to 38 different allergens was determined. Results: Dermatophagoides pteronyssinus had the highest frequency of reactivity (93.7 %), followed by the bacterial allergen (a mixture of Staphylococcus aureus and Staphylococcus epidermidis) with a frequency of reactivity of 91.82 %; whereas Candida albicans had a frequency of reactivity of only 79.32 %. The frequency of reactivity to the pollen of native Mexican weeds was even lower ~79 %. Conclusion: The microorganisms of the microbiota that were analyzed in this study seem to have an influence on the development of respiratory allergic inflammation, associated with long-term colonization of the pharynx, nasal mucosa, and sinuses because of these microorganisms.

Resumen Antecedentes: La prevalencia de las enfermedades alérgicas ha aumentado en todo el mundo. En estudios recientes se ha informado que la disbiosis de algunos miembros específicos de la microbiota humana puede potenciar la respuesta alérgica de las vías respiratorias. Objetivo: Explorar retrospectivamente el papel de algunos microorganismos de la microbiota humana en la reactividad cutánea y su efecto sobre la cronicidad de las enfermedades alérgicas respiratorias en el humano. Métodos: Análisis retrospectivo de la base de datos de un periodo de cinco años de pacientes con enfermedad alérgica de las vías respiratorias. Se determinó la frecuencia y magnitud de la reactividad a 38 alérgenos diferentes. Resultados: La mayor frecuencia de reactividad la presentó Dermatophagoides pteronyssinus (93.7 %), al que le siguió una combinación bacteriana de Staphylococcus aureus-Staphylococcus epidermidis (91.82 %) y Candida albicans (79.32 %). La reactividad a alérgenos de polen de malezas nativas de México fue aun menor, aproximadamente de 79 %. Conclusión: Los microorganismos de la microbiota analizados en este estudio parecen tener una influencia en el desarrollo de la inflamación alérgica respiratoria, asociada a la colonización a largo plazo de la faringe, la mucosa nasal y los senos paranasales.