Resumen El articulo muestra reflexiones fenomenológicas a partir de una etnografía-narrativa sobre las experiencias de ensoñación que manifiestan jóvenes latinoamericanos residentes entre los años 2020-2023 en áreas urbanas de la región de Los Lagos, ciudades localizadas en la norpatagonia de Chile, a objeto de comprender las dimensiones culturales de la vida migrante y sus representaciones simbólicas asociadas con el mundo de los sueños. La metodología propuesta es, en un primer momento, pensada desde una etnografía especular que dialogaba con la interdisciplina, sobre todo en la elaboración de talleres participativos, los cuales permitieron la exploración del objeto de estudio desde las subjetividades como prácticas culturales que fueron narradas a través de la descripción densa. Los resultados muestran cómo las prácticas oníricas y las experiencias de ensoñación donde los sujetos interpretan sus experiencias vividas, se asociaban con la proyección de los significados migratorios en torno a sus estadías, deseos y demandas en Chile. Los aportes que hace este trabajo a los estudios migratorios son, precisamente, un tipo de conocimiento nuevo sobre las formas en las que los sujetos se relacionan e interaccionan en espacios de anclaje donde proyectan parte de sus experiencias basadas en el afrontamiento a los nuevos lugares de residencia, representaciones que bien pueden comprenderse como significados de la nostalgia, estados nerviosos y temores asociados con lo desconocido.

Abstract The article presents pheniomenological reflections from some narrative-ethnographic findings on the experiences of dreaming among Latin Americans between the years 20202030 living in urban areas of the Los Lagos region, cities located in northern Patagonia of Chile, in order to understand the cultural dimensions of migrant life and its symbolic representations associated with the world of dreams. The proposed methodology is, at first, conceived from a mirror ethnography that dialogued with the interdisciplinary, especially in the development of participatory workshops, wich allowed the exploration of the object of study from the subjectivities as cultural practices that were narrated through of dense description. The results show how dream practices and dream experiences where subjects interpret their lived experiences were associated with the projection of migratory meanings around their stays, desires and demands in Chile. The contributions that this work makes to migration studies are, precisely, a new type of knowledge about the ways in which subjects relate and interact in anchor spaces where they project part of their experiences based on coping with new places of residence, representations that can be understood as meanings of nostalgia, nervous states and fears associated with the unknown.

RESUMO. A pandemia de COVID-19 mostrou a necessidade de cuidados neuropsicológicos para adultos idosos com queixas de memória em diferentes contextos, incluindo áreas rurais ou áreas de difícil acesso. Objetivo: Analisar a utilidade clínica do Phototest, por meio da telemedicina, para identificar uma leve deficiência cognitiva em adultos idosos rurais com queixas de memória, durante a pandemia de COVID-19. Métodos: Realizamos uma comparação transversal, caso-controle e utilidade clínica dos testes cognitivos breves. Amostra: Cento e onze idosos rurais com deficiência cognitiva leve (DCL) e 130 controles saudáveis da região de Los Lagos, Chile. Instrumentos: Minimental modificado (MMSEm) e versão do teste fotográfico (PT) adaptada para o Chile. Resultados: Para identificar a DCL, usando pontuação de corte de 27-28 pontos, o Phototest mostrou sensibilidade de 96,6% e especificidade de 81,8%; indicadores superiores aos do MMSEm. Conclusões: O Phototest é mais preciso que o MMSEm para identificar, por meio da telemedicina, alterações cognitivas em adultos idosos rurais com queixas de memória cognitiva. Sendo assim, seu uso na atenção primária é recomendado para realizar a detecção precoce de alterações cognitivas pré-clínicas em DCL ou doenças neurodegenerativas.

ABSTRACT. The COVID-19 pandemic has shown the need for neuropsychological care for older adults with memory complaints in different contexts, including rural areas or areas with difficult access. Objective: This study aimed to analyze the clinical utility of the Phototest, through telemedicine, to identify mild cognitive impairment in rural older adults with memory complaints, during the COVID-19 pandemic. Methods: We performed a cross-sectional, case-control, and clinical utility comparison of brief cognitive tests (BCTs). The sample included 111 rural elderly people with mild cognitive impairment (MCI) and 130 healthy controls from the Los Lagos region, Chile. The instruments adopted were modified Mini-Mental State Examination (MMSEm) and adapted version of the Phototest (PT) for Chile. Results: To identify mild cognitive impairment, using a cutoff score of 27-28 points, the Phototest showed a sensitivity of 96.6% and a specificity of 81.8%; indicators superior to those of the MMSEm. Conclusions: The Phototest is more accurate than the MMSEm in identifying cognitive alterations in rural older adults with cognitive memory complaints through telemedicine. Therefore, its use in primary care is recommended in order to perform early detection of preclinical cognitive alterations in mild cognitive impairment or neurodegenerative diseases.

ABSTRACT Background: Depressive symptomatology in health professionals associated with viral crises is highly prevalent globally, being its detection a priority. Therefore, the objective of this research was to analyze the convergent validity and internal consistency of the Patient Health Questionnaire (PHQ-2) in healthcare professionals. Method: E-Health study where cross-sectional data was collected online (n = 725), from 281 general practitioners, 237 specialist doctors and 207 nurses during the Colombian quarantine, between April 20 and August 10, 2020. Average age 41.3 years (± 8.76). 38.4% were men (278) and 61.6% women (447). 66.1% of health personnel treated patients infected with coronavirus and 33.9% did not provide these services. The 9-item version of the PHQ was administered, validated in the Colombian population together with the 2-item version of the PHQ. Results: A high correlation was found between the scales (r = .860, P <0.001), demonstrating the convergent validity of the PHQ-2 to measure depressive symptomatology. The internal consistency of the PHQ-2 was adequate, with a Cronbach’s Alpha of 0.80 (I.C. = 0.76 - 0.83). Conclusions: The PHQ-2 has adequate psychometric standards of reliability and validity, so its rapid administration, easy qualification and interpretation, makes it a reliable and valid instrument for the rapid detection, without work overload, of depressive symptoms in doctors and nurses whether or not they care for patients with viral outbreaks.

RESUMEN: Introducción: La sintomatologia depresiva en profesionales de la salud asociado a crisis virales es de alta prevalencia a nivel global, siendo su detección una prioridad por lo cual, el objetivo de esta investigación fue analizar la validez convergente y consistencia interna del cuestionario de salud del paciente-2 (PHQ-2) en profesionales sanitarios. Método: Estudio eSalud donde se recopilaron datos transversales en línea (n=725), de 281 médicos generales, 237 médicos especialistas y 207 enfermeras durante la cuarentena colombiana, entre el 20 de abril y el 10 de agosto de 2020. Edad promedio 41,3 años (± 8,76). El 38,4% eran hombres (278) y el 61.6% mujeres (447). El 66.1% del personal sanitario atendió pacientes contagiados por coronavirus y el 33,9% no prestó estos servicios. Se administró la versión de 9 ítems del PHQ, validada en población colombiana junto a la versión de 2 ítems del PHQ. Resultados: Se encontró una alta correlación entre las escalas (r=.860, P<0.001), demostrando la validez convergente del PHQ-2 para medir la sintomatología depresiva. La consistencia interna del PHQ-2 fue adecuada, con un Alpha de Cronbach de 0.80 (I.C.= 0.76 - 0.83). Conclusiones: El PHQ-2 presenta adecuados estándares psicométricos de confiabilidad y validez, por lo que su rápida administración, fácil calificación e interpretación, lo convierte en un instrumento confiable y valido para la detección rápida, sin sobrecargas laborales, de los síntomas depresivos en médicos y enfermeras que atiendan o no pacientes en condiciones de brotes virales.

Abstract Positive mental health is a complex construct that is related to the optimal functioning of the person. It comprises a set of qualities aimed at the development of the individual's potential. The Positive Mental Health Scale is one of the most used instruments to evaluate it, however, the antecedents indicate inconsistencies regarding its internal structure. The objective of this study was to analyze the psychometric properties of the Positive Mental Health Scale in Arequipa-Peru. 3,933 people participated, 50.3% were women and 49.7% were men, including from adolescents to the elderly. The evaluation by CFA of the original structure showed poor fit indices, so the dimensionality had to be evaluated and a new structure had to be proposed. For which the sample is divided (n 1 = 1,966 and n 2 = 1,967). In the first, an EFA was applied and in the second, it is validated by means of a CFA. Three factors were found and it is concluded that it has a good fit (χ 2 (431) = 2,473.378; CFI = .959; TLI = .956, RMSEA = .049; SRMR = .051). The internal consistency showed values greater than .81. Finally, the equivalence of the measurement according to sex was evaluated, finding that the instrument presents measurement invariance.

Resumen La salud mental positiva es un constructo complejo que está relacionado con el funcionamiento óptimo de la persona. Comprende un conjunto de cualidades orientadas al desarrollo del potencial del individuo. La Escala de Salud Mental Positiva es uno de los instrumentos más utilizados para evaluarlo, sin embargo, los antecedentes señalan inconsistencias respecto a su estructura interna. El objetivo del presente estudio fue analizar las propiedades psicométricas de la Escala de Salud Mental Positiva en Arequipa-Perú. Participaron 3933 personas, 50.3% fueron mujeres y 49.7% fueron varones, incluyendo desde adolescentes hasta adultos mayores. La evaluación mediante AFC de la estructura original evidenció índices de ajuste pobres, por lo que se tuvo que evaluar la dimensionalidad y proponer una nueva estructura. Para lo cual, se dividió a la muestra (n 1 = 1966 y n 2 = 1967). En la primera, se aplicó un AFE y en la segunda se valida mediante un AFC. Se hallaron tres factores y se concluye que tiene un buen ajuste (χ 2(431) = 2473.378; CFI = .959; TLI = .956, RMSEA = .049; SRMR = .051). La consistencia interna mostró valores mayores a .81. Finalmente, se evaluó la equivalencia de la medición según el sexo, hallando que el instrumento presenta invarianza de la medición.

RESUMO. A pandemia de COVID-19 mostrou a necessidade de cuidados neuropsicológicos para adultos idosos com queixas de memória em diferentes contextos, incluindo áreas rurais ou áreas de difícil acesso. Objetivo: Analisar a utilidade clínica do Phototest, por meio da telemedicina, para identificar uma leve deficiência cognitiva em adultos idosos rurais com queixas de memória, durante a pandemia de COVID-19. Métodos: Realizamos uma comparação transversal, caso-controle e utilidade clínica dos testes cognitivos breves. Amostra: Cento e onze idosos rurais com deficiência cognitiva leve (DCL) e 130 controles saudáveis da região de Los Lagos, Chile. Instrumentos: Minimental modificado (MMSEm) e versão do teste fotográfico (PT) adaptada para o Chile. Resultados: Para identificar a DCL, usando pontuação de corte de 27-28 pontos, o Phototest mostrou sensibilidade de 96,6% e especificidade de 81,8%; indicadores superiores aos do MMSEm. Conclusões: O Phototest é mais preciso que o MMSEm para identificar, por meio da telemedicina, alterações cognitivas em adultos idosos rurais com queixas de memória cognitiva. Sendo assim, seu uso na atenção primária é recomendado para realizar a detecção precoce de alterações cognitivas pré-clínicas em DCL ou doenças neurodegenerativas.

ABSTRACT. The COVID-19 pandemic has shown the need for neuropsychological care for older adults with memory complaints in different contexts, including rural areas or areas with difficult access. Objective: This study aimed to analyze the clinical utility of the Phototest, through telemedicine, to identify mild cognitive impairment in rural older adults with memory complaints, during the COVID-19 pandemic. Methods: We performed a cross-sectional, case-control, and clinical utility comparison of brief cognitive tests (BCTs). The sample included 111 rural elderly people with mild cognitive impairment (MCI) and 130 healthy controls from the Los Lagos region, Chile. The instruments adopted were modified Mini-Mental State Examination (MMSEm) and adapted version of the Phototest (PT) for Chile. Results: To identify mild cognitive impairment, using a cutoff score of 27-28 points, the Phototest showed a sensitivity of 96.6% and a specificity of 81.8%; indicators superior to those of the MMSEm. Conclusions: The Phototest is more accurate than the MMSEm in identifying cognitive alterations in rural older adults with cognitive memory complaints through telemedicine. Therefore, its use in primary care is recommended in order to perform early detection of preclinical cognitive alterations in mild cognitive impairment or neurodegenerative diseases.

Resumen Objetivos: Analizar las diferencias en el rendimiento neuropsicológico de las funciones ejecutivas en pacientes tratados con Diálisis Peritoneal (DP) y Hemodiálisis (HD), además de valorar el nivel de afectación de las modalidades de tratamiento (DP vs HD) y las variables demográficas y clínicas sobre la respuesta cognitiva. Método: Estudio de corte transversal con muestreo no probabilístico que incluyó a 40 pacientes con insuficiencia renal crónica (IRC), divididos en dos grupos: 20 pacientes sometidos a DP y 20 a HD. Se utilizó una batería de pruebas neuropsicológicas que incluyeron El Test de Palabras y Colores de STROOP, la parte B del Trail Making Test (TMT), la Torre de Hanoi y el subtest de Dígitos Inversos de la Escala Wechsler; además de un cuestionario sobre variables clínicas y demográficas. Resultados: Se evidenciaron diferencias significativas en el número de errores del TMT B y el número de movimientos de la Torre de Hanoi, siendo los pacientes sometidos a DP quienes rindieron mejor que los pacientes sometidos a HD. Por otra parte, los años de escolaridad y la edad de los pacientes parecen tener un efecto significativo sobre el rendimiento en las pruebas neuropsicológicas utilizadas. Conclusiones: Los pacientes sometidos a DP tienen un mejor rendimiento en pruebas de función ejecutiva, pero dicho rendimiento es modulado por los años de escolaridad y la edad. Se discute el papel de la escolarización y la edad sobre el rendimiento neuropsicológico y las posibles causas de las diferencias encontradas en los grupos evaluados.

Abstract Objectives: Analyze differences in neuropsychological performance of executive functions in patients treated with peritoneal dialysis (PD) and hemodialysis (HD), and to assess the level of impact of treatment modalities (HD vs PD) and the demographic and clinical variables over cognitive function. Materials and methods: Cross-sectional study with non-probability sampling that included 40 patients with chronic renal failure (CRF) divided into two groups, 20 patients undergoing peritoneal dialysis and 20 in hemodialysis. It was used a battery of neuropsychological tests including test Stroop words and colors, Part B of the Trail Making Test (TMT), Tower of Hanoi, and indirect Digit subtest of the Wechsler scale; and a questionnaire on demographic and clinical variables. Results: Significant differences were found in the number of errors of TMT B and the number of movements of the Tower of Hanoi, with the PD patients who performed better than patients undergoing HD. Moreover, years of schooling and the age of patients appear to have a significant effect on performance in the neuropsychological tests used. Conclusions: Patients undergoing peritoneal dialysis have better performance on executive function tests, but this performance is modulated by the years of schooling and age. It is discussed the role of schooling and age on neuropsychological performance and possible causes of the differences in the evaluated groups.