bluuebunny/crossref_metadata_2025 huggingface dataset:
Cannabidiol como um potencial tratamento anti-inflamatório na infecção respiratória (revisão integrativa)
Authors: Marinho Anneliese Gonçalves Costa , Souza Ivone Antônia de , Cadena Pabyton Gonçalves , Lima Filho José Vitor , Alves Antônio José , Silva Marcilene Souza da , Silva Júnior Valdemiro Amaro da
Published: June 2024

O canabidiol (CBD) é a principal substância não psicoativa encontrada nas glândulas tricomas da planta de cânhamo, também conhecida como ‘canabinóides’ (CBs). Na investigação farmacológica, canabidiol está sendo amplamente estudado, devido às suas propriedades terapêuticas como agonista dos receptores canabinóides. Essas propriedades do CBD abrangem uma variedade de benefícios, como alívio da dor, relaxamento muscular, supressão do sistema imunológico, redução da inflamação e alergias, aumento do apetite, prevenção de náuseas, diminuição da pressão ocular, ampliação dos brônquios, proteção do sistema nervoso e possíveis efeitos contra o câncer. Apesar do conhecimento extenso sobre as propriedades terapêuticas dos CBs, sua aplicação clínica permanece limitada. No entanto, atualmente CBD, que compõe até 40% do extrato de Cannabis é considerado uma das opções mais promissoras na aplicação terapêutica devido à ausência de efeitos perceptuais e psicoativos. O CBD também é considerado um importante candidato para a ampliação de novas substâncias canabinomiméticas devido à sua excelente tolerabilidade em seres humanos.
Associação entre sintomas depressivos e qualidade de vida em idosos que frequentam a Universidade Aberta da Terceira Idade
Authors: Azevedo Amanda Martins , Fukushima Natalia Mayumi Leonel , Guimaraes Raquel Gomes , Perseguino Marcelo Geovane , Cacozzi Aline
Published: June 2024

Objetivo: Verificar a associação entre a frequência de sintomas depressivos e a qualidade de vida em idosos que frequentam a Universidade Aberta para Terceira Idade (UNATI) de uma universidade do litoral de São Paulo, Brasil. Métodos: Estudo de corte transversal, com idosos com idade entre 60 e 83 anos matriculados na da UNATI. Foram aplicados três instrumentos, sendo eles: o formulário com dados sociodemográfico, o World Health Organization Quality of Life – Old (WHOQOL-OLD) e a Escala de Sintomas de Transtorno Depressivo (GDS). Foram feitas análises descritivas e o teste qui-quadrado para verificar a associação entre sintomas de depressão e qualidade de vida. Resultados: A maioria dos idosos era do sexo feminino (79%), viviam com o cônjuge (57%), possuíam ensino superior completo (50%), não trabalham atualmente (93%), com uma boa condição socioeconômica (57%). Apenas 1 dos participantes (7%) foi identificado com sintomas de depressão e outro participante (7%) com um nível de qualidade de vida classificado como “precisa melhorar”. Conclusão: Mesmo não tendo encontrado um valor estatisticamente significante para a associação entre depressão e qualidade de vida, a participação do idoso em projetos como o da UNATI, possibilita o ressignificar da sua rotina e da sua participação social, indo ao encontro com o conceito de envelhecimento saudável. Em suma, os idosos estudados já apresentam qualidade de vida promissora e presumivelmente participam da UNATI em busca de elevar ainda mais esse conceito.
Tumores cutâneos e subcutâneos com ênfase em Câncer de Mama e cirurgias reconstrutivas em cães e gatos
Authors: Gomes Silvio Pires , Oliveira Vinicius Pedro Silva de , Abdala Fabio Cesar Magioli , Schimming Bruno Cesar , Iacopino Andressa Galvão da Silva , Dias Fernanda Gosuen Gonçalves , Kfoury Junior José Roberto , Sasahara Taís Harumi de Castro
Published: June 2024

As neoplasias cutâneas e demais tumores de origem epitelial, incluindo as neoplasias mamárias, tornaram-se recorrentes na casuística da clínica veterinária. O diagnóstico e o tratamento direcionado às doenças contribuíram para um aumento na expectativa de vida dos pacientes. À medida que os animais domésticos ganham importância no âmbito familiar, as exigências de seus tutores em relação à saúde desses animais aumentaram, resultando em uma busca mais direcionada pelas especialidades médico-veterinárias. Torna-se, portanto, imprescindível realizar a castração por volta do primeiro ano de vida para prevenir neoplasias. O estadiamento é considerado a principal etapa do atendimento em casos suspeitos de neoplasias, onde se avalia o foco da lesão, os linfonodos regionais e as possíveis metástases, destacando-se a utilização de meios diagnósticos complementares. A terapia eletiva para a resolução do quadro clínico é a ressecção cirúrgica total, e enfatizamos a necessidade de domínio das técnicas reconstrutivas para viabilizar um melhor prognóstico para os pacientes. Por fim, o acompanhamento dos pacientes, considerando a necessidade de terapias adjuvantes, é imprescindível para eliminar a possibilidade de recidivas. Ademais, este trabalho buscou abranger ao máximo o tema proposto de forma clara e objetiva, baseando-se em literatura recente e prática. Sobretudo, enfatizamos a necessidade da aplicação correta das metodologias e o uso criterioso de novas técnicas e tecnologias, buscando aprimorar e melhorar a sobrevida de nossos pacientes, sempre de forma humanizada e com resultados satisfatórios.
Efeitos do ensino generalizado do esporte no conhecimento tático processual de escolares: um estudo de protocolo
Authors: Ribeiro Franciéle da Silva , Bergmann Gabriel Gustavo
Published: June 2024

Este artigo descreve o desenho metodológico de um estudo cujo o objetivo principal é identificar os efeitos do ensino generalizado do esporte durante as aulas de Educação Física (EF) no conhecimento tático processual de adolescentes. Será realizado um estudo de método misto. Na abordagem quantitativa será realizado um estudo experimental com grupos intervenção (GI) e controle (GC) formados por escolares de 7º ao 9º ano. Na abordagem qualitativa será realizada uma pesquisa-ação com os Professores de EF. Esperamos que ao final da intervenção os participantes do GI apresentem melhoras nas variáveis investigadas em relação aos participantes do GC, e que a participação no estudo tenha contribuído para formação pedagógica dos Professores de EF em relação ao ensino esporte.
Plicatura de megacólon em felino
Authors: Chambela Neto Alberto , Milanezi Gustavo Pedro , Stelse Kaiara Aparecida , Haddade Ismail Ramalho , Monaco Paola Alfonsa Vieira Lo , Vieira Gustavo Haddad Souza
Published: June 2024

O megacólon é caracterizado por uma dilatação de todo ou parte do cólon, ausência de peristaltismo, constipação, coprostase podendo resultar no desenvolvimento de fecaloma. Pode ter diversas origens e acometer gatos adultos ou idosos sem predisposição de sexo. O objetivo deste trabalho é relatar um caso de plicatura de megacólon em felino adulto devido a megacólon recidivante. Foi atendido um macho, SRD, de 7 anos de idade, pesando 7,6 kg com histórico de constipação há mais de dez dias e mímica de defecação sem expulsão das fezes. À palpação abdominal, notou se presença de massa endurecida na região abdominal, sendo o diagnóstico clínico de megacólon confirmado por exame radiográfico. A abordagem cirúrgica inicial foi a enterotomia para retirada do fecaloma, mas esta permitiu recidiva do quadro após sete dias e fez-se necessário então novo procedimento cirúrgico, dessa vez a plicatura do megacólon. O segundo procedimento cumpriu seu papel, solucionando o quadro de constipação e promovendo a melhora clínica do paciente que retornou para retirada de pontos cirúrgicos dez dias após a cirurgia, e encontrava-se alerta, com cicatrização completa da ferida cirúrgica, evacuação de fezes pastosas, parâmetros normais para a espécie e sem dor a palpação na região abdominal.
O consumo de cafeína pode alterar parâmetros cardiovasculares e temperatura da pele em homens adultos?
Authors: Piermatei Álvaro Luiz Miranda , Reis Hamilton Henrique Teixeira , São José Vinícius Parzanini Brilhante de , Dias Felipe Augusto Mattos , Fortini Thaís Victória Lopes , Pinto Alessandro Tavares , Valente Juliana Souza , Silva Bárbara Pereira da , Marins João Carlos Bouzas
Published: June 2024

A propriedade termogênica da cafeína é alvo crescente de interesse, sendo um dos recursos ergogênicos mais consumidos no meio esportivo. O presente estudo objetivou avaliar o impacto termogênico, variação de frequência cardíaca (FC) e pressão arterial (PA) pelo consumo de diferentes dosagens de cafeína em homens adultos em repouso. A amostra foi composta por 24 homens divididos entre grandes (>100mg/dia) e pequenos consumidores de cafeína (< 100mg/dia). Os avaliados foram submetidos a três intervenções em três dias distintos: placebo, 3 mg/kg e 6 mg/kg de cafeína. Avaliou-se a variação da temperatura da pele pela termografia infravermelha (TIR), FC e PA antes e após a suplementação de cafeína. A análise estatística foi realizada pelo teste Two-Way ANOVA e teste T, adotando um nível de significância de 5%. Nenhum dos dois grupos obteve diferença entre as doses e a temperatura nos diferentes tempos. As doses 3 mg/kg e 6 mg/kg de cafeína provocaram PA sistólicas mais altas ao final do protocolo nos pequenos consumidores. O consumo de 6 mg/kg provocou maior PA diastólica ao final nos pequenos consumidores. Não foram observadas alterações de FC em nenhum dos dois grupos, com nenhuma das dosagens. Concluiu-se que independentemente da dosagem ofertada e hábito de consumo, não houve efeito termogênico medido por TIR, bem como a resposta da FC de repouso. No entanto, pequenos consumidores habituais de cafeína são mais sensíveis ao composto, com aumento da PA sistólica após consumo agudo de 3 mg/kg e 6 mg/kg de cafeína.
Polifarmácia em indivíduos com doenças crônicas não transmissíveis: idade, sexo, frequência e agravos recorrentes
Authors: Sousa Milena Nunes Alves de , Aragão Laura Mourão , Bezerra Eduarda Feitosa , Sousa Ana Beatriz Vieira , Rebouças Júnior Henrique Jorge , Medeiros Gabriel dos Santos , Bezerra André Luiz Dantas , Almeida Elzenir Pereira de Oliveira , Vasconcelos Wállison Ramon Ferreira de , Nogueira Tiago Bezerra de Sá de Sousa , Nogueira Raquel Bezerra de Sá de Sousa , Medeiros Nara Maria Holanda de
Published: June 2024

Introdução: A polifarmácia associa-se ao uso de cinco ou mais medicações diárias, enquanto o uso de dez ou mais é considerado hiperpolifarmácia. Tal prática tem forte relação com desfechos negativos, como menor adesão ao tratamento e aumento da ocorrência de reações adversas. Essa prática é observada, sobretudo, em idosos com doenças crônicas não transmissíveis (DCNT), que constituem o conjunto de enfermidades não infecciosas de períodos prolongados de latência e curso. Essa situação, atrelada à polimorbidade típica dessa faixa etária, aumenta a necessidade do uso de vários medicamentos de forma simultânea. Objetivo: Avaliar a polifarmácia em pacientes com doenças crônicas não transmissíveis. Método: Trata-se de uma Revisão Integrativa da Literatura, utilizando a estratégia de busca << Polypharmacy AND “Noncommunicable Diseases” >> em quatro bases de dados com a inclusão de trabalhos no recorte tempo de 2014-2024, em inglês e com texto completo. Dos 139 artigos analisados, a amostra final ficou constituída por doze pesquisas. Resultados: Observou-se que as doenças mais relacionadas ao quadro de polifarmácia foram hipertensão arterial (91,7%) e diabetes (91,7%). Além disso, o perfil dos indivíduos é predominantemente feminino (83,3%) e com idade acima ou igual a 65 anos (91,7%). Em relação à frequência de polifarmácia, metade dos artigos apresentou incidência inferior a 50.0%, enquanto a outra metade foi ≥ a 50.0%. Conclusão: A polifarmácia é mais prevalente em mulheres mais idosas (≥ 65 anos) e acometidas por hipertensão arterial e/ou diabetes. No entanto, é essencial dar mais visibilidade a essa questão para garantir um melhor reconhecimento dessa problemática no meio científico.
Tipos de inovação em Pequenas e Médias Empresas (PMES): um estudo de caso em um escritório de contabilidade no interior do RN
Authors: Silva Kennedy Paiva da , Barroso João Victor de Lima , Silva Taynara Milene da , Ferreira Danúbia Leite , Gil Maria Angélica Aires , Nodari Cristine Hermann , Silva Cristiane Pontes da , Nascimento Paulo Pereira do
Published: June 2024

O objetivo deste artigo é compreender os tipos de inovação adotadas por pequenas e Médias Empresas (PMEs) em um escritório de contabilidade do estado do Rio Grande do Norte, como essas estratégias podem superar os desafios enfrentados por essas empresas, impulsionando, assim, seu crescimento no mercado. Ao explorar as práticas inovadoras adotadas por um escritório de contabilidade, o artigo visa fornecer dados importantes para gestores e empresários interessados em impulsionar a eficiência operacional, aprimorar serviços e enfrentar as demandas competitivas do mercado. Este estudo não apenas amplia a compreensão atual sobre as estratégias inovadoras adotadas por PMEs, mas também oferece orientações práticas para aqueles que buscam promover o crescimento sustentável em seus empreendimentos. As descobertas deste artigo têm o potencial de influenciar positivamente as práticas de inovação em PMEs, especialmente no setor contábil, e destacam a importância de uma abordagem adaptativa e orientada para resultados nesse cenário desafiador.
Upcycling: um estudo sobre a intenção do consumidor para a prática e o consumo sustentável no Brasil
Authors: Silva Armistrong Martins da , Leocádio Áurio Lúcio , Melo Francisco Vicente Sales , Silva Filho José Carlos Lázaro da , Silva Danielle Mantovani Lucena da , Ladeira Rodrigo
Published: June 2024

A prática upcycling desponta como uma abordagem inovadora de consumo, ganhando destaque por ser uma alternativa mais sustentável, em relação à produção convencional de bens de consumo. O objetivo do estudo é investigar os preditores da intenção do consumidor para aderir à prática upcycling e o comportamento para o consumo sustentável no Brasil. A pesquisa é de natureza descritiva e de levantamento, to­mando por base a abordagem quantitativa. Foram realizados estudos com consumidores brasileiros interessados na prática upcycling, buscando compreender o ponto de vista dos sujeitos investigados, possibilitando elencar preditores e novas categorias de análise para o consumo sustentável. Os resultados apresentam um diagnóstico de onde estão localizados os consumidores que praticam upcycling no Brasil, ajudando a compreender a dinâmica e os possíveis nichos de mercado. Os fatores que contribuíram positivamente na disposição do consumidor para a prática upcycling foram a Intenção comportamental, seguido da Função das crenças e das Condições facilitadoras percebidas, envolvendo as habilidades, o conhecimento e as inspirações. Os resultados demonstram que os indivíduos com maiores níveis de consciência ambiental apresentam atitudes positivas em relação ao consumo sustentável, indicando que as características voltadas para o comportamento são influenciadas pelo conhecimento. O estudo amplia o conhecimento sobre upcycling, no contexto da realidade brasileira, avançando na inclusão dos fatores motivacionais, culturais, racionais e estímulos que contribuam para a conscientização ecológica dos indivíduos, ajudando a ressignificar o consumo sustentável no país.
Atividade física e parâmetros bioquímicos e nutricionais em pacientes com doença renal crônica
Authors: Oliveira Dener Budziarek de , Oliveira Franciele Berní de , Cardoso Rodrigo Kohn , Araujo Aline Machado , Orcy Rafael Bueno , Bohlke Maristela , Silva Thiago Gonzales Barbosa e , Rombaldi Airton José
Published: June 2024

O presente artigo teve como objetivo determinar a associação entre atividade física, força, capacidade funcional, espessura e qualidade muscular com parâmetros inflamatórios e de estresse oxidativo em doentes renais crônicos em hemodiálise. A amostra do estudo foi de 58 indivíduos, de ambos os sexos, 37 indivíduos da cor branca, 29 mulheres, idade média de 52 ± 15,9 anos, tempo médio de hemodiálise de 46,5 ± 42,4 meses, índice de massa corporal médio de 24,7 ± 7,5 kg/m2. A hemodiálise ocorreu um centro de referência em nefrologia e as coletas ocorreram no ano de 2017. O estudo encontrou um quadro de baixos níveis de capacidade funcional, atividade física e força, provavelmente causado pela doença renal e pelo tratamento hemodialítico. Houve associação inversa significante entre a exposição espessura muscular e o marcador de estresse oxidativo TBARS (p<0,01). Concluiu-se que apesar da baixa aptidão física demonstrada pelos sujeitos, o melhor nível de espessura muscular associou-se inversamente com estresse oxidativo, sugerindo menor impacto da doença. Intervenções para melhorar aptidão física, níveis de atividade física e variáveis musculares, parecem essenciais para indivíduos doentes renais crônicos em hemodiálise.
Perfil sociodemográfico e clínico de pacientes masculinos diagnosticados com câncer de mama em uma Unidade de Alta Complexidade (UNACON)
Authors: Braga Marieliza Araújo , Lima Eloise de Oliveira , Silva Sonaly de Lima , Rodrigues André Wagner Dantas , Santos Monnik Emyle Lima , Nascimento Rayne Taveira Rocha do , Nascimento Railda Shelsea Taveira Rocha do , Alexandrino Kedma Anne Lima Gomes
Published: June 2024

O câncer de mama é o tipo de câncer mais comum na população femina, mas também pode acometer homens. O diagnóstico tardio e estádios avançados acontece pela falta de acesso da população a informação e serviço especializado em tempo hábil. Carência de políticas públicas que abranjam a patologia é uma realidade incontestável. O objetivo deste trabalho foi traçar o perfil sociodemográfico e clínico dos individuos diagnosticados com câncer de mama, do sexo masculino, cadastrados no Registro Hospitalar de Câncer (RHC) do Hospital Fundação Assistencial da Paraíba (FAP), entre 2013 e 2019. Trata-se de um estudo de delineamento epidemiológico, descritivo, com abordagem quantitativa e exploratória, de característica retrospectiva, a partir de uma amostra acessível, na base de dados do RHC, filtrando os dados do Hospital da FAP. As variáveis categóricas foram analisadas por meio de medida de frequência (absoluta, relativa e percentual). A amostra foi composta por dados de 55 homens entre 60 a79 anos (54,54%), que se autodeclararam pardos (63,64%), com ensino fundamental incompleto (43,64%), não-etilistas (32,73%), não-tabagistas (34,55%), procedente de Campina Grande (45,45%), diagnosticado com carcinoma ductular infiltrante (58,18%) do lado direito (34,55%), em estádio clínico III (20%). Como tratamento, houve realização principalmente de quimioterapia (65,45%) e radioterapia (52,73%). A sobrevida foi de 87,27%. Conclui-se que, apesar de raro, o câncer de mama masculino possui as mesmas características moleculares e clínicas feminino, porém sua taxa de sobrevida é bem menor, principalmente pela escassez de informação sobre tal tipo de câncer, e o consequente diagnóstico tardio e estadiamento avançado.
Effects of Desert Locust Plague on Disaster Management in the Subsistence Agriculture of Ethiopia: Do Ex Ante or Ex Post Policy Measures Are More Appropriate in Agricultural Risk Management? An Analytical Review
Authors: Mulugeta Bekele Debelo
Published: June 2024

The majority of African peoples rely on subsistence agriculture for a living. Because of the foregoing, any uncertainty in the agricultural sector endangers the lives and livelihoods of small-holder farmers in the countries, and disasters such as desert locus plague exacerbate the problem. The main goal of this research is to discuss the influence of desert locust plague, disaster risk management, and subsistence agriculture in Ethiopia. As a result, the effects of the desert locust plague are widespread and have long-term implications such as famine, health hazards, poverty, and food insecurity, among other things. As a result, selecting proper management methods, particularly ex ante measures, like early warning system, is strongly recommended in order to save lives and livelihoods throughout Africa, particularly Ethiopia.
At The Tipping Point: The Challenges and Opportunities for Midwifery Education in Australia
Authors: Keedle Dr Hazel , Dahlen Professor Hannah
Published: June 2024

A midwife’s formal education is the foundation of their understanding, identity and initial clinical experience. Recognising the value, influence and importance of midwifery education is vital in providing our future midwifery workforce. This research study interviewed midwifery leaders and experts to explore the challenges and opportunities for midwifery education in Australia.
Rendimiento de extracción por hidrodestilación del aceite esencial de Piper aduncum L. (matico) mediante un modelo cinético
Authors: Fernández Rosillo Frank , Quiñones Huatangari Lenin , Ojeda Gaona Telemia Sarai , Alfaro Montero Daniela del Pilar , Yalta Meza Royler Jeimis , Cabrejos Barrios Eliana Milagros , Huamán Mera Alexander
Published: June 2024

Los aceites esenciales tienen demanda en la industria de alimentos, farmacéutica y cosméticos. La investigación tuvo como objetivo estimar el rendimiento de extracción por hidrodestilación de aceite esencial de Piper aduncum L. (matico) mediante un modelo cinético. La metodología consistió en procesar el material vegetal (recolectar, secar bajo sombra y triturar hojas de matico), extraer aceite esencial (hidrodestilación mediante dos equipos clevenger bajo cuatro escenarios) y modelar la cinética de extracción por hidrodestilación del matico. El rendimiento del aceite esencial de matico en los cuatro escenarios planteados se ajusta al modelo matemático de la cinética sigmoidal. Por tanto, los modelos determinados brindan una evolución cualitativa y aproximada del comportamiento de la cinética de extracción y del rendimiento del aceite esencial de matico.
Estudio y Propuesta de Estrategias Tributarias Para Maximizar la Recaudación del Impuesto Predial
Authors: Heredia Cabanillas Yeltsin Smith , Bautista Bautista Cecilia Ysabel
Published: June 2024

El estudio se realizó con el fin de conocer los problemas referentes al recaudo del impuesto predial. Se realizó un estudio y se propuso estrategias tributarias en busca de maximizar la recaudación de impuestos prediales mediante una indagación descriptiva explicativa con diseño no experimental. Se desarrolló a partir del uso del instrumento de cuestionario y análisis documental, que se aplicó a 164 propietarios. Entre los resultados, se ha descubierto que el recaudo del impuesto predial no fue óptimo desde el 2017 hasta el 2021, con una brecha de S/. 14,238.00. Además, la falencia en el recaudo es por la inadecuada gestión de la municipalidad, en la que el registro de bienes no está actualizado y que la forma de presentación de la declaración de bienes e impuestos no es óptima porque el tiempo que requiere realizarlo es prolongado para los pobladores. Se llegó a concluir que la entidad estudiada no cuenta con funcionamiento eficaz para incrementar los ingresos por impuesto predial. Por lo que, se debería implementar estrategias tributarias para incorporar tecnología para la declaración y pago del impuesto en estudio, con la información que se requiere al respecto.
Arthroscopy-assisted Minimally Invasive Tarsometatarsal and Lisfranc Arthrodesis. A Case Series
Authors: Angthong Chayanin , Rajbhandari Prasit , Veljkovic Andrea
Published: June 2024

Background. First tarsometatarsal arthrodesis is an effective procedure for the correction of hallux valgus deformities. Traditionally, first to third tarsometatarsal and Lisfranc arthrodesis is performed via an open approach. Little is known about the role of combined arthroscopic and minimally invasive techniques. Material and methods. We present a case series of complicated hallux valgus deformities and other conditions managed using arthroscopically assisted minimally invasive arthrodesis. We first performed a minimally invasive surgical procedure that allowed easy and unhindered access for the introduction of an arthroscopic instrument over the joint surface. Results. The mean Visual Analogue Score – Foot and Ankle and Short Form-36 scores indicated satisfactory and acceptable postoperative outcomes, respectively. The mean patient satisfaction score was 94.44 and the mean follow-up duration was approximately 17.7 months. Conclusion. The described procedure has been preliminarily shown to be useful in terms of its minimal invasiveness, reproducibility, safety, and effectiveness.
An unusual record of an Andean passerine, the Black-backed Grosbeak, in southeastern Brazil
Authors: Antonelli Victor R. , Cavarzere Vagner
Published: June 2024

The Black-backed Grosbeak (Pheucticus aureoventris) is common on eastern Andean slopes from Venezuela to Argentina. In Brazil, it is a regular non-breeding visitor in the west, using large rivers of the Paraná basin as movement routes, especially during the austral winter, when most records in the country are concentrated. We present a novel observation of the species from the mid-central region of São Paulo state, southeastern Brazil, approximately 400 km east of its known range. Considering the uncertain migratory routes of the Black-backed Grosbeak to Brazil, we gathered additional rare sightings from the country that, when combined with our own, suggest the species’ propensity for extensive dispersal.
Challenges and strategies in the treatment of juvenile type 2 diabetes: a case analysis
Authors: López Blanca Cristina Estrella , Aguilar Berrezueta Roberto Javier , Machuca Vivar Silvio Amable
Published: June 2024

Type 2 diabetes mellitus is today the most common type of diabetes, characterized by insulin resistance and dysfunction of the beta cells of the pancreas. This condition is especially prevalent in adults, although in recent times it has increased significantly among young people. Factors such as obesity, lack of physical activity, poor sleep quality, family history are known contributors. The objective of this work is to develop effective intervention strategies and improve the management of the disease in adolescents. A case study was carried out and using the PESTEL method, strategies are proposed to comprehensively address the challenges associated with type 2 diabetes mellitus in adolescents, in addition to improving not only individual care but also the social and political environment that affects them youths
Preventive measures for the care of floriculture workers
Authors: Aveiga Hidalgo María Verónica , Escobar Bastidas Leidy Daniela , Montenegro Rodríguez Justin Josué , Enríquez López Leticia Mercedes
Published: June 2024

People's health can be affected by the use of chemical products, especially in agricultural work. Pregnant women are more sensitive and prone to suffering from problems. The objective of this research is to develop preventive measures for the health care of the workers of the “Florsani LTDA” plantation in the San Isidro parish. The research was both qualitative and quantitative with a non-experimental design and having descriptive scope. A questionnaire was applied to 30 women who work on the plantation. It was determined that there is little perception of risk by women, there were difficulties in previous births and effects on their health were evident, with burning in the throat being more represented. A proposal of measures was made to contribute to the preservation of the health of all women. Prevention, risk assessment, training and continuous monitoring are essential to ensure safe and healthy work environments for everyone.
The importance of job training as a catalyst for change in organizational performance
Authors: Ramírez Cabrejo Hollman Badwan
Published: June 2024

Job training or training processes carried out within organizations have become a fundamental factor for the operation of companies, this is due to their influence on human capital and their direct relationship with the development of processes. This article, developed through a review research process, exposes from various perspectives the impact of job training on organizational performance, in terms of productivity, job satisfaction, and talent retention. Additionally, it allows visualizing the different models and types of existing training processes, which provide training alternatives and the ability to adapt them to any organization.
Congenital Myotonic Dystrophy type 1: prenatal manifestations regarding a case
Authors: Licourt Otero Deysi , Toledo Licourt Melissa , Candelaria Gómez Belkys , Díaz Hernández Ilena Aurora
Published: June 2024

Introductions: myotonic dystrophy type 1 is a genetic disorder with great clinical variability in which there is a positive association between the number or size of the cytosine, thymine, guanine triplet repeats and the severity of the manifestations. The disorder exhibits an intergenerational anticipation phenomenon that explains the earlier age of onset of signs and the greater expression of clinical signs. Objetive: to describe the prenatal manifestations of myotonic dystrophy type 1.  Clinical case: 22-year-old female patient with a diagnosis of DM1 since she was 6 years old and with a family history of the disorder through the mother's line who came to the clinic with a 22-week pregnancy. Multiple signs were reported when performing prenatal fetal ultrasonography due to: presentation maintained in the pelvic region, slight ventriculomegaly, lower limbs extended and with ventral flexion on the trunk as well as both equinus feet. The birth occurred with a gestation period of 33.6 weeks, the Apgar test was 3-3-3, birth weight 2450 gr. Conclusions: the severity of the congenital form of myotonic dystrophy type 1 requires close monitoring by a multidisciplinary team that extends from the preconception stage, to detect the possible complications described that worsen the quality of life of patients and their families, and may even to the death of both the mother and the newborn, especially during the first year of life.
Overload and quality of life in caregivers of functionally dependent older adults
Authors: González Pi Yurema de la Caridad , Palomino Sosa Daritza , Santiesteban González Diarelis , Elosegui Rivera Yenisleidis , Hernández Baño Adnaloy
Published: June 2024

Introduction: The aging of the population in Cuba has led to an increasing number of people assuming the role of caregivers in the Cuban population. These people are forced to rearrange their daily actions according to the patients they care for. Objective: To determine the overload and quality of life of caregivers of older adults of the La Conchita Popular Council, belonging to the Hermanos Cruz Polyclinic, Pinar del Río, period 2021-2023. Methods: An observational, analytical and cross-sectional study was carried out. The universe was represented by 250 caregivers of older adults with some degree of functional dependence, the sample by 50 caregivers of functionally dependent older adults, selected intentionally, and who meet the inclusion criteria, theoretical and empirical methods were used, a validated questionnaire was used to respond to the variables and objectives of the research and descriptive statistics. Results: ages 60 to 69 years predominated representing 36 %, the main factor affecting caregivers is the emotional, since no one is prepared to live day to day witnessing the physical, emotional and cognitive deterioration of their loved one, the greater the caregiver overload the lower the quality of life in all dimensions. Conclusions: It was concluded that the level of overload and the quality of life of caregivers of older adults in the studied area are opposite, it will be necessary to improve the caregivers' overload so that their quality of life is higher and their performance is better
Educational intervention on iron deficiency anemia to mothers of the medical office 141, Hermanos Cruz Polyclinic
Authors: Abreu Carrete Berta , Pando García Edith , Fernández Hernández Roberto , Menéndez Fadraga Lisandra , Macias Madrazo Idania
Published: June 2024

Introduction. Iron deficiency anemia is the most frequent nutritional deficiency in Cuba and children constitute one of the groups most vulnerable to nutritional deficiencies.
Objective. To evaluate the change in the level of knowledge and skills of mothers after an educational intervention on iron deficiency anemia in clinic 141 of the Hermanos Cruz Polyclinic, from June 2020 to July 2022.
Method: An applied, analytical, longitudinal and prospective quasi-experimental research was carried out. The sample studied consisted of 62 mothers with a total universe of 88 mothers, to whom an initial survey was applied to determine the level of knowledge on the subject, which allowed carrying out an educational strategy on the difficulties detected and their subsequent evaluation. For the preparation and analysis of the tables, descriptive statistics, percentage, mean, standard deviation and McNemar's Chi-square statistical test were applied.
Results: 75% of the trained mothers were between 20-35 years of age and 58.7% had a university level. In the variables measured after the educational intervention there was a statistically significant increase in knowledge of the concept of anemia (x2=17.36), importance of anemia (x2=13.21), symptoms (x2=8.2), risk groups (x2=12.07) and prevention of anemia (x2=40.09).
Conclusion: The efficacy of the educational intervention to increase mothers' knowledge of iron deficiency anemia was demonstrated.
Thromboembolic and hemorrhagic risk level in patients with permanent nonvalvular atrial fibrillation
Authors: Santaya López Rolando , Cecilia Paredes Eduardo Enrique , Echevarría Cruz Ángel , Sparis Tejido Mario Manuel , Hidalgo Gato Castillo Dianelys
Published: June 2024

Introduction: atrial fibrillation is the most frequent cardiac arrhythmia in daily clinical practice and is associated with a marked increase in the risk of thromboembolic accidents. Objective: to characterize the level of thromboembolic and hemorrhagic risk in patients with permanent non-valvular atrial fibrillation in the Clinical Surgical Teaching Hospital “Dr. León Cuervo Rubio” of Pinar del Río during the period from July 2017 to July 2019. Material and methods: an observational, descriptive and transversal research was carried out. The universe was studied in its totality and consisted of 80 patients according to established selection criteria. Data were obtained from the review of medical records, and were presented in tables and graphs for a better understanding. Percentage statistical method was used. Results: there was a marked prevalence of patients over 70 years of age (75 %), male sex (65 %) and white skin color (75 %). High thromboembolic risk was predominant (71.25 %) and these patients mainly received anticoagulant treatment. Age (75 5) was the usual risk factor for bleeding according to the HAS-BLED scale. Patients with a high bleeding risk level predominated (52.5 %). Conclusions: most patients had a high thromboembolic risk level and received anticoagulant treatment. The most frequent bleeding risk factors according to the HAS-BLED scale were age, drugs, alcohol and labile INR. Most patients had an elevated bleeding risk level
Characterization of patients with Systemic Inflammatory Response Syndrome
Authors: Santaya López Rolando , Cecilia Paredes Eduardo Enrique , Echevarría Cruz Ángel , Guillen Cánovas Ana Mercedes , Echevarría Martínez Luis Enrique
Published: June 2024

Introduction: Sepsis is an important health problem, considered the main cause of death worldwide in pediatric ages. 
Objective: to clinico-epidemiologically characterize children with systemic inflammatory response syndrome in the intensive care service of the Pediatric Provincial Teaching Hospital “Pepe Portilla Pinar del Río, from January 2020 to December 2021.
Method: observational, descriptive and transversal research. A universe of 118 patients was studied in its totality. The information was extracted from medical records. Descriptive statistical methods were used.
Results: Children under 5 years of age and males accounted for 58.5% and 52.5% respectively.  Admissions came similarly from the emergency department and hospital wards. Sixty-seven.8 % arrived in the early stages, of which 82.2 % were community-acquired infections. The respiratory tract was the most frequent site of infection with 55.9%. Only 7.5 % of the children were malnourished. Exclusive breastfeeding was not maintained until the sixth month of life in 70.6 % of the children. Mortality was low (10.2 %), with patients admitted in severe sepsis and severe septic shock stage having the highest mortality.
Conclusions: The number of admissions in sepsis stage is decreased in the study, especially in advanced stages with lower mortality, which contributed to the low mortality rate in the province.
Risk factors associated with cancer in the elderly. Medical Office 20
Authors: Hernández Baño Adnaloy , Díaz Pita Gicela , Sparis Tejido Mario Manuel , Núñez Díaz Brenda de la Caridad , Pando Camejo Dianelys
Published: June 2024

Introduction: Cancer can be considered as a disease of the Older Adult since more than 65% of all malignant Neoplasms occur in this group, the risk of cancer usually increases with age due to a longer period of exposure to numerous carcinogenic elements.
Objective: to characterize the risk factors associated with cancer in older adults belonging to the medical office 20 of the Pedro Borrás Astorga polyclinic, in the period September 2018 to May 2019.
Method: an observational, analytical and cross-sectional study was conducted, the universe was constituted by 321 older adults, a sample of 90 older adults was selected, by non-probabilistic intentional sampling, theoretical, empirical and descriptive statistical methods were used.
Results: there was a predominance of the age group 65-69 years, 64% of the female sex, 50% were normal weight, 40% were sedentary, 45% had up to 3 associated risk factors such as bad eating habits, smoking and alcoholism; family and personal pathological antecedents were arterial hypertension.
Conclusions: several risk factors predominate in the elderly; this favors the appearance of a type of cancer. Actions aimed at the prevention and modification of risk factors are required to reduce the incidence of cancer and achieve a satisfactory longevity.
Prevalence of dementia syndromes in older adults in a community
Authors: Mesa Trujillo Daisy , García Mesa Israel , Rodríguez Núñez Sonia
Published: June 2024

Introduction: the increase in longevity and survival has led to an increase in the prevalence of diseases in advanced ages; dementia is today one of the main causes of disability and dependence among older adults with a physical, psychological, social and economic impact not only on those who suffer from it, but also on their caregivers, family and society.
Objective: to estimate the prevalence of dementia syndrome in adults aged 65 and over, belonging to the medical office No.1 of Los Palacios municipality, Pinar del Río province, in 2019.
Methods: a cross-sectional descriptive observational study was conducted. Universe, coincided with the sample of 150 older adults who met the inclusion criteria. Theoretical and empirical methods were applied, such as the instruments developed by the Dementia Research Group 10/66 and descriptive statistics.
Results: adults aged 80 years and older, female, illiterate, without a partner, from rural areas predominated; within the lifestyles and vascular risk factors, risk drinkers, physical inactivity, smoking; history of stroke, cranial trauma and arterial hypertension; as for mental health, depression, anxiety, and feelings of loneliness; in the neuropsychological variables, alterations in semantic memory.
Conclusions: the prevalence of dementia syndrome is notable in older adults, which shows that it constitutes an important health problem.
Educational intervention on HIV/AIDS knowledge in adolescents
Authors: González Tielves Marlín , Nuñez Díaz Brenda de la Caridad , Vázquez Hernández Aniris , Romero Díaz Yaumara , Torres Carmona Ivania
Published: June 2024

Introduction: Every day 5,000 young people between 15 and 24 years of age are infected with HIV, which is equivalent to almost 2 million new infections each year.
Objective: to apply an educational intervention on HIV/AIDS knowledge in adolescents of the Bachelor's Degree in Hygiene and Epidemiology of the Simón Bolívar Teaching Block, in the year 2022.
Methods: Educational intervention study with quasi-experimental design. The universe was constituted by 89 students, a non-probabilistic sample of 54 was selected, an initial questionnaire was applied, a diagnosis was made and the intervention was elaborated, then the questionnaire was applied again. Descriptive statistics were used, given in absolute frequency and percentage value.
Results: Most of the adolescents before the educational intervention lacked the basic knowledge and skills necessary to avoid HIV infection, had insufficient counseling, access to testing, condoms and harm reduction strategies. After the intervention was implemented, it was more successful in changing HIV/AIDS behaviors and knowledge among adolescents.
Conclusions: The educational intervention on HIV/AIDS knowledge in adolescents is effective, which contributes to the prevention and control of these diseases.
Genetic preconceptional risk in the municipal genetics service
Authors: Nuñez Millan Prisca Saray , Candelaria Gómez Belkys , Iglesias Rojas María Beatriz
Published: June 2024

Introduction: Identifying the genetic preconceptional risk in the context of community genetics will allow developing protective interventions and minimizing genetic risks in all their aspects.
Objective: to design an educational strategy aimed at the prevention and follow-up of genetic preconceptional risk in the municipality of Consolación del Sur, during the year 2022.
Method: an observational, descriptive, cross-sectional research was carried out, the universe coincides with the sample of 831 women evaluated in the municipal consultation of genetic preconceptional risk. Theoretical, empirical and descriptive statistical methods were used, given in absolute and relative numbers.
Results: 31.41% of the women were evaluated with increased genetic preconceptional risk, 51.19% were due to congenital defects followed by chromosomopathies and hereditary conditions in 15.23%. Based on the diagnosis obtained, a strategy with a community approach is proposed to reduce the risk.
Conclusions: The evaluation of preconceptional risk before pregnancy is a challenge of prenatal care, allowing the development of intervention strategies through preventive educational actions aimed at the management and reduction of the main risks.
Characterization of low birth weight. Pinar del Río Municipality
Authors: Ortega Rabi Yeili , Álvarez Quiñones Kenia , Del Campo Martínez Sissy , Pérez Martin Marta María , Pérez Montiller Carlos Enrique
Published: June 2024

Introduction: For the World Health Organization, the incidence of low birth weight is very useful to monitor the progress of nations, since it constitutes one of the most important causes of infant and perinatal morbidity and mortality.
Objective: To characterize low birth weight in the Municipality of Pinar del Río in the period from January to June 2023.
Methods: an observational, descriptive, cross-sectional, descriptive study was carried out. The universe was constituted by 42 mothers who had a newborn with low birth weight during the study period. Theoretical and empirical methods were used to review the obstetric records to obtain the data, and descriptive statistics were used in absolute and relative frequencies.
Results: 40.47% of low birth weight newborns were reported in the Hermanos Cruz polyclinic; the age group of mothers between 20 to 29 years old predominated with 42.8%, preterm delivery was considered as risks in 52.8%, followed by chronic arterial hypertension with 42.8% and Anemia in 35.7%; 54.7% of low birth weight newborns were male.
Conclusions: Low Birth Weight constitutes a health problem in the municipality of Pinar del Río, it requires a multidisciplinary and intersectoral strategy, managing to improve this indicator, so that the mother and her baby are healthy.
Quality of service and customer satisfaction in the beauty industry in the district of Los Olivos, 2023
Authors: Alonzo Hinojosa Bryan Luis , Velasquez Mendoza Ofelia Almendra
Published: June 2024

The purpose of this present study is to find the degree of association between service quality and customer satisfaction in the Los Olivos district, 2023, the methodology used was basic, the approach used was quantitative since we want to measure and collect data, the design is non-experimental since we will start from observation, the scope is correlational and the questionnaire was used as an instrument and 92 clients of the beauty salon were surveyed, which produced Sperman's Rho coefficient of 0,711 as results, this means to say that the relationship is considerable positive, thus indicating that quality has an impact on the perception and opinion of users as well as this results in users becoming more loyal to the beauty salon. Concluding that a relationship is found between the two variables because if the quality of the service increases, customer satisfaction also increases since, if the customer is provided with better service, he is a customer who is satisfied with the service. provided by the staff and so you can return repeatedly to continue providing better care.
Level of Knowledge in Medical Students about Gender-related Differences in Ischemic Heart Disease
Authors: Cabrera Erika Vanesa , Levin Ricardo
Published: June 2024

Background: Ischemic heart disease is the leading cause of mortality worldwide in female patients and presents gender-related differences in clinical presentation. Women usually have their first presentation of coronary disease 10 years later than men and with a marked increase in mortality. Anatomically, they have smaller diameter coronary arteries, have worse results when exposed to cardiovascular risk factors, and have gender-specific risk factors. Little is known about the perception that medical students have in this regard. Material and methods: Descriptive, cross-sectional, observational study; in which medical students were surveyed. Results: A survey was carried out on 70 students, both sexes, between the ages of 23 and 47, who were in the 5th and 6th year, in which it was found that the majority perceived breast cancer as the leading cause of female mortality and no to cardiovascular disease; recognition of classic cardiovascular risk factors continued and few observed the existence of gender-specific cardiovascular factors; the recognition of typical symptoms of acute coronary syndrome persisted and the presence of symptoms that predominate in women was ignored. Conclusion: Most of the students did not recognize ischemic heart disease as the main cause of death in women globally, awareness strategies should be proposed about the differences that women present in cardiovascular disease
Sexually Transmitted Diseases and Pre-exposure Prophylaxis (PrEP) to HIV Systematic Review
Authors: Contreras Vera Sofía Lorena , Laube Dr. Gerardo
Published: June 2024

Introduction: Sexually transmitted infections (STDs) constitute a group of very frequent diseases worldwide and an important public health problem. Currently, the positivity of new cases is alarming, which is why it is necessary to renew the preventive strategies and awareness of STDs together with pre-exposure prophylaxis (PrEP) that has proven to be not only effective but also profitable and safe. Objectives: The objective of this Systematic Review of the literature is to evaluate, through the study of scientific publications, the impact, safety, efficacy and controversies that arise from patients with sexually transmitted diseases who are under PrEP therapy for HIV and identify the barriers that exist in the adequate information on the part of the population. Materials and methods: In this systematic review of the literature, research articles published to date on various platforms available on the Internet such as PubMed, Google Schoolar, MedLine, ResearchGate are analyzed in order to obtain reliable data that relationships of sexually transmitted diseases in people on PrEP therapy