bluuebunny/crossref_metadata_2025 huggingface dataset:
Educational intervention strategy aimed at prenatal genetic risk care
Authors: Nuñez Millan Prisca Saray , Candelaria Gómez Belkys , Iglesias Rojas María Beatriz
Published: June 2024

Introduction: Community genetics consultation has spread across the country. Genes and environment can influence the risk of genetic disease. It integrates strategies for prevention and detection of population genetic risk from primary health care.
Objective: To characterize the behavior of prenatal genetic risk and to design a genetic counseling strategy with community outreach on increased prenatal genetic risk.
Methods: A descriptive and retrospective cross-sectional study was carried out from January 2020 to December 2022 in the municipality of Consolación de Sur. The universe was constituted by 3887 pregnant women who had been admitted to the community genetic consultation and the sample consisted of 1863 women evaluated with increased risk. The processed information was shown in frequency distribution tables.  Percentage analysis of the results and the Delphi method were used for the technical validation of the genetic counseling proposal based on its basic elements and ethical aspects.
Results: The pregnant women evaluated with increased genetic risk represented 47.92%, the most important risk being chromosomal alterations in 49.89%, followed by congenital defects in 32.51% and hereditary conditions in 11.57%.  Extreme ages constituted a health problem, with adolescent girls 15.41% being the most frequent. We propose strategy to optimize attention to increased prenatal risk.
Conclusions: The evaluation of pregnant women allowed the identification of increased risk factors and the design of a genetic counseling strategy with a community approach, helping to improve prenatal care.
Nutritional aspects in the chronic critical patient, a Systematic Review
Authors: Cavalcanti de Freitas Ferreira Ana Carolina , Lipovesky Fernando
Published: June 2024

The term "chronically critically ill" is used to describe a group of patients who remain dependent on life-sustaining therapies after a severe acute illness requiring intensive care unit (ICU) admission. Malnutrition is a common finding among chronically critical patients and has been associated with negative effects. Nutritional support has gained recognition as a beneficial therapeutic strategy, not only to prevent loss of body mass, but also to attenuate metabolic alterations induced by prolonged stay in the ICU. Therefore, the objective of this study was to determine the relationship between malnutrition and poor outcomes in chronically critical patients. For this study, a systematic review was carried out in the PubMed, Scielo, Google Scholar, Clinical Trials and Bookshelf databases. Articles published in the period from 2017 to 2022, in English, were selected. A total of 2,836 articles were found. Subsequently, it was selected from the reading of titles and abstracts, resulting in the exclusion of 2,543 articles. Afterwards, 246 were read in their entirety and the inclusion and exclusion criteria were applied. And so, only 10 were eligible for analysis in the present study. The current literature unifies supportive care for ECC patients through two crucial strategies: early mobilization, and anabolic nutrition. In addition, it shows the role of protein and anabolic supplements, immunonutrition and among others. In ECC, the malnourished patient can increase the length of stay in the ICU, the incidence of infections and hospital mortality. Thus, as the authors state, to solve these problems there is nutritional support, which can mitigate the negative effects of macronutrient or micronutrient deficiencies, as well as several other nutritional interventions that have already been studied
Overweight and obesity in pre-school and school children: A systematic review on the more general effects of this disease
Authors: Sbardella Abigail Carolina , Sosa Dra. Celia Lilian
Published: June 2024

Childhood obesity is a condition affecting children characterized by excessive weight gain in relation to their height and height. The World Health Organization (WHO) defines obesity and overweight as “abnormal or excessive accumulation of fat that may be harmful to health”.Obesity is an important risk factor as it can lead to diabetes, high blood pressure and high cholesterol levels, metabolic syndrome, among others.The aim of this article is to identify the most frequent affectations, the risk factors, the evaluation and approach to the disease, to know the incidence in children in Argentina, using other articles published in PubMed, Google Scholar, Tripbase, Argentine Society of Pediatrics, as a source of data, thus achieving a systematic review of them
Systematic Review: Metformin, more than a hypoglycemic
Authors: Arce Julieta Lucila , Sabattini Analía Claudia
Published: June 2024

Background: Metformin is a biguanide-type oral antidiabetic drug used in Type 2 Diabetes Mellitus (DM 2). Different uses of this drug are proposed in different pathologies, but in the 100 years since the drug became known, the only approved application is in DM2. The experience in off-label uses is relevant, but its scientific evidence and conclusions are limited, so the main objective of this systematic review is to investigate, analyze, and evaluate the beneficial uses of this drug for outside its regulated indication. Material and methods: A primary search was performed in MedLine, Embase, Google Scholar, and SCielo. Results: 13 articles were included where the pathologies of Polycystic Ovarian Syndrome (PCOS), Fragile X Syndrome, Hidradenitis Suppurativa, Acne, Psoriasis, Acanthosis Nigricans, Primary Myelofibrosis, Idiopathic Pulmonary Fibrosis, obesity and overweight and its use with antipsychotics were evaluated. Conclusion: The articles show that metformin caused improvement in pathologies such as Hidradenitis Suppurativa, Acanthosis Nigricans, Psoriasis and acne. Metformin works as a weight loss therapy. It is effective as prevention and treatment of weight gain in treatment with antipsychotics. In PCOS, metformin acts by reducing weight, improves hirsutism, and stimulates ovulation. In IVF and PCOS together with the use of metformin negatively affects pregnancy rates. Metformin does not reverse bone marrow fibrosis in patients with primary myelofibrosis. In the case of Idiopathic Pulmonary Fibrosis, it did not show improvement
Prognostic factors of dysphagia in patients with ischemic stroke: a systematic review
Authors: Contreras Sebastián N. , Pratto Romina Amelia
Published: June 2024

Background: Cerebrovascular accident (CVA) is one of the main causes of death and acquired disability in the world. Swallowing disorders accompany this disease and have a negative impact on the evolution and recovery. Patients suffering from dysphagia can present complications and require more health care, which affects their rehabilitation and survival. The objective of this review is to evaluate the presence of dysphagia in the patient who suffered an ischemic stroke and to determine if there is a prognosis factors for its evolution. Material and methods: A systematic review of the literature published on the PubMed and Google Schoolar platforms was carried out, with the keywords. Ischemic stroke; dysphagia; prognostic Results: From the different searches, 13 articles were obtained, of which only 10 met the inclusion criteria. These results were presented objectively, describing the year of publication, type of study, population, and relationship with dysphagia. Conclusion: There is no unified consensus on what are the prognostic factors for dysphagia in ischemic stroke. As a suggestion for future research, the need to direct research to the study of dysphagia in a population of patients with acute ischemic stroke is raised
Systematic review on the prevention of aspiration pneumonia in the elderly
Authors: Takafashi Pereira Simalia , Farias Anibal Danilo
Published: June 2024

Background: Pneumonia is a common respiratory infection. Macroaspiration, is the aspiration of a large oropharyngeal volume from the upper digestive tract. Dysphagia is the most significant of the risk factors for pneumonia and is extremely common in older people.
Material and methods: The study design was that of a systematic review of the literature, scientific articles were analyzed after making a selection after an exhaustive bibliographic search, with the objective of knowing the prevention measures to avoid or reduce the risk of pneumonia. macroaspiration in adults older than 65 years.
Results: Specific searches were carried out following the explained methodology, allowing the identification of 6 articles, after applying the inclusion and exclusion criteria. 2 articles were systematic review, 2 randomized clinical trials, a quasi-experimental quantitative study and a retrospective study.
Conclusion: Different approaches regarding the prevention of aspiration pneumonia in the elderly patient were analyzed. The main factors associated with aspiration pneumonia were two: dysphagia and poor oral hygiene. The importance of protecting the airway of the patient with dysphagia and poor oral hygiene is clear, it being important to diagnose dysphagia early in order to take preventive measures and avoid the complication of aspiration pneumonia
Ventilator-associated pneumoniaMechanical ventilation pneumoniaAnd its risk factors
Authors: Jimenez Vega Camilo Alberto , Accoce Matías
Published: June 2024

Ventilator-associated pneumonia (VAP) is a lung infection that occurs in patients who are being mechanically ventilated. Risk factors include a prolonged duration of mechanical ventilation, a weakened immune system, and a previous history of infections. Early diagnosis of pneumonia is important for effective treatment and faster recovery. Diagnostic methods include taking X-rays, performing cultures of respiratory secretions, and evaluating the patient's symptoms. Objective is to carry out a systematic review that can give alarm guidelines in the pathophysiological behavior of patients with pneumonia associated with ventilation. Mechanics, identify and act promptly to reduce mortality. Material and methods: A systematic review was carried out, of the papers that contained material that will help us meet the objective, to study pneumonia associated with mechanical ventilation and evaluate its pathophysiology
Hormone Replacement Therapy (HRT) and its correlation with endometrial cancer in climacteric women: A systematic review
Authors: Da Silva Oliveira Marilia Rebeca , Postorivo Nauman José Vicente
Published: June 2024

Background: During the climacteric, the female body suffers from a decrease in ovarian activity with a reduction in circulating estrogen levels and consequently signs and symptoms appear such as infertility, vasomotor disorders, atrophy of the genitalia and, in the long term, increased bone turnover, cardiovascular diseases, alterations of the lipid profile among others that interfere with the quality of life. Hormone replacement therapy (unopposed estrogens or associated with progestins) is used as part of the treatment to suppress these symptoms, but it is associated with the risk of developing endometrial cancer, which is hormone dependent. Material and methods: A systematic search of the best available evidence is carried out in information sources and databases, such as PubMed, Cochrane, Epistemonikos, Societies (SEGO, NCCN, FIGO, ESMO-ESGO-ESTRO) in search of studies that correlate HRT as a risk factor for developing endometrial cancer. Results: the evidence showed that estrogen HRT in isolation considerably improves symptoms in women, but that it substantially increases the risk of developing endometrial cancer because it is hormone dependent. Conclusion: It is necessary to understand the use of HRT, be it unopposed estrogens or associated with progestogens, in the climacteric, to whom it can be indicated and how to implement it to improve the quality of life of these women
Level of knowledge about Sexually Transmitted Infections Sexually Transmitted Infections among medical students at the Universidad Abierta Interamericana - Sede Rosario, year 2022
Authors: Rossi Agustina , Gustafsson Dra. Mónica , Tomarchio Dra. Daniela
Published: June 2024

Introduction: Sexually transmitted infections (STIs) encompass a set of pathologies, belonging to different infectious etiologies, spread predominantly by sexual contact, whether vaginal, anal or oral sex. Young adults are part of the most vulnerable population where it is essential to strengthen prevention, awareness and education actions. Objective: To describe the level of knowledge about sexually transmitted infections in first year medical students of the Universidad Abierta Interamericana - Sede Rosario, 2022.  Materials and methods: A quantitative, descriptive, observational, cross-sectional, prospective, quantitative study. Carried out at the Universidad Abierta Interamericana, Rosario campus. The population consisted of all 1st year students belonging to the School of Medicine and Health Sciences. The sampling was non-probabilistic by convenience. The data collection instrument consisted of an anonymous, voluntary and self-administered survey made up of 23 closed, multiple-choice questions with which the variables age, sex and level of knowledge were re-evaluated. The variables were analyzed through absolute and relative percentage frequencies and summarized through central position measures: mean, median and mode and dispersion measures: range and standard deviation. Results: A total of 178 students were surveyed, 100% of the students were in the 1st year of the course, with a mean age of 22.44 ± 4.40 years (min. 18; max. 48), of whom 116 (65%) were female and 62 (35%) were male. 97 (54%) students were not taking any STI-related subjects, 56 (32%) were taking one subject, 21 (12%) were taking two subjects and 4 (2%) were taking 4 subjects. The mean score was 13.64 ± 3.38 (min. 5; max. 20). 38% (67) of the students possessed a high level of knowledge about STIs, 40% (71) medium knowledge and 22% (40) low knowledge about STIs. Conclusions: Students have a medium-high level of knowledge about sexually transmitted infections in relation to definitions, forms of transmission and laboratory tests for the diagnosis of STIs and HIV. However, they present low knowledge regarding pathogens, clinical manifestations, treatment and complications of STIs
Level of knowledge about the Argentinean Decriminalization of Abortion in Argentina among students of the Medical School of the Universidad Abierta Interamericana -Sede Rosario inthe year 2023
Authors: Brunela Frade Melani , Kraft Dra. Florencia , Gabini Sebastián
Published: June 2024

Introduction: Abortion is a medical procedure used to terminate a pregnancy, which is considered a guarantee of the right to a safe and free abortion for women, girls and other persons with gestational capacity to decide about their sexual and reproductive health. Objective: To describe the level of knowledge about the Argentinean Abortion Decriminalization Law among 4th and 5th year students of the Medical School of the Universidad Abierta Interamericana (UAI), Rosario campus, in the year 2023. Materials and methods: Quantitative, descriptive, observational, cross-sectional and retrospective study, carried out at the UAI. The study population consisted of all the students who attended the 4th and 5th year of the 1st four-month period of the Medicine course at the UAI - Rosario campus in the year 2023. The data collection instrument consisted of a 25-question survey, anonymous, voluntary and self-administered, consisting of open and closed questions. Quantitative variables were analyzed through absolute and relative percentage frequencies and summarized through central position measures: mean and dispersion measures: range and standard deviation, while qualitative variables were analyzed through absolute and relative percentage frequencies. Results: A total of 60 medical students were surveyed, 72% of whom were female and 28% male; the mean age was 26.38 ± 6.70 years. The mean age was 26.38 ± 6.70 years. 53% were in their 5th year of studies and 47% in their 4th year. Seventy-seven percent recognized up to what week access to voluntary termination of pregnancy is legal. 92% recognize that they can refuse to perform an abortion, but they must first make a conscientious objection. 98% can differentiate between legalized abortion and decriminalized abortion. 33% do not recognize the maximum time limit for performing an abortion once the will to perform it has been expressed, and 23% do not know that access to abortion is included in the mandatory medical program. Sixty-five percent obtained a high level of knowledge, 33% a medium level and 2% a low level. Conclusion: 65% of the students presented a high level of knowledge about the Argentinean Law on Decriminalization of Abortion, recognizing the necessary guidelines for access to voluntary termination of pregnancy, professional responsibility and the process of comprehensive care for those entitled to termination of pregnancy
Systemic Review of CIED extractions in the Argentinean Population
Authors: Correa Soares Braulio , Blanco Norberto
Published: June 2024

Background: Implantable cardiac stimulation devices (CIEDs) are commonly used to treat cardiac rhythm disorders. However, certain circumstances may require the removal of these devices. The aim of this study is to investigate the outcomes and challenges related to CIED removal. Material and methods: A systematic review and retrospective analysis were conducted on a group of patients who underwent device removal at El Cruce Hospital. Demographic data, information about the type of device, reasons for removal, and complications were collected. Results: A total of 41 patients (average age: 50 years; 63% male) who underwent CIED removal were included in the study. The main reasons for extraction were endocarditis, generator pocket erosion, generator pocket infection, and lead failures (cables, catheter, electrode, and sensing). Complications, including technical failures, were recorded in 17% of cases. Short-term clinical outcomes were evaluated based on age, gender, device type, and reason for removal. Conclusion: In this patient community, short-term removal of cardiac devices is an effective and safe procedure with few complications. This study, based on data from a group of individuals who received treatment, while not conclusive, these findings contribute to improving the understanding of clinical practice and enhancing the quality of care received by patients in this context
Nutritional support in severe burns
Authors: Oviedo Assunção Tayná , Lipovestky Fernando
Published: June 2024

Introduction: Burns are partial or total skin lesions, classified according to their etiology into thermal, electrical, chemical and radiation, which cause profound physiological, metabolic, hormonal and immunological alterations. A bibliographic review has been carried out on which nutrients intervene in the viability of the recovery process in patients with severe burns, with the aim of investigating which dietary regimens are prescribed in relation to their dietary behavior. The results of this review suggest adequate nutritional support, and generating a positive impact on recovery. The choice of route of administration depends on the patient's situation, but it is important to calculate the amount of energy, protein, carbohydrates, lipids, vitamins and minerals.
Objectives: The aim of this review is to analyze the current state of knowledge on nutritional support in severe burn patients, metabolic and catabolic changes and dietary strategies.
Material and methods: Bibliographic searches of scientific articles in English and Spanish journals were performed through the US National Library of Medicine (PubMed), the Online Medical Literature Analysis and Retrieval System (Medline), the Virtual Health Library (VHL), the Scientific Electronic Virtual Library (SciELO) and electronic searches in journals and books. Data collection was conducted in November and December 2022
Gliflozins, a new hope for heart failure? systematic review
Authors: Golin Brustolin Ana Beatriz , Porcile Rafael
Published: June 2024

Background: Heart Failure (HF) is a public health problem with high morbidity and mortality rates, as well as resource consumption. Sodium-glucose cotransporter type 2 inhibitors (SGLT-2 inhibitors), originally developed for type 2 diabetes, have become an attractive therapeutic option for HF. Recent studies have shown that gliflozins, a type of SGLT-2 inhibitor, reduce the risk of cardiovascular death and hospitalization for HF compared to placebo. Further studies are needed to confirm these findings and establish their place in the current therapy for HF. Material and methods: A systematic review of studies published in PUBMED evaluating the use of gliflozins, a subtype of InSGLT-2, in patients with heart failure was performed. Results: Based on the articles analyzed, a total of 25,960 patients with heart failure were included, who were studied in 4 different studies. Conclusion: The use of gliflozins in patients with heart failure was found to be associated with a significant reduction in the risk of cardiovascular death, hospitalization for heart failure, and adverse cardiovascular events compared with placebo
The rol of bowel preparation in colorectal surgery
Authors: Briola Magali , Carballo Federico Héctor Enrique
Published: June 2024

Background: Mechanical preparation of the colon has been an essential practice for colorectal surgery. During the 1930's it was popularized on the grounds that stool, due to its bacterial content, predisposed to surgical site infections and favored anastomotic dehiscence. To reduce the incidence of surgical site infections, the use of antibiotic prophylaxis associated with mechanical preparation has been recommended. After some years and experimental studies in animals, emergency surgeries without preparation and good results, its use was questioned, in fact, it was sought to avoid the discomfort and morbidity involved. With the advent of laparoscopic surgery, it was questioned again since it was believed that it was necessary to prepare the colon to be able to manipulate it, but later it was demonstrated that it was not necessary. The relevance of this paper is to illustrate the changes described in the last decades regarding colonic preparation and to update the reader on current recommendations. Despite the controversies over the years, the paradigm is continuously changing. Material and methods: A systematic review was carried out with a literature search in the following databases: Google Scholar, Cocharme Library, Espistemonikos and PubMed (MEDLINE). The MESH search terms used in the present study were colorectal surgery; Surgical preparation; anastomotic leakage; bowel preparation; antibiotic prophylaxis. The Boolean operators OR and AND were used. By selecting potential papers and important information to identify the best outcome in patients undergoing elective colorectal surgery, a total of 363 articles were identified, of which a total of 30 were potential articles for this review. Results. Nine articles were selected after application of the inclusion and exclusion criteria. A total of 14,015 patients were studied, 54.60% were men and 45.40% were women.  The patients were divided into different groups, those who received only mechanical preparation of the colon, those who received mechanical preparation combined with oral antibiotics, those who received only oral prophylaxis and those who did not receive prophylaxis. Of the total number of studies analyzed, a clear reduction in complications was observed in the patients who received combined treatment. Conclusion: The combination of mechanical colon preparation and oral antibiotics would be associated with a lower incidence of surgical site infections and anastomotic leakage compared to no mechanical preparation
New therapies in the treatment of Perinatal Asphyxia: A systematic review
Authors: Inácio Esther Lourdes , Capani Francisco
Published: June 2024

Background: Perinatal Asphyxia is a clinical condition characterized by a failure in the fetal gas exchange system caused by an interruption of placental flow. It can occur in the prepartum period (4-20% of cases), Intrapartum (56-80%) or Immediate postpartum periods (10%). In addition to neurological and neurobehavioral compromise, It Is associated with high morbidity and mortality in term and preterm neonates. Until now, there Is no effective therapeutic strategy to reduce the effects produced by Perinatal Asphyxia. In the clinic, therapeutic hypothermia has been Implemented as a neuroprotective treatment, but only with partial effects. The objective of this present systematic review is to provide information on the new therapeutics for the treatment of Perinatal Asphyxia. Material and Methods: A systematic review of the literature available in the electronic databases was carried out, selecting through the Inclusion and Exclusion Criteria the scientific articles available and relevant to the established topic. Results: 44 articles met the Inclusion and Exclusion Criteria proposed in this present systematic review of the literature. Conclusion: The analysis carried out exposes the need for new therapeutic interventions. Advances have been made both at the level of basic research in animal models and early clinical studies, testing some of the new research. More research Is needed to advance in this direction, especially in the line of translational research
Evaluation of the cost-benefit ratio of two fish production systems in 4 farms in La Plata, Huila
Authors: Sánchez Castillo Verenice , Rueda Trujillo Gabriela , Yalanda Sepúlveda Angee Katherin
Published: June 2024

The pisciculture plays an important role in the economic dynamization of the municipality, small farmers and their families. Despite the fact that the families dedicated to this agricultural activity claim to obtain significant income, they do not keep a record that shows the economic profitability of their production system. The objective of this research study was to evaluate the current cost-benefit relationship in fish production on four farms in the municipality of La Plata, Huila. The management systems implemented on the farms were characterized, their profitability was analyzed, and the fish farmers' perception of their systems was identified. Qualitative methods such as field visits, interviews and quantitative methods such as surveys were used to collect the information and later systematize it using ATLAS.ti version 9.0 software. It was found that most of the producers choose to implement a semi-intensive system, which is related to the availability of resources they have on their farms and that part of the benefits are not only economic but also of high quality self-consumption, thus demonstrating that their system is an important source of family sustenance. Finally, it was found that the fish farmers are satisfied with their production systems.
Causal factors of infant gastrointestinal bleeding. Provincial Pediatric Hospital "Pepe Portilla"
Authors: Curbelo Valle Yaritza , Martín Ruiz Adisnuvia
Published: June 2024

There are few data on the frequency of gastrointestinal tract bleeding in pediatrics. Approximately 10% of the cases have been associated to a systemic disease, hematological disorders, septicemia, serious illnesses; the rest are usually mucosal lesions: ulcers, erosions, located in the whole digestive tract: 10%, upper gastrointestinal bleeding, 30% in the small intestine, 50% in the anorectal region. An observational, descriptive and transversal study was carried out, with the objective of characterizing the causal factors of digestive bleeding in the pediatric age in patients attended at the Provincial Pediatric Teaching Hospital "Pepe Portilla" from February/2019 to July/2021.The universe coincided with the sample, constituted by 49 patients in pediatric age attended in this period due to gastrointestinal bleeding. Theoretical, empirical and descriptive statistical methods were used. There was a predominance of digestive bleeding in the age group from 1 to 5 years of age (44.9%), coming from urban areas (46.9%), the most frequent risk factor was inadequate diet (43.3%), the predominant type of bleeding was low and the most frequent symptom was rectorrhagia. The main causes of lower gastrointestinal bleeding were anal fissure and polyps (24.2 and 16.1 %) respectively. The presence of anal fissure was the most frequent endoscopic diagnosis (25.0 %). The most frequently used therapy was medical (77.6%) and anemia was found as a complication in 4.1% of the patients. The causal factors of infant gastrointestinal bleeding can be modified with an educational work of health promotion, in correspondence with what has been reported in Cuba and other countries.
Metabolic syndrome and its components. Medical Clinic 26. Policlínico Luis Augusto Turcios Lima
Authors: Ramírez Guzmán Sandra , Capote Serrano Rigoberto
Published: June 2024

Metabolic syndrome, initially defined by Reaven, is defined as the presence of a constellation of risk factors of metabolic origin affecting the same individual.  Objective: to characterize the metabolic syndrome and its components in the population aged 45-59 years of the clinic 26 of the Policlínico Luis Augusto. Turcios Lima from September 2020 to April 2022. Method: an analytical, cross-sectional study of cases and controls was carried out, the universe was constituted by all patients between 45-59 years old, performing inclusion and exclusion methods, 135 patients were surveyed of which 45 presented metabolic syndrome (cases) and 90 patients did not present it (controls). Statistical tests of chi-square, Odd ratio and 95% CI were performed. Results: abdominal obesity in women was found to be significantly higher 97.4% than in men 73.7% (p=<0.0001), there was association between non-alcoholic fatty liver disease and metabolic syndrome (p=0.006) (OR=2.72; 95% CI: 1. 22- 6.08), abdominal circumference above the normal range is a predictor of metabolic syndrome (p=0.002, undefined OR, 95%CI undefined).Conclusions: abdominal obesity as a risk factor affects more the female gender. There is a close relationship between non-alcoholic fatty liver disease and metabolic syndrome. Abdominal obesity, arterial hypertension, hypertriglyceridemia and altered fasting glycemia are the risk factors most related to metabolic syndrome.
Effectiveness of acupuncture therapy in patients with lateral epicondylitis
Authors: Curbelo Fajardo Juan Carlos , Cuello Ávila Jesús , Camero Machín Julio Cesar , Gómez Carmona Elizabeth
Published: June 2024

A prospective and longitudinal descriptive study was carried out with the objective of evaluating the effectiveness of acupuncture therapy in patients with lateral epicondylitis, treated at the Dr. “León Cuervo Rubio” Hospital from January 2021 to January 2023. The universe was 42 patients with a diagnosis of of lateral epicondylitis who attended the Natural and Traditional Medicine (MNT) consultation and the sample was 37 patients who met certain criteria. The intensity of pain was evaluated, according to the modified Mac Gill scale, and the speed of relief. The set of results was transferred to a Microsoft Excel database, which was expressed as absolute values ​​and percentages. Results: The most prevalent ages were 44-54 years, (51.3%) with 19 patients, with the female sex being the most represented at 56.7% with 21 women. Within the occupations, seamstresses were the most represented with 9 patients, for 24%. Qi Stagnation was present in 64.86% of the sample. Pain was the predominant symptom that was most present in 100% of the patients (37 patients). The intensity of pain before treatment was mostly grade III with 12 patients, representing 32%. At the end of the treatment, 23 patients reported no pain, for a 62% relief. According to the speed of relief, mediate relief predominated with 32 patients, which represented 86.5%. In 32 of the patients studied there were no adverse reactions, for 88%.
Rural women in relation to sustainable development
Authors: Castillo Carrillo Rosana
Published: June 2024

The role of rural women in Latin America has been, and is, highly significant; mainly, if it is approached from the need to achieve the objectives of sustainable development; therefore, rural women play a multiplicity of roles in their local context, ranging from domestic work to active participation in production processes, marketing and adding value to products. This essay reflects on the current situation of women in relation to the socio-productive processes carried out in rural sectors; theoretical, legal and experiential elements have been considered in the reflective process, which leads to recognizing the need for a paradigmatic change in the being and doing of our societies towards rural women.
Little Attention of Companies in the Commercial Sector Regarding the Implementation of Safety and Health at Work in Colombia During the Year 2015 to 2020
Authors: Velásquez Ramos Yainy Antonio
Published: June 2024

This work details all the information about the Management System for Safety and Health at Work, including a study that determined that few companies in the commercial sector in the city of Monteria have implemented the system. The article begins with an introduction where information regarding safety and health at work is made known, detailing each point that is integrated into the article in order to provide better information that achieves a better reading.
The objectives are described, which are obtained through the study of the problem and the problem question, in this way they are studied to provide answers using methodological tools for a good conclusion and development. At the end, the results of the research are obtained and the conclusions are expressed identifying the fulfillment of the objectives.
Work motivation as an essential component of productivity in companies in Colombia
Authors: Álvarez Quintana Yeidys Adriela
Published: June 2024

The research entitled Work motivation as an essential component in productivity in companies in Colombia. Its main objective is to show the importance of motivation in employees and in such a way the influence that this topic has for the production of companies and for the good performance of employees. The topic of demotivation at work and the factors that it entails and how it can be mitigated are shown. A broad focus is made on the positive aspects when providing strategies to encourage work motivation, since it results in employee performance leading to business success. In an increasingly competitive and globalized environment, work motivation is the fundamental basis for achieving efficient and effective employee management. When workers feel motivated, their performance improves efficiently, which in turn positively impacts the organization's results.
Educational Strategy on Sexually Transmitted Infections in Adolescents, San Juan y Martínez
Authors: Estévez Mitjans Dra. Yusmary , Duarte Hernandez Dra. Keilan , Lorenzo-Orama Dra. Yarielys , Puente Colombe Lic. Magaly
Published: June 2024

Introduction: Worldwide there is an upward trend in the occurrence of sexually transmitted infections, including the immunodeficiency virus AIDS, at the expense of a shift of sexual intercourse to younger and younger ages. Objective: To determine the level of knowledge about sexually transmitted infections (STIs) in adolescents from the ESBU José de la Luz y Caballero in the municipality of San Juan y Martínez during the period from September 2021 to July 2023. Method: An experimental quantitative-qualitative cross-sectional intervention study was conducted from September 2021 to July 2023. The universe consisted of 246 students, a sample of 225 students selected through a simple random sampling to which a questionnaire was applied. The study was conducted in three stages, diagnosis, intervention, and evaluation. Results: In this study, 15-year-old adolescents predominated and females had a higher incidence. A level of knowledge about sexually transmitted infections, including the AIDS immunodeficiency virus, was evidenced; the symptoms and signs, as well as the measures we should take to protect ourselves from STIs at the beginning of the educational intervention, were low in terms of knowledge and at the end satisfactory levels were reached. Conclusions: after applying the intervention, a significant increase in students' knowledge about STIs was achieved, so the intervention was considered effective
State administrative reparation to the victims within the framework of theJEP in the Municipality of Quibdo in the period 2018-2022
Authors: Perea Rivas Jaisser
Published: June 2024

In order to establish any approach to reparation for victims, it is necessary to establish the context in which violence has developed in Colombia; Thus, two main moments and a context that precedes them are established. In Colombia during the last 70 years it has been a constant story in the nation, in Colombia historiography a milestone was caused with the death of the leader Jorge Eliecer Gaitán, an event which began the first phase of violence from a bipartisan tone. Subsequently, the second phase arises from an insurgent nature and finally the last phase is related to violence fueled by drug trafficking. In this last stage, which began in the 1980s, there was a growth of insurgent forces on the one hand and, in addition, an emergence of paramilitary forces. These are the armed actors that will seriously affect Colombian society and will have to be called transitional justice in this process.In the 1980s, the insurgent forces at the height of their growth made the strategic decision to kidnap notable people of high economic value, in addition to other crimes that violated fundamental human rights. So the guerrilla forces were the authors of the consolidation of their alternative or paramilitary forces, which tended to be financed by money from powerful people behind drug trafficking in the context of the 1980s, who constituted the counterproposal to the insurgency that at first it was called “Death to Kidnappers”, meanwhile the paramilitary forces received financing, training, equipment, weapons and political support from various sectors of society. So, in principle, it has been the serious effects that many independent actors in the conflict had that we want to repair in the contexts of demobilization processes, whether with paramilitary or guerrilla leaders. In that context of the 80s, several types of crimes were committed that would later be understood as victimizing acts, knowing in detail the scourges of kidnapping, torture, the dispossession of land, the commission of massacres, the forced disappearance of people, terrorism, among others. These are the same aspects that through transitional justice we hope to address, know and understand in order to advance as a Colombian society
Trends in Research: Bioculture, Social Metabolism and Territory in the 21st Century
Authors: Gómez Rodríguez Dustin Tahisin
Published: June 2024

The purpose of this study is to analyze the dynamic interaction between Bioculture, Social Metabolism and Territory, in order to understand how these complex and intertwined dimensions shape human societies, impact environmental sustainability and shape cultural practices. A qualitative methodology that integrates two complementary approaches is employed. First, bibliometric searches are conducted using specific equations focused on the analytical categories of Bioculture, Social Metabolism and Territory. Second, a documentary review is conducted through triangulation between these and emerging categories, using the PRISMA protocol as a guide. It is concluded that understanding the interrelationship between Bioculture, Social Metabolism and Territory as shaping elements of human societies offers a valuable analytical framework, fundamental to address contemporary challenges, from environmental sustainability to social equity
Medical science education in COVID-19 times
Authors: Valido Valdes Doraimys , Hernández Villar Iris María , Fernandez Rojas Yoannia Caridad , Sánchez Rodríguez Yanely , Gallardo Romero Emma
Published: June 2024

Introduction: In the year 2020 the World Health Organization (WHO)( WHO,2020), declared as a pandemic respiratory infectious infectious disease that was named coronavirus infectious disease-19 (Corona VIrus Disease 2019, known as COVID-19), first identified on December 12, 2019 in Wuhan. Aim: To describe the strategies implemented in universities of medical sciences worldwide and in South Consolation during COVID-19. Methods: a search of available evidence was conducted in Medline/Pubmed, Scopus, and EBSCO databases using the terms “COVID-19”, “medical education”, “SARS”, “MERS”, and “Medicine School”. Articles available as full text were reviewed and those detailing the strategies implemented during the SARS-CoV1, MERS, and Covid-19 epidemics were selected.  Conclusions: the analysis of the strategies during the COVID-19 epidemic highlighted the importance of taking into account previous actions and adapting them to our reality. Developing our own strategies that achieved a greater interaction of students with the community and the family, with greater interaction with the teacher, teacher adaptation to the use of ICT, interaction of students with the municipal teaching department and the basic health team of each area, and close communication with students and parents, to have the largest number of virtual tools that allowed to cover the different learning styles.
Role of Gender and Stress in Emotional Autobiographical Memories Retrieval
Authors: Álvarez Cortina Macarena , Ruetti Eliana
Published: June 2024

Emotional autobiographical memory (AM) comprises a set of personal events (episodic) and general information (semantic) highly relevant to the self. This type of memory refers not only to past events, but also influences the meaning of the present and guides future behavior. Even so, there is little literature on positive MA and this is related to an inherent methodological difficulty. In the present study, the evocation of positive and neutral MA was assessed in a sample of 72 participants based on the reported gender identity, the typicality of the gender role (BSRI), the retrieval modality (free recall or recognition) and the basal stress level (EEP-10). The amount of details present, their assessment and the subjective self-report of the emotional AM evoked were evaluated. The results indicated significant differences in subjective self-report according to the typicality of the gender role; differences in the amount of details present depending on the retrieval modality and differences in the value of the thoughts/emotions/actions present depending on the evocation modality and baseline stress. No differences were found based on gender identity. These results present an original contribution to the study of the phenomenological and content characterization of positive emotional MA
Experience in building and utilizing a Coastal Environmental Quality Index through a mobile phone application (ICALi) with High Schools and Social Organizations
Authors: Poveda Kevin , Glustein Jazmin , Gonzáles Facundo , Mignaqui Vera , Borón Ignacio
Published: June 2024

The development and use of open-source tools for participatory environmental assessment constitute a fertile field for the construction of environmental knowledge and wisdom. Here, we present preliminary results of a participatory assessment experience in seven coastal localities in the province of Buenos Aires through a mobile phone application that allows for the calculation of a Coastal Environmental Quality Index (ICALi). This index was constructed based on 10 multiple-choice questions aimed at evaluating the environmental quality of coastal areas, considering observable aspects such as the presence and type of flora and fauna, coastal morphology, or organoleptic properties of water. The application was developed on an open-access platform, enabling not only its free use but also modification by users. Its implementation took place through workshop sessions with secondary schools and socio-environmental organizations, including participatory mapping of environmental conflicts, field trips using the app, and sharing and analysis of results. The application of the tool by teachers and residents of different coastal areas allowed for obtaining index values at each surveyed site. Comparing the values obtained for different points at the local and provincial levels enabled recognition of the value of coastal areas as natural public spaces, highlighting the main difficulties for their preservation and care. Additionally, the critical use of the tool was evidenced, allowing for the collection of improvement proposals. Participatory research processes were promoted, generating spaces for exchange and construction of contextualized environmental knowledge in each territory
Feeling-thinking bodies-territories along the Negro River. An ethnography of the West Coast Neighborhood in the neo-extractive present of the town of Allen, Río Negro
Authors: Quintana Thea Abril
Published: June 2024

The proposal consists of presenting the progress of the current Master's thesis project in Social Sciences, whose object of study is the sentiments of the bodies-territories produced by the population of the Costa Oeste neighborhood, in the city of Allen (Río Negro), in its connection with the Negro River.The importance of the river crosses several areas that make life possible in the region, and Costa Oeste is the neighborhood of the city of Allen closest to it. However, between 2012 and 2013, the method of non-conventional extraction of hydrocarbons is consolidated in the region. It appears the need to propose narratives that include as categories the territory, the body and nature in the analysis of the resulting socio-environmental conflicts.The proposal is inserted in the field of social, legal and territorial studies; from transdisciplinary, situated and gender perspectives. The proposal is to investigate how the community of the West Coast Neighborhood feels their body territories in their relationship with the Negro River. In this way, attention will be paid to the meanings that the people of the neighborhood attribute to the territory, to their bodies, and to the Negro River. We also inquire about the transformations that can be observed when thinking about bodies-territories in the current neo-extractivist context. Finally, we will analyze how the political-legal decisions that have implemented the neo-extractivist model in the region have influenced the production of sentipensares in the body-territories
Discussions and contributions of the multidimensional approach to habitat and social inequality
Authors: Cesana Bernasconi Mónica , Sakamoto Guiomar
Published: June 2024

The objective of the work was to present and discuss the contributions of the transdisciplinary approach to research on the study of habitat and social inequalities from a complex multidimensional perspective, mainly economic, gender, productive and territorial, in relation to the fruit and vegetable production of a productive Consortium. of Gran Resistencia, in the province of Chaco.To achieve this objective, a strategic analysis tool known by the acronym SWOT was used to identify the strengths, opportunities, weaknesses and threats in relation to a business or organization. The data analyzed for said strategic diagnosis come from two research and extension activities, which took place in previous works of the authors and were analyzed and interpreted from an epistemological perspective of scientific knowledge of multidimensional inequality.As a result, the results matrix is constructed with the four dimensions and the main factors that appear in each quadrant, systematizing the dimensions considered (economic, gender, productive and territorial